Carolyn McMakin, MA, DC
Kim Pittis, LCSP, (PHYS), MT
00:14 Exciting Case Reports and Research Updates
02:03 Technical Glitches and Presentation Preparations
02:42 Deep Dive into Hip and Pelvis Presentation
04:04 Case Studies and Certification Process
07:41 CE Mark and Aftermarket Data
11:41 Metal Allergies in Surgical Implants
17:39 Phantom Gallbladder Pain Case Study
26:42 Listening to Patients' Stories
29:25 Managing Unattended Treatments
30:08 Leaky Gut and CustomCare
31:16 Radiation Treatment and Vagus Nerve
32:08 FSM Patient Monitoring
36:36 Shoulder Pain and Treatment Protocols
38:38 Frozen Shoulder Challenges
41:52 Coracoid Process Surgery
46:45 Liability Concerns with EyeCare
50:46 Essential Tremor and Dopamine Support
In the fast-evolving world of integrative medicine, tools and methodologies that confirm positive patient outcomes are invaluable. Frequency-Specific Microcurrent (FSM) stands out as a promising approach, providing noteworthy insights and clinical benefits. Based on recent discussions between Dr. McMakin and Kim Pittis, this post delves into practical applications of FSM and how medical practitioners can incorporate it into their practice for enhanced patient care.
### Standardizing FSM Protocol for Common Conditions
Dr. McMakin emphasizes the importance of successful application of FSM protocols, specifically in dealing with complex cases such as frozen shoulder and post-surgical complications. When encountering resistance in increasing shoulder mobility, practitioners must ensure that the nerve has been adequately treated for inflammation and scarring. Start with reducing inflammation in the nerve (40 and 10 frequency) before addressing scar tissue and mechanics.
For those dealing with leaky gut syndrome, Dr. Menik suggests a protocol of FSM treatments such as 1and 24 and 22, emphasizing a five-day consecutive treatment regimen. This procedure should be undertaken with adequate supervision and alignment with state laws concerning unattended treatments. It is important to monitor the patient for any signs of discomfort during the treatment to ensure optimal results, especially if running the device unattended.
### Integrating FSM for Complex Cases
Dr. McMakin shares a compelling case involving a patient with knee replacements. Understanding the difference in metal types—titanium versus chromium cobalt—can crucially impact postoperative recovery. This differentiation is pivotal due to varying incidences of metal allergies. For patients with known sensitivities or unexplained inflammation post-surgery, practitioners should consider the metal type as a contributing factor to symptoms.
In another case involving a patient with phantom gallbladder pain, the presence of metal clips left post-surgery required unique approaches involving FSM for treating metal toxicity. Such cases highlight the importance of considering not just the symptoms, but potentially concealed causal factors.
### Application of FSM in Nervous System Disorders
FSM also has significant potential in neurological applications. A notable example involves the treatment of essential tremor, typically tied to basal ganglia function. Here, frequencies such as 81 and 988 come into play, aiming to balance secretions within the basal ganglia. Complementation with nutritional support for dopamine synthesis, including tyrosine and phenylalanine, is recommended.
Furthermore, managing post-viral inflammation through the vagus nerve to modulate systemic immune responses demonstrates FSM’s versatility and profound potential. Recognizing the interplay between respiratory infections and subsequent systemic inflammation redefines treatment strategies for persistently inflamed joints.
### Practical Advice for Practitioners
For practitioners venturing into FSM applica
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(00:00):
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So we have case reports and ohJuliana Mortenson has outdone herself.
It's amazing.
(00:23):
Jerry Pollock just in his slides, DianaCross just emailed me and said that
her research is covering her livingroom floor and she'll have it in soon.
My case report with Jennifer fromTypic about the vagus and our HRV data.
That's just, that's about done.
(00:45):
Yeah, it's pretty exciting.
It's just.
All coming up.
I got a note from Christie Hughes saying,don't panic, I've got my slides ready.
I don't expect David MaMusnickuntil Sunday, if I'm lucky.
And then Juliana Mortenson has outdoneherself every time I think she can't
(01:06):
possibly tell us anything different.
It's just magic.
It want to download her brain.
And then Jennifer Ernst has the HRV data.
So I did the Vegas part and she's doingthe HRV data on the Vegas protocol.
Like we have data.
(01:27):
Not only do we havedata, we have a patent.
I'm so excited.
It's so fun.
And then who else?
Jerry Pollock, who's got his in.
Diana Cross is comingup from Australia and.
I got an email from her saying that shecan't actually see her living room floor
(01:48):
'cause she's got her research papersspread all over the floor and then she's
going to, she's gonna get her slides done.
That's what she said.
And it's like, what?
Okay.
Mine is, and she's also,she's getting ready to,
and you're what?
Okay.
Thank you.
Slides are coming and I was almost done.
And then Dr. Musnick was like, canyou focus, can you do me a favor?
(02:11):
And I was like, yes, I'lldo anything for you, Dr.
Musnick.
And he says, could you focus on the hip?
I am seeing so many hip people lately.
I'm like, I would love to takea deep dive onto hip stuff.
So my presentation morphed a little bit todo hip and pelvis, and it has it has gone
(02:35):
through so many cool phases of anatomy.
I've got these amazing anatomy slides,nerve lymph, different pathologies.
I am in love with this presentation.
Oh, goody.
So what?
That's
the best.
What I was waiting for was this casereport that I'm working with this amazing
(02:58):
female who had a disc surgery gone.
Not as well as they had hoped.
And the nerve pain experiencethat the surgeon is saying
it's never going to come back.
It's never going to change.
You're gonna have thisfor the rest of your life.
It's irreversible when I can reverse it,whatever in 25 minutes and take before
(03:24):
and after pictures and document it with amagic marker and a pinwheel and measuring
girth around an atrophied calf muscle.
So I am just.
Kevin, it's coming.
I am just putting all that data intothe last 20 slides because I think the
case studies while we don't have enoughpublished papers, the case studies
(03:48):
that can show objective findings, Ithink to me, are just so inspirational.
That's what, that's why Ilove the advanced meetings
is just to see that data.
We had a meeting with David Suzukiand his team this morning, and they're
doing the final stages of gettingour CE mark as a class two medical
(04:11):
device in Europe, Asia, everywhere.
And the thing they want is between50 and a hundred, a aftermarket data.
I can't remember what the acronym is, butit was aftermarket data and it's you want
(04:32):
me to do case for different body parts?
So right now we've got 200 casespublished on low back pain.
We've got a paper on neck painwith a hundred and it's like
they want different body parts.
And I said, does it have to be published?
And they said no.
(04:53):
So we have all the certification casereports, we have every case report
that's ever been presented at a symposiumor in advanced for the last 22 years.
And I said, can we, so they'regonna send us a spreadsheet and
(05:16):
everybody's case report that saysshoulder, frozen shoulder, great.
Goes.
So we've got a Excel sheet, and at theend of it, we will have a tally of all
of the different pain applications,including the one that you just did,
which is, oh, that's just nerve pain.
(05:39):
That's not that hard.
And so there you
go.
I think it's just so exciting becauselike any clinician can do it and it's
not when we have the FSM certificationtracked that you can go through
and it's oh, I need to have 10.
10 case reports.
I'm like, that is so easy becausehopefully everybody's charting
(06:01):
and your soap notes can turninto a case report very easily.
And one week.
And if you're a nerd like me, it's just sointeresting to see the soap note, go into
a case report and to review your findings.
And every time I'm going through theirsubjective complaints, seeing that
(06:22):
pain score go down, seeing range ofmotion improve, that's just validation.
That just feels good to review that.
And I had to explain tosomebody who's going through the
certification process, it's like,why do we have to do case reports?
And it's number one, it, thepurpose is for us to collect data,
(06:42):
but the purpose is to get youused to writing up case reports.
So publishing a case reportwon't be so terrifying.
Yeah.
And we need you to ascend to theplace where you're willing to able to.
Publish a case report.
(07:03):
Yes.
But as it turns out, there is thiswonderful use that will get us a CE
mark and it's aftermarket data, whichis something the FDA likes anyway.
Can
you explain aftermarketwhat that it means?
After you start marketing this deviceand you're using it, they, to get a,
(07:25):
getting a 510K, you can make a gadget inyour garage pay $250,000 and get a 510K.
So a device with a 510Kis like no big deal.
A CE Mark David Suzuki, theperson that makes our devices,
the CE mark is for the device.
(07:47):
It takes a notified body.
He has been working onthis for four years and.
We are at least $250 to $300,000 into it.
To get a class two, we have a classone, which is over the counter pain
stuff to get a class two medical device.
(08:09):
CE mark has taken 'em four yearsand aftermarket data is okay.
You have this device, you had todo this to get it on the market,
but does it work for, did itwork for two people, five people?
They want between 50 and a hundredcases for different body parts.
(08:33):
So neck, shoulder, knees, hips,nerve pain, arm low back pain.
We have a published paperfrom India on 237 patients.
So for every body partthat we have cases for.
Up to a hundred of them.
(08:54):
We that can then be includedin the claims we're allowed to
make in print for the device.
FSMI, that's a whole different project.
The device has to have supportbefore you can make claims for it.
So that's why when you look up adevice on the internet, it's all fuzzy.
(09:18):
There's no actual sentences, there'swords, there's, we make you feel better.
And be, that, so Suzuki is, hedescribed himself this morning as
being obsessed with getting this done.
He is Japanese and I don't knowif it's a cultural thing, but he
(09:43):
has got the bit in his teeth and.
He is not letting go of this.
So we will have a class two CE mark forsia by the end of the year, I would guess,
assuming we can get this spreadsheetdone, I may have to take a week out of
the clinic to just go back through allthe cases I've got, but yeah, so they're,
(10:05):
That's exciting.
That's very exciting.
The devices are always a hot topic andwhy do we use the devices that we do?
And so what you had just went through,just talks about the validity of
the device and the safety of thedevices and how difficult it is to
have a device that people can feelcomfortable and safe, using and
(10:29):
you wanna feel confident in that.
And the quality standards forus made devices, shall we say,
are just different than qualitystandards for devices made in China.
So we'll just leave it at that.
I. The coolest case yesterday.
Tell me lane change.
(10:50):
Yeah, I we have a wholeahead of patient had.
Yes.
And I'll let you get to yourlist and we've already got
questions, but this was so cool.
Patient had a right knee replacedtwo years ago and it went fine.
She had her left knee replaced inDecember and it has been red and swollen
(11:15):
and they thought it was infected,so they just had her on antibiotics,
but the knees still redder than itshould be 10 weeks after surgery.
And I said, can you look upor ask what metal was used?
(11:38):
And her right knee was titanium.
Her left knee is chromium cobalt.
So just so everybody knows, surgicalgrade titanium, if you Google, it
has an allergy incidence of 0.6%.
(12:00):
Chromium cobalt has between three and6%, and one study showed as high as 20%,
and stainless has between 10 and 27%.
10 and 20%.
(12:21):
Somebody can check me out on that,but surgical grade titanium is
the only thing you should use.
And in this case, there's a prettygood chance that this lady has.
Dissimilar metals in her body, which isgoing to drive her immune system crazy.
Nobody is going to do a revision of a kneereplacement because of a metal's allergy.
(12:48):
The infection is gone, but her kneewas hot and the incision was red
maybe a centimeter on either side.
And so I wrapped her knee above andbelow and I ran the frequency from
metallic toxin in the periosteum.
The bone marrow, the skin and the bursa.
(13:12):
The swelling went down, the redness wentdown, and the knee was less swollen.
So the range of motion was better 'causeshe wanted me to treat for scar tissue and
it's I'm not sure scarring is our problem.
It is available in my chart usually,but every patient you have that heads
(13:33):
for a joint replacement, whetherit's an ankle, knee, hip, whatever.
Shoulder, make sure that they insist thatthey are comfortable insisting on surgical
grade titanium, especially patientswith leaky gut or IBS or food allergies
(13:54):
or any sort of sensitivities at all.
Titanium is your friend, but so 16is the frequency for metallic toxin.
I don't know if chromiumis toxic, but there we go.
So that was my story from yesterday.
And does it matter, like in what stateor country Do they use different metal
(14:19):
alloys or do you know what I mean?
Like where is the, where are theimplants or the joint sourced from?
They all have to be FDAapproved at least so far.
Yeah.
They're almost all, asfar as I know US made.
Okay.
When my surgeon went to repair my leftshoulder, I asked him, he said, we're
(14:44):
gonna do your shoulder this afternoon.
And I said, what metal are you using?
He said, stainless, it's less expensive.
It's ubiquitous.
Lots of things are made of stainless.
And I said, you can't, I'm allergic to it.
What?
Yeah.
It's got, nickel in it is the problem.
(15:04):
Child in the allergy reaction tonickel by itself is about 70% is huge.
So it's the nickel in the stainless.
That's a problem.
I said, you can't use stainless.
And he went I said, here, wait.
So I called Mary Ellen Chalmers,who's also lecturing by the way.
And I said, Mary Ellen, he wantsto put stainless in my shoulder.
(15:27):
I broke it.
And it's yeah, I know,but would you talk to him?
So I handed him the phoneand he made surgeon noises.
And then he was quiet for 20 minuteswhile she talked, and then he hung up
the phone and handed it back to me.
And he, I said, so what's up?
And he said, I have tofind titanium hardware.
(15:51):
I've never used titanium hardware before.
I have to source it.
So he brought in a computer fromthe nurse's desk and spent two
and a half hours in my room onthe computer finding titanium.
Three different sizes.
'cause they don't know till get in there.
(16:11):
What size things needs to be threedifferent sizes from Seattle,
San Francisco and Los Angeles.
All to be at the hospital by noon.
So it could be sterilized so he could dothe surgery at three o'clock the next day.
Wow.
Yeah.
It's it has to be atleast in stock locally.
(16:33):
And I'm assuming it's made in the US Idon't know that the answer to that one.
It reminds me of, youprobably don't remember this.
I remember it very clearly.
This was the phantom gallbladdercall that I made to you.
Oh yeah.
In my early years of being an FSMpractitioner, because, and I'm the first
to admit when I'm wrong, and so takingthe core, it's a lot of information
(16:57):
and I think it is a new clinician.
You do this weird filtering.
You're like, I need this,but I don't need that.
Instead of saying, I'm gonna take itall because you're so used to just
thinking, I can only affect the fascia,or I can only affect the muscle.
So when you would start to go intocertain things, my brain was like.
(17:19):
Yeah, whatever.
So when I had the patient and thiswas a written case report that I did
who had low back pain for a year,that she was going to PT twice a
week every single week, paying cash.
So the pain was not reallyresolving, but it was her low back.
(17:42):
It would radiate across the posteriorand nominate crest down the lateral
part of her leg and sometimes go medial.
So the pain pattern was interesting.
Myself being very pelvic centric,was looking for a torsion.
She had a little bit of an anorotation, a little bit of a pubic
tubercle shear, fixed, all ofthat, but it wouldn't really help.
(18:06):
So I saw her for aboutthree or four treatments.
Things weren't getting better,and I still had the birdie in my
ear saying it never not works.
Keep looking.
And she had her gallbladder takenout six years ago when I asked
her, when did the pain start?
She said about five years ago.
(18:26):
So a year after having thegallbladder removed, that
wouldn't have really clicked.
Pre FSMI would've not put that together.
But when you think about visceraladhesions, the pain started a year after.
And I did treat her abdomenfor vis visceral adhesions.
(18:47):
However, like you had just mentioned,yeah, there might be scar tissue or
adhesions there, but why is therescar tissue or adhesions there?
Now, this patient was one of the onesthat you pray for as a new clinician who
is very sensitive to the current, didn'tknow what she was feeling, but would just
(19:07):
be able to say, oh, this feels amazing.
Or now the pain is gone,or now it feels icky.
So these type of treatments are they'relike blinded studies because the
patient doesn't know what you're doing.
So when I thought about the, when Iwas going through her file and I saw
the MRI report and they talk aboutthese clips that are in place, I
(19:31):
thought, I wonder if something has todo with these metal clips in her belly.
And then I looked at her and she hadno jewelry on whatsoever, and I said.
I wonder, and you just havethat thought experiment.
And I said, I notice that younever have any jewelry on.
And she says, no, I have thisridiculous metal allergy.
(19:54):
I can't touch anything.
I have to wear 24 caratgold or nothing at all.
And I was like, damn,what a problem to have.
Yeah, poor baby.
But then I thought, you know what,there's that thought experiment.
So ran, looked up in the laminatemetal allergy or metal toxicity,
and I ran it, even though I knewshe didn't have a gallbladder in the
(20:18):
gallbladder, because that clip wasclipped onto something once upon a time.
And she, so after 30 seconds I don't knowwhat you're doing, but it feels amazing.
And I took my hands offand I grabbed my phone.
I said, I'm gonna be right back.
And that's when I called you.
I'm like.
I think I'm treatingphantom gallbladder pain.
(20:39):
And you said, yeah.
And now open up your netters andsee what's around the gallbladder
and treat the small bile duct.
And there I had my viscera page openand the pain was completely gone.
And it lasted for about four days.
So I would get her in everyfour days and run this metal
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toxicity and do some movement.
And then we had the conversation of,okay, these clips are not going anywhere.
They're staying in your body, so let's getyou a custom care and put on this program.
And then you have a tool tohelp you with everything.
And that's exactly what we did.
(21:23):
So she bought a custom care.
We set up a protocol for her.
She ran multiple things, but everyfour days she runs metal toxicity.
The pain never came back.
Yeah.
And you saved her a fortune.
She spent upwards of$2,500 on a custom care.
And after two years of pt,
(21:46):
yeah.
Cash.
Yeah.
It's there, there are, and thislady already has a custom care.
So yesterday I put metallic toxin orknee metal and I said, just run it
every day and I'll see you in two weeks.
(22:08):
It's just, and when you weretalking about number one, the little
bird, it just never goes away.
And you, when you were talkingabout the FSM course and all of
the different pieces that you, itreminded me of Thanksgiving dinner.
There's, everybody brings a dish.
So you've got 12 things and you havea plate this big, and it's oh my.
(22:34):
So you pick those and you can digestthose, but then there's another five
or six and those look pretty good.
And then you go back andthat's what FSM was like.
It's like Thanksgiving dinner.
You just digested a little pieceat a time and then have a nap and
then go back and visit it again.
(22:56):
That, that is one of the bestanalogies I can think of.
And when you've digested enough andyou're ready for the next plate of
food, you've got leftovers in the fridgeor in the freezer waiting for you.
So
something else, walks in,
something else, walks in.
And I think once you have thatcase, and for me it was what I
(23:17):
call phantom gallbladder person.
She really opened up my mind to the cause.
Why, where, when, how we're soused to, is the pain bright?
Is it sharp?
Is it in the morning?
Is it night?
We're so myopic sometimes in ourassessment that the more lateral
(23:43):
and even the more posterior youcan get with the history, the more
information you're going to gather.
The more information, the morecomprehensive your strategy can be.
And there's the, these days.
The other piece that I would neverhave thought about 10 or 15 years
(24:04):
ago was the patient said, can youdo anything about inflammation?
Where everywhere.
I have all this joint stuff and Isaid, how long has that been a problem?
About two, three years.
I said the way you keep inflammationdown is to treat the vagus.
(24:25):
Have you ever had covid?
Oh yeah.
I had a, I don't know, 2020, 2021.
I had it twice and then I got vaccinatedand then I had it again in 22.
And when did all thejoint inflammation start?
About three years ago.
I said that would be 22.
(24:48):
So the thing I ran on her for her jointpain was treating her vagus for covid
frequencies and then the blood supplywith the virus frequencies and then.
The cartilage for inflammation.
(25:08):
And I just did that neck defeat.
'cause she had everything fromher fingers to her elbows, her
knees to her toes were inflamed.
And the vagus is whatturns inflammation down.
And 20 years.
So 15 years ago there wasn't avirus that everybody got that
(25:29):
persisted and turned the vagus down.
Now there is, so now that'sanother, like you said, in the
back or in the deep recesses.
That's a question thatalways has to get asked.
Yeah.
And the more you get used to askingquestions and it's funny I'll get
(25:52):
a new client that will just starttalking and talking and giving
me, it's she's oh, I'm so sorry.
This is probably too much information.
I'm like, no, there isnever too much information.
And the fact that you wanna mentionit means it's really important.
And I had somebody said, itjust feels so good to have
(26:13):
somebody listen to your story.
And I said, I know.
I, so I think even that component towhat we do is so helpful in the healing
journey is just being there to listento somebody's story in its entirety.
Not saying they're crazy notsaying what they're telling
(26:34):
you isn't important because.
It's so important.
And how many times do you get somebodyon the table that they've told you,
you think their life story and thenthey're like, oh, did I tell you about
that car accident I had 10 years ago?
I'm like, no.
Yeah, no.
But now that you mention that itmight have something to do with the
(26:55):
pain in between your shoulder blades.
Yeah.
So
yeah, that's, I love being honest.
It's what I think makes FSM practitionerssuch a special group of people.
It's there's, if you'renot willing to do that,
(27:16):
And there's some FSM practitionersliterally that just gimme nightmares
because the, I get patients who say,oh yeah, I went to this FSM guy in
whatever state, and he just put.
Sticky pads on me and pusheda button and left the room.
I don't know what he did.
It didn't help.
Oops.
But I don't think people that havebeen trained in the last eight years,
(27:40):
10 years are like that anymore.
I think we have a different group.
And it's funny because I think thequestion touches on that and I, I
have a lot to say about the question.
The question is question from a fewpodcasts ago, both of you mentioned
that just hooking up an FSM machine andleaving the room is not good practice.
Correct.
Because of missing hands onchanges, you track to see, feel.
(28:03):
The FSM is working.
I get that for lots of the treatments,but for things like 124 and 22
for treating leaky gut, one hour aday for five days, as Dr. Musnick
suggests, or lots of the internalstuff like bleeding, scarring from
appendectomies, toxic mega colon as well.
(28:23):
They use relax and balance, moleconcussion, vagus, even virus ones.
I find there is no tactile feedbackto monitor, so I just run them as
I rest or walk around, on and on.
Others, I hook them up and let them rest.
Yes and no.
Again, yes, I understand you may not feelsmush when there's, when you're running
(28:48):
virus on somebody, however, there area lot of subtle changes and depending
on your scope of practice, you may notbe able to run something unattended.
So there's that whole legality as well.
So I'll let you talk andthen I'll jump back in again.
Oh, you're, you're spot on.
There are patients where it's like.
(29:11):
124 and 22 for leaky gut.
I don't have to be there for that part,but I spend the time with the patient
ahead of time, get my pa hand in thetummy and say, look, you've got leaky gut.
People that have leaky gut, I usuallythey end up with a custom care
'cause I only see 'em for five days.
(29:32):
But you could do your attendedpart and then switch to unattended.
Either you move to another room or makesure the patient's cozy with a blanket and
a heating pad and a washcloth on the frontand back and you're running SIBO or leaky
(29:54):
and it's gonna take an hour and a halfand you tell the patient to bring a book.
The second question I. Is I ranleaky gut an hour for five days, and
a friend who has residual GERD anddigestive problems after radiation
treatment for throat cancer.
And he reported that even the first dayafter that, his stomach felt better and
(30:15):
he wanted to do the cold whole course.
Absolutely.
Cool.
And the thing I hope you rememberis that radiation two for throat
cancer, where's the vagus nerve go?
Comes out behind your ears and then itgoes under your jaw and then follows
your esophagus down on your stomach.
(30:37):
So the other thing to do besides justtreating a digestive system, bless you
is to treat 54 and 10 for radiation.
And scarring in the vagus, and thenon a custom carrier or a second
machine or whatever, run from aroundthe neck down to the pubic bone.
(31:00):
Increase secretions in thevagus or concussion to vagus.
Yeah.
Use pads.
No brainer.
Hang
on.
I wanna go back before yougo to the other question.
Okay.
Go.
For those people that cannot do unattendedtreatments certain ATS massage therapists,
(31:20):
depending on your scope and what state andwhat country you have to be in the room.
You cannot do, you cannot bill or youcannot do an unattended treatment.
There's lots you can do still.
Yes.
The leaky gut has to run.
So maybe in this case you lendthe custom care or rent the custom
care for these clients to do.
All that stuff at home.
(31:41):
That's the option for those peoplewho can't do an unattended treatment.
Because yeah, sometimesthings have to run.
You don't wanna be in the room havinga client occupy a table for three hours
running the PTSD protocol, for instance.
So if you can't do it unattendedin your clinic, give them
the custom care to take home.
And there's al I feel like there'salways monitoring though, even with
(32:01):
the concussion protocol when I'mfirst putting it on people, even if
they fall asleep I wanna be in theroom if they wake up because if the
pain in, you just never know if thepain is going to increase somewhere.
And you can be there to troubleshootor at least gather information, okay,
what's running on the custom care?
What could have causedthe pain to increase?
(32:22):
And then that time that you havejust gives you so much information
on how to build the antidote forit, or it at least helps bring
you closer to what the driver was.
Yeah.
And the other, the thing I do, if Ihave to leave, if I set up a patient
unattended in a room I leave thedoor open to the room I'm in, across
(32:44):
the hall, the room they're in, andI'll just put 'em in a recliner.
I have one kid with justthe lmic pain from strokes.
And it works better when heis in the clinic than it does
at home for whatever reason.
And so I just park him in the chair,recline him, leave him with his
PA iPad and leave the door open.
(33:05):
So if something goes wrong or I'llstep out of the room I'm in and
go back across the hall and check.
So during the core, I sayFSM patients take space.
They don't necessarily.
Take your time.
So I used to see, I was alwaysrunning behind mind you, but I could
(33:26):
see two, three patients an hour.
Yeah.
And keep three roomsfull seven hours a day.
So I was 21.
I was routinely doing 17 to 18 patients aday instead of the four or five I do now.
This is, yeah.
Oh, good.
(33:47):
Glad you saw that.
Do you wanna take this one or
You can go ahead.
I think talking about Louise sousing the ps I'm guessing that's the
magnetic converter, I don't know.
Converter.
Yeah.
The
stickies No brainer.
I wanna use wet towels.
I'm confused.
Clips on two different towelsand towels not touching, is it?
Or is it okay to attachboth clips on one towel?
(34:09):
Yes.
So that, I'm wondering ifthat's not in the court, that's.
It.
There's pictures there.
There's pictures on every slideof where to put the towels.
Red, green clips.
Yeah.
The one around the neckand black and yellow.
Clips on the other one, let's say downon the arm, low back to feet, neck to
(34:32):
feet, red and green next to it each otherbecause the water in the towel conducts.
Thank God the water is good for something.
And the challenge with the towels isthey have to be hot and the patient has
to be covered because after an hour thetowels get cold and they get chilled.
So there's that.
And then positioning them where thenerve starts to where the nerve ends is
(34:57):
the simplest part, or through the area.
So back to front, through the abdomen.
If you're treating ovarian cystsor abdominal adhesions or whatever.
And there, and go back.
You should still have theslides either available to
you or saved on your computer.
(35:17):
If you look through the slides, there'spictures on every single treatment
slide about where to put the contacts.
I promise I've been good.
Yeah.
Okay.
Do we wanna take this first one?
Which first?
The one that we justdid, or is there more?
Suzanne?
Oh, I don't see it.
Maybe she,
yeah.
(35:38):
Do you see it?
No.
For the, okay.
For the West Nile virus and ChronicLymphocytic leukemia client I had last
week, I ran all of the virus frequencies.
Did see any difference.
So it sounds like it shouldbe, did not see any difference.
I used the shoulder practicumon the effective side.
Did not see the results that Ipreviously with running this protocol.
(36:01):
With manual different terms ofhow the client responded to pain.
There was some slight improve mobilitythat the client's OT observed.
The next morning client couldn'tsense it was coming from FSM, even
with still photographs, I guessI could not get more abduction as
we kept running into pain ideas.
(36:22):
I stayed with the frequencies.
Yeah, it's not 124 9396, I'm notsure what the West Nile virus
and the lymphocytic leukemia haveto do with the shoulder pain.
But if you can't get range of motion
in two or three sessions, I go totorn, broken in the flat tendon, torn
(36:47):
broken, and the round tendons and tornbroken in the labrum and shoulders.
So if she used the shoulder practicum,I am assuming inflammation and scarring
in the nerve has been done first.
Yes, I hope so.
Because the shoulder is not goingto move without treating the nerve.
(37:11):
The, you always start withthe nerve and the shoulder.
The supine shoulderpracticum is that's a recipe.
It's, it is mechanicallychallenging to do.
It is painful.
And then you have to be able toswitch from 40 to take the pain
down to 13 to get it to move.
(37:33):
And then when you run into trouble,it's usually because there's something
mechanically deranged in the shoulder.
I think for shoulders, just be ifyou have the resource to listen to
my frozen shoulder talk, there'sa lot of other options there.
Especially the book that I hadtalked about a couple weeks ago,
Dr. Codman's, 1930 1932 edition
(37:57):
Iman's Exercises.
Yeah, but that book islike my Romeo and Juliet.
It's like Shakespeare listening tothe way he talks about the show.
It's just delicious.
But it was his phrasing that would promptme into thinking about fibrotic capsule.
So sometimes the capsule is fibrotic oradhesive capsulitis, so you can really
(38:19):
take a deep dive into the capsule.
But going back and forth with thenerve scarring and inflammation.
Will help if there's pain involved, right?
You have to get the client's pain down.
That is the most importantpart of the equation.
Then you can go after the scarring.
(38:40):
What the limitations,
which means that you actually have to workon the shoulder in the pain-free range.
Correct.
You can't take them into externalrotation and abduction, and the pain level
goes from a three or a four to a nine.
(39:01):
You you can't work it.
You have to stay in the pain-freerange and take what, get a millimeter
or a centimeter at a time andthen they have home exercises.
True frozen shoulder is not for sissies.
No.
While walking exercises, codmanexercises, true frozen shoulder is work.
(39:25):
It is for every, for everybody.
For
patient.
Yeah.
The practitioner, all of it.
I feel frozen shoulder isabsolutely a two or three device.
Simultaneous treatment 40 and 89.
Running in the background because we wehave a ton of orthopedic testing, but
the apprehension test for hypermobility.
(39:47):
That happens.
I know we're talking about frozenshoulder, shoulder that doesn't move.
People that have had chronic dislocationsand have scarring and pain, there's
ranges that they will not go through.
So even the frozen shoulder patientwill stop before the limit is because
they don't wanna go any further.
So running in 40 and 89 in the backgroundcan be very helpful because you know
(40:10):
you're going to increase range of motion,you're gonna dissolve the adhesions,
but their nervous system has beenhijacked into thinking that movement,
that range is going to elicit pain.
40 and 89, running on the backgroundwhile you're doing everything, in
my opinion, has been very helpful.
And then I've started putting aseparate machine on 40 and 396 as
(40:35):
I'm getting the subscap loose.
Just so I don't have to keephaving to go back to 40 and 390.
Just run out all the time.
And then it makes thescar tissue a lot easier.
Oh my goodness.
You're gonna, okay, you're sitting down.
Good.
I'm not sure what's in the cup, butI had an email from somebody who
(40:59):
said I had an anterior dislocation.
She's had two, the slaptear the, those slap things.
And so the procedure she had I'dnever heard of it and I don't
remember the name, but he took,she said he took the corticoid off.
(41:23):
And put it at the front of the joint.
And the rehab is just awful.
It's not like the other two surgeries.
It's been horrible.
And it's wait, he took the wholecricoid off, finally she clarified.
No, he just took most of it off.
He, and he put the bone in thefront of the joint capsule.
(41:51):
And I'm not sure why anybodywould do that to a shoulder.
And I, I didn't know what to tell her.
How do you stabilize theshoulder if the scapula has been
disconnected from the rib cage?
The oid you comes under thecollarbone and between the first
(42:12):
and between the collarbone and thefirst and second red brother, right?
Yeah.
And that it's this bony prominencethat attaches to the scapula and
actually attaches the scapula to therib cage so that you have a shoulder.
Okay, good.
That's a good face.
(42:32):
I'm just trying to map that out in mybrain and why the, why I have a orthopedic
friend that I am going to call 4 0 1 todayand say, can you walk me through this?
Because there's gotta be,
there's a name for the surgery,and it didn't make any sense to me.
I've never heard it before,and I've never heard of this
(42:54):
procedure before and I was, you're.
You're the expert in this area,right when it comes to shoulders.
I'm a passenger on thisbus, but, okay, good.
That was my response too.
Love shoulder mechanics.
I love the coracoid process.
I would never want to,
and the Terry's and the nerve arteryin vein that go between the tes and the
(43:16):
cricoid and the and pec minor and yeah.
The pec minor to the cricoid and holdsthe whole thing to the ribs, and there's
a nerve artery in vein that run under it.
And then I Okay, good.
It's, that was just ascary email that I had.
I'm glad you didn't leave with thatbecause I think I would've been
(43:40):
gobsmacked for the rest of the podcast.
I would've just been like,
Yeah, I feel much betterhaving talked about it.
I'm, but it's like, what?
And I'm glad you feel the same way.
'cause it was, I don't understand.
I'm grateful for the deeper debrief.
It's like for me a certain, yeah.
Yeah.
(44:00):
Lac Jet, I, it had a weird name like that.
That's probably it, Catherine.
And it's okay.
I, yeah, but it's similar to me asto why a surgeon would put titanium
and one knee and cobalt, why anybodywould use cobalt and chromium anyway.
(44:22):
But why you would put a cobalt knee onthe left and a titanium knee on the right.
That's, I just don't get it.
So gives us all jobs,
I'm just, I just googledthis very quickly.
That later jet operation, surgicalprocedure used to treat recurrent
shoulder dislocations, typically causedby bone loss or fracture of the glenoid.
(44:45):
I, I don't know.
Yeah.
But,
and Catherine says it's a OID block,so they use a piece of the coracoid.
They could get a piece ofbone from someplace else.
This is what my brain, whatthey, why would you wanna harvest
the corco over harvesting fromsomewhere else or a synthetic?
(45:07):
' cause I've heard there's alsoa procedure that when you have
a bank heart lesion, right?
So when the glenoid when everythingis, if you have instability and you've
got that that dent in the bone thatdoesn't repair, they do fill that.
I've typically used to hearing itfilled with something synthetic
and not harvesting the corco.
(45:27):
Yeah.
But interesting.
I'm going to do someresearch about that later.
Well,
I don't see it too often.
Yeah.
But in that case, there would be a bunchof 124 on the bone, 124 on the periosteum.
(45:48):
Apparently leaf has aquestion about eyecare.
I didn't see it.
I didn't either Lee, but the storyabout the eyecare is the same
every time we have that story.
Patients can use it at home.
It is a,
it works.
JJ gave me one and it works.
(46:10):
It's a very weak pulsed PEMF.
It has a 510K, it doesn't have a 510K.
Because it's a pulsed PEMF andpeople say that you don't need a
510K, and I just let them say that'cause it's not my area of expertise.
So whether or not you need a 510Kfor pulsed, PEMF, I'm not sure the.
(46:33):
Has a 510K.
So I'm not sure why our magneticconverter and the iCare are different.
I did talk JJ into getting productliability insurance, so there's that, but
because it doesn't have a 510K, you can'tuse it in your office or your malpractice.
(46:56):
And it just, anything goes wrong.
And sometimes you treat the patienton Monday, the patient, you tell the
patient get a eyecare, he treats himselfwith a eyecare on Monday night and
Tuesday and Wednesday he has a heartattack or a stroke that are completely
unrelated to what the eye care wasusing or what you did on Monday.
(47:19):
And his son or.
His brother or his brother-in-lawis a malpractice attorney.
You got nothing.
You got, there's, you're not evenout on the skinny end of the branch.
There is no branch.
That's, that is my concern.
And I, from the,
(47:39):
like 1995, so for 30 years avoidingmalpractice, I actually read those
flyers that come from my malpracticeinsurance company that say, this
guy got sued because of this.
And this scenario is not unheard of.
It is actually very common.
You do something on Monday and then thepatient has X on Wednesday and decides
(48:07):
to sue everybody and you're on the list.
And just imagine yourselfin the witness stand saying,
does that device have a 510K?
No.
Did you write a prescription for it?
No.
'cause it's not prescription.
(48:28):
Did you recommend that the patient getit and use it at home as prescribed?
Yes.
Is that in your chart notes?
Notes?
No.
Oops.
Is that in your chart notes?
Yes.
Either way you're screwed.
Pardon my French.
But it's, that is my onlyproblem with the eyecare.
(48:50):
It's the only problem.
It's wonderful because it's inexpensive.
It works for easy stuff.
It works for even.
Like we used it for spasticitywhen we were in Taiwan and JJ
didn't even have the magnetic pads.
He just put his phone under my leg andthe spasticity in my right hand went away.
(49:15):
Oh, okay.
Fine.
And whether it works ornot is not the issue.
It's liability.
And I just, I'm I've got too much to lose.
I've got, I'm justreally vigilant about it.
Sorry guys.
But it's, if you've got apractice, a house, a car, a
(49:39):
savings account, a 401k jewelry,
anything, you just, yougotta think it through.
Essential tremor comes.
Intention tremor.
Essential tremor is the basal ganglia.
Intention.
Tremor is the cerebellum.
(49:59):
So essential tremor 81 and 988.
So increased secretions inthe basal ganglia usually
quiets an essential tremor.
But then you have to do things to supportdopamine and I always forget what that is.
Tyrosine, phenyl alanine, if thepatient tolerates designs for health
(50:25):
makes DOPA boost review Roger v's.
Neurotransmitter workshop where he tellsyou what it takes to make dopamine.
And then, yeah, that's about it.
So there we go.
And it's four o'clock, so there's that
there.
It's 359, but yeah, it's four o'clock.
(50:48):
Do we get through anything on your list?
Do you still even have alist or have you given it up?
Oh I have a list.
I always have a list, but that is the, thegreat thing about our podcast is that it
organically grows and it's always relevantand the list is there if we ever need it
as are the questions and all the things.
So you
do realize that in two weeks we get to dothe podcast from Phoenix Together side,
(51:17):
is it that
two weeks
already
pretty close?
I think so.
I leave March 3rd.
Three weeks.
Is it really?
Three weeks?
I won't be there on the fifth.
I will still be in California,but we'll have to figure out the
fifth 'cause you'll be teaching.
Yeah.
We'll probably
take off.
Yeah.
The fifth one.
Yeah.
We probably will be off on the fifth.
(51:38):
Yes.
And then, yeah.
'cause we, 'cause that'sthe first day of the core.
So I will see you next week.
Yay.
We have one week off and then we getto do it in person, which is so fun.
This is exciting coming up.
I'll see you next week.
Sounds great.
Thanks everybody.
Bye.
(51:58):
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as well as more information aboutfrequency specific microcurrent.
So we have case reports and ohJuliana Mortenson has outdone herself.
It's amazing.
(00:23):
Jerry Pollock just in his slides, DianaCross just emailed me and said that
her research is covering her livingroom floor and she'll have it in soon.
My case report with Jennifer fromTypic about the vagus and our HRV data.
That's just, that's about done.
(00:45):
Yeah, it's pretty exciting.
It's just.
All coming up.
I got a note from Christie Hughes saying,don't panic, I've got my slides ready.
I don't expect David MaMusnickuntil Sunday, if I'm lucky.
And then Juliana Mortenson has outdoneherself every time I think she can't
(01:06):
possibly tell us anything different.
It's just magic.
It want to download her brain.
And then Jennifer Ernst has the HRV data.
So I did the Vegas part and she's doingthe HRV data on the Vegas protocol.
Like we have data.
(01:27):
Not only do we havedata, we have a patent.
I'm so excited.
It's so fun.
And then who else?
Jerry Pollock, who's got his in.
Diana Cross is comingup from Australia and.
I got an email from her saying that shecan't actually see her living room floor
(01:48):
'cause she's got her research papersspread all over the floor and then she's
going to, she's gonna get her slides done.
That's what she said.
And it's like, what?
Okay.
Mine is, and she's also,she's getting ready to,
and you're what?
Okay.
Thank you.
Slides are coming and I was almost done.
And then Dr. Musnick was like, canyou focus, can you do me a favor?
(02:11):
And I was like, yes, I'lldo anything for you, Dr.
Musnick.
And he says, could you focus on the hip?
I am seeing so many hip people lately.
I'm like, I would love to takea deep dive onto hip stuff.
So my presentation morphed a little bit todo hip and pelvis, and it has it has gone
(02:35):
through so many cool phases of anatomy.
I've got these amazing anatomy slides,nerve lymph, different pathologies.
I am in love with this presentation.
Oh, goody.
So what?
That's
the best.
What I was waiting for was this casereport that I'm working with this amazing
(02:58):
female who had a disc surgery gone.
Not as well as they had hoped.
And the nerve pain experiencethat the surgeon is saying
it's never going to come back.
It's never going to change.
You're gonna have thisfor the rest of your life.
It's irreversible when I can reverse it,whatever in 25 minutes and take before
(03:24):
and after pictures and document it with amagic marker and a pinwheel and measuring
girth around an atrophied calf muscle.
So I am just.
Kevin, it's coming.
I am just putting all that data intothe last 20 slides because I think the
case studies while we don't have enoughpublished papers, the case studies
(03:48):
that can show objective findings, Ithink to me, are just so inspirational.
That's what, that's why Ilove the advanced meetings
is just to see that data.
We had a meeting with David Suzukiand his team this morning, and they're
doing the final stages of gettingour CE mark as a class two medical
(04:11):
device in Europe, Asia, everywhere.
And the thing they want is between50 and a hundred, a aftermarket data.
I can't remember what the acronym is, butit was aftermarket data and it's you want
(04:32):
me to do case for different body parts?
So right now we've got 200 casespublished on low back pain.
We've got a paper on neck painwith a hundred and it's like
they want different body parts.
And I said, does it have to be published?
And they said no.
(04:53):
So we have all the certification casereports, we have every case report
that's ever been presented at a symposiumor in advanced for the last 22 years.
And I said, can we, so they'regonna send us a spreadsheet and
(05:16):
everybody's case report that saysshoulder, frozen shoulder, great.
Goes.
So we've got a Excel sheet, and at theend of it, we will have a tally of all
of the different pain applications,including the one that you just did,
which is, oh, that's just nerve pain.
(05:39):
That's not that hard.
And so there you
go.
I think it's just so exciting becauselike any clinician can do it and it's
not when we have the FSM certificationtracked that you can go through
and it's oh, I need to have 10.
10 case reports.
I'm like, that is so easy becausehopefully everybody's charting
(06:01):
and your soap notes can turninto a case report very easily.
And one week.
And if you're a nerd like me, it's just sointeresting to see the soap note, go into
a case report and to review your findings.
And every time I'm going through theirsubjective complaints, seeing that
(06:22):
pain score go down, seeing range ofmotion improve, that's just validation.
That just feels good to review that.
And I had to explain tosomebody who's going through the
certification process, it's like,why do we have to do case reports?
And it's number one, it, thepurpose is for us to collect data,
(06:42):
but the purpose is to get youused to writing up case reports.
So publishing a case reportwon't be so terrifying.
Yeah.
And we need you to ascend to theplace where you're willing to able to.
Publish a case report.
(07:03):
Yes.
But as it turns out, there is thiswonderful use that will get us a CE
mark and it's aftermarket data, whichis something the FDA likes anyway.
Can
you explain aftermarketwhat that it means?
After you start marketing this deviceand you're using it, they, to get a,
(07:25):
getting a 510K, you can make a gadget inyour garage pay $250,000 and get a 510K.
So a device with a 510Kis like no big deal.
A CE Mark David Suzuki, theperson that makes our devices,
the CE mark is for the device.
(07:47):
It takes a notified body.
He has been working onthis for four years and.
We are at least $250 to $300,000 into it.
To get a class two, we have a classone, which is over the counter pain
stuff to get a class two medical device.
(08:09):
CE mark has taken 'em four yearsand aftermarket data is okay.
You have this device, you had todo this to get it on the market,
but does it work for, did itwork for two people, five people?
They want between 50 and a hundredcases for different body parts.
(08:33):
So neck, shoulder, knees, hips,nerve pain, arm low back pain.
We have a published paperfrom India on 237 patients.
So for every body partthat we have cases for.
Up to a hundred of them.
(08:54):
We that can then be includedin the claims we're allowed to
make in print for the device.
FSMI, that's a whole different project.
The device has to have supportbefore you can make claims for it.
So that's why when you look up adevice on the internet, it's all fuzzy.
(09:18):
There's no actual sentences, there'swords, there's, we make you feel better.
And be, that, so Suzuki is, hedescribed himself this morning as
being obsessed with getting this done.
He is Japanese and I don't knowif it's a cultural thing, but he
(09:43):
has got the bit in his teeth and.
He is not letting go of this.
So we will have a class two CE mark forsia by the end of the year, I would guess,
assuming we can get this spreadsheetdone, I may have to take a week out of
the clinic to just go back through allthe cases I've got, but yeah, so they're,
(10:05):
That's exciting.
That's very exciting.
The devices are always a hot topic andwhy do we use the devices that we do?
And so what you had just went through,just talks about the validity of
the device and the safety of thedevices and how difficult it is to
have a device that people can feelcomfortable and safe, using and
(10:29):
you wanna feel confident in that.
And the quality standards forus made devices, shall we say,
are just different than qualitystandards for devices made in China.
So we'll just leave it at that.
I. The coolest case yesterday.
Tell me lane change.
(10:50):
Yeah, I we have a wholeahead of patient had.
Yes.
And I'll let you get to yourlist and we've already got
questions, but this was so cool.
Patient had a right knee replacedtwo years ago and it went fine.
She had her left knee replaced inDecember and it has been red and swollen
(11:15):
and they thought it was infected,so they just had her on antibiotics,
but the knees still redder than itshould be 10 weeks after surgery.
And I said, can you look upor ask what metal was used?
(11:38):
And her right knee was titanium.
Her left knee is chromium cobalt.
So just so everybody knows, surgicalgrade titanium, if you Google, it
has an allergy incidence of 0.6%.
(12:00):
Chromium cobalt has between three and6%, and one study showed as high as 20%,
and stainless has between 10 and 27%.
10 and 20%.
(12:21):
Somebody can check me out on that,but surgical grade titanium is
the only thing you should use.
And in this case, there's a prettygood chance that this lady has.
Dissimilar metals in her body, which isgoing to drive her immune system crazy.
Nobody is going to do a revision of a kneereplacement because of a metal's allergy.
(12:48):
The infection is gone, but her kneewas hot and the incision was red
maybe a centimeter on either side.
And so I wrapped her knee above andbelow and I ran the frequency from
metallic toxin in the periosteum.
The bone marrow, the skin and the bursa.
(13:12):
The swelling went down, the redness wentdown, and the knee was less swollen.
So the range of motion was better 'causeshe wanted me to treat for scar tissue and
it's I'm not sure scarring is our problem.
It is available in my chart usually,but every patient you have that heads
(13:33):
for a joint replacement, whetherit's an ankle, knee, hip, whatever.
Shoulder, make sure that they insist thatthey are comfortable insisting on surgical
grade titanium, especially patientswith leaky gut or IBS or food allergies
(13:54):
or any sort of sensitivities at all.
Titanium is your friend, but so 16is the frequency for metallic toxin.
I don't know if chromiumis toxic, but there we go.
So that was my story from yesterday.
And does it matter, like in what stateor country Do they use different metal
(14:19):
alloys or do you know what I mean?
Like where is the, where are theimplants or the joint sourced from?
They all have to be FDAapproved at least so far.
Yeah.
They're almost all, asfar as I know US made.
Okay.
When my surgeon went to repair my leftshoulder, I asked him, he said, we're
(14:44):
gonna do your shoulder this afternoon.
And I said, what metal are you using?
He said, stainless, it's less expensive.
It's ubiquitous.
Lots of things are made of stainless.
And I said, you can't, I'm allergic to it.
What?
Yeah.
It's got, nickel in it is the problem.
(15:04):
Child in the allergy reaction tonickel by itself is about 70% is huge.
So it's the nickel in the stainless.
That's a problem.
I said, you can't use stainless.
And he went I said, here, wait.
So I called Mary Ellen Chalmers,who's also lecturing by the way.
And I said, Mary Ellen, he wantsto put stainless in my shoulder.
(15:27):
I broke it.
And it's yeah, I know,but would you talk to him?
So I handed him the phoneand he made surgeon noises.
And then he was quiet for 20 minuteswhile she talked, and then he hung up
the phone and handed it back to me.
And he, I said, so what's up?
And he said, I have tofind titanium hardware.
(15:51):
I've never used titanium hardware before.
I have to source it.
So he brought in a computer fromthe nurse's desk and spent two
and a half hours in my room onthe computer finding titanium.
Three different sizes.
'cause they don't know till get in there.
(16:11):
What size things needs to be threedifferent sizes from Seattle,
San Francisco and Los Angeles.
All to be at the hospital by noon.
So it could be sterilized so he could dothe surgery at three o'clock the next day.
Wow.
Yeah.
It's it has to be atleast in stock locally.
(16:33):
And I'm assuming it's made in the US Idon't know that the answer to that one.
It reminds me of, youprobably don't remember this.
I remember it very clearly.
This was the phantom gallbladdercall that I made to you.
Oh yeah.
In my early years of being an FSMpractitioner, because, and I'm the first
to admit when I'm wrong, and so takingthe core, it's a lot of information
(16:57):
and I think it is a new clinician.
You do this weird filtering.
You're like, I need this,but I don't need that.
Instead of saying, I'm gonna take itall because you're so used to just
thinking, I can only affect the fascia,or I can only affect the muscle.
So when you would start to go intocertain things, my brain was like.
(17:19):
Yeah, whatever.
So when I had the patient and thiswas a written case report that I did
who had low back pain for a year,that she was going to PT twice a
week every single week, paying cash.
So the pain was not reallyresolving, but it was her low back.
(17:42):
It would radiate across the posteriorand nominate crest down the lateral
part of her leg and sometimes go medial.
So the pain pattern was interesting.
Myself being very pelvic centric,was looking for a torsion.
She had a little bit of an anorotation, a little bit of a pubic
tubercle shear, fixed, all ofthat, but it wouldn't really help.
(18:06):
So I saw her for aboutthree or four treatments.
Things weren't getting better,and I still had the birdie in my
ear saying it never not works.
Keep looking.
And she had her gallbladder takenout six years ago when I asked
her, when did the pain start?
She said about five years ago.
(18:26):
So a year after having thegallbladder removed, that
wouldn't have really clicked.
Pre FSMI would've not put that together.
But when you think about visceraladhesions, the pain started a year after.
And I did treat her abdomenfor vis visceral adhesions.
(18:47):
However, like you had just mentioned,yeah, there might be scar tissue or
adhesions there, but why is therescar tissue or adhesions there?
Now, this patient was one of the onesthat you pray for as a new clinician who
is very sensitive to the current, didn'tknow what she was feeling, but would just
(19:07):
be able to say, oh, this feels amazing.
Or now the pain is gone,or now it feels icky.
So these type of treatments are they'relike blinded studies because the
patient doesn't know what you're doing.
So when I thought about the, when Iwas going through her file and I saw
the MRI report and they talk aboutthese clips that are in place, I
(19:31):
thought, I wonder if something has todo with these metal clips in her belly.
And then I looked at her and she hadno jewelry on whatsoever, and I said.
I wonder, and you just havethat thought experiment.
And I said, I notice that younever have any jewelry on.
And she says, no, I have thisridiculous metal allergy.
(19:54):
I can't touch anything.
I have to wear 24 caratgold or nothing at all.
And I was like, damn,what a problem to have.
Yeah, poor baby.
But then I thought, you know what,there's that thought experiment.
So ran, looked up in the laminatemetal allergy or metal toxicity,
and I ran it, even though I knewshe didn't have a gallbladder in the
(20:18):
gallbladder, because that clip wasclipped onto something once upon a time.
And she, so after 30 seconds I don't knowwhat you're doing, but it feels amazing.
And I took my hands offand I grabbed my phone.
I said, I'm gonna be right back.
And that's when I called you.
I'm like.
I think I'm treatingphantom gallbladder pain.
(20:39):
And you said, yeah.
And now open up your netters andsee what's around the gallbladder
and treat the small bile duct.
And there I had my viscera page openand the pain was completely gone.
And it lasted for about four days.
So I would get her in everyfour days and run this metal
(21:01):
toxicity and do some movement.
And then we had the conversation of,okay, these clips are not going anywhere.
They're staying in your body, so let's getyou a custom care and put on this program.
And then you have a tool tohelp you with everything.
And that's exactly what we did.
(21:23):
So she bought a custom care.
We set up a protocol for her.
She ran multiple things, but everyfour days she runs metal toxicity.
The pain never came back.
Yeah.
And you saved her a fortune.
She spent upwards of$2,500 on a custom care.
And after two years of pt,
(21:46):
yeah.
Cash.
Yeah.
It's there, there are, and thislady already has a custom care.
So yesterday I put metallic toxin orknee metal and I said, just run it
every day and I'll see you in two weeks.
(22:08):
It's just, and when you weretalking about number one, the little
bird, it just never goes away.
And you, when you were talkingabout the FSM course and all of
the different pieces that you, itreminded me of Thanksgiving dinner.
There's, everybody brings a dish.
So you've got 12 things and you havea plate this big, and it's oh my.
(22:34):
So you pick those and you can digestthose, but then there's another five
or six and those look pretty good.
And then you go back andthat's what FSM was like.
It's like Thanksgiving dinner.
You just digested a little pieceat a time and then have a nap and
then go back and visit it again.
(22:56):
That, that is one of the bestanalogies I can think of.
And when you've digested enough andyou're ready for the next plate of
food, you've got leftovers in the fridgeor in the freezer waiting for you.
So
something else, walks in,
something else, walks in.
And I think once you have thatcase, and for me it was what I
(23:17):
call phantom gallbladder person.
She really opened up my mind to the cause.
Why, where, when, how we're soused to, is the pain bright?
Is it sharp?
Is it in the morning?
Is it night?
We're so myopic sometimes in ourassessment that the more lateral
(23:43):
and even the more posterior youcan get with the history, the more
information you're going to gather.
The more information, the morecomprehensive your strategy can be.
And there's the, these days.
The other piece that I would neverhave thought about 10 or 15 years
(24:04):
ago was the patient said, can youdo anything about inflammation?
Where everywhere.
I have all this joint stuff and Isaid, how long has that been a problem?
About two, three years.
I said the way you keep inflammationdown is to treat the vagus.
(24:25):
Have you ever had covid?
Oh yeah.
I had a, I don't know, 2020, 2021.
I had it twice and then I got vaccinatedand then I had it again in 22.
And when did all thejoint inflammation start?
About three years ago.
I said that would be 22.
(24:48):
So the thing I ran on her for her jointpain was treating her vagus for covid
frequencies and then the blood supplywith the virus frequencies and then.
The cartilage for inflammation.
(25:08):
And I just did that neck defeat.
'cause she had everything fromher fingers to her elbows, her
knees to her toes were inflamed.
And the vagus is whatturns inflammation down.
And 20 years.
So 15 years ago there wasn't avirus that everybody got that
(25:29):
persisted and turned the vagus down.
Now there is, so now that'sanother, like you said, in the
back or in the deep recesses.
That's a question thatalways has to get asked.
Yeah.
And the more you get used to askingquestions and it's funny I'll get
(25:52):
a new client that will just starttalking and talking and giving
me, it's she's oh, I'm so sorry.
This is probably too much information.
I'm like, no, there isnever too much information.
And the fact that you wanna mentionit means it's really important.
And I had somebody said, itjust feels so good to have
(26:13):
somebody listen to your story.
And I said, I know.
I, so I think even that component towhat we do is so helpful in the healing
journey is just being there to listento somebody's story in its entirety.
Not saying they're crazy notsaying what they're telling
(26:34):
you isn't important because.
It's so important.
And how many times do you get somebodyon the table that they've told you,
you think their life story and thenthey're like, oh, did I tell you about
that car accident I had 10 years ago?
I'm like, no.
Yeah, no.
But now that you mention that itmight have something to do with the
(26:55):
pain in between your shoulder blades.
Yeah.
So
yeah, that's, I love being honest.
It's what I think makes FSM practitionerssuch a special group of people.
It's there's, if you'renot willing to do that,
(27:16):
And there's some FSM practitionersliterally that just gimme nightmares
because the, I get patients who say,oh yeah, I went to this FSM guy in
whatever state, and he just put.
Sticky pads on me and pusheda button and left the room.
I don't know what he did.
It didn't help.
Oops.
But I don't think people that havebeen trained in the last eight years,
(27:40):
10 years are like that anymore.
I think we have a different group.
And it's funny because I think thequestion touches on that and I, I
have a lot to say about the question.
The question is question from a fewpodcasts ago, both of you mentioned
that just hooking up an FSM machine andleaving the room is not good practice.
Correct.
Because of missing hands onchanges, you track to see, feel.
(28:03):
The FSM is working.
I get that for lots of the treatments,but for things like 124 and 22
for treating leaky gut, one hour aday for five days, as Dr. Musnick
suggests, or lots of the internalstuff like bleeding, scarring from
appendectomies, toxic mega colon as well.
(28:23):
They use relax and balance, moleconcussion, vagus, even virus ones.
I find there is no tactile feedbackto monitor, so I just run them as
I rest or walk around, on and on.
Others, I hook them up and let them rest.
Yes and no.
Again, yes, I understand you may not feelsmush when there's, when you're running
(28:48):
virus on somebody, however, there area lot of subtle changes and depending
on your scope of practice, you may notbe able to run something unattended.
So there's that whole legality as well.
So I'll let you talk andthen I'll jump back in again.
Oh, you're, you're spot on.
There are patients where it's like.
(29:11):
124 and 22 for leaky gut.
I don't have to be there for that part,but I spend the time with the patient
ahead of time, get my pa hand in thetummy and say, look, you've got leaky gut.
People that have leaky gut, I usuallythey end up with a custom care
'cause I only see 'em for five days.
(29:32):
But you could do your attendedpart and then switch to unattended.
Either you move to another room or makesure the patient's cozy with a blanket and
a heating pad and a washcloth on the frontand back and you're running SIBO or leaky
(29:54):
and it's gonna take an hour and a halfand you tell the patient to bring a book.
The second question I. Is I ranleaky gut an hour for five days, and
a friend who has residual GERD anddigestive problems after radiation
treatment for throat cancer.
And he reported that even the first dayafter that, his stomach felt better and
(30:15):
he wanted to do the cold whole course.
Absolutely.
Cool.
And the thing I hope you rememberis that radiation two for throat
cancer, where's the vagus nerve go?
Comes out behind your ears and then itgoes under your jaw and then follows
your esophagus down on your stomach.
(30:37):
So the other thing to do besides justtreating a digestive system, bless you
is to treat 54 and 10 for radiation.
And scarring in the vagus, and thenon a custom carrier or a second
machine or whatever, run from aroundthe neck down to the pubic bone.
(31:00):
Increase secretions in thevagus or concussion to vagus.
Yeah.
Use pads.
No brainer.
Hang
on.
I wanna go back before yougo to the other question.
Okay.
Go.
For those people that cannot do unattendedtreatments certain ATS massage therapists,
(31:20):
depending on your scope and what state andwhat country you have to be in the room.
You cannot do, you cannot bill or youcannot do an unattended treatment.
There's lots you can do still.
Yes.
The leaky gut has to run.
So maybe in this case you lendthe custom care or rent the custom
care for these clients to do.
All that stuff at home.
(31:41):
That's the option for those peoplewho can't do an unattended treatment.
Because yeah, sometimesthings have to run.
You don't wanna be in the room havinga client occupy a table for three hours
running the PTSD protocol, for instance.
So if you can't do it unattendedin your clinic, give them
the custom care to take home.
And there's al I feel like there'salways monitoring though, even with
(32:01):
the concussion protocol when I'mfirst putting it on people, even if
they fall asleep I wanna be in theroom if they wake up because if the
pain in, you just never know if thepain is going to increase somewhere.
And you can be there to troubleshootor at least gather information, okay,
what's running on the custom care?
What could have causedthe pain to increase?
(32:22):
And then that time that you havejust gives you so much information
on how to build the antidote forit, or it at least helps bring
you closer to what the driver was.
Yeah.
And the other, the thing I do, if Ihave to leave, if I set up a patient
unattended in a room I leave thedoor open to the room I'm in, across
(32:44):
the hall, the room they're in, andI'll just put 'em in a recliner.
I have one kid with justthe lmic pain from strokes.
And it works better when heis in the clinic than it does
at home for whatever reason.
And so I just park him in the chair,recline him, leave him with his
PA iPad and leave the door open.
(33:05):
So if something goes wrong or I'llstep out of the room I'm in and
go back across the hall and check.
So during the core, I sayFSM patients take space.
They don't necessarily.
Take your time.
So I used to see, I was alwaysrunning behind mind you, but I could
(33:26):
see two, three patients an hour.
Yeah.
And keep three roomsfull seven hours a day.
So I was 21.
I was routinely doing 17 to 18 patients aday instead of the four or five I do now.
This is, yeah.
Oh, good.
(33:47):
Glad you saw that.
Do you wanna take this one or
You can go ahead.
I think talking about Louise sousing the ps I'm guessing that's the
magnetic converter, I don't know.
Converter.
Yeah.
The
stickies No brainer.
I wanna use wet towels.
I'm confused.
Clips on two different towelsand towels not touching, is it?
Or is it okay to attachboth clips on one towel?
(34:09):
Yes.
So that, I'm wondering ifthat's not in the court, that's.
It.
There's pictures there.
There's pictures on every slideof where to put the towels.
Red, green clips.
Yeah.
The one around the neckand black and yellow.
Clips on the other one, let's say downon the arm, low back to feet, neck to
(34:32):
feet, red and green next to it each otherbecause the water in the towel conducts.
Thank God the water is good for something.
And the challenge with the towels isthey have to be hot and the patient has
to be covered because after an hour thetowels get cold and they get chilled.
So there's that.
And then positioning them where thenerve starts to where the nerve ends is
(34:57):
the simplest part, or through the area.
So back to front, through the abdomen.
If you're treating ovarian cystsor abdominal adhesions or whatever.
And there, and go back.
You should still have theslides either available to
you or saved on your computer.
(35:17):
If you look through the slides, there'spictures on every single treatment
slide about where to put the contacts.
I promise I've been good.
Yeah.
Okay.
Do we wanna take this first one?
Which first?
The one that we justdid, or is there more?
Suzanne?
Oh, I don't see it.
Maybe she,
yeah.
(35:38):
Do you see it?
No.
For the, okay.
For the West Nile virus and ChronicLymphocytic leukemia client I had last
week, I ran all of the virus frequencies.
Did see any difference.
So it sounds like it shouldbe, did not see any difference.
I used the shoulder practicumon the effective side.
Did not see the results that Ipreviously with running this protocol.
(36:01):
With manual different terms ofhow the client responded to pain.
There was some slight improve mobilitythat the client's OT observed.
The next morning client couldn'tsense it was coming from FSM, even
with still photographs, I guessI could not get more abduction as
we kept running into pain ideas.
(36:22):
I stayed with the frequencies.
Yeah, it's not 124 9396, I'm notsure what the West Nile virus
and the lymphocytic leukemia haveto do with the shoulder pain.
But if you can't get range of motion
in two or three sessions, I go totorn, broken in the flat tendon, torn
(36:47):
broken, and the round tendons and tornbroken in the labrum and shoulders.
So if she used the shoulder practicum,I am assuming inflammation and scarring
in the nerve has been done first.
Yes, I hope so.
Because the shoulder is not goingto move without treating the nerve.
(37:11):
The, you always start withthe nerve and the shoulder.
The supine shoulderpracticum is that's a recipe.
It's, it is mechanicallychallenging to do.
It is painful.
And then you have to be able toswitch from 40 to take the pain
down to 13 to get it to move.
(37:33):
And then when you run into trouble,it's usually because there's something
mechanically deranged in the shoulder.
I think for shoulders, just be ifyou have the resource to listen to
my frozen shoulder talk, there'sa lot of other options there.
Especially the book that I hadtalked about a couple weeks ago,
Dr. Codman's, 1930 1932 edition
(37:57):
Iman's Exercises.
Yeah, but that book islike my Romeo and Juliet.
It's like Shakespeare listening tothe way he talks about the show.
It's just delicious.
But it was his phrasing that would promptme into thinking about fibrotic capsule.
So sometimes the capsule is fibrotic oradhesive capsulitis, so you can really
(38:19):
take a deep dive into the capsule.
But going back and forth with thenerve scarring and inflammation.
Will help if there's pain involved, right?
You have to get the client's pain down.
That is the most importantpart of the equation.
Then you can go after the scarring.
(38:40):
What the limitations,
which means that you actually have to workon the shoulder in the pain-free range.
Correct.
You can't take them into externalrotation and abduction, and the pain level
goes from a three or a four to a nine.
(39:01):
You you can't work it.
You have to stay in the pain-freerange and take what, get a millimeter
or a centimeter at a time andthen they have home exercises.
True frozen shoulder is not for sissies.
No.
While walking exercises, codmanexercises, true frozen shoulder is work.
(39:25):
It is for every, for everybody.
For
patient.
Yeah.
The practitioner, all of it.
I feel frozen shoulder isabsolutely a two or three device.
Simultaneous treatment 40 and 89.
Running in the background because we wehave a ton of orthopedic testing, but
the apprehension test for hypermobility.
(39:47):
That happens.
I know we're talking about frozenshoulder, shoulder that doesn't move.
People that have had chronic dislocationsand have scarring and pain, there's
ranges that they will not go through.
So even the frozen shoulder patientwill stop before the limit is because
they don't wanna go any further.
So running in 40 and 89 in the backgroundcan be very helpful because you know
(40:10):
you're going to increase range of motion,you're gonna dissolve the adhesions,
but their nervous system has beenhijacked into thinking that movement,
that range is going to elicit pain.
40 and 89, running on the backgroundwhile you're doing everything, in
my opinion, has been very helpful.
And then I've started putting aseparate machine on 40 and 396 as
(40:35):
I'm getting the subscap loose.
Just so I don't have to keephaving to go back to 40 and 390.
Just run out all the time.
And then it makes thescar tissue a lot easier.
Oh my goodness.
You're gonna, okay, you're sitting down.
Good.
I'm not sure what's in the cup, butI had an email from somebody who
(40:59):
said I had an anterior dislocation.
She's had two, the slaptear the, those slap things.
And so the procedure she had I'dnever heard of it and I don't
remember the name, but he took,she said he took the corticoid off.
(41:23):
And put it at the front of the joint.
And the rehab is just awful.
It's not like the other two surgeries.
It's been horrible.
And it's wait, he took the wholecricoid off, finally she clarified.
No, he just took most of it off.
He, and he put the bone in thefront of the joint capsule.
(41:51):
And I'm not sure why anybodywould do that to a shoulder.
And I, I didn't know what to tell her.
How do you stabilize theshoulder if the scapula has been
disconnected from the rib cage?
The oid you comes under thecollarbone and between the first
(42:12):
and between the collarbone and thefirst and second red brother, right?
Yeah.
And that it's this bony prominencethat attaches to the scapula and
actually attaches the scapula to therib cage so that you have a shoulder.
Okay, good.
That's a good face.
(42:32):
I'm just trying to map that out in mybrain and why the, why I have a orthopedic
friend that I am going to call 4 0 1 todayand say, can you walk me through this?
Because there's gotta be,
there's a name for the surgery,and it didn't make any sense to me.
I've never heard it before,and I've never heard of this
(42:54):
procedure before and I was, you're.
You're the expert in this area,right when it comes to shoulders.
I'm a passenger on thisbus, but, okay, good.
That was my response too.
Love shoulder mechanics.
I love the coracoid process.
I would never want to,
and the Terry's and the nerve arteryin vein that go between the tes and the
(43:16):
cricoid and the and pec minor and yeah.
The pec minor to the cricoid and holdsthe whole thing to the ribs, and there's
a nerve artery in vein that run under it.
And then I Okay, good.
It's, that was just ascary email that I had.
I'm glad you didn't leave with thatbecause I think I would've been
(43:40):
gobsmacked for the rest of the podcast.
I would've just been like,
Yeah, I feel much betterhaving talked about it.
I'm, but it's like, what?
And I'm glad you feel the same way.
'cause it was, I don't understand.
I'm grateful for the deeper debrief.
It's like for me a certain, yeah.
Yeah.
(44:00):
Lac Jet, I, it had a weird name like that.
That's probably it, Catherine.
And it's okay.
I, yeah, but it's similar to me asto why a surgeon would put titanium
and one knee and cobalt, why anybodywould use cobalt and chromium anyway.
(44:22):
But why you would put a cobalt knee onthe left and a titanium knee on the right.
That's, I just don't get it.
So gives us all jobs,
I'm just, I just googledthis very quickly.
That later jet operation, surgicalprocedure used to treat recurrent
shoulder dislocations, typically causedby bone loss or fracture of the glenoid.
(44:45):
I, I don't know.
Yeah.
But,
and Catherine says it's a OID block,so they use a piece of the coracoid.
They could get a piece ofbone from someplace else.
This is what my brain, whatthey, why would you wanna harvest
the corco over harvesting fromsomewhere else or a synthetic?
(45:07):
' cause I've heard there's alsoa procedure that when you have
a bank heart lesion, right?
So when the glenoid when everythingis, if you have instability and you've
got that that dent in the bone thatdoesn't repair, they do fill that.
I've typically used to hearing itfilled with something synthetic
and not harvesting the corco.
(45:27):
Yeah.
But interesting.
I'm going to do someresearch about that later.
Well,
I don't see it too often.
Yeah.
But in that case, there would be a bunchof 124 on the bone, 124 on the periosteum.
(45:48):
Apparently leaf has aquestion about eyecare.
I didn't see it.
I didn't either Lee, but the storyabout the eyecare is the same
every time we have that story.
Patients can use it at home.
It is a,
it works.
JJ gave me one and it works.
(46:10):
It's a very weak pulsed PEMF.
It has a 510K, it doesn't have a 510K.
Because it's a pulsed PEMF andpeople say that you don't need a
510K, and I just let them say that'cause it's not my area of expertise.
So whether or not you need a 510Kfor pulsed, PEMF, I'm not sure the.
(46:33):
Has a 510K.
So I'm not sure why our magneticconverter and the iCare are different.
I did talk JJ into getting productliability insurance, so there's that, but
because it doesn't have a 510K, you can'tuse it in your office or your malpractice.
(46:56):
And it just, anything goes wrong.
And sometimes you treat the patienton Monday, the patient, you tell the
patient get a eyecare, he treats himselfwith a eyecare on Monday night and
Tuesday and Wednesday he has a heartattack or a stroke that are completely
unrelated to what the eye care wasusing or what you did on Monday.
(47:19):
And his son or.
His brother or his brother-in-lawis a malpractice attorney.
You got nothing.
You got, there's, you're not evenout on the skinny end of the branch.
There is no branch.
That's, that is my concern.
And I, from the,
(47:39):
like 1995, so for 30 years avoidingmalpractice, I actually read those
flyers that come from my malpracticeinsurance company that say, this
guy got sued because of this.
And this scenario is not unheard of.
It is actually very common.
You do something on Monday and then thepatient has X on Wednesday and decides
(48:07):
to sue everybody and you're on the list.
And just imagine yourselfin the witness stand saying,
does that device have a 510K?
No.
Did you write a prescription for it?
No.
'cause it's not prescription.
(48:28):
Did you recommend that the patient getit and use it at home as prescribed?
Yes.
Is that in your chart notes?
Notes?
No.
Oops.
Is that in your chart notes?
Yes.
Either way you're screwed.
Pardon my French.
But it's, that is my onlyproblem with the eyecare.
(48:50):
It's the only problem.
It's wonderful because it's inexpensive.
It works for easy stuff.
It works for even.
Like we used it for spasticitywhen we were in Taiwan and JJ
didn't even have the magnetic pads.
He just put his phone under my leg andthe spasticity in my right hand went away.
(49:15):
Oh, okay.
Fine.
And whether it works ornot is not the issue.
It's liability.
And I just, I'm I've got too much to lose.
I've got, I'm justreally vigilant about it.
Sorry guys.
But it's, if you've got apractice, a house, a car, a
(49:39):
savings account, a 401k jewelry,
anything, you just, yougotta think it through.
Essential tremor comes.
Intention tremor.
Essential tremor is the basal ganglia.
Intention.
Tremor is the cerebellum.
(49:59):
So essential tremor 81 and 988.
So increased secretions inthe basal ganglia usually
quiets an essential tremor.
But then you have to do things to supportdopamine and I always forget what that is.
Tyrosine, phenyl alanine, if thepatient tolerates designs for health
(50:25):
makes DOPA boost review Roger v's.
Neurotransmitter workshop where he tellsyou what it takes to make dopamine.
And then, yeah, that's about it.
So there we go.
And it's four o'clock, so there's that
there.
It's 359, but yeah, it's four o'clock.
(50:48):
Do we get through anything on your list?
Do you still even have alist or have you given it up?
Oh I have a list.
I always have a list, but that is the, thegreat thing about our podcast is that it
organically grows and it's always relevantand the list is there if we ever need it
as are the questions and all the things.
So you
do realize that in two weeks we get to dothe podcast from Phoenix Together side,
(51:17):
is it that
two weeks
already
pretty close?
I think so.
I leave March 3rd.
Three weeks.
Is it really?
Three weeks?
I won't be there on the fifth.
I will still be in California,but we'll have to figure out the
fifth 'cause you'll be teaching.
Yeah.
We'll probably
take off.
Yeah.
The fifth one.
Yeah.
We probably will be off on the fifth.
(51:38):
Yes.
And then, yeah.
'cause we, 'cause that'sthe first day of the core.
So I will see you next week.
Yay.
We have one week off and then we getto do it in person, which is so fun.
This is exciting coming up.
I'll see you next week.
Sounds great.
Thanks everybody.
Bye.
(51:58):
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and information purposes only.
The information and opinion providedin the podcast are not medical advice.
Do not create any type of PO doctorpatient relationship, and unless expressly
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