HBOT Conversations:
Dr. Jay Stevens

Optimizing Health & Longevity

Dr. James “Jay” Stevens is the Medical Director of Extivita-RTP.  He earned a Bachelor of Arts in Zoology from UNC-Chapel Hill and a Doctor of Medicine from East Carolina University School of Medicine. He completed a Family Practice Residency at the Fairfax Family Practice Program at the Medical College of Virginia and the first Sports Medicine Fellowship at the University of North Carolina, Chapel Hill in 1991. He is Board Certified in both Family Practice and Anti-aging Medicine. He also holds a Certificate of Added Qualification in Sports Medicine. In 2003 he founded Carolina Family Practice & Sports Medicine with locations in Cary, Raleigh, and Holly Springs, NC. He has served as the Team Physician for the National Hockey League’s 2006 Stanley Cup Champion Carolina Hurricanes since their arrival in 1997. He also serves as Company Physician for the Carolina Ballet.

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Dr. Jay Stevens, Medical Director at Extivta, returns to HBOT News Network to discuss ways to optimize your health & longevity. In addition to being the Medical Director at Extivita, Dr. Stevens is also the Medical Director & Provider for the Cary, NC location of Essential Health.  Essential Health has many locations across the country.

We are lucky to have Dr. Stevens here to share the insightful data and information he has come across over the course of his career.

Dr. Stevens starts by explaining that there is in fact a difference between someone’s health span and life span. Health span can be defined or looked at by how long can someone live before they succumb to disease? While, life span is more along the lines of quality of life, and wanting to live as long as possible.  With life span, a person wants to keep the body as young, disease-free and as healthy as possible. This is where longevity fits in, because it ultimately is the desire to achieve the longest life span possible. But, he reminds us that functional medicine can never exist without conventional medicine. They both play a part in someone’s longevity and keeping diseases away.

Yet, how exactly does Hyperbaric Oxygen Therapy play a part in a person’s longevity goals? Dr. Stevens states that he sees HBOT as elegant and simplistic; because to create energy, we require a nutrient and oxygen. It’s as simple as that.  But, our environments keep mucking that process up — toxins, poor diet, too much sugar, etc. We must look at Hyperbaric Oxygen Therapy as a mechanism to improve cellular energy production.  He further explains that when we focus on optimizing everything about the cell lifestyle and then apply oxygen, we have a recipe to achieve the best outcome in energy production. But, why is energy production so important for longevity?!  Because energy production in your immune system predicts how your immune system will function – more energy production and your immune system is boosted to preform better, thus optimizing the chances of keeping disease and illness away.

The topic of the immune system leads us into a discussion on immunosenescence and why it is so important. Dr. Stevens explains that ultimately, the longevity of our lives is predicted by our immune system.  Thankfully Hyperbaric Oxygen Therapy is known to slow down the rate of decline in an aging immune system, and increase our body’s ability to regenerate stem cells.

Dr. Stevens again touches on the power of extended fasting, and why it plays such an important role in optimal health & longevity.

Dr. Stevens starts by explaining that there is in fact a difference between someone’s health span and life span. Health span can be defined or looked at by how long can someone live before they succumb to disease? While, life span is more along the lines of quality of life, and wanting to live as long as possible.  With life span, a person wants to keep the body as young, disease-free and as healthy as possible. This is where longevity fits in, because it ultimately is the desire to achieve the longest life span possible. But, he reminds us that functional medicine can never exist without conventional medicine. They both play a part in someone’s longevity and keeping diseases away.

Yet, how exactly does Hyperbaric Oxygen Therapy play a part in a person’s longevity goals? Dr. Stevens states that he sees HBOT as elegant and simplistic; because to create energy, we require a nutrient and oxygen. It’s as simple as that.  But, our environments keep mucking that process up — toxins, poor diet, too much sugar, etc. We must look at Hyperbaric Oxygen Therapy as a mechanism to improve cellular energy production.  He further explains that when we focus on optimizing everything about the cell lifestyle and then apply oxygen, we have a recipe to achieve the best outcome in energy production. But, why is energy production so important for longevity?!  Because energy production in your immune system predicts how your immune system will function – more energy production and your immune system is boosted to preform better, thus optimizing the chances of keeping disease and illness away.

The topic of the immune system leads us into a discussion on immunosenescence and why it is so important. Dr. Stevens explains that ultimately, the longevity of our lives is predicted by our immune system.  Thankfully Hyperbaric Oxygen Therapy is known to slow down the rate of decline in an aging immune system, and increase our body’s ability to regenerate stem cells.

Dr. Stevens again touches on the power of extended fasting, and why it plays such an important role in optimal health & longevity.

 

Guest

Robert Beckman

Dr. Jay Stevens

Dr. James “Jay” Stevens earned a Bachelor of Arts in Zoology from UNC-Chapel Hill and a Doctor of Medicine from East Carolina University School of Medicine. He completed a Family Practice Residency at the Fairfax Family Practice Program at the Medical College of Virginia and the first Sports Medicine Fellowship at the University of North Carolina, Chapel Hill in 1991. He is Board Certified in both Family Practice and Anti-aging Medicine. He also has a Certificate of Added Qualification in Sports Medicine. In 2003 he founded Carolina Family Practice & Sports Medicine with locations in Cary, Raleigh, and Holly Springs, NC. He has served as the Team Physician for the National Hockey League’s 2006 Stanley Cup Champion Carolina Hurricanes since their arrival in 1997. He serves as Company Physician for the Carolina Ballet as well.

In 2009, his commitment to helping his patients create healthy lifestyles for long-term wellness, along with his desire to provide the highest quality health care services, motivated Dr. Stevens to establish Essential Health & Wellness (EHW). EHW offers its patients a comprehensive health care service tailored around their busy schedules with the goal of optimizing their performance and longevity.

In 2018, he continued this commitment to long-term wellness of his patients by becoming the Medical Director at Extivita RTP, a hyperbaric oxygen therapy facility with two, twelve seat treatment chambers in the Research Triangle Park, Durham, NC.

Dr. Stevens is also a Fellow in both the American Academy of Anti-Aging and Regenerative Medicine and the American Academy of Family Practice. He is a member of the American Medical Society of Sports Medicine and Hyperbaric Medicine International.

Dr. Stevens lives in Cary, NC with his wife, Dr. Patience Stevens. They have three sons Eric, James, and Timothy. He is passionate about surfing, triathlon and almost any form of exercise.

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Cerebral hypoperfusion in autism spectrum disorder

Cerebral hypoperfusion, or insufficient blood flow in the brain, occurs in many areas of the brain in patients diagnosed with autism spectrum disorder (ASD). Hypoperfusion was demonstrated in the brains of individuals with ASD when compared to normal healthy control brains either using positron emission tomography (PET) or single‑photon emission computed tomography (SPECT). The affected areas include, but are not limited to the: prefrontal, frontal, temporal, occipital, and parietal cortices; thalami; basal ganglia; cingulate cortex; caudate nucleus; the limbic system including the hippocampal area; putamen; substantia nigra; cerebellum; and associative cortices. Moreover, correlations between symptom scores and hypoperfusion in the brains of individuals diagnosed with an ASD were found indicating that the greater the autism symptom pathology, the more significant the cerebral hypoperfusion or vascular pathology in the brain. Evidence suggests that brain inflammation and vascular inflammation may explain a part of the hypoperfusion. There is also evidence of a lack of normal compensatory increase in blood flow when the subjects are challenged with a task. Some studies propose treatments that can address the hypoperfusion found among individuals diagnosed with an ASD, bringing symptom relief to some extent. This review will explore the evidence that indicates cerebral hypoperfusion in ASD, as well as the possible etiological aspects, complications, and treatments.

Clinical Trial – Spinal Anesthesia in Caesarean Section

Spinal anesthesia is a safe technique, widely used and tested in the gynecological field, so
as to be considered the first choice technique in cesarean section, which allows to quickly
obtain a valid sensor and motor block. Bupivacaine is one of the most widely used drug for
obtaining spinal anesthesia in pregnant women undergoing caesarean section. Bupivacaine is a
local anesthetic available as a racemic mixture of its two enantiomers, the R (+)-
dextrobupivacaine and the S (-) – levobupivacaine, whose clinical use is widely validated.
Racemic bupivacaine is available as a simple or hyperbaric solution, the latter being the
most commonly used for spinal anesthesia. Levobupivacaine, which is the pure levorotatory
enantiomer of racemic bupivacaine, is a slightly hypobaric solution compared to liquor and
has shown less heart and nerve toxicity, probably due to its ability to bind proteins more
rapidly, and a greater selectivity towards the sensory component compared to Bupivacaine,
presents action and effects better predictable. Its baricity would also offer the advantage
of providing a less sensitive block to the position.

Hypotension is one of the most common complications of spinal anesthesia and is particularly
relevant in caesarean section because, in addition to the adverse effects on the parturient,
it can have repercussions on the fetus through a reduction of placental perfusion.

Some studies have showed a similar incidence of hypotension in patients treated with
bupivacaine compared to those treated with levobupivacaine, while others assert an
equivalence between the two drugs. In most studies, however, a significantly lower incidence
of hypotension and a greater hemodynamic stability were reported in pregnant patients
undergoing spinal anesthesia by caesarean section with levobupivacaine.

Being both hyperbaric bupivacaine and levobupivacaine routinely used at the "G. Rodolico"
Universitary Hospital of Catania for the spinal anesthesia of pregnant women undergoing
caesarean section and being their use decided exclusively at discretion of the treating
anesthesiologist, in the light of the discrepant data in the literature about the incidence
of hypotension with the two drugs, the main objective of this observational study is to
evaluate the hemodynamic effects mediated by levobupivacaine on pregnant women subjected to
elective cesarean section and to compare them with those mediated by hyperbaric bupivacaine
in an historical court of pregnant women subjected to caesarean section in the period between
April 2017 and April 2018. The hemodynamic parameters will be monitored in real time with a
non-invasive hemodynamic monitoring system (EV1000® platform + Clearsight® system – Edwards
LifeSciences), routinely used in the "G. Rodolico" Universitary Hospital of Catania, allowing
to obtain greater accuracy and veracity of the results compared to previous studies conducted
on such anesthetics.