From ER Hell to Recovery: A Sarcoidosis Patient’s Remarkable Turnaround with Dr. Dan Purser

Hey, this is Dr. Dan Purser. Danpermd.com. Dan Perer here. Um, I have this big genetic practice. I've I've It's been really interesting to to evolve and I keep evolving all the time. Um, I see probably 14 or 15 patients a

day for genetics. You'd think I'd see. And if we take all comers, I mean, we try and help everyone. I do root cause medicine. Uh, and I'm apparently really good at it. Um, so, uh, I I didn't think I was, but apparently I am. Um,

so I see 15 cases. If I see 15 cases that day for genetic issues, all 15 have a homoyine problem. That's the textbook I'm going to have out shortly 600page textbook on homoyine. Homoyine in the

end is a cytoine problem. that led me down a long deep rabbit hole of cytoine issues. Um, and there are some really hideous cytoine issues and I think that's the future of medicine right now.

We figured out a lot about medicine, autoimmune diseases and there's so much research on it. It's crazy that the immunologists and the doctors can't my fellow physicians can't figure these cases out. They just throw

their heads up, say, "It's not my wheelhouse." Whatever. You're going to hear that today. Uh, this is me trying to see around corners. Um, and what I see are really, really sick people coming at me in huge numbers that

can't be helped or what looks like they can't be helped. Um today we're going to be interviewing a cytoine patient who suffers from sarcoidosis. Um his genetic snip that homozygous in

that causes his sarcoidosis is Sil2R and you can Google that. Go ask Gemini. Go ask Rock. Go ask what SIL2R does. Does it cause saridosis? Um, I've got a a book on silicons coming

out too. It's already out by the time you probably see this, but um, it's pro one of the prominent chapters in that book because sarcoidosis is the worst the most awful inflammatory condition I think known to man. Um, and we're going

to talk to a patient today who uh, I'll let him tell his story. I may ask him a few questions while we're going forth. Um he's really fervent about it because he's been through a lot. Uh and anyone who's taken care of circos patients

knows how helpless agonizing they're you know they are. Um so let's look at this. This is a different approach we use trying to help him and let's see what he says and let's figure out together what those results were. So I'm not going to

say his name. I'm not going to say where he's from. If he mentions it, we'll delete it from this. This is all personal, but uh he's allowed us to film this. He wants it to be filmed because he wants to help other sarcoid patients out there. Uh so they don't go through

what he's gone through. You'll hear you you sorry, you'll hear me uh ask questions just to kind of correct course or or to clarify a few things as we go forth. He can tell his story really well. So, um, we're just going to call

him sar code patient number one. He's actually number four for me, but his was the worst case I've ever seen. So, there are worst cases out there. So, let's go ahead and begin. Why don't you tell us your story?

Wow. My story. [clears throat] Oh, kind of makes you cry a little bit. Um, get it. I get it. I was um extremely healthy, productive

individual um up until about 3 years ago. And um you you'd had other you'd had other hints that this was going on. Yeah. I when I was born with neutropenia

um that never really left me. I I was always taking gamma statin shots for pretty much my whole life, which is amazing. They knew that back in the Yeah, back in the day. It's crazy, right? You're how old? I am 60. Going to be 61 coming up.

Those guys Those guys were sharp. They were sharp. They saw around corners. I think they were full doctors. They didn't break it up into just, you know, little sub specialist. Yeah. sub specialist that um but anyway

uh yeah so one day I mean it just kind of things started happening you know you kind of brush them off as oh I'm getting older or maybe that's just what's going to happen but my case was interesting for for me um I was trying to think back

like what was my first signs what did I really notice when did they take you off gamagloin uh about five years ago. Why? They removed my spleen in 2018. They thought I had cancer inside my spleen

which is really rare. Um they offered an option that we could do biopsy and if we do it's in the it was in the venous area of the spine I mean that excuse me it was in a very vein oriented area of the

spleen. So they thought if we did the biopsy and if anything were to go wrong and it was cancer that it would metastasize so fast that you know maybe I wouldn't be here. So they So they saw mass in your spleen, right? They saw a mass and the mass they

they monitored it for a year and it grew. Um not exceptionally huge but it kept growing. What was your pain level at [snorts] that time as it grew? I I you know I just noticed like a dull ache. I really didn't really feel like a whole lot, just a dull ache,

right? [snorts] Um then from from that point, uh you know, I remember the doctor coming in and seeing me and he's like, "Okay." And I I was honest. I says, "What would you do?" He goes, "Well, when in doubt, get it out." And I was

like, "Okay, you know, so I go home, you get time to think about it because, you know, they're not going to schedule surgery immediately. I didn't get in a car accident. you know, this is something that's been going on. And I thought about I'm like, shoot, you know, should I take the chance? Is it really,

you know, gosh, can I have cancer? Well, there's cancer in my family, you know, my mother was was burdened by that. Um, so I said, well, how about, you know, they didn't tell me all the aftermath of after this ble's out, this is what your

life is going to be like. So, I elected to go ahead and have the surgery. Um, the spleen came out, everything looked good. They they packaged it up, they chopped it up, they sent it out to different universities because it's very rare to have spleen cancer to begin

with. Um, the pathology came back um that I had uh sarcoid, I had u a thing called non-cascading granuloma. Um, fortunately that I had granulomais

because what was inside of that, let's call it a cocoon or nutshell, um, was MRSA. Somehow I had caught an infection. Um, I'm in the salt water quite a bit, so you know, it could have

been I caught uh something there and one thing led to another and I ended up with MRSA. Now, I don't know if they ever tested this. Oh, they did. They actually did test the strain. So I have the strain. It was an antibiotic resistant form.

Whether or not that's the right call or not, you know, that's something for someone with a higher education than than myself to go back and say, geez, you know, the chances of us giving you that direct antibiotic would have been, you know, lucky. Rare. Yeah. So essentially they found

out found a walled off giant pus pocket in your spleen. Yeah. And it was growing cuz basically the MRSA wasn't dying. No, it was just continuing to You didn't have the gamma block to

[snorts] fight or Well, I did at that time and then after my spleen was removed um my numbers because I always would do blood checks, right? Right. And it's just general like your CBC count. And they're looking at your white cell count. And my white cell

count all of a sudden went I was usually in a 3.5 like right above where the insurance wouldn't pay for any of my medicine. Um and I had been, you know, this isn't my first rodeo. This is when

I'm older. When I was younger, I went to Samson CL. I went to other institutions that were multiple doctors would meet with me. They would do a complete workup. We'd come back. They would tell you, "Well, this is, you know, we're at." That doesn't exist anymore. So,

there's there's no way to get four doctors in a room, spend, you know, three days with them. You go for all the tests, you come back, you meet, you figure out what you got. Um, but I had that opportunity younger in life. and then again after I was 21 because they were hoping I was going to grow out of

this neutropenia um as a lot of individuals do. I just unfortunately didn't. So, you know, we went through where they extracted bone marrow looking at the cells. We we did all of that work and it came down to where there was only two times in my

life I was taken off the gamma immune. One was when AIDS first came out. They needed it for the cancer and the AIDS patients. So they put me on a slight hold um and now it was like about a six-month hold when my spleen was removed. Um my

numbers went up. So instead of being 38 3.6 4.1 you know bouncing in that area all of a sudden I was 7.8 8.2 I was like oh my gosh we found your problem. By

getting your spleen out, your your body's returned to normal. The problem is, you know, the more you know, and when you're when you're a patient, you don't you don't really question the higher authorities is you look at your doctor as being the the guy. So after I

started getting sick, I started looking into it, realizing that uh your the reason my numbers went up was because your spleen houses a large portion of your white blood cells and

I'm just a layman like just a guy trying to figure out what's going on with me. So, they are being produced by my bone marrow and they're just continuing to run through my body. Well, they don't they're not dying off. They're just

accumulating and of course my white blood cells going to go up. So, when they tell me, oh, you know, wow, your what your blood cells are just perfect. I'm like, then why do I feel so bad? You know, why do I feel horrible? Do you think your white blood cells are beating

eaten up? um cannibalized in your spleen the whole time all those years. I don't know. I I know that you know looking at at like you know Google Scholar or reading some of the scholar articles or going back and trying to to

look at just removal of the spleen what you know what are the changes that happen and and you know where is your immune system housed? I mean your spleen is a really important organ in your lymphatic system. Um, so looking at that I'm like, "Wow, I

just lost my largest organ for my lymphatic system and my blood's perfect." H those two things just kind of are contradicting. They don't add up. So doing the research,

um, I was looking at, you know, why would that happen? And the only thing I could come up with and and you can look at the research that basically they just don't have anywhere to go. There's no home base. So they just continue to circulate in your body. So when they do

a CBC on me, they're getting not what was usually not available to them and not circulating through my blood. They're getting all of it because it's just all in me now. There's no right little little area to say, "Hey, we're gonna hide out here and wait for a

direction from some protein to tell us that we got to go do something or right." Uh so your spleen essentially acts like a a fort for all them to live in until you need them. Then you right they search out and go to that area. Yeah. So then after that they gave me

this they they released me from the hospital with a large list. you know, you can't go to the beach, don't be around bacteria, don't get in soil, don't do farming, don't do planting. You know, it just that the delicious is enormous. Basically, live in a bubble.

Um, don't be around any bacteria because if you do, you're going to have to have antibiotics or, you know, you basically your immunity is pretty much shot. Well, it's so that's the hospital side when you leave, but then you go to the

doctor. So I ended up with a lot of doctors. I had an infectious disease doctor. I had a cancer doctor. I had, you know, I mean, just besides just your primary care, you know, I was wore out almost from going to doctor's appointments to try to

keep up with everything. And yet, um, you know, it's just a process. You know, you get processed. You're like just you're a tag and you you just got to keep keep doing these these things. So, you know, my life, you know, I

started, you know, continuing working in 2018, 2019. Um, I had some family things that I needed to take care of when my parents were ill, so I took care of them. And then in 2022, about 2021, 2022,

um, I just wasn't feeling well. I would ache. My joints would hurt. I was sick to my stomach a lot. A lot of gastrointestinal issues were were were coming up. Um, not that I didn't have some flare-ups prior to that, but I mean

really ones that would not I don't want to describe on tape. You know, it's just it was embarrassing. It's hard. I couldn't go to dinner with a couple because if I'd go we'd go eat, as soon as I'm done eating, within 10 minutes I'm running to the bathroom,

right? you know, without, oh, I excuse me, I just got to leave. You know, you you do that so many times and it gets embarrassing. So then you start thinking, shoot, man, I just need to stay near home or I need to be by a bathroom or if you're driving your car and you're going somewhere. So your digestion, my digestion started

changing first. That was like the first little things I noticed. Then I, you know, since I didn't have any gammaastatin, you know, I was rely relying on my own body and I'm just a great host. If you're a bacteria, you

love me because you could jump in my body. I won't fight you. You could do whatever you want to do and congregate, grow, do whatever. It's I'm just like your I'm I'm your perfect meal. Come on in. Did you see a sarcoid expert anywhere in the [clears throat] No, I don't know that there is such a thing.

But yeah, I you know at the time at that time I really didn't know exact I didn't go and research the pathology of my my spleen because I didn't it didn't matter. Oh, my blood's better. Okay, that's great. Then when I started

becoming ill and I was thinking back actually over this last few days like what were my first symptoms? like when did I really notice before things got really bad. And I would itch. My back would itch like

crazy. And I remember I, you know, my my girlfriend went out and bought me this long back scratcher and cuz she was so tired of itching my back and I was like, I'm I'm I'm, you know, you get out of the shower and you're scratching yourself. It was crazy.

Then the second symptom is I I broke out with these little bumps all in my head. Like just they're like little pus pockets. You'd almost like they're like little zits and it's like a clear fluid. It wasn't really like a you know cuz you could pop them and I I was like what is

going on? The very next step. So this this is going within 3 years everything I'm going to tell you happened. So then we we got the pus pockets. They I'd pop them all and I'd notice

that wow man the after they would come then something else bad would happen. I'd get that the itching was always there but then I would get like sick. I don't know what the sickness would be

more gastrointestinal sick and I was like wow this is um interesting. So I would keep going to doctors and I'd explain it to them. They're like, "Well, I maybe it's something you ate or you know, you're you had this uh reaction to what

medicines are you taking?" Well, I'm taking the same thing I've always taken. So, so anyway, that that kind of transpired and then one [clears throat] night I came home from work and I was laying in my bed. Bless you. Sorry.

Um, and I just started feeling really flushed and I didn't feel so good. And I was like, "Wow, what's going on?" I thought, "Well, maybe it was my stomach." Well, then my heart started pounding. I I mean, my blood pressure I know I I

didn't know it at the time that my blood pressure was skyrocketing, but my heart was just pounding. So I looked at microphone like we I call 911. I I I think I'm having a stroke. And

so that was the start of a cascading of events that the same thing would happen every time I I ate dinner, um watched a movie, we'd go to bed or catch the news. And then Were you ever short of breath during the summer?

Not really. Not no I really didn't have anything. My lungs have been pretty good. That was something that's people have asked after the fact. Um, it's rare. Usually with sarcoid, it attacks your lungs. I think it attacks

your gut. But anyway, sorry. I my lungs really haven't been checked. Yeah. Never. I mean, years and years and years ago, like back when I was working in chemicals and different things, but um so my first ambulance ride, ever being

in an ambulance, it was scary, but you know, they pump you with nitroglycerin. Um my blood pressure was extremely high. I was like right around 200 over 100. And off to the hospital we go. um that

series of events, you know, they they ran my blood work at the hospital. I they did a CT scan on my stomach. They came back, they did EKG, and they said, "You know what? You you're not having a heart attack. You didn't you're I can't remember what they test for.

There are certain uh starts with a T anyway, but they they test to trop." Yeah. To see if they jumped or not. All came back. Okay, I'm you're doing okay. So, they send me back home 3:00 4

in the morning. I'd get back home and I was like, "Wow, that was an experience. I hope that doesn't happen again." And then next morning, I'd get up and try to just do my, you know, my morning then would be extended. But I get up and start doing my day,

go home, I usually only eat, you know, a snack in the middle of the day and then eat dinner at night. same thing would happen. I'd ended up in chest pains again. It's like, well, what's going on? So, we're over a course

of roughly six, probably less than six months, I was in the ER at least eight times. Finally, I became a patient who was deemed to either have panic attacks

or I needed psychological help. That was, you know, and at the time that you go through all this after you see these doctors, you're getting IV, I mean, the last place you want to go is ER again. You know, you don't want to go in the ambulance again. It's not just

the money that I was going financially in debt, but it's that literally I have to put a catheter in every time. I look like a a a drug addict, you know, it was horrible. And I was like, shoot, you know, I I finally at one of my ER

visits, one of the doctors came over and he sat down beside me and he said, "You know what? What's going on with you?" I said, "I wish I knew." He said, 'Well, I went back and I read through your chart and I'm looking at all this stuff and it just something just seems off. And I said, 'Yeah. I says, you know, I really

don't like coming in here. I said, 'I wish you could find it. I really He goes, well, let me order a few tests and and get you into GI because it seems, you know, you got some GI issues going on. So that took me down another road which

they did a stool sample and it came back that I wasn't producing any pancreatic enzymes. So the theory is that I was eating the food was going in but it's not getting digested. Therefore, my body was

getting in inflamed and causing me to have this blood pressure spikes which would then send me to the hospital in hopes that, you know, we could figure it out. So, finally, this is this my nose is

I've been having hay fever all day. I never have hay. Well, they're burning a bunch of There's some tissues on my little table back there. You can No, it's all right. It's okay. And yeah, you're good, too. I know

you're being really quiet. Put your drink down. You're totally fine. You're You're not picking up anything at all. Yeah. Yep. You're perfect. [clears throat] Sorry about that, Jeff. It's okay. Great. I would like to go fast or like cut

through things, but I don't want to miss something that that you may need. No, it's perfect. We're That's why we're grabbing the whole thing now. We can chop it up as needed. This is really for the sarcoid patient that needs to hear your stomach. Yeah, you have gastrointestinal sarcoid. Yeah, it's unusual, but it happens. Um,

yeah, most people get lung. I know. That's what they told me. They're they're sending me to a pulmonologist now. Now, you know, it's a little bit late. I mean, we'll get to the part where really got bad, but Okay, keep going now. Real quick, are you comfortable where you're at?

[snorts] Yeah. I don't know. I keep getting weird d itching in my neck. Yeah. I just need to know right where you at. So the camera is pointing it right. Nice, you know, colon. Oh, it smells good. [laughter] [clears throat] Okay. You're right there.

So, um, after going and and finding out I don't have digestive enzymes, they put me on a medicine called Creon, which was life-saving to me. Um it completely changed uh you know I could eat again that's one

and I wasn't going to the hospital. Um I thought wow I got this is it this is this solved my problem. So maybe a month goes by and all of a sudden you know I'm still getting these chest pains. I end up in the ER again and

finally the doctor's like, you know, one of them suggested that I seek, you know, psychiatric help to help manage my stress, that it was stress induced. Um, and the other one, he says, you know,

you've been in here a lot, like an awful lot. So, it seems that the nitroglycerin helps you and you get over these spells. So they gave me a bottle and of I don't

know it there's I think it holds 100 or 80 something like that. So I I kept them for a while. I had three bottles of nitroglycerin. So at home when this would happen I just popped my own nitroglycerin

you know every few minutes until I could take up to three. it was more than three of these nitroglycerin tablets then then get in here. So I did that and I survived and I say survived because it wasn't pleasant but I survived. The

thing with nitroglycerin you take that you get awful headaches you know after but I survived for a while I would say probably about a year. Enough time to go to GI enough time to get checked out. enough time to

check in my um you know I had an endoscop I had a a going you know both both ways they said they don't see anything that really would cause the symptoms I'm having you know um but then they sent me

to a heart doctor I did an angiogram I didn't have any problems in my veins my heart looks good except for that I have hypertension well Of course. I mean, for two years, I've had hypertension going to the hospital telling you I'm having a heart

attack. It was bad enough that it's damaged the left side of my heart where it's [clears throat] they call it's thickened. The left side is my of my heart is thickened because it's pumping so hard to try to pump the blood. And I was like, "Wow, I never had high blood pressure before. This this, you know,

puts a whole new perspective on like it's like now guess what? Now you get a you get to take this blood pressure." So that's like the starting of the medicines just to start adding up to where I had so much stuff to take.

I'm like, "Okay, I'm going to take this for anxiety. I'm taking this for blood pressure. I'm taking this for my stomach. I'm taking this for." So over the course of two and a half years at the end coming toward where I was

begging, searching I don't care. I I've tried the internet and then I remembered you know what I wonder if you could help. So I was on 80 I would take two 40 mgram tablets of either amopresol or pantherol

which is like a stomach uh calming. I would take my my enzymes that I would have to take in order just to eat. I really could not have any salads or any roughage kind of things like that or not, you know, just regular plant-based

anything because I would get I that I could tell I'd get way sick. So, I ended up no spinach sauce that has no no real food. I mean, I I it literally it's like eat the worst food you could pos that that it's killed, it's dead, it's cooked

to be belief [snorts] and you know, we can survive. And then I was like, well, this is not working, you know? I mean, it's it's I'm not feeling I'm feeling worse. Well, it got much worse. [snorts] It got to the

point where I there's if [clears throat] I had a regular job, I would have been so fired. You own your own company. I do. It's fairly It's been pretty successful. Why is it? [laughter] It's paying the medical bills, but um yeah, it's still it's still tough, you

know, and it's tough not to be there. So, I mean, you know, and it also puts a lot of insecurity in the people that are there because, you know, is he living or dying? I mean, they they would see me come to work after being in the ER and I'm got banned. And this isn't just

once. We're talking time after time after time after time. Um, so we couldn't really get a handle like what was really going on. I started confusing me. I started thinking I'm going crazy. So, it happened again. my at the time I

had a girlfriend of three years. She was she was home. I'm like I can't believe but it's happening again even with all this medicine. I says I'm going to have to call. I said you know what I'm going to wait. I'm going to hold it out. And I had a blood pressure monitor. So I'm

like you know what the ambulance driver before said don't call us unless you're 200 over 100. I said okay. So I sat down. I'm like you know I don't think I'm getting better. And I looked over. I took my blood pressure and it does it

three times. So that's a long time to wait. It's like, "Oh my god, please hurt." And I was 204 over, no, 205 over 104. [clears throat] And I honestly was hard to talk and it was hard to

speak. And then the whole time, you know, your partner's in there. Should I dial now? Should I call now? you know, finally you get to the point like, yes, you know, I'll call and I hope they make it here because I don't know if I'm going to make five more minutes. And fortunately, I live pretty close. So,

it's usually they're there within, you know, bless you, 3 to 5 minutes. They got there and I remember the ambulance already came in. First it was fire department and then the paramedics u arrived. They came in and they just told me, they says, "You know what? you have

we have taken you there so many times. You know what? We're just going to stay here with you and let's just see if we can, you know, calm this down. So, I sat on my couch and couldn't get up anyway. They gave me the nitroglycerin. They put their monitors on me and they stayed

with me at my house and because they didn't want to take me back to a hospital again. I'm going to go in here. It's like literally I was a rotating door over and over and over and it's the same result. I go in there, they give me nitro, I get released later and it just

that door started again. So, they didn't want to take me, which I didn't know if that was good or bad. I didn't, you know, cuz I'm still trying to figure out. Honestly, your mind is so messed up. There's so much going on. You you just it's really hard to try to put it

all into perspective and try to think. So, did you ever tell Sorry, excuse me for interrupting. Did you ever tell anyone that you had a history of sarcoidosis? I mean, I did [clears throat] I I I at that time, no. I I didn't say anything, but

I didn't I mean, they have my all my labs, everything was done at the same hospital. I mean, if you look in my records, it tells exactly, you know. So, that's what I did. I went to so after this event um I was like wow you know this this

isn't going to stop I'm sick like I'm really sick and I noticed that my body wasn't doing well. I my girlfriend [snorts] left me because she was afraid of me dying and she'd already we've seen enough death with my parents taking care of them

and I was like okay I'm like you know what am I going to do? So, you really try to dig deep and I'm like, you know, I got to get out of here because here isn't working for me. Going to all the doctors that I have, nothing's working. So, I said, I I I feel like the I I was

flying from Florida from a conference for water sports to um Las Vegas to give my crew some fun and then we were flying back to Honolulu. On that flight, I

thought I was going to die. I I fell asleep on takeoff, which is normally what I normally do. I woke up midfight, but this time I woke up drenched in sweat. My heart was pounding. I carried Nitro with me. It's em honestly, it's

really hard. I feel bad for anyone that has to have this because you feel like this is the only way I'm out. This is this is the only thing I have to save my life. And I was like, "Oh my god, am I going to make this fight or am I going to die on this plane?" You know, and I thought, "God, you know what? I have got to take

control of this." I took I self-medicated with everything. I had nitro, my anxiety medicine, aspirin. I always took a bunch of baby aspirin just in case it's a heart attack, you know, that they say they can, you know, try to

save you or it helps. And I remember when we landed and um I just told the crew, "Hey, I'm not feeling well. You guys go and you know have a great time." I went to my hotel room and I just laid there in pain. And

the one thing that started happening during this time is I started getting pains in [clears throat] my left side for for for a few months, but it was always my left side. It's always right at the base of my rib cage. And I would

always tell the doctors, all of them, the same thing, especially gastrointestinal. And [clears throat] well, there's nothing there. They took your spleen out. Well, I'm like, well, but I'm not producing any pancreatic enzymes. I mean, how does it how did your enzyme

work today and quit tomorrow? That, you know, what what's the mechanism? And there's got to be something that changed or happened. But no one wanted to investigate why. I asked for a a scope called an ERCP, I believe it is, where

they go on. It's a camera where they can actually look up in a bioduct because I found a research paper and also belonged to a pancreatic group. There was a large write up that basically this guy sounded just like me. I couldn't have written it better. It was about six pages long.

Described the same thing. Had heart palpitations, high blood pressure, was sick, broke. I mean every it was me and I [snorts] was reading about me and he went to Cleveland Clinic. Cleveland Clinic did this ERCP and they found inflammation.

So for him they stented his bioduct and his enzymes came back for me. They never looked. The CT was good enough. I mean that's the doctor's opinions right now. If they do a CT scan

on you and they don't see blockage in your bioduct, then there's then there's nothing wrong. You're talking about an MRI or CT? No, a CT. Good. Now, I've been through MR, too. I've had someone that so many dies and stuff. I'm I'm surprised I'm alive from not I

should be glowing, I guess. Maybe. Um, so anyway, that led me to I after Las Vegas, I got everybody home and I decided that I was leaving the company and in charge with someone else and said, "Look, you got to take care of

this. Um, I got to go." [snorts] And I felt at that time I didn't have a whole lot of time. And this gets emotional. Um cuz I was sick

gets a little embarrassing sometimes. You know, you think about that kind of stuff, but [snorts] it's also like there's nowhere to go now. What are you going to do? So [snorts] that's why I looked up um I looked you up and I said

[snorts] I'm coming in. It's not a good story. Not happy. You know, I'm really sick. I remember, you know, I have I have good days and bad days, [snorts] but um so I had a sorry

had a couple had about a good week. Yeah. [snorts] And um we ought to had a great time with my family and got to have a a nice see my grandkids and everything worked out. But

[snorts] then I was just laying down in bed one night and it all started happening here. Now I'm now I'm not home here on Utah. [snorts] I'm like, "Okay, this sucks." And I told my son, "I'm not feeling good." So I remember he came

down [clears throat] through the night just to check on me and see, hey, you doing okay? You know, I'm like, yeah, I'm going to be okay, but my pain's really bad in my side. So, usually when this happened, I just lay on that side and just hope and pray that it go away

and make it. And then luckily enough, I was able to, you know, get up the next morning because [snorts] I had an appointment with you and um I was like, God, please let this be the answer. Who's you do? For sure.

Thank you. So, and I was like, I got to go see see my doctor right now. And that um then you know I mean the frustrating part going [snorts] for 2 and 1/2 years

taking a minimum of 200 doses of nitroglycerin [snorts] going through so many scans and so many scopes and so much stuff so much blood test. I mean, my gosh, my my my file is

over 900 pages. It's well over 900 pages. Come in here and I tell you exactly what's going on with me. You give me two blood tests,

just two. Simple. [snorts] They came back and I had I didn't even know what a cytoine was. I do now. But you know, it showed that my inflammation was really, really high. And uh

what did I tell you at that time? I thought it was a [snorts] saticine. You said, "Yeah, you Yeah, you told me before even the blood test you thought it was a cytoine problem and you wanted to test for it." So, you know, I'm I'm up for testing. Test me anyway you want. Just please God, you know, find find an

answer. Find something that we came back positive on [snorts] that test. Sorry, you never No, not you remember what it was? Uh what the value was? No, what the I never know what the value I I had an IL2 uh R R S2R.

Yeah. And that was And we did a cytoine 14 [snorts] panel. Yeah. Yeah. It was well above where it should be. Um what was it? [sighs and snorts] Ah, I think you you you know it was like

12 1240 or I can't 1280. It [snorts] was up there and you know I I thought I I mean I didn't know honestly you don't want to live. you get you get to the point where you're hurting so bad that life doesn't I mean

what's life if you're in pain and sick and can't go anywhere or you know all of it just started you know messing with your mind and you know finally but we took that that test um when I came back and then you said hey I'm going to you

called me in the office I remember within 8 hours soon as you got the results I was back in here you said you got to come and I'm like this is a bad day I don't want to feel good. But I came in and he sat me down and he showed me the results and he said, "I want you to take these three things and I know

it's going to be kind of rough, but you just got to pound these down and keep going." And and I was like, "Doc, I I don't feel good." And and uh you said you did tell me, you said, "You know, you've seen high numbers before and higher than even I had. So give you

seven days." He said, "Just give me a week. Give me a week. let me let's just see what this does. And I was like, you know, okay, I want to stay in Utah. I'm going to give it the week. At the same time, I'm still trying to get into the university here. And honestly, it was

probably day four. Day day three, day three, I you know, you start noticing changes. Day four was probably the breakthrough. Day four, I didn't really feel the same. I didn't

I didn't didn't have the same amount of pain, the same um feeling of sickness. The there was a lot of things different. By day seven, I could tell a big difference.

Now, we're only into this thing five weeks. So when I hit a month, which was last week, um I rarely when I say for for me it was

every day was a struggle. Now I have a day here and there that becomes a struggle. Completely opposite spectrums. I mean I I wouldn't be afraid to work right now. I'm not afraid to do

full-time. I'm not afraid of anything. And for the first time I played basketball again with my grandkids. So like, wow, that's huge. You know,

what do I tell you now? You're [snorts] going to keep improving. You said July. So I'm holding on till July. I mean, I'm getting better every day. It's I mean it's not you know you don't think that oh wow this stuff's going to

you know you you take a pill and you drink awful stuff but you get used to it. Um but you didn't think that that was going to work. You know you kind of because you're so conditioned in your mind it's got to be something or we're going to we

need operations. We need we need something. Um but yeah that [clears throat] um what did [snorts] I put you on? You put me on originally we had to the liquid. It was glutathione but in different forms the pill form and then

the liquid and um then uh we had added sod and then and that was all within the first week and then after that you know I think two weeks into it and it was really nice for you to text me and see how I was doing each day and um

but I think the kicker for me the thing that really I mean within I mean I noticed it right away And you know, you don't really notice. It's subtle subtle, right? But it's it's but it's not subtle when you go from bedridden

to on your feet in a week. And then it's not subtle to go from on your week to playing basketball and 3 weeks later. I mean, these are substantial changes. So, I took the the final thing that I think really made it kind of [snorts]

put the icing on the cake, so to speak, was that um catalyed that I could feel it when I could actually I started feeling it. So, [snorts] for the most part, I'm pretty healthy now. Like,

it's it's just it's mindboggling. I you know it's like you sit in the closet and you wait is this is this really the answer or is it gonna happen because you're just so used to something happening that you're scared

be scared the rest of your life probably [snorts] I've been through I definitely don't like hospital I mean I I love hospitals for emergencies I don't like the idea that I don't like the idea of somebody telling me that I'm losing my mind go

seek psychiatric help. Learn how to manage your stress. I mean, I was sick. You know, bottom line, I was sick. They could have done this blood test there. They had opportunities like

at least 15 times. I had at least 15 blood tests, not one of these. So, finding out that wow, you know, because, you know, at some point you do think you're kind of going crazy. You do think that you know everybody is

telling you it must it must be you. You start believing it must be me. I you know I guess it is all in my head. Maybe I do need this. You know so it was such a relief to finally put a finger on

something and say let's let's see what this does now. So [snorts] cool. The cool part is in two weeks cuz we did my blood test.

Like I you said go every day if I wanted and I said I you know every day is a lot. I'll go every other day for a while [snorts] but in two weeks my numbers dropped considerably. Your SIL to our serum level. We were we

were at like eight no like just above what the high end of any normal would be. It was it was like 900 or somewhere in that area. And then a week after that it was 6 I think no it came back 88 800

no 600 640 I think 640 [snorts] and I'm like that's why I feel so good. I don't hurt anymore. I mean, I have some moments of hurting, some moments of these pains, some moments of things. And I I tell people they're going to develop this kind of stuff. I don't know if they

can see that on computer, but contractions, you know, it's I always I had this for forever, but not to this degree. In like four months, my last four months, I got one coming on my finger here. Here, these two are new. I mean this develops

so rapidly like within a few months you you develop all kinds of crazy stuff like I had three cyst almost like overnight then it was three more almost

I mean you were it's just so granulomaas of the skin you were having it's you know what I haven't had another one since so it's been we're on you know like five six weeks weeks. I think we're just coming in to the sixth week.

What did I tell you that glutathione [snorts] would do to cytoine? You said that it would lower lower them down. You also said that it would would uh get kind of control and and or stop saridis or sarcoid that I have

and also that you're in in hopes that the literature is supporting the fact that I will start making my own gamma immune um over time. Yeah, you will. I believe that from the literature, from our research.

Yeah, I think you'll make your own. So, it's gonna be, you know, and I'm okay if I don't. If I could just be the way I am right now, I can live at least live a a reasonably good life. Do I want to get better? Yeah, I want to be 100%.

[snorts] And you you know, we did put a date on that that we hope by July. But don't you think we'll make it? [snorts] Oh, if the prog if this progression that's going now. Yeah. What do you So, I told you to do what 12 I think I called it 1284 the tri the

bars try 124 because that seemed to work with other [snorts] sarcode patients and with severe cytoine other cytoine conditions you deal with. Well, in the in the very beginning, I mean, it was like, well, first, let's

just say I got to take 30 pills, how am [snorts] I going to divide these up, you know, amongst the day? And then, you know, it's and then to me as personally, I can't I I don't know if it was the pill or the horrible drink,

but it's a squirt squirt. But I will tell oh I want to tell you an important part. Okay. So let's go to just think the symptoms the head breaking out the itching of the back the the spontaneous

like crazy growths of of stuff the cyst the last symptom in the last few months. And I went to all my doctors and they said oh we don't do that. I went, you know, they kept sitting there. My and

I'd show it to you on camera. It's really gross. My tongue started splitting everywhere. It's got cuts and it's it's disgusting. I mean, I'm like, I'm never, you know, and in in a male's mind, in my mind, I am now a single guy who is sick who doesn't want

to meet a girl because I don't want to bring this in. I need to bring in a healthy spirit and and thing into a relationship. Now my tongue is like, are they going to have to cut it off or are we going to What are we going to do with this? I told you it'd probably heal.

Yeah. And and I and I'm praying for that. I am. Um [snorts] it is much better. Like it doesn't hurt like cuz I there was at points I couldn't eat because it would sting so bad. But you get sores or and then then I had cuts

and I mean I I'll show you off camera but not on camera. What did we think? What did I think your uh the reason your pancreas could put out enzymes? You had [snorts] a what? I thought you had granuloma blocking your duct. We're I'm praying to God that you know

that dissolves and or we can remove it or we take Don't sid seem to be dissolving all over. [snorts] Yeah. Yeah. I'm not I mean like I told you today's a today today was a bad day and my bad days consist of like just not

being able to sleep, you know, joint pain and swelling. Like if you look at my hand, you can tell that the two two of my fingers are extremely swollen and when I go to make a fist, it would be it's just super hard. It's like and it

just gets in you. But this it's subsiding already. So, as soon as this happened last night, [snorts] um um I just jumped up and I I was like, "Okay, five more. Give me five more. Squirt this in my mouth." And, you know, hopefully by morning it's gone. And

that's, you know, I think we put sod that sod gel we developed on your hands, it probably help a lot more. Yeah. I mean, I'll try. I'm obviously in a flare right now. I'm obviously something's not 100%. But that's I go

this is nothing compared to what I had. I would be on the ground in an ambulance my holding my I have not had to hold my heart and and say I'm having a heart for gosh, you know, I mean being not not having

that and not having to rely on nitroglycerin for six weeks. I mean that's crazy. So, we're five weeks into Has it been about four or five weeks? It's been five. We're on our fifth week. We're almost entering our sixth week.

So, um and I and I and I went home in between for a week is my business. Yeah. And now I We need to get back home, too. Yeah. But we're not going to sit where home is. We'll leave that [snorts] till later. Going to go back home and I'll be back here in May because I want to want to

finish up and and I and I, you know, I think [clears throat] I mean, you know what? I've watched so many videos. I mean, when you're in bed and you're so sick and you're man, you start grasping for straws,

looking for needles and hay stacks. Um, fortunately, I had met you prior in life. Um, but a lot of people probably don't have that opportunity. Hopefully this some point [snorts] I hope that uh yeah whether I don't care

if you have a pancreas problem a liver I mean I've been told I one CT shows you have fatty liver the next CT doesn't this shows this this show I mean no one knows and here we are you know I mean I thought I'd be dead by now actually I

think you would thought I would be dead by now had I not done something you're bad [snorts] so and I I believe you cuz I I didn't think I was going to make it another day, let alone weeks or months. Yeah, you got a 1280 on the SI2R.

We found that on Google. Someone posted a 5,000. I can you imagine how bad that would be? I don't know how they're alive. Four times worse than what you were. Oh gosh. I don't know if it's the combination of having the low immunity that I have and having being this great

host for things on top of the fact that I have these these diseases. Well, we think you I think you've been [clears throat] Well, you and I have kind of figured out that you were in a flare for the last three years. Probably a gastrointestinal infection.

Well, now so getting to the results. So, you know, I did do a stool sample here and the stool sample, well, we did a lot of things here. We've done with you. I've done a enormous our genetic the genetic test, the vitamins that I'm

deficient in that we've done things here. Um, I also since I seen the gastrointestinal at university, I was able to do a stool sample which was totally different than the one I did where I'm from, but I did it this did it

and it came back that I have ecoli. Well, yeah, but if you have ecoli, usually you're throwing up and diarrhea and I [snorts] I'm just a great host. It's just living with me. So, you have antoxic ecoli. Is that right? Yeah, I have a toxicity. I can't remember. what what path I have it on a

test that I'd like to show you after. Yeah, we'll find it on micro, but it definitely specifies and I know I know it's somewhat antibiotic resistant because we'll find it. You I was on antibiotics for 30 days.

So, 30 days of antibiotics and it's still there. I mean, we have Yeah, I think we're putting out more than one fire. I think my my I was ablaze in every direction possible and um had I not

shown up and thank God that you were here. You said you you seem like to my eye because I deal with about four cytoine cases a day that you had and I get severe cases. I've dealt with SI2R before. Um it seemed like you had some

kind of sodakine problem, a big one. And I thought about 23R. I thought about SIL2R. I thought several and turned out to be SL2R cuz it's weird that Sonic got metal was all normal zero but one right there in the middle like it was super

hot. It's like wow. You know it's amazing that it goes down to the decimal point. I looked at that too. It's like every one of them are spot on and all of a sudden this one's just off the chart. I'm like whoa. Yeah. But you know I I've done so even now. So it's not like everything's not corrected. I'm not 100%. We're hoping by

July we'll get another video in July, right? Track you. But we do my blood test and I mean normally if you do a blood test and it comes back from from whoever does the it's automated, right? You get an automated blood test, a doctor gets it,

it's already got if there's something wrong, it usually says abnormal on the side. I haven't had a blood test that hasn't come back with [snorts] abnormal. My monocytes are are super high. my this I mean it didn't matter what my blood

test showed or how my what in one month my cholesterol was off the chart the next month I wasn't I mean it's so all over the place your blood your everything goes crazy and you go to your your doctor and your doctor's like well so I had to ask why why are my monocytes

so hot what's going on I mean all that's pointing to is that I've had this infection for a long time you know what releases sodakine [snorts] no you know what releases to our monocytes. Oh, well, I have plenty of them. I'd like to [laughter]

if I could give some away, I'd love to give them away. I have uh you know, and then my platelet counts because my spleen's gone. You know, I have to really watch my my platelet count because it gets high. I would suggest a lot of that will improve further. Yeah, I think you're going to become normal

there. There's some other practitioners here. They may have questions. Sorry, I've taken asked all the questions. You guys delayed have any questions? [snorts] Real quick, let me switch cameras.

At what point through this journey were you diagnosed with sarquid? That's that's a really good question. Um, I have yet to be rediagnosed. The only time that that I even knew was when I

went back and said, "Can you please give me my whole chart? I want all of my records and I went back to the pathology [snorts] of my swing." And it's stated very clearly in my swing, not only MRSA and non-cascading granulomaas, but also

sarcoid. So now I' I've asked th that question currently to doctors that I see and it's a really hard thing to diagnose. It's really hard for us to find it. We don't

know. Or I've gotten lately when I went back for the one week that I left here in Utah, I went back and I I did a Zoom with one of my doctors while I was here. I with a high level doctor that I have.

[snorts] Um, and I asked him, you know, hey, look, look at this blood test. It came back with this cytoine level super high and I'm on all this stuff and I seem to be getting better, but I want to, you know, what is this? Can you talk to me about this blood test? Cancer doctor says it's

that's not his thing. Okay. Then I go to my infectious disease doctor. He says, "Well, that's above my pay grade." What I mean, seriously. Okay. Well, you

know, I mean, thankfully, you know, they it's out of their wheelhouse, so to speak, as as put. So, then they want to send you to a rheatologist or or immunologist, right? I'm willing to go. That's great.

be a be a US citizen that you're here in the United States and go ahead and try to get it. You know, I got turned down from Mayo Clinic. I I first went to Mayo and they gave me a letter back and they rejected. Not I I mean they looked over

my case and then they don't tell you why they don't take you or why they will. They just wrote me a denial. I I mean basically and then if you get into any other institution because that's your first mind is I need a doctor you know I need somebody like super super

they don't they don't know and that that's the bottom line so even if I would have got into there they wouldn't have found I the chances of me honestly Dr. First, I threw a needle and I at that hay stack. I was so lucky. I am the luckiest guy to

poke that needle at the right place. So, have I been rediagn? No one can seem to diagnose me. So, it's been crazy. You two have spent the last three days with me. Roughly, how many crazy sakine cases

have we talked about? [snorts] four or five every day. Yeah. What I end up seeing for employees, it's crazy. I never saw this guy. This was out of my bingo card. Can I ask you a question? Yes. So, we're learning that um if you

reverse engineer these specific cytoine storms that they really originate from something you're predisposed to for a lifetime because your genetic steps have been there all along. If you go back, so this really happened to you in your 50s.

If you go back to your 40s, 30s, 20s, teens, do you see anything? Because we know this is triggered by stress or trauma or infections and things. Can you go back and look and say like I got sick in those seasons, too, that [snorts] it just it wasn't this?

This is a whole different type of sick. I mean, yeah, I had a lot of upper respiratory viruses and and you know, illnesses growing up. Um, even when I can tell when I'm getting sick because my I'll get my you know you your your

adoids right here get big and or [snorts] your lymphoids. Um, but yeah, this is on a whole different level. I mean like the like I said the first thing that I noticed was the itching. The second thing was I

broke out in my head and then the the la toward the last part was the pain in the left upper rib cage and then my tongue split. Those are the four major things I can tell you and it and it actually happened in that order.

All over the last two to three years, not three, within two. [snorts] Yeah. Yeah. So that's I think you got a gut infection. Oh, I'm sure I do. And now it's still there. As a matter of fact, we just lowered your cytoines with unless the literature says glutathione

should lower. It did. It did. But there's only two glutathions that work. So, don't be out going hitting Amazon for all the kinds of gluons. They won't do this. But uh but the uh [clears throat] Yeah, I think when we resolve that, your flare will be over.

No. So, so did I answer your question completely? Yeah. I mean, I I I think that I mean, I think I have a lot of problems. So, I'm not Maybe I'm not your ideal patient that I have only one

specific that we can do. No, no, I I am a I'm a I'm a I was a forest fire when I walked into this office. I I promise you I think I would die within 45 days. Actually, somebody even told me I'd probably be dead.

So, I believed in I couldn't barely get out of bed. I mean, that's my day. Try to take a shower by noon. Get out. You know, don't even worry about breakfast because you're not going to then you got

to take more pills. I'm already on. Last thing I want to do is take two more. So, and then you try to, you know, when you got family, you don't want people to know how sick you are. So, you try to play it up big. you know, when you go down, you go down.

But yeah, I I'm here specifically because yeah, that that storm is crazy. Um, we I won't I won't speak for Lisa, but we feel [clears throat] like in our functional medicine world because there's this mass exodus of providers who are leaving traditional

medicine for trying to figure it out and not satisfied there. And we're a few of the lucky ones who kind of escaped that. I almost but I'm I'm listening to your story about hearing stories in acute care and I'm thinking now in those in

those 20s something years like how many people did I send home who had this bizarre things and we just couldn't figure it out. So we feel like yeah no one knew it but you know we feel like in functional medicine we're apologizing to people saying like trying to explain

that you know we don't want to throw the industry under the bus but they only use the tools that they have in their own tool bag and through you know this method we're learning new tools and it's exciting to hear your story but my question is

my question is why didn't those doctors Google said what's the cause for circle I I think I think because our medical system is broken, you get 12 minutes or so to see a patient. I [clears throat] mean, who who really can talk to you and

get figure out what's wrong with you? You know, I mean, it's [clears throat] the the saddest part that I see like for someone I'm not I'm exempting myself because luckily, like I said, I have I I had the ability to leave and my life is

still intact. Most people are on paycheck to paycheck and most people are not able to walk away from their company in for 90 days and just say, "Oh, I'm out of here." You know, I got I got to

go get healthy. And then let's go to the the worst. Financially, it's unbelievably expensive to try to go. I mean, I my

insurance company, for instance, will not want to pay for the last CT scan. I'm not within the network. Well, I had to get out of the network because I if I didn't get out of that matrix, I was going to die. I had to leave. So, they don't want to pay

for things. So, that that really limits the availability. So, having you I mean, functional medicine do what Dr. Perser's on to and has been on to and all the thing. I mean, these are all new breakthrough. We need it so badly. And you know, honestly, I don't

think we should continue to keep getting X-rays and CTS and MRIs and more die and this. You know, really, I think it should start at the functional medicine level. If you can't fix it naturally and with functional medicine

then then maybe exhaust other resources because I look for a functional medicine. There's very there you guys are not in high volume. So but Jeeoff to be honest I'm I don't know what I am. I don't think I'm functional

medicine. I do. I'm researchoriented. What the research says is you should get better with what I did. And guess what? you got better with what I did and that's the literature that's not my that's not me being I mean we don't we

have a biotech we make glutathione correctly we make sod correctly we make catalyst correctly we have patent pendings or patents on everything we do um yeah but I see me as a mainstream MD I'm just kind of weirdly

ahead of everyone [snorts] I think you're gifted I don't know about that I think you're supposed to be here. Well, maybe for you I was Oh, that's for sure. I'll give you before and after photos. I I think I probably still got some photos of me all bandaged it up trying to play

out my day. I keep all those. I even got my bottles I think I still have one of my bottles of nitroglycerin. I'm like, "Okay, there's five tablets left." You know, [snorts] I just got to make it to Utah. Just get me to Utah. I think one of the worst parts about your story is that you were dismissed.

Oh. As our as the provider, [snorts] our job is to find out what's going on. They can't. They go. Yeah. For you to be dismissed. No. I was crazy. Actually, it was in my head. It's funny. I see myself as the doctor of last [snorts] resort. Usually, I'm

the last option for patients. They come to me out of desperation. I better find out what's going on with them. Well, I'm going to tell you, thank you for being there for that. But I came to you because you're the only doctor that I knew that had an ability to to help me

figure this out and I knew we've known each other. We passed each other and and I was like if there's anyone I mean if I I have one shot left. Yeah. I'm the doctor last resort. How's that? I got to wake up every morning realizing

that it's kind of weird. It's stressful. You know what though? Look, look for the amount of tests that we've done and the results we got in one month compared to two and a half or three years. I mean,

it's it's really sad. It's sad for for one for the person that has to go through all that, but then, you know, even the on the insurance side and other things, they're paying a lot of money out even subsidizing for some of these what the MD world would say. These are

the things that we want you to get get to the root cause and that I think that's the thing I I was getting a band right the the enzymes we should check out why they're not coming out not just

give me enzymes and then maybe instead everything was a band-aid just to get me to the next step. Don't give me nitroglycerin and tell me to take it home with me and take it for a year. I mean I don't know any better. Sure. Okay. I'll do that. I don't want to go to the hospital again. But does that

mean it's going to get better? No. It was another band-aid that also caused now, you know, mo most likely is the cause of me having high blood pressure for so long. The sarcoid, this issue, this inflammation, this craziness has

caused permanent heart damage. You know, I'm not going to change the thickness of my heart. And I I don't even know if they can do that. But all of that just combined when you just look over things it's kind of like wow you know this system is broke if

you're getting older and I you know and I tried attributing a lot of this in my first things I was like I'm getting old maybe it is something I'm eating oh I would blame my girlfriend no more spinach salads no try something different you know but I'll tell you

great moments great moments are three weeks after I was on this protocol I got to eat my first salad. Oh my god, it was amazing. And uh I I think we just I don't know. We take so many things for

granted, but boy, when life is taken away from you and and it literally is from the way that the system is set up and you can't find there's so many people that are sick. That's that's another issue, you know, in itself that

you can't find someone anymore. I'm I'm surprised Dr. Perry could even fit me in. I'm like, you have to. Wasn't a choice. I'm going to be on your front door step, but you have to. Um, it took me like three minutes to decide [snorts] you got you got some

weird sodakine problem. [sighs] No one can figure it out. It's going to be some there's something there, but we just got to find it. Yeah. Pretty amazing. Yeah. Just the journey in general. I mean, I I I'm going to sit back one day. I've been keeping like sporadic notes throughout

because I wanted to know my symptoms, how I felt that day, write down my diet, you know, because I was trying to figure it out because you're you're telling me that I'm mentally sick. I mean, I need stress therapy. Yes, I do. I absolutely

100% do. And I do. I would go, but at one point, was that going to help my cytoine problem? Was that going to find my inflammation? Was that going to save my life? And why would somebody think you're going crazy? Because they're hearing you come in six times, seven

times telling them the same thing and they they can't do anything about it. I mean, dismissed is a very big understatement of the way you feel as a as a human being. It it was like I would rather have a doctor say you know what

look uh you're I can't help you but head in this direction or not get in this direction. I mean the last thing that I needed was psychotherapy for a physical illness,

right? I mean it's a it's like that's misdirection. You know, you should have or a a a person that works within the system that's getting paid by my public tax dollars telling me that they don't want

to take me to the hospital again. I mean, that's that we've got a broken down terrible system. And we do. We if we can't if we can't find out what's wrong with you, on to the next patient. You know, number

86, you know, it's like going to DMV. It's an assumption that [snorts] the workup that you got was comprehensive. It's complete. It's a bad assumption. Yeah. That means that medicine has reached learned all it can. I even hired a concier doctor because I

could afford it and he sat down with me because I told him I'm sick and he and he told me he says, "You have had an extremely extensive workup." So I have I mean I'm granted I'm right

there. I have. But why didn't we check for cytoine? Why didn't we I mean take a few extra steps or I don't know. I honestly I don't blame any of them. I just think they don't know. The hottest research right now in pharmarmacology

the biggest research the biggest place where new drugs are coming out is for cytoines the biologicals like skyrozi like remade like dupixent on and on I can go they're probably so expensive and they and no one knows anything about

them not even from what I can tell some of the top notch imunologists that my patients have dealt with in the world they don't seem to know there's side problem. Well, I'll tell you, I'm so glad I found mine. Yeah, I'm so glad I found mine.

Okay. Thank you. [snorts] You're welcome.