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 The Heart of Yoga- Lotus Yoga (slide share edition)
The Heart of Yoga 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• A copy of this ppt is available by calling (847) 593-3330 Or friend DrRic Saguil
Ric Saguil, MDWe 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
Western medicine• Bypass• Angioplasty• Medicines to increase heart function contractility preload lowering after load lowering
Probably not you?• 233,000 women die annually• 19416.7 women will die this month• 4854.2 women will die this week• 693.5 will die today• 28 women have died during this lecture• 1.5 million heart attacks annually• 500,000 die annually• Cardiac event every 26 seconds• 1 Death every minute
• Chest discomfort• Discomfort in other areas of the upper body• Shortness of breath• Other-cold sweat, lightheadedness, nausea
Think you are smart enough to wait?• 60% of men is massive MI or death• 50% of women is massive MI or death Alberto Salazar …who should run to get a physical next week?
Soft Rescue-Risk Screening• History and Physical/ekg• BMI/BP/waist to hip ratio• Homocysteine/Cardiac CRP reynoldsriskscore.org• Fasting lipid/Fractionated lipid• Exercise stress echo/thallium• Ultrafast CT scanning of the heart
Stabilize and plan the wean• Return to ADL’s (Activities of Daily Living)• Plan sustainable changes.• Plan to get off rescue meds with diet, grounding and movement• Or lower side effect stabilizing med/s
Meds:• Asa - daily• HCTZ – 50 daily• Beta blocker – bid• Ace inhibitor 1-2xday• Calcium channel blocker – 1-2xday• Nitroglycerin – 2xday• Coumadin – daily• On and on and on….they do work to “normalize” the numbers
Dr Saguil’s Special Forces:• The concept of “Grounding” with - Nutrition/Behavior/Movement Registered Dietician Behavioral Health Exercise Physiologist Yoga?
Who to trust your heart to?• Nutrition• Managing stress• Fitness/Yoga• Love, Intimacy, Support Now covered by• 28 patients for 1 year Medicare!!• Low fat vegetarian• Stop smoking• Stress management Dean Ornish’s Program• Moderate exercise• 82% experimental group had reversal of heart disease 1yr …more reversal 5yr
Western -maintenance goals• Control blood pressure medicines• Control cholesterol medicines• Control diabetes medicines• Prolong life? medicines/surgery• Nutrition and exercise uncovered benefit (HSA/Flex?) “Get your annual numbers in line”
Alternative -maintenance 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
How to choose the right tool for you? ? Get the right helpIntegrative medicine …."combines mainstream medical therapies and CAM therapiesfor which there is some high-quality scientific evidence of safety and effectiveness.“ www.integrativemedicine.arizona.edu
DrRic’s take home points1. Patient heal thy self,2. Find your own “center for healing”3. Use western medicine, but do your research4. If you find a doc that listens and is an example of health…never let go and share with others.
Q & A? Next Lecture: Hiking for Health Whole Foods Market Schaumburg March 10th (sat) 2-3pm (847) 585-5800 For future public appearances:DrRic onSaguil invent the practice of medicine…. We didn’t 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