This is Mary Ann. She’s a patient of mine, and don’t tell my other patients that she’s one of my favorites. She, for fifteen years, was my patient. She really wanted to get healthy and was plus or minus ten pounds in that picture on the left, you can see [inaudible] concierge practice that she joined when I moved over to this practice. I, like most physicians, I didn’t have the tools or the know how to help them create health. So Mary Ann, when I first implemented this program into my practice, she raised her hand like Arnold [inaudible] from Welcome Back [inaudible], and said, “Yes, yes, yes, I will do it. I want to get healthy.” And in the course of eleven months, the seventy-four year old woman successfully lost 110 pounds. This picture on the right was in the late spring, I believe it was, and so she’s been that way for the last four or five months.

And now I will humble myself. This is me. The one on the left was my wakeup call back in 2007 that my life had gotten out of control, so I did the first twenty-five pounds on my own by practicing what I’ve been trying to preach, and then my first a-ha with Take Shape for Life was I thought that I was doing pretty well, and that last fifteen pounds just melted off of me, and I was able to get to my health weight, and I am, my seventy, eighty year old age range is going to be much happier, I’m sure.

Danny: Is that Mark Nelson, by any chance?

Chip: Yes, that guy on the left there, this is Mark Nelson. He is the cardiologist who introduced this program to me, and he’s a full time health coach. He actually decided to quit cardiology because he was having so much fun in his practice, and I will tell you that as a physician, if I wasn’t enjoying being a physician as much as I am now, I would have punched out and I’d be doing this full time too, because the opportunity’s there, but I just like what I’m doing as a doctor too much to do it full time, but it certainly made it a part of my business plan. Mark, on the other hand, he was burning out, and his story is kind of fun in how it saved his marriage, basically, by getting out of the rat race of cardiology and being a full time health coach.

So if your patient wants optimal health, how are they going to get it? Well, the unfortunate reality is that they’re mostly likely, eighty percent chance that they’re not going to get it from their physician, so who’s going to do it? Well, why don’t you let it be you?

Danny: Thanks for the prompt.

Chip: Do you want to do the other [inaudible] we got here?

Danny: I do. I almost think it would have been interesting had we asked these before the presentation and after, just to see if there was a difference, but I’d like to just ask everyone to give us a frank assessment. And Virginia, if you want to go ahead and present the poll, that would be great. Are you satisfied that yours is a practice offering oral systemic health to its patients, and just take a moment to answer that, and then we’ll have a quick follow up as well. And obviously, we recognize that oral systemic health means different things to different people, and that will obviously have an impact, and it’s a moving target as we learn more and are able to deliver more, but I suspect most of us on the call today have a sense of what it means to them to be in oral systemic practice.

So let’s go ahead and close that poll and see what y’all had to say. Okay. Twenty five percent yes, twenty five percent don’t know, and half believe that they are not currently. And again, a fairly – well, it’s interesting. I think I’m encouraged by those who feel that they are. Let’s go and follow up with the next question, Virginia. And especially if you answered no or I don’t know to this one – you’ve got to close the poll, Virginia. Let’s see the next one. So, you know, whether you answered no, I don’t know, maybe even yes, and you’re not fully satisfied, what is holding you back from implementing a true – and branding yourself as a true oral systemic practice? This question, by the way, is multi answer, because I don’t feel that any of these are mutually exclusive, so just take a moment and consider this.

And again, I think it would have been interesting to see before and after, because I know that what we’re presenting is an answer to a lot of these concerns. Okay. Let’s close the poll and see the results. So that’s very good. Everyone on here understands that it’s important, so nobody stated that as a reason. Twenty-seven percent receive lack of public appreciation of its importance. Fortunately, I believe that that is changing. And the time commitment necessary also at twenty-seven percent, and seventy-three percent want to know how to structure it, and seventy-three percent want to understand how to better monetize it. And again, because these are multiple answers, the total does not add up to one hundred percent, but thank you all for sharing that.

Chip: And it’s not surprising.

Danny: Yeah. I would hope we’re providing some answers to those concerns.

Chip: Bear with me, it’s not wanting to –

Danny: It just needs a little cajoling.

Chip: There we are. Alright, so along the lines of the survey we just asked, that well, how can a dentist implement a third era dental practice focused on creating total body healthy, not just dental health, just like I’ve implemented a third era medical practice, I’ve had, there’s physical therapists implementing a third era physical therapy practice. We’re all health professionals, we all want to help our [inaudible] want to help people create health.

So what Take Shape for Life offers is a solution not just for your patients to get health, but also offers you that can offer a tool to implement it and one that can actually not be done out of the goodness of your own heart, but you can actually get paid for what you do. That’s what we all [inaudible] get paid for what we do.

Now, don’t read this. Don’t read this; I’m going to read it to you. I can imagine and I’ve been told by a couple dentists saying how on earth – I know how you physicians can do it, you can talk to people – how on earth can dentists talk to people about their weight? And it’s a very reasonable question, so what I would like people to do is to close their eyes, and I’m going to read to you something that I put together that these dentists that I know really like and said, “You know, I can do that.” So basically, you’re talking about the program, and say, “You know, Mr. Jones, there’s a topic I’d really like to broach with you if you don’t mind. It’s really well established that it’s very difficult to eradicate a person’s gum inflammation if they have high blood sugar levels, even just pre-diabetes. Gum inflammation, we now know, can increase risk of many systemic diseases like heart attacks and strokes. Well, I have a physician friend who’s implemented a program that’s been very successful. I’ve decided to implement it in my practice because I’ve been really kind of frustrated with the medical community because they haven’t been better able to help people lose weight when I send my patients to ask them to do so, and then they really can’t help them maintain that weight loss. So those results would really make my job much easier, so I’ve tried the program. It’s surprisingly easy. Everybody gets a personal health care to guide them through the program, and if you’re interested in creating optimal health in your life, we’d really be honored to be your coach.”

So that’s just kind of a structure with which you can kind of open up a conversation and you can even do things like talk to them about, you know, I’m doing this program. Do you know anybody who would want to do it? [Inaudible] to talk about as we walk you through the program.

So let’s look at this model for a moment. So one of the things I was most impressed with is that this is not just a great program, but there’s a man named Dan Bell who built the business model who did a fabulous job. It’s a very unique business model. I’m in a concierge practice. I was not willing to sell product out of my practice and cheapen what I do, and we don’t sell product. There’s no direct financial transaction between my patients and me. Basically, I’m paid by the company to coach my clients to help, and then you would be too. We don’t carry products.

There’s really no significant financial outlay to get started. One hundred and ninety-nine bucks to get started. Health [inaudible], I’ll explain that in a few minutes. And the coaching revenue is not controlled by managed care. It doesn’t have to go through the insurance. You’re basically paid by the company to coach clients to help.

The business industry is saying how successful it is. In 2010, Forbes magazine rated medifast as the number one small company in the country. In 2012, it got in the top ten, and the reason being is that it takes, medifast ten years ago was a floundering company on the verge of bankruptcy, and now Take Shape for Life drives it back up seventy percent of the revenue for medifast, which is why you’re seeing so much medifast out there. So the business model has been proven to work.

A quick note is that one of the beauties of this is that there’s a new CEO, even never, in April of this year who has just done a fabulous job on helping out new health coaches and is really going to be setting this up to take off more in the future. She’d be partnering with [inaudible].

So as far as health coaching, there are two levels of the business. The most important one I’m going to focus on tonight is plan A, where basically you’re focused on introducing the program to your patients and coaching your patients, and basically creating revenue for your practice. As I said before, if your practice is coaching a hundred clients, it’s going to be a monthly revenue of approximately seven thousand dollars a month, and just like the being a client is easy and you’re fully supported by the company to be a client with the bionetwork I discussed before, the same goes true for coaching, and we’re basically you’re the health coach in the middle. [Inaudible] and I are business coaches who help you duplicate our success in your practice, and you’re given lots of tools to be successful, and this is where this new management team, this new CEO, and in the last eight months, the number of tools available to us is just amazingly good in that it’s so much easier now than a year, year and a half ago to get started as a health coach with the tools that they’ve developed. It’s all professionally done and looks terrific.

So here’s kind of the financial structure of it, and just as an example, if you’re coaching thirty clients a month, each person’s paying Take Shape for Life about three hundred dollars a month to get the food. You’re going to earn a revenue of about forty thousand dollars a year, and you can see that it’s not difficult. This is not a time consuming endeavor. It takes about thirty to sixty minutes a day to coach all thirty clients.

Danny: Right. Not each client.

Chip: Right, not each client. It is all thirty clients. The reason is is that they’re learning from the company. They’re learning from Dr. A’s habits of health. They’re losing weight through the medifast plan. The health coach is simply walking them through the programs, being their accountability partner and being their encourager. What you’re doing is you’re simply going to, usually the first week until they can get into that fat burning state, you’re talking to them each day, but once they wake up out of bed on day three or four feeling terrific with lots of energy and sleeping better than they were before, even that early on, then you don’t have to talk to them as much. It’s about, typically at that point, we’re connecting with them about once a week, either through email, texting or phone call, whatever they want to do. Busy people typically like to email or text; others like to talk, especially if they’re having any problems, and then basically it’s about a three to five minute phone conversation if you do, so it’s really not that bad.

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Reference: Botulinum Toxin Injection Coaching

So kind of helping you understand the three cogs of the wheel, first talk about the health coach. So everybody who participates in the program gets a human being, a personal health coach that you would provide through your practice to walk them through the program. The person is not teaching them anything. They don’t have to be a health professional. Eighty percent of the coaches are not health professionals. What the health coach does is a tour guide. It guides them through the weight loss phase first, then it guides them through the learning system that’s provided by the company to help them maintain their weight loss, lose the weight. And the coaching is free to the client. You’ll learn later the business model, but the client doesn’t pay the health coach a penny because the company pays the coach for the services of coaching.

So the learning system that Dr. [inaudible] has put together was case closed the best learning system I’ve found. I mean, he is a very intelligent guy who’s gotten very practical in what he’s done, and what he does is he says that we need to teach people habits of health and to overcome the habits of disease that got them there in the first place. He says, “Don’t tell people to break this habit or identify that bad habit. Number one they’re not going to want to do it, and number two, they’re not going to recognize all their bad habits that got them there.” So he says teach them the good habits. It focuses on small, simple changes that they practice. They repeat them. One at a time, baby step by baby step that walks them down the path towards optimal health and actually able to maintain the weight that they lost. Again, guided by the health coach.

And the health related topics, it’s not surprise, it’s all the topics we all know about but nobody seems to deal with effectively. Implementing healthy eating, exercise, sleep, and yes, there is a approach to the psychological component of food addiction.

So this depicts what we’re talking about. Again, if a person starts off right here and they basically, through inactivity, poor sleep, lousy eating habits, they develop an inflammation, they lose muscle mass, and they get obese, and they get sick. So these are the habits of disease, and what Take Shape for Life does is it offers them the third era of medicine, it offers them that new health path. First, a fabulous method to get the weight off, which is sometimes very, very difficult, but then what it does is it teaches people step by step habits of health that lead toward optimal health.

And what the program that Dr. Anderson put together has lots of tools in the tool box. I use the tool box analogy because basically, a person who decides to choose Take Shape for Life are given a tool box, and one of the tools in the tool box is the health coach. The health coach hands them the tool box, and the health coach teaches them how to use the tools in the tool box, shows them the medifast [inaudible] weight loss plan, shows them that there’s a learning system, there’s online tools, that there’s phone calls they can go to every week and talk to a physician, talk to a nurse and learn how to maintain your weight once you’ve lost it. So they’ve got these [inaudible] network of tools that teach a person long term success.

Just a moment on the medifast plan. Medifast, it’s in the news a lot, and honestly, the reason is because Take Shape for Life is driving medifast to the top of the heap. You’ll learn about it a little bit there, but medifast is a thirty year old company that works toward your weight loss. What it is, it’s called the five in one plan because what the person does is they have six meals a day. It’s the most important healthy habit to maintain long term is frequent fueling, so they’re going to eat every two to three hours throughout the weight loss phase and for life. They’re going to have five medifast meals and one lean and green. That’s real food, real food that they’ve prepared, they’re taught how to prepare, and it adheres to the guides of the program, and by doing this medifast, women typically lose ten, fifteen pounds a month, men typically lose fifteen to twenty pounds a month, and that can be long term.

Medifast meals are, I call it nutritional rocket fuel. It is man-made food – some people get hung up over this is processed food. Well, that’s because they’re interpreting the processed food that the food industry makes that’s processed. This is man-made rocket fuel because they take a long time, two to three years, to make each product, to make them all nutritionally equivalent, that they’re a good quality protein. It’s not high protein, but they’re able to have a full dose of protein with a small number of calories. It makes them full, a very good satiety index where they don’t feel full through the entire program. They’re easy to prepare. There’s no vitamin supplements needed [inaudible]. They contain all the vitamins that they need, and as you’ll learn, it’s cost neutral, so all the clients are doing is simply shifting their food dollars from the grocery store to Take Shape for Life.

The lean and green I mentioned, it’s real food, it’s five to seven ounces of lean meat. It’s three servings of non-starchy vegetables. They can eat at home, they can eat at restaurants, there are vegetarian options, and the food is downright good, and it teaches people throughout their weight loss they actually can enjoy good food, healthy food.

So we’re going to take a couple minutes now to kind of walk you through the program, to kind of give you a picture of what it looks like for the client. So in the years or decades prior to making the fundamental choice to get healthy, what the client does is calories in, calories out, there’s fat accumulation. At some point, the person makes that fundamental decision I’m going to get healthy, and I’m going to use Take Shape for Life as my tool to get healthy, and they start the medifast five in one plan. So what that is is that people will have fewer calories than they need, they’re consuming about eight hundred to a thousand calories a day, which is not enough for anybody, but what that does is it opens up the storage of fat that they have been accumulating for years and years and gets them into a mild fat burning state, where what they’re going to do is mobilize that fat for fuel through the entire weight loss phase, which is how the program works, and the medifast allows them to do that.

At the beginning, I don’t tell people to worry too much about the habits of health at the beginning, but about three weeks into the program, after they’ve lost sometimes ten, fifteen pounds or more and they’re getting kind of excited about this weight loss, they’re kind of getting motivated to do what it takes to keep it off, and one of which is activity. At the beginning, kind of get them into a good fat burning. They have to kind of back off a little bit on their intensity of exercise. If they haven’t started exercising, wait a little bit, but about three weeks into it get into it, because that’s where they start to learn the lifestyle part of it, and they get into the habits of health at a time where they’re very motivated to do so.

People always ask me how long do they have to be in the program. Well, as you can imagine, it’s going to take a lot longer to lose 120 pounds than it does to lose 20 pounds. It’ll work for everybody, but what they do is they stay in that fat burning stage until they reach a healthy body weight of less than 25. And I will say a lot of people don’t believe they can get there, but they can, and I will say from a physician’s point of view that I don’t start to see those [inaudible] inflammatory markers [inaudible] resistance cure themselves until they do get down that that healthy weight of about 25 or [inaudible] fat gets into a normal range. That’s beyond what you need to know, but that’s the reality of that is a healthy body weight.

After they reach that point of 25, I sit down on the phone or with my patient in my office, [inaudible] say this is a critical [inaudible]. Congratulations, you got to your healthy weight. You’ve got two paths you can go down. You can let this be a medifast diet, and there’s eighty-five percent, like with all diets, you’re going to regain your weight, or you can choose the Take Shape for Life, learn what got you here, learn how to maintain it, and maintain your weight loss long term.

So with the program, we don’t dump people right back into their [inaudible] calories in the beginning. There’s about a four week transition zone where they go up to maintenance over time, and in maintenance where they’ve got calories in and calories out. And this slide is the slide that connected me with the program when I first heard Dr. Nelson talk about it because this is based on the study that I’ve been talking about for eight years before ever hearing about the program. It was a study done by the national weight control registry where over four thousand people lost an average of over sixty-seven pounds and kept it off for an average of five and a half years, so a lot of people lost a lot of weight, kept it off a long time. They were really successful. They asked them a large battery of questions to find out what worked, and these are the common denominators that got them healthy, and Dr. Anderson called the [inaudible] lifestyle maintenance Take Shape for Life.

I’m not going to get into the details of it, you can read it, but I will just point out that the reason I really like as a physician the medifast plan that he partnered with is that because they’re eating real food, throughout the entire weight loss phase, they’re practicing every single component of [inaudible], so if they haven’t figured out before hand, when they get down to transition, they’ll say, “Good news, you’ve been practicing the be slim lifestyle throughout the [inaudible]. You just now have to apply it to eating non medifast food.”

Oh, I didn’t mention, everybody, is that when somebody gets in the maintenance, they can choose to continue to have it through medifast, many do, but there’s no requirement. Dr. Anderson offers in his approach about three pages worth of hundred calorie healthy fueling that they can have between their three modest sized meals to keep the fueling a day that’s necessary.

So what are the costs? Well, as I mentioned before, their eating, for most people, it’s free. The medifast component of their nutritional intake is about three hundred dollars a month. The lean and green typically costs about sixty, eighty dollars a month, so the total cost is about 360 to 380 dollars a month to be on the program. The Bureau of Labor Statistics says that the average American, between on the go eating out and eating at home, spends about 440 dollars a month, some more, some less. I’ve gotten a lot of people say that they’re actually spending less money on the program than they did before hand, and as I mentioned, the health coaching is free because simply Take Shape for Life pays the health coach out of their profits from the sales of medifast foods [inaudible] health coaching services that we provide.

So basically, I will have occasionally people say, “You know what? I don’t think that program’s going to work for me.” Well, the truthful answer is that if you do the program, it’ll work. Physiologically, it has to work. If you adhere to the program, it will work, and you know what? The timing just may not be right for them, and like I said before, I’m just not going to twist anybody’s arm to do this. If they want to get healthy, I’m there for them, so I simply say, “What do you want?” And that’s kind of the approach to people, simply saying, “You know what? Keep your eyes on the goal. Keep your eyes on what you want, because just like a potter has to work to create the pottery or the masterpiece, the sculpture that they’re making, the person creating health in their life has to work too to create health.”

So what Take Shape for Life does, it is a solution. It’s a truly proven solution, it’s a health path, a third era health path for those who really want to, are intrinsically motivated, not because I’m telling them to as their physician, but because they want to from within to assume the individual responsibility to create health in their own life, and that’s the key. That’s the key to the program, it’s all about creating health, and that’s the target. The target’s not weight loss. The target’s creating health.

Biocompatible dentists are often asked how patients can learn more about their dental health – and what issues people need to be considering as they think about the intersection between their oral health and their overall health. As biological dentist Dr. Daniel Vinograd pointed out in a recent UCSD lecture, there’s actually quite a lot to consider.

First, there’s the matter of dental amalgam. It’s made from 50 percent mercury, a substance proven harmful to human health. Yet some dentists are still using this filling material – and don’t necessarily recommend having it removed. But today’s strong composite material is a better substitute, although it isn’t perfect.

Second, there are root canals to think about. While most dentists still routinely use root canal therapy to save badly damaged teeth, there are toxic substances involved that biocompatible dentists rightly question, Dr. Vinograd said in her lecture. Plus, traditional root canals can fail because of problems in how they’re done. In many cases, removing the tooth and replacing it with an implant or bridge is a smarter choice – although a bridge can unnecessarily damage nearby teeth.

Plus, there’s the matter of how to treat gum disease with limited use of antibiotics and other powerful drugs.

Patients who choose biocompatible dentistry are those comfortable with stepping away from the way many in society do things and toward a smarter, better and safer way of treating their teeth. This often means treating the mouth holistically – that is, as part of the body and not separate from it.

Perhaps the best thing anyone can do regarding their dental or overall healthcare treatments is to step back for a moment, Dr. Vinograd said, and ask “Say what?” when a medical or dental professional recommends a treatment – rather than blindly accepting what he or she says.

Often, there’s a more biologically compatible choice that will work just as well or better.

More about Dr. Vinograd and her San Diego Dental Services at http://sandiegodentist.org

Dr. Vinograd on Amalgam Filling Replacement

Chip: Honestly, it’s just like a lot of dentists are attending the [inaudible] method, and they’re learning how to help people get cardiovascularly more healthy, too. I mean, there’s just such overlap. It’s just been so much fun to watch.

Danny: It’s great. That’s what we want to see is this interdisciplinary collaboration.

Chip: Absolutely. So why do dentists need to help empower their patients create health? Well, number one, there is level A evidence. Those of you who don’t know medical research or research very well, level A evidence is the most powerful evidence that supports a finding, and there is level A evidence that supports that [inaudible] oral disease and systemic disease. It’s been shown that oral disease cannot be adequately eradicated if a patient has diabetes or pre-diabetes. A friend of mine, he’s actually in my community, just had published in Penwell a beautiful summary article that shows that in order to adequately treat periodontal inflammation, you have to control their diabetes, also. And I’ve had many hygienists tell me that they can’t just – they can scrape a person’s teeth every single week, but if they don’t get their glucose sugar under control, they’re not going to be able to do their job adequately.

And as most people are aware, most type two diabetes is called by unhealthy lifestyles such as obesity and being sedentary, and that as I mentioned before, unfortunately, seventy-nine percent of physicians haven’t been trained adequately in obesity counseling and don’t have the time to do it, so what the dental practice typically does is send their patient back to the physician. The patient’s told to eat less and move more. They don’t successfully do it, and then nothing gets accomplished. So there’s a big need for you to get involved.

I’m going to show you now a video. It’s a video that shows you a heart attack. I’m going to kind of talk through it a little bit in terms of what we’re seeing. So this is a heart. The coronary arteries [inaudible] wrap around the outside of the heart, as you can see here, and they supply oxygen to the muscle of the heart. So what we’re going to do is we’re going to dive inside the artery, and we’re going to be a blood cell going through the tubes of the artery. This is a nice, healthy artery, healthy walls, everything flowing freely through a nice healthy artery. The cells in the wall are the muscle cells that control the blood pressure and [inaudible] lining.

So now we’re going to go to another artery. We’re going to start to see some disease. So as we traverse through, we’re going to see a stable plaque. Not all plaque is dangerous. You’ve got plenty of blood flowing through this tube, and there’s a plaque there, but there’s a nice, thick cap, and that cap is not going to cause a heart attack. That’s a healed plaque where people are going to be okay. Now we’re going to show a vulnerable plaque. Vulnerable plaques cause heart attacks. Vulnerable plaques are inflamed. They’re bubbling, a bubbly cauldron of liquid stuff that where the activated white blood cells will move toward the surface, thin out the cap of that plaque, eat its way through, pop a hole in the lining, and when that happens, the clotting [inaudible] kicks in to heal that injury, clots off the artery, that free-flowing artery immediately gets blocked off completely, and that’s a heart attack.

So yes, you in the dental profession do have the ability to prevent your patients from having a heart attack, and if I ever talk to people in private, I’ve got a story of my patient who I’m pretty convinced that his heart attacks at forty-four years old may have been related to his mouth. So yes, there is full reason for you to consider creating a third era dental practice just like I’ve created a third era medical practice, and I would say it’s necessary because most of the physicians aren’t doing it, and we don’t have the mindset.

So what is the value to you to do this? Why would a dentist want to do this? Well, number one, you’re going to have improved outcomes because as I said before, you can’t adequately treat gum inflammation if you’ve got obesity causing [inaudible] glucose, and I will say that I have absolutely seen inflammatory markers through the roof that plummet when a person starts flossing, doing mouthwash, and then just basically taking care of their mouth. Nothing else works, it does much better than a drug does. So you will have improved outcome, and it’s not just diabetes, insulin-resistant pre-diabetes will do it, too.

You’re going to get referrals from doing this completely separate from creating an oral systemic practice, you’re going to have a bunch of walking billboards out there. You’re going to have people who create health, first step being getting to a healthy weight, and their friends are going to say, “How did you do it?” “Oh, my dentist helped me get healthy.” Well, they’re going to bring people into your practice. What you’ll learn in a little bit is that what’ll end up happening to the dynamics are that your practice will start coaching clients who aren’t in your dental practice, and what’ll end up happening is they’ll be introduced to what you’re all about as a dental practice through the person coaching them to health, and they’ll be interested in your practice.

And imagine the reaction to a physician when their patient shows up thirty, forty pounds lighter, and they ask, “Oh, you’ve done a great job, Mr. Jones, how’d you do it?” “Oh, my dentist helped me get healthy.” The conversation will immediately begin at that point.

So I’m sure a lot of you are out there saying of the [inaudible] attendants out there are saying, “You know what, I love the concept, it’s a great idea, altruistically it sounds great, but I just don’t have the time to do that. I’m a busy person, and I’m not sure I’m going to be able to do that.” Well, you don’t have to have the health professional be the leader in the practice. Eighty percent of health coaches are not health professionals. Anybody who has been trained can do it, and as I recognize in my many conversations, there is a person in dental practices who wants to do more than just straighten teeth. I’m sure most or all of you hygienists out there want to make a difference. You want to have an impact, you don’t want to just scrape the person’s teeth. Everybody says so, and this is a perfect way that you can have it, and you’ve got a captive audience as you’re talking to them, and you can tell them that you can’t do your job unless they get healthy.

And just kind of an intro, there is a financial component to this, and if your practice is coaching a hundred clients, then typically, you’ll get about seven thousand dollars a month revenue to your practice, and I’m not sure how much it means to the dental population, but physicians love the fact that it’s not involving insurance, there’s no [inaudible] care. It is completely separate from that. It helps them kind of [inaudible] from drowning behind insurance companies.

So the program’s called Take Shape for Life. It’s a ten year old program. Most of you probably haven’t heard of it because at this point, there’s not been any advertising. It may not be the right thing for you, and if that’s the case, it’s perfectly fine. But if I’ve kind of stimulated a little bit of a spark, a little bit of a fire in you about the third era of medicine, if you think that you’ve got a third era mindset, then I will tell you in twenty-two years of medicine, this is the best tool I’ve ever found to help a person create health in their life, and not only that, you don’t have to do it out of the goodness of your own heart. You can actually get paid for the work that you do.

So what Take Shape for Life is a professional coaching program. What you would offer your patients, your clients, is a personal health coach, and [inaudible] program, it empowers anybody who’s motivated, anybody who wants to raise their hand and say, “I want to get healthy,” to get healthy and create health in their lives. I am not selling anything. I am not trying to convince anybody to do anything. I’m presenting the diamond, the precious jewel of a program that I have, and if they want to get healthy, this will work for them.

And it’s not a diet. You’ll hear the word [inaudible] used, but this is not a diet. Diets don’t work. Eighty-five percent of people who lose weight will gain it back in two years because they never learn how to keep it off. What Take Shape for Life is is a professional coaching program where it’s coaching people through the weight loss phase and teaches them how to maintain the weight they lose. And one of the fun parts of it is we’re a ten year old company, but a year ago in New England Journal of Medicine, there was published a wonderful article that showed that professional health coaching is effective.

What the study did was they took a group of people who were at a BMI average, body mass index average of thirty-six. So they were in class two obesity. And they had everybody got the learning program. Half of them walked through it on kind of a soft learning approach, and the other half were either given a remote health coach or they were given a group session such as Weight Watchers does, and what they found was that those who had the health coaching, and it was the equivalent, whether it was remote coaching like we do or the Weight Watchers group approach, is they were significantly more successful at weight loss over a two year period compared to the people who were given the soft learning program and did it on their own. So they proved what Take Shape for Life has been doing for ten years.

So Take Shape for Life is a program that was developed by this man, Dr. [inaudible] Anderson. Dr. Anderson was a critical care specialist who was working at the Cleveland Clinic, and he got sick and tired of ushering people into death in the ICU because of the lifestyles that got them there. So he said, “That’s it, I quit.”

He left the Cleveland Clinic, a very lucrative job there, moved his family to the west coast, and over a two year program, he wrote the coaching program and he wrote the learning program that’s now Take Shape for Life. He’s put together a fabulous business, great innovative management team, scientific advisory board, includes people from John Hopkins, [inaudible], Baylor, and he’s developed Take Shape for Life. Well, he recognized that it’s great to have a coach, it’s great to have a learning program, but people need a way to lose weight. Well, and going back to that New England journal study, what that study showed was that after two years, the successful group lost an average of ten pounds, and these are people who are probably an average of fifty, sixty pounds overweight, lost an average of ten pounds.

So yes, they lost weight, but not much. So about the time that he developed the program, it was being proven through research that the meal replacement programs were fabulous in helping people lose weight. They were very effective at getting them to lose the weight, but they were diets, and I said before, eighty-five percent of the people would regain the weight they lost because they never learned how to keep it off. So the diets didn’t work, so what he did is he partnered with medifast, he did his due diligence, he did the research, and I’ve kind of looked at it with him, and he absolutely picked the best company out there. Where medifast, it’s an industry leader, they’ve been proven [inaudible] for thirty years. It’s the only meal replacement program that has the data to show it’s not just effective and fast, but it’s also safe. It’s got studies from NIH and Hopkins that prove it’s safe.

So what he did is he partnered with medifast as the weight loss part of his program, put it together with the coaching and learning system that he had developed, and that was the birth of Take Shape for Life. So what it is is a physician led company, it’s not led by the food industry. The leadership, it’s all physician led, and it’s based on the concept of helping people create optimal health through the use of a health coach, the learning system, and the weight loss phase.

So once [inaudible] got his measles shot in 1958, we transitioned from the first into the second era of medicine. The second era of medicine is where we are now. It is the era of chronic diseases. About the time [inaudible] was getting his measles shot, we were having a rapidly escalating ability to identify diseases and treat them through surgeries, whether it’s bypass surgery, eventually stinting, cancer treatment, expensive medications, things like that. We were able to, more than ever, once a disease hit us, we were able to treat it adequately.

The problem with the second era of medicine is it’s a very reactionary model, so the mindset of a physician when you see it – and those of us, I’m forty-eight, and anybody who is practicing now has grown up in the second era of medicine where the mindset is to find a disease and fix it, so if you go to see the doctor and your blood pressure is rising a little bit, blood sugar’s a little borderline, cholesterol’s a bit high, what do we tell you? We tell you to eat less and exercise more.

Well, that’s the right thing to do. We know that’s the right thing to do for people. Unfortunately, seventy-nine percent of physicians were never trained adequately in lifestyle modification, so we don’t know how to adequately counsel people to do those things, and we don’t have the time to. The average [inaudible] visit has been cut down to six or eight minutes in today’s modern medicine, so we just don’t have the time.

So what happens? We send people off to do it on their own. Most people can’t do it. They come back to us, and we give them pills. So we are giving pills [inaudible] the numbers for the blood pressure and cholesterol, but we’re not treating the underlying disease process that’s causing it, and the inflammation and the oxidation is ongoing. So eventually, when it comes to obesity, pills aren’t working, and we suggest people have bariatric surgery.

So the physicians in our country, through no fault of our own because that’s how we’ve been trained since the fifties, we’re caught up in the web, in the web of the second era of medicine where the reactive disease model is not helping a person to create health. We’re waiting for the disease diagnosis to happen. We’re not preventing the cancer, we’re not preventing ever needing a stint, we’re waiting for these and treating them when they come. And how about this as a model of health care?

And unfortunately, the model that the physicians have adopted of reacting to disease is now being transitioned over to the patients, and the patients have the model, the pill treatment model, not the prescription medications like the physicians do, but I can’t tell you how many times in practice I’ve had people walk in who were severely obese who got – I asked my patients during their wellness to bring their prescriptions and supplements in so that I can make sure I know what they’re taking, and they’ll have this big box load of supplements that they’re using try to get healthy, but not doing what it takes to truly create health. It’s  just [inaudible] mentality.

And unfortunately, we’ve resigned ourselves as a country to accept sickness. We’re never going to cure – the mindset is we’re not going to cure our blood pressure, we’re not going to cure our [inaudible] diabetes. We hope it never happens. When it does, there are experts in the country teaching people how to live with their diseases, not how to cure their diseases. Isn’t it sad when a seventeen year old is being recommended to have a bariatric surgery?

I think Albert Einstein said it best. It really, really is insanity when we keep trying to do the same thing over and expecting different results, and when it comes to health in our country, we are not going to be able to turn that ship around in our country. People aren’t going to be able to have a better future unless they find ways to create health.

So what the third era of medicine is a new health path. We’ve got to create a new health path for the people who want to go down, to have an opportunity to truly create health in their life, and that’s my passion, that’s my mission in life, that’s the legacy that I want to leave. It’s the reason that I volunteered to be vice president of the American Academy of private physicians. It would give me the platform to hopefully be the tool to help carry, one of the tools to help carry our country into that third era of medicine, to change the mindset of one from reacting disease to one of creating health.

So when you’re on that new health path, you’d be amazed at the capacity the human body has heal itself. In the past two years since I’ve created my third era practice and adopted a lot of those methods that I’ve learned through the AAPP, including tge one you’ll hear about tonight. I’ve watched countless of my patients to change their course. They’re ascending up the health path, creating more health and giving themselves much more of an opportunity for more good years, and in addition, feeling much better for. I knew it, but I felt it over the last couple of years, just feeling these lives change, watching these lives change as they create health in their life.

This is a wonderful poster put together by the Cleveland Clinic Foundation. What they did is they did a study where they took people who were severely, extreme obesity, body mass index of at least thirty-five or more, and they reached a healthy weight of a body mass index of twenty-five or under, so these people truly created health in their life through weight loss, and in doing so, what they found was that not surprisingly, eighty-two percent cardiac risk reduction. They also found eighty-two percent of asthma was improved. They also found that fifty-five percent of depression was improved. So there’s a lot of these diseases that were cured through this person attaining a healthy weight, and then maintaining it through developing healthy habits. You can see in the bottom right box over here, even the five year mortality was reduced by eighty-nine percent for people who [inaudible] accomplished this weight loss.

So my mission is to get America healthy, and I say here we must empower patients to create health, adopt that third era mindset, because physicians are so entrenched in that second era. It’s going to take all health professionals to do it. It can’t just be the physicians. We don’t see patients enough, and we don’t have the right mindset. And all health professions, we shouldn’t just be treating the body parts, we need to be treating the person, and treating person requires helping them to create health.

So what was my journey? My journey in creating my third era practice has been a pretty fun ride for the last decade, where in 2003, University of Pennsylvania started me in what I’ve got now, [inaudible] I’ve got a concierge practice. We take care of a small number of people, and I really help them to, I give them personalized care.

So throughout my first several years, I was doing kind of what we all did, and treating diseases, and trying my best to help people get healthy, but like all physicians, I was [inaudible] trained on helping people with lifestyle, so people really weren’t getting that healthy. Well,  2007 I joined the board of – 2008 – the board of AAPP, and I started to get introduced to a lot of these improved innovative ways of helping people to get healthy, and my transforming point of my career was in April of 2010 when I met Dr. Brad [inaudible]. He was the developer of the [inaudible] method of heart attack and stroke prevention. Once I saw that program, I was like a kid in a candy shop, and I came back from it, and I felt like for the first time in my career, I felt like I could make a difference. I could really impact a person’s life through his method, and by December of that year, I had fully implemented the program into my practice.

Well, April of 2011, about six months into doing it, I was seeing several patients who were having [inaudible] disease on testing called CIMT ultrasound. I was looking for the cause of the disease, [inaudible] define the cause and treat the cause, but none of them – there was a subset of people who absolutely had no identifiable cause. Well, I remembered during the training program Dr. [inaudible] had a few slides up about the oral systemic connection. I said okay, well, time for me to learn about this mouth thing. Physicians aren’t typically taught to look in front of the tonsils, but I figured I had to kind of learn about this because that was probably the source of their problem, and that began my road into the mouth, and it’s been a fun ride.

For those of you who don’t understand, your body part, the mouth, has a tremendous impact on systemic disease, and it was only after I started to learn about this and I’m helping people to create oral health in their lives through my practice am I starting to watch some of these people heal their disease.

About the same time – actually, almost exactly the same time – I met Dr. Mark [inaudible]. Well, the first six months of the [inaudible] method, I was doing great with the drugs, I was doing great with the supplements, but I was being very frustrated because they weren’t very improving their inflammatory markers. They were improving and curing their insulin resistance very well because that wasn’t effectively helping them to do the lifestyle part, which is the most important part of treatment in the [inaudible] method.

Well, Mark introduced me what you’re going to be hearing a little bit later about Take Shape for Life, and I knew immediately it was the [inaudible] of my practice that I needed to help people create health for their life, and for the next five, six months after that, I just watched person after person for the first time in their lives get healthy so that in September that year, I decided to add being a business coach for Take Shape for Life into my revolutionary health services business plan, which is why I’m talking to you tonight, and Danny has done the same.

And my ride with the dentist has gotten kind of interesting, so that in this summer, I had a eight credit continuing education course published in Penwell about heart attack and stroke prevention, how dentists can be impactful in their practice, and in August, an editorial viewpoint that I wrote to Dentistry Today, they published it where I was commenting on the irresponsible colleagues of mine in the American Heart Association leading the public to believe there is no need to take care of your mouth, there’s no proven connection, so I kind of made some scathing comments about my cardiology colleagues on that one. But my point in saying that is that it’s introduced me to many, many conversations with the dental community, and I recognized very quickly that dental practices are health professionals who can use this program powerfully to help their patients get healthy.

Danny: Let’s not forget, too, that you last month had an article published in RDH [inaudible] village, which was targeted for the hygienists among us.

Chip: That would be true, yeah. And thank you. I’d forgotten about that one.

Danny: Yeah. Well, some of them –

Chip: They’re running together, so –

Danny: You’re doing a lot. But I just –

Chip: [Inaudible] get my honorary DDS of DMD here.

Danny: RDH.

watch the video here: https://www.youtube.com/watch?v=o0aY4h2cp_E

Danny: Hello again everyone, and welcome to this installment of practice perfection web-based educational series. Tonight’s presentation is entitled the third era of medicine, and we are indeed fortunate have Charles Chip Whitney, MD, as the night’s guest presenter. Chip is a board certified physician in family practice in sports medicine and is CEO of revolutionary health services, a known leader in the field of concierge and collaborative medicine. He is also the current vice-president of the American Academy of private physicians. We’ve invited Chip today to draw upon his twenty plus years in the field of concierge medicine to demonstrate how [inaudible] medicine is revolutionizing medicine and dentistry.

I first met Chip during my work in helping found the American Academy for oral systemic health when [inaudible] and the AAPP became sister organizations. It has been a true pleasure and privilege to have the chance to work closely with Chip in delivering an efficient and effective revenue-based patient health coaching and wellness model, and that is exactly what we plan to share with you this evening. As usual we expect the presentation to run for about an hour, during which you are welcome to submit your questions using the question button on your screen. We will do our best to get all of your questions answered, if not during this evening’s webcast, then shortly thereafter.

I am joined this evening by my life and business partner, Virginia Norton, who will present this evening’s attendee poll questions as well as field your questions during the presentation. With that, it is my pleasure to introduce to you Dr. Charles Whitney. Hello, Chip.

Chip: Hello, Danny. It’s great to talk to you again, and for all to be able to present the webinar tonight and appreciate all of you who joined us to to hear what I have to say.

Danny: Well, it’s our pleasure, and I know it’s going to be a fun, exciting, and informative evening, and as those of you who’ve attended prior webcast know, we do like typically to start things off by getting a feel for who is in attendance by polling our audience, so I’m going to ask Virginia to present the first poll and ask you to take a moment or two to answer those questions for us, and question, quite simply, is what is your profession? Are you a dentist, hygienist, non-clinical dental team member, physician, or other? Please take a moment you answer that, and then we’ll share the results.

A few more seconds. Alright, let’s go in clothes that, Virginia, and see who’ve got joining us this evening. Alright, hey, the hygienists win. We have thirty-one percent dentists, forty-six percent hygienists. We’ve got fifteen percent non-clinical dental team members, eight percent physicians, and no others. Though pretty good represented, very well represented by hygienists, which we’re pleased to see, aren’t we, Chip?

Chip: Absolutely.

Danny: Alright, great. Well, alright, back to you, Chip. Let’s get this show on the road.

Chip: Alright, very good. Okay, as Danny said, that’s a little bit about my bio, and what I’m going to present and share with you tonight is my passion. About a year ago, I first heard the concept of the tree earth medicine, and I immediately realized that I had always been a third era thinker, and my mind had been that of the third era medicine, but I’d been trapped in a second era world, and what I’m hoping to do tonight is to spark a flame in those of you who are like-minded as I am and kind of stimulate your interest in helping me move our country into the third era of medicine.

A while ago, a study was done where they interviewed people who are on their deathbed, people who are within days, weeks, or months of passing away of a terminal illness, and they asked them, “If you could have a do over in life, if you could change something in your life, what would it be?” And the three common answers that they had were they would let the little things go, they would invest more into relationships in their life, and they would look to leave a legacy. And like Robin Sharma says, no one expects to live forever, but we would love to leave a legacy that does, and the legacy that I’m looking to leave and my career legacy is to be instrumental in and leading our country in the third era of medicine.

So what this graph here shows is it shows what we’re all feeling. Health care expenses are astronomically rising in our country. The insurance premiums are rising typically ten to thirty percent every year, and that’s been happening for several years now. Most of the time the insurance companies are getting blamed for that, but the reality is because the cost of health care is rapidly rising too, and insurance companies are simply asking for the money to pay for the expenses they’re looking to spend, that they’re needed to spend. Why is that? Because we’ve got a rapidly increasing number of sick people needing to use rapidly increasing number of very expensive surgeries, technologies, medicines, testings, et cetera, and as you can see by the graph here that this increase is not sustainable.

Predicting by the year – this is from the United States GAO, Government Accounting Office – that by the year 2044, the amount spent per year on health care is going to equal that collected [inaudible] the taxes from the entire country. This has got to change. The World Economic Forum in 2010 published report showing that there are eight behaviors, risky behaviors that drive about fifteen percent, excuse me, fifteen of the most common chronic conditions that account for eighty percent of the total cost of chronic illnesses worldwide. So it’s just a very few number of risks that are leading toward that.

I heard Michael [inaudible] of the [inaudible] clinic say one time that eighty percent of diseases are driven by our lifestyle choices, and if you look through those list of [inaudible], there’s really only one of them on there that has changed significantly in the last ten or twenty years, and that’s that’s the risk or the problem of obesity. We really have an uncontrolled epidemic in our country that’s really ravaging the health of Americans everywhere. The CDC, Center of Disease Control, in 1988 started to look at the problem. Prior to that, it wasn’t an issue. Even as of ’88 you can see that about a third of the states here, the ones in white, weren’t even looking at obesity.

But as the years have passed, from ’98 to 2008 to 2010, the amount of obesity in our country is rapidly rising so that by 2010, over a third of the states, thirty percent or more of the population was obese, which was way more than it was just two decades prior to that.

Recently I saw a report from the CDC saying that they’re estimating that thirty percent of Americans are now obese countrywide, and unfortunately, although the obesity is considered a social problem, it’s actually, at the core, it’s a health problem. Overweight and obesity, well, by the time a person is obese, most of the time, they’re insulin-resistant. Insulin resistance is the disease mechanism that ultimately will lead diabetes and spot that a person about seventeen years after they cross into obesity, many will develop diabetes, and then after diabetes comes vascular disease and other obesity-related illnesses like cancer, Alzheimer’s, and several others so that those are where the game changers occur, where it severely impacts a person’s life and is impacting the economic health of our country because that rapidly rising number of obese people is driving the diseases that we’re having to pay for.

Duke University, earlier this year, published report estimating that by the year 2030, there’s going to by thirty-two million more obese Americans than we have now, and that up to eleven percent of the Americans are going to be severely obese, a level at which they would be candidate for bariatric surgery. And isn’t this sad? Unfortunately, we all are aware that obese parents lead the lifestyles of obese children, and this young man is going to have a terrible future unless he changes his course, because he’s probably already insulin resistant, and in a relatively short number of years will be diabetic, and I’m predicting that in the next couple decades, we’re going to see a dramatically change and shift in the age at which people start to have a lot of these diseases like cancer, heart attacks, and strokes.

This is a 1921 Bentley. It is a beautiful vehicle, but you don’t see any of those around anymore. The problem is that a lot of vehicles, whether it’s this or more modern vehicles, that the owners don’t take care of their vehicles very well, and they rust, their parts wear and they end up dying at young ages. In the case of vehicles, they end up in the junkyard. Well, there’s a pretty strong analogy to the vehicle we drive and the vehicle that we own in our bodies.

This is a model, it’s not a data-driven model, it’s a conceptual model that shows the current and projected health path. It’s basically showing that at birth, most of us are optimally healthy. At death, everybody’s sick, and we all have a health path that goes from birth to death.

I’ve gone in my practice to start to ask questions to people every time they come in for their annual health evaluation, I simply ask them a question. How do you envision your life when you’re old? I leave up to them what they consider old being, but inevitably, everybody says the same thing. Everybody’s saying they want a healthy brain, they want to be independent, they want to be [inaudible] free, they want to be as active they want to be. So it all makes sense, those are no surprise.

So although everybody in their middle ages is saying those kinds of things, but unfortunately when you get out to these older ages, let’s just say seventy to eighty, there’s a huge variation in the health of people. Yes, there are people who have reached their goals and they’re doing pretty well in older age, but there’s a really large and rapidly increasing number of people who don’t reach those goals and are developing sickness at these older ages, and that fortunately the health path is shifting to the left where they’re getting these sickness at much younger ages.

Danny: What I think is a good thing too, Chip, is that this little yellow region between the green and the red, people realize that there are three states. There’s healthy, there’s sick, and then there’s this middle stage which is sort of pre-sick, or you call it here non-sick. That’s the unfortunate reality, people don’t realize that they’re just, their symptoms haven’t manifested yet, but that doesn’t mean that they won’t.

Chip: No, absolutely. No, I mean, once people reach middle age, unfortunately, most people aren’t optimally healthy anymore. Not everybody, but most people aren’t, but they’re not sick yet, so they’re generally feeling pretty good. I mean, it’s quite often I see people who I know, they’ve got all kinds of disease processes. Let’s just take obesity alone. If a person is obese at this age, they’ve got the oxidative processes going that lead to inflammation that lead to free radicals, and those are the chemical processes that lead toward very poor health. So if a person is obese at middle age, no matter how decent they may feel, their trajectory is not a good one, and they’re on a trajectory so that their older years are not going to be pleasant, and they may be headed at any point with a problem.

Danny: Ignorance is not bliss, in other words.

Chip: No, it’s not, unfortunately, and I’m, in my practice, trying to identify those at middle ages who are on the path towards sickness and find a way for them to turn around, and that’s the point to make in discussion. So there’s got to be a way to turn the ship around. I mean, health in our nation is going down the sewer very quickly. We need to find a way to turn that ship around. So in order to understand how to do that, I’m going to introduce you to the concept of the [inaudible] era of medicine.

In the first era of medicine, it began at the beginning of medicine, way back whenever, and up and through the first era of medicine, the main goal was to fight infectious diseases. That’s what was killing everybody is that people were have short life spans because they get an infection, and it would kill them. Well, once we got antibiotics, once we got improved public health, once we got immunizations, then we got a grasp on infectious diseases, and we still fight them, but it’s no longer the major issue that we fight.

original post and transcription: http://biocompatibledentist.org/holistic_dentistry/overcoming-dental-phobia-with-dr-vinograd/

transcription: http://biocompatibledentist.org/holistic_dentistry/actual-patient-review-for-dr-vinograd-brighton-dental-san-diego/

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