 Welcome. Good evening for all of you who are joining us tonight. I'm just gonna check in and make sure we are showing up on your page. And then I will welcome Dr. Pruzmack. Okay, we are on Dr. Pruzmack. Awesome. Well, hey everybody. If you're joining us live tonight, just a reminder to throw in your comments in the section there. I will try to look at multiple screens and get to your questions and comments. We have an incredible treat for you tonight because I've got one of my good friends, colleagues, and just someone I respect so so greatly in the world of functional medicine and a neurosurgeon. I'll give a brief intro in a minute, but Dr. Pruzmack is a great guy and I want to just talk on a personal level briefly first. This guy has led the Denver Broncos with his neurosurgery skills. He's created Resilience Code, this amazing center in Denver. And again, I'll tell you a more formal violin just a second. But this guy, what I love about him is he has the inquisitive mind of a scientist, but he's got the heart of a giant as far as how he cares for his patients. And we clicked right away when we met a couple years ago, Dr. Pruzmack. And just what we love is we love to really dive deep into the mysteries. And when we get talking, it's fun. It's a lot of fun. I want to just give a formal introduction real quick and then we will jump right in. Chad is an East, Dr. Pruzmack is an East Coast native. He obtained his bachelor's in biophysics at Harvard University and his medical doctor degree in neuroscience from Columbia University. He went on to do his neurosurgical residency and fellowship at the University of Miami and is now partner at Rocky Mountain Spine Clinic in Denver. He has a lifelong passion for sports. He was captain of the La Crosse team at Harvard and is currently neurological consultant for the Denver Broncos and the US Olympic team. That passionate education came together when he opened Resilience Code in 2017. I will be sure and link Resilience Code in the comment section so you guys can check this out. Chad, tell us just a little bit about, first of all, welcome. Good to see you again. Yeah, you too. And gosh, we have had such a fun time talking about patients and trying to solve medical mysteries. And now we've got the virus. And I know you and I are both like on the front lines, really trying to figure out not only what's happening to our patients, but how do we get us out of this epidemic, right? Yeah. Yeah. Well, thanks, Jill. That was such a sweet introduction. The same feelings towards you. Just so everyone is aware, Jill's basically taught me everything I know about functional medicine and has been one of the best academicians and leaders and friends. So right back at you, Jill, you're a very special person. So thank you for being here. It's an honor. I remember, I'll just tell you a funny story. I remember like, you know, I'm going along 2017, my patients and that and emails and stuff. And I get there and I'm good looking through my emails. I'm like, Dr. Prasmak and I get a lot of inquiries, physicians ask some questions about this and that or whatever. And I'm like, reading through blah, blah, blah, blah. Neurosurgeon for the Denver Broncos did it. I'm like, who's this? It was awesome to meet you. And then I think we talked by phone a few a week or so later and just like, I love your heart because there's not a lot of neurosurgeons I know that have the kind of heart that you have. And you know, that comes across because it's the passion and the purpose that drives our inquisitive minds as far as finding the answers, because we care about the patients, right? Yeah, I mean, you care about the story. And every person, every case has a story. And the thing about a combination of functional medicine and surgery is you get to bridge the story is the patient's health, their psychology, what's playing a role in their outcomes. And, you know, without that 360 degree view that functional medicine gives a you really lack a basic understanding of the approach to everybody's story. And even today's story with the COVID 19. Yeah, you're so right. You know, a story is so critical. We learn in medical school how to get a good history and it's all story. But don't you find even more now after we've been several decades in practice, like listening to the story is everything like that's the foundation I find almost all the clues that I need. Don't you find that so I mean, yes, we love the science, we love the labs tonight, we're going to talk about some cutting edge stuff that you guys are doing at resilience code. But don't you really think it all comes back to listening to the patient? It's all that first interview and understanding the the triggers, their background, really forming looking for patterns and bridging them together. So you can not only understand it yourself, but you can explain it back because it makes sense. And it kind of has to make sense, right? Because we're here and act for a reason. And the biology behind us gives us those reasons. And there's just different layers to it. So I mean, even today, I talked to a 17 year old his mother and he has a cyclic vomiting early in the morning and before games, he's a lacrosse player. And you know, you just got to dig into the history and you know, turns out pneumonia when he was a child, a ton of antibiotics, you know, mold overgrowth, that whole pattern, and a histamine surge and you know, at the end of the day was a six food elimination diet, pepsid, digestive enzymes and anti fungals. And everyone got it. So thanks to you, another young man is is going to be well soon. So you are so kind. You know, I want to hear your story, Dr. Bresmeck. Like first of all, I want to go way back as how you went to medicine. And then I want to know how a neurosurgeon got into functional medicine. Yeah. Yeah, I just guess I don't like school enough. So at the end of the day, I, you know, I was a lacrosse player. After I went to Harvard, I got such a kick out of the people there. I studied biophysics. And I realized that the subject matter was unique. And I loved it. But the sort of the, the community around that just wasn't who I was, I was a little more social than wanting to go forth with a career in biophysics or applied to medical school, fortunately accepted me. I got into Columbia. And it was just such a great experience. My preceptor there was Dr. Mehmet Oz. And he was such a stud that I looked up to this guy, brilliant ex Harvard guy, good person, holistic. And he was a cardiothoracic surgeon. And I just remember seeing him like, he would bound from place to place instead of walk because he needed exercise in between cases. And so I was so enamored with him that I went on to sort of pursue a career in cardiothoracic surgery. Then in my fourth year, we had a neurosurgery rotation. And I remember distinctly going in and the music was awesome. They're playing Metallica. The guys were all excited. And they were like, Hey, come on in. Come on in. And you know, you scrub in. I was like, Sure, scrubbed in. And then they give me the drill. And they say, Okay, drill here and don't miss. And so I took this training to him. And I drilled and it went through and I sat there and I got tachycardic. I started sweating and I passed out. And I came to and I look around and they're all they're all laughing at me and they're like, Hey, you know, you broke your cherries, what they said. And you're like, what do you mean? They're like, it's supposed to do that. And they like are all laughing. That was my induction into their weird world. And I was like, I like these guys. So I then, you know, went to neurosurgery and I was I was it was the right thing. The academics of the brain, the intensity, brain spine, pediatrics, you got to see a lot. And the one thing that I remember that tails into you, your back, your education, your educating me and where I am now is we ran the ICU by ourselves. So our attending doctor heroes wouldn't let us do any consults. So we had to intubate put in swans, we take care of everything. And after a seven year program of doing that, you really are a well trained marine. And you just have such a broad, vast knowledge of traditional medicine and then neurosurgery. So going out into the world, I think we were really well prepared. And you know, where I am today, I just realized that you have to fill in the blanks outside of your surgical prowess, that we all can't be so specialized that we are ignorant or blind to the big picture. And if you miss the salient, juicy parts of life and science, you really end up in a more ignorant place than you started out. So the flavor with which functional medicine, how you approach people and problems. That's why I am here today. And why I'm happy to help. I love that. And I want to know, like, what was your first intro to functional medicine? Or how did you kind of get what was the doorway into functional medicine for you? It was internet, seeing your website. And then putting together like this makes sense. All this stuff I was trying to do with supplements and nutrition, my biochemistry textbooks. I was like, we're already doing this. And I was like, it's functional medicine. I was like, I never heard of that. And so it was your website that then led me to the IFM website that led me to the A4M website. And then the Bredesen website. And then like, at the end of the day, I was like, overwhelmed. And I was just like, that's my next chore. And so you were there in the beginning, you're here now and the education and the experience I've had. We've treated, as you know, over 500 patients here. We specialize in neuro functional medicine, but do all functional medicine. And it's that it was it was you. And then it was, you know, the spirit of the game, I guess. Yeah. Gosh, I love that because even myself, 20 years ago, it's been a while now. But I remember the same thing. It's like, we know in our heart, the reason we go into medicine, it's to find root cause is to solve problems. Like I was bioengineering, like your biophysics. So I loved processes. I loved equations. I don't do basic arithmetic at all. But I love differential equations in quantity and calculators. But I love and I love what you and I do best is we take massive amounts of data and we synthesize and come to the conclusions of what is this data showing us and also just looking at the patterns, right? Like it's really pattern recognition. That's right. Interesting is like I saw two like I knew what I wanted to do in my heart. And when I first heard the word functional medicine, it was like, that's it. That's what I want to do. So we knew before we had a name for it, right? That's right. That's right. You almost have to be a patient yourself to get it. Because when you're a doctor, you are led down this allopathic pathway. And your process is pathologic disease and meds and interventions, which is not the whole story. It's just the tip of the iceberg. When it's you and as you know, you know, you were the one that diagnosed my Lyme disease, my mold toxicity, etc. You gave me a Y and told me my story. And that was the missing piece. And I think that when you start to be able to you gave me a Y and told me my story. And that was the new slide back. Yeah, there you go. Sorry. No, no worries. But like you're saying, having then had that experience, context with the the education, like you then have a way that you could, you could get out of any problem because you can figure it out once the functional medicine process is layered on top of the allopathic process. You can fill in the blanks, you know, right wrong or indifferent, like, and you're there to help the person in front of you, and you have so many more weapons. Yeah. Yeah, it's like our toolbox is bigger, Dr. Pruzman, because honestly, what we you and I love is that we use great science, great medicine. It's not like we throw away our allopathic training. I mean, that's the foundation. And I think that's what people come to both of us for is like, hopefully, we're still a great clinician at the core of some of the best clinicians, you know, bringing that there. But then what we do is hopefully have a bigger toolbox, more things to use, diving deeper. Yeah, you know, Jill, you know, allopathic medicine is a disease care system. There's no one drawing the line for health care or authentic health. So I think that functional medicine is the best vehicle to start to academically approach. How do I stay well versus how do I how do I get better from being ill? But then once you have the two, you'll connect them and then you'll say, oh, it's this toxin, which leads this inflammation, which derails my immune system, and I'm subsequently, I have cancer or heart disease. And then once this gets hot, as you know, randomized controlled trials will occur. But philosophically, it's impossible to do because it's almost like you're applying quantum physics to relativity. It's like, different domains, you can't the laws don't work. The clinician don't work as the laws of group, you know, medicine based off of, you know, randomized control trials, and randomized control trials, which we were taught in medical school gold standard of any process that we do any decision that we make, they're designed for drugs a versus B or a versus placebo. So when you have massive amounts of variables like someone with Lyme disease and a virus, and they have mold exposure, and then they have 20 supplements and three medications and IV, it's there's the complexity level does not lend itself to randomized controlled trials, because you cannot explain away the variables. So we have to go into another realm of science. And the other thing is the science is coming out, especially, we're going to get to the pandemic, I promise you, state just hanging in there, especially in the pandemic. I don't know about you, Chad, but data is coming out day by day, like a moment by moment, which means the science is actually right in real time. And most science as clinicians, we use it like 30 years ago, this stuff, this study came out has been proven over and over and over again. So we're going to use this drug. Well, Chad and I, what we're doing is we're kind of on the bleeding edge of what's coming out and we're watching to say, Hey, this looks number one, it's safe. Number two, there's decent data coming out that it's effective. And as the data builds, we may implement some of those cutting edge treatments before there's a huge randomized controlled trial because we don't want to wait for our patients 30 years. Any comments on that Chad, because I feel like we're pushing the envelope part of what gives us new opportunities and some of the stuff we're going to talk about tonight. Yeah, Jill, I mean, I think that the symbiosis is necessary for evidence based medicine, looking at drugs and making sure we have the textbook to understand the drugs. So I think that that provides the content for some, but the context is lost. And you go into war with the army, you have and every person you see is a war inside of them that you have to find peace. And so to do so, they're not going to wait for a randomized controlled trial, let alone understand it. Yeah. So I think it's this nice symbiosis between the sign hardcore scientific community, the disease care community, and there is the clinician and trying to piece it all together. At the end of the day, we just all want people better, as you know. And I think we're as necessary to the big cause through learning one by one as they are looking at, you know, maps of COVID-19 and trying to look at the spread. Yeah, they're all needed. So one more thing before we jump into the virus and what you've been doing is I want people to know what you've created in Denver about I want people to know first of all, like your vision, how it started and then like, what are you doing now with resilience code because people need to know about this. Yeah. Well, thank you, Jill. So the resilience code is what we call an infinite health center. It's our best go at a center that tries to use data in large scales to find codes in clients sick, well or sports performance and to use those broad masses of data and apply both allopathic and functional medicine to them in order to achieve whatever goal that person comes in. What people lack, I believe is a clear road to performance goals. That could be I want to fix my Lyme disease. I want to score 5,000 touchdowns or I want to get rid of my anxiety. So once you understand what that goal is and set that, you then need a set of circumstances of the state of the person now, what I call situational awareness. So I want to know about the body, the blood and the brain as a pattern and then apply things to them that I can track and then see if we achieve those outcomes for that patient. And so say if that patient had Lyme disease and joint pain and one of her goals was to alleviate joint pain, did my interventions work, track it, measure it and at the end of the day, become successful. And if you apply this algorithm of test, treat, track, retest, we'll learn very quickly because you get so much out of the one on one relationship. A whole side of the coin that we don't talk about is someone who wants to recover quicker, who wants to make in the NFL and has similar things that hindered them back. You know, a lot of these football players have dysbiosis and treating their gut treats their soreness and treats their ability to recover as you know we've talked about. So this center is built for able to deploy the tests, the tracking and deliver the full cycle of care in one forty thousand square foot building. Being very humble, knowing that we'll make mistakes, but to track everything so we can share that information. And lastly use a diverse group of very intelligent people so that one day you won't go to gyms and a primary care doctor. The resilience code which will have doctors, strength and conditioning coaches rehab, the full cycle of care that will learn more about how we stay well just as we do on how to stay alive in the hospital. Amazing. I love what you've accomplished and I kind of have seen through this you know the years just how where you're at. So let's talk about the virus like I would before we jump into testing we both believe that testing is going to be part of the way we get out of this and part of the way we kind of dig our way out and get society back to normal. And we'll talk about that what you're doing. I really want to hear about the stats and the data that you're producing there, but what's your thoughts in general about the situation we're in and that could pertain to you know the environment and toxicity and viral load or it could just pertain to you know how we're dealing with this and and any any thoughts. I just love to know your brain on code. I'd say the number one thing is we're all a team and that you can't let the small print get in the way of the big print which is we're here for each other we are all going to make mistakes we're all going to get anxious we're all going to act weird but at the end of the day if we work together and we put aside our egos we put aside our biases will be just fine the world has gone through much worse iterations of life and when I look around you know I'm not in the holocaust God you know God bless those who had to go through that this is not the Spanish flu and the HIV epidemic was scary in its own right at the end of the day we all get through it we adapt we become more resilient and I think we have to take that perspective so humans first two is you got to dissect this out on layers there's the front lines in the hospital all the resources needed to go there but there are sufferers on route to the hospital or out there maybe propagating and transmitting the virus which need to be dissected pattern tested and then treated accordingly and quickly so that we can get back to our own lives and get this society back running so when I look back it's armed the special forces that are in you know in the trenches but all of us strategists we should not rest until we know what way this is going to go and what we got to do is learn how this virus is in the non-lethal population love that Dr. Frosmack because what I'm seeing in my light little tiny you know sphere is just you know when we first started with the epidemic we were isolated I'm doing virtual consult I had a day of 10 patients and as I talked through those 10 three or four of them were what I call presumed COVID positive meaning they fit exactly the clinical picture and I gave them a presumptive diagnosis of it's very likely you have COVID-19 so if that was my 10 patients and three out of them were presumed positive that meant my very first day this was a month ago 30 percent of my patients had COVID and guess what none of them had testing which right now you and I understand this you and I understand the the availability of the PCR testing was slim in the beginning still slim and so from the beginning they were recommending high-risk patients over 60 heart disease diabetes or hospitalized so almost no one else even those with exposures even those with travel even those with symptoms that fit classically like in this diagnostic as I'm talking to people they fit classical diagnostic criteria right so what I realized right away is if 30 percent of the people of my population are testing positive the numbers that we're seeing don't even come close to reflecting the real numbers not even close and everybody knows this by now but I want people to understand like how the how bad the testing state is and how I'm guessing it's a hundred or more times the amount we're seeing in the numbers in the graphs and the charts of people that are being effective which means the death rates lower some of the stuff is different than we actually see so what's your thought yeah yeah Jill I think like I'm not an epidemiologist I'm not an infectious disease doctor I'm a smart guy you know trying to do good just like you are and the numbers in that domain matter on a political level it does I think affect us when you look at what is the contagion coefficient how do we understand how this thing spreads that number is is pertinent you know but if yes the question yeah I think that this is not as infectious as measles this is more infectious than influenza it's debatable whether it's I got a higher death rate but one of the things I think that people should look at is what why one person is getting sick and dying and not the other so going back to this again Jill I think about this and I love knowing the stats I love that Johns Hopkins map is phenomenal it's a great web page you know it's just like it you know in one step you can learn all about it but when you look down into the dirt and say wow we have two people living together one's positive and one's not and you know this person has a diarrheal illness and they test positive and this person you know is sick as heck and test negative that we have to again understand its behavior and my opinion is we don't know what this thing is and it will be something different than what we think it is once we figure it out and as you know this is more like a hypoxia malarial issue than it is a pneumonia and so I think we're going to be extremely interested in what these risk factors are because I think they will be different what we think they are now oh thanks for that and one thing Chad is referring to if you haven't seen the blog that came out today it's kind of controversial and again what I what I so I wrote that it's on my website just jill carnean.com go there look at the blog and it's all about this hypoxia hypothesis we won't spend a lot of time on that but it's interesting because I think that there it does present very differently from a classic ARDS it actually presents more like a pure hypoxia or even altitude sickness we're seeing the lung appearances and some of the criteria bit more with a different model doesn't mean it's that disease it just means it's acting not like a classical pneumonia and that just makes us think more about what else we can do to treat it so let's talk to you about what you're doing with testing because that's one of the big things I want to cover tonight I want to let people know number one what you're doing what you're finding out so far statistic wise tell me just a little bit about the testing that you're doing and some of the stuff that you're finding out sure I'd love to Jill first let me comment on on your email today post it is so Jill has a unbelievable newsletter and again it puts together these narratives which are digestible important and they're actually actionable and so the I'm reading the title back because I think everyone should should look for it it's called the emerging theories that may help us solve the COVID-19 puzzle I think that's the most eloquent I think I spoke too long because if I just said that you would have know what I what I meant but I think you capture everything just great in there and that's a very it's a it's a it's a well written article and I found it very educational so thank you for that so the testing piece so the problem is the test that's the reverse transcriptase PCR test that that test takes a picture and finds the actual virus critically important when we see someone pop a positive PCR and a Lyme's test you get all excited because you know that's it like this isn't smoking mirrors anymore so it really gives you the fact that the patient has it so in a highly symptomatic population and a positive test confirms the diagnosis the problem with that test that runs I think a 30 or 40 percent false negative rate so that you're going to miss almost one in three now if you're asymptomatic then the likelihood of it being a false negative is less and if you are symptomatic the likelihood of it being positive is higher I say that because it's looking at a very sick population where if you're going to bet your money they have it and the problem is that's where we get most of our information so it trickles down from there the problem is that test in our population is irrelevant potentially because the window with which one may be able to test this in the carrier may be such a short window it may be long it may represent transmissibility or not but if one in three are going to be negative and it depends upon whether you're telling someone you're infectious or not it's not a very helpful test for us out on this part of the war so we were in a study looking at a serology test so these serology tests they look at your the shadows of the virus in the body it looks at the body's response and why is that helpful well it's helpful because it gives a timeline a magnitude potentially and a pattern so because there are different antibodies and they all come out to play and fight at a different time one can then say that this is a part of the disease you know one is never been exposed is currently exposed and infectious and symptomatic has a past exposure so you kind of get a better idea and you can fit those clinical vignettes into discussing their whole background their story and then you see here's the pattern here's a pattern of young females who are IgM positive don't get symptomatic is that true yes or no and then we can do something with that we can give information safety and you know this is all under the understanding that we don't know not you nor me you know everything about the virus and have to be very cautious but you and I have to make decisions on what to tell people right now without that so you go into war with the army that you have and with this army this serology test I think will give us better context and hopefully lead to immune passports where we could say you've had the virus you're not infectious you can go back to work and you can donate blood to potentially save someone's life yeah gosh that's fantastic because it really gives an answer to part of the problem of when do we open up the economy again when do we let people go back to work what are you seeing with the results so far tell me more about what your patterns and interesting things that maybe you didn't expect to see I didn't know what to expect but let me just give you we've done 72 tests again this disclosure not FDA approved yet we are in a trial the sensitivity of this test has been about 95 percent specificity around 98 percent we've done 72 tests 57 have resulted but 20 positives and 37 negatives and in general what one specific responder that is very interesting there is in a responder to the early immunoglobulin so IgM that seems to be one asymptomatic or minimally symptomatic and less infectious we have people that you're we know that they had a social gathering where someone got sick they've been quarantined everyone's social distancing and they come in for the test never had a sniffle and they have all of the early responders the IgM positive so then you're like well it doesn't make any sense they don't have any symptoms why do they have anything and then you test them 10 days later and it's the same so we have about four patients who are asymptomatic early responders the IgMs and they're not false negatives or positives so that's a very interesting population people that have lived with some of these so the significant others have come up negative so it seems like here's an exposure IgM positive asymptomatic and even though they're with they're a significant other quarantined for long periods of time the partner doesn't get sick or develop antibodies interesting yeah oh it makes you wonder again like you said in the beginning the big question which I think will come out of this in the end as we look back we're going to have more clarity is what is the factor that keeps someone from getting this is it immune system is it toxic load is it blood type is it I mean I'm just throwing these random things out there but there's probably things we don't even know yet that affect and then if some of the hemoglobin stuff I wrote about is correct maybe it's thalassemia is protective or maybe it's hemochermatosis it's not protective or who knows right yeah yeah yeah I mean at the end of the day oxygen dynamics and the role of the red blood cell I think our paramount and oxidation reactions around it you know I think there's a gem in that biochemistry I mean you're the you're like the world professional and in this you know what what have you what are your thoughts on this Jill like I know I loved you talking about the actual items like vitamin C zinc what have you seen well you know Jed that's one reason I wrote the article is not to say that I have the answers because I'm simple functional medicine doc in Boulder Colorado I do love mysteries but I don't claim to know it all and even this article I was very careful to say we're just in the middle we're just theorizing that's in the title because we really don't know but what I wanted to say is if this is true do we do we reframe how we're looking at it and I want to get people thinking because so many times I remember medical school it's like you get a diagnosis in ICD-10 and you get a medication and you basically memorize this formulaic type of practice where you here's the diagnosis here's the med here's the diagnosis here's the med and we lose our ability to think outside the box and creatively and to really really problem solve and that's again what you and I love to do so I love being in that place and trying to problem solve with this virus and say what else are we missing what even in patients when I get to the point where they're not getting better my question to myself is always what else what else what else am I missing what else are they not telling me what else they don't even know what other pieces of the puzzle are we missing so same thing with this virus so bottom line is if some of this stuff with hypoxia relating to oxygenation of the blood is true and that maybe there's more than one mechanism happening with the virus especially what I mentioned with the iron oxidation so when these iron molecules are released from the heme and they lose their oxygen carrying capacity I equated it to like a raft that has been blown to smithereens and the irons like these guys that were on the raft that flew out into the water and those irons they're really disruptive they're kind of like you know the brawlers at the bar or whatever and they cause a lot of damage to the tissues and so when these iron get thrown off the raft they are floundering in the water and they're causing damage and so if that theory is true then things that neutralize reactive oxygen from the iron are going to work and what we do know to be true is the success of things like IV vitamin C or liposomal C to keep up the intracellular level of vitamin C is very effective I mean the studies in China showed this they're now using it in trials in New York City I don't know where else they're doing it but we're starting to see that there is some power to that and it's so safe so the better thing even about some of these things that I'm presenting is not only are they effective but they're quite safe other things that may have potential are nebulized glutathione because you get that antioxidant effect right to the tissues where you need it most this is basically like a breathing treatment like an asthmatic but instead of putting albuterol for breathing into the machine you put glutathione into the machine this is by prescription all of these things are not typically done by patients on their own but your doctor can prescribe those things and you can nebulize glutathione another thing I'm interested in I don't have the data but the data supports decreasing reactive oxygen pretty profoundly and the studies are many is inhaled hydrogen this is a machine I have one at the office some other doctors have them and I would love to in the near future be able to give treatments to patients where you just sit and with the nasal prong and you breathe in hydrogen ions into your lungs and the hydrogen mixes with reactive oxygen and creates water so it's this totally neutral byproduct and in the process you neutralize lots of this like these angry iron guys in your body ozone I'm not an expert on and I'm not talking IV ozone I'm talking just inhaled ozone in the nose but my naturopath and many other doctors out there are experts so I defer to you but there's also an idea that perhaps ozone inhaled could be part of the treatment as well so these are just a few things and then of course all of this stuff around zinc vitamin D and acetyl cysteine potentially Corsiton there's a lot of different nutrients that are antioxidant and have potential and I really really do believe these things are powerful and helping our patients especially the ones that are not on the verge those ones that are in the verge of respiratory failure I mean they need to go to the hospital they need the machines there's nothing wrong with that but what if the other 90% we could help keep them out of the hospital yeah Joe when I hear you speak your health is so important meaning that like staying healthy practicing those things that you're talking about I mean maybe it turns out that the people who are getting sick the young ones that are getting sick are unhealthy on the inside they don't have vitamin C deficiencies or hemochromatosis which is the high iron levels or they have a gene which their oxidative stress is disproportionate like an SOD mutation or something so yeah I agree it's just it's so hard when you have and your hunches are always right but you have these hunches and you want to use this old artillery but you really can only use it one on one because at the end of the day we can be responsible with people it's hard to be responsible for the world because like you said everyone's different everyone's story is different and their illness is different and you got to treat each one differently out here in the field when I love that you say that that's the important thing about this is like what you and I do is we sit with one person we listen carefully we put the data together and every plan is different so Dr. Chad and I when we create a plan I don't have any protocols so no one gets a one size fits all because everybody's different it's no different with the virus so we're not claiming answers it's just for individual patients some of these things may be helpful so testing what do you think about the future of the testing that you're doing and where could we do you think this is part of the ability to get our economy out of this what do you see this as future like could we take this to you know all doctor's offices what would you like to see with the testing I think we need everyone's serologically tested and that would mean symptomatic asymptomatic prior symptomatic I just don't see a large-scale rationale on how we get back to work safely without having a data or measurements that give me that reassurance not the assurance but the reassurance that given your sickness in January dry cough loss of smell shortness of breath on the sickest I've been in years fatigue smell comes back I feel better and they have a serology test that everything's positive and they're over 14 days out okay this person is immune in my book probably immune in many doctor's book and when and if that test gets FDA approved and is accepted into the professional you know world the academic world that person should get a passport and that person should then go to the front line and that front line could be a restaurant they work in it could be a car wash could be a hospital but until that the recipient of that worker is assured to some degree that that person is safe and won't infect anyone else I see this being the quickest and only way it's always about data that couples with the story you know that's why we have passports hey I'm Dr. Prusmak I'm coming into your country oh yep we trust you that's why I have a passport that data so they can look at me and say who is this character hopefully they don't find too much nefarious things in my past and they let me in their country it's the same way here I mean you know you and I swim in this very you know it's crazy difficult world of medicine is people die people are sick all the time you hear about your complications not your accolades because your accolades they go along their way but your complications come back and you know it's a it's a it's a hard world so I feel authentically bad that this is hard to explain and that's why this data is so important and it's so important to get that word out there and to get buy in and to make sure we're correct because I think that these passports is what's going to get and help save our society earlier yeah well and one of the reasons I have brought you on tonight is I want people to know who you are what you're doing and so all of you are listening if you listen to the recording later please share especially with people that physicians I'm going to share with my physician groups because I want people to know what Dr. Prasmak is doing and if they're not doing it already I think we can join forces in some of the data collection and really making a difference because that's what it's going to take is at the ground level we're so used to being so independent in the United States and the reason why some of the some of the different countries have had such success in decreasing the levels and getting people back to society is because they're much more of a community-minded as a country we're all out for ourselves even our doctor's office everybody's independent which is great but now's the time to kind of bind together and see if we can make a difference yeah tell me this let's go before the last few minutes we'll just we'll close out in a few minutes here what do you what do you do personally to stay healthy what's your protocol what's your program how do you stay healthy sure so outside of the 30 bottles of supplements that I carry around and me what's in them so I Chris Satan fish oils magnesium the anesthetical systems probably what I rely on for detox I take glutathione I take a mineral complex and then it jumps around but when I look at my staples it's all it's kind of somewhere in that realm and methylated B vitamins because I have one of those snips for methylation the other I guess thing that I I have full buy-in and it was from you is the use of binders again I'm talking about my health but the world is polluted the best we do is try to stay away from all these things dirty like you said clean air clean food clean water clean lifestyle we always get dirty no matter how clean we are the binders I find extraordinarily helpful I find that they pick up what I couldn't pick up if I rather had one too many drinks or whether I ate Taco Bell when I never do I find those quite effective and I find those effective in my patients also so you know the glutathione things the B vitamin things oh a curcumin is huge I take a lot of curcumin an exercise is supreme so you're to ask me how do you stay alive love those around you work out like a demon and then work hard and feel that you're authentically making a difference and then all the supplements and stuff sort of fill in the gaps oh love it oh my gosh from the pro gosh and I would say the same and in sleep is huge I know not everybody has great sleep and and it's difficult that's hard to forget so our subject yeah not my strong point no I find for me that's my kryptonite that is my secret weapon because I am a great sleeper and I I get I maybe only get six and a half and seven but I'm getting like two and a half hours of deep plus two hours of REM like I'm getting 97% efficiency I fall asleep in like four minutes or less and so sorry to brag about that but yeah I'm telling got to put that wearable on you and track you totally right oh and you know I wanted to say because I was a fiend for workout too and I love it and I totally agree with you especially in isolation chat but just personally what I found is I was overtraining and I didn't even know it and last year when I really like pulled way back and realized that my cortisol was sabotaging I lost 8% body fat like without with I always joke I stopped working out and gotten the best shape of my life and as I still lift I still I have a pull-up bar behind me I could do 20 pull-ups I can you know so I'm still really strong and I do work out but it's not like I used to with the intensity and for me personally as a woman in my 40s it really really worked well because that high cortisol was sabotaging me and again not everybody some people do great with orange theory or high intensity interval training or we both of us love the blood flow restriction bands that's a whole other topic but but I'll let you say it whatever works for you but in this time whatever you can do to decrease stress is key too agreed an exercise being one of them you brought up a great point one was the overtraining principles so what a lot of people don't understand is that you know strengthening conditioning is an academic science it's not to the rigor of medicine but there is a rationale to set goals to test and then train and program people so that they never do get over trained and they don't have their cortisol levels go up through IL-6 levels go up through IGA go down and so you can allocate the right metabolic stress that that unique person needs to achieve their goals in the absence of so you know one of the things that we do great at the resilience code is integrate this strength and conditioning rehab and integrated medicine and what we do is like test program and try to reach a goal if goal not achieved regroup reprogram but you've got to track it like you say you can't measure you can't manage it if you don't know what someone wants and the thing about working out like love working out I love kickboxing I love doing high-intensity interval training but at the end of the day when you don't know what you've done over the long term you just feel good every day that to me is not making long-term progress to longevity that's doing the right thing in the moment and I just think that exercise is really under-appreciated and the science of exercise is under-appreciated I love that Jack because had you tracked me you probably could have saved me all those years I've got yeah but like I didn't know it you've done it so hard it was good I know right oh gosh well let's just get I've just got a few questions I know one particular listener I won't call out her name but she just got the test that you run and she came back with two antibodies to proteins to IgA and two to IgM she's asymptomatic she does feel like she had symptoms three weeks ago in the collection of your data would you say she's one of those asymptomatic probably had it probably no longer contagious if she she had quarantined for a full 14 days again two IgM proteins to IgA and even though the IgM still high maybe retest her in 30 to 60 days this is a great case so that so first you have to make a decision if I didn't have the test what would I be telling the person okay so she doesn't need to go to the hospital you take a detailed history you listen when was your last symptom yeah like two weeks ago or more and if it was then clinically she would be over the virus given that she had symptoms that were very likely and that the exposures would be but yes the next step is retest in 10 days or more 14 would be preferable but the reality is 14 days for science but we want to see if she converts from IgM to IgG I'm getting the feeling and again this is just my observation that there's a subgroup that does not convert and they're the asymptomatic ones like like this patient now the IgA issues I've seen diarrhea and sinuses so the IgAs are more again this is a feel a sense not hardcore science is the sore throat fever sinus never thought I had it IgA or fevers chills maybe a cough and some gut problems IgA that's what I've seen and I think that's important what's important also is this presents in so many different ways because we have so many positives on if you ask me to take a test and you have a positive I'd be like oh that doesn't sound like COVID well us out here don't know what COVID is and we're just learning so you got to take every illness seriously document the last and first day you've had symptoms and know that just to be on the safe side if it is that at least 14 days don't be near anyone high risk and always practice the safe practices social distancing hand washing et cetera okay this is super helpful and there's a list one of the doctors who's listening asking what tests could they collaborate collect data do you want to share the specific test do you want docs to know how they could collaborate with you it's up to you how much do you want to share here but yeah yeah yeah I mean I have no disclosures or financial interests in any of these companies we're using and working with vibrance the choice was made based off of prior experience they have four markers the markers that makes it more specific as you know Jill so instead of just one it's all of them so it was that more information it's see highly it looks like a high resolution test the company is really we're about to look at the exact numbers of the titers so answer one is we use that more data is better I'm not saying this is right or the only one nor my partial I think we need to get these in everyone's hands yeah we're trying to work with with companies universities to help collab you know collect all this data and make some some sense of it and we have a discussion with one of the local universities to collaborate tomorrow and another private company but I would recommend that doctors go out there get the test demand it and know that disclose to your patients is isn't that they approved I'm doing my best but we got to work as a team and I want to do no harm first but I want to play some offense you know you can't play defense the entire game I mean I guess if you had Von Miller you would but you know the fact is is we got we got to get our paid man and go and you know punch this thing back and I think our best way is to to figure out what that Wiley virus is doing and I would just enable a any doctor to collaborate to help people to get people to donate blood I think it's would be it so I'm going to have some questions could just kind of wrap it fire about this stuff people are wanting to know and again you can answer or not answer whatever is appropriate first of all if a patient's listening they want to get tested can they go to your facility or is that only you only your patients or where would you recommend they contact their doctor go to your doctor first and I'm happy to talk to those doctors but yes we are testing at the resilience code right now we're in the trial basis hopefully this will be FDA approved soon and then collectively as a society doctors and patients alike we all should get together and you know agree on the safety of these things and how we consult them on what to do but yes we do the test now we do it five days a week and our goal is to get people safer quicker by delivering more data and information to them and to people smarter than me in this area love it and then if doctors are interested is there someone on your team they could contact that would like because I think I want to share this with my colleagues and my doctors more than anything so if there is any collaboration is there your team member who would they contact from your this is for physicians only but who would they contact to collect data with you yeah so Angela Andrea Beaver she's our chief navigational officer and so she is the one that's helping organize all the different blood draws we all use mass safe practices we take in data she would be the go-to contact person and you could find at least our phone number on our website which is wwwmyresiliencecode.com awesome and I'll be sure and share that link so if anyone you scroll through the comments you can see it awesome Dr. Przemek this has been so fun we are trying together hopefully you guys listening we answered your questions if you like this please share because we I did this just because I want to get the testing out I want to get people to know what Dr. Przemek's doing he's quiet and he's actually for a neurosurgeon he's very humble I just have to say that because you really are one of the most nice humble guys I've met and you're a neurosurgeon like what's up with that too thank you thank you and thank you so much for having me Jill I just want to let you know again what a blessing you are to my health because you being my doctor and also to revolutionizing this field so just thank you for having me on thank you thank you guys for listening like I said please share and at your comments I'll come back and answer those have a great evening good night tonight