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What's New at Comprehensive Heart Care Spring '11?

2011 begins with challenges - and excitement.  The future of health care is up in the air.  It is going to change, but we do not know how or just when.  The changes that we anticipate will be uncomfortable for individuals who have not had time to prepare, but manageable for those of us who did.  many, , but health care will change.  We anticipate a British-type system where new challenges, as well as uncertainly over ends with many challenges.  The economy is just beginning to recover, but Americans are still losing their jobs - and with it their insurance and health care access.  “Health care” that is "covered", for the most part, remains “disease care” – drugs, surgery, and interventions.  A national policy of health promotion remains years away.  Gaining, regaining, and optimizing your health now remains your best health care policy of today.  Our health care delivery system is going to change, and at first, perhaps not for the better.  Don't leave yourself at its mercy.  Take charge of your health, and do so now.  Towards this end, we have some new concepts and we offer them to you.  They utilize physiologic pathways and will complement our present best methodologies.  You will notice that our agenda includes clinical research of new drug and new nutritional therapies.  This is the essence of Integrative Medicine, why our outcomes are what they are, and why we are out in front so often - we just don't restrict ourselves to one discipline or another.  If Congress started acting this way, taking the best from all philosophies instead of acting as Republicans or Democrats, then they might also start getting things done.  We do, we have, and we will in the future.

Diagnostic – New and better ways to determine the causes underlying your symptoms:
1. Zyto Electrodermal Screening - This biological frequency based modality will replace Asyra in our diagnostic armamentarium.
2. Evox - Looks for and addresses emotional "scars" underlying health conditions.
3. Thermography - Skin heat emission patterns are utilized to diagnose inflammatory, neural, and vascular conditions. 
4. Carotid IMT – Non-invasive assessment of atherophysiology, plaque burden, and event risk.
5. Methyl Cycle Genomics – A huge step forward, looking at inherited susceptibilities to toxicity and infection; why you are sick and not getting better, while others are OK.
6. New lab studies:
    A. Oxidized LDL measurement - Remember, LDL cholesterol is food; its the oxidized LDL that causes cardiovascular disease.
    B. Food allergy testing - You will be shocked at the foods that are making you feel poorly.
    C. SpectraCell Study – Intracellular nutritional status and lipid particle size. 
    D. Bioimpedance testing in heart failure - Guides drug therapy and estimates fluid volume.
7. We continue to offer the full spectrum of non-invasive cardiovascular testing, including EKG and echo imaging, treadmill and and pharmacologic stress echo, and holter rhythm monitoring.

Therapeutic – Concepts and methodologies that add on to our standard approaches:
1. Weight loss with hCG – You demanded this and now you got it; rapid but sustained weight loss coupled with an improvement in physiologic and a reduction in your medication needs. 
2. Immune Modulation – Not a treatment but a concept, one in which we conceptualize and treat atherosclerosis as an abnormal immune response to oxidized LDL, and heart failure as an abnormal immune response to an inflamed and damaged circulation. 
3. Ondamed – The most comprehensive and effective energy medicine modality that we have used to date.  These concepts are difficult to understand, but they are inexpensive, risk free, and we are seeing results.  To learn more please visit www.ondamed.net or surf the web.
4. Pellet HRT – The best approach to achieving sustained, physiologic levels of bioidentical hormones, at a cost similar to that of your co-pay for the manmade chemical versions.
5. EECP – 13 years ago we were the 2^nd practice in Ohio to offer EECP.  The other practices now offer EECP, but without the metabolic/endothelial support that we feel makes it work best.

Research – Three of our four IRB (Institutional Review Board) approved studies include have completed enrollment and now are in the follow-up phase. 
A. Engage AF-TIMI 48:  Comparing Edoxaban with Warfarin (Coumadin) as an anticoagulant in patients with atrial fibrillation
B. Relox Stroke Recovery Study:  An IV nutritional approach to post-stroke recovery of muscle strength - A positive result was achieved and additional studies are in the planning phase..
B. Dal-OUTCOMES:  An evaluation of Dalcetrapib (HDL elevating therapy) in patients with recent ACS (acute coronary syndrome).
D. TACT:  An evaluation of EDTA-based heavy metal chelation in heart attack survivors - results available in spring '12.
Participating in clinical research provides multiple benefits; specifically it:
1. Moves science forward, allowing important new therapies to be made available to you.
2. Provides otherwise high cost treatments to you at no cost or with compensation to you.
We participated vigorously in the EECP Registry Study, and in separate studies of MME in diabetic neuropathy and low back pain.  Any assistance that you could provide us with study patient recruitment will be greatly appreciated.

Hospital Care – Dr. Roberts carries out elective heart catheterizations at Toledo Hospital on Thursdays.  His beeper is always on, but he does not round at the hospital on a regular basis.  If you are having problems after hours, a call to the office will be routed through the Academy operators to Dr. Roberts.  In an emergency, proceed straight to the ER; whenever possible, we will call ahead and forward pertinent records.  Should you require admission for a cardiovascular problem, then Dr. Roberts will coordinate this with the cardiologists who cover for him.  This arrangement is working out well, providing you with timely hospital care, and providing Dr. Roberts the time he needs to meet your other medical needs and research new approaches.  Do not allow yourself to be "assigned" to the hospital physician.  It is your choice who you wish to work with in the hospital.

More Information – Please review our literature and the DVDs of our presentations.  Read everything you can on this website, and if you are seeing me for cardiovascular disease, Reverse Heart Disease Now will help you understand my approach and the therapies that I recommend.  A lot of energy is put in to these presentations – for your benefit.

Phone Calls – If you are experiencing an important medical problem – call us.  Tell a staff member what is bothering you, or relay a specific question.  Phone calls such as “I want Dr. Roberts to call me” don’t work.  Please realize – I can’t just pick up the phone and answer a question – I have to review your chart first and think about you (and don’t you want me to think about you before I make a decision?).  This takes time, and adds to our practice overhead.  When you have a question, and it is not urgent, please write it down and then we can cover it, with your chart in front of me, at the appropriate time.  If you call with a non-urgent concern, or if your pharmacy plan wants me to switch you from one drug to another, we will ask you to attend a limited office visit, at which time the specific issue can be addressed in an organized fashion.                                                                                                                                                                          James C. Roberts MD FACC - 1/9/10