The benefits of lifestyle change for patients are many. But how do we help our patients implement these changes? Dr. Facemire identifies methods that are being successfully used in her cardiology practice and resources that are available to patients.

AMEN NW 2017: Comprehensive Health Care/ Developing Your Ministry Toolkit

<p>The benefits of lifestyle change for patients are many. But how do we help our patients implement these changes? Dr. Facemire identifies methods that are being successfully used in her cardiology practice and resources that are available to patients.</p>

<p>Free sharing permitted under the Creative Commons <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/us/">BY-NC-ND 3.0 (US)</a> license.</p>

AMEN Northwest

Anabel Facemire

Tools to Facilitate Lifestyle Change

Dear Father in Heaven, we come to you as broken vessels that you have redeemed and have used for your purpose.

And we are here, healthcare providers, trying to find wisdom and how to move forward.

Father, use us for the purpose you created us and give us ears to listen and eyes to see the way I pray your name amen.

Tools to facilitate lifestyle change and I'm gonna share change.

And I'm gonna share with you my failures and how I've been trying to find a way to put this gospel with a medical practice.

I don't have it all together yet, but I know that God is calling us healthcare providers for a mission.

I'm gonna share the objectives of this talk, which Cindy was making sure I have them all clear for CME purposes.

So, describe the benefits of helping patients implement lifestyle changes.

How to treat lifestyle-related diseases with an evidence-based approach, identify methods that have been used successfully in other practices, and discuss ways to implement these methods in your own practice.

So those are the objectives that this lecture has and I really hope that you can through this hour of talk understand the potential that you all have to bring Christ to those in need.

So the CDC Center of Disease Control says that 75% of the health care cost are related with lifestyle diseases.

70% of Americans are overweight or obese.

Nearly 1 half of the American population will be obese by 2030.

And according to a 2012 study published in the American Journal of Preventive Medicine, had a growth on this epidemic to affect also children.

And childhood obesity has tripled in the last 30 years.

And 1 out of 3 American children is overweight or obese today.

Many experts project type 2 diabetes as the future global epidemic.

We diagnosed its projections as high as 1 in 3 individuals from industrialized nations that have adopted the standard American diet.

The war on cancer was waged by President Nixon began over 40 years ago, yet trends indicate that cancer is expected to become the leading cause of death in the US by 2030.

70 million Americans have hypertension with elevated risk for a stroke and heart attack.

It's probably known for all many of you, but these are things that put things in perspective and we need to understand what are we dealing with in order to understand what God is calling us to do.

The US spends substantially more on health care than any other developed country.

As of 2009, health spending in the US was about 90% higher than in many other industrialized countries, and yet the US ranks near the bottom in health outcomes.

90%, this is the most striking thing, of the US senior population consumes prescription drugs with cost doubling in the last 30 years.

And the complications associated with those prescription drugs are the fourth cause of death, with 45 to 50 million of adverse events annually.

We are experiencing prolonged morbidity with a life expectancy now surpassing 78 years, but with more degenerative diseases.

And this is an alarming combination for the US healthcare cost.

Heart disease, what I deal every day, is the leading cause of death for men and women.

Every 34 seconds, someone in America has a heart attack.

And according to the American Heart Association, 1 in 3 adults has some form of cardiovascular disease.

The cost of this epidemic is $109 billion annually.

In Washington State, heart disease is the number 2 killer of people, taking the lives of 28 people every day.

And the number 1 cause is actually cancer.

While heart disease may be considered by many to be a men's disease, 1 in 3 women die of heart disease each year, the equivalent of 1 death every minute.

Like for comparison, 1 in 31 women die of breast cancer.

But if you go to the streets today and ask a lady, what are you worried about?

And so the solution for the modern medicine to all this epidemic is what?

To prescribe drugs for high cholesterol, for headaches, for fevers, for pains, for fibromyalgia, for diabetes, and we're piling drugs over drugs into our patients, trying to help with the side effects that the previous medication is causing.

And so in my profession, in my specialty, you know, we've been doing wonderful things for people with acute heart attacks.

You know, when you have that acute heart attack, when you have that thrombus that is forming and clogging that artery, you go to the cath lab and they go there and they just get that clot, and lyse it and put a stent.

But that is not what's happening in the last 20 years.

What's happening is many chronic blockages, stable blockages, are being open only to fixed symptoms.

And so it has been clearly demonstrated that surgery, open heart surgery, and stents do not cure atherosclerosis.

Every time someone gets a stent, when it's a chronic lesion, we're smashing the fat and the plaque into the wall.

Patients are thinking that they're getting those clogged arteries out and they were sucking and vacuuming the fat, were not.

We're smashing the walls with this terrible inflammatory process.

And When we bypass those blockages, we're bypassing the problem, literally.

And so when someone comes to my office after bypass surgery, and they're still smoking, and it's like nothing happened, and they feel like everything has been fixed.

I have to remind them that in 12 to 18 months, 43% of those grafts that are extracted from their legs are going to get clogged.

43% of those bypasses from the legs are going to get clogged.

And if we look, according to the Food Review USDA, the trends of food from 1900s to 2010, sugar consumption has increased exponentially.

Oils, cheese, meats, fruits and vegetables, 131 pounds per year in the 1900s to 11 pound per year now.

And the nutrient density, because we're not having this kind of foods, has decreased to 60%.

Soft drinks, 53 gallons, TV, computers, and video games.

So the Western dietary calories by comparison, 63% are spent in processed foods, 12 in vegetables, and 25% in animal products.

Fast foods, we forgot to cook, we're always in a hurry.

We drive vans with our kids through McDonald's or through any fast food restaurant to take them from 1 game to the other, to 1 practice to the next.

And everything, the sugar consumption in our schools and the rewards we give to our kids since they are little with sugar has been grown exponentially too.

And if we take just 2 markers, heart disease and cancer and we look at all the countries, the more industrialized countries, Hungary, US, Belgium, Sweden, Finland, the amount and the percentage of heart disease and cancer is huge when the percentage of unrefined plant foods is small.

But you go to Laos and Thailand and Korea, places where plant-based foods are predominant, you see that the rate of heart disease and cancer plummet.

So what is the evidence-based treatment approach for this epidemic?

And of course Genesis 121 is the first 1 as believers in the Bible and inspiration and God says see I have given you every herb that yields seed which is on the face of the earth and every tree whose fruits yield seed to you it shall be for food." And then the spirit of prophecy that she says in ministry of healing grains fruits nuts and vegetables prepared in a simple and natural manner as possible are the most healthful and nourishing foods.

And then we have the Adventist health studies.

Probably many of you have been part of it.

25 years study with 34, 000 participants that show that on average, Adventist men live 7.3 years longer and Adventist women live 4.4 years longer than other Californians.

And there are 5 simple health behaviors promoted by the Seventh-day Adventist Church for more than 100 years.

Non-smoking, eating a plant-based diet, eating nuts several times per week, regular exercise, and maintaining a normal body weight increases the lifespan after 10 years.

So that's an observational, of course, study.

Death rates from all cancer was 60% lower for Adventist men and 76% lower for Adventist women.

And the lung cancer and colorectal cancer and breast cancer and coronary artery disease much lower than those that have this standard American diet.

He demonstrated 91% regression of angina in 1 year on those patients that were sick.

And I'm also a nuclear cardiologist, and this is an image of a heart with a radio tracer.

And here you see there's lack of blood flow right there with the evidence of ischemia.

And after 1 year, the same lesion you see that I'm feeling out demonstrated that that blockage has improved, resolved, and regressed.

So Dean Ornish has been a pioneer in the world of prevention and reversing heart disease.

There has been reviews of 206 epidemiological studies showing that raw vegetables has the most consistent and powerful association with the reduction of cancer of all types, including stomach, pancreas, colon, and breast.

Ornish did a prostate cancer lifestyle intervention, and he was able to demonstrate 70% of prostate cancers were halted in their growth.

So 70% of those men were able to avoid the terrible, the terrible side effect of castration with hormones and the side effect of losing control of the urine and the terrible side effect of treating prostate cancer as we've been treating it for so long.

So the other thing he demonstrated during this study was the increased telomerate length, and that means that with the way that he put this patient, the diet that he gave them, he was slowing the aging process.

Barnard is another scientist and physician that worked with diabetics, and actually he got an NIH grant.

It was a small group of patients, but he demonstrated how clearly plant-based nutrition versus the American Dietetic association recommendation diet really make a humongous impact in the hemoglobin A1C, LDL, weight, and how medications really drop 43% compared to the usually ADA diet.

And Consumption of processed meat 5 or more times per week was associated with increased risk of diabetes, nitrate exposure, inflammations, and hemorrhagic stools.

And 1 of the latest that was published in the New England Journal of Medicine, November 2016.

A 2016 study looking at lifestyle changes.

Exercising, eating a diet full of fruits, vegetables, and grains, non-smoking can lower your risk of heart disease, even if you are genetically predisposed to the disease.

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Tools to Facilitate Lifestyle Change

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