In short
Dave Rubin describes a knee injury and undergoes Dr. Richie Striano’s “multi-layer” regenerative treatment using adipose-derived stem cells plus diagnostic ultrasound-guided injections, hyperbaric oxygen, and laser therapy. The episode argues this approach can stabilize and regenerate joint tissues better than steroids/NSAIDs and long-term pain-only rehab.
Guests (backgrounds)
Dr. Richie Striano is a diagnostic ultrasound imaging specialist (trained at Andrews Orthopedic Institute, Thomas Jefferson Medical College, Orthobiologic Institute, MSKUS), with 25 years experience and 35,000+ procedures. He specializes in adipose tissue stem cells and has published peer-reviewed knee/shoulder studies. Dave Rubin is the patient/host; he’s an athlete who thought he’d never play again after hearing “pops/cracks/crunches” in his knee.
Key claims
Osteoarthritis is framed as an inflammatory, whole-joint problem (not just cartilage). Ultrasound can map tiny tissue defects (down to ~0.5 mm) for targeted injections. Steroid injections are said to destroy cartilage over time; physical therapy may relieve pain but not stabilize joints. Adipose stem cells are claimed to have >100x more stem cells than bone marrow and less senescence.
Notable examples
Dave’s timeline—procedure April 10, improved walking quickly, playing 5-on-5 full court by end of May. A separate example cited: a 96-year-old with torn rotator cuffs improving to ~90 degrees.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VODave's Knee Injury Experience
0:00 to 1:14
Dave shares the details of his knee injury and initial thoughts on recovery.
“I came down at the end after playing about three hours on a layup, crushed my knee.”
Stem Cells and Personal Healing Journey
1:44 to 2:15
Discussion of stem cells and how Dave's injury became a learning experience.
“So we are going to talk stem cells for about a half hour.”
Dr. Striano's Medical Background
2:15 to 4:39
Dr. Striano explains his qualifications and expertise in ultrasound imaging and stem cells.
“And I should note that I got in touch with you through our mutual friend, Tony Robbins.”
Understanding Adipose Tissue and Stem Cells
4:39 to 5:51
Dr. Striano discusses the importance of adipose tissue in stem cell therapy.
“But they all contribute to the life of that reef, the organisms, the bacteria, the structural support from the coral, the different creatures that live in that reef.”
The Limitations of Traditional Treatments
5:51 to 7:48
Exploration of traditional treatments for knee injuries and their limitations.
“So the procedure we did was adipose tissue, meaning it was fat from my back.”
The Transition to Innovative Procedures
7:48 to 9:10
Discussion on the transition from traditional methods to using ultrasound and regenerative techniques.
“So the issue began that we have what I call tweeners.”
Categories of Stem Cells Explained
9:10 to 13:14
Dr. Striano explains the different categories of stem cells and their functions.
“So what was interesting, the paradigm shift, I was in New York with my wife and she was doing a breast ultrasound looking for lumps and bumps and stuff.”
Personal Experiences with Stem Cells
13:14 to 14:00
Discussion on personal experiences with stem cells and their impact on healing.
“And as you get older, the level of stem cells in bone marrow rapidly decreases and they become senescent.”
Patient Testimonials and Confidence in Treatment
14:00 to 17:08
Learn about patient experiences and the doctor's confidence in treatment success.
“But the older patient I've treated was 96.”
Innovative Approach to Knee Treatment
17:08 to 22:20
Discover the unique methodologies employed in treating knee issues with stem cells.
“So the first thing is point of care ultrasound.”
Show all 30 chapters
Personal Recovery Journey and Results
22:20 to 26:54
Hear about the host's personal recovery from knee injuries and the effectiveness of treatment.
“Like, I don't think I can play for months.”
Challenges and Future of Stem Cell Treatments
26:54 to 28:00
Explore the financial barriers and future directions for making stem cell treatments more accessible.
“That's how bad the pops and the tears were.”
Access to Stem Cell Treatments
28:00 to 29:02
Learn about the challenges patients face in accessing affordable stem cell treatments.
“hurts me because only wealthy patients can get treatment.”
The Stem Cell Clinic Experience
29:02 to 30:27
Discover how a new clinic approach can improve the affordability and quality of stem cell treatment.
“So the bottom line is now I can help patients afford treatment more.”
Understanding Stem Cell Viability
30:27 to 31:53
Explore the importance of viable stem cells and the risks associated with unqualified practitioners.
“And so that's another big issue, whether you have viable stem cells to begin with.”
Preventative Uses of Stem Cells
31:53 to 34:16
Examine the potential preventative benefits of intravenous stem cell treatments for healthy individuals.
“is not blown out, they've managed to make life work for them so far without any major things.”
Longevity and Aging
34:16 to 36:25
Understand how stem cells may influence aging and the risk of age-related diseases.
“influence the phenyl gland in the brain, which is your biological tick-tock on getting older.”
Future of Regenerative Medicine
36:25 to 37:36
Discuss the future of medicine in terms of regenerative approaches and patient empowerment.
“And again, as this becomes more ubiquitous, obviously the cost will go down and some of the other things that you're personally doing on the cost side.”
Closing Thoughts with Dr. Striano
37:36 to 38:32
Hear final insights from Dr. Striano on regenerative medicine and how to contact him.
“Striano, or as I call you, Richie, I owe you a tomahawk, my friend.”
Personal Health Update
38:32 to 42:00
Listen in on a personal health update discussing knee injury and treatment options.
“Well, the bottom line is you can talk to me and contact me.”
Dave's ACL Injury Story
42:00 to 43:30
Dave recounts the injury to his ACL and MCL while playing basketball.
“This question about my ACL, which the other doctor and I remember seeing the image four or five years ago, that the ACL was completely gone.”
Drive to Naples and Stem Cell Treatment Overview
43:30 to 45:00
Dave describes the journey to Naples and the upcoming stem cell treatment for his knee.
“I've got a banged up ACL, banged up MCL.”
Doctor Consultation and Diagnostic Ultrasound Explanation
45:00 to 49:50
The doctor explains the ultrasound procedure and findings regarding Dave's knee condition.
“think i probably pushed it a little too far walking around the world and whatever so let's see what happens okay so quick explanation about diagnostic ultrasound so an mri gives us a view up on high.”
Stem Cell Extraction and Injection Process
49:50 to 54:30
The process of extracting stem cells from Dave's fat and their subsequent injection into his knee is discussed.
“Not a lot, so you're still going to look the same.”
Post-Procedure Recovery and Lighthearted Banter
54:30 to 56:01
After the procedure, Dave and the doctor engage in light banter while reflecting on the treatment.
“That was definitely worse for you than it was for me.”
Preparing for the Procedure
56:01 to 57:12
The host discusses his feelings and preparations before using a new medical technology.
“I've got my pink knee sleeve, my pink thing here, my oversized Big size shirt, big shorts.”
Post-Procedure Reactions
57:13 to 59:12
The host shares his immediate reactions and experiences after the medical procedure.
“I was about to say I got a little more motion.”
Reflecting on Injury and Recovery
59:13 to 1:01:04
The host reflects on his basketball injury and the innovative recovery process using stem cells.
“I'm about to get back on the basketball court, basically for the first time since mangling my knee.”
Gear Up for Basketball Return
1:01:05 to 1:02:23
The host prepares mentally and physically for returning to the basketball court, discussing his equipment.
“So had to bust out, got some new sneaks, got some new kicks for this.”
Final Thoughts and Anticipation
1:02:24 to 1:04:19
The host expresses excitement and final thoughts before taking the court again.
“One and two Vibraries 歡迎agongy Upd Orthodox and Thank you.”
Transcript
Automatic transcript. May contain errors.0:00Doc, how you doing?
0:09I came down at the end after playing about three hours on a layup, crushed my knee. I heard pops, cracks, crinkles, crunches, like glass and popcorn as if you stepped on it in a bag. I'm actually kind of speechless. Like, I thought probably I was never playing again. You have stuff inside of you that can heal yourself. I mean, it's completely counter to the way we do medicine, which is we're going to use some pharmacology to put something in you, hopefully to fix you, versus, oh, it's in you already. That's just a radically different way of looking at things. With ultrasound, we can zoom in right up close and personal and see the individual fibers that make up the tissues.
0:49So you see how this is nice and homogenous, evenly gray down through here. And then right here, there's a little black spot. That's a couple of broken threads. Come under the crow. Perfect. Inject. And so what I really want is for everyone who needs it, this is my mission, to make people move. Movement is life. And if you can't move, you can't live. All right, guys, it's August, which means I'm off the grid. I do hope that AI Dave has been keeping you abreast of what's going on in the world, although real Dave has no idea. But as we tape this, it is the end of July, And I'm actually completely thrilled to sit down with this man, a doctor who I now consider a friend, Dr.
1:35Richie Striano, the man who saved Dave Rubin's knee. It is good to see you. Thank you. Wonderful. Thanks for having me. So we are going to talk stem cells for about a half hour. We're going to talk a little bit about my journey. And I really wanted to use my unfortunate knee crushing incident as a learning experience for all of my viewers because it was a learning experience for me. And I thought when I first took a phone call with you that you were such a good explainer of what is, you know, fairly complex science and technology and everything else. and fortunately the results of what you did with my knee have been spectacular.
2:15So before we get into any of that, why don't you give me a little bit of a bio? And I should note that I got in touch with you through our mutual friend, Tony Robbins. And when you have a medical emergency, to have Tony on your phone to point you in the right direction is clearly the way to go. But why don't you give me the Richie Striano minute or so medical bio and then we'll dive into stem cells. Sure. So I'm certified in diagnostic ultrasound imaging. And what that means is that I can see up close the details of structural tissue, such as ligaments, tendons, joints, cartilage, the meniscus, et cetera, because I'm going to talk about the knee today.
2:58And unlike an MRI, which gives you a big image from up on high, like when you first log into Google Maps with high-definition ultrasound imaging, I can zoom in, go in the kitchen, and tell you what you're having for breakfast. So the detailed imaging, I can see the individual fibers that make up the tissues that are structural in the function of the knee joint. And the second part of that is I trained at the male clinic, Andrews Orthopedic Institute, Thomas Jefferson Medical College, the Orthobiologic Institute, MSKUS, and have published multiple journals and peer-reviewed clinical studies on the knee and the shoulder.
3:47I've participated in over 35 ,000 procedures, have been doing this for 25 years, and specifically with stem cells, really since they broke the scene in 2012. exclusively stem cells, exclusively adipose tissue. So I specialize in adipose tissue, and the reason for that is adipose tissue has more than 100 times the stem cells than bone marrow in an adult, and adipose tissue has an entire community of regenerative cells in addition to the stem cell itself, each of which provides a biological benefit in terms of cellular and structural function. I call it the reef and that's because if you think of it as a coral reef, when you look at a coral reef, you'll focus on one or two of the shiniest fish and the other members of that biological ecosystem are frankly ignored.
4:58But they all contribute to the life of that reef, the organisms, the bacteria, the structural support from the coral, the different creatures that live in that reef. Without those, the fancy fish would be dead, right? Without structure, nothing would function. without the bacteria and other elements of that reef, the ecosystem would break down and would die. And that's the benefit of fat. You have that entire biological ecosystem preserved intact that now can be deployed into a joint or a tissue. Right, okay. So let me pause you there before we get a little ahead of ourselves because I want to do kind of like stem cell 101, and then we can get into the types of stem cells and the types of procedures.
5:52So the procedure we did was adipose tissue, meaning it was fat from my back. And we're going to show images of some of these things and the process and all of that. But before we do anything else, can you just tell me, well, it's okay. So 2012 stem cells obviously had been on your radar first, but like what got you interested in this and what was the real breakthrough that made people realize, boy, You have stuff inside of you that can heal yourself. I mean, it's completely counter to the way we do medicine, which is we're going to use some pharmacology to put something in you, hopefully to fix you versus, oh, it's in you already.
6:28That's just a radically different way of looking at things. Right, exactly. So the issue that came to me was basically what I call stabilization, which is that with physical therapy, rehab, other types of treatments, the joints, the spine, the knee remains unstable. It may get some temporary pain relief. These therapies are looking at pain relief mostly, and they do not alter the progression of arthritic or damage in the joint. So that's what became my mission. Like, what the heck is going on that these people need physical therapy for the rest of their life or whatever, and they don't stabilize.
7:14Right. So basically, before this, just for a layman's version, somebody would hurt their knee, and basically, they would maybe get a steroid shot and do some therapy, but that's not going to heal the actual tendons and the things that you're talking about. Correct. Those therapies, like physical therapy, taking non-steroidal anti-inflammatory drugs, which have downstream side effects to the gut. And then when you look at steroid injections, they destroy cartilage if you get them over a longer period of time, which is the exact opposite of what you want to do when you're addressing an inflammatory situation.
7:52So the issue began that we have what I call tweeners. These are people in between the diagnosis of osteoarthritis in the knee and the eventual time that an orthopedic surgeon is going to recommend putting in a new one. And so what is that treatment gap? It could be 10 to 15 years in clinical studies, and there are no other alternative treatments used. These treatments can actually alter and turn back the clock on the osteoarthritic progression and proven to grow cartilage, regenerate tendon, ligament, muscle, nerve, etc. So that's really where it began. And then my exploration started with no one knowing anything.
8:41No one was studying the instability, just the painkillers and injecting the knee with steroids, which is what the orthopedists do. And so little by little, I began to study structural tissue. and you could look at abnormalities. You could do muscle testing. You could palpate. You could do a physical exam and see that a ligament is bad or a muscle is bad, et cetera. But what the heck do you do about it? And how do you see where it's bad? So what was interesting, the paradigm shift, I was in New York with my wife and she was doing a breast ultrasound looking for lumps and bumps and stuff. And the light went off.
9:23And I said, holy cow, breast is soft tissue. Everything I'm trying to figure out is soft tissue. So I bought an ultrasound machine to her dismay because they were so expensive. It was the size of a Volkswagen at the time. And now we're going back like 2007. And I couldn't see anything, right? I put it on a patient. I have no idea what I'm looking at. Stuff is everywhere. But it just kind of looks cool, right? Like, you know, when you look over the surface of water, you put a mask on and look down, and it's like, oh, my God, what's under there? But I realized that my patients had MRIs that clearly the radiologist showed an abnormality, torn rotator cuff or something.
10:14So I said, well, I know there's one. So let me go to that tendon and see if I can find it, which I couldn't. And then eventually I did. So when I found the first one, I printed it and I put it in a book. And I began to accumulate my own encyclopedia of abnormals because in orthopedic imaging with ultrasound, there was no data. No one was doing it until eventually the Academy of Registered Diagnostic Medical Synographers offered credentialing in orthopedics. It was always gynecologic, cardiac, et cetera. And so that began in 2010. I was in the first group to pass that test. And so I'm certified in that.
11:06And like I said, I've been doing, as part of the treatment protocol you got, beginning with a live point-of-care diagnostic imaging of every single structure that contributes to joint function. We use the same imaging to be able to inject structures and abnormalities that I can see as small as a half a millimeter. yeah yeah i mean it well it was just incredible watching you do the procedure and how you found every little tear i mean i think there was about a dozen of them and each one you went to specifically so let's so let's pause on me for a moment i want to punt that portion of the conversation but basically so okay so you you've got the ultrasound machine you're learning this new technology no one's really done it before like this this is healing things in kind of a new way can you just explain the difference because i think a lot of people still hear stem cell now and they think either this is placenta based or there's some other a third one way or another it's a third party or it was a baby that was born that no longer survived or something like that so can you kind of lay out what the categories are of stem cells again we did adipose so we'll we'll end on that one because that'll then get us to to what you did with me right so first what is a stem cell, right?
12:28So a stem cell is a very smart, specialized cell that is repairing damage in tissues and organs in your body every day. And it's smart. It interprets the environment it's in and the environment is smart and talks back. That's called crosstalk, crosstalk. And then based on that, signaling takes place. So the stem cell can differentiate into tissue and the stem cell can produce substances that regenerate tissue. There's stem cells from bone marrow, stem cells from fat, and then you have donated stem cells like umbilical cord stem cells. So those are basically the three main categories. The difference with fat, as I said, is the community of regenerative cells.
13:19And as you get older, the level of stem cells in bone marrow rapidly decreases and they become senescent. Fat has more than 100 times the number of stem cells as bone marrow, and they do not exhibit the same senescence. So they're livelier, more prolific. They've got their brains together more, and so they function better. So in essence, it didn't matter that me at 48 was getting these stem cells as if I'm getting 48-year-old stem cells because there's more of them. They're operating better. So it's similar to had I done this if I was 24, getting it from myself. Right. But the older patient I've treated was 96.
14:02She had torn rotator cuffs on both sides, could only move like a penguin. And she responded very well. She got the heat, which changed her life, right? She didn't get to normal. She got to 90 degrees. She's 96 with torn cuffs. Her husband's an MD, brought her back a year later just to keep it going, so to speak. I didn't even go in for my shoulder with you and you know what you've done to my shoulder. I mean, I could barely move my arm like this and I'm completely, I'm wearing a jacket right now, so it looks a little stiff, but like I'm completely pain-free. So, okay. So, so you specialize in adipose stem cells, which are from your own fat.
14:42So now you get a call from a random guy, happens to be me. Tony sends you, says, hey, I should call you. I described what happened. I told you I took the MRI and everything. And I said I heard pops, cracks. It was like stepping on glass. I really thought I was never playing ball again. I didn't know if I was going to walk for the rest of the year. This is back in February. and immediately on the phone, you were like, no problem, we can fix this. It's not a big deal, blah, blah, blah. How are you just so confident that when a random person calls you and says, I crushed my knee, I heard every pop and crack that nobody wants to hear that you can actually fix it properly?
15:21Well, keep in mind. I don't even know if I had sent you an image at that point. I think maybe right after that, I sent you the image. Well, with every patient, first I do a history, right? So I've got to listen to exactly what you're feeling. You know, I can't read a picture and determine what restrictions you have in terms of your quality of life and activity, which is my main point. We want quality of life, activity, stability, strength, support, and, of course, pain relief. And so the issue became, because I published clinical studies even with international colleagues and presented on the knee joint at international conferences, is I know from my own data collection and those of others that we have an 85 % response rate.
16:08With every patient, with every medical procedure, there's a failure rate. It's not magic pixie dust. So I need to let the patient know that the worst possible scenario is it may not work. They don't break anything. They can't ruin anything. So that's what gives me the confidence. and then your age and the amount of issues that were taking place in your knee increase the confidence because you're athletic, you're thin, and you're fit, you're healthy, right? And so when you put these contributing factors together, you elevate the potential response rate. So I show up, you bust out the MRI machine, the gel, all of the stuff.
16:54We start looking at each individual tear. We do the adipose stem cells, so now they've taken it out of my back. You spin it in the centrifuge, correct? Yeah. So the first thing, if I can explain the approach. Yeah. So the first thing is point of care ultrasound. Now, osteoarthritis of the knee is no longer considered a disease of cardiovascular. It's an inflammatory disease that affects the entire joint. every structure, muscle, ligament, tendon, nerve, the meniscus, etc. So the old thought that it's a disease of cartilage is wrong. It's an inflammatory disease. And for many, many years, I've been developing an approach where, you know, like an orthopedic does one shot in the side of the knee and you go home, I expanded it because of my knowledge of imaging, looking at these different structures and seeing damage inside and outside that joint.
17:56Now it's recognized that all of those structures that have to coordinate and cooperate in order for that need to function are involved in the loss of function. So first it starts with imaging of every single structure in and out before while you're in the office. The second part of that is that once we have that, a map is developed of every single area where there's damage, as little as a half a millimeter, and those become targets for the injection. Next, we take out the fat, and through a new technology, we are able to isolate 90 to 150 million clinical-grade pure stem cells and all the other guys in the region.
18:45So they're all in that basket of goodies. And then I have to calculate how much volume goes in each of these tissues, right? I'm fat. I have a bigger appetite than you. Maybe not because I've seen your tomahawk steak, but I'm still promised one. You are getting it. Believe me, if I owe anyone a tomahawk steak, it's you. You're getting one. Yeah. So then I calculate the volume. A muscle likes more than a tendon. A tendon likes more than the meniscus, the joint, to fill the joint and reduce the inflammation that causes the progression of the disease. And so then I calculate the volume. So I need to make...
19:30Yeah, and you were literally doing the math in front of me to figure out exactly what was what. And we also, I'm sure you're going to get to this, but we also did some intravenously as well. Yes. That's a separate part. So now you're looking at longevity and systemic inflammation. First, we're going to address the orthopedic side. And so I have to make the calculations as to how many cc's of stem cells I need to fill each and every one of those targets. And I always leave extra because when we do the injection, a tear, as an example, could spread open like you're blowing up a balloon. and then I need to put more in so that we fill the entire area.
20:14An ultrasound is streaming video so we see the stem cells leaving the needle and going into the issue. So every single structure is filled completely with the exact amount of stem cells it wants to have so its appetite is cleared. Once we've done that, then second, hyperbaric therapy. I could do a whole interview on hyperbarotherapy. It increases oxygenation, enhances the function of stem cells, and a very, very important organelle called mitochondria. They even talk about dysfunctional mitochondria leading to aging. So the mitochondria is the battery inside of a cell. And so by enhancing mitochondrial function, you basically recharge or jumpstart the dying batteries in a cell, like turning up the dimmer switch.
21:13You light up six cells. They regenerate. The stem cells are asking them to regenerate. The hyperbaric is helping them by boosting them and giving them support. And then the last thing was the Genesis laser, laser developed by the NASA scientists that emits all wavelengths of light. Each wavelength of light enhances the function of the stem cell, increases oxygenation, regulates the immune system, boosts mitochondrial function, delivers increased blood flow, which is essential for oxygen because the lack of oxygen is disease, right? Inflammation, reduced oxygen, you have a disease start. So each of these layers adds to each other and has its own clinical benefits in and of itself.
22:08And so that's what I call the multi-layer treatment that I've developed that we did with you and that we do. so i know people may sound may think this is crazy but i walked out of your office and my knee already felt better and my shoulder absolutely fell better and i was walking on the beach the next day yeah i had a little limp still but i genuinely can't believe it and just to give people a little bit of the timeline on this we did the procedure on april 10th a month later you were texting me for a while just checking in with me but about a month later you were like you know, when are you going to play again?
22:48And I was like, what do you mean? Like, I don't think I can play for months. And you were like, no, you could probably start testing it out. And by the end of May, I was playing five on five full court, which I'm still doing as hard as I've been playing. I'm not 25 anymore, but it's still something. How do you even, how do you even have the confidence to say to somebody that had the amount of tears that I had and everything? Oh, okay. I don't need to see again. You just tell me how you feel and just get out there and let's see what happens. Well, remember, I have the clinical data on over 1 ,000 knee joints.
23:22So I see through orthopedic scoring the improvement at different points and different benchmarks in time. So a large amount of cases improve within the first 7 to 10 days. the second part is i become a concierge doctor to every patient i treat so you have access to me literally seven days a week uh you know i want to do this is that okay because i want to ensure your best outcome so you know i don't love them and leave them i'm a pain in the ass maybe at times but i stay with everyone because yeah you do case personally that's just who i am And so within the first seven to 10 days, we typically see improvements, some overnight, like Tony Robbins described in his book.
24:14And it could take longer. So the thing to understand is it's a bell curve. If a patient takes longer to begin to see the benefit, that doesn't mean that their ultimate outcome won't be in the 85th or 90th percentile. It can take longer. That's okay. there's biological plateaus where patients plateau, they don't feel they're getting any better again, and then there's another boost. We don't know why, but I see that plateau with myself, colleagues across the field, even though they don't do what I do, but colleagues across the field, it's a biorhythm of some sort. It's just unexplained, but it takes place.
25:00and so so six weeks later i'm i'm on the court i'm doing what i did before which was i wrap my knee in a ace bandage basically i wear a compression sleeve on my knee and i'm wearing the brace with hinges and i tell you i'm going out to play and you said great and then i i came back i texted i said i played pretty well i'm out there again and you said get rid of the get rid of the brace and i i was like there's no way i've been playing with this thing for 10 years anyway for a month or two, even though you told me to get rid of it, I still played with it. I just couldn't, I couldn't let it go. It was like my safety blanket or something.
25:36Finally, two weeks ago, I got rid of it and that's gone now too. I mean, I've been using that thing for over a decade. It's just incredible. It's not even a question. I'm just telling you, it's just incredible. You know, I've seen this with some of the pro athletes I've treated, you know, astronauts who have to go through physical function testing. So the point is, I want you to test the stability, right? And then I'm with you right afterwards to make sure the residuals aren't severe. And then based on the aftermath, we step it up, right? And then we play every three days or maybe every two days or, you know, instead of three hours, an hour and a half.
26:20At first, I think we were shooting baskets. Yeah, yeah, yeah. No, we went, we did just some shoot-arounds first and then a little half court and then eventually full court. And now I'm running as hard as I can. And I must admit, you were amazing. I think you shot four, you know, swishes in a row from a good distance. That's my doctor right there. He's the shot doctor. Yeah. So it's great because I can see that none of, as surprising as all of this has been to me, this whole process. Again, I never thought I was going to play again. That's how bad the pops and the tears were. I told you a guy that wasn't even playing, who was off the court, was screaming because how loud the pops were.
27:02To you, none of this is surprising. This is basically what you do. So what do you want to happen now to make stem cells kind of scale? Like when you mention stem cells to people, everyone says this. Well, how much? How much did it cost? Because obviously there is a cost that, you know, you can do PRP for, I don't know, 850 bucks. You can do some other peptide things that are obviously going to be cheaper if you're into some of this alternative stuff. The cost is still there. What do you need to happen? And I know you're opening a clinic now down in Stewart, Florida, not too far from us. Florida's also changed some of the rules just in the last couple of weeks as it relates to stem cells.
27:38So we're leading on that too. We lead on an awful lot here. So maybe you want to talk about some of those rules, but what do you need to happen so that this can become more of a household procedure instead of people just getting that cortisone shot and feeling like they're okay, even though they've actually, as you said, not really fixed anything. Right. So let me just speak to one point, which is that the financial part hurts me because only wealthy patients can get treatment. And that kills me. I hate turning people away because there's something they need that'll change their quality of life, but they can't pay for it.
28:16And so what I've done, as an example, with the 9-11 firefighters is developing a program to help these guys because their lungs are shot and the disabled veterans, because they're largely ignored. Obviously, they've got orthopedic issues off the charts and they can benefit from stem cells. So the first thing is, in joining and going into this clinic in Stewart, My rule is that I'm the director of the program in my niche of stem cells. So now I can reduce pricing. I can change pricing. I'm not, you know, at the mercy of what the clinic wants to charge. Right. Some of these clinics, you know, I know a clinic that charges forty five thousand just to do an intravenous of the same thing you got.
29:10And, you know, without orthopedics. And, you know, I think that's insane. So the bottom line is now I can help patients afford treatment more. You know that anyone that talks to me from you gets a huge discount on the cost of their stem cells. And so what I really want is for everyone who needs it. This is my mission, to make people move. Movement is life. And if you can't move, you can't live. right? I don't care who you are. And so that's the mission. I'm now joining a clinic where I can participate in the financial aspects of what people get it. And the problem in the U.S. is that it's the wild west.
29:59You go to a weekend seminar, the next day a dentist or a radiologist is doing stem cells because they can make a lot of money doing it, and they buy frozen umbilical port tissues through the mail, which is not allowed. And when I was on the board of the Orthopedic Foundation, Cornell, Texas A &M, we tested all of these tissues in independent labs. They're all dead, DOA. And so that's another big issue, whether you have viable stem cells to begin with. The second thing is, is the doctor experience, you know, like if you're going to get a robotic procedure, you want the guy that's on more than a thousand, right?
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30:45So, you know, I came home from a weekend course. He's never studied interventional ultrasound. They don't use imaging. Uh, he hasn't studied advanced injection techniques. So the second part of it is when patients come to me, you know, doc, I did stem cells and it didn't work. and then I got to go into the whole thing. Where did they come from? Who did it? Did they do ultrasound? What kind of stem cells were they? Did they come in the mail by Amazon? Did he take them from you? And then what was the technique? How many injections did you get? And how did he know where the needle went? You know, you can't do an injection.
31:26You know, I shoot in competition. You can't shoot blindfolded and expect to hit a target, it, even though a blind squirrel gets a nut once in a while. If you can use a high-powered scope, why wouldn't you? And that's ultrasound. So ultrasound and the advent of the approach and the stem cells were a paradigm shift in regenerative order. So for somebody that's watching this that they don't have a bum shoulder, their knee is not blown out, they've managed to make life work for them so far without any major things. One of the other things that we discussed that I was surprised about is you guys are now finding all sorts of other benefits, cognitive and otherwise, and that's partly why people are doing intravenous stem cells.
32:12So should people be thinking about this more as preventative? I mean, if you're just middle-aged and you basically feel okay, should you be considering stem cells intravenously once a year? Should you be jumping in a hyperbaric chamber and recharging those batteries that you referred to? Again, there's a cost, obviously, but if everything being equal, is this something that you do once a year? Do you hop in the hyperbaric chamber? Do you inject yourself, et cetera, et cetera? Yes. Well, I have someone else do it, but like a knee joint, I'll inject my own knee. So here's the issue, and I'll be quick about this.
32:49The change in a joint begins with inflammation of the synovial membrane, the capsule. It's called synovitis. Once that's inflamed, it showers the joint with inflammatory cytokines. These are like termites, and they begin to eat away at the cartilage. They poke holes in it, and then that process begins. When that starts, you can't see it, right? It's not visible. It's the very beginning of something. And what happens is by the time enough cartilage is reduced, so you can see it on an x-ray, an ultrasound, etc. It's already been there for up to four years, the inflammatory process. Next, you look systemically.
33:36So intravenous stem cells reduce systemic inflammation, which is the foundation for everything that goes wrong. They enhance your longevity because they have an anti-aging benefit on the brain, tissues, and organs. So one of the thought processes is, in terms of theoreticals, there's four major age-related diseases, right? Cancer, cardiovascular, diabetes, and dementia, right? Those are the four major guys. If you're doing intravenous anti-aging and you're able to influence the phenyl gland in the brain, which is your biological tick-tock on getting older. And you're able to improve your cellular age, not your birthday age, right?
34:33Your cellular age, as your cell age, the mitochondria, all of that stuff. So if you can improve that and increase longevity, think of an electric car, right? It goes so far and then its batteries run down. Mitochondria, cellular energy, inflammatory, immunological, all of the pieces of that tie that are going to eventually cause you to die. So if you're an electric car after so many mileage, if you can recharge your battery like a car, would you go further? And if you do go further, then would you completely avoid age-related diseases? So this is the theory of longevity. If we increase your health and increase your longevity, then you don't develop the major age-related diseases that we all look at as normal.
35:29As you get older, you're going to get dementia, right? As you get older, you're going to have cancer somewhere or diabetes or cardiovascular disease because your arteries, you're going to accumulate plaque and, you know, inflammatory processes in your cardiovascular system. Well, that doesn't have to be, right? You can influence tissues and organs with stem cells. We know that. The doubters think, well, you know, that's impossible. But when you publish and look at the amount of clinical studies, not mine, don't take my word for it, do your own research. And you can see that the benefit of these stem cells in clinicalstudies.gov, looking at everything from Alzheimer's to cancer and everything else, this is the paradigm.
36:20I believe the future of medicine is going to be biological. So what would you say to someone who has the means? And again, as this becomes more ubiquitous, obviously the cost will go down and some of the other things that you're personally doing on the cost side. But what would you say to someone who's rolling into 50 years old in terms of, so once a year, come get some intravenous stem cells. Let's just keep everything on the up and up. Maybe every couple of years. I don't think you have to spend the money every year, you know, but it's like longevity insurance. Depending on the cost, you break it down monthly.
36:52It could be cheaper than, you know, your car thing. Yeah. I mean, sign me up, man. Did we hit the basic stuff here? I didn't want to overwhelm people. You have a wonderful way of explaining some pretty complex stuff here. Did we miss anything major? Well, just so you know, it's a multi-layered approach like a layer cake. Each layer has its benefit to the overall taste of the goodies, right? So diagnostic ultrasound, interventional, adipose tissue cells, the full collection. Then you have the calculation, hyperbaric, laser aftercare coaching. That's it in a nutshell. And it works. You can put that on your website right there in quotes.
37:39It works because I'm playing again. Dr. Striano, or as I call you, Richie, I owe you a tomahawk, my friend. Please call me Richie. Thank you so much. And it's a pleasure helping you. I'm very grateful You invited me on your show. And I help people take note of the fact that there is a way out. And it's regenerative medicine. You don't need to suffer. And by the way, we should note that your website and your new clinic is opening soon. And your website is drrichiestriano.com, which we'll link to right down below. Right. And the email, because it's being reconstructed, is drrichiestriano at gmail.com.
38:25and anyone who can contact me, I do contact me. You're going to be a busy man after putting your email up on this show. Good luck. Well, the bottom line is you can talk to me and contact me. I don't charge. Thanks, Doc. Okay, buddy. I feel like I'm waiting for the call to find out what draft pick I'm going to be in the NBA. Doc, how you doing? All right, there we go. Yeah, now I got you. How are you? I'm doing right. How are you feeling? I don't know. You tell me. How am I feeling? Actually, based on this, I would imagine not too bad. You'd be feeling a little bit better to know that, yes, you have a lower diffusion.
39:05You've got a lot of fluid in there, which we saw. Yeah. However, all we see really is an MCL sprain and then inflammation of the ACL, the aspect of the ACL. Now, you had a complete ACL tear how long ago? It was 10 years ago in August, August of 2015. And it was a complete or partial? It was complete. And then when I, about four years ago, when I did PRP for the first time, they told me it was gone altogether, that there was nothing left in there. Does that make sense to what you're seeing? Unfortunately, I only have access right now to a report because they're pouring these down and I can't see the images.
39:45But based on what the radiologist is telling me is they're seeing abnormal signal Signal inside the ACL suggestive of a spring But what doesn't make sense is then it would be seeing a large number of fibers in the ACL And if you're saying that you had a complete tear that could be obliterated in the ACL I wouldn't expect to get that kind of weed and anything on the meniscus No, no tear into the meniscus Really? Yeah So, all right, so putting aside the ACL thing for a second, let's say it's either gone, which is what I thought, or it's just sprained, so I could deal with either one of those. So if this is just a sprain of the MCL, that makes sense to you relative to all the pops and the crunching?
40:32You'd be surprised. MCL sometimes can be, you know, it can be very uncomfortable and you can be out for a bit. Now, the pops and crunches, it's always hard to say what that is. sometimes that could be bone on bone it could be sliding of the knee that you hear um it doesn't actually mean that you have an absolute you know meniscus injury or a tear of a of a ligament um so based on what we're seeing here it's just a lot of fluid and mcl sprain so that's certainly good news yeah i mean that's amazing and worst case scenario is i go back to not having an acl which is what i thought or i do have an acl that maybe we can do some therapy on or something?
41:14Correct. Either way, we can do some therapy. It's going to be like, you know, with the MCL sprain, probably, you know, two or four weeks, and then doing a little bit of therapy, and hopefully you'll be back to playing ball and doing what you were doing before. Oh, my God. I mean, I can't. I'm shocked. I'm beyond shocked, considering what it sounded like and everything else. Oh, man, this is great. Thank you so much. Sure. Just to let you know, my partner, Dr. Perez, will be here tomorrow, so I'll let him know, and this way he'll aspirate your knee. Okay, awesome. Thanks so much, Doc. I appreciate it.
41:43All right, bro. You're welcome, man. Okay. Bye-bye. Great! That's amazing. I mean, I don't even know what to say, actually. Oh, wait. I'm actually kind of speechless. Like, I thought probably I was never playing again. Like, I really thought meniscus tear for sure. This question about my ACL, which the other doctor and I remember seeing the image four or five years ago, that the ACL was completely gone. Now they're seeing it as a spray, and I don't know what that's about, so we'll check the images. But I really thought the MCL was like cut in half. I heard it was like stepping on a bag of like popcorn with glass in it.
42:21That's what it genuinely sounded like. This guy James, who I play ball with, he's like, I've never heard anything like that before. So he heard it. He wasn't even guarding me. He was standing by like the free throw line. I was underneath the hoop. I'm so thrilled. I don't even know what to say. I'm actually, this is amazing. and maybe a simple guy like me, 48 years old with a busted knee, still can be in the WNBA. We'll find out. Wow.
42:50All right, all right. It is bright and early in the morning. A beautiful day in the free state of Florida. And we are driving from Miami to Naples. We have just entered Alligator Alley, where there are not only alligators, but there's also also Panthers that's true there was a panther reserve that apparently they closed and now there's Panthers just wandering around you've also got your snakes and your iguanas and other assorted animals there's also a Florida State Penitentiary and a Tesla charging station so anything could happen over the next couple hours but we're gonna get to Naples and we're doing some stem cells in the knee today I'm gonna do stem cells directly in the knee apparently I'm doing them intravenously I'm gonna be in a hyperbaric chamber, whole bunch of stuff.
43:31I've got a banged up ACL, banged up MCL. Something's going on with some of the tendons in there. It's a mess. But supposedly this doctor is the best of the best. And we're going to, as my friend said to me, it's pretty cool that, you know, in the old days, you'd either just get surgery or they would put something into you, right? Like they have to put some kind of medication into you or put some kind of fake knee or something. And now you can use your own body, your own stem cells, which come from your fat, to repair yourself. So pretty cool. And we'll see if we make it. Panther, Panther alert, Panther alert.
44:08That was a joke. That was a joke. No Panthers door. Hey, Pastor Doc. Wait. What's up, Doc? Are you the madman? How you doing? How you doing? I'm doing well. It's a pleasure. This is Joey and Joseph. Hi, nice to meet you guys. Nice to meet you guys. Nice to meet you guys. They always say that. different, you know, that he, something. You know, every monster comes from an egg. And that's where you want to kill it. So just like they say - Well, I think the monster's been released here already. So this, I think we're still in the egg. Well, they're saying your meniscus isn't torn. Yeah. That doesn't mean it doesn't have small defects.
44:46Yeah. You know, like, if a pebble hits a windshield, you get a little spider. Yeah. And then it begins to spread over time. so you want to seal it at the beginning even though it hasn't done anything yeah well it actually in the last two days has been bothering me a little bit more than it was i think i probably pushed it a little too far walking around the world and whatever so let's see what happens okay so quick explanation about diagnostic ultrasound so an mri gives us a view up on high. It could tell us there's a tear in the meniscus, a rotator cuff tear. With ultrasound, we can zoom in right up close and personal and see the individual fibers that make up the tissues, which are like strands on a rope.
45:34It's called an extracellular matrix. So I will tell you one other thing. Even when you were touching right now, so that hurts more on this side for sure. But when it first happened, it mostly hurt here. And what I've noticed, I said to you in the last couple of days it's been hurting more, it's more in the back. So you're describing the sum of all parts. I guess so. Right. And I've noticed my kneecap feels a little loose maybe or something like that. But it's crazy. It doesn't look. I mean, it looks pretty good, right? Yeah, it's got nice looking legs. They always said you have great knees. There you go.
46:09I brought some spare parts in case. Oh, look at that. Oh, in case we need to. Just in case this doesn't go well. So here's a normal one. Yeah, all right. Yeah, and that's the banged up. And my name is actually Dr. Smith, Justin. Oh, yes, got it, got it. Okay. In case anything goes horrific. So I'm just going to start looking inside your joint.
46:32Okay, so I'm just going to give you a quick explanation here while we're on. Okay, so this is subcutaneous fat here. This is part of the tendon. These are the muscles leading to your kneecap, which is right here. This is your femur, your leg bone. This dark area is the joint capsule. It comes actually above the knee. There's no ultrasound image down here because ultrasound doesn't penetrate bone. It's like sonar. It goes down, bounces off, and returns the signal to my probe. Right here, you can see these individual strands. That's the fiber network, the extracellular matrix. that makes up this tendon.
47:16So you see how this is nice and homogenous, evenly gray down through here? And then right here, there's a little black spot. That's a couple broken threads. That area probably measures not even a half a millimeter. But we can see it. So we're going to explore these tissues. So these guys are broken up where they attach to your kneecap, your patella. So right away we know that's an issue. That's probably why I'm feeling this weirdness in my kneecap. Well, we've got to fix it. You see these little teeny holes in there? Is that normal? No. Is it torn? No. Is it cracked? Yes. It's even bulging a little.
48:06See? Okay. I'm going to lay you down. I just want to look at your hamstrings. Yep. And then we're done with your knee. Right. So that's what you're looking at this right now. Yeah, the back of the knee. Yeah, that's that. Yeah, that. Yeah, hamstrings are important. Right. Especially because you run and jump.
48:36So right here, underneath your hamstrings, I'm going to tilt that. So this is the back of that ball, right? This is cartilage. And now here comes your hamstring. Look at all this junk. This is below it, right? so sub tenderness inflammation interruption of the normal echo texture the normal view of what these tissues should bunch up you see that way feels totally fine this is the bicep tendon right so you're actually watching all of that slide under a bone and make sure it doesn't get stuck or bunch up there's a fancy name for this guy, corcord process. Right, so I don't feel it at all when I go this way.
49:31I feel it more when I go out. It's called a unidirectional instability. And that's a series of ligaments. So you see the tip of that supraspinatus? But it's intact. It's there. It's just in trouble in here. So all this means is there's some fraying going on. And you just want to get that you know when a patient says you know I was fine I reached behind my seat yeah and and and then it snapped but the rope was fraying like when you see someone hanging off a cliff in a movie until finally the last hand goes yeah and it's the death dive all right so um we're set so now now the good part comes so with a fluid that contains lidocaine and anesthetic we're gonna take some fat out.
50:20Not a lot, so you're still going to look the same.
50:26And then there's this amazing technology that is now legal in the US where with this time machine it can take all of the cells out of fat and leave that reef intact. so that we can distribute it systemically for all the benefits I explained as well as in direct injection into all of these tissues. So there'll be a bunch of little injections, not that they hurt, we're going to raise a little lidocaine. We don't put the lidocaine where we put the cells because lidocaine is cytotoxic. So that's also an issue when people get stem cells and they say it didn't work. You know, did the doctor fill it up with lidocaine and you know like the pool and then put the stem cells in the pool.
51:17Right. I've got a pretty good end threshold so I'll be okay. Yeah. I put them in then I killed them. I did great but you didn't get better. All right.
51:36Oh, so that's the idea. That is the real deal. Up to three atmospheres. Wow. This is like what's in the hospital. So you lay in the tube. We can harass you, you can't get out. You can watch Fox, whatever you want. And you lay in - Can I put on MSNBC to really get my juices flowing? Will that help in any way? If I'm really in radio. Who's that step? Maybe we'll just put the view on. And we'll just see what happens. Oh, they're smart as hell, aren't they? I can't even believe people watch that crap. I think I found the right doctor. You relax. Yeah. And this is gonna supercharge you. So hyperbaric is oxygen therapy.
52:18That's what it's all about. That's why it helps heal wounds and all of these other things. So this is gonna drive oxygen in everywhere right after we put the stem cells in and circulated them to recharge your body. now we're gonna dump it with oxygen and they're all gonna be like wow so basically what we're gonna do is we're going to extract your own stem cells from your partition okay so what's gonna happen is I'm going to make two little incisions on the back just smaller incisions it doesn't require to stay joint Ethan I'm gonna put some nomen medication on I'm gonna wait a few minutes and then with a very small cannula I'm going to aspirate manually your fat okay after that we're done I'm gonna take about an hour and a half to put your other post tissue into a centrifuge and they're going to incubate it and basically going to activate those stem cells so I'm going to start putting the local anesthetic in here if you feel a little discomfort it's going to be very momentarily right now okay but it should dissipate really quick okay this is really the most discomfort you're going to feel okay
53:49good so if you want to look at this he has two tiny little that's all it is Oh, that's it? That's it. That's all he got. Two tiny little marks. See, it's nothing real here that you can tell much other than a little bit of swelling. Obviously, you have the local anesthetic in there, but it's almost nothing. And those two tiny little holes, they'll close up. Is it comfortable normal like this? A little tummy tuck, too. All right. Yeah, that's fine. Okay, that's good. Okay. All right. Got it. I've never felt slimmer. I didn't know I was getting a tummy tuck also. You're looking good. Hey! Those are spanks.
54:33That was definitely worse for you than it was for me. Oh, it was pretty brutal. Looking at that huge little... Yeah, you can't have no idea what she was doing really. You know, just feeling some pushes. Good thing she knows. Yeah, I guess she knows. Yeah, the machine knows. Yeah. This is just an incubator. An incubator? Yep. It's all gone in the incubator for 15 minutes.
55:00Go down, there you are, see it? Inject. Film this, dear. Probably no deeper than this. No, you're good. Fire away, see it?
55:16A lot of pressure. It's not even that it's so painful, it's just like intense pressure. You're just not used to pressure. But it gets better, right? Yeah, I got John Thorne more so now.
55:33I can't see, so you're going to have to. Sorry. Are you there? I am. And come under the probe. A little more, perfect, inject. Are we hopping there?
55:51Right there. Look at that. Wow.
55:59I feel right. I feel right. I've got my pink knee sleeve, my pink thing here, my oversized Big size shirt, big shorts. It's nice knowing all of you. If you want, I can... Come a little closer. So what's happening right now is I'm going into this machine and there's an avatar of me that's on a planet called Pandora and I'm gonna live with the natives, get to know their ways and eventually lead my people into destroying... Well, I probably said too much. Okay. See you on the other side.
57:13Hey, well then what are we doing? Nothing. You get out of my face and... That's it? That's it? You're done. Alright. You got the... Yeah, I got a little... I was about to say I got a little more motion. Oh, I want to work on that. Yeah, I was about to say I have a little more motion. I thought I did when I put my shirt on, but maybe not. Just sit up a second. Just go to raise your arm again. Oh, wow. Wow, you do know what you're doing. Look at that. That's crazy. It's like magic. Wow, how'd you do that? I'm magic. You're a comedian, I'm a magician, but I don't really do enough. So he is licensed.
57:52You know, he's a lion horse. Look at that. Wow. And now you're able to live. That's crazy. Alright. I could have sent him home with one wing. But then he'd be swimming in circles. They told me I can't swim for a couple days anyway, so that's alright. So anything I need to know about resting or anything? So now I'm just like I gotta just wait until I feel better and then I can just... Just do your thing, normal activity only. And that's fine. So just for a few days, just normal activity. Tylenol if you have pain. No NSAID yet. I mean, I was not, when I came in this morning, I was not putting my leg fully straight like that because it was hurting in the back.
58:39It's completely fine now. That sounds, that seems crazy to me. Crazy. Crazy loves crazy. That's nuts. How could that possibly be? It can't. Well, again, you know, we treated all of the structural tissues that had trouble. Not just one shot and go home. Yeah. Wow. Do you think I could really play in a couple weeks, probably? Hell yeah. That is nuts. Thanks, man. It's my pleasure. This is unbelievable. It's my pleasure. Take care of me. All right, guys. This is a super exciting day for me. I'm about to get back on the basketball court, basically for the first time since mangling my knee. That was the end of February.
59:26Today is May 16th, so it's only a couple months later. And at the end of February, I was playing ball. You guys know the story. I came down at the end after playing about three hours on a layup, crushed my knee. I heard pops, cracks, crinkles, crunches, like glass and popcorn as if you step down in a bag. There was a guy that wasn't even on the court who was like, holy cow, did you hear that? It was terrible. I thought I was never going to play again. Anyway, that was end of February. Then on April 10th, I went and I got stem cells. It was really, really an incredible procedure where they took fat from my back.
59:59They spin it in the centrifuge, do all kinds of stuff. I had about 15 tears, like micro tears in my knee. The doctor directly injected each one. Dr. Richie Striano, who's like a revolutionary in the industry, and we're going to do an interview with him. We did it there. It turns out I also had a big tear in my shoulder from something else. We did it there. My arm's working. Look at that. I got an arm that works. My arm was only going up to here. Try playing basketball when you can only do that. Try picking up kids when you can only do that. Anyway, now today is May 16th. So just about five weeks, barely five weeks after I did the stem cells and I've been working out a little bit.
1:00:33I did play a little two on two, which probably wasn't the wisest thing to do two weeks ago, but it was kind of slow motion. But today we're running some drills. I'm going to run some drills with Joey, who works for me, who's a hell of a player. And then two days from now, on Sunday, I'm going to play five on five full court again. and we just wanted to track this entire thing because the idea that you can seriously rip a lot of stuff in your body and then heal it with your own body's stuff, no surgery, no medication, none of that stuff, is pretty awesome. So had to bust out, got some new sneaks, got some new kicks for this.
1:01:09I'm a Jordan guy, old school. These are beautiful, these are beautiful. I'm an unboxer too on YouTube now. So these are the new kicks I'm very excited about. Got to get some new sneakers for when you make the return to the court. And then, even though technically my knee should be as strong as my other knee right now, I am a little nervous. So I'm going to do the same routine that I normally would do if I was playing beforehand because I had a bit of a weak knee before from some other basketball injuries. So I wrapped this baby. And then I have a sleeve, which this just kind of adds a little compression to it.
1:01:44The company, as you can see, is Mick David. No relation to me. half mcdonald's half david there you go so we do that so that's that's pretty tight already and i'm sure i'd be fine but just because we're taking all the precautions i bust out the titanium what was wolverine's claws made out of adamantium that's what this is made out of right here little adamantium over there get that baby on oh man it's been a while i miss this i really miss this and again I really probably don't need this stuff, but we're gonna at least go with it for today. Then we'll try out the new kicks. All right, notice I do the double, the double loop when I'm tying my shoes.
1:02:28All right, we got shoes. We got a knee. Here we go.
1:02:45I love you.
1:03:16One and two Vibraries
1:04:14歡迎agongy Upd Orthodox and Thank you.
From the publisher
Dave Rubin of "The Rubin Report" talks to Dr. Richie Striano about the groundbreaking use of stem cell therapy for orthopedic injuries; how adipose-derived stem cells can regenerate ligaments, tendons, and cartilage; the detailed process of stem cell extraction, activation, and targeted injection; the role of diagnostic ultrasound imaging for precision; the use of hyperbaric oxygen and laser therapy to enhance healing; the potential for stem cells to offer anti-aging and systemic health benefits; and Dave's own recovery from a knee injury and return to playing basketball; and much more.
