How Would You Answer These Questions...
A lot of email comes in asking questions of all sorts; technical issues, about clients, you name it.
Here's one that I put out as a challenge for an upcoming advanced class.
How would you answer this.
Think about it.
Then if you want to see how I might answer, scroll to the end - but don't go there yet, read the questions and think about the response.
Pretend you are on the Biomedx help desk and here comes the questions...
Note: some of this might be foreign to you as the concepts and language relate to Flow System Auditing, but see how you do.
I need an urgent answer for the following questions regards some patient issues.
Question: If a client only has signs of parasympathetic dominance (alkaline blood), low breath rate, with high urine pH and low salvia pH, would you use acidic forms of calcium /magnesium i.e. chlorides, glycerphosphates, ascorbic acid, ? or should we be trying to correct the salvia pH with more alkaline therapy?
Question: If a client is only sympathetic dominant (acidic blood) with high breath rate, with low urine pH and high saliva pH, would you use alkaline sources of magnesium and potassium, i.e. citrates, ascorbates? Wolcott indicates that calcium further stimulates their sympathetic system and is contraindicated- your thoughts? Potassium used to stimulate parasympathetic activity?
Question: If a client has only signs of fast oxidation (acid blood) with high urine pH and low saliva pH plus high breath rate, would you need to use more alkaline forms of calcium? The range chart in the manual indicates to use calcium lactate which would seem to further increase acidic levels in blood?
Scroll down when you have your answers.
A direct answer is not possible. Everything has to be looked at in context of all the numbers. It is unlikely that only parasympathetic exists - this is often driven by something else. In this case, high urine & low saliva points to an anabolic state, but no surface tension #, no SG #, no BP #, and no reference to client leanings in terms of sleep, poly/oliguria, bowel movements, body temp, etc. - anabolics are often electrolyte deficient, but again no BP, no saliva mS, etc.
Same answer as above. Other things usually need to be addressed before consideration of ANS because something drives that system. Look at the bottom of the data sheet you will find the core homeostatic balances. Note how they line up. Sympathetics are often catabolic, and calcium is contraindicated for the catabolic.
Ditto, again cannot answer the basic question as more data is required so things can be looked at in context. Regarding cal lactate - Calcium lactate was a Reams reference but it really does not move pH. The thought is, Reams suggested this as a defense against viral issues. Viruses will push urine pH up and calcium is an enemy of viruses, so as calcium comes in the viral load goes down and down goes urine pH. In the lactate form calcium is most ionizable. It has no measurable effect of pH of any fluid that we can discern.
Were these trick questions? Yes and no. The fact is, we see people all the time just jumping out there and giving answers to questions that really need much more context before answering.
In many cases, this becomes an exercise in hypotheticals.
You can get lost for days in trying to wrap your head around hypothetical situations.
The key to success in the health business is to concentrate on the individual in front of you.
Measure and manage.
Flow Systems Auditing.
May your blessings be in this new year,