Dr. David Lemmel

Dr. Lemmel graduated with a Bachelor of Science degree from Washington University in St. Louis, then went on to earn a medical degree from the University of Illinois College of Medicine at Peoria. He completed a residency in Emergency Medicine at Case Western Reserve School of Medicine/MetroHealth Medical Center/Cleveland Clinic Emergency Medicine Program in 2006, and has been practicing emergency medicine since.

 

He has always had an interest in sports, weight training, body composition management, and health optimization. He played two years of Division III football in college and has been a competitive powerlifter since 2002 (aside from two years spent competing in bodybuilding), achieving an elite classification in equipped powerlifting in 2009 and a temporary top 50 national ranking in his weight class in unequipped powerlifting in 2014 and 2015. He is currently chasing an elite classification total in unequipped powerlifting with best lifts of 595 lb squat, 446 lb bench press, and 639 lb deadlift, and has begun to compete in strongman competitions as well. He has been fortunate to have been trained by and to have learned from several elite level lifters along the way.

Through his interest in optimizing total health and his desire to take a proactive, patient-based approach to healthcare rather than a reactive, symptom-based approach (the opposite mindset of emergency medicine and most of modern medicine in general), he began his study of wellness and hormone optimization, completing Cenegenics Physician Training & Certification Program in 2013 and currently working through Dr. Neil Rouzier’s Worldlink Medical series. He is a member of the Age Management Medical Group.

During his time in the emergency department Dr. Lemmel frequently sees patients who through a combination of poor lifestyle choices, poor dietary habits, a sedentary life, and suboptimal hormonal levels will medically be decades older than their chronological age, with the attendant loss of independence and vitality that comes with unnecessarily premature aging. For these people, modern medicine is a series of stop-gap measures to treat the latest symptom or crisis, a reactionary “put out the fire” approach that views the patient as a combination of symptoms or diseases to treat (“the back pain in bed 12” or “the congestive heart failure in bed 7”) rather than as an individual who, if given a thorough assessment and the proper detailed guidance (with most interventions and improvements coming from non-pharmacological means) could make leaps and bounds in their health and functional status.

The emergency department is not an ideal place for these type of assessments, and for the most part, neither are primary care physician’s offices. In a system where everyone is under a time-crunch, spending time talking in detail about your diet or exercise regimen or addressing underlying hormonal issues is not well reimbursed (or reimbursed at all) and in an insurance-based system, your doctor could not stay in business if he or she were routinely spending significant amounts of time on non-reimbursed services. Sadly, many patients are passing the point where these type of interventions could make the most difference. Modern medicine practices “preventive medicine” in that if you develop a disease we try to “prevent” the complications (if you develop elevated blood pressure, we treat it to try to prevent bigger problems such as stroke or heart attack as a consequence of the elevated blood pressure; if you develop diabetes we give you medications to “control” it so that you don’t go blind, develop a heart attack, or get a foot amputated). A truly “preventive” approach would go back another ten or more years and address the conditions that led to the elevated blood pressure or elevated blood sugar in the first place, taking a proactive rather than reactive approach to health, all in line with the mantra of “age aggressively.”