The Heart of Yoga

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• A copy of this ppt is available by calling (847) 593-3330

Or friend DrRic Saguil

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

grounding

nutrition

movemen

t

Ric Saguil, MD

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:

• True seat of control for daily function• An area of radiating energy• 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

AHA heart attack risk calc – americanheart.org

What we learn in some yoga classes

The Saguil Approach

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

Rescue

• Coronary artery disease

Western medicine

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

Probably not you?

• 233,000 women die annually• 19416.7 women will die this month• 4854.2 women will die this week• 693.5 will die today• 28 women have died during this lecture• 1.5 million heart attacks annually• 500,000 die annually• Cardiac event every 26 seconds• 1 Death every minute

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

Think you are smart enough to wait?

• 60% of men is massive MI or death• 50% of women is massive MI or death

Alberto Salazar

…who should run to get a physical next week?

Soft Rescue-Risk Screening

• History and Physical/ekg• BMI/BP/waist to hip ratio• Homocysteine/Cardiac CRP reynoldsriskscore.org

• Fasting lipid/Fractionated lipid• Exercise stress echo/thallium• Ultrafast CT scanning of the heart

For FebruaryHeart Month!

The Saguil Approach

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

Stabilize and plan the wean

• Return to ADL’s (Activities of Daily Living)

• 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• On and on and on….they do work to

“normalize” the numbers

Dr Saguil’s Special Forces:

• The concept of “Grounding” with - Nutrition/Behavior/Movement Registered Dietician Behavioral Health Exercise Physiologist Yoga?

Who to trust your heart to?

• 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 reversal of heart disease 1yr …more reversal 5yr

Now covered by Medicare!!

Dean Ornish’s Program

Western -maintenance goals

• Control blood pressure medicines • Control cholesterol medicines• Control diabetes medicines• Prolong life? medicines/surgery• Nutrition and exercise uncovered benefit (HSA/Flex?)

“Get your annual numbers in line”

Alternative -maintenance 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”

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

Refined Carbs

Low fat, whole grains, fruits,

veggies, legumes

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:• Hawthorne• Tumeric • Coq10

• 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

• Community Supported Agriculture!

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 Movement!!!!!

• 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

Whole System Approach

TCM’s points to reduce symptoms

Moving energy

Have it done to you

Do it yourself

Asana that help open the heart energy

Expand the chest and link to breath

Behavior-Love, Service, Grounding

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

• Women with highest marital stress 3x higher for MI

• Menstrual synchrony• Harmonic coherence…

Living individually

Group healing

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

“Starting all together sounds off but time will improve tone automatically” - DrRIc

Normal in/out

Expiratory Reserve

InspiratoryReserve

(potential for increased lung

volume)

Breathing as exercise?

BAW/Yoga/Meditation

• Stress reducing activity• Decreases bp,hr,rr,blood thickness

• Shhhh!!! It also allows transformation!

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

Meditation

• Moving • Supported• Group • Open

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

Supported meditation

• Sight -candle, mandala, image• Sound -singing bowl, nature, breath, om• Smell -aromatherapy, nature• Taste -mindful eating• Touch -healing touch, comfort, mala beads• Breath, mantra, yoga, tai chi, Qi Gong

• Keep the concept of “monkey mind” on a leash

Meditation timers

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

www.spotlightsix.com/iphone-meditation-timer

Flare Up/Maintenance planning

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

Bringing it back in Western style!

-The internal milieu is a continuous fight

How to choose the right tool for you?

?

Integrative medicine …."combines mainstream medical therapies and CAM therapiesfor which there is some high-quality scientific evidence of safety and effectiveness.“ www.integrativemedicine.arizona.edu

Get the right help

DrRic’s take home points

1. Patient heal thy self, 2. Find your own “center for healing”3. Use western medicine, but do your research4. If you find a doc that listens and is an

example of health…never let go and share with others.

Q & A?

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

Next Lecture: Hiking for HealthWhole Foods Market Schaumburg

March 10th (sat) 2-3pm(847) 585-5800

For future public appearances:

QUESTIONS? COMMENTS?

DrRic Saguil

on

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