Transcript Holistic Pediatrics for Parents

Holistic Pediatrics
Randall Neustaedter OMD
www.cure-guide.com
[email protected]
Holistic Pediatrics
• A philosophical and practical approach to
pediatric care that focuses on the
principles of health and wellness.
• Dedicated to integrative treatment using
natural methods to stimulate healing, treat
illness, and recover balance.
Children’s Health Care Needs
• Regular pediatric visits
• Primary care
• Holistic acute care
• Holistic constitutional care
Deficiencies of conventional care
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Inadequate nutritional counseling
Inadequate vaccine informed consent
Attention to environmental toxins
Ineffective treatment for acute illness
Toxicity of drug regimens for chronic
disease
Effective conventional care
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Trauma care
Diagnostic expertise
Interventions in life-threatening illness
Maintenance drug regimens (hormones)
Surgical conditions
Familiarity with rare syndromes
Principles of Well-Child Care
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Developmental assessment
Nutritional assessment
Screening tests and exams
Physical exam
Diagnosis
Anticipatory guidance
Holistic Well-Child Care
• Temperament assessment
• Goodness of fit, parenting style
• Need for constitutional treatment
• Learning style and enrichment
Maternal Supplements
–Omega 3 fats (500+ mg DHA)
–Vitamin D
–Probiotics
–Calcium/Minerals
Omega-3 Sources
Holistic Acute Care
• URI, sore throats (strep), otitis
• Bronchitis, pneumonia
• GI viral illness
• Antibiotic avoidance
Treatment of Chronic Disease
Immune disorders
• Atopy: Eczema – Asthma
• Food allergy
• Recurrent otitis and URI
Functional disorders
• Attention and behavior
• Migraines
• Reflux – Colitis - IBS
Holistic Treatment Methods
• Acute care management
–Homeopathy
–Herbs
–Acupuncture
• Constitutional Care
–Chinese medicine
–Homeopathy
–Chiropractic/Osteopathy
Birth to Twelve Months
Well Child Care
First Week
• Establish breastfeeding
• Maternal supplements
• Sleeping arrangements
• Mattresses
• Jaundice
Sleeping Choices
• Bed sharing
• Co-sleeper
• Bassinet/Crib in the parent’s room
• Nursery
Mattress Wrapping
• Use thick, clear (not colored) polyethylene
sheeting, available in the paint section of your local
hardware store. The thickness of the polyethylene
must be at least 125 microns, or 5 mil. Not PVC.
• Place the polyethylene over the top of the mattress
and down the ends and sides, and then secure it
firmly beneath the mattress with strong adhesive or
duct tape. Not airtight on the underside.
• On top of the polyethylene place a fleecy pure
cotton blanket and tuck this in securely. Then
make the bed using sheets and pure wool or pure
cotton blanket/s.
Week Two
• Weight gain
• Regulation
• Vitamin D
• Attachment parenting
–Holding
–Breastfeeding on demand
–Co-sleeping
Vitamin D
• 400 IU Vitamin D3 per day
• Sun exposure 30 minutes per day
fully clothed without a hat
• 30-60 minutes per wk in a diaper
• Cod liver oil 1 tsp/50 lbs body wt
1 tsp cod liver oil = 1,000 IU D
One to Two Months
• Vaccine decisions
• Fluoride
• Digestive problems
• Environmental toxins
• Bath time products
Toxins to Avoid
• Pesticides
• Plastic toys
• Plastic containers/bottles
– Use glass and stainless steel
• Air fresheners
• Petrochemicals in cleaning products, soaps, and
shampoo
• Teflon
• Microwaves
Vaccine Decisions
• DTaP
• Hib
• Pneumococcus (PCV)
• Hepatitis B
• Polio (IPV)
• Flu
• Chickenpox (Var)
• MMR
Vaccine Choices
• Hepatitis B at birth
• Informed choice
• Delaying vaccines
• Exemptions
Vaccine Ingredients
–Formaldehyde
–Antifreeze (propylene gycol)
–Aluminum
–Mercury (thimerosal)
–Animal viruses
Adverse Effects
• Chronic reactions
– Immune suppression (allergies, infections)
– Autoimmune disease (diabetes, arthritis)
• Acute reactions
– Allergic, anaphylactic
– Toxic (seizures, encephalitis, autism)
Immune System
– Cell Mediated System—TH1
• First line defense against outside world
• Protects against intracellular organisms,
such as viruses, fungi, protozoa &
parasites, cancer cells, allergies &
transplant rejection
• Does not produce antibodies; produces
cytokines
Immune System
– Humoral System—TH2
• Second line defense against outside world
• Produces antibodies from stimulation of Blymphocytes
• Plays strong role in allergies (IgG, IgE)
– Th1/Th2 balance = “immunostasis”
Vaccines and Immune Function
• Vaccines induce Th2 humoral specific
antibodies and Th2 dominance
– Antibodies block viruses from entering cells
– Viruses are internalized in the cell and antibodies
cannot enter the cell
– Producing chronic ongoing infections in cells
– Th2 dominance produces allergies, asthma, chronic
colds, otitis, chronic inflammation, and cancer
Parris Kidd, PhD, Th1/Th2 balance: the hypothesis, its
limitations, and implications for health and disease,
Alternative Medicine Review, August 2003 v8 i3 p223 (24)
Asthma Incidence
15 % of children
Asthma incidence in children
Vaccines and Asthma
Study of 1,177 vaccinated and unvaccinated
children in NVIC families. Children with no FH
of asthma and no antibiotics were 11 times
less likely to report asthma if unvaccinated.
Children with a family history were half as
likely to have asthma if unvaccinated.
(No potential confounders altered the results.)
Enriquez R, et al. The relationship between vaccine refusal and selfreport of atopic disease in children. Journal of Allergy and Clinical
Immunology 2005 (April); 115 (4):737-744
Immune Supplements
• Omega-3 fats either through breast milk or
fish oil as a supplement
• Vitamin D 1,000 – 2,000 IU
• Probiotics
– Bifidobacteria
– L rhamnosus, L reuteri
• Prebiotics
– Fructooligosaccharides (FOS) or
arabinogalactans
• Adaptogens – mushrooms, astragalus
Four Months
• Solid food introduction (5-6
months)
• Rolling over, reaching out
• Relationships
Introducing Solids
• 5-6 months
– Cooked fruits (applesauce, prunes)
– Veges (carrots, yams, broccoli)
organic only
– Bananas
• 7-9 months
– Soup
– Egg yolks (organic)
– Avocados, squash, peas, peaches
Introducing Solids
• 10-12 months
– Yogurt (whole milk, organic), butter
– Poultry
– Blueberries, papaya, mango
• 12 months
– Oats, wheat, rice
– Spinach, strawberries
– Whole egg, cheese
– Tahini, honey, melons, corn, oranges,
Six Months
• Sitting, crawling, safety
• Role of acute illness
• Sunscreens (zinc oxide)
• Teething
Sunscreens
• Oxybenzone, methoxycinnamate, and
salicylates recovered from plasma and urine
(1% of applied dose)
• MOC kills mouse cells
• Titanium dioxide absorbs 70% of UV light and
generates free radicals
• TiO2 causes DNA damage in human cells
• Uncoated ZnO and all TiO2 is are photoreactive
• Dimethicone coated micronized zinc oxide is
photostable (does not absorb UV and does not
generate hydroxyl radicals
Zinc Oxide Sunscreens
Nine Months
• Mobility and safety
• Anemia
• Motor skills
• Anxieties
Toddlers
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Developmental Assessment
Temperament
Five Phases
Multiple intelligences
Independence and tantrums
Anxieties and language
Daycare, preschool and illness
Temperament
• Activity
• Rhythmicity
(Regularity)
• Approach/Withdrawal
• Adaptability
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Intensity
Mood
Persistence/attention
Distractibility
Threshold/sensitivity
Goodness of Fit
Temperament Types
• Easy – rhythmic, approachable, adaptable,
mild, positive
• Difficult – arrythmic, withdraws, slow to
adapt, intense, negative
• STWU – withdraws, slow to adapt, mild,
negative
Multiple Intelligences
• Linguistic
• Logicalmathematical
• Spatial
• BodilyKinesthetic
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Musical
Interpersonal
Intrapersonal
Naturalist
Howard Gardner
Thomas Armstrong
[email protected]