gc09_alternativemedicine

8/12/2019 gc09_alternativemedicine

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DeanOrnish

DeanOrnish

MikeMilken

MikeMilken

WilliamNelson

WilliamNelson

DCDC

Alternative Medicine Joins the MainsAlternative Medicine Joins the Mains


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Consciousness Creates ReaConsciousness Creates ReaCo-create andreflect eachother,interdependentlyco-arise, are atangledhierarchy.

They aresynchronisticallyarising emergentproperties thatco-emerge

depending on thelevel of vibration

of individual andcollectiveconsciousness.

Co-create andreflect eachother,interdependently

co-arise, are atangledhierarchy.

They aresynchronisticallyarising emergentproperties thatco-emergedepending on thelevel of vibration

of individual andcollectiveconsciousness.


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5 Breakthroughs for the 5 Breakthroughs for the

Your body is a process, not a structure.Your body is a process, not a structure.

Your body is an energy field.Your body is an energy field.

Your can turn your genes on and off.Your can turn your genes on and off.

You can change your relationship with timYou can change your relationship with tim

Awareness is the key to transformation aAwareness is the key to transformation a

reinventing the body.reinventing the body.


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Resurrecting the SoulResurrecting the SoulYour life is a flow of effortless spontaneity.Your life is a flow of effortless spontaneity.

Love is the soulLove is the souls only motivations only motivation

You have unlimitedYou have unlimited imaginationimagination and creativityand creativity

You invite Grace in your lifeYou invite Grace in your life

You choose evolution over entropy.You choose evolution over entropy.


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Our health care systemreally a disease care systOur health care systemreally a disease care syst


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$2.1 trillion spent last year

medical care = 16.5% of GD

95% spent to treat disease aft

had already occurred

$2.1 trillion spent last year

medical care = 16.5% of GD

95% spent to treat disease aft

had already occurred


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If we want to make health c

available to the 48 millionAmericans who dont have it,need to address the underly

causes

of disease.

If we want to make health ca

available to the 48 millionAmericans who dont have it,need to address the underly

causes

of disease.


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Cardiovascular diseases kill m

people worldwide each yethan all other illnesses

combined.

Cardiovascular diseases kill m

people worldwide each yeathan all other illnesses

combined.


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In a study of over 30,000 pati

heart disease was completepreventable

for almost 95%

of

just by changing diet and life

Yusuf S et al. Lancet. 2004 Sep 11;364(9438):937-52.

In a study of over 30,000 pati

heart disease was completepreventable

for almost 95%

of

just by changing diet and lifes

Yusuf S et al. Lancet. 2004 Sep 11;364(9438):937-52.


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COURAGE TRIAL

Angioplasty did not reduce

risk of death, heart attackother major cardiovascul

events.

--Boden WE et al. N Engl J Med 2007;356:1-14.

COURAGE TRIAL

Angioplasty did not reduce

risk of death, heart attack,other major cardiovascul

events.

--Boden WE et al. N Engl J Med 2007;356:1-14.


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In 2006, 448,000 coronary byoperations were performed cost of more than $44 billio

In 2006, 448,000 coronary byoperations were performed cost of more than $44 billio


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Coronary bypass surgery prolife in only 2-3% of those w

receive it.

.

--Caracciolo EA et al.Circulation. 1995;91(9):2325-34

Coronary bypass surgery prolife in only 2-3% of those w

receive it..

--Caracciolo

EA et al.Circulation. 1995;91(9):2325-34


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Dangerous, invasive, expenand ineffective

Dangerous, invasive, expenand ineffective


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Coronary heart disease is not

preventable, it is usuallyreversible

by changing dieand lifestyle.

Coronary heart disease is not

preventable, it is usuallyreversible

by changing dieand lifestyle.


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Optimal Lifestyle ProgramOptimal Lifestyle Program

Nutrition

Stress managementModerate exercise

Psychosocial support


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The primary determinant o

improvementwas the degree of lifestyle cha

The primary determinant o

improvementwas the degree of lifestyle cha


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Scaleability

& Cost EffectivenScaleability

& Cost Effectiven

Three demonstration projectsMore than 3,000 patients

Greater changes in diet and lifestyle, larg

improvements in risk factors and quality o

and bigger cost reductions than have ever

been reported in an ambulatory group of

Three demonstration projects

More than 3,000 patients

Greater changes in diet and lifestyle, larg

improvements in risk factors and quality o

and bigger cost reductions than have ever

been reported in an ambulatory group of p


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1. The Multicenter Lifestyl

Demonstration Project

1. The Multicenter Lifestyl

Demonstration Project

Almost 80% of 333 patients who

eligible for bypass surgery or angwere able to safely avoid it.

Ornish D. Avoiding revascularization with lifestyle changes: The Multicenter Lifestyle Demonstration PCardiology. 1998;82:72T-76T.

Koertge J, Weidner G, Elliott-Eller M, et al. Improvement in medical risk factors and quality of life incoronary artery disease in the Multicenter Lifestyle Demonstration Project. American Journal of Card

Almost 80% of 333 patients who w

eligible for bypass surgery or angwere able to safely avoid it.

Ornish D. Avoiding revascularization with lifestyle changes: The Multicenter Lifestyle Demonstration PCardiology. 1998;82:72T-76T.

Koertge J, Weidner G, Elliott-Eller M, et al. Improvement in medical risk factors and quality of life incoronary artery disease in the Multicenter Lifestyle Demonstration Project. American Journal of Card


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2. The Highmark Blue Cross Bl

Shield Demonstration Project:Cost Comparisons After 3 Year

2. The Highmark Blue Cross Bl

Shield Demonstration Project:Cost Comparisons After 3 Year

Experimental Group (CAD) (N=75) Baseline vs. 3 year average = 8.7% decrease in

Matched Cohort Members (CAD) (N=75) Baseline vs. 3 year average = 47.2% increase in co

Experimental Group (CAD) vs. Matched Cohort (CAD) Members Year by Year

$-

$2,000.00

$4,000.00

$6,000.00

$8,000.00

$10,000.00

Ornish Members (CAD) Matched Cohort Members

Ornish Members (CAD) 5377.56 4627.88 5241.27 48

Matched Cohort Members 5344.32 8586.89 8115.56 68

baseline year 1 year 2 y


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Medicare is now covering this p

for reversing heart diseas

Medicare is now covering this p

for reversing heart diseas


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8 %

1 %

-5 %-5 %

-1 %

3 %

7 %

L o w (< 4 8 % ) M e d iu m

( 4 8 - 8 8 % )

H ig h (> 8 8

D e g r e e o f L i fe s ty le C h a n g e a nC h a n g e s in P S A

Ornish D et al. Journal of Urology. 2005;174:1065


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Change in Prostate Tumor Gr

(LNCaP)

-9%

-70%

-70%

-55%

-40%

-25%

-10%

%FBS

Co

Ex

Ornish D et al. Journal of Urology. 2005;174:1065


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-7 .9

-3 8 . 7

-7 1 . 9

-8 0

-6 0

-4 0

-2 00

L o w( < 4 8 % ) M e d i u m( 4 8 - 8 8 % ) H i g h( > 8 8 % )

D e g r e e o f L i fe s ty le C h a n g e a n d

In h ib i tio n o f L N C a P T u m o r G r o w

B a s e lin e -1 2 m c h a n g e in L N C A P c e ll g rOrnish D et al. Journal of Urology. 2005;174:1065


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1 year latePSA - 4.5 ng

BaselinePSA - 6.4 ng/ml

Changes in MRI spectroscopy


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Change your lifestyle, Changegenes


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Gene expression in over genes was beneficially

affected.

Gene expression in over genes was beneficially

affected.

Ornish D et al, Proc Nat Acad Sci 2008; 10


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Genes controlling tumo

formation, oxidative stress

inflammation were

downregulated.


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We found a set of RAS fa

oncogenes

(RAN, RAB14, RAB8A) todownregulated.

Downregulation of Oncogenes by Lifestyle Changes


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Ornish et al. Proc Nat Acad Sci USA 2008; 105: 8369.


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p <

Increase in telomerase activity from baseline to 3 month

Ornish D et al. Lancet Oncol. 2008; 9: 104857.

Worldwide Life Expectancy GroWorldwide Life Expectancy Gro


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18201820 19001900 19501950 22

26Years

31

Years

49Years

Y

Source: United Nations Development Program

+5+5

+18+18

+35+35

Worldwide Life Expectancy GroWorldwide Life Expectancy Gro


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Lifestyle Affects Quality of LifeU.S. vs. Japan

Lifestyle Affects Quality of LifeU.S. vs. Japan

Life ExpectancyLife Expectancy

67.6 9

73.6

Healthy yearsHealthy years


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U.S. Economy

$13.84 trillion

U.S. Economy

$13.84 trillion

Lifestyle Makes a DifferencLifestyle Makes a Differenc

16% = health care spe

$2.2 tr

16% = health care spe

$2.2 tr

Date: September 22, 2008

f l k ff


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U.S. Economy

$13.84 trillion

U.S. Economy

$13.84 trillion

70% of health-care s

about $1.5 trillion on lifestyle-related d

70% of health-care s

about $1.5 trillion on lifestyle-related d

Lifestyle Makes a DifferencLifestyle Makes a Differenc

Date: September 22, 2008


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Wh t ld t k ?Wh t ld t k ?


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Who told you to smoke?Who told you to smoke?


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Wh t ld t k ?Who told you to smoke?


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Ann SheridanAnn Sheridan BarbaBarbaJoan CrawfordJoan Crawford

Famous actressesFamous actresses


Who told o to smoke?Who told you to smoke?


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Your dentist Your dentist




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and your doctors and your doctors



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Scientific researchers!Scientific researchers!



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Soldiers and sailorsSoldiers and sailors


Who has NOT been used in cigareWho has NOT been used in cigare


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Who has NOT

been used in cigare

advertisements to get you to smo

Who has NOT

been used in cigare

advertisements to get you to smo

a.

Babies

b.

Santa Clausc.

Supreme court justices

d. U.S. Presidents

a.

Babies

b.

Santa Clausc.

Supreme court justices

d. U.S. Presidents


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BabiesBabies

d


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U.S. PresidentsU.S. Presidents

lS Cl !!


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Santa Claus!!Santa Claus!!


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There is a

staggeringcost for fail

to contain t

containable

There is a

staggeringcost for fail

to contain t

containable


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Failure to address chronic disease

adequately costs the

U.S. economy more than

$1 trillion annually.

Failure to address chronic disease

adequately costs the

U.S. economy more than

$1 trillion annually.

Chronic Disease StudyChronic Disease Study


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Diabetes

Heart disease

Hypertension Stroke

Diabetes

Heart disease

Hypertension Stroke

Cancers

Pulmonary co

Mental disord

Cancers

Pulmonary co

Mental disord

Chronic Disease StudyChronic Disease Study

Obesity Prevalence Among U.S.Obesity Prevalence Among U.S.


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y g

1991

y g

1991 > 15%> 15%< 15%< 15%



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y g

2001

y g

2001 > > < <



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y g

2002

2002 > > < <

Obesity Rates: U.S. vs. WorObesity Rates: U.S. vs. Wor


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yy

20022005

1.5%1.5%

1.9%1.9%

6.6%6.6%

20.4%20.4%

24.2%24.2%

1.8%1.8%

1.6%1.6%

7.8%

20.9%

21.6%

36.5%

JapanJapan

ChinaChina

FranceFrance

GermanyGermany

U.K.U.K.

U.S.U.S.MENWOMENWOMEN

34.3%34.3%24.0%MexicoMexico

Physical InactivityPhysical Inactivity


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39% of U.S. childrenages 9-13 take part inorganized exerciseeach week.

39% of U.S. childrenages 9-13 take part inorganized exerciseeach week.

29% of U.S.school studentsparticipate in peducation class

29% of U.S.school studentsparticipate in peducation class

Physical InactivityPhysical Inactivity

Treatment Costs Are a Small PortioTreatment Costs Are a Small Portio


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eat e t Costs e a S all o t o

Economic Costs

Economic Costs

CancerCancer

$400$400$300$300$200$200$100$100

HeartHeart

HypertensionHypertensionMentalMental

DiabetesDiabetes

PulmonaryPulmonary

StrokeStroke

Direct C

Indirect

Source: Milken Institute 2007

QUIZ:QUIZ:


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How much larger is the average

in the U.S. compared to Fran

How much larger is the average

in the U.S. compared to Fran1.

5%2.

18%3.

33%4.

52%5. 74%

1.

5%2.

18%3.

33%

4.

52%5. 74%


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U.S. soft drink portions are 52% larger

in France.

U.S. soft drink portions are 52% larger

in France.Source: University of Miami School of Medicine/Sheah Rarback, R.D.


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Candy bars sold in Philadelphia are 4

larger than those in Paris.

Candy bars sold in Philadelphia are 4

larger than those in Paris.Source: University of Miami School of Medicine/Sheah Rarback, R.D.


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A carton of yogurt in the U.S. is 82% la

than in France.

A carton of yogurt in the U.S. is 82% la

than in France.Source: University of Miami School of Medicine/Sheah Rarback, R.D.

Fewer carcinogens are detected if you flFewer carcinogens are detected if you fl


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Source: William Nelson, M.D., Johns Hopkins Hospital

burgers multiple times.

burgers multiple times.

What You Eat MattWhat You Eat Matt


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15-20% decrease in

progression of proscancer by increasin

consumption of fiscooked-tomato protwo servings per w

after diagnosis.

15-20% decrease in

progression of proscancer by increasin

consumption of fiscooked-tomato protwo servings per w

after diagnosis.

What You Eat MattWhat You Eat Matt

Source: June Chan, ScD, UCSF

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