HAWAII DOC TALKS 2019 SPEAKERS
Dave Allderdice, ND, FABNO
Paul Anderson, ND
Jennifer Bahr, ND
Dave Allderdice, ND, FABNO Dr. Allderdice graduated from NUNM in 2008, followed by 2 years of residency and one year on staff at Cancer Treatment Centers of America in Philadelphia, PA. He completed his board certification in naturopathic oncology in 2011 and moved back to his native Portland, OR to start private practice. In addition to building a successful integrative cancer-specific private practice, Dr. Allderdice is also a former OncANP board member, directs an oncology residency, sits on the OncANP residency committee, and teaches a class on integrative oncology research at Helfgott Research Institute at NUNM. Dr. Allderdice has been fasting periodically for his own health since 2004 and implemented guided fasts into his practice 5 years ago.
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.
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.
Dr. Paul S Anderson is CEO of the Anderson Medical Group which includes Advanced Medical Therapies, a state of the art medical center providing fully compliant IV, Hyperbaric and Mild Hyperthermia therapies and a medical education company Consult Dr. Anderson. He brings over four decades of medical training and experience together to allow his clinical and educational presence to grow and serve patients and physicians in the best way possible. He is a well-known continuing education presenter and author in the allopathic, naturopathic, acupuncture and nursing CME arenas. His areas of specialty are in complex clinical medicine, intravenous and injection medicine, oncology and genomics. He is co-author of the Hay House book “Outside the Box Cancer Therapies” a guide for patients, families and physicians. Dr. Anderson is former Chief of IV (intravenous therapy) Services for Bastyr Oncology Research Center and a past Professor at Bastyr University where he continues to consult in research design and holds the rank of Full Professor. He is a graduate of the National University of Natural Medicine in Portland, Oregon and began instructing classes at naturopathic medical schools in the early 1990’s. He is extending his medical education mission through the Anderson Medical Group CE site ‘ConsultDrA.com’ a web based educational platform.
IV Therapy Update
Dr. Anderson’s favorite customizations using specific amino acids and other nutrients for individualized IV therapies. Ever want to know how to add (or subtract) specific nutrients from an IV formula to customize it effectively? Dr. Anderson will give tips and dosing adjustments for conditions such as anxiety, muscle spasms, pain, adrenal imbalances and many more. The dosing and use of common vitamins, minerals and amino acids will be discussed specifically in this setting.
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.
Dr. Jennifer Bahr, ND, is a naturopathic doctor located in San Diego, CA. Dr. Bahr is the founder of Resilience Naturopathic, a center for the natural and integrative treatment of psychiatric conditions. She completed her Doctor of Naturopathic Medicine degree at Southwest College of Naturopathic Medicine in Tempe, AZ and her naturopathic psychiatric residency in a private clinic setting in Santa Cruz, CA. She previously served as didactic and clinical adjunct faculty at Bastyr University California. She is the immediate past president of the California Naturopathic Doctors Association and was the founding Vice President of the Psychiatric Association of Naturopathic Physicians.
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.
Ryan Bradley, ND, MPH
Jill Crista, ND
Alena Guggenheim, ND
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.
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!
Dr. Jill Crista is the author of Break The Mold, 5 Tools To Conquer Mold And Take Back Your Health, a book for mold-sickness sufferers. She’s a nationally recognized educator on illnesses associated with mold and mycotoxin exposure. She was inspired by her “difficult” patients to seek out the truth behind their unyielding symptoms. Mold was often the invisible cause. After an exhaustive review of the literature, she developed a unique treatment approach which built research findings onto the foundations of her naturopathic education and philosophies. She’s been managing mold and mycotoxin-ill patients for over a decade, and feels compelled to share what she’s learned.
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.
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.
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.
Workshop: Joint Hypermobility Syndrome, an advanced workshop
Joshua Goldenberg, ND
Dr. Ilana Gurevich ND LAc
Holly Lucille, ND,RN
Dr. Goldenberg is a researcher, teacher, and naturopathic doctor. He is passionate about the interplay of evidence and clinical practice. He is an active researcher with numerous publications in high impact scientific journals such as JAMA, Annals of Internal Medicine and The Cochrane Library. His research focus includes IBS, probiotics, evidence-informed practice, and research methodology. He is currently Research Investigator at the Bastyr University Research Institute and Visiting Research Scholar at the University of Technology Sydney. He has presented nationally and internationally on evidence-based medicine as well as probiotics and research methodology. His probiotics work has been highlighted by the BBC, The New York Times, The Seattle Times, Prevention Magazine, and Fox News. Dr. Goldenberg is a passionate educator and currently is faculty for the Academy of Integrative Health and Medicine’s Interprofessional Fellowship in Integrative Health and Medicine, where he teaches critical evaluation of the literature and evidence-informed practice.
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.
Controversies in SIBO testing and treatment
Dr. Gurevich is a naturopathic physician and acupuncturist who graduated from the National University of Natural Medicine in 2007 and 2008. She is currently co-owner of two large integrative medical clinics, one in northwest Portland and one in northeast Portland. She runs a very busy private practice specializing in treating inflammatory bowel disease as well as IBS/SIBO and functional GI disorders. She lectures extensively and teaches about both conventional and natural treatments for inflammatory bowel disease as well as SIBO. She is one of the foremost experts on the intersection of IBD and IBS and how treating one resolves the other. Dr. Gurevich also acts as a mentor in the naturopathic community educating about GI disorders. She supervises residents and consults with physicians about their most difficult GI cases. Dr. Gurevich was nominated as one of Portland Top Docs by the Portland Monthly in both 2014 and 2016.
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.
Comparison of laboratory testing to work up a functional GI case
This lecture would 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.
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.
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.
Tyna Moore, ND, DC
Phranq Tamburri, NMD
Emily Telfair, ND
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”.
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.
Dr. Tamburri graduated from Penn State, Kansai Gaidai in Japan, then from SCNM followed by his residency and chief residency in 2002. Harnessing his prior surgical allopathic training, Dr. Tamburri finished his residency and integrative training with Mayo Clinic urologists in Scottsdale, Arizona. He is medical director of Prostate Second Opinions located in Phoenix, Scottsdale, and Seattle. Dr. Tamburri specializes in determining when a biopsy or eventual conventional treatment options are eventually necessary for the educated but surgically-averse naturopathic patient.
Workshop: Advances in Prostate Cancer (CaP) 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.
Emily Telfair, ND graduated from Bastyr University and now practices in Baltimore, Maryland where she supports adults and children with chronic health concerns using traditional naturopathic modalities and cranio-sacral therapy. She is past president of the Maryland Naturopathic Doctors Association and currently serves as chair of the State Alliance Committee through the American Association of Naturopathic Physicians. Dr. Telfair is past recipient of the AANP President’s Award for her leadership in the passage of legislation to license naturopathic doctors in Maryland. Through her own journey of practicing mindfulness and self-care, Dr. Telfair has come to appreciate the deep-acting nature of some of the simplest healing tools available to naturopathic doctors.
Workshop: 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 workshop 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.
Ty Vincent, MD
Eric Yarnell, ND, RH(AHG)
Britta Zimmer, ND
Dr. Ty Vincent, MD is an integrative physician who began practice in 2005 in Wasilla, Alaska where he had a large multidisciplinary integrative clinic. He completed medical school through the University of Washington, and a residency in family medicine in Anchorage, Alaska. Dr. Vincent has gained additional training in acupuncture, Chinese medicine, environmental medicine, allergy and immunology, bio-identical hormone therapy, chelation therapy, hyperbaric medicine, integrative cancer therapy, Reiki and nutritional medicine.
Dr. Vincent has lectured nationally many times on the subjects of bio-identical hormone therapies, vitamin D, and Low Dose Immunotherapy. In 2014, Dr. Vincent developed immune therapy techniques for treating chronic Lyme disease, autism, and a large number of autoimmune diseases with a high degree of success and safety.
Dr. Vincent is married with eight children and currently resides in Kailua-Kona, Hawaii. He works from home, helping chronically ill people around the world via telemedicine consultation, and sending Low Dose Immunotherapy to their homes.
Low Dose Immunotherapy
Autologous LDI for Autoimmune and Inflammatory Diseases
Autoimmune inflammatory conditions are typically due to an immune attack against some microorganism within the body’s ecosystem. The technique of Autologous LDI uses bodily fluids, tissues, or other samples to obtain the microbial trigger; and that sample is then diluted and filtered for sterility for use as an immunotherapy treatment. This talk will discuss these issues conceptually and provide multiple examples of common autoimmune conditions and what samples can effectively be used to treat them.
Eric Yarnell, ND, RH(AHG) (Bastyr ’96) is full professor in the department of botanical medicine at Bastyr University. He is the former chair of botanical medicine at the Southwest College of Naturopathic Medicine. He is author of Natural Approach to Urology 2nd ed, Natural Approach to Prostate Conditions 2nd ed, Natural Approach to Gastroenterology 2nd ed, and many other textbooks and articles. He is president of Heron Botanicals and chief creative officer of Wild Brilliance Press.
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.
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.
Dr. Britta Zimmer is a licensed Naturopathic Physician, receiving her BA from the University of Virginia and ND from the National College of Naturopathic Medicine in Portland, Oregon. Dr. Zimmer completed a comprehensive Naturopathic Family Practice Residency in Portland, Oregon which included extensive work at Outside In, a community clinic providing health care for at risk youth. Before moving to Hawaii, Dr. Zimmer, was part of a group practice in Portland, Oregon specializing in general family practice medicine, women’s health, and adolescent health care. Dr. Britta Zimmer has been the Medical Director of Pacific Quest since 2008. Pacific Quest is a sub-acute behavioral health program for adolescents and young adults. Pacific Quest is unique for employing four NDs as their primary care physicians while using a naturopathic model, horticulture therapy and multidisciplinary therapeutic modalities in an outdoor setting. Dr. Britta Zimmer leads Pacific Quest’s integrative medical team in psychiatric and naturopathic medical care. In early 2008, Dr. Zimmer launched Pacific Quest’s wellness program. Over the past 10 years the integrative team has grown to include; two psychiatrists, four NDs, RNs, and medical assistants. Pacific Quest leads the industry in integrative medical care providing integrative medicine, a strong nutritional program, horticulture therapy, and psychiatric management.
Polypharma! How to manage medication taper plans in an integrative setting Part 1 & 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.
Prokinetics for Digestive Symptoms and Disorders
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.
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