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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 top. It’s my new private care line. This episode goes deep on some actually cool science. It’s about neurosurgery, particularly in spinal well being, however we delve into additionally mind well being, anti-aging, and a lot extra. I’m right here with Dr. Marcella Madera, whose bio is so spectacular, I truly need to learn elements of this. She’s an skilled in surgical remedy of situations of the backbone, together with degenerative backbone illness, backbone tumors, and degenerative deformity. She is world-renowned for this, and she or he has experience in all spinal approaches and minimally invasive surgical procedure. She is board licensed by the American Board of Neurological Surgical procedure. However what’s actually cool is she’s combining the slicing fringe of surgical remedy with the leading edge of other and even power therapies. And he or she’s getting actually unbelievable outcomes for her sufferers. And he or she talks about how this actually has crossed over into different areas of life as properly, apart from simply spinal well being. It all the time is thrilling for me to seek out docs who’re combining various therapies as properly. 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 usually the most effective outcomes happen after we mix them. So, we get into some fascinating and fairly particular data 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 a bit higher on this podcast. You come extremely really useful by a number of individuals in my life who I extremely, extremely respect. And I’m so excited to get to share you with everybody right this moment. Your bio is tremendous spectacular. And I really feel like, even beginning with only one factor is difficult to choose. 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 expensive to me how I turned a neurosurgeon. So, I knew I used to be a surgeon straight away in medical college, and I wasn’t positive what sort I might be, however I liked being within the OR, and I liked the calm and likewise the depth. And I occurred to do a neurosurgery rotation since you might select between neurology and neurosurgery. I used to be considering I used to be gonna do cosmetic surgery. And on my rotation, I used to be simply completely blown away by the great thing about the nervous system. I had a really guttural, instinctual response to the operations and the therapeutic that we had been creating with our sufferers. And I simply knew deep in my soul, that is what I used to be speculated to do. So, I jumped in.

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

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

Katie: Okay. And that’s the place you continue to are. And I’ll ensure that I put a hyperlink. I do know you guys are booked up means 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 mates, 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 extra care to my sufferers. I actually wished to heal greater than reduce. And I wanted a means to have the ability to absolutely specific the therapeutic that I wished to offer. And so, I began out by doing my very own schooling on various therapies, on holistic medication, useful medication, integrative medication. And over time, I additionally labored myself, personally, with the Power For Success, which is an historical Chinese language power modality delivered to the US from Dr. Barry Morguelan. And doing my very own power work by these applications, plus educating myself on all the opposite issues on the market, made me actually need to create a totally completely different mannequin of mind and backbone care. And so then I began my integrative apply referred to as Austin Integrative Backbone as a facet undertaking for just a few years, after which now it’s my predominant undertaking. And what’s been actually, actually rewarding is that now once I care for sufferers, some sufferers nonetheless want surgical procedure, however there’s a big inhabitants that after they optimize, and we deal with individuals holistically, they don’t want surgical procedure in any respect. And I 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 expertise and biologic cell medication, which is one other piece of our apply. It’s been actually, actually fantastic.

Katie: I’m curious in case you’re seeing… Properly, to start with, I really like that you just’re not turning to surgical procedure as the primary choice as a result of it looks as if in a variety of medication, that may be very a lot a primary strategy, and it looks as if a fairly drastic one. However I’m curious, are we seeing an increase in spinal-related issues in among the issues that you just work with like we’re in different areas of drugs in the identical means? And if that’s the case, what do you assume is driving that?

Dr. Marcella: That’s a terrific query. You realize, 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 likewise degenerative neurologic illness, however degenerative backbone illness is sort of ubiquitous within the inhabitants. Everyone’s bought a again ache or a neck ache or no matter. And positively, with COVID, what we noticed was, you recognize, frankly, they shut the ORs down. So we had a drastic lower within the quantity of sufferers that had been capable of be handled. We will solely deal with emergent sufferers. And so now, with issues opening up, we’re seeing a rise in individuals with the ability to be handled. I might say that the continual illness, although, normally, is steadily rising by way of incidence simply due to the ageing inhabitants. And as you age, everyone will get continual illness. That stated, I really feel like there are a variety 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 foundation explanation for that and stopping that. And so, do I believe there’s an increase? Sure, with an ageing 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, throughout the space of neurosurgery? Like, what was your specialty and, like, type of, what had been you seeing in that space if you had been working towards as a surgeon?

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

Katie: That’s fascinating. Yeah. And it makes full sense that even within the case when surgical procedure is critical, it’s not an both/or it’s a each/and. And I do know I’ve seen that in interviews, like within the most cancers world, as an illustration, these leading edge most cancers docs who’re additionally utilizing integrative modalities, or encouraging sufferers to quick, or utilizing issues, or power work, issues which were researched in different areas, and realizing they don’t need to be at odds. And I get so enthusiastic about that as a result of I believe long-term, the most effective outcomes in medication, are gonna be after we can meld all of these instruments collectively. So it makes me actually excited once I meet individuals such as you who’re on the slicing fringe of the medical world and likewise realizing the worth in issues like diet, and life-style components, and the power work as properly. I’m particularly curious in regards to the, like, type of, power and mindset and emotional element on the subject of particularly the realm of ache as a result of it looks as if for lots of people, at the least anecdotally that I’ve heard from, they are going to see, such as you stated, a shift of their ache response after they deal with interior stuff as properly and…

Dr. Marcellla: Hundred %.

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

Dr. Marcella: Undoubtedly. One of many actually fascinating issues that we’ve come throughout not too long ago is this concept of what’s referred to as biologic decoding. There’s a physique of labor that has the title New Medication or Germanic Medication. It’s a bit esoteric, however I’ve realized about it not too long ago. And the concept is that each one medical illness or all illness processes probably are associated to unfavourable experiences that we’ve skilled as people. And each single human has had a disturbing expertise in our lives. That’s what being human is about. And so, utilizing this very particular decoding coaching that I’ve labored on, including that to a thoughts bodywork with the Power For Success, which is respiratory practices, writing targets, journaling, there’s some very particular practices that we’ve our sufferers do. We now have them do these practices main as much as procedures, after which throughout considered one of our biologic cell medication 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 means, means again. And what’s fascinating is doing all of this together, permits the physique to launch ache and launch illness. And in case you advised me 10 years in the past that I might be speaking to individuals about their earlier experiences and serving to them heal, I by no means would have believed it. However I’ve skilled it myself. I’ve skilled it with my workforce. You realize, 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 keen about proper now and additional growing this. And, once more, it’s a each/and. I imply, there’s a place 100% for typical medication. And when ache is extreme… You realize, yesterday I advised a affected person, “Let’s get you a muscle relaxer as a result of you’ll be able to’t, like, operate proper now. Let’s get you calmed down in order that then you’ll be able to, you recognize, come and do your holistic expertise with us.” So, you recognize, it’s each/and, as you stated, and the contribution of the mind-body piece and connecting to your personal true self to permit that personal true self to launch the illness is one thing I’m actually, actually keen about 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 damage whereas understanding after which extra not too long ago, from by accident giving myself rhabdo, which was kidney ache, however nonetheless, like, again ache, is very encompassing and intense. And such as you stated, it’s very onerous to operate. So, completely, my coronary heart goes out to people who find themselves there. And it is sensible if you discuss it in that realm, too, simply how a lot that emotional element would come into play. And from a bodily perspective, my mind thinks like, “It could make sense in case you’re within the state of stress and emotional stress in case you’re not capable of downshift into parasympathetic, you’re not gonna have the ability to launch that ache response as a result of your physique is in that activated battle 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 battle or flight response is our physique’s pure, you recognize, cavewoman intuition. That’s what we had been constructed to do. So it completely is sensible. And what your physique’s making an attempt to do in that second is survive in that second. So, in fact, that’s what our our bodies do. However for the long-term, that top cortisol state, that top, you recognize, heartbeat state is just not going to offer you long-term well being. It’s going to extend irritation. And in case you preserve that state, it’s going to proceed to perpetuate the illness course of. So, getting the physique calm and getting that parasympathetic state activated is definitely vital. And the power work that we suggest to our sufferers, a part of which might be very intensive 20 minutes, twice a day respiratory workouts. They’re simple, however, you recognize, it’s important to do it. It’s a must to hear and breathe. And that does activate the sympathetic or the parasympathetic nervous system to get your physique in that area to the place you’ll be able to truly get into therapeutic for positive.

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

Dr. Marcella: Nice query. So, the distinction is, in typical medication, and each surgeon is aware of you could have an ideal surgical procedure. I imply, good. You do every part proper. It’s stunning. It’s the correct quantity of time, no downside. And generally, they simply don’t get higher. And that factor occurred with me and my sufferers sufficient instances that I used to be like, “There’s something else. There’s something else.” And it turns on the market’s a variety of one thing elses. It could be food plan. It could be a significant trauma of their previous. It could be their private relationships, presently. It could be their quantity of stress at their job. There’s so many issues that may contribute to this incapacity to heal. And so, now, what we’re discovering is that, particularly, like, for extreme illness that has a pathway of some enchancment, however not all the time all the way in which, what I’m keen about is spinal twine damage. And a variety of spinal twine sufferers, you recognize, have a horrible downside. They get a surgical procedure to stabilize, after which they step by step get higher over time. Some get higher, some get higher a bit bit, some get higher loads. Why is that? No one actually is aware of. Do they type of taper out at two years however, like, by no means good? That’s a horrible illness. And what we’re seeing now with the holistic remedy, with the superior biologic cell medication remedy, plus the decoding, plus the power, 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 technique 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, considered one of these superior issues that we’re doing. And I imply, I gotta let you know, like, getting a spinal twine damage 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. You realize, a yr in the past, we weren’t doing the decoding like we’re doing now. A yr in the past, we had been doing a kind of biologic cell remedy for spinal twine damage, and now we’re doing a extra superior one with a photobiomodulation element, a lightweight remedy element. So, we’ve progressed in what we’re including, and we’re seeing progressive outcomes, and it’s actually enjoyable and fantastic for the sufferers.

Katie: Are you able to clarify a bit extra in-depth what the biologic cell medication therapies are? Like, how does that work, and what’s occurring?

Dr. Marcella: Yeah. So, you recognize, each human has an innate skill to heal. You realize if you reduce your finger, your physique is aware of the right way to heal it. So, what we’re doing with the biologic cell medication is harnessing your personal physique’s innate skill to heal. And generally, we’ll use platelet-rich plasma, which comes from your personal physique. Generally we’ll use your personal bone marrow. Generally we’ll use a biologic. Generally we use a mix. Once more, I stated, we’ve a photobiomodulation mild remedy that we’ve added to this now. And so what we’re doing, you probably have an damage and your physique tries to heal, damage physique tries to heal, sooner or later, when you’ve got illness, your physique’s not maintaining. So what we do is add the biologic cell medication, 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 sturdy, anti-inflammatory signaling molecule procedures. So, the stuff that we’re utilizing primary science reveals that they’re growing cell signaling on your personal cells to get up and heal. Each single pericyte, I’m sorry, each single blood vessel in your physique has what’s referred to as pericytes, that are little stem cells in your physique whose job it’s to sign the therapeutic course of. And so what we’re doing is making an attempt to jumpstart that. That’s the principle.

Katie: That’s fascinating. And also you talked about type of, like, a two-year window. I’m curious if that’s, type of, a threshold that’s fairly properly 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 twine therapies. We now have sufferers… I’ve a woman only recently who stated, “Oh, my gosh, Dr. M, I can really feel the carpet below my toes, and I haven’t felt that in 10 years.” I imply, people who have continual spinal twine damage from, you recognize, very very long time can nonetheless get enchancment. You realize, that is very early these therapies that we’re doing and what we’re studying, however undoubtedly, anyone who has proven some enchancment since their damage is a candidate, and I might say most individuals have proven some enchancment in one thing from the time of their damage. And I might say, even when they haven’t proven any enchancment from the time of their damage, it’s all the time value a attempt as a result of, once more, it’s not simply in regards to the cells. It’s in regards to the mind-body. It’s in regards to the underlying irritation. And so, we’re not simply doing one factor. We’re doing quite a lot of issues that may carry well being holistically.

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

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

Katie: And fortunately,…like, isn’t paralyzed from it however nonetheless has had residual ache and, like, lack of movement. And so she’s had points her complete life. After which a neighborhood 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 as if 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 displaying outcomes.

Dr. Marcella: Yeah, I imply, it’s early and, you recognize, we’re actually excited in regards to the circumstances that we’re seeing this in for positive. So, there’s undoubtedly… You realize, the way forward for medication, this will probably 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 just assume a variety of the rise in spinal ailments can also be associated to an ageing inhabitants, which makes full sense. And, you recognize, it’s no secret that we’re seeing an increase in continual and degenerative ailments throughout a variety of completely different areas, which I believe is also vital to carry to the forefront the dialog on ageing, not simply what we consider as ageing, like, on a pores and skin stage on how we glance however extra importantly, on a organic stage. And so I’m curious what you’re discovering in your analysis in your medical 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 occupied with is testing your age, based mostly on DNA methylation. There’s a really extensive physique of analysis you could… There’s particular exams. There’s a few completely different corporations that do that, the place they will have a look at your DNA and the way a lot methylation there’s and provide you with your age based mostly in your DNA. And there are some teams which might be displaying that with anti-aging, biologic cell therapies, 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. You realize, there are some actually nice advances with each power work together with useful medication and the entire issues that you just do to optimize your physique, the biohacking, you recognize, neighborhood. There are many methods to consider reversing ageing. I might say the science is just not fairly there by way of, like, proving it. However I can let you know that individuals that do all these things undoubtedly look youthful and undoubtedly act youthful. And I do assume that, you recognize, 50 years from now, we’re gonna have the solutions to these questions for positive.

Katie: It’s thrilling to consider. And I’m glad that we’re seeing a few of these issues as a result of I additionally assume in right this moment’s world, I’ve talked about this in different realms, however we’ve so many extra inputs that our our bodies are coping with. In order that’s I believe a part of the rationale we’re seeing this speedy acceleration in all these continual ailments is we’re simply going through much more environmental, and meals, and emotional inputs than earlier generations have. And so, you recognize, I usually get the pushback from individuals of, like, properly, we shouldn’t need to do all these loopy issues and biohacking to be wholesome. And, like, I agree with you, I want we didn’t need to, however we’ve so many extra inputs coming into play. Now that it’s at the least one thing to be proactive about, even in case you’re not gonna do all the intense biohacking issues, however simply to be very proactive within the strategy to that.

Dr. Marcella: For positive. And, you recognize, among the issues are actually easy, proper? Like, sure, it’s cool to have, you recognize, mild glasses that provide the optimum quantity of sunshine. And it’s actually cool to have, you recognize, hyperbaric oxygen at your property in case you can afford that. I imply, that’s nice. However, like, there’s a complete lot of straightforward issues that individuals aren’t doing due to all these inputs, proper? There’s so many inputs. Our society is so fast-paced. We now have our telephones on a regular basis. We’re all the time doing, you recognize, social, blah, blah, blah, and, like, going and taking a stroll barefoot within the timber and taking a trip, sleep, you recognize, like, there are such a lot of easy issues that may preserve you younger, that generally I really feel like, okay, we would like all of the inputs, so then we’ve to do all this different stuff to maintain up with the inputs, however possibly if we simply, like, reduce down on the inputs a bit bit, we’d get the identical impact. And that’s means cheaper, frankly. And in order that’s why I’m actually, actually passionate in regards to the mind-body piece and the Power For Success work is that it’s a 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 day-after-day. You do have to concentrate to it day-after-day. 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 vital level in addition to that it’s tempting to need to go discover the silver bullet that’s all these fancy therapies, however such as you personally, I’ve seen the largest outcomes from issues like optimizing sleep, and daylight, and hydration, issues that you just’re gonna have to do anyway. And in case you can simply enhance these, it has a carryover impact. And in case you aren’t targeted on these, you’ll be able to spend some huge cash on all these different issues, and so they’re not gonna be as efficient anyway. So I’ve change into a really huge fan of issues, easy issues like morning daylight, and getting sufficient sleep, and fasting in several types at completely different instances. I believe there’s simply these free instruments that we will use. And I’m excited, like I stated, to see the mixing of all of this stuff collectively.

Dr. Marcella: Undoubtedly.

Katie: Additionally, anytime we’re speaking about neuroscience and neurosurgery, there’s clearly, I might guess, a giant mind element right here as properly. And I believe it is a matter that’s actually thrilling to delve into for everybody, particularly there’s a variety of dad and mom listening, and I discuss loads about schooling in addition to a homeschooling mother or father and dealing on constructing out an academic system. And so I’m curious you probably have any recommendation from the neurosurgical facet of how we will greatest assist our brains, each as adults, as we’re ageing, and likewise in our youngsters, to offer them probably the most stable basis early on?

Dr. Marcella: That’s a terrific query. You realize, the muse for the issues that we simply talked about. So, sleep might be #1, 2, 3, and 4. I believe for the ageing mind, definitely, mitigating irritation is a large factor. The entire neurodegenerative ailments have pathophysiology associated to irritation. And if you recognize that that runs in your loved ones and even being proactive, as you stated, you recognize, getting your genetics checked out and see in case you’re in danger for neurodegenerative illness is vital. Food regimen, I really feel like, is a large piece of that. And, you recognize, a easy low inflammatory food plan more often than not, I believe, is a simple factor that anyone can do. It doesn’t imply you’ll be able to’t ever eat your favourite issues. It simply implies that more often than not, your baseline is low irritation. More often than not, you’re sleeping adequately. More often than not, you’re not consuming alcohol. I really feel like these are simple issues that anyone can do. And train is a large piece of that. So, you recognize, high-intensity interval coaching a few instances every week is fantastic. You realize, there are many completely different suggestions by way of train, however I imply, frankly, simply transfer. You realize, 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 youngsters, I actually really feel… So I’m a mother of two. I’ve a six-year-old and a two-year-old, each women, and I actually really feel like children want area, free play area. And I see in my very own children when they’re over-traveled, over-scheduled, over-structured, that their brains don’t work as properly and, over-deviced as properly. And, you recognize, I’ve the identical problem as anyone else does as a working mother or father or stay-at-home mother or father that, you recognize, children wanna be entertained on a regular basis. And so, holding their brains free and having that open playtime is, like, excessive, excessive precedence, and clearly sleep, you recognize, ensuring that they’ve a schedule that helps sleep for positive.

Katie: I’m so excited to have a neurosurgeon on the document saying that it’s vital for kids to play as a result of I’ve been saying this for years. And that was truly the impetus for constructing my complete instructional system from the bottom up was realizing when my oldest hit 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 strategy that I felt, like, actually embraced all of the issues children have to develop, the actually vital issues like creativity and significant considering, and creativeness. And I believe an enormous element of that’s play and unstructured time and the area to be bored. Like, all this stuff that get taken away in our over-structured life. And I believe these issues are vital for adults too. We frequently overlook that we’re speculated to play as adults and do enjoyable issues and the motion element. So I really like that you just introduced that up. That’s so vital.

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Additionally, I’m guessing you see sufferers with, like, their post-concussive points or TBIs, and it looks as if there’s been media round it. These are on the rise, particularly children, due to the way in which sports activities are altering however definitely in adults as properly. And I’ve had mates 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 a bit bit. So, what are among the ways in which you guys are addressing traumatic mind accidents and concussions?

Dr. Marcella: Yeah. So, you recognize, hyperbaric oxygen has a very nice physique of, I might say, anecdotal expertise and anecdotal literature. After which there are energetic research being achieved now for extreme TBI with hyperbaric oxygen. And anyone within the useful medication world who is aware of hyperbaric, 100% that’s the primary remedy is at the least 40 periods plus. I believe that’s a simple factor. You realize, it’s fairly accessible now in most locations. And we associate with a terrific heart right here in Austin, Texas, that we work with. In order that’s a giant one. I believe the identical issues I stated earlier than with optimizing irritation, so low irritation food plan, sleep. I additionally assume mind neurofeedback and mind coaching. We now have some companions that we work with for our concussion sufferers for that, and I might say, you recognize, the biologic cell medication piece. I do assume that that’s the future. We now have checked out that. We now have 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 suggest the issues that we all know for positive which have extra background behind, which might be the hyperbaric after which simply optimizing irritation, sleep, these are issues that, you recognize, anyone can do, like, we’ve talked about. After which in the event that they’ve gone by that and will not be getting the place they wanna go, we’ll have a dialogue to contemplate biologic cell medication and say, you recognize, “That is an choice. We don’t know for positive, nevertheless it’s attainable that this may enhance the neurologic state of affairs.” And so, you recognize, generally we do this with sufferers as properly.

Katie: Gotcha. And far much less critical or acute, however most individuals in my viewers are mothers. I hear from a variety of mothers who’ve both mind fog or fatigue or simply, like, that appears to be a quite common factor that’s talked about amongst mothers. So, you’re additionally a mother and a busy mother. So I’m curious you probably have something both personally or professionally that you just 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 power stage and tinkering with completely different diets, I’m a giant proponent of Dave Asprey and Bulletproof and the butter espresso. Like, for my physique, it really works very well. And so by way of, within the morning, my routine, that type of will get me, have my powerhouse, you recognize, morning, each morning, I spend a while with my two-year-old earlier than I am going to work after the six-year-old goes to high school. And now the summer season, it’s each of them. And so, I do intermittent fasting from, like, dinner till… I imply, it’s type of a quick, as a result of then, you recognize, it’s like a bulletproof quick. You’d have your butter espresso within the morning. So by way of nootropic, by way of, you recognize, 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 power work as a substitute of dietary supplements. And if I really feel like I’m having a drag within the afternoon, I’ll lay down for quarter-hour. I, particularly in my new workplace, bought a chaise for my workplace in order that I can lay down for quarter-hour if I have to and do a guided visualization, do a respiratory, that all the time perks me proper up. After which the opposite factor that got here to me if you requested the query is, you recognize, 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 realized about actually once I went again to work after having my first child. If I let up, if I don’t take note of myself enlargement or myself being full, I can’t do it, you recognize, I’ll be drained, or I’ll have a nasty angle, or I’ll, you recognize, say one thing grouchy to my child. And so, being a mother and plus all of the thousand issues that you just do day-after-day, 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 power work that I do and doing, you recognize, respiratory day-after-day and particular bodily practices day-after-day. I write targets day-after-day for what I need to occur that day in sure eight areas of life. So, yeah, it’s day-after-day. You don’t get off the hook.

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

Dr. Marcellla: Yeah. These are little nanoparticles which might be cell membrane on the surface, and on the within are development components and RNA. They don’t have DNA, and so they’re not cells. Totally different corporations derive them from completely different sources. Some come from younger grownup bone marrow, stem cells, for instance. Different corporations use placental stem cells. They’re utterly non-FDA accredited proper now. Numerous the businesses had been advertising and marketing them as a biologic. Now, the FDA is saying they must be on a pathway to change into a drug. And so, any of the businesses which might be going to remain round need to have an IND with the FDA to have the ability to even promote their product anymore. So, it’s a really…some individuals would say controversial. I 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 corporations which might be doing probably the most aggressive, stringent purposes 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 purposes are doing them for COVID. And I do know of some anecdotal reviews of treating each acute and continual 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 do not know. However we’ll know in a few years, I believe.

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

Dr. Marcella: I believe… Properly, that is… So, after we bought this new expertise, which is that this photobiomodulated PRP factor, we noticed these actually nice outcomes with quite a lot of issues, like knee ache, or hip ache, or again ache or no matter. And we additionally noticed another person that was doing this had some nice beauty outcomes. And I used to be like, “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 end result was nice, and I used to be tremendous thrilled with it. And different people who I had not talked to noticed me on a Zoom had been like, “You look nice. You guys gotta do that.” So, we developed what’s referred to as the Aphrodite makeover, which is that this similar course of we do for ladies. We do face, breasts, and sexual enhancement. After which for guys, we do face, hair, and sexual enhancement.

And so in case you had advised me 10 years in the past that I might be doing beauty sexual optimization for individuals, 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 downside and assist their ache and get them again to a life that’s higher than they will think about, which is my aim for each affected person, why wouldn’t I then say, “Let’s now work in your magnificence and sexual well being?” Why not? Like, if we’ve the ability to do this, we’ve the instruments to do it. And it’s a lot enjoyable, and it’s so rewarding. And so, our dream is placing these two makeovers along with the feminine, the Aphrodite, the male, the Eros, sufferers come collectively as a pair and do that remedy, and with the remedy, we do the power work. We do the decoding, and so they make targets about their remedy and the way they wanna join. So it’s a very enjoyable a part of my apply that’s utterly sudden, and we’re simply having a good time doing it.

Katie: Properly, and also you’ve talked about the energetic science a number of instances and the Power For Success, particularly. So I wanna ensure that we contact on this a bit bit extra. And is that this one thing that you just supply particularly by your apply? Are there sources accessible for individuals to study this? Since you talked about, it’s been personally very useful for you, as properly. So I wanna ensure that I present sources for individuals to seek out out extra.

Dr. Marcella: Yeah. Thanks for asking. So Dr. Barry Morguelan’s program is named the Power For Success. And you may simply go to, and there’s quite a lot of methods to attach. There are numerous applications 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 been given permission to offer to our sufferers and a few particular practices that we give to our sufferers to optimize their therapeutic, earlier than and after a process or generally with no process and so they simply do it, you recognize, whereas they’re below our care. So that you don’t need to be a affected person for positive to entry this. Anyone can entry it.

And what’s been actually fantastic to see from the medical facet is, you recognize, 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 recognize, the knowledge hole is so extensive, you recognize, individuals are available and do not know what their photographs imply and do not know what their ache means. And so they’ve gotten 4 different opinions, and none of them is sensible. And it’s actually onerous, and it’s complicated, and it’s scary. And if you’re in ache, this complete course of is simply actually scary and, you recognize, complicated. So, what this work does is provides you, the affected person, a 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 recognize, once more, it’s easy stuff is what we inform sufferers to do is a guided visualization twice a day. There’s a aim writing apply. So I write targets for my very own sufferers, which means I need this process to prove completely. I need it to take this period of time. I need them to have full decision of X, Y, and Z, and I write these targets each single day for my sufferers. And when our sufferers are available for procedures, we coach them on writing their targets for themselves.

So we’re each harnessing this power work to get the most effective final result. After which for individuals that aren’t essentially in ache or having, you recognize, a well being downside, how this power works is permitting you to entry… I imply, for everyone, it really works this manner. We don’t need to have ache to have it work. It’s permitting you to entry a circulation state on a regular basis. So, everyone is aware of what it’s wish to hit an ideal golf ball or to make the right plate of meals or to have the right dialog the place you’re not even positive if it was you doing it, it simply flowed, and it was fantastic. That’s what the power work permits you to connect with in a number of areas of life. And so, anyone who’s , simply go on the web site and skim extra about it. And the applications are actually, actually life-changing. And I began doing it for myself seven years in the past, to assist handle being a neurosurgeon and being a mother, and, you recognize, 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 vital factor you simply introduced up is that concept of getting them be an energetic participant of their care, which can also be such an vital mindset shift. And, like, I’ve learn a variety of books like “The Biology of Perception,” and issues like that, like how that mindset shift is so critically vital. However I’ve additionally stated on right here so many instances that every of us is our personal main healthcare supplier and the most effective outcomes occur 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 individuals such as you as a result of so usually I hear from people who find themselves being advised by their docs, like, “Oh, your signs aren’t actual. That is all in your head,” or “Simply do it this manner,” and like not being listened to. And so I believe that may be a actually cool element of getting individuals to essentially heart in and take an energetic position and work with you, which in fact, makes complete sense. You’ll have such good outcomes from that.

Dr. Marcella: Yeah. And it’s been actually fascinating. When individuals are given area and time to simply specific, therapeutic occurs. I imply, that’s a part of this decoding course of that we do with considered one of our procedures. Folks inform me on a regular basis, “I simply advised you one thing that I’ve by no means advised anyone.” And I’m a neurosurgeon, like, it’s fascinating that as a result of I’m approaching it on this means, it’s popping out within the secure surroundings. Folks actually will have the ability to 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 really like that. Properly, as we get near the top 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 leading edge stuff that you just’re doing, what do you contemplate the largest, most vital needle movers in your each day routine in your each day life?

Dr. Marcella: I imply, I’ll return to the power. It’s the identical reply. I preserve saying it. However paying consideration. It doesn’t need to be that proper. It may very well be any each day routine. I believe what you stated is essential. It’s each day and listening to your personal, I wanna say power stage however listening to the place you might be, like, checking in. You may go a complete day and never even be remotely related to your physique. So simply pausing and taking a second, the place am I? How do I really feel? What do I want proper now? No matter that apply is, it’s important to do it day-after-day.

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

Dr. Marcella: So, it is a onerous query as a result of there’s so many nice books. Once 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 decoding that, and dealing by it with my lecturers. And I actually gained this concept of, “Wow, like, I’m actually sensible. I can completely do that. That is superb.” So I simply keep in mind that being a robust… I imply, the story is fantastic, and the prose is superb. And it’s written on this very completely different means, issues that I’ve by no means skilled earlier than. And that have of studying one thing that was new and I by no means skilled earlier than after which with the ability to do it, that’s the circulation state. That’s, like, doing one thing that’s new after which experiencing prowess inside it. That’s what we’ve entry to on a regular basis. And I skilled that as a child studying that e book. And with the power work, I do now, that’s my aim now to expertise that on a regular basis. After which, as an grownup, there’s one other e book that was actually highly effective for me referred to as “Energy vs. Drive,” and it’s David Hawkins. And it’s in regards to the common consciousness and the way the reply to each query exists and the right way to entry that, and it’s actually profound quantum info. It’s cool.

Katie: I like it. I’ll put each of these within the present notes, in addition to hyperlinks to every part we’ve talked about on this episode and a hyperlink to your apply into the Power For Success info. I’m so excited, like I stated, at first, to know there are docs such as you who’re on the leading edge of mixing all of those modalities, and I’m so appreciative of your time. I understand how busy you 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 precious sources, your time, and your power with us right this moment. We’re each so grateful that you just did, and I hope that you just’ll be part of me once more on the subsequent episode of the “Wellness Mama” podcast.

For those who’re having fun with these interviews, would you please take two minutes to go away a score or evaluation on iTunes for me? Doing this helps extra individuals to seek out the podcast, which suggests much more mothers and households may gain advantage from the knowledge. I actually recognize your time, and thanks as all the time for listening.

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