The title of this Substack is inspired by one of my favorite movies, a quirky animated film called Waking Life, written and directed by Richard Linklater and starring Wiley Wiggins (https://www.imdb.com/title/tt0243017/). Waking Life follows the dream(s) of one man and his attempt to find and discern the absolute difference between waking life and the dreamworld. I think the funniest part of the movie is what I refer to as the ‘burrito doings’ scene:
(Main character, Wiley Wiggins, goes into the convenience store. The clerk, Bill Wise, is the same guy who drove the boat car)
BW: “What's the word, turd?”
WW: “Hey, do you also drive a, a, boat car?”
“A what?”
“Like, you gave me a ride in a car that was also a boat.”
“No, man, I don't have a ‘boat car’. I don't know what you're talking about. Man, this must be, like, parallel universe night. You know that cat that was just in here, who just ran out the door? Well, he comes up to the counter, you know, and I say, ‘What's the word, turd?’ and he lays down this burrito and he kind of looks at me, kind of stares at me, and then he says, ‘I have but recently returned from the valley of the shadow of death. I am rapturously breathing in all the odors and essences of life. I've been to the brink of total oblivion. I remember and ferment a desire to remember everything.’”
“So, what'd you say to that?”
“Well, I mean, what could I say? I said ‘If you're going to microwave that burrito, I want you to poke holes in the plastic wrapping because they explode, and I'm tired of cleaning up your little burrito doings. You dig me? 'Cause the jalapenos dry up. They're like little wheels.’”
DREAMWORLD VS. WAKING LIFE
Living in Ithaca during the pandemic and post-Covidian times has been a bit of a mind-twister. I spend 8-10 hours a day in my office, working hard to help people recover from the life-changing adverse effects of the Covid virus and the Covid vaccines. In my physical office, I share the space with a colleague who sees what I see. I work with the talented and growing team of the Leading Edge Clinic, now twenty of us including schedulers, an RT, RNs, NPs and physicians, and we all are dealing with the same reality every day. I return to my home and my wife is is injured by the Covid shots (hers Moderna), just like me (mine Pfizer). Yet we are surrounded by a city filled with people who continue to believe in the narrative that the shots are safe and effective, and in fact many continue to get boosters. This is despite the growing list of ailments which they are encountering, and for which their physicians have no answers or effective treatments. The bumper sticker “Ithaca, 10 sq miles Surrounded By Reality” takes on a sinister twist. On a midday walk, a public transit bus passes me with a fresh advertisement on its side promising “Safe and Effective Against COVID, Get Your Booster Today!” As far as I’m concerned, the bus might as well have an ad for Ithaca Gun Co., and we can just move forward as if we are all in a Steven King novel. Everyday life outside my home and office can start to feel like a dreamworld, some sort of Twilight Zone wrought large in Central New York.
MORNING INTO AFTERNOON
I push in the clutch, turn the key, shift into reverse and back out of the driveway. Squeeeeeeaaaaak! The lady who had my Volvo C30 before me put racing brakes on it, and they are quite noisy when they are cold. I wave to Kerrie and step on the gas, doing 30mph up the hill until, just a couple of minutes later, I take my routine right turn. I pull my little white car into the far right parking place next to the black and silver cars of the Dolson-Fazio clan. The monochrome color combo strikes me every day. I pop the hatchback and grab the Juvent, and trundle down the drive to awkwardly open the front door. I set down the Juvent, plug it in, shed my shoes and slip into my slides (a la Mr Rogers), and head to the office to turn on the computer. Green tea poured, check. Phone plugged in and charging, check. Glasses cleaned and on, check. VPN whirling, thinking, whirling, and...connected, check. Sign in, write good morning to my nurse, Kara, bring up the chart, begin the video, and ACTION!
It’s back-to-back patients, along with managing messages, but by 12:20pm I’m dashing out the door for a midday walk. This is a new, welcome and very important addition to my daily routine. It is inspired by Dr Paul Marik’s guidance in his book and evolving document Cancer Care: The Role of Repurposed Drugs and Metabolic Interventions in Treating Cancer. “Patients should be encouraged to engage in at least 30 minutes of moderate-intensity physical activity at least five days of the week. Walking, particularly in the sunshine, has enormous physical, emotional and psychological benefits.” It has been a month since I started these afternoon walks, and it’s hard to fathom how I got along without them. As I am starting my day and securing a positive focus, the walks are something to which I can look forward. I notice the breeze, the sun, the trees, the birds. There is time to settle my mind, work through questions and clinical puzzles that my patient visits have produced – and walk off some of the burdensome emotions that can come with this work.
Sometime between 5pm and 7pm I wrap up my day. I pick up the Juvent and bring it back to the car, and it’s a quick drive back down the hill, and home. Kerrie makes dinner most weeknights, and I have kitchen duty on the weekends. Although we often eat at 7pm, we continuously aspire to eat earlier, and are careful to leave three to four hours between when we finish eating, and when we go to bed. This is very important for brain health. Sleep is the only time our brain has to clean and restore itself through glymphatic drainage. If we eat less than three hours before bedtime, we prevent this internal housekeeping, and will accumulate debris such as amyloid proteins in our brain. Cognitive function will inevitably decline as a result.
Over the course of multiple videos, Dr Been has gone into terrific detail re: how the glymphatic system and lifestyle changes which we can make to improve our brain health with a deeper understanding of glymphatic drainage. In glymphatic drainage, the cerebrospinal fluid flows into the para-vascular space around cerebral arteries, combining with interstitial fluid and parenchymal solutes, and exiting down venous para-vascular spaces. In plain terms, the brain has a mechanism of special blood vessels which maintain the blood brain barrier while also permitting waste be moved out of the brain. A good starting point to learn more about this is Course 49 of Long Story Short, part of a series Dr Been made on the FLCCC Alliance platform.
Recently, my wife and I have taken this understanding to another level, and fast between Friday morning breakfast and Saturday afternoon brunch. I have our patient Rodney to thank for this behavior. During a long-haul and vaccine injury support group which I led, Rodney remarked that hitting sleep time at least twelve hours into a fasting state exponentially increases the glymphatic drainage and neuronal repair in our brain. Another patient demonstrated the power of this practice when he decided to eat one morning meal each day for two months, and we saw his energy, focus, cognitive abilities, quality and length of sleep improve; and his lab measurement of Beta Amyloid 42/40 returned to normal levels.
EVENING
Most nights, weather permitting, we drive down to Cayuga Lake for a walk. The city of Ithaca is situated at the base of Cayuga Lake, which is one of the Finger Lakes in Central New York. Just before the pandemic, New York State completed a mixed pavement and gravel trail around the perimeter of Treman Marina. Kerrie and I have been walking this trail for the last four years, a routine we developed during the early days of the pandemic, especially with lockdown. I think of these walks as essential to processing our experience of the pandemic – and to stay steady. The avian life there is bustling, and the cycle of seasons and migration provided some reassurance of normality and continuity among so much chaos and uncertainty. In the Springtime the Osprey arrive at any number of nesting platforms to roost and raise their young. At this precise moment, the activity in the nest has ticked up because the fledglings are learning to fly and fish. It is heartwarming to watch their early efforts, as they circle the nests and call out to each other with what one can easily interpret to be excitement and encouragement.
I don’t think one can overstate the case for spending time outside as a path to healing. Yes, the vapor trails which appear in the sky overhead can be distracting and discouraging. But, experiencing the sensations of breezes, the scents of vegetation and water coming off the lake, seeing the distant views which are never the same, the clouds which are always configured differently with an ever-changing colors — we need this for our spirit.
The rhythm of walking with its alternating left-right cadence helps our minds integrate our experiences by reconnecting our left and right brain. This dynamic process is the foundation of EMDR, a form of therapy, which has a strong evidence base and has been used extensively by the Veterans Administration to treat patients who suffer from PTSD and TBI. Human beings are bipedal creatures who were designed to walk. It is our inheritance and an essential tool for promoting optimal health.
When we get home, Kerrie calls shotgun on the Juvent, and I go second. We each spend 20 minutes standing. As soon as one of us steps onto the Juvent, our young black cat Charlotte leaps onto the arm of the sofa next to it for her nightly pets from both of us. Kerrie will usually look at her iPad while on the Juvent and I will usually read a book. I have even been known to do some ironing at the same time. In this way, and for these reasons, the time feels productive.
We have both been using the Juvent for more than three months at this point. There is a short list of specific benefits which I can identify so far. The Covid shots put me into heart failure, and the lower extremity swelling I have as a result has been reduced since using the Juvent. The myalgia and fatigue in my lower extremities is also significantly reduced or absent. My increased capacity to walk at a rapid pace up hills during my midday strolls is noteworthy.
Besides those benefits, which I can credit in part to long-term use of the Juvent, there are the improvements which I have seen in patients who have purchased and use the device. The spouse of one patient who was previously diagnosed with osteopenia used it only intermittently for two months and when she had her annual bone scan was told that at the age of 70, she now has bones comparable to those of a 40 year old woman. Another patient who has suffered from low red blood cell, platelets and white blood cell count for decades, has levels which normalized for the first time in 20 years. This makes a lot of sense to me given that the kinetic energy of the Juvent is stimulating the bone marrow of our long bones, tibia, fibula and femur.
The reason that the Juvent makes a daily commute with me to the office is that my colleague and his wife use it. She has MS and has found that with relatively brief, that is, 5 to 6 minute intervals of use, she has had improvement in balance. He is a martial artist who has chronic knee pain from years of matches, and has found that by using the device with his knees slightly bent (similar to the stance taught in Tai Chi), he has seen an improvement in his knee pain from a 6 out of 10 to a 3-4 out of 10 over a period of about two months.
On most Saturday mornings, I spend up to one hour in our Sauna Space NIR sauna. In the winter time Malcolm, our big older black cat will stick with me the entire hour. During the summer, he is in and out, pacing himself. My goal with this routine is to reach an internal temperature of 100°F, or as close as I can get in one hour’s time. I’m trying to stimulate heat shock proteins in order to more efficiently break down toxins, deformed proteins, pathogens and spike in my body. If I can get to 100F sooner than one hour, I stop. I use an oral digital thermometer to measure my progress. The shortest time it has ever taken me is 25 minutes. I have both Dr. Mercola and Dr. Been to thank for inspiring this practice.
My understanding is that there are three types of autophagy. Micro autophagy is happening all the time because, for example, our body is making and breaking down red blood cells to the tune of five million a second. Macro autophagy is what occurs when we get to the 14th to 16th hour of intermittent fasting. Chaperone-guided autophagy with heat shock proteins is what we can stimulate when we get our internal temperature up to 100° F.
In terms of cellular repair and cleanup, I think of these three pathways as a shovel, a wheelbarrow, and a backhoe. Heat shock proteins are the backhoe. My understanding is that Dr. Mercola tries to accomplish this on a daily basis and because of how he has conditioned his body, he is able to get his temperature up within 10 minutes. I would caution readers who try this to limit their initial efforts because it takes time for our bodies to get acclimated to such an exercise and I would never go beyond an hour.
There are a few tricks which I have learned help get me to 100° F faster. The first is to make sure that when I get out of bed, I am dressed for the ambient temperature and not developing a chill. In the winter time this means making sure that I put on pajamas and socks, and wear slippers and a bathrobe. I have also learned that drinking cool or cold water inhibits my efforts and so try to add hot water from the teapot to make my morning water, warm – or hot, but drinkable. The sauna came with a bristle brush, and I use it to dry brush from my neck to my toes before I get into the sauna. I think that Japanese readers who are fastidious about their skin care and use soaking baths will note this as a familiar pre-bath ritual. It helps clear older skin cells and free pores to release perspiration more easily.
A common question is whether one can use a Finnish sauna to promote heat-shock proteins. The short answer is yes, but a NIR sauna facilitates reaching a higher internal temperature sooner with a lower ambient temperature, and less stress on the body. I’ve always enjoyed saunas, but never spent more than fifteen minutes in one before I need to exit for a dip in some cold water.
Immediately after a long sauna, and occasionally also before, I will drink 16oz of water with a sachet of an electrolyte replacement. The product I prefer is Quintessential 3.3 by Quicksilver Scientific, developed by the French military as an oral plasma replacement during campaigns in the desert environment of colonies such as Algeria. It doesn’t have sugar or flavorings, and it produced from micro-filtered seawater obtained from ocean depths.
Finally, I head to the shower where I perform a second wet brushing of my skin from neck to toes. My understanding is that this helps clear off toxins and pathogens which were transported out of my body via perspiration, but which may still linger on my skin’s surface. And so I am ready for my day, theoretically with less spike – and definitely with more hope.
P.S. I have no financial interest in the products which I write about in my Substack.
Hi Tanya,
I shared your question with Peter Simonson, an owner of Juvent. His reply was that the exact opposite is true. There have been no documented cases of detached retinas on the Juvent. Based on my experience with the Juvent, I would agree with his assessment, because its vibration is dialed in to the range which stimulates the bones without injuring the organs. It literally vibrates the width of two pieces of paper, and is so gentle that if I speak while on it, you can't hear the vibration in my voice. It is safe, and the other vibrating machines on the market are not. The competitors like PowerPlate are harmful, forceful vibrating machines.
I absolutely love the way you mix your thoughtful prose with practical advice. I find myself flagging and saving every one of your posts for future use. Thank you for sharing your wisdom so eloquently. 😊💕