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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Recent HBOT News

Clinical Trial – Haemodynamic Effects During Anorectal Surgery: a Comparison of the Jack -Knife and Lithotomy Position

Background and Goal of Study: Minimal dose of spinal hyperbaric bupivacaine is commonly
performed for adult anorectal surgery. This kind of anaesthesia can cause sinus bradycardia
and hypotension wich reason is body position, autonomic nervus system reaction, reflex
reaction even with low levels of sensory block. However, neither the publication of minimal
doses of spinal hyperbaric bupivacaine effects of haemodynamic modifications nor their
accuracy was widely discussed. The aim of the study is to make a comparison of the
haemodynamic modifications due to minimal dose of spinal hyperbaric bupivacaine for adult
anorectal surgery in lithotomy or jack knife position of steering impedance device.

Materials and Methods: Patients will be included which are over then 18 years old, who
underwent anorectal surgery of the benign pathology, requiring spinal anaesthesia, were
admitted in this clinical randomized study, hospitalized in Hospital of Lithuanian University
of Health Sciences Kaunas Clinics and agree to participate to this study (written
settlement). All patients were implicitly divided in to 4 groups by the position will be
operating (lithotomy or jack knife position and by American Society of Anaesthesiologists
(ASA) clas I-II and III-IV). Technique of anaesthesia were strictly standardized by protocol.
All patients were premedicated with oral diazepam 5mg and diclofenac 100mg 60min before
operation. After arrival in the operating theater peripheral vein 18 or 20G catheter was
inserted, infusion therapy were started with crystalloid 5-7ml/kg/hour. Standard monitoring
was used, including noninvasive arterial blood pressure (BP), electrocardiography (ECG),
heart rate, peripheral oxygenation. Circulatory changes were recorded impedance device. 2
single-neck sensors connected vertically on both sides of the neck just below the ears lobe.
Another pair of sensors attached on both sides of the chest processus xiphoid axillary line
level. Thorax allows a variable electrical current, it travels through the lowest resistance
(blood-filled aorta) and resistance is measured. For each heart contraction during changes in
blood volume and velocity. Accordingly, replacing the resistors obtained by impedance
settings.

Haemodynamic variables were recorded in patients in the use of impedance cardiograph:

1. arrives in the operating room;

2. seating on the operating table;

3. following the puncture;

4. 10 min after spinal puncture;

5. was laid in lithotomy or jack knife position;

6. in the beginning and the end of the operation;

7. patient was placed in the bed.

Each measurement was monitoring and recorded the following data( ar findings):

– Cardiac output (CO);

– Systemic vascular resistance (SVR);

– Systolic index (SI)

– Cardiac index (CI);

– Acceleration index (ACI);

– Heart rate (HR);

– Non-invasive systolic (SAP), diastolic (DAP) and mean (MAP) blood pressure;

– Peripheral oxygenation (SpO2); Patients were placed in the sitting position on the slab
(operating table) back to the doctor. Dural puncture was made at L3-L4 or L4-L5 with 27G
Tamanho spinal needle ( BBraun, Germany) by medial punction in aseptic condition, before
the punction was injected lidocaine 1% subcutaneous. 0.5% 4mg of heavy bupivacaine and
0.01% 10µg fentanyl were injected over 2 minutes after free flow of cerebrospinal fluid
was obtained. After sitting for 10 minutes ( sensory block was checked by the dermatomes
with the methods of cold sensitivity) patients were asked to lie in the position wich
operation will be done (lithotomy or jack knife position).

After 20 min. surgery was started. When anaesthesia was imperfect, 25-100µg of fentanyl was
given IV. General anaesthesia will be give in case of failure . These cases will be value
like a failure, patients will be exclude from the study.

Clinically significant hypotension will be define as a mean arterial blood pressure and heart
rate decrease of 20% below baseline values. Systolic arterial blood pressure will reduce to
90mmHG limit, intravenous ephedrine 5-10 mg will be injected. If heart rate will reduce to 45
bpm, bradycardia will be treated with atropine 0,5 mg IV.

Combined free tissue transfer for the management of composite Achilles defects: functional outcomes and patient satisfaction following thigh-based vascularized reconstruction with a neotendon construct.

Abstract:  Functional outcomes and quality-of-life measures following salvage reconstruction of composite Achilles/posterior leg defects are limited. We present our experience with combined Achilles defect reconstruction utilizing free tissue transfer with...