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Ankle Fractures May 17, 2023

Show notes

"...ankle fractures a common injuries involving a break in one or more of the bones that make up the ankle joint there are three bones that make up the ankle the tibia fibula and tailless specifically the medial and posterior malleolus by the and the lateral malleolus of the fibula there is an additional joint between the tibia and fibula called the tibiofibular syndesmosis this is a fibrous structure made up of the anterior and posterior inferior tibiofibular ligament and the interosseous membrane the ankle is a hinge primarily allowing supplanter and dorsiflexion and is at its least stable in plantarflexion it is described as a mortise and Tenon joint which are essentially a hole and the that fits that hole in this case the space formed by the tibia and fibula and the projection which is the Dome of the talus bone ligaments helped provide more stabilization there is the medial or deltoid ligament coming from the medial malleolus which branches into four ligaments and is mostly involved in preventing / e-version while the lateral ligament comes from the lateral malleolus and is made up of three ligaments with the main function of preventing over inversion of the foot in 70% of cases there is an isolated fracture of either the medial or lateral malleolus if both the fractured this is termed a bye the fracture seen in twenty percent of cases and if the posterior malleolus is also fractured this is called a try malleolus fracture but this is only the case in fewer than ten percent of patients in roughly 10% of cases the syndesmosis is also injured there are multiple classifications of ankle weather is used in the lateral malleolus fractures based on the location of the fracture relative to the syndesmosis generally with more proximal fractures indicating a higher risk of instability a is below the syndesmosis B is at its level and see is proximal to it the log handsome classification is more detailed considering also the position of the anchor during injury and the forces sustained during it other types of fractures include Amazon nerve injury where there is a proximal fibula fracture with syndesmosis and deltoid ligament injury this is an unstable injury that will need surgical intervention this is..."

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Shoulder Dislocation (Glenohumeral Joint Dislocation) May 16, 2023

Show notes

"...a shoulder dislocation is when the humerus separates from the shoulder joint and is the most common of the large joint dislocation normally the shoulder joint is made up of the head of the humerus articulated with the glenoid fossa of the scapula which is why it is known as the glenohumeral or joint it is a synovial ball and socket joint with a large range of motion but at the cost of being more unstable the head of the humerus is around four times larger in the shallow surface area of the glenoid fossa which contributes to the large range of motion but also to the instability the joint is stabilized by surrounding the glenoid labrum is a bring of fibrocartilage around the glenoid fossa that better anchors the humerus and glenoid and there are also a number...arm in an anterior dislocation due to the posterolateral portion of the humeral head being compressed against the anterior part of the glenoid labrum they can be compression fractures on the humerus known as Hill Sachs lesions they are closely linked with bankart lesions which is a rupture in the glenoid labrum these can also be accompanied by avulsion fractures which are then termed bony bankart lesions the arm is typically held in external rotation with some abduction and all movements are painful there is a loss of the normal Contour of the deltoid and the acromion can be particularly prominent posterior dislocation 's make up only two to four percent of all shoulder dislocations and occur due to the head of the humerus being forced posteriorly while..."

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Stress Response - Health FAQs with Dr Gates May 13, 2023

Show notes

"...for those of you who have not tuned in to us we run essentially a chronic pain practice board Gates is board certified functional neurologist I'm a board-certified functional medicine practitioner we melded those two disciplines into a model of care to address a substantial portion of chronic conditions chronic Jesus and and although we cure few we're able to help most get under some some control quite considerable control and be able to manage their case and the properly selected and the properly cite the patient the reason we cure for you is because pretty much everybody walks in here ends up having an autoimmune problem and they also usually walk in here under a chronic stress with a chronic stress response usually we caught a sympathetic dominance or fight-flight system is engaged and it doesn't tend to let go these things can lead to anxiety Sia T panic attacks depression things of that nature and I lead off with that to say one of my one of my one of my points with people when they come in and I address this with them is my observation based on watching what happens with the brain rehab exercises that we do in certain other types of supplementation is that these are not necessarily personality disorders their poor frontal lobe this sort of and there's a lot of things that add to causing your frontal lobe to not work properly poor poor lack of blood supply to your Bruno lobe from anemias be your frontal lobe needs oxygen inflammation which are probably going to talk about a little bit blood sugar stress hormones and and so but lately we've been seeing last couple of years maybe we've been even seeing little kids come in we're stressed out of their minds and like two or three years old and say what's going on with that and then other people who've had just this kind of stress responses that seemed to be like even a little bit over a top for what we see and and dr. Gates is going to share with you some of the things that he's come across in that in the literature that we've been implementing and what are our Protocols are and kind of giving you the understanding that I know stress hormones now can cross the placenta from the stressed mother into the young person but there's even more to it than that our genetic components that need to be considered if they're there and that oftentimes respond well to the types of things that can be done wow without drugs frankly so yeah we treat a lot of patients with fibromyalgia in our clinic at least we have and that's actually started off with yeah that's kind of how we got into depression because a lot of patients were coming in with their fibromyalgia and they didn't want to take medications for the depression so they said well can you handle what could you do so that started us on this quest in this journey of..."

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Hashimoto and Plastics - Health FAQs with Dr Gates May 12, 2023

Show notes

"...so we're going to talk about Hashimoto and Plastics today Hashimoto's is a subject that we've been long associated with frankly probably for most people are associated with and we're taking quite a bit of use for even diagnosing people at and so and getting heat on it and the point from that is that Hashimoto is the understanding of what's going on with Hashimoto's is the number of things it's related to the things that can create a Hashimoto's isn't it is an immune attack on your thyroid primarily and so you're always looking for the things that are creating the immune attack and and and it can be a multitude of things and I was just mentioning to dr. Gates we're talking about Plastics that I remember reading about that at like 10 years ago but wondering is actually something that has something to do with it because back then it was I was everything was Metals was right it was it was is there anything you could think of the alternative groups were putting out as yet avoid all of this which is basically everything in life it seemed like but it turns out that Plastics do create a negative effect on the condition of Hashimoto's and so we're going to discuss that this probably fairly briefly it's not a long topic I would assume and so and if it's not brief then that's fine too so so Plastics as the famous gentleman in the Dustin Hoffman movie from many years ago The Graduate said to Dustin Hoffman when he had him in his graduate courses okay so I'm 65 days going to be people more my age The Graduate it was the famous line for the decade when people would say what are you going to do with your life and people Go Plastics because the gentleman at his college graduation party pulled him over and he was wondering what he was going to do for a because back in 1965 r68 Plastics were just coming into that was the whole point of plastics were done where Evolution just coming in and nobody knew anything about them they were going to save the world now we've got some mass of plastics I guess twice the size of Texas under the Pacific Ocean from what I read in the the other day and the National Geographic so could be a problem that was the whole point of that that aside that I was warned not to do yesterday but I did so good so the whole question is why is Hashimoto's so much more common and..."

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Health FAQS With Dr. Gates - Non celiac Gluten Sensitivity May 10, 2023

Show notes

"I never heard a group okay and so the bottom line is that he was talking about that a long time ago it's been around a while when I started to see the Improvement in my page consistently I thought wow this is what I want to do for a living and I had no clue 0 no clue at all that I was going to become conversant in gut problems I did that was going to become in thyroid problems there's going to have to become conversant and hormonal issues but the biggest thing is I had no clue art practice with developed into a man it's almost virtually 100% so this immune issue the autoimmune issue and the Celiac and the non-celiac gluten sensitivity all really go together I know mites I hope we haven't thrown out too much I hope we have a like confused you on this matter if we have confused on this matter because it's a complex matter and if just get that to you then relative to these chronic problems than that's good but we go back to the beginning of this and the bottom line is is there is such a thing as non-celiac gluten sensitivity we see it everyday it is hugely important for you to understand that if you are eating eating glue is creating incentives and you amount of what the tests say you get off of it and you need to stay off of it the tests are convoluted I am certain that what we are telling you is going to be proven not only is it's been proven in the but in future testing the testing I think is in evolution I think they will be better like the test that you just got talking about the dma believe Mom feels that is a better test is pretty cost-effective it's not real expensive so I think we're going to see this thing calm down as time goes on I don't think the gluten free market is going to go away that'll that'll sink"

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Schizophrenia - Psychology May 08, 2023

Show notes

"...schizophrenia is a mental disorder characterized by impairments in the way reality is perceived with Associated changes in schizo means split and free Nia means mind in Greek but it's important to remember it is not meant to mean split personality which is a condition schizophrenia affect how people think to feel and behave and the symptoms are divided into three main types Karthik or positive symptoms negative symptoms and cognitive symptoms psychotic symptoms include hallucinations meaning sensing something that there and auditory hallucinations are particularly common thought to occur in 80% of patients at some point delusions are fixed belief that something is true despite having evidence that it is not in schizophrenia paranoid delusion is a common for believing the FBI is following them or that they're being poisoned delusions of reference are also common in schizophrenia where a person believes messages and meant for them for example believing a newsreader on TV is talking directly to them they can be delusions of control where a person believes that someone else is controlling their thoughts such as the FBI placing thoughts in their minds they can be delusions of grandeur meaning being a figure of great importance and delusions of erotomania meaning believing a person typically of higher status is in love with them another positive symptom is disorganized..."

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Serotonin Syndrome Serotonin Toxicity - Psychology May 06, 2023

Show notes

"...Serotonin syndrome also known as serotonin toxicity is a potentially life-threatening condition due to excessive serotonin levels in the body this can come from using the medication as a therapy due to drug interactions recreational drug use or even intentional overdoses the end result is an increased in the amount of serotonin in the synaptic cleft able to bind serotonin receptors, for example, selective serotonin reuptake Inhibitors like Citalopram inhibit the reuptake of Serotonin into the presynaptic neuron meaning more is available to bind the postsynaptic receptors monoamine oxidase Inhibitors likes alleged lean prevent the breakdown of Serotonin so more is available SSRIs tend to be the most common cause was because of their widespread use while monoamine oxidase Inhibitors tend to produce the more severe cases other medications include serotonin noradrenaline reuptake it is tricyclic antidepressants serotonin modulators and tryptophan supplementation as it is converted and leads to serotonin formation opioids amphetamines and cocaine also increase serotonin release serotonin is found mostly in the gastrointestinal system it is carried by platelets and also exerts a acts on the central nervous system within the CNS it has rules in attention mood sleep cognition and thermoregulation in the other systems it is involved in vasoconstriction gastrointestinal motility uterine contraction and..."

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Puds -Health FAQs With Dr Gates May 04, 2023

Show notes

"...today we're going to talk about pots and why it is becoming more common prevalent rights becoming more prevalent so we are seeing more pots aren't we're seeing more pots and I had noticed that we were seeing more pots we were giving more pots diagnosis pots postural orthostatic tachycardia syndrome we get a zillion people okay exaggeration we so many people that come in here with heart palpitations and I bend over and I get lightheaded and by the time people most people get here with those symptoms they've usually been evaluated for like trans ischemic attacks and and and pretty much give it a clean bill of and we see it a lot because we see we see a lot of thyroid problems that can heart palpitations we see a lot of stress responses that can cause tachycardia like issues like like more than that walks in the door but pots rear its ugly head in here every now and then and it's got a lot more unique to get some more unique features to it that it's diagnosis and dr. Gates is going to talk with you about that because spoiler alert the reason they were seeing it in a number of patients is that it's getting diagnosed more Amy's reason you're seeing it be diagnosed now you're seeing people will have it and so on and so forth it's being diagnosed more and I can totally understand that from the from what's actually causing pots and and and the fact that even though people have been..."

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Immune System - Health FAQs With Dr. Gates Apr 28, 2023

Show notes

"...and today we're going to talk about a concept that has time so I think been controversial I think at times been considered theoretical when I first got into functional medicine years ago is actually a prominent Conrad of the immune system and because what we started to realize was in chronic pain we have a chronic pain practice for those of you who haven't watched us before and we treat just about anything that won't go away and we've combined two disciplines functional neurology and functional medicine to address fibromyalgia and periphery often chronic fatigue and chronic got problems chronic thyroid problems and dizziness vertigo balance things that won't go away people get things they go away B they don't go away you need to know why and the immune system was an obvious first place to start I think for those in the field at that time that there must be something with the immune that's causing the problem there's a concept called th1 th2 shifts th1 th2 balance I've drawn the little seesaw picture of it and I think a thousand times and try and explain to people and and and I think it's I don't I think dr. Gates is going to explain to me today whether it's getting more credibility or just something that you're using more because you see it's a valuable tool because it is affecting people frequently will talk about that Gates does all the treatment now and he's always researching and frequently will tell talk to me about how this was a that this was a shift during pregnancy this is the mystical why do I get pregnant and then I feel good and then all sudden I don't after I deliver the child it's this is the if you have allergies you have a shift more towards one side than the other so and certain autoimmune problems have a certain quality..."

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Obstructive Sleep Apnea Syndrome - Psychology Apr 26, 2023

Show notes

"...obstructive sleep apnea is a breathing disorder characterized by recurrent episodes of Airway obstruction during sleep leading to periods with breathing stops known as apnea moving from wakefulness to sleep causes relaxation of muscle tone including the muscles of the upper Airway this allows the soft palate and the tongue to relax and to create an obstruction that reduces the patency of the respiratory tract rapid eye movement or REM sleep, in particular, is known to feature this reduction in muscle tone but it can happen throughout the Sleep Cycle there is snoring when some still enter but as the obstruction progresses the airflow can be severely reduced causing apnea the reduction in the ventilation of the lungs causes a reduction in blood oxygen levels and as a result there is an interruption in sleep known as neurological arousal with a partially awakens in order to restore muscle tone and therefore oxygenation but this isn't necessarily perceived by the person partial collapses with reduced oxygen or arousals a termed hypo apneas while apnea is defined as over a 90% airflow obstruction lasting 10 longer a cycle is there for generated alternating between periods of deeper sleep and higher wakefulness with a typical sleep cycle is which ultimately disrupts the quality of sleep and can cause sleep deprivation risk factors are thought to be obesity as it increases the amount of soft tissue around the airway..."

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