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

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

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Katie: Howdy, and welcome to the “Wellness Mama” podcast. I’m Katie from wellnessmama.com and wellnesse.com. That’s Wellnesse with an E on the top. 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 truly must learn components of this. She’s an knowledgeable 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 he or she 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 other and even vitality therapies. And he or she’s getting actually unbelievable outcomes for her sufferers. And he or she talks about how this actually has crossed over into different areas of life as effectively, apart from simply spinal well being. It all the time is thrilling for me to search out medical doctors who’re combining various therapies as effectively. 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 most effective 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 folks 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 grew to become a neurosurgeon as a result of that’s an unbelievable specialty, to start with, and never a straightforward one, I’d guess.

Dr. Marcella: Proper. Nicely, thanks for asking that query. It’s expensive to me how I grew to become a neurosurgeon. So, I knew I used to be a surgeon straight away in medical college, and I wasn’t positive what kind I’d be, however I liked being within the OR, and I liked the calm and in addition the depth. And I occurred to do a neurosurgery rotation since you might select between neurology and neurosurgery. I used to be considering I used to be gonna do cosmetic surgery. And on my rotation, I used to be simply completely blown away by the great 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 originally of your profession, proper, like, strictly neurosurgery?

Dr. Marcella: Yeah. So I began out standard 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 manner upfront, 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 associates, 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 standard observe, I had the expertise again and again that I actually wished to supply further care to my sufferers. I actually wished to heal greater than lower. And I wanted a manner to have the ability to absolutely categorical the therapeutic that I wished to offer. And so, I began out by doing my very own schooling on various therapies, on holistic drugs, practical drugs, integrative drugs. And over time, I additionally labored myself, personally, with the Vitality For Success, which is an historical Chinese language vitality modality delivered to america 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 mission for a couple of years, after which now it’s my principal mission. And what’s been actually, actually rewarding is that now after I handle sufferers, some sufferers nonetheless want surgical procedure, however there’s a big inhabitants that once they optimize, and we deal with folks holistically, they don’t want surgical procedure in any respect. And I all the time knew that instinctually and I needed to create it and develop it to show it in actual life. However it’s been actually rewarding to do smaller surgical procedures, typically do no surgical procedure in any respect, after which additionally use cutting-edge expertise and biologic cell drugs, which is one other piece of our observe. It’s been actually, actually fantastic.

Katie: I’m curious in case you’re seeing… Nicely, to begin with, I really like that you simply’re not turning to surgical procedure as the primary choice as a result of it looks like in lots of drugs, that could be very a lot a primary method, and it looks like a fairly drastic one. However I’m curious, are we seeing an increase in spinal-related issues in a number of the issues that you simply work with like we’re in different areas of drugs in the identical manner? And if that’s the case, what do you assume is driving that?

Dr. Marcella: That’s an ideal query. , by way of an increase, I’d say, constantly, my standard 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. All people’s obtained a again ache or a neck ache or no matter. And positively, with COVID, what we noticed was, you understand, frankly, they shut the ORs down. So we had a drastic lower within the quantity of sufferers that had been capable of be handled. We will solely deal with emergent sufferers. And so now, with issues opening up, we’re seeing a rise in folks with the ability to be handled. I’d say that the persistent illness, although, typically, is steadily rising by way of incidence simply due to the getting old inhabitants. And as you age, all people will get persistent illness. That stated, I really feel like there are lots 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 explanation for that and stopping that. And so, do I feel there’s an increase? Sure, with an getting old inhabitants, however it’s so ubiquitous. It’s all the time been ubiquitous.

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

Dr. Marcella: Yeah. So, the primary issues that I handled then and nonetheless the identical issues I deal with now, simply I’ve an entire new further bag of tips along with surgical procedure, however persistent or acute, so very long time or pressing brief time, again ache, neck ache, arm ache, leg ache, from arthritic illness within the neck or within the low again. That’s most likely the highest, you understand, 80% of stuff that we see. And within the surgical world, you understand, there’s lots of issues you are able to do earlier than attending to surgical procedure. And so, in my standard observe, lots of occasions, folks would have seen ache administration and, you understand, achieved 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 now have new instruments. And so, a number of the issues we take a look at are underlying irritation. We’ve a laboratory panel to have a look at irritation. A number of sufferers come with out information that your eating regimen can actually radically have an effect on your ache syndrome. And so, straightforward stuff like occurring a low irritation eating regimen and doing a selected train that has mind-body included with it, breathwork, some quite simple dietary supplements, like vitamin D and Omega 3 fatty acids, you understand, these key issues originally, can usually 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 medical doctors who’re additionally utilizing integrative modalities, or encouraging sufferers to quick, or utilizing issues, or vitality work, issues which have been researched in different areas, and realizing they don’t must be at odds. And I get so enthusiastic about that as a result of I feel long-term, the most effective outcomes in drugs, are gonna be after we can meld all of these instruments collectively. So it makes me actually excited after I meet folks such as you who’re on the slicing fringe of the medical world and in addition realizing the worth in issues like vitamin, and life-style components, and the vitality work as effectively. I’m particularly curious in regards to the, like, form of, vitality and mindset and emotional element on the subject of particularly the realm of ache as a result of it looks like for lots of people, a minimum of anecdotally that I’ve heard from, they’ll see, such as you stated, a shift of their ache response once they handle inside stuff as effectively and…

Dr. Marcellla: Hundred p.c.

Katie: ….my story shouldn’t be particular to ache. However I had lots of well being issues for lots of years, together with thyroid illness and hassle shedding pounds. And it wasn’t till I addressed the emotional element that I used to be capable of 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 in case you see that connection actually strongly within the ache world as effectively.

Dr. Marcella: Positively. One of many actually fascinating issues that we now have come throughout just lately 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 just lately. And the thought is that each one medical illness or all illness processes probably are associated to destructive experiences that we now have skilled as people. And each single human has had a annoying 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 now have our sufferers do. We’ve them do these practices main as much as procedures, after which throughout one in all our biologic cell drugs procedures, we truly speak 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 manner, manner again. And what’s fascinating is doing all of this together, permits the physique to launch ache and launch illness. And in case you advised me 10 years in the past that I’d be speaking to folks 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 workforce. , 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 enthusiastic about proper now and additional growing this. And, once more, it’s a each/and. I imply, there’s a place 100% for standard drugs. And when ache is extreme… , yesterday I advised a affected person, “Let’s get you a muscle relaxer as a result of you’ll be able to’t, like, perform proper now. Let’s get you calmed down in order that then you’ll be able to, you understand, come and do your holistic expertise with us.” So, you understand, it’s each/and, as you stated, and the contribution of the mind-body piece and connecting to your personal true self to permit that personal true self to launch the illness is one thing I’m actually, actually enthusiastic about 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 damage whereas figuring out after which extra just lately, from unintentionally giving myself rhabdo, which was kidney ache, however nonetheless, like, again ache, is very encompassing and intense. And such as you stated, it’s very arduous to perform. So, completely, my coronary heart goes out to people who find themselves there. And it is smart once 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 in case you’re within the state of stress and emotional stress in case you’re not capable of 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, form of, what you assume is said, or are there extra past that?

Dr. Marcella: I feel that’s undoubtedly associated. And that struggle or flight response is our physique’s pure, you understand, 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 understand, heartbeat state shouldn’t be going to offer you long-term well being. It’s going to extend irritation. And in case you keep 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 actually essential. And the vitality work that we suggest to our sufferers, a part of which are very intensive 20 minutes, twice a day respiratory workouts. They’re straightforward, however, you understand, you need to do it. It’s important to hear and breathe. And that does activate the sympathetic or the parasympathetic nervous system to get your physique in that area to the place you’ll be able to truly get into therapeutic for positive.

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

Dr. Marcella: Nice query. So, the distinction is, in standard drugs, and each surgeon is aware of you can have an ideal surgical procedure. I imply, good. You do all the things proper. It’s stunning. It’s the correct quantity of time, no drawback. And typically, they simply don’t get higher. And that factor occurred with me and my sufferers sufficient occasions that I used to be like, “There’s something else. There’s something else.” And it turns on the market’s lots of one thing elses. It may be eating regimen. It may be a serious trauma of their previous. It may be their private relationships, at the moment. It may 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 all the time all the way in which, what I’m enthusiastic about is spinal wire damage. And lots of spinal wire sufferers, you understand, have a horrible drawback. They get a surgical procedure to stabilize, after which they step by step get higher over time. Some get higher, some get higher slightly bit, some get higher so much. Why is that? No one actually is aware of. Do they form 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 stand up, and I twirl a technique 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 all these superior issues that we’re doing. And I imply, I gotta let you know, like, getting a spinal wire damage man to twirl, like, it’s simply unbelievable. In order that’s the form of factor that now I by no means thought that I’d see. And I really consider it’s a mixture of the issues that we’re doing. And it’s been a stepwise development. , 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 sort of biologic cell remedy for spinal wire damage, 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 therapies are? Like, how does that work, and what’s occurring?

Dr. Marcella: Yeah. So, you understand, each human has an innate potential to heal. once you lower your finger, your physique is aware of easy methods to heal it. So, what we’re doing with the biologic cell drugs is harnessing your personal physique’s innate potential to heal. And typically, we’ll use platelet-rich plasma, which comes from your personal physique. Generally we’ll use your personal bone marrow. Generally we’ll use a biologic. Generally we use a mixture. Once more, I stated, we now have a photobiomodulation mild remedy that we’ve added to this now. And so what we’re doing, you probably have an damage and your physique tries to heal, damage physique tries to heal, in some unspecified time in the future, when you could have 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 things 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 growing cell signaling to 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 idea.

Katie: That’s fascinating. And also you talked about form of, like, a two-year window. I’m curious if that’s, form of, a threshold that’s fairly effectively 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 isn’t a threshold. And I didn’t know that earlier than I began doing these spinal wire therapies. We’ve sufferers… I’ve a woman only recently who stated, “Oh, my gosh, Dr. M, I can really feel the carpet underneath my ft, and I haven’t felt that in 10 years.” I imply, those that have persistent spinal wire damage from, you understand, very very long time can nonetheless get enchancment. , that is very early these therapies that we’re doing and what we’re studying, however undoubtedly, anyone who has proven some enchancment since their damage is a candidate, and I’d say most individuals have proven some enchancment in one thing from the time of their damage. And I’d say, even when they haven’t proven any enchancment from the time of their damage, it’s all the time price 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 entire life. After which an area 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 unattainable issues to recuperate from, particularly after that preliminary window and, like, in case 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 understand, we’re actually excited in regards to the instances that we’re seeing this in for positive. So, there’s undoubtedly… , the way forward for drugs, this can be customary. That’s actually what I feel. And proper now, we’re simply in a means of determining what that customary goes to be.

Katie: And also you additionally talked about that you simply assume lots of the rise in spinal ailments can also be associated to an getting old inhabitants, which makes full sense. And, you understand, it’s no secret that we’re seeing an increase in persistent and degenerative ailments throughout lots of completely different areas, which I feel is also essential to carry to the forefront the dialog on getting old, not simply what we consider as getting old, 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 medical observe on issues which are truly, 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 considering is testing your age, based mostly on DNA methylation. There’s a really large physique of analysis you can… There’s particular exams. There’s a few completely different firms that do that, the place they will take a look at your DNA and the way a lot methylation there may be and provide you with your age based mostly in your DNA. And there are some teams which are exhibiting that with anti-aging, biologic cell therapies, 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. , there are some actually nice advances with each vitality work together with practical drugs and all the issues that you simply do to optimize your physique, the biohacking, you understand, neighborhood. There are many methods to consider reversing getting old. I’d say the science shouldn’t be fairly there by way of, like, proving it. However I can let you know that individuals that do all these items undoubtedly look youthful and undoubtedly act youthful. And I do assume that, you understand, 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 assume in at the moment’s world, I’ve talked about this in different realms, however we now have 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 understand, I usually get the pushback from folks of, like, effectively, we shouldn’t must do all these loopy issues and biohacking to be wholesome. And, like, I agree with you, I want we didn’t must, however we now have so many extra inputs coming into play. Now that it’s a minimum of one thing to be proactive about, even in case you’re not gonna do all the acute biohacking issues, however simply to be very proactive within the method to that.

Dr. Marcella: For positive. And, you understand, a number of the issues are actually easy, proper? Like, sure, it’s cool to have, you understand, mild glasses that provide the optimum quantity of sunshine. And it’s actually cool to have, you understand, hyperbaric oxygen at your property in case you can afford that. I imply, that’s nice. However, like, there’s an entire lot of easy issues that individuals aren’t doing due to all these inputs, proper? There’s so many inputs. Our society is so fast-paced. We’ve our telephones on a regular basis. We’re all the time doing, you understand, social, blah, blah, blah, and, like, going and taking a stroll barefoot within the timber and taking a trip, sleep, you understand, like, there are such a lot of easy issues that may maintain you younger, that typically I really feel like, okay, we would like all of the inputs, so then we now have to do all this different stuff to maintain up with the inputs, however possibly if we simply, like, lower down on the inputs slightly bit, we would get the identical impact. And that’s manner 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 each day observe. You do it your self at house, or you are able to do it anyplace. It’s nice to do it out in nature, however they’re easy practices. And it’s daily. You do have to concentrate to it daily. However that work alone has taken years off me personally, I consider. So all people tells me I’m trying like I’m getting youthful. In order that’s good.

Katie: Nicely, 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 therapies, however such as you personally, I’ve seen the largest outcomes from issues like optimizing sleep, and daylight, and hydration, issues that you simply’re gonna have to do anyway. And in case you can simply enhance these, it has a carryover impact. And in case you aren’t centered on these, you’ll be able to spend some huge cash on all these different issues, and so they’re not gonna be as efficient anyway. So I’ve develop into a really massive fan of issues, easy issues like morning daylight, and getting sufficient sleep, and fasting in numerous kinds at completely different occasions. I feel there’s simply these free instruments that we are able to use. And I’m excited, like I stated, to see the mixing of all of these items collectively.

Dr. Marcella: Positively.

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

Dr. Marcella: That’s an ideal query. , the muse for the issues that we simply talked about. So, sleep might be number one, 2, 3, and 4. I feel for the getting old mind, actually, mitigating irritation is a big factor. The entire neurodegenerative ailments have pathophysiology associated to irritation. And if you understand that that runs in your loved ones and even being proactive, as you stated, you understand, getting your genetics checked out and see in case you’re in danger for neurodegenerative illness is essential. Weight-reduction plan, I really feel like, is a big piece of that. And, you understand, a easy low inflammatory eating regimen more often than not, I feel, is a straightforward factor that anyone can do. It doesn’t imply you’ll be able to’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 understand, high-intensity interval coaching a few occasions every week is fantastic. , there are many completely different suggestions by way of train, however I imply, frankly, simply transfer. , like, that’s a straightforward one which anyone can do.

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

Katie: I’m so excited to have a neurosurgeon on the report saying that it’s essential for kids to play as a result of I’ve been saying this for years. And that was truly the impetus for constructing my entire academic system from the bottom up was realizing when my oldest hit college 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 conventional college? Is it homeschooling? And I spotted there wasn’t any method that I felt, like, actually embraced all of the issues youngsters have to develop, the actually essential issues like creativity and significant considering, and creativeness. And I feel an enormous element of that’s play and unstructured time and the area 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 overlook that we’re alleged to play as adults and do enjoyable issues and the motion element. So I really 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 youngsters, due to the way in which sports activities are altering however actually in adults as effectively. And I’ve had associates 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 a number of the ways in which you guys are addressing traumatic mind accidents and concussions?

Dr. Marcella: Yeah. So, you understand, hyperbaric oxygen has a very nice physique of, I’d say, anecdotal expertise and anecdotal literature. After which there are energetic research being achieved now for extreme TBI with hyperbaric oxygen. And anyone within the practical drugs world who is aware of hyperbaric, 100% that’s the primary remedy is a minimum of 40 periods plus. I feel that’s a straightforward factor. , it’s fairly accessible now in most locations. And we accomplice with an ideal middle right here in Austin, Texas, that we work with. In order that’s a giant one. I feel the identical issues I stated earlier than with optimizing irritation, so low irritation eating regimen, sleep. I additionally assume mind neurofeedback and mind coaching. We’ve some companions that we work with for our concussion sufferers for that, and I’d say, you understand, the biologic cell drugs piece. I do assume that that’s the future. We’ve checked out that. We’ve 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 way in which that we work it’s if we see anyone with this case, 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 understand, anyone can do, like, we’ve talked about. After which in the event that they’ve gone by means of that and usually are not getting the place they wanna go, we’ll have a dialogue to think about biologic cell drugs and say, you understand, “That is an choice. We don’t know for positive, however it’s attainable that this may enhance the neurologic state of affairs.” And so, you understand, typically we do this with sufferers as effectively.

Katie: Gotcha. And far much less severe or acute, however most individuals in my viewers are mothers. I hear from lots 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 you probably have something both personally or professionally that you simply do to assist in that space? Perhaps 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 couple 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 very well. And so by way of, within the morning, my routine, that form of will get me, have my powerhouse, you understand, morning, each morning, I spend a while with my two-year-old earlier than I am going to work after the six-year-old goes to highschool. And now the summer time, it’s each of them. And so, I do intermittent fasting from, like, dinner till… I imply, it’s form of a quick, as a result of then, you understand, it’s like a bulletproof quick. You’d have your butter espresso within the morning. So by way of nootropic, by way of, you understand, 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 inclined to do the vitality work as an alternative 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, obtained a chaise for my workplace in order that I can lay down for quarter-hour if I have to and do a guided visualization, do a respiratory, that all the time perks me proper up. After which the opposite factor that got here to me once you requested the query is, you understand, being a mother and dealing or whether or not you’re working or not, you’re all the time, whether or not you’re working exterior the house or within the house, 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 each day consideration, and it takes a each 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 understand, I’ll be drained, or I’ll have a foul perspective, or I’ll, you understand, say one thing grouchy to my child. And so, being a mother and plus all of the thousand issues that you simply do daily, whether or not it’s working at house or exterior the house, requires each day consideration to your self. And I do imply each day. So for me, that’s, once more, the vitality work that I do and doing, you understand, respiratory daily and particular bodily practices daily. I write objectives daily for what I need to occur that day in sure eight areas of life. So, yeah, it’s daily. You don’t get off the hook.

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

Dr. Marcellla: Yeah. So exosomes are little nanoparticles which are cell membrane on the surface, and on the within are development components and RNA. They don’t have DNA, and so they’re not cells. Totally different firms derive them from completely different sources. Some come from younger grownup bone marrow, stem cells, for instance. Different firms use placental stem cells. They’re fully non-FDA authorized proper now. A number of the businesses had been advertising them as a biologic. Now, the FDA is saying they should be on a pathway to develop into a drug. And so, any of the businesses which are going to remain round must have an IND with the FDA to have the ability to even promote their product anymore. So, it’s a really…some folks would say controversial. I’d say it’s simply very, very new science. We don’t have long-term research to know what these items are doing. We form of barely know what’s within them, however the firms which are doing essentially the most aggressive, stringent functions 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 functions are doing them for COVID. And I do know of some anecdotal studies 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 exterior of the realm of what their INDs are for, I’d say, we do not 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… Nicely, that is… So, after we obtained this new expertise, 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, “Nicely, 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 that 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 girls. We do face, breasts, and sexual enhancement. After which for guys, we do face, hair, and sexual enhancement.

And so in case you had advised me 10 years in the past that I’d be doing beauty sexual optimization for folks, 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 drawback and assist their ache and get them again to a life that’s higher than they will think about, which is my purpose 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 now have the facility to try this, we now have 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, and so they make objectives about their remedy and the way they wanna join. So it’s a very enjoyable a part of my observe that’s fully surprising, and we’re simply having a good time doing it.

Katie: Nicely, and also you’ve talked about the energetic science a number of occasions 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 folks to find out about this? Since you talked about, it’s been personally very useful for you, as effectively. So I wanna be certain I present sources for folks to search out out extra.

Dr. Marcella: Yeah. Thanks for asking. So Dr. Barry Morguelan’s program is known as the Vitality For Success. And you may 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 now have 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 and so they simply do it, you understand, whereas they’re underneath our care. So that you don’t must 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 understand, sufferers are available, and so they have an issue, and so they’re sitting in my workplace, and so they’re asking, “Physician, what do I do? Inform me what to do.” And it’s virtually like they’re on the finish of the fishing hook. Like, you understand, the knowledge hole is so large, you understand, folks are available and do not know what their photos imply and do not know what their ache means. And so they’ve gotten 4 different opinions, and none of them is smart. And it’s actually arduous, and it’s complicated, and it’s scary. And once you’re in ache, this entire course of is simply actually scary and, you understand, 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 you need to tackle your self, and also you do it, however you might be contributing to the therapeutic of your physique. So that you’re not simply on the receiving finish of your therapeutic, you might be contributing to the therapeutic. And, you understand, once more, it’s easy stuff is what we inform sufferers to do is a guided visualization twice a day. There’s a purpose writing observe. So I write objectives for my very own sufferers, which means I would like this process to prove completely. I would like it to take this period of time. I would like 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 for procedures, we coach them on writing their objectives for themselves.

So we’re each harnessing this vitality work to get the most effective final result. After which for folks that aren’t essentially in ache or having, you understand, a well being drawback, how this vitality works is permitting you to entry… I imply, for everyone, it really works this fashion. We don’t must have ache to have it work. It’s permitting you to entry a movement state on a regular basis. So, all people is aware of what it’s prefer to hit an ideal golf ball or to make the right plate of meals or to have the right 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 hook up 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 understand, wanting all of it, frankly. And it was so highly effective for me that I wished to share it with my sufferers. In order that’s what I do now.

Katie: And I feel a very essential factor you simply introduced up is that concept of getting them be an energetic participant of their care, which can also be such an essential mindset shift. And, like, I’ve learn lots of books like “The Biology of Perception,” and issues like that, like how that mindset shift is so critically essential. However I’ve additionally stated on right here so many occasions that every of us is our personal main healthcare supplier and the most effective outcomes occur after we settle for the possession and duty of that after which discover, like, cutting-edge practitioners such as you who may also help information the place to go. However that, like, the most effective partnership, I feel, is with folks such as you as a result of so usually I hear from people who find themselves being advised by their medical doctors, 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 could be a actually cool element of getting folks to essentially middle in and take an energetic position and work with you, which after all, makes complete sense. You’d have such good outcomes from that.

Dr. Marcella: Yeah. And it’s been actually fascinating. When persons are given area and time to only categorical, therapeutic occurs. I imply, that’s a part of this decoding course of that we do with one in all 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 manner, 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 really like that. Nicely, as we get near the top of our time, there’s a couple 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 think about the largest, most essential needle movers in your each day routine in your each day life?

Dr. Marcella: I imply, I’ll return to the vitality. It’s the identical reply. I maintain saying it. However paying consideration. It doesn’t must be that proper. It might be any each day routine. I feel what you stated is essential. It’s each day and listening to your personal, I wanna say vitality degree however listening to the place you might be, like, checking in. You’ll be able to go an entire day and never even be remotely linked 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, you need to do it daily.

Katie: After which lastly, if there’s a guide or a lot of books which have had a profound impression in your life, and if that’s the case, what they’re and why?

Dr. Marcella: So, it is a arduous query as a result of there’s so many nice books. Once I was youthful, I feel the one which stands out essentially 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 lecturers. And I actually gained this concept of, “Wow, like, I’m actually sensible. I can completely do that. That is wonderful.” So I simply keep in mind that being a strong… I imply, the story is fantastic, and the prose is wonderful. And it’s written on this very completely different manner, 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 movement state. That’s, like, doing one thing that’s new after which experiencing prowess inside it. That’s what we now have entry to on a regular basis. And I skilled that as a child studying that guide. And with the vitality work, I do now, that’s my purpose now to expertise that on a regular basis. After which, as an grownup, there’s one other guide 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 easy methods to 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 all the things 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 stated, originally, to know there are medical doctors 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 might be. 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 satisfy you.

Katie: And thanks as all the time to all of you guys for listening and for sharing your most dear 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 part of me once more on the following episode of the “Wellness Mama” podcast.

In the event you’re having fun with these interviews, would you please take two minutes to go away a ranking or evaluation on iTunes for me? Doing this helps extra folks to search out the podcast, which suggests much more mothers and households may benefit from the knowledge. I actually respect your time, and thanks as all the time for listening.

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