When you had originally presented to the office,you presented with chronic numbness, tingling, burning,the hands and the feet. It limitedyour ability to walk, limited your ability to sleep, your ability to relax. We've completeda course of treatment here with the Davis neuropathy program, how have you done withthe treatment and how are you feeling today? I feel wonderful. I have to tell you thatthe treatment, I was on both programs. Before I came in, all that I knew that I had wasperipheral neuropathy after your exam, after you examined me. We found out that I had alsospinal stenosismy spine. I have followed your program, both of your programs, the DRSprogram and the peripheral neuropathy program,
and I am doing beautifully. I can now walkwithout assistance which I was having to hold my husband's hand or somebody's hand whenI was shopping or doing anything. I could not ive by myself. I feel like a whole personnow. Well congratulations on your results and we're very proud to have you here as apatient. What else would you like to have me tell you? If you have another questionI could certainly, I would like to tell a little bit about your people that you haveworking for you. They are wonderful, young, professional people. I don't know what kindof a program you put them on, but I love each and every one of them. They're an asset toyour office. Well thank you so much for the
kind words and we look forward to seeing youagain soon. You're welcome.
So, I want to createone final tutorial on shock, and this is the tutorial to really compare all the different types of shock, and see how you candifferentiate between them. Now, this will be an advanced coverage of all the different types of shock, so most of my detail will be very brief, and give you a generalgist of the type of shock.
But, of all of these, I wanted to look at four different values. The first is cardiacoutput, and, of course, cardiac output is how muchfluid, how much blood, the heart puts out per minute. So, it's usually measuredliters per minute or milliliters per minute. SVR stands for SystemicVascular Resistance.
So, that's resistance of all of the blood vesselsthe body. And the two of these, cardiac output and systemic vascular resistance equal blood pressure,so usually,shock, when one value goes down,the other will go up to try to compensate, unlessboth of them are shutdown. Cardiac output and systemicvascular resistance
also provide informationon tissue oxygenation. If they're decreased, tissue oxygenation can be decreased, as well. PCWP stands for Pulmonary Capillary Wedge Pressure, and this is measured with a pulmonary artery heter. It tells you how well the heart is able to pump fluid forward.
If the heart is struggling, or if there's some blockage, or something preventing blood being pushed forward by the heart, then PCWP, Pulmonary Capillary Wedge Pressure, will be elevated. LVEDV stands for LeftVentricular End Diastolic Volume. It's the volume of bloodthe left ventricle at the end of relaxation.
Basically, it's how much blood isthe left ventricle justbefore it squeezes out. So, this will also be elevateda heart that is overloaded with fluid. And last of all, the valueMVO2, which stands for Mixed Venous Oxygen Saturation. This will usually be low when the tissues have extracted a lot of oxygen.