Chuck K: Why is it so hard to find the location to get a CIMT test? I
don't think my cardiologist can spell CIMT. He or she probably can't. Here's the
bottom line, and this is again part of the book. We go into depth and detail to
explain why these standards committees are only now beginning to warm up to
CIMT. And until the standards committees warm up to CIMT, it's not gonna be
very popular. Bottom line is garbage in, garbage out. You see so much of the
science about CIMTs. That's really bad, and it was done by someone who did not
know how to do a CIMT, and they did a study, and they didn't find anything
worthwhile. They messed it up. But unfortunately that's sort of like me
going in and doing surgery on a belly. And you know a bunch of people's
abdomens, I'm not trained in that space, and then I go out and publish an article
that said, our outcomes were awful. Well, of course, they were... I wasn't trained in
doing it. And that's exactly what you see in the science of CIMTs now. If you
go deeper into the science, you know, and they share their exact techniques on how
they found the artery, how they located it, their angle of approach, when they do
that, the science is just bristle clear. It's very very good now Todd has
actually spent some time with some of the standards committees. I believe it
was the US Preventive Services Task Force a couple of years ago. And they
began to see that after they finally began to start listening, so that's why
you don't see a lot of them out there. And I think thanks forever to the
medical community, I think it's going to be many years before you see a lot of
CIMT availability. And of course in the age of COVID, it's taken a huge toll on Todd
and the other sources for doing that. CIMT test location
through CardioRisk. Thank you, Erland, and yes, Todd is still
doing something. I'm not sure how and in what type of
environment, but yes, CardioRisk is the guys that I use. They're the only
qualified national provider that I know of that, goes through all of the
different fastidious technical training and quality programs. So I use them on a
regular basis. Again, their owner is Todd Eldredge. He's the guy that's been on
this channel several times, and the guy that I do some of these events with
David Meinz, for example, does these CIMT events. The CIMTs are being
done by Todd Eldridge's CIMT team. Dave Ferguson: No CardioRisk in my area.
What's the best IMT hardware and software to look for? It's not so much a
hardware issue. There are some hardware criteria, but the really big problem is,
again, there's not so much software either. It is technique. Here's the thing.
We make assumptions that if this is the artery. We make the assumption that
plaque is uniform around the circumference of the artery and long
lives as well. And neither one of those is the case. So if you're looking at and
measuring that plaque which you can do with almost any of the IMT software and
almost any of the standard ultrasound hardware, the problem is if you take a
picture from here today and then change the angle slightly or the location
slightly, then you can get a whole different reading a year later. And that
just ends up creating the chaotic noise that we saw in the research. So again,
David, it's a great question, but it's not hardware, it's not software. It is
fastidious technique regarding the location and angle and
things like that.
Continue to get great feedback regarding the webinars, and here's why. You know on
the Internet, when you hear a webinar, you expect for
somebody to try to sell you something. We're not doing that. We're trying to
tell you something. People are coming in with their labs from Quest - inflammation
panel, OGTT, insulin survey response - and then they're finding out, do I have
inflammation? Do I have insulin resistance? And where does that fit in terms of
other folks? We're getting ready to start one for CIMT as well. So again people
are really excited about finding out their own status. Looking forward to
seeing you there. Thanks.