2018 HAWAII DOC TALKS :: SPEAKERS

Paul Anderson, ND

Allison Bachlet, PhD, ND, LAc

Melissa S. Barber, MSc, E-RYT 500, NTP

BIO

COMING SOON.

Primary Care Pharmacology Update

Based on a 2016 review of the top ten prescribed classes of drugs in primary care Dr. Anderson will look at examples from selected classes and discuss them as they relate to the primary care provider. Regardless of who prescribed the medication each one has potential benefit and concern based on the patient and reasons prescribed. Each example will have its pharmacology, interactions and potential alternatives discussed.
1. Lipid modulators:
a. Statin class
b. Triglyceride class
2. Antidepressants:
a. SSRI
b. SSNRI
c. Tricyclic
3. Cardiac:
a. Beta blockers
b. Ace inhibitors and ARB’s
c. Calcium Channel blockers

Modern Biofilm Pharmacology – What have the last 200 Million Dollars in Research Taught Us?

Did you know a single colony of Pseudomonas can grow a biofilm matrix the size of a dime? No wonder it is so hard to kill. Quietly the CDC, NIH and US Military have declared biofilms to be one of the top dangers to human health and have spent many millions of dollars researching them in recent years. January 19, 2017 NIH “Directors Blog” featured new data on biofilm formation, its relevance to microbial resistance and potential for non-antibiotic eradication of pathogens. The comment here is quite telling: “In addition to killing bacteria outright with traditional antibiotics, it may someday be possible to fight infection by stopping bacteria from communicating with each other or forming biofilms.” Much of what we have been taught about biofilm formation and disruption is incorrect in the face of this research. Dr. Anderson will summarize, based on the latest data, the “phases” of pathogenic biofilms, which agents are best to treat and disrupt them as well as how to prevent them from forming after eradication.

BIO

Dr. Allison Bachlet is a Naturopathic Physician on Oahu who loves and aims to educate her patients, as well as provide quality care, at every single visit.  She serves as an Assistant Professor of Biology and the Health Professions Counselor at Hawaii Pacific University, where she is working to educate an entire new generation of health care providers!  Dr. Bachlet completed her BSc in Nutritional Sciences at the University of Guelph (Canada) and her PhD in Gastroenterology and Clinical Nutrition at the University of Oxford (UK) where she was a Rhodes Scholar.  After completing her ND at the Boucher Institute of Naturopathic Medicine in Vancouver, BC – craving sunshine – she moved to Honolulu in 2009.  She received her MOM and became a registered acupuncturist in Hawaii shortly after that time and has been working in private practice -providing clinical nutrition, acupuncture and naturopathic medical services to patients ever since.

Are Heart Arrhythmias in Men on the Rise?

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With four new male patients of different ages and vastly differing health histories presenting in my office with heart arrhythmias in the recent past, I had to ask: what is with all the men with arrhythmias? Let’s also add on a good friend who almost died of a fatal arrhythmia at 32 and a husband with sports related arrhythmia…the time for diving into this topic had come! This session will guide you through the most common and well known causes of heart arrhythmia, as well as some emerging and not so common causes and highlight when an arrhythmia is cause for concern and when it’s not. A review of the most common medications and therapies used by Western Medicine will of course be covered, as will the magical ‘natural remedies’ that have shown proven efficacy and / or promise in the treatment and cure of arrhythmias.

Patient Resistance – The Bane of Treatment Protocols Everywhere

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You know the scenario: a patient comes in because he or she is sick of what Western medicine has to offer, and wants to try “something natural”. Is “something natural” code for “I really don’t want to do anything?” Sometimes it seems that way. Patient resistance to change and treatment is both frustrating for the provider and confusing for the patient. Helping patients see and address their psychological resistance is often key to establishing a good doctor-patient relationship and achieving success in reaching treatment goals. The most common psychological defenses and resistance methods will be explored, and reminders of the amazing natural tools we have as NDs to address this resistance will be highlighted!

BIO

Melissa Barber has worked in various facets of health research for over 10 years – from basic science to epidemiology to practice-based research. Her research homes have included the National Institutes of Health, Oregon Health & Science University, the VA Medical Center, the Integrative Medicine Institute, and the National University of Natural Medicine. Melissa is a certified nutritionist and an experienced 500-hour registered yoga teacher (E-RYT 500) with a background in Kripalu, traditional Hatha and yoga therapy and over 2,000 hours of teaching experience. Bilingual in Spanish and English, she has worked in sliding scale clinics domestically and internationally as a Clinic Coordinator, Medical Interpreter and Peace Corps Health Volunteer. She is currently a ND student at NUNM

Perioperative Nutritional Protocol With Real-Food Sources

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PPT

Nutritional recommendations surrounding surgery time typically restrict eating and/or endorse a dietary supplement regimen or liquid formula. Perioperative nutrition can be considered a time to prime the immune system to support wound healing and has been coined a number of terms such as “Immunonutrition” and “Pharmaconutrition”. Depending on the type of surgery, feeding is either enteral or parenteral, however, parenteral feeding has fallen out of favor unless absolutely necessary. Rarely, if ever, are patients oriented to actual food sources where immune supportive nutrients can be found. In this talk, a perioperative nutritional protocol will be discussed, highlighting nutrients of paramount importance to the healing process, where they are found, and the time frame in which to administer a diet to optimize wound healing. Constituents in the diet to reduce pain and inflammation and support emotional well-being will also be addressed, as well as the debate surrounding omega 3 fatty acids.

 

Is Case Reporting Worth Your Time? And, What Tools Are Available?

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Well-developed case reports provide formal structure to document exceptional individual clinical observations. Case reports have the potential to serve as a strategic tool to providing feedback on clinical practice guidelines, supporting dialogue between providers, and informing clinical reasoning skills. A case report data collection tool using the REDCap platform (NUNM-Case Report or NUNM-CR) was developed and tested with a group of clinicians representing different healthcare disciplines. This tool was identified as useful to the production of systematic case reports, promoting collegiality, and improving clinical care. Another case report writing tool, the Explanation and Elaboration (E&E)document for the CAse REport (CARE) Guidelines, was recently published in the Journal of Clinical Epidemiology. Melissa will outline the NUNM-CR tool and the E&E document to inform the writing of a case report and identify with the clinician audience, why write a case report anyway?

Ryan Bradley, ND, MPH

Jaclyn Chasse, ND

Mark Davis, ND

BIO

COMING SOON.

The Yin and the Yang of Oxidative Stress

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Staving off the scourge of oxidative rust in our cellular machinery has been a keystone in arch of rationale for the clinical use of “antioxidant” dietary supplements since Linus Pauling’s endorsement of vitamin C. Yet, while oxidative stress in excess does cause disruption in cellular function, and even cellular death, we wouldn’t be alive without it. Oxidative bursts help our macrophages combat invasive microbes; free radicals serve as cellular messengers telling our genes to ramp up production of critical antioxidant
enzyme systems; oxidation of some xenobiotics is a necessary step to detoxification and elimination. Notably, in some cases taking large doses of antioxidants appears to cause harm by neutralizing the beneficial effects of proven practices, e.g., pomegranate juice neutralizes increases in insulin sensitivity normally induced by exercise. Thus clinicians who use antioxidant dietary supplements need to appreciate both the potential health benefits and harms of this clinical practice, and consider their use carefully in select clinical circumstances. This presentation will provide a balanced overview of the dark
(yang) and the light (yin) aspects to oxidative stress, and once again demonstrate the best clinical path may be the middle one.

Wired, Tipsy and Stoned: The Health Benefits of Three Common Recreational Substances

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For as long as history records, humans have used plant substances to alter their dreary day-to- day realities. For decades, public health officials and clinicians have fought and failed to reduce intake of substances like coffee, alcohol and Cannabis, due to their beliefs about the detrimental health effects resulting from their use. Concerns about adrenal fatigue, the adverse effects of caffeine, and a general taboo around using stimulants are commonly cited reasons for advising patients away from coffee. Liver disease, cancer risk, and dependency are commonly cited reasons for advising patients away from alcohol. Common concerns for Cannabis intake include: memory deficits, respiratory disease risks, and reduced motivation. Yet, how great are the actual risks of these common concerns? And what does the evidence tell us about the health benefits of these common vices? Benefits of coffee intake appear to include: reduced risk for type 2 diabetes, liver disease and a dose-dependent reduction in mortality. Benefits for alcohol include: reduced risks for cardiovascular and type 2 diabetes from moderate intake. Cannabis may offer protection against pain, neurodegenerative disease, and type 2 diabetes. This presentation will provide a balanced viewpoint on these common recreational substances, weighing the evidence for harm against the evidence suggesting benefits, based on the available evidence.

BIO

Dr. Jaclyn Chasse, N.D. is a naturopathic physician passionate about advancing the field of integrative medicine. Jaclyn’s unique background includes clinical practice, lab sciences, extensive teaching and strategic leadership. Dr. Chasse founded Northeast Integrative Medicine, an interdisciplinary practice, and now operates Perfect Fertility, her clinical practice that focuses on infertility, reproductive, and genitourinary health. Dr. Chasse works for Emerson Ecologics, as VP of Scientific and Regulatory Affairs. She has also been an adjunct faculty member for Bastyr University since 2011. Dr. Chasse serves as President for the American Association of Naturopathic Physicians, as an Ambassador for the Academy of Integrative Health and Medicine, and a board member of the Integrative Health Policy Consortium. She is also a proud mom who loves to cook, garden, travel, and squeeze in yoga when possible!

Endocrinology of the Endometrium

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It’s a very mysterious place, the endometrium. While we tend to overlook the endometrium as an endocrinologically active tissue, simply shed each month with the menstrual cycle, the endometrium is quite actively involved in fascinating hormonal and biochemical processes which influence proper menstrual function, implantation of a fertilized embryo, and proper tissue health. This presentation will dive into the complex workings of the endometrium and will focus on a functional approach to evaluate and manage endometrial complaints including fibroids, endometriosis, and implantation-related infertility. Gain a deeper understanding on an approach to successfully treat some of these challenging conditions.

Integrative Approaches to Female Infertility: Case Illustrations

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The process of conception has become increasingly technological for those having difficulty conceiving on their own, yet naturopathic therapies continue to provide a reliable means to achieve pregnancy. This evidence-based presentation will prepare practitioners to confidently assess, diagnose and treat female infertility. We will discuss common hormonal, biochemical, and epigenetic barriers to conception, and discuss how to detect and manage them. The course will also cover the basics of assisted reproductive technologies (ARTs) and provide a comprehensive look into the naturopathic treatments that can safely augment or (even better) replace these technologies. This presentation will be conducted through cases only. In 45 minutes, 3 cases will be robustly discussed to illustrate how to workup and manage women for the most common causes of infertility.

BIO

 

Mark Davis, ND is a graduate of the National University of Natural Medicine, and licensed to practice in Maryland, Oregon & the District of Columbia. He primarily practices integrative gastroenterology at the IBD Specialty Center in Takoma Park, Maryland. Dr. Davis is internationally respected as an expert on fecal microbiota transplantation (FMT) and helminths, and is a frequent author and lecturer. He’s on the boards of the Fecal Transplant Foundation and the Gastroenterology Association of Naturopathic Physicians, and he’s on the editorial board of the Natural Medicine Journal.

Certainty and choice: How and why ND ethics and MD ethics differ

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This talk explores how the differing historical origins of naturopathic and conventional medical doctors lead to differences in modern-day practice. Not only do these two groups use different tools, but even when we are using the same tools, we often have different reasons for selecting them.

Quite Rightly: the power of saffron

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Saffron has been used as medicine for at least 3,500 years, but the beginning of this millennium has seen an eruption of research on this intriguing herb. Dr. Davis describes his favorite culinary and mixological uses of saffron, and explains why it is such an amazing herb for depression, anxiety, and impaired sexual function in males and females. The robust references will be included in the documents accompanying the talk.

Alena Guggenheim, ND

Paul Herscu, ND

Paul Herscu ND, MPH & Amy Rothenberg ND

Joint presentations

BIO

Alena Guggenheim graduated from the National College of Natural Medicine with a Doctorate in Naturopathic Medicine (NCNM) in 2007 and completed a residency through NCNM and The Center For Natural Medicine in 2009. She began her teaching and lecturing career in 2011 and has extensive experience developing and delivering engaging curriculum. She currently teaching Advanced Rheumatology at NCNM. She has lectured for multiple state associations and conferences regarding the safe use of pharmaceuticals, ethics and rheumatology. In 2015 Dr. Guggenheim began working for the Zoom+care health care system developing and implementing integrative care models. She is currently seeing patients with immunological disease at the Zoom+care Specialist multi disciplinary clinic working in close conjunction with gastroenterology, cardiology, dermatology and primary care.

Joint Hypermobility Syndrome: The Great Impersonator
Joint Hypermobility Syndromes: The Great Impersonator
This workshop will cover the joint hypermobility spectrum disorders including Ehlers-Danlos syndrome. We will cover the 13 subtypes of EDS with characteristic clinical presentations and co-morbitities. We will also explore the manifestations of these disorders outside of the musculoskeletal system. After completing this session, participants will be able to:
1. Examine the prevalence and common presentation of EDS
2. Contrast EDS with similar conditions and perform a differential diagnosis
3. Formulate appropriate interventions including diagnostic testing, referrals, lifestyle, physical, and activity modification
4. Explain the mechanisms of pain in hyper mobile patients
5. Understand co-morbid diagnoses
6. Understand the role of genetic testing
BIO

Paul Herscu ND, MPH graduated from NCNM also and has been in practice for
32 years, specializing in the treatment of neurological, psychological, and
immunological diagnoses, with an emphasis on autistic spectrum disorder. He is
the author of numerous of books in homeopathy including The Homeopathic
Treatment of Children, Pediatric Constitutional Types. He founded The New
England Journal of Homeopathy, which was published from 1992-2002. Dr.
Herscu is an internationally sought after speaker, lecturing extensively in Europe,
North America, Asia, and Australia. He had served on the board of the
Homeopathic Academy of Naturopathic Physicians. He currently sits on the
newly formed Massachusetts Board of Registration in Naturopathic Medicine. Dr.
Herscu’s interest in public health has led him to follow epidemics over the past
three decades; he has written broadly on the subject creating protocols to
prepare for and contend with epidemics. In 2008 he established Herscu
Laboratory, a multi-disciplinary non-profit medical research center focused on
integrating diverse fields of medical and biological science, as well as public
health and education. He has conducted research on angioedema
diagnosis/differentiation, ADHD subpopulation/treatment response, influenza
treatment studies and public health readiness in complementary and alternative
medicine.

See the World

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Dr. Herscu will describe an easy to learn, easy to teach approach to helping children & adults who have all manner of processing issues. Such challenges impact academic learning, family and friend relationships and on the job success. Help patients fix the issue, not just compensate for difficulties.

BIO

Together, Drs. Rothenberg & Herscu founded and teach through the New England School of Homeopathy where they have encouraged thousands of prescribers to learn, understand and utilize classical homeopathy, helping to uphold and sustain the vitalistic tradition within naturopathic medicine.
Together they raised three wonderful children. In their spare time, Dr. Rothenberg can be found in her art studio, Dr. Herscu at the chess board or together, spending time with friends and family, hiking rural Massachusetts or enjoying time on the ballroom dance floor.

Remedies that Get Left on the Shelf & How to Use in Clinical Practice.

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Drs. Rothenberg & Herscu will highlight a number of less utilized homeopathic remedies and their clinical application for particular ailments. This would be relevant for those less inclined to use homeopathy as well as those who use homeopathy often.

It’s Not Intuition: How to Use the Non Verbal Parts of Patient History Taking to Help You Better Understand Your Patients.

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There are key skills to articulate and practice which help improve history taking and patient assessment. Learn and practice some skills.

Kiran Krishnan

Glen Nagel, ND

Greg Nigh, ND, LAc

BIO

COMING SOON.

The spectacular role of the human microbiome in preventing post-prandial or metabolic endotoxemia, the number one cause of mortality worldwide

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“You are more bacteria than you are human with 10 trillion human cells outnumbered by over 100 trillion
bacteria cells in and on your body. The human genome contributes just 1% genetic material to daily
metabolic function compared to the 99% that is contributed by the microbiome. An often-overlooked
role of the microbiome is to prevent post-prandial endotoxemia and the inflammatory devastation that
follows. This lecture will illustrate the danger of having post-prandial endotoxemia and why this
condition is being called the number one cause of mortality worldwide as it sets up the body for virtually
every chronic disease. This condition is caused by eating and a failure of the microbiome to protect its
host from this response. You simply cannot completely correct any chronic condition without addressing
post-prandial endotoxemia.”

BIO

Dr. Nagel has been a practicing herbalist for the last 30 years and a naturopathic physician for 24 years. He has worked in the herbal industry as well as an herbal educator offering classes and courses in herbal medicine. He is also a licensed naturopathic physician in Oregon and has practiced Naturopathic Medicine since 1993 in Montana, Colorado, and Washington. He is a former Assistant Professor of Botanical Medicine at Bastyr University in Kenmore, Washington. Currently, he is an adjunct professor at NUNM. He has a lifelong interest in plants and nature and believes in teaching with humor and hands-on experience

Herbal Vitalism: A unified paradigm, exploring the energetics of western herbs through the development of plant personalities.

The study of botanical medicine in the last 20 years has been built upon the dual aspect of plant chemistry and clinical research. The focus on botanical medicine has moved away from vitalism into plants as natural drugs. For all the advances this has brought it has also led to the loss of the real vitalistic method of botanical prescribing. Almost all traditional cultures from Native American to Chinese, have had an understanding that the healing power of green plants is more that chemistry. Plants tell us stories about themselves and their connection to the natural world. It is this connection that includes the genius of each plant. It is in this rediscovery that I will discuss the power of intuition, observations, and wonder at the natural world. Each herb has a spiritual identity, a personality pattern which stands, so to speak, with its eternal light. I will use a multimedia method I call “herbdance” in which I illustrate with music and song the key lessons each plant can teach. In this journey, we can connect with the spirit of each plant that can directly influence and change our human consciousness and health. In our race to the future, in the domination of technology, in the concentration of constituents, there is a loss of wisdom of traditional ways of looking at medicine. The plant world can reconnect us to that oneness to the sense of place and purpose. In this insight, we can restore and further move herbal vitalistic botanical medicine into the future. Time needed is 25 minutes, and there are a number of herbs I would like to cover with music and slides.

Herb-Drug Interactions: Many shades of gray : A Simple and Practical Guide 5 point system

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The media presents the grave concern about the potential interaction between herbal medicine and drugs. With up to 60% of Americans taking herbs and nutritional supplements, what are the real concerns with combining these meds and what is hype? This talk will give an overview of the problem with herb /drug interactions and a practical method for determining the potential for a mild, moderate or severe reaction. The talk will discuss how to evaluate the concern with a five question outline. Herbs discussed are St Johnswort, Saw Palmetto, Milk Thistle, Goldenseal and other. There will also review the current literature and reference material that are useful for the clinician. There are many shades of gray within the field of herb and drug interactions this talk hopes to bring more black and white to the complex area.

BIO

Dr. Greg Nigh is a 2001 graduate of the National University of Naturopathic Medicine. He has spoken and published extensively about the health risks of glyphosate, and recently founded the web site loveyourdandelions.net, which is dedicated to educating the public about the dangers of this chemical. He has a clinical focus in naturopathic oncology, and has a practice at Immersion Health in Portland, Oregon.

Glyphosate and Modern Maladies: What it does, how to assess, and how to detox

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Glyphosate, the active ingredient in Roundup, is the most widely used herbicide on the planet, with over 1.8 million tons applied in the US alone since its introduction. Dr. Nigh will briefly review its toxicology, then discuss the broad range of chronic conditions associated with exposure. In fact, glyphosate application to crops in the US has an uncanny correlation with the rise in many degenerative neurological, congenital and digestive diseases and conditions. Dr. Nigh will end the talk with a discussion testing options, and will discuss the most effective set of therapies that can mobilize and help to eliminate glyphosate from the body.

Information and the Vis: How we can be certain that the 'self-organizing' process of healing is purposeful

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Our profession has been so bold as to state, “The healing power of nature is the inherent and self-organizing and healing process of living systems which establishes, maintains and restores health.” In this talk Dr. Nigh will review the capabilities of naturalistic processes to generate self-organization and complex information, the type that infuses every level of living systems, including the processes that move toward balance and health. Dr. Nigh will end with alternative ways of conceiving of this self-organizing ability, ways that embrace a non-materialistic model of physiological homeostasis and health.

Amy Rothenberg, ND

Steven Sandberg-Lewis, ND, DHANP

Allison Siebecker ND, LAc, MSOM

BIO

Dr. Amy Rothenberg graduated from NCNM and has enjoyed a naturopathic
family practice for the past 32 years. Her work with patients informs and inspires
her writing for the Huffington Post and other periodicals. Her book, The A
Cappella Singer Who Lost Her Voice & Other Stories From Natural Medicine was
published in 2010. She currently serves as President of the Massachusetts
Society of Naturopathic Doctors and helped spearhead the effort to win licensure
for NDs in the Baystate in 2017. She is a former board member of the American
Association of Naturopathic Physicians and currently serves on the Public
Education and Media Affairs Committee of the AANP. Dr. Rothenberg served on
the Board of Health in Amherst, Massachusetts for six years & was Vice
President of the Board of the Amherst Survival Center, which offers free medical
care, food, clothing and community to people in need. She is dedicated to the
naturopathic profession serving as mentor and friend to new doctors and
colleagues across the country.

The Role of Resilience in the Prevention of Physician Burnout

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Dr. Rothenberg will delineate specific skills, habits and attitudes that promote and sustain resilience, this key ingredient in reaching ones personal and professional goals and in preventing physician burnout.

BIO

“Steven Sandberg-Lewis has been a practicing naturopathic physician for nearly 40 years in the Pacific Northwest USA and a professor at the National University of Natural Medicine (NUNM) in Portland, Oregon since 1985.

Within gastroenterology he has special interest and expertise in inflammatory bowel disease (including microscopic colitis), irritable bowel syndrome (including post-infectious IBS), Small Intestine Bacterial Overgrowth, hiatal hernia, gastroesophageal and bile reflux, biliary dyskinesia, and chronic nausea /vomiting.

In addition to supervising student clinical rotations, as a faculty member, Sandberg-Lewis teaches gastroenterology, advanced gastroenterology and GI physical practicum. He also maintains a part-time practice at 8 Hearts Health and Wellness in Portland, Oregon. He lectures frequently at seminars, presents webinars and is often interviewed concerning digestive health and disease. He is the author of the medical textbook Functional Gastroenterology: Assessing and Addressing the Causes of Functional Digestive Disorders (second edition released on amazon.com April 2017).”

A Deeper Dive Into Pumpaganda – New ACG Proton Pump Inhibitor Guidelines

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I will use pictures and key words to enhance my presentation of the ACG guidelines, critiquing the major recommendations for proper use of proton pump inhibitors (PPI). I’ll give a quick overview of the fascinating mechanisms behind gastric acid physiology as these relate to the indications for and side effects of PPI. Then I will go into more depth about certain of these recommendations and the research behind them as well as explaining how to individualize ND decision making for your patients. We may also have time to discuss weaning patients off PPIs in efficient ways.

Up the nose with a rubber hose

“Bilateral nasal specific (BNS) technique, perfected by Richard Stober, DC, ND in the mid-twentieth century, is a highly effective method of facial manipulation. It often “cures” or greatly improves the tendency toward recurrent sinus problems and may be helpful for most health problems that begin after a forceful blow to the face. I learned this useful technique from Stober in 1977 and have been employing it ever since.
In this practicum I will explain its indications, contraindications and the details of performing BNS and then in dyads you will practice on each other with supervision.

Understanding GI endoscopy - make your own assessment for the good of your patients

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Sending for and studying esophagoduodenoscopy (EGD) and colonoscopy reports as well as biopsy reports often will reveal essential information. I find that you cannot rely on patient recall for these parts of the history. Key findings will be lost if the patient does not remember, was not told or did not understand. I will explain how to read these reports in order to gain the full benefit from these studies.

BIO

Allison Siebecker, ND, MSOM, LAc, has worked in the nutritional field since 1988 and is a 2005 graduate of The National University of Natural Medicine (NUNM). She was the co-founder and former medical director of the SIBO Center for Digestive Health at NUNM Clinic, co-founder of the NUNM SIBO Symposiums and has specialized in the treatment of SIBO since 2010. Dr. Siebecker is passionate about education- she is Instructor of Advanced Gastroenterology at NUNM, IBS Board of Advisor & Faculty for the GI Health Foundation, Curriculum Coordinator for the 2014 -2016 SIBO Symposiums, teaches continuing education classes for physicians, and is the author of the free educational website siboinfo.com. She received the Best in Naturopathy award from the Townsend Letter for her 3 of her articles and is currently writing a book synthesizing the SIBO data into one source.

Diet to Support SIBO

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Diet is an essential part of SIBO treatment. It can offer remarkable benefit and provides one of the best tools for symptom management. We’ll cover the underlying mechanisms of why diet helps and then focus on clinical application, including: the SIBO diets and how to choose between them, how/if to use diet with antimicrobial treatment, how to help a common problem from SIBO diets, and essential patient resources.

Prokinetics for Digestive Symptoms and Disorders

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Prokinetics stimulate and coordinate gastrointestinal motility. They can be used for symptomatic relief for multiple digestive symptoms such as acid reflux, nausea, bloating and constipation. Prokinetics are a standard therapy for motility disorders like gastroparesis, systemic sclerosis and SIBO. While some prokinetics have safety issues, many are safe. We’ll cover both pharmaceutical and natural options, including: mechanisms of action, safety, dosing, logistics, and practical clinical tips.

Sara Thyr, ND

Joint Presentation with Doni Wilson, ND

Doni Wilson, ND

Joint Presentation with Sara Thyr, ND

Aviva D Wertkin, ND

BIO

Dr. Sara Thyr obtained her doctoral degree in Naturopathic Medicine from Bastyr University, Kenmore, Washing-ton. Concurrent with her studies at Bastyr, Dr. Thyr also completed specialty certification in Naturopathic Midwife-ry.
Dr. Thyr is passionate about utilizing naturopathic medicine to find and treat underlying causes of illness. Regard-less of the patient’s chief complaint, this will ultimately make their healing journey much more successful.
Sara is a member of the California Naturopathic Doctors Association and the American Association of Naturo-pathic Physicians, past member of their board of directors, and is the past-president of the New Hampshire Associa-tion of Naturopathic Doctors. She is also past-president of the American College of Naturopathic Obstetrics and founding member of the American Association of Naturopathic Midwives. Governor John Lynch appointed Dr. Thyr to the NH Naturopathic Board of Examiners in 2006.
Dr. Thyr graduated cum laude with a B.A. in biology from Ottawa University, Ottawa, Kansas. She has co-authored several books on natural cooking and written many articles on natural health. Her primary areas of focus are diges-tive disorders, menopause issues and women’s health, fertility and dementia associated with aging.
She has been featured in the Nashua Telegraph, The Union Leader, The Broadcaster and on WMUR television. She is an international speaker for continuing medical education events for both naturopathic and medical doctors and other health professionals.
In her spare time, Dr. Thyr enjoys tennis, bicycling, knitting, gardening and growing succulents and orchids in her greenhouse. She is happily married to Geoffrey Smith, and they live in Petaluma, California with their cats, Gracie, CoCo, and Rory

Intensive on Reversing Cognitive Decline, Dementia and Alzheimer’s Disease

One out of every six Americans will suffer from Alzheimer’s Disease or other forms of cognitive decline. Cutting edge research shows that naturopathic approaches can help patients reverse these conditions. Early detection is critical, and there are no good lab tests to determine onset of disease. Therefore, part of this presentation will be devoted to reviewing and practicing mental status ques-tionnaires so attendees will be ready to implement them in practice. The presenters are passionate about bringing the most current information about the usefulness of evaluating genetics and nutrient status, and implementing diet and lifestyle changes to effectively prevent and reverse these incredi-bly impairing conditions. We will review naturopathic approaches that show promise, including diet changes to address inflammation, food sensitivities, dysglycemia, and oxidative stress; optimizing gut health and the microbiome; implementing mindfulness and stress reduction; and optimizing the HPA axis. This is a presentation that will leave practitioners with excellent tools they can utilize immediately upon their return to practice.

BIO

Dr. Donielle (Doni) Wilson, a naturopathic doctor, certified professional midwife, and certified nutrition specialist, graduated from Bastyr University in 2000. Author of The Stress Remedy, Dr. Doni redefines stress to include toxins, food sensitivities, and imbalanced blood sugar levels, and then offers expert guidance on how to reclaim optimal health.

She is creator of a gluten-free nutritional regimen that integrates mind-body medicine with support for reducing exposure to all forms of stress – The Stress Remedy Program. She is director of a na-turopathic residency implementing her approach, and is developing a practitioner training program.

In 2004, Dr. Doni was awarded the NYANP Physician of the Year Award, and in 2013 she was honored for serving as the President and Executive Director of the NYANP for over ten years. She continues to play an instrumental role in the effort to license NDs in New York.

Dr. Doni is frequently called upon to discuss naturopathic medicine and her research related to stress in the media, as well as at both public and professional events including the AANP, CNPA, PANP, Hawaii Doc Talks, and NWNPC. She regularly presents to naturopathic medical students at University of Bridgeport, Bastyr University and Southwest College of Naturopathic Medicine.

Intensive on Reversing Cognitive Decline, Dementia and Alzheimer’s Disease

One out of every six Americans will suffer from Alzheimer’s Disease or other forms of cognitive decline. Cutting edge research shows that naturopathic approaches can help patients reverse these conditions. Early detection is critical, and there are no good lab tests to determine onset of disease. Therefore, part of this presentation will be devoted to reviewing and practicing mental status ques-tionnaires so attendees will be ready to implement them in practice. The presenters are passionate about bringing the most current information about the usefulness of evaluating genetics and nutrient status, and implementing diet and lifestyle changes to effectively prevent and reverse these incredi-bly impairing conditions. We will review naturopathic approaches that show promise, including diet changes to address inflammation, food sensitivities, dysglycemia, and oxidative stress; optimizing gut health and the microbiome; implementing mindfulness and stress reduction; and optimizing the HPA axis. This is a presentation that will leave practitioners with excellent tools they can utilize immediately upon their return to practice.

BIO

Aviva D Wertkin, N.D. earned her degree from SCNM in 2007 and completed a two year residency in Naturopathic Family Medicine through NUNM. She joined a busy family practice in CT until 2014 when she moved to Brattleboro VT and opened her own Naturopathic Primary Care practice. Dr Wertkin enjoys seeing patients all of ages with all health concerns and is an expert in disease reversal. She has been voted the Best Physician in the Greater Brattleboro area in 2016 and 2017.

Naturopathic Primary Care: What's our standard?

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There is increasing emphasis in our profession that “primary care” equals conventional medical practices and standards. Dr Wertkin will discuss how we can practice successfully as primary care physicians while still utilizing naturopathic medical practices and standards. This will contain approaches to acute and chronic disease; including how to navigate the controversial vaccination topic.

The Soul Reason - understanding the Spiritual components of Depression

Most often Depression is viewed as a mental illness with little regard for underlying causes. As Naturopathic Physicians we are trained to look into the various physical imbalances that can cause depression but often overlook the emotional and spiritual components. Dr Wertkin will help you understand how to address the emotional & spiritual components of depression in a clinical setting.

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Join us for the 3rd Annual Hawaii Doc Talks
Kauai Beach Resort
February 22 – 25, 2018

EXHIBITORS!

Learn about and get to know the great exhibitors that will be with us!

SCHEDULE OF EVENTS

See our Full Schedule of planned events.

Don't Be Shy. Get In Touch.

If you are interested in joining us in Hawaii in any way, reach out to us!