Dr. Gary Steinberg

But I still let my patients cool just a few degrees.

And we've had some anecdotal cases where patients have had problems.

And because we cooled them, we think it made a benefit.

For instance, we had one patient who we hadn't even done.

I was getting ready to do a bypass to sew a scalp artery to a brain artery.

But we hadn't even, I think, made the skin incision.

And the patient had a cardiac arrest.

And it lasted for a long time.

So we were pumping on the chest, couldn't restore function.

And it was way outside the amount of time that you would have expected a good recovery.

But the patient had been cooled down to 33 degrees by the time it had happened.

And then we finally got the heart started.

We ended up putting some restoring flow through catheters and a heart-lung machine.

And remarkably, the guy made a complete recovery.

So anecdotal, but cases like that suggest maybe cooling even a few degrees has a protective effect on the brain.

We certainly know it's true for cardiac arrest and global ischemia.

I'm not an expert on platelet-rich plasma, but...

My reading of the literature cursorily suggests there's not hard evidence that it's beneficial.

I think one has to be a little careful.

For instance, I still get emails every few weeks from people saying, I've had a stroke or I've had a head injury and should I go to