The Beard Girls Join Me | Week in Review 59

Season finale Q&A on DNS, movement, and the biggest health myths—plus a few chaotic kid cameos.

Full Transcript

Beau (00:03.438)

We're live. I don't know.

You can just talk. Well whole story that you were trying to tell me. Hey, you gotta take turns talking because we're on a show. yes. So, last night Kit picked up a bottle and she put it on her nose and she called herself the bottleneck dinger and she came coming at the people and booping her forehead, dingy donging it, and then it would eat their arm. They would eat their arm? And dad was like

Have you ever seen Navarro's Dinger? She was last reported and seen in a back alley. You're a goofball, aren't you? Well, welcome to the I will see you again. Hey, okay. We gotta take turns, okay? So, week interview, we are doing the finale of this season and joining me is You gotta introduce yourself and you gotta introduce yourself.

What's your name? Kit or bottlenose dinger. And Ethan. So we put out some questi or a QA prompt on social media. We got a few and then we might have some banter from the peanut gallery. On this show. I don't know why I'm called the Peanut Gallery. my gosh, you I you don't understand how I'm I don't know. Peanut fac. We'll try our best.

Okay, do you want to try to read the first question so we can get into it? Yeah. See if you can read. I'll help you little bit.

Beau (01:43.343)

That's pretty good. So how deep on DNS do you dive with your 65 year old plus population? And then the second follow-up was does the lens on movement change at all? What does that mean? Nothing ch so do you know like the exercises we do where you're on your back doing like a dead bug? Right? Your legs are up in the air and your back, right? And like the breathing exercises that we do. So they asked, does it change at all as people get older?

What do you think? Do we do different stuff with you versus somebody that's older? I mean I can do better stuff at it. I can do a bit that I can do really good at. I think we're good on the stenography. We don't we got show notes already. Yeah. sorry. Okay, so let me answer this one, girls. So we don't

Change the lens at all. the expectation is just different. She actually probably answered it correctly. Hold on a sec. Because yeah, we would expect that somebody that's kind of unencumbered with seated posture and injuries would be able to do a little bit better. That's why the neural developmental model is the model, right? Makes sense, doesn't it? now. Yeah. Does the lens on movement change at all? No.

Expectations change in terms of what they're able to do based on injuries, surgeries, joint replacements, pain, all those things, but nothing changes whatsoever. That's the whole principle behind the framework of DNS is that we I mean, that's why we're using the lens. So it shouldn't change if it changes, you're just using bias, right? You're going into a case like, yeah, I'm gonna change everything now. I mean, that's the framework we work from for a basis movement. What do you think? What are your thoughts on that?

Beau (03:41.72)

You think it's

Beau (03:46.457)

How easy can you do a pull up? Mm, it's very hard for her. Can you do a pull up? Yeah. Can she hang from the bar though? Yes. How easy is it for you to do a push up kit? Can you do a push up pretty easy? Can you do a squat pretty easy? Yeah. Yeah. Most people at sixty five can't do any of those things very easy. So the exercise. I can do a lot of stuff really easy. Like what else? Cartwheels.

Okay. Push on me. Okay. Dead bugs. I can even take her. Okay, let's do a test. Let's do a test. So girls, get up to microphone. Kit. Okay. Kit, get up to your microphone. Can you breathe through your nose?

Mm, somebody's got stuffy nose. A lot of people can't do that. So that would be part of the framework as well, believe it or not. I can't believe this is a nose. So let's talk about that for a sec. So I've had when I first moved to Birmingham, I had a visit with an ENT that suggested a sinuplasty paired with rhinoplasty. The rhinoplasty was non insurance because it was plastic surgery. So he goes, That would be out of pocket. And I was like, Well, I can't afford that. Because of a deviated septum.

Four years later, after just working on nasal breathing, the septum had changed almost a hundred percent. So your septum's plastic, you can change it. Again, that's barring, other stuff going on, turbinate, sinus enlargement, polyps, a terrible fracture that obviously is gonna stop that. Because I've had my nose fractured at least twice that I know of, if not more. That's why your nostrils look so weird. Why do my nostrils look weird? What did you think they're too?

They're not more like rounded. That's just how my nose is. Yeah, that's the shape. That doesn't mean they're weird. Maybe your nose will grow a lot and then yours will be shaped towards when you're older. You're just a little kid with a little button nose. Showing everybody your nose. my god. Alright, next question. Any commentary on that? how I interpreted that question was more of like, do you do different exercises or like DNS positions, particularly with

Beau (05:52.257)

The sixty-five year old patient compared to others. And my answer would be to that would be yes, like if they're stenotic, I'm gonna use DNS positions are gonna be more flexion based in nature just to help with something in that nature. But yes, the expectation changes on the quality of the movement. Well then that hints around to the question of well, why do you use that position? Why did and again it's it is literally all based on the case. I mean, yeah, there might be some positions we tend to do more with certain it'd say pathologies, but

Issues, whatever, versus others, but like if somebody has a bilateral knee replacement, you can't do ninety percent of the DNS positions we would do for a synoic patient. So then you have to start changing stuff up. What's up?

Beau (06:35.618)

You don't want to do the podcast anymore. You're retiring. One question in, you're done? How you gonna earn that? Sucker. We only have a couple more questions. It's your first podcast ever and you're retiring five minutes in. I think we got a little bit more left. You got it. You got it.

Think can do it. Okay, next question. Any guidance for students stuck between opening a practice or working for a doc? Let's have Ethan answer this one first. I guess you're I I was kind of in the similar position coming out of school was like I wanted to be in a position where I was surrounded by a like-minded community, but also was in a spot where I wanted to like bring

what I had learned to an area that didn't have what I knew. And I think the biggest thing for me is if you get to kind of know which is a higher priority for you early on or like coming out of school. Because yeah, opening a practice can be great and all, but it's not easy to do. And if you're not in an area where you have mentors like down the street or within driving distance, like you're on an island.

You're gonna have rely on your friends and your mentors or your colleagues that you trust to like set times up on weekends, on weeknights to talk about cases, or just shoot a text now and then. Now, flip side is like, yeah, if you are fine being on an island, then you better be good at doing the business and getting down in the community and being a friendly face, because that is the number one thing that you need is a friendly face to get patients in your

And also it's a little easier to be on an island because you can digitally connect, which has its limits, somewhat of motivation and can still seem is maybe more isolating sometimes though. I mean you can talk to people but then you're like, God, I can't. You see other people like I always even I mean, I have a little I don't know, it's jealousy or FOMO of I mean people like Winchester, Kyle Thompson, like all these people that are in you know, near university, me even St. Louis sports clinic that we're at, right? They're meeting with students every week. I'm like, that'd be fun, right? To just have that environment. Yeah.

Beau (08:51.114)

I'm lucky that we get to have, you know, students as interns, we get great docs like yourself in here where it makes it way more fun because yeah, it's especially like if Solana's only in here one day a week and was just me, I mean I would I don't know, that might be a little might get a little crazy, huh? Yeah. And you guys have to deal with me at home. No one wants to deal with that, huh? Yeah, yeah. my other advice, which people have probably heard me say before, if you are just trying to make the decision.

You just need to go on your own. Like if you're like, I I want to open my practice, but I think I should work for somebody, you just need to open your own. Like that's just the bar none. How do you know if you should work for somebody? You really think you need to learn? You just want to be in an environment, like you said, where you're like, hey, I'm gonna kinda grow my bandwidth, or you're in a situation where you're going into a scenario where like, I know I could like buy into this practice, so there's long term viability there. But a lot of people like want to start their own and they just think they should work for somebody. It's like,

That's not how it works. Like if you're scared, I get it. But like if you're like I want to own my own and I'm like, I think I should for two years, like who made that rule? Like nobody made the rule. I get it might be easier from a cash flow standpoint. Maybe you learn a little bit, but like it's also two years that you didn't start building your practice. So it's it's more time. I don't know. There's pluses and minuses to anything, but I always I tend to favor action over inaction. So if you're like I want to do it and I'm like I'm scared, I just do it.

A try. Yeah, I feel like even if they did do an associateship or w work for someone for two years, I don't think that's not action. It's just action true. Like Yeah. Takes you yeah, it's not a complete one eighty, but it's a little deer. Yeah, it's a shorter road, maybe but we know I know him to do a question. Okay, let's ask you a question. All right, here's a question for the girls. You ready? Yeah. Okay. If you could be an animal, what animal would you be? Azivia. Why?

Because I love them. I thought your favorite animal was a capo barra. No, that's my second favorite animal. But no no specific reason why you would pick a zebra like special skills, camouflage, the noises they make. What's the noise make or that they make called? It's kinda like a siren. What's it called though? A bray? Yeah. Can you do it? How's it sound? I don't know. Kit what animal would you be if you could be an animal? A boat.

Beau (11:17.002)

A monkey? That's my favorite ever. Really? Why would you want to be a monkey? Cause I could. do we want to do my chimpanzee impression? You ever heard this? No, I haven't. I think it's world class. What do you think? Back up from the microphone a little bit. Woo, woo, woo, woo, woo! We got patience together.

Yeah. okay, so a monkey. Okay, you had a secondary answer though. You said not a zebra. That's pretty scary. What would it be? Woo! What was your second favorite animal? A fishing cat. A what? Fishing cat? Because I like fish. Hmm. But you want to eat them? That's fishing cats, fish for their food. That's what I like to do. Okay. Alright, we'll come back with another question. Let's answer this next one.

What's the craziest PT slash wellness slash therapy? Hey, hold on, kit. Kit hey, hold on, Zach Khan. What's the craziest PT wellness therapy recovery claim trend that you've seen go around social media in the past five to ten years? Why do you think it caught fire? How long did it run for? What killed it off? Did you say you're hungry? Yes. Yeah, just wait, dude. We're on a podcast. Dear Lord. we'll get through this, I promise. What do you think?

You have any that really stick out? Like craziest trend recovery thing? That's her thought. Actually, monkey what's the craziest monkey business out here in the in our field? not sure. I feel like everything that I've seen is just like what people do in our office, like red light, D EMF, Arntech. I haven't seen anything.

I mean there's stuff that went around like therapy. Like sunlight on your, you know, underparts and there's been some stuff where I'm like, yeah, it's goofy. Huh? I'm thinking about like You're done with the podcast? Well, we're not done with the podcast yet. I'm thinking about like massages. Well, that's kind of normal stuff. I have let's say that's sunlight on your nether region. Yes.

Beau (13:37.387)

Anything that takes you away from realizing that your body is basically can you it's asana not masana. I don't know what a masana is, but it's a type of asana. Let me answer the question. Asana. So anything that takes you away from the thought that your body is just physiologically designed to recover. We think that we can do it better and like we can't do it better than ourselves, and we can't do it better than nature by itself.

So we look red light, what is red light mimicking? Sunlight. We look at PMF map, what's it mimicking? The ground. We look at compression sleeves, what that's what's that mimicking? Sleeping on something harder than a mattress so you get a c pressure gradients. We look at foam rolling, pressure gradients from the ground. So again, we just have altered our environment to such a state that we think we need these things. What we should do is kind of get back to a more natural environment. You wouldn't need any of that stuff. That would be the hack is like, I don't sleep on a super cushy bed every night of the week.

what do you think? About what? Yeah, that's what I'm asking. Let's see, what's this picture of? Let's show it close up here. I tell you. And we just have it. Wait. What is this big draw? This is a bird person. This is the bird head. This is the body. And then this is it shooting a bow and arrow. Wow. And then this

It's just trying. my god. It's not over here. Here. That's fine. Okay, so yeah, that's my answer, and I know I know the guy that sent the scene he's probably looking for a specific one just because he was trying to deal with something funny. There's a lot of funny stuff out there that's wacky, but just always think time spent doing that other stuff is probably wasted time. It's like I worked with a client out of Australia.

That was dealing with a lot of stuff and like my biggest input to her was you need to sleep on the ground. And it like changed her life and she was like a five time cancer survivor and dealing with a lot of stuff and we just altered her environment. But again, if you got outside early in the morning, you spend more time outside just on average, you get on ground barefoot and you slept on a non cushy surface a couple nights a week, you would be doing everything that is in our recovery room or in that rehab bay besides DNS E type stuff of

Beau (15:58.403)

Going back to movements. So yeah, get your ass out of a chair would be another one. Sorry, earmuffs. Yeah, that would be a big one because I think a lot the longer I've been in practice, we've always like the demonization of sitting, I was like, come on. But then you think about what sitting does and how it literally like shuts down your pelvic floor because you're not in like deep squat or some resting position that was normal for a human. what it changed with diaphragm and pelvic floor just from a respiration stabilization function.

I think it's a lot less to do with like, what it's doing in your hip flexure. It's like shutting stuff down. It's like a position where you don't have to do anything.

Did you just draw a uterus? That floating tubes a uterus and overall that first. So this is an anatomical design over here if you guys can see this. I don't know if we can zoom in at all. How are we doing over here, Kit? You said it was a crazy monkey? Yeah, a crazy, crazy

Yeah, we seen that? Okay. What do we got over here? Is it a person dressed up in a bear costume? That's Mario esque. That's the original Mario raccoon or is it raccoon suit or bear suit? Do you have both? it's some type of raccoon fox thing. It's brown. Whoa! We're saying I'm Mario. My gosh. Chaos emotional this one.

Ooh, we know what that is. That's a fibroid resistance. Yep. Ethan asked us questions 'cause he said that he's been kind of getting peppered with this, and we'll kind of wrap it up on this one because I just wanted to do a small little Q and A for the people put out the questions out there. I know it's been a bit chaos on the answers, but it's still the same answers, just a little bit different. But he Ethan, hey girls, hey, girls, we're gonna be quiet for this next one, okay?

Beau (17:49.899)

He gets asked a lot about like MTFHR you know, SNPs or dysfunction, where we have methylation defects. I've talked about this a little bit, I think when I had Sloan on here and we were talking about her genetic analysis. That you see a lot of people talk about this, that we need every n you know, Gary Breck is gonna say we all need to be taking methylate to B vitamins. Let's be quiet for one sec. We're almost done, okay? I don't know why you're crying. was that a cough? Maybe you have a methylation defect.

Actually do. we've done we've done her genetics, we've done her genetics, we've all done our genetics because I'm curious about this, but let's get after who they're drawing, a cell model now. See the vacuals, I see mitochondria. I think it looks a little bit like a T Rex bull. Okay. That's interpretive for sure. It's a Rorschach mask. Okay, let me answer this. Let me answer this and then we'll be done. All right, Kid, let me answer this.

There are five to six different basically methylation defect genes you can look for in SNPs. There's ancillary genes around it that can affect those SNPs. Here's the key. To get to a genetic mutation, you have to be three generations out. Right. So you have basically organismal adaptation, right? Something happens, you get a virus, you have that action. Then you basically get cell line changes, right? So in the next one, you can have a little bit of like

you know, embryological changes that are, I guess, germline is what we'd say. Then if you go one more generation with that same mutation present, right? Something in your not your DNA, but something in your kind of melee is acting on it, then it can become DNA level. So then you have a genetic SNP in three generations. So if something has persisted for three generations, and I know people are like, well there are genetic diseases, I get that. Oftentimes what are we looking at?

Things that have happened to our genome were actually a positive adaptation. The one that is like a classic one now that still gets demonized, especially with things like now concussions and CTE is the Ape OE4 gene. We've always associated that with Alzheimer's dementia because of the extra placking activity. If you had an ApoE gene as a Neanderthal or cave person and you got your leg cut off or bit off by a saber-tooth tiger, because that always happens, doesn't it? We've seen that happen.

Beau (20:06.962)

That what? You could clot faster than the person that didn't have that gene and you may survive. Well, if you live past the age of thirty two or whatever the average age of a caveman was, that clotting gene now can become detrimental because what? You get plaques where you shouldn't be because you're survival longer. All of these are probably I get probably you have genetic mutations that aren't coming from an organismal cell line and then DNA, right? Something went wrong, that's kind of a mishap. Because again, I'm not saying that, you know

I think this could be misinterpreted, but i if we said, hey, it's a genetic mutation, trisomy twenty-one right, is what?

Beau (20:47.778)

I don't know, I'm starting to think they might have that. it's a genetic mutation, and then we associate that with what? Down syndrome, and we'd say, well, is that a disease? No, we call it a genetic mutation. They check their screen for those things in euro, along with a couple other things. Some people might think, well, what was the positive benefit of that? I don't know. But there may be things if we looked at their physiology or I don't know, neurology that actually are different in you know better ways.

Just like I heard Zach Bush talk on Joe Rogan about how autism might have positive interplay with our current environment. And I'll let you go make your decision on that if you want to listen to podcast. But all that's being said, it's way overhyped. Does everybody and their mother need to be on methylated B vitamins? No, because if you don't know the pathways that are apprehended by these mutations, you guys need to sit still for two more minutes or I'm gonna lose it. I will I will methylate you into snipp land. Can I fill out? No, not yet.

You signed up for the podcast, you're staying for the podcast, they're staying for the podcast. You did too. You said, I'm gonna go, you I wanna take my computer, I'm gonna do work, and I'm gonna have my own microphone, right? I said, Yeah. And you said, I'm signing on. She signed on too. I did not say I was trying to. Hey, we're almost done. Yeah. She tried to pull with her phone and sort of like she shuff walked in like a s with a sucker. All that to be said, it's overhyped. Always think and I get that if you haven't been trained The Bottom of the Stanger Girl did. Walking.

Well, I apologize to everybody listening. This is just turning. You can go out. Yeah, go out for a sec. I'll be right out. see ya. Go up front. No, leave that here. Go up front. Go up front now. See you later. yeah, that's kids for you, people. We won't edit any of this out. try.

Try to stay in your thinking rational mind. Don't just take information and say, I have brain fog and fatigue and all the things that I think people prey upon us now with with this health influencer thing. Because think of what brain fog was. Like I had a drink with dinner last night. I didn't sleep well because that three year old you just saw woke up in the middle of the night, I had to go piece her and then go to sleep in another bed. Do I have brain fog this morning? Sure.

Beau (23:10.008)

Is that because I have a methylation defect? No. Could I have that pattern happen to me almost every night for the next two years? Yeah. Like, yeah, we're not as healthy as we used to be, but like we need to kind of be aware of like, people are trying to make money off of testing, supplements, protocols, diets, apps, all this stuff, and where money is where there's money to be made, they're gonna prey on you, just like the old snake oil salesman, you know, on a standing on a box in front of a crowd. So

My thinking is, whether it's, you know, we try to do this, and you might be like, Well, you sell supplements. Yeah, we do. It's a supplement. We try to get it to people who need that supplement and then also get them off of it if they can rearrange their environment. Same thing with rehab exercises. It's not rehab purgatory, and you do exercise till the end of time. It's, hey, let's get you back to normal and you're you're on your way, versus, you know, somebody just trying to keep you bound in a program. So what I was trying to say.

Try to find people that are reliable resources, especially in the scientific and health realm that can help you filter through information, whether it's people like us. you know, even some of the people that I've respected have kind of fallen prey and they're have much more notoriety of like, now they're just selling stuff. And they started out as really good information outlets. And it's just I mean, maybe if somebody gives me $10 million to sell supplements, you might see me hawking stuff on here one day, but I hope not.

Any specific thoughts on the methylation stuff or just the general kind of health and wellness? I mean that kind of plays back into you know the craziest PT wellness therapy thing. Like your body is pretty smart, and when we think we can outsmart biology, we usually screw stuff up. So again, everything has an interaction. So just because you take magnesium thinking, you know, that helps with, you know, basically intestinal, you know, motility, it helps with sleep, it helps calm you down. It can also have a deleterious effect.

Right? And if you don't know, like, I'm actually somebody asked us the other day, they're like, how do I know if I'm actually deficient in magnesium? Great question. It's inexpensive. Well, two, it can be a cheap test, doesn't tell you anything. A true red blood cell magnesium test about three, I think about three hundred dollars. Do you need to do that? No. No, you chose. Go.

Beau (25:24.67)

Or you could take magnesium for about a week and say, do I sleep better? Do I use the bathroom better? But then what I would want you to ask is, what was I missing in my life diet XYZ to where I had to take magnesium to fill that gap? Not I, I'm gonna just take magnesium for the rest my life. That's what we see a lot of people do. That's seen people in my family because we're like, we use it, you know, every once in a while, and then they're like, they use it like profound effect on whatever it is, and they're like, they're just like, can you keep ordering me that?

Sure, that's not the goal of hardly any of these things. Now, will some people need things? Like I've done extensive lab testing and panels myself and kind of seem like there are things that it's hard for me to conjugate, pick up from my diet based on genes and things like that. That took a lot of digging. You're not gonna find that on a, you know, even a $300 lab test. That was years of pattern recognition, genome testing, testing on my own, and then coming up with, hey, if I don't take copper every once in a while, and vitamin D every once in a while, like I'll tend to get sick more.

See I run a little neutropeniac. and again, why is that? I couldn't give you a like straightforward answer. And I've worked with a lot of people that can't either. It's just kinda well, hey, this is it's hard to deal deal it. so there are times where we need that, but like you don't just like, you know, Gary Brecker told you to take methylab vitamins and then you show up, you know, five hundred dollars later and you're like, I kinda feel the same. And you're like, Yeah. Just piss him great neon yellow. Yeah.

And again, then it gets into God quality. Is it actually the stuff that you're buying? Are you buying stuff off Amazon that's labeled as a product that so like Thorn? I tell people all the time, like Thorn is not sold on Amazon. But it is. And you're like, what do mean? People back label that as Thorn. That is not a Thorn product. Like that's not sold on Amazon. So Yeah, that was like my patient yesterday. She was showing me this magnesium supplement that she's on. And it said

Magnesium as magnesium glycinate forty milligrams. And then right underneath it said magnesium glycinate 250. I said, so they just relisted the same magnesium twice on this nutrition label. Do you not see that as like a red flag? She goes, No. I was like, if it was true magnesium glycinate, it would just be magnesium glycerin in the one big number, not two separate areas. So I was like, I don't think that's like the greatest option. That's weird. And you gotta watch, just I know we're going like specific on nutrition, but

Beau (27:44.813)

proprietary blends so they can put the whatever amount of anything they want in. So say it's like 10 things and magnesium is one of them and they're touting this as this like magnesium supplement with these other things. Magnesium might be less than 1% of the makeup of their proprietary blend. And then all the cheaper stuff or whatever it was is the mass of it. So like propriet and then you don't know actually what you're getting, or not getting too much of something. So like proprietary blends are generally shit.

Like you should stay away from them because you don't know what's in it. you don't know the amounts. Some people will label out under it, and that's fine, because they can think of people like God, what's Joe Rogan's supplement company? You know what I'm talking about? No. On it. So on it has a lot of proprietary blinds, but they'll list the amounts and everything under it. But they've kind of, I don't know, how you trademark or I don't know, patent, whatever. Doesn't matter. But hope that kind of answers the questions. I'm trying to think if there was any general themes through the season that we should touch on.

before I go see if my kids are terrorizing patients out in the office here. Anything you can think of? No, no. I mean we've really hammered the art of assessment this whole season. I think that's a it's just gonna be a mainstay of how we think. We just went and taught a course of the St. Louis Sports Clinic and they said that they implemented and like cleaned up a lot of stuff right away in their clinic and I would say they had a pretty efficient system before.

and then they said it even allowed them to see like things they are missing a little bit easier. And that's what we're trying to do with everything, whether it was diet, you know, all these things. You're trying to be like, okay, what are the most fundamental bare bones inputs I should be doing to drive the outputs I want, whether that's pain relief movement change, weight loss, lean muscle mass gain, it's all the same. And we live in a world of do all the extraneous extra PT recovery, crazy nutrition stuff that has marginal gains.

rather than like the the building blocks that have the most gains. So I that's what I want to takeaway this whole season to be is like focus on the big levers. Ficus focus on the biggest domino. Focus on the thing that you probably already know you need to change and you just won't because maybe the hardest thing for you to do. And I get that that's tough, but just start with a nudge. Right. So it's like I don't exercise enough, just go walk half mile, walk quarter mile, I don't do something. If you're like I'm never outside, just go outside first thing in the morning. If you eat like dog shit,

Beau (30:04.718)

I don't know, eat an apple, right? I had a patient that all she drank was sweet tea. She could just drink one water a day instead of one sweet tea. So nudges is the way to get change to happen. So don't think you can just about face, but it usually doesn't last.

Anything else? Alright, I literally gotta go see if my kids are terrorizing somebody. Thank you for listening to this season. When we come back, the show might look a little bit different. I'll just kind of leave that little cliffhanger there. but yeah, when we do come back, it'll be around January. So what's August, September, October, November, December? Ooh, almost a five-month vacation. But we'll have a lot of good guests when we come back. So we'll see you then. Bye.