HAWAII DOC TALKS 2022 SCHEDULE

DAY 1

Thursday, February 10, 2022

9:00am – 11:00am

Optional Pre Conference Workshop: Jaclyn Chasse, ND

Clinical Algorithms for Naturopathic Fertility

IJoin us in this INTERACTIVE workshop geared to prepare you for confidence & competence in a naturopathic approach to infertility, whether you are a seasoned practitioner or new to the fertility specialty. This presentation follows the path(s) you will take your patient down- starting with the first visit & initial lab workup, moving into more complex conventional and functional testing options, through the most common diagnoses you’ll see, and into treatment plans you can put into practice on Monday. Less time in this presentation will be sharing “about” the condition- our sole focus is what is ACTIONABLE on Monday morning. Walk away with lab interpretation guides, template treatment plans, clinical decision-making algorithms, actual case experience and more.

2 credits Pharm

11:30am

Lunch sponsored by Bio-Botanical Research

12:00pm – 12:15pm

Welcome and Opening

12:15pm – 12:45pm

Watch Your Mouth! Systemic Implications of Oral Health

Did you know that the oral microbiome sets the stage for the rest of the body? Join Dr. Strand as she explores the latest research regarding the importance of microbial balance in the mouth. Oral health is often overlooked in clinical practice, but affects over half of the adult population in the US. Research show that the microbes in the mouth can have multi-system implications, including influencing inflammation, gastrointestinal, pulmonary, neurological and dermatological conditions. Dr. Strand will cover pilot research showing the efficacy of botanicals to restore balance to the oral and gastrointestinal microbiome, providing a simple to treat therapeutic target with potentially far reaching consequences.

 

.5 Credits Pharm

12:45 – 1:15

PCOS – how are you treating it?

Polycystic ovarian syndrome is the most commonly diagnosed endocrine disorder in women of reproductive age. PCOS can cause significant symptoms and distress for women during their reproductive years. The hormonal dysregulation that accompanies the diagnosis can be regulated with well researched lifestyle, dietary and nutritional changes. Often patients will be recommended oral contraceptives from a young age without their diagnosis being properly explained. Let’s change that conversation and empower women to take action to help regulate the endocrine system to optimize their hormonal balance and future fertility.

 

.5 Credits Pharm

1:15pm – 1:45pm

Sleep: A narrative review of clinical interventions for sleep
We learn to appreciate the value of sleep when we develop a sleep disorder and our lovely restful sleep is gone. The purpose of this presentation is to discuss clinical interventions for sleep disorders such as insomnia and frequent waking. Sleep hygiene will be briefly discussed. Interventions will include magnesium, bergamot, glycine, phosphatidylserine, GABA, theanine, chamomile and others.

 

.5 Credits General

1:45pm – 2:15pm

Deep Sleep and its Role in Patient Health Outcomes
Discussion on the latest research regarding lifestyle, diet, exercise, herbal and nutrient supplementation, hydrotherapy techniques, and even novel pharmaceutical medication that have been shown to promote improvements in sleep architecture, specifically the restorative phases of deep sleep. Some time will also be dedicated to investigating the practices known to decrease restorative sleep. We will also focus on the various wearable tools used to biohack the sleep experience and give us the data points in which we can coach our patients on achieving improvements in their sleep phases.

 

.5 Credits 

2:15pm – 2:45pm

Panel Q&A: Strand, Peacock, Dugoua, Coles

2:45pm – 3:15pm

Exhibit Break

3:15pm – 3:45pm

Dismantling ableism in medicine: identifying our gaslighting tendencies to help ourselves and our patients
Physicians inadvertently perpetuate and cause harm within the therapeutic doctor patient relationship through many types of bias. Racism, classism, ageism, sizeism, sexism and ableism are each present within all of us, and each deserves it’s own dismantling process. This talk will help us recognize ableism within ourselves as physicians, and the insidious ways in which this impacts our patients. First we must acknowledge that we all hold able-bodiedness as the default experience of humans. Medical school taught us that “healthy” is “normal”, and “unhealthy” is “abnormal”. Our culture has simultaneously taught us that if we have bias we are “bad” and if we don’t, we are “good”. Together we can start to dismantle this binary system that holds us separate from ourselves and our patients. We will explore examples of able-bodied privilege, and patient impacts when our privilege impacts our care.

.5 Credits 

3:45pm – 4:15pm

Stand & Deliver to Promote Naturopathic Medicine Pt 1
As a tool for communicating with patients and other doctors, as a mode for self-reflection and expression and as an essential component in the world of naturopathic medicine advocacy, writing is a key skill to nurture and develop. Dr. Rothenberg will share her distillation of the most essential elements, with practical, you-can-use-tomorrow advice and resources.

 

.5 Credits

4:15pm – 4:45pm

Peptide Therapy Introduction and overview
Within the integrated medical professional paradigms there is an emphasis on Individualized Care and Personalized Medicine. This approach is extremely valuable from a diagnostic perspective, as well as for addressing the root causes of disease, however is also highly variable in respect to implementation as evidenced by discrepancies between providers and the sheer volume of supplements and herbals available.
This lecture will make a case for the implementation of “Flexible Standardized Protocols” to address issues, using examples of common disorders such as SIBO. Many examples of this exist in our community already but tend to be
focused on things such as Mold or Lyme. Many of our more well known faculty teach protocols at various conferences yet widespread implementation is still minimal. The Biomedical and Functional medicine community has gained larger
traction by utilizing this concept, thought the majority of treatments are derived from the Naturopathic model.
In an environment that demands increasing evidence standardized protocols for our community provide a way to improve outcomes, measure data/evidence and increase patient compliance.

.5 Credits

4:45pm – 5:15pm

Diarrhea Solutions: Diagnosing and treating bile acid diarrhea
Talk centering around diagnosing and treating bile acid diarrhea (BAD). Discussion of presentation, underlying causes, testing and treatment available for this condition. We will go into depth about how to rule in or out this condition. We will discuss pharmaceutical treatments as well as natural agents to treat. We will discuss what testing is available and how much efficacy it has as well as amount of validation. Also, we will discuss using a variety of nutraceuticals options for treatment and pros and cons of different treatments.

 

.5 Credits Pharm

5:15pm – 5:45pm

Q&A Panel: Guggenheim, Rothenberg, Kleronomos, Gurevich

 

 

6:30pm

Beach Picnic Family Dinner

DAY 2

Friday, February 11, 2022

7:30am – 8:15am

Breakfast 

8:15am – 8:45am

Marco Vespignani, ND

What a headache!

 

The differential diagnosis of complex headache syndromes can be difficult. In this talk the speaker will review his 15 year experience with clinical management of headaches. Red flags, clinical pearls, referral strategies to help primary care providers with the evaluation and management of headache.

 

8:45am – 9:15am

Drug “Black Box” warnings: A refresher in prescribing vigilance
Black box warnings are the strictest labeling requirements that the Food and Drug Administration (FDA) can mandate for prescription drugs. One study found that within a 30-month period, more than 40% of patients within an ambulatory care setting received at least 1 medication that carried a black box warning for a serious adverse drug reaction that could potentially affect them.

The purpose of this presentation is to review common drugs with black box warnings, their adverse effects, risks and contraindications.

 

9:15am – 9:45am

9:45am – 10:15am

Smoking Cessation

10:15am – 10:45am

Q&A Panel:Vespignani, Dugoua, Guggenheim, Kleronomos

 

10:45am – 11:15am

Exhibit Break

11:15am – 11:45am

How Bile, Intestinal Epithelium and the Microbiota Control Homeostasis

 

.5 Credits General

11:45am – 12:15pm

Diarrhea solutions: Treating exocrine pancreas insufficiency as an underlying cause

 

Talk centering around diagnosing and treating exocrine pancreas insufficiency (EPI). Discussion of presentation, underlying causes, testing and treatment. We will go into depth about how to rule in or out this condition. We will discuss pharmaceutical treatments as well as natural agents to treat. What testing is available and how much efficacy does it have. Also we will discuss using vegetarian verse animal based enzymes for treatment as well as prognosis of care.

 

.5 Credits Pharmacy

12:15pm – 12:45pm

The World of Fasting Mimicking Diets – A Practitioner’s Report on FMD Clinical Pearls
This talk will focus on the use of fasting mimicking diets in general naturopathic practice. You will learn what a fasting mimicking diet entails and the research behind it. We will discuss how to incorporate it in a wide variety of different cases and how to maximize patient outcomes with it. I will share data collection from my own practice with FMD and clinical pearls from using it in over 100 different cases.

 

.5 Credits 

12:45pm – 1:15pm

Bee Venom Therapy (BVT): Mechanism and Overview for Clinical Application in Chronic Pain, and Complex Disorders
Chronic Pain is an increasing problem with significant impact on both patients and the medical system. There are also significant concerns regarding safety of many interventions and the overall efficacy of typical therapy for many complex disorders is limited.
This lecture will introduce a novel therapy rooting in Traditional use that has significant emerging data to support it as an effective therapy for recalcitrant pain conditions as well as its potential use on a variety of chronic diseases such as autoimmunity, neurodegeneration and chronic infection. The lecture will serve as an introduction to the therapeutic application of BVT in a clinical setting and reviews in detail the pharmacologic, pharmacokinetic and dynamic mechanisms of constituents, as well as the extrapolated models of pain signaling such as DNIC, gating and modulation of fos expression.
Currently there is rationale for the therapeutic use of venoms as evidenced by several pharmaceuticals such as ziconotide (Prialt), which supports the long history of use and empirical reports.
It will discuss the framework for diagnostic application and outline basic testing and treatment protocols. We will review the current state of science, and extrapolated rationale for more advanced use as suggested by current research. We will discuss both “live” application and injectable delivery reviewing the pros/cons of each and how best to integrate into an integrated treatment plan.

 

.5 Credits 

1:15pm – 1:45pm

Q&A Panel: Sandberg-Lewis, Gurevich, Coles, Kleronomos

2:30pm – 4:30pm

Workshop
This presentation will explore the use of functional neurologic rehabilitation and physical medicine applications in the treatment of nocturnal enuresis in a pediatric patient. Applications for related attention deficit disorders will also be discussed. You will leave this presentation with new treatments to apply on Monday!

 

2 Credits General

DAY 3

Saturday, February 12, 2022

7:30am – 8:30am

Yoga Session

8:00am – 11:00am

Optional Workshop – Dr. Misha Kleronomos, PsyD

The Psychology of Pain

 

2 Credits 

11:30am 

Lunch sponsored by Microbiome Labs

12:00 – 12:30pm

Kiran Krishnan
The Microbiome Control of Immune Response

It is estimated that over 80% of our immune tissue is found in the gastrointestinal tract. This same space is occupied by over 40 trillion microorganisms, practically from the day we are born. Overwhelming scientific evidence illustrates the critical role these microbes play in both the function and dysfunction of the immune system. Microbiome initiated immunological dysregulation is a primary cause of many non-infectious diseases such as autoimmunity, allergies, asthma and cancer. This talk will discuss the role of the microbiome in the development and function of the adaptive and innate immune system and their ability to respond to challenge. The talk will also focus on the key molecular pathways that mediate the host-microbiome interactions that regulate daily and homeostatic immune function. The talk will cover the types of microbiome disruptions that lead to immunological dysregulation and an inability to mount an effective response. We will also discuss the role of the microbiome in the recovery from infection and the resulting tissue damage. Finally, we will discuss some potential microbiome targeted, therapeutic approaches to improve immune function and reduce the risk for dysregulation. 

12:30pm – 1:00pm

The Soul Has Bandaged Moments*: Causation of Mental and Emotional Symptoms Informs Treatment & Prognosis
What is the meaning of mental/emotional symptoms in our patients?
Often as patients become more ill, behavioral, emotional and cognitive symptoms arise. Sometimes it’s heath or lifestyles habits that play a role, sometime patients are impacted by external stressors, sometimes physical illness leads to worsening mental states. Dr. Herscu will speak about the role of mental symptoms in patient care and how to understand etiology, purpose and prognosis.

.5 Credits Pharm

1:00pm – 1:30pm

Bouncing Back From Brain Injury

.5 Credits Pharm

1:30pm – 2:00pm

Mining the CBC for Clinical Pearls – the Indices and Ratios that Reveal Homeostasis
The inexpensive CBC+ diff is a treasure house of information, but most physicians only the gross counts, missing a great deal of what it reveals about homeostasis. Clinicians know that blood counts in the “normal range” do not always not equal good health. We do not want to over-treat phantom problems, but also do not necessarily want to wait until the bottom falls out of the bucket, when heroic measures may be required. Here we will explore the nuances of the ratios between blood cells and how they show the early onset of disease, and offer a quick and easy way of monitoring progress. Some of the lesser used values such as platelet cell volume will also be updated.

.5 Credits General

2:00pm – 2:15pm

Q&A Panel: Krishnan, Herscu, Vespignani, McKinney

2:15pm – 3:00pm

Exhibit Break

3:00pm – 3:15pm

Sponsor Message

3:15pm – 3:45pm

Cancer Stem Cell Research: Application in Clinical Practice Pt 1
Whether practitioners have had additional post graduate training in oncology or not, we all see patients who are going through conventional cancer treatments. How can we, as practitioners, have best practice to support our patient’s best outcomes? Part of it, of course, is continuing to recommend proper diets and lifestyle measures – still two of the best preventative measures of cancer. But it also requires being open to new discoveries that botanicals – possibly more than conventional drugs – can target chemo-resistant cancer stem cells that spark recurring metastasis. Even when patients respond well to conventional treatment, cancer stem cells can instigate return of tumors even more aggressive than the original condition. However, recent leading-edge research of botanical extracts and their actions on cancer stem cells may provide patients and practitioners alike with better – and truly effective – integrative treatment options. Learning objectives: 1. Participants will learn about the persistence of cancer via stem cell reactivation. 2. Participants will learn how specific botanical extracts can work with chemotherapy drugs and conventional treatment. 3. Participants will have a better understanding of why the specific traits of botanical extracts are necessary for integrative cancer treatment to be successful.

 

.5 Credits

3:45pm – 4:15pm

Stand & Deliver to Promote Naturopathic Medicine Pt 2
Dr. Rothenberg will delineate the major “dos and don’ts” and share practical advice, from both her successes and failures, derived from decades of public speaking for lay audiences, colleagues, in business settings and the legislative arena. Don’t miss her cheat- sheet to help you give the best talk you can according to your temperament and style.

.5 Credits

4:15pm – 4:45pm

History: Critical in both medicine and health equity.
As practitioners, we understand that taking a thorough history during a patient visit is critical if we are to develop a treatment that is appropriate and effective. The investigative approach taken in a clinical encounter is the same that is needed when working toward health equity. If we are to create equity in health we must understand what the obstacles have been and the vestiges of history that continue to impede our progress.

 

.5 Credits General

4:45pm – 5:15pm

Panel Discussion: Health Disparities

.5 credits Pharm

5:00pm – 5:20pm

Q&A Panel: Lucille, Rothenberg, Panel

 

 

DAY 4

Sunday, February 13, 2022

8:00am – 8:45am

Breakfast

8:45am – 9:15am
How to Order and Interpret GI Imaging to Get the Case Solving Information

I see many patients that suffer from chronic digestive problems, have have extensive diagnostic workups and still either have no definitive diagnosis and, because of that, no effective treatment. I find it is often highly enlightening and often diagnostic to send for and study any esophagoduodenoscopy (EGD) and colonoscopy reports as well as biopsy reports. These will often will reveal essential information. I find a major pitfall is relying on patient recall for these details. 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 and some key things to consider in treatment. I will focus on how and why to order an esophagogastroduodenoscopy (EGD), conditions typically assessed by EGD/biopsy; how to order and key points to interpretation of a gastric emptying study, HIDA scan and colonoscopy with biopsy. Don’t ignore essential details hidden in the workup that can make all the difference for your patient’s outcome!

9:15am – 9:45am

Compounds for Chronic Sinusitis
During this talk I will discuss treatment options for chronic sinusitis. I will discuss when to choose oral antibiotics and options for nasal spray and sinus irrigation treatments. I will discuss various formulations and the mechanism of actions of the drugs in the formulations.

.5 Credits General

9:45am – 10:15am
Cancer Stem Cell Research: Application in Clinical Practice Pt 2

.5 Credits Pharmacy

10:15am – 10:45am

Q&A Panel: Sandberg-Lewis, Rosenberg, Lucille

10:45am – 11:15am

Exhibit Break

11:15am – 12:00pm

Managing Cancer Stem Cells
Cancer cells can transition to mesenchymal-like cells with “stemness”. Stem cells can be corrupted into tumorigenic cells. Malignant stem cells can invade, metastasize, colonize and reproduce infinitely. They can also go dormant and survive chemotherapy, radiation and other anticancer efforts. They are the primary cause of cancer treatment failure, relapse, spread, morbidity and mortality. There are many possible biochemical targets to manage cancer stem cells, which open up a variety of possible therapeutics. These will be explored, prioritized, and summarized to practical actions that have clinical efficacy.

 

.5 Credits

12:00pm – 12:30pm

You've made a statement, now what?
In the wake of global civil unrest, numerous organizations and institutions published statements of solidarity. Many in the integrative health realm, have pledged to take a deep and critical look at themselves in an effort to begin a journey of organizational and institutional transformation. The sentiment is admirable but what does this process actually entail? What systems need to be in place in order to move your institution/organization forward on this path?

 

.5 Credits Pharm

12:30pm – 1:00pm

Good Anxiety: The Five Ps to Combat Anxiety

 

.5 Credits General

1:00pm – 1:30pm

Native Hawaiian Concepts of Wellbeing

 

The indigenous people of Hawaiʻi (Kānaka Maoli) have a rich history of holistic wellbeing. There is much strength to be gained from the enduring values and wisdom of Hawaiian ancestors. It is upon this foundation that we can stand firmly and collaboratively create innovative solutions to systemic problems affecting the wellbeing of individuals, families, communities and beyond. This presentation will share a framework of wellness that overlaps with and expands upon naturopathic concepts of wellbeing with a focus on self care, ʻohana (family) care and community care.

.5 Credits General

1:30pm – 1:45pm

Q&A Panel: McKinney, McCrter, Kleronomos, Opunui

2:30pm – 4:30pm

Optional Post Conference Workshop

2 credits 

Thanks to our premier sponsor:

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Join us for Hawaii Doc Talks
The Hyatt Regency Maui
February 10 – 13, 2022

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