Archive for the ‘Chronic Pain’ category

Fast Crash the Flab

November 7, 2012

This post should properly be called Where Do Wrinkles Come From?  How I came to this conclusion has been a painful, personally tortuous path that has been exhilarating most times and on few occasions tossed me down to the depths of despair with some regret.  As with my patients whom I Fast Crashed, I would do it all again in a heartbeat.  I look good, I feel younger, other than the constipation and anal burning, I am addicted to my own program and will continue to do this more slowly…but if I do it slowly…i very likely will not crash at all…Oh what a nightmare…Having a nice muscular satisfying evacuation daily is so important to feeling good, there were a couple of times when I was jealous of my 4 year old when she tells me, “Look mommy, I made a great big nasty lizard poo-poo.”

It started at the beginning of this year.  My 2nd and last baby turned 2 years and I decided that it was time to take care of me.  In the last 4 years, I have had 2 babies.  Old skinny clothes went to the back of the closet, replaced by looser, bigger sweat pants and t-shirts.  I started seeing fine lines and wrinkles around my eyes.  I was loose and saggy and flabby.  I was going to reverse the damage done to my body by the 2 pregnancies.  You can read more about it here: http://doctorhoang.com/fastcrashtheflab.html 

I got so addicted from the changes i saw over the course of 3 months.  I am warmer, my metabolism is up, i a hungry all the time, my libido is up.  I should have been satisfied with the results and stopped. But I continue treating myself and slowly over the course of 2 weeks I start to get constipated.  One day I wake up, I’m trying to go and my anus burns!  Holy cow !  I treat myself.  Meanwhile after having completed 10 sessions of weight training, I sign up with a new personal trainer and he starts giving me exercises to strengthen my core.  Things really start to tighten up and…Holy shit! (excuse my French)…I can’t poop, I’m belching…but I look good…I feel good…my abs feel tight, my rib cage…feels smaller…I feel as toned as a 20 year old and the wrinkles… are gone.  I love it!  All without a chemical peel or plastic surgery…so what if the cost is a little constipation and anal burning…I am currently treating myself to cure the bothersome little side effect…I hope the wrinkles don’t come back…I don’t think they will…keep you posted…

ADDENDUM:  Doctor you cannot heal thyself.  Just like a lawyer who trys to defend himself has a fool for a client…I end up jacking my self so bad…I had to call a friend for help.   Needless to say, the nasty side effect is gone.  I am pooping again and I get to keep the taughtness and tension in the supportive connective tissues of my face…Would I do it all over again…yes, absolutely!

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Head Injury

November 3, 2012

Hello All.  It has been quite a while.  Lots of things developing lately…i will announce when ready.  Recently something happened, and how I reacted, reflects on how differently we osteopathic physicians assess and look at a situation.  Hopefully by sharing this episode, the broader public can assess their current health situation in context and compare between MDs and DOs.  Four days ago, I received a call from my chidren’s daycare.  You need to come.  Something happend to Kathleen.  What happened? You just need to come and pick her up.  Another kid ran into her on his bike.  Her head whacked the handle bar and she had this gigantic blue lump on her forehead the size of an egg…really it was quite a chickenegg.  The skin was scraped so thank goodness I did not have to sew her up.   My best friend, who is also a pediatrician with her kids in the same school prods me.   Did K hit the kid or did the kid hit K?  Her little one “saw the whole thing,” told her mommy that he did it and that K was the innocent bystander.  My best friend was really concerned and freaked out, more so than I.  The next day when i went in to drop her off, the staff was very nervous.  Her teacher who was present and watching the kids, felt so bad, she was crying and very apologetic.  I said to her, “Ahh, its okay. I’ve seen worse.  Accidents happen.” Really…I’ve seen worse…concussions, gigantic gaping cuts that lead to thick scars, etc…besides, the worst brain injuries happen when the force is transmitted deeper and absorbed by the skull or neurons; if her skin and scalp is bruised than, logically, it took most of the force and some minor residue is absorbed internally…better that than a “brain bruise,” i.e., concussion with brain swelling risks…  I let it pass.  I think everybody thought that I would flip out, threaten them and expect some head rolling.  Even my best friend was suprised at how lightly I was taking this.  She called me the next day and said that she was amazed at how Kathleen was healing.  Overnight, the lump and swelling practically went away.  It could have been the 2 doses of arnica that we gave her that night…but I suspect that she drained well simply because her head had been treated in the past.  Today, 4 days post injury, she is already starting to get the raccoon eyes when blood in the injured tissue starts to break down and ooze underneath the skin and bruising appears around the eyes (usually takes about a week).  My friend, who is an MD, whose two kids have great big giant melons, and traumatized ones at that, have really hard heads consequently, had never seen such quick resolution.  (I should have taken pictures…next time…told her to do the same for her kids and we will compare).  She was suprised that I was unfazed by this event.  She stated that if it was her kid she would be completely freaked out, paranoid and upset and try to get to the bottom of the cause of this accident.  I said accidents happen all the time…we see it…it will not be her only one…besides…she going to be smart-er for it…???????what?????how did you arrive at this conclusion???? you want her to have head trauma??? no…of course not…if it happens, if its minor, i’m not going to fuss over it.  Kathleen is already smart, primarily because of good genes and secondarily because she has an intact family with social support and involvement; everyone who comes in contact with her comments on how bright she is.  I proceed to explain that she took a blow to her forehead, frontal lobe, location of executive function.  The pressure and force of the trauma shocked her system, the brain and all those lovely neurons, 6 layers of gray matter (in humans, 3 in monkeys).  The pressure will force the neurons to cope and adapt and form new connections.   I plan on waiting for 2-3 weeks to let the pressure build up before i decompress her head…once new connections are made, releasing the pressure will not make them ‘unconnect,’ i.e., they will be permanent…it is not the size of the brain that counts, or necessarily the number of neurons, but the complexity and number of connections between the neurons that count…Some of you may be agast at how I plan on caring for her…allowing “pressure to build up”…mind you i can wait because she is subclinical, meaning it has not (yet) affected her sleep, behavior, personality…believe me, if she showed any signs, i would certainly throw my plans out the window and intervene sooner…Read my prior post on how Genius is Made and you will hopefully get a clearer understanding…Just today I treated a teenager who slipped and fell and severely whacked his head that he immediately and for hours afterwards got a headache, very likely a mild concussion…I treated him immediately because I did not want him to suffer.  The traumatic force alone was probably enough to cause connection formation, so that it would continue even if i decompressed him enough to eradicate the pain of the pressure.  I told his mom this, and she commented that this was the most unusual of perspectives that she has heard about head injury…she commented that he always seemed to be a bit brighter than his peers, but that she had attributed this to his being a 7 month preemie…i agreed with her, that the gravitational forces upon a premature infant head causes it to be heavy and dense, sometimes misshapen, but that they do end up smart, the only problem is that they also have focus, attention and impulse control issues…now on the other hand, what happens to fully mature and formed brains that undergo a traumatic injury…less plastic, less pliable tissue, less likely to form new connections, but with the same or even worse tendency to vascular congestion? is it reasonable to postulate that the protein build up in the brains of alzheimer’s patients is not so much the result of a genetic tendency to excess production and deposition but rather, poor clearance and drainage of normal protein production?  how about those ex-football players now who have early dementia, or Mohammed Ali’s neurologic issues, how can these diseases not be linked to trauma? or that during a critical developmental period in autistic children, when they are still neurologically plastic, from past traumatic injuries, instead of forming connections of those few neurons, the are developing “garbage collecting” white matter cells whose sole function is to try and dispose of those proteins because the drainage can range from mildly affected or severly compromised (hence the ‘spectrum’).  Osteopathy is very common sense medicine.  The nerds in their ivory towers would rather attribute genes and genetics to a biochemical process of deranged excessive metabolism and engineer (pharmaceutically, genetically) a product that will interfere or disrupt those processes.  Ahhh…how about we undo the trauma, let the tissue drain itself, clear and heal itself…i like this way better because it is profound and far more beautiful in its precision as to…causation…and the patient can be whole again and not have to be forever dependent on any medical system or drugs or machines.  i think that most patients suffering and lost in the vast CMS (conventional medical system) would consider this perspective refreshing and appreciate its beauty and simplicity.   ADDENDUM:  today is 11/3/2012, 5 days after her head injury…Kathleen has been difficult, whiny, clingy and just plain unpleasant this whole day.  As in a prior post, emotional lability is a sign of traumatic head injury.  I checked her head tonight and it is completely whacked out.  She slammed her head pretty hard and the force was still fully impressed in her forehead and the front part of her skull and brain.  I treated her and she said that she felt better.  Poor thing! ADDENDUM: Kathleen is now 8 years old and we just had her parent-teacher conference.  Her teacher says that she likes math! Who knew?? Well, I kinda did…Maybe she likes math because I show her my shortcuts…Next real post, I will update you on her lisp and that tongue…still driving me crazy.

Achieving Greatness

June 5, 2011

Several weeks ago I treated a patient with a 4-5mm lumbar disc herniation.  He strained his back several times doing the exact same thing (lifting) over the course of 10 years.  The mechanism of injury was simple to understand and treat.  It took three treatments. He came back from vacation pleased as punch with a wide smile; he was able to walk on his vacation and only had a little pain walking uphill.

 This week, I received two separate requests to treat quadriplegic patients…

Once patients experience osteopathy in the hands of a traditional osteopathic physician, it is something so profound and amazing…something they have never experienced before…the question always arises…

why is it that so few people know about Osteopathy?   why are there so few traditional Osteopaths?

 in my prior posts i try to explain all this…
 the cost of a medical education is exorbitant, but necessary.  we understand the human body – the anatomy, the biology, the biochemistry, the embryology, the physics and mechanics of it all.  in terms of skills, it takes so long to develop the hands on ability to accomplish immediate, dramatic tissue changes, very few of the 65,000 DO, osteopathic physicians strive to do so.  most end up using our hands to write prescriptions, can you blame them/us?  how else to pay back a $250-300,000 debt?

ultimately, those of us who do it, do it because we love it.  we aspire…to greatness…to profoundly help the body effect changes in as few treatments as possible, so that the patient is done, to not need medications, to go off and return to normal life and not need us.

 the first part of this answer is that there are so few of us, and even fewer who do this so well…
 
the second part is that when we do achieve a fair amount of buzz and word of mouth, we are busy and become quite booked; then opportunities present themselves that help us to…disappear.
 
and so…i have to announce that this will be my last post, in this current form…i am working on a new format…how will you find the newest and latest on my findings?  sign up on this blog, i check it daily. when the hits reach a critical mass, and i know there is enough demand, there will be impetus for me to show myself again…i am really excited about my latest discovery: Arthritis-Schmarthritis…

until then, if you are still searching…continue searching, find a traditional osteopathic physician and good luck to you…

Unusual Symptoms

May 10, 2011

It has been a while since I last posted and I am now supercurious.  I continue to see unusual things.  If I am seeing these kinds of cases, then I have to believe there are plenty of you out there who are searching…For example…Doctor,…

My Child Has Chest Pain (and the Cardiologist says the heart is fine)

My Child Gets Sick All the Time

I Have Trouble Swallowing Water

I Have Anxiety After Neck Surgery

I Have Digestive Problems After C-Section

I Have a Red Face

Is There a Cure for My Bell’s Palsy? (yes)

and…

a lot of you out there have ocular migraines while you are driving!  what??!!! why, of all things you could possibly do, would it come out with driving????

how many of you out there have been injured, damaged by chiropractic cracking?

 

They Know

April 2, 2011

Again, I have confirmation that they, of the CMS (the conventional medical system) know.  The head of Cedars-Sinai Orthopedic Spine Surgery is a DO.  The head of Harvard’s Spinal Orthopedic and Rehabilitation is…a DO.  In 2007, they, Harvard, an allopathic MD school hosted a continuing education course for MDs, with full cooperation from New England DOs, to teach basic OMM (osteopathic manipulative medicine) 101 to MDs.  Ha-ha, joke’s on them, it will take about another 7 years of daily exposure to get even somewhat good.  For the course alone, they charged $1500.  Do the math.  They see the value and they are co-opting us, it, osteopathy.

There are MD neurologists, neuroradiologists, orthopedic surgeons, pain management, phys med and rehab doctors who know that surgery is not, most of the time, an answer, that PT fail frequently, that chiros injure and that traditional DOs are effective, so much more effective that they, of the CMS, would…lose patients…they dare not refer patients to us.  The gravy train of sick people needing help would…slow, if not stop.

Please continue to read through the prior posts so that you understand this medical system.  It is important for you to understand how you, your health, your family and friends fit into this system, that there is a far more cost effective (in the long run) alternate system out there.  Stay tuned for my next post in a couple of weeks.  Please forward this blog to friends and family read as, it will not be the same.   I fear very soon, I will be forced to reign in my voice, be more politically correct and censor myself.

Aspirations II

March 15, 2011

Supposing that on our road to greatness, we discover that we are not as skilled and we do not get the results that we expect.  What happens then?  Do we turn our backs on this osteopathic stuff that we love so much?  Probably not, it would be too costly.  In addition, it would be an admission of failure.  In any profession,  most people end up compromising. 

In my pediatric practice, I am pleased to say that I have not had to do this.  I do not accept Medi-Cal so that you don’t have to sit in a crowded waiting room, your child exposed to other sick children (sorry, I’ve done my time, mission trips, volunteering in free clinics -this was before children, when i was still young and idealistic).  I have not compromised on my stance regarding informed consent as the basis for a reasonable vaccine schedule (i.e., i have not succumbed to the HMO incentives for vaccination along the CDC schedule; yes, there is one financial incentive – this is another post for another day).

So the lesson of this post is Aspiration is inversely proportional to Compromise; in non-mathematical terms, they are diametrically opposed, they are antithetical to each other.  As you give up aspiring, you end up compromising.  As you compromise (your standards), you have really stomped on any spark that was once aspiration.  What is happening with “healthcare insurance?”  This is an oxymoron.

Insurance, in any other business arena, is just that.  They take your money and you don’t want to have to collect; life insurance is really death insurance and you don’t want to have to collect.  Health insurance, is no longer insurance.  I would call it medical contracts cards, that is what we are buying monthly with our premiums.  People use and consume.   Healthcare is no longer healthcare, it is disease maintenance.  It then, in effect, our premiums purchase a “disease maintenance medical discount contracts card.”  What a mouthful.  Believe it or not, most doctors, we are stuck in this cycle as well and we usually choose not to consume and we ourselves purchase super high deductibles so that we don’t not use.  When we do use, the cost to us at the discounted contract rate is considered a reasonable expenditure for information.

What happens then is that the increased cost of medical insurance comes from usuage.  When usuage increases, the insurance companies squeeze profits from employers, the insured, and the doctors.  So usuage leads to cuts, which leads to decreased quality, increased volume in waiting rooms, less time with patients.

So as you can well guess, insurance and the standard, biochemical, biostatistical model of medicine is not is not compatible with osteopathy.  For those of us who are traditional osteopathic physicians aspiring to greatness, we merely tolerate insurance for a short time…

Again, it is very important for you to share this blog with your friends, co-workers and families…more in the next few posts…

Aspirations

March 5, 2011

Hello all.  It has been a couple of weeks sinces I have posted.  I want to share with you the aspirations of us traditional osteopathic physicians.  By now you have a sense of how special this traditional osteopathic hands on stuff is to me, to us.  We love this work.  It takes so long to be this good.  It costs so much in terms of time, dedication, work, and yes, in dollar terms as well.  We do it because it has meaning.  It is profound beautiful work.  For our patients, we want them to understand their body, connect with the health that resides within, do the best that can be done, naturally and avoiding drugs, needles, scaples as much as possible.  The OMT work serves to guide the patient back towards the roadmap of health.  Once that memory is rejiggered, you no longer need us nor any other doctor or ancillary health care provider (including, podiatrist for arch supports, dentists and bite guards, massage therapists and deep tissue, yes, even, theoretically, glasses and optometrists/ophthamologists).  In what other medical field is the ultimate goal…you leaving us…to go out on your own…to be healthy?  Remember, I have said this before and I will say it again.  The mechanically unstrained body does not need anything or anyone. 

In doing this work we learn from our patients how to be better physicians. Most normal physicians want to spend time with our patients and to be compensated for the investment we have made in our knowledge, skill and experience.  Ultimately, what we want for ourselves is to be able to solve a case in as few visits (for the patient) as possible.  Patients are thrilled!  After wasting their time and money on multiple specialists who charge them, but then don’t get them any tangible results, the $500-$1,000 is the best cash they ever spent.  The trust is that philosophically, we want what you want, which is to not come back because you are better.  While we ambitiously strive for this goal, we continue to develop our treatment skills…we aspire…to greatness…

I will continue this thought in the next post.  In the meanwhile, it is very important that you share some of your favorite past blogs with friend, co-workers and family…