Episode Seventy – Feeling Safe: Audio automatically transcribed by Sonix

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

Dr. Carol:
Hi. Perfect. I had a conversation yesterday with a patient about the myth of perfect. Did you know that there was such a thing as a profession? There are 200 of them in the country. A profession that paints artificial eyes and fits the plastic piece that fills in the eye socket. And then they match the color. They paint with a single hair sable brush. They paint the colors in the iris to match the other eye. He said, You can't do it from a photograph. The patient has to sit there. You look at that eye and then you paint the other one. Wow. And he's a perfectionist. But he said I had to eventually stop being a perfectionist because the patient wanted the eye done. So it used to take him 4 hours. Now take some 20 minutes or 30 minutes. Wow. And did you know that? A brown eye. Is. 50% purple with streaks of red and little tiny strips of yellow. Wow. And red. Purple, red.

Kim Pittis:
We're like, what, 3 minutes into this podcast and I've learned so many things already.

Dr. Carol:
He's so much fun. He's a friend of George's and the whole Theosophical Harry Van Gelder network on Orcas Island and that way, and then down in Ojai. So the conversations, he was my last patient of the day and we should have been done at 3:30 or 4:00. And I never got out of the clinic before seven because we'd sit in there and talk and laugh and tell Harry stories. And he taught me some babies are born without an eye. And so you have this little tiny eye socket. And they have to take an impression of the socket. And then as the baby grows, there has to be a filler in there so that the socket will grow with the baby.

Kim Pittis:
Like a tissue expander.

Dr. Carol:
Yeah, like that. And then it's just. It's been so much fun.

Kim Pittis:
I love learning about stuff like that.

Dr. Carol:
That was even a thing.

Kim Pittis:
And you would never think about that stuf if it didn't affect you.

Dr. Carol:
And he described what we do perfectly.

Kim Pittis:
Oh, what was it?

Dr. Carol:
Use colorful language to describe it, but to modify that language it's. You walk around and figure it out. So you mess around to be politically and socially acceptable, but then you figure it out and that's what we do or have done with FSM. Yeah. So he had been in practice for 20 years and his daughter decided to change careers and come and intern with him. And he said within six months or a year she was better than or as good as he was after 30 years, 40 years of doing it. And he said, Yeah, you'd already made all the mistakes. So he started from a different place and now she's able to just figure stuff out. That's where we are with FSM. That was the analogy I was getting to. What students now, as opposed to the poor people that took it between 2000 and 2018. The students that are taking it. Now, when I say you can't possibly make a mistake that I haven't already made. They're starting from an entirely different place than we started from 20 years ago. We can tell them the things to try and think about and then they're able to figure it out. For the first time in 18 years the patient came in with a diagnosis of pelvic pain and trigger points. While he's the one that had the S2 disc and the pelvic plain and the S2-3 nerve irritation that made the pelvic muscles tight.

Dr. Carol:
Three days of his fourth or fifth visit. It all started with a penile fracture. That wasn't bad enough. Every penis fracture I've ever seen before was really a fracture. There's a straight line. It's clearly fractured. His was more subtle. So the urologist said, no you don't have a fracture. And when I finally got his pelvic floor settled down. And you ask permission of the patient. Tell him to show you where to put your finger. You keep your finger on the outside of the washcloth that's wrapped around his boy parts. And touch the place where there's a dent. And he just flinches. And it's not the place that hurts. Yeah. Then you go to Dr. Google and you look up fractures and what's. I said this all started two and a half years ago with a penis fracture. They told me I didn't have one. I said they're wrong. There's feel this dent that's not regular. Yeah, and it's the most tender place. Penis fractures bleed, and they bleed down the fascial plains into the pelvic floor, muscles down into the perineum. They adhere to the nerves, Right? Because any bleeding creates scar tissue. Right. So you have the disc, you have the nerve to all the pelvic floor muscles. But it all started. So you clean up the stuff that happened afterwards.

Dr. Carol:
You start that layer. And then there's, this. And he told me about it the first visit. And I believed what this pelvic floor specialist told me. So I treated that stuff first. I've only treated three prior to him. They were early and they were real. They were in people that weren't twenty. They were in their forties. And the connective tissue is stiffer as you get older and the fracture. There's a line and it bends and it's poor baby. And I had no idea back then about 124/77. So you look at the anatomy, so this is the mess around and figure it out part. You look at the anatomy and I opened up Netter and showed him. This is what we're dealing with. You have connective tissue that's strained. But see all those little blood vessels in there? When those get cracked, they bleed. So the inside has got scar tissue in the capillaries and we have to take out the scar tissue, but then we have to stop the bleeding. Because when we take out the scar tissue out of those little teeny capillaries, it's going to bleed. And scared him to death because the pain went up. And it's okay. I can take it down.

Dr. Carol:
So, I would never have known to do that. And now on a podcast or in the Advanced I can show a picture o out of Netter and gives somebody an idea about how to think about it. And all this time you're running 40/89 nonstop from neck to feet, because this is the most terrifying part of the human body to work on in a male. And 40/10 to quiet down the sensitization. And then 40/396 from the sacrum to the crotch to keep the nerve pain down As you create inflammation by moving it. Moving the tissue. We treat scarring in the nerve. There's one machine just working on inflammation in the nerve. And you treat scarring of the nerve and move it very gently. And it was the most excruciating experience yesterday because I did this part at the very end of the session. And whereas he came in calm and confident, he left absolutely terrified because his pain went up.

Dr. Carol:
So it's going to go back down. So I had another patient, Susan had him just walk around the clinic. Should I have to take this phone call, just walk backwards down that hall and then walk forwards. And basically, by having him walk for almost 30 minutes, it gave his brain something else to think about. And by the time he left, he was calm and confident again. 15 years ago who would have thought of that? Hello.

Kim Pittis:
What people don't realize is that you and I don't talk before the podcast, and the theme that comes to me is sometimes planned, and sometimes you and I were together in Arizona before I did the podcast, and a half an hour before I said to you excuse me, half an hour before the podcast, I need to be by myself to just hone in on what we're going to do, how we're going to organize it. So I have an alarm that goes off at 2:30 to make sure that wherever I am, I have time to just sit and rewrite the list and make sure that the plan is loosely in place, because I know you will derail it. But I just need to have some sort of trajectory to follow. So the word that came to me in my pseudo-meditative state today was safety.

Dr. Carol:
Oh, yes.

Kim Pittis:
And we've talked about being vulnerable as practitioners and when our patients are vulnerable. But where I wanted to circumvent today is the miracles that I have experienced as a practitioner have all come from the root of the patient feeling safe. Safe with their story and safe with the movement.

Dr. Carol:
Safe.

Kim Pittis:
Safe. So what you were telling me, I was like the story that you were just talking about really circumvented with that the patient came in with confidence. He felt safe with his story to tell you about something like you said, completely terrifying. And then you have the confidence and the skill set to unravel it and take them from a place of safety to a vulnerable state. And it's a scary place to have them leave in that state. Unless you're confident that it's temporary and you're going to be able to circle the wagons again and bring them back to that pain-free or lowered pain, confident, safe space.

Dr. Carol:
It was about our fifth or sixth sessions for working on pelvic floor patients, whether they're female or male. It's in the sensory and motor cortex it really is a small part of the sensory and motor cortex. But in the limbic system, it's huge because our sexual function is so linked to emotions and memory. And the way a patient reacts to any injury or pain in that area will give you an idea about whether or not they were molested or raped. And it ends up making the central sensitization more of a thing. So the safety portion of it is 40/89, like literally on one machine. I think the biggest difference in the last five years has been the ability to work with multiple machines so that when I built this clinic, we had the construction budget and we had the equipment budget and I've got six PrecisionCares and four CustomCare's and an AutoCare all in my main treatment room. I haven't worked on anybody in the last month where I used less than five machines. Even if only one machine is running on 40/89 the whole time and one is running on 40/10. So why at the central sensitization quiet the spinal cord sensitization. So I worked on a patient with knee pain. You're working that diagram that we have in the core that shows you how the nerves that go into the knee create spinal cord sensitization of pain. Even if I'm working on an arthritic knee I don't need to run 40/89 because he's not centrally sensitized. But you have to have 40/10, quiet the spinal cord sensitization. You have to have that running while you're working on this mildly painful It's not that the patient feels safe, it's that the nervous system feels safe.

Kim Pittis:
So I had an email. That was after our last podcast or the podcast before, we were talking about the emotional protocols and asking when to use them. And both of us kept going back to is it really anger or did it come from something that you need to run 40/89 for first before the emotional component? Again, I remember being in psychology and talking about that anger wasn't a true emotion. And I'm like, Excuse me, It is very true. Like, I was so angry driving to class today because someone cut me off and it was like, Aha! That came after the fear and terror that you experienced because you almost died and then you got angry.

Dr. Carol:
Here it comes first and then anger.

Kim Pittis:
And I know this is your background, so it's clear for you, but for a lot of other practitioners, I think it's important to realize it's not about just throwing the 970's at a patient because that all came secondary to the trauma, to the injury, to whatever is going on in their amygdala. It's not about just throwing restored joy at somebody.

Dr. Carol:
We don't have a way to know about what happened to them when they were five. And so explaining to a patient what their hippocampus knows about what happened when they're five and they don't know it's subconscious. You don't have access to it. We have a way, which is really amazing when you think about it. We have a way of quieting the pressure from amygdala without actually talking to the patient about it.

Kim Pittis:
When we're talking about multiple machines, where I wanted to again have the message that practitioners that are listening who think they can do it all with one machine or a CustomCare, I don't know anymore that I could treat somebody with one machine because 480/89 in the last two months has expedited my results by weeks, if not months. Because you're able to tackle the emotional component of them being terrified, angry, scared, just the stress response of whatever injury or whatever courses of events that led them to your clinic or on your table. And even if you don't even want to think about the mental, emotional, psychosomatic or emotional side of it. It's going to help you get their range of motion smoother, faster, because anybody that's been in pain and they've been restricted. They're never going to move freely without compensation. And going back to the true way, that biomechanical freedom that they need without running 40/89 first. You could do all the loading you want, but unless you run 40/89 first, it's not going to work or stick.

Dr. Carol:
And your whole wipe and load, actually haven't taken your course, which people ought to know, but. The whole wipe and load concept is afraid to move it, 40/89. And then you tell the cerebellum to forget everything it knows. So you do 40/84. Then you tell the sensory cortex to forget everything it knows or thought it knew about where you were 2 hours ago and you do 40/92. So you wipe the emotional, physical movement part of it. And then you load it. And you have to fix the periphery. So this patient I treated that had A disc. So he started L5-S1, broad based disc. So we had S1 and S2 were lit up, were hyper esthetic He had 30 degrees of trunk flexion. Well, at the end of just treating the disc, he had 45 degree first session. Second session,reat the disc and the nerve and his range of motion was 75-degree flexion, at which point he just ran into his tummy. We had time and I said, okay, now I'm just showing off. So lay down on your back. And his straight leg stopped at 30 degrees. Is it? Yeah. I just have tight hamstrings and I went, not tight hamstrings. I'm just shut off now. Scarring in the nerve. And you hold his knees and you bend his foot a little bit and you internally and externally rotate a little bit and then it goes to 40.

Dr. Carol:
And he went, What? And then it goes to 50. And then you sit there and talk about whatever, and then it goes to 60 and then it goes to 70. And then it stopped at 70. And I went, Oh, that's. And he said, Yeah, my hamstrings are tight. It's no, it's not your hamstrings, it's the fat pad around the nerve that's between your butt and your knee. So let's just do sclerosis and the fat part. And he went, What? So then we did 3/97, sclerosis in the adipose. And he said, what sclerosis? And I went, I'm not sure, but sclerosis is what goes away when you run 3. He laughed at that. And then his straight leg raise went to about 85. And then I had him lift it actively and it stopped at 30 and I said, Yeah, hold that thought. Did 40/89 for about 60 seconds. 40/84 for 60 seconds. Then I did 81/84. Now lift your leg. And he lifted it to 70 degrees. And he went, what just happened? I'll tell you in a minute. Let's do it to the other leg. And at that point, it's really fun to just say to a patient that you feel comfortable with, now I'm just showing off. We do it because we can. And this isn't an athlete. He rides bicycles a lot. So we were treating concussion at the same time.

Kim Pittis:
So I love that. I love that you're doing all of that. And yes, you haven't taken my course, but you audited my course. So I want to make this clear that the FSM sports course has been audited and blessed by you in its entirety. So yes, I am not some sort of rogue player here that.

Dr. Carol:
No.

Kim Pittis:
Took some frequecies and ran with it.

Dr. Carol:
Yeah. No, we did. I did. I watched it and we talked about it.

Kim Pittis:
And they blew it up three or four times and.

Dr. Carol:
Blew it up and showed it. Oh yeah, that's right. That needed blowing up. And then you blew it.

Kim Pittis:
Up again and it's blown up again and I'm glad I don't have a Kevin that gets mad at me when I rewrite the course because it's just me

Dr. Carol:
Kevin never gets mad at me because I change it every time. He doesn't even roll his eyes anymore. He goes, Of course you did. It's like. Great. It's weird now when it stays the same two courses in a row.

Kim Pittis:
Yeah. And that's why the course is getting better. And that's why the practitioners are getting better and better is because you genuinely care about the message that we're putting forth. And it is a completely different message than when I took it, when it was recipe-based, formula-based. And it almost would get overwhelming. And I think that's why I and I've reached out to a lot of practitioners that have been exposed to FSM 10-15 years ago that, yeah, you're just like, I'm sorry, but it's just completely different now and you need to see the way it's being taught because I feel, especially with a certain demographic of physical medicine practitioners, if they followed the script the one time that it didn't work, it wound up in the closet because they were too busy to try something new or they were too linear in their thinking to accept their hypothesis was perhaps incorrect.

Dr. Carol:
Exactly. Extremity joint I look now at the standard extremity joint protocols that are in the CustomCare and I really have to get them fixed because it's no. Just no.

Kim Pittis:
Not that it's no or it's wrong or harmful. It's just a bit of a time waster, I find. But as a practitioner you can still definitely start there and the software makes it very easy to just click what you is not applicable and you can build your own program so easily.

Dr. Carol:
Remind me about insulin and leptin We'll take the train where it needs to go and then we'll come back to insulin and leptin.

Kim Pittis:
I want to just keep going on with the safety and the way we're talking to people. We were talking about this a while ago, how you have to be mindful of the words that you use as a practitioner, especially when your patient is on the table, especially when they're prone. You don't want to feed them anything. And I was talking to my girlfriend, who's a psychologist, and she says, you need to talk to your patients like you were talking to your toddler when they drew you something instead of saying, is that a tree? When it was like you or your dog.

Kim Pittis:
So I've been really mindful in the past year, especially to ask patients with as many colorful adjectives as they can muster. Tell me, not just about your pain or tell me about the incident or the trauma, but also I've been trying to ask them more about their future. So instead of saying with athletes, I get it, you're going to want to throw the ball again. You're going to want to shoot the puck, you're going to want to get on the ice. But asking them to tie an emotion into what that future event is going to be has been a bit of a game-changer with some of my chronic pain patients. So something like tell me about what you want to experience when this pain goes down. And I had a patient like, Oh. What do you mean, What do I want to experience. I'm like tell me what you want to experience. And I got so choked up because three people in the last two weeks said, I can't wait to just hug my loved ones without feeling pain. And that brought a sense of joy and inspiration and hope to their face that I didn't see. And I said, Oh, that's a fantastic goal. Let's work towards that. And then as a practitioner, you have to break down what is a hug mean? That means they have to get into extension, they have to get into horizontal abduction and then abduction. You can break down the mechanics. You can have them go through those ranges on the table or sitting up and then show them at the end how they are one step closer to experiencing that joy.

Dr. Carol:
Exactly. And there's skin. It has to not hurt. So with a 40/10 or the fibromyalgia patient. That's actually the hardest step with a chronic pain patient. What what would your life be like if this problem wasn't here? And that they have to be able to visualize that, but you can't make them visualize it. That makes sense? This patient with the pelvic pain has to find something else to do with his life. He has been out of school and not working for two and a half years. And it's like my goal, you're really smart and you are sensitive and intuitive in a way that is unusual for someone your age. My goal for you is to have you go back to school. And he's afraid to go back to school because it hurts when he sits. But I suspect that he's afraid to get better. Because he's afraid he's not good enough to go back to school. How do we make that leap?

Dr. Carol:
Louise Hayes wrote a book called Heal Your Body back in the 80s, I think. And I just looked up genital injuries. And what her idea is, the affirmation she had are a little much for some patients, but there it was. Was the psycho spiritual problem that's associated with genital injuries, good or not? And it's, there it is Now what do I do? So I'll see him back in a month. And this takes it out of the comfort range for a lot of practitioners because I'm a terrible psychologist. I'm a physical therapist, occupational therapist, MD Naturopath, acupuncturist, whatever. I'm not a shrink. But understanding that you can use 40/89. And 970/27,23. So fear and over-concern. Right? And use that as you ask the patient that question. So when you're asking them, what is your life going to be like when this is gone or when it becomes a management problem? So being able to tell him this isn't going to go away completely, it's a management problem. You can go back to school, you can sit, you can stand, you can walk in the back of the room. You can sit down for 10 minutes. It's going to be fine. It's a management problem. Now. Okay. So even when you aren't able to get someone 100% better. It's a management problem. You live with it and you do what you can do within the constraints of what it is that you're left with. Is that okay with you? You're used to getting people to 100%. I'm used to getting people from…

Kim Pittis:
Yeah, and it just goes with the demographics. So, yeah my pro athletes, there is no negotiating. We're going back to 100%. If not, we're going to get you stronger and faster after this injury. Like there has to be some measure of hope for excellence and greatness. And yeah, you have to learn as a practitioner to shift gears. I know with my aging chronic pain patients your right, it's not going to be 100% I think that's part of the relationship that you develop with your patients, you have to work together to get some attainable, realistic goals and have some that are maybe a little further out there and have some that are a little bit closer, but have the bulk of it in the middle that's realistic. And again, it's so important to not want it more than the patient. And that's really hard with chronic pain. I never have to worry about that with athletes so much.

Dr. Carol:
Athletes want it more than you do.

Kim Pittis:
Totally. Yeah. And there is a handful that, especially the teenage demographic, where I see they don't actually want to get better. And that fear is based maybe from pressure from their parents to continue to play or thinking their only way they're going to get to college is with a sports scholarship. But they actually don't want to play. They're terrified of not the injury but just failing or not getting the scholarship or not getting drafted into the pros. So there is a lot of fear-based components even working with athletes.

Dr. Carol:
Somehow when you were talking about that, my mind went back to however many weeks ago when you asked me about my favorite frequency. And it ends up being 13/396, so scarring in the nerve. So this patient had a knee replacement and his knee was not quite full-range. And that limited his straight leg raise. So when I ran 13/396 scarring in the nerve. Your brain is not going to let you move or use a body part where the nerve is scarred down from either injury, inflammation, surgery, whatever. If it bleeds, if it ever bled, if it ever broke, there's going to be scarring and it will affect this whole spider web of nerves. And the cerebellum is connected to the limbic system is connected to the sensory and motor cortex. And you don't get to move it. It is not negotiable.

Dr. Carol:
It doesn't do any good to work on the midbrain. So you take the scar tissue out of the periphery. So I ran a nerve as I bent his knee and the look on his face when his knee went to, let's see, 90, 130, like bent completely, he just went. How did that? Okay. And then he was able to do a straight leg. So you have to take care of the peripheral problem. We're able to do if you have multiple machines, is take out the central vision and the spinal sensitization at the same time.

Kim Pittis:
And that again goes back to people like, when do you run this? When do you run that? If you have even just two machines, you can run the 40/89 on one. Like I always say, I'm always running something in the background, so I always have the CustomCare running, whether it's 40/89 or concussion protocol, whatever I need. And then I've got my PrecisionCare to yeah, to think about, to switch gears and go from central to peripheral and be like, okay, I know this needs to happen in the brain, but what's happening in the leg?

Dr. Carol:
Or the wrist or whatever.

Kim Pittis:
Wherever you're working. But you're right, you could run 40/89 all you wanted, but if there is adherence to the nerve, like that's not your brain is not going to blow through the stop signs and tear or stretch a nerve that's adhered. That will never happen.

Dr. Carol:
The cerebellum does not notify and it doesn't negotiate. I don't want to scare people to think they have to have five machines to do a decent job.

Kim Pittis:
You can do it with one.

Dr. Carol:
Most of what you need to do with just a PrecisionCare and a CustomCare if you're a manual therapist It's when I have to multitask. I have somebody that has had five concussions. His hemoglobin A1C is 7. Oops. And he wakes up in the morning with his blood sugar at 140 or 170. And it's what turns your vagus nerve off at 3:00 in the morning.

Dr. Carol:
So, yeah, the vagus nerve has as its job to stop your liver from producing glucose. The vagus is turned off by infection, stress and trauma. So you don't have an infection, You don't have any trauma between the time you go to bed and the time you wake up. So there's some sort of stress that happens in your brain in the middle of the night that turns your vagus nerve off at 3:00 in the morning or 5:00 in the morning. So you wake up with your blood sugar at 170, fasting. That's the liver and that's the Vagus. And knowing that, he said, how do you know this? It's such depth of knowledge. No, it's all on the Vegas webinar. I didn't know that before I had to write that webinar. As I wrote the webinar then it all becomes obvious. And then once you watch the webinar, that all becomes obvious. And so putting him back together in a week means if I fix this low back in his knee, it doesn't do me any good. If he's a type two diabetic on insulin two months later and he dies of heart disease because we didn't fix his insulin resistance. How do you fix insulin resistance? By treating the Vagus and by running insulin and leptin while I'm working on his low back on his knee. And the five concussions didn't help.

Kim Pittis:
No. And was that the leptin insulin thing that you wanted me to go back to? Because I wrote it down.

Dr. Carol:
Yeah, that was it. It was the insulin and leptin. When I looked at the insulin and leptin protocol, that's now standard in the CustomCare mode bank. It includes turning on the Vagus is the very last thing. You treat insulin resistance.

Kim Pittis:
Do you want to just go through because we have a lot of laypeople that are listening to the podcast. Do you want to just briefly explain what leptin is? Because I think a lot of people have heard of insulin, but not maybe leptin.

Dr. Carol:
Yeah. The challenge I have with leptin resistance is I understand it when I'm looking at the protocol and when I'm reading Rob
DeMartino's slides on it. And you can Google it. Google leptin resistance.

Kim Pittis:
I didn't I had never heard of it before Rob's lecture, I'll be completely honest.

Dr. Carol:
When I read it, it was like, Oh my God, why do we not know this? Leptin actually can't remember Leptin is something that's created by adipose tissue, and it makes the adipose inflammatory. It contributes to insulin sensitivity and they feed on each other. You actually have to look at the webinar and actually look at the protocol because it has to do with inflammation in the adipose. So whereas normally you run inflammation for 4 minutes in the insulin and leptin protocol I run inflammation in the adipose for 8 minutes. Has to do a stress. So we quiet the midbrain, quiet the sympathetics, quiet the adrenals. And it has to do with melatonin.

Dr. Carol:
So in the leptin protocol there's a section on the pineal gland with 4 or 8 minutes to increase secretions in the pineal. So you run it at night. This patient yesterday with this blood sugar issue, that's really difficult. He bought a Magnetic Converter yesterday. And then recognizing that the vagus nerve turns off glucose production from the liver. You can have a completely carbohydrate-free diet and have a blood sugar of 180. If you get in pain or under stress, your liver will pour out sugar. It stores it as glycogen. And if you get under stress, your blood sugar will go up because the vagus nerve is turned down by stress or pain. When I was in the ambulance, when they picked me up after I'd had angina for 30 minutes as I was trying to drive home. The team that picked me up out of my car, they put me in the ambulance. He tested my blood sugar. It was 250. Are you a diabetic? No. But I've been having angina for the last 40 minutes in my car. Right? And I'm fasting. I hadn't had anything to eat since lunch. 8:00 at night. Yeah. And it was just the pain and the stress of the blockage in my heart and that. And my blood sugar was 250. So at that time, that was one of those factoids that sits on the shelf going, I don't understand that.

Kim Pittis:
Yeah.

Dr. Carol:
And it's now that I know the role of the Vagus in suppressing. Blood sugar from the liver. There's no way to treat type two diabetes without hammering. The quieting the liver is fine, but it's the vagus that controls the liver and glycogen and glucose. Isn't that cool?

Kim Pittis:
It's fascinating. Yes.

Dr. Carol:
And once you see it, you can't ever unsee it.

Kim Pittis:
That's a great thing. So let's get to some questions before we run out of some time. I think there's some good ones here.

Dr. Carol:
Is it time? Oh, my gosh. Okay. I know.

Kim Pittis:
So let's get questions. So let's go to Summer's question first. Thoughts on a trapped pudendal nerve. 71-year-old man is in so much pain. Someone did some deep work on his sacral plexus that triggered it. However, he had an inguinal hernia six years ago with mesh that may be underlying issue. Numb on the left cheek, left testicle and half of his penis. He is in major pain.

Dr. Carol:
Okay. You understand, Summer, that this is a straight-up guess, but numb means the nerve is not working. Deep work on the sacral plexus. If you think about where the sacral plexus is. I don't even know how anybody could work on it, because it's inside on the anterior surface of the sacrum. If it's numb. Okay a hernia and the mesh is very superficial. It could affect a cutaneous nerve and create pain that's local in the abdomen as an allergic reaction. When you work on a hernia, you don't even go into the peritoneum. Its all superficial. You can put the mesh and the hernia in the superficial part. But you have to look at the timing. When did the major pain start? Did it start after the deep work on the sacral plexus? If his cheek and his penis and his testicle are numb somebody tore the sensory nerve that goes to that. So you can try going from his sacrum. So put a towel under his sacrum. And then you a cloth from his pubic bone down across his penis, around the testicles down to the Ishmael tuberosities. Because the pudendal nerve comes out just at the usual two varsities. Try 40/396, quiet the nerve. That's not going to work but you should start there. Trauma to the nerve. That's also not going to work, but you should start there. Then increase secretions and nerve and see if that reduces the pain. That will tell you if the nerve is intact. Does that make sense? If its intact and you increase the secretions of nerve, the numbness should start to improve. Running a pinwheel over someone's penis or testicles is never what you want to do first.

Dr. Carol:
So you have them raise their leg and you run the pinwheel over the bottom of their butt cheek. And if 81/396 doesn't reduce the pain, then you have to consider the possibility that the nerve is torn. That somebody did deep work, aggressive enough that they actually tore the sensory nerve to that to those parts. It's just two and three. Try 40/89. And that is basically phantom limb pain in his penis, his testicle and his butt cheek. Just S2 and S3 is what you're looking at. You can find them in Netter. And if it's phantom limb pain, it goes away in, what Kim? 20 minutes.

Kim Pittis:
Yeah. Roughly.

Dr. Carol:
Roughly. If 40/89 takes the pain away then the nerve is torn and. then what I would say, you don't have to do anything, but what I would say is now we have to see if this is going to last. I want to see back in two days. If it comes back. It's not going to be worse, but you're going to mind it more and it's going to scare you. If it worked this time, it will always work. And this may involve you having to or being able to treat yourself at home with a home unit. You don't want to come see me every two or three days. Each time its treated it might last longer. So that's the progression. Is the nerve intact? Can you repair the nerves so it works properly? If you can't with 81/396, then it's torn and then it's phantom limb pain in his penis testicle and butt cheek.

Kim Pittis:
And she added at the bottom, it was a shiatsu therapist put his elbow on a sacrum because the patient had glute tightness. So that was good. Okay.

Kim Pittis:
Derek Asks.

Dr. Carol:
Hi, Derek.

Kim Pittis:
Hi, Derek. To get the quote, I don't want to get better client. And he's asking for 40/89, 84/92, or 970/fear while asking the patient, what would it be like if you were better?

Dr. Carol:
Yeah, I'd go with that. That's a good plan. You understand the problem?

Kim Pittis:
Yeah. And then Dana has a comment. Is there a place for us patients to report anecdotal instances where, say, I had a consistent 140 plus morning fast and glucose rating that went down by running concussion and Vagus. Ouuuuu.

Dr. Carol:
I'll ask Kevin. We just had a meeting with our web designers, the new FSM website. They've been working on it for a year and we're hoping it'll be done by February so I can announce it and we can launch it. But there's no guarantees.

Kim Pittis:
That'd be cool.

Dr. Carol:
Cool, and I'm not sure. Can we do that?

Kevin:
Where they can just submit what?

Dr. Carol:
Anecdotal reports so the patient treats themselves for insulin and leptin, resistance or concussion and Vagus and their fasting glucose went down. So if we open it up like that, the challenge is that we also get all sorts of random.

Kim Pittis:
Yeah, I think you would just have to have somebody approve it before it got posted to make sure that it was.

Dr. Carol:
The other thing that I would do is tell your practitioner and have your practitioner collect the data and present it as a case report or write it up. So. I hate to be a broken record that we have to get this stuff published. Even as a single case report.

Dr. Carol:
So you have consistent blood sugar readings and you report those and then you start X treatment with Frequency Specific Microcurrent. And then the blood sugar readings went to this and we were also doing these supplements or that. And then. That's data and that's a case report and that's publishable. And I swear to God, I will pay you $2,000 for publishing it. One of our practitioners in Kuwait is a dentist and she is going to get a wire transfer for $2,000 because she published in a peer-reviewed journal a case report on post-herpetic neuralgia. And as a dentist, it must have been in a facial nerve and wire transfer is coming and Terry Turner is presenting a collective case report on Ehlers-Danlos at the symposium. I think she should, and she's going to publish that. She said that. And I said, as soon as you have a reprint. There is a check for $2,000 that will be presented next year. I love giving away money for published papers. It's my favorite thing. Next to fixing patients.

Kim Pittis:
Awesome. And then Leave said maybe the same approach as a Facebook forum. Maybe because we moderate or mediator monitor that a little bit, right?

Dr. Carol:
Right. It would might go on Facebook but as a different page. Yeah because the case reports have to go through the practitioners The challenge is practitioners, if you're like me, you start at 9:00 or 10:00 in the morning and you finish at 6:00 or 7:00. You go home, you have dinner. Life happens and then it's Saturday and sitting down to write up a case report is not something you want to do. So the practitioners are wonderful, but also a black hole. It's so I don't know how. I'm resorting to bribery. It's like there's a carrot. I have no sticks, just carrots.

Kim Pittis:
It needs to be chocolate. Maybe that could be better.

Dr. Carol:
Oh, yeah. And I just bought five packages of dark chocolate almonds. And withut almonds to put in big bowls at the Advanced. We have 130 already signed up. 130 for the Advanced, 100 for the Symposium. And usually what happens is people come to the Advanced and they can't stand it, so they end up staying for the Symposium. So we'll get 130. The ballroom. I don't want to put more than 150 or 60. We're close and we're six weeks away.

Kim Pittis:
Speaking of, I had two cancellations for the sports course, so there are two spots open and I am not on social media right now to promote it. So I will let two people in. There's my clock that's saying that it's 4:00. I do have a quote to share. It says when we feel safe enough to expose our shadows, that's when we become free.

Dr. Carol:
There is so much background to that. The concept of your shadow self is Jungian. And the lady that wrote the book on death and dying and making friends with and not being afraid of. Alf. Oh, hi, Alf. How are you? And not being afraid of your shadow self. So the parts of me that I don't care to reveal the parts of me that I don't like. When you accept those parts they lose power and it goes along with emotions buried alive. Kubler-Ross. God, I love it when you're here. Leave. Thank you. Yes, Kubler-Ross. There you go. Dana said it. Everybody, Thank you. Yes. When you make friends with your shattered self, it's like making friends with the emotions and the insecurities that you buried. Once you admit. And this was something that Kubler-Ross said in a lecture I went to in the 1970s in San Diego. Once you admit that there is a part of you that could be Hitler. That could have done those angry, evil things, those thoughts that come through your head when that guy cuts you off on the freeway or when you see a group of people that we can think of right now that you really can't stand their behavior or their politics or their ways of thinking. Once you accept the fact that could be them if you let yourself. That there is a part of you that is like them. Then you can integrate all the parts of yourself and accept them and understand that you choose not to be like them. I could. There's a part of me. And I accept that part. But I choose love. I choose compassion. I choose integrity. I choose competence. I choose relationship. And once you choose that and you are that, it's hard to explain until maybe you're 60-something and you actually can manage to do it. And Dana said, I thought it impossible that my pinky finger could ever be a Hitler until I was in a car accident and in chronic pain.

Kim Pittis:
It's true.

Dr. Carol:
I just love you.

Kim Pittis:
I love you. I love this. I love everybody. I just love love. I'm choosing love all the time.

Dr. Carol:
I choose love. This is cool.

Kim Pittis:
All right. We will see you next week.

Dr. Carol:
We will. I can hardly wait.

Kim Pittis:
Six more sleeps.

Dr. Carol:
Six more sleeps!

Kim Pittis:
bye, everybody.

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 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 shall be used as a substitute for personalized medical advice and counseling. Fs 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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