Matt Connarton Unleashed 1-4-25 hour 1

0:00 Speaker 1: Running around in sound blue lights, flashboo, it will never be found. The song Sprattish line job sound yeah, and 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. 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 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 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 and you can't seem to hide that smiles if we tell you your story.

1:25 Speaker 2: Or so and it things like everything changes. But we've 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 selling you the same down and you can sell it 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 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 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 that's what dancing. So the sun rise that's what dunces 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 nineteen and.

3:16 Speaker 4: Ten past times uses the class let a free gets you know a thing.

3:27 Speaker 7: Let's go back bayscas the fad for the places once 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 are live from the studios of wm NH ninety five point three FM, Inglorious, Manchester, New Hampshire. And that is the American radio premiere of the brand new track from a band called Tuesday Night Whites. The track is called twenty three. These guys are from the UK. Tuesday Night Whites is the name of their local football team in Preston, North End. They are a Lancashire or Lancashire How would you say that? Lancashire right based five piece indie rock band formed in twenty twenty two and making their way to American radio, So you know, we love to do those American RADI I don't know if it's a world radio premiere.

4:41 Speaker 10: They might have already been played in the UK, but definitely their first time on American radio. And we've 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, it's especially good that you're here today because, as you can probably hear, my voice is already failing from my recent fight with asthma. It sounds apparently I'm not fully recovered from that as I'm as I'm cracking on this Uh, 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 Knoll this.

5:27 Speaker 10: Time, that's right, Yes I did. I did have to go to the emergency room again, yes, but but I 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 first show of the new year. Happy new year, everybody. 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, Doctor Noah is here. Welcome doctor now. Oh I cannot 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 out of you.

6:02 Speaker 11: Oh. I think I can hear you now, doctor Now 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 the new studio, so it's certainly been well over a year. I know that probably been probably been a year and a half maybe since you've been with us.

6:19 Speaker 14: It's been a little while. I can tell you that 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, 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, 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, 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 station in here, you know, because as you know, at the old place, like looking at it from the outside, you would never even know that there was a radio 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 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 before we get started. Yes, is that that song twenty three that you played this morning? Yes, if there was a rating scale out of twenty four, I would rename 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 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. So the building that we're in, of course, this used to be a bus station here in Manchester. This this amazing building which was remodeled and refitted. Is that a term for that turn turned into this amazing facility that it is today. But yeah, we were so we were talking off air, because we tell everybody especially it always comes up when when someone says, you know, can I use the restroom, and it's like, yes, enjoy our enjoy our enormous.

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

8:00 Speaker 10: This used to be a bus station, and then I play that song and sure enough there's, uh, there's that 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 that online, the song is called twenty three. The band is Tuesday Night Whites, And just to be very clear 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 we call soccer.

8:21 Speaker 11: I don't want anyone to think what what is that like? Uh? Are they you know, bad people or something? No, talking 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 the sports ball as we say, so doctor no, uh tell us about uh. For those who don't know who haven't heard your previous interviews. You've been on with us, well two or three times before. I think at the old at the old studio, I think we've.

8:50 Speaker 14: Been on, yeah, about two or three times span of 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. 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 an honor to come on because I you know, there's a lot of changes that have occurred, and it feels like it's a it's a fresh start, and especially with 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 you because of Jenny, right, and.

9:23 Speaker 6: I'm excited to have you on and share something that's important in my life. I am a pain patient, as you guys know, and you hear the stories all the time. I have CRPS, complex visional pain syndrome, and small fibron aeropathy, and thanks to doctor no I have quality of life because the hardest thing about having CRPS, because it is the most painful disease known to modern medicine is that it's very difficult to control that pain and have a quality of life. And Doctor No from the pain specialty group is who makes my life quality wise because of the treatments that I get, which is a combination of a different treatm it's that you do.

10:01 Speaker 6: In my case, I have oblasions or different injections or say you've you sometime a different medication to keep things in check. And I want to share that with people because so many people out there are suffering and pain and you don't have to suffer. That's the biggest thing. You don't have to be the one suffering about it. Oh did I do something? I did something? Okay, thank you Matt. He's fixing me so And just just because I want to be as open as possible, a doctor No is my doctor and I am happy to be here with him and openly talk about pain care because I do want people to know that there are solutions.

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

10:43 Speaker 14: Yeah, and Jenny, I just want to say, you know, it's an honor to help you, you know, do the things you want to do in life. And I'm touched to hear all of this, and I will also I know we're on air, but I will also protect your privacy and whatever you know, let you disclose. But if you want me to comment on something, I mean, just 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 me makes me happy to know that I've at least been able to help you, you know, get along your path in life and do the things that you want 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 someone's who's uh you know, had a front row seat for this journey of that Johny's been on. I mean you've you've made an enormous difference in her life. I 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 getting treatments, I was still using wheelchair and having a hard time. And at one point I started to get better and I was with a practice that all of a sudden closed their doors, no warning, no notice, just 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 a practice here in New Campshire at the time and I was lucky enough to meet this practice because I was literally left with I don't know what to do. I have no provider, and you did come in and you ended up taking over my care. And it's been well over three years, probably four. I'm not even sure 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, I'm very happy and grateful and touch that you know, we were able to help you, because we do hear the story a lot with you know, the shifting of providers, shifting of practices, that that patients are left in kind of a no person's land. I don't want to say no man's land, but no person's land, and and it's unfortunate and it's a very hard place to be. So again, very very touched, very honored to be able to help you along the way. And look at you now, you're you're you're doing great things for not just the New Hampshire, Manchester, 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 that's one of that's why I want to share this aspectuse there is so much suffering out there that doesn't have to happen.

13:04 Speaker 3: So, like.

13:06 Speaker 6: You offer a lot of different treatments for a lot of different things. And I have significant lower back pain. I have like three desks that are bulging and they have to be controlled or I'm in awful pain. So some of the things that you do aren't about medication as much as a treatment. One of the things you do for me is called an ablation and that has a great effect. And I know that you do other things types of injections and stuff, but you know, just talking about like the lower back issue, what are the kind of things that you do for other people to 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 of preface the thinking of how we approach pain management. But at both of our locations, know, in Newmarket which is the newer one, and also in Newington, our philosophy has always been, look, you're you're we're all going through life, you know, we all go through life as a as a as a child, a youth, a young adult, you know, a mid life adult, an older adult, and as an elderly person. And during that journey, our body changes, not just you know, our life situation, you know, our economics, our social engagements, but but our body changes, and and with those changes come how we experience those changes.

14:30 Speaker 14: And and pain is a very very prevalent aspect of those changes. So what we do in our philosophy is that we can't really care or change those changes or reverse those changes. What we can do is help you adapt, deal with, accommodate with how we perceive or or experience those changes. And if you take that perspective of pain management, that's where we come in. And and and Jenny you mentioned about you know, how do we deal with What tools 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, but I'm gonna try to generalize it into two boxes. We have conservative therapies, right, which include you know, you know, activities like physical therapy, pool therapy, chiropractic care, uh, you know, you know, psychosocial therapy, cognitive behavioral therapy. We have medication therapy, lots of different classes of medications. Yeah, you know, we always hear about one certain class of medication which has always been the easiest to go to, but it's also caused a lot of headaches personally for not for me, for for individuals, socially, economically, and even legally.

15:55 Speaker 14: And that's what I'm talking about opiates and controlled substances. We have lots of different other classes that help mitigate pain, and and those kind of leak into other disciplines of medicine. And that's why pain management is so broad. We have uh interventional therapies like you mentioned. Some of those therapies, as you mentioned, include radio frequency elations, you know, steroid injection, nerve injections. When people hear the term injection or ablasion, they think it's just one area, one type of treatment, 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 or cortisone injection, we hear that a lot. One is there's different classifications of steroids. Two is there's different areas that we inject. Three is there's different reasons to why we approach an injection, and there's different potential outcome. Some of those are therapeutic, which what you experience. Some of those are diagnostic, which tell us, okay, this works, but it's not gonna last, but we could do something else that lasts longer.

17:09 Speaker 14: And some of those are therapeutic and diagnostic. And there are even some injections that some of those may be potentially longer lasting, are terminally therapeutic, such as you know, injectables that cause nerve destruction. Some of those injections are are lubricating. So there's lots of different types. Yeah, and then the next classification, of course, is advance interventions, where we do a lot of minimally invasive implantables or removal of tissue under X ray or fluoroscopy and imaging.

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

17:51 Speaker 14: Those those tend to be those that are a little more innovative, spend the time to get trained and learned, trained by multiple disciplines, not just pain management physicians. But you know, we end up having spine surgery involved, orthopedics involved, neurology involved, psychiatry involved. There's indiventional psychiatry so a lot of the little you.

18:13 Speaker 13: Know, interventional.

18:15 Speaker 14: Advanced therapy, some of those where we put in plants and some of those where we don't. And then and then of course to the classical sense, now we go to open cavity, open spine, open area surgery, and those can treat. So pain management is actually very wide. The whole concept is, again, how do we help you along your journey given that you've you've hit this this bump, this road bump along the road, or this pothole, and how do we get you to go above that and go beyond that? And that's and that's where our job is.

18:47 Speaker 14: Okay, 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 it's individualized. No, the medication that works for me might not work for somebody else. But we found a combination 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 you try one thing and see if that works. You know, there are medications I did well on medications I haven't done right. And as life changes and time changes, maybe something needs an adjustment or a tweak and you know, as long as the end result is to have a quality life that's worth living, to be able to participate with things with family members or friends, to be able to enjoy an outing, you know, and not have to 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 sit there. But to be able to go, yeah, I can go to that. I can go to that show for a few hours, you know, And that is what makes life worth living, right, is to have those experiences with one another.

19:47 Speaker 14: Absolutely, I mean just me showing up this morning, you 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 kids and driving them on shopping you off to the So I got my alibi this morning. No, so thank you, But no, I just wanted to add to your comment about individualization of care ideally, right, ideally, and and if you think about it in terms of efficiency, Ideally, if pain management was a one one type of treatment for all, 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, do five hundred an hour because factory capacity, right, I 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, or downtown Manchester somewhere. But no, it's very individualized because what works for for Matt, what works for Mike, what works for Steve, may not work for Gen. And what works for Gen, you know, and and it's and it's unfortunate that we have to try on different shoes and we have to you know, the shoe pairs with this pair of sock or this pair of cushion, and and oh the only worked for for you know, three months, and now the shoes aren't good anymore, and we have to change up the shoe because because the padding has shifted because you have a bone spur now on your foot, you know.

21:24 Speaker 14: So so yeah, it's very individualized. And that's the unfortunate part is that you know, we're all we're all such individualized entities that that we have to kind of tweak things. And and your body's constantly changing, so we always have to change change how we algorithmically or think about and approach. How can we make you a little more comfortable so you can do things you want to do.

21:44 Speaker 10: I would imagine that's that's the biggest challenge with new patients, right It's just figuring out what the best solution is for them. And then there's probably a lot of well, we're going to try this, and then if this doesn't work, well, and then we're going to try this, and you know, and then you know, hopefully they can hang in there, you know, and and you know they have to trust you that you know you're on this journey with them 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 because because now now you're trying to get into the mind of like how I'm thinking during the day. Yeah, and and this is gonna be good. So that gives some insight to patients. So every patient comes with a unique situation. And when you when you when you when a provider walks into an encounter with the patient, not only have we relied on the experience and knowledge of what we know about the patient, we also rely on the additional information that we've gathered during the interim between the visits, and you know, we we go on what the patient's communicating to us based on prior visits versus this visit, and so we're calculating all these things and thinking all these things and trying to go down algorithmically and even just non algorithm or but creatively, what's the status of that patient and how can we tweak it to make it a little better.

23:00 Speaker 14: So you can imagine that with this new healthcare environment where where it's difficult to survive as a healthcare provider if you don't you know, become efficient. So you know, like time slots are probably fifteen to twenty minute time slots, thirty minute time slots. So we're sitting there thinking of how do we accommodate these patients based on the information that we have, and how do we tweak it and make it better for them? And then you know, follow up afterwards. So you can see that everyone's very individualized.

23:33 Speaker 14: There's a lot of different factors that you have to think about, including side effects, right and risks, and how do we follow that up 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 figured out as a team in our practice is that you know, there's certain certain approaches we have to help mitigate pain for patients, and a lot of those is let's figure out what's causing you the pain. And for a lot of patients, when you come in in your 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 and here, you know, algorithm Lee or in our thinking, it's it's like, okay, so where are those areas that we can identify, and how can we approach each of those areas in a safe and appropriate manner that would 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, I had a different pain care situation where I was getting injections and it was scary but it was also super painful. Matt would be in the waiting room listening to me scream like and I've talked about that on air many times. We've talked about you know, the experience and having somebody go, oh, no, nobody heard you. And then I go out there and Matt's like, oh you okay, 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 love about you and your office and your practice and the way that you do things is that I have never, ever, ever suffered through a treatment. You always make sure that the patient is comfortable, that I'm comfortable, you use numbing agents. You don't go just okay, sucking up butter coffee. We go and in checked away, which is what I had previously experienced. And I know that we were kind of talking about it before the show, but you were talking about how your approach is uniquely different when it comes to doing those kinds of injections, and I'd really like people to know about that, because I know it sounds scary, but it's actually been one of the best things that I get done is to have them done, and I'm 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 want to say that it's not just me, it's the entire team. And let me explain that the entire team here at Paints Bestal Group. We we've adopted this philosophy, so I have to give credit to my staff. We want the patient to experience a pleasant journey right when they step into our centers, and that includes, you know, coming into a calming environment. And that's why we have music, and we try to have you know, light, pleasant engaging music. You know, we try to make it a kind of a soothing visual experience, even with you know, dimmer lights, but you know, not not too dim that you fall, trip and fall.

26:46 Speaker 14: You know, you know, we want to make sure you feel safe. It's clean. Staff is you know, impeccably friendly and caring. I get a lot of those comments, and I'm grateful because the staff is really really adopted this, this approach to making patients feel welcome and safe when they come in. So again, it starts not just with the injections, but it's it's a whole thoughtful process of what the patient is going to experience as they come through the door, from the beginning throughout. And that's why we have a little piano.

27:18 Speaker 14: They're right, patients come in 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 in and just start jamming on it. And we have people that play at restaurants that come in and jam. Oh it's people have their own recordings. And we have some of those artists that that come in with their own recordings and they and they jam. Do you every 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 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 my piano skills are very limited now that I'm aged, and I haven't played a lot through years.

27:59 Speaker 13: But you know I I I tinker, but my kids 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 there for the patients. We uh talk about instruments. We also have a pain gong. By the way, I just wanted to make Oh yes.

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

28:19 Speaker 14: It does, actually, So I think we're the only pain practice in the nation that has a pain gong. And we actually have a sign right by the exit that says, please share if your pain is gong. And I did that on purpose because I always tell patients like I 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 a gong.

28:44 Speaker 11: Yeah.

28:45 Speaker 14: Well, I'll tell the origin of that, by the way, but let me explain the gong first. I'll tell the origin of that, okay. So the gong is basically for patients to celebrate if they've had a really good experience and they want everyone who's inside the center to know they can.

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

29:05 Speaker 12: You came around the corner and poked your head out. It was the door of all all of a sudden, 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 clap and cheer patients when we hear the gong, and it's because it's a celebration for the patient to to to know that that you know, they've been happy with the care, they've received some type of relief, it's possibly helped them on their journey to change their life and doing the things they want to do again. And that's and that's why we have it there. Yeah, yeah, yeah, So so again some of the different things the staff, it's the team approach on making the experience for patients a little more comfortable as you're going through this journey of trying to mitigate your experiences of pain so that you can do the things you want to do.

29:50 Speaker 14: Now, going back to your question, what different things we do to help patients kind of go through the journey of like these experiences of injections or pro features. One is in this whole day and age, is so much paperwork, and we've tried to streamline it as much as possible and and it's been hard, but we've we've you know, we've all these regulatory requirements that we have to go through, so we we we help we have the staff help streamline that. So that's been another thing that we've done. We uh, you know, just even the thinking of getting an injection.

30:21 Speaker 14: You know, patients come in anxious, they don't want to feel the poke and that's where a lot of the thinking of physiology and chemistry and pharmacology becomes involved. And that's why you know, we we we we advise patients to get certain types of medications beforehand to help mitigate some of your experience with pain. And that's including you know, the the anziolytic, the the you know, like the tile and all to help with you know, mitigating you know, your experience with that first poke. It's also with uh, creams.

30:57 Speaker 14: You know, we call in creams to help you mitigate that sensation because we want to make it so comfortable for you as much as we can with that. Yeah, yeah, and then you know, we we we have you know, and then once you're in the room, we we have conversations, right, we have lots of you know, funny conversations.

31:16 Speaker 13: We play music.

31:18 Speaker 14: The staff in there, Aiden and uh uh Julia back there, you know, Bobby back there. You know, they tend to pick the music unless it's special requests by the patient. 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. 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 to make it as comfortable as possible. Some patients want it blasting.

31:48 Speaker 14: We do that, and and we crack jokes, you know, we try to make you forget and as you're giggling, you know, the needle gets poked in and then you know, I use a little diff a you know, I even modify the needle technique where I call the clow the slow squeeze technique, where again it's it's all physiological, it's neurological. You do it in a way where you know, it's it's quick introduction, slow slow how do you say it? Uh, slow medication introduction. But what it does is it numbs and nerves, so as as the needles getting withdrawn, it's not ass as impactful.

32:24 Speaker 14: And then and then we go in and you know, we use you know, we try to use much more comfortable needling so that patients aren't aren't as impacted.

32:35 Speaker 13: And it's not perfect, but it works on the most part. I can attest to that.

32:39 Speaker 6: I can attest to that for start, and there's a lot of other different I mean, it's it's cool because in pain care it's it's not just okay, here's a we're gonna plug you in here. It's that combination of finding out, you know, whether maybe we're doing this treatment 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 of the basic elements that we have in this world is water, and water is such a great thing for muscle tone and stress on joints, yep. And for you to engage in pool to at least do the movements 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. I can do jumping jacks in the pool. I do an arthritis class at the Why at the local Why. Everybody you know, you got Why's around this classes everywhere and it's great. I get in the water, I'm in there for about fifty minutes. I'm moving every one of my joints, and yeah, it's it's not just about medication. It's a combination of things you have to Like I watch my diet. I try to stick to an anti inflammatory diet because I don't want to cause more inflammation 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, ideal model patient. I mean I don't know that, no, but you you really do embrace the multi modal, you know, approach that we have to. We've encouraged patients because there's only so much injections and medications can do, and a lot of it is just to help buy you time so you can engage your body to heal a certain way and adjust a certain way so that you can do the things you want to do. So I really 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 is it's you got to take care of yourself in totality. I have a therapist, I get in the pool every week, I watch my diet, I take my medications regularly. I take my treatments regularly most of the time. Sometimes I might try and stretch it out a little bit, and then I get a little bet you can stretch it 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 to take away I want you to hear today is 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 I was suffering and I couldn't go. But I get regular treatment and I get to go to the Mosaic Art Gallery, which we picked up my paintings yesterday. I actually sold one for the first time out of the gallery, 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 to take place, take part in that, go to the opening, stand next to my painting on the wall, and fail pride because I wasn't too much pain right, So you can have It's worth it. It's worth it to get 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, And again this also falls within our philosophy, is that if we make we help you feel good from say whatever base level to higher level, intermediate level, that mental health aspect that you have from feeling just a little better to be able to go and embrace and do the things you want to do, such as going to the art galleries, you know, going in and taking those walks that is neurochemically going to reinforce your feeling of of of reward and feeling better, and that in itself will will basically take you on the path on recovery from pain.

36:18 Speaker 14: So it's not just physical physiological pain, but it's also psychological emotional pain kind of about that we try to help really achieve relief.

36:28 Speaker 10: For Yeah, I'm curious, doctor Bough if over the course of your career, have you seen a lot of advancements in terms of techniques or technologies that you know that have that have really kind of helped to enhance what 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 has evolved so tremendously, it tends to move a little slower because, like if you look at the example of telephones, right, the iPhone, I mean, what was it maybe two decades 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, And I mean I still remember that Motorola, that Motoro 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 phone from you know, or telecommunications from pagers to flip phones to BlackBerry and now to these mini computers that live in your hand and you can talk to it and it talks back, tell it what to do, and it does it for you to throws the map up like, that's the evolution of medicine as well, because those technologies do migrate over to medicine. However, medicine tends to adopt it a little slower because providers tend to be a little more cautious because of you know, too aggressive of treatments or to to aggressive advancements of adoption without studying the adverse effects of it as as closely could be detrimental for people.

38:18 Speaker 14: And that's why you know, the FDA has been very involved with those things. But in terms of pain management, it is extremely evolutionary. And it's evolutionary not just in medication management, not just in you know, the multidisciplinary approach and thinking about pain and suffering not just from you know, a mechanical but also you know, in emotional, psychological, but also in like techniques. So I say that because they have for example, needles out there right that you put it into the patient.

38:55 Speaker 14: For radio frequency evlations, you push a little lever and all of a sudden, boom, it comes out like a try to so it covers a larger area. But the problem is those needles are extremely expensive. That it doesn't mean it 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 doctor does that comes very close to what the spine surgeons somewhat do, but not as good as spine sorts. I would never never detract from what the spine surgeons do because they do excellent work and it's so phenomenal to see the results of what they do. But there's been you know, techniques and devices developed where spine surgeons are doing it, and they're teaching pain physicians to do an under X ray two and the costs are phenomenally less, 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 not as as effective as the current standard, and some maybe even more effective, but we just don't know fully yet. I mean, preliminary studies have come out enough to get them approved, but long term studies are not fully there 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 market environment that we have in America, sometimes those those therapies take precedent because they're cheaper to the insurers and the payers and and and there's you know, better margins to be made by the healthcare systems because.

40:28 Speaker 6: Of that, right, right, that's always way one thing that people get a lot And I was curious to ask you the question on air for every for other people as well, is what do you do to help people 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 we you know, we deal with a lot of headaches. We have a lot of approaches that you know, are specifically pain management related, and a lot of approaches that you know, we've worked with UH that are fall within neurology, but neurology also leaks over to pain management and some of the challenges are some of those therapies we've we've adopted and employed because there's such a shortage of neurologists 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, 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 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 try to accommodate you. We'll, we'll figure it out. We'll we'll try to adopt some of those measures to help with pain management, with migrain and headache management. But again, you know, the the experts on those are the neurologists. But you know, we we've been able to accommodate some of those. And some of those include, of course, you know, therapeutics, right like medications. There's been a pardon me, burgeoning class 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 there's they don't fall within the insurance algorithms as as readily accessible. And those tend to be the calcitonin gene receptor peptide antagonists to see g RP receptor antagonists, and those include some medications that you can take orally once 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 of the headaches are not just migraines, but they could be related to the cervical spine, and we call those cervicogenic headaches. You know, where where the headaches are are from irritation of the nerves that cut off the cervical spine, that cause spasms of the muscles in the back of the neck, the upper lower part of the head, and then you know, through collateral innervation end up being experienced as a headache. You know, we have occipital nerves, you know, greater and lesser eximple nerves that tend to be irritated from, you know, irritation of some type, whether it's spasm or just fibers tissue irritation.

43:08 Speaker 14: So so there's a lot of ways that we can deal with headache that kind of overlap somewhat with some of the neurologists. Again they're the experts, you know. I always love my neurology colleagues. Wish I was able to spend more time with them. Sometimes we do get a special guest that comes to our office to interact with us about neurology. Sometimes we we've touched base with some of the neurologists in the Northeast area that we've gone to dinner. Yeah, but again they're they're they're far and few between, because somehow there's such a shortage of them.

43:44 Speaker 14: And I know that there's been, you know, some dynamics that have occurred with health systems that have made some shifts in neurology access as well in the in the New Hampshire area. So it's been interesting. But yes, yes, we have lots of little things we could do for 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 to say is that people when they have a headache, they call it a migraine, but it's not always a migraine. There's there's a specific criteria for migraine. There's specific criteria for different types of headaches, like cluster headaches.

44:14 Speaker 11: Yeah. Oh I know someone who's who's had to deal with cluster headaches, right, yeah.

44:19 Speaker 14: Just yeah, they have a whole cervic progenic headaches. So again, you know, we're there to discern between those things. It's not just you know, one label and it falls within that we tend to try to tease apart. What's the real root cause of it?

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

44:38 Speaker 14: Neck pain, injury related pain is very common. Yeah, just a lot of arthritic pain. Degenerative joint pain is very very common. And and just remember that anytime anyone's in 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 difficult to break. And so that's that's the art of pain management. How do we break one to help decrease the other, then how do we break the other.

45:15 Speaker 6: One of the aspects of of pain that I call it is payingry when I'm in so much pain that it's not it's not about anybody else, but everything is short fused, everything is tight. I'm hurting so much that I might come off like I'm really angry, but it's it's really painger. It's it's it's not it's not a 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 because I've seen it before, I've used it in some of my writings. I don't know where the original coin 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 necessarily really oh they're in a bad mood. It's like, oh god, I'm not in a bad mood. I'm really suffering. Yeah you know, but yeah you don't. That's the thing, that's the real thing.

46:12 Speaker 14: And this is why I want to give a positive stroke and a very very you know, highlighted comment to my staff is that they are the front line of dealing with, you know, patients, and a lot of these 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 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 say that, yes, it's it's a very notable occurrence. I can only say that, you know, I'm very grateful for the staff to be able to to, you know, oh humbly and craftily handle those situations without without being too 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 been crying, Oh this went wrong and I'm really hurting, 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 use during the day is ou So you know how you take a breath back and you catch yourself. So so that's that's one thing I think that could help patients when they go through a paining gree episode or pain paining gry episode is take a step back and just kind of take a deep breath and let it out, you know, like like like you know, like yes.

47:34 Speaker 11: Yes, I do a lot of Yeah. I don't know if you I think you know this about me.

47:40 Speaker 10: I'm a hypnotherapist and I do a lot of what I'm bringing a client and the hypnosis. We do a lot of breathing, ironic given my recent asthma issue, but but we do a lot of you know, deep breathing, 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, I try to get them to do a visualization where they am imagine the pain not as a feeling or a sensation, but as an object that's in them that they can remove, that they can actually push out. And sometimes it's helpful for people. But but we do a lot of breathing stuff, you know. I get them to you know, breathe out any negative energy that they're carrying 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 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 of my clients the number one thing is quitting smoking, of course, which is true for any epnotherapist. And I do a lot of you know, stress management and all that kind of thing, weight loss of phobias. So it's not actually very common that anyone that a client approaches me for help with pain management, but I do it, and I actually have a certification in it.

48:49 Speaker 6: It's really and you also have hypno birthing. I do, yes, hypno birthing, yes, yeah, wow, Yes, you can use hypnosis 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 gave birth to my son.

49:13 Speaker 6: Unfortunately, by the time I was smart enough to ask, they said the window was closed. So so just so you know, my my latter my prior life before I 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 it's always good if there's no major contraindications to get the epidural early, because that epidural not only helps you experience for for women that are going through labor, that only helps you experience the birthing process in a much more pleasant manner, especially if it's working well. It's a very from a medical standpoint, it's it's probably one of the best life saving tools that the antiseesiologist and the medical team has to deal with any emergencies that may arise that are so fast paced when you're going through the process.

50:06 Speaker 14: So so I've always been an advocate, get it early. Let's make sure it works. And if even if you don't want to receive the the the the 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 if something some badness occurs, it's it's one of our best if it's one of our best tools to get you through the whole process safely.

50:30 Speaker 6: Okay, Now you have two offices, so you can see people in two different locations.

50:36 Speaker 12: Now, yes, I want to make sure listeners know where you are.

50:39 Speaker 14: Yes, yes, So, so we we have our main location in Newington, New Hampshire, and that was the well the original one was actually an Exeter and we started with doctor Sanchez, Manuel Sanchez, and and God bless his soul, 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 classy gentleman flair that that and and and his teachings, I mean, I can only tell you his teachings still come with me today till today. He he he really really uh impressed on me how to really take care of patients here in New Hampshire just you know, but our original office was actually an Exeter and then when I joined in shortly after we went to Newington and 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 often just because I'm pretty tied down in the Newington location, but my staff is there a lot and and we do a lot of uh we're starting to roll out, you know, a lot more clinical time there. The building is still under development, you know, the section for the 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 right the.

52:05 Speaker 11: Area.

52:06 Speaker 13: Oh we should we should come here sometime to the 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 I'm always at the at the Newington office.

52:16 Speaker 14: Honestly, if my wife let me live up in the new Market of them, I have like place where I live at home. Yeah, it's it's new, you know, it's new, it's fresh. You know, we put new flooring in. It's 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 did you have any other plans for expansion beyond that 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 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, you know, it's it's basically staffing and and a patient 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 accommodate patients and we're able to figure out areas that that there is need right like you know, up here near the Manchester area, I think there's more need because I know there's been some shifting in the pain management atmosphere here in New Hampshire. We would definitely think about expanding more. But again, it's just it's I'm very slow and steady. I've I've always been very conservative, and I know, you know, my administrative staff is always asked, why don't we do this, why don't we do that?

53:38 Speaker 14: We get vendors all the time coming in and going, hey, let's do this and do that. Yeah, and I'm just very slow and steady. I just yeah, I just I think that's probably wise. Well, it's it's only because we have something that works right now, and you know, we we have a lot of positive feedback from the community and from patients, and so to to to add another element into something that works has to take a lot of thought and h and consideration because you know, we want to make sure that we're still doing the best that we can for people and for patients in the community without without changing it too much.

54:16 Speaker 14: That's why again, the slow and steady approach has always been my my, my, my mindset.

54:22 Speaker 11: Yeah, no, I think that makes I think that makes sense. Doctor No. This has been wonderful.

54:26 Speaker 10: We're already approaching the top of the hour that the time, the time goes so quickly. Anything, we didn't mention that we should make sure that we Uh.

54:34 Speaker 14: I just want to say, you know, happy new year to everyone, for both of you, to everyone out there in New Hampshire, to the uh you know, the general public. I want to say that, uh, you know, we we hope from Pain Specialty Group a fruitful and very successful year and we're here to help if there's anything that you need. I want to be thankful to my staff. They've done a wonderful job take helping. You know, the providers take care of the community, and we have lots 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. Pain Specialtygroup dot com will show you all the information about the different treatments they offer, different types of problems that they treat, and all the providers. Beautiful pictures are on there so you can see more information about the providers. I am a happy patient and I invite you to 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 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 for you.

55:42 Speaker 10: You don't have time to design your own website, that's for sure, I know, but no, but it's a great site. And yes, Painspecialtygroup dot com and doctor No, thank you 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 we were talking about earlier, we definitely will. And if you are listening live on Saturday morning here, crow Hill is coming up next, so we got plenty more of 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 never be found. The song Scrattian line, wob be sound yeah, 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 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 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. Let's come back to you in the sas, the big places, the one of fay dream crest to.

57:00 Speaker 2: Tell you fucking the sign lies hundred smiles, so the rise where the sun shining down on me and you can't seem to hide that smiles. If we tell you your story or two and it feels like everything changes. But we've had that before.

57:36 Speaker 3: So while we're put through the paces, Yeah, I'm selling you, Yeah, 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 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, 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 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 the rhymes let's go dancing. So the sare rides, let's 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 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, what a spaces gates? Check there bet it, Let's go back cha