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.
DrRic Love your Heart - Whole Foods Market Schaumburg
Love your Heart Enrique Saguil, MD First Health AssociatesWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
Release:• This lecture is not meant to substitute for medical care• Please see your doctor for questions• There are no financial connections between Whole Foods Market-Enrique Saguil, MD• A copy of this ppt is available by calling (847) 593-3330 Or friend DrRic Saguil
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.
The First Health Approach We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
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
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
• Chest discomfort• Discomfort in other areas of the upper body• Shortness of breath• Other-cold sweat, lightheadedness, nausea
Soft Rescue-Risk Screening• History and Physical/ekg• Exercise stress echo/thallium• Ultrafast CT scanning of the heart• Homocysteine/Cardiac CRP reynoldsriskscore.org• Fasting lipid/Fractionated lipid• BMI/BP/waist to hip ratio
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
Mega Hospitals vs Healing CentersHaving one/creates the other Healing Center
Dr Saguil’s Special Forces• The concept of “Grounding”• Nutrition/Behavior/Movement Registered Dietician Behavioral Health Exercise Physiologist Yoga Therapeutics
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
Flare Up/Maintenance planning• Re-conceptualize flare up pain• Plan Reassessment and Reset goals• Accountability is key
Health Insurance Based -maintenance goals• Control blood pressure medicines• Control cholesterol medicines• Control diabetes medicines• Prolong life? medicines• Nutrition and exercise uncovered benefit (HSA/Flex?)
“Alternative” medicine goals• Eat properly FFFF• Poop properly “• Move Yoga/Qi Gong• Sleep “• Commune/contribute Service to others• Love Behavior• “Lack of disease does not equate health”
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
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.
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."
Q & A? Future Lecture: Hypertension Pioneer Park Arlington Heights February 25th 11-12noon (847) 593-3330Or get announcements to future talks: DrRic on Saguil We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
Bibliography• Seven Countries Study Ancel Keys• Framingham Heart Study• Harvard Nurses Health Study• China Study T Colin Campbell• The Spectrum Dean Ornish• The Relaxation Response Herb Benson