Alex P. Michael, MD, FACS

Alex P. Michael, MD, FACS Board certified neurosurgeon
Brain tumor and minimally invasive spine specialist
Chair of Public Outreach, North American Spine Society

The brain cleans itself while You sleep. Here's what most people don't know:Your brain has its own waste disposal system...
05/11/2026

The brain cleans itself while You sleep. Here's what most people don't know:

Your brain has its own waste disposal system. It's called the glymphatic system — discovered just over a decade ago — and it runs almost exclusively while you're asleep.

During deep, slow-wave sleep, your glial cells shrink by up to 60%, opening channels that flood the brain with cerebrospinal fluid. That fluid sweeps out the metabolic byproducts of a day's worth of thinking — including beta-amyloid and tau, the same proteins implicated in Alzheimer's disease.

Skip sleep, and the trash piles up. Literally.

A few practical points:

Deep sleep is the work shift. Not light sleep. Not "lying in bed." The clearance happens in the deepest stages, which front-load the first half of the night.

Alcohol and late screen time blunt deep sleep architecture — meaning the cleanup crew clocks out early.

Sleeping on your side may enhance clearance compared to back or stomach (animal data, but consistent).

Your cognition tomorrow is built on the cleaning your brain did last night. Protect the shift.

04/01/2026
Thank you to the St. Louis Science Center and Medtronic for such a wonderful event. It was incredibly rewarding to give ...
04/01/2026

Thank you to the St. Louis Science Center and Medtronic for such a wonderful event. It was incredibly rewarding to give the public hands-on access to real OR equipment and a chance to experience what it’s like to be a neurosurgeon.

I’m excited to begin a new chapter with the Department of Neurosurgery at Washington University in St. Louis and honored...
03/12/2026

I’m excited to begin a new chapter with the Department of Neurosurgery at Washington University in St. Louis and honored to join such a distinguished and nationally recognized team.

03/03/2026

The easiest cancer prevention, avoid sugar!

🧠 Give Spinal Surgery a Spin!Step into the world of modern neurosurgery with Dr. Alex P. Michael, Chief of Neurosurgery ...
10/27/2025

🧠 Give Spinal Surgery a Spin!
Step into the world of modern neurosurgery with Dr. Alex P. Michael, Chief of Neurosurgery at Mercy Hospital South. Try your hand at surgical techniques, explore brain and spine innovations, and see how science and technology are transforming patient care.

📅 March 21 | 📍 Life Science Classroom
Sponsored by Medtronic

09/21/2025
07/02/2025

A look at why I chose neurosurgery and the conditions I can treat to help patients reclaim their quality of life.

Address

St. Louis, MO

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm
Friday 8am - 4pm

Telephone

+13145435999

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