This document provides an overview of transitioning from a traditional allopathic medical practice to a holistic and integrated medical model. It discusses the current state of allopathic medicine and opportunities presented by disruptive forces such as microchips. It also outlines two medical models - the traditional allopathic model focused on treating disease, and an integrated wellness model focused on prevention and optimizing health. The document proposes starting small with integrated approaches and provides resources for physicians seeking to make a transition.

1. How to Transition from Traditional Allopathic
Practice to a Holistic and Integrated Medical Model
Louis B. Cady, MD – CEO & Founder – Cady Wellness Institute
Adjunct Professor – University of Southern Indiana
Adjunct Clinical Lecturer – Indiana University School of Medicine
Department of Psychiatry
Child, Adolescent, Adult & Forensic Psychiatry – Evansville, Indiana
This presentation is © Louis B. Cady M.D. and may not be reproduced or
used without permission.

2. Ethics and financial/logistical
practicalities of these lectures
• Nothing is more important than taking care of the
patient.
• “The needs of the patient come first.” (Dr. Will
Mayo, MD)
• The current “medical model” is at variance with
what is ethical, moral, and factual.
• If the physician is not stable and financially secure,
the system implodes.
– “No margin, no mission.” - Steven R. Covey
• If the system implodes, the patient suffers.

3. Background

4. “Wellness
Traditional
Optimal Health
[integrated]
No Disease = Health
Medicine Medicine”
Forestall and
Diagnose and PREVENT Disease –
Treat Disease
Death
Optimize Function
New Drugs Hormone
New Surgical Modulation
Techniques
Diet, Exercise
Nutritional Supplementation

5. Health is a state of complete
physical, mental and social
well-being, and not merely
the absence of disease or
infirmity.
- World Health Organization

6. American Journal of Health Promotion;
November/December, 2002
66% 19% of those
18.8%
“Incompletely healthy” surveyed
completely
were
unhealthy,
completely
defined as
healthy with
having low
high levels of
levels of health
both physical
with high Two-thirds of the adults and mental
levels of reported some health and a
illness. degree of mental
low level of
or physical
illness that kept them
illness.
from being completely
healthy.
“Incompletely healthy.”
DEAD
HEALTH continuum
O

7. The “Survival Curve” – Where Are You?

8. Outline
• Overview of concepts
• My bias – a practice model
• Current state of allopathic medicine
• Microchip as disruptor and disintermediator
– (“Change or die”)
• Current state of patients and society
• What’s your model? Chloraseptic or PCN?
• How to start changing….

9. The evolution of my practice
• Sidetracked in high school, two degrees in music (’77 and
’79) and learned piano tuning
• 1976 – 1989 – piano tuning (through pre-med and med
school). “fee for service”(Med School finished 1989)
• 1989-1993 – conventional allopathic psychiatry residency
at Mayo Clinic
• 1993 – start practice. 1995 – l-tyrosine and EFA’s
• 2002 – first IFM conference
• 2003 – Cenegenics training
• 2005 – founded Cady Wellness Institute
• 2010 – 2011 – Neil Rouzier, MD & WorldLink
• 2012 – rTMS (Transcranial Magnetic Stimulation)

10. May 2002: 9th Annual IFM Conference

11. The Functional Medicine component
Dead Doctors Don’t Lie - Joel Wallach, DVM, ND

14. Current socioeconomic state and
allopathic (“conventional”) medicine –
DISRUPTIVE NOTIONS
• CONVENTIONAL Allopathic medicine = symptom
focused, reactive, “taught,” unthinking, uncreative,
PRACTICALLY non-informed by peer-reviewed
medical literature.
– Commoditized. No variability. “Providers.”
• Integrated medicine: individualized. Can’t get it
elsewhere. Not a commodity. Scientific. Informed
by peer-reviewed literature.
– Concept of “information brokering” (example:
THYROID)

15. Medicare–Workers per Beneficiary
Millions
Year
SOURCE: Kaiser Family Foundation based on the 2009 Annual Report of the Boards of Trustees of the Federal Hospital Insurance
and Federal Supplementary Medical Insurance Trust Funds. http://facts.kff.org/chart.aspx?ch=383. Accessed April 3, 2010.
Slide courtesy of John Adams, MBA – CEO, Cenegenics

16. The Future of Medicare
“Medicare is going
bankrupt. The Medicare
Trustees estimate that
the program will run
short of money starting
in 2017.”
•Rep. Bobby Scott,
Senators Jim Webb and Mark Warner
http://www.congress.org/congressorg/bio/userletter/?
id=3181&letter_id=4747883751. Accessed April 3, 2010.
Slide courtesy of John Adams, MBA – CEO, Cenegenics

17. SOURCE: Mary Meeker, Partner – Kleiner, Perkins Caulfield & Byers –
“Internet Trends” Slide deck – D10 conference, released 5/31/2012

18. SOURCE: Mary Meeker, Partner – Kleiner, Perkins Caulfield & Byers –
“Internet Trends” Slide deck – D10 conference, released 5/31/2012

19. Healthcare Reform–Physicians Perception of
Medicine Over the Next Few Years
http://www.athenahealth.com/index.php?open=26. Accessed April 3, 2010.
Slide courtesy of John Adams, MBA – CEO, Cenegenics

20. Are the Best and Brightest
Staying in Medicine?
“60% of physicians
would not recommend
medicine as a career
to their children.”
http://www.mayorswellnesscampaign.org/wp-
• – The Physicians’
content/uploads/2009/05/merritt-hawkins-survey.pdf.
Accessed April 3, 2010.
Foundation
Slide courtesy of John Adams, MBA – CEO, Cenegenics

23. Note: new slide

24. Is there hope for medicine?

25. “The Great Crossover” – the microchip
cf: Dan Sullivan www.strategiccoach.com

30. Accessed 1 21 2012

31. A change from the allopathic
model?

32. Socioeconomic/disruptive forces
with two models
Allopathic Wellness/ fxnl med
• Disease and CHANGE AGENTS
• Integrated and whole
sickness focused person model
• Short appointments • Microchip/intern • Bill for time
• Commoditized et • Non-commoditized
• Compartmentalized • Increase in • Collaborative
• Doctor as priest chronic disease • Informed patients
• Uninformed patient • “boomers” willing to “pay for
• Sicker patients • Job/socio- expertise”
• Either practice economic • Practice per peer-
ignorantly or with reviewed literature;
pressures No crises (pl) of
guilty conscience
• Worry/poor conscience
satisfaction • INTENSE satisfaction

33. Divergence of focus of two models
Wellness/ fxnl med;
Allopathic “complementary/alternative”
• Relief of symptoms • CAUSE of symptoms, prevention
• Organ specific • SYSTEMS focused
• Aggressive. “magic bullet” • Gentle, methodical.
• Rules, practice guidelines • Creative. What works?
• Patient as uninformed • Patient as integral part of team.
protoplasm. Questions/participation
encouraged.
• Tied to medico-pharmaco- • Focused on health and optimization
industrial complex with natural, bio-identical methods
• Use of synthetic, patented, • Use of PROVEN botanicals and
not-from-nature substances natural hormones (as well as
conventional RX).
Adatped from “Alternative Medicine: Why so popular? By Hans R. Larsen, MSc ChE.
International Health News, Sept 1999, issue 93
http://www.yourhealthbase.com/alternative_medicine.htm accessed 1 21 2012

34. Some interesting thoughts:
• “The war situation has developed not
necessarily to Japan’s advantage..”- Japanese
Emperor Hirohito after the atomic bombing of Hiroshima and Nagasaki,
announcing Japan’s surrender to the Allies
• “A naïve analysis of stability is derived from the
absence of past variations” (or “The Turkey
Problem”)
– Nicholas Taleb, author of The Black Swan

35. What does integrated, holistic
medicine “look like?”
A quick dip in the literature

36. % U.S. Women with inadequate quantities of nutrients
Arab L, Carriquiry A, Steck-Scott S, Gaudet MM. Ethnic differences in the
nutrient intake adequacy of premenopausal US women: results from the Third
National Health Examination Survey. J Am Diet Assoc 2003; 103:1008-14.

37. = 2 apples (fruits) & 3 - 4 vegetables
– per CDC

38. 4 – 13 servings of fruits and
vegetables per day, depending on
energy needs

40. Cf: http://www.veganforum.com/forums/showthread.php?t=3532

41. % Mineral depletion from the soil
during the past 100 years, by continent
North America 85%
South America 76%
Asia 76%
Africa 74%
Europe 72%
Australia 55%
Source: UN Earth Summit Report 1992

42. If we know all of this stuff….
Why don’t we DO anything about
it (with our careers, or practices,
and our patients lives)?

43. Factors trapping physicians & HCP’s
• “Doing it, doing it, doing it.” (Michael Gerber, The
E-Myth)
• Already time-pressured –
– Minimal time to think or plan
– PROBABLY ADRENALLY DEPLETED ALREADY,
perhaps with suboptimal thyroid and sex hormones
• Tip – GET YOUR LABS CHECKED!!
• Must “make overhead.”
• Can’t “take chances.”
• Trapped by “provider panel” arrangements,
including cut rate fees. (Alcoa story)

44. Beating the FUDD Factor ™
• F ear
• U ncertainty
• D oubt
• D ESPAIR:
– Don’t know where to start, don’t know how to
test, don’t know how to interpret the labs, afraid
of “hurting” the patient.

45. MAKING THE TRANSITION
• Must DECIDE
– Must have INFO (e.g., this weekend)
– Must INTROSPECT
• Must have something LEGITIMATE to offer
• Start SMALL – both with interventions and testing
– E.g, ¼ grain Armour, or Cytomel 5 MICROgrams, or Cortef 5 mg
twice daily, or FDA approved testosterone for guys
– E.g., OAT and IgG testing
• Get EDUCATION
– IMMH Conferences
– AAMG – American Age Management Medicine Group; Institute for
Functional Medicine.
For hormones – Neal Rouzier & World Link Medical
• Find a mentor (s) – start here

46. Marketing & Practice Development
• Maintain excellence in allopathy, osteopathy,
chiropractic or naturopathic medicine)
– (knowledge base, prescribing, surgery)
– (“Be able to debate the great issues.” – Jim Rohn)
• Know your [new] stuff!
• Do not badmouth the competition. (Chris Lord
example).
• Give CME talks and paper over their objecting
mouths with references.
• Spiritual and ethical clarity.

47. “You can have everything in life
you want, if you just help
enough other people get what
they want.”
- Zig Ziglar
What do patients want?
•To be treated with
respect
•To not have to wait!
•To FEEL BETTER
•To HAVE HOPE.
•To not be doped up.
•To NOT have their
money wasted.

48. $5,000 worth of wisdom on one page
– from Jay Abraham
• Risk reversal
• “USP” – unique selling Focus: “Be able to
proposition
treat your clients
• Defining the buying
(or patients) as
criteria
dear and valued
• Three ways for more
friends.”
profit: - Jay Abraham
– Higher price
– More frequency
– Additional items
(supplements, etc.)

49. Jay Abraham References
(recommended)
www.amazon.com

50. Evansville Courier & Press: May 29,
2006
References: www.pharmanexmd.com ; www.slideshare.net/lcadymd
;
Dr. Oz show on YouTube:

51. My position on supplements
• “The needs of the patient come first.” – W
Mayo
• Unique and/or patented. (Otherwise GNC is
fine).
• Guaranteed (risk reversal).
• Measurable changes (functional testing
good!)
• Be a doctor and not a stock boy/girl or
inventory clerk.

52. Building CWI - what has worked
• Being nice to patients
– (on time, polite, compliment on questions, don’t be a
jerk or abrasive, put yourself into their shoes, etc.)
• Be good and get results. BE THE BEST!
• Be TRANSPARENT – give’em their labs.
– Write on them. Draw pictures. Take time (and BILL
FOR IT).
– Cenegenics model
• Be appropriately self-protective of your time and
talents. “If they show up, bill’em.” – Dan
Kennedy.

53. Be Awesome!
NEW reference. Grab it.

54. MARKETING – what has and hasn’t
worked
Worked Hasn’t worked
• Word of mouth • Paid advertising (TV,
• Public seminars print, magazines)
• Web site
• • What I HAVEN’T tried:
Going to MD’s/DO’s
– Marketing consultants
offices PERSONALLY
– Radio ads
• Free stuff – PR
opportunities New initiatives:
• Going to places and •Proprietary, paid websites
NETWORKING •“SEO” – search engine
optimization (Willie Sutton
principle)

56. Additional resources – handouts
available at end of lecture
• “The 10 Commandments of Marketing a
Medical Practice” – Cady (handout, free)

57. From Chet Holmes - Grow Your Business 10X web presentation

58. Try our app
www.cadywellness.com
(also “mobile optimized”)
www.indianaTMS-cadywellness.com
Office: 812-429-0772
E-mail: lcady@cadywellness.com
4727 Rosebud Lane – Suite F
Interstate Office Park
Newburgh, IN 47630 (USA)
Download from
iTunes or Android App store now!

59. A personal close:
How do YOU want to age?

60. Success and Failure (Jim Rohn)
What about you? You’ve only got one body.
• “Errors in judgement” - High glycemic eating,
no exercise, poor nutrition, no labs and “flying
blind”, lousy/no supplementation, high stress
practice.
- “Good disciplines” – appropriate diet, labs,
supplementation, exercise, hormones. Stress
management. Decent practice and lifestyle.

61. "If you have knowledge, let others
light their candles in it."
- Margaret Fuller (May 23, 1810 - July 19, 1850)
(American journalist, critic, and
women’s rights advocate.)
I wish you all
the best!
Good luck!

62. Contact information:
Louis B. Cady, M.D.
www.cadywellness.com
www.indianaTMS-cadywellness.com
Office: 812-429-0772
E-mail: lcady@cadywellness.com
4727 Rosebud Lane – Suite F
Interstate Office Park
Newburgh, IN 47630 (USA)
Download from
iTunes or Android App store now!