DrRic Building a Spiritual Yogic Practice to Neutralize Stress (slide share edition)
DrRic Heart Health (slide share edition)
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Transcript of DrRic Heart Health (slide share edition)
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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