naturopathic pearls in family medicine
DESCRIPTION
Some common, stubborn health conditions primary care providers can treat through naturopathic medicine. This is a presentation I did at the Washington Academy of Physician Assistants conference in Oct 2013.TRANSCRIPT
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NATUROPATHIC PEARLS FOR FAMILY MEDICINEMichael Corsilles, PA-C, ND
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CAM: WHO CARES? What is a naturopath?
Herbs, mason jars, magic rocks, and bird masks?
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Primary Care Providers emphasizing: Prevention, treatment
and optimal health through the use of
therapeutic methods and substances
which encourage the person's inherent self -healing process.
In WA: NDs have full prescriptive rights, with the
exception of schedule I, II, and IIIs
Via various modalities…
Schooling, boards, annual CME, sigh
In 16 states so far
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HOMEOPATHY Most remedies have very little or none of the original crude material
left by the end of its processing. This is the process we use. Creating a Mother Tincture: Made from a specific plant source is
processed by macerating the plant, then letting it soak in an alcohol water solution. Draws the properties of the plant into the water and alcohol. This tinctured solution is now called the mother tincture.
Potentiation By Succussion: The mother tincture is put through the basic process of being potentised. One drop of the mother tincture is put into a vial and then nine drops of a diluting material is added (again an alcohol and water solution). This mixture is succussed (shaken with impact). Succussion is essential.
*What is acting is not the remedy. It’s the person’s immune system, their energy and body processes which are responding. A dilution that small cannot push your body to do anything. It can only suggest, which gives your body the choice to change or not.
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A HOMEOPATHIC ER SPOOF http://www.youtube.com/watch?v=HMGIbOGu8q0
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PEARLS FOR 5 COMMON BUT NOT ALWAYS SIMPLE ISSUES
IBS
Obesity
URIs/Abx
Eczema
Burnout
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URI: BOOST THE IMMUNE SYSTEM Airborne, Vitamin C, Echinacea…
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IBS: BATHROOM BREAKS AGAIN?
Fiber & antispasmodics
Triggers – foods, stress.
My own triggers: My clinical
rotations! Certain
patients? IBS Testing? ND treatments
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ECZEMA: THE SKIN STORY
Creams, steroid creams, then stronger
steroid creams.
Triggers! R/O foods. Probiotics
again
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1 IN 3 ARE OBESE! EVER FEEL LIKE THIS GUY?
Phentermine, Qsymia, Belviq, Gastric Bypass, HCG
Triggers: Stress, boredom, social events, hormones, laziness?
Diet vs Exercise
“Microwave” society
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EMPHASIZE THE PORTION DISTORTION: PATIENTS ARE VISUAL
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RULE OF THE HAND
ND treatments?Knowledge is Power. Accountability.Books. Food journaling.
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BURNOUT: I’M EXHAUSTED ALL DAY, SO WHY CAN’T I SLEEP?
Fight or Flight Cortisol Melatonin Tech effects Antioxidants and
stress. The aging of the President!
ND treatments Tech and ADD:
Multitasking exercise
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SIDE NOTE (MY ADD ACTING IN) Multitasking is shifting attention Count 1-10 Alphabet A-J Now alternative between #s and letters
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SUPPLEMENTS: DON’T WE POOP AND PEE OUT VITAMINS?
Costco vs Rite Aid vs Provider’s office Vitamin D
Rx Vitamins: Iron topical Vitamin D L-methylfolate (Deplin) Probiotics Cerefolin (N-Acetyl Cysteine) Zenpep (digestive enzymes) Lovaza (omega 3s) Niaspan (niacin) Statins (Red Yeast Rice…
Monacolin K)
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DO WE REALLY NEED VITAMINS?
My Fab 5: Multivitamin Omega3 Probiotic Vitamin D Adrenal and extra
antioxidant support for me
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4 TAKE HOME NATUROPATHIC PEARLS 1. URIs: Support the immune system 2. IBS and Eczema: Food allergy/sensitivity testing: Foods act as
medicine but also as toxins (inflammation) 3. Supplements: Look at brand of supplements used in the studies
(Pfizer owns Centrum and bought Alacer/Emergen-C), Bayer owns One A Day), Proctor & Gamble bought New Chapter).
4. Obesity and Burnout: How to get those patients to change their Lifestyle! Tortoise and the Hare/Microwave society, stress reduction, adrenal support.
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SHOW ME THE STUDYWeight:
Dr. Oz and HCG. No good study on HCG yet with weight loss.
Probiotics and IBS and skin:
Rautava S, Isolauri E. The development of gut immune responses and gut microbiota: effects of probiotics in prevention and treatment of allergic disease. Curr Issues Intest Microbiol. 2002 Mar;3(1):15-22.
Dong Hyun Sinn, Ji Hyun Song, Hoi Jin Kim. Therapeutic Effect of Lactobacillus acidophilus-SDC 2012, 2013 in Patients with Irritable Bowel Syndrome. Digestive Diseases and Sciences. October 2008, Volume 53, Issue 10, pp 2714-2718
Adrenals, cortisol and burnout:
Methlie P, Husebye EE, Hustad et al. Eur J Endocrinol. Grapefruit juice and licorice increase cortisol availability in patients with Addison’s disease. 2011 Nov;165(5):761-9. doi: 10.1530/EJE-11-0518. Epub 2011 Sep 6.
URIs and natural remedies:
Bergman P, Lindh AU, Björkhem-Bergman L, Vitamin D and Respiratory Tract Infections: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS One. 2013 Jun 19;8(6).
Hemilä H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2013 Jan 31;1
Shah SA, Sander S, White CM, Evaluation of echinacea for the prevention and treatment of the common cold: a meta-analysis. Lancet Infect Dis. 2007 Jul;7(7):473-80.
Cohen HA, Rozen J, Kristal H, et al. Effect of honey on nocturnal cough and sleep quality: a double-blind, randomized, placebo-controlled study. Pediatrics. 2012 Sep;130(3):465-71