Reasoning question to do simple problem hi there my name is dr. Jay Wright Ola I’m here with always with with friendly Larissa yeah my friend something else let’s upgrade over unfriend another stuffings chat so we’re going to talk to you today a little bit about what you or our new friends or coworkers can do if you’ve got neck pain or you’re experiencing discomfort your neck.
so feel like this could be a little bit better sure yeah okay so uh just comes most basic thing to do is just so thesis together or solo that your solo you just do just a little stretch with the head with verses this thing without hand it’s a little pop there at the other side so it’s just lateral stretches really easy to do the same thing forward although with my caution with doing things for is that there’s so anythings that are forward in life like typing or texting or driving so we cantors of forwards you’ll not say that you.
Do too much of the for flexion but that’s a good one to do one of the more important ones would be stretching your scalene Power Chiropractic muscles or your CM muscles and so you can do it like this and but this was actually better achieve with partner so you feel a stretch in all onus so yeah this with your hair you ha veto Longmont Chiropractor see her scaly muscles there a little bit and so you should say to your coworkers that feel okay okay we let me know what it’s too much too much okay and then the real life kitchen folks that’s your.
Doctor before you unities and then you can do it get away so again I’m not going to instructor the solo route with my head but the key with this is to be tilting backwards a little bit and make sure you’re applying pressure to the shoulder also because the scalene these muscles actually start on your cervical spine and then they come across your and they go up into your shoulder blade so that’s another one which is easy vocational stretches just taking a headed pulling it around that’s a solo I guess this could.
Tend to think that it’s not just that people with mental illnesses don’t get good physical healthcare the truths that the reverse is also true% of all mental health care in the United States is delivered by primary care physicians and they write more prescriptions for psychotropic drugs than do psychiatrists in the United States it’s not because they want tout’s because that’s where you go when you don’t feel good so when we when you look at that that the at the primary-care side of this that the the primary.
care Doc’s well they have kind of perfect storm going on they know that they have about seven minutes to treat you they also know that if they you can referral to a mental health professional only % of those referral swill follow through and finally and most importantly if if you in today’s society when you look at the way in which people address their primary care Doc’s they come into the office allegedly knowing what the best treatments are and what the problem is sometimes from the internet and sometimes oftentimes.
From direct-to-consumer marketing by pharmaceutical companies so if you believed that the best treatment for mild to moderate depression or mild to moderate anxiety was medication you could be forgiven for that because of what we see in the media but you’d wrongheaded truth is that a specific form of talk therapy called cognitive behavioral therapy is superior to Transcranial magnetic stimulation medications alone now there are times when the two of those together are superior but if you had to pick one you want to pick the cut the talk therapy over the medication the third big area that we see as challenging in this industry is that a lot of people believe that if you have mental health or an addiction diagnosis it is a living death sentence and nothing can be further from the truth the reality is these are chronic diseases that have to be managed just like diabetes asthma and hypertension there is no cure for these things we know that but you can live a full and successful life by taking care of-yourself and taking.
Responsibility for your own health care people who have serious mental illness illnesses these days have said now I do not want my treatment to be the focus of my life Want my life to be the focus of my life I want my healthcare provider to be inexpert consultant to me to help me and that requires different way of thinking I’m reminded as we as we talk about these things Forgot to advance my slide so you have to excuse me I got so excited about talking to you I’m reminded about what John Kennedy said several years ago-too often we hold fast to the cliches four forebears we subject all facts to fabricated set of interpretations we enjoy the comfort of opinion without the discomfort of thought my challenge to you is to jump into the discomfort of thought challenge the assumptions that you have about mental illness and addictions and let’s bring rationality-back to this segment of healthcare thank.
Great and let me just rest assured that if for whatever reason it hurts you don’t like it whatever we can certainly start an IV and give you IV sedation not a problem whatsoever Denver plastic surgery I don’t expect that we’ll just take our time and I think you’re going to do fantastic okay what I need to do today is mark yup then I know you’ve talked with Kathy will get you back to the operating room soon and think we should be good to go okay okay alright so now you’ve worked.
with us fora couple years and I’ve never heard you once talk about your breasts and or desire for a breast augmentation cost can tell nobody else has either and so what was it right away that one we said gosh you know we want to do we would-offer this under local anesthesia that you jumped on it I think partly just over time watching everybody resultants and lately it seems like we had more and more women my age talking about the reasons they were going to do it and I was so identifying with it saying you know what it really is okay to think this way and so I got past the thing that I was too old and it was too late and so I started kind of nursing the idea and considering it and but I kept getting blocked by the idea of being put under.
I just kept stopping me so as soon as you mentioned the other day the potential to do some procedures with local I said you know what that was really my biggest hurdle and so why not just go for it absolutely well so we’ve done lots of breast procedures under local some that are even more extensive than this so I’m confident that you know there’s a very good chance we’re not gonna have any problems or need to move on to use IV sedation I think the criteria are one you know surgeons really got to be able to have a rapporteur comfortable be able to take their time be patient enough to get a very good blocking we have an extensive experience.
Giving ribbed blocks and as you probably have seen patients in the recovery room they’re not crying they have maybe some pressure but we’ve been good job putting the breast asleep and so that really really helps with postoperative pain yeah I would expect same thing here if not better in terms of post-operative recovery issues we were just using local for this okay the second part of the equation besides the surgeons got to be the patient and so Don’t think it’s.
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