0:02
SI Digital Innovations and Learning in association with the Medical News Network is pleased to bring to you another in the SI Digital Investigative Series on Achieving Healthful Longevity
0:24
With Russell L. Blalock discussing what doctors need to know about nutritional biochemistry for the pre-operative and post-operative patient, first in the series. Dr. Blalock is the head of
0:42
theoretical neuroscience research and the associate editor-in-chief of the neuroinflammation section of surgical neurology international He's a certified clinical nutritionist. He's the creator and
0:58
editor of the Blalock Wellness Report. the author of multiple books, scientific papers, and a health commentator on radio TV and for the epic times.
1:14
Some of Dr.
1:16
Blalock's publications are books on natural solutions for liver problems or for cancer patients, other health-related books, books on excitotoxins, which you'll hear some about in this talk, and a
1:32
book on the China virus written with Dr. Osman.
1:37
All are available on Amazoncom. Dr. Blalock has written multiple papers on COVID-19 and its dangers, has written about immunoexcitotoxicity and
1:50
its cause of neurodegenerative disease, and one of which is Parkinson's disease.
1:59
He's also written about viruses in the tumor microcell environment, other papers on cancer, and further papers on autism, which is based on immunoexcitotoxicity. He's the author of a
2:15
monthly nutritional newsletter, which has been published for 20 years, called the Blalock Wellness Report
2:25
It's sponsored by Newsmax. And you can subscribe by contacting Wellness Report at Newsmaxcom. And so Russell, tell us about what is the state of a patient, nutritional state of the patient. When
2:44
he's seeing the doctor, the doctor says, you've got to go to surgery. What is that doctor facing?
2:54
Generally, when a patient comes to you as a practicing nurse
2:59
You just generally interview them about the disease. You do the work up, you do the history and physical, and you do a neurological examination, and you tell them, well, do you have a ruptured
3:09
disc, you have disc, or if it's an emergency, they have a severe head trauma, or they have a burst of degrees of head trauma. And you kind of assume that their nutrition is good at yours, or
3:24
average birth. And we live under this illusion that a person is obese, they must not be malnutritioned. And they've shown numerous times that obesity has nothing to do with your nutritional state.
3:38
In fact, you can be obese in a severely malnutritioned. In
3:44
my state, Mississippi, it's one of
3:46
the most obese states in the country. And so their nutritional status can vary from medicine. It also
3:57
has a lot to do with your age.
3:60
when they started looking at people of a certain age that were outpatients, for instance in vitamin B12, they found out if you look at the physiological function of vitamin B12, at least half of
4:14
them were deficient. When you looked at people who were in nursing home it was of,
4:22
80.
4:24
And so we see there's a direct correlation between your age and your deficiency of certain of these vitamins, particularly the water-fidable vitamin.
4:37
Also, there's certain conditions occurring in the body that an average person I wear. If you get older, you become more inflamed. As you become more inflamed, you're producing more free-rout.
4:49
You may feel perfectly fine. And you're not aware that this, but this seems to be a general effect of aging
4:58
the microglia in your nervous system, particularly your brain, becomes in this prime state, which I'll discuss under human or excited toxicity. And as a consequence, it's requiring more nutrition,
5:12
requires more antioxidants, it requires more vitamins, both fat soluble and
5:21
water soluble to counteractive If you're deficient in even one of these vitamins or minerals, we find it becomes dysfunctional, not only brain cell, but also immune cell, so it can have a
5:36
tremendous effect. Let me interrupt you, section two, a couple of things the audience may want to know. Antioxidants, what are antioxidants? And on the basis of all this, there's the Krebs
5:49
cycle, which everybody listening to this should know, which is this metabolic machine that's going on in the mitochondria. and you talk about all these vitamins and so forth. How is that, how is
5:59
that fit into all of this and is that all tied together? Well, generally enzymes of what makes the credit cycle go and this is what converts the carbohydrates and the glucose that you eat into a
6:15
functional molecule that can create an ATP eventually in the mitochondria.
6:21
And what we find is that the vitamins act as a colon bar what they do is if there's no coins on the enzyme either will not work at all or it worked very slowly. And so what it does is it speeds that
6:37
reaction up very fast.
6:40
Now what antioxidants are is they are electron donors and what you have in an oxidation state is a deficiency of an electron. So these vitamins have electron donors providing electrons with stops
6:56
that reaction, stop that oxidation. And we see so many diseases, cancer, brain
7:04
injury, neurodegeneration are due, in part, due to the pre-radical generation. We see that pre-radical generation has an effect on excited toxicity, many of the reactions that are going on in the
7:18
brain, particularly chronically, that are produced even if the patient is unaware of them Let me ask you this, because that's a good explanation. But what's this re-radical? Is this a molecule
7:33
that becomes hyperactive because it's lacking an oxygen or hydrogen or something? Tell us about that. Well, it's lacking an electron, one or more electron. And so it's trying to steal electrons
7:48
from the components in yourself And that interferes with the function of the cell. The antioxidant gives it the electron so it won't seal it from the cell or from the component in your cell. And
8:03
that's what it neutralized. The
8:06
antioxidant is a neutralizing effect.
8:10
So as a patient is going on with this daily reactions, he's taking electrons from this source and this source to make the reaction going. And what you're saying is that if it doesn't get it, it
8:22
becomes a hyperactive or a toxic molecule or what happens? Well, what happens is it starts changing the chemical structure of various components of the cell, for instance, with, you get oxidation
8:37
of amino acids. You get oxidation
8:42
effects called lipid peroxidation. And so these things don't work right anymore. So suddenly the cell membrane will not work Will not transmit the electrons or are the get on through the cell
8:56
membrane because the cell membrane's been altered by lipid peroxidation. And that's all because of oxidation. So it's these change. This is what happens in diabetic is the glucose is at such a high
9:12
level, it's a glucotoxin and it is destroying the function of all these components of the cell, the cell membrane, the mitochondria, the DNA It's affecting all of it by reacting with it, it's
9:27
producing a reaction that is changing it so that it's no longer work right. Okay, so now what we do is we, we are from what our training, and this is very little of this we get in training,
9:41
except we see what's going on in biochemistry that we don't relate it particularly. And so now that patient is sitting in the chair in your office, just as you said a few minutes ago, you assume
9:53
nutritionally that patient's normal. And what you're saying is what state is he really, and what state is that patient in? You must be, you just suggest it could be vitamin deficient. Obviously
10:07
doesn't have enough antioxidants. He may not have enough other nutrients. He may not have some heavy metals or some other things that you use for these reactions to go. What state is he in in our
10:20
air assumption that he's normal is wrong. Is that correct? That's correct. I mean, a lot of people, like they say that if you take the average person that comes in the hospital, he's already
10:32
gone through their exam and they consider them ready for surgery or whatever. 50 of them are malnutrition. If they can't have a nursing home, or 80 of them are malnutrition, and what's frightening
10:47
is that patients become progressively more mountain fishers in the house.
10:53
So the very things we're trying to prevent are made worse in the hospital. At the same time, we're assaulting them by some traumas of the body, which is surgery, which is actually a trauma, so.
11:08
And what you're doing with the surgery procedures that you're doing, you're adding stress and you're producing a tremendous stress response that the body has to go through whether it requires
11:20
nutrition to do that It requires these
11:25
metabolic processes in order to do that. And they came in on a borderline. They can't do this as they do it in completely and then you put them under the stress of surgery, you put them under the
11:38
stress of your procedure, they deteriorate rapidly. And so they develop post-op complications, they develop pneumonia, they develop stroke, well part of tag or something else happens to them. is
11:53
that cause they were not prepared. Does that make them more susceptible to infection? Yes, considerably more. And what they found is, is that even a single nutritional deficiency can impair the
12:07
immune system. And what you find is the immune system is very, very dependent. For instance, when you get infected, you produce trillions of white blood cells to fight that infection Those cells
12:22
are hypermetabolic. They require diminished nutrition in order to carry that out. And so they looked at people who are now malnutrition. They had a very high infection rate and it was very
12:35
difficult, even with antibiotics or any treatment to get them well. But if you supply the nutrition, then the opposite happened. It was very easy to get them well. The antibiotics were far better
12:49
They never got infected in the first one. So we went through age, we've gone through what the natural position of that patient is sitting in front of you, is the differences in sex is also? Yeah,
13:03
there's a tremendous difference in males and females, and a lot of some of it is hormonal. Some of it is just inborn with their metabolism, but you have to take that into consideration as well.
13:14
And particularly their age, because it's certain age, a woman starts to grieving a different set of hormones that she did when she was younger. You have to take that into consideration. Her
13:25
nutrition status changes. She may be on her diet. She may be taking a diet medication. All of this changes her nutrition, and puts her either in a state where she's more susceptible to
13:39
complication, sudden heart attack, sudden stroke, or deterioration. All of us have seen patients who - The elderly patient came in with subdural hematoma and you remove it, you think they get
13:53
better, and they become severely demented.
13:56
And you say, What happened that made him suddenly get demented? I took off the subdural, and yet they were right on the border, and you pushed them over the border. Are they pushed over the
14:09
border by the whole procedure? So now the patients in your office, while the people are looking at this, patients are in the office. And is there any I just went through some tests and so forth.
14:23
They say, Are there any pre-operative? Well, not just NPO before you're going to have to do this. And clear liquids for 24 hours or something like that. So you've got a person sitting in front of
14:37
you who has a high probability. It's over 50 already, which you said is malnourished and the more debilitating they've been at the higher that coast. And that means that their immune system must be
14:51
compromised, is that correct? That's correct. And how, what did you do, or what do you suggest people do to get people in the right condition before surgery? And we haven't even talked about
15:06
surgery and after surgery yet, but did you put things people on on vitamins? And it gets into the story about everybody saying that vitamins don't help you Well, from what you just said, that
15:18
didn't make sense given all these reactions that are going on constantly. No, and I've talked to biochemists and PhD nutritionists about this, I've read the literature on it. And like I said, you
15:33
become, any time it's trauma, you become
15:38
hypermetabolic. And so if you're a person who has a single head injury, is just as soon for a long time. that metabolically you're no different than a person who falls asleep. Then they found, no,
15:52
it's like a person who has a third degree burn. If you ever worked in the burn unit, our biggest problem, they're hypermetabolic, they're burning up energy so fast. You've got to replace it
16:05
constantly. And what
16:08
we see is a water soluble vitamins, like vitamin C, the B vitamins, disappear within 24 hours. Within 24 hours, they're vitamin C levels, almost nothing. They're ribose-leaven, paradoxal, all
16:26
these things fall tremendously. That has a tremendous
16:31
effect on the immune function and the complication. And so this is why some of these patients after the surgery's over, they're not doing well. They become demented They develop it with
16:45
complication, heart impact. stroke, you name it, they develop. Some were borderline diabetic and now they're fully diabetic. And it's because they were not prepared nutritionally for that
16:60
procedure or for what happened to them. And of course you've got to divide it up into the elective surgeries and those that are emergency surgery. It's elective, you have time to prepare them. So
17:12
for instance, if I know a patient has a ruptured disc, I can say well for the next week or the next several days, take vitamin C, take these B vitamins, replace your water cycle vitamins very
17:26
quickly. And as far as the fat soluble vitamins will give you some, but it's unlikely you'll lose those within this hospital stack. And what they found is patients that are treating nutritionally
17:41
have far fewer complications They stay in the hospital. significantly less time, they recover quicker and they have a better response to their procedure, whether it be surgery. What would you
17:56
recommend? Let's say now you say okay I've told you about the surgery you're talking to the patient and so but now I want to give you this list of things that you need to do to take before surgery.
18:11
What would you put on that list? To take before surgery? What you need vitamin C because that's very quick within 24 hours ago. You need a B vitamin, a multiple B vitamin and that would depend on
18:24
your age because what we found out is that as you reach a certain age you cannot convert some of these B vitamins to the functional state efficiently. You people don't realize it for instance ribal
18:41
plate. Your body does not use ribal plate and if you take it in a vitamin pill, unless the pill has riboflavin bioposphate, which is actually the functional form of riboflavin. And so you have to
18:58
take the functional form because your body under stress, of surgery, under stress, of trauma, of burn, et cetera, cannot convert. We've known that about, for instance, essential amino acid
19:14
can be
19:18
produced. But we know that with trauma, you can allow to produce some of them, and they become essential. So would you tell the patients, I could see this happening, go home and eat a good
19:32
regular meal, three meals a day, before surgery, stop the night, two nights or the night before surgery. That's not enough. Is that right? No, that's not enough That's not enough. Is that
19:44
right? No, that's not enough. And what we found is that just a good diet, it's not enough to replace it, particularly when you're under stress, particularly when you're getting ready to go under
19:54
surgical treatment or complex medical treatment, we know that that's not sufficient. Your body's under stress
20:05
of the procedure and it's producing so many free radicals, it'll burn up what vitamins you've got from your food immediately But if you take a supplement, it won't.
20:23
So, basically what we're saying is now you're preparing your body for this tremendous assault that is getting ready to undergo. You have to think of these surgical processes as being very
20:38
metabolically traumatic. And most people say you undergo a surgery, fall asleep, you wake up, it's all over. But what if you were awake? What if I said, well, we're going to take out the
20:52
gallbladder, but we're not going to put you to sleep. Be enormously traumatic to you. So awake surgery is more traumatic, in a way. Yes, because you're undergoing distress as well. But when
21:04
you're asleep, you're still undergoing distress, it's just you're not aware of. Yeah. Okay. Now, again, we're going to come to the end here, part one in a minute, but in a little Let's say,
21:19
okay, I'm a doctor sitting in the chair. I've listened to Russell and he says, this it makes sense to me. I've got to give him vitamins. Go to the drug store and get multivitamins. Is that what
21:30
he should do? Well, I would say quality vitamins. Well, how do you know what the quality ones are? Well, generally, they were asking, I know pretty much whether there's certain companies that
21:44
make quality vitamins. Okay, we have them And some of
21:50
these things, you want to get higher level. For instance, vitamin C is limited in absorption. And we find out there are certain forms of vitamin, like the glycol spirit vitamin C and a nano
22:02
vitamin C that is highly absorbable and distributed throughout the body and can in our cell varies.
22:10
So just going to the store and picking some off the shelf isn't going to do it. multivitamins and it should be multivitamins that have at least some of the other heavy metals in them or metals in
22:23
them and the other amino acids and so forth. It's usually the label is pretty extensive on the back and so you want to be in that ballpark. Was that, would that be correct? Yeah, so it'd be a
22:37
good idea to get a complete one. Something that has all the B vitamins have the essential mineral particularly magnesium or some zinc in it for healing and those are things you want. Okay, now they
22:54
do they do it and there's a but they they've heard in the literature that they've had these studies. I heard this Dr. Blalock they had these studies out there that was showed you shouldn't take
23:06
multivitamins they did these randomized studies and it didn't show So it made a difference, what does that
23:14
all about? Well, it depends on what you measure. So if you do a limited measure in your randomized study, and you're not measuring the right thing and show, well, it didn't do any damage,
23:28
difference. But if you look at surgical nutrition, the people who study it, they show that there's a higher path for our infection rate, longer hospitalization, poor recovery, more complication
23:44
with a patient who is not nutritionally sufficient. Now, when I was a neurosurgeon practicing, the nurses used to all come to me and say, You know, your patients do a lot better than everybody
23:54
else.
23:56
It was obvious to them. They recovered faster, and they did well, and they didn't have post-op complications like the other patients would have.
24:07
For instance, like getting magnesium,
24:11
hospital I used to work in North Carolina.
24:14
my partner and his and my other partner had several deaths from former envelope post-op just for a little more death. I never had one. And they said, What are you doing different? I went with you
24:28
different. And I said, I do magnesium. It prevents thrombosts. Are people. Are most people
24:35
deficient in magnesium? Yes, it's very tough. Very tough. And surgery, you lose a lot of magnesium And so they would end up severely magnesium deficient and develop thrombosts. And where's the
24:51
magnesium? It's involved in the citric acid cycle. It's involved in the metabolism. Where is it? Where is it key in your metabolic cycle? Well, there's over 300 enzymes that it is a coenzyme for.
25:06
So there's numerous places that may be an easier part. And plus it has an effect on the reology of the blood flow. and the coagulation process. So what you're telling me also is that if I went to
25:21
the store and I picked out, I'm looking at the vitamins and I picked out the one that looked like it has a list. And basically, I wanna, well, I know some of them have a percentage of average
25:31
daily intake. And if you look at that, and this one says 1, 000 or 500 or 10, is
25:41
that a fair measure? Please give me a ballpark idea of what's in there.
25:47
Well, if you trust the government bureaucracy, it makes a good sense. But if you look at how they determine them, and they spend criticized by numerous PhD nutrition, they take 100 people who
26:03
seem to be normal, who does not have an absolute deficiency disease, and that's the normal life Well, they may be borderline.
26:15
maybe be right on the border. They're not sick, they're not stressed. And they put that down as the recommended daily allowance. And so what you're seeing is a group of people who may be on the
26:30
borderline deficiency, they have a sub-condition, but not the actual malnutrition itself. So if a patient doesn't have a legroom, you say they're normal If they don't have
26:47
obvious thiamine deficiency, they're normal. But they may borderline, may be borderline thiamine deficiency. And now we're discovering a new one of the biochemists, Dr. Ames, who was an expert
27:02
in biochemistry and nutrition, he created the Ames tip. And he said, he wrote a real thick article. He said, as you get older, Your enzymes don't work as well.
27:16
and you need a higher dose of vitamin. And then the vitamins will make the enzymes start working.
27:23
I want to emphasize in the first one is that the surgical patient is not asleep. He's not a normal person. He's hypermetabolic. He's intensely hypermetallic. This is an oral summary of the key
27:37
points in Dr. Boylox talk
27:43
The following supplement information is for physicians. Patients need to consult their physicians before use. References to an entity, product, service, or source of information in this program
27:58
should not be considered an endorsement, either direct or implied by SI digital.
28:06
In the following six slides, what you should do is take screenshots
28:13
of each slide so you can keep this as a record of the information there and of the recommendations of Dr. Blalock. First set of recommendations have to do with the nutritional preparation of
28:27
neurosurgical or surgical patients.
28:31
And in addition to what the physician orders, you should have a vitamin D level, the normal levels are 65 nanograms to 100 nanograms and most people have much lower values. It's a very essential
28:45
vitamin.
28:48
The doctor should order a blood iron level, an iron panel containing a test for ferritin, transferrin, iron binding capacity.
28:59
And a urine culture sensitivity and urinalysis to see if there's an ongoing infection which he discussed in his talk
29:09
There are basic preoperative preparation diet supplements. which Dr. Blaylock recommends. First is vitamin C. It's not well-absorbed unless it's in a nano or small, very small farm, or in a
29:26
lipospheric form, which allows it to be absorbed more quickly. It should be taken at 1000 milligrams three times a day. Multiple V vitamins, one a day. And for those over 65, riboflavin 5,
29:42
phosphate and pyridoxal 5-phosphate are important additions to the supplements. Vitamin E, either water soluble E, dry E, are mixed to copper oils, alpha, beta and gamma. Recommended doses
30:02
based on research are 200 international units a day. High doses can produce in brain amateurs in rare cases That's up to a thousand. international units a day or above. Mix toco-trianols. It's a
30:20
powerful antioxidant, more powerful than toco-ferrals. The dose is 200
30:26
milligrams a day. It prevents white matter losses in the brain, should not be taken with toco-ferrals. It reduces the toco-trianol effectiveness D-alpha, toco-fero, acetate, the oral form is not
30:43
toxic, but is less effective than mixed toco-ferrals. The suctionate form in dry E is a potent anti-cancer agent, and thiamine, or vitamin B1, which also aids in glucose metabolism.
31:01
Dr. Blaylock mentioned that anesthesia is an immune suppressant, and this suppression can last up to two weeks after surgery. beta-glucan is an immune activator. that will override this
31:15
suppression. And it inhibits microglial activation as well. The dose is 500 milligrams given for two days, the day before surgery, and the twice a week for two weeks after surgery. It should be
31:31
taken on an empty stomach.
31:35
In addition, prebiotics and probiotics. Prebiotics are the food for probiotics The array of beneficial bacteria for the colon. Studies have shown that these organisms suppress bladder infections
31:49
and have effects on the brain that are beneficial because of the connection between the gut and the brain. Prebiotics can be taken every day and have been shown to increase the growth of the
32:01
beneficial organisms, even the ones not available from supplements. They also, by this effect, and have beneficial CNS effects. Probiotic organisms are usually divided into bifidiobacteria
32:17
species and lactobacillus species. At least 50 billion colony forming units should be taken each day for two weeks before and after surgery. That's usually listed on the label. It's best to get the
32:34
acid resistant form as stomach acid destroys the probiotics They should be taken on an empty stomach.
32:44
Enbutyrate is a small fatty acid that has many beneficial effects such as suppressing microglial activation and healing a leaky gut.
32:56
The supplement tribe butyrin is a form that is broken down into enbutyrate. The dose is one capsule a day, 550 milligrams a day forms are contaminated with lead and should be avoided. Look for that
33:12
on the label.
33:15
Nanocurcumin is a very beneficial antioxidant. It has many effects that are positive on organ systems. It's especially effective in protecting the nervous system. Its main problem is absorption.
33:32
Once absorbed, it's distributed through the body, especially in the brain. To solve the absorption problem, it's made in a nanosized form, small form. The nanosized form enters the cell more
33:46
easily and is distributed throughout the body. Kirkumin is a powerful antioxidant. Anti-inflammatory reduces microglial activation, which he's talked about in his lecture, is antibacterial,
34:02
antifungal, lures aluminum in the brain, reduces aluminum to be non-toxic and inhibits exciteratoxicity. It accumulates in beta amyloid and in high doses has been found to be safe. The dose is 500
34:18
milligrams three times a day with meals. It has a slight anticoagulant effect, potentially can interact with anticoagulants, but this has not been reported. And the agent, Dr. Hames, whom Dr.
34:35
Leylock refers to in the presentation, is an authority in the field of nutritional deficiency with the aging.
34:46
And he tells us that as we age, the metabolic enzymes become sluggish and that higher doses of vitamins can increase enzyme effectiveness. This is mainly for the besideable vitamins. Research has
35:04
shown that with stress, such as trauma or surgery, water soluble vitamins.
35:12
vitamin C and the B vitamins are rapidly lost within 24 hours of surgery and need to be replaced. We hope you enjoyed this presentation.
35:26
The material provided in this program is for informational purposes, is not intended for use as a diagnosis or treatment of a health problem, or as a substitute for consulting a licensed medical
35:40
professional.
35:43
Please fill out your evaluation of this video to obtain CME credit.
35:51
This recorded session is available free on SNIDigitalorg.
35:56
Send your questions, comments, or requests for CME to
36:01
osmondSNIDigitalorg
36:04
There are many ways
36:06
to learn, and the foundation supports Surgical Neurology International, which is a 2D internet journal with Nancy Epstein as its editor-in-chief. Its web address is sniglobal. And the second,
36:21
which is a new journal, it's a video journal, a 3D video journal. SNI Digital, Innovations in Learning. It's interactive with discussion and its web address is snidigitalorg
36:36
Both are free, available 247, 365.
36:45
Surgical Neurology International is read in 239 countries and territories, and it's the third largest neurosurgical journal in readership. SNI Digital, Innovations in Learning, is read after three
36:59
months now in 88 countries, it's the first video neurosurgical journal
37:06
The goal of the foundation is helping people. throughout the world.
37:13
In addition, the foundation supports the medical news network to bring truthful medical and science news to the world.
37:30
Thank you
View Transcript
Listen to Podcast