HAWAII DOC TALKS 2020 SCHEDULE

Pre-Conference

Wednesday, January 15, 2020

2:00pm – 4:00pm

Optional Pre Conference Workshop: Paul Anderson ND

Biological Medications and Natural Therapies

In this workshop Dr. Anderson will delve into the class of medications which is the most rapidly growing in the world: “Biologics”. Understanding their pharmacology and how that can be aided by natural therapies is critical to helping safely manage patients on a biologic drug. What is safe to use with a biologic? What do I do for support if a patient has to come off the drug? What are some case examples?

2 credits Pharm

DAY 1

Thursday, January 16, 2020

8:30am – 11:30am

Optional Pre Conference Workshop: Alena Guggenheim, ND

Deep dives into the triad: Ehlers-Danlos syndrome, postural orthostatic tachycardia syndrome and mast cell activation syndrome

This two part series is designed to take participants deeply into three distinct but inter-related, chronic debilitating conditions: Ehlers-Danlos syndromes, postural orthostatic tachycardia syndrome and mast cell activation syndrome. EDS/POTS/MCAS is often referred to as “the trifecta”. Each series can be taken alone or all together. Part one will explore Ehlers-Danlos syndrome (EDS). EDS is a group of 14 genetic connective tissue disorders that cause joint hypermobility and chronic pain conditions. This lecture with help participants recognize and diagnose EDS. Participants will also learn how to recognize and refer for unique medical emergencies that can occur in this population. We will focus on postural orthostatic tachycardia (POTS) and other types of dysautonomia. We will learn the triggers and drivers of autonomic dysfunction, learn the intricacies of formal autonomic testing and build a treatment approach that incorporates both conventional and naturopathic modalities. Part two will save the best, and most complicated, for last. Mast cell activation syndrome (MCAS) is the great mimicker of many other conditions that are often labeled as functional disorders. We will learn basic mast cell biology, and learn why these cells can drive immune dysfunction, abnormal tissue growth and chronic severe multi system disease. Both conventional and naturopathic treatment modalities will be explored.

Part 1: Thursday 8:30am – 11:30am

Part 2: Saturday 8:00am – 11:00am

3 credits Pharm

11:45am – 12:45pm

Lunch sponsored by Bio-Botanical Research followed by a presentation by Karen Hubert, CNHP, NC

Karen Hubert has been in the field of natural health for over 24 years. After
healing herself from a dramatic decade long neurological illness, Karen trained as
a nutritionist and health coach with the focus on Candida, biofilm, and infections
related to chronic illness and mental health. Working as a coach for Candida
coaching websites and outreach Autism clinics, she served on a Chiropractor
Autism board to train CAs to advise families on biomedical approaches to help
recover their children with ASD. Karen is a now an educator for Bio-Botanical
Research, providing practitioners with training on clinical protocols on
Biocidin® and other formulations.

12:45pm – 1:00pm

Welcome and Opening

1:00pm – 1:30pm

Estrogen: The Discepancy in Evidence-Based Medicine

Most expert recommendations in the use of estrogen therapy, apply an evidence-based approach. Why then is there such variability and inconsistency in protocols?

 

.5 Credits Pharm

1:30pm – 2:00pm

Stress: Micro and Macro Influences as Agents of Transformation and Change

The stress response along with general adaptation syndrome impacts the nervous and endocrine systems directly and cumulatively. The intersectionality of unconscious mico and conscious macro influences and stressors and wellness disruptions results in the stress’ negative impact as it relates to the seven (7) dimensions of wellness. Our adaptation to these influences of stress plays a significant role in establishing its short and long effects on our overall health and well-being. Regardless of its influence, stress can be an effective agent of transformation and change. The differentiation between eustress and distress coupled with the powers of intention and perception provides an opportunity to make decisions that co-create positive change in our lives. By increasing our abilities to cope with stress we are decreasing adverse impacts as we expand our awareness and reality of how we avoid or alter their influences in our overall health and well-being.

 

.5 Credits General

2:00pm – 2:30pm

The Walsh Protocol: Effective Nutrient Therapies for Depression & Anxiety

“Doctor, have you ever seen a big dog pulling its owner down the street? It’s like the dog it walking its owner.” A twelve-year-old patient of mine asked me at a recent follow-up. “Yes” I replied. “That’s how I used to feel. Now, I feel like I’m walking my dog, but with my brain.” If you have patients who feel controlled by their thoughts of anxiety and depression this talk will illustrate how specific nutrients can bring peace to your patients. The practical use of simple blood and urine tests to determine phenotypic traits and nutrient imbalances can transform your practice and your patient’s lives. Come to learn more about this evidence-based approach pioneered by Dr. Bill Walsh.

 

.5 Credits 

2:30pm – 2:50pm

Panel Q&A: Kern, Johnson, Sandison

2:50pm – 3:45pm

Exhibit Break

3:45pm – 4:15pm

Gluten Free Lifestyle Counseling for the Newly Diagnosed

Most patients with celiac disease fumble through their first several months to years attempting to follow a gluten-free diet (GFD), with frequent mistakes and cross-contact with gluten. Despite the recent “gluten-free fad” obtaining accurate information on a GFD is difficult for patients and cross-contact and resultant illness is frequent and common. Navigating a world full of gluten – from relative’s homes, school lunches, college cafeterias, parties, work meetings and conferences, church communion, birthdays to barbeques – it is harrowing and dangerous for celiacs and non-celiac sensitives alike. Dealing with the emotional and mental challenge of eating gluten-free includes isolation, bullying, gluten deniers and media disrespect. Dr Shaver will navigate these treacherous waters and give insight on how practitioners can support your gluten-free patients to live healthy and emotionally balanced lives.

 

.5 Credits

4:15pm – 4:45pm

Deeper Science Moves the Needle for Naturopathic Medicine

Historically, high cost, high quality research has been relatively limited in contrast to the vast sums invested by big pharma. However in recent years, more of the funding for research on diagnostics and treatment is within the purview of naturopathic medicine. This includes regenerative medicine, chelation and IV therapies, personalized genetic medicine, specialized testing and increasingly sophisticated supplement preparations. These developments have the potential to enhance the role of naturopathic medicine in the current healthcare environment.

.5 Credits

4:45pm – 5:15pm

MS - What's new and possible in care

Multiple sclerosis is one of the more complex neurological conditions to diagnosis and manage. Symptoms can be difficult to identify and post diagnosis range from annoying to disabling. New medications are coming out every year for MS management and over 75% of MS patients report using some form of alternative/complementary/adjunctive treatment. In this 25 min talk learn from a Naturopathic doctor who has spent the past 15 years specializing in the care of MS patients.

 

.5 Credits Pharm

5:15pm – 5:45pm

Parkinson's Disease - What's New (and What's Not)

Parkinson’s Disease – the “shaking palsy” – has affected humans since ancient times. More common as one ages, the incidence is increasing as our lifespans do. What are the newest treatments available for Parkinson’s Disease? Do they work?! And most importantly, what can Naturopathic Medicine add?

 

.5 Credits General

5:45pm – 6:05pm

Q&A Panel: Shaver, Zunin, Vespignani, Bachlet

 

 

DAY 2

Friday, January 17, 2020

7:30am – 8:15am

Breakfast 

8:15am – 8:45am

Is Naturopathy Ready for Prime Time in Population Management?

Naturopathic medicine is uniquely poised to prevent disease, optimize health and provide skillful education to improve patient outcomes, quality of care and to impact global healthcare costs. How can naturopathic medicine in collaboration with an integrative clinical team contribute to Accountable Care Organizations and related institutional efforts?

 

8:45am – 9:15am

Social Justice and Naturopathic Medicine

 

 

 

9:15am – 9:45am

Prostate Cancer: The Doctor as Patient

On when an experienced ND clinician is faced with a symptom free diagnosis of prostate cancer and Gleason 7 lesion.

 

.5 Credits General

9:45am – 10:00am

Q&A Panel: Zunin, Johnson, Kern

 

10:00am – 10:45am

Exhibit Break

10:45am – 11:15am

The Ethics of Prescribing a Gluten-Free Diet

As providers, we have dietary tools to help heal our patients which include the anti-inflammatory diet, Wahl’s protocol, Keto diet, Paleo, Whole 30, AIP, GAPS, SCD, Low Fodmap, etc. Many of these diets happen to be gluten-free diets and patients are pleased when symptoms improve. However without thoroughly testing for celiac disease prior to prescribing a gluten-free diet, we may be missing our chance to diagnose the most common autoimmune condition in the US. We may be missing a core reason why our patients have a constellation of symptoms and sequellae despite our best efforts. A gluten-free diet is a medical prescription for celiac disease, and physicians are prescribing it without proper lab evidence, to our patients’ detriment. Dr Shaver will explore the salient topics within the ethics of prescribing a gluten-free diet.

 

.5 Credits General

11:15am – 11:45am

Anxiety and Depression

 

 

.5 Credits Pharmacy

11:45am – 12:15pm

Placebo Effect, Mind Body Medicine and Provider Driven Empowerment of Patients

Perhaps the placebo effect is the way for our brains to tell our body how to feel better. Improving patient labs and imaging studies does not guarantee patient endorsement of a presumed cure; providers must employ patient participation in finding resolutions. Medical care should result in improvement in patient relationships with their physician and within their community when administered through the lens of Mind Body medicine. While placebo has had a negative connotation, we will review a new ideology to effectively resolve patient perceptions of pain without opiates. We will examine the scientific use of placebo as a tool of empowerment for providers to arrange successful clinical outcomes for patients. We will empower the audience to apply clinically acceptable placebo effect, combined with patient engagement techniques and mind body medicine.

 

.5 Credits 

12:15pm – 12:45pm

Cognitive Impairment Research

The causes of cognitive impairment are numerous, varied and personal requiring a dynamic, individualized approach to treatment. To date, there is no drug that stops the progression of Alzheimer’s disease and both patients and conventional providers assume a dismal prognosis. Alzheimer’s and dementia are a quickly growing epidemic with no clear solutions. This talk will present the current research on applying Naturopathic Medicine to cognitive decline and how the approach can be applied in clinical practice to form part of the solution to a national health crisis.

 

.5 Credits 

12:45pm – 1:15pm

Q&A Panel: Shaver, Bachlet, Baum, Sandison

2:00pm – 4:00pm

B4: The Gateway Allowing Slow Ongoing Brain Deterioration and How Food Selections Fuel or Arrest It

Degradation (a Breach) of the Blood Brain Barrier (B4), has been identified as the Gateway in development of brain inflammation. Practically every clinical presentation of brain dysfunction has inflammation as the initiating and/or propagating mechanism. Tight Junctions (TJ) are complex and dynamic structures involved in several key functions of epithelial and endothelial barriers under physiological conditions as well as in pathological circumstances. TJs regulate paracellular trafficking and fluid flow from plasma to extravascular spaces between endothelial cells and epithelial cells. This function is seen in epithelial linings of the gut, lungs and brain

 

2 Credits General

DAY 3

Saturday, January 18, 2020

7:30am – 8:30am

Yoga Session

8:00am – 11:00am

Optional Workshop – Alena Guggenheim, ND

Deep dives into the triad: Ehlers-Danlos syndrome, postural orthostatic tachycardia syndrome and mast cell activation syndrome - Part 2

This two part series is designed to take participants deeply into three distinct but inter-related, chronic debilitating conditions: Ehlers-Danlos syndromes, postural orthostatic tachycardia syndrome and mast cell activation syndrome. EDS/POTS/MCAS is often referred to as “the trifecta”. Each series can be taken alone or all together. Part one will explore Ehlers-Danlos syndrome (EDS). EDS is a group of 14 genetic connective tissue disorders that cause joint hypermobility and chronic pain conditions. This lecture with help participants recognize and diagnose EDS. Participants will also learn how to recognize and refer for unique medical emergencies that can occur in this population. Part two will focus on postural orthostatic tachycardia (POTS) and other types of dysautonomia. We will learn the triggers and drivers of autonomic dysfunction, learn the intricacies of formal autonomic testing and build a treatment approach that incorporates both conventional and naturopathic modalities. Part three will save the best, and most complicated, for last. Mast cell activation syndrome (MCAS) is the great mimicker of many other conditions that are often labeled as functional disorders. We will learn basic mast cell biology, and learn why these cells can drive immune dysfunction, abnormal tissue growth and chronic severe multi system disease. Both conventional and naturopathic treatment modalities will be explored.

 

2 Credits 

12:30pm – 1:00pm

Mental Healthcare in Naturopathic Primary Care: Part 1

Major depression is the highest Disability Adjusted Life Year (DALY) risk- meaning WHO and ACA consider a patient with major depression as disabled as a quadriplegic patient. Mental health is imperative to physical health: they are married and inspiring to one another. This presentation will demonstrate effective primary care and behavioral health integration, boost understanding of current evidence-based care, explore the future of mental health care diagnostics and treatment, increase understanding of a team approach to mental health care, and review practical steps clinics and providers can take to improve clinical outcomes in the primary care setting. We will explore new therapeutic goals in mental health care including self-directed care models, pharmacogenetic test utilization, referral resources, diagnostic labs and assessment, promising nutraceutical and pharmaceutical management techniques and combination therapies.

.5 Credits Pharm

1:00pm – 1:30pm

Mental Healthcare in Naturopathic Primary Care: Part 2

Major depression is the highest Disability Adjusted Life Year (DALY) risk- meaning WHO and ACA consider a patient with major depression as disabled as a quadriplegic patient. Mental health is imperative to physical health: they are married and inspiring to one another. This presentation will demonstrate effective primary care and behavioral health integration, boost understanding of current evidence-based care, explore the future of mental health care diagnostics and treatment, increase understanding of a team approach to mental health care, and review practical steps clinics and providers can take to improve clinical outcomes in the primary care setting. We will explore new therapeutic goals in mental health care including self-directed care models, pharmacogenetic test utilization, referral resources, diagnostic labs and assessment, promising nutraceutical and pharmaceutical management techniques and combination therapies.

.5 Credits Pharm

1:30pm – 2:00pm

Naturopathic Grand Rounds-- the Singing Variety!

Naturopathic Grand Rounds: The Singing Variety One way we help our patients, is to encourage them find ways to relax, to be creative and to connect with others. Likewise, to be the best doctors and healers we can be, we need to do the same for ourselves. Come learn some basic, nature-themed musical rounds, enhance your breathing, sing with your colleagues, and make beautiful music. No experience or ability to sing required.

.5 Credits General

2:00pm – 2:15pm

Q&A Panel: Baum, Jackson, Rothenberg

 

 

2:15pm – 3:00pm

Exhibit Break

3:00pm – 3:30pm

Markings of a Butterfly

In this talk, I will outline the path I took to heal myself from lupus. I will describe basic concepts from Chinese Medicine that provided the foundation to shift my understanding of health and disease as well as all the major steps I took in order to free myself from lupus (and dialysis).

 

.5 Credits

3:30pm – 4:00pm

LDN – Uses, Tips and Clinical Pearls

LDN is an incredible augment to natural therapies in many settings. Recent data looking at its use in cancer as well as other immunological disorders underscores the potential efficacy and utility of this agent. Additionally it is becoming more and more apparent that “low dose” is not a “one size (dose) fits all” proposition. In this session Dr. Anderson will outline the clinical importance of these factors and give prescribing tips for LDN use.

.5 Credits

4:00pm – 4:30pm

The Future Is Here: How DNA Sequencing Can Lead to Improved Clinical Outcomes in Functional Disorders

Chronic functional disorders, including pain, fatigue, GI dysmotility, mood disorders, and autism are common and are very difficult to treat. These diagnostic terms are descriptive, and can result from anomalies in a variety of pathways. Whole genome sequencing is extremely powerful in terms of elucidating the involved pathways in each individual, and thus in designing effective personalized treatment. In the speaker’s clinical experience, currently well above half of cases tested have treatable findings. This talk will cover which people should be considered for testing, what tests to order, how to understand the complicated information provided, how genetic and environmental factors interact, and what difference all this might make in terms of altering management and improving outcomes. Costs have dropped markedly, and this testing is now accessible to most families. Specific examples on how genetic testing can inform on clinical decision making will be presented, including cases with dramatic clinical improvement.

 

.5 Credits General

4:30pm – 5:00pm

The role of SNPs in hormone metabolism and fertility

Single nucleotide polymorphisms (SNPs) testing is now accessible and affordable for a large percentage of patients. Interpretation and understanding the role of SNPs in hormone metabolism, methylation and fertility plays an important role in educating patients with regards to selection of pharmaceuticals, nutrients, botanicals and lifestyle modifications. We will explore the role of SNP’s involved in the methylation pathway MTHFR, MTRR etc. and their role in hormonal health and fertility. We will also discuss SNPs including CYP 1A1, CYP 1A2, CYP 1B1 and CYP 3A4 which play an important part in estrogen metabolism and phase 1 liver detoxification. Then also looking at SNPs such as GSTM1, GSTP1 and GSTT1, COMP and SOD and their role in phase 2 liver detoxification, glutathione production and ability to quench free radicals. Understanding the role of these SNPs will assist practitioners in their conversations with patients about recommendations they are making and the rationale behind it being truly individualized to their own personal genomics.

.5 credits Pharm

5:00pm – 5:20pm

Q&A Panel: Nguyen-Phuoc, Anderson, Boles, Peacock

 

 

DAY 4

Sunday, January 19, 2020

8:00am – 9:00am

Breakfast

9:00am – 9:30am

A Cure for Lupus?

Many autoimmune illnesses have no known cause and no known cure. What if the cause lies in psycho-emotional conflicts and not in the immune system’s failure to recognize self from non-self? The pathophysiology would be: emotional conflicts → disordered flow of energy → weakened immune system → attack by external pathogens → failure to clear pathogens → stealth/hidden pathogen → lingering chronic illness. If so, we need to support—and not suppress—the immune system in order to heal the body. In this talk, Dr Thi shares her healing journey, from diagnosis to “cure”, and offers first-hand observations of the many paradoxes of medicine that allowed her to solve the “cruel mystery” of lupus, solutions that are in alignment with Naturopathic Medicine philosophy and practice but are not welcomed by the Lupus Foundation of America or many of its Board Certified Rheumatologists.

.5 Credits General

9:30am – 10:00am

Endocrine disruptors: How do they impact conception and long term health

Genetics and the environment both play a significant role in complex and chronic diseases. Recent and ongoing research is pointing to the role of toxin exposures while in utero and the connection of these exposures to concerns such as diabetes, heart disease and cancers in adulthood. Environmental toxins can have a major impact on future health particularly during the development period of the epigenetic system. It is this system that controls gene expression in tissues and these alterations can then be transmitted across future generations. The health concerns posed by endocrine disrupting chemicals are wide reaching and have been linked to concerns in both female and male reproduction, breast and prostate cancer, endocrine concerns including thyroid and diabetes as well as contributing to cardiovascular concerns and obesity. Educating our patients around the vital importance of reducing their exposures especially during both preconception and conception will go a long way to minimize their risks of chronic disease. Reduction of these toxins will be critical to the long-term health of both our current patients as well as future generations.

.5 Credits General

10:00am – 10:30am

Migraine Mysteries

Migraine and chronic headaches can be difficult conditions to differentiate, diagnosis and treat effectively. Migraines also exhibit variant subtypes that could be confused with other neurological and systemic conditions. In this session ways to identify and treat complex and chronic headache conditions will be covered with specific emphasis on integrative tests and therapies that can be used in clinical practice.

.5 Credits Pharmacy

10:30am – 10:50am

Q&A Panel: Nguyen-Phuoc, Peacock, Vespignani

 

 

10:50am – 11:30am

Exhibit Break

11:30am – 12:00pm

Nutrition in Autism as Informed by the Latest Science

Metabolic disturbances, including mitochondrial dysfunction and methylation, are key pathways in autism pathogenesis. Additional important pathways include neurotransmitters (e.g. NMDA and glycine receptors), ion channels, and axonal transport. All of these pathways are amendable to nutritional interventions. The extraordinary polygenic basis of autism suggests the usage of combination products that include a large number of nutrients simultaneously targeted at many of the key pathways involved in autism pathogenesis. Specific examples on how nutritional therapies can result in clinical improvement, sometimes dramatically, will be presented.

 

.5 Credits

12:00pm – 12:30pm

Mental Healthcare in Naturopathic Primary Care: Part 3

Major depression is the highest Disability Adjusted Life Year (DALY) risk- meaning WHO and ACA consider a patient with major depression as disabled as a quadriplegic patient. Mental health is imperative to physical health: they are married and inspiring to one another. This presentation will demonstrate effective primary care and behavioral health integration, boost understanding of current evidence-based care, explore the future of mental health care diagnostics and treatment, increase understanding of a team approach to mental health care, and review practical steps clinics and providers can take to improve clinical outcomes in the primary care setting. We will explore new therapeutic goals in mental health care including self-directed care models, pharmacogenetic test utilization, referral resources, diagnostic labs and assessment, promising nutraceutical and pharmaceutical management techniques and combination therapies.

 

.5 Credits Pharm

12:30pm – 1:00pm

Chapter on Autism: A Conceptual Model for the Understanding of and Homeopathic Treatment of Autistic Spectrum Disorder

Patients presenting with autistic spectrum disorder (ASD) bring challenges and opportunities for the naturopathic doctor. Dr. Herscu presents a conceptual model for understanding ASD and for the homeopathic long-term treatment of ASD illustrated by patient examples from his case files. Having worked with hundreds of ASD children and adults since the 1980s, carrying patients over decades, informs guidelines and recommendations.

 

.5 Credits General

1:00pm – 1:15pm

Q&A Panel: Boles, Baum, Jackson, Herscu

 

 

1:15pm – 1:30pm

Session Close 

2:00pm – 4:00pm

Optional Post Conference Workshop: Rachel Klein, ND, DC, DACNB, FIBFN-CNDH

Brain Balance

This presentation will provide a hands-on approach to assessment and treatment of various conditions utilizing clinically relevant neurological findings and treatment options. Learners will leave the course with new clinically applicable skills and an enhanced understanding of how to impact the patient’s neurologic system for the greatest improvements.

2 credits 

Thanks to our premier sponsor:

REGISTER NOW!

Join us for the 5th Annual Hawaii Doc Talks
The Kahala Hotel & Resort

January 16-19, 2019

EXHIBITORS!

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

Don't Be Shy. Get In Touch.

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