Episode Eighty-One – Back To Work.mp4: Audio automatically transcribed by Sonix

Episode Eighty-One – Back To Work.mp4: this mp4 audio file was automatically transcribed by Sonix with the best speech-to-text algorithms. This transcript may contain errors.

Dr. Carol:
My problem is I’m always having to be in two places at once, doing three things at one time.

Kim Pittis:
I understand this having three teenagers right now, it has been like.

Dr. Carol:
I don’t know how you do it.

Kim Pittis:
I feel like one of those circus performers that have like the stick with the plate and then, like, you’re just always spinning a plate.

Dr. Carol:
Exactly.

Kim Pittis:
So I’m just getting better at spinning plates.

Dr. Carol:
There came a point in, I don’t know, about 2002 where I showed up at my lawyer’s office. Ten minutes early and he was used to me being 20 minutes late. And. His secretary said, I’ll go get Greg. And I said, You may have to resuscitate him. He’ll be fine. But I said, I’m so busy, I don’t have time to be late anymore. Yeah, it’s.

Kim Pittis:
Funny. In the with my clinic, I started scheduling. I started inserting these mandatory 15 minute buffers because I was always running late and I felt bad for the people were showing up. And then pretty soon people were showing up late because they knew I would always spill over and nobody got mad because they already they always knew like I was going to take extra time with them too, so that they got the lateness. But I hated it. So I inserted these 15 minute buffers. But my brain knows that I have this buffer, so I would just be like, Oh, but I have this extra 15 minutes. So it just.

Dr. Carol:
So you’re still five minutes behind schedule.

Kim Pittis:
At the minimum. Like it’s a thing and I don’t like it.

Dr. Carol:
These days because I scheduled two hour appointments. Yeah. In my head I have a ten minute. Patience will tolerate a ten minute behind schedule. And virtually every patient I’ve ever asked about it said, If a doctor runs on time, I worry about him. Yeah, because if you’re ten minutes late, because you’re spending time with the last guy, I know that you’re going to be you’re going to take that ten minutes cost another ten minutes more with me. Yes. And so it’s okay, but I still start watching the clock. So there you go. Hi. Hi. Two weeks.

Kim Pittis:
I don’t like I don’t like being away from you for two weeks. That was.

Dr. Carol:
This is hard. Rob did a great job. Of course. Pretty much.

Kim Pittis:
Yes. But still, it’s just for the last however long we’ve been doing this year and a half.

Dr. Carol:
Like we who knew it was a year and a half? That was that’s the other thing that is like what?

Kim Pittis:
No, I know. It’s funny. I had a new patient this week who who walks in and she’s like, I feel like I know you. I’m like, okay. And she’s like, because I watched and listen to the podcast and I was like, Oh, fantastic. And it was funny that like, we had this like, very instant connection. Like, I felt like we were best friends. But it was odd because like at the Advanced, so many people were coming up to me like, Oh, listen to the podcast. But I’m like, I have no idea who you are. Yeah. And it’s because they feel like they know us because they get to hang out with us once a week for an hour.

Dr. Carol:
And when we’re doing the podcast, it’s not scripted. It’s authentic. Yeah, spontaneous. That’s the word. Yes. And we have you drive the train and there’s tracks and then I’m it’s it works somehow. It does work.

Kim Pittis:
Hi. Hi. And we get to geek out and learn, which is the coolest part of it because every week there’s something that I try to talk about to educate people, but I feel like selfishly, I’m the one that gets all the nuggets of information because of the questions, because of the cases that we talk about and just troubleshooting things.

Dr. Carol:
And there are so many options for treatment and so many considerations for diagnosis and. The my personal need for when you do differential diagnosis for coherence, for pattern recognition. Okay. So I have a patient coming in tomorrow that emailed the office and said I was on a bicycle, got hit by a car. So right there, you know, the mechanics and the physics fractured the femur, three other fractures, fractured C5, C6, T7. I don’t know if he’s ambulatory. Because of the fractured femur. He had a fat embolus and was in a coma for a month. He’s got full body pain. Seven. Eight. On a fistful of drugs. And he’s with pain management.

Speaker3:
And.

Dr. Carol:
I had a cancellation tomorrow, so I’m going to see him tomorrow for three hours. And when you look at the history from an FSM perspective, you already know what you’re dealing with, right? One month, comma. Okay, that’s he’s 40 and 89 most likely, depending on where the stroke was. So a fat embolus is for those of you who don’t and I think I’m correct is we’re used to strokes being caused by blood clots. Strokes can be caused by anything that’s too big to fit through an artery. So you fracture a femur, the femoral 230 88. That’s stuff in the marrow. The thermal marrow is there’s a lot of fat, and so you get a fat, endless. There’s basically a blood clot that isn’t made of blood. It’s made of fat. It gets in and goes someplace. And in this case, it went in his brain. We don’t know where. So don’t know if we can walk. I don’t know what about. But if he’s in a coma for a month and his pain level is an eight, in our world, there’s a pretty good chance he’s a 49. 89. It’s just a thalamic stroke. Okay. Like we can do that? Yeah. Haven’t even done the exam yet. And he had a fracture at C5 six and C6 seven. Okay, so how do you fracture a vertebra and not blow the disc? Pretty good chance he’s a 40 and 10 right on top of being a 40 and 89. The accident was almost a year ago, so all the fractures have healed. And that means it’s probably just local scar tissue. And I’m thinking I have three hours with this guy. How hard can this be? And what world do I say that? Just based on the history?

Kim Pittis:
Our hours, right? Yeah.

Dr. Carol:
The listening. Get that? Do you see how I got from here to there?

Kim Pittis:
You work so much faster, though, than everybody else. Like where you can go from point A to point Q and 30 seconds is not normal. So just so you know that like it takes most of us a lot longer. And it’s funny, a practitioner had written me about the Advanced lecture that I had given. She hadn’t taken the sports course, but she popped in for the Advanced and she said it Just have to say how amazing it is that your approach to things is so different than Dr. McMakin, yet you both get to the end point.

Dr. Carol:
You get to the.

Same point somehow through that roller coaster loop. And I thought and then you put that to an exponential of 2004 thousand, however many FSM practitioners there are, because we even within the same scope of practice, there’s still a different pathway that we take. Like I’m very pelvic centric. Does it matter if I’m using FSM or not? I’m starting at the pelvis and going up or down from there for some time because the brain and you know, and but that’s what I mean. And then a friend of mine is a chiropractor. He starts C1 C2 and goes all the way down my podiatrist buddy from the foot and goes up and we all get to places. Eventually we just take different routes, different routes. And then there was this week this wonderful lady comes in and she has spinal stenosis.

Dr. Carol:
So you do a neurologic exam. And she said, My knees really hurt. I use the sensory charity. Had a CustomCare, okay. And nerve pain was on there, but she never used it because she had spinal stenosis. So she’s trying to treat the spinal stenosis and it’s like my knees really hurt. You do a sensory exam, Spinal stenosis generally happens at L3. That means you expect L3 for 5. Maybe S1 and S2 to be hypersensitive and pain generators. So I use the pinwheel and she went, okay. Check the boxes. And then I just treated her for nerve pain. And she went. My legs don’t hurt. I went, Yeah. And then she had to say other things. She had. Oh, she had pain in her right hip. So, you know, you have them fill out a pain diagram and she had this big black circle on her right hip. Well, I started to do a hip exam. She can’t even flex it. Oh. So fortunately, she brought. X rays. X ray reports. And there are cysts in the femoral head. And I went, okay, here. Before I even did the physical exam, I said, Your hip needs replacing. The only question is, and you have to talk to the two surgeons, is it safe to get your hip replaced before? You have the stenosis surgery? My stenosis is surgical, so you can put it off by treating the nerves.

Dr. Carol:
The question, is it safe? She said, What do you mean? I said, If ever middle of the night. Middle of the day, some day after you’ve been working in the yard, I don’t care. If ever you go to wipe yourself after you’ve used the toilet and you can’t feel it, you get off the toilet, pull up your pants, grab your toothbrush and go to the emergency room. Do not stop at stoplights. That’s a good idea. But it’s a thing. She said it’s that serious. And went, Yeah. Oh, okay. So just the even if you can’t help, the information is important and appreciated. I can’t fix your stenosis. I don’t think we can try. The hip needs replacing. If it was me, I’d get the hip done first. Because then you have a chance maybe of being able to rehab the spine and the pelvis. But as long as your hip looks like that, you ain’t going anyplace with your low back. So it’s important to know since we’re an alternative or an integrative augmentative therapy. That’s why half of the Core seminar don’t know about yours, but half of the Core seminar is differential diagnosis. Precautions and contraindications. Core. Babinski was down going Yay! Hey, level C spinal fusion. That’s still going good. Yay! No reflexes. Duh. So.

Kim Pittis:
I want to build on this for just a second because. How do I even start to unpack what you just, like, unloaded? There is a there is a patient that came in last week and I can’t remember what the condition was that he had. And I said he said, Do you think this is going to be implicated in my running or. He was a triathlete and I see a lot of triathletes since I’ve moved to California. But I said, you know what, I don’t know enough about this condition to make an educated response, but I’m going to find out. And that’s what he said. He put his he brought a stack of images and stuff and he got face as well. And I was like, did I say something wrong? And he’s like, no, you said something right. And not enough people say that.

Dr. Carol:
And you’re the only one that’s ever said that.

Kim Pittis:
And I think we do live in a world where we’re expected to have all the answers and have all the answers really quick. And our patients are coming from especially the chronic pain patients. They’re coming from such a multitude of different diagnoses and practitioners, and one is trying to upstage the other and blah blah blah. And what FSM has taught me, especially like teaching the courses, is like you’re not expected to be an expert in AST AST stuff that we get to explore, have some knowledge and appreciation for all the conditions and all the frequencies that we have, but know your scope and know your boundaries and know when you don’t know anything. And I think that honesty is appreciated from not only a patient perspective. I would love it if and I did. I had some weird bloodwork done and my GP was like, I don’t know anything about this autoimmune test, but let’s find you a rheumatologist that does. I so appreciated that. Yeah, and she still looks like a rock star, right? Because she’ll hook me up with somebody who does know and I’m in good hands.

Dr. Carol:
She knows enough to ask the questions, right? Same lady with the stenosis and the. I’d love to make them two different ladies, but same lady with the stenosis and the hip. Her. She’s a bit on the heavy side, not athletic elevated insulin, but her hemoglobin A1C is 6.2, so she’s not diabetic. And she woke up in the middle of the night and checked her blood sugar. It was 47. That’s a good face. Her hs-crp varies between 8 and 17. That’s a good face. And she’s seeing a gastroenterologist because she has chronic diarrhea. She has had parasites three times in her life, treated with various. They gave you what for that? That isn’t what you use. Okay. That isn’t what you use for that. And you can’t. I’m never entirely comfortable saying. That treatment was inappropriate and no wonder you still had diarrhea. And she’s microcytic anemia. Anemic, but there’s no blood in her stool. Yeah. And her ferritin is low so she doesn’t absorb iron. She’s not bleeding in her gut. What nobody of all of the specialists she’s seen, nobody has asked, why is your CGRP, why is your C-reactive protein indication of inflammation? Why is it eight instead of one? Why on earth is it 17 instead of one? The answer to look at that. And so I’m. That’s the point. Just it’s.

Kim Pittis:
You know, and that’s the kind of like the I’m sorry. And you’re welcome of FSM because it is given me so much information and so many different nuggets to watch out for. And it’s Core remember when things were simple and it was always the muscle can sometimes I want.

Dr. Carol:
The pelvis needed adjusting.

Kim Pittis:
And that was it and everything would just fall into place. And not to say that pelvis doesn’t need to be adjusted and not to say that you don’t treat the muscle, but we just look at everything in such completely different lenses now than we ever used to. And I have a slide. I’m redoing the Core slides, of course, because I get to do the Core or my sports course in Troutdale next month. So those of you who have not signed up come to Troutdale and hang out with us. It’s going to be a fun course.

Dr. Carol:
And you get to see the clinic. You see.

Kim Pittis:
The clinic. Because when I first saw it, it was just the skeleton. It was just this is going to go there and this is going to go there. And although I feel like I was there because when Kevin did the Facebook Live, when you had the grand opening, I felt like I was there. But anyways, I’m redoing the slides. Of course I am. And but there’s one slide that stays the same, and it’s when I start talking about concussion and I’ve got like a concussion bubble and all my slides have charts and bubbles and colors and stuff, and there’s all these bubbles around the word concussion. Because I talk about have the word Vestibular, I have sleep, I have exertion, I have diet, I have stress, I have. And I’m like, when you’re treating somebody with true post-concussion syndrome, you need to find an expert in all of these bubbles and realize that you are not the expert in all of these bubbles. Nor have I found anybody on the planet who is an expert in all of these bubbles. And that’s okay. Find people. And I think that’s just true to practice. Like I’m still on the hunt for a really good somebody. But like I have a surgeon that I can send my shoulder and hip and ankle people to and thank God, because there’s a lot of them, unfortunately. But yeah, I just think that we don’t refer enough and we’re not really vulnerable with what we know and don’t know. And I think that well.

Dr. Carol:
The trick is to not only refer enough, but refer soon enough. I do the BIVSS Brain Injury visual system symptom questionnaire.

Kim Pittis:
That is actually on my list to talk to you about because somebody had asked if we have that on the website, do we.

Dr. Carol:
Have that on the website? Kevin is nodding yes and then nodding no, which means he thinks so. But if it’s not there, it will be. That’s the translation of I’m not sure, but yes, but.

Kim Pittis:
We’ll handle it. Okay. Because you had taken my course. I had mentioned it.

Dr. Carol:
And yeah, it’s shorter and it’s easier to score anything above 18 means they should see an FCOVD optometrist. Yes, it is. Oh, Kevin says yes, it is because he just looked and found it.

Kim Pittis:
Under like resources or something that would make sense.

Dr. Carol:
Practitioner resources. So it’s open to practitioners only. Okay. And then we have the thing that I never thought of until Adam was and Bill Clearfield was the endocrine aspects of brain injuries, and that’s when I found out. That’s when I found out that endocrinologists are really good at diabetes because that’s a lot of what they see. How does an endocrinologist. Seeing a brain injury patient not measure. The signaling hormones that come from the brain. So for those of you that don’t have that image in your head like I have in my head, and if you ever tell me something and I forget it, this is why I just I’m out of Ram. That’s just the thing. So the pituitary lives in, like, right in the middle. Right? It’s on this stalk. It’s like a bell ball on a stalk. And there’s blood vessels and there’s the hypothalamus up here. And then it goes from the hypothalamus to the anterior and the posterior pituitary. You smack your head hard enough, and the axons that go from the hypothalamus to the anterior and the posterior pituitary, not to mention the blood supply, get whinged around because there’s a lever on the thing is almost six millimeters. It’s not quite a centimeter, but it’s a thing.

Dr. Carol:
And it wags around and it attractions or damages the axons that go from the hypothalamus to the pituitary. The pituitary creates the central signaling hormones that create growth hormone. Testosterone. To some extent. Estrogen, Progesterone. Cortisol. Oxytocin. All of that. All of the things that make you feel like you feel right when you smile and you can talk and you can get out of bed and you’re not exhausted all the time and you write. Now they don’t test those. So I get somebody that had a horrible concussion six, eight years ago. And now I have Bill Clearfield. Because I saw his slides before I ever had him come to the Advanced. And he’s so. Grateful to have an audience that listens to him. Why do we listen to him? Because we have the ability to treat concussion. Well, FSM is not enough to fix the stock. Right? And the signaling hormones and the hormones. So we have these concussion patients. I can’t fix the Vestibular injury, but I can send you to John Reski and I can order the blood work, but I can’t do anything about your hormones. But I can send you to Dr. Clearfield, okay?

Kim Pittis:
And to steal your and and in our physical medicine slash sports course, we do the supine cervical because is it remotely possible that your brain can be impacted in a concussion setting without your neck being affected? Never. Are you going to cure all the symptoms? Maybe not, but you’re definitely going to take tension out of the neck. You’re going to learn how to treat the anterior C-spine because for some reason people are so afraid to do manual therapy on the anterior C-spine. And these muscles are what hold our head and jaw in space. And is it possible to have a head injury or neck injury without your TMJ being affected? No, and.

Dr. Carol:
It’s easy to work on the anterior muscles when all you have to do is run 124 and seven 10 and 40 and seven 10 and the interior muscles just turn to pudding and they go and they look at what, how did what and then the Sub-occipital muscles. So the first. Yeah, yes, that’s that. So what she’s doing is making this yummy face and lifting her fingers towards the base of your skull. The first 45 degrees of motion in rotation happen at the occiput C1 and C2. And if the lateral Sub-occipitals are rigid on both sides. It’s the Oxford C1 and C2 is not going to move. Where does that put the strain at C four, five and six. So the disc is like the jelly donut. It does all the turning. Why? Because C1 and C2 isn’t going to turn. So this is why in the practicum we do the supine cervical. Because it’s so much fun to watch their face. You know.

Kim Pittis:
It’s fun to watch the patient’s face. It’s fun to watch the practitioner’s face and it’s fun to watch the button pushers face because they’re looking at both of the other people’s faces.

Dr. Carol:
And it’s, don’t worry, your turn is coming. But to watch somebody that’s been a physical therapist, osteopath, chiropractor. Manual therapist, Massage therapist, Yeah, for ten years. They already know what’s possible and how long it takes, Right? So you do the supine cervical practicum and it takes approximately 45 minutes. Takes 30 when you get good at it. But 45 minutes in that first chaotic. Practicum. And at the end of 45 minutes, the ones that will just follow the directions. Keep your fingers still. Let the frequencies do the work and they find out that torn and broken in the alar ligaments makes the lateral Sub-occipitals. Turn to pudding, literally. Literally. And it’s the look is my favorite part. So I’m getting on a plane and going to Philadelphia on Monday. Okay. And the Core. That’s because we have Tuesday to do jet lag. And then we start the five day course on Wednesday and we do the supine cervical three times. Yeah. So everybody in the class does the supine cervical three times. Yeah.

Speaker3:
And.

Dr. Carol:
Why are you 76 and getting on planes and going to Philadelphia?

Kim Pittis:
Because it’s so much fun.

Dr. Carol:
Because what could I do that’s more fun than that? Yeah.

Kim Pittis:
No, the what you just described was my first experience with FSM because I was such a machines don’t work. Why would I become a manual therapist if I believed in machines when.

Dr. Carol:
Most machines don’t work?

Kim Pittis:
No, but that was my own experience. At PDI I was hooked up to TENS device and a bag of ice and I was left in a room to rot for 40 minutes. That was my life. But when I saw a really skilled clinician do a really great manual therapy treatment with FSM writing, you said the magical phrase, You know what’s possible? And there was just no way to shoot changes that fast. I think that in my head sometimes like it was. And I think sometimes we make things more harder or more complicated than they need to be. Like, I really feel like I’m in that beautiful part of the learning curve where things are like I’m just like knocking it out of the park every day and I know I’m going to get something a little bit more complicated. This does happen, but I think sometimes we just have to be grateful for the knowledge we have, the effects that we know we can create. And just the for me, it’s the people that I’m able to text and troubleshoot. And you and I got a great email earlier this week with a practitioner that we love, right. Wanting to troubleshoot it. And I’m thinking, this is the person that I go to for advice and it’s so nice when I can be on the receiving end. And you and I both answered very quickly, coming from very different angles. And I think you would have started here and I would have started there and then we would have gotten over there and but yeah, it’s.

Dr. Carol:
Isn’t that fun?

Kim Pittis:
It is fun. And I’m not on Facebook anymore, but I miss the FSM group because I would love to see the questions and everybody chiming in from their different backgrounds about what to run and what to start with. And as frustrating as it can be when you’re stuck, I think it’s just such a. Inspirational place to be in because you have so many options.

Dr. Carol:
Yeah, it’s it’s just amazing to me the I have become so neuro centric. Because. So this lady with the right hip. There is a people that hear about my medical history. It’s four pages. Just the surgeries are single spaced, half of one page. And this lady with the right hip? Yeah. She had appendicitis. She had a burst appendix. They did it laparoscopically. That’s a good face. And they put in a drain to let the pus drain out after they took the appendix off of the.

Speaker3:
Cecum.

Dr. Carol:
Yeah, that’s a good face. So I palpated psoas.

Speaker3:
And.

Dr. Carol:
Part of the reason my right hip degenerated so badly was that my psoas was so short because I had a kidney infection when I was 22. And Keith Pyne told me, you get that. So as relaxed or your right hip is going to get just ground to pieces. So. I started working on scarring in the ureter. Scarring in the Cecum. Scarring in the kidney. And her pelvis went smush. Now, when she gets her hip replaced, the new one will function properly. Right. There’s no way to activate the hip flexors. If it’s spastic.

Kim Pittis:
Right.

Dr. Carol:
Now, why is it spastic? I think FSM practitioners are the only ones. I don’t mean to be FSM centric, but is there anybody else on the planet that has the idea that the reason you’re psoas is tight is the ureter is adhered to it? Heck no. That No.

Kim Pittis:
Why would you? Why? Never even mind going as far as a ureter. Like when do people even ask why? I don’t mean to be cheeky. That’s not fair. I’m sorry. I won’t say I won’t comment anymore while you’re drinking. But do you know what I mean? Like, I didn’t question why is the quad tight? Why is Glutathione tight? It would just be tight and I would match it like it was like, very caveman esque. But that’s all I knew how to do. If something was tight, press harder. Yeah.

Dr. Carol:
And then it’s soft for 37 minutes after they leave the office and then it gets tight again. If you’re.

Kim Pittis:
Lucky. Right. So, yeah, I don’t mean to sound whatever by saying who asks why, but. And that is my starting point. When you’re when you have a patient with even the simple stuff that I get of just athletes having what they think is a straight up imbalance, I’m like, okay, but why is this tight? What happened a year before this injury? What? And they’re like, no one’s ever asked me that. Like, because. No one’s ever been able to treat it, let alone if they cared.

Dr. Carol:
Who would make the connection between a hamstring injury, glute weakness and a and a femoral nerve adhesion from a groin pull. 30. I’ve never heard that. No, there’s no place. And then who would put together? Subscap. Impingement. Infraspinatus Partial thickness, tear bursitis. Who does that?

Kim Pittis:
You would. And I’m treating a ton of shoulders right now. And it’s really funny because treating the Subscap has always been one of the Subscap and TMJ treatments are probably the two most painful manual therapy treatments and piriformis maybe that you can treat because they’re highly innervated and they’re like toddlers having temper tantrums, like you go from 0 to 60 very quickly. And I was trying to explain to this patient how I’m going to go into her axilla and release this muscle. And no, you’re not. Somebody did that to me last year. She has frozen, frozen shoulder and I’m doing veneers. And I will never let anybody do that to me ever again. And I said, Geneva Convention?

Dr. Carol:
Yeah.

Kim Pittis:
And I said, I go, That is great that the person that you saw wanted to go in through there because not a lot of people put those two things together. I go, but just give me two minutes. And if after two minutes it’s that uncomfortable, I will absolutely stop and we’ll address it a different way.

Speaker4:
I just.

Kim Pittis:
Two minutes. Yeah. Okay. And the way my German shepherd looks at all strangers like.

Dr. Carol:
You’re on 40 and 3 96. And. Wait.

Kim Pittis:
You just have to wait.

Dr. Carol:
Just wait.

Kim Pittis:
And then 13 and 3 96. And just wait a little bit more and then you just start to go in. And she was just looking at me like. What is happening right now. And do you know what it feels like? It feels like there’s. Like you’re just getting at this itchy spot that nobody’s been able to scratch and, like. And I’m like, By the way, it’s been four minutes and just wait till the fun we have. And we got everything moving.

Dr. Carol:
Pretty soon her arm is up over her head and nothing hurts. And you go, What?

Kim Pittis:
Exactly? Yeah. But again, like I. I know what’s possible I’ve been doing this fall will be 25 years. I’ve been in practice and I haven’t been doing FSM for 25 years. But so the old part, that old lizard brain of me is still that skeptical manual therapist that I’m like, I’m never going to be able to do this. Yeah. And then I do it.

Speaker3:
Yeah. The.

Dr. Carol:
There’s a part of me that. Every time. I do what we do? Yeah. And it works.

Speaker3:
Yeah.

Dr. Carol:
There’s a part of maybe it’s my lizard brain knows what’s possible, and it goes. It worked again. I know. So you get a patient that has had Ms.. Relapsing remitting. Since for 30. So 35 years. 36. Long time and. Increased tone. She’s on Baclofen and his faculty is a wonderful drug. Thank you very much. And you’re taking your baclofen and I want you to feel these muscles here. And her brevis and adductor brevis Magnus Pectineus Quads, hamstrings, hamstrings were like a g string on a guitar. And I went, Let’s. That that I can fix. And she went, Excuse me. Yeah, just give me a minute.

Speaker3:
And then.

Dr. Carol:
The miss part of it. I don’t know if I can. I can’t put tissue back. That’s not there. We had two goals. One was.

Speaker3:
Tone.

Dr. Carol:
Because the spasticity itself is uncomfortable. And the other was burning pain in her left foot. And she has maybe 3 or 4 plaques.

Speaker3:
One on.

Dr. Carol:
One side. At C2. And a plaque on each side. Ent a Toridol area.

Speaker3:
Okay. And then I did.

Dr. Carol:
So I got. I showed off. She’s delightful. Just so much fun. So we had a great time. And I got her tone to normal, like Smushy.

Speaker3:
And she went there. Smushy.

Dr. Carol:
Went. That’s the right word. Exactly. How were your feet last night? Yeah, they still burned. Okay, so the second day actually did a sensory exam.

Speaker3:
S1.

Dr. Carol:
And as to. On the left. Hyper esthetic. Okay.

Speaker3:
That’s peripheral. Yeah. I don’t know enough about.

Dr. Carol:
If you can get demyelination in a peripheral nerve like S1 and S2, But I do know that burning pain at night is central. It’s thalamic.

Speaker3:
It’s.

Dr. Carol:
Phantom limb pain for S1 and S2. So the key to getting rid of the burning pain in her left foot at night is to get the nerve.

Speaker3:
To get the nerve.

Dr. Carol:
At S1 and S2 on the left.

Speaker3:
Normal. Okay.

Dr. Carol:
So I don’t know. I can’t make any sense out of. How the Ms. in your spinal cord and your brain is causing this. But I’m going to treat your spinal cord in your brain anyway. And then we’ll treat from your low back to your foot.

Speaker3:
Okay.

Dr. Carol:
So we had a great time chatting. And then at the end of 45 minutes, I tested sensation again and she said, Oh, that’s sharp. I said, It’s not numb.

Speaker3:
No. And this.

Dr. Carol:
Part of your foot feels the same as the other foot. Yeah. So I will find out Friday whether or not it worked.

Speaker3:
Yeah. It’s the.

Kim Pittis:
Right. And then, like, just to build on this, like even a condition like Ms.. That we know and you’ve treated before, even within that, there’s so many different presentations that you have to be aware of. And again, like just because this person comes in with a certain condition, does it mean they are limited to the symptoms that we know in the textbook that was written 60 years ago as the end all and be all. And there’s still so many things that you can treat. I have an Ms. patient I’m treating who doesn’t have a lot of symptoms but doesn’t want any symptoms to start. So the trainer in me is let’s keep doing all the balance work, let’s keep doing all the strength building. There’s still so many things I can use with FSM to maintain the state of health that they’re already in. So I think sometimes we as practitioners can also get limited and we go down that, Oh, this is your disease, this is the pathology, this is the condition, therefore these are the symptoms you should have. No, it’s not always like that. It’s messy.

Dr. Carol:
The drugs you should take and yeah, what you should do and it’s how do you get someone to do physical activity and balance work when their legs are spastic for sure, and they’re internally rotated, adapted and stiff. And she’s on a walker. Well, when we got the tone normal. So when her left. Hamstrings let go. So for everybody that’s listening, just as a reminder, when you run 81 and 10, it’s somehow we don’t know how. Apparently increases descending inhibition of spasticity. It works in strokes. It works in cerebral palsy and it works in Ms.. Right. And so Ran 81 and 10. And for whatever reason, I don’t know enough. It goes up. It relaxes the muscles up the front, like flare up to the neck and then up the back. So. Knee.

Speaker3:
Adductor Magnus.

Dr. Carol:
Brevis. Pectineus. Ogodei. You watch the grass grow for another 20 minutes and you reach down and Oh, good, there goes that hamstring. Wait, it’s. Yeah. No good. No more grass. You wait for the grass to grow. And then now that the muscle isn’t spastic. I want you to lift. Bend your left knee.

Speaker3:
And you want my left leg doesn’t work.

Dr. Carol:
Let see if your left leg works. So I had one machine to increase secretions in the cerebellum. One machine. Increased secretions, 81 and 92. The sensory cortex hasn’t heard from her left leg in quite a while. And then 81 and 10. And then thanks to you. 81 and 46.

Speaker3:
Right. And then I said, okay, just.

Dr. Carol:
Here, I’ll get it started. And she bent her knee.

Speaker3:
And I said, That’s it. Pull your foot.

Dr. Carol:
My left leg doesn’t work. Your foot’s moving. So your your left legs move working. So just keep pulling it. There you.

Speaker3:
Go. Pull it.

Dr. Carol:
And it. And it. Because it’s been spastic into internal rotation, the external rotators are inhibited. So she gets her knee. And I said, Now, externally, rotate your leg. My leg doesn’t.

Speaker3:
Oh, it’s. Yeah, that’s it. So bring your leg out. Now bring it back in. Now, this time bring it out and push.

Dr. Carol:
Against my hand. And then bring it back in. And she’s got this look of amazement on her. Like, how did that how what?

Speaker3:
I didn’t fix her mess.

Dr. Carol:
I just changed the function of her left leg.

Speaker3:
But the lack.

Dr. Carol:
Of spasticity lasted. 24 hours at least.

Speaker3:
Wow. Isn’t that cool?

Kim Pittis:
Yes, but. But doable. Like, I’m listening to all this and I’m not awestruck. I’m just like, Yeah, that makes sense and this makes sense. And I’m going to write this down and try this myself and have a question before we get too far gone already today, can eczema resolve from FSM alone? Patient has a junk food habit, so there’s also a feedback loop that might be hard to advance past. Yeah. Oops.

Speaker3:
It went away. You know me.

Dr. Carol:
It’s like, yeah, you can get rid of the eczema for about two hours, but you have to treat the small intestine. And what is that patient’s junk food habit? Which kind of junk food do they want? Salty.

Speaker3:
Salt and crunch.

Dr. Carol:
Or sweet and soft. And is it all wheat? So it’s.

Speaker3:
Salt and crunch.

Dr. Carol:
Sweet and soft. And they eat wheat five times a day. Well, that means your gut is going to leak. You’re probably sensitive to gluten and you get to pick. I can get rid of the eczema for about 2 to 3 hours. Yeah. You get to pick.

Speaker3:
What do you mean? You get to choose.

Dr. Carol:
Do you want junk food made of wheat? Or do you want to have not have eczema?

Speaker3:
That’s up to me. Yeah. So that’s the.

Dr. Carol:
Place where you.

Speaker3:
I have to tell patients.

Dr. Carol:
You and I form a team to do this.

Speaker3:
Right? Yeah. Yeah.

Dr. Carol:
Yes. Nina, I.

Speaker3:
Have.

Dr. Carol:
Atrial fib is increased secretions in the Vagus the right Vagus. Controls the atria of the left ventricle. Vagus controls the rate of the ventricles. So. The there’s two pieces of the short term. You can get somebody out of trouble using FSM, increase secretions, do vagal tone, increase secretions in the Vagus. That’s the first thing. The second thing is that the Vagus.

Speaker3:
At that level.

Dr. Carol:
Uses acetylcholine as a neurotransmitter. So. The person that that treated George’s atrial fib. We could use FSN to get him out of down from 150 back down to 70. But what was his name? He’s a Naturopathic cardiologist. Put him on.

Speaker3:
Massive.

Dr. Carol:
Doses of Phosphatidyl Choline to increase acetylcholine, to just push that chemistry, to increase acetylcholine and magnesium, to quiet, sympathetic sensitivity.

Speaker3:
Every four hours.

Dr. Carol:
So we set an alarm clock. He would go to bed at eight. Wake up at midnight. Wake up at four. Take another one at eight. Around the clock. And they did that for a month. But if somebody has. Yeah. No identified trigger is. Phosphatidyl look up Phosphatidyl Choline at some point and see all the places where it gets used. And there are times when if somebody had a neck injury and I don’t know how to include this in the Core, their brains are actually it could get messy. Yeah. The vagus nerve comes out just behind your ears at the jugular foramen. And then it’s like this spider web down your neck. So if you’ve had a neck injury, a whiplash auto accident, whatever, and you turn your head to the left and the vagus nerve on the right is stuck. To your fascia. And you turn it traction the vagus nerve on the.

Speaker3:
Right.

Dr. Carol:
The right Vagus goes to the atrium. I didn’t do anything. You looked over your left shoulder. Oh, okay. Or you ate something or did something that increased your liver’s need for. Phosphatidyl Choline.

Speaker3:
Yeah.

Dr. Carol:
And there wasn’t a left enough extra left over to build acetylcholine to run the Vagus I don’t know. I just. And the other thing with atrial fib, make sure they are on an anticoagulant. This patient was. She wasn’t even taking a baby aspirin. And her. Do you call that cardiac monitor you wear Holter. Her Holter monitor two years ago showed that she was an atrial fib or atrial flutter 38% of the time. Wow. And they don’t have her on an anticoagulant. I was very calm. You’d be proud.

Speaker3:
But I said, could you stop.

Dr. Carol:
At the pharmacy on the way home and buy some baby aspirin, please?

Kim Pittis:
So silly. I know I have a quote before we have our closing things because I love your quotes. I’m glad you do, because I’m going to keep doing them. I had I had. So I have to do a little bit of bragging before we end. My teenagers went to nationals for hockey and I’ve had the pleasure of working with this group. I go in once a week and I help them with their exercises, and I’ve been trying to spread some positivity and I had them come up with their own mantras and I laminated them for the girls and I had them like decorate their hotel room with these quotes. And I try to give a quote. I write this newsletter for them and one of one of my kids is just like, Mom, enough with the quotes. And I’m like, No, I’m going to keep giving the world these quotes because it’s going to strike a chord with them. So this one really resonated for me this week and it says, Be messy and complicated and afraid and show up anyways.

Speaker3:
Exactly right.

Dr. Carol:
Be messy and complicated and afraid and show up. And that is honestly how I got through the last year. Kevin has a mantra. Do the next thing. Yeah. So people have asked me, it’s like, how did you do? Last year? I did what? Kevin said, You just do the next thing. Yeah. Answer the next email. Do the next patient. Right. Next slide. Presentation. Yeah. Just show up.

Speaker3:
That’s awesome.

Kim Pittis:
And I think it works as a practitioner and as a patient, right? Like, I think we as practitioners, we try to be perfectionists and we try to have all the answers and we try to have the streamlined, smooth treatment plan. And it’s complicated and it’s messy and sometimes it’s scary, but we show up anyways. And as patients it’s the same thing like we’re always waiting for. I’ll just wait till I have more money. I’ll wait till I lose weight. I’ll wait till I get this blood test. And no, just start treatment with your crazy history. I got you. We’ll figure this out.

Dr. Carol:
Yeah, and it’s actually good for patients. I’ve had more patients make. Say thank you for telling me that. You don’t understand. Yeah. That this really is complicated. This part of what you have is simple. Yeah, This part I don’t understand. But we’re going to just take it a piece at a time and see if I can change it. Yeah. And they. It. You and the patient are in it together. Messy and complicated. And you both show up. Yeah.

Kim Pittis:
I like it. And I’m going to show up next Wednesday. Yes. Complicated selves.

Speaker3:
Oh, wait.

Dr. Carol:
I’m in Philadelphia next Wednesday.

Kim Pittis:
I got you. I got something I can do. You got.

Speaker3:
Somebody? Okay. That’ll be fun.

Dr. Carol:
I’m going to miss you, though.

Kim Pittis:
It’ll be. I know, but that’s. We’re messy and complicated and we figure it out.

Dr. Carol:
The story. This is good. Wait, let’s see. Debbie Benton both taught me not to be afraid to treat anything. Keep doing what you do. You can’t imagine what you are doing out there. Love you both. Thank you, Debbie.

Kim Pittis:
Thank you, Debbie.

Dr. Carol:
Thanks, everybody.

Kim Pittis:
Everybody. I will see everybody next week and I’ll see you in two weeks. See you in two weeks.

Speaker5:
The Frequency Specific Microcurrent podcast has been produced by Frequency Specific Seminars for entertainment, educational and informational purposes only. The information and 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 host 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 should be used as a substitute for personalized medical advice and counseling expressly disclaims any and all liability relating to any actions taken or not taken based on any contents of this podcast.

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