1. Is a Heart Attack in
Your Future?
Enrique Saguil, M.D.
We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

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

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

4. 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
Aimee Weber, EP
Lori Szczupaj, MA
Yu Zhu, MD China
You

5. Avoid Early Death!
We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

6. Do we really need to worry about MI?
• 935,000 in 2013 will have a heart attack
• 610,000 will have their first heart attack
• 320,000 have occurred in prior heart attack
• 385,000 will die from Coronary Artery Disease
• 108.9 Billion Dollars annually for CAD

7. In this room who is at risk?
• Heart disease in family (doesn’t matter if they were foolish)
• Smoker
• High Cholesterol
• High Blood Pressure
• High BMI
• Hi Sugar (Diabetes out-or-in control)
• Hi Stress/Low Ground
• Hi Couch

8. Doc said your safe for this year?

9. Pree’s Disease
• Pre Hypertension
• Pre Diabetes
• Pre Lipidemia
• Pre Death Living

10. Stay away from the South!

11. US Southern Body Weight Statistics Evolving:

36. BMI Matters! See DrRic Tutorial BMI youtube

37. What will would I feel?
• Indigestion that doesn’t go away with OTC
• Dizziness/shortness of breath/weakness
• Left shoulder ache/jaw pain/neck pain
• Difficulty with tolerating usual activity

38. How do we find risks
• High Blood Pressure
• High LDL
• High Sugar
• High BMI
• High Sedentary Life
• High Processed Food/Animal Products
• High Alcohol/Tobacco Use
History Taking!

39. Blood Tests
• Fasting Lipid Profile
• Fractionated Lipid Profile
• Cardiac CRP
• Homocysteine Level
• Ultrafast CT Scan of the Heart
• Stress Test Echo or Thallium
• Cardiac Catheter

40. Goin to the “fancy store”

41. Putting a halt to further damage
• Prescription medicines if impending doom
• Lifestyle changes (Ornish, McDougal,
Mediterranean, Japanese….)
• Herbals to help reverse fast, while developing
sustainable diet
• Relax
• Move
• Chelation? Detox?

42. Reversing disease within hours
• Heart Catheter to find narrowing
• Angioplasty to crack open the plaque
• Stent to maintain opening
• Bypass to jump over stenosis

43. Coronary Artery Stenting
• If stable chest pain
• Relieves pain (reduces symptoms)
• Doesn’t prevent heart attack
• Doesn’t help live longer
• Risky procedure for progression to bypass

44. Prescription Medicine
• Lower Cholesterol
• Lower Blood Pressure
• Lower Sugar
• Lower Blood Thickness

45. Life saving effect?
• No statin will make you healthy
• Unless the pill cooks a mostly plant based
diet, acts as an exercise coach, teaches you to
meditate.

46. T Colin Campbell
• Philippine indigent with whole plant based
protein
• Affluent families in the P.I. higher chance of
childhood liver cancer (high animal protein)

47. Caldwell Esselstyn, MD
• 5 years 18 patients
• 4 with regression of disease (CAD)
• Whole food plant based diet
• Removed dairy after reading Campbells work
• 14 patients still alive

48. Dean Ornish, MD
• Stress management
• Fitness
• Nutrition
• Love and Support
or

49. Sustainability
• Seattle Sutton/Jenny Craig/Weight Watchers
• South Beach/Atkins/Pritikin
• Gluten Free/Dairy Free/Wheat Free
• Raw/Vegan/Vegetarean/Lactoovepescoveg
• Invest in a Registered Dietician/Nutritional
Coach/Diabetic Educator
Outside help worth their weight in Gold!

50. Reason for Failure-Survival Instinct
• Least effort
• Least pain
• Most pleasure

51. Pleasure trap
• Hijacked pleasure circuits
• Drugs
• High processed foods
• Mechanisms of satiation fooled
• Stretch receptors (volume)
• Density receptors (richness)
-Doug Lisle PhD

52. DrRic Practical Advise
• Wedge in Whole Foods Plant Based Food
• Supplement for what’s missing/hurting
• Move (steps, hike, run, bike, gym, enlist)
• Meditate (Chopra Center, Umass
MBSR, Benson Henry Inst, Miraval…..)
• Pinnacle and Reassess

53. Now go take a Hike!

54. Detoxing Dilemma
March 9th Saturday
3-4pm
2010 South Arlington Heights Road
Arlington Heights, IL
Phone: 847-593-3330
www.FirstHealthAssociates.com