a4 m orlando presentation by wayne miller 2009
TRANSCRIPT
Denali Fiduciary
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Energy Medicine The Foundation For A Non-linear Path
To A New Model Of Health Care.
Offered By:
Wayne H. MillerChairman – Emeritus
American Academy of Anti-Aging MedicineApril 2009
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Perspective A Framework for Understanding Energy Medicine
What can we learn from:
the history of science?
looking at health care through a finance and fiduciary lens?
an examination of the emotional intelligence issues involved?
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Perspective
I was born not knowing - and have had only a little time to change that.
Richard Feynmanphysicist
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Observation #1
"We can't solve our problems by using the same thought process we used in creating them."
- Albert Einstein
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Observation #2
"What the human being is best at doing is interpreting all new information so that their
prior conclusions remain intact."
- Warren Buffett
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Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
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Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
The map shows the land underneath the Antarctic icecap.
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Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
This region has been under a mile of ice for ~6,000 years.
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Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
Antarctica was “discovered” in 1818.
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Piri Reis map c. 1513*
In 1958 the USAF studied the land under the ice cap. The map is within 5 seconds of arc to the USAF measure.
Before “civilization” is known have existed someone smart enough and capable of extended maritime travel mapped the coastline of Antarctica.
The Piri Reis map doesn’t fit well into known geologic or anthropologic theories.
It is an anomaly.
*Hancock, Graham. The Fingerprint of the Gods. New York. Random House. 1995.
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USAF Response to Piri Reis Map
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Discreet Observation: Another Path to Scientific “Progress”
1832: Dr. Picton in New Orleans discovers that smallpox patients had no facial scarring if kept in the dark.*
1893: Dr. Nils Filsen in Denmark reads about Dr. Picton. He discovers red light inhibits production of smallpox scaring and blue light exacerbates it.
1899: European royalty gets treated. In 1900, Dr. Filsen starts the first “Light Therapy” clinic in England.
Dr. Filsen observes UV light kills bacteria very quickly. He also observes that patients are in better mood after light therapy. He eventually wins Nobel Prize.
2000’s: FDA approves use of blue light in dermatology.
*McClure’s Magazine. Vol. XX. S.S. McClure Co. New York. April 1903.
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“Progress” Takes a Long Time
History of Aspirin*
1763: Willow bark identified by Edward Stone
1828: German pharmacologist isolated yellow crystal – salicin
1838: French synthesize salicylic acid
1853: French chemist synthesizes acetylsalicylic acid
1899: Bayer send out 30,000 letters to European physicians announcing Aspirin
1966: NYT Magazine: “The wonder drug no one understands.”
1971: John Vane shows aspirin inhibits prostaglandin production by inhibiting COX enzyme. Wins Nobel Prize.
* Mann & Plummer. The Aspirin Wars. New York. Knopf, 1991, pp. 85-92.
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The Nature of Scientific Discovery
There is an important distinction to make between the discovery of something already anticipated and a discovery that requires what is already known to be re-configured.
Anomalies are often dismissed as irreconcilable aberrations rather than doorways to new worlds.
Discreet observations occur all the time. They are often dismissed or ignored.
Most people involved in a professional discipline have an investment (of some kind) in maintaining the status quo.
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Observation From The Structure Of Scientific Revolutions
Though logical inclusiveness remains a permissible view of the relation between successive scientific
theories, it is a historical implausibility.
- Thomas Kuhn, PhDThe Structure of Scientific Revolutions
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Summary: From Studying The History Of Science
1. The book of what we don’t know is way bigger than the book of what we do know.
2. We are slower than we think at making “progress”.
3. It is in your best long-term interests not to dismiss what you don’t understand or cannot explain.
4. Future scientific “discovery” will involve a closer examination of anomalies and discreet observations.
5. It is highly likely they are ALREADY under our nose.
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Finance: The Numbers of Health Care*
~133 MM Americans have at least one chronic disease.
~45 MM have 3 or more.
According to PricewaterhouseCoopers: economic cost of chronic disease is ~1x-4x the direct health care cost.
Children with at least one chronic disease: 1960 - 1.8% - 2004 - 7%.
~75% of annual health care expenditures in US ($1.5 trillion) are for chronic disease.
*The Almanac of Chronic Disease: Partnership to Fight Chronic Disease. 2008 ed.
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Chronic Care Through A Finance Lens
A chronic disease is a medical condition for which the health care services delivered do not resolve the condition.
In the American HC system, a stated “goal” is to manage the chronic condition and slow or stop the rate of the patient’s deterioration.
In finance, we call money spent on buying services that are ineffective at resolving the problem - a learning experience.
However, the CFO and CEO call it a waste of resources.
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Summary: HC Through a Finance and Fiduciary Lens
1. HC will become more effective and efficient.
2. In ten years it will not exist as we know it today.
3. Increasingly, the economic conflicts of interest in HC will not be tolerated.
4. Behaviors that have long been acceptable practices to those within HC services will increasingly be viewed with distain by those on the outside of HC services.
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Woodward and Bernstein Were Right
1. As always, much political capital will be spent by those who seek to protect their economic interests.
2. At best, they delay the inevitable.
3. Those who operate with the most flexibility in their business models will be in the best position to thrive.
4. Pay attention to who pays the bills.
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An Emotional Intelligence Framework
What is EI?
Goleman: Harvard research on what factors were most responsible for “promoting” people to be “successful”.
It wasn’t education, race, family structure, economic status of family, religious upbringing or IQ.
It was a deep understanding of self – of knowing what made the person tick – emotionally.
The tough issues, derived from developmental years, had been examined and “resolved”.
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Health Care: The Emotional Intelligence Issues
Don’t forget what Einstein or Buffett said.
Blaming others for wanting change will not help.
Resistance to change is of marginal utility.
Resistance impedes learning. (different neural circuits)
Fear is not a prudent framework for decision-making.
The feeling of power it generates is illusory.
Those who embrace change find greater satisfaction.
The smartest (highest IQ) people often have the toughest time with this.
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Summary: The EI Issues of Health Care
1. Energy Medicine is not new.
2. The transition to an EM inclusive practice will not flow from the logic of your current methods and practices.
3. You have a choice - to resist or embrace the transition.
4. In resistance, your capacity to learn and develop flexibility will be impaired.
5. In embracement, your success will depend on the courage and creativity of your efforts.
6. In an EM practice many of your patients will be better off and will be grateful for the patient outcomes.
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The Neurobiology of Information Processing
It is highly unusual for a re-examination of the same information by the same individual(s) to result in a different conclusion.
A group of like-minded people cannot solve the problems that make them a group of like-minded people.
This is why bankers struggle to “solve” the banking crisis.
Mechanistically speaking, this is the etiology of Post Traumatic Stress Disorder. (EMDR and finger tapping)
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Final Offering
These are the times in which a genius would wish to live.
It is not in the still calm of life, or the repose of a pacific station, that great characters are formed.
The habits of a vigorous mind are formed in contending with difficulties.
Great necessities call out great virtues.
When a mind is raised and animated by scenes that engage the heart, then those qualities which would otherwise lay dormant, wake into life and form the character of the hero and the statesman.
- Abigail AdamsWife of John Adams, and
Mother of John Quincy Adams
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Thank You!Thank You!
Wayne H. MillerWayne H. MillerChairman – EmeritusChairman – Emeritus
206 463 6700206 463 6700