What is the 3^rd leading cause of death in Canada? Stroke talk.

Dr. Clayton Roach: [00:00:05] So, yes, I believe stroke, and maybe we’re going to say this a little later, but I believe it’s the third leading cause of death in Canada, right?

Dr. Ben Boudreau: [00:00:15] It’s really, really, really high. Yeah, yeah.

Dr. Clayton Roach: [00:00:19] I think it’s third behind heart disease and cancer, I believe. Yeah. So, yeah, so this is something that is probably going to hit home for a lot of people. We decided to do this because there’s a lot of confusion. I would like to call it between a stroke and a heart attack. A lot of people somehow get those two mixed up, right? It’s like, I think he had a stroke and, you know, his heart died. And that’s a heart attack, right? So we’re going to kind of dove into that and what those differences are, what the warning signs are.

We’re stepping outside the chiropractic realm tonight, but we are going to relate this to chiropractic in kind of an unfortunate way because chiropractic has sometimes been lumped into the stroke conversation. We want to put that to rest tonight by presenting what the data is saying in terms of chiropractic and stroke as well. So stay tuned for that until the end of the talk because we’re going to talk about that. Go ahead, Ben.

Dr. Ben Boudreau: [00:01:18] Absolutely. So a stroke occurs when the blood supply to the brain is interrupted or reduced, preventing the brain tissue from receiving the blood supply and the oxygen that it needs to stay alive. And so without oxygen, brain cells can die in up to two minutes. And so that’s why when you notice and you pick up those first signs of an individual having a stroke that you have to recognize that it’s a medical emergency almost immediately, there are two main stroke causes. You can have an ischemic stroke, which is essentially it’s the most common type eighty-seven percent of strokes or ischemic strokes, and it happens when the blood vessel is narrowed or it’s blocked and so narrowed or blocked, interrupting the blood flow to an area of the brain.

And it doesn’t matter which then causing that cell death and the symptomatology that then ensues onwards. The second most common type of stroke is a hemorrhagic stroke, and a hemorrhagic stroke is when the blood vessel leaks or ruptures and tears. And so things that might be related to that or are things like high blood pressure in the actual artery, they’re causing it to rupture, bulges weak points in the blood vessel walls, of course. And so two of the main types of strokes there.

Dr. Clayton Roach: [00:02:49] The common denominator of both is that at one point you have reduced blood flow to the brain, right, either because blood is leaking out of the vessel. In the case of a hemorrhagic stroke, in the case of an ischemia stroke, what happens is that you have a little piece of plaque that takes off and blocks the blood from getting beyond that point. So whatever parts of the brain were supposed to be supplied by that load of blood are now going to be ischemic, meaning it’s not receiving any blood, which means that part of the brain dies and whatever function that brain was responsible for is going to now be deficient.

Dr. Ben Boudreau: [00:03:36] Mm hmm. Yeah, absolutely. Sometimes what you’ll find is they’ll be like this TIA and we’ve all heard of TIA or a transient ischemic attack, right? This is when you’ll have those symptoms of a stroke and sometimes they refer to this as a mini-stroke. These are signs that you want to pick up on early, even if they go away, right? Because a TIA can happen for a certain period of time and then the symptoms disappear. But you want to be able to use those symptoms. And what the patient is going through are the person, family member, et cetera.

You know, it tells you that, OK, well, maybe it wasn’t a stroke this time, but the risk of a stroke just went way up. And so definitely pay attention to OK if you notice the signs and the symptoms of a stroke. Which we will be going into and diving into just now.

Dr. Clayton Roach: [00:04:26] So what I want to say in the case of a TIA, a transient ischemic attack, what would have happened is a little piece of plaque would have flown off. And it can go through because the artery is pretty big and as the already starts to get a little smaller, it gets stuck. But the pressure in the artery is probably big enough that eventually it dissolves and it goes away. So now the blood flow starts again. But there’s a period as an interval of time where the brain is not getting the blood flow that it needs. So that’s why it’s transient because blood flow returns because the piece of plaque is now dislodged and is no longer stuck, preventing the blood from moving on through.

What are the warning signs of a stroke? Think FAST!

Dr. Ben Boudreau: [00:05:05] Absolutely. And so definitely, what are the warning signs? What are the warning signs of a stroke? Right. So this is all dependent as well on where the stroke is actually happening, where that bulge or rupture is occurring and what areas of the brain are going to be most impacted is dependent on which artery is involved, whether it be the primary motor cortex where the motor is happening. Your speech cortex, right? You’re hearing vision. So it’s all dependent and how severely impacted you’re going to be is depending on which part of the brain is involved. In some cases, the whole brain is involved.

Some of the signs. What are we looking for? And so trouble speaking or understanding is definitely one. So your speech area of the brain is involved. Paralysis of the face. Just like our friend here in this photo here, he has paralysis of one-half of the face. There, the lip is drooping compared to the other side. Otherwise, he’d have probably had a bit of a smirk or somewhat a little bit of a smile on his face. I’d say, Yeah, the arms are legs. You can also get paralysis, their problem seeing in one or both eyes, so you can sort of see the trend here. It’s more severe the blockage, the more severe the signs and symptoms. But one of the major ones, I’d say, is a headache for you.

Dr. Clayton Roach: [00:06:28] Before we go a little further Ben, I want to. I had a question in the clinic and how would you be able to? And you can answer it and we can answer it together. The difference between Bell’s palsy, where you would see the face drooping and a stroke.

Dr. Ben Boudreau: [00:06:46] Yeah, I mean, for me, you’d have you wouldn’t just look to those symptoms of the face drooping, I probably look for some other symptomatology as well, right? But there’s a way of looking, especially in Bell’s palsy, to the actual tear ducts as well. Yeah. And so you can start to look to that area, too. There are other little signs that can separate that, but please give me your answer as well.

Dr. Clayton Roach: [00:07:11] No. Well, the main one is that with Bell’s palsy, typically people can’t close their eyes, right? Because it’s affecting the facial nerve, and the facial nerve is responsible for closing the eye. That’s why they try to blink, but they can’t. The eye gets all watery and dry at one point. If the eye is affected where you can’t close your eyes but your mouth is drooping, obviously, you go by other symptoms as well. But chances are good at that. In that case. Bell’s palsy, right? Definitely different there.

That’s very important because it’s a question that we get in the clinic because some of you might listen to this. God forbid you to recognize those signs and a loved one or whatever. And with stroke, the quicker you can react, the better the outcome. It’s very important for you to understand those signs and symptoms. Yes, headache, you’re going ahead and talking about.

Dr. Ben Boudreau: [00:08:06] And I mean, it’s great that you said that because the faster you think, the better your outcome. And so remember this when should you see a doctor? When should you call 9-1-1, you know, and get this person to the hospital as soon as possible? You need to think fast. So think of this acronym. Look to the individual’s face, ask them to smile, see if they have control over their muscles, muscles of facial expression, arms, a ask them to raise both arms. Do they look like they’re drifting from side to side?

Or are they unable to raise their arms as their speech? Ask them to speak, ask them to repeat after you right? See if they have a slurred speech. Go one c-one, two, and three. Ask them to repeat back and then time for T. You need to observe how much time is passed. Because, as we talked about, the brain cells die very quickly up to two minutes. You can start losing your brain cells. So as soon as you start to notice these symptoms, come on, think fast, call 9-1-1 and have that patient taken care of as quickly as possible.

Dr. Clayton Roach: [00:09:12] So that’s good information. Golden. So the acronym is FAST, F for the face. Look at the facial muscles, A is for arms get them to raise their arms. Is there a paralysis there s for speech? Do they have a slurred speech, right? It’s going to be obvious most of the time and then Time you gotta call 9-1-1 very quickly. The acronym is FAST. Let us know if you’ve learned something so far, right, even if it’s just a little thing. The difference between Bell’s palsy and stroke, that acronym lets us know and give us a thumbs up and a heart. Give us both if you’ve learned something so far tonight. Absolutely.

Dr. Ben Boudreau: [00:09:59] So some of the complications again, if you know the individual, of course, like the mortality rate is very high after a stroke. But you know the complications afterwards, if you don’t catch it fast enough can be complications, loss of muscle tone, loss of muscle movement, loss of speech, memory, emotional problems and changes and of course, chronic pain afterwards. Because that is a huge event to suffer people’s lives can change in a matter of two hours. And so the faster you can get it figured out, the faster you can get, the help that they need and the treatment that they need, the better their outcomes are going to be.

Dr. Clayton Roach: [00:10:37] Yeah, yeah. And the reason behind the outcome is better. The quicker you go there is because of the quickness of the cell death, right? So the longer you wait, the more death there is, the less likely you are to come out of that stroke with all the functions and not having lost any function, right? So and the ability, I mean, you see somebody with that walks with a that has a stroke. One of the ways you’ll see is that they’ll keep their arms abducted close to them. They’re usually inflected, right?

Basically, their extensions are inhibited, so the flexors take over and then they circle up their gait, meaning that they kind of they can’t bend the knee very well again. So they kind of wiggle their leg around in order to be able to walk. And I mean, that is just not great, let alone. If you don’t pass your swallowing test afterwards, you can’t swallow if you’re going to choke. So now you have to be intubated. And so again, fast, you got to think fast. When it comes to a stroke.

What increases your risk of stroke?

Dr. Ben Boudreau: [00:11:50] What are the risk factors for stroke? By the way, a stroke can happen at any point during an individual’s life from infancy all the way up to late adulthood. And so it’s not just a can, a condition that happens, you know, in individuals who are between the ages of 40 and 60, right? Even though that’s the most common. You know, it can happen in infants as well. What are the risk factors of a stroke so overweight a large waist size is a contributing factor. It’s what they say, but I think some of the other underlying issues, like high cholesterol of the low-density lipoproteins, will increase your risk of having a stroke because you’re bundling up a lot of that cholesterol and you’re limiting your blood flow through your arteries, right?

If one of those detaches, that’s when you’ll likely have stroke inactivity, right? So again, a lack of physical activity leads to an increased risk of obesity, which then increases the risk of developing high cholesterol. And so not getting enough activity is a risk factor. Binge drinking has been linked to an increased risk of stroke. Drugs like cocaine and methamphetamine are also contributing factors. And so for those of you who are doing any of that, stop that now, stop that now. Cigaret Yeah. Cigarette smoking or secondhand smoke. So again, smoking will increase your risk of a heart attack or stroke,

Dr. Clayton Roach: [00:13:31] And I believe I believe smoking is the number one cause of stroke.

Dr. Ben Boudreau: [00:13:36] Yeah, at least the number one link, right? Diabetes. There’s also an increased risk. Sleep apnea. Right. And so there’s a list as well. And they also brought on that that a COVID 19 infection, they’ve noticed someone who has had a COVID 19 infection increases the risk of actually having a stroke later on. Now, this is new research that they’re just finding. And so maybe there’s just a correlation. Maybe the individual was, you know, not healthy to begin with had COVID and then suffered a stroke later on. Right, right. So there are so many factors in the way they’re

Dr. Clayton Roach: [00:14:16] All these things and you might have heard this term being kicked around and maybe you didn’t know what it meant, like hypertension, diabetes, all these things are called co-morbidities, meaning they coexist with the condition that you get. So in the case of COVID 19, you may have had other comorbidities that once the person got COVID, that hypertension and everything else that was already there. All that together was the perfect storm that created the stroke, you take away diabetes and the heart disease and all that stuff and hypertension. Maybe that person can still have COVID, but didn’t get a stroke because the comorbidities weren’t there, right?

Dr. Ben Boudreau: [00:15:02] Absolutely. And for those of you who are interested in that sort of conversation, we did do a topic a few weeks ago in metabolic syndrome, and we talked about different metabolic conditions and how you can measure your state of metabolic health. Right? If you have a balanced state of metabolic health, it reduces your chances of having heart disease, stroke, diabetes, obesity, et cetera. Being able to balance out those levels will decrease your chances of suffering from some of those diseases, right? So if you have and you’re out of whack and you’re in certain levels that are putting you more at risk and you suffer an infection, your chances afterwards of recovery and of living a healthier, happier life are going to be reduced if you don’t go into it with a better state of health.

Dr. Clayton Roach: [00:15:53] Yeah, no, I totally agree with that. And again, I think the reason that people are misconstruing stroke for heart attack is a lot of the risk factors are the same, right? So a lot of times, you know, diabetes and the inactivity, the obesity and all that stuff, you’re putting yourself at risk for both, right? But the actual stroke or heart attack is very different in terms of what happens, right? So in case you’re just joining us, this is somebody’s conversation number forty-two with Dr. Boudreau and Dr. Clayton Roach. We’re talking about stroke, a very, very, very common thing here in Canada and across the world, we believe is the third leading cause of death in Canada behind cancer and heart disease. So very, very common among Canadians and other parts of the world.

Dr. Ben Boudreau: [00:16:47] Absolutely. Great point about heart disease and heart attacks and stroke and how they have a lot of the same things that you measure in order to determine your risk of suffering a heart attack or stroke. One of the preventative things that can be done today to help decrease your chance of having a stroke is controlling your blood pressure. Finding ways to lower your blood pressure, right? And so these are ways that you can do it naturally, right? Making sure that you’re actually losing some weight can reduce your blood pressure by doing some short, brisk physical activity right where you’re not, you know, totally exhausting yourself, but getting a bit of a sweat on and getting your heart rate upright.

Eating some heart-healthy foods. Leafy greens. Right. Fruits and vegetables. And then also lowering your consumption of unhealthy cholesterol and saturated fats, right? So we talked a lot about the low-density lipoproteins. So those sorts of cholesterol that actually stick to your arterial walls, not the high-density cholesterol that moves through your arteries and can glide off the walls.

Dr. Clayton Roach: [00:18:12] Talking about Crisco shortening? Yeah, yeah, right. Some of the, yes, you know, is great in baking and it has. But there are certain oils you want to look at and cook with that are better than others, for sure.

Dr. Ben Boudreau: [00:18:28] Absolutely. And so looking to reduce your consumption of cholesterol and saturated fats, right? So look away from the Big Macs and look a little bit more towards making green leafy vegetables the main course on your dinner plate. Of course, one of the main ones is to, of course, look away from tobacco use and increases your risk of heart attack and stroke, and not to mention cancer as well. So the list goes on and on and on. If you’re a diabetic, ensuring that you have your sugar levels and you have your diabetes under control will reduce your chances of suffering other complications later on.

Maintaining a healthy waist circumference, and we talk a lot because we did our metabolic talk a few weeks ago about how it wasn’t necessarily the weight that the individual weighs, but the waist circumference is the most important. And I believe it was 40 inches in males. Anything more than that is too much and thirty-five inches in females. And so making sure that your waste consumption circumference, sorry, is under those two values would reduce your chance of suffering from some conditions later on.

Dr. Clayton Roach: [00:19:49] Cool. Yeah. Very well said. Before I go in there, I was just looking at a stat. There’s one stroke every 10 minutes in Canada. One stroke every 10 minutes, so if this talk is 30 minutes, three people. At a stroke, about three hundred thousand Canadians are living with the effects of a stroke. And every year, nearly fourteen thousand Canadians die from a stroke. And there are over 50 thousand new strokes every year, right?

That’s a lot of people when you consider that. Canada has what was a population of 30 million, thirty-five million, maybe more than that now. Well, it looks like traffic in Halifax, I think, you know, I think it’s more than 30, 30 million gallons. Every city is growing like Halifax, so you know, that’s a lot of people, right? So. All right, Ben start us off with stroke and chiropractic. What I know, I know.

Chiropractic and recognizing strokes!

Dr. Ben Boudreau: [00:20:52] I know I just the reason why we bring this up and I tell this all to my patients. The reason why I talk about stroke with patients is not that I’m going to give you a stroke. That’s not the reason why it’s that strokes are so common, right? And so we’re dealing with the arteries in the neck and we’re moving the joints, right? And so what I say is that a lot of patients that we see have the same conditions will come in with the same symptomatology as someone who’s having a stroke, headache, neck pain, dizziness, nausea. These are all symptoms of a stroke.

I always make sure that especially with my patients, that if you’re experiencing symptoms that are completely different than what you’re used to, you know, let me know, right? Because the chiropractor is going to do a re-examination, determine if the individual is having a stroke and then call 9-1-1 and call an emergency vehicle as soon as possible so we can have this individual examined by the personnel necessary to save their life.

Dr. Clayton Roach: [00:21:54] Yeah. And again, not because we’re afraid that chiropractors cause stroke because that’s been debunked a long time ago. But we know the research that’s out there because obviously, we look at chiropractic data because that’s what we’re interested in. Just like medical doctors may look at drug interactions, which we will know all of those because it’s just not our field, but it’s to the point where you know a lot about the field you’re in. But when there is that misconception about chiropractic and stroke, it was actually one of the questions that paramedics would ask. People that had a stroke.

Did you go to a chiropractor? I mean, that was so far from the truth of what the data was saying. And obviously, the data wasn’t strong then because a lot of the research hadn’t been done. But now that the data is out there, I mean, that stuff should not be said because it’s just not happening. But we’re going to talk about that tonight. I’m very curious here the people that are listening. Why don’t you comment, yes, if you’ve heard of a link between chiropractic and stroke? Just comment. Yes. And they’ll kind of prove my point that you guys have probably heard about that.

Unfortunately, sometimes that will scare people from going to the chiropractor, right? Because it didn’t go beyond that, it just doesn’t question. Or they’ll just believe their brother, John, it said. Chiropractors cause a stroke. Well, I guess I’ll go see a physiotherapist. Right? So let’s talk about this and we’ll see what people respond here already. Yes, I got it, ever. That’s good. Maybe we should talk about it.

Dr. Ben Boudreau: [00:23:33] Well, I mean, it’s one of those things, right? So a person comes in. Let’s just say that Joe has been experiencing some neck pain headaches and Dr. Joe has been seeing him for months and months and months. Joe comes in. He’s got this massive headache in the chiropractic world. We call it a thunderclap headache. So he comes in worse. Headache 10 out of 10. And Dr. Joe just says, Oh, well, you know what, this is your regular old headache and then Dr. Joel, adjust the individual’s, you know, cervical spine and then the patient goes home later on and there you go. Lo and behold, they had a stroke

Dr. Clayton Roach: [00:24:19] And even worse to justify that worse headache, ever. The guy says, Oh, I’ve been having a stressful week. And so both parties understand that the headache is probably there for a reason, and it’s justifiable based on the week they had the previous history. Many times patient came in with a headache and none of the parties involved either the patient or the doctor. Has other reasons to believe that there is a stroke happening at that moment because there are no other symptoms, right? So know is given.

Dr. Ben Boudreau: [00:24:59] Yes. And the individual goes home. Yeah. Now let me tell you this. So the person goes, they go to the primary care physician’s office. Let’s just say it’s a medical doctor. Worst headache ever. M.D go as well. You know these are your regular headaches. Here’s a prescription. Take these and we’ll see how things feel later on. Joe goes home and has a stroke right patient goes home and has a stroke. So what they found in the research right is that the chances of somebody having a stroke, whether they see a chiropractor or they see their primary care physician, is that there was no significant difference between the two.

The individuals have the symptoms of a stroke, saw a provider and then had the stroke later on. Right. And so that is exactly what the research is saying is that there’s no difference between going to a chiropractor or a chiropractor enhances your chances of suffering a TIA or a stroke. It’s the exact same as if you saw your dentist or if you went into Wal-Mart, went to Wal-Mart, bought a TV and went home and had a heart attack later on. So no difference at all.

Dr. Clayton Roach: [00:26:19] So although there’s a correlation between the stroke and the chiropractor, the stroke and Wal-Mart, the stroke and the doctor, the correlation being the timing, but there is no cause and effect that just one didn’t add to the other. Right. So that, unfortunately, because we work at the neck kind of raise a suspicion that chiropractor chiropractors were the cause and effect, right? And there was that relationship. But lo and behold, research has been done, and that’s just not the case, right? So let’s talk a little bit about that. Those numbers Ben.

Dr. Ben Boudreau: [00:26:56] Yeah, and so very low, the numbers, you know, the actual incidents of, you know, chiropractors are interested in really the strokes that happen in one particular artery. It’s called the vertebral artery, and they found that the incidence of that stroke in the vertebral artery is actually so low, it’s almost two point six per one hundred thousand strokes is related to the stroke that all of these so-called scientists said that chiropractors caused. And then what they’ve actually found through the Pierre Coyote’s studies and the Optima guideline studies and all these big-time researchers that are doing research right now for the Ontario motor vehicle accident claims essentially have found that if you turn your head and tilt all the way back, that puts more pressure on the vertebral artery than what would be performed during a chiropractic adjustment.

Dr. Clayton Roach: [00:27:56] Right? It’s the same ladies out there. They get your hair done. Yeah, put your head back in that sink, which many times patients will come back and say, Yeah, you know, I had to. I had to get rid of that sink because I was getting dizzy and probably dentists, you know, have noticed that as well, right? So any time you put the head back, you are going to decrease the lumen, the hole in that vertebral artery. Right? So again, you know, that’s. Information is key because knowledge is power, right? But when you don’t understand that you have the data, then you associate the stroke to where you are at last. If it’s a chiropractor, well, that’s the chiropractor that causes a stroke, and that’s far from the truth.

Dr. Ben Boudreau: [00:28:44] Yeah. And you know, and in all of this being said, because, you know, it’s definitely one of those things where you say, well, if you can mitigate risk as much as possible, right? So if we have a patient who you know, has suffered a stroke in the past and is now seeking chiropractic care. Of course, there are ways in which the chiropractor can sort of adjusting and change their adjustment to suit their need. Right. There are different ways to adjust the spine that don’t involve rotary adjustments, right?

We just talked about how it doesn’t place much more pressure. But if the patient feels comfortable with a different type of adjustment or an adjustment that’s better suited for their spine at that particular moment, then that’s what we’ll be doing, right? So we can taper our technique to match the need of the body. You know, we don’t just wake these folks by last week. Everybody is different, and so every adjustment is tailored and made to suit the need of that patient individually.

Dr. Clayton Roach: [00:29:48] Yeah, and the patient. But also what’s going on that day like, I mean, you could see a patient for five visits and you going to make adjustments while their face up. And then for whatever reason, that visit the alignment is different. And you would say that maybe an adjustment face down is going to be better served for that patient that day based on how they’re presenting that day. So different techniques for different people, different techniques or different presentations.

So again, it’s not just, you know, we said, I think we said this last time, you know, if somebody was just looking at me doing adjustments all day long, they would say, Oh, he’s doing the same thing with a lot of people, but my head can be one segment different on a spine. You would never notice that. And why I did somebody’s face down face up, no different than any professional says, why do you do it that way? It’s just experience and what’s there and what we’re looking at. So definitely, you know, could we be safer with a patient that has known vertebral artery or some clotting cases in there? Absolutely.

We could say, Well, we’re going to go face down. We’re going to do adjustment where there’s no rotation, just like you wouldn’t want that patient and bring your head back into that sink where it’s going to create less room for that artery. So there are things that we can do to accommodate, just like any other profession would, right? So there are things you can take into account.

Dr. Ben Boudreau: [00:31:20] Absolutely, absolutely. And I think that’s where a lot of the, you know, the naysayers and a lot of these, you know, like the yeah, the Ernst is out there of the world, right? You know that question the chiropractic in general. And so a lot of them just think that all day long we’re doing the same adjustments to individuals, but that couldn’t be further from the truth. Chiropractors are trained to recognize just as much as we’re trained to treat and to recognize like we’re looking for the things that are going wrong. You know, we’re not just looking for what we want to find. We are looking at why is this there? And if we can’t explain why it’s there, then something’s got to be wrong, right? So we’ve got to get to the bottom of it, right?

Dr. Clayton Roach: [00:32:09] And millions of adjustments delivered across the world since eighteen ninety-five. I mean, chiropractic didn’t happen yesterday. Eighteen ninety-five BJ and Palmer, way back when, right? So when you take a look at a chiropractic and the safety and efficacy of chiropractic care, you are in far better hands going to a chiropractor than you are taking a Tylenol for the pain that you should be seeing the chiropractor for, right? So definitely if you’re watching this and this is one of your first times watching Humpday conversation and you need, you know, you’re like, Hey, what’s this chiropractic thing?

Well, go to YouTube and watch some of the other videos because, you know, over time, the people that have been watching us since the beginning, I guarantee you have acquired more information, more knowledge that would make them feel more comfortable about chiropractic care. And I think with everybody, you know, there’s fear because there’s a lack of knowledge or education, right? Once you understand something, the fear goes away because now you feel comfortable based on the knowledge you acquire. So that’s hence the reason why we did the Humpday conversation.

Dr. Ben Boudreau: [00:33:20] Exactly. And so whenever we talk about this stroke and chiropractic care, it’s really just. Right, chiropractic adjustments are very safe. And as soon as somebody hears something like a stroke, especially, they think of aggressive moves. And that couldn’t be further from the truth when it comes to chiropractic care. We are moving in the spine, but not everyone’s spine gets moved the same way and the same amount, especially on the first visit. So I like to ease people into chiropractic care, ease them into the adjusting, get the body used to have and receiving that force and that adjustment through them.

And of course, Dr. Roach has been doing this for 15 years and so has a deep understanding of what each and everybody is going to need, especially on that first day. So if you’re interested in chiropractic care, go to YouTube. Check out our YouTube page like Roach Chiropractic Centre and we have many videos there to help with your understanding of chiropractic care and also answering a bunch of other questions on a few different conditions that you might be interested in. So check that out or follow us on Facebook. You’ll see all the videos there and some of our posts as well, so don’t miss out and check it out.

Dr. Clayton Roach: [00:34:36] Thank you so much, Ben. Thank you guys so much for connecting with us and engaging and questioning. We love it. We love every moment of this and we feel that it’s something that we look forward to every week. And that’s it. Any closing thoughts? Ben, do you think?

Dr. Ben Boudreau: [00:34:52] Conversation number forty-two? Guys, thank you guys so much. We wouldn’t do this if it wasn’t for the support and the people that we’ve engaged with on this platform since we started. And again, the reason why we did this, in the beginning, was to connect with everyone just to reach out, see how everybody was doing, especially during a time where we had locked down and we couldn’t speak to our family members. We couldn’t or see them, and we couldn’t talk to our primary care physicians.

We decided to get to the airwaves and onto the Facebook social land and communicate with you guys and get in touch. So we’re doing this now because we love it. And so let us know again be engaged. And if you guys have topics for the future or you have people that you want on the show, you know where to find us, either on our Facebook page Roach Chiropractic Centre, you guys can send us an email, you can call the office, or you can follow us on YouTube and get in contact with us through that. So there are lots of ways to touch base.

Dr Clayton Roach: [00:35:54] Perfect. And lastly, share the episode. All right. Go ahead and do that. We’ll see you next Wednesday. Humpday Conversation number forty-three next week. So take care, guys. Enjoy the beautiful weather and we look forward to seeing you soon. Good night. What’s up, guys? Listen, if you like this episode, you’ll probably like the other ones, chances are pretty good. So here’s what you need to do. You need to like us and follow us on Facebook. Following means, you get notified when these two guys are alive. Next, family, friends, you need to share these episodes because you never know you might help them because they need this information as well. And guys, if you ever miss

Dr. Ben Boudreau: [00:36:29] An episode,

Dr. Clayton Roach: [00:36:29] Make sure you subscribe to us on YouTube. That way, you can watch the episode over and over and over again. Guys, we love you and appreciate you. Take care.