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Speaker 1: Running around in sound blue lights, flashboo, it will never

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be found. The song Sprattish line job sound yeah, and

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make some memories to forget in the morning.

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Speaker 2: And it feels like it can changes.

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Speaker 3: But the people around you keep a smile on the faces.

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Case I'm telling you, yeah, I'm selling yeah, I'm selling red.

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Speaker 2: So let's safety down and you can say it sounds.

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Speaker 4: It's atom you.

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Speaker 5: Song the fu anything bases, the big born lucases, the

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one houseplacies a dream created.

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Speaker 6: Tail hearing me.

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Speaker 4: Let's go back to the basis.

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Speaker 7: Basis the BP places the one else facy, the dreams

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be created hearing men.

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Speaker 2: Let's f sime live hundred smiles.

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Speaker 1: So the rise where the sun shining down on me

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and you can't seem to hide that smiles if we

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tell you your story.

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Speaker 2: Or so and it things like everything changes. But we've

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had that before.

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Speaker 3: So while we're put through the paces.

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Speaker 2: Yeah, I'm selling you, Yeah, I'm selling you. Yeah, I'm

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selling you the same down and you can sell it

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sound so woo you out.

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Speaker 5: From the anything nice is the people plaices.

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Speaker 2: The tram predated hearing me.

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Speaker 7: Mental right, the spices, the people the places for our

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faces and trams with the cat.

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Speaker 2: To take willing me.

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Speaker 4: Metal backing.

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Speaker 2: I'm singing your song that'll bring you lungsnight.

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Speaker 1: That care in little world time has catch that the

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evening right.

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Speaker 8: Because it's ten past five on a freezing winter's night.

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Speaker 2: But with a smile and of faces were dancing.

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Speaker 8: So the sun dies, that's what dancing. So the sunrise

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that's what dancing. So the sun rise that's what dunces

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a sad. Let's go dozen so as.

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Speaker 9: Yes, boss a steel does its sous.

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Speaker 2: This is a passenger announcement.

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Speaker 7: The twenty three bus will now the talk and stand

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nineteen and.

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Speaker 4: Ten past times uses the class let a free gets

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you know a thing.

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Speaker 7: Let's go back bayscas the fad for the places once

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tree crickets there it bet a thing. Let's go back chain.

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Speaker 10: Welcome everybody, Here we go Matt Connorton unleashed and we

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are live from the studios of wm NH ninety five

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point three FM, Inglorious, Manchester, New Hampshire. And that is

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the American radio premiere of the brand new track from

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a band called Tuesday Night Whites. The track is called

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twenty three. These guys are from the UK. Tuesday Night

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Whites is the name of their local football team in Preston,

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North End. They are a Lancashire or Lancashire How would

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you say that? Lancashire right based five piece indie rock

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band formed in twenty twenty two and making their way

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to American radio, So you know, we love to do

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those American RADI I don't know if it's a world

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radio premiere. They might have already been played in the UK,

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but definitely their first time on American radio. And we've

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got a great show for you today, and I.

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Speaker 11: Am not alone.

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Speaker 12: Good morning Sunshine.

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Speaker 10: Jenny is here at the news table, accounted for and uh,

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it's especially good that you're here today because, as you

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can probably hear, my voice is already failing from my

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recent fight with asthma. It sounds apparently I'm not fully

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recovered from that as I'm as I'm cracking on this Uh,

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Saturday morning, January fourth, our first show of twenty twenty five.

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Speaker 12: Well, at least you didn't end up on the Grassy

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Knoll this.

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Speaker 10: Time, that's right, Yes I did. I did have to

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go to the emergency room again, yes, but but I

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can breathe. I can breathe again.

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Speaker 12: A couple of treatments later, and he's speaking.

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Speaker 10: Yes, yes, so so here we are and for our

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first show of the new year. Happy new year, everybody.

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Let me get get that make up.

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Speaker 11: There.

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Speaker 10: Someone who has not been with us in a long time,

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Doctor Noah is here. Welcome doctor now. Oh I cannot

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hear you. Let me figure out why.

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Speaker 11: I think I know why.

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Speaker 13: Got to change the mind.

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Speaker 12: Oh boy, I know you're got to get the cobwebs

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out of you.

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Speaker 11: Oh. I think I can hear you now, doctor Now

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are you there?

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Speaker 14: I'm here, Good morning manning everybody mind jen I apologize.

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Speaker 11: So yeah, so welcome.

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Speaker 10: It's been well obviously this is your first time in

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the new studio, so it's certainly been well over a year.

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I know that probably been probably been a year and

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a half maybe since you've been with us.

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Speaker 14: It's been a little while. I can tell you that

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the studio is very impressive, isn't it nice?

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Speaker 11: We love it.

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Speaker 13: It was.

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Speaker 14: It was like a grand entrance walking in, going wow,

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look at this lobby.

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Speaker 13: Yeah, look at this large You know.

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Speaker 14: I had I had to stop by the facilities, you know,

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because I drank a bit of too much coffee.

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Speaker 13: This morning, but I was like, wow, this is very grand. Yeah,

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I'm very impressed, thank you, thank you.

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Speaker 11: No, we love it.

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Speaker 13: It's the new digs are styling, and you can tell.

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Speaker 10: From the outside that it's a that there's a radio

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station in here, you know, because as you know, at

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the old place, like looking at it from the outside,

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you would never even know that there was a radio

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station in the building.

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Speaker 14: The signage is impeccable.

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Speaker 11: Thank you.

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Speaker 14: Even without driving without glasses this morning, although I don't

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need to drive with glasses, I saw it.

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Speaker 13: From afar entirely.

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Speaker 11: That is good to know. That is good to know.

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Speaker 14: Yes, wow, Well I just want to say one thing

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before we get started. Yes, is that that song twenty

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three that you played this morning? Yes, if there was

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a rating scale out of twenty four, I would rename

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it twenty four.

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Speaker 11: Wow.

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Speaker 13: I very much enjoyed it.

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Speaker 11: I really like that.

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Speaker 14: I did, especially when it caught my attension when it

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said the bus is moving leaving in ten minutes.

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Speaker 10: So this is a little inside for people who don't know.

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So the building that we're in, of course, this used

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to be a bus station here in Manchester. This this

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amazing building which was remodeled and refitted. Is that a

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term for that turn turned into this amazing facility that

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it is today. But yeah, we were so we were

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talking off air, because we tell everybody especially it always

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comes up when when someone says, you know, can I

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use the restroom, and it's like, yes, enjoy our enjoy

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our enormous.

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Speaker 11: Bus station bathroom. But so we were talking about that

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off how.

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Speaker 10: This used to be a bus station, and then I

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play that song and sure enough there's, uh, there's that

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bus station announcement.

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Speaker 13: I really like that new song.

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Speaker 11: Yeah, yeah, absolutely nice.

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Speaker 10: Yeah, absolutely so again if you're if you're looking for

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that online, the song is called twenty three. The band

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is Tuesday Night Whites, And just to be very clear

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for everyone, it's it's named after a football team.

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Speaker 11: There's no racial component to that.

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Speaker 12: I don't want I don't want to well being what

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we call soccer.

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Speaker 11: I don't want anyone to think what what is that like? Uh?

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Are they you know, bad people or something? No, talking

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to you.

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Speaker 12: About sports and this is not a good thing, right right.

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Speaker 10: I'm not a I'm not a fan of the of

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the sports ball as we say, so doctor no, uh

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tell us about uh. For those who don't know who

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haven't heard your previous interviews. You've been on with us,

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well two or three times before. I think at the

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old at the old studio, I think we've.

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Speaker 14: Been on, yeah, about two or three times span of

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last what was it maybe four years?

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Speaker 11: Oh, yeah, four or five years now, Yes.

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Speaker 13: He's on his way to the five time or yeah.

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I feel like I'm an aged entity here, you know.

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Speaker 14: But every time it's it's you know, it's it's been

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an honor to come on because I you know, there's

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a lot of changes that have occurred, and it feels

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like it's a it's a fresh start, and especially with

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this new station too, it's just it's very, very very refreshing.

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Speaker 11: Yes, yes, thank you. Yeah. Well, of course we met

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you because of Jenny, right, and.

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Speaker 6: I'm excited to have you on and share something that's

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important in my life. I am a pain patient, as

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you guys know, and you hear the stories all the time.

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I have CRPS, complex visional pain syndrome, and small fibron aeropathy,

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and thanks to doctor no I have quality of life

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because the hardest thing about having CRPS, because it is

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the most painful disease known to modern medicine is that

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it's very difficult to control that pain and have a

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quality of life. And Doctor No from the pain specialty

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group is who makes my life quality wise because of

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the treatments that I get, which is a combination of

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a different treatm it's that you do. In my case,

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I have oblasions or different injections or say you've you

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sometime a different medication to keep things in check. And

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I want to share that with people because so many

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people out there are suffering and pain and you don't

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have to suffer. That's the biggest thing. You don't have

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to be the one suffering about it. Oh did I

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do something? I did something? Okay, thank you Matt. He's

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fixing me so And just just because I want to

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be as open as possible, a doctor No is my

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doctor and I am happy to be here with him

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and openly talk about pain care because I do want

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people to know that there are solutions.

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Speaker 12: You don't have to suffer and you can have a

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quality life.

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Speaker 14: Yeah, and Jenny, I just want to say, you know,

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it's an honor to help you, you know, do the

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things you want to do in life. And I'm touched

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to hear all of this, and I will also I

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know we're on air, but I will also protect your

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privacy and whatever you know, let you disclose. But if

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you want me to comment on something, I mean, just

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let me know.

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Speaker 13: I'm happy to. But again, you know, also protect your privacy.

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Speaker 14: But I'm touched to hear all this, and it makes

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me makes me happy to know that I've at least

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been able to help you, you know, get along your

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path in life and do the things that you want

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to do in the way you want to do it.

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Speaker 13: And that means a lot to me. Thank you, Thank you.

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Speaker 10: Well I can I can tell you, you know, as

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someone's who's uh you know, had a front row seat

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for this journey of that Johny's been on. I mean

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you've you've made an enormous difference in her life. I

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mean this, you know, no denying it, huge, huge difference.

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Speaker 11: I'm a lot.

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Speaker 6: Bedbound for over two years, and even when I started

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getting treatments, I was still using wheelchair and having a

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hard time. And at one point I started to get

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better and I was with a practice that all of

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a sudden closed their doors, no warning, no notice, just

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closed its doors.

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Speaker 12: And I was in a pretty bad situation.

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Speaker 6: At the time, and doctor No actually was coming into

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a practice here in New Campshire at the time and

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I was lucky enough to meet this practice because I

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was literally left with I don't know what to do.

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I have no provider, and you did come in and

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you ended up taking over my care. And it's been

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well over three years, probably four. I'm not even sure

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how many years I've been a patient of yours.

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Speaker 13: Now, yeah, it's been a while.

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Speaker 14: I do want to say that, you know, Jenny, again,

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I'm very happy and grateful and touch that you know,

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we were able to help you, because we do hear

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the story a lot with you know, the shifting of providers,

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shifting of practices, that that patients are left in kind

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of a no person's land. I don't want to say

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no man's land, but no person's land, and and it's

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unfortunate and it's a very hard place to be. So again,

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very very touched, very honored to be able to help

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you along the way. And look at you now, you're

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you're you're doing great things for not just the New Hampshire, Manchester,

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the people of the Northeast, but you know, even the nation.

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Speaker 13: So you know, very impressed.

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Speaker 6: Yeah, and it is a huge part of that and

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that's one of that's why I want to share this

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aspectuse there is so much suffering out there that doesn't

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have to happen.

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Speaker 3: So, like.

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Speaker 6: You offer a lot of different treatments for a lot

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of different things. And I have significant lower back pain.

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I have like three desks that are bulging and they

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have to be controlled or I'm in awful pain. So

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some of the things that you do aren't about medication

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as much as a treatment. One of the things you

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do for me is called an ablation and that has

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a great effect. And I know that you do other

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things types of injections and stuff, but you know, just

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talking about like the lower back issue, what are the

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kind of things that you do for other people to

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help with their back issues, because we're not all the same.

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Speaker 13: Yeah, so it's a great question.

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Speaker 14: Let me let me just kind of reorganize and kind

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of preface the thinking of how we approach pain management.

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But at both of our locations, know, in Newmarket which

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is the newer one, and also in Newington, our philosophy

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has always been, look, you're you're we're all going through life,

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you know, we all go through life as a as

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a as a child, a youth, a young adult, you know,

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a mid life adult, an older adult, and as an

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elderly person. And during that journey, our body changes, not

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just you know, our life situation, you know, our economics,

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our social engagements, but but our body changes, and and

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with those changes come how we experience those changes. And

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and pain is a very very prevalent aspect of those changes.

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So what we do in our philosophy is that we

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can't really care or change those changes or reverse those changes.

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What we can do is help you adapt, deal with,

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accommodate with how we perceive or or experience those changes.

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And if you take that perspective of pain management, that's

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where we come in. And and and Jenny you mentioned

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about you know, how do we deal with What tools

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do we have to deal with pain?

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Speaker 11: Right?

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Speaker 14: I can count them off of probably both hands and toes,

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but I'm gonna try to generalize it into two boxes.

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We have conservative therapies, right, which include you know, you know,

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activities like physical therapy, pool therapy, chiropractic care, uh, you know,

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you know, psychosocial therapy, cognitive behavioral therapy. We have medication therapy,

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lots of different classes of medications. Yeah, you know, we

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always hear about one certain class of medication which has

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always been the easiest to go to, but it's also

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caused a lot of headaches personally for not for me,

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for for individuals, socially, economically, and even legally. And that's

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what I'm talking about opiates and controlled substances. We have

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lots of different other classes that help mitigate pain, and

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and those kind of leak into other disciplines of medicine.

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And that's why pain management is so broad. We have

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uh interventional therapies like you mentioned. Some of those therapies,

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as you mentioned, include radio frequency elations, you know, steroid injection,

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nerve injections. When people hear the term injection or ablasion,

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they think it's just one area, one type of treatment,

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but there's so many different caveats and ways to.

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Speaker 13: How do you how do you say it approach those classifications?

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Speaker 14: For example, when they say I get a steroid injection

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or cortisone injection, we hear that a lot. One is

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there's different classifications of steroids. Two is there's different areas

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that we inject. Three is there's different reasons to why

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we approach an injection, and there's different potential outcome. Some

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of those are therapeutic, which what you experience. Some of

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those are diagnostic, which tell us, okay, this works, but

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it's not gonna last, but we could do something else

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that lasts longer. And some of those are therapeutic and diagnostic.

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And there are even some injections that some of those

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may be potentially longer lasting, are terminally therapeutic, such as

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you know, injectables that cause nerve destruction. Some of those

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injections are are lubricating. So there's lots of different types. Yeah,

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and then the next classification, of course, is advance interventions,

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where we do a lot of minimally invasive implantables or

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removal of tissue under X ray or fluoroscopy and imaging.

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Speaker 13: Those again, you know, tend to be the cutting edge

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of pain management.

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Speaker 14: Those those tend to be those that are a little

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more innovative, spend the time to get trained and learned,

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trained by multiple disciplines, not just pain management physicians. But

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you know, we end up having spine surgery involved, orthopedics involved,

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neurology involved, psychiatry involved. There's indiventional psychiatry so a lot

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of the little you.

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Speaker 13: Know, interventional.

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Speaker 14: Advanced therapy, some of those where we put in plants

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and some of those where we don't. And then and

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then of course to the classical sense, now we go

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to open cavity, open spine, open area surgery, and those

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can treat. So pain management is actually very wide. The

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whole concept is, again, how do we help you along

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your journey given that you've you've hit this this bump,

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this road bump along the road, or this pothole, and

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how do we get you to go above that and

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go beyond that? And that's and that's where our job is. Okay,

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So I hope that kind of helps, and it's fine.

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Speaker 6: And that's what's what's a thing about pain management is

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it's individualized. No, the medication that works for me might

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not work for somebody else. But we found a combination

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of medications and treatments that.

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Speaker 12: Have worked for me.

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Speaker 6: And it's all and sometimes it's trial and error. Sometimes

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you try one thing and see if that works. You know,

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there are medications I did well on medications I haven't

355
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done right. And as life changes and time changes, maybe

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something needs an adjustment or a tweak and you know,

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as long as the end result is to have a

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quality life that's worth living, to be able to participate

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with things with family members or friends, to be able

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to enjoy an outing, you know, and not have to

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sit there and be like, oh, I can't go to that.

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I'll be into much agony. I won't be able to

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sit there. But to be able to go, yeah, I

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can go to that. I can go to that show

365
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for a few hours, you know, And that is what

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makes life worth living, right, is to have those experiences

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with one another.

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Speaker 14: Absolutely, I mean just me showing up this morning, you

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have this experience with you and Matt has been phenomenal already.

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Speaker 11: Oh, thank you, Well, we're glad you're here.

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Speaker 14: Yeah, usually around this time, already spending it taking the

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kids and driving them on shopping you off to the

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So I got my alibi this morning. No, so thank you,

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But no, I just wanted to add to your comment

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about individualization of care ideally, right, ideally, and and if

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you think about it in terms of efficiency, Ideally, if

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pain management was a one one type of treatment for all,

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like a Nike shoe factory, just keep on stamping.

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Speaker 13: Out all those Nike airs one by one by one.

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Speaker 14: We could do ten an hour, we do twenty an hour,

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do five hundred an hour because factory capacity, right, I

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would be at a different place.

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Speaker 13: I would be sitting in.

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Speaker 14: A very tall high rise building, you know, in Manhattan somewhere,

385
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or downtown Manchester somewhere. But no, it's very individualized because

386
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what works for for Matt, what works for Mike, what

387
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works for Steve, may not work for Gen. And what

388
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works for Gen, you know, and and it's and it's

389
00:21:02,200 --> 00:21:04,759
unfortunate that we have to try on different shoes and

390
00:21:04,839 --> 00:21:07,480
we have to you know, the shoe pairs with this

391
00:21:07,759 --> 00:21:11,519
pair of sock or this pair of cushion, and and

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oh the only worked for for you know, three months,

393
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and now the shoes aren't good anymore, and we have

394
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to change up the shoe because because the padding has

395
00:21:21,079 --> 00:21:23,640
shifted because you have a bone spur now on your foot,

396
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you know. So so yeah, it's very individualized. And that's

397
00:21:26,960 --> 00:21:29,599
the unfortunate part is that you know, we're all we're

398
00:21:29,640 --> 00:21:33,359
all such individualized entities that that we have to kind

399
00:21:33,400 --> 00:21:35,799
of tweak things. And and your body's constantly changing, so

400
00:21:35,880 --> 00:21:39,599
we always have to change change how we algorithmically or

401
00:21:39,759 --> 00:21:41,839
think about and approach. How can we make you a

402
00:21:41,839 --> 00:21:43,400
little more comfortable so you can do things you want

403
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to do.

404
00:21:44,200 --> 00:21:47,599
Speaker 10: I would imagine that's that's the biggest challenge with new patients,

405
00:21:47,759 --> 00:21:50,559
right It's just figuring out what the best solution is

406
00:21:50,680 --> 00:21:53,119
for them. And then there's probably a lot of well,

407
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we're going to try this, and then if this doesn't work, well,

408
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and then we're going to try this, and you know,

409
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and then you know, hopefully they can hang in there,

410
00:22:00,920 --> 00:22:03,000
you know, and and you know they have to trust

411
00:22:03,079 --> 00:22:05,079
you that you know you're on this journey with them

412
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and that you're gonna help them find the right solution.

413
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Speaker 14: But yeah, so so I'm glad you brought that up

414
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because because now now you're trying to get into the

415
00:22:11,240 --> 00:22:13,799
mind of like how I'm thinking during the day. Yeah,

416
00:22:13,799 --> 00:22:15,920
and and this is gonna be good. So that gives

417
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some insight to patients. So every patient comes with a

418
00:22:18,759 --> 00:22:22,319
unique situation. And when you when you when you when

419
00:22:22,319 --> 00:22:24,880
a provider walks into an encounter with the patient, not

420
00:22:25,039 --> 00:22:28,279
only have we relied on the experience and knowledge of

421
00:22:28,400 --> 00:22:30,680
what we know about the patient, we also rely on

422
00:22:31,200 --> 00:22:35,640
the additional information that we've gathered during the interim between

423
00:22:35,839 --> 00:22:38,799
the visits, and you know, we we go on what

424
00:22:38,960 --> 00:22:43,680
the patient's communicating to us based on prior visits versus

425
00:22:44,000 --> 00:22:47,720
this visit, and so we're calculating all these things and

426
00:22:47,880 --> 00:22:50,680
thinking all these things and trying to go down algorithmically

427
00:22:51,079 --> 00:22:56,079
and even just non algorithm or but creatively, what's the

428
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status of that patient and how can we tweak it

429
00:22:58,519 --> 00:23:01,799
to make it a little better. So you can imagine

430
00:23:01,960 --> 00:23:08,400
that with this new healthcare environment where where it's difficult

431
00:23:08,440 --> 00:23:12,640
to survive as a healthcare provider if you don't you know,

432
00:23:12,960 --> 00:23:15,599
become efficient. So you know, like time slots are probably

433
00:23:15,640 --> 00:23:18,440
fifteen to twenty minute time slots, thirty minute time slots.

434
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So we're sitting there thinking of how do we accommodate

435
00:23:21,960 --> 00:23:24,519
these patients based on the information that we have, and

436
00:23:25,720 --> 00:23:27,839
how do we tweak it and make it better for them?

437
00:23:27,880 --> 00:23:30,759
And then you know, follow up afterwards. So you can

438
00:23:30,799 --> 00:23:34,599
see that everyone's very individualized. There's a lot of different

439
00:23:34,720 --> 00:23:37,680
factors that you have to think about, including side effects,

440
00:23:37,920 --> 00:23:41,680
right and risks, and how do we follow that up

441
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and to make sure that you.

442
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Speaker 13: Know, decision making is appropriate and effective.

443
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Speaker 11: Yeah, yeah, that makes sense.

444
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Speaker 14: Yeah, So yeah, but I think I think what we've

445
00:23:51,599 --> 00:23:56,160
figured out as a team in our practice is that

446
00:23:56,960 --> 00:24:01,079
you know, there's certain certain approaches we have to help

447
00:24:01,319 --> 00:24:04,440
mitigate pain for patients, and a lot of those is

448
00:24:05,680 --> 00:24:09,480
let's figure out what's causing you the pain. And for

449
00:24:09,599 --> 00:24:11,039
a lot of patients, when you come in in your

450
00:24:11,079 --> 00:24:13,000
experience of pain, you're like, I'm just in so much pain.

451
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Speaker 12: It's everywhere.

452
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Speaker 14: I don't know where it is, but it's also here

453
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and here, you know, algorithm Lee or in our thinking,

454
00:24:20,799 --> 00:24:23,559
it's it's like, okay, so where are those areas that

455
00:24:23,640 --> 00:24:26,480
we can identify, and how can we approach each of

456
00:24:26,559 --> 00:24:32,240
those areas in a safe and appropriate manner that would

457
00:24:32,440 --> 00:24:37,359
minimize the risks and side effects but maximize the benefits.

458
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Speaker 11: Yeah, so that's a.

459
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Speaker 13: Huge thing too.

460
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Speaker 6: I mean years ago, before I was a patient of yours,

461
00:24:43,720 --> 00:24:46,519
I had a different pain care situation where I was

462
00:24:46,559 --> 00:24:50,000
getting injections and it was scary but it was also

463
00:24:50,160 --> 00:24:52,400
super painful. Matt would be in the waiting room listening

464
00:24:52,440 --> 00:24:55,200
to me scream like and I've talked about that on

465
00:24:55,279 --> 00:24:59,160
air many times. We've talked about you know, the experience

466
00:24:59,200 --> 00:25:01,359
and having somebody go, oh, no, nobody heard you. And

467
00:25:01,440 --> 00:25:03,759
then I go out there and Matt's like, oh you okay,

468
00:25:03,839 --> 00:25:05,720
I could hear you screaming, and that's not what.

469
00:25:05,799 --> 00:25:06,559
Speaker 12: Pain care should be.

470
00:25:07,200 --> 00:25:10,720
Speaker 6: And that's one of the things that I very much

471
00:25:10,799 --> 00:25:13,240
love about you and your office and your practice and

472
00:25:13,319 --> 00:25:15,759
the way that you do things is that I have never, ever,

473
00:25:15,920 --> 00:25:19,960
ever suffered through a treatment. You always make sure that

474
00:25:21,039 --> 00:25:25,240
the patient is comfortable, that I'm comfortable, you use numbing agents.

475
00:25:25,319 --> 00:25:28,839
You don't go just okay, sucking up butter coffee. We

476
00:25:28,960 --> 00:25:31,279
go and in checked away, which is what I had

477
00:25:31,319 --> 00:25:35,200
previously experienced. And I know that we were kind of

478
00:25:35,240 --> 00:25:38,119
talking about it before the show, but you were talking

479
00:25:38,200 --> 00:25:42,400
about how your approach is uniquely different when it comes

480
00:25:42,519 --> 00:25:45,519
to doing those kinds of injections, and I'd really like

481
00:25:45,599 --> 00:25:49,000
people to know about that, because I know it sounds scary,

482
00:25:49,440 --> 00:25:51,559
but it's actually been one of the best things that

483
00:25:51,839 --> 00:25:54,680
I get done is to have them done, and I'm

484
00:25:54,759 --> 00:25:56,720
never afraid because of the way you do it.

485
00:25:56,839 --> 00:25:58,640
Speaker 12: So I wonder if you could talk about that a bit.

486
00:25:58,839 --> 00:25:59,720
Speaker 13: Sure, thank you, Jenny.

487
00:26:00,240 --> 00:26:03,400
Speaker 14: But before I kind of expand on this, I just

488
00:26:03,440 --> 00:26:06,960
want to say that it's not just me, it's the

489
00:26:07,200 --> 00:26:11,519
entire team. And let me explain that the entire team

490
00:26:11,680 --> 00:26:15,279
here at Paints Bestal Group. We we've adopted this philosophy,

491
00:26:15,359 --> 00:26:18,640
so I have to give credit to my staff. We

492
00:26:18,799 --> 00:26:24,799
want the patient to experience a pleasant journey right when

493
00:26:24,839 --> 00:26:28,920
they step into our centers, and that includes, you know,

494
00:26:29,240 --> 00:26:31,960
coming into a calming environment. And that's why we have music,

495
00:26:32,079 --> 00:26:35,839
and we try to have you know, light, pleasant engaging music.

496
00:26:37,200 --> 00:26:38,480
You know, we try to make it a kind of

497
00:26:38,519 --> 00:26:43,480
a soothing visual experience, even with you know, dimmer lights,

498
00:26:44,160 --> 00:26:45,680
but you know, not not too dim that you fall,

499
00:26:45,799 --> 00:26:48,279
trip and fall. You know, you know, we want to

500
00:26:48,319 --> 00:26:52,960
make sure you feel safe. It's clean. Staff is you know,

501
00:26:53,119 --> 00:26:57,319
impeccably friendly and caring. I get a lot of those comments,

502
00:26:57,359 --> 00:27:01,000
and I'm grateful because the staff is really really adopted this,

503
00:27:01,519 --> 00:27:04,119
this approach to making patients feel welcome and safe when

504
00:27:04,119 --> 00:27:07,000
they come in. So again, it starts not just with

505
00:27:07,119 --> 00:27:10,839
the injections, but it's it's a whole thoughtful process of

506
00:27:11,519 --> 00:27:14,319
what the patient is going to experience as they come

507
00:27:14,440 --> 00:27:17,720
through the door, from the beginning throughout. And that's why

508
00:27:17,759 --> 00:27:20,200
we have a little piano. They're right, patients come in

509
00:27:20,279 --> 00:27:23,039
and they they they tinker around the baby grand piano.

510
00:27:23,160 --> 00:27:23,640
Speaker 2: Yeah, I was.

511
00:27:23,640 --> 00:27:25,720
Speaker 11: Curious about that if anyone ever actually plays.

512
00:27:25,480 --> 00:27:28,160
Speaker 14: It, Oh, it's amazing. We have concert pianists that come

513
00:27:28,200 --> 00:27:30,279
in and just start jamming on it. And we have

514
00:27:30,519 --> 00:27:33,000
people that play at restaurants that come in and jam.

515
00:27:33,200 --> 00:27:36,880
Oh it's people have their own recordings. And we have

516
00:27:36,920 --> 00:27:38,960
some of those artists that that come in with their

517
00:27:39,000 --> 00:27:41,799
own recordings and they and they jam. Do you every

518
00:27:41,839 --> 00:27:42,960
want to meet with them for your show?

519
00:27:43,039 --> 00:27:45,799
Speaker 13: We're happy to make the musicians any day.

520
00:27:45,960 --> 00:27:47,880
Speaker 14: But it's amazing and and and they come in and

521
00:27:47,920 --> 00:27:50,000
they make it a pleasant environment for the patients.

522
00:27:51,319 --> 00:27:51,480
Speaker 11: You know.

523
00:27:51,640 --> 00:27:53,559
Speaker 14: I I try to come out sometimes and play, but

524
00:27:53,799 --> 00:27:57,039
my piano skills are very limited now that I'm aged,

525
00:27:57,079 --> 00:27:58,920
and I haven't played a lot through years.

526
00:27:59,400 --> 00:28:01,039
Speaker 13: But you know I I I tinker, but my kids

527
00:28:01,039 --> 00:28:01,960
play a lot better than I do.

528
00:28:02,279 --> 00:28:04,960
Speaker 12: I was gonna say to your kids play, Yeah, they do, but.

529
00:28:04,960 --> 00:28:07,079
Speaker 14: It's for the patients, right, So we put that out

530
00:28:07,079 --> 00:28:11,240
there for the patients. We uh talk about instruments. We

531
00:28:11,240 --> 00:28:13,119
also have a pain gong. By the way, I just

532
00:28:13,200 --> 00:28:14,440
wanted to make Oh yes.

533
00:28:14,480 --> 00:28:17,400
Speaker 11: Yes, does that does that get used much? I've never

534
00:28:17,519 --> 00:28:18,599
witnessed the gong.

535
00:28:19,039 --> 00:28:24,039
Speaker 14: It does, actually, So I think we're the only pain

536
00:28:24,119 --> 00:28:26,799
practice in the nation that has a pain gong. And

537
00:28:26,920 --> 00:28:29,319
we actually have a sign right by the exit that says,

538
00:28:29,480 --> 00:28:34,039
please share if your pain is gong. And I did

539
00:28:34,079 --> 00:28:35,960
that on purpose because I always tell patients like I

540
00:28:36,000 --> 00:28:39,079
can kind of get away with that, yeah, because yeah, yeah.

541
00:28:38,920 --> 00:28:41,400
Speaker 13: I think I know it is, and I think you are.

542
00:28:41,759 --> 00:28:44,279
Speaker 12: I've seen bells. Everybody has a bell, but nobody has

543
00:28:44,319 --> 00:28:44,720
a gong.

544
00:28:44,839 --> 00:28:45,039
Speaker 11: Yeah.

545
00:28:45,359 --> 00:28:47,359
Speaker 14: Well, I'll tell the origin of that, by the way,

546
00:28:47,480 --> 00:28:49,039
but let me explain the gong first. I'll tell the

547
00:28:49,079 --> 00:28:51,559
origin of that, okay. So the gong is basically for

548
00:28:51,720 --> 00:28:55,680
patients to celebrate if they've had a really good experience

549
00:28:55,839 --> 00:28:58,400
and they want everyone who's inside the center to know

550
00:28:59,000 --> 00:28:59,400
they can.

551
00:28:59,519 --> 00:29:03,759
Speaker 13: Whack the gong. And if the wack the gong, yes, yeah,

552
00:29:03,960 --> 00:29:05,039
And what happened.

553
00:29:05,039 --> 00:29:07,039
Speaker 12: You came around the corner and poked your head out.

554
00:29:07,079 --> 00:29:08,799
It was the door of all all of a sudden,

555
00:29:08,799 --> 00:29:10,240
there's starck to know, going, hey.

556
00:29:10,119 --> 00:29:10,599
Speaker 2: Look at that.

557
00:29:12,319 --> 00:29:15,440
Speaker 14: Yes, And so've we've trained the staff to celebrate and

558
00:29:15,559 --> 00:29:17,759
clap and cheer patients when we hear the gong, and

559
00:29:17,839 --> 00:29:20,799
it's because it's a celebration for the patient to to

560
00:29:21,160 --> 00:29:24,319
to know that that you know, they've been happy with

561
00:29:24,400 --> 00:29:27,000
the care, they've received some type of relief, it's possibly

562
00:29:27,119 --> 00:29:29,200
helped them on their journey to change their life and

563
00:29:29,519 --> 00:29:31,759
doing the things they want to do again. And that's

564
00:29:31,839 --> 00:29:35,359
and that's why we have it there. Yeah, yeah, yeah,

565
00:29:35,759 --> 00:29:38,680
So so again some of the different things the staff,

566
00:29:38,839 --> 00:29:42,279
it's the team approach on making the experience for patients

567
00:29:42,440 --> 00:29:45,720
a little more comfortable as you're going through this journey

568
00:29:45,759 --> 00:29:48,400
of trying to mitigate your experiences of pain so that

569
00:29:48,599 --> 00:29:50,799
you can do the things you want to do. Now,

570
00:29:50,880 --> 00:29:52,880
going back to your question, what different things we do

571
00:29:53,079 --> 00:29:55,279
to help patients kind of go through the journey of

572
00:29:55,400 --> 00:30:00,400
like these experiences of injections or pro features. One is

573
00:30:01,200 --> 00:30:03,240
in this whole day and age, is so much paperwork,

574
00:30:03,279 --> 00:30:05,480
and we've tried to streamline it as much as possible

575
00:30:05,519 --> 00:30:08,160
and and it's been hard, but we've we've you know,

576
00:30:08,200 --> 00:30:10,759
we've all these regulatory requirements that we have to go through,

577
00:30:12,079 --> 00:30:13,799
so we we we help we have the staff help

578
00:30:13,880 --> 00:30:16,039
streamline that. So that's been another thing that we've done.

579
00:30:17,599 --> 00:30:20,160
We uh, you know, just even the thinking of getting

580
00:30:20,759 --> 00:30:23,759
an injection. You know, patients come in anxious, they don't

581
00:30:23,759 --> 00:30:27,039
want to feel the poke and that's where a lot

582
00:30:27,079 --> 00:30:34,119
of the thinking of physiology and chemistry and pharmacology becomes involved.

583
00:30:34,400 --> 00:30:36,440
And that's why you know, we we we we advise

584
00:30:36,559 --> 00:30:40,160
patients to get certain types of medications beforehand to help

585
00:30:40,319 --> 00:30:43,240
mitigate some of your experience with pain. And that's including

586
00:30:43,240 --> 00:30:47,960
you know, the the anziolytic, the the you know, like

587
00:30:48,039 --> 00:30:50,440
the tile and all to help with you know, mitigating

588
00:30:51,039 --> 00:30:55,519
you know, your experience with that first poke. It's also

589
00:30:56,000 --> 00:30:59,240
with uh, creams. You know, we call in creams to

590
00:30:59,279 --> 00:31:03,599
help you mitigate that sensation because we want to make

591
00:31:03,640 --> 00:31:05,960
it so comfortable for you as much as we can

592
00:31:06,119 --> 00:31:09,880
with that. Yeah, yeah, and then you know, we we

593
00:31:10,440 --> 00:31:12,400
we have you know, and then once you're in the room,

594
00:31:12,440 --> 00:31:15,640
we we have conversations, right, we have lots of you know,

595
00:31:15,759 --> 00:31:16,599
funny conversations.

596
00:31:16,640 --> 00:31:17,519
Speaker 13: We play music.

597
00:31:18,960 --> 00:31:23,799
Speaker 14: The staff in there, Aiden and uh uh Julia back there,

598
00:31:23,880 --> 00:31:25,720
you know, Bobby back there. You know, they tend to

599
00:31:25,759 --> 00:31:28,319
pick the music unless it's special requests by the patient.

600
00:31:28,440 --> 00:31:31,920
Sometimes patient special requests are are phenomenal.

601
00:31:32,440 --> 00:31:32,559
Speaker 11: Right.

602
00:31:32,640 --> 00:31:36,599
Speaker 14: We've had you know, hard rock, We've had gospel music.

603
00:31:37,400 --> 00:31:39,960
You know, a couple of patients of request gospel and sometimes.

604
00:31:42,640 --> 00:31:44,880
Speaker 13: Yeah, you can request your music I mean, we try

605
00:31:44,920 --> 00:31:47,559
to make it as comfortable as possible. Some patients want

606
00:31:47,599 --> 00:31:48,200
it blasting.

607
00:31:48,319 --> 00:31:50,519
Speaker 14: We do that, and and we crack jokes, you know,

608
00:31:50,559 --> 00:31:52,359
we try to make you forget and as you're giggling,

609
00:31:52,400 --> 00:31:55,640
you know, the needle gets poked in and then you know,

610
00:31:55,759 --> 00:31:57,720
I use a little diff a you know, I even

611
00:31:57,799 --> 00:32:01,000
modify the needle technique where I call the clow the

612
00:32:01,079 --> 00:32:06,039
slow squeeze technique, where again it's it's all physiological, it's neurological.

613
00:32:06,119 --> 00:32:09,000
You do it in a way where you know, it's

614
00:32:09,119 --> 00:32:16,000
it's quick introduction, slow slow how do you say it? Uh,

615
00:32:16,880 --> 00:32:19,319
slow medication introduction. But what it does is it numbs

616
00:32:19,359 --> 00:32:23,359
and nerves, so as as the needles getting withdrawn, it's

617
00:32:23,440 --> 00:32:26,319
not ass as impactful. And then and then we go

618
00:32:26,400 --> 00:32:29,079
in and you know, we use you know, we try

619
00:32:29,119 --> 00:32:33,480
to use much more comfortable needling so that patients aren't

620
00:32:33,480 --> 00:32:34,480
aren't as impacted.

621
00:32:35,319 --> 00:32:37,640
Speaker 13: And it's not perfect, but it works on the most part.

622
00:32:38,160 --> 00:32:39,000
I can attest to that.

623
00:32:39,599 --> 00:32:42,000
Speaker 6: I can attest to that for start, and there's a

624
00:32:42,039 --> 00:32:44,400
lot of other different I mean, it's it's cool because

625
00:32:44,480 --> 00:32:47,440
in pain care it's it's not just okay, here's a

626
00:32:47,640 --> 00:32:50,000
we're gonna plug you in here. It's that combination of

627
00:32:50,119 --> 00:32:53,039
finding out, you know, whether maybe we're doing this treatment

628
00:32:53,160 --> 00:32:56,519
along with this medication or this type of therapy.

629
00:32:56,640 --> 00:32:57,359
Speaker 13: Like I do pool.

630
00:32:58,200 --> 00:33:01,599
Speaker 12: I I am in the pool every week, and.

631
00:33:03,200 --> 00:33:07,680
Speaker 14: I commend you on that because it's funny. But one

632
00:33:07,720 --> 00:33:09,680
of the basic elements that we have in this world

633
00:33:09,799 --> 00:33:14,000
is water, and water is such a great thing for

634
00:33:14,200 --> 00:33:17,799
muscle tone and stress on joints, yep. And for you

635
00:33:18,039 --> 00:33:21,240
to engage in pool to at least do the movements

636
00:33:21,279 --> 00:33:23,200
that would be hard to do on land, but you can.

637
00:33:23,279 --> 00:33:24,839
Speaker 6: I can't do what I can do in the pool.

638
00:33:24,960 --> 00:33:27,480
I can do jumping jacks in the pool. I do

639
00:33:27,559 --> 00:33:30,400
an arthritis class at the Why at the local Why.

640
00:33:30,480 --> 00:33:33,480
Everybody you know, you got Why's around this classes everywhere

641
00:33:34,160 --> 00:33:36,559
and it's great. I get in the water, I'm in

642
00:33:36,640 --> 00:33:38,920
there for about fifty minutes. I'm moving every one of

643
00:33:39,000 --> 00:33:43,039
my joints, and yeah, it's it's not just about medication.

644
00:33:43,559 --> 00:33:45,480
It's a combination of things you have to Like I

645
00:33:45,599 --> 00:33:47,559
watch my diet. I try to stick to an anti

646
00:33:47,640 --> 00:33:51,400
inflammatory diet because I don't want to cause more inflammation

647
00:33:51,480 --> 00:33:52,319
because my body just.

648
00:33:52,400 --> 00:33:54,440
Speaker 12: Basically could glow in the dark if possible.

649
00:33:54,480 --> 00:33:57,519
Speaker 14: When it comes to inflammation, Jenny, you're such an ideal,

650
00:33:57,759 --> 00:34:00,759
ideal model patient. I mean I don't know that, no,

651
00:34:00,960 --> 00:34:04,240
but you you really do embrace the multi modal, you know,

652
00:34:04,359 --> 00:34:08,280
approach that we have to. We've encouraged patients because there's

653
00:34:08,280 --> 00:34:11,440
only so much injections and medications can do, and a

654
00:34:11,519 --> 00:34:13,880
lot of it is just to help buy you time

655
00:34:13,960 --> 00:34:17,079
so you can engage your body to heal a certain

656
00:34:17,159 --> 00:34:20,000
way and adjust a certain way so that you can

657
00:34:20,079 --> 00:34:22,239
do the things you want to do. So I really

658
00:34:22,320 --> 00:34:24,639
really do commend you on that pool therapy stuff.

659
00:34:24,719 --> 00:34:25,400
Speaker 13: It's huge.

660
00:34:25,519 --> 00:34:28,440
Speaker 6: And that's that's the thing about taking care of yourself

661
00:34:28,559 --> 00:34:31,360
is it's you got to take care of yourself in totality.

662
00:34:31,519 --> 00:34:34,239
I have a therapist, I get in the pool every week,

663
00:34:34,320 --> 00:34:37,280
I watch my diet, I take my medications regularly. I

664
00:34:37,400 --> 00:34:41,039
take my treatments regularly most of the time. Sometimes I

665
00:34:41,159 --> 00:34:42,920
might try and stretch it out a little bit, and

666
00:34:43,000 --> 00:34:44,920
then I get a little bet you can stretch it

667
00:34:45,760 --> 00:34:46,800
and I come in sooner.

668
00:34:47,159 --> 00:34:48,320
Speaker 13: But there's so much you can do.

669
00:34:48,519 --> 00:34:50,760
Speaker 6: You don't have to the biggest thing I want people

670
00:34:50,840 --> 00:34:52,440
to take away I want you to hear today is

671
00:34:52,840 --> 00:34:54,480
you don't have to suffer.

672
00:34:55,280 --> 00:34:56,480
Speaker 2: You don't have to.

673
00:34:56,760 --> 00:34:58,840
Speaker 6: There are so many things I missed out on because

674
00:34:58,880 --> 00:35:02,159
I was suffering and I couldn't go. But I get

675
00:35:02,199 --> 00:35:05,239
regular treatment and I get to go to the Mosaic

676
00:35:05,440 --> 00:35:08,519
Art Gallery, which we picked up my paintings yesterday. I

677
00:35:08,719 --> 00:35:11,719
actually sold one for the first time out of the gallery,

678
00:35:11,800 --> 00:35:12,679
which was amazing.

679
00:35:12,840 --> 00:35:15,239
Speaker 13: That's right, an artist, I remember.

680
00:35:14,960 --> 00:35:17,760
Speaker 6: That happens yesterday, right, So I would have never gotten

681
00:35:17,800 --> 00:35:20,599
to take place, take part in that, go to the opening,

682
00:35:21,039 --> 00:35:23,039
stand next to my painting on the wall, and fail

683
00:35:23,119 --> 00:35:27,079
pride because I wasn't too much pain right, So you

684
00:35:27,199 --> 00:35:29,800
can have It's worth it. It's worth it to get

685
00:35:29,840 --> 00:35:31,199
the treatment because you get so much.

686
00:35:31,039 --> 00:35:31,800
Speaker 13: Of your life back.

687
00:35:32,400 --> 00:35:34,320
Speaker 14: And can I just add to what you're saying, Jenny,

688
00:35:34,400 --> 00:35:37,679
And again this also falls within our philosophy, is that

689
00:35:38,119 --> 00:35:41,679
if we make we help you feel good from say

690
00:35:42,039 --> 00:35:48,320
whatever base level to higher level, intermediate level, that mental

691
00:35:48,519 --> 00:35:51,880
health aspect that you have from feeling just a little

692
00:35:52,000 --> 00:35:54,760
better to be able to go and embrace and do

693
00:35:54,920 --> 00:35:57,639
the things you want to do, such as going to

694
00:35:57,719 --> 00:36:02,360
the art galleries, you know, going in and taking those

695
00:36:02,480 --> 00:36:08,360
walks that is neurochemically going to reinforce your feeling of

696
00:36:08,840 --> 00:36:12,960
of of reward and feeling better, and that in itself

697
00:36:13,800 --> 00:36:18,000
will will basically take you on the path on recovery

698
00:36:18,039 --> 00:36:21,440
from pain. So it's not just physical physiological pain, but

699
00:36:21,519 --> 00:36:25,039
it's also psychological emotional pain kind of about that we

700
00:36:25,239 --> 00:36:28,559
try to help really achieve relief.

701
00:36:28,320 --> 00:36:32,440
Speaker 10: For Yeah, I'm curious, doctor Bough if over the course

702
00:36:32,480 --> 00:36:34,719
of your career, have you seen a lot of advancements

703
00:36:34,800 --> 00:36:39,559
in terms of techniques or technologies that you know that

704
00:36:39,679 --> 00:36:42,000
have that have really kind of helped to enhance what

705
00:36:42,119 --> 00:36:42,280
you do?

706
00:36:42,559 --> 00:36:42,719
Speaker 11: Oh?

707
00:36:42,840 --> 00:36:44,920
Speaker 13: Oh, phenomenally, phenomenally.

708
00:36:45,119 --> 00:36:45,239
Speaker 2: Uh.

709
00:36:45,920 --> 00:36:46,559
Speaker 13: I can tell you.

710
00:36:48,480 --> 00:36:51,920
Speaker 14: One thing is that the field of medicine in itself

711
00:36:52,880 --> 00:36:58,039
has evolved so tremendously, it tends to move a little

712
00:36:58,159 --> 00:37:03,239
slower because, like if you look at the example of telephones, right,

713
00:37:03,320 --> 00:37:06,960
the iPhone, I mean, what was it maybe two decades

714
00:37:06,960 --> 00:37:08,519
ago we had the flip phone, right?

715
00:37:08,599 --> 00:37:12,760
Speaker 13: Oh yeah, so wait what two decades ago? Was two thousands?

716
00:37:12,840 --> 00:37:12,960
Speaker 3: Right?

717
00:37:13,480 --> 00:37:15,480
Speaker 14: We had like flip phones back in the two thousands,

718
00:37:16,159 --> 00:37:20,400
And I mean I still remember that Motorola, that Motoro

719
00:37:20,480 --> 00:37:20,960
flipt phone.

720
00:37:21,000 --> 00:37:25,800
Speaker 13: That yes, And then there's the BlackBerry with the little keyboard.

721
00:37:28,280 --> 00:37:30,800
Speaker 14: So if you think of the evolution of the cell

722
00:37:30,920 --> 00:37:36,800
phone from you know, or telecommunications from pagers to flip

723
00:37:36,840 --> 00:37:40,760
phones to BlackBerry and now to these mini computers that

724
00:37:41,119 --> 00:37:43,960
live in your hand and you can talk to it

725
00:37:44,079 --> 00:37:47,199
and it talks back, tell it what to do, and

726
00:37:47,280 --> 00:37:49,159
it does it for you to throws the map up like,

727
00:37:49,840 --> 00:37:52,880
that's the evolution of medicine as well, because those technologies

728
00:37:53,039 --> 00:37:57,800
do migrate over to medicine. However, medicine tends to adopt

729
00:37:57,840 --> 00:38:01,039
it a little slower because providers tend to be a

730
00:38:01,039 --> 00:38:05,840
little more cautious because of you know, too aggressive of

731
00:38:05,960 --> 00:38:11,679
treatments or to to aggressive advancements of adoption without studying

732
00:38:12,719 --> 00:38:17,519
the adverse effects of it as as closely could be

733
00:38:17,599 --> 00:38:19,639
detrimental for people. And that's why you know, the FDA

734
00:38:19,760 --> 00:38:22,239
has been very involved with those things. But in terms

735
00:38:22,280 --> 00:38:27,920
of pain management, it is extremely evolutionary. And it's evolutionary

736
00:38:28,079 --> 00:38:33,039
not just in medication management, not just in you know,

737
00:38:33,599 --> 00:38:39,079
the multidisciplinary approach and thinking about pain and suffering not

738
00:38:39,320 --> 00:38:42,039
just from you know, a mechanical but also you know,

739
00:38:42,800 --> 00:38:47,960
in emotional, psychological, but also in like techniques. So I

740
00:38:48,079 --> 00:38:52,639
say that because they have for example, needles out there

741
00:38:52,840 --> 00:38:55,760
right that you put it into the patient. For radio

742
00:38:55,760 --> 00:38:58,480
frequency evlations, you push a little lever and all of

743
00:38:58,480 --> 00:38:59,920
a sudden, boom, it comes out like a try to

744
00:39:00,920 --> 00:39:02,840
so it covers a larger area. But the problem is

745
00:39:02,840 --> 00:39:05,280
those needles are extremely expensive. That it doesn't mean it

746
00:39:05,400 --> 00:39:10,079
makes it very difficult to cost cover the cost of treatment.

747
00:39:12,400 --> 00:39:12,639
Speaker 2: They have.

748
00:39:13,000 --> 00:39:16,039
Speaker 14: You know, they have implants and procedures that the pain

749
00:39:16,159 --> 00:39:18,679
doctor does that comes very close to what the spine

750
00:39:18,760 --> 00:39:21,800
surgeons somewhat do, but not as good as spine sorts.

751
00:39:21,840 --> 00:39:25,360
I would never never detract from what the spine surgeons

752
00:39:25,440 --> 00:39:28,960
do because they do excellent work and it's so phenomenal

753
00:39:29,039 --> 00:39:31,559
to see the results of what they do. But there's

754
00:39:31,599 --> 00:39:36,719
been you know, techniques and devices developed where spine surgeons

755
00:39:36,760 --> 00:39:39,519
are doing it, and they're teaching pain physicians to do

756
00:39:39,559 --> 00:39:43,440
an under X ray two and the costs are phenomenally less,

757
00:39:43,760 --> 00:39:45,199
really phenomenally less.

758
00:39:45,320 --> 00:39:47,159
Speaker 13: But you know, what are the results.

759
00:39:47,239 --> 00:39:50,360
Speaker 14: I don't know right They're still being studied. They're probably

760
00:39:50,440 --> 00:39:54,960
not as as effective as the current standard, and some

761
00:39:55,119 --> 00:39:57,519
maybe even more effective, but we just don't know fully yet.

762
00:39:57,920 --> 00:40:00,760
I mean, preliminary studies have come out enough to get

763
00:40:00,800 --> 00:40:04,639
them approved, but long term studies are not fully there

764
00:40:04,719 --> 00:40:06,679
yet to to clarify what.

765
00:40:06,800 --> 00:40:08,519
Speaker 13: The advantages and disadvantages are.

766
00:40:09,599 --> 00:40:13,119
Speaker 14: But again, you know, in this American you know, westernized

767
00:40:14,039 --> 00:40:19,760
market environment that we have in America, sometimes those those

768
00:40:19,880 --> 00:40:22,920
therapies take precedent because they're cheaper to the insurers and

769
00:40:23,039 --> 00:40:26,239
the payers and and and there's you know, better margins

770
00:40:26,280 --> 00:40:28,280
to be made by the healthcare systems because.

771
00:40:28,079 --> 00:40:32,159
Speaker 6: Of that, right, right, that's always way one thing that

772
00:40:32,239 --> 00:40:34,199
people get a lot And I was curious to ask

773
00:40:34,239 --> 00:40:36,119
you the question on air for every for other people

774
00:40:36,199 --> 00:40:39,239
as well, is what do you do to help people

775
00:40:39,360 --> 00:40:42,119
with like really bad headaches migraines?

776
00:40:44,079 --> 00:40:44,599
Speaker 13: Great question.

777
00:40:45,639 --> 00:40:48,840
Speaker 14: So we we deal with a lot of migraines, and

778
00:40:49,320 --> 00:40:51,760
we you know, we deal with a lot of headaches.

779
00:40:51,840 --> 00:40:56,239
We have a lot of approaches that you know, are

780
00:40:56,360 --> 00:41:00,119
specifically pain management related, and a lot of approaches that

781
00:41:00,239 --> 00:41:04,119
you know, we've worked with UH that are fall within neurology,

782
00:41:04,639 --> 00:41:07,800
but neurology also leaks over to pain management and some

783
00:41:07,960 --> 00:41:10,679
of the challenges are some of those therapies we've we've

784
00:41:10,719 --> 00:41:14,000
adopted and employed because there's such a shortage of neurologists

785
00:41:14,039 --> 00:41:17,880
here in New Hampshire. There's a huge shortage of neurologists.

786
00:41:17,880 --> 00:41:21,360
I mean, we get comments all the time that, uh,

787
00:41:21,840 --> 00:41:24,079
you know, I can't see my neurologists for another six months.

788
00:41:24,360 --> 00:41:26,159
Speaker 6: Oh I it took me over a year to get

789
00:41:26,480 --> 00:41:28,800
into my neurologist's office on a wait list.

790
00:41:28,880 --> 00:41:29,119
Speaker 13: Wow.

791
00:41:29,360 --> 00:41:32,360
Speaker 14: And it's insane. And we're like, well, you know, we

792
00:41:32,480 --> 00:41:34,920
try to accommodate you. We'll, we'll figure it out. We'll

793
00:41:34,960 --> 00:41:38,599
we'll try to adopt some of those measures to help

794
00:41:38,679 --> 00:41:42,960
with pain management, with migrain and headache management. But again,

795
00:41:43,840 --> 00:41:46,639
you know, the the experts on those are the neurologists.

796
00:41:47,159 --> 00:41:49,440
But you know, we we've been able to accommodate some

797
00:41:49,440 --> 00:41:51,599
of those. And some of those include, of course, you know, therapeutics,

798
00:41:51,679 --> 00:41:58,000
right like medications. There's been a pardon me, burgeoning class

799
00:41:58,119 --> 00:42:01,079
of therapeutics that are pretty effective.

800
00:42:00,719 --> 00:42:02,079
Speaker 13: On migraine management.

801
00:42:02,159 --> 00:42:04,440
Speaker 14: But again they're more expensive and they're on patents, so

802
00:42:04,559 --> 00:42:08,760
there's they don't fall within the insurance algorithms as as

803
00:42:08,880 --> 00:42:11,760
readily accessible. And those tend to be the calcitonin gene

804
00:42:11,880 --> 00:42:17,920
receptor peptide antagonists to see g RP receptor antagonists, and

805
00:42:18,000 --> 00:42:22,159
those include some medications that you can take orally once

806
00:42:22,199 --> 00:42:24,320
a month, injections injectables.

807
00:42:25,320 --> 00:42:29,400
Speaker 13: Those help. We also leak over to.

808
00:42:29,719 --> 00:42:31,760
Speaker 14: Just in eventual pain manage itself, is that a lot

809
00:42:31,800 --> 00:42:34,079
of the headaches are not just migraines, but they could

810
00:42:34,119 --> 00:42:38,400
be related to the cervical spine, and we call those

811
00:42:38,440 --> 00:42:45,239
cervicogenic headaches. You know, where where the headaches are are

812
00:42:45,360 --> 00:42:48,039
from irritation of the nerves that cut off the cervical spine,

813
00:42:48,440 --> 00:42:50,320
that cause spasms of the muscles in the back of

814
00:42:50,400 --> 00:42:52,440
the neck, the upper lower part of the head, and

815
00:42:52,519 --> 00:42:57,000
then you know, through collateral innervation end up being experienced

816
00:42:57,000 --> 00:43:00,519
as a headache. You know, we have occipital nerves, you know,

817
00:43:00,679 --> 00:43:03,719
greater and lesser eximple nerves that tend to be irritated from,

818
00:43:04,000 --> 00:43:06,519
you know, irritation of some type, whether it's spasm or

819
00:43:06,960 --> 00:43:10,239
just fibers tissue irritation. So so there's a lot of

820
00:43:10,440 --> 00:43:14,800
ways that we can deal with headache that kind of

821
00:43:14,880 --> 00:43:17,800
overlap somewhat with some of the neurologists. Again they're the experts,

822
00:43:17,840 --> 00:43:21,000
you know. I always love my neurology colleagues. Wish I

823
00:43:21,159 --> 00:43:22,880
was able to spend more time with them. Sometimes we

824
00:43:22,960 --> 00:43:25,079
do get a special guest that comes to our office

825
00:43:25,599 --> 00:43:29,199
to interact with us about neurology. Sometimes we we've touched

826
00:43:29,239 --> 00:43:34,559
base with some of the neurologists in the Northeast area

827
00:43:34,679 --> 00:43:37,119
that we've gone to dinner. Yeah, but again they're they're

828
00:43:37,400 --> 00:43:43,079
they're far and few between, because somehow there's such a

829
00:43:43,159 --> 00:43:46,440
shortage of them. And I know that there's been, you know,

830
00:43:46,519 --> 00:43:49,000
some dynamics that have occurred with health systems that have

831
00:43:50,440 --> 00:43:53,519
made some shifts in neurology access as well in the

832
00:43:53,559 --> 00:43:58,000
in the New Hampshire area. So it's been interesting. But yes, yes,

833
00:43:58,119 --> 00:43:59,400
we have lots of little things we could do for

834
00:43:59,480 --> 00:44:00,159
migraines as well.

835
00:44:00,239 --> 00:44:00,880
Speaker 13: Yeah, headaches.

836
00:44:00,880 --> 00:44:03,119
Speaker 11: It's pretty common, right, migraines.

837
00:44:02,719 --> 00:44:05,159
Speaker 14: And migraines and headaches. So one thing I just want

838
00:44:05,199 --> 00:44:07,000
to say is that people when they have a headache,

839
00:44:07,000 --> 00:44:09,880
they call it a migraine, but it's not always a migraine.

840
00:44:09,880 --> 00:44:12,880
There's there's a specific criteria for migraine. There's specific criteria

841
00:44:12,880 --> 00:44:14,719
for different types of headaches, like cluster headaches.

842
00:44:14,800 --> 00:44:17,519
Speaker 11: Yeah. Oh I know someone who's who's had to deal

843
00:44:17,559 --> 00:44:19,119
with cluster headaches, right, yeah.

844
00:44:19,079 --> 00:44:22,039
Speaker 14: Just yeah, they have a whole cervic progenic headaches. So again,

845
00:44:22,280 --> 00:44:25,320
you know, we're there to discern between those things. It's

846
00:44:25,400 --> 00:44:28,599
not just you know, one label and it falls within

847
00:44:28,679 --> 00:44:31,400
that we tend to try to tease apart. What's the

848
00:44:31,719 --> 00:44:32,800
real root cause of it?

849
00:44:33,039 --> 00:44:36,360
Speaker 10: Yeah, yeah, what's the most common back pain? I would assume, right,

850
00:44:36,480 --> 00:44:37,920
is the most common back pain.

851
00:44:38,199 --> 00:44:45,239
Speaker 14: Neck pain, injury related pain is very common. Yeah, just

852
00:44:45,320 --> 00:44:49,960
a lot of arthritic pain. Degenerative joint pain is very

853
00:44:50,119 --> 00:44:54,480
very common. And and just remember that anytime anyone's in

854
00:44:55,480 --> 00:45:00,559
mechanical physiological pain, it evolves into the psychologue.

855
00:45:00,400 --> 00:45:02,559
Speaker 13: Pain and that that.

856
00:45:04,119 --> 00:45:08,119
Speaker 14: You know, combinatory source of pain, and it becomes very

857
00:45:08,159 --> 00:45:10,320
difficult to break. And so that's that's the art of

858
00:45:10,400 --> 00:45:13,199
pain management. How do we break one to help decrease

859
00:45:13,239 --> 00:45:14,639
the other, then how do we break the other.

860
00:45:15,880 --> 00:45:18,239
Speaker 6: One of the aspects of of pain that I call

861
00:45:18,280 --> 00:45:21,880
it is payingry when I'm in so much pain that

862
00:45:22,880 --> 00:45:25,880
it's not it's not about anybody else, but everything is

863
00:45:25,960 --> 00:45:28,760
short fused, everything is tight. I'm hurting so much that

864
00:45:29,559 --> 00:45:31,760
I might come off like I'm really angry, but it's

865
00:45:31,880 --> 00:45:35,760
it's really painger. It's it's it's not it's not a

866
00:45:35,920 --> 00:45:38,480
normal sense of anger, if that makes sense.

867
00:45:38,559 --> 00:45:40,440
Speaker 12: But yeah, that's that's kind of a term.

868
00:45:40,360 --> 00:45:40,800
Speaker 8: That we use.

869
00:45:41,079 --> 00:45:43,760
Speaker 13: Is real because if not, we should quit it.

870
00:45:43,880 --> 00:45:46,960
Speaker 6: It isn't it isn't our world. It isn't our world

871
00:45:47,000 --> 00:45:48,800
because I've seen it before, I've used it in some

872
00:45:48,960 --> 00:45:52,440
of my writings. I don't know where the original coin

873
00:45:52,599 --> 00:45:53,280
is come from.

874
00:45:53,480 --> 00:45:54,800
Speaker 12: I know, I don't take credit for that.

875
00:45:56,920 --> 00:45:58,239
Speaker 13: I don't know straight on the show.

876
00:46:00,239 --> 00:46:03,440
Speaker 6: It's a real phenomenon, and your your loved ones don't

877
00:46:03,480 --> 00:46:05,599
necessarily really oh they're in a bad mood. It's like,

878
00:46:05,679 --> 00:46:08,320
oh god, I'm not in a bad mood. I'm really suffering.

879
00:46:08,480 --> 00:46:11,280
Yeah you know, but yeah you don't. That's the thing,

880
00:46:11,400 --> 00:46:12,079
that's the real thing.

881
00:46:12,320 --> 00:46:14,280
Speaker 14: And this is why I want to give a positive

882
00:46:14,320 --> 00:46:17,880
stroke and a very very you know, highlighted comment to

883
00:46:17,960 --> 00:46:21,679
my staff is that they are the front line of

884
00:46:22,400 --> 00:46:25,639
dealing with, you know, patients, and a lot of these

885
00:46:25,760 --> 00:46:28,960
patients call in and come in with angry syndrome.

886
00:46:29,159 --> 00:46:31,039
Speaker 13: Yeah yeah, very angry.

887
00:46:31,239 --> 00:46:31,800
Speaker 11: Yeah yeah.

888
00:46:31,920 --> 00:46:34,239
Speaker 12: And it's not them and they're wonderful and they're sitting

889
00:46:34,280 --> 00:46:35,320
there taking it and you're.

890
00:46:35,199 --> 00:46:36,280
Speaker 13: Like, but I need the appointment.

891
00:46:36,599 --> 00:46:38,559
Speaker 14: Yes, yes, and so and so I just want to

892
00:46:38,599 --> 00:46:42,639
say that, yes, it's it's a very notable occurrence. I

893
00:46:42,719 --> 00:46:44,679
can only say that, you know, I'm very grateful for

894
00:46:44,840 --> 00:46:48,519
the staff to be able to to, you know, oh

895
00:46:48,800 --> 00:46:53,719
humbly and craftily handle those situations without without being too

896
00:46:53,800 --> 00:46:56,159
affected by it, but does affect all of us of course.

897
00:46:56,400 --> 00:46:56,639
Speaker 8: Yeah.

898
00:46:56,840 --> 00:46:59,039
Speaker 6: I mean you call up like I've called up and

899
00:46:59,119 --> 00:47:02,440
been crying, Oh this went wrong and I'm really hurting,

900
00:47:02,719 --> 00:47:04,599
and they're just all right, we got you.

901
00:47:05,280 --> 00:47:06,480
Speaker 12: Where are we going, Let's get a date?

902
00:47:06,639 --> 00:47:06,800
Speaker 8: You know.

903
00:47:07,440 --> 00:47:09,280
Speaker 14: So So one of my most common words that I

904
00:47:09,400 --> 00:47:14,239
use during the day is ou So you know how

905
00:47:14,280 --> 00:47:17,159
you take a breath back and you catch yourself. So

906
00:47:17,719 --> 00:47:20,039
so that's that's one thing I think that could help

907
00:47:20,480 --> 00:47:23,840
patients when they go through a paining gree episode or

908
00:47:23,920 --> 00:47:26,360
pain paining gry episode is take a step back and

909
00:47:26,480 --> 00:47:30,280
just kind of take a deep breath and let it out,

910
00:47:30,360 --> 00:47:33,800
you know, like like like you know, like yes.

911
00:47:34,599 --> 00:47:38,880
Speaker 11: Yes, I do a lot of Yeah. I don't know

912
00:47:38,920 --> 00:47:40,119
if you I think you know this about me.

913
00:47:40,119 --> 00:47:42,719
Speaker 10: I'm a hypnotherapist and I do a lot of what

914
00:47:42,840 --> 00:47:45,039
I'm bringing a client and the hypnosis. We do a

915
00:47:45,079 --> 00:47:49,119
lot of breathing, ironic given my recent asthma issue, but

916
00:47:49,239 --> 00:47:51,639
but we do a lot of you know, deep breathing,

917
00:47:51,679 --> 00:47:54,320
and I try to I do a little bit of pain.

918
00:47:54,280 --> 00:47:55,119
Speaker 11: Management with that too.

919
00:47:55,239 --> 00:47:57,280
Speaker 10: Sometimes sometimes with clients, just to kind of help them,

920
00:47:57,719 --> 00:47:59,760
I try to get them to do a visualization where

921
00:47:59,760 --> 00:48:01,920
they am imagine the pain not as a feeling or

922
00:48:01,920 --> 00:48:04,000
a sensation, but as an object that's in them that

923
00:48:04,079 --> 00:48:07,000
they can remove, that they can actually push out. And

924
00:48:07,280 --> 00:48:09,639
sometimes it's helpful for people. But but we do a

925
00:48:09,679 --> 00:48:11,960
lot of breathing stuff, you know. I get them to

926
00:48:12,320 --> 00:48:14,800
you know, breathe out any negative energy that they're carrying

927
00:48:14,880 --> 00:48:16,920
around and breathe in positive energy and all that.

928
00:48:16,960 --> 00:48:17,239
Speaker 11: Kind of thing.

929
00:48:17,400 --> 00:48:21,199
Speaker 14: That's phenomenal. Matt, you should maybe become a hypno therapist

930
00:48:21,280 --> 00:48:24,360
for pain. Well, I do, just do it.

931
00:48:24,400 --> 00:48:27,480
Speaker 13: When somebody asked about it, Oh yeah, yeah, I really, yeah.

932
00:48:27,400 --> 00:48:28,679
Speaker 11: I meant most of my clients.

933
00:48:28,719 --> 00:48:31,079
Speaker 10: It's not something I get approached about much because most

934
00:48:31,119 --> 00:48:33,599
of my clients the number one thing is quitting smoking,

935
00:48:33,840 --> 00:48:36,960
of course, which is true for any epnotherapist. And I

936
00:48:37,039 --> 00:48:39,039
do a lot of you know, stress management and all

937
00:48:39,079 --> 00:48:42,000
that kind of thing, weight loss of phobias. So it's

938
00:48:42,119 --> 00:48:45,199
not actually very common that anyone that a client approaches

939
00:48:45,280 --> 00:48:47,760
me for help with pain management, but I do it,

940
00:48:47,800 --> 00:48:49,360
and I actually have a certification in it.

941
00:48:49,480 --> 00:48:53,840
Speaker 6: It's really and you also have hypno birthing. I do, yes,

942
00:48:54,159 --> 00:48:57,519
hypno birthing, yes, yeah, wow, Yes, you can use hypnosis

943
00:48:57,599 --> 00:49:00,639
in childbirth yep to not feel like theabor pains.

944
00:49:06,360 --> 00:49:10,079
Speaker 13: Maybe an epidural are amazing.

945
00:49:10,159 --> 00:49:12,000
Speaker 12: Let me tell you, I didn't get one when I

946
00:49:12,039 --> 00:49:12,960
gave birth to my son.

947
00:49:13,280 --> 00:49:15,440
Speaker 6: Unfortunately, by the time I was smart enough to ask,

948
00:49:15,559 --> 00:49:19,480
they said the window was closed. So so just so

949
00:49:19,599 --> 00:49:22,519
you know, my my latter my prior life before I

950
00:49:22,639 --> 00:49:25,880
went into pain management was that I was an upstetric antithesiologist.

951
00:49:26,599 --> 00:49:28,840
Speaker 13: So so I know the epidural very well.

952
00:49:29,119 --> 00:49:31,760
Speaker 14: And I just want to make a comment that that

953
00:49:32,280 --> 00:49:36,800
it's always good if there's no major contraindications to get

954
00:49:36,840 --> 00:49:40,960
the epidural early, because that epidural not only helps you

955
00:49:41,159 --> 00:49:43,960
experience for for women that are going through labor, that

956
00:49:44,079 --> 00:49:47,320
only helps you experience the birthing process in a much

957
00:49:47,360 --> 00:49:50,360
more pleasant manner, especially if it's working well. It's a

958
00:49:50,599 --> 00:49:53,360
very from a medical standpoint, it's it's probably one of

959
00:49:53,400 --> 00:49:57,599
the best life saving tools that the antiseesiologist and the

960
00:49:57,639 --> 00:50:01,320
medical team has to deal with any emergencies that may

961
00:50:01,400 --> 00:50:05,280
arise that are so fast paced when you're going through

962
00:50:05,320 --> 00:50:09,119
the process. So so I've always been an advocate, get

963
00:50:09,159 --> 00:50:12,599
it early. Let's make sure it works. And if even

964
00:50:12,599 --> 00:50:14,960
if you don't want to receive the the the the

965
00:50:15,039 --> 00:50:16,119
relief from it, that's okay.

966
00:50:16,440 --> 00:50:17,360
Speaker 13: We can shut it off.

967
00:50:17,440 --> 00:50:20,039
Speaker 14: But as long as it's working and it's there, and

968
00:50:20,159 --> 00:50:24,679
if something some badness occurs, it's it's one of our

969
00:50:24,960 --> 00:50:28,239
best if it's one of our best tools to get

970
00:50:28,320 --> 00:50:29,679
you through the whole process safely.

971
00:50:30,440 --> 00:50:35,000
Speaker 6: Okay, Now you have two offices, so you can see

972
00:50:35,000 --> 00:50:36,400
people in two different locations.

973
00:50:36,480 --> 00:50:38,519
Speaker 12: Now, yes, I want to make sure listeners know where

974
00:50:38,559 --> 00:50:38,800
you are.

975
00:50:39,000 --> 00:50:41,599
Speaker 14: Yes, yes, So, so we we have our main location

976
00:50:42,000 --> 00:50:45,599
in Newington, New Hampshire, and that was the well the

977
00:50:45,639 --> 00:50:48,360
original one was actually an Exeter and we started with

978
00:50:48,440 --> 00:50:52,199
doctor Sanchez, Manuel Sanchez, and and God bless his soul,

979
00:50:52,320 --> 00:50:52,840
he's such.

980
00:50:52,719 --> 00:50:59,480
Speaker 13: As I still love that man so much.

981
00:51:00,280 --> 00:51:04,440
Speaker 14: Nice he is such, he is such that Spanish European

982
00:51:05,320 --> 00:51:09,960
classy gentleman flair that that and and and his teachings,

983
00:51:10,079 --> 00:51:12,079
I mean, I can only tell you his teachings still

984
00:51:12,119 --> 00:51:19,119
come with me today till today. He he he really

985
00:51:19,280 --> 00:51:22,960
really uh impressed on me how to really take care

986
00:51:23,039 --> 00:51:25,719
of patients here in New Hampshire just you know, but

987
00:51:26,360 --> 00:51:29,599
our original office was actually an Exeter and then when

988
00:51:29,639 --> 00:51:32,519
I joined in shortly after we went to Newington and

989
00:51:32,599 --> 00:51:35,400
then recently just opened up a new office in new Market.

990
00:51:35,800 --> 00:51:37,480
Speaker 11: Congratulations, Well, thank you, thank you.

991
00:51:37,559 --> 00:51:41,559
Speaker 14: It's been a little slow of opening. I'm not there

992
00:51:41,719 --> 00:51:46,039
often just because I'm pretty tied down in the Newington location,

993
00:51:46,400 --> 00:51:48,519
but my staff is there a lot and and we

994
00:51:48,639 --> 00:51:51,239
do a lot of uh we're starting to roll out,

995
00:51:51,360 --> 00:51:54,239
you know, a lot more clinical time there. The building

996
00:51:54,239 --> 00:51:56,679
is still under development, you know, the section for the

997
00:51:56,760 --> 00:51:59,400
paint for the clinic is already ready to go.

998
00:52:00,360 --> 00:52:02,000
Speaker 13: But it's beautiful. I mean, I'm sure you've been there

999
00:52:02,079 --> 00:52:03,079
right the.

1000
00:52:05,639 --> 00:52:05,880
Speaker 11: Area.

1001
00:52:06,039 --> 00:52:07,920
Speaker 13: Oh we should we should come here sometime to the

1002
00:52:07,960 --> 00:52:09,840
new one now. Oh yeah, yeah, it's really nice.

1003
00:52:10,119 --> 00:52:13,239
Speaker 6: It's uh I usually go into the r Yeah, so

1004
00:52:13,360 --> 00:52:15,880
I'm always at the at the Newington office.

1005
00:52:16,760 --> 00:52:19,199
Speaker 14: Honestly, if my wife let me live up in the

1006
00:52:19,360 --> 00:52:21,920
new Market of them, I have like place where I

1007
00:52:21,960 --> 00:52:25,840
live at home. Yeah, it's it's new, you know, it's new,

1008
00:52:26,000 --> 00:52:29,639
it's fresh. You know, we put new flooring in. It's

1009
00:52:29,719 --> 00:52:31,239
just pretty. I just think it's really pretty.

1010
00:52:31,440 --> 00:52:31,679
Speaker 11: Yeah.

1011
00:52:31,920 --> 00:52:36,239
Speaker 10: Yeah, oh very good, Yeah good, Yeah, what U now

1012
00:52:36,320 --> 00:52:39,039
did you have any other plans for expansion beyond that

1013
00:52:39,320 --> 00:52:40,000
in the future.

1014
00:52:40,239 --> 00:52:41,679
Speaker 13: You know, it's a great question.

1015
00:52:41,840 --> 00:52:44,880
Speaker 14: I mean, you know, I'd love to be like Doctor

1016
00:52:44,960 --> 00:52:47,519
Evil out of uh what's that movie?

1017
00:52:47,679 --> 00:52:50,679
Speaker 13: Uh it's a little world domination.

1018
00:52:51,440 --> 00:52:55,960
Speaker 14: But no, realistically it's slow and steady. Yeah, we uh,

1019
00:52:56,400 --> 00:53:01,280
you know, it's it's basically staffing and and a patient

1020
00:53:01,679 --> 00:53:04,119
you know, accommodation issue.

1021
00:53:04,199 --> 00:53:05,679
Speaker 13: It's just we go slow and steady.

1022
00:53:05,880 --> 00:53:09,039
Speaker 14: I think as long as you know, we're able to

1023
00:53:09,039 --> 00:53:11,599
accommodate patients and we're able to figure out areas that

1024
00:53:12,519 --> 00:53:17,320
that there is need right like you know, up here

1025
00:53:17,480 --> 00:53:19,719
near the Manchester area, I think there's more need because

1026
00:53:19,719 --> 00:53:21,880
I know there's been some shifting in the pain management

1027
00:53:22,480 --> 00:53:28,360
atmosphere here in New Hampshire. We would definitely think about

1028
00:53:28,400 --> 00:53:31,119
expanding more. But again, it's just it's I'm very slow

1029
00:53:31,199 --> 00:53:34,760
and steady. I've I've always been very conservative, and I know,

1030
00:53:35,000 --> 00:53:37,760
you know, my administrative staff is always asked, why don't

1031
00:53:37,760 --> 00:53:39,159
we do this, why don't we do that? We get

1032
00:53:39,199 --> 00:53:41,639
vendors all the time coming in and going, hey, let's

1033
00:53:41,679 --> 00:53:44,840
do this and do that. Yeah, and I'm just very

1034
00:53:44,920 --> 00:53:48,199
slow and steady. I just yeah, I just I think

1035
00:53:48,239 --> 00:53:52,800
that's probably wise. Well, it's it's only because we have

1036
00:53:53,000 --> 00:53:55,559
something that works right now, and you know, we we

1037
00:53:55,880 --> 00:53:58,320
have a lot of positive feedback from the community and

1038
00:53:58,400 --> 00:54:02,960
from patients, and so to to to add another element

1039
00:54:03,079 --> 00:54:05,239
into something that works has to take a lot of

1040
00:54:05,440 --> 00:54:10,000
thought and h and consideration because you know, we want

1041
00:54:10,039 --> 00:54:11,719
to make sure that we're still doing the best that

1042
00:54:11,840 --> 00:54:14,480
we can for people and for patients in the community

1043
00:54:15,000 --> 00:54:17,440
without without changing it too much. That's why again, the

1044
00:54:17,480 --> 00:54:20,880
slow and steady approach has always been my my, my,

1045
00:54:21,159 --> 00:54:21,840
my mindset.

1046
00:54:22,039 --> 00:54:24,519
Speaker 11: Yeah, no, I think that makes I think that makes sense.

1047
00:54:25,159 --> 00:54:26,599
Doctor No. This has been wonderful.

1048
00:54:26,639 --> 00:54:28,760
Speaker 10: We're already approaching the top of the hour that the time,

1049
00:54:29,400 --> 00:54:32,440
the time goes so quickly. Anything, we didn't mention that

1050
00:54:32,480 --> 00:54:33,679
we should make sure that we Uh.

1051
00:54:34,800 --> 00:54:37,519
Speaker 14: I just want to say, you know, happy new year

1052
00:54:37,679 --> 00:54:41,039
to everyone, for both of you, to everyone out there

1053
00:54:41,079 --> 00:54:45,400
in New Hampshire, to the uh you know, the general public.

1054
00:54:47,119 --> 00:54:52,079
I want to say that, uh, you know, we we

1055
00:54:52,320 --> 00:54:56,159
hope from Pain Specialty Group a fruitful and very successful

1056
00:54:56,239 --> 00:54:58,840
year and we're here to help if there's anything that

1057
00:54:58,960 --> 00:55:01,599
you need. I want to be thankful to my staff.

1058
00:55:02,199 --> 00:55:05,480
They've done a wonderful job take helping. You know, the

1059
00:55:05,559 --> 00:55:09,079
providers take care of the community, and we have lots

1060
00:55:09,159 --> 00:55:10,320
more exciting things to come.

1061
00:55:10,519 --> 00:55:10,719
Speaker 11: Yeah.

1062
00:55:10,760 --> 00:55:14,719
Speaker 6: Absolutely, you can find out more information at Painspecialtygroup dot com.

1063
00:55:15,280 --> 00:55:19,519
Pain Specialtygroup dot com will show you all the information

1064
00:55:19,599 --> 00:55:22,679
about the different treatments they offer, different types of problems

1065
00:55:22,719 --> 00:55:25,559
that they treat, and all the providers. Beautiful pictures are

1066
00:55:25,599 --> 00:55:27,800
on there so you can see more information about the providers.

1067
00:55:28,320 --> 00:55:30,840
I am a happy patient and I invite you to

1068
00:55:30,960 --> 00:55:31,880
have a pain free day.

1069
00:55:32,719 --> 00:55:33,960
Speaker 11: And it's a very nice website.

1070
00:55:33,960 --> 00:55:35,880
Speaker 10: By the way, I'm a web design nerd, so I

1071
00:55:37,000 --> 00:55:38,960
judge these things and it's a very nice website.

1072
00:55:39,079 --> 00:55:41,079
Speaker 13: Well, thank you, thank you. I don't take any credit

1073
00:55:41,119 --> 00:55:41,239
for you.

1074
00:55:42,760 --> 00:55:45,000
Speaker 10: You don't have time to design your own website, that's

1075
00:55:45,039 --> 00:55:47,440
for sure, I know, but no, but it's a great site.

1076
00:55:47,440 --> 00:55:50,760
And yes, Painspecialtygroup dot com and doctor No, thank you

1077
00:55:50,880 --> 00:55:51,280
so much.

1078
00:55:51,480 --> 00:55:52,480
Speaker 13: Thank you for having me on.

1079
00:55:52,719 --> 00:55:55,199
Speaker 10: Absolutely, we got to do this more often, Okay, like

1080
00:55:55,239 --> 00:55:57,280
we were talking about earlier, we definitely will. And if

1081
00:55:57,320 --> 00:56:00,840
you are listening live on Saturday morning here, crow Hill

1082
00:56:01,039 --> 00:56:03,159
is coming up next, so we got plenty more of

1083
00:56:03,400 --> 00:56:04,119
show to come.

1084
00:56:04,239 --> 00:56:04,920
Speaker 11: So don't go away.

1085
00:56:05,239 --> 00:56:10,559
Speaker 1: See running around in sound blue lights, flashboo, it will

1086
00:56:10,639 --> 00:56:15,039
never be found. The song Scrattian line, wob be sound yeah,

1087
00:56:15,400 --> 00:56:17,760
and make some memories to forget in the morning.

1088
00:56:18,880 --> 00:56:20,400
Speaker 2: It feels like caby.

1089
00:56:20,239 --> 00:56:23,159
Speaker 1: Can changes, but the people around you keep a smile

1090
00:56:23,239 --> 00:56:23,960
on the faces.

1091
00:56:24,039 --> 00:56:28,400
Speaker 3: Case I'm selling you, Yeah, I'm selling yeah, I'm selling real.

1092
00:56:29,920 --> 00:56:36,840
Speaker 8: So let's safety down and you can say it sounds

1093
00:56:37,480 --> 00:56:38,440
it's somebodom you.

1094
00:56:40,639 --> 00:56:43,880
Speaker 5: So funny thing spies.

1095
00:56:43,360 --> 00:56:50,639
Speaker 7: The big blacas, the slices, a dream created tail hearing men.

1096
00:56:52,320 --> 00:56:57,119
Let's come back to you in the sas, the big places,

1097
00:56:57,360 --> 00:57:00,159
the one of fay dream crest to.

1098
00:57:00,280 --> 00:57:21,840
Speaker 2: Tell you fucking the sign lies hundred smiles, so the

1099
00:57:22,000 --> 00:57:26,039
rise where the sun shining down on me and you

1100
00:57:26,719 --> 00:57:30,079
can't seem to hide that smiles. If we tell you

1101
00:57:30,159 --> 00:57:34,760
your story or two and it feels like everything changes.

1102
00:57:34,840 --> 00:57:35,960
But we've had that before.

1103
00:57:36,119 --> 00:57:39,599
Speaker 3: So while we're put through the paces, Yeah, I'm selling you, Yeah,

1104
00:57:39,639 --> 00:57:40,280
I'm selling you.

1105
00:57:40,960 --> 00:57:41,840
Speaker 2: Yeah, I'm selling you.

1106
00:57:43,719 --> 00:57:51,599
Speaker 7: So same down and you can sell it sound so

1107
00:57:51,800 --> 00:57:52,840
woo you out.

1108
00:57:54,480 --> 00:57:58,320
Speaker 5: From It's anything nice is the people l.

1109
00:58:00,480 --> 00:58:03,280
Speaker 4: Treams repregated, gim me.

1110
00:58:06,159 --> 00:58:11,599
Speaker 7: Met right, the spices, the people, the places for God,

1111
00:58:11,679 --> 00:58:14,199
our faces and dreams with briget.

1112
00:58:13,920 --> 00:58:15,559
Speaker 3: To take fulling me.

1113
00:58:18,480 --> 00:58:39,719
Speaker 2: Metal backing. I'm singing your song that will bring you lungsnight.

1114
00:58:41,800 --> 00:58:44,199
Speaker 1: That care in little world time has catch that have

1115
00:58:44,360 --> 00:58:45,119
you evening.

1116
00:58:44,960 --> 00:58:51,239
Speaker 8: Right because it's ten past five on a freezing winter's night.

1117
00:58:53,880 --> 00:58:55,920
Speaker 2: But with a smile and of faces will.

1118
00:58:55,880 --> 00:58:59,480
Speaker 8: Dance and so the sun dies, this will dancing. So

1119
00:58:59,639 --> 00:59:04,800
the rhymes let's go dancing. So the sare rides, let's

1120
00:59:04,840 --> 00:59:08,480
go dancers, or the saw rides, Let's go dance.

1121
00:59:08,519 --> 00:59:15,320
Speaker 9: And so the sore yes go bass are the sort.

1122
00:59:13,920 --> 00:59:16,119
Speaker 4: That's does it sounds sous?

1123
00:59:16,239 --> 00:59:17,639
Speaker 7: This is a passenger announcement.

1124
00:59:17,960 --> 00:59:20,480
Speaker 6: The twenty three bus will now the park can stand

1125
00:59:20,639 --> 00:59:22,440
nineteen and ten past time.

1126
00:59:22,320 --> 00:59:29,079
Speaker 4: Says pass The class laces are get to know.

1127
00:59:30,719 --> 00:59:31,000
Speaker 14: Y thing.

1128
00:59:32,280 --> 00:59:37,119
Speaker 7: Let's go past, guys, species, the basic form, the places,

1129
00:59:37,519 --> 00:59:44,920
what a spaces gates? Check there bet it, Let's go

1130
00:59:45,079 --> 00:59:45,559
back cha