https://twitter.com/DrJackKruse/status/1701982061865632202
Larger size = more entropy in the PLL and disc = loss of circadian timing which leads to less energy transformation in the tissue degenerating.
The same thing happens in heart failure. The heart gets larger.
The same thing happens in stars. Star gets larger when they die.
The same thing happens in an ankle sprain. Ankles sprains lead to swelling.
What is the embryological origin of the spinal nerve like the one pictured above?

The ectoderm is also sub-specialized to form the neural ectoderm, which gives rise to the neural tube and neural crest, which subsequently give rise to the brain, spinal cord, and peripheral nerves. It also gives rise to neural crest cells that create melanin in the spinal nerve.
The melanocyte lineage is derived from the neural crest, which has its origins in the neural tube. Following its formation, neural crest cells delaminate from the dorsal-most aspect of the neural tube by a process of epithelial-to-mesenchymal transition. The neural crest delaminates from the developing neural tube and overlying ectoderm early in development. The pigment cells are the only derivative to migrate along the dorso-lateral pathway. This should tell spine surgeons that most diseases of spinal nerves that are associated with sensory findings are telling us precisely where our patients have lost melanin endogenously. This is why I make my cervical and thoracic disc patients remove their shirts to examine their skin. I am looking for signs of melanin destruction, lack of electrical conductivity, and count the number of nevus present in the skin of the affect nerve roots. I am also looking for evidence of melatonin and melanopsin disruption in the same dermatome. I also look for abnormal cholesterol deposits.
Mitochondria are dissipative structures in cells, but not the only ones. They transform energy and create order from the disorder in light energy they use to operate. The water mitochondria create is probably the single most important dissipative structure that life is based upon in cells. So I always look for signs of dehydration in the skin in the dermatome in question. I look at capillary refill and skin turgor.

I also shine a red light on the skin to see the response of the underlying blood vessels. you can see the red light above penetrates deeply into the dermatome.

After that test is done, then I cover the area for a brief time and shine a UV light on the same patch of skin and see how it effects the underlying blood vessels on the surface. If the become very visible, this tells me a a great deal about the NO reserve in this dermatome. There usually is a big difference in the etiology of disc herniations in this test. In acute injury the disc disruption is from biomechanical failure and no from photochemical degradation related to melanin loss. This tells me the status of NO production at this dermatomal level along with the melanin issues present in this nerve distribution.

Veins appear blue/green because these colors have shorter wavelengths that scatter more than red light. This scattering of shorter wavelengths is the same reason the sky is blue or eyes are blue. Your body does not produce blue pigment. Instead, near infrared light enters deep into your skin, hits your blood vessels, and is scattered back to you with blue being most visible and red largely being absorbed. So the color you see is blue, not red. You'll notice this does not happen when blood vessels are closer to the surface (e.g. veins in your eyes, or skin when you blush)
Doctors and nurses use NIR light to find veins in patients. VIDEO
In difficult cases I will put a tourniquet in the limb in question and make blood pool and then do a prick of the dermatome to check for the HbA1C in that distribution. I call this my melanopsin and melatonin effect. Blue light and nnEMF exposures in dermatomes chronically induce melatonin suppression and this disrupts the circadian-regulated mechanism in the limb. This circadian damage leads to hyperglycemia and hyperinsulinemia in the body part that causes premature aging and higher heteroplasmy. These limbs often have many dangerous looking skin lesion in this.
The C4-5 disc herniation pictured above tell us a story about melanin in the C4-5 neural distribution. There was a lack of melanin in the skin of this dermatome. C4 provides sensation for parts of your neck, shoulders and upper arms. This dermatome is usually covered in humans who wear shirts. Cervical nerve 5 controls the deltoid muscles of your shoulders and your biceps. C5 provides sensation to the upper part of your upper arm down to your elbow.
In the developing embryo, dermatomes arise from somitic mesoderm, which develops from the middle layer of embryonic tissue lateral to the developing neural tube. Dermatomes are arranged with basic segmental pattern in the vertebrate trunk, although some overlap exists with similar areas above and below.
SUMMARY
This Tweeter thought he was being wise ass when he responded in the thread by saying this:
https://x.com/AttacheCrypto/status/1702121454127485171
You cannot tell whether a man is clever by his answers, but you do get a great sense whether a man is wise by his questions.
The business of decentralized medicine is to teach patients to live with some uncertainty. It is not to reassure them, but to upset them. It sounds counterintuitive until you understand the perspective. This perspective is built when you watch a great white shark attack. As the shark digs its teeth into the carcass of a dead whale his teeth are replaced and his bite gets sharper. This allows the shark to get to the liver and heart of the dead animal which in turn provides massive benefits to the shark. When you dig your teeth into your own assumptions, your teeth, too become sharper. Your mind allows you to dig deeper into a subject. You become what the world needs simply by helping yourself. Questions open a space in your mind that allow better answers to germinate and connect with other ideas like turning a field over.
The status quo is the opiate of the mind. The status quo is driven by seeking comfort, convenience, and the desire for stability, and a steadfast refusal to embrace the suck that life brings to us. It is brought us by design. We need to learn from our failures. Seeking stability leads to complacency and stagnation. You become a fool when you stop asking questions. Always question before you comply with anyone or anything.
For centralized thinkers, the status quo is a powerful force that stifles innovation, creativity, and critical thinking. The master key of wisdom is a persistent and frequent questioning of the status quo. Our mind opens and awaken by embracing stress because it turns on the light inside of us when everything outside feels dimmed. Become facile asking question where the answer makes a difference to society.
As physicians, it is our job to question the rules in existence and those being enforced on our patients; we are the ones that must ask if they are relevant or outdated, necessary or arbitrary, helpful or oppressive to the truth. Without excellent questions no human progress is possible.
Thank you Crytpoattache for being a douchebag. You stimulated me to create a lesson for my tribe. Always embrace the suck folks. You'll never know where it will lead you.
CITES
1. https://threadreaderapp.com/thread/1636019966947348480.html
2. https://x.com/DrJackKruse/status/1793770875646570938
3. https://x.com/DrJackKruse/status/1613303897791295488
Dr. Gavin Nixon
2024-10-04 20:30:53 +0000 UTCmichael john moreau
2024-06-04 17:00:50 +0000 UTCBody Coach
2024-06-03 15:58:36 +0000 UTCkaren Jarvis
2024-06-03 13:24:17 +0000 UTCLaura Kissmann
2024-06-01 13:23:07 +0000 UTCSpencer Rickers
2024-06-01 06:29:20 +0000 UTCDr. Richard Sanchez
2024-06-01 02:00:06 +0000 UTCDr. Jack Kruse
2024-05-31 21:21:23 +0000 UTCJimmy
2024-05-31 18:46:28 +0000 UTCBoris Leoro
2024-05-31 15:35:32 +0000 UTCNick
2024-05-31 12:44:23 +0000 UTCmitchell martin
2024-05-31 11:42:24 +0000 UTCDr. Jack Kruse
2024-05-31 02:19:30 +0000 UTCNick
2024-05-31 00:06:18 +0000 UTCDiane Leitch
2024-05-30 20:24:18 +0000 UTCShea Stewart
2024-05-30 20:11:49 +0000 UTC