18 Comments
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John S's avatar

There is no such thing as "C1 Dens body". I assume the illustration should say "C2 dens body". It's also called the "odontoid process". That is my specialty and that is typically what I state, although books have various synonyms based on generation preference, country or age of literature. I see it at work and I teach residents the current terms. Otherwise, nice summary

Remnant MD's avatar

Yeah, medical illustrators…what are you gonna do.

Tom Wilson's avatar

The first place you would look barring any red flags (history & basic examinations) would be the spine. No red flags. A trial of therapy… success… save billions in unnecessary medical care. Very routine scenario in Allopathic based medicine. 45 years as a chiropractor. Basic health care advice… do the simplest things first and take the least medication possible. Just saved the country half a trillion or more annually. 😊

Tom Wilson's avatar

Of course you always rule out need for urgent medical!

vincent sparkes's avatar

Different subject...could you explain/opinion /advice on bladder prostrate issues?

I follow your writing..deep knowledge.

JSR's avatar

My mother woke up with numb tingling (novacaine feeling) in her left arm, face, hand and a little in the leg. The drs claim it’s not a stroke after a cat scan. She has no pain… it’s been 4 days… I told her to try a chiropractor and do some stretching/walking 🤷🏻‍♀️

Remnant MD's avatar

and depending on the location of the stroke, you may not see it at all on a CAT scan.

non-contrast brain MRI will be a lot more revealing.

Remnant MD's avatar

You cannot exclude a stroke on a CAT scan, depending on the time between the stroke and the scan.

John S's avatar

Correct in hyperacute stage, but usually within a few hours....although the timing assists with certain treatments

Jackie J's avatar

Did your Dad’s migraines resolve?

Remnant MD's avatar

He hasn’t complained of migraines in recent years.

Ergogenetics's avatar

I would like to see a future video going over the spine in detail. Thanks

Remnant MD's avatar

I can certainly do that.

What sort of information would you like to learn about?

I could talk for hours about the spine.

Ergogenetics's avatar

I like the comparison between the healthy mri and your fathers, so I think a video comparing healthy vs diseased spines would be interesting.

Dee Rambeau's avatar

My Dad did—and still does—an Egoscue regimen that accomplished much the same of what you’re discussing here. In his late 60s he began and has been playing golf and functioning pain-free for two decades. 🙏

Gene Bray's avatar

How can Ifind Alex Bernier exercises?

ViaVeritasVita's avatar

The audience does desire it. Me, in particular, having broken 13? 11? bones in back 16 years ago.

SraSally's avatar

Late into my career as a registered nurse (now retired), I made the decision to leave hospital bedside 'sick care' to focus more on actual health care. After a few years of training, I became a massage therapist and quickly built up a clientele of oncology and orthopaedic patients.

I remember one lady, in her mid 40s, coming to me with complaints of arm pain/tingling. She had had rotator cuff surgery in the past and her doctor told her the pain/tingling was related to that. End of story except that during the massage, every time I tried to work on a particular part of her neck, I was able to elicit the arm pain/tingling. My advice to her was that although I wasn't a diagnostician, in her place I would get a second opinion with a surgeon who specialised in neck problems since that seemed to be the source of the problem. She did just that, and sure enough she had a protruding cervical disc.

I know doctors are pressed for time, but I despair at the lack of hands-on assessment these days. I lost count of the times in the hospital when a doctor was present and didn't even look at the patient, let alone lay hands on the patient. It does truly seem to be 'medicine by algorithm' now.