Asthma-attacking the cause,not the effects<br />Enrique Saguil, M.D.<br />We didn’t invent the practice of medicine….<br /...
First Health Associates<br />2010 S. Arlington Heights Rd<br />LL Suites<br />Arlington Heights, IL<br />My Doctor:<br /><...
Cares what I have to say
Doesn’t Keep Me Waiting
Gives Me Options</li></ul>We didn’t invent the practice of medicine….<br /> 		we’re just changing the way it’s provided.<b...
The First Health Approach<br />We didn’t invent the practice of medicine….<br /> 		we’re just changing the way it’s provid...
Your Community<br /> of Care<br />Ric Saguil, MD<br />Jason Gruss, MD<br />Tom Jordan, RD<br />Katrina Christie, LCPC<br /...
Basic anatomy<br />Upper airway<br />Lower airway<br />
Upper respiratory tract<br />Lower Bronchospasm<br />We didn’t invent the practice of medicine….<br /> 		we’re just changi...
Post Bronchospasm<br />Hyperinflation<br />
We didn’t invent the practice of medicine….<br /> 		we’re just changing the way it’s provided.<br />Allergy mediated<br />
Bronchial smooth muscle<br />
Bronchodilators and Anti-inflammatories<br />
Bronchodilators<br />Inhaled steroids<br />Singulair<br />Nedocromil<br />Ipatropium bromide<br />Allergy control antihist...
Pharmacologic control of bronchospasm and inflammationworks for treating the effects!<br />
…back to inflammation again!<br />
Airway obstruction PFT’s<br />
Pre and post albuterol PFT’s<br />
Education <br />Always <br />Wins <br />
The perfect balance <br />Short term rescue-<br />                fast acting albuterol, oral steroids<br />Long term cont...
Many allergic responses are cumulative!!<br />
Why so many allergies?<br />
How Integrative Medicine can help:<br />Naturopathic medicine!!!<br />TCM (“lung meridia”)<br />Yoga/posture/alignment<br ...
Hx-Px A comes in with persistent cough for last 12 hours since going to bed. No sick contacts but usually gets sick this t...
Hx-Px B comes in for check up and has used an inhaler few times a week for the last year.  No big flare ups but hesitant o...
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DrRic Asthma Attacking the Cause not just the Effects (slide share edition)

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A lecture at the The Fit Lab of First Health Associates April 2011

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DrRic Asthma Attacking the Cause not just the Effects (slide share edition)

  1. 1. Asthma-attacking the cause,not the effects<br />Enrique Saguil, M.D.<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />
  2. 2. First Health Associates<br />2010 S. Arlington Heights Rd<br />LL Suites<br />Arlington Heights, IL<br />My Doctor:<br /><ul><li>Listens to my concerns
  3. 3. Cares what I have to say
  4. 4. Doesn’t Keep Me Waiting
  5. 5. Gives Me Options</li></ul>We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />
  6. 6. The First Health Approach<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />
  7. 7. Your Community<br /> of Care<br />Ric Saguil, MD<br />Jason Gruss, MD<br />Tom Jordan, RD<br />Katrina Christie, LCPC<br />Jennifer Green, ND<br />Joe Musolino, DC<br />Amy Iaquinta, DC<br />Nick Nowicki, DC<br />Emery Paredes, PT<br />Courtney Day, EP<br />Yu Zhu, MD China<br />Mike Blumberg, LCPC<br />You<br />
  8. 8. Basic anatomy<br />Upper airway<br />Lower airway<br />
  9. 9.
  10. 10. Upper respiratory tract<br />Lower Bronchospasm<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />Asthma anatomy<br />
  11. 11. Post Bronchospasm<br />Hyperinflation<br />
  12. 12. We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />Allergy mediated<br />
  13. 13. Bronchial smooth muscle<br />
  14. 14. Bronchodilators and Anti-inflammatories<br />
  15. 15. Bronchodilators<br />Inhaled steroids<br />Singulair<br />Nedocromil<br />Ipatropium bromide<br />Allergy control antihistamines<br />Oral steroids<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />Standard prescription treatment<br />
  16. 16. Pharmacologic control of bronchospasm and inflammationworks for treating the effects!<br />
  17. 17. …back to inflammation again!<br />
  18. 18. Airway obstruction PFT’s<br />
  19. 19. Pre and post albuterol PFT’s<br />
  20. 20. Education <br />Always <br />Wins <br />
  21. 21. The perfect balance <br />Short term rescue-<br /> fast acting albuterol, oral steroids<br />Long term control-<br /> long acting albuterol, inhaled steroids<br />Lifetime control-<br /> environmental modification, nutrition,<br /> exercise, behavioral modification, <br /> herbal supplementation, posture/<br /> alignment<br />
  22. 22. Many allergic responses are cumulative!!<br />
  23. 23. Why so many allergies?<br />
  24. 24.
  25. 25. How Integrative Medicine can help:<br />Naturopathic medicine!!!<br />TCM (“lung meridia”)<br />Yoga/posture/alignment<br />Behavioral stress response control<br />Nutritional education (anti-inflammatory diet)<br />Alternative testing (allergies, toxin, deficiency)<br />
  26. 26. Hx-Px A comes in with persistent cough for last 12 hours since going to bed. No sick contacts but usually gets sick this time of year. Low grade fever and usual medicines are not helping (nebulizer every 2 hours last one 1 hour ago). <br />Nasal turbinates swollen, PND, chest clear no accessory muscle use, no other sign of infection.<br />Tx=Continue with bronchodilator, add steroids, consider antibiotics and follow up in 1-2 days. <br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />Scenario patient A<br />
  27. 27. Hx-Px B comes in for check up and has used an inhaler few times a week for the last year. No big flare ups but hesitant on stopping for fear of attack. Obese with occasional cigarette with going out and has a cat. <br />Tx-Suggested group therapy for tabacco cessation and diet changes/exercise. Also restrict cat to rooms and vacuum dust 2-3x week in addition to hard wood flooring. Reeval in few weeks after changes but refill meds until then and add steroid inhaler. <br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />Scenario patient B<br />
  28. 28. Hx-Px C comes in for check up and has used inhaler a few times a week for the last year. Avid exercise with weight training (pretraining inhaler) BMI 23, diet is mostly fast food or fast restaurant, works 60 hours a week and high stress position. No supplements<br />Tx-counseling and meditation, dietary evaluation, naturopath evaluation, herbal treatment and cut back on weekly inhaler, keep preexercise puffs. Exercise phys for interval running program/farlek.<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />Scenario patient C <br />
  29. 29. History for cues on if symtoms are truly reactive airway, stress level, environmental triggers, genetics, diet, use of inhaler, asthma action plan, supplements<br />MD/DO, naturopath, homeopath, dietary, behavioral, acupuncture TCM, exercise phys, physical therapy, yoga (careful articulation between disciplines) <br />Tests for allergies, deficiencies, methacoline challenge, chest xrays<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />At First Health Associates:<br />
  30. 30. Asthma:Attacking the cause, not just the effects.<br />QUESTIONS?<br />COMMENTS?<br />CONCERNS?<br />2010 South Arlington Heights Road<br />Arlington Heights, IL<br />Phone: 847-593-3330www.FirstHealthAssociates.com<br />

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