155 – Palpation Assessment, Constitutional Factors, and Post-Shingles Neuropathy

Introduction and Podcast Information

[00:00:00] Kevin: Please help spread the message of frequency specific microcurrent by clicking on the like button. You can subscribe to us on YouTube or any podcast app. If you have any questions, please leave them in the comments. You can find the podcast transcription at FrequencySpecific. com as well as more information about frequency specific microcurrent.

[00:00:14] Dr. Carol: Do you have a list? Do you have a starting point? Well, I always have a list and a starting point. Go for it.

[00:00:22] Kim Pittis: The point is that we don’t always get to the list or the starting point because you always have some extraordinary event or story that you just have to tell us about.

Diving into Health Courses and Concepts

[00:00:33] Kim Pittis: So I am yet again taking another course and I love learning. I wish I could be just a professional student. But there is a part in the course that they were talking about this health pyramid that we have to follow. And I was thinking a lot about how to do screenings and assessment and mobilization and movement and stabilizer.

And it makes a lot of sense in the biomechanics world. And even in the biotensegrity world, which doesn’t follow a levers and fulcrum type of model and they were talking about different physical therapy modalities work for this and not for that and this and not for that. And I had to pause

the course so many times because we don’t have that with FSM, where it works for this and not for that.

Exploring Frequency Specific Microcurrent (FSM)

[00:01:14] Kim Pittis: There was a question that we had, and so maybe I’ll just kind of start with that because we always talk about our favorite frequencies and cautionary tales and there was an email, and maybe we talked about it last week, about a case where 1 24 could.

Is there ever a model where you couldn’t use 124?

[00:01:31] Dr. Carol: I couldn’t think of one. No, and I wouldn’t try.

[00:01:35] Kim Pittis: I’ve been staying up at night thinking, why would I ever? Not want to use it. Scarring? Absolutely. There are cases where we don’t want to dissolve scar tissue too soon, when we’re, remodeling, or we have to just be careful that when we’re dissolving scar tissue that there is strength and stabilizers ready to come online to create the stability that, scarring might have.

Case Studies and Practical Applications

[00:01:58] Kim Pittis: But

[00:01:58] Dr. Carol: the surprising thing to me is So you take out scarring in the ureter, in the kidney, sclerosis in the adipose, and then scarring down by the bladder to get somebody’s psoas loose. I did this yesterday. But I’ve had patients where the psoas, I had a patient with a 60 degree lumbar scoliosis.

She’s had it for years. She’s in her 60s. They’re not going to fuse it. Done deal. So I did the scarring in the ureter. But when you look at a 60 degree lumbar,

[00:02:35] Kim Pittis: I’m trying to just imagine that right now, actually, because,

[00:02:37] Dr. Carol: yeah, and her back pain is right at where it switches to the thoracic curve

[00:02:46] Kim Pittis (2): and

[00:02:46] Dr. Carol: it’s right at 3.

So I did this scar tissue in the ureter, the kidney and the. Fat pad, but then I had to do 1 24 and 77 to get rid of her back pain, right? So the SOAs refers pain to the back. That took care of one piece of the pain. But there was another part of the pain that was due to the fact that when the SOAs has to stretch so far and undergo so much biomechanical insanity and the connective tissue slips.

If you look at how the psoas connects to the vertebra, I had to run 124 and 77 torn or broken in the 77 attachment of the psoas to get her back pain down. Now that’s not going to do anything to change the scoliosis because now it’s, it’s hard.

[00:03:49] Kim Pittis: Yeah.

[00:03:51] Dr. Carol: But it makes her more comfortable and she’s an FSM practitioner.

So I wrote down what to do for her back pain. Facets, yes. And there, there’s a, I have in the core acute facets and, and on the custom care subacute and then chronic. Well, I have to change, I never run the chronic one. But when somebody has facets that have been so traumatized and damaged, you have to think of 54 and the cartilage.

The cartilage is necrotic, doesn’t get blood supply. So, if it’s necrotic because it doesn’t get blood supply, then what do you treat? What’s below the cartilage in the bone that gives oxygen and nutrients to the cartilage? The capillaries.

[00:04:51] Kim Pittis (2): They’re not

[00:04:52] Dr. Carol: arteries. They’re little teeny things. So you run maybe degeneration or scarring in the capillaries, vitality in the capillaries,

[00:05:02] Kim Pittis (2): one in

[00:05:03] Dr. Carol: the capillaries, right?

[00:05:04] Kim Pittis (2): And is

[00:05:05] Dr. Carol: it going to work? Everything we do is, I don’t know, let’s try it. See it works.

[00:05:13] Kim Pittis: Okay, When I’m thinking about something that’s scarred, right? Cuz right away you will get to that point very early on in your screening or your assessment or your hypothesis Something’s tight. It’s not moving, right?

You do your objective findings with your active passive and resisted range of motion Then you use the real measures which are your hands. You can feel something is scarred. Yes, I’m going to go to scarring. I’m going to go to 1391, whatever, but right away, I almost back it up.

I’ll do it for a few minutes, feel it soft, and then you think it didn’t become scarred from outer space. How did it get scarred? For something to scar, something probably tore, and if it tore, there was probably bleeding. So, and if there was bleeding and there was tearing, there might have been trauma. So you start kind of reverse engineering the story and So, you know, you running scarring and then he’s like, well, I had to run torn and broken.

I mean, we got to that, that same conclusion very organically in different ways. You can see it. Your eyes go into that lordotic curve. You see what is attaching. You see the. Stress that it’s under. So when, I know we’re supposed to say 124 is repair and heal, but some, I mean, I go to torn and broken because like tearing isn’t, isn’t a bad word in the sports world.

We’re micro tearing all the time when we’re getting strong. That’s how hypertrophy is formulated. Those myofibrils tear and they repair. So maybe we call it torn and broken, tear and repair. I don’t know.

[00:06:44] Dr. Carol: I always think of it as torn and broken. I only call it repair because of you. So it’s like in deference to Kim, it’s repair and heal, but I’m running this because it was torn and broken.

[00:06:56] Kim Pittis: Exactly. So again, but those are the phrases that your inside voice says, and then depending on the room that you’re in, maybe you’re not going to say, I’m going to put torn and broken on your custom care. You’re going to say, This is a protocol for repairing and healing, right? Even, even athletes like that.

Oh, this is my recovery protocol. This is my repair protocol. So the story, yeah,

[00:07:19] Dr. Carol: you, you used a phrase that reminds me people have, I, I mentioned doing palpation masterclass.

Mastering Palpation Techniques

[00:07:28] Dr. Carol: Where you, the phrase you used that reminded me that we’ve not scheduled it, and we haven’t scheduled it because I don’t know how to teach it, except the way I learned it, which started when I was about 12 is seeing inside with your fingers.

How do you see? That’s a master palpation class.

[00:07:47] Kim Pittis (2): Mm-hmm .

[00:07:47] Dr. Carol: How do you feel it? I started when I was 12 by taking a deck of cards and picking a two an eight and a face card. A jack or king, right? So they look different. And then I took those three cards and I turned ’em upside down. And I looked at them and I said, I want to see the two and you look at the three cards and turn that one over and it’s the two.

Okay. Whatever that felt like when, I mean, I couldn’t see the two. I just knew it was the two.

[00:08:25] Kim Pittis: Right.

[00:08:27] Dr. Carol: And then, okay. I want to see. Then I moved them around so I couldn’t tell where they were. And I said, I want to see the jack. So that’s going to be a really busy. And then. I turned over the two again. No, I want to see the jack.

Moved them around. I did this for weeks on end until I was right 90 percent of the time. Nine times out of ten. So it was kind of like teaching yourself to hallucinate. And that’s master palpation. You feel, so I have a lady that had this very rare liposarcoma that was found incidentally, no pain, wrapped around her kidney.

The thing was 12 centimeters. It was huge. So they took out her right kidney, and then they did radiation to make sure the cancer didn’t go anyplace. And she’s been coming to me for scar tissue. And she said, my kidney that isn’t there still hurts. So I did scarring in this ureter. They left her ureter, just took the kidney.

I treated the kidney that wasn’t there for trauma. And then I felt her abdomen. And it’s what you said, you feel inside and sort of hallucinate. And she said, oh, that’s tender. Well, it was clear on the other side of her belly

[00:09:58] Kim Pittis (2): and

[00:09:58] Dr. Carol: over the small intestine. The only thing that can generate pain in the abdomen is the vagus.

It’s a, it’s a nociceptor. So I ran radiation and scarring in the vagus and her small bowel got all squishy and the tender spots when it’s, it was,

yeah. And I’m thinking different ways of getting to where you were with the Vegas. I mean, it treats the Vegas and so many people. And I mean, we talk about just running like vitality in the Vegas or increasing bagel tone, supporting the Vegas. But again, like, feel free to think about. What happened to the Vegas?

[00:10:39] Kim Pittis: Or do you know what I mean? It’s not just flicking on a switch and saying, okay, work. So

[00:10:45] Dr. Carol: well, I’m thinking of the, we think of the Vegas so much in terms of improving digestion, quieting blood sugar. Suppressing the immune system, making your esophagus work, making your vocal cords work. It’s, it’s another step or it’s a factoid where the vagus is the pain, the pain nerve.

In the viscera, if you palpate somebody’s small bowel or large bowel and it hurts, well, if it hurts, it’s either diverticulitis or scarring in the vagus, depending on what happened to their belly, and it’s, yeah.

[00:11:26] Kim Pittis: When, when we’re palpating, even So your card, your card exercise that you would do when we were in college, we had to, and this is dating myself, take the yellow pages.

And so yes, coins and yes, something called the yellow pages. So kids out there that are listening before Google, we had a giant yellow book that was delivered to our houses once a year, and it was thick and we would put a penny. On one of the pages, and then the pages were very thin, so you put one page on top, palpate the penny.

Another page on top, palpate the penny. So it’s like the princess and the pea. Towards the end of the program, I could have the entire book and tell you within millimeters where that penny was, because you can sense, and your awareness is In the phone book,

[00:12:15] Dr. Carol: you can feel where the edges are.

We did it in chiropractic college had to do a human hair,

[00:12:21] Kim Pittis (2): right?

[00:12:22] Dr. Carol: So you take a human hair. And once again, it was the phone book, which is like tissue paper. These days, you take a piece of typing paper, a number 10 paper, you know, regular copy paper, and you put a human hair under it, one piece of paper.

And you get to a place where the paper just feels. Different.

[00:12:44] Kim Pittis (2): Yes.

[00:12:44] Dr. Carol: You, you come to this little ridge and then you go over the bump and then, Oh, that must be where the hair is. And then you put two pieces of paper and then three and then 10 and that’s how you train palpation.

[00:12:59] Kim Pittis: And using that hallucinogenic mind of yours to put your eyeballs on the other end.

And the other thing we talk about a lot when we’re teaching is. We have these great palpatory skills now, and we’re able to palpate something that’s not as healthy as it should be, or stuck to the neighbor as it should not be, and what do you do before FSM? You palpate it, and then you try to murder it with your hands.

You squish it to death. You, you press, and you poke, and you prod, and you stretch, and you, that’s all you could do, right? Or needle it, or whatever you’re going to do. So I think the hardest shift that we make as practitioners is once you feel it, don’t squish it to death.

[00:13:43] Dr. Carol: Back off.

[00:13:44] Kim Pittis: Right. It’s just trusting because you’re still, it’s not just about sensory and then motor.

It’s still sensory, like that tissue is still telling you something. And if you are forcing it with your own information, you can’t feel how it’s changing. And so even before FSM, I had a really hard time with people that would squish trigger points with their elbows.

[00:14:08] Dr. Carol: The phrase I use in my head is when you get, let’s say, somebody has adhesions from a gallbladder surgery.

Well, what are the adhesions in? They’re in the bile duct, the head of the pancreas. The bottom of the liver and, you know, there, so you get to where the patient flinches or the muscles bunch up because now you found the tender spot. The phrase in my head is you ask permission. You get to the edge where it splints and then you back off to 1 millimeter back off.

And then as you approach it. It’s like approaching, I’m into horses, it’s approaching a horse that might bolt and run away. And you’ve got your hand out, and you let him sniff it, and then you very gently come up and pet his chin or his nose. Right? Same thing with the dog. Same thing with the bile duct.

Oh, that’s tender. Okay, wait, I’m not going to hurt you. Right. And then you switch to scarring in the bile duct. And it’ll give you a millimeter or two and as it gives you that millimeter, you just wait and then gently pull it away from whatever it’s stuck to.

[00:15:31] Kim Pittis: Right.

[00:15:32] Dr. Carol: That’s the advantage we have.

[00:15:34] Kim Pittis: The advantage is when you move that slow and you are respectful of the tissue is you are anticipating the tissue is going to tell you something.

The tissue is going to say. This feels great, keep doing that,

[00:15:48] Kim Pittis (2): or

[00:15:49] Kim Pittis: it will start to firm up, and that’s when you know, okay, time to move on to something else. Because it’s not a recipe, and I know that’s the hardest part for people who just start learning this. So do I run 13 on A and 77 on B for a minute, or two minutes, till it’s done?

That is the hard part, but that is the beautiful part of it. I can give them a recipe to start, like, two minutes a piece, unless it’s not.

It’s funny, but it’s so frustrating at the same time. I know, and like I said to practitioners starting, I only started off with a custom care, and it was great until it wasn’t, because I could just palpate and work with my hands and I could feel things and I would look at the machine and say, Oh, it’s 1377.

Okay. And then it would change. I’d be like, no, no, no, no, no. It’s, it’s still smushing. Don’t change. And that’s, that’s when it’s time for precision care because you go crazy otherwise. But that’s that learning curve is just taking it all in and not forcing your opinion, not forcing your hypothesis.

Just.

[00:17:00] Dr. Carol: Listening.

[00:17:02] Kim Pittis: Yes. Yeah. My dad used to always say, you have two ears and one mouth for a reason, right? But in my head now I’m like, I have two ears and two hands, so what are you going to say about that now? It’s a smarty pants and me speaking of smarty pants, we have a couple of very good questions that are coming up already.

Susanna. Go ahead.

Constitutional Factors in Patient Assessment

[00:17:24] Kim Pittis: Constitutional factors and patient assessment. I do not recall this being discussed. Have you moved away from these or are these not as productive as other frequency pairs?

[00:17:33] Dr. Carol: In the advanced, I talk about I give the individual constitutional factors and Roger Billika has There’s a one sheet where he has the constitutional factor, the questions that go with it, and the symptoms that go with that particular one.

On the summary sheet, on the advanced laminate, I’ve got a very brief this frequency, that frequency goes with these symptoms. And then on the slides, there’s probably four or five slides for each, each one. The reason that we don’t talk about them in the core is there’s so much in the core. And 6. 8 and 38 back in 1997, that the healing group that knew Harry.

And have this conceptual framework for the homeopathy involved in the constitutional factors. They were concerned that like homeopathy, if you run a frequency that is for a constitutional factor that is present, but not active. If you have the concept that these frequencies change genetic expression.

And that the constitutional factors. As the homeopaths caused the, called them in the 1800s and early 1900s. They call them constitutional factors. In our world, we call them genetic factors or SNPs. Running groups that predispose people to particular illnesses. So you have families where nobody is schizophrenic, bipolar, or autistic, but they have psoriasis, rosacea, acne eczema, it all, everything comes out in their skin, and their digestive system is funky.

That’s a different set of SNPs that create that predisposition in that patient. Well, the concern was that if you run the frequency for that constitutional factor, it’s present but not active, you can turn it on. So the healing group, back then, before I even had the idea that what we were doing was changing cell membrane receptors and changing genetics.

The healing group had that concern. So we run 38. It took me 5 years of working 8 hours a day with patients before I got the courage. To use the specific constitutional factors, the only thing is they work faster than 6. 38. You can run an hour and it can’t hurt anybody. The constitutional factor. You have to be able to feel or sense.

What’s going smush or warmth or dwarf or whatever indicator you use, you have to feel when it’s done and it has to be done with a precision care because some patients it runs 30 seconds. Some patients, the longest I’ve ever run it is 12 minutes and then I just got nervous. And so that’s, it’s a good question, Suzanne.

And there are times when it’s really helpful. There’s something, there’s something else I wanted to mention. I have a patient that came in this week that had a head injury two or three years ago. And after that, he has pituitary problems, central signaling hormone problems, testosterone deficiency problems, depression, apathy.

All of these things. And he, he, his mother sent him. That’s a thing. He’s in his 20s. And he asked me, his mom wants him to get a custom care. And he asked me, is FSM going to help me? Now I’ve seen him two or three times. No major improvement. And I said, do you know what your vitamin D levels are? No, and He hasn’t done.

Oh, I have trouble with digestion and constipation. Okay. Are you doing this this and this for constipation? No, I do that that and that it’s like that that and that don’t work as well as this this and this so try this Well, he hasn’t done anything I suggested And then I asked him, has anybody tested your vitamin D levels?

No. Okay. You have problems with depression and inflammation. And if your vitamin D levels are 12, there is no thing that FSM can do to overcome that. So the stable state includes, what are your vitamin D levels? Can you methylate folate? Can you methylate B12? Do you have a vestibular injury? That’s the other thing, Suzanne, is you can correct constitutional factors, and if their vitamin D levels are eight.

You’re not going to get any place with whatever they have.

[00:23:13] Kim Pittis: Right. I, at the advance, when you go into the specifics of the different, and I never remember them I found that section to always be a little bit overwhelming and confusing. I always find that There’s so many overlaps between all of them as well, so not everybody fits into this wonderful little constitutional box that you’re like, oh, it’s this, there’s a ton of overlap.

[00:23:36] Dr. Carol: People intermarry, so you have two different constitutional types in the same person. Right. But the set of symptoms that you’re trying to address would belong more to one constitutional type than the other. And then I had to run both constitutional types or just run 6.

[00:23:54] Kim Pittis: Right, I’ve always just had 6. 8 and 38 in my mind, and it seems to do what I need it to do and I’m happy with that, and like I said, it’s also a very grounding frequency, so for the people that get really stoned after treatment, and they don’t want to feel stoned if they have a long drive ahead of them, or they have to get on an important Zoom call, I mean, everybody loves to feel kind of blissfully floaty when they leave, but some people, especially the type A people that have a hard time Relaxing or giving trust when they do feel a bit floaty, they want to be able to not feel floaty

[00:24:30] Dr. Carol: and be in control

[00:24:31] Kim Pittis: and be back in control.

So 6. 38 I found to be an extremely like back in your body, grounding, confident. Wake up. Wake up, but not like, not anxious crazy wake up, but just, okay. It’s very interesting.

[00:24:49] Dr. Carol: Of all frequencies that George has come up with that one and shingles are the, the ones that have just been the most amazing.

And. The basal ganglia at 988.

[00:25:01] Kim Pittis: Yeah, well, that’s a very organic transition to the next question is can post shingles neuropathy benefit from FSM?

Addressing Post Shingles Neuropathy with FSM

[00:25:07] Dr. Carol: Oh, duh. Yeah, sorry. Yes it’s in the core. You run the frequencies briefly for the three shingles frequencies. And then the challenge with post herpetic neuralgia is which nerve is it?

So, post traumatic neuralgia in cranial nerves, you can’t get at the nerve root in general. It’s facial nerve. Or the trigeminal nerve and the origin of the cell body for those nerves is in the pons. So it’s taken me quite a while to figure out that I need to run 160 and 81 in the pons to get the problem with post traumatic neuralgia is the virus destroys the nerve sheath.

It sort of leave bits of scar tissue and holes and the nerve doesn’t work right. So the cranial nerves are challenging. The dermatomal nerves are easier. You set up the contact where the nerve comes out and it can be any nerve route from C2 to S2

where the nerve comes out to where the nerve ends and you treat it for inflammation, increased secretions and scarring, necrosis. Increase secretions and polarize the heck out of it. I’ll turn the current up. And what you’re doing is if you think of the current making those voltage gated ion channels in the nerve membrane, making, forcing them to flip over just.

Knocking into them. So I make the wave slope sharp, and it’s tincture of time sometimes, and then the nerve, because it’s been inflamed, gets scarred to the surrounding tissue. So some 80%, supposedly, of shingles is in the thoracic nerve roots. While thoracic nerve roots run in between ribs. That means that nerve gets adhered or scarred to the periosteum, the connective tissue, the muscle belly, which is 62.

So you have getting rid of the scar tissue between the nerve and its surrounding tissue as part of the repair. Because otherwise, every time the patient moves, the nerve gets a nerve traction injury. Right. So, post traumatic neuralgia is not a slam dunk. It’s more difficult the longer they’ve had it. It is more difficult the older the patient is, so you have to create a stable state with essential fatty acids, and I, if the patient is otherwise tolerant of it, I would use heparazine A to give them enough acetylcholine to make the thing work, and essential fatty acids, like, lots of them.

So. That’s yes. The answer is yes, Dana.

[00:28:11] Kim Pittis: Yes, but it’s not. It can be challenging and you have to really be aware of in the beginning, I have found that how long they’re going, how many days they respond and then try to get it. Can be pretty predictable in the beginning. So if they have three days pain free, make sure you’re seeing them every two days and then try to be then slowly space it out, because it’s like anything else.

Once the pain is back, it’s back and they mind it more.

Managing Postherpetic Neuralgia

[00:28:39] Kim Pittis: We talk about that all the time. The pain hasn’t gotten worse, but because they’ve had a break of the pain when it does come back. It’s more irritating.

[00:28:47] Dr. Carol: And if the nerve has been completely destroyed, like if you can’t get it turned around, it’s like phantom limb pain.

So it’s 40 and 89, but you have to try and fix the nerve first before you give up and see if 40 and 89 is going to work. Right. It’s, we have the most interesting discussions because I know it’s it. Who else, who else, where else do you have these?

[00:29:12] Kim Pittis: Yes. But we talk about shingles a lot with active cases, but the postherpetic neuralgia is also something that we see quite often.

[00:29:18] Dr. Carol: Well, and the other thing is that once a patient has had shingles for two to three weeks, you’re dealing with postherpetic neuralgia. So, Brodome is easy. The first week of active shingles is pretty easy. After that, you’re in between active shingles. They have the relish. And the nerve can be pretty damaged.

It’s a thing. Right.

Understanding Lupus and the Vagus Nerve

[00:29:44] Dr. Carol: So, and lupus. Yeah, we’re going from one challenging

[00:29:49] Kim Pittis: case to another.

[00:29:50] Dr. Carol: Both from Dana. I’d be really interested to see what your last two weeks of practice have been like.

[00:29:56] Kim Pittis: There’s a big one that stands out for me with lupus.

[00:29:58] Dr. Carol: Go ahead.

[00:29:59] Kim Pittis: Getting the vagus under control because when the vagus with any kind of autoimmune, we know that affects the vagus nerve.

So getting the vagus under control and supported. Lupus is really what they used to say was like the disease of a thousand faces or something, because it literally is this, so it depends entirely on presentation, but doesn’t matter where in the presentation and if it’s a predisposition to lupus or full out lupus, the vagus nerve is going to be the, the cornerstone, the keystone, I think, of the treatment.

[00:30:31] Dr. Carol: And for me, the starting place is what turned it off. What happened before your first symptoms started? Right. Nothing. It’s never nothing. Yeah. Okay. You started getting these symptoms in February. What happened in January? Well, I went skiing. Okay. Did you fall? Oh, yeah, I ended up in the first aid tent and broke my ankle and broke my leg or sprained my ankle or hit my head or, right, the vagus is turned down by infection, stress, and trauma.

So that’s what you’re looking for, infection, and that counts vaccines. I’m not anti vaccine, but you have to understand that vaccines are artificial infections. That’s their job. So, find out what turned it off, take care of the cause in the process of trying to turn the vagus back on.

[00:31:31] Kim Pittis (2): Right.

[00:31:32] Dr. Carol: You turn the vagus on and then you still have to deal with the organs that are affected by the lupus. Where’s the inflammation hit? Right. You have symptoms like psoriasis, it hits the skin. Well, okay, yes, I can treat the skin, but unless I get the vagus to work, it’s not going to work. Yeah. Unless you can get the patient to stop eating gluten and milk and the things that

[00:31:56] Kim Pittis: I was just going to say, then you’re going to be also chasing a host of other, like, inflammatory catalysts, such as dairy and gluten.

And sometimes the stress or the trigger that started it, whether it’s an emotional stress, divorce empty nest syndrome, there’s all these papers that are coming up right now with perimenopausal women and autoimmune diseases. And it doesn’t take, you know, Sherlock Holmes to connect a lot of these stressors together.

Can we bring kids back from college so their mom isn’t sad anymore? No. But we can help guide them to other things to help support that stable state. So, it’s not easy, it’s like you said, it’s not a slam dunk, but there’s so many factors that you just have to be mindful of, of asking. It’s not your job to fix it all, but be mindful of it.

But again, going back to, if anything else, just Help that little Vegas to support that little guy.

[00:32:47] Dr. Carol: Little longest nerve in the body.

[00:32:50] Kim Pittis: So beautiful. Like I said, my next tattoo is going to be the Vegas nerve because it’s just beautiful. Anyways, Nina has a question.

Hiatal Hernia and Stomach Acid Issues

[00:32:57] Kim Pittis: 39 and 32 is listed as HCL in the stomach.

Is this increasing or decreasing stomach acid? I think of 39 as sublux and would love to use this pair for a hiatal hernia. Is there anything else to use for a hiatal hernia?

[00:33:13] Dr. Carol: I have the 39 and 32 must be on the West Indies as a pair. I’ve never used it.

[00:33:20] Kim Pittis: I’m just going to look it

[00:33:21] Dr. Carol: up. Yeah. Hiatal hernias are places where the stomach has been pulled above the, the lower esophageal sphincter and there’s a mechanical part of that.

Chiropractors Historically have a fit, which is you get up in the morning on an empty stomach and you drink a big glass of water, which weighs, you know, about a pound. And then you just stand up on your toes and drop on your heels and the weight in your stomach. Supposedly pull your empty stomach down below that is still center.

And then you treat the Vegas, right? Because the Vegas is in charge of. Making the lower esophageal sphincter work. Stomach acid is not the problem. The fact that the secretory, asecretory part of the stomach is above that lower esophageal sphincter, that is the problem. And. The medical profession, their only way of fixing the discomfort associated with that is to stop the stomach from producing acid, which creates a host of pathologies that I, there’s no time to list them, just read the package insert.

And as far as I’m concerned, the, the side effects from proton pump, the long term side effects from long term use of proton pump inhibitors or acid blockers are more dangerous than a hiatal hernia or almost anything that they do. And these medications were never studied for use beyond two weeks.

Like

[00:35:02] Kim Pittis: when you look at

[00:35:05] Dr. Carol: the original papers that got them approved, they were studied for two weeks. Four weeks. There are people that have been on them for 17. I was just

[00:35:12] Kim Pittis: gonna say, who has just been on a PPI for two weeks? Nobody.

[00:35:16] Dr. Carol: No, you’re on them

[00:35:17] Kim Pittis: forever.

[00:35:18] Dr. Carol: Yeah. And then, then when the patent ran out, they made them over the counter.

So people just, oh, I have acid reflux, or I have an absent stomach, so I’m gonna just chomp on Pepcid or whatever. That whole list of

[00:35:30] Kim Pittis: Yeah,

[00:35:31] Dr. Carol: whole pill. And it’s just. When you read the long term side effects, it’s just scary. Right. So, I’d rather not.

[00:35:40] Kim Pittis: Yeah, no, I, because there are people who have low stomach acid too, on the flip side, right?

And they have to take digestive enzymes and whatever else. I wouldn’t think of ever treating it with FSM or

[00:35:50] Dr. Carol: Well, you get the vagus to work and the stomach will secrete. And then you can run 81 in the stomach if you really want to.

[00:35:57] Kim Pittis: Oh the other comment on that said the HCL is a different issue of a client who has been told by functional nutritionist that she is not producing enough stomach acid.

She has a supplement but wants to improve it on its own. So that would be Vegas.

[00:36:09] Dr. Carol: It’s a Vegas. I mean, there may be, I don’t know enough about the biochemistry of the stomach. So is there, I mean, the stomach has to build hydrochloric acid out of something, right? So. You’d have to do a deep dive.

Yeah, I take betaine. It’s part of my digestive enzymes, but if you’re trying to do it without taking betaine as part of your digestive enzymes, I do a deep dive on how the glands in the stomach, what do they make stomach acid out of? How does that biochemistry work? And can you give it not the end product, which is betaine but give it the precursors that it builds betaine out of.

right? And get the vagus to work. The vagus is in charge of making the stomach, make stomach acid.

[00:37:08] Kim Pittis: That’s, this is where it’s okay to go right to the top.

[00:37:10] Dr. Carol: Yeah. Get the vagus to work first. And then if that doesn’t work, you can guess that I’m going to go grab Guyton and find out, or even a deeper dive.

And see if I can find out what’s the precursor.

[00:37:26] Kim Pittis: Yeah.

[00:37:26] Dr. Carol: That’s a thought. It’s like the Roger Bellica slides on neurotransmitters.

[00:37:32] Kim Pittis (2): Oh.

[00:37:32] Dr. Carol: Who knew that you had to have copper to make dopamine? Who knew that? I did. Right?

[00:37:39] Kim Pittis: But that’s why we have Roger.

[00:37:40] Dr. Carol: Yeah.

FSM Symposium Excitement

[00:37:41] Dr. Carol: And Roger’s coming back this year. And I think he’s doing Lyme.

Lyme. I think he’s doing Lyme. This year is gonna be magic. I’m just so excited.

[00:37:51] Kim Pittis: I feel like I already have to just do this and make some space in my brain for the star studded cast that we have.

[00:37:59] Dr. Carol: I’m so excited. I mean, they’re all exciting, but Eduardo and the Dura.

[00:38:04] Kim Pittis (2): Yeah.

[00:38:04] Dr. Carol: Buckle up, folks. He’s not messing around.

He’s sending me videos like weekly of patients where he takes a patient that cannot bend and has this, that, and the other thing and he runs scarring in the dura on a 79 year old man who’s just stiff as a board and has headaches and cognitive impairment and blah, blah, blah, blah, blah. And gets his dura to work and then does cranial stuff while he’s treating scarring in the dura.

And this guy, it, you know, so exciting. And when, when you can, those videos, I mean, and the case reports are just so fascinating because a theory is a theory and then that’s great. But when you can see these types of cases in action and Eduardo is so great and his Instagram is so great to see all the things that he does and he’s a, he’s a good speaker.

[00:38:56] Kim Pittis: So that’s very exciting. And Diana Cross.

[00:38:59] Dr. Carol: Oh, Diana Cross is coming back and I have, she’s going back to how does 124 work. I love that she’s been dealing with that. This will be her third symposium lecture on 124. So she, she never quits. She just keeps diving and diving and diving. And I have no idea what our slides are going to look like.

I’ll be lucky if I get them the day before. So it’ll be fine.

[00:39:25] Kim Pittis: Yeah, we just have to show up and get a front row seat. That’s all.

[00:39:28] Dr. Carol: That’s it.

[00:39:29] Kim Pittis: Yeah.

Addressing Osteoporosis and Tendon Health

[00:39:29] Kim Pittis: There’s a couple more little things here with Dana with the HCL, I think, but

[00:39:34] Dr. Carol: osteoporosis and FSM, calcium hydroxyapatite, vitamin D hormones. Unless the patient has had a hormone related cancer.

Estrogen is a thing, estrogen and vitamin D calcium, hydroxyapatite. And it’s actually horsetail, the herb, it’s selenium, I think, is what they use for fractures. To repair fractures pH balance, I don’t know anything about. So there’s that.

[00:40:02] Kim Pittis: What I would like to add again, we’re going to circumvent the perimenopausal menopausal women group right now, but in those early stages or osteoporotic prone demographic, we want to have tensile pull on the bone.

We need tendon under. load to keep those bones strong. That’s the mechanical force. So we have our stable state with our supplements, but we need the tendons under stress. And for women who maybe have never weight trained or who are afraid of weight training, or do not like being sore after weight training, which if you’re doing those heavy loads, those eccentric loads that are pulling on the tendon that will make the bones strong, you’re going to be sore.

So FSM can be great in that recovery, the DOMS protocol workout recovery. There we go with 124. It’s been the 124 day using 124 on the tendon and the periosteum to help with the soreness. Cause the last thing we want is people to quit. Working out or quit moving. We want to make sure those bones are

[00:41:05] Dr. Carol: was just weight bearing just walking, you know,

[00:41:09] Kim Pittis: or the latest research is showing the eccentric load on the tendon is what interesting is increasing.

[00:41:15] Dr. Carol: I rely on you to do the homework that I don’t have a nerd when it comes to that data. So, yes, nerds of the world unite. How do you help someone with base base avertable ablation. Geez. Fusion hardware removed in order to do the ablation. Of course the pain got worse after the surgery instead of better.

Can’t run 40 because it increases the pain?

Yeah, okay, so here’s the thing.

Challenges with Nerve Ablation

[00:41:44] Dr. Carol: I’m not sure what a basal vertebral ablation is. They usually do medial branch. block medial branch ablations at the facet levels. And the challenge is, try 40 and 89, that it’s like having phantom limb pain. When you cut a nerve, it’s like trimming a rosebush and you’d cut one and three go back and they’re well pissed off.

They, they’re more irritable. More pain sensitive when they grow back and then you can ablate them a second time and Then you have even less time I’m

[00:42:20] Kim Pittis: the point where says 124 on a 39 59 on B increases the pain. I I want Right. So, I mean I I would I always start with the periosteum because that’s the more innervated painful part of the bone I wonder if that also increased the pain, but that’s

[00:42:39] Dr. Carol: 81 and 396 is It’s scarring in the nerve.

But try 40 and 89. It’s people that have had ablations. My challenge, the challenge I have with that, because I have a couple of patients that have recently had ablations, and they don’t, they don’t mourn them. That it’s temporary. They get 12 months, 10 to 12 months out of the first one, 6 months out of the second one, 3 to 4 months out of the third one, and then they have to put in a spinal cord stimulant.

That’s how it works. And they don’t, I wouldn’t mind, but informed consent was a thing. Back when I was a pharmaceutical salesman, you had to have informed consent. They don’t warn people and people don’t look it up. It’ll be there.

[00:43:26] Kim Pittis: Yeah,

[00:43:27] Dr. Carol: so

[00:43:29] Kim Pittis: that’s interesting.

[00:43:30] Dr. Carol: Silica, not selenium. Okay, that you’re right. It’s silica.

That’s it. Silica. Horsetail. That’s what I took. It was silica, not selenium. You’re right. It was silica. When I broke my shoulder into six pieces, the veterinarian told me to take horsetail because it has silica in it and it helps bone healing. So if you, I don’t know if There’s any literature about silica being helpful in osteoporosis, but the inside of a bone is a special kind of collagen, so that might work.

[00:44:03] Kim Pittis: Nina had mentioned the spinal cord stem unit also increased pain after a shorter period of time.

[00:44:08] Dr. Carol: This is why we don’t keep adult beverages in the clinic. I just, there’s no, and we’ve had two PM& R, physical medicine and rehab docs, and they’re the ones that do RF, or radiofrequency ablation of nerves, and these, Two came one came to a core one year in Arizona, and the next one came to a core in Arizona the next year, and it was wonderful because I looked at them and I said, does RFNG a joint, a medial branch ever work?

And they both said no. And how often is it done? Oh, it’s all the time. It’s what they do for low back pain for facet generated pain. The only thing they have to do is they’ll do a medial branch block as a test. If it works, the next thing they do is to RF the joint to RF the medial branch, and then they never.

Tell the patient what the sequelae is, and that’s what I mind. So if the patient knew ahead of time, Okay, here’s the plan. It’s going to last 12 months, 6 months, 3 months, spinal cord stimulant. Do you want a spinal cord stimulant in three years? Of course not. Okay, then we won’t do this. Well, what do I do about my back pain?

You can use topical ketoprofen and lidocaine. You can do these exercises. They have such a limited toolbox. God love them. I think they’re doing what they do because that’s all they can do. Just believe in informed consent. That’s, there’s that. Yes. A couple more questions and we got to wrap it up.

Neuromyelitis Optica and Arthritis Insights

[00:46:03] Kim Pittis: Anything I can do within my scope to help a client with neuromyelitis optica.

Immune system attacks the nerve sheath of the optic nerve. Doesn’t have it in her spine yet. Causes unknown.

[00:46:14] Dr. Carol: Carrie, I think you’re a chiropractor. I think Carrie’s a chiropractor. I think. Treat the vagus, treat 40 and 90 because the optic nerve is part of the forebrain. I don’t think we have a frequency for the optic nerve. You want to shut the immune system down, take her off wheat, corn, milk, eggs, put her on an anti inflammatory diet.

Neuromyelitis, do they mean MS? Oh, you’re a massage therapist. Oh my goodness. Lori Chaykin has passed away, and we actually don’t have anybody that has stepped up to take her place. As a massage therapist pretend that you’re treating her neck and run the Vegas and suggest that an anti inflammatory diet wouldn’t hurt if you are allowed to do that in your state or if you have a good relationship with a patient so you can get away with it.

Yeah, that’s a tough one. Yuck. And that arthritis success story. You can’t put tissue back that’s not there, and arthritis is,

Not the problem. Pain is the problem. So you have people with terrible looking joints, awful arthritis, and no pain, and they come in with their x rays and you go, oh my god, how are you walking? And then you have somebody else that comes in, with a little bit of bone spurs and a little bit of this and they’re in terrible pain.

And the medical literature says that the difference is, the journal Spine in particular, says the difference is what they use for repair. Right. They repair it with inflammatory tissue. They have pain. With even mild arthritis, and if they are anti inflammatory just constitutionally, they can methylate folate, they can methylate B12, they have all these, you know, the vitamin D levels are 60, and so their anti inflammatory status is really strong, and arthritis is just wear and tear, right?

[00:48:41] Kim Pittis: It goes back to that 124. The other side note, and I’ve mentioned him on, I think it was just last week’s podcast, Howard Lux on Instagram, or just Google him. He’s an orthopedist that has he really does a lot with arthritis, and he has a lot of the kind of latest data on what’s helpful and what’s not helpful.

So a lot of the scopes and procedures to quote unquote clean up the joint no. So Howard Lux, I just pulled it up again. H J Lux, that’s L U K S. And then the number one is his Instagram handle. But Howard Lux to Google him, he’s got some great, just some great literature on arthritis holistic arthritis treatment which is.

[00:49:19] Dr. Carol: And then we can also turn off the inflammation in the joint directly.

[00:49:23] Kim Pittis (2): Yeah.

[00:49:23] Dr. Carol: Before and the cartilage, the periosteum 40. Inflammation in the bone 59 and 39 and turn on the Vegas and make sure they have enough vitamin D. It’s like, if your vitamin D levels are between 60 and 80, the incidence of heart disease and cancer goes down by 50%. That’s kind of cool.

[00:49:49] Kim Pittis: And that’s my alarm.

[00:49:50] Dr. Carol: There you go. Basal ganglia. 988 is a basal ganglia, and it’s the same number as the National Suicide Hotline. So that’s pretty cool.

[00:50:03] Kim Pittis: Fun fact. Another fun fact is, sign up for the Advanced while you can.

Symposium Logistics and Final Thoughts

[00:50:08] Kim Pittis: The sports course is almost sold out already so that’s fun.

[00:50:11] Dr. Carol: Yay!

[00:50:12] Kim Pittis: But I’ll always make room, so you just want to sign up now, though, before it gets crazy. I can’t wait to, to just, it’s the family reunion that you can’t wait to go to. Visit the people and eat good food and get some sunshine. And we’re later this year than every year.

It’s been going a little bit later, so hopefully it’s a little bit warmer, because a couple years ago it was freezing.

[00:50:34] Dr. Carol: Yeah, in February. And we also are competing for rooms. in February with spring training for the baseball players. So the hotel said, would you please move it to March?

[00:50:47] Kim Pittis: I’m like, okay.

[00:50:48] Dr. Carol: It’s warmer.

So we can, you know, drop the leads in the hot tub and it’s warm enough that we can actually be on the hot tub. That’s a good thing. And yeah, it’s, it’s, I’m excited. The symposium is just so cool this year. Yes, it is. Well,

[00:51:09] Kim Pittis: that’s it for today. I have to run back to the clinic.

[00:51:13] Dr. Carol: You just have to go back to work.

[00:51:14] Kim Pittis: I do.

[00:51:15] Dr. Carol: Yay. I’m doing the podcast at six. So that would be fun.

[00:51:21] Kim Pittis: Yes.

[00:51:22] Dr. Carol: And that, that

[00:51:22] Kim Pittis: really work. It’s. I get to go back to the clinic.

[00:51:26] Dr. Carol: Yeah, you get to go play.

[00:51:27] Kim Pittis: Yes. Have fun. All right, everybody. Thanks for coming and we will see everybody same time, same place next week.

[00:51:32] Dr. Carol: See you next week. Do good things.

[00:51:35] Kevin: Change the world.

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