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Meditation for
       Stress
           Enrique Saguil, MD


We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
Nutrition
                          Grounding

                   Movement



We 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
   Yu Zhu, MD China




      You
I’m not stressed doc!

• The study of social aggression in baboons
• Lower strata males had higher stress and….
• ….with increased brain stress hormone level….

• HBP, high heart rate, poor reproductive capacity.




                        Dr. Robert Sopolsky
Stress/Relaxation
                =
    Sympathetic/Parasympathetic

• Epinephrine, adrenaline, cortisol increased in
  stressful, dangerous environment

• Prolactin, oxytocin, NPY increased in
  relaxed, protected environments.
Old concepts
• Break down of the physiologic response:

• Stress Response-         “fight or flight”
    Hans Selye 1975


• Relaxation Response-     “eat or reproduce”
    Herb Benson, MD 1975
Godzilla   vs   Ghandi?
Know Your Enemy Sun Tzu
• To keep the herd alive;
                    “Stressful events” = Stress response
                    “Monkey Mind” = Stress response cycling


           Or not
           Or not
                                       Stress event
Why can’t we just co-exist?




Athletes.
In a state of relaxation response but …
can turn on an abnormally high stress response
Grounding
THYROID           ASTHMA




          Stress Expression?
                  Genetic Expression

IBS         DEPRESSION     HEART DISEASE
1
          Getting “Meditated”


• Progressive muscle relaxation
• Guided Imagery
Meditation applied to you

•   “Story telling”
•   Good for beginners/children (sleeping alone)
•   Sports/Athletes (Visualizations)
•   Great for hospitals (gets outside the walls)
•   Psychological trauma (helps the victim move out of the trauma)
2
           Supported meditation
•   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” on a leash
Mantra

Word, Sound, Phrase or Prayer




 So Hum www.chopra.com
Mandala
Indigenous instruments
Sounds of nature
                                             (youtube)
•   DrRic pond meditation
•   DrRic beach meditation
•   DrRic waterfall meditation
•   DrRic sunrise meditation
•   DrRic rainforest meditation
•   DrRic stream meditation
•   DrRic night snowfall meditation
•   DrRic city night fall meditation
•   DrRic fire and singing bowl meditation
3
                          Breath?
 •   Focus on goal
 •   Visualize
 •   Positive self talk
 •   BAM




Breath Awareness Meditation
Barnes Nov 2011 PubMedCentral

• BAM on bp and kidney function
• 10 minutes BAM at school and home x 3mnth
• Sys bp, hr, and urinary excretion by kidney
  lower (stress = salt hunting)
Control the Respiratory System
Nadi Shodhana
• Alternate nostril breath

                             -in left
                             -hold
                             -out right
                             -hold
                             -in right
                             -hold
                             -out left
7


4

        4-7-8 Breath
Ujjayi breath



                Waves coming in
                Waves going out

                All nose breathing
Thoughts
• 50,000-70,000/day
• 35-49/minute
• 1 thought every sec
Monkey Mind
Drop in technique

            Settle Down!!!



• Drop in   emotionally powerful event
            emotionally blissful event
            svasana
4
             Moving meditation
•   Yoga
•   Tai chi/qi gong
•   Chi Running
•   Running
•   Swimming
•   Hiking
•   Car detailing
                            Stillness?
Meditative walking/hiking



                IN

                     IN

                OUT
             OUT
Sun Salutation
The Simon Sweep (dedicated to Dr David Simon)


• Movement
• Breath
• Intention
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
Sitting in stillness

•   Benefit over moving
•   Comfy position, chakra sitting, supported
•   Do not disturb sign
•   Allow mind wandering (vata?!)
•   Gentle timer
Posture




BAD      GOOD   GOOD “FLOW”
5
            Open meditation
• Engage your local environment to involve it
  during and after




              Tim Olmsted
              -Pres. Pema Chodron
              Foundation
              -Spiritual Director Buddist Center
              Steamboat Springs CO
              -Teaches with Yongey Rinpoche
Meditation timers



               Start:
               5-10 minutes twice a day
               Maintain:
               30 minutes twice a day to

               Cool benefit:
               See who else is meditating
               around the world!
A final message….




                  The Nucleus
                          (DNA)




       The blob
DNA – stored messages for 80 years


• Your DNA will only replicate properly when given
  the proper environment! Richie Davidson, PhD Harvard/U of WI
                             Esther Sternberg, MD NIH
                                  Jeff Ducek, PhD Mass Gen Hosp/U of MN
                                  Herb Benson, MD Harvard
                                  Bruce Lipton, PhD ….

• Old-school: traits & character controlled by genes
• New-school: environment controls genetic
  activity and even the rewriting of genetic code
Provide a healthy environment* for
your genes!!




* = mind body spirit
Genetic Expression from Stress?
Fun Facts!
• Telomeres shorten with age normally
• Stress speeds up shortening
                Biologist Elizabeth Blackburn
• For every year of care for a chronically ill child
          ….add on 6 years of aging to the mom
• Compassion and caring may add to increasing telomerase
  and healing (at the DNA level)
             Psychologist Elissa Epel, PhD UCLA
• Mind-body interventions affect gene expression and
  disease vulnerability by improving response to oxidative
  stress and associated cellular damage, and inflammation.
              Ducek Harvard 2008
• Epigenetics
• Neuroplasticity
Meditation Facilitators
•   Eat your vegetables (low glycemic index)
•   Take your vitamins (valerian/hops, 5htp, mag, passionflower)
•   No boosters
•   Regimented practice
•   Movement
•   Unplugging from technology
•   6-8 hours of brain rest (REM) (melatonin)
“The Saguil Approach”

•   Rescue
•   Stabilize
•   Grounding
•   Nutrition/Movement/Behavior
•   Flare up/maintenance planning
Detoxing
 Deconstructed
Bodhi Prem Yoga Studio- Arlington Heights
           May 12, Saturday
               12:00am
    (224) 595-0084 to reserve a seat

                                     QUESTIONS?
    We didn’t invent the practice of medicine….
                    we’re just changing the way it’s provided.
Reference books

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DrRic Meditation for Stress (slide share edition)

  • 1. Meditation for Stress Enrique Saguil, MD We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 2. Nutrition Grounding Movement We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 3. The First Health Approach We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 4. 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 Yu Zhu, MD China You
  • 5. I’m not stressed doc! • The study of social aggression in baboons • Lower strata males had higher stress and…. • ….with increased brain stress hormone level…. • HBP, high heart rate, poor reproductive capacity. Dr. Robert Sopolsky
  • 6. Stress/Relaxation = Sympathetic/Parasympathetic • Epinephrine, adrenaline, cortisol increased in stressful, dangerous environment • Prolactin, oxytocin, NPY increased in relaxed, protected environments.
  • 7. Old concepts • Break down of the physiologic response: • Stress Response- “fight or flight” Hans Selye 1975 • Relaxation Response- “eat or reproduce” Herb Benson, MD 1975
  • 8. Godzilla vs Ghandi?
  • 9. Know Your Enemy Sun Tzu • To keep the herd alive; “Stressful events” = Stress response “Monkey Mind” = Stress response cycling Or not Or not Stress event
  • 10. Why can’t we just co-exist? Athletes. In a state of relaxation response but … can turn on an abnormally high stress response
  • 12. THYROID ASTHMA Stress Expression? Genetic Expression IBS DEPRESSION HEART DISEASE
  • 13. 1 Getting “Meditated” • Progressive muscle relaxation • Guided Imagery
  • 14. Meditation applied to you • “Story telling” • Good for beginners/children (sleeping alone) • Sports/Athletes (Visualizations) • Great for hospitals (gets outside the walls) • Psychological trauma (helps the victim move out of the trauma)
  • 15. 2 Supported meditation • 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” on a leash
  • 16. Mantra Word, Sound, Phrase or Prayer So Hum www.chopra.com
  • 19. Sounds of nature (youtube) • DrRic pond meditation • DrRic beach meditation • DrRic waterfall meditation • DrRic sunrise meditation • DrRic rainforest meditation • DrRic stream meditation • DrRic night snowfall meditation • DrRic city night fall meditation • DrRic fire and singing bowl meditation
  • 20. 3 Breath? • Focus on goal • Visualize • Positive self talk • BAM Breath Awareness Meditation
  • 21. Barnes Nov 2011 PubMedCentral • BAM on bp and kidney function • 10 minutes BAM at school and home x 3mnth • Sys bp, hr, and urinary excretion by kidney lower (stress = salt hunting)
  • 23. Nadi Shodhana • Alternate nostril breath -in left -hold -out right -hold -in right -hold -out left
  • 24. 7 4 4-7-8 Breath
  • 25. Ujjayi breath Waves coming in Waves going out All nose breathing
  • 28. Drop in technique Settle Down!!! • Drop in emotionally powerful event emotionally blissful event svasana
  • 29. 4 Moving meditation • Yoga • Tai chi/qi gong • Chi Running • Running • Swimming • Hiking • Car detailing Stillness?
  • 30. Meditative walking/hiking IN IN OUT OUT
  • 32. The Simon Sweep (dedicated to Dr David Simon) • Movement • Breath • Intention
  • 33. 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
  • 34. Sitting in stillness • Benefit over moving • Comfy position, chakra sitting, supported • Do not disturb sign • Allow mind wandering (vata?!) • Gentle timer
  • 35. Posture BAD GOOD GOOD “FLOW”
  • 36. 5 Open meditation • Engage your local environment to involve it during and after Tim Olmsted -Pres. Pema Chodron Foundation -Spiritual Director Buddist Center Steamboat Springs CO -Teaches with Yongey Rinpoche
  • 37. Meditation timers Start: 5-10 minutes twice a day Maintain: 30 minutes twice a day to Cool benefit: See who else is meditating around the world!
  • 38. A final message…. The Nucleus (DNA) The blob
  • 39. DNA – stored messages for 80 years • Your DNA will only replicate properly when given the proper environment! Richie Davidson, PhD Harvard/U of WI Esther Sternberg, MD NIH Jeff Ducek, PhD Mass Gen Hosp/U of MN Herb Benson, MD Harvard Bruce Lipton, PhD …. • Old-school: traits & character controlled by genes • New-school: environment controls genetic activity and even the rewriting of genetic code
  • 40. Provide a healthy environment* for your genes!! * = mind body spirit
  • 42. Fun Facts! • Telomeres shorten with age normally • Stress speeds up shortening Biologist Elizabeth Blackburn • For every year of care for a chronically ill child ….add on 6 years of aging to the mom • Compassion and caring may add to increasing telomerase and healing (at the DNA level) Psychologist Elissa Epel, PhD UCLA • Mind-body interventions affect gene expression and disease vulnerability by improving response to oxidative stress and associated cellular damage, and inflammation. Ducek Harvard 2008
  • 44. Meditation Facilitators • Eat your vegetables (low glycemic index) • Take your vitamins (valerian/hops, 5htp, mag, passionflower) • No boosters • Regimented practice • Movement • Unplugging from technology • 6-8 hours of brain rest (REM) (melatonin)
  • 45. “The Saguil Approach” • Rescue • Stabilize • Grounding • Nutrition/Movement/Behavior • Flare up/maintenance planning
  • 46. Detoxing Deconstructed Bodhi Prem Yoga Studio- Arlington Heights May 12, Saturday 12:00am (224) 595-0084 to reserve a seat QUESTIONS? We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Editor's Notes

  1. 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)
  2. 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.