HAWAII DOC TALKS 2019 SCHEDULE

DAY 1

Thursday, January 24, 2019

9:00am – 11:00am

Optional Pre Conference Workshop: Paul Anderson ND

Joint Hypermobility Syndrome, an advanced workshop

Sleep and Anxiety Medications; Pharmacology, interactions with natural agents and Tapering Strategies

In this session Dr. Anderson will discuss the most common classes of anxiety and sleep medications. Their pharmacology and prescribing will be contrasted with their effects on the human brain. Crossovers with nutritional substances and effective methods for tapering these medications will be discussed.

2 credits Pharm

12:00pm – 12:45pm

Welcome Reception

12:45pm – 1:00pm

Welcome and Opening

1:00pm – 1:30pm

Invisible Threat: Exposing Mold Exposure

Mold is an invisible lurking problem for up to 25% of our chronically ill patients. Can you identify when it’s mold? I know I missed it. Learn how to see it and what to do about it. Like morel mushrooms, once you know the tricks and tune your eyes to see mold, it seems to pop up everywhere. Get an idea of typical symptom pictures and diagnoses correlated with mold. Feel welcome to use my mold scoring tool in your practice for easier identification and to track treatment progress. Learn a scaled-down lab assessment, and the results of split sample mycotoxin testing. I suggest an order of clinical management, so you know what to do when, and include protocols that address when things don’t go as expected.

 

.5 Credits Pharm

1:30pm – 2:00pm

Don't Be Fooled! - How to not let researchers pull the wool over your eyes

Let’s face it. We are busy. Who has time to read beyond the abstract of a research article? Unfortunately, a lot of the literature out there is shlock and unless you know how and where to look you can be fooled. In this short presentation, we use actual examples from the CAM research literature to look under the hood and see beyond the spin. Learn to identify issues unique to nutraceutical research as well as the larger body of medical literature. Get the confidence to review research like a pro. We will cover concepts such as selective outcome reporting bias, unmasking, p-hacking, publication bias, sponsorship bias, and minimal clinically important differences.

 

.5 Credits General

2:00pm – 2:30pm

Herbal Kappa Opioid Agonists for Pain

Several herbs well known to reduce pain have been determined in the past decade to act via kappa opioid receptors. Corydalis yanhusuo and Aconitum spp will be discussed as the best studied examples in this class. The interaction of kappa and mu opioid receptors, as well as dynorphin and kappa opioid receptors, will be discussed. Centralization of chronic pain and how these herbs can help with that, along with the role of kappa opioid agonists for reducing mu opioid agonist addiction, will be reviewed. The safe and effective application of these herbs for various types of pain will be highlighted. The potential role of Mitragyna speciosa (kratom) in this regard will also be mentioned.

 

.5 Credits General

2:30pm – 3:00pm

Polypharma! How to manage medication taper plans in an integrative setting Part 1

Dr. Britta Zimmer will demonstrate medication management plans within the backdrop of an integrative inpatient therapeutic program. Case presentations will be used to exemplify the practical application of medication management techniques within the scope of Naturopathic Medical practices. At the conclusion of this presentation, participants will be able to apply practical knowledge to devising safe and successful medication management plans for patients with common mental health diagnoses. For the past ten years, Dr. Britta Zimmer has been working with an integrative team of psychiatrists and psychologists in an outdoor behavioral health program for adolescents and young adults. She will share her expertise and knowledge to discuss the management of complex mental health diagnoses among a polypharm patient population.

 

.5 Credits Pharmacy

3:00pm – 3:20pm

Q&A

 

.5 Credits General

3:20pm – 4:15pm

Exhibit Break

4:15pm – 4:45pm

Mixing Up Metabolism: The art of fasting for chronic disease, cancer treatment and better health

Caloric restriction and fasting have deep roots in naturopathic medicine. In the past decade, there has been a resurgence of interest in fasting for general health and chronic disease, with new research fueling more acceptance throughout medicine. This talk will summarize our current understanding of the mechanisms behind fasting, the available human research, and the practical use of fasting in practice, both as an adjunct to chemotherapy and for other chronic diseases. Using his clinical experience of fasting hundreds of patients, Dr. Allderdice will illustrate the broad and powerful application of this metabolic medicine. Through better understanding, this unique tool can once again return to a prominent place in our naturopathic toolkit.

 

.5 Credits Pharmacy

4:45pm – 5:15pm

Muscle as Medicine

Skeletal muscle is an under-appreciated and under-utilized medical intervention. Lack/loss of muscle mass and sarcopenia related illness are deadly and widespread in this country, especially amongst women. The health benefits of skeletal muscle are wide, varied and well known, yet this treatment modality is rarely prescribed by Naturopathic physicians or utilized in clinical practice. Prescribing strength training should be a basic treatment guideline when addressing the root cause of several conditions. The many health, hormonal, immunological and metabolic benefits of strength training and muscle will be discussed in an evidence based fashion.

 

.5 Credits General

5:15pm – 5:45pm

Yoga in Naturopathic Practice

Naturopathic practice is the ideal primary care model to incorporate yoga-based therapies because of its emphasis on many facets of health and wellness. The philosophy and practices of yoga extend well beyond requisite stretch pants and colorful catalogs, into deeper questions regarding an individual’s relationship to self, others, and the external world. The 8 limbs of yoga provide a framework for clinical assessments of personal, mental, social and spiritual health. Clinical research supports the use of single and multiple “limbs” of yoga for clinical indications ranging from depression to cancer and diabetes. Yet, yoga and other meditative practices are not universally safe. Case reports and outcomes studies have suggested both physical and mental “harms” from yoga, including anxiety, psychosis, and impaired sleep quality. Thus, like all therapies, it is important to carefully assess a patient’s capacities and needs before universally recommending yoga-based therapies. The objectives of this presentation will be to: describe the 8 limbs of yoga as a framework for the assessment of overall wellness relevant in naturopathic practice; provide the audience with a quick reference guide to recent clinical research of yoga-based therapies; discuss potential adverse effects of yoga and how to avoid them; and finally describe the potency of a potential marriage between naturopathy and yoga-based therapies.

 

.5 Credits General

5:45pm – 6:05pm

Q&A

 

.5 Credits General

DAY 2

Friday, January 25, 2018

7:30am – 8:15am

Breakfast sponsored by Bio-Botanical Research

8:15am – 8:45am

Jodie Peacock, ND

The Scoop on Sperm

Over the past 2 decades there has also been a sharp decline in the average male sperm count as well as concerns with DNA integrity, morphology and motility. In this lecture we will explore the role of the immune system, oxidative damage and mitochondrial function and the impact of each of these systems on the health of our patient’s sperm. As Naturopathic doctors working towards prevention of disease and optimization of long-term health for patients these discussions need to happen in the preconception time. These are critical conversation to have not just with our patients who are struggling with fertility but any patients thinking about starting a family.

 

.5 Credits General

8:45am – 9:15am

Mad as a Hatter or Sick as a Dog

Can you catch mental illness? For decades we have operated under the belief that mental illness is caused by genes that change the chemical soup in our brains. The more progressive will acknowledge trauma and nutrition. But what if you could actually catch mental illness from a microbe or virus? What if you could catch it if your mom got sick when you were in utero? New research could change everything we believe about mental illness and how to treat it.

 

.5 Credits Pharmacy

9:15am – 9:45am

Alkalize or Die!...Really?!?

Whether they’re ingesting baking soda, drinking Kangen water, or eating an alkaline diet, using alkalinity as a therapeutic tool has gained immense popularity among patients, especially those with cancer. For practitioners, it can be difficult to separate alkaline fact from fiction. In reaction, many practitioners have placed it in the category of dubious approaches used to sell things to desperate people. Recent research, however, suggests that there may be a role for alkalizing therapies in the treatment of some diseases, most notably cancer, and may also effect immune surveillance. This talk will address the claims made regarding alkalinity and health, the current scientific evidence supporting or disputing these claims, and the potential applications of alkalinity in practice, including clinical pearls regarding administration, dosing, and safety.

 

.5 Credits Pharmacy

9:45am – 10:00am

Q&A

.25 Credits General

10:00am – 10:45am

Exhibit Break

10:45am – 11:15am

Gut Flora: The Key to Herbal Medicine?

Sometimes herbs don’t work, sometimes they do. When they don’t, sometimes we just say, “Huh, those herbs didn’t work,” and move on to something else. Others get frustrated and decide “herbs never work” and stop using them altogether. Mounting evidence suggests part of the reasons herbs don’t work in some people is they don’t have the proper gut flora to metabolize the plants’ constituents into bioavailable, usable forms. A review of several examples of the evidence supporting this contention is provided, along with some possible clinical solutions.

 

.5 Credits General

11:15am – 11:45am

Polypharma! How to manage medication taper plans in an integrative setting Part 2

Dr. Britta Zimmer will demonstrate medication management plans within the backdrop of an integrative inpatient therapeutic program. Case presentations will be used to exemplify the practical application of medication management techniques within the scope of Naturopathic Medical practices. At the conclusion of this presentation, participants will be able to apply practical knowledge to devising safe and successful medication management plans for patients with common mental health diagnoses. For the past ten years, Dr. Britta Zimmer has been working with an integrative team of psychiatrists and psychologists in an outdoor behavioral health program for adolescents and young adults. She will share her expertise and knowledge to discuss the management of complex mental health diagnoses among a polypharm patient population.

 

.5 Credits Pharmacy

11:45am – 12:15pm

Prolotherapy: The Needle Counts (or harnessing the Vis with a needle)

Prolotherapy is a simple and elegant natural pain solution that Naturopathic medicine should embrace more completely. While dextrose has a myriad of positive effects on tissues, it’s the needling technique itself which accounts for a good portion of the treatment therapeutics.With higher-end procedures such as PRP and stem cells becoming popular in recent years, the real impact of regenerative injection therapies can be found in simple prolotherapy technique. The bulk of a patient’s pain can be resolved with an inexpensive bottle of dextrose if applied appropriately and with skill. Without proper needling skill in a prolotherapy technique, the fancier treatments are not as comprehensive. Simply shooting juice in the join is not sufficient and these higher end therapies are not always necessary. A trial of appropriately applied dextrose prolotherapy is an affordable and elegant conservative option. As Dr. Rick Marinelli would always say, “The Needle Counts”.

 

.5 Credits Pharmacy

12:15pm – 12:35pm

Q&A

 

.5 Credits General

1:00pm – 2:00pm

Lunch

2:00pm – 4:00pm

Optional Workshop: Phranq D Tamburri, NMD

Advances in Prostate Cancer Risk Assesment

This 2 hour workshop will expand upon the “when to pull the conventional ripcord” talk to get ‘under the hood’ and explore the numerous methods to safely manage the prostate cancer and/or elevated PSA patient. Utilizing a very intuitive ‘green, yellow, red’ risk scale, Dr. Tamburri will teach common and more revolutionary prostate cancer lab tests and imaging guidelines. The naturopath can then often order and utilize these pragmatic tests to create a custom risk assessment protocol for their patient. In addition, a detailed yet approachable explanation of current prostate biopsy scoring will be taught so you can explain to your patient his true aggression level…a concept which seems so basic yet is frustratingly difficult for the physician and patient to often reconcile.

 

2 Credits General

DAY 3

Saturday, January 26, 2019

7:30am – 8:30am

Yoga Session

9:30am – 11:30am

Optional Workshop – Emily Telfair, ND

On Sitting with Pain

Before determining what therapies may best address an individual’s chronic pain, as providers we need to be asking fundamental questions such as, “What am I actually treating which is presenting as pain?” and “What is my own relationship with pain and discomfort and how will that influence my treatment decisions?” The search for the “underlying cause” is fundamental to naturopathic medicine and patients will often teach us about the true cause of their pain as they reveal their personal story which may include experiences of injury or trauma. This talk will focus on techniques to guide patients in connecting to the deeper source(s) of their chronic pain while empowering them to learn to “sit with” their pain in new ways. Practitioners will also be reminded of the vital importance of self-care, healing from personal traumas and the practice of Physician Heal Thyself as it relates to supporting individuals with chronic health conditions.

 

2 Credits Pharmacy

12:00pm – 1:00pm

Lunch

1:00pm – 1:30pm

Low Dose Immunotherapy

.5 Credits General

1:30pm – 2:00pm

Evidence, Intuition or Heuristics: Making clinical decisions

Clinical practice requires the clinician to pull from their education and the published evidence in clinical decision making, but it is possible for, or should, the clinician remove their own experiences? How do we know whether our decisions are unique to our perspectives (biases), influenced by heuristic thinking, or based on intuition? While heuristics are often regarding as illogical approaches to thinking, intuition is now understood by neuroscientists to result from complex integration of past experiences, resulting in predictive anticipatory insights into possible outcomes from un-lived experiences. The objective of this presentation is to compare and contrast heuristics from intuition in the context of clinical decision making. Mindful appraisal of clinical decision making can assist astute clinicians in separating the two!

 

.5 Credits General

2:00pm – 2:30pm

Ozone as a topical agent to heal the intestinal mucosa

This will be a lecture that takes a deep look at the option of using topical ozone rectally to induce GI lumen healing to bring out symptomatic relief as well as mucosal healing to the GI. I will speak about the MOA of ozone both internally as well as rectally, what studies have shown about using ozone rectally and what we see in clinical practice. I will discuss this safe and much underused tool in clinic.

 

.5 Credits Pharmacy

2:30pm – 2:50pm

Q&A

 

.5 Credits General

2:50pm – 3:35pm

Exhibit Break

3:35pm – 4:05pm

Beyond Brain Damage: Endocrine Sequela from Traumatic Brain Injury

Traumatic brain injury (TBI) incidence and survivorship is on the rise, leading to an increase in people suffering from post-TBI complications and post-concussion syndrome. Regardless of severity, the injury event can also damage endocrine tissue in the brain, causing downstream endocrine dysregulation in nearly half of all TBI cases. Recognition and management of the endocrine sequelae provides a possible pathway to alleviate post-TBI symptoms.

 

.5 Credits Pharmacy

4:05pm – 4:35pm

Controversies in SIBO testing and treatment

Coming Soon!

4:35pm – 5:05pm

Super Powering Patient Self Care

We have all heard of a “primary care provider” (PCP), a “health maintenance organization” (HMO) and a “health savings account”. These are all external entities that have led to the United States being #1 in health care cost, yet #17 in outcomes, worldwide. We have the power to transform these external concepts into internal ones for our patients— helping to bring them home so they can realize they are ultimately their own PCP’s, their homes are their HMO’s and they all have a built-in health savings account. The balance on that account is entirely dependent upon the deposits and withdrawals they make.

 

.5 Credits General

5:05pm – 5:35pm

Mental Health/Homeopathy

Coming Soon!

5:35pm – 5:55pm

Q&A

 

.5 Credits General

DAY 4

Sunday, January 27, 2019

8:00am – 8:30am

Exhibit Hall Breakfast

8:30am – 9:00am

Sponsored Talk, Bio Botanical Research

9:00am – 9:30am

Unexpected Reasons To Use Curcumin In Practice

With over 7,500 references to curcumin in the National Library of Medicine’s PUBMED database, interest in the diverse health applications of curcumin has never been greater. Well­ recognized for its role in cancer prevention and treatment, and its use in arthritic pain conditions, new research on curcumin has greatly expanded the number of conditions, which respond to curcumin therapy. We will look at some of the newest science on the less well known ways to incorporate curcumin into your clinical practice, as well as how to select a medicinal curcumin product.

 

.5 Credits General

9:30am – 10:00am

Immuno-oncology: What is it? What have we learned? Where is it headed?

A high-level overview of the expanding role of immuno-oncology in the treatment of cancer patients. What we all need to be aware of in caring for these patients and the many unanswered questions that need further study. Immuno-oncology represents a great opportunity for combining and observing the best of naturopathic and allopathic medicine in the care of our oncology patients.

10:00am – 10:30am

Low Dose Immunotherapy

.5 Credits Pharmacy

10:30am – 10:50am

Q&A

 

.5 Credits General

10:50am – 11:30am

Exhibit Break

11:30am – 12:00pm

Comparison of laboratory testing to work up a functional GI case

This lecture will take a deep look into the naturopathic options for funcitonal GI testing. I will compare different tests that are offered, explain the pros and cons of each technology that is used (ie. comparing cultures to PCR) as well as pros and cons of each test. Explain how we use them in clinical practice and help guide physicians into choosing which test to use.

 

.5 Credits General

12:45pm – 1:00pm

Close

2:00pm – 4:00pm

Optional Post Conference Workshop: Alena Guggenheim, ND

Workshop: Joint Hypermobility Syndrome, an advanced workshop

 

 

2 credits Pharmacy