Heart Health

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

Enrique Saguil, MDFirst Health Associates

Release:• This lecture is not meant to substitute for

medical care• Please see your doctor for questions• There are no financial connections between

Bodhi Prem Yoga-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 Options

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

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

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, MDJason Gruss, MDTom Jordan, RD

Katrina Christie, LCPCJennifer Green, NDJoe Musolino, DC

Emery Paredes, PTCourtney Day, EPAimee Weber, EPYu Zhu, MD China

You

What is this thing in our chest?

Sir Isaac Newton followers:

• It’s made of muscle• It moves blood like a pump• It beats/contracts every second

Albert Einstein followers:

• An area of radiating energy• True seat of control for daily function• A way into consciousness

Yogic practitioners:

• A vortex of energy (Anahata)• Allows us to give and receive love without fear

or attachment

What we learned in school –it gives life!

What we learned at the “physical” –its going to attack us

The heart will die if cholesterol or blood pressureis too high

250,000 women die annually

25% Americans fit Metabolic S

2.5% m (1.9%f) increase in cardiovascular events inPrehypertension

AHA heart attack risk calc – americanheart.org

What we learn in some yoga classes

DUCK !!!

R/O Mallar, R/O Quail!!!

I Dunno, but I got it!!!

Three guys are hunting duck:

• Family Medicine Doc

• Internal Medicine Doc

• Surgeon

The Saguil Approach

• Rescue• Stabilize • Grounding • Nutrition/Behavioral/Movement • Flare up/maintenance planning

Rescue

• Coronary artery disease

Western medicine

• Bypass• Angioplasty• Medicines to increase heart function contractility preload lowering after load lowering

Whats this sign!?!

• 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• Fasting lipid• Fractionated lipid• BMI/BP/waist to hip ratio

WHR

WHO0.9 males0.85 females

Rib and Iliac1 in above navel

Widest butt or hip

NIDiabetesDigestiveKidneyds1.0 males0.8 females

Mega Hospitals vs Healing Centers

Healing Center

Having one/creates the other

The Saguil Approach

• Rescue• Stabilize • Grounding• Nutrition/Behavioral/Movement • Flare up/maintenance planning

Stabilize and plan the wean

• Return to ADL’s• 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

Meds work on the “Newton Heart”

The Saguil Approach

• Rescue• Stabilize • Grounding • Nutrition/Behavioral/Movement • Flare up/maintenance planning

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

• 28 patients for 1 year• Low fat vegetarian• Stop smoking• Stress management• Moderate exercise• 82% experimental group had change toward regression 1yr …more regression 5yr

Now covered by Medicare!!

Flare Up/Maintenance planning

• Re-conceptualize flare up pain• Plan Reassessment and Reset goals• Accountability is key

Western medicine maintenance goals

• Control blood pressure medicines • Control cholesterol medicines• Control diabetes medicines• Prolong life? medicines

• Nutrition and exercise on your own

“Alternative” medicine goals

• Eat properly FFFF• Poop properly “

• Move Yoga/Qi Gong• Sleep “

• Commune/contribute Service to others• Love “

• “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

Flat-curve carbs• Low glycemic index/load

• ANDI/MANDI

Refined nutrition that “dumps insulin”

GoGo Juice from Toddlers and Tiara’s starAnna Holler

Friendly herbs

• Ashwaganda – anxiety 500 bid• Boswellia – inflammation 300 2-3xday• Guggul – cholesterol 500 tid for 3 months• Triphala – bowel regulation 1000 qhs • Gymnema – chew 3-4 xday

Dr Ric’s beginner supp’s…

• Multivitamin (watch vit A, calcium)• Omega 3 fish oil• Vit D• Disease/medicine specific repleation

• Sshhh……until you maximize your nutrition!

Colorado Blizzard Feb 2012

“There’s no more meat or lettuce!!!”

Learn three dishesLearn three spices

Dr Ric Fav’s

• Roasted Asparagus Spears – OO, Fresh Garlic, Crushed Red Pepper, Salt - 350x12 min

• Spinach/Garlic Stir Fry – OO, Spinach, Fresh Garlic, Grated Ginger, Oyster Sauce – Medx15min

• Sockeye Salmon – OO, Salt, Pepper, Fresh Garlic, Tumeric P – 400x20min

Movement (exercise)

• 150 m/week moderate exercise• 75 m/week of vigorous (vig/mod)• 30 m/day/5days/week• 10 m/3xd/5days/week• 2500 steps/day (ACSM high success than 10,000/d)

• http://www.startwalkingnow.org/

Calories per hour Activity 100 lb 150 lb 200 lb

Bicycling, 6 mph 160 240 312

Bicycling, 12 mph 270 410 534

Jogging, 7 mph 610 920 1,230

Jumping rope 500 750 1,000

Running 5.5 mph 440 660 962

Running, 10 mph 850 1,280 1,664

Swimming, 25 yds/min 185 275 358

Swimming, 50 yds/min 325 500 650

Tennis, singles 265 400 535

Walking, 2 mph 160 240 312

Walking, 3 mph 210 320 416

Walking, 4.5 mph 295 440 572

Energy work!!!!!

• Einstein and quantum physics• Traditional Chinese medicine• Ayurveda/yoga• Reiki• Healing touch• Prayer/intention• Food/Plants/oils/aromatherapy

Ayurveda Whole System Approach to Energy

• Chakras• Nadi’s• Marma point

Moving energy

Lets move together!!

Synchronicity-Love and Service to others

• Takotsubo Cardiomyopathy (temp LV dys 4-6 wk)

• Harmonic coherence• Menstrual synchrony• Unified field theory (theory of relativity with electromagnetism)

Normal in/out

Expiratory Reserve

InspiratoryReserve

Breathing as exercise?

Navy SEAL’s

Olympians

Contestants ready….deep breath in …..and…..

A neti pot reminder:

Neti kriyaNasya Karma

Pranayama (BAM!)

• Ujjayi Victory or Ocean

• Nadi Shodana Nadi cleansing/ Alternate nostril

• 4-7-8 Andy Weil

5-10 minutes beginning and ending your day

Breath Awareness Meditation

Meditation

• Moving • Supported• Group • Open

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

Supported meditation to maintain change

• 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”

Meditation timers

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

Proving “hokupokus” with RCT’s!

Control the internal milieu that determines your future

weak

strong

The Saguil Approach

• Rescue• Stabilize • Grounding• Nutrition/Behavioral/Movement • Flare up/maintenance planning

Everyone enters at a different point

DrRic take home points

1. 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.html

National 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?

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

Future Lecture: HypertensionPioneer Park Arlington Heights

February 25th 11-12noon(847) 593-3330

QUESTIONS? COMMENTS?

DrRic Saguil

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