Integrative Approaches to Health and Performance. Param Dedhia, MD

Transcription

1 Integrative Approaches to Health and Performance Param Dedhia, MD.

2 History of Medicine HISTORY OF MODERN MEDICINE FLEXNER REPORT, 1910 Standardized Medicine Johns Hopkins Model Rise in Allopathic Medicine Restriction of other medicine GERM THEORY, s: Vaccine 1930s: Sulfonamide 1940s: Antibiotic Infant Mortality Surgical Outcomes Longevity

3 DEFINING HEALTH A dynamic state of complete physical, mental, spiritual and social well-being and not merely the absence of disease or infirmity. World Health Assembly, 1948, 1998 Health Not Sick

4 PRINCIPLES before METHODS Methods are Many Abundance of Expert Advice Abundance of Bestseller Books Principles are Few With the key principles, we find the helpful methods Inspired by Ralph Waldo Emerson

5 MODERN & TRADITIONAL PERSPECTIVES Modern Remove & restrict disease and illness Acute Care & Trauma Infectious Disease Traditional Build & extend internal health Daily Practice Mind-Body Balance Daily Living as Daily Health

6 HEART DISEASE: The Root Causes Cholesterol Insulin Inflammation Resistance HEART DISEASE

7 THE ROOT CAUSE The Underlying Cause of Cardiovascular Disease INFLAMMATION Sleep Apnea Inflammatory Diseases Infectious Diseases Periodontal Disease Hyperlipidemia Diabetes Genetics Tobacco Oxidative Stress Emotional Distress Gut Health Lifestyle

8 THE JOURNEY OF HEALTH PHYSICAL

9 THE JOURNEY OF HEALTH Meaning of Life & Connections SPIRITUAL Direct Measurements PHYSICAL Neurochemistry MENTAL Sympathetic Nervous System

10 BACKGROUND ON LONGEVITY At age 80, I could do everything that I did at age 18 this tells you what a pathetic teenager I was. George Burns ( ) Be More Resilient Bounce Back Perform Concept: Physiologic Reserve & Longevity

11 ORGAN FUNCTION LONGEVITY & PHYSICAL OBSERVATIONS General Decline in All Organs Primary Aging Disease & Lifestyle TIME Based on Baltimore Longitudinal Study on Aging

12 ORGAN FUNCTION LONGEVITY & PHYSICAL OBSERVATIONS General Decline in All Organs Primary Aging Healing & Lifestyle TIME Based on Baltimore Longitudinal Study on Aging

13 ORGAN FUNCTION LONGEVITY & PHYSICAL OBSERVATIONS POP QUIZ: At what age do we reach our peak (physiologically)? 30 regardless if we focused on nutrition or exercise Primary Aging Healing & Lifestyle TIME Based on Baltimore Longitudinal Study on Aging

14 ORGAN FUNCTION LONGEVITY & PHYSICAL OBSERVATIONS 30 Questions Did we need to focus on your lifestyle before age 30? Did you think much about how you ate and exercised? did you need to? & Now? Primary Aging Healing & Lifestyle TIME Based on Baltimore Longitudinal Study on Aging

15 THE JOURNEY OF HEALTH What did you want & need at age 13? Is it the same as to what you want & need now? Will it be the same in 13 years from now?

16 EXPANDING THE HORIZON INTEGRATIVE JOY HOLISTIC COMPREHENSIVE EXERCISE INTERNAL MEDICINE NUTRITION LIFESTYLE INDIVIDUALIZED SLEEP

17 Nutrition NUTRITION Why We Eat? ENERGY NUTRIENTS JOY

18 Nutrition To Supplement or Not To Supplement Honoring the Science Bias = Food First Proper Supplement requires Indication for supplement Proper form and dosing Possibly testing Plan to review & revise, as appropriate

19 Nutrition DIGESTIVE WELLNESS Nourishment From Head to Toe Digestion requires Chew Enzymes & Acid to break down food Absorption requires Healthy Gut Lining and Repair to Assimilate Nutrients Unhealthy and Healthy Microbiology Eliminate (Detox) requires Liver Health Fiber & Hydration Movement Food Allergy versus Sensitivity Elimination Diet, if needed Emotional Health Honor your emotion

20 Exercise EXERCISE: THE CORE 4 A Key to Longevity

21 Exercise BODY COMPOSITION: LEAN & FAT Defining Health Beyond a Number Home Scales are good but only part of the story Calipers are good but only an estimate Body Composition Analysis is the New Standard BODY COMPOSITION Body Fat Bone Mass Muscle Mass BEST OPPORTUNITIES Exercise Prescription Nutrition Prescription Sleep Lifestyle Prescription

22 Exercise FITNESS AND EXERCISE Longevity 2.0 Cardiovascular Fitness ability of your heart, lungs and organs to consume, transport and utilize oxygen Fit Unfit

23 I KNOW WHAT TO DO I do not always do it ASK WHY? EXERCISE INTERNAL MEDICINE NUTRITION SLEEP

24 Sleep SLEEP AND RESTORATION Seeking Quantity and Quality QUANTITY Adults need 7-9 hours of sleep every night QUALITY 1. Person may be aware of disordered sleep 2. Person may be unaware of disordered sleep

25 Sleep It is NOT normal to: Fall asleep if reading quietly in the afternoon Drift off at afternoon meetings Sleep on airplanes Fall asleep watching TV in the early evenings Sleep when you are a passenger in a car Dozing off while waiting at red lights

26 STAGES OF SLEEP Wake = resting, eyes closed Stage 1 = transitional sleep Stage 2 = typical sleep Stage 3 = deep sleep R.E.M. = dream sleep RECOVERY SLEEP = KEY OPPORTUNITY

27 HEALTHY SLEEP CYCLES Awake REM PHYSICAL REPAIR MENTAL & EMOTIONAL CLEARING Hours Declarative Memory Filtering Data Just the Facts Making Connections Creativity Problem Solving

28 CONSEQUENCES SLEEP for HEALTH OF POOR AND SLEEP HEALING Limited Physical Repair REPAIR Growth Hormone Release RESTORE Testosterone Release Repair Protein Release Hunger & Cravings: Sugar Fat Now SATIETY SOOTHING Pain and Healing REDUCE PAIN Poor Sleep Pain Pain Poor Sleep RECOVERY Oxidative Stress Inflammation Intolerance to Stress REDUCE STRESS Physical Mental Emotional Spiritual RESILENCY

29 OPTIMAL HEALTH JOY EXERCISE INTERNAL MEDICINE NUTRITION SLEEP

30 JOY JOY The Experience

31 JOY JOY Negative Bias of the Brain Velcro for the Negative Teflon for the Positive

32 JOY JOY Hebb s Axiom Neurons that wire together, fire together

33 JOY JOY Mindfulness The direct experience of being in the present moment without judgment

34 JOY JOY Without Judgment GOOD vs BAD RIGHT vs WRONG HELPFUL or NOT HELPFUL

35 JOY JOY The Experience STRESS INSIGHT REACTIVITY Stress vs Distress STRESS INSIGHT RESPONSIVE

36 JOY JOY The Experience AWARENESS INTENTION PRACTICE

37 History of Medicine THE FUTURE OF MEDICINE JOY EXERCISE INTERNAL MEDICINE NUTRITION SLEEP

38 History of Medicine THE FUTURE OF MEDICINE How are we going to live? How are we going to die?

39 History of Medicine THE FUTURE OF MEDICINE Evidence Based Medicine Evidence Biased Medicine

40 History of Medicine THE FUTURE OF MEDICINE Beyond Reductionism

41 THE FUTURE OF MEDICINE

42 THE FUTURE OF MEDICINE GENOTYPE PHENOTYPE

43 OMNIGENETIC MODEL MODEL Everything Affects Everything

44 Let Your Experience Your Experience is Your Greatest Teacher

45 Pause and Listen YOUR MESSAGE. Believe Nothing No matter where you read it or who said it, even if I have said it Unless it agrees with your own reason & common sense ~ Buddha