Look Who it Was Random video

Stem Cell for the Knee part 2: Cartilage & Scaffolding- FORD BREWER MD MPH

931 views · Published 11 December 2018 · 5:32 · Indexed 6 October 2026

Channel: Dr. Ford Brewer MD MPH · 2018 · Science & Technology

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ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor.  After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine.  While there, he went on the run the post-graduate training program (residency) in Preventive Medicine.  From there, he made a career of practicing and managing preventive medicine and primary care clinics.  His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics.  He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline.  We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event.  Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area.  We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance.  Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

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ABOUT THIS VIDEO:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4178263/

https://www.tandfonline.com/doi/full/10.1080/17453674.2017.1368899

This is a Nov 2017 Literature review re: stem cell and PRP treatment of the knee. Knee injury is one of the most common orthopedic causes of disability. And it's growing with the aging and obesity epidemics. There are 2 major competing techniques: PRP and BMAC. 

PRP is Platelet Rich Plasma is common with new standards of over 5 mil platelets/ml of plasma. The attraction of platelets is actually the growth factor contained by the platelets. 

BMAC is Bone Marrow Aspirate Concetrate. This is usually obtained from the back side of the pelvic bone in a sterile environment. It is minimally processed, simply spun down.

They repeat the general theme. There is a lot of promise, but research seems to be going too slow. Here are some reasons: 1. outcomes are subjective (pain ); 2. there processes are changing (taking out wbc and adding scaffolding); and 3. failure to standardize and document procedures.

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