Endocrine Metabolic Medical Center Blog

Holiday Gifts

noreply@blogger.com (Dr. Joe) — Tue, 18 Nov 2008 18:17:00 +0000

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Contact our office for more information.

CVProfiler

noreply@blogger.com (Dr. Joe) — Tue, 18 Nov 2008 18:09:00 +0000

This is the first in series of thrice weekly explorations on health. This will allow you to sort out what you would like to know about maintaining your philosophy of strategic health and getting a value for the money well spent.

This is part of the concept of strategic health – finding disease or lacking health without any symptoms. This enables an attack on something that will be wrong if something isn’t done early. This is a new concept in health; avoiding disease.

What can you test; evaluate for the best value for health? One of our most important tests, the CVProfiler has no charge with the initial visit. But I’m very concerned when someone who comes in for a follow up visit feels that the abnormal test need not be rechecked. The treatment of the abnormality is simple, relatively inexpensive and should be done.

When I discovered I had the arteries of 80 year old when I was 37 yeas of age, I had no knowledge of the CVProfiler. When I rechecked my inside to see if the plaque had changed I used the same technology – the CT scan – to learn that I had completely reversed my atherosclerosis! This concept of Strategic health is really cool.

All testing in the office if you come in for the testing alone is reduced to $100 a test when you just come in for the tests alone. We still prefer that it be Wednesday afternoon if you can so we can balance the staff but when ever you can come is fine. Our Christmas giving program would include those prices as well. The Christmas giving is to acknowledge the gift of health for a consultation for health or any other testing can be arranged can be arranged by emailing Ashley@ endocrinemetabolic.com. It’s your time.

Although these are times when all of us regularly think about scrimping on costs for your health, the waveform analysis of your blood pressure and vascular tree is not a good place to start.

We have 2 systems for this, the CVProfiler and the BPro. The latter is being sold so fast to other physicians and health practitioners that except for testing the units when they briefly come through the door I am not using the BPro right now. This is the “son of CVProfiler” so I will concentrate on the CVProfiler.

The concept of wave form analysis originated in the modern sense some time in the last Century for measurement of physical properties in natural sense. The Mayo Clinic worked with the concept in the 1950s and the device I use was developed at the U. of Minnesota in 1980.

Some time elapsed prior to clinical use since research was needed to gather data from 200 world wide centers focusing on what’s normal for those with cardiovascular disease, medications, diabetes, family history of cardiovascular disease, sex differentials, smoking and ethnicity.

The initial device cost was $800,000. The introduction of the personal computer to do calculations allowed a dramatic price decrease and introduction into many physician offices in 1998. This was also the year that Nobel Prize in medicine was given to the three physicians who demonstrated that l-arginine was capable of reversing atherosclerosis.

This is what the device measures with regard to blood pressure and what it means to you.
• The accuracy is unexcelled.
• The blood pressure is measured while lying down flat on your back (supine). We spend up to 8 hours asleep daily so if the blood pressure goes up while lying down, that is very abnormal. This is why most strokes occur in the morning just before awakening.
• Eventually we now follow the systolic (high number) blood pressure to lower, safer levels.
• The diastolic (low number) can be followed to lower target levels to assess competence of heart valves, particularly the aortic valve.
• The mean (think average) arterial blood pressure previously was only measured in the Intensive care units of hospitals or research labs. It gives a hint of other vascular problems such as pulmonary hypertension (high blood pressure in arteries of the lung).
• The pulse pressure is the difference between your systolic and diastolic blood pressures. May help predict heart disease risk.
• Pulse rate determines heart stress intrinsic to the heart and secondarily from other systemic diseases influencing the heart.

This is what the device measures with regard to flexibility of the blood vessels.
• C1 – Large Artery Elasticity Index tests the thickness of the arterial wall which in this case means the muscularis, the anatomic middle of arteries. This is the most important of the problems of arteriosclerosis which is hardening or inflexibility of the arteries, not atherosclerosis. These arteries are so small you need a microscope to see them.
• C – 2 – Small Artery Elasticity Index is even smaller and microscopic. These arteries are almost capillary in size, the smallest vessel in the body. This is the most important part of the artery system in the body because it is here that all diseases begin and all the therapy does too.

The total length of this “vascular tree” is 100,000 miles and the area is that of 7 tennis courts. The inner lining, or endothelium, is the biggest organ in the body and only one cell thick. When the endothelium goes down the whole body follows. The feeling of good health or feeling “really good” comes when you have turned your endothelium into that of teenager.

On the back of the report you can see how well you compare to those in your situation. In the past, we were so pleased to have patients become “normal” or in a state where “people like me” have the same testing values. Wrong.

John Cooke, MD Professor of Medicine and Director of the Program in Vascular Biology and Medicine at Stanford U. Medical Center, when I told him I was normal, asked me “does that mean you are just like all the other 71 year olds”. No,” I replied, “I’m 15 years old inside.” YES!

We have done well at avoiding vascular disease from any etiology. Recently we have uncovered the reasons several excellent academic institutions failed in their NHI funded studies. The answer lies in part in the treatments we use for sure but we learned how to use this noninvasive waveform technology to know how to change treatment. Additionally, our concentration now is anti aging. I’m so pleased at how well we doing in that field I will have to devote a full newsletter to that subject.

This is so import to health; we give the first CVP away with each first consultation. We check the value every 3 months because we know that 60% of people can quit all Rx for blood pressure at 3 months and stay just on the ProArgi9 plus. At 6 months 96% of the remainder can do that too. Here is some good science if you wish, and click on the last link for all 291 articles. It’s your time.

Grey, E.; Bratteli, C.; Glasser, S.P.; Alinder, C.; Finkelstein, S.M.; Lindgren, B.R.; and Cohn, J.N.
“Reduced Small Artery but not Large Artery Elasticity is an Independent Risk Marker for
Cardiovascular Events.” AMERICAN JOURNAL of HYPERTENSION 16:(No. 4), 265-269, 2003.

Syeda, B.; Gotsauner-Wolf, M.; Denk, S.; Pichler, P.; Khorsand, A.; Glogar, D. “Arterial Compliance: A
Diagnostic Marker for Atherosclerotic Plaque Burden?” AMERICAN JOURNAL of HYPERTENSION
16:356-362, 2003.
198.

Cohn, J.N.; Hoke, L.; Whitwam, W.; Sommers, P.; Taylor, A.; Duprez, D.; Roessler, R.; Florea, N.
“Screening for Early Detection of Cardiovascular Disease in Asymptomatic Individuals.” AMERICAN
HEART JOURNAL 146(No.4), 679-685, 2003.

Duprez, D.A.; Somasundaram, P.E.; Sigurdsson, G.; Hoke, L.; Florea, N.; and Cohn, J.N. “Relationship
Between C-Reactive Protein and Arterial Stiffness in an Asymptomatic Population.” JOURNAL of
HUMAN HYPERTENSION 19: 515-519, May 2005.

Takeuchi, K.; Ideishi, M.; Tashiro, T.; Morishige, N.; Yamada, T.; Saku, K.; and Urata, H. “Higher Small
Arterial Elasticity in Hypertensive Patients Treated With Angiotensin II Receptor Blockers.”
HYPERTENSION RESEARCH 28 (No. 8): 639-644, August 2005.

Giles, T.D.; Berk, B.C.; Black, H.R.; Cohn, J.N.; Kostis, J.B.; Izzo, J.L.; Weber, M.A. “Expanding the
Definition and Classification of Hypertension.” THE JOURNAL of CLINICAL HYPERTENSION 7 (No.
9), September 2005.

Winer, N.; and Sowers, J.R. “Diabetes and Arterial Stiffening.” ADVANCES in CARDIOLOGY 44:245-
251, 2007.

http://www.hdi-pulsewave.com/corporate/research.htm

Byetta Class - November 13, 2008

noreply@blogger.com (Dr. Joe) — Wed, 05 Nov 2008 21:28:00 +0000

News about Accomplia

noreply@blogger.com (Dr. Joe) — Tue, 28 Oct 2008 02:20:00 +0000

Early this morning, Europe pulled Accomplia off the market due to increasing risk of depression and other psychiatric problems. It is expected that most countries will cease production.

From our standpoint, if you are not having any problem with depression or other psychiatric problems, you are not to be concerned. We will not be using this medication in the future.

Office E-News

noreply@blogger.com (Dr. Joe) — Thu, 16 Oct 2008 16:08:00 +0000

Retinal Changes in Pre-diabetes, Pre-hypertension

noreply@blogger.com (Dr. Joe) — Tue, 23 Sep 2008 15:08:00 +0000

Click the video to pause play. This video is 2:10 minutes in duration and took 16 seconds to load over a DSL connection. You will need the latest version of the Free QuickTime Player to view it. Additional help for Mac users.

Diabetes Care October 2007, page 2708-2715 reported that new technologies are now picking up the retinal changes in the back of the eye that diagnose prediabetes and pre-hypertension.

We know that these two problems begin long before symptoms or signs of the disease. In the past we would consider this a victory for “strategic health” but little treatment to reverse this was suggested.

Now we confirm these advancing diseases with the wave form analysis with the CardioVascular Profiler and begin treatment with ProArgi 9 plus immediately. The ProArgi9 plus reverses all the vascular problems of both diseases actually reversing both disorders as far as the vascular component is concerned.

This is not a cure, but a reversal. Diabetes is a multi-metabolic problem and with time different treatments will be needed. At least you will not be in the bad patch the group in Seattle was in when the diagnosis of their diabetes was first made when they had their heart attack.

Penelope is here THIS week

noreply@blogger.com (Dr. Joe) — Tue, 26 Aug 2008 01:00:00 +0000

Dr. Prendergast states in this video that Penelope Mayes, RN, CDE will be in the office next week. That is THIS week (August 25-29). This video was to be sent out last Friday, but due to technical difficulties, it was not.

Schedule your appointment with Penelope!

Click the video to pause play. This video is 1:00 minute in duration. You will need the latest version of the Free QuickTime Player to view it. Additional help for Mac users.

The Oral Systemic Connection

noreply@blogger.com (Dr. Joe) — Sun, 03 Aug 2008 14:08:00 +0000

There is a new weekly radio show starting in the San Francisco Bay area the first weekend of August. The weekly broadcast will be streamed live online at
http://radiotime.com/station/s_35297/KDOW_1220.aspx

( all radio broadcasts will be archived & podcast down loadable on AskDrSmiles too)

www.AskDrSmiles.com radio broadcast.

It will be featuring my www.drjoe.drsmiles.net “Professional SmilesPage” on the Professional Members registration page:
http://www.drsmiles.net/index.cgi?file=membership_professionals_index.nrml

patients can register for their FreeSmilesPage provided by DrJoe. (see FREE SmilesPage tab).

Lastly , here is a link to “Why DrSmiles ? “
http://www.drsmiles.net/bol.cgi?file=whydrsmiles.nrml

that presents the Ask Dr. Smiles themes and reasons why patients should join Dr.Smiles.net …the iRx Community That Your Doctor Prescribes !

In the San Francisco Bay area on Saturdays and Sundays at 9 AM.

KDOW - 1220 AM Palo Alto, CA - Listen Online
KDOW - 1220 AM Palo Alto, CA - listen online, hosts, location, and broadcast information.
radiotime.com/station/s_35297/KDOW_1220.aspx - 30k - Cached - Similar pages

A New Blog

noreply@blogger.com (Dr. Joe) — Fri, 20 Jun 2008 23:03:00 +0000

Mouse over the video, or right click, to activate the controls. This video is 2:22 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

Send your topics or questions to: Dr. Joe

Telesenimar June 11, 5:30pm PST

noreply@blogger.com (Dr. Joe) — Tue, 10 Jun 2008 18:20:00 +0000

Christine Rosche,MPH,CNS, Board Certified Nutrition Specialist who has been working with us for many years is presenting at a national teleseminar next Wednesday, June 11.

She is the creator of "Light Living - an Integrated Approach to Health and Weight" based on 25 years experience in the health care field, including Stanford Medical Center. Our patients have had excellent,
lasting results with her program - www.lightlivingprogram.com

I highly recommend that you join this seminar Wednesday, June 11 at 5:30 pm.PST

For more information and sign up,
go to: http://innovativehealing.com/teleconferences/ and see the below message from Liz Lipski, PhD.

Please join me in this upcoming, unique national teleseminar. I am being interviewed by the author of Digestive Wellness, Liz Lipski, Ph.D. and the creator of Innovative Healing and Access to Health Experts.
__________________________

You are invited to my free teleseminar on Wednesday, June 11th sponsored by Access to Health Experts, 'Discover the Secrets for Natural Weight Loss', with Christine Rosche, MPH, CNS creator of The Light Living Weight Management Program.

You have two choices for participating in this teleseminar:

1. Call in using the phone as usual
2. Listen and ask questions via the internet

The new internet option means no more long distance phone calls. It's a great choice for our international participants. You'll receive full details when you register.

For more information and sign up,
go to: http://innovativehealing.com/teleconferences/

I hope you can attend. As always, I promise to pack the hour full of useful information. I hope to hear you on the call.

Liz Lipski, PH.D.
Access to Health Experts

PS. Don't forget to recycle: Pass this onto a friend

www.InnovativeHealing.com
www.FreeWeeklyHealthTip.com
www.AccessToHealthExperts.com

Father of the Year

noreply@blogger.com (Dr. Joe) — Thu, 05 Jun 2008 15:01:00 +0000

Last night my dad, Dr. Joe Prendergast, was honored by the American Diabetes Association and the Father's Day Council of Silicon Valley as the Father of the Year for 2008. It was a beautiful and touching event.

Dad, I love you very much and I thank you for raising me and Pat to be strong, independent, community minded adults. I appreciate that you provided me the opportunity to start my career, helped me to develop the skills to be successful and stood in support when it was time to expand my horizons and start my own business.

It occurs to me that this type of nurturing, support and education is exactly what you bring to your patients and community, in effect being a father and mentor to us all. Congratulations on your honor. You deserve it!

~ Peggy Prendergast
And thanks to Lynn Camacho, Clinic Director, for introducing this video.

Mouse over the video, or right click, to activate the controls. This video is 1:15 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

Byetta Metting - June 5, 2008, 10am

noreply@blogger.com (Dr. Joe) — Tue, 03 Jun 2008 13:47:00 +0000

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This meeting is on June 5th, at 10am. It will be held at EMMC in the conference room.

Byetta Meeting

noreply@blogger.com (Dr. Joe) — Mon, 02 Jun 2008 22:45:00 +0000

Colgate Total

noreply@blogger.com (Dr. Joe) — Tue, 15 Apr 2008 13:51:00 +0000

Mouse over the video, or right click, to activate the controls. This video is 1:46 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

Weight Loss with Christine Rosche

noreply@blogger.com (Dr. Joe) — Sat, 12 Apr 2008 19:42:00 +0000

Mouse over the video, or right click, to activate the controls. This video is 1:55 minutes. You will need the Free QuickTime Player to view it. Additional help for Mac users.

The phone number Christine mentions is 650-856-3151.

Veramyst

noreply@blogger.com (Dr. Joe) — Fri, 11 Apr 2008 13:14:00 +0000

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Contact the office about this.

Images of California

noreply@blogger.com (Dr. Joe) — Mon, 07 Apr 2008 14:22:00 +0000

Tony Williams is a patient of mine and a photographer. Come see one of his shows. Click the above image for details.

Viterion

noreply@blogger.com (Dr. Joe) — Tue, 18 Mar 2008 20:34:00 +0000

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Questions? Email Ivonne.

More About the Shinges Vaccine

noreply@blogger.com (Dr. Joe) — Thu, 06 Mar 2008 23:20:00 +0000

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Maximart Pharmacy

noreply@blogger.com (Dr. Joe) — Tue, 04 Mar 2008 17:28:00 +0000

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Brother Bob's Visit

noreply@blogger.com (Dr. Joe) — Thu, 28 Feb 2008 03:59:00 +0000

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White Coat Syndorme

noreply@blogger.com (Dr. Joe) — Wed, 06 Feb 2008 16:48:00 +0000

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CA-MRSA

noreply@blogger.com (Dr. Joe) — Tue, 05 Feb 2008 18:03:00 +0000

Mouse over the video, or right click, to activate the controls. This video is 2:51 minutes. You will need the QuickTime Player to view it. Additional help for Mac users.

Grouped Procedure Discounts

noreply@blogger.com (Dr. Joe) — Fri, 01 Feb 2008 00:56:00 +0000

Mouse over the video, or right click, to activate the controls. This video is 5:46 minutes. You will need the QuickTime Player to view it. Additional help for Mac users.

Group 1: $290 - you save $46 (45 minutes)
Total Body Scan, Lateral Vertebral Analysis
Group 2: $375 - you save $129 (60 minutes)
Cardiac Neurometer, Peripheral Neurometer
Group 3: $240 - you save $50 (30 minutes)
CardioVascular Profile, EKG
All 6 Tests Together: $850 - you save $280 (2 hours)

Request an appointment or email your questions.

Diabetes Expo February 2, 2008 - Part 2

noreply@blogger.com (Dr. Joe) — Tue, 29 Jan 2008 01:23:00 +0000

Mouse over the video, or right click, to activate the controls. This video is 2:29 minutes. You will need the QuickTime Player to view it. Additional help for Mac users.

Here is a link to more information about the 2008 Diabetes Expo.