Villain #2

Posted August 19, 2013 by letrinh
Categories: Chronic Pain, Pediatrics

Tags: , , , , , , , ,

All right…here it is…after discovering The Intubated Head and Neck Syndrome as a huge contributing factor in human disease, pain and suffering, I have decided that I found the second most villainest villain in all the history of villainy to be… the…dentist…

Most doctors studying the development of the head and neck focus on the first 3 cervical vertebrae because their structure are significantly different for different functions. These neck bones form from different parts. As they mature, these parts fuse to form permanent solid adult bony structure. On average, stages of fusion occur at 3, 5 and 7 years of age…The dental associations now have a pediatric dental subspecialty. Pediatric dentists say that children should start their first dental exam at around 3 years of age. Supposing their primary teeth are rotted out because of milk bottle caries, it is so bad that they want/have to do baby root canals and other procedures…So these kids are anesthetized, their heads and necks are positioned for ease and convienence of the dentist to access and yank, tug, drill, etc. Their undeveloped brain and spinal cord, once they wake up, are now reset to a hyperextended head and neck position as being “normal.” They grow up not knowing any different. Until they age, have sports injuries, head injuries, get into car accidents, have babies and one day the wake up with a migraine, or have symptoms of a herniated disc. Then they have chronic pain for which the CMS prescribe meds, injections or surgeries. If they seek nonmeds, nonconventional options they have massage, deep tissue massage, chiropractic, acupuncture, PT, other types of “bodyworkers” whose imprecise hands at best help the injuries peripherally and at worst, imparts additional force and strain. it is unfortunate but the conventional medical system does not take into account all these procedures as injuries loaded onto and straining a system. even worse still, osteopathic medical education does not teach us this either. i had to come to this understanding on my own 13 years after becoming a pediatrician. In effect, these injuries are permanently embedded because no one in the world recognizes them as such. Even now that i am shouting out to the world the insidious pernicious dangers, the public may take heed, but to find an osteopathic physician who can undo them is pretty much close to impossible (other than me).

I am increasingly skeptical and cynical that human health and preventative services really serve to improve over health conditions. Maybe what we should do is practice common sense traditional ways of raising our children, eating whole unprocessed diets, staying in an active lifestyle and then waiting for problems to show up and then only intervening when they are severe. Maybe we should continue to be ever skeptical, cynical and vigilant against guilds and professional ‘trade associations’ and their proclamations of ‘preventative visits’ as a means of early intervention in the service of mankind.

This week, one of my old established patients came in for a minor eye infection. I had not seen her in a few months. In the meantime she completed the first phase of braces, which is palate expansion. i looked at the way her head sat on her first cervical vertebrae and her chin and nose seemed angulated/cocked upwards…Her head and neck thought that she was still sitting in that dental chair. I watched her through the visit and she and her mother were unaware. We discussed the problem but the parent reported that the dentists really want to get these corrections done early before dental permanence…but lets consider their rationale…the trade off then would be imparting changes in the head and neck and locking those injuries in permanently…

Yes…i am now an anti-dentite. My kids are 5 and 3.5 years. So what if their primary teeth have cavities? Those teeth would have to be rotted before i take them in. I am going to try to not take them in until they are 10 years old at least. Yeah, I know, some people are going to say…hmmm…bad mommy…well…i will just have to tolerate it quietly to myself…because i do know better…hopefully you will consider this for yourself and your family.

Update: It is 7 months later and my work on a daily basis, confirms my this post and my feeling that we are doing much too much, much too soon…this is something I label “The Dental Chest.” All you men out there who look at yourselves in the mirror, while you are showering, and wonder but have never thought to ask, “Doctor, why is my chest caved in?” Well, now at least this doctor will read your mind and provide you with some insight. Concomittant with sunken in chest, the structure of the rib cage is such that the lower ribs flare out and appear raised (when you lay down) and down the middle of the rib cage there is a narrowing. These are adaptations to the strain in the neck caused by the insidious dental positioning. Unfortunately, there are also long term alterations to the drainage of the veins in your skull. When I see this in my patients, I am always horrified at how heavy the head is and even more so by the fact that you patients are unaware of it. So yes guys, if this sounds and looks like you, I can predict that you had a lot of dental work and/or braces in your teenage years. The good news is that this is fixable, your body wants to change. The bad news is…they don’t teach this to us in school…you will have to find a good DO osteopathic physician who can understand this post and fix it for you.

This is Jason's sternum. Note the depression in the middle of his chest.  His sternum is caved in and sunken.

This is Jason’s sternum. Note the depression in the middle of his chest. His sternum is caved in and sunken.

Here is Jason's chest.  I call it The Dental Chest.  He had braces for 3 years in his mid teens.

Here is Jason’s chest. I call it The Dental Chest. He had braces for 3 years in his mid teens.

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Hashimoto’s Thyroiditis and the Intubated Neck Syndrome

Posted August 7, 2013 by letrinh
Categories: Chronic Pain

Tags: , , , , , ,

Here i go again, haranging on this subject…it seems to be the top offender on my list of acquired iatrogenic traumas of the head and neck (#2 and #3 i will reveal in future posts) it might just be as dangerous as the all time top accidentally acquired sudden deceleration injuries of the neck from car accidents and falls…it is insidious because in the long term, it leads to a deranged structure that eventually influences our metabolism and how our body functions on a day to day basis and it just goes downhill from there. It is pernicious in that the patient may or may not have neck pain, maybe just chronic tension as a warning symptom. This week one of my patients reminded me that I stabilized her thyroid hormone levels just with osteopathic treatments. The reason I completely forgot about that is because another healthcare provider was monitoring her blood levels, and he was flummoxed as to how she was able to do it…so while we were in a treatment for a completely different reason (pelvic issues) i shared with her my recent discovery of the Intubated Neck Syndrome and my rationale for why it can eventually lead to Hashimoto’s. The gland is a very delicate tissue. It is adhered to the front of the neck and it can be felt just underneath the skin of the neck. Where does it get its blood supply? certainly not through the front…the answer is that it is fed from…underneath…so there are branches off the carotid arteries that flow in front of the neck and they pierce the underside of the thyroid gland that just sits right on top of it. so any injury that causes that neck to hyperextend will actually kink those blood vessels. over time, that poor gland is choking and struggling to survive…it starts to sputter in its function…i actually think that Hashimoto’s is probably on the rise. Why? The neck is a delicate structure that has no external bracing of support. Any sort of injury will almost always cause hyperextension. Very rarely do i ever see hyperflexion injuries of the neck. It is the very nature of the 7 neck bones stacked one on top of the other that leads to this problem and life in general. i see hyperextension injuries also in spinning, cycling, sitting at a desk, sitting at a computer screen, adults delivered by forceps as infants, falls to the tailbone, dental work, hair salon, lets not forget the intubations. although these are injuries that cause an upward shear of tissues, even downward gravitational drags on the neck from pregnancies, weight gain and aging can throw off the balance of tensions to affect the blood supply…how many of you out there know people who have at least 1 of theses types of injuries? i would venture to guess that we all have had some form and combinations of these injuries, which means we all have varying degrees of neck hyperextension…which means everyone in the world is potential sufferers of the consequences of neck hyperextension when i address the neck, my patients feel better, their head feels lighter, why shouldn’t their thyroid recover over time as well? I am treating a new patient with only half a thyroid gland, the other half was taken because it had too many nodules. She had surgery several years ago and is on synthroid (18 surgeries, so far, is her lifetime total). She asked that I blog about my theory so that others who are still searching may be helped…despite all the exercising, it is the insidious metabolic changes that makes Hashimoto’s so tough for patients. you feel like you do not have any control over what is supposed to be your body…i believe my words will resonate with many of you sufferers out there…seek osteopathic treatment…
ADDENDUM: If you want to take a look at some great before and after treatment photos, i have the new beverly hills website at http://www.holisticpaindoc.com

Insomnia and Being Out of Body

Posted May 7, 2013 by letrinh
Categories: Chronic Pain

Tags: , , ,

insomnia and being out of body, they go hand in hand. My latest set of patients this month, the diagnosis du mois, has led me to a discovery. I am starting to think that there are many, many of you out there lost and still searching for answers. Here are the constellation of symptoms: all your life you have not felt right in your body, you feel disconnected from and almost existing outside of your body; in the medical terminology you are dissociated, you have anxiety, you cannot sleep, as you get older the physical body ages and you develop “medical disease” with a diagnosis…i am starting to understand this as very real and your body bears this type of posture/appearance. you are locked in a body that is beyond your control and beyond your conventional doctors’ understanding. you report your symptoms but they look at you as if you are speaking a foreign language, that’s if they have any sympathy for your issues. if they don’t, they blow you off as a psycho, new age, hippie. despite this, you continue to search all your life. you tend to be very narrow in the face, you walk with a lordosis (curve, in the old terminology, a “swayback”) and you feel like your butt sticks out, even though it may or may not look like it. The cause is ancient…sometime in your early beginning, in the newborn period or in infancy up to the first two years, you had a…surgery under general anesthesia. the action of intubation is a physical violation, but just prior to that they gave you an anesthetic. your conscious mind is suppressed while it is forcibly yanked up and out your dead, weightless, anesthetized body. you, the infant or toddler you recovers, but things are never the same. because you are neurologically naive and not yet fully formed, you grow up into that body as “normal.” then life happens and you…slip and fall and whiplash your neck, you get into a car accident and whiplash your neck, or need multiple dental procedures and end up confined in a dental chair that keeps your head and neck in a hyperextended position, or eventually all those visits to the hairstylist washing your head in that cut-out sink add up and lock you in a static whiplash position. unfortunately, the rest of your body cannot help but follow. and if you look back, exacerbations of the “out of body-ness” will coincide with events such as these. i don’t know what to tell you…i don’t believe it will be very easy to find an osteopathic physician doing OMT, make sure you do your research. It took me this long to recognize the issue of “dissociation” as both a pyschological and physical state (13 years in practice). These last two weeks, i believe i have found the cure…my patients still cannot describe what they are feeling as i induce changes in the physical body with a treatment, but within a day or two they have a sleep that they have never had in their life. unfortunately, it only last several days. each subsequent treatment helps to reset the body and allows the concious mind to descend and gel down into the “self.”

Down An Artificial False Path

Posted March 18, 2013 by letrinh
Categories: Chronic Pain

Tags: , , , ,

I just cleaned up a new case in my Beverly Hills office and i wanted to share it with the readers because it showcases how our health slowly declines despite our best efforts. If we have full faith in how medical issues are addressed in such a fragmented manner as is offered by the CMS (conventional medical system), then getting the “best” from multiple specialists may not be the best; they will be missing the forest by focusing on the trees. My patient is a young slim man, there should be no reason to have recently developed sleep apnea requiring a CPAP machine (forcibly pushing air through a face mask every night). He has always had flat feet since childhood. He already has shoe inserts/orthotics. He has a retainer, a bite guard and the newest is the CPAP machine. How is this healthy? The decline of his health towards a false, artificial path of needing appliances to function without pain, to live, to sleep without the risk of dying in his sleep, is slow and insidious but is not recognized as such by the multiple professionals who treat him (the falsness, i mean). They did for him according to the standards of their profession, there is no negliegence, no liability. The standard is the “standard of care” what everybody else would have done. Of course the sleep specialist has only this answer, but does not ask the fundamental question of why it is that an apparently healthy, slim, young man should stop breathing in his sleep? When i present it to you like this, it stinks, doesn’t it? It is very insidious and deceiving the patient does not see this perspective himself. I proposed that all these problems were related, that the return of his health would be marked by the backwards process of not needing these appliances, the health “props” or crutches of health. His arches started to come back. Within the week, the lowest setting on the CPAP felt like his eardrums were going to pop.
So the lesson of this post is…when you need a lot of services for a lot of seemingly disparate medical conditions, if the proposed treatments are non-invasive and reversible it should be okay to proceed…rethink the slow, insidious progression and perhaps a more global, holistic philosophical medical and osteopathic approach might be beneficial or even curative.
For those of you who like medical mysteries, for those suffering, for those who like closing cold case files, would you like to know the sole cause i forensically attribute to final decline? Ooohh, it is really good…all this from…(drumroll)…in childhood during a critical developmental period where there is elongation of the spine and limbs, he had multiple traumas to the trunk, which stunted him at critical structural areas eventually leading him to this structural state, and compounded by the ageing process and an increasing gravitational workload on a strained and compromised system…whooo…there are many of you out there like him, just getting lost in the forest…

Mommy Suicide in 13 Page Note

Posted March 16, 2013 by letrinh
Categories: Uncategorized

Tags: , ,

I read of the mother who committed suicide at the same time trying to take her toddler with her…her note stated that she had guilt over 2 falls he had while in her care…she believed that he would suffer life long problems…i have to say that…she was and is right.  Her note stated that his personality changed after those falls…absolutely they do…they hurt, they can’t sleep, they do change…she thought that no doctor would believe her, that we would all think her crazy, depressed, disconnected…she was depressed because nobody believed her…unfortunate, but if she had found DOs, even better, DO pediatricians doing traditional osteopathy her feelings would have been confirmed, after her child treated, he would have slept better and returned to a somewhat more stable behavior…there is a New York DO school, the buzz did not reach her about us and this kind of work…i leave it to you people, my 3 subscribers to pass this all along…The sad, ironic thing is even now, regular MDs,  even pediatricians, will give him a “clean bill of health” and state that he should not suffer any long term consequences of this fall because her body cushioned his…WRONG!  i call BS.  they are and will be DEAD WRONG!  Sadly, he is even more messed up now, he did absorb some force of the impact.  The impact of all 3 falls now have to be undone, the traumatic force all have to be removed from his body, to unstrain his tissues.  he will not sleep well, will be hyper, poor socialization, have behavioral disorders (primarily because he cannot express, and is even unaware that his body is off, wrong).  If he gets vaccinated, he will really whack out now, whereas prior to the falls, he did not…he will be labelled, “difficult, defiant, ADHD.” 

there will be mommies, non-medical people, even, who will understand, that yes, this is all truth.  Somebody forward this to his poor daddy.

Fast Crash the Flab

Posted November 7, 2012 by letrinh
Categories: Chronic Pain

Tags: , , ,

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!

Head Injury

Posted November 3, 2012 by letrinh
Categories: Chronic Pain, Pediatrics

Tags: , , , , ,

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.