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Katie: Hi there, and welcome to the “Wellness Mama” podcast. I’m Katie from and That’s Wellnesse with an E on the tip. It’s my new private care line. This episode goes deep on some actually cool science. It’s about neurosurgery, particularly in spinal well being, however we delve into additionally mind well being, anti-aging, and a lot extra. I’m right here with Dr. Marcella Madera, whose bio is so spectacular, I truly must 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 he or she has experience in all spinal approaches and minimally invasive surgical procedure. She is board licensed by the American Board of Neurological Surgical procedure. However what’s actually cool is she’s combining the chopping fringe of surgical therapy with the innovative of other 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 effectively, apart from simply spinal well being. It all the time is thrilling for me to search out docs who’re combining various therapies as effectively. She shares my concept that that is very a lot a each/and never both/or, and that there’s a time and a spot for each and that always the most effective outcomes happen after we mix them. So, we get into some fascinating and fairly particular information on this one, and I hope you’ll take pleasure in 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 folks in my life who I extremely, extremely respect. And I’m so excited to get to share you with everybody right this moment. Your bio is tremendous spectacular. And I really feel like, even beginning with only one factor is tough to select. However I might love to start out off by listening to about the way you turned a neurosurgeon as a result of that’s an unbelievable specialty, to start with, and never a simple one, I might guess.

Dr. Marcella: Proper. Properly, thanks for asking that query. It’s pricey to me how I turned a neurosurgeon. So, I knew I used to be a surgeon immediately in medical college, and I wasn’t positive what kind I might be, however I beloved being within the OR, and I beloved the calm and in addition the depth. And I occurred to do a neurosurgery rotation since you may select between neurology and neurosurgery. I used to be 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 had been creating with our sufferers. And I simply knew deep in my soul, that is what I used to be presupposed to do. So, I jumped in.

Katie: And that was originally of your profession, proper, like, strictly neurosurgery?

Dr. Marcella: Yeah. So I began out typical 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 apply in Austin, Texas in 2011.

Katie: Okay. And that’s the place you continue to are. And I’ll be sure that I put a hyperlink. I do know you guys are booked up method prematurely, however I’ll put a hyperlink to your apply in Austin, for anyone who’s native there. And from what I’ve heard from my pals, you now have a thriving integrative apply, 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 typical apply, I had the expertise time and again that I actually wished to supply further care to my sufferers. I actually wished to heal greater than reduce. And I wanted a method to have the ability to absolutely categorical the therapeutic that I wished to present. And so, I began out by doing my very own training on various remedies, on holistic drugs, practical drugs, integrative drugs. And over time, I additionally labored myself, personally, with the Vitality For Success, which is an historic Chinese language vitality modality delivered to america from Dr. Barry Morguelan. And doing my very own vitality work by these packages, plus educating myself on all the opposite issues on the market, made me actually need to create a very completely different mannequin of mind and backbone care. And so then I began my integrative apply known as Austin Integrative Backbone as a facet challenge for just a few years, after which now it’s my important challenge. 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 after they optimize, and we deal with folks holistically, they don’t want surgical procedure in any respect. And I all the time knew that instinctually and I needed to create it and develop it to show it in actual life. But it surely’s been actually rewarding to do smaller surgical procedures, generally 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 apply. It’s been actually, actually great.

Katie: I’m curious in case you’re seeing… Properly, initially, I like that you simply’re not turning to surgical procedure as the primary possibility as a result of it looks like in a number of drugs, that could 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 simply work with like we’re in different areas of drugs in the identical method? And if that’s the case, what do you assume is driving that?

Dr. Marcella: That’s an incredible query. , by way of an increase, I might say, persistently, my typical apply… I’ve been out of it now for nearly two years. However on the time, I might 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. Everyone’s received a again ache or a neck ache or no matter. And definitely, with COVID, what we noticed was, you realize, frankly, they shut the ORs down. So we had a drastic lower within the quantity of sufferers that had been capable of be handled. We are able to solely deal with emergent sufferers. And so now, with issues opening up, we’re seeing a rise in folks with the ability to be handled. I might say that the power illness, although, on the whole, is steadily rising by way of incidence simply due to the getting old inhabitants. And as you age, everyone will get power illness. That mentioned, I really feel like there are a number of different contributors. It’s not simply put on and tear. And that’s a part of my apply now’s actually attending to the basis reason behind that and stopping that. And so, do I believe there’s an increase? Sure, with an getting old inhabitants, nevertheless it’s so ubiquitous. It’s all the time been ubiquitous.

Katie: Gotcha. Okay. I’m curious what you’re seeing sufferers come to you for probably the most proper now and/or, like, type of, inside the space of neurosurgery? Like, what was your specialty and, like, type of, what had been you seeing in that space while you had been practising 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 brief time, again ache, neck ache, arm ache, leg ache, from arthritic illness within the neck or within the low again. That’s most likely the highest, you realize, 80% of stuff that we see. And within the surgical world, you realize, there’s a number of issues you are able to do earlier than attending to surgical procedure. And so, in my typical apply, a number of occasions, folks would have seen ache administration and, you realize, finished 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’ve got new instruments. And so, a few of the issues we take a look at are underlying irritation. We’ve got a laboratory panel to have a look at irritation. Plenty of sufferers come with out data that your weight-reduction plan can actually radically have an effect on your ache syndrome. And so, straightforward stuff like happening a low irritation weight-reduction 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, you realize, these key issues originally, 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, for example, these innovative most cancers docs who’re additionally utilizing integrative modalities, or encouraging sufferers to quick, or utilizing issues, or vitality work, issues which have been researched in different areas, and realizing they don’t must be at odds. And I get so enthusiastic about that as a result of I believe long-term, the most effective outcomes in drugs, are gonna be after we can meld all of these instruments collectively. So it makes me actually excited once I meet folks 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 effectively. I’m particularly curious concerning the, like, type of, vitality and mindset and emotional part with regards to 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 may see, such as you mentioned, a shift of their ache response after they deal with inside stuff as effectively and…

Dr. Marcellla: Hundred p.c.

Katie: ….my story isn’t particular to ache. However I had a number of well being issues for lots of years, together with thyroid illness and hassle losing a few pounds. 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 simply’re integrating all this stuff. And I’m curious in case you see that connection actually strongly within the ache world as effectively.

Dr. Marcella: Positively. One of many actually fascinating issues that we’ve got come throughout lately is this concept of what’s known as biologic decoding. There’s a physique of labor that has the identify New Drugs or Germanic Drugs. It’s a bit esoteric, however I’ve discovered about it lately. And the concept is that every one medical illness or all illness processes presumably are associated to detrimental experiences that we’ve got skilled as people. And each single human has had a anxious expertise in our lives. That’s what being human is about. And so, utilizing this very particular decoding coaching that I’ve labored on, including that to a thoughts bodywork with the Vitality For Success, which is respiration practices, writing objectives, journaling, there’s some very particular practices that we’ve got our sufferers do. We’ve got them do these practices main as much as procedures, after which throughout one in all our biologic cell drugs procedures, we truly discuss by a few of these life stresses, and we return to the primary level of signs, after which generally we return additional, and generally we go method, method again. And what’s fascinating is doing all of this together, permits the physique to launch ache and launch illness. And in case you informed me 10 years in the past that I might be speaking to folks about their earlier experiences and serving to them heal, I by no means would have believed it. However I’ve skilled it myself. I’ve skilled it with my staff. , 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 obsessed with proper now and additional creating this. And, once more, it’s a each/and. I imply, there’s a place 100% for typical drugs. And when ache is extreme… , yesterday I informed a affected person, “Let’s get you a muscle relaxer as a result of you possibly can’t, like, operate proper now. Let’s get you calmed down in order that then you possibly can, you realize, come and do your holistic expertise with us.” So, you realize, it’s each/and, as you mentioned, and the contribution of the mind-body piece and connecting to your individual true self to permit that personal true self to launch the illness is one thing I’m actually, actually obsessed with proper now.

Katie: Yeah. And I imply, I’ve a lot empathy for people who find themselves going by 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 very encompassing and intense. And such as you mentioned, it’s very exhausting to operate. So, completely, my coronary heart goes out to people who find themselves there. And it is sensible while 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 might 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 combat or flight sympathetic system.” Is that, type of, what you assume is expounded, or are there extra past that?

Dr. Marcella: I believe that’s undoubtedly associated. And that combat or flight response is our physique’s pure, you realize, cavewoman intuition. That’s what we had 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 top cortisol state, that top, you realize, heartbeat state isn’t going to present you long-term well being. It’s going to extend irritation. And in case you keep that state, it’s going to proceed to perpetuate the illness course of. So, getting the physique calm and getting that parasympathetic state activated is actually necessary. And the vitality work that we advocate to our sufferers, a part of which might be very in depth 20 minutes, twice a day respiration workout routines. They’re straightforward, however, you realize, it’s important to do it. You must hear and breathe. And that does activate the sympathetic or the parasympathetic nervous system to get your physique in that house to the place you possibly can truly get into therapeutic for positive.

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

Dr. Marcella: Nice query. So, the distinction is, in typical drugs, and each surgeon is aware of you could have an ideal surgical procedure. I imply, good. You do all the pieces proper. It’s stunning. It’s the correct quantity of time, no drawback. And generally, they only don’t get higher. And that factor occurred with me and my sufferers sufficient occasions that I used to be like, “There’s something else. There’s something else.” And it turns on the market’s a number of one thing elses. It is perhaps weight-reduction plan. It is perhaps a significant trauma of their previous. It is perhaps their private relationships, at present. It is perhaps their quantity of stress at their job. There’s so many issues that may contribute to this incapacity to heal. And so, now, what we’re discovering is that, particularly, like, for extreme illness that has a pathway of some enchancment, however not all the time all the way in which, what I’m obsessed with is spinal wire harm. And a number of spinal wire sufferers, you realize, 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 good? 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 right this moment textual content me, “Hey, Dr. M, each morning once I do my stretches, I stand up, and I twirl a method or one other. And right this moment, I can twirl higher than I ever have.” And he’s, like, three weeks out from this process, one in all these superior issues that we’re doing. And I imply, I gotta let you know, like, getting a spinal wire 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 might see. And I really imagine it’s a mix of the issues that we’re doing. And it’s been a stepwise development. , a 12 months in the past, we weren’t doing the decoding like we’re doing now. A 12 months in the past, we had been doing a sort of biologic cell therapy for spinal wire harm, and now we’re doing a extra superior one with a photobiomodulation part, a light-weight remedy part. So, we’ve progressed in what we’re including, and we’re seeing progressive outcomes, and it’s actually enjoyable and great for the sufferers.

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

Dr. Marcella: Yeah. So, you realize, each human has an innate potential to heal. while you reduce your finger, your physique is aware of learn how to heal it. So, what we’re doing with the biologic cell drugs is harnessing your individual physique’s innate potential to heal. And generally, we’ll use platelet-rich plasma, which comes from your individual physique. Generally we’ll use your individual bone marrow. Generally we’ll use a biologic. Generally we use a mix. Once more, I mentioned, we’ve got a photobiomodulation mild remedy that we’ve added to this now. And so what we’re doing, if in case you have an harm and your physique tries to heal, harm physique tries to heal, sooner or later, when you’ve gotten illness, your physique’s not maintaining. So what we do is add the biologic cell drugs, both by an IV process, a quite simple process, or by injections or each, to permit the physique that kickstart to get them again up. And what most of these things is on this bucket of issues that we do are very robust, anti-inflammatory signaling molecule procedures. So, the stuff that we’re utilizing fundamental science exhibits that they’re rising cell signaling on your personal cells to get up and heal. Each single pericyte, I’m sorry, each single blood vessel in your physique has what’s known as pericytes, that are little stem cells in your physique whose job it’s to sign the therapeutic course of. And so what we’re doing is attempting to jumpstart that. That’s the idea.

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

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

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

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

Katie: And fortunately,…like, isn’t paralyzed from it however nonetheless has had residual ache and, like, lack of movement. And so she’s had points her entire life. After which a neighborhood good friend, about 10 years in the past, dove off of a ship and broke his again and now’s, like, paralyzed from the waist down. So it’s actually encouraging that we’re nonetheless seeing…as a result of it looks like my restricted understanding that for some time it was thought, like, these are comparatively unattainable issues to 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 circumstances 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, you realize, we’re actually excited concerning the circumstances that we’re seeing this in for positive. So, there’s undoubtedly… , the way forward for drugs, this shall be commonplace. That’s actually what I believe. And proper now, we’re simply in a technique of determining what that commonplace goes to be.

Katie: And also you additionally talked about that you simply assume a number of the rise in spinal ailments can also be associated to an getting old inhabitants, which makes full sense. And, you realize, it’s no secret that we’re seeing an increase in power and degenerative ailments throughout a number of completely different areas, which I believe is also necessary to deliver to the forefront the dialog on getting old, not simply what we consider as getting old, like, on a pores and skin degree on how we glance however extra importantly, on a organic degree. And so I’m curious what you’re discovering in your analysis in your scientific apply on issues which might be truly, like, biologically serving to the physique to not age as shortly.

Dr. Marcella: Nice query. So yeah, one of many issues that we’re actually curious about is testing your age, based mostly on DNA methylation. There’s a really extensive physique of analysis you could… There’s particular checks. There’s a few completely different firms that do that, the place they’ll take a look at your DNA and the way a lot methylation there’s and offer you your age based mostly in your DNA. And there are some teams which might be exhibiting that with anti-aging, biologic cell remedies, you could 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 this. , there are some actually nice advances with each vitality work together with practical drugs and all the issues that you simply do to optimize your physique, the biohacking, you realize, group. There are many methods to consider reversing getting old. I might say the science isn’t fairly there by way of, like, proving it. However I can let you know that folks that do all these things undoubtedly look youthful and undoubtedly act youthful. And I do assume that, you realize, 50 years from now, we’re gonna have the solutions to these questions for positive.

Katie: It’s thrilling to consider. And I’m glad that we’re seeing a few of these issues as a result of I additionally assume in right this moment’s world, I’ve talked about this in different realms, however we’ve got so many 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 all these power ailments is we’re simply going through much more environmental, and meals, and emotional inputs than earlier generations have. And so, you realize, I typically get the pushback from folks of, like, effectively, we shouldn’t must do all these loopy issues and biohacking to be wholesome. And, like, I agree with you, I want we didn’t must, however we’ve got 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 positive. And, you realize, a few of the issues are actually easy, proper? Like, sure, it’s cool to have, you realize, mild glasses that provide the optimum quantity of sunshine. And it’s actually cool to have, you realize, hyperbaric oxygen at your own home in case you can afford that. I imply, that’s nice. However, like, there’s an entire lot of easy issues that folks aren’t doing due to all these inputs, proper? There’s so many inputs. Our society is so fast-paced. We’ve got our telephones on a regular basis. We’re all the time doing, you realize, social, blah, blah, blah, and, like, going and taking a stroll barefoot within the bushes and taking a trip, sleep, you realize, like, there are such a lot of easy issues that may hold you younger, that generally I really feel like, okay, we would like all of the inputs, so then we’ve got to do all this different stuff to maintain up with the inputs, however possibly if we simply, like, reduce down on the inputs somewhat bit, we would get the identical impact. And that’s method cheaper, frankly. And in order that’s why I’m actually, actually passionate concerning the mind-body piece and the Vitality For Success work is that it’s a each day apply. You do it your self at residence, or you are able to do it wherever. It’s nice to do it out in nature, however they’re easy practices. And it’s daily. You do have to concentrate to it daily. However that work alone has taken years off me personally, I imagine. So everyone tells me I’m wanting like I’m getting youthful. In order that’s good.

Katie: Properly, 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 remedies, however such as you personally, I’ve seen the largest outcomes from issues like optimizing sleep, and daylight, and hydration, issues that you simply’re gonna must do anyway. And in case you can simply enhance these, it has a carryover impact. And in case you aren’t targeted on these, you possibly can spend some huge cash on all these different issues, and so they’re not gonna be as efficient anyway. So I’ve grow to be a really massive fan of issues, easy issues like morning daylight, and getting sufficient sleep, and fasting in numerous types at completely different occasions. I believe there’s simply these free instruments that we are able to use. And I’m excited, like I mentioned, 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 might guess, an enormous mind part right here as effectively. And I believe this can be a subject that’s actually thrilling to delve into for everybody, particularly there’s a number of mother and father listening, and I discuss loads about training in addition to a homeschooling dad or mum and dealing on constructing out an academic system. And so I’m curious if in case you have any recommendation from the neurosurgical facet of how we are able to greatest assist our brains, each as adults, as we’re getting old, and in addition in our youngsters, to present them probably the most stable basis early on?

Dr. Marcella: That’s an incredible query. , the inspiration for the issues that we simply talked about. So, sleep might be no 1, 2, 3, and 4. I believe for the getting old mind, actually, mitigating irritation is a large factor. The entire neurodegenerative ailments have pathophysiology associated to irritation. And if you realize that that runs in your loved ones and even being proactive, as you mentioned, you realize, getting your genetics checked out and see in case you’re in danger for neurodegenerative illness is necessary. Weight loss plan, I really feel like, is a large piece of that. And, you realize, a easy low inflammatory weight-reduction plan more often than not, I believe, is a simple factor that anyone can do. It doesn’t imply you possibly can’t ever eat your favourite issues. It simply implies that more often than not, your baseline is low irritation. More often than not, you’re sleeping adequately. More often than not, you’re not ingesting alcohol. I really feel like these are straightforward issues that anyone can do. And train is a large piece of that. So, you realize, high-intensity interval coaching a few occasions per week is great. , there are many completely different suggestions by way of train, however I imply, frankly, simply transfer. , like, that’s a simple one which anyone can do.

After which being outdoors in nature, for positive, that we talked about already. After which, 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 ladies, and I actually really feel like children want house, free play house. And I see in my very own children when they’re over-traveled, over-scheduled, over-structured, that their brains don’t work as effectively and, over-deviced as effectively. And, you realize, I’ve the identical problem as anyone else does as a working dad or mum or stay-at-home dad or mum that, you realize, children wanna be entertained on a regular basis. And so, conserving their brains free and having that open playtime is, like, excessive, excessive precedence, and clearly sleep, you realize, ensuring that they’ve a schedule that helps sleep for positive.

Katie: I’m so excited to have a neurosurgeon on the document saying that it’s 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 entire academic system from the bottom up was realizing when my oldest hit college age that I used to be , like, what’s gonna greatest put together him for grownup life? And is it a standard college? Is it homeschooling? And I spotted there wasn’t any method that I felt, like, actually embraced all of the issues children must develop, the actually necessary issues like creativity and demanding considering, and creativeness. And I believe an enormous part of that’s play and unstructured time and the house 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 presupposed to play as adults and do enjoyable issues and the motion part. So I like that you simply 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 children, due to the way in which sports activities are altering however actually in adults as effectively. And I’ve had pals which have gone by some fairly extreme concussions and recoveries, together with an expensive good friend 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, you realize, hyperbaric oxygen has a very nice physique of, I might say, anecdotal expertise and anecdotal literature. After which there are energetic research being finished 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 periods plus. I believe that’s a simple factor. , it’s fairly accessible now in most locations. And we accomplice with an incredible middle right here in Austin, Texas, that we work with. In order that’s an enormous one. I believe the identical issues I mentioned earlier than with optimizing irritation, so low irritation weight-reduction plan, sleep. I additionally assume mind neurofeedback and mind coaching. We’ve got some companions that we work with for our concussion sufferers for that, and I might say, you realize, the biologic cell drugs piece. I do assume that that’s the future. We’ve got checked out that. We’ve got a few, I might say, anecdotal conditions the place we discovered that useful. It’s nonetheless very early, and we don’t know for positive if that’s gonna work in everyone. However the way in which that we work it’s if we see any individual with this case, we advocate the issues that we all know for positive which have extra background behind, which might be the hyperbaric after which simply optimizing irritation, sleep, these are issues that, you realize, anyone can do, like, we’ve talked about. After which in the event that they’ve gone by that and will not be getting the place they wanna go, we’ll have a dialogue to think about biologic cell drugs and say, you realize, “That is an possibility. We don’t know for positive, nevertheless it’s doable that this could enhance the neurologic scenario.” And so, you realize, generally we do this with sufferers as effectively.

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

Dr. Marcella: Yeah. So, nice query. So one of many key issues that I began doing just a few 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 rather well. And so by way of, within the morning, my routine, that type of will get me, have my powerhouse, you realize, morning, each morning, I spend a while with my two-year-old earlier than I’m going to work after the six-year-old goes to highschool. And now the summer season, it’s each of them. And so, I do intermittent fasting from, like, dinner till… I imply, it’s type of a quick, as a result of then, you realize, it’s like a bulletproof quick. You’d have your butter espresso within the morning. So by way of nootropic, by way of, you realize, caffeine and butter, I believe that’s what works for me. I actually take pleasure in 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 an alternative of dietary supplements. And if I really feel like I’m having a drag within the afternoon, I’ll lay down for quarter-hour. I, particularly in my new workplace, received a chaise for my workplace in order that I can lay down for quarter-hour if I must and do a guided visualization, do a respiration, that all the time perks me proper up. After which the opposite factor that got here to me while you requested the query is, you realize, being a mother and dealing or whether or not you’re working or not, you’re all the time, whether or not you’re working outdoors the house or within the residence, being a mother and doing all of the issues that mothers do as a result of we all know we do greater than no matter it’s any individual thinks we’re doing. We’re doing, like, 100 issues extra. That’s a given. So, it takes a each day consideration, and it takes a each day apply. And that’s what I discovered 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 growth or myself being full, I can’t do it, you realize, I’ll be drained, or I’ll have a nasty perspective, or I’ll, you realize, say one thing grouchy to my child. And so, being a mother and plus all of the thousand issues that you simply do daily, whether or not it’s working at residence or outdoors the house, requires each day consideration to your self. And I do imply each day. So for me, that’s, once more, the vitality work that I do and doing, you realize, respiration daily and particular bodily practices daily. I write objectives daily for what I need to occur that day in sure eight areas of life. So, yeah, it’s daily. You don’t get off the hook.

Katie: Additionally, a brand new subject I’m guessing you may need some perspective on, I hold 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. These 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 firms derive them from completely different sources. Some come from younger grownup bone marrow, stem cells, for instance. Different firms use placental stem cells. They’re utterly non-FDA authorised proper now. Plenty of the businesses had been advertising them as a biologic. Now, the FDA is saying they have to be on a pathway to grow to be a drug. And so, any of the businesses which might be going to remain round must have an IND with the FDA to have the ability to even promote their product anymore. So, it’s a really…some folks would say controversial. I might 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 firms which might be doing probably the most aggressive, stringent functions with the FDA are attempting to characterize and standardize what’s in them. So, I might simply say they’ve an enormous quantity of promise. The businesses that I do know which might be doing these IND functions are doing them for COVID. And I do know of some anecdotal reviews of treating each acute and power COVID. And these have been printed in peer-reviewed journals. So, there’s some early science. I believe it’s extremely promising. For treating ailments which might be outdoors of the realm of what their INDs are for, I might 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 simply do in your apply?

Dr. Marcella: I believe… Properly, that is… So, after we received this new know-how, which is that this photobiomodulated PRP factor, we noticed these actually nice outcomes with quite a lot of issues, like knee ache, or hip ache, or again ache or no matter. And we additionally noticed another person that was doing this had some nice beauty outcomes. And I used to be like, “Properly, I’ll simply attempt that as a result of that sounds nice.” And so I had my dermatologist good friend do micro-needling for me, after which we did this process, and my outcome was nice, and I used to be tremendous thrilled with it. And different those who I had not talked to noticed me on a Zoom had been like, “You look nice. You guys gotta do that.” So, we developed what’s known 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 informed me 10 years in the past that I might be doing beauty sexual optimization for folks, I might 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 individual 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 objective for each affected person, why wouldn’t I then say, “Let’s now work in your magnificence and sexual well being?” Why not? Like, if we’ve got the ability to do this, we’ve got 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 objectives about their therapy and the way they wanna join. So it’s a very enjoyable a part of my apply that’s utterly surprising, and we’re simply having a good time doing it.

Katie: Properly, and also you’ve talked about the energetic science a number of occasions and the Vitality For Success, particularly. So I wanna be sure that we contact on this somewhat bit extra. And is that this one thing that you simply supply particularly by your apply? Are there assets accessible for folks to find out about this? Since you talked about, it’s been personally very useful for you, as effectively. So I wanna be sure that I present assets for folks to search out out extra.

Dr. Marcella: Yeah. Thanks for asking. So Dr. Barry Morguelan’s program is known as the Vitality For Success. And you’ll simply go to, and there’s quite a lot of methods to attach. There are numerous packages that you are able to do, however the core factor that we do in our apply is there’s a guided visualization that we’ve got been given permission to present 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 generally with no process and so they simply do it, you realize, whereas they’re below our care. So that you don’t must be a affected person for positive to entry this. Anyone can entry it.

And what’s been actually great to see from the medical facet is, you realize, sufferers are available, and so they have an issue, and so they’re sitting in my workplace, and so they’re asking, “Physician, what do I do? Inform me what to do.” And it’s nearly like they’re on the finish of the fishing hook. Like, you realize, the data hole is so extensive, you realize, folks are available and don’t know what their pictures 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 exhausting, and it’s complicated, and it’s scary. And while you’re in ache, this entire course of is simply actually scary and, you realize, complicated. So, what this work does is provides you, the affected person, a method to take part in your care from day one. And it’s one thing that it’s important to tackle your self, and also you do it, however you might be contributing to the therapeutic of your physique. So that you’re not simply on the receiving finish of your therapeutic, you might be contributing to the therapeutic. And, you realize, once more, it’s easy stuff is what we inform sufferers to do is a guided visualization twice a day. There’s a objective writing apply. So I write objectives for my very own sufferers, which means I would like this process to prove completely. I would like it to take this period of time. I would like them to have full decision of X, Y, and Z, and I write these objectives each single day for my sufferers. And when our sufferers are available for procedures, we coach them on writing their objectives for themselves.

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

Katie: And I believe a very necessary factor you simply introduced up is that concept of getting them be an energetic participant of their care, which can also be such an necessary mindset shift. And, like, I’ve learn a number of books like “The Biology of Perception,” and issues like that, like how that mindset shift is so critically necessary. However I’ve additionally mentioned on right here so many occasions that every of us is our personal main healthcare supplier and the most effective outcomes occur after we settle for the possession and accountability of that after which discover, like, cutting-edge practitioners such as you who may help information the place to go. However that, like, the most effective partnership, I believe, is with folks such as you as a result of so typically I hear from people who find themselves being informed by their docs, like, “Oh, your signs aren’t actual. That is all in your head,” or “Simply do it this fashion,” and like not being listened to. And so I believe that could be a actually cool part of getting folks to essentially middle in and take an energetic function and work with you, which after all, makes complete sense. You’ll have such good outcomes from that.

Dr. Marcella: Yeah. And it’s been actually fascinating. When persons are given house and time to simply categorical, therapeutic occurs. I imply, that’s a part of this decoding course of that we do with one in all our procedures. Individuals inform me on a regular basis, “I simply informed you one thing that I’ve by no means informed anyone.” And I’m a neurosurgeon, like, it’s fascinating that as a result of I’m approaching it on this method, it’s popping out within the protected 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 things is contributing to their therapeutic. It’s actually cool.

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

Dr. Marcella: I imply, I’ll return to the vitality. It’s the identical reply. I hold saying it. However paying consideration. It doesn’t must be that proper. It might be any each day routine. I believe what you mentioned is vital. It’s each day and being attentive to your individual, I wanna say vitality degree however being attentive to the place you might be, like, checking in. You may 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 apply is, it’s important to do it daily.

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

Dr. Marcella: So, this can be a exhausting query as a result of there’s so many nice books. After I was youthful, I believe the one which stands out probably 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 deciphering that, and dealing by it with my lecturers. And I actually gained this concept of, “Wow, like, I’m actually good. I can completely do that. That is superb.” So I simply keep in mind that being a strong… I imply, the story is great, and the prose is superb. And it’s written on this very completely different method, 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’ve got entry to on a regular basis. And I skilled that as a child studying that guide. And with the vitality work, I do now, that’s my objective now to expertise that on a regular basis. After which, as an grownup, there’s one other guide that was actually highly effective for me known as “Energy vs. Power,” and it’s David Hawkins. And it’s concerning the common consciousness and the way the reply to each query exists and learn how to 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 all the pieces we’ve talked about on this episode and a hyperlink to your apply into the Vitality For Success info. I’m so excited, like I mentioned, originally, to know there are docs such as you who’re on the innovative of mixing all of those modalities, and I’m so appreciative of your time. I understand how busy you might be. Thanks a lot for being right here right this moment.

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

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

Should you’re having fun with these interviews, would you please take two minutes to depart a score or overview on iTunes for me? Doing this helps extra folks to search out the podcast, which implies much more mothers and households may benefit from the data. I actually respect your time, and thanks as all the time for listening.