DrRic Saguil's Whole Foods Market Schaumburg lecture for heart months February 2012.

1. Love your Heart
Enrique Saguil, MD
First Health Associates
We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

2. Release:
• This lecture is not meant to substitute for
medical care
• Please see your doctor for questions
• There are no financial connections between
Whole Foods Market-Enrique Saguil, MD
• A copy of this ppt is available by calling
(847) 593-3330
Or friend DrRic Saguil

3. 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.

4. The First Health Approach
We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

5. 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

6. What is this thing in our chest?

7. Sir Isaac Newton followers:
• It’s made of muscle
• It moves blood like a pump
• It beats/contracts every second

8. Albert Einstein followers:
• An area of radiating energy
• True seat of control for daily function
• A way into consciousness

9. Yogic practitioners:
• A vortex of energy (Anahata)
• Allows us to give and receive love without fear
or attachment

10. What we learned in school
–it gives life!

11. What we learned at the “physical”
–its going to attack us
The heart will die if
cholesterol or blood pressure
is too high
250,000 women die annually
25% Americans fit Metabolic S
2.5% m (1.9%f) increase in
cardiovascular events in
Prehypertension
AHA heart attack risk calc –
americanheart.org

12. What we learn in some yoga classes

13. Three guys are hunting duck:
• Family Medicine Doc DUCK !!!
• Internal Medicine Doc R/O Mallar, R/O Quail!!!
• Surgeon I Dunno, but I got it!!!

14. The Saguil Approach
• Rescue
• Stabilize
• Grounding
• Nutrition/Behavioral/Movement
• Flare up/maintenance planning

15. Rescue
• Coronary artery disease

16. Western medicine
• Bypass
• Angioplasty
• Medicines to increase heart function
contractility
preload lowering
after load lowering

17. Whats this sign!?!

18. • Chest discomfort
• Discomfort in other areas of the upper body
• Shortness of breath
• Other-cold sweat, lightheadedness, nausea

19. Soft Rescue-Risk Screening
• History and Physical/ekg
• Exercise stress echo/thallium
• Ultrafast CT scanning of the heart
• Homocysteine/Cardiac CRP reynoldsriskscore.org
• Fasting lipid/Fractionated lipid
• BMI/BP/waist to hip ratio

20. WHR
Rib and Iliac
1 in above navel
Widest butt or
hip
WHO NIDiabetesDigestiveKidneyds
0.9 males 1.0 males
0.85 females 0.8 females

21. Mega Hospitals vs Healing Centers
Having one/creates the other
Healing Center

22. The Saguil Approach
• Rescue
• Stabilize
• Grounding
• Nutrition/Behavioral/Movement
• Flare up/maintenance planning

23. 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

24. Meds:
• Asa - daily
• HCTZ – 50 daily
• Beta blocker – bid
• Ace inhibitor 1-2xday
• Calcium channel blocker – 1-2xday
• Nitroglycerin – 2xday
• Coumadin – daily

25. Meds work on the “Newton Heart”

26. The Saguil Approach
• Rescue
• Stabilize
• Grounding
• Nutrition/Behavioral/Movement
• Flare up/maintenance planning

27. Dr Saguil’s Special Forces
• The concept of “Grounding”
• Nutrition/Behavior/Movement
Registered Dietician
Behavioral Health
Exercise Physiologist
Yoga Therapeutics

28. Special Forces in Action - Dean Ornish, MD pilot study
• Nutrition
• Managing stress
• Fitness/Yoga
• Love, Intimacy, Support
Now
covered by
• 28 patients for 1 year Medicare!!
• Low fat vegetarian
• Stop smoking
• Stress management
• Moderate exercise
• 82% experimental group had change toward regression 1yr
…more regression 5yr

29. Flare Up/Maintenance planning
• Re-conceptualize flare up pain
• Plan Reassessment and Reset goals
• Accountability is key

30. Health Insurance Based
-maintenance goals
• Control blood pressure medicines
• Control cholesterol medicines
• Control diabetes medicines
• Prolong life? medicines
• Nutrition and exercise uncovered benefit
(HSA/Flex?)

31. “Alternative” medicine 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”

32. Fat’s where it’s at
• Monounsaturated
• No vegetable oils
• Olive oil/macadamia nut oil/toasted sesame
seed oil/walnut oil

33. Fiber
• Changes satiety
• Slows absorption
• Pulls cholesterol
• Adds bulk to stool/massages gi tract

34. Flat-curve carbs
• Low glycemic index/load
• ANDI/MANDI

35. Refined nutrition that “dumps insulin”
GoGo Juice from
Toddlers and Tiara’s star
Anna Holler

36. 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

37. Dr Ric’s beginner supp’s…
• Multivitamin (watch vit A, calcium)
• Omega 3 fish oil
• Vit D
• Disease/medicine specific repleation:
• Hawthorne
• Tumeric
• Coq10
• Sshhh……until you maximize your nutrition!

38. Colorado Blizzard Feb 2012
“There’s no more meat or lettuce!!!”

39. Learn three dishes
Learn three spices

40. 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

41. 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/

42. 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

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

44. Ayurveda Whole System Approach to Energy
• Chakras
• Nadi’s
• Marma points
(nausea points, headache points
massage points)

45. Moving energy

46. Lets move together!!

47. 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)

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

49. Breathing as exercise?
Inspiratory
Reserve
Olympians
Normal in/out
Navy SEAL’s
Expiratory
Reserve

50. A neti pot reminder:
Neti kriya
Nasya Karma

51. Pranayama (BAM!)
Breath Awareness Meditation
• Ujjayi Victory or Ocean
• Nadi Shodana Nadi cleansing/ Alternate nostril
• 4-7-8 Andy Weil
5-10 minutes beginning and ending your day

52. BAW/Yoga/Meditation
• Stress reducing activity
• Decreases bp,hr,rr,blood thickness
• Shhhh!!! It also allows transformation!

53. Meditation
• Moving
• Supported Tim Olmsted
-Pres. Pema Chodron
• Group Foundation
-Spiritual Director Buddist Center
• Open Steamboat Springs CO
-Teaches with Yongey Rinpoche

54. 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” on a leash

55. Meditation timers
Start:
5-10 minutes twice a day
Maintain:
30 minutes twice a day to

56. Proving “hokupokus” with RCT’s!

57. Control the internal milieu
that determines your future
weak
strong

58. The Saguil Approach
• Rescue
• Stabilize
• Grounding
• Nutrition/Behavioral/Movement
• Flare up/maintenance planning

59. 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.

60. 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 therapies
for which there is some high-quality scientific evidence of safety and effectiveness."

61. Q & A?
Future Lecture: Hypertension
Pioneer Park Arlington Heights
February 25th 11-12noon
(847) 593-3330
Or get announcements to future talks:
DrRic on
Saguil
We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

62. 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