Father of Integrative Medicine in his home country , Cape Town, South Africa.

1. Father of Integrative Medicine in his home country , Cape Town, South Africa. • Founder and Chairman  - "South African Society of Integrative Medicine (SASIM)”. • Dr. Brom has been practicing Integrative medicine since 1976 using holistic approaches incorporating natural medicines, homoeopathy, herbal medicine, nutritional medicine and life style management. • Dr. Brom teaches medical doctors the Principles and Practice of Integrative Medicine in a 4-day intensive course which runs three times a year. • He is also an expert in the use of low energy lasers. • He is the author of Healthy Medicine, The Philosophy and Principles of Natural Medicine. DR. BERNARD BROM Integrative Medicine – The future for Holistic Wellbeing

2. HEALTHY MEDICINE The principles & Philosophy Dr Bernard Brom. Delhi 2018 Page 1

3. My story1971-1977 Travelling Page 2

4. Paths not always clearly marked Page 3

5. The human being is a continuum from matter all the way to consciousness. • Ill health/dysfunction works its way through the various ‘bodies’ until disease appears. • Disease is an end-point diagnosis. Pic: alexgray.com The Human System Page 4

6. Causes Poor food choices Lack of Exercise Stress Toxins Spiritual Obesity Nutritional deficiency Dysfunction Hormonal Enzymes Mitochondrial Cell membrane disturbance Acid-base Low stomach acid Immune system Leaky gut Insulin Resistance Food intolerance Gut flora Inflammation How Health Moves to Chronic Disease Page 5

7. Dysfunction Hormonal Enzymes Mitochondrial Cell membrane disturbance Acid-base disturbance Immune system Gastro-intestinal tract Insulin Resistance Food intolerance Gut flora Inflammation Disease Cancer Parkinson’s Osteo-arthritis Multiple sclerosis Psoriasis Rheumatoid arthritis Etc Causes Poor food choices Lack of Exercise Stress Toxins Spiritual Obesity Nutritional deficiency How Health Moves to Chronic Disease Page 6

8. Different philosophies, ie TCM, Ayurveda, Naturopathy, Unani Tibetan medicines etc. • All focus on health rather than the disease. • Don’t need to understand biochemistry. • Use similar tools of the trade. • IM has a deeper and wider understanding of biochemistry and physiology. • IM supports the natural healing capacity of body via correcting and supporting the biochemcial dysfunctions within the body. Integrative, Complementary, Alternative medicine Page 7

9. Shifts the focus from the disease to the underlying or preceding biochemical dysfunctions and the causes which are, surprisingly, well known. INTEGRATIVE MODEL • Page 8

10. Whole person involved (Body/Emotions/Mind/Spirit) • Muti-causal nature of all ill-health • Individualized medicine based on the uniqueness of each person. • Health practitioner must be an example of right attitude and health • Doctor-patient relationship important • The story patient leaves with has major healing potential • Focus on supporting health by maximizing physiological functions • The greater anatomy is never lost sight of • Lifestyle changes primary Integrative medicine Page 9

11. Dysfunction Hormonal Enzymes Mitochondrial Cell membrane disturbance Acid-base disturbance Immune system Gastro-intestinal tract Insulin Resistance Food intolerance Gut flora Inflammation Causes Poor food choices Lack of Exercise Stress Toxins Spiritual Obesity Nutritional deficiency Disease Cancer Parkinson’s Osteo-arthritis Multiple sclerosis Psoriasis Rheumatoid arthritis Etc Different Paradigms Biomedicine/ Allopathic Conventional INTEGRATIVE MEDICINE Page 10

12. Causes Dysfunction Disease Integrative Model Biomedical Paradigm Drugs Surgery Better function Healing the person or treating the disease healthy function, which heals. Page 11

13. If a person has a localised cancer without spread and this is removed completely, the patient is now sent home and asked to return for follow up in 6 months time… Is that good healthy medicine? What about the preceding causes, lifestyle management, stress, toxin removal? Bad Medicine Page 12

14. If a person has a streptococcal sore throat and is given an antibiotic, Is that good medicine? What about probiotics and supporting the immune system ? What about the underlying reasons for the infection? Incomplete medicine Page 13

15. A person falls and injures herself badly. No broken bones, just severe bruising. She is given an anti-inflammatory drug. Is that good medicine? Anti-inflammatories cause 20,000 deaths in the USA every year and 100,000 people end up in hospital. Are there better, more natural ways, to treat? Dangerous medicine Page 14

16. Is giving over 20 vaccines to an infant, even before the immune system has had a chance to fully mature, good medicine? How do we know whether we are causing long term damage and increasing the auto-immune epidemic that we see today? Challenging medicine Page 15

17. The average person over 50 years old is on 3 to 8 drugs Is this good medicine? Is there even science to this kind of treatment. * Patient taking a drug for anxiety to manage panic attacks for 20 years. Complaining of inability to find the right words. Toxic medicine Page 16

18. Doctor must be centred and at peace • Discuss lifestyle management – food choices, exercise programme, removal of toxins from environment, stress management (mind maps), optimising nutrients. • Supporting healthy functions with a range of nutrients, acupuncture, massage. • Use of drugs and surgery when appropriate Role of the IM Doctor Page 17

19. Specialise in: • Lifestyle education and management • Reversing the effects of lifestyle in the body • Doctor patient relationship NB. • Focus on health while not ignoring the disease • Art of medicine equal status to the science of medicine • EBM does not exclude the value of experience The dysfunctions in the body are regulatory/metabolic problems which can be controlled with drugs or healed by correcting the underlying imbalance. Competencies of the IM Doctor Page 18

20. WHAT WE SEE IS NOT ALL THERE IS……………………………. What is below the surface?? Can a 10/15 minutes consult suffice?? Page 19

21. ROLE OF PATIENT ONLY HEALTH CAN HEAL Page 20

22. ROLE OF PATIENT • Good food choices • Exercise • Clean and filtered water • Adequate sleep • Weight reduction • Stress management • Remove toxins from environment LIFESTYLE MANAGEMENT Page 21

23. BIOMEDICINE INTEGRATIVE MEDICINE Person important Multi-causal nature Natural products to support health Focus on dysfunctions System functions as one whole Matter-energy-information Focus on unblocking biochemistry • Disease important • Drugs to treat symptoms • End point diagnosis • Parts NB (specialists) • Focus on biochemistry Biomedicine vs Integrative Medicine Page 22

24. Causes are unique to each person even if the disease name is similar. • Even twins not 100% identical- subtle genetic differences plus role of epigenetics • Men different to women (More yang or more yin) • Infinite range of psychological differences • Journey each person is on is different Integrative medicine is personalized medicine Page 23

25. *WE ARE UNIQUE NOT ONLY IN OUR NORMAL EVERYDAY FUNCTION BUT ALSO IN OUR DYSFUNCTIONS MULTIPLE CAUSES DYSFUNTIONALITIES DISEASE 1. Parkinson 2. 3. Page 24

26. Insulin resistance –Pre Diabetes • Homocysteine – One of the predictors of heart disease. • Ultra – sensitive CRP (C Reactive Protein) – Inflammation in any part. • DHEA • Nutrient deficiencies • Vitamin D • Folic acid • Magnesium • Vitamin B12 • Iodine Some Additional Diagnostics (Illustrative) LISTEN TO PATIENT, STATISTICS ARE AVERAGES IS LOW NORMAL, REALLY NORMAL?? Page 25

27. Management • Three basics for each patient: • Vit D3 • Omega 3 • Trace mineral supplement (‘Daily Multiple’ from Mineralife) • Diagnostics • 1.Specific tests, : • Ultra sensitive CRP • Homocysteine • DHEA • 2. Listening to patient for symptoms • 3. Intuition Diagnostics & Management Dysfunction Hormonal Enzymes Mitochondrial Cell membrane disturbance Acid-base disturbance Immune system Gastro-intestinal tract Insulin Resistance Food intolerance Gut flora Inflammation Page 26

28. ADDITONAL THERAPEUTIC OPTIONS • Ayurveda, TCM, Naturopathy ,Homoeopathy, Acupuncture What makes the Doctor sing….? What is required from the patient…..?? “ Medicine is an art” Page 27

29. Every biochemical process in the body needs nutrients to function • Magnesium for example takes part in 300 different biochemical processes • Selenium in 90 different processes • Vitamin C required for collagen formation, l-carnitine, protein metabolism, antioxidant, immune health • The idea that a nutrient deficiency can only be present if there is a nutrient deficiency disease is not tenable Nutrient deficiencies causing dysfunctions Page 28

30. IODINE: Africa 40% insufficient intake. • VITAMIN D: 70-80% deficiency • SELENIUM: 30% deficiency • VITAMIN C: major deficiency • MAGNESIUM: 40% deficiency • VITAMIN A: 25-33% • ZINC: 42.6% • IRON: 50% in rural area’s • FOLIC ACID: 21-43.8% in rural areas NUTRITIONAL STATUS Page 29

31. One in 5 deaths associated with poor diet. • Non-communicable diseases were responsible for 72% of deaths in 2016, up from 58% in 1990 • Rate of illness related to being overweight is soaring across all socio-economic groups. High body mass index is the fourth-largest contributor to the loss of healthy life, after high BP, smoking and high blood sugar. HEALTHY CHOICES Page 30

32. Nutritional deficiencies compounded by a seriously toxic environment. THE TOXIC WORLD Page 31

33. LIVER DETOXIFICATION PATHWAY Page 32

34. LIFESTYLE MANAGEMENT • MOVING DYSFUNCTION BACK TO NORMAL FUNCTION • SUPPORTING HEALTH • TREATING SYMPTOMS WHEN APPROPRIATE • TREATING THE DISEASE IF APPROPRIATE • SURGERY IF INDICATED Integrative medicine Page 33

35. Threat to other practitioners. • Complementing and filling gaps, not taking away patients • On some drugs , we have to be careful from a Medico-legal issues perspective. • Patients expect quick results • Acupuncture • Low-energy laser • Cost vs affordability • More time spent on consultation • Important to source quality nutrients/supplements • Medical aids reluctant to cover natural products • Deeply ingrained paradigms • Doctors-Patients • Pharma– evidence vs experience • Medical insurance Headwinds/challenges Page 34

36. Page 35