Rethinking Joint Care Through Regenerative Medicine with Dr. Marc Pietropaol

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My question is, is there any way to cure arthritis?
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Is there any way to grow back new cardlage? Is
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there any way to repair a knee and not replace it?
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And before doctor Murray could even get a word in,
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the chief resident point out and it's like, no, there's
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no way to cure arthritis, there's no way to grow
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back cardlage. There's no way to repair a knee and
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not replace it. So the light bulb went off and
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I was like, I'm going to prove that guy wrong someday,
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and I'm going to figure out how to repair nees
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and not replace them. And so now you know, fast
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forward literally thirty five years later, and I've written a
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book Repair Not Replace. If someone told you, Kay that
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you need a knee replacement and your knee is bone
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on bone right, and I told you, hey, well, you know,
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maybe you got an eighty two percent chance using your
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own cells from your own pelvis to avoid a new
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replacement for ten, fifteen or twenty years. Would you take that?
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Oh?
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Yes, yeah. Studies have shown about thirty percent of people
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are unhappy with their knee replacement, So you know, why
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not try to use your own body to heal yourself first,
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if it doesn't work, you know, we don't even just
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we don't do shots either. We're going to strengthen your
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whole body. We're going to work on your diet based
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on your genetics. We're going to use laser therapy. We're
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going to do all a whole body approach. So even
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if it didn't work, which is very rare, even if
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it didn't work, you're going to be much stronger and
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better shape so that when you do get your surgery,
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you'll do much better.
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Welcome to the Ageless Future podcast. This is your host today,
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Kate Archibald, and really excited to be joined by the
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one and only doctor Mark pi Tripoli. He is an
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orthopedic surgeon, regenitive medicine specialist, international speaker. It's also his
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book number one Amazon best selling author of Repair Not Replace,
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and he's the CEO and founder of Victory in Motion,
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home of Knee Repair not Knee Replacement, where he's spent
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decades challenging the traditional replacement model of orthopedic care. And
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so really really happy to have you on the show,
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Doctor p Welcome to the ageles Future podcast.
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How you doing today? Thank you, Kate, I'm doing great,
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and thank you to all your listeners and viewers. Greatly
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appreciate it. Awesome.
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Well, I love this concept around repair not replace and
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what you've done with that, and so.
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I'd love to hear hear your story.
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On kind of how you came to that place where,
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you know, because orthopedic surgeons, we've we've worked with orthopedic
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surgeons in a lot of cases at Agel's Future, and
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you know, I think the industry is kind of coming
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around to more regenerative type medicine, but it's pretty rare.
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I hear a surgeon saying like, let's stay away from
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knee replacement and focus on regenita medicine.
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So how did you get to that place? Well, it
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goes pretty far, you know, goes pretty far back. But
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I think the general principle is, I mean, who wants
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surgery if you don't need it. Yes, I'm a surgeon.
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I can perform surgery, and I still perform surgery, very
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minimally invasive surgery. But I mean, my story, I would say,
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goes way back to even when I was a medical student,
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and you know, I knew I wanted to be an
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orthopedic surgeon because I originally said I wanted to go
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into sports medicine and my uncle, who was the original
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doctor Patripali, he said, well, you have to be an
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orthpedic surgeon to go into sports medicine. So I was like, great,
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I'll do it. So it was my third year of
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medical school. I was in Syracuse nineteen ninety one, thirty
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five years ago, and I found out that my first
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orthpedic surgery I was going to see was a need
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replacement surgery performed by doctor David Murray, who was one
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of the original inventors of replacement. So I was very,
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very excited. I get there early the next day and
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you know, the junior resident was there and he was like,
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you know, Mark, you're a medical student. You're not gonna
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you know, scrub in, but you can stand in the
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corner over there and watch and you know, don't touch anything.
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And then he was kind of like, you know, but
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feel free to ask any question because there's no such
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thing as a dumb question, that famous, you know, medical
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school thing that they teach us. So the patient got
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wheeled into the room and the nurses transferred the patient
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out of the operating room table and the anesthesioagis put
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the patient to sleep, and then doctor Murray, a tall,
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stately man with glasses on, walked in and the chief
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resident was in his last year of training who doctor
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Murray was going to take through this case. They prepped
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and draped the patient and then doctor Murray said knife.
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They handed it to the chief resident. They started the
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surgery and the next thing I know, there's like this
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huge incision about this big the nias volaide open. They're
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used in saws and power tools and drills and hammers,
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and there's metal, plastic and cement and there's carbage, bone
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and blood flying all over the place. And at first
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I was super excited, was like, wow, this is amazing.
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I get to fix people with power tools. And my
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dad taught me how to, you know, use power tools,
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and this is so cool. I get to fix people.
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And then I was like, well, you know, I saw
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that blood and carbage and bone flying around. I was like,
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this seems like there's got to be a better way.
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I mean, this is kind of gross. It's almost even
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a bit barbaric. And so I remembered with that residence
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that he said, you know, feel free to ask any question.
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Then no such thing as a dumb question. So I
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kind of got my nerve up and I raised my
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hand up and he looked at me like this guy's
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going to ask a question, but he didn't say anything,
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and the nurses scowled at me, and the chief residents
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scowled at me, and the anesthesiologist eyes open wide, and
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I had my hand up and then absolutely nothing. No
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one said a thing. So it's just a pub to
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put it down. And doctor Murray looked over his glasses
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and he was like, Mark, you have a question. I said, yes,
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Doctor Murray. First of all, thank you for letting me
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be here, and this is amazing. I really appreciate it.
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But my question is, is there any way to cure arthritis?
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Is there any way to grow back new cars? Is
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there any way to repair a knee and not replace it?
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And before doctor Murray could even get a word in,
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the chief resident point out and he's like, no, there's
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no way to cure arthritis, there's no way to grow
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back cards, there's no way to repair a knee and
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not replace it. And so, other than feeling about two
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inches tall extremely embarrassed, I realized at that point in time,
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you know, there is such thing as a dumb question
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first of all, and secondly, oh, you can't ask any questions. Yeah,
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And so the light bulb went off and I was like,
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I'm going to prove that guy wrong someday, and I'm
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going to figure out how to repair neees and not
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replace them. And so now, you know, fast forward literally
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thirty five years later, and I've written a book, Repair
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not Replace, And so that was the origin. It's a
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lot longer story than that, and a lot of it's
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detailed in the book, but the book is the book
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is all for patients. It's all patients stories. It's my story.
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Oh great, you got the book and everything. So yeah,
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it started thirty five years ago and little by little
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it's progressed to the point where it is now. So
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it wasn't an immediate thing. There were several things that
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happened to me with my dad getting a hip infection
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from his total hip, you know, ten years after he
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had it replaced. That really kind of cemented cemented the
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deal that I need to really do something about this.
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Yeah, tell me a little bit about that. We've had
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some previous conversations and even had some prior podcast recordings
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not fully get recorded, So I don't we didn't talk
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much on your dad's hip infection, and so it happened
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ten years after the surgery.
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Yeah, So I mean I the day that I had that,
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that incident happened to me. Doctor Murray actually did come
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up to me afterwards and he was like, you know,
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I'm sorry about that. You know, there's no way to
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you know, to grow back car Lige. But maybe someday
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you'll come and you'll figure that out. So I joined that.
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I joined up State Medically and did my residency there
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and learned how to operate the standard you know, training
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that pretty much. You know, if all you have a
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hammer as a hammer, everything looks like a nail, so
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if someone has arthritis, you know, do surgery. But then
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I went and did my sports Medicine fellowship with doctor
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Andrews down in Birmingham, Alabama, and learned how to do
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minimally invasive surgery. I learned a lot more on how
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to not operate physical therapy, laser therapy, even the early
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regenerative medicine treatments. And so I came home one Thanksgiving
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and my dad was, you know, carving up the turkey.
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He's like, oh, my shoulders and my hips and my
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knees are killed me. I'm like, well, Dad, what's going on.
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It's like, oh, they told me I need hip and
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new replacements, and long story short. I looked at his
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X rays. I didn't think they were, you know, that bad.
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And I was like, there's a lot of other things
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we can do that I learned from doctor Andrews down
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in Birmingham, and you know, we use these things on athletes.
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And he's like, no, they told me I'm going to
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need him anyway. So he had his hips replaced in
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his knee and he got back to golfing, and he
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always had some difficulty bending over and squatting down and
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reading putts because of the replacements. But he did, you know,
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did okay. But then ten years after that, my brother
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called me. He's a doctor and he's like, Dad's in
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the emergency room and they think his hip is infected.
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So any time you get metal, plastic in cement or
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any foreign body put into yourself, I mean you can
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get infected the day of the surgery, can get infected
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a week after the surgery, a month, a year, and
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in this case it was ten years. And it can
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happen from like a tone al infection, a urine air
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tract infection, pneumonia, sinus infection. In this case, they thought
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it was from his teeth. So unfortunately you have to
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take everything out, all the metal, plastic and cement, drain
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the puss out, wash it out maybe a couple three times,
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and then sew it up and hope that the iv
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antibiotics and all that helps it go away. But in
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his case, it didn't go away, and he had to
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have another surgery and they had to leave it open
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and it had to heal from the inside out. It
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was this huge wound. It looked like a shark bite.
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So he had to get transferred to a rehab center
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and lost all his independence. I mean, he was a
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successful attorney and judge and put a lot of strain
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on the family, a lot of stress on him. And
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you know, it took about six months and they were
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never able to put the metal and plastic back in
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because they worried about it getting infected again. So his
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leg was always you know, four or five inches shorter,
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and so he recovered, he got out, but he was
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still had to walk with a walker in a cane.
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And bottom line is you know, that caused a lot
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of stress on him. And we know stress is bad
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for us. It can lead to high blood pressure, diabetes,
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you know, heart disease, even cancer. And so you know,
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within six months to a year of that whole event,
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he had pancreatic cancer. And I believe that was a
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big you know stressor that led to that. And he's
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no longer with us, and so, you know, I always
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tell people that story and they're like, well, why do
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you tell that story? And I'm like, well, you know, yeah,
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thirty five years ago, I had that spark that I
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was going to prove that guy wrong. But when this
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happened to my own family, became personal. And you know,
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studies showed that twenty five to thirty percent of replacements
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are unnecessary, and I think it's even higher than that,
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but the studies show that. So I didn't want another
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person or family to have to go through what my
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dad or my family went through. So that's when I really,
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you know, said I'm going to really work hard towards
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this man. That's uh, the heartbreaking story.
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But it's like it I've I've heard of like post
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infections being ways out.
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That's that's wild. Ten years later, man, well I'm sorry
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you went.
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Through that, But I think the rest of the world's
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really kind of really benefited from your your story and
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what what.
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You've done, because.
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The vision that you have as well as just what
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you're what you're working on is fascinating. So I love
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to tell the listeners kind of what what your what
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your approaches, and how you're how you're utilizing regenitive medicine
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and and how are you repairing versus you know, avoiding
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those replacements.
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Exactly, So you know, what is regenerative medicine. That's another
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question that that's a very broad rod. It's a very
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broad question. But the bottom line is our bodies have
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an amazing ability to heal ourselves. Otherwise we would fall
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apart every day, right, we beat our bodies up. Every day,
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we get little microscopic cracks and brakes and tears, and
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our body healed. You know, I'm simplifying it. But at
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night we go to bed and our body heals ourselves.
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And you know, sometimes if we exercise and do those
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things correctly, we actually break ourselves down. But then our
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body knows how to get even stronger, right, our bones
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and muscles, et cetera. That's the whole you know premise
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behind exercising. But as we get older, for various reasons,
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maybe our hormones, maybe our genetics, we gain a little weight,
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so that puts you know, for every pound of weight
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you gain, that's three or four pounds more weight going
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across your joints. You lose a little muscle mass. Your
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muscles are your main shock absorbers, so now they don't
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orb as much force, your joints start to break down faster.
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Women tend to get you know, softer bones osteoporosis, and
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we also have less healing cells, stem cells and other
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cells to help the stem cells in our bone marrow
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and throughout our body as we get older, and so
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we tend to break down faster and don't heal as well.
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So regenerative medicine is trying to harness our ability to
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heal ourselves, to you know, to reverse a lot of
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those processes where we're breaking down. So, for instance, a
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lot of people think arthritis is the carblage breaking down.
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So let's take a knee. For instance, the knee has
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the femur the thigh bone, and the tibia the shinbone,
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and if you look at the end of the bone,
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it looks kind of like the white on the end
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of a chicken bone. If you've ever seen that before,
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you obviously have. And so the carblage on the end
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of the bone is like to tread on a tire,
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and when that wears down, that's what arthritis is. But
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carlage doesn't have any nerve fibers, at least the carblage
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on the end of the bone doesn't. And so when
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that wears down, more more force gets transmitted to the
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bone underneath, and the bone starts to break down faster
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and the body can heal itself, and you get these
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little stress or microfractures. Bone, on the other hand, does
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have millions of pressure sensed in ner fiber, so most
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of the pain and our threatus comes from the bone.
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So what can we do? Can we repair the carlage
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some we're not tremendously great at that, especially the shock
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absorber carlage, the meniscus cartlage, we're not great at repairing.
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Excuse me, we're not great at growing that back. We're
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pretty good at repairing it, actually, but as far as
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the cartilage on the end of the bone, we're not
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very good getting that to grow back. We're better at
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preventing it from breaking down and maybe we get a
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little bit to grow back, but we're very good at
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getting the bone grow to heal. Bone will heal very good,
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and that's where the pain's coming from. So if you
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don't mind me geeking out, I'll tell a little study
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if your listeners don't mind. But there's love studies. Yeah,
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French orthpedic surgeon named doctor Hernigeu Felipe Hernigeuz. Look him up.
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Amazing studies that he's done. And when people say, oh,
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this is new or there's no studies, I mean he's
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started doing this research in the late nineteen nineties early
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two thousands. His studies have amazing follow up. So he's
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a French orthpedic surgeon. I'll just give you one study.
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He had one hundred and forty patients and all of
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them had bilateral meaning both their knees had severe arthritis,
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and they were told they need joint replacements, new replacements.
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He said, okay, I'm going to do a new replacement
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on one and I'm going to take good stem cells
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from your pelvis. Now, as we get older, we don't
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have as many stem cells in our arms and our
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legs that's one of the reasons those joints break down.
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But our pelvis, which is the bone between our upper
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and lower half of our body, still has really good
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stem cells even into our sixties, seventies, and eighties. And
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there's a spot right above the bodock area called the
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PSI poster your superior legspine. But the point is it's
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under the skin. It's very easy to get to and
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we can just numb the skin up and we can
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put you know, it's a bit of a bigger needle
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than an average needle, but we numb it the area.
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We can take good stem cells and good bone marrow
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which has stem cells and other cells of help. The
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stem cells, we can concentrate it. We can inject that
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bone marrow which has those healing cells into those stress
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or microfractures in the bone around the knee or whatever joint.
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So what he did was he took good bone marrow,
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he concentrated it, put all that bone marrow with all
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the stem cells and the healing cells into those soft
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spots in one knee, and he did a nye replacement
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on the other knee. On all these patients, so they
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all got aknee replacement and they all got stem cells.
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He filed these people for ten years, which is a
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minimum of ten years, which is very rare. As you know,
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in studies, usually they follow people for a year or
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two and then it's like they get lost to follow.
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So he filed these people for ten years minimum, and
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at the end of the study some people have been
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followed fifteen or twenty years by the time he got
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done with everything, so the average follow up was fifteen years.
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So after this fifteen years, eighty two percent of the
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knees that got just the little poke holes, not the
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big incision with the saw and the drill and all
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that stuff, just some little poke holes. Eighty two percent
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of those knees that got the bone marrow and the
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stem cells never needed any replacement over that ten, fifteen
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or twenty years, whereas fifteen percent of the knees that
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got a new replacement needed another new replacement. So a revision,
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which is a much more difficult surgery, doesn't work as well,
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doesn't last as well, more risks. So if someone told you, Kate,
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that you need a knee replacement, and your knee is
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bone on bone, right, and I told you, hey, well,
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you know, maybe you've got an eighty two percent chance
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using your own cells from your own pelvis to avoid
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a new replacement for ten, fifteen, or twenty years. Would
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you take that?
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Oh?
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Yes, yeah, And so that's you know, that's just one
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great example of how we use biologic therapies to help
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people avoid surgery and replacements.
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And it's it's it's amazing and I think you know,
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there's more and more research happening in the stem cell
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and regenerate medicine space and just really really fascinating, and
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we've seen it clinically in Angel's future. Is just like
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you can you can get life changing results from these
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procedures versus you know, the risk factors.
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Sometimes.
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You know, we have a lot of patients that will
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come in and they'll end up getting a knee replacement
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or whatever, and they're happy with it. Best decision, but
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it's about what our experience is about half of them
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say best decision they ever made, which they would have
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done it sooner, and then the other half for like,
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I wish I would have never done it. And you
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know it's kind of like it still have the same pain,
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or you know, it's different pain, but it's kind of
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you know changed.
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Yeah, I mean, the studies have shown about thirty percent
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of people are unhappy with their knee replacement, So you know,
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why not try to use your own body to heal
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yourself first. If it doesn't work, you know, we don't
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even just we don't just do shots either. We're going
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to strengthen your whole body. We're going to work on
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your diet based on your genetics. We're going to use
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laser therapy. We're going to do a whole body approach.
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So even if it didn't work, which is very rare,
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even if it didn't work, you're going to be much stronger,
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in better shape, so that when you do get your surgery,
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you'll do much better. And that's almost like a prehab,
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you know, what we call prehab, but it's even more
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in depth than just prehab. Prehab usually implies strengthening and
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00:19:14.039 --> 00:19:16.319
doing like pt ahead of time, which is still great,
394
00:19:16.680 --> 00:19:18.799
but we we work on the entire body. I have
395
00:19:18.880 --> 00:19:21.400
one guy, he was four hundred and nine pounds. I
396
00:19:21.400 --> 00:19:23.200
just saw him today. He's down to three point fifty
397
00:19:23.759 --> 00:19:26.480
and we yeah, he's trying to get down he's trying
398
00:19:26.480 --> 00:19:29.000
to get down to three hundred and we didn't do
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00:19:29.119 --> 00:19:31.720
the injections on his knees until he lost you know,
400
00:19:31.839 --> 00:19:34.920
like thirty five pounds, because the more weight you can lose,
401
00:19:34.960 --> 00:19:38.880
the more chance you have of being successful. So you know,
402
00:19:39.480 --> 00:19:42.519
we treat the whole body, not just the need per se.
403
00:19:43.079 --> 00:19:46.119
Yeah, And I love that about your approach, and we're
404
00:19:46.519 --> 00:19:49.480
very similar minded here, and so I love you to
405
00:19:49.720 --> 00:19:53.119
kind of walk the listeners through kind of the the
406
00:19:53.160 --> 00:19:58.319
ideal process when when someone's looking at you know, maybe
407
00:19:58.359 --> 00:20:02.039
have joint pain, back pain, you know, what should they
408
00:20:02.079 --> 00:20:05.319
look for in a in a physician's office, and you know,
409
00:20:05.440 --> 00:20:09.440
essentially you know, give them your your playbook of you
410
00:20:09.480 --> 00:20:15.039
know what, what's the best process to go through on well,
411
00:20:15.079 --> 00:20:15.440
because I.
412
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Think you lost it. Approach is so good. Yeah, very
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similar to what you guys do, like a holistic treating
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the whole person, which is very hard to do in
415
00:20:23.359 --> 00:20:25.640
traditional medicine where you have fifteen minutes. You know a
416
00:20:25.680 --> 00:20:27.759
lot of doctors have ten or fifteen minutes and they
417
00:20:27.839 --> 00:20:29.720
only look at the knee. But a lot of times
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the back is causing an issue, or the ankle or
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the hip is causing a knee issue. So we take
420
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the time. So I think time is one of the
421
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secret sauces, you know, taking enough time to spend with somebody.
422
00:20:40.319 --> 00:20:44.200
That's a huge thing that is not in most medical practices.
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So someone who's going to take enough time, then they're
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going to figure out what the root cause is. Because
425
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if you don't figure out what the root causes, I've
426
00:20:51.680 --> 00:20:53.960
had plenty of patients come to me and they were
427
00:20:54.000 --> 00:20:56.759
told they had bone on bone ne arthritis, and they
428
00:20:56.799 --> 00:20:59.720
need knee replacements, and so we do. You know, what
429
00:20:59.759 --> 00:21:01.680
we'll do is what we call a clarity day. We'll
430
00:21:01.680 --> 00:21:04.319
get all their old records ahead of time. We'll also
431
00:21:04.440 --> 00:21:06.359
call them ahead of time, get all their history so
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00:21:06.400 --> 00:21:08.440
that when I see them across from them or my
433
00:21:08.519 --> 00:21:10.799
pa sees them, we have all that in there. We've
434
00:21:10.839 --> 00:21:13.319
already reviewed it. Now we can concentrate on how you're
435
00:21:13.359 --> 00:21:16.480
currently feeling. We do a full physical exam. I look
436
00:21:16.519 --> 00:21:19.279
inside people with ultrasound, especially because we don't just take
437
00:21:19.319 --> 00:21:21.400
care of needs. We take care of pretty much every joint.
438
00:21:21.720 --> 00:21:24.279
Look inside at the shoulder, the rotator, cough, any tendons.
439
00:21:24.319 --> 00:21:27.240
You can really see those things well with an ultrasound.
440
00:21:27.640 --> 00:21:29.240
Get the right type of X rays. A lot of
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00:21:29.240 --> 00:21:31.160
times they don't get standing X rays or they don't
442
00:21:31.160 --> 00:21:33.279
get X rays of the kneecaps, so you miss something.
443
00:21:33.759 --> 00:21:36.599
And then the MRIs to look for those stress or microfractures.
444
00:21:36.640 --> 00:21:42.000
But then our vMotion Fit, which is basically providers who
445
00:21:42.599 --> 00:21:45.640
are all some type of a rehab professional like a
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00:21:45.680 --> 00:21:48.519
doctor of physical therapy, but they all have fitness degrees
447
00:21:48.559 --> 00:21:52.440
as well, like certified strength and conditioning specialists. So they
448
00:21:52.440 --> 00:21:55.079
have fitness and medical degrees and they're going to evaluate
449
00:21:55.119 --> 00:21:57.839
you from head to toe. So, like I said, we
450
00:21:57.920 --> 00:21:59.559
have some people they come in they think they got
451
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a knee and our emotion Fit people look at their
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00:22:03.559 --> 00:22:06.319
whole body, do a few things with their back. Next thing,
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00:22:06.359 --> 00:22:09.039
you know, their knee pain is ninety percent better, and
454
00:22:09.119 --> 00:22:11.599
it turns out it's really actually coming from their back.
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So we're going to figure out where the root cause
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of the problem is, and then we're going to also
457
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figure out if you're even a candidate. Like you said,
458
00:22:18.200 --> 00:22:20.480
some people are too far gone and maybe they're not
459
00:22:20.519 --> 00:22:23.480
a good candidate for regenerate medicine. That's rare, but it's possible.
460
00:22:24.039 --> 00:22:26.039
Maybe there's some people who we don't can't even figure
461
00:22:26.039 --> 00:22:28.640
out what's wrong that's maybe happened. You know, a few
462
00:22:28.680 --> 00:22:31.559
times in my career, but if that's possible. But for
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the most part, we're going to figure out what the
464
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root causes. And many cases, a lot of doctors have
465
00:22:37.119 --> 00:22:40.400
not even figured out that. They don't even know either
466
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that the bone is the problem. And hey, if we
467
00:22:42.759 --> 00:22:45.160
repair that bone, maybe we can get you to the
468
00:22:45.160 --> 00:22:47.160
point where you don't need a knee replacement or a
469
00:22:47.240 --> 00:22:50.880
shoulder replacement. But if someone has a full tear of
470
00:22:50.880 --> 00:22:54.200
the rotator puff and it's torn off the bone, then yeah,
471
00:22:54.200 --> 00:22:56.119
I may still have to do surgery or reattach that
472
00:22:56.119 --> 00:22:58.519
because you can put all the quote unquote stem cells
473
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and PRP and all that stuff, it's not going to
474
00:23:00.640 --> 00:23:03.759
magically reattach itself. So we're going to figure out what
475
00:23:03.759 --> 00:23:05.960
their root cause is. We're going to spend four or
476
00:23:05.960 --> 00:23:07.920
five hours with you. We call that a clarity day,
477
00:23:08.279 --> 00:23:10.160
and my whole team's going to work with you, and
478
00:23:10.160 --> 00:23:11.720
then we're going to even sit down and figure out
479
00:23:11.759 --> 00:23:14.720
what your goals are, because you know, somebody. Some people
480
00:23:14.839 --> 00:23:16.880
might want to walk their dog and walk up down
481
00:23:16.920 --> 00:23:19.480
the stairs and sleep throughout the night without pain. Some
482
00:23:19.519 --> 00:23:22.640
people might want to play pickleball. Some people might want
483
00:23:22.680 --> 00:23:24.480
to travel the world. Some people might want to play
484
00:23:24.480 --> 00:23:27.079
with their grand kids. Some people might want to hike mountains,
485
00:23:27.440 --> 00:23:29.440
and some people might want to do marathons. And we
486
00:23:29.480 --> 00:23:31.920
have people who want to do all those things. So
487
00:23:32.119 --> 00:23:34.920
even though the general principles of regenerative medicine and all
488
00:23:34.960 --> 00:23:37.279
the things are the same, their program is going to
489
00:23:37.319 --> 00:23:39.759
be different for each one of those people based on
490
00:23:39.839 --> 00:23:43.359
what their goals and dreams are. So time getting to
491
00:23:43.400 --> 00:23:46.359
the root cause and then figure out what people really want.
492
00:23:46.400 --> 00:23:48.559
Don't just treat them like a number. I think those
493
00:23:48.599 --> 00:23:52.920
are kind of the secret sauce. Yeah, now that's that's
494
00:23:53.000 --> 00:23:53.680
beautiful in it.
495
00:23:54.240 --> 00:23:57.440
I think if you know, for any of those listeners
496
00:23:57.440 --> 00:24:00.720
out there, if you're just listening to this, I'm holding
497
00:24:00.799 --> 00:24:06.559
up doctor P's book Repair Not Replace. You know, great
498
00:24:06.759 --> 00:24:11.039
great read, did just like learn learn about these things
499
00:24:11.079 --> 00:24:14.079
and see there's there's a like a whole new world.
500
00:24:14.720 --> 00:24:18.599
And to your point, doctor P, is it's not that new,
501
00:24:19.400 --> 00:24:23.799
like these regenerative medicine and stem cell treatments. They've been
502
00:24:23.839 --> 00:24:29.759
around for decades. It's just you know, mainstream medicine is not.
503
00:24:30.680 --> 00:24:33.400
I think it's getting a little more and a little
504
00:24:33.440 --> 00:24:39.759
more gradually, uh, getting to the forefront. But I it's
505
00:24:39.799 --> 00:24:44.079
like just can be game changing from a from a recovery,
506
00:24:44.200 --> 00:24:49.400
from an overall health perspective, avoid unnecessary, Like anytime you
507
00:24:49.640 --> 00:24:53.319
cut something open, there's there's a lot of risk factors there.
508
00:24:53.359 --> 00:24:54.720
And so I love that.
509
00:24:54.880 --> 00:24:58.359
I know you have a big kind of goal and
510
00:24:58.480 --> 00:25:03.440
moonshot for the for kind of what your vision is,
511
00:25:03.480 --> 00:25:07.599
and so I'd like you to share that with the audiences.
512
00:25:07.640 --> 00:25:10.240
I just think it's incredible and definitely want to be
513
00:25:10.279 --> 00:25:10.839
a part of this.
514
00:25:11.440 --> 00:25:14.839
I appreciate that. Well. Our mission is to end the
515
00:25:14.920 --> 00:25:17.480
need for knee replacements by the year twenty forty three,
516
00:25:17.559 --> 00:25:20.559
So be knee replacement free by forty three. A rhymes obviously,
517
00:25:20.839 --> 00:25:23.559
but it realistically, you know, it's going to take some time.
518
00:25:24.200 --> 00:25:28.240
And those stories that I told, especially the story about
519
00:25:28.359 --> 00:25:32.200
you know, being embarrassed by that chief resident and figuring
520
00:25:32.680 --> 00:25:34.240
saying to myself, I'm going to figure out a way
521
00:25:34.279 --> 00:25:36.880
to repair needs and not replace them someday, that definitely
522
00:25:36.880 --> 00:25:38.920
plays a part in it. And also, you know, my
523
00:25:39.039 --> 00:25:41.640
dad's story plays a big part in that as well.
524
00:25:41.880 --> 00:25:45.279
Even though it was this hit that got infected, you know,
525
00:25:46.039 --> 00:25:50.880
I called it nee replacement free just because that was
526
00:25:50.920 --> 00:25:53.440
my original goal. But Obviously, if we can eliminate the
527
00:25:53.480 --> 00:25:56.559
need for nee replacements, that's going to also translate into
528
00:25:57.000 --> 00:26:01.240
hip and shoulder and ankle, et cetera. So the first step,
529
00:26:01.319 --> 00:26:02.960
and a lot of this is outlined in the book,
530
00:26:02.960 --> 00:26:04.400
and obviously we know a lot of this is going
531
00:26:04.440 --> 00:26:07.319
to change because AI and everything is just changing so fast.
532
00:26:07.880 --> 00:26:10.759
But the first step is to generate awareness that there
533
00:26:10.880 --> 00:26:13.119
is another option. Right, most people they go see their
534
00:26:13.160 --> 00:26:16.920
orthopedic surgeon and they're told, you know, everything, nothing work.
535
00:26:17.039 --> 00:26:18.759
You know. They're like, okay, well you need a replacement.
536
00:26:18.799 --> 00:26:20.440
You're like, well, I don't want to replacement. They're like,
537
00:26:20.480 --> 00:26:21.839
well then you got to suck it up in pain
538
00:26:22.240 --> 00:26:24.480
until you're paying gets bad enough, and then come back
539
00:26:24.480 --> 00:26:26.200
and see us and we'll do the replacement. And that's
540
00:26:26.200 --> 00:26:28.839
two options. But we're here to tell people there's a
541
00:26:28.880 --> 00:26:32.960
third option, and that's repair, you know, regenerative medicine. And
542
00:26:33.319 --> 00:26:35.640
maybe it's not for everybody, but that is an option.
543
00:26:35.720 --> 00:26:37.759
And a lot of people have no idea. They like,
544
00:26:37.799 --> 00:26:39.880
I've never even heard of this. I had no idea.
545
00:26:40.000 --> 00:26:43.599
We think that everybody knows about stem cells and PRP
546
00:26:43.759 --> 00:26:46.000
and bone marrow and all these things, but there's so
547
00:26:46.039 --> 00:26:49.000
many people who have no clue, they have no idea.
548
00:26:49.119 --> 00:26:51.720
So getting the word out is step number one, which
549
00:26:51.759 --> 00:26:54.160
I greatly appreciate you and your audience. And I'm on
550
00:26:54.279 --> 00:26:56.519
a lot of pup podcasts and I give a lot
551
00:26:56.559 --> 00:26:59.279
of I travel around the country, around the world. I
552
00:26:59.319 --> 00:27:03.000
was in Dubai, I was in Los Angeles recently, and
553
00:27:03.079 --> 00:27:05.319
I give a lot of seminars an online webinars. So
554
00:27:05.680 --> 00:27:09.039
education is number one. Letting people understand and writing the book, frankly,
555
00:27:09.079 --> 00:27:12.079
that will get the word out, huge step. And one
556
00:27:12.119 --> 00:27:14.599
dollar from every book goes to the Arthritis Foundation to
557
00:27:15.119 --> 00:27:16.880
help get that word out as well. So we're trying
558
00:27:16.880 --> 00:27:21.519
to raise a million dollars with them. But then his book, Yeah,
559
00:27:22.640 --> 00:27:27.119
and then it comes down to regenerated medicine itself is
560
00:27:27.480 --> 00:27:30.359
advancing at light speed, and so over the next five
561
00:27:30.440 --> 00:27:32.160
or ten years, there are going to be a lot
562
00:27:32.200 --> 00:27:35.519
more ways to repair people and fix people. But the
563
00:27:35.640 --> 00:27:38.519
biggest thing to end this is most of what we
564
00:27:38.559 --> 00:27:42.319
see is preventable, and I mean even in medicine in general,
565
00:27:42.440 --> 00:27:46.720
like most heart disease, most cancer, diabetes, you know, cholesterol,
566
00:27:46.799 --> 00:27:50.559
high cholesterol, high blood pressure, all these things are preventable,
567
00:27:50.880 --> 00:27:54.680
and so arthritis is relatively preventable as well, for the
568
00:27:54.680 --> 00:27:57.960
most part. I'll give one example. You know, the ACL,
569
00:27:58.039 --> 00:28:00.799
the anti air cruciate ligament. I'm sure you take care
570
00:28:00.799 --> 00:28:02.920
of a bunch of athletes and stuff, but that's the
571
00:28:02.960 --> 00:28:05.440
main stabilizing ligament in the knee. We've all seen it,
572
00:28:05.519 --> 00:28:08.319
heard about it. Someone tears their ACL and they're out
573
00:28:08.359 --> 00:28:10.559
for the season, And it's actually five to ten times
574
00:28:10.599 --> 00:28:13.480
more common in females than males. That's a whole nother
575
00:28:13.519 --> 00:28:16.160
podcast if you ever want to get into it. But
576
00:28:17.240 --> 00:28:19.599
two things with that number. One, in the old days
577
00:28:20.200 --> 00:28:22.880
or not in the old days, well way back when
578
00:28:22.920 --> 00:28:25.200
people tried to repair it, and that didn't really last
579
00:28:25.279 --> 00:28:28.960
very well. So they came up with a surgery called reconstruction,
580
00:28:29.039 --> 00:28:31.920
where we take a strip of ten in from yourself,
581
00:28:31.960 --> 00:28:35.240
another area, or from a donated person and make or
582
00:28:35.279 --> 00:28:38.599
reconstruct a ligament, which works great for stability, but it
583
00:28:38.640 --> 00:28:41.519
doesn't prevent arthritis. When you tear your ACL, you got
584
00:28:41.559 --> 00:28:44.079
about a fifty percent chance of getting arthritis within four
585
00:28:44.160 --> 00:28:46.799
or five six years. If you tear your ACL and
586
00:28:46.799 --> 00:28:50.160
you undergo surgery, it stabilizes the knee, but you still
587
00:28:50.160 --> 00:28:52.240
have a fifty percent chance of getting our thritus. It
588
00:28:52.279 --> 00:28:55.119
just pushes it out ten or twelve more years. And
589
00:28:55.160 --> 00:28:57.240
if you're only a fifteen year old girl, you know
590
00:28:57.359 --> 00:29:01.319
fifteen plus twelve is twenty seven. You got arthritis. It's
591
00:29:01.359 --> 00:29:04.559
not a good thing. So there's a new surgery new
592
00:29:04.640 --> 00:29:09.440
or called BEAR surgery Bridge Enhanced ACL restoration. Doctor Martha Murray,
593
00:29:09.480 --> 00:29:13.440
amazing doctor orthpedic surgeon in Boston, Boston Children's she came
594
00:29:13.519 --> 00:29:16.119
up with the surgery where we sow a collagen implant
595
00:29:16.599 --> 00:29:19.480
in between the two torn ends of the ACL, and
596
00:29:19.519 --> 00:29:21.960
we soak it in the patient's own blood. An off
597
00:29:22.039 --> 00:29:24.240
label you can do PRP and bone marrow. That's a
598
00:29:24.279 --> 00:29:25.799
whole other thing. I do that, but that is off
599
00:29:25.880 --> 00:29:30.480
label technically. But that allows the cells, blood, vessels, and
600
00:29:30.799 --> 00:29:33.519
nerves to grow back across and heal that ACL and
601
00:29:33.519 --> 00:29:36.720
you keep your own parts. And what they found is
602
00:29:37.039 --> 00:29:39.119
even the FDA now has come out with a statement
603
00:29:39.480 --> 00:29:43.720
that BEAR surgery repairing it ends up leading to a
604
00:29:43.759 --> 00:29:48.279
significant decrease in the development of arthritis as compared to
605
00:29:48.599 --> 00:29:52.480
a traditional reconstruction. So just even some of the surgeries
606
00:29:52.519 --> 00:29:54.880
we do will lessen the risk of arthritis. And if
607
00:29:54.920 --> 00:29:57.640
we lessen the risk of arthritis. That is going to
608
00:29:58.440 --> 00:30:01.599
at lower the need for new replacements. And then there's
609
00:30:01.640 --> 00:30:04.880
prevention too, because fifty to seventy five percent of ACL
610
00:30:04.960 --> 00:30:12.599
tears can be prevented by doing six week special rehab
611
00:30:12.839 --> 00:30:15.839
or prevented programs. Sports metrics is one of them, if
612
00:30:15.839 --> 00:30:18.319
people want to look that up. Doctor Nois and Cincinnati
613
00:30:18.359 --> 00:30:21.359
came up with that and it's been scientifically proven to end,
614
00:30:21.480 --> 00:30:23.400
you know, to cut the risk of serious knee injury
615
00:30:23.440 --> 00:30:26.480
by fifty to seventy five percent. So it's it's hard
616
00:30:26.519 --> 00:30:30.240
to convince parents to pay out a pocket for something
617
00:30:30.279 --> 00:30:34.319
and it's relatively low price compared to expensive, you know,
618
00:30:35.200 --> 00:30:37.960
the expense of losing out on a scholarship maybe, or
619
00:30:38.000 --> 00:30:41.440
the expense of missing work, or the expense of just
620
00:30:41.640 --> 00:30:44.240
you know, all the braces and all the other things.
621
00:30:44.680 --> 00:30:48.279
But if we can prevent these injuries, if we can
622
00:30:48.319 --> 00:30:50.839
prevent the arthritis, that's going to be really the key
623
00:30:51.119 --> 00:30:53.880
to ending the need for joint replacements knee replacements by
624
00:30:53.920 --> 00:30:56.359
twenty forty three. So it's kind of a three four
625
00:30:56.400 --> 00:30:58.880
pronged effect. It's all written about in the book, but
626
00:30:59.720 --> 00:31:02.519
a lot of it's going to evolve with AI and everything.
627
00:31:03.000 --> 00:31:05.839
But that's our goal. And there's no reason we can't
628
00:31:05.920 --> 00:31:08.119
end the need for joint replacements if we put a
629
00:31:08.119 --> 00:31:10.599
man on the moon, you know, back in the sixties, right,
630
00:31:10.640 --> 00:31:15.640
and let's face it, no reason we can't one hundred percent.
631
00:31:16.200 --> 00:31:19.359
I love that and I think it, you know, to
632
00:31:19.400 --> 00:31:22.920
your point, starts with kind of that that lifestyle piece
633
00:31:23.039 --> 00:31:26.359
and then knowing and understanding what what the options are.
634
00:31:28.039 --> 00:31:30.440
And yeah, that is so I'm.
635
00:31:30.319 --> 00:31:35.880
Curious on the bear procedure because that's that's one. So
636
00:31:36.240 --> 00:31:40.960
the the biggest difference compared to just the traditional reconstruction
637
00:31:42.759 --> 00:31:45.640
is you're you're dipping it in the you're like soaking
638
00:31:45.680 --> 00:31:49.759
it in the patient's blood and and what and you
639
00:31:49.759 --> 00:31:52.599
you mentioned like you'll add in p r P injections.
640
00:31:52.599 --> 00:31:57.079
That's kind of off label, obviously, what was there? What
641
00:31:57.079 --> 00:31:59.920
what were the other pieces? I I actually I have
642
00:32:00.279 --> 00:32:07.319
a friend that's his son just had a cl repair
643
00:32:08.279 --> 00:32:11.039
last summer and then it detached.
644
00:32:11.279 --> 00:32:12.640
He grew like four inches.
645
00:32:12.680 --> 00:32:16.799
He's a sophomore in high school, big football player. It
646
00:32:16.880 --> 00:32:20.400
was devastating because now now it's going to be out
647
00:32:20.440 --> 00:32:25.240
his junior year as well because it detached. And can't
648
00:32:25.319 --> 00:32:28.759
quite figure out. But I want to kind of give
649
00:32:28.839 --> 00:32:31.960
him some of this info on that bear procedure sounds
650
00:32:32.200 --> 00:32:33.079
really fascinating.
651
00:32:33.480 --> 00:32:38.000
So it's and sorry, like you got my mind going here.
652
00:32:38.279 --> 00:32:42.920
So it was, there's a's, there's a college, and implant
653
00:32:42.920 --> 00:32:46.079
it almost all that's what I mean. It almost looks
654
00:32:46.119 --> 00:32:48.480
like a packing peanut. It's about you know, it's an
655
00:32:48.519 --> 00:32:53.400
inch or too long by about a sun meter wide,
656
00:32:53.559 --> 00:32:57.119
and it's made out of bovine which means cow college,
657
00:32:57.119 --> 00:33:00.759
and it's purified and it looks like a packing peanut,
658
00:33:00.960 --> 00:33:05.240
and it soaks up blood or fluid. But you soak
659
00:33:05.319 --> 00:33:09.400
up you put the patient's blood. You basically sew it
660
00:33:09.400 --> 00:33:12.200
in between the ligament, the two torn ends, and you
661
00:33:12.279 --> 00:33:15.200
soak it in the patient's blood, and that acts like
662
00:33:15.240 --> 00:33:19.839
a scab basically where your body will not dissolve it
663
00:33:19.880 --> 00:33:22.039
for eight weeks. It takes about eight weeks for your
664
00:33:22.039 --> 00:33:24.839
body to dissolve that collagen because normally, if you sew
665
00:33:24.880 --> 00:33:28.680
it together, that clot that forms it gets dissolved by
666
00:33:28.680 --> 00:33:30.960
your body pretty quickly. Because your body hates to have
667
00:33:31.039 --> 00:33:34.039
blood inside the knee. The enzymes dissolve it. And when
668
00:33:34.119 --> 00:33:36.799
you dissolve that clot, there's no bridge for the new
669
00:33:36.799 --> 00:33:39.799
blood vessels and cells to grow across. So a repair
670
00:33:39.799 --> 00:33:43.359
of an ACL traditionally doesn't work well at repair, and
671
00:33:43.440 --> 00:33:46.240
so she came up with the idea to sow that
672
00:33:46.279 --> 00:33:49.640
implant in between. It forms like a hydrogel. It stays
673
00:33:49.640 --> 00:33:51.880
there for eight weeks and that acts like a bridge
674
00:33:52.119 --> 00:33:55.039
for those blood vessels, cells a nerve to grow across
675
00:33:55.480 --> 00:34:00.279
and heal that ACL grow your ACL back. So even
676
00:34:00.319 --> 00:34:02.720
a complete tear right in the mid substance, which in
677
00:34:02.759 --> 00:34:05.960
the past never worked well with the repair, we can
678
00:34:06.000 --> 00:34:12.119
get that to heal now and the results are as
679
00:34:12.199 --> 00:34:17.320
good or better than a reconstruction for restoring stability. The
680
00:34:17.400 --> 00:34:20.039
knee feels more normal. People are actually less likely to
681
00:34:20.079 --> 00:34:22.880
tear their opposite side, which actually, when you tear your
682
00:34:22.920 --> 00:34:25.679
ACL and you get a reconstruction, you're actually just as
683
00:34:25.760 --> 00:34:27.480
likely to tear the other knee as you are the
684
00:34:27.800 --> 00:34:32.679
one that tore in the first place. And also there's
685
00:34:32.679 --> 00:34:35.320
a less risk of arthritis using the Bear procedure. Butt
686
00:34:35.480 --> 00:34:37.599
I just want to let people know it doesn't make
687
00:34:37.639 --> 00:34:40.599
the recovery faster. It still takes a good nine to
688
00:34:40.599 --> 00:34:43.960
twelve months, So that's why prevention is still so important.
689
00:34:44.320 --> 00:34:46.599
Who wants to spend nine to twelve months, and then
690
00:34:46.719 --> 00:34:48.800
what if it retears again? Either of them. You can
691
00:34:48.840 --> 00:34:52.079
retear a bear, you can retear a reconstruction like your
692
00:34:52.280 --> 00:34:56.360
poor friend's son, and then you're then you got another
693
00:34:56.440 --> 00:34:59.039
nine to twelve months, and revisions don't work as well.
694
00:34:59.440 --> 00:35:02.159
Another thing, by the way, if you do the bear
695
00:35:02.360 --> 00:35:06.159
first and it ends up tearing, because it can still happen,
696
00:35:07.360 --> 00:35:10.280
and you have to do another ACL surgery and you
697
00:35:10.320 --> 00:35:13.719
do the reconstruction after a bear, it still works and
698
00:35:13.800 --> 00:35:18.960
functions like a primary mean the initial reconstruction, whereas if
699
00:35:19.000 --> 00:35:21.559
you do a reconstruction first and you tear that and
700
00:35:21.599 --> 00:35:24.599
now you have to do a revision, revisions don't work
701
00:35:24.639 --> 00:35:27.480
as well or last as long, and they don't they're
702
00:35:27.519 --> 00:35:31.239
more difficult. So he does have he's got a long
703
00:35:31.280 --> 00:35:33.800
road ahead of him. It's a little bit odds are
704
00:35:33.800 --> 00:35:35.719
stacked a little bit more against him now that it's
705
00:35:35.719 --> 00:35:38.320
happened a second time, but it doesn't mean that he can't,
706
00:35:38.360 --> 00:35:41.280
you know, still recover, etc. And you mentioned that he
707
00:35:41.320 --> 00:35:43.480
had a repair or he had a reconstruction. Do you
708
00:35:43.519 --> 00:35:45.400
know if they used a graft or if they just
709
00:35:45.519 --> 00:35:49.960
repaired it nos graft, then he had a reconstruction. It
710
00:35:50.119 --> 00:35:55.719
detached from the femur, and there's a few different variables.
711
00:35:55.920 --> 00:35:59.119
They think, like I think the kid grew about four
712
00:35:59.159 --> 00:36:03.360
inches in the year and so here that's that's kind
713
00:36:03.360 --> 00:36:05.760
of one of the big ones that was, like grow
714
00:36:05.840 --> 00:36:08.559
that much and that much time. That's that's a lot
715
00:36:08.599 --> 00:36:13.320
for that think about it. That's so that's another reason.
716
00:36:13.360 --> 00:36:15.400
I mean, I think the bear is great for all ages,
717
00:36:15.440 --> 00:36:17.280
but especially in people who are going to grow a
718
00:36:17.280 --> 00:36:20.760
lot or they have open growth plates. We have to
719
00:36:20.840 --> 00:36:24.320
drill very tiny drill holes for the bear as composed
720
00:36:24.360 --> 00:36:28.519
to big tunnels. As opposed to big tunnels like a centimeter,
721
00:36:28.599 --> 00:36:31.840
you know, ten millimeters wide, you're drilling a lot bigger tunnel,
722
00:36:32.159 --> 00:36:34.000
and you got to watch out for the growth plate
723
00:36:34.079 --> 00:36:36.880
when you're doing that. And a younger person, So I
724
00:36:37.159 --> 00:36:39.719
like bear for younger people. The only problem with the
725
00:36:39.760 --> 00:36:43.559
younger people is they are twenty five to twenty six,
726
00:36:43.639 --> 00:36:46.880
maybe even close to thirty percent chance of retearing no
727
00:36:46.880 --> 00:36:51.320
matter what you do. So unfortunately he's not It's not uncommon,
728
00:36:51.840 --> 00:36:56.119
and one is they're looser jointed. The other is that
729
00:36:56.599 --> 00:36:59.000
sometimes they're not as compliant. I'm not saying he wasn't
730
00:36:59.039 --> 00:37:01.320
at all, but I'll so kids, you know, kids want
731
00:37:01.360 --> 00:37:03.880
to get back quicker, they want to play it, pushing
732
00:37:03.920 --> 00:37:06.159
it and they and they are stronger and they push
733
00:37:06.199 --> 00:37:10.840
it harder and sometimes they retear. So it's about twenty
734
00:37:10.880 --> 00:37:13.360
five percent retear rate, which is terrible. We're out of
735
00:37:13.360 --> 00:37:16.280
four that. Yeah, that's so wild.
736
00:37:17.039 --> 00:37:19.679
Yeah, and he he was you know, he's been he
737
00:37:19.840 --> 00:37:24.159
followed his PTE route really well. Yeah, he wasn't in
738
00:37:24.239 --> 00:37:27.079
a lot of pain, but it just something didn't.
739
00:37:26.840 --> 00:37:31.000
Feel right in there. And then they like he.
740
00:37:31.360 --> 00:37:35.440
Got assessed like not a lot of joint laxicity, Like
741
00:37:35.559 --> 00:37:39.000
it was pretty pretty stable filling and so you know,
742
00:37:39.079 --> 00:37:42.679
examine wise was like everything seems to be okay, but
743
00:37:43.320 --> 00:37:44.800
they kind of pushed it and we're like, can we
744
00:37:44.840 --> 00:37:46.960
at least get an MRI And they took the MRI
745
00:37:47.119 --> 00:37:49.039
and it had completely detached.
746
00:37:49.679 --> 00:37:52.599
Wild already, hear that. Yeah, it was kind of.
747
00:37:52.599 --> 00:37:56.719
It's it's heartbreaking for you know, sixteen year old football player.
748
00:37:56.840 --> 00:38:03.400
That's never a fun, fun story to have to go through. Well,
749
00:38:04.079 --> 00:38:08.719
this conversation has been amazing. I think the other thing
750
00:38:08.800 --> 00:38:11.639
that maybe we could touch on for just a few
751
00:38:11.679 --> 00:38:14.239
minutes is kind of your your the.
752
00:38:14.199 --> 00:38:14.920
Way you're.
753
00:38:16.679 --> 00:38:20.559
Gathering data for you know, all of your cases, because
754
00:38:20.920 --> 00:38:25.920
that's another piece that as you know this this community
755
00:38:26.000 --> 00:38:30.639
and the regenerative medicine, stem cell, bone marrow space, I
756
00:38:30.639 --> 00:38:33.840
think the more data that we can accumulate from results
757
00:38:34.000 --> 00:38:38.519
and everything and we can, we're going to change the world.
758
00:38:38.599 --> 00:38:41.239
And I think we're starting to see that shift.
759
00:38:41.320 --> 00:38:44.880
But let's talk a little bit about data Biologics and
760
00:38:44.920 --> 00:38:49.320
how you're kind of tracking results, because I think that's fascinating.
761
00:38:49.920 --> 00:38:54.000
So Data Biologics is a national database registry or registries
762
00:38:54.039 --> 00:38:57.480
where we keep results. A group of doctors and clinics
763
00:38:57.480 --> 00:39:03.400
will contribute results from their patients, and so it's dedicated
764
00:39:03.440 --> 00:39:07.599
to biologic treatments like PRP, platelear ridge, plasma, bone marrow
765
00:39:07.639 --> 00:39:15.000
asport concentrate bone marrow, laser, and there's a few other
766
00:39:15.039 --> 00:39:17.400
categories I think shock waves in there, et cetera. But
767
00:39:17.440 --> 00:39:20.360
bottom line is, you know, regenerative medicine clinics and there's
768
00:39:20.440 --> 00:39:22.400
right now, there's about one hundred and ninety five last
769
00:39:22.400 --> 00:39:25.280
I checked, and we're one of them in there. And
770
00:39:25.320 --> 00:39:28.760
these you know, there's probably who knows, twenty thousand quote
771
00:39:28.800 --> 00:39:31.559
unquote regenerateive medicine clinics across the US or the world.
772
00:39:31.599 --> 00:39:33.920
I don't know exactly how many there are, how many
773
00:39:33.920 --> 00:39:36.960
say there are, but this is one hundred and ninety
774
00:39:37.000 --> 00:39:39.960
five and it's growing every day. And it's because it's
775
00:39:39.960 --> 00:39:42.000
hard to keep your own data, hard to keep track
776
00:39:42.039 --> 00:39:44.079
of things, and they're really really good at it. I
777
00:39:44.119 --> 00:39:46.800
was doing it for a couple three years myself, and
778
00:39:46.840 --> 00:39:50.480
then we started using Data Biologics and they really have
779
00:39:50.559 --> 00:39:54.440
everything very nicely done. And so for the last almost
780
00:39:54.480 --> 00:39:58.000
three years now, maybe even three, we've been using them.
781
00:39:58.480 --> 00:40:01.320
And so what happens is the patient registers everything is
782
00:40:01.519 --> 00:40:07.360
everything is confidential and there's no you know, personal data
783
00:40:07.400 --> 00:40:09.880
given out, but the patient will get I mean I
784
00:40:09.920 --> 00:40:11.599
was a patient. I had it done on my elbow.
785
00:40:11.719 --> 00:40:14.320
So you get simple on your phone. You get a
786
00:40:14.320 --> 00:40:16.840
bunch of questionnaires. There's an initial intake that you fill
787
00:40:16.880 --> 00:40:19.679
out and there's a bunch of questionnaires and they'll follow that.
788
00:40:19.719 --> 00:40:24.159
We follow our patients for at least two years, but
789
00:40:24.199 --> 00:40:26.679
I think it's going to even keep on going longer
790
00:40:26.679 --> 00:40:31.880
than that. And we look at ourselves versus ourselves so
791
00:40:31.920 --> 00:40:34.119
we can make sure we're getting better, and we can
792
00:40:34.119 --> 00:40:36.280
look at ourselves versus other clinics so we can see
793
00:40:36.280 --> 00:40:38.719
how we compare to other clinics, and so I think
794
00:40:39.360 --> 00:40:41.440
for the most part, let's say the two most common
795
00:40:41.480 --> 00:40:43.159
things we see patients for. There's a lot of other
796
00:40:43.159 --> 00:40:45.719
things you can keep track of, but one is pain
797
00:40:46.480 --> 00:40:49.400
and one is dysfunction, meaning they can't do the things
798
00:40:49.440 --> 00:40:51.519
they want to do. So you want pain to go
799
00:40:51.599 --> 00:40:54.039
down over time, right, And in my book there's a
800
00:40:54.079 --> 00:40:58.719
graph on this if you but so over time pain,
801
00:40:58.880 --> 00:41:01.119
if you look at most Regenda medicine clinics over time,
802
00:41:01.159 --> 00:41:04.440
over the course of two years, pain goes down. If
803
00:41:04.440 --> 00:41:06.639
you look at Victory in motion, pain goes down even more.
804
00:41:06.679 --> 00:41:09.079
So we're able to compare ourselves to other clinics, and
805
00:41:09.159 --> 00:41:11.320
I think that's because we do programs. We don't just
806
00:41:11.360 --> 00:41:14.679
do only a shot. We don't do, you know, only laser.
807
00:41:14.760 --> 00:41:18.079
We combine everything together and we follow our patients, you know,
808
00:41:18.679 --> 00:41:20.920
over the course of a full year and then even
809
00:41:20.960 --> 00:41:25.840
longer a lot of times. And so you want function
810
00:41:25.920 --> 00:41:29.880
to go up over time as well. Right, So the
811
00:41:29.920 --> 00:41:34.039
top one there looks like function, so you want so
812
00:41:34.280 --> 00:41:37.400
if the lower yeah, the lower line there is the
813
00:41:37.440 --> 00:41:40.039
other clinics and overtime function goes up over two years.
814
00:41:40.039 --> 00:41:41.920
And then if you look at victory in motion fun
815
00:41:42.159 --> 00:41:44.599
function goes up much higher. I'm not bragging. I'm just
816
00:41:44.639 --> 00:41:47.000
saying this is how we can. I'm kind of I'm
817
00:41:47.079 --> 00:41:50.039
very proud of my team, but I'm not bragging in that.
818
00:41:50.440 --> 00:41:53.159
What I'm saying is we can. We you know, in general,
819
00:41:53.159 --> 00:41:56.599
regenerator medicine works. That's what those graphs show, and that's
820
00:41:56.639 --> 00:41:59.719
what data biologic shows, and then you can. You know,
821
00:41:59.719 --> 00:42:02.119
because we've been doing this since two thousand and eight,
822
00:42:02.119 --> 00:42:04.440
et cetera, we have a lot more kind of tricks
823
00:42:04.519 --> 00:42:07.280
up our sleeve. And we also have more you know,
824
00:42:08.239 --> 00:42:11.280
solidified programs as opposed to just like I said, giving
825
00:42:11.320 --> 00:42:13.880
someone a shot and saying see you later. And so
826
00:42:14.920 --> 00:42:16.760
I think our results are better because of that, and
827
00:42:16.840 --> 00:42:20.079
we're constantly evolving. So it lets us compare ourselves to
828
00:42:20.119 --> 00:42:22.480
ourselves and always try to get better, but also compare
829
00:42:22.480 --> 00:42:25.880
ourselves to others and see how we're stacking up. And so, yeah,
830
00:42:25.880 --> 00:42:28.559
we're pretty proud of our results. You know, we can't
831
00:42:28.599 --> 00:42:31.320
guarantee anything other than death and taxes, but you know,
832
00:42:31.440 --> 00:42:33.880
I mean I like to tell people eighty five to
833
00:42:33.960 --> 00:42:35.760
ninety five percent chance they're going to get eighty five
834
00:42:35.760 --> 00:42:37.800
to ninety five percent better. That's what we're seeing in
835
00:42:37.920 --> 00:42:38.840
our results.
836
00:42:39.239 --> 00:42:44.440
Yeah, oh incredible, well well done, and thank you so
837
00:42:44.599 --> 00:42:48.880
much for joining and sharing your wealth and knowledge and
838
00:42:49.599 --> 00:42:55.159
just the innovation and thinking outside the traditional medical world
839
00:42:55.280 --> 00:42:57.920
is it's not easy to do when you're when you're
840
00:42:57.960 --> 00:43:01.320
inside that realm. And so my, my, my hat's off
841
00:43:01.360 --> 00:43:04.599
to you for you know, really looking at things differently,
842
00:43:04.760 --> 00:43:08.599
asking you know, critical difficult questions, especially in the in
843
00:43:08.679 --> 00:43:14.119
the o R raising your hand the first for surgery observation,
844
00:43:14.360 --> 00:43:19.800
so that it's amazing story, and just really excited about
845
00:43:19.840 --> 00:43:23.559
what you've what you've accomplished. In the future as well,
846
00:43:23.599 --> 00:43:26.719
I think the future of medicine, the future of of
847
00:43:27.199 --> 00:43:32.719
healthcare is such a bright, fascinating, exciting place to be
848
00:43:32.840 --> 00:43:36.920
in right now because I think there's just so much
849
00:43:37.079 --> 00:43:41.199
better data from you know, just you know, AI can
850
00:43:41.239 --> 00:43:45.920
accumulate a lot, can process a lot more data as
851
00:43:45.920 --> 00:43:49.599
well as I think we're we're just set up to
852
00:43:49.800 --> 00:43:51.719
have some incredible technologies.
853
00:43:52.599 --> 00:43:54.719
So thank you so much for joining.
854
00:43:55.840 --> 00:43:59.239
If people want to follow you, connect with you, what's
855
00:43:59.320 --> 00:44:00.519
what would be the best US way?
856
00:44:01.400 --> 00:44:05.079
There's a lot of ways. Our website is victoryinmotion dot com.
857
00:44:05.239 --> 00:44:08.960
Victoryanemotion dot com traditional phone number three one five six
858
00:44:09.079 --> 00:44:11.360
eight five seventy five four four. You can always do that,
859
00:44:11.760 --> 00:44:15.239
but also you know to go to Amazon, Yeah, Amazon
860
00:44:15.280 --> 00:44:17.280
and type in repair not replace. So if you go
861
00:44:17.320 --> 00:44:19.760
to Amazon, you can type in repair not replace. And
862
00:44:19.800 --> 00:44:22.719
then also I mean you can go I'm on Instagram,
863
00:44:22.760 --> 00:44:26.679
doctor Mark Petch Polly, also Victory and Motion one, Facebook,
864
00:44:27.000 --> 00:44:33.280
TikTok YouTube LinkedIn, so any of those things you can
865
00:44:33.320 --> 00:44:36.960
find either doctor Mark, Petch Polyi or Victory in Motion. Right.
866
00:44:37.639 --> 00:44:41.280
Well, thank you so much, Doctor p is great to
867
00:44:41.320 --> 00:44:45.199
talk to you, and thanks everybody for joining us, and
868
00:44:45.239 --> 00:44:48.559
we will see you next time on the Agels Future podcast.
869
00:44:48.719 --> 00:44:53.119
If you like this, enjoyed this, or maybe have a friend,
870
00:44:53.239 --> 00:44:58.079
family member, relative that could could really benefit from this story,
871
00:44:58.119 --> 00:45:01.639
I just ask you to share it, like and share
872
00:45:01.719 --> 00:45:05.639
that that helps us grow our reach and help other
873
00:45:05.679 --> 00:45:07.639
people with the same message.
874
00:45:07.719 --> 00:45:11.280
So have a great day, everybody. Thanks Kate, Thanks everyone.
875
00:45:12.400 --> 00:45:25.239
Hmmmmmmmmmmmmmm