Episode Sixty-Seven – FSM Is Listening

Carolyn McMakin, MA, DC Kim Pittis, LCSP, (PHYS), MT

In this podcast, the hosts explored the power of compassion and kindness as powerful tools for healing. They discussed the case of a patient with chronic kidney stones and showed how FSM can be used to treat the patient. They highlighted the importance of listening to the patient and holding a vision of them as healed, even when a full cure is not possible. The phrase “A kind gesture can reach a wound that only compassion can heal” was quoted to emphasize the power of compassion. Additionally, the hosts talked about how physical therapists and functional medicine practitioners can work together to treat Covid-19 related issues such as fatigue, cognitive issues, GI problems, and toxicity effects of the vaccine. Lastly, they discussed the frequencies of 124/77 for Ehlers-Danlos and 40/89 for injury and return to functions, as these can be useful knowledge for practitioners. This podcast reinforced the power of compassion and kindness in treating patients.

https://vimeo.com/790165882

Episode Sixty-Seven: Audio automatically transcribed by Sonix

Episode Sixty-Seven: this mp4 audio file was automatically transcribed by Sonix with the best speech-to-text algorithms. This transcript may contain errors.

Dr. Carol:
Hello. How are you? I'm great. Well, they're always great. Not true. Not get out.

Kim Pittis:
Of my brain. I had my Santa hat and my dog ran off with it.

Dr. Carol:
Oh, no. True story. I pulled into the garage, like at 2:53 and open the first Christmas tub that I hadn't gotten to. And there was my hat. I love it. There you go. I can't wear a hat if you don't have one.

Kim Pittis:
Yeah. No way. My dog on that one. This is our Christmas episode.

Dr. Carol:
Let's. Yeah. And this is episode 67. Whoo! It's like a year in a lot. Yeah, It's amazing.

Kim Pittis:
It was such a wonderful byproduct of COVID, wasn't it?

Dr. Carol:
And the low boredom threshold.

Kim Pittis:
You and I both had too much time on our hands.

Dr. Carol:
Exactly.

Kim Pittis:
So let's have weekly meetings.

Dr. Carol:
We talk on the phone, and then you said, Let's turn it into a podcast. And Kevin knew how to do that. And then all I have to do because they asked me at lunch to we had a staff lunch today. Yeah. And they said, So what do you do for the podcast? And I said, I show up and Kim talks and then she aims the train that way and I take it off the tracks and then she, it works out just fine. I don't do anything. I just show up. It's easy.

Kim Pittis:
But I think that's why it works. It's because it's funny. I had a patient come see me who listens to the podcast. She's from out of state. And she comes flying and it's so great to see you again. And I'm like, We've never met. She's like I see you all the time. I've watched every podcast twice. And so it's funny, I just feel like I know you and I'm like, that's great. That's I think why it works is because we're quite organic and it's not too scripted and.

Dr. Carol:
It's a compliment, I think so because we're not any different in person with our patients than we are on the podcast. There's no podcast Carol and real Carol. They're roughly the same.

Kim Pittis:
And I think that sometimes happens when you see a doctor as a patient and then you see them outside. I'm like, Wow, you're so different. And I don't know if I necessarily like that. I don't know. I like to just be the same person. I like to interact with people that are the same way. Just be you.

Dr. Carol:
I have one exception, and that is in the practicum portion of the Core there's the first practicum is always. They're so excited about getting started and there's a lot of this and that. And I feel like I should have a nametag that goes from Dr. Carol to Dr. Mom because I will let them go for about 3-4 minutes and then I put the mic close to my mouth and go, Hey, stop talking. Patient on the table. You with the machine. You sit at the head of the table. And they were reminding me that one of our practitioners said, my butt clenched up because all of a sudden it sounded like my mom. And it's just the nametag goes from Dr. Carol to Dr. Mom. I feel like I should have one that switch.

Kim Pittis:
But you're right, there is that component when we're teaching. And for me, it's the opposite. That happens at the Sports Course, the last practicum because then they're having way too much fun and they're jumping off of the desks and they're like doing karate kicks. And that actually happened last year at the Advanced. And I was just like, Okay, this is great that we're like using our creativity but let's not create fractures.

Dr. Carol:
Yeah, No, no fractures.

Kim Pittis:
No, not at the course.

Dr. Carol:
It's and by the last practicum, it's like I described last week, it is a free for all. That's where you have 8 tables and it's supposed to be the lumbar spine. And it's never the, almost never the lumbar spine. It's the ureter, it's ovarian cysts, it's abdominal adhesions, it's food sensitivities. It's yeah. I just wander around. And it's really fun because there's no script for it. There's two slides and none of the slides apply because it's where you get to practice, treat what you find.

Kim Pittis:
And that is so symbolic of the way the course has changed over the last five, ten years from going from very I don't to say very scripted, but from having a definite template of which we were treating and definite frequencies in an order based on. It's funny, I had this conversation with I have a lot of stories to share this week, but I was having this conversation with a patient who's an out-of-state athlete and they've had some exposure to FSM from different clinicians whom have taken courses a while ago, one of which has never taken a course, just inherited a preprogrammed CustomCare.

Dr. Carol:
Oh ow.

Kim Pittis:
And even with a good professional degree and a CustomCare that was loaded with probably 25 of the most basic protocols you would need for an athlete, these patients are going to get somewhat better because that's just the way it works. And that's why it is such a great tool to have because you can't really mess it up when you're practicing in that platform.

Dr. Carol:
True.

Kim Pittis:
But this one athlete got a very significant injury. So it was I was grateful that the practitioner that treats him contacted me and said, we need your expertise to really dial this in for this athlete.

Dr. Carol:
So easy.

Kim Pittis:
No problem. Tell me what happened. I need the mechanism of the injury. I need to know how many days we're out, blah, blah, blah, blah, blah. All the important questions. It's a pretty straightforward injury. Made a very specific program and within minutes of the athlete having it, called me and said, Dude, I feel so good. And I'm like, That's great. I'm glad that you're getting some pain relief. No, I've had these machines on before. I've never felt like this before. I'm like, That's great because I never want to with my list of instructions, I never want to front load or you're going to feel so dwarfed and it's going to feel so good because like you talk about in the practicum, the first one that we do there is that bell curve of some people that just don't feel it. And it doesn't mean it's not effective. And I used to make that mistake in my early days practicing. I'm like, You're going to feel so good and you're going to get so stoned and this is going to work so well. And then it doesn't.

Dr. Carol:
And because of my background in hypnosis, you never want to set up a situation where a patient's personality or psyche is oppositional. You will feel. And there's something about that particular patient where there was their unconscious responses. No, I won't. You can't tell me what I'm going to feel. So I'm going to feel that. So there and I write Neuron.

Kim Pittis:
I have a child that's like that.

Dr. Carol:
Yeah, It's my goal. And this is what I tell everybody when I start is my goal is to not make you worse. Yeah. And that this. Oh, so you set the bar low then when they get stoned and pain free, it's just. Oh, I got to treat. Speaking of injuries, I got to treat a new patient today. Not today, yesterday, who had a new injury six days ago. He had a laparoscopic surgery to remove his left adrenal gland. That's a good face. The adrenal gland had a tumor in it that increased aldosterone. So his blood pressure was all over the map prior to the surgery. He was in atrial fib because his potassium requirements went from, I don't know, 20 milligrams to 800 milligrams. So, yeah, it was nuts. So they went in laparoscopically, removed the adrenals and he had one, two, three, four, five ports. And he came in, bent over a bit at the waist, as you would, and limping with his left leg and a CustomCare that one of my patients had loaned him programed with new injury for right after the surgery. And then he came in for me to treat him and create a program for post-adrenal surgery. So I had a PrecisionCare and just made a list. So you think about the first thing I did was the poor kidney. Is there any way to remove the adrenal gland without insulting the kidney? So 124 and 294 and giving the kidney some love.

Dr. Carol:
But then his belly was full of air because they have to inflate it to make room. And at the symposium five years ago. Freimeth from Germany did a case report on a patient that had bilateral shoulder pain after an abdominal surgery where they put in CO2 to inflate the abdomen. There is a frequency for, all I could think of was air. And there was nothing for air. And then we did similes and the patient said gas. And so I ran the frequency for gas and the fascia. All the puffiness in his abdomen went from an outie to an innie. That softened up. And then it was six days. So I ran to 284 because he's bruised. But whats bruised? The fascia. The connective tissue. Poor small intestine. If you think about what they have to do to get to the adrenal glands from the front. And tender to touch on the skin to light touch. Wasn't nerve. What's the basement membrane of the skin made of? Connective tissue? So I put in on a broken in the connective tissue and that really tender spot just went away. Whoa. Okay. Put that down. Then I went to turn and broken in the fascia and the tender spot in the skin came back. But the rest of his belly got soft.

Dr. Carol:
And the pain went down. Fascia is the peritoneum. Right? That's deeper. And it was torn and broken because of what they do. Then did inflammation in the small intestine and trauma in the small intestine, the normal stuff. But those two around 124 and torn and broken in the connective tissue. Torn a broken in the fascia. 30 minutes apiece, 20 minutes apiece while it programed his CustomCare. So, at that point, he said, I have to go to the bathroom. So when he sat down in the recliner, he said, You're going to have to help me get out of this thing. When he had to go to the bathroom, he unhooked the leads from the sticky pads. unreclined his chair. Stood up. Was not bent over. Was in no pain. No limping. Walk to the bathroom. Walk back. I never get to treat patients six days after surgery. It was so much fun. The thing that I talk about when the post-op protocols especially when it's laparoscopic, you have to think about the path. What did they have to do? And if you're going to blow up the abdomen with three quarts of CO2, what's going to get stretched and what's going to hurt? So I did 40 and 396. Didn't do much. It was so fun. Isn't that cool?

Kim Pittis:
It is. And I'm laughing because I get to see the athletes with the new injuries all the time. A lot to unpack with what you just said, but one of the things I want to touch on is for the practitioners that are listening, when you get a chronic patient, yes, you have to retrace your steps or retrace their steps so much like what happened to get the condition in the predicament that it's in.

Kim Pittis:
But it's also very indicated with a brand new injury, because it's not just 40, it's not just 124. You have to, again, like retrace your steps. Yes, it's torn and broken. But what happened?There was some trauma. There is some bleeding. Maybe it's remove the anesthetic from the area like there's.

Dr. Carol:
I forgot to do that.

Kim Pittis:
But that's what you, especially for post-op, we get really caught up with 40 and we get really caught up with torn and broken. But there's a lot more to this story if you can just.

Kim Pittis:
It's almost like translating it. Translating the history that's from another language. And you have to put it in the literal sense of the word, and then you have to think about the lateral sense of the word. For instance, I have been knocking it out of the park the last six months with pain and pressure.

Dr. Carol:
Oh 20. Oh, yeah.

Kim Pittis:
And it's one that I never got a ton of results from but. You know that magic laminate that you have, it's almost I don't know if you've seen them on Facebook or Instagram. It almost looks like a word scramble. And then it says the first five words that you see will be like your mantra for the next year. That's almost what the laminate reminds me of because we have so many frequencies in numbers. But the one that you need has a way of, look at me, I'm right here!

Dr. Carol:
It's like in bold print and it just sticks out in your face and you go, That doesn't make any sense. And you look at the whole rest of the laminate and that sticks out and you go, Okay, fine. It's the little bird on your shoulder. This isn't going to work. Okay, I'll try it. Right?

Kim Pittis:
And that's what I had with 20. And I've had it with instances where the joint is affected, especially in a chronic condition, especially in the knees.

Dr. Carol:
Pain and pressure in the knees. I always do pain and pressure in the kidney stone patient And that was.

Kim Pittis:
20 and 157.

Dr. Carol:
Sweet! Seriously?

Kim Pittis:
I'm serious. I'm not sure what it does for healing, but to take away the pain in something. Especially when there's osteoarthritis tracking issues, tibial plateau fracture. It's been unbelievable

Dr. Carol:
Seeing with the tibial plateau fracture and even facet injuries 224, torn and broken and necrosis. 54 right? There's no circulation to the cartilage. So pressure and pain makes a certain amount of sense. And I go from torn and broken to inflammation and I just go right to necrosis. But 20 is a good drive by. Leif says Spondylolisthesis isn't lumbar. Oh yes. Spondylolisthesis is lumbar spine, and it is mechanical. For those of you who aren't practitioners, Spondylolisthesis is where the vertebra are supposed to stack on top of each other, and you have one vertebra, the ligaments get loose and it slides forward on the vertebra below. Usually, it's L5 on S1, but it can be. It's usually in the lumbar spondees in the lumbar spine? 5 and S1 are L4 and L5. Sometimes the lamina, the back part of the spine, are fractured or degenerated, pushing the vertebra forward. A grade one is one quarter. So 25% of the vertebra above is hanging off the vertebra below. 50%, 75%, and nothing. It's hanging on by just the posterior joints. So it is lumbar spine. You can't put tissue back that's not there. You can treat the ligaments. You give them exercises to try and pull the vertebra back. The pain generators are the facet joints, the posterior joints in the back because they're getting smashed, because the vertebra is moving forward and there's no way to have a vertebral body. slide forward and have the disc annulus be intact. This is a case where you're going to have both disc and facet and torn ligaments and exercises and mobilization from the front to the back. Right. And yes, Leif. There you go.

Kim Pittis:
So Maddie has a question, and she had emailed me this morning with a little bit more detail. And Maddie, good for you for jumping on here and making sure that we answer your question. It's on my list. I fast-tracked it. And it's interesting because I do want to talk about a couple of things that she talked about. Bit of a history is we have a young 16-year-old hockey player that was struck on the outside of her leg, had a partial ACL tear and a partial meniscus tear. We've got some bone bruising on the tibial plateau, had an MRI four weeks later, no ligament or meniscal injury. Problem is, when I do medial gapping of the knee and positive.

Kim Pittis:
Hang on. She had other. No meniscal tear. Oh, bone marrow edema. And this is what I want to talk about. Bone marrow edema and subcortical impaction of the posterior medial tibial plateau.

Dr. Carol:
Okay, so a couple of things there. And I don't know when you saw her, Maddy, after that injury, how long it's been. I think she said, what is it, four weeks? No. The injury was on October 21st. So there's the history there. And you did a treatment, I think in learning the thinking of FSM and where to start and having an MRI saying nothing there but bone bruising. Except the physical exam suggests medial knee pain is still very positive. Mom is not a great believer in this. Okay. She ran stop the bleeding and then 124, 100. Obviously torn and broken in the ligament. Doesn't change her active range of motion or pain. Knee flexion stayed the same.

Dr. Carol:
You've got to treat the bone.

Kim Pittis:
Have to treat the bone.

Dr. Carol:
Bone bruise is a bone bruise. Bone marrow. And subcortical micro fractures. So what the MRI. Sorry, I can't. I just.

Kim Pittis:
No, I want you to talk because we don't talk about bone marrow edema or bone marrow lesion as what we see on an MRI very often and it's very important because it's very indicated.

Dr. Carol:
And so the bone marrow edema and a bone bruise, it doesn't mean anything. So if you were to dissect it, what you would find is the cortical bone is not fractured. So she doesn't have a tibial plateau fracture. Cortical bone, the hard stuff on the outside, is not fractured. Underneath it, and I can't remember if it's 59 or 39. So subcortical bone, the crinkly stuff inside before you get to the marrow, that's torn and broken, that's inflamed. And so you treat that. You also have to treat the periosteum for inflammation and torn and broken because you can't bruise the inside of the bone without annoying the periosteum on the outside. Because the periosteum is the pain generator. It's innervated, right? So you treat the periosteum for inflammation, torn and broken, trauma. And the reason that marrow edema causes pain. There's no pain nerves in the bone marrow or in the subcortical bone. The pain nerves are in the periosteum. So when the bone marrow swells, so you bruise it. The bone marrow is incredibly vascularized. There's a lot of blood vessels in there. So you treat the bone marrow for hemorrhage, inflammation and congestion.

Dr. Carol:
Don't treat bruising because you want it to clot. So no 284. I don't care how long ago it was. You just leave it alone. That's my approach. You have more mileage. So you get the swelling down in the marrow. You treat cortical bone. The 59 and 39 for torn and broken and inflammation, the range of motion isn't going to change until the periosteum is quiet. And then if you look at the mechanics in the knee, the muscles on either side, there's the ligaments. But the range of motion is controlled by the muscles. And there's no way to do all that damage to the bone without torn and broken in 77. Most of the tendons in the knee are flat. There's a couple of round ones in the hamstrings and knees. So the hamstrings are buggered. I think that's the technical medical term, right? Thrashed. So torn and broken and the round tendons torn and broken. Yeah, knee extension is minus five. That's the flat tendons, 77. And remember, there's 13 bursas in the knee. I think what I just described is like five machines.

Kim Pittis:
Something like that. I'm not sure if it was in that, or in the email, but she had mentioned posterior medial tibial plateau, lateral patella, sub lux injury.

Dr. Carol:
Oh, go.

Kim Pittis:
So, yes, it's an MCL injury and that's what you're seeing objectively on imaging. But like you said, you have to go so much. More expansive with that and thinking about what are the neighbors. Right. So you don't. Nothing happens in isolation, what is around the area? So, yes, a ligament can get strained, 0 to 3 degrees. Surgical, non surgical.

Dr. Carol:
But the ligaments never the problem.

Kim Pittis:
The ligament is never the problem.

Kim Pittis:
The periosteum is going to be your biggest and safest bet at. knocking pain down right away. Like you said, it's the pain generator. So when a ligament gets thrashed or strained, if this is hockey, yes, there's trauma. There's going to be a blow to the area. It's going to get stretched. But what's going to hurt is when it pulls on the periosteum and sets the pain off so it doesn't matter what else is happening. And to your point, the bone marrow edema, it's a very painful condition. And a lot of times we overlook the possibility that it's the bone marrow, but it happens in a lot of injuries and it does create pain. So when the imaging shows that, you know what, it's torn but not that torn, I will go back to treating the bone marrow, like you said, for congestion, especially because it's so congested in there, it's just freaking out. It's everything's trying to heal and there's nowhere for it to go. Congestion in the bone marrow, right? We're not going to try to treat 284. It's not indicated. Who cares? Hemorrhaging 18. That can also take the pain down right away. And yes, you still need 124 and 100 and 124 and 783 and 77 and 157, the joint surface. If the meniscus is involved, the tibial plateau is involved. It's a giant joint surface. So 157 would be my also like.

Dr. Carol:
And 114 If you've taken the Advanced, it the meniscus, it actually seems to work.

Kim Pittis:
It does. And I was a bit of a skeptic of that one because some of the Advanced frequencies, I'm like, Oh, we get three more laminates and then you start playing with it. I'm like, I'm just going to go back to my core laminate because most of these are slam dunks. But you're right, 214 does seem to work.

Dr. Carol:
Yeah. So Matty, You got it. Yeah. The hamstrings are holding on for dear life because when the hamstrings are tight, maybe you can explain this. When you have a partial thickness tear, when you have a tendonopathy, it doesn't make any sense to me that the cerebellum makes the muscle tighter.

Kim Pittis:
Yeah, No, I know.

Dr. Carol:
Okay, good. Thank you. Because if I was the cerebellum and the tendon was injured, wouldn't I loosen the muscle?

Kim Pittis:
But that makes too much sense.

Dr. Carol:
It makes the muscle tighter, which makes the tendon worse. But it also means you can't move the joint.

Kim Pittis:
So I think in that case, because it's trying to get more muscle and it also, I think, works in the fact that it's not just sending increased tone to the affected muscle or the affected tendon via that muscle. It's all the neighbors. So let's just say the Achilles tendon is being affected. It's going to send messages to the soleus and to plantaris. And so all of that via that. So the cerebellum has great intentions.

Dr. Carol:
It's why I have six PrecisionCares in one room. And my programing computer and 4 CustomCare's. So if I've got it already on a CustomCare or if I can program it really quickly while the patient goes into the restroom. Otherwise, I just put these six machines on and keep your hands on it to feel what makes the change. And the patient doesn't always. Sometimes they do, but they'll feel the change in pain immediately. Like with 124 or 40 and you feel the softening? Yeah.

Kim Pittis:
I need to go back to one of Mattie's comments that she wrote that there's still swelling, and then she wrote, I think it's too early for on ice due to the swelling, lack of range of motion and trouble loading into single leg. Absolutely. Here's the thing for people who are on ice. The rule, the hard rule with us is if you can't do it on the ground, you can't do it on the ice. And if you can't do it on the ground with confidence, you can't do it on the ice. So an athlete needs to have 100% confidence in the affected area for them to return to play.

Dr. Carol:
So quickness on ground.

Kim Pittis:
Absolutely.

Dr. Carol:
Ice is fast.

Kim Pittis:
It's fast. And they don't have time to think about change of direction. So Maddi, important components for the return to play here would be quick change of directions. The knee has to be able to handle talk and talk safely. It's not just about the lateral blows that MCL is handling. The proprioception in the knee and ankle and hip, right? Nothing happens in isolation. So it's not just about the swelling. You have to have those muscles return with confidence. So hopefully that.

Dr. Carol:
She has to override the primary physiotherapist EAP. Yeah.

Kim Pittis:
Nobody would put this person back on the ice when there's swelling and no function. Nobody should be doing that, especially with a 16-year-old.

Dr. Carol:
Oh, yeah. No.

Kim Pittis:
And the ice is really antiquated. If they need to listen to the podcast I had with JP on the game changers using heat on the quads and the hamstrings, you can't rob an area of nutrients like you need to have your body's natural platelet rich plasma to come in and heal the joint surface. That's not going to do it if you use too much ice. So heat to the quads in the hamstrings to bring good circulation there. You're going to get the anti-inflammatory properties with FSM. So you know that, Matty, come on. Derek has a Question.

Dr. Carol:
Excited that I get to go to Australia and meet Matty in person. Yay!

Kim Pittis:
I'm going to Australia too.

Dr. Carol:
I know we get to go to Australia. That's exciting. I can't wait. All right.

Kim Pittis:
Derek has a question.

Dr. Carol:
So I was central stenosis. C5-6. Bondi Whoa! Four, five, six, seven. Oops. Oops.

Kim Pittis:
Severe narrowing of that foramina. X-ray is not pretty.

Dr. Carol:
MRI, buddy.

Kim Pittis:
And neropathy symptoms face, legs, feet, arms.

Dr. Carol:
Face. Lower part of the face is the 4-5 spondylosis. So remember that there's a loop that goes down into the spinal cord down as low as C4. For the two lower branches of the trigeminal nerve, have a loop that goes down in the spinal cord then back up to the face. Goes down as far as C4. So if you have changes in sensation or worse, numbness in the lower two branches, but the upper branch is normal, then you know, it's the neck or maybe the jaw. But in this case, it's obviously the neck. You need an MRI. X rays, not pretty. That means you check babinski for sure. Upper reflexes, for sure. Upper strength, for sure. Patellar reflexes, for sure. If the babinski is positive, you call the surgeon when the patient is in your exam room. You do not let the patient go out the door without having made that phone call. If the Babinski is positive. If the Babinski is negative you've got some time. MRI. Find out what moderate central stenosis means. Does it touch the fecal sac? Got some time. Does it touch the front of the cord? You are a ten mile an hour rear end accident away from being a C5 quadriplegic. If the vertebra is touching the front of the cord and spondylolisthesis. Spondylolisthesis, spondylolisthesis, spondylolisthesis. So it's not a spondylolisthesis, it's a spondylolisthesis. That just means arthritis in the facets and in the front of the vertebra.

Dr. Carol:
Yeah, you need an MRI and neuropathy syndromes. It's legs and feet. Oops. Arm makes sense. Legs and feet mean, to me, look for 81/10. So look for increased tone in the legs. And if the tone in the legs is increased, that'll create pain in the legs and feet. Could also be 40/10. Could be just straight-up inflammation in the cord. Yeah, there was a practitioner, a patient that came and took the Core practicum in San Francisco, and I looked at his MRI and I said that surgical. He still had a negative of babinski, but his cord was no longer round. Had a dent in it and his legs were tight. And it's that surgical. You sure we can't treat it with FSM. Yes, I'm sure that it's not safe. You have to at least talk to a surgeon and ask five of your friends. Ask your GP. Find a nurse that works on the orthopedic or the floor. Ask her. Find the guy and then go interview. You've got time. If your babinski is negative, you have time. So interview the surgeons and find one that you can talk to who is not a jerk, that's a nice guy. They do exist. And so that's my. Yes, Derek, we are both coming to Hawaii, too.

Kim Pittis:
I'm so excited. It's funny. I had somebody reach out to me and said I saw the FM sports for 2023. Arizona, Hawaii and Australia. Isn't this all about you? And I'm like, yes of course.

Kim Pittis:
2023 might be just. Yes. We're excited about these courses.

Dr. Carol:
And when you open doors for two and a half years and then you turn us loose.

Kim Pittis:
Yeah. So I'm going to check off my bucket lists and teach all at the same time. Does life get better than that?

Dr. Carol:
You want to go to Ayres Rock with me? Oh, yes. Because I've never been. Every time I go to Hawaii, it's Australia. I don't talk about this much, but I've been sick since 1998. And in the last two years, I am healthier than I've been in the last 15. So when I get to Australia, I used to be so tired that I just stay on the east side. And now I've got a week between the Core and the Advanced and I want to fly. I want to go to Azraq. I've never seen it in person. That would be a magic place. Yes, the West. Yes, we will.

Kim Pittis:
Diana Kross mentioned it and she had a picture of it in the background when we did the little tribute to you and all the work that you did. And the way Dr. Cross speaks is hypnotic.

Dr. Carol:
And we got an email from her. I can't quote it exactly, but it was something like. I found it I found out why it works. And she didn't tell us what she found. But I understand now how it is that 40/10 does what it does and how. And so she's so excited. I got goosebumps just talking about it. Diana Cross is thoughtful, relentless, persistent when it comes to reading papers. The bibliography on her slides approaches 100, 200. She just keeps reading papers until she makes sense of it, until she finds it. She's been working on this topic for what has to be 4 to 6 years now. Four years at least. Because it was one Symposium than the next one. And now this one, she says she finally got it. And now I'm like, I knew. I'm so excited. And I finally got the schedule up.

Kim Pittis:
Yes, I saw it. It looks perfect.

Kim Pittis:
So and thank you for finally not putting me back to back against somebody.

Dr. Carol:
You had you. You made me promise. So we are just so everybody knows there is no more physical medicine and visceral medicine track because physical therapists need to know what the functional medicine people have to say. Because unless you have a stable state and know how to create that stable state within your scope of practice or food for. And how to assess what that person is telling the patient to do.

Kim Pittis:
I think that's an important concept and an important realization that you had to make is, just because you can't diagnose and prescribe doesn't mean this material isn't very valid because it gives you some tools to at least identify it. To say, This is not within my scope, but this is what I'm seeing. And I have somebody you can talk to about this. But the only way this is going to work is if we attack it from all these different angles. And yes, there is no dual track because. It's all just one big happy family.

Dr. Carol:
Somebody with a muscle injury who's on statins, giving them exercises without telling them they need 400 milligrams of CoQ10 a day there's no point. That muscle won't tolerate it because the mitochondria are going ahhhhh.

Kim Pittis:
I love that visual mitochondria dying. I do want to bring the train back on the track for a couple of minutes because this I'm not sure about next week I'm going to be in Canada and I'm not sure if I can do Wednesday.

Dr. Carol:
I've never done a podcast by myself like you have done. And so when they asked me today, it's like, What do you do with a podcast? I show up in Kim drives the bus, and then I'm then we play well because.

Kim Pittis:
We'll confirm that if we might just have to cancel it and or I'll find a way from Canada.

Dr. Carol:
Yes, I can invite someone. I just have to figure out who. There's lots of people. There's lots of people. I'll figure it out. Okay. I'm just thinking.

Kim Pittis:
You're thinking out loud again?

Dr. Carol:
Sure. I could always use that.

Kim Pittis:
So when one question I had and I'll leave this to you to. To answer before I get to the fun stuff is there's a bunch of people getting COVID boosters right now. So what do you. It's a good face. What are you recommending as far as FSM before getting a booster or FSM after or both?

Dr. Carol:
Before there's not much point. Afterwards I only see the people that have symptoms after the booster, so there must be people that do okay with it. So there's that. Those two problems with the boosters. One is the virus so that you take the six virus frequencies, 38,00. Ya, 38,41,44,56,189 and 160. So those six virus frequencies, and there's that. Then you look at what symptoms they have. The biggest challenge that I've seen has been the fatigue that persists. Cognitive problems. Right? GI problems. And I think those are the major ones. Yeah. So you treat for the virus. And then the other challenge with Pfizer and Moderna in particular is the disinfectant that they use is polyethylene glycol. And in some patients like me, I'm allergic to it and it dissolves connective tissue. It's it is a preservative in Monistat and vaginal cream. And it. Anyway, I'll leave it to your imagination. So polyethylene glycol. Then you have to look at where that toxin has an effect. So, number one, you're treating the virus in at least the Vagus. Brain fog. Cortex. Anxiety and depression. The midbrain. The Vegas. Blood vessels. That's a fair guess. And the toxicity will affect the liver and the brain.

Dr. Carol:
So those are the two places where I'd go looking for the polyethylene glycol. And then my own personal experience was waking up. Six, eight, eight, 10 hours after my booster. With what was going to turn into Guillain Barre. I had pain down my spine, nerve pain in my arms and legs, and I couldn't move. Went to get out of bed and said, Let's get out of bed. And my muscles went, what, hu, excuse me? And it's like I was on three-second satellite delay when it came to movement. So I went across the hall and I put the virus frequencies in spinal cord, sensory-motor cortex, and the nerves and the blood vessels because the spinal cord and the brain are really well vascularized. Right? Ran that. Put that on the CustomCare. Went back to bed. Ran it with my converter, woke up in the morning and I was fine. So it really depends on what the patient presents with. There's not a single formula for post-COVID long haul COVID or post-vaccine symptoms. Whatever we can safely say. So post-vaccine reactions or symptoms, treat what you find and think your way through what they're dealing with. Headaches. Look at the dura.

Kim Pittis:
The dura has been like. It's so much fun.

Dr. Carol:
Yeah.

Kim Pittis:
I was reflecting this week on the past year. I've taken up, like mindful meditating and gratitude and journaling, and it's been very good for somebody like me to just slow down and be in the present. The only thing that has really made me in the present, something I struggled with my whole life was writing dressage.

Dr. Carol:
Oh yeah.

Kim Pittis:
Because if you are astro planning on the back of a horse, you're going to end up in a tree, over the rails, on the floor. Like you're just not going to be on the horse anymore.

Dr. Carol:
It's the thing that made riding so perfect for me in my sixties because you can't wander. It is cognitive. It completely occupies sensory-motor. And it's just it's like doing Pilates at 20 miles an hour. Yes.

Kim Pittis:
And going into some sort of meditative trance, too, because you are with your breath, you are with your body and the horse's body, and there's the connection and there's nothing like it in the entire world.

Dr. Carol:
Exactly. And the magnetic field, if you think about resonance, for those of you that don't ride horses, you won't understand. And I'm not sure the same thing can be said for cats or dogs, but with horses. And people. The largest magnetic field we put out is electrically. It's the heart and the brain. So we have a really strong magnetic field and it goes out from your heart. A horse's heart is four times at least. It's huge. Because it's that big. It has a huge magnetic field. So if. The thing I love about exhortation or dressage is you and the horse communicate. And you. Have to be in your heart, in your sacrum, in your brain. And yes, we like motorcycles. Yes. But the resonance between you and the horse and every horse you ride is going to be different. It's just. And motorcycles.

Kim Pittis:
Yes. You have to be in the present riding a motorcycle.

Dr. Carol:
Skiing is the same way. Sure.

Kim Pittis:
Yes.

Dr. Carol:
Which is better?

Kim Pittis:
Where was I going? Oh, yeah. With my reflections.

Dr. Carol:
Reflections.

Kim Pittis:
So I was reflecting on the year. I was thinking about the podcast and reflecting on the frequency that taught me the most this year.

Dr. Carol:
Okay.

Kim Pittis:
I hear yours could be an A or a B or both. Because we're always learning.

Dr. Carol:
Wow. I. It's a. It's the condition that taught me the most was Ehlers-Danlos. Sure. It's 124/77. I have one patient. I treated her twice. Six months ago. Her Ehlers Danlos is gone. The range motion is completely normal. Every place except her inner ear, where there's ligamentous laxity, tissue, laxity in the the endolymphatic system. And she's got tethered cords, so she ends up. And that isn't holding. So I'd say 124/77 is the one that I've learned the most about. Treating. Covid. Thinking about those six virus frequencies that they developed in 1922 after being through. Epidemic, epidemic, pandemic. By 1919. Pandemic was over by 2021, and these frequencies showed up on this list in '22. I don't know. That's a hard question.

Kim Pittis:
That's why I gave it to you. That's why it's about reflecting on it. Mine was 40/89.

Dr. Carol:
Yes, without a doubt.

Kim Pittis:
That was the pair that forced me to. Think about the injury and the return to function after. Because you start getting really good at treating the easy stuff. It's torn and broken, it's scarred, it's inflamed, it's fluff. But then what? And that was the question. Now what are we going to do?

Dr. Carol:
How do we get him to move it?

Kim Pittis:
Safely with confidence. With all the systems on board that are needed to? Like many of my major FSM accomplishments have not been walking gradually into the deep end. It has been like the universe grabs me by the hair and drops me in the deepest, coldest part of the pool and says, okay, go! Swim.

Kim Pittis:
Gratitude for the struggle, right? That's been my mantra is grateful for the struggle because this is where all the real learning happens. And when you think about anybody's return to normalcy, whether it is playing a professional sport or just putting a mug back on the second shelf of their cupboard again, it is the same sense of joy when you see the expression on their face when they grab the cup or they move their shoulder.

Dr. Carol:
And they can stand up straight or they take a step.

Kim Pittis:
Right. And I think that was the big thing that I saw this year was running 40/89. Once I was confident with it and once I had faith that it was doing what we thought it was doing and running it no matter what, because I knew they needed it and we had to run it. It is it was the ejection off the table. Sometimes they were lxplosive. And to your point, like you don't run it and they need help sitting up and they waddle off the table and then they come back and then you run it. And I'm like, okay, I think we're done. I'll turn my back for just one second. And yeah, they've taken the leads off and they're standing up and they're tying their shoe.

Dr. Carol:
Up just like, Whoa, whoa, stop it.

Kim Pittis:
So those. Yes, Ehlers-Danlos COVID 40, 89.

Dr. Carol:
Yeah. And I think the other thing that's happened this year. Getting back into practice. And having the opportunity to treat all sorts of different patients, most of which are like, it can't. Like literally this one patient was, can't be this can't be this easy. It was like literally the whole thing was 13 and 60 and scarring in the ureter, scarring in the kidney. Chronic kidney stones and 20 and 60 and 20 and 23. And it's like he bought a CustomCare. He's treating himself for the stones. The Stones pass and yeah that's why you have back pain. You've been passing gravel for five years.

Dr. Carol:
And your parathyroid is elevated. You will not have no kidney stones until you get your parathyroid. Can't we do it with FSM? So you get the ultrasound? I don't want to get the ultrasound. I don't care. Get the ultrasound. It's Dr. Carol, Doctor. Mom. But the ultrasound. Need surgery. And your point is? Get the surgery. You have four of them. Take one out the little teeny things. Just get rid of it. It's making you sick, and eventually it's going to kill you because your blood pressure is berserk. Oh. Okay, fine. So it's just. I don't even know how I got on. Oh, I know the opportunity to learn new things. Every patient is different and learning to think my way through it. Even after 27 years of doing this you find frequency combinations that you've never run before? Layers of things that you've never seen before.

Kim Pittis:
And because you always put the and in there with our community growing as much as it's grown and the ability to share as much as we're able to share, you get to hear these. Oh, stop it. It's not 4:00. You get to hear these stories of what people are trying and you're seeing things maybe with new lenses. I have two quotes and we have a couple announcements still. So two quotes in case I'm not here on Wednesday. So this one kind of just builds on what we're talking about. Says we can't heal the world today, but we can begin with a voice of compassion, a heart of love, and an act of kindness.

Dr. Carol:
Exactly.

Kim Pittis:
So I think that happens when we're overwhelmed a little bit with certain patients. We can't cure them all in one treatment or all today, but we can start the process by listening.

Dr. Carol:
I think the most important thing we do with FSM is listen. And we listen because we have a tool that makes listening useful if all you need is a word to call it. Oh, yeah. Fibromyalgia. Good. Take this tricyclic antidepressants for the rest of your life. Goodbye. When you know that what the patient is about to say will tell you what you need to do we tend to listen. And just the fact that you're willing to try makes a difference. And just the fact that you have a vision. So what's that quote? It's the physician's job to hold the vision of the patient as healed until the patient can see it for themselves.

Kim Pittis:
This builds on my last quote. It says, A kind gesture can reach a wound that only compassion can heal.

Dr. Carol:
Oh, I love that. Say that again.

Kim Pittis:
A kind gesture can reach a wound that only compassion can heal.

Dr. Carol:
Sweet.

Kim Pittis:
Yep. That's going to be my last quote of the year, because I may or may not be here on Wednesday. But you will be.

Dr. Carol:
I will be.

Kim Pittis:
But this is Happy holidays. Merry Christmas. All the things. So grateful for you.

Dr. Carol:
Grateful for you. And for everybody.

Kim Pittis:
Everybody. Yes.

Dr. Carol:
This is who uses FSM. We think of Christmas as gift-giving. I want you all to think about the gift you are to your patients and the gift to you that your patients are. Even the ones you can't fix, right? That's the gift. And I'm grateful for the gift of FSM. Right?

Kim Pittis:
Yes.

Dr. Carol:
Merry Christmas. Merry Christmas everybody. Happy holidays.

Dr. Carol:
Happy hollidays.

Kim Pittis:
Do good things. Enjoy everything. And I may or may not see you next week.

Dr. Carol:
If I don't see you next year, we'll figure it out. We always do.

Dr. Carol:
They always do.

Kim Pittis:
All right. Bye, everybody. Thanks.

Kevin:
The Frequency Specific Microcurrent podcast has been produced by Frequency Specific Seminars for entertainment, educational and information purposes only. The information opinion provided in the podcast are not medical advice. Do not create any type of doctor patient relationship, and, unless expressly stated, do not reflect the opinions of its affiliates, subsidiaries or sponsors or the hosts, or any of the podcast guests or affiliated professional organizations. No person should act or refrain from acting on the basis of the content provided in any podcast without first seeking appropriate medical advice and counseling. No information provided in any podcast shall be used as a substitute for personalized medical advice and counseling. Fss expressly disclaims any and all liability relating to any actions taken or not taken based on or any contents of this podcast.

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