Dr. Marcella Madera on Neurosurgery, Stem Cells, TBIs and Anti-Ageing

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Katie: Hi, and welcome to the “Wellness Mama” podcast. I’m Katie from wellnessmama.com and wellnesse.com. That’s Wellnesse with an E at the finish. It’s my new non-public care line. This episode is going deep on some actually cool science. It’s about neurosurgery, in particular in spinal well being, however we delve into additionally mind well being, anti-aging, and so a lot more. I’m right here with Dr. Marcella Madera, whose bio is so spectacular, I in reality must learn portions of this. She’s a professional in surgical remedy of prerequisites 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 operation. She is board qualified by way of the American Board of Neurological Surgical treatment. However what’s actually cool is she’s combining the slicing fringe of surgical remedy with the leading edge of different or even power treatments. And he or she’s getting actually implausible effects for her sufferers. And he or she talks about how this actually has crossed over into different spaces of lifestyles as smartly, but even so simply spinal well being. It at all times is thrilling for me to search out docs who’re combining choice treatments as smartly. She stocks my concept that that is very a lot a each/and no longer both/or, and that there’s a time and a spot for each and that regularly the most productive results happen once we mix them. So, we get into some attention-grabbing and beautiful explicit information on this one, and I’m hoping you’ll experience it up to I did. Dr. Marcella, welcome.

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

Katie: I’m excited to get to understand you a bit higher on this podcast. You come back extremely beneficial by way of a number of folks in my lifestyles who I extremely, extremely admire. And I’m so excited to get to proportion you with everybody these days. Your bio is tremendous spectacular. And I believe like, even beginning with only one factor is tricky to pick out. However I would like to start out off by way of listening to about the way you changed into a neurosurgeon as a result of this is an implausible distinctiveness, to start with, and no longer a very easy one, I’d bet.

Dr. Marcella: Proper. Neatly, thanks for asking that query. It’s expensive to me how I changed into a neurosurgeon. So, I knew I used to be a surgeon immediately in clinical faculty, and I wasn’t certain what kind I’d be, however I cherished being within the OR, and I cherished the calm and likewise the depth. And I came about to do a neurosurgery rotation as a result of it is advisable to choose from neurology and neurosurgery. I used to be pondering I used to be gonna do cosmetic surgery. And on my rotation, I used to be simply completely blown away by way of the wonderful thing about the worried gadget. I had an excessively guttural, instinctual reaction to the operations and the therapeutic that we had been developing with our sufferers. And I simply knew deep in my soul, that is what I used to be intended to do. So, I jumped in.

Katie: And that used to be originally of your profession, proper, like, strictly neurosurgery?

Dr. Marcella: Yeah. So I began out standard drugs neurosurgical residency for 6 years in Cincinnati, after which I did a backbone fellowship for three hundred and sixty five days at Johns Hopkins in Baltimore. After which, I went into personal observe in Austin, Texas in 2011.

Katie: K. And that’s the place you continue to are. And I’ll make sure that I put a hyperlink. I do know you guys are booked up manner prematurely, however I’ll put a hyperlink in your observe in Austin, for anyone who’s native there. And from what I’ve heard from my buddies, you presently have a thriving integrative observe, and also you’re addressing much more than simply the neurosurgical facet. So, how did that adventure occur?

Dr. Marcella: Yeah, so over the years in my standard observe, I had the revel in time and again that I actually sought after to supply further care to my sufferers. I actually sought after to heal greater than minimize. And I wanted some way as a way to totally categorical the therapeutic that I sought after to present. And so, I began out by way of doing my very own schooling on choice remedies, on holistic drugs, purposeful drugs, integrative drugs. And over the years, I additionally labored myself, individually, with the Power For Good fortune, which is an historic Chinese language power modality delivered to the USA from Dr. Barry Morguelan. And doing my very own power paintings via the ones techniques, plus instructing myself on the entire different issues available in the market, made me actually wish to create a fully other type of mind and backbone care. And so then I began my integrative observe referred to as Austin Integrative Backbone as an aspect challenge for a couple of years, after which now it’s my major challenge. And what’s been actually, actually rewarding is that now once I care for sufferers, some sufferers nonetheless want surgical operation, however there’s a big inhabitants that after they optimize, and we deal with folks holistically, they don’t want surgical operation in any respect. And I at all times knew that instinctually and I needed to create it and increase it to turn out it in actual lifestyles. Nevertheless it’s been actually rewarding to do smaller surgical procedures, once in a while do no surgical operation in any respect, after which additionally use state of the art generation and biologic mobile drugs, which is every other piece of our observe. It’s been actually, actually glorious.

Katie: I’m curious if you happen to’re seeing… Neatly, initially, I really like that you just’re no longer turning to surgical operation as the primary possibility as a result of it kind of feels like in a large number of drugs, this is very a lot a primary method, and it kind of feels like an attractive drastic one. However I’m curious, are we seeing a upward push in spinal-related issues in one of the crucial issues that you just paintings with like we’re in different spaces of drugs in the similar manner? And if that is so, what do you assume is riding that?

Dr. Marcella: That’s a perfect query. You realize, when it comes to a upward push, I’d say, persistently, my standard observe… I’ve been out of it now for just about two years. However on the time, I’d say that I wouldn’t essentially understand a upward push. What I understand is a continuing chronicity of illness. So, there’s a baseline quantity of degenerative backbone illness, particularly, and likewise degenerative neurologic illness, however degenerative backbone illness is sort of ubiquitous within the inhabitants. Everyone’s were given a again ache or a neck ache or no matter. And undoubtedly, with COVID, what we noticed used to be, you recognize, frankly, they close the ORs down. So we had a drastic lower within the quantity of sufferers that had been in a position to be handled. We will be able to simplest deal with emergent sufferers. And so now, with issues opening up, we’re seeing an building up in folks having the ability to be handled. I’d say that the power illness, despite the fact that, usually, is frequently emerging when it comes to occurrence simply as a result of the getting old inhabitants. And as you age, everyone will get power illness. That mentioned, I believe like there are a large number of different participants. It’s no longer simply put on and tear. And that’s a part of my observe now’s actually attending to the foundation reason behind that and combating that. And so, do I believe there’s a upward push? Sure, with an getting old inhabitants, but it surely’s so ubiquitous. It’s at all times been ubiquitous.

Katie: Gotcha. K. I’m curious what you’re seeing sufferers come to you for probably the most at this time and/or, like, more or less, throughout the space of neurosurgery? Like, what used to be your distinctiveness and, like, more or less, what had been you seeing in that space whilst you had been training as a surgeon?

Dr. Marcella: Yeah. So, the principle issues that I handled then and nonetheless the similar issues I deal with now, simply I’ve a complete new further bag of methods along with surgical operation, however power or acute, goodbye time or pressing short while, again ache, neck ache, arm ache, leg ache, from arthritic illness within the neck or within the low again. That’s most definitely the highest, you recognize, 80% of stuff that we see. And within the surgical global, you recognize, there’s a large number of issues you’ll be able to do ahead of attending to surgical operation. And so, in my standard observe, a large number of occasions, folks would have observed ache control and, you recognize, finished the entire issues, observed bodily therapists, chiropractors, and none of that labored. And so then they’d come, and we’d do surgical operation. And now, it’s the similar inhabitants, however now we now have new gear. And so, one of the crucial issues we take a look at are underlying irritation. We’ve got a laboratory panel to take a look at irritation. A large number of sufferers come with out wisdom that your nutrition can actually radically have an effect on your ache syndrome. And so, simple stuff like happening a low irritation nutrition and doing a selected workout that has mind-body included with it, breathwork, some quite simple dietary supplements, like diet D and Omega Three fatty acids, you recognize, the ones key issues originally, can regularly result in no surgical operation or result in an optimization duration after which a greater restoration after surgical operation.

Katie: That’s attention-grabbing. Yeah. And it makes entire sense that even within the case when surgical operation is essential, it’s no longer an both/or it’s a each/and. And I do know I’ve observed that during interviews, like within the most cancers global, for example, those leading edge most cancers docs who’re additionally the usage of integrative modalities, or encouraging sufferers to rapid, or the usage of issues, or power paintings, issues which were researched in different spaces, and figuring out they don’t need to be at odds. And I am getting so thinking about that as a result of I believe long-term, the most productive results in drugs, are gonna be when we will be able to meld all of the ones gear in combination. So it makes me actually excited once I meet folks such as you who’re at the slicing fringe of the clinical global and likewise figuring out the worth in such things as diet, and way of life components, and the power paintings as smartly. I’m particularly curious concerning the, like, more or less, power and mindset and emotional part in terms of in particular the world of ache as a result of it kind of feels like for a large number of folks, no less than anecdotally that I’ve heard from, they are going to see, such as you mentioned, a shift of their ache reaction after they cope with internal stuff as smartly and…

Dr. Marcellla: Hundred %.

Katie: ….my tale isn’t explicit to ache. However I had a large number of well being issues for a large number 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 in a position to unravel any of the ones issues. So, I’m so excited to listen to you assert that you just’re integrating a lot of these issues. And I’m curious if you happen to see that connection actually strongly within the ache global as smartly.

Dr. Marcella: Surely. Some of the actually attention-grabbing issues that we’ve got come throughout not too long ago is this concept of what’s referred to as biologic deciphering. There’s a physique of labor that has the identify New Drugs or Germanic Drugs. It’s a bit of esoteric, however I’ve discovered about it not too long ago. And the speculation is that every one clinical illness or all illness processes perhaps are associated with destructive studies that we’ve got skilled as people. And each unmarried human has had a irritating revel in in our lives. That’s what being human is ready. And so, the usage of this very explicit deciphering coaching that I’ve labored on, including that to a intellect bodywork with the Power For Good fortune, which is respiring practices, writing targets, journaling, there’s some very explicit practices that we’ve got our sufferers do. We’ve got them do those practices main as much as procedures, after which right through one among our biologic mobile drugs procedures, we in reality communicate via a few of these lifestyles stresses, and we return to the primary level of signs, after which once in a while we return additional, and once in a while we pass manner, long ago. And what’s attention-grabbing is doing all of this together, lets in the physique to free up ache and free up illness. And if you happen to informed me 10 years in the past that I’d be speaking to folks about their earlier studies 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 realize, it’s tough how you’ll be able to relate what’s came about to you on your previous and your present illness state. And in order that’s what we’re actually, actually enthusiastic about at this time and additional growing this. And, once more, it’s a each/and. I imply, there’s a position 100% for standard drugs. And when ache is critical… You realize, the day gone by I informed a affected person, “Let’s get you a muscle relaxer as a result of you’ll be able to’t, like, serve as at this time. Let’s get you calmed down in order that then you’ll be able to, you recognize, come and do your holistic revel in with us.” So, you recognize, it’s each/and, as you mentioned, and the contribution of the mind-body piece and connecting in your personal true self to permit that personal true self to free up the illness is one thing I’m actually, actually enthusiastic about at this time.

Katie: Yeah. And I imply, I’ve such a lot empathy for people who find themselves going via that, particularly again ache. I’ve skilled that myself two times, as soon as from an damage whilst understanding after which extra not too long ago, from by chance giving myself rhabdo, which used to be kidney ache, however nonetheless, like, again ache, is particularly encompassing and intense. And such as you mentioned, it’s very exhausting to serve as. So, completely, my center is going out to people who find themselves there. And it is sensible whilst you discuss it in that realm, too, simply how a lot that emotional part would come into play. And from a bodily viewpoint, my mind thinks like, “It could make sense if you happen to’re within the state of tension and emotional tension if you happen to’re no longer in a position to downshift into parasympathetic, you’re no longer gonna be capable to free up that ache reaction as a result of your physique is in that activated battle or flight sympathetic gadget.” Is that, more or less, what you assume is expounded, or are there extra past that?

Dr. Marcella: I believe that’s for sure connected. And that battle or flight reaction is our physique’s herbal, you recognize, cavewoman intuition. That’s what we had been constructed to do. So it completely is sensible. And what your physique’s seeking to do in that second is live to tell the tale in that second. So, in fact, that’s what our our bodies do. However for the long-term, that prime cortisol state, that prime, you recognize, heartbeat state isn’t going to come up with long-term well being. It’s going to extend irritation. And if you happen to handle that state, it’s going to proceed to perpetuate the illness procedure. So, getting the physique calm and getting that parasympathetic state activated is undoubtedly vital. And the power paintings that we advise to our sufferers, a part of which are very in depth 20 mins, two times an afternoon respiring workouts. They’re simple, however, you recognize, it’s a must to do it. It’s important to pay attention and breathe. And that does turn on the sympathetic or the parasympathetic worried gadget to get your physique in that house to the place you’ll be able to in reality get into therapeutic needless to say.

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

Dr. Marcella: Nice query. So, the distinction is, in standard drugs, and each surgeon is aware of that you’ll be able to have a super surgical operation. I imply, best possible. You do the whole lot proper. It’s stunning. It’s the correct quantity of time, no drawback. And once in a while, they only don’t recover. And that factor came about with me and my sufferers sufficient occasions that I used to be like, “There’s something else. There’s something else.” And it turns available in the market’s a large number of one thing elses. It may well be nutrition. It may well be a significant trauma of their previous. It may well be their non-public relationships, lately. It may well be their quantity of tension at their process. There’s such a lot of issues that may give a contribution to this incapacity to heal. And so, now, what we’re discovering is that, particularly, like, for critical illness that has a pathway of a few development, however no longer at all times the entire manner, what I’m enthusiastic about is spinal twine damage. And a large number of spinal twine sufferers, you recognize, have a horrible drawback. They get a surgical operation to stabilize, after which they step by step recover over the years. Some recover, some recover a bit bit, some recover so much. Why is that? No one actually is aware of. Do they more or less taper out at two years however, like, by no means best possible? That’s a horrible illness. And what we’re seeing now with the holistic remedy, with the complex biologic mobile drugs remedy, plus the deciphering, plus the power, I had a man these days textual content me, “Whats up, Dr. M, each morning once I do my stretches, I stand up, and I twirl a technique or every other. And these days, I will twirl higher than I ever have.” And he’s, like, 3 weeks out from this process, this sort of complex issues that we’re doing. And I imply, I gotta inform you, like, getting a spinal twine damage man to twirl, like, it’s simply fantastic. In order that’s the type of factor that now I by no means idea that I’d see. And I actually consider it’s a mixture of the issues that we’re doing. And it’s been a stepwise development. You realize, a 12 months in the past, we weren’t doing the deciphering like we’re doing now. A 12 months in the past, we had been doing one of those biologic mobile remedy for spinal twine damage, and now we’re doing a extra complex one with a photobiomodulation part, a mild remedy part. So, we’ve improved in what we’re including, and we’re seeing innovative effects, and it’s actually a laugh and beautiful for the sufferers.

Katie: Are you able to provide an explanation for a bit extra in-depth what the biologic mobile drugs remedies are? Like, how does that paintings, and what’s taking place?

Dr. Marcella: Yeah. So, you recognize, each human has an innate talent to heal. You realize whilst you minimize your finger, your physique is aware of heal it. So, what we’re doing with the biologic mobile drugs is harnessing your individual physique’s innate talent to heal. And once in a while, we’ll use platelet-rich plasma, which comes from your individual physique. Once in a while we’ll use your individual bone marrow. Once in a while we’ll use a biologic. Once in a while we use a mixture. Once more, I mentioned, we now have a photobiomodulation mild remedy that we’ve added to this now. And so what we’re doing, when you’ve got an damage and your physique tries to heal, damage physique tries to heal, one day, you probably have illness, your physique’s no longer maintaining. So what we do is upload the biologic mobile drugs, both via an IV process, a very easy process, or via injections or each, to permit the physique that kickstart to get them again up. And what maximum of these items is on this bucket of items that we do are very robust, anti inflammatory signaling molecule procedures. So, the stuff that we’re the usage of fundamental science displays that they’re expanding mobile signaling in your personal cells to get up and heal. Each unmarried pericyte, I’m sorry, each unmarried blood vessel on your physique has what’s referred to as pericytes, which might be little stem cells on your physique whose process it’s to sign the therapeutic procedure. And so what we’re doing is making an attempt to jumpstart that. That’s the principle.

Katie: That’s attention-grabbing. And also you discussed more or less, like, a two-year window. I’m curious if that’s, more or less, a threshold that’s beautiful smartly established or if there’s hope for individuals who have had longer-term accidents with such things as this.

Dr. Marcella: Nice. Thanks for asking that query. Completely, that’s not a threshold. And I didn’t know that ahead of I began doing those spinal twine remedies. We’ve got sufferers… I’ve a woman only in the near past who mentioned, “Oh, my gosh, Dr. M, I will really feel the carpet below my ft, and I haven’t felt that during 10 years.” I imply, folks that experience power spinal twine damage from, you recognize, very very long time can nonetheless get development. You realize, that is very early those remedies that we’re doing and what we’re finding out, however for sure, anyone who has proven some development since their damage is a candidate, and I’d say most of the people have proven some development in one thing from the time in their damage. And I’d say, even though they haven’t proven any development from the time in their damage, it’s at all times value a check out as a result of, once more, it’s no longer near to the cells. It’s concerning the mind-body. It’s concerning the underlying irritation. And so, we’re no longer simply doing something. We’re doing plenty of issues that may convey well being holistically.

Katie: This is so encouraging. On a non-public degree, my mother broke her neck when she used to be 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, loss of movement. And so she’s had problems her complete lifestyles. After which a neighborhood pal, about 10 years in the past, dove off of a ship and broke his again and now’s, like, paralyzed from the waist down. So it’s actually encouraging that we’re nonetheless seeing…as a result of it kind of feels like my restricted figuring out that for some time it used to be idea, like, those are rather not possible issues to get well from, particularly after that preliminary window and, like, if you happen to ignored the window, there’s no longer gonna be a lot hope for you going ahead. So for, like, those non-public instances in my lifestyles, it’s thrilling to listen to there’s new modalities which are appearing effects.

Dr. Marcella: Yeah, I imply, it’s early and, you recognize, we’re actually thinking about the instances that we’re seeing this in needless to say. So, there’s for sure… You realize, the way forward for drugs, this will probably be same old. That’s actually what I believe. And at this time, we’re simply in a technique of understanding what that ordinary goes to be.

Katie: And also you additionally discussed that you just assume a large number of the upward push in spinal illnesses may be associated with an getting old inhabitants, which makes entire sense. And, you recognize, it’s no secret that we’re seeing a upward push in power and degenerative illnesses throughout a large number of other spaces, which I believe is also vital to convey to the leading edge the dialog on getting old, no longer simply what we bring to mind 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 on your analysis on your scientific observe on issues which are in reality, like, biologically serving to the physique to not age as briefly.

Dr. Marcella: Nice query. So yeah, one of the vital issues that we’re actually serious about is trying out your age, in line with DNA methylation. There’s an excessively broad physique of study that you’ll be able to… There’s explicit checks. There’s a few other corporations that do that, the place they are able to take a look at your DNA and what kind of methylation there may be and come up with your age in line with your DNA. And there are some teams which are appearing that with anti-aging, biologic mobile remedies, that you’ll 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 realize, there are some actually nice advances with each power paintings together with purposeful drugs and the entire issues that you just do to optimize your physique, the biohacking, you recognize, neighborhood. There are many tactics to take into accounts reversing getting old. I’d say the science isn’t slightly there when it comes to, like, proving it. However I will inform you that folks that do all these items for sure glance more youthful and for sure act more youthful. And I do assume that, you recognize, 50 years from now, we’re gonna have the solutions to these questions needless to say.

Katie: It’s thrilling to take into accounts. And I’m satisfied that we’re seeing a few of these issues as a result of I additionally assume in these days’s global, I’ve mentioned this in different nation-states, however we now have such a lot of extra inputs that our our bodies are coping with. In order that’s I believe a part of the explanation we’re seeing this speedy acceleration in a lot of these power illnesses is we’re simply going through much more environmental, and meals, and emotional inputs than earlier generations have. And so, you recognize, I regularly get the pushback from folks of, like, smartly, we shouldn’t must do a lot of these loopy issues and biohacking to be wholesome. And, like, I trust you, I want we didn’t must, however we now have such a lot of extra inputs entering play. Now that it’s no less than one thing to be proactive about, even though you’re no longer gonna do the entire excessive biohacking issues, however simply to be very proactive within the option to that.

Dr. Marcella: Needless to say. And, you recognize, one of the crucial issues are actually easy, proper? Like, sure, it’s cool to have, you recognize, mild glasses that provide the optimum quantity of sunshine. And it’s actually cool to have, you recognize, hyperbaric oxygen at your own home if you’ll be able to find the money for that. I imply, that’s nice. However, like, there’s plenty of easy issues that folks aren’t doing as a result of a lot of these inputs, proper? There’s such a lot of inputs. Our society is so fast moving. We’ve got our telephones always. We’re at all times doing, you recognize, social, blah, blah, blah, and, like, going and taking a stroll barefoot within the timber and taking a holiday, sleep, you recognize, like, there are such a large amount of easy issues that may stay you younger, that once in a while I believe like, k, we would like the entire inputs, so then we need to do all this different stuff to stay alongside of the inputs, however perhaps if we simply, like, minimize down at the inputs a bit bit, we may get the similar impact. And that’s manner inexpensive, frankly. And in order that’s why I’m actually, actually enthusiastic about the mind-body piece and the Power For Good fortune paintings is that it’s a day by day observe. You do it your self at domestic, or you’ll be able to do it any place. It’s nice to do it out in nature, however they’re easy practices. And it’s each day. You do have to be aware of it each day. However that paintings by myself has taken years off me individually, I consider. So everyone tells me I’m taking a look like I’m getting more youthful. In order that’s nice.

Katie: Neatly, yeah. I believe that’s a very powerful level in addition to that it’s tempting to wish to pass to find the silver bullet that’s a lot of these fancy remedies, however such as you individually, I’ve observed the largest effects from such things as optimizing sleep, and daylight, and hydration, issues that you just’re gonna want to do anyway. And if you’ll be able to simply strengthen the ones, it has a carryover impact. And if you happen to aren’t taken with the ones, you’ll be able to spend some huge cash on a lot of these different issues, they usually’re no longer gonna be as efficient anyway. So I’ve turn out to be an excessively large fan of items, easy such things as morning daylight, and getting sufficient sleep, and fasting in numerous paperwork at other occasions. I believe there’s simply those unfastened gear that we will be able to use. And I’m excited, like I mentioned, to peer the mixing of all of this stuff in combination.

Dr. Marcella: Surely.

Katie: Additionally, anytime we’re speaking about neuroscience and neurosurgery, there’s clearly, I’d bet, a large mind part right here as smartly. And I believe it is a matter that’s actually thrilling to delve into for everybody, particularly there’s a large number of folks listening, and I communicate so much about schooling in addition to a homeschooling guardian and dealing on construction out an academic gadget. And so I’m curious when you’ve got any recommendation from the neurosurgical facet of the way we will be able to perfect strengthen our brains, each as adults, as we’re getting old, and likewise in our children, to present them probably the most forged basis early on?

Dr. Marcella: That’s a perfect query. You realize, the basis for the issues that we simply mentioned. So, sleep is most definitely number one, 2, 3, and four. I believe for the getting old mind, undoubtedly, mitigating irritation is a big factor. All the neurodegenerative illnesses have pathophysiology associated with irritation. And if you recognize that that runs on your circle of relatives and even being proactive, as you mentioned, you recognize, getting your genetics checked out and notice if you happen to’re in peril for neurodegenerative illness is vital. Vitamin, I believe like, is a big piece of that. And, you recognize, a easy low inflammatory nutrition more often than not, I believe, is a simple factor that any one can do. It doesn’t imply you’ll be able to’t ever devour your favourite issues. It simply signifies that more often than not, your baseline is low irritation. More often than not, you’re snoozing adequately. More often than not, you’re no longer ingesting alcohol. I believe like the ones are simple issues that any one can do. And workout is a big piece of that. So, you recognize, high-intensity period coaching a few occasions every week is glorious. You realize, there are many other suggestions when it comes to workout, however I imply, frankly, simply transfer. You realize, like, that’s a very easy one that any one can do.

After which being out of doors in nature, needless to say, that we mentioned already. After which, when it comes to kids, I actually really feel… So I’m a mother of 2. I’ve a six-year-old and a two-year-old, each women, and I actually really feel like children want house, unfastened play house. And I see in my very own children when they’re over-traveled, over-scheduled, over-structured, that their brains don’t paintings as smartly and, over-deviced as smartly. And, you recognize, I’ve the similar problem as anyone else does as a running guardian or stay-at-home guardian that, you recognize, children wanna be entertained always. And so, conserving their brains unfastened and having that open playtime is, like, excessive, excessive precedence, and clearly sleep, you recognize, ensuring that they have got a time table that helps sleep needless to say.

Katie: I’m so excited to have a neurosurgeon at the report pronouncing that it’s vital for youngsters to play as a result of I’ve been pronouncing this for years. And that used to be in reality the impetus for construction my complete tutorial gadget from the bottom up used to be figuring out when my oldest hit faculty age that I used to be taking a look at, like, what’s gonna perfect get ready him for grownup lifestyles? And is it a conventional faculty? Is it homeschooling? And I spotted there wasn’t any method that I felt, like, actually embraced the entire issues children want to increase, the actually vital such things as creativity and important pondering, and creativeness. And I believe an enormous part of this is play and unstructured time and the distance to be bored. Like, a lot of these issues that get taken away in our over-structured lifestyles. And I believe the ones issues are vital for adults too. We regularly put out of your mind that we’re intended to play as adults and do a laugh issues and the motion part. So I really like that you just introduced that up. That’s so vital.

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Additionally, I’m guessing you spot sufferers with, like, their post-concussive problems or TBIs, and it kind of feels like there’s been media round it. Those are on the upward push, particularly children, as a result of the best way sports activities are replacing however undoubtedly in adults as smartly. And I’ve had buddies that experience long gone via some beautiful critical concussions and recoveries, together with an expensive pal who’s a few years out now and nonetheless simply now improving her style and odor a bit bit. So, what are one of the crucial ways in which you guys are addressing irritating mind accidents and concussions?

Dr. Marcella: Yeah. So, you recognize, hyperbaric oxygen has a actually nice physique of, I’d say, anecdotal revel in and anecdotal literature. After which there are energetic research being finished now for critical TBI with hyperbaric oxygen. And anyone within the purposeful drugs global who is aware of hyperbaric, 100% that’s the #1 remedy is no less than 40 classes plus. I believe that’s a very easy factor. You realize, it’s beautiful out there now in maximum puts. And we spouse with a perfect heart right here in Austin, Texas, that we paintings with. In order that’s a large one. I believe the similar issues I mentioned ahead of with optimizing irritation, so low irritation nutrition, sleep. I additionally assume mind neurofeedback and mind coaching. We’ve got some companions that we paintings with for our concussion sufferers for that, and I’d say, you recognize, the biologic mobile drugs piece. I do assume that that’s the long run. We’ve got checked out that. We’ve got a few, I’d say, anecdotal scenarios the place we discovered that useful. It’s nonetheless very early, and we don’t know needless to say if that’s gonna paintings in everyone. However the best way that we paintings it’s if we see any individual with this case, we advise the issues that we all know needless to say that experience extra background in the back of, which will be the hyperbaric after which simply optimizing irritation, sleep, the ones are issues that, you recognize, anyone can do, like, we’ve mentioned. After which in the event that they’ve long gone via that and aren’t getting the place they wanna pass, we’ll have a dialogue to imagine biologic mobile drugs and say, you recognize, “That is an possibility. We don’t know needless to say, but it surely’s conceivable that it will strengthen the neurologic scenario.” And so, you recognize, once in a while we do this with sufferers as smartly.

Katie: Gotcha. And far much less severe or acute, however most of the people in my target audience are mothers. I listen from a large number of mothers who’ve both mind fog or fatigue or simply, like, that appears to be a quite common factor that’s mentioned among mothers. So, you’re additionally a mother and a hectic mother. So I’m curious when you’ve got anything else both individually or professionally that you just do to assist in that space? Perhaps what your ideas are on such things as nootropics?

Dr. Marcella: Yeah. So, nice query. So one of the vital key issues that I began doing a couple of years in the past, only for my very own power degree and tinkering with other diets, I’m a large proponent of Dave Asprey and Bulletproof and the butter espresso. Like, for my physique, it really works actually smartly. And so when it comes to, within the morning, my regimen, that more or less will get me, have my powerhouse, you recognize, morning, each morning, I spend a while with my two-year-old ahead of I’m going to paintings after the six-year-old is going to university. And now the summer season, it’s either one of them. And so, I do intermittent fasting from, like, dinner till… I imply, it’s more or less a quick, as a result of then, you recognize, it’s like a bulletproof rapid. You’d have your butter espresso within the morning. So when it comes to nootropic, when it comes to, you recognize, caffeine and butter, I believe that’s what works for me. I actually experience that.

I don’t actually… There are some nice dietary supplements available in the market. I simply actually generally tend to do the power paintings as an alternative of dietary supplements. And if I believe like I’m having a drag within the afternoon, I’ll lay down for 15 mins. I, in particular in my new place of business, were given a chaise for my place of business in order that I will lay down for 15 mins if I want to and do a guided visualization, do a respiring, that at all times perks me proper up. After which the opposite factor that got here to me whilst you requested the query is, you recognize, being a mother and dealing or whether or not you’re running or no longer, you’re at all times, whether or not you’re running out of doors the house or in the house, being a mother and doing the entire issues that mothers do as a result of we all know we do greater than no matter it’s any individual 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 discovered about actually once I went again to paintings after having my first child. If I let up, if I don’t be aware of myself enlargement or myself being complete, I will’t do it, you recognize, I’ll be drained, or I’ll have a foul angle, or I’ll, you recognize, say one thing grouchy to my child. And so, being a mother and plus the entire thousand issues that you just do each day, whether or not it’s running at domestic or out of doors the house, calls for day by day consideration to your self. And I do imply day by day. So for me, that’s, once more, the power paintings that I do and doing, you recognize, respiring each day and explicit bodily practices each day. I write targets each day for what I wish to occur that day in sure 8 spaces of lifestyles. So, yeah, it’s each day. You don’t get off the hook.

Katie: Additionally, a brand new matter I’m guessing you could have some viewpoint on, I stay seeing exosomes arise within the analysis. I’m curious if you happen to’ve delved into them in any respect and if you’ll be able to provide an explanation for, like, what they’re and the way they’re, more or less, being evaluated at this time.

Dr. Marcellla: Yeah. So exosomes are little nanoparticles which are mobile membrane at the out of doors, and at the within are expansion components and RNA. They don’t have DNA, they usually’re no longer cells. Other corporations derive them from other resources. Some come from younger grownup bone marrow, stem cells, as an example. Different corporations use placental stem cells. They’re totally non-FDA authorized at this time. A large number of the firms had been advertising them as a biologic. Now, the FDA is pronouncing they want to be on a pathway to turn out to be a drug. And so, any of the firms which are going to stick round must have an IND with the FDA as a way to even promote their product anymore. So, it’s an excessively…some folks would say arguable. I’d say it’s simply very, very new science. We would not have long-term research to understand what this stuff are doing. We more or less slightly know what’s within them, however the corporations which are doing probably the most competitive, stringent packages with the FDA are seeking to signify and standardize what’s in them. So, I’d just say they have got an enormous quantity of promise. The firms that I do know which are doing those IND packages are doing them for COVID. And I know of a few anecdotal reviews of treating each acute and persistent COVID. And those had been revealed in peer-reviewed journals. So, there may be some early science. I believe it’s extremely promising. For treating illnesses which are out of doors of the world of what their INDs are for, I’d say, we don’t have any thought. However we’ll know in a few years, I believe.

Katie: That’s thrilling, too. Let’s see. So that you’re doing quite a lot of treatments with quite a lot of sufferers. I’m curious, what’s the maximum abnormal factor or sudden factor that you just do on your observe?

Dr. Marcella: I believe… Neatly, that is… So, once we were given this new generation, which is that this photobiomodulated PRP factor, we noticed those actually nice effects with plenty of issues, like knee ache, or hip ache, or again ache or no matter. And we additionally noticed any individual else that used to be doing this had some nice beauty effects. And I used to be like, “Neatly, I’ll simply check out 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 consequence used to be nice, and I used to be tremendous delighted with it. And different those that I had no longer talked to noticed me on a Zoom had been like, “You glance nice. You guys gotta do that.” So, we evolved what’s referred to as the Aphrodite makeover, which is that this similar procedure we do for girls. We do face, breasts, and sexual enhancement. After which for guys, we do face, hair, and sexual enhancement.

And so if you happen to had informed 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 sensible as it’s a herbal development of if we’re gonna repair any individual and assist their acute drawback and assist their ache and get them again to a lifestyles that’s higher than they are able to consider, which is my purpose for each affected person, why wouldn’t I then say, “Let’s now paintings to your attractiveness and sexual well being?” Why no longer? Like, if we now have the ability to do this, we now have the gear to do it. And it’s such a lot a laugh, and it’s so rewarding. And so, our dream is hanging those two makeovers along side the feminine, the Aphrodite, the male, the Eros, sufferers come in combination as a pair and do that remedy, and with the remedy, we do the power paintings. We do the deciphering, they usually make targets about their remedy and the way they wanna attach. So it’s a actually a laugh a part of my observe this is totally sudden, and we’re simply having a good time doing it.

Katie: Neatly, and also you’ve discussed the full of life science a number of occasions and the Power For Good fortune, particularly. So I wanna make sure that we contact in this a bit bit extra. And is that this one thing that you just be offering in particular via your observe? Are there assets to be had for folks to be informed about this? Since you discussed, it’s been individually very useful for you, as smartly. So I wanna make sure that I supply assets for folks to determine extra.

Dr. Marcella: Yeah. Thanks for asking. So Dr. Barry Morguelan’s program is known as the Power For Good fortune. And you’ll be able to simply pass to energyforsuccess.org, and there’s plenty of tactics to attach. There are quite a lot of techniques that you’ll be able to do, however the core factor that we do in our observe is there’s a guided visualization that we’ve got been given permission to present to our sufferers and a few explicit practices that we give to our sufferers to optimize their therapeutic, ahead of and after a process or once in a while with out a process they usually do just it, you recognize, whilst they’re below our care. So that you don’t need to be a affected person needless to say to get right of entry to this. Any one can get right of entry to it.

And what’s been actually glorious to peer from the clinical facet is, you recognize, sufferers are available in, and they have got an issue, they usually’re sitting in my place of business, they usually’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 recognize, the tips hole is so broad, you recognize, folks are available in and do not know what their photographs imply and do not know what their ache method. They usually’ve gotten 4 different evaluations, and none of them is sensible. And it’s actually exhausting, and it’s complicated, and it’s horrifying. And whilst you’re in ache, this complete procedure is simply actually horrifying and, you recognize, complicated. So, what this paintings does is will provide you with, the affected person, some way to take part on 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 no longer simply at the receiving finish of your therapeutic, you’re contributing to the therapeutic. And, you recognize, once more, it’s easy stuff is what we inform sufferers to do is a guided visualization two times an afternoon. 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 entire solution of X, Y, and Z, and I write the ones targets each unmarried day for my sufferers. And when our sufferers are available in for procedures, we trainer them on writing their targets for themselves.

So we’re each harnessing this power paintings to get the most productive consequence. After which for those that aren’t essentially in ache or having, you recognize, a well being drawback, how this power works is permitting you to get right of entry to… I imply, for everyone, it really works this manner. We don’t must have ache to have it paintings. It’s permitting you to get right of entry to a waft state always. So, everyone is aware of what it’s love to hit a super golfing ball or to make the easiest plate of meals or to have the easiest dialog the place you’re no longer even certain if it used to be you doing it, it simply flowed, and it used to be glorious. That’s what the power paintings lets you hook up with in more than one spaces of lifestyles. And so, anyone who’s , simply pass at the web page and browse extra about it. And the techniques are actually, actually life-changing. And I began doing it for myself seven years in the past, to assist set up being a neurosurgeon and being a mother, and, you recognize, in need of all of it, frankly. And it used to be so tough for me that I sought after to proportion it with my sufferers. In order that’s what I do now.

Katie: And I believe a actually vital factor you simply introduced up is that concept of getting them be an energetic player of their care, which may be such a very powerful mindset shift. And, like, I’ve learn a large number of books like “The Biology of Trust,” and such things as that, like how that mindset shift is so seriously vital. However I’ve additionally mentioned on right here such a lot of occasions that each and every folks is our personal number one healthcare supplier and the most productive results occur once we settle for the possession and accountability of that after which to find, like, state of the art practitioners such as you who can assist information the place to head. However that, like, the most productive partnership, I believe, is with folks such as you as a result of so regularly I listen from people who find themselves being informed by way of their docs, like, “Oh, your signs aren’t actual. That is all on your head,” or “Do just it this manner,” and prefer no longer being listened to. And so I believe that could be a actually cool part of having folks to actually heart in and take an energetic position and paintings with you, which in fact, makes overall sense. You might have such nice results from that.

Dr. Marcella: Yeah. And it’s been actually attention-grabbing. When persons are given house and time to simply categorical, therapeutic occurs. I imply, that’s a part of this deciphering procedure that we do with one among our procedures. Folks inform me always, “I simply informed you one thing that I’ve by no means informed anyone.” And I’m a neurosurgeon, like, it’s attention-grabbing that as a result of I’m drawing near it on this manner, it’s popping out within the secure atmosphere. Folks actually will be capable to 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. Neatly, as we get on the subject of the top of our time, there’s a couple of questions I really like to invite. 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 imagine the largest, maximum vital needle movers on your day by day regimen on your day by day lifestyles?

Dr. Marcella: I imply, I can return to the power. It’s the similar resolution. I stay pronouncing it. However paying consideration. It doesn’t need to be that proper. It might be any day by day regimen. I believe what you mentioned is essential. It’s day by day and being attentive to your individual, I wanna say power degree however being attentive to the place you’re, like, checking in. You’ll pass a complete day and no longer also be remotely attached in your physique. So simply pausing and taking a second, the place am I? How do I believe? What do I want at this time? No matter that observe is, it’s a must to do it each day.

Katie: After which finally, if there’s a guide or numerous books that experience had a profound affect to your lifestyles, and if that is so, what they’re and why?

Dr. Marcella: So, it is a exhausting query as a result of there’s such a lot of nice books. When I used to be more youthful, I believe the one who stands proud probably the most is most definitely “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 received this concept of, “Wow, like, I’m actually sensible. I will completely do that. That is wonderful.” So I simply needless to say being an impressive… I imply, the tale is glorious, and the prose is fantastic. And it’s written on this very other manner, issues that I’ve by no means skilled ahead of. And that have of studying one thing that used to be new and I by no means skilled ahead of after which having the ability to do it, that’s the waft state. That’s, like, doing one thing that’s new after which experiencing prowess inside of it. That’s what we now have get right of entry to to always. And I skilled that as a child studying that guide. And with the power paintings, I do now, that’s my purpose now to revel in that always. After which, as an grownup, there’s every other guide that used to be actually tough for me referred to as “Energy vs. Power,” and it’s David Hawkins. And it’s concerning the common awareness and the way the solution to each query exists and get right of entry to that, and it’s actually profound quantum knowledge. It’s cool.

Katie: I find it irresistible. I’ll put either one of the ones within the display notes, in addition to hyperlinks to the whole lot we’ve discussed on this episode and a hyperlink in your observe into the Power For Good fortune knowledge. I’m so excited, like I mentioned, originally, to understand there are docs such as you who’re at the leading edge of mixing all of those modalities, and I’m so appreciative of your time. I understand how busy you’re. Thanks such a lot for being right here these days.

Dr. Marcella: Thanks such a lot for having me. It used to be a thrill and enjoyment to fulfill you.

Katie: And thank you as at all times to all of you guys for listening and for sharing your most respected assets, your time, and your power with us these days. We’re each so thankful that you just did, and I’m hoping that you just’ll sign up for me once more at the subsequent episode of the “Wellness Mama” podcast.

When you’re playing those interviews, would you please take two mins to go away a score or assessment on iTunes for me? Doing this is helping extra folks to search out the podcast, which means that much more mothers and households may just have the benefit of the tips. I actually recognize your time, and thank you as at all times for listening.





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