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um, Hello, and welcome to 
Podiatry. 

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Practice Mastery Don Paltrow 
here and I have dr. 

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Ben Pearl here. 
Welcome then, hey, nice to 

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sorry, I'm done. 
Good good. 

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And today, we are going to chat 
a little bit about 

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electromagnetic therapy. 
It kind of seems like Voodoo to 

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me. 
Everyone's have these new 

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therapies and I kind of say, 
tell me a little bit, how you 

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got interested in this and kind 
of what your, what it's been 

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doing for your practice first. 
Let me jump off the voodoo 

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syrupy. 
Because I think that is very 

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accurate to what people's 
impression limitations are. 

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Yeah. 
Magnetism, you know, when they 

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came out with those, magnetic 
insoles, I think in the late 

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80s, early 90s the Gauss, which 
is the the energy unit is maybe 

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like half a Gauss if that in and
one of those insoles. 

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So you have to have some energy 
to effect a change. 

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So like we jump up To an MRI 
unit, which has several thousand

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gals. 
And there's a huge jump between,

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you know, what is basically an 
ineffective in Seoul, because 

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there's just not enough charge 
there to do much versus an 

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office-based unit where you're 
actually hearing a ping just 

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like you would win an MRI unit 
of the cycle of the magnetic 

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amplitude, up and down, and you 
hear that. 

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It's very interesting. 
And you'll, I'm gonna And as 

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we're talking ecstatic, feeling 
I'm going to share my screen. 

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So this is an example of the 
machine that we're talking about

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here. 
And once again we're not going 

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to try to write selling this 
one. 

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We're just kind of talking about
it because I think it's I like 

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to bring in new technology. 
This is kind of the machine. 

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You kind of put your foot in 
here and kind of how it works 

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and if you want I'll put a link 
underneath this show if you guys

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want to look more about this 
machine and this is kind of some

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of the advantages and things 
like that and some some videos 

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and Ben's practice. 
But so tell us a little bit more

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about it than kind of how you 
got. 

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Sit in it, how it's affected 
your practice hauling. 

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You've been using it things like
that. 

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Well, there's some been some 
major manufacturers that have 

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been using these for a while and
some of my colleagues have been 

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using some of the units and I 
looked around at some different 

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Technologies. 
And I found one that fit my 

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practice profile and, you know, 
there's a lot of different 

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things price point, efficacy, 
things that you need to kind of 

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feel out and I started using the
unit, and let's just start with 

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the basic principle, the base. 
Asic principle is that with all 

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these regenerative energies, 
your priming the the breakdown 

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of ATP to ADP. 
And in the case of 

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electromagnetism, it's a 
hydrolysis situation. 

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And once that ATP goes to ADP, a
packet of energy is released and

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the cells that are deficient use
that energy to heal. 

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Now, in addition with things 
that are charged related like 

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nerd, Earth and Bone, which has 
a piece of genic effect. 

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So even when we're walking were 
affecting a charge, very low 

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mind you. 
But that has been talked about 

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with one of the essential 
elements with the ions that are 

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necessary for bone healing. 
When we have fracture healing, 

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just mechanical pressure can 
create a small electric charge 

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feel and we have these ions in 
our body, our bodies that are 

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basically analogous to batteries
that respond to charge. 

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And so not only do we get that 
packet of energy release but we 

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get buildup of priming, the 
circuit of nerve conduction 

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which which also can be primed 
by electric energy, 

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electromagnetic, energy, and 
electromagnetic energy is 

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different than like traditional 
galvanic. 

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Stim in that the magnetism goes 
at a deeper level that level 

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penetrates at something related 
to Newton's inverse Square law. 

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So the depth of penetration is 
much greater than like a 

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superficial TENS unit. 
That's where you get the Deep 

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charge. 
That helps with bone healing. 

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That helps with sprains that 
helps with wound healing, that 

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helps with neuropathy. 
These are all things that I've 

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been using it for good. 
So let's let's bring it really 

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down. 
Literally far down, let's say 

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I'm a patient and you, if you 
just said that to me, I wouldn't

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understand. 
And I still don't understand 

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anything you said, so I come in 
with An ankle sprain, I come in 

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with plantar fasciitis. 
You know, how do you use this on

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those things and how do you 
explain it to the patient in 

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conjunction with all the other 
stuff that we could offer? 

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Like cortisone, Shockwave, all 
these other types of things? 

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I absolutely do. 
And the reason I do is that it 

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is a touchless therapy, so even 
when considering a night I still

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love Shockwave for plantar 
fasciitis and achilles 

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tendinosis. 
However, I like this in that if 

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Somebody is super sensitive and 
I'm worried about beating him up

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with like, let's say a radio 
shock way, which many of us have

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in our offices because I think 
it's a great tool. 

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I don't want to knock that at 
all. 

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I think it's still a Workhorse 
of a tool. 

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The electromagnetism offers me, 
not as much pain for the patient

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while the rendering the 
treatment. 

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So it's in effect, it almost 
feels like static, like you're 

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taking your laundry out of the 
dryer and it just has that 

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little Kind of prickly feeling 
that's it. 

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Now occasionally you'll get a 
little bit of a highlighting. 

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Let's say I used it on my 
iliopsoas, you know that front 

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flexor muscle that really gets 
tight when we're sitting down. 

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So I just use it and it really 
caused this oscillation. 

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I thought it was like what am I 
hit my femoral artery? 

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Or some because it was really 
pumping and I really felt the 

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deep penetration of the metal of
the magnetic field. 

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Right after the treatment 
several hours later, you know, 

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it felt a little irritated but 
then the next day it loosened up

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now with things. 
It's interesting because that 

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was like a, just a very 
sensitive area with things like 

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plantar, fasciitis. 
However, I find that there's 

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almost an immediate. 
Wow, that that is like, 

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interrupting that throbbing pain
signal. 

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So there's also on pain gate 
Theory, which you know, about 

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where we inhibit the signals of 
Pain by offering another signal.

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Hmm. 
Not only that but it has 

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different frequency waves, so 
it's not just one continuous 

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cycle. 
It's going 15 Hertz, it's going 

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7 Hertz. 
So in effect, it's sort of quote

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tricking the body so that the 
body isn't habituating to one 

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pattern, it's throwing different
stimuli at it. 

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Hmm. 
So that is at least a partial 

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explanation that the the 
inhibition of pain signals, you 

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know, at least in terms of pain,
And then our blood has iron 

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which is also reactive to 
charge. 

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So you get this up regulation of
circulation and I was talking to

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you about a patient of mine that
I suspect with gout and I don't 

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know how well and I think we 
talked about it I have these all

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these videos up on my FIT foot 
use side so it would be it 

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easier to see the videos. 
They're the me to try to show 

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you the phone picture, but you 
literally see where the tow that

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was Colin and this case guard 
typically affects the big toe. 

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He also had some ankle pain 
right at the base of the toe. 

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It was less pink. 
It was almost like model like 

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kind of skin tone and pink like 
mixed in because the swelling 

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had actually lessened right? 
Directly after the treatment. 

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When he got up out of the exam 
chair and this is typical 

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without any cortisone or 
anything, he said it was about 

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25% better and to me that's like
a home run. 

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Hmm. 
Oftentimes, I will find it later

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that day. 
Day. 

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They'll feel even better and 
then the trick is, how long does

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it sustain? 
And how many treatments do we 

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need? 
Typically I'm only doing a few 

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treatments. 
I'm not like with some of the 

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laser options. 
Let's say for neuropathy, you're

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doing 10 12 treatments, 
sometimes I am getting nice 

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neuropathy results, three to 
four treatments. 

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I'm not saying Don that I'm 
getting full recovery of 

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sensation. 
That's not what I'm talking 

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about. 
I'm talking about more movement 

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in the toes. 
When my dad But patients have a 

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lot of stiffness from the 
neuropathy that nose, his septum

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of gnawing or burning pain is 
diminished significantly. 

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So those are those are the 
things and there's been by the 

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way, some NIH papers. 
I was looking at 1:00 this 

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morning so if you if you Google 
the Search terms you will find 

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some stuff that's reviewed by 
the NIH that particular study 

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I'm referring to is about 800 
cows. 

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My unit I go up to about 3,300 
3,000 to 3,500 gals so You're 

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getting a quite a big bolus of 
energy in this technology. 

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You told me the name again. 
What's the generic name for it? 

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Okay, there's several generic 
names. 

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The one that most people are 
familiar with and if you Google 

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it you're going to find all 
kinds of devices sold on Amazon,

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that are lower Gauss units. 
Those are home-based or 

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wearables or mats, and the term 
is pimp pulsed, electromagnetic 

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frequency, okay? 
And so, it's a in a pulsed 

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fashion and electromagnet 
obviously refers to the energy 

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source. 
Now, the units that are 

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available for a medical office 
are going to be a much higher 

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level of gals and insults and 
their different trade names. 

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And I'm not going to put, you 
know, which one is with which, 

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but there's EMT t-there's p.m. 
St. 

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And I'm not even going to 
mention any of, I don't want to 

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get into advertising, but here's
are different. 

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Higher levels of Health than the
ones that you would get. 

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Let's say, you know, ordering 
off Amazon, you know, for a 

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smaller unit interesting. 
So, I know there's always a lot 

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of different types of treatments
for, for example, plantar 

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fasciitis, and other types of 
things. 

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What's your experience in terms 
of fitting it into your 

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workflow. 
Like, for example, for 

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Shockwave, I might three do 
three shock waves and then do a 

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six-week break and Another three
if I need to or do for you. 

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Do it like in conjunction with 
shockwave. 

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Are you doing it in conjunction 
with cortisone? 

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Are you just doing it a 
standalone? 

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How long do the treatments? 
Take do they sit there and you 

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put their foot in there. 
You can leave and see another 

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patient. 
How does it go with the with the

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ones? 
Yeah, that's a great question. 

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First of all, both with 
shockwave and with 

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electromagnetic treatments, I do
not mix and match cortisone 

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because I feel that's doing the 
opposite. 

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It's throwing the, the teeth. 
Cells away. 

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And we want to bring we want to 
bring those cells to the area. 

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These things up regulate, the 
growth hormones and upregulate 

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the helper cells, the T helper 
cells coming to the area to 

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induce tissue repair. 
I was reading a study of this 

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morning about wound healing and 
they were looking at zinc and 

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how electromagnetism is used in 
conjunction with zinc as a no. 

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Zion to help promote healing. 
So they were using both and 

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that's the other thing that I'm 
going to be looking at. 

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I was talking to you about this,
like, things like warts where I 

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do candida injections, and I'm 
just hitting that spot wart with

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this help, profuse it more. 
I think so. 

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So, I think that there would be 
an opportunity to maybe even get

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a bigger blanket effect from the
candida potentially. 

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And I've even used this done 
with situations, where I have a 

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very swollen, ingrown toenail, 
and it's one of my You know, 

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blue collar workers, they got to
get back to the workforce. 

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This is their day off. 
So I say, you know, mr. 

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Jones, this is, this, might, 
this injection might be 

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difficult for me to do, but 
here's here's something I can do

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for you. 
I can do and of course, this is 

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a cash proposition. 
There is no insurance code for 

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this particular type therapy. 
Delayed unions nonunions. 

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Yes, you can order the units. 
That would be insurance cover. 

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Not my unit though, that doesn't
fall under the same code. 

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So I offer that to them as an 
option, we can lessen the 

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swelling. 
And in fact, I will even after I

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do the injection to perfuse, the
injection, put them back in the 

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ring. 
Hmm, why do perfuse the 

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anesthetic? 
So that I obtain a better block 

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and I'm not charging the same 
amount because this is kind of 

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an auxiliary procedure to the 
main procedure. 

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Yes, you know, the intro job 
sometimes, what I'll do to is, 

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I'll say, look, we can get you 
some immediate relief. 

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Message, you know, mrs. 
Jones. 

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I'd rather you do thing 
antibiotic your your toe is 

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swollen. 
It's going to be hard to drive 

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this in. 
I know that, you know, pain is 

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difficult for you. 
Let's do a treatment today just 

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to take the ebb and flow down a 
little bit on the swelling. 

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And then come back and see me in
56 days. 

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After you've been on, let's say 
the oral Keflex and then let's 

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do the procedure. 
So I've done it both ways. 

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Hmm. 
You know, I find in our 

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Practices as we were, if you're 
interested in learning new 

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treatments, I tend to find that 
there. 

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It can be overwhelming and 
trying to explain so many 

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treatments. 
You really need to kind of hone 

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in on like or do a package. 
Say like okay, we have this 

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plantar fasciitis package, 
you're going to get Shockwave 

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with this added on or just call 
it whatever it is. 

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You're regenerative package 
versus because if you explain 

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Shockwave then I'm going to do 
this electromagnetic and then 

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you're going to do all these 
other things. 

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I think it gets confusing for 
patients with too many options. 

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It gets too complex. 
Which one do you choose? 

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Do you do packages or do you 
just say, hey, you know, I'm 

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going to try this and then we'll
try the next thing. 

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We'll try the next thing. 
Exactly to your point what I've 

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been now introducing done is 
instead of going and and, you 

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know, we all have our 
preconceived notions like oh 

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gosh. 
I've been doing real shock wave 

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for plantar fasciitis. 
It's been working out pretty 

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well. 
What I like about this is, I can

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lower the price point slightly, 
why? 

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Because it's not like it's I'm 
not going into Check on them, I 

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do but I can set that ring up 
semi unattended. 

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Let's just call it like that. 
Then I can come back and say you

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know what, I want to take up the
amplitude a little bit, I'm 

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going to increase the Gauss, go 
up to 80% let's say as opposed 

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to 60% take it up a little bit. 
But I'm basically working with 

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another patient in another room.
You asked about workflow. 

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Yeah. 
So it's basically adding a 

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technical assistant that isn't a
person too. 

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That has been the Revolutionary 
thing. 

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You know, the shockwaves I am 
doing them myself as most people

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do. 
I don't know too many states 

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where you can have a tech do 
that sort of thing, but at any 

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rate apart from that discussion,
it frees up my time. 

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And so I am now using this as my
primary go to it's become sort 

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of my Swiss army knife in my 
practice and I'm not saying that

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things like laser and Shockwave 
aren't still useful. 

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I just prefer with the 
management. 

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As an intro treatment, I know 
it's not going to hurt him. 

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Generally that this has just 
been a great tool and then if 

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I'm not, let's say getting any 
Delta, any change? 

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Then I say, you know, we'll do 
maybe a couple of these and then

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maybe let's try a radio shock 
wave. 

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So I don't have a particular 
formulaic because I find that my

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patients respond differently, 
even with the same clinical 

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00:15:57,600 --> 00:16:01,000
entity, two different things. 
Some people are just seem to be 

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more Biologically receptive to 
electromagnetism than others but

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it's been, I would say. 
And this sounds crazy, but like 

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00:16:12,300 --> 00:16:16,500
80 to 90 percent of my patients 
are responding in some positive 

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00:16:16,500 --> 00:16:19,500
way, even if it's minimal. 
Yeah, yes. 

288
00:16:19,600 --> 00:16:22,100
I haven't had too many that 
like, oh my gosh, it hurts them 

289
00:16:22,200 --> 00:16:25,800
and I had that happen 
occasionally with laser even 

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00:16:25,800 --> 00:16:29,300
shock wave where they say, you 
know what it really hurts after 

291
00:16:29,300 --> 00:16:30,700
in that. 
And then you have to explain, 

292
00:16:30,700 --> 00:16:32,900
that's part of the healing. 
Ling process, we're trying to 

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00:16:32,908 --> 00:16:34,000
recruit. 
Thanks to the area. 

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00:16:34,000 --> 00:16:37,100
Etc, break up Scar Tissue. 
Cool. 

295
00:16:37,100 --> 00:16:40,700
Been I I'm gonna, I'll put a 
little link underneath here of 

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00:16:40,700 --> 00:16:44,100
your your website where they can
learn more about it and let 

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00:16:44,100 --> 00:16:45,900
people search it out. 
That's what I like about talking

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00:16:45,900 --> 00:16:49,600
about his new technology. 
I know in early January, you're 

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00:16:49,600 --> 00:16:51,600
having a something on 
biomechanics. 

300
00:16:51,600 --> 00:16:53,300
That's another area. 
So, tell us a little bit about 

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00:16:53,300 --> 00:16:55,500
that as we finish up. 
And then any last words. 

302
00:16:55,600 --> 00:16:57,900
Yeah, so, it's going to be 
really great. 

303
00:16:57,900 --> 00:17:01,400
I'm going to have one of my new 
Heroes. 

304
00:17:02,200 --> 00:17:05,400
And I'm going to pump his book, 
Richard, Richard Blake, he's 

305
00:17:05,400 --> 00:17:10,000
done now the second edition 
which I've previewed and Don, I 

306
00:17:10,000 --> 00:17:14,200
call this book and he'll be one 
of the featured speakers on two 

307
00:17:14,500 --> 00:17:16,599
things. 
One a limb length discrepancy, 

308
00:17:17,000 --> 00:17:21,099
and then he's going to do just 
sort of a general, his bio 

309
00:17:21,099 --> 00:17:26,400
mechanical approach but it's 
kind of like a gold key book. 

310
00:17:26,400 --> 00:17:29,100
I mean, it's got so many 
pictures. 

311
00:17:29,100 --> 00:17:31,400
It's cross-referenced. 
You know, he'll talk. 

312
00:17:31,500 --> 00:17:35,000
Talk about something on tarsal 
tunnel and then jump over to 

313
00:17:35,000 --> 00:17:39,200
Morton's, neuroma and talk 
about, you know, ways that you 

314
00:17:39,200 --> 00:17:45,800
can do neuro release and neural 
flossing as it's called, you 

315
00:17:45,800 --> 00:17:48,400
know, I didn't even know much 
about neural flossing but then 

316
00:17:48,400 --> 00:17:51,400
he describes and has pictures of
the extension, flexion of the 

317
00:17:51,400 --> 00:17:53,100
toes. 
And so, you know, you look at 

318
00:17:53,100 --> 00:17:56,700
the pictures and and it's just 
really a good for the layperson,

319
00:17:57,000 --> 00:17:58,800
as well as the season 
practitioner. 

320
00:17:58,900 --> 00:18:02,700
So, he'll be there to have this.
I'm embarked old is always 

321
00:18:02,700 --> 00:18:05,400
entertaining from Australia, 
will be talking about 

322
00:18:05,600 --> 00:18:09,300
Innovations in shoes. 
I've got, you know, from kind of

323
00:18:09,300 --> 00:18:11,800
more of the Barefoot Science, 
World golden Harper. 

324
00:18:11,800 --> 00:18:14,300
He's one of the developers of 
the altar shoes. 

325
00:18:15,100 --> 00:18:18,900
We've got Nach chocolate ham 
from England. 

326
00:18:19,000 --> 00:18:21,800
So it's an international thing. 
He's going to be talking about 

327
00:18:22,100 --> 00:18:26,900
things related to shearing and 
some other biomechanic metrics. 

328
00:18:26,900 --> 00:18:30,300
He's a PhD in biomechanics, so 
it's going to be really good at 

329
00:18:30,300 --> 00:18:33,600
genuine 19th and you An email me
at Arlington footage email and I

330
00:18:33,608 --> 00:18:37,400
know you'll provide the link and
it's a nominal charge for 

331
00:18:37,400 --> 00:18:39,300
everything. 
That's been involved in putting 

332
00:18:39,300 --> 00:18:42,100
it together and it's virtual. 
So you can sit there in the 

333
00:18:42,100 --> 00:18:45,600
comfort of your home and be in 
your PJs and have your hot cocoa

334
00:18:45,600 --> 00:18:50,400
or whatever and just enjoy and 
listening great. 

335
00:18:50,500 --> 00:18:52,500
Okay, been well, thank you for 
all that work. 

336
00:18:52,500 --> 00:18:55,200
Putting that together I know 
whenever you try to do an event 

337
00:18:55,200 --> 00:18:58,100
it's like hurting hurting cats. 
And so it's not an easy thing. 

338
00:18:58,300 --> 00:19:01,400
It really isn't. 
I appreciate you, you know. 

339
00:19:01,500 --> 00:19:03,300
In the word and I hope, you 
know. 

340
00:19:03,300 --> 00:19:07,100
In fact I'll give you a comp on 
that just because, you know, 

341
00:19:07,100 --> 00:19:09,200
we've been working together if 
you want to attend and I think 

342
00:19:09,200 --> 00:19:12,300
it would be good even and I'll 
have it post-production, it'll 

343
00:19:12,300 --> 00:19:14,500
be available will be a senior. 
Why? 

344
00:19:14,500 --> 00:19:17,400
If you're watching this after 
you guys can check it out and 

345
00:19:17,500 --> 00:19:18,800
until next time, okay? 
Ben. 

346
00:19:19,300 --> 00:19:22,200
Yeah, man. 
I wanted to leave on a comical 

347
00:19:22,200 --> 00:19:23,600
note. 
It's been a serious year. 

348
00:19:23,600 --> 00:19:28,500
So I thought I'd invoke a little
Sly Stallone on what he'd maybe 

349
00:19:28,500 --> 00:19:33,300
say about magnets and you'd say,
in law, I don't know, magnets, 

350
00:19:33,300 --> 00:19:36,000
you know, I don't think I met a 
good guy from South Philly. 

351
00:19:36,000 --> 00:19:39,000
I think you had a magnet in his 
head, but uh, you know, I'm 

352
00:19:39,000 --> 00:19:42,200
going to try to stick around it.
This year, peace out. 

353
00:19:44,600 --> 00:19:46,200
Thanks. 
Ben on the fly. 

354
00:19:46,300 --> 00:19:48,500
All right, good to see old on 
Happy New Year. 

355
00:19:48,500 --> 00:19:50,200
Happy New Year, everybody. 
Thank you.

