Dr Ferdinand Hui is a rare gem of a surgeon- brilliant in his craft, able to communicate complicated concepts clearly, and caring and compassionate for the reality that disease can impart in the life of a person and their family. Here we get a chance to cruise around the blood vessels of the brain with a neurointerventional surgeon, who's focus is minimally invasive procedures to treat the blood vessels of the brain and spine. Although he thinks of himself as a plumber, rotor-rootering the pipes, these are live pipes and much of our discussion centers on the nature of the arteries and veins.

We discuss leaks (hemorrhage) and clogs (ischemic clots) as a starting point, with the associated diseases of stroke, heart attack and aneurysms.

Then we get deep with the 'gray zone' of reduced but not necessarily stopped oxygenation which can be a primary driver for brain fog. We discuss anatomical, functional and inflammatory interruptions to oxygenation and vessel flow, even down to the epithelial layer of the arterial vessel walls. Here is where we discuss COVID and the apparent epithelial shedding that the spike protein can instigate, which likely drove much of the cardiovascular events (heart attack, stroke) of the first COVID wave in 2019/ early 2020.

About prevention, Dr Hui says, "The American medical system might really reward surgery but what humanity really needs is prevention. Prevention starts at birth."

Resources:

• Society of Neurointerventional Surgery: https://www.snisonline.org/
• More about Dr Hui: https://www.queens.org/providers/2225/ferdinand-k-hui/