In this lecture, Dr. Cady compares and contrasts the significance differences, both conceptually and practically, between the conventional practice of medicine and a more rational, functional, integrated approach. Tactical concepts and didactic tools to make the transition are reviewed.

1. Transition from Allopathic to
Integrated Practice of Medicine
Louis Cady, MD
CEO, Founder – Cady Wellness Institute
Newburgh, Indiana (US)
Indiana School of Medicine,
Dept. of Psychiatry
Brazil, 2015

2. Ethics and financial/logistical
practicalities of these lectures
• Nothing is more important than taking care of the
patient.
• “The needs of the patient come first.” (Dr. Will
Mayo, MD)
• The current “medical model” is at variance with
what is ethical, moral, and factual.
• If the physician is not stable and financially secure,
the system implodes.
– “No margin, no mission.” - Steven R. Covey
• If the system implodes, the patient suffers.

3. Background

4. Death
OptimalHealth
Traditional
Medicine
Hormone
Modulation
NoDisease=Health
Diet, Exercise
Nutritional Supplementation
“Wellness
[integrated]
Medicine”
Diagnose and
Treat Disease
New DrugsNew Drugs
New SurgicalNew Surgical
TechniquesTechniques
Forestall and
PREVENT Disease –
Optimize Function

5. Health is a state of complete
physical, mental and social
well-being, and not merely
the absence of disease or
infirmity.
- World Health Organization

6. American Journal of Health Promotion;
November/December, 2002
19% of those
surveyed
were
completely
healthy with
high levels of
both physical
and mental
health and a
low level of
illness.
18.8%
completely
unhealthy,
defined as
having low
levels of health
with high
levels of
illness.
Two-thirds of the adults
reported some
degree of mental
or physical
illness that kept them
from being completely
healthy.
“Incompletely healthy.”
HEALTH continuum
DEAD
O
66%
“Incompletely healthy”

7. The “Survival Curve” – Where Are You?

8. Outline
• Overview of concepts
• My bias – a practice model
• Current state of allopathic medicine
• Microchip as disruptor and disintermediator
– (“Change or die”)
• Current state of patients and society
• What’s your model? Chloraseptic or PCN?
• How to start changing….

9. The evolution of my practice
• Sidetracked in high school, two degrees in music (’77 and
’79) and learned piano tuning
• 1976 – 1989 – piano tuning (through pre-med and med
school). “fee for service”(Med School finished 1989)
• 1989-1993 – conventional allopathic psychiatry residency
at Mayo Clinic
• 1993 – start practice. 1995 – l-tyrosine and EFA’s
• 2002 – first IFM conference
• 2003 – Cenegenics training
• 2005 – founded Cady Wellness Institute
• 2010 – 2011 – Neil Rouzier, MD & WorldLink
• 2012 – rTMS (Transcranial Magnetic Stimulation)

10. May 2002: 9th
Annual IFM Conference

11. The Functional Medicine component
Dead Doctors Don’t Lie - Joel Wallach, DVM, ND

14. Current socioeconomic state and
allopathic (“conventional”) medicine –
DISRUPTIVE NOTIONS
• CONVENTIONAL Allopathic medicine = symptom
focused, reactive, “taught,” unthinking, uncreative,
PRACTICALLY non-informed by peer-reviewed
medical literature.
– Commoditized. No variability. “Providers.”
• Integrated medicine: individualized. Can’t get it
elsewhere. Not a commodity. Scientific. Informed
by peer-reviewed literature.
– Concept of “information brokering” (example:
THYROID)

15. Medicare–Workers per Beneficiary
http://facts.kff.org/chart.aspx?ch=383. Accessed April 3, 2010.
Year
Millions
SOURCE: Kaiser Family Foundation based on the 2009 Annual Report of the Boards of Trustees of the Federal Hospital Insurance
and Federal Supplementary Medical Insurance Trust Funds.
Slide courtesy of John Adams, MBA – CEO, Cenegenics

16. The Future of Medicare
“Medicare is going
bankrupt. The Medicare
Trustees estimate that
the program will run
short of money starting
in 2017.”
•Rep. Bobby Scott,
Senators Jim Webb and Mark Warner
http://www.congress.org/congressorg/bio/userletter/?
id=3181&letter_id=4747883751. Accessed April 3, 2010.
Slide courtesy of John Adams, MBA – CEO, Cenegenics

17. Healthcare Reform–Physicians Perception of
Medicine Over the Next Few Years
http://www.athenahealth.com/index.php?open=26. Accessed April 3, 2010.
Slide courtesy of John Adams, MBA – CEO, Cenegenics

18. Are the Best and Brightest
Staying in Medicine?
“60% of physicians
would not recommend
medicine as a career
to their children.”
• – The Physicians’
Foundation
http://www.mayorswellnesscampaign.org/wp-
content/uploads/2009/05/merritt-hawkins-survey.pdf.
Accessed April 3, 2010.
Slide courtesy of John Adams, MBA – CEO, Cenegenics

20. Is there hope for medicine?

21. “The Great Crossover” – the microchip
cf: Dan Sullivan www.strategiccoach.com

26. Accessed August 30, 2015

27. A change from the allopathic
model?

28. Socioeconomic/disruptive forces
with two models
Allopathic
• Disease and
sickness focused
• Short appointments
• Commoditized
• Compartmentalized
• Doctor as priest
• Uninformed patient
• Sicker patients
• Either practice
ignorantly or with
guilty conscience
• Worry/poor
satisfaction
Wellness/ fxnl med
• Integrated and whole
person model
• Bill for time
• Non-commoditized
• Collaborative
• Informed patients
willing to “pay for
expertise”
• Practice per peer-
reviewed literature;
No crises (pl) of
conscience
• INTENSE satisfaction
CHANGE AGENTS
• Microchip/intern
et
• Increase in
chronic disease
• “boomers”
• Job/socio-
economic
pressures

29. Divergence of focus of two models
Allopathic
• Relief of symptoms
• Organ specific
• Aggressive. “magic bullet”
• Rules, practice guidelines
• Patient as uninformed
protoplasm.
• Tied to medico-pharmaco-
industrial complex
• Use of synthetic, patented,
not-from-nature substances
Wellness/ fxnl med;
“complementary/alternative”
• CAUSE of symptoms, prevention
• SYSTEMS focused
• Gentle, methodical.
• Creative. What works?
• Patient as integral part of team.
Questions/participation
encouraged.
• Focused on health and optimization
with natural, bio-identical methods
• Use of PROVEN botanicals and
natural hormones (as well as
conventional RX).
Adatped from “Alternative Medicine: Why so popular? By Hans R. Larsen, MSc ChE.
International Health News, Sept 1999, issue 93
http://www.yourhealthbase.com/alternative_medicine.htm accessed 1 21 2012

30. Some interesting thoughts:
•“A naïve analysis of stability is derived
from the absence of past variations” (or
“The Turkey Problem”)
– Nicholas Taleb, author of The Black Swan

31. What does integrated, holistic
medicine “look like?”
A quick dip in the literature

32. % U.S. Women with inadequate quantities of nutrients
Arab L, Carriquiry A, Steck-Scott S, Gaudet MM. Ethnic differences in the
nutrient intake adequacy of premenopausal US women: results from the Third
National Health Examination Survey. J Am Diet Assoc 2003; 103:1008-14.

33. = 2 apples (fruits) & 3 - 4 vegetables
– per CDC

34. 4 – 13 servings of fruits and
vegetables per day, depending on
energy needs

36. Cf: http://www.veganforum.com/forums/showthread.php?t=3532

37. North America 85%
South America 76%
Asia 76%
Africa 74%
Europe 72%
Australia 55%
% Mineral depletion from the soil
during the past 100 years, by continent
Source: UN Earth Summit Report 1992

38. If we know all of this stuff….
Why don’t we DO anything about
it (with our careers, or practices,
and our patients lives)?

39. Factors trapping physicians & HCP’s
• “Doing it, doing it, doing it.” (Michael Gerber, The
E-Myth)
• Already time-pressured –
– Minimal time to think or plan
– PROBABLY ADRENALLY DEPLETED ALREADY,
perhaps with suboptimal thyroid and sex hormones
• Tip – GET YOUR LABS CHECKED!!
• Must “make overhead.”
• Can’t “take chances.”
• Trapped by “provider panel” arrangements,
including cut rate fees

40. Beating the FUDD Factor ™
• F ear (medo)
• U ncertainty (incerteza)
• D oubt (duvida)
• D ESPAIR: (despair)
– Don’t know where to start, don’t know how to
test, don’t know how to interpret the labs, afraid
of “hurting” the patient.

41. MAKING THE TRANSITION
• Must DECIDE
– Must have INFO (e.g., this weekend)
– Must INTROSPECT
• Must have something LEGITIMATE to offer
• Start SMALL – both with interventions and testing
– E.g, ¼ grain Armour, or Cytomel 5 MICROgrams, or Cortef 5 mg
twice daily, or FDA approved testosterone for guys
– E.g., OAT and IgG testing
• Get EDUCATION
– IMMH Conferences
– AAMG – American Age Management Medicine Group; Institute for
Functional Medicine.
For hormones – Neal Rouzier & World Link Medical
• Find a mentor (s) – start here

42. Marketing & Practice Development
• Maintain excellence in allopathy, osteopathy,
chiropractic or naturopathic medicine)
– (knowledge base, prescribing, surgery)
– (“Be able to debate the great issues.” – Jim Rohn)
• Know your [new] stuff!
• Do not badmouth the competition.
• Give CME talks and paper over their objecting
mouths with references.
• Spiritual and ethical clarity.

43. “You can have everything in life
you want, if you just help
enough other people get what
they want.”
- Zig Ziglar
What do patients want?
•To be treated with
respect
•To not have to wait!
•To FEEL BETTER
•To HAVE HOPE.
•To not be doped up.
•To NOT have their
money wasted.

44. $5,000 worth of wisdom on one page
– from Jay Abraham
• Risk reversal
• “USP” – unique selling
proposition
• Defining the buying
criteria
• Three ways for more
profit:
– Higher price
– More frequency
– Additional services
Focus: “Be able to
treat your clients
(or patients) as
dear and valued
friends.”
- Jay Abraham

45. Jay Abraham References
(recommended)
www.amazon.com

46. Evansville Courier & Press: May 29,
2006
References: www.pharmanexmd.com ; www.slideshare.net/lcadymd
;
Dr. Oz show on YouTube:

47. Building CWI - what has worked
• Being nice to patients
– (on time, polite, compliment on questions, don’t be a
jerk or abrasive, put yourself into their shoes, etc.)
• Be good and get results. BE THE BEST!
• Be TRANSPARENT – give’em their labs.
– Write on them. Draw pictures. Take time (and BILL
FOR IT).
– Cenegenics model
• Be appropriately self-protective of your time and
talents. “If they show up, bill’em.” – Dan
Kennedy.

48. Be Awesome!
NEW reference. Grab it.

49. MARKETING – what has and hasn’t
worked
Worked
• Word of mouth
• Public seminars
• Web site
• Going to MD’s/DO’s
offices PERSONALLY
• Free stuff – PR
opportunities
• Going to places and
NETWORKING
Hasn’t worked
• Paid advertising (TV,
print, magazines)
• What I HAVEN’T tried:
– Marketing consultants
– Radio ads
New initiatives:
•Proprietary, paid websites
•“SEO” – search engine
optimization (Willie Sutton
principle)

51. Additional resources – handouts
available at end of lecture
• “The 10 Commandments of Marketing a
Medical Practice” – Cady (handout, free)

52. From Chet Holmes - Grow Your Business 10X web presentation

53. Success and Failure (Jim Rohn)
What about you? You’ve only got one body.
• “Errors in judgement” - High glycemic eating,
no exercise, poor nutrition, no labs and “flying
blind”, lousy/no supplementation, high stress
practice.
- “Good disciplines” – appropriate diet, labs,
supplementation, exercise, hormones. Stress
management. Decent practice and lifestyle.

54. "If you have knowledge, let others
light their candles in it."
- Margaret Fuller (May 23, 1810 - July 19, 1850)
(American journalist, critic, and
women’s rights advocate.)
I wish you all
the best!
Good luck!

55. Contact information:
Louis B. Cady, M.D.
www.cadywellness.com
www.Facebook/cadywellness
www.TMS-relief.com
Escritório: 812-429-0772
E-mail: lcady@cadywellness.com
4727 Rosebud Lane – Suite F
Interstate Office Park
Newburgh, IN 47630 (USA)
Download from
iTunes or Android App store now!
www.slideshare.net/lcadymd - for all “slides”

56. A few extra references
follow