Thứ Tư, 28 tháng 6, 2017

Waching daily Jun 29 2017

Looks like you juiced a gremlin. No no no. I'm not drinking that stuff!

Just drink it. Anything that looks like that

is not good for you. Just freaking drink it. It can make you smarter.

I'm not drinkin that! Rosalia will. Lia'll drink it. She's like

healthy and granoly and stuff. Lia's much smarter...

My friends is in a nasty divorce. Music to my ears.

CAS showed up at her door one day. She suspects it could be her ex who

made a complaint against her but you got you know what happens when CAS just

shows up at your door? Okay so a Children's Aid Society is a creature of

statute governed by the child Family Services Act. The short story is that

anytime CAS gets a complaint they're required to investigate, and it doesn't

matter that complaint is nonsense or if it's real. Ex's like to make complaints to CAS

just like they like to make complaints to the police. They like to use the social

service agency sometimes as tools in their matrimonial law so when the

Children's Aid Society shows up, you have a choice: you can allow them to come

you can voluntarily answer their questions, you can let them poke around

you can let them see what's going on or you can say I'm not gonna let you come in.

I don't want to answer your questions I'm not going to talk to you go away. The

Children's Aid Society then needs to decide if they have reasonable and

probable grounds to apprehend your child because they believe the child is at

risk and this takes into part three in the statute. If they believe that a child

is at risk for a full garden-variety reasons that are open in statute they

can come in and scoop your kids. Now that will stop the heart of most parents; the

thought that some social service agents can come in and take your kids- they

don't need a warrant to do it they don't need any legal document to do it they

are empowered under the statute to come and take your kids. If they do that, there

is a court process however, that happens very very quickly. They are

required to have these children in front of the judge within five days and unless

there is a real likelihood these kids are going to suffer harm if they are

returned they are required by statute to return kids for the parents. It's only in

those exceptional cases where there is real evidence of a real likelihood harm

to those children to become temporary Ward's the state, what they call

Society wards or become long-term crown wards. Now we're getting a little off topic,

of "what do you do" when at the door. Number one: when they're at the door get

on the phone call you need to call lawyer who knows a lot about family law

on child protection often because you now need to make a fairly quick judgment call we

need to analyze this situation and you need to decide is this a situation where

I can tell the children's aid to go away because it's not every time that the

children's aid need to be at your door and like many situations it's not every

time when there warranted to be at your door sometimes they should not be at your

door but not every children's aid worker is the textbook model children's aid

worker like lawyers like doctors there are good ones there are mediocre ones there are bad ones

I've had situations where I've called Children's Aid and I said look get away from

the door we're not going to talk to you you don't have the right to come in

you're trespassing we're not going to give you any information if you want to roll the

dice and apprehend the kids go ahead we will see you in court on Monday morning

but we'll be looking for legal costs and there are times when that works and they

get a supervisor involved and they decide to back off you don't always want

to talk to the children sometimes it's an unnecessary intervention or invasion of privacy

sometimes they're coming around

all the time and you have become their treat of the week but there are other

times when if you know it's a vexacious claim you know you've got nothing to

hide nothing to worry about I would say you have a good objective

worker invite them in don't make them that green gooey stuff offer them

a cup of tea sit them down let them see your house let them talk to your kids

let them satisfy themselves very quickly but this was a bogus complaint because

the Ex is going to keep making them and it won't take long for a seasoned

and experienced worker to decide that the Ex is the problem here they're gonna put a

couple little red buddy years beside the bozo's name next time this jackass

calls just tell them to go have a nice day but it's a judgment call right

really is a judgment call they hold extraordinary powers they have more

powers than the courts and the police in that first instance where they can pick

your kids up and literally walk them into a car and you have no power to stop them

you pray to God that you never go through that moment

is there any consequences for someone who makes a vexatious report to

CAS in the context of the CAS proceedings no in fact CAS will very jealously guard

the anonymity of any complainant of any referral source that doesn't mean you

can't ultimately get it disclosed in the court proceedings especially if the court

figures out that it is bogus and it's vexatious but there are civil

consequences it's called defamation if I call up the CAS tomorrow and I say that

Tammy Picard's a bad mom and Tammy Picard beats her kids all the time and Tammy

Picard doesn't feed her kids like yeah imagine an Italian not feeding her kids hello McFly

then I am tarnishing your reputation I am calling you out in a very very bad

way it's a direct attack on your character and that's defamatory so I can

be sued for defamation now the only problem here is a civil suit is only as

good as your ability to collect the judgment is against the person who

committed the wrong defamation it's not going to help me because he doesn't have

25 cents or as my granny used to say a pot to pee in or a window to throw it out of

got a piece of paper that says he owes me six hundred thousand dollars for

defamation and I'll never collect 25 cents a lot of

these warring exes understand that because they have no money they don't own

a house they have a lousy job they have no money in the bank but they can

say this kind of stuff in their judgment proof for the short answer is there's a

simple consequence depends on who says it the worst suing for defamation yes if

they're not, no. okay

so um a client of ours has had--- oh wait I'm in a pickle

a client of ours had a nasty experience with a judge in Family

Court so um what's up with judges some are good judges bad

judges um judges are people judges are people too um judges I don't envy

judges people think that the judging is a like serious job you know there used

to be a great Monty Python skit about judging versus coal mining and people

don't understand that when judges get appointed and I've had friends of mine

appointed judges god bless them they suddenly have a very restricted social

life later because the public watches people with that kind of responsibility

and they need to have the perception that these people are at all times removed

that they are above that they are independent so you don't get to

socialize as much as you used to you don't get to go out and sit on a patio like

this and have a couple glasses of wine that's probably a big no-no future

you're allowed to do it if you're a lawyer you're allowed to do it if you're a law clerk you're

about to do it if you're a photojournalist but I don't envy their

life and at the same time they are very cloistered from the point of view that

they have limited contact with the public in their official capacity you

only get to speak to them essentially in a courtroom or in a very formal setting

they don't get to have chit-chats so most of the communication with judges when

they're sitting up on that bench and they're wearing a robe in the sash and

they're presiding over courtroom now that having been said with great power

does come great responsibility and as in all walks of life there are some judges

who do it better than others there are some lawyers and doctors there's some

police officers and teachers who do it better than others and I don't think

that there is any excuse for anyone in a person who's in a power of a position

rather of power and authority to be rude to be dismissive to be condescending to

be short-tempered again with great power comes great responsibility

and especially when you're dealing with individual lawyers have this chance I

got I got a high like a rhinoceros after 32 years in the business but you know I

remember what I started we used to have a system called the High Court of

Justice and some of the justices from the High Court would come up here from

Toronto while they weren't always the warmest and friendliest people you could

ever meet and some of them could be pretty nasty when they were sitting up

there and we all collectively as officers of the court the lawyers the

judges we all decided that there was a better way to do stuff that the judges

while being in authoritative positions could exercise that authority with politeness

yes with courtesy with grace and with understanding are there still a few

hanging around who missed that memo regrettably yes and and I've had

occasion one or two times to very politely stand my ground and say with

great respect your honor that comment was uncalled for that comment was

unwarranted as an officer of this Court as are you I do not deserve that when I

am behaving appropriately oh that's a little easier to do when you've got gray

hair it's harder for a young lawyer to do I've done that on one or two occasions

when I've seen young lawyers getting the brunt of perhaps a judge having a

bad day reminds me of Margaret Thatcher when

Prime Minister was famous for many things but one of which was a saying

that I adore and it was being powerful was like being a lady if you have to

tell someone you are you probably aren't I think one of the greatest exercises of

judicial authority I've seen from a very young judge was just appointed and he

had a very senior lawyer in front of him and the lawyer was being somewhat rude

to the judge and the judge very politely addressed this lawyer who's now diseased

and said sir I have allowed you to go on because of your seniority and your

respect before the court but you must now understand that despite my young age in

comparison to you that I am a judge of the Superior Court of Justice and you

will not address me again in that fashion or regrettably I will be forced

to impose consequences upon you that you will not enjoy

that's also a comment that should be considered by some judges who whether

they're having a bad day take it out on the lawyers or the litigants we all

serve the same system as officers of the court and that is ultimately serve the public

I'm never disrespectful another litigant i'm never disrespectful of the person on

the other side I have a job to do yeah from their perspective my job what is

being done is never pleasant they don't like the receiving end of it but I can

still be courteous to them even when I'm doing my job so as in every walk of life

I think the courtesy is important I think that civility is important and that needs to

apply not only the people who walk down the street needs to apply to

professionals it needs to apply to people in authority and it certainly needs

to apply to those who sit in those high ranks like our politicians on our

judicia

so our Toronto office is opening soon it's opening soon it's 14 degrees and

cloudy and rainy in Toronto today and we're sitting here on the patio in Timmins in

God's country the land the time forgot 27 degrees and sunny so yeah we're

opening in Toronto the new place is opening up we just finished the

renovations shout out to my decorator extraordinaire

Lori Wilder and my wife Marina who've been doing an amazing job moving me into an

amazing office I have the pleasure of moving into Eddie Greenspan's office he

said Eddie, Eddie passed away a couple of years ago and I've had the good fortune

to be introduced to his daughter Juliana who's running the law firm and Julianna's

been brave enough and gracious enough to let me move into the third

floor of this incredible old CIBC Bank building in the northwest corner of King

and Jarvis which is literally just up the street from the King Edward hotel

where I've had the pleasure of doing a lot of cooking things over the years my

friend Daniel Schick is still the exec chef there and he's been kind enough to

offer that from time to time me even come over and and cook a couple of

lunches together we have a kitchen in this new office we have a restaurant

kitchen Mr. Greenspan was a fan of many good things many good things

culinary and he's got a kitchen in this office that I've made Julianna promise

that I can play with from time to time so that'll be... Julianna, all my food is

calorie free by the way and we don't juice well actually yeah I did juice a ham and

Krispy Kremes once but but I promise to leave that recipe secret so yeah we're a

couple weeks we'll be in you ladies will all be coming down to meet up with the Toronto

staff and spend a couple of days and check out the new digs and hopefully by then

Toronto will have some of Timmins' good weather

Daniel and I were actually doing breakfast together

Daniel's an extraordinary cook and there's there's nothing as Schmo like me

is going to teach Daniel Shik who is one of Switzerland's better cooks and

he's been the exec chef at the King Eddie for years but I do have a couple

old tricks and he was looking for a couple maybe a new item for the the

breakfast menu and a dear friend of mine Sebastian de Gardens who is rated

France's third best pastry chef my opinion second best but politics taught

me once how to make something called an omelet souffle au parmesan so imagine

your garden-variety omelet but instead of lying flat on the plate it's also a

souffle so with Parmesan cheese it rises up probably about six and a half seven

inches in the pan and it is absolutely delicious it's like air but with a parmesan

perfumes so Daniel and I made that together and I showed it to a

couple divine cooks and that's my friend Pierre Priogo has taught me always share

the recipe you gotta pass it on yeah so yeah looking forward to that is it easy

to make piece of cake yeah piece of cake share the recipe sure

recipes the recipe is easy you should share the recipe on your YouTube channel and I can

tell you you get yourself six egg yolks and get yourself some milk you're going

to make a bit of a roux with the egg yolks in the milk and you're going to

mix those together you're gonna heat them up with a little bit of flour and a

pan so it's going to thicken the meantime you get ten egg whites you're

going to whip them on the side you grate a bunch of Parmesan cheese into that

roux you've made with the yolks in the milk don't overcook it or it'll get really

lumpy get that nice and warm in the meantime beat your egg whites until

they're really fluffy and stiff pull those all together put a nice Teflon pan

started on the stove top so you get a nice crust on the bottom throw it in an

oven at 400 degrees for about 10 minutes and voila

I'm not so sure parmesan amazing absolutely amazing great with a green

salad don't juice it whatever you do don't juice my omelette

Oh what's in that? There's gotta be kiwi right?

here we go offer they look like monkey testicles, kiwis, I just thought now it's hard to eat them

They do! Just saying. I'm just going to stand here while you chew on your sandwich

well they do Now I will never look at kiwi the same way again

don't hold your hands out like that. don't hold your hands out like this, there ain't no monkey there ain't no kiwi that's endowed like that

at least none of the National Geographic editions I looked at

as a boy, no, no

For more infomation >> #NOEXCUSES Episode 6: Children's Aid Society and Judicial Unpredictability - Duration: 16:54.

-------------------------------------------

10 habits that can seriously damage your kidneys || You Should Know - Duration: 4:46.

10 most

common bad habits that damage your kidneys,

10 most common bad habits that damage

your kidneys, 10 most common bad habits that damage your

kidneys,

For more infomation >> 10 habits that can seriously damage your kidneys || You Should Know - Duration: 4:46.

-------------------------------------------

Deadly road rage beating suspect: 'Make sure you get my good side' - Duration: 2:59.

TEEN ON TRIAL... ACCUSED OF

BEATING A MAN TO DEATH IN A

FIT OF ROAD RAGE IN KENT

COUNTY LAST FALL.

3

3

SUE:..THE TEEN DIDN'T TAKE THE

STAND TODAY -- BUT THE JURY

STILL GOT TO HEAR THE

SUSPECT'S OWN WORDS.

INTERROGATION ROOM VIDEO WAS

PLAYED IN COURT... DESPITE

DEFENSE EFFORTS TO STOP SOME

OF IT FROM BEING PLAYED.

3

3

BRIAN:..24 HOUR NEWS EIGHT'S

LEON HENDRIX KEPT US UPDATED

ALL AFTERNOON ON TWITTER --

HE'S LIVE IN GRAND RAPIDS TO

SHOW US THE VIDEO.

3

LEON:..IT WAS NO DOUBT - THE

CLIMAX OF THE TRIALa&WHAT THE

YOUNG SUSPECT SAID - SOME

MIGHT SAY - EQUALLY AS DAMNING

AS HOW HE SAID ITa&.

3

JOVIALa&.

3

JOVIALa&.CHRISTIAN HILLMAN /

SUSPECT / SEPTEMBER 2016

INTERVIEW WITH POLICE / 52:30

I LOVE MY MOTORCYCLES MAN.

REMORSEFULa&.CHRISTIAN

HILLMAN / SUSPECT / SEPTEMBER

2016 INTERVIEW WITH POLICE /

4:25 I HATE VIOLENCE. I JUST

LOST MY TEMPER.MADa&.

CHRISTIAN HILLMAN / SUSPECT /

SEPTEMBER 2016 INTERVIEW WITH

POLICE / 20:40 Dááá Aáá WHITE

BOYa&..JURORS GOT TO SEE

VIDEO - SOME OF WHICH THE

DEFENSE WANTED KEPT OUT OF

COURT. IT'S SUSPECT CHRISTIAN

HILLMAN TALKING WITH

DETECTIVES ABOUT WHY HE BADLY

BEAT 64-YEAR-OLD WILLIAM

MCFARLAND - IN AN INCIDENT

THAT KILLED THE MANa&.HILLMAN

- CALLING THE BEATING AN ACT

OF SELF DEFENSEa&.HE SAYS HE

WAS RIDING HIS DIRT BIKE THAT

DAY - AND THE VICTIM WAS

TAILGATING HIM BEFORE GETTING

OUT OF HIS TRUCK AND

CONFRONTING HIM IN THE

STREETa&CHRISTIAN HILLMAN /

SUSPECT / SEPTEMBER 2016

INTERVIEW WITH POLICE / 55:44

ALL OF A SUDDEN THIS GUY IN

HIS TRUCK JUST PULLED UP

BEHIND ME.CHRISTIAN HILLMAN /

SUSPECT / SEPTEMBER 2016

INTERVIEW WITH POLICE / 58:27

HE STARTED GETTING ALL MAD AT

ME AND OUT OF THE CAR AND

EVERYTHING.CHRISTIAN HILLMAN /

SUSPECT / SEPTEMBER 2016

INTERVIEW WITH POLICE / 58:33

HE PUT HIS HANDS AROUND MY

NECK. AND UM. AND THERE WAS A

THOROUGH Aáá BEATING AFTER

THAT. 42HE MAKES IT CLEAR THIS

WAS NO ACCIDENTa&.CHRISTIAN

HILLMAN / SUSPECT / SEPTEMBER

2016 INTERVIEW WITH POLICE /

6:25 HE WAS JUST LAYING THERE

GURGLING. I KNOCKED HIM OUT

COLD BECAUSE I DIDN'T WANT HIM

TO GET BACK UP.THE INTERVIEW

JUST HOURS AFTER THE

ORDEALa&.HILLMAN SEEMS ODDLY

COMFORTABLE WITH THE

SITUATIONa&. BRAGGING ABOUT

HIS POWERFUL MOTORCYCLES AND

TELLING AN INVESTIGATORS TO

GET HIS GOOD SIDE IN THE

PICTURESa&.CHRISTIAN HILLMAN

/ SUSPECT / SEPTEMBER 2016

INTERVIEW WITH POLICE / 24:30

MAKE SURE YOU GET MY GOOD SIDE

BUT ONCE HE REALIZES HE'S IN

SERIOUS TROUBLE HILLMAN GETS

MADa&. SOME OF THAT SHOWS IN

HIS PHONE CALL WITH HIS MOTHER

WHILE SHACKLED IN THE

INTERROGATION ROOMa&..

CHRISTIAN HILLMAN / SUSPECT /

SEPTEMBER 2016 INTERVIEW WITH

POLICE / 20:23 I'M BEYOND

HEATED RIGHT NOW.CHRISTIAN

HILLMAN / SUSPECT / SEPTEMBER

2016 INTERVIEW WITH POLICE /

21:25 LISTEN TO THISa&.

(SHACKLES CLANKING). I AM

CHAINED TO THE FLOOR.CHRISTIAN

HILLMAN / SUSPECT / SEPTEMBER

2016 INTERVIEW WITH POLICE /

21:10 I NEED A FááááING

CIGARETTETHE INTERVIEW PLAYED

- PERHAPS BY DESIGN - JUST AS

PROSECUTORS RESTED THEIR

CASEa&ITS A SHARP

JUXTAPOSITION TO THE CALM TEEN

IN GLASSES CALMLY SEATED AT

THE DEFENSE TABLE FOR THE TWO

DAYS OF TESTIMONYa&. HE TOLD

POLICE HE WAS OWNING UPa&.

CHRISTIAN HILLMAN / SUSPECT /

SEPTEMBER 2016 INTERVIEW WITH

POLICE / 5:43 I TAKE - LIKE -

FULL RESPONSIBILITY FOR MY

ACTIONSa&.AND NOW PROSECUTORS

WANT HIM TO PAYa&..

3

LEON:..HILLMAN'S

3

DEFENSE DIDN'T CALL ANY

WITNESSES TO THE STANDa&.OF

COURSE THEY DON'T HAVE

TOa&.THE BURDEN OF PROOF

BEYOND A REASONABLE DOUBT IS

ON THE PROSECUTION.THE JURY

EXPECTED TO HAVE THE CASE

AFTER CLOSING ARGUMENTS

TOMMOROW. OUR COVERAGE

CONTINUES IN THE MORNING.

3

3

For more infomation >> Deadly road rage beating suspect: 'Make sure you get my good side' - Duration: 2:59.

-------------------------------------------

「羊」 rain (english CC) - Duration: 3:44.

I miss you when I can't sleep

Or right after coffee or right when I can't eat

I miss you in my front seat

Still got sand in my sweaters

From nights we don't remember

Do you miss me like I miss you?

Fucked around and got attached to you

Friends can break your heart too

And I'm always tired but never of you

If I pulled a you on you, you wouldn't like that shit

I put this reel out, but you wouldn't bite that shit

I type a text, but then I nevermind that shit

I got these feelings, but you never mind that shit

Oh oh, keep it on the low

You're still in love with me, but your friends don't know

If you wanted me, you would just say so help me.

And if I were you, I would never let me go...

I don't mean no harm, I just miss you on my arm

Wedding bells were just alarms

Caution tape around my heart I can't take this anymore...

You ever wonder what we could have been?

You said you wouldn't and you fucking did

Lie to me, lie with me, get your fucking fix

Now all my drinks and all my feelings are all fucking mixed

Always missing people that I shouldn't be missing

Sometimes you gotta burn some bridges just to create some distance

I know that I control my thoughts and I should stop reminiscing

But I learned from my dad that it's good to have feelings

When love and trust are gone

I guess this is moving on

Everyone I do right does me wrong

So every lonely night, I sing this song

I hate you, I love you I should die.

I hate that I love you

Don't want to, but I can't put

nobody else above you

I hate you, I love you

I hate that I want you

You want "her", you need "her"

And I'll never be "her".

I don't make any difference

So I...

For more infomation >> 「羊」 rain (english CC) - Duration: 3:44.

-------------------------------------------

Beachbody UK - It's official! Launching this Autumn 2017. - Duration: 5:23.

Hey! Have you you heard? No I didn't. What? Beachbody is going to the UK. It's

official Team Beachbody is going into United Kingdom. In 2017 Beachbody Team

Beachbody is going into the UK this Autumn. Exactly what time that is

we're not sure what that is but around October November time frame. Wo we are

absolutely thrilled and excited and we know you are absolutely thrilled and

excited! Yeah if you're watching this video then you're looking for

information on Beachbody in the UK and we are here to present you just a little

bit of what's going on and what we're doing with our people that we've

connected with in the United Kingdom. We're just super excited.

We have 500 people, almost almost 500 people and we have been training them

already. We have leaders being established. It's fabulous! And I'm so

excited. Yeah we are actually launching,

finally! So I want to give you guys a little rundown about our team, right?

That's right. A little bit about us. Christine tell them a little about us and our team.

So I am Christine Plaskett this is my husband Greg Plaskett and we are the

founders of Team Eternal Fit. We started with our journey with Beachbody 6

years ago. We have built an amazing business. It's been an incredible journey

and incredible opportunity for us. Not only has it changed our own health and

fitness but it actually changed us emotionally and financially and so we're

really excited to share our story with you and get to know you and share more

about our journey and how we built our business. Yeah, so I wanted to give you

just a couple things and I'll make this real short about our team. We are a 4 x

Elite team. Now you might not know what that means and that's okay. Basically we

just we finished at the top point .01% in the network out of 400,000 people. So

we were 100 or 200 or so four years in a row. I'm

a Beachbody Challenge winner. I won $500 with a p90x transformation. We've been in

various test groups for Piyo, Cize, Shift Shop and I think that was the three

right? Yes. We are both full time coaches, we do this full

time. I have a background in corporate America 25 years experience through

project management, people management, web design. I have a pretty broad and extensive

background and what I get really passionate about is not just helping

people get healthy and fit but teaching them how to build a business. So I love

mentoring other women especially, men to of course. I will partner with

couples men who want to build a business, women who want to build a business. I really

get excited about helping women really fulfill their dreams and what it means

to take control of your life and being able to have a job where you can work from

home and do something you love and be there for your family each and every

day. So with us it's 1 sign up 2 mentors. You get me and you

get Christine and we're both here to help you build a large sustainable

business that you can eventually hand off to your children if you should have

children. We have customized training that I developed when I became a

full-time coach 2 years ago. I was a part-time for 4 years and then 2

years ago I became full-time so we have customized training, social media

training, we have support for blogging if you want to do blogging, we have

mastermind calls with leaders, we partner with other leaders across our team. So on

our team we all don't look the same and we are a group of like-minded

individuals that have three things in common: health, fitness and want to build

financial freedom. Our team is comprised of former lawyers, some doctors, health

practitioners you know like nurses, stay at home moms, stay-at-home dads,

teachers, professionals you corporate professionals, landscapers, all

kinds of people that literally want something more out of life and that's

what Team Beachbody is. It's just a real like-minded group of people coming

together and just moving in one direction helping end the trend of

obesity and now the world because we're going over, we're jumping the pond. That's

right! So if you are interested in learning more, please opt in, somewhere

down below maybe, there's going to be an opt-in where you can put a give us

your name and an email and we'll put you on our newsletter that we send out to

learn more about what's going on and you're also welcome to join our private

Facebook group where we're actually getting to know each other more and

sharing more. We're training, sharing more about our storym answering all your

questions as we get ready to the official launch, right? Great! So we'd love

to have you join us and see you in the group. Take care!

For more infomation >> Beachbody UK - It's official! Launching this Autumn 2017. - Duration: 5:23.

-------------------------------------------

굿 타임 GOOD TIME 2차 공식 예고편 (한국어 CC) - Duration: 2:04.

For more infomation >> 굿 타임 GOOD TIME 2차 공식 예고편 (한국어 CC) - Duration: 2:04.

-------------------------------------------

Lip Art Design Ideas june 2017 I part 1 I Amazing Lipstick Tutorial Compilation I new lip art 2017 - Duration: 3:22.

For more infomation >> Lip Art Design Ideas june 2017 I part 1 I Amazing Lipstick Tutorial Compilation I new lip art 2017 - Duration: 3:22.

-------------------------------------------

Dr. Peter Fields Explains How He Best Treats A Replaced/Damaged Joint - Duration: 3:45.

Nick: It's interesting because I consider myself to be a competitive athlete too as

long as I live.

I'm sure you're going to be out there -- knowing you, you're going to be out there 90 or 95

and you're going to be pushing it just like I will, so you have to think differently about

that.

You can't think about I'm going to replace this and worse, they might have to replace

it again ten years.

They say, "Well, we replaced the hip," and they know you're older, so they're thinking,

"You'll probably be dead before or after we replace it again."

Is that an issue too?

Dr. Fields: Well, there are a lot of things.

Again, there are a couple of issues there.

When we're doing PRP or dextrose prolotherapy, we're trying to strengthen the entire knee,

not just the meniscus, but all the ligaments and tendons are within the knee and also outside

of the knee, and that's very, very important because one ligament does not work independently

or the other.

The other thing is with the meniscus, when there's a tear, usually they want to shave

it down.

Actually, the euphemism they use is, "Let me go inside and clean it up."

Unfortunately, if they would tell people, "Let me go inside and take out a whole bunch

of things," they would go, "Wait a second, you're going to take things out?"

No.

"I'm going to clean it up" sounds a lot more pleasant, a lot more easily.

What they do is they shave down, they cut down, they take away.

Now, you have two-thirds of the meniscus left.

The meniscus is a buffering material in there that helps the knee function well and if you

take a little off, you're changing the structure, you're changing function.

They have an earlier chance of developing arthritis, as a matter of fact, a significant

chance of developing it a lot earlier, then they have another injury.

They take a little more out and now they have nothing in there to buffer and they have bone

on bone.

Now, that leads us to the joint replacement.

When people are told to have their joint replacements, let me be perfectly clear, not everybody is

a candidate.

First, I have to examine them, get a very thorough history and go over everything, but

if they are a candidate, they stand a tremendous chance of not having that joint replaced.

When someone has a joint replaced, right now currently it's about seven to ten years a

joint replacement will last.

Unfortunately, when you have a joint replaced, the maladies that can happen with that is

you can bleed into a joint.

You can have infection.

The wound could not heal or the device could fail, and all of those are actually pretty

severe especially the infection, which necessitates immediately, probably taking that out and

treating the infection, but actually the worst thing that can happen is that none of those

happen.

All those don�t happen.

Surgery is okay.

Patient is actually in worst pain.

That's the worst thing that can happen because now you have an artificial knee but you're

actually in worst pain, so they can't put back in the original knee meaning the pain

was not generating from the area that they replaced, and I do see people like that.

I cannot obviously treat the artificial part, but I can treat the ligaments and tendons

that are surrounding the knee that may be generating the pain.

Nick: So you mean to tell me the pain may not actually be inside the joint articulation?

It could be a nerve that is coming from a distal --

Dr. Fields: Well, more so than a nerve -- yeah, ligament and tendon, we see that quite a bit

because people come in all the time and say, "My knee hurts.

It hurts here.

It hurts there."

I do these orthopedic and neurological tests on them and I say, "That looks pretty good,

but what about here or what about here?"

"Oh yes, this hurts and that hurts."

And plus, having taken a good 10 or 15-minute history on them, I know what they've been

doing.

Have they been weightlifting?

Have they been running?

Have they been biking?

Things like that and I understand the biomechanics, so then I say we're going to treat those weak

and torn or damaged ligaments and tendons.

Lo and behold, all the other pain goes away.

Không có nhận xét nào:

Đăng nhận xét