1. The history of science shows that anomalies and discreet observations are often dismissed but can lead to scientific progress. 2. Chronic disease accounts for most health care spending in the US but current practices do not resolve conditions. 3. An emotional intelligence framework suggests embracing change is better than resisting, as resistance impairs learning and development.

1. Energy Medicine
The Foundation For A Non-linear Path
To A New Model Of Health Care.
Offered By:
Wayne H. Miller
Chairman – Emeritus
Denali
American Academy of Anti-Aging Medicine Fiduciary
April 2009 Management, Inc.

2. 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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3. Perspective
I was born not knowing - and have had
only a little time to change that.
Richard Feynman
physicist
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4. 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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5. 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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6. Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
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7. Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
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The map shows the land underneath the Antarctic icecap. Fiduciary
Management, Inc.

8. Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
Denali
This region has been under a mile of ice for ~6,000 years. Fiduciary
Management, Inc.

9. Anomalies: One Avenue for Scientific “Progress”
The Piri Reis Map c. 1513 Map Detail Redrawn
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Antarctica was “discovered” in 1818. Fiduciary
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10. 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.
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*Hancock, Graham. The Fingerprint of the Gods. New York. Random House. 1995. Management, Inc.

11. USAF
Response to
Piri Reis Map
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12. 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.
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*McClure’s Magazine. Vol. XX. S.S. McClure Co. New York. April 1903. Fiduciary
Management, Inc.

13. “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.
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* Mann & Plummer. The Aspirin Wars. New York. Knopf, 1991, pp. 85-92. Fiduciary
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14. 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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15. 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, PhD
The Structure of Scientific Revolutions
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16. 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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17. 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.
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*The Almanac of Chronic Disease: Partnership to Fight Chronic Disease. 2008 ed. Management, Inc.

18. 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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19. 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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Fiduciary
Management, Inc.

20. 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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Fiduciary
Management, Inc.

21. 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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22. 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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Fiduciary
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23. 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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Fiduciary
Management, Inc.

24. 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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Fiduciary
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25. 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 Adams
Wife of John Adams, and
Mother of John Quincy Adams
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26. Thank You!
Wayne H. Miller
Chairman – Emeritus
206 463 6700
Denali
Fiduciary
Management, Inc.