Painless With Dr Gabriele Jasper MD

A Medical Podcast About The Pain Many Of Us Suffer And What You Need To Do To Get Rid Of IT.

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Tune in for Painless with Dr.Gabriele Jasper MD! 

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www.jaspermd.com

Transcript

SPEAKER_04 0:00

Good morning, everybody. Dr. Gabriel Jasper, Jeremy Vickers, yeah. For painless with Dr. Jasper. That's right. Well, you know, I like to introduce myself like I always do for the people, the new people that are coming to see us, which so far I don't think we have anybody on, but it'd be nice you to come on.

SPEAKER_00 0:20

Yeah, put a notification up.

SPEAKER_04 0:21

Yeah, so maybe some people will come up. Anyway, I'm an interventional pain physician, which I have my own definition, which means that I actually look, diagnose, and find the pain generator. Once I find the pain generator, I eliminate the pain generator. And how do I eliminate it? Well, today we got so many ways we can do it. And even from the last time I was on this show, we got new ways. And that's what I'm here to tell you today.

SPEAKER_01 0:53

Wait, wait, we got new stuff since the last show?

SPEAKER_04 0:57

Yeah, we got plenty of new stuff. Oh, great. I don't hear this. Yeah, I'm excited. Anyway, let's not make a big deal out of it because it might not be new. It just blew my whole text. Right. Right. Don't go cra crazy. I mean, it was a great introduction, so you just said that. We can't even bullshit with you around. Now there's there's some new stuff, new developments. Uh especially the fact that I don't know if people to people notice that, you know, this is the 200th, the 250-year anniversary. That's where I got this Nordgrill hat on you. You see? Yeah, yeah, 1776. 1776. That was around. I was in college in Colorado, Alamosa, Colorado, in uh 1976. That's a spirit. That's one uh 200-year anniversary, the bicentennial. And it was weird. Today, I you know, there's very few people that that very few men they're walking around without beards. Why? Who the hell knows? I guess it's the style. The only ones you don't see with beards is some girl told them that they were ugly in a beard, or uh they can't grow one. I I shave it off once in a while. But believe it or not, uh in Alamosa, Colorado, in 1976, they had a city ordinance, and you actually got a fine. You had to grow a beard. Now, in 76, I think I was I think I was 21 years old. I was born in 55, so in 76, I was 21 years old. And I couldn't grow a great beard. I probably still can't grow a great beard, but either way, I had to grow a beard. Right. I tried to rebel it a couple times, but they were they weren't gonna drag you into jail or anything like that, but you got a warning if you don't grow a beard, and then they knew who you were because it was a small town. Right. I was a college student, so I grew a beard, you know, and I had a good excuse to grow my first beard. I had pork chop, I had poor in high school. I had pork chop um sideburns sideburns because that was a style in 1974, 73.

SPEAKER_01 3:13

Dude, you must have been like awesome.

SPEAKER_04 3:16

Yeah, yeah, we had fun in those days. We had fun. I was uh I was a little older than most most of the kids in my year, so I was like the only one that had a driver's license. And we were paying, by the way, 26 cents a gallon at the time.

SPEAKER_01 3:31

Wait, do they also call those uh mutton shops?

SPEAKER_04 3:34

The what shops? Mutton shops, they call that that kind of stuff. Yeah, but that was that it called them pork chops in those days. They shouldn't have that name there. Maybe in maybe in uh in England or something, they had them. But anyway, uh did I just screw something up?

SPEAKER_00 3:49

Nothing.

SPEAKER_04 3:50

Well, it was flashing. I guess the connection on this money is not that bad. Yeah, yeah. I um yeah, the interventional pain part, I love this job. You just I want you guys to kind of listen to me and my potential patients. You gotta listen to our um testimonials. Did you put all the testimonials on? Yes. Can you adjust this thing? Because it just went out my screen. Uh anyway, uh, but you still see me, right?

SPEAKER_02 4:19

Yeah.

SPEAKER_04 4:20

The the uh you know we get those, we get those um, they're on Facebook. Uh what is it called? Jasper Spine Institute.

SPEAKER_01 4:31

Yeah, uh Jasper Spine Institute on Facebook, Jasper Spine Institute on um YouTube. We're streaming to both of those live right now.

SPEAKER_04 4:41

And also uh on my website.

SPEAKER_01 4:44

Yes, on the website is on the website.

SPEAKER_04 4:45

You go on the website, and anything you want to have done, there's usually a testimonial on that. Is there a way of like putting in testimonial and the name of the procedure? I don't know if it's that's sophisticated. And they could go in there and check it out. Uh, we've had great success with, you know, not it's not no longer new, but a lot of doctors don't even uh don't even do this. And and I like to um there's a local doctor who who, you know, I'm not gonna mention a name, I don't know, because I I didn't ask permission, but he's a local pain doctor uh with the local practice, very busy doctor, and he chooses to do so certain amount of of procedures, right, as a you know interventional pain physician. Sure. And he's a man who's smart, does his job well, and is good at what he does, but he knows his limitations. Every man got to know his limitations. That's right. And not that he couldn't do the procedures, but he chooses not to because he's probably busy doing other things in his practice. And instead of sending the patient to a surgeon, which I commend him for, because his practice, I think, relies on a lot of uh referrals from surgeons. Hey Carmel, Uncle Jerry from Jerry. Hey Jerry, how you doing, Jerry? Jeromey, how you doing? Uh you got I I miss you. I'll see you Easter. We're all getting together for Easter at my house. But anyway, uh, so he chose to send the patient to me instead of sending them to a surgeon.

SPEAKER_02 6:21

Right.

SPEAKER_04 6:22

Uh, how's that for uh that that that means something? It means a lot to me. Probably means it's gonna mean a lot to the patients because I'm gonna fix that patient without without major surgery.

SPEAKER_01 6:31

Confidence and care.

SPEAKER_04 6:32

Yeah, because he reached a point where uh where he doesn't do a certain procedure that I do, which is it which is uh the interspinous spaces by Minuteman. Spinal simplicity, it's called Minuteman. And we put the we put the spacers in between, we put the spacers in between these spinous processes. And what it does is it opens up the holes where the nerves are, so your sciatica pain goes away, and it flattens out the ligament, opening up the central canal that is usually closed down. These are the people who can't walk far. They got intermittent neurogenic cloudication, which means they walk a certain distance and they got to either sit down, bend over, lean on the shopping cart, yeah, you know, all of these different things that uh to alleviate the pain. And quite frankly, most of these patients are tired, they they're tired of it. And they've had it for years. I got some patients come in, don't even realize they have it. I said, Do you have any pain in walking? Yeah, I can walk. I used to walk. Wait a minute, stop right there. I used to walk.

SPEAKER_01 7:30

Yeah, they get complacent.

SPEAKER_04 7:32

Yeah, I used to walk. The problem is that you you get so much, you get pain for so long that you don't even you don't even realize you have the pain anymore.

SPEAKER_01 7:41

So you learn to live with it or something like that, but it's still a horrible way to live.

SPEAKER_04 7:46

They just don't know they're living with it.

SPEAKER_01 7:48

Right.

SPEAKER_04 7:48

And I give them a piece of paper that we we made up of homework. And on that piece of paper, I want them to count how many steps that they can do before they start having a little aching in the lower back of the buttocks. And they all come back and say, you know what, Doc? I take 10 steps, I already got it. I haven't realized that I don't realize that. I don't like I told them, you don't realize it anymore because you've been doing it so long, it's just part of your life.

SPEAKER_02 8:11

Right.

SPEAKER_04 8:11

And you just nonchalantly sit down without even realizing you're sitting down for that reason. Yeah, just sit down.

SPEAKER_02 8:16

Yeah.

SPEAKER_04 8:17

And there's a lot of people out there. I like to mention that because I'm sure there's people here and people listening to me, hopefully.

SPEAKER_01 8:23

Yeah.

SPEAKER_04 8:24

Yeah, two people that know people who are in this predicament where they can't walk and we get rid of the pain. You know. But uh, you know, this this is a great show. I don't come on as much as I used to. Why you know I basically come on to remind people it's the stuff that I do, it's it's pretty redundant. And if and if you're lucky or f uh lucky, we we think of a good story.

SPEAKER_01 8:49

Yeah, yeah.

SPEAKER_04 8:50

Tell a good story for entertainment, you know.

SPEAKER_01 8:52

And we always cycle the shows around and stuff on there. So you never know what good information you're gonna get or good stories.

SPEAKER_04 9:00

I think about some good stories. You know, well, we told most of the stories about me being arrested as a juvenile. Yeah, I was a true 100% American juvenile delinquent. That's what I was, that's what I was, and I'm proud of it.

SPEAKER_01 9:17

Yeah, I was that was it.

SPEAKER_04 9:18

You made me the man that I made today. Yeah, got no record, it was before computers, that's right, and that is gone. Yeah, my record. My record's been expunged. Throw them right in the friggin' garbage pill.

SPEAKER_01 9:39

That's great.

SPEAKER_04 9:40

Hey, why you always gotta bring up my record?

SPEAKER_01 9:43

Anyway, um remember when they used to threaten your permanent record in in school? Oh, what you're doing over there? That's gonna end up on your permanent record.

SPEAKER_04 9:53

Oh, yeah. Well, it's true today.

SPEAKER_01 9:54

Yeah, today it's true.

SPEAKER_04 9:55

Yeah, everything you do is on your permanent record. They put it in a computer, you know, it gets fine. Yeah, you you know, you know what's funny today? I got up this morning, opened up my mail, and I got this letter. I should I wanted to bring it and read it. The letter states it's from a law firm and has the name of the law firm, and the law firm's in Canada.

SPEAKER_02 10:12

Yeah.

SPEAKER_04 10:13

Right. And it says, uh, hello, uh, Dr. Jasper, we're here to inform you uh for the second and last time that uh you and you you have not responded to to the previous uh letters, which is bullshit, because if I got a letter like this, I respond to it.

SPEAKER_00 10:33

Right.

SPEAKER_04 10:33

Uh that one of your patients that you had many years ago, you left a very strong mark of compassion in his brain. You say you you took the you had the passion and the compassion and the knowledge and the healing ability to get this patient healed in a expedited uh way that the patient was discharged from the hospital much quicker. In fact, they thought he was never going to be discharged. And you, with your with your ability, you made such an impression on this man that uh secretly uh before he left the hospital, he he found what your name and address was, and he subsequently uh uh passed, and his he left you we left left us as the um the executor of the will and testament, and he would like to leave you four point seven million dollars. And um and you need to get in touch with uh this company that us as the law firm and all this other shit. Isn't that beautiful? I'm 4.7 million dollars richer today.

SPEAKER_01 11:56

Are you kidding?

SPEAKER_04 11:57

Well, no, I'm not kidding. This is what they tell me, but do you believe it? No. I mean, who gets that letter in the middle? I mean, that's like that's like it was in a it was in a letter, no, it was in a letter, like a regular letter, right? Right, and uh, and I get it from a law firm. It would be nice to receive 4.7 million dollars at this time.

SPEAKER_01 12:16

That's like finding the the pot of gold at the end of the rainbow.

SPEAKER_04 12:20

Of course, it would probably only last about a week in my hands.

SPEAKER_01 12:24

Yeah, yeah. But uh depreciating toys, yeah.

SPEAKER_04 12:33

Depreciating toys, yeah, that I appreciate. Yeah, yeah, you do anyway. So, you know what I'm gonna do? I'm gonna do um, I'm gonna take a picture. I've been getting into chat GPT lately, right? Right. And um, I'm gonna take a picture of it, right? And send it to Jet G GPT, yeah, and ask them, is this for real or is it a scam? And as you know, see what's interesting to use it like that.

SPEAKER_01 13:00

Yeah, yeah.

SPEAKER_04 13:00

They they will respond to that. You know, I've done stuff, I see airplanes on the tarmac, take a picture, send it to them, and then they'll um they'll send me what they think isn't, you know, it's right most of the time. Yeah, uh, they send me what they think. The stats and stuff, and yeah, or they'll say, uh, we couldn't catch the um the the type of uh tail um tail setup it is. Can you get the tails in it? So this is a high high wing this that they talk about what kind it possibly could, or it's exactly what it is.

SPEAKER_01 13:33

That's cool.

SPEAKER_04 13:33

And if you get the numbers on it, they look chat within seconds, look up those numbers on the register of uh of airplanes and they tell you exactly what it is.

SPEAKER_02 13:43

Huh.

SPEAKER_04 13:44

You know, and you probably I bet you if you if you take a picture of somebody's license plate, uh they probably don't do that.

SPEAKER_01 13:51

Yeah, that's it. They when it comes to like um stuff that the police would have to look at or anything like that, like old files and stuff, they don't go that deep. Even with premium chat GPT, they don't go that deep.

SPEAKER_04 14:05

Facial recognition, I don't know, that kind of stuff. But anyway, I'll tell you what, the um chat GPT, uh, even my patients, um, they they're much more knowledgeable now because they they come in and they just ask about my procedure, they ask about me, and a lot of good stuff comes up. Uh, and that's what it's good for. Of course, you can't believe everything. There's a lot of stuff that you can't believe. You know, it's not perfect. Yeah, it's like the internet that uh, you know, I looked, I Googled it, you know, that's why it's right. No, it's not always right.

SPEAKER_01 14:42

But anyway, ChatGPT is not always right either. Uh, when I do my research for your stuff or for mine, right? I have to um I don't have another the the camera's dead. Um, I have to uh look up um stuff and I have to double check. I said I'll say check your facts, and then it'll come up.

SPEAKER_04 15:04

Oh, thank you very much for this.

SPEAKER_01 15:06

Is what I did wrong. So and this is what it was supposed to be. And I'm like, okay, but that's scary. You have to make it, you know, check its facts.

SPEAKER_04 15:14

You know what? They remember everything you say.

SPEAKER_01 15:16

Yeah, they do.

SPEAKER_04 15:17

Because I'll ask them uh some detail about my airplane, and they'll say, uh, well, because you have a um Aerostars uh 680 uh P, right? Uh, that uh normally the the stall speed on that, you know, they they know exactly what airplane you have, you know. Yeah, and they'll tell you references on that airplane. That stuff is pretty good. Yeah, yeah. Because they just it's all there on the old stuff.

SPEAKER_01 15:44

With mine, it's um like uh my radio show. It'll say, Oh, is this for your radio show? And I'm like, Oh, yes, it is. Okay, then we'll put it in this format, you know.

SPEAKER_04 15:52

And uh so it's it's it's learning, it's learning.

SPEAKER_01 15:56

So this is gonna be the age of the age of AI. This is that you know, there's the age of information, and then there's like you know, going back. This is the age of AI, I think.

SPEAKER_04 16:06

A couple of years back, I didn't even know what AI was, not even what it was.

SPEAKER_01 16:11

I mean, it was like Terminator, like we wrote our science fiction wrote stories, nightmare stories about AI, and then of course we really rushed to get it, you know, created. Yeah, yeah.

SPEAKER_04 16:23

So uh, so we've been having great success. You know, this time of the year we're not as busy as we normally are. Why? Because uh most of the people who who um who I treat are down in Florida, yeah. The winter birds are warm, yeah. But they're starting to trickle back now.

SPEAKER_01 16:39

Yeah, they do, right?

SPEAKER_04 16:42

And um, and I think next week is uh the beginning of the spring, right?

SPEAKER_02 16:49

Yeah.

SPEAKER_04 16:50

Is it March March 21st is spring? So we're gonna get a lot of people coming back. Uh so that that's it. Uh, you know, uh I I like I like the fact that um that we we can do on these patients just like at least 10 procedures that we can do on each individual Medicare patient. Why? Number one, it helps. And and I always mention this pain generators. People come into your office and they got back pain, but they can have back pain because of discogenic pain coming from the disc, sciatica pain from a pinch nerve, uh arthritis from the facet facet joints. They can have motic changes, which is uh, you know, you you find these these um, and when you look at the MRIs, it's like kind of white around the above and below the the disc base, and they've proven that that's painful. We get rid of that pain.

SPEAKER_03 17:54

Yeah.

SPEAKER_04 17:54

Uh, you know, we get rid of pain from from um uh if a person has a compression fracture, we do uh kyphoplasty, and um we stick, we we replace the nucleus in the middle for discogenic pain, a radio frequency lesioning of the facet joints, decrease the inflammation of the uh nerve root to shrink it down to normal size and get rid of the pain that way. Uh that's a decrease in inflammation. That's what is transferramal epidural. Um, you know, what else we could do? Um, you know, we could we can flatten out the the ligament, you know, for spinal stenosis. It's a mild stenosis with mild procedures, uh spinal simplicity, minute man. I mean, there's just so many different things. And people sometimes look at me and say, Doc, don't you ever give up? Well, listen, I asked you, how do you feel? You tell me you're 60% better, which you know, 10 years ago that was a home run.

SPEAKER_02 18:58

Yeah.

SPEAKER_04 18:58

Uh, do you need surgery at 60%? No. 10 years ago, uh, you know, people said, Listen, I want to get better, so we sent you to surgery. But today we figured out how to get rid of that other 40% of the pain and almost virtually get rid of the pain 100%. And the patient's like, well, you know, I'll come in and like, I'm 90%, you know, 90% better. I feel great. Thank you very much. However, I got this pain in my uh calf. Well, do you do you want to keep that pain in your cap? No, doc it bothers the hell out of me. But that's that 10% pain that I gotta say, I'm 90% better.

SPEAKER_02 19:36

Yeah.

SPEAKER_04 19:37

All right, let's look at what it is. And we look at the MRI and we see they got a pinch nerve coming out of maybe 4'5, 4'5, or 5s1 if it goes down to the foot. And we'll do an epidural at that level to shrink it down. If that doesn't get rid of it, you know, we could put a spacer in between, open up this, open up the hole, you know, or we get or we go in there and do it uh an endoscopic surgery and just clean up around the nerve and decompress it, and the pain's gone.

SPEAKER_01 20:03

Yeah, we um we had a patient recently I did a testimonial on that was like 90% better. And uh, you know, they look great and they're happiness on these people's faces. Yeah, it's that's gotta be like uh like winning the lottery when you see that.

SPEAKER_04 20:21

Yeah, I mean they they do well, they do well.

SPEAKER_02 20:23

Yeah, thank God.

SPEAKER_04 20:24

Thank God, you know, it's not just me, but um, you know, you gotta have the skills to to do what has to be done.

SPEAKER_02 20:32

Yeah.

SPEAKER_04 20:32

And I prove to myself and other people, and you ask anybody in my in my operating room uh the skills that I have as far as putting a needle where it's supposed to be, you know, operating. Uh, and I'm not just you know, I'll smoke up my ass, but you know, whenever you when people when people get better, and and I mean you can see when I steer a needle, I put it right where it's supposed to be, whereas a lot of doctors come in and they just can't do that.

SPEAKER_01 20:58

Yeah. And uh well, I've seen you, I've seen you over the years. I mean, uh been with you like over 10 years now, and uh I've seen you um like really be passionate about anything you're into, and then you you need so like if something comes along with your patients, even me as a patient, I'm like, yeah, he's he's got this covered because you're that passionate about what you do.

SPEAKER_04 21:22

You know, I think the foundation has got to be there. Yeah, the ability to put to do what you have to do, but you know, I don't care how good you are if if you don't have the tools or you don't have the the what's the word, the technology, which we didn't have five, ten, fifteen, twenty years ago, that's what I'm happy about.

SPEAKER_02 21:43

Yeah.

SPEAKER_04 21:44

And every time we turn around, there's new stuff that comes out, you know. Uh and then you gotta deal with you gotta deal with um, and I hate to say it, some of these companies out there that uh uh it's all about the money, all about the money.

SPEAKER_02 21:59

Yeah.

SPEAKER_04 21:59

And uh they're run by they're run by CEOs and and people who really don't have the compassion uh that you know the prices are priced and sometimes the prices are stupid like you think about what they've made to help these patients you know they complain about it took us 10 years to get to where we are we spent millions and millions of dollars yeah and we gotta make up the difference therefore we gotta charge you more money than you actually make on the case and if if I have a company that will come in and charge me more money than I make I gotta I gotta I'm taking the risk and we talked about it yeah I I take the risk yeah you know of course the company might get sued you know company might get sued too if something happens but you know the companies I hate to say these companies multi-billion dollar companies they get sued they probably don't even need insurance companies if they had a pocket yeah you know you get a solo practitioner like me you get sued you can get devastated right so I'm taking a much bigger chance much bigger risk than they are and if they think that they're gonna make more money than I do taking majority of the risk it ain't gonna happen right you know especially if if if some of these some of these you know some of these procedures the new ones are out there they're not 100% convincing and how do I convince myself that they're gonna work I got to do them. Yeah you know as long as it's safe for the patient and it's not gonna make the patient worse worse I'll do it. And the only way I will be convinced if it works if that works not based on studies that the companies have done or other studies because you can get a study to give you any kind of result you want I don't care who you are.

SPEAKER_01 23:56

They're pretty strict as far as the rules of how to do it that's a that's a thing they're hungry for those statistics.

SPEAKER_04 24:01

Yeah because it makes their product look better so yeah you got to get what you're what you're worth you know Rocky Balboa said that if I'm not and I well he said uh if you know what you're worth then you go out and get what you're worth yeah I mean and it's not about the money as far as that goes it's about taking care of the patient and I would probably sacrifice losing some money if I really thought it would help the patient. But they didn't even give me a chance I even said listen I'm not gonna name the company I'm the I'm not that much of an asshole but I should really because they pissed me off. But I think they'll be back.

SPEAKER_01 24:36

They'll be back because I listened in on a a little bit of this and uh yeah no I I you were 100% right in everything. Yeah.

SPEAKER_04 24:44

I mean uh the main thing the main thing with with the coup de grade that I threw them out of my office basically you know I was semi-polite about it was the fact that we came to a decision and and and an agreement on all right they're not gonna charge me more to be even. But then they put stipulations on it saying you have to do certain amount of cases.

SPEAKER_01 25:08

I don't need these pressures they're saying I got to do certain amount of cases in a certain amount of time yeah you know again force in force you for that statistic.

SPEAKER_04 25:17

I don't want that pressure and I'm and I'm not gonna do unnecessary procedures it is what it is you know and I told him I said listen I said I will be doing more procedures after I do a certain amount of procedures and it proves to me that's gonna work. So I'm doing a um you know a skeleton amount of patients you know low number of patients until I get uh results and the patients are well aware of the fact that this is a relatively new one and I'm not convinced of it I can give them the studies and these volunteers come up. Yeah right and then they're putting pressure on me the fact that I didn't finish I didn't get my quota you know that right there I was going to quit quotas yeah yeah I don't do quotas you know I'm not with patients that's that's yeah I don't do quotas because as soon as you do quotas you start to cheat a little bit yeah yeah and I don't want to be which I would never do you wouldn't do that but I don't even want to be tempted right I don't want to be put in that position of stress right so that right there I marked the big mark against them and I and I said this is this is relationships not gonna last they think they're the only game in town yeah and then what happened was on January 1st or 15th whenever the hell the date was they um the amount of money that they pay for the procedure Medicare dropped$3,000 dropped$3,000 and guess what they expected me to absorb that. Now I'd be making even that much less they don't come down with the price they wanted me to lose$3,000 on that. You know when we're talking all right$3,000 sounds like a lot of money in procedures well they charge a lot of money.

SPEAKER_01 26:51

Right and you're talking at you know at a pop so each time you're losing that much money.

SPEAKER_04 26:57

Yeah yeah and and I said listen um and it happened to me with another company was subsequently because I left and went out of business. Right because a lot of people respect my opinion and when they call me up and ask me about a company I'll tell them sure I'll tell them the truth you know about what happened and uh and they they refuse to come down I say listen I'm an e I'm an easygoing guy I'm right I'm I'm a pretty uh reasonable guy and honest yeah and and and uh and what's the other word and fair fair you know I'm willing to take a hit but I say you take a hit for 3000 you come down 3000 in the price I mean uh 1500 in the price and so and I lose 1500 because they give me less 1500 fair so you know you lose 1500 I lose 1500 that isn't that fair yeah oh we're gonna have to get back to you with the company you're gonna go talk to see and then I that and they said no they're not gonna I say get that son of a bitch on the phone yeah yeah I got the son of a bitch on the phone I want to talk to I want to talk who's the who it's it's like when you're in a restaurant you want to talk to the manager right and if it's a good manager he's gonna come up and say listen whatever you want customer's always right right I mean that's how you're trained as a manager.

SPEAKER_01 28:13

Sure he gets on the phone half cocked right like who are you to get me on the phone kind of attitude right and I told him I said listen I think I'm pretty reasonable here and he was and by the way you didn't meet your quota I said don't talk quotas don't even talk quotas because you talk quotas you're gonna you're gonna get in big trouble you got to wonder how many doctors they get away with talking like that yeah yeah because you know they'll say well you know we're making this much money so it's worth it yeah I I like to hear more well it's really helping the patient right and it's worth it you know what I mean but because they can make any old thing yeah I mean so I can't use that yeah yeah so you have the nerve to first throw that in my face right about the quota and I said listen I don't have to explain it to you I already explained it to the to your reps that response you find out from your reps and he goes all right let's say we did come down with the price because they can let's say we did come down with the price and all of a sudden you get paid by a and you get paid by um a commercial insurance 10 times more money you get paid by Medicare are you gonna pay us more i said are you serious by are you serious asking that question right now right I said first of all traditional commercial insurance don't pay for it number one yeah and you know that and now you're asking that stupid question I am done here yeah I am done here and I'm gonna refrain from using profanity right I'm just gonna hang up on you out of respect for myself yeah clunk that was the end of it brings up that shit you know companies like this the the patients aren't on their minds at all um they're not even thought about it it is that bottom dollar it is well I mean that's what they're out for sure you know of course you know they come out theoretically to help patients I mean if you're making if you're making business people they're not caretakers like like me yeah yeah yeah caretakers uh one of our downfalls is that we gotta help people sometimes we help people we shouldn't help yeah you know in other other parts of our life you know yeah you want to fix people you want to fix people and that's that's a that's good to a certain extent but sometimes you can't fix people who don't want to be fixed which is a whole new conversation what were you saying about um about where I made you forget I can't get over how nice my hat is what is that yeah it looks really good on you you know I bought uh one for Felix too because I know he's into this stuff that's it feelings you out there yeah we got some people lives what else Felix he didn't uh write anything yeah we had the uh beautius Maria Jasper Neil Colazzo good morning you emailed me huh yeah he emailed you uh about his x-rays on his foot he says he might be uh the issue uh he was asking you to take a look uh so the beautiful Carmel and the beautiful Maria yeah how's Jerry you should call in I like to talk to Jerry on the phone yeah yeah yeah yeah yeah right never miss a comment click on yeah we're running out of things to talk about you know my podcast where what yeah I I uh I uh asked a um one of the local um restaurants I like asking what local restaurants especially if they're good like uh Cordy's uh in bricktown dominic he uh he wanted to come today but he got sick and he couldn't make it but we're gonna have him on here and a few other people hey Vincenzo Vincenzo says she took snapshots of you here that the guys doesn't that shirt look great on him that hat that shirt come on yeah there he is 70 years old I even had a new haircut today Rosalie gave me hair well well I'm getting one tomorrow I'm gonna get this like monster beard uh figured out too I'm going to somebody to shape it for me you know you know does that good um uh the guy that Philip uses oh really good job but he he I don't know if he shapes the thick ones like that yeah he just shapes it down I just don't know what to do with it all right but Vincenza how's it going down there in Vero Beach I'm gonna fly down there landing at airport for a nice plate of Vincenza spaghetti sauce yeah uh catchy says uh I was gonna say he looks extra buff and yeah yeah he does it's the shirt it's the shirt yeah I bought this shirt since we're on the conversation sure I bought this shirt in 2005 strolling down I forget the name of that street if anybody in Miami where they got all the stores right and I went into affliction I just remembered the name of the shirt it's called Affliction and uh I went in there and I loved the shirt right I love the shirt and the guy said I said how much he goes a hundred bucks a 2005 a hundred dollar shirt it's a t-shirt yeah but he said well it's a designer it'll last a long time guess what still looks good and it's 20 years old 21 years old the shirt I had to mention my shirt today on that sure hey and there's uh the the website is pumping here we got uh for that for that shirt and other products they've made affliction affliction oh it is yeah yeah yeah you can go to afflictionclothing.com and browse their um they are not a sponsor by the way if they want to be a sponsor they can't be well I tried about uh about five years ago I try to get um I try to buy a couple more designer shirts like this but they just don't fit the same way anymore I mean this one fits good and uh makes me look better. Kat says uh I wear my affliction uh shorts nice and she's got shorts yeah this is oh sorry shirts she meant to say shorts yeah she's doing voice to short she's doing voice to text I I guarantee it okay yeah so we gotta talk a little bit about what we do again uh I think we're running out uh as far as um what else I think people know what you do so when we're on we're when we're on a show and we're just having a fun conversation still yeah we got family on yeah look at this we got Carmel she says um whoop wonder what happened to big D Oh remember big D Yeah he disappeared yeah he used to he used to watch a difficult patient as far as you know he's got a lot of stuff going on and when I talk about pain generator this morning he's a he's a perfect example of somebody who has almost every pain generator yeah you know and uh good guy we've helped him we've helped him but uh you know he's never gonna be a hundred percent just like you know most patients will not be a hundred percent right you got uh you know it's lifestyle you know what you've been through me today uh this week I had my thumb was was killing me it was my I could barely use my hand I put a brace on it uh and today it feels good yeah me with my my arthritis uh it was my pinky this week but it just felt like right here it was awful yeah yeah I'm I'm probably gonna give myself a shot of PRP PRGF they call it right PRGF yeah yeah it's uh it's a platelet rich plasma and we had uh we had the company in here and uh he talked oh yeah yeah yeah he did yeah he explained the whole thing um that's on our uh archives you can go check that out PRGF yeah and um I did it on this thumb a year and a half ago and it's still good it's starting to get a little painful but you know it doesn't hinder me from doing this this one actually on on uh Wednesday I was trying to take the tip of the needle off you know off the hub I didn't have enough pressure it hurt so much by just squeezing it I couldn't do it I had to grab and do it with the other hand and I said oh this is gonna affect my ability to do work and I put the brace on it went to bed took two Tylenol woke up it was already 50% better and then uh then then the next day Thursday I did 2530 injections with no problem it was painful yesterday was uh was better today's even more better and uh but uh nevertheless I'm gonna give myself a shot of PRP next week and I'm gonna give my just for the hell of it this is starting to come back because I'll have extra so might as well stick it somewhere sure you know and it works I I probably about two weeks ago not even a week ago I I did um I did my leg exercise I did I did some free squats no weights I did um you know an intense uh leg exercise but I don't do it intense intense I don't do heavy weights but my left knee blew up I already I got a replacement on my right side but it blew up I had a drain out within two days I had to drain out 50cc of fluid and I injected PRP it's already better you know I feel a little bit but that stuff works listen it's got to mean something if the doctor is injecting himself right with the medication yeah and guess what guess who pays for this me because insurance companies don't pay for I don't know why I know why because they don't want to pay for anything it's like the Italians do you know why Italians don't like Jehovah's Witnesses because they don't like any witnesses very nice I like that that's an old joke.

SPEAKER_04 38:35

Yeah it's like the insurance company you know why the insurance dog why does any insurance pay for this because they don't want to pay for anything it's the same it's basically the same thing. All they want to do is collect the premiums and if they could get if there is any way of him not paying for like for example how stupid is this there must have been an executive committee in the insurance company of Medicare and they made an uh I guess what they call as an executive decision that starting January 1st this year they will no longer pay for anesthesia for patients getting epidural injections I got some patients that you can't even show them a needle without them passing.

SPEAKER_01 39:16

Yeah you do yeah you had a lot of medications like that it used to be years ago they didn't pay for except for patients that were treated for anxiety depression some kind of uh you know negative affect disease you know psychological disease if you could prove like they're on medication they've been treated for it then they'll pay for it right they don't even do that anymore they say you know these people that have uh mental illness can't even have it right you know so it it's like weird I fell asleep watching uh Rodney Dangerfield last night Rodney Dangerfield that means it was oh which which movie was that it it was actually just a collection of it was like Rodney Dangerfield does 100 jokes and so it's a whole bunch of clips of him just going bam bam bam bam bam very funny though yeah these are the one thing uh oh I saw this woman that was so fat how fat was she was so fat when I hit her she asked me why didn't you go around and I said I didn't think I had the guess yeah all right so we talked a little bit about you know based on my um on my history sure on how we could treat it but it's it's that's fascinating though seeing a doctor you know hearing about a doctor treating himself and what he has to go through and how exactly the same it is for the patients. You know they have to go through all the same rigmarol that you do.

SPEAKER_04 40:48

Yeah yeah I um people certain people are telling me that I charge too little for um for the patients for PRP PRGF uh but you got to think about it I I'm not I'm I'm not gonna I'm never gonna make a killing unless you really overcharge a patient so I mean you go to you go to um you go to Manhattan they're charging three four five six thousand dollars for a shot right and some people still think that's the only that's the only thing in Miami same thing yeah you you you go to certain big cities same thing and uh and I charge like I think it's$750 a shot if you can eat two of them two of them that the the company sells me a bigger kit for less money so it might be a thousand dollars but the amount amount of money for the kits and amount of money I make it's like I'm not making any money anyway so I come to terms with it. And these are patients that usually I've been treating I've been treating them for you know with epidurals you know maybe I did their spacer maybe I did this did that and they've been my patients for years so they're basically almost like family.

SPEAKER_01 42:00

Yeah so I charge them I don't I charge them a lot of money I'm not gonna make much money it takes me to do an injection might take me 30 seconds you know so it's not like you know I'm really putting myself out and I'm good at it I got the right stuff I got ultrasound I got uh x-ray guidance so it's done with precision and you know and we're in ocean county right who the hell's gonna pay a lot of money in ocean county not too many people no I mean they don't they don't even pay us they pay us less money the insurance companies pay us less money in ocean county than they do in Monmouth which is 10 minutes away yeah and so many of those uh seniors that live all around us uh are on fixed incomes you know I mean they're not gonna be able to afford too much yeah and and there are some procedures that I do that I got to charge with like$2,500 extra because that's how much I have to pay for the instruments that when I'm done doing it, I gotta I gotta dispose of them.

SPEAKER_04 42:54

I got throw them away the disposable instruments.

SPEAKER_02 42:56

Right.

SPEAKER_04 42:57

But I do it anyway I'm never I'm never never gonna be one of those rich rich guys but you know I feel good about myself.

SPEAKER_01 43:03

Yeah you feel good about yourself you're helping a lot of people and um you know I was just thinking that um it was it was really great hearing you talk about the uh companies and how the the arguments you're having because all of that is happening between patients so like when patients are sitting in the waiting room thinking what the heck is going on you're still working for them you know trying to get it so you can do these great uh procedures for them you know but this is what's going on behind the scenes you know some people think oh what what are they doing back there playing volleyball no they're doing like really pivotal work that when I we talk when we talk insurance especially with the patients yeah it gives me anxiety yeah yeah I know it does that I know it does all right so so what else what do you want to talk about has anybody got any anybody got any questions? Yeah that'd be great nobody's got any questions you can also call us here in the studio if you want to ask that question it's On the screen at 609-389-8695. It's right up on the screen right now for those of you watching us right now live tomorrow morning from uh 7 to 8. This will be broadcasted on WOBM 92.7. Uh so we hope you if you know you want to listen right before church or something. It's great. It's a great show to listen to.

SPEAKER_04 44:25

Yeah, we I heard we were on um on WOB uh 92.7. Yeah. Uh we're on our way out to go grab a bite to eat last night at a really good restaurant. Um Lubrano's Lubrano's Trataria. It's in Wall, right by the shop. Right. I think it's off of 34 and 70.

SPEAKER_02 44:47

Yeah.

SPEAKER_04 44:48

Around there. Yeah. The guy's name is Dominic. Great food. We had great food last night. The um the clams oreganata tasted just like Rosalind said, just just like Maria's, my sister's. And um, and we had this great, uh they had a dish special, which was called um uh it wasn't called anything specific, but it was made with with uh kind of kind of canalini beans, those those white beans, you know. Cannelini beans, yeah. Yeah, and uh it had uh chile and uh sea bass and the little the little the small umgola, the small clams, and uh and it was made with like a soupy sauce, right, with a little bit of red tomatoes. And I was like, that sounds good. Can you put it on spaghetti? She says, Yeah, we'll put it on spaghetti. So they put it on spaghetti, it was pretty good.

SPEAKER_01 45:43

That's great.

SPEAKER_04 45:44

And they they made it very good, very good.

SPEAKER_01 45:47

My birthday was yesterday.

SPEAKER_04 45:48

Okay, happy birthday. Thank you, man. Happy birthday to you, happy birthday to you. That's a that's enough. That's enough, all right.

SPEAKER_01 45:55

Yeah, let's not go crazy.

SPEAKER_04 45:56

Well, how old are you?

SPEAKER_01 45:57

I'm 52.

SPEAKER_04 45:58

52. You were born in 1973. Four seventy-four. Yeah, you were born the year that I um graduated high school. Yes, you were born the year that I turned 18, the year that I retired from being a juvenile delinquent.

SPEAKER_01 46:22

So I was officially I was still I was still uh in training to be uh a juvenile.

SPEAKER_04 46:28

Yeah, you were you were born, you were born the day that I, well, round around uh the same year that I was no longer considered a juvenile delinquent. I remember the first time I had to go to I had first time I had to go to um um probation. I had to go see my probation officer. Oh yeah. I can remember the building was on Pasake Street.

SPEAKER_00 46:55

Thanks, Vincenzo. Thanks, Kat. Wish me a happy birthday.

SPEAKER_04 47:01

Passake Street and Passake. I think it was me and Dave Barley had to go. No, Dave Barley, he got arrested with me. He I met you, you know. You met Dave Barley?

SPEAKER_01 47:11

I'd know him by his face.

SPEAKER_04 47:12

Yeah, he was my best friend in junior high school.

SPEAKER_01 47:14

Yeah, and um then I must have met him.

SPEAKER_04 47:18

We were forced to stop hanging around with each other because we kept getting in trouble all the time.

SPEAKER_01 47:22

Oh yeah, bad influences?

SPEAKER_04 47:23

Uh yeah, we just who's the bad well, we were both probably both bad influences. We were bad influences on each other, yeah. Because um uh we we we were great friends, right? And uh we went out with the same girls in those days, and um, and we were very popular. The two of us were very popular in high school. Uh, we used to when we were, I think we were like it. Of course, this doesn't reflect uh the ability of me to do um good pain medicine, right?

SPEAKER_01 47:57

None of this. I just wanted to get that on the record.

SPEAKER_04 47:59

This was another person what brought me to the man I am today. That's right. We used to cut school at 15 years old. Because in in Jersey it was 18 years old for the drinking, right? And in New York, it just turned 21. So what's good about that is in New York, they didn't know, you know, nobody was really could tell whether you were 18 or 21.

unknown 48:26

Right.

SPEAKER_04 48:26

21, you could tell, all right, you're 21. But now they're 18, everybody looks real young and 18. So whether you're 15, looking a little older, or uh 21, looking a little younger, it's it's hard to tell. So, and they never really asked for identification. I was gonna ask that, yeah. Yeah, identification.

SPEAKER_01 48:43

They started pushing that more during my time, like you know, yeah.

SPEAKER_04 48:47

In the disco years, they started anyway. We used to get in a bus. Disco's not that, yeah, and we used to take the bus to Manhattan and then take a subway. I think it was a subway. I think it didn't make it. Went to the village and we went to this go-go bar called the Purple, the Purple Onion. And we used to hang out there, uh, have a few drinks, and then uh, and then we all made sure we got home at the same time we would normally get home from school.

SPEAKER_02 49:16

Right, right.

SPEAKER_04 49:17

And we weren't drunk or anything, you know. But nobody tested our breath or or gave us a breathalyzer.

SPEAKER_02 49:23

Right.

SPEAKER_04 49:24

It wasn't like we did it all the time. I think we did it like three times, three or four times that year. I think I was a um, I was a um no, we were beginning, man. It was it was in the beginning of um of high school. He was a sophomore and I was a uh I was uh a freshman. He was uh he was ahead of me.

SPEAKER_01 49:44

My son actually has a fake ID.

SPEAKER_04 49:46

Does he? Well then we all got the fake IDs, yeah, yeah. We all got the fake IDs, and I think we we even had fake IDs in those days. It was easy to get, right? And we need to have an internet. I don't know how the hell we got it.

SPEAKER_01 49:59

Yeah, right?

SPEAKER_04 50:00

How the hell did we get fake? Probably in the mail. Probably we there were no internet, there was no printers.

SPEAKER_01 50:05

I think you maybe had to know someone who had a laminator, had a you know, I can't remember.

SPEAKER_04 50:10

People giving them out fake IDs, yeah. But that was fun, that was fun until we got arrested a few times and we weren't allowed to we weren't allowed to um party hardy. Yeah, yeah, yeah. Anyway, good old days, good old days which which formed me to the man I am today. Which, you know, uh I would have a patient said to me the other day, one of the reasons I love you, Dr. Jasper, is because you're down to earth. You don't act like a regular doctor, you act like a regular person.

SPEAKER_01 50:42

That's what I was gonna say to you.

SPEAKER_04 50:44

You know, my parents, the same thing. My parents, my grandparents, that's where it comes down from.

SPEAKER_01 50:48

Yeah, yeah. You were raised, unlike some.

SPEAKER_04 50:55

And I always planned when I decided to be a doctor, I always planned on going to medical school in Italy. I never tried to get, I didn't even take my MCATs. Why? Because in Italy they got their own exams. And uh, and I sort of invented that because of the fact that uh I graduated from their undergraduate school, right? And uh is that arrow shooting through the screen on uh No, it doesn't.

SPEAKER_01 51:20

It's just it's just me.

SPEAKER_04 51:21

Yeah, um it um the um and the fact that I wasn't a lot under a lot of stress. And when you go to medical school in Italy, you know, they believe in to live every Italy, they believe you live, have a good time, number one. Number two, everything else is number two and less. Everything else, everything, uh the most important thing is live and live life and have a good time and uh enjoy yourself stress-free.

SPEAKER_01 51:49

And I'd rather be number one than number two.

SPEAKER_04 51:51

Yeah, I mean, you know, school, work, that was secondary. Yeah, and I can remember going to the hospital, and we I think we talked about this too, but I can remember going to the hospital in Italy uh during surgery. You know, we do surgery in the morning at like seven o'clock in the morning until about 12, right? And then everybody quit. Everybody quit. It was a ghost town. Remember you talking about it? Yeah, yeah, imagine. It was a ghost town. Everybody go home to lunch, have some wine, and go to sleep. Yeah. You know, make love to the husband or wife or something, and go to sleep, and then wake up around five o'clock at night. Even the stores were closed during that time. Wake up at five, five o'clock at night uh in the afternoon, have a cup of coffee, and then you go see your post ops, you know. And even on weekends, on weekends, uh, you had a skeleton crew in there, just like during the mid-afternoon skeleton crew in at night. And one thing was I remember that um Living was more my father used to talk about this. They go by the quota system as far as the positive quota system. Like, all right, on a Wednesday, I'm gonna do three operations. But doc, you got four or five patients you could operate on. You could operate all day. No, no, no. I'm doing three and that's it. We do unless it's an emergency. We do them next week, you know, elective cases. Because they don't want to kill themselves, and that's why they live longer over there with less stress. Overall, they got less uh blood pressure problems, less cholesterol problems. They they exercise, they walk constantly walking. Um, they're not as muscular as us, most of us, because we don't they don't go to the gym and pound the gym, but they they're always moving around, always doing you know light exercises. And they eat right, they eat right, they don't gorge themselves. I remember the first time Josie and I went to a restaurant in Italy when we arrived there, they gave us this little portion of pasta. I'm like, was it short as a pasta in Italy? I said, Oh, and then the sauce, they put a tablespoon of sauce on the top, right? And they came around with the cheese, and then went with the cheese. So you got used to that. Why is it like that? Because they give you a second, they give you the second, which might be meat, vegetables, and stuff like that. So it's not like here, like, all right, what do you have for dinner? Pasta, boom, big plate of pasta. Right. I'll give me a second plate. It's not like that. Yeah. What time is it?

SPEAKER_01 54:19

It's uh five. Uh we have uh 54 minutes in, so yeah.

SPEAKER_04 54:25

So it's it's 11:05.

SPEAKER_01 54:28

Yeah, yeah. I mean into the show. Yeah, well, you got a good show.

SPEAKER_04 54:32

So yeah, we're gonna conclude this show, and uh hopefully if the weather's bad next week or something, I'll come back. You know, yeah. If the weather's good, usually I fly. You know, I practice uh my approaches. Uh I flew I flew the airplane down to Dominican Republic um during Christmas. Oh, yeah. We landed there, uh I don't know if it's Christmas Eve. Actually, I landed at the Dominican Republic. I'm about to pick up Roseland. Uh we landed at the Dominican Republic Friday night, no Friday afternoon, mid-afternoon. That's the same day that they charged and got Maduro out of Venezuela. And we were like short distance from there.

SPEAKER_00 55:14

Right.

SPEAKER_04 55:15

And the pilot that I that I had a safety pilot with me, nice guy, he was Dominican. He was like our tour guide, right? He goes, we got to get out of here early in the morning because it's gonna close all the airports. So he knew what was going on over there, and the next day I came back and I'm listening to Chuck Schumer saying, We had no idea what was going on. He should have told us we have the right, we have to give permission, which is all bullshit. He's one of the biggest lying ever politicians. But anyway, imagine I had a guy that that uh was a you know regular pilot. He knew more about what was going on in uh in Venezuela than Chuck Schumer. Yeah, imagine it.

SPEAKER_02 55:56

Yeah.

SPEAKER_04 55:57

Anyway, thank you everybody for listening. Thank you, family. For at least I got the family listening to me. You would think I have 5,000, 10,000 people listening to me. I guess if we were consistent every single Saturday, they tune in. Which I got a life.

SPEAKER_01 56:11

Yeah, you got a life. What are you gonna do?

SPEAKER_04 56:12

All right, well, thanks again. Have a great weekend, and uh see you hopefully before the spring.

SPEAKER_01 56:18

All right, take care, everybody. For more information about Dr. Gabriel Jasper and all the things we talk about. Please go to jaspermd.com to make an appointment at 732 262 0700. Take care, everybody.