My talk given at Lotus Yoga 2012Feb

1. The Heart of
Yoga
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
• A copy of this ppt is available by calling
(847) 593-3330
Or friend DrRic Saguil

3. Ric Saguil, MD
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:
• True seat of control for daily function
• An area of radiating energy
• 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
AHA heart attack risk calc –
americanheart.org

12. What we learn in some yoga classes

13. The Saguil Approach
• Rescue
• Stabilize
• Grounding
• Nutrition/Movement/Behavior
• Flare up/maintenance planning

14. Rescue
• Coronary artery disease

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

16. 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

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

18. 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?

19. 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

20. The Saguil Approach
• Rescue
• Stabilize
• Grounding
• Nutrition/Movement/Behavior
• Flare up/maintenance planning

21. 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

22. 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

23. Dr Saguil’s Special Forces:
• The concept of “Grounding” with -
Nutrition/Behavior/Movement
Registered Dietician
Behavioral Health
Exercise Physiologist
Yoga?

24. Who to trust your heart to?
• Nutrition
• Managing stress
• Fitness/Yoga
• Love, Intimacy, Support
Now
covered by
• 28 patients for 1 year Medicare!!
• Low fat vegetarian
• Stop smoking
• Stress management Dean Ornish’s Program
• Moderate exercise
• 82% experimental group had reversal of heart disease 1yr
…more reversal 5yr

25. 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”

26. 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”

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

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

29. Flat-curve carbs
• Low glycemic index/load

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

31. 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

32. 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!

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

34. Learn three dishes
Learn three spices

35. 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!

36. 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/

37. 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

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

39. Ayurveda Whole System Approach to Energy
System Approach
• Chakras
• Nadi’s
• Marma point
TCM’s points to
reduce symptoms

40. Moving energy
Do it yourself
Have it done to you

41. Asana that help open the heart energy
Expand the chest and link to breath

42. 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

43. Contestants ready….deep breath in
…..and…..
“Starting all together sounds off but time will improve tone automatically” -

44. Breathing as exercise?
Inspiratory
Reserve
(potential for
increased lung
volume)
Normal in/out
Expiratory
Reserve

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

46. 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

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

48. 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

49. Meditation timers
Start:
5-10 minutes twice a day
Maintain:
30 minutes twice a day to
www.spotlightsix.com/iphone-meditation-timer

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

51. Bringing it back in Western style!

52. -The internal milieu is a
continuous fight

53. How to choose the right tool for you?
?
Get the right help
Integrative medicine …."combines mainstream medical therapies and CAM therapies
for which there is some high-quality scientific evidence of safety and effectiveness.“
www.integrativemedicine.arizona.edu

54. DrRic’s take home points
1. Patient heal thy self,
2. Find your own “center for healing”
3. Use western medicine, but do your research
4. If you find a doc that listens and is an
example of health…never let go and share
with others.

55. Q & A?
Next Lecture: Hiking for Health
Whole Foods Market Schaumburg
March 10th (sat) 2-3pm
(847) 585-5800
For future public appearances:
DrRic on
Saguil invent the practice of medicine….
We didn’t
we’re just changing the way it’s provided.

56. 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