1 00:00:00,080 --> 00:00:02,080 Speaker 1: This is Kelly Henderson and you are listening to the 2 00:00:02,120 --> 00:00:05,440 Speaker 1: Velvet Edge podcast. My guest this week is orthopedic surgeon 3 00:00:05,720 --> 00:00:08,879 Speaker 1: Dr David Hanscomb. Dr Hanscom made a name for himself 4 00:00:08,880 --> 00:00:11,760 Speaker 1: for many years as one of the top spinal surgeons 5 00:00:12,039 --> 00:00:14,920 Speaker 1: and has now completely quit surgery and is making waves 6 00:00:14,960 --> 00:00:18,840 Speaker 1: by actually talking patients out of surgery and providing alternative 7 00:00:18,880 --> 00:00:22,640 Speaker 1: methods to alleviate their chronic pain and ultimately live life 8 00:00:22,760 --> 00:00:26,680 Speaker 1: pain free. Dr Hanscomb is also a fellow COVID patient 9 00:00:26,760 --> 00:00:28,440 Speaker 1: and I was able to talk to him about my 10 00:00:28,480 --> 00:00:32,600 Speaker 1: symptoms after testing positive. He has created an entire plan 11 00:00:32,720 --> 00:00:36,400 Speaker 1: for treating COVID that involves treating things like anxiety and stress, 12 00:00:36,840 --> 00:00:40,040 Speaker 1: two of the root causes of inflammation, in order to 13 00:00:40,080 --> 00:00:43,040 Speaker 1: fight the virus. As bizarre as that sounds, it worked 14 00:00:43,080 --> 00:00:45,040 Speaker 1: for me and I believe it helped me heal much 15 00:00:45,080 --> 00:00:48,560 Speaker 1: more quickly. Dr Hanscomb broke down all of the details 16 00:00:48,560 --> 00:00:55,440 Speaker 1: of why that works. Here's our conversation. So you basically 17 00:00:55,480 --> 00:00:59,160 Speaker 1: become You've become known as the orthopedic surgeon known for 18 00:00:59,240 --> 00:01:02,680 Speaker 1: not for take patients out of surgery and providing an 19 00:01:02,720 --> 00:01:06,600 Speaker 1: alternative method UH to go to. That's for pain free. 20 00:01:07,000 --> 00:01:09,920 Speaker 1: And so I'm just I'm curious how you got there 21 00:01:09,959 --> 00:01:12,720 Speaker 1: because you practice as an orthopedic surgeon for so many 22 00:01:12,760 --> 00:01:14,360 Speaker 1: years and then in two thousand and eighteen you just 23 00:01:14,360 --> 00:01:18,440 Speaker 1: completely quit surgery. So let's go back and talk a 24 00:01:18,480 --> 00:01:22,160 Speaker 1: little bit about the process that got you there. Well, 25 00:01:22,200 --> 00:01:25,240 Speaker 1: I have been one of the few surgeons who has 26 00:01:25,240 --> 00:01:27,480 Speaker 1: been on both sides of this fence. I went to 27 00:01:27,600 --> 00:01:32,040 Speaker 1: a very high level spine fellership in Minneapolis, Minnesota six. 28 00:01:32,680 --> 00:01:35,320 Speaker 1: When I came in Seattle in six I was one 29 00:01:35,360 --> 00:01:38,600 Speaker 1: of the group of surgeons who did nine times the 30 00:01:38,760 --> 00:01:42,280 Speaker 1: rate of spine sturgeper capita as any place else in 31 00:01:42,280 --> 00:01:45,800 Speaker 1: the entire country. So I was a zealo. So I 32 00:01:45,840 --> 00:01:48,320 Speaker 1: thought the answer to back pain was a fusion. We 33 00:01:48,360 --> 00:01:51,400 Speaker 1: had new instrumentation, We thought we were on the forefront 34 00:01:51,480 --> 00:01:58,480 Speaker 1: of medicine doing these operations. But there's no data. And 35 00:01:57,880 --> 00:02:01,200 Speaker 1: in paper came out that the success rate of a 36 00:02:01,280 --> 00:02:05,320 Speaker 1: spine fusion for back pain it was and I just stopped. 37 00:02:05,440 --> 00:02:06,960 Speaker 1: I didn't know what to do, but I knew I 38 00:02:07,000 --> 00:02:10,400 Speaker 1: wasn't going to keep doing this. In the meantime, running 39 00:02:10,440 --> 00:02:13,200 Speaker 1: around that period of time, I developed severe chronic pain 40 00:02:13,280 --> 00:02:16,359 Speaker 1: myself for the next thirteen years, I couldnot come out 41 00:02:16,360 --> 00:02:21,040 Speaker 1: of it, and I over seventeen physical symptoms. And it 42 00:02:21,160 --> 00:02:23,800 Speaker 1: was coming out of this process that I evolved the 43 00:02:23,880 --> 00:02:27,040 Speaker 1: process of coming out of chronic pain. But I did 44 00:02:27,200 --> 00:02:29,600 Speaker 1: know that surgery, so I didn't know. I was very 45 00:02:29,760 --> 00:02:32,360 Speaker 1: very aggressive doing the surgery and simply did not work. 46 00:02:33,880 --> 00:02:36,400 Speaker 1: So you said it was a twenty what what was 47 00:02:36,400 --> 00:02:43,200 Speaker 1: the percentage? And right? So, so I thought it was. 48 00:02:43,960 --> 00:02:46,600 Speaker 1: I mean, this is a big operation to weld in 49 00:02:46,639 --> 00:02:49,960 Speaker 1: the spine together, it's got a significant complication rate. You 50 00:02:50,000 --> 00:02:54,000 Speaker 1: have a rate of reoperation within two years after the surgery, 51 00:02:54,960 --> 00:02:58,119 Speaker 1: and so people were expected. I thought it was success rate. 52 00:02:58,639 --> 00:03:02,080 Speaker 1: And there's not been one research paper in sixty years 53 00:03:02,440 --> 00:03:05,320 Speaker 1: the documents that a spine fusion is a good idea 54 00:03:05,400 --> 00:03:07,799 Speaker 1: for back pain, and not one, not one research paper. 55 00:03:08,400 --> 00:03:11,480 Speaker 1: Were over twenty billion dollars a year in spine serge 56 00:03:12,240 --> 00:03:15,160 Speaker 1: with a lot of it being net for that. So 57 00:03:15,280 --> 00:03:19,240 Speaker 1: why is it recommended so often if it does not 58 00:03:19,400 --> 00:03:23,560 Speaker 1: even have a high success right, I don't know, honestly. 59 00:03:23,600 --> 00:03:25,880 Speaker 1: I mean you can blame the financial issues. I mean, 60 00:03:26,440 --> 00:03:29,320 Speaker 1: usually spine survey is considered one of the number one 61 00:03:29,480 --> 00:03:33,280 Speaker 1: or two revenue producers have given a hospital and spine 62 00:03:33,320 --> 00:03:35,600 Speaker 1: fusions are a big generator of revenue, much more than 63 00:03:35,640 --> 00:03:39,560 Speaker 1: just a simple decompression. And I'm a spinal up deforming surgeon. 64 00:03:39,600 --> 00:03:41,839 Speaker 1: I'm a complex surgeons who I deal with all sorts 65 00:03:41,880 --> 00:03:45,400 Speaker 1: of redus. I've had one gentleman who had twenty nine 66 00:03:45,400 --> 00:03:48,400 Speaker 1: service in twenty years. So I'm the person who just 67 00:03:48,480 --> 00:03:50,080 Speaker 1: at the very end of the line stuff but was 68 00:03:50,320 --> 00:03:53,880 Speaker 1: just concerting. So when I look back to the original scans, 69 00:03:54,000 --> 00:03:57,360 Speaker 1: and I was quite diligent, and looking at that, probably 70 00:03:57,480 --> 00:03:59,520 Speaker 1: most of the time that first operation did not need 71 00:03:59,600 --> 00:04:02,200 Speaker 1: to be done. See, have one operation done that leads 72 00:04:02,240 --> 00:04:05,080 Speaker 1: to a cascade effect. Then you need more and more 73 00:04:05,120 --> 00:04:07,680 Speaker 1: surgeries to take care of the problem secreated by the 74 00:04:07,760 --> 00:04:11,040 Speaker 1: prior surgery. It's a nightmare. So the actual surgery is 75 00:04:11,120 --> 00:04:13,560 Speaker 1: then creating more problems than the person had to begin 76 00:04:13,640 --> 00:04:17,200 Speaker 1: with correct And the problem is what happens is that 77 00:04:17,320 --> 00:04:19,320 Speaker 1: you do a spine fusion. In other words, you weld 78 00:04:19,360 --> 00:04:22,359 Speaker 1: the two burnerby together with screws and plates and bone 79 00:04:22,360 --> 00:04:27,440 Speaker 1: graft and you're taking this beautiful mobile spine, even if degenerated, 80 00:04:27,520 --> 00:04:30,400 Speaker 1: it still moves, it has rhythm to it, and you're 81 00:04:30,400 --> 00:04:32,599 Speaker 1: put in a stiff piece of bone and scar tish 82 00:04:32,640 --> 00:04:36,400 Speaker 1: in middle of a spine. There's a stress point above 83 00:04:36,640 --> 00:04:40,839 Speaker 1: and below that fusion that with repetition, starts to break down. 84 00:04:41,520 --> 00:04:44,760 Speaker 1: There's a thirty percent chance if you spine breaking down 85 00:04:44,760 --> 00:04:48,839 Speaker 1: within ten years with the spine fusion. But finally drowing 86 00:04:48,839 --> 00:04:51,159 Speaker 1: me to quit to a spine surgery is that it 87 00:04:51,240 --> 00:04:55,360 Speaker 1: became more and more common, the more cleared the data became. Again, 88 00:04:55,520 --> 00:04:59,440 Speaker 1: every paper success rate get the volume of a spine 89 00:04:59,440 --> 00:05:04,200 Speaker 1: shut to continu used to increase. That was heaven eight, ten, 90 00:05:04,240 --> 00:05:07,479 Speaker 1: and twelve level fusions instead of one level of fusions 91 00:05:07,480 --> 00:05:10,880 Speaker 1: for back pain. There's no debtor to supporting a fortune 92 00:05:10,960 --> 00:05:12,920 Speaker 1: level of fusion for back paint that's from your neck 93 00:05:12,960 --> 00:05:19,880 Speaker 1: to your pelvis, and the complication rates. That's when I 94 00:05:19,920 --> 00:05:23,800 Speaker 1: decided I just couldn't do this anymore. Yeah, I think 95 00:05:23,839 --> 00:05:27,599 Speaker 1: it's so interesting because I always have this mentality about 96 00:05:28,080 --> 00:05:30,320 Speaker 1: surgeries and medicine, and I feel like a lot of 97 00:05:30,360 --> 00:05:33,080 Speaker 1: times in our culture, if you go see a doctor, 98 00:05:33,120 --> 00:05:35,320 Speaker 1: they're like, here, take this pill, and it doesn't actually 99 00:05:35,320 --> 00:05:38,240 Speaker 1: treat the root cause of what's going on. It just 100 00:05:38,480 --> 00:05:41,479 Speaker 1: treats the symptom. And so what I heard a lot 101 00:05:41,839 --> 00:05:44,320 Speaker 1: in um or read a lot in your book. Was 102 00:05:44,400 --> 00:05:48,080 Speaker 1: just that exact thing like doctors, like you said, not 103 00:05:48,160 --> 00:05:50,840 Speaker 1: having the data that backed up that's the surgery was 104 00:05:50,880 --> 00:05:53,440 Speaker 1: even going to help. But it was just like, here, 105 00:05:53,480 --> 00:05:57,640 Speaker 1: let's do this surgery that may not even actually fix 106 00:05:57,800 --> 00:06:04,160 Speaker 1: the root cause of your patient's well exactly. Well it 107 00:06:04,200 --> 00:06:06,320 Speaker 1: gets it gets much more complicated than that, but just 108 00:06:06,400 --> 00:06:09,599 Speaker 1: keep it really simple. Is that if you're gonna if 109 00:06:09,600 --> 00:06:11,440 Speaker 1: you're gonna take your card in mechanic, you want to 110 00:06:11,600 --> 00:06:14,720 Speaker 1: you want to know what the diagnosis is correct fix 111 00:06:14,839 --> 00:06:18,760 Speaker 1: that problem. So it happens with spine jury. Occasionally there's 112 00:06:19,400 --> 00:06:22,960 Speaker 1: a perfect bone spur. The pintures a given nerve, the 113 00:06:23,040 --> 00:06:28,560 Speaker 1: symptoms match exactly. Surgery works beautifully. But see, back pain 114 00:06:28,720 --> 00:06:32,360 Speaker 1: is very vague. We know that dist generation is normal 115 00:06:32,440 --> 00:06:35,719 Speaker 1: as you age, and we start doing effusion on a 116 00:06:35,800 --> 00:06:39,320 Speaker 1: given disk, there's no way of proving that it is 117 00:06:39,360 --> 00:06:42,960 Speaker 1: the source of the pain, and in fact, it's been 118 00:06:42,960 --> 00:06:45,479 Speaker 1: shown that discs are not the source of chronic pain. 119 00:06:46,400 --> 00:06:49,159 Speaker 1: Then additionally, we know that within six to two months, 120 00:06:49,440 --> 00:06:53,040 Speaker 1: the brand simply memorizes the pain. It's like riding a bicycle. 121 00:06:53,080 --> 00:06:56,279 Speaker 1: Once you have this pain memorized, it's a programming problem. 122 00:06:56,360 --> 00:06:59,280 Speaker 1: Once you have the pain memorized, you cannot learn it. 123 00:06:59,279 --> 00:07:03,200 Speaker 1: It's like right now by uscope. So you have memorized pain, 124 00:07:03,800 --> 00:07:06,040 Speaker 1: you have disc that are not the cause of pain, 125 00:07:06,760 --> 00:07:10,720 Speaker 1: you do effusion or memorized pain, and you do infusion 126 00:07:10,800 --> 00:07:13,440 Speaker 1: for a problem that has been proven not to be 127 00:07:13,480 --> 00:07:19,680 Speaker 1: the problem. Again, the success rates about of surprises that high, 128 00:07:20,040 --> 00:07:23,040 Speaker 1: So Curtainy works well when you've been matching symptoms, matching 129 00:07:23,080 --> 00:07:26,280 Speaker 1: psychology and you do the operation. And what my book 130 00:07:26,320 --> 00:07:28,960 Speaker 1: did called do you really need spoine jury to push 131 00:07:29,000 --> 00:07:31,760 Speaker 1: people into one or four quadrants with the variable as 132 00:07:31,840 --> 00:07:34,760 Speaker 1: being the structural problem? Yes or no? That we're just 133 00:07:34,840 --> 00:07:38,800 Speaker 1: surgery even possible. If you can't see it, you can't 134 00:07:38,880 --> 00:07:42,080 Speaker 1: fix it, so they call that non structural. If as 135 00:07:42,080 --> 00:07:46,200 Speaker 1: structural surgeries possible, then the state of the nervous system 136 00:07:46,280 --> 00:07:50,200 Speaker 1: is either calm or fired up or hyper vigilant. So 137 00:07:50,240 --> 00:07:52,520 Speaker 1: if you have a hyper vigilant, fired up nervous system, 138 00:07:52,920 --> 00:07:56,120 Speaker 1: any procedure can make things worse. So right now we're 139 00:07:56,160 --> 00:07:58,080 Speaker 1: doing a lot of surgery and people that have nothing 140 00:07:58,160 --> 00:08:01,480 Speaker 1: you can see on a test. That's I think spone 141 00:08:01,520 --> 00:08:05,960 Speaker 1: surgery simply should not be done at least se Wow. 142 00:08:06,400 --> 00:08:09,080 Speaker 1: So you're a big thing with patients. Um. I mean 143 00:08:09,120 --> 00:08:12,480 Speaker 1: this was maybe before you actually quit doing surgery altogether, 144 00:08:12,600 --> 00:08:15,200 Speaker 1: but you're a big thing. That you said was you 145 00:08:15,280 --> 00:08:17,400 Speaker 1: just have to get to know your patient. And so 146 00:08:17,800 --> 00:08:20,000 Speaker 1: I want to talk a little bit about that because 147 00:08:20,080 --> 00:08:24,400 Speaker 1: what you just said, um, is you're not actually seeing 148 00:08:24,400 --> 00:08:27,800 Speaker 1: our pinpointing the pain or where it's coming from. It's 149 00:08:27,840 --> 00:08:31,960 Speaker 1: just doing these surgeries. And so what were you seeing 150 00:08:32,000 --> 00:08:33,880 Speaker 1: and a lot of your patients that made you say, 151 00:08:33,880 --> 00:08:39,520 Speaker 1: wait a second, like why would we go directly to surgery? Well, 152 00:08:39,559 --> 00:08:41,600 Speaker 1: you know, as I started through my own thirteen year 153 00:08:41,640 --> 00:08:43,880 Speaker 1: experience with or or deal with k of peanut came 154 00:08:43,880 --> 00:08:45,960 Speaker 1: out of chronic pain, I did learn it was a 155 00:08:46,000 --> 00:08:50,120 Speaker 1: neurological problem and that even with a structural problem that 156 00:08:50,160 --> 00:08:51,920 Speaker 1: you do surgery on, if you don't calm down the 157 00:08:51,920 --> 00:08:55,280 Speaker 1: nervous system first, the results are not very good. So 158 00:08:55,360 --> 00:08:57,679 Speaker 1: what I learned is that we were looked in at 159 00:08:57,800 --> 00:09:01,280 Speaker 1: me very carefully. And there's reparts is helping pain. One 160 00:09:01,400 --> 00:09:04,640 Speaker 1: is awareness, other words, you understand the diagnosis, understand the 161 00:09:04,720 --> 00:09:08,160 Speaker 1: nature pain in the nature of the solution. Then the 162 00:09:08,200 --> 00:09:11,880 Speaker 1: second aspect is pain is complicated surprected by lack of sleet, 163 00:09:12,640 --> 00:09:17,959 Speaker 1: stress medications, exercise, nutrition, All of those things affect pain 164 00:09:18,960 --> 00:09:22,280 Speaker 1: and you have to address all of those simultaneously. And 165 00:09:22,440 --> 00:09:25,520 Speaker 1: the third thing is that since pains complex and each 166 00:09:25,520 --> 00:09:27,880 Speaker 1: person who is an individual, the person has to take 167 00:09:27,960 --> 00:09:30,800 Speaker 1: charge of their own care. So what we found out 168 00:09:30,800 --> 00:09:34,000 Speaker 1: consistently we have had I saw hundreds and hundreds of 169 00:09:34,040 --> 00:09:37,280 Speaker 1: patients go through a similar process that I learned myself 170 00:09:37,520 --> 00:09:42,720 Speaker 1: the hard way as launching. It's essentially self corrected minimal 171 00:09:42,800 --> 00:09:46,640 Speaker 1: to no risk. So launch these people go to pain 172 00:09:46,760 --> 00:09:51,880 Speaker 1: free with minimal risk, minimal cost, and having horrible outcomes 173 00:09:51,880 --> 00:09:56,800 Speaker 1: with really expensive, risky procedures. So is that contrast that 174 00:09:56,880 --> 00:09:59,520 Speaker 1: made the difference. It turns to a chronic pain is 175 00:09:59,559 --> 00:10:03,720 Speaker 1: a neural logical problem. Okay, well tell us more about that, 176 00:10:03,760 --> 00:10:06,959 Speaker 1: because you keep referencing you learned this from your own experience. 177 00:10:06,960 --> 00:10:09,360 Speaker 1: So what happened to you that helped you to start 178 00:10:09,440 --> 00:10:14,680 Speaker 1: understanding that? I'm sorry, what happened with me personally? Yes, 179 00:10:14,920 --> 00:10:17,160 Speaker 1: because the other day when we were talking, didn't you 180 00:10:17,200 --> 00:10:19,520 Speaker 1: tell me that you kind of were known as a 181 00:10:19,600 --> 00:10:24,240 Speaker 1: person um that just didn't really have you know, they 182 00:10:24,280 --> 00:10:26,480 Speaker 1: have to deal with feelings you were just strong, you 183 00:10:26,520 --> 00:10:29,360 Speaker 1: were you just could do anything kind of person, and 184 00:10:29,400 --> 00:10:33,640 Speaker 1: then you had a breakdown. Right, So the problem basically 185 00:10:33,679 --> 00:10:38,000 Speaker 1: bills sound a threat versus safety, and threst could be 186 00:10:38,200 --> 00:10:41,680 Speaker 1: a bully or a virus or bacteria or a predator, 187 00:10:42,559 --> 00:10:45,640 Speaker 1: and a mental threst could be negative thoughts, emotions. But 188 00:10:45,720 --> 00:10:48,720 Speaker 1: even more importantly, as we pressed emotions and what could 189 00:10:48,760 --> 00:10:50,840 Speaker 1: me into serious troll as a spine shirt and I 190 00:10:50,840 --> 00:10:53,960 Speaker 1: want you very high. That was spin spine fellowship, spine 191 00:10:53,960 --> 00:10:57,480 Speaker 1: shergary is stressful, especially complexed by surgery. That was a 192 00:10:57,520 --> 00:11:01,920 Speaker 1: master as suppressing fear oceans and in the way I 193 00:11:01,960 --> 00:11:04,840 Speaker 1: did that was bringing on I can take anything. I 194 00:11:04,960 --> 00:11:08,720 Speaker 1: was tough. I was really really tough. And the problem 195 00:11:08,720 --> 00:11:11,520 Speaker 1: is that so good at suppressing emotions, I really the 196 00:11:11,600 --> 00:11:15,960 Speaker 1: word in psychology would be called dissociated. And I went 197 00:11:16,040 --> 00:11:19,719 Speaker 1: from literally having no anxiety to a panic attack in 198 00:11:19,800 --> 00:11:22,600 Speaker 1: one day. And after the panic attack, I could not 199 00:11:22,679 --> 00:11:25,920 Speaker 1: stop it. And as the first thing I liked, they 200 00:11:26,520 --> 00:11:29,400 Speaker 1: couldn't really control. I mean, is it sort of a 201 00:11:29,480 --> 00:11:32,840 Speaker 1: joke but not really that surgeons have control issues and 202 00:11:32,880 --> 00:11:35,080 Speaker 1: we do. We want to control the environment, we want 203 00:11:35,080 --> 00:11:37,960 Speaker 1: to control the outcomes, we want to control everything, but 204 00:11:38,040 --> 00:11:42,920 Speaker 1: which you can control is your body's chemistry. So with 205 00:11:43,000 --> 00:11:46,559 Speaker 1: the panic attacked as a master is suppressing and repressing emotions. 206 00:11:46,800 --> 00:11:49,040 Speaker 1: And when I when they exploded, it was like the 207 00:11:49,120 --> 00:11:53,640 Speaker 1: lid blowing off of a pressure cooker. So you were 208 00:11:53,800 --> 00:11:56,760 Speaker 1: having anxiety and panic attacks. Were you having any sort 209 00:11:56,800 --> 00:12:02,400 Speaker 1: of physical pain? What happened under sustained threat and over 210 00:12:03,000 --> 00:12:06,280 Speaker 1: No human being can escape through thoughts or emotions, so 211 00:12:06,320 --> 00:12:09,840 Speaker 1: we either stuff with them or or repress them. What 212 00:12:09,960 --> 00:12:14,000 Speaker 1: happens threat put the body on defensiveness, which includes the 213 00:12:14,040 --> 00:12:18,920 Speaker 1: immune system, which includes inflammatory cells. What happens with information 214 00:12:19,040 --> 00:12:22,840 Speaker 1: causes physical tissue damage. We know that we know that 215 00:12:22,920 --> 00:12:27,040 Speaker 1: chronic stress or sustained threat causes disease and the and 216 00:12:27,080 --> 00:12:30,160 Speaker 1: the question is why, So you know there's highernesses of 217 00:12:30,280 --> 00:12:35,160 Speaker 1: autoimmune disorders, higherances of cancer, heart disease, suicide, xiety and 218 00:12:35,200 --> 00:12:39,600 Speaker 1: depression is so what happens we have sustained levels of information, 219 00:12:40,160 --> 00:12:45,120 Speaker 1: it causes tissue damage is over thirty physical symptoms of 220 00:12:45,200 --> 00:12:49,560 Speaker 1: a sustained threat response. At the worst point of my ordeal, 221 00:12:49,600 --> 00:12:52,000 Speaker 1: I had seventeen of these at the same time, So 222 00:12:52,080 --> 00:12:55,360 Speaker 1: I had migraine, headaches, there was ringing in my ears, 223 00:12:55,360 --> 00:12:58,800 Speaker 1: burning in my feet, my scalputage, these all skin wrests 224 00:12:58,840 --> 00:13:01,960 Speaker 1: would pop up, a back pain, neck pain. To notice 225 00:13:02,880 --> 00:13:05,959 Speaker 1: all of these were the results of sustained threat and 226 00:13:06,120 --> 00:13:09,520 Speaker 1: sustained information. And when I learned the tools that calm 227 00:13:09,520 --> 00:13:11,960 Speaker 1: the stuff down, to calm the easy inflamatory markers down, 228 00:13:12,440 --> 00:13:17,840 Speaker 1: all the symptoms disappeared. I'm fine. Wow, So is that 229 00:13:17,920 --> 00:13:20,679 Speaker 1: when you say the chronic pain it's tied to our 230 00:13:20,760 --> 00:13:23,800 Speaker 1: nervous system? Can you kind of talk through that, because 231 00:13:24,440 --> 00:13:25,800 Speaker 1: I mean that sounds like a little bit of what 232 00:13:25,840 --> 00:13:28,520 Speaker 1: your experience looked like. And then also it's a lot 233 00:13:28,600 --> 00:13:33,200 Speaker 1: of what you've seen in your patients. Correct can tell 234 00:13:33,280 --> 00:13:35,880 Speaker 1: you just for a second? Sure, for some reason, I'm 235 00:13:35,880 --> 00:13:38,640 Speaker 1: ever really hard time understanding new Is it's a little 236 00:13:38,720 --> 00:13:44,400 Speaker 1: muffled somehow? So interesting? Let me see, I'm not quite 237 00:13:44,400 --> 00:13:47,840 Speaker 1: catching the questions. Are you able to understand me? Okay? 238 00:13:47,880 --> 00:13:50,120 Speaker 1: I can? Yes? Is it? Is it better if I 239 00:13:50,160 --> 00:13:54,120 Speaker 1: hold my microphone like this? Yeah? That's better. I feel 240 00:13:54,120 --> 00:13:57,000 Speaker 1: like there was a slight echo with it. Oh interesting, Okay, 241 00:13:57,120 --> 00:13:59,560 Speaker 1: let me know if that happens again and all? Okay, 242 00:13:59,720 --> 00:14:02,240 Speaker 1: makes sure of Um, let me think, what did I 243 00:14:02,280 --> 00:14:05,880 Speaker 1: just ask you? There's something to do something to do 244 00:14:05,920 --> 00:14:11,080 Speaker 1: about the programming chronic pain. Okay, yes, um let me 245 00:14:11,120 --> 00:14:15,080 Speaker 1: see I probably have a question written down about that. Um. Okay. 246 00:14:15,120 --> 00:14:18,239 Speaker 1: So it sounds like a little bit of your experience 247 00:14:18,400 --> 00:14:21,600 Speaker 1: was tying chronic pain to the nervous system. And it's 248 00:14:21,640 --> 00:14:25,040 Speaker 1: also it's it's highly what you've experienced with your patients, right, 249 00:14:25,320 --> 00:14:28,840 Speaker 1: So can you talk us through how that works? Give 250 00:14:28,840 --> 00:14:31,520 Speaker 1: me about how chronic pain evolves, yeah, and just how 251 00:14:31,560 --> 00:14:38,440 Speaker 1: it's connected to the nervous system. So I you probably 252 00:14:38,440 --> 00:14:41,000 Speaker 1: have had that. You've heard the term holistic medicine or 253 00:14:41,120 --> 00:14:44,120 Speaker 1: mind body medicine. Yes, so those are terms that it 254 00:14:44,200 --> 00:14:46,920 Speaker 1: used pretty frequently that I really object to because the 255 00:14:46,960 --> 00:14:50,120 Speaker 1: mind embody just a unit. In other words, your body 256 00:14:50,120 --> 00:14:53,160 Speaker 1: doesn't function without a nervous system. Nervous system can't fund 257 00:14:53,160 --> 00:14:56,080 Speaker 1: your function without a body to support it. So I 258 00:14:56,200 --> 00:14:59,280 Speaker 1: trying to fly a bointet without computers. It's just a unit. 259 00:15:00,120 --> 00:15:02,760 Speaker 1: So the only place in the body that pain is 260 00:15:02,800 --> 00:15:05,680 Speaker 1: perceived is in the brain. And what your body is 261 00:15:05,680 --> 00:15:09,560 Speaker 1: is a bunch of receptors vision, field, touch, taste, sharp bill. 262 00:15:09,640 --> 00:15:13,120 Speaker 1: All these sensations are coming into your body that are 263 00:15:13,120 --> 00:15:16,040 Speaker 1: are then sent to your brain. Your brain interprets that 264 00:15:16,320 --> 00:15:20,560 Speaker 1: is safe or dangerous. So things you're safe. You're full 265 00:15:20,600 --> 00:15:25,120 Speaker 1: of anti inflammatory stided finds with these little antiflammatory proteins. 266 00:15:25,600 --> 00:15:30,479 Speaker 1: You're full of oxtosin, growth hormone, dopamine, serotonin, these great drugs, 267 00:15:30,680 --> 00:15:34,000 Speaker 1: and your body regenerates. And so it's on interpreted by 268 00:15:34,000 --> 00:15:37,760 Speaker 1: your nervous system. Your nervous system every second is interpreting 269 00:15:37,920 --> 00:15:40,920 Speaker 1: every sense of the the input. They're all competing for attention, 270 00:15:41,720 --> 00:15:44,800 Speaker 1: and the sum total is summarized every second by your brain. 271 00:15:44,920 --> 00:15:50,640 Speaker 1: It gets safe, neutral, or dangerous. What happens with ongoing 272 00:15:51,440 --> 00:15:53,760 Speaker 1: again mental By the way, the mental pain is a 273 00:15:53,760 --> 00:15:56,160 Speaker 1: bigger problem in the physical pain because thoughts create the 274 00:15:56,200 --> 00:15:59,080 Speaker 1: same physical reaction in the brain as a physical threat, 275 00:15:59,640 --> 00:16:03,480 Speaker 1: but as a stain. So then you have a process 276 00:16:03,520 --> 00:16:07,120 Speaker 1: where you have sustained impulses, just like an athlete learning 277 00:16:07,120 --> 00:16:10,520 Speaker 1: the skill. There's a programming problem, so its repetition. Your 278 00:16:10,520 --> 00:16:14,320 Speaker 1: brain first of all becomes sensitized. And we know the 279 00:16:14,400 --> 00:16:18,280 Speaker 1: analogy of water torture, which is a little challenging able 280 00:16:18,320 --> 00:16:21,360 Speaker 1: to talk about. But they drop a poor prisoner down 281 00:16:21,360 --> 00:16:24,280 Speaker 1: to a board and they drip a drop of water 282 00:16:24,360 --> 00:16:27,600 Speaker 1: on his or her forehead, it's just a drop of water. 283 00:16:28,240 --> 00:16:30,960 Speaker 1: The drop of water does not change, but within a 284 00:16:31,000 --> 00:16:33,800 Speaker 1: short period of time that becomes like a sledgehammer. Every drop, 285 00:16:33,880 --> 00:16:38,280 Speaker 1: every time, nothing changed. They've also done research amery scans. 286 00:16:38,280 --> 00:16:41,320 Speaker 1: It's so little. Over a course of time, the brain 287 00:16:41,400 --> 00:16:46,800 Speaker 1: becomes more reactive to the same impulse. People in chronopin 288 00:16:46,880 --> 00:16:50,240 Speaker 1: always gets worse even without additional injury because of the 289 00:16:50,240 --> 00:16:54,680 Speaker 1: sensitization process. The next step is with repetition against a 290 00:16:54,720 --> 00:16:58,080 Speaker 1: programming problem like a baseball picture. Learning how to throw 291 00:16:58,120 --> 00:17:00,440 Speaker 1: a baseball at a hundred miles an hour. It takes 292 00:17:00,520 --> 00:17:05,040 Speaker 1: less repetition, and so the brain gets programmed and once 293 00:17:05,080 --> 00:17:08,240 Speaker 1: he gains programs like writing a buy scull becomes memorized 294 00:17:08,280 --> 00:17:12,399 Speaker 1: in permit painting pulses coming so quickly that the memorization 295 00:17:12,400 --> 00:17:15,840 Speaker 1: occurs within six to twelve months. That's been well documented 296 00:17:15,880 --> 00:17:19,320 Speaker 1: with research m r I scans. Then the final phase 297 00:17:19,520 --> 00:17:22,960 Speaker 1: is there's factors that are affect the perception of pain prints. 298 00:17:23,040 --> 00:17:26,920 Speaker 1: His lack of sleep causes pain, which I used to 299 00:17:26,920 --> 00:17:28,879 Speaker 1: think that people in chronic pain pulin sleep because of 300 00:17:28,920 --> 00:17:32,399 Speaker 1: the pain. Not true. It's actually the lack of sleep 301 00:17:32,440 --> 00:17:40,560 Speaker 1: actually causes chronic back pain, which is counterintuitive, right, But 302 00:17:40,760 --> 00:17:44,719 Speaker 1: what happens lack of sleep causes increased information which increases 303 00:17:44,760 --> 00:17:48,640 Speaker 1: the speed of nerve conduction. So you feel the pain. Wow, 304 00:17:50,560 --> 00:17:53,639 Speaker 1: So okay, Because when in your book you talk a 305 00:17:53,680 --> 00:17:56,240 Speaker 1: little bit about the factors just to determine the state 306 00:17:56,280 --> 00:17:58,520 Speaker 1: of your nervous system, quality of sleep was like one 307 00:17:58,520 --> 00:18:01,280 Speaker 1: of the main things, and you say it's super important 308 00:18:01,640 --> 00:18:05,080 Speaker 1: to get what seven hours of sleep at night? Correct? 309 00:18:05,480 --> 00:18:08,000 Speaker 1: And so this is for this exact reason, like if 310 00:18:08,040 --> 00:18:12,000 Speaker 1: you are not sleeping, your body will physically start to 311 00:18:12,080 --> 00:18:17,359 Speaker 1: manifest certain conditions. There's another research papers there shows if 312 00:18:17,359 --> 00:18:19,159 Speaker 1: you miss one night of sleep, one bad nights to 313 00:18:19,200 --> 00:18:24,959 Speaker 1: sleep when creature pain the next day between Oh my god? Right, 314 00:18:25,000 --> 00:18:27,240 Speaker 1: So here's the deal. So which happening in spine surgery 315 00:18:27,320 --> 00:18:29,600 Speaker 1: is that there's a paper out of Baltimore published in 316 00:18:29,680 --> 00:18:34,560 Speaker 1: two thousand fourteen that showed the only ten of neurosurgeons 317 00:18:34,600 --> 00:18:37,959 Speaker 1: and orthoptic spine surgeons were addressing these risk factors for 318 00:18:37,960 --> 00:18:41,200 Speaker 1: poor outcomes prior to surgery. Sleep is one of them. 319 00:18:41,200 --> 00:18:43,880 Speaker 1: So why would you jump to ten hours of surgery 320 00:18:44,280 --> 00:18:48,760 Speaker 1: if you haven't found out that somebody's sleeping? Right, And 321 00:18:48,800 --> 00:18:50,639 Speaker 1: that's what start of the whole doc project. Because I 322 00:18:50,680 --> 00:18:53,359 Speaker 1: was in my own chronic pain process I read about sleep. 323 00:18:53,520 --> 00:18:56,240 Speaker 1: I started to work on it with myself. But with 324 00:18:56,359 --> 00:19:01,040 Speaker 1: my patients it's very concrete. It is always solvable, and 325 00:19:01,160 --> 00:19:03,560 Speaker 1: I know it's a dramatic decrease in their pain just 326 00:19:03,720 --> 00:19:06,600 Speaker 1: with the sleep conversial. If we didn't get to sleep 327 00:19:06,760 --> 00:19:10,960 Speaker 1: under control early nothing else work. So sleep is solvable. 328 00:19:11,480 --> 00:19:14,480 Speaker 1: It's always number one. There's a bunch of ways of 329 00:19:14,560 --> 00:19:17,280 Speaker 1: getting there. In chapter fourteen in my book, back and 330 00:19:17,400 --> 00:19:22,000 Speaker 1: Control is just about sleep, and sleep is absolutely foundations 331 00:19:22,080 --> 00:19:27,560 Speaker 1: starting the whole process. M hmm. What about when your 332 00:19:27,600 --> 00:19:31,840 Speaker 1: patients came in and you know they're mentioning this back 333 00:19:31,920 --> 00:19:36,560 Speaker 1: pain or these specific symptoms, and were you getting to 334 00:19:36,600 --> 00:19:38,600 Speaker 1: the place where you would start to say, okay, like 335 00:19:38,880 --> 00:19:42,000 Speaker 1: you mentioned the sleep thing. And then are you asking 336 00:19:42,040 --> 00:19:45,560 Speaker 1: them questions about the stress levels in their life to 337 00:19:45,760 --> 00:19:51,520 Speaker 1: also determine what's going on personally. Yes, and it doesn't. Well, 338 00:19:51,520 --> 00:19:53,320 Speaker 1: it's two things I can do. I mean, first of all, 339 00:19:53,359 --> 00:19:56,280 Speaker 1: treating chronic pain is actually very time efficient because most 340 00:19:56,280 --> 00:19:59,040 Speaker 1: of the material you can get off a questionnaire and 341 00:19:59,080 --> 00:20:02,119 Speaker 1: people put it down. I mean people we've had a 342 00:20:02,160 --> 00:20:04,199 Speaker 1: bonspur for five or ten years and the payment have 343 00:20:04,240 --> 00:20:08,760 Speaker 1: started a year ago. Something changed invariably is almost a 344 00:20:08,800 --> 00:20:11,240 Speaker 1: life stress. The loss of a job, loss of a 345 00:20:11,280 --> 00:20:14,960 Speaker 1: family member, domestic abuse. I mean, I can't begin to 346 00:20:15,000 --> 00:20:16,960 Speaker 1: tell you how much people suffer that come into my 347 00:20:17,000 --> 00:20:20,680 Speaker 1: office in crime pain and again that's suffering translates into 348 00:20:20,720 --> 00:20:24,480 Speaker 1: inflammatory changes in the body, which increases the pain. So 349 00:20:24,520 --> 00:20:27,240 Speaker 1: you can't treat simp I mean what medicine is doing 350 00:20:27,320 --> 00:20:32,400 Speaker 1: right now, we're throwing random, simplistic solutions at a complex problem. 351 00:20:32,480 --> 00:20:35,480 Speaker 1: You can't treat a patient in isolation because the response 352 00:20:35,520 --> 00:20:38,920 Speaker 1: to the environment changes the body's chemistry. So somebody's going 353 00:20:38,960 --> 00:20:41,920 Speaker 1: home into an abuse relationship. Surgery is not going to 354 00:20:42,000 --> 00:20:45,080 Speaker 1: help that, and it is not psychological. That is a 355 00:20:45,200 --> 00:20:50,800 Speaker 1: flat out huge threat. Your body is on fire and 356 00:20:50,880 --> 00:20:57,080 Speaker 1: the root causes the information, not the structure, right, because 357 00:20:57,080 --> 00:20:59,440 Speaker 1: the structure is what it's all like. You're saying, there's 358 00:20:59,520 --> 00:21:02,280 Speaker 1: no reason to ever do surgery, right because I think, 359 00:21:02,320 --> 00:21:04,359 Speaker 1: like you know a lot of people, I do talk 360 00:21:04,400 --> 00:21:07,800 Speaker 1: about holistic approaches a lot because I really buy into 361 00:21:08,000 --> 00:21:10,920 Speaker 1: are the like our bodies healing themselves. I think they're 362 00:21:10,960 --> 00:21:14,560 Speaker 1: incredible the way they can do that. If you can however, 363 00:21:14,560 --> 00:21:17,679 Speaker 1: there are situations where there's a structural issue and you 364 00:21:17,760 --> 00:21:21,040 Speaker 1: do need to have surgery. So it's not always that, 365 00:21:21,080 --> 00:21:23,680 Speaker 1: But you're just saying you look at the bigger picture 366 00:21:24,440 --> 00:21:28,960 Speaker 1: such as stress, such as lack of sleep, um whatever, 367 00:21:29,160 --> 00:21:33,480 Speaker 1: other emotional mental things are happening in these people's lives 368 00:21:33,480 --> 00:21:35,840 Speaker 1: that they're not dealing with. But what I thought was 369 00:21:35,920 --> 00:21:40,440 Speaker 1: so interesting is people's resistance to this kind of mentality. 370 00:21:40,520 --> 00:21:44,400 Speaker 1: So did you bump up against that a lot? Well, 371 00:21:44,440 --> 00:21:46,800 Speaker 1: I mean people have a I mean we're so programmed 372 00:21:46,840 --> 00:21:48,720 Speaker 1: to think that the structure is the problem and this 373 00:21:48,800 --> 00:21:53,880 Speaker 1: surgery is going to solve that. Okay, But again, by 374 00:21:53,880 --> 00:21:55,399 Speaker 1: the time I g do with my practice, what the 375 00:21:55,480 --> 00:21:57,560 Speaker 1: data says to do, this has been around for fifty 376 00:21:57,640 --> 00:22:05,080 Speaker 1: years again, is that you do is leap anxiety, contestrophizing, depression, exercise, medication, stabilization. 377 00:22:05,200 --> 00:22:08,280 Speaker 1: We call it prehab, and we put all of our 378 00:22:08,280 --> 00:22:10,720 Speaker 1: patients through three or four months of this before we 379 00:22:10,760 --> 00:22:15,880 Speaker 1: did any surgery. In my larger surgeries to spinal deformity surgeries, 380 00:22:15,920 --> 00:22:18,320 Speaker 1: I would do it for a year and what would 381 00:22:18,320 --> 00:22:21,600 Speaker 1: happen is they started the normalizer bodies chemistry that pain 382 00:22:21,640 --> 00:22:25,800 Speaker 1: would disappear, even with major surgical problems. They would cancel 383 00:22:25,840 --> 00:22:29,439 Speaker 1: the surgery, not because they wanted to live with the pain. 384 00:22:29,560 --> 00:22:33,439 Speaker 1: The pain would actually disappear. That was a shock. I 385 00:22:33,480 --> 00:22:36,040 Speaker 1: always said, if you have a structural problem, fix it quickly. 386 00:22:36,600 --> 00:22:38,720 Speaker 1: But it turns out that the pain gets memorized, it 387 00:22:38,800 --> 00:22:42,080 Speaker 1: does get connected with more and more life is life experiences. 388 00:22:42,720 --> 00:22:46,360 Speaker 1: And so what you're doing around pain, such of these 389 00:22:46,400 --> 00:22:51,119 Speaker 1: permanent pathways, like writing a bicycle, you're creating detours around those. 390 00:22:51,880 --> 00:22:54,680 Speaker 1: And I'm now convinced you can actually program your brain 391 00:22:54,720 --> 00:22:58,280 Speaker 1: around anything. And I just recently had a gentleman who 392 00:22:58,359 --> 00:23:02,119 Speaker 1: had twenty seven surgeries in ony years and he was 393 00:23:02,160 --> 00:23:06,840 Speaker 1: a mess opioids, alcohol, divorce, all sorts of stuff. He's fine, 394 00:23:07,040 --> 00:23:09,760 Speaker 1: he's been pain free for four years. I did not 395 00:23:09,880 --> 00:23:14,120 Speaker 1: think that was possible. People with phantom limb pain, no arm, 396 00:23:14,200 --> 00:23:17,200 Speaker 1: no legs, you still feel the pain and they can 397 00:23:17,200 --> 00:23:20,240 Speaker 1: program themselves right around it. So what you're doing is 398 00:23:20,320 --> 00:23:24,040 Speaker 1: like installing a virtual desktop in your computer with the 399 00:23:24,080 --> 00:23:28,400 Speaker 1: new desktalk not having pain. It's it's remarkables all bous 400 00:23:28,480 --> 00:23:32,280 Speaker 1: on neal plasticity, where your brain is physically changing every second. 401 00:23:32,880 --> 00:23:36,159 Speaker 1: What you're doing, you're directing traffics for your brain go 402 00:23:36,280 --> 00:23:43,400 Speaker 1: as a certain direction. So when you say our bodies 403 00:23:43,560 --> 00:23:47,520 Speaker 1: memorized pain, how does that happen? Well, I mean it's 404 00:23:47,520 --> 00:23:51,840 Speaker 1: like writing my scoll. With any skill, you focus on 405 00:23:51,880 --> 00:23:55,960 Speaker 1: it and you learn with reputation. I mean what I 406 00:23:56,040 --> 00:23:59,199 Speaker 1: use is a metaphors like learning a new language. The 407 00:23:59,240 --> 00:24:00,880 Speaker 1: way you're learning for and as you read the book, 408 00:24:01,040 --> 00:24:04,560 Speaker 1: you learn the burbs. You listen, you may immerse yourself 409 00:24:04,560 --> 00:24:06,400 Speaker 1: in the language, but listening, in five years you can 410 00:24:06,400 --> 00:24:11,719 Speaker 1: speak French. Your brain changed. You have new neurons, new dendrites, 411 00:24:11,880 --> 00:24:15,080 Speaker 1: new milin nucleo cells. I mean, your brain changes every second. 412 00:24:15,640 --> 00:24:17,959 Speaker 1: So it happens is that muscle memory is actually your 413 00:24:17,960 --> 00:24:23,280 Speaker 1: brain physically change in structure. Once those pathways or circuits 414 00:24:23,280 --> 00:24:25,000 Speaker 1: are emitted in your brain, you can't get rid of 415 00:24:25,080 --> 00:24:28,400 Speaker 1: them again. It's like riding a bicycle with repetition. It's 416 00:24:28,440 --> 00:24:31,960 Speaker 1: a programming issue. And they did a study on a 417 00:24:32,040 --> 00:24:35,280 Speaker 1: Chicago two thousand and fourteen when it showed that with 418 00:24:35,520 --> 00:24:39,879 Speaker 1: chronic bad pain that the pain shifts from the back 419 00:24:39,920 --> 00:24:42,240 Speaker 1: pain center of the brain to the emotional center in 420 00:24:42,280 --> 00:24:45,200 Speaker 1: about six or twel months. So you have the same 421 00:24:45,440 --> 00:24:48,640 Speaker 1: pain but a different driver and again, those are permanent 422 00:24:48,680 --> 00:24:53,880 Speaker 1: circuits and you can't get rid of them. Okay, so 423 00:24:53,960 --> 00:24:57,560 Speaker 1: how are you how are you, let's talk through the 424 00:24:57,600 --> 00:25:00,800 Speaker 1: direct your own care because you're how are you telling 425 00:25:00,800 --> 00:25:06,480 Speaker 1: people to reprogram? Basically, Well, that's how this whole process emerged. 426 00:25:06,560 --> 00:25:09,240 Speaker 1: Of course, I was in chronic pain for years. Nobody 427 00:25:09,240 --> 00:25:12,560 Speaker 1: could tell me what was going on. I lost all hope. 428 00:25:12,760 --> 00:25:15,800 Speaker 1: I was incredibly discouraged, of course, being a physician and 429 00:25:15,840 --> 00:25:18,200 Speaker 1: surge and I tried everything and everything to real about 430 00:25:18,280 --> 00:25:21,320 Speaker 1: my disposal. Nothing work. And of course one of the 431 00:25:21,320 --> 00:25:24,560 Speaker 1: biggest problems that people get into the doctors. Doctors tell 432 00:25:24,600 --> 00:25:27,000 Speaker 1: you what we can't say anything wrong, It must be psychological, 433 00:25:27,600 --> 00:25:30,600 Speaker 1: and that's not true. Your body is inflamed, and your 434 00:25:30,640 --> 00:25:35,399 Speaker 1: body is inflamed and on fire. That's a problem that 435 00:25:35,600 --> 00:25:39,359 Speaker 1: is not psychological. So there's a sequence of steps, with 436 00:25:39,480 --> 00:25:43,080 Speaker 1: the first step being what we call simple expressive writing. 437 00:25:44,080 --> 00:25:45,959 Speaker 1: So remember, the mental pain is a bigger problem than 438 00:25:45,960 --> 00:25:49,120 Speaker 1: the physical pain because you can't escape your thoughts. There's 439 00:25:49,160 --> 00:25:53,240 Speaker 1: a simple exercise that has been documented in over eight thousand, 440 00:25:53,440 --> 00:25:56,480 Speaker 1: one thousand research papers to be a factor. Was called 441 00:25:56,600 --> 00:25:59,720 Speaker 1: expressive writing. Is if you're write down your thoughts and 442 00:25:59,760 --> 00:26:03,119 Speaker 1: you here, I'm up and you can't escape your thoughts, 443 00:26:03,119 --> 00:26:05,560 Speaker 1: but you can separate from them and so and so. 444 00:26:05,640 --> 00:26:09,040 Speaker 1: For some reason, it is an incredibly powerful tool. Use 445 00:26:09,119 --> 00:26:12,520 Speaker 1: the first step in my fifteen year journey and chronic 446 00:26:12,520 --> 00:26:15,960 Speaker 1: pain that actually started started to change things. It's the 447 00:26:16,119 --> 00:26:20,720 Speaker 1: only mandatory requirement of the entire healing processes is that 448 00:26:20,920 --> 00:26:23,639 Speaker 1: expressive writing. And it's not the solution, but it's the 449 00:26:23,720 --> 00:26:27,439 Speaker 1: starting point. Remember, the ways of chronic pain is you 450 00:26:27,520 --> 00:26:31,520 Speaker 1: create new circuits around the old circuits based on your plasticity. 451 00:26:31,880 --> 00:26:35,280 Speaker 1: Your plasticity is a process of awareness of separation to start, 452 00:26:35,400 --> 00:26:39,360 Speaker 1: and then reprogramming. And so with the writing, desigreation awareness 453 00:26:39,359 --> 00:26:43,280 Speaker 1: of negative thoughts or any thoughts. And now you're separated 454 00:26:43,480 --> 00:26:45,760 Speaker 1: with the paper on the table and that space is 455 00:26:45,760 --> 00:26:49,600 Speaker 1: connected with vision and feel, and then the reprogramming can 456 00:26:49,640 --> 00:26:53,239 Speaker 1: be all sort of do be mindfulness, I mean, right now, 457 00:26:53,280 --> 00:26:55,120 Speaker 1: just drop your shoulders for a second and just feel 458 00:26:55,160 --> 00:26:57,640 Speaker 1: where you're sitting. And so what you're doing you put 459 00:26:57,640 --> 00:27:00,800 Speaker 1: your brain on a different sensation. And so what you're 460 00:27:00,840 --> 00:27:04,960 Speaker 1: doing you learned tools are dropped down the body's chemical response. 461 00:27:05,560 --> 00:27:08,080 Speaker 1: So the expressivevting is always the first step, which by 462 00:27:08,080 --> 00:27:11,120 Speaker 1: the way also affects sleep. The second step is called 463 00:27:11,119 --> 00:27:13,280 Speaker 1: low active meditation. We just simply put your brain on 464 00:27:13,320 --> 00:27:17,359 Speaker 1: a different sensation. Um. The next one, of course is sleep, 465 00:27:17,560 --> 00:27:20,080 Speaker 1: which is its own topic but again extremely effective and 466 00:27:20,160 --> 00:27:23,800 Speaker 1: dropping out information and dropping down pain. But the other 467 00:27:23,840 --> 00:27:26,720 Speaker 1: one which has been really fascinating, and we learned this 468 00:27:26,840 --> 00:27:29,639 Speaker 1: at our workshops that we would do these three to 469 00:27:29,680 --> 00:27:32,600 Speaker 1: five day workshops in New York at the Omega Institute, 470 00:27:33,520 --> 00:27:35,720 Speaker 1: and probably a cent of people into pain for you 471 00:27:35,760 --> 00:27:39,000 Speaker 1: within those three or five days. Every time we cannot 472 00:27:39,040 --> 00:27:42,199 Speaker 1: understand what had happened, because it happened every time. It 473 00:27:42,200 --> 00:27:45,600 Speaker 1: turned out we're creating a major chemical shifted people's brains 474 00:27:45,720 --> 00:27:48,760 Speaker 1: and they're shifting back onto safe pathways as opposed to threat. 475 00:27:49,480 --> 00:27:51,840 Speaker 1: People are also talking to each other. We know social 476 00:27:51,880 --> 00:27:54,960 Speaker 1: connection is a big deal, but when the cardinal rules 477 00:27:55,000 --> 00:27:57,560 Speaker 1: of this workshop is is you could not discuss your 478 00:27:57,600 --> 00:28:00,200 Speaker 1: pain and not you could not discuss your medical here 479 00:28:00,600 --> 00:28:06,240 Speaker 1: or discuss your pain because where's your attention. So from 480 00:28:06,240 --> 00:28:08,680 Speaker 1: a neural plastic see standpoint, your brain is gonna develop 481 00:28:08,800 --> 00:28:11,880 Speaker 1: wherever you place this attention, your attentions on the pain, 482 00:28:11,960 --> 00:28:14,639 Speaker 1: on your health care, etcetera. That's where your brain is 483 00:28:14,680 --> 00:28:18,040 Speaker 1: going to develop. So it's not positive thinking, which is 484 00:28:18,040 --> 00:28:22,159 Speaker 1: a way suppressing negative thinking, but it is positive vision. 485 00:28:23,480 --> 00:28:29,000 Speaker 1: But the corollary to that is no complaining, no criticism, 486 00:28:29,200 --> 00:28:33,840 Speaker 1: now giving an ask for advice, now gossiping. Decide where 487 00:28:33,840 --> 00:28:35,600 Speaker 1: you want to put your nervous system, where you want 488 00:28:35,600 --> 00:28:39,160 Speaker 1: to put your attention, and just do it. So. One 489 00:28:39,160 --> 00:28:41,840 Speaker 1: of so almost as powerful as expressive writing, or I 490 00:28:41,840 --> 00:28:45,240 Speaker 1: think equally as powerful, has been this absolute rule that 491 00:28:45,560 --> 00:28:47,160 Speaker 1: you're in my office. I would say, look, when you 492 00:28:47,160 --> 00:28:49,360 Speaker 1: walk out of my office, you will never discuss your 493 00:28:49,360 --> 00:28:54,480 Speaker 1: pain or medical care with anybody ever again in this story. Okay, well, 494 00:28:54,520 --> 00:28:57,960 Speaker 1: I'm uh. This is very fascinating to be because I 495 00:28:58,000 --> 00:29:01,920 Speaker 1: have to thought processes. So with the writing, is that 496 00:29:02,000 --> 00:29:03,720 Speaker 1: the way that it gets you know, like if you 497 00:29:03,760 --> 00:29:05,400 Speaker 1: do a bunch of therapy, they say you have to 498 00:29:05,400 --> 00:29:07,320 Speaker 1: get it out of your body, right and so, and 499 00:29:07,360 --> 00:29:09,760 Speaker 1: these are the reasons that they say therapy works. Why, 500 00:29:09,880 --> 00:29:14,600 Speaker 1: Like support groups work because you're not um pushing the 501 00:29:14,640 --> 00:29:18,240 Speaker 1: feelings down, you're actually feeling them. You're either talking about 502 00:29:18,280 --> 00:29:21,760 Speaker 1: them or whatever it is. Um. I can see, however, 503 00:29:21,840 --> 00:29:24,560 Speaker 1: that if you continue to talk about the things over 504 00:29:24,640 --> 00:29:27,560 Speaker 1: and over and over on a loop. How it that's 505 00:29:27,600 --> 00:29:30,160 Speaker 1: the only thing you're focused on. So is that why 506 00:29:30,320 --> 00:29:36,400 Speaker 1: both the combination of both works for the reprogramming. Um, 507 00:29:36,480 --> 00:29:39,040 Speaker 1: I mean it's hard to say. I mean that you 508 00:29:39,080 --> 00:29:41,400 Speaker 1: know people will for instance, will complain about the boss 509 00:29:41,440 --> 00:29:43,920 Speaker 1: or their spouse or whatever. So the people you know, 510 00:29:44,000 --> 00:29:48,600 Speaker 1: people bond on complaining, right, Yes, I called a pseudo 511 00:29:48,800 --> 00:29:52,000 Speaker 1: bond and again one of the worst prognostic factors for 512 00:29:52,080 --> 00:29:53,760 Speaker 1: card and pains. I should belonging to a card to 513 00:29:53,840 --> 00:29:56,720 Speaker 1: pain and support group and the problem is they complain 514 00:29:56,760 --> 00:29:59,520 Speaker 1: about their pain all the time. Remember the keyword is 515 00:29:59,600 --> 00:30:02,680 Speaker 1: you hoasticity. It wants to interbrain to change where you 516 00:30:02,720 --> 00:30:07,080 Speaker 1: wanted to go. And when you're complaining, et cetera. Why 517 00:30:07,120 --> 00:30:09,680 Speaker 1: that's where nervous this is going to develop. So it 518 00:30:09,680 --> 00:30:12,520 Speaker 1: turned out to be extraordinarily powerful just to I use 519 00:30:12,600 --> 00:30:16,320 Speaker 1: to some just be nice. And the other thing is 520 00:30:16,360 --> 00:30:18,760 Speaker 1: when you are complaining, it's called mirror neurals. You tend 521 00:30:18,800 --> 00:30:22,680 Speaker 1: to attract people to that are also complained because you 522 00:30:22,720 --> 00:30:26,360 Speaker 1: get this tremendous effect taking place in a positive way. 523 00:30:27,040 --> 00:30:28,960 Speaker 1: The other thing is I think maybe even a different 524 00:30:28,960 --> 00:30:30,960 Speaker 1: conversation which I would love to talk about, is that 525 00:30:31,080 --> 00:30:33,800 Speaker 1: we found out that we could do the writing relaxation 526 00:30:33,880 --> 00:30:36,240 Speaker 1: to sleep, we would come about anger and forgiveness in 527 00:30:36,280 --> 00:30:41,320 Speaker 1: a second. But what what happened is that the families 528 00:30:41,600 --> 00:30:43,920 Speaker 1: were the biggest triggers and then one of the biggest 529 00:30:43,960 --> 00:30:48,600 Speaker 1: obstacles of people healing. Because what happens anytime your anxious 530 00:30:48,600 --> 00:30:52,400 Speaker 1: are frustrated, your trigger. Your triggers are programmed in your 531 00:30:52,440 --> 00:30:55,160 Speaker 1: brain by your parents, which now play out in your 532 00:30:55,200 --> 00:31:00,480 Speaker 1: new family. It's paradostical that human consciousness to deuiloped by 533 00:31:00,600 --> 00:31:05,240 Speaker 1: language and interaction. We have a tremendous need for social connection. 534 00:31:05,960 --> 00:31:08,880 Speaker 1: The closer the connection, the better, But the closer to 535 00:31:08,880 --> 00:31:12,320 Speaker 1: the connection, the deeper the triggers. And what happens in 536 00:31:12,520 --> 00:31:17,200 Speaker 1: families is that what disrupts families is actually a neurological trick. 537 00:31:18,360 --> 00:31:21,160 Speaker 1: And once you understand the trickery learned to de energize 538 00:31:21,200 --> 00:31:24,360 Speaker 1: these triggers, then you can live your life in a creative, 539 00:31:24,560 --> 00:31:28,120 Speaker 1: enjoyable way. But in chronic pain is particularly a problem 540 00:31:28,160 --> 00:31:31,240 Speaker 1: because people in chronic pain are trapped. They're angry and 541 00:31:31,280 --> 00:31:35,760 Speaker 1: gets who the targets are. And that's one reason that 542 00:31:35,800 --> 00:31:41,680 Speaker 1: motivates being tremendously to continue with this pain. Project, because um, 543 00:31:41,720 --> 00:31:46,920 Speaker 1: every couple triggers each other, no exceptions, and so by understanding, 544 00:31:47,320 --> 00:31:50,720 Speaker 1: by understanding the neurological nature of those triggers and how 545 00:31:50,800 --> 00:31:53,920 Speaker 1: powerful they are, then you can start working around those. 546 00:31:54,800 --> 00:31:56,960 Speaker 1: As you know, in an argument, you can never talk 547 00:31:57,040 --> 00:31:59,320 Speaker 1: to stuff out. You see the problems they've done. A 548 00:31:59,360 --> 00:32:02,320 Speaker 1: study shows when one person is anger and frustrated and triggered, 549 00:32:02,360 --> 00:32:07,200 Speaker 1: their pain goes up. And it's now psychological is called 550 00:32:07,240 --> 00:32:10,120 Speaker 1: mirror neurons, where if you're upset, the group people around 551 00:32:10,160 --> 00:32:13,360 Speaker 1: you will be upset, but also neurons that fire together, 552 00:32:13,520 --> 00:32:17,480 Speaker 1: wired together. In other words, pain causes anxoni in frustration, 553 00:32:18,120 --> 00:32:21,760 Speaker 1: but when you're anxious and frustrated for another reason, they're 554 00:32:21,800 --> 00:32:24,560 Speaker 1: just linked to the pain pathways. So they're showing a 555 00:32:24,640 --> 00:32:27,640 Speaker 1: very clear research that within a couple, if one person 556 00:32:27,680 --> 00:32:32,240 Speaker 1: starts complaining, the spouse will predictually have a hostile reaction 557 00:32:32,440 --> 00:32:34,880 Speaker 1: and guess what, the person in pain has Their pain 558 00:32:34,920 --> 00:32:39,880 Speaker 1: go up, but it doesn't stop. So we found out 559 00:32:39,920 --> 00:32:42,440 Speaker 1: the last two years of my practice that by creating 560 00:32:42,480 --> 00:32:45,800 Speaker 1: a use the word artificial structure around the family dynamics, 561 00:32:46,000 --> 00:32:49,760 Speaker 1: it was unbelievable how first of all things would calm down, 562 00:32:50,520 --> 00:32:53,760 Speaker 1: but the effect of chronic pain was dramatic. But conversely, 563 00:32:53,800 --> 00:32:56,440 Speaker 1: if we didn't address the family issues at some level, 564 00:32:57,080 --> 00:33:02,080 Speaker 1: everything else we did simply didn't work. So when the 565 00:33:02,200 --> 00:33:05,080 Speaker 1: person would come in with the chronic pain and they 566 00:33:05,080 --> 00:33:09,160 Speaker 1: would do the process the director on care, that's the DFC, 567 00:33:09,280 --> 00:33:11,760 Speaker 1: that's what you refer to you as this all the 568 00:33:11,800 --> 00:33:16,360 Speaker 1: things that we're talking about, the writing, the sleeping, all 569 00:33:16,360 --> 00:33:18,600 Speaker 1: of the other things. So when they would start that process, 570 00:33:18,640 --> 00:33:22,680 Speaker 1: would that heal their relationships in turn? A lot of 571 00:33:22,720 --> 00:33:26,320 Speaker 1: times as well, Yes, well, we put you a part 572 00:33:26,320 --> 00:33:29,560 Speaker 1: of the website. So what's happening. The book is back 573 00:33:29,600 --> 00:33:33,040 Speaker 1: in Control, a surgeon running about of chronic pain. Then 574 00:33:33,080 --> 00:33:36,400 Speaker 1: the website back in Control. Docong was the action plan. 575 00:33:37,120 --> 00:33:40,280 Speaker 1: So between the book and the websites about self self directed. 576 00:33:40,360 --> 00:33:42,080 Speaker 1: But we also put up a whole structure around the 577 00:33:42,160 --> 00:33:45,800 Speaker 1: family dynamics. So not a counselor this is not too 578 00:33:45,880 --> 00:33:48,960 Speaker 1: much time. But once we set this arch tray set 579 00:33:49,000 --> 00:33:51,240 Speaker 1: of roles and say look, just stop. If you're triggered, 580 00:33:51,440 --> 00:33:54,440 Speaker 1: do not engage with one of them. Also, commit to 581 00:33:54,480 --> 00:33:57,400 Speaker 1: making your house a safe house. O words. Create a 582 00:33:57,520 --> 00:34:01,080 Speaker 1: structure that allowed the house to I'm down to be peaceful, 583 00:34:01,680 --> 00:34:04,440 Speaker 1: which allows your nurses to come down and be peaceful. 584 00:34:05,080 --> 00:34:08,560 Speaker 1: So it's a very very self corrected process. That being said, 585 00:34:08,600 --> 00:34:11,000 Speaker 1: if we if we can get counselors from people to help, 586 00:34:11,080 --> 00:34:14,280 Speaker 1: that's much more desirable. Unfortunately, a lot of medicine, medical 587 00:34:14,239 --> 00:34:17,080 Speaker 1: insurances and pay for the resources we need to actually 588 00:34:17,120 --> 00:34:22,560 Speaker 1: solve the problem. But it's not that hard, right, Well, 589 00:34:22,800 --> 00:34:26,000 Speaker 1: I can only imagine I'm just thinking through this situation 590 00:34:26,200 --> 00:34:28,959 Speaker 1: um of a family. But like when you when someone 591 00:34:29,000 --> 00:34:31,399 Speaker 1: comes into your office and you're like, oh, you're having 592 00:34:31,400 --> 00:34:33,560 Speaker 1: this chronic pain. Okay, Well I'm going to give you 593 00:34:33,600 --> 00:34:36,480 Speaker 1: this writing exercise and we're going to talk about the 594 00:34:36,520 --> 00:34:38,759 Speaker 1: amount of sleep that you get. I'm gonna talk about 595 00:34:38,800 --> 00:34:42,279 Speaker 1: your relationships and how you interact with them. I could 596 00:34:42,400 --> 00:34:45,600 Speaker 1: just imagine that some people would be like, are you serious, 597 00:34:46,000 --> 00:34:47,560 Speaker 1: Like this is what you're going to tell me as 598 00:34:47,560 --> 00:34:50,000 Speaker 1: a doctor. So were you getting a lot of those 599 00:34:50,040 --> 00:34:55,680 Speaker 1: reactions when you first started this kind of practice, Yeah, definitely, 600 00:34:55,719 --> 00:34:58,560 Speaker 1: I mean people, see I wasn't always Actually even more 601 00:34:58,960 --> 00:35:01,840 Speaker 1: in a disadvantage is I'm a big time surgeon, right 602 00:35:02,080 --> 00:35:03,920 Speaker 1: for coming to me for let's just fix that. So 603 00:35:03,920 --> 00:35:05,160 Speaker 1: first of all, I want to said look, this is 604 00:35:05,160 --> 00:35:09,080 Speaker 1: not curgical. They're incredibly disappointed in angering there was a 605 00:35:09,200 --> 00:35:14,560 Speaker 1: kingdomy for surgery. Right then they want a quick fix. 606 00:35:14,600 --> 00:35:17,080 Speaker 1: But guess what, this is actually much faster than going 607 00:35:17,120 --> 00:35:20,719 Speaker 1: through an operation. The number one factor that predicts a 608 00:35:20,760 --> 00:35:24,120 Speaker 1: successful outcome from chronic painon is wanting us to engage. 609 00:35:24,600 --> 00:35:27,520 Speaker 1: But whereas so that anger or in frustration you talked about, 610 00:35:27,520 --> 00:35:30,719 Speaker 1: people simply wouldn't do that. They would go they would 611 00:35:30,760 --> 00:35:33,799 Speaker 1: go to another surgeon, have the surgery done, often with 612 00:35:33,920 --> 00:35:37,600 Speaker 1: catastrophic outcomes. And obviously I'm not gonna say I told 613 00:35:37,640 --> 00:35:40,480 Speaker 1: you so, but it's very disheartening to watch people walk 614 00:35:40,600 --> 00:35:43,440 Speaker 1: right into a bus saw. It's also very disheartening to 615 00:35:43,480 --> 00:35:48,279 Speaker 1: me that medicine even offers operations that has about success rate. Right. 616 00:35:48,320 --> 00:35:51,399 Speaker 1: There's not responsibility. They're figuring this out. They should not. 617 00:35:52,000 --> 00:35:54,960 Speaker 1: The responsibility on the physicians, not the patients, to say, look, 618 00:35:55,200 --> 00:35:59,160 Speaker 1: this is not surgical. So I say, look, I see 619 00:35:59,200 --> 00:36:01,120 Speaker 1: like if it's let's pretend to my patient for a 620 00:36:01,160 --> 00:36:04,000 Speaker 1: second and say look here you are. I just see it. 621 00:36:04,080 --> 00:36:06,520 Speaker 1: I don't see anything. It's curtical. I'm going to ask 622 00:36:06,560 --> 00:36:08,480 Speaker 1: you to do some homework so I would give I 623 00:36:08,520 --> 00:36:10,920 Speaker 1: would give them my book. I would say, please look 624 00:36:10,920 --> 00:36:14,080 Speaker 1: at the website and we change it. Now. I just 625 00:36:14,160 --> 00:36:17,160 Speaker 1: released this this week, is called the doc Journey dot com, 626 00:36:17,400 --> 00:36:20,880 Speaker 1: which includes an app, which is a much more streamline 627 00:36:20,880 --> 00:36:23,520 Speaker 1: approach to starting the process. So I say, look, here's 628 00:36:23,520 --> 00:36:26,120 Speaker 1: the book. This is your homework. I do want you 629 00:36:26,160 --> 00:36:28,600 Speaker 1: to start to express the writing. You don't have to 630 00:36:28,640 --> 00:36:32,279 Speaker 1: believe one word that I said. In fact, embracing the 631 00:36:32,360 --> 00:36:35,120 Speaker 1: disbelieve is actually critical because I'm not in a positive thinking. 632 00:36:35,680 --> 00:36:38,440 Speaker 1: This is not about believing David. He has come what 633 00:36:38,480 --> 00:36:40,480 Speaker 1: the doc project does, by the way, which is to 634 00:36:40,640 --> 00:36:43,960 Speaker 1: direct your own care. That we're taking known, established, well 635 00:36:44,000 --> 00:36:49,680 Speaker 1: documented medical interventions and presented presenting them in an organized, 636 00:36:49,680 --> 00:36:53,120 Speaker 1: structured manner of the words. This this implement well, we 637 00:36:53,160 --> 00:36:57,080 Speaker 1: already know works. Everything we do is documented on hundreds 638 00:36:57,080 --> 00:37:00,520 Speaker 1: of research papers. But right now medicine ticket door in 639 00:37:00,560 --> 00:37:03,200 Speaker 1: the data. So I said, you don't have to believe 640 00:37:03,280 --> 00:37:06,920 Speaker 1: me to start engaging and improving practices or just go 641 00:37:07,000 --> 00:37:10,879 Speaker 1: to work, so that they're one factor if people don't 642 00:37:10,880 --> 00:37:13,279 Speaker 1: want to engage, or the angry and frustrated just what 643 00:37:13,360 --> 00:37:16,359 Speaker 1: they don't do. Well. Yeah, and I learned to say, 644 00:37:16,360 --> 00:37:18,319 Speaker 1: look here you go I can help you or not 645 00:37:18,800 --> 00:37:21,160 Speaker 1: if I try to convince people to get better, why 646 00:37:21,440 --> 00:37:24,600 Speaker 1: they're just getting angry, to get more reactive and more resistance. 647 00:37:25,120 --> 00:37:28,000 Speaker 1: It turned out that the more open I was to say, look, 648 00:37:28,000 --> 00:37:30,000 Speaker 1: here's some horrorcule. See back in a couple of weeks, 649 00:37:30,640 --> 00:37:35,520 Speaker 1: it was much more effective. It's so fascinating to me. 650 00:37:35,719 --> 00:37:39,840 Speaker 1: So we're talking about it in relation to back surgery, obviously, 651 00:37:39,880 --> 00:37:42,520 Speaker 1: because that is where you started. The books that you've 652 00:37:42,560 --> 00:37:45,320 Speaker 1: referenced twice. I mean, I'm sorry you have two books. 653 00:37:45,360 --> 00:37:47,600 Speaker 1: Back in Control was the first book. The new one 654 00:37:47,680 --> 00:37:50,279 Speaker 1: is do you Really Need Spine Surgery UM? And back 655 00:37:50,280 --> 00:37:52,200 Speaker 1: in Control dot com. You guys can find all of 656 00:37:52,239 --> 00:37:55,840 Speaker 1: these books. But I also want to talk about COVID 657 00:37:56,200 --> 00:37:59,239 Speaker 1: because I was able to speak to you a week ago, 658 00:37:59,400 --> 00:38:01,040 Speaker 1: or I guess was a week and a half ago 659 00:38:01,120 --> 00:38:03,920 Speaker 1: when I got a positive test and the things that 660 00:38:03,960 --> 00:38:07,520 Speaker 1: we're talking about right now in relation to needing surgery 661 00:38:08,200 --> 00:38:13,319 Speaker 1: and UM physically healing or healing your chronic pain by 662 00:38:13,320 --> 00:38:15,560 Speaker 1: dealing with a lot of your mental and emotional stuff. 663 00:38:15,600 --> 00:38:20,600 Speaker 1: You also sort of in put into practice with COVID treatment, 664 00:38:21,080 --> 00:38:23,839 Speaker 1: and I found that so fascinating. You have a new 665 00:38:24,560 --> 00:38:28,360 Speaker 1: UM new thing out called plan A. It's Thrive and Survive. 666 00:38:28,440 --> 00:38:31,120 Speaker 1: It's actually available on your website as well the back 667 00:38:31,160 --> 00:38:34,840 Speaker 1: and Control dot com. But it goes through all of 668 00:38:34,880 --> 00:38:39,080 Speaker 1: these practices. Um that to me when I first read it, 669 00:38:39,120 --> 00:38:41,120 Speaker 1: I was like, just I just wasn't what I was expecting. 670 00:38:41,160 --> 00:38:43,880 Speaker 1: You know, when you are sick, especially with something like COVID, 671 00:38:44,360 --> 00:38:47,520 Speaker 1: you think, okay, well what do I take? I'm sure 672 00:38:47,520 --> 00:38:48,920 Speaker 1: I need to sleep a lot, maybe I need to 673 00:38:48,960 --> 00:38:50,200 Speaker 1: drink a lot of water. Do I need to be 674 00:38:50,200 --> 00:38:52,200 Speaker 1: doing anything else? And a lot of it was the 675 00:38:52,280 --> 00:38:57,640 Speaker 1: same things that you're describing. The express of writing treating anxiety, um, 676 00:38:57,680 --> 00:39:00,759 Speaker 1: getting asleep as you said, but practicing for giveness was 677 00:39:00,840 --> 00:39:03,520 Speaker 1: one and I just thought these were really fascinating. So 678 00:39:03,840 --> 00:39:05,600 Speaker 1: when I was able to talk to you, we talked 679 00:39:05,640 --> 00:39:09,280 Speaker 1: a lot about the effects of anxiety physically on your body, 680 00:39:09,400 --> 00:39:13,320 Speaker 1: which I know anxiety is is so much more prevalent 681 00:39:13,560 --> 00:39:15,360 Speaker 1: than it used to be, or it's talked about a 682 00:39:15,360 --> 00:39:17,560 Speaker 1: lot more, but I don't feel like a lot of 683 00:39:17,560 --> 00:39:21,040 Speaker 1: people talk about the physical symptoms that come with that. 684 00:39:21,120 --> 00:39:26,040 Speaker 1: So can you kind of talk us through that? Well, 685 00:39:26,880 --> 00:39:28,880 Speaker 1: what happened. We did come up with a solution for 686 00:39:28,960 --> 00:39:32,040 Speaker 1: the COVID pandemic. By the way, So plan A is 687 00:39:32,080 --> 00:39:33,920 Speaker 1: a series of steps you can do to LORI in 688 00:39:33,960 --> 00:39:36,880 Speaker 1: flammatory markers. So if you get sick when you have 689 00:39:37,040 --> 00:39:39,759 Speaker 1: this was called Stardi kind storm or rises startic kind, 690 00:39:40,160 --> 00:39:44,520 Speaker 1: which are in flammatory proteins, your stabil stab of the 691 00:39:44,520 --> 00:39:47,759 Speaker 1: threshold that kills you. So that's plan A. It turns 692 00:39:47,760 --> 00:39:49,960 Speaker 1: out that all the interventions on the doc, so the 693 00:39:50,000 --> 00:39:53,399 Speaker 1: work group came together around chronic pain. It turns out 694 00:39:53,440 --> 00:39:55,880 Speaker 1: that the solution for COVID is the same solution for 695 00:39:55,960 --> 00:40:00,799 Speaker 1: chronic pain. You think multiple proven interventions and implement them 696 00:40:00,840 --> 00:40:04,399 Speaker 1: in an organized fashion. You can drop down your inflamatory markers. 697 00:40:04,600 --> 00:40:07,080 Speaker 1: It turns down it turns out that anxiety is an 698 00:40:07,080 --> 00:40:10,799 Speaker 1: inflammatory disorder. So parodoxically, one of the worst ways to 699 00:40:10,840 --> 00:40:13,680 Speaker 1: create anxiety is uncertainty, which right now we cannot live 700 00:40:13,680 --> 00:40:17,480 Speaker 1: in more uncertainty. And what happens the uncertainty is the threat. 701 00:40:18,400 --> 00:40:23,480 Speaker 1: The inflammatory inflammatory reaction is a response, and it is 702 00:40:23,520 --> 00:40:28,800 Speaker 1: a sensation generated by this inflammatory reaction is anxiety. No words, 703 00:40:28,800 --> 00:40:31,319 Speaker 1: Anxiety is the reaction to the threat, not the cause 704 00:40:31,360 --> 00:40:34,920 Speaker 1: of the threat. So an have uncertainty, big problem. So 705 00:40:35,880 --> 00:40:41,320 Speaker 1: anger cranks up inflammatory stidy kinds. Even more so, it 706 00:40:41,440 --> 00:40:43,960 Speaker 1: sounds psychological, no big deal, but guess what has a 707 00:40:44,040 --> 00:40:47,839 Speaker 1: direct physiological impact on your body. So if you are 708 00:40:47,920 --> 00:40:51,080 Speaker 1: anxious or obsessive, or there's lots of ways you can 709 00:40:51,120 --> 00:40:53,840 Speaker 1: manifest that when you actually get sick with the virus, 710 00:40:54,320 --> 00:40:59,400 Speaker 1: you'll have this increase inflamatory response. And what happens if 711 00:40:59,400 --> 00:41:02,480 Speaker 1: you cross this freshold than you're going to die. However, 712 00:41:02,520 --> 00:41:05,200 Speaker 1: I have to just emphasize that if you're generally healthy, 713 00:41:05,239 --> 00:41:08,560 Speaker 1: the chance of diving is actually quite low. The elephant 714 00:41:08,600 --> 00:41:11,120 Speaker 1: in the room, so to speak, is that the almost 715 00:41:11,120 --> 00:41:15,400 Speaker 1: every person that's died from COVID has risk factors. Right, 716 00:41:16,080 --> 00:41:20,560 Speaker 1: every one of those risk factors involves elevated inflammatory markers. 717 00:41:21,080 --> 00:41:26,839 Speaker 1: So I don't onset diabetes, ortensides, lung disease, Alzheimer's, all 718 00:41:26,880 --> 00:41:33,600 Speaker 1: those are inflammatory disorders. And anxiety, bipolar, depression, schizophrenia are 719 00:41:33,680 --> 00:41:39,040 Speaker 1: all inflammatory disorders. They're all the same thing. So what 720 00:41:39,120 --> 00:41:41,880 Speaker 1: you're doing with the steps on this thriv and surviving 721 00:41:42,000 --> 00:41:44,080 Speaker 1: and I wrote it Thrive and survives in the Survive 722 00:41:44,160 --> 00:41:47,279 Speaker 1: and Thrive, is that the data shows very clearly as 723 00:41:47,320 --> 00:41:51,120 Speaker 1: you train your body to thrive, is that your chances 724 00:41:51,160 --> 00:41:54,719 Speaker 1: of living longer going dramatically. So people that thrive live 725 00:41:54,800 --> 00:41:57,799 Speaker 1: on the average of seven years longer. You have half 726 00:41:57,800 --> 00:42:00,799 Speaker 1: the instance of heart disease, blood pressure problems, and diabetes. 727 00:42:01,800 --> 00:42:05,400 Speaker 1: And so as you use these tools salary in flaboratory markers, 728 00:42:05,440 --> 00:42:08,200 Speaker 1: your quality of life goes up, your length of life 729 00:42:08,200 --> 00:42:11,680 Speaker 1: goes up, your health goes up. And so they're very 730 00:42:11,719 --> 00:42:15,399 Speaker 1: concrete staffs. For instance, an anti inflammatory diet don't even 731 00:42:15,480 --> 00:42:18,080 Speaker 1: you don't even have to lose the weight to go 732 00:42:18,160 --> 00:42:20,560 Speaker 1: to an anti inflammatory diet. Again, drops your side of 733 00:42:20,600 --> 00:42:26,360 Speaker 1: clients right down. Your risk is lower. Is it Is 734 00:42:26,400 --> 00:42:29,640 Speaker 1: it true that inflammation is the cause of most disease, 735 00:42:30,480 --> 00:42:36,799 Speaker 1: even cancers? Yes, yeah, um yeah, that's where Actually this 736 00:42:36,840 --> 00:42:39,279 Speaker 1: work group is going in interesting and direction because I 737 00:42:39,280 --> 00:42:41,040 Speaker 1: didn't know this. I may have learned more than six months, 738 00:42:41,040 --> 00:42:44,040 Speaker 1: and I've learned in thirty years. I mean, unbelievable how 739 00:42:44,160 --> 00:42:47,880 Speaker 1: this commons beat of inflammation runs through the human body. 740 00:42:47,880 --> 00:42:50,520 Speaker 1: That makes sense, right, I mean, if you if you're 741 00:42:50,600 --> 00:42:52,840 Speaker 1: under again. See, humans have a problem that call the 742 00:42:52,840 --> 00:42:56,359 Speaker 1: cursive consciousness, is that we can't escape our thoughts. So 743 00:42:56,400 --> 00:42:59,319 Speaker 1: we all have a sustained threat. And people that are 744 00:42:59,640 --> 00:43:05,800 Speaker 1: more with a very chaotic abuse of childhood, have less 745 00:43:05,840 --> 00:43:08,480 Speaker 1: equipment to deal with life and not as resilient, so 746 00:43:08,520 --> 00:43:11,160 Speaker 1: they don't cope with stress as well. So let's starting 747 00:43:11,200 --> 00:43:13,160 Speaker 1: they're starting out in life and theeed people that have 748 00:43:13,320 --> 00:43:17,000 Speaker 1: abus childhood have much higher rates of suicide, depression, obesity, 749 00:43:17,040 --> 00:43:20,560 Speaker 1: diabetes than the average population by a lot. It's not subtle. 750 00:43:21,040 --> 00:43:26,440 Speaker 1: So that's been well documented. So this ongoing. So if 751 00:43:26,480 --> 00:43:30,520 Speaker 1: somebody comes from a very nurturing, peaceful childhood, I don't 752 00:43:30,520 --> 00:43:32,480 Speaker 1: want to use the word of resilience because that's not 753 00:43:32,560 --> 00:43:35,480 Speaker 1: quite the right word, but you have a higher capacity 754 00:43:35,520 --> 00:43:38,520 Speaker 1: to handle life stresses if you are trained that life 755 00:43:38,560 --> 00:43:42,200 Speaker 1: is basically safe versus life is basically dangerous. So the 756 00:43:42,640 --> 00:43:45,280 Speaker 1: metaphor like to use is that if your nervous system 757 00:43:45,320 --> 00:43:48,960 Speaker 1: would be like a Ford Pinto versus the Ferrari. Those 758 00:43:48,960 --> 00:43:53,080 Speaker 1: are two different nervous systems. And when the Pinto so 759 00:43:54,000 --> 00:43:56,440 Speaker 1: the ferrari, by the way, you can take more stress. 760 00:43:57,080 --> 00:44:01,080 Speaker 1: But again when that threshold has reached, the responses the same. So, 761 00:44:01,200 --> 00:44:03,200 Speaker 1: for instance, a person who has a Ferrario of the 762 00:44:03,239 --> 00:44:06,279 Speaker 1: nervous system might be a CEO of a company, but 763 00:44:06,400 --> 00:44:09,160 Speaker 1: when here she breaks, guess what the reaction is the 764 00:44:09,239 --> 00:44:12,719 Speaker 1: same if somebody raised from an abusive childhood is yield 765 00:44:12,760 --> 00:44:16,480 Speaker 1: that way by a clerk, and so the stress response 766 00:44:16,560 --> 00:44:18,839 Speaker 1: is the same either way. It's just if you come 767 00:44:18,880 --> 00:44:22,000 Speaker 1: from a chaotic, abusive childhood where you weren't trained to 768 00:44:22,040 --> 00:44:25,759 Speaker 1: feel safe, because guess what, it wasn't safe that your 769 00:44:25,760 --> 00:44:29,839 Speaker 1: activities higher, but the affection of your physical health are profound. 770 00:44:32,080 --> 00:44:34,880 Speaker 1: I just find it so fascinating because I do think 771 00:44:35,000 --> 00:44:37,160 Speaker 1: it's sort of like how you described what happened with 772 00:44:37,200 --> 00:44:41,760 Speaker 1: you where you were just suppressing, suppressing, suppressing for so long, 773 00:44:42,000 --> 00:44:44,959 Speaker 1: and I find that to be a very common theme 774 00:44:45,000 --> 00:44:48,600 Speaker 1: in our society, especially amongst men, it seems, I think, 775 00:44:49,000 --> 00:44:51,920 Speaker 1: because as men are trained like you can't have these feelings, 776 00:44:51,920 --> 00:44:53,880 Speaker 1: like you can't have these emotions you know, from an 777 00:44:53,920 --> 00:44:58,640 Speaker 1: early age. And um, I'm just curious, like how would 778 00:44:58,640 --> 00:45:01,480 Speaker 1: you say, what would you say to some one who 779 00:45:01,560 --> 00:45:04,239 Speaker 1: you know might just not even be aware of the 780 00:45:04,280 --> 00:45:06,239 Speaker 1: amount of stress, Like how do we get in touch 781 00:45:06,280 --> 00:45:08,839 Speaker 1: with the amount of stress that we are carrying? Because 782 00:45:08,880 --> 00:45:11,919 Speaker 1: like in your book you describe things like IBS even 783 00:45:11,960 --> 00:45:16,279 Speaker 1: being a symptom of inflammation and stress and anxiety in 784 00:45:16,320 --> 00:45:18,360 Speaker 1: your body, And I think so many people just like 785 00:45:18,480 --> 00:45:24,000 Speaker 1: take a pill for that. You know, right well, remember this, 786 00:45:24,120 --> 00:45:27,440 Speaker 1: I mean right now, I mean in all ages fifteen, 787 00:45:27,560 --> 00:45:30,800 Speaker 1: twenty thirties, May I just say my generation and m 788 00:45:30,840 --> 00:45:33,759 Speaker 1: sixties seven where it was in the late thirties of 789 00:45:33,840 --> 00:45:36,920 Speaker 1: forties people who would quote have a nervous breakdown. And 790 00:45:37,000 --> 00:45:40,840 Speaker 1: right now we have this epidemic of keen anxiety, millennial anxiety, 791 00:45:40,960 --> 00:45:43,920 Speaker 1: and it's horrible. Now you can talk of a lot 792 00:45:43,960 --> 00:45:46,640 Speaker 1: of the reasons for that. We have more physical comforts 793 00:45:46,640 --> 00:45:51,760 Speaker 1: than we've ever had, and probably these expectations are probably 794 00:45:51,840 --> 00:45:55,240 Speaker 1: the biggest threat that we have. We have body image disorders. 795 00:45:55,280 --> 00:45:59,359 Speaker 1: We also have modern marketing telling us who we should be. 796 00:46:00,120 --> 00:46:02,239 Speaker 1: And so they're telling us there's something wrong with us 797 00:46:02,239 --> 00:46:05,279 Speaker 1: because we don't look or act a certain way. But 798 00:46:05,360 --> 00:46:07,759 Speaker 1: then they can sell your solutions to fix it. So 799 00:46:07,880 --> 00:46:11,840 Speaker 1: there's this in this anxiety. Then we don't play together, 800 00:46:11,920 --> 00:46:14,400 Speaker 1: no words. In other words, we have electronic screens. But 801 00:46:14,440 --> 00:46:17,719 Speaker 1: we know the human brain develops through play. In play 802 00:46:17,840 --> 00:46:20,440 Speaker 1: is to the brain during the day, as sleep as 803 00:46:20,480 --> 00:46:22,520 Speaker 1: as dreams are at night to the brain. In other words, 804 00:46:22,560 --> 00:46:25,800 Speaker 1: you need play as an organizing principle. There's three dimensional 805 00:46:25,880 --> 00:46:30,240 Speaker 1: there's body language involved. But normal human development depends on play. 806 00:46:30,480 --> 00:46:33,560 Speaker 1: And guess what we're locking classrooms were being given a 807 00:46:33,600 --> 00:46:36,000 Speaker 1: lot of material to learn without the interact with other 808 00:46:36,080 --> 00:46:38,279 Speaker 1: human beings. So again, I don't only get to know 809 00:46:38,360 --> 00:46:41,920 Speaker 1: the causitive anxiety, but it's there. But again, when you 810 00:46:42,160 --> 00:46:46,760 Speaker 1: are not relaxing, interacting and regenerated, again, you're in constant threat. 811 00:46:46,800 --> 00:46:50,080 Speaker 1: Your body is on fire. And we know colitus is 812 00:46:50,160 --> 00:46:53,920 Speaker 1: through the ceiling, aut immune disorders through the ceiling. And teenagers, 813 00:46:54,160 --> 00:46:56,560 Speaker 1: the instance of chronic pain has gone up at least 814 00:46:57,520 --> 00:47:01,720 Speaker 1: in ten years, eight times a hundred set. So again 815 00:47:01,800 --> 00:47:03,399 Speaker 1: I went. I gave a lecture to the high school 816 00:47:03,440 --> 00:47:06,960 Speaker 1: in Seattle a few years ago. Now the fire students, 817 00:47:07,680 --> 00:47:10,239 Speaker 1: five of them, I'm sorry, three hundred of them were 818 00:47:10,280 --> 00:47:12,759 Speaker 1: on chrome medications that the school knows how to give 819 00:47:12,760 --> 00:47:18,600 Speaker 1: them every day. Yea, So the thing is remember in 820 00:47:18,680 --> 00:47:22,439 Speaker 1: that promise. How about the words stress management? And would 821 00:47:22,440 --> 00:47:25,040 Speaker 1: you agree that the word stress is usually construed as 822 00:47:25,200 --> 00:47:30,799 Speaker 1: a psychological construct out of curstainment. Okay, it's not. It's 823 00:47:30,840 --> 00:47:34,920 Speaker 1: your bodies, it's your total bodies reaction to the environment. 824 00:47:36,760 --> 00:47:39,800 Speaker 1: And the stress that is the most stressful is the 825 00:47:39,880 --> 00:47:43,880 Speaker 1: stress that you can't control. Remember, there's the threat and 826 00:47:43,920 --> 00:47:47,080 Speaker 1: there's their stress response, and so you can't control most 827 00:47:47,080 --> 00:47:51,200 Speaker 1: of the things in your environment that are stressful because 828 00:47:51,480 --> 00:47:54,280 Speaker 1: again the most stressful are the stressful ones to electric 829 00:47:54,320 --> 00:47:57,319 Speaker 1: can control. But what you can do, you can learn 830 00:47:57,400 --> 00:48:00,880 Speaker 1: the tools and strategy to minimize that stress. Ress dropped 831 00:48:00,920 --> 00:48:05,200 Speaker 1: down the body's chemistry, remembering star just a sensation generated 832 00:48:05,239 --> 00:48:08,399 Speaker 1: by your elevated stress chemicals. The way you're decreasing, sorry, 833 00:48:08,400 --> 00:48:12,000 Speaker 1: you simply decreases stress chemicals and is the unconscious brain 834 00:48:12,080 --> 00:48:15,920 Speaker 1: process is about twenty million pers of information per second 835 00:48:16,360 --> 00:48:19,200 Speaker 1: compared to forty four zero open. The conscious brain is 836 00:48:19,239 --> 00:48:24,399 Speaker 1: twenty million and forty ratio. You can't control it, and 837 00:48:24,440 --> 00:48:27,280 Speaker 1: so you learned to process it and lower this stress 838 00:48:27,400 --> 00:48:34,520 Speaker 1: chemical response. That's how you thrive. Mm hmm, I have 839 00:48:34,680 --> 00:48:37,839 Speaker 1: my brain is going in right now because I find 840 00:48:37,880 --> 00:48:40,640 Speaker 1: this so fastening. Just our body's reaction. It's sort of 841 00:48:40,680 --> 00:48:44,560 Speaker 1: what you're saying to about UM stressing psychological I was 842 00:48:44,680 --> 00:48:47,480 Speaker 1: just thinking, um, if you've ever done any sort of 843 00:48:48,040 --> 00:48:52,200 Speaker 1: meditation practices, the first thing that you always do is 844 00:48:52,680 --> 00:48:55,240 Speaker 1: relax your shoulders. You do some deep breathing, and most 845 00:48:55,239 --> 00:48:57,759 Speaker 1: of the time I know for me, I do not 846 00:48:57,920 --> 00:49:00,640 Speaker 1: realize how clenched up my body is is, you know, 847 00:49:00,719 --> 00:49:03,239 Speaker 1: in response to maybe how I'm going about my day 848 00:49:03,239 --> 00:49:05,920 Speaker 1: and the stress that I'm dealing with, or even the anxiety. 849 00:49:06,000 --> 00:49:08,480 Speaker 1: And so it's just interesting to think that we're just 850 00:49:09,040 --> 00:49:12,440 Speaker 1: a little bit out of touch with our body's response 851 00:49:12,760 --> 00:49:16,279 Speaker 1: to all of these things. Well, what I find, you know, 852 00:49:16,760 --> 00:49:19,920 Speaker 1: I'm working with the ductor Stephen port Is, who has 853 00:49:19,960 --> 00:49:22,680 Speaker 1: not become a friend of mine with his poly vegal theory, 854 00:49:22,880 --> 00:49:24,839 Speaker 1: and what I just didn't realize that, For instance, when 855 00:49:24,880 --> 00:49:29,440 Speaker 1: you do a deep breathing exercise, your slow exercise, slow breathing, um, 856 00:49:29,560 --> 00:49:33,800 Speaker 1: what you're doing, you're directly stimulating the parasympathetic nervous system 857 00:49:33,880 --> 00:49:36,600 Speaker 1: through the veggest nerve that actually flat out drops down 858 00:49:36,600 --> 00:49:39,560 Speaker 1: the inflamatory markers. And that's one of those socitions from 859 00:49:39,560 --> 00:49:43,280 Speaker 1: the covert crisis. You have the sympathetic responsive inflavatory markers, 860 00:49:43,800 --> 00:49:46,760 Speaker 1: but the parasympathetic nervous system, where the biggest nerve actually 861 00:49:46,800 --> 00:49:50,160 Speaker 1: flat out is anti inflammatory. So resist deep breathing and 862 00:49:50,200 --> 00:49:54,320 Speaker 1: slow breathing recruits the biggest nerve. Humming vibration in the 863 00:49:54,360 --> 00:49:56,360 Speaker 1: back of your throat stimilize the biggest nerve if you 864 00:49:56,480 --> 00:50:00,200 Speaker 1: breathe through your nose increases the levels of oxytosa by 865 00:50:02,560 --> 00:50:05,680 Speaker 1: and what happened and actually Tellsen is strongly in templeamentory 866 00:50:05,680 --> 00:50:08,640 Speaker 1: as well as the social bonding molecule. And we always 867 00:50:08,680 --> 00:50:11,280 Speaker 1: think in ax tells in terms of lactation and pregnancy 868 00:50:12,320 --> 00:50:15,759 Speaker 1: is one of the oldest molecules in the body. And 869 00:50:15,880 --> 00:50:18,680 Speaker 1: Dr Portner's wife, Sue Carter is one of the international 870 00:50:18,680 --> 00:50:22,600 Speaker 1: experts in a chosen and actually Tellsen, maybe the hormone 871 00:50:22,640 --> 00:50:25,680 Speaker 1: we're looking for is why social connection is so effective 872 00:50:25,760 --> 00:50:28,600 Speaker 1: for chronic pain. And by the way, as far as 873 00:50:28,600 --> 00:50:32,879 Speaker 1: going back to the epidemic of anxiety, of Americans are 874 00:50:32,920 --> 00:50:37,279 Speaker 1: socially isolated, which creates the same symptoms as chronic pain. 875 00:50:37,960 --> 00:50:40,600 Speaker 1: And the highest level social isolation, by the way, are 876 00:50:40,840 --> 00:50:45,880 Speaker 1: people in their twenties. Yep, there's a big signal studies 877 00:50:45,880 --> 00:50:48,160 Speaker 1: that in two thousand eighteen that did a huge survey 878 00:50:48,160 --> 00:50:53,520 Speaker 1: of twenty people and percent of Americans and every city, county, 879 00:50:53,640 --> 00:50:58,480 Speaker 1: small town, village were socially isolated. But the highest problem 880 00:50:58,719 --> 00:51:01,839 Speaker 1: was that kids, I'm sorry, people in their twenties. They 881 00:51:01,880 --> 00:51:04,359 Speaker 1: felt that they felt that social isolation had the same 882 00:51:04,400 --> 00:51:09,640 Speaker 1: effect on your health as smoking about fifteen cigarettes per day. Wow. Really, 883 00:51:10,440 --> 00:51:12,799 Speaker 1: I can't get over the twenties some things. What are 884 00:51:12,840 --> 00:51:16,640 Speaker 1: they doing? Why are they so isolated? Well, I don't know. 885 00:51:16,760 --> 00:51:19,440 Speaker 1: I think the electronics permitted difference. I think that they're 886 00:51:19,560 --> 00:51:22,880 Speaker 1: so much demanded as far as homework and accomplishments, and 887 00:51:23,440 --> 00:51:26,000 Speaker 1: that I'm noticing. Also, first of all, the other thing. 888 00:51:26,280 --> 00:51:28,080 Speaker 1: Let me just step back for a second. So I 889 00:51:28,160 --> 00:51:31,440 Speaker 1: love working with people in their teens and twenties and 890 00:51:31,520 --> 00:51:35,360 Speaker 1: thirties because their brains are very neuro plastic. It changes quickly. 891 00:51:35,920 --> 00:51:38,040 Speaker 1: I can only tell you that when someone there stands 892 00:51:38,840 --> 00:51:42,160 Speaker 1: that anxiety is necessary, is powerful, You're not gonna not 893 00:51:42,239 --> 00:51:44,360 Speaker 1: going to control, but you learn how to work with that. 894 00:51:45,120 --> 00:51:49,000 Speaker 1: This came out. Your brain physically changes structure, but your 895 00:51:49,000 --> 00:51:51,200 Speaker 1: brains are so much more neural plastic and change so 896 00:51:51,320 --> 00:51:53,520 Speaker 1: much work quickly at that age. So we just have 897 00:51:53,719 --> 00:51:56,799 Speaker 1: studying results very very quickly, and people in that age 898 00:51:56,840 --> 00:52:00,680 Speaker 1: group is wonderful. Well, it's interesting as we kind of 899 00:52:01,200 --> 00:52:03,279 Speaker 1: we got off on a tangent of anxiety because I'm 900 00:52:03,280 --> 00:52:05,399 Speaker 1: fascinated by this too. But um, we were talking about 901 00:52:05,440 --> 00:52:09,200 Speaker 1: the COVID stuff, and earlier you mentioned to me in 902 00:52:09,239 --> 00:52:12,680 Speaker 1: the treatment. For even the patients and I see you, 903 00:52:13,200 --> 00:52:16,840 Speaker 1: one of the main things that was probably inhibiting their 904 00:52:16,880 --> 00:52:20,759 Speaker 1: healing was the isolation. And I said to you that 905 00:52:21,080 --> 00:52:24,799 Speaker 1: during the part where I had COVID, that was the 906 00:52:24,840 --> 00:52:27,839 Speaker 1: hardest part for me, being separate from everyone, and even 907 00:52:27,840 --> 00:52:30,839 Speaker 1: people's reaction to you when you have COVID, it's kind 908 00:52:30,840 --> 00:52:33,040 Speaker 1: of like, oh god, oh gosh. You know that nobody 909 00:52:33,080 --> 00:52:36,680 Speaker 1: wants to be around it right now, I understand, but um, 910 00:52:36,760 --> 00:52:40,239 Speaker 1: that was so hard. The physical part was so much 911 00:52:40,280 --> 00:52:43,880 Speaker 1: easier to get over for me than the emotional aspect 912 00:52:43,920 --> 00:52:47,839 Speaker 1: of just being isolated. So that's so, what do you 913 00:52:48,160 --> 00:52:50,400 Speaker 1: tell um the listeners what you told me about that 914 00:52:50,640 --> 00:52:55,080 Speaker 1: that I see you patients and your recommendations. Well, I mean, 915 00:52:55,480 --> 00:52:57,560 Speaker 1: part of the poem is is that you the mask 916 00:52:57,719 --> 00:53:00,640 Speaker 1: also solid. Dutr part disappoints said, you can't see most 917 00:53:00,680 --> 00:53:04,720 Speaker 1: people's facial expression and they're already uses it is called corregulation. 918 00:53:04,760 --> 00:53:06,920 Speaker 1: In other words, if I meet you, I'm assuming you're 919 00:53:06,920 --> 00:53:10,200 Speaker 1: a nice person. So my para sympathetic nervous system takes 920 00:53:10,239 --> 00:53:12,160 Speaker 1: in the gear to say things are safe. Is how 921 00:53:12,239 --> 00:53:16,160 Speaker 1: mammals interact with each other where reptiles don't, and so 922 00:53:16,280 --> 00:53:21,360 Speaker 1: facial expression causes corregulation, but carbonation the mask is a 923 00:53:21,400 --> 00:53:25,319 Speaker 1: big problem. Then in the I See You, people are isolated. 924 00:53:26,080 --> 00:53:27,880 Speaker 1: And what I don't understand, this is part of our 925 00:53:27,960 --> 00:53:31,080 Speaker 1: Plan B solution, is that look, okay, you need human 926 00:53:31,160 --> 00:53:35,439 Speaker 1: contact to stumulate the para sympathy nervous system isolate people 927 00:53:35,440 --> 00:53:37,520 Speaker 1: in the I See You. So we're giving cues of 928 00:53:37,600 --> 00:53:41,640 Speaker 1: the threat, not safety. But if you're if you're in 929 00:53:41,719 --> 00:53:44,759 Speaker 1: the I c U, you're already at zero risk of 930 00:53:44,840 --> 00:53:47,520 Speaker 1: getting the virus because you already have it. You're almost 931 00:53:47,520 --> 00:53:49,640 Speaker 1: at zero risk for shading it. Other Ways, you get 932 00:53:49,680 --> 00:53:51,279 Speaker 1: a couple of negative cultures in the I s U. 933 00:53:52,200 --> 00:53:54,000 Speaker 1: Most of the times, by the time people are sick 934 00:53:54,320 --> 00:53:56,000 Speaker 1: at the point of going to I See You, they're 935 00:53:56,040 --> 00:53:59,399 Speaker 1: ques shading the virus and not contagious anymore. So why 936 00:53:59,440 --> 00:54:01,640 Speaker 1: are we not lowing families to see patients in the 937 00:54:01,760 --> 00:54:05,160 Speaker 1: I See You? Because it's it's not just for the 938 00:54:05,280 --> 00:54:09,200 Speaker 1: families social situation, but also it's a healing factor again 939 00:54:09,280 --> 00:54:14,480 Speaker 1: not psychological. You're directly stimulating the biggest nerve with social contact. 940 00:54:15,000 --> 00:54:19,280 Speaker 1: It's a major healing factor. I buy into that because 941 00:54:19,400 --> 00:54:22,040 Speaker 1: I mean, I told you I was isolated, and then 942 00:54:22,080 --> 00:54:23,800 Speaker 1: we found out my boyfriend had it, and so we 943 00:54:23,920 --> 00:54:27,120 Speaker 1: were able to just be around each other and now 944 00:54:27,200 --> 00:54:30,839 Speaker 1: we're both fine. Like it helped so much. I mean, 945 00:54:30,920 --> 00:54:33,160 Speaker 1: I'm sure there was a lot of other factors, but 946 00:54:33,480 --> 00:54:35,920 Speaker 1: it did the healing process seemed like for us, it 947 00:54:36,040 --> 00:54:39,520 Speaker 1: happened pretty quickly, and I was doing a lot of 948 00:54:39,600 --> 00:54:42,680 Speaker 1: your I did the expressive writing, I've been meditating, and 949 00:54:42,800 --> 00:54:46,080 Speaker 1: all of those things I do believe physically helped me 950 00:54:46,400 --> 00:54:52,160 Speaker 1: as well, which was just super fascinating to me. Absolutely no, 951 00:54:52,400 --> 00:54:55,200 Speaker 1: I mean, the human connection is a major factory and healing. Also. 952 00:54:55,840 --> 00:54:58,120 Speaker 1: Dr Party's point out how we we're seeing more violence 953 00:54:58,600 --> 00:55:02,520 Speaker 1: both domestically in the streets. Again, when you don't coregulate, 954 00:55:02,560 --> 00:55:04,920 Speaker 1: other words, you not interact with other people and calming 955 00:55:04,960 --> 00:55:07,920 Speaker 1: down supers our nervous system, then people get violent. They 956 00:55:08,000 --> 00:55:10,400 Speaker 1: go and see what happens when you go into this 957 00:55:10,600 --> 00:55:14,520 Speaker 1: defensive fight or flight mode. Then the blood supply to 958 00:55:14,600 --> 00:55:17,280 Speaker 1: the frontal lobe of your brain, which is the thinking centers, 959 00:55:17,320 --> 00:55:20,640 Speaker 1: actually goes offline. You don't even have unity, you can't 960 00:55:21,120 --> 00:55:24,480 Speaker 1: think properly because the blood supply to that party brain 961 00:55:24,560 --> 00:55:30,840 Speaker 1: is actually shut down. Wow, so you're just reacting correct 962 00:55:31,400 --> 00:55:37,200 Speaker 1: disregulated nervous system and the violence systemf is predictable. Gosh, well, 963 00:55:37,239 --> 00:55:40,640 Speaker 1: I am so happy to get this conversation. UM. I 964 00:55:40,840 --> 00:55:46,080 Speaker 1: definitely think I've bought into just the emotional connection between 965 00:55:46,800 --> 00:55:51,600 Speaker 1: our body's responses to life and and just what's happening inside. 966 00:55:51,719 --> 00:55:54,960 Speaker 1: But I'm so happy that it's coming from a doctor 967 00:55:55,160 --> 00:55:58,800 Speaker 1: and a surgeon who used to operate or used to 968 00:55:58,880 --> 00:56:02,480 Speaker 1: be known for operations, and now you're just completely changing 969 00:56:02,600 --> 00:56:04,520 Speaker 1: the way that that has written. And I just love that. 970 00:56:04,760 --> 00:56:07,759 Speaker 1: So the books that week that people can go find 971 00:56:07,880 --> 00:56:10,640 Speaker 1: details about your journey and just kind of what you 972 00:56:10,719 --> 00:56:13,120 Speaker 1: suggest maybe if you're in chronic pain or dealing with 973 00:56:13,200 --> 00:56:16,800 Speaker 1: back surgery issues would be back in control? Do you 974 00:56:16,920 --> 00:56:19,960 Speaker 1: really need spine surgery or the two? Um? And then 975 00:56:20,000 --> 00:56:24,800 Speaker 1: where else can people find you? Well, I just called 976 00:56:25,080 --> 00:56:29,040 Speaker 1: the doc Journey on the then d oc journey dot com. 977 00:56:29,840 --> 00:56:33,919 Speaker 1: There's a series of emails, webinars, question and answer period, 978 00:56:33,920 --> 00:56:37,120 Speaker 1: but also an abb that takes you to Much is 979 00:56:37,160 --> 00:56:41,200 Speaker 1: designed to create these safety experiences based on our workshops, awareness, whole, 980 00:56:41,200 --> 00:56:45,200 Speaker 1: forgiveness and play and so it's been released last week. 981 00:56:45,280 --> 00:56:48,520 Speaker 1: We're excited about it. It's a much more screenline way 982 00:56:48,520 --> 00:56:50,719 Speaker 1: of getting through the evolutionary of steps that you need 983 00:56:51,360 --> 00:56:55,359 Speaker 1: called the doc journey dot com. And again I think 984 00:56:55,400 --> 00:56:57,320 Speaker 1: I'm so excited about and that's why I quit my 985 00:56:57,440 --> 00:57:02,480 Speaker 1: practice is that it is so it's disturbingly simple to react. 986 00:57:02,520 --> 00:57:05,200 Speaker 1: How much you can do for yourself is very self directive. 987 00:57:06,000 --> 00:57:08,120 Speaker 1: And that's why we think from a public health standpoint 988 00:57:08,200 --> 00:57:11,080 Speaker 1: that we've got to get this diagnosis of anxiety correct 989 00:57:11,200 --> 00:57:13,920 Speaker 1: of not being psychological but a response to a threat, 990 00:57:14,719 --> 00:57:17,200 Speaker 1: because it really just effectually we treat each other both 991 00:57:17,360 --> 00:57:21,640 Speaker 1: personally as a family in society. So that's my biggest 992 00:57:21,640 --> 00:57:24,080 Speaker 1: semester said, look, you've got to get this diagnosis right. 993 00:57:24,520 --> 00:57:26,680 Speaker 1: You've got to get to the root cause of disease 994 00:57:27,040 --> 00:57:31,240 Speaker 1: otherwise we're going to continue to become more and more sick. 995 00:57:33,560 --> 00:57:36,439 Speaker 1: And where can people find the plan A the Thrive 996 00:57:36,520 --> 00:57:39,720 Speaker 1: and Survived covid? Is that on the back and Control 997 00:57:39,800 --> 00:57:42,920 Speaker 1: dot com or on doc journey dot com. Yeah, some 998 00:57:42,960 --> 00:57:45,600 Speaker 1: of the website. So the website now is Dr David Hanscomb. 999 00:57:45,880 --> 00:57:48,840 Speaker 1: The word we change, so okay, the website is Dr 1000 00:57:48,920 --> 00:57:51,720 Speaker 1: David Hascom and you can access everything including the Apple 1001 00:57:51,800 --> 00:57:55,880 Speaker 1: on the website David Hascom and we are switching switching 1002 00:57:55,960 --> 00:57:57,720 Speaker 1: that over this week. That's why it's a little bit 1003 00:57:57,720 --> 00:58:02,400 Speaker 1: of a little different website. But they can access the planning. 1004 00:58:02,600 --> 00:58:06,360 Speaker 1: They can also access Plan B here shortly, and we 1005 00:58:06,560 --> 00:58:10,200 Speaker 1: think the pandemic is solvable right now as existing resources 1006 00:58:10,280 --> 00:58:14,440 Speaker 1: which plan be um. But yeah, there's surely things you 1007 00:58:14,440 --> 00:58:18,320 Speaker 1: can do to minimize your chances of mortality, you know, 1008 00:58:18,480 --> 00:58:20,600 Speaker 1: by just taking care of taking care of your own 1009 00:58:20,640 --> 00:58:24,640 Speaker 1: inflammatory markers. Yes, that was a fascinating part of that 1010 00:58:24,720 --> 00:58:27,920 Speaker 1: whole The whole thing to me is just inflammation, and 1011 00:58:28,120 --> 00:58:30,720 Speaker 1: I keep hearing that that's the root cause of all disease, 1012 00:58:30,800 --> 00:58:33,120 Speaker 1: and so being able to look at ways to actually 1013 00:58:33,240 --> 00:58:36,080 Speaker 1: target the things that are causing the inflammation in your 1014 00:58:36,120 --> 00:58:43,080 Speaker 1: body is just extremely helpful. So yeah, so I'm excited 1015 00:58:43,120 --> 00:58:44,200 Speaker 1: to be able to talk to you and sure some 1016 00:58:44,240 --> 00:58:46,480 Speaker 1: of these ideas. Obviously, I quit my practice. I felt 1017 00:58:46,520 --> 00:58:48,200 Speaker 1: so strongly about this. It's just hard to me to 1018 00:58:48,200 --> 00:58:50,680 Speaker 1: watch that we people go to pain free, you know, 1019 00:58:50,800 --> 00:58:53,600 Speaker 1: the people can injure so quickly. Um, So the difference 1020 00:58:53,720 --> 00:58:57,400 Speaker 1: became just too much for me. It's why I quit. Yes, well, 1021 00:58:57,480 --> 00:58:59,520 Speaker 1: Dr Hanskin, thank you so much for being here, and 1022 00:58:59,560 --> 00:59:02,280 Speaker 1: you guys go check out all of the websites that 1023 00:59:02,320 --> 00:59:03,880 Speaker 1: we mentioned. I'm also going to put those in the 1024 00:59:04,040 --> 00:59:07,160 Speaker 1: bio of in the description of this podcast, so you 1025 00:59:07,200 --> 00:59:09,600 Speaker 1: guys can just click through to find all of Dr 1026 00:59:09,640 --> 00:59:13,400 Speaker 1: Hanscom's books, all of these websites. Thank you again so 1027 00:59:13,560 --> 00:59:15,680 Speaker 1: much for being here, and thank you guys for listening.