00;00;00;12 - 00;00;22;25 Cary And now America's health care advocate, Cary Hall. Hello, America. Welcome to America's Healthcare Advocate Show broadcasting coast to coast across the U.S., from Alaska to Florida, all the way to Hawaii, where I'll be going soon. My producer name, Mr. Shawn Floyd. I'm your host, Cary Hall. This is your show, America. Thank you for joining us and making us one of the most listened to talk shows throughout the United States. 00;00;23;03 - 00;00;41;21 Cary 294 affiliates strong. Thanks to all of you in our listening audience. If you want to follow me on Twitter, Facebook, Instagram or LinkedIn, you can do that at H, a radio show. H a radio show. That's the easiest way to go up there. If you want to post something, send me something, whatever. You may do that up there. 00;00;42;01 - 00;01;05;12 Cary Also, the website health radio taught us. That is the website Health Radio dot us. If you have a question or comment or something I can help you with, send me an email. I am happy to do so. I get a lot of them so I don't answer each one the same day, but I do answer each and every one of them and I remind you, as I always do at the beginning of every one of these broadcasts that we are posted on, I think it's 11 podcast platforms now. 00;01;05;12 - 00;01;30;02 Cary So we're on Apple, Google, Spotify, Spreaker, TuneIn, iHeart, Amazon Music, Pandora, Stitcher, SoundCloud and YouTube. So if there's a platform out there we're not on, somebody needs to tell me what it is. So today's show is going to be very interesting. We've got in studio with us again, fortunate to have her back, doctor, Dr. Emily Kalambaheti. She is here today with the Florida Surgery Consultants Brain Lab. 00;01;30;07 - 00;01;35;12 Cary And her CEO, Greg Hackworth, is here as well. Welcome to the show, both of you. Glad to have you back. 00;01;35;24 - 00;01;36;10 Speaker 2 Pleasure to be. 00;01;36;10 - 00;01;56;18 Cary Back. So we're going to be talking about PTSD and TBI, traumatic brain injury. That's what these folks do. It's what they treat. Dr. Kalambaheti has been on before, so if there's somebody you know in your family, if there's a veteran or somebody that's had a traumatic brain injury and you want to tell them about this broadcast back to the podcast platforms, that's why they're there. 00;01;56;24 - 00;02;07;20 Cary Go back up to the podcast platform. You can listen to the show just like we did it in studio with all the information that we're going to put out today for everybody to listen to. So once again, as I said, welcome back, doctor. 00;02;08;12 - 00;02;09;06 Speaker 2 Well, thank you very much. 00;02;09;12 - 00;02;15;28 Cary Flew in here from Florida this morning all the way from Tampa, Florida, to get here. So I'm assuming Tampa didn't get hit too hard by the hurricane? 00;02;16;02 - 00;02;17;16 Speaker 2 No, we were very fortunate, right. 00;02;17;17 - 00;02;34;21 Cary Greg, you guys, you're in Tampa as well. So, so, so again, we greatly appreciate your coming in. So let's just start talking about what what Florida surgical consultants and the brain lab. What is it you're doing? What is your mission? And let's start with that. 00;02;34;21 - 00;02;58;10 Speaker 2 Dr. Of course. So when we're looking at the Florida Surgery Consultants Brain Lab, really what we're focused on is neuro rehabilitation. You know, we started up, you know, some of our neurosurgeons were recognizing that after surgery or for the patients that don't qualify for surgery, they still need treatment. They need to be able to be seen and have their brain injuries and their neurological conditions treated. 00;02;58;23 - 00;03;18;16 Speaker 2 So that's where the brain lab comes in. And we focus on objective diagnostic testing. So relying on numbers and images, not just, you know, a list of symptoms, and then we create customized treatment plans for our patients and follow up with them to make sure that they're continuing to see results with their customized care plan. 00;03;18;28 - 00;03;34;07 Cary So go back to that as I was doing show notes at 530 in the morning, although I know you started flying out, I think you said you slept until four. But but that was one of the things that jumped out at me this morning as I was doing the notes to get ready to do the show was the database and diagnostic testing. 00;03;34;07 - 00;03;43;18 Cary Now that's very different than just about anybody else that is treating this. That means you're measuring the progress. You're measuring what they do. 00;03;43;29 - 00;04;15;01 Speaker 2 Absolutely. So, you know, maybe ten years ago and maybe even more recent for some clinics, people have just been relying on questionnaires, you know, 0 to 6. How do you feel about this? Often, rarely, never. Sometimes all the time. But when it comes to actual objective data, we're relying on cutting edge technologies to give us amplitude of wavelengths in the brain using quantitative electroencephalography, which is just a fact that me again. 00;04;16;04 - 00;04;17;29 Cary I don't think I could even say that on the air. 00;04;18;03 - 00;04;30;05 Speaker 2 So the the abbreviation is Q EEG, but it helps read the electrical activity in different regions of your brain. So we know how, how quickly or in what state different regions of your brain are in and how well they're communicating to one another. 00;04;30;21 - 00;04;55;05 Cary So. Great. What what made you you know, you connect you and Dr. Kalambaheti had he put this together to start this program that focuses very heavily on treating veterans and first responders who typically have these issues in higher levels than other folks do. Although, you know, we've got Steve Sanborn, my partner at Neurologic, and I have a very good friend who had a horrible, traumatic brain injury riding a bicycle. 00;04;55;15 - 00;05;02;29 Cary Okay. So this is not just indigenous to veterans and first responders are the people. So but what made you all decide you wanted to do this? 00;05;03;07 - 00;05;11;17 Speaker 3 Well, the first responders was probably the the jump over for us, because we we do a lot with traumatic brain injuries from car accidents. 00;05;11;18 - 00;05;12;02 Cary Okay. 00;05;12;02 - 00;05;41;14 Speaker 3 But the first responders I became a chaplain in 2019 with a ministry group who founded by a veteran. And he told on my heart, he said, that veterans are committing suicide. 31 to 32 a day. Even asked him to reaffirm that, said, use it, say 31 to 32 a day. He said yes. And that just wait on my heart to say these young men and women who go off to war, to fight for everything that we have right now, come back to be left alone, to have to fight these battles alone. 00;05;41;26 - 00;06;00;29 Speaker 3 And when he said that, it it kind of weighed heavily on my heart to figure out, okay, we have this traumatic brain injury. We have these amazing doctors, neurosurgeons who can identify these traumatic brain injuries when they're in a car accident. But the idea was that we could identify it through MRI, through Q EEG. We weren't doing anything about it. 00;06;00;29 - 00;06;03;07 Speaker 3 We were making the statement, yes, you had it. And then what? 00;06;03;29 - 00;06;19;29 Cary Yeah. You know, and it's funny, Doctor, because, you know, I'm involved with the VFW and I and I'm a veteran and I'm in the VA and all the rest of it. I don't use it, but I have access to it if I want to use it. But the problem is they don't have these kind of programs. Okay. And so what winds up happening is what Greg just said. 00;06;20;08 - 00;06;39;05 Cary You go in, you get evaluated. Yes, you've got a problem. Well, here's some pills and we start down the road to drugs. And I think that has a tendency to lend itself to these kinds of issues that then contribute to them committing suicide or living, you know, with depression and all the other issues and their families are falling apart. 00;06;39;11 - 00;06;39;29 Cary Would you agree? 00;06;40;03 - 00;06;41;20 Speaker 2 Oh, absolutely. 00;06;41;20 - 00;06;48;21 Cary And so the way that you're laying out your treatment protocol is completely different than anything else that's out there, at least that I know of. 00;06;49;06 - 00;07;12;24 Speaker 2 No drugs, no surgeries. Is we really shy away from prescription medications, the thought being that you can retrain the brain? You know, during that moment when that traumatic response occurred or when you're stuck in that fight and flight state because you needed to be able to survive that moment, it can almost recalibrate your brain in a way that those default settings aren't appropriate for everyday life. 00;07;12;25 - 00;07;36;20 Speaker 2 Well, then you have to come home and you have to you have to recalibrate yourself. And there are pills just not going to cut it. Most of the time you need those intense neurological treatments to get the brain back on track, to help those people get back in that, you know, out of fight and flight back and rest and digest and learn to live in an environment where threats aren't an everyday experience. 00;07;36;20 - 00;08;01;23 Cary Yeah, that's really interesting. You should rob that fight or flight because I had this conversation with the national director for legislative affairs for VFW, Patrick Murray, the other day. And we talked about the fact that in Vietnam and then moving forward from there, you're you're in the field out there, you know, doing what you're doing. And 48 hours later on a jet plane coming back to California or wherever or Seattle or wherever you wind up dropping out of. 00;08;02;00 - 00;08;24;23 Cary And that started in Vietnam. And it's it's gotten more prevalent now with these veterans coming out of Afghanistan, Iraq and all the rest of it, especially with doing multiple tours like they're doing now. So there's really no wind down time for this kind of thing, right? Correct. So they come back wired okay. Because this is how they been living and now it's, oh, let's go ahead and get a cup of coffee. 00;08;25;02 - 00;08;28;12 Cary Well, that's not the life that they're used to, right? 00;08;29;03 - 00;08;55;19 Speaker 2 You have to you do the same way you train for deployment. You almost have to train when you come back home to of of getting your brain back in the right mindset. And, you know, nowadays there's really amazing technologies like transcranial magnetic stimulation and neurofeedback and different therapies that we offer that can help the brain change and get you back into a state of being that's conducive to everyday life. 00;08;55;19 - 00;09;07;23 Cary Yeah. What I really like the takeaway probably from from this particular segment, the show today is your comment about retraining the brain because you're saying it can be done. But it's a but it's a process. 00;09;08;00 - 00;09;09;07 Speaker 2 Yes, it is. Yeah. 00;09;09;08 - 00;09;29;12 Cary It's not a one and done type thing. And in the case of, you know what, you all do it for the surgery consultant. It's done without medication, which is completely different. We come back from the break. We're going to continue this fascinating conversation with Dr. Kalambaheti and Greg Heckroth from the Florida Surgery Consultants. Their website is FloridaSurgeryConsultants.com. 00;09;29;19 - 00;09;49;10 Cary The phone number 833-282-7246 or 833-28-brain. If you want to reach out to them, they'll be happy to chat with you. Maybe somebody in your family has an issue like this or, you know, of somebody at your church, school, whatever the case may be, feel free to reach out to them. They would be happy to help you. Once again, the phone number 833-28-brain. 00;09;49;16 - 00;09;58;17 Cary Stay tuned. We'll be right back after the break. You're listening to America's Healthcare Advocate broadcasting. Coast to coast across the U.S. The doctors in the House don't go anywhere. 00;09;59;05 - 00;10;03;29 Speaker 4 #We'll be one day.# 00;10;03;29 - 00;10;04;26 Cary I'll be down. 00;10;05;17 - 00;10;16;12 Speaker 4 And my right eye. 00;10;16;12 - 00;10;37;10 Cary Well, I'll come back. You're listening to America's Healthcare Advocate Show broadcasting coast to coast across the U.S. The website, if you want to reach out to me, health radio dot U.S. Health Radio dot U.S. Lot of unique stuff up there. A lot of information up there. Video posts are up there as well. So if you want to go to the website, if you see something up there interest or if you have a question or comment, I can help you feel free to do so. 00;10;37;17 - 00;11;04;21 Cary My producer, the always perfect Mr. Sean Floyd, I'm your host, Cary Hall, in studio with me, Dr. Emily Kalambaheti. She is a functional neurologist and the CEO of Florida Surgery Center consultant and Brain Lab CEO Greg Heckroth. We're happy to have them in the studio with us today. And we are talking about traumatic brain injury, how it affects people who is affected and how they treat this in a very different way. 00;11;04;27 - 00;11;20;19 Cary This is not a surgical treatment. This is not a treatment through drugs. This is a completely different way of treating. It's a holistic way of treating. Greg, let's talk about your team because you've got a pretty unique team that you've assembled with Dr. Kalambaheti and some of the other folks. Let's talk a little bit about that. 00;11;21;00 - 00;11;55;20 Speaker 3 Well, the approach takes a comprehensive approach. We have neurosurgeons obviously historically identified the brain injuries through surgery. This group of doctors approach it in a little different way. They're actually able to give a perspective on the diagnostics, the MRI, the functionality of the brain from a diagnostic perspective and what that leads us into then the treatments. So once the neurosurgeon sees the patient, they're able to diagnose the traumatic injury that sustained at that point are then turned over to Dr. Kalambaheti 00;11;55;20 - 00;12;08;05 Speaker 3 and her team. Her team, then, obviously through the diagnostics, assesses the injuries and they're able to put together a treatment plan. And that is also inclusive of a neuroscience psychologist that helps us with that program, too. 00;12;08;18 - 00;12;12;20 Cary So we've got Dr. Kalambaheti, you've got neuropsychologist. Who else is on your team? 00;12;12;20 - 00;12;26;17 Speaker 3 Yeah, Dr. Bina, Gene Sabi, Jane, who is a neurosurgeon. We have Dr. Jonathan Hall, who's also a neurosurgeon. We have Dr. Donna Salmon, who's a neurosurgeon. We also have a physician assistant, Darryl Moore. 00;12;26;24 - 00;12;48;15 Cary That's that's a pretty strong team. Dr.. Yeah. So, so you're not divorced from the neurosurgeons there, part of the practice of what you do, but you're taking a very different approach to this. Okay. So we're going to talk about veterans and first responders here in the next segment. But let's switch gears a little bit and let's talk about concussion in sports. 00;12;48;15 - 00;13;16;00 Cary I, I mentioned off air that there was a soccer game here a couple of days ago, a girls soccer game. And by the way, this was interesting because when we started doing these shows on Concussion, I found out that the number one sport for concussion injuries, it isn't football, it's girls soccer. Okay. This particular little piece I saw in the news the other day was two Division one schools emptying the bench out as they pounded the daylights out of each other in a fight in the middle of the field. 00;13;16;00 - 00;13;25;21 Cary So so let's talk a little bit about these concussions, you know, from soccer and the other sports and how you treat that when when those issues arise. 00;13;25;29 - 00;13;50;05 Speaker 2 Of course. So I will say most concussions in soccer are not from brawls. Yeah, I would say usually it's from getting having a bad header or getting kicked or hit in certain ways. But when it comes to these sports concussions, I'm especially as passionate about sports concussions. My first ever concussion was in soccer. I was a goalkeeper. I got kicked in the head momentarily out of consciousness. 00;13;50;16 - 00;14;23;22 Speaker 2 But having a head injury, when you're still developing your brain, which is anyone under the age of 25, even 33 in some research is still a developing brain. It can predispose you later in life to mental health challenges. It can predispose you to having higher rates of dementia. So you want to make sure that when these kids, teenagers, 20 somethings do get concussions in sports, that they're getting treated for it because a lot of the research that shows that there's lasting issues are because those people aren't getting treated. 00;14;24;12 - 00;14;42;00 Cary Yeah, they're not getting treated and it gets worse. So they do the little subjective of test where they fill out a little piece of paper and the coaches tell them, here you want to, you're waving to the coaches, tell them, this is how you answer this, this is how you answer this. And the kid wants to get back in play. 00;14;42;13 - 00;14;51;09 Cary So that's what we make the determination of whether he can go back now they go back and play. And 40% of these kids aren't ready to go back and play. That's the number that I've seen. 00;14;51;13 - 00;14;51;24 Speaker 2 Okay. 00;14;52;07 - 00;14;54;11 Cary Now what happens if they get a second concussion. 00;14;54;18 - 00;14;57;01 Speaker 2 More severe, more likely to have permanency. 00;14;58;00 - 00;15;00;23 Cary Meaning they're going to carry this with them for the rest of their life? 00;15;00;23 - 00;15;20;03 Speaker 2 And it's something that we saw recently in the NFL. You know, some players are getting put back in the game. They're not ready for it. And then the next hit they take, they're having they're having permanent damage from it. That being said, these cognitive tests you're talking about, these little questionnaires, ask the athletes. They know how to flunk them so that their baselines are low. 00;15;20;10 - 00;15;36;06 Speaker 2 That's why we rely on objective data. You can't flunk the tests that we give, but you can flunk a cognitive test. If I ask you to remember five words you can pretend to forget a word or two. And that way, when you're concussed later on and you really can't remember, it looks fine. But those. Those students aren't fine. 00;15;36;06 - 00;15;37;17 Speaker 2 Those athletes aren't fine. 00;15;37;21 - 00;16;04;23 Cary Yeah, it just seems to be a real problem because again, you know, there isn't subject these tests that they sit down with these kids and do are subjective. We're talking about something here that's completely different. It's subjective data and you can't cheat the data. Correct. If you if you're doing a lot of brain scan or whatever the case may be, you're going to know whether or not that child is ready to go back because it's going to picture the brain and you're going to see the results and you're going to know whether or not they can go back and whether it's safe for them to play. 00;16;04;23 - 00;16;09;18 Cary Because unfortunately, the way it's working now is that's not typically how it's done, is it correct? 00;16;09;18 - 00;16;30;10 Speaker 2 We're using not us, but the general public. They're using outdated science. You know, the science has changed. The devices have changed. The technology has improved immensely in the last five years. In my opinion. There's no reason why we aren't having these types of objective data as as baselines for all our high school and college athletes. 00;16;30;16 - 00;16;51;09 Cary Yeah, you know, that is an interesting question, Greg. You wonder why the schools aren't more aggressive in this because at the end of the day, the parents are going to be pointing the finger at the school if they're if they do go through a second concussion and now that kid can't function in school, they can't they can't, you know, get through the classes and get the grades and do what they do. 00;16;51;15 - 00;16;54;06 Cary They're going to come back and they're going to point the finger at the school, are they not? 00;16;55;05 - 00;17;08;16 Speaker 3 I'm sure they would. I mean, a lot of parents that we've spoken to, depending on the level of the athlete, you know, are afraid of the findings, basically thinking, hey, my kids, the next Patrick Mahomes would use it as an example. Right. 00;17;10;02 - 00;17;14;05 Cary So good luck with that. There will be another one of those around for a while. 00;17;14;06 - 00;17;29;28 Speaker 3 Yeah, I agree. But you know what I'm saying? That they feel like that would be a negative impact on them. So they want to hide that. You know, a parent who obviously comes in with a real expectation that less than 1% are ever going to go, they want to safeguard the child. You know, our respect is what's make the child better. 00;17;30;05 - 00;17;52;08 Speaker 3 Let's give them the opportunity to continue to grow. If they have a baseline, we can see the significant changes. And then obviously we're talking about test scores. You know, okay, sports is important, but life is so much more important. Test scores are important. Just functionality. Depression, anxiety on a rise. So the idea here is that I can see some parents getting involved and say, no, I don't want that test put my kid in. 00;17;52;21 - 00;17;54;14 Speaker 3 But normally most aren't doing that. 00;17;54;14 - 00;18;04;29 Cary Yeah, and that's that's unfortunate because that doesn't benefit anybody. What winds up happening is you take a problem that was maybe a level one problem and now you make it level two, three or four problem, as you said. 00;18;05;01 - 00;18;06;10 Speaker 2 And that's why education is so. 00;18;06;13 - 00;18;29;20 Cary Yeah, it just it just magnifies it. It keeps going. And then you have a lifetime problem as a result of the fact that you didn't take care of it when you should have if you want information there website is Florida surgery consultants dot com Florida surgery consultants dot com the phone number 833-28-brain, 833-28-brain if you want to call them and they you know, people come there from all over the country. 00;18;29;20 - 00;18;46;26 Cary Okay this is not just indigenous to Florida. So, you know, if you've got somebody in the Midwest or somebody out West, you know, on the West Coast, you've you've got a significant problem like this. We're going to get into first responders and veterans the next segment. Stay tuned. We'll be right back after the break. You're listening to America's Healthcare Advocate. 00;18;47;01 - 00;19;19;08 Cary We'll be right back with more and welcome back. You're listening to America's Healthcare Advocate show broadcasting coast to coast across the U.S. here on the HIA radio network. You can find out more about us by going to the website. Health Radio dot U.S. Health Radio dot U.S. Remember what I said? People, you're listening to this today and you're like, this is like drinking out of a firehose, right? 00;19;19;08 - 00;19;41;00 Cary Listening to Dr. Kalambaheti, I can't pronounce half of what she talks about. Okay. So maybe you've got somebody in your family, a friend, maybe somebody at your church, PTA, whatever the case may be. The podcast platforms Google, Spotify, Spreaker Tune in iHeart Radio, Amazon Music, Pandora, Stitcher, SoundCloud and YouTube shows her post on every one of those. 00;19;41;06 - 00;20;05;13 Cary This show we posted up there with doctors name the name of their of their group and what they do. So you'll be able to find it. It's a lot easier than trying to regurgitate all of this to somebody just to say go to the podcast platform and listen to it. And their website, Florida Surgery Consultants Dot com, Florida Surgery Consultants dot com. The phone number 833-28-brain, 833-28-brain there in Tampa, Florida. 00;20;05;13 - 00;20;23;13 Cary They treat people from all over the country. People go there because they have very specific treatment protocols. They do and they have been very successful with it. So, Dr. Kalambaheti let's talk about some of those treatment protocols and what happens when let's say you've got, you know, a member of the military who's out of the military now. 00;20;23;13 - 00;20;37;04 Cary Come in. They've got they've had TBI because, you know, they were hit with IEDs. You know, whatever the case may be, they've got PTSD on top of it. And they're coming in for treatment. Kind of go through some of the things that you do, of course. 00;20;37;04 - 00;21;02;21 Speaker 2 So they're going to start off with several hours of testing. We can break that up if needed, depending on what their schedule is or how quickly they fatigue. But we always start off with a unique way of looking at their heart rate and blood pressure. So most people think that your blood pressure just is what your blood pressure is, but it can actually be different on the left side versus the right side of your body based on how your brain stem is functioning and that fight or flight system is functioning. 00;21;03;01 - 00;21;16;02 Speaker 2 So the first thing we're going to do is something that's normal, but we're going to do it a little bit different, right? The blood pressure left and right. Then I want to see what your heart rate's doing. I want to see what is heart, what your heart rate's doing when you're just seated or lying down. And then what happens when you stand up? 00;21;16;19 - 00;21;46;03 Speaker 2 It's normal for your heart rate to go up a little bit. But what you'll see in people that have that autonomic nervous system being disregulated or not functioning very well is the heart rate can skyrocket. Almost like standing up is as big of a threat as having a bear in the room. So from the very beginning, we're looking at testing that maybe they've already had done, but looking at it with a different set of lenses to really uncover abnormalities and some of the most central and basic structures in the brain. 00;21;46;12 - 00;22;08;22 Speaker 2 From there, we like looking at balance, testing eyes open, eyes closed, hard surface foam, surface, seeing how the different systems in the body are communicating to one another balance is important. Yes, they're being able to separate out which systems are feeling that person is just as important. And then I love looking at the eyes. We have a really cool piece of technology. 00;22;09;00 - 00;22;15;27 Speaker 2 I'm over at the brain lab called the video Oculus. Video Oculus. Actually, I know. I stumbled. 00;22;15;27 - 00;22;18;20 Cary She stumbled. All right. I'm impressed. Okay, good. 00;22;19;00 - 00;22;33;18 Speaker 2 We'll call it the VOG Thank you so the vlog is a set of high tech goggles with basically night vision cameras on the inside. So I can see what the pupils do and what the eyes do in the dark when there's nothing to look at. And then I shine light in the eyes. I have them track a moving target. 00;22;33;18 - 00;22;49;15 Speaker 2 I have them try to jump their eyes to targets appear and disappear. And that lets me look down to the millisecond at their visual reaction speed. It lets me look to see if one pupil is bigger than the other or if the pupils are just too big overall and they're in that fight. And Flight State lets me look to see if they can track well. 00;22;49;15 - 00;23;05;24 Speaker 2 And every eye movement, whether it's a sliding movement, a jumping movement, front and back, left and right, up and down, gives you more information about very specific regions of the brain, and that will help customize that treatment plan for that specific patient after we collect all the data. 00;23;06;05 - 00;23;28;18 Cary Okay. So that's that that's the that's a pretty extensive process. That's the process you go through to put together your treatment plan. Now, let's talk about some of these things that you do. Okay, neurofeedback, virtual reality therapy, transcranial magnetic stimulation. Holy cow. I didn't get it wrong. Hyperbaric chamber and vestibular therapy go through some of those. And what do those do? 00;23;28;21 - 00;23;34;05 Cary And how do those help bring this this person back to some form of normalcy? 00;23;34;09 - 00;24;01;17 Speaker 2 Absolutely. So the neurofeedback is a way to retrain the brain and retrain the brain waves or basically how fast the electrical activity is in the brain. So you'll see sometimes in head injuries that they'll have too much of the brainwaves you're supposed to have when you're sleepy or drowsy. Those people tend to have brain fog, memory challenges. Sometimes they'll you'll see they'll have too much of the brain with it's supposed to be active when you're doing critical thinking, even when they're just sitting there. 00;24;01;17 - 00;24;06;17 Speaker 2 And those patients tend to be anxious, you know, very hard to rest, hard to fall asleep at night. 00;24;06;18 - 00;24;24;28 Cary Because that's how I was going to ask you if if the brain can't rest when you sleep, you're creating chronic fatigue. I mean, I'm guessing and then you're going to have, like you said, brain fog. There are a whole host of issues go because sleep. The idea with sleep is to let the brain rest. If the brain can't rest, then what happens? 00;24;25;04 - 00;24;39;00 Speaker 2 Well, it's a vicious cycle. You're not resting, so you're not healing. You're not healing, so you can't rest. And then it keeps going on and on. So these patients can be stuck with these chronic challenges and they won't get better by just telling them to rest more. 00;24;39;06 - 00;24;46;24 Cary They more by giving them drugs like sleeping pills and the rest of it, the drugs that are putting a Band-Aid over it. But you're not treating the root of the problem, right? 00;24;46;24 - 00;25;00;10 Speaker 2 You're not treating the brain. Right. So the neurofeedback helps reregulate. It's actually a form of operant conditioning, but it helps reregulate the brain so that the brain waves are at more appropriate levels for that patient. 00;25;00;19 - 00;25;03;08 Cary Okay. So talk a little bit about virtual reality therapy. 00;25;03;21 - 00;25;26;20 Speaker 2 So virtual reality therapy is similar to neurofeedback, but it's considered biofeedback. So this is where we train the patient to have better control over their heart rate and breathing rate and we put them in virtual reality. So at the beginning, they're laying in the soft sands of a of a beach in Aruba. But as their training goes on, those scenarios become more and more provocative of those symptoms. 00;25;26;20 - 00;25;39;18 Speaker 2 So then maybe they're in a car and they're driving, maybe they're overseas, and we start having them gain control over their heart rate as we start putting them in a situations where normally they would feel out of control. 00;25;40;00 - 00;25;45;07 Cary Okay, here's one to see if I could pronounce again the next time. Transcranial magnetic stimulation. 00;25;45;08 - 00;26;10;09 Speaker 2 Beautifully said, Cary, you can call it TMS. Okay. But TMS has been research the last 5 to 10 years, specifically just for depression, anxiety. And it's been doing phenomenal with those conditions. But we're really starting to shift to make it even more cutting edge and using it for concussion and traumatic brain injuries. It's really neat, though, so you can use a magnet to basically turn on a section of the brain. 00;26;10;25 - 00;26;36;03 Speaker 2 So when the brain gets injured, some of the cells, when they don't know if they're going to have enough fuel to keep on going, they'll go into hibernation. It's called lying dormant. So these cells hibernate. But if there's nothing to tell the cells to wake up, they just stay in hibernation. They're not dead, but they're not functional. Well, the TMS or the transcranial magnetic stimulation can tell those cells to wake up to turn back on, to start functioning again. 00;26;36;23 - 00;26;58;07 Cary That that's that's remarkable. I mean it to listen to you go through all of this. And we're going to talk some more about some of the other therapies here in the next segment. But to listen to you go through all this so you're treating the whole patient here, you're evaluating and then you're coming back with specifics that are related to what their problems are. 00;26;58;07 - 00;27;10;01 Cary And then again, so what do we so typically what do you look at for I mean, how long does this go on? Is about for two weeks. A month. I mean, and then what happens when they leave or come in on the break here in about 2 minutes. 00;27;10;01 - 00;27;16;21 Speaker 2 But a lot of our patients start off with at least five treatments and each treatment is not, you know, a 50 minute in or out. 00;27;17;03 - 00;27;18;17 Cary They're like five days to do this. 00;27;18;17 - 00;27;38;22 Speaker 2 Five days and each is about 3 hours. Okay. But some of our patients that, you know, instead of having, you know, maybe just a small concussion have more traumatic brain injury or they have on top of that some PTSD or some learning challenges or some memory issues. The thing about the program is that we don't want to just cut people off because of treatments right now. 00;27;38;22 - 00;27;57;07 Speaker 2 So we have these tiers so we can be a little bit more flexible with how many treatments patients get and if they're tired one day, let's just move the treatment to the next day, and then we send people home with home exercises. And if they're not from my area, I want to make sure that they can continue forward with the things that work best for them. 00;27;57;07 - 00;28;14;15 Speaker 2 So I've worked with several different companies to make sure that they have the tools they need at home and they can continue their care. And then the Internet's great. I can pop on my computer and have a call or a video call with them, watch them do your exercises, make sure you're using your equipment right, all from the comfort of your own home. 00;28;14;24 - 00;28;39;16 Cary So set up like a Zoom conference and you're able to they've got they've come in to Florida, they've done the treatment. Now they're coming back to Kansas City or Des Moines, Iowa, Omaha, wherever it is. And they've they've improved their feeling a lot better, but they've got to continue to do this. So you're going to give them the tools to do that and you're going to do virtual consulting with them, virtual visits with doctor visits with them, going through making sure that they're on track with what they're supposed to be doing. 00;28;39;19 - 00;28;48;28 Speaker 2 Exactly. And I've been doing this for over half a decade, so I do have friends and other physicians in a lot of different areas, and especially the Midwest is where I'm from. 00;28;49;00 - 00;29;10;20 Cary Yeah. So if you want obviously, you know, you're listing this. She's remarkable, right? And what they do is remarkable at Florida. Florida Surgery Consultants, if you want to reach out to them, it's Florida surgery Consultants dot com Florida surgery consultants dot com, you know if you know somebody dealing with this, I strongly suggest you take a moment to look at that website. 00;29;10;20 - 00;29;30;21 Cary They also suggest that you call them at 833-28-brain. That's 833-28-brain. They could probably make a big difference for somebody in life if they are dealing with these issues. We'll be right back after the break. You're listening to America's Healthcare Advocate broadcasting coast to coast across the U.S. We've got more right after the break. 00;29;35;06 - 00;30;00;19 Cary Welcome back. You're listening to America's health care advocates show broadcasting coast to coast across the USA, here on the HIA radio network, those podcast platforms, Google, Spotify, Spreaker, tune in iHeart, Amazon, Pandora, Stitcher, SoundCloud and YouTube. The shows are up there. This particular show will be labeled. You'll see Dr. Kalambaheti name on there. You'll also see Florida Surgery Consultants on there. 00;30;00;19 - 00;30;19;27 Cary So you can if you want to tell somebody about this, you want somebody else to listen to this. They can go back to that website. The whole show's posted on the podcast. We cut it down, so it's a lot quicker. But all the information that Dr. Kalambaheti and Greg put forward today is in that podcast, and they can listen to it if they want to. 00;30;19;27 - 00;30;39;24 Cary Their website Florida Surgery Consultants dot com Florida Surgery Consultants dot com. The phone number 83328. Brain 83328 brain. All right. So we've got a couple more of these doctor that we want to talk about. One is hyperbaric chamber. And I got a pretty good idea of what that is. But talk about why you use that and what it does. 00;30;40;14 - 00;31;03;14 Speaker 2 So the hyperbaric oxygen chamber allows you to breathe in concentrated oxygen. Normally our oxygen, you know, 21.6% in our normal air or we can concentrate it to 94% using an oxygen concentrator and then we pressurize the air around you. So it's simple physics. Any time you pressurize a gas, you can actually get it to diffuse into a liquid. 00;31;03;28 - 00;31;37;20 Speaker 2 So most of the time, we're relying on our red blood cells to carry oxygen. But when we put you under pressure and we have you breathe in concentrated oxygen, you can actually get the oxygen into just the liquid part of your your body. And we're mostly liquid. So it's really cool to be able to get these oxygen molecules into the little nooks and crannies in the brain that can create new arteries and new neurons is called neurogenesis or angiogenesis, but it allows healing to happen faster. 00;31;37;20 - 00;31;56;09 Speaker 2 So whether the hyperbaric chamber is being used on someone with a traumatic brain injury, a concussion that has just had surgery, maybe a child that has had a non-fatal drowning, getting oxygen to the brain and action to the body is going to help that person heal faster and it decreases inflammation. 00;31;56;23 - 00;32;20;08 Cary So you said something. Let's go back to that neurogenesis thing, because basically what you're saying is you're creating new pathways in the brain. Am I right? Yes. Okay. So so that has to aid the healing process also significantly. And I'm sure 90% of the people listening to this broadcast didn't even know you could do that. So let's go back to that again, of course. 00;32;20;16 - 00;32;44;26 Speaker 2 So normally when people talk about brain training, you're talking about putting extra insulation down on the pathways is called myelin. And myelin lets neurons communicate faster to one another. So neuroplasticity is often making these pathways stronger and faster. But there are certain therapies like hyperbaric oxygen therapy that allows new neurons to be created. 00;32;45;24 - 00;32;53;04 Cary That's remarkable. So basically you're regenerating the brain. I mean, that's really what this amounts to, right? 00;32;53;05 - 00;32;53;21 Speaker 2 Yes. 00;32;53;26 - 00;33;19;08 Cary I mean, that that almost sounds too good to be true. But but obviously it's not it's a tried and true therapy. It's part of your process of what you all do, how how quickly can that show results for someone? Because your data measuring this, you're looking at going back to the first part of the of the broadcast we talked about that you're actually this is not subjective. 00;33;19;08 - 00;33;25;01 Cary You're actually measuring the data to see how quickly does that all come together like that when you're doing this. 00;33;25;09 - 00;33;57;01 Speaker 2 So a lot of the research shows that for hyperbaric, it takes 30 to 40 hours of dives, but that's when you're not doing anything else to help the brain. What we have found is that when you do the hyperbaric oxygen chamber and the TMS and the neurofeedback and you work on their eyes and their vestibular system and you're doing that all in a similar time frame, you can really expedite and speed up that recovery and speed up that healing. 00;33;57;07 - 00;33;59;19 Speaker 2 So we're seeing changes in as little as five treatments. 00;34;00;09 - 00;34;01;08 Cary That's remarkable. 00;34;01;14 - 00;34;09;00 Speaker 2 I even had a patient just the other week at day three after three treatments, he says, I've had headaches for years and I had I woke up headache free today. 00;34;09;10 - 00;34;13;05 Cary Now that's amazing and that was treating headache issues. 00;34;13;19 - 00;34;15;08 Speaker 2 After after a concussion it's a. 00;34;15;08 - 00;34;30;05 Cary Concussion yeah. Interesting. So Greg, let's switch gears a little bit. Let's talk you know, you know, in the show notes I was looking at this morning, you all make it clear that your Christian based company talked a little bit about that and how that feeds into your mission and what you do. Greg Oh. 00;34;30;20 - 00;34;56;05 Speaker 3 Thank you. The idea that we came about from the chaplain program, what God put on my heart was not one more. When you're 31 and 32, that's committing suicide today. The warming effects, as we talked about for first responders, police officers, firefighters, nurses, now children moving into that. So when you when God says to you, as can as we're talking right now, not one more. 00;34;57;01 - 00;35;21;29 Speaker 3 I mean, it made it a mission, mission not only for me to go out and and God said to me, great, you're smart to realize you're not that smart. So if you can surround yourself with your Christian brothers and Christian sisters, that can help you accomplish this. So that's where everything kind of came together towards the end, say, so if you use the mission, not one more, that means that encompasses every child of God. 00;35;22;22 - 00;35;34;19 Cary You know, that's in today's world that's that's a little different, doctor. You know, it's there not a lot of people that would be willing to say that, much less make a public statement to it. 00;35;35;13 - 00;35;58;26 Speaker 2 It's something that really drew me to to working with Greg is that a lot of times these patients, we help their brain. But having that sense of community and that support system and that faith in God is what takes a treatment and truly makes it life changing for the long haul. 00;35;59;19 - 00;36;39;25 Cary It's interesting because, you know, we seem to be losing sight of that in this country a lot these days. And so it's it's different to hear someone come in here and talk about that and put it out in the public space and make it part of what their mission is or what they do. So, you know, I really think it's wonderful what you're doing, you know, from a from a medical standpoint, it nothing short of amazing, you know, what you've got, you know, the team you've put together, Greg, the way with Dr. Kalambaheti and the other doctors in your in your in your program, this is probably the most comprehensive TBI, PTSD and brain 00;36;39;25 - 00;37;00;20 Cary treatment. I think that it certainly as long as I have been doing this on the radio for 16 years, I've never seen anything quite like this. So you've got a very unique program. Thank you all for coming in here today and doing this. Their website is Florida Florida Surgery Consultants dot com Florida Surgery Consultants dot com. The phone number 83328. 00;37;00;20 - 00;37;04;17 Cary Brain 833 28 brain. Greg, you want to close this out? 00;37;04;26 - 00;37;14;10 Speaker 3 You know, Sarah, the word insult goes before you, and we'll be with you. You will never leave you or forsake you do not be afraid, not be discouraged. 00;37;15;01 - 00;37;44;07 Cary Thank you for listening to America's health care advocate broadcasting coast to coast across the USA. One more time for that website. Florida Surgery Consultants Dot Com, Florida surgery consultants dot com the phone number 833-28-brain if you need help or you know somebody that does I suggest you reach out to these people. Thank you for listening. Goodbye, America.