Connecting Throat and Heart

8/4/2019 Connecting Throat and Heart

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Connecting

Throat & Heart

Bradford S. Weeks, M.D.

www.weeksmd.com

[email protected]



The Purview

of theDentist



Etiology:

“ If it weren’ t for we dentists,

you medical doctors

would have nothing to do…”

Hal Huggins, DDS-personal correspondence, 1988



“ I treat contraction

problems of the head and neck….”

Dr. Farrand Robson



Changing Responsibilities

Changing professional landscape

Confusion about responsibilities

Dentist can make a sleep apnea appliance but justcan’t diagnose the disease

Benign snoring

TMJ Headache

What else?….



Opportunity out of chaos.

Diagnostic criteria Name calling

No need for dentists to be

co-opted into the medical model.

Use YOUR paradigm!



Live in hypothesis and balancethe system of oral function.

“I am only surprised

every day.”



Hypothesis:

If the system is wise,

well-designedand self-correcting,

then all (pathological) muscle

contraction is done to maintainthe throat.



Compensatory

Conditions

Consequentto

Choking!



Posture breakdown

Forward Head Posture

Fibromyalgia

Chronic Fatigue

Myriad Pains – neck, shoulder, hip, back







How do you know if

you are a pioneer?

A shifter of paradigms?



The pioneer

is the one with the

arrows in his back.



Fearfully and

Wonderfully Made





How do you know if you are a pioneer?

A shifter of paradigms?



…The pioneer

is the one with the

arrows in his back.



What do dentists treat?



Do you treat….

teeth or people?



Do you treat….

pain or suffering?



Do you care?

“Compassion” derives from

the words meaning“to suffer with”



Why are we caregivers?



I believewe are on earth

to learnhow to

love each other.



Loveis only love

if givenfreely.



Freedom requires

no compulsion



Dis-ease or imbalanceis quite….

“compelling”.



We care in order

to help people

be free

in order to love.



“Get out of your

own way.”

LA bumpersticker



“ Try to relax”



The Default Human Emotional State

…feelings of warmth

…feelings of lightness (love)



How to care for

people

(including patients).



“ Primum non

Nocere”

First, do no harm.



When in doubt,

ask

the patient.



Be

before youdo.



Non-verbal messages

are more powerful

than verbal messages.

E t t?



Eye contact?

Tone of voice.. monotone?

Defensive (arms crossed)?

Use of personal space?



Space between the notes.

Pauses …“ hmmm

”

OK to reflect and search.



Lessons from Tibet:

Priest before doctor

Reward for the “ top” Noviciate



Lesson:

Stand for something.

Bring something to the party.

Have a hypothesis to test.

T hi h h i



Test this hypothesis:

touch back teeth lightly togetherand pull chin to chest.

How’s breathing compared to:

let relaxed mouth fall open

thrust jaw forward





Looking over God ’s shoulders…

How things work

vs.how to work things.



Listen to patient (not their myths)

vs.

Watching the patient (coaching them to pay attention

to physiology)



Co-discovery with patient

vs. discussion of beliefs.

(Scientific vs. belief-based

process)



Teach the patient how to observe

and consider their healthexperiences.

…Leading the witness.

…Challenging their paradigm.

Thi i



This is

Empowerment

Service

& Love

d



and….

the benefits aremutual!

- no burnout

(exhaustion yes… but not

dis-spirited!)



Return to Ortho

(a correct relationship)

vs.

Suppressive Therapy



What is Orthomolecular?

Imagine sitting on a park bench and gettinga splinter. Up come two doctors, one withpain medications and one with tweezers.

The doc offering to remove the splinter anddressing the wound (perhaps with rawhoney) is the orthomolecular doctor.

“…using the correct molecules in thecorrect dosage…” Linus Pauling, Ph.D.



Who and what are

we treating?



working with vs. on people

talking with vs. to people

making love with vs. to someone



“ Treat people as you want

them to become

and you help them to

attain that state.”

…Goethe



Human beings

vs.

human becomings.



Change, growth and

reattainment of healthonly happens in the moment

when people are connected

to the present.

Lead people down the path of perception before conception.





“

ORTHO”

according to the plan…







Ortho…

- Spirit

- Soul

- Etheric

- Physical

Structure

Molecular (Drs. Hoffer, Pauling et al)



“Inventory Control”

Spirit - decision - values - constant

Soul - feelings – passion - changeable

Life force - etheric - chi -biorhythms

Physical Body - matter – substance - biochem

“There is no matter without spirit andthere is no spirit without matter.”

Dr. Rudolf Steiner



A Violin Recital needs:

A violin - the instrument (physical body)

Someone to tune the violin (etheric body)

Someone who enjoys playing music (the soul)

Someone who once created a sonata or who can

improvise extemporaneously (the spirit)



A Successful Sailing Voyage

Requires:

A Boat (the physical body)

Calk for the wood and patches for the sail(the etheric or regenerative body)

Wind which is changeable (the soul)

A Rudder to stay the course despite changes

in wind and weather (the spirit)



Spirit

Not necessarily what church one attends.

Who do you see in the mirror?

What do you stand for?

What are you committed to? What would you fight for?

What do you want on your tombstone?



“What virtually all cancer survivors,

particularly the ones that had beenundergoing conventional therapies,

have in common is that they had

a purpose to their lives with goalsthey absolutely needed to achieve,

…….no matter what.”

A.H. Sartori, M.D.

personal correspondence 2-04



Soul Body

Soul Food

Inconstant

Depleting

Catabolic

Burning the candle (at both ends!)

Dominant when awake



“ We term sleep a death;

and yet it is waking that kills

us, and destroys those spirits

that are the house of life.”

Thomas Browne , 1643



Etheric Body

Chi

Rhythm

Restorative

Regenerative

Anabolic

Waxing the candle

Dominant during sleep



“ That we are not much

sicker and much madder than we are is due

exclusively to that most

blessed and blessing of all

natural graces, sleep” .

Aldous Huxley



Physical Body

Structure and Molecule

Posture and Function

Tissue and Biochemistry



Substance Inventory Control

Toxins / Stressors

Pollution

– Electromagnetic

– Heavy metals (Hg, Pb, As etc.)

– Pesticides (xenoestrogens)

– Air

– Water Hypoglycemia (popping the clutch)

Sleep disturbances

Addictive agents

Pharmaceuticals (if inappropriate)

The Daily News

Beneficials

Oxygen

– Open Airway

– Exercise for cleansing

Water

– ½ your weight in ounces AWAY from

food

Nutrients

– Organic Food

– Supplements

– Enzymes

– Digestive Aids



Orthomolecular

Medicine and Psychiatry Which is is?

-Trickle up (the part conditions the whole -ie. the molecules effect mood)

or

- Trickle down (the whole determines the part – ie. the mood effects the molecules)

Answer: both



What is a diagnosis?



To name something gives

comfort.

“ At least now I know what

is wrong…”



All I knew was that

I felt pain in my joints

but now I know what ’s wrong.

I have “ Arthritis” .

(“ arthro” = joint “ it is” = pain)



(Through the act of naming,we have dominion over things.

(Adam in Eden)

Order out of chaos

* does not always apply with parenting…



Diagnoses Ameliorated

A Autism, Arthritis, Anxiety, ADHD, Apnea

B Bruxism, Bipolar disorder

C Cancer, Chronic Fatigue Syndrome D Depression, Diabetes

E Eczema,

F Fibromyalgia, Fatigue

G GERD (GE reflux)

H Headache,

I Insomnia,



Diagnoses Ameliorated

Multiple Sclerosis

Neuropathies Arthritis

Parkinson’s Panic Attacks

Schizophrenia Snoring

Tourette’s Syndrome



Because….

They are all just labels which werecompensatory efforts consequent toautonomic dysregulation;

Once the ANS is balanced, thecompensatory efforts (labels or diagnoses)

are no longer required to maintain oralfunctions (open throat)



CARDIOVASCULAR AND

SLEEP-RELATED CONSEQUENCESOF TEMPOROMANDIBULAR

DISORDERS

NHLBI WORKSHOP

National Heart, Lung and Blood Institute NHLBI

NHLBI Division of Heart and Vascular Diseases DHVD

NHLBI National Center on Sleep Disorders Research NCSDRDecember 3-4, 2001 Bethesda, Maryland

FINAL REPORT



ORAL SYSTEMIC BALANCE

Homeostasis

The equilibrium maintained by complex

biological mechanisms via the autonomic

nervous system to offset disrupting changes.

Oral Systemic Balance

The equilibrium between the mouth and the restof the body via the autonomic nervous system

needed to offset disruptive changes.

THE MOUTH AND JAW



THE MOUTH AND JAW

IN NEUROMUSCULAR CONTROL

OF THE THROAT

Holds The Tongue

Maintain The Throat Supports The Ease of Oral Functions

– Breathing

– Swallowing

– Speaking

Are An Integral Part Of Homeostasis As They

Contribute To The Oral Systemic Balance.







Doctor as Good Samaritan



Doctor as Good Samaritan

At the side of the road…

(and while taking a history in the office),

remember your A, B, C’s !

Airway, Breathing, Circulation

True Diagnosis:



g

Airway Obstruction…

“Choking” Etiology:

Corrective Dental Surgery (cleft palate) shrunk themouth leaving

“A 10 gallon tongue in a 5 gallon mouth”

LESSON: Choking causes autonomic dys-

regulation which manifests as medical andpsychiatric illnesses - check theairway…A,B,C’s!



New Diagnosis:

“ Autonomic dysregulation

spectrum syndrome.”



“Words are very precious.

”

Prayer vs. curse.

Sticks and stones



The curse of thediagnostic label.



The Word

Spirit and breather –

– this is same word in the bible

Psyche derives from the Greek word for breath



Stayin’ Alive…..

Forward Head Posture

Epinephrine Effects – Fast cars, motorcycles, sky diving, stimulant drugs,

nicotine, caffeine…

Jaw Muscle Activity – Bruxism, TMJ, Tongue out

“It’ t lit t ti k



It s not polite to stick your

tongue out!”

But it does get results…

Michael Jordan

Pete Sampras

Andre WattsBrad Weeks

Dogs









http://users2.ev1.net/~binker/New/spicegeri5d.jpg








Path to Knowledge

Perception

Magic of childhood Initial orientation

Data gathering

Creative

Conceptions

“growing up

”

Education

Data systemization

Organization




























The Balancing Act

“I’ll believe it

when I

see it…..” “I’ll see it

when I believe it…”






















What

is thisdog doing?




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What

is this dogdoing?








Parental Challenges

Tongue thrust -> buck teeth

- push tongue back in mouth with spoon

- suck on hard candy atop the hard palate

- braces

- retainers

- crowns (and later… dentures!)

Remember: the tongue forms the teeth and 48% of the sensory cortex can’t be all wrong



















ADHD

Elimination of dairy, wheat, corn, yeast,soy, citrus, egg, chocolate, peanuts,artificial colors, and preservatives) after just

two weeks, 73% of children responded

favorably as measured by the Conner Parent

Rating Scale. The Annals of Allergy, Vol. 72, May 1994
















MOA for Food Allergies

Brain Edema?

Immune Up-regulationIncreased heart rate ?

(pulse test)












MOA Food Allergies

Choking?

– Vascular tongue bathed in an

allergen becomes edematous andswells…. Nowhere to go but back

and down into the throat against the

trachea obstructing airway -->

Agitation!














Systemic Edema associated with

Headaches

PMS









States of Agitation




States of Agitation

Schizophrenia

ManiaPanic Attacks

ADHDDepression












Unhappy Tongue and Airway

Can Disrupt and Impair the Nervous

System Coordination:

– Sensory Systems

– Autonomic Function

– Motor Output

– Sleep Architecture


















Homeostasis

– The equilibrium maintained by complex

biological mechanisms via the autonomicnervous system to offset disrupting changes.


– The equilibrium between the mouth and the

rest of the body via the autonomic nervous

system to offset disruptive changes.

Orthomolecular Benefits of


















Opening the Airway

Increased oxygenation of blood

- less hospitable for cancer- restoration of optimal blood pH

Optimization of enzymatic activity

- less need for supplements Access to stage 3, 4 restorative and

regenerative SLEEP

Hoffer’s Oxidative Theory of



















Hoffer s Oxidative Theory of

Psychosis Adrenalin

Adrenochrome Dihydroxyindole (OK)

or

Adrenolutin (sick)
















Four ways of treatingschizophrenic patients

through reduction of

endogenous hallucinogens:

adrenochrome and adrenolutin.








1) reduce adrenolutin (Rx ceruloplasmin)

2) convert adrenochrome into dihydroyxindole

(Rx penicillamine)

3) decrease production of adrenochrome (Rx

antioxidants: vitamin C and glutathione and

chelating the copper ions with penicillamine)

4) reduce the formation of adrenalin (Rx

“There are no effective ways of doing this”).


















Opening the Airway (2)

Given:

– Less stress -> less adrenalin -> less

adrenochrome-> less adrenolutin

Why not reduce stress by removing “the cork in

the throat” via dental appliance or sticking your

tongue out!

P i f S i l M h i


















Primacy of Survival Mechanisms

Hierarchy of function

Hyoid bone center of the universe

Tongue coming up in mouth

Impact of tongue on palate

Cranial symptoms with how one changes pressure When we isolate orally the things that produce

muscle contraction

"If aliens don't exist and if the


















government has no knowledge of

aliens, then why does Title 14,Section 1211 of the Code of Federal

Regulations, implemented on July

16, 1969, make it illegal for U.S.

citizens to have any contact with

extra-terrestrials or theirvehicles?" Alien Abduction Patient

It is far easier to take















It is far easier to take

measurementsthan it is to know

what it is we are

measuring.

Paracelsus Oath:










This is my Vow:

To perfect my medical art and never to

swerve from it so long as God grants me my office,

and to oppose all false medicines and teachings.

Then to love the sick, each and all of them, more

than if my own body were at stake. Not to judgesuperficially, but by symptoms, nor to administer

any medicine without understanding, nor to

collect any money without earning it. Not to trust

any apothecary, nor to do any violence to anychild. Not to guess, but to know.

Paracelsus 1493 - 1541

“ U thi ift d i it d k h




















…Upon this gifted age, in its dark hour,

Rains from the sky a meteoric showerof facts . . .

they lie unquestioned, uncombined.

Wisdom enough to leech us of our illis daily spun, but there exists no loom

to weave it into fabric …”

- Edna St. Vincent Millay















REMEMBER A B C’






REMEMBER your A, B, C’s

Airway,

Breathing

&

….Cleep











Stress problem caused byrela ing that goes a a





relaxing that goes away

under stress

Separate Observations from






p

Conclusions

The only thing the patient can

Stress is an opinion about the origin of the

adrenalin feeling Relaxation















A life in reaction to painvs.

A life of freedomTo love).

Interview Process:

Main purpose of the interview is to give them an awareness and a control so thwy can be the authority on how they feel.

Posture change and all these on edge adrenalin feelings.

My bias is that all these adrenalin feelings are from physical causes and not psychological.

Every doc disagrees

Some of the interview sounds like I am practicing

Fi d h h i l i i f h d li














Find the physical origin of the adrenalin

God has us wired to learn how to feel better.

I am sure you’ve noticed that when you are hurting you are also more on edge.

Sure you won’t be surprised to find out that what is causing the pain is also causing the adrenalin feelings.

You think all the time (adrenalin driven – it runs you.)

do you like fresh air or do you love it. Relax and feel less on edge.

We can adrenalin feeling s tensity (non psychological words)

I bet I can cause those adrenalin feelings in you.

How would it feel if I suggested giving you sedatives and sleeping pills.

(Upset - I thought this place was different.)

Wait didn’t I tell you I would cause adrenalin feelings.

Stories are survival techniques. It is one way for the body to ignore its symptoms.

Pushing survival buttons.. So keep things light.

What happens with sedatives? Tongue relaxed and back down throat.

Choke! Relax with caffeine = breathing.

Doc says not to have it because it makes you nervous and you relax with it and breathe better

and it is OK for premature infants but not for you?…

Suicidal:

When did you give up trying to get well.

You are lying vs. you are a liar.

Suicidal - self-directed responsible people – not victims.

Suicidal people are those people who are thinking about doing something about it – being responsible vs. being victims.

Survival Conversation:

You are a pretty intense person.

You manage things well but how does it feel inside?









































You manage things well but how does it feel inside?

I’ll bet you have two speeds: go go do do OR collapse. Not much in between.

I’ll bet there are times you go home sit down and try and relax and you have to get up and do things.

Race cars, rock climbing: Adrenalin from exogenous source, muscle contraction, nerve function and breathing better.

Sit in corner of public place? Can’t sit down – I’ll fall asleep. If I wanted to kill you, I’d lie you on the beach for a month – no shopping.

In other words I am right, when you relax you get the adrenalin feeling.

You are a controller eh? Doesn’t the world around go according to

your way. I control myself.

What are you trying to control?

I’ll give you a clue.

How does it feel when things are out of control (adrenalin feeling)?

Same adrenalin feeling that goes up and down with your pain…How do you do when you are under stress… “great”

There is a level of activity busy doing its that you thrive on.

How is it when I come and stand in front of you and ask stupid feelings – not the socks but I distracted them and here comes the adrenalin.

It takes a lot of energy to run and manage a body.

Distraction is really stealing energy that you need to control your own bodies.

I will also sugges that when you do your controlling what you really control is THAT LEVEL OF DISTRACTION so that you can breathe and manage

airways.

Say the word sedative and your body makes adrenal and you relax with a bit of stress

(coffee). Stress problem, well except when you are under stress then you are fine.If this were really psychological, the more we dump on you

What kind of stress is this?

Treatment: relaxation but you told me that relaxation

makes you worse. Stress is an opinion about the origin of an adrenalin feeling.

Separate adrenalin feelings from psychological stigmatized words.

We are analyzing their feelings - physiology vs psychology.

The problem with science is the things we know that are untrue.























































Asthma – throat closes and I can’t breathe.

Asthma in throat??Hyperventilating but you can’t get air in. Panic attackwhen relaxed or distracted. Anxiety feeling inability to

breathe tightness in chest.

What is your expereince… don’t talk aboutbronchioles… give me your experience.

heartburn




















heartburn

Thightness of chest

Sleepy yawny in the day

Broad area of tongue about the back of thethroat gives heartburn

Desaturate with O2

Gag is tongue up and bothering uvula withconstriction of 2nd molar.

IBS - TMJ related situation.



















Anorexia /Bullemia autonomic

Crohn’s disease vs. yeast Stress is the stuff you get when you relax…

Tight throat – clean epiglottal reflex

Airway vs pharynx (between uvula and epiglottis)

oral pharyneal dysfunction

swallow pills – one function at a time

vs choke on food in restaurant

disturbing dreams result from choking, raising adrenalin and

Stage 1, 2 thinking dreamStage 3 ,4 more vivid

Insomnia:

Sighing or gasping for air;

JOB 1: take the psychostupidity away from my patients

kill psych Dx so they can get well;

Bruxism – am headache

Nausea Car sickness pregnancy





























Hierarchy of pressure against the uvula.

gaggy

nausea

sinus congetiongeniohyoid reflex opens throat

colds, nasal congestion – tongue against softpalate;

raspy throat “smoker’s rasp”





















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Connecting Throat and Heart