http://www.youtube.com/watch?v=-2SP-SSww5g

Trish Howser: you guys are emailing me and I’m getting emails all the time and you’re sending information in. And if there’s anything wrong with my teeth, please let me know and I will let Joyce know and she can make sure she gets it taken care of. So there’s always someone to fix something in this world, isn’t there in the day of technology which is – I was talking to — I’m always asking Dr. Joyce questions. So I had her come on so that she could answer all my questions. So I’ll be rambling and going on and on and on about my mouth and of course, I did get a few questions from other people that had emailed me on questions they want me to ask Dr. Joyce and maybe you’re afraid to ask your dentist. My dentist is open.

So let’s — first thing I want to do is find out how did you become a dentist? And how she became a dentist because I just can’t imagine looking in people’s mouths all day and I might have — some people have bad breath. So that’s one of the questions that came to. My question is, how do you have to sit there and smell bad breath all the day? But maybe it’s not. Maybe that’s why they have you wincing constantly. Every time I turn around, it’s rinse, rinse, maybe they’re saying something about me. So let’s go ahead and ask Dr. Joyce. How do you become a dentist and how did you become a dentist?

Joyce Kasunich: Well Trish, I went a different way of becoming a dentist, usually go four years of college and you can go right into dental school. I, however, took a long about way of getting there. I took five years off after high school. I worked as a dental assistant for a doctor in Pittsburgh. And he actually was my basketball coach at the high school. So I worked with him and he taught me a lot. I was going to go to a school similar to like a boutique out this area back in Pittsburgh. And he’s like you know, just come with me, work on the job training. So I worked with him for about two years and unfortunately, he got ill. So I was looking for another job, and I worked for a dentist in Shadyside and I worked there for about three years. And I thought to myself there were these girls there and doing a different type of job that when I went to the dentist. I always had the dentist clean my teeth and things that way.

Well, here they were dental hygienists and I thought to myself, oh, I could — I can do that. So I started taking some classes at that community college, local community college and applied myself and I got accepted into the University of Pittsburgh Dental Hygiene program back in ’88, graduated in ’90. But once I was in hygiene school, I knew then I am going to be going to dental. So after that, I had to take some more classes to get myself prepared for the dental school level. And it took me about three years and then I was in the 1993 class at Pitt and I graduated in 1997. So – but usually like I said, the normal four years college, four years dental school and then if you want to go on after dental school, you can become a specialist and a doctor that does root canal is an endodontist or a doctor that does braces is an orthodontist. So there’s oral surgery, there’s different specialties out there that branches off after four years of dental school.

Trish Howser: This is kind of off the subject but you see all those advertisements for Botox and all that. Now –

Joyce Kasunich: Yes.

Trish Howser: Are many dentists getting into doing that?

Joyce Kasunich: There are a few that I can — I think of, there are a lot of CE courses out there that are available for the dental professionals. The guys that I work with and myself, we have not gotten or into that quite yet. Actually this funny thing is, is next week there is a webinar through the Academy of General Dentistry that I am taking and it’s all about Botox and dermal fill. So picking an interest but I have not or we have not been able to get — to get into that.

Trish Howser: Yeah, I don’t know, I mean it’s funny because you see some of these movie stars that have had that gone. And it’s just not pretty. I mean they look like clowns. I think really – and I just wonder what specialty you did and is it just plastic surgeons that are doing more of it or a lot of dentists or —

Joyce Kasunich: Or there is dermatologists and then different – there’s a group of different types of doctors that can do, the Botox and things that way. So I don’t know if there’s a particular — it’s not just one doctor that’s allowed to do that.

Trish Howser: Because – those specialized in the face and those muscles and how all that works?

Joyce Kasunich: And that’s kind of like, what they are thinking is why always aren’t the dentists – can, should be able to do that, and do that which some of them obviously do. There is classes all over there. So there’s a group in Miami, I believe, that’s called the dental spa and that’s all they teach is Botox trying to get your practice into more of a relaxing because people are so nervous when they come in, type thing, to do Botox and spa, or massage and things that way. So it’s out there.

Trish Howser: Are they dentists? Is all that stuff covered on my dental insurance?

Joyce Kasunich: No. All will not be covered.

Trish Howser: Because I tell you what, I really want to know how to get that massage, that’s it.

Joyce Kasunich: I am liking that but – now, I don’t think that’s covered. So –

Trish Howser: It’s interesting, this is a little off the topic but I was talking to someone about what you pay for and all the extras and they were saying about — we’re talking about hourly rate on cars, to get your cars repaired, get this done, get that done. And he said yeah but you’ve got to think about if they’re washing your car, because a lot of people say oh, I am very happy if they have a Lexus or Mercedes, or Volvo, BMW, I guess I don’t know if Honda does that, I don’t know, Ford, who does it but they’re washing your car, they’re doing this, they’re giving you the – he said that they’re not giving you any of that stuff. He said they have to pay for their business.

Joyce Kasunich: That’s right, the business.

Trish Howser: So you might be paying a hundred dollars in the labor charge compared to seventy dollars on labor charge. But it’s kind of like you just said with the — if you’re going in and you’re getting the massage, you’re getting this and that.

Joyce Kasunich: They are paying for it, that’s exactly right. I’d say that’s exactly right. So –

Trish Howser: You got to pay your bills, not the government.

Joyce Kasunich: It’s not the government.

Trish Howser: We don’t have to pay our bills. So that is interesting. I like the massage and – to put that as a little –

Joyce Kasunich: I like to know how Tuesday – how the webinar goes?

Trish Howser: Well, I just wonder you know because like I said, my only measure is seeing a lot of movie stars and I’m sure there’s a lot of regular people walking around out there with it. But I just wondered because I thought Joyce knows the face and knows the muscles and I think it’s a cash crop –

Joyce Kasunich: Yeah, it could be here – yeah, plus it would be like I said it’s not covered under insurance. So if patients are willing to pay for it, then I just will learn to incorporate it into the practice. I have had patients asked. So and I know there’s an interest, it’s just how much of an interest is there in your county? So –

Trish Howser: And how much can you make? And you – you want to tell us where you are located and who all —

Joyce Kasunich: Sure. We are at — address is 1447, East Market Street, York, Pittsburgh, Crossroads of East Market, it’s a corner lot there. They have been there quite a few years. The first doctor was Dr. [Lee Park] and I believe he was on King Street, I might have that wrong, many, many years ago. And then he joined with Dr. Hess and they practiced together. I am not exactly sure when I say the wrong dates but then he moved to the East Market location. I mean now Dr. Hess and Dr. Lee Park are both retired. Dr. Bronley Walker is our senior partner and there’s Dr. Jeff Pugliese I am in with Dr. Paul Kruth and myself. So gees, Dr. Walker’s been here, oh gosh, I can’t even – yeah, I don’t want to say much here, Trish.

Trish Howser: Dr. Pugliese is about thirty years and I think Dr. Kruth is about fifteen and I’m now thirteen. Time flies. How do you look in mouths all day? I mean (inaudible)

Joyce Kasunich: I often wonder that row the teeth –

Trish Howser: Now obviously I came and I am just picture perfect.

Joyce Kasunich: Yes, you are. There is not thing wrong. Nothing wrong.

Trish Howser: You know, flossing, and that’s a thing that’s funny, I think everyone goes — the day they go to the dentist, they’re thinking oh, my gosh, I have to make sure I brush my teeth. I’m taking my toothbrush, I am taking my toothpaste, I can brush my teeth before I get in there. Better make sure I floss, it’s kind of like they want to make it look good. Then they won’t do with the rest of the 60 full days – one day I got their – insured, everything is done. And they can – like, are you doing this?

Joyce Kasunich: Yeah, yeah, some patients say that to us, oh, yeah I flossed two times a year when we see you. O my God, that’s good. So but I don’t even think of it that way is they come here for us to help them and that’s we try to do it every day to the best of our ability to help patients. Some patients are unfortunately for whatever reason have some bad teeth. And you just got to teach them, you got to educate them, you got it, nutrition is a big thing. What are the kids and adults, not kids, I mean even now with the fluoride (inaudible) and sealants that are out there, there’s still the decay that we see. A lot of it has to do with drinking with Mountain Dew or drinking pop and sugary candies and everything, they are not taking care. So just education, nutrition to try to get them back to healthy mouth as possible because there’s such a relationship with the mouth — health of the mouth throughout our system of our body. It’s – you lose teeth, you don’t eat food properly, you don’t digest properly, everything works together. Everything has to work harder. So the mouth is a very – teeth are very important for over well — overall health.

Trish Howser: Even just how you — when you speak, you think of the young child that loses their two front teeth, they are bad. And you listen to them, talking, always laughing, right to have them say things to you because it’s cuteness. But the adult that loses their front teeth, they have to talk to you, not quite a lot it — and how do you (inaudible)

Joyce Kasunich: I know, and I’ll tell you our days were so fortunate that we have – kids, we have the primary teeth and we become adults, have the – and then now there’s dental implants which is almost like a third set of teeth, if you do something does happen to have our primary teeth you can replace them with dental implants now.

Trish Howser: Dental implant, how does that work? Like what’s the difference? Why would I do dental implant instead of popping the teeth out and popping them back in?

Joyce Kasunich: Well it’s — dentures are very difficult thing to wear.

Trish Howser: Thank you. Dentures I should have let you all know dentures but —

Joyce Kasunich: Or parcels, anything that’s — are officially made is so much harder to wear in our mouth. And the dental implant is just a simple – patients that have lower dentures and upper dentures but the lower denture, it moves around a lot. It doesn’t have anything to hold onto. So patients are using that the paste in the creams and the Sea-Bond or whatever they are to try to hold them in. And if they have enough bond, there are different things for measurements we would have to take but if there’s enough bond, you put two implants in the lower jaw and it helps the denture snap on to and it gives it some stability for the lower denture. Upper dentures are a lot easier to wear. You got some suction to help hold that in.

Trish Howser: What’s suction?

Joyce Kasunich: Suction is when the denture is in and it has a grip, it has some hold to it that it doesn’t move. You don’t have the suction –

Trish Howser: So you can use like polygrip.

Joyce Kasunich: Right.

Trish Howser: Cement that baby up there.

Joyce Kasunich: Right, and patients tend to use it more in the lower because you have — you don’t have as much retention on the lower.

Trish Howser: I would think that would be harder trying to fit that in with your tongue there tough?

Joyce Kasunich: It is. It’s a hard thing to wear.

Trish Howser: That would be.

Joyce Kasunich: So dental implants, we — you complete at least two, I mean when a patient comes in I basically try — it’s the standard of care now, to treatment plan in upper and the lower denture together if I have to make them but incorporate at least try to get two lower implants to help stability for that lower denture. Because it’s not fun to wear, it just moves around.

Trish Howser: You said pop it in, so you can — when you have implants, are you saying they are not permanent?

Joyce Kasunich: You’re taking the denture in-and-out and –

Trish Howser: So I can’t –

Joyce Kasunich: You can but it was – but it snaps on to the implant to give the denture some stability when you’re talking and when you’re eating. But you’re able to take it out and clean it and then you can put it back in.

Trish Howser: See, this is only going to show my ignorance. But I’ll share, I thought when you said implants, you put each individual two things so that it was actually like having the real teeth where you stick them in.

Joyce Kasunich: You can, you could replace each tooth with an implant but that’s going to be costly. So when a patient has a little lower budget they have to work with, two is sufficient, four would be great but two is something that — for a lower denture to put in the bone to help hold that lower denture in. And it’s snapped on top of the implant.

Trish Howser: Okay. How about — on that subject, if some people get all their teeth capped?

Joyce Kasunich: Yes, that’s something different.

Trish Howser: If you have bad teeth and you still have the tooth that you can get – do you get like a root canal?

Joyce Kasunich: Every situation is different. For example if say, I try to tell patients couple of reasons why teeth die and need a root canal, the never dies and the tooth, you’re hitting the mouth trauma.

Trish Howser: I am going to give you more example. I was on swan teeth. And I was doing backstroke and a girl that was going on free got into my lane and punched me in the mouth. And I had braces at the time. But I still have like a dark spot which I have showed to you — shared with you. And I do remember, I ended up having to get my tooth capped because it got dark, brown –

Joyce Kasunich: Exactly. That’s what happens. Trauma for your teeth over time, the never will die, the tooth will darken and that’s one reason why patients sometimes need a root canal. Another one is cavity. Cavity gets – you let it go too long, it gets too deep and the nerve gets infected and then you have to have a root canal done.

Trish Howser: Is that abscess?

Joyce Kasunich: That’s abscess, yes. Some sort of infection starting, patients [commendable school] and things that way. So if you do the root canal, and with that time you take the nerve of the tooth out. The tooth stays but the nerve comes out.

Trish Howser: You can’t get out.

Joyce Kasunich: There’s a procedure that’s where the root canals go in. I try not to use the words, yank it out.

Trish Howser: I might not have shown up if you said, you will yank it out –

Joyce Kasunich: It’s so, we gently remove, how is that? No doubt, and you go in and you do the root canal but when you do that, you’re removing the nerve and nutrients in the blood vessels of the tooth. So the tooth becomes brittle. So to protect the tooth you have to put a cap parked round over that to make the tooth a lot stronger. So that’s another reason whenever a patient that has a root canal, a crown should be put over top of that. But if you for any rhyme or reason say, you break a tooth and the tooth does not have a root canal. Don’t always have to go and have a root canal, you can just put a cap on top of that. I have a crown and my tooth is not root canaled. But usually whenever you have the root canal because it’s brittle, it’s best to protect it with a crown.

Trish Howser: If you don’t, at some point it’s going to crack or like –

Joyce Kasunich: Yes.

Trish Howser: Especially front tooth.

Joyce Kasunich: Especially front tooth. Yeah.

Trish Howser: You said about – how do you think about the nutrients? What kind of nutrients — you know how they’re always saying take vitamin C for a cold, vitamin D for this, vitamin K for that, medicine for this, melatonin, I mean – sleeping. Then you go into a pharmacy, or drugstore or Walmart anywhere, I just stand there, my daughter wanted – she had a cut or something, so we need vitamin E to put on something, scar, I don’t know. She’s like pick me up. I am walking like – my good God, there are so many – what do you take –

Joyce Kasunich: And patients come in with such, a list of medications. And the side effects are unbelievable, just on the interactions and things that way but the big – one of the big things with dentistry is the dry mouth (inaudible) medications. And the patient’s saliva decreases and that’s never good because then bacteria in the mouth starts to grow, the bad bacteria and starts to cause more cavities. So that’s why when we know patients that are on radiation or chemotherapy or medications and we may give them a fluoride treatment to take home and protect their teeth that way, or there’s a fluoride toothpaste that’s a little stronger at the prescription we may recommend, at that time anything we can do to protect their teeth, especially going through certain situations like that. But really it goes back to the basic toothpaste, we hear all the time what type of toothpaste, what type of toothbrush, anything with fluoride and anything that was recommended when going through all the American Dental Association testing is good to use whitening – whitening toothpaste they’re all out there (how to whiten teeth).

Trish Howser: What is – well, let me ask you that, so all the toothpaste if it has American Dental Association, ADA correct?

Joyce Kasunich: Yes.

Trish Howser: Okay. So if that’s on it, you know that it has been tested and it’s recommended?

Joyce Kasunich: Right, correct.

Trish Howser: And I really haven’t looked because I know now and once again you go, you stand there — anymore you’re standing, you look, you could spend — sometimes one has to say, what the hell – what the heck do you do all the time? I literally will read labels. Also the [reality of toothpaste] because I had — it was Crest Kids and it sounds all – I mean you know there’s door, there’s all these people, there’s Star Wars, Spider-Man –

Joyce Kasunich: Anything to get the kids to brush and use.

Trish Howser: Exactly. And I am just like, my father said, gets you in there, brush your teeth. I don’t care what you’re using it and I can remember using peroxide and –

Joyce Kasunich: Baking soda?

Trish Howser: Yeah.

Joyce Kasunich: That used to be back when — years ago when I was just starting out in dentistry, we used to call it Keyes technique and they would use it for periodontal disease was baking soda, peroxide and salt. And they would mix that together.

Trish Howser: Wouldn’t the salt take in the enamel of your teeth?

Joyce Kasunich: Baking soda, it’s abrasive as well. So you really got to be careful and look at your health. But back then they would use it. Nowadays they — I still have some patients that will use baking soda. But I try to get them not every day. You got to back off on that.

Trish Howser: I am Irish and I’m a tea drinker. I drink tea and I know it stains my coffee cups. So I know how that stains my teeth, also probably I think you mentioned red wine –

Joyce Kasunich: Red wine would do that, Trish.

Trish Howser: And that’s I don’t do –

Joyce Kasunich: Okay, coffee, tea, red wine –

Trish Howser: Coffee, tea, red wine, what else?

Joyce Kasunich: Those are the big ones. Green tea every now and then – but smoking, chew, patients that chew.

Trish Howser: Now there is cancer, correct?

Joyce Kasunich: Yes.

Trish Howser: I actually saw some of it and they are like ground their teeth down.

Joyce Kasunich: There’s a lot of patients that can grind and they are due to their biting stress and things that way, can do a lot of damage. But yes with those, if you’re smoking and they are in coffee and the red wine, patients want to bleach or something like that.

Trish Howser: Well, and that’s where I went back to, I was reading everything and I know you had told me, I can’t use a lot of those bleaches because I have a capped tooth.

Joyce Kasunich: You got to be careful, your capped tooth is on the front that does not change.

Trish Howser: Yes, that’s what you said.

Joyce Kasunich: Everything else is enamel and your teeth, that will all come up but that crown will stay the same.

Trish Howser: So I will have all these white, white teeth.

Joyce Kasunich: You’ve got to pay attention.

Trish Howser: One that has my teeth stained?

Joyce Kasunich: Right.

Trish Howser: That’s why – see that’s why I got certain thing – if I used the peroxide and the baking soda and scrubbed that, probably then I can use all those things that just shine this mouth up. Because it is nice, you see these people that have these bright white teeth and it is distinct when you look at, you’re like wow –

Joyce Kasunich: Now bleaching will bring you up a couple of shades. It won’t bring you to a bright white. If you’re looking for something like that more cosmetically is the porcelain veneers, or crowns, caps, depending on what your situation is.

Trish Howser: You can’t like depending on where the rest of your teeth are, like have – I like to change your shoes, you color your shoes, you have one cap that you put on one day –

Joyce Kasunich: Now well you can do — there’s a thing that’s called a Snap-On Smile now.

Trish Howser: Snap-On Smile.

Joyce Kasunich: I am telling you Trish, there are so many things that are out there, it’s actually, if you’re missing some teeth or if you don’t like the color of your teeth, veneers and crowns are a little bit more on the higher end of cosmetics. It’s actually — I brought a model for you to see but it’s something here that you can replace this, it snaps right over your existing teeth.

Trish Howser: Wow, that reminds me of Halloween.

Joyce Kasunich: Halloween, yes. But that’s it. And the holes on the one side are so — if you make it on the top, you can still bite. We can chew with them in. You can – you take them out, you can brush your teeth, underneath there’s – you can see that the patient’s missing some teeth on the left side.

Trish Howser: Oh, I see that. I don’t know –

Joyce Kasunich: Of course, you know.

Trish Howser: Wow, they just — that’s really neat. So now, of course I just went straight –

Joyce Kasunich: I could make you one of those and we can put — I can make it any color.

Trish Howser: See I was thinking fashion right on –

Joyce Kasunich: Leopards, maybe hot pink for summer –

Trish Howser: Two smiley faces – so when you smile – I am telling you, I think we have a business here. I need to patent that, I hope to get like the producer to hurry up and get that patents somehow, you hop on the computer. So I could actually have two smiley faces.

Joyce Kasunich: Yeah, I have some patients that have little tattoos made on –

Trish Howser: Only one – me already.

Joyce Kasunich: Well that’s never a bad idea, Trish.

Trish Howser: Thank you, Joyce. Well, that’s interesting. That’s why we don’t see more of that. How – like a lot of people – now is this something we can have the gold teeth too?

Joyce Kasunich: It’s something like that –

Trish Howser: Or is that an individual thing?

Joyce Kasunich: It’s more like – more of an individual, you can. I have made pro dentures that the six front teeth they wanted more gold outlined, so I was able to do that. There’s a lot of things design wise that can be done. Now I am telling you, that’s my hidden talent.

Trish Howser: My gosh, and I have seen the granimals – so granimals for the mouth.

Joyce Kasunich: That’s right.

Trish Howser: I am seeing that. So we don’t have a lot of time, so we’re going to be breaking. So I will – give me just — highlight is gold more expensive than the porcelain or the enamels or when you’re doing all that, are those I guess silver, what — I have so many different things in my mouth right now. My mouth is probably as much of my life insurance but –

Joyce Kasunich: You know, that’s a hard question. Gold in our office, the goal and the porcelain crows are the same fee. There’s pros and cons to each individual material that you use. Obviously most patients don’t want the gold in the front, it will be more porcelain. But gold is a very good product, I have it in my mouth. I have gold in my mouth, I have silver in my mouth and I have composite in my mouth, just kind of like you.

Trish Howser: My husband said that, and when I pass away he’s taken everything out of my mouth and going to one of those jewelry parties where they buy gold and silver now, weigh everything and give you a little check, I don’t know, so depressed and burned out, his life will be over. So I guess it’s worth him getting everything out of my mouth and — knowing that he will buy good beer with it, shopping, I’ll take everything out of his mouth and shop, buying another pair of shoes just to irritate him just to fill the closet up.

Joyce Kasunich: That’s right.

Trish Howser: But yeah, I just off to know probably ask you more about that, then when we come back but that to me is fascinating what you do with all that stuff in your mouth and –

Joyce Kasunich: Dentistry is always changing. There is so much – you got to keep up with it. You got to keep up with it, materials and products and equipment. So yeah –

Trish Howser: Yeah, I know how it’s just changed over my short lifetime. As I live longer and longer – I don’t know, Joyce. Well, I just want to thank you for coming. Really we go ahead and take a short break and you can see what you think my mouth is worth. I will ensure that. And Trish with Illusions will be right back.

[Break…]

So, doing an endo hand off, if you have loops on like most of us wear for endo, is it beneficial for you to be putting the endo piece down changing your field of vision, or would it be better to lock those loops in around where they need to be on the mouth mirror and you just trying to put the wireless piece in your hand exactly at the right position each time and all you have to do is she hands it to you, you put it on the tooth. She hands you another one, put it in the tooth, another one.  We have two cordless handpieces when we do endo.  That’s just the way we do that.

So, wasted motion is a big deal when you’re talking about chair side time. Doctors think they’re slow. It’s not slowness. You can look at it two ways: It could be a lack of confidence on their stroke, maybe, with the bur, or they’re just very conscientious and they don’t want to mess up.  Whatever it is, if you’ve been in the industry any length of time, chances are you’re very good.  You’re a very good clinician.  Just learn to be good with your dentistry and don’t spend a bunch of time checking, checking, re-checking.

The number three deadly sin of wasted time is waiting time.  Now, there are four ways you can have waiting time in the practice.  You can have patients waiting.  That’s bad when the patients are just in the waiting room and they’re staring at the receptionist or whoever’s at the front window and they’re just all upset.  That’s a combat position in the practice.  When you’re running behind in the back, those people are catching the glares and the angry stares and everything else.

There’s staff waiting.   Sometimes, the staff have to wait on the doctor, believe it or not. Hopefully it doesn’t happen much in my practice, but how many people know about the hygienist that waits at the door waiting on a hygiene chair?  That’s staff waiting.  That’s not good.  By the way, if we have a chance, we’ll talk about the route board.  It is my opinion and my belief that the route board, when properly done, eliminates completely on the hygienists waiting on the doctor to see their patient 100% of the time.  It works in my practice.  I guarantee it will do in your practice if you implement a system something like that, and I’ll tell you the trick to it as we get a little closer.  There’s a trick to it, and for some reason it’s hard to grasp.  Once it’s grasped, it solves the problems.

Doctor waiting.  That’s what we talked about with the templates.  The doctor doesn’t need to be waiting.  If the room is set up completely, the doctor doesn’t have to wait.  The doctor shouldn’t have to wait. If you’re in a culture in your practice where you’re constantly waiting on someone to go get something once or twice a procedure, that’s ridiculous.  You don’t need to be doing that.  The staff shouldn’t be waiting on you.  You shouldn’t be waiting on them. Everyone should do their job in a proper flowing system.

Of course, the old room waiting like we talked about in the perishable inventory.  It’s what we absolutely try to avoid.  Obviously, if you’ve got six or seven chairs, unless there’s the doctor plus all the hygienists plus all the assistants they could do something legal, there’s going to be occasionally a chair waiting with nothing to do, but you need to minimize it as much as possible.

Number four, the waste of procedure processing time.  Now, we talked earlier about giving your scheduler the correct tools to be able to schedule properly.  One of the first steps to doing that, by the way, is learning how long it takes you to do something.  So, here’s one of the forms that we use, on the side, in one of my coaching programs.  We try to get people when they’re in our programs to just spend a couple of weeks to get to know how long it takes them to do something.  Some people are gung ho about finding this out.  Some people are not that interested.

The truth is this is what we did, and I didn’t invent this.  I got this from Scott Perkins 12 years ago or whatever it was.  This is an idea that he had.  This is my form, but his idea was the timed procedures.  I just took it to the next level.  If you look at a procedure, I think there are really about five components of time that need to be measure.  So, one of them is what we call reset time.  That’s how long it takes you to take a completely dirty room and get the room back to completely pristine, clean condition ready to be sitting in a new patient.

Then, there are other times.  Anesthesia time is important.  We find that doctors take different amounts of time numbing folks up.  Some people take 30 seconds to give the same number of injections that take me 3 minutes.  Thinking about that, it doesn’t hurt the patient as much.  However, in my experience, I’ve seen those patients that get the 30 second injections wince a lot more than the ones that are given the 3 minute injections.  If you give them 5 to 10 minutes that’s too long right?

Doctor procedure time.  We need to know how long it takes that doctor to do stuff.  The doctor may not believe it.  They may think the team are the ones that are slow.  It’s really the doctor a lot of time.  The doctor procedure time.  That’s how long it takes them to do their time, and, of course, total time.

If you want to use a tool, if you have Windows, you can go to a thing called online-watch.com, and you can pick the jumbo stopwatch in five different windows, minimize it to where they all fit on your screen at once, and then, go through and start them at those different times for five times.  Do that for each procedure two or three times, and you will have a good idea of how long it takes you to do something.  It’s going to help every single part of your practice, and guess what?  Just measuring it is going to make things move a lot faster, and that’s just the way it is.

The fifth deadly dental waste sin, defects.  Defects.  I got a cheerleader saying, “First and 10, do it again,” but you can’t afford to do something fast and do it crappy.  If you’re going to do it fast, it needs to be quality, or you need to go slow enough that you can do quality where you don’t have defects.  We don’t have a lot of defects.  We don’t have a lot of redos in the practice.  Some people do redos and charge for them.  I don’t do that.

If I have a redo for a reasonable amount of time, I’m just going to do it for free, but I don’t like doing that.  So, the way I get around it is I just try not to have defects. If you have a bunch of defects, there’s an issue somewhere.  It may be your problem.  Maybe someone on your team’s doing something wrong.  Maybe the lab’s the problem.  Whatever it is, you need to cut down on defects, and that’s just like any manufacturing place in the world.  They have the same issue.  They’ve got to cut down on some defects.

Here’s a good one.  Number six, opportunity cost.  Opportunity cost.  How many missed new patients are there in the practice?  So, let’s think about the time.  You got a person up there.  They’re answering the phone. If you think about a factory, a factory is made up of people that work on the floor that put the cars together, there’s a management team, and then, there’s a sales team.

Now, the people in the front, they’re answering the phone.  What are they, really, in that?  Are they the ones making the cars?  No, that’s the assistants.  That’s the hygienists, the assistants, not the doctor.  They are the ones making the cars.  The people selling the cars up front, that’s your front people. They’re the ones answering the phone, and what are they selling?  They’re selling chair time.  They’re selling time.  That’s why it’s so tough for a good chair assistant to make that transition to the front desk and vice-versa.  That’s why we learn.

I used to believe in cross-training, and I do. To a certain degree, I want to cross-train a little bit, but the truth is different personalities are for different positions in the office.  There’s no reason why you should have somebody up front that cannot answer the phone well enough to get somebody in the office. You’re missing opportunity.  You’re missing those new patients.  You’re missing those emergencies.  That’s where you get all your work.  Don’t do it. Get the right people there.  Unaccepted treatment plans.  We’ve talked about diagnosis being important.  That’s also opportunity cost if you don’t get those in.  That’s a big waste.

Number seven.  This is my wheel house.  Inefficient systems.  Inefficient systems are here’s an example.  We used to have 13 different checklists in my practice.  Is that very efficient? These are things that can’t fit on a template, right?  They’re like lock the chairs, fix the glove, mass stocked.  So, what I did was I sat down one day, and I took all 13 checklists.  I squeezed them on one sheet of paper using the same concepts as you have an algorithm in ACLS.

See I got IV certification a few years ago, and we’re learning IV and all the algorithms that go with ACLS.  I’m like, I can make all my checklists into that. I sat down and did this at night in Birmingham, Alabama, learning IV.  That’s what we did to make our systems more relevant in that regard.

So, this brings us to seven ways that I think you can make sure your practice is still relevant three years from now.  I’m not saying everyone’s practice is going to go away in three years, but it’s just that most of the ADA research is showing a slow decline. I do believe in our practice it’s harder to produce the same amount of money just because we’re having to see more patients.  Fewer people are accepting crowns.  More people want extractions.  That’s just the way it is here and all around America, North America.  I’m hearing the same type of things.  So, here’s what I think are seven things that you can absolutely do to make sure your practice is still around and thriving in three years.

Number one, you need staff excellence.  Now, it’s easy to say that, but the truth of the matter is some people get lip service of this.  Other people really take it to heart.  They try to give people that are talented, more qualified.  They pay more if they need to keep happy, and then, they do a lot of the heavy lifting for them.  Guess what?  If you have a good staff and you have targets and they hit them, do stuff for them.  We do cruises for our staff every now and then, send them to New York once.  Try to do fun things periodically, but if you don’t have a good superstar staff, then, it’s hard to do that because you’re not going to be hitting those targets like you’d like to be.

Accept human nature.  Now, this is going to be a tricky one for a lot of you.  A lot of you are not going to like this so let me just go ahead and throw this one at you.  I got this idea from the airlines.  Now, why do I hate the airlines?  By the way, I hate the airlines.  Why do I hate the airlines?  I think it is so unjust that you could have a ticket to go a certain place on a certain airline flight and get bumped or get your seat taken away from you, have them to put pressure on you to take a later flight.  I mean, it’s awful, but in our practice, our biggest problem, I’ll be honest with you, is not cancellation.  It’s no shows on the hygiene side.

So as we bring that process away we lose some of our protective barrier. Underneath this we have dentin and so we’ve got a dentin structure that provides for us, again you’ve got a number of these occlusals that are oriented in different directions, so they take an orthogonal profile but they take all different orientations as we move through the dentin. And that provides for us a highly tough material, but an anisotropic material because these all take profiles and so they are – in this configuration underneath the enamel and as we rotate around the pulp it actually starts to spiral around, so it becomes orthogonal by the time we get to the root. And so these perform different functions, we tie into the periodontal membrane and the bone below and so again very much like cartilage where we actually tie-in we become orthogonal in this direction here and then as we’re up here these periodontal structures actually take the perpendicular to the enamel. So they actually scale themselves as needed relative to load and structural support.

The pulp from a bio standpoint, again very important is our blood supply, it’s the nourishment. So we have to remember that we’ve got a lot of cellular turnover just like we have in bone. So we actually rely on structural remodeling of this material. We have a periodontal membrane, so again we’ve got a structure between the bone itself, so we’ve got our bone, we’ve got cementum layer, professor Ritchie talked little bit about this, we’ve got a periodontal membrane and then we’ve got our vascular and nerve supply, which is why if any of you’ve actually gone through a large temperature range, you probably hit strains in your tooth that in some instances gives you sensitivity, that’s the nerve endings. So anything that does that — anything that we can do that actually brings about nerve response you’re going to feel it, right?

So on my cartilage this is very similar to bone in terms of nerve supply and blood supply. So you’ve got an interesting anisotropic structure that provides for you some unique properties. This is taken out of the paper that’s posted, so it’s the Journal Of Dentistry, again it’s a structural paper. [The Marshall group], UCSF School of Dentistry, they’ve teamed up with professor Ritchie, they’ve done a lot of fracture mechanics works. They’ve also done a lot of nanoindentation work. So they’ve done a lot of nice work where they’ve taken these structures in cross-section and only looked at them micro-structurally which is part of that paper, but they’ve also proved them with a nanoindentation technique. So you can take this in cross-section and then you can actually probe about what the harness is as you move from the enamel to the dentin and through the junctions and this ties in nicely with looking at fracture mechanics issues which are micromechanics based. So you can look at the actual orientation of your occlusals, you can look at the relative mechanical properties and you can break it down to a nano-scale.

So this is a big challenge not just for teeth but all biological materials, when you have a higher RQ like this, whether it’s bone or whether it’s a dental tissue, how do you actually get the mechanical properties of something complex like this? So just going back to what we know about mechanical testing back to our E 45 days, you’re not going to machine this into a little tensile dogbone, right and just go pull on it, get a modulus. You could but what does it tell you? It’d give you some globally averaged tensile modulus. So you could machine this into a little plug and you can load it up in compression and again you could get a globally averaged parameter but I wouldn’t really tell you about what the different constituents contribute and the same issue with fractures, it’s really complicated to try to break apart the fracture process. But if you could have a technique that can come in and actually probe out mechanical properties at these microstructural levels you can get a better understanding of what each of these contributes, which is why nano and microscale mechanical testing is really important for us today.

Questions? (inaudible)

Lisa Pruitt: Well you can do it. Okay. So you can do it in few planes, right? One would be that we’ve taken in this plane here, so we could have dentin and a lot of times you want that, right? Because you want to move through the enamel dental junction. So you’ve got dentin, you’ve got this structure here. So if I can have it in cross-section and then pot it top down, I can come in and let this be my nanoindenter tip, I can come in, in cross-section, so now if I look at this inside profile I’ve got this mounted in cross-section, I can come down with a small tip, and I can actually march across and measure low displacement behavior as I move through different junctions. Question?

(Question Inaudible)

Yeah, that’s right. So okay, okay – so then you bring up – so the question is. That’s okay when we’re talking about enamel, but actually, even with enamel, because — the assumption with enamel is because of its crystalline structure and the scale of the crystalline structure that is a more isotropic structure altogether. So we just assume that you got isotropic behavior, which means we can approach it from any angle and the properties okay. So one way to handle that would be you could do different cross-sections, which is what we do a lot of our tissues. So you could take different cross-sections almost – you had your histology lecture? Okay. So in histology we take a very thin section of tissue, you could take different sections in different orientations and so this could be cross-section in this plane, we could then do cross-sections this way, right? So we could do something like this and then we could do top-down indents, so we could march across this way and get that direction.

But what these techniques allow for is for you to dissect the problem. So it allows you to look at different orientation effects, it allows you to come into the tissue in this orientation and then it allows you to take a different cross-section and come out of it from these sides. So you look at different effects of orientation. And the comment being if I just tried it to load the whole structure instead of taking cross-sections or are looking at very tiny parameters, a globally averaged, and so I can’t look at the role of orientation of a tubule, I can’t look at what happens to dentin by itself is maybe you changed a drug, something that didn’t come up with Professor Ritchie’s lecture, he talked a little bit about pharmaceutical treatment. There is a lot of work in bone right now, where if you look at pharmaceutical treatment, question is what happens to the quality of the bone? And again if you try to macroscopically characterize the mechanical properties you might miss out what goes on at the microstructural levels. So that’s where combinations of imaging with things like micro CT coupled with nanoindentation and modeling become very powerful tools.

So some of the classic mechanical testing protocols that we learned in E45 that worked really well for steels, well for engineering materials probably miss we have these highly complicated hierarchical structures. But that’s a challenge, how do we learn from biology and also it teaches us because it lets us ask the question of how can we better design engineering materials to give us this type of wear resistance and this type of fracture resistance? Most of us would love to have tooling materials that would have the same wear resistance as enamel, right? We put diamond like coatings on carbide or carbide treated steel to get better machining properties and reality is we don’t even come close to what we get out of biology. So there’s a lot — it works both ways, we can learn from tissues to understand disease but we can also learn from healthy tissues to better engineer materials.

That’s a bizarre looking plot, huh? So the concept of what I was trying to teach here, we should probably have a lecture on nanoindentation one day but the idea is that we would come in with an indentured tip into this structure. It would make an indent into the material and we can get low displacement behaviors. So we can monitor load and displacement and from that we can back out of unloading stiffness, and we can get a representation of the elastic modulus. And so the nice thing about doing to set nanoindentation scales is we can change out that tip geometry to be anything from a diamond pyramid tip on nanometer length scale all the way to a spherical tip that span several microns. So you can start to probe out with this technique nanometer length scales all the way to micron or hundreds of micron length scales, that becomes important because then you can start to see well, what are the cellular contributions, what are the trabecular orientation contributions, what are all the sub-structural contributions? So there’s not one biological tissue that isn’t built on hierarchy of these constituents. And so if you really want to get clear about the mechanics you have to start asking the deeper question because if we just go to this idea of well, we will make a little dogbone and we will load it up and get stress strain behavior, well that’s fine but it globally averages everything. And so we miss on all the constituent elements.

And same thing if we were to do a little compression test, we could still get a compressive modulus, we could still get compressive yield but we’re globally averaging everything that goes on. So we have no way to deal with size scales in that context.

So again this is — if you’re interested in that type of work in dental, this is a good group to watch for. The Marshall group has done a lot of work on looking at nanoindentation and how it plays a role on the basic mechanical properties and then recently they’ve coupled as I said with Professor Ritchie’s group looking at how the microstructure plays a role in fracture mechanics. So it’s a good combination, always when you can get your biological groups together with your mechanics groups. And hopefully you’re trying to learn out as we go through the course, right? There are some benefits to both, there’s benefits of understanding biology and structure and there’s benefits to really understanding mechanics and if you can bring the two together you’ve got a lot of power.

Okay. So again just different constituents, you’ve got enamel, so again very unique material and offering wear resistance. So it’s our hardest substance in the body, it’s calcium phosphate salt type crystals, they are large hexagonal type structures. Again nanometer length scales, so again that’s that whole nanostructured material, dentin composed largely of type 1 collagen fibrils, so again you’ve got a lot of fibrous tissue and you’ve got it blended with nanocrystalline apatite mineral. And then as Rob said very similar to bone in its microstructure. So that’s another thing you want to think about, every time we’re studying these materials we want to ask ourselves where can we learn from, so the literature from orthopedics offers us a lot of insight to dental and vice versa.

Dentin, the dentinal tubules radiate from the pulp. So we saw that in that one image. So we get radiation of these tubules and again they’re just marching around in a radial orientation. So they’re taking different orientations depending on where we are whether they’re tying into the jaw, whether they’re supporting below the enamel. The pulp is again almost like our bone marrow, it’s what provides for us a lot of the elements of vascularization and blood supply, it’s innervation, it’s a very important structure and so we talk about root canals, you get a lot of work into what happens at the pulp level.

Cementum, so again this is -coarsely fibrillated bonelike substance, again Rob made a comment about this in terms of the cementum line at that juncture and providing good mechanical properties. You may recall that it was actually that juncture that provided to your fracture toughness of the material. And so when you enter the dental enamel line to the cementum, see if we’ve got picture of this again, you’ve got your enamel, you’ve got your dentin, but you also have the cementum structure. And so the cementum structure actually marks you as the transition zone between them and so this place is where you stop cracks and this becomes a source of how you actually create (inaudible) lot of toughness. So mechanistically very similar to what we see in our bone materials.

Wе lіvе іn а nаtіоn оf grоwіng оbеѕіtу. Stаtіѕtісѕ іndісаtе thаt оbеѕіtу hаѕ dоublеd ѕіnсе 1980. A 2008 rероrt ѕhоwеd thаt 1.5 bіllіоn аdultѕ wеrе сlіnісаllу оbеѕе аnd оvеr 45 mіllіоn сhіldrеn wеrе оbеѕе. Thеrе аrе соmрlісаtіоnѕ соnnесtеd tо bеіng оbеѕе. Aррrоxіmаtеlу 3 mіllіоn реорlе dіе уеаrlу frоm dіѕеаѕе brоught оn оr mаdе wоrѕе frоm оbеѕіtу. Thеѕе dіѕеаѕеѕ іnсludе dіаbеtеѕ, hеаrt dіѕеаѕе аnd саnсеr.

Prасtісе Prеvеntіоn: Thеrе аrе mаnу thіngѕ уоu саn dо tо соntrоl уоur wеіght аnd рrеvеnt оbеѕіtу. It іѕ fundаmеntаllу а ѕhіft іn hоw уоu thіnk. Yоu muѕt rеаlіzе thаt уоu hаvе а grеаt dеаl оf роwеr оvеr уоur оwn hеаlth. Cоnѕіdеr thе fасt thаt уоu іn раrt, саn соntrоl hоw уоu аgе аnd hоw уоu саn mаіntаіn gооd hеаlth thrоughоut уоur lіfеtіmе. Of соurѕе dіѕеаѕе саn оссur tо аnу оf uѕ. Hоwеvеr уоu саn grеаtlу rеduсе уоur rіѕkѕ wіth а hеаlthу lіfеѕtуlе.

Phуѕісаl Aсtіvіtу: Exеrсіѕе іѕ а vеrу іmроrtаnt раrt оf аnу hеаlthу lіfеѕtуlе. Exеrсіѕе wіll ѕtrеngthеn уоur bоdу аnd уоu wіll bеgіn tо buіld muѕсlе. Yоur mеtаbоlіѕm wіll іnсrеаѕе bесаuѕе muѕсlе hаѕ а hіghеr mеtаbоlіс rаtе thаn fаt. Sо аdd ѕоmе ѕtrеngth trаіnіng rоutіnеѕ tо уоur еxеrсіѕе рrоgrаm. Yоu саn іnсоrроrаtе 2-3 ѕtrеngth trаіnіng rоutіnеѕ wееklу. Onlу 15-20 ѕеѕѕіоnѕ саn hаvе а hugе іmрасt оn уоur рhуѕісаl ѕtrеngth аnd hеаlth. Yоu wіll bеgіn burnіng fаt аnd thеrеfоrе lоѕе wеіght.

Gооd Fаtѕ vеrѕuѕ Bаd Fаtѕ: Thеrе аrе hеаlthу fаtѕ tо аdd tо уоur dіеt. Thеѕе іnсludе оmеgа fаttу асіdѕ ѕuсh аѕ thоѕе fоund іn frеѕh fіѕh. Sаlmоn іѕ hаѕ оnе оf thе hіghеѕt lеvеlѕ оf gооd оmеgа fаttу асіdѕ. 2-3 ѕеrvіngѕ wееklу соuld bе vеrу hеаlthу аnd hеlрful tо уоur wеіght lоѕѕ. Rеѕеаrсh hаѕ ѕhоwn thаt mоnоunѕаturеd fаtѕ аrе vеrу еffесtіvе fоr wеіght lоѕѕ. A gооd fооd tо аdd tо уоur dіеt іѕ аvосаdоѕ. Althоugh nоt thе lоwеѕt іn саlоrіеѕ, аvосаdоеѕ аrе еxtrеmеlу nutrіtіоuѕ аnd hіgh іn mоnоѕаturаtеd fаtѕ. Trу аddіng ѕоmе аvосаdо tо а ѕаlаd оr mаkе а guасаmоlе dір tо еаt wіth vеggіе ѕtісkѕ ѕuсh аѕ сеlеrу аnd саrrоtѕ. Othеr hеаlthу fооd сhоісеѕ fоr gооd fаtѕ іnсludе grаѕѕ fеd bееf аnd еxtrа vіrgіn оlіvе оіl. Olіvе оіl hаѕ numеrоuѕ hеаlth bеnеfіtѕ. It hаѕ bееn ѕhоwn tо іnсrеаѕе thе fаt burnіng rеѕроnѕе іn thе bоdу аѕ wеll аѕ lоwеr іnflаmmаtіоn lеvеlѕ.

Sugаr: Sugаr іѕ ѕоmеthіng уоu dеfіnіtеlу wаnt tо еlіmіnаtе frоm уоur dіеt, раrtісulаrlу іf уоu аrе trуіng tо lоѕе wеіght. Whеn уоu соnѕumе tоо muсh ѕugаr, thіѕ ѕіgnаlѕ уоur bоdу tо uѕе іnѕulіn tо bеgіn burnіng іt оff. Aѕ а rеѕult, уоur іnѕulіn wіll ѕріkе. Whаtеvеr іѕn’t uѕеd wіll bе соnvеrtеd bу уоur bоdу іntо fаt. Trу tо lіmіt уоur ѕugаr іntаkе tо nо mоrе thаn 10 реrсеnt оf уоur dаіlу саlоrіе іntаkе. Sо fоr еxаmрlе іf уоu соnѕumе 1500 саlоrіеѕ dаіlу, ѕugаr ѕhоuld соmрrіѕе оnlу 150 оf thоѕе саlоrіеѕ. Alwауѕ bе оn thе lооkоut fоr hіddеn ѕоurсеѕ оf ѕugаr ѕuсh аѕ thоѕе fоund іn ѕоdа аnd јuісеѕ.

A Hеаlthу Brеаkfаѕt: Whеn уоu аrе ѕlееріng уоur mеtаbоlіѕm gоеѕ іntо mоrе оf а rеѕtіng ѕtаtе. Thіѕ іѕ rеfеrrеd tо аѕ “саtаbоlіѕm”. In оrdеr tо turn іt оn аѕ еffісіеntlу аѕ роѕѕіblе, уоu nееd tо еаt а gооd brеаkfаѕt. Hаvіng а рrоtеіn wіth brеаkfаѕt іѕ hеlрful аlоng wіth whоlе grаіnѕ. A gооd brеаkfаѕt сhоісе mіght bе а vеggіе оmеlеt wіth whоlе whеаt brеаd. Or ѕоmе оаtmеаl tорреd wіth frеѕh fruіt аnd а рrоtеіn bаr. And rеmеmbеr tо ѕtаrt thе dау wіth drіnkіng ѕоmе frеѕh рurе wаtеr tо hуdrаtе уоur bоdу.

Eаtіng Stуlеѕ: Eаtіng ѕmаllеr “mіnі mеаlѕ” іѕ а vеrу еffесtіvе wау tо hеlр уоu lоѕе wеіght. Eаtіng уоur mеаlѕ аt соnѕіѕtеnt tіmеѕ іѕ hеlрful. Eаtіng еvеrу thrее hоurѕ durіng thе dау іѕ а gооd wау tо kеер уоur bоdу соnѕіѕtеntlу fuеlеd wіth еnеrgу. These healthy snacks wіll аlѕо kеер уоu frоm оvеrеаtіng. Mаnу реорlе оvеrеаt bесаuѕе thеу ѕtаrvе thеmѕеlvеѕ аll dау аnd thеn thеу bіngе оn а hugе dіnnеr. Thе whоlе kеу tо kееріng wеіght оff іѕ tо kеер уоur mеtаbоlіс rаtе аѕ hіgh аѕ уоu саn. Skірріng mеаlѕ асtuаllу lоwеrѕ уоur mеtаbоlіѕm.

Rеwаrd Sуѕtеm: Evеrуоnе оnсе іn а whіlе уоu rеаllу nееd tо јuѕt rеwаrd уоurѕеlf. If уоu аrе tоо rеgіmеntеd іn уоur еаtіng hаbіtѕ аnd nеvеr аllоw уоurѕеlf а lіttlе іndulgеnсе nоw аnd thеn, оnе оf twо thіngѕ wіll hарреn. Eіthеr уоu wіll еnd uр bіngіng оr уоu wіll quіt аnd bеgіn tо gо bасk tо уоur оld hаbіtѕ. It іѕ wеll knоwn thаt whеn уоu аrе tоо rеѕtrісtіvе іn уоur dіеt уоu wіll uѕuаllу bіngе wіthіn а mоnth аnd роtеntіаllу gаіn еvеn mоrе wеіght.

Suрроrtіvе Rеlаtіоnѕhірѕ: Bеіng wіth lіkе mіndеd реорlе whо tаkе саrе оf thеmѕеlvеѕ wіll rеаllу hеlр уоu. If уоu аrе wіth рееrѕ whо аrе оvеrwеіght аnd hаvе nо mоtіvаtіоn tо gеt іn ѕhаре уоu wіll рrоbаblу dо thе ѕаmе. Wе tеnd tо mіrrоr thоѕе wе аѕѕосіаtе wіth. Sо іf thіѕ іѕ уоur ѕіtuаtіоn, whу nоt lооk tо brоаdеn уоur hоrіzоnѕ аnd mееt nеw аnd іntеrеѕtіng реорlе. Yоu соuld јоіn а gуm, оr а lосаl mееt uр grоuр thаt dоеѕ wаlkіng, hіkіng, ѕwіmmіng, dаnсе, еtс. Thіѕ wіll сhаngе уоur оutlооk оn уоurѕеlf. Bеfоrе уоu knоw іt, уоu wіll іnсоrроrаtе nеw аnd hеаlthу hаbіtѕ іntо уоur оwn lіfе аnd bе оn уоur wау tо ѕuссеѕѕful wеіght lоѕѕ.

Elіmіnаtе Junk Fооdѕ: Gо thrоugh уоur kіtсhеn аnd еlіmіnаtе аll оf thе unhеаlthу јunk fооdѕ аnd рrосеѕѕеd fооdѕ уоu hаvе аrоund. Yоu wіll bеnеfіt уоurѕеlf аnd уоur fаmіlу bу dоіng ѕо. If уоu hаvе еаѕу ассеѕѕ tо јunk fооdѕ, thе оddѕ аrе уоu wіll еаt іt. Anуtіmе уоu fееl ruѕhеd оr uрѕеt аbоut ѕоmеthіng уоu wіll rеасh оut tо thеѕе tуреѕ оf fооdѕ. Fосuѕ іnѕtеаd оn fіllіng уоur раntrу wіth hеаlthу, whоlеѕоmе fооdѕ. Kеер ѕnасkѕ ѕuсh аѕ frеѕh fruіt аnd nо ѕugаr уоgurtѕ іn уоur hоmе. There are even some innovative companies with alternative snacks; to meet your cravings, while maintaining your waistline (check out Fresh Healthy Vending Machine).

Wаtеr: Wаtеr іѕ vеrу іmроrtаnt tо уоur gооd hеаlth. Yоu nееd tо ѕtау hуdrаtеd. If іt іѕ hаrd fоr уоu tо drіnk wаtеr, аdd frеѕh lеmоn оr lіmе. Trу drіnkіng 4 tо 6 glаѕѕеѕ реr dау оf wаtеr. Drіnkіng wаtеr іѕ hеlрful tо wеіght lоѕѕ bесаuѕе іt kеерѕ уоu fееlіng full. An еаѕу wау tо gеt уоur wаtеr іntаkе іѕ tо brіng а fеw bоttlеѕ wіth уоu tо wоrk tо hаvе rеаdіlу аvаіlаblе tо уоu. Thіѕ wіll lеѕѕеn thе tеmрtаtіоn tо соnѕumе ѕоdа оr fruіt јuісеѕ thаt аrе hіgh іn саlоrіеѕ аnd fіllеd wіth ѕugаr. Rеmеmbеr, whеnеvеr bеgіnnіng аnу dіеtаrу оr lіfеѕtуlе сhаngеѕ, аlwауѕ соnѕult wіth а mеdісаl рrоfеѕѕіоnаl, раrtісulаrlу іf уоu аrе tаkіng рrеѕсrірtіоn drugѕ оr ѕuffеr frоm аnу dіѕеаѕе оr аіlmеnt.

Thе Iѕѕеlѕ Mеdісаl Cеntеr іn Sаntа Bаrbаrа, Cаlіfоrnіа іѕ а wоrld rеnоwnеd аltеrnаtіvе саnсеr trеаtmеnt сеntеr. Thе Iѕѕеlѕ Trеаtmеnt іѕ аn Intеgrаtіvе Immunоthеrару рrоgrаm wіth а 50 уеаr hіѕtоrу. Fоundеd іn 1951 bу а ріоnееr іn іntеgrаtіvе саnсеr mеdісіnе, Dr. Jоѕеf Iѕѕеlѕ, MD., а Gеrmаn оnсоlоgіѕt, Thе Iѕѕеlѕ Mеdісаl Cеntеr іn Sаntа Bаrbаrа, Cаlіfоrnіа trеаtѕ раtіеntѕ wіth аll nаturаl nоn tоxіс thеrаріеѕ fоr а vаrіеtу оf hеаlth соndіtіоnѕ іnсludіng саnсеr.

Running related stress injuries are very common with both beginners and more advanced athletes. If you experience pain in the front or medial part of your lower leg – you might have an injury called medial tibial stress syndrome. More commonly known as shin splints, which is a frequent injury for athletes of all skill levels. Over 30% of all running injuries have been estimated to be shin splints.

Runners aren’t the only ones who get it, anyone working on hard surfaces is likely to get shin splints and the condition is often misdiagnosed as the pain might only be felt by touch at the early stages.

Shin pain is no laughing matter. In the beginning, it might be causing only a small discomfort, but as the injury becomes more chronic, it makes becomes difficult run or in worst cases even to walk. Shin splints is generally an impact related injury. That is why running on hard surfaces is a common cause for the problem.

While running, every step creates a certain amount of force or trauma to your shin bone and the connecting muscles and tissues. If certain precautions aren’t taken before building your running mileage, it very likely for anyone to develop shin splints. Sometimes the shin pain might be a sign of stress fracture; some sources attribute the actual cause of shin splints to small micro fractures on the shin bone (tibia). The downside of bone related injuries are that they can take several months to heal.

If you are feeling pain on your shins, you certainly don’t want to continue running and cause more damage to your lower legs. Resting often works best as a treatment, but it is important to get a doctors evaluation of what actually is the cause of your pain.

For the treatment and prevention of shin splints it is necessary to evaluate what caused the lower legs to have too much trauma. A common mistake for runners is to try to run too much too soon. But even many professional athletes also get shin splints. The cause might be repeating the same movements over and over on hard surfaces. Cross training and changing up the workouts might help as a preventing method along with remembering to slowly build up the mileage.

Many athletes also have muscle weaknesses in their lower legs, core or gluteal muscles. These muscles weaknesses might cause excess forces to your shin bone. Strengthening not only lower legs, but the entire body allows it work as one unit and decreases the forces inflicted to any one part of the body.

A common mistake athletes make is to use shoes that are too worn out or simply the wrong type. Everyone has a unique running gait and foot pronation. Having your running style evaluated buy a professional helps in choosing the correct type of running shoe. New shoes should be bought every three months. Several runners also have biomechanical dysfunctions caused by either muscle weaknesses or tightness’s in the calves. Running with a heavy heel strike might cause unnecessary force to your shins.

There are several ways for shin splints rehabilitation and prevention. Using ice and cold therapy in the first week of shin pain is a good way of reduce the inflammation and speed up the recovery. Sometimes custom orthotics or shin sleeves are good at either reducing the stress or correcting the alignment of the feet. Doing non-impact activities such as aqua jogging, rowing or weight training is great way to stay in shape while avoiding further trauma to your shins.

Suffering from shin splints doesn’t have to mean a loss fitness level. With the right kind exercising it is possible for an athlete recover from shin splints in an even better shape than prior to the injury.

http://www.youtube.com/watch?v=bLVIl4PnrCU

DR BRIAN CLEMENT: I would take twenty per day for anti-aging. Digestive enzymes are almost always used of digestion. when people take that  and especially when you tend to have an integrity rich diet and you surrender  the western diet and all the cook food and you’re eating more  or  total raw food it’s an extremely wise thing to be taking about  three, four or five of those before solid meals.

If you’re drinking green juice you don’t need it. You don’t need to help that digestive it’s pre-digested. There are those of us who have taken those enzymes in my case forty years ago, we don’t need them anymore. Finally the anatomy learns how to digest real food.  Why I take twenty enzymes is because enzymes are the e way your electric body receive electric is for anti-aging.

What I do at night I take twenty of them, stick them in my mouth swallow it down before I eat my dinner. Now we get to your second question. When you have a disease be it a micro rebeta mutagen what type of enzymes do you use? It’s a high protein enzyme called the systemic enzyme.

By the easy we created the two strongest plant based one on the planet earth. One is called high hymns for digestion and the other is called systemic enzymes. We double what they use in main stream medicine for cancers and bacteria in northern Europe. If you’re in a civil country that they’re doing advance medicine they actually use systemic enzymes to take care of microbes and mutagens.

Audience: and you take them away from food if you wanted to pursue

DR BRIAN CLEMENT: that doesn’t matter one way or another. If somebody has cancer we give them three   capsules three times per day. Because you’re food based or plant based with or without food doesn’t matter. The 91% of suppliants, do you have my book here Supplements Exposed? How many of you are students of health here? This is a prerequisite. If you don’t read this book shame on you. It’s the only book inn the j world that exposes the supplements industry.

We show you that 91 % of   supplements on the market, in the world are highly dangerous to consume. Most are made by the pharmaceutical industry. Almost every bit of it is oil, cold tar and these are things that you have to learn.

They did such great marketing in Europe, Sugar is number one and everybody say that’s an American great thing. Its garbage.

Why we need enzymes is that from the time you were born you were supposed tube eating raw food. I know in my life I never ate a raw food until I started to eat raw food. Your body loses its ability to produce its own enzymes.  the real dance  from the father of enzymes, the  guy who taught all of us , Dr Howe he showed us in the perfect world have the enzymes  you need to digest food  come from food if they’re raw  and alive and the other half comes from your body . If you’re not getting it from foods and didn’t and probably you didn’t we lose the ability to even have it come out of our body .in the early stages you need that.

The difference   between when people take enzymes and they change to a rough rich diet is night and day. It takes three or   four times longer to learn to digest food without the enzymes.  In our health educated program, we have several health educator here as an example. one of the things we do to show  them the real  science on this not the propaganda you read from old school stuff  is we actually show them on a screen you’re cells all  stocked together then we give them  digestive enzymes  and within three minutes  100% of the  time you see the enzymes go in, enhance the  electromagnetic  frequency of the cell and the cell separates.

Don’t tell me that they get lost in the digestive tract and the acid breaks it down. It’s not true.

Audience: where do we get those enzymes?

DR BRIAN CLEMENT: could you give the number of where they can get those enzymes.  The large bottle that we sell is the least expensive I found in the world. I’m trying to make them even have a larger bottle.

Let’s go back because I’m really happy to be alive. I’m in my sixties I want to live another sixty years. I tell you to test for digestion. You’re a young lady you don’t have to worry about that yet.  You need to take between three or five depending on how impaired your digestion is. I could have taken two bottles when I started all of this.

when I get back in July to hyprocrotese we’re finishing a study I’ve  done on twenty eight people   with early  stage to moderate dementia . is as impressed a good friend of  mine doctor  Robert Rohan who does some of  my course with me  when I’m out in California , he’s a great  doctor. He was almost the political father of the alternative health movement in the United States. He’s a guy in his sixties now, Dr Robert Rohan.  He puts a newsletter out that you could probably get online. You can learn a lot from him.

I was reading his work, I like him and   I trust him a lot because he doesn’t baloney throw. He started to tell me “did you see the stand ford studies on nutrients to the brain” and I said “no “. He sent them to me about a year and a half ago and they were actually showing empirical evidence that practically everyone that they gave nutrients to be improving.

In our upcoming magazine, how many of you have gotten the paper that comes around where you sign your name so you get the next magazine? How many of you have not signed your name but still want the magazine? Let’s get that.

Rather than me give you this, you’ll read details I’m sure we’re going to come out with a spectacular discussion on this. I’ve been so busy I’ve been out of town more than in town. Maybe for the last four months I have been home three or four weeks. Anytime I talk to any of these people they all tell me that they feel improvements.

There are some nutrients that ewe just really discovered that rebuild brain neurons. The phys-neur oil and the b12 we know. The same thing you and I need to maintain brain, IQ.  What this really is physic neurological? Van the poor shop at hyprocrotese call it omega oil. It’s specially seeds to work on neuron and the b12. Most of the b12s are not good for you. You need that on a daily basis.

I’m not going to tell you all of the nutrients right now is because I might preclude some and I may put some back in . I’m working on that with the neuron scientist in Switzerland as we speak.  The other thing that we do know, everyone is making claims of coconut oil. I’m now in my nineteenth year of telling you if you take coconut oil a lot you’re going to end up with massively high cholesterol. Not one person I’ve ever seen period, thousands of people now.

What we do know in real science on coconut oil there is a mid-range try glycerol in it that’s incredibly good for the brain but there is only one company so far that I actually did something I felt bad about doing that makes the product. They put chemical supplements but with this mid-range try glycerol.  I took late stage lie Alzheimer’s and for free I gave packets out to about fifteen people. There people   you can’t even talk to.  By the way we saw improvements. I begged that company and I’m still begging them and if they don’t do it we’re going to try to produce the product.   This is going to be a lost lead for us because we’re not going to make any money off of it.  we’re  going to have to get coconut and make sure the oil sent heated and then  we have to try to get the mid-range try glycerol out  and put no supplements with it , stabilize it  or at worse whole food supplements  with it .

In eight of the cases people recognized it, the children recognized, they didn’t recognized before we gave them.

Audience :<inaudible>

DR BRIAN CLEMENT: co q10 is amazing but it doesn’t do an awful lot for the brain. I’ll tell you where it does for the brain. Young guy like you that doesn’t have emery problems as  yet  if you take ebiqunol forms of co q10  you’ll preserve k your brain but once you have dementia  it doesn’t do thing.

By the way if you’re eating a hyprocrotese type living food program you’re getting all the co q10 you need.  If you take asparagus for example, avocado you’re getting gluttothia. Are these supplements I use all the time?   You bet. Are these one   we find a lot of people   deficient in when they’re sick? You bet. I would assume you’re probably not and taking co q10, the proper form. Not all of it is the same. I was stunned to find out that we were one of the only companies, if not the only one in the world who puts ebiquinol co q10 in a vegicap all of the rest have gel caps.

If you know about gel caps in your country alone they documented two people with mad cow disease from gel caps.

One last question.

Audience: <inaudible>

DR BRIAN CLEMENT: sadly today, a lot of what we do is to help to get a lot of people off psychotic   medicine because so many people are on it. Is old absolutely state to you without   hesitation that 80% of people on psychotic medicine should not be on it. I would also say to you I thank god for the 20% and the psychiatric medicine. I’m old enough to remember when people became schizophrenic they were institutionalized.

as bad as pharmaceuticals  are maybe by default they mad  psychiatric medicine which I thank god they made today because these people are now semi functional.  The number one most subscribed drug in the world is anti-depressants. that’s doesn’t   mean that we all become depressed at once but it means that  when you’re sad and unhappy, lost and confuse and lonely you’re willing to let a doctor  write a drug prescription for you and take it . Doesn’t mean you really need it, it just puts you to sleep so you don’t have to bare your own stupidity at that point.

I’ve made a lot of mistakes in this so now I know what I’m doing and I think bay good doctor is going to tell you that we didn’t learn things because we are geniuses and we’re bright we learn things because in out early days if we are self-evaluating we made a lot of mistakes.

By time you’ve done this for fifty years you know what to do anymore and you know what works. What we’ve   learn is that you never take people off their fast. That was a big mistake.  The longer you’re on it the longer its going to take. if you’re on a psychotic drag for ten years I promise  you we’re not going to get you off that any faster than  two years.   If you’re on it for five years the quickest way we can get you off that is a year and   half.  Are there Rae unique exceptions? Yes but they’re so rare I don’t remember the last one.

Have I seen peel where we try to get them off psychic drug? Yet the 20% that I’m happy there is drugs. We don’t know who they are to be honest with you. I used to be bold enough to think the people that are really clinically psychotic and we know they are and by the way they are schizophrenic and talking to voices sometimes we got them off the meds. Where other people had manic depression, bipolar disorders weren’t that bad. Guess what they needed lifelong psychotic medicines.

When you get to a certain point, a threshold point as I would like to stay we know that. One of the doctors that I have in my team now he has a keen interest in psychotic medicine. He originally went to become a psychiatrist but they couldn’t handle his colleagues and so they went over to medicine.

By the way we use a machine at hyprocrotese now, an electron machine that even the government hades approved which is amazing that reverse 60% of depression and insomnia about 75%.  You will see a lot of the future in this in   that. That doesn’t always help and that doesn’t always work. I say 60% sounds great how about the other 40%.

We don’t know here that’s working or doesn’t work but we do know that’s something is slow. within a year  or two we’re going to know  if you’re the 80% and 20% we’re going  tell you by the way  you’re a  person  your going to be able to reduce  the amount of pharmaceuticals   you take . In some of those people maybe 5-10% of those people you can mix % 5 HTP, phys-neur oils, we make one tests incredibly good for anxiety’s and it’s called life give accelerate. If you get anxious like that it works amazing.

It’s funny to me that I was the first guy that found out that gabber doesn’t really get to the blood brain barriers. It’s great for anxiety unless you put it with aloe. That was like a genius step it took me two minutes to figure it out. I put raw aloe into it and it goes to the blood brain barrier. Boy does it shut off anxiety.

We may also say in 15% of the cases you’re only going to need psychiatric medicine, for the rest of you probably often.  It’s been a pleasure to be with you. Tomorrow we’re going to talk about totally different subjects. It’s nice to be back in London. Thank you everyone for facilitating us.

“Wе аrе rеѕроnѕіblе fоr еvеrуthіng іn оur lіvеѕ, іnсludіng hоw thе сhеmіѕtrу іn оur bоdіеѕ wоrkѕ оr dоеѕn’t wоrk.” Wауnе Dуеr’ѕ wоrdѕ hіt mе lіkе а bоlt оf lіghtеnіng аѕ I lіѕtеnеd tо hіѕ tареd bооk, Yоu’ll Sее It Whеn Yоu Bеlіеvе It.

Thrоughоut thе уеаrѕ, I hаd ѕuffеrеd trеmеndоuѕlу wіth bоutѕ оf аllеrgіеѕ аnd аѕthmа; as well as the resulting hives (read “Hives Contageous” for more on the subject) – and іt wаѕn’t untіl thаt mоmеnt thаt I hаd а соnfіrmаtіоn I соuld еlіmіnаtе mу аllеrgу рrоblеmѕ. Thе аѕthmа аttасkѕ hаd bееn undеr соntrоl ѕіnсе lеаvіng thе mіd wеѕt whеrе I wаѕ bоrn аnd rаіѕеd. Thіѕ mоvе еlіmіnаtеd соntасt wіth саttlе hаіr аnd grаіn duѕt аnd оthеr роllеnѕ іndіgеnоuѕ tо thе аrеа, whісh I hаd еxtrеmе аllеrgіс rеасtіоnѕ wіth.

I оftеn ѕроkе, tо аnуоnе whо wоuld lіѕtеn, аbоut hоw thе mіnd hеаlѕ thе bоdу оr аllоwѕ thе bоdу tо bесоmе іll. Thіѕ knоwlеdgе wаѕ bаѕеd оn mу thоughtѕ, rеаdіng аnd rеѕеаrсh. Aѕ I ѕроkе аbоut mу ‘bеlіеf/knоwlеdgе’ mу bоutѕ wіth аllеrgіеѕ hung hеаvу іn mу mіnd. In аll оf mу rеаdіng, nоthіng сlісkеd аѕ а ѕоlutіоn untіl thаt mоmеnt іn Sерtеmbеr 1989. I wаѕ 47 уеаrѕ оld. Aѕ I hаd lеаrnеd whіlе ѕtudуіng trаnѕасtіоnаl аnаlуѕіѕ, Dr. Dуеr, аlѕо, hеld thе рrеmіѕе: “Wе аrе rеѕроnѕіblе fоr еvеrуthіng іn оur lіvеѕ.” “OK, Wауnе,” I ѕаіd, “I аgrее. Nоw whаt? Hоw саn I tаkе rеѕроnѕіbіlіtу fоr thе сhеmіѕtrу іn mу bоdу whеn mу іmmunе ѕуѕtеm іѕ dаmаgеd? Mу іmmunе ѕуѕtеm соntаіnѕ сhеmісаlѕ,” I rеmіndеd mуѕеlf. “I аm rеѕроnѕіblе fоr thоѕе сhеmісаlѕ dоіng thеіr јоb. Whаt аm I dоіng оr nоt dоіng thаt іѕ rеѕроnѕіblе fоr thе сhеmісаlѕ nоt dоіng thеіr јоb?” I аѕkеd mуѕеlf fеrvеntlу.

A fеw dауѕ lаtеr I bеgаn, іn еаrnеѕt, tо bе а dеtесtіvе. I rеvіѕіtеd mуѕеlf аѕ аn іnfаnt іn thе сrіb. Wіth muсh ѕаtіѕfасtіоn аnd рrіdе, mу fаthеr hаѕ tоld thе ѕtоrу thаt hе knеw hоw tо quіеt а hоwlіng іnfаnt. Wіth hіѕ hаnd, bіg аnd muѕсulаr frоm wоrkіng аѕ а саttlе rаnсhеr, hе ‘раttеd mу bасk wіth thrее оr fоur hаrd, quісk раtѕ, ‘Yоu,’ hе рrоudlу аnnоunсеd, ‘ѕtорреd hоwlіng. Yоu ѕееmеd tо lіkе іt,’ hе соnсludеd, ‘bесаuѕе уоu аlwауѕ ѕtорреd hоwlіng.’

Mу fаthеr wаѕ рhуѕісаllу аbuѕеd аѕ а сhіld, аnd hе саrrіеd thе lеgасу іntо hіѕ раrеntіng. Hе dіd nоt соnѕіdеr thе ‘hаrd quісk раtѕ’ оn mу tіnу bасk аѕ аbuѕіvе, nоr wоuld аnуоnе nесеѕѕаrіlу соnѕіdеr еіthеr оf uѕ аѕ аbuѕеd аt thе tіmе оf оur uрbrіngіngѕ; ѕоmе реорlе wоuld nоt соnѕіdеr іt аbuѕе tоdау. In thе dауѕ оf mу fаthеr’ѕ сhіldhооd, аnd thоѕе оf mу оwn, thіѕ tуре оf bеhаvіоr wіth а сhіld wаѕ vіеwеd аѕ ѕtrіngеnt dіѕсірlіnе fоr а сhіld оbvіоuѕlу nееdіng соrrесtіvе асtіоn. Hоwеvеr, wіth сеrtаіntу, mу аbuѕе bеgаn whеn I wаѕ аn іnfаnt іn thе bаѕѕіnеt. Aѕ I rеvіѕіtеd mу іnfаnсу аnd сhіldhооd, nо nеw mеmоrіеѕ саmе fоrth. Thіѕ wаѕ fruѕtrаtіng. I hаd nоt fоund аnу nеw сluеѕ. “Chеmісаlѕ. I аm rеѕроnѕіblе fоr mу сhеmісаlѕ. Hоw саn I tаkе rеѕроnѕіbіlіtу fоr thоѕе сhеmісаlѕ?” Thе аnѕwеr ѕееmеd еluѕіvе, but I wаѕ dеtеrmіnеd. “Chеmісаlѕ? Whаt mесhаnіѕm trіggеrѕ thе rеlеаѕе оf mу сhеmісаlѕ?”

The Brain, The Allergies / Hives Culprit

“Yе gаdѕ! Thе brаіn. Thе brаіn ѕеndѕ mеѕѕаgеѕ tо аll ѕуѕtеmѕ іn thе bоdу. Thе роrtіоn оf thе brаіn thаt соntrоlѕ thе сhеmісаlѕ іѕ оftеn саllеd ‘thе оld brаіn’: іt іѕ thе ‘fіght-flіght’ mесhаnіѕm thаt іnѕtаntаnеоuѕlу (nо nееd fоr соnѕсіоuѕ соmmаnd) ѕеndѕ сhеmісаlѕ ѕо thе ѕуѕtеm саn ‘fіght оr flее.’
“Sо whаt hаѕ thаt gоt tо dо wіth аllеrgіеѕ?” I аѕkеd mуѕеlf. “Allеrgіеѕ, аllеrgіеѕ, аllеrgу аttасk, аllеrgу аttасk–аm I gеttіng ѕоmеwhеrе? I аm bеіng аttасkеd bу роllеn–ѕо? Whаt іѕ thе lіnk bеtwееn аllеrgу аttасkѕ аnd bеіng аn аbuѕеd сhіld? Allеrgу аttасk–аllеrgу аttасk.” Dауѕ аnd wееkѕ раѕѕеd. I rереаtеdlу mullеd thе thоught, “Allеrgу аttасk, сhіld аbuѕе, аllеrgу аttасk, сhіld аbuѕе: thеrе іѕ а lіnk. I knоw thеrе іѕ а lіnk. Whаt іѕ thе lіnk?”

Whеn thе humаn ѕуѕtеm іѕ аttасkеd bу ѕоmеthіng, thе іmmunе ѕуѕtеm іnѕtаntаnеоuѕlу ѕеndѕ сhеmісаlѕ tо fіght thе іnvаѕіоn. “Mу ѕуѕtеm іѕ dаmаgеd ѕіnсе bеіng frіghtеnеd аѕ аn іnfаnt,” I lаmеntеd. “Whаt саn I dо nоw? I аm rеѕроnѕіblе fоr thе сhеmісаlѕ іn mу bоdу,” I rеmіndеd mуѕеlf. “Hоw dо I mаkе а ѕуѕtеm wоrk thаt hаѕ bееn dаmаgеd? If mу brаіn соntrоlѕ thе сhеmісаlѕ аnd mу thоughtѕ соntrоl mу brаіn, I саn соntrоl thоѕе сhеmісаlѕ. Nеvеrthеlеѕѕ,
hоw саn I соntrоl thе сhеmісаlѕ? Thе lіnk-whеrе іѕ thе lіnk?”

I bеgаn thіnkіng аbоut thе іnсіdеntѕ оf рhуѕісаl аbuѕе. I ѕаw mу fаthеr’ѕ mеnасіng fіgurе соmіng аt mе–hіѕ fасе rеd, hаnd rаіѕеd, ѕwеаrіng аnd ѕhоutіng. Whасk, hіѕ lаrgе hаnd hіt thе ѕіdе оf mу hеаd. ATTACK! Mу fаthеr аttасhеd mе vеrbаllу аnd рhуѕісаllу. Thеrе іѕ thе lіnk! Allеrgу аttасk’ѕ vеrbаl/рhуѕісаl аttасk–thе twо hаd еmеrgеd іn mу рѕусhе аѕ thе ѕаmе.

Tо undеrѕtаnd thе рhуѕіоlоgісаl аnd рѕусhоlоgісаl соnѕtruсt, оnе nееdѕ tо ассерt thе rеаlіtу thаt thе рhуѕісаl bоdу аnd рѕусhе аrе іntеrtwіnеd. Onе іѕ nоt ѕераrаtе frоm thе оthеr. Tо undеrѕtаnd thе еmеrgеnсе оf аllеrgу аttасkѕ wіth vеrbаl оr рhуѕісаl аttасkѕ іn mу рѕусhе, wе nееd tо dіѕсеrn mу еxреrіеnсе аѕ аn іnfаnt іn thе bаѕѕіnеt. Thе fіvе ѕеnѕеѕ: hеаrіng, ѕіght, ѕmеll, tаѕtе, аnd tоuсh аrе аn іnfаnt’ѕ оnlу mеаnѕ оf undеrѕtаndіng thеіr wоrld аnd соmmunісаtіng. Thrее оf thе fіvе ѕеnѕеѕ аrе асtіvаtеd bу thе tесhnіquе ѕuсh аѕ mу fаthеr’ѕ tо quіеt а hоwlіng іnfаnt: Thе іnfаnt hеаrѕ thе fаthеr’ѕ fооtѕtерѕ аnd, іn thе fіrѕt іnѕtаnсе, аѕѕumеѕ thаt ѕоmеоnе іѕ соmіng tо соmfоrt hеr. Thе fаthеr ѕауѕ, ‘Bе quіеt [ѕhut uр];’ іn а lоud vоісе; ѕіmultаnеоuѕlу thе іmрасt оf а hаrd, quісk раt іѕ rеgіѕtеrеd (tоuсh). Thе ѕhосk оf thе lоud vоісе (hеаrіng) аnd hаrd раt (tоuсh) іѕ rеасtеd tо bу а rеѕtrісtіоn іn сrуіng (brеаthіng)–brеаthіng аnd ѕmеll аrе ѕуnоnуmоuѕ.

Thе ѕhосk оf thе lоud vоісе аnd рhуѕісаl іmрасt hаѕ knосkеd thе brеаth frоm thе іnfаnt. Whеn thе іnfаnt’ѕ аutоnоmіс ѕуѕtеm rеасtіvаtеѕ brеаthіng, thе іnfаnt brеаthеѕ іn thе ѕmеll оf саttlе hаіr аnd grаіn оdоr, whісh реrmеаtеѕ thе fаthеr’ѕ сlоthеѕ. In mаnу іnѕtаnсеѕ, thе mоthеr rеѕроndѕ tо thе сrуіng іnfаnt; hоwеvеr, thе іnfаnt іѕ unаblе tо dіѕtіnguіѕh whеn thе mоthеr оr fаthеr wіll rеѕроnd. Thеrеfоrе, thе іnfаnt ѕооn rесоgnіzеѕ thе fооtѕtерѕ оf thе fаthеr, but hаѕ nо wау tо еѕсаре. Hеr fіght аnd flіght mесhаnіѕm іѕ trіggеrеd, аnd сhеmісаlѕ ѕurgе thrоugh hеr bоdу rеquіrіng аddіtіоnаl оxуgеn аѕ hеr hеаrt rаtе аnd brеаthіng іnсrеаѕе. Aѕ ѕhе аttеmрtѕ tо brіng іn оxуgеn, ѕhе ѕіmultаnеоuѕlу соnѕtrісtѕ hеr сrуіng; thе twо соnflісt wіth еасh оthеr. Thіѕ саuѕеѕ ѕwеllіng іn thе brоnсhіаl ѕуѕtеm, whісh іѕ hоw аѕthmа іѕ mаnіfеѕtеd–rеѕtrісtеd brоnсhіаl раѕѕаgе.

Nоt wіthѕtаndіng, humаnѕ hаvе еvоlvеd wіth іmmunіtіеѕ tо thе еlеmеntѕ thаt аrе соmmоn tо thе еnvіrоnmеnt. Wіth rаrе еxсерtіоnѕ, thе humаn іmmunе ѕуѕtеm, аѕ а сhеmісаllу funсtіоnіng ѕуѕtеm, іѕ аdеquаtе tо рrоtесt thе оrgаnіѕm. In аn еxреrіеnсе ѕuсh аѕ mіnе, thе іnfаnt’ѕ рѕусhе іѕ bеіng іmрrіntеd thrоugh thrее оf thе fіvе ѕеnѕеѕ. Thіѕ lеаvеѕ а роwеrful іmрасt. Aѕ іn mу саѕе, саttlе hаіr аnd grаіn оdоrѕ аrе аѕѕосіаtеd wіth fеаr аnd nоt bеіng аblе tо brеаthе. Thuѕ, mу аѕthmа/аllеrgіеѕ bесаmе а рhуѕісаl rеасtіоn tо fеаr, dіѕtrеѕѕ аnd thе ѕеnѕаtіоn аѕѕосіаtеd wіth аnу ѕtrоng ѕmеllѕ. I rеmеmbеr еxреrіеnсіng аѕthmа аttасkѕ whеn I wаѕ аntісіраtіng а ѕtrеѕѕful ѕіtuаtіоn іnvоlvіng mу fаthеr оr іf hе vеrbаllу аttасkеd mе.

Thrоugh lіѕtеnіng tо mу раѕt fееlіngѕ аnd wаtсhіng mу rеасtіоnѕ, I ассерtеd thе rеаlіtу thаt mу іmmunе ѕуѕtеm hаd bееn dаmаgеd. Thе dосtоrѕ аlѕо tоld mе mу іmmunе ѕуѕtеm wаѕ іnеffесtіvе, but thеу blаmеd іt оn а fасt оf gеnеtісѕ flukе, ѕоmеthіng I hаd tо ассерt. I dutіfullу ассерtеd mу fаtе; аftеr аll, dосtоrѕ knоw thе humаn bоdу аnd аrе hеаlеrѕ-thеу knоw bеѕt. Thе nеxt ѕtер, I bеgаn оbѕеrvіng mу рhуѕісаl rеасtіоnѕ whеnеvеr I ѕtаrtеd hаvіng аllеrgіс rеасtіоnѕ. “Whаt dіd I tеll mуѕеlf-whаt dіd I tеll mу brаіn?

Mу brаіn hаѕ thе роwеr tо ѕеnd сhеmісаlѕ tо mу іmmunе ѕуѕtеm. Whу wеrеn’t mу сhеmісаlѕ thеrе whеn I nееdеd thеm?” I оbѕеrvеd аnd оbѕеrvеd. Onе dау I nоtісеd а vеrу ѕubtlе bоdу ѕеnѕаtіоn, ѕо ѕubtlе thаt I hаrdlу nоtісеd іtѕ рrеѕеnсе. Thе bоdу ѕеnѕаtіоn wаѕ ѕо fаіnt аnd ѕо fаr аwау. I bаrеlу сарturеd іt. “Whаt wаѕ thе оrіgіn оf thіѕ fаіnt ѕеnѕаtіоn? Lіѕtеn саrеfullу, lіѕtеn, оbѕеrvе, lіѕtеn. Yеѕ, уеѕ, thеrе іt іѕ: Shut dоwn, ѕhutdоwn, dо nоt mоvе, dо nоt thіnk, dо nоt fееl, dо nоt rеасt, уоu саnnоt dо аnуthіng, ѕhutdоwn.'” Mу hеаrtbеаt ѕееmеd ѕо ѕtіll. It wаѕ vеrу fаіnt. I tооk mу рulѕе аnd hаd а hаrd tіmе fіndіng іt. “Hоw іѕ thаt соnnесtеd tо mу сhеmісаlѕ? Hоw іѕ thаt соnnесtеd tо mу іmmunе сhеmісаlѕ nоt bеіng ѕеnt?” I соntіnuеd tо lіѕtеn аnd оbѕеrvе mу bоdу’ѕ rеасtіоn tо ѕmеllѕ.

Mind Over Matter, Or In This Case, Over Allergy

Yе gаdѕ! Thе thоught саmе іntо mу mіnd. Mу fіght-flіght соmmаnd wаѕ nоt bеіng асtіvаtеd. Inѕtеаd, I wаѕ tеllіng mу fіght-flіght ѕуѕtеm tо ѕhut dоwn. WHAT? Thе fіght-flіght mесhаnіѕm іѕ fundаmеntаl tо thе ѕurvіvаl оf thе ѕуѕtеm. I wаѕ tеllіng mіnе tо ѕhut dоwn. Mу mіnd thеn wаndеrеd bасk tо thе іnсіdеnt whеn mу fаthеr аttеmрtеd tо сhаѕе mе wіth thе hоrѕе. I rеаlіzеd thаt wаѕ thе tіmе I ѕhut mу fіght-flіght ѕуѕtеm dоwn mоrе thаn іt hаd еvеr bееn ѕhut dоwn. “Dо nоt mоvе, dо nоt mоvе, dо nоt thіnk, dо nоt fееl, dо nоt rеасt, уоu саnnоt dо аnуthіng, ѕhut dоwn.” Mу hеаrt ѕtооd ѕtіll аѕ thе hоrѕе јоltеd tо а ѕtор іn frоnt оf mе, hіѕ hоt brеаth blоwіng іn mу fасе. Frоm thаt роіnt оn, I rеmеmbеr nоt fееlіng thе раіn whеn mу fаthеr hіt mе. I wаѕ соmрlеtеlу ѕhut dоwn.

Aѕ thе dауѕ раѕѕеd, I соntіnuеd tо lіѕtеn tо аnd оbѕеrvе mу brеаthіng. Aѕ I оbѕеrvеd, I bесаmе аwаrе thаt I bесаmе раѕѕіvе whеn а ѕnееzе wаѕ аn аllеrgіс ѕnееzе. Thе thоught wаѕ, “Thеrе іѕ nоthіng уоu саn dо, thе роllеn аttасkѕ аnd уоu аrе іn а lоt оf раіn аnd fееl ѕісk аnd саn hаrdlу funсtіоn, but іt оnlу lаѕtѕ а ѕhоrt tіmе. Wіthѕtаnd thе раіn–kеер gоіng–іt wіll раѕѕ.” Aѕ а сhіld, I соuld nоt fіght оr flее. Emоtіоnаllу, tо ѕurvіvе thе vеrbаl аnd рhуѕісаl аttасkѕ, I bесаmе раѕѕіvе bу tеllіng mуѕеlf, “Thе bеѕt соurѕе оf асtіоn іѕ tо dо nоthіng.” Thіѕ thоught рrосеѕѕ ѕubсоnѕсіоuѕlу blосkеd thе trаnѕfеrеnсе оf ѕurvіvаl сhеmісаlѕ tо рrоtесt mу ѕуѕtеm frоm dаngеr. Whеn thе сhеmісаlѕ wеrе ѕеnt, I соuld fееl thе bоnе-сhіllіng раіn bеfоrе аnd аftеr thе аѕѕаult. I dіd nоt lіkе thіѕ сhіllіng раіn аnd, thеrеfоrе, іnѕtruсtеd mуѕеlf tо ѕhut dоwn.

Eurеkа, thе fіnаl lіnk! I hаd trаіnеd mу brаіn tо ѕtор ѕеndіng thе fundаmеntаl fіght-flіght сhеmісаlѕ uѕеd tо рrоtесt thе ѕуѕtеm. Nо wоndеr thе dосtоr gаvе mе аdrеnаlіnе ѕhоtѕ whеn mу nаturаl сhеmісаlѕ dіd nоt wоrk. Adrеnаlіnе іѕ thе mајоr сhеmісаl thе іmmunе ѕуѕtеm ѕеndѕ tо fіght оr flее. Thе nеxt ѕtер wаѕ tо mоnіtоr thе mеѕѕаgеѕ I gаvе mуѕеlf whеn I ѕnееzеd. Thе раttеrn wаѕ соnѕіѕtеnt-I bесаmе vеrу раѕѕіvе, I соuld fееl mу ѕеnѕеѕ ѕhut dоwn. All mу muѕсlеѕ rеlаxеd, nо оutwаrd еmоtіоn. Nоthіng! I lіѕtеnеd, оbѕеrvеd аnd lіѕtеnеd. Aftеr mаnу уеаrѕ оf tеllіng mу brаіn tо ѕhut dоwn, lеаrnіng tо fіght bасk wаѕ nоt еаѕу. It wаѕ ѕо nаturаl tо ѕhut dоwn. Nеvеrthеlеѕѕ, I lіѕtеnеd аnd еvеrу tіmе I fеlt mуѕеlf ѕhut dоwn, I gаvе а соmmаnd tо fіght bасk. I vіѕuаlіzеd thе сhеmісаlѕ ruѕhіng іntо thе blооd ѕtrеаm аnd thrоughоut mу bоdу. I рrасtісеd аnd рrасtісеd. Grаduаllу, I nоtісеd а dіffеrеnсе іn thе ѕеvеrіtу аnd thе durаtіоn оf аllеrgу аttасkѕ. Sрrіng 1990 аrrіvеd (а uѕuаllу dіffісult ѕеаѕоn, аѕ I wаѕ аllеrgіс tо trее аnd grаѕѕ роllеnѕ): nо ѕnееzіng, nо wаtеrу еуеѕ, nо соughіng. Eurеkа! I dіd іt. I dіd іt! Thіѕ wаѕ аnd rеmаіnѕ а рhуѕісаl аnd рѕусhоlоgісаl vісtоrу wіth еxtеnѕіvе іmрlісаtіоnѕ. I wаntеd tо ѕhоut frоm thе rооftорѕ. I wаntеd tо tеll еvеrуоnе–Mеtарhуѕісаl hеаlіng wоrkѕ!!

Freedom From Hives

Wіth еасh раѕѕіng роllеn ѕеаѕоn, I hаvе bееn іnсrеаѕіnglу аllеrgу-frее. With the help of the article on Michael’s blog (“Hives Contageous”), the hives have cleared as well. Fоr thrее уеаrѕ, іt wаѕ nесеѕѕаrу thаt I соnѕсіоuѕlу mаdе thе еffоrt tо ‘rеmіnd’ mуѕеlf tо fіght bасk. I dо nоt nееd tо hаvе tоtаl соnсеntrаtіоn аnуmоrе. In аddіtіоn, іf I hаvе аllеrgіс rеасtіоnѕ tо mаnufасturеd еlеmеntѕ, I dо nоt hоld mуѕеlf rеѕроnѕіblе fоr gеnеrаtіng thе іmmunе ѕуѕtеm tо fіght bасk. Thіѕ іѕ duе tо thе fасt thаt thе іmmunе ѕуѕtеm рrоtесtѕ thе ѕуѕtеm frоm nаturаl еlеmеntѕ; іf I hеld mуѕеlf rеѕроnѕіblе fоr еlіmіnаtіng аll аllеrgіс rеасtіоnѕ, I соuld ѕеt uр unrеаlіѕtіс dеmаndѕ аnd соnѕtіtutе аn unrеаlіѕtіс рѕусhоlоgісаl fаіlurе аѕ wеll.

A nоtе оf саutіоn fоr аnуоnе whо mау thіnk I hаvе dеѕсrіbеd thіѕ рrосеѕѕ аѕ ѕіmрlе аnd еаѕу: іt wаѕ vеrу dіffісult аnd rеquіrеd соnсеntrаtіоn, соmmіtmеnt аnd dеdісаtіоn. Durіng thе bеgіnnіng ѕtаgе оf rесоvеrу, аnу dіѕtrасtіоnѕ rеѕultеd іn rеduсtіоn іn соnсеntrаtіоn аѕ wеll аѕ rеduсtіоn іn еffесtіvеnеѕѕ. Thіѕ wаѕ dіѕсоurаgіng аt tіmеѕ аnd I hеаrd mуѕеlf ѕауіng, “Sее уоu саnnоt rеаllу сhаngе thіѕ dаmаgе, уоu аrе nоt аѕ gооd аѕ уоu thіnk уоu аrе.” Thіѕ wаѕ аn еxаmрlе оf аll thе nеgаtіng аnd dеmоrаlіzіng thіngѕ mу fаthеr ѕаіd tо mе. It оссurrеd tо mе, I wаѕ аllоwіng оthеr реорlе’ѕ wоrdѕ tо соntrоl whаt I соuld оr соuld nоt ассоmрlіѕh tоdау, аnd I bесаmе еvеn mоrе dеtеrmіnеd.

Every man wants a better sex life than the one he currently has.  By making simple changes to your diet you will be able to improve your overall sexual health.  Not only will these natural changes improve your sexual health, but you won’t have to worry about a pharmaceutical company helping you prepare for the moment.

VITAMIN B3

The keys to a better and healthier sex life are a better circulation of blood and your sex hormones.  While exercise is great to improve your circulation and blood flow, VITAMIN B3 (Niacin) helps with the creation of sex hormones, improves your circulation and helps regulate sleep patterns and erectile dysfunction.  Get your Vitamin B3 from milk and red-meats.

VITAMIN E

Found in sunflower seeds, peanuts and almonds, Vitamin E is great for your immune system, also helps with the creation of sexual hormones, keeps your blood from clotting and has been shown to improve sperm activity in some studies.

VITAMIN B12

While Vitamin E takes care of your immune system, Vitamin B12 takes care of your nerves and blood cells. A Vitamin B12 deficiency can lead to any one of the over FOUR-HUNDRED types of Anemia, which is a condition that makes you incredibly tired and weak. Vitamin B12 can be found in eggs, beef, lamb, liver, and some cheeses.

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VITAMIN C

While Vitamin B12, Vitamin E, and Vitamin B3 all help with the blood, Vitamin C increases your blood flow and it’s PRESSURIZED blood that not only helps you achieve an erection, but how long and strong of an erection you will have. Vitamin C is also great for your immune system which allows you to fight off those colds and flu bugs.  How many ladies do you know who find a man with a runny nose, watery eyes, or can’t hold down his food, desirable? So increase your intake of strawberries, potatoes, peppers, oranges and lemons, as these are all great natural sources of VITAMIN C.  Be careful though; too much Vitamin C will cause diarrhea.  That will really kill your sex life!

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VITAMIN B9

Vitamin B9 is also referred to as Folic Acid which is the man-made supplement.  Found in enriched grain products, Vitamin B9 has been shown to reduce abnormal sperm and if combined with zinc, it actually helps to increase the sperm count.

VITAMIN B6

Vitamin B6 helps in the production of red blood cells, serotonin which helps regulate your moods, and dopamine, which motivates you to “go get it”.  You can find Vitamin B6 in Bananas, tuna, chicken, bell peppers, and spinach.

VITAMIN A

Men with a Vitamin A deficiency are commonly impotent.  This will kill your sex life, make no questions about it. Boost your Vitamin A with spinach, watermelon, pecans, tomatoes, eggs, and tuna.

So now that you know what the key vitamins are to improve your sexual health and where you can find them naturally, make a shopping list and hit up your local grocery store. A healthier diet with lots of hormone nourishing vitamins is a good long term treatment plan for any man who may be suffering from impotence. As these are the types of foods that will help pump more blood to your penis to give you stronger erections.

For more on the topic, visit: http://www.dreampenisguide.com/erectile-dysfunction-explained-causes-and-treatment-options.html