Like An Athlete, Not A Patient

Gaia Forlani

For people with Parkinson's who train like athletes, not like patients.

  1. 1d ago

    The Scientist Who Found Brain Cells That Can Kill Neurons

    Dr. Shane Liddelow is a leading neuroscientist and researcher specializing in glial biology, neuroinflammation, and neurodegenerative diseases, including Parkinson's, Alzheimer's, and ALS. His groundbreaking research has challenged traditional views of how brain cells function and revealed how cells once thought to simply support neurons can actually contribute to their death. In this episode, he joins Gaia to explore a fascinating question: What if understanding Parkinson's requires us to look beyond the neurons themselves? Together, they discuss the critical role of astrocytes and microglia in maintaining brain health, how inflammation can transform normally protective cells into harmful ones, and why communication between different brain cells may be central to understanding neurodegeneration. They also explore the possibility of reversing harmful astrocyte states, the future of therapies targeting these cells, and how exercise, nutrition, and lifestyle may influence inflammation and brain health. But perhaps the most important message from this conversation is that the brain is not simply a collection of neurons. It is an interconnected system, and understanding how its cells communicate could fundamentally change how we approach Parkinson's treatment. While new therapies are still being developed, this research offers exciting possibilities for understanding and potentially influencing the processes that drive neurodegeneration. WHAT WE COVER: The role of astrocytes and microglia in brain health How normally protective brain cells can become toxic to neurons Dr. Liddelow's groundbreaking discovery of neurotoxic reactive astrocytes The relationship between neuroinflammation and Parkinson's disease Why certain neurons are more vulnerable to degeneration Whether harmful astrocytes can be reversed to a healthy state How astrocytes and microglia influence neuroplasticity The connection between exercise, nutrition, stress, and brain inflammation Why the brain's immune system may hold important clues for future treatments The potential for new therapies targeting astrocytes What the next generation of neuroscience research could mean for Parkinson's WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox.https://parkinsonperformancecentre.com/newsletter 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE:https://parkinsonperformancecentre.com/startprotocol STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

  2. Oct 14

    Deep Brain Stimulation Opens a Window & Most People Waste It

    Dr. Alfonso Fasano is a leading neurologist and researcher specializing in Parkinson’s disease, deep brain stimulation (DBS), neuromodulation, and freezing of gait. His work has contributed to advancing our understanding of Parkinson’s and the development of new approaches to treatment, including adaptive DBS. In this episode, he joins Gaia to explore how advances in Parkinson’s treatment can translate into better movement, greater independence, and improved quality of life. They discuss the latest developments in adaptive DBS, who may benefit from brain stimulation, and why even the most advanced technologies have limitations. They also explore the science behind freezing of gait, the complexities of neuroplasticity, and common misconceptions about levodopa and dyskinesia. Throughout the conversation, Dr. Fasano emphasizes that treatment is not simply about reducing symptoms. It is about creating opportunities to exercise, remain socially engaged, and continue doing the things that make life meaningful. He also shares powerful reflections from people who have lived with Parkinson’s for more than 30 years. WHAT WE COVER: • How adaptive DBS differs from traditional DBS• What adaptive DBS can and cannot improve• Who may be a good candidate for DBS• Why patient expectations matter before surgery• Why DBS is not a cure for Parkinson’s• The limitations of DBS and why it cannot eliminate all motor symptoms• How brain activity and beta waves relate to Parkinson’s symptoms• Why neuroplasticity is not always beneficial• The science behind freezing of gait• How multitasking and cognitive demands affect walking• Levodopa, dyskinesia, and common medication misconceptions• Why delaying medication can sometimes reduce quality of life• When Parkinson’s medication may be necessary• Why treatment adjustments require time and communication• The importance of trust between patients and neurologists• Why exercise and social engagement matter alongside medical treatment• The role of family and caregivers in DBS outcomes• Insights from Reprogramming My Brain, co-authored with Benjamin Stecher• What people living with Parkinson’s for over 30 years would tell their newly diagnosed selves WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox.https://parkinsonperformancecentre.com/newsletter 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE:https://parkinsonperformancecentre.com/startprotocol STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

  3. Oct 7

    Why Women With Parkinson's Are Dosed Wrong

    Professor Elena Moro is one of the world’s leading neurologists specializing in Parkinson’s disease, movement disorders, and deep brain stimulation (DBS). Having trained in Grenoble, where modern DBS was pioneered, she has spent decades at the forefront of Parkinson’s research and care. In this episode, she joins Gaia to explore what it really means to treat the person with Parkinson’s, not just the disease. They discuss how DBS works, who may benefit, when to start levodopa, and common misconceptions surrounding Parkinson’s medication. They also explore an area that remains significantly under-researched: women with Parkinson’s, including hormones, menopause, pregnancy, and differences in treatment. Throughout the conversation, Professor Moro comes back to the importance of listening to the patient, focusing on quality of life, and taking a more holistic approach to Parkinson’s care. WHAT WE COVER: How deep brain stimulation (DBS) worksWho may be a good candidate for DBSWhat DBS can and cannot improveWhy electrode placement mattersWhen to consider starting levodopaWhy levodopa is not “toxic”Medication side effects to understandWhy treatment should focus on quality of lifeDifferences between Parkinson’s in women and menHormones, menopause, pregnancy, and Parkinson’sWhy women-specific Parkinson’s research is still lackingThe role of exercise, sleep, diet, and rehabilitationWhy family and caregivers matter in Parkinson’s careEqual access to Parkinson’s treatmentsWhy there is no “magic pill” for Parkinson’sHow close we really are to finding a cure WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox.https://parkinsonperformancecentre.com/newsletter 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE:https://parkinsonperformancecentre.com/startprotocol STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

  4. Sep 30

    Your Parkinson's Plan Is Underdosed

    Dr. Nick Dennis is a Doctor of Physical Therapy and board-certified neurologic clinical specialist specializing in neurological rehabilitation. He is also the co-founder of NeuroStrength Network, a Parkinson’s exercise community designed to bridge the gap between physical therapy and long-term independence. In this episode, he joins Gaia to explore an important question: Are we underdosing exercise for Parkinson’s? Dr. Dennis explains why simply moving more can create initial progress, but why intensity matters as the body adapts. They discuss how strength and conditioning can complement physical therapy, what effective Parkinson’s training can look like, and how heart rate, wearables, and rate of perceived exertion can help measure whether someone is actually training at the right intensity. dr-gaia They also explore training for freezing of gait, posture and balance, what should happen after physical therapy ends, and why recovery is just as important as training hard. Ultimately, Dr. Dennis challenges the idea that Parkinson’s automatically means training less — while emphasizing that exercise should be individualized, progressive, and sustainable. WHAT WE COVER: Why exercise for Parkinson’s may be underdosed Strength and conditioning vs. traditional physical therapy Why intensity matters for continued progress What a week of Parkinson’s training can look like Heart rate, wearables, and rate of perceived exertion (RPE) Training for freezing of gait, posture, balance, and strength What should happen after physical therapy ends The role of community and accountability Common misconceptions about Parkinson’s and exercise Why exercise does not cure Parkinson’s Over-exercising, recovery, sleep, and fueling How to approach training on difficult days Why a Parkinson’s diagnosis does not define the person WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox.https://parkinsonperformancecentre.com/newsletter 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE:https://parkinsonperformancecentre.com/startprotocol STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

  5. Sep 23

    Neurosurgeon Explains Where Parkinson's Surgery Fits

    Dr. Vanessa Milanese is an internationally recognized functional neurosurgeon specializing in movement disorders, deep brain stimulation (DBS), epilepsy surgery, and advanced pain interventions. Her work explores how the brain’s interconnected networks influence movement, cognition, emotion, and behavior — and how neuromodulation can be used to improve the lives of people with Parkinson’s disease.  In this episode, she joins Gaia to break down deep brain stimulation — what it actually does, who may benefit, when someone with Parkinson’s should begin considering it, and what patients can realistically expect. Dr. Milanese explains how DBS can improve symptoms including tremor, rigidity, and bradykinesia, why timing matters, and how specialists determine whether someone may be a good candidate. She also discusses the importance of looking beyond a single area of the brain and understanding the networks and connections responsible for different symptoms.  They also explore where DBS is heading next — from adaptive stimulation and advanced neuroimaging to increasingly precise, personalized approaches to targeting the brain. But the conversation goes beyond surgery. Dr. Milanese shares why she asks every patient about their goals, why listening matters just as much as technology, and why the ultimate goal of treatment is helping people get back to the lives they want to live.  WHAT WE COVER: What deep brain stimulation (DBS) is and how it works Where DBS fits alongside medication, physical therapy, and exercise When someone with Parkinson’s should start considering DBS Why education about DBS should begin before someone actually needs surgery Which symptoms DBS can improve, including tremor, rigidity, and bradykinesia How doctors evaluate whether someone may be a good candidate Why timing matters and why waiting too long can limit treatment options How surgeons decide which areas and networks of the brain to target Why DBS can sometimes be performed on only one side of the brain Standard DBS vs. adaptive DBS and where the technology is heading How advanced imaging can help make stimulation more precise Potential side effects and how DBS programming can be adjusted Why communication between surgeons, neurologists, patients, and caregivers matters The importance of listening to the person behind the diagnosis How DBS may help some people regain independence and return to meaningful activities What scientists still have to discover about the brain and neuromodulation Dr. Milanese’s mission to help patients pursue the goals that matter most to them WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox.https://parkinsonperformancecentre.com/newsletter 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE:https://parkinsonperformancecentre.com/startprotocol STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

  6. Sep 16

    Jimmy Choi's Lessons From 23 Years With Parkinson's

    Jimmy Choi is an athlete, Parkinson’s advocate, marathon runner, world-record holder, and seven-time American Ninja Warrior competitor who has spent more than two decades living with Parkinson’s disease. Diagnosed at just 27, Jimmy spent eight years largely ignoring his diagnosis until a frightening fall down the stairs while carrying his 10-month-old son became the moment he knew something had to change.  In this episode, he joins Gaia to talk about the mindset shift that took him from simply exercising because it was “good for Parkinson’s” to training with a purpose. He shares how running helped him work on his gait, why falling led him to start training burpees, how his approach has evolved as Parkinson’s has progressed, and why high-intensity training, strength, balance, recovery, and mental health all play a role.  Jimmy also speaks openly about the harder parts of his journey: denial, depression, vulnerability, OFF periods, asking for help, and the family that ultimately became his reason to keep going. His message throughout the episode is clear: “I’m not striving to be an athlete. I’m striving to be the best person I can be for my family.” WHAT WE COVER: Being diagnosed with Parkinson’s at just 27 years old Eight years of anger and denial, and the moment that finally forced Jimmy to make a change Why he stopped simply exercising and started training with a purpose How training his gait helped him move better in everyday life The athlete mindset and why Jimmy believes in training beyond “just enough” How to start moving when you’ve never considered yourself an athlete Finding balance with training, nutrition, and recovery Jimmy’s journey from marathons to American Ninja Warrior How he handles OFF periods, difficult days, and accepting help Mental health, masculinity, vulnerability, and asking for help The changes Jimmy noticed with high-intensity training Why falling led him to start doing burpees and eventually break a world record How his training continues to evolve as Parkinson’s progresses Building strength, balance, stability, and power based on what his body needs How Jimmy built a care team around professionals who understood his goals Why recovery is just as important as training How Jimmy structures his training and adapts it to his needs Why his family remains the purpose behind everything he does WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox. 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE. STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

  7. Sep 9

    How Not To Be The Average With Parkinson's

    Melba and Tristan are both living with Parkinson’s, but their journeys look very different. Melba was diagnosed five years ago after a lifetime of being incredibly active. Tristan was diagnosed just one year ago at 40, with three young children and a baby at home. In this episode, they join Gaia for an honest conversation about what happens after the diagnosis, from the fear and uncertainty to rebuilding confidence, setting big goals, and learning how to move forward. At the center of their conversation is an idea Melba calls “active hope.” Hope isn’t simply wishing things will get better. It’s training, nutrition, mindset, mindfulness, discipline, building the right support system, and continuing to show up even on the days when motivation isn’t there. As Melba puts it: “We can all hope. But you have to put legs on that hope.” Together, they challenge the idea that a Parkinson’s diagnosis should automatically mean doing less. They explore the difference between simply being active and truly training, why exercise needs to be individualized, and what it means to train like an athlete, not a patient. They also discuss family, vulnerability, discipline, building a multidisciplinary care team, the potential role of AI, and why the person living with Parkinson’s should remain at the center of their own care. WHAT WE COVER: Melba and Tristan’s very different experiences of being diagnosed with Parkinson’s The fear, grief, and uncertainty that can follow a diagnosis Why Parkinson’s should not automatically mean lowering expectations for what someone is capable of The difference between being active and intentionally training What it means to “Train Like An Athlete, Not A Patient” Why Parkinson’s training should consider intensity, load, volume, duration, variety, and the individual Building resilience and continuing to show up when motivation disappears Melba’s concept of “active hope” How Parkinson’s affects spouses, children, and the wider family Protecting the relationship between partners instead of allowing it to become only patient and caregiver Building a care team beyond the neurologist Why the person living with Parkinson’s is the real expert on their own experience How AI may support, rather than replace, clinicians, trainers, and care partners Discipline, consistency, and focusing on what remains within your control Setting big goals and refusing to let Parkinson’s automatically make life smaller Why real hope requires action, effort, and putting in the reps WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox. 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE. STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

  8. Sep 2

    The Preventable Disease America Keeps Paying For

    Dr. Ray Dorsey is a neurologist, researcher, author, and public health advocate who has become one of the leading voices challenging how we think about the origins and future of Parkinson’s disease. His central argument is provocative: the dramatic rise in Parkinson’s cannot be explained by aging and genetics alone. Instead, Dr. Dorsey believes environmental factors, including pesticides, industrial chemicals, contaminated water, and air pollution, are playing a major role in fueling the disease. In this episode, he joins Gaia for a wide-ranging conversation about why Parkinson’s prevention deserves far more attention, what we already know about environmental risk factors, and what individuals, communities, researchers, and policymakers can do to change the trajectory of the disease. Dr. Dorsey also brings the conversation down to the individual level. He shares practical ways people can potentially reduce exposure through their food, water, and air, discusses the growing importance of exercise, and explains why every person with Parkinson’s should work toward building their own “Parkinson’s Dream Team.” His message throughout the episode is clear: “Parkinson’s is fundamentally a preventable disease.” WHAT WE COVER: Why Parkinson’s has become one of the world’s fastest-growing brain diseases Why Dr. Dorsey argues Parkinson’s is an “unnatural consequence of aging” The role environmental factors may play in Parkinson’s, including pesticides, industrial chemicals, air pollution, and contaminated water Paraquat, trichloroethylene, and other chemicals Dr. Dorsey believes deserve greater attention Why so little Parkinson’s research funding is focused on prevention The connection between industrialization and rising rates of Parkinson’s around the world Practical steps from Dr. Dorsey’s “Parkinson’s 25” to potentially reduce exposure through food, water, and air Why exercise may be one of the most important developments in Parkinson’s care How to build your own “Parkinson’s Dream Team” when specialized care is difficult to access How telemedicine and technology could expand access to neurological care Why understanding what causes Parkinson’s may be essential to eventually slowing, preventing, or curing it Why people with Parkinson’s, caregivers, and families need to “turn up the volume” and make their voices heard Dr. Dorsey’s vision for creating a future where Parkinson’s becomes less common rather than more common WHAT’S NEXT: 📧 Join our newsletter: Get Parkinson’s research, practical strategies, expert insights, and updates from Parkinson’s Performance Centre delivered straight to your inbox. 🏋️ Train Like An Athlete: Gaia’s work at Parkinson’s Performance Centre, and her belief that people with Parkinson’s can train like athletes, was the inspiration behind the Like An Athlete, Not A Patient podcast. If you’re interested in learning more about Gaia’s program and how PPC helps people with Parkinson’s train with purpose, explore the program HERE. STAY CONNECTED WITH US: Instagram: @gaia.forlani.ppc Facebook: Gaia Forlani SUBSCRIBE & REVIEW If this episode changed the way you think about Parkinson’s rehabilitation and the role you can play in your own care, subscribe to Like An Athlete, Not A Patient and leave a review. It helps more people with Parkinson’s, their families, caregivers, and the professionals supporting them discover these conversations.

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5
out of 5
2 Ratings

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For people with Parkinson's who train like athletes, not like patients.

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