On this episode of the show, Dr. Greg speaks with Dr. Bligh, the Medical Director and Co-Founder of Advanced Laser Clinic. Dr. Richard Bligh founded the practice in 2003 to integrate comprehensive healthcare with preventive and state-of-the-art technology. He has developed a holistic, patient-focused practice that provides concierge medicine, age management and cosmetic services in a comfortable setting.

The current healthcare model requires physicians to see more patients in shorter intervals. This framework offers little time to properly screen patients or arm them with the tools to maintain health as they age. Conversely, Dr. Bligh records a patient’s history, genetics and way of life to determine treatment options and lifestyle modifications. He explains how a particular therapy works and why it is recommended, so patients can take a proactive stance in their well-being.

http://drbligh.com/
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Instagram: @drrichardbligh

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  Otter.Ai (transcribed)
 Hey everyone, its Dr. Greg, owner in physical therapist at Judice Sports and Rehab. On this episode of the show, I’m interviewing Dr. Richard Bligh, concierge physician here in St. Louis. Dr. Bligh is the medical director and co founder of Advanced Laser Clinic, Dr. Bligh received his Doctor of Medicine from Ross University School of Medicine, a master’s in business administration from Southern University of Illinois Edwardsville, and undergraduate degree from University of Maryland, as well as serving in the United States Army. On this episode, we talked about his practice stem cell treatments and age management services that he provides his practice. Without further ado, let’s get into the interview with Dr. Bligh. Welcome to the show. We’ve got Dr. Richard Bligh, thank you so much for being here.
Hey, thank you for having me here!

I am happy to have you. Just to introduce you to the listeners, please tell us about your background. How did you get to where you are now?

Well, my background, I’m board certified in internal medicine, started one of the first concierge practices in St. Louis, probably over 25 years ago. Prior to that, I did emergency medicine, a debt, a lot of critical care medicine, ran some intensive care units, that sort of thing. And then I was in the initially in the oldest group practice in the state of Missouri, we’re all on staff down a barns, and did some teaching the students down there, and fairly large practice at that time, we had nine individuals, at that point, this largest group practice in Missouri. And then I started looking to the concierge practice, I bet an MBA and I started looking at different practice patterns across the country. And I noticed that in round Seattle and other places, you were seeing people doing this concierge practice. And what interested me was I like to spend a lot of time with people and spend a lot of time talking with them in is getting to be were in a practice that were, you know, owned by a hospital and they wanted to be seeing 3040 50 people a day. And I just didn’t like that model. So I want to find something where I could spend some time with people but still be able to make a living.

Got it. So what got you into medicine to begin with? I definitely want to talk more about concierge medicine, or practice, but kind of what was your my background? Yeah, I initially was a when I say 18. Like a lot of young kids. I didn’t know what I wanted to do. So I joined the military initially went in the Army, and I was wanting to be an air traffic controller and absolutely hated that job. So I complained, and then that was, of course during Vietnam, and they said, Okay, we’ll make you a door gunner on a helicopter, which is not a great job at the time. Sure. So I did that very shortly. And then I re up to be a medic, and just fell in love with that. So I was a medic, I went through an advanced medic course I went through a course where I was actually seeing patients in clinics, and just kind of caught the bug in there. I finished my undergrad degree and then got out and decided I want to go to medical school. Very cool. And where’d you go to med school, I went to the medical school at Rush University, okay. And then I did my internal medicine residency at St. Luke’s Hospital here in St. Louis. Did my clinicals here I finished my residency. And like I said, initially, I did emergency medicine and then doing a lot of critical care. Because I was younger, and the kind of adrenaline stuff was a lot of fun. And then I decided to join a large practice, which is really, you know, it’s a great practice great group of guys. And then the concierge thing I started looking at that, you know, after medical school is when I got my MBA and MBA marketing and finance. So I thought I could at least you know, start something like that I my practice at the time was a fluid enough to where I thought I could get enough people to do that kind of a model. It was still tough in St. Louis, epsilon. And then I also became interested in anti aging predominantly because of issues I had in my own health. You know, I picked my early 40s And I’ve always lifted weights, exercise and then all of a sudden I just couldn’t lift the kind of weights I had before I found out that you know, I’d be beat after exercising be tired and then all my so my energy level was down my libido was down and started putting on unwanted body fat that I never had before. And I was doing all the right things I was exercising I was had a really clean diet and but just felt terrible. I went to see my own internist and he’s just like, well, everything looks great. Rich, he goes it’s just kind of happens when you get over 40 And I’m like, you know I’m not sucking down don’t like you guys in the doctors lounge summit working out. I don’t think I should feel this way. Okay with this. Yeah. And he’s like, Well, it kind of happens. And so I think I started going to some of the anti aging conferences. And I really thought I was gonna end up seeing a lot of weird strange people there. And there were some of those, but they’re also excellent people talking about aging, talking about hormones. So I got back from the conference first when I went to, and check my lab checked my testosterone levels, which were terribly low, probably related to some trauma to the brain from concussions when I was younger. So testosterone levels were low growth hormone levels were low. And so I started, you know, supplementing those things, and just boom, about 100%. Better. Wow. So I really, you know, kind of solidified it for me in terms of that’s really an important thing. And I started, you know, checking other patients who are having similar similar symptoms and treating them. And wit now we do a tremendously large practice hormones of both men and women. So very cool. Obviously, anytime you’ve got a personal story behind what you do, it means more to you. Right? You’re you, you’re the one that experienced that down, slide as you as you crossed 40. And I see a lot of people and I think they experienced the same thing. But, you know, they’re always people think they’re depressed, you know, a number of people come in, and they’re like, oh, yeah, I saw my primary care, and they want to put me on an antidepressant? Well, if you have a low libido, that’s probably the last thing you want to be on, because that just makes things worse. But a lot of them haven’t some of the same classic symptoms, you know, they’re exercising, and they can put on muscle mass, or they’re tired all the time. Or, in libidos terrible, their energy levels are terrible. And I think, you know, especially I see a lot with all of this COVID stuff going on, because there are a lot of people are anxious and depressed. And I think a lot of these people may have some anxiety may have some depression allows them also have some low hormone levels, and maybe try to treat it. 

You know, what you were kind of getting at when your doctor was saying, oh, yeah, everything’s great. In a year, your levels are normal, you’re, it’s kind of that conventional wisdom. When that’s all you win, that’s all the time you have for someone, right? That’s all you’re going to be able to look at. And I think that’s what sets the concierge doctors apart, is having more time to dig deeper. Right? You You wouldn’t accept that for your clients is like, Oh, your numbers are great. See you later. Yeah, and you didn’t want that for yourself? You
know, I did not. And I don’t want it for my patients now. But I think that, you know, people appreciate that you spend the time with them. And a lot of them, you know, it’s all about listening to people. You know, labs can tell you a little bit, but you know, labs are not perfect. And I always tell people that we treat people, we don’t treat laboratory results. And that’s something I’ve learned over the years is, you know, they have all these arbitrary values, but not everybody’s in that range. And you know, you need to treat the symptoms, and not look at just the numbers. And I think that’s a key.

Right? Yeah, when we were in, in grad school, one of the things that we heard was treat the whole body, not the hole in the body. That’s true. And that’s, I will always remember that that was kind of a one quote, to stand out amongst the rest, but it’s, it’s treating the entire person. And I think that’s where I succeed is, in the same way you give more time to your clients, we do the same thing. Especially folks with chronic pain, right? They’re never given the time of day, there’s no symptoms, there’s no reason for their pain a lot of times, yeah, and
often times, you know, those people are kind of, you know, they feel like they’re drug seekers. And people are really having pain and, you know, we can’t feel we can feel their pain, we can have empathy, we can’t feel their pain. Exactly, you know, and they have a lot of different pain and with pain comes the depression issues, anxiety problems with sleep. So, so many different things. And we often kind of ignore the treat the whole person, or even like, people come in with me who are overweight, and, you know, doctors just assumed they’re all eating too much. And a lot of times, they’re really not. I know, I know, people who have a lot of problems getting weight down, and they’re really not eating any more than anyone else. But you know, Doc’s just kind of look at him. And they’re like, Yeah, well, you know, calories in calories out, obviously, you’re eating too much and some people truly aren’t.
Let’s talk a bit more about that. Okay, as someone who is overweight myself, I hear that a ton where it’s all calorie and calorie out is that’s, you know, what the, the health coaches, the trainers are preaching all the time. So tell me tell us a bit more about how that may not be exactly true.

Yeah, I think it’s, it’s definitely not true. And I think that there’s still a lot we don’t know about Obesity, and there are a lot of hormones involved in obesity. So I think we ignore some of that. And then the other thing, and you know, I mean, even myself, there’s times when I’ve gained a little more weight than I should I think during early COVID, I did. And then I decided, well, that’s a little too much, and I never get on a scale. You know, once my pants start getting tight, I know there’s problem, right. So that’s kind of a good measure for me. But I’ve been doing a lot of intermittent fasting, which has worked phenomenally for me. So I do an 816. intermittent fast. So what I do is I, you know, I’m not a huge breakfast person. So I get up in the morning, and I have a couple of cups of black coffee, and then I my first meals at noon, I don’t eat anything after eight o’clock. And I don’t necessarily think all of your eating time into that eight hour, okay. And then
you have 16 hours where you’re not eating at all. And you don’t even have to do that every day. You know, because I don’t think that’s feasible for a lot of people. But even doing it two, three times a week, I can think is a game changer. And there’s some phenomenal data that it decreases your risk of cardiovascular events, diabetes, a whole bunch of different things. So I think that’s good for a lot of people.
What’s the rationale behind why that’s so effective, because I’ve heard of that a lot. But if not, I read a report
get it was like probably 230 pages, I always tell people, it’s a wonderful book, if you have trouble sleeping, and you want to get to sleep at night. But they think it’s it’s all about the timing of eating and the amount of time that you’re going without eating. I think it has a lot to do with insulin production. swings in blood sugars. We have even medications now that we can use that are excellent for weight loss. There’s one called as MP which ozempic, which is actually for diabetes, but it really increases satiety. So really decrease the amount of food the people are eating. And I think they’re coming out with a medication that will also be, you know, a diabetic drug, but it’s gonna do something similar in terms of, you’ll see a lot of weight loss, but you also see decrease in body fat with this one. So I think that’s going to be very exciting. We’ll use drugs off label like Metformin, and metformin, I think will stabilize some of these swings. And because I think that people eat carbs, their blood sugar goes up, their body dumps out insulin, they’re hungry again. And that’s triggering a lot of overeating. So I think you have to stabilize that blood sugar. And then you have to educate people on I think people understand what are good fats, what are bad fats. Most people understand I think kind of what is good protein. But carbohydrates, people just do not understand it. And that’s going to be all your grains, fruits, vegetables. And so I try to have people really understand the glycemic index of something. And I’m kind of big on sort of a modified keto diet. You know, it used to be when keto was out, it was kind of back when they’re, you know, we’re doing the Keto to where you know, you could eat a pound of fried bacon, right, and that sort of thing. Not exactly good for you. Sure. But I think if you eat, you know, Leaner Proteins, low glycemic carbohydrates, it can just change everything. But at the intermittent fasting seems to really accelerate weight loss. And I think that if you can get people to start dropping weight quickly, it’s kind of a game changer. Because people just don’t have the patience, or they get frustrated, you know, with the typical diets, but I think intermittent fasting works for majority of people who truly do it, I have to look more into that. That does sound interesting, but that’s been successful for your really, folks as well. I mean, when I, you know, hit COVID, I probably packed on 20 to 23 pounds, and now I’m down probably 25-27 pounds feel great. And, you know, but I’ve always lifted weights, but you know, even I was getting a little pudgy then, and you know, now just getting the weight down, I have so much more energy and I can run up steps and I don’t sound like I’m gonna die at the top of the steps. So that’s always a good thing, right? But the big thing for me is just what’s going to be good for my health. It’s not about looking a certain way. Sure.
Very cool. So back to your practice. Tell us a bit more about your current practice. And you said that initially it was XYZ quite a while ago, but let’s talk about we started out doing the concierge practice. And then when I started that I started doing anti aging medicine. And that point it was fairly new. And so I was doing a lot of hormones lead to growth hormone. I was at one point it was on HBO with Bob Costas, talking about growth hormone on in athletes and I think that’s the time around Mark McGuire Time in baseball. And we’re talking and I said, Well, there’s a lot of things people don’t really realize is that you know, growth hormone doesn’t make you any stronger at all. You know, testosterone makes you stronger, other anabolic steroids and make you stronger. But what growth hormone really does is it helps with a lot of wear and tear. Thanks, right. So if you’re an athlete and you get injured, you’re gonna heal faster. And in some ways, those guys are kind of like meat on the hoof, you know, if they can’t perform, you know, they’re gone. Yeah, they are.
And I grew up a huge Mark McGuire, oh, that was like my childhood, I was watching him. So while I don’t agree with what he did, you know, everything he said was, I did this to heal from an injury or from plantar fasciitis tear, you know, and so it was what he said was less than it was performance enhancement and more about,
unfortunately, he’s taking other things besides your thumb, but growth hormone, you know, having been on it myself, and I, you know, had a motorcycle accident back when I was doing young, young and stupid things, and broke my knee and had a tibial plateau fracture. And that can be pretty nasty. So you have to stay off that for probably about three months, which is tough when you got to practice and you’re trying to get around the office. But I probably healed 50% faster than the orthopedic surgeon thought it would. And I really contribute that to being on both testosterone and growth hormone.
So in your current practice is our most of your clients there for the concierge medicine for the age management is all encompassing all together everything,
we do very aggressive risk reduction in terms of looking at advanced lipid profiles. It’s interesting, I mean, people, the standard cholesterol profile will have a total cholesterol and LDL, and HDL triglyceride, maybe a non HDL, but the advanced lipid profiles will look at the LDL particle number, so they count all the bad particles. And then it looks at say the small and medium LDLs are the most damaging time. And we know it’s not all cholesterol, but it’s also inflammation sweet. Check a lot of inflammatory markers, C reactive proteins, Myeloperoxidase, which looks at inflammation, inflammation around plaque in the arteries. LP PLA two is a marker that looks at inflammation in the lining of the arteries. So and then Cleveland heart has some really interesting markers that are found in the urine found in the colon, that increase your risk of cardiovascular disease. So a lot of people, they, you know, they look at their normal profile, and it looks like they’re okay. And they’re really not we get an advanced profile, we see that they have a lot of risk factors that they don’t know they have, because it hadn’t had the right testing. So we do that we do hormones on just about everybody, okay, you know, unless they’re a certain age where they just don’t want to mess with any of that. But we kind of look at all of that we look at thyroid, you know, most doctors just do a TSH, you know, my free T three is the active hormone. So we’re going to make sure that’s in a good range, too. We do a lot of nutritional things, you know, especially with all the COVID stuff, we’re doing a lot of immune support. So we’re really pushing vitamin D. And what’s been kind of a disappointment for me during the entire COVID thing is we’re not talking about, you know, what are the big risk factors for COVID Obesity is way up there. You know, if it’s not number one, you know, low vitamin D levels are huge. And almost anyone who lives in this area is gonna have a low vitamin D, unless you’re supplementing surely you are. And you know, I get my vitamin D level was probably in the 70 range, you know, but I have people come in with vitamin D levels that are 16-17, very low, and vitamin D is not really even vitamin a vitamin, it’s a pro hormone. So it actually can reduce certain cancers. You know, you see a lot of people with seasonal affective disorders have low vitamin D levels. And I think that, you know, for prevention of COVID That’s one of the big things you can do using other things, like you know, quercetin and acetylcysteine, the zincs all of those things, you know, make a huge difference to
so for the folks that go through the advanced lipid profile. Are those folks treated with like medications? Is it more of a holistic, like change this that
I think we try we try diet. I think always try to try diet, not stick somebody on a medicine, but some people genetically just make a lot of cholesterol. Okay, you know, a lot of them have a defective enzyme in the liver to where they’re just making more cholesterol than they can. But we that’s why I think it’s important to spend time to get really good family history from people you know, do you have relatives or have dropping dead early The
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If these with heart attacks and strokes, you know, that’s a big deal, you know, or you can have someone who’s got a had a lady had a terribly high cholesterol, and we put it in a putting our medications and then she didn’t tolerate them. And some people don’t. And but at talking to her a little further, and most of our families living to be 90 to 100. And so we sent her off, we get a coronary calcium score of zero, you know, so she didn’t need to be on cluster on rain, you know, she’s got those kind of genes where the cholesterol is not bothering her at all. So, so there’s not a one size fits all treatment. And there are supplements that can you know, lower your cholesterol level too. But, you know, some people do need statins and statins, I think get kind of, you know, everyone’s like, Oh my God, it’s gonna kill your liver, or it’s gonna do that. And I think that’s probably not true. Most people tolerate a while. And you know, some people, you can’t take them every day, you have to take them every other day, I make sure most people take koku 10. Because that’s is lowered and most people take consents. So I think that’s important. And then there’s studies showing that if you maintain your CO-Q 10 levels, your vitamin D levels, you know, you’re going to be able to tolerate that. And there’s even studies out there showing that, you know, statins can probably even decrease the incidence of getting Alzheimer’s stem on statins are very anti inflammatory. So I’m like, you can’t, you know, throw out, you know, something, just because and there’s so much stuff on the internet people, right, and you probably see it too. And I’m just like, that’s not really right. You know, not everything on Google stir. Right. So,
yeah, I don’t know, I see a lot of people that just assume everything that they’ve ever read is,
is Oh, I know, it really is. Or they see one thing, right, like, oh, you know, this is terrible. There’s
one study that said this kind of, and then there’s 100 studies that say that that’s not true, right?
Yeah, there are beliefs. So you have to really look into the research. And thing I love about my job, it said, you know, I see maybe 10 people a day. So I have a lot of time for research. And my wife, you know, is wonderful. As you know, she decked out my librarian home, so I have a perfect place to research. And she knows for me, that’s really a lot of fun. I’m a little bit of a nerd. So, you know, I get in my computer, I’m always looking up something, you know, or she goes like, what, what are you? What are you looking at? I’m like, I’m looking at something about about neuroplasticity. And she goes, Okay, whatever. Okay, that’s exciting.
Exactly. What else about age management? I know, we were kind of talking before we hit the record button. Is there anything else about the age management? Well,
you know, I think there’s, you know, one, when we had started out years ago, and that was anti aging medicine, I kind of didn’t even like that name for, because it’s really, we’re all going to age, it’s just going to happen. But you know, what it’s all about is improving your quality of life, and to improve your functional period of time. And I think that what we’re seeing now is that age management, medicine is going to be the real deal. You know, I was talking to you earlier, and I, you know, went did a conference with Cleveland Clinic, you know, pretty well known institution. But they were saying that between 2020 and 2030, that with the advances, we’re seeing an anti aging medicine is that 90 will be the new 40. Because they actually have ways now where they can reverse the aging process. And there’s a process where they, it’s been used for a long time, because plasmapheresis, but they do it somewhat differently. And what they’re doing is they’re, you know, removing a lot of the senescence cells which are responsible for aging cancers, a lot of bad things happen with as we age, and they can remove that. And they said that, you know, one treatment of this can decrease the chronological age of a male by about five years and a female by about 10 years. You know, that’s just one treatment. You know, there’s somebody in Israel who has some really neat stuff with hyperbaric oxygen therapy, and I’ve been in hyperbaric chambers myself, and they’re good because they drive the oxygen into your cells, but he’s doing some different protocols to where they kind of trick the body into feeling like it’s hypoxic when it’s really not like it’s lacking oxygen. And what that does and then it triggers the body to Make a bunch of stem cells. And then he’s also done research showing that that then starts increasing the length of telomeres, which has a lot to do with how long we live,
right? Have you ever read The Emperor of All Maladies? I have not no. So it is a book about the history of cancer. And basically, the premise is that the longer that we live as a species, the more likely we are to get cancer. And so what they’re kind of the premise was of the whole thing was that cancer is not necessarily more prevalent now than it was 100 years ago, we’re living longer living longer, so you’re more likely to get it so. And then they talk about telomere length and all that. So might be a good read for you. But yeah, that
would be interesting to look at. But I think that’s true. Now, people are living longer, though. Now we’re hitting a period of time where we are seeing younger people not living as long. And I think obesity is a huge part of that. But I think and obviously, you know, when we’re dealing with hormones, you know, women or men, you know, things i Everyone talks to me about is what about breast cancer? What about prostate cancer? You know, testosterone, there’s not been a study out there that shows that prostate that testosterone causes prostate cancer does not. But obviously, it doesn’t mean you can’t get it. Sure. Same thing with estrogen and breast cancer. And I tell people, I said, if if you have a strong family history, you may have a genetic issue in terms of breast cancer, and you ought to probably get tested for those genes, and see if you have that. But what happens I think more often as as we age, or DNA gets dinged from something in the environment, and then that causes a risk of cancer, and cancers. Also, a lot of that has to do with these, you know, senescence cells in our body. And so we can remove that, or even in Japan, they’re looking at a vaccine that can, you know, decrease the effects of the senescence cells. So there’s gonna, and I think, just because of all of the artificial intelligence, and the speed of computing, that knowledge is getting out at a rate that we can hardly keep up with. Sure. And so I really do think that we’re going to see people aging very well. And then you have to look at it from our social level, in terms of, you know, so what are you going to do, you’re not going to be necessarily want to be retiring, or you probably can’t afford to retire at 55-60 or something like that. Be 100 and be healthy during that, right. You know, so I think it’s gonna, you know, make people live better with more functional lives for a long period of time, and not have the maladies typical of age. When I talk to men about, you know, testosterone, I always say, by age 75, most men cannot get out of a chair without using their arms to push up because of, you know, you know, age related sarcopenia. And you know, this better than I do, but with age people start losing muscle mass, and that’s what leads to the false balance issues and that sort of thing, right?
I have people ask me that, you know, this 65 to 70 year old will ask me, like, how do I stay healthy? Right? And typically, my answer is get up and down off the floor at least once a day, right? Yeah, practice it. It’s a deep squat, it’s a roll. It’s mean, it’s a, there’s a lot of different movements that are required to be able to do that. If you haven’t done it in 10 years, it’s gonna be really hard when you do fall.
Oh, yeah, it is. And I kept keep telling people, you know, you need to do you know, aerobic exercises, and I am a person who hates aerobic exercises, I do it. But I’m kind of one of these guys who I want to do something like a Takata thing where I’m doing brief sprints, you know, maybe you know, you know, four to 6/22, Sprint’s, and I don’t want to be on that treadmill for an hour, right? I really don’t. And I always joke and I’m always like, the most obese people in the gym are the ones who are on the treadmill for an hour, and then they take their big gulp and go outside, right. But you know, I think exercise is a poor way to lose weight, it always comes down to to the ICER majority of the time, but I tell my patients, you need to have strength, you need to have flexibility, and you need to have balance. So I teach them simple balance exercises, you know, really try to tell them to become as flexible as they can maintain their muscle mass. Because a lot of this instability like simple things like you know, your quad muscles are weak, you know, and they’re going to stabilize your knee and if your knees knees not stable, you’re not going to be your balance is going to be off and so there are a lot of things they can do I think to you know, age better and not everybody needs hormones, but a lot of people I think with age probably do better with them. Sure.
Got it. So, I had written this down, but I think we’ve kind of already covered it when I was gonna ask you what is your specialty? But it sounds like the the age management is is that for you? Is there a specific type of person that finds you most frequently?
You know, we do, we don’t do a ton of advertising most of us are, what we do is word of mouth, you know, even in our stem cell programs, you know, we don’t do a lot of advertising because you can’t, you know, with the FDA, you can’t say that you can treat or cure anything. You said stem cells. Now insert a ton of research and a lot of good studies on stem cells, certainly, you know, but I always tell people, you know, we can’t say that you can treat or cure anything. But you know, this has been people have used this for certain autoimmune disorders, getting good results with them. I think that stem cells will be one of the futures of medicine. And what that’s going to look like, I don’t know if we completely know yet. But there’s a lot of exciting stuff happening there. Between, you know, stem cells and, you know, hormones and other growth factors and stuff.
So tell me more about your stem cell work. I know there’s different types of stem cell treatments, right. Based on what I was reading on your website, it sounds like yours is more of a intravenous stem cell as opposed to, like, joint specific,
yeah, we do. We do inject joints, I don’t inject backs, okay, I’m not trained in that. So if there’s areas, I don’t have any expertise in injecting, I send someone who can. But we do, you know, large joints, you know, even small joints, we can get a needle mentum, we’ll do, you know, stem cells, PRP or other things into the joints. These extracellular vesicles, there’s a nice study they have on a bunch of beat up SEALs who have terrible issues, and had phenomenal improvement in their joints with use of that injection. And we used a lot of those in the in the practice.
Okay, so who is typically most appropriate for that?
I think it can be everyone, if you look at, you know, St. Louis is quite a different market than California, you know, California, you see people getting stem cells intravenously, just for aging purposes. And I think there’s some validity to that. But we often do. And one of my nurses had rheumatoid arthritis, and she was on probably five different drugs, and still having terrible pain. And a lot of the drugs are immune suppressing drugs. And we did you know, intravenous stem cells, and probably within a month, she was off of everything. I’ve had people with Crohn’s disease having, you know, 8/10 Bloody pseudo stools a day, and you give them intravenous stem cells. And the way we do that is we use usually adipose derived stem cells, which means we liposuction fat off of them. And then we break the stem cells out of fat and give them back intravenously. And what the stem cells do is they’re really smart, so they can home into exactly what areas are inflamed, because the reliefs release of cytokine in those areas, and then you get the benefit of stem cells being able to replicate. But you also have a lot of the growth factors. And a lot of the growth factors, even in stem cells are probably these things called extracellular vesicles, which is kind of interesting, because extracellular vesicles years ago, we thought it was a bunch of junk outside the cells that didn’t do anything. And now we know they’re in the that junk is actually billions of, you know, cytokines and growth factors that good for us, you know, and like I said, we this company, is actually started in St. Louis, and they have a product that is now third clinical trial, treating COVID and really sick people get the cytokine storm and end up on ventilators. And it reduces mortality by 85 to 90%.
Wow. So not for the COVID case, because obviously, that’s in trial right now. But for the for someone with Crohn’s, we’ll just use that as an example because I see quite a few of those folks with the chronic pain that’s associated with Crohn’s, and my partner is a great help on the pelvic floor side, right. So that is a population that we see quite a few of so when it comes to IV stem cell treatment for those folks, like you mentioned, it’s a, it’s a liposuction to get the fat, get the fat and you’re rendering that some way
stem cells and will, you know, anything on the amount of fat we get, you know, they’ll get billions, you know, millions or billions of stem cells and 1 million stem cells is considered therapeutic. and it’s not uncommon for us to have somebody get 500- 600 million a billion stem cells. So do they have to go we can actually count those. Okay.
Do they have to do the liposuction every time they come in? Or is that a one time
deal? It’s usually just kind of a one time deal. Okay. And mostly people I’ve seen with things like Crohn’s disease, ulcerative colitis, you know, you know, I see most of them get a treatment, and they’re good for several years.
So it’s a one time treatment, often,
some people may need more. Okay.
And that was gonna be my next question. Because you mentioned that you’re assistant or whoever with the rheumatoid arthritis. Yes. Was that a multiple treatment? Can?
She only had one treatment? It’s impressive. Yeah. And we try not to, you know, you know, I don’t wanna, you know, have people have number one that’s not covered by insurance. It’s not inexpensive. You know, in, you know, we work with a group out of California, but you know, California they charge $25 $30,000, you know,
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Oh, that’s a lot. You know, we’re not gonna get that ever in St. Louis. But I think that, you know, if you look at the being able to get off the all of these really pricey immune suppressing drugs that may be harmful to them. I think the benefits definitely there. And does that happen? Office? Yeah, we just do it all on Office. In fact, there has to be all done within one session. Okay. Other countries, they could actually freeze your fat, they can multiply the number of stem cells by growing. We can’t do that United States got it.
Okay. So let’s change gears here a little bit. Tell me a little bit more about what you do outside of work. Obviously, you’ve got the big library. So you probably read non medical things as well. But let’s I love
spy novels spider this. Okay, love spy novels. I have a favorite author. Oh, gosh, I like Daniel. So okay. He’s kind of interesting character. And he say, art restore, but he’s also an assassin for the Mossad. Okay. All right. So it’s kind of a different, different things. So but I find that a lot of those novels, a lot of the technology is very interesting to me. And I read political things. Try to keep up on politics quite a bit. And so I read about everything. I love music. You know, I love to ski. Water or snow, snow skiing back. I’m heading out in March with my two daughters. Good. I’m gonna go out to Utah do some scary cool. So. So that’ll be fun. So, but you know, my thought is I just wanted to be as active as I can, as long as I can. I used to jump out of planes. I used to love to, you know, do that. And then finally, I had a wife told me she didn’t want me doing that. You had a you had a last flight? Yes. Yeah. So, but anyway, so I have stopped doing that. But that was a lot of fun. And that’s kind of an adrenaline thing you do. And I used to, you know, do a lot of rappelling and those sorts of things. Like to shoot guns, nice. Those sorts of things and karma hobbies of mine got it?
Yeah, I I’m definitely the same where I have way more hobbies than I have time to do all the hobbies. Yeah,
it’s hard to really, you know, but I always say, you know, work as a hobby for me. So, because I’m always kind of thinking of new things and seeing new things, and not everything works. But, you know, there’s a lot of the amount of stuff coming out right now is coming out at such a pace that is just mind boggling. It’s very cool. And it’s just gonna keep getting more and more and more. Very good. Are you accepting new clients still,
you know, we’re on a waiting list for the concierge practice. And we’ve been just overwhelmed, you know, after COVID because patients patients are having problems getting into see their own physicians, and we never shut down our doors during COVID at all. You know, I thought that you know, this, you know, they were saying, you know, just tell everyone stay home when they when they start getting really sick and they can’t be sent to the hospital and I thought that was not the right thing to do. And we’ve never done that in healthcare. And I think you’re having some doctors who are You know, really in the fight from the very beginning, there’s the COVID-19, Critical Care Alliance, and they come up with a lot of nice protocols, I think they have some therapeutics that actually do work well. And these are all critical care guys. And having come from a critical care background myself, you know, these are guys that I always looked up to, you know, because they did a lot of the things dealing with it really sick patients and ICUs. And so when COVID came along, they did what they’re used to doing, it’s like, well, let’s try this. Let’s try that. And, you know, they’re learning from other people and other countries who are trying things like, you know, one of them, one of the doctors noticed that boy, a lot of the men on ventilators, you know, are bald, you know, so he’s like, is there something behind that? So they started doing some research, and they found out that it had something to do with one of the androgen receptors allows the spike protein to get into the cell. And so by putting them on androgen receptor blockers, you know, like the tester, right, which is typically used for enlarged prostate, but box dihydrotestosterone, is by Randall lactone. We use a lot in acne and other things, but it blocks, you know, one of the androgen receptors, and they found out that and these people are getting more and more short of breath, they would put them on these things in combination in and, you know, really improved their mortality. So, I mean, so you get guys who just kind of think outside the box, and it’s kind of like, Gee, why are so many of the men bald, right? ventilators right? You know, and then they’re like, well, maybe there’s a reason, right? So it’s sort of this inquisitive type,
I think you got to be right. If you’ve got to be if you’re not, then you’re missing out on something.
And I think right now everything is so you know, everything? Well, there’s a protocol for everything. And you don’t have physicians thinking independently. And I think, unfortunately, right now, I’m saying, you know, most doctors are owned by hospital groups. And they have to walk the walk and talk the talk. And they have to do whatever they say,
well, obviously, you broke off and did your own thing for a reason. I did the same thing. Yeah. And so we’re kind of like minded when it comes to what our beliefs on the corporate world in medicine, our I would assume.
But I think in medicine, we’ve always, you know, it’s kind of like, we’ve always kind of like sat around when they’re, you know, some problem came up, it’d be like, You got a bunch of guys sitting around. Well, what do you think this would work at? I think that would work. We don’t seem to do that anymore. And then if you’re thinking outside the box, and you go against convention, you know, the CDC say, you know, then all of a sudden, you’re a heretic, and I want to, you know, cancel you for a memory site you’re on. So, you know, I think that’s bad.
Yeah, it gets to be a little overboard. And again, I’m not well versed enough in COVID to even speak on that side of things. But so you said that your concierge medicine practice right now is dealing with a waiting list? We are do you have like if someone wanted to do stem cell specific one time deal,
that’s totally separate, okay, just do a console on that same thing with her hormones. I have a nurse practitioner, I just brought each thing. Yeah, so some people just you know, they already have their primary care doc and they just want other primary Doc’s or not, don’t know a lot about hormones. And you think the gynecologist did and but you know, they kind of are surgeons, and they, you know, deliver babies and some of them are not that interested in hormones. And I think women are sort of chipped a lot in that equation, sort of, like, you know, woman about mid 30s, often testosterone starts declining and their libido declines. And, you know, we get, you know, keep throwing men, the little blue pills and everything, and sort of ignore sexuality and females, and, you know, give them a little bit of testosterone and they’re feeling pretty good. So a lot of increase in energy, increasing libido, and that’s all natural, and it’s not, like, used to be, you know, people, you know, years ago, there weren’t many people having sex after, say 50 or so. And now people are living much longer and, you know, being sexually active for a lot of years. And so to kind of, you know, just sort of not treat those individuals or we’re gonna, I think it’s kind of never good when you’re treating, treating the husband and the wife doesn’t have a libido, right? She doesn’t care for them, but it’s just like, you know, you know, the, the desire is not there. And I think we, you know, hopefully know a little bit more and, you know, sort of have more equality for women in that direction.
You know, we’ve talked about this before on the show is common versus normal. Right. And so people assume that once they hit menopause, that it’s normal for them not to have certain things happen, or it is normal for certain things to occur. You know, after you have a kid, it’s just normal to XYZ. Those things are common, but they’re not necessarily normal. And so you were kind of touching on that is, yeah, no, it may Yeah, it was common for people over 50 to not be sexually active. But that’s not necessarily a normal thing.
Now, it’s really not normal. And I think, you know, most people want to, you know, be sexually active for as long as they can. And, you know, like I said, you were talking to him about your one of your colleagues, who does a pelvic floors thing, and I really want to talk. Absolutely. Because that’s a huge issue that I think is being ignored. It is an incredibly underserved population. Yeah. And quite honestly, I’ve just kind of late to finding out about that being as big of an issue as it is. So I’m kind of trying to seek ways to, you know, fit that into different regimens in terms of erectile dysfunction, and other things of that nature.
Yeah, I’ll be happy to introduce you, yah. What is your next step? What is your next step for your business for you? What’s next for you?
If I had my wish list and my merry Christmas list or whatever, you know, I’m really interested, I’d love to get a state of the art center here in St. Louis. You know, this one that they’re, you know, having, they have one a center in Israel and one in Dubai, another one down in Florida, but it’s really cutting edge, they have physiologists, they have dieticians, she has an MRI in the center, they have the hyperbaric chambers that hold like 12 different people. And they have a lot of really cool protocols that can, they’ve had people who’ve had strokes, they treat him with these 60 treatments with this hyperbaric oxygen therapy, and they have people who couldn’t talk and they start talking again, they have people where they can say that beta amyloid plaque associated with Alzheimer’s decline, using some of this technology, some new technologies, we actually be able to, you know, I think, extend your healthy period of life. And that’s what I would really like to do. Now, a facility like that will be probably millions of dollars. But you know, I am always somewhat of an optimist. And I always find out the you know, if there’s a way I can find investors and that sort of thing.
I think that’s an ambitious, but I think it’s necessary, right? I think we have to keep pushing the pushing the envelope a little bit, too,
I think we have to, I think we’re at a time when things that we’re gonna get start popping, and we need to start thinking more out of the box. And I think we have to look at aging different line, like I don’t even like all of the, you know, it’s like now. So if you’re 75, well, then you don’t need a colonoscopy? Well, you know, if you’re gonna live to be 100, or 110, this, is that true? I don’t really think it is, you know, I think putting an arbitrary age on something is not the right thing to do. And that may be correct for what, you know, the typical lifespan is going to be but I think that is going to grow exponentially. And so we need to quit thinking like that. Because all we’re saying is you’re old, you know. And what they’re looking at, unfortunately, is what is the cost associated with keeping this person alive and well, that’s my life. I think it’s worth it. And if you can have people have good quality of life, I think it’s worth it for them to so I think to put an arbitrary, you know, time, you know, 1-75 year olds, not the same as every other 75 year old.
And that’s, that’s absolutely true. I had someone come in all hunched over just really bad posture and, you know, terrible pain that they’re dealing with and their back and their knees and, you know, they look like a 90 year old walking injure. And he’s 64 Right now, and it’s one of those things he’s talking about, you know, he’s, he’s done, he’s not gonna not gonna be functional for very much longer and it’s like, man, you got quite a while left. We just got to get your work out. And so, you know, it’s
I totally agree with you. 75 year old A and 75 year old B are totally different. They’re totally different. They really are. That’s physically and mentally, physically and mentally. out. And I think you have to, you know, kind of teach people that, but I think they’re hearing it as Oh, of your old, you know, that’s an old age, you know, you can’t you can’t do this or you can’t do that. No, I don’t agree with that. And I think you can probably, you know, get in better shape and do a lot of things you want to do. Right. So, you know, I don’t plan to Quit hitting the gym or doing any of the things I’m doing right. So and, you know, do I lift like I did when I was younger? No, I remember it used to be probably hadn’t been all that long ago, but I could probably, you know, bench 300-350 pounds. And then I ended up carrying my pack. And, you know, my wife looked at me and she goes, now, what do you do in your life? Where you need to do that? Well, not much. So I have read re thoughts. And so I’m not lifting as heavy. You know, I don’t need to prove anything to anybody. Right.
And I think that’s, I just want to feel better, right? I think that’s where a lot of people do go wrong, is they’re trying to do stuff that’s not functional. And I’m not saying that you shouldn’t have been doing it. Because obviously, you could do it to some extent.
Oh, but you know, I, you know, I know, you told me you do a lot of shoulder stuff, man, and I tore my rotator cuff. And, of course, they wouldn’t have we’re gonna cut the distal third of your clavicle off. And then we’re and I’m like, No, I’m gonna give me a banner, and I’m gonna stress and I didn’t need surgery, and I went to the gym, and they were actually doing an evaluation on man. You know, I was at a preacher, you know, preacher bench. And you know, I have my arms out like that. And the guy he didn’t mean to, but he accidentally dropped one end of the bar, and I went to grab it and just rip my bicep standard off, you know? And, you know, it was pretty bad. And I went to see the surgeon, he’s like, You know what? He goes in, it’s was probably a year afterwards, too busy to get into anything. He goes, No, how’s your strength? I said, that’s pretty good. I can do about anything. And he came with an arm scan with the other one. He goes, What about pain? I said, No, I really don’t have any pain. He goes, so you’re just wanting to have me fix it. So it looks better. And he goes, No, that doesn’t make a lot of sense. He goes, You know, you’re functionally good. You know, does your bicep looked a little weirder than the other one? Yes. But he goes, I don’t believe anyone’s looking at Right. Right. He’s absolutely right. And he goes, and if I go and repair it, I hit a nerve or something like that. I mean, I’ve got big problems. Exactly. I’m like, okay,
right in the bicep is the guy that’s on top, it’s not even the strongest, right? There. So, you know, I think a lot of people would think, Oh, well, if I don’t have a bicep, then I’m not gonna be able to bend my elbow. Not necessarily true. No. But again, that’s people’s, you know, lack of knowledge. Most people, I’m not saying that was you? But anyway, what else would you like to share with the audience?
Oh, gosh, I would just, I would encourage everyone not to age, as we normally are aging right now, because I think the advances coming are coming at such a fast pace. People just should not give up. And things that, you know, we’re saying common diseases, I think are gonna go by the wayside. I think that we’re gonna find ways of, you know, actively treating Alzheimer’s, you know, a lot of a lot of interesting thought on that. And a lot of chronic diseases, I think will go away, and a lot of cancers will go away. And I think a lot of it’s going to be, you know, immunotherapy for cancers, so the body’s, you know, killing the cancer cells. So you’re not taking a toxin, and that’s doing it, which is going to poison a bunch of other cells. So I think there’s going to be a lot of ways to, you know, treat things that are not going to be toxic, they’re going to be safe. And they’re going to be keeping us, you know, mentally at top. But number one, I think is going to be your lifestyle. You know, you can’t run away from that. All right.
Very good. All right. Well, I think that about wraps it up. If people wanted to get in contact with you, what would be the best way to do that?
Probably my office numbers 314-994-1536. My web site is Drblighmd.com. And that’s BLIGH. Yeah. And they can find most of the information there. My office manager’s name is Dana and she’s phenomenal. And she can probably answer any question and probably more than I could. So very good. He’s Excellent. Awesome.
Anything else you want to share?
I can’t think of anything. I certainly appreciate your having. Absolutely. I was happy to have you.
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