Transcript Module 4 Lecture Slides

Module IV: Systems I:
Naturopathic and
Homeopathic Medicine
There are alternatives to
conventional thinking everywhere…
I cdnuolt blveiee taht I cluod aulaclty
uesdnatnrd what I was rdanieg. The
phaonmneal pweor of the hmuan mind …
Aoccdrnig to rscheearch at Cmabrigde
Uinervtisy, it deosn’t mttaer in waht oredr
the ltteers in a wrod are, the olny iprmoatnt
tihng is taht the frist and lsat ltteer be in the
rghit pclae. The rset can be a taotl mses and
you can still raed it wouthit a porbelm. This
is bcuseae the human mnid deos not raed
ervey lteter by istlef, but the wrod as a
wlohe. Amzanig huh? Yaeh, and I awlyas
tohuhgt slpeling was ipmorantt!
In general, what is the practice of naturopathy?
What patterns of thought/belief support this form of
comp/alt health?
What can we learn from an overview of the history
and range or variation of associated practices with
this form?
What examples can we extract and examine
regarding diagnosis, treatment, and use of the
form?
How can we explore the evidence related to
‘scientific’ validation?
How can we explore qualitative evidence related to
appreciation and understanding of the form?
What professional preparation and qualification(s)
are needed for this form’s practitioner?
ND Background
• “The doctors of the future will
give no medicine, but will interest
their patients in the care of the
human frame, diet and prevention of
disease” ~ Thomas Edison
• "Bernard is right: the pathogen
is nothing. The terrain is everything"
~ Louis Pasteur
The Six Principles [ + 7th ] of
Healing:
• Vis medicatrix naturae : the healing
power of Nature
• Identify and treat the cause
• First, do no harm
• Treat the whole person
• ND/Physician as Teacher
• Prevention is the best “cure”
• [ Wellness as proposed new princip ]
Hippocratic : Naturopathic
Oath
• I swear to fulfill to the best of my ability
and judgment this covenant:
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• I dedicate myself to the service of
humanity as practitioner of the art &
science of Naturopathic Medicine
Hippocratic : Naturopathic
Oath [ Hippo in your text,
Naturo on Links ]
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What is each saying ?
How would you feel saying it ?
How representative of Allop vs CAM ?
Give examples or implications
relative to Allopathic medicine & CAM
Basic Treatments
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Nutritional therapy is cornerstone tr
Manual therapies { ex: massage }
Hydrotherapy
Homeopathy
Herbal remedies / treatments
Chinese medicines ex acupuncture
Lifestyle counselling
New one: Parenteral therapy . . .
Parenteral therapy
Probiotics - Bacteria
• Pro-biotic = for life vs
• Anti-biotic = against life
• Replacement therapy of implanting
bacteria in gut – helps ‘boost’ “host”
• Flu and ‘ground zero’ of zero beneficial
bacteria ~ yogurt etc
• Gut has some 2 kg of bacteria, 400 species
of organisms; 85% of these are ‘friendly’,
the rest ‘bad’ – antibiotics wipe out fr ones
ND Schools
• 5 accredited schools in N Am: in
Washington, Oregon, Arizona,
Toronto, and Vancouver
Kiersten Rody, former BHSc student who
went to CCNM: Why I chose to become
an ND
• Spend time and get to
know patients
• Treating the whole
person
• Challenging career
• Medicine of the future
• Great lifestyle
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Get to run a business
Good income potential
Time for family
You work for yourself
I have always enjoyed
helping people
Kiersten: How BHSc has helped me
• Good background on the HCS.
• An understanding of the professions and
what patients expect in HC.
• Some course overlap in first year studies
(physiology, anatomy, biochem)
• I had my 3-year degree, but I would
recommend having your 4-year degree
Kiersten: The program at CCNM
• First Year
- Basic Sciences
- Introduction to the
modalities
• Second Year
- Diagnosing skills
- Specific pathology
• Third Year
- Clinical pearls
- polishing up the
modalities
• Fourth Year
- 12 months clinical
training
- patient interaction
Kiersten:The Modalities
Botanical Medicine
Homeopathy
Hydrotherapy
Traditional Chinese
Medicine
Nutrition
Counselling
Bodywork (massage,
chiropractic)
Physical therapies
(ultrasound etc)
Kiersten:Treatment Example:
• K.P. was a 28 year old female
who presented with a chief
complaint of constipation. Her
MD recommended that she use
“Metamucil”
• Through thorough case taking, it
was discovered that K.P. had an
eating disorder and had an atonic
bowel due to abuse of laxatives
Kiersten: K.P.’s treatment involved:
• Acupuncture: to restore bowel function
• Nutrition: teaching her and her body how to
accept food as nourishment
• Homeopathic Drainage: to heal the gut
• Counseling: to allow her to connect with the
root cause of the problem
• Lifestyle modification
Kiersten: Where I see myself in 10 years:
• Running a multidisciplinary clinic
• Working 4-5 days/
week
• Hospital access
• Referring capability
• Open communication
with MD’s
Kiersten: $$$ Earning Potential $$$
• Hourly rate= $125-$180
• Using $150/hour, 4 weeks vacation, seeing
patients 7 hours/day, 5 days/week =
$252,000/ year
• Remember though: you won’t always be
booked solid, you have to pay overhead +
insurance + equipment + taxes etc.
• Additional income with supplements etc.
Kiersten: Practice Possibilities
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With a colleague
With a chiropractor
Out of your house
Sole proprietorship
In a hospital
Profit sharing
Corporation
Ont Assoc of Naturopathic
Doctors
www.oand.com
ANMA Logo
• Vis Meicatrix Naturae
or,
Practice the healing
power of nature
Research
• Because it’s eclectic, research is on branches
of Naturopathy
• Ex: how natural dietary remedies have
increased by about 28% in Sweden in last two
decades [ meta analysis, Johannsen, J of
Internal Med, Aug 2001 ]
• Descriptive studies that look at cost and
satisfaction factors of Nat as form of CAM
Treatment Examples
• Rheumatoid arthritis
• Allopathic: NSAID treatment common in
allopathic medicine + pain meds
• ND: nutr analysis > diet adjustments,
exercise assess; natural anti-inflams like
bromelain or tumeric or licorice root;
homeop treatments + others
• Above supported in DB, clin trial research
published in 4 major studies thruout 80s
Phone-in naturopathy 1 - $1.99 per min
Any potential
problems here ?
** Best site for info
Huge ethno-botany
resource
site with all
manner of
Links . . .
Healing CEREMONIES
Sand-painting ceremony
Chuchupate, strong natural antibiotic
Thistle; blood cleanser & liver detoxifier
Willow bark made into teas for cold symptoms
Pitch of pine; “nature’s band-aid” & mild
expectorant
St John’s Wort; natural anti-depressant
Echinacea, cone flower; relief from symptoms of
Colds, flu, menstrual cramps
HPC of US definition of
Homeopathy:
• Homeopathy is the art and the
science of healing the sick by using
substances capable of causing the
same symptoms, syndromes and
conditions when administered to
healthy people
Homeopathic Meds & Sources
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REMEDY
Alium cepa
Arsenicum Album
Chamomilla
Lycopodium
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SOURCE
Onion
Arsenic
German chamomile
Crushed club moss
spores
Health
World’s
Herbal
Materia
Medica
Training ?
• There are H-schools or included in ND
training and cert courses
• Registered homeopath: RSHom (NA)
where NA is geogr area in which licensing
occurred ( N America )
• In Canada, DSHomMed, which represents
the Diploma of The Toronto School
Homeopathic Medicine
• All Canadian homeopathic schools and
colleges grant diploma status
Located
in
Outremont
PQ