Our Philosophy

Our Philosophy

ALL NON-COMMUNICABLE DISEASES HAVE COMMON UNDERPINNINGS.

This practice is multifaceted in that it serves those with neurologic disease wishing to stave off surgery, those in whom conservative treatments have failed necessitating surgery, and those without ailment who wish to prevent age-related disease. 

Recall if you will a typical pediatrician’s office: 

There are “Well” and “Sick” waiting areas, right? 

This practice has become standardized for infectious reasons. And while we are not routinely dealing with communicable diseases, there are several subsets of patients to whom we are providing care, all of whom share the same goal: HEALTH. Whether you are experiencing a neurologic problem (i.e. cervical radiculopathy due to a disc herniation) or symptoms related to hormonal imbalance with resultant physical decline, our TEAM can provide a solution. 

You see, all of these diseases have common underpinnings: age-related tissue degeneration mediated by chronic inflammation and oxidative damage. The fact that they are at base level very similar (only differentiated by the organ system affected) makes their treatment… similar. Treatments for cancer and spondylotic disease (arthritis) of the spine for example share certain themes. Yes, the basis of these seemingly distinct disease entities is tissue damage mediated by free radical stress in the presence of inflammation. 

It should come as no surprise to you therefore that the incidence of certain cancers is reduced by aspirin (an anti-inflammatory) usage. Stroke? Same thing. Why is the anti-viral agent (gancyclovir) being prescribed as a chemotherapeutic adjuvant in the treatment of the lethal brain tumor glioblastoma multiforme?  Because the inflammatory response evoked by cytomegalovirus (present in the majority of us) fuels tumor growth. It is an accelerant of age-related disease. For this reason, it would be a rarity for a patient to leave the clinic without recommendation for high-dose omega-3 fatty acids (a derivative of fish oil) or a prescription anti-inflammatory medication. Whether one is afflicted with brain or spine pathology or simply trying to stave off age-related disease, the approach is similar.

You have ample opportunity to prevent disease.

Disease risk factors accumulate as we age, modifiable risk factors. 

And thankfully they are modifiable, as this give you control! Those of you with a strong family history of coronary disease, I am talking to you. You are not destined to succumb to a fatal heart attack at age 35!  Yes, a positive family history is a risk factor for coronary artery disease, but there are many others. Do you hear me?

There are many other modifiable risk factors. One isn’t disease-free one day and the next admitted to a hospital with a brain hemorrhage. Typically, such strokes are the result of poorly controlled hypertension.  Elevated blood pressure is a risk factor for stroke. A modifiable risk factor. 

And that diagnosis can be made from the comforts of your home. Go buy a blood pressure cuff! And what about your blood sugar? Are you “insulin resistant?” If you’re obese, you likely have insulin resistance.  Unto itself, obesity is a risk factor for many diseases including cancer. Why? For one thing, obesity-associated inflammation primes the system for the development of age-related diseases, many of which will flat-out kill you. Is this you? Do you meet criteria to be considered obese? What other disease risk factors do you have? It’s likely that you don’t know of any (which certainly does not equate to health). No problem. We’re here to help.

You will learn about the multitude of disease risk factors such as insulin resistance, dyslipidemia, obesity, hypertension (cumulatively known as Metabolic Syndrome), hormonal imbalance and the role of chronic inflammation in the genesis of disease. More importantly you will come to understand their interrelationship, how many of the disease processes themselves are interrelated, and how the presence of one may foster development of another. Remember, you’re not one day stricken with type II diabetes. It creeps up on you. But not if you catch it first! 

RISK FACTOR ASSESSMENT IS PRIMARY.

And that’s how we fit in. By testing you for these risk factors, we will be able to identify if and when they rear their ugly heads. 

But don’t wait until you develop florid symptoms of disease of disease prior to testing. Test now! I can assure you that you will identify risk factors that were flying beneath the radar. A low vitamin D3 level for example. That’s a risk factor for disease. With a small amount of effort (taking a single supplement capsule daily), you can dramatically reduce your chances of developing certain diseases, breast cancer for example. A single intervention albeit one with a high impact.

The same goes for exercise. It is critical for us to exercise on a daily basis. Lack of exercise predisposes us to disease. Our bodies are meant to move. We are designed to exercise or should I say engineered? 

We are, at base level, machines with operating instructions written in code, the genetic code. Exercise switches on those particular genes associated with health and longevity. The right type of exercise confers protection from disease. Yes, it augments your immunity! You will be a leaner, sharper and healthier individual as a result of exercise. So don’t even think you are exempt from exercise because you “have no medical problems.”  You will, in time. That said, the lack of exercise is a risk factor for disease. Inactivity is a risk factor for disease, period. And you have no excuses. Make exercise a priority! If I can exercise with my very busy schedule, so can you.

As a neurosurgeon, I am faced with daily stresses to which I have become accustomed. This took practice and mental fortitude (more so than the technical aspects of surgery demanded). Unchecked stress results in poor performance, but more importantly unchecked stress is deleterious to your health. Until recently, this was under-appreciated. Why? It is difficult to quantify. You can’t see it. It is an intangible.  But it has the capacity to literally decimate your health.

Psychological stressors on a chronic basis initiate cascades of hormonal responses that ultimately serve a catabolic effect‒that is, it eats up your muscle. Body weight will fluctuate, muscle mass will decline, blood glucose elevation will promote the development of insulin resistance and potentially the Metabolic Syndrome. This primes the system for age-related disease such as atherosclerotic heart disease or “clogging of the arteries.” Am I telling you that chronic stress is associated with coronary artery disease? Damn right.

So identify those things that “stress you out” and take the necessary steps to maintain them at bay. You are in control! Do not allow stress to reign unchecked. Stop it dead in its tracks before it evolves in to a chronic problem and compromises your health.

Easy? Yes. But it requires a little know-how and commitment. The knowledge, I hope to give you. It’s detailed in the pages of Get Serious. The commitment? That I leave to you. Health is a lifestyle. It’s a choice. There are no shortcuts. Fad diet or trendy “12 weeks to a great body” exercise programs do not lead to sustainable change. 

There is only one solution: a persistent effort to maintain health and thereby prevent disease. Too many people out there are seeking the latest and greatest in fitness and nutrition regimens, ever-searching for that elixir. They are attracted to a new technique or a new technology, but in reality there is nothing new. There is simply more interference. The body functions physiologically in the same manner it did 10,000 years ago! Successful weight loss regimens for example, are simply permutations of the same principle (with proprietary branding) applied to human physiology. There are no “secrets.” Stick to the basics, the fundamentals, as detailed in Get Serious and as reiterated during your clinic experience.

map showing points along a route that say health, exercise, nuttrition and positive thinking

A CUSTOMIZED PLAN FOR HEALTH

Our team will formulate a solution for YOU founded in science, an evidence-based roadmap for success. And then guide your quest for HEALTH. Based upon YOUR specific goals. Whether you have an existing neurosurgical problem or, by launching a preemptive strike on the “disease” of aging are seeking to prevent one, we will be with you every step of the way.

WITH A PERSONALIZED TOUCH AND A NEUROSURGEON’S ATTENTION TO DETAIL…

 

Our System.
A Process Tailored Just For You.

TAKE YOUR FIRST STEP HERE.  IT’S EAsy!

  • STEP 1: Contact our office via email by clicking here  or via phone (561) 935-9233 & schedule an appointment. Email requests will be responded to expeditiously.  A practice representative will reach out to you by return email, via voice or video conference and provide introduction. Should you have any questions about your upcoming clinic visit (inclusive of needed diagnostic tests or travel details), please feel free to ask. An open line of communication with your healthcare team is paramount to our delivery of the ultimate patient experience.  
  • STEP 2:  Anti-Aging patients: Obtain the necessary diagnostic laboratory tests. This will be arranged upon your first contact with the office. DO NOT attampt this on your own as likely the test battery will be incomplete (and you will therefore have to return to the lab for an additional blood draw). Neurosurgical patients: Be sure to have copies of all pertinent imaging studies (X-rays, MRI’s and CT’s). Please bring these to the initial and all follow-up office visits.
  • STEP 3: Just show up! Commit. Let us take care of the rest and set you on the proper path to health.