Shai Efrati, MD: A Personalized Approach to Enhanced Medicine

In an interview with Shai Efrati, MD, director of the Sagol Center for Hyperbaric Medicine & Research and head of Nephrology at Shamir Medical Center, he explains that the first step in an enhanced medicine approach is a comprehensive evaluation. He and his team assess the damage or issue, whether it’s a brain stroke, traumatic brain injury, COVID-related complications or age-related cognitive decline.

This involves advanced brain imaging such as magnetic resonance imaging (MRI), diffusion tensor imaging (DTI) and metabolic imaging using single-photon emission computed tomography (SPECT) scans. They evaluate both cognitive and physical functions. After gathering all the results, the next step is to sit with the patient to understand their "biological wish"—what they hope to achieve through treatment. This process includes setting realistic expectations based on the biological condition and tailoring a program to activate the body's repair mechanisms. Finally, providers reevaluate the patient’s progress, comparing it against objective metrics.

He says it’s important to note that this isn’t just hyperbaric oxygen therapy—it’s a whole treatment and evaluation program that involves a multidisciplinary team. Each patient’s case is discussed by experts to create the most suitable plan. After the treatment, the healthcare provider determines whether they can preserve or even improve the patient’s functionality.

For readers of Efrati’s book, "Beyond Normal," who wish to implement these principles, many aspects can be self-applied through education and commitment. However, for those seeking professional treatment, especially hyperbaric therapy, it’s crucial to avoid unprofessional clinics. Treatment should be conducted in proper facilities by a team of trained physicians, neuropsychologists, physiologists and more, using the right equipment and brain imaging technology. Enhanced medicine requires high-quality care, and treatments performed improperly can cause harm.