Speaker 1: Running around in sound blue lights, flashboo, it will never
be found. The song Sprattish line job sound yeah, and
make some memories to forget in the morning.
Speaker 2: And it feels like it can changes.
Speaker 3: But the people around you keep a smile on the faces.
Case I'm telling you, yeah, I'm selling yeah, I'm selling red.
Speaker 2: So let's safety down and you can say it sounds.
Speaker 4: It's atom you.
Speaker 5: Song the fu anything bases, the big born lucases, the
one houseplacies a dream created.
Speaker 6: Tail hearing me.
Speaker 4: Let's go back to the basis.
Speaker 7: Basis the BP places the one else facy, the dreams
be created hearing men.
Speaker 2: Let's f sime live hundred smiles.
Speaker 1: So the rise where the sun shining down on me
and you can't seem to hide that smiles if we
tell you your story.
Speaker 2: Or so and it things like everything changes. But we've
had that before.
Speaker 3: So while we're put through the paces.
Speaker 2: Yeah, I'm selling you, Yeah, I'm selling you. Yeah, I'm
selling you the same down and you can sell it
sound so woo you out.
Speaker 5: From the anything nice is the people plaices.
Speaker 2: The tram predated hearing me.
Speaker 7: Mental right, the spices, the people the places for our
faces and trams with the cat.
Speaker 2: To take willing me.
Speaker 4: Metal backing.
Speaker 2: I'm singing your song that'll bring you lungsnight.
Speaker 1: That care in little world time has catch that the
evening right.
Speaker 8: Because it's ten past five on a freezing winter's night.
Speaker 2: But with a smile and of faces were dancing.
Speaker 8: So the sun dies, that's what dancing. So the sunrise
that's what dancing. So the sun rise that's what dunces
a sad. Let's go dozen so as.
Speaker 9: Yes, boss a steel does its sous.
Speaker 2: This is a passenger announcement.
Speaker 7: The twenty three bus will now the talk and stand
nineteen and.
Speaker 4: Ten past times uses the class let a free gets
you know a thing.
Speaker 7: Let's go back bayscas the fad for the places once
tree crickets there it bet a thing. Let's go back chain.
Speaker 10: Welcome everybody, Here we go Matt Connorton unleashed and we
are live from the studios of wm NH ninety five
point three FM, Inglorious, Manchester, New Hampshire. And that is
the American radio premiere of the brand new track from
a band called Tuesday Night Whites. The track is called
twenty three. These guys are from the UK. Tuesday Night
Whites is the name of their local football team in Preston,
North End. They are a Lancashire or Lancashire How would
you say that? Lancashire right based five piece indie rock
band formed in twenty twenty two and making their way
to American radio, So you know, we love to do
those American RADI I don't know if it's a world
radio premiere. They might have already been played in the UK,
but definitely their first time on American radio. And we've
got a great show for you today, and I.
Speaker 11: Am not alone.
Speaker 12: Good morning Sunshine.
Speaker 10: Jenny is here at the news table, accounted for and uh,
it's especially good that you're here today because, as you
can probably hear, my voice is already failing from my
recent fight with asthma. It sounds apparently I'm not fully
recovered from that as I'm as I'm cracking on this Uh,
Saturday morning, January fourth, our first show of twenty twenty five.
Speaker 12: Well, at least you didn't end up on the Grassy
Knoll this.
Speaker 10: Time, that's right, Yes I did. I did have to
go to the emergency room again, yes, but but I
can breathe. I can breathe again.
Speaker 12: A couple of treatments later, and he's speaking.
Speaker 10: Yes, yes, so so here we are and for our
first show of the new year. Happy new year, everybody.
Let me get get that make up.
Speaker 11: There.
Speaker 10: Someone who has not been with us in a long time,
Doctor Noah is here. Welcome doctor now. Oh I cannot
hear you. Let me figure out why.
Speaker 11: I think I know why.
Speaker 13: Got to change the mind.
Speaker 12: Oh boy, I know you're got to get the cobwebs
out of you.
Speaker 11: Oh. I think I can hear you now, doctor Now
are you there?
Speaker 14: I'm here, Good morning manning everybody mind jen I apologize.
Speaker 11: So yeah, so welcome.
Speaker 10: It's been well obviously this is your first time in
the new studio, so it's certainly been well over a year.
I know that probably been probably been a year and
a half maybe since you've been with us.
Speaker 14: It's been a little while. I can tell you that
the studio is very impressive, isn't it nice?
Speaker 11: We love it.
Speaker 13: It was.
Speaker 14: It was like a grand entrance walking in, going wow,
look at this lobby.
Speaker 13: Yeah, look at this large You know.
Speaker 14: I had I had to stop by the facilities, you know,
because I drank a bit of too much coffee.
Speaker 13: This morning, but I was like, wow, this is very grand. Yeah,
I'm very impressed, thank you, thank you.
Speaker 11: No, we love it.
Speaker 13: It's the new digs are styling, and you can tell.
Speaker 10: From the outside that it's a that there's a radio
station in here, you know, because as you know, at
the old place, like looking at it from the outside,
you would never even know that there was a radio
station in the building.
Speaker 14: The signage is impeccable.
Speaker 11: Thank you.
Speaker 14: Even without driving without glasses this morning, although I don't
need to drive with glasses, I saw it.
Speaker 13: From afar entirely.
Speaker 11: That is good to know. That is good to know.
Speaker 14: Yes, wow, Well I just want to say one thing
before we get started. Yes, is that that song twenty
three that you played this morning? Yes, if there was
a rating scale out of twenty four, I would rename
it twenty four.
Speaker 11: Wow.
Speaker 13: I very much enjoyed it.
Speaker 11: I really like that.
Speaker 14: I did, especially when it caught my attension when it
said the bus is moving leaving in ten minutes.
Speaker 10: So this is a little inside for people who don't know.
So the building that we're in, of course, this used
to be a bus station here in Manchester. This this
amazing building which was remodeled and refitted. Is that a
term for that turn turned into this amazing facility that
it is today. But yeah, we were so we were
talking off air, because we tell everybody especially it always
comes up when when someone says, you know, can I
use the restroom, and it's like, yes, enjoy our enjoy
our enormous.
Speaker 11: Bus station bathroom. But so we were talking about that
off how.
Speaker 10: This used to be a bus station, and then I
play that song and sure enough there's, uh, there's that
bus station announcement.
Speaker 13: I really like that new song.
Speaker 11: Yeah, yeah, absolutely nice.
Speaker 10: Yeah, absolutely so again if you're if you're looking for
that online, the song is called twenty three. The band
is Tuesday Night Whites, And just to be very clear
for everyone, it's it's named after a football team.
Speaker 11: There's no racial component to that.
Speaker 12: I don't want I don't want to well being what
we call soccer.
Speaker 11: I don't want anyone to think what what is that like? Uh?
Are they you know, bad people or something? No, talking
to you.
Speaker 12: About sports and this is not a good thing, right right.
Speaker 10: I'm not a I'm not a fan of the of
the sports ball as we say, so doctor no, uh
tell us about uh. For those who don't know who
haven't heard your previous interviews. You've been on with us,
well two or three times before. I think at the
old at the old studio, I think we've.
Speaker 14: Been on, yeah, about two or three times span of
last what was it maybe four years?
Speaker 11: Oh, yeah, four or five years now, Yes.
Speaker 13: He's on his way to the five time or yeah.
I feel like I'm an aged entity here, you know.
Speaker 14: But every time it's it's you know, it's it's been
an honor to come on because I you know, there's
a lot of changes that have occurred, and it feels
like it's a it's a fresh start, and especially with
this new station too, it's just it's very, very very refreshing.
Speaker 11: Yes, yes, thank you. Yeah. Well, of course we met
you because of Jenny, right, and.
Speaker 6: I'm excited to have you on and share something that's
important in my life. I am a pain patient, as
you guys know, and you hear the stories all the time.
I have CRPS, complex visional pain syndrome, and small fibron aeropathy,
and thanks to doctor no I have quality of life
because the hardest thing about having CRPS, because it is
the most painful disease known to modern medicine is that
it's very difficult to control that pain and have a
quality of life. And Doctor No from the pain specialty
group is who makes my life quality wise because of
the treatments that I get, which is a combination of
a different treatm it's that you do. In my case,
I have oblasions or different injections or say you've you
sometime a different medication to keep things in check. And
I want to share that with people because so many
people out there are suffering and pain and you don't
have to suffer. That's the biggest thing. You don't have
to be the one suffering about it. Oh did I
do something? I did something? Okay, thank you Matt. He's
fixing me so And just just because I want to
be as open as possible, a doctor No is my
doctor and I am happy to be here with him
and openly talk about pain care because I do want
people to know that there are solutions.
Speaker 12: You don't have to suffer and you can have a
quality life.
Speaker 14: Yeah, and Jenny, I just want to say, you know,
it's an honor to help you, you know, do the
things you want to do in life. And I'm touched
to hear all of this, and I will also I
know we're on air, but I will also protect your
privacy and whatever you know, let you disclose. But if
you want me to comment on something, I mean, just
let me know.
Speaker 13: I'm happy to. But again, you know, also protect your privacy.
Speaker 14: But I'm touched to hear all this, and it makes
me makes me happy to know that I've at least
been able to help you, you know, get along your
path in life and do the things that you want
to do in the way you want to do it.
Speaker 13: And that means a lot to me. Thank you, Thank you.
Speaker 10: Well I can I can tell you, you know, as
someone's who's uh you know, had a front row seat
for this journey of that Johny's been on. I mean
you've you've made an enormous difference in her life. I
mean this, you know, no denying it, huge, huge difference.
Speaker 11: I'm a lot.
Speaker 6: Bedbound for over two years, and even when I started
getting treatments, I was still using wheelchair and having a
hard time. And at one point I started to get
better and I was with a practice that all of
a sudden closed their doors, no warning, no notice, just
closed its doors.
Speaker 12: And I was in a pretty bad situation.
Speaker 6: At the time, and doctor No actually was coming into
a practice here in New Campshire at the time and
I was lucky enough to meet this practice because I
was literally left with I don't know what to do.
I have no provider, and you did come in and
you ended up taking over my care. And it's been
well over three years, probably four. I'm not even sure
how many years I've been a patient of yours.
Speaker 13: Now, yeah, it's been a while.
Speaker 14: I do want to say that, you know, Jenny, again,
I'm very happy and grateful and touch that you know,
we were able to help you, because we do hear
the story a lot with you know, the shifting of providers,
shifting of practices, that that patients are left in kind
of a no person's land. I don't want to say
no man's land, but no person's land, and and it's
unfortunate and it's a very hard place to be. So again,
very very touched, very honored to be able to help
you along the way. And look at you now, you're
you're you're doing great things for not just the New Hampshire, Manchester,
the people of the Northeast, but you know, even the nation.
Speaker 13: So you know, very impressed.
Speaker 6: Yeah, and it is a huge part of that and
that's one of that's why I want to share this
aspectuse there is so much suffering out there that doesn't
have to happen.
Speaker 3: So, like.
Speaker 6: You offer a lot of different treatments for a lot
of different things. And I have significant lower back pain.
I have like three desks that are bulging and they
have to be controlled or I'm in awful pain. So
some of the things that you do aren't about medication
as much as a treatment. One of the things you
do for me is called an ablation and that has
a great effect. And I know that you do other
things types of injections and stuff, but you know, just
talking about like the lower back issue, what are the
kind of things that you do for other people to
help with their back issues, because we're not all the same.
Speaker 13: Yeah, so it's a great question.
Speaker 14: Let me let me just kind of reorganize and kind
of preface the thinking of how we approach pain management.
But at both of our locations, know, in Newmarket which
is the newer one, and also in Newington, our philosophy
has always been, look, you're you're we're all going through life,
you know, we all go through life as a as
a as a child, a youth, a young adult, you know,
a mid life adult, an older adult, and as an
elderly person. And during that journey, our body changes, not
just you know, our life situation, you know, our economics,
our social engagements, but but our body changes, and and
with those changes come how we experience those changes. And
and pain is a very very prevalent aspect of those changes.
So what we do in our philosophy is that we
can't really care or change those changes or reverse those changes.
What we can do is help you adapt, deal with,
accommodate with how we perceive or or experience those changes.
And if you take that perspective of pain management, that's
where we come in. And and and Jenny you mentioned
about you know, how do we deal with What tools
do we have to deal with pain?
Speaker 11: Right?
Speaker 14: I can count them off of probably both hands and toes,
but I'm gonna try to generalize it into two boxes.
We have conservative therapies, right, which include you know, you know,
activities like physical therapy, pool therapy, chiropractic care, uh, you know,
you know, psychosocial therapy, cognitive behavioral therapy. We have medication therapy,
lots of different classes of medications. Yeah, you know, we
always hear about one certain class of medication which has
always been the easiest to go to, but it's also
caused a lot of headaches personally for not for me,
for for individuals, socially, economically, and even legally. And that's
what I'm talking about opiates and controlled substances. We have
lots of different other classes that help mitigate pain, and
and those kind of leak into other disciplines of medicine.
And that's why pain management is so broad. We have
uh interventional therapies like you mentioned. Some of those therapies,
as you mentioned, include radio frequency elations, you know, steroid injection,
nerve injections. When people hear the term injection or ablasion,
they think it's just one area, one type of treatment,
but there's so many different caveats and ways to.
Speaker 13: How do you how do you say it approach those classifications?
Speaker 14: For example, when they say I get a steroid injection
or cortisone injection, we hear that a lot. One is
there's different classifications of steroids. Two is there's different areas
that we inject. Three is there's different reasons to why
we approach an injection, and there's different potential outcome. Some
of those are therapeutic, which what you experience. Some of
those are diagnostic, which tell us, okay, this works, but
it's not gonna last, but we could do something else
that lasts longer. And some of those are therapeutic and diagnostic.
And there are even some injections that some of those
may be potentially longer lasting, are terminally therapeutic, such as
you know, injectables that cause nerve destruction. Some of those
injections are are lubricating. So there's lots of different types. Yeah,
and then the next classification, of course, is advance interventions,
where we do a lot of minimally invasive implantables or
removal of tissue under X ray or fluoroscopy and imaging.
Speaker 13: Those again, you know, tend to be the cutting edge
of pain management.
Speaker 14: Those those tend to be those that are a little
more innovative, spend the time to get trained and learned,
trained by multiple disciplines, not just pain management physicians. But
you know, we end up having spine surgery involved, orthopedics involved,
neurology involved, psychiatry involved. There's indiventional psychiatry so a lot
of the little you.
Speaker 13: Know, interventional.
Speaker 14: Advanced therapy, some of those where we put in plants
and some of those where we don't. And then and
then of course to the classical sense, now we go
to open cavity, open spine, open area surgery, and those
can treat. So pain management is actually very wide. The
whole concept is, again, how do we help you along
your journey given that you've you've hit this this bump,
this road bump along the road, or this pothole, and
how do we get you to go above that and
go beyond that? And that's and that's where our job is. Okay,
So I hope that kind of helps, and it's fine.
Speaker 6: And that's what's what's a thing about pain management is
it's individualized. No, the medication that works for me might
not work for somebody else. But we found a combination
of medications and treatments that.
Speaker 12: Have worked for me.
Speaker 6: And it's all and sometimes it's trial and error. Sometimes
you try one thing and see if that works. You know,
there are medications I did well on medications I haven't
done right. And as life changes and time changes, maybe
something needs an adjustment or a tweak and you know,
as long as the end result is to have a
quality life that's worth living, to be able to participate
with things with family members or friends, to be able
to enjoy an outing, you know, and not have to
sit there and be like, oh, I can't go to that.
I'll be into much agony. I won't be able to
sit there. But to be able to go, yeah, I
can go to that. I can go to that show
for a few hours, you know, And that is what
makes life worth living, right, is to have those experiences
with one another.
Speaker 14: Absolutely, I mean just me showing up this morning, you
have this experience with you and Matt has been phenomenal already.
Speaker 11: Oh, thank you, Well, we're glad you're here.
Speaker 14: Yeah, usually around this time, already spending it taking the
kids and driving them on shopping you off to the
So I got my alibi this morning. No, so thank you,
But no, I just wanted to add to your comment
about individualization of care ideally, right, ideally, and and if
you think about it in terms of efficiency, Ideally, if
pain management was a one one type of treatment for all,
like a Nike shoe factory, just keep on stamping.
Speaker 13: Out all those Nike airs one by one by one.
Speaker 14: We could do ten an hour, we do twenty an hour,
do five hundred an hour because factory capacity, right, I
would be at a different place.
Speaker 13: I would be sitting in.
Speaker 14: A very tall high rise building, you know, in Manhattan somewhere,
or downtown Manchester somewhere. But no, it's very individualized because
what works for for Matt, what works for Mike, what
works for Steve, may not work for Gen. And what
works for Gen, you know, and and it's and it's
unfortunate that we have to try on different shoes and
we have to you know, the shoe pairs with this
pair of sock or this pair of cushion, and and
oh the only worked for for you know, three months,
and now the shoes aren't good anymore, and we have
to change up the shoe because because the padding has
shifted because you have a bone spur now on your foot,
you know. So so yeah, it's very individualized. And that's
the unfortunate part is that you know, we're all we're
all such individualized entities that that we have to kind
of tweak things. And and your body's constantly changing, so
we always have to change change how we algorithmically or
think about and approach. How can we make you a
little more comfortable so you can do things you want
to do.
Speaker 10: I would imagine that's that's the biggest challenge with new patients,
right It's just figuring out what the best solution is
for them. And then there's probably a lot of well,
we're going to try this, and then if this doesn't work, well,
and then we're going to try this, and you know,
and then you know, hopefully they can hang in there,
you know, and and you know they have to trust
you that you know you're on this journey with them
and that you're gonna help them find the right solution.
Speaker 14: But yeah, so so I'm glad you brought that up
because because now now you're trying to get into the
mind of like how I'm thinking during the day. Yeah,
and and this is gonna be good. So that gives
some insight to patients. So every patient comes with a
unique situation. And when you when you when you when
a provider walks into an encounter with the patient, not
only have we relied on the experience and knowledge of
what we know about the patient, we also rely on
the additional information that we've gathered during the interim between
the visits, and you know, we we go on what
the patient's communicating to us based on prior visits versus
this visit, and so we're calculating all these things and
thinking all these things and trying to go down algorithmically
and even just non algorithm or but creatively, what's the
status of that patient and how can we tweak it
to make it a little better. So you can imagine
that with this new healthcare environment where where it's difficult
to survive as a healthcare provider if you don't you know,
become efficient. So you know, like time slots are probably
fifteen to twenty minute time slots, thirty minute time slots.
So we're sitting there thinking of how do we accommodate
these patients based on the information that we have, and
how do we tweak it and make it better for them?
And then you know, follow up afterwards. So you can
see that everyone's very individualized. There's a lot of different
factors that you have to think about, including side effects,
right and risks, and how do we follow that up
and to make sure that you.
Speaker 13: Know, decision making is appropriate and effective.
Speaker 11: Yeah, yeah, that makes sense.
Speaker 14: Yeah, So yeah, but I think I think what we've
figured out as a team in our practice is that
you know, there's certain certain approaches we have to help
mitigate pain for patients, and a lot of those is
let's figure out what's causing you the pain. And for
a lot of patients, when you come in in your
experience of pain, you're like, I'm just in so much pain.
Speaker 12: It's everywhere.
Speaker 14: I don't know where it is, but it's also here
and here, you know, algorithm Lee or in our thinking,
it's it's like, okay, so where are those areas that
we can identify, and how can we approach each of
those areas in a safe and appropriate manner that would
minimize the risks and side effects but maximize the benefits.
Speaker 11: Yeah, so that's a.
Speaker 13: Huge thing too.
Speaker 6: I mean years ago, before I was a patient of yours,
I had a different pain care situation where I was
getting injections and it was scary but it was also
super painful. Matt would be in the waiting room listening
to me scream like and I've talked about that on
air many times. We've talked about you know, the experience
and having somebody go, oh, no, nobody heard you. And
then I go out there and Matt's like, oh you okay,
I could hear you screaming, and that's not what.
Speaker 12: Pain care should be.
Speaker 6: And that's one of the things that I very much
love about you and your office and your practice and
the way that you do things is that I have never, ever,
ever suffered through a treatment. You always make sure that
the patient is comfortable, that I'm comfortable, you use numbing agents.
You don't go just okay, sucking up butter coffee. We
go and in checked away, which is what I had
previously experienced. And I know that we were kind of
talking about it before the show, but you were talking
about how your approach is uniquely different when it comes
to doing those kinds of injections, and I'd really like
people to know about that, because I know it sounds scary,
but it's actually been one of the best things that
I get done is to have them done, and I'm
never afraid because of the way you do it.
Speaker 12: So I wonder if you could talk about that a bit.
Speaker 13: Sure, thank you, Jenny.
Speaker 14: But before I kind of expand on this, I just
want to say that it's not just me, it's the
entire team. And let me explain that the entire team
here at Paints Bestal Group. We we've adopted this philosophy,
so I have to give credit to my staff. We
want the patient to experience a pleasant journey right when
they step into our centers, and that includes, you know,
coming into a calming environment. And that's why we have music,
and we try to have you know, light, pleasant engaging music.
You know, we try to make it a kind of
a soothing visual experience, even with you know, dimmer lights,
but you know, not not too dim that you fall,
trip and fall. You know, you know, we want to
make sure you feel safe. It's clean. Staff is you know,
impeccably friendly and caring. I get a lot of those comments,
and I'm grateful because the staff is really really adopted this,
this approach to making patients feel welcome and safe when
they come in. So again, it starts not just with
the injections, but it's it's a whole thoughtful process of
what the patient is going to experience as they come
through the door, from the beginning throughout. And that's why
we have a little piano. They're right, patients come in
and they they they tinker around the baby grand piano.
Speaker 2: Yeah, I was.
Speaker 11: Curious about that if anyone ever actually plays.
Speaker 14: It, Oh, it's amazing. We have concert pianists that come
in and just start jamming on it. And we have
people that play at restaurants that come in and jam.
Oh it's people have their own recordings. And we have
some of those artists that that come in with their
own recordings and they and they jam. Do you every
want to meet with them for your show?
Speaker 13: We're happy to make the musicians any day.
Speaker 14: But it's amazing and and and they come in and
they make it a pleasant environment for the patients.
Speaker 11: You know.
Speaker 14: I I try to come out sometimes and play, but
my piano skills are very limited now that I'm aged,
and I haven't played a lot through years.
Speaker 13: But you know I I I tinker, but my kids
play a lot better than I do.
Speaker 12: I was gonna say to your kids play, Yeah, they do, but.
Speaker 14: It's for the patients, right, So we put that out
there for the patients. We uh talk about instruments. We
also have a pain gong. By the way, I just
wanted to make Oh yes.
Speaker 11: Yes, does that does that get used much? I've never
witnessed the gong.
Speaker 14: It does, actually, So I think we're the only pain
practice in the nation that has a pain gong. And
we actually have a sign right by the exit that says,
please share if your pain is gong. And I did
that on purpose because I always tell patients like I
can kind of get away with that, yeah, because yeah, yeah.
Speaker 13: I think I know it is, and I think you are.
Speaker 12: I've seen bells. Everybody has a bell, but nobody has
a gong.
Speaker 11: Yeah.
Speaker 14: Well, I'll tell the origin of that, by the way,
but let me explain the gong first. I'll tell the
origin of that, okay. So the gong is basically for
patients to celebrate if they've had a really good experience
and they want everyone who's inside the center to know
they can.
Speaker 13: Whack the gong. And if the wack the gong, yes, yeah,
And what happened.
Speaker 12: You came around the corner and poked your head out.
It was the door of all all of a sudden,
there's starck to know, going, hey.
Speaker 2: Look at that.
Speaker 14: Yes, And so've we've trained the staff to celebrate and
clap and cheer patients when we hear the gong, and
it's because it's a celebration for the patient to to
to know that that you know, they've been happy with
the care, they've received some type of relief, it's possibly
helped them on their journey to change their life and
doing the things they want to do again. And that's
and that's why we have it there. Yeah, yeah, yeah,
So so again some of the different things the staff,
it's the team approach on making the experience for patients
a little more comfortable as you're going through this journey
of trying to mitigate your experiences of pain so that
you can do the things you want to do. Now,
going back to your question, what different things we do
to help patients kind of go through the journey of
like these experiences of injections or pro features. One is
in this whole day and age, is so much paperwork,
and we've tried to streamline it as much as possible
and and it's been hard, but we've we've you know,
we've all these regulatory requirements that we have to go through,
so we we we help we have the staff help
streamline that. So that's been another thing that we've done.
We uh, you know, just even the thinking of getting
an injection. You know, patients come in anxious, they don't
want to feel the poke and that's where a lot
of the thinking of physiology and chemistry and pharmacology becomes involved.
And that's why you know, we we we we advise
patients to get certain types of medications beforehand to help
mitigate some of your experience with pain. And that's including
you know, the the anziolytic, the the you know, like
the tile and all to help with you know, mitigating
you know, your experience with that first poke. It's also
with uh, creams. You know, we call in creams to
help you mitigate that sensation because we want to make
it so comfortable for you as much as we can
with that. Yeah, yeah, and then you know, we we
we have you know, and then once you're in the room,
we we have conversations, right, we have lots of you know,
funny conversations.
Speaker 13: We play music.
Speaker 14: The staff in there, Aiden and uh uh Julia back there,
you know, Bobby back there. You know, they tend to
pick the music unless it's special requests by the patient.
Sometimes patient special requests are are phenomenal.
Speaker 11: Right.
Speaker 14: We've had you know, hard rock, We've had gospel music.
You know, a couple of patients of request gospel and sometimes.
Speaker 13: Yeah, you can request your music I mean, we try
to make it as comfortable as possible. Some patients want
it blasting.
Speaker 14: We do that, and and we crack jokes, you know,
we try to make you forget and as you're giggling,
you know, the needle gets poked in and then you know,
I use a little diff a you know, I even
modify the needle technique where I call the clow the
slow squeeze technique, where again it's it's all physiological, it's neurological.
You do it in a way where you know, it's
it's quick introduction, slow slow how do you say it? Uh,
slow medication introduction. But what it does is it numbs
and nerves, so as as the needles getting withdrawn, it's
not ass as impactful. And then and then we go
in and you know, we use you know, we try
to use much more comfortable needling so that patients aren't
aren't as impacted.
Speaker 13: And it's not perfect, but it works on the most part.
I can attest to that.
Speaker 6: I can attest to that for start, and there's a
lot of other different I mean, it's it's cool because
in pain care it's it's not just okay, here's a
we're gonna plug you in here. It's that combination of
finding out, you know, whether maybe we're doing this treatment
along with this medication or this type of therapy.
Speaker 13: Like I do pool.
Speaker 12: I I am in the pool every week, and.
Speaker 14: I commend you on that because it's funny. But one
of the basic elements that we have in this world
is water, and water is such a great thing for
muscle tone and stress on joints, yep. And for you
to engage in pool to at least do the movements
that would be hard to do on land, but you can.
Speaker 6: I can't do what I can do in the pool.
I can do jumping jacks in the pool. I do
an arthritis class at the Why at the local Why.
Everybody you know, you got Why's around this classes everywhere
and it's great. I get in the water, I'm in
there for about fifty minutes. I'm moving every one of
my joints, and yeah, it's it's not just about medication.
It's a combination of things you have to Like I
watch my diet. I try to stick to an anti
inflammatory diet because I don't want to cause more inflammation
because my body just.
Speaker 12: Basically could glow in the dark if possible.
Speaker 14: When it comes to inflammation, Jenny, you're such an ideal,
ideal model patient. I mean I don't know that, no,
but you you really do embrace the multi modal, you know,
approach that we have to. We've encouraged patients because there's
only so much injections and medications can do, and a
lot of it is just to help buy you time
so you can engage your body to heal a certain
way and adjust a certain way so that you can
do the things you want to do. So I really
really do commend you on that pool therapy stuff.
Speaker 13: It's huge.
Speaker 6: And that's that's the thing about taking care of yourself
is it's you got to take care of yourself in totality.
I have a therapist, I get in the pool every week,
I watch my diet, I take my medications regularly. I
take my treatments regularly most of the time. Sometimes I
might try and stretch it out a little bit, and
then I get a little bet you can stretch it
and I come in sooner.
Speaker 13: But there's so much you can do.
Speaker 6: You don't have to the biggest thing I want people
to take away I want you to hear today is
you don't have to suffer.
Speaker 2: You don't have to.
Speaker 6: There are so many things I missed out on because
I was suffering and I couldn't go. But I get
regular treatment and I get to go to the Mosaic
Art Gallery, which we picked up my paintings yesterday. I
actually sold one for the first time out of the gallery,
which was amazing.
Speaker 13: That's right, an artist, I remember.
Speaker 6: That happens yesterday, right, So I would have never gotten
to take place, take part in that, go to the opening,
stand next to my painting on the wall, and fail
pride because I wasn't too much pain right, So you
can have It's worth it. It's worth it to get
the treatment because you get so much.
Speaker 13: Of your life back.
Speaker 14: And can I just add to what you're saying, Jenny,
And again this also falls within our philosophy, is that
if we make we help you feel good from say
whatever base level to higher level, intermediate level, that mental
health aspect that you have from feeling just a little
better to be able to go and embrace and do
the things you want to do, such as going to
the art galleries, you know, going in and taking those
walks that is neurochemically going to reinforce your feeling of
of of reward and feeling better, and that in itself
will will basically take you on the path on recovery
from pain. So it's not just physical physiological pain, but
it's also psychological emotional pain kind of about that we
try to help really achieve relief.
Speaker 10: For Yeah, I'm curious, doctor Bough if over the course
of your career, have you seen a lot of advancements
in terms of techniques or technologies that you know that
have that have really kind of helped to enhance what
you do?
Speaker 11: Oh?
Speaker 13: Oh, phenomenally, phenomenally.
Speaker 2: Uh.
Speaker 13: I can tell you.
Speaker 14: One thing is that the field of medicine in itself
has evolved so tremendously, it tends to move a little
slower because, like if you look at the example of telephones, right,
the iPhone, I mean, what was it maybe two decades
ago we had the flip phone, right?
Speaker 13: Oh yeah, so wait what two decades ago? Was two thousands?
Speaker 3: Right?
Speaker 14: We had like flip phones back in the two thousands,
And I mean I still remember that Motorola, that Motoro
flipt phone.
Speaker 13: That yes, And then there's the BlackBerry with the little keyboard.
Speaker 14: So if you think of the evolution of the cell
phone from you know, or telecommunications from pagers to flip
phones to BlackBerry and now to these mini computers that
live in your hand and you can talk to it
and it talks back, tell it what to do, and
it does it for you to throws the map up like,
that's the evolution of medicine as well, because those technologies
do migrate over to medicine. However, medicine tends to adopt
it a little slower because providers tend to be a
little more cautious because of you know, too aggressive of
treatments or to to aggressive advancements of adoption without studying
the adverse effects of it as as closely could be
detrimental for people. And that's why you know, the FDA
has been very involved with those things. But in terms
of pain management, it is extremely evolutionary. And it's evolutionary
not just in medication management, not just in you know,
the multidisciplinary approach and thinking about pain and suffering not
just from you know, a mechanical but also you know,
in emotional, psychological, but also in like techniques. So I
say that because they have for example, needles out there
right that you put it into the patient. For radio
frequency evlations, you push a little lever and all of
a sudden, boom, it comes out like a try to
so it covers a larger area. But the problem is
those needles are extremely expensive. That it doesn't mean it
makes it very difficult to cost cover the cost of treatment.
Speaker 2: They have.
Speaker 14: You know, they have implants and procedures that the pain
doctor does that comes very close to what the spine
surgeons somewhat do, but not as good as spine sorts.
I would never never detract from what the spine surgeons
do because they do excellent work and it's so phenomenal
to see the results of what they do. But there's
been you know, techniques and devices developed where spine surgeons
are doing it, and they're teaching pain physicians to do
an under X ray two and the costs are phenomenally less,
really phenomenally less.
Speaker 13: But you know, what are the results.
Speaker 14: I don't know right They're still being studied. They're probably
not as as effective as the current standard, and some
maybe even more effective, but we just don't know fully yet.
I mean, preliminary studies have come out enough to get
them approved, but long term studies are not fully there
yet to to clarify what.
Speaker 13: The advantages and disadvantages are.
Speaker 14: But again, you know, in this American you know, westernized
market environment that we have in America, sometimes those those
therapies take precedent because they're cheaper to the insurers and
the payers and and and there's you know, better margins
to be made by the healthcare systems because.
Speaker 6: Of that, right, right, that's always way one thing that
people get a lot And I was curious to ask
you the question on air for every for other people
as well, is what do you do to help people
with like really bad headaches migraines?
Speaker 13: Great question.
Speaker 14: So we we deal with a lot of migraines, and
we you know, we deal with a lot of headaches.
We have a lot of approaches that you know, are
specifically pain management related, and a lot of approaches that
you know, we've worked with UH that are fall within neurology,
but neurology also leaks over to pain management and some
of the challenges are some of those therapies we've we've
adopted and employed because there's such a shortage of neurologists
here in New Hampshire. There's a huge shortage of neurologists.
I mean, we get comments all the time that, uh,
you know, I can't see my neurologists for another six months.
Speaker 6: Oh I it took me over a year to get
into my neurologist's office on a wait list.
Speaker 13: Wow.
Speaker 14: And it's insane. And we're like, well, you know, we
try to accommodate you. We'll, we'll figure it out. We'll
we'll try to adopt some of those measures to help
with pain management, with migrain and headache management. But again,
you know, the the experts on those are the neurologists.
But you know, we we've been able to accommodate some
of those. And some of those include, of course, you know, therapeutics,
right like medications. There's been a pardon me, burgeoning class
of therapeutics that are pretty effective.
Speaker 13: On migraine management.
Speaker 14: But again they're more expensive and they're on patents, so
there's they don't fall within the insurance algorithms as as
readily accessible. And those tend to be the calcitonin gene
receptor peptide antagonists to see g RP receptor antagonists, and
those include some medications that you can take orally once
a month, injections injectables.
Speaker 13: Those help. We also leak over to.
Speaker 14: Just in eventual pain manage itself, is that a lot
of the headaches are not just migraines, but they could
be related to the cervical spine, and we call those
cervicogenic headaches. You know, where where the headaches are are
from irritation of the nerves that cut off the cervical spine,
that cause spasms of the muscles in the back of
the neck, the upper lower part of the head, and
then you know, through collateral innervation end up being experienced
as a headache. You know, we have occipital nerves, you know,
greater and lesser eximple nerves that tend to be irritated from,
you know, irritation of some type, whether it's spasm or
just fibers tissue irritation. So so there's a lot of
ways that we can deal with headache that kind of
overlap somewhat with some of the neurologists. Again they're the experts,
you know. I always love my neurology colleagues. Wish I
was able to spend more time with them. Sometimes we
do get a special guest that comes to our office
to interact with us about neurology. Sometimes we we've touched
base with some of the neurologists in the Northeast area
that we've gone to dinner. Yeah, but again they're they're
they're far and few between, because somehow there's such a
shortage of them. And I know that there's been, you know,
some dynamics that have occurred with health systems that have
made some shifts in neurology access as well in the
in the New Hampshire area. So it's been interesting. But yes, yes,
we have lots of little things we could do for
migraines as well.
Speaker 13: Yeah, headaches.
Speaker 11: It's pretty common, right, migraines.
Speaker 14: And migraines and headaches. So one thing I just want
to say is that people when they have a headache,
they call it a migraine, but it's not always a migraine.
There's there's a specific criteria for migraine. There's specific criteria
for different types of headaches, like cluster headaches.
Speaker 11: Yeah. Oh I know someone who's who's had to deal
with cluster headaches, right, yeah.
Speaker 14: Just yeah, they have a whole cervic progenic headaches. So again,
you know, we're there to discern between those things. It's
not just you know, one label and it falls within
that we tend to try to tease apart. What's the
real root cause of it?
Speaker 10: Yeah, yeah, what's the most common back pain? I would assume, right,
is the most common back pain.
Speaker 14: Neck pain, injury related pain is very common. Yeah, just
a lot of arthritic pain. Degenerative joint pain is very
very common. And and just remember that anytime anyone's in
mechanical physiological pain, it evolves into the psychologue.
Speaker 13: Pain and that that.
Speaker 14: You know, combinatory source of pain, and it becomes very
difficult to break. And so that's that's the art of
pain management. How do we break one to help decrease
the other, then how do we break the other.
Speaker 6: One of the aspects of of pain that I call
it is payingry when I'm in so much pain that
it's not it's not about anybody else, but everything is
short fused, everything is tight. I'm hurting so much that
I might come off like I'm really angry, but it's
it's really painger. It's it's it's not it's not a
normal sense of anger, if that makes sense.
Speaker 12: But yeah, that's that's kind of a term.
Speaker 8: That we use.
Speaker 13: Is real because if not, we should quit it.
Speaker 6: It isn't it isn't our world. It isn't our world
because I've seen it before, I've used it in some
of my writings. I don't know where the original coin
is come from.
Speaker 12: I know, I don't take credit for that.
Speaker 13: I don't know straight on the show.
Speaker 6: It's a real phenomenon, and your your loved ones don't
necessarily really oh they're in a bad mood. It's like,
oh god, I'm not in a bad mood. I'm really suffering.
Yeah you know, but yeah you don't. That's the thing,
that's the real thing.
Speaker 14: And this is why I want to give a positive
stroke and a very very you know, highlighted comment to
my staff is that they are the front line of
dealing with, you know, patients, and a lot of these
patients call in and come in with angry syndrome.
Speaker 13: Yeah yeah, very angry.
Speaker 11: Yeah yeah.
Speaker 12: And it's not them and they're wonderful and they're sitting
there taking it and you're.
Speaker 13: Like, but I need the appointment.
Speaker 14: Yes, yes, and so and so I just want to
say that, yes, it's it's a very notable occurrence. I
can only say that, you know, I'm very grateful for
the staff to be able to to, you know, oh
humbly and craftily handle those situations without without being too
affected by it, but does affect all of us of course.
Speaker 8: Yeah.
Speaker 6: I mean you call up like I've called up and
been crying, Oh this went wrong and I'm really hurting,
and they're just all right, we got you.
Speaker 12: Where are we going, Let's get a date?
Speaker 8: You know.
Speaker 14: So So one of my most common words that I
use during the day is ou So you know how
you take a breath back and you catch yourself. So
so that's that's one thing I think that could help
patients when they go through a paining gree episode or
pain paining gry episode is take a step back and
just kind of take a deep breath and let it out,
you know, like like like you know, like yes.
Speaker 11: Yes, I do a lot of Yeah. I don't know
if you I think you know this about me.
Speaker 10: I'm a hypnotherapist and I do a lot of what
I'm bringing a client and the hypnosis. We do a
lot of breathing, ironic given my recent asthma issue, but
but we do a lot of you know, deep breathing,
and I try to I do a little bit of pain.
Speaker 11: Management with that too.
Speaker 10: Sometimes sometimes with clients, just to kind of help them,
I try to get them to do a visualization where
they am imagine the pain not as a feeling or
a sensation, but as an object that's in them that
they can remove, that they can actually push out. And
sometimes it's helpful for people. But but we do a
lot of breathing stuff, you know. I get them to
you know, breathe out any negative energy that they're carrying
around and breathe in positive energy and all that.
Speaker 11: Kind of thing.
Speaker 14: That's phenomenal. Matt, you should maybe become a hypno therapist
for pain. Well, I do, just do it.
Speaker 13: When somebody asked about it, Oh yeah, yeah, I really, yeah.
Speaker 11: I meant most of my clients.
Speaker 10: It's not something I get approached about much because most
of my clients the number one thing is quitting smoking,
of course, which is true for any epnotherapist. And I
do a lot of you know, stress management and all
that kind of thing, weight loss of phobias. So it's
not actually very common that anyone that a client approaches
me for help with pain management, but I do it,
and I actually have a certification in it.
Speaker 6: It's really and you also have hypno birthing. I do, yes,
hypno birthing, yes, yeah, wow, Yes, you can use hypnosis
in childbirth yep to not feel like theabor pains.
Speaker 13: Maybe an epidural are amazing.
Speaker 12: Let me tell you, I didn't get one when I
gave birth to my son.
Speaker 6: Unfortunately, by the time I was smart enough to ask,
they said the window was closed. So so just so
you know, my my latter my prior life before I
went into pain management was that I was an upstetric antithesiologist.
Speaker 13: So so I know the epidural very well.
Speaker 14: And I just want to make a comment that that
it's always good if there's no major contraindications to get
the epidural early, because that epidural not only helps you
experience for for women that are going through labor, that
only helps you experience the birthing process in a much
more pleasant manner, especially if it's working well. It's a
very from a medical standpoint, it's it's probably one of
the best life saving tools that the antiseesiologist and the
medical team has to deal with any emergencies that may
arise that are so fast paced when you're going through
the process. So so I've always been an advocate, get
it early. Let's make sure it works. And if even
if you don't want to receive the the the the
relief from it, that's okay.
Speaker 13: We can shut it off.
Speaker 14: But as long as it's working and it's there, and
if something some badness occurs, it's it's one of our
best if it's one of our best tools to get
you through the whole process safely.
Speaker 6: Okay, Now you have two offices, so you can see
people in two different locations.
Speaker 12: Now, yes, I want to make sure listeners know where
you are.
Speaker 14: Yes, yes, So, so we we have our main location
in Newington, New Hampshire, and that was the well the
original one was actually an Exeter and we started with
doctor Sanchez, Manuel Sanchez, and and God bless his soul,
he's such.
Speaker 13: As I still love that man so much.
Speaker 14: Nice he is such, he is such that Spanish European
classy gentleman flair that that and and and his teachings,
I mean, I can only tell you his teachings still
come with me today till today. He he he really
really uh impressed on me how to really take care
of patients here in New Hampshire just you know, but
our original office was actually an Exeter and then when
I joined in shortly after we went to Newington and
then recently just opened up a new office in new Market.
Speaker 11: Congratulations, Well, thank you, thank you.
Speaker 14: It's been a little slow of opening. I'm not there
often just because I'm pretty tied down in the Newington location,
but my staff is there a lot and and we
do a lot of uh we're starting to roll out,
you know, a lot more clinical time there. The building
is still under development, you know, the section for the
paint for the clinic is already ready to go.
Speaker 13: But it's beautiful. I mean, I'm sure you've been there
right the.
Speaker 11: Area.
Speaker 13: Oh we should we should come here sometime to the
new one now. Oh yeah, yeah, it's really nice.
Speaker 6: It's uh I usually go into the r Yeah, so
I'm always at the at the Newington office.
Speaker 14: Honestly, if my wife let me live up in the
new Market of them, I have like place where I
live at home. Yeah, it's it's new, you know, it's new,
it's fresh. You know, we put new flooring in. It's
just pretty. I just think it's really pretty.
Speaker 11: Yeah.
Speaker 10: Yeah, oh very good, Yeah good, Yeah, what U now
did you have any other plans for expansion beyond that
in the future.
Speaker 13: You know, it's a great question.
Speaker 14: I mean, you know, I'd love to be like Doctor
Evil out of uh what's that movie?
Speaker 13: Uh it's a little world domination.
Speaker 14: But no, realistically it's slow and steady. Yeah, we uh,
you know, it's it's basically staffing and and a patient
you know, accommodation issue.
Speaker 13: It's just we go slow and steady.
Speaker 14: I think as long as you know, we're able to
accommodate patients and we're able to figure out areas that
that there is need right like you know, up here
near the Manchester area, I think there's more need because
I know there's been some shifting in the pain management
atmosphere here in New Hampshire. We would definitely think about
expanding more. But again, it's just it's I'm very slow
and steady. I've I've always been very conservative, and I know,
you know, my administrative staff is always asked, why don't
we do this, why don't we do that? We get
vendors all the time coming in and going, hey, let's
do this and do that. Yeah, and I'm just very
slow and steady. I just yeah, I just I think
that's probably wise. Well, it's it's only because we have
something that works right now, and you know, we we
have a lot of positive feedback from the community and
from patients, and so to to to add another element
into something that works has to take a lot of
thought and h and consideration because you know, we want
to make sure that we're still doing the best that
we can for people and for patients in the community
without without changing it too much. That's why again, the
slow and steady approach has always been my my, my,
my mindset.
Speaker 11: Yeah, no, I think that makes I think that makes sense.
Doctor No. This has been wonderful.
Speaker 10: We're already approaching the top of the hour that the time,
the time goes so quickly. Anything, we didn't mention that
we should make sure that we Uh.
Speaker 14: I just want to say, you know, happy new year
to everyone, for both of you, to everyone out there
in New Hampshire, to the uh you know, the general public.
I want to say that, uh, you know, we we
hope from Pain Specialty Group a fruitful and very successful
year and we're here to help if there's anything that
you need. I want to be thankful to my staff.
They've done a wonderful job take helping. You know, the
providers take care of the community, and we have lots
more exciting things to come.
Speaker 11: Yeah.
Speaker 6: Absolutely, you can find out more information at Painspecialtygroup dot com.
Pain Specialtygroup dot com will show you all the information
about the different treatments they offer, different types of problems
that they treat, and all the providers. Beautiful pictures are
on there so you can see more information about the providers.
I am a happy patient and I invite you to
have a pain free day.
Speaker 11: And it's a very nice website.
Speaker 10: By the way, I'm a web design nerd, so I
judge these things and it's a very nice website.
Speaker 13: Well, thank you, thank you. I don't take any credit
for you.
Speaker 10: You don't have time to design your own website, that's
for sure, I know, but no, but it's a great site.
And yes, Painspecialtygroup dot com and doctor No, thank you
so much.
Speaker 13: Thank you for having me on.
Speaker 10: Absolutely, we got to do this more often, Okay, like
we were talking about earlier, we definitely will. And if
you are listening live on Saturday morning here, crow Hill
is coming up next, so we got plenty more of
show to come.
Speaker 11: So don't go away.
Speaker 1: See running around in sound blue lights, flashboo, it will
never be found. The song Scrattian line, wob be sound yeah,
and make some memories to forget in the morning.
Speaker 2: It feels like caby.
Speaker 1: Can changes, but the people around you keep a smile
on the faces.
Speaker 3: Case I'm selling you, Yeah, I'm selling yeah, I'm selling real.
Speaker 8: So let's safety down and you can say it sounds
it's somebodom you.
Speaker 5: So funny thing spies.
Speaker 7: The big blacas, the slices, a dream created tail hearing men.
Let's come back to you in the sas, the big places,
the one of fay dream crest to.
Speaker 2: Tell you fucking the sign lies hundred smiles, so the
rise where the sun shining down on me and you
can't seem to hide that smiles. If we tell you
your story or two and it feels like everything changes.
But we've had that before.
Speaker 3: So while we're put through the paces, Yeah, I'm selling you, Yeah,
I'm selling you.
Speaker 2: Yeah, I'm selling you.
Speaker 7: So same down and you can sell it sound so
woo you out.
Speaker 5: From It's anything nice is the people l.
Speaker 4: Treams repregated, gim me.
Speaker 7: Met right, the spices, the people, the places for God,
our faces and dreams with briget.
Speaker 3: To take fulling me.
Speaker 2: Metal backing. I'm singing your song that will bring you lungsnight.
Speaker 1: That care in little world time has catch that have
you evening.
Speaker 8: Right because it's ten past five on a freezing winter's night.
Speaker 2: But with a smile and of faces will.
Speaker 8: Dance and so the sun dies, this will dancing. So
the rhymes let's go dancing. So the sare rides, let's
go dancers, or the saw rides, Let's go dance.
Speaker 9: And so the sore yes go bass are the sort.
Speaker 4: That's does it sounds sous?
Speaker 7: This is a passenger announcement.
Speaker 6: The twenty three bus will now the park can stand
nineteen and ten past time.
Speaker 4: Says pass The class laces are get to know.
Speaker 14: Y thing.
Speaker 7: Let's go past, guys, species, the basic form, the places,
what a spaces gates? Check there bet it, Let's go
back cha