HAWAII DOC TALKS 2023 SCHEDULE

DAY 1

Thursday, January 12, 2023

9:30am – 11:30am

Pre-conference Workshop

Melissa Barber, ND, MSc, E-RYT

Publishing from the Front Lines of Naturopathic Care Delivery

Attendees will be guided through the writing and publication process of case reports, case series, and/or retrospective chart reviews. The presenter will offer special considerations about data collection, research reporting guidelines, journal selection, and provide examples of different publications. This workshop will increase your confidence to publish your own work. Come with patient cases you would like to publish!

1:30 – 2:00pm

Welcome – Michael Traub, ND and Corinne Maul De Soto, ND

Opening Blessing

2:00pm – 2:30pm

Alena Guggenheim, ND

Taking the judgement and shame out of therapeutic diet recommendations

2:30 – 3:00pm

Ryan Bradley, ND, MPH

LPS, LDL, and PCSK-9…Oh my!!

Proprotein convertase subtilisin/kexin type 9 (PCSK9) is an enzyme that regulates the expression of the LDL receptor, thereby affecting circulating LDL concentration. PCSK-9 inhibition is the target of a relatively new class of injectable, antibody-based LDL-lowering drugs, that lower LDL well below what is possible from statin therapy alone. These drugs prevent cardiovascular events and reduce cardiovascular death. However, the endogenous regulation of PCSK-9 isn’t often discussed and involves and interaction between the gut microbiota, liver function, and gut permeability. This presentation will review the pharmacology of PCSK-9 inhibitors including recent clinical trials, highlight a conceptual model of PCSK-9 inhibition via altering the microbiota and gut permeability, and highlight emerging evidence on natural PCSK-9 inhibitors.

3:00 – 3:30pm

Landon Opunui, ND

The Smokescreen of Menthol & Melanin: An Intersection of Social Justice and Public Health

Commercial tobacco use remains the leading cause of avoidable premature disease, disability and death. Menthol in tobacco products is documented to increase initiation, increase addiction and decrease quitting collectively leading to increased health disparities. Menthol tobacco products are disproportionately marketed by the tobacco industry to marginalized BIPOC communities and thus have higher rates of use relative to other populations. Stress promotes melanogenesis and nicotine has a stronger affinity for tissues containing melanin creating the perfect storm for greater dependence that is being exploited by the systematic targeting of big tobacco. The commercial tobacco endgame is now a public health and social justice crisis.

.5 Credits General

3:30 – 4:00pm

Panel Q&A with Drs. Guggenheim, Bradley, Opunui

4:00 – 4:30pm

Exhibit Break

4:30 – 5:00pm

John Neustadt, ND

Reverse Osteoporosis and Reduce Fracture Risk with a Whole-Person Approach

Almost 53 million Americans have osteoporosis are at risk due to low bone mineral density (BMD). Too often people focus solely on their bone density. They falsely believe that treating this test number adequately protects them. Learn about the benefits and risk of this flawed approach, how you can use bone density tests and the myths surrounding them to open conversation with your patients, empower them to take more responsibility for their health and reduce fracture risk. During his talk, you’ll also learn how a toothbrush, a stork and four minutes a day may just save your patient’s life.

5:00 – 5:30pm

Jen Riegle, ND

Community Engagement as a Route to Professional Fulfillment

Physician burnout is one of the biggest problems our medical providers are facing today. We all know to take more rest, work less hours, and that our medical system needs to be improved in many ways. At HDT this year, I will share with you how I have seen community engagement reduce professional burnout for Naturopathic Doctors including myself and other integrative health professionals by offering connection, inspiration, and a sense of giving back to the community.

5:30 – 6:00pm

Q&A Panel: Sandberg-Lewis, C. Kleronomos

 

 

DAY 2

Friday, January 13, 2023

8:00am

Breakfast & Exhibit Showcase

8:30 – 9:00am

Landon Opunui, ND

Restoring Health Through Soil: An Indigenous Perspective

 

To take care of the macro, we must take care of the micro. Native Hawaiians and indigeous peoples developed a symbiotic relationship and reverence with soil. The health of the land we live on and grow our food in has a strong influence on human health. Despite significant impact of modern industrial agriculture practices on environmental and human health, we can learn to restore health through soil by the guiding principles of our ancestors.

9:00 – 9:30am

Ryan Bradley, ND, MPH

Getting to the Heart of Cannabis

Cannabis sativa is a potent herbal medicine, with numerous potentially beneficial applications in clinical care. Yet, with increasing medical and recreational access to Cannabis, some concerns are increasing related to its cardiovascular health effects. Increasing epidemiologic evidence suggests Cannabis use is associated with arrhythmia, myocardial infarction, and premature cardiovascular mortality. This presentation will summarize the state of the science related to the cardiovascular health effects of Cannabis, including potential mechanisms directly related to cannabinoid receptor function, and not type of administration.

9:30 – 10:00am

John Neustadt, ND

Physical Exam, Labs and Medical Devices for Evaluating and Managing Osteoporosis

Primary care providers are the healthcare practitioners who most commonly screen eligible patients for osteoporosis. Understanding the clinical presentation, laboratory and medical devices that you can use to screen and manage patients is an important clinical skill. Unfortunately, when it comes to osteoporosis, most primary care docs don’t feel well prepared to diagnose or manage these patients. This is where naturopathic doctors can shine.

10:00 – 10:30

Q&A Panel with Drs Opunui, Bradley & Neustadt

 

10:30 – 11:00am

Exhibit Break

11:00 – 11:30

Britta Zimmer, ND; Camille Bourcier, LCSW

Neurodiverse and Distracted: Undiagnosed ASD, NVLD, and ADHD Collide

This presentation will discuss 3 common neurodiverse diagnoses; ASD, NVLD, and ADHD. One out of 44 children is diagnosed with Autism Spectrum Disorder in the United States alone. Nonverbal Learning Disorders are becoming as prevalent as Dyslexia. The diagnosis and treatment of ADHD has been a controversial topic for decades now, the adult rate has doubled in the past decade. Due to these statistics and high prevalence of these disorders, they are becoming regarded as normal brain variations and a part of the neurodiversity of brains. Recognizing the common presentation, complex management, and integrative treatment of people with neurodiversity has become a necessary cornerstone to mental health practices. In this presentation, Britta Zimmer, ND and Camille Bourcier, LCSW will describe, via case vignettes, how they approach the commonalities as well as the differentiation of these neurodiverse presentations in their patient population. Their therapeutic, psychodynamic, nutritional, and pharmaceutical approach will be discussed in the context of these neurodiverse diagnoses.

11:30 – 12:00

Jennifer Means, ND LAc

Workshop Intro

12:00 – 12:30pm

Mark Davis, ND

Helminthic Therapy Update – what new research tells us about these Old Friends

12:30 – 1:00pm

Q&A Panel with Drs Guggenheim, Means and Davis

2:30 – 4:30pm

Optional Workshop: Dr. Misha Kleronomos, PsyD

Workshop: Mental Health Diagnosis and Prescribing for Physicians

Doctors in primary care, and those who treat chronic conditions are often the first line of diagnosis and prescribing for patients in need of mental health care. As a psychologist, I have found that there are missing components and common errors made by doctors due to lack of training in DSM criteria, complex mental health challenges, and overlapping, correlated, and similar diagnoses which can result in unnecessary, inappropriate or inaccurate medications or polypharmacy. The intention of this talk is to teach about the major mental health diagnoses being made by physicians, the common mistakes in prescribing psychotropics, and to provide some tools and information that will improve the titration of mental health care by medical providers.

DAY 3

Saturday, January 14, 2023

8:00am

Breakfast 

8:45 – 9:15

Britta Zimmer, ND; Camille Bourcier, LCSW

Anxious, Obsessed and Medicated: What to Do.

Anxious, Obsessed and Medicated: What to Do. The events of the last 3 years have exacerbated the existing mental health crisis in the United States. Psychiatric floors are full, the overflow patients are being held for days in Emergency Departments. Whether it is preventing a mental health crisis or ebbing the flow of an existing one, we, as practitioners, are tasked with the need to address the ever present and worsening mental health crisis of our patients. In this presentation, Britta Zimmer, ND and Camille Bourcier, LCSW will describe, via case vignettes, how they approach anxiety and OCD in their patient population. Their therapeutic, psychodynamic, nutritional, and pharmaceutical approach will be discussed in the context of these two common diagnoses. .

9:15 – 9:45

Mark Davis, ND

Flowing with IBD – how to decide on clinical assessment & therapeutic tools

9:45 – 10:15

Dr. Misha Kleronomos, PsyD

Suicidal Ideation: Identification and Assessment for Physicians

Suicide is one of the leading causes of death in adults in the united states. It is often physicians who hear of suicidal ideation in their patients, particularly now with the new requirements of assessment for depression at each visit. The purpose of this Doc Talk is to teach the Assessment of the seriousness of these thoughts or statements, the series of questions to ask as follow up, and a path of decision making around the risk of suicidality as well as delineating the spectrum of suicidal thoughts and behaviors.

10:15 – 10:45

 

Q&A Panel with Drs Zimmer, Bourcier, Davis & Kleronomos

10:45 – 11:15

Exhibit Break

11:15 – 11:30

Sponsor Message

11:30 – 12:00

Jen Riegle, ND

Community Clinic Model of Care of First Responders

In the US, firefighters have a 14% higher chance of dying from cancer, and thirty percent of first responders develop mental health conditions after being on the job. Integrative medical professionals fill important gaps in care for our first responders when it comes to toxin burden and trauma, but how can we begin to treat large enough numbers of our first responders quickly enough to make a difference? Dr. Riegle will explore a community clinic model of care and give an update on upcoming evolutions to this model of care in 2023.

 

12:00 – 12:30

Molly Niedermeyer, ND

Practical Skills for Naturopathic Practice

Learn from an experienced physicians how to apply Naturopathic principles to daily primary care practice. This talk will be full of tips and guidelines.

12:30 – 1:00

Q&A Panel with Drs Riegle & Niedermeyer

 

 

2:30 – 4:30

Jennifer Means, ND, LAc

Workshop: Impacts of Plastic On Our Health

DAY 4

Sunday, January 15, 2023

8:00am

Breakfast 

8:15 – 8:45

Dr. Misha Kleronomos, PsyD

Mindfulness for Mental Health

Mindfulness is an important skill for every person to learn. Utilizing concrete practice exercises, specific techniques, and examples, as well as the current state of the science, this Doc Talk will teach professionals how to utilize this technique for their own stress management, anxiety, depression, or just increased joy in addition to being able to help patients understand the concept for their own clinical benefit.

8:45 – 9:15

Molly Niedermeyer, ND

My Cups are Half Full: A Naturopathic Physicians Journey thru Breast Cancer

This pragmatic presentation is to guide Primary Care physicians thru the practical and useful approaches to assist their female clients with breast cancer. The insights are from the prospective of an experienced Naturopathic physicians personal journey with navigating this disease and integrating all our best medicines while applying allopathic medicines with a Naturopathic principles.

9:15 – 9:45

Mark Davis, ND

Mood Indigo: Qing dai can be a critically important immunoregulatory herb for severely inflamed patients, when used properly to avoid adverse effects

9:45 – 10:15

Q&A Panel with Drs Kleronomos, Niedermeyer & Davis

10:15 – 10:45

Exhibit Break

10:45 – 11:15

Alena Guggenheim, ND

Decolonizing medical language: an exploration of military terms medicine

11:15 – 11:45

Ryan Bradley, ND, MPH

Say No to Drugs that Don’t Work or Cause Harm: Part 2 - Statins and SSRIs

11:45 – 12:15

Suzanne Rosenberg, RPh

Compounded Medications You Should Know About

 

 

12:15 – 12:45

Q&A Panel with Drs Zimmer, Bourcier, Bradley & Rosenberg

2:30 – 4:30pm

Diana Joy Ostroff, ND, LAc

Workshop: Exploring Under-Prescribed Protocols to Drastically Enhance Patient Outcomes

Are your patients frustrated that they aren’t healing as quickly as they think they should? Would you like to help them integrate a practice that will speed their recovery and remind them that they are in the driver’s seat? And as a bonus — if you practice this as well, you’ll serve as a role model for them. This fun-filled play-shop is a relaxing and enjoyable way for new and advanced students, doctors and teachers to experience ancient, powerful and effective, techniques to enhance mental, emotional and physical well-being in moments. Dr. Joy will guide you in simple breathing and meditation processes, which you can share with patients during acupuncture treatments and for at-home use. We will also explore the foundational postures for creating balance, coordination and strength in a safe environment. You’ll understand the core poses, proper body alignment and posture variations, to suit all levels.

 

In addition to those talks above, the following presentations will be available via on-demand recordings for all registrants:

Laura Neville, ND

  • Type 1 Diabetes Care Confidence for Every Practitioner

Radley M Ramdhan, ND, LAc

  • Trauma to PTSD: Root Causes to Healing Branches

 

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