AN UPDATE ON PREVENTIVE MEDICINE, 10-24-2009

S. MIKE NESKOVIC, MDFAMILY PHYSICIAN AND GERIATRICIAN- GLENDALE

MEMORIAL HOSPITAL FROM JUNE 22 1988633 N. CENTRAL AVE #209, GLENDALE , CA

818-244 4114

RRealealAAgege and YOUand YOU::Are You As Young As You Can Be?Are You As Young As You Can Be?

THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES

THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES

You Control Your Genetic InheritanceYou Control Your Genetic Inheritance

**HAYDON ET **HAYDON ET AL: AL: GUT, 2006;55:689-694GUT, 2006;55:689-694

CANCER SURVIVAL AND PHYS ACTIVITY

COLON

CANCER** BREAST CANCER*

LESS THAN 300 KCALS/DAY OR PHYS INACTIVE

52% 10 YR

SURVIVAL

48% 10 YR DISEASE

FREE

MORE THAN 300 KCALS /DAY OR PHYS ACTIVE IN 1ST YR

74% 10 YR

SURVIVAL

78% 10 YR DISEASE

FREE

*HOLMES ET ALJAMA, 2005;293:2479-86

GO TO YOUR HIGH SCHOOL REUNION AND NOT ALL CLASSMATES LOOK OR FEEL THE SAME AGE

2.HOW OLD WOULD YOU LIKE TO FEEL?

Q

U

A

L

I

T

Y

O

F

L

I

F

E

WHAT GREAT ILLNESS CARE DOES IN 2007

WHAT GREAT WELLNESS CARE COULD DO IN 2007

CALENDAR AGE

1. YOUR ARTERIES2.3.

4.WHY DO YOU GET OLD BEFORE AGE 90 OR 100?

Arterial Aging mechanism?

Ging of arteries

4. WHAT IS GREATEST THREAT TO YOUR ARTERIES?

a. Elevated blood pressure 160/90b. Elevated cholesterol (LDL of 180)c. Lot of orders of fried zucchini sticks d. Elevated time spent on the couch

Years YoungerYears Younger

BP 115/75 vs 160/90 up to12 years LDL Cholesterol 70 v 160 up to 3 years Fried vs Saute Zucchini up to 4 years Optimal vs Couch Potato up to 9 years

Nutritional Choices up to 27 years

BP 115/75 vs 160/90 up to12 years LDL Cholesterol 70 v 160 up to 3 years Fried vs Saute Zucchini up to 4 years Optimal vs Couch Potato up to 9 years

Nutritional Choices up to 27 years

Make Your RealAge YoungerMake Your RealAge Younger

6142 74

Aspirin Retards or Reverses Colon

Cancer

Aspirin Retards or Reverses Colon

CancerRandomized Controlled Trials

ResultsResults

ConclusionConclusion

35% and 41% reductions35% and 41% reductions** in in malignant polyps in aspirin groupsmalignant polyps in aspirin groups

Aspirin retards or reverses IMMUNEAspirin retards or reverses IMMUNEagingaging

** Stat signif Stat signif

NEJM 2003;348:883-90;NEJM 2003;348:881-9NEJM 2003;348:883-90;NEJM 2003;348:881-9

ALSO DECREASES IN BREAST, GI, THROAT CANCERS

IDEAL BP FOR AGING IDEAL BP FOR AGING NOT A NOT A SECRETSECRET

56 STUDIES , 52 COUNTRIES, 20,000,000 56 STUDIES , 52 COUNTRIES, 20,000,000 SUBJECTSSUBJECTS

115/76115/76

RAISE YOUR HDL• HDL MORE IMPT THAN LDL IN WOMEN

RAISE YOUR HDL• HDL MORE IMPT THAN LDL IN

WOMEN• HDL OF 60 MAKES YOU 6 YRS

YOUNGER THAN HDL OF 25• PHYS ACTIVITY; ESTROGEN;

ALCOHOL; SOME STATINS; TriCOR; NIACIN (NIASPAN)

2. WALK 30 MIN AND 2. WALK 30 MIN AND CALL SUPPORT:CALL SUPPORT:

WALKING 30 MINUTES DECREASES INSULIN

RESISTANCE; CALLING SUPPORT KEEPS YOU

SUCCESSFUL

Years YoungerYears Younger

BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years

BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years

Make Your RealAge YoungerMake Your RealAge Younger

STRESS IS THE GREATEST AGER

STRESS CAN MAKE YOUR REALAGE 32 YEARS OLDER THAN THE CALENDAR SAYS

NOT ALL STRESSES ARE EQUAL

1. YOUR ARTERIES2. YOUR DEFENSES3.

4.WHY DO YOU GET OLD BEFORE AGE 90 OR 100?

AND WHAT IS IT NAMED AFTER??

9.WHAT IS BEST FRUIT FOR A

55 YO MAN TO EAT?

Avocados : History Lesson

Ahuacuatl is the Aztec word for

NUTS: OMEGA-3’S IN 1 OUNCE

WALNUTS 2.5 GM

PECANS <0.5 GM

ALL OTHERS < 0.4 GMNO MATTER WHAT NUTS, EATING THEM DECREASES ALL CAUSE MORTALITY AND/OR DISABILITY IN 5 LARGE PROSPECTIVE RISK FACTOR EPIDEMIOLOGY AND 2 RCT’S

1. YOUR ARTERIES2. YOUR IMMUNE SYSTEM3. YOUR MUSSKEL & ENVR

4.WHY DO YOU GET OLD BEFORE AGE 90 OR 100?

It is SHOWING LOVE FOR THOSE YOU CARE MOST ABOUT TO TAKE TIME TO MAKE YOUR

REALAGE YOUNGER—

SO YOU CAN CARE FOR THEIR GRANDCHILDREN

INSTEAD OF THEM HAVING TO CARE FOR YOU

5. The YOU Workout: Use Your 5. The YOU Workout: Use Your Body as Your GymBody as Your Gym ::

• NO EXCUSES IF YOUR BODY IS YOUR GYM

WHEN YOU LOSE WAIST & WEIGHT, YOU LOSE MUSCLE

SINCE MUSCLE BURNS CALORIES BIG TIME, YOU WILL PLATEAU UNLESS YOU BUILD MUSCLE

JUST 20 MIN 3 TIMES A WEEK PLUS WALKING DOES IT ALL

5. The YOU Workout: Use Your 5. The YOU Workout: Use Your Body as Your GymBody as Your Gym ::• NO EXCUSES IF YOUR BODY IS YOUR GYM

MUSCLE USES 50 TIMES AS MANY CALORIES AS EQUAL WEIGHT OF FAT:

SO BUILD MUSCLE

LUNGE

REAL AGE…As easy to obtain as is your weight!

All Studies Show That All Studies Show That ChoosingChoosing To Live To Live LongerLonger

Decreases Disability...Decreases Disability...

All Studies Show That All Studies Show That ChoosingChoosing To Live To Live LongerLonger

Decreases Disability...Decreases Disability...

Live Longer...Live Longer...Live Longer...Live Longer...

REALAGE & YOU:REALAGE & YOU:THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES

THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES

YOUR BODY IS AMAZING- YOU GET A DO-OVER IN LIFE

ONLYYOUCANDO IT!!!

STRESS IS THE GREATEST AGER

STRESS CAN MAKE YOUR REALAGE 32 YEARS OLDER

GREATEST STRESS REDUCERS :1.FRIENDS, FRIENDS, FRIENDS

BLOCKING STRESS CAN PREVENT ALL BUT TWO YEARS OF AGING

2.PURPOSE IN LIFE, SPIRITUALITY3.MEDITATION,4.REFOCUSING, PHYS ACTIVITY

Years YoungerYears Younger

BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years

BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years

Make Your RealAge YoungerMake Your RealAge Younger

STRESS IS THE GREATEST AGER

STRESS CAN MAKE YOUR REALAGE 32 YEARS OLDER THAN THE CALENDAR SAYS

THE GREATEST AGERS:

NUTS-NAGGING UNFINISHED TASKSMAJOR LIFE EVENTS,

LOSS OF CONTROL

Dogs Decrease Dogs Decrease Dogs Decrease Dogs Decrease YYYYourourourourReal Real Real Real AgeAgeAgeAge

Cat’s Don’t Decrease YourCat’s Don’t Decrease Your

Real AgeReal Age

Osler

““Walk Your Dog...Walk Your Dog...Even If You Don’t Have Even If You Don’t Have

One”One”

ONLY 15 CHOICES MATTERONLY 15 CHOICES MATTER

1. Limit calories2. Limit simple sugars3. Healthy fat = 25% calories4. Unhealthy fat < 20gms/day5. Eat Fish 6. Eat Nuts7. Eat Fiber

8 8. Eat Fruits9. Eat Vegetables10. Lycopene11. Flavonoids12. Alcohol13. Micronutrients14. Vitamins15. Minerals

An Apple a Day …

Make Your RealAge Younger

STOP INFLAMMATION IN YOUR VESSELS & MITOCHONDRIA

• ASPIRIN 162.5 –CHECK With DOC• FLAVONOIDS,TOMATO SAUCE,• RESVERATROL, TUMERIC• HEALTHY FATS LIKE NUTS

(WALNUTS), OLIVE OIL• FLOSS YOUR TEETH AND SEE DENTAL

PRO

RAISE YOUR HDL• HDL MORE IMPT THAN LDL IN

WOMEN• HDL OF 60 MAKES YOU 6 YRS

YOUNGER THAN HDL OF 25• PHYS ACTIVITY; ESTROGEN;

ALCOHOL; SOME STATINS; TriCOR; NIACIN (NIASPAN)

RealAge I & II:

The Science of Preventing Aging & Are You As Young As You Can Be?RealAge III: How to Give Yourself & Your Patients A RealAge Makeover.

WALKING,

ASPIRIN,

STRENGTH TRAINING,

TOMATO SAUCE,

WALNUTS (NUTS), AND

SPECIFIC VITAMINS & SUPPLEMENTS

1.8 to 6+ yrs younger;

RealAge I & II:

The Science of Preventing Aging & Are You As Young As You Can Be?RealAge III: How to Give Yourself & Your Patients A RealAge Makeover.

WALKING,

ASPIRIN, FLOSSING & DENTAL CARE

STRENGTH TRAINING,

TOMATO SAUCE,

WALNUTS (NUTS), AND

SPECIFIC VITAMINS & SUPPLEMENTS

3.3 yrs younger men; 4.4 yrs younger women

MORTALITY WITH AGE AFTER LAPROS PROSTATE SURG:2005 DATA

MORTALITY WITH AGE AFTER LAPROS PROSTATE SURG:2005 DATA

0.00%

0.05%

0.10%

0.15%

0.20%

0.25%

0.30%

<50y 50-59y 60-69y 70-79y

The YOU DOCS on OPRAH.com: Mind and Body, and in Reader’s Digest

OPRAH & FRIENDS XM RADIO; YTOMRS

MAKEMAKEMED MED STAYSSTAYSSHORT SHORT & & BORINGBORING

•YOU HAVE A 1 IN 25 CHANCE OF HAVING AN ADVERSE EVENT WITH EACH HOSPITALIZATION…

•ODDS ARE ABOUT 2 IN 5 (40%) YOU WILL BE AFFECTED BY AN ADVERSE EVENT.

•SINCE THE TYPICAL AMERICAN IS HOSPITALIZED 11 TIMES IN A LIFETIME,

7. THE MOST ACCESSIBLE & LEAST EXPENSIVE HEALTH RESOURCE IS:

a. Google.comb. the nurse hotlines provided

by some health insurersc. your pharmacistd. the self-help section at the

local bookstoree. your neighbor's fortune-

teller

Becoming Smart Patient• Medical history• Picking Dr Right• Getting second opinion• Finding best hospital• Staying safe in hospital• Medications• Understanding insurance

Smart Patient QuizWhat is most important thing to bring with

you to the doctor’s office• A living will• Your spouse• A crisp $50 bill• Health profile• Photo of yourself at age 12

Picking Dr Right• Doctor means “teacher”• Ask a nurse• What hospitals do they use • Are the partners qualified• Do the other patients look like you• Bring tape recorder• Bring friend to listen

Choosing hospitals

• How many of your operation done• Does your doctor practice there• Joint Commission accredited• Check out ER when healthy• Keep EKG in wallet

What’s most infected

Hospital infections

• Wash hands, alcohol gel• No flowers • Remove jewelry• Clean Stethescope and TV remote• Bow ties ideal

Prescription drugs• 1.5 million seriously hurt annually• Every $1 spent = $1 to fix complication• Use the pharmacist

– Best educated, least used resource• Half patients stop meds within 6 months• Don’t store meds in bathroom medicine cabinet• Medication checklist

Second opinion• 10% people obtain• Changes diagnosis 30% of time• Helps doctors learn from process • Don’t shoot messenger• Find doctor who is publishing• Chairman not always the best• Where is the data to drive decision making

AGE REDUCTION:Tips of the Day. . .AGE REDUCTION:Tips of the Day. . .

Know Your Blood Pressure.Know Your Blood Pressure.Know Your Blood Pressure.Know Your Blood Pressure.

Practice a lot of safe sex.Practice a lot of safe sex.Practice a lot of safe sex.Practice a lot of safe sex.

Increase Your Level of Education.Increase Your Level of Education.Increase Your Level of Education.Increase Your Level of Education.

THE END

• IT WAS MY PLEASURE AND A PRIVILAGE IT WAS MY PLEASURE AND A PRIVILAGE TO SPEND THIS TIME WITH YOU MY TO SPEND THIS TIME WITH YOU MY FRIENDS AND SISTERS IN CHRIST.FRIENDS AND SISTERS IN CHRIST.

• EXAMINE YOUR LIFE, AND DO EXAMINE YOUR LIFE, AND DO SOMETHING ABOUT GETTING HEALTHIER SOMETHING ABOUT GETTING HEALTHIER EVERY DAY!EVERY DAY!

• AND AS JESUS WOULD SAY: “LOVE ONE AND AS JESUS WOULD SAY: “LOVE ONE ANOTHER!” WITH RESPECT, DR NESKOVICANOTHER!” WITH RESPECT, DR NESKOVIC

the  eyes. 

God left us a great clue as to what foods  help what part of our  body! God's Pharmacy!  Amazing! 

A  sliced Carrot looks like the human eye. The  pupil, iris and radiating lines look just like the human eye... And YES, science now shows carrots  greatly enhance blood flow to and function of

• A  Tomato has four chambers and is red. The  heart has four chambers and is red. All of the research shows tomatoes  are loaded with lycopine and are indeed pure heart  and blood food. 

• Grapes  hang in a cluster that has the shape of the heart. Each grape looks like a blood cell and all of the research today shows grapes are also profound  heart and blood vitalizing food. 

• A  Walnut looks like a little brain, a left and right hemisphere, upper cerebrums and lower cerebellums.  Even the wrinkles or folds on  the nut are just like the neo-cortex. We now know walnuts help develop more than three (3) dozen  neuron-transmitters for brain function. Kidney Beans actually heal and help maintain kidney function and yes, they look exactly like the human kidneys. 

• Avocadoes,  Eggplant and Pears target the health and function of the womb and cervix of the female - they look just like these organs. Today's research shows that when a woman eats one avocado a week, it balances hormones, sheds unwanted birth weight, and prevents c ervical cancers.. And how profound is this?  It takes exactly nine (9) months to grow an avocado from blossom to ripened fruit. There are over 14,000 photolytic chemical constituents of nutrition in each one of these foods (modern science has only studied and named about 141 of them).   

• Figs are full of seeds and hang in twos when they grow.  Figs increase the mobility of male sperm and increase the numbers of Sperm as well to overcome male sterility. Sweet Potatoes look like the pancreas and actually balance the glycemic index of diabetics. Olives  assist the health and function of the ovaries

• Oranges, Grapefruits, and other Citrus fruits look just like the mammary glands of the female and actually assist the health of the breasts and the movement of lymph in and out of the breasts. Onions  look like the body's cells. Today's research shows onions help clear waste materials from all of the body cells. They even produce tears which wash the epithelial layers of the eyes. A working companion, Garlic, also helps eliminate waste materials and dangerous free radicals from the body.