RE: DCs as Primary Care Providers?

April 19, 2011

Okay: from the SOT standpoint:

He'll be a Category II (DDX between II and III is the temporal styloid....sometimes a II will have a one-visit overlay of a III and this guy sounds' as tho he might show that overlay); Block the pelvis, clean up the L & T spine and CT junction, check/release the fibular heads, set the pedal naviclar (these are the 'hooks'/ 'support' of the pelvis), lift the inferior occiput, release the medial ptergoids and set the cranial bowl; release the hiatal hernia - at 30# overweight, he WILL have one, gerd s/s or not. Repeat as necessary.

Nutritionally: Correcting the disc/cartliage at the TLJ becomes the next most important: liquid minerals, a 'float' x ~ 3 - 6 months with 5K of vit C; check the D level and get him on 10 K Vit D until it is at the 50 - 80 range (thank you, Tyna) and get him consuming water. (I teach my patients to use/replace daily 1/2 of the results of the formula: 2/3 of an ounce of water per # of body weight per day and yes, we figure it out right in front of them.)

To improve his sleep ("how often a week do you awaken rested? is often a telling question), introduce hm to liquid calcium taken in the evening with 10 grains of HCL (overweight with a hiatal hernia he has already either eliminated his HCL production with prevacid or the like and isn't digesting well to begin with).

If a muscle relaxer is needed along the way, the 303 Formula is almost always more effective than Flexoril.

For the cholesterol, a tablespoon (may need 2 - 3 tablespoons in the first 3 weeks of saturation/change) of coconut oil will balance HDLs, LDLs and Triglycerides nicely (with or without a statin.....I never take my pateitns off of their pharmaceuticals, that's up to their MD) within about 3 - 6 weeks. That 'never' law is made VERY clear to them so any question of "who told you to quit that?' doesn't come back to bite me. A patient may d/c that pharmaceutical themselves, I have no control over that.

Along the way, patients are taught about the dastardlyness of dairy and it's contribution to their pain and degeneration of cartilage. They are taught that they do not have to give up dairy, just cease getting it from the cow and use only plant sources...and yes, in our 'kitchen' we have a shelf full of all of those cartons so they can see what is 'okay' to use.

At the 4th visit, they are taught to use a Rebounder with my goal being refurbishment of the cartilage: the gentle bouncing (the feet never need to leave the mat) pumps the cartilage, encouraging rehydration/nourishment of this dense tissue. By this time, they have started the nutrients and are sleeping better so the body can focus on healing. I teach my patients they can achieve this rehydration/refurbishment - "to the extent your body will allow or your discipline will promote" - by 1) walking 5 miles/day (we know it takes at least 30 minutes of walking just to get 'juices' flowing, then they need to walk another 1/2 hour to 45 minutes to get 'saturation') or 2) bounce 10 - 30 minutes/day on the rebounder. NASA found that the rebounder provides "twice the exercise in half the time" .... increased oxygenation, circulation, hydration, etc. etc. etc.

3 - 6 weeks later, they are a new person! ......my fibros ... well that is another question for another day .... but they too achieve returning to their lives with all natural products. Many keep their pharmaceuticals around 'just in case' and I don't even TRY to disturb that sense of 'safety' or 'coverage'. I just teach them to use the natural products first.

It works when you work it .... and yes, it is not unusual to encounter a bit of resistance along the way : I usually walk around that and give them permission to question the results .... after they have proven to me that the program really isn't working for them. When they work the program, rarely does that happen. It always amuses me when "GD, she's right!" is heard. Pisses people off sometimes, they really want to prove me wrong. What they learn is that it isn't about being right, it is about getting back into their lives. You can't argue with results.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

Oregondcs From: vsaboe@...Date: Tue, 19 Apr 2011 17:13:03 -0700Subject: "DCs as Primary Care Providers?"

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 19, 2011

Okay, I’ll bite.

First, can we stipulate that Dr. Chestnut does not claim to own the truth; he merely points to it, challenging us to read the research.

What I have learned is that there is no pathology, only “adaptive physiology”. This man’s body is not stupid. The symptoms are a cry for help to alert him to change his environment. His environment can be location specific but it is also made up from habits.

Can we also stipulate that we don’t go running into the room assuming everything is a subluxation or poor diet? We perform a proper history and exam and document it properly as mandated by state law. Then we can get to work on some real problem solving. As for diagnosing and sending in care for insurance reimbursement, can we set that aside for another discussion?

Dividing wellness into the three areas:

How he moves: his spine has probably been stuck at several areas for a long time, an adaptive response in itself; adjust him enough times to develop a habit of movement instead of fixation. (Tell him he can purchase the same amount of care in spinal adjustments as the last set of tires for his truck!) His gut is killing his spine and when he loses it, shearing forces will diminish. Helping a patient change their exercise habits is the work of angels! It helps me to throw myself into a workout class or I will dither away the time. Perhaps you can encourage him to go for a short walk every morning and “trick him” into remembering the joy of movement. I have had some luck getting people to purchase a large exercise ball and encouraging them to sit on it and do simple rotations in movements while watching TV. Let’s face it, helping someone change their lifestyle in an area as personal and habit driven as movement is a gargantuan undertaking. But, like attempting to keep your kids from drinking and driving or not have an “relations” at college, we have to try.

How he eats: most people’s diet is killing them; we have been taught to ask patients to add new things which are healthy before we asked them to limit unhealthy things. The simplest one is to ask patients to eat a large helping of fresh fiber first before they eat pizza, beer, hot dogs, and corn (to get ready for the slaughterhouse); an apple or salad at the beginning of a meal will do fine. As he gets healthier he may be open to fine tuning the diet. Ditching the grain sourced carbs will help most people as much as anything. (High fuctose corn syrup may not be a grain but don’t tell him that!)

The four supplements which I recommend are: a multivitamin, omega-3 fatty acids, probiotics, and vitamin D; every day for the rest of his life.

How he thinks: thoughts alone can’t make you healthy, but they can sure add to our inertia to stay sick. Anything we can do to help our patients manage their thoughts will be a worthwhile part of their health. It is definitely one of the most challenging areas for me as I listen to talk,-bitch,-and-complain radio a lot. it might be as simple as asking him to do an affirmation in the morning such as, “I love my children so much that I want to be here to help them raise their children so I’m going to do what it takes”; or if he’s a Christian, “God is going to kick my ass when I meet him, if I don’t take better care of myself and become a burden on the gift he gave me of my family, when I get older”; something like that.

The alternative to all this, is to do a great job of spinal adjusting without changing his lifestyle, and return him to pre-injury status so he can die without so much back pain. Sarcasm included.

As for the cholesterol, I believe that the following article does an adequate job of demonstrating that there has been no definitive connection between cholesterol and heart disease. Cholesterol is the backbone of many hormones, and in my limited understanding of endocrinology, I choose to believe that elevated cholesterol is the body’s response to an elevated need for increased hormones.

(Very interesting model for reading an online magazine; you actually flip pages in England from your computer here!)

http://www.cam-mag.com/imag/march2007/pageflip.htm

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Vern Saboe <vsaboe@...>

Reply-Vern Saboe <vsaboe@...>

Date: Tue, 19 Apr 2011 17:13:03 -0700

Subject: " DCs as Primary Care Providers? "

Ok so Drs. Jamey D. and A., disciples of " Master Chestnut " I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using " natural remedies " rather than medicine's " big pharma " etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a " heart attack. "

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an " exercise nut " since she works out daily if not twice a day!

I'm curious considering all you know via " Master Chestnut's " words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 19, 2011

excellent response! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724vsaboe@...; Oregondcs From: drscott@...Date: Tue, 19 Apr 2011 21:08:39 -0700Subject: Re: "DCs as Primary Care Providers?"

Okay, I’ll bite.

First, can we stipulate that Dr. Chestnut does not claim to own the truth; he merely points to it, challenging us to read the research.

What I have learned is that there is no pathology, only “adaptive physiology”. This man’s body is not stupid. The symptoms are a cry for help to alert him to change his environment. His environment can be location specific but it is also made up from habits.

Can we also stipulate that we don’t go running into the room assuming everything is a subluxation or poor diet? We perform a proper history and exam and document it properly as mandated by state law. Then we can get to work on some real problem solving. As for diagnosing and sending in care for insurance reimbursement, can we set that aside for another discussion?

Dividing wellness into the three areas:

How he moves: his spine has probably been stuck at several areas for a long time, an adaptive response in itself; adjust him enough times to develop a habit of movement instead of fixation. (Tell him he can purchase the same amount of care in spinal adjustments as the last set of tires for his truck!) His gut is killing his spine and when he loses it, shearing forces will diminish. Helping a patient change their exercise habits is the work of angels! It helps me to throw myself into a workout class or I will dither away the time. Perhaps you can encourage him to go for a short walk every morning and “trick him” into remembering the joy of movement. I have had some luck getting people to purchase a large exercise ball and encouraging them to sit on it and do simple rotations in movements while watching TV. Let’s face it, helping someone change their lifestyle in an area as personal and habit driven as movement is a gargantuan undertaking. But, like attempting to keep your kids from drinking and driving or not have an “relations” at college, we have to try.

How he eats: most people’s diet is killing them; we have been taught to ask patients to add new things which are healthy before we asked them to limit unhealthy things. The simplest one is to ask patients to eat a large helping of fresh fiber first before they eat pizza, beer, hot dogs, and corn (to get ready for the slaughterhouse); an apple or salad at the beginning of a meal will do fine. As he gets healthier he may be open to fine tuning the diet. Ditching the grain sourced carbs will help most people as much as anything. (High fuctose corn syrup may not be a grain but don’t tell him that!)

The four supplements which I recommend are: a multivitamin, omega-3 fatty acids, probiotics, and vitamin D; every day for the rest of his life.

How he thinks: thoughts alone can’t make you healthy, but they can sure add to our inertia to stay sick. Anything we can do to help our patients manage their thoughts will be a worthwhile part of their health. It is definitely one of the most challenging areas for me as I listen to talk,-bitch,-and-complain radio a lot. it might be as simple as asking him to do an affirmation in the morning such as, “I love my children so much that I want to be here to help them raise their children so I’m going to do what it takes”; or if he’s a Christian, “God is going to kick my ass when I meet him, if I don’t take better care of myself and become a burden on the gift he gave me of my family, when I get older”; something like that.

The alternative to all this, is to do a great job of spinal adjusting without changing his lifestyle, and return him to pre-injury status so he can die without so much back pain. Sarcasm included.

As for the cholesterol, I believe that the following article does an adequate job of demonstrating that there has been no definitive connection between cholesterol and heart disease. Cholesterol is the backbone of many hormones, and in my limited understanding of endocrinology, I choose to believe that elevated cholesterol is the body’s response to an elevated need for increased hormones.

(Very interesting model for reading an online magazine; you actually flip pages in England from your computer here!)

http://www.cam-mag.com/imag/march2007/pageflip.htm

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Vern Saboe <vsaboe@...>

Reply-Vern Saboe <vsaboe@...>

Date: Tue, 19 Apr 2011 17:13:03 -0700

Subject: "DCs as Primary Care Providers?"

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 19, 2011

Hey ,

Nice! Thanks for the reminder about the affirmations. I've not been using that one for awhile.

While starting out, I decided that instead of chatting about the weather to a patient during the time they were with me, I would talk about their health. So our time together is spent talking about how and why they need to take care of their body. That's where my One-Page-Lessons format came from. Someone told me once to have a patient walk out of every vist with something in their hand that had my address and phone # on it......so I drew up a series of things I wanted themto know. For the first 10 visits or so they walk out the door with something in their hand that has my address and phone #...on a page with today's lesson about basic nutrients, good sleep, exercise dairy, oils, whatever. One year for Christmas I passed out yellow folders labled "Dr Kierstyn's One Page Lessons' and I watch them diligently file those pages in that folder and actually carry that file back and forth for about the first three - four visits. Fascinates me to watch that. It's works. ;'-)) lol

Nice write-up . THanks.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

vsaboe@...; Oregondcs From: drscott@...Date: Tue, 19 Apr 2011 21:08:39 -0700Subject: Re: "DCs as Primary Care Providers?"

Okay, I’ll bite.First, can we stipulate that Dr. Chestnut does not claim to own the truth; he merely points to it, challenging us to read the research.What I have learned is that there is no pathology, only “adaptive physiology”. This man’s body is not stupid. The symptoms are a cry for help to alert him to change his environment. His environment can be location specific but it is also made up from habits.Can we also stipulate that we don’t go running into the room assuming everything is a subluxation or poor diet? We perform a proper history and exam and document it properly as mandated by state law. Then we can get to work on some real problem solving. As for diagnosing and sending in care for insurance reimbursement, can we set that aside for another discussion?Dividing wellness into the three areas:How he moves: his spine has probably been stuck at several areas for a long time, an adaptive response in itself; adjust him enough times to develop a habit of movement instead of fixation. (Tell him he can purchase the same amount of care in spinal adjustments as the last set of tires for his truck!) His gut is killing his spine and when he loses it, shearing forces will diminish. Helping a patient change their exercise habits is the work of angels! It helps me to throw myself into a workout class or I will dither away the time. Perhaps you can encourage him to go for a short walk every morning and “trick him” into remembering the joy of movement. I have had some luck getting people to purchase a large exercise ball and encouraging them to sit on it and do simple rotations in movements while watching TV. Let’s face it, helping someone change their lifestyle in an area as personal and habit driven as movement is a gargantuan undertaking. But, like attempting to keep your kids from drinking and driving or not have an “relations” at college, we have to try.How he eats: most people’s diet is killing them; we have been taught to ask patients to add new things which are healthy before we asked them to limit unhealthy things. The simplest one is to ask patients to eat a large helping of fresh fiber first before they eat pizza, beer, hot dogs, and corn (to get ready for the slaughterhouse); an apple or salad at the beginning of a meal will do fine. As he gets healthier he may be open to fine tuning the diet. Ditching the grain sourced carbs will help most people as much as anything. (High fuctose corn syrup may not be a grain but don’t tell him that!)The four supplements which I recommend are: a multivitamin, omega-3 fatty acids, probiotics, and vitamin D; every day for the rest of his life.How he thinks: thoughts alone can’t make you healthy, but they can sure add to our inertia to stay sick. Anything we can do to help our patients manage their thoughts will be a worthwhile part of their health. It is definitely one of the most challenging areas for me as I listen to talk,-bitch,-and-complain radio a lot. it might be as simple as asking him to do an affirmation in the morning such as, “I love my children so much that I want to be here to help them raise their children so I’m going to do what it takes”; or if he’s a Christian, “God is going to kick my ass when I meet him, if I don’t take better care of myself and become a burden on the gift he gave me of my family, when I get older”; something like that.The alternative to all this, is to do a great job of spinal adjusting without changing his lifestyle, and return him to pre-injury status so he can die without so much back pain. Sarcasm included.As for the cholesterol, I believe that the following article does an adequate job of demonstrating that there has been no definitive connection between cholesterol and heart disease. Cholesterol is the backbone of many hormones, and in my limited understanding of endocrinology, I choose to believe that elevated cholesterol is the body’s response to an elevated need for increased hormones.(Very interesting model for reading an online magazine; you actually flip pages in England from your computer here!)http://www.cam-mag.com/imag/march2007/pageflip.htm E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com

From: Vern Saboe <vsaboe@...>Reply-Vern Saboe <vsaboe@...>Date: Tue, 19 Apr 2011 17:13:03 -0700<Oregondcs >Subject: "DCs as Primary Care Providers?" Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe

April 20, 2011

First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches.With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound!As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health.So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more.A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world.You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time.If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy!That would be my approach in a nutshell. What do you think?

Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com

On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote:

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 20, 2011

Another great response!! Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724CC: Oregondcs To: vsaboe@...From: drjdyson1@...Date: Wed, 20 Apr 2011 07:10:17 -0700Subject: Re: "DCs as Primary Care Providers?" First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches.With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound!As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health.So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more.A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world.You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time.If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy!That would be my approach in a nutshell. What do you think?Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe

April 20, 2011

Vern,

There are variations on the theme, but Sunny has once again laid out the complete treatment path. Bravo, Sunny!

I also think the current cholesterolphobia is bunk. Get him off the white trash: white rice, white flour, white sugar. Get him to eat more protein and veggies (I know, he's a guy and doesn't eat green things -- just ask him how long he wants to live in pain or at all).

T12 is kidneys and L1 is ileocecal valve, according to Lennox. He's been internally destroying his digestion for years and now the sewers (liver and kidney) are beginning to rot. Royal Lee always started with calcium, so I'd follow Sunny's liquid protocol -- it'll get in him faster.

Not a follower of Chestnut, but I do like his research and what he writes/says.

Christian Mathisen, DC, CCWFN

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

"DCs as Primary Care Providers?"

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 20, 2011

The profession is blessed with caring, intelligent and informed physician/teachers, each unique in their capacities and inclinations about healing, but united in their commitment to helping patients work with their bodies and minds to unleash our innate self-healing potentials. All of our healing paths must lead to more responsibility on the part of patients in their own self discovery and healing. We may vary in how we present these opportunities, but we should be clear that the paradigm shift underway in American health care at present is a distinct separation from the passive approach of the past ("This is what we can do for you....") to an actively engaged self-healing future ("This is what you need to do for yourself...."). How do we motivate patients toward self-knowledge?Interventions in this regard must be self-evidently beneficial to patients early in this process in order for their motivations for change to be engaged. Great variations in patient ages, experiences, health status and general circumstances require that early interventions be universally applicable to all comers. It this regard, trauma-based and toxicity/nutrition-based interventions are helpful. Patient need to reduce their body pain and increase their healthful nutrient loads for long-range well-being; but they also need to discover that their thoughts about themselves as a human being are deeply self-healing, or not. ph , scientist, author, cultural historian, global student of personal transformation, studied this human self-discovery his whole adult life, across many different cultures and circumstances. In PBS specials with host Bill Moyers, was asked, "Is there one characteristic that is common amongst people (of whatever culture) in advance of their experiencing significant personal transformation?" He responded by saying, "Yes! The most important change in these people's lives occurs when they realize that LIFE IS GOING ON INSIDE OF THEM AS WELL AS OUTSIDE." This is the universality of human experience that can motivate humans toward greater self-responsibility on all levels, including their own health and well-being: recognition that their inner life controls their outer life. This is what, I believe, DD Palmer was aiming toward when he identified "auto-suggestion" as the third component of alignment needed for the full fruition of innate intelligence and self-healing. Each in our own caring and informed ways, need to be able to translate our understanding of health for a patient in light of the deep ways in which still undiscovered self-knowledge lies within them. This internal process of "yoking the mind to the body" is the history of yoga and meditation. It's been called "the human science" as it has studied this inner life and our awareness of it's potentials for the past 5,000 years. The changes we are seeking in order to motivate patients toward their own self-discovery requires that we each also are on this path of self-discovery for ourselves. What a loving Creator has made available to each of us, what we call 'innate intelligence,' is accessible to all, although hidden until sought. The inner path to our own self-healing is within each of us, only waiting for discovery. We don't need someone to hold our hand going along that path; it's self-evident by seeking. We need only be conveners of this inner experience for patients, and be involved in our own path as well. Whatever else we do to alleviate body pain and set patients on a course of less pain, greater integrity in providing nutritious building blocks of health, and in understanding what science tells us about ourselves, we also need to begin to seek our own inner lives in order to teach others what is within us. We are scientists, but we are also fellow humans discovering our own deep levels of health and healing. The integration of our own lives in our interactions with patients will be a much more personal adventure, just as we are calling on all patients to be much more personal in their own health and well-being. We must find ways of informing our patients about their inner lives, and the way to do that over thousands of years has been to "seek within" as we have been told by every wise source. The shift toward greater personal responsibility in one's health requires a shift toward the universality of the human experience within us all, simply stated as "thinking well," but miraculous in it's unfolding.Cheers to Sunny, , Jamey and Vern for engaging this thread of the suffering disengaged patient. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Apr 20, 2011, at 7:10 AM, Jamey Dyson wrote: First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches.With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound!As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health.So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more.A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world.You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time.If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy!That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP)Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe

April 20, 2011

Thanks Jamey, , and Sunnyâ€¦and others.Â Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology.Â Â This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€Â substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin.Â It includes the usual lipid panel and we calculate the cardiovascular risk.Â It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532!Â Â Remember he came in with back pain (T/L, and L/S areas).Â Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€Â I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his Â phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well Â (lifestyle changes) would not have saved him.Â The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints.Â Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology.Â In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: " DCs as Primary Care Providers? " First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of " Master Chestnut " I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using " natural remedies " rather than medicine's " big pharma " etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a " heart attack. " He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an " exercise nut " since she works out daily if not twice a day! I'm curious considering all you know via " Master Chestnut's " words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

Good pick up Vern. Aside from the hemochromatosis, this smells like a very high simple carb diet with too many omega 6 oils (bad ratio of 6 to 3): had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRPThe triglycerides are revealing the carbs. Regarding the 240 total cholesterol, this is not a problem IF the HDL's are up (not the case here). (Look at the data from the J-Lit study.) Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724drjdyson1@...CC: Oregondcs From: vsaboe@...Date: Wed, 20 Apr 2011 10:41:13 -0700Subject: RE: "DCs as Primary Care Providers?" Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: "DCs as Primary Care Providers?" First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

Hi I can tell most assuredly that simple carbs are a problem with this guyâ€¦.mostly the ones with the raspberry centersâ€¦lolâ€¦ From: [mailto: ] On Behalf Of BRIAN SEITZSent: Wednesday, April 20, 2011 10:55 AM Subject: RE: " DCs as Primary Care Providers? " Good pick up Vern. Aside from the hemochromatosis, this smells like a very high simple carb diet with too many omega 6 oils (bad ratio of 6 to 3): had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRPThe triglycerides are revealing the carbs. Regarding the 240 total cholesterol, this is not a problem IF the HDL's are up (not the case here). (Look at the data from the J-Lit study.) Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724drjdyson1@...CC: Oregondcs From: vsaboe@...Date: Wed, 20 Apr 2011 10:41:13 -0700Subject: RE: " DCs as Primary Care Providers? " Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: " DCs as Primary Care Providers? " First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of " Master Chestnut " I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using " natural remedies " rather than medicine's " big pharma " etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a " heart attack. " He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an " exercise nut " since she works out daily if not twice a day! I'm curious considering all you know via " Master Chestnut's " words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11 No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

is this your patient? Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724dcdocbrian@...; From: vsaboe@...Date: Wed, 20 Apr 2011 11:01:21 -0700Subject: RE: "DCs as Primary Care Providers?" Hi I can tell most assuredly that simple carbs are a problem with this guyâ€¦.mostly the ones with the raspberry centersâ€¦lolâ€¦ From: [mailto: ] On Behalf Of BRIAN SEITZSent: Wednesday, April 20, 2011 10:55 AM Subject: RE: "DCs as Primary Care Providers?" Good pick up Vern. Aside from the hemochromatosis, this smells like a very high simple carb diet with too many omega 6 oils (bad ratio of 6 to 3): had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRPThe triglycerides are revealing the carbs. Regarding the 240 total cholesterol, this is not a problem IF the HDL's are up (not the case here). (Look at the data from the J-Lit study.) Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724drjdyson1@...CC: Oregondcs From: vsaboe@...Date: Wed, 20 Apr 2011 10:41:13 -0700Subject: RE: "DCs as Primary Care Providers?" Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: "DCs as Primary Care Providers?" First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11 No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

(picture of Homer Simpson and a donut didn't go through....doh!) Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724 From: dcdocbrian@...Date: Wed, 20 Apr 2011 11:19:05 -0700Subject: RE: "DCs as Primary Care Providers?" is this your patient? Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724dcdocbrian@...; From: vsaboe@...Date: Wed, 20 Apr 2011 11:01:21 -0700Subject: RE: "DCs as Primary Care Providers?" Hi I can tell most assuredly that simple carbs are a problem with this guyâ€¦.mostly the ones with the raspberry centersâ€¦lolâ€¦ From: [mailto: ] On Behalf Of BRIAN SEITZSent: Wednesday, April 20, 2011 10:55 AM Subject: RE: "DCs as Primary Care Providers?" Good pick up Vern. Aside from the hemochromatosis, this smells like a very high simple carb diet with too many omega 6 oils (bad ratio of 6 to 3): had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRPThe triglycerides are revealing the carbs. Regarding the 240 total cholesterol, this is not a problem IF the HDL's are up (not the case here). (Look at the data from the J-Lit study.) Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724drjdyson1@...CC: Oregondcs From: vsaboe@...Date: Wed, 20 Apr 2011 10:41:13 -0700Subject: RE: "DCs as Primary Care Providers?" Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: "DCs as Primary Care Providers?" First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11 No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

I knew it was a set-up!!!! Unfortunately this falls under the 1-2% of conditions that may be caused by genetics. The rule still applies, however, to create a genetically congruent lifestyle. If he has a gene that causes iron to build up in his system, then we would need to make the appropriate dietary changes or blood-letting changes to alleviate the iron toxicity.That being said, I bet lifestyle plays a bigger role in it all than you think. Time will tell with more good research. You could also say that 30-40% of untreated cases that are not eating well, moving well and thinking well die from heart failure. I guarantee your friend would be better off with the appropriate lifestyle changes.Maybe blood testing for these rare conditions would be prudent for a DC PCP?Jamey Dyson, DCOn Apr 20, 2011, at 10:41 AM, vsaboe wrote:Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: "DCs as Primary Care Providers?" First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

â€¦yep it was a set up ha!Â and agreed Jamey! From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 11:22 AMvsaboe; DCsSubject: Re: " DCs as Primary Care Providers? " I knew it was a set-up!!!! Unfortunately this falls under the 1-2% of conditions that may be caused by genetics. The rule still applies, however, to create a genetically congruent lifestyle. If he has a gene that causes iron to build up in his system, then we would need to make the appropriate dietary changes or blood-letting changes to alleviate the iron toxicity. That being said, I bet lifestyle plays a bigger role in it all than you think. Time will tell with more good research. You could also say that 30-40% of untreated cases that are not eating well, moving well and thinking well die from heart failure. I guarantee your friend would be better off with the appropriate lifestyle changes. Maybe blood testing for these rare conditions would be prudent for a DC PCP? Jamey Dyson, DC On Apr 20, 2011, at 10:41 AM, vsaboe wrote:Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: " DCs as Primary Care Providers? " First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of " Master Chestnut " I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using " natural remedies " rather than medicine's " big pharma " etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a " heart attack. " He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an " exercise nut " since she works out daily if not twice a day! I'm curious considering all you know via " Master Chestnut's " words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11 No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

This comes back to being able to treat to your license. Many insurers will not pay for lab tests (and imaging) when ordered by a DC. I will ask the MD's and DO's I work with to request tests from time to time because of this. I don't like it! I do have access to the lab results that have been requested, and that is good, but still I'm "at the back of the bus". Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724vsaboe@...; From: drjdyson1@...Date: Wed, 20 Apr 2011 11:21:59 -0700Subject: Re: "DCs as Primary Care Providers?" I knew it was a set-up!!!! Unfortunately this falls under the 1-2% of conditions that may be caused by genetics. The rule still applies, however, to create a genetically congruent lifestyle. If he has a gene that causes iron to build up in his system, then we would need to make the appropriate dietary changes or blood-letting changes to alleviate the iron toxicity.That being said, I bet lifestyle plays a bigger role in it all than you think. Time will tell with more good research. You could also say that 30-40% of untreated cases that are not eating well, moving well and thinking well die from heart failure. I guarantee your friend would be better off with the appropriate lifestyle changes.Maybe blood testing for these rare conditions would be prudent for a DC PCP?Jamey Dyson, DCOn Apr 20, 2011, at 10:41 AM, vsaboe wrote:Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: "DCs as Primary Care Providers?" First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

All my lab, ECGs, computerized spirometer is cash onlyâ€¦.funny how one tends to get the folks who want Mercedes treatmentâ€¦.. From: [mailto: ] On Behalf Of BRIAN SEITZSent: Wednesday, April 20, 2011 11:26 AM Subject: RE: " DCs as Primary Care Providers? " This comes back to being able to treat to your license. Many insurers will not pay for lab tests (and imaging) when ordered by a DC. I will ask the MD's and DO's I work with to request tests from time to time because of this. I don't like it! I do have access to the lab results that have been requested, and that is good, but still I'm " at the back of the bus " . Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724vsaboe@...; From: drjdyson1@...Date: Wed, 20 Apr 2011 11:21:59 -0700Subject: Re: " DCs as Primary Care Providers? " I knew it was a set-up!!!! Unfortunately this falls under the 1-2% of conditions that may be caused by genetics. The rule still applies, however, to create a genetically congruent lifestyle. If he has a gene that causes iron to build up in his system, then we would need to make the appropriate dietary changes or blood-letting changes to alleviate the iron toxicity. That being said, I bet lifestyle plays a bigger role in it all than you think. Time will tell with more good research. You could also say that 30-40% of untreated cases that are not eating well, moving well and thinking well die from heart failure. I guarantee your friend would be better off with the appropriate lifestyle changes. Maybe blood testing for these rare conditions would be prudent for a DC PCP? Jamey Dyson, DC On Apr 20, 2011, at 10:41 AM, vsaboe wrote: Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: " DCs as Primary Care Providers? " First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of " Master Chestnut " I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using " natural remedies " rather than medicine's " big pharma " etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a " heart attack. " He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an " exercise nut " since she works out daily if not twice a day! I'm curious considering all you know via " Master Chestnut's " words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11 No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

ya think? Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com vsaboe@...; From: drjdyson1@...Date: Wed, 20 Apr 2011 11:21:59 -0700Subject: Re: "DCs as Primary Care Providers?" I knew it was a set-up!!!! Unfortunately this falls under the 1-2% of conditions that may be caused by genetics. The rule still applies, however, to create a genetically congruent lifestyle. If he has a gene that causes iron to build up in his system, then we would need to make the appropriate dietary changes or blood-letting changes to alleviate the iron toxicity.That being said, I bet lifestyle plays a bigger role in it all than you think. Time will tell with more good research. You could also say that 30-40% of untreated cases that are not eating well, moving well and thinking well die from heart failure. I guarantee your friend would be better off with the appropriate lifestyle changes.Maybe blood testing for these rare conditions would be prudent for a DC PCP?Jamey Dyson, DCOn Apr 20, 2011, at 10:41 AM, vsaboe wrote:Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦. In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him. The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc. The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦. My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€ I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€ My point? As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€ Vern Saboe From: Jamey Dyson [mailto:drjdyson1@...] Sent: Wednesday, April 20, 2011 7:10 AMVern SaboeCc: Oregondcs Subject: Re: "DCs as Primary Care Providers?" First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors. However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything. This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches. With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage. I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound! As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health. So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more. A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world. You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time. If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver. Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system! Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy! That would be my approach in a nutshell. What do you think? Jamey Dyson, DC, CCWPDoctor of Chiropractic (DC)Certified Chiropractic Wellness Practitioner (CCWP) Advanced Chiropractic - a licensedEat Well Move Well Think Well Â® Center1295 Wallace Rd NW â— Salem, OR 97304Phone 503-361-3949 â— Fax 503-763-6444www.advanced-chiropractic-west-salem.com On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote: Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc. He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever. He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack." He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day! I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman?? Vern Saboe No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1204 / Virus Database: 1435/3585 - Release Date: 04/20/11

April 20, 2011

Again, I don't see how we need Chestnut for this answer at all.

Get the guy exercising, make him serious about his diet particularly cutting sugars, get him on fish oil. For back, standard chiropractic eval and tx.

simple.

ph Medlin D.C.

From: Vern Saboe

Sent: Tuesday, April 19, 2011 5:13 PM

Oregondcs

Subject: "DCs as Primary Care Providers?"

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 20, 2011

Actually Joe, that was one of our points.....it isn't quite that simple ... you are NOT wrong AND, IMHO, he would achieve a higher plane of recovery and refurbishment of the cartilage leading to a decreased sequela of residual or returning s/s with the supporting nutrition. There are compounds available within the natural kingdom that effectively support a return to health (or, at least at far back as the current degradration will allow) for this man.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

vsaboe@...; Oregondcs From: spinetree@...Date: Wed, 20 Apr 2011 12:19:34 -0700Subject: Re: "DCs as Primary Care Providers?"

Again, I don't see how we need Chestnut for this answer at all.

Get the guy exercising, make him serious about his diet particularly cutting sugars, get him on fish oil. For back, standard chiropractic eval and tx.

simple.

ph Medlin D.C.

From: Vern Saboe

Sent: Tuesday, April 19, 2011 5:13 PM

Oregondcs

Subject: "DCs as Primary Care Providers?"

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 20, 2011

Joe,We've always had the right tools. Chestnut is just showing us, with the latest and greatest science, how to use them. How do you get him exercising? How do you make him serious about his diet? How do you get him to cut out sugars? Telling someone what to do and why and getting them to do it are two completely different things. We need to be experts at getting them to do it so it is easy, comfortable, enjoyable, and sustainable. That's the key to it all.Most of what Chestnut teaches about "what people should be doing to be healthier" is pure common sense when you get the idea. Chestnut shines when it comes to creating sustainable, long-term lifestyle change. He understands the human mind, how it is motivated, and how to work with it most effectively to move a person forward.Jamey Dyson, DC On Apr 20, 2011, at 12:19 PM, ph Medlin wrote:

Again, I don't see how we need Chestnut for this answer at all.

Get the guy exercising, make him serious about his diet particularly cutting sugars, get him on fish oil. For back, standard chiropractic eval and tx.

simple.

ph Medlin D.C.

From: Vern Saboe

Sent: Tuesday, April 19, 2011 5:13 PM

Oregondcs

Subject: "DCs as Primary Care Providers?"

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 20, 2011

I hear ya man.

He does have some good advice about that kind of stuff. Most doctors who have some years of espousing a healthy wellness type of lifestyle under their belt have their own techniques as well and there is an art to it undoubtedly. Telling a patient to go outside stand on the porch and just breathe in the air for 10 min, then 20, then taking a walk around the block etc. etc. in order to get them on the path may work for some as other techniques work for others. Certainly many ways of accomplishing this, but no matter what technique or how convincing the doctor, the onus is on the patient. There is nobody that can convince a stone wall or be in the patient's back pocket for the rest of their lives.

ph Medlin D.C.

From: Jamey Dyson

Sent: Wednesday, April 20, 2011 1:06 PM

ph Medlin

Cc: Vern Saboe ; Oregondcs

Subject: Re: "DCs as Primary Care Providers?"

Joe,

We've always had the right tools. Chestnut is just showing us, with the latest and greatest science, how to use them. How do you get him exercising? How do you make him serious about his diet? How do you get him to cut out sugars? Telling someone what to do and why and getting them to do it are two completely different things. We need to be experts at getting them to do it so it is easy, comfortable, enjoyable, and sustainable. That's the key to it all.

Most of what Chestnut teaches about "what people should be doing to be healthier" is pure common sense when you get the idea. Chestnut shines when it comes to creating sustainable, long-term lifestyle change. He understands the human mind, how it is motivated, and how to work with it most effectively to move a person forward.

Jamey Dyson, DC

On Apr 20, 2011, at 12:19 PM, ph Medlin wrote:

Again, I don't see how we need Chestnut for this answer at all.

Get the guy exercising, make him serious about his diet particularly cutting sugars, get him on fish oil. For back, standard chiropractic eval and tx.

simple.

ph Medlin D.C.

From: Vern Saboe

Sent: Tuesday, April 19, 2011 5:13 PM

Oregondcs

Subject: "DCs as Primary Care Providers?"

Ok so Drs. Jamey D. and A., disciples of "Master Chestnut" I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using "natural remedies" rather than medicine's "big pharma" etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a "heart attack."

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an "exercise nut" since she works out daily if not twice a day!

I'm curious considering all you know via "Master Chestnut's" words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

April 21, 2011

Vern,

First:

My response is ideological rather than perfectly reasoned:

Is your argument that wellness assessment and management might place the patient at risk if they have an underlying or hidden disease process?

Why don’t we order a full spine MRI and blood tests on every patient with back pain? Could be an occult fracture; cancer; etc. Or are we counting on odds and our ability to observe results in patient management?

Please allow me a tangential reference.

When airbags for cars first came out, there was a ton of criticism because people were being burned by the explosive charges, babies were being launched into the back seat, cats were moving in with dogs and adopting mice; basically they were dangerous.

A few years later, they are still dangerous if misused, but they have saved a ton of lives.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Vern Saboe <vsaboe@...>

Date: Wed, 20 Apr 2011 10:41:13 -0700

'Jamey Dyson' <drjdyson1@...>

Cc: <Oregondcs >

Subject: RE: " DCs as Primary Care Providers? "

Thanks Jamey, , and Sunny…and others.Â Jamey I need to educate myself to the “Innate Lifestyle Program”….sounds like something that would improvement my education of patients relative to them making positive lifestyle changes….

In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his “Wellness Panel” a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of “wellness” of that person and to rule out early brewing and frank pathology.Â Â This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based “natural”Â substances so they didn’t fall into clinical symptomatic trouble and onto “big pharma”…all the while we would also instruct on the why and the how as per making positive lifestyle changes….I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him.

The “wellness screen” includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin.Â It includes the usual lipid panel and we calculate the cardiovascular risk.Â It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Man’s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc.

The old grade school friend that I’m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532!Â Â Remember he came in with back pain (T/L, and L/S areas).Â Elevated ferritin such as this is one of Dr. Cessna’s “four ominous signs” ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as well….

My diagnosis “hemochromatosis” complicated by familial hyperlipidemia and possible cardiomyopathy……this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a “heart attack.”Â I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his Â phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrients…..but, diet, exercise, and thinking well Â (lifestyle changes) would not have saved him.Â The good news is that his resting ECG which I performed was “normal.”

I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes “stiff.”

My point?

As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints.Â Many life threatening diseases can masquerade as simple “backache” and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology.Â In addition treating early subclinical (so they don’t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. …or in the words of Vasquez DC, ND, DO “The art of co-creating wellness while effectively managing common health disorders.”

Vern Saboe

From: Jamey Dyson [mailto:drjdyson1@...]

Sent: Wednesday, April 20, 2011 7:10 AM

Vern Saboe

Cc: Oregondcs

Subject: Re: " DCs as Primary Care Providers? "

First of all I would recognized that this man is a product of his environment and choices. He has lived for a number of years in a toxic and deficient environment and has made many small toxic and deficient choices day-in and day-out. He is the way he is because of these toxic-deficient stressors.

However, he is gifted with an amazingly intelligent internal regulatory system (innate intelligence) that is doing it's best to adapt to the stress that he has been putting his body and mind through over the years. That intelligence is just sitting there waiting for some of the toxicity and deficiency to be removed so that it can shift back to normal healthy function. This man is programmed for health! The back pain, high cholesterol, and weight gain are all signs that his internal regulatory system has been stressed for a long time. He is now suffering from increased stress hormones, insulin resistance, inflammation, reduced sex hormone binding globulin, and reduced immunity. There are no emergency, acute life-threatening things going on with this man - it's all chronic - no need to send him to an MD for anything.

This is the defining difference between a DC PCP and an MD PCP. We believe the body is strong, intelligent, self-healing, perfectly self-regulating. They believe the body is weak, stupid, and prone to random internal regulatory dysfunction. 2 different beliefs, 2 different approaches.

With this understanding, truly helping this man can ONLY be done be removing the toxicity and deficiency in his life. To be successful, it needs to happen gradually, it needs to be easy, it needs to change his beliefs about his choices, it needs to be about him taking responsibility. He needs to live with enough purity and sufficiency for a long enough period of time to allow his internal regulatory system to heal and repair from all the years of damage.

I would put him on the Innate Lifestyle Program, which is an evidence-based applied education program that teaches a person what to change, why to change, how to change, and most importantly - how to get themselves to change. On this program, he would have 5 wellness evaluations over a 12 month period measuring current level of health, current risk of chronic illness, and current level of functional health and vitality. On a daily basis, he would record his behaviors for a 12 month period. He would attend lifestyle education workshops. He would be connected with others who are going through the same process of changing their life. The program helps a person remove the toxicity and deficiency in their life. Their internal regulatory system, relieved from the stress, then shifts toward healthier function. Simple, yet elegantly powerful and profound!

As a DC PCP, I would also put him on a program of spinal and extremity adjusting and movement therapy to improve spinal motion and alignment, increase proprioceptive input to the CNS, reduce nocioceptive input to the CNS, and re-establish better spinothalamic tract function. Most likely 2 visits per week for 4-12 weeks, then reduce care as he improves with subjective and objective measures with the goal being supportive care every 2-4 weeks. He would be taught spinal hygiene exercises and sitting, sleeping, standing ergonomics - this gives him the tools to take care of himself to a great degree. However, because of all the sitting that modern humans are doing, regular supportive chiropractic care is now essential for maintaining spinal health.

So, if we did the lifestyle program and chiropractic care over a 12 month period, you would see this man gradually become healthier. He would continue improving his lifestyle after the 12 months because he knows that is the only viable answer. He would be a role model for his kids and grandkids. He would feel like he has more control of his health. He would be demanding healthier products with his purchasing dollars. He would not be a burden as he gets older, but an asset. He would cost the system less, not more.

A whole chiropractic and lifestyle program like this would cost approximately $3,000-$5,000 for the first year. Then $1,000-$2,000 thereafter. This type of care would improve almost all of the chronic illness that people would come in with. Instead of healthcare getting more expensive with time, it gets less expensive as a person learns how to live healthy in our modern world.

You could also through in blood work as something a DC PCP could do to document risk factors before, during, and after lifestyle/chiropractic intervention. This would add to the cost, however. It would also be cool to document changes in brain function over time with some type of function brain scanning, but it is probably cost-prohibitive at this time.

If he did the standard MD PCP route, he would most likely be put on a statin for high cholesterol and told he needs to lose some weight. He might get a referral to a physical therapist for the back pain where he will have 6 visits over 3 weeks and learn some home exercises, which he most likely won't do, based on his aversion to exercise in general. After 12 months, even though his cholesterol has been lowered, he will be getting sicker even faster, especially from the effects of the statins which are down-regulating the production of cholesterol in the liver.

Cholesterol is essential for the internal regulatory system of his body to function properly when it is stressed out. Cholesterol is the building block for more stress hormones and it is important for healing damaged tissue in his body. The statin is basically over-riding the internal regulatory system which leads to more problems. It is another stressor to the system!

Every year he would cost the system more money, he would feel and function worse, he would most likely develop type 2 diabetes, he would get on more medications every year, he would most likely die between 60 and 75 of some type of chronic disease. We lose a husband, a father, a grandfather, a friend, and an important member of our community. (The government also loses a tax payor). However, sadly with his passing, it almost seems like a relief for every everyone because his quality of life was so low at that point. Even the government feels relieved because it was paying out more in medical bills than they were collecting from taxes! Yikes - conspiracy theorist feeding frenzy!

That would be my approach in a nutshell. What do you think?

Jamey Dyson, DC, CCWP

Doctor of Chiropractic (DC)

Certified Chiropractic Wellness Practitioner (CCWP)

Advanced Chiropractic - a licensed

Eat Well Move Well Think Well ® Center

1295 Wallace Rd NW â— Salem, OR 97304

Phone 503-361-3949 â— Fax 503-763-6444

www.advanced-chiropractic-west-salem.com <http://www.advanced-chiropractic-west-salem.com>

On Apr 19, 2011, at 5:13 PM, Vern Saboe wrote:

Ok so Drs. Jamey D. and A., disciples of " Master Chestnut " I've been busy in Salem but I've got a question for you both: This is a question relative to a real case/patient of mine...I want to know how you would manage this fellow considering our recent discussion of DCs as PCPs and using " natural remedies " rather than medicine's " big pharma " etc., etc.

He is a 47 year old male who's main complaint and reason for presenting in my office is back pain thoracolumbar junction/transitional area and the lumbosacral junction. The back pain has been giving him trouble for one or two years not real bad ranging from a 3-5 on a scale of 0 = no pain, 10 worse pain ever.

He denies any significant traumatic event. However he tells me that he knows he has high cholesterol because his doctor of 10 years told him he did and his father died in his early 40's due to a " heart attack. "

He is 30 pounds over weight, knows he has a lousy diet though he has improved it somewhat, should exercise more which is actually rarely done and he views his wife as an " exercise nut " since she works out daily if not twice a day!

I'm curious considering all you know via " Master Chestnut's " words of incredible wisdom how would you guys manage this gentleman??

Vern Saboe

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April 21, 2011

Fingers in both ears..."Lalalalalalala"My best,Dr. Huma PierceDC fCBP OBCE Chiropractic First LLCThe Bicycle ChiropractorWww.c1pdx.comWww.thebicyclechiropractor.comOn Apr 21, 2011, at 5:38 PM, Abrahamson <drscott@...> wrote:

Vern,

First:

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My response is ideological rather than perfectly reasoned:

Is your argument that wellness assessment and management might place the patient at risk if they have an underlying or hidden disease process?

Why donâ€™t we order a full spine MRI and blood tests on every patient with back pain? Could be an occult fracture; cancer; etc. Or are we counting on odds and our ability to observe results in patient management?

Please allow me a tangential reference.

When airbags for cars first came out, there was a ton of criticism because people were being burned by the explosive charges, babies were being launched into the back seat, cats were moving in with dogs and adopting mice; basically they were dangerous.

A few years later, they are still dangerous if misused, but they have saved a ton of lives.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Vern Saboe <vsaboe@...>

Date: Wed, 20 Apr 2011 10:41:13 -0700

'Jamey Dyson' <drjdyson1@...>

Cc: <Oregondcs >

Subject: RE: "DCs as Primary Care Providers?"

Thanks Jamey, , and Sunnyâ€¦and others. Jamey I need to educate myself to the â€œInnate Lifestyle Programâ€â€¦.sounds like something that would improvement my education of patients relative to them making positive lifestyle changesâ€¦.

In the 2-year internal disorders program I took with Dr. Mike Cessna we learned what he called his â€œWellness Panelâ€ a battery of blood lab and UA testing to look at every major system and organ in the body to determine the current health or level of â€œwellnessâ€ of that person and to rule out early brewing and frank pathology. This testing helped us to determine what organs and systems were in early subclinical trouble early as in prior to symptoms with the notion of treating these aggressively with evidence based â€œnaturalâ€ substances so they didnâ€™t fall into clinical symptomatic trouble and onto â€œbig pharmaâ€â€¦all the while we would also instruct on the why and the how as per making positive lifestyle changesâ€¦.I admit I focused more on the diet and exercise and not enough on the mental (Think Well) aspects which is why I love Sears stuff and wish to learn from him.

The â€œwellness screenâ€ includes the basic smac-26 chemistries but includes serum magnesium and C02 for lung function and in addition to serum iron, iron binding capacity, Iron saturation, serum ferritin. It includes the usual lipid panel and we calculate the cardiovascular risk. It includes a complete blood count with differential, but in addition to a standard sed rate CRP as well (C-reactive protein), it includes a thyroid panel, urinalysis, and lastly blood typing as we were instructed to the work (One Manâ€™s Meat) that blood typing was useful to determine if a patient should consume red meat, dairy etc.

The old grade school friend that Iâ€™m talking about had elevated liver enzyme findings, elevated cholesterol (240), elevated triglycerides (289), elevated LDLs, depressed HDLs, elevated CRP, elevated serum iron, and a ferritin that was off the charts 1532! Remember he came in with back pain (T/L, and L/S areas). Elevated ferritin such as this is one of Dr. Cessnaâ€™s â€œfour ominous signsâ€ ominous as in brewing systemic pathology somewhere in the body and an elevated CRP is not a good deal as wellâ€¦.

My diagnosis â€œhemochromatosisâ€ complicated by familial hyperlipidemia and possible cardiomyopathyâ€¦â€¦this is very likely what his father died from and it would be more appropriate to say his dad likely died of cardiac failure than a â€œheart attack.â€ I referred him to his MD PCP with a comprehensive note suggesting a liver biopsy to confirm, which it did and he started his phlebotomies combined with restricting iron rich foods and of course there are some iron binding nutrientsâ€¦..but, diet, exercise, and thinking well (lifestyle changes) would not have saved him. The good news is that his resting ECG which I performed was â€œnormal.â€

I believe it is safe to say that it is at least probable that I saved this old school bud from an early exit as 30% to 40% of untreated, unrecognized hemochromatosis folks die from heart failure due to the accumulation of iron in the myocardium which just becomes â€œstiff.â€

My point?

As first contact, portal of entry chiropractic physicians it is imperative that we correlatively and differentially diagnose especially considering our focus on neuromusculoskeletal complaints. Many life threatening diseases can masquerade as simple â€œbackacheâ€ and we must have at least the capacity to recognize the red flags which can be harbingers to frank pathology. In addition treating early subclinical (so they donâ€™t fall into pathology) organ and system dysfunction (not simply symptoms) with natural substances that do not have the toxicity of the synthetic drugs while educating our patients on why and how to make positive lifestyle changes can co-exist and makes perfect sense. â€¦or in the words of Vasquez DC, ND, DO â€œThe art of co-creating wellness while effectively managing common health disorders.â€