Oral Health - The Missing Link in Cancer and Chronic Illness

Summary

Today's Valuable Resources/Link:

http://www.dentonperio.com/

In this episode, I introduce you to Dr. Patricia Berube.

She integrates cutting edge procedures and technology to her practice and is a pioneer in her field, incorporating both Western and Eastern approaches to care.

She has advanced training in minimally invasive surgical techniques and laser procedures and is Board Certified in Periodontics. The practice has evolved to specialize even further in techniques in biological dentistry, ceramic implantology, periodontal plastic surgery and Functional Periodontics, which is a growing concept to include how to best support the body as a whole.

She continually works to help shift the paradigm to using materials and methods that are healthier and longer lasting for the patient

Today she speaks about:

Functional Dentistry Approach @ 0:00

Oral-Systemic Health Connection @ 6:22

Oral DNA Testing @ 11:00

Preventative Dental Recommendations @ 21:17

Stress and Women's Health @ 32:44

Join me for this episode of Mommy Heal Thyself to learn more about oral health and the connection to chronic illness.

Transcript
(Note, this was transcribed using a transcription software and may not reflect the exact words used in the podcast)

Intro  0:00 

Welcome to Mommy Heal Thyself.  We featured guests that provide you with the tools, resources and strategies you need to say no to a life of pain and suffering all forms of preventable disease, toxic drugs and unnecessary surgeries. We hope to inspire you to boldly reclaim your ability to heal, and to serve ones to love.

Dr Michelle 0:00

Dr. Michelle Gamble (sankofahe@gmail.com)

Welcome everyone to another episode of Mommy Hill by itself. Today I have with me Dr. Buru. And she integrates cutting edge procedures and technology into her practice. And she is a pioneer in her field, incorporating both Western and Eastern approaches to. air. She is advanced technology and training in minimally invasive surgical techniques and laser procedures, and she is a four certified in periodontics. The practice has evolved to specialize even further in techniques using biological dentistry, ceramic implantology, peridontal plastic surgery, and functional periodontics, which is a glowing concept to include how to best support the body as a whole. She continually works to help to shift the paradigm using materials and methods that are healthier and longer lasting to the patient. So Dr. Patti, welcome.

2:40 - Dr. Berube

Thank you for being here with us. Thank you for having me.

2:42 - Dr. Michelle Gamble (sankofahe@gmail.com)

Good morning. I am just tickled pink. As you know, well, my audience doesn't know. I've been working for months to try and get Dr. Patti on with us because this, as she says, is a phenomenal new kind of approach to something that most of us take for granted, is our dentistry, the health of our teeth. So before we go any further, I would love for you to tell us how did you get into this functional approach, because I know this is not how you were originally trained.

3:16 - Dr. Berube

No, no. I think, you know, we all have a story, right, of how we we got here. So he learned the Western model, and that's great. It's a great foundation, surgery, surgery. There are a few different techniques, and you can you can learn more atramatic techniques, and you know, little things over time, you know, it's been 20 years for me. but what what prompted me is in my life, I became, I want to say more holistic, I had the, it's the same story everybody has, I had an issue, my mother had an issue, go to the doctor, they say everything's fine.

3:59 - Dr. Michelle Gamble (sankofahe@gmail.com)

It's in your head. Here's anti-depressants.

4:02 - Dr. Berube

I mean, you hear this story. It's almost like irony now or just satire. Is it really real? And then so you start to look for other things. You start to look for other modalities of healing. And that's when you realize there's so many things that we haven't learned in school. There's only certain little box of things that we learn. And then once you start digging, you realize, wow, you learn one thing and then it prompts you to learn another thing. And then you realize how much you really don't know. So it just made sense to add that to my practice. Most of the things that I learn now, of course, I go to surgical courses, but I became certified in functional medicine. read books on everything but dentistry. And people wonder why I do that. But... techniques or the diseases where you treat and they don't get better. So what's missing there? What can we do? surgery fixes certain things but it doesn't fix everything. So that's where my that's where all of functional medicine comes in for me is what else is causing these problems.

6:22 - Dr. Michelle Gamble (sankofahe@gmail.com)

And you know that's really where my desire to have you be part of our podcast again because I started listening to you and hearing something that I don't really care often which is the connection between what's going on in our mouth and the rest of our health and how that is so critical to disease prevention. Could you tell a little bit more about exactly that connection?

6:54 - Dr. Berube

Well the the biggest thing that paried on a street or you know where we're paried onto so We treat periodontal disease, which is an irreversible destruction of the gums, meaning it's not, gingivitis is reversible. You get some bleeding. We all experience that. brush, you floss, it reverses itself. It hasn't caused any issues that we know of. Periodontal disease is kind of the step forward where you start to have destruction of the periodontal ligament connected tissue and on that holds your teeth in place. That's just the local effects. The systemic effects are in those areas of destruction. It's you're constantly having bacteria and their toxins pumped into the bloodstream. So wherever the blood goes, it can be affected by these bacteria. So one of the most common links that people kind of know is it's relationship to heart. So that's people always hear about bacterial endocarditis. Some people have to take antibiotics for for dental cleanings or dental procedures. And that's been well known for a long time. kind of hang our hat on that, yet it's, we know it affects diabetes and heart disease and stroke and cancer. I mean any dementia, that's a big one, we know there's there's a link, like, yeah, there's kind of a breakdown between this Western medicine and dentistry. They just look at us as carpenters, which sometimes we are. But we're blamed for a lot of things, like, oh, you get bacterial endocarditis, because you went and got a dental procedure and you need an antibiotic, but yet they didn't clear the patient before they did their knee replacement procedure, things like that. So there's. So many links in the body, people come into me and say I had a heart attack, my cardiologist doesn't know why, and I know why, usually. can take an oral DNA test, but I can do a clinical exam, take some x-rays, and see that they've got undiagnosed and untreated gum disease. it's that bacteria that's constantly pumping into your system, and they've actually seen that bacteria in the clot cause heart attack and stroke. So it's that same bacteria that's in our gums. So yeah, it's a big link. Pregnancy is a big one for women. It's a very small set of the population that I see. Pregnancy, gingerbitis, pregnancy, there are things called pyogenic granulomas, which are like little lesions that grow on the gums. And again, never been referred by you know, OB-GIN, but this is a big deal because that increase in gingerball inflammation can increase.

10:00 - Dr. Michelle Gamble (sankofahe@gmail.com)

is pre-term low birth weight babies and you know a lot of times we talk about the fact that our birth outcomes are horrific in comparison to other quote-unquote developed nations and yet what you're talking to us about is something that I've had four babies and I can forever recall anyone saying to me you know what Michelle you need to go and make sure that your teeth are checked or something of that never so never tell us a little bit more about this oral DNA test and what are some of the I guess things that would make us want to take that test but I don't think that you have everyone take the test or maybe I'm wrong maybe you have everyone no no I don't so what if I profile of someone who should definitely consider this test and what is it and what kind of information can we get from it how can it help us so I

11:00 - Dr. Berube

I think for me, as a, as a period honest, oral DNA test is just objective information. I don't need somebody to take it in my office because I can, I can evaluate them. I know they have gum disease. We can talk about it. So it's just, again, it's information. I think it's an, I, for me, I think it's an amazing tool, again, for those patients that have had heart attacks, stroke, where they go, I don't know why this happened. And then they see this oral DNA test, basically, it's a saliva test, and it measures different types of pathogens, different virulence pathogens, meaning some are bad and then some are not as bad. And you know, pictures are, say a thousand words, and when you see these graph, these bar graphs and there's all super high, it's, it's very telling they go, Oh, I didn't know that it's, there's a very big difference between. somebody that's got undiagnosed untreated gum disease versus somebody that hasn't. I think it's a more important tool, not in my office per se, in a medical office. I feel like if you had a cardiologist that routinely did something like that, and they saw huge amounts of bacteria and parasites, then it's hey, even if they don't know how to look in the mouth and see signs, because sometimes you don't see it. Sometimes you can see it. You can look at somebody and kind of know that's not normal. But that would be an amazing kind of screening tool, and as part of the same thing with diabetes and same thing, because that's a two-way street. You're trying to improve blood sugar readings and you've got this huge infection in your mouth.

12:55 - Dr. Michelle Gamble (sankofahe@gmail.com)

Guess what? That's not that's hindering your process.

12:59 - Dr. Berube

So I would of to see medicine really understand that link and take it you know and take it seriously but I mean in 20 years I it's super rare that I get anybody from an MD that's super super rare so I think that's where that test would shine.

13:18 - Dr. Michelle Gamble (sankofahe@gmail.com)

So now you said that it's a saliva-based test so how does it compare to blood tests meaning are the pathogens that you have on that test also visible in a blood workup that is looking for pathogens or does it show up in your saliva before it will show up to be a concern in your blood or for what time it is here.

13:42 - Dr. Berube

That's a really great question and I just never heard of it.

13:49 - Dr. Michelle Gamble (sankofahe@gmail.com)

I'm sure there is one.

13:51 - Dr. Berube

It's just hard to get a dentist to take a blood test period so you know or even I horrible say this but even an MD's office sometimes.

14:00 - Dr. Michelle Gamble (sankofahe@gmail.com)

they send out for blood work.

14:02 - Dr. Berube

So a saliva test is so, I mean, it can't fit any easier. I don't do it. assistant does it.

14:08 - Dr. Michelle Gamble (sankofahe@gmail.com)

It's something you can delegate very easily.

14:10 - Dr. Berube

tests not so easy to do, know, to delegate. So I'm sure there's a way, but blood tests are more expensive. Well, the saliva test isn't cheap. But the blood test, it's just, it's more of a thing because you have a full bottom is, it's just a different process. So I don't know how to answer that question.

14:31 - Dr. Michelle Gamble (sankofahe@gmail.com)

I just think it's easy to go back to what we, what you said, which is that you personally don't need someone to do the oral DNA test. So what is it that you're seeing that gives you an indication that there's a concern for pathogens that precludes the need for actual DNA tests?

14:53 - Dr. Berube

Well, I mean, I'm, I'm a period on us. So that's just what I'm trained in. I know how to come, I can diagnose. gum disease in two minutes a minute. I know how to measure, I can look at x-rays, can see the bone destruction. Another cause of the pathogens are root canal teeth and sometimes teeth that haven't been root canal. So disease from inside the tooth that's gone to the ends of the roots. And it's just important to take the right x-rays. What's happened now, especially I have different types of patients, but I have my more holistic patients and they don't want me to take x-rays.

15:30 - Dr. Michelle Gamble (sankofahe@gmail.com)

Well, I have to take x-rays.

15:32 - Dr. Berube

That's the only way to see, especially if they've had a lot of dental work in the past and they have all these crowns and fillings. You don't know what's going on on the end of the root and those again are pathogens that are going into the bloodstream constantly. So that's another level of how bacteria in the mouth and the jaw bone can affect the rest of the body. That's a huge part of the oral systemic link, not just gum disease.

16:06 - Dr. Michelle Gamble (sankofahe@gmail.com)

So what type of x-rays? Are they a specific type of x-ray or is it just like the general x-rays that your dentist does? And what are some things that I may be experiencing personally in my health that may indicate to me that I need to get that kind of x-ray then just to rule it out?

16:26 - Dr. Berube

So this is where old school standard of care comes in. We take what's called the full-mount series. It's 18 small little x-rays so that you can see literally every single tooth and the infections on the ends of the root. Some dentists don't do that. So they're taking what are called bite wings and you can only see the biting surfaces of the teeth. So whether or not never ever take it again, it's important that's still the state. of care to diagnose gum disease, and it's still the standard of care to diagnose any infections or any broken cavities. It kind of shows everything except when you have a root canal tooth, if you see an infection on the end, if you see an infection period on that two-dimensional x-ray that we take, it's there.

17:21 - Dr. Michelle Gamble (sankofahe@gmail.com)

There's no question.

17:22 - Dr. Berube

However, there's some times infections that are there that you can't see on those two-dimensional x-rays, and that's where those cone-beam CBCT scans come in. Again, I don't take those every patient. I take those for implant planning and those types of things, but if there's root can, I have a lot of people that come in with root canal teeth, we look on the standard x-ray. They look okay on the x-ray, but they want to delve deeper. That's when we take the cone-beam. And in terms of symptomology, you may not have any symptoms. Those infections in the jaw bone, they... can brew and fester and fester and fester and grow big big big big and they don't have any symptoms. That's why it's important to check the only way to know is to take the x-rays. So I wish there was you know obviously if there's a fistula or the abscess that comes on on your gums then you know there's something going on but I can't tell you how many people have these big huge infections in the bone that absolutely know symptoms.

18:26 - Dr. Michelle Gamble (sankofahe@gmail.com)

Wow that's scary. So now let's shift a little bit more to our little people okay and what are some things that you have been noticing recently in terms of younger people, children and young adults.

18:43 - Dr. Berube

So I don't have a ton of patient, a small people in my practice. However I worked for pediatric dentist before cavities. That's well cavities and of course inflammation, gingival gum inflammation. Now that I've kind of delved into this functional medicine world, I've noticed a lot of cavities can be from vitamin D deficiency. it's something that I don't know of many pediatric dentists that are checking for that. It's pretty easy. It's a finger prick. You can check that. But that's something I routinely do, especially for my patients that are getting inflammatory conditions. We really want to know where their vitamin D levels are. Then you can get into the different nutrients there. I kind of look at things a little bit differently now that I have that functional medicine lens.

19:45 - Dr. Michelle Gamble (sankofahe@gmail.com)

I learned a lot about that with my own child.

19:48 - Dr. Berube

And again, I learned by what I work with in my real life. And he had a lot more cavities than my older son doesn't have a worse diet. eating sugar all the time. So what is it? What's the interplay? And some kiddos and some people have what's called a vitamin D receptor defect BDR on their 23andMe. Most people don't do that and don't think to do that on their kids, but it's just something to consider. And then just again looking at the type of toothpaste they use, we kind of go through those types of things. But yeah, I've had to take a step back because the standard don't eat sugar, brush your teeth with a fluoride toothpaste, not working for my kid, right? yeah. And you know, that's a whole you can do, you know, offers a podcast on that.

20:44 - Dr. Michelle Gamble (sankofahe@gmail.com)

Well, let's let's talk about that a little bit.

20:46 - Dr. Berube

So talked about you spoke about toothpaste.

20:51 - Dr. Michelle Gamble (sankofahe@gmail.com)

And I would love for you to tell us a little bit more about that you kind of breeze through about oh, toothpaste, not for me kind of thing.

20:57 - Dr. Berube

Yeah, so you're not going to get away with Just try to do that young lady.

21:02 - Dr. Michelle Gamble (sankofahe@gmail.com)

I want you to tell us a little bit more about what you mean, and also what are some other preventative things that we can do to help to enhance the health of our teeth and maintain the health of our overall oral hygiene?

21:17 - Dr. Berube

Well, even before I was, quote unquote, holistic, alternative, whatever you want to call or community.

21:24 - Dr. Michelle Gamble (sankofahe@gmail.com)

Before we have a label.

21:25 - Dr. Berube

Yes, we have labels. That's fine. Label, medium, fine. So I worked for pediatric dentists before I went to dental school. And I even back then, I said, my kids, well, I was 20, 21. I will never have my kids use fluoride toothpaste, and I will never give them fluoride supplements. Because you see when they have fluoride overdose, first of all, there's a skull and crossbones on the toothpaste label. That's kind of a red flag for me. But when kids ingest too much and they're developing teeth, and end up, you see people with white little modeled areas on their tooth, on their teeth, that's permanent, that's going on their permanent teeth, that's not going away.

22:10 - Dr. Michelle Gamble (sankofahe@gmail.com)

And then in really severe cases, they're brown.

22:13 - Dr. Berube

That's fluoride? that's florosis, yes. when you think about, well, and then when you start to look at the fluoride's effects on the body, again, that's it, that's a thing. So it creates brittle bone. don't need fluoride in our body. It's not an element that we need. So there's a lot of debate on this. mean, people disagree with me. Fluoride's great, fluoride's great. And we've been pumping it into the water all these years.

22:46 - Dr. Michelle Gamble (sankofahe@gmail.com)

Why do people still have cavities? I had kids have cavities, any more.

22:51 - Dr. Berube

What else is it creating? And again, you start to look at the studies on what it's done to IQ and children. And so yeah, even back then it was it I wasn't doing that so for what I recommend now and it constantly changes and I when people say they still recommend everything the same 20 years ago as they do now that scares me a little bit because there's different things we should be learning right some things are tried and true and then other things we should learn from and say I used to say like I used to prescribe high dose fluoride tooth basis when we were taught hey if they have a high cavities rate prescribe that well you know you have a patient that's got autoimmune condition and is overweight and has thyroid issues and all of these things I don't think the high dose fluoride is helping her systemically so anyway what I recommend now is our toothpaste with hydroxyapatite so there's I'm sure there's a million brands there's Boca and David's and for my patients that have periodontal disease these, David's has worked really well because there's a sensitivity formula and unfortunately when we're treating on disease, they start to get sensitivity to cold. So that helps a lot of my patients with sensitivity and it has shown that if you're starting to get a cavity, it can't remineralize it. Now, if there's a cavity that's huge, it's not going to fix that. And I know there's people that say enamel can be regenerated. I've never seen it in a big huge, I've seen little ones regenerate. Another thing that I recommend, and again, this is all stuff that my kid does he's supposed to do, is vitamin D3, he's 15. So I test him now, vitamin D3, vitamin magnesium, but both of them are help getting. to get that calcium into our bone and into our teeth. D3 by itself, we need that K2 and magnesium. So those three, and then I have him, there's some cell salts that you can get, which is homeopathic remedies, but they're like little sprays, couldn't be any easier. I think there's a formula you can get with all three. It's calc, fluor, phos, and silica are the three dental. Again, not going to hurt them if you take some cell salts. So those are the three main things, a diet of more protein. We've known this forever, right? Getting the correct fats in our system, getting butter in our system, and that's K2. And not eating carbs, and carbs is red. Red turns right to sugar. Fruit is great. Sugar, I mean it's That's that's getting into West and a prices work.

26:02 - Dr. Michelle Gamble (sankofahe@gmail.com)

So what about things that we've heard of like oil pulling or brushing with charcoal or water picks or you know. All amazing.

26:12 - Dr. Berube

I mean, I'm I for my gut people with gum disease, I always recommend a water pick.

26:18 - Dr. Michelle Gamble (sankofahe@gmail.com)

I don't have gum disease and I use a water pick once a day or so.

26:21 - Dr. Berube

We have different medicaments that we can put in the in the water pick, especially when they have active disease. My patients that oil pull. I'm not saying if you've got ramping gum disease, you need to get treatment. It's there's no you've got the I call it barnacles under the boat under the under the gum.

26:42 - Dr. Michelle Gamble (sankofahe@gmail.com)

We got to get that stuff out.

26:43 - Dr. Berube

And it's hard. It's hard for me when I'm looking at it with an ultrasonic. So somebody have to be really adept with a hand instrument to get that out. My patients that use oil pulling their gums are pristine.

26:59 - Dr. Michelle Gamble (sankofahe@gmail.com)

Wow.

27:00 - Dr. Berube

Well, in general, and you know, you people argue, well, why wouldn't they just use, you know, mouthwashes? Well, that's a whole other thing because these mouthwashes have been shown to affect bacteria that modulate nitric oxide, which modulates blood pressure. And people don't like my normal colleagues don't like to hear about that. They said, but this cardiac surgeon said not to use mouthwash because it causes this. What do you think? Yeah. I haven't recommended in a long time. I just, I'm like, you salt water. You don't have to rinse with anything. so it's, um, there's a lot of things you can do. I tell people do what works for you. There's a million products out there. Just try to use a product that doesn't have a million chemicals in it that you can't pronounce or read, right?

27:52 - Dr. Michelle Gamble (sankofahe@gmail.com)

speaking, absolutely.

27:54 - Dr. Berube

Right. Same thing with food. It's the same thing.

27:56 - Dr. Michelle Gamble (sankofahe@gmail.com)

Same thing for on your skin.

27:58 - Dr. Berube

Yeah, um, those are. the toxicities that build up over time that may not ever affect one person, but it may affect somebody else.

28:06 - Dr. Michelle Gamble (sankofahe@gmail.com)

Well, thank you so very much. And in closing, what is one thing that you feel that we really need to pay heat up when it comes to dentistry and the overall health of our body?

28:23 - Dr. Berube

So I think, I mean, that's a great question. It's a big question. There's a middle ground somewhere. I'm a middle ground person.

28:33 - Dr. Michelle Gamble (sankofahe@gmail.com)

know people say, no, you're not middle ground.

28:35 - Dr. Berube

Sometimes you have to get a tooth removed. Sometimes you have to get, you know, scraping done. Sometimes there's just that there's only so much a supplement can do for you. Sometimes we just need that mechanical action loss, or we need that hygienist to clean the the barnacles. the gun line. So I just think there's two differing, there's the biologic dentists and then the western dentists and I think they have, they both have really good things and I just don't want, I know and I understand people's distrust of a lot of dentists and the medical system in general, so they've gone in another direction and I just, that's not always great either. I think there's a middle ground somewhere, trust your gut, get a second opinion if something doesn't make sense. mean any dentist should be able to show you on the x-ray or a picture what's going on. It's if I can, if I can see it, they can see it. I mean they're not trained to see it but I can go look at that black area, that's what I'm looking at. So ask questions if you have a dentist, with a doctor, that is just rude, is just the ego won't let them have a discussion, then maybe it's time to find somebody different. again, remember, if there's a middle ground and I don't want people to blindly trust the other side either, so.

30:17 - Dr. Michelle Gamble (sankofahe@gmail.com)

Well, I love what you're saying. As my mom always says, there's a time and a place for everything under the heavens and sometimes extreme cases require extreme actions and that's just the reality of things.

30:29 - Dr. Berube

Yes, none of us are immune. all have something that we have to handle and some people, it's in their mouth, other people, it's something in their body. So we're not all evil, when you go into somebody and you have a conversation with them, take a step back and see if what they're saying makes sense.

30:57 - Dr. Michelle Gamble (sankofahe@gmail.com)

Mm-hmm. South, yeah. Yeah, thank you so very much. I greatly appreciate your coming and sharing this information with our community.

31:08 - Dr. Berube

You're welcome. I appreciate you inviting me.

31:10 - Dr. Michelle Gamble (sankofahe@gmail.com)

Yeah, and ladies, until next time, peace and blessing.

31:16 - Dr. Berube

Bye.

31:21 - Dr. Michelle Gamble (sankofahe@gmail.com)

Okay. All righty. I think that does it.

31:25 - Dr. Berube

Yay.

31:25 - Dr. Michelle Gamble (sankofahe@gmail.com)

Thank you so much. This is my last interview for the year.

31:30 - Dr. Berube

Oh, wow. Oh, good.

31:35 - Dr. Michelle Gamble (sankofahe@gmail.com)

Good for you. If you have any links that you want me to include or any like offer sheet or or something of that nature, just just zap them to me and I'll slap it into the show notes.

31:50 - Dr. Berube

I mean, you could just put my website on there if you want to. So and but yeah, one site that you have that you want us to use. Yep, it's D-E-N-T-O-N, so dentinperio-P-E-R-I-O.com.

32:06 - Dr. Michelle Gamble (sankofahe@gmail.com)

Hold on, I'm going to see here. I'm going to do that. I'm going to do that. I'm going to do that. If you can just email that to me.

32:32 - Dr. Berube

Yeah, no problem. Yeah. time, too, in the future, I don't know if you have repeat people. Come on. Because I prepared a couple of different things.

32:43 - Dr. Michelle Gamble (sankofahe@gmail.com)

I didn't know which direction we were going to go.

32:45 - Dr. Berube

Okay. So one thing I'm seeing, and I think you probably see it more, too. know, you're directed mainly towards the ladies. Is the amount of. adrenal. I think most women are in adrenal crisis and they are so stressed out. I just wonder, I just wonder how much that's, I mean, we know stress is what causes a lot of disease.

33:20 - Dr. Michelle Gamble (sankofahe@gmail.com)

But yes, I see it in so many of my kind of younger holistic patients. I mean, I can't sedate them, they're just like, yeah, yeah.

33:31 - Dr. Berube

So anyway, I don't even know what conversation we'd have about that, but it.

33:35 - Dr. Michelle Gamble (sankofahe@gmail.com)

Oh, yeah, I, I constantly talk about the impact of stress. And in fact, the health stewards that I'm training right now, that's where we're starting. Because I said, there's, there's nothing you can do to help someone with health if their nervous system is on overall. that, I constantly, it's just going to sabotage everything that you try to do.

33:59 - Dr. Berube

Absolutely.

34:00 - Dr. Michelle Gamble (sankofahe@gmail.com)

Let's start there and help people to recognize when the shift is happening, help them to be balanced. And then we can talk about all of the bright shiny objects and the supplements and the foods and this and that. I'm like, I said, you're going to eat the most organic food and if you're like, it's going to poison in your body.

34:20 - Dr. Berube

Absolutely. mean, absolutely. I can't even, like I said, it's the hardest people for me. I don't do IV sedation, but oral sedation, I can give one little pill to a man and they're out there.

34:32 - Dr. Michelle Gamble (sankofahe@gmail.com)

And then they could be the smallest little young woman.

34:36 - Dr. Berube

You get them to, which is the max dose, even for like a 300 pound man. And they fight it. And they're just like, and it's the one thing. And they're those are the women with lying.

34:47 - Dr. Michelle Gamble (sankofahe@gmail.com)

And then when they just have stuck going ahead and record that. Because I remember what I said was the one thing. So we're going to come back and we're going to have the other one thing. One second, let me go.

35:01 - Dr. Berube

part? What do you want me to say?

35:02 - Dr. Michelle Gamble (sankofahe@gmail.com)

All right, come on, to say just now, which is the one thing that you've been noticing is the significant increase in the stress response, particularly with your women. And just ramble on whatever comes to you.

35:31 - Dr. Berube

You want me to do it now?

35:33 - Dr. Michelle Gamble (sankofahe@gmail.com)

Yeah, hold on, me say, pour it on the cloud here. All right, so ladies and gents, we thought that we were over but we're not over because as soon as I finished, Dr. Patti was like, you know, we have one, there was something that I wanted to say. And so Dr. Patti, what is the one thing, another thing, another thing, Noticing that you think is a significant increase. Americans issue that needs to be addressed, particularly with our women.

36:04 - Dr. Berube

Yes, we are on the world. We have the weight of the world on our shoulders, you know, where the caretakers, we manage the household, most of them, and I'm saying in general, right? Every family's different. But we have our hormones running through us. We deal with the monthly, the, you know, Perry menopause, menopause, childbearing, all of that. And most of the people that I see, and I'm not saying all, but the people that have significant diseases, like Lyme or more autoimmune conditions, usually women, I would say nine out of 10 or women. And they are stressed out. And it's super, super hard for me to sedate them. A normal max dose on most people works amazing that people fall sleep. They're snoring. but with that stress response, I see it in younger women. I don't know what's changed and what's different. It's like they fight it. So I think, I mean, how do you have, we all have to take that advice, right? Or we're constantly running in sympathetic mode, like we were talking about, we're constantly like, ah, that's so much to do. I've constantly something on the to-do list. And constantly being in that fight or flight is so detrimental to your health. Those are the people that I see with the autoimmune conditions and Lyme. I don't see people that aren't stressed out with those conditions. mean, again, that's a super generalization, but we cannot understate how important it is to try to get into that parasympathetic mode. And I'm guilty of it. We all are, whether you're on 50. somebody's 20, somebody's 30, we all, there's all these different life stages, but with especially with women. I don't see this in men as much. Men are just like women. I think that's a missing piece, and it affects everything that you do. Every experience you have is not going to be a good one when you're in that that, you know, sympathetic mode. Yeah, unless you're just completely put out generally as usual, then yeah, control it. But yeah, so, yeah, so that's it. I just, that's the missing piece with health and with every day. I keep saying every morning I need to meditate or just sit and relax and deep breathe. people think you're crazy when you say that, but it's really important. mean, patients that have super high blood pressure in my chair, from being nervous as they sit back and we do some deep breathing exercises, the blood pressure goes down. It's very, very, very powerful, but we don't stop and ever do that because we don't let ourselves take care of ourselves. That's mostly with women.

39:18 - Dr. Michelle Gamble (sankofahe@gmail.com)

Well, that's a powerful message to leave us with, Patty, and thank you so very much once again.

39:24 - Dr. Berube

Thank you. Bye.