Transcript Integrative Healthcare Symposium 2015

Integrative Healthcare
Symposium 2015
Presented by: Jacob Hwang
Doctor of Naturopathic Medicine Candidate 2016
February 19-21, 2015
New York Hilton Midtown, NY
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Funded by Bastyr University Student Council
Integrating Emotional Freedom
Techniques (EFT) into your Practice
 Presented by Nick Ortner
 Dr. Roger Callahan combined quantum theory,
kinesiology, and acupressure to help patients with
phobias and traumatic stress disorders
 Gary Craig, a engineer at Stanford University worked with
Dr. Callahan to develop a system of tapping points = EFT
Integrating Emotional Freedom
Techniques (EFT) into your Practice
 Theory or mechanism behind EFT: Tapping on the
acupressure points along the meridian sends a calming
signal to the amygdala
 Tapping helps reset the hippocampus
 Comparing past threats with present signals
 When to use EFT?
 Stress, anxiety, panic attacks, fears/phobias, trauma, anger,
insomnia, grief/loss, enhancing self-esteem, pain
management, addictive cravings.
Integrating Emotional Freedom
Techniques (EFT) into your Practice
 The tapping points:
 Inferior to the eyebrow towards the midline
 Lateral to the eyes
 Inferior to the eyes
 Inferior to the nose, but superior to the lips
 Inferior to the lips, but superior to the chin
 Infraclavicular fossa towards midline
 4 inches below the arm, in the armpit
Principles of Integrative Cancer
Medicine
 Presented by Dwight McKee, MD
 Integrative Oncology
 Conventional: military style model of medicine
 Destroy tumor cells
 Traumatic, dietary concerns in calories only
 Complementary/Alternative: support multiple systems during
intervention
 Increase host resistance to tumor cells and improve health
 Tends to have nourishing treatments with dietary programs
focused on enhancing the host and “starving” tumor cells.
Principles of Integrative Cancer
Medicine
 Old view – Somatic mutation theory
 Cancer is a linear process: mutations occur and it grows into
a tumor. The tumor needs to be removed
 New view – Tissue organization field theory (TOFT) by
Sonnenschein and Soto
 Early cancers may spontaneously regress
 Established cancers may stay dormant
 The focus is on changing the terrain to prevent tumor
progression and promote tumor regression
 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3882065/
Principles of Integrative Cancer
Medicine
 Effects to consider?
 Nutrient availability
 Changing the terrain/microenvironment
 Epigenetic mechanisms
 Utilizing the immune system
 Reduce tumor burden
 Immunotherapy
Functional Nutrition: Transforming
Patients through the therapeutic use
of food
 Presented by Kristi Hughes, ND
 Director of Medical Education at The Institute of Functional
Medicine
 “Functional nutrition emphasizes the importance of high
quality foods and phytonutrient diversity to address
clinical imbalances and move individuals towards the
highest expression of health” – IFM
 Phytonutrient spectrum foods, elimination diet,
cardiometabolic, detox, and energy
Functional Nutrition: Transforming
Patients through the therapeutic use
of food
 G for Gather:
 Medical hx,
 ABCD (anthropometrics, biomarkers, clinical indicators from
physical examination, diet journals) evaluation
 Nutrition status
 O is for Organize:
 PFC-MVP (Proteins, Fats/Oils, Carbohydrates, Minerals, Vitamins,
and Phytonutrients)
 Points of Connection
 Pattern Recognition
 I is for initiate
 Further evaluation
 Nutrition care plan
 Patient education
Never only opioids: policy trends,
patient experience, and practice
models in treating people with pain
 Moderated by John Weeks
 Panelists:
 Heather Tick, MA, MD
 Martha Menard, PhD, LMT
 University of Virginia School of Medicine study
 150 in-depth qualitative interviews and content analysis of
self-reported narratives with people living in chronic pain
and physicians involved with medical errors
 Many cultivated positive attitudes while demonstrating
persistence
Never only opioids: policy trends,
patient experience, and practice
models in treating people with pain
 Myofascial pain
 Healing abilities
 The benefits of opioids?
 Acute use
 Chronic use
 History of opioid use in US
 Long term opioid therapy (> 3 months)
Environmental Influences on Health:
Research, Preventions, and
Treatment Strategies
 Moderated by: Susan Luck, RN, BS, MA, HNC, CCN,
HWNC-BC
 Panelists:
 Robert Rountree, MD
 Walter Crinnion, ND
 Devra Davis, PhD, MPH
Environmental Influences on Health:
Research, Preventions, and
Treatment Strategies
 Robert Rountree, MD
 Save the bees: stop pesticides and use untreated seeds
 Colony collapse disorder
 Neonicotinoids: block nicotinic acetylcholine receptors of
insects
 Most widely used pesticide in the world
 No data and studies
 War in toxicology
 Old school vs. new endocrinology research
Environmental Influences on Health:
Research, Preventions, and
Treatment Strategies
 Walter Crinnion, ND
 Air pollution
 Possible correlation with CVD, DM, obesity, cognitive decline?
 Low dose exposure of chemicals
 We all have a toxic load
 141 toxicants in everybody – CDC
 Every single one is a mitochondrial toxicant
 What to do? Avoid!
Environmental Influences on Health:
Research, Preventions, and
Treatment Strategies
 Devra Davis, PhD, MPH
 Cell phone use
 Reduction in sperm count, potential carcinogen?
 Experts are currently advising the WHO
 RF exposure in phone: keep phone at least 5 mm away
 Air pollutant
 Smaller the particle, the deeper it goes
 Increased CV incidence
Spotlight on Pain Management,
Hands-on Experiential Education
 Presented by Hal S. Blatman, MD, DAAPM, ABIHM
 Pain is body’s communication of injury and damage
 X-ray/MRI and other diagnostic imaging do not show
most injuries of chronic pain – not helpful
 Standard treatments generally not effective, the pain
continues
Spotlight on Pain Management,
Hands-on Experiential Education
 The importance of fascia
 Most underappreciated tissue in the body
 Cleaned off in anatomy dissection
 Injury to fascia provides key to understanding pain
 Connective tissue
 Hard to assess damage
 Difficult to prove damage
Spotlight on Pain Management,
Hands-on Experiential Education
 Fascia is more innervated than muscle
 Myofascial pain
 Localized
 Referred
 Bodywork and fibroblastic activity
 Stressed fibroblasts secrete inflammatory cytokines for repair
 90 seconds of osteopathic stretch/compression can undo
inflammatory changes from a 8 hr strain
 Manual therapy may affect physiological responses
Pediatric Mastermind: An
Integrative/Functional Medicine
Model for Complex Pediatric and
Adolescent Cases
 Presenters:
 Lawrence D. Rosen, MD
 Benjamin Kligler, MD, MPH
 Aviva Romm, MD, CPM
 Functional Medicine Model
 Genomics, Proteomics, Metabolomics, Phenomics
 Prevention > Treatment
 Safest, most effective, and most cost-effective strategy
Pediatric Mastermind: An
Integrative/Functional Medicine
Model for Complex Pediatric and
Adolescent Cases

Case 1: Asthma

Benjamin Kligler, MD
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Increasing asthma cases? Hygiene hypothesis
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Dietary manipulation
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Milk, eggs, chocolate, soy, citrus, nuts, wheat, corn
Skin testing does not correlate with clinical symptoms
Elimination diet
Fish oil

Cochrane review shows no clear consensus regarding the efficacy of fish oil for
asthma

Vitamin C and lycopene moderately effective
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MBM for stress-related triggers for asthma

Evaluating atopic disorders
Pediatric Mastermind: An
Integrative/Functional Medicine
Model for Complex Pediatric and
Adolescent Cases
 Case 2: Juvenile Rheumatoid Arthritis
 Aviva Romm, MD
 4 R program
 Remove triggers and irritants
 Repair the intestinal tract: L-glutamine, aloe vera gel, DGL,
marshmallow root
 Replace: digestive enzymes and HCl
 Reinoculate: probiotics
Pediatric Mastermind: An
Integrative/Functional Medicine
Model for Complex Pediatric and
Adolescent Cases
 Case 3: Inflammatory Bowel Disease
 Larry Rosen, MD
 IBD is a Gut-Brain-Immune syndrome
 Immune dysregulation
 Nutrition
 Anti-inflammatory spices, antioxidants, omega-3 fatty acids, lean proteins,
fermented/cultured foods
 Vitamins D3, B12/folate
 Iron, zinc
 Do not use glutamine in children with IBD
 Botanicals
 Curcumin 1-4g/day in one study
 Aloe vera
 Boswellia
Mitochondrial Performance –
Essential for Hormonal and Organ
Function
 Presented by Chris Meletis, ND
 Epigenetics in mitochondria
 Important mitochondrial nutrients: CoQ10, acetyl-L-carnitine,
alpha-lipoic acid, carnosine, benfotiamine, riboflavin
 A mitochondrial foundation…
 Steroid hormone biosynthesis
 Mitochondrial dysfunction involved in most diseases
 Glucosamine as a new option in rejuvenating mitochondrial DNA?
 Many medications can cause mitochondrial dysfunction
 Directly or indirectly: inhibit mtDNA transcription/ETC or free radical
production
Unraveling the mysteries of the Eye
 Presented by Robert Abel, MD
 Study from Harvard demonstrated that doctors tend to
make a diagnosis in 18 seconds
 Compare this to Sherlock who was always skeptical
 Medicine is rational/linear thinking + artistic/non-linear
thinking
 80% of dx can be made from patient
Unraveling the mysteries of the Eye
 Eyes can tell you clues
 Relationship to different organs (brain, liver)
 Vision is more than just an eye trait
 Four stressors to the eye
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UV light
Poor nutrition
Unhealthy lifestyles
Stress
 Eye-brain connection
 Connection to the world
 Vision
Global Pain & Fatigue Syndromes
Assessment and Treatment: When it
is Fibromyalgia and When it is Not!
 Presented by David Brady, ND, DC, CCN, DACBN
 The different names of fibromyalgia
 Fibrositis, Psychogenic rheumatism
 Diagnostic criteria by ACR was created for research
purposes
 Central sensitivity syndrome
 Perception of pain rather than a peripheral problem
 CFS is not FM
 Great FM masqueraders: sub-optimal thyroid function,
myofascial pain syndrome, and sub-optimal
mitochondrial/energy metabolism
Effective Treatment of CFS, Fatigue, &
Fibromyalgia
 Presented by Jacob Teitelbaum, MD, ABIHM, ABIM
 SHINE = Sleep, Hormones, Infections, Nutrition, Exercise as able
 Treatment recommendations:
 D-Ribose 5 g TID for 3 wks, then BID
 With B-complex vitamin
 Good quality sleep (8-9 hrs)
 Passionflower, wild lettuce, lemon balm, valerian, hops, L-theanine
 Treat hormonal deficiencies (thyroid)
 Promote weight loss
 Adrenal support
 Glandular extracts, Vitamin C, B5, licorice, DHEA (if low)
 Treat chronic infections
 MBM
 Other CAM therapies
 Medications for FM pain (do not use Tylenol or NSAID)
Thank you for listening!
For more additional questions from any of these talks, please feel
free to send me an e-mail.