Now Tommy Tucker on WW LA MI famine dot com. 809. Tom will continue talking about Michael Flynn and Donald Trump then you know I think about is me about oh this is that. And again with Donald Trump you never know. Because he's been very. Nom. Conventional and every time you think will wiley one deal longer seems that were down. And I just wonder he's got a big tax cut coming up. At his wonders somehow this is gonna. Either distract and help him in it cause now now. Maybe you're just Russia decide I don't I don't know and click on the tax. I don't know com. But we're we're gonna continue with a poll how concerned are you by the Michael Flynn reports 66%. Are saying not at all. Now Robert Meachem in jail for an unpaid child support but. He's still got to pay that when he gets out right out yeah he could get out of jail of the trader or a quarter. Of the 400 about only becomes over the hundred grand anything good out of the of the jail is as in before 400. Grand ID thirty days in jail. I think merger they go here's a little. I as a retired I'll pain when we come back because the new guidelines by the American academy physicians. That's a group letter of the group and economy that they're saying that pain pills should be the last option when it comes to treating pain it's and that you should tried stretching. Exercises. Somalia eyes etc. here. And moment that I like to talk deal if you earn chronic pain them. Yet the needle placement knee I had a torn rotator cuff and has been its ease and he's linoleum known that linoleum what is it. Aimed at pains stuff like McCain patches yeah you know what something you do little more structure there will be a right. Oprah I don't think you well as Europe will talk only comeback Allen here from you know if you have a chronic pain conditions. And you're taken drugs or whatever or painkillers let me know if you drive an alternative way and it's worked. Doctor and anomaly joints right now president of the American college of physicians and a practicing internist a morning guy or. Thanks taking time tell me about the new guidelines. As it relates to is it. Limited to lower back gainers of Payne general. No it's limited to lower back pain and low back pain is such a common problem that. The about 25% of in the previous three months. Will have had an episode of back pain at some point lol back. I'm talking about pac paid two it's really a result of too much you know exercise. Or shovel day or something of that nature and not really. From my face it. Injuries or. Some of the spinal the bill does so what are these you know other medical conditions this sort of nonspecific it will back pay the money you floor and not bad debt as. And so we divided not too low back pain into three categories we cents. There's of killer of course acute back pain. There's a sub acute and there's chronic. And we treat those very differently. So that we wanted to we have reviewed this topic at about ten years to fully wanted to review it and not so we have been doing. So how do you go about. Thumb reviewing this and issuing new guidelines. So we have a very. Formal process we have a committee. That looks at these guidelines. And really goes through the literature at a very systematic manner lead the review literature that's a public shall we call pure reviewed journals such. It's been verified as being accurate it is authentic it's scientific. And and we look at all the data from randomized control trials to systematic reviews two it's. Even in case studies to see a couple of ports and that police found was interesting. What we found was that boasts that pain low back pain it's non. It is south Lebanon that is you know overtime they take a few days may take a week the total. And really treatment involves a simple things like stretch and the saw. Logic she and maybe even a bit of spinal manipulation or acupuncture. Really doesn't even require medications stolen it's simple thing. Is that part of the problem that everybody wants to feel better immediately have we lost as a nation our tolerance for any pain at all. Yeah outside I think that's not agree you know we see people earlier that it probably need to but some people commit you know because the tape is certainly significant for those. Certainly adding in some anti inflammatory medications like naproxen Ibuprofen and in addition to the both sides and they he'd and so on. Can be very helpful. But if you just give them a little bit more time that stretches out anytime villagers stole it until. Now lying recently had a knee replacement and if not for the payments I don't know huckleberry visas today again Italian ambiance in text and people with. Chronic back pain is there any. Alternative and I know VOA. Overdose a big problem in this country but. Or sounds like Dan mean is there any alternative when when it comes to a chronic continuing condition if you got. In hurt my back and text comes in here when I was 29 a B 56. And apaches injections traction stretching. Best option they say is using an inversion table. But if you ham. In injury borrower I mean that you can meditate Ewing and a bank canyon and I don't mean that disrespectfully it'll. Right now not so far and definitely divided not low back stated to get treated sub acute chronic it will consider chronic has. For anybody who's for more than twelve weeks or three months. And we still say that's where chronic low back pain it's. You know that's not related to say and nerve injury or spinal and noses or discard radiation and not that sort of thing. Really still anti inflammatory like Ibuprofen and naproxen. In addition to in the physical therapy and stretching are important but they also say that pain control something like tramp it. Where do locks achieved. Camby. Quite helpful in relieving the pain and we really emphasize and we can't overstates. The importance of not using whole deal so. They rarely are. Gave way to to and it did clearly dependency forming. It's very hard to control they use once again on. They're really not very effectively that over the long on controlling tanked as you develop a fair amount of tolerance and dependence on the two and so. About it. Major recommendations not to use the appeal is as much as possible bots. Reliance on these are the things that certainly again coupon or try cheese spinal manipulation. All of these things in conjunction will make the big difference. Hot yoga some money Texan and. Yeah I don't I think. You know expect to the principle of loosening up some muscles boosting attendance. Doing distract change all of that is really important. You don't appreciate you time IQ in due date Amanda and dad and the morning on debit WL you do on. Yes I use on. Our. Plan. Caught beginning to hear from both. Ankles. And they are being. In. Front and in. Com unfortunately. Required. I do you believe honestly that the people that really. Because. I'd be. Glad you broke them. Are. You able able to again. We put out there and peacekeeping recently. Don't mean like before. And come on you'd none narcotics use. All. They do. What you. All right the are not going it's not going to be a lot and. But. At least the way. And I'm. Like on. Like street it's. Great that the time for. Currently the way. Get lucky and you know he's so. Big that people. There. And it's quite. Do you really believe that people. Paying. He could be used. Acacia. Tree. And the. So tough to understand because. There's no you know in the case my knee replacement had a big long scar but you know appeared your bag there's no opens sucking chest wound or anything like that. You're writing in Pena looked fine so somebody could say you do is making hitters some of my aunt and name it needs such here. Such a personal thing and so hard to Peru view you know. Young Sam and. Yeah I do I'm. But people. Are the clinic and an eagle them and they. You know that we because it. That description. On the you know like I think. We're the payment. And the police. And it makes people out. Well thank you I'm glad you called and I'm sorry you suffering and not so doctors. We can either keep the pain medicine. And I'll go to re hand or will you sleep at like it is causes no way. You can go through that. Anybody cannons on people I guess some people feel no pain at all. And I am very eyes rational for me to attacks in one right after the Leo talk about Donald Trump too much. I can't stand it anymore com and number Republican known tech's guns and money he'll talk about Donald truck. That's up there you go I'm a Democrat Miller to grant program. So we can't you know. His genial meal every time you turn radio Internet it's like you know tables there it's terrible analogy. Will continue talking about non traumatic thing to want to O'Donnell from Lance. The exit this cat acts iPod me anxious. You think this is just the Democrats they were just lying in wait. Just waiting for in the mainstream media just waiting for any little thing and as soon as anything happened. They are gonna jump all over it and try to derail the trump resonance lot of red meat there I think you think that's what it is and I don't like to hear from me at 260187. New war. As you're hearing more and more do you think this is really legitimate story and somebody Texan in that. If there had not been a leak. That Mike Flynn would still have his job. Analyst yeah that evening might flinch you'd still have his job well Matthew enrollment morning's mild pain pills you're under evidently duo. More and I think that McCall. By the pain pill thing I. Third degree burns on my leg and 2000 very. And obviously out prescribes. Pretty heavily that painkillers which helped me tremendously but what. What made my problem. An actual problem is. Instead of the doctor. Given me any kind of advice or coaching me already just stop prescribing me. The painkillers without any regard for you know whether. I had become addicted to more of weaning off the very thing and I think that that's the real issue of the doctors over prescribing. And then not giving the patient and how after you know it. Have a conversation with your doctor. No because at the time 2000 very would be for the old painkiller academic Eddy even become a thing. As I told her and look here's the plan and this makes every bit of sense from me. We had the knee replacement done so like it walk without pain the oil deal that is I don't do the therapy. It hurts too much he goes duke the therapies in my treatment plan would be. Anatoly doctors. Com you give me enough pain pills to get me through the therapies like get that done in the pain goes away. And only gradually get off of these pain pills and everybody is happy happy because the primary goal is to one. Get healed right and you don't understand tells arrest Eli final thing do you. Right that that that's exactly right but the gradual. Thing is is probably where you're going correct on this peca. You know I am ET CC's body off what is necessary. Quitting cold Turkey is why people go and seek the pain pills on the street because. They get this awful feeling of withdrawal. And the only thing that can help that is. Taken more pain could become a cycle which and becoming a cycle of addiction and that's where I'm we have the problem we have today over. Right I think they need to I think then needs via prescription plan and maybe an immediate treatment plan and you know makes sense to me on and now we have yet it's through whatever it is he gets you back whole and healthy again and and mortgage off because I guess I can't imagine anybody really. Alec to win and make me feel wanting to take does stamp heels for the rest of their life talking about. A pain pills and and chronic pain and any medication you need. And Ares or maybe necessary Evers started taking them but Mike and Algiers and start about Donald Trump and the whole mess which we are talking about as well eight. My money on not. You know I'd. Considered recorder well. We're yeah reincarnation. Angry. Right on her life and had zero. Let. But a little bit further in reincarnation. Benedict Arnold. Like you said. Well because he. It doesn't appear to have commitment of the United States yet. At all. Would he do and now. Or Mike Dylan in I'm walking through Wal-Mart. Now okay it's not like you're lifting something heavy units as Ohno I'm sure I hit it. So you think come you think he's betraying their country. As the movement. Or. All purple totally uncontrollable. He had absolutely no earned a unique art government. What you get parent for the Menem military academy yeah because they couldn't control. I'm not sure that did a lot of good points. Well you used only Donald Trump he couldn't do anything make you have. Heard it here for. Them. So again I would think I think that I could make a case. Four you're due 11 ideas and maybe the Democrats are doing that some people think where it's like I can't wait. Somebody's gonna mess up I know and I can't wait and as soon as they deal. And you pounce on him but. Really go back to the first. Any administration first couple weeks day I mean it's not really smooth do you think. Rob. And now you know it's yeah. It's it. Much lower than what we're seeing right now. Around them memories is kinda select him lady called though do you think these some of these Republicans should GO little more loyalty to the president bargain Guerrero won't assortment drama don't they mark it. Hey good morning. It again. Yeah. I'm trying to. Chase or not what you saw then well. About doctor. Very significant on our feet and the doctor you. Trying to ram. And this is now you and thanks. Yeah well. Commissioners and I've been many. Any and all your workers and opiate. And it so and it caught the withdrawal. We know. People grandma. So. In fact call opiates saying. Optical down. Right now in the stream plane cannot. We need to scale. Do you know. It. Not be. That genetic. It more which is something. You're your body expand been wanting. Respect her so that you need more more Medicaid. Well number right now from an all sold under the brand name all drama among others know Billy pain medication used to treat moderate to moderately severe pain so. Hum so would would would do you take these a lot or what would did you what is your situation as it relates to managing pain. One group. The blows your problems her again lose the burdens. To begin. You know you're one. I know pain. Might. Make. That might well but the doctor in one. We'll open. Here while it builds Bergen you aren't they don't world. I didn't minor endorsement emergency call trick. Work war Mort a bigger. So now. Many people like and being a shocker. Away. Where the doctor gave. Out. Com or on. What people. May connection. And immediately start. And immediately Caroline. I'm but IPO. Because I learned it. Code on an error in. All you and your body. Don't use it would. Increase the production while on you. One. New significant. Because your. To get. To do that Nedney. It. Because I do my body struggle. That you use that. The the plot you. Work. So there are. One. So. I gotta run mark thank you we get the news coming up I'm glad you called in no we will continued talk about everything we've been talking about pain. Management. Medications that setter the front Russians. Thing and crossings are about the special session going on and do we have a spending problem. Or do we not have enough money coming in what do you think will be back.