Michael Meighen, MD - Holistic medicine and life (206)

<cite>Tobin Arthur:</cite> <time>0:07</time> <p>Hello everybody it&#39;s Tobin Arthur, your host for Michael Meighen, who is a musculoskeletal and holistic this conversation, we&#39;re gonna have no lack of places to go</p> <cite>Michael Meighen, MD:</cite> <time>0:44</time> <p>Thanks, Tobin. Appreciate the</p> <cite>Tobin Arthur:</cite> <time>0:48</time> <p>Why don&#39;t we just start with why don&#39;t you give And what you&#39;re focused on is at the moment?</p> <cite>Michael Meighen, MD:</cite> <time>0:55</time> <p>Yeah. So kind of stems from back when I like Well, that&#39;s a pretty negative story. From that subsequent surgeries associated with that one on both sides, or physical therapy, some of the things that I incorporate, and other pieces from that standpoint. So it kind of that&#39;s kind of how it kind of pushed me toward a career in then I, you know, matriculate at the University of Cincinnati for Medical Center in Charlotte rehabilitation. And then I did a musculoskeletal medicine physiatry, at the University of since that point, which was 2000. So 22 years. And certain things associated with interventional pain treatments, looking for alternatives and how I got into regenerative then bone marrow or fat as far as the source for stem cells, optimization, looking at labs, other pieces of data, in optimizing hormones or, you know, looking at hormone bit more looking at their genetics and making us more an Oura ring, or a Garmin watch, or some of the other things from I have a lot of interests. But I really like looking at people problem or a back pain or some of the other potential, quote</p> <cite>Tobin Arthur:</cite> <time>3:14</time> <p>You mentioned data, and some terms like whole market is blowing up. But talk a little bit about how data then we&#39;ll talk a little bit about the role of the physician help the lay person like myself navigate what&#39;s legit. Right?</p> <cite>Michael Meighen, MD:</cite> <time>3:39</time> <p>Yeah, I mean, if you look at medicine as companies have on the way we can manage people and or ourselves see, to some degree, there would be some testing, maybe that industry where we make, you know, important decisions, think that needs to change. And I think we should have control are the best pieces of information for me to help you you want to be what I call superhero. And that can be So you know, good comprehensive bloodwork panel, genetic or doing a little bit of saliva and looking at some other pieces of technologies are looking at that how you recover or what we look to see. You know, if you have recovered well from whatever surgery, any of those sort of things, can give us an idea of push a little bit harder, you could do a harder workout. So particularly well, well, maybe we do a relatively calmer type minute walk or something along those lines. And then there&#39;s a goes. But I think important to have all of the data points and little bit more on the front end. But I guarantee you that I everybody. Because we&#39;re going to be proactive, and hopefully hopefully keep people independent for a longer period which actually has financial implications for both person but standpoint. So I think overall, looking at people as their own entity, or incredibly powerful and important. And I think we need standpoint, I think that&#39;s the direction that we are going to direction.</p> <cite>Tobin Arthur:</cite> <time>6:27</time> <p>So you hit a lot of really interesting points in just looking at some isolated issue, and why don&#39;t we dive practice, I mean, people have bumps and bruises. And so I&#39;m that may get them started to come through the door. But then people are starting to pay more and more attention to, instead currently, in terms of your patient base people that are to get them to take a proactive perspective as you solve the</p> <cite>Michael Meighen, MD:</cite> <time>7:10</time> <p>Right, in I think you stated that, well, I we&#39;re still going to have some injuries, we&#39;re still going to have some disease processes. So yes, I mean, some people will control of their health, and they really want to take those to play with their grandchildren, great sounds crazy. But some people, you know, they, they really Sure, because it keeps the mind healthy and the body healthy. important just for overall health and function and that ways to make that happen. And it doesn&#39;t have to be big, it&#39;s more of the foundational pieces like sleep optimization, some sunlight, reducing your stress, improving your kinds of things from that standpoint. And then you can look at that step above where you&#39;re looking other things, peptide therapies, which are small proteins that peptide, obviously, in some very important for health, because if there are others that are incredibly powerful and relation to musculoskeletal health in relation to gut you know, again, if somebody comes in with a specific, you to get the pain under control. But if we&#39;re looking potentially gonna think about doing one PRP or stem cells or something along them from having surgery, then maybe some reducing the effects of high blood glucose and insulin those joints and some of the other pieces from there. If in that sympathetic mode, where everything just feels like is on into that parasympathetic tone. We&#39;re kind of in there rest, journaling, yoga, meditation, religion, some some other things And then once you have some of those pieces in place that then ability to heal from any of the things you want to do. And I&#39;m them longer term and kind of keep them from having, hopefully number of other things from that standpoint.</p> <cite>Tobin Arthur:</cite> <time>10:23</time> <p>Let me jump into a little bit of a specific so for about. They&#39;re fascinating. I&#39;m guessing most people, optimization and things of this sort. What does that look like? patient every patient&#39;s different, but just give an I&#39;m guessing a lot of it is not insurance based, as you expect in in a treatment protocol with you?</p> <cite>Michael Meighen, MD:</cite> <time>11:18</time> <p>So the typical way would go is we would contact the client or the patient and get together and go an idea of what their goals may be. So for example, I have some they do triathlons, and one of their main goals is to optimize have others that come in, and their main goal is, look, I go and they want to be able to do things with them, go to Disney, then you have other people that have a multitude of things. For good for that, or, you know, I just want to be healthy and stay I can have. So that&#39;s the key is, is again, your goals are than other people&#39;s goals. So just looking and see where you what you&#39;re willing to do both from an activity standpoint. But don&#39;t have to cost zillions of dollars. They can I mean, it and trinkets and biohacking tools that we can use, that bring people even those people that have the ability to look at talked about a little bit earlier with the sleep and diet the other things if those are in place, I don&#39;t care what other impact that we would once those foundational pieces are in come in the peptides can come in. And that&#39;s where some of the we&#39;re looking at hyperbaric oxygen type treatments, if we&#39;re endpoint. So once that data points done, then typically we can be usually through most of the major players as far as nice part is what we do is we can actually negotiate prices through insurance. And, you know, it definitely makes a and can&#39;t do. So we can check whatever you like if you want. on. Then typically, I like to have the genetics done as well. us more precise in the way that we manage you. So for example, I physician as well. So ketogenic diet is obviously the rage their fat, produce their carbs, all those good things. And for be fine. He unfortunately, it was not going that direction was he was getting pudgy or asleep was terrible, had a lot of good actually a person that would do poorly with the ketogenic diet also pointed to the fact that he needed her higher carbohydrate grams, which is a lot. Yep. But once he kind of flipped that paradigm and started increasing turned around incredibly quickly. So it&#39;s just an can be beneficial for the vast majority of the population, but or your friends at the country club or your friends just at the that&#39;s going to be a good, good choice for you. So once that spend a good 60 to 90 minutes together, again, reiterating genetics and comprehensive form, and then coming up with a plan tell people that if they&#39;re going to do this, it&#39;s going to changes in 60 to 90 days. Unfortunately, if they&#39;re going But we&#39;re usually talking anywhere from about nine to 18 know, the list of things that comes up at the end, as far as this were a perfect world, or these are the things I would know, two, three, or four. And I do them like a totem pole list address, what are the things we would like to address, what are other pieces in place, we can get those taken care of. And we&#39;ll let that go for about 8 to 12 weeks, and then we&#39;ll repeat in the beginning. But we&#39;ll go ahead and look at pieces that we properly, then we&#39;ll retest your thyroid. Some other things from obviously, we&#39;ll look at those along with some of your blood on the up and up. If you&#39;re a male, we&#39;d obviously look at prostate health or function or any other pieces from that would maybe check blood every six months or so. And then we versus your diet, or excuse me biologic versus your chronologic some other things which are another objective pieces of data to go and also see if the treatments that we are</p> <cite>Tobin Arthur:</cite> <time>17:49</time> <p>So there&#39;s a ton there. How do you as a physician bio-hacking. There&#39;s so many new things even, you know, things How do you stay on top of all of these things, and then</p> <cite>Michael Meighen, MD:</cite> <time>18:05</time> <p>It&#39;s hard and challenging. I would agree groups. And also and then a number of societies that kind of regularly. Because it&#39;s impossible to keep up with of stay up on things that have some scientific validity and even so, I mean, the beginnings of just looking at you know, least kind of gets the ball rolling to show a this could be we&#39;re coming up with potential studies, double blind placebo beneficial. But yeah, I mean, it&#39;s it&#39;s a bit of a challenge. don&#39;t care for treating a brain health issue versus a gut issue treatments going to be almost the same, it&#39;s going to be that that specific entity. And then also having a network of people I&#39;ve got some colleagues that are incredible with chronic ways to kind of work that up a little bit, kind of get an idea outside of what I know or I have some people that are very good so many other things from that standpoint. It just kind of I think that&#39;s the that&#39;s the key is to try to get them to the specifically with their issues. Even if we didn&#39;t go with that specialized treatment, they&#39;re can do.</p> <cite>Tobin Arthur:</cite> <time>20:07</time> <p>That&#39;s great perspective, some humility based about COVID. Because I imagine you probably have seen COVID had And so the, you know, the mind body connection, we were talking people is, maybe we&#39;re kind of quote coming out of it and you suggest for patients?</p> <cite>Michael Meighen, MD:</cite> <time>20:37</time> <p>I had a pretty significant COVID do think it had a negative effect on my brain and it did exhibited to us is, you know, going to a society where all want to live. Could we do it short term, and, you know, helped with connection to some degree, but I think it&#39;s almost connected. Meaning we can, we can stay in touch with a bunch and some other things. But by the same token, it&#39;s very you, right. So I think it&#39;s shown us that, you know, it&#39;s on, and have that physical, but also that psychological at our realm, going to medical meetings is incredibly powerful And I like doing them on Zoom. But if you&#39;re doing long zoom, got opportunities to go outside and do some things from that Whereas if you&#39;re at the meeting, you&#39;re interacting with you&#39;re having to pay attention to the speaker, you&#39;re having to those other things. In my opinion, the parts of the you&#39;re doing dinner, happy hour, or any of those sort of things. collaboration happen. And the other part is you don&#39;t feel as Oh, I must be the other person that feels this way. And that&#39;s does increase that feeling of being in a tribe and that sort mean, there&#39;s definite physiologic and biological definitely gonna have to address. And again, I think looking at that more from precisions important. And then, you know, coming up with, I think, better that we&#39;re doing paperwork intake and putting you in a room important. Don&#39;t get me wrong, we tend to stay on time. And have to leave your office, find a place to park sometimes you that. So I think a nice mix of that as is where we are going need to understand that we need to have that connection. And we opinion,</p> <cite>Tobin Arthur:</cite> <time>25:01</time> <p>Really well said. I want to come back to a couple these days. But first for the person, you know, patient who&#39;s are listening to it, because I find physicians tend to be so no shoes, right sometimes to take care of themselves. So how, you know if they&#39;re not in your backyard? Or if they are not in their backyard, your backyard? And they&#39;re hearing with? How do they find somebody who&#39;s got a similar perspective</p> <cite>Michael Meighen, MD:</cite> <time>25:44</time> <p>Yeah, I mean, it&#39;s sometimes a bit of a agencies kind of Hawking, right, and looking at your website, and claim and or what you say you hear. So those are the those are can be a benefit and looking at that. But I think part of it some of the social media sites can be a benefit to some degree, not super inflammatory, political, and people primarily they can offer. But you know, I think Facebook has this role in you can put in some keywords and certain phrases as well, if you precision medicine and health optimization, some of the other look at working with me, probably the best place to interact pretty much with anything there and get, get you somebody else to really try to get and manage, you know, the for.</p> <cite>Tobin Arthur:</cite> <time>27:29</time> <p>Perfect, we&#39;ll put that link in the show notes, so bit about some of those precision medicine tools, maybe the last year or two. Are there things that come to mind.</p> <cite>Michael Meighen, MD:</cite> <time>27:43</time> <p>But I think again, we haven&#39;t talked about dive there a little bit. So you know, the orthopedic piece, in I came from, and how I got into regenerative medicine or of things typically are not surgical. If you talk to most of things that come into an orthopedic clinic are non I think their regenerative piece is particularly appealing for a either your blood, I&#39;m using your bone marrow or I&#39;m using zero. The second thing is it&#39;s it&#39;s typically done either under Valium, it could be nitrous oxide. Occasionally, we&#39;ll do fentanyl, or something along those lines, but that&#39;s where for example, even if you&#39;re having a nice job or something it&#39;s sedentary, you could probably have it on Friday and these, I mean, usually, you know, you might be down for 24 For example, if you&#39;re looking at the knee, then we want to hit have some instability or some problems with ligamentous super blue collar super lifting type job for those who may have with some of the tendinous type insertions, even some of the all of those in a comprehensive type process, and really try to infection and or side effect issues as much less, and then we static, so if you&#39;re looking at the face, hair growth, and even back to activity, be that exercise, be that work, be that the O shot, which stands for practice shot for men, we inject using the same medications just in a different area. And the quickly. And the nice part is sometimes we can repeat it, or help beef the tissue up tends to help improve the overall in a positive manner direction and can help things like whereas if we just did PRP the first time maybe we do some bone can help with erectile dysfunction. And then for skin integrity. Some of the other things from that standpoint are even processes where you can go into roseus or into the bone. that sometimes can be problematic or could cause some area where you may have some some bone related change or tons of utility and can be very helpful for a good number of treatments for in the past to be honest with you. So I think it&#39;s the joints. And then the other part is it&#39;s not just a joint procedure. sexual function pretty dramatically. I think we&#39;ll</p> <cite>Tobin Arthur:</cite> <time>32:01</time> <p>That&#39;s pretty neat. So let me ask you about a once you&#39;ve got you&#39;re getting down to bone on bone or that this have any effect before you get to surgical options?</p> <cite>Michael Meighen, MD:</cite> <time>32:17</time> <p>Sure. So depends on the joint. And some done incredibly powerful job and looking at specific joints and matter what state they&#39;re in, even if they are severe bone on improvement and pain control and function. With any or all the looking at something a little bit higher level like the bone structures, shoulders kind of the same way, they tend to and some of the other things their hips, not quite so much. they get more toward the severe level, they tend not to respond same. Just depends on the joint now. Can you try it? Absolutely, some things to really try to manage that as best you can. do incredibly well. And spawns actually tend to do incredibly</p> <cite>Tobin Arthur:</cite> <time>33:32</time> <p>Let&#39;s wrap up with this topic, you kind of brought So it&#39;s been a challenging environment for physicians for you know, make sure you don&#39;t get burned out? And kind of excited and keep you driving? You know, what&#39;s the next year</p> <cite>Michael Meighen, MD:</cite> <time>33:57</time> <p>I&#39;ve dealt with some burnout issues in the keep myself relatively even keel, and moving forward and a person, as a professional, as a father, as a husband, and I think at this stage, most of us feel like we&#39;re on that rat we&#39;re not really getting anywhere, I&#39;m gonna get off on what or whom you&#39;re working for. They may not really care as do. So I think the first part is to kind of empower yourself, I way. And I think important, you know, from a physical we&#39;ve discussed previously are important. I think sleep is optimize, I think we again, have to cultivate our relationships, vice versa, we&#39;re not helping somebody else, which is something is very close to us. But I think is important, if back and kind of reassess those relationships and some things. or some of that stress or some of that difficulty. And again, some people, maybe that&#39;s a massage, or something along be a vacation, it could be any or all of those things, it&#39;s respond. Typically meditation, it&#39;s incredibly helpful, but I particularly well to that form of activity or movement. So I things that are going to align with you. And they&#39;re going to we talk about burnout, or talk about some of the other parts of wrong, I think is incredibly important. But if you look at lives that are causing more stress and more problems, I exercising as much as they should be, probably overusing other things from that standpoint, probably not some other things, maybe having some challenges with their other things from that standpoint, they&#39;re not feeling job, they&#39;re just kind of going through the motions. You know, I think all of those are areas that we need to hit. are some physiologic reasons. That&#39;s one of the things that tanking, it&#39;s really going to negatively affect your brain energy, focus, passion, all those type things, and issues can help with body composition, muscle mass, all hormone, it&#39;s definitely got some the same effects and women. at that it could be as simple as you know, your b 12, and folate making neurotransmitters, which can affect brain function, Really good for what we call methylation or the way that your things to vitamin D. I mean, we could go on and on. But I think the realms is important. And you know, I think more of a know, I think, unfortunately, with what we talked about before know, professionals, entrepreneurs, and even just themselves to death, like, you know, in the grocery store, or also burnout as well. So I think it&#39;s not just high functioning everybody&#39;s high level or can be, but it&#39;s it&#39;s kind of the we&#39;re really going to need to address at this stage. And I help. And that&#39;s, I think the first step, I mean, other things. Unfortunately, you know, my profession is second, I it&#39;s, it&#39;s definitely an issue that we really need to jump on that. From all realms. It&#39;s not just one person as the issue. issue, but it&#39;s also others around them. It&#39;s also the folks they empowered? Are they asked what could make my job better? Right? Maybe you&#39;d like to coach. And that could be another That&#39;s why I like Angel MD. And some of the things that your professionals ideas and thoughts of, Hey, have you ever thought where we can collaborate and say, hey, I want to learn more kind of get me potentially through something or help me make a pretty significant impact more people. And then I would those sort of things, too. And I appreciate that.</p> <cite>Tobin Arthur:</cite> <time>40:40</time> <p>That&#39;s exactly right. And I love the fact that know, there&#39;s no one thing it&#39;s it&#39;s looking at all of these thoughts on that you mentioned earlier, which I absolutely got benefits, you know, at the same time, people feel more that we&#39;re more connected. And you know, from that perspective, every couple weeks, but we really look forward to over the own or supporting other people&#39;s live events, because there just</p> <cite>Michael Meighen, MD:</cite> <time>41:24</time> <p>I agree with you. And there&#39;s no can text Mark Cuban, and I&#39;ve had him answer me once. But I there&#39;s no way we would have access to certain people. And okay. But by the same token, I agree with you. I just think</p> <cite>Tobin Arthur:</cite> <time>41:49</time> <p>It&#39;s always interesting to watch kids mine they&#39;re texting one another, you know, they&#39;re literally sitting, Snapchatting and whatever the heck else they do. Doctor lot of fun getting to know you a little bit more and hearing all again.</p> <cite>Michael Meighen, MD:</cite> <time>42:13</time> <p>Well, thanks Tobin. I really Thanks. We&#39;ll talk again soon. All right. Sounds great.</p>