Obstacles to Cure – Functional Medicine Back to Basics

Hello again for those of you who have not watched this, I’m dr. Martin Rutherford. I am a certified functional medicine practitioner, author of the book power, health back to basics and a clinic director here and clinician at power, health, rehab and wellness in Reno Nevada, and this is the third in a series that we are presenting that we have just decided.

We are going to call functional medicine back to basics and if you haven’t seen the previous two, you can look on power. He’ll talk comm and bring them up. The first one was called whack-a-mole medicine versus classic functional medicine.

The second one will be probably called the intro to back to basics on functional medicine and it’s back to basics. Because, again, I explained in those that there is a there’s, a certain therapeutic order to the way you go about the type of patient who’s coming into offices today.

Frankly, that patient is is mostly autoimmune. Patients and those are patients that may or may not be aware that they’re in some sort of a chronic stress cycle and those two aspects of chronic conditions which is normally what comes in through our office.

They’re, the they’re kind of the core factors around which you need to build a functional medicine, therapeutic order. If you go to a functional medicine practitioner and they are unaware what that therapeutic order is which some are or many, maybe the your treatment is going to fail.

If you are looking online – and you know so much of the things that I talked about or online, why didn’t, they work for you, this series over the period of maybe the next year or so is going to answer those questions.

And again, this is the series for those of you that you have five or six hundred hours line, telling us what our conditions are, but you, don’t tell us how to get better. This series is to answer that question as to why we can ‘

T tell you that, but it’s, going to give you pieces of data that some of you are going to use along the way, and you’re. Going to get better because your cases aren’t as complex, some of your cases are going to get a little bit better and and and hit a wall, and some of you are gonna.

Do the things I talk about. You’re gonna go you don’t know what you’re talking about, because because it’s, not helping me at all and and and and that last two groups are gonna, be because maybe You’re, not able to accomplish the therapeutic order that we talk about on your own.

So this is me just laying it out on. The line is what we do in the office, and and this week we’re, going to go into the what I call the first part of the therapeutic order. Now my notes in front of me, these are notes that I have taken.

These are notes that I’ve made to work with people. These are notes I’ve, taken from frankly the most alumina alumina Riis in the profession, many of whom I am just honored and humbled to know personally, and so this is, if you want the inside and the inside stuff.

This is this is where it’s. Coming from so we’re, going to talk about what ‘ S called the therapeutic order today and we’re, going to talk about the first part of the therapeutic order, which is removing obstacles to cure.

Now I don’t, particularly like the term cure, because you don’t cure. Auto immunities people are in post-traumatic stress, so you don’t necessarily get them a hundred percent out of it, but you can improve them enough, most of the time to where that person can live, a pretty normal life, and so I I don’t like the term cure, but obstacles the cure.

You’ll, get it as I go through this, and obstacles to cure are the things that you may not think about, or the doctor may not think about when they’re. When they’re working with the patient and they haven’t looked for those obstacles, the cure.

They may not realize that’s, what sabotaging their small intestinal bacterial overgrowth approach or their functional medicine approach to polycystic ovarian syndrome or whatever. It is because there are certain basics.

So the book was called back to basics. It was written a long time ago, but the reality is is this. I just looked at a case yesterday. It’s, a polycystic ovarian syndrome case. The case has been sitting there for a couple of years.

I got the opportunity to look at it. We it was clear that two major basics were skipped on this case and we went back to apply the first basics and four days later, this patient came to me and said I’ve had my first period in two years.

Didn’t know I had it walked in the ladies room. It was there, it wasn’t painful. It’s there and she had already been through functional medicine procedures without having had a change, because that practitioner skipped the basics for a lack of a better term.

So we’re gonna start with that today, in my world, my world, the basics, are handled in a consultation. I do consultations, I think functional medicine practitioners who don’t do consultations and take every patient that walks in the door.

Probably maybe doing patients a disservice, because there are some patients who just aren’t going to work, and you’re gonna find out who some of them are right now, some of the time it’s because those Patients have conditions that have gone too far; they just they’re.

Taking too many medications, I mean I’ve. Had people come in here, taking 20 medications will talk about medications when we talk when we walk through the history and how those play into functional medicine being successful or unsuccessful and where that line is drawn, and so basically there are.

There are a lot of things that will stop a person from getting well, though other than their poor physical condition or their their their physical condition. That maybe is, beyond the help of natural remedies being able to recruit their physiology to get better.

So this is the very first part of what we’re, going to call the therapeutic order as we walk through this. I always tell my patients. Functional medicine should be a very orderly procedure. Okay, it shouldn’t when you start feeling like you’re going.

Somebody says they’re practicing functional medicine and I feel like they’re like throwing spitballs at the wall or there. He came back from a seminar this weekend and we’re gonna try this on you this weekend.

That’s, not a good sign. Okay, because you that shouldn’t be the way that it is so. The therapeutic order starts with removing obstacles to care. Now some of them are going to be actual physiological obstacles and I’m gonna start with those, and now they’re, going to be obstacles that you might not have thought of.

Some might insult some of you, but but I’m just going to tell you that there that I’ve done doing this a long time. We get pretty consistently successful results, but we do screen our patients. When I say our results are consistently excellent and, and we have a high success rate, it is because we screen out these obstacles to cure and I don’t turn people away, but if these obstacles to cure there, I definitely let them know that They’re there, and this is why they might fail and if they decide to do the program, that’s, fine, but if they fail just this is gonna, be why you fail, and then it’s up to Them whether they want to do the program or not, so I’m, not heartless, but but I do let them know ahead of time that they need to to change.

So here’s, some obstacles to to cure that you I’ll, start off with things you might be more familiar with, like those of you who are in the alternative world, a lot of our study or or in the alternative world, Because doctors watch this but also are well versed in the alternative world, we’re, going to talk about that in a minute online one is I’ll start off with something kind of pretty obvious that a lot of people know, but Maybe not so obvious, like dental a lot of times when you go into a like a functional medicine practitioners office, we’d, always have a good relationship with dentists or we don’t always have a dentist that’s In our office or those types of things I myself for those of you don’t know.

I have a lot of this. I’ve, had fibromyalgia, peripheral, neuropathy, chronic fatigue, celiac and I can go on and on eleven concussions. So you can look at all the other stuff that we’ve done – and I talk about that so I, but I’ve been through this and I’ve had infections in your mouth that are undetected.

They can really really sabotage a case. So if you’re looking on, if you’re, if you’re, you’re online and you’re looking online and you’re. Taking this supplement for that, and that’s, something for this and you’re doing this diet not, and it’s, not getting better a lot of things.

I’m going to talk about today. We’re, going to be the reason. One of the biggest things is dental infections. I had it myself like everything else and – and it took us a while to get rid of it, because I didn’t want to get my tooth extracted because I have a lot of autoimmunity.

A tooth extraction can set off autoimmunity. I didn’t feel like setting things off, because I was in a pretty good shape at that time. Once I got the infection under control, it helped my my my pain to go away.

So so, knowing about dental issues, we’re. Going to talk about the metal aspect of dental issues in a future segment, heavy metals is a very controversial thing. I think we have a very unique take on it.

That is correct because of what we’ve, seen not all heavy. Not all people have to have the mercury taken out of their mouth, but dental infections can be a real Bugaboo, so we have everybody fill out.

You know. Part of our history is, is what’s going on with your dental stuff? If those people have that we are going to insist that they go to their dentist either, while we’re doing this or before we start, if it looks like they have dental infections, another huge one, this is so big.

I can’t even tell you. It is called sleep apnea, so for those of you who just rolled your eyes, stop okay, because we’re going to cut a lot of these things are going to cross. As we talked over over the period of this year, we’re gonna talk about basics of physiology that need to be established for you to get well.

We’re going to talk about oxygen. We’re, going to talk about blood sugar. We’re, going to talk about central fatty acids. We’re gonna talk about them extensively in a separate in a separate issue in a separate series.

Talk whatever I’m doing here, so so, basically, sleep apnea is enormous. If you have so-so, you need oxygen, blood, sugar and proper, essential fatty acids as as as core base of being a human. Being I mean if you don ‘

T have those things and a few other things you’ve kind of left nature and I’m. Not and again I’ll, get into it more thoroughly. Another presentation, but but oxygen is oxygen. If you have cold hands, you have cold feet, you have a cold nose.

If you, you know, if your teeth feet are turning blue, when you change positions, if you have fungus on your feet, a lot of these things indicate that you, don ‘ T have enough oxygen getting into your body.

We actually test people for tissue perfusion. Here we test their fingers to see if they ‘ Re too, if they’re getting enough oxygen in there, and this is not the 98 % oxygen that you get when you go to the hospital they go.

Oh, your oxygens, really good yeah! It’s. It ‘ S got to get from your lungs, it’s got to get into your fingers. Your toes, let me tell you if you don’t, have enough oxygen, your fingers and your toes and your nose and if you’re cold all the time and you sneeze you sleep with socks on and, and you got fungal infections On your toes, because you’re, not getting enough oxygen, your toes for your immune system work.

It’s. Gon na be hard for you to get better because oxygen creates energy in your mitochondria. Mitochondria create hype homeostasis, and you need that for your supplements to work. You need that for your brain to work, your brain and it takes 60 % of the oxygen that you take in.

So we’re gonna talk a little bit about cigarettes and stuff like that, and cigarettes like drain, like what 60 % of the oxygen that you do take in from your brain oxygen is critical. If you have sleep apnea, though, this is like the big bad oxygen killer, if you had everybody – and I know it’s amazing, until one of my colleagues told me about this, it was just like the light went off of my head, so I Started interviewing my patients to see if they had sleep, apnea, 70 percent of my patients said some variation of this.

Well, someone told me at one time I might have sleep apnea, but you know I never really checked that. Well, who’s, that some? It was my husband there’s, my wife and it’s. I snore, and sometimes it seems like I just used.

It was a husband and a wife and she turned her husband. I told you you stops, you stops breathing. I have to shake you to see if you’re still alive people, if your wife is doing that or your husband’s, doing that you have sleep apnea or at the very least you need to go, get it checked and if You have sleep apnea.

It is hard to get a chronic condition better. So we have a person that’s, sleep apnea. They are going to get checked or if they have signs of it, they’re, going to get checked. If we, if we test their perfusion and it’s like 1/10 of what it should be, they’re, going to get checked, but most of them it said.

Oh yeah, I’ve, been diagnosed with it. Are you wearing your CPAP? Well, it’s, a pain it’s this it’s that it’s, all that type of thing. Okay! Well, we’re, not going to treat that. Why I, because you’re, not because well, you know not to be crass, but in this office insurance won ‘

T cover me, okay, so our people are paying out of the pocket. You know their hard-earned dollars. I happen to think they deserve to get a response for that. Well, they’re, not getting a response if they’re, not getting oxygen anywhere in their system, so we will have people go and get checked.

We will have people start using their sleep apnea. Just for the record. Our observations seem to sync with what the research shows out of there. Only about 30 % of people have CPAP machines use them. I get it, I get it.

I get that they’re, a pain in the butt I get it. But let me just tell you quick, quick story. I had one gentleman in here not that long ago came in here. He came here where we know he came here from Idaho drove all the way down.

Here. He had sleep at non-si Bay. He had dizziness, he had severe vertigo it’s, severe balance problems, ain’t, perfer aathi, and he and any drank any to his admission, and he smoked and – and he was a totally compliant patient, he would do anything.

We told him to do except use a CPAP, so finally, he was getting better with what we were doing, but we hit a wall, and I said you know we may as well stop right now, because I don’t think we’Re gonna get farther without you getting on your on your on your CPAP.

He got on his CPAP because he was like he’s. A su super super nice guy. He was like okay, you know my CPAP. Yes, I CPAP he caught a nice back and I he cost me three days. I goes doc. I think I think we’re done.

I was, I thought, maybe was mad at me because he wasn’t gonna be able to get on CPAP. His dizziness was gone. His vertigo was gone as peripheral offers better. Now I’m using an extreme example. Okay, but I’m just telling you I’m using that example to say we had already done a lot of things to him.

He had already improved a lot. His vertigo had improved his balance had improved, but it was coming and going still. His peripheral neuropathy had improved, maybe 40 percent. By the time he was done. It was gone because you started getting oxygen into the distal areas.

Our big area is your brain. We need it to get into your brain if your hands are called your vehicle. You’re, not getting circulation to your brain. Oh and you know that could lead to things like Alzheimer’s and little things like that.

But in our world we just need you to get it. We need oxygen for you to get better, and so does everybody else. You start thinking about some of the reasons that maybe your you’re, trying all these things online and they’re, not working.

This is what we’re gonna be talking about all year. I mean why can’t, you tell me how to get better. You’re. Holding back on me, you’re, not telling me well. Are you one of the people that there has been diagnosed with sleep apnea or not? Using your CPAP machine, how do I know that I don’t know, so I can’t, be giving you advice over overline, so, okay, so sleep at now there’s.

Another thing called biotoxins. This is kind of a this kind of an interesting area. This is Lyme disease and if you want to see our take on Lyme disease, you can look. We have several presentations online about Lyme.

This is this: is brown recluse spider? This is moulds. Okay, like watery buildings and things like that, this is wisteria. Have you been eating seafood? Those are things that are kind of in the gray area.

They do have an effect. If you have those things you they do need to be dealt with. I had one I had one lady who had fibromyalgia and we were doing everything with her and she’d, get better and she didn’t get better and she get better.

She didn’t, get better and then, and then we found that that she was in an apartment where she was sleeping on the other side of the wall, where she was sleeping with her head against. That wall was a huge transformer, an electrical transformer and we thought – and so there’s there’s, those of you, these electrical guys out there and that, and there’s, a wide spectrum of you out there.

Okay, that that’s. All of these things are important, I think, in and of themselves each one of them has been overplayed and don’t start throwing things at me. The Lyme patients out there look at our Lyme presentation see why I say that, but they all do need to be addressed, because these will create chronic issues with you that are going to stop a lot of the things from from from getting better biotoxins.

We call them they, they can. They it by and large, tend to get better through certain program protocols that can be done, but those protocols and of themselves are a little bit more like for that. Lady was move and she moved all of a sudden.

She got better for people who have the mold. They got to get the mold taken out of their out of their homes and and the vast majority of time that’ll. Do it without getting too heavy into things. The wisteria stopped eating seafood and the lime.

We have a whole presentation on that, so these are some of the obstacles to cure that these are some of the obstacle cures that are more physiologically based. Okay and those are the obstacles to cure that most people can really kind of grasp on to again make sense.

I’ll. Do that? Well, I don’t, have a dentist in here and I don’t have people who do certain things like relative to some of these other issues. So so we send them out. An obstacle to cure could be if the person comes in here and they are in severe post-traumatic stress syndrome and they’re, getting ready to jump off the ledge.

That is a little bit more than herbs, botanicals and even functional neurology. We do functional neurology here, treatment, okay and that we use it primarily to get people’s, chronic stress responses under control and their post-traumatic stress syndrome under control, and if I had to put it on a scale like zero to ten zero to eight.

We can probably handle, but once it start gets to like nine and eight nine and ten people have a bad day. They they might want to commit suicide, and we’ve. Had these people, so don’t. Think I’m just talking outta line here or there that this is theory.

We’ve been doing this for a long long time and those people we actually have other other people practitioners. We have functional psychiatrists that we work with. We have we have a clinic amazing, clinical hypnotherapist that we work with some people.

Don’t want to do clinical. Some people, don’t want to do hypnotherapy. Okay, I get that that’s. Fine. We have two other. Ladies, that one does EMDR, which is a counseling with with with some neurological components to it and another one who basically is a talk, counselor and, and we’ll use them.

While we’re doing this, if people aren’t counseling when they come in here, like the two people that came in yesterday, who had went through so horrendous, some horrendous sixteen-year trauma that makes me feel better because that’S going to help, so this is another potential obstacle to cure that person comes in here and they’re.

That much and I’m, not gonna. I got to get through this without a drug or no. I’m, not gonna go to a counselor or III, get it. If you don’t believe in hypnotism that’s. Okay with me, it’s. Okay, I think I’m very difficult to hypnotize from what I understand, because I tried it out, but I’ve, seen miraculous results with with with so many of the people, and I’m sure the you know.

I’m sure the the skill of your practitioner matters, but these are the things that these are the things we do in here every day, and these are the things that we have to consider on everybody. These are complex cases, so these are the physiological abnormalities that could interfere with the ability of a functional medicine practitioner who’s, trying to get your physiology to work properly with lifestyle changes, dietary changes with getting rid of foods that you’Re allergic to with, hopefully targeted appropriate interval actions of botanicals in a new tree and neurotransmitters and herbs and things of that nature.

So you know your your physiology. Can only you know, you have to have the physiology to be able to recruit it to get it to respond, and this is part of the things that are sabotaging you online. So those are, those are, those are the big ones in that area.

I do consultations with people to pull all of that out of them. We actually are going to go over our history. The next time and and don’t miss that it is not boring. Our history is 18 pages long. I’m gonna walk with you through a history.

I’m gonna grab a file here and walk through it and tell you how a person should walk through a history. I think it’ll open your eyes. We’ll talk about history, taking how it’s become obsolete. Why that’s, a disaster? Why it’s even more important with the patient population that we have today now some of the other obstacles the cure.

That may not be as obvious to you again. If I have a person coming in here, my goal is to determine if this person has the types of conditions that we have helped consistently, and is it going to be worth it for them to come in here and do what we ask them to do and We have signs all over the place that say we didn’t say was going to be easy, we said it was gonna be worth it, and so so there are other things that I’m, trying to tease out now.

These are things that you may want to tease out on yourself as you’re combing, the internet and and listening to a million different opinions on heavy metals or a million different opinions on lime or a million different opinion, and so on.

Leaky gut does it exist, does it not exist? Can you heal it? Can you not heal it, but these are more important and then, even even you know trying to figure that out. First thing is differing expectations.

If a person comes in here and we have a – we have a sheet that we ask people that way. So what’s, your expectations, if they go, my expectations are be perfect. My expectations are that I’m, going to become a world-class skier and I’m gonna shoot park off and that I’m, going to write a book and then I’m going to do it.

Most people come in here pretty ill. I’m, not saying people can’t go back to doing wonderful things again. Our goal is to stop the downward progress and reverse it to the degree that is humanly possible in that person.

A lot of our people, aren’t, going to be able to get perfect if they say they’re gonna want to be cured. They’re, not going to be cured. If you’re. One of my patients – you’ve, come here after you ‘

Ve tried everything else this, and this is where I’m, going to help you to evaluate the everything else that you’re. Trying before you get here, because I think the estimates are that half the country is going to be diagnosed with chronic pain by the year 2020, that’s next year.

That’s, 160 million people – if I understood that correctly, so we’re trying to help you out in that way, so so differing expectations. If a person comes in with those expectations, I might say, look here’s.

What I think we can do looking at your history understanding by that time, your exam findings here’s, my realistic XO stations. If theirs are different than mine, then you know I won’t discourage them from not doing it if they’re like, but but it makes it hard, and I just I just have them.

I literally I’m, signed, something saying I told you these from my expectations, because what happens is most of our patients get better and then they and then they go like. I wanted to be perfect. That’s, a problem, okay, because because, if – and I and I know there’s – a positive mental attitude group out there – I’m positive mentally how to trust me.

Okay, but you have to understand realistic limits. Even functional medicine has its limits. Okay and you have to realize that non supportive spouse. This is what I favor once I sitting here, I’m at my desk and there’s.

Two chairs across from me, okay, behind these cameras and and my favorite consult by far – are when the husband and wife shows up, because the husband usually does want to be here. The wife’s usually dragged them in not always but 75 80 percent.

At least and and I’m, asking her husband questions and he’s going now and the wife so and they’re going. Oh yeah, you do that! Oh yeah! You do that so so, so that’s, actually a good that’s, actually a good thing that’s, the supportive spouse believe it or not.

Even though, even though it’s, usually the woman irritating her husband and occasionally vice versa. Those are fun and I get the most data out of those, because that spouse is actually cares and they actually want that person they get better.

But I get the opposite. I’m over here and it’s. Usually the woman is is, is the patient and usually I’m? Like you know, we’re walking through and I’m talking about your fibromyalgia and now there’s, a chronic stress, maybe in your life – and maybe you’re in post-traumatic stress syndrome, and maybe you’ve got an ottoman problem and maybe you have food sensitivities.

Maybe one of those food sensitivities is gluten and then the guy pipes up. Well, you know what we’re, not we drink three martinis a night and we and we’re Italian and we’re, not going to quit our pasta and all the taste of like, and sometimes it’S not that obvious, sometimes the gentleman and it’s, rarely the woman.

Sometimes it is. I’m, not being sexist here, guys, okay, but but it’s. Usually it’s, usually a guy, and if the guy sitting there he’s. Like give me one of those I’ll, just look at him and say: even if he’s, a big guy and I don’t know.

If you can tell I’m a little guy, I’ll say you know that’s, not a good sign that that actually will sabotage anything. We’re trying to do because, if I’m trying to get that spouse and again, this is this – is a business people are coming in here and paying for these services.

You know if I’m trying to get that spouse and you got to cook. If I’m, trying get that spouse to eat a proper diet. I find out that the four worst foods in the world for her to eat or her husband’s for most famous foods.

He doesn’t like alternative practitioners. He’s still in the medical model, which I’m, not against okay, but you know what I’m saying here, that’s, a sign for disaster. That is an absolute sign for a disaster that is so that’s, a that’s, an obstacle to cure; okay, another obstacle to cure is, and and – and I don’t mean this – to discourage any of you from Coming in okay, but an alcoholic who is drinking when they come in here: okay, not an alcoholic who is quit six months ago, a year ago, thirty years ago, or anything like that.

Okay, but here’s been my experience with with, with maybe two exceptions: it’s hard this program and it’s already hard to get better, and so now you’re having to change your diet. Now you’re having to change your lifestyle.

Maybe I having to go to actually go to sleep at a sane hour. Maybe I’ve asked you to go, you know, go, take a walk twenty minutes a day and oh by the way you got to stop drinking. That’s, a tough one.

Now I don’t problem when people have to stop smoking. Okay, when people stop drinking it’s, a big deal because drinking affects your cerebellum affects your gut. It’s in an accept them acceptance and antiseptic.

It’s, it screws up your intestines, it screws up your stomach. I think I already said it screws up your blood sugar. It can ultimately cause pernicious anemia. It can cause certain types of peripheral neuropathy.

Usually it’s, part of the problem when the person comes in here. Inevitably, the person who begs me says I’m gonna stop and Emily they stop and they go through two or three or four months worth of care and they’re.

Wonderful and life is good and they’re. Kicking up their heels and they feel gray and and and and and and they’re sitting and their symptoms are going away and then they disappear. So for those of you who are actively maybe over imbibing, it’s better to take care of that.

First, before you get on to this, and for those of you are saying why you tell me this, I’m looking online. Well, guess what if you’re? Looking online, you’re and you’re drinking excessively okay, you’re doing more than four drinks a day every day.

Then then you’re drinking through much. Look, you can change your diet, but guess what that that alcohol is screwing up the inside of your intestines, so you got permanent. Think you got you’re, trying to fix your leaky gut.

You’re, developing new food sensitivities to the new food. You’re eating. Your supplements, aren’t getting broken down. They’re, not getting utilize, it’s, a big problem, and – and and these are the things that I see – this is real practice.

Okay, this is like this is the real where the rubber meets the road practice. This is what comes in here every day it’s kind of its kind of interesting, so not supportive spouse drinking different expectations present day on resolving stress now we already talked about we’re.

Talking about you know. If somebody’s like like a zero to eight, we can probably handle it here. If it’s like a nine or a ten, we’re. Probably gonna recruit other people in if your resistance to including other people and that’s a problem.

But if you were in a present moment stress if you are, if you and the stress, is what I perceive is causing party or a problem or a lot of your problem after I do the interview that’s, a difficult one.

A good example is like two people are in a massive divorce: financially, they can’t get out of it. Maybe they’re even still living in the same house or they’re in a let’s, say they’re in a legal battle and they’re going to they’re.

Talking to attorneys and they’re in that their depositions. Nothing is going to calm that down, because that is an act of Reese emulation of their stress and and and those folks. I will tell to stop: let’s.

Not do this until that’s resolved. So if you’re like that, and you’re, hoping that pills and supplements and the stuff you learn online, there can be some herbs and botanicals that you can get online.

It certainly can take the edge off of that, but that physiology, if you want to know you look at one of our, you can look up parallel TOCOM you can look at. I think we got one unlike stress and autoimmunity and stress and chronic pain.

In fact, I’m certain. We have several of them, you can. You can look at that. You can see why this might be a reason that you’re sabotaging it I mean. I you’re out there. You want me to tell you how to get better after me talking about something like irritable, bowel syndrome.

You can go and look at that and see why you’re, not gonna get better, no matter what you do, if you were in that chronic stress cycle at that moment, and there’s, a lot of other things. I saw this a lot during the recession.

People were losing their homes, people were you know that was a cycle that was a long cycle. People were losing their businesses, they were losing their houses, it was horrible, horrible, horrible horrible, and it was just like gut-wrenching, but there was nothing that that we were gonna be able to do for them until until that stress was at least until the cause of That stress was at least resolved, and then there that comes down to a level where we can help where we can help the patient people come in with a model that conflicts with ours.

So look functional medicine I don’t know what you’ve, been told. Okay with functional nessa is not about giving you an urn and botanical for every symptom that you have it’s not about just getting on the Ottoman Paleo diet, okay and it’s.

It’s. It’s, just it’s, it’s, it’s. It’s about systems its its mache. So my goodness and this lady can’t. Reno was kind of the alternative mecca of the universe back in the 70s and 80s, because we were the only place in the United States.

I mean we had divorce and we had prostitution and we had gambling. So why not have alternative medicine right so that’s, so we had. We had free reign here. People are coming here from all over for cancer treatments and laetrile and things of that nature.

So we got a chance to to to really see a lot of the different models here and and and so we’ve. We’ve, been around at this for a long time and and and we and we understand like what all the different models are functional medicine, those all of the models that developed at that point in time we’re kind of like Let’s, take the medical model and make it a template for the alternative model, and that was okay.

We’re gonna use. This supplement for that. We’re use. This supplement for that and and that’s, not what this is about. That is for people from a hundred years ago, which we’re. Going to talk about in a second autoimmunity has changed the game dramatically drastically and our society is massively stressful and that has changed again, both of them.

More autoimmunity has changed the game, and but I have a lot of people who are still coming in with the old model I’ve online. I come in, I’ve got 15 supplements. I’m already doing what you told me to do.

I’m already gonna you’re gonna use those supplements. I’m aren’t doing it. Why? Why is this not gonna work? We have, we start off with that and then, if that person actually decides they want to do care.

Despite my warnings, having a alternative model is, is for me, this is now a for me. Thing makes it challenging and it may make it challenging for you if you’re looking online and you’re still using that model, but you have an autoimmune problem or you have a chronic problem that requires you to address systems.

I have a case right now that miraculously is continuing to improve and we just got all of our updated blood panels the other day and she was in shock that her thyroid was better and her blood Sugar’s.

Better inflammatory markers were down a lot ahead and I was in a shock, but I wanted to say you could have had this a longer time ago and we could have you much better than this now, if every time I told you what to do, you didn’t, go online and in research it and then come back and then question me on it and then because you didn’t thinking that that my model was correct, you went took eight other supplements and then that screwed up everything I Was trying to do and then we had to go back three weeks so so it’s.

It’s, a frustration that I didn’t used to have to deal with like years ago, because nobody just believed in what we did they came in here desperately they did. We asked them to do and actually was a lot easier back then, but now people are educated.

One of the things we’re gonna talk about is people being edge, maybe in the wrong things, but coming in with a different model or entering into an investigation. Your research online, without the background, the full background of understanding what you’re getting into and, and you not realizing that you need more of a background to understand what the new model should be for what’s going on out there.

Now I don’t, say this cavalierly I came along this way. I mean I used to do here’s. Your blood sugar diet here’s. Your muscle test here’s. Your supplement, I did that back in the 80s and and it worked for some people – okay, I get it, but this is a different world now and so, and so so so the model of functional medicine.

You need to be a you need to understand the chemistry of the brain. You need to understand the chemistry of the gut. How the gut chemistry affects the brain. How the brain chemistry affects they got. You need to understand hormones.

You need to understand hormonal chemistry. You need to understand why hormone replacement therapy should never be done before you ‘ Ve tried everything else. You need to understand that when you have a period that’s off it, isn’t about just going in there and getting estrogen therapy or shots of progesterone or horse pee, or you know type of stuff like that.

You need to understand that you need to look at your stress hormones. First, your gut first, your liver. First, your blood sugar, first and-and-and, you need to understand. Well, how do you understand that you need to be a endocrinologist? You need to be a gastroenterologist alternative.

You need to this is what functional medicine is supposed to be. I’m, always know don’t get mad at me out there functional medicine. I’m. Just saying this, I’m, always the suspect of a functional medicine doctor who specifies I treat diabetes.

Only you can’t treat diabetes only because diabetes, usually by the time person comes in here, they’ve, already tried. So many things, so they’ve already and that person comes in here. We just have one we release when she came in.

She was on metformin and and lantus, and she was on to insulin, medications and, and now she’s off of them. Okay and she’s lost her way and she’s happy and her bertigo has gone on. Her balance is better than that type of thing.

So so that’s. Paisa shows up in here and to do that you need to understand there’s bacteria in your gut. That could be altering your blood sugar, that there are stress mechanisms that could be altering your blood sugar, that there are food sensitivities that could be altering your blood sugar and who’s taking that into consideration? Well, nobody, okay, because that’s, the old model that I mean that’s, the new model, but we’re back on the old model.

Okay! Well, we have blood sugar. So let’s. Take let’s, take chromium picolinate! Well, it didn’t work. Well, didn’t work because you didn’t. Look at all these other things, because that’s, an old model, okay and and and that’s, not what we’re doing that’s, that’s, medicine for for people who are for A different, a different population in a different time, so coming in with a model that conflicts with ours me having to argue with people me having the debate with people.

It takes up valuable time that person ‘ S already come in convinced that they, they know a lot of stuff that and they’re. The expert in that stuff, but not for and they’re very bright people, but unfortunately they’re.

An expert in the wrong model. I care it’s, not working that’s. Why they’re here, but apply that to you looking online too, and I think you’ll find it’s, valuable patients being experts on the wrong information that’s.

Kind of what I just went through is is people are experts on this supplement or that supplement they want to come in here they read one supplement and they start telling me about 5htp, and they start telling me about.

You know: Sam II. I know this is what I do every day we have supplements. We use them for a variety of different things. That person, doesn’t realize for some reason that, hopefully, your functional medicine doctor has taken several hundred hours to maybe a couple of thousand hours worth of background on it and should at least understand those extreme basic aspects of what’s.

Going on, but they probably understand it better than you do if they’ve, actually done what they did. They know because they probably have looked into your drugs. They probably have looked in your other supplements.

They probably looked into your gut. There are certain people have concussions who certain to be taking certain of those things there’s. There’s, so many variables on that and if the person is is just so convinced that they I get it.

I get it from some people who are. I get it a lot from people who are in the field. Okay, I’m gonna I’m gonna I’m, not gonna mention specific professions, because, but when they’re professionals when they’re already professionals in the healthcare field, look when I go to the dentist and I lay down in a dentist’s chair I don’t tell them anything.

I have a great dentist. I refer people to him when he tells me is what I got. I do it. I have another colleague who we worked with medically wise. When I go to him, I’m, confident in him. I know what he does.

I don’t tell him what to do, and I know a lot about a lot of this stuff. But the point is, is I choose somebody that competent and I do what they tell me to do and it seems to work out pretty well and I don’t pretend that I know a lot about dentistry other than you need to get infections.

Constant, my patients get better and I don’t pretend I know a lot about the medical aspects. I know medicines from a perspective of this is causing problems here. This is interfering with thyroid function, but I’m, not a medical doctor.

I’m, not an osteopath, and so when I go to them, I go through them and I count on their expertise for that. Okay. So what I’m saying is like, and it’s really more. I’m thinking. About is more almost more for other professionals.

Our people are very bright. We have a big university here. I treat a lot of the teachers from the University. I’ve treated people who are the head of the engineering department, the head of the physics department and they kind of come in and they’re, pretty smart dudes and they ‘

Ve done her research and but usually they figure out partway through that it’s better than just like. Let that person who knows what they’re doing do to do it do what they do so you may. You may just want to apply that to if you’re looking online, your stuffs not working, it may be because you need to seek some help from somebody who has a little bit more wider grasp of the physiology of what’s.

Going on there today, you know the to add. To that I mean. Let me go back to I. I’ve alluded to a couple of times here, and this is reinforced. This is reinforced in functional medicine courses all over the country and they’re a lot now and that’s, something you should look into.

If you’re going to go to a functional medicine doctor make sure that they are functional, medicine practitioner – that has some background. I mean there’s great. There’s, a lot of great courses and they all teach – and they all teach a lot of the things that I’m talking about here.

Let’s, see to add to the previous so much of what online. So, oh yeah, they go back to. I lost my train of thought so to go back to a lot of what’s. Online is for people who are patients a hundred years ago.

Okay, so I’ve, been in practice long time. I’ve done a lot of different things and, and I’ve, been in musculoskeletal work. I’ve, been in scoliosis work. I’ve, been a traumatic work. I’ve testified. I’ve, been an expert witness.

I’ve. I’ve done diets for ever since the 1980s I’ve done supplements.