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

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Katie: Good day, 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 need to learn elements of this. She’s an knowledgeable in surgical therapy of circumstances 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 chopping fringe of surgical therapy 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 seek out medical doctors 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 most effective outcomes happen once 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 somewhat 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 choose. 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 straightforward one, I’d guess.

Dr. Marcella: Proper. Nicely, thanks for asking that query. It’s pricey to me how I turned a neurosurgeon. So, I knew I used to be a surgeon straight away in medical faculty, and I wasn’t certain what sort I’d be, however I cherished being within the OR, and I cherished 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 fantastic thing about the nervous system. I had a really guttural, instinctual response to the operations and the therapeutic that we have been creating with our sufferers. And I simply knew deep in my soul, that is what I used to be speculated to do. So, I jumped in.

Katie: And that was firstly 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 12 months 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 sure 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 mates, you now have a thriving integrative observe, and also you’re addressing much more than simply the neurosurgical facet. 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 needed to supply further care to my sufferers. I actually needed to heal greater than minimize. And I wanted a means to have the ability to absolutely specific the therapeutic that I needed to offer. And so, I began out by doing my very own schooling on different therapies, on holistic drugs, practical drugs, integrative drugs. And over time, I additionally labored myself, personally, with the Power For Success, which is an historic Chinese language vitality modality delivered to the US from Dr. Barry Morguelan. And doing my very own vitality work via these applications, 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 facet undertaking for a number of years, after which now it’s my most important undertaking. And what’s been actually, actually rewarding is that now once I deal with sufferers, some sufferers nonetheless want surgical procedure, however there’s a big inhabitants that once 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. 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 know-how 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 like that you just’re not turning to surgical procedure as the primary choice as a result of it looks like in numerous drugs, that may be very a lot a primary method, and it looks like a reasonably drastic one. However I’m curious, are we seeing an increase in spinal-related issues in a few of the issues that you just work with like we’re in different areas of drugs in the identical means? And if that’s the case, what do you suppose is driving that?

Dr. Marcella: That’s an ideal query. You understand, by way of an increase, I’d say, persistently, 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 nearly ubiquitous within the inhabitants. All people’s acquired a again ache or a neck ache or no matter. And definitely, with COVID, what we noticed was, , frankly, they shut the ORs down. So we had a drastic lower within the quantity of sufferers that have been capable of 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 power illness, although, on the whole, is steadily rising by way of incidence simply due to the ageing inhabitants. And as you age, all people will get power illness. That stated, I really feel like there are numerous different contributors. It’s not simply put on and tear. And that’s a part of my observe now’s actually attending to the foundation reason behind that and stopping that. And so, do I believe there’s an increase? Sure, with an ageing inhabitants, but it surely’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 essentially the most proper now and/or, like, type of, throughout the space of neurosurgery? Like, what was your specialty and, like, type of, what have been you seeing in that space if you have 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 methods along with surgical procedure, however power 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, , 80% of stuff that we see. And within the surgical world, , there’s numerous issues you are able to do earlier than attending to surgical procedure. And so, in my standard observe, numerous instances, individuals would have seen ache administration and, , achieved all of the issues, seen bodily therapists, chiropractors, and none of that labored. And so then they’d come, and we’d do surgical procedure. And now, it’s the identical inhabitants, however now we now have new instruments. And so, a few of the issues we have a look at are underlying irritation. We have now a laboratory panel to have a look at irritation. Numerous sufferers come with out data that your weight loss plan can actually radically have an effect on your ache syndrome. And so, straightforward stuff like happening a low irritation weight loss plan and doing a particular train that has mind-body integrated with it, breathwork, some quite simple dietary supplements, like vitamin D and Omega 3 fatty acids, , these key issues firstly, 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 critical, 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 example, 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 need to be at odds. And I get so enthusiastic about that as a result of I believe long-term, the most effective outcomes in drugs, are gonna be once we can meld all of these instruments collectively. So it makes me actually excited once I meet individuals such as you who’re on the chopping fringe of the medical world and in addition realizing the worth in issues like vitamin, and life-style elements, and the vitality work as nicely. I’m particularly curious in regards to the, like, type of, vitality and mindset and emotional part on the subject of particularly the realm of ache as a result of it looks like for lots of people, at the very least anecdotally that I’ve heard from, they are going to see, such as you stated, a shift of their ache response once they handle internal stuff as nicely and…

Dr. Marcellla: Hundred p.c.

Katie: ….my story isn’t particular to ache. However I had numerous well being issues for lots of years, together with thyroid illness and hassle shedding weight. And it wasn’t till I addressed the emotional part that I used to be capable of resolve any of these issues. So, I’m so excited to listen to you say that you just’re integrating all this stuff. And I’m curious in case you see that connection actually strongly within the ache world as nicely.

Dr. Marcella: Positively. One of many actually fascinating issues that we now have come throughout lately is this concept of what’s referred to as biologic decoding. There’s a physique of labor that has the identify New Medication or Germanic Medication. It’s a bit esoteric, however I’ve realized about it lately. And the concept is that each one medical illness or all illness processes presumably are associated to adverse experiences that we now have skilled as people. And each single human has had a disturbing 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 Power For Success, which is respiratory practices, writing targets, journaling, there’s some very particular practices that we now have our sufferers do. We have now them do these practices main as much as procedures, after which throughout considered one of our biologic cell drugs procedures, we truly discuss via 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 in case 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 group. 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 enthusiastic about proper now and additional creating this. And, once more, it’s a each/and. I imply, there’s a place 100% for standard 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, perform proper now. Let’s get you calmed down in order that then you may, , come and do your holistic expertise with us.” So, , it’s each/and, as you stated, 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 enthusiastic about proper now.

Katie: Yeah. And I imply, I’ve a lot empathy for people who find themselves going via that, particularly again ache. I’ve skilled that myself twice, as soon as from an harm whereas understanding after which extra lately, from by accident giving myself rhabdo, which was kidney ache, however nonetheless, like, again ache, is particularly 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 sensible if you discuss it in that realm, too, simply how a lot that emotional part would come into play. And from a bodily perspective, my mind thinks like, “It will 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, type of, what you suppose is said, or are there extra past that?

Dr. Marcella: I believe that’s positively associated. And that struggle or flight response is our physique’s pure, , cavewoman intuition. That’s what we have been constructed to do. So it completely is sensible. 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 prime cortisol state, that prime, , heartbeat state isn’t 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 definitely necessary. And the vitality work that we suggest to our sufferers, a part of which might be very intensive 20 minutes, twice a day respiratory workout routines. They’re straightforward, however, , 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 area to the place you may truly get into therapeutic for certain.

Katie: And I’m curious the way you’re seeing this play out in affected person outcomes as nicely, each from, like, the surgical facet you have been doing firstly, 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 that you would be able to have an ideal surgical procedure. I imply, excellent. You do every part proper. It’s stunning. It’s the correct quantity of time, no drawback. And typically, they only 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 numerous one thing elses. It could be weight loss plan. It could be a significant trauma of their previous. It could be their private relationships, at the moment. It could be their quantity of stress at their job. There’s so many issues that may contribute to this incapability 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 enthusiastic about is spinal twine harm. And numerous spinal twine sufferers, , 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 somewhat bit, some get higher loads. Why is that? No person actually is aware of. Do they type of taper out at two years however, like, by no means excellent? That’s a horrible illness. And what we’re seeing now with the holistic therapy, with the superior biologic cell drugs therapy, plus the decoding, plus the vitality, I had a man at the moment textual content me, “Hey, Dr. M, each morning once I do my stretches, I rise 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, considered one of these superior issues that we’re doing. And I imply, I gotta inform you, 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 really consider it’s a mixture of the issues that we’re doing. And it’s been a stepwise development. You understand, a 12 months in the past, we weren’t doing the decoding like we’re doing now. A 12 months in the past, we have been doing a kind of biologic cell therapy for spinal twine harm, and now we’re doing a extra superior one with a photobiomodulation part, a lightweight remedy part. 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 somewhat extra in-depth what the biologic cell drugs therapies are? Like, how does that work, and what’s taking place?

Dr. Marcella: Yeah. So, , each human has an innate means to heal. You understand if you minimize 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 means to heal. And typically, we’ll use platelet-rich plasma, which comes from your individual physique. Typically we’ll use your individual bone marrow. Typically we’ll use a biologic. Typically we use a mixture. Once more, I stated, we now have a photobiomodulation gentle remedy that we’ve added to this now. And so what we’re doing, you probably have an harm and your physique tries to heal, harm physique tries to heal, in some unspecified time in the future, when you have got illness, your physique’s not maintaining. So what we do is add the biologic cell drugs, both via an IV process, a quite simple process, or via 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 fundamental 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 concept.

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 therapies. We have now sufferers… I’ve a girl 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, people who have power spinal twine harm from, , very very long time can nonetheless get enchancment. You understand, that is very early these therapies 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 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 a wide range 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 buddy, 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 not possible issues to get better 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 might be exhibiting outcomes.

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

Katie: And also you additionally talked about that you just suppose numerous the rise in spinal ailments can also be associated to an ageing inhabitants, which makes full sense. And, , it’s no secret that we’re seeing an increase in power and degenerative ailments throughout numerous completely different areas, which I believe is also necessary to carry to the forefront the dialog on ageing, not simply what we consider as ageing, 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 might be truly, like, biologically serving to the physique to not age as rapidly.

Dr. Marcella: Nice query. So yeah, one of many issues that we’re actually inquisitive about is testing your age, primarily based on DNA methylation. There’s a really vast physique of analysis that you would be able to… There’s particular exams. There’s a few completely different corporations that do that, the place they’ll have a look at your DNA and the way a lot methylation there may be and provide you with your age primarily based in your DNA. And there are some teams which might be exhibiting that with anti-aging, biologic cell therapies, that you would be able to 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 practical drugs and the entire issues that you just do to optimize your physique, the biohacking, , group. There are many methods to consider reversing ageing. I’d say the science isn’t fairly there by way of, like, proving it. However I can inform you that individuals that do all these items positively look youthful and positively act youthful. And I do suppose that, , 50 years from now, we’re gonna have the solutions to these questions for certain.

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 now have so many extra inputs that our our bodies are coping with. In order that’s I believe a part of the rationale we’re seeing this speedy acceleration in all these power ailments is we’re simply dealing with much more environmental, and meals, and emotional inputs than earlier generations have. And so, , I typically get the pushback from individuals of, like, nicely, we shouldn’t need to do all these loopy issues and biohacking to be wholesome. And, like, I agree with you, I want we didn’t need to, however we now have so many extra inputs coming into play. Now that it’s at the very least 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 certain. And, , a few of the issues are actually easy, proper? Like, sure, it’s cool to have, , gentle glasses that provide the optimum quantity of sunshine. And it’s actually cool to have, , hyperbaric oxygen at your private home in case you can afford that. I imply, that’s nice. However, like, there’s an entire lot of straightforward issues that individuals aren’t doing due to all these inputs, proper? There’s so many inputs. Our society is so fast-paced. We have now our telephones on a regular basis. We’re at all times doing, , social, blah, blah, blah, and, like, going and taking a stroll barefoot within the bushes and taking a trip, sleep, , like, there are such a lot of easy issues that can preserve you younger, that typically I really feel like, okay, we wish 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, minimize down on the inputs somewhat 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 Power For Success work is that it’s a day by day observe. You do it your self at residence, 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 believe that’s an necessary 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 just’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 may spend some huge cash on all these different issues, and so they’re not gonna be as efficient anyway. So I’ve change into a really huge fan of issues, easy issues like morning daylight, and getting sufficient sleep, and fasting in numerous kinds at completely different instances. I believe there’s simply these free instruments that we will use. And I’m excited, like I stated, to see the mixing of all of this stuff collectively.

Dr. Marcella: Positively.

Katie: Additionally, anytime we’re speaking about neuroscience and neurosurgery, there’s clearly, I’d guess, an enormous mind part right here as nicely. And I believe this can be a subject that’s actually thrilling to delve into for everybody, particularly there’s numerous mother and father listening, and I discuss loads about schooling in addition to a homeschooling dad or mum and dealing on constructing out an academic system. And so I’m curious you probably have any recommendation from the neurosurgical facet of how we will greatest assist our brains, each as adults, as we’re ageing, and in addition in our youngsters, to offer them essentially the most stable basis early on?

Dr. Marcella: That’s an ideal query. You understand, the inspiration for the issues that we simply talked about. So, sleep might be number one, 2, 3, and 4. I believe for the ageing mind, definitely, mitigating irritation is a big factor. All the neurodegenerative ailments have pathophysiology associated to irritation. And if that that runs in your loved ones and even being proactive, as you stated, , getting your genetics checked out and see in case you’re in danger for neurodegenerative illness is necessary. Eating regimen, I really feel like, is a big piece of that. And, , a easy low inflammatory weight loss plan more often than not, I believe, is a straightforward factor that anyone can do. It doesn’t imply you may’t ever eat your favourite issues. It simply signifies 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 consuming alcohol. I really feel like these are straightforward issues that anyone can do. And train is a big piece of that. So, , high-intensity interval coaching a few instances every week is fantastic. You understand, there are many completely different suggestions by way of train, however I imply, frankly, simply transfer. You understand, like, that’s a straightforward one which anyone can do.

After which being exterior in nature, for certain, that we talked about already. After which, by way of kids, 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 nicely and, over-deviced as nicely. And, , I’ve the identical problem as anyone else does as a working dad or mum or stay-at-home dad or mum that, , youngsters wanna be entertained on a regular basis. And so, maintaining their brains free and having that open playtime is, like, excessive, excessive precedence, and clearly sleep, , ensuring that they’ve a schedule that helps sleep for certain.

Katie: I’m so excited to have a neurosurgeon on the document saying that it’s necessary for kids to play as a result of I’ve been saying this for years. And that was truly the impetus for constructing my complete instructional 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 method that I felt, like, actually embraced all of the issues youngsters have to develop, the actually necessary issues like creativity and important considering, and creativeness. And I believe an enormous part of that’s play and unstructured time and the area to be bored. Like, all this stuff that get taken away in our over-structured life. And I believe these issues are necessary for adults too. We regularly neglect that we’re speculated to play as adults and do enjoyable issues and the motion part. So I like that you just introduced that up. That’s so necessary.

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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 best way sports activities are altering however definitely in adults as nicely. And I’ve had mates which have gone via some fairly extreme concussions and recoveries, together with a pricey buddy who’s a few years out now and nonetheless simply now recovering her style and odor somewhat bit. So, what are a few of the ways in which you guys are addressing traumatic mind accidents and concussions?

Dr. Marcella: Yeah. So, , hyperbaric oxygen has a extremely nice physique of, I’d say, anecdotal expertise and anecdotal literature. After which there are lively 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 therapy is at the very least 40 classes plus. I believe that’s a straightforward factor. You understand, it’s fairly accessible now in most locations. And we accomplice with an ideal heart right here in Austin, Texas, that we work with. In order that’s an enormous one. I believe the identical issues I stated earlier than with optimizing irritation, so low irritation weight loss plan, sleep. I additionally suppose mind neurofeedback and mind coaching. We have now some companions that we work with for our concussion sufferers for that, and I’d say, , the biologic cell drugs piece. I do suppose that that’s the future. We have now checked out that. We have now a few, I’d say, anecdotal conditions the place we discovered that useful. It’s nonetheless very early, and we don’t know for certain if that’s gonna work in all people. However the best way that we work it’s if we see any person with this case, we suggest the issues that we all know for certain which have extra background behind, which might be the hyperbaric after which simply optimizing irritation, sleep, these are issues that, , anyone can do, like, we’ve talked about. After which in the event that they’ve gone via that and are usually not getting the place they wanna go, we’ll have a dialogue to contemplate biologic cell drugs and say, , “That is an choice. We don’t know for certain, but it surely’s attainable that this could enhance the neurologic state of affairs.” And so, , typically we try this with sufferers as nicely.

Katie: Gotcha. And far much less severe or acute, however most individuals in my viewers are mothers. I hear from numerous 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 just 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 number of years in the past, only for my very own vitality degree and tinkering with completely different diets, I’m an enormous 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 type of will get me, have my powerhouse, , 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 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, , it’s like a bulletproof quick. You’d have your butter espresso within the morning. So by way of nootropic, by way of, , caffeine and butter, I believe 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, acquired 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 at all times perks me proper up. After which the opposite factor that got here to me if you requested the query is, , 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 exterior 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 any person thinks we’re doing. We’re doing, like, 100 issues extra. That’s a given. So, it takes a day by day consideration, and it takes a day by day observe. And that’s what I realized about actually once I went again to work after having my first child. If I let up, if I don’t take note of myself enlargement or myself being full, I can’t do it, , I’ll be drained, or I’ll have a foul angle, or I’ll, , say one thing grouchy to my child. And so, being a mother and plus all of the thousand issues that you just do daily, whether or not it’s working at residence or exterior the house, requires day by day consideration to your self. And I do imply day by day. So for me, that’s, once more, the vitality work that I do and doing, , respiratory daily and particular bodily practices daily. I write targets 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 preserve 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, type of, being evaluated proper now.

Dr. Marcellla: Yeah. So exosomes are little nanoparticles which might be cell membrane on the surface, and on the within are development elements and RNA. They don’t have DNA, and so they’re not cells. Completely 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 fully non-FDA accredited proper now. Numerous the businesses have been advertising and marketing them as a biologic. Now, the FDA is saying they must be on a pathway to change into a drug. And so, any of the businesses which might be going to remain round need to 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 would not have long-term research to know what this stuff are doing. We type of barely know what’s inside them, however the corporations which might be doing essentially 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 might be doing these IND purposes are doing them for COVID. And I do know of some anecdotal reviews of treating each acute and power COVID. And these have been revealed in peer-reviewed journals. So, there may be some early science. I believe it’s extremely promising. For treating ailments which might be exterior 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 believe.

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 stunning factor that you just do in your observe?

Dr. Marcella: I believe… Nicely, that is… So, once we acquired this new know-how, which is that this photobiomodulated PRP factor, we noticed these actually nice outcomes with a wide range 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 buddy do micro-needling for me, after which we did this process, and my end result was nice, and I used to be tremendous thrilled with it. And different people who I had not talked to noticed me on a Zoom have 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 individuals, I’d be like, “What? This doesn’t even make sense?” However now, it completely is sensible as a result of it’s a pure development of if we’re gonna repair any person and assist their acute drawback and assist their ache and get them again to a life that’s higher than they’ll 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 ability 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 therapy, and with the therapy, we do the vitality work. We do the decoding, and so they make targets about their therapy and the way they wanna join. So it’s a extremely 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 instances and the Power For Success, particularly. So I wanna be sure we contact on this somewhat bit extra. And is that this one thing that you just supply particularly via 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 sure I present sources for individuals to seek out out extra.

Dr. Marcella: Yeah. Thanks for asking. So Dr. Barry Morguelan’s program is known as the Power For Success. And you may simply go to energyforsuccess.org, and there’s a wide range of methods to attach. There are numerous applications 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, , whereas they’re underneath our care. So that you don’t need to be a affected person for certain to entry this. Anyone can entry it.

And what’s been actually fantastic to see from the medical facet is, , sufferers are available in, 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, , the data hole is so vast, , individuals are available in and don’t know what their photos imply and don’t know what their ache means. And so they’ve gotten 4 different opinions, and none of them is sensible. And it’s actually arduous, and it’s complicated, and it’s scary. And if you’re in ache, this complete course of is simply actually scary and, , 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, , 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 targets for my very own sufferers, which means I would like this process to end up 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 targets each single day for my sufferers. And when our sufferers are available in for procedures, we coach them on writing their targets for themselves.

So we’re each harnessing this vitality work to get the most effective consequence. After which for individuals that aren’t essentially in ache or having, , a well being drawback, how this vitality works is permitting you to entry… I imply, for everyone, it really works this manner. We don’t need to have ache to have it work. It’s permitting you to entry a move 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 right plate of meals or to have the right dialog the place you’re not even certain if it was you doing it, it simply flowed, and it was fantastic. That’s what the vitality work means that you can 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 applications 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, , 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 believe a extremely necessary factor you simply introduced up is that concept of getting them be an lively participant of their care, which can also be such an necessary mindset shift. And, like, I’ve learn numerous books like “The Biology of Perception,” and issues like that, like how that mindset shift is so critically necessary. However I’ve additionally stated on right here so many instances that every of us is our personal main healthcare supplier and the most effective outcomes occur once we settle for the possession and accountability 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 believe, is with individuals such as you as a result of so typically 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 manner,” and like not being listened to. And so I believe that may be a actually cool part of getting individuals to actually 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 persons are given area and time to simply specific, therapeutic occurs. I imply, that’s a part of this decoding course of that we do with considered one of our procedures. Individuals 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 secure atmosphere. Individuals 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. Nicely, as we get near the top 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 just’re doing, what do you think about the largest, most necessary needle movers in your day by day routine in your day by day life?

Dr. Marcella: I imply, I’ll return to the vitality. It’s the identical reply. I preserve saying it. However paying consideration. It doesn’t need to be that proper. It could possibly be any day by day routine. I believe what you stated is essential. It’s day by day and taking note of your individual, I wanna say vitality degree however taking note of the place you’re, like, checking in. You’ll be able to go an entire 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 want proper now? No matter that observe is, it’s a must to do it daily.

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

Dr. Marcella: So, this can be a arduous query as a result of there’s so many nice books. After I was youthful, I believe the one which stands out essentially the most might be “The Sound and the Fury,” which is Faulkner. And I believe it stood out as a result of my mind actually stretched with studying that and decoding that, and dealing via it with my academics. And I actually gained this concept of, “Wow, like, I’m actually sensible. I can completely do that. That is wonderful.” So I simply do not forget that being a robust… I imply, the story is fantastic, and the prose is wonderful. 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 move 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 e-book. 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 e-book that was actually highly effective for me referred to as “Energy vs. Drive,” 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 find it irresistible. 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 Power For Success info. I’m so excited, like I stated, firstly, 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’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 useful sources, your time, and your vitality with us at the moment. We’re each so grateful that you just did, and I hope that you just’ll be a part of me once more on the subsequent episode of the “Wellness Mama” podcast.

In the event you’re having fun with these interviews, would you please take two minutes to depart a score or evaluation on iTunes for me? Doing this helps extra individuals to seek out the podcast, which implies much more mothers and households may gain advantage from the data. I actually recognize your time, and thanks as at all times for listening.

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