Upload
s-mike-neskovic
View
518
Download
1
Tags:
Embed Size (px)
DESCRIPTION
My lecture for Vistage company, given recently for a group of CEO\'s and Business leaders. Dr Neskovic, Public speaker
Citation preview
AN UPDATE ON PREVENTIVE MEDICINE, 10-24-2009
S. MIKE NESKOVIC, MDFAMILY PHYSICIAN AND GERIATRICIAN- GLENDALE
MEMORIAL HOSPITAL FROM JUNE 22 1988633 N. CENTRAL AVE #209, GLENDALE , CA
818-244 4114
RRealealAAgege and YOUand YOU::Are You As Young As You Can Be?Are You As Young As You Can Be?
THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES
THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES
You Control Your Genetic InheritanceYou Control Your Genetic Inheritance
**HAYDON ET **HAYDON ET AL: AL: GUT, 2006;55:689-694GUT, 2006;55:689-694
CANCER SURVIVAL AND PHYS ACTIVITY
COLON
CANCER** BREAST CANCER*
LESS THAN 300 KCALS/DAY OR PHYS INACTIVE
52% 10 YR
SURVIVAL
48% 10 YR DISEASE
FREE
MORE THAN 300 KCALS /DAY OR PHYS ACTIVE IN 1ST YR
74% 10 YR
SURVIVAL
78% 10 YR DISEASE
FREE
*HOLMES ET ALJAMA, 2005;293:2479-86
GO TO YOUR HIGH SCHOOL REUNION AND NOT ALL CLASSMATES LOOK OR FEEL THE SAME AGE
2.HOW OLD WOULD YOU LIKE TO FEEL?
Q
U
A
L
I
T
Y
O
F
L
I
F
E
WHAT GREAT ILLNESS CARE DOES IN 2007
WHAT GREAT WELLNESS CARE COULD DO IN 2007
CALENDAR AGE
1. YOUR ARTERIES2.3.
4.WHY DO YOU GET OLD BEFORE AGE 90 OR 100?
Arterial Aging mechanism?
Ging of arteries
4. WHAT IS GREATEST THREAT TO YOUR ARTERIES?
a. Elevated blood pressure 160/90b. Elevated cholesterol (LDL of 180)c. Lot of orders of fried zucchini sticks d. Elevated time spent on the couch
Years YoungerYears Younger
BP 115/75 vs 160/90 up to12 years LDL Cholesterol 70 v 160 up to 3 years Fried vs Saute Zucchini up to 4 years Optimal vs Couch Potato up to 9 years
Nutritional Choices up to 27 years
BP 115/75 vs 160/90 up to12 years LDL Cholesterol 70 v 160 up to 3 years Fried vs Saute Zucchini up to 4 years Optimal vs Couch Potato up to 9 years
Nutritional Choices up to 27 years
Make Your RealAge YoungerMake Your RealAge Younger
6142 74
Aspirin Retards or Reverses Colon
Cancer
Aspirin Retards or Reverses Colon
CancerRandomized Controlled Trials
ResultsResults
ConclusionConclusion
35% and 41% reductions35% and 41% reductions** in in malignant polyps in aspirin groupsmalignant polyps in aspirin groups
Aspirin retards or reverses IMMUNEAspirin retards or reverses IMMUNEagingaging
** Stat signif Stat signif
NEJM 2003;348:883-90;NEJM 2003;348:881-9NEJM 2003;348:883-90;NEJM 2003;348:881-9
ALSO DECREASES IN BREAST, GI, THROAT CANCERS
IDEAL BP FOR AGING IDEAL BP FOR AGING NOT A NOT A SECRETSECRET
56 STUDIES , 52 COUNTRIES, 20,000,000 56 STUDIES , 52 COUNTRIES, 20,000,000 SUBJECTSSUBJECTS
115/76115/76
RAISE YOUR HDL• HDL MORE IMPT THAN LDL IN WOMEN
RAISE YOUR HDL• HDL MORE IMPT THAN LDL IN
WOMEN• HDL OF 60 MAKES YOU 6 YRS
YOUNGER THAN HDL OF 25• PHYS ACTIVITY; ESTROGEN;
ALCOHOL; SOME STATINS; TriCOR; NIACIN (NIASPAN)
2. WALK 30 MIN AND 2. WALK 30 MIN AND CALL SUPPORT:CALL SUPPORT:
WALKING 30 MINUTES DECREASES INSULIN
RESISTANCE; CALLING SUPPORT KEEPS YOU
SUCCESSFUL
Years YoungerYears Younger
BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years
BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years
Make Your RealAge YoungerMake Your RealAge Younger
STRESS IS THE GREATEST AGER
STRESS CAN MAKE YOUR REALAGE 32 YEARS OLDER THAN THE CALENDAR SAYS
NOT ALL STRESSES ARE EQUAL
1. YOUR ARTERIES2. YOUR DEFENSES3.
4.WHY DO YOU GET OLD BEFORE AGE 90 OR 100?
AND WHAT IS IT NAMED AFTER??
9.WHAT IS BEST FRUIT FOR A
55 YO MAN TO EAT?
Avocados : History Lesson
Ahuacuatl is the Aztec word for
NUTS: OMEGA-3’S IN 1 OUNCE
WALNUTS 2.5 GM
PECANS <0.5 GM
ALL OTHERS < 0.4 GMNO MATTER WHAT NUTS, EATING THEM DECREASES ALL CAUSE MORTALITY AND/OR DISABILITY IN 5 LARGE PROSPECTIVE RISK FACTOR EPIDEMIOLOGY AND 2 RCT’S
1. YOUR ARTERIES2. YOUR IMMUNE SYSTEM3. YOUR MUSSKEL & ENVR
4.WHY DO YOU GET OLD BEFORE AGE 90 OR 100?
It is SHOWING LOVE FOR THOSE YOU CARE MOST ABOUT TO TAKE TIME TO MAKE YOUR
REALAGE YOUNGER—
SO YOU CAN CARE FOR THEIR GRANDCHILDREN
INSTEAD OF THEM HAVING TO CARE FOR YOU
5. The YOU Workout: Use Your 5. The YOU Workout: Use Your Body as Your GymBody as Your Gym ::
• NO EXCUSES IF YOUR BODY IS YOUR GYM
WHEN YOU LOSE WAIST & WEIGHT, YOU LOSE MUSCLE
SINCE MUSCLE BURNS CALORIES BIG TIME, YOU WILL PLATEAU UNLESS YOU BUILD MUSCLE
JUST 20 MIN 3 TIMES A WEEK PLUS WALKING DOES IT ALL
5. The YOU Workout: Use Your 5. The YOU Workout: Use Your Body as Your GymBody as Your Gym ::• NO EXCUSES IF YOUR BODY IS YOUR GYM
MUSCLE USES 50 TIMES AS MANY CALORIES AS EQUAL WEIGHT OF FAT:
SO BUILD MUSCLE
LUNGE
REAL AGE…As easy to obtain as is your weight!
All Studies Show That All Studies Show That ChoosingChoosing To Live To Live LongerLonger
Decreases Disability...Decreases Disability...
All Studies Show That All Studies Show That ChoosingChoosing To Live To Live LongerLonger
Decreases Disability...Decreases Disability...
Live Longer...Live Longer...Live Longer...Live Longer...
REALAGE & YOU:REALAGE & YOU:THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES
THE SCIENCE AND THE FUN OFTHE SCIENCE AND THE FUN OF AGE REDUCTION: CONTROLLINGAGE REDUCTION: CONTROLLINGYOUR GENESYOUR GENES
YOUR BODY IS AMAZING- YOU GET A DO-OVER IN LIFE
ONLYYOUCANDO IT!!!
STRESS IS THE GREATEST AGER
STRESS CAN MAKE YOUR REALAGE 32 YEARS OLDER
GREATEST STRESS REDUCERS :1.FRIENDS, FRIENDS, FRIENDS
BLOCKING STRESS CAN PREVENT ALL BUT TWO YEARS OF AGING
2.PURPOSE IN LIFE, SPIRITUALITY3.MEDITATION,4.REFOCUSING, PHYS ACTIVITY
Years YoungerYears Younger
BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years
BP Control up to 25 years Cigarette Cessation 8 years Stress Control up to 32 years Patrol Own Health 8.2 years Quality/Quantity of Sex up to 16 years Nutritional Choices up to 27 years
Make Your RealAge YoungerMake Your RealAge Younger
STRESS IS THE GREATEST AGER
STRESS CAN MAKE YOUR REALAGE 32 YEARS OLDER THAN THE CALENDAR SAYS
THE GREATEST AGERS:
NUTS-NAGGING UNFINISHED TASKSMAJOR LIFE EVENTS,
LOSS OF CONTROL
Dogs Decrease Dogs Decrease Dogs Decrease Dogs Decrease YYYYourourourourReal Real Real Real AgeAgeAgeAge
Cat’s Don’t Decrease YourCat’s Don’t Decrease Your
Real AgeReal Age
Osler
““Walk Your Dog...Walk Your Dog...Even If You Don’t Have Even If You Don’t Have
One”One”
ONLY 15 CHOICES MATTERONLY 15 CHOICES MATTER
1. Limit calories2. Limit simple sugars3. Healthy fat = 25% calories4. Unhealthy fat < 20gms/day5. Eat Fish 6. Eat Nuts7. Eat Fiber
8 8. Eat Fruits9. Eat Vegetables10. Lycopene11. Flavonoids12. Alcohol13. Micronutrients14. Vitamins15. Minerals
An Apple a Day …
Make Your RealAge Younger
STOP INFLAMMATION IN YOUR VESSELS & MITOCHONDRIA
• ASPIRIN 162.5 –CHECK With DOC• FLAVONOIDS,TOMATO SAUCE,• RESVERATROL, TUMERIC• HEALTHY FATS LIKE NUTS
(WALNUTS), OLIVE OIL• FLOSS YOUR TEETH AND SEE DENTAL
PRO
RAISE YOUR HDL• HDL MORE IMPT THAN LDL IN
WOMEN• HDL OF 60 MAKES YOU 6 YRS
YOUNGER THAN HDL OF 25• PHYS ACTIVITY; ESTROGEN;
ALCOHOL; SOME STATINS; TriCOR; NIACIN (NIASPAN)
RealAge I & II:
The Science of Preventing Aging & Are You As Young As You Can Be?RealAge III: How to Give Yourself & Your Patients A RealAge Makeover.
WALKING,
ASPIRIN,
STRENGTH TRAINING,
TOMATO SAUCE,
WALNUTS (NUTS), AND
SPECIFIC VITAMINS & SUPPLEMENTS
1.8 to 6+ yrs younger;
RealAge I & II:
The Science of Preventing Aging & Are You As Young As You Can Be?RealAge III: How to Give Yourself & Your Patients A RealAge Makeover.
WALKING,
ASPIRIN, FLOSSING & DENTAL CARE
STRENGTH TRAINING,
TOMATO SAUCE,
WALNUTS (NUTS), AND
SPECIFIC VITAMINS & SUPPLEMENTS
3.3 yrs younger men; 4.4 yrs younger women
MORTALITY WITH AGE AFTER LAPROS PROSTATE SURG:2005 DATA
MORTALITY WITH AGE AFTER LAPROS PROSTATE SURG:2005 DATA
0.00%
0.05%
0.10%
0.15%
0.20%
0.25%
0.30%
<50y 50-59y 60-69y 70-79y
The YOU DOCS on OPRAH.com: Mind and Body, and in Reader’s Digest
OPRAH & FRIENDS XM RADIO; YTOMRS
MAKEMAKEMED MED STAYSSTAYSSHORT SHORT & & BORINGBORING
•YOU HAVE A 1 IN 25 CHANCE OF HAVING AN ADVERSE EVENT WITH EACH HOSPITALIZATION…
•ODDS ARE ABOUT 2 IN 5 (40%) YOU WILL BE AFFECTED BY AN ADVERSE EVENT.
•SINCE THE TYPICAL AMERICAN IS HOSPITALIZED 11 TIMES IN A LIFETIME,
7. THE MOST ACCESSIBLE & LEAST EXPENSIVE HEALTH RESOURCE IS:
a. Google.comb. the nurse hotlines provided
by some health insurersc. your pharmacistd. the self-help section at the
local bookstoree. your neighbor's fortune-
teller
Becoming Smart Patient• Medical history• Picking Dr Right• Getting second opinion• Finding best hospital• Staying safe in hospital• Medications• Understanding insurance
Smart Patient QuizWhat is most important thing to bring with
you to the doctor’s office• A living will• Your spouse• A crisp $50 bill• Health profile• Photo of yourself at age 12
Picking Dr Right• Doctor means “teacher”• Ask a nurse• What hospitals do they use • Are the partners qualified• Do the other patients look like you• Bring tape recorder• Bring friend to listen
Choosing hospitals
• How many of your operation done• Does your doctor practice there• Joint Commission accredited• Check out ER when healthy• Keep EKG in wallet
What’s most infected
Hospital infections
• Wash hands, alcohol gel• No flowers • Remove jewelry• Clean Stethescope and TV remote• Bow ties ideal
Prescription drugs• 1.5 million seriously hurt annually• Every $1 spent = $1 to fix complication• Use the pharmacist
– Best educated, least used resource• Half patients stop meds within 6 months• Don’t store meds in bathroom medicine cabinet• Medication checklist
Second opinion• 10% people obtain• Changes diagnosis 30% of time• Helps doctors learn from process • Don’t shoot messenger• Find doctor who is publishing• Chairman not always the best• Where is the data to drive decision making
AGE REDUCTION:Tips of the Day. . .AGE REDUCTION:Tips of the Day. . .
Know Your Blood Pressure.Know Your Blood Pressure.Know Your Blood Pressure.Know Your Blood Pressure.
Practice a lot of safe sex.Practice a lot of safe sex.Practice a lot of safe sex.Practice a lot of safe sex.
Increase Your Level of Education.Increase Your Level of Education.Increase Your Level of Education.Increase Your Level of Education.
THE END
• IT WAS MY PLEASURE AND A PRIVILAGE IT WAS MY PLEASURE AND A PRIVILAGE TO SPEND THIS TIME WITH YOU MY TO SPEND THIS TIME WITH YOU MY FRIENDS AND SISTERS IN CHRIST.FRIENDS AND SISTERS IN CHRIST.
• EXAMINE YOUR LIFE, AND DO EXAMINE YOUR LIFE, AND DO SOMETHING ABOUT GETTING HEALTHIER SOMETHING ABOUT GETTING HEALTHIER EVERY DAY!EVERY DAY!
• AND AS JESUS WOULD SAY: “LOVE ONE AND AS JESUS WOULD SAY: “LOVE ONE ANOTHER!” WITH RESPECT, DR NESKOVICANOTHER!” WITH RESPECT, DR NESKOVIC
the eyes.
God left us a great clue as to what foods help what part of our body! God's Pharmacy! Amazing!
A sliced Carrot looks like the human eye. The pupil, iris and radiating lines look just like the human eye... And YES, science now shows carrots greatly enhance blood flow to and function of
• A Tomato has four chambers and is red. The heart has four chambers and is red. All of the research shows tomatoes are loaded with lycopine and are indeed pure heart and blood food.
• Grapes hang in a cluster that has the shape of the heart. Each grape looks like a blood cell and all of the research today shows grapes are also profound heart and blood vitalizing food.
• A Walnut looks like a little brain, a left and right hemisphere, upper cerebrums and lower cerebellums. Even the wrinkles or folds on the nut are just like the neo-cortex. We now know walnuts help develop more than three (3) dozen neuron-transmitters for brain function. Kidney Beans actually heal and help maintain kidney function and yes, they look exactly like the human kidneys.
• Avocadoes, Eggplant and Pears target the health and function of the womb and cervix of the female - they look just like these organs. Today's research shows that when a woman eats one avocado a week, it balances hormones, sheds unwanted birth weight, and prevents c ervical cancers.. And how profound is this? It takes exactly nine (9) months to grow an avocado from blossom to ripened fruit. There are over 14,000 photolytic chemical constituents of nutrition in each one of these foods (modern science has only studied and named about 141 of them).
• Figs are full of seeds and hang in twos when they grow. Figs increase the mobility of male sperm and increase the numbers of Sperm as well to overcome male sterility. Sweet Potatoes look like the pancreas and actually balance the glycemic index of diabetics. Olives assist the health and function of the ovaries
• Oranges, Grapefruits, and other Citrus fruits look just like the mammary glands of the female and actually assist the health of the breasts and the movement of lymph in and out of the breasts. Onions look like the body's cells. Today's research shows onions help clear waste materials from all of the body cells. They even produce tears which wash the epithelial layers of the eyes. A working companion, Garlic, also helps eliminate waste materials and dangerous free radicals from the body.