Matt Connarton Unleashed 1-4-25 hour 1

0:00 Speaker 1: Running around in sound blue lights, flashboo, it will never

0:05 Speaker 1: be found. The song Sprattish line job sound yeah, and

0:10 Speaker 1: make some memories to forget in the morning.

0:12 Speaker 2: And it feels like it can changes.

0:15 Speaker 3: But the people around you keep a smile on the faces.

0:19 Speaker 3: Case I'm telling you, yeah, I'm selling yeah, I'm selling red.

0:24 Speaker 2: So let's safety down and you can say it sounds.

0:32 Speaker 4: It's atom you.

0:35 Speaker 5: Song the fu anything bases, the big born lucases, the

0:40 Speaker 5: one houseplacies a dream created.

0:42 Speaker 6: Tail hearing me.

0:47 Speaker 4: Let's go back to the basis.

0:50 Speaker 7: Basis the BP places the one else facy, the dreams

0:54 Speaker 7: be created hearing men.

0:59 Speaker 2: Let's f sime live hundred smiles.

1:16 Speaker 1: So the rise where the sun shining down on me

1:20 Speaker 1: and you can't seem to hide that smiles if we

1:24 Speaker 1: tell you your story.

1:25 Speaker 2: Or so and it things like everything changes. But we've

1:30 Speaker 2: had that before.

1:31 Speaker 3: So while we're put through the paces.

1:32 Speaker 2: Yeah, I'm selling you, Yeah, I'm selling you. Yeah, I'm

1:36 Speaker 2: selling you the same down and you can sell it

1:45 Speaker 2: sound so woo you out.

1:49 Speaker 5: From the anything nice is the people plaices.

1:53 Speaker 2: The tram predated hearing me.

2:01 Speaker 7: Mental right, the spices, the people the places for our

2:06 Speaker 7: faces and trams with the cat.

2:08 Speaker 2: To take willing me.

2:13 Speaker 4: Metal backing.

2:30 Speaker 2: I'm singing your song that'll bring you lungsnight.

2:36 Speaker 1: That care in little world time has catch that the

2:39 Speaker 1: evening right.

2:42 Speaker 8: Because it's ten past five on a freezing winter's night.

2:48 Speaker 2: But with a smile and of faces were dancing.

2:51 Speaker 8: So the sun dies, that's what dancing. So the sunrise

2:56 Speaker 8: that's what dancing. So the sun rise that's what dunces

3:00 Speaker 8: a sad. Let's go dozen so as.

3:05 Speaker 9: Yes, boss a steel does its sous.

3:11 Speaker 2: This is a passenger announcement.

3:12 Speaker 7: The twenty three bus will now the talk and stand

3:15 Speaker 7: nineteen and.

3:16 Speaker 4: Ten past times uses the class let a free gets

3:23 Speaker 4: you know a thing.

3:27 Speaker 7: Let's go back bayscas the fad for the places once

3:33 Speaker 7: tree crickets there it bet a thing. Let's go back chain.

4:00 Speaker 10: Welcome everybody, Here we go Matt Connorton unleashed and we

4:03 Speaker 10: are live from the studios of wm NH ninety five

4:07 Speaker 10: point three FM, Inglorious, Manchester, New Hampshire. And that is

4:11 Speaker 10: the American radio premiere of the brand new track from

4:15 Speaker 10: a band called Tuesday Night Whites. The track is called

4:18 Speaker 10: twenty three. These guys are from the UK. Tuesday Night

4:21 Speaker 10: Whites is the name of their local football team in Preston,

4:25 Speaker 10: North End. They are a Lancashire or Lancashire How would

4:29 Speaker 10: you say that? Lancashire right based five piece indie rock

4:33 Speaker 10: band formed in twenty twenty two and making their way

4:36 Speaker 10: to American radio, So you know, we love to do

4:38 Speaker 10: those American RADI I don't know if it's a world

4:41 Speaker 10: radio premiere. They might have already been played in the UK,

4:43 Speaker 10: but definitely their first time on American radio. And we've

4:46 Speaker 10: got a great show for you today, and I.

4:48 Speaker 11: Am not alone.

5:00 Speaker 12: Good morning Sunshine.

5:02 Speaker 10: Jenny is here at the news table, accounted for and uh,

5:06 Speaker 10: it's especially good that you're here today because, as you

5:09 Speaker 10: can probably hear, my voice is already failing from my

5:12 Speaker 10: recent fight with asthma. It sounds apparently I'm not fully

5:17 Speaker 10: recovered from that as I'm as I'm cracking on this Uh,

5:21 Speaker 10: Saturday morning, January fourth, our first show of twenty twenty five.

5:25 Speaker 12: Well, at least you didn't end up on the Grassy

5:27 Speaker 12: Knoll this.

5:27 Speaker 10: Time, that's right, Yes I did. I did have to

5:29 Speaker 10: go to the emergency room again, yes, but but I

5:32 Speaker 10: can breathe. I can breathe again.

5:33 Speaker 12: A couple of treatments later, and he's speaking.

5:35 Speaker 10: Yes, yes, so so here we are and for our

5:39 Speaker 10: first show of the new year. Happy new year, everybody.

5:43 Speaker 10: Let me get get that make up.

5:45 Speaker 11: There.

5:46 Speaker 10: Someone who has not been with us in a long time,

5:49 Speaker 10: Doctor Noah is here. Welcome doctor now. Oh I cannot

5:52 Speaker 10: hear you. Let me figure out why.

5:54 Speaker 11: I think I know why.

5:56 Speaker 13: Got to change the mind.

5:57 Speaker 12: Oh boy, I know you're got to get the cobwebs

6:01 Speaker 12: out of you.

6:02 Speaker 11: Oh. I think I can hear you now, doctor Now

6:03 Speaker 11: are you there?

6:04 Speaker 14: I'm here, Good morning manning everybody mind jen I apologize.

6:09 Speaker 11: So yeah, so welcome.

6:11 Speaker 10: It's been well obviously this is your first time in

6:13 Speaker 10: the new studio, so it's certainly been well over a year.

6:16 Speaker 10: I know that probably been probably been a year and

6:18 Speaker 10: a half maybe since you've been with us.

6:19 Speaker 14: It's been a little while. I can tell you that

6:21 Speaker 14: the studio is very impressive, isn't it nice?

6:24 Speaker 11: We love it.

6:25 Speaker 13: It was.

6:25 Speaker 14: It was like a grand entrance walking in, going wow,

6:28 Speaker 14: look at this lobby.

6:29 Speaker 13: Yeah, look at this large You know.

6:31 Speaker 14: I had I had to stop by the facilities, you know,

6:33 Speaker 14: because I drank a bit of too much coffee.

6:35 Speaker 13: This morning, but I was like, wow, this is very grand. Yeah,

6:37 Speaker 13: I'm very impressed, thank you, thank you.

6:39 Speaker 11: No, we love it.

6:40 Speaker 13: It's the new digs are styling, and you can tell.

6:43 Speaker 10: From the outside that it's a that there's a radio

6:45 Speaker 10: station in here, you know, because as you know, at

6:47 Speaker 10: the old place, like looking at it from the outside,

6:49 Speaker 10: you would never even know that there was a radio

6:51 Speaker 10: station in the building.

6:51 Speaker 14: The signage is impeccable.

6:53 Speaker 11: Thank you.

6:53 Speaker 14: Even without driving without glasses this morning, although I don't

6:57 Speaker 14: need to drive with glasses, I saw it.

6:59 Speaker 13: From afar entirely.

7:00 Speaker 11: That is good to know. That is good to know.

7:03 Speaker 14: Yes, wow, Well I just want to say one thing

7:08 Speaker 14: before we get started. Yes, is that that song twenty

7:11 Speaker 14: three that you played this morning? Yes, if there was

7:14 Speaker 14: a rating scale out of twenty four, I would rename

7:17 Speaker 14: it twenty four.

7:18 Speaker 11: Wow.

7:19 Speaker 13: I very much enjoyed it.

7:20 Speaker 11: I really like that.

7:21 Speaker 14: I did, especially when it caught my attension when it

7:23 Speaker 14: said the bus is moving leaving in ten minutes.

7:28 Speaker 10: So this is a little inside for people who don't know.

7:31 Speaker 10: So the building that we're in, of course, this used

7:32 Speaker 10: to be a bus station here in Manchester. This this

7:35 Speaker 10: amazing building which was remodeled and refitted. Is that a

7:38 Speaker 10: term for that turn turned into this amazing facility that

7:42 Speaker 10: it is today. But yeah, we were so we were

7:45 Speaker 10: talking off air, because we tell everybody especially it always

7:47 Speaker 10: comes up when when someone says, you know, can I

7:50 Speaker 10: use the restroom, and it's like, yes, enjoy our enjoy

7:53 Speaker 10: our enormous.

7:54 Speaker 11: Bus station bathroom. But so we were talking about that

7:59 Speaker 11: off how.

8:00 Speaker 10: This used to be a bus station, and then I

8:01 Speaker 10: play that song and sure enough there's, uh, there's that

8:03 Speaker 10: bus station announcement.

8:04 Speaker 13: I really like that new song.

8:06 Speaker 11: Yeah, yeah, absolutely nice.

8:08 Speaker 10: Yeah, absolutely so again if you're if you're looking for

8:10 Speaker 10: that online, the song is called twenty three. The band

8:12 Speaker 10: is Tuesday Night Whites, And just to be very clear

8:15 Speaker 10: for everyone, it's it's named after a football team.

8:17 Speaker 11: There's no racial component to that.

8:18 Speaker 12: I don't want I don't want to well being what

8:20 Speaker 12: we call soccer.

8:21 Speaker 11: I don't want anyone to think what what is that like? Uh?

8:24 Speaker 11: Are they you know, bad people or something? No, talking

8:28 Speaker 11: to you.

8:28 Speaker 12: About sports and this is not a good thing, right right.

8:31 Speaker 10: I'm not a I'm not a fan of the of

8:34 Speaker 10: the sports ball as we say, so doctor no, uh

8:41 Speaker 10: tell us about uh. For those who don't know who

8:43 Speaker 10: haven't heard your previous interviews. You've been on with us,

8:45 Speaker 10: well two or three times before. I think at the

8:48 Speaker 10: old at the old studio, I think we've.

8:50 Speaker 14: Been on, yeah, about two or three times span of

8:53 Speaker 14: last what was it maybe four years?

8:56 Speaker 11: Oh, yeah, four or five years now, Yes.

8:58 Speaker 13: He's on his way to the five time or yeah.

9:00 Speaker 13: I feel like I'm an aged entity here, you know.

9:05 Speaker 14: But every time it's it's you know, it's it's been

9:07 Speaker 14: an honor to come on because I you know, there's

9:09 Speaker 14: a lot of changes that have occurred, and it feels

9:12 Speaker 14: like it's a it's a fresh start, and especially with

9:14 Speaker 14: this new station too, it's just it's very, very very refreshing.

9:19 Speaker 11: Yes, yes, thank you. Yeah. Well, of course we met

9:21 Speaker 11: you because of Jenny, right, and.

9:23 Speaker 6: I'm excited to have you on and share something that's

9:25 Speaker 6: important in my life. I am a pain patient, as

9:28 Speaker 6: you guys know, and you hear the stories all the time.

9:30 Speaker 6: I have CRPS, complex visional pain syndrome, and small fibron aeropathy,

9:35 Speaker 6: and thanks to doctor no I have quality of life

9:39 Speaker 6: because the hardest thing about having CRPS, because it is

9:42 Speaker 6: the most painful disease known to modern medicine is that

9:47 Speaker 6: it's very difficult to control that pain and have a

9:49 Speaker 6: quality of life. And Doctor No from the pain specialty

9:53 Speaker 6: group is who makes my life quality wise because of

9:57 Speaker 6: the treatments that I get, which is a combination of

9:59 Speaker 6: a different treatm it's that you do. In my case,

10:01 Speaker 6: I have oblasions or different injections or say you've you

10:05 Speaker 6: sometime a different medication to keep things in check. And

10:09 Speaker 6: I want to share that with people because so many

10:11 Speaker 6: people out there are suffering and pain and you don't

10:14 Speaker 6: have to suffer. That's the biggest thing. You don't have

10:17 Speaker 6: to be the one suffering about it. Oh did I

10:21 Speaker 6: do something? I did something? Okay, thank you Matt. He's

10:25 Speaker 6: fixing me so And just just because I want to

10:29 Speaker 6: be as open as possible, a doctor No is my

10:31 Speaker 6: doctor and I am happy to be here with him

10:34 Speaker 6: and openly talk about pain care because I do want

10:37 Speaker 6: people to know that there are solutions.

10:40 Speaker 12: You don't have to suffer and you can have a

10:42 Speaker 12: quality life.

10:43 Speaker 14: Yeah, and Jenny, I just want to say, you know,

10:45 Speaker 14: it's an honor to help you, you know, do the

10:49 Speaker 14: things you want to do in life. And I'm touched

10:52 Speaker 14: to hear all of this, and I will also I

10:55 Speaker 14: know we're on air, but I will also protect your

10:57 Speaker 14: privacy and whatever you know, let you disclose. But if

11:00 Speaker 14: you want me to comment on something, I mean, just

11:02 Speaker 14: let me know.

11:02 Speaker 13: I'm happy to. But again, you know, also protect your privacy.

11:05 Speaker 14: But I'm touched to hear all this, and it makes

11:08 Speaker 14: me makes me happy to know that I've at least

11:11 Speaker 14: been able to help you, you know, get along your

11:15 Speaker 14: path in life and do the things that you want

11:17 Speaker 14: to do in the way you want to do it.

11:19 Speaker 13: And that means a lot to me. Thank you, Thank you.

11:22 Speaker 10: Well I can I can tell you, you know, as

11:23 Speaker 10: someone's who's uh you know, had a front row seat

11:26 Speaker 10: for this journey of that Johny's been on. I mean

11:27 Speaker 10: you've you've made an enormous difference in her life. I

11:30 Speaker 10: mean this, you know, no denying it, huge, huge difference.

11:34 Speaker 11: I'm a lot.

11:34 Speaker 6: Bedbound for over two years, and even when I started

11:38 Speaker 6: getting treatments, I was still using wheelchair and having a

11:41 Speaker 6: hard time. And at one point I started to get

11:44 Speaker 6: better and I was with a practice that all of

11:46 Speaker 6: a sudden closed their doors, no warning, no notice, just

11:49 Speaker 6: closed its doors.

11:50 Speaker 12: And I was in a pretty bad situation.

11:52 Speaker 6: At the time, and doctor No actually was coming into

11:56 Speaker 6: a practice here in New Campshire at the time and

11:58 Speaker 6: I was lucky enough to meet this practice because I

12:01 Speaker 6: was literally left with I don't know what to do.

12:04 Speaker 6: I have no provider, and you did come in and

12:07 Speaker 6: you ended up taking over my care. And it's been

12:09 Speaker 6: well over three years, probably four. I'm not even sure

12:13 Speaker 6: how many years I've been a patient of yours.

12:15 Speaker 13: Now, yeah, it's been a while.

12:17 Speaker 14: I do want to say that, you know, Jenny, again,

12:19 Speaker 14: I'm very happy and grateful and touch that you know,

12:22 Speaker 14: we were able to help you, because we do hear

12:24 Speaker 14: the story a lot with you know, the shifting of providers,

12:28 Speaker 14: shifting of practices, that that patients are left in kind

12:32 Speaker 14: of a no person's land. I don't want to say

12:35 Speaker 14: no man's land, but no person's land, and and it's

12:38 Speaker 14: unfortunate and it's a very hard place to be. So again,

12:41 Speaker 14: very very touched, very honored to be able to help

12:44 Speaker 14: you along the way. And look at you now, you're

12:46 Speaker 14: you're you're doing great things for not just the New Hampshire, Manchester,

12:50 Speaker 14: the people of the Northeast, but you know, even the nation.

12:54 Speaker 13: So you know, very impressed.

12:56 Speaker 6: Yeah, and it is a huge part of that and

12:58 Speaker 6: that's one of that's why I want to share this

13:01 Speaker 6: aspectuse there is so much suffering out there that doesn't

13:03 Speaker 6: have to happen.

13:04 Speaker 3: So, like.

13:06 Speaker 6: You offer a lot of different treatments for a lot

13:08 Speaker 6: of different things. And I have significant lower back pain.

13:11 Speaker 6: I have like three desks that are bulging and they

13:15 Speaker 6: have to be controlled or I'm in awful pain. So

13:17 Speaker 6: some of the things that you do aren't about medication

13:21 Speaker 6: as much as a treatment. One of the things you

13:23 Speaker 6: do for me is called an ablation and that has

13:26 Speaker 6: a great effect. And I know that you do other

13:29 Speaker 6: things types of injections and stuff, but you know, just

13:31 Speaker 6: talking about like the lower back issue, what are the

13:34 Speaker 6: kind of things that you do for other people to

13:37 Speaker 6: help with their back issues, because we're not all the same.

13:40 Speaker 13: Yeah, so it's a great question.

13:41 Speaker 14: Let me let me just kind of reorganize and kind

13:44 Speaker 14: of preface the thinking of how we approach pain management.

13:49 Speaker 14: But at both of our locations, know, in Newmarket which

13:53 Speaker 14: is the newer one, and also in Newington, our philosophy

13:58 Speaker 14: has always been, look, you're you're we're all going through life,

14:02 Speaker 14: you know, we all go through life as a as

14:05 Speaker 14: a as a child, a youth, a young adult, you know,

14:09 Speaker 14: a mid life adult, an older adult, and as an

14:11 Speaker 14: elderly person. And during that journey, our body changes, not

14:17 Speaker 14: just you know, our life situation, you know, our economics,

14:21 Speaker 14: our social engagements, but but our body changes, and and

14:26 Speaker 14: with those changes come how we experience those changes. And

14:31 Speaker 14: and pain is a very very prevalent aspect of those changes.

14:38 Speaker 14: So what we do in our philosophy is that we

14:42 Speaker 14: can't really care or change those changes or reverse those changes.

14:48 Speaker 14: What we can do is help you adapt, deal with,

14:52 Speaker 14: accommodate with how we perceive or or experience those changes.

14:59 Speaker 14: And if you take that perspective of pain management, that's

15:02 Speaker 14: where we come in. And and and Jenny you mentioned

15:05 Speaker 14: about you know, how do we deal with What tools

15:07 Speaker 14: do we have to deal with pain?

15:09 Speaker 11: Right?

15:11 Speaker 14: I can count them off of probably both hands and toes,

15:15 Speaker 14: but I'm gonna try to generalize it into two boxes.

15:19 Speaker 14: We have conservative therapies, right, which include you know, you know,

15:24 Speaker 14: activities like physical therapy, pool therapy, chiropractic care, uh, you know,

15:33 Speaker 14: you know, psychosocial therapy, cognitive behavioral therapy. We have medication therapy,

15:39 Speaker 14: lots of different classes of medications. Yeah, you know, we

15:42 Speaker 14: always hear about one certain class of medication which has

15:44 Speaker 14: always been the easiest to go to, but it's also

15:47 Speaker 14: caused a lot of headaches personally for not for me,

15:51 Speaker 14: for for individuals, socially, economically, and even legally. And that's

15:56 Speaker 14: what I'm talking about opiates and controlled substances. We have

16:00 Speaker 14: lots of different other classes that help mitigate pain, and

16:04 Speaker 14: and those kind of leak into other disciplines of medicine.

16:08 Speaker 14: And that's why pain management is so broad. We have

16:12 Speaker 14: uh interventional therapies like you mentioned. Some of those therapies,

16:17 Speaker 14: as you mentioned, include radio frequency elations, you know, steroid injection,

16:21 Speaker 14: nerve injections. When people hear the term injection or ablasion,

16:26 Speaker 14: they think it's just one area, one type of treatment,

16:28 Speaker 14: but there's so many different caveats and ways to.

16:33 Speaker 13: How do you how do you say it approach those classifications?

16:40 Speaker 14: For example, when they say I get a steroid injection

16:43 Speaker 14: or cortisone injection, we hear that a lot. One is

16:47 Speaker 14: there's different classifications of steroids. Two is there's different areas

16:49 Speaker 14: that we inject. Three is there's different reasons to why

16:55 Speaker 14: we approach an injection, and there's different potential outcome. Some

17:00 Speaker 14: of those are therapeutic, which what you experience. Some of

17:03 Speaker 14: those are diagnostic, which tell us, okay, this works, but

17:06 Speaker 14: it's not gonna last, but we could do something else

17:08 Speaker 14: that lasts longer. And some of those are therapeutic and diagnostic.

17:12 Speaker 14: And there are even some injections that some of those

17:14 Speaker 14: may be potentially longer lasting, are terminally therapeutic, such as

17:23 Speaker 14: you know, injectables that cause nerve destruction. Some of those

17:26 Speaker 14: injections are are lubricating. So there's lots of different types. Yeah,

17:31 Speaker 14: and then the next classification, of course, is advance interventions,

17:35 Speaker 14: where we do a lot of minimally invasive implantables or

17:41 Speaker 14: removal of tissue under X ray or fluoroscopy and imaging.

17:47 Speaker 13: Those again, you know, tend to be the cutting edge

17:50 Speaker 13: of pain management.

17:51 Speaker 14: Those those tend to be those that are a little

17:55 Speaker 14: more innovative, spend the time to get trained and learned,

17:58 Speaker 14: trained by multiple disciplines, not just pain management physicians. But

18:02 Speaker 14: you know, we end up having spine surgery involved, orthopedics involved,

18:06 Speaker 14: neurology involved, psychiatry involved. There's indiventional psychiatry so a lot

18:12 Speaker 14: of the little you.

18:13 Speaker 13: Know, interventional.

18:15 Speaker 14: Advanced therapy, some of those where we put in plants

18:17 Speaker 14: and some of those where we don't. And then and

18:20 Speaker 14: then of course to the classical sense, now we go

18:23 Speaker 14: to open cavity, open spine, open area surgery, and those

18:28 Speaker 14: can treat. So pain management is actually very wide. The

18:32 Speaker 14: whole concept is, again, how do we help you along

18:35 Speaker 14: your journey given that you've you've hit this this bump,

18:40 Speaker 14: this road bump along the road, or this pothole, and

18:42 Speaker 14: how do we get you to go above that and

18:44 Speaker 14: go beyond that? And that's and that's where our job is. Okay,

18:47 Speaker 14: So I hope that kind of helps, and it's fine.

18:50 Speaker 6: And that's what's what's a thing about pain management is

18:53 Speaker 6: it's individualized. No, the medication that works for me might

18:57 Speaker 6: not work for somebody else. But we found a combination

19:01 Speaker 6: of medications and treatments that.

19:03 Speaker 12: Have worked for me.

19:03 Speaker 6: And it's all and sometimes it's trial and error. Sometimes

19:05 Speaker 6: you try one thing and see if that works. You know,

19:08 Speaker 6: there are medications I did well on medications I haven't

19:11 Speaker 6: done right. And as life changes and time changes, maybe

19:15 Speaker 6: something needs an adjustment or a tweak and you know,

19:19 Speaker 6: as long as the end result is to have a

19:22 Speaker 6: quality life that's worth living, to be able to participate

19:24 Speaker 6: with things with family members or friends, to be able

19:27 Speaker 6: to enjoy an outing, you know, and not have to

19:31 Speaker 6: sit there and be like, oh, I can't go to that.

19:33 Speaker 6: I'll be into much agony. I won't be able to

19:34 Speaker 6: sit there. But to be able to go, yeah, I

19:37 Speaker 6: can go to that. I can go to that show

19:38 Speaker 6: for a few hours, you know, And that is what

19:42 Speaker 6: makes life worth living, right, is to have those experiences

19:45 Speaker 6: with one another.

19:47 Speaker 14: Absolutely, I mean just me showing up this morning, you

19:50 Speaker 14: have this experience with you and Matt has been phenomenal already.

19:53 Speaker 11: Oh, thank you, Well, we're glad you're here.

19:55 Speaker 14: Yeah, usually around this time, already spending it taking the

19:58 Speaker 14: kids and driving them on shopping you off to the

20:00 Speaker 14: So I got my alibi this morning. No, so thank you,

20:06 Speaker 14: But no, I just wanted to add to your comment

20:08 Speaker 14: about individualization of care ideally, right, ideally, and and if

20:15 Speaker 14: you think about it in terms of efficiency, Ideally, if

20:22 Speaker 14: pain management was a one one type of treatment for all,

20:26 Speaker 14: like a Nike shoe factory, just keep on stamping.

20:28 Speaker 13: Out all those Nike airs one by one by one.

20:30 Speaker 14: We could do ten an hour, we do twenty an hour,

20:32 Speaker 14: do five hundred an hour because factory capacity, right, I

20:37 Speaker 14: would be at a different place.

20:38 Speaker 13: I would be sitting in.

20:39 Speaker 14: A very tall high rise building, you know, in Manhattan somewhere,

20:45 Speaker 14: or downtown Manchester somewhere. But no, it's very individualized because

20:51 Speaker 14: what works for for Matt, what works for Mike, what

20:55 Speaker 14: works for Steve, may not work for Gen. And what

20:58 Speaker 14: works for Gen, you know, and and it's and it's

21:02 Speaker 14: unfortunate that we have to try on different shoes and

21:04 Speaker 14: we have to you know, the shoe pairs with this

21:07 Speaker 14: pair of sock or this pair of cushion, and and

21:11 Speaker 14: oh the only worked for for you know, three months,

21:14 Speaker 14: and now the shoes aren't good anymore, and we have

21:17 Speaker 14: to change up the shoe because because the padding has

21:21 Speaker 14: shifted because you have a bone spur now on your foot,

21:24 Speaker 14: you know. So so yeah, it's very individualized. And that's

21:26 Speaker 14: the unfortunate part is that you know, we're all we're

21:29 Speaker 14: all such individualized entities that that we have to kind

21:33 Speaker 14: of tweak things. And and your body's constantly changing, so

21:35 Speaker 14: we always have to change change how we algorithmically or

21:39 Speaker 14: think about and approach. How can we make you a

21:41 Speaker 14: little more comfortable so you can do things you want

21:43 Speaker 14: to do.

21:44 Speaker 10: I would imagine that's that's the biggest challenge with new patients,

21:47 Speaker 10: right It's just figuring out what the best solution is

21:50 Speaker 10: for them. And then there's probably a lot of well,

21:53 Speaker 10: we're going to try this, and then if this doesn't work, well,

21:55 Speaker 10: and then we're going to try this, and you know,

21:57 Speaker 10: and then you know, hopefully they can hang in there,

22:00 Speaker 10: you know, and and you know they have to trust

22:03 Speaker 10: you that you know you're on this journey with them

22:05 Speaker 10: and that you're gonna help them find the right solution.

22:07 Speaker 14: But yeah, so so I'm glad you brought that up

22:09 Speaker 14: because because now now you're trying to get into the

22:11 Speaker 14: mind of like how I'm thinking during the day. Yeah,

22:13 Speaker 14: and and this is gonna be good. So that gives

22:15 Speaker 14: some insight to patients. So every patient comes with a

22:18 Speaker 14: unique situation. And when you when you when you when

22:22 Speaker 14: a provider walks into an encounter with the patient, not

22:25 Speaker 14: only have we relied on the experience and knowledge of

22:28 Speaker 14: what we know about the patient, we also rely on

22:31 Speaker 14: the additional information that we've gathered during the interim between

22:35 Speaker 14: the visits, and you know, we we go on what

22:38 Speaker 14: the patient's communicating to us based on prior visits versus

22:44 Speaker 14: this visit, and so we're calculating all these things and

22:47 Speaker 14: thinking all these things and trying to go down algorithmically

22:51 Speaker 14: and even just non algorithm or but creatively, what's the

22:56 Speaker 14: status of that patient and how can we tweak it

22:58 Speaker 14: to make it a little better. So you can imagine

23:01 Speaker 14: that with this new healthcare environment where where it's difficult

23:08 Speaker 14: to survive as a healthcare provider if you don't you know,

23:12 Speaker 14: become efficient. So you know, like time slots are probably

23:15 Speaker 14: fifteen to twenty minute time slots, thirty minute time slots.

23:18 Speaker 14: So we're sitting there thinking of how do we accommodate

23:21 Speaker 14: these patients based on the information that we have, and

23:25 Speaker 14: how do we tweak it and make it better for them?

23:27 Speaker 14: And then you know, follow up afterwards. So you can

23:30 Speaker 14: see that everyone's very individualized. There's a lot of different

23:34 Speaker 14: factors that you have to think about, including side effects,

23:37 Speaker 14: right and risks, and how do we follow that up

23:41 Speaker 14: and to make sure that you.

23:42 Speaker 13: Know, decision making is appropriate and effective.

23:46 Speaker 11: Yeah, yeah, that makes sense.

23:47 Speaker 14: Yeah, So yeah, but I think I think what we've

23:51 Speaker 14: figured out as a team in our practice is that

23:56 Speaker 14: you know, there's certain certain approaches we have to help

24:01 Speaker 14: mitigate pain for patients, and a lot of those is

24:05 Speaker 14: let's figure out what's causing you the pain. And for

24:09 Speaker 14: a lot of patients, when you come in in your

24:11 Speaker 14: experience of pain, you're like, I'm just in so much pain.

24:13 Speaker 12: It's everywhere.

24:14 Speaker 14: I don't know where it is, but it's also here

24:16 Speaker 14: and here, you know, algorithm Lee or in our thinking,

24:20 Speaker 14: it's it's like, okay, so where are those areas that

24:23 Speaker 14: we can identify, and how can we approach each of

24:26 Speaker 14: those areas in a safe and appropriate manner that would

24:32 Speaker 14: minimize the risks and side effects but maximize the benefits.

24:37 Speaker 11: Yeah, so that's a.

24:39 Speaker 13: Huge thing too.

24:40 Speaker 6: I mean years ago, before I was a patient of yours,

24:43 Speaker 6: I had a different pain care situation where I was

24:46 Speaker 6: getting injections and it was scary but it was also

24:50 Speaker 6: super painful. Matt would be in the waiting room listening

24:52 Speaker 6: to me scream like and I've talked about that on

24:55 Speaker 6: air many times. We've talked about you know, the experience

24:59 Speaker 6: and having somebody go, oh, no, nobody heard you. And

25:01 Speaker 6: then I go out there and Matt's like, oh you okay,

25:03 Speaker 6: I could hear you screaming, and that's not what.

25:05 Speaker 12: Pain care should be.

25:07 Speaker 6: And that's one of the things that I very much

25:10 Speaker 6: love about you and your office and your practice and

25:13 Speaker 6: the way that you do things is that I have never, ever,

25:15 Speaker 6: ever suffered through a treatment. You always make sure that

25:21 Speaker 6: the patient is comfortable, that I'm comfortable, you use numbing agents.

25:25 Speaker 6: You don't go just okay, sucking up butter coffee. We

25:28 Speaker 6: go and in checked away, which is what I had

25:31 Speaker 6: previously experienced. And I know that we were kind of

25:35 Speaker 6: talking about it before the show, but you were talking

25:38 Speaker 6: about how your approach is uniquely different when it comes

25:42 Speaker 6: to doing those kinds of injections, and I'd really like

25:45 Speaker 6: people to know about that, because I know it sounds scary,

25:49 Speaker 6: but it's actually been one of the best things that

25:51 Speaker 6: I get done is to have them done, and I'm

25:54 Speaker 6: never afraid because of the way you do it.

25:56 Speaker 12: So I wonder if you could talk about that a bit.

25:58 Speaker 13: Sure, thank you, Jenny.

26:00 Speaker 14: But before I kind of expand on this, I just

26:03 Speaker 14: want to say that it's not just me, it's the

26:07 Speaker 14: entire team. And let me explain that the entire team

26:11 Speaker 14: here at Paints Bestal Group. We we've adopted this philosophy,

26:15 Speaker 14: so I have to give credit to my staff. We

26:18 Speaker 14: want the patient to experience a pleasant journey right when

26:24 Speaker 14: they step into our centers, and that includes, you know,

26:29 Speaker 14: coming into a calming environment. And that's why we have music,

26:32 Speaker 14: and we try to have you know, light, pleasant engaging music.

26:37 Speaker 14: You know, we try to make it a kind of

26:38 Speaker 14: a soothing visual experience, even with you know, dimmer lights,

26:44 Speaker 14: but you know, not not too dim that you fall,

26:45 Speaker 14: trip and fall. You know, you know, we want to

26:48 Speaker 14: make sure you feel safe. It's clean. Staff is you know,

26:53 Speaker 14: impeccably friendly and caring. I get a lot of those comments,

26:57 Speaker 14: and I'm grateful because the staff is really really adopted this,

27:01 Speaker 14: this approach to making patients feel welcome and safe when

27:04 Speaker 14: they come in. So again, it starts not just with

27:07 Speaker 14: the injections, but it's it's a whole thoughtful process of

27:11 Speaker 14: what the patient is going to experience as they come

27:14 Speaker 14: through the door, from the beginning throughout. And that's why

27:17 Speaker 14: we have a little piano. They're right, patients come in

27:20 Speaker 14: and they they they tinker around the baby grand piano.

27:23 Speaker 2: Yeah, I was.

27:23 Speaker 11: Curious about that if anyone ever actually plays.

27:25 Speaker 14: It, Oh, it's amazing. We have concert pianists that come

27:28 Speaker 14: in and just start jamming on it. And we have

27:30 Speaker 14: people that play at restaurants that come in and jam.

27:33 Speaker 14: Oh it's people have their own recordings. And we have

27:36 Speaker 14: some of those artists that that come in with their

27:39 Speaker 14: own recordings and they and they jam. Do you every

27:41 Speaker 14: want to meet with them for your show?

27:43 Speaker 13: We're happy to make the musicians any day.

27:45 Speaker 14: But it's amazing and and and they come in and

27:47 Speaker 14: they make it a pleasant environment for the patients.

27:51 Speaker 11: You know.

27:51 Speaker 14: I I try to come out sometimes and play, but

27:53 Speaker 14: my piano skills are very limited now that I'm aged,

27:57 Speaker 14: and I haven't played a lot through years.

27:59 Speaker 13: But you know I I I tinker, but my kids

28:01 Speaker 13: play a lot better than I do.

28:02 Speaker 12: I was gonna say to your kids play, Yeah, they do, but.

28:04 Speaker 14: It's for the patients, right, So we put that out

28:07 Speaker 14: there for the patients. We uh talk about instruments. We

28:11 Speaker 14: also have a pain gong. By the way, I just

28:13 Speaker 14: wanted to make Oh yes.

28:14 Speaker 11: Yes, does that does that get used much? I've never

28:17 Speaker 11: witnessed the gong.

28:19 Speaker 14: It does, actually, So I think we're the only pain

28:24 Speaker 14: practice in the nation that has a pain gong. And

28:26 Speaker 14: we actually have a sign right by the exit that says,

28:29 Speaker 14: please share if your pain is gong. And I did

28:34 Speaker 14: that on purpose because I always tell patients like I

28:36 Speaker 14: can kind of get away with that, yeah, because yeah, yeah.

28:38 Speaker 13: I think I know it is, and I think you are.

28:41 Speaker 12: I've seen bells. Everybody has a bell, but nobody has

28:44 Speaker 12: a gong.

28:44 Speaker 11: Yeah.

28:45 Speaker 14: Well, I'll tell the origin of that, by the way,

28:47 Speaker 14: but let me explain the gong first. I'll tell the

28:49 Speaker 14: origin of that, okay. So the gong is basically for

28:51 Speaker 14: patients to celebrate if they've had a really good experience

28:55 Speaker 14: and they want everyone who's inside the center to know

28:59 Speaker 14: they can.

28:59 Speaker 13: Whack the gong. And if the wack the gong, yes, yeah,

29:03 Speaker 13: And what happened.

29:05 Speaker 12: You came around the corner and poked your head out.

29:07 Speaker 12: It was the door of all all of a sudden,

29:08 Speaker 12: there's starck to know, going, hey.

29:10 Speaker 2: Look at that.

29:12 Speaker 14: Yes, And so've we've trained the staff to celebrate and

29:15 Speaker 14: clap and cheer patients when we hear the gong, and

29:17 Speaker 14: it's because it's a celebration for the patient to to

29:21 Speaker 14: to know that that you know, they've been happy with

29:24 Speaker 14: the care, they've received some type of relief, it's possibly

29:27 Speaker 14: helped them on their journey to change their life and

29:29 Speaker 14: doing the things they want to do again. And that's

29:31 Speaker 14: and that's why we have it there. Yeah, yeah, yeah,

29:35 Speaker 14: So so again some of the different things the staff,

29:38 Speaker 14: it's the team approach on making the experience for patients

29:42 Speaker 14: a little more comfortable as you're going through this journey

29:45 Speaker 14: of trying to mitigate your experiences of pain so that

29:48 Speaker 14: you can do the things you want to do. Now,

29:50 Speaker 14: going back to your question, what different things we do

29:53 Speaker 14: to help patients kind of go through the journey of

29:55 Speaker 14: like these experiences of injections or pro features. One is

30:01 Speaker 14: in this whole day and age, is so much paperwork,

30:03 Speaker 14: and we've tried to streamline it as much as possible

30:05 Speaker 14: and and it's been hard, but we've we've you know,

30:08 Speaker 14: we've all these regulatory requirements that we have to go through,

30:12 Speaker 14: so we we we help we have the staff help

30:13 Speaker 14: streamline that. So that's been another thing that we've done.

30:17 Speaker 14: We uh, you know, just even the thinking of getting

30:20 Speaker 14: an injection. You know, patients come in anxious, they don't

30:23 Speaker 14: want to feel the poke and that's where a lot

30:27 Speaker 14: of the thinking of physiology and chemistry and pharmacology becomes involved.

30:34 Speaker 14: And that's why you know, we we we we advise

30:36 Speaker 14: patients to get certain types of medications beforehand to help

30:40 Speaker 14: mitigate some of your experience with pain. And that's including

30:43 Speaker 14: you know, the the anziolytic, the the you know, like

30:48 Speaker 14: the tile and all to help with you know, mitigating

30:51 Speaker 14: you know, your experience with that first poke. It's also

30:56 Speaker 14: with uh, creams. You know, we call in creams to

30:59 Speaker 14: help you mitigate that sensation because we want to make

31:03 Speaker 14: it so comfortable for you as much as we can

31:06 Speaker 14: with that. Yeah, yeah, and then you know, we we

31:10 Speaker 14: we have you know, and then once you're in the room,

31:12 Speaker 14: we we have conversations, right, we have lots of you know,

31:15 Speaker 14: funny conversations.

31:16 Speaker 13: We play music.

31:18 Speaker 14: The staff in there, Aiden and uh uh Julia back there,

31:23 Speaker 14: you know, Bobby back there. You know, they tend to

31:25 Speaker 14: pick the music unless it's special requests by the patient.

31:28 Speaker 14: Sometimes patient special requests are are phenomenal.

31:32 Speaker 11: Right.

31:32 Speaker 14: We've had you know, hard rock, We've had gospel music.

31:37 Speaker 14: You know, a couple of patients of request gospel and sometimes.

31:42 Speaker 13: Yeah, you can request your music I mean, we try

31:44 Speaker 13: to make it as comfortable as possible. Some patients want

31:47 Speaker 13: it blasting.

31:48 Speaker 14: We do that, and and we crack jokes, you know,

31:50 Speaker 14: we try to make you forget and as you're giggling,

31:52 Speaker 14: you know, the needle gets poked in and then you know,

31:55 Speaker 14: I use a little diff a you know, I even

31:57 Speaker 14: modify the needle technique where I call the clow the

32:01 Speaker 14: slow squeeze technique, where again it's it's all physiological, it's neurological.

32:06 Speaker 14: You do it in a way where you know, it's

32:09 Speaker 14: it's quick introduction, slow slow how do you say it? Uh,

32:16 Speaker 14: slow medication introduction. But what it does is it numbs

32:19 Speaker 14: and nerves, so as as the needles getting withdrawn, it's

32:23 Speaker 14: not ass as impactful. And then and then we go

32:26 Speaker 14: in and you know, we use you know, we try

32:29 Speaker 14: to use much more comfortable needling so that patients aren't

32:33 Speaker 14: aren't as impacted.

32:35 Speaker 13: And it's not perfect, but it works on the most part.

32:38 Speaker 13: I can attest to that.

32:39 Speaker 6: I can attest to that for start, and there's a

32:42 Speaker 6: lot of other different I mean, it's it's cool because

32:44 Speaker 6: in pain care it's it's not just okay, here's a

32:47 Speaker 6: we're gonna plug you in here. It's that combination of

32:50 Speaker 6: finding out, you know, whether maybe we're doing this treatment

32:53 Speaker 6: along with this medication or this type of therapy.

32:56 Speaker 13: Like I do pool.

32:58 Speaker 12: I I am in the pool every week, and.

33:03 Speaker 14: I commend you on that because it's funny. But one

33:07 Speaker 14: of the basic elements that we have in this world

33:09 Speaker 14: is water, and water is such a great thing for

33:14 Speaker 14: muscle tone and stress on joints, yep. And for you

33:18 Speaker 14: to engage in pool to at least do the movements

33:21 Speaker 14: that would be hard to do on land, but you can.

33:23 Speaker 6: I can't do what I can do in the pool.

33:24 Speaker 6: I can do jumping jacks in the pool. I do

33:27 Speaker 6: an arthritis class at the Why at the local Why.

33:30 Speaker 6: Everybody you know, you got Why's around this classes everywhere

33:34 Speaker 6: and it's great. I get in the water, I'm in

33:36 Speaker 6: there for about fifty minutes. I'm moving every one of

33:39 Speaker 6: my joints, and yeah, it's it's not just about medication.

33:43 Speaker 6: It's a combination of things you have to Like I

33:45 Speaker 6: watch my diet. I try to stick to an anti

33:47 Speaker 6: inflammatory diet because I don't want to cause more inflammation

33:51 Speaker 6: because my body just.

33:52 Speaker 12: Basically could glow in the dark if possible.

33:54 Speaker 14: When it comes to inflammation, Jenny, you're such an ideal,

33:57 Speaker 14: ideal model patient. I mean I don't know that, no,

34:00 Speaker 14: but you you really do embrace the multi modal, you know,

34:04 Speaker 14: approach that we have to. We've encouraged patients because there's

34:08 Speaker 14: only so much injections and medications can do, and a

34:11 Speaker 14: lot of it is just to help buy you time

34:13 Speaker 14: so you can engage your body to heal a certain

34:17 Speaker 14: way and adjust a certain way so that you can

34:20 Speaker 14: do the things you want to do. So I really

34:22 Speaker 14: really do commend you on that pool therapy stuff.

34:24 Speaker 13: It's huge.

34:25 Speaker 6: And that's that's the thing about taking care of yourself

34:28 Speaker 6: is it's you got to take care of yourself in totality.

34:31 Speaker 6: I have a therapist, I get in the pool every week,

34:34 Speaker 6: I watch my diet, I take my medications regularly. I

34:37 Speaker 6: take my treatments regularly most of the time. Sometimes I

34:41 Speaker 6: might try and stretch it out a little bit, and

34:43 Speaker 6: then I get a little bet you can stretch it

34:45 Speaker 6: and I come in sooner.

34:47 Speaker 13: But there's so much you can do.

34:48 Speaker 6: You don't have to the biggest thing I want people

34:50 Speaker 6: to take away I want you to hear today is

34:52 Speaker 6: you don't have to suffer.

34:55 Speaker 2: You don't have to.

34:56 Speaker 6: There are so many things I missed out on because

34:58 Speaker 6: I was suffering and I couldn't go. But I get

35:02 Speaker 6: regular treatment and I get to go to the Mosaic

35:05 Speaker 6: Art Gallery, which we picked up my paintings yesterday. I

35:08 Speaker 6: actually sold one for the first time out of the gallery,

35:11 Speaker 6: which was amazing.

35:12 Speaker 13: That's right, an artist, I remember.

35:14 Speaker 6: That happens yesterday, right, So I would have never gotten

35:17 Speaker 6: to take place, take part in that, go to the opening,

35:21 Speaker 6: stand next to my painting on the wall, and fail

35:23 Speaker 6: pride because I wasn't too much pain right, So you

35:27 Speaker 6: can have It's worth it. It's worth it to get

35:29 Speaker 6: the treatment because you get so much.

35:31 Speaker 13: Of your life back.

35:32 Speaker 14: And can I just add to what you're saying, Jenny,

35:34 Speaker 14: And again this also falls within our philosophy, is that

35:38 Speaker 14: if we make we help you feel good from say

35:42 Speaker 14: whatever base level to higher level, intermediate level, that mental

35:48 Speaker 14: health aspect that you have from feeling just a little

35:52 Speaker 14: better to be able to go and embrace and do

35:54 Speaker 14: the things you want to do, such as going to

35:57 Speaker 14: the art galleries, you know, going in and taking those

36:02 Speaker 14: walks that is neurochemically going to reinforce your feeling of

36:08 Speaker 14: of of reward and feeling better, and that in itself

36:13 Speaker 14: will will basically take you on the path on recovery

36:18 Speaker 14: from pain. So it's not just physical physiological pain, but

36:21 Speaker 14: it's also psychological emotional pain kind of about that we

36:25 Speaker 14: try to help really achieve relief.

36:28 Speaker 10: For Yeah, I'm curious, doctor Bough if over the course

36:32 Speaker 10: of your career, have you seen a lot of advancements

36:34 Speaker 10: in terms of techniques or technologies that you know that

36:39 Speaker 10: have that have really kind of helped to enhance what

36:42 Speaker 10: you do?

36:42 Speaker 11: Oh?

36:42 Speaker 13: Oh, phenomenally, phenomenally.

36:45 Speaker 2: Uh.

36:45 Speaker 13: I can tell you.

36:48 Speaker 14: One thing is that the field of medicine in itself

36:52 Speaker 14: has evolved so tremendously, it tends to move a little

36:58 Speaker 14: slower because, like if you look at the example of telephones, right,

37:03 Speaker 14: the iPhone, I mean, what was it maybe two decades

37:06 Speaker 14: ago we had the flip phone, right?

37:08 Speaker 13: Oh yeah, so wait what two decades ago? Was two thousands?

37:12 Speaker 3: Right?

37:13 Speaker 14: We had like flip phones back in the two thousands,

37:16 Speaker 14: And I mean I still remember that Motorola, that Motoro

37:20 Speaker 14: flipt phone.

37:21 Speaker 13: That yes, And then there's the BlackBerry with the little keyboard.

37:28 Speaker 14: So if you think of the evolution of the cell

37:30 Speaker 14: phone from you know, or telecommunications from pagers to flip

37:36 Speaker 14: phones to BlackBerry and now to these mini computers that

37:41 Speaker 14: live in your hand and you can talk to it

37:44 Speaker 14: and it talks back, tell it what to do, and

37:47 Speaker 14: it does it for you to throws the map up like,

37:49 Speaker 14: that's the evolution of medicine as well, because those technologies

37:53 Speaker 14: do migrate over to medicine. However, medicine tends to adopt

37:57 Speaker 14: it a little slower because providers tend to be a

38:01 Speaker 14: little more cautious because of you know, too aggressive of

38:05 Speaker 14: treatments or to to aggressive advancements of adoption without studying

38:12 Speaker 14: the adverse effects of it as as closely could be

38:17 Speaker 14: detrimental for people. And that's why you know, the FDA

38:19 Speaker 14: has been very involved with those things. But in terms

38:22 Speaker 14: of pain management, it is extremely evolutionary. And it's evolutionary

38:28 Speaker 14: not just in medication management, not just in you know,

38:33 Speaker 14: the multidisciplinary approach and thinking about pain and suffering not

38:39 Speaker 14: just from you know, a mechanical but also you know,

38:42 Speaker 14: in emotional, psychological, but also in like techniques. So I

38:48 Speaker 14: say that because they have for example, needles out there

38:52 Speaker 14: right that you put it into the patient. For radio

38:55 Speaker 14: frequency evlations, you push a little lever and all of

38:58 Speaker 14: a sudden, boom, it comes out like a try to

39:00 Speaker 14: so it covers a larger area. But the problem is

39:02 Speaker 14: those needles are extremely expensive. That it doesn't mean it

39:05 Speaker 14: makes it very difficult to cost cover the cost of treatment.

39:12 Speaker 2: They have.

39:13 Speaker 14: You know, they have implants and procedures that the pain

39:16 Speaker 14: doctor does that comes very close to what the spine

39:18 Speaker 14: surgeons somewhat do, but not as good as spine sorts.

39:21 Speaker 14: I would never never detract from what the spine surgeons

39:25 Speaker 14: do because they do excellent work and it's so phenomenal

39:29 Speaker 14: to see the results of what they do. But there's

39:31 Speaker 14: been you know, techniques and devices developed where spine surgeons

39:36 Speaker 14: are doing it, and they're teaching pain physicians to do

39:39 Speaker 14: an under X ray two and the costs are phenomenally less,

39:43 Speaker 14: really phenomenally less.

39:45 Speaker 13: But you know, what are the results.

39:47 Speaker 14: I don't know right They're still being studied. They're probably

39:50 Speaker 14: not as as effective as the current standard, and some

39:55 Speaker 14: maybe even more effective, but we just don't know fully yet.

39:57 Speaker 14: I mean, preliminary studies have come out enough to get

40:00 Speaker 14: them approved, but long term studies are not fully there

40:04 Speaker 14: yet to to clarify what.

40:06 Speaker 13: The advantages and disadvantages are.

40:09 Speaker 14: But again, you know, in this American you know, westernized

40:14 Speaker 14: market environment that we have in America, sometimes those those

40:19 Speaker 14: therapies take precedent because they're cheaper to the insurers and

40:23 Speaker 14: the payers and and and there's you know, better margins

40:26 Speaker 14: to be made by the healthcare systems because.

40:28 Speaker 6: Of that, right, right, that's always way one thing that

40:32 Speaker 6: people get a lot And I was curious to ask

40:34 Speaker 6: you the question on air for every for other people

40:36 Speaker 6: as well, is what do you do to help people

40:39 Speaker 6: with like really bad headaches migraines?

40:44 Speaker 13: Great question.

40:45 Speaker 14: So we we deal with a lot of migraines, and

40:49 Speaker 14: we you know, we deal with a lot of headaches.

40:51 Speaker 14: We have a lot of approaches that you know, are

40:56 Speaker 14: specifically pain management related, and a lot of approaches that

41:00 Speaker 14: you know, we've worked with UH that are fall within neurology,

41:04 Speaker 14: but neurology also leaks over to pain management and some

41:07 Speaker 14: of the challenges are some of those therapies we've we've

41:10 Speaker 14: adopted and employed because there's such a shortage of neurologists

41:14 Speaker 14: here in New Hampshire. There's a huge shortage of neurologists.

41:17 Speaker 14: I mean, we get comments all the time that, uh,

41:21 Speaker 14: you know, I can't see my neurologists for another six months.

41:24 Speaker 6: Oh I it took me over a year to get

41:26 Speaker 6: into my neurologist's office on a wait list.

41:28 Speaker 13: Wow.

41:29 Speaker 14: And it's insane. And we're like, well, you know, we

41:32 Speaker 14: try to accommodate you. We'll, we'll figure it out. We'll

41:34 Speaker 14: we'll try to adopt some of those measures to help

41:38 Speaker 14: with pain management, with migrain and headache management. But again,

41:43 Speaker 14: you know, the the experts on those are the neurologists.

41:47 Speaker 14: But you know, we we've been able to accommodate some

41:49 Speaker 14: of those. And some of those include, of course, you know, therapeutics,

41:51 Speaker 14: right like medications. There's been a pardon me, burgeoning class

41:58 Speaker 14: of therapeutics that are pretty effective.

42:00 Speaker 13: On migraine management.

42:02 Speaker 14: But again they're more expensive and they're on patents, so

42:04 Speaker 14: there's they don't fall within the insurance algorithms as as

42:08 Speaker 14: readily accessible. And those tend to be the calcitonin gene

42:11 Speaker 14: receptor peptide antagonists to see g RP receptor antagonists, and

42:18 Speaker 14: those include some medications that you can take orally once

42:22 Speaker 14: a month, injections injectables.

42:25 Speaker 13: Those help. We also leak over to.

42:29 Speaker 14: Just in eventual pain manage itself, is that a lot

42:31 Speaker 14: of the headaches are not just migraines, but they could

42:34 Speaker 14: be related to the cervical spine, and we call those

42:38 Speaker 14: cervicogenic headaches. You know, where where the headaches are are

42:45 Speaker 14: from irritation of the nerves that cut off the cervical spine,

42:48 Speaker 14: that cause spasms of the muscles in the back of

42:50 Speaker 14: the neck, the upper lower part of the head, and

42:52 Speaker 14: then you know, through collateral innervation end up being experienced

42:57 Speaker 14: as a headache. You know, we have occipital nerves, you know,

43:00 Speaker 14: greater and lesser eximple nerves that tend to be irritated from,

43:04 Speaker 14: you know, irritation of some type, whether it's spasm or

43:06 Speaker 14: just fibers tissue irritation. So so there's a lot of

43:10 Speaker 14: ways that we can deal with headache that kind of

43:14 Speaker 14: overlap somewhat with some of the neurologists. Again they're the experts,

43:17 Speaker 14: you know. I always love my neurology colleagues. Wish I

43:21 Speaker 14: was able to spend more time with them. Sometimes we

43:22 Speaker 14: do get a special guest that comes to our office

43:25 Speaker 14: to interact with us about neurology. Sometimes we we've touched

43:29 Speaker 14: base with some of the neurologists in the Northeast area

43:34 Speaker 14: that we've gone to dinner. Yeah, but again they're they're

43:37 Speaker 14: they're far and few between, because somehow there's such a

43:43 Speaker 14: shortage of them. And I know that there's been, you know,

43:46 Speaker 14: some dynamics that have occurred with health systems that have

43:50 Speaker 14: made some shifts in neurology access as well in the

43:53 Speaker 14: in the New Hampshire area. So it's been interesting. But yes, yes,

43:58 Speaker 14: we have lots of little things we could do for

43:59 Speaker 14: migraines as well.

44:00 Speaker 13: Yeah, headaches.

44:00 Speaker 11: It's pretty common, right, migraines.

44:02 Speaker 14: And migraines and headaches. So one thing I just want

44:05 Speaker 14: to say is that people when they have a headache,

44:07 Speaker 14: they call it a migraine, but it's not always a migraine.

44:09 Speaker 14: There's there's a specific criteria for migraine. There's specific criteria

44:12 Speaker 14: for different types of headaches, like cluster headaches.

44:14 Speaker 11: Yeah. Oh I know someone who's who's had to deal

44:17 Speaker 11: with cluster headaches, right, yeah.

44:19 Speaker 14: Just yeah, they have a whole cervic progenic headaches. So again,

44:22 Speaker 14: you know, we're there to discern between those things. It's

44:25 Speaker 14: not just you know, one label and it falls within

44:28 Speaker 14: that we tend to try to tease apart. What's the

44:31 Speaker 14: real root cause of it?

44:33 Speaker 10: Yeah, yeah, what's the most common back pain? I would assume, right,

44:36 Speaker 10: is the most common back pain.

44:38 Speaker 14: Neck pain, injury related pain is very common. Yeah, just

44:45 Speaker 14: a lot of arthritic pain. Degenerative joint pain is very

44:50 Speaker 14: very common. And and just remember that anytime anyone's in

44:55 Speaker 14: mechanical physiological pain, it evolves into the psychologue.

45:00 Speaker 13: Pain and that that.

45:04 Speaker 14: You know, combinatory source of pain, and it becomes very

45:08 Speaker 14: difficult to break. And so that's that's the art of

45:10 Speaker 14: pain management. How do we break one to help decrease

45:13 Speaker 14: the other, then how do we break the other.

45:15 Speaker 6: One of the aspects of of pain that I call

45:18 Speaker 6: it is payingry when I'm in so much pain that

45:22 Speaker 6: it's not it's not about anybody else, but everything is

45:25 Speaker 6: short fused, everything is tight. I'm hurting so much that

45:29 Speaker 6: I might come off like I'm really angry, but it's

45:31 Speaker 6: it's really painger. It's it's it's not it's not a

45:35 Speaker 6: normal sense of anger, if that makes sense.

45:38 Speaker 12: But yeah, that's that's kind of a term.

45:40 Speaker 8: That we use.

45:41 Speaker 13: Is real because if not, we should quit it.

45:43 Speaker 6: It isn't it isn't our world. It isn't our world

45:47 Speaker 6: because I've seen it before, I've used it in some

45:48 Speaker 6: of my writings. I don't know where the original coin

45:52 Speaker 6: is come from.

45:53 Speaker 12: I know, I don't take credit for that.

45:56 Speaker 13: I don't know straight on the show.

46:00 Speaker 6: It's a real phenomenon, and your your loved ones don't

46:03 Speaker 6: necessarily really oh they're in a bad mood. It's like,

46:05 Speaker 6: oh god, I'm not in a bad mood. I'm really suffering.

46:08 Speaker 6: Yeah you know, but yeah you don't. That's the thing,

46:11 Speaker 6: that's the real thing.

46:12 Speaker 14: And this is why I want to give a positive

46:14 Speaker 14: stroke and a very very you know, highlighted comment to

46:17 Speaker 14: my staff is that they are the front line of

46:22 Speaker 14: dealing with, you know, patients, and a lot of these

46:25 Speaker 14: patients call in and come in with angry syndrome.

46:29 Speaker 13: Yeah yeah, very angry.

46:31 Speaker 11: Yeah yeah.

46:31 Speaker 12: And it's not them and they're wonderful and they're sitting

46:34 Speaker 12: there taking it and you're.

46:35 Speaker 13: Like, but I need the appointment.

46:36 Speaker 14: Yes, yes, and so and so I just want to

46:38 Speaker 14: say that, yes, it's it's a very notable occurrence. I

46:42 Speaker 14: can only say that, you know, I'm very grateful for

46:44 Speaker 14: the staff to be able to to, you know, oh

46:48 Speaker 14: humbly and craftily handle those situations without without being too

46:53 Speaker 14: affected by it, but does affect all of us of course.

46:56 Speaker 8: Yeah.

46:56 Speaker 6: I mean you call up like I've called up and

46:59 Speaker 6: been crying, Oh this went wrong and I'm really hurting,

47:02 Speaker 6: and they're just all right, we got you.

47:05 Speaker 12: Where are we going, Let's get a date?

47:06 Speaker 8: You know.

47:07 Speaker 14: So So one of my most common words that I

47:09 Speaker 14: use during the day is ou So you know how

47:14 Speaker 14: you take a breath back and you catch yourself. So

47:17 Speaker 14: so that's that's one thing I think that could help

47:20 Speaker 14: patients when they go through a paining gree episode or

47:23 Speaker 14: pain paining gry episode is take a step back and

47:26 Speaker 14: just kind of take a deep breath and let it out,

47:30 Speaker 14: you know, like like like you know, like yes.

47:34 Speaker 11: Yes, I do a lot of Yeah. I don't know

47:38 Speaker 11: if you I think you know this about me.

47:40 Speaker 10: I'm a hypnotherapist and I do a lot of what

47:42 Speaker 10: I'm bringing a client and the hypnosis. We do a

47:45 Speaker 10: lot of breathing, ironic given my recent asthma issue, but

47:49 Speaker 10: but we do a lot of you know, deep breathing,

47:51 Speaker 10: and I try to I do a little bit of pain.

47:54 Speaker 11: Management with that too.

47:55 Speaker 10: Sometimes sometimes with clients, just to kind of help them,

47:57 Speaker 10: I try to get them to do a visualization where

47:59 Speaker 10: they am imagine the pain not as a feeling or

48:01 Speaker 10: a sensation, but as an object that's in them that

48:04 Speaker 10: they can remove, that they can actually push out. And

48:07 Speaker 10: sometimes it's helpful for people. But but we do a

48:09 Speaker 10: lot of breathing stuff, you know. I get them to

48:12 Speaker 10: you know, breathe out any negative energy that they're carrying

48:14 Speaker 10: around and breathe in positive energy and all that.

48:16 Speaker 11: Kind of thing.

48:17 Speaker 14: That's phenomenal. Matt, you should maybe become a hypno therapist

48:21 Speaker 14: for pain. Well, I do, just do it.

48:24 Speaker 13: When somebody asked about it, Oh yeah, yeah, I really, yeah.

48:27 Speaker 11: I meant most of my clients.

48:28 Speaker 10: It's not something I get approached about much because most

48:31 Speaker 10: of my clients the number one thing is quitting smoking,

48:33 Speaker 10: of course, which is true for any epnotherapist. And I

48:37 Speaker 10: do a lot of you know, stress management and all

48:39 Speaker 10: that kind of thing, weight loss of phobias. So it's

48:42 Speaker 10: not actually very common that anyone that a client approaches

48:45 Speaker 10: me for help with pain management, but I do it,

48:47 Speaker 10: and I actually have a certification in it.

48:49 Speaker 6: It's really and you also have hypno birthing. I do, yes,

48:54 Speaker 6: hypno birthing, yes, yeah, wow, Yes, you can use hypnosis

48:57 Speaker 6: in childbirth yep to not feel like theabor pains.

49:06 Speaker 13: Maybe an epidural are amazing.

49:10 Speaker 12: Let me tell you, I didn't get one when I

49:12 Speaker 12: gave birth to my son.

49:13 Speaker 6: Unfortunately, by the time I was smart enough to ask,

49:15 Speaker 6: they said the window was closed. So so just so

49:19 Speaker 6: you know, my my latter my prior life before I

49:22 Speaker 6: went into pain management was that I was an upstetric antithesiologist.

49:26 Speaker 13: So so I know the epidural very well.

49:29 Speaker 14: And I just want to make a comment that that

49:32 Speaker 14: it's always good if there's no major contraindications to get

49:36 Speaker 14: the epidural early, because that epidural not only helps you

49:41 Speaker 14: experience for for women that are going through labor, that

49:44 Speaker 14: only helps you experience the birthing process in a much

49:47 Speaker 14: more pleasant manner, especially if it's working well. It's a

49:50 Speaker 14: very from a medical standpoint, it's it's probably one of

49:53 Speaker 14: the best life saving tools that the antiseesiologist and the

49:57 Speaker 14: medical team has to deal with any emergencies that may

50:01 Speaker 14: arise that are so fast paced when you're going through

50:05 Speaker 14: the process. So so I've always been an advocate, get

50:09 Speaker 14: it early. Let's make sure it works. And if even

50:12 Speaker 14: if you don't want to receive the the the the

50:15 Speaker 14: relief from it, that's okay.

50:16 Speaker 13: We can shut it off.

50:17 Speaker 14: But as long as it's working and it's there, and

50:20 Speaker 14: if something some badness occurs, it's it's one of our

50:24 Speaker 14: best if it's one of our best tools to get

50:28 Speaker 14: you through the whole process safely.

50:30 Speaker 6: Okay, Now you have two offices, so you can see

50:35 Speaker 6: people in two different locations.

50:36 Speaker 12: Now, yes, I want to make sure listeners know where

50:38 Speaker 12: you are.

50:39 Speaker 14: Yes, yes, So, so we we have our main location

50:42 Speaker 14: in Newington, New Hampshire, and that was the well the

50:45 Speaker 14: original one was actually an Exeter and we started with

50:48 Speaker 14: doctor Sanchez, Manuel Sanchez, and and God bless his soul,

50:52 Speaker 14: he's such.

50:52 Speaker 13: As I still love that man so much.

51:00 Speaker 14: Nice he is such, he is such that Spanish European

51:05 Speaker 14: classy gentleman flair that that and and and his teachings,

51:10 Speaker 14: I mean, I can only tell you his teachings still

51:12 Speaker 14: come with me today till today. He he he really

51:19 Speaker 14: really uh impressed on me how to really take care

51:23 Speaker 14: of patients here in New Hampshire just you know, but

51:26 Speaker 14: our original office was actually an Exeter and then when

51:29 Speaker 14: I joined in shortly after we went to Newington and

51:32 Speaker 14: then recently just opened up a new office in new Market.

51:35 Speaker 11: Congratulations, Well, thank you, thank you.

51:37 Speaker 14: It's been a little slow of opening. I'm not there

51:41 Speaker 14: often just because I'm pretty tied down in the Newington location,

51:46 Speaker 14: but my staff is there a lot and and we

51:48 Speaker 14: do a lot of uh we're starting to roll out,

51:51 Speaker 14: you know, a lot more clinical time there. The building

51:54 Speaker 14: is still under development, you know, the section for the

51:56 Speaker 14: paint for the clinic is already ready to go.

52:00 Speaker 13: But it's beautiful. I mean, I'm sure you've been there

52:02 Speaker 13: right the.

52:05 Speaker 11: Area.

52:06 Speaker 13: Oh we should we should come here sometime to the

52:07 Speaker 13: new one now. Oh yeah, yeah, it's really nice.

52:10 Speaker 6: It's uh I usually go into the r Yeah, so

52:13 Speaker 6: I'm always at the at the Newington office.

52:16 Speaker 14: Honestly, if my wife let me live up in the

52:19 Speaker 14: new Market of them, I have like place where I

52:21 Speaker 14: live at home. Yeah, it's it's new, you know, it's new,

52:26 Speaker 14: it's fresh. You know, we put new flooring in. It's

52:29 Speaker 14: just pretty. I just think it's really pretty.

52:31 Speaker 11: Yeah.

52:31 Speaker 10: Yeah, oh very good, Yeah good, Yeah, what U now

52:36 Speaker 10: did you have any other plans for expansion beyond that

52:39 Speaker 10: in the future.

52:40 Speaker 13: You know, it's a great question.

52:41 Speaker 14: I mean, you know, I'd love to be like Doctor

52:44 Speaker 14: Evil out of uh what's that movie?

52:47 Speaker 13: Uh it's a little world domination.

52:51 Speaker 14: But no, realistically it's slow and steady. Yeah, we uh,

52:56 Speaker 14: you know, it's it's basically staffing and and a patient

53:01 Speaker 14: you know, accommodation issue.

53:04 Speaker 13: It's just we go slow and steady.

53:05 Speaker 14: I think as long as you know, we're able to

53:09 Speaker 14: accommodate patients and we're able to figure out areas that

53:12 Speaker 14: that there is need right like you know, up here

53:17 Speaker 14: near the Manchester area, I think there's more need because

53:19 Speaker 14: I know there's been some shifting in the pain management

53:22 Speaker 14: atmosphere here in New Hampshire. We would definitely think about

53:28 Speaker 14: expanding more. But again, it's just it's I'm very slow

53:31 Speaker 14: and steady. I've I've always been very conservative, and I know,

53:35 Speaker 14: you know, my administrative staff is always asked, why don't

53:37 Speaker 14: we do this, why don't we do that? We get

53:39 Speaker 14: vendors all the time coming in and going, hey, let's

53:41 Speaker 14: do this and do that. Yeah, and I'm just very

53:44 Speaker 14: slow and steady. I just yeah, I just I think

53:48 Speaker 14: that's probably wise. Well, it's it's only because we have

53:53 Speaker 14: something that works right now, and you know, we we

53:55 Speaker 14: have a lot of positive feedback from the community and

53:58 Speaker 14: from patients, and so to to to add another element

54:03 Speaker 14: into something that works has to take a lot of

54:05 Speaker 14: thought and h and consideration because you know, we want

54:10 Speaker 14: to make sure that we're still doing the best that

54:11 Speaker 14: we can for people and for patients in the community

54:15 Speaker 14: without without changing it too much. That's why again, the

54:17 Speaker 14: slow and steady approach has always been my my, my,

54:21 Speaker 14: my mindset.

54:22 Speaker 11: Yeah, no, I think that makes I think that makes sense.

54:25 Speaker 11: Doctor No. This has been wonderful.

54:26 Speaker 10: We're already approaching the top of the hour that the time,

54:29 Speaker 10: the time goes so quickly. Anything, we didn't mention that

54:32 Speaker 10: we should make sure that we Uh.

54:34 Speaker 14: I just want to say, you know, happy new year

54:37 Speaker 14: to everyone, for both of you, to everyone out there

54:41 Speaker 14: in New Hampshire, to the uh you know, the general public.

54:47 Speaker 14: I want to say that, uh, you know, we we

54:52 Speaker 14: hope from Pain Specialty Group a fruitful and very successful

54:56 Speaker 14: year and we're here to help if there's anything that

54:58 Speaker 14: you need. I want to be thankful to my staff.

55:02 Speaker 14: They've done a wonderful job take helping. You know, the

55:05 Speaker 14: providers take care of the community, and we have lots

55:09 Speaker 14: more exciting things to come.

55:10 Speaker 11: Yeah.

55:10 Speaker 6: Absolutely, you can find out more information at Painspecialtygroup dot com.

55:15 Speaker 6: Pain Specialtygroup dot com will show you all the information

55:19 Speaker 6: about the different treatments they offer, different types of problems

55:22 Speaker 6: that they treat, and all the providers. Beautiful pictures are

55:25 Speaker 6: on there so you can see more information about the providers.

55:28 Speaker 6: I am a happy patient and I invite you to

55:30 Speaker 6: have a pain free day.

55:32 Speaker 11: And it's a very nice website.

55:33 Speaker 10: By the way, I'm a web design nerd, so I

55:37 Speaker 10: judge these things and it's a very nice website.

55:39 Speaker 13: Well, thank you, thank you. I don't take any credit

55:41 Speaker 13: for you.

55:42 Speaker 10: You don't have time to design your own website, that's

55:45 Speaker 10: for sure, I know, but no, but it's a great site.

55:47 Speaker 10: And yes, Painspecialtygroup dot com and doctor No, thank you

55:50 Speaker 10: so much.

55:51 Speaker 13: Thank you for having me on.

55:52 Speaker 10: Absolutely, we got to do this more often, Okay, like

55:55 Speaker 10: we were talking about earlier, we definitely will. And if

55:57 Speaker 10: you are listening live on Saturday morning here, crow Hill

56:01 Speaker 10: is coming up next, so we got plenty more of

56:03 Speaker 10: show to come.

56:04 Speaker 11: So don't go away.

56:05 Speaker 1: See running around in sound blue lights, flashboo, it will

56:10 Speaker 1: never be found. The song Scrattian line, wob be sound yeah,

56:15 Speaker 1: and make some memories to forget in the morning.

56:18 Speaker 2: It feels like caby.

56:20 Speaker 1: Can changes, but the people around you keep a smile

56:23 Speaker 1: on the faces.

56:24 Speaker 3: Case I'm selling you, Yeah, I'm selling yeah, I'm selling real.

56:29 Speaker 8: So let's safety down and you can say it sounds

56:37 Speaker 8: it's somebodom you.

56:40 Speaker 5: So funny thing spies.

56:43 Speaker 7: The big blacas, the slices, a dream created tail hearing men.

56:52 Speaker 7: Let's come back to you in the sas, the big places,

56:57 Speaker 7: the one of fay dream crest to.

57:00 Speaker 2: Tell you fucking the sign lies hundred smiles, so the

57:22 Speaker 2: rise where the sun shining down on me and you

57:26 Speaker 2: can't seem to hide that smiles. If we tell you

57:30 Speaker 2: your story or two and it feels like everything changes.

57:34 Speaker 2: But we've had that before.

57:36 Speaker 3: So while we're put through the paces, Yeah, I'm selling you, Yeah,

57:39 Speaker 3: I'm selling you.

57:40 Speaker 2: Yeah, I'm selling you.

57:43 Speaker 7: So same down and you can sell it sound so

57:51 Speaker 7: woo you out.

57:54 Speaker 5: From It's anything nice is the people l.

58:00 Speaker 4: Treams repregated, gim me.

58:06 Speaker 7: Met right, the spices, the people, the places for God,

58:11 Speaker 7: our faces and dreams with briget.

58:13 Speaker 3: To take fulling me.

58:18 Speaker 2: Metal backing. I'm singing your song that will bring you lungsnight.

58:41 Speaker 1: That care in little world time has catch that have

58:44 Speaker 1: you evening.

58:44 Speaker 8: Right because it's ten past five on a freezing winter's night.

58:53 Speaker 2: But with a smile and of faces will.

58:55 Speaker 8: Dance and so the sun dies, this will dancing. So

58:59 Speaker 8: the rhymes let's go dancing. So the sare rides, let's

59:04 Speaker 8: go dancers, or the saw rides, Let's go dance.

59:08 Speaker 9: And so the sore yes go bass are the sort.

59:13 Speaker 4: That's does it sounds sous?

59:16 Speaker 7: This is a passenger announcement.

59:17 Speaker 6: The twenty three bus will now the park can stand

59:20 Speaker 6: nineteen and ten past time.

59:22 Speaker 4: Says pass The class laces are get to know.

59:30 Speaker 14: Y thing.

59:32 Speaker 7: Let's go past, guys, species, the basic form, the places,

59:37 Speaker 7: what a spaces gates? Check there bet it, Let's go

59:45 Speaker 7: back cha