connecting throat and heart
TRANSCRIPT
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Connecting
Throat & Heart
Bradford S. Weeks, M.D.
www.weeksmd.com
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The Purview
of theDentist
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Etiology:
“ If it weren’ t for we dentists,
you medical doctors
would have nothing to do…”
Hal Huggins, DDS-personal correspondence, 1988
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“ I treat contraction
problems of the head and neck….”
Dr. Farrand Robson
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Changing Responsibilities
Changing professional landscape
Confusion about responsibilities
Dentist can make a sleep apnea appliance but justcan’t diagnose the disease
Benign snoring
TMJ Headache
What else?….
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Opportunity out of chaos.
Diagnostic criteria Name calling
No need for dentists to be
co-opted into the medical model.
Use YOUR paradigm!
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Live in hypothesis and balancethe system of oral function.
“I am only surprised
every day.”
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Hypothesis:
If the system is wise,
well-designedand self-correcting,
then all (pathological) muscle
contraction is done to maintainthe throat.
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Compensatory
Conditions
Consequentto
Choking!
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Posture breakdown
Forward Head Posture
Fibromyalgia
Chronic Fatigue
Myriad Pains – neck, shoulder, hip, back
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How do you know if
you are a pioneer?
A shifter of paradigms?
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The pioneer
is the one with the
arrows in his back.
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Fearfully and
Wonderfully Made
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How do you know if you are a pioneer?
A shifter of paradigms?
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…The pioneer
is the one with the
arrows in his back.
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What do dentists treat?
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Do you treat….
teeth or people?
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Do you treat….
pain or suffering?
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Do you care?
“Compassion” derives from
the words meaning“to suffer with”
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Why are we caregivers?
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I believewe are on earth
to learnhow to
love each other.
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Loveis only love
if givenfreely.
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Freedom requires
no compulsion
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Dis-ease or imbalanceis quite….
“compelling”.
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We care in order
to help people
be free
in order to love.
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“Get out of your
own way.”
LA bumpersticker
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“ Try to relax”
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The Default Human Emotional State
…feelings of warmth
…feelings of lightness (love)
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How to care for
people
(including patients).
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“ Primum non
Nocere”
First, do no harm.
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When in doubt,
ask
the patient.
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Be
before youdo.
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Non-verbal messages
are more powerful
than verbal messages.
E t t?
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Eye contact?
Tone of voice.. monotone?
Defensive (arms crossed)?
Use of personal space?
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Space between the notes.
Pauses …“ hmmm
”
OK to reflect and search.
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Lessons from Tibet:
Priest before doctor
Reward for the “ top” Noviciate
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Lesson:
Stand for something.
Bring something to the party.
Have a hypothesis to test.
T hi h h i
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Test this hypothesis:
touch back teeth lightly togetherand pull chin to chest.
How’s breathing compared to:
let relaxed mouth fall open
thrust jaw forward
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Looking over God ’s shoulders…
How things work
vs.how to work things.
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Listen to patient (not their myths)
vs.
Watching the patient (coaching them to pay attention
to physiology)
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Co-discovery with patient
vs. discussion of beliefs.
(Scientific vs. belief-based
process)
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Teach the patient how to observe
and consider their healthexperiences.
…Leading the witness.
…Challenging their paradigm.
Thi i
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This is
Empowerment
Service
& Love
d
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and….
the benefits aremutual!
- no burnout
(exhaustion yes… but not
dis-spirited!)
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Return to Ortho
(a correct relationship)
vs.
Suppressive Therapy
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What is Orthomolecular?
Imagine sitting on a park bench and gettinga splinter. Up come two doctors, one withpain medications and one with tweezers.
The doc offering to remove the splinter anddressing the wound (perhaps with rawhoney) is the orthomolecular doctor.
“…using the correct molecules in thecorrect dosage…” Linus Pauling, Ph.D.
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Who and what are
we treating?
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working with vs. on people
talking with vs. to people
making love with vs. to someone
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“ Treat people as you want
them to become
and you help them to
attain that state.”
…Goethe
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Human beings
vs.
human becomings.
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Change, growth and
reattainment of healthonly happens in the moment
when people are connected
to the present.
Lead people down the path of perception before conception.
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“
ORTHO”
according to the plan…
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Ortho…
- Spirit
- Soul
- Etheric
- Physical
Structure
Molecular (Drs. Hoffer, Pauling et al)
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“Inventory Control”
Spirit - decision - values - constant
Soul - feelings – passion - changeable
Life force - etheric - chi -biorhythms
Physical Body - matter – substance - biochem
“There is no matter without spirit andthere is no spirit without matter.”
Dr. Rudolf Steiner
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A Violin Recital needs:
A violin - the instrument (physical body)
Someone to tune the violin (etheric body)
Someone who enjoys playing music (the soul)
Someone who once created a sonata or who can
improvise extemporaneously (the spirit)
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A Successful Sailing Voyage
Requires:
A Boat (the physical body)
Calk for the wood and patches for the sail(the etheric or regenerative body)
Wind which is changeable (the soul)
A Rudder to stay the course despite changes
in wind and weather (the spirit)
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Spirit
Not necessarily what church one attends.
Who do you see in the mirror?
What do you stand for?
What are you committed to? What would you fight for?
What do you want on your tombstone?
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“What virtually all cancer survivors,
particularly the ones that had beenundergoing conventional therapies,
have in common is that they had
a purpose to their lives with goalsthey absolutely needed to achieve,
…….no matter what.”
A.H. Sartori, M.D.
personal correspondence 2-04
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Soul Body
Soul Food
Inconstant
Depleting
Catabolic
Burning the candle (at both ends!)
Dominant when awake
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“ We term sleep a death;
and yet it is waking that kills
us, and destroys those spirits
that are the house of life.”
Thomas Browne , 1643
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Etheric Body
Chi
Rhythm
Restorative
Regenerative
Anabolic
Waxing the candle
Dominant during sleep
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“ That we are not much
sicker and much madder than we are is due
exclusively to that most
blessed and blessing of all
natural graces, sleep” .
Aldous Huxley
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Physical Body
Structure and Molecule
Posture and Function
Tissue and Biochemistry
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Substance Inventory Control
Toxins / Stressors
Pollution
– Electromagnetic
– Heavy metals (Hg, Pb, As etc.)
– Pesticides (xenoestrogens)
– Air
– Water Hypoglycemia (popping the clutch)
Sleep disturbances
Addictive agents
Pharmaceuticals (if inappropriate)
The Daily News
Beneficials
Oxygen
– Open Airway
– Exercise for cleansing
Water
– ½ your weight in ounces AWAY from
food
Nutrients
– Organic Food
– Supplements
– Enzymes
– Digestive Aids
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Orthomolecular
Medicine and Psychiatry Which is is?
-Trickle up (the part conditions the whole -ie. the molecules effect mood)
or
- Trickle down (the whole determines the part – ie. the mood effects the molecules)
Answer: both
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What is a diagnosis?
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To name something gives
comfort.
“ At least now I know what
is wrong…”
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All I knew was that
I felt pain in my joints
but now I know what ’s wrong.
I have “ Arthritis” .
(“ arthro” = joint “ it is” = pain)
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(Through the act of naming,we have dominion over things.
(Adam in Eden)
Order out of chaos
* does not always apply with parenting…
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Diagnoses Ameliorated
A Autism, Arthritis, Anxiety, ADHD, Apnea
B Bruxism, Bipolar disorder
C Cancer, Chronic Fatigue Syndrome D Depression, Diabetes
E Eczema,
F Fibromyalgia, Fatigue
G GERD (GE reflux)
H Headache,
I Insomnia,
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Diagnoses Ameliorated
Multiple Sclerosis
Neuropathies Arthritis
Parkinson’s Panic Attacks
Schizophrenia Snoring
Tourette’s Syndrome
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Because….
They are all just labels which werecompensatory efforts consequent toautonomic dysregulation;
Once the ANS is balanced, thecompensatory efforts (labels or diagnoses)
are no longer required to maintain oralfunctions (open throat)
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CARDIOVASCULAR AND
SLEEP-RELATED CONSEQUENCESOF TEMPOROMANDIBULAR
DISORDERS
NHLBI WORKSHOP
National Heart, Lung and Blood Institute NHLBI
NHLBI Division of Heart and Vascular Diseases DHVD
NHLBI National Center on Sleep Disorders Research NCSDRDecember 3-4, 2001 Bethesda, Maryland
FINAL REPORT
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ORAL SYSTEMIC BALANCE
Homeostasis
The equilibrium maintained by complex
biological mechanisms via the autonomic
nervous system to offset disrupting changes.
Oral Systemic Balance
The equilibrium between the mouth and the restof the body via the autonomic nervous system
needed to offset disruptive changes.
THE MOUTH AND JAW
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THE MOUTH AND JAW
IN NEUROMUSCULAR CONTROL
OF THE THROAT
Holds The Tongue
Maintain The Throat Supports The Ease of Oral Functions
– Breathing
– Swallowing
– Speaking
Are An Integral Part Of Homeostasis As They
Contribute To The Oral Systemic Balance.
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Doctor as Good Samaritan
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Doctor as Good Samaritan
At the side of the road…
(and while taking a history in the office),
remember your A, B, C’s !
Airway, Breathing, Circulation
True Diagnosis:
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g
Airway Obstruction…
“Choking” Etiology:
Corrective Dental Surgery (cleft palate) shrunk themouth leaving
“A 10 gallon tongue in a 5 gallon mouth”
LESSON: Choking causes autonomic dys-
regulation which manifests as medical andpsychiatric illnesses - check theairway…A,B,C’s!
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New Diagnosis:
“ Autonomic dysregulation
spectrum syndrome.”
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“Words are very precious.
”
Prayer vs. curse.
Sticks and stones
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The curse of thediagnostic label.
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The Word
Spirit and breather –
– this is same word in the bible
Psyche derives from the Greek word for breath
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Stayin’ Alive…..
Forward Head Posture
Epinephrine Effects – Fast cars, motorcycles, sky diving, stimulant drugs,
nicotine, caffeine…
Jaw Muscle Activity – Bruxism, TMJ, Tongue out
“It’ t lit t ti k
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It s not polite to stick your
tongue out!”
But it does get results…
Michael Jordan
Pete Sampras
Andre WattsBrad Weeks
Dogs
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Path to Knowledge
Perception
Magic of childhood Initial orientation
Data gathering
Creative
Conceptions
“growing up
”
Education
Data systemization
Organization
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The Balancing Act
“I’ll believe it
when I
see it…..” “I’ll see it
when I believe it…”
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What
is thisdog doing?
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What
is this dogdoing?
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Parental Challenges
Tongue thrust -> buck teeth
- push tongue back in mouth with spoon
- suck on hard candy atop the hard palate
- braces
- retainers
- crowns (and later… dentures!)
Remember: the tongue forms the teeth and 48% of the sensory cortex can’t be all wrong
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ADHD
Elimination of dairy, wheat, corn, yeast,soy, citrus, egg, chocolate, peanuts,artificial colors, and preservatives) after just
two weeks, 73% of children responded
favorably as measured by the Conner Parent
Rating Scale. The Annals of Allergy, Vol. 72, May 1994
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MOA for Food Allergies
Brain Edema?
Immune Up-regulationIncreased heart rate ?
(pulse test)
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MOA Food Allergies
Choking?
– Vascular tongue bathed in an
allergen becomes edematous andswells…. Nowhere to go but back
and down into the throat against the
trachea obstructing airway -->
Agitation!
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Systemic Edema associated with
Headaches
PMS
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States of Agitation
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States of Agitation
Schizophrenia
ManiaPanic Attacks
ADHDDepression
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Unhappy Tongue and Airway
Can Disrupt and Impair the Nervous
System Coordination:
– Sensory Systems
– Autonomic Function
– Motor Output
– Sleep Architecture
Oral Systemic Balance
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Oral Systemic Balance
Homeostasis
– The equilibrium maintained by complex
biological mechanisms via the autonomicnervous system to offset disrupting changes.
Oral Systemic Balance
– The equilibrium between the mouth and the
rest of the body via the autonomic nervous
system to offset disruptive changes.
Orthomolecular Benefits of
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Orthomolecular Benefits of
Opening the Airway
Increased oxygenation of blood
- less hospitable for cancer- restoration of optimal blood pH
Optimization of enzymatic activity
- less need for supplements Access to stage 3, 4 restorative and
regenerative SLEEP
Hoffer’s Oxidative Theory of
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Hoffer s Oxidative Theory of
Psychosis Adrenalin
Adrenochrome Dihydroxyindole (OK)
or
Adrenolutin (sick)
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Four ways of treatingschizophrenic patients
through reduction of
endogenous hallucinogens:
adrenochrome and adrenolutin.
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1) reduce adrenolutin (Rx ceruloplasmin)
2) convert adrenochrome into dihydroyxindole
(Rx penicillamine)
3) decrease production of adrenochrome (Rx
antioxidants: vitamin C and glutathione and
chelating the copper ions with penicillamine)
4) reduce the formation of adrenalin (Rx
“There are no effective ways of doing this”).
Orthomolecular Benefits of
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Orthomolecular Benefits of
Opening the Airway (2)
Given:
– Less stress -> less adrenalin -> less
adrenochrome-> less adrenolutin
Why not reduce stress by removing “the cork in
the throat” via dental appliance or sticking your
tongue out!
P i f S i l M h i
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Primacy of Survival Mechanisms
Hierarchy of function
Hyoid bone center of the universe
Tongue coming up in mouth
Impact of tongue on palate
Cranial symptoms with how one changes pressure When we isolate orally the things that produce
muscle contraction
"If aliens don't exist and if the
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government has no knowledge of
aliens, then why does Title 14,Section 1211 of the Code of Federal
Regulations, implemented on July
16, 1969, make it illegal for U.S.
citizens to have any contact with
extra-terrestrials or theirvehicles?" Alien Abduction Patient
It is far easier to take
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It is far easier to take
measurementsthan it is to know
what it is we are
measuring.
Paracelsus Oath:
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This is my Vow:
To perfect my medical art and never to
swerve from it so long as God grants me my office,
and to oppose all false medicines and teachings.
Then to love the sick, each and all of them, more
than if my own body were at stake. Not to judgesuperficially, but by symptoms, nor to administer
any medicine without understanding, nor to
collect any money without earning it. Not to trust
any apothecary, nor to do any violence to anychild. Not to guess, but to know.
Paracelsus 1493 - 1541
“ U thi ift d i it d k h
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…Upon this gifted age, in its dark hour,
Rains from the sky a meteoric showerof facts . . .
they lie unquestioned, uncombined.
Wisdom enough to leech us of our illis daily spun, but there exists no loom
to weave it into fabric …”
- Edna St. Vincent Millay
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REMEMBER A B C’
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REMEMBER your A, B, C’s
Airway,
Breathing
&
….Cleep
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Stress problem caused byrela ing that goes a a
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relaxing that goes away
under stress
Separate Observations from
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p
Conclusions
The only thing the patient can
Stress is an opinion about the origin of the
adrenalin feeling Relaxation
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A life in reaction to painvs.
A life of freedomTo love).
Interview Process:
Main purpose of the interview is to give them an awareness and a control so thwy can be the authority on how they feel.
Posture change and all these on edge adrenalin feelings.
My bias is that all these adrenalin feelings are from physical causes and not psychological.
Every doc disagrees
Some of the interview sounds like I am practicing
Fi d h h i l i i f h d li
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Find the physical origin of the adrenalin
God has us wired to learn how to feel better.
I am sure you’ve noticed that when you are hurting you are also more on edge.
Sure you won’t be surprised to find out that what is causing the pain is also causing the adrenalin feelings.
You think all the time (adrenalin driven – it runs you.)
do you like fresh air or do you love it. Relax and feel less on edge.
We can adrenalin feeling s tensity (non psychological words)
I bet I can cause those adrenalin feelings in you.
How would it feel if I suggested giving you sedatives and sleeping pills.
(Upset - I thought this place was different.)
Wait didn’t I tell you I would cause adrenalin feelings.
Stories are survival techniques. It is one way for the body to ignore its symptoms.
Pushing survival buttons.. So keep things light.
What happens with sedatives? Tongue relaxed and back down throat.
Choke! Relax with caffeine = breathing.
Doc says not to have it because it makes you nervous and you relax with it and breathe better
and it is OK for premature infants but not for you?…
Suicidal:
When did you give up trying to get well.
You are lying vs. you are a liar.
Suicidal - self-directed responsible people – not victims.
Suicidal people are those people who are thinking about doing something about it – being responsible vs. being victims.
Survival Conversation:
You are a pretty intense person.
You manage things well but how does it feel inside?
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You manage things well but how does it feel inside?
I’ll bet you have two speeds: go go do do OR collapse. Not much in between.
I’ll bet there are times you go home sit down and try and relax and you have to get up and do things.
Race cars, rock climbing: Adrenalin from exogenous source, muscle contraction, nerve function and breathing better.
Sit in corner of public place? Can’t sit down – I’ll fall asleep. If I wanted to kill you, I’d lie you on the beach for a month – no shopping.
In other words I am right, when you relax you get the adrenalin feeling.
You are a controller eh? Doesn’t the world around go according to
your way. I control myself.
What are you trying to control?
I’ll give you a clue.
How does it feel when things are out of control (adrenalin feeling)?
Same adrenalin feeling that goes up and down with your pain…How do you do when you are under stress… “great”
There is a level of activity busy doing its that you thrive on.
How is it when I come and stand in front of you and ask stupid feelings – not the socks but I distracted them and here comes the adrenalin.
It takes a lot of energy to run and manage a body.
Distraction is really stealing energy that you need to control your own bodies.
I will also sugges that when you do your controlling what you really control is THAT LEVEL OF DISTRACTION so that you can breathe and manage
airways.
Say the word sedative and your body makes adrenal and you relax with a bit of stress
(coffee). Stress problem, well except when you are under stress then you are fine.If this were really psychological, the more we dump on you
What kind of stress is this?
Treatment: relaxation but you told me that relaxation
makes you worse. Stress is an opinion about the origin of an adrenalin feeling.
Separate adrenalin feelings from psychological stigmatized words.
We are analyzing their feelings - physiology vs psychology.
The problem with science is the things we know that are untrue.
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Asthma – throat closes and I can’t breathe.
Asthma in throat??Hyperventilating but you can’t get air in. Panic attackwhen relaxed or distracted. Anxiety feeling inability to
breathe tightness in chest.
What is your expereince… don’t talk aboutbronchioles… give me your experience.
heartburn
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heartburn
Thightness of chest
Sleepy yawny in the day
Broad area of tongue about the back of thethroat gives heartburn
Desaturate with O2
Gag is tongue up and bothering uvula withconstriction of 2nd molar.
IBS - TMJ related situation.
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Anorexia /Bullemia autonomic
Crohn’s disease vs. yeast Stress is the stuff you get when you relax…
Tight throat – clean epiglottal reflex
Airway vs pharynx (between uvula and epiglottis)
oral pharyneal dysfunction
swallow pills – one function at a time
vs choke on food in restaurant
disturbing dreams result from choking, raising adrenalin and
Stage 1, 2 thinking dreamStage 3 ,4 more vivid
Insomnia:
Sighing or gasping for air;
JOB 1: take the psychostupidity away from my patients
kill psych Dx so they can get well;
Bruxism – am headache
Nausea Car sickness pregnancy
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Hierarchy of pressure against the uvula.
gaggy
nausea
sinus congetiongeniohyoid reflex opens throat
colds, nasal congestion – tongue against softpalate;
raspy throat “smoker’s rasp”
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