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.

WATCH US LIVE ON YOUTUBE: https://youtube.com/channel/UCzPzuxqfjwxUkpMMHhYB4zQ

Tune in for Painless with Dr.Gabriele Jasper MD! 

#JasperRegenerativeMedicine #PRP #StemCells 

#SpinalStenosis

#RegenerativeMedicine #Kyphoplasty #CompressionFracture #PeripheralNerveStimulator #Trust #sciatica #PainFree #EndoscopicDiscectomy #spine #BackPain #cure #RegenerativeMedicine #PainManagement #PainDoctor #BrickNJ #NewJersey #Teacher #PainSpecialist Call us now for an appointment. 732-262-0700

www.jaspermd.com

Transcript

SPEAKER_00 0:00

Good morning, everybody. We got the spring, beautiful, not too beautiful weather. Memorial weekend here, 50 degrees. We were all supposed to go to the farm Pennsylvania. Oh, that's right. Everybody backed out because of the rain, which I don't understand why, because it rains every memorial weekend. Usually not the whole weekend, like today. It's not raining. It threatened rain. It's threatening rain. Maybe it will, maybe it won't, but that's Memorial Weekend. Anyway, I'm Dr. Gabriel Jasper with Painless with Dr. Gabriel Jasper, MD, interventional pain physician. And when I say interventional pain physician, I mean that I do some form of intervention, some form of procedure to get rid of pain. I do not prescribe pain medication. So please don't ask. And I figure out the pain generators. And when you come to see me in my office, I will explain to you on your first visit every pain generator you have in your spine.

SPEAKER_03 1:07

Yeah.

SPEAKER_00 1:08

That's causing you to have pain. And I'll explain to you that most people that are elderly and have a bad back have at least five or six different pain generators. And it's hard to understand this for a lay person. It's hard to understand it sometimes with physicians, especially the pain doctors that are doing a series of three epidurals and sending them to surgency. Because an epidural is really just treating one thing, and they treat maybe some mild spinal stenosis and some mild pinch nerves. And especially in a young person, the epidurals work. But when you're older and you have severe, moderate to severe spinal stenosis, you got an extremely uh tight canal, neuroforamina, pinching a nerve, you know, epidurals are probably not gonna work.

SPEAKER_03 1:59

Right.

SPEAKER_00 2:00

But you know what? Jeremy, uh, I'm here with Jeremy. Hey you guys. And uh Jeremy was telling me that we had a bad Yelp review because a patient told me that he had eight epidurals in his life from previous doctors. From previous doctors.

SPEAKER_02 2:18

Yeah.

SPEAKER_00 2:19

And that's a pretty good subject to talk about today. Yeah. I usually get two two questions when I say to somebody, the first thing I'm gonna do is an epidural. And the first question is, why would you do an epidural on me when I had eight epidurals like this particular guy? Eight epidurals uh before my uh in my life. You know, every time your life, eight epidurals is probably not even a lot.

SPEAKER_02 2:45

And if you go to other doctors, they don't do a hell of a lot much, you know.

SPEAKER_00 2:49

So let me get let me don't drive me off of this track here. Eight epidurals, and um this that was the first question. Why are you gonna do the same? Why are you gonna do the same thing? Which actually isn't the same thing. The second question is when they come back after I do an epidural, they ask me, Why did yours work and the other doctors, multiple doctors, didn't work?

SPEAKER_03 3:15

Right.

SPEAKER_00 3:16

Why? And I try to explain it to some new patients. This guy had to be a new patient.

SPEAKER_03 3:21

Yeah, yeah, yeah.

SPEAKER_00 3:22

I try to explain it to the new patients, and they probably say, Oh, this guy's cocky, like who is you think he's magic? Is he he's gonna give the injection, it's gonna work. And guess what? They come back and they ask me, Why did mine work? You know, why did it work? Well, you know, like I say, there's a few reasons. Number one, I use probably the most expensive steroid medication, and any other medication, I use good stuff, and you get what you pay for. You know, you drive around an old Volkswagen, it's not as good as driving around brand new Cadillac. It's you know, it is what it is. Yeah, so that's one reason. I use better medication because I people try to tell me, Steve, buy this medication, you'll save $100,000 a year. I don't care about saving $100,000 a year. I want my patients to go out there and say, Dr. Jasper gave me an epidural. After eight epidurals, it feels good. Now it doesn't always happen, you know, and I tell them right up front, I said, this these people that gave you the epidurals probably did a pretty good job. And maybe they're using the same medication. Maybe when I give you the epidural, it's not gonna work. But there's another reason why I have to give the epidural because if you come into the office and you need something more advanced, like if epidurals don't work, and you haven't had an epidural in two or three years, the insurance companies will not approve, will not approve the next step in your in your treatment unless you failed epidurals within the last year, to no fact.

SPEAKER_03 4:50

Yeah.

SPEAKER_00 4:51

Most of the time I think that's ridiculous. But then at the same time, they know that in the different hands of somebody else, it might work. And guess what? They save the insurance companies, they are not stupid, they'll save all that money, they'll save all that money uh for the next step and the next step and the next step.

SPEAKER_03 5:08

Right.

SPEAKER_00 5:09

If you do an epidural, then it actually works.

SPEAKER_03 5:12

Right.

SPEAKER_00 5:12

So this particular guy didn't listen to me. He had at least five to six pain generators. And I gave him an epidural, which I told him, listen, it might work, it might not work, but you need it to go to the next step, and you need probably the next step.

SPEAKER_03 5:28

Right, right.

SPEAKER_00 5:28

Now, this guy he gives me a Yelp review, a bad Yelp review, saying, after I told him that I had eight epidurals, he gave me another epidural and it didn't work. Well, you know what? No shit. I explained it to him. I don't do anything just because I want to do it. Right. You know, I do it because of the fact that it needs to be done one way or the other. Then you get the people that don't listen to what you say because it's not technically it's a little difficult.

SPEAKER_03 5:56

Yeah.

SPEAKER_00 5:56

You know, if a person comes in and they got spinal stenosis, they got a pinch nerve, that's two pain generators.

SPEAKER_03 6:04

Right.

SPEAKER_00 6:04

They got arthritis in the spine, that's three pain generators. They got discogenic pain, which means pain's coming from the disc, that's four. And then you got motic changes, which, you know, it's you know, this is another topic, but modic changes where you got uh uh uh vertebrogenic pain, which is coming from the actual vertebral body, you know, this vertebral body, right? You know, and then there's there's more. I mean, off the top of my head, you know, uh there could be a lot more pain generators. A person could have a compressor fracture, right? But that's that's a little bit more rare, but that's B7, six or seven. And people, I try to explain to these people that you know, or anybody, that you could have five to six pain generators causing the same kind of pain. And how do you distinguish between them? You got to have experience, you gotta know how to read MRIs, and you gotta know the history, right? And you got to know the pain, what type of clinical symptoms. You could kind of narrow it down to a couple by, you know, for example, patient has more pain in the morning when they get up, or when they sit down for a long period of time, they get up. That's usually arthritic pain.

SPEAKER_03 7:16

Yeah.

SPEAKER_00 7:17

A patient has more pain when they bend over, when they when they sit down for too long, that's usually discogenic pain. It's probably the same kind of pain when you have motic changes with vertebral uh pain, right? Uh, which is bending over and stuff like that, and sitting down too long. Uh but you but when you have sciatica pain, shooting down the leg, especially when you're sitting down.

SPEAKER_02 7:44

That's a nightmare.

SPEAKER_00 7:45

That is from a pinched nerve.

SPEAKER_02 7:47

Yeah.

SPEAKER_00 7:48

You know, that's called ridiculous pain, right? I mean, it goes on and on and on. Now, most of the time, these individual pain generators got to be treated individually. There's no such a thing as doing major spine surgery or just treating it all at once. It ain't gonna happen. It ain't gonna happen. People go for major spine surgery, you address maybe one pain generator and they they finish, and they still got the same pain because they got pain from another pain generator. Right. It's the interventional pain docs that that treat individual pain generators, yeah, like I do. And eventually get to it. And I also tell patients in the beginning if you don't have patience, because it's time consuming, if you don't have patience, I'm not the doctor for you because I do one pain generator at a time. Because, first of all, you gotta you gotta, it's a process of elimination. I hate to say it, but you know, it's not a direct science. Certain things are, but you have to be able to diagnose what it is. And I mean, you could have sciatica pain from uh piriformis syndrome, which is a pinch nerve, the sciatic nerve from a muscle, for God's sakes. I mean, that's very hard to uh to figure out. That's rare, but uh it's very hard to figure out. Sure. But um, but you gotta allow the doctor, you gotta understand that the doctor's there to help you, you know, especially if he's an honest doctor, and it takes time. You know, some people just don't have the patience. They don't have the patience, you know. It could be some of them don't even believe half the stuff you say. Yeah, like I'm making it all up, you know, and then you got the people who are diehards that you know that they don't get any better until you fix the last pain generator. Then all of a sudden they're good. Sometimes it takes up to a year, right? You know, I got a patient who was a testimonial. She goes, Doc, it's been a year and a half you've been working on me. And I've been slowly getting better and better and better, and now I'm finally 100% pain free. But it took a year and a half, and I'm glad I had the patience, she said. But you'll see, you can see that on my testimonial. You got and you got these people. I don't know what you know what was the other one you said that complained. Oh, the uh hang on.

SPEAKER_02 10:02

I I have them all here. I I just want everybody to know that the majority of these are um five stars. Okay, let's just say that right now. Um, like we had one that was just complaining about a two-hour wait. You know, I mean, the one thing that patients don't understand is that if you go to any uh so-called pain management doctor, you're waiting there for two, three, four hours anyway. You know, because the doctors have to spend the same time with everybody else. That's what you're waiting with. And when you get into the office or into the exam room, you're getting that same amount of time, and you're not complaining then.

SPEAKER_00 10:42

Um, you might be getting more time or less time, depends on what's going on.

SPEAKER_02 10:46

It depends upon what's going on with you.

SPEAKER_00 10:48

Uh, if I got a patient, new patient comes in, has no MRIs, has pain. I can't make a diagnosis. So I explained to them what I could do, what they possibly might have based on their symptoms, which could take, you know, five minutes. And I say, well, go get an we'll I'm gonna give you a script for an MRI. You get the MRI, and I will spend time and make sure you understand where your pathology is, what's going on with you, and how we can fix it. Those are the people when they come in after with a brand new MRI, is where it might take 20 minutes, 45 minutes, but you never know, you know, and then you got then people don't understand that, you know, it's kind of hate to say it's kind of like a dentist's office, right? To a point where it's not like a uh you go to a family practitioner, which you can pretty much schedule everybody at the same time, right? And you know what you know, the patient's coming in for. Maybe it takes an extra three minutes to write a script for them. But we get patients sometimes call up in the morning, I can't move, I'm in severe pain, shooting down my leg. It happened yesterday afternoon. It's an app, beep, baby. Well, guess what? If there are hundred, if there is severe pain, I'll have them come in that day. Yeah, you know, it's like somebody calls a dentist's office and say, Listen, I got severe pain, I think I got an abscess. You can't let that guy go a week, right? Or the woman go a week. Yeah, you gotta treat it in the same way. I think the same as pain. So we'll start off the day with with 30 patients, and at the end of the day, sometimes we got 40 total. So people gotta understand that too. You know, it's not just them coming in, and we could have 30 patients, 40 patients, and out of the 40 patients, you know, everybody's easy, and we get done at three o'clock in the afternoon, and everybody's waiting here 10 minutes. But then you throw a wrench in there, you get a couple people that don't respond the way they're supposed to respond, or you get some new people that have six or seven pain generators, you explain it all to them and let them understand it, and the half of them don't don't listen to you, and then you gotta repeat it again. You gotta have patience, yeah.

SPEAKER_02 13:00

Yeah, yeah, and then they don't listen to you again. Um that's the important thing about all this. Uh, one guy was just he was claiming that you operated on L5S1, but he thought it was going to be L4L3.

SPEAKER_00 13:24

L4 L3? Yeah, he's not even saying it right.

SPEAKER_02 13:27

Obviously, the guy that didn't understand wasn't listening to me when we yeah, he says he and and then he says, uh, oh, he went over it with me under anesthesia. I guess that's Twilight. So he was he was communicating with you and all of that, yeah, sure. And then he says, uh, then he says, um, you know, when I was unconscious in big words, bold face. Um, you know what? A lot of people uh say that oh, he's so full of himself, he's so you know, but you're confident, you know your skill sets, you're a professional, uh, and you've been at this for so long.

SPEAKER_00 14:08

Uh Jessica figured out the other day. I've been doing I've been a doctor for 36 years. 36. 36 years I've been a doctor. You know, it's hard, it's hard to believe. I still, you know, my my brain thinks I'm like 20 years old, and my mind thinks my brain, no, my brain thinks I'm 20 years old, my body thinks my brain's an idiot. But I mean, this is typical. Yeah, and I and I know the situation here. I can tell you exactly what happened with this person. I explained everything to the patient a million times, like yesterday. I had a new patient, I explained to him, he's got five or six pain generators. I explained every one of them, and then I troll told him what I was gonna do for the one that's gonna treat the pain generators, you're gonna get the most relief with the shortest period of time and the safest procedure. And I explained that more in detail. I said, now, like I said, you gotta have patience because we're gonna work on them individually. I said, Don't think you're gonna remember everything I told you today, because you're not, but I would go over this every time I'm gonna treat a pain generator. He says, Doc, thanks, because that was so much information. Yeah. And wait, let me finish. Go ahead. But this is typical that they don't listen. I tell them I'm gonna operate on L34 or L45 or whatever it is, and I explain everything, I show it to them, I put it on the thing. Listen, there is so much redundancy in our office and in the surgery center, we do not operate on the wrong level.

SPEAKER_03 15:37

Right.

SPEAKER_00 15:38

We mark the patient, we write down on on every every little thing the nurse that goes through five, six the patients have to sign what's being done to them. Absolutely. Now, now, if a patient asks me while they're under anesthesia, so doc, and it happens a lot. Doc, so what are you gonna do to me today? What do you mean? What am I gonna do to you today? And then you're under anesthesia, and I explained it to you a hundred times, and then you got you also signed, you know. Listen, I'm not complaining about patients, I guess I am, but today the topic is a little bit about you know, patients that are disgrumpled for ridiculous reasons. And this guy's I'm for the first time you think I'm as a physician that's been doing this for 36 years, gonna explain to a patient while they're under anesthesia on what I'm doing to them that day. Come on, let's be let's be realistic. That does not happen. It doesn't happen, even in the doctor's an idiot and negligent, isn't gonna do that, right? So, I mean, I hope these people are smart enough that read it, say this guy's an idiot.

SPEAKER_02 16:40

If you didn't have your your your eyes dotted and your t's crossed, you would be getting into a lot of trouble.

SPEAKER_00 16:45

No, you get your eyes dotted, t's crossed, and people sue you anyway because they want the money. Yeah, yeah, yeah. You're right. You know, this is what happens today, especially you get the when the economy goes down a little bit, when gas prices go up a little bit. Everyone wants to sue you, sure. You know, they'll sue you for any reason.

SPEAKER_02 17:00

They feel like they got something coming to them and it's coming from you, but and that happens, you know.

SPEAKER_00 17:05

So, what were you gonna say?

SPEAKER_02 17:06

I was gonna say that this is pretty much uh a uh perfect case of a patient who isn't paying attention to you whatsoever, no matter how many times you uh tell them. They even got the um medical information completely wrong. They wrote that all down, but to a layman reading that, they're looking, you know, their eyes bulge. But the good thing about all of these reviews, these are the one or two bad reviews, they are the minority in all of them. We get five-star ratings, usually across the board.

SPEAKER_00 17:38

Well, how about reading the good one for uh is there a good one? Yeah, yeah, yeah.

SPEAKER_02 17:43

Um let me see. Oh, this guy um sent my doctor, uh, sent my neighbor to Dr. Jasper. Uh, he could not walk with a walker. Now he can. Gave me my uh gave me my independence back, he said. Thanks, Doc Edward Z. Uh um very positive experience with Dr. Jasper and staff. Had terrible low back pain, had bilateral epidural. This is a guy that's paying attention with great results and very little pain for a couple of days and no pain after one week. Um, yeah, this one, oh yeah, this is a good one. Uh, been seeing Dr. Jasper since November, and I find him to be amazing. I have had back pain and numbness in my leg for 30 plus years, and a tremendous fear that I would have to undergo um surgery. I have heard horror stories about back surgeries making things worse, which is why I let the issue persist as long uh as it has. It's that complacency. Um, thanks to Dr. Jasper and taking the process one step at a time, we have accomplished pain reduction and continue to work on the issues causing numbness, etc. I like that uh I like that he takes his time explaining procedures, and I love the fact that he doesn't jump in with both feet and perform deep, painful, long recovery surgeries. I like that we try this and we see how we do, and then pinpoint what else can be done. I truly believe Dr. Jasper wants to see his patients out of pain. You may take my post as he is dragging this out, but I see it as let's not go crazy and put you through tremendous pain only to find out that you have to do something more and the other uh on the other end. Yeah, in my opinion, that is about the dollar, not the patient. We're not things on an assembly line. We're live and just want help. Dr. Jasper will, all in caps, help. He will do everything in his power, and thank God for him.

SPEAKER_00 20:27

Right in the beginning, that's the epitome of what I do. That guy, he's got it. What was his name?

SPEAKER_02 20:33

This is Liz C.

SPEAKER_00 20:35

Liz C. All right, she beautiful woman. Yeah, what uh it's right in the beginning. How long did she say it took me? Where was she doing?

SPEAKER_02 20:43

Oh, she was um she was in pain for 30 plus years.

SPEAKER_00 20:46

She said uh I was with Dr. Jasper, sir. In the beginning, you said how long, but either way, it took her quite a long time to do, and she she put a rate in a nutshell what we've been talking about today, as far as you know, I pick one pain generator as a time, yeah, and it takes time, and and you can't, you know, do one thing and just think you're gonna get everything.

SPEAKER_02 21:07

I think that's a perfect review that answers the other one we were just talking about. Yeah, yeah. This is a patient who is understanding what you're doing, okay. Listen to what I said every step at a time, they understand your process, okay.

SPEAKER_00 21:21

That this is what happened, this is what you miss, and that's that's probably 98% of my patients. Yeah, but every once in a while you get somebody in there that's uh just not happy with themselves, I think.

SPEAKER_02 21:31

Or they're disgruntled by you know, maybe other people they've gone to and nothing has happened. I can get that you had that.

SPEAKER_00 21:38

I had that. You had that, you came and and you you came on a stretcher and you walked out of there the first day.

SPEAKER_02 21:43

But I had to I had to put my faith in you. Yeah, you know, that's that's it.

SPEAKER_00 21:47

You if that's why we do the podcast, that's why we put it on the radio show. Hopefully the pay there's a few patients awaiting for this to go on the show tomorrow. Is he gonna put this on tomorrow?

SPEAKER_02 21:55

Yeah, it'll be on it's gonna be on tomorrow morning on ninety-two point seven. W O B M from seven to eight o'clock, just before church. It's a great listen, and you'll find out so much about your pain.

SPEAKER_00 22:07

This lady, my brand new patient yesterday says, No, actually, she wasn't a brand new patient. She hasn't been here in about five or six years. She was doing good all this time. She said, Dr. Jasper, she goes, I you are my alarm clock on Sunday mornings. It goes off at seven o'clock in the morning and I wake up and listen to you. That's great. I said, There's a lot of repeats. She goes, Yeah, a lot of repeats, but they're good. Yeah. I said, Tomorrow we're going to have a new one. You know, I don't and I tell him, I don't come as much anymore because let's think about it. How much can you possibly say in this? I don't want to be too redundant, but today, for example, there's no redundancy here. This is this is a good program today, talking about stuff that we need to talk about.

SPEAKER_03 22:47

Sure.

SPEAKER_00 22:48

You know, the people, you know, for some reason, Yelp, you know, or or Google. Most people that listen, I I very rarely go on Google to do a review unless somebody pisses me off.

SPEAKER_03 23:02

Right, right.

SPEAKER_00 23:02

You know what I mean? So now you get all these things that people you get so pissed off, you're gonna give a review, you know. And you're happy, you never give a review. So that's the problem. But it's amazing how many good reviews we have there. Oh my god, yeah, compared to uh bad reviews.

SPEAKER_02 23:16

Well, you know, people, if you're disgruntled, man, you're gonna write about it all over the internet. But if you're happy, a lot of the times you don't do anything. And that's the and oh, what do we got here? It's hard to have faith if the medical community, in the medical community, when after many years they don't know how to treat your pain. Well, that's when that's when you go into a new thanks, Meg. That's when you go into a new doctor's office and you're so like you're so done with all these other doctors, you can't go into Dr. Jasper and then expect, you know, and with with with an attitude like, yeah, I've heard it all. I don't want to hear you, just do do something, fix me. Um, I don't know where it is, but there was one other guy who complained, complained, complained, complained, and then he ended up going to a surgeon who fused him because that's what some people think. Oh, I just just fuse me and let me go. You know, that that um one shot fix all, you know, and fusing is not that.

SPEAKER_00 24:21

Well, you know, and there's a lot of problems with, and I don't want to this is beating a dead dog, but sure with the advantage programs, Medicare Advantage programs, and people who don't have added network benefits. Yeah, um, they end up doing all these big procedures because uh the insurance companies, even these bad insurance companies, for some reason, pay for these big, big, large uh laminectomies with uh disc replacements and fusions, but they don't pay for the new. When I say new stuff, this is not new. You know, it's been around for years.

SPEAKER_03 24:57

Yeah.

SPEAKER_00 24:58

For years, and they still find a way not to pay for it. Medicare pays for it. You know, Medicare pays for it. You know, they don't pay a lot, but but at least they pay for it. But these advantages that promise they're gonna pay for it don't. But I tell you what, we've been busy, busy, busy uh the last uh maybe three or four weeks. Yeah, maybe three weeks, seeing more patients than we ever saw, you know, since last year. Why? Because the snowbirds have been dying to get treated, and they don't want to come back in between their winter stay, even though it's where they pay certain times you can pay a hundred bucks round trip ticket from Florida. So, I mean, we got tons of patients coming in, we're making them feel good. Uh, they they um some of them had injections in Florida, some of them worked, some of them didn't work, most of them didn't. But by the way, most of these patients, I know, I know I got the charts, I know what works, I know what what I have to do to get them back the way they were before they left. And then a lot of these patients are it's maintenance. You know, you gotta you gotta maintain them. You know, when you have a bad back, and a lot of people don't understand this, very rarely, when you have a bad back, you're gonna get rid of the pain 100%. Um but there are certain pains you get rid of. You know, if you got a sciatica pain, you get rid of whatever's causing it, that sciatica. You have spinal senosis, you open up the central canal. Once you do that, that particular pain goes away. But then there's always something else creeping up. You know?

SPEAKER_02 26:31

Here's this. Um Meg just posted again. She says, I had an injury to my back when I was 17. I'm 70 now. I don't expect to ever be pain-free. Uh uh, I just want to be able to get through the day. Well, Meg, you don't have to live with that pain. Many of the uh procedures that Dr. Jasper does are fantastic for senior citizens, all of them really. Um, you shouldn't have to be afraid. Uh come in and you don't have to live with pain. Trust me, I was I was you once upon a time. And you have to take that leap of faith, put your faith in Dr. Jasper. It might be a process.

SPEAKER_00 27:14

What's Meg doing now for her pain?

SPEAKER_02 27:15

Yeah, what are you doing now, Meg?

SPEAKER_00 27:17

You know, you could call in. Can she call in? Yeah, she can.

SPEAKER_02 27:26

Yes, she can. Uh the phone number is it is uh 609 389-8695. It's right on the screen as we speak. Uh the phone is on.

SPEAKER_00 27:46

Yeah, we don't a lot of times patients don't call, and it's always good to call, you know.

SPEAKER_02 27:52

Yeah. Although I don't know the password for it, but yeah. Um, we got some more questions here. Let's see what she says. Pain management meds, she says.

SPEAKER_00 28:07

You obviously don't come to see me. Yeah, you don't have to laugh, Dag, but uh how long have you been my patient?

SPEAKER_02 28:14

How long have you been taking those meds? Do they even work anymore? I was like you. I I had to take um pain medication and and you get hungry for it because it's the only thing that can uh it's a it's a quick fix. But then after a while, all that percocet and perkadan or whatever, um it just it doesn't work anymore. Your body gets used to it. So yeah, you must be uh you don't you don't have to live like that though, Meg. You know, come in if you got a loved one who can take you, if you're if you're able yourself.

SPEAKER_00 28:48

Well, 70 years old, she's young, she's my age. Yeah. Anyway, yeah, we can take care of you.

SPEAKER_02 28:55

Sure. She's laughing. She says four years. I don't know why. Four years. Well, we'll take care of you. So you've been on pills for four years. Is that what you're saying? That's uh that's a lot of time, and you I guarantee you, you are not uh feeling the relief that you once did.

SPEAKER_00 29:17

Call Meg, call and we'll make a diagnosis right now. Of course, I to make a good diagnosis, I have to look at your MRI. Yeah. And uh make sure when you come to see me, you got an MRI.

SPEAKER_02 29:30

Or, of course, yeah, you can call and make an appointment uh Monday morning at 732-262-0700. Uh, Meg, this is going to be the decision that changes your life for the better. Okay. Yeah, she says, Maybe I'll call. Call us. Maybe it's a big family there, all right? All right, and we'd love having you.

SPEAKER_00 29:53

But don't expect me to give you pain medication.

SPEAKER_02 29:56

It's way too long. What do you mean, the waiting? Is that what you're complaining about? Or not complaining, but you is that what you're mentioning? Trust me, if you're at home sitting on your couch, we got a couch in our waiting room. Oh, and she has an a recent MRI. Yeah, Meg, what are you waiting for? Come on, come see Dr. Jasper. You're not gonna regret it. I promise you that. Well, that was, you know, I think we covered some good ground there. Yeah.

SPEAKER_00 30:31

So what else are we gonna talk about? Talk about we're gonna talk about a lot of the success stories about um there's a way today to, you know, at least the company, um the it's called via disc. We talked about via disc where you replace the nucleus in the center of the disc. You actually replace the center of the disc here, right? This one's broken and it's actually leaking out, causing a herniation. But that disappears when you have degenerative disease, especially when you have anywhere from mild, uh moderate to uh severe. And what and once that starts, it's progressive, the disc gets smaller and smaller and smaller, and then you start to get what they call discogenic pain, pain coming from the disc, which we diagnosed doing discographies. We used to do eye dip procedures, uh, we used to do endoscopic surgery for this, all kinds of stuff. But I had a patient, for example, last year, that uh when I found out about this, the company, you know, tells you basically it stops degenerative dyst disease dead in its track. And I'm trying to figure out, you know, how could it possibly listen? It was an array, what we do is we replace this with a true nucleus. So even the nucleus that's in there that's degenerative, that eventually gotta go happen.

SPEAKER_02 31:53

She says, um, she's been on meds for years, and she says, oh, fine, thank you.

SPEAKER_00 31:59

Okay, goodbye. Anyway, um we get rid of we put replace this uh nucleus, right? And what by replacing the nucleus, let's say you got a new nucleus, how's it not gonna? How's it gonna you figure it's impossible to stop it completely dead in its track? DJ of this disease. And you know, I always make a patient laugh. For example, I had a patient the other day, patient was 75 years old. So, doc, how does this gonna stop DJ of this disease? And I said, Well, you know, the only way I could look at it to rationalize it is my own rational rationale on how they could actually say that it lasts forever, right? I say to him, I ask him, how long, how old are you? 75 years old. Well, it took you 75 years old to get to where you are now, so probably it'll take another 75 years to get to where you are now. Yeah, so guess what? You're not gonna be around in 75 years, so you could say it lasts forever. Yeah, yeah, you know.

SPEAKER_02 33:02

Well, the Casa Nostro has arrived.

SPEAKER_00 33:05

What?

SPEAKER_02 33:06

The Casa Nostro has arrived.

SPEAKER_00 33:08

No, it's uh Philip. I call him before, and he doesn't realize I'm at the I'm uh on the on the show right now. Yeah, he's probably taking a shower, but anyway. Um it does work amazing. I was giving an example. When a person has, let's say they have a fusion, right? They get a fusion of this level, right? They got rods and screws going into this level. This does not move anymore, but the level above, I'm gonna, these are all mishmash uh put together, but the level above, which would be this level here, is now gonna move, right? It's gonna move. It takes the fulcrum. Well, we got a broken back here. Yeah, call call Dr. Jasper to fix the back. It's gonna, it's gonna move and constantly move and cause what cause this by your uh left foot there, and cause what they cause a Jason Disc disease. That disc, even if it was perfect before the fusion, that disc is going to break down. You know, it's gonna break down. Let's say this is a adjacent disc disease, it's gonna break down because it's moving and it takes a fulcrum of everything, right? Well, I noticed the a patient year uh about a year and a half ago started to have the beginning of DJ of this disease. I treat him for arthritis, you know, other stuff. And I gave him an epidural for the pinched nerves because you know when it starts to break down the disc, you see the hole where that nerve is? Yeah, it's supposed to be that big. Now it gets smaller when the disc gets smaller, so to pinch the nerves, and then the nerves swell up like that. I did the um, I put the via disc in, and usually after a year, when you have the beginning of uh adjacent disc disease, which is the advancing of DJM disc disease, a year, a year, year and a half later, I did a new MRI for something else. It was the same. They had the beginning of DJI disc disease. By now, after a year, it's gonna be more advanced, and I've seen it advance in six months, yeah, once it starts, you know. But uh, so I've I've seen it myself with the via disc, it actually stops it and it gets rid of the discogenic pain. Right. That's the most important thing. And what you know, that's one of the important things. I think one of the most important things, if if somebody like me, who really doesn't suffer from back pain, but I have the beginning of degenerative dys disease, which is, you know, for my age, it's pretty good. I got a pretty good back after all the stuff that I done. I think if you give it to somebody preventatively, especially not like me, especially somebody young who has genetically uh a bad back. In other words, some people are predisposed to have degenerative dysdise and all the complications they're after. And you, if you put this in as a preventative, or you put it as a preventative, look how much money the insurance companies. I mean, they're smart, they're smart, but see, they don't, then they're not smart to the point where they can prevent having to pay for all the stuff that I do today on patients.

SPEAKER_03 36:25

Right.

SPEAKER_00 36:26

It probably won't be good for the future for an interventional pain doc. Because these are new new new technologies, new inventions that will prevent it. If you listen, if you prevent cancer, all the drug companies are not gonna make cancer anti-cancer drugs anymore. Right. You're not gonna do cancer surgery, you're not gonna do chemotherapy, you're not gonna do uh radiation therapy, which by the way, people say that's already out to cure cancer, but there's the you got the lobbyists out there uh paying off, you know, whoever the hell's invented it to the point where they might well, you know, it's all theory.

SPEAKER_02 37:04

Well, that's the theory where we all think that somebody's already invented the uh the cure for cancer, but they're holding it back because it's more money.

SPEAKER_00 37:11

If Trump invented the cure for cancer, did they? They say if Trump invented the cure for cancer, yeah, uh they find something wrong with it. Like what like w what I heard that joke, but something wrong with it. In other words, uh, he's uh uh I don't know, but he no matter what he does, not to get political, no matter what he does, they hate it.

SPEAKER_03 37:38

They hate it anyway.

SPEAKER_00 37:39

That's my political statement for the day. But I'm not gonna tell you whether I'm Democrat or Republican. I'm gonna keep you guys guessing.

SPEAKER_02 37:51

She says, uh yes. Uh Brenda Starr says, Yes, Meg. Uh, don't wait. Dr. Jasper is the best. Smiley face.

SPEAKER_00 38:00

Well, thank you, Brenda.

SPEAKER_02 38:02

Brenda's awesome. Yeah. She's a constant listener. Uh, so is Chris Cullen. I haven't seen him today.

SPEAKER_00 38:09

Chris Cullen uh is getting the viadisc. Is he really? He's actually got well, I wasn't supposed to tell you because that's uh well, he's a he's a part of our show now. Yeah, he's part of the show. He's getting the via disc and he's happy with it so far. And what's he what it's gonna do for him is prevent it from getting worse. That's great. Because he's got a bad battery.

SPEAKER_02 38:26

I think of via discs in my future eventually. I can see that.

SPEAKER_00 38:30

Um, I mean you you don't well, yeah, because you're not Medicare. How old are you?

SPEAKER_02 38:35

Uh 52.

SPEAKER_00 38:37

Oh, yeah, you got a long time to go.

SPEAKER_02 38:39

Really? Yeah, yeah.

SPEAKER_00 38:40

Well, yeah, you gotta be you gotta be 65. Oh, or disabled.

SPEAKER_02 38:44

I'm disabled, yeah.

SPEAKER_00 38:45

So you probably can get it. Yeah, you know, you you you got Medicare, right? Yeah, Medicare. You know, you know, people who are disabled, a lot of people disabled because they inherit they inherited the uh old timers disease early, or they injured themselves.

SPEAKER_02 39:04

Well, I had a rough, I had a rough physical life, though. You know, you were a stunt man, right? Yeah, yeah. Just petty stuff, but still I I treated my body roughly. I would do flips and rolls, uh, like in a comedy style. And I look back at the time.

SPEAKER_00 39:18

You were like uh Jerry Lewis.

SPEAKER_02 39:20

Yeah, yeah.

SPEAKER_00 39:21

Exactly. Jerry Lewis, he had the worst back in the world. Why? Because he's remembered. I don't know if anybody, I'm sure this is a good one. I didn't know he had a backwards here. You got to see some of his old movies, how he used to he did it all his own stunt work and he would fall and roll over. Oh, yeah. I mean, it was funny as hell, but it wasn't funny. He had multiple spine surgeries, and when I was doing when I was started doing this stuff, he was still alive, getting these spine surgeries, and he probably just had spinal stenosis that we could have treated easy.

SPEAKER_02 39:49

Your reason why they he did all that, and same with the three stooges, was because they had to make the sounds loud enough for the microphones to pick it up, so they actually had to hit each other really hard or do those roles really hard and physical, just so it would pick up on the mics.

SPEAKER_00 40:07

Yeah, you're in the show show biz, yeah.

SPEAKER_02 40:09

Well, I'm a big fan, so yeah. Yeah.

SPEAKER_00 40:14

Anyway, what were we talking about?

SPEAKER_02 40:16

We were talking about um degenerative disc disease and uh biodisc.

SPEAKER_00 40:23

Yeah, we talked about the snowbirds coming in.

SPEAKER_02 40:25

Oh, yeah, the snowbirds, the snowbirds, yeah.

SPEAKER_00 40:29

There's a lot of there's a lot of them feeling good today, you know. I mean, I treated so many in the last three weeks, yeah. And probably uh calmed down a little bit. Uh and you know the podcast. I don't know how many people are really uh listening to the podcast. Yeah, we got a bunch of people. We gotta figure out. Well, first of all, I gotta be more consistent. Sure, right? Sure. Um, I'm not consistent because of the fact that, you know, how much you're gonna talk about?

SPEAKER_02 40:54

Well, you never know what you're gonna talk about, though. You can come out with a story, and that's entertaining enough. You know, I mean, uh I I love just coming in. I I do this show with you how often? I mean, like we've been doing this for years, but I still love coming in and seeing what you have to say. And even I learn so much from just sitting across from this man.

SPEAKER_00 41:14

Yeah, we had a couple of stories. Are any good stories uh came up uh the last few weeks?

SPEAKER_02 41:19

Oh, well, I I just want to uh announce to everybody that we will be sponsoring the World Cup this year, okay, locally. And um, so you'll see you'll see the commercials brought to you by Jasper Spine Institute. And as always, as we do every single year, we we are um sponsoring Shark Week. And so that's that's a big deal. Um, but our summers all set up for everyone coming in. And uh if you're if you plan on coming down to the Jersey Shore and you have a you have a relative that you that you're bringing in who's suffering from pain, if you're in town, stop by Jasper Spine Institute. See what, see what he says, see what he can do for them. I guarantee you he can do something, he can fix something in there to make your your loved one or your you know whatever uh feel a damn side better.

SPEAKER_00 42:21

I got I got a story about a a new patient that I got this week. What's that Monday? I had a patient that uh comes into the office with his wife, his wife I treated two years ago, and the wife had severe pain shooting down her leg.

SPEAKER_02 42:44

What's that? Well, uh Vincenta says good morning, but Brenda Starr says, I love anything you talk about.

SPEAKER_00 42:51

Well, thank you, Brenda. Yeah, well, you're gonna like this one. This is this is a little bit, you know. I got I gotta uh really calm down my Italian New Jersey heritage when I hear something like that. Right? I mean, I it's very hard. Listen, I'm 70 years old. I'm supposed to be calm, I'm supposed to rationalize things. Yeah, but when I hear stories like this, it's very hard to rationalize, right? This lady, I operated on her two years ago. She had severe pain shooting down her leg. I did an endoscopic surgery on her. She's not Medicare. The insurance company uh paid me, but probably paid me very little money for this, you know, maybe just enough money to pay the overhead. Whereas a friend of mine called and said another doctor is gonna do it in New Jersey, the same type of basic procedure, and charge him $30,000 cash.

SPEAKER_02 43:52

Oh my God.

SPEAKER_00 43:54

I I don't charge patient $30,000. I should, but I don't. You know, I I'm I'm not like that. You know, I'm I How do you expect these people to pay? Anyway, I took whatever the insurance companies pay for. I got rid of all her pain. She had a she had a herniated disc, herniated disc like this, pinching the nerve coming out of the spine. I went in there with an endoscope with a little four millimeter incision. I don't know if I have the thing laying around here. A four millimeter incision. I got it, but don't worry about it. And I went in, it's a scope. I got it on a monitor, and I see everything I took it out. She came back 100% pain free. Two years later, she comes back with her husband. And the husband is 51 years old, 52 years old. He can barely walk. He's walking like he's drunk. He's like grabbing on to things, like he's not drunk, but he's walking like he's drunk. He has hardly any control of his feet and even his arms to a certain extent. And I and I said, this guy's got this guy's got something wrong with his cervical spine. I look at his cervical spine, he's got severe stenosis where the central canal and the cervical spine is closed down. And it's not closing down on nerves, it's closing down on the spinal cord. And the spinal cord is where all the nerves come out of the brain to go to the lower extremities or anything below the neck. So this guy's got um he's got severe stenosis that, you know, I can't treat severe stenosis. You know, remember I say I avoid every possible way to send people for major spine surgery, and which, by the way, you know, I sent the patient to Dr. Radcliffe, and he's great. He's a great doctor. I sent him to Dr. Rad. Let's get back to, and he's gonna treat him, right? But she says, Doctor, I am so upset. I went to a doctor down South Jersey, who I don't know. This guy doesn't know me. And she told him that I'm I'm gonna go after this for a second opinion, Dr. Jasper's office for my husband. He says, that guy is an effing, something something, and what he does is all a joke, and none of it works. That's what he said. The guy doesn't even know me. How can somebody say that that doesn't know me? I might say something bad about somebody who I who I know that's bad, you know, but never about a doctor.

SPEAKER_02 46:25

You don't talk badly about other doctors, it's just it's just not done.

SPEAKER_00 46:29

No, yeah. You know what she said? She goes, I walked out of there, but I told him off. How could you say what Dr. Jasper does is a joke? Dr. Jasper operated, he didn't know this. Dr. Jasper operated on me two years ago, had severe pain, psychic pain down my leg. He made a four millimeter incision, went in with an endoscope. She knew what I did. Went in with an endoscope in 20 minutes, took the herniation out, and I am still pain-free. You know what he says to her? She's a bus driver. She couldn't drive her bus anymore. Oh, wow, yeah. Right? She went right back a week later, drove her bus, and still driving a bus. And he's he goes, I bet you, I bet you you still have pain. Can you imagine saying something stupid like she goes, still have pain? She goes, I'm 55 years old. I have pain of a 55-year-old who drives a bus for a living. Yeah. You know, I got some back pain, which Dr. Jabson said he could take care of. I got back pain, but I don't have that sciatica pain that I could not walk. I couldn't function, I couldn't eat, I couldn't go to work. Sometimes I couldn't sleep at night. I will, I wanted the patient's, I wanted that doctor's name. I wanted his name. I wrote down her name, and I wrote down the doctor's name who referred her to him. I got so upset about it. I really shouldn't get upset about that. My mother always told me people act like that, people act like that who are jealous of you. Yeah. Because I used to get so upset. I still get upset with somebody who doesn't like me. She goes, those people don't like you because they don't know you and they're jealous of you. So you know what I did?

SPEAKER_02 48:10

But she also said that if if you got someone like that and you're really upset, put them in the freezer.

SPEAKER_00 48:17

Guess what? I put the name in the freezer. Did you really? I put the name in the freezer. Why? Because I was gonna go over there, I was gonna go, I was gonna call a guy, confront the guy, report him to the State Board of Medical Exam. I was so pissed off.

SPEAKER_03 48:29

Yeah.

SPEAKER_00 48:30

So so what I did was I said, you know what, let me let me make the doctor aware of who he's sending patients to. How they're they're they're saying bad things about doctors they don't even know, out of jealousy. So I figured, let me call that guy. So I called the the doctor that sent him. First of all, I get it, I get it, you know, normally you get a you get a nurse or somebody, a secretary. Uh, well, how can I help you, Dr. Josh? I said, I'd like to talk to Dr. So-and-so. Well, no, how can I help you? I said, You really can't help me. Is it about a patient? Yeah, it's about a patient. What's the patient's name? I gave the patient's name. Okay, how can I help you? I said, You can't help me. I want to talk to Dr. So-and-so, specifically about this patient, about what happened.

SPEAKER_03 49:18

Right.

SPEAKER_00 49:19

Okay. I waited 10, 15 minutes. Me too, I got 45 patients in the office, but I made the time to do this. He gets on the phone, and he gets on the phone with some off-the-wall accent. I can't, I can't understand half the shit he's saying.

SPEAKER_03 49:33

Right.

SPEAKER_00 49:33

And then I try to, I try to give, he says, What's the patient's name? I gave the patient's name. He goes, and then he repeats it with something else. And I spelt it to him. I had to spell it for him four times. Right? And he goes, All right, what's the problem? And I already told him what the problem was. And he goes, What's the doctor's name? And I tried to, after three times of spelling the doc, I say, You don't know this doctor? He goes, No. And and he I hung up on him.

SPEAKER_03 50:06

Yeah.

SPEAKER_00 50:06

I was on the phone for 15 minutes with this idiot who doesn't know who the patient is, which is okay. Somebody calls me, said I got a patient by the name of this. I probably don't know who it is. I gotta look it up. You have to see their face. But if they call my office, the nurse will take the name down, the secretary, give it to the nurse, the nurse will look it up. And before I talk to the doctor, I know everything about that patient.

SPEAKER_03 50:30

Right.

SPEAKER_00 50:30

Right? Which is the way you're supposed to do it. I got so fed up, I say, you know what? I'll take care of this guy. Name's going in the freezer. That's it. That's all you got to do. That's all you got to do.

SPEAKER_02 50:42

Actually, if you if you look in his freezer, uh, you'll see little faces in the frost in the back of it.

SPEAKER_00 50:50

Looking at it. My mother taught me that. And you know what? She says, it's you don't put it in there because you don't want to do any harm to anybody. Right, right. People want to do harm to you. These are the people you put in the freezer. It's an old Sicilian thing. And you put them in the freezer, guess what it does? It protects you from them.

SPEAKER_03 51:08

Yeah.

SPEAKER_00 51:08

Yeah. And believe me, you ask a few of the people that's fucked me over in the past, right? They'll tell you. And sometimes it takes more than just you know putting some kind of barrier before me. Sometimes it takes these people something bad out of their life. Hate to say it. Yeah. Don't be barking up the wrong tree here.

SPEAKER_02 51:35

We have uh Neil. Neil says, Your whole staff is great. Um, we have your niece, so Daniela. She says, his niece says hi also, and don't ever change. L-O-L. Daniela, when's the baby coming? Vincenza. Oh, is she?

SPEAKER_00 51:56

Yeah. Oh.

SPEAKER_02 51:58

Uh, Vincenza says, I had that surgery from you. Truly a miracle. My pain was gone.

SPEAKER_00 52:06

Yeah, how many years ago was that, Vincenza? Now that's my sister talk.

SPEAKER_02 52:09

Yeah.

SPEAKER_00 52:10

And they say it's unethical to operate on family members. Well, who else is gonna do it?

SPEAKER_02 52:14

Who else is gonna do it?

SPEAKER_00 52:15

Who else are you gonna trust besides endoscopic surgery on your family?

SPEAKER_02 52:21

Uh Vincenza is also known as Moon Jasper Gem, the psychic online. So if you need a good psychic, uh Moonjasper Gem is the one. Then we got Nicole, our our beautiful nurse.

SPEAKER_00 52:35

Who's it? Nicole? Yeah, Nicole, what are you doing on a beautiful Saturday like today? Because she's she's rained out all of her place. She's not failing or something.

SPEAKER_02 52:43

She says, nice shirt, Doc.

SPEAKER_00 52:45

Look, Vingenta says she puts names in the freezer too. Yeah, she must have got that from our mother. Yeah. And she said she had the surgery 2013.

unknown 52:55

Right.

SPEAKER_00 52:56

How many years ago was that? 13. Yeah, right. Yeah. 2016. Yeah, 26. Yeah, 13. 13? Is it 23? That's uh that's 13 years ago.

SPEAKER_03 53:09

Yeah.

SPEAKER_00 53:09

13 years ago, she had it. Who says these are just temporary procedures? It's good. A lot of response, these people here. Oh, and Danielle. Daniela says I do the freezer. Daniela, Daniela puts the people in the freezer too. Why? Because her grandmother was my mother. She knows. And it works, right, Daniela?

SPEAKER_02 53:33

Yeah, you gotta lock them up somewhere. You know, and it's better, it's better in the freezer than in your head.

SPEAKER_00 53:39

I came back from college one time, opened up the freezer, and all these papers come flying up. I said, Ma, what the hell is this? She goes, put them back. Put them back.

SPEAKER_02 53:50

That's fantastic. Um, yeah, uh, yeah. So uh we are one time. Go ahead.

SPEAKER_00 53:57

I remember one time this guy stole, he was actually my partner, and he stole $250,000 from me out of the practice. And I caught him. You know what his first words were? You don't know what his first words were? Okay, I'm so sorry. I'll do whatever I can to pay you back. Please don't put me in the freezer. I swear to God. Because people know, yeah, because I was I was his partner for a while and he knew the consequences is getting his name in the freezer. Guess what? It's still in the freezer.

SPEAKER_02 54:29

No, I tell I tell new hires when they come in, right? And they think, oh, is he mad at me? Is he is he mad? Because you you get passionate and your voice gets loud, but it's you're not yelling at anybody. And I said, Well, if you really are worried that he's mad at you, just check the freezer. Okay. If you're not in there, you're cool.

SPEAKER_00 54:48

No, I mean, if I get mad at somebody, I'll I don't put them in the freezer. Now, I get I put people in the freezer like this guy. This guy is is trying to hurt me. He's a he's a surgeon, he knows what I do, takes work away from him, even though the guy's probably 50 miles away, right? But they got this this this family surgeon against doing anything that we do that works. And I don't know whether it's because they make more money doing it or they some doctors I think are honest. I think that this is the only surgery that you can do what they do. Yeah, yeah, who the hell knows?

SPEAKER_02 55:22

Yeah, but one thing everybody needs to know once you get in the freezer, there's no getting out, you're in there, yeah.

SPEAKER_00 55:32

Unless the unless for some strange reason the person dies, then I'll take them out. Oh, that's nice, though. Yeah, that's nice. For some strange reason. For some strange reason. Which is usually an accident.

SPEAKER_03 55:47

Yeah, yeah.

SPEAKER_00 55:50

So we we not only talk about not only talk about pain on this on today, which we're finishing up here because you gotta do your show. Yeah, um, you know, we're finishing uh we finish it off with a little bit of laughter, sure. And you know, most of this stuff is true, but not true. We just try to make people laugh. Yeah.

SPEAKER_02 56:09

If you get to if you know Doc, right, you love him. That's it. You know, he's he's the one of the great, he's a character.

SPEAKER_03 56:17

Well, thank you.

SPEAKER_02 56:17

Yeah, you're you're the most you're the craziest character I've ever met, but you're also the most stand-up guy I've ever met.

SPEAKER_00 56:24

Thanks.

SPEAKER_02 56:24

Yeah, thanks.

SPEAKER_00 56:26

All right, everybody. Uh Jeremy, what what kind of show you got that? Tell the fans over here. What do you got going on?

SPEAKER_02 56:32

Okay, yeah. So I have a show called The What Remains with uh, you know, Jeremy Vickers, and I talk about growing up in the late 70s and early 80s, and uh what's so different today compared to then? And um, I'm loving it. I love it.

SPEAKER_00 56:50

I'm sure you got a great following, probably more to me.

SPEAKER_02 56:52

No, you got a lot now. Yeah, you got a lot.

SPEAKER_00 56:55

All right, everybody. Thank you very much for listening. Call us at uh 732-262-0700. I can fix that.

SPEAKER_02 57:03

You can fix that. Brenda Starr says she's laughing. She says, You're killing me, Doc.

SPEAKER_00 57:08

All right, brother, can't wait to see you.

SPEAKER_02 57:10

All right, yeah. So uh, yeah, if you want to make an appointment with Dr. Jasper, like he said, it's 732-262-0700. We are on um 92.7 W OBM Sunday mornings from 7 to 8. And uh, if you want to find out more information about the incomparable Dr. Gabriel Jasper, please go to jaspermd.com. Thanks, everybody. Take care.