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Tactical Pain Episode 014 End Endometriosis

This week Jeni Mc interviews Tessa, who was diagnosed with Endometriosis.  Tessa discusses the great pain and difficulties this condition can bring. Over 200,000 cases are diagnosed in the United States each year.  It is a chronic condition that effects can last for years and among other terrible side effects, it can result in infertility. Endometriosis is also highly hereditary and Tessa discusses the health implications for her daughter and the methods they use to keep her healthy. This episode is sponsored by DiPSy Doodle Productions Voice Talent Dave Holly https://www.dazzleshows.com/dipsy   [su_spoiler title="Machine Transcript"] [0:56] What's the matter with nerd herd tactical pay hide cat in your house jenny mac. We are here today to talk about real mean and real strategies for a better life. Today i am going to be hanging with my dad has the about living life with and me three of the. I have to thank you for joining me today for honeymoon were talking about, no because other than the air regulator time there earning in march which and me through the where next month and you how are history of being aware of and for every month, i did not get one month for. What what about your little background on what no is if you would please. Go in israel is. To not be done around the to make it easier to understand doing so i. Take your address on her the scar tissue and adhesions in her, i'm usually on the red on on the ovary is on a cul-de-sac. Can i attach itself to your bottom of your abdominal wall on your bladder number of course goes on and on because it and my great. [2:33] I'm fred. Is affected by the hormones in your body who you really are. I'm not seeing the average woman by tuesday morning hand liters of your period. On me after i was done to like two three days in my home like every other all the other days not. Now they basically it. We are under dash unit at the right level did you can cause your skin to bleed on the card presented to play not. Dr martin are you okay and wherever it detached i'm not your cramping from your your body lying. Let's have a break down a bit to make it easier to understand. [3:37] And is there something that from your very first period you are experiencing or the something that. Increase over time. Well no usually with your first period is not gonna be an issue because you buy and how do i need to check other places. Okay thank. Are you here for college either okay hold does a guy was trying i'm so i didn't really notice anything and how i was about. I have had for at least control of your mind ibuprofen and. You ready for my mama what are the women who are you die. No need to pay something for and she used more colorful language than that i'm. Hello i was just thinking for a dealer for around it was never something that you look deeper until entire nineteen. And that's something we we talked about the idea that women are free programmed to believe this is archer and period and it will be and the bad. That's the one of the bed that is really awful and where were programmed to believe it should be bad. [5:14] Right exactly because. The for our parents you know the answer in fact i'm fourteen and i'm with daniel sixteen whatever the hair the knowledge that yeah that series about the stock is there he informed us that. So your saying. [5:35] And and we always been told to hide it i know were not talking about that you don't talk about that right and. We don't talk about and how to let you know that how that. I have model for an old i have had in the nineteen you need to get that checked out because around me like you have no and. You and i talked about you not wanting to get serious times look like you have the right. There are not educating them how else are we supposed to change it rain even if we. The leader bay i'm on my period and we don't talk about water period is or what it's like even for women with other chronic pain conditions i know that with my fibro. The dealer of god and in depending on the days i'm in with my fibro some period are are much worse and and now i'm lucky enough to know the difference between a mild an average. Normal period birthday to when things are really bad and if we don't talk about it. How does anybody know what the standard for my own use of year is exactly yeah road to the whole period what is available and then back to normal. [7:05] You should be able to function. And what could be able to have a life who should be out of work or school speaker children whatever it case maybe. What color crown seventy one throw up and die. [7:23] And i think there's a lot of times and you gone through that where you even when you probably should have been bed ridden you don't have to put your responsibility you going to work or money did all those thing. [7:39] Yeah you do this part of your life like you said you only had two good days a month you can be a mom just for today i am on. Oh nice lol not that i did a woman learn to live with and how real level of pain that is not normal. Lol alright volume money and exactly there. If you're not hot you're a pain in your friend in your doctor you have roof top. Play comparable hockey your spouse for you know sir friends are fine. Do you have to be local you have to talk about it need to try a doctor degree from nobody else just character. They don't listen to you complain entirely do you find a new doctor. Find me a doctor what about let's talk about how you can hear that i know that you notice in your late teens early twenties the years your period where. Working for margaret then they probably should be holy and not all like this directly. The first thing that means anything goes. Get past theory out that wasn't my mom had a hysterectomy at twenty seven she kinda forgot that part was required to the nearest my first app and nineteen. [9:14] I'm horny dollars because i'm a. I have to have a period of time where i had to lay down if i didn't lay down the minute i saw that i had to change my clothes. And i can work in time to the job and during the period i was really glad to much lol that and the whole job like that way. [9:42] I have forgot you forgot about her period she anything because she didn't see that there are really bad storm so far but the chain you down too often. Hello i placed in a group member control am. Can you deliver with the birth control usually the first line of the first line of medical defense most doctors will that have irregular difficult period regardless of the condition. Yeah hello. Yeah there and give me shouldn't matter calling in birth control doesn't stop our ability to get pregnant if it's a hormone replacement therapy where were dot org asking arm on. Exactly and you know it didn't at first yes help i don't recall having issue is set. Tell me the time of nineteen very twentieth. I'm here if you need my grandma lot about being a lot of pain and. Shoe me that i have not so she of course you know hey calcium magnesium and zinc in thailand was your prescription. And it didn't help him and then get virgil i'm not backing ibuprofen and tylenol that my tried to adjust the person. [11:12] I am in my twenty years i have been and when i wake two am bunny because it hurt so that. Replace that i was emergency room. And this pregnancy has it was live with me i heard on their contact the. I need after your mom in the morning it is morning on it every time my now ex husband was military so i had a few days after first. Alright we now go to your closet in the year date of my neck you can you give me ideas and birth control. I'm. And before and after that can we were home for ninety days and in my general doctor let them in for a great year. And you can not giving dr in the parking lot. And the wonderful colonel back is he wanted to remove my left ovary because it looks. In that time are you had for diagnostic measures was a physical path did they do an ultrasound profit from. [12:43] And i can't be diagnosed from just no sound no no i'm. Something to think hannah and i don't know how that's possible because i see pictures i have my pictures i think it is on line you know i do my research i follow up on that it was a black shirt. Late there is no way you can see the on off around. And always i pictures because the camera and have been and will be removing some scar tissue. [13:22] And the water looks like black shirt is leaking pee office on. [13:30] So dr wanted you take one of your ovaries and your in your mid twenties and have a child yet no. [13:38] I'm in a client that. What could be allowed to when civilians go to the medical doctor and they say i have to have it back nothing in before doing anything like that. Room in back is unity do not present i was a civilian they had to help pay to this terrible terrible man. No my daughters middle name is his last name and not have to pay and. I mean just wanted to set up for one year old girl with the bacterium so he's on it i grandpa. Of course she had in mind that it's a push heating were here shut up and take something and that. Is it a lot but it just made me cry just through there is nothing wrong and that's when i found. [14:41] And after that. Regardless of the physical pain that you had to go through what. What was it like in motion to get an idea like that with where you relieved because finally happening answer where you. Here are all. I don't know what to do after everything freaking me now you now i'm a after paying the diagnosis no idea what they were talking about when it was and. And where were annual little on how to share palate. On the right you know i yesterday research history but you you don't look for answers and. [15:35] And can there answer was one thirty two trillion chemical menopause. On in the home front and me and is it a long way in the last year on fifteen years by. Back then it was shot but i got one from on high thank god for health care for the military because one shot was five hundred dollar. [16:05] And now something in the that occurred to me is that. Even the diagnostic experience if you had not been ensure heard was you gone to the doctor at all or if your insurance is not covered the. Things would you have gone at all because again women are supposed to have a period. Right exactly no absolutely not i mean is insurance for the kind of insurance or the ability to pay that much for coming on so they can tell me what's wrong and i can't fix it. Rain at our lady mean in the year period. Yeah it's me again and the little girl i'm so if you don't have insurance or the right insurance or the insurance absolutely i'm. Personally i do know that right here in washington state medical will cover after the and it says your. Surgery is out. I have a friend to how to had insurance and he was capable of being on the diagnostic so you know there are ways around it but i highly doubt it up for five hundred. Right i'm so i didn't run which was in a coma. [17:37] Which was how i thought my god i hope it doesn't happen again. [17:46] What time is good for the baby is come along way i do research for luke bryan i found out that it could be used as a chemical castration. Your man and dramatic that it is it is how long will. Absolutely it's not pretty hard is not for me that is it is heavy duty. And anybody how you did anybody give you any insight into how that could be before you get. Now not reading any information that you are happy and then say that you know i forget where the numbers were back then dies it work and i was like seventy percent of running. React well to run the fact that they don't have pain after a on and i was enrolled to the fact that and put them in canada enterprise, i made my body hurt after it has been shot, yeah yes i hate when the wind last for the rest of your life because i know you said is expected and i'm on treatment. What's happening monday ten. Hi i'm money penny was sitting three and there was a person is me pain free for the next five to seven years. [19:21] Any where that at all the case hold on now i'm not is freaking leisure nine months. I say green and it back shot which are the nicest flat on. And the two worst one now here in the winter when being in ninety eight with a fan on me. I didn't ask you for anything and it is so bad. No add me any insight on any of that and again your still in your twenty your. Not yet a mom. No the name between prime and and later on you you did get pregnant what were they. Lower the running the tried and and what is the matter talking about your risk of infertility and. And i really want you have to take the test for you unable to conceive. Right i'm not really happy that any of that eventually they did say hey there are you in three days i can't incorrectly but it was hysterectomy. [20:57] Not at the radiator twenty seven. Right on dr pushed in place in history hysterectomy and you have to understand around and like now i refuse to not willing to. And so i you know justin account now so we're talking universal control. Because your friend. And then you know just how it is ibuprofen and tylenol whatever the case maybe i can hear the pain and then just suck it up buttercup. [21:42] How old are you when you did finally become president. Three i lower the longer a woman. [21:55] I don't wanna wait to the twenty seventh baby whenever they want but but there are different as you get older determine your own house arrest the so you had. What the what would happen to the and when you finally do become pregnant. What happened to carry her nolen and i was lucky i'm coming having the entire page is entertaining lol a. And the lucky i have the entire time i was pregnant and how about tells you about nine months old so i had but he month being pain free and it was marvelous. [22:40] Can you have dan dealing with. What year you work twenty days of paying per month for fifteen years at that point right. Hello after that and started to return and read her. Looking back with a vengeance if you like test at me because i got pregnant i only plane. It didn't gradual thing it came back on for one apple on like. Yeah like that yeah it worse before it was hard function. [23:29] And that's how you came to making the decision you made in the last couple years because it was just the pain anymore it with your quality of life, right now i have this the little girl that i have to i mean on the that have helped but the little girl that is the amount of roasted garlic r and you feel trapped and you clean and. Not be why are canadians had enough time right. [24:00] And you did to go for the full hysterectomy yet ready for gym forty. That is what can and at that time they decided that. [24:16] I need a container one more time but it didn't hold because of course means i'm at that point i was thirty seven. Turn it on it hold on we decided that probably having another one wasn't really feasible low on a high breast cancer so for. United we go ahead and how do you correct me to come to improve my quality of life and. [24:52] Garrett very misconception of public bed and hysterectomy is the cure for endo that not go. [25:03] We are not all the hair did you can be totally separate from the years and bread and other parts of body. What are the speeding ticket away evening still be there. Absolutely girl who we chose to remove everything ovaries uterus and cervix. I am a manager not to do so hormone replacement therapy because now in the in the into surgical menopause. Are there any that was not to do the hormone replacement because we want to be be in jail. Because that's exactly what you're doing on your hormones back in and tightly removing everything from the farmers burn that. I'm so it didn't. I mean for me i live in relatively it but if it's not attached to the nearest but cannot attach to. The back side of your bladder am to hear. Can you please turn on backend know that he is working with the police on an employer out at the hormones back in. [26:24] Thirteen that we had a hidden monster. I wanna be taking a vacation that the source away. And there can still be some hidden somewhere navy inadvertently for the growth of it again. Yeah and it still grow in your uniform on and you don't even have to do hormone replacement if you are month i'm out our beef are chicken at four hundred one than. Why why one and when and how it is because our society comes from on an two or three. [27:10] And you tried to go up. Is the surgery the side. Knowing that be you potentially still could have and o-o living in your body you were diagnosed with secondary pain condition. Yeah i'm looking to buy them out and. [27:41] Probably with dealing with that and didn't realize it in addition to the end of the end or very overwhelming. I'm doing so how did you handle. [27:58] How do you handle being told oh by the way here's hoping to be in pain for the rest of your life. [28:06] You know after the paper so i can just take the gran fondo okay well mercury six figure the chocolate one i. [28:17] The quality of life why is it better saying it is definitely. How can you be that i get to learn and have to legacy hacker change because we both know that's not gonna happen to deal with that is just a newbie that i have to learn to fight. [28:44] What is the one piece of advice that you would give to. The one in the back he has and i'll go talk to dr. And the doctor always says you can't manfully do and if they don need to find a doctor. There are good ones out there are resources to help you find one doctors if you have the means or the insurance on i was like enough to stumble upon one. Buy the there are good doctors out there they are compassionate and caring and. Their dad have forums where they actually you know post stuff think he lived there pain about about window and how they're treating that and they do take me. Personal. Take personal care unit they don't just say okay we're here we're going to destin you never talk to me again do you research it means travel to the doctors because it is lower. And your motivation beside your on how is your daughter's house. Yeah there's a there's a very high chance thank you rewind up with in the process. [30:10] What is your plan as a mom when she reaches that age where is time to start talking about the joys of womanhood. How do you do will definitely. Hello is only definitely because i know from my own personal story as well as i have all these friends that painful periods are normal. So since his on after we were looking at acupuncture and you know the right supplement to make sure that you know we are meeting her body hopefully with. This relation really picky eater so i don't think the diet lower my me. We will definitely be looking at you know okay told replica free range chicken rather than monitor pumps her mom let nature that we are looking at a rate that way how. I'm interested in those hormones that make me hurt worse and give her a hand. Yeah you're a chance to have another eighteen three because was no there's a lot of them were not right. Oddly enough her godmother leaving it at that time i had a windows well i am. Hello he has a resources and i forgot mother is forcing. [31:45] Like a healthier food for him so he can you will be a huge help as your helping your mind who is you like that may help reduce some of that information. [31:59] What do you think it is your great support system throughout. [32:07] All of this. You know in the morning there they're probably very little support and you didn't even know what hundred needed belt but now what do you think is your greater support system and how did you come to find it. God bless facebook i'm no my story dan doesn't feel out of in my he is huge for a four wire. He has done history homework she knows enough about not to be intelligent when you speak doing it hamper experience after dealer that he will that i have i done it as well. This is him, friends and facebook there are so many support groups out there the women are caring and compassionate and full of, it is only taking mine off then how to help us at the. [33:11] Yeah i'm good personal friends family are visiting fam was not. A house for six then i'm very well how that problem think we will find that really. We talked about this when our program you'll be at the pilot about her period not talk about that. That the growth that you know. Yeah absolutely i think your brother wanna hang out have fun talk with you absolutely not yo people. He just laughs you know what is in the process like you they think ten google at the door looking for pictures and i cannot help but yeah. I have a sister are here and there's people, i learned that one over time because i tell people and then it would look it up and the other half it because it is disgusting, i'm. No not like blood glory just testing it just when you looking at the entire human being right will never leave and we have there can you call at seven hundred four and. Ab absolutely absolutely send going forward. [34:42] Now you find it does the same support system that you reach out you are there for you with the fibro or is there a little bit of a fifty gal we're where your support system. There's only so much we can do right mom happy always to adapt that part of your life. Yeah again um offices and a homework me when i complain about something you understand what i'm saying i'm. I want the interviewing new director of dollar foreign in is you resource. I never was like it on line and lost my friend. [35:31] Are intelligent enough to look it up before they tell me old you now. Try to log in to their i hate hate on the oh yeah i think that you might. Yeah i'm sure you wanted the data from any you later have and or you don't have to that i need to live my. Not ready for the way. And no way to know the rpm power and nothing changes i'm. Solution pressure we don't know my friends are really gonna lie you know okay passage you really doing that i was in a. [36:19] Well i appreciate you talking with me you have a video of us talking a little bit about the history and on facebook as well i am. Where does it. For all of our listeners ami jamaica your mission if you are woman and you lose that you're going through something like that or you suspect someone in your life is. Don't be afraid to talk about it and if you are a man don't be afraid to talk about it you know what you think your wife or your daughter or your sister your mom. If you think they are going through something like that don't don't be afraid they will what can i do to bring a six pack of cupcakes. And for early one because now living yeah acknowledging that you me even if i don't know what to do you know if there is a huge. I think any painting this and having someone even if they admit that they don't know what to do they don't want to say that the reason there kinda stunned silence is because he was happening to. Absolutely not huge help to know that i'm not in the ball bad that you can hear that i'm in pain and struggling is a huge help. [37:46] Absolutely what i think you and i think i earn this year and. We live it up in the five that how that is their website to report on p three on and remember that over three and as always compassionate i was, go home and do your research go and enroll and and. [/su_spoiler]

[tacticalpain]

Tactical Pain Episode 013 Dr. Tom Wullstein PharmD of the Brandon Pharmacy

This week Jeni Mc interviews Dr. Tom Wullstein PharmD of the Brandon Pharmacy.  They explore the benefit of open communication and consultation with a good pharmacist.  Don’t be afraid to ask questions like “What would you take if you were me?” and “what about affordability?”  This episode is packed with lots of very practical tips on how to develop a connection and treatment plan with your friendly neighborhood pharmacist.   Brandon Pharmacy http://www.brandonpharmacy.com/about-us/ This episode is sponsored by DiPSy Doodle Productions Voice Talent Dave Holly https://www.dazzleshows.com/dipsy [su_spoiler title="Machine Transcript"] [0:56] What's that you tactical pain podcasts and they. I'm going to be staying down and talking with a real live medical professional about this pharmacy last time we talked about pain management and healthcare we think about doctors and nurses and. Surges in pa is but in actuality in our day-to-day life especially if you're living with any chronic illness. You are probably going to see your neighborhood pharmacist far more often than you're going to see your physician. And your neighborhood pharmacist is going to have a lot of advice and options and opportunities for you to talk with them. And it's no appointment needed and no be preamble of here's why i'm here and what not and i think a lot of the general public and particularly in the chronic pain. Rome we're not taking advantage of that so we're gonna talk today about how to take advantage. Of your pharmacist us and very excited to hear that is dr tom will seniors hi tom how are you great how are you good. So [2:10] You are furnace is in the brain is a code on your pharmacy they do how long have you been in practice for a vehicle when my pharmacy for seven years but before that i worked at a much larger. There are local chain around the area and had. Cool seven was experiences about them so i've been doing it for a while and. You are not just pharmacist's your and dad business owner member of the community of react to things you community. Yes you try to be a good steward of the community is and try to participate as much as i can and i have to two young girls my daughters and. My wife also who is active part of the community so. Coming from the lady said you you work for a larger ten original chain in a larger city and then it. Coming out and everything we have a coming home you open a pharmacy in the town that you living in a smaller demographic and now. What would you say is your personal philosophy about how you deal are on vacations. [3:29] Oh i don't know what the to the actual term they use no like raided my little five week rotation in target they say gas there but we had and is a patient there customer your way. And yeah i receive from a guest when i get there better be cake and appetizers so i expectations of the guest i i like to personally consider myself. Of patients of anybody that is dealing with anything with my health care my medicine and i have. My own perspective about pharmacy and plays with with that in and i think it's it's overlooks the connection you can make with your pharmacist and for any kind of health condition which is what something that you think. [4:21] I guess i wouldn't so we decided to service our pharmacist offer a pharmacist offers but in layman's terms that might be the best way to describe it what are some of the services that patients are overlooking. When they're dealing with a chronic illness and we need to have a management. [4:40] Especially if you have a you know a chronic illness or especially pain everything else lot people will. I think a good thing to do would be to pass a pharmacist like what if your and mike's scenario what would you take. Or if you were going to that's the easiest way for me to ask people questions when they're saying, oh this truck has the side effect and forever to the inter net this is the worst thing ever and i just honestly tell them if it was me i would take it if this was my wife i feel fine taking this this is my mom, yo yes or no you do but i wouldn't let them take it and. To be honest with them cuz you know there's lots of side effects of the drug has side effects of things but you get the actual pharmacist opinion about the personally think rather than just maybe the, oh i know that this one hundred ten glasses this way so you probably prefer this over this to say. If you were me would you wanna take this or do i take something else because they also. Or thinking about prices of health insurance is working things like that so i'm up you get the answer of a medicine that's probably gonna be affordable that also something that's going to work as well. And and with hopefully the least amount of side effects executive with. Chronic pain specifically i'm obviously i picked you because i know that your pharmacy you work with some specific chronic pain patients and pentagon the extra mile for them with compounding and and find some unique. [6:13] Resolutions for them and things like that how do you think. A patient can approach their pharmacist and make it stand out from the crowd how do i if i come in on a new patient in your pharmacy. How do i make you understand i'm not the garden variety drug seeker do that is that is hard because. I had a person could do that specific thing coming in. They said i promise about problem person but they turned out to be a problem so you think about me i never promised to not be a problem. But yeah just you know that you will receive go with the smaller pharmacies because when you're a big pharmacy filling for five hundred prescriptions a day, there that's unfortunate but our professor has become so somewhere sweatshop get get the prescriptions out as fast as possible and there is not time to actually make that human connection. Which is what were the reasons i want to open my own pharmacy so i can have time to sit down or talking to students that are gonna graduate you'll save when you will have the prescriptions could you fill the day. That would be comfortable and also be able to practice pharmacy the right way home prescriptions could you fill a day and still be able to sit down and talk to people and show how to use what would cause meter or talk about drug interactions how many could you fill they do that, and the answer is usually like to maybe a hundred two hundred fifty a day will your average big store. [7:49] Fills five hundred six hundred plus a day so let's there's for furnaces ins and staff which there is not they're being very over worked. So you know if if at all possible i would just find pretty good forms the smaller one usually ones that are independently owned just because i was, any time with any business that you can work directly with the owner that seems like you guys just yes or no because for you only knew anything about it if you are providing service and accurate service. The whole business writing you today to make a fifty year. An ass hat and people will come back to it it's all on you the bread and butter. [8:34] And it and say that the large chain pharmacies or that the pharmacies that are doing um any day if you're if you're. Getting your traditional run-of-the-mill that there some people they don't need medication every single mother or you know they don't they don't need. They're not like me they don't need as much hand holding through a condition and so they serve their purpose the community but yet you feel like you're at the point where. You need to make your pharmacist part of your pain management team then you need to find a pharmacy that has the resources for that and the resources time the exact and and says. Any little bit the resources latitude allowing you to have that face-to-face in a personal connection is. What you think is one of the biggest hurdles locations are freezing right now i know. There's obviously a lot of talk about opioids and things like that would be what do you think. The patients are actually missing because we're distracted by what's in our facebook feed and i are in our twenty four-hour news cycle. Do you think that it's what's happening with insurance or drug availability do you think it's because we're getting pigeon holed into doctors are just for striving the same things. [9:53] Well there's no there's a lot of things proceed with up management that uses is going. The kind of the thing right now is unfortunately specific pain sufferers everyone's terrified to do too much is like. You know that her doctor. You wanna prescribed enough to help someone but you don't over do it because of you to over do it too much then that did not come after yeah. Or the same thing was they making after well with this with pharmacy yearly could one thing you do not want to be like the da office which is. That did not that the thing wrong is just it's a lot of time there for days looking for things so you say specialize in in. Helping people with pain and you were filling a whole bunch of pain meds, for for people who are making yourself a target yes if you're does like you know fifty percent of your prescriptions are for pain things are gonna get office so you can you have to be careful who with that sort of thing. But then it just kind of rude or some an article about how. You sometimes will have to doctors will say yeah i know this is five days earlier today is early but go ahead and fill it any way to the pharmacist would fill it. Well the pharmacist is the determined is liable regardless of what the dr says even if they say go ahead fill it its the pharmacist was partially the pharmacist fall for filling it. So the radley that's five days early do not feel comfortable filament. [11:26] Your you shouldn't have and now that when you're not in a position where you're staying notification because you don't trust or believe the patient but we're bound by. Safety is not being vandalized its is what i can go out of patience realizes if they are needing to fill it early because they are out. If they've been taking more than is prescribed for taking more than is the recommended daily dosage. Then they need to have a discussion not about why the need to convince the pharmacist to fill it early but why didn't last yeah what's. And how do you have to say that without sounding like a drug seeker how can someone approach the pharmacist what should somebody be approaching a pharmacist and saying look this is my first ride. This is the honest truth for when using it and its not getting me to where i need to get. I think people spirit by being honest about how they're taking things they're. [12:31] You're gonna call the cops on them or you're gonna yank their availability to their access to the mets. What's a good what's what's a good way to approach a pharmacist and say i'm gonna tell you straight up front i'm taking this different for fried. I'll be at the meeting i would say is this to be honest cuz i have a person. If i'm i have the chronic pain in my family so i'm very sensitive to that issue and i realize. The whole w you the worst thing that one is the right of drugs on the weekend to run out of your pain is so i understand trying to get filled, if it is earlier few days early every month just so you have a little bit of a stockpile just in case the worst of the worst you have you have a little bit extra there. But it the have you some some person who. Want me to fill something two weeks early and a very bluntly said you need to tell me the one hundred percent truth right now how many pills do you have left. And they flat out lied to me so that i have to do the furthest thing and say okay woman tell every doctor and now i have to show every doctor what you got and filled and when and because now it's not just a. You're pretty severely it's your trying to do something illegal so your your lying about it and what is your role in the community going back to that you try to be a good steward for your whole community in determining. [14:02] Are you a patient that. Is in is in personal travel like the medicine doing what i need to for are you a patient that is dealing this back into my community in an unsafe way. When your that happens last in our region my whole body weight but there are places where that's the thing people are trying to get more more because they are putting it back to the community in a different way. [14:27] Exactly or or just do you need for type of help do you and and that's what i told this person is. I am one with little notice and we need to try to find help so you can come back with a game plan on monday you one if you wanna call me and tell me what your mean have plan is for getting help. And so she she still comes to me and will you be to have her weekly cycle now through the doctors is on a pain contract of things. Yes but yeah that's where the biggest things that changed for me having a crappy person in my life is. Did before it was always hoping that anybody needed anything was turned off for more than just a few days after their dentist appointment. They're obviously you did and now there is trying to screw over the system we're now in i understand people have how important their payments can be to just function on a day-to-day activities so i am. If people are you looking to get something a few days early tomorrow. You may be allowed to one time but i keep track of who both long period of time and. What an i wanna services that people realize that they can ask for and that comes from knowing their pharmacist is like you said you have to wait until you're in trouble to get on a cycle fill. You can you can go to a pharmacist and say. Can we can we set up a calendar and this is my day where i'm incoming get things and we're gonna we're gonna keep track of the days and and then you're gonna know i have my buffer at home cuz i think a lot of us. [16:10] In any chronic condition weathers high blood pressure or diabetes or cholesterol any kind of condition everybody likes to keep their seven day backup plan are for emergencies and there's nothing wrong with that even if your condition is pain. [16:25] But i think that's another thing that's miss with pharmacies is people shouldn't be he should be offended if i can only get a thirty day supply they should. They should want to see their pharmacist every thirty days it is one of the problem. The house i know the pharmacy business works one of the things that we get is. Some fees for insurance company based on how much we do ninety day prescriptions and insurance companies one of the ninety day prescriptions because he that increases the patience compliance. Like that doesn't make any sense just because you give somebody ninety pills i'm either taking it once daily like the rest if that's true just giving three hundred sixty five pills at once and pay one hundred percent compliance for the year guaranteed right in the opposite it should be. Thirty days fills and that way if the person doesn't come in every thirty days of the company coming in thirty five days you can say hey see that you're few days late just miss a couple hours are problem are. What's going on you can have more interaction with people the more interaction the. When was my from cat tried to ask every time or things go news that we have an any problems and he still working for yeah and car few things but it just by that simple interaction. And and i think that. In different conversations are pain patients we talk about the isolation that we start to develop our family does not hear the same story are friends do not understand the story and they definitely. [17:56] Don't wanna talk about the side effects of constipation and vomiting and things like that with me they don't. But you get paid to do that you sign up for that job for so that the isolation factors in a way i can see my doctor every thirty days. But i i could go in monthly and see my pharmacist and touch base about you know what i developed this new thing. And i'm not sure if it's a side effect an adverse effect or you know. Things like better yet and it's and it's also part of that you should have a pool to face-to-face with somebody every thirty days and step out of your isolation. What's what think is on the horizon for. Pharmacy as insurances are changing and is there a lot of people in that field are gonna be facing no insurance coverage for. Mail order covers for you don't you don't ever see from ss your hair to be falling out you could of last night they won't know they're never gonna see you. What what do you think or are some of the things that its those fears how can we. Start to preemptively battle those things. Yeah there's a lot of potential sky is falling things pursue pharmacy and a lot of it is the pharmacist have done to themselves by. In making themselves a commodity rather than a service you know you can go and get the cheapest drugs here and doesn't matter customers you get because you can get the cheapest drugs well. [19:33] They need to change that around get back into the more the service which one of the previous scenes a pharmacy right now is that we're not even medical providers. Like the new characters in dietician and and he was any other profession you can think of is a medical provider and pharmacy doesn't count the ones that mean is it means that we don't get paid for any service from any insurance company. And you're one of the. What kind of things on the horizon hopefully that pharmacist is always for forms to talk about is becoming medical providers and then being able to perform some sort of a service so. You know in pain with one of those perfect ones where you say you going to a pharmacy and if you have a chronic pain problem you going to pharmacy sit down for half an hour and talk to the pharmacist every single month about what's happened to. Where you at where the side effects are having this anything to be be adjusted than know the distance from the pharmacy side of things than that they would. Get paid by the insurance will cover for having this for valentine gift for that time and then you have, up cannot set up a practice with a doctor who can overseas using you say hey what's all this person i think they're doing great we're gonna keep the reader keep on it where you got your good okay the same prescription for this month. And then doors heater having really bad constipation i think we should add this to the mix and that the middle of the. Just wonderful meeting regarding paying you one of the things that was blood pressure or cholesterol whatever but didn't in this scenario pain is the perfect. [21:08] Perfect. Diagnosis to do that because very hands on how are you doing from a month to month basis and made a lot of adjustments were as blood pressure you know you may not be but just minerals right away. Yeah there's a lot of pain there's a lot of the weather affects you and the holidays and stress and. And all those things that can affect other conditions your diet your activity level things like that. [21:37] I kind of i can ask prior to recording if you are comfortable if there is anything that was a no go topic and. One of the things that you said it was okay to talk about we are again recording in south dakota but what about alternative. Medical their fees how do you feel about patients who are taking a non prescription items. In addition to their prescription items what is a good way for them to use the pharmacist need to know if i'm taking herbal supplements if i am taking anything and adjusting in my body to treat my pain. And. What's a good way for people to especially chronic pain is a lot of shame and alot of hiding if you're not doing anything wrong even if you just like our every single day i drink sixteen ounces of green tea. That's something that actually a pharmacist might wanna point out and say well. Did you know the best thing your bladder did you know that that's. Maybe contributing to headaches that's happy in whatever whatever it is how how do you think people can overcome the shame and be honest about what they're additionally ingesting after. Well the first one back when taking to say you with him your terms and everything you're probably the more. Common scenario now is going to be insurance companies forcing people to do mail order except for pain medicine so you can be getting lots of stuff through mail order but then have to get your. [23:14] Pain meds are other had a more immediate meds through a local pharmacy and then they're gonna have zero idea what your taking elsewhere so you don't bring it up to them in they might ask. For the most part they're not gonna know what you're taking so great you that's a scenario that you should let them know all the other stuff you're getting to me in order to, he's a pharmacist year you're only as good as the information your giving if i don't tell you i have a drug allergy if i don't tell you i get medication for multiple pharmacies, and not just met drug seeker abel eighty seven eighty and getting my blood pressure medication for mail order and i'm coming to you for my after all your. [23:51] Exactly and your system can check for those interactions and you can check for those interactions because they're you don't have that knowledge. Exactly so that's just one of the things to if that's not really your and you might wanna just bring that up your arses especially time for something new so i just need to show on him on these things to any problem that you see. But no for the other things them as they probably are. Specifically mentioning like maybe your water will which will i think there is that but also even just. The wide variety of supplements and things out there i think i think people are sometimes embarrassed of what they try or there's there's the shame factor and i do think yes there are people that live here in south dakota and you're using marijuana modestly. [24:41] You are working outside of the law yeah that is the that is one of the most unfortunate gray areas yes we can. At the end of the board of pharmacy celica testified against. Medical cannabis and i was like we should be on the opposite end of this we should be taping this we should be saying hey we will we want it to be an option and we want to be at the forefront of this because. There be no better way of helping people. Can incorporate that into their there they're medications than a pharmacist and say okay we're gonna start if you're gonna start taking medical cannabis that how about you, maybe just at night started just at night and don't take your of your pain pills at night and or go take a muscle relaxer don't take your sleeping pill. What if we can replace that with this and that they have a pharmacist really say. Because your doing this new medication you don't need to take all these other pain meds to help with a goal in mind of where we want to doubt cut back by fifty percent of the pain meds you're taking but introducing us. I think with supplements and marijuana and even just for layering on medication that he had on a really good point there. A lot of times especially when people are being up front about everything are taking they are not replacing a dose of something else there taking it in addition to exactly when it when. [26:14] Ideally it should be taken instead of. Some some doses or as a not everything is nadia something's or replacement. There's other things to where i can see it no medicine or something and keep taking your for those that but if you if you wanna try the other will thing on top of it. Depending on what it is you know that you don't they don't replace that but there so others can you don't know you have to replace amen at honest with their practice. And that's and that's where you just have to find a pharmacist i don't know maybe quiz he just but find one that you trust to. It right down the pharmacist is going to call the police on you and that you said that your mean they should you said that you were trying to. See you walking in indian lake so i'm gonna be available guys in my truck. That any in your parking lot right now but that but that i have. [27:20] And do you think that maybe that isn't elements of the smaller pharmacy setting, you're less likely to be surrounded by a crowd of other on workers you may be less of a judge mental environment may be more able to build that personal relationship where you can be honest about what you. Have or want to try or are doing. Because you do you can develop that relationship where they know who you are there if. He's gonna locally i've been on a couple of. Things have ps whatever bone but the medical cannabis in the city of people saw me on there i had a lot of money my patience like ask me but do you think that would help me and how do you think. [28:05] What is the public to get this going to away incorporate this sleep well we can't now we want to take a weekend to colorado and tested out just don't take. The drugs were doing it but we still know if it works for your right there are places that are. Reasonably accessible for people locally to even drive to where go visit and they will they will be motivated to try those things and so somebody is. Even just like i think snowbirds to go to mexico for the winter and by other meds in mexico for the year. There's nothing wrong with being on it you're not doing anything illegal if you go to colorado and smoke a joint. You are you are within the laws of that state and more power to colorado and we go. So they should maybe seen other pharmacies hey i don't i have the opportunity i think i might try this that was was remote for the medicine table of the that's a great point of absolute. So so yeah even even just. [29:10] Again if it's nothing if you're not doing anything illegal where your going because were interested in knowing up to anything illegal if you're if you're gonna go somewhere to try this is nothing to be ashamed of. It is being honest about it in and i think that that's that's the thing people forget sometimes even more than and doctors. Because first she use often in a year or family my doctor just sees me when i go in for appointments for you see if i come in every my grandma long and my kids and you you have to sit next year. Patients are customers at the baseball game or whatever. You seen them in their life seven years you see what i'm just there shopping for diapers and make up and whatever and if i'm. [29:59] You know you're going to see me on a real life faces and i think that that is more impactful. If i sit down and say ray my tax but me on this drug and fucked up all the now. Where are you going tonight i only have twenty minutes of my doctor once every ninety days i don't have time to tell them what i'm fucked up about sometimes. [30:22] Yeah pharmacists are. One of the most under utilized best resources that are in madison either the most easily accessible healthcare professional up. Make a phone call and you can have on the phone you can you can just call doctors and talk to the doctor it's usually several different phone calls and messages and. Given a chiropractor goes through the answer in the same section as i am getting a pharmacist you can get on the phone immediately or you can walk in and see what immediately. And it's just unfortunate how underutilized we are as a profession and under. Reimbursed for it to like when i'm when i'm paying so much for my health insurance and prescription coverage is. [31:13] In a way i'm getting cheated by my answer because they're paying for me to have the pills but there not paying for me to get the education about them and. [31:23] That's one of the interesting things about services you're gonna give the education even if you're not getting paid to have when yesterday they serve the students were was. New blood pressure medicine that a person has been on and the total reimbursement was forty cents and i said okay so for this forty cents we're gonna get from the. The drug a bottle of credit card charges of bribery sit down and tell them how this affects the body and keeps them alive and that if we were to do something wrong or something where to happen we may get sued for it but that's what. Bro that was the last forty cents here's your forties and. And and we just have to hope that they don't pay us the canadian border. Cuz then we made even last ten weeks of work when you said when. When small town pharmacist say Apple pay they mean in Africa, or the delicious one can i make a pirate. [32:33] What think like you said you you have dealt with in your personal life family members that have chronic pain. [32:40] And you're pretty open with new years in pharmacy from before that happened and now that it's part of your life that is change your perspective about. Pain patients group how would you describe your perspective before will it work is it really was a lot of if they come in and. If you heard the word five ml which and have no and full disclosure tom and i have known each other. The duration of your pharmacy career there's a form if you are there before so so tom has what year did you graduate. Two thousand six but it worked there for five years or so so anytime and i'm mad i had already been sick for several years but the first decade i was already ten years into, having federal how's it been diagnosed so when. When you talk about five miles them in the beginning of your career. That that was just the buzz word meaning of somebody's looking for pain meds because they don't have to prove that has any pain they can just do whatever they want my things paper browser it's like. You start yet i start getting. The numbers you only remember the bad the bad people so even though there's probably for every one bad there's there's ten your normal uber the balance of. [34:14] That everybody who has ever mouses is a seeker and after a while it was like i don't like the way but will my pharmacy career to be like us going to was some other happen you so. No You said you probably had for everyone patient that's what i have to have it i have five miles i'm in so much pain you might of had ten other patients that never even told you that was their diagnosis and they just had a better management plan. And they wanna parents you that that's what they were dealing with executive. Yes really and i know there's a pharmacist that have that same sort of emptiness where. People looking for pain meds that they disconnected in their minds that there that looking for pain meds they're all addicted they're all trying to use the system are there also industry to start it you start, feeling that way but that's that's just unfortunate that that happens. That is not on your side everybody i think it's the captain's on the day that's all i absolutely nothing as a patient. I try and it be aware of my own behavior. Which again i have tried to get past the idea of being ashamed that i have a pain condition but i don't have any shame for worry or taking care of myself. But i do try to be aware of high present myself and as a pain patient so now if you that you've experienced watching someone it. [35:45] Goes through chronic pain and and kinda come to terms of living with it. [35:53] How do you feel now when do you think you feel more. [36:00] There's a big difference between feeling sympathetic i don't like people feeling sorry for me but a pathetic feeling like they understand is different. Do you ever feel sorry for people because you realize that up until the debt with you they probably were doing people that other crazy. Yeah i completely get that i mean that's. [36:22] I have a lot of customers who think they they've feel that i'm i don't see them differently than what they had the past and they really appreciate it so glad that. I'm mike mother had to have that perspective forced on you i'm glad i have the new perspective on the will have a better way of. Of helping my customers how do you teach students to navigated one of the same as my students always have. Is that have to interview somebody and look at their med list and that come up with ideas on how to help them and i usually always have them use my wife so that they can hear her. Story of for. Her life experiences her health experience and and then because behind closed doors that she can be honest with you if they were stupid and like maybe maybe they were. Book smart but not for smart street smart of those usb with a vizio the the whole different rainbow of. Of students that are still coming through but which ones should the end of in the basement somewhere who should actually be out there talking to people but the train to teach the new class what. [37:49] That. Don't don't be scared about he pain or people with pain as is your right busy right now that's that's more pathetic be to understand that this is a real thing that people have the need the need help there looking for your help. They're begging for your help so just be the ready for any be willing to. Be as we said part of that management team and management plan. How do you not for the patience when it comes to what it what if you see a patient that is. Feeling too often order or you talk to them you know that there. [38:32] Not taking their vacations correctly whether or not is because it's not working or or maybe they are starting to slip into where. [38:42] They are not having pain management but there is starting to experience addiction affects. How do you advocate for them as you can see it before the doctor that you will i see them filling no spaces filled little too often for my liking. Um Seoul now i think every state or something called a prescription drug monitoring program which is pretty controlled substance abuse automatically reported to the state and then you're concerned the pharmacist can look it up. And see if your feelings things that other pharmacies with other doctors and you're just gonna make sure the people aren't. Buying do not running insurance are going by schedules or having a behavior yes so that's also can good tool for. Make sure people know that. You're being watched so you can i need to i usually go in and tell her okay with this i realize you feel this early the last three months and a row and i just wanna where we just we have to. Do you have a few extra pills and stockton understand why but we need to get this now on a monthly schedule you can do this anymore every single month. And then i usually make a note that if they come in and say they're going on vacation of the five days early but also and that's final two five is early next month we're gonna do it five days late. Because you already have a stock pile and we have to get back on to the thirty days have so. [40:12] So you know i just try to make sure i get my mom out so that i can like i can see that you're going early and i can show you that you clearly and you understand and i we both understand why you're doing it but. [40:25] What's just get onto a good schedule now and not so neither one of us afterwards i think it's hard too because there there is no. There are so few diagnostics for pain weather is in the clinical setting or even in your home and you can take your blood pressure and blood pressure monitor at home everyday you can. Check your blood glucose on machine everyday i can't tell you today. [40:52] How much pain i'm gonna be in i can't determine what's gonna come at me that can alter it and i have no way of. [41:02] Want to find my pain level to you. [41:06] If i am having so many times and it says i feel like my blood pressure medication isn't cutting it has my one pressure still up everyday they don't often starts then. Choosing to take your blood pressure medication three or four times a day and hope that it works they will come in and say i don't think it's working what do i need to do the rest with pain. Sometimes we don't know is it just a worse day to day or is it not working and so we do a lot of self regulating in testing on our where our own unique aids. How do you think pieces were crying pain is their primary illness can benefit from. A closer relationship with their pharmacist you recommend things like i really talk about on the podcast before but like. Specially packaging and things like. Like you said this is a monthly and this is your pick up day and we're gonna go over your count of what you have. [42:06] How how do you think they can overcome it i think the day of your being limited yeah exactly. The of your being that is way of putting it to just wake up one morning and not have. Anything that have the medications i have any support or anything would be a horrible thing so i can see out of here is something that those in the back of my mind. But yeah there there are the special take the packaging up there to. That's kinda like the seven days till packs but except for the people will come together for you there are several places that will do that this in this area for for no charge. [42:54] You know one of the things that we haven't really discussed that we just gonna recently had. As a had a patient who got a genetic test done. And they came in and showed me the results for the genetic test and it was unbelievable that that is not. Required for every person was on any medication it is i look to that and just thought. How much time that was a hurry have these things white down don't waste your time with for everything for every ameen first and drugs in for cholesterol or the closer, but for like antidepressants especially bills are all just gas but you just throw mass something and the new gas avenue try something different with this person had like. Ten the back home and the only thing that they were really supposed to take with the telegram will that got them out of in the fifth one on the list before we got that. And i don't know how much genetic testing cost but it seems like it should be a requirement for any heat as soon as they if they're prescribed any drugs automatically have happened on the eighteenth birthday, congratulations to go the genetic testing i think that, definitely in the pattern and if so retarded patiently through that the went through that in the hopes of clearing up some of their. Chronic pain issues and. Yeah hindsight is twenty twenty they look dead for years we did that and how much time and money was wasted on those doctor visits in those medications and what ever that testing would cost probably would've saved a lot of. [44:35] Dollars over time and heartache what would you think. As where can i come in sir wrapping up our time here we think is that the key piece of advice. A pharmacist to give it a chronic pain patient will is the best face is find yourself a good pharmacist you you can have a good relationship with me that's. That's the main thing if. Yes you can ask me some questions telling your story see what they think about you or your situation not tell me have five mouser and see if they roll their eyes or their like oh i have a friend who has that and i understand that believe you can probably figure out what, a person thinks about that pretty quickly. Another advantage to community pharmacist it is face to face it's not over a making walking and watch how you react to me the absolute. [45:30] There's there's no with container insurance allowing it but there's a lot of choices and most areas. Those of different pharmacies and pharmacists and is just a job interview go and you need to pick the first one that you come across to go find one you like that is not even about. It's not about the chain is not only walgreens or walmart or anything like that it's about the individual pharmacist that i work at walgreens i would still be the right pharmacist going talk to because. Of my personal persons actions. But you know you have worst both of our business that was between some work at my store you wouldn't wanna come there either so. It doesn't matter i can say to go to this particular place but find a good pharmacist but usually it's gonna be that kinda less busy place local further have time but do go go interview if you forgot when you like the best. And without mine was they find one that they like the best. [46:35] I think from a patient perspective in from both sides of the counter per se don't. Don't be ashamed and and try to be honest we don't don't be afraid of what you're about to tell this person you have. I live do not ever tell pharmacist that you flushed your pills exeter accidently, tractor pulls the trigger and no one believes your grandma's cat has diabetes and they just all they just don't believe it bring me, as it is like in first dealer bring your dead grandma don't don't tell a story that's been told a thousand times. At least be more which is your promises day with your honesty and goodness around us, we can be friends hospital know what to do with that will come back tomorrow so i pulled my converting. Why thank you for sitting down and talking with me just kind of because people to do that people get to sit down and just talk with. [47:40] Professionals of all kinds about this stupid questions the had her i get you to believe me which is a big thing in chronic pain. Please believe me please believe me and i'll be interested in your not recording is tom wendy start believe me that i wasn't crazy because i don't think it's happened yet we'll see. But i do i do thank you and again tell us the name of your pharmacy, brandon pharmacy brandon pharmacy so creative so the doctor to holstein farm do i should i should explain to people what is a farm the. The doctor pharmacy so little bit more training than. [48:27] These to be just registered pharmacist and now it's that everybody that's graduating the doctor pharmacies. And her sister now i know it here is the code it's happening more and more it is a lot more clinical things that your allowed to do backs nations. Depending on where you work is it that the va at her progress about a pharmacist do a lot of work for testing and things like that and and kind of changing people's drugs around. [48:56] So there were hoping that's kind of the future of our message because the teacher from this is just to get insurance reimbursement on drugs as i can it. Turn out well for us greatest range and and one thing that we didn't really touch on but for anybody. Can you just give a brief overview of what and and t ennis medication thirty minutes basically. You do a comprehensive look at all the medicine your can just sit down look at everything i know there's also drug interaction so you figure out. He's to make you tired are you having that are these can be taking the different types of the day just maximizing their your and figure out what's best for us so. That's a good to have that done especially if your on multiple medications and that's for people of any age and any health condition that was coming and ask the pharmacist about and tm and it, there's some patience especially over certain ages western insurance plans that is something that sometimes your insurance plan will will pay for the cost of. Really a full-scale and team visit with your pharmacist where were you do make an appointment and you do bring in everything and. I think that would definitely be a good place for a lot of people to start once you when you interview those forests and pick the one you like is there a. Let's let's sit down and go through what i've got here in figure it out so. Definitely all the things going and ask about and if you are looking for a pharmacy or a pharmacist to start with. [50:29] Tom will seen back to town sushi for the final months later the you have to be a vikings fan and where. If you have to be to say that you are not satisfied busy and i made a good place to start he may be a good first interview for you so. Thanks town have a good day the drove. [/su_spoiler]

[tacticalpain]

Living with #CerebralPalsy. Entertainer Ryan Stoick talks about growing up, but not giving up, while battling chronic pain as a child and young adult. #chronicpain 

[tacticalpain]

Fisher Wallace Stimulator and treating pain, anxiety and depression with cranial stimulation.

[tacticalpain]

Tactical Pain Episode 011 Fisher Wallace Stimulator

This week Jeni Mc interviews Charles Fisher, a serial entrepreneur and the son of radio pioneer Avery Fisher.  Specifically, they talk about the Fisher Wallace Stimulator® as a possible option to reduce pain and depression.    This episode is sponsored by DiPSy Doodle Productions Voice Talent Dave Holly https://www.dazzleshows.com/dipsy Fisher Wallace Stimulator® https://www.fisherwallace.com/ [su_spoiler title="Machine Transcript"] [0:57] What's that was nice to be tactical pain podcast i'm your host any mac and as always we are here to talk about are very real pain and real strategies for a better life. Today we're going to talk about. [1:14] That's cool that we may be able to use to improve our life weather is there pain relief or relieving other conditions that often come with chronic pain. Specifically today we're gonna talk about cranium electric there be. What is that have to do with pain obviously the idea electric there be sounds like it might cause some pain our might bring images your mind from. Classic movies of insane asylum is an electro shock therapy. That's not really what we're talking about today although it is science born of the original work with electric shock therapy and how it treats depression. [1:59] Currently you can buy over the counter which means you can you can purchase it without a true prescription are without. Being seen by a doctor there are devices that are fda cleared that our neuro stimulation devices. No it was chronic pain have the tens units the trans derm all electoral stimulation devices you put the gel pads on. That's your back or your shoulders you know you apply it directly she that little poles your muscles contracted helps relax and and release tension and pain. Could you also be used for some people with nothing the when they use devices like that it is stimulates the nerves in such a way that it disguises the pain. [2:52] Basically cranial stimulation works in the same way these devices are. Here to be used on the head as most of you that i use a tens unit no. They will expressly say do not put this on your head enough of this on your neck it's not really designed for that. [3:14] These devices are designed for us and they are fda approved to treat depression anxiety and insomnia. Specifically today the device for gonna talk about we're going to have shit fisher from fisher was laboratories he is the present official laws laboratories we're gonna talk with him my phone about. The fisher wallace stimulator and what it offers and some of the science behind it just a couple things. Before we get into the car with chips. Fisher wallace the website is fisher wallace dot com that's f is he are we a ll a c fisher wallace dot com. And there is you doing prescription from a medical doctor or an authorization from any health care practitioner. So i could be your your doctor psychiatrist but it can also be a chiropractor on yours practitioner social worker. They are their website lists even a dietician nutritionist. You could have your medical doctor actually write a prescription but on their website they have a form that can be filled out. And they do also have for an added fee of eighteen dollars they have a practitioner that will authorize that form for you. So [4:41] That's that's really the easiest thing to do if your purchasing it because most people in your shopping on line it's it's in the middle of night you're not planning on. Going in a senior back and doing anything about it you just. Making this purchase for you for yourself so they do have a purchase authorization on my form and. I did ask them what is the the purpose of the authorization form of this is over the counter products why do i need. [5:14] To have some medical practitioner especially when is it gonna actually see me sign this form and that's that apparently is that is required by the fda. Fda approvals and things like that. I'm sure that they need to document where and when that they're they're sending these items out. So that is something that they as as an fda approved products are required to abide by. [5:44] They're device works alternating currents some people have. Be more familiar with over the counter with direct train devices this is an alternating current devise. They've had studies double blind studies placebo studies things like that. Where there studies show that the fee alternating current is more effective. When is stimulating the brain tissue and how that can help with depression anxiety and insomnia which obviously we're living with chronic pain your probably also living with some amount of all three of those conditions. [6:25] It stimulates the part of the brain that helps. Stimulate serotonin transporters there tone and we all know that their tone and is the happy hormone that helps us feel better house does. Often sleep better it is me it is the part of the brain that it's. [6:45] Helps with memory formation and helps with mood so those are things that again. Regardless of what you diagnosis for chronic pain. I think we all star to deal with brain fog i know our listeners that have fibromyalgia that is a core part of our tradition were often fighting find ways to stimulate our memory and. And concentration things like that but if you live with chronic pain long enough you'll be affected by that fog no matter who you are. [7:25] Also the device works and promoting the brain patterns that trigger rem sleep rem sleep is. The sleep where we we actually going to a deeper sleep and we dream a lot of people. With chronic pain insomnia we like to call it pain insomnia. Where were never dropping all the way down into that deep level sleep where we're really getting rest and am really getting recharged so. [7:54] Stimulating that without adding any drugs you're reading and a lot of people are. [8:02] Trying to avoid as much as they can to use anything that's too sensitive session you trying to leave your life you don't want anything that's gonna give you that hangover feeling of being sedate longer than you want to be. So to have the opportunity to try something that might stimulate a natural response. [8:24] And brianna that deeper level of sleep its is very interesting to consider the device is designed to be used twice a day for twenty minutes. So [8:35] There's probably some school of thought that if i use schedule myself to twenty min sessions where i sit alone and still and in the quiet and relax that alone will probably be good for me. But adding the. Average the device to maybe stimulate serotonin or some rest relaxation i can see the benefits of trying that. There are people that have a vaccine. You know discussion forms on line and things like that were they talk about using it more times a day. [9:13] Apparently there's a little you know very little risk of overuse in using one of these devices. But using it more often or or a higher frequency higher setting you might not get the result that you intend to it might trigger alertness when you. Are trying for your relaxation or things like that is not the kind of thing that you would develop a tolerance to. The device is working and then national process of the brain. It is just a stimulating device is not something that you could. [9:52] Become immune to after while i do see where people talk about it stops working for them after a while i don't know if so much of a case of. The device. Is it doing anything for them or maybe it's done all that i can do maybe their bodies plateau study hard to quantify without more testing. [10:17] It is approved for the treatment of anxiety. And alot of people to do things it also do with through panic attacks which are. They can they can stop your life in a heartbeat one of the questions that i did ask was. What if your in a panic attack is this something that i can sit down put it on and it would stop the attack. Or is this more of a preventive device where i need to be using it on a regular basis. The device is more designed for slow and steady improvement is something that should be used over time and it really wouldn't treat the acute onset of a panic attack. So like. Oh i people taking medication that is there emergency rescue medication for panic attacks this would not be considered an emergency rescue device this to be something that you would want to plan to use and use regularly. [11:18] So it's definitely something i think. Is very interesting to me is something i've tried in used tens unit before i have used electric stimulation approach somebody. I myself experience. Unfortunately courses are chevrolets can i use one of these devices so i have to determine that the pain that i'm using it tree whether it's to lose the trigger pointer shoulder pain or whatever. I know that in the next day to three days i will probably have a lease flare. That's just how my body responds to it it does help relieve the pain and the tension but i'm going to have a. [12:03] That's just me it can be different for other people but i have. Been afraid to try something like this because i think that the idea of. [12:16] Putting it on my head and trying it is going to cause this and. So those are some questions i'm gonna be asking chip again we're gonna be talking to check fisher he is the president of fisher wallace laboratories and we're gonna discuss the fisher wallace stimulator. And let's get shipped on the line. We've rectangle give tactical once again you jenny back. I am in your area good using. Very well thank you for having me on the show so i'm done a little bit of an angel is talking about your device and talking about. The things that its what what the difference between fda approval and fda cleared isn't some some of the things that sure that your website forums people love but i kinda wanted to talk with you directly. [13:18] About to tell us toes for so little bit about yourself introduce yourself. Well done on my iphone. Oh man and has baba trading company i don't couple of businesses and but most my work has been in consumer products i found i discovered it. Technology is a really back into french and the owner of the with the device and his brother, did god be one of the just passed away and always and there were two brothers who both electrical engineers who invented devices and still very successfully charmingly he's been told to serve me. To run two thousand five. As the state wanted to help between you required them and it really going to buy a burger, find a partner mr washing but fortunately also he is deceased and, show because i tried but it but my partner burgers around and. Also a big his background in marketing guy has resigned as but we have medical advisory board. So we're where we're not sure governmental side so that's listed on website and i would bet he's on your website it lists who who some of the medical advisors are in a little bit about each of them. [14:52] Right yes these are all pretty prominent psychiatrist for people who are intentionally field and ordered notable in their experience and, and knowledge of the subject so because we have changed technologies we provide the you know we don't really requires or the hospital where all that we do have a lot of technical expertise. Not, make sure device where which is as a whole team of engineers were very you know very well covered terms what we do and how we maintain and improve the quality of what we what we provide, and i guess i didn't realize until you mentioned it just now that did this exact technology has been around since the eighties so this is not. This isn't some fly-by-night internet bubble dot com device this is this is on its been around for a minute. [15:49] Right i mean is that originally the device and transfer the electronic version nation which is something that works properly and the body most devices, are there for like stem no way in something that, you know what people get when they have certain after they have surgery you were having orders new orders of your body, the most devices are about fifty two hundred fifty million which is way too strong berger has to where they did was a real event and, a database tens device that works on me and one to four million six busybody it was really for the geriatric market geriatric patients don't like the, you know the strongest innovation of the standard was successful that they then started to experiment with frequency that could be used to try to stimulate neurotransmitters all. So basically used to hear basically we're looking for something that was. Powerful enough but basically just powerful enough to do what was needed to stimulate the brain without. Having to be in a clinical setting with it with the doctor standing by in. That's correct me if you can hear this because many people due to lack of convulsive therapy is approximately eight hundred two thousand no apps. He utilized parses one to four so this is such a min about electricity every question is what can possibly work as its own and they. [17:27] Delete batteries in the answer to that is cuz quick question is do we use the very high carrier frequency of about fifteen thousand words with allows us to get electricity into the brain. Use radio signal without a lot of apple juice so it's not a matter how strong it is really just a matter how you deliver. And that we we also have, what am i actually frequency which is about five hundred hers which helps but not logical aspect of this so you know it's only four million in two minutes because we're actually cutting the physiological effect, and then the body was between about zero and forty hurts if you for example. But fortunately are there other ways to save a device well using frequencies that part of your body do workers. Different aspects of your physiology be stimulated using a mild formula kirby were working be used when the person there's which is using a which is running frequencies. Between zero forty range that is the your biological biologically active frequency and we have to find the right one that would stimulate heater transmitters we knew the rain was in. Its around the knee hurts if there's a number we have you carefully guarded this for the. Is it different for each patients with some people are lesser. [19:01] Or does it actually we found a frequency that would stimulate, generally the year transmitters in most patients do we have about seventy five to eighty percent success rate doesn't work on everybody we meet we return basis with one but before prices of we only get about, fifteen percent of the back so it eighty five. The types of activities around were conservative get it working seventy eighty percent of patients and when i say words i mean that it will alleviate one three symptoms that were there to treat. Have you seen any patterns and the people that it does work for weather nat's you know some some things were better for men or for women or, four different age groups that the patient and see success in the fall and any patterns or categories. Not really no we have a very wide range occasions we have a lot of each christians who prescribe is for kids we actually use cage without, she will that is two years of age were not permitted to work and actually a pediatric patients with you. You know contrition to rca prescribed and they do will pharmaceutical drugs training is not a good idea that, world history and the we also used, very successfully with my shoulder patients people in their nineties because they actually can't adjust runs very well and. [20:37] And they usually take a lot of them this is so many. Any issues which would otherwise have to be sold with poly pharmacy so we have a wide range and there's and our genders but it is really. Kind of almost fifty formula varies by the month but we find the winner more receptive to. The kind message that we're sending but he was not to prevent them from. Ordering so he was pretty much the did he do we don't have a specific population i would say that the. The appeals in terms of the purchase of the device until mark the mark and the greatest ball crosses pretty much patience between thirty five and seventy. The sum of all the more mature you know who is making a decision ball about his was recognizing symptoms as they not approach middle age better for being, you much younger and then the asians really to their seventies and then people over seventy me. Can't get medicaid were for medicare and not be you know and. Turn the blue church every therapies not not that we don't have many patients were much older and we treated. Question hundred years of age but i was a partially is over between you know the reading the bible for us thirty five seventy between the two genders see. [22:14] It's pretty common for women to experience. [22:21] How eight ball that desire and need to look for things out of the norm when and sometimes we know biologically have. More issues metabolizing certain medications. Even as simple as we can bring our castle better than a tablet things like that there seems to be more things that women experience is far side effects. And where is where is men might be more held off by the stigma of admitting they're dealing with depression women are. Often seeking something other than taking a medication and that something you'd you'd said to me when we spoke on the phone previously was that. [23:06] You will feel. [23:10] And no cup confident that your offering the public and non fire option so. That know this probably will not necessarily replace all the patients medications this would you consider this something that people use in addition to. Or is it a, it has a hard treatment in some cases and where we haven't really been able to prove how but there are a lot of witnesses were quite a few vacations and again i, where you were not i know he's had heart disease and taking drugs are you. We feel that the across the board if you can use a non pharmaceutical intervention cars. And there are others on the market got this early in the second round but i am your father no what will message in the device shield which much smaller before leaving on something that is measurable and on same problem. Can you probably used first and it doesn't work then you can go to her suitable option there are many great drugs in the market. But when you have something that has done amazing is this that has to research it is probably a good idea to start with something like this for stator better opinion we don't. [24:41] Will you use this device without contraindications with any other pharmaceutical drug sofas and has something that you're doing, where's the problem and you can reduce vacation, that's fine he can you so stay on the medicaid for for her machine that may come and actually, and, the treatment of something else that's going on and i cannot be very specific but yeah pieces of vacation every condition, is different but that's one of the things that we talked about a lot of resources is that in hand sitting quality of life. [25:23] So so we do we tell me today's the new especially when you're with your buying a house full price is coming up this past thirty days you said that i don't, when he but they can return it we have a ten percent restocking fee wishes you know, lower the industry standard would you return electronic equipment generally you charge between fifteen and twenty five percent of the purchase price restocking fee or as much flour we had to cover the cost we should be back to the plan to get a refurbished, and you know rebuilt in the parts are changing everything else and, how many years of being used objects somewhere so we have to do that just fell safe but the, this device difference from. The you know you're talking about electronics and the rest people taking what they purchase and and user and on a, how is this different from there so many devices that you can just walk in your neighborhood drug store now the icy hot has wanna leave has one, there. Danger close to ten devices but they don't have a very big and they don't have to be in a. Alone or just build the same message is most ten devices and its my body not using any there any specific frequencies or anything between the study that any different than anybody else's. So there is really not something work benjamin down i have not heard good reviews about. [27:00] You have a lot of products that are in drugstores estate and the products mean they're on the same rate this is not something that you use on your face your head and neck there. They're not. [27:14] And anyway suggested to be safe for that and so that's the difference with your devices that use you do have the science backing exactly. Where is applied to the frequency to trigger the serotonin in the brain. Product no worries we found that the previous also ours is the is a true tragedy of it so you. Me to use the applicator switch the only way you can really get interesting right there other devices market to use matches on your clothes about they don't, they are not delivering electricity in the same fashion. This is really the only way you can collection break and you are going to it safely if you understand the frequencies introducing or or active players so, no one seems to have understood that right mission hi carrier frequency of eighty thousand, and what will i do to to deliver that, discover devices better better up that's about turned in in drugstores are okay but they're not you can use and transfer, and by using both you can use this for bailey and you can also use it topically so you know a lot of pain is centered where's trigger the brain. And the boys reaction is where you were reaction and of course all the build up is result of the stress of having injury. Is his biologically. Connected to your brain and how it operates of up so the first line of defense and actually we're treatment and using this transparently but you also use this properly. [28:54] And we talked about the body her to my goal was five hundred so where were you to lazy and forget about things like that. Right will find you see you can use probably but you can also i would also recommend using it turns green because that's where a lot of his trigger, forget about, we would use it topically for example of some of which is where most despite your current on the food or barter for toronto and we've got medicine, got a lot of in order to have your heart pumping to the strawberries and proven that to break up sugar crystals words as is working properly on your foot and then there are nine million people this country couches used to. And largely and solve one of your cast and it is you know people think it was drinking port red wine the greatest number of characters are actually beer drinkers. [29:50] Yeah i know for a red wine drinker so i can i guess and say from that appears here's a real problem and also people. Very rich food these days so so glad she's cause gout and then we can also use that you can also use it anyway we have people. For help in surgery right hip pain. She put one up here in one side with pain in the oven does hundred eighty degrees the other side we give you by strapping kids activities in your body and all because he is for r and neck pain and lastly. What have you as, to for very specialized form of chronic pain which is called phantom limb syndrome internet p you can use one of these alligators with makes i changed the device. She has her, office but the we can be used on c chalets in the other out the hair you use on the subway, where the or and it will reduce which and which were you feel like your problem is still there you so snorting pain. Practically so what's the use of medical life span of the device last, yo for five years or more if we don't get anything back maybe about one percent failure rate so we, get two to five years down the road we don't cost so we replaced the cost so they're not and we will cover costs but not. [31:26] I want to buy for brush up so we can get to the number of back every year but not many and that's as long as a result of used. [31:37] Yeah doesn't look it come in looking like they been using our over and over come back later over here over my hr something. I know i have said this. I know in your website it says that one of the things that would make you a patient not eligible to use it would be if you had a pacemaker or other electronic device in the body already. We recommend using over the in over pacemaker we have a lot of patients who used to transfer a newly who pacemakers but we we put that is a contradiction because of a lot of. What we recommended by the medical advisory board about it so you don't you voyage can, raise is there any other known health conditions other than another electronic device in the body is there is there anything else that, the you guys come across as a as contraindications. The only thing is if you have if you have for some reason trap on your head on if you were into had a bullet. I wish in trouble from from you were situation and that is and if the if you use the death of his over them so you can having so that pretty much do i owe. Where's this is we. As just as we can i go to raffia first vibration appreciate you calling in and kinda talking about the science of it and in the history of the device the again i myself wasn't aware that we're looking at. [33:19] Thirty plus years of. Science and technology backing that rice with what do you think it is there's one take away that is if someone was on the fence about trying this device i mean i've been pretty open with you that my fear was that it would somehow cause me pain. And and that make me nervous about trying a device like this but if somebody were on the fence. What do you think it advice would you offer them in their decision making process. Sure but when i went to examine oh not engages in inches device to worsened with matters of electricity here, do to cause harm in any situation and how he was applied, so that's that's the first thing the fda has loaded this year for forty years and determined say it were not saved. Then we would be out of work and we would certainly wouldn't have their printer were also fully approved using over the counter device which i didn't mention in brazil canada mexico and europe those are all very very strange in, regulatory bodies and they don't. What you do anything unless you have permanent that you have a device that say they be affected so we do have that in printer outside of the united states which is even, more rigorous than or ca so i would ask people to look at the evidence that we have as well as as well as the research of between published bipolar depression which is, car in two thousand thirteen was the first time the device has never been shown to treat the to the. [34:55] It appears that which is really quite a landmark study do we have done some extraordinary work and we also have, your detailed talk this website which i did which really on the street after so i would ask people to be opened to to understanding the biological elements of what's going on here and wanted to, look at you know the fact we had a great safety record this is the mobile is receiving shares this is just when it was delivered which makes factor. Excellent when i appreciate you calling in and giving us your time and i definitely know the following up with you i think i think that i am and getting braver and i think that i'm getting willing to. Maybe dip my toes in the. And it might be funny to say dip my toes in the water with anything electric bikes but definitely looking forward to learning more about it and getting some more feedback on and i appreciate you calling interesting. Perfect thank you for having the shown happy to answer any of a question mark in the future you have a good night to you as well. [36:08] Music. [36:19] Well that was an excellent wealth of information. We appreciate the phone call from it shipped to the fisher wallace lavatories again and their website is fisher wallace dot com and you can visit their site to learn more about their. Device a couple things just. [36:44] From there was a couple little bit more information than myself cost six hundred ninety nine dollars says flying investment as shit mentioned you may return it for a refund within thirty days and it. You know is definitely something that i think if you use it just once or just twice you should not base your experience on, just wanted to uses it something that you should try over multiple experiences unless of course that causes you. Such discovered that you would want to put it back on even though this is something that you can just purchase over the counter. If you're working with pain management team are working with the with the position. I think you should talk to your doctor about it and ask them their thoughts on it are they wear bits with the recommended ss do they have any. Thoughts as to whether or not it would have positive impact for you is certainly one of those things where again. I'm always looking for things that i can and it's my life that will. Help my existing drug therapies help with my life management plan. I would definitely have to consider could i find twenty minutes twice a day to put a machine on and. You know it's relieve my pain and increase mobility and help me sleep and help my depression and anxiety i would find twenty minutes twice a day and absolutely. [38:18] Is this something that i would invest seventy dollars and that her to measure. It is covered by some insurance is yes but a lot of interferences don't and some flicks plans won't because technically it's in order to counter item. So we definitely have to we the benefits of the device versus the cost and is nice that they are for the refunds that they do have a minimum restocking fee as well so he wouldn't get all of your money back. So we definitely something that if you are gonna spend the money on you need to be committed to putting the effort into it i myself was going to spend that much money i would like to know that it has a longer lifespan perhaps for the device itself. But again if you care for something and take care of it in and use it properly that i'm sure increases lifespan exponentially. [39:19] So definitely i am very excited to be doing a little more research and learning a little more about using cranial stimulation for pain and depression anxiety and insomnia all things we do with. I have a training myself. But it is something and we research more on and i would love to hear from some of you if you try one of these devices if you had. Positive or negative effects from it if you had any unexpected benefits from it you know didn't help with with other parts of your pain management and life management. [40:01] As always we talked about coaching and and putting together a plan of of. When taking observing deciding and taking action this is definitely something that would be taking action. So if you have tried me the fisher wallace stimulator or any other type of training estimate are we'd love to hear from you. Email us you can email me at jennie mac it pains me to five dot com or are generally email info at pain sixty five dot com. And. Tell it tells your story tell it how how did it help and what. [40:49] And if you'd like we could also talk more about your experience in your diagnosis. [40:59] I'd love to have some people share with us what brought them to discovering this and in and putting their energy into trying it. [41:09] As always our comcast line is open you can call and leave a voicemail we'd love to hear from you and have a message and. Many of share your story that way our number is six zero five nine three seven eight five three six that is our pain six five. Phone number. [41:34] Six zero five nine three seven eight five three six is the podcast line so feel free to call me this voice mail tell us tell us your story. And if i do get brave enough to try either the fish are always device or or some other simulator on my brain i will get back to you with the results and share my story as well. [41:56] As always thank you for listening to the tactical pain podcast again things to jim fisher fisher oz laboratories for helping us out with today's episode. And remember awareness is free and has risen nice places to go. [/su_spoiler]

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inStill is a session of silent introspection and support. Participants will engage in a brief introduction with guidance, 1 hour of silence, followed by discussion of silence and focus as a pain and stress relief tactic. We will also discuss the benefits of scheduling yourself quiet time and personal inventory days. Consider this your first opportunity, to schedule yourself some peace and quiet. Who: Maximum of 6 participants, any gender, 18 years of age or older, seeking relief from pain / stress through focus. What: Guidance, Support, Silence When: Saturday, April 7th from 10:00am to 12:00pm Where: 313 N. Main Suite 209 Why: Because you deserve it. How: Wear comfortable clothing. The building is often more likely to be warmer rather than cooler, but as always layering can be useful in any climate. You need not bring anything but yourself. Feel free to eat your usual breakfast. Consider that you will be sitting for the time involved (unless you prefer to stand). If you usually skip breakfast you may want to consider a light snack to avoid tummy rumbles and give you energy for thought. No children or additional guests per participant at this event. Water, Coffee, Tea, Cocoa will be available for participants. Event will be limited to 6 participants per session. Secure your seat by visiting https://tacticalpain.simplybook.me/v2/#book and scheduling the session. Participants must be 18 years or older.

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Tactical Pain 009 Cognitive Therapy

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Is Chronic Pain a Consciousness Disorder? Treatment for Fibromyalgia Might Come From Physics, Not Medicine - Newsweek