WEBVTT

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All my treatments are geared towards what is

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the primary root issue and what do we do to actually,

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you know, help achieve better balance there.

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So, yeah, so I have a very we do that all the

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time. And that's my main area of research is

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autism, but especially, you know, working with

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the non -speaking autistic community and trying

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to help them to communicate or get their voice

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and not lose their genius. Yeah, they're in there.

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Oh more than you can imagine. Yeah Yeah, so Yeah,

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maybe you can just start with telling us about

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your journey into medicine and then specifically

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Autism. Okay. So for me my journey into the healthcare

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world really started with My own personal interest.

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I was an athlete growing up and I got very interested

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in health and nutrition I also struggled with

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certain injuries and things like that. And early

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on, like most people, I was exposed to many different

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forms of health care and medicine. My parents

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had a very open mentality and were very holistic

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in their thinking from the beginning. They were

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kind of ahead of their time. And one of the people

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that really influenced me and treated me a lot,

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especially with my athletic injuries, was a chiropractor.

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So When it came time I fell in love in high school

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with anatomy and physiology and I wanted to go

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into the healthcare field and really wanted to

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help other athletes like myself and so I really

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decided that the person that helped me the most

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was a chiropractor and I resonated with that.

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It didn't really resonate with medication and

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a lot of traditional medicine. And so I went

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into that and when I was there, I fell in love

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with neurology and neuroscience. You know, most

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people don't realize that chiropractic is founded

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in neurology and neuroscience and really were

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the first healthcare profession to really be

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founded in that. And so for me, you know, that

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kind of really, then I, in my mind, I wanted

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to kind of combine some way of working with neurology

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and neurological issues. but in a holistic, but

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also rehab almost sports medicine type of way.

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And so that started being a lot of my research.

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And then I went, when I graduated, I went and

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got a subspecialty in neurology, clinical neurology,

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and then rehabilitation. And then I started teaching

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it. and then I went into clinical rehabilitation

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neuropsychology because I wanted to understand

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the brain better and look at ways of measuring

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it functionally because I was developing a functional

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approach to really understanding what was happening

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in the brain and how to change it. And then as

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I developed that and it was going really well,

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one of my children was diagnosed with ADHD. And

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a lot of my patients have been asking me about

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ADHD and autism. And I really didn't know a lot

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about it. So I really wanted to understand what

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was happening in my own child's brain. And if

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there were ways that I could help him. And that

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really started me on a 35 year journey, a 30

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year journey of really understanding. what is

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happening in the brain. It eventually led me

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to develop a PhD in developmental cognitive neuroscience

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to really understand human brain development

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at the highest level and how it all worked. But

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it really was always from the beginning, how

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do we do something to help? What can we do to

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improve function? Not change the individual.

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All three of my kids had different neurodivergent

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issues and are also unbelievably gifted in other

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ways. But really to help them to minimize anything

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they struggle with and not, you know, not take

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away their gifts or their talents. And that's

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where my my work is really revolved around. Yeah,

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it's important that these gifts and talented

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talents be cultivated. And I think that's one

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of the biggest harms. Things that are neglected

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I think in society in many different factors

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aspects of it Are the harms of it? Yeah, I think

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understanding the nature of the gift Neuroscience

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wise also leads to vulnerabilities So the gift,

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you know from an early age there was a saying

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I don't know if you ever heard of it You know,

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there's a thin line between genius and insanity

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And not to, I don't mean that as an insulting

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way, but it's just saying that, that always,

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even as a kid, I didn't understand that. Why

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would someone be so gifted and be genius, but

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then also be so sad that they commit suicide

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or turn to drugs or, you know what I mean? And

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that was the story of many, many famous people.

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And I read a lot of those books when I was a

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kid and I wanted to understand that. And so a

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lot of what my mission now is about letting parents

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or individuals understand, whether they're in

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the autism community or dyslexic community or

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whatever, that the more gifted you are in an

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area, the more likely you are to develop an imbalance

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in other areas and other networks on the other

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side of the brain. And that can lead to these

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very big gaps between strengths and weaknesses

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and that is really the nature of the problem

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that is the root issue and you know letting people

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know that you know someone or a parent let's

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say that as a child on the autism spectrum that

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you didn't do anything wrong like a lot of people

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feel like that you gave your child an incredible

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gift um you know usually the parents of kids

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with autism are extremely bright, extremely intelligent,

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as are the siblings. And the people that are

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autistic are the most intelligent in the family,

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but they also may be the ones that end up with

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a more severe imbalance. And that may lead to

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struggles that other people in the family don't

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have. And my goal is to first and foremost, let

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people know that your child is is a genius and

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like even in the non -speaking end of it as we

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talked they are beyond geniuses every one of

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them is just unbelievably intelligent smart but

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they also are struggling with their body and

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other issues so much that it's preventing them

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from being able to speak and communicating control

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their body and my goal is to change that whenever

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you're describing chiropractic or chiropractor

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it's like the spine is very much doing that,

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isn't it? Because it's the central nervous system,

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but it is the bridge between the body and the

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brain. Yeah, you're exactly right. I mean, when

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we look at human brains, evolutionary wise and

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my first textbook that I, you know, the first

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thing I did was spend about 10 years really researching

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everything and put it into a textbook called

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neurobehavioral disorders from an evolutionary

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perspective. And when you look at one of the

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first things I looked at is where do brains come

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from on this planet? Like, why did they evolve

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to begin with? And the best researchers in the

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world at the time in that area, you know, were

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saying that it really came down to movement,

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that, you know, living things that don't move

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don't have a brain. Only living things that moved

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evolved the brain. And we know that, you know,

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in neuroscience is a term simple movement, simple

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brain, complex movement, complex brain. And the

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most complex brain is a human brain. And the

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most complex movement is bipedalism. And what

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is the key to bipedalism? It's the spine and

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the posture of the spine and the muscles and

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achieving an upright posture change the way that

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we utilize gravity. as a power source to the

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brain to make it more powerful, bigger, faster.

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And so the spine is really that this is all my

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research and a lot of our textbook was looking

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at it that the input from the spine and the muscles

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and especially the neck is the most important,

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most powerful, most ongoing input to the brain

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and is unique in humans. And we know When we're

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looking evolutionary for humans, what's the thing

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that defines a hominid? It's bipedalism posture,

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right? So how does that relate to a unique brain?

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And they're directly tied to one another. That's

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a fantastic discovery. Yeah, I don't think I've

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ever heard anybody speak on it like that, especially

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on the depths of UR. So what happens after that

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with your research? Well, after my textbook,

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we started, you know, then doing, you know, in

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the textbook, we create the really underlying

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model in theory. And really what we were searching

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for was a universal model that would speak to

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all neurodivergent and mental health issues from

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a developmental perspective. And so You know,

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we did that. Now the idea was, OK, we need to

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prove it, meaning let's go out there and do the

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actual research. And in the early 90s, when a

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lot of, you know, when new brain imaging came

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out and we could look at the brain in different

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ways functionally, it became aware that it really

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was, you know, different. Issues weren't because

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of damage or injury you look at an autistic brain

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with an MRI and it looks perfectly normal for

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the most part and You know, you don't the idea

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of it being a brain injury is completely wrong.

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It's not at all But what you do see are differences

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in what's called functional connectivity the

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way networks develop and the way networks communicate

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Is is a little bit different and what we've been

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able to show as we've gone on over 30 years and

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published over 100 papers on this is that really

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the search for what is actually happening in

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the brain? What is autism? What is ADHD? What

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is dyslexia and what is actually happening? How

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does it relate to the symptoms? And then how

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can we improve it? to be able to create more

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of a balance or improve that functional communication

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so that we can really help that person become

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the best version of themselves, right? How do

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we rehabilitate that process without losing that

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person or their gifts or their uniqueness and

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do it in a way that's respectful but understand

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that the brain is the source of it all and all

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the things that happen in the body the gut, the

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immune system, it's all related to the brain.

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But a lot of that research hadn't been done.

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So we needed to tie that all together and really

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look at it's really been the search for what's

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the root cause? What it what starts it all? How

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do you describe the problem? And then how can

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you change it? Like one of the things that's

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never been answered really in the autism community

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is why can't these people speak? Right when many

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of them are hyperlexic meaning they can read

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before the age of two Right. I have one child

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from England that could read at seven months

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but couldn't speak So the area that reads in

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the left brain is basically the same area that

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generates words So why can't they speak? No one's

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ever really answered that question and that's

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something that I wanted to answer you know, from

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a really detailed neuroscience perspective. And

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I think we've been able to do that with our research

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better than anybody else at this point, because

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now we're in a position to say, OK, how do we

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change it? How do we give them their voice if

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that is possible? Yeah, I love how you describe

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that you're going to the root cause and upstream.

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I think a lot of research and interventions so

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forth. go too far downstream and everything looks

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more confusing downstream. You're exactly right.

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I mean, most people, they're just managing symptoms

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and behaviors because they don't know what the

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root cause is. They don't know what's actually

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happening in the brain. And, you know, autism

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in particular is an area of research because

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it's the most perplexing, right? It's definitely

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the most complex of any mental health, you know,

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issue out there. You know, it's incredibly complex,

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even more complex than most people realize when

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you start getting into the non speaking world

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and you see their level of intellect. And so,

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you know, they're just about managing symptoms.

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And as you said, it's all downstream. And when

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you go downstream, there's all these different

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issues going on that seem that seem not interconnected.

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And you know, medicine, you know, today, especially

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more than ever, is about looking at individual

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specialized pieces. And the brain and the body

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is an integrated system. And you cannot understand

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something as complex as autism if you don't really

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have great knowledge of the whole integrated

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system. So again, a lot of my journey has been

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education. I've been I've been, you know, I have

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two doctor degrees and master's degree. And,

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you know, I've spent my whole career educating

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myself and doing different degrees in different

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areas so that I can understand not only the brain

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and the nervous system but also the gut and the

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immune system and the autonomic system and you

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know all of these systems the motor the sentry

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understand it it's why I got a degree in neuropsychology

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so I can understand how do you measure these

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things objectively like and you know what what

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is actually happening. Um, and as you said, most

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people and most parents, they're looking at it

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downstream. It's a great way that you put it

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and they see all these fires that they're trying

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to put out without saying, okay, what's the source

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and not an understanding that there is really

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one source and it's in the brain and it starts

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in brain development. And it starts with a phenotype

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and it starts with a trait that is this brilliant

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left brain dominant trait. And you know, and

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then this can create an imbalance. And a lot

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of it starts with, as we said, movement is what

00:15:33.149 --> 00:15:36.889
created brains. Movement is what creates human

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brains. And, you know, one of the unique vulnerabilities

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of the human brain is because we have the biggest

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brain per body size of any primate. But because

00:15:49.389 --> 00:15:53.250
we're bipedal, we have the smallest birth canal

00:15:53.250 --> 00:15:56.720
by far. So that means that we have really big

00:15:56.720 --> 00:16:00.700
heads with a really small birth canal. No other

00:16:00.700 --> 00:16:03.960
animal has to navigate that. And so therefore

00:16:03.960 --> 00:16:07.419
every other animal, almost all of their brain

00:16:07.419 --> 00:16:11.000
is developed in the womb in a controlled setting.

00:16:11.000 --> 00:16:14.740
And when they come out, it's almost adult size.

00:16:15.279 --> 00:16:19.320
Human brains are only about 20 or 25 % of adult

00:16:19.320 --> 00:16:23.860
size at birth. That means 75 to 80 percent of

00:16:23.860 --> 00:16:26.960
our brain development happens outside the womb.

00:16:27.379 --> 00:16:30.779
And that means that all those stages, you know,

00:16:30.879 --> 00:16:33.659
coming out, going through the birth process,

00:16:33.899 --> 00:16:37.120
rolling over, latching on, being able to crawl,

00:16:37.340 --> 00:16:39.840
being able to, you know, walk at the right time,

00:16:39.919 --> 00:16:42.740
being able to talk and point and eye contact

00:16:42.740 --> 00:16:47.179
and movement. All of those milestones matter,

00:16:47.179 --> 00:16:50.419
especially in the first six years of life. and

00:16:50.419 --> 00:16:54.059
especially in the first year. And so if any of

00:16:54.059 --> 00:16:57.740
this, any deviation, because the brain and the

00:16:57.740 --> 00:17:00.720
human brain is so dynamic and so vulnerable,

00:17:01.139 --> 00:17:04.319
it can throw off this developmental sequence

00:17:04.319 --> 00:17:08.099
and that can result in these imbalances, which

00:17:08.099 --> 00:17:13.460
is really at the root cause of most issues. So

00:17:13.460 --> 00:17:15.779
let me ask, I wasn't planning on going here,

00:17:15.799 --> 00:17:18.210
but now that it's been brought up a little bit,

00:17:18.549 --> 00:17:23.269
is the difference between the human baby, the

00:17:23.269 --> 00:17:28.670
infant, perinatal, versus like our close so -called

00:17:28.670 --> 00:17:32.170
relatives as far as genetic patchwork goes, like

00:17:32.170 --> 00:17:34.710
bonobos and chimps and so forth, we're very much

00:17:34.710 --> 00:17:37.349
different. Like we can't survive. We can't even

00:17:37.349 --> 00:17:44.490
sit up as a human. So I think one that kind of

00:17:44.490 --> 00:17:48.930
tells us it's probably not genetics, but how

00:17:48.930 --> 00:17:53.549
much of it do you think is kind of developing

00:17:53.549 --> 00:17:58.150
and why before the birth or do you think it's

00:17:58.150 --> 00:18:01.670
more perinatal and that critical period leading

00:18:01.670 --> 00:18:05.630
up to the critical period? I think because most

00:18:05.630 --> 00:18:10.000
of our brain develops outside the womb that The

00:18:10.000 --> 00:18:13.160
most important factor is how we interact with

00:18:13.160 --> 00:18:17.259
our environment and utilizing that. So the human

00:18:17.259 --> 00:18:22.740
brain cells, so we know that basically 84 % of

00:18:22.740 --> 00:18:27.140
the genes in the human genome are active during

00:18:27.140 --> 00:18:30.819
brain development. So most of our genes play

00:18:30.819 --> 00:18:33.579
a role in brain development more than any other

00:18:33.579 --> 00:18:36.559
animal. And so there is a genetic component.

00:18:36.559 --> 00:18:40.559
We know that those genes are mostly what we call

00:18:40.559 --> 00:18:44.759
experience dependent genes, which means they're

00:18:44.759 --> 00:18:49.279
dependent on environmental experience to activate

00:18:49.279 --> 00:18:53.180
them, literally turn them on. So the genes that

00:18:53.180 --> 00:18:57.200
regulate the brain are the most sensitive because

00:18:57.200 --> 00:19:02.700
we need to know to not grow the brain too much

00:19:02.700 --> 00:19:06.180
inside the womb. If the brain grew too early

00:19:06.180 --> 00:19:10.750
and too aggressively, we wouldn't get out. So

00:19:10.750 --> 00:19:14.950
our genes have to be sensitive to know when not

00:19:14.950 --> 00:19:19.509
to really grow too much so that we can get out

00:19:19.509 --> 00:19:22.730
and then they need to know when they're out and

00:19:22.730 --> 00:19:25.769
be able to go, okay, now grow like crazy so that

00:19:25.769 --> 00:19:29.750
we go from 20 % to 90 % in the first three years

00:19:29.750 --> 00:19:34.200
of growth. And so what we see And that's not

00:19:34.200 --> 00:19:37.539
creating new cells. It's mostly creating networks

00:19:37.539 --> 00:19:43.339
and communication and connectivity. So our genes

00:19:43.339 --> 00:19:46.240
that regulate the brain are unique. Our brains

00:19:46.240 --> 00:19:48.920
are unique. The development of our brains are

00:19:48.920 --> 00:19:52.539
unique. But what it does is it means that our

00:19:52.539 --> 00:19:56.660
brain and our genes are much more dependent and

00:19:56.660 --> 00:19:59.980
interactive with the environment, which is a

00:19:59.980 --> 00:20:03.789
huge advantage. Because, you know, one researcher

00:20:03.789 --> 00:20:06.789
has said that the human brain is the Swiss army

00:20:06.789 --> 00:20:10.509
knife of brains, meaning our brains are more

00:20:10.509 --> 00:20:14.109
adaptable so we can adapt to any environment

00:20:14.109 --> 00:20:16.890
more quickly and more effectively than any other

00:20:16.890 --> 00:20:20.730
animal. So that is something from a survival

00:20:20.730 --> 00:20:24.609
perspective that is very advantageous. But it

00:20:24.609 --> 00:20:27.329
means that if we don't have the proper environmental

00:20:27.329 --> 00:20:31.759
input at the right time, It can also be a disadvantage.

00:20:31.940 --> 00:20:35.839
And that's why other animals don't suffer as

00:20:35.839 --> 00:20:39.299
much from things like schizophrenia or, you know,

00:20:39.460 --> 00:20:42.640
or autism or because their brains don't have

00:20:42.640 --> 00:20:45.299
that capacity and they don't have the vulnerability.

00:20:45.660 --> 00:20:48.079
They don't have the upside and they don't have

00:20:48.079 --> 00:20:50.700
the downside that our brain potentially has.

00:20:51.839 --> 00:20:55.099
Yeah, we have a steep gradient and our environments

00:20:55.099 --> 00:20:58.319
have changed quite a bit over the last 130 years.

00:20:59.789 --> 00:21:03.670
One of the reasons why we see a huge change in

00:21:03.670 --> 00:21:07.109
the landscape of neurodivergence is because of

00:21:07.109 --> 00:21:10.509
that environment change has been dramatic, especially

00:21:10.509 --> 00:21:14.289
in the last 30 years with the advent of technology,

00:21:14.670 --> 00:21:19.150
computer technology, the World Wide Web and all

00:21:19.150 --> 00:21:21.990
of that. Ian McGilchrist, I don't know if you

00:21:21.990 --> 00:21:24.950
ever heard of him. He's a psychiatrist out of

00:21:24.950 --> 00:21:28.150
the UK. And, you know, he writes a lot about

00:21:28.150 --> 00:21:32.250
brain asymmetry and its relationship to psychiatry.

00:21:32.569 --> 00:21:35.150
But he's also published a couple of big volumes

00:21:35.150 --> 00:21:39.690
recently on more from a philosophical standpoint,

00:21:39.690 --> 00:21:42.910
you know, why are we seeing some of these mental

00:21:42.910 --> 00:21:45.789
health issues increasing? And he talks about

00:21:45.789 --> 00:21:48.809
how we're moving much more towards a left brain

00:21:48.809 --> 00:21:52.490
dominant world. You know, as we moved in Western

00:21:52.490 --> 00:21:56.920
society, from a hunter gatherer lifestyle to

00:21:56.920 --> 00:22:00.119
a lifestyle that was more about, you know, reading

00:22:00.119 --> 00:22:04.740
and science and, you know, in the industry and

00:22:04.740 --> 00:22:08.000
then move more and more to technology. We move

00:22:08.000 --> 00:22:10.880
more towards a left brain style of thinking.

00:22:11.500 --> 00:22:16.319
And so what we see now is that, you know, our

00:22:16.319 --> 00:22:20.859
society, our school, the way we teach kids. Everything

00:22:20.859 --> 00:22:25.079
about what we do feeds our left brain and does

00:22:25.079 --> 00:22:28.799
not feed our right brain. And so it leads to

00:22:28.799 --> 00:22:31.759
an environment that can create these imbalances

00:22:31.759 --> 00:22:36.740
more. And it's also favoring the development

00:22:36.740 --> 00:22:39.319
of people that are more left brain dominant,

00:22:39.660 --> 00:22:42.140
you know, that we're getting more people getting

00:22:42.140 --> 00:22:46.180
together and having children that. really are

00:22:46.180 --> 00:22:48.440
both more left brain dominant. You know, in the

00:22:48.440 --> 00:22:51.400
old days, a lot of people that were very left

00:22:51.400 --> 00:22:54.299
brain dominant that didn't have a way of communicating,

00:22:54.799 --> 00:22:57.200
they might be home bodies or they might stay

00:22:57.200 --> 00:22:59.660
home and read a lot and they're very, you know,

00:22:59.799 --> 00:23:03.720
not very social and they're much more introspective

00:23:03.720 --> 00:23:07.480
and they may never really met each other. Now.

00:23:07.740 --> 00:23:10.859
You know, with college campuses and campuses

00:23:10.859 --> 00:23:13.940
like Google and Apple and, you know, where we

00:23:13.940 --> 00:23:17.740
can communicate via computer and and online dating,

00:23:18.059 --> 00:23:20.839
it's fostering people to be able to find one

00:23:20.839 --> 00:23:24.559
another like that. And it's favoring it in society.

00:23:24.579 --> 00:23:26.859
You know, in autism, most people don't realize

00:23:26.859 --> 00:23:30.779
as you go up the socioeconomic scale, as you

00:23:30.779 --> 00:23:34.319
have higher degrees and as you live in better

00:23:34.319 --> 00:23:37.710
neighborhoods. you're more likely to have a child

00:23:37.710 --> 00:23:41.730
with an autism diagnosis because it's a byproduct

00:23:41.730 --> 00:23:47.190
of this high intellect phenotype trait. You know,

00:23:47.289 --> 00:23:51.049
Simon Baron Cohen out of Cambridge wrote a book

00:23:51.049 --> 00:23:54.089
called, you know, Autism and the Technical Mind

00:23:54.089 --> 00:23:57.289
that it's been shown that in the families of

00:23:57.289 --> 00:24:00.480
people with autism, There's many more people

00:24:00.480 --> 00:24:03.880
that are physicists mathematicians engineers

00:24:03.880 --> 00:24:07.880
or especially computer technology So anywhere

00:24:07.880 --> 00:24:10.880
in the world like you have a cluster of people

00:24:10.880 --> 00:24:14.500
in the IT world like Silicon Valley has the highest

00:24:14.500 --> 00:24:18.400
concentration of autism in the world why because

00:24:18.400 --> 00:24:22.859
that phenotype that engineering type brain Is

00:24:22.859 --> 00:24:26.140
the foundation that is the phenotype of autism

00:24:26.140 --> 00:24:29.180
and if you get two people that have that and

00:24:29.180 --> 00:24:32.059
they have a child that even has a stronger version

00:24:32.059 --> 00:24:35.900
of that phenotype. It leads to more vulnerability,

00:24:35.900 --> 00:24:39.299
especially in a world that from the moment of

00:24:39.299 --> 00:24:41.740
birth doesn't really build the right brain the

00:24:41.740 --> 00:24:47.079
way it needs to be. Okay, so I want to talk about

00:24:47.079 --> 00:24:50.980
the sensory processing and orienting our attention

00:24:50.980 --> 00:24:53.450
to the environment. I also want to talk about

00:24:53.450 --> 00:24:57.869
functional connectivity. So let's just start

00:24:57.869 --> 00:25:00.710
with the functional connectivity, I think, since

00:25:00.710 --> 00:25:05.789
you brought it up. And what is your best research

00:25:05.789 --> 00:25:10.609
and information on which networks? Is there a

00:25:10.609 --> 00:25:13.450
common networks kind of abnormal or different,

00:25:13.509 --> 00:25:19.089
I should say, or hyperconnected? And why is that,

00:25:19.109 --> 00:25:22.839
you think? Sure. Our research shows that it all

00:25:22.839 --> 00:25:26.079
goes back to development and maturity. And as

00:25:26.079 --> 00:25:28.400
we said, movement is what initiates it. Right.

00:25:28.680 --> 00:25:32.460
And so what a lot of my expertise and I think

00:25:32.460 --> 00:25:34.960
I'm probably considered the world expert right

00:25:34.960 --> 00:25:37.859
now is an early development movement. There's

00:25:37.859 --> 00:25:41.400
something called primitive reflexes. Primitive

00:25:41.400 --> 00:25:45.220
reflexes are these reflexive movement that we're

00:25:45.220 --> 00:25:49.000
born with in the womb, help us get out of the

00:25:49.000 --> 00:25:51.539
womb. and help lead us through the first year

00:25:51.539 --> 00:25:54.440
of movement and development and activating our

00:25:54.440 --> 00:25:57.859
genes. And they're well documented. They go back

00:25:57.859 --> 00:26:00.680
over 100 years. We've known about them. Pediatric

00:26:00.680 --> 00:26:02.940
neurologists look at them in the first year of

00:26:02.940 --> 00:26:08.720
life. Pediatricians used to look at it. And so

00:26:08.720 --> 00:26:13.980
what started coming out in the research many

00:26:13.980 --> 00:26:17.500
years ago was that there may be maybe these reflexes

00:26:17.500 --> 00:26:20.339
aren't going away so they're there to lead us

00:26:20.339 --> 00:26:23.839
through that first year of movement and develop

00:26:23.839 --> 00:26:27.700
and then they need to go away and it was becoming

00:26:27.700 --> 00:26:31.099
more noticed by many clinicians that if they

00:26:31.099 --> 00:26:35.220
checked many of these reflexes weren't gone in

00:26:35.220 --> 00:26:40.859
kids with developmental issues and likewise We

00:26:40.859 --> 00:26:43.299
know that many of these kids were clumsy and

00:26:43.299 --> 00:26:47.240
awkward and physically had low muscle tone, you

00:26:47.240 --> 00:26:50.819
know, weird ways in which they'd hold a pen and

00:26:50.819 --> 00:26:53.519
their posture was poor and they have head tilts

00:26:53.519 --> 00:26:56.140
and body tilts. And so we knew that there was

00:26:56.140 --> 00:26:59.740
a motor component, fine motor, gross motor coordination,

00:27:00.319 --> 00:27:04.579
but no really kind of tied it together. And so

00:27:04.579 --> 00:27:07.519
it became recognized that these reflexes may

00:27:07.519 --> 00:27:11.740
not be going away. And that they may have something

00:27:11.740 --> 00:27:15.240
to do with, you know, the foundational issue,

00:27:15.400 --> 00:27:18.079
but nobody really looked at it and said, all

00:27:18.079 --> 00:27:21.140
right, well, you know, is that can we document

00:27:21.140 --> 00:27:23.759
for sure that they don't go away? Because in

00:27:23.759 --> 00:27:27.380
traditional medicine and traditional neurology,

00:27:27.940 --> 00:27:31.180
these reflexes go away at one 100 % of the time

00:27:31.180 --> 00:27:34.759
without fail. There's no such thing as retained

00:27:34.759 --> 00:27:39.200
reflexes. So my lab, what we wanted to do was

00:27:39.200 --> 00:27:42.400
first of all, prove that no, these reflexes often

00:27:42.400 --> 00:27:46.240
don't go away. And then the next question was,

00:27:46.500 --> 00:27:48.279
okay, well, if they don't go away, what does

00:27:48.279 --> 00:27:50.700
that mean? What does that actually end up doing

00:27:50.700 --> 00:27:53.160
to the brain? How does it actually affect the

00:27:53.160 --> 00:27:56.960
brain? And how does it relate to autism in particular?

00:27:57.579 --> 00:28:00.779
And also what's been noted is that some of these

00:28:00.779 --> 00:28:04.500
reflexes, which are always naturally symmetrical,

00:28:05.900 --> 00:28:11.259
When you examine people, they're often asymmetrical,

00:28:11.779 --> 00:28:16.299
meaning that you see them gone, they may be inhibited

00:28:16.299 --> 00:28:19.319
on one side, but retained on another. And what

00:28:19.319 --> 00:28:22.960
does that mean? And so what we were able to show

00:28:22.960 --> 00:28:28.079
really with a pretty extensive study is that

00:28:28.079 --> 00:28:31.440
these reflexes often don't go away. And in autism,

00:28:32.200 --> 00:28:35.279
in almost virtually 100 % of the cases we saw,

00:28:35.420 --> 00:28:38.559
there are some retained reflexes, if not all

00:28:38.559 --> 00:28:41.960
of them, to varying degrees, which has something

00:28:41.960 --> 00:28:44.779
to do with the varying in the spectrum level

00:28:44.779 --> 00:28:50.220
of severity, right? There's also, what it does

00:28:50.220 --> 00:28:54.019
is when these reflexes don't go away, it prevents

00:28:54.019 --> 00:28:57.819
the next level of complex movement and it keeps

00:28:57.819 --> 00:29:02.160
the brain in an immature state, but also it has

00:29:02.160 --> 00:29:06.579
a disruptive effect on this normal sequence of

00:29:06.579 --> 00:29:08.920
the right brain taking the lead in development

00:29:08.920 --> 00:29:11.200
in the first three years and keeping the left

00:29:11.200 --> 00:29:14.279
brain down and then allowing the left brain to

00:29:14.279 --> 00:29:17.099
come up and keep the right brain down forming

00:29:17.099 --> 00:29:20.880
the foundation of the brain asymmetry and it

00:29:20.880 --> 00:29:25.259
leads to these it alters that sequence and in

00:29:25.259 --> 00:29:28.400
autism what happens is that when the reflexes

00:29:28.400 --> 00:29:32.500
don't go away it keeps both sides of the brain

00:29:32.500 --> 00:29:37.039
down And so the right brain loses its advantage.

00:29:37.400 --> 00:29:39.819
And in kids that are unusually gifted in their

00:29:39.819 --> 00:29:43.460
left brain, the left brain comes online too early.

00:29:44.019 --> 00:29:47.740
And now it pushes the right brain down and now

00:29:47.740 --> 00:29:51.500
develop this developmental imbalance. And that

00:29:51.500 --> 00:29:55.079
is when people regress in autism, when they lose

00:29:55.079 --> 00:29:57.700
these skills that they're developing. That's

00:29:57.700 --> 00:30:00.839
what's happening. And then what we see of these

00:30:00.839 --> 00:30:03.759
early left brain skills come online, like being

00:30:03.759 --> 00:30:08.819
able to read or stimming or ticks or hyperactivity

00:30:08.819 --> 00:30:13.839
or tantrums or chronic inflammation or eczema.

00:30:14.079 --> 00:30:17.039
All of that is because of the left brain coming

00:30:17.039 --> 00:30:21.039
up and the right brain going down. And once that's

00:30:21.039 --> 00:30:24.440
established, it doesn't self correct. And so

00:30:24.440 --> 00:30:28.059
this disrupts the normal flow of communication.

00:30:28.539 --> 00:30:32.319
So it all comes down to maturity and the brain

00:30:32.319 --> 00:30:35.960
stays in an immature state and the asymmetry

00:30:35.960 --> 00:30:39.500
of the reflexes reflects this asymmetry of this

00:30:39.500 --> 00:30:44.380
maturity imbalance. And all of the phenotypical

00:30:44.380 --> 00:30:47.960
differences and behaviors, gifts and weaknesses

00:30:47.960 --> 00:30:51.670
all lie in that imbalance. And there are different

00:30:51.670 --> 00:30:53.670
networks that are involved. So it's not always

00:30:53.670 --> 00:30:57.369
just the same networks, but there are different

00:30:57.369 --> 00:31:00.170
networks that are involved. And depending on

00:31:00.170 --> 00:31:03.849
what networks are involved more is where we see

00:31:03.849 --> 00:31:07.569
more of the different spectrum of autism lying

00:31:07.569 --> 00:31:10.670
in there. That's why there's different presentations

00:31:10.670 --> 00:31:15.460
of the same root problem. And ultimately, even

00:31:15.460 --> 00:31:19.000
at a lower level with maturity, what we've been

00:31:19.000 --> 00:31:21.819
able to show is that when the brain matures,

00:31:22.799 --> 00:31:25.240
not only is there this sequential difference,

00:31:25.799 --> 00:31:29.119
but also initially the brain connects with what

00:31:29.119 --> 00:31:33.279
we call short range connectivity, local connectivity.

00:31:33.740 --> 00:31:37.000
And this is where we form hubs and networks.

00:31:37.440 --> 00:31:41.039
And this is where we form the foundation of the

00:31:41.039 --> 00:31:44.920
network. And these small connections are local,

00:31:45.380 --> 00:31:50.119
but they're very powerful. After we develop these

00:31:50.119 --> 00:31:53.400
networks and we segregate the brain into these

00:31:53.400 --> 00:31:58.960
localized networks and areas, then we need to

00:31:58.960 --> 00:32:02.720
lose some of those local connections and replace

00:32:02.720 --> 00:32:06.200
them with long -range connections. So that we

00:32:06.200 --> 00:32:11.339
can now start integrating the networks and integrating

00:32:11.400 --> 00:32:15.019
the hemispheres so that we can work in a very

00:32:15.019 --> 00:32:18.880
smooth and efficient and fast way. The analogy

00:32:18.880 --> 00:32:22.160
I use it is, you know, I live on Long Island.

00:32:22.579 --> 00:32:26.119
If I in the town I live here, I have a lot of

00:32:26.119 --> 00:32:28.640
these short little roads that connect different

00:32:28.640 --> 00:32:31.700
parts of my town, right? And if I want to drive

00:32:31.700 --> 00:32:34.059
from one part of my town to the other, I use

00:32:34.059 --> 00:32:37.039
those little short roads and it's very fast.

00:32:37.940 --> 00:32:41.059
But if I want to go to another area of Long Island,

00:32:41.319 --> 00:32:44.339
and I use the back roads of every little town,

00:32:44.700 --> 00:32:48.279
it's going to take forever. So I jump on a highway

00:32:48.279 --> 00:32:53.000
that connects me on a long range fast and it

00:32:53.000 --> 00:32:55.119
improves the efficiency and the connectivity

00:32:55.119 --> 00:32:58.240
and the way they decide how that works is through

00:32:58.240 --> 00:33:00.160
what we call graph theory, right? That's how

00:33:00.160 --> 00:33:03.519
we figure out those efficiencies. So what we

00:33:03.519 --> 00:33:06.359
know in the autistic brain and in most developmental

00:33:06.359 --> 00:33:10.539
issues, and we've proven this, is that there

00:33:10.539 --> 00:33:15.799
is a deficit of long range connections and they

00:33:15.799 --> 00:33:19.019
have too many short range connections, which

00:33:19.019 --> 00:33:21.980
means that, and why is that? Because their brain

00:33:21.980 --> 00:33:27.299
is immature. As the brain matures, we lose and

00:33:27.299 --> 00:33:31.160
the brainwaves get faster and less powerful.

00:33:31.619 --> 00:33:34.359
So what we've also proven is that in autistic

00:33:34.359 --> 00:33:37.420
brains, the brains, the brainwaves are slower.

00:33:37.869 --> 00:33:41.609
Which is what you see in small children right

00:33:41.609 --> 00:33:45.150
smaller children younger brains have more Delta

00:33:45.150 --> 00:33:49.089
and Theta and You know more mature brains have

00:33:49.089 --> 00:33:52.190
more alpha and beta and gamma. We've shown that

00:33:52.190 --> 00:33:57.529
in all ages that The autistic brain is more Delta

00:33:57.529 --> 00:34:01.049
and Theta based Especially on the right side

00:34:01.049 --> 00:34:04.369
of the brain why because it's immature not because

00:34:04.369 --> 00:34:08.480
it's damaged and because they and so these These

00:34:08.480 --> 00:34:13.579
short range connections are very, you know, they

00:34:13.579 --> 00:34:17.119
have slower brain waves, but they're very powerful.

00:34:17.260 --> 00:34:20.219
They have a lot of electric power. So this is

00:34:20.219 --> 00:34:23.639
where we see that there's hyper connectivity,

00:34:24.219 --> 00:34:27.960
especially in the left side of the brain. And

00:34:27.960 --> 00:34:31.920
there's hypo connectivity of the long range connections

00:34:31.920 --> 00:34:34.820
and especially between the two hemispheres of

00:34:34.820 --> 00:34:38.360
the brain. So this is This is what's happening.

00:34:38.579 --> 00:34:41.760
And it's been shown that, you know, that ratio

00:34:41.760 --> 00:34:45.380
of short range to long range, when you go from

00:34:45.380 --> 00:34:48.760
a small brain like a mouse to a human brain that's

00:34:48.760 --> 00:34:52.480
very large, that ratio has a logarithmic scale

00:34:52.480 --> 00:34:55.440
to it. That's really miraculous. It's unbelievable,

00:34:55.440 --> 00:34:59.900
actually. And but there's a very specific ratio

00:34:59.900 --> 00:35:03.840
of long range to short range connections at every

00:35:03.840 --> 00:35:08.519
size of the evolutionary brain. And in the human

00:35:08.519 --> 00:35:13.940
brain, the ratio is very specific for the optimal

00:35:13.940 --> 00:35:17.360
brain function. And it's been shown that just

00:35:17.360 --> 00:35:21.599
a little deviation of that, a five or 10 % deviation

00:35:21.599 --> 00:35:26.440
on long range to short range can be the difference

00:35:26.440 --> 00:35:29.780
between someone functioning at the highest level

00:35:29.780 --> 00:35:33.500
we can imagine to someone functioning at a lower

00:35:33.500 --> 00:35:36.619
level. But if you look at the brain, There's

00:35:36.619 --> 00:35:41.199
the exact same amount of connections, and there

00:35:41.199 --> 00:35:45.260
isn't any damage, and you won't see anything

00:35:45.260 --> 00:35:49.480
in the brain. The only thing you would be able

00:35:49.480 --> 00:35:51.960
to, if you can functionally measure the ratio

00:35:51.960 --> 00:35:54.519
of the short range to long range connections,

00:35:54.900 --> 00:35:57.960
that's the only way it becomes apparent. And

00:35:57.960 --> 00:35:59.860
we've been able to show that that's exactly,

00:35:59.940 --> 00:36:02.659
and other people have shown this as well, that

00:36:02.659 --> 00:36:04.940
that's exactly one of the foundational issues

00:36:04.940 --> 00:36:07.570
in autism. And it all comes back to immaturity

00:36:07.570 --> 00:36:14.170
of the brain. Okay, so like these short localized

00:36:14.170 --> 00:36:17.190
hubs or connections, I should say, stay there

00:36:17.190 --> 00:36:23.150
because the brain prefers to send signals to

00:36:23.150 --> 00:36:26.610
activate what it knows because these connections

00:36:26.610 --> 00:36:29.630
are growing in size, I'm assuming, and staying

00:36:29.630 --> 00:36:34.179
localized. So if that's the preference, of the

00:36:34.179 --> 00:36:36.099
brain, then that's what's going to keep us there.

00:36:36.260 --> 00:36:40.539
And it's very much aligned with that early development

00:36:40.539 --> 00:36:45.579
timeframe. Like they're just stuck. OK, I follow.

00:36:46.360 --> 00:36:50.440
That's very nice. Because we get stuck in our

00:36:50.440 --> 00:36:53.679
movement, right, we get stuck because these reflexes

00:36:53.679 --> 00:36:58.539
aren't going away. And that holds our so we stay

00:36:58.539 --> 00:37:02.349
in a more immature state. And so our brain is

00:37:02.349 --> 00:37:04.349
immature and that's what we've been able to show.

00:37:04.469 --> 00:37:07.090
The autistic brain is a more immature looking

00:37:07.090 --> 00:37:10.110
brain. That's the only difference really. But

00:37:10.110 --> 00:37:13.409
the features of that is really that as part of

00:37:13.409 --> 00:37:17.010
the immaturity, we see that it's not necessarily

00:37:17.010 --> 00:37:20.289
size because an immature brain can actually be

00:37:20.289 --> 00:37:24.710
a bigger brain. We actually lose cells as the

00:37:24.710 --> 00:37:28.579
brain matures and it becomes efficient. But it's

00:37:28.579 --> 00:37:32.840
a less efficient brain, but long range efficiency,

00:37:33.480 --> 00:37:36.619
short range efficiency. It's more efficient and

00:37:36.619 --> 00:37:40.219
more powerful, which is underlies a lot of the

00:37:40.219 --> 00:37:45.239
savant level skill that's there. But it also

00:37:45.239 --> 00:37:47.780
disrupts this normal sequence of right and left

00:37:47.780 --> 00:37:52.920
development. And so we get this. Favouring left

00:37:52.920 --> 00:37:56.860
brain side and not right brain and so that also

00:37:56.860 --> 00:38:01.079
disrupts that long range connectivity. And this

00:38:01.079 --> 00:38:03.760
is what leads to the different and depending

00:38:03.760 --> 00:38:06.800
on what networks exactly are different what are

00:38:06.800 --> 00:38:09.800
what are overactive what are under active really

00:38:09.800 --> 00:38:13.119
leads to the various variety of symptoms that

00:38:13.119 --> 00:38:15.940
we see not only in the autism community but in

00:38:15.940 --> 00:38:19.989
the entire neurodivergent world. Yeah, those

00:38:19.989 --> 00:38:23.150
are all just downstream and then we can how they

00:38:23.150 --> 00:38:26.449
manifest is we can label a phenotype on those

00:38:26.449 --> 00:38:32.230
Exactly. Okay. So with with these Problems with

00:38:32.230 --> 00:38:34.190
these distal connections especially for like

00:38:34.190 --> 00:38:38.829
the prefrontal cortex. That's very distal From

00:38:38.829 --> 00:38:41.690
those sensory processing areas like the brain

00:38:41.690 --> 00:38:44.090
stem and the thalamus the thalamus is deep inside

00:38:44.090 --> 00:38:48.369
the brain So how do you kind of? provide intervention

00:38:48.369 --> 00:38:51.570
to strengthen that myelination. Is there anything

00:38:51.570 --> 00:38:56.050
that sends out? Absolutely. It starts with the

00:38:56.050 --> 00:38:58.409
bottom up. That's the thing. A lot of people

00:38:58.409 --> 00:39:01.170
go right to the top, to the top down, right?

00:39:01.210 --> 00:39:04.210
Where to get there first. Right. So the foundation

00:39:04.210 --> 00:39:07.809
never was built appropriately. And so you need

00:39:07.809 --> 00:39:10.690
to go back to the beginning. That's why understanding

00:39:10.690 --> 00:39:14.489
the root cause. So what is blocking the maturity

00:39:14.489 --> 00:39:17.210
and the development of the brain? It's these

00:39:17.210 --> 00:39:21.070
reflexes that never went away and preventing

00:39:21.070 --> 00:39:26.210
really more complex purposeful movement. And

00:39:26.210 --> 00:39:29.190
it's this imbalance. Those two things are at

00:39:29.190 --> 00:39:33.090
the root. So we need to remove what the blockage

00:39:33.090 --> 00:39:36.570
is. So the first thing we do is work on remediating

00:39:36.570 --> 00:39:39.670
these reflexes. And there's a series of physical

00:39:39.670 --> 00:39:44.349
activity and stimulations. not exercises, because

00:39:44.349 --> 00:39:46.590
many of these kids, because their right brain

00:39:46.590 --> 00:39:49.550
is so division, they can't move their body on

00:39:49.550 --> 00:39:53.150
their own to try to make them do exercises is

00:39:53.150 --> 00:39:55.630
not going to work. So we have to do it to them.

00:39:55.809 --> 00:39:59.550
And we stimulate the reflexes to get them to

00:39:59.550 --> 00:40:03.150
become integrated and eventually then lead them

00:40:03.150 --> 00:40:06.750
into being able to having more complex, purposeful,

00:40:06.769 --> 00:40:10.789
coordinated movement. We also want to stimulate

00:40:10.789 --> 00:40:15.070
their senses in a way to activate the right brain

00:40:15.070 --> 00:40:19.469
and inhibit the left brain and promote that crosstalk.

00:40:20.949 --> 00:40:25.550
And then we want to then do things cognitively

00:40:25.550 --> 00:40:30.309
to them to activate the right brain and inhibit

00:40:30.309 --> 00:40:33.889
that left. We do things like, you know, electrical

00:40:33.889 --> 00:40:36.750
devices like transcranial, which can literally

00:40:36.750 --> 00:40:42.070
do that, or lasers or magnets. But we have to

00:40:42.070 --> 00:40:44.630
start with the bottom up. If you're just doing

00:40:44.630 --> 00:40:49.429
that and you're not working on the foundational

00:40:49.429 --> 00:40:52.250
root problem with the reflexes and with movement

00:40:52.250 --> 00:40:55.130
and with sensory stimulation and processing and

00:40:55.130 --> 00:40:58.869
balancing, that's not going to stick. And you've

00:40:58.869 --> 00:41:01.050
actually said that, you know, it just doesn't

00:41:01.050 --> 00:41:04.710
stick. And also you need to understand the nature

00:41:04.710 --> 00:41:07.369
of the imbalance. Like a lot of people that do

00:41:07.369 --> 00:41:11.730
brain stimulation therapies, They automatically

00:41:11.730 --> 00:41:14.989
assume that a child with autism or an adult that

00:41:14.989 --> 00:41:19.670
can't speak has a left brain language deficit.

00:41:20.070 --> 00:41:23.849
They don't and they stimulate the left brain

00:41:23.849 --> 00:41:27.650
which is already overactive and they make it

00:41:27.650 --> 00:41:30.869
worse. Whereas you need to stimulate the right

00:41:30.869 --> 00:41:33.190
brain and literally inhibit the other side of

00:41:33.190 --> 00:41:36.800
the brain. So, you know, that's why understanding

00:41:36.800 --> 00:41:40.039
the nature of the problem is so critical. And

00:41:40.039 --> 00:41:43.960
that same area, which called Broca's area, or

00:41:43.960 --> 00:41:47.159
Broadman area 44 and 45 on the left, which is

00:41:47.159 --> 00:41:50.599
where we have expressive verbal language. Right

00:41:50.599 --> 00:41:54.260
near that is the dorsal lateral prefrontal cortex

00:41:54.260 --> 00:41:58.820
and orbital, which causes OCD. And right behind

00:41:58.820 --> 00:42:02.260
that is Broadman area six, the premotor area.

00:42:02.539 --> 00:42:06.079
On the left, which is what causes ticks and stimming

00:42:06.079 --> 00:42:09.800
and repetitive behavior. So if you go there and

00:42:09.800 --> 00:42:13.699
you stimulate it. You're not only not going to

00:42:13.699 --> 00:42:16.360
correct the language problem, but you're probably

00:42:16.360 --> 00:42:19.800
going to make the OCD and the ticks worse. So

00:42:19.800 --> 00:42:23.500
this is where taking this knowledge of neuroscience

00:42:23.500 --> 00:42:27.599
and functional neuroscience at the highest level

00:42:27.599 --> 00:42:31.170
and turning into a treatment. that's actually

00:42:31.170 --> 00:42:35.530
going to address the issue is really what my,

00:42:35.530 --> 00:42:37.730
you know, what my whole career has been about.

00:42:37.730 --> 00:42:40.630
And that's the whole basis of the Malila method.

00:42:41.030 --> 00:42:43.610
Okay. Do you mind walking us through that as

00:42:43.610 --> 00:42:47.050
much details you want to give? Yeah, sure. Well,

00:42:47.050 --> 00:42:50.210
like I said, you know, it starts off with a proper

00:42:50.210 --> 00:42:53.750
evaluation. The thing is like seeing if reflexes

00:42:53.750 --> 00:42:57.030
are retained, you know, there's not a lot of

00:42:57.030 --> 00:42:59.349
people that are trained properly to do that.

00:43:00.000 --> 00:43:02.300
I've worked, you know, I've trained over 10 ,000

00:43:02.300 --> 00:43:04.780
health professionals around the world. But, you

00:43:04.780 --> 00:43:08.519
know, being able to most effectively check for

00:43:08.519 --> 00:43:12.179
these reflexes, it requires a really good physical

00:43:12.179 --> 00:43:16.739
exam. So you can't do it virtually. So that's

00:43:16.739 --> 00:43:19.340
one of the challenges. But, you know, we look

00:43:19.340 --> 00:43:23.320
and do a really good exam and do functional measurements

00:43:23.320 --> 00:43:26.440
to put everything on a functional developmental

00:43:26.440 --> 00:43:30.829
scale, because any sort of approach, intervention

00:43:30.829 --> 00:43:35.110
approach needs to be goal -directed and it needs

00:43:35.110 --> 00:43:38.789
to be objectively measurable, right? A lot of

00:43:38.789 --> 00:43:40.889
the treatments that are out there are just trying

00:43:40.889 --> 00:43:43.769
to manage symptoms and they're a hope and a prayer.

00:43:44.110 --> 00:43:47.550
Let's try this and see if it changes anything.

00:43:48.090 --> 00:43:49.989
What do we mean change? Well, let's see if their

00:43:49.989 --> 00:43:53.489
symptoms are less. Okay. Well, why are there

00:43:53.489 --> 00:43:56.969
symptoms there? What is the issue to begin with?

00:43:57.280 --> 00:44:01.260
And whereas our approach is about looking at

00:44:01.260 --> 00:44:04.300
the whole person, looking at the whole integrated

00:44:04.300 --> 00:44:08.659
system, we do a really good neurodevelopmental

00:44:08.659 --> 00:44:11.900
exam. We do all different types of other measurements,

00:44:12.420 --> 00:44:15.199
cognitively, sentry -wise, sentry processing.

00:44:15.710 --> 00:44:19.650
We'll do brain mapping. We do lab work that looks

00:44:19.650 --> 00:44:23.050
at immune markers and inflammatory markers and

00:44:23.050 --> 00:44:26.750
things like food sensitivities. We look at the

00:44:26.750 --> 00:44:31.010
whole individual person and then we individualize

00:44:31.010 --> 00:44:34.809
a program to really kind of address the issues

00:44:34.809 --> 00:44:38.829
at the root cause and correct and balance targeting

00:44:38.829 --> 00:44:42.750
the specific networks in that individual and

00:44:42.750 --> 00:44:46.949
targeting their specific needs. You know, people

00:44:46.949 --> 00:44:49.369
are often told that the problem starts in the

00:44:49.369 --> 00:44:52.650
gut. It doesn't. It starts in the brain stem

00:44:52.650 --> 00:44:56.750
and the brain with the balance of the sympathetic

00:44:56.750 --> 00:45:00.429
and parasympathetic nervous system, which is

00:45:00.429 --> 00:45:06.010
what regulates gut development. And because the

00:45:06.010 --> 00:45:09.190
brain doesn't develop the way it should, the

00:45:09.190 --> 00:45:12.769
parasympathetic nervous system in many of these

00:45:12.769 --> 00:45:16.760
kids and adults doesn't come online. So they

00:45:16.760 --> 00:45:19.940
stay in this fight or flight state and their

00:45:19.940 --> 00:45:23.320
gut stays open and leaky. You know, we start

00:45:23.320 --> 00:45:27.000
out life with a leaky gut. That's the way we're

00:45:27.000 --> 00:45:31.539
born. It's supposed to be that way because babies

00:45:31.539 --> 00:45:35.420
don't form antibodies when they're first born.

00:45:35.500 --> 00:45:38.699
So they need, you know, about six months to a

00:45:38.699 --> 00:45:41.300
year before they start developing their own antibodies.

00:45:41.769 --> 00:45:44.050
and they need antibodies and they get it through

00:45:44.050 --> 00:45:47.710
the mom's breast milk. But antibodies are big,

00:45:48.269 --> 00:45:51.409
large proteins that wouldn't get through a normal

00:45:51.409 --> 00:45:55.449
stomach lining. So the gut needs to be more porous

00:45:55.449 --> 00:45:58.230
and open and leaky to allow these large proteins

00:45:58.230 --> 00:46:02.190
through. Then we also can't produce a lot of

00:46:02.190 --> 00:46:05.510
acid and enzymes during that time because those

00:46:05.510 --> 00:46:08.409
acids would kill those antibodies in the gut.

00:46:09.269 --> 00:46:12.780
So The sympathetic nervous system, when it's

00:46:12.780 --> 00:46:18.320
on, makes our heart rate really fast and also

00:46:18.320 --> 00:46:23.880
keeps our gut shut down. But as the brain matures

00:46:23.880 --> 00:46:27.860
and as the brain stem matures, as the reflexes

00:46:27.860 --> 00:46:32.659
go away, the parasympathetic nuclei come on and

00:46:32.659 --> 00:46:35.440
that starts to shut down the sympathetic fight

00:46:35.440 --> 00:46:39.260
or flight. The heart rate drops. The gut closes

00:46:39.260 --> 00:46:42.599
up. We produce acid and enzymes that promotes

00:46:42.599 --> 00:46:45.340
the proper environment for good bacteria and

00:46:45.340 --> 00:46:48.460
kills all the bad things and the bad bugs like

00:46:48.460 --> 00:46:52.199
parasites or fungus or mold that shouldn't be

00:46:52.199 --> 00:46:55.500
able to live in our body and now increases blood

00:46:55.500 --> 00:46:58.199
flow so we can absorb nutrients and vitamins

00:46:58.199 --> 00:47:01.300
and minerals to help our brain and body grow

00:47:01.300 --> 00:47:04.340
more. But what we know and what we've also proven

00:47:04.340 --> 00:47:07.840
is on the autism spectrum and in most developmental

00:47:07.840 --> 00:47:11.119
issues, that parasympathetic nervous system never

00:47:11.119 --> 00:47:14.400
fully comes on and they stay in this fight or

00:47:14.400 --> 00:47:17.719
flight. And so they do have a leaky gut. They

00:47:17.719 --> 00:47:22.059
do have inflammation and they do have food sensitivities

00:47:22.059 --> 00:47:24.539
and they have vitamin and mineral deficiencies

00:47:24.539 --> 00:47:28.199
and, you know, folic deficiencies. But that's

00:47:28.199 --> 00:47:31.239
not the root cause. It doesn't mean that we don't

00:47:31.239 --> 00:47:35.019
need to address those things. We do. But the

00:47:35.019 --> 00:47:39.119
ultimate solution is to get the brain and get

00:47:39.119 --> 00:47:41.599
the sympathetic and parasympathetic and right

00:47:41.599 --> 00:47:44.940
and left because they control sympathetic and

00:47:44.940 --> 00:47:47.900
parasympathetic differently. The right brain

00:47:47.900 --> 00:47:50.719
activates the sympathetic, the parasympathetic

00:47:50.719 --> 00:47:53.579
and the anti -inflammatory part of the immune

00:47:53.579 --> 00:47:56.659
system. The left brain activates the sympathetic

00:47:56.659 --> 00:48:00.590
and inflammatory part. So these kids are in an

00:48:00.590 --> 00:48:03.309
inflamed state. But again, it really all comes

00:48:03.309 --> 00:48:05.630
down to the brain and the nervous system. But

00:48:05.630 --> 00:48:09.630
most people in the biomedical world have no idea

00:48:09.630 --> 00:48:11.929
of the neuroscience. They know nothing about

00:48:11.929 --> 00:48:15.329
it. So, you know, they just know there's inflammation

00:48:15.329 --> 00:48:18.329
and there's a leaky gut and there's vitamin and

00:48:18.329 --> 00:48:20.429
mineral deficiencies and they have these bugs

00:48:20.429 --> 00:48:23.610
in their gut. And so that's causing autism. No,

00:48:23.690 --> 00:48:28.739
that's not the way it works. Yeah, okay. I just

00:48:28.739 --> 00:48:32.800
want to check my understanding here, and I'm

00:48:32.800 --> 00:48:34.860
kind of adding something into it, just wanting

00:48:34.860 --> 00:48:38.599
to check those. Does the role of the excitation

00:48:38.599 --> 00:48:44.119
inhibition imbalance play a role? And the reticular

00:48:44.119 --> 00:48:47.179
formation of like through the brain stem and

00:48:47.179 --> 00:48:49.559
so forth? Yeah, it's a little bit more complex

00:48:49.559 --> 00:48:53.639
than just the reticular activating system. The

00:48:53.639 --> 00:48:56.659
reticular activating system actually activates

00:48:56.659 --> 00:49:00.260
the brain more through the thalamus, through

00:49:00.260 --> 00:49:04.539
what we call the intralaminar nuclei in the thalamus,

00:49:04.679 --> 00:49:07.659
which is what these are non -specific nuclei

00:49:07.659 --> 00:49:11.780
that activate the brain and generate most of

00:49:11.780 --> 00:49:14.179
the foundational brain waves, but especially

00:49:14.179 --> 00:49:18.280
the gamma waves. And gamma waves is the ultimate

00:49:18.280 --> 00:49:22.380
signal. When we're at our highest cognitive functional

00:49:22.380 --> 00:49:27.280
level, the linking signal that really links things

00:49:27.280 --> 00:49:30.940
together fast is the gamma rhythm between 40

00:49:30.940 --> 00:49:35.139
to 60 Hertz. And that is all generated through

00:49:35.139 --> 00:49:38.659
that. So the reticular activating system goes

00:49:38.659 --> 00:49:41.960
into the intralaminar nuclei in the thalamus

00:49:41.960 --> 00:49:45.199
and then up to the brain and the toothed thalami

00:49:45.389 --> 00:49:49.210
are like oscillators they're constantly they

00:49:49.210 --> 00:49:53.150
create the pulsation that the brain is pulsating

00:49:53.150 --> 00:49:57.210
at and they're completely independent so the

00:49:57.210 --> 00:50:01.070
right and the left are different and that's where

00:50:01.070 --> 00:50:04.289
part of the desynchronization or dysrhythmia

00:50:04.289 --> 00:50:07.010
comes from because ultimately what we're talking

00:50:07.010 --> 00:50:11.530
about in functional connectivity is a problem

00:50:11.530 --> 00:50:16.320
with this with desynchronization Or dysrhythmia,

00:50:16.699 --> 00:50:20.599
where the synchronized signals, the timing is

00:50:20.599 --> 00:50:24.639
off. You have one side of the brain oscillating

00:50:24.639 --> 00:50:27.420
at a much faster rate than the other, and they

00:50:27.420 --> 00:50:29.980
can't communicate. It's like, you know, having

00:50:29.980 --> 00:50:32.719
an old computer try to talk to a new computer,

00:50:33.340 --> 00:50:36.320
because there's nothing wrong with either one

00:50:36.320 --> 00:50:39.920
of them, but they're different processing speeds.

00:50:40.280 --> 00:50:43.699
They can't communicate. because of the processing

00:50:43.699 --> 00:50:49.159
difference. And so that's part of it. And, you

00:50:49.159 --> 00:50:52.699
know, so what we see is that, you know, trying

00:50:52.699 --> 00:50:56.179
to change the speed of that processing and the

00:50:56.179 --> 00:50:59.739
maturity, the brain becomes faster as we mature.

00:50:59.920 --> 00:51:03.519
And a lot of those signals originate in the body

00:51:03.519 --> 00:51:05.900
and in the muscles, and especially in the muscles

00:51:05.900 --> 00:51:10.460
along the spine. Okay. All right. That's a great

00:51:10.460 --> 00:51:14.889
perspective there. with the root of the GI problem.

00:51:15.590 --> 00:51:18.349
Well, the GI problem really, yeah, is there.

00:51:18.949 --> 00:51:22.070
So, you know, when we approach the Malila method,

00:51:22.389 --> 00:51:24.590
again, we're looking at it all, right? We're

00:51:24.590 --> 00:51:27.409
not just looking at the brain. We recognize that

00:51:27.409 --> 00:51:30.010
we have to look at the whole body, but we're

00:51:30.010 --> 00:51:32.030
also looking at it, what is the foundational

00:51:32.030 --> 00:51:35.530
issue that we need to address and doing that

00:51:35.530 --> 00:51:38.610
in a measurable way. And so looking at the gut

00:51:38.610 --> 00:51:41.510
and the immune system is all important. But if

00:51:41.510 --> 00:51:44.329
that's all you're doing, you're not really dealing

00:51:44.329 --> 00:51:47.710
with the root cause. And so it's about looking

00:51:47.710 --> 00:51:51.409
at motor system and sentry and sentry processing

00:51:51.409 --> 00:51:55.550
and the immune system and the balance within

00:51:55.550 --> 00:51:58.289
the immune system of what we call the TH1 and

00:51:58.289 --> 00:52:01.489
TH2 systems and the antibodies versus the white

00:52:01.489 --> 00:52:05.750
blood cells. And then looking at the gut. and

00:52:05.750 --> 00:52:08.789
the detoxification system and the vitamin and

00:52:08.789 --> 00:52:12.809
the minerals and enzymes and all of that. But

00:52:12.809 --> 00:52:16.010
the reason why there's the root issue really

00:52:16.010 --> 00:52:18.309
comes down to looking at the brain and the brain

00:52:18.309 --> 00:52:21.469
stem and this maturity and this development of

00:52:21.469 --> 00:52:24.269
this functional connectivity and this synchronization

00:52:24.269 --> 00:52:30.349
of the brain. Okay. How long have you had this

00:52:30.349 --> 00:52:35.519
malevolent method kind of available? Well, I

00:52:35.519 --> 00:52:37.760
mean, I started working with this and started

00:52:37.760 --> 00:52:41.539
really researching this. You know, I started

00:52:41.539 --> 00:52:45.260
working, as I said, in the neurology and development

00:52:45.260 --> 00:52:52.219
work and teaching clinical neurology back in

00:52:52.219 --> 00:52:57.579
the mid 80s, late 80s. I started really functioning

00:52:57.579 --> 00:53:02.050
on understanding what's happening in the brain

00:53:02.050 --> 00:53:06.050
development and learning and mental health area

00:53:06.050 --> 00:53:10.050
in the early 90s and started developing a program

00:53:10.050 --> 00:53:15.449
of how to change it around 1995. And so I've

00:53:15.449 --> 00:53:20.329
been working with it since then, evolving it,

00:53:20.329 --> 00:53:23.530
evolving it, evolving it. I created a program

00:53:23.530 --> 00:53:25.949
called the Brain Balance Program, which is a

00:53:25.949 --> 00:53:30.010
more kind of non -medical type of approach. And

00:53:30.010 --> 00:53:32.929
I started a company called Brain Balance Achievement

00:53:32.929 --> 00:53:36.789
Centers. And, you know, we developed over 100

00:53:36.789 --> 00:53:40.329
centers across the country that is still in existence

00:53:40.329 --> 00:53:45.510
today. But that was more with milder, you know,

00:53:45.610 --> 00:53:50.190
kind of higher functioning issues that were a

00:53:50.190 --> 00:53:55.449
little less challenging. And then, but I really

00:53:55.449 --> 00:53:58.769
wanted to understand and work with. the most

00:53:58.769 --> 00:54:01.730
challenging, especially non speaking autism.

00:54:02.329 --> 00:54:05.369
Um, and I wanted to work with all ages, including

00:54:05.369 --> 00:54:09.409
adults. And so my research went on, my education

00:54:09.409 --> 00:54:13.489
went on, my experience got more and more. I continue

00:54:13.489 --> 00:54:16.489
to teach and write. I've written eight bestselling

00:54:16.489 --> 00:54:20.610
books on the topic. Um, and ultimately the Malila

00:54:20.610 --> 00:54:24.010
method evolved out of that as a, as more of a

00:54:24.010 --> 00:54:30.400
much more complex version. of that that really

00:54:30.400 --> 00:54:34.000
could address any age and any level of challenge.

00:54:34.880 --> 00:54:38.400
And that has been really evolving and being utilized

00:54:38.400 --> 00:54:42.320
over the past 10 years in my centers here in

00:54:42.320 --> 00:54:46.260
New York. And now we're actually starting to

00:54:46.260 --> 00:54:49.039
expand that around the world. We're going to

00:54:49.039 --> 00:54:52.579
be starting centers in different countries very

00:54:52.579 --> 00:54:55.679
shortly because we want to bring this technology

00:54:55.679 --> 00:54:59.380
out wherever people need to be. So right now

00:54:59.380 --> 00:55:02.780
we're going to be developing a center in Columbia,

00:55:03.679 --> 00:55:07.460
Sydney, Australia, we have one now, and Mexico

00:55:07.460 --> 00:55:13.159
City very shortly, and then from there. It's

00:55:13.159 --> 00:55:17.079
a great success and obviously a very important

00:55:17.079 --> 00:55:20.019
topic. Can you say a little bit before we wrap

00:55:20.019 --> 00:55:23.820
up about the nonverbal speaker? Because I just

00:55:23.820 --> 00:55:27.070
appreciate so much about how You were talking

00:55:27.070 --> 00:55:30.090
about how their intelligence is in there and

00:55:30.090 --> 00:55:33.610
so forth about some of the malevolent method.

00:55:33.690 --> 00:55:36.010
I know it's very individualized, but some of

00:55:36.010 --> 00:55:39.989
the more common things that you do with the nonverbal.

00:55:40.590 --> 00:55:44.329
Yeah. So to me that, you know, was the most fascinating.

00:55:44.929 --> 00:55:48.530
And what really opened the door to me on understanding

00:55:48.530 --> 00:55:51.710
this was when I started working with a woman

00:55:51.710 --> 00:55:57.389
who does spelling. Um, and you know, she had,

00:55:57.630 --> 00:56:00.829
she has a child that I had worked with and for

00:56:00.829 --> 00:56:03.550
20 years she was working on spelling with him

00:56:03.550 --> 00:56:07.369
and, um, you know, open the world. And honestly,

00:56:07.369 --> 00:56:11.269
I'd been exposed to it, uh, years before. And

00:56:11.269 --> 00:56:14.190
like many parents, I looked at it and because

00:56:14.190 --> 00:56:17.909
my understanding of the problem and the root

00:56:17.909 --> 00:56:21.849
cause wasn't sophisticated enough. I looked at

00:56:21.849 --> 00:56:24.269
it and I thought, Oh, that's. That's BS, you

00:56:24.269 --> 00:56:26.510
know, that kid doesn't know that. How would they

00:56:26.510 --> 00:56:29.710
know that? You know, they can't, they don't know

00:56:29.710 --> 00:56:32.809
anything. So how could they have the spelling

00:56:32.809 --> 00:56:36.690
these complex sentences? And it looks like somebody's

00:56:36.690 --> 00:56:39.710
guiding their hand. Um, and I thought, okay,

00:56:39.730 --> 00:56:43.130
that's not real. And then I, as I understood,

00:56:43.170 --> 00:56:46.050
and as my search for really understanding why

00:56:46.050 --> 00:56:49.969
they can't speak evolved and, and really, you

00:56:49.969 --> 00:56:54.570
know, we. We published a paper on that. I understood

00:56:54.570 --> 00:56:58.469
that the root cause is that is that they don't

00:56:58.469 --> 00:57:00.409
know where their body is. They're not building

00:57:00.409 --> 00:57:02.989
these sentry motor maps in the right side of

00:57:02.989 --> 00:57:06.230
their brain. And it's not a lack of words. And

00:57:06.230 --> 00:57:08.809
it's not a lack of speech on the left side of

00:57:08.809 --> 00:57:13.030
the brain. And then I met somebody who explained

00:57:13.030 --> 00:57:16.969
it to me in neuroscience terms that, you know,

00:57:16.969 --> 00:57:20.150
we're not guiding their hand when we touch them.

00:57:20.219 --> 00:57:23.940
Now they know where their hand is and they can

00:57:23.940 --> 00:57:28.320
spell because the words are there. And that really

00:57:28.320 --> 00:57:31.719
resonated with me because I went, wow, OK, that's

00:57:31.719 --> 00:57:39.059
exactly where my model is going. And that made

00:57:39.059 --> 00:57:42.559
sense to me because now you're not guiding them

00:57:42.559 --> 00:57:46.489
or even you're actually resisting them. And that

00:57:46.489 --> 00:57:49.409
feedback allows them for the first time to know

00:57:49.409 --> 00:57:52.710
where their own hand is. And now they can spell.

00:57:52.869 --> 00:57:55.630
But the words and everything are already there

00:57:55.630 --> 00:58:00.929
because they're so brilliant. And so now with,

00:58:00.929 --> 00:58:03.670
you know, we work with, you know, hundreds and

00:58:03.670 --> 00:58:07.230
hundreds of kids like this. And I ask them questions

00:58:07.230 --> 00:58:10.090
like I love asking them questions like the first

00:58:10.090 --> 00:58:13.389
question I ask them is why can't you speak? And

00:58:13.389 --> 00:58:15.889
they'll tell you. if you ask them, but nobody,

00:58:16.090 --> 00:58:18.210
even the parents don't ask them that question.

00:58:18.829 --> 00:58:20.530
Even people that are spelling, I say, have you

00:58:20.530 --> 00:58:23.670
ever asked them? And they tell me the same thing.

00:58:24.090 --> 00:58:27.849
I don't feel my body. I can't move my body. One

00:58:27.849 --> 00:58:30.750
kid described it perfectly. I mean, you know

00:58:30.750 --> 00:58:32.869
neuroscience, so you know we developed something

00:58:32.869 --> 00:58:35.269
called a humunculus. Yeah, I was going to ask

00:58:35.269 --> 00:58:38.530
you about that. Right. So as we're developing

00:58:38.530 --> 00:58:41.849
in the right brain in the parietal lobe, we develop

00:58:42.190 --> 00:58:47.230
what's called a sentry homunculus, which is a

00:58:47.230 --> 00:58:52.309
distorted 3D map of the body. And in the right

00:58:52.309 --> 00:58:54.710
brain, we have a whole body because we become

00:58:54.710 --> 00:58:57.570
a whole person through the development of what

00:58:57.570 --> 00:59:01.909
we call interoception and proprioception. And

00:59:01.909 --> 00:59:05.650
then once we develop a sentry map in the parietal

00:59:05.650 --> 00:59:09.230
lobe, we then develop a motor map in the frontal

00:59:09.230 --> 00:59:12.500
lobe of how to move that part of our body. And

00:59:12.500 --> 00:59:15.679
the biggest part of the map by far, like one

00:59:15.679 --> 00:59:17.780
third of the whole map is the face, the mouth,

00:59:17.940 --> 00:59:20.960
the tongue and the lips. And then the next third

00:59:20.960 --> 00:59:23.739
is the arm in the hand and the finger for fine

00:59:23.739 --> 00:59:28.000
motor and pointing. And so the hardest thing

00:59:28.000 --> 00:59:31.780
they have and they tell us these kids started

00:59:31.780 --> 00:59:34.739
telling me I don't feel my tongue in my mouth.

00:59:34.739 --> 00:59:37.960
I don't feel my face. I don't feel my body. I

00:59:37.960 --> 00:59:40.199
don't know where my body is. I don't realize

00:59:40.199 --> 00:59:43.570
I have a body. I don't know where my hand is.

00:59:44.050 --> 00:59:46.469
That's why, you know, you ask them to point to

00:59:46.469 --> 00:59:49.090
something they can't point, or they may point

00:59:49.090 --> 00:59:52.489
to something completely, you know, that they

00:59:52.489 --> 00:59:54.889
know the answer, but they can't point to it.

00:59:54.889 --> 00:59:58.130
They can't write. They can't type. But it's not

00:59:58.130 --> 01:00:00.949
because the words aren't there. Their words are

01:00:00.949 --> 01:00:07.349
beyond other people. And so hearing them tell

01:00:07.349 --> 01:00:12.530
me this by typing, Was it was unbelievable because

01:00:12.530 --> 01:00:15.170
now they were confirming everything that I thought

01:00:15.170 --> 01:00:18.989
and I literally you know I had them look at videos

01:00:18.989 --> 01:00:23.050
that I've created and Said am I right is this

01:00:23.050 --> 01:00:26.449
why you can't speak and they were like absolutely

01:00:26.449 --> 01:00:28.650
You're the only one that has ever said this to

01:00:28.650 --> 01:00:31.849
us that this is actually the reason why and they're

01:00:31.849 --> 01:00:35.340
so brilliant I trust them more than I do most

01:00:35.340 --> 01:00:38.059
other doctors and scientists to give me the right

01:00:38.059 --> 01:00:42.579
answer and to critique my work and you know they

01:00:42.579 --> 01:00:45.619
give me the most fascinating and they literally

01:00:45.619 --> 01:00:48.619
describe they'll say to me there's a battle going

01:00:48.619 --> 01:00:52.039
on between my right and left side and and the

01:00:52.039 --> 01:00:54.380
left brain is too dominant and it won't give

01:00:54.380 --> 01:00:57.320
up control and it won't let that right brain

01:00:57.320 --> 01:01:00.159
come up And that is exactly what's happening

01:01:00.159 --> 01:01:02.519
in their brain. And this is what this is their

01:01:02.519 --> 01:01:05.760
words, their typing, they're saying this. And

01:01:05.760 --> 01:01:11.019
it's really unbelievably amazing. And it's something

01:01:11.019 --> 01:01:14.420
that I continue to want to research and understand

01:01:14.420 --> 01:01:18.420
it. And, you know, and they all say, almost all

01:01:18.420 --> 01:01:23.539
of them will say, please help me speak. Please

01:01:23.539 --> 01:01:26.920
help me stop stimming. You know, they want that

01:01:26.920 --> 01:01:30.159
right? So, you know, that's my goal is to try

01:01:30.159 --> 01:01:32.840
to give them the voice and and and the majority

01:01:32.840 --> 01:01:35.340
of the time we do the majority of the time we

01:01:35.340 --> 01:01:38.679
do give them the ability to speak You know not

01:01:38.679 --> 01:01:44.260
not always fully but you know they're able to

01:01:44.260 --> 01:01:47.679
speak and communicate at a much higher level

01:01:47.679 --> 01:01:50.559
and You know the longer we work with them the

01:01:50.559 --> 01:01:54.599
more that changes. So that's Probably my greatest

01:01:54.599 --> 01:01:57.440
accomplishment is to be able to do that for somebody.

01:01:58.099 --> 01:02:00.099
Yeah, I love that. Because I was going to ask

01:02:00.099 --> 01:02:01.739
you about that as soon as you were talking about

01:02:01.739 --> 01:02:05.659
it. Because somatosensory and then the motor

01:02:05.659 --> 01:02:10.119
cortex right there on top of each other. Exactly.

01:02:10.880 --> 01:02:14.480
And the thalamus. But you won't develop the motor

01:02:14.480 --> 01:02:17.920
map until you develop the sensory map. Yeah.

01:02:18.639 --> 01:02:21.469
Right? Yeah. And one kid said it to me perfectly.

01:02:21.610 --> 01:02:24.530
I said to him, why can't you speak? And he said,

01:02:24.530 --> 01:02:28.869
I don't see my body in my brain. And so therefore

01:02:28.869 --> 01:02:32.449
I can't move my body myself the way I want to.

01:02:32.869 --> 01:02:36.190
They stim, they tick, they move, they look like

01:02:36.190 --> 01:02:38.909
they're doing complex movement, but none of it

01:02:38.909 --> 01:02:43.170
is under their control. It's just automated actions.

01:02:43.630 --> 01:02:45.969
And they don't even want to be doing most of

01:02:45.969 --> 01:02:48.889
the things that they're doing. you know again

01:02:48.889 --> 01:02:51.150
this is what they tell us and if you've read

01:02:51.150 --> 01:02:52.989
books there's a lot of really good books out

01:02:52.989 --> 01:02:56.690
there by non -speaking adults that have you know

01:02:56.690 --> 01:03:00.250
can type and spell and this is how they describe

01:03:00.250 --> 01:03:03.670
it they they this is absolutely and they and

01:03:03.670 --> 01:03:06.829
they tell me all the time you know that this

01:03:06.829 --> 01:03:09.650
is this treatment is helping me and they've helped

01:03:09.650 --> 01:03:14.469
guide me to tell them you know do this this way

01:03:14.469 --> 01:03:18.780
and and help me get better Yeah, I would anticipate

01:03:18.780 --> 01:03:21.039
the indirect pathway of the basal ganglia is

01:03:21.039 --> 01:03:24.539
also involved because the brain stem the substantial

01:03:24.539 --> 01:03:28.000
nigra up to the dorsal striatum and things they

01:03:28.000 --> 01:03:30.480
can't shut these motor movements off Well, you

01:03:30.480 --> 01:03:32.619
know one of the things that most people in neuroscience

01:03:32.619 --> 01:03:35.500
and especially clinical don't aren't aware of

01:03:35.500 --> 01:03:38.000
you're exactly right there's a deficiency of

01:03:38.000 --> 01:03:41.440
the indirect pathway and There's an overactivity

01:03:41.440 --> 01:03:44.820
of the hybrid of the direct pathway, but the

01:03:44.820 --> 01:03:48.090
indirect deficit is more related to the fact

01:03:48.090 --> 01:03:51.329
that there's a hyper direct pathway. You're familiar

01:03:51.329 --> 01:03:54.590
with that. The hyper direct pathway is only in

01:03:54.590 --> 01:03:57.130
the right side of the brain. I wasn't aware of

01:03:57.130 --> 01:03:59.690
that. And so, yes, it's only in the right side.

01:03:59.750 --> 01:04:02.849
It's in the right sentry motor area, which is

01:04:02.849 --> 01:04:06.309
where ticks and stimming are stopped and hyperactivity.

01:04:06.789 --> 01:04:10.030
And it's in the right inferior frontal gyrus,

01:04:10.309 --> 01:04:14.829
which is what regulates OCD and emotional outbursts.

01:04:14.880 --> 01:04:18.940
Right? So those two hyper direct pathway only

01:04:18.940 --> 01:04:23.539
go to the indirect pathway. And in particular

01:04:23.539 --> 01:04:28.579
to the subsalamic nucleus of Louise. And so when

01:04:28.579 --> 01:04:31.619
you don't have a right brain development, you

01:04:31.619 --> 01:04:35.099
don't develop the hyper direct pathway. You don't

01:04:35.099 --> 01:04:38.159
develop those inhibitory connections in the basal

01:04:38.159 --> 01:04:42.579
ganglia. And you have too much activating excitatory

01:04:42.860 --> 01:04:46.099
and the left brain is more connected to the direct

01:04:46.099 --> 01:04:49.579
pathway and the dopamine pathways and the left

01:04:49.579 --> 01:04:53.360
brain is more dopaminergic and excitatory so

01:04:53.360 --> 01:04:56.480
you talked about the in the excitatory and the

01:04:56.480 --> 01:04:59.539
inhibitory imbalance the right brain is inhibitory

01:04:59.539 --> 01:05:02.739
the left brain is excitatory dopamine is more

01:05:02.739 --> 01:05:07.599
excitatory serotonin is more inhibitory and so

01:05:07.769 --> 01:05:10.710
That is where all of the stimming and the ticks.

01:05:11.289 --> 01:05:15.650
And so there's five primary pathways in the basal

01:05:15.650 --> 01:05:19.190
ganglia, in that balance. And one of them is

01:05:19.190 --> 01:05:23.369
from Brodmann area six, the supplemental premotor

01:05:23.369 --> 01:05:27.650
area in the left brain that goes into the basal

01:05:27.650 --> 01:05:30.550
ganglia. The left brain activates the direct

01:05:30.550 --> 01:05:34.889
pathway and turns on stereotypical movement,

01:05:35.429 --> 01:05:38.599
programmed complex movement. And the right brain

01:05:38.599 --> 01:05:41.440
inhibits that through the hyper direct indirect

01:05:41.440 --> 01:05:44.780
pathway. When you don't have that right side,

01:05:45.300 --> 01:05:48.460
that left brain is unregulated. And that's why

01:05:48.460 --> 01:05:51.500
they have ticks and stimming and same thing with

01:05:51.500 --> 01:05:56.039
OCD. That's where it comes from. Yeah, it's like

01:05:56.039 --> 01:05:58.320
flip the light switch. It's just sitting there

01:05:58.320 --> 01:06:00.980
constant flip the light switch. But it has to

01:06:00.980 --> 01:06:02.840
recruit the basal ganglia to actually do the

01:06:02.840 --> 01:06:07.010
motor movement. I'll flip the light switch. That's

01:06:07.010 --> 01:06:11.650
fantastic Well, she'll tell us how people can

01:06:11.650 --> 01:06:14.130
get a hold of you. Let me ask you something I

01:06:14.130 --> 01:06:16.989
know you like to speak about neuroscience and

01:06:16.989 --> 01:06:19.429
you said you've spoken to neuroscientists on

01:06:19.429 --> 01:06:23.489
this Podcast before and I think it's great. How

01:06:23.489 --> 01:06:26.110
many other neuroscience know this? How many other

01:06:26.110 --> 01:06:29.309
neuroscience know that aspect of what's happening

01:06:29.309 --> 01:06:31.670
in the brain and the basal ganglia as a root

01:06:31.670 --> 01:06:37.170
issue related to autism? No, not enough Not enough

01:06:37.170 --> 01:06:40.750
at all. Really, almost none. Yeah. And that's

01:06:40.750 --> 01:06:43.570
the thing. And most neuroscientists are not clinicians.

01:06:44.269 --> 01:06:46.710
How many clinicians you think understand that?

01:06:47.170 --> 01:06:50.750
No, none. Absolutely none. That's where people

01:06:50.750 --> 01:06:53.409
say to me, how do you know this stuff or how,

01:06:53.409 --> 01:06:55.590
you know, how are you coming up with these unique

01:06:55.590 --> 01:06:58.969
ways? Because you understand, I understand the

01:06:58.969 --> 01:07:02.250
neuroscience and functional neuroscience probably

01:07:02.250 --> 01:07:05.460
as well as anybody in the world. And also, I've

01:07:05.460 --> 01:07:08.659
been a clinician working at this for 35 years

01:07:08.659 --> 01:07:13.420
and combining this together is really the key.

01:07:14.179 --> 01:07:16.719
And, you know, that's my goal is to teach others

01:07:16.719 --> 01:07:20.639
this and put it out there to lead the way. But

01:07:20.639 --> 01:07:23.519
I think you realize this is where health care

01:07:23.519 --> 01:07:28.340
has to go, especially brain health. The integration

01:07:28.340 --> 01:07:31.500
of understanding and that's where a lot of the

01:07:31.500 --> 01:07:35.300
confusion is out there because again There's

01:07:35.300 --> 01:07:39.079
very few to no clinicians that understand the

01:07:39.079 --> 01:07:42.760
neuroscience in a functional complex way and

01:07:42.760 --> 01:07:46.099
most neuroscientists Don't understand functional

01:07:46.099 --> 01:07:49.219
neuroscience and don't work with patients So

01:07:49.219 --> 01:07:51.099
they don't understand what this actually looks

01:07:51.099 --> 01:07:53.579
like clinically and what what would I do about

01:07:53.579 --> 01:07:57.309
it? They have no idea Mm -hmm. Yeah Yeah, it's

01:07:57.309 --> 01:08:01.070
lacking bad. And it's the silos. It's a product

01:08:01.070 --> 01:08:08.289
of the silos. And the basal ganglia is really

01:08:08.289 --> 01:08:11.329
central. to have a lot of episodes on the basal

01:08:11.329 --> 01:08:13.409
ganglia because it's very fascinating and well

01:08:13.409 --> 01:08:15.570
just so you know actually know again everything

01:08:15.570 --> 01:08:18.010
i talk about i've published papers and research

01:08:18.010 --> 01:08:21.189
so our paper on the basal ganglia and going through

01:08:21.189 --> 01:08:24.149
exactly what we just described is one of the

01:08:24.149 --> 01:08:27.289
down most downloaded papers in all of neuroscience

01:08:27.289 --> 01:08:31.569
on basal ganglia okay if you if you go it's a

01:08:31.569 --> 01:08:33.750
it's an open access if you look at my name under

01:08:33.750 --> 01:08:37.659
basal ganglia the paper that we go to describe

01:08:37.659 --> 01:08:41.000
this and a lot of other papers, because I go

01:08:41.000 --> 01:08:43.479
into the basal ganglia in most of our papers.

01:08:43.979 --> 01:08:46.060
And like I said, you know, one of my best papers

01:08:46.060 --> 01:08:50.100
really is really describing in detail the neuroscience

01:08:50.100 --> 01:08:53.880
of autism. And so, you know, reading up on the

01:08:53.880 --> 01:08:56.420
basal ganglia, our paper is one of the leading

01:08:56.420 --> 01:08:59.579
papers ever published on the basal ganglia and

01:08:59.579 --> 01:09:02.140
how it relates to these issues. So, you know,

01:09:02.140 --> 01:09:05.069
I'm not just saying this, this something that,

01:09:05.069 --> 01:09:07.810
you know, we published at the highest level.

01:09:08.550 --> 01:09:10.689
Yeah, the baseball game has to be involved. It's

01:09:10.689 --> 01:09:16.550
our goal. Go, no go. And it's not, it's not talked

01:09:16.550 --> 01:09:19.569
about it. No. And people don't understand the

01:09:19.569 --> 01:09:22.289
laterality of it. They don't understand the difference

01:09:22.289 --> 01:09:24.409
and the way that the right brain and the left

01:09:24.409 --> 01:09:27.760
brain interact. with the basal ganglia even though

01:09:27.760 --> 01:09:30.119
it's clearly out there look up the hyper direct

01:09:30.119 --> 01:09:32.840
pathway and you'll understand that it's only

01:09:32.840 --> 01:09:36.479
in the right side of the brain one of those with

01:09:36.479 --> 01:09:39.739
the lack of knowledge on the left and the right

01:09:39.739 --> 01:09:43.140
with this so fantastic i love it because this

01:09:43.140 --> 01:09:46.279
is a lot of neuroscientists are and a lot of

01:09:46.279 --> 01:09:48.579
neuroscience because they use they they really

01:09:48.579 --> 01:09:51.539
look at just the computational neuroscience piece

01:09:51.539 --> 01:09:54.420
and that's the thing You know, when you look

01:09:54.420 --> 01:09:57.060
at these subtle differences between long -range

01:09:57.060 --> 01:10:00.119
and short -range connectivity over the whole

01:10:00.119 --> 01:10:05.220
brain, these are subtle little microscopic differences

01:10:05.220 --> 01:10:09.939
that individually don't really add up to much.

01:10:10.640 --> 01:10:16.880
But over the whole brain, it adds a lot behaviorally,

01:10:17.180 --> 01:10:20.420
right? The phenotype that is but when you look

01:10:20.420 --> 01:10:23.760
neuroscience only at the computational part of

01:10:23.760 --> 01:10:27.479
analyzing the connections and everything you

01:10:27.479 --> 01:10:30.220
don't really see the big differences between

01:10:30.220 --> 01:10:33.100
the right and left brain and so a lot of modern

01:10:33.100 --> 01:10:36.720
neuroscientists are more like oh the whole right

01:10:36.720 --> 01:10:39.079
brain left brain thing isn't really a big deal

01:10:39.079 --> 01:10:43.060
where most of You know, a lot of neuroscience

01:10:43.060 --> 01:10:46.399
in the background in the past really documented

01:10:46.399 --> 01:10:49.479
it. But if you really look at it from a behavioral

01:10:49.479 --> 01:10:52.960
perspective, it's the biggest piece. It is what

01:10:52.960 --> 01:10:55.979
makes the human brain most unique. So there's

01:10:55.979 --> 01:10:58.380
a lot of conflict even within the neuroscience

01:10:58.380 --> 01:11:00.960
community. And again, that creates confusion

01:11:00.960 --> 01:11:04.460
out there in the public with people that hear,

01:11:04.680 --> 01:11:06.279
oh, that right brain, left brain thing isn't

01:11:06.279 --> 01:11:09.279
a big deal anymore. No, it's a huge deal and

01:11:09.279 --> 01:11:12.859
it's getting even bigger. in the world that actually

01:11:12.859 --> 01:11:20.399
researches it and understands it. It makes sense,

01:11:20.619 --> 01:11:22.659
you know, if you think about it, there's two,

01:11:22.859 --> 01:11:25.880
there's contralateral for a reason, except for

01:11:25.880 --> 01:11:28.020
the pineal. Everything else is contralateral,

01:11:28.359 --> 01:11:31.520
correct? Exactly. It's an advantage. You should

01:11:31.520 --> 01:11:34.039
definitely read some of Ian McGillchrist's work.

01:11:34.520 --> 01:11:39.619
One book, his first book was called the master

01:11:39.619 --> 01:11:43.079
and his emissary, the development of Western

01:11:43.079 --> 01:11:46.699
civilization, Western civilization and the divided

01:11:46.699 --> 01:11:50.760
brain. And just, you know, his his work in my

01:11:50.760 --> 01:11:54.100
textbook, I think are foundational. But the only

01:11:54.100 --> 01:11:56.859
thing is that, you know, Ian is great and he's

01:11:56.859 --> 01:11:59.500
incredibly, you know, his writing is beautiful,

01:11:59.960 --> 01:12:02.100
but he doesn't have a solution for it. Right.

01:12:02.619 --> 01:12:05.260
I came up with the solution based on it. And

01:12:05.260 --> 01:12:08.500
so that's the difference. But his writing and

01:12:08.500 --> 01:12:11.140
his information on it on and especially on brain

01:12:11.140 --> 01:12:15.060
asymmetry is amazing. Yeah, I very much appreciate

01:12:15.060 --> 01:12:19.520
your work with the clinical side and like those

01:12:19.520 --> 01:12:22.380
functional neuroscience side, because that's

01:12:22.380 --> 01:12:26.159
the that's the path. Absolutely. Earlier, you're

01:12:26.159 --> 01:12:28.859
talking about roads and I love those analogies

01:12:28.859 --> 01:12:33.739
and that's the road. Right. Yeah, well, let's

01:12:33.739 --> 01:12:36.079
spread the word out there through you and through

01:12:36.079 --> 01:12:38.560
other people like you and through your community.

01:12:39.279 --> 01:12:42.020
And, and, you know, we can create change. I mean,

01:12:42.159 --> 01:12:43.819
that's all we can do, right? We're in this world

01:12:43.819 --> 01:12:46.319
to hopefully make a difference. You're making

01:12:46.319 --> 01:12:48.359
a difference by what you're doing. And I'm making

01:12:48.359 --> 01:12:51.460
a difference. And I just, you know, once you

01:12:51.460 --> 01:12:53.079
make a difference, you only want to make more

01:12:53.079 --> 01:12:55.600
of a difference, a positive difference, right?

01:12:56.160 --> 01:12:58.779
So, you know, let's, uh, this is what we do.

01:12:58.939 --> 01:13:01.939
We put our mind and manifest that and, and, uh,

01:13:02.000 --> 01:13:05.819
we can make it happen. Yeah. Oh, let's stay in

01:13:05.819 --> 01:13:08.159
touch. And now, cause there's a lot of different

01:13:08.159 --> 01:13:12.039
things that we can really zoom into that I want

01:13:12.039 --> 01:13:15.819
to. Absolutely. Love to. Well, thank you for

01:13:15.819 --> 01:13:17.760
your time, Dr. Malalo. And I hope you have a

01:13:17.760 --> 01:13:19.720
great day. My pleasure. You too.
