Covid Rehab & Recovery Series: Head, Neck, Shoulder, Back and Chest Pain


Good morning everybody. How is everybody doing today? Karen Bishop, right in the center square. So this is going to be an experiential type of program today because this is something that we need to learn about individually. And we also need to learn about collectively. So I will be asking for your experiences as we move along. I like to start Sunday services by kind of giving a little bit of, you know, details about my week and what I’ve experienced and what, you know, my thoughts are and how they’ve changed a little bit. This was a busy week but I’m really happy and encouraged to report that we are starting to see some positive patterns in some people. Okay. And the positive patterns are that we’re starting to be able to direct the exercise and predict what’s going to happen, or what is what is happening.


When I take care of cardiac patients, there’s a very specific pattern to heart disease and a very specific pattern to how the heart behaves and most circumstances. So if somebody has a heart attack, if somebody has bypass, if somebody has a valve replacement, we can predict that if we do this, their body will respond like this lung disease, a very specific pattern related to shortness of breath and deconditioning CLPD, pulmonary fibrosis. We can predict that if we implement this you know, intervention, their bodies will respond like this pulmonary hypertension, a little bit more complex but we’ve been doing it for a long time. Pulmonary hypertension has a lot of similarities with Potts postural orthostatic tachycardia syndrome which has helped us to, I mean, nobody’s prepared for COVID, but it’s at least given us some ideas as to what direction we go.


And then with respect to pots itself, we’ve treated a number of patients over the years and kind of gotten some, some, some handle on it with those specific patients and trying to figure out how do we integrate that, or how do we incorporate what people are experiencing with post COVID autonomic dysfunction? So the good news is that we do have a number of patients now who we’re starting to see improve on bootcamp in a predictable way. And again, the key to this and my philosophy and what I really believe is the number one principle in recovery from COVID, especially the symptoms that relate to dysfunction of the autonomic nervous system are quieting the system, quieting the system. And in some way, reducing that inflammation the inflammation, I see it kind of like as an electrical fence, which is that, you know, we have the, you know, or, or a power grid.


So it’s like we have the cardiovascular system, we have the neurologic system, we have the respiratory system, we have the GI system, and then we have a lot of other systems. The classic neuro is the stuff like stroke, things like that. Okay. But then there’s this whole other dysfunction of the autonomic nervous system, which has kind of a life of its own as anybody who is experiencing it knows. And it’s kind of like you wake up in the morning, you reach into this bag and you pull out a fortune cookie, and that’s kinda like whatever’s in that fortune is going to be what your day is like. And sometimes there are completely opposite to the fortune you had yesterday. So it’s tough to get a handle on that, but we are starting to see patterns in some people where as if, if you know, and for a lot of them, it’s, it’s a question of, can we keep the reigns on them tight enough that they don’t overdo it?


And so that they don’t, you know, kind of get in their own way. So we’re trying to help people get out of their own way. And with respect to this grid, it’s like, as compared to those conditions, I said before, that are predictable. It’s like, all of these conditions are connected and overlaid and interwoven. So it’s like if you have inflammation right here on the electrical fence, and that’s your GI system, well, guess what that can spread and affect your respiratory system and that can spread and affect your heart and that can spread and affect your neurologic system. So it’s really a question of quieting. The whole thing. I have an idea, you know, sort of a concept, which is like net inflammation or some inflammation. So it’s like, all of this goes into a cup and it’s like, it all contributes to the cup. So, you know, I just happened to have this cup around it and there’s three different sections. So if we think of this as cardiovascular, neurologic and gastrointestinal inflammation, right? No, you broke up. We can’t hear you go back like


30 seconds. Can you hear me now? Can you see me now? Can you see me now? Alright, so so the idea is that, you know, we have this kind of inflammation that’s together and that’s one thing that’s kind of like the overall kind of bubbling inflammation, but then when it comes to activity, it’s a similar principle, but it’s a little bit different. And just tell me if this resonates with anybody, but it’s like a pot on a stove. Right. And anything that that’s bothering you, whether it’s neuro or, you know, respiratory or cardio, or what have you or its activity. Right. And, and let me just back up a second, let’s think of it like this from a physical perspective. So any physical activity that you do, any emotional upset that you may have, and that it doesn’t have to be necessarily bad upset.


It could be good upset, which is like an oxymoron, but it’s like, somebody can call you up and say, Hey, guess what? Sylvia had the baby and everybody’s healthy. And it’s like, you get this huge swell of emotion. And even though it’s good emotion, right? If our system wasn’t so fragile, that would be very enhancing to us. And that would be very exciting in a positive way to us, but that takes away from our overall budget and sodas intellectual stuff. So I know people and I’m looking around the room and I know that people around this room have done things like taught courses been on the internet you know, written you know, done their taxes, things like that. Those things are, are things that are all very stimulating and they’re really energy sapping. So they’re gas burning. If you think of it like this, and if you think of a pot on a stove, all of that contributes to the heat, right.


So if you do one thing, well, we got a little heat and okay. We do a little more and the water gets a little bit hotter and we do a little bit more, Oh, and now we see bubbling. And if we do it and we do it, we do it. And we get to a certain critical point and then pop bubbles over and then you’re stuck. Right. Then you start cleaning up a pot. And you know, does that sound familiar to anybody here? Raise your hand. Okay. So the other thing is, there’s a big kind of learning. It’s not a learning curve. It’s a learning event that almost all long haulers experience, which is that I don’t know what happened. I was feeling so good. And then I say, and what’d you do? And then it becomes like I walked two miles or I went, nobody has yet told me they went to the club.


Thanks, God, thank God. But you know, but it’s, it’s, I walked up a flight of stairs and it’s literally today I spoke to somebody in the UK on the phone who, who said, you know what I was doing? Great. I did bootcamp day one. I felt good. I did bootcamp day one again, I felt good. I did bootcamp day two felt good bootcamp, date two again, felt good. Bootcamp, day three felt good. And then I did something stupid. What was it? Walked up and down two flights of stairs. Okay. Now under normal circumstances, we wouldn’t necessarily think that that’s enough to wipe us out for three days or four days or five days. Right. But it’s not the act itself. It’s the act that becomes the lighter for the fuse. That then goes back and triggers this electrical grid. And that’s where it magnifies.


That’s my feeling about it. Okay. I’m not a researcher. I was going to say, I’m not a super researcher, but that would have been a laughable. I’m not a researcher. Okay. Julie, thankfully, who you see here has offered her a team to us to help research. Okay. She’s got a bunch of people, basically they’re getting paid to stand around and do nothing at this moment looking for something to do. And we said, Hey, we’ve got something we could do here. So Julia is a researcher and our team are research. And hopefully we’re going to get some real data on this. And we’re also trying to open the first in person COVID center in New York city. So we can start doing our bread and butter testing with people where we can start doing exercise testing and watching and having people on the monitor, not just for spot checks, but watching everything that you know, we do.


So the thing is that it’s really important that more than anything. Okay. So Amy is asking, is there anything you can do to damp in the fuse other than rest the answer to 90% of the questions? No. 99% of the questions you are going to ask is, I don’t know. And I don’t think anybody knows. Okay. I think a lot of this is trial and error. And so if we don’t know if this is going to be helpful, or this is going to be what throws you overboard, then I would say, hold on, walk around the deck slowly until we know what’s going on here. I have a strong belief and I am literally this week was my eye opening. Thank God belief, which is that as that inflammation starts to settle down, it’s going to be like, here comes the sun. Like the garden is going to start to regenerate again.


Okay. COBIT is like a scorched earth. And it affects a lot of different systems and systems recover at different speeds. So the heart recovers, believe it or not pretty quickly, the respiratory system recovers a little more slowly, but in a predictable way. The neurologic system is tricky and it takes a long time. And this dysfunction of the autonomic nervous system is really tricky. And I describe it as again, you reach into a bag, okay. And you don’t just get like one fortune cookie a day. Like if, if one of each fortune cookie held one symptom, it’s like, okay, take out your eight fortune cookies for the day. And that’s going to be your symptoms. As Lou DePalo has said, asked me about Kobe every week, every week, I’m going to give you a different answer, but here’s the good stuff. So I’ve always believed, this is another view I came up with this week, which is, imagine there’s a scale from negative 10 to 10.


Okay. So negative 10 to 10. So zero is neutral, nothing to positive, nothing to negative. 10 is great. Negative 10 is hell, okay. Everything over here in this negatives is some gradation of between. Heck and hell. Okay. But this group at that moment in time is not in a position to push. Okay. So that’s not in a position. That’s not the time when we’re going to say, you know what? Get on the treadmill, let us start pushing you. Or, you know what? Go to boot camp, start doing boot camp. That’s the time when we’re going to say, learn as much as you can about your body and quiet the system and quieting the system really has to do with calming the sympathetics enhancing parasympathetic activity. And that has to do with breathing techniques that has to do with, you know, being able to let negative thoughts, flea your mind without, you know, without necessarily focusing on them.


I mean, it’s very difficult when you’re going through something like this to not let your mind, because it’s a mind body connection. There’s a reason why we hear that term over and over and over again, because the mind and the body are very closely connected. And we have, you know, things that are physical affect our emotional and our intellectual things that are intellectual can affect our physical and our emotional things that are emotional can affect our physical and our, whatever one I didn’t say yet. And you get the idea. So you have to look at this pot as the sum, total of all of these things. And there’s another concept that’s closely related to this, which is the daily budget. Okay. The daily budget is your cash card that we replenish every night. Okay? Every day you wake up and you have a hundred dollars in your cash card.


And it doesn’t matter if it’s, if it’s physical, emotional, or intellectual, that all comes from the same budget. So if you just spent two hours you know writing a letter to your Congress person, that’s gonna make you tired. That’s going to fatigue. You, that’s going to inflame you. And all of that stuff is going to increase total body inflammation. So the key is trying to figure out where you are and trying to reset the system. And then starting from scratch and going very, very slowly. We’re going to very soon start to revamp bootcamp so that it doesn’t say day one. And it doesn’t say day two. And it doesn’t say day three because that’s misleading to people. And it makes people think that every day there should be a positive change in this direction. And also just because you’re not feeling the change yet, it doesn’t mean that your body is not doing something to help you heal.


I believe that the body does want to heal and the natural, you know, it’s like nature. It’s like the natural order is it wants to restore balance. And we kind of have to just make sure that we don’t get in the way of that balance, or we try to stay out of that way as, as much as we can. So if these 10 negative tens, like, you know, and, and over to 10, everyone in this negative phase has to be super careful. The goal is to try to decrease inflammation. Now, up until this week, I hadn’t found the first unicorn, which is the person that I thought was going to be at level zero that we can start pushing this week. I believe I’ve found that person. And this week I’ve also found about five other people who if, if they can, you know, behave.


And I don’t mean that in any kind of condescending diminutive way, but if they can follow the rules and kind of stick with the principles of keeping it quiet, they will move forward. And I just got an email today from somebody who’s a known offender in this area who said, you know what, tomorrow I’m getting ready to do 15 minutes of walking. And I sent her I sent her a text and it said, it said it was a word that I made up for her and the word was okay. So I’m not going to tell you who it is. So I don’t reveal it was my mom looking forward to 15 minute walk. I still can’t believe I can do all this amazing. And I made up a word for her and it’s called congratulations. Slow. Okay. Congratulations. Slow. Because it’s like, that is awesome.


Okay. You are the person that is now leading our pack and giving us all hope. Don’t mess it up by overdoing it because it’s a short fly from, Oh my God. This is so great. I can’t wait to do 15 minutes. Maybe I’ll just do one more minute. No. Okay. So there’s that. But overall, this is good news. Okay. I know a lot of you are still kind of stuck in that, you know, Oh my God, I don’t see any progress yet. Or the progress is so small over such a long period of time. And that’s tough and believe me, it’s, it’s, it’s tough for us to believe it or not. It’s not as tough as for us as it is for you, obviously I’m not, and I’m not in any way saying, Hey, we are, you know, we’re all screwed. No, it’s not that, but it’s, you know, Marin’s here too.


I mean, I can tell you is we’re not used to working with people who, if the progress is really so slow and in some cases we’re working, it’s like, it reminds me of a, of a an episode of mash where there was a patient and Charles Winchester was a ma a magician and he just kept coming up, you know, come up, we’d pull some flowers out, nothing, and he’d come up and he’d say rabbit out of a hat. And, you know, do the, and the idea is like that you’re doing your best tricks. And it’s, it’s like, we still feel like we’re, we’re rolling our tires. You know, we’re, we’re, whatever that word is that. And so the key is don’t give up, we’re not giving up. And we’re moving forward and everything that we learn from every patient helps every other patient.


There’s the grid too. So the grid words, positive and negative. And sometimes we learn negative things, but it’s like, you know, we’re learning what not to do also. And that’s very valuable. It’s like I learned how to speak. Because every time I would curse in public or at a professional event, I would get slapped down or reprimanded. And that’s how you learn to, so I encourage you hang in there. I know some of this is so painful and so really stressful. But I promise you you’re not alone. And I promise long haulers that you are seeing. Everybody knows you’re here. Now everybody’s working on this. And we are doing our best as everybody else to make some progress here. So any questions or comments about that so far? Does that make sense and sound familiar to people? Is there anyone who that doesn’t sound familiar too?




Okay. So now here’s the next thing. Okay. We’ve talked about breathing before. We’ve talked about other exercises, but I want to start to look at, because coincidentally, I’ve heard from a lot of people this week with headaches. And the thing about headaches is they are mysterious. Okay. Just what we need. Another mysterious kind of mystery, you know, wild card here. Headaches can come from so many different things. They can be vascular in nature. They can be orthopedic and musculoskeletal in nature. They can be neurologic in nature. And probably if we look at, you know, 10 people with headaches we’re going to find that 10 people have headaches for 10 different reasons. Same thing with neck, shoulder back chest pain, the chest pain is its own little category, but I figured we’d get the ball rolling with this and work our way down. We’re not going to get through all of that today. Okay. But I do want to address head neck and shoulders in particular. How many people experience headaches?




Is there anyone who doesn’t experience headaches? Raise your hand. Okay. The people just so you know, just the people with headaches, don’t get jealous of the people who don’t get headaches. The people who don’t get headaches, those are usually the people that give others a lot of headaches. Okay. So they know it. Okay. They’re lucky. It’s like the devil and Daniel Webster. They have given a lot of other people headaches. And as a, as a gift, they don’t get any headaches, but headaches can be a lot of things. And one thing I love is Eastern medicine. Okay. I love Eastern medicine and I love Eastern medicine as a combination with Western medicine, but I know there’s a lot to acupuncture, acupressure herbs. I know there’s something to it, but I also think that herbs in my experience and my experience with patients, I’ve seen herbs, help people a lot.


I’ve seen herbs really hurt people a lot. Not, you know, I don’t mean like kill them or, you know, like something like that. But I think it’s so hard to know. And I think the acupressure stuff is a little bit more at least benign. So in other words, I’m not going to say like, Hey, go take seven cordyceps mushrooms, you know, and, and see what happens. But I think it’s worthwhile to start at least trying to break the cycle. And there’s a cycle of pain and spasm and neurologic stimulation and things like that. And sometimes, you know, it’s, it’s like, I don’t know if this is going to sound weird. I don’t know of anyone. Like, but if somebody like stuck on an, on an electric fence, like you can’t touch them, you have to disrupt the circuit. And they usually use something wood to get them off a fence.


And we just have to break the cycle. We have to break the cycle somewhere. And I think that the cycle it’s hard to break the cycle at the root because we don’t necessarily know what the root is. Right. Sometimes it’s very obvious. Sometimes somebody comes in their neck is like a brick. Sometimes they come in, their shoulders are super tight and we know it’s in the areas that affect the head easy. Okay. But sometimes it’s not as apparent. So what I would love to do is spend some time showing you some different kind of points and also little interventions that you can do. Okay. And you can feel out and you can experiment with, okay. My feeling on a lot of this stuff is that if you are sitting home alone and there’s no treatment being given to you, then we have nothing to lose.


And I’m not saying that any type of Trumpian, you know, manner. Okay. I’m just saying that it’s worth experimenting with certain things. And some of these things are simply finding the sensitive areas yeah. And putting different types of pressure on them. Okay. Now I used to do take care of a patient who also became one of my best friends who had Ehlers Danlos syndrome. Okay. And I used to take care of a lot of patients in the late eighties, early nineties, when AIDS was kind of a mystery and HIV was still this mystery of, of signs and symptoms and things like that. And for the people that wound up with neuropathy, for some of them, even the sheep blowing by their leg felt like it was excruciating. And so for somebody like that, obviously we don’t want to inflame. And it’s the same thing with everything that we’re going to do right now.


I’m going to ask you to just do something and sit with it for a minute or two, and then we’re going to stop. And I want to hear how it feels okay. If and the questions are gonna be, did it, was it helpful? In other words, do you feel better? It’s gonna be very simple. Do you feel better? You feel worse. Do you feel unchanged? And there’s no wrong answers. Okay. But keep this in mind that as we do this, you will be learning about yourself and collectively we will be learning about ourselves. So first and foremost, okay. The first thing you’re going to do is always keep in mind that you’re always going to start with a lighter pressure than a, a more vigorous pressure. That’s common sense. And the other thing is that more kind of diffuse spread out pressure. Like this is always going to be less stimulating than a more direct pressure, which is going to be, you know, and we want to work from one to the other.


So the first thing I want you to do, and if anything that we do is uncomfortable, makes you feel bad or tired or dizzy or short of breath or chest pain or pressure, or makes your headache worse. Please stop. Don’t feel the need to go forward with this, but we’re going to go very, very slowly. And then I want to hear experience. So first thing I want you to do is I want you to just put all your hands resting, just very gently here. So this is like, if somebody wanted to move my hand you know, I would be, it’s almost like if you’re petting a Caterpillar, for those of you that are Caterpillar cutters. So I want you to just sort of slide your hands up until your head. And when this part of your hand get to the upper part of your temple, I just want you to stop. And if you can put your head like this, and I just want you to take some nice deep breaths in through your nose, I’m not going to count the exhalations, but let’s try, breathe in for two


And then just let the air out. So breathing in, in, and then let the air out. So, and you might even feel different after that first breath breathe in, in, and let it go through pursed lips, breathe in in. And if you feel your eyes getting tired, or you feel yourself, zoning out, do not fight that, go with it, let it take over you or take you over and in. And when you breathe in for two, your exhalation should be somewhere between three and four, but whatever’s comfortable for you. And what also you could do is if you have a table or something to lean on and your elbows are on the table, you should find that your kind of hands are sort of pushing up and you may find them start to slide as the muscles relax. And as the muscles elongate, you just nice and easy. If that happens, just let it go. So it’s almost like you’re giving yourself a little mini facelift. A lot of people ask me how I look so young at the age of 75. This is how I do it breathing.


And I do use the zoom facial enhancement program. And now what I want you to do is I want you to just very gently slide your right fingertips down the Caterpillar again. And if you haven’t figured this out, yes, you are the Caterpillar in this story. And we’re gonna start again. We’re gonna do that same thing again. So just look, what’s happening to my hands as I do this, like they’re very, very, very gently moving breathing. Some people find it’s helpful if they, instead of just blowing out through pursed lips, allow a few expletives to come out.


Nice, easy breathing in dammit. Nice and easy son of a bitch. And what you might feel is that again, the muscles on the side of your head, yes, there are muscles where maybe loosening and maybe allowing your hands to kind of slide up. And if your eyes are getting heavy, you feel like you’re zoning out, go there. And we’re going to do this just one more time as your, as the, I don’t know what part you call this, but it’s as the I guess it’s the MCP as, as the we’ll show, you use this term all the time, but as the zone between your metacarpals and your phalanges meet, that’s when you want to just go back down. And this time, we’re just going to ask you to go a little bit lower to this joint right here, which is called your TMD TMJ joint. And so your fingers are going to be at the top of the Caterpillar, and this is going to be giving slight pressure over here, very slight. And so you now will have two points of kind of shifting up and by going down just a little bit lower, that takes off another five years as part of your Caterpillar facial, nice, easy breathing.


And this is called, I believe it’s called muscle energy technique where you’re basically asking the muscle what it wants to do. And as it releases, that is what’s allowing you allowing those muscles to kind of creep up. And then this time as your fingers get to the top of your hairline. So it would be the corners of your head. If you were Herman monster, just very gently, very gently with your nails or the tips of your fingers. Just give yourself a little tiny massage with your fingertips. And you could go all the way down your hairline, if you want. Nice, easy breathing as you do this, being that we’re in quarantine. It’s always helpful to imagine if someone else and now just come into the front and just give a little pressure on your eyeballs. Nice, easy breathing in through your nose, out the mouth, again, letting your hands slide to the outside. And when you feel ready, open your eyes and just come on back. And my question to you is better, worse or unchanged. Please feel free to unmute yourself.


Feels better. Okay.


What feels better? In what way? If you can somehow like describe the sensation,


Oh, have a headache at the moment. You have a headache at the moment and that helps it a lot. And another thing that helps it is if you press in between the eyebrows there, that gets rid of headaches too,


Helen, don’t try to heckle the comedian. Okay. Don’t don’t heckle. Agreed, agreed. You know, the thing is that there are a lot of points. Let me just show you one thing. It’s a nice small book to read. If you look at this, there are points all over. Okay. And if you look at the side of the head, there are points all over. And the key to this is these are not, you know, these all connect to different pathways and affect different organs. And so the key to this is figuring out what helps and what doesn’t help. So you had a headache. I thought you were going to say, you didn’t have a headache and now you have a headache. That would so it helped a little bit. So we just went about five or six minutes of that. Okay. And we’re not going to do any more of that today, because again, we might do it. Okay. I want to hear more commons, better, worse, or same. What are your experiences better where same or different different could be? You, you still feel something, but it’s different than what you felt before Rose.


Better. I suffer from migraines and stuff anyway prior to COVID but these have been more intense different headaches. So feeling those pressure points and I’ll like with my hands I do feel, you know, different. It did help


Anybody else. Yes. Yes. Donna,


It felt different better in certain areas and still feeling it on the top of my head.


Was it worse on the top of the head or the same? So it was the same, well, that’s on the top of the head, but where


Same on the top of the head, but we’re already engulfed kind of the whole head and the back. It’s not there anymore.


Well, that’s a big positive was going to cure your whole six minutes. No, I did not. I’m just kidding. But, but that’s big. I mean, if you now start wearing a little skull cap before you had on like a full you know, that’s exactly.


If I did it for a little bit longer, it might take,


And the reason why I’m saying don’t do it. Okay. And I will, I will do these with them because I think it’s going to take some daily up. I will meet at 9:00 PM every day, this week or 10 to 15 minutes. And let’s learn about this together. Other experiences, Martha.


So I felt like I was worried. I get, I also get a lot of migraines and I have a lot of neck pain this morning. And I think we’re going to work on that too. But I thought I felt worse cause like bending over my, my neck hurt more. I kind of was concentrated on my hands kind of hard. I kind of had to play with the pressure, but now that we’re sitting here, I feel an energy release in my face. And I’ve done a lot of acupuncture. I’m going, I haven’t done any since February, of course. But it’s the first time since February that I have this feeling of energy release, I think doing it longer or a little different to adjust for different pains. I mean, I can not, I feel, I feel like I do an acupuncture table. I feel this energy released down to my toes while I was doing it.


You know what that’s how it is. Okay. That’s how it is sometimes. So it’s something called the pain spasm, like, okay. For anyone who’s familiar with trigger points or things like that, you can have a spasm. And I actually straightened my back this morning. It’s in spasm now. Believe it or not heading my dog. So that’s crazy. But when a muscle goes into spasm, okay, the way that a muscle number one receives nutrition and number two relieves and releases waste product is by contracting and relaxing. And what’s happening at that time. Muscles are constructed. I mean, the vessels are constricting and dilating, right? So you squeeze and it removes all the painful metabolites and waste products to relax. And you get this flush of, you know, it was rush of blood. As a matter of fact, when when Coldplay, where my, where my patients they wrote a song about it, it’s called the rush of blood to the head. So there’s that, but but the thing is that sometimes it hurts and it’s uncomfortable when you do it. Right. But then you released after, so that’s a positive anyone else?


Yes. Ma’am in the red shirt. What is your name? That’s me. Yes. That’s you? Sherry chair.


I have CLPD and I noticed early on that I was able to yawn, which is unusual for me. I think that might be the parasympathetic responses and it may be


You know, with, with everything that’s going on, the LPD is also a complex kind of thing. Also I would, I am hesitant to assign a label to what is, what if the answer is we simply don’t know. And you know, for anyone that’s talking Cobra these days and saying, they know I, I run from that person because that’s nobody knows. I like the people who say, you know what? We don’t know, but let’s try this. And we go by experience. It’s going to take a little bit, but I’ll tell you something about COPD. One of the things about COPD is that CLPD involves hyperinflation of the loans. Okay. KB pay attention to this, the hyperinflation of the lungs. And when that happens, we push down on the diaphragm. The diaphragm is normally a dome shaped muscle that is you know, it tracked downward and that’s what creates this negative pressure that brings air in.


And the thing is that when you’re hyperinflated meaning your lungs are overinflated, it pushes down and puts the diaphragm for mechanical advantage. And then you haven’t, you have to use the accessory muscles or breathing. Those are the muscles of the neck, the shoulders and the back and the chest. And those become so overworked that when we do the neck, you’re going to see something totally new. You’re going to feel sick and beyond, you know, that that could be a brick, could be also even just releasing the style, the TMJ doin, you know, we know what’s what, okay. But I believe that this is a combination of musculoskeletal you know, neurologic. But the thing let’s just drop the system and if we get better, what if we get better, then we’ll, we’ll deal with the details later. Okay. But right now we have to enter, Oh, I feel better. Good. Anyone else? Patricia, did you want to say something? I do. I missed the first part because I always have a hard time shining in. So I guess I’m gathering from people to respond to. That made me, you’re talking about, are you talking about symptom, coping, coping? I am specifically directing it towards COVID, but this can be for many different conditions.


I can’t tell you if it worked or didn’t work because I came right in when you were getting to the eyes. Okay. Well, we’re going to put this up. We’ll put up the video and then you can try it again. Okay. But again, congratulations, slow down. So just, you know, if you feel better, awesome. Please resist the urge to go forward again. I’ll I’ll come on every night at nine. And I’m going to give you a different, I’m going to give you, I’m going to send out a different meeting code. The meeting code will be, I won’t, I won’t tell you right now. We don’t want to disrupt it with anyone else. Any other yep. Sorry. Sorry, but you’re not immune to do.


No, I so I didn’t have a headache, so it didn’t really change a headache. It, during it was really relaxing. And I feel like more calm, which is not typical for me, but as soon as it was over, I got crazy chills, which is why I’m not sitting here in a blanket. Yes. I don’t know if I pushed it too much.


I don’t, I don’t. Okay. That’s interesting. So that, to me, autonomic nervous system response. So, you know, maybe this dysfunctional autonomic nervous response. So my, my point to use so chill. Okay. Not the best, not the worst, right? Not the best, not the worst. I would say this. And what a lot of people don’t realize is training you on anomic nervous system is tricky. It’s complex. It’s confusing at times. But if that’s the case, then I would say, we’re going to repeat that with you. And let’s see what the impact is, right? Because if that was your impact now, and you do it again and you’ve got the chill, but they weren’t as bad and you do it again and then they’re not as bad again. Then you do it again. And guess what? You don’t get the chills. That’s training the autonomic nervous system.


And you know, we are learning that there is no one thing that’s going to work for everybody. Okay. Every person has to be treated like an individual. And it’s really like that. If you’ve ever seen a movie, I know people would read the book. Don’t think I don’t read books because I read books through. But it’s very vivid in that in a movie, the DaVinci code, right. That thing that they have there, it’s got like a million different codes, like a combination. We are looking for every individual’s code. And whereas we’re not going to find one code that works for everybody. And we’re also likely not going to find each individual’s code. What we’re trying to do is we’re trying to establish principles and teach you how to learn your own code over time. Anyone else, anyone feel worse after it? Can I just add something? Okay. I’m married a physical therapist and a massage therapist. She is the chief of the centers, airway clearance unit. And she has been corrupted because she and I have been working together for 26 years.


Oh, happily corrupted. I just want to address Juul sending that Julia is experiencing because I am a very bad, no one can tell you. I suffer from very bad migraines and have been on every sort of medic medication there is on earth. This is a very bad week for migraines. Just happens. But and I do employ a lot of these techniques and have gone through acupuncture and not knowing the reason I always experienced. Like I am actually cold and I had didn’t have not suffered from COVID. I actually am colder now. And I do find a lot of times after these techniques happen as a migraine supper, several, I go into a place of having severe chills or coldness after I have Burke like this, or have something like this happen, or even, you know find a pressure point and work it. And oddly enough, in re in our whole philosophy now with a post COVID syndrome, after that, it happens to me. I need to shut down and have quiet time. And then I wake up from a deep, deep, deep, maybe 10 minutes to 15 minute almost sleep. And I feel better. It may not be gone, but I feel like so much better. So I do think it’s some sort of physiological effect that doesn’t necessarily have to be negative.


Yeah. And I agree. And it’s, it’s training the system. You know, we, we, once there’s a very famous physical therapist named Shirley Starman. I don’t know if she’s still around, but she would like 80, 30 years ago when I used to read about her. So if she is around, she’s very powerful. But the idea is she used to say whatever your, a difficulty is, that’s your therapy. And and, and it, it’s not exactly like that with this because we’re not going to be like, Hey, that made me feel like crap. Cool. Do it again. But I would say like, you know, maybe next time it will be interesting. I want to just repeat it as it is next time, Julie. But another thing would be like, Hey, let’s what are we, what if we were to have you start off with that blanket while you’re doing, maybe that will change it in some way.


Okay. Maybe that will, because what happens is you have to realize that we have this autonomic dysfunction. Most people don’t have autonomic dysfunction and down-regulate meaning like most people don’t have autonomic dysfunction go, Oh my heart, rate’s nice and low. Oh, I feel nice and relaxed. No, it’s usually very stimulating and very fro. And it’s almost like, you know, when we say to people, what’s the importance of a warmup. The warmup is that if I’m sitting in a chair and all of a sudden I start running on a treadmill the body can’t tell the difference between running on a treadmill and getting chased by a bear. And so it’s been a throw out the entire brigade of sympathetic things to save your life, that’s fight or flight. So you know, it’s, it’s something that, again, we’re inching along, but I had a sense that this was going to be beneficial.


And I had I had a few extra minutes last night, so I read this book. No, I’m just kidding. But the idea is I love acupuncture. I was actually in acupuncture school for almost a full semester before the schedule got in. It was Tuesday and Thursday nights from six to 10 30 for a month. And that was good. And then the second month it started with that plus Saturdays and Sundays 9:00 AM to 7:00 PM. And that’s where I thought I might commit a murder on somebody. But I love it. And I think it’s great. And I think there’s a lot of value here. In next week I’m going to have one of my close friends and colleagues who was an acupuncturist on the Sunday, Sunday. And she is, is somebody who I’ve been in trouble twice in my life. Once I had a diving accident and I had decompression sickness, it gave me the Benz. And another time I had an accident when I was working in EMS and I was like, practically, like, I felt like I had no joint moving anywhere. She got me out of it both times. So you know, I think that we’re onto something with this. Again, I’m going to ask, is there anybody that had any worsening or negative symptoms related to that?


Okay. Karen, what about you?


So my headache takes over my entire head. That activity helped my headache staying still, but if I move my head in any direction, my headache worsens


Right now, or in general


In general, but I’m saying what we did. Like I had a headache just looking at this screen, what we did as long as my head is still that helped. But I’m still getting a headache, any direction that I move my head, but for whatever reason it works while still, which I didn’t have prior to doing that. Okay.


Okay. Awesome. So, so with that in mind, okay. We’re gonna take this one bite of this delicious appetizer and say, you know what, we’re not going to be pigs about it. We’re going to stop here. Okay. But the thing is, I didn’t expect that. I mean, look, if, if, if that cure to everybody’s headache, instead of that book, I’d be holding a bag of money. No, but the idea, but the idea is I didn’t expect that to cure anything or change anything, but if it didn’t hurt you and you felt that even a little bit of improvement, that’s the first thing stroke. And that means, you know, maybe at the end of tonight’s meeting, we’re going to do this again. At seven, we have a meeting and that’s going to be with Laurie and Erica. And then if we can just go a little further every day, but keeping in mind that we don’t want to boil this pot over, then I think we’re going to get some money.


And Karen, you know, and not just Karen, but for everybody, who’s got like, some people have like a little headaches here. Some people have a little head. I think some people have these kinds of diffuse head headaches, or they’ll have a peanut butter headache here, and a jelly headache all over the rest of their head. We’re going to find it. And, but the thing is, again, keeping like, think about this as exercise. Like we need to step along with this very gently first rule of medicine, Primo, no one knows CRA, which means first do no harm. So if you were not in any way worsen and you were, even if you were no worsen, that’s a plus. If you were bettered, then that’s a real plus. But now keep in mind that you may feel some stuff later on today as well. And so what I’d love to know is your experience with that.


So my email is Noah at pulmonary wellness dot or, or very simply know at Colby, COVID Just shoot me an email and say, this was my experience with this during, this is what I felt pretty. This is what I felt post. And this is what I felt later in the day. So that little by little by little, we are going to learn this together. And again, I believe by disrupting these signals, it’s like we shut the electricity off a little bit. And if we can shut the electricity off a little bit, and that gives the heart a chance to settle down a little bit, or it gives the, a chance to settle down a little bit. It gives the neurologic system a chance to settle a little bit where guess what that pot is cooling. Okay. And that’s the way we do it. So any other questions, comments, feedback, everybody have a great Sunday tonight. 7:00 PM. It starts with, yes. Erica Mostro bono, formerly Greenspan. Not my ex wife, my sister and and Lauren Day down PhD. Have a great day enjoy don’t overdue, chill out on Sunday. I, everybody. Thanks. Mine.


Love you.