Empowering Women in Chiropractic – Long COVID Part 3

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hello everybody. And welcome to this. Week’s Empowering Women. I am Dr. Julie McLaughlin, your host. And today we’re going to be talking about the season of long COVID Part 3. So if you missed my other talks, go back and watch them. But I have some slides to share with you, um, here. And so first thing we want to do as always is thank ChiroSecure. They have provided so much educational information and so many experts, um, on Facebook, YouTube, Twitter, you name it. They are everywhere. So let’s do some thumbs up some little hearts. Uh, let’s let’s get the ChiroSecure, uh, videos boosted up on the feeds because they are really, really so helpful in our profession. So the season along COVID so, you know, if you’ve seen some of the videos before that I myself have long COVID, um, I got COVID last spring, so I’m going on six months with this.

And I have learned along the way. So I want to share with you some things. So if you’re experiencing this, if your patients are experiencing this or you’re not quite sure, um, if some of the symptoms that you see are kind of crazy, if it is long COVID. So what we’re going to talk about a little bit, I’m going to give you a little bit of overview in case you missed my other videos of what long COVID is. So the timeline of COVID is when you first get it, it’s acute for about two weeks of symptoms. And some people just get better after that. Some people get no symptoms. We know this, right, but the post acute COVID can be symptoms up to 12 weeks. Once you go beyond the 12 weeks of symptoms, it’s going to become chronic COVID or long COVID, or they call it post COVID sequella.

So those are the timelines. So if you have patients, if you’ve had COVID somebody in your family, that’s where you want to know if you’re falling into what category. So the most common symptom of long COVID is that your symptom will change. So there’s more than 50 symptoms of this post acute COVID syndrome. And the most common one is that it changes. So the symptoms that you have in the beginning that you think are so terrible, they’re going to change, and you might get a better one, or you might get a worst one. Um, but they’re always, always changing. And when you look at some of the statistics, 39 million plus people have been infected with COVID and then about 30% of them are going to get long COVID. And this is the deal you can get long COVID. If you were sick in the hospital, you can get long COVID.

If you’re on a ventilator, you can get long COVID. If you’re asymptomatic, you can get long COVID. If you had a very mild disease and you might not even realize it because you let’s say you had the mild disease and you get over it initially. And then a couple months later, maybe a symptom pops up, you really fatigued, or you have brain fog, or your ha your heart is racing and you don’t understand why, and you don’t link it back to COVID because you figure you got over it. But the truth is that maybe you didn’t get over it and you have long COVID. So if you’re having, if you had COVID and you have symptoms that are strange, and there’s no other explanation for them at all, and you’ve had them really checked out, I want you to think about possibility of long COVID.

So according to the American heart association, one of the biggest problems with COVID is not the virus so much, but it’s the inflammatory or cytokine storm that occurs in that reaction in our own immune system. So that is what we’re really worried about is that cytokine storm. So one of the things that we’re going to talk about today is something called mass cell activation. So there’s some studies out and I’ll show it to you here in a second, but are the cytokine storms triggering this dysfunctional mass cell and causing long COVID? Because as you know, in my other videos, I’ve been on this quest to see what caused this long COVID. I was perfectly healthy. I took no medications. I’ve never had any health issues in my life, and yet I still came to live on COVID. So I’ve been on a mission and I’m sharing that mission with you guys to find out.

So this is a study from November, 2020, that shows that COVID-19 hyper inflammation and post COVID-19 illness long COVID maybe rooted in mass cell activation syndrome, right? So what are the symptoms of that? And these are the highlights from that study that much of the COVID-19 hyper inflammation is consistent with mass cell driven inflammation. What that means is the symptoms of long COVID and the symptoms of mass cell activation are the same. And I’ll show you those here in a second, the prevalence of severe COVID-19 is similar to the mass cell activation drugs, inhibiting mass cell activation. And they’re mediators are a promise with co COVID. I’m going to go over some of the over counter things and some of the natural things that you can do later on in this presentation as well. So hold on for that. So none of the authors currently treat, um, mass cell activation syndrome patients with COVID-19, um, that had the severe forms or had increased mortality.

So the dysfunction of the mass cells in the mass cell activation may be an underlying cause for this long COVID condition. So exactly what is mass cell activation syndrome. Now I’ve had, because I do functional medicine in my practice. I’ve had patients in the years past, come in with this condition, and this is what it is. It’s a multi-system inflammatory syndrome. It’s the same thing as long COVID. If you look up what is long COVID is a multi-system inflammatory syndrome. Now this is a microscopic, uh, photograph of a mass cell. So mass cells are cells that are responsible for the immediate allergic reaction from these little circles in here, they release something called mediators. I know it’s a weird thing for them to call it, but they release these mediators. One allergic reaction is triggered. And so the mass cells can be activated by medications, infections like COVID right, a certain foods insect or a reptile venom.

It can also be genetic. And guess what else, if those mass cells, even aren’t activated, they could just get triggered and become abnormal. And then they grow uncontrollably. So they call that mastocytosis. When the mass cells just kind of go crazy and form almost like an autoimmune condition. So when we’re looking at this, what are some of the symptoms? So it’s going to be heart-related symptoms, skin related symptoms, lung related symptoms, and gastrointestinal track. So those are all symptoms we’re seeing in long COVID right? So in the heart is tachycardia, rapid heart rate, low blood pressure and syncope or fainting in the skin related. What are we seeing? We’re seeing hives, we’re seeing rashes. We’re seeing swelling. We’re seeing flushing. We’re seeing COVID toes and long COVID right in the lungs. We know COVID causes, you know, SARS, Kobe pneumonia. Like I got because wheezing, shortness of breath and stridor.

Those are from the mass cell activation. And we know that long COVID and Colby can cause gastrointestinal tract symptoms like diarrhea, nausea, vomiting, and abdominal pain and mass cell activation can cause the exact same thing. So what lifestyle changes and supplementations can we do to help with the mass cell activation symptoms and with long COVID? So like I said, when COVID has 50 symptoms, but this relates specifically to the mass cell activation symptoms. So if you’re getting some of these symptoms, some of these things could help you. So over the counter, if you’re you have that tendency to want to over the counter medication, there’s different types of anti-histamines, there’s the H one and there’s an H two, and you want to take both types. So in the H one classification, it would be Benadryl or hydroxyzine in the H two class, it’s going to be Zantac or Pepcid.

And I know it seems really crazy that you would take two different types of anti-histamines, but these symptoms are really, really significant and severe. I can tell you, I couldn’t walk from my bedroom into the bathroom without my heart rate, going up to 150. So, and if it’s triggered by all of this mass cell and all this histamine in our body, we need to kind of suppress it. Some of the natural remedies. And these are things that I actually take that have been really effective is Perilla seed extract at 150 milligrams twice a day. History set, which is a product from a pure Encapsulations two capsules per day course to 10,000 milligrams, twice a day. Um, stinging nettles 300 milligrams per day, bromelain 500 milligrams, three times a day, and butterbur at 75 milligrams twice a day. So those are some of the things that are going to help control the mass cell activation symptoms.

And it will help with those same symptoms if you’re experiencing long COVID. Now, one of the things that you can do with lifestyle is do an anti-histamine diet. Now we all talk about like an anti-inflammatory diet. We know what that is, and this kind of overlaps it a little bit, but there’s some added things. So I’m not going to make you sit here and listen to me, read them all. But if you want to see these, pause the video and take a look at these. The other thing that’s not on this list is an interesting little side note is that, did you know that leftover food can have high histamines in it? So if you prepare, you know, something for dinner, you prepare chicken for dinner and you have leftovers and you have it the next night, that’s going to have histamines in it. So be really careful of that. Or if you go to the deli and you buy something that was prepared, that’s basically a leftover watch out for that because they have high histamines. And I can tell you from experience avoiding these foods really, really do reduce your symptoms. So in today is veteran’s day. So I want to thank you all you veterans out there, and we know that freedom doesn’t come free. So thank you very much. And thank you, chiropractic care for having us. I’m Dr. Julie McLaughlin from Vital Health Protocols, and I will see you next time. Bye

And join us each week as we bring you the best in business growth, practice management, social media, marketing, networking leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

We hope you enjoy this week’s Facebook live event. Please like us on Facebook comment and share. We look forward to seeing all of you next for another episode of Empowering Women in Chiropractic. Now, go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production.

Empowering Women in Chiropractic – The Season of Long COVID – Part 2

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hello everybody. Dr. Julie McLaughlin here from Vital Health Protocols. I am super excited to be here with you today. We are going to be talking about the season of long COVID and we know, um, has been a really long season, um, uh, longer for some of us than other of us. So, uh, I have some slides to share with you, so let’s get started. So, first of all, I would like to thank ChiroSecure. They are our sponsor, um, for our empowering women, Facebook live and they are the best malpractice carrier. I can say that because they’re my malpractice carrier. And, um, they sponsor so many of these educational programs that are super, super helpful in every different topics. So we want to do a thumbs up little hearts, everything for Chiros.

So like you said, we’re going to be talking about the season of a long COVID and I want to be really clear. We’re not talking about COVID we’re talking about long COVID and uh, I had a conversation yesterday with someone who thought that long COVID was contagious, like COVID and it is not. So just to be clear, it’s a long COVID we’re talking about today. So I did a talk on the same topic a couple of weeks ago. And so I’m just going to give you a little recap in case you missed it, and you can always go back and see, cause I did a lot of different things in that talk, but so with long COVID, it’s going to be, if you’ve had symptoms greater than 12 weeks in acute COVID, you’re going to have symptoms for the first two weeks and post acute COVID is up to 12 weeks. But once you get greater than 12 weeks is considered long COVID.

So with long COVID, it is a huge, huge, definitely syndrome that we’re looking at. And we’re going to get into it a little deeper, but I want you to know yesterday is not ours to recover, but tomorrow is ours to create healing because you feel like you got dumped out and you’re not able to build back up your immune system, your health, if you have long COVID. So we have to forget about what we had yesterday and start on healing today. So some of the other things that they call it as post acute COVID syndrome, and that’s the same thing as long COVID or long haulers, there’s a lot of different names for chronic COVID, but I can tell you this, there are more than 50 symptoms for people who have long COVID and the most common symptom of those 50 are that the symptoms always change.

So whatever symptom you have now, and maybe a month or two months, it will be gone, but you’ll have a new symptom and you don’t get to pick, you know, don’t I wish we would get to pick what symptom we got. So there’s so many symptoms. So you’re going to see this in your patients. The average long holler has at least 20 symptoms minimum. And I mean, that’s a lot of symptoms. When you think when patients come in and they got a lower back pain, they have one symptom, maybe they have two. Maybe they have sciatica 20 symptoms on average.

So when we think about this, how many people it impacts. So we have 39 million plus people that have been affected infected with SARS cov two and 30% of those people is estimated that have experienced long COVID or the post COVID syndrome. So in many, many people, including many doctors don’t know anything about this, which is really, really criminal because you think of how many people are truly affected. So one day you will tell your story on how you overcame the storm and it will be part of someone else’s survival guide. So I’m here to tell you the reason I’m talking about long COVID is I have long COVID. I actually am on oxygen. I’m not doing it right now since I’m talking to you and it makes a bunch of noise, but I got long COVID, um, last spring. And, um, I’ve been really fighting this ever since.

And I have, it feels like all 50 of the symptoms, not just 20. And I’ve been to every specialist there is, and I have researched this more than you can ever imagine. And one of my big questions is why, why did I get it? Why did other people in my family get it? And they were sick for two days and I got it for, you know, five, six months. So it’s a big question that everybody wants to know. And so I really been diving into the research. It, um, I have not been able to practice this whole time. I’ve been doing some telehealth, um, with some functional medicine patients, but I haven’t been able to adjust. So I have a wonderful associate that has been adjusting our patients, but it really does take over your life and your health. And you think that you’re not going to come back from this. So I want to try to help as many people as I can understand what long COVID is and what are some of the things that you can do to help your patients and help yourself if God forbid you have this.

So what I found out is it effects the sickest people and it affects the healthiest people. I, it makes no sense, but when we look at the studies and this study came out yesterday, right, and this is from the national Institute to, to health, it found that it’s an auto immune response with COVID. So we’ve been leaning this way. So we were saying long COVID is auto-immune like, but it’s really pointing that, that COVID is creating its own auto immunity. So the researchers are really trying understand it. Why some people get this huge response and why other people get nothing. So it has to do with the auto antibodies, right? And remember, those are the ACE two that we hear about the auto antibodies. They are the immune systems proteins, and they mistakenly target your body’s own tissues, right? And then that starts to attack and creates that cytokine storm.

So if you have low levels of these auto antibodies, these are people who have little to no symptoms, and they could have had a few of those little auto antibodies before they even got going with COVID. But the very sickest people who, the people who are dying, unfortunately, are on ventilators. They had a lot of auto antibodies, probably from another autoimmune disease prior to having COVID. So if they had these things, they already had so many and then COVID created more. That’s why their symptoms got so severe. Now, if you remember, last time I went through what mild, moderate, severe COVID is. Um, and then, you know, really, really severe COVID and I’m in the severe category, but I’ve fell into the healthiest of the categories here. I had no auto antibodies prior to developing COVID at all. And, uh, so what happened is that all of a sudden, because I had none of this, it created very high levels of the disease process. And then it started targeting the immune system, such as the cytokines, and then that normally helps with the immune response, but it dampened the immune response, so is able to go crazy. So when you think about this, because I tested myself on every autoimmune disease, there is because I thought, geez, I must have something that I didn’t know about. That’s why I got long COVID, but I’ve tested everything. And I didn’t, and I’ve tested this on some of my patients who have long COVID too. And it turns out that it’s really these auto antibodies.

So here’s another study where it talks about them. They’re the [inaudible] auto antibodies that are happening after the SARS COVID infection. Now let’s see where they target, what organs that they target. So they pretty much target every organ system in our body, except for our ears. I had every single organ system has receptors for these. So you can see if you have so many of these auto antibodies and they get into these receptors, you’re going to have symptoms. That’s why some COVID long COVID patients have, um, kidney problems where other people have lung problems where other people have liver problems. And it’s such a variety and you don’t see other diseases like this. You see a disease that has these characteristics. If you have these characteristics, you have this condition, but with long COVID, it varies person for person. And I have to say, I think that that’s, what’s created some of the skeptical illness in our society because not believing people who have COVID or long COVID because everybody’s different, but we have to know is how their body responded to those auto antibodies.

So one of the biggest problems with all of COVID is not so much the virus itself, but it’s the inflammatory or that cytokine storm, which occurs as a, is robust in a vigorous immune system. And then it’s going to react to the presence of that virus. So this is really where we’re having that problem is that auto antibody and how it’s triggering your immune system to basically attack itself. And while your immune system is attacking itself, COVID is attacking you. So when we look at this, like, why does this happen? So there’s a type one interferon response, and this is a study from this. And you can see in the top slide, it shows when you get an acute infection, you get a pro-inflammatory response, you get a, you know, acute viral state, you get an immune activation. And then, but when it is into a chronic one, you’re going to get post viral state and you’re going to get immune hyper-sensitive Tivity. And so you never get out of that cycle and you get stuck in these different phases of COVID.

Okay. And so here’s a question. Do auto antibodies produce during COVID lead to autoimmune diseases later in life? We don’t know the answer, but it’s a really good question. And they’re definitely doing studies on this and they need more studies to research on how these auto antibodies contribute to COVID and long COVID symptoms. But, you know, the thing is, is if it’s an autoimmune disease, it’s a new autoimmune disease, and we really don’t know how to react to it or how to treat it. But we want to know what the long-term effect, and it’s going to take us years to find that out. But so I want you to keep an eye on the research about those auto antibodies.

So in the impact of long COVID right, how is it packed our life activities? 78% have fatigue, and these were monitored on the fatigue, severity score testing, 63% at least have mild cognitive impairment on the neuro wool and 40% have a moderate to severe shortness of breath. Right? And that’s on the breathlessness scale. And 62% of patients have had no change or have had change in their employment status as a result of their symptoms. So many people are not able to go back to work and do what they were doing because of the symptoms of long COVID. And I am one of those examples.

So there’s a big question about the antibody testing. So I want to really show you an example of this. So whether you’ve had, COVID not had COVID or had the vaccine, this is what an antibody tests looks like. So if you have had COVID and you had your antibodies tested, you test the Nucleo capsule of the virus, right? The little round capsule that capsule has a spike protein on it. So if you had COVID, you’re going to have both the nuclear capsule and you’re going to have the spike antibody, and then they do a quantitative will. They’ll give you a number of what it is. And you can see on this one, that the number is really high. It’s greater than one on the nuclear capsid. And this patient’s at 18. And then when we look at the spike protein, of course, they had that too, because they had COVID now on a patient who only had the vaccine.

You will only see the spike protein antibody, because that’s what they give in the vaccine. So you will not see the Nucleo capsule. So you will be able to know, was this patient exposed to COVID? Was this patient just have the vaccine, but the problem is people are losing their immunity and you can see these numbers, these quantitative numbers drop over time. So if you tested somebody’s antibodies every month, or every three months, you can see these drop in. Some people drop their antibodies very quick, and they’re getting repeated cases of COVID or COVID post vaccine. And some people hold the antibodies for a really, really long time. And that is a question of why, why some people hold on to it. And some people don’t, but if you did have COVID and you have both the caps, nuclear capsid antibodies, and the spike protein, you’re going to have a broader based immunity than someone who’s just had the vaccine. So that’s, we’re seeing a lot of post vaccine COVID cases.

So these are the phases of COVID prevention. Ideally, we want to prevent it. I want no one anybody to get COVID. Then we get in the infection stage inflammation, stage and recovery stage. And unfortunately long COVID you get in one of these phases, the people who have the fatalities and are really suffering, get stuck in that infection stage, where those interferons are still continuing to cycle. If you get stuck in the inflammatory phase, that’s when your symptoms are going to be severe, but they’re going to change all the time. And then in the recovery phase, that’s when you have to repair the mitochondria and rebuild your system. And one of the things that I learned, and I want you to know this with your patients and help make sure that they know this is that you can’t compare a well, I want to be better back to where I was before. COVID you have to be better than you were yesterday. You have to be better than you were last month because the progression of improvement is as low as 5% a month of improvement on this long COVID.

So there’s seven likely main issues with COVID. And I’m just going to talk about what they are because each one of them is a whole nother conversation, and we don’t have time for that, but it central nervous system, dysregulation people get brain fog and pots and stress, anxiety, PTSD, depression, and neural inflammation. And we know if it’s affecting our central nervous system, it affects everything in your body. We know if X auto immunity, it either flares, an old one that you may have had, or creates a whole new one, the Mike Rowe, vascular damage or hypoxia. Right. And you can have hypoxia in any of your organs, not just in your lungs, expansion of the viral burden. Maybe you had other viruses like Epstein-Barr or chronic fatigue or, or, um, you know, herpes virus, any of those viruses, when you get more viral, uh, burden, it’s harder for your immune system to fight.

It causes fibrosis. Um, I know I have some infiltrates in some ground glass in my lungs that I’m working like crazy, not to cause them to become fibrosis, but they’ve been there for many months and we can get fibrosis in our kidneys, our heart, our liver, as well as our lungs. It causes barrier damage. So there’s gut involvement and we all know the brain gut connection. And then there’s neurogenic inflammation. And this is where they get mass cell activation or high histamine levels. So this links and causes a lot of dysautonomia in the patients where they lay down and then they sit up and as soon as they sit up their heart rate spikes, and if you walk, forget it, your heart rate spikes.

So when you’re assessing the patients with long COVID and my last talk, I told you about some questionnaires you could use, but here are some tests that you can do that are lab tests. I’m not going to read them all off for you, but I want you to pause the video if you want to write them down. But these are some of the tests that some cytokine markers, there’s some inflammatory markers in here where we’re really looking at how the disease is progressing. You can look at things like plasma, histamine, where you’re seeing where those levels are. I’m taking tons of supplements and we that’s a whole nother conversation, um, to try to lower that plasma histamine. And it’s a huge, huge struggle. Um, you want to look at the antibodies as well to see if that patient is vulnerable to getting reinfected again. Um, D dimer is going to help us to know with blood clotting cause that’s a huge risk. And then we want to watch this throughout the progression of the disease and compare the before and afters on these patients, especially like I’m a CBC look at the lymphocytes and the neutrophils. They don’t act like any other disease. They’re the opposite, same thing with the monocytes and the white blood cells.

So when we talk about lifestyle management with COVID, I’m going to give you some things that you can do at home if you or your patients are suffering from this. So when we talk about this, we kind of put it in categories, depending on when your symptoms. So if you’re getting a lot of shortness of breath and breathing symptoms, you want to sing, right? You don’t have to sing in front of anybody, but you want to sing to try to get your lungs exercises. And then you want to work on breathing exercises. There’s a great website. It’s called stasis. Um, they are part of the Mount Sinai program and they have great breathing exercises that are on there for specifically for post K COVID patients. Um, you want to wear compression, either socks or even, uh, leggings, because you want 20 to 30 pounds of pressure to help keep that blood pressure up and to help keep your circulation going to help your heart rate, stay down.

If you’re going to be able to do exercises, they should only be recumbent exercises. Um, swimming is probably one of the best places to do it because you have 90 pounds of pressure from the pool, from the water. So that’s a great place, but you never want to exercise starting too early when you’re having COVID. It might not even be good to start it until you’re one to four months or three to four months in because your symptoms will be too acute. Prior to that, you want to have a pulse oximeter. If you drop below 90 on that pulse socks, you need to go to the emergency room.

So you want to monitor your heart rate. You want to monitor it during your cardio exercise, but you also want to monitor it. If you’re getting dysautonomia where I know my heart rate is, is maxing out anywhere from two to four hours a day. And as I’m doing maybe 2000 steps in a day, so your heart rate can really go crazy. Um, you want to have progress. So writing down your symptoms, um, and every day they might not change, but look back at it every month because you need to see progress that you’re improving. And that’s the same thing with the blood tests. Look for those little wins, because they’re not going to be huge and apparent like when you get the flu, you’re sick for a week and then you’re like, oh yeah, I’m getting better. It’s not that way with COVID meditation. And hypnosis helps for some of the brain fog, as well as memory training. These are a couple apps, reverie and luminosity are great for that olfactory training. A lot of people lose their sense of smell and taste, or you can have a really wonderful symptom that I had is that you smell cigarette smoke all the time, or you smell something really foul, smell all the time. And so there’s some essential oil retraining that you can do with your old factories by smelling a bunch of different essential oils every day, few times a day. And I have to tell you, it really does work.

So how about sleeping? You want to sleep prone. And as chiropractors, we don’t have our patients sleeping prone. We have them sleeping on their back or their side, but this helps change the position of the lungs, um, to get you more oxygenation exchange through your lungs, you want to have no alcohol. You want to eat a low histamine diet. Alcohol is high in histamines, um, and we don’t need our bodies to be fighting any, any more of that. Um, you want to make sure you get as much rest as you can. COVID causes insomnia, but then it also causes extreme fatigue. So arrest whenever you can. Um, that was really hard for me, cause I’m not a big person to be resting all the time. And, uh, I had to force myself to let the body heal. You want to increase your salt? I know this is crazy.

Even the cardiologist said to me, can you believe I’m telling you to increase your salt? I let him, like I know up to 10 grams a day and that’s to help control the blood pressure and the heart rate and increased fluids for the same reason you want to avoid caffeine. So caffeine is going to increase your heart rate and cause anxiety. You want to eat small frequent meals. When you eat large meals, it will trigger the pot. You will definitely start to feel worse. You could sweat all over, um, the, the larger meals. It takes all your energy to digest that food. So small meals, and you want to also watch your temperature. So heat is a huge vasodilator and it triggers a lot of the symptoms to come on, like taking a shower. When you have long COVID is torture the heat in that you have to take a cool shower. Um, if you’re even going to be able to withstand staying in the shower, one of the things that you can do is try to cool the palms of your hands in the bottom of your feet. Um, with some ice packs that really helps minimize that trigger. At four months, you can begin to exercise upright, like maybe on a bike, but maybe you start at five minutes a day and then work up from there. Um, at month five is when you can do more training, maybe on elliptical or a treadmill.

So in supplements, that’s a whole nother conversation for another time. Um, but there’s lots of supplements that we can do where I didn’t talk about medications because I don’t prescribe medications, but there are a lot of medications that can be helpful or some that aren’t so helpful for a long COVID. Um, but I want you to take these in and use these things to help your patients help yourselves, help your family members. Because those little things I wish I knew about them from the beginning, because they really, really make a difference. So I have to tell you, I’m still dancing. The storm has definitely changed direction. I I’m starting to improve and you just have to look forward and you can’t compare to where you were before the disease to where you are now, because you get very, very disappointed. You have to just compare week by week, month by month, what’s changing and improving because it’s a journey, not a destination, just like every disease that we have. We want to go through that journey and come out healthier on the other end. So I would like to thank ChiroSecure again. They are awesome. And, uh, for sponsoring our empowering women. And then I want you to be sure to join in two weeks for our next empowering women show again. So have a great day and I’ll talk to you guys soon.

Join us each week as we bring you the best in business growth, practice management, social media, marketing, networking leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.


We hope you enjoy this week’s Facebook live event. Please like us on Facebook comment and share. We look forward to seeing all of you next week for another episode of empowering women in chiropractic. Now go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSercure production.


Empowering Women in Chiropractic – The Signs and Symptoms of Long COVID In Your Patients?

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hello everybody. Dr. Julie McLaughlin here from Vital Health Protocols. It’s been a long time since I’ve been here on the show and about that today. So, um, let’s get started. We’re going to be talking a little bit about COVID and, uh, I know that we’re so over it we’re, we’re just done hearing about COVID it’s just messed up the world and, and, you know, we think, well, you get over it. You know, you have a box of tissue and you’re in you’re good in a day, but I gotta tell you there’s a lot more to it. There’s a lot, lot more to it that most people don’t even know until it happens to you. So let’s do this first. Let’s think ChiroSecure because without ChiroSecure, none of us would be here. So I want to do, you know, thumbs up little hearts because they are so great. They sponsor so many educational, um, programs for us and they not only are our malpractice carrier, but they are much, much more so let’s make sure we give them all the love that we can.

So I want you to know that COVID can happen to anyone. And I know by being in these women’s chiropractic groups in these chiropractic groups has happened to a lot of docs. And I’m also in groups with tens of thousands of other people who have something called long COVID. And last spring I got COVID and it actually, I think it was my second time getting it. The first time was way back in the beginning of 20, 21. We didn’t have tasks and we didn’t know. Um, and we’re not going to talk about vaccines cause we don’t want to have any issues. This can happen to anyone. It doesn’t matter your vaccine status and it can happen multiple, multiple times. Um, it really, really is a huge, huge deal, but it’s different for every single person. So back in, I’ll tell you a little bit about what happened back in the spring.

I felt a little sick and I thought, uh, you know, I I’m, I’m just having a little cold or maybe it’s the spring. I have some allergies and I went about a week and then all of a sudden I lost my sense of taste and smell and I got tested and I was positive. The other people in my family also got tested and they were negative. Um, so I thought, okay, I’m just gonna get better at home. And uh, everything’s gonna be fine. Well, long story short, it didn’t get better at home. And I started getting worse. Um, I started losing my ability to breathe. My pulse ox went down and I went into the hospital and they did some fluids and they did a little bit of testing and said, you’re okay, go home. And you’ll be fine. Well, two days later I collapsed on the floor and couldn’t breathe.

I couldn’t talk, I couldn’t stand up. I had to have an ambulance come and this is the first time in my entire life that I’ve been. I, I don’t even want to tell you how old I am, but I’ve never taken medications, nothing. So it’s a Berry Berry first time I’ve ever had any kind of illness because I’ve been practicing functional medicine and chiropractic since I was in my twenties and I never had a need for this, but this time it was totally different. And so when I went into the hospital, I was there for five days and they did every treatment you can even imagine on me. And I came out and I was a little bit better. And then another week went by and I was back in the hospital again. So the thing is with COVID and I’m going to talk about the symptoms and I’ll talk about the symptoms in what I experienced and what the study show and what other people are experiencing because you are seeing this in your practice and you’re seeing it. [inaudible] post backs, pre COVID post COVID. You’re seeing with people with multiple COVID, um, test positive. I know at least multiple people that have had COVID three times. Um, so we want to look and make sure that we’re not missing anything. And I want you to make sure ChiroSecure has an excellent informed consent form. They want you make sure you download from them about COVID information and have all your patients do it. It’s super, super important to document this in your notes. And as we go on, you’re going to see why.

So when we look at just the clinical course of COVID, and this is what the CDC says, that it’s about a six week course. So initially you get your exposure and it’s like five to six days, and then you get symptoms and then most people recover in two weeks. Or if you get it really severe, you recover in six weeks. But I can tell you with long COVID, the recovery is a year to a year and a half. And that’s really, as long as we know COVID has been along around, because some people aren’t recovering like that. So 30% of people who get COVID experience long, COVID an 85% of people with long COVID had the mild form in the beginning. It never even needed to be hospitalized. So we have it in our minds that the people are getting long COVID are people were on ventilators and, and happened to be hospitalized, but that’s not the case.

The bast majority were never hospitalized. And so it’s a scary, scary thing. When you don’t know that you’re not getting better. So we’re used to getting a cold and flu that we get better from. We used to have back pain that you get better from this morphs. It’s very, very deceiving because it morphs and you just don’t get better. So what long COVID does is it just stays in your system and the symptoms change. So these are the different phases. There’s acute COVID. And it’s really important to look at these timelines because the sooner you can get somebody’s treatment, the better off they’re going to have to alleviate the long. So the cute COVID is the first two weeks of symptoms. Post acute COVID is up to 12 weeks of symptoms. And chronic COVID is greater than 12 weeks of symptoms. Once you hit greater than 12 weeks of symptoms, that’s when you know this isn’t going away anytime soon and long, COVID really describes those symptoms that are happening after those 12 weeks.

So when we look at how do we determine somebody has a mild case versus someone who has a critical case, because we always think that, you know, you either have it where you need a box of tissue for two days, or you’re in the hospital on event and not recovering, but there’s a lot of places in between. So I want you to look at these categories and the mild case, you’re going to have the typical cold and flu symptoms, right? Some GI symptoms, as well as loss of taste and smell. There’s going to be no pneumonia on the chest x-rays or, or chest CTS. There’s no evidence on any of the testing and you’re gonna have no shortness of breath at all. In the moderate cases, you’re going to have radiographic findings of, uh, of a pneumonia. You’re going to have fever and you’re gonna have a lot of respiratory symptoms.

And then the saturation of oxygen is actually going to be below 94 on these people in room air in the severe cases. And this is where I fall into this. The saturation of the oxygen is going to be below 94. And then some of the partial oxygen is going to be below 300. There’s going to be infiltrates in the lungs at least 50% within 24 to 48 hours. So in COVID is a little different. I’m going to show you an x-ray, how those infiltrates get into the lungs. The heart rates can be very rapid above 125. And like my resting heart rate is an 110. So as long as I’m 110 that’s my resting heart rate is COVID does crazy, crazy things to us. And then the respiratory rate’s going to be greater than 30 breaths per minute. Now in the critical ones, they’re going to have respiratory failure. These are the patients needing to be on ventilators and it happens very, very quickly. It’s not a long drawn out thing with this. They’re getting subsisted going into shock and they’re having multiorgan dysfunction. So when we look at these categories, we want to say, well, really the people in the severe and the, the critical are going to get long. COVID false. It’s not true. You can get mild COVID and still get long COVID. You can, you can get the backs and get long COVID.

So we’re going to talk about, oh, my slides are a little goofy here. Sorry about that. But we’re going to talk about eight organ systems that are affected by Kobe. Cause we just think of it as a respiratory thing, but it affects all the tissues that have ACE two receptors on them. So these are little receptors that COVID can kind of plug into and it, those symptoms. So we’re going to look at the heart, but we’re gonna look at the circulatory system separate from the heart. We’re gonna look at the lungs. We’re looking at the brain and the central nervous system, the thyroid, the kidneys, the liver, and the GI system.

So the most common symptom with COVID with long COVID is that your symptom will change whatever your symptom is, you better be ready because it’s going to change. And you’re going to think your patients are making it up. Or if you have it yourself, I was thinking, am I imagining this? How could my symptoms change so much? So you get one symptom and it morphs into another symptom. And maybe that first symptom stays. And maybe that first symptom goes away. So most patients with long COVID have an average of 20 symptoms. There’s over 50 symptoms altogether, but the average person has more than 20. So think about our patients when they come into our office and they have lower back pain, that’s one condition think about 20. So when it effects the heart, it gets mild carditis and tachycardia. And the tech cardia happens. If you walk down the hall to the bathroom, you can go from laying to sitting in your heart races. And this is what’s been happening to me. And it’s also considered in dysautonomia, which affects these same symptoms.

So the next one is the circulatory system and really COVID is endothelial disease. It affects the lining of our blood vessels. And we usually don’t talk about the lining of our blood vessels, unless we’re talking about plaque and heart disease, but it causes the clotting and it causes microvascular damage, which causes hypoxia. And it actually causes your tissues to be starved for oxygen. And that’s one of the reasons people get COVID toes. And I can tell you, I have oxygen that I’m actually on 24 7 right now, as a result of COVID, I’m not wearing it because it would be really noisy for me to talk with you, but that hypoxia affects every organ and every system in your body, not just your lungs.

So the lungs, obviously the big problem is the SARS Colby to pneumonia. And that can lead to fibrosis, which is permanent scarring in the lungs. Now I had a cat scan originally when we first started COVID and now I’ve had it three months later and it hasn’t changed at all. It hasn’t improved. Now. Normally pneumonia always improves. I want to show you this little picture here. So on the left is a chest x-ray of someone with COVID and see those white cottony, fluffy patches. Those are the COVID pneumonia in the differences. It affects both lungs it’s bilateral. And it really shows up in the periphery, which is not really common where the other pneumonias show up and it will show up as ground glass. Like for me, myself, I have ground glass in all the lobes of my lung on both sides. So my perfusion is really poor on the right, just to give you an idea, if you’re not used to looking at your accessories, that’s a clear chest x-ray so those cottony puffy things on a CT scan look like paint splatters. You see that all the little AB Oler Sachs have paint splatters in them. And I think of it like super glue where it glued those AVL or sacks closed, and you can’t get any oxygen exchange through them. And if you can get it back, it takes a very, very long time. But in the meantime, it affects your other organs.

So let’s talk about the brain. The brain is a huge one that COVID effects and the central nervous system. It causes strokes because of the blood clot. It causes mass cell activation, which is a histamine response. And we can talk about more of that later. I have so much information to tell you, I just want to get you an idea of thinking about these things when they walk through your door, or if you or a loved one are experiencing it can cause seizures. It can cause Berets brain fog where you’re inserting wrong words. I was looking at a menu and I thought it said, cemetery, chicken. Now nobody would ever serve cemetery chicken, unless it was some kind of, you know, crazy Halloween stunt, but it makes you have the wrong words in the wrong place and makes you have memory problems, dizziness central nervous system, dysregulation like pots. We all know what pots is and it causes neuroinflammation. It causes PTSD, anxiety and depression and people who have never had it before. So it affects the brain and our central nervous system in so many ways as chiropractors. What do we deal with? We deal with our central nervous system. So chiropractic care, super, super important for patients suffering from long COVID.

It affects the thyroid. It can make the thyroid either hyper or hypo. And the other thing it can do is it can cause new or exacerbated autoimmune conditions. So this is one of the big things that we see is a triggering of auto-immune in the kidneys. It can cause low urine output. It can cause frequent urination. It causes all kinds of kidney dysfunction and even kidney failures, wherever that COVID virus hits, that’s where you’re going to get your symptoms. Or if you didn’t get the symptoms starting out there, it may morph into a different system.

The liver due to the rush of the cytokines in the liver, the liver can become damaged in some cases is not repairable. And most of the CA COVID patients you’ll see very high liver enzymes. And that’s a result of those cytokines inflammation in the liver. When we talk about the GI symptoms, some people get this really, really bad, where they’re getting nausea and vomiting and diarrhea, nausea, pancreatitis, and it’s a barrier issue. And they finding that if your gut biome isn’t healthy, that’s going to contribute to it. And we know unhealthy gut biome also affects the brain.

So one of the things that COVID does is it can expand the Bible burden of other viruses that you may have in your body already that were dormant. And it reactivates them in like 78% of people who have had Epstein-Barr before it will reactivate it. And same thing with chronic fatigue syndrome, H as B parvo, mycoplasma, and even hepatitis. These are viruses this state in our body that COVID will come along and reactivate. It is a very, very sneaky virus. So some of the other words that are called long COVID that you might hear is the past P a S C that’s post-acute sequella of SARS COVID two or persistent COVID or long COVID or long haulers or post-acute COVID or chronic COVID or post COVID syndromes. I want you guys to know this because you will have patients walking into your office, having these things. And I don’t want you not to know it. I can’t tell you how many places that I’ve been. And they had no idea what this even was. And they thought, oh, you must be contagious. No long COVID you’re not contagious. That contagion stages very, very short. And so this is people who are having 12 weeks or longer of symptoms after COVID with no other explanation or diagnosis.

So what are the triggers? Why do 30% of the people who get COVID get Mon COVID? And these are the things that I’ve come up with with the research. So far, the number one is genetics and genders. So women tend to get it more than men and genetics, and now they don’t know what gene, but that’s what’s caused mine. There’s some kind of genetics that has triggered me into this long COVID cause I had no pre-existing conditions prior to this. I was perfectly, perfectly healthy. In fact, when I went into the ER, they gave me a Z-Pak, which is very common antibiotic and I had a terrible allergic reaction to it. And they, they said, how could you have had an allergic reaction to this is such a common antibiotic. I said, I’ve never needed antibiotics my whole life. So when you see that people can have preexisting things that could lead you into this, or you could just have genetics.

So people with diabetes are going to be more likely to get long COVID obesity is a trigger cardiovascular disease, menopause or menopause. So low testosterone or low estradiol that can trigger you into low Mon COVID auto-immune conditions. Anybody who’s immunocompromised already can trigger them into this long COVID. And this is a really interesting triad that a large percentage of the long COVID patients have. If they have asthma eczema and allergic rhinitis, all those three together, they have a higher chance of getting lung COVID. So there’s no guarantee on who will get it and who won’t. I always think of it. You know, when my kids were little, we’d go to the grocery store and they had those gumball machines and they get a little bouncy ball and it’s got all the angles on is not round. And every time you drop it and it goes in a different direction, that’s what COVID is because it’s going to go in a different direction every day, every time.

And every person is unique. So you need to be a really good diagnostician when you’re looking at these patients. So, because it’s so new, we don’t know everything about it. And if anybody out there is telling you, they know everything about it, or they have all the answers, they’re lying to you because every single patient is different. And you have to treat that patient individually, but it could be a collection of four different syndromes, oppose viral fatigue syndrome, a fluctuating multi-symptom seven drum lasting organ damage that you have to deal with and post intensive care syndrome. So people who have been in intensive care and on ventilators, they have a whole nother hurdle to get over with this long COVID. But these symptoms fluctuate and there’s significant psychological and social impact on the long COVID as well. If you don’t manage it, we’ve all had that psychological social thing because of being locked up with a pandemic.

But when you add these symptoms on top of it, it can really be overwhelming. So really there’s more than 50 symptoms of on COVID. But the most common symptom I want you to know is that your symptoms will always change. In the beginning. I lost my taste of smell and taste taste. Then it transformed to, they would just weren’t right? Like if I smelled the cinnamon, I knew it was cinnamon smell like lemon to me. Then I decided, okay, my body doesn’t want to do that anymore. Or my body decided for me is more like it. And I was smelling cigarette smoke 24, 7. I’ve never smoked in my life and I don’t go anywhere where there’s smoke. So COVID does these crazy, crazy things. And you think what is going on? So let’s take a look at some of the symptoms. These are the symptoms.

And if you want to really look at these, you can pause, um, on the replay and you’ll be able to see all the symptoms. And so patients coming in with these symptoms might not even realize that it’s one COVID that they have at first. I didn’t realize that I had long COVID. And when you see all of these symptoms, they could be anything, any kind of organ system, anything, but don’t get fooled by this. When we look at with the list is 26% are pain symptoms. Now we’re going to get patients walking into our office with pain and they can’t describe it. And a lot of times it can be bilateral pain, a patient with bilateral ankle pain, knee pain, and hip pain that they’ve never had before. I’ve got shoulder pain and elbow pain, like, like never before. So these things are going to show up constant burning in the bottom of the feet, pain in the middle of the back of the thoracic spine. So I want you guys to be aware that the long haulers we always think of respiratory, but it’s so much more, and they’re going to show up in your office.

So nearly 30% of infected people, like you said, get long COVID. And 75% of them have never, um, or 85% of them have never been admitted to the hospital. But if you take the people who were hospitalized, 75% of the patients have been admitted to the hospital, have abnormal patient outcomes three months after the onset. That’s huge, right? Think about if you’ve ever been sick for three months and 50% of the patients admitted to the hospital will have symptoms 12 months after the onset. And a crazy thing is at the six month mark, the studies show that the symptoms can be worse than they were at three months. But then at 12 months, the symptoms can be worse than they were at six months. So you can think you’re getting better, right? And you hit six months, you think, oh, I’m getting better. And then you hit 12 months and your symptoms can be worse than they were six months ago. So it does, you don’t get better in a linear pattern, like most other conditions.

So how do we assess if someone’s getting better, how someone’s getting improved. And it’s a really hard thing. So I read one study said that improvement could be up to 5% a month. Now, can I just tell you I’ve been sick for months and months and months that is painfully slow and it makes you think that you’re never going to get better and you’re not getting better. So I want to give you some tools to be able to use with your patients in your practice. And these are some really helpful symptom inventories that are subjective, that the patient fills out. And I would have them fill them out every month to make sure that they are getting improvement and that they can see it in. You can see it because I present in a month, day by day, you’re saying I’m not getting better of one symptom goes away and another one comes on and that symptom may be way worse. You’re thinking that you’re getting worse instead of better. So these symptom questionnaires really, really are helpful and they’re available everywhere. Online. Those PDFs are very, very common, but we don’t typically use them in our practice, but it’s a great way to, to assess the patient in the beginning, but also look at the progress.

So I can tell you the pain and suffering is real. Um, I never realized what COVID was possible to do. Um, it’s, it’s really destroyed my lungs. Um, I destroyed my heart. It had so much pressure on my heart that they had to put me on oxygen 24 7. Um, and if I walk, you know, 10 feet, my heart rate skyrockets up to 160, my resting heart rates really, really high. It changed my sense of taste and smell. And that’s the least of it. It affects your GI symptoms. It affects the brain fog where you’re putting different words in and effects your memory. It makes you shake. It makes you have dry mouth. It has so many symptoms that you can’t even realize it. So I want you never to experienced is number one. And I want you to recognize it when your patients come in, that these symptoms are real and they need someone to listen to them and to support them.

And I can tell you that there’s no better place for them to get support and get adjusted in the, your chiropractic office and, and help get them through these really, really tough times. And, uh, at, at the end, most people will recover, but the pain and suffering during that time is real. So please support your patients and be aware that these symptoms are coming in. And that they’re real. They’re just not to be sent out to every specialist in the world because they’re looking at their little niche, put it all together and look at the possibilities along COVID.

So I would like to thank I was a care. If you guys have any questions, please let me know. We only scratched the surface today, um, because it’s a huge, huge topic, but at least it will start getting you thinking in the right direction. So lots of love to ChiroSecure and not, I will be talking to you soon. And remember, it doesn’t matter if you’re vaccinated or not vaccinated long COVID happens. And if you had COVID one time and it was mild, any combination that you could possibly think of can happen with COVID and long COVID. And it’s not just in these little boxes that people like to put them in. So you have to be aware it can affect anyone at any time. So I’m Dr. Julie McLaughlin from vital health protocols and be sure to tune in to empowering women and a couple of weeks. And now they’re going to have a great show for you. So we’ll talk to you soon.

Join us each week as we bring you the best in business growth, practice management, social media, marketing, networking leadership, and lots more. If it’s about women in practice and business, you’ll hear it here. [inaudible] We hope you enjoy this week’s Facebook live event. Please like us on Facebook comment and share. We look forward to seeing all of you next week for another episode of empowering women in chiropractic. Now, go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production.

Empowering Women i.n Chiropractic – Making the Invisible…Visible

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Hello everybody. Dr. Julie McLaughlin here, I am super excited to be with you today. And we are here with empowering women from ChiroSecure, and we want to make sure that we thank them. We want to do little hearts. We want to do thumbs up because they have made this possible for us to bring you great information of all the things we’re doing. So we are going to be talking about how to make the invisible, visible, and I have a few slides for you that I’d like to share and let’s get started. So when we’re talking about making the invisible visible, right? What’s with that. So what’s the most important thing you can do right now to improve your health and your practice. That’s my question for you today. What is that most important thing? Now we know that, you know, in 2020, we got a big invisible.

The COVID no one saw it coming. You, you can’t see it. It’s a virus. Of course, it’s something that’s invisible, but guess what, what if we knew about it? What if we knew what to do about it? What if, what if we could see it? Right. So think about this in 2020 COVID deaths was the third top deaths in the country, right? In the United States. It was third, but it was third. And this is a global pandemic. We’ll get the first two heart disease and cancer. We had more than double. The number of people die from cancer and heart disease. Then they did have COVID. And guess what? Before the pandemic, we had people dying of heart disease and cancer, and you know what? Those are invisible things too. Aren’t they, nobody wakes up and says, today’s the day I’m going to have a heart attack.

Today’s the day I’m going to have cancer. Nobody says that. But what if you could get clues would, if you could make it visible and get clues to know, to predict it, that it may be coming, or did you even at risk for it, or it was even a possibility. And if that was the case, what if you could fix it before it ever happened? I think we can really, really lower our death rate in this United States to take a look at this. This is from the fourth quarter of 2019, all the way to the third quarter of 2020. And this is overall death rate in the United States. Now we see in that last quarter that the death rate went up, right? And you can say, well, that was because of COVID. But wait a minute, guess what? COVID wasn’t the only thing increasing the cause of death.

Guess what it is. It was heart disease. We had a 4.8% increase of people dying from heart disease. And the last quarter of 2020, we had a 10% increase of people dying from diabetes and unintentional injuries. Now, what do we treat? We treat injuries, right? What about diabetes and heart disease? Those are things that are total preventable. Why did that happen? Why is this happening in our country? Where we had these conditions that increased during a pandemic? Well, guess what? People stopped getting care. People thought the only thing that was around in the world was COVID and we all know way before COVID happened. They all had heart disease and they all had diabetes, but they weren’t getting care from it. They all had back pain and they weren’t getting care from it. They, things were shut down. Like you’re in Illinois, everything was shut down.

Or maybe in your state that people would just weren’t coming out. Maybe you were open and they weren’t coming out, but people stopped getting care and that’s really, really caused a huge problem. So what if we could make the invisible visible, right? The invisible gain momentum when no one was paying attention when no one was monitoring it when no one was checking it. Right. So when was the last time you had your blood checked? I ask all my patients is in doc. I’m asking you this because it’s time to take care of you, because if you don’t take care of you, you’re not going to be around to be helping anybody else. So when was the last time, because guess what? Having your labs done is how you’re going to make the invisible visible. And I’m going to show you just how that happens. I’m going to show you a quick case study here, how we do things in our practice, right?

And how we do things with vital health protocols. You know, we do the same thing that we do with our chiropractic patients. We do a little risk assessment, a personal history. We get all their demographics or family histories. If they’re taking medications or supplements, we get all the there day one stuff, right? So here we have a 54 year old white menopausal woman she’s in normal BMI. So she wasn’t obese. She didn’t gain the quarantine 15. She came in just for a wellness or yearly check, um, with her labs, she is taking a statin, but she doesn’t have any allergies. She’s a nonsmoker, occasional drinker exercises twice a week. She does have a family history of heart disease and diabetes. But overall she’s super, super healthy. We’re just doing it to find out how her wellness is so we could predict and we can prevent.

And when we look at this, we looked at some advanced lab markers and come to find out two of the three. She has some markers for heart disease. She has some markers for blood clotting, which can lead to stroke. She didn’t know it, right? So this was invisible. Now she woke up and she had a heart attack. She wouldn’t have known like, why, how did the start? But now we can work on turning it off because we know those things are no longer invisible to us. So when we looked at her cholesterol, her class overall was really high. Her bad cholesterol was really high. The quality of the bad cholesterol was really high, right? She’s taking a Staton. How could this be? Right. I thought statins cured this, right? That genetic marker. The statins can’t touch it. So still she’s at risk, but there’s things that you can do with lifestyle.

If you know what to look for. And if you know what’s wrong and guess what? She’s pre-diabetic she had no idea. We let this go. I’d say three months, like the end of the last year, quarter, right? She’d be full-blown diabetic. Now she was taking supplements. You can see she’s taking vitamin D. She was taking B12. She was taking folic acid, but she still had these silent things going on in the background. She hadn’t been checked in a long time. And even her liver enzymes were up. She had a liver inflame. Now, no one’s going to walk in your office and like, Hey doc, my liver is bothering me today. Right? They can’t feel it. It’s invisible once you uncover it. There’s something you can do. I think about this 80% of our cholesterol is produced in the liver. Of course the liver’s inflamed. She’s got an issue there.

So you want to make recommendations to reverse and prevent chronic disease. Just like we do with our musculoskeletal subluxation patients, we want to reverse what they have going on right now. And we want to prevent them from having any issues in the future. That’s why we have maintenance care. It’s the same thing with the stuff on the inside of us. Right. But to do this first, we had to see that invisible. We had to be able to predict the risk, right? So you wouldn’t know what was wrong with the patient, unless you examined them. If, unless you palpated them, unless you work them up, find out what’s causing them. But what if it’s invisible? Right? We can feel with our hands, we have the best hands in the world as chiropractors. And we can feel these problems with our hands. But what if someone blindfolded you and you couldn’t touch that patient and you couldn’t, couldn’t examine that patient would you know it was wrong with them?

No, but by not looking at your own labs, that’s what’s happening. Right? So I want to tell you, I want you to see the invisible. So if you have not done your labs doc in the last year, I want you to get them done. If you or your family member or friends are suffering with chronic health issues, I want you to get them done because really what are you waiting for? And the implication of not doing this is what we really need to think about. So how are we going to live with that disease? If we’re not going to check it, you better start thinking about, well, how am I going to live? If I had a stroke or a heart attack or heart disease or diabetes, think about what that would look like, right? Because we’re not going to drug our way back out of this problem and banking on a cure for all the causes of chronic disease is like planning for your retirement with lottery tickets, right?

You may win big, but chances are, you’re not going to, to why not look and see what’s there because it’s a starting line, it’s a baseline and you can reverse it. So it’s not out of your reach. It’s easy, it’s inexpensive. And it could just save a life, including your own. So if you have any questions, I, you know, I’m happy to help. I’m happy to answer questions because I really, really want as a profession to be the healthiest profession out there. Um, one of my friends was recently telling me some statistics that an insurance company told her, and that is chiropractors. You know, we’re creeping into me. You know, that mainstream where we’re not as healthy as we should be as healthcare providers. So as healthcare providers, we should be the healthiest out there. And we want to, of course, always look at the musculoskeletal system, always get adjusted, but we also got to look at that invisible. So thank you, Kyra secure having us. And I want you guys to be sure to join in two weeks again with empowering women, sponsored by ChiroSecure. So have a great day and you guys get your labs checked. Okay. Bye bye.

Join us each week as we bring you the best in business growth, practice management, social media, marketing, networking leadership, and lots more. If it’s about women in practice and business, you’ll hear it here. We hope you enjoy this week’s Facebook live event. Please like us on Facebook comment and share. We look forward to seeing all of you next week for another episode of empowering women in chiropractic. Now go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production. [inaudible].

Empowering Women in Chiropractic Doc, Whose Talking Care of You? Julie McLaughlin, DC

Click here to download the transcript.

Connect with Julie: drj@vitalhealthprotocols.com

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Hello, everybody. Welcome to Empowering Women sponsored by ChiroSecure. I am your host today, Dr. Julie McLaughlin from Vital Health Protocols. And we are going to be talking about you. We are going to talk about Doc, Who’s taking care of you because really, if you’re not being taken care of, you’re not going to be around to be taking care of your patients. And we know that this is a real issue in our profession because so many docs are having to quit practice, retire early, take a leave because they’re not taking care of their own health. And so let’s talk a little bit about that and how we can help support you. And you can support yourself in taking better care of your health. So I have a few slides, so let’s get started with showing the slides.

So, first of all, we’d like to thank ChiroSecure because we wouldn’t be here giving all this awesome information week after week, without them among many, many other things that they do so well for us. So everybody let’s give a little bit of love, like hearts, thumbs up likes, um, to kind of secure because they are just an awesome, awesome, uh, insurance company. And they literally have our backs. So when we think about chiropractors, we know that we all get adjusted, but what else could we do to be taking better care of our health and let’s face it. I know there’s a lot of docs out there not even getting adjusted. So I care about you and I care about that. You’re taking care of yourself and who’s taking care of you, right? Because what’s your story. Why did you become a chiropractor? Right? It is an absolute noble calling and we have the privy to the innermost details and vulnerabilities to people’s lives, right?

And it requires great compassion and empathy. And only certain people are capable of delivering this day in day out. And you, my friend are one of them, but you know what? We as docs have those same vulnerabilities. We have those same little details. That can be a problem. And so there is a dark side of practice because carpenters are being forced into early retirement due to the lack of their taking care of their own health. They’re getting health problems. And when we see this, we don’t actively seek out care because we don’t live in that allopathic model. We won’t seek that out unless our house is on fire. And by then, it’s too late. And I have treated to many of my colleagues that have found themselves in this place. They, they, they thought I’m in perfect health. I’m good. I, I see patients all day long and one day they woke up and that’s not the case anymore.

And that really is a dark side of our profession. And I don’t want you to ignore this any way and any more anyway, because it’s very, very simple to predict, prevent, and yes, even reverse chronic disease that every chiropractor in the U S has a potential to having. So we are going to talk about what we can do about it, because I always say this to my patients, and I’m going to say this to you just because you don’t feel sick. Doesn’t mean you’re healthy. No one wakes up and says, today’s the day I’m going to have a heart attack. Today’s the day I’m going to have diabetes today. I’m going to get diagnosed with cancer. No one says that you wake up today and say, Oh, what do I got to do? I got this many people. I got to do this. I got to do that.

But guess what? You have to take care of you. You have to take care of you. You’re probably taking better care of your car. Then you’re taking care of your health. And so what’s the risk, right? Sometimes we think we’re invincible. We hear people’s problems all day long, but we don’t even know what the real risk is to our own health. So I have a little risk assessment. I’m going to show you three questions. I want you to answer as we go along. So does anyone in your family have heart disease? And when I’m talking to heart disease, I’m talking high blood pressure, high cholesterol, God forbid that they had a stroke or a heart attack, right? Any of those things, or most importantly, does anyone had an early onset heart disease event? Like, do they have a heart attack before the age of 50 or before?

The age of 60? Those are huge, huge risk factors. In fact, even if it’s not your own health and you just have those risk factors, you need to know because did you know that someone in your family having a heart disease early onset is the number one risk. We know heart disease is the number one killer, and let’s face it. We treat people in pain all day long. We know it creates inflammation in their spine and their muscles, everything that we treat, but also creates it in their cardiovascular system. The difference is heart attack will kill you, right? We can get rid of that pain, but a heart attack will kill you. I want you to know your risk because if you have a family member that has early onset heart disease, that doubles your risk of having the same thing. If you have somebody in your family that had a heart attack or a bed or heart disease before the age of 35, that 10 times your risks.

But guess what? If you know that information and you know where you are, we can turn those numbers off, but I need you to look at it, right? What about this? Do you, or your spouse or your significant other snore, right? You think snoring? Like, what the heck? What’s, what’s up with that? Why are we talking about this? Right. But we know sleep is super, super important to your health, but did you know snoring has a higher cardiovascular risk than smoking or obesity and combined, right? That’s right. So if your, your spouse’s over there, snoring, they have a harder, a higher risk of having a heart attack than if they smoked and were obese. Right? And so the only way you’re going to know this is by looking at blood work and docs. I know what I am talking to all my friends. They’re not getting their labs done.

And I’m very worried about all of you. That’s why I am doing this because, you know, we take care of our patients, but we need to take care of each other. And that’s what I really want you to know. What about this? Do your gums bleed when you brush your teeth, right? Do you see like a little bit of blood when you spit out that toothpaste into the bowl, did you know that periodontal disease or bleeding gums will double or even triple your risk of heart attack or stroke? You need to know your lab numbers because it’s silent. You’re not going to come in and go. I think you know this right artery over here has got a little cholesterol in it. You’re never going to come in and do it. You have to know, but these are little signs that we don’t think of.

You think of, Oh, I brushed my teeth too hard. Or maybe I got, you know, adjustments to my Invisalign or whatever you’re doing. We always have an excuse, but the reality is double or triple the risk of a heart attack. Cause your gums are bleeding. So we need to make sure that you’re being taken care of because it’s just not just our patients. Right? We as providers are affected too, 90% of providers feel that healthcare is on the wrong track. I think you guys can all agree, right? We’re dealing in sick care and not in healthcare. And 74% of chiropractors are forced into early retirement due to health problems. That is just criminal. We need more chiropractors in our profession. We need more people helping people with what we do. And 50% of chiropractors have been reporting burnout due to poor self care, right? How many days can you go into the office?

Day after day? If you feel really bad yourself, it’s not even feasible. And then we have burnout, but what really is those underlying causes, right? That’s what we want to know. All we have to do is look at the statistics of the American population to see how crazy this is. Because one out of two Americans will suffer chronic disease. And I got to tell you, chiropractors don’t have an immunity to this. We don’t have like, well, it’s not going to happen to me. We all think we do, but we don’t because chronic diseases responsible for seven out of 10 deaths, right? We’re not just talking about pain here. We’re talking about things that are absolutely could kill us in 84% of healthcare dollars go towards chronic disease. Two thirds of Americans are overweight and a one in three are obese, right? It’s really crazy. And you know what, it’s the same thing in our chiropractic population of docs, auto immune diseases have tripled over the last 50 years, not to mention a pandemic, right?

And over half Americans are taking medications. How many patients do we have saying, you know, do you have any cholesterol problems? Nope. I don’t have a classroom problem. Why? See you’re taking a stat in here. Well, yeah. That’s why I don’t have a cholesterol problem. You do have a cholesterol problem. That’s why you’re taking the Stockton. We can’t put our heads in the sand anymore because you know what I need to make sure as this profession goes on, I’ve been in this profession a long time that we have docs who are able to take care of people. So we got to take care of you, right? Because you will never change things by fighting the existing reality to change something, build a new model and make the existing model obsolete. Right? That’s what we need to do. This is my absolute favorite quote is by Buckminster fuller.

And I just love that. So what are we going to do? I want you to know this, that every chiropractor, every chiropractor in every state in the United States is licensed to order blood work. I’m not telling you, you have to order, you know, draw blood in your office, but you are licensed to order it. And you’re licensed to order it on yourself, right? You are the patient. We want to take care of you. We want to help contractors learn this additional paradigm. We want you to start out and be the patient. We want you to take care of your families. Look at what they’re doing. Because if you started to do this, even in your practice, if you said, I’m just going to do it on me and your family, that’s awesome. We need that. If you sit down, I’m going to do it with my patients.

One doc, doing this could help more than 30,000 people. That’s huge. A movement like that could change the healthcare of this United States. And when was the last time you had your labs done? That’s what I want to know. When was the last time put it in the chat? Tell me, was it a year ago? Was it five years ago? Or was it like, you know, I really don’t remember. I don’t like going to the doctor. Right. But guess what? You can order it yourself on yourself and you can help prevent, predict and reverse any chronic disease. It’s super, super affordable. The cash prices are not, not, you know, expensive at all because we know that that can be a barrier, but no, one’s going to come in and say, Oh, I think my liver’s off of today. Right? You have to measure it. What measured gets measured gets managed.

And so is this for you? I want you to think about, should I get my labs done? Should I get the labs done on my family? I have the ability in my license in every state to order it. So if you are family or friends are suffering from a con chronic health issue. Absolutely do it. If you have any risk factors, absolutely do it. If you haven’t had your blood done in the last year, absolutely do it. You have to know, think about if you went and you didn’t get adjusted in a year or five years or however long it’s been, since you had your labs done, that would be really bad. Right? I always say, if someone told me I could never get adjusted again, I would die. That would be like the worst thing ever, right? This is super, super important. And this is for you.

And it’s to save your life is to save. Your practice is to save your family is to take care of you docs because nobody else is doing it. We have to make sure that our chiropractors are healthy and we’re taking care of each other. And so it’s not out of our reach. It’s easy, it’s inexpensive. It could save a life and it could be your very own or someone in your family. So please, please docs take care of you. If you want to learn more, if you want to learn what you can do to take care of yourself, let me know. Here’s my email, drj@vitalhealthprotocols.com, because let’s face it. We have to keep this profession going and we have to stay healthy to do it. So that’s it for today. Um, I want to thank ChhiroSecure again for sponsoring this. And I want you to join us again in two weeks with empowering women and Dr. Nathalie Beauchamp. We’ll be speaking to all of you. So have a great day and I’ll see you soon.

Join us each week as we bring you the best in business growth, practice management, social media, marketing, networking, leadership, and moms more. If it’s about women in practice and business, you’ll hear it here. We hope you enjoyed this week’s Facebook live event. Please like us on Facebook comment and share. We look forward to seeing all of you next week for another episode of empowering women in chiropractic. Now go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production.

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