Paul Bressman, MD, FACS

Personal Precision Medicine

Integrative Holistic Medicine Solutions

Raphael Picture

"Shortly before my 60th birthday...

I walked into my friend Gerry Friedman, MD’s office for a long-overdue check-up. I have spent the past 36 years of my professional life learning and operating in a field I dearly love, general and vascular surgery. I have often placed it ahead of my family, my religion, and my own health. He told me my blood pressure was 168/104, I was spilling 2 grams of protein in my urine, I had exercise-induced asthma, was 35 pounds overweight, and my total cholesterol was 278 with an HbA1C of 6.3. Gerry looked me in the eye and told me I would probably be on dialysis in 2 years. As a vascular surgeon, I knew that the average survival for this situation was about 7 years. For the last 10 years, integrative medicine has become the main focus of my practice.

Personal Precision Medicine

“A small hole in the body makes a large hole in the soul"

1, 2, 3, 4
Integrative Medicine is the popular name for a health care practice paradigm shift that centers on finding and correcting the root causes affecting the patients’ problems. Instead of covering up their symptoms with drugs (chemicals that are not naturally produced and consumed by humans), Integrative Medicine emphasizes the discovery and application of the newer technological advances that are related to the process of aging and the disruptors of health. Chronic inflammation, stress, environmental toxic influence, and alienation of the sense of yourself and your surrounding are some of the multiple factors that need to be addressed to achieve wellness.

Mitochondrial health (subcellular organelle responsible for energy production and normal cell function) is another primary concern. Addressing the disruption of intracellular nutrition is a major therapeutic modality. Correction of metabolic limitations and improvement in mitochondrial function, along with exercise and proper sleep are essential to restoring the normal homeostasis mechanisms which are the key to a healthy adaptive behavioral response. Preserving a healthy nutrition capacity is vital to reclaiming back your health. Homeostasis is the ability of our body’s cells to regenerate themselves back to their normal state. This is the hallmark of healthy aging and the beginning of our journey.
1. This quote is from a Chassidic master, the Maggid of Mezritch (d. 1772), who was over two hundred years ahead of his time in predicting the magnitude of analytics that we currently use in providing precision medical care today. Rabbi Schneerson (1902 - 1994) uses this quote to put forth the concept that when the body is healthy, it is possible to have a greater positive effect in all matters.

2. "Small hole" - for reference sake, according to Wikipedia, a typical virus DNA particle size, when measured in a solution, the DNA chain measured 22 to 26 angstroms wide (2.2 to 2.6 nanometers), and one nucleotide unit measured 3.3 Å (0.33 nm) long. Angstrom: A unit of length equal to one hundred-millionth of a centimeter, 10−10 meter, used mainly to express wavelengths and interatomic distances. Nanometer: A unit of length equal to 0.000000001 meters.

3. Typical measurements of the concentration of Estradiol in saliva from premenopausal women range from 0.6-4.5 pg/ml. A picogram (pg) is a unit of mass equal to 0.000000000001 grams. A gram is a unit of mass equal to the weight of 1 cubic centimeter of water. By comparison, 1 pound = 453.6 grams. A milliliter (ml) is equal to 0.01 liter . A liter, 1,000 ml, equals to a quart.
Progesterone ranges from 127-446 pg/ml and Testosterone ranges from 6-49 pg/ml.

4. “Aging is the loss of hormones. Aging is the loss of nitric oxide.” —Beth Shirley RPh CCN