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Heart Health            Enrique Saguil, MD          First Health AssociatesWe didn’t invent the practice of medicine….    ...
Release:• This lecture is not meant to substitute for  medical care• Please see your doctor for questions• There are no fi...
My Doctor:                    Listens to my concerns                    Cares what I have to say                    Doe...
The First Health Approach We didn’t invent the practice of medicine….                 we’re just changing the way it’s pro...
Your Community     of Care      Ric Saguil, MD    Jason Gruss, MD     Tom Jordan, RD Katrina Christie, LCPC  Jennifer Gree...
What is this thing in our chest?
Sir Isaac Newton followers:• It’s made of muscle• It moves blood like a pump• It beats/contracts every second
Albert Einstein followers:• An area of radiating energy• True seat of control for daily function• A way into consciousness
Yogic practitioners:• A vortex of energy (Anahata)• Allows us to give and receive love without fear  or attachment
What we learned in school        –it gives life!
What we learned at the “physical”           –its going to attack us                           The heart will die if       ...
What we learn in some yoga classes
Three guys are hunting duck:• Family Medicine Doc     DUCK !!!• Internal Medicine Doc   R/O Mallar, R/O Quail!!!• Surgeon ...
The Saguil Approach•   Rescue•   Stabilize•   Grounding•   Nutrition/Behavioral/Movement•   Flare up/maintenance planning
Rescue• Coronary artery disease
Western medicine• Bypass• Angioplasty• Medicines to increase heart function                contractility                pr...
Whats this sign!?!
•   Chest discomfort•   Discomfort in other areas of the upper body•   Shortness of breath•   Other-cold sweat, lightheade...
Soft Rescue=Risk Screening•   History and Physical/ekg•   Exercise stress echo/thallium•   Ultrafast CT scanning of the he...
WHR                             Rib and Iliac                          1 in above navel                            Widest ...
Mega Hospitals vs Healing CentersHaving one/creates the other                               Healing Center
The Saguil Approach•   Rescue•   Stabilize•   Grounding•   Nutrition/Behavioral/Movement•   Flare up/maintenance planning
Stabilize and plan the wean• Return to ADL’s• Plan sustainable changes.• Plan to get off rescue meds with diet,  grounding...
Meds:•   Asa - daily•   HCTZ – 50 daily•   Beta blocker – bid•   Ace inhibitor 1-2xday•   Calcium channel blocker – 1-2xda...
Meds work on the “Newton Heart”
The Saguil Approach•   Rescue•   Stabilize•   Grounding•   Nutrition/Behavioral/Movement•   Flare up/maintenance planning
Dr Saguil’s Special Forces• The concept of “Grounding”• Nutrition/Behavior/Movement        Registered Dietician        Beh...
Special Forces in Action              - Dean Ornish, MD pilot study•   Nutrition•   Managing stress•   Fitness/Yoga•   Lov...
Flare Up/Maintenance planning• Re-conceptualize flare up pain• Plan Reassessment and Reset goals• Accountability is key
Western medicine maintenance goals•   Control blood pressure   medicines•   Control cholesterol      medicines•   Control ...
“Alternative” medicine goals• Eat properly                 FFFF• Poop properly                “• Move                     ...
Fat’s where it’s at• Monounsaturated• No vegetable oils• Olive oil/macadamia nut oil/toasted sesame  seed oil/walnut oil
Fiber•   Changes satiety•   Slows absorption•   Pulls cholesterol•   Adds bulk to stool/massages gi tract
Flat-curve carbs• Low glycemic index/load• ANDI/MANDI
Refined nutrition that “dumps insulin”                       GoGo Juice from                       Toddlers and Tiara’s st...
Friendly herbs•   Ashwaganda – anxiety 500 bid•   Boswellia – inflammation 300 2-3xday•   Guggul – cholesterol 500 tid for...
Dr Ric’s beginner supp’s…•   Multivitamin (watch vit A, calcium)•   Omega 3 fish oil•   Vit D•   Disease/medicine specific...
Colorado Blizzard Feb 2012“There’s no more meat or lettuce!!!”
Learn three dishesLearn three spices
Dr Ric Fav’s• Roasted Asparagus Spears – OO, Fresh Garlic,  Crushed Red Pepper, Salt - 350x12 min• Spinach/Garlic Stir Fry...
Movement (exercise)•   150 m/week moderate exercise•   75 m/week of vigorous (vig/mod)•   30 m/day/5days/week•   10 m/3xd/...
Calories per hourActivity                        100 lb   150 lb   200 lbBicycling, 6 mph                160      240     ...
Energy work!!!!!•   Einstein and quantum physics•   Traditional Chinese medicine•   Ayurveda/yoga•   Reiki•   Healing touc...
Ayurveda Whole System Approach to Energy• Chakras• Nadi’s• Marma point
Moving energy
Lets move together!!
Synchronicity-Love and Service to others•   Takotsubo Cardiomyopathy (temp LV dys 4-6 wk)•   Harmonic coherence•   Menstru...
Breathing as exercise?         Inspiratory           Reserve                                                         Olymp...
Contestants ready….deep breath in            …..and…..
A neti pot reminder:                       Neti kriya                       Nasya Karma
Pranayama (BAM!)                                     Breath Awareness Meditation• Ujjayi       Victory or Ocean• Nadi Shod...
Meditation•   Moving•   Supported           Tim Olmsted                        -Pres. Pema Chodron•   Group               ...
Supported meditation to              maintain change•   Sight -candle, mandala, image•   Sound -singing bowl, nature, brea...
Meditation timers               Start:               5-10 minutes twice a day               Maintain:               30 min...
Proving “hokupokus” with RCT’s!
Control the internal milieu that determines your futureweak       strong
The Saguil Approach•   Rescue•   Stabilize•   Grounding•   Nutrition/Behavioral/Movement•   Flare up/maintenance planning
DrRic take home points1.   Patient heal thy self,2.   Find your own “center for healing”3.   Keep western medicine “on a l...
How to choose what is right for you?                    http://integrativemedicine.arizona.edu/alumni.htmlNational Center ...
Q & A?  Future Lecture: Hypertension Pioneer Park Arlington Heights    February 25th 11-12noon         (847) 593-3330DrRic...
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DrRic Heart Health (slide share edition)

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DrRic presentation for February at Bodhi Prem Yoga Arlington Heights, Whole Foods Market Schaumburg
February is Heart month in the US, people should be empowered to learn about heart disease, how it affects your health and sustainable ways to postpone or prevent its occurance.

Published in: Health & Medicine, Spiritual
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  • Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)
  • Design notes: list of providersWe want this to look much more inviting—these chairs are way too cold.Had thoughts about putting the actual providers in the chairs. Could be an actual live picture with a sample patient in the red chair or could be a group of providers sitting around the table.
  • Transcript of "DrRic Heart Health (slide share edition)"

    1. 1. Heart Health Enrique Saguil, MD First Health AssociatesWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    2. 2. Release:• This lecture is not meant to substitute for medical care• Please see your doctor for questions• There are no financial connections between Bodhi Prem Yoga-Enrique Saguil, MD• A copy of this ppt is available by calling (847) 593-3330 Or friend DrRic Saguil
    3. 3. My Doctor:  Listens to my concerns  Cares what I have to say  Doesn’t Keep Me Waiting  Gives Me OptionsWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    4. 4. The First Health Approach We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
    5. 5. Your Community of Care Ric Saguil, MD Jason Gruss, MD Tom Jordan, RD Katrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Emery Paredes, PT Courtney Day, EP Aimee Weber, EP Yu Zhu, MD China You
    6. 6. What is this thing in our chest?
    7. 7. Sir Isaac Newton followers:• It’s made of muscle• It moves blood like a pump• It beats/contracts every second
    8. 8. Albert Einstein followers:• An area of radiating energy• True seat of control for daily function• A way into consciousness
    9. 9. Yogic practitioners:• A vortex of energy (Anahata)• Allows us to give and receive love without fear or attachment
    10. 10. What we learned in school –it gives life!
    11. 11. What we learned at the “physical” –its going to attack us The heart will die if cholesterol or blood pressure is too high 250,000 women die annually 25% Americans fit Metabolic S 2.5% m (1.9%f) increase in cardiovascular events in Prehypertension AHA heart attack risk calc – americanheart.org
    12. 12. What we learn in some yoga classes
    13. 13. Three guys are hunting duck:• Family Medicine Doc DUCK !!!• Internal Medicine Doc R/O Mallar, R/O Quail!!!• Surgeon I Dunno, but I got it!!!
    14. 14. The Saguil Approach• Rescue• Stabilize• Grounding• Nutrition/Behavioral/Movement• Flare up/maintenance planning
    15. 15. Rescue• Coronary artery disease
    16. 16. Western medicine• Bypass• Angioplasty• Medicines to increase heart function contractility preload lowering after load lowering
    17. 17. Whats this sign!?!
    18. 18. • Chest discomfort• Discomfort in other areas of the upper body• Shortness of breath• Other-cold sweat, lightheadedness, nausea
    19. 19. Soft Rescue=Risk Screening• History and Physical/ekg• Exercise stress echo/thallium• Ultrafast CT scanning of the heart• Homocysteine/cardiac CRP• Fasting lipid• Fractionated lipid• BMI/BP/waist to hip ratio
    20. 20. WHR Rib and Iliac 1 in above navel Widest butt or hip WHO NIDiabetesDigestiveKidneyds 0.9 males 1.0 males 0.85 females 0.8 females
    21. 21. Mega Hospitals vs Healing CentersHaving one/creates the other Healing Center
    22. 22. The Saguil Approach• Rescue• Stabilize• Grounding• Nutrition/Behavioral/Movement• Flare up/maintenance planning
    23. 23. Stabilize and plan the wean• Return to ADL’s• Plan sustainable changes.• Plan to get off rescue meds with diet, grounding and movement• Or lower side effect stabilizing med/s
    24. 24. Meds:• Asa - daily• HCTZ – 50 daily• Beta blocker – bid• Ace inhibitor 1-2xday• Calcium channel blocker – 1-2xday• Nitroglycerin – 2xday• Coumadin – daily
    25. 25. Meds work on the “Newton Heart”
    26. 26. The Saguil Approach• Rescue• Stabilize• Grounding• Nutrition/Behavioral/Movement• Flare up/maintenance planning
    27. 27. Dr Saguil’s Special Forces• The concept of “Grounding”• Nutrition/Behavior/Movement Registered Dietician Behavioral Health Exercise Physiologist Yoga Therapeutics
    28. 28. Special Forces in Action - Dean Ornish, MD pilot study• Nutrition• Managing stress• Fitness/Yoga• Love, Intimacy, Support Now covered by• 28 patients for 1 year Medicare!!• Low fat vegetarian• Stop smoking• Stress management• Moderate exercise• 82% experimental group had change toward regression 1yr …more regression 5yr
    29. 29. Flare Up/Maintenance planning• Re-conceptualize flare up pain• Plan Reassessment and Reset goals• Accountability is key
    30. 30. Western medicine maintenance goals• Control blood pressure medicines• Control cholesterol medicines• Control diabetes medicines• Prolong life? medicines• Nutrition and exercise on your own
    31. 31. “Alternative” medicine goals• Eat properly FFFF• Poop properly “• Move Yoga/Qi Gong• Sleep “• Commune/contribute Service to others• Love “• “Lack of disease does not equate health”
    32. 32. Fat’s where it’s at• Monounsaturated• No vegetable oils• Olive oil/macadamia nut oil/toasted sesame seed oil/walnut oil
    33. 33. Fiber• Changes satiety• Slows absorption• Pulls cholesterol• Adds bulk to stool/massages gi tract
    34. 34. Flat-curve carbs• Low glycemic index/load• ANDI/MANDI
    35. 35. Refined nutrition that “dumps insulin” GoGo Juice from Toddlers and Tiara’s star Anna Holler
    36. 36. Friendly herbs• Ashwaganda – anxiety 500 bid• Boswellia – inflammation 300 2-3xday• Guggul – cholesterol 500 tid for 3 months• Triphala – bowel regulation 1000 qhs• Gymnema – chew 3-4 xday
    37. 37. Dr Ric’s beginner supp’s…• Multivitamin (watch vit A, calcium)• Omega 3 fish oil• Vit D• Disease/medicine specific repleation• Sshhh……until you maximize your nutrition!
    38. 38. Colorado Blizzard Feb 2012“There’s no more meat or lettuce!!!”
    39. 39. Learn three dishesLearn three spices
    40. 40. Dr Ric Fav’s• Roasted Asparagus Spears – OO, Fresh Garlic, Crushed Red Pepper, Salt - 350x12 min• Spinach/Garlic Stir Fry – OO, Spinach, Fresh Garlic, Grated Ginger, Oyster Sauce – Medx15min• Sockeye Salmon – OO, Salt, Pepper, Fresh Garlic, Tumeric P – 400x20min
    41. 41. Movement (exercise)• 150 m/week moderate exercise• 75 m/week of vigorous (vig/mod)• 30 m/day/5days/week• 10 m/3xd/5days/week• 2500 steps/day (ACSM high success than 10,000/d)• http://www.startwalkingnow.org/
    42. 42. Calories per hourActivity 100 lb 150 lb 200 lbBicycling, 6 mph 160 240 312Bicycling, 12 mph 270 410 534Jogging, 7 mph 610 920 1,230Jumping rope 500 750 1,000Running 5.5 mph 440 660 962Running, 10 mph 850 1,280 1,664Swimming, 25 yds/min 185 275 358Swimming, 50 yds/min 325 500 650Tennis, singles 265 400 535Walking, 2 mph 160 240 312Walking, 3 mph 210 320 416Walking, 4.5 mph 295 440 572
    43. 43. Energy work!!!!!• Einstein and quantum physics• Traditional Chinese medicine• Ayurveda/yoga• Reiki• Healing touch• Prayer/intention• Food/Plants/oils/aromatherapy
    44. 44. Ayurveda Whole System Approach to Energy• Chakras• Nadi’s• Marma point
    45. 45. Moving energy
    46. 46. Lets move together!!
    47. 47. Synchronicity-Love and Service to others• Takotsubo Cardiomyopathy (temp LV dys 4-6 wk)• Harmonic coherence• Menstrual synchrony• Unified field theory (theory of relativity with electromagnetism)
    48. 48. Breathing as exercise? Inspiratory Reserve Olympians Normal in/outNavy SEAL’s Expiratory Reserve
    49. 49. Contestants ready….deep breath in …..and…..
    50. 50. A neti pot reminder: Neti kriya Nasya Karma
    51. 51. Pranayama (BAM!) Breath Awareness Meditation• Ujjayi Victory or Ocean• Nadi Shodana Nadi cleansing/ Alternate nostril• 4-7-8 Andy Weil 5-10 minutes beginning and ending your day
    52. 52. Meditation• Moving• Supported Tim Olmsted -Pres. Pema Chodron• Group Foundation -Spiritual Director Buddist Center• Open Steamboat Springs CO -Teaches with Yongey Rinpoche
    53. 53. Supported meditation to maintain change• Sight -candle, mandala, image• Sound -singing bowl, nature, breath, om• Smell -aromatherapy, nature• Taste -mindful eating• Touch -healing touch, comfort, sit bones• Breath, mantra, yoga, tai chi, Qi Gong• Keep the concept of “monkey mind”
    54. 54. Meditation timers Start: 5-10 minutes twice a day Maintain: 30 minutes twice a day to
    55. 55. Proving “hokupokus” with RCT’s!
    56. 56. Control the internal milieu that determines your futureweak strong
    57. 57. The Saguil Approach• Rescue• Stabilize• Grounding• Nutrition/Behavioral/Movement• Flare up/maintenance planning
    58. 58. DrRic take home points1. Patient heal thy self,2. Find your own “center for healing”3. Keep western medicine “on a leash”4. If you find a doc that listens and is an example of health…never let go and share with others.
    59. 59. How to choose what is right for you? http://integrativemedicine.arizona.edu/alumni.htmlNational Center for Complementary and Alternative Medicine - National Institutes of Health,Integrative medicine …."combines mainstream medical therapies and CAM therapiesfor which there is some high-quality scientific evidence of safety and effectiveness."
    60. 60. Q & A? Future Lecture: Hypertension Pioneer Park Arlington Heights February 25th 11-12noon (847) 593-3330DrRic onSaguil We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
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