Alternative Medicine Joins The Mainstream

Dean
Ornish

Dean
Ornish
Mike
Milken

Mike
Milken
William
Nelson

William
Nelson
Deepak
Chopra

Deepak
Chopra
Alternative Medicine Joins the Mainstream
Alternative Medicine Joins the Mainstream
Consciousness Creates Reality
Consciousness Creates Reality
Co-create and
reflect each
other,
interdependently
co-arise, are a
tangled
hierarchy.

They are
synchronistically
arising emergent
properties that
co-emerge

depending on the
level of vibration
of individual and
collective
consciousness.

Co-create and
reflect each
other,
interdependently
co-arise, are a
tangled
hierarchy.
They are
synchronistically
arising emergent
properties that
co-emerge
depending on the
level of vibration
of individual and
collective
consciousness.
5 Breakthroughs for the Body
5 Breakthroughs for the Body
Your body is a process, not a structure.

Your body is a process, not a structure.
Your body is an energy field.

Your body is an energy field.
Your can turn your genes on and off.

Your can turn your genes on and off.
You can change your relationship with time.

You can change your relationship with time.
Awareness is the key to transformation and

Awareness is the key to transformation and
reinventing the body.
reinventing the body.
Resurrecting the Soul
Resurrecting the Soul
Your life is a flow of effortless spontaneity.

Your life is a flow of effortless spontaneity.
Love is the soul

Love is the soul
s only motivation
s only motivation
You have unlimited

You have unlimited
imagination
imagination
and creativity
and creativity
You invite Grace in your life

You invite Grace in your life
You choose evolution over entropy.

You choose evolution over entropy.
Our health care system is
really a disease care system.

Our health care system is
really a disease care system.
$2.1 trillion spent last year on
medical care = 16.5% of GDP

95% spent to treat disease after it
had already occurred

$2.1 trillion spent last year on
medical care = 16.5% of GDP

95% spent to treat disease after it
had already occurred
If we want to make health care
available to the 48 million
Americans who dont have it, we
need to address the underlying
causes

of disease.

If we want to make health care
available to the 48 million
Americans who dont have it, we
need to address the underlying
causes

of disease.
Your body often has a
remarkable capacity to begin
healing itself if you give it a
chance to do so

and quickly.

Your body often has a
remarkable capacity to begin
healing itself if you give it a
chance to do so

and quickly.
Cardiovascular diseases kill more
people worldwide each year
than all other illnesses
combined.
Cardiovascular diseases kill more
people worldwide each year
than all other illnesses
combined.
In a study of over 30,000 patients,
heart disease was completely
preventable

for almost 95%

of people
just by changing diet and lifestyle.

Yusuf S et al. Lancet. 2004 Sep 11;364(9438):937-52.

In a study of over 30,000 patients,
heart disease was completely
preventable

for almost 95%

of people
just by changing diet and lifestyle.

Yusuf S et al. Lancet. 2004 Sep 11;364(9438):937-52.
In 2006, 1.3 million

angioplasties
were performed at a cost of more
than $60 billion.
In 2006, 1.3 million

angioplasties
were performed at a cost of more
than $60 billion.
COURAGE TRIAL
Angioplasty did not reduce the
risk of death, heart attack, or
other major cardiovascular
events.

--Boden

WE et al. N Engl J Med 2007;356:1-14.
COURAGE TRIAL
Angioplasty did not reduce the
risk of death, heart attack, or
other major cardiovascular
events.

--Boden

WE et al. N Engl J Med 2007;356:1-14.
In 2006, 448,000 coronary bypass
operations were performed at a
cost of more than $44 billion.
In 2006, 448,000 coronary bypass
operations were performed at a
cost of more than $44 billion.
Coronary bypass surgery prolongs
life in only 2-3% of those who
receive it.

.
--Caracciolo

EA et al.Circulation. 1995;91(9):2325-34.
Coronary bypass surgery prolongs
life in only 2-3% of those who
receive it.
.
--Caracciolo

EA et al.Circulation. 1995;91(9):2325-34.
Dangerous, invasive, expensive,

and ineffective

Dangerous, invasive, expensive,

and ineffective
Coronary heart disease is not only
preventable, it is usually
reversible

by changing diet

and lifestyle.

Coronary heart disease is not only
preventable, it is usually
reversible

by changing diet

and lifestyle.
Optimal Lifestyle Program
Optimal Lifestyle Program
Nutrition
Stress management
Moderate exercise
Psychosocial support
The primary determinant of
improvement
was the degree of lifestyle change.

The primary determinant of
improvement
was the degree of lifestyle change.
Scaleability

& Cost Effectiveness
Scaleability

& Cost Effectiveness
Three demonstration projects
More than 3,000 patients
Greater changes in diet and lifestyle, larger
improvements in risk factors and quality of life,
and bigger cost reductions than have ever before
been reported in an ambulatory group of patients.

Three demonstration projects
More than 3,000 patients
Greater changes in diet and lifestyle, larger
improvements in risk factors and quality of life,
and bigger cost reductions than have ever before
been reported in an ambulatory group of patients.
1. The Multicenter Lifestyle
Demonstration Project

Almost 80% of 333 patients who were
eligible for bypass surgery or angioplasty
were able to safely avoid it.

Ornish

D. Avoiding revascularization with lifestyle changes: The Multicenter Lifestyle Demonstration Project. American Journal of

Cardiology. 1998;82:72T-76T.

Koertge

J, Weidner G, Elliott-Eller M, et al. Improvement in medical risk factors and quality

of life in women and men with
coronary artery disease in the Multicenter Lifestyle Demonstration Project. American Journal of Cardiology. 2003;91:1316-1322.
Almost 80% of 333 patients who were
eligible for bypass surgery or angioplasty
were able to safely avoid it.
Ornish

D. Avoiding revascularization with lifestyle changes: The Multicenter Lifestyle Demonstration Project. American Journal of

Cardiology. 1998;82:72T-76T.
Koertge


Mutual of Omaha calculated saving
almost $30,000 per patient in the first
year.

Ornish

D. Avoiding revascularization with lifestyle changes: The Multicenter Lifestyle Demonstration Project. American Journal
of Cardiology. 1998;82:72T-76T.

Koertge


Mutual of Omaha calculated saving
almost $30,000 per patient in the first
year.
Ornish

D. Avoiding revascularization with lifestyle changes: The Multicenter Lifestyle Demonstration Project. American Journal
of Cardiology. 1998;82:72T-76T.
Koertge



2. The Highmark Blue Cross Blue
Shield Demonstration Project:

Cost Comparisons After 3 Years

2. The Highmark Blue Cross Blue
Shield Demonstration Project:

Cost Comparisons After 3 Years
Experimental Group (CAD) (N=75) Baseline vs. 3 year average

= 8.7% decrease in costs
Matched Cohort Members (CAD) (N=75) Baseline vs. 3 year average = 47.2% increase in costs
Experimental Group (CAD) vs. Matched Cohort (CAD) Members Year by Year
$-
$2,000.00
$4,000.00
$6,000.00
$8,000.00
$10,000.00
Ornish Members (CAD) Matched Cohort Members
Ornish Members (CAD) 5377.56 4627.88 5241.27 4865.17
Matched Cohort Members 5344.32 8586.89 8115.56 6897.78
baseline year 1 year 2 year 3
Medicare is now covering this program
for reversing heart disease

Medicare is now covering this program
for reversing heart disease
6.74
6.23
5.98
6.36
5.8
6.05
6.3
6.55
6.8
Baseline 12 months
Control
(n=41)
Experimental
(n=43)
Changes in PSA
P= 0.002
Ornish

D et al. Journal of Urology. 2005;174:1065
8%
1%
- 5%
- 5 %
- 1 %
3 %
7 %
L o w ( < 4 8 %) Me d iu m
( 4 8 - 8 8 %)
Hig h ( > 8 8 %)
D e g r e e o f L i fe s tyl e C h a n g e a n d
C h a n g e s i n P S A
P = 0 . 0 0 1
Ornish

Change in Prostate Tumor Growth
(LNCaP)
-9%
-70%
-70%
-55%
-40%
-25%
-10%
%FBS
Control
Experimental
t = -6.9, P = .000
Ornish

- 7. 9
- 38. 7
- 71. 9
- 8 0
- 6 0
- 4 0
- 2 0
0
L o w
( < 4 8 %)
Me d iu m
( 4 8 - 8 8 %)
Hig h
( > 8 8 %)
D e g r e e o f L i fe s tyl e C h a n g e a n d
I n h i b i ti o n o f L N C a P T u mo r G r o w th
B a s e lin e - 1 2 m c h a n g e in L NC A P c e ll g r o wt h
P = 0 .0 0 0 1
Ornish

1 year later
PSA -

4.5 ng/ml
Baseline
PSA -

6.4 ng/ml
Changes in MRI spectroscopy
Change your lifestyle, Change your
genes
Gene expression in over 500
genes was beneficially

affected.

Gene expression in over 500
genes was beneficially

affected.
Ornish D et al, Proc Nat Acad

Sci

2008; 105: 8369.
Genes controlling tumor
formation, oxidative stress, and
inflammation were
downregulated.
We found a set of RAS family
oncogenes

(RAN, RAB14, RAB8A) to be
downregulated.
Downregulation

of Oncogenes

by Lifestyle Changes
Ornish

et al. Proc Nat Acad Sci USA 2008; 105: 8369.
p < 0.05 (two-tailed)
Increase in telomerase activity from baseline to 3 months
Ornish

D et al. Lancet Oncol. 2008; 9: 104857.
1820
1820
1900
1900
1950
1950
2004
2004
26
Years
31
Years
49
Years
66
Years
Source: United Nations Development Program
+5
+5
+18
+18
+17
+17
+35
+35
Worldwide Life Expectancy Growth
Worldwide Life Expectancy Growth
Lifestyle Affects Quality of Life

U.S. vs. Japan

Lifestyle Affects Quality of Life

U.S. vs. Japan
Life Expectancy
Life Expectancy
67.6
9.4
73.6 7.7
Healthy years
Healthy years
Disabled

years

Disabled

years
U.S. Economy

$13.84 trillion

U.S. Economy

$13.84 trillion
Lifestyle Makes a Difference
16% = health care spending
$2.2 trillion
16% = health care spending
$2.2 trillion
Date: September 22, 2008
U.S. Economy

$13.84 trillion

U.S. Economy

$13.84 trillion
70% of health-care spending

about $1.5 trillion

is spent
on lifestyle-related diseases.

70% of health-care spending

about $1.5 trillion

is spent
on lifestyle-related diseases.
Date: September 22, 2008
Only in America Only in America
Who told you to smoke?
Hall of Fame baseball players
Hall of Fame baseball players
Ann Sheridan
Ann Sheridan
Barbara Stanwyck
Barbara Stanwyck
Joan Crawford
Joan Crawford
Famous actresses
Famous actresses
Your dentist
Your dentist

and your doctors

and your doctors
Scientific researchers!
Scientific researchers!
Soldiers and sailors
Soldiers and sailors
Who has NOT

been used in cigarette
advertisements to get you to smoke?

Who has NOT

a.

Babies
b.

Santa Claus
c.

Supreme court justices
d.

U.S. Presidents
a.

Babies
b.

Santa Claus
c.

d.

U.S. Presidents
Babies
Babies
U.S. Presidents
U.S. Presidents
Santa Claus!!
Santa Claus!!
Who has NOT


Who has NOT

a.

Babies
b.

Santa Claus
c.

d.

U.S. Presidents
a.

Babies
b.

Santa Claus
c.

d.

U.S. Presidents
There is a
staggering
cost for failing
to contain the
containable.

There is a
staggering
cost for failing
to contain the
containable.
Failure to address chronic diseases
adequately costs the
U.S. economy more than
$1 trillion annually.

Failure to address chronic diseases
adequately costs the
U.S. economy more than
$1 trillion annually.
Chronic Disease Study

Diabetes

Heart disease

Hypertension

Stroke

Diabetes

Heart disease

Hypertension

Stroke

Cancers

Pulmonary conditions

Mental disorders

Cancers

Pulmonary conditions

Mental disorders
Obesity Prevalence Among U.S. Adults
1991

1991
> 15%
> 15%
< 15%
< 15%
2001

2001
> 15%
> 15%
< 15%
< 15%
2002

2002
> 15%
> 15%
< 15%
< 15%
Obesity Rates: U.S. vs. World
Obesity Rates: U.S. vs. World
2002
2005
Source: World Health Organization / Estimated obesity rates for

people aged 15 years and older / 2005
1.5%
1.5%
1.9%
1.9%
6.6%
6.6%
20.4%
20.4%
24.2%
24.2%
41.8%
41.8%
1.8%
1.8%
1.6%
1.6%
7.8%
20.9%
21.6%
36.5%
Japan
Japan
China
China
France
France
Germany
Germany
U.K.
U.K.
U.S.
U.S.
MEN
WOMEN
WOMEN
34.3%
34.3%
24.0%
Mexico
Mexico
39%of U.S. children
ages 9-13 take part in
organized exercise
each week.
39%of U.S. children
ages 9-13 take part in
organized exercise
each week.
29%of U.S. high
school students
participate in physical
education classes.

29%of U.S. high
school students
participate in physical
education classes.
Physical Inactivity
Physical Inactivity
Treatment Costs Are a Small Portion of the
Economic Costs

Treatment Costs Are a Small Portion of the
Economic Costs
Cancer
Cancer
$500
$500
$400
$400
$300
$300
$200
$200
$100
$100
Heart
Heart
Hypertension
Hypertension
Mental
Mental
Diabetes
Diabetes
Pulmonary
Pulmonary
Stroke
Stroke
Direct Costs
Indirect Costs
Source: Milken Institute 2007
QUIZ:
How much larger is the average soda
in the U.S. compared to France ?

QUIZ:
How much larger is the average soda
in the U.S. compared to France ?
1.

5%
2.

18%
3.

33%
4.

52%
5.

74%
1.

5%
2.

18%
3.

33%
4.

52%
5.

74%
U.S. soft drink portions are 52% larger than
in France.

U.S. soft drink portions are 52% larger than
in France.
Source: University of Miami School of Medicine/Sheah

Rarback, R.D.
Candy bars sold in Philadelphia are 41%
larger than those in Paris.

Candy bars sold in Philadelphia are 41%
larger than those in Paris.

Rarback, R.D.
A carton of yogurt in the U.S. is 82% larger
than in France.

A carton of yogurt in the U.S. is 82% larger
than in France.

Rarback, R.D.
Source: William Nelson, M.D., Johns Hopkins Hospital
Fewer carcinogens are detected if you flip your
burgers multiple times.

Fewer carcinogens are detected if you flip your
burgers multiple times.

15-20% decrease in the
progression of prostate
cancer by increasing
consumption of fish and
cooked-tomato products by
two servings per week
after diagnosis.

15-20% decrease in the
progression of prostate
cancer by increasing
consumption of fish and
cooked-tomato products by
two servings per week
after diagnosis.
What You Eat Matters
What You Eat Matters
Source: June Chan, ScD, UCSF

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Dean

Your body is a process, not a structure.

Your body is an energy field.

Your can turn your genes on and off.

You can change your relationship with time.

Awareness is the key to transformation and

Your life is a flow of effortless spontaneity.

Love is the soul

You have unlimited

You invite Grace in your life

You choose evolution over entropy.

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