Home Health 458: Dr. Marcella Madera on Neurosurgery, Stem Cells, TBIs, and Anti-Growing old

458: Dr. Marcella Madera on Neurosurgery, Stem Cells, TBIs, and Anti-Growing old

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Katie: Hi there, and welcome to the “Wellness Mama” podcast. I’m Katie from wellnessmama.com and wellnesse.com. That’s Wellnesse with an E on the tip. It’s my new private care line. This episode goes deep on some actually cool science. It’s about neurosurgery, particularly in spinal well being, however we delve into additionally mind well being, anti-aging, and a lot extra. I’m right here with Dr. Marcella Madera, whose bio is so spectacular, I really should learn elements of this. She’s an skilled in surgical remedy of situations of the backbone, together with degenerative backbone illness, backbone tumors, and degenerative deformity. She is world-renowned for this, and she or he has experience in all spinal approaches and minimally invasive surgical procedure. She is board licensed by the American Board of Neurological Surgical procedure. However what’s actually cool is she’s combining the slicing fringe of surgical remedy with the leading edge of different and even vitality therapies. And she or he’s getting actually unbelievable outcomes for her sufferers. And she or he talks about how this actually has crossed over into different areas of life as nicely, apart from simply spinal well being. It at all times is thrilling for me to search out docs who’re combining different therapies as nicely. She shares my concept that that is very a lot a each/and never both/or, and that there’s a time and a spot for each and that always the very best outcomes happen after we mix them. So, we get into some fascinating and fairly particular information on this one, and I hope you’ll get pleasure from it as a lot as I did. Dr. Marcella, welcome.

Dr. Marcella: Hello, thanks a lot for having me.

Katie: I’m excited to get to know you slightly higher on this podcast. You come extremely beneficial by a number of individuals in my life who I extremely, extremely respect. And I’m so excited to get to share you with everybody at the moment. Your bio is tremendous spectacular. And I really feel like, even beginning with only one factor is difficult to select. However I’d love to begin off by listening to about the way you turned a neurosurgeon as a result of that’s an unbelievable specialty, to start with, and never a simple one, I’d guess.

Dr. Marcella: Proper. Properly, thanks for asking that query. It’s expensive to me how I turned a neurosurgeon. So, I knew I used to be a surgeon immediately in medical faculty, and I wasn’t positive what sort I’d be, however I beloved being within the OR, and I beloved the calm and in addition the depth. And I occurred to do a neurosurgery rotation since you may select between neurology and neurosurgery. I used to be pondering I used to be gonna do cosmetic surgery. And on my rotation, I used to be simply completely blown away by the fantastic thing about the nervous system. I had a really guttural, instinctual response to the operations and the therapeutic that we had been creating with our sufferers. And I simply knew deep in my soul, that is what I used to be alleged to do. So, I jumped in.

Katie: And that was in the beginning of your profession, proper, like, strictly neurosurgery?

Dr. Marcella: Yeah. So I began out typical drugs neurosurgical residency for six years in Cincinnati, after which I did a backbone fellowship for one yr at Johns Hopkins in Baltimore. After which, I went into personal observe in Austin, Texas in 2011.

Katie: Okay. And that’s the place you continue to are. And I’ll be certain I put a hyperlink. I do know you guys are booked up means prematurely, however I’ll put a hyperlink to your observe in Austin, for anyone who’s native there. And from what I’ve heard from my pals, you now have a thriving integrative observe, and also you’re addressing much more than simply the neurosurgical aspect. So, how did that journey occur?

Dr. Marcella: Yeah, so over time in my typical observe, I had the expertise time and again that I actually needed to supply extra care to my sufferers. I actually needed to heal greater than reduce. And I wanted a means to have the ability to absolutely categorical the therapeutic that I needed to offer. And so, I began out by doing my very own schooling on different remedies, on holistic drugs, purposeful drugs, integrative drugs. And over time, I additionally labored myself, personally, with the Vitality For Success, which is an historic Chinese language vitality modality delivered to the USA from Dr. Barry Morguelan. And doing my very own vitality work by means of these packages, plus educating myself on all the opposite issues on the market, made me actually need to create a very completely different mannequin of mind and backbone care. And so then I began my integrative observe referred to as Austin Integrative Backbone as a aspect venture for a number of years, after which now it’s my foremost venture. And what’s been actually, actually rewarding is that now after I care for sufferers, some sufferers nonetheless want surgical procedure, however there’s a big inhabitants that after they optimize, and we deal with individuals holistically, they don’t want surgical procedure in any respect. And I at all times knew that instinctually and I needed to create it and develop it to show it in actual life. But it surely’s been actually rewarding to do smaller surgical procedures, typically do no surgical procedure in any respect, after which additionally use cutting-edge know-how and biologic cell drugs, which is one other piece of our observe. It’s been actually, actually fantastic.

Katie: I’m curious when you’re seeing… Properly, to begin with, I like that you simply’re not turning to surgical procedure as the primary possibility as a result of it looks like in plenty of drugs, that could be very a lot a primary strategy, and it looks like a fairly drastic one. However I’m curious, are we seeing an increase in spinal-related issues in among the issues that you simply work with like we’re in different areas of medication in the identical means? And in that case, what do you suppose is driving that?

Dr. Marcella: That’s a terrific query. You understand, when it comes to an increase, I’d say, constantly, my typical observe… I’ve been out of it now for nearly two years. However on the time, I’d say that I wouldn’t essentially understand an increase. What I understand is a continuing chronicity of illness. So, there’s a baseline quantity of degenerative backbone illness, particularly, and in addition degenerative neurologic illness, however degenerative backbone illness is sort of ubiquitous within the inhabitants. Everyone’s bought a again ache or a neck ache or no matter. And positively, with COVID, what we noticed was, you recognize, frankly, they shut the ORs down. So we had a drastic lower within the quantity of sufferers that had been in a position to be handled. We are able to solely deal with emergent sufferers. And so now, with issues opening up, we’re seeing a rise in individuals with the ability to be handled. I’d say that the persistent illness, although, generally, is steadily rising when it comes to incidence simply due to the growing older inhabitants. And as you age, all people will get persistent illness. That mentioned, I really feel like there are plenty of different contributors. It’s not simply put on and tear. And that’s a part of my observe now’s actually attending to the basis reason behind that and stopping that. And so, do I feel there’s an increase? Sure, with an growing older inhabitants, nevertheless it’s so ubiquitous. It’s at all times been ubiquitous.

Katie: Gotcha. Okay. I’m curious what you’re seeing sufferers come to you for probably the most proper now and/or, like, type of, inside the space of neurosurgery? Like, what was your specialty and, like, type of, what had been you seeing in that space whenever you had been practising as a surgeon?

Dr. Marcella: Yeah. So, the principle issues that I handled then and nonetheless the identical issues I deal with now, simply I’ve a complete new extra bag of methods along with surgical procedure, however persistent or acute, so very long time or pressing quick time, again ache, neck ache, arm ache, leg ache, from arthritic illness within the neck or within the low again. That’s in all probability the highest, you recognize, 80% of stuff that we see. And within the surgical world, you recognize, there’s plenty of issues you are able to do earlier than attending to surgical procedure. And so, in my typical observe, plenty of instances, individuals would have seen ache administration and, you recognize, accomplished all of the issues, seen bodily therapists, chiropractors, and none of that labored. And so then they’d come, and we might do surgical procedure. And now, it’s the identical inhabitants, however now we’ve new instruments. And so, among the issues we take a look at are underlying irritation. We’ve got a laboratory panel to take a look at irritation. A number of sufferers come with out data that your weight loss program can actually radically have an effect on your ache syndrome. And so, straightforward stuff like occurring a low irritation weight loss program and doing a particular train that has mind-body included with it, breathwork, some quite simple dietary supplements, like vitamin D and Omega 3 fatty acids, you recognize, these key issues in the beginning, can typically result in no surgical procedure or result in an optimization interval after which a greater restoration after surgical procedure.

Katie: That’s fascinating. Yeah. And it makes full sense that even within the case when surgical procedure is important, it’s not an both/or it’s a each/and. And I do know I’ve seen that in interviews, like within the most cancers world, as an illustration, these leading edge most cancers docs who’re additionally utilizing integrative modalities, or encouraging sufferers to quick, or utilizing issues, or vitality work, issues which were researched in different areas, and realizing they don’t should be at odds. And I get so enthusiastic about that as a result of I feel long-term, the very best outcomes in drugs, are gonna be after we can meld all of these instruments collectively. So it makes me actually excited after I meet individuals such as you who’re on the slicing fringe of the medical world and in addition realizing the worth in issues like diet, and way of life elements, and the vitality work as nicely. I’m particularly curious in regards to the, like, type of, vitality and mindset and emotional element relating to particularly the realm of ache as a result of it looks like for lots of people, no less than anecdotally that I’ve heard from, they are going to see, such as you mentioned, a shift of their ache response after they tackle interior stuff as nicely and…

Dr. Marcellla: Hundred %.

Katie: ….my story isn’t particular to ache. However I had plenty of well being issues for lots of years, together with thyroid illness and bother shedding pounds. And it wasn’t till I addressed the emotional element that I used to be in a position to resolve any of these issues. So, I’m so excited to listen to you say that you simply’re integrating all these items. And I’m curious when you see that connection actually strongly within the ache world as nicely.

Dr. Marcella: Undoubtedly. One of many actually fascinating issues that we’ve come throughout not too long ago is this concept of what’s referred to as biologic decoding. There’s a physique of labor that has the title New Medication or Germanic Medication. It’s a bit esoteric, however I’ve realized about it not too long ago. And the thought is that each one medical illness or all illness processes probably are associated to detrimental experiences that we’ve skilled as people. And each single human has had a tense expertise in our lives. That’s what being human is about. And so, utilizing this very particular decoding coaching that I’ve labored on, including that to a thoughts bodywork with the Vitality For Success, which is respiratory practices, writing objectives, journaling, there’s some very particular practices that we’ve our sufferers do. We’ve got them do these practices main as much as procedures, after which throughout one in every of our biologic cell drugs procedures, we really discuss by means of a few of these life stresses, and we return to the primary level of signs, after which typically we return additional, and typically we go means, means again. And what’s fascinating is doing all of this together, permits the physique to launch ache and launch illness. And when you advised me 10 years in the past that I’d be speaking to individuals about their earlier experiences and serving to them heal, I by no means would have believed it. However I’ve skilled it myself. I’ve skilled it with my crew. You understand, it’s highly effective how one can relate what’s occurred to you in your previous and your present illness state. And in order that’s what we’re actually, actually captivated with proper now and additional creating this. And, once more, it’s a each/and. I imply, there’s a place 100% for typical drugs. And when ache is extreme… You understand, yesterday I advised a affected person, “Let’s get you a muscle relaxer as a result of you may’t, like, operate proper now. Let’s get you calmed down in order that then you may, you recognize, come and do your holistic expertise with us.” So, you recognize, it’s each/and, as you mentioned, and the contribution of the mind-body piece and connecting to your individual true self to permit that personal true self to launch the illness is one thing I’m actually, actually captivated with proper now.

Katie: Yeah. And I imply, I’ve a lot empathy for people who find themselves going by means of that, particularly again ache. I’ve skilled that myself twice, as soon as from an harm whereas figuring out after which extra not too long ago, from by chance giving myself rhabdo, which was kidney ache, however nonetheless, like, again ache, is particularly encompassing and intense. And such as you mentioned, it’s very laborious to operate. So, completely, my coronary heart goes out to people who find themselves there. And it is smart whenever you discuss it in that realm, too, simply how a lot that emotional element would come into play. And from a bodily perspective, my mind thinks like, “It could make sense when you’re within the state of stress and emotional stress when you’re not in a position to downshift into parasympathetic, you’re not gonna be capable of launch that ache response as a result of your physique is in that activated struggle or flight sympathetic system.” Is that, type of, what you suppose is said, or are there extra past that?

Dr. Marcella: I feel that’s positively associated. And that struggle or flight response is our physique’s pure, you recognize, cavewoman intuition. That’s what we had been constructed to do. So it completely is smart. And what your physique’s attempting to do in that second is survive in that second. So, after all, that’s what our our bodies do. However for the long-term, that top cortisol state, that top, you recognize, heartbeat state isn’t going to offer you long-term well being. It’s going to extend irritation. And when you preserve that state, it’s going to proceed to perpetuate the illness course of. So, getting the physique calm and getting that parasympathetic state activated is definitely essential. And the vitality work that we suggest to our sufferers, a part of which are very in depth 20 minutes, twice a day respiratory workout routines. They’re straightforward, however, you recognize, it’s a must to do it. You need to hear and breathe. And that does activate the sympathetic or the parasympathetic nervous system to get your physique in that house to the place you may really get into therapeutic for positive.

Katie: And I’m curious the way you’re seeing this play out in affected person outcomes as nicely, each from, like, the surgical aspect you had been doing in the beginning, and now integrating each, what sort of distinction in outcomes are you seeing?

Dr. Marcella: Nice query. So, the distinction is, in typical drugs, and each surgeon is aware of which you can have an ideal surgical procedure. I imply, good. You do every part proper. It’s lovely. It’s the correct quantity of time, no downside. And typically, they simply don’t get higher. And that factor occurred with me and my sufferers sufficient instances that I used to be like, “There’s something else. There’s something else.” And it turns on the market’s plenty of one thing elses. It could be weight loss program. It could be a serious trauma of their previous. It could be their private relationships, at present. It could be their quantity of stress at their job. There’s so many issues that may contribute to this incapacity to heal. And so, now, what we’re discovering is that, particularly, like, for extreme illness that has a pathway of some enchancment, however not at all times all the best way, what I’m captivated with is spinal twine harm. And plenty of spinal twine sufferers, you recognize, have a horrible downside. They get a surgical procedure to stabilize, after which they progressively get higher over time. Some get higher, some get higher slightly bit, some get higher lots. Why is that? No one actually is aware of. Do they type of taper out at two years however, like, by no means good? That’s a horrible illness. And what we’re seeing now with the holistic remedy, with the superior biologic cell drugs remedy, plus the decoding, plus the vitality, I had a man at the moment textual content me, “Hey, Dr. M, each morning after I do my stretches, I rise up, and I twirl a method or one other. And at the moment, I can twirl higher than I ever have.” And he’s, like, three weeks out from this process, one in every of these superior issues that we’re doing. And I imply, I gotta let you know, like, getting a spinal twine harm man to twirl, like, it’s simply unbelievable. In order that’s the type of factor that now I by no means thought that I’d see. And I actually imagine it’s a mixture of the issues that we’re doing. And it’s been a stepwise development. You understand, a yr in the past, we weren’t doing the decoding like we’re doing now. A yr in the past, we had been doing a kind of biologic cell remedy for spinal twine harm, and now we’re doing a extra superior one with a photobiomodulation element, a lightweight remedy element. So, we’ve progressed in what we’re including, and we’re seeing progressive outcomes, and it’s actually enjoyable and fantastic for the sufferers.

Katie: Are you able to clarify slightly extra in-depth what the biologic cell drugs remedies are? Like, how does that work, and what’s taking place?

Dr. Marcella: Yeah. So, you recognize, each human has an innate capacity to heal. You understand whenever you reduce your finger, your physique is aware of how one can heal it. So, what we’re doing with the biologic cell drugs is harnessing your individual physique’s innate capacity to heal. And typically, we’ll use platelet-rich plasma, which comes from your individual physique. Generally we’ll use your individual bone marrow. Generally we’ll use a biologic. Generally we use a mixture. Once more, I mentioned, we’ve a photobiomodulation gentle remedy that we’ve added to this now. And so what we’re doing, when you have an harm and your physique tries to heal, harm physique tries to heal, in some unspecified time in the future, when you’ve got illness, your physique’s not maintaining. So what we do is add the biologic cell drugs, both by means of an IV process, a quite simple process, or by means of injections or each, to permit the physique that kickstart to get them again up. And what most of these items is on this bucket of issues that we do are very robust, anti-inflammatory signaling molecule procedures. So, the stuff that we’re utilizing primary science exhibits that they’re rising cell signaling on your personal cells to get up and heal. Each single pericyte, I’m sorry, each single blood vessel in your physique has what’s referred to as pericytes, that are little stem cells in your physique whose job it’s to sign the therapeutic course of. And so what we’re doing is attempting to jumpstart that. That’s the principle.

Katie: That’s fascinating. And also you talked about type of, like, a two-year window. I’m curious if that’s, type of, a threshold that’s fairly nicely established or if there’s hope for individuals who have had longer-term accidents with issues like this.

Dr. Marcella: Nice. Thanks for asking that query. Completely, that’s not a threshold. And I didn’t know that earlier than I began doing these spinal twine remedies. We’ve got sufferers… I’ve a girl only recently who mentioned, “Oh, my gosh, Dr. M, I can really feel the carpet beneath my ft, and I haven’t felt that in 10 years.” I imply, those who have persistent spinal twine harm from, you recognize, very very long time can nonetheless get enchancment. You understand, that is very early these remedies that we’re doing and what we’re studying, however positively, anyone who has proven some enchancment since their harm is a candidate, and I’d say most individuals have proven some enchancment in one thing from the time of their harm. And I’d say, even when they haven’t proven any enchancment from the time of their harm, it’s at all times value a strive as a result of, once more, it’s not simply in regards to the cells. It’s in regards to the mind-body. It’s in regards to the underlying irritation. And so, we’re not simply doing one factor. We’re doing quite a lot of issues that may carry well being holistically.

Katie: That’s so encouraging. On a private degree, my mother broke her neck when she was in highschool.

Dr. Marcella: Oh, wow. Oh, my Godness.

Katie: And fortunately,…like, isn’t paralyzed from it however nonetheless has had residual ache and, like, lack of movement. And so she’s had points her complete life. After which a neighborhood pal, about 10 years in the past, dove off of a ship and broke his again and now’s, like, paralyzed from the waist down. So it’s actually encouraging that we’re nonetheless seeing…as a result of it looks like my restricted understanding that for some time it was thought, like, these are comparatively inconceivable issues to get better from, particularly after that preliminary window and, like, when you missed the window, there’s not gonna be a lot hope for you going ahead. So for, like, these private instances in my life, it’s thrilling to listen to there’s new modalities which are exhibiting outcomes.

Dr. Marcella: Yeah, I imply, it’s early and, you recognize, we’re actually excited in regards to the instances that we’re seeing this in for positive. So, there’s positively… You understand, the way forward for drugs, this will probably be commonplace. That’s actually what I feel. And proper now, we’re simply in a technique of determining what that commonplace goes to be.

Katie: And also you additionally talked about that you simply suppose plenty of the rise in spinal ailments can be associated to an growing older inhabitants, which makes full sense. And, you recognize, it’s no secret that we’re seeing an increase in persistent and degenerative ailments throughout plenty of completely different areas, which I feel is also essential to carry to the forefront the dialog on growing older, not simply what we consider as growing older, like, on a pores and skin degree on how we glance however extra importantly, on a organic degree. And so I’m curious what you’re discovering in your analysis in your scientific observe on issues which are really, like, biologically serving to the physique to not age as shortly.

Dr. Marcella: Nice query. So yeah, one of many issues that we’re actually fascinated by is testing your age, based mostly on DNA methylation. There’s a really extensive physique of analysis which you can… There’s particular assessments. There’s a few completely different corporations that do that, the place they will take a look at your DNA and the way a lot methylation there may be and offer you your age based mostly in your DNA. And there are some teams which are exhibiting that with anti-aging, biologic cell remedies, which you can get a discount in that quantity. That is very, very early. We’ve checked out a few sufferers, and we simply have our baseline numbers. We don’t have our follow-up numbers but. So we’re taking a look at this. You understand, there are some actually nice advances with each vitality work together with purposeful drugs and the entire issues that you simply do to optimize your physique, the biohacking, you recognize, neighborhood. There are many methods to consider reversing growing older. I’d say the science isn’t fairly there when it comes to, like, proving it. However I can let you know that folks that do all these items positively look youthful and positively act youthful. And I do suppose that, you recognize, 50 years from now, we’re gonna have the solutions to these questions for positive.

Katie: It’s thrilling to consider. And I’m glad that we’re seeing a few of these issues as a result of I additionally suppose in at the moment’s world, I’ve talked about this in different realms, however we’ve so many extra inputs that our our bodies are coping with. In order that’s I feel a part of the explanation we’re seeing this speedy acceleration in all these persistent ailments is we’re simply dealing with much more environmental, and meals, and emotional inputs than earlier generations have. And so, you recognize, I typically get the pushback from individuals of, like, nicely, we shouldn’t should do all these loopy issues and biohacking to be wholesome. And, like, I agree with you, I want we didn’t should, however we’ve so many extra inputs coming into play. Now that it’s no less than one thing to be proactive about, even when you’re not gonna do all the acute biohacking issues, however simply to be very proactive within the strategy to that.

Dr. Marcella: For positive. And, you recognize, among the issues are actually easy, proper? Like, sure, it’s cool to have, you recognize, gentle glasses that provide the optimum quantity of sunshine. And it’s actually cool to have, you recognize, hyperbaric oxygen at your own home when you can afford that. I imply, that’s nice. However, like, there’s a complete lot of easy issues that folks aren’t doing due to all these inputs, proper? There’s so many inputs. Our society is so fast-paced. We’ve got our telephones on a regular basis. We’re at all times doing, you recognize, social, blah, blah, blah, and, like, going and taking a stroll barefoot within the bushes and taking a trip, sleep, you recognize, like, there are such a lot of easy issues that may hold you younger, that typically I really feel like, okay, we wish all of the inputs, so then we’ve to do all this different stuff to maintain up with the inputs, however perhaps if we simply, like, reduce down on the inputs slightly bit, we’d get the identical impact. And that’s means cheaper, frankly. And in order that’s why I’m actually, actually passionate in regards to the mind-body piece and the Vitality For Success work is that it’s a every day observe. You do it your self at residence, or you are able to do it wherever. It’s nice to do it out in nature, however they’re easy practices. And it’s on daily basis. You do have to concentrate to it on daily basis. However that work alone has taken years off me personally, I imagine. So all people tells me I’m wanting like I’m getting youthful. In order that’s good.

Katie: Properly, yeah. I feel that’s an essential level in addition to that it’s tempting to need to go discover the silver bullet that’s all these fancy remedies, however such as you personally, I’ve seen the most important outcomes from issues like optimizing sleep, and daylight, and hydration, issues that you simply’re gonna must do anyway. And when you can simply enhance these, it has a carryover impact. And when you aren’t centered on these, you may spend some huge cash on all these different issues, they usually’re not gonna be as efficient anyway. So I’ve turn out to be a really massive fan of issues, easy issues like morning daylight, and getting sufficient sleep, and fasting in several varieties at completely different instances. I feel there’s simply these free instruments that we will use. And I’m excited, like I mentioned, to see the mixing of all of these items collectively.

Dr. Marcella: Undoubtedly.

Katie: Additionally, anytime we’re speaking about neuroscience and neurosurgery, there’s clearly, I’d guess, a giant mind element right here as nicely. And I feel it is a subject that’s actually thrilling to delve into for everybody, particularly there’s plenty of mother and father listening, and I discuss lots about schooling in addition to a homeschooling father or mother and dealing on constructing out an academic system. And so I’m curious when you have any recommendation from the neurosurgical aspect of how we will greatest assist our brains, each as adults, as we’re growing older, and in addition in our children, to offer them probably the most strong basis early on?

Dr. Marcella: That’s a terrific query. You understand, the muse for the issues that we simply talked about. So, sleep might be no 1, 2, 3, and 4. I feel for the growing older mind, definitely, mitigating irritation is a big factor. The entire neurodegenerative ailments have pathophysiology associated to irritation. And if you recognize that that runs in your loved ones and even being proactive, as you mentioned, you recognize, getting your genetics checked out and see when you’re in danger for neurodegenerative illness is essential. Weight-reduction plan, I really feel like, is a big piece of that. And, you recognize, a easy low inflammatory weight loss program more often than not, I feel, is a simple factor that anyone can do. It doesn’t imply you may’t ever eat your favourite issues. It simply implies that more often than not, your baseline is low irritation. More often than not, you’re sleeping adequately. More often than not, you’re not ingesting alcohol. I really feel like these are straightforward issues that anyone can do. And train is a big piece of that. So, you recognize, high-intensity interval coaching a few instances every week is fantastic. You understand, there are many completely different suggestions when it comes to train, however I imply, frankly, simply transfer. You understand, like, that’s a simple one which anyone can do.

After which being outdoors in nature, for positive, that we talked about already. After which, when it comes to kids, I actually really feel… So I’m a mother of two. I’ve a six-year-old and a two-year-old, each ladies, and I actually really feel like children want house, free play house. And I see in my very own children when they’re over-traveled, over-scheduled, over-structured, that their brains don’t work as nicely and, over-deviced as nicely. And, you recognize, I’ve the identical problem as anyone else does as a working father or mother or stay-at-home father or mother that, you recognize, children wanna be entertained on a regular basis. And so, conserving their brains free and having that open playtime is, like, excessive, excessive precedence, and clearly sleep, you recognize, ensuring that they’ve a schedule that helps sleep for positive.

Katie: I’m so excited to have a neurosurgeon on the document saying that it’s essential for kids to play as a result of I’ve been saying this for years. And that was really the impetus for constructing my complete academic system from the bottom up was realizing when my oldest hit faculty age that I used to be taking a look at, like, what’s gonna greatest put together him for grownup life? And is it a standard faculty? Is it homeschooling? And I spotted there wasn’t any strategy that I felt, like, actually embraced all of the issues children must develop, the actually essential issues like creativity and important pondering, and creativeness. And I feel an enormous element of that’s play and unstructured time and the house to be bored. Like, all these items that get taken away in our over-structured life. And I feel these issues are essential for adults too. We frequently neglect that we’re alleged to play as adults and do enjoyable issues and the motion element. So I like that you simply introduced that up. That’s so essential.

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Additionally, I’m guessing you see sufferers with, like, their post-concussive points or TBIs, and it looks like there’s been media round it. These are on the rise, particularly children, due to the best way sports activities are altering however definitely in adults as nicely. And I’ve had pals which have gone by means of some fairly extreme concussions and recoveries, together with an expensive pal who’s a few years out now and nonetheless simply now recovering her style and scent slightly bit. So, what are among the ways in which you guys are addressing traumatic mind accidents and concussions?

Dr. Marcella: Yeah. So, you recognize, hyperbaric oxygen has a extremely nice physique of, I’d say, anecdotal expertise and anecdotal literature. After which there are lively research being accomplished now for extreme TBI with hyperbaric oxygen. And anyone within the purposeful drugs world who is aware of hyperbaric, 100% that’s the primary remedy is no less than 40 periods plus. I feel that’s a simple factor. You understand, it’s fairly accessible now in most locations. And we accomplice with a terrific heart right here in Austin, Texas, that we work with. In order that’s a giant one. I feel the identical issues I mentioned earlier than with optimizing irritation, so low irritation weight loss program, sleep. I additionally suppose mind neurofeedback and mind coaching. We’ve got some companions that we work with for our concussion sufferers for that, and I’d say, you recognize, the biologic cell drugs piece. I do suppose that that’s the future. We’ve got checked out that. We’ve got a few, I’d say, anecdotal conditions the place we discovered that useful. It’s nonetheless very early, and we don’t know for positive if that’s gonna work in all people. However the best way that we work it’s if we see anyone with this example, we suggest the issues that we all know for positive which have extra background behind, which might be the hyperbaric after which simply optimizing irritation, sleep, these are issues that, you recognize, anyone can do, like, we’ve talked about. After which in the event that they’ve gone by means of that and will not be getting the place they wanna go, we’ll have a dialogue to think about biologic cell drugs and say, you recognize, “That is an possibility. We don’t know for positive, nevertheless it’s attainable that this may enhance the neurologic scenario.” And so, you recognize, typically we do this with sufferers as nicely.

Katie: Gotcha. And far much less critical or acute, however most individuals in my viewers are mothers. I hear from plenty of mothers who’ve both mind fog or fatigue or simply, like, that appears to be a quite common factor that’s talked about amongst mothers. So, you’re additionally a mother and a busy mother. So I’m curious when you have something both personally or professionally that you simply do to assist in that space? Possibly what your ideas are on issues like nootropics?

Dr. Marcella: Yeah. So, nice query. So one of many key issues that I began doing a number of years in the past, only for my very own vitality degree and tinkering with completely different diets, I’m a giant proponent of Dave Asprey and Bulletproof and the butter espresso. Like, for my physique, it really works rather well. And so when it comes to, within the morning, my routine, that type of will get me, have my powerhouse, you recognize, morning, each morning, I spend a while with my two-year-old earlier than I’m going to work after the six-year-old goes to highschool. And now the summer season, it’s each of them. And so, I do intermittent fasting from, like, dinner till… I imply, it’s type of a quick, as a result of then, you recognize, it’s like a bulletproof quick. You’d have your butter espresso within the morning. So when it comes to nootropic, when it comes to, you recognize, caffeine and butter, I feel that’s what works for me. I actually get pleasure from that.

I don’t actually… There are some nice dietary supplements on the market. I simply actually are likely to do the vitality work as a substitute of dietary supplements. And if I really feel like I’m having a drag within the afternoon, I’ll lay down for quarter-hour. I, particularly in my new workplace, bought a chaise for my workplace in order that I can lay down for quarter-hour if I must and do a guided visualization, do a respiratory, that at all times perks me proper up. After which the opposite factor that got here to me whenever you requested the query is, you recognize, being a mother and dealing or whether or not you’re working or not, you’re at all times, whether or not you’re working outdoors the house or within the residence, being a mother and doing all of the issues that mothers do as a result of we all know we do greater than no matter it’s anyone thinks we’re doing. We’re doing, like, 100 issues extra. That’s a given. So, it takes a every day consideration, and it takes a every day observe. And that’s what I realized about actually after I went again to work after having my first child. If I let up, if I don’t take note of myself growth or myself being full, I can’t do it, you recognize, I’ll be drained, or I’ll have a foul angle, or I’ll, you recognize, say one thing grouchy to my child. And so, being a mother and plus all of the thousand issues that you simply do on daily basis, whether or not it’s working at residence or outdoors the house, requires every day consideration to your self. And I do imply every day. So for me, that’s, once more, the vitality work that I do and doing, you recognize, respiratory on daily basis and particular bodily practices on daily basis. I write objectives on daily basis for what I need to occur that day in sure eight areas of life. So, yeah, it’s on daily basis. You don’t get off the hook.

Katie: Additionally, a brand new subject I’m guessing you might need some perspective on, I hold seeing exosomes come up within the analysis. I’m curious when you’ve delved into them in any respect and when you can clarify, like, what they’re and the way they’re, type of, being evaluated proper now.

Dr. Marcellla: Yeah. So exosomes are little nanoparticles which are cell membrane on the skin, and on the within are development elements and RNA. They don’t have DNA, they usually’re not cells. Totally different corporations derive them from completely different sources. Some come from younger grownup bone marrow, stem cells, for instance. Different corporations use placental stem cells. They’re utterly non-FDA authorised proper now. A number of the businesses had been advertising them as a biologic. Now, the FDA is saying they have to be on a pathway to turn out to be a drug. And so, any of the businesses which are going to remain round should have an IND with the FDA to have the ability to even promote their product anymore. So, it’s a really…some individuals would say controversial. I’d say it’s simply very, very new science. We should not have long-term research to know what these items are doing. We type of barely know what’s inside them, however the corporations which are doing probably the most aggressive, stringent purposes with the FDA try to characterize and standardize what’s in them. So, I’d simply say they’ve an enormous quantity of promise. The businesses that I do know which are doing these IND purposes are doing them for COVID. And I do know of some anecdotal stories of treating each acute and persistent COVID. And these have been revealed in peer-reviewed journals. So, there may be some early science. I feel it’s extremely promising. For treating ailments which are outdoors of the realm of what their INDs are for, I’d say, we don’t know. However we’ll know in a few years, I feel.

Katie: That’s thrilling, too. Let’s see. So that you’re doing a variety of therapies with a variety of sufferers. I’m curious, what’s the most uncommon factor or shocking factor that you simply do in your observe?

Dr. Marcella: I feel… Properly, that is… So, after we bought this new know-how, which is that this photobiomodulated PRP factor, we noticed these actually nice outcomes with quite a lot of issues, like knee ache, or hip ache, or again ache or no matter. And we additionally noticed another person that was doing this had some nice beauty outcomes. And I used to be like, “Properly, I’ll simply strive that as a result of that sounds nice.” And so I had my dermatologist pal do micro-needling for me, after which we did this process, and my outcome was nice, and I used to be tremendous thrilled with it. And different those who I had not talked to noticed me on a Zoom had been like, “You look nice. You guys gotta do that.” So, we developed what’s referred to as the Aphrodite makeover, which is that this identical course of we do for ladies. We do face, breasts, and sexual enhancement. After which for guys, we do face, hair, and sexual enhancement.

And so when you had advised me 10 years in the past that I’d be doing beauty sexual optimization for individuals, I’d be like, “What? This doesn’t even make sense?” However now, it completely is smart as a result of it’s a pure development of if we’re gonna repair anyone and assist their acute downside and assist their ache and get them again to a life that’s higher than they will think about, which is my objective for each affected person, why wouldn’t I then say, “Let’s now work in your magnificence and sexual well being?” Why not? Like, if we’ve the ability to try this, we’ve the instruments to do it. And it’s a lot enjoyable, and it’s so rewarding. And so, our dream is placing these two makeovers along with the feminine, the Aphrodite, the male, the Eros, sufferers come collectively as a pair and do that remedy, and with the remedy, we do the vitality work. We do the decoding, they usually make objectives about their remedy and the way they wanna join. So it’s a extremely enjoyable a part of my observe that’s utterly surprising, and we’re simply having a good time doing it.

Katie: Properly, and also you’ve talked about the energetic science a number of instances and the Vitality For Success, particularly. So I wanna be certain we contact on this slightly bit extra. And is that this one thing that you simply provide particularly by means of your observe? Are there sources out there for individuals to study this? Since you talked about, it’s been personally very useful for you, as nicely. So I wanna be certain I present sources for individuals to search out out extra.

Dr. Marcella: Yeah. Thanks for asking. So Dr. Barry Morguelan’s program is named the Vitality For Success. And you’ll simply go to energyforsuccess.org, and there’s quite a lot of methods to attach. There are numerous packages that you are able to do, however the core factor that we do in our observe is there’s a guided visualization that we’ve been given permission to offer to our sufferers and a few particular practices that we give to our sufferers to optimize their therapeutic, earlier than and after a process or typically with no process they usually simply do it, you recognize, whereas they’re beneath our care. So that you don’t should be a affected person for positive to entry this. Anyone can entry it.

And what’s been actually fantastic to see from the medical aspect is, you recognize, sufferers are available in, they usually have an issue, they usually’re sitting in my workplace, they usually’re asking, “Physician, what do I do? Inform me what to do.” And it’s nearly like they’re on the finish of the fishing hook. Like, you recognize, the knowledge hole is so extensive, you recognize, individuals are available in and don’t know what their photographs imply and don’t know what their ache means. And so they’ve gotten 4 different opinions, and none of them is smart. And it’s actually laborious, and it’s complicated, and it’s scary. And whenever you’re in ache, this complete course of is simply actually scary and, you recognize, complicated. So, what this work does is provides you, the affected person, a approach to take part in your care from day one. And it’s one thing that it’s a must to tackle your self, and also you do it, however you’re contributing to the therapeutic of your physique. So that you’re not simply on the receiving finish of your therapeutic, you’re contributing to the therapeutic. And, you recognize, once more, it’s easy stuff is what we inform sufferers to do is a guided visualization twice a day. There’s a objective writing observe. So I write objectives for my very own sufferers, that means I need this process to end up completely. I need it to take this period of time. I need them to have full decision of X, Y, and Z, and I write these objectives each single day for my sufferers. And when our sufferers are available in for procedures, we coach them on writing their objectives for themselves.

So we’re each harnessing this vitality work to get the very best final result. After which for individuals that aren’t essentially in ache or having, you recognize, a well being downside, how this vitality works is permitting you to entry… I imply, for everyone, it really works this fashion. We don’t should have ache to have it work. It’s permitting you to entry a circulation state on a regular basis. So, all people is aware of what it’s wish to hit an ideal golf ball or to make the proper plate of meals or to have the proper dialog the place you’re not even positive if it was you doing it, it simply flowed, and it was fantastic. That’s what the vitality work permits you to connect with in a number of areas of life. And so, anyone who’s , simply go on the web site and skim extra about it. And the packages are actually, actually life-changing. And I began doing it for myself seven years in the past, to assist handle being a neurosurgeon and being a mother, and, you recognize, wanting all of it, frankly. And it was so highly effective for me that I needed to share it with my sufferers. In order that’s what I do now.

Katie: And I feel a extremely essential factor you simply introduced up is that concept of getting them be an lively participant of their care, which can be such an essential mindset shift. And, like, I’ve learn plenty of books like “The Biology of Perception,” and issues like that, like how that mindset shift is so critically essential. However I’ve additionally mentioned on right here so many instances that every of us is our personal major healthcare supplier and the very best outcomes occur after we settle for the possession and duty of that after which discover, like, cutting-edge practitioners such as you who will help information the place to go. However that, like, the very best partnership, I feel, is with individuals such as you as a result of so typically I hear from people who find themselves being advised by their docs, like, “Oh, your signs aren’t actual. That is all in your head,” or “Simply do it this fashion,” and like not being listened to. And so I feel that may be a actually cool element of getting individuals to essentially heart in and take an lively function and work with you, which after all, makes whole sense. You’d have such good outcomes from that.

Dr. Marcella: Yeah. And it’s been actually fascinating. When individuals are given house and time to simply categorical, therapeutic occurs. I imply, that’s a part of this decoding course of that we do with one in every of our procedures. Folks inform me on a regular basis, “I simply advised you one thing that I’ve by no means advised anyone.” And I’m a neurosurgeon, like, it’s fascinating that as a result of I’m approaching it on this means, it’s popping out within the protected atmosphere. Folks actually will be capable of heal themselves. I imply, they’re doing it. They’re telling me the stuff and them popping out and telling me these items is contributing to their therapeutic. It’s actually cool.

Katie: I like that. Properly, as we get near the tip of our time, there’s a number of questions I like to ask. The primary being simply each as a mother and a practitioner, and with all this leading edge stuff that you simply’re doing, what do you contemplate the most important, most essential needle movers in your every day routine in your every day life?

Dr. Marcella: I imply, I’ll return to the vitality. It’s the identical reply. I hold saying it. However paying consideration. It doesn’t should be that proper. It might be any every day routine. I feel what you mentioned is vital. It’s every day and listening to your individual, I wanna say vitality degree however listening to the place you’re, like, checking in. You may go a complete day and never even be remotely related to your physique. So simply pausing and taking a second, the place am I? How do I really feel? What do I would like proper now? No matter that observe is, it’s a must to do it on daily basis.

Katie: After which lastly, if there’s a e book or a variety of books which have had a profound influence in your life, and in that case, what they’re and why?

Dr. Marcella: So, it is a laborious query as a result of there’s so many nice books. After I was youthful, I feel the one which stands out probably the most might be “The Sound and the Fury,” which is Faulkner. And I feel it stood out as a result of my mind actually stretched with studying that and deciphering that, and dealing by means of it with my academics. And I actually gained this concept of, “Wow, like, I’m actually sensible. I can completely do that. That is superb.” So I simply do not forget that being a robust… I imply, the story is fantastic, and the prose is superb. And it’s written on this very completely different means, issues that I’ve by no means skilled earlier than. And that have of studying one thing that was new and I by no means skilled earlier than after which with the ability to do it, that’s the circulation state. That’s, like, doing one thing that’s new after which experiencing prowess inside it. That’s what we’ve entry to on a regular basis. And I skilled that as a child studying that e book. And with the vitality work, I do now, that’s my objective now to expertise that on a regular basis. After which, as an grownup, there’s one other e book that was actually highly effective for me referred to as “Energy vs. Power,” and it’s David Hawkins. And it’s in regards to the common consciousness and the way the reply to each query exists and how one can entry that, and it’s actually profound quantum info. It’s cool.

Katie: I adore it. I’ll put each of these within the present notes, in addition to hyperlinks to every part we’ve talked about on this episode and a hyperlink to your observe into the Vitality For Success info. I’m so excited, like I mentioned, in the beginning, to know there are docs such as you who’re on the leading edge of mixing all of those modalities, and I’m so appreciative of your time. I understand how busy you’re. Thanks a lot for being right here at the moment.

Dr. Marcella: Thanks a lot for having me. It was a thrill and pleasure to fulfill you.

Katie: And thanks as at all times to all of you guys for listening and for sharing your most respected sources, your time, and your vitality with us at the moment. We’re each so grateful that you simply did, and I hope that you simply’ll be a part of me once more on the subsequent episode of the “Wellness Mama” podcast.

When you’re having fun with these interviews, would you please take two minutes to go away a ranking or evaluate on iTunes for me? Doing this helps extra individuals to search out the podcast, which suggests much more mothers and households may gain advantage from the knowledge. I actually admire your time, and thanks as at all times for listening.

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