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Speaker 1: Welcome to Wellness on Mass with doctor Nicole Saffire. I'm

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Speaker 1: your host, sport certified physician, mom and forever truth seeker. Today,

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Speaker 1: I want to dive right into a very important topic

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Speaker 1: that everyone is constantly asking me about, and by the way,

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Speaker 1: I'm always asking myself and my friends and my colleagues

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Speaker 1: about it as well. It's brain health. At this point,

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Speaker 1: everyone knows someone who is living with dementia because it

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Speaker 1: really is that prevalent people all around us. Now, there

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Speaker 1: are many different types of dementias. We're not going to

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Speaker 1: get into that, Alzheimer's being the most common. When we

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Speaker 1: talk about dementia, it's not one size fits all. Not

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Speaker 1: two presentations are exactly the same. And in fact, sometimes

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Speaker 1: people don't even realize that they have maybe some mild dementia.

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Speaker 1: They're just living life thinking maybe I have a little

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Speaker 1: bit of brain fog. But let's dive right in. Dementia

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Speaker 1: is incredibly prevalent. About fifty five million people worldwide are

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Speaker 1: living with it. In the next twenty years, that number

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Speaker 1: is probably going to double. Now, the question is is

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Speaker 1: that number double because we have an increased prevalence and

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Speaker 1: incidence of dementia, meaning more people are being diagnosed with

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Speaker 1: it and this should be raising red flags or is

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Speaker 1: it the fact that we have an aging population. Well,

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Speaker 1: it's a really good question, and if you really look

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Speaker 1: at the numbers, it looks like actually, our dementia incidence

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Speaker 1: over the last five to ten years is slightly decreasing,

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Speaker 1: meaning a smaller percentage of the population is being diagnosed

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Speaker 1: with dementia. However, we have more cases of dementia, more

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Speaker 1: prevalence of dementia because we have an aging population. So

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Speaker 1: take it as what you will. For me, I would

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Speaker 1: think that with our innovation, our technology, and everything that

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Speaker 1: we have today, that we should be seeing fewer cases

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Speaker 1: of dementia statistically significant fewer, not just you know, one

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Speaker 1: to four percentage points. Why isn't it ten percent decrease,

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Speaker 1: twenty percent decrease. Well, I suspect that's because of our

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Speaker 1: lifestyle factors. And you know what, the data backs me

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Speaker 1: up on that too. So nearly two thirds of Americans

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Speaker 1: with dementia are actually females. That's right, ladies, you are

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Speaker 1: more likely to get dementia than your husband. And why

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Speaker 1: is that. Well, there's a lot of theories, but I

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Speaker 1: definitely point to a lot of our hormones. The hormones

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Speaker 1: in our bodies certainly negatively impact us, especially when it

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Speaker 1: comes to autoimmune diseases and cancer and other things. So

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Speaker 1: why not why wouldn't it also influence our dementia risk.

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Speaker 1: We also are at a higher risk of cardiovascular disease,

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Speaker 1: and we know that cardiovascular disease directly is linked to

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Speaker 1: dementia risk, so that's another reason for us. There are

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Speaker 1: also some racial disparities as well. Black men Hispanic men

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Speaker 1: are twice as likely to have dementia than say, a

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Speaker 1: white man is, and that's pointed to maybe some socioeconomic factors.

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Speaker 1: Also higher incidences of cardiovascular diseases in those populations compared

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Speaker 1: to white men. Maybe it's because of decreased access to care,

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Speaker 1: maybe it's lifestyle. Hard to say, but those are the statistics,

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Speaker 1: and I want to make sure you have that. By

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Speaker 1: the age of eighty five, nearly half of people living

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Speaker 1: have some sort of cognitive decline and also dementia. It's

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Speaker 1: just the fact of life. Our body is aging and

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Speaker 1: so is our brain, and therefore you will start to

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Speaker 1: have some cognitive decline. Now, don't worry. There are some

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Speaker 1: things that we've gotten from research that show there are

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Speaker 1: ways to decrease our dementia risk, and we're going to

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Speaker 1: get to that, but at first I want to talk

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Speaker 1: about why are we seeing maybe some more dementia. What

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Speaker 1: is it in our lifestyle that's potentially leading to dementia. Well,

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Speaker 1: I've already mentioned a really big one that is cardiovascular disease.

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Speaker 1: So if you have high blood pressure, high cholesterol, you're overweight,

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Speaker 1: all of these things increases your risk of dementia because

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Speaker 1: you have tiny blood vessels, and you have larger blood

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Speaker 1: vessels too in your brain. So if they are sick unhealthy,

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Speaker 1: just like your vessels in your body, just like leading

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Speaker 1: to your heart, you have to imagine that the ones

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Speaker 1: going to your brain are dealing with the same sickness.

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Speaker 1: They're having the same blood flow issues. When you have

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Speaker 1: decrease oxygen to the brain, you can have micro infarcs,

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Speaker 1: meaning tiny little areas that are dying. So yeah, of

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Speaker 1: course that's going to lead to dementia risk. I mean

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Speaker 1: the big one is a stroke. It's essentially it's essentially

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Speaker 1: when you talk about the brain, the brain is like

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Speaker 1: your heart. Your heart supplies blood to the body, but

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Speaker 1: your brain is what keeps you alive. So if you're

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Speaker 1: decreasing oxygen in the blood, so decreasing blood flow to

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Speaker 1: the heart, you have a heart attack, and areas of

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Speaker 1: your heart can die. If you decrease the blood flow

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Speaker 1: to your brain, you're decreasing the oxygen in the blood.

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Speaker 1: Therefore you have these infarcs or these areas that start dying.

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Speaker 1: A huge one is a stroke. Sometimes it can be lethal,

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Speaker 1: just like a heart attack can be lethal. Sometimes it

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Speaker 1: can leave you with severe physical and mental incapacities. And

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Speaker 1: sometimes you don't even realize they're happening because they're so tiny.

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Speaker 1: But over time, those tiny little infarcs kind of convless

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Speaker 1: together and really make it that your brain starts having

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Speaker 1: cognitive decline akay demension, schemic dementia, microvascular dementia, all that

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Speaker 1: what we're talking about right now is incredibly common. Also,

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Speaker 1: social isolation if you are not being social, if you're

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Speaker 1: not being social with your family, your friends, your colleagues,

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Speaker 1: that also leads to an increased risk of dementia. We

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Speaker 1: are humans, we are social beings. We are meant to

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Speaker 1: interact with other people. If you don't do that, your

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Speaker 1: brain suffers. Another thing that's starting to emerge. And you've

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Speaker 1: heard me talk about this, if you've seen me on TV. Microplastics.

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Speaker 1: I don't like talking about it because it scares people.

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Speaker 1: But the reality is microplastics are everywhere. Now, water microplastics.

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Speaker 1: There's these tiny little particles of plastic, and they're really everywhere.

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Speaker 1: They're in the air because they've become aerosolized. They're in

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Speaker 1: our water, they are drinking water. They're in our foods,

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Speaker 1: especially those ultra processed foods. And in fact, there's been

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Speaker 1: studies they looked at postmortem studies on humans. Essentially after

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Speaker 1: someone died, they looked at their and people with dementia

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Speaker 1: had ten times the amount of microplastics deposited in their brain,

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Speaker 1: specifically the frontal lobe that's where your decision making and

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Speaker 1: your personality, that's where that's all controlled from. So patients

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Speaker 1: with dementia had significantly higher levels of microplastics deposited in

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Speaker 1: their brain. Does this mean that the microplastics contributed to

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Speaker 1: that inflammation in the brain and maybe have led them

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Speaker 1: to have Alzheimer's and dementia. It's possible. We have animal

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Speaker 1: studies suggesting that the microplastics in the brain are causing inflammation. Again,

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Speaker 1: these are some correlations, not actual causation in human trials.

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Speaker 1: But let's be honest, guys. If you have plastic being

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Speaker 1: deposited in your brain, I might be going out on

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Speaker 1: a limb here, but I don't think that's very healthy

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Speaker 1: for your brain. Absolutely not. You're also finding microplastics in

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Speaker 1: the vessels in your body too, leading to narrowing of

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Speaker 1: the vessels, leading to decreased blood flow. Safe to assume

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Speaker 1: it's probably happening in the brain as well. So I

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Speaker 1: want to talk about microplastics. I want to talk about

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Speaker 1: brain health. I could ask a million people to come

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Speaker 1: on and talk about this, but I figured I would

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Speaker 1: bring on an actual expert, someone who's an endovascular neurosurgeon.

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Speaker 1: And that's just a fancy way of saying that he

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Speaker 1: specializes in the blood vessels in the brain when it

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Speaker 1: comes to stroke, aneurysm, brain tumors and all of that.

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Speaker 1: I just so happened to be married to him, doctor

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Speaker 1: Paul Sapphire, and in our household, brain health is incredibly

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Speaker 1: important because he sees every single day what can happen

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Speaker 1: if you are not prioritizing your brain health. So I

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Speaker 1: want to bring in my husband, doctor Paul Sapphire, word

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Speaker 1: certified endovascular nerve surgeon, and we're going to talk a

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Speaker 1: little bit more about microplastics and brain health. Okay, Well,

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Speaker 1: I like to talk about studies, and I like to

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Speaker 1: dissect a lot of research, but I am not an

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Speaker 1: expert in everything. But the good news is I'm actually

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Speaker 1: married to an expert in everything that we're talking about

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Speaker 1: right now. So you hear me say a lot of

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Speaker 1: times cardiovascular disease is the number one cause of death,

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Speaker 1: especially here in the United States, especially amongst women. But

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Speaker 1: when people hear me say cardiovascular disease, they immediately think

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Speaker 1: that that just means heart health, you know, heart attacks.

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Speaker 1: But part of that whole cardiovascular disease spectrum are strokes.

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Speaker 1: And one of the things that I was blown away

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Speaker 1: by in the last month, which I've mentioned, is microplastics

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Speaker 1: are actually being linked to an increased risk of stroke.

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Speaker 1: Stroke and cardiovascular disease was already the number one cause

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Speaker 1: of death amongst American females, but now all of a sudden,

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Speaker 1: microplastics are being linked to it too, So is that

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Speaker 1: also increasing our risk of death? Good news, I'm married

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Speaker 1: to This is doctor Paul Sapphire. He is an endovascular neurosurgeon,

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Speaker 1: which means that his specialty is Yes, he's a neurosurgeon,

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Speaker 1: so he operates on the brain and the spine, but

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Speaker 1: his actual niche is when it comes to stroke aneurysms

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Speaker 1: and bring to so excellent topic to bring in my husband,

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Speaker 1: doctor Paul Sapphire. Welcome to Wellness sun Mass.

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Speaker 2: Thank you for having me. By the way, Can I

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Speaker 2: just say that you're doing next sun job. Thank you

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Speaker 2: not only just this but everything. I get a lot

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Speaker 2: of compliments, not from just a lot of my patients

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Speaker 2: who are a huge fan base, but also for many hospitals.

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Speaker 2: They're big fans, So bravos to you and everything that

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Speaker 2: you're doing here.

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Speaker 1: Well hopefully they have subscribed and they're listening to this

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Speaker 1: podcast because I can tell you that this is going

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Speaker 1: to be an important one. So I'm going to call

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Speaker 1: you Paul, because to call you doctor Sapphire, I don't

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Speaker 1: want to get confused because I write doctor, I'm the

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Speaker 1: doctor Sapphire of Wellness sun Mass. It's very confused you doctor,

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Speaker 1: if you wouldn't mind, so thank you. Oh awesome. So

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Speaker 1: quick question, so Honestly, I talked to you about this

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Speaker 1: the moment I read about this study. You know, you

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Speaker 1: know I have been a little bit wary of the microplastics.

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Speaker 1: Even in our own kitchen. I've started saying, we have

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Speaker 1: to do what we can to reduce our exposure to microplastics. Look,

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Speaker 1: we're not going to go live in the glass bubble,

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Speaker 1: because that's probably the only way to truly rid ourselves

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Speaker 1: exposure to microplastics. Not a plastic bubble, not a plastic bubble,

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Speaker 1: but a glass bubble. But here's the question I have

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Speaker 1: for you, what really is the link to microplastics and

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Speaker 1: brain health is it? Is it all hype or is

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Speaker 1: there something behind.

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Speaker 2: This great question? Well, unfortunately, microplastics are pervasive, right They're

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Speaker 2: everywhere right now that we're finding microplastics in the deep

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Speaker 2: sea to the cells within our body and everything in between,

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Speaker 2: and that's very unfortunate. What this one study recently discovered

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Speaker 2: was that for patients who unfortunately suffered a stroke, there

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Speaker 2: was a higher percentage of patients than had microplastics within

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Speaker 2: the atheroma or the plaques within the blood vessels that

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Speaker 2: were so athroosclerotic disease. When you're talking about serblascar disease,

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Speaker 2: build up of plaque junk, you know, all the bad

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Speaker 2: stuff within the blood vessels and creates the bloodvests become

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Speaker 2: more narrow. There's a higher deposit of those plastics, which

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Speaker 2: by the way.

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Speaker 1: For most people, that's essentially when you eat like yucky,

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Speaker 1: fatty foods and all of that. That kind of when

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Speaker 1: we talk about clogging your arteries, that's what atheromas are

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Speaker 1: and stuff. But what they're finding is in these athromas

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Speaker 1: are not just jumped from the food.

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Speaker 2: But what specifically, these little deposits of plastic, these microplastics

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Speaker 2: are within it, which is quite awful. There's a component

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Speaker 2: of the plasts, these HydroD departments, which we talked about earlier.

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Speaker 2: You know, they are these sort of chemical byproducts that

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Speaker 2: are that are related to the manufacturing of these plastics.

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Speaker 2: They are essential to how these plastics are made and

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Speaker 2: it's you know, you need you need them to build

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Speaker 2: these plastics. But unfortunately they don't biodegray and they're you know,

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Speaker 2: we're ingesting them, either you know, passively or actively, and

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Speaker 2: they filter through our body and they don't go anywhere.

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Speaker 2: They stay within our body is they break they break

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Speaker 2: down to these small, microscopic little particles and they get

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Speaker 2: you know, incorporated into these plaques, and these build up

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Speaker 2: the junk and it creates a lot of problems, not

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Speaker 2: just for troup of aster disease well and so so on.

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Speaker 1: So we make this plaque. The plaque is from the

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Speaker 1: junk we eat. Now we're finding out that there are

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Speaker 1: microplastics in it. But what's the big problem. What happens

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Speaker 1: when you have these plaques?

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Speaker 2: Well, what happens when we have these plaques. So there's

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Speaker 2: a lot of similarities between the heart disease and the

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Speaker 2: brain disease. In fact, I tell a lot of my

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Speaker 2: patients when you have a stroke, that's like a heart attack,

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Speaker 2: but for the brain, brain attack is another sort of

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Speaker 2: synonymous synonym that we use. Right, So, what happens when

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Speaker 2: you get these plaques is building with junk within the bloodvessel.

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Speaker 2: It narrows the blood vessel. Blood flow can't get through.

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Speaker 2: And then sometimes what happens is not only is a

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Speaker 2: blood flow not able to get through, but these plaques

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Speaker 2: they break apart, and these little flecks of debris get

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Speaker 2: pushed upstream, so to speak, and they travel on the

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Speaker 2: bloodstream and then they get lodged in the small blood

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Speaker 2: vessels that in this case lead to brain, and it plods.

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Speaker 2: A blood vessel is in the brain and that part

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Speaker 2: of the brain is stopartical oxygen and then it dies irreversibly.

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Speaker 1: So that's an eschemicx stroke, meaning you're not getting enough

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Speaker 1: blood flow to the brain. That piece of brain unless

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Speaker 1: someone intervenes immediately, is going to die. And that's the

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Speaker 1: same thing that can happen with a heart attack.

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Speaker 2: That's correct, it's very similar heart attack. Again, we say

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Speaker 2: a heart attack and a brain attack are almost the

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Speaker 2: same exact thing.

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Speaker 1: So you're an end of ascolinusurgeon. Most people don't really

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Speaker 1: know what that means when it comes to treating strokes, which,

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Speaker 1: as you say, is synonymous and kind of parallels to

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Speaker 1: how you can treat heart attacks these days, What is

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Speaker 1: your niche like what can be done when someone is

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Speaker 1: having the stroke?

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Speaker 2: So sometimes if you're having a large stroke and you

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Speaker 2: fall within a certain time period where we can actually

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Speaker 2: intervene or treat that strike, what's that time perod So

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Speaker 2: it varies, you know, and a lot of people that's

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Speaker 2: coming to question. That's a whole other topic which I

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Speaker 2: don't take a messure.

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Speaker 1: You know those academics, they love to argue that what

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Speaker 1: that magical.

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Speaker 2: Hours You talk about four and a half hours, we

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Speaker 2: can talk about six, we can talk about eight, we

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Speaker 2: can talk about it. Time doesn't there. Nonetheless, let's just

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Speaker 2: say that you fall within a time frame that we

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Speaker 2: can treat that stroke. Sometimes a doctor like myself can

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Speaker 2: go in and perform a procedure, again very similar to

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Speaker 2: what the cardiologists can do for the heart. But what

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Speaker 2: I can do is oftentimes go through the arguing the

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Speaker 2: wrist with a very thin but long tuber catheter using

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Speaker 2: X rays, guide that all the way up to the

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Speaker 2: bloodvelts that lead through the heart up to the brain.

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Speaker 2: Get in there and try to grab that clot, try

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Speaker 2: to grab that blockage and pull it out.

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Speaker 1: You know that whole thing when you see the commercials

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Speaker 1: for a plumber and they love to show like those long,

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Speaker 1: windy pathways are there.

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Speaker 2: Paul just called formerly doctor Paul, now just Paul a plumber.

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Speaker 2: But that's okay, that's right, that's okay.

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Speaker 1: I mean, can I finish my thought?

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Speaker 2: I went to a lot of school, not I mean,

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Speaker 2: we're discussing it.

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Speaker 1: It's not rocket science, okay, we're just stucking brain swist.

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Speaker 1: It's not rocket science. Let's just talk about so. You

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Speaker 1: know when you see those plumbing commercials and they show

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Speaker 1: you those super windy pipes and they're like, oh, there's

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Speaker 1: a clog there, but all of a sudden they have

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Speaker 1: this massive clog buster that all you have to do

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Speaker 1: is pour it down the drain and it goes right

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Speaker 1: to where that clog is and magically that clog disappears.

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Speaker 1: That is what doctor Paul Sapphire is describing, except it's

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Speaker 1: not as simple as just injecting a medication into a

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Speaker 1: patient and all of a sudden this clot goes away.

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Speaker 1: Although they do try to do that.

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Speaker 2: There's a lot of the medication is called trainer. I'm joking.

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Speaker 2: That's not true at all.

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Speaker 1: We're not injecting people just like we don't ever expect

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Speaker 1: anyone to swallow bleach. I'm not saying that. But what

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Speaker 1: we're saying is, so what Paul is saying is he

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Speaker 1: actually either through a vessel in the wrist or even

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Speaker 1: sometimes in the groin, he goes in there with a

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Speaker 1: tiny little catheter and strings it all the way to

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Speaker 1: the brain. Do you know how many twists and turns

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Speaker 1: it takes to get there. It's not like it just

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Speaker 1: goes magically by itself, but they do use X rays

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Speaker 1: to get all the way to the brain. He identifies

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Speaker 1: the clot and he's able to actually use a basket

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Speaker 1: device and pull that clot down, and sometimes they give

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Speaker 1: medication to dissolve that clot. It's really quite remarkable because

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Speaker 1: when you think of brain surgery, do you think of

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Speaker 1: that massive surgery where you have to take off half

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Speaker 1: of the skull and it's incredibly invasive. And don't get

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Speaker 1: me wrong, he does that all the time. But there's

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Speaker 1: this very small niche where you can have brain surgery

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Speaker 1: and all you have is little nick in your wrist

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Speaker 1: and it really does save your life. I mean, that's

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Speaker 1: a whole nother episode we can talk about.

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Speaker 2: It is crazy how much you know medicine in general,

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Speaker 2: specifically my field has evolved, if you think about it.

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Speaker 2: I graduated med school at.

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Speaker 3: We don't like to aid ourselves on twelve vytor I've

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Speaker 3: started to think I did, and in that twenty five

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Speaker 3: years since I graduate medical school, there's been a tremendous effort.

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Speaker 2: Thank you very much. My children like that. In personal

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Speaker 2: honest old dam But in those twenty five some odd

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Speaker 2: years that I've graduated, there's been a tremendous evolution, not

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Speaker 2: just in my field, in every field, but especially in

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Speaker 2: my small little microcosts and my small little niche in

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Speaker 2: this in this place, a tremendous evolution, and specifically with

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Speaker 2: stroke care. So what we're doing today we weren't doing yesterday.

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Speaker 2: And by the way, tomorrow, who knows what we're going

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Speaker 2: to be doing?

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Speaker 1: So well, I mean to be continued. We will see

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Speaker 1: what happens tomorrow. But I can tell you what's happening

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Speaker 1: right now in terms of stroke care, also aneurism treatments,

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Speaker 1: and even brain tumors. It's quite remarkable. But I really

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Speaker 1: want to get back to microplastics. So this study showed

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Speaker 1: that microplastics are in the plaques which are leading to

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Speaker 1: it being broken off, being shot off into the brain,

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Speaker 1: potentially causing strokes, heart attacks and other things. But microplastics

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Speaker 1: aren't just being linked to strokes, especially when it comes

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Speaker 1: to brain health. There was that one study that showed,

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Speaker 1: of course, it was a post mortem study, and they

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Speaker 1: looked at the cadavers and in the cadavers the brains

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Speaker 1: actually had the brains of dementia patients, those who had

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Speaker 1: been diagnosed with Alzheimer's had a higher risk of deposits

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Speaker 1: of microplastics in their brain. What's your thought of these

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Speaker 1: microplastics causing an increased risk of dementia and Alzheimer's and

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Speaker 1: all the other sorts, Because let's be honest, it seems

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Speaker 1: like it's getting a lot more common than it was before.

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Speaker 2: Well, I mean, I'm not surprised by that for sure.

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Speaker 2: You know, we just talked about how strokes are related

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Speaker 2: to these microplastics. There are many different types of dementia.

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Speaker 2: Certainly poor blood flow microvascular schemic dementia, that's the most common,

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Speaker 2: probably the most common essentially globally or the entire brain

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Speaker 2: is the product of blood flow.

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Speaker 1: Even in this starting in repeat, is that because of

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Speaker 1: our diet and our lifestyle, like there's a brain not

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Speaker 1: getting enough flood.

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Speaker 2: I mean, there's that. You also have to keep in

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Speaker 2: mind that in the twentieth century, from the beginning to

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Speaker 2: the end of the twentieth century, we doubled our life expects.

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Speaker 2: Right from nineteen hundred to year two thousand, we went

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Speaker 2: from an average life expend in forties to seventies.

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Speaker 1: But actually, interestingly, in the last two decades it hasn't

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Speaker 1: increased anymore.

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Speaker 2: It has really.

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Speaker 1: It's almost started to dig.

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Speaker 2: Well. My point though, is that we're living longer, and

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Speaker 2: so we're seeing more long term effects of paging, especially

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Speaker 2: in the brain apropos that we're having more long term

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Speaker 2: effects of deposits. Right, So junk in our body, these junks,

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Speaker 2: these deposits don't go anywhere. So if you were only

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Speaker 2: to live to say, forty five years old, right back

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Speaker 2: in nineteen certainly microplastics were around them, but let's just

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Speaker 2: say that they were even I have forty five years

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Speaker 2: worth of deposits those plus who don't go anywhere, and

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Speaker 2: just getting your brain, they don't go anywhere. Now, if

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Speaker 2: we're living to our seventies, maybe eighties in some instances, right,

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Speaker 2: we're having that much more, almost double the length of

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Speaker 2: time that these deposits build up. So therefore the consequences

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Speaker 2: of it are ramping up, right, It's exponentially increased, So

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Speaker 2: that I think is what we're seeing. We're seeing a

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Speaker 2: lot of those effects because we are living longer. Medicine

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Speaker 2: in general, we're having that medicine for heart disease, blood pressure, diabetes,

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Speaker 2: and so on and so forth. That people are surviving

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Speaker 2: all these other you know, uh, medical issues that would

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Speaker 2: have you know, crippled them earlier and taken their life,

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Speaker 2: and now we're seeing the long term effects in our brain.

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Speaker 1: Well. And also remember that last you know, decades and

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Speaker 1: decades ago, they would have probably said like, oh, we

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Speaker 1: have that old crazy uncle or that old crazy very sister,

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Speaker 1: very distant. Maybe they were just crazy, maybe their brain

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Speaker 1: was suffering.

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Speaker 2: Of course people just had senile dementia. What is senile dementia?

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Speaker 2: Just you're getting old and you have dementia. Well, that's

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Speaker 2: maybe not right. The more we know, literally we can

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Speaker 2: segregate all these different types of dementias, and there are

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Speaker 2: some that maybe we can treat with surgical interventions or

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Speaker 2: medical therapy, so unfortunately can but I think that ultimately

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Speaker 2: what we're seeing is the effects of lifestyle and all

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Speaker 2: these deposits' long term deposits, because we're living longer and

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Speaker 2: we're living a better life. What we want to be

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Speaker 2: when we're sixty years old today in twenty twenty five

403
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Speaker 2: is not what when I was in nineteen eighty five,

404
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Speaker 2: when I was a kid, a six year old person

405
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Speaker 2: is not the same person.

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Speaker 1: That's true. Well, since you brought up senile dementia, I

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Speaker 1: feel like this is a great opportunity.

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Speaker 2: And by the way, you don't have to answer this.

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Speaker 1: Wellness and masks is all about whatever you want to

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Speaker 1: talk about. Joe Biden, former President Joe Biden. There was

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Speaker 1: he was president for four years, we saw him as

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Speaker 1: vice president under President Barack Obama, we saw him for

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Speaker 1: decades as a senator and also in the public eye.

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Speaker 1: Did you have an opinion on how he was doing?

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Speaker 1: I mean, I was publicly outspoken about I felt that

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Speaker 1: he was declining cognitively, and I felt that it was

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Speaker 1: very important that he submit.

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Speaker 2: To a cognitive valuation.

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Speaker 1: Did you have any opinions that you want to share.

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Speaker 2: Well, certainly, I think that you know too. You shouldn't

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Speaker 2: hide from them.

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Speaker 1: You may have cut him off guard.

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Speaker 2: You've got me a little bit off guard, and that's

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Speaker 2: that's okay, that's okay. So look, let's just let's just

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Speaker 2: be honest. You know, cognitivecline and function that that happens,

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Speaker 2: that happens a lot. It is permissive, and maybe maybe

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Speaker 2: we don't talk about it enough. And I think that

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Speaker 2: if a lot of people embraced in the sense that

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Speaker 2: we say that we recognize that our loved ones are

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Speaker 2: suffering from these issues, that again, maybe we can meet

431
00:23:00,400 --> 00:23:05,120
Speaker 2: it earlier rather than being dismissive and institute treatment, even

432
00:23:05,200 --> 00:23:08,800
Speaker 2: if the treatment isn't medicinal. We can't undo the effects

433
00:23:09,000 --> 00:23:12,200
Speaker 2: of whatever the culprit of that dementia is, but we

434
00:23:12,359 --> 00:23:16,360
Speaker 2: can modify the living environments for that person. Now, it's

435
00:23:16,400 --> 00:23:18,440
Speaker 2: hard to do for the President United State, it's in

436
00:23:18,680 --> 00:23:21,199
Speaker 2: arguably the most one of the most powerful people, if

437
00:23:21,280 --> 00:23:24,680
Speaker 2: not the most powerful person in every world. You can't

438
00:23:24,720 --> 00:23:27,560
Speaker 2: really modify their living environment so much. And has a

439
00:23:27,600 --> 00:23:31,280
Speaker 2: lot to do with that. However, for the rest of

440
00:23:31,400 --> 00:23:35,200
Speaker 2: us that are normal, you know, normal folk, if we

441
00:23:35,280 --> 00:23:38,840
Speaker 2: see a loved one that's suffering from the dementia, you know,

442
00:23:38,920 --> 00:23:41,480
Speaker 2: maybe we don't put them in an environment that exacerbates

443
00:23:41,520 --> 00:23:45,000
Speaker 2: the constantly changing and evolving. Look, I mean, the President

444
00:23:45,080 --> 00:23:48,120
Speaker 2: United says, one day in Turkey, the next day, you're

445
00:23:48,880 --> 00:23:50,680
Speaker 2: you're you're all the way in the Middle East, the

446
00:23:50,720 --> 00:23:53,640
Speaker 2: next day you're back in Rome, and then back into

447
00:23:53,680 --> 00:23:57,720
Speaker 2: New York City wherever on the meatia Delaware. My point

448
00:23:57,760 --> 00:24:00,640
Speaker 2: is you're traveling all the place, you're in constantly evolving situation.

449
00:24:01,440 --> 00:24:04,440
Speaker 2: You're seeing hundreds of people a day. I'm sure you're

450
00:24:04,440 --> 00:24:09,800
Speaker 2: dealing with a lot of you know, revolving faces environments.

451
00:24:10,240 --> 00:24:13,880
Speaker 2: That's hard if you were facing cognitive decline. That's only

452
00:24:13,960 --> 00:24:16,240
Speaker 2: going to exacerbate that. You're only going to make that

453
00:24:16,440 --> 00:24:19,520
Speaker 2: those symptoms worse. So you know, if it were my

454
00:24:19,760 --> 00:24:21,600
Speaker 2: loved one, I would try to keep them in a

455
00:24:21,760 --> 00:24:24,120
Speaker 2: relatively stable environment. Again, the president that says you can't

456
00:24:24,119 --> 00:24:25,560
Speaker 2: be in a stable environment, and it says that you

457
00:24:26,280 --> 00:24:29,640
Speaker 2: have to constantly move around. You're just seeing some way

458
00:24:29,680 --> 00:24:32,199
Speaker 2: to fix Again, we off the rails a little bit,

459
00:24:32,320 --> 00:24:34,480
Speaker 2: you know, and I apologize for that. So but yes,

460
00:24:34,520 --> 00:24:35,200
Speaker 2: there definitely were.

461
00:24:35,200 --> 00:24:39,399
Speaker 1: Se issues, all right, Well, so I appreciate that. I

462
00:24:39,520 --> 00:24:45,000
Speaker 1: do think that President Biden unfortunately was showing signs of

463
00:24:45,119 --> 00:24:47,800
Speaker 1: early cognitive decline early on in the presidency and it

464
00:24:47,920 --> 00:24:51,280
Speaker 1: kind of rapidly progressed. And I agree with you. I

465
00:24:51,320 --> 00:24:55,200
Speaker 1: think it was a very stressful situation. And if it

466
00:24:55,240 --> 00:24:57,480
Speaker 1: were my loved one, I would probably have had them

467
00:24:57,520 --> 00:25:00,480
Speaker 1: in a different situation. But you know, that is of

468
00:25:00,560 --> 00:25:01,040
Speaker 1: the past.

469
00:25:01,680 --> 00:25:04,320
Speaker 2: I think you need. Yes, the point that I was

470
00:25:04,400 --> 00:25:08,240
Speaker 2: trying to make is you need to admit to it

471
00:25:08,800 --> 00:25:11,680
Speaker 2: rather than shrink away from her hindans heid.

472
00:25:12,040 --> 00:25:13,639
Speaker 1: That's a big question, but that's not what we're going

473
00:25:13,720 --> 00:25:16,920
Speaker 1: to talk about for today. So back to microplastics, which

474
00:25:17,040 --> 00:25:21,159
Speaker 1: you know, I think we all are exposed to. Before

475
00:25:21,400 --> 00:25:25,280
Speaker 1: I get your advice on something, I also saw something

476
00:25:25,440 --> 00:25:28,920
Speaker 1: that microplastics. Again I hate saying all this research, but

477
00:25:29,040 --> 00:25:32,240
Speaker 1: microplastics shown to be in the ath aroma plaques which

478
00:25:32,320 --> 00:25:35,120
Speaker 1: you mentioned, which are leading to heart attacks and strokes.

479
00:25:35,560 --> 00:25:40,560
Speaker 1: Also we're seeing in dementia patients. They also have mentioned

480
00:25:40,720 --> 00:25:45,360
Speaker 1: in gbms. Those gleoblastoma multiform which I'll let you talk

481
00:25:45,400 --> 00:25:48,879
Speaker 1: about you're the expert, are very aggressive primary brain tumor.

482
00:25:49,160 --> 00:25:52,440
Speaker 1: Former center John McCain actually died from it. We've also

483
00:25:52,560 --> 00:25:55,160
Speaker 1: seen other people died from it. It's becoming a little

484
00:25:55,160 --> 00:25:59,000
Speaker 1: bit more of a public topic because John McCain's daughter,

485
00:25:59,119 --> 00:26:04,800
Speaker 1: Megan McCain talks about it. Brings awareness. Honest opinion, Do

486
00:26:04,880 --> 00:26:07,399
Speaker 1: you think there's a rise in incidents and prevalence of

487
00:26:07,440 --> 00:26:10,560
Speaker 1: these aggressive brain tumors because the research is saying that

488
00:26:10,720 --> 00:26:13,480
Speaker 1: it's possibly linked to microplastics. Do you buy it?

489
00:26:14,720 --> 00:26:18,000
Speaker 2: I think that there definitely is a rise of the incidence.

490
00:26:18,040 --> 00:26:22,520
Speaker 2: The question is why, right, So we in twenty twenty five,

491
00:26:22,560 --> 00:26:25,080
Speaker 2: that's compared to twenty years ago or forty years ago,

492
00:26:25,200 --> 00:26:29,320
Speaker 2: we have more easy access to advanced image MRIs and

493
00:26:29,400 --> 00:26:29,600
Speaker 2: so on.

494
00:26:29,720 --> 00:26:32,080
Speaker 1: So what can I say something as a radiologist there,

495
00:26:32,119 --> 00:26:33,680
Speaker 1: I just want to defend us a little bit because

496
00:26:33,760 --> 00:26:36,520
Speaker 1: people that is a very common argument, Oh, we are

497
00:26:36,640 --> 00:26:40,000
Speaker 1: diagnosing more, which is true, by the way, especially when

498
00:26:40,040 --> 00:26:43,520
Speaker 1: it comes to like brain tumors. Skin can't. I'm not

499
00:26:43,560 --> 00:26:48,639
Speaker 1: sorry brain tumors, but breast cancers, skin cancers, not very

500
00:26:48,720 --> 00:26:51,879
Speaker 1: aggressive lung cancers. See, we're doing all these screening tests.

501
00:26:52,400 --> 00:26:55,480
Speaker 1: We're finding these early cancers. Maybe people would have died

502
00:26:55,560 --> 00:26:59,000
Speaker 1: from them, maybe they wouldn't have. But gbms, come on,

503
00:26:59,240 --> 00:27:05,159
Speaker 1: gbms are rapidly aggressive. People die from them. So how

504
00:27:05,240 --> 00:27:07,840
Speaker 1: can we say, oh, we're just finding more. Were they

505
00:27:07,960 --> 00:27:12,640
Speaker 1: just being misdiagnosed because they just died and we didn't

506
00:27:12,680 --> 00:27:15,080
Speaker 1: know why they died. Like it's not like, oh, they

507
00:27:15,119 --> 00:27:18,560
Speaker 1: were diagnosed with a GBM early, we intervened and then

508
00:27:18,600 --> 00:27:22,359
Speaker 1: they lived. Because even if we intervene early with gbms.

509
00:27:22,240 --> 00:27:26,080
Speaker 2: That's a great point. I think maybe maybe the concept

510
00:27:26,160 --> 00:27:29,680
Speaker 2: of brain towers in general being diagnosed, so maybe the

511
00:27:29,760 --> 00:27:34,240
Speaker 2: more advanced ones that are symptomatic, we would have potentially

512
00:27:34,400 --> 00:27:37,680
Speaker 2: caught all those at the same timeframe. To your point,

513
00:27:37,960 --> 00:27:40,560
Speaker 2: during symptoms, you're getting an MRI whether or not you

514
00:27:40,600 --> 00:27:43,960
Speaker 2: can get an emerald literally around the corner or you

515
00:27:44,040 --> 00:27:46,439
Speaker 2: had to go to the corner of your state, because

516
00:27:46,680 --> 00:27:49,879
Speaker 2: back forty years ago, there weren't that many MRI machines

517
00:27:49,920 --> 00:27:55,280
Speaker 2: capable of doing brain imaging. In general, I think that

518
00:27:55,720 --> 00:27:58,359
Speaker 2: MRI imaging of the brain and the nervous system is

519
00:27:58,560 --> 00:28:00,800
Speaker 2: just so much more commonplace that we are finding a

520
00:28:00,840 --> 00:28:05,520
Speaker 2: lot more issues. However, the malignant brain tumors the really

521
00:28:05,600 --> 00:28:08,200
Speaker 2: scary ones. So you keep saying it, kept saying the

522
00:28:08,280 --> 00:28:13,000
Speaker 2: name GBM bluoblastom gluoblastoma multiformat is you know, let's you

523
00:28:13,200 --> 00:28:15,440
Speaker 2: mention that a lot. That is the brain cancer when

524
00:28:15,440 --> 00:28:19,080
Speaker 2: we talk about brain cancer and almost you know, that's

525
00:28:19,119 --> 00:28:19,399
Speaker 2: where the.

526
00:28:19,400 --> 00:28:21,560
Speaker 1: Cancer starts in the brain. It's not like it went

527
00:28:21,600 --> 00:28:23,879
Speaker 1: from the breast or the pain crests or whatever and

528
00:28:24,000 --> 00:28:26,200
Speaker 1: it went to the brain, but it starts in the rain.

529
00:28:26,560 --> 00:28:29,520
Speaker 2: And that is, you know, inarguably one of the worst

530
00:28:29,560 --> 00:28:32,640
Speaker 2: cancers to have the sense that our treatment options for them.

531
00:28:32,840 --> 00:28:36,720
Speaker 2: While we do a lot of surgery, radiation, and keepotherapy

532
00:28:36,760 --> 00:28:40,240
Speaker 2: and a lot of those techniques continue to evolve, we've

533
00:28:40,320 --> 00:28:44,920
Speaker 2: made shockingly little headway unfortunately in the past, you know,

534
00:28:45,160 --> 00:28:48,160
Speaker 2: several decades to these patients, and my heart goes out

535
00:28:48,200 --> 00:28:50,160
Speaker 2: to all my patients that I treat with them. You know,

536
00:28:50,240 --> 00:28:55,480
Speaker 2: we have great strides, you know, surgical, our surgical technique

537
00:28:55,480 --> 00:28:58,160
Speaker 2: has it improved, so we can treat tumors that maybe

538
00:28:58,200 --> 00:29:00,520
Speaker 2: before they weren't able to treat so and so. But

539
00:29:00,640 --> 00:29:03,240
Speaker 2: the problem is that these are just such aggressive tumors

540
00:29:03,280 --> 00:29:06,040
Speaker 2: and unfortunately, once you're stricken with it, it really is

541
00:29:06,200 --> 00:29:09,040
Speaker 2: it's it's it's a really it's a travesty. It breaks

542
00:29:09,080 --> 00:29:12,600
Speaker 2: havoc on the family patient obviously, you know it's tough.

543
00:29:13,600 --> 00:29:16,000
Speaker 2: So where are they coming from? That's a huge question.

544
00:29:16,480 --> 00:29:20,000
Speaker 2: This concept of microplastics and you know, the hydrocarbons and

545
00:29:20,120 --> 00:29:22,680
Speaker 2: the vinyls and all these things. That's something that's been

546
00:29:22,680 --> 00:29:24,440
Speaker 2: discussed in the nineteen eighties.

547
00:29:24,400 --> 00:29:32,520
Speaker 1: All all, and we're still consuming products, food, drinks, everything

548
00:29:32,560 --> 00:29:32,880
Speaker 1: around this.

549
00:29:33,440 --> 00:29:36,480
Speaker 2: Yes, that again, a hydrocarbon that has been something that

550
00:29:36,560 --> 00:29:39,240
Speaker 2: I remember reading that was you know, when I was

551
00:29:39,400 --> 00:29:42,520
Speaker 2: in medical school in the nineties was a lot of

552
00:29:42,640 --> 00:29:45,600
Speaker 2: area of investigation, and a lot of people thought that

553
00:29:45,760 --> 00:29:50,080
Speaker 2: maybe there was a correlation with them. And again, like

554
00:29:50,200 --> 00:29:53,840
Speaker 2: a lot of things like heart disease, Right, you may

555
00:29:54,280 --> 00:29:59,080
Speaker 2: have obesity or high cholesterol, high blood pressure, for genetics,

556
00:29:59,640 --> 00:30:01,600
Speaker 2: and then and you may have all those factors and

557
00:30:01,680 --> 00:30:03,920
Speaker 2: you may not actually end up having heart disease, or

558
00:30:03,960 --> 00:30:06,200
Speaker 2: you may have none event and have heart disease. What's

559
00:30:06,280 --> 00:30:08,720
Speaker 2: the magic you know, the magic combination that leads to

560
00:30:08,800 --> 00:30:11,800
Speaker 2: having a medical condition. That's that's a great I.

561
00:30:11,920 --> 00:30:15,240
Speaker 1: Note a lot of correlation, it's a lot of causation.

562
00:30:14,960 --> 00:30:17,720
Speaker 2: And sometimes for people it's just hitting one, two and

563
00:30:17,880 --> 00:30:21,040
Speaker 2: three and then unfortunately is to come to something. So

564
00:30:21,360 --> 00:30:24,080
Speaker 2: I do think that there probably is a lot to that.

565
00:30:25,040 --> 00:30:27,080
Speaker 2: Is that to say that people didn't have GBM back

566
00:30:27,120 --> 00:30:30,440
Speaker 2: in the fifteen hundreds, of course they did, right, of course,

567
00:30:30,480 --> 00:30:33,360
Speaker 2: I mean these are things that happened back that. Unfortunately, again,

568
00:30:33,440 --> 00:30:36,160
Speaker 2: people didn't live that lot. Right If the lat average

569
00:30:36,200 --> 00:30:40,480
Speaker 2: life expectancy was forty years old, and the average the

570
00:30:40,560 --> 00:30:43,200
Speaker 2: average age of onsite for GBM is between the age

571
00:30:43,200 --> 00:30:45,680
Speaker 2: of forty and fifty or sixty, well you could see

572
00:30:45,720 --> 00:30:46,320
Speaker 2: that maybe you.

573
00:30:46,320 --> 00:30:51,760
Speaker 1: Didn't see as chuption. Okay, so we can't avoid microplastics

574
00:30:51,840 --> 00:30:54,000
Speaker 1: in total. There are some things we can do to

575
00:30:54,080 --> 00:30:56,040
Speaker 1: reduce it, and I'll talk about them a little bit,

576
00:30:56,240 --> 00:31:00,800
Speaker 1: But for you, I want to hear about specifically, what

577
00:31:01,040 --> 00:31:04,080
Speaker 1: do you institute in our household and what do you

578
00:31:04,160 --> 00:31:07,440
Speaker 1: say to your patients and your friends and your family.

579
00:31:07,680 --> 00:31:10,640
Speaker 1: What can you do to preserve brain health. We can't

580
00:31:10,680 --> 00:31:13,000
Speaker 1: avoid everything, we can't at all. We know that you

581
00:31:13,120 --> 00:31:15,240
Speaker 1: and I both live in this and work in this

582
00:31:15,400 --> 00:31:17,840
Speaker 1: world where you can do everything right and bad things

583
00:31:17,920 --> 00:31:20,320
Speaker 1: can still happen. But there are some things that you

584
00:31:20,400 --> 00:31:22,520
Speaker 1: can do to reduce your risk. So when it comes

585
00:31:22,560 --> 00:31:25,719
Speaker 1: to brain health, if you had a few tips for us,

586
00:31:26,040 --> 00:31:29,360
Speaker 1: what should we all be doing to try and preserve

587
00:31:29,720 --> 00:31:30,400
Speaker 1: our brain health?

588
00:31:30,640 --> 00:31:32,760
Speaker 2: Well, I think the first thing I'd say is sort

589
00:31:32,760 --> 00:31:36,640
Speaker 2: of the synopsis at the end, which is healthy living. Man.

590
00:31:36,760 --> 00:31:39,840
Speaker 2: I mean, it sounds kind of silly and very almost

591
00:31:39,920 --> 00:31:42,120
Speaker 2: you know, you know, we get it, we get it,

592
00:31:42,360 --> 00:31:44,960
Speaker 2: but it's true healthy living whatever and HONESO. They do

593
00:31:45,040 --> 00:31:47,520
Speaker 2: tell my patients, whatever is healthy for your heart is

594
00:31:47,560 --> 00:31:51,600
Speaker 2: healthy for your brain. Right, So all the common sense things,

595
00:31:51,800 --> 00:31:54,720
Speaker 2: should you stop smoking, should you drink less alcohol, should

596
00:31:54,720 --> 00:31:57,000
Speaker 2: you exercise more, should you lose some way, should you

597
00:31:57,040 --> 00:31:59,080
Speaker 2: eat less red meat, have more balanced diet and have

598
00:31:59,240 --> 00:32:04,680
Speaker 2: more fiber and some healthy natural natural foods and organic

599
00:32:04,760 --> 00:32:08,200
Speaker 2: foods and organic products. For absolutely all that stuff is

600
00:32:08,520 --> 00:32:10,880
Speaker 2: a given, and it's it's kind of like when you're

601
00:32:10,880 --> 00:32:12,800
Speaker 2: in school. We could all read more, we could all

602
00:32:12,880 --> 00:32:15,600
Speaker 2: study more, we can exercise more. So so yes, we

603
00:32:15,680 --> 00:32:19,360
Speaker 2: could all improve in that in that po but definitely

604
00:32:19,600 --> 00:32:22,520
Speaker 2: the natural organists. You know, you and I talked about,

605
00:32:23,320 --> 00:32:25,840
Speaker 2: you know, raising our family and our kids, but having

606
00:32:26,160 --> 00:32:28,800
Speaker 2: a better lifestyle in a house. We tried very much.

607
00:32:29,040 --> 00:32:32,479
Speaker 2: We have all the organic eggs in our house right now. Chickens.

608
00:32:32,560 --> 00:32:35,200
Speaker 2: You're I mean, you're the chicken mama. You're raising those

609
00:32:35,240 --> 00:32:39,240
Speaker 2: babies and these eggs fantastic. By the way, we also,

610
00:32:39,600 --> 00:32:41,920
Speaker 2: you know, to your to your credit, we have a

611
00:32:42,080 --> 00:32:44,400
Speaker 2: huge garden right now. We have a lot of natural stones.

612
00:32:44,400 --> 00:32:46,240
Speaker 2: We've got things, you know, things that are great with

613
00:32:47,080 --> 00:32:51,360
Speaker 2: you know, the natural herbs, the natural vegetables, which are fantastic.

614
00:32:52,440 --> 00:32:55,280
Speaker 2: Rosemary is a huge one. I'm a huge rosemary.

615
00:32:56,400 --> 00:32:58,440
Speaker 1: Roseberries all over our proper getting.

616
00:32:58,520 --> 00:33:02,640
Speaker 2: They have introduced you to rosemary. However, back in the day, Okay,

617
00:33:02,720 --> 00:33:04,360
Speaker 2: that's fourteen years ago admit.

618
00:33:04,240 --> 00:33:05,120
Speaker 1: That that was all you.

619
00:33:05,640 --> 00:33:07,720
Speaker 2: Yeah, I think so. I think that may be true.

620
00:33:08,960 --> 00:33:12,560
Speaker 2: But it's certainly a lot of the additional supplements that

621
00:33:12,720 --> 00:33:14,840
Speaker 2: maybe we're not harvesting in our house, but you can

622
00:33:14,960 --> 00:33:20,200
Speaker 2: find gink go bloga digin saying those are great. You know,

623
00:33:20,520 --> 00:33:24,080
Speaker 2: you actually, to your credit and started a national supplement line,

624
00:33:24,120 --> 00:33:26,600
Speaker 2: the Drop of our Ax, which is phenomenal. I take it,

625
00:33:26,800 --> 00:33:30,520
Speaker 2: I cans take it. A lot of my colleagues have

626
00:33:30,600 --> 00:33:33,840
Speaker 2: also sworn by it. Uh there. You know, when when

627
00:33:33,880 --> 00:33:36,720
Speaker 2: you were forming that product line, one area that I

628
00:33:37,360 --> 00:33:39,440
Speaker 2: kind of mentioned to you was what about brain health?

629
00:33:39,920 --> 00:33:41,920
Speaker 1: I know that obviously wasn't on my radar. When I

630
00:33:42,160 --> 00:33:45,320
Speaker 1: when you hear me talk about like natural herbs having

631
00:33:45,320 --> 00:33:48,760
Speaker 1: an autoimmune disease, I always think about, you know, systemic

632
00:33:48,880 --> 00:33:51,960
Speaker 1: inflammation and pain. I feel that a lot. I also

633
00:33:52,000 --> 00:33:55,680
Speaker 1: feel some ink sometimes. So I was all about decreasing

634
00:33:55,760 --> 00:33:59,280
Speaker 1: that systemic inflammation, which I guess goes along with brain health. Obviously,

635
00:33:59,400 --> 00:34:03,280
Speaker 1: if you're talkingalking about decreasing your body's inflammation, you also

636
00:34:03,320 --> 00:34:03,560
Speaker 1: want to.

637
00:34:03,560 --> 00:34:04,400
Speaker 2: Decase your brain.

638
00:34:05,760 --> 00:34:08,680
Speaker 1: But I never specifically thought about, well, what's good with

639
00:34:08,800 --> 00:34:11,920
Speaker 1: your brain? But thank goodness, I'm married a brain surgeon,

640
00:34:12,040 --> 00:34:14,640
Speaker 1: because all of a sudden, he's like, Uh, you're focusing

641
00:34:14,719 --> 00:34:18,319
Speaker 1: on a lot of the peripheral stuff. I'm sorry you're Paul,

642
00:34:18,640 --> 00:34:22,279
Speaker 1: I'm doctor sas in this episode, but it was very

643
00:34:22,320 --> 00:34:24,719
Speaker 1: interesting to me because I was always about, like I

644
00:34:24,840 --> 00:34:27,960
Speaker 1: have to focus on my pain and the peripheral body.

645
00:34:28,600 --> 00:34:31,359
Speaker 1: And my husband's always said to me, he's like, your

646
00:34:31,440 --> 00:34:35,320
Speaker 1: body is worth nothing if your brain isn't healthy, and

647
00:34:35,640 --> 00:34:39,600
Speaker 1: that it took a minute for me to really to

648
00:34:39,840 --> 00:34:43,600
Speaker 1: really digest, but he's right, like, we're always focused on

649
00:34:43,719 --> 00:34:45,920
Speaker 1: how can we get our body looking good, going to

650
00:34:46,040 --> 00:34:49,719
Speaker 1: the gym for some plastic surgery and botox and all

651
00:34:49,719 --> 00:34:52,360
Speaker 1: of these skincare lines and dyeing our hair and getting

652
00:34:52,360 --> 00:34:54,759
Speaker 1: our nails done. Not that you do that, but I

653
00:34:54,840 --> 00:34:58,680
Speaker 1: may do that. But if your brain is not healthy,

654
00:34:59,239 --> 00:35:02,040
Speaker 1: what was all of that for? And so we have

655
00:35:02,200 --> 00:35:04,960
Speaker 1: really done a one eight in the Sapphire household and

656
00:35:05,080 --> 00:35:08,320
Speaker 1: doing everything we can to make sure our brain is

657
00:35:08,480 --> 00:35:10,759
Speaker 1: unhealthy as possible. It doesn't mean that we're not going

658
00:35:10,880 --> 00:35:14,759
Speaker 1: to succumb at some point to some level of dementia

659
00:35:15,040 --> 00:35:18,200
Speaker 1: or god forbid, one of these brain cancers. But as

660
00:35:18,200 --> 00:35:19,719
Speaker 1: long as we know that we're doing what we can

661
00:35:19,840 --> 00:35:22,000
Speaker 1: to decrease that risk. That's really the best you can do.

662
00:35:22,160 --> 00:35:24,920
Speaker 1: And the biggest thing for us is also make sure

663
00:35:24,960 --> 00:35:26,560
Speaker 1: you're living your life absolutely.

664
00:35:26,640 --> 00:35:29,400
Speaker 2: I mean, so anything can happen to anywhere, right, and

665
00:35:29,480 --> 00:35:33,000
Speaker 2: you want to make reasonable, rational decisions and choices. So

666
00:35:33,120 --> 00:35:35,080
Speaker 2: that way, when you look back and you say, oh,

667
00:35:35,239 --> 00:35:38,880
Speaker 2: shoot something, you know, something maybe unforeseen or unfortunate happens

668
00:35:38,920 --> 00:35:41,480
Speaker 2: to me, you never want to look back. At least

669
00:35:41,520 --> 00:35:43,600
Speaker 2: my perspective is you never want to look back and say, well,

670
00:35:43,640 --> 00:35:45,920
Speaker 2: I could have done this better. I should I shouldn't have.

671
00:35:46,160 --> 00:35:48,279
Speaker 2: I shouldn't have been smoking with cigarettes. I shouldn't been

672
00:35:48,320 --> 00:35:51,120
Speaker 2: drinking so much alcoholic. Should have been more blueberries, more

673
00:35:51,120 --> 00:35:53,600
Speaker 2: blueberg fantastic, I should have I should have exercised a

674
00:35:53,600 --> 00:35:55,640
Speaker 2: little bit more. Right. You know, you want to say,

675
00:35:55,640 --> 00:35:57,840
Speaker 2: you know, I did the best things I can. If

676
00:35:57,880 --> 00:36:00,759
Speaker 2: you do all these things right and then forbid something

677
00:36:00,880 --> 00:36:04,000
Speaker 2: unfortunate happens to you, that's life. I know that sounds

678
00:36:04,040 --> 00:36:05,800
Speaker 2: it was trivial to say it and almost dispissive, and

679
00:36:05,880 --> 00:36:08,520
Speaker 2: they don't mean to sound that way, but that's true.

680
00:36:08,680 --> 00:36:11,800
Speaker 2: Anything can happen to anybody at any point, So you

681
00:36:11,920 --> 00:36:13,839
Speaker 2: want to look back and say you made the best

682
00:36:13,960 --> 00:36:16,480
Speaker 2: choice of the best decisions that you can going forward.

683
00:36:16,560 --> 00:36:19,880
Speaker 2: So that way, if unfortunate something happens to you, you

684
00:36:19,960 --> 00:36:22,960
Speaker 2: don't think through something were all shoot, I couldn't change things.

685
00:36:23,080 --> 00:36:25,840
Speaker 1: And which, by the way, this is not medical advice whatsoever.

686
00:36:26,000 --> 00:36:28,480
Speaker 1: But at the end of the day, we all work

687
00:36:28,560 --> 00:36:30,680
Speaker 1: for a living and we all try to save as

688
00:36:30,760 --> 00:36:33,440
Speaker 1: much as we can, and that's why trying to enjoy

689
00:36:33,600 --> 00:36:36,320
Speaker 1: every aspect of your life is more important than anything.

690
00:36:37,239 --> 00:36:39,800
Speaker 1: And so whether it's just staying at home, playing charades,

691
00:36:39,880 --> 00:36:43,920
Speaker 1: playing monopoly, going on a trip, but spending that quality

692
00:36:44,040 --> 00:36:46,520
Speaker 1: time with your friends and your family, whatever it is

693
00:36:46,600 --> 00:36:49,719
Speaker 1: that makes you happy and brings you that piece is

694
00:36:49,760 --> 00:36:52,560
Speaker 1: probably the best advice that I can ever give someone.

695
00:36:52,680 --> 00:36:54,560
Speaker 1: We could all do everything right, go to the gym,

696
00:36:54,840 --> 00:36:58,160
Speaker 1: eat right, get all of your screening exams. We are

697
00:36:58,239 --> 00:37:00,319
Speaker 1: not in charge of our future, so just make sure

698
00:37:00,480 --> 00:37:02,719
Speaker 1: you are enjoying every bit of your life.

699
00:37:02,880 --> 00:37:05,040
Speaker 2: That's right, Absolutely, That's.

700
00:37:04,920 --> 00:37:09,120
Speaker 1: Why I enjoy you all right, well, doctor Paul Sapphire,

701
00:37:09,920 --> 00:37:14,520
Speaker 1: Paul please doctor pul Sapphire's husband, thank you so much

702
00:37:14,560 --> 00:37:17,799
Speaker 1: for coming on. I truly your advice regarding brain howth

703
00:37:18,120 --> 00:37:22,160
Speaker 1: is invaluable. Obviously we've adopted into our household. It's changed

704
00:37:22,200 --> 00:37:23,800
Speaker 1: the way I think of a lot of things. And

705
00:37:23,880 --> 00:37:27,520
Speaker 1: I'll be honest, the microplastics things really scares me. But

706
00:37:27,680 --> 00:37:30,440
Speaker 1: it's one of those things, just like knowing that there

707
00:37:30,480 --> 00:37:32,840
Speaker 1: are gene mutations that I can't do anything about that

708
00:37:33,080 --> 00:37:36,200
Speaker 1: can lead to disease. I can do what I can

709
00:37:36,440 --> 00:37:40,439
Speaker 1: to reduce microplastics exposures in our house, but I will

710
00:37:40,480 --> 00:37:44,200
Speaker 1: never keep our family completely safe from them. So anything

711
00:37:44,280 --> 00:37:46,520
Speaker 1: that we can do to try and live a healthier life,

712
00:37:47,400 --> 00:37:51,880
Speaker 1: you know, we're working forward. It's baby steps. I still

713
00:37:51,960 --> 00:37:56,040
Speaker 1: will have water out of a plastic bottle occasionally, and

714
00:37:56,440 --> 00:37:59,400
Speaker 1: I feel bad about that, but you know, it's baby steps.

715
00:37:59,400 --> 00:37:59,920
Speaker 1: We're getting there.

716
00:38:00,080 --> 00:38:03,280
Speaker 2: Yeah, all that's up. Thank you for having me, Thanks.

717
00:38:03,120 --> 00:38:07,040
Speaker 1: For being ann. You're listening to Wellness and mass. We'll

718
00:38:07,080 --> 00:38:12,320
Speaker 1: be right back with more. All right, Well, our conversation

719
00:38:12,480 --> 00:38:15,040
Speaker 1: probably went off the rails here or there once or

720
00:38:15,080 --> 00:38:17,600
Speaker 1: twice during that interview, but that's what happens when you're

721
00:38:17,640 --> 00:38:19,560
Speaker 1: married to your guest. You have a lot to talk about.

722
00:38:20,480 --> 00:38:20,920
Speaker 2: But I think the.

723
00:38:20,920 --> 00:38:23,960
Speaker 1: Bottom line and the real take home points that I

724
00:38:24,160 --> 00:38:26,399
Speaker 1: take from you know, when I talk to him about

725
00:38:26,440 --> 00:38:28,239
Speaker 1: what we can be doing best for our brain health

726
00:38:28,400 --> 00:38:31,560
Speaker 1: is first of all, when it comes to microplastics exposure,

727
00:38:31,719 --> 00:38:35,760
Speaker 1: there's no way to completely avoid microplastics there absolutely everywhere

728
00:38:35,760 --> 00:38:37,960
Speaker 1: at this point unless you go and live in a bubble,

729
00:38:38,040 --> 00:38:39,120
Speaker 1: and by the way, it would have to be a

730
00:38:39,200 --> 00:38:42,000
Speaker 1: glass bubble, couldn't even be a plastic bubble, and you're

731
00:38:42,040 --> 00:38:45,359
Speaker 1: completely isolated from the world. I mean, maybe on top

732
00:38:45,400 --> 00:38:47,719
Speaker 1: of a mountain in Nepal, I don't know, and you're

733
00:38:47,719 --> 00:38:50,800
Speaker 1: probably going to be exposed to some level of microplastics.

734
00:38:50,840 --> 00:38:53,040
Speaker 1: But the good news is there are some things that

735
00:38:53,120 --> 00:38:56,680
Speaker 1: we can do to reduce that exposure, so maybe not

736
00:38:57,080 --> 00:39:01,080
Speaker 1: be exposed to as much microplastics and things that in

737
00:39:01,239 --> 00:39:03,600
Speaker 1: our household that we're really trying to focus on. And

738
00:39:03,680 --> 00:39:05,320
Speaker 1: by the way, it takes some work. You don't have

739
00:39:05,360 --> 00:39:07,279
Speaker 1: to do everything all at once. You can kind of

740
00:39:07,360 --> 00:39:10,120
Speaker 1: do you know. It's like an onion peel the layers back.

741
00:39:10,280 --> 00:39:14,000
Speaker 1: Try and decrease your exposure over time. You have to

742
00:39:14,040 --> 00:39:18,120
Speaker 1: stop heating food in plastic containers. We're all guilty of

743
00:39:18,360 --> 00:39:21,640
Speaker 1: sticking some plastic container in the microwave heating it up.

744
00:39:22,239 --> 00:39:25,560
Speaker 1: Try to use glass or stainless steel. We have converted

745
00:39:25,760 --> 00:39:28,440
Speaker 1: our tupperware, We've gotten rid of the plastics and we

746
00:39:28,560 --> 00:39:31,440
Speaker 1: have moved on to the glass ones. That was our

747
00:39:31,480 --> 00:39:34,319
Speaker 1: first step here in the Sapphire household. You also want

748
00:39:34,360 --> 00:39:37,080
Speaker 1: to filter your drinking water because the harsh reality is

749
00:39:37,200 --> 00:39:40,439
Speaker 1: there are microplastics in our drinking water. And while even

750
00:39:40,520 --> 00:39:43,279
Speaker 1: filtering your drinking water probably won't get rid of all

751
00:39:43,360 --> 00:39:46,439
Speaker 1: the microplastics, it'll certainly get rid of some. So every

752
00:39:46,480 --> 00:39:49,919
Speaker 1: little bit counts. You want to maybe try to limit

753
00:39:50,000 --> 00:39:53,680
Speaker 1: the use of your synthetic fibers and fabrics. We haven't

754
00:39:53,719 --> 00:39:56,040
Speaker 1: really done that here, one because I don't know exactly

755
00:39:56,120 --> 00:39:58,880
Speaker 1: which ones I should be doing away with, and second,

756
00:39:59,200 --> 00:40:01,200
Speaker 1: we already have so much of that in our household.

757
00:40:01,239 --> 00:40:02,279
Speaker 1: What am I going to do? I'm going to throw

758
00:40:02,280 --> 00:40:04,600
Speaker 1: away all of our clothes and start afresh. I don't

759
00:40:04,640 --> 00:40:06,279
Speaker 1: have that kind of money, so I'm not doing that.

760
00:40:06,760 --> 00:40:08,920
Speaker 1: But that's something you certainly could do. And going with

761
00:40:09,080 --> 00:40:12,879
Speaker 1: the organic cottons and without those synthetic fibers, that's one

762
00:40:12,920 --> 00:40:16,719
Speaker 1: thing you can do. Also, avoid bottled water, think of

763
00:40:16,800 --> 00:40:21,800
Speaker 1: those single use plastic bottles. It's sitting in plastic obviously,

764
00:40:21,960 --> 00:40:24,120
Speaker 1: especially if it warms up, whether it's in your car,

765
00:40:24,680 --> 00:40:27,040
Speaker 1: it's been on a pallette somewhere and it gets heated,

766
00:40:27,560 --> 00:40:30,960
Speaker 1: that's probably going to cause some of the microparticles microplastics

767
00:40:31,000 --> 00:40:33,120
Speaker 1: from the bottle to go into the water. So maybe

768
00:40:33,160 --> 00:40:37,320
Speaker 1: you should do that. Also your packaged produce. If you

769
00:40:37,400 --> 00:40:42,399
Speaker 1: get packaged produced, it's usually wrapped in plastic. There's even

770
00:40:42,480 --> 00:40:45,719
Speaker 1: some that say, oh it's microwave safe containers that these

771
00:40:46,120 --> 00:40:49,040
Speaker 1: bags come in their plastic bags. Try to get fresh

772
00:40:49,120 --> 00:40:51,359
Speaker 1: produce if you can. Those are some of the things

773
00:40:51,400 --> 00:40:53,680
Speaker 1: that we're doing here in our household. We've also changed

774
00:40:53,680 --> 00:40:56,600
Speaker 1: our cutting board away from like the plastic cutting boards.

775
00:40:56,840 --> 00:41:00,640
Speaker 1: We've gone to a real steeter cutting board. Shame because

776
00:41:00,640 --> 00:41:02,880
Speaker 1: we never want to get it dirty or mess it

777
00:41:03,000 --> 00:41:05,960
Speaker 1: up because it's such a pretty cutting board, but that's

778
00:41:06,000 --> 00:41:07,960
Speaker 1: what it's for. I mean, it gives it some character

779
00:41:08,000 --> 00:41:10,600
Speaker 1: if you actually chop on it and stuff. So those

780
00:41:10,640 --> 00:41:13,480
Speaker 1: are some things we're doing to decrease our exposure to

781
00:41:13,520 --> 00:41:16,960
Speaker 1: micro plastics in our household. But also when we talk

782
00:41:17,000 --> 00:41:20,319
Speaker 1: about overall brain health, there are some things you can do. Yes,

783
00:41:20,520 --> 00:41:24,279
Speaker 1: age is the most important risk factor when it comes

784
00:41:24,360 --> 00:41:27,680
Speaker 1: to dementia risk and cognitive decline, but there are some

785
00:41:27,800 --> 00:41:30,120
Speaker 1: things that you can do to try and decrease those

786
00:41:30,239 --> 00:41:34,040
Speaker 1: risks as well, because lifestyle certainly plays a role in

787
00:41:34,120 --> 00:41:36,520
Speaker 1: whether or not we get dementia. First things first, as

788
00:41:36,560 --> 00:41:39,720
Speaker 1: I mentioned, make sure you're being social. Talk to your friends,

789
00:41:39,840 --> 00:41:43,200
Speaker 1: play games. I started Majong last year. It's hard and

790
00:41:43,320 --> 00:41:45,320
Speaker 1: I love it. But I'm not only with my friends.

791
00:41:45,360 --> 00:41:48,400
Speaker 1: I'm socializing, but I'm also focusing on my using my

792
00:41:48,520 --> 00:41:51,719
Speaker 1: brain by learning something new. I mean, yes, sometimes our

793
00:41:51,800 --> 00:41:54,920
Speaker 1: day jobs are challenging. Mind certainly is, but if it's

794
00:41:55,040 --> 00:41:57,320
Speaker 1: the same thing over and over and over, you're not

795
00:41:57,480 --> 00:42:00,160
Speaker 1: really challenging your brain the way your brain needs. So

796
00:42:00,320 --> 00:42:02,440
Speaker 1: some of the best things you can do doing puzzles

797
00:42:02,480 --> 00:42:04,840
Speaker 1: every single day, learning a new language. I know that

798
00:42:04,960 --> 00:42:07,719
Speaker 1: sounds crazy, but you tap into different areas of your

799
00:42:07,800 --> 00:42:10,239
Speaker 1: brain if you try and learn a new language. You

800
00:42:10,320 --> 00:42:12,840
Speaker 1: also need to exercise regularly. You're going to hear me

801
00:42:12,920 --> 00:42:16,760
Speaker 1: say that at nauseum, but when you exercise, you're increasing

802
00:42:16,800 --> 00:42:18,840
Speaker 1: blood flow to your body, and part of that is

803
00:42:18,920 --> 00:42:21,440
Speaker 1: increasing blood flow to your brain. You want to maximize

804
00:42:21,680 --> 00:42:24,320
Speaker 1: your brain blood flow. That makes sense, That's how you

805
00:42:24,320 --> 00:42:26,480
Speaker 1: get oxygen to your brain. You also want to make

806
00:42:26,520 --> 00:42:30,120
Speaker 1: sure you're getting adequate seat sleep. Sleep deprivation is directly

807
00:42:30,239 --> 00:42:34,680
Speaker 1: linked to cognitive decline and not full mental performance, so

808
00:42:35,160 --> 00:42:38,120
Speaker 1: prioritize your sleep as well. Eat a brain friendly diet.

809
00:42:38,239 --> 00:42:41,440
Speaker 1: Here in our household, we are all about superfoods and

810
00:42:41,719 --> 00:42:44,920
Speaker 1: natural herbs. You actually heard my husband mention some natural herbs.

811
00:42:45,280 --> 00:42:48,480
Speaker 1: I did put together my favorite liquid blend of natural

812
00:42:48,520 --> 00:42:54,759
Speaker 1: herbs for brain health, rosemary, sage, Kinko, baloba, ginsing. These

813
00:42:54,800 --> 00:42:57,399
Speaker 1: are all great for brain health. You can also take

814
00:42:57,440 --> 00:43:01,120
Speaker 1: some klione as well. It's also helped in terms of

815
00:43:01,360 --> 00:43:04,480
Speaker 1: making sure your brain is healthy. We like blueberries and

816
00:43:04,719 --> 00:43:09,080
Speaker 1: salmon high and omega threes, and even walnuts. It's kind

817
00:43:09,120 --> 00:43:10,759
Speaker 1: of funny, you know, the little walnuts.

818
00:43:11,160 --> 00:43:12,160
Speaker 2: What does that look like to you?

819
00:43:12,280 --> 00:43:14,160
Speaker 1: If you look at a mini walnut, does that look

820
00:43:14,280 --> 00:43:16,959
Speaker 1: like anything to you? It looks like a mini brain.

821
00:43:17,480 --> 00:43:20,800
Speaker 1: So just think of that walnut brain. So grab some

822
00:43:20,920 --> 00:43:24,279
Speaker 1: walnuts because they're good for your brain. And lastly, you

823
00:43:24,480 --> 00:43:26,920
Speaker 1: also want to minimize your talks and exposure. We already

824
00:43:26,920 --> 00:43:30,120
Speaker 1: talked about microplastics, but it goes on from there. Air pollutants,

825
00:43:30,200 --> 00:43:33,000
Speaker 1: heavy metals, all of that. Anything you can do to

826
00:43:33,120 --> 00:43:36,520
Speaker 1: kind of live your healthiest, cleanest life. That's what I recommend.

827
00:43:37,080 --> 00:43:40,440
Speaker 1: And it's hard to completely eliminate risks everywhere. It's just

828
00:43:40,480 --> 00:43:42,640
Speaker 1: not the world we live in. But every little bit

829
00:43:42,719 --> 00:43:44,880
Speaker 1: counts and so it's all about baby steps for me

830
00:43:45,080 --> 00:43:47,000
Speaker 1: and my family, and that's what I recommend to you.

831
00:43:47,680 --> 00:43:50,200
Speaker 1: Thanks for listening to Wellness on MASS on America's number

832
00:43:50,239 --> 00:43:53,600
Speaker 1: one podcast network, iHeart. Follow Wellness on MASS with doctor

833
00:43:53,680 --> 00:43:57,000
Speaker 1: Nicole Sapfire and start listening on the free iHeartRadio app,

834
00:43:57,160 --> 00:44:00,320
Speaker 1: Apple Podcasts, or wherever you get your podcasts. Catch you

835
00:44:00,400 --> 00:44:00,759
Speaker 1: next time.