Episode 69: David LeMay talks about countering inflammation with SPMs

Dr. David LeMay is a sports medicine and rehabilitation physician who is a consultant for the NBA’s Washington Wizards, the NFL’s Oakland Raiders and the National Hockey League’s Washington Capitals, which won the Stanley Cup this year, their first in the franchise history.

Dave is also a neighbor of ours in Pensacola who has a practice called Lifestyle and Performance Medicine that is located just a few blocks from IHMC.

Dave and his practice partner provide personalized preventative care that helps people reduce the effects of stress on the body and mind to maximize function and health. In his practice, Dave works with a lot of athletes as well as retired and active military members, particularly people in special-ops, who have inflammation as a result of persistent injuries and traumas.

Dave often recommends specialized pro-resolving mediators, also known as SPMs, which help promote the natural termination of the inflammation process and allow a person to avoid anti-inflammatory drugs. We will especially be talking with Dave about this rather new way of treatment in today’s interview.

Some other topics we cover in Dave’s interview:

Neuroendocrine dysfunction, especially among military veterans.

The role of inflammation in concussions and traumatic brain injuries.

Dave’s work with the NFL Players Association Trust.

The role of specialized pro-resolving mediators in an aging population.

The proper dosage of SPMs for subacute inflammation.

Dave’s efforts to improve the diets of former NFL players.

The key components of keeping athletes healthy through an entire season.

The correlation between heath-rate variability and athletic performance.

Proper sideline protocols for players who sustain head injuries.

Optimal treatment for people who suffer TBI and concussions.

Establishing baselines for a person’s neuroendocrine function.

The role of DHA and EPA consumption for maintaining optimal brain health.

And much, much more.

Show notes:

[00:04:18] Dave begins the interview talking about growing up in Reno, Nevada, and playing sports non-stop as a kid.

[00:4:35] Dawn comments on how Dave’s love of sports lead to some injuries, including a few broken fingers and torn ligaments, and says she understands that this is how Dave first became interested in science.

[00:05:31] Dawn asks Dave about his decision to head to California after high school to attend Azusa Pacific University.

[00:06:37] Dawn asks what lead Dave back home to attend med school at the University of Reno.

[00:07:13] Ken asks Dave at what point he decided to specialize in physical medicine and rehabilitation.

[00:08:33] Dawn mentions that the University of Texas Health Science Center has one of the best physical medicine and rehab programs in the country. She asks Dave if this was the reason he decided to go there for his residency.

[00:09:21] Ken comments on how after Dave’s residency, he stayed in Austin for almost a year. But then Dave moved Pensacola and Ken asks how that came about.

[00:11:04] Dawn asks about Dave’s private practice, called Lifestyle and Performance Medicine, which he and his partner opened in 2013 after their time at the Andrews Institute.

[00:11:27] Ken points out that veterans, and some active-duty folks, particularly those with special operations backgrounds, comprise about half of Dave’s practice. Ken says he understands Dave has seen a great deal of neuroendocrine dysfunction in this group, and asks Dave for his observations.

[00:12:56] Ken mentions that Dave is the medical director for a program that is run through the NFL Players Association Trust. He asks Dave to describe the type of rehab that this program provides the former NFL players.

[00:14:54] Dawn comments on the concept of inflammation being a unifying component of many diseases that afflict Western Civilization, and how it is also a major contributor to the magnitude and persistence of diff...