4202018

1

Tick-Borne Diseases Awareness understanding and

compassion

Dr Onnie Thatcher

1

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

2

4202018

2

AN EPIDEMIC

bull Tick-borne disease is the most common vector-borne infectious disease in the US

bull We need to educate our family friends amp patients

bull We will discuss amp demo chiropractic tools you can use to help your patients

3

4

4202018

3

5

Source httpswwwcdcgovlymestatsindexhtml 6

4202018

4

Source Wisconsin Division of Public Health 7

8

4202018

5

9

US MAPS

10

4202018

6

US MAPS

11

TickNET

Source wwwcdcgov

Figure 2 US cases of Lyme disease ehrlichiosis anaplasmosis babesiosis and spotted-fever group rickettsioses reported to the Centers for Disease Control and Prevention 2001ndash2013 Counts include confirmed and probable cases according to the case definition in effect in each year Anaplasmosis cases were reported as human granulocytic ehrlichiosis before 2008 Ehrlichiosis refers to infections caused by Ehrlichia chaffeensis E ewingii and undetermined species Babesiosis was first designated a nationally notifiable condition during 2011

A Collaborative Public Health Approach to Tick-Borne Disease Surveillance amp Research

12

4202018

7

httpswwwnccdcgoveidarticle21915-0301_article 13

TICK-BORNE DISEASES OF THE US

bull Anaplasmosis bull Babesiosis bull Borrelia mayonii bull Borrelia miyamotoi bull Bourbon virus bull Colorado tick fever bull Ehrlichiosis bull Heartland virus bull Lyme disease bull Powassan disease

bull Rickettsia parkeri rickettsiosis

bull Rocky Mountain Spotted Fever (RMSF)

bull STARI (Southern Tick-Associated Rash Illness)

bull Tickborne relapsing fever (TBRF)

bull Tularemia bull 364D Rickettsiosis

14 Source httpswwwcdcgovticksdiseasesindexhtml

4202018

2

AN EPIDEMIC

bull Tick-borne disease is the most common vector-borne infectious disease in the US

bull We need to educate our family friends amp patients

bull We will discuss amp demo chiropractic tools you can use to help your patients

3

4

4202018

3

5

Source httpswwwcdcgovlymestatsindexhtml 6

4202018

4

Source Wisconsin Division of Public Health 7

8

4202018

5

9

US MAPS

10

4202018

6

US MAPS

11

TickNET

Source wwwcdcgov

Figure 2 US cases of Lyme disease ehrlichiosis anaplasmosis babesiosis and spotted-fever group rickettsioses reported to the Centers for Disease Control and Prevention 2001ndash2013 Counts include confirmed and probable cases according to the case definition in effect in each year Anaplasmosis cases were reported as human granulocytic ehrlichiosis before 2008 Ehrlichiosis refers to infections caused by Ehrlichia chaffeensis E ewingii and undetermined species Babesiosis was first designated a nationally notifiable condition during 2011

A Collaborative Public Health Approach to Tick-Borne Disease Surveillance amp Research

12

4202018

7

httpswwwnccdcgoveidarticle21915-0301_article 13

TICK-BORNE DISEASES OF THE US

bull Anaplasmosis bull Babesiosis bull Borrelia mayonii bull Borrelia miyamotoi bull Bourbon virus bull Colorado tick fever bull Ehrlichiosis bull Heartland virus bull Lyme disease bull Powassan disease

bull Rickettsia parkeri rickettsiosis

bull Rocky Mountain Spotted Fever (RMSF)

bull STARI (Southern Tick-Associated Rash Illness)

bull Tickborne relapsing fever (TBRF)

bull Tularemia bull 364D Rickettsiosis

14 Source httpswwwcdcgovticksdiseasesindexhtml

4202018

3

5

Source httpswwwcdcgovlymestatsindexhtml 6

4202018

4

Source Wisconsin Division of Public Health 7

8

4202018

5

9

US MAPS

10

4202018

6

US MAPS

11

TickNET

Source wwwcdcgov

Figure 2 US cases of Lyme disease ehrlichiosis anaplasmosis babesiosis and spotted-fever group rickettsioses reported to the Centers for Disease Control and Prevention 2001ndash2013 Counts include confirmed and probable cases according to the case definition in effect in each year Anaplasmosis cases were reported as human granulocytic ehrlichiosis before 2008 Ehrlichiosis refers to infections caused by Ehrlichia chaffeensis E ewingii and undetermined species Babesiosis was first designated a nationally notifiable condition during 2011

A Collaborative Public Health Approach to Tick-Borne Disease Surveillance amp Research

12

4202018

7

httpswwwnccdcgoveidarticle21915-0301_article 13

TICK-BORNE DISEASES OF THE US

bull Anaplasmosis bull Babesiosis bull Borrelia mayonii bull Borrelia miyamotoi bull Bourbon virus bull Colorado tick fever bull Ehrlichiosis bull Heartland virus bull Lyme disease bull Powassan disease

bull Rickettsia parkeri rickettsiosis

bull Rocky Mountain Spotted Fever (RMSF)

bull STARI (Southern Tick-Associated Rash Illness)

bull Tickborne relapsing fever (TBRF)

bull Tularemia bull 364D Rickettsiosis

14 Source httpswwwcdcgovticksdiseasesindexhtml

4202018

4

Source Wisconsin Division of Public Health 7

8

4202018

5

9

US MAPS

10

4202018

6

US MAPS

11

TickNET

Source wwwcdcgov

Figure 2 US cases of Lyme disease ehrlichiosis anaplasmosis babesiosis and spotted-fever group rickettsioses reported to the Centers for Disease Control and Prevention 2001ndash2013 Counts include confirmed and probable cases according to the case definition in effect in each year Anaplasmosis cases were reported as human granulocytic ehrlichiosis before 2008 Ehrlichiosis refers to infections caused by Ehrlichia chaffeensis E ewingii and undetermined species Babesiosis was first designated a nationally notifiable condition during 2011

A Collaborative Public Health Approach to Tick-Borne Disease Surveillance amp Research

12

4202018

7

httpswwwnccdcgoveidarticle21915-0301_article 13

TICK-BORNE DISEASES OF THE US

bull Anaplasmosis bull Babesiosis bull Borrelia mayonii bull Borrelia miyamotoi bull Bourbon virus bull Colorado tick fever bull Ehrlichiosis bull Heartland virus bull Lyme disease bull Powassan disease

bull Rickettsia parkeri rickettsiosis

bull Rocky Mountain Spotted Fever (RMSF)

bull STARI (Southern Tick-Associated Rash Illness)

bull Tickborne relapsing fever (TBRF)

bull Tularemia bull 364D Rickettsiosis

14 Source httpswwwcdcgovticksdiseasesindexhtml

4202018

5

9

US MAPS

10

4202018

6

US MAPS

11

TickNET

Source wwwcdcgov

Figure 2 US cases of Lyme disease ehrlichiosis anaplasmosis babesiosis and spotted-fever group rickettsioses reported to the Centers for Disease Control and Prevention 2001ndash2013 Counts include confirmed and probable cases according to the case definition in effect in each year Anaplasmosis cases were reported as human granulocytic ehrlichiosis before 2008 Ehrlichiosis refers to infections caused by Ehrlichia chaffeensis E ewingii and undetermined species Babesiosis was first designated a nationally notifiable condition during 2011

A Collaborative Public Health Approach to Tick-Borne Disease Surveillance amp Research

12

4202018

7

httpswwwnccdcgoveidarticle21915-0301_article 13

TICK-BORNE DISEASES OF THE US

bull Anaplasmosis bull Babesiosis bull Borrelia mayonii bull Borrelia miyamotoi bull Bourbon virus bull Colorado tick fever bull Ehrlichiosis bull Heartland virus bull Lyme disease bull Powassan disease

bull Rickettsia parkeri rickettsiosis

bull Rocky Mountain Spotted Fever (RMSF)

bull STARI (Southern Tick-Associated Rash Illness)

bull Tickborne relapsing fever (TBRF)

bull Tularemia bull 364D Rickettsiosis

14 Source httpswwwcdcgovticksdiseasesindexhtml

4202018

6

US MAPS

11

TickNET

Source wwwcdcgov

Figure 2 US cases of Lyme disease ehrlichiosis anaplasmosis babesiosis and spotted-fever group rickettsioses reported to the Centers for Disease Control and Prevention 2001ndash2013 Counts include confirmed and probable cases according to the case definition in effect in each year Anaplasmosis cases were reported as human granulocytic ehrlichiosis before 2008 Ehrlichiosis refers to infections caused by Ehrlichia chaffeensis E ewingii and undetermined species Babesiosis was first designated a nationally notifiable condition during 2011

A Collaborative Public Health Approach to Tick-Borne Disease Surveillance amp Research

12

4202018

7

httpswwwnccdcgoveidarticle21915-0301_article 13

TICK-BORNE DISEASES OF THE US

bull Anaplasmosis bull Babesiosis bull Borrelia mayonii bull Borrelia miyamotoi bull Bourbon virus bull Colorado tick fever bull Ehrlichiosis bull Heartland virus bull Lyme disease bull Powassan disease

bull Rickettsia parkeri rickettsiosis

bull Rocky Mountain Spotted Fever (RMSF)

bull STARI (Southern Tick-Associated Rash Illness)

bull Tickborne relapsing fever (TBRF)

bull Tularemia bull 364D Rickettsiosis

14 Source httpswwwcdcgovticksdiseasesindexhtml

4202018

7

httpswwwnccdcgoveidarticle21915-0301_article 13

TICK-BORNE DISEASES OF THE US

bull Anaplasmosis bull Babesiosis bull Borrelia mayonii bull Borrelia miyamotoi bull Bourbon virus bull Colorado tick fever bull Ehrlichiosis bull Heartland virus bull Lyme disease bull Powassan disease

bull Rickettsia parkeri rickettsiosis

bull Rocky Mountain Spotted Fever (RMSF)

bull STARI (Southern Tick-Associated Rash Illness)

bull Tickborne relapsing fever (TBRF)

bull Tularemia bull 364D Rickettsiosis

14 Source httpswwwcdcgovticksdiseasesindexhtml

4202018

8

WHY IS IT GETTING WORSE

bull Climate

bull Encroachment

bull Wildlife management

bull Toxic environment

15

TICK ID

16

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9

TICK ID

17

18

4202018

10

DEER TICK

bull Ixodes scapularis bull Can carry co-infections and triple infections bull Nymphs have had one blood meal usually from

rodents and small animals bull Adults have had two blood meals the second can

be larger animals or humans and can carry more infections

bull Can transmit Lyme babesiosis anaplasmosis tick paralysis Powassan encephalitis tularemia Rocky Mtn Spotted Fever and bartonella

19

20

4202018

11

TICKS SPREAD DISEASE VIA FEEDING Prepares to

feed (10 mins to 2 hours)

Grasps skin cuts into surface

Inserts barbed

feeding tube

Secretes ldquocementrdquo amp anesthetic

Sucks blood for several

days

Drops off prepares for

next life stage

Cement-like substance to stay attached saliva with anesthetic properties so host canrsquot feel it

Ingests host pathogens or

transmits previously

acquired pathogens to

host

21

NYMPH CAN YOU SEE IT

22

4202018

12

TICK SPECK

23

ADULT DOGWOOD TICK

24

4202018

13

ENGORGED TICKS

25

Nymph Adult

TICK ATTACHMENT

bull Chemoreceptors in legs amp arms

ndash Sense body heat vibrations such as voices and barking CO2 (exhalation) amp movement

bull Can release from high areas jump from grasses twigs leaves

bull Also blow thru wind

CT Dept of Health ldquoTicks are found in grassy and overgrown areas where they wait to grasp onto warm bodies that pass by they do not jump fly or drop out of treesrdquo

26

4202018

14

TICK ON SCREEN

27

TICKS ON OUR PETS

28

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

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30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

9

TICK ID

17

18

4202018

10

DEER TICK

bull Ixodes scapularis bull Can carry co-infections and triple infections bull Nymphs have had one blood meal usually from

rodents and small animals bull Adults have had two blood meals the second can

be larger animals or humans and can carry more infections

bull Can transmit Lyme babesiosis anaplasmosis tick paralysis Powassan encephalitis tularemia Rocky Mtn Spotted Fever and bartonella

19

20

4202018

11

TICKS SPREAD DISEASE VIA FEEDING Prepares to

feed (10 mins to 2 hours)

Grasps skin cuts into surface

Inserts barbed

feeding tube

Secretes ldquocementrdquo amp anesthetic

Sucks blood for several

days

Drops off prepares for

next life stage

Cement-like substance to stay attached saliva with anesthetic properties so host canrsquot feel it

Ingests host pathogens or

transmits previously

acquired pathogens to

host

21

NYMPH CAN YOU SEE IT

22

4202018

12

TICK SPECK

23

ADULT DOGWOOD TICK

24

4202018

13

ENGORGED TICKS

25

Nymph Adult

TICK ATTACHMENT

bull Chemoreceptors in legs amp arms

ndash Sense body heat vibrations such as voices and barking CO2 (exhalation) amp movement

bull Can release from high areas jump from grasses twigs leaves

bull Also blow thru wind

CT Dept of Health ldquoTicks are found in grassy and overgrown areas where they wait to grasp onto warm bodies that pass by they do not jump fly or drop out of treesrdquo

26

4202018

14

TICK ON SCREEN

27

TICKS ON OUR PETS

28

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

10

DEER TICK

bull Ixodes scapularis bull Can carry co-infections and triple infections bull Nymphs have had one blood meal usually from

rodents and small animals bull Adults have had two blood meals the second can

be larger animals or humans and can carry more infections

bull Can transmit Lyme babesiosis anaplasmosis tick paralysis Powassan encephalitis tularemia Rocky Mtn Spotted Fever and bartonella

19

20

4202018

11

TICKS SPREAD DISEASE VIA FEEDING Prepares to

feed (10 mins to 2 hours)

Grasps skin cuts into surface

Inserts barbed

feeding tube

Secretes ldquocementrdquo amp anesthetic

Sucks blood for several

days

Drops off prepares for

next life stage

Cement-like substance to stay attached saliva with anesthetic properties so host canrsquot feel it

Ingests host pathogens or

transmits previously

acquired pathogens to

host

21

NYMPH CAN YOU SEE IT

22

4202018

12

TICK SPECK

23

ADULT DOGWOOD TICK

24

4202018

13

ENGORGED TICKS

25

Nymph Adult

TICK ATTACHMENT

bull Chemoreceptors in legs amp arms

ndash Sense body heat vibrations such as voices and barking CO2 (exhalation) amp movement

bull Can release from high areas jump from grasses twigs leaves

bull Also blow thru wind

CT Dept of Health ldquoTicks are found in grassy and overgrown areas where they wait to grasp onto warm bodies that pass by they do not jump fly or drop out of treesrdquo

26

4202018

14

TICK ON SCREEN

27

TICKS ON OUR PETS

28

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

11

TICKS SPREAD DISEASE VIA FEEDING Prepares to

feed (10 mins to 2 hours)

Grasps skin cuts into surface

Inserts barbed

feeding tube

Secretes ldquocementrdquo amp anesthetic

Sucks blood for several

days

Drops off prepares for

next life stage

Cement-like substance to stay attached saliva with anesthetic properties so host canrsquot feel it

Ingests host pathogens or

transmits previously

acquired pathogens to

host

21

NYMPH CAN YOU SEE IT

22

4202018

12

TICK SPECK

23

ADULT DOGWOOD TICK

24

4202018

13

ENGORGED TICKS

25

Nymph Adult

TICK ATTACHMENT

bull Chemoreceptors in legs amp arms

ndash Sense body heat vibrations such as voices and barking CO2 (exhalation) amp movement

bull Can release from high areas jump from grasses twigs leaves

bull Also blow thru wind

CT Dept of Health ldquoTicks are found in grassy and overgrown areas where they wait to grasp onto warm bodies that pass by they do not jump fly or drop out of treesrdquo

26

4202018

14

TICK ON SCREEN

27

TICKS ON OUR PETS

28

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

12

TICK SPECK

23

ADULT DOGWOOD TICK

24

4202018

13

ENGORGED TICKS

25

Nymph Adult

TICK ATTACHMENT

bull Chemoreceptors in legs amp arms

ndash Sense body heat vibrations such as voices and barking CO2 (exhalation) amp movement

bull Can release from high areas jump from grasses twigs leaves

bull Also blow thru wind

CT Dept of Health ldquoTicks are found in grassy and overgrown areas where they wait to grasp onto warm bodies that pass by they do not jump fly or drop out of treesrdquo

26

4202018

14

TICK ON SCREEN

27

TICKS ON OUR PETS

28

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

13

ENGORGED TICKS

25

Nymph Adult

TICK ATTACHMENT

bull Chemoreceptors in legs amp arms

ndash Sense body heat vibrations such as voices and barking CO2 (exhalation) amp movement

bull Can release from high areas jump from grasses twigs leaves

bull Also blow thru wind

CT Dept of Health ldquoTicks are found in grassy and overgrown areas where they wait to grasp onto warm bodies that pass by they do not jump fly or drop out of treesrdquo

26

4202018

14

TICK ON SCREEN

27

TICKS ON OUR PETS

28

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

14

TICK ON SCREEN

27

TICKS ON OUR PETS

28

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

15

TICKS ON BILL (CASE STUDY)

bull Tick magnet

bull MDs thought heart trouble

bull Tested for Lyme Babesia Bartonella

bull After treatment no longer a tick magnet

bull Years later he said ldquoIrsquom a tick magnet againrdquo

ndash Re-tested amp positive for ticks

29

REMOVING TICKS

1 Use fine tip tweezers

2 Grab close to skin

3 Pull straight up

bull Donrsquot twist or jerk

bull Mouthparts may break off amp remain in skin

Remove the mouth-parts with clean tweezers If unable to remove the mouth easily leave it alone and let the skin heal

30

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

16

AVOID FOLKLORE

bull Goal = remove tick as quickly as possible

ndash Donrsquot wait for it to detach

31

THOROUGHLY CLEAN BITE amp HANDS

Iodine scrub

32

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

17

PREVENTION

bull Avoid tall grass amp over-grown areas

bull When hiking stay in middle of trails

bull Tuck pant legs into socks

bull Wear long-sleeved shirts closed shoes

bull Wear light-colored clothing

ndash Easier to see ticks for removal

bull Talk to your veterinarian

ndash Protect pets from tick bites

33

CONSIDER TICK REPELLENT

34

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

18

PERMETHRIN

bull Synthetic chemical that acts like natural extracts from chrysanthemum flower

bull Affects nervous system of insects that eat or touch it ndash Insects canrsquot break it down as quickly as

people amp dogs

bull Broken down by soil microorganisms bull Does not mix well with water

(doesnrsquot break down) ndash Do NOT use near lakes or rivers ndash Tiny amount can wipe out fish

35

RETURNING HOME

bull Remove clothing outside

bull Shower using a washcloth or puff to remove unattached ticks

bull Put clothes in dryer

ndash Heat kills ticks hiding in clothing

36

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

19

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

37

HISTORY OF LYME IN US

bull Lyme Disease on Plum Island

ndash Fringe conspiracy theory or government cover-up

38

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

20

39

40

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

21

LYME DISEASE

bull 5 subspecies of Borrelia burgdorferi

ndash Over 100 strains in the US

ndash 300 strains worldwide

bull This diversity is thought to contribute to the antigenic variability of the spirochete and its ability to evade the immune system and antibiotic therapy leading to chronic infection (From ILADS)

41

SPIROCHETES

bull Worm-like coiled bacteria (around for billions of years)

bull Eight different genera bull Over 200 species amp counting

ndash Numerous subspecies (they change their genetic structure) ndash Difficult to find amp research ndash All need a host to survive

bull Borrelia burgdorferi (Bb) causes Lyme disease ndash Discovered by researcher Willy Burgdorfer in 1982 ndash Lyme arthritis discovered in 1975 (Lyme CT)

bull B afzelii amp B garinii are primary causes of Lyme in Europe amp Asia

42

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

22

43

Production of filamentous B burgdorferi by ATc-mediated induction of asftsZ RNA (A) B

burgdorferi 297tetR cultured for 24 h in the presence of 15 μg of ATcml (acridine orange

staining magnification 1250)

Lydia Dubytska et al J Bacteriol 20061881969-1978

44

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

23

PLEOMORPHIC FORMS OF BORRELIA

bull ldquohellipTaken together the results indicated that B burgdorferi can change morphology very quickly adapt and survive in adverse environments and have pleomorphic forms consisting of DNA as well as antigenic relevant proteins that are freely recognized by the immune system In addition B burgdorferi and its pleomorphic forms have atypical cell wall characteristics and that these sleath round bodies have the ability to become viable spirochetesrdquo

45

26 April 2014 ILADS European Conference Augsburg Germany Written text by Leena Merilaumlinen and Leona Gilbert from Department of Biological and Environmental Sciences and NanoScience Center University of Jyvaumlskylauml Jyvaumlskylauml Finland

46

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

24

TRANSMISSION

bull Ticks

bull Fleas

bull Other biting insects

bull Blood transfusion

bull Crosses through placenta

bull Possibility in breast milk

bull Intercourse

47

SHOULD WE LIVE IN A BUBBLE

48

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

25

ILADS LYME PREVENTION TIPS

49 Source httpwwwiladsorglymelyme-tipsphp

LYME SIGNS amp SYMPTOMS ldquoTHE GREAT IMITATORrdquo

bull Fatigue chills fever headache muscle amp joint aches swollen lymph nodes migrating pain

bull EM rash bull Brain fog bull Insomnia bull Facial or Bells palsy bull Severe headaches and neck stiffness due to meningitis bull Joint swelling bull Shooting pains that may interfere with sleep bull Heart palpitations amp dizziness due to changes in

heartbeat bull Shortness of breath

50

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

26

COMMON LYME CO-INFECTIONS

1 Bartonella

2 Babesia

3 Anaplasmosis

4 Ehrlichiosis

51

1 BARTONELLA

bull Gram-negative pleomorphic rods

bull Slow-growing but fastidious

bull Cellular targets erythrocytes amp endothelial cells

bull Hide in RBCrsquos

bull Transmitted via fleas ticks amp many think any biting insect

bull Cause inflammation fibrin deposits amp biofilms in blood vessels

52

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

27

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

BARTONELLAE COMMON INFECTION STRATEGY

53

Alexander Harms and Christoph Dehio Clin Microbiol Rev

20122542-78

FLAGELLATION OF BARTONELLA

54

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

28

BARTONELLA RASH

55

BARTONELLA EFFECTS

bull Damage collagen fibers causes skin problems such as striae (longitudinal lines)

bull Damage spongy bone (creating deep bone pain)

bull Cause vascular neuropathy (from destroying small blood vessels)

bull Many neurological amp psychological symptoms (especially in adolescent boys)

bull Reaction time decreases executive function decreases OCD slow response

56

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

29

2 BABESIOSIS (BABESIA)

Description

bull Protozoa parasite transmitted by deer ticks

bull Invade RBCrsquos

bull Treatment includes anti-microbial agents ndash Atovaquone AZT or

clyndamycin are typical

bull Herbal remedies (anti-parasitical)

Signs amp Symptoms

bull High fever

bull Muscle aches

bull Chills

bull Fatigue

bull Headache

bull Cough

bull Athralgia

bull Loss of appetite

bull Anemia

57

Anna-Mari Bosman et al J Clin Microbiol 2010482703-

2708

MICROSCOPIC VIEW OF BABESIA LENGAU SP NOV

58

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

30

BABESIA RASH

59

3 ANAPLASMOSIS

Description

bull Discovered in mid 1990s

bull Transmitted by deer ticks

bull 6 states account for 90 of all reported cases (CDC) ndash New York Connecticut New

Jersey Rhode Island Minnesota amp Wisconsin

bull Needs immediate treatment Doxycycline is recommended antibiotic ndash Interestingly no age limit as

with treating Lyme

Symptoms

bull Typically no rash

bull Fever

bull Malaise

bull Headache

bull Chills

bull Muscle pain

bull Nausea

bull Brain fog

bull Most acute infections feel like ldquoworst illness theyrsquove hadrdquo

60

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

31

ANAPLASMOSIS

Number of annual anaplasmosis cases 1994-2010 The graph displays the number of human cases of anaplasmosis cases reported to CDC annually from 1994 through 2010 Cases of anaplasmosis have generally increased from 350 cases in 2000 when the disease became nationally notifiable to 1163 cases in 2009 The number of reported cases increased 52 between 2009 and

2010 Source wwwcdcgov 61

4 EHRLICHIOSIS

Description

bull Transmitted by Lone Star

bull Destroys WBCrsquos

bull Used to be considered same as anaplasmosis ndash They are different

Symptoms

bull Malaise

bull Nausea

bull Fever

bull Headache

bull Muscle pain

bull Chills

bull Cough

bull Confusion

62

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

32

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

63

ldquoTHE GLOBAL SEARCH FOR EDUCATION TICKSrdquo

ldquoTo date in my Ticks series we have learned from leading global experts that tick-borne illnesses (including Lyme disease) are possibly the most complicated and substantial global medical research challenges that exist today and that they threaten to dominate global health care tomorrow Solutions are tough to find since the bacteria are difficult to diagnose and treat due to the complex multi-disciplinary approach often requiredrdquo

CM Rubin Huff Post 8913

64

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

33

LYME TESTING = UNRELIABLE

bull Currently there is no reliable test to determine if someone has contracted Lyme disease or is cured of it False positives and false negatives often occur though false negatives are far more common In fact some studies indicate up to 50 of the patients tested for Lyme disease receive false negative results As a result the CDC relies on physicians to make a clinical diagnosis based on a patients symptoms health history and exposure risks Doctors who are experienced in recognizing Lyme disease will treat when symptoms typical of the illness are present even without a positive test in an effort to prevent the development of chronic Lyme disease (ILADS)

65

LAB TESTING FOR LYME

bull Enzyme-linked immunosorbent assay (ELISA) ndash Used most often to detect Lyme disease ndash Detects antibodies to B burgdorferi ndash May not be positive during the early stage of Lyme

bull Western blot ndash Used if ELISA is positive to confirm the diagnosis ndash Detects antibodies to several proteins of B burgdorferi

bull Polymerase chain reaction (PCR) ndash Detects bacterial DNA in fluid from infected joint

bull Chronic Lyme arthritis bull Persistent infection in the cerebrospinal fluid

ndash Not as effective detecting infection of blood or urine

66

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

34

LYME TESTING CHALLENGES

bull Bacteria hide

ndash Not always detectable in whole blood even in active disease

bull Every patient responds differently to infection

bull Antibodies may only be present for a short time

67

IMMUNE-COMPROMISED

bull 4-6 weeks for the antibodies to be produced

ndash Early blood tests may come back negative even if a person is infected

In my opinion there may never be a positive test if patient is immune-compromised

(canrsquot make antibodies)

68

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

35

CDC ON ERYTHEMA MIGRANS (EM RASH)

aka bulls-eye rash

bull Occurs in ~70-80 of infected persons

bull Begins at site of bite after a delay of 3-30 days (avg 7)

bull Expands gradually over days up to 12rdquo dia

bull Feels warm to touch but rarely itchy or painful

bull May appear on any area of body

69

THE ldquoTYPICALrdquo BULLSEYE RASH

70

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

36

CONTROVERSY OVER EM STATS

bull ILADS 35-60 of cases

bull CDC 70-80 of cases

bull MN Dept of Health ldquoThe pathognomonic erythema migrans (EM) rash is present in the majority (but not all) cases of Lyme diseaserdquo

71

ILADS ON EM RASH

bull Fewer than 50 of patients with Lyme disease recall any rash Although the erythema migrans (EM) or ldquobullrsquos-eyerdquo rash is considered classic it is not the most common dermatologic manifestation of early-localized Lyme infection Atypical forms of this rash are seen far more commonly It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy

Source Iladsorg 72

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

37

PATIENT (OB) ndash EM RASH

73

PATIENT EM RASH

74

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

38

PATIENT (HC) - RASH

75

PATIENT EM RASH

76

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

39

PATIENT EM RASH

77

OTHER TICK-BORNE EM RASHES

bull If we take the medium percentage of EM rashes with Lyme disease at 50 what would the percentage be for ALL tick-borne diseases (Babesia Bartonella etc) and the chance for a rashlesion

bull Most doctors get an ELISA amp Western Blot

bull Bellrsquos palsy

78

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

40

EM DIFFERENTIAL DIAGNOSIS

bull Shingles

bull Hives

bull Allergic rashes

bull Poison ivy

bull Spider bite

bull Bee sting amp wasp bites

bull STARI lesions

bull Other cutaneous lesions

79

WHAT IS THIS

80

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

41

LEFT EYELID PARALYSIS

81

DIFFERENTIAL DIAGNOSING

bull Doesnrsquot mean every patient has Lyme

bull Example (CR)

ndash 28yo female

ndash All signs amp symptoms pointed to tick-borne

ndash I was her 35th Dr

ndash She actually had terrible parasites from living in New Guinea

82

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

42

TEST FOR CO-INFECTIONS

bull Testing for Babesia Anaplasma Ehrlichia and Bartonella (other tick-transmitted organisms) should be performed The presence of co-infection with these organisms points to probable infection with the Lyme spirochete as well If these co infections are left untreated their continued presence increases morbidity and prevents successful treatment of Lyme disease (ILADS)

83

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

84

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

43

ACUTE PHASE OF TICK-BORNE DX

bull Hxenvironment

bull Pain

bull Fever

bull Moving joint painswelling

bull ldquoCanrsquot hardly get out of bedrdquo due to weakness

85

THE ACUTE PATIENT

I feel strongly that if you find an imbedded tick you should not wait for symptoms One should seek medical assistance in taking doxycycline asap Many practitioners may disagree with this but I have experienced it personally several times for myself and my family The sooner the better Then seek help in assisting the digestion tissue help co-infection help etc I have found that minocycline does not work well and can cause many problems Often it is given to a patient instead of doxycycline because it does not create sun sensitivity

86

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

44

THE ACUTE PATIENT CONTrsquoD

bull Astaxanthin can help with sun sensitivity ndash Not 100 percent though

bull Probiotics in higher than usual dosage are essential ndash Depending on the patient other digestive support

bull Glutathione is a must to help detox the die off amp prevent mycotoxins

bull Other antimicrobials may be needed for co-infections

bull Things to think about ndash Curcumin rosemary olive leaf fish oils MCT oil

antioxidants joint amp soft tissue support for tissue amp inflammation

87

RECOMMENDED SUPPLEMENTATION

INFLAMMATION TISSUE SUPPORT DIGESTIVE INFLAMMATION

bull Curcumin bull Omegarsquos bull D3 bull MCT oil bull Natural px

relievers

bull Multi-minerals bull Collagen support bull Glucosamine bull Chondroitin bull MSM

bull Digestive enzymes bull Oil of oregano bull Probiotics bull Prebiotics bull Magnesium bull GI support bull MCT oil bull Gastro-intestinal lining

support bull Medical foods

88

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

45

RECOMMENDED SUPPLEMENTATION

INCREASE OXYGEN EYE SUPPORT MITOCHONDRIA SUPPORT

bull Protein bull Baking soda bull Blood builders bull Nitric oxide

bull Antioxidants bull Astaxanthin bull Bilberry bull Lutein bull Zeaxanthin

bull Medical foods bull Liposomal glutathione bull Antioxidants bull Liver support bull Curcumin bull Schisandra

89

RECOMMENDED SUPPLEMENTATION

INSOMNIA ORAL SUPPORT CARDIOVASCULAR SUPPORT

bull Passionflower bull Valerian root bull MgCa

bull Oil pulling bull Toothpaste

wbroad spectrum botanicals

bull CoQ10 bull Nattokinase bull Omegarsquos bull MCT oil bull Red sage bull Chrysanthemum bull Hawthorne bull Red yeast rice bull Niacin

90

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

46

RECOMMENDED SUPPLEMENTATION

BRAIN SUPPORT DEPRESSION ADRENAL SUPPORT

bull Taurine bull B vitamins bull Gut protection bull MCT oil bull Curcumin bull Omegarsquos bull Astaxanthin bull Gingko biloba bull Mucuna

pruriens bull Star anise bull Rosemary bull Chrysanthemum

bull Emotional wellness

bull Protein bull Ashwagandha bull St Johnrsquos Wort bull Omegarsquos bull MCT oil

bull Ashwagandha bull Licorice bull Adrenal adaptogens bull Suma bull Mucuna pruriens

THYROID SUPPORT

bull Selenium bull Iodine bull Tyrosine bull Suma

91

RECOMMENDED SUPPLEMENTATION

ANTIMICROBIALS

bull Coptis chinensis bull Oil of oregano bull Grapefruit seed extract bull Colostrum bull Liquid stevia extract bull D3 bull Garlic bull Rosemary bull Noni bull Neem bull Tulsi

bull Andrographis bull Star anise bull Resveratrol bull Iodine (diluted ndash nasal) bull Olive lieaf bull Cistus incanus bull Mushroom extracts bull Catrsquos claw bull Artemisia bull Isatis bull Pumpkin seed

bull Teasel root bull Astragalus bull Phllanthus niruri bull Red sage bull Mimosa pudica bull Schisandra bull Smilax bull Chrysanthemum bull hellip many more

92

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

47

ACUTE TREATMENT SUPPORT

bull Be careful of any underlying toxicities infections nutritional depletions food sensitivities etc

bull Gluten and all sweeteners must be avoided

bull Alkaline diet

bull Organic

bull Rest

bull Plenty of water

93

ACUTE SUPPORT SUGGESTIONS

bull Preventing Herxheimer effect ndash Glutathione mitochondrial support amp gut support

bull Neurological ndash Taurine B12 or a complex nervous system support amino

acids

bull Sleep aides ndash Valerian melatonin L-tryptophan passionflower

bull Tissue repair ndash Mg multi-mineral glucosamine chondroitin MSM

bull Vascular and heart ndash CoQ10 nattokinase L-taurine

94

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

48

DO ANTIBIOTICS CURE LYME

bull There has never been a study demonstrating that 30 days of antibiotic treatment cures chronic Lyme disease However there is a plethora of documentation in the US and European medical literature demonstrating by histology and culture techniques that short courses of antibiotic treatment fail to eradicate the Lyme spirochete Short treatment courses have resulted in upwards of a 40 relapse rate especially if treatment is delayed (ILADS)

95

POST-ANTIBIOTICS

96

bull After antibiotic therapy urgent to bull Rebuild microbiome support tissue amp cognitive

function keep structural integrity build blood amp oxygen levels exercise support emotional health amp keep immune system strong

bull You can kill 99 of the infection but it will never go away until you reclaim your immune system bull These infections are stealth fighters bull They mutate exchange info with other bacteria to

become resistant go into cyst forms hide in biofilms blood cells nerve tissue any soft tissue aqueous humor of the eyes etc

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

49

IMMUNE BUILDINGPREVENTION

bull Astaxanthin

bull Astragalus

bull Cistus Incanus Tea

bull Beta glucan

bull Colostrum

bull Curcumin

bull D3 (K)

bull Garlic (helps repel also)

bull Glutathione

bull Omegas

bull Prebiotics amp probiotics

bull Liquid Stevia

bull Vitamin C

bull Mushroom extracts

bull Thymus concentrate

97

ANTI-MICROBIALS

bull Golden Thread (Coptis Chinensis) 1000-1500 mg TID

bull Oil of Oregano- with antimicrobial as catalyst

bull Probiotics are needed with above two

Catrsquos Claw Artemesia Grapefruit seed extract Black Walnut Pumpkin seed Teasel Root Astragalus Andrographis Japanese Knotweed (Resveratrol) Red Root Stephania Noni Olive Leaf Neem Chinese Skullcap Isatis Mimosa Schisandra Black Licorice (Star Anise) Tulsi (Holy Basil) Chrysanthemum Mushroom Extracts Sarsaparillahellipto name a few

98

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

50

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

99

CHRONIC LYME HUFF POST TICKS

bull ldquoThe data clearly shows that the major latechronic forms of Lyme neuroborreliosis (meningovascular and meningoencephalitis) were clinically and pathologically confirmed and Borrelia burgdorferi was detected in tertiary brain lesions andor cultivated from the affected brain or cerebrospinal fluid These observations were made by many authors and in various countries including the USA and Europe Borrelia burgdorferi is able to evade destruction by the host immune reactions persist in host tissues and sustain chronic infection and inflammationrdquo Dr Judith Miklossy from The Huff Post ldquoThe Global Search for Education Ticksrdquo C M Rubin 91213

100

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

51

TREATING LYME

ldquoMan is a product of nature What happens to nature happens to us Polluted imbalanced nature means polluted imbalanced people Secondly Ultra Dark Field Microscopy (UDFM) is a very advanced science that has been neglected Currently I am working with others to make the world aware of Dr Bela Bozsik from Budapest who has successfully diagnosed 120000 Lyme Borreliosis patients with serology and UDFM Thirdly antibiotics cannot be half-hearted You must go all the way with enough to kill but you must supplement with nutrition minerals vitamins enzymes fatty acids and proper pro-biotics and plant medicines You have to treat the whole person I have met with professional herbalists from China Germany and Sweden and visited a top modern hospital in Korea where herbalists worked hand in hand with modern chemistry producing wonders The Koreans laughed at me when I told them about the low status of herbal medicine in the West Finally never neglect the spirit To get myself healed I had tremendous help from mental methods Your mind is capable of feats such as enhancing the immune system beyond what you may believe is possible So never underestimate the mind to heal Even Borrelia can be influenced by a properly tuned immune systemrdquo

101 Dr Bjorn Overbye from Huff Post C M Rubin ldquoThe Global Search for Education Norway-Ticksrdquo

CHIROPRACTIC ROLE

bull Support the whole body

bull Remove subluxations create homeostasis

bull Diet nutrition amp lifestyle coaching

bull Exercise stretching rehab

102

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

52

USE ALL OF YOUR TOOLS

bull Thorough history taking (KEY) bull Extensive examinations

ndash Physical neurological spinal extremity ndash Home assessments workplace assessments

bull Lab testing (blood urine stool hair saliva) bull Diagnostic tools (imaging scopes computer

technology muscle testing many more) bull Lifestyle coaching

ndash Nutrition meditation stress reduction yoga Chi Gong EFT flower remedies

103

NUTRACEUTICALS

bull We have the ability to prescribe some of the most potent antimicrobials and immune enhancing substances on the planet

104

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

53

CREATE HOMEOSTASIS

Adjustments amp manual therapies

105

EXTREMITIES

Itrsquos important to evaluate amp keep the whole musculoskeletal system strong and in alignment

Ex knee pain ndash foot amp ankle integrity

106

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

54

TREAT THE PATIENT NOT THE DISEASE

bull Must treat each individual

ndash NO protocols

ndash Each patient is different

bull Chronic tick-borne infection is the most difficult to tease out the order of treatment necessary for recovery

bull Case study Jason

ndash Heavy metal chelation led to wheelchair

107

CHRONIC TICK-BORNE PATIENTS

bull Most have suffered ldquomedical abuserdquo

ndash Long medical history with little or no help

ndash Misdiagnosed or told ldquoitrsquos all in your headrdquo

bull Weak tired amp sometimes ldquochecked outrdquo

bull Many have lived with it so long itrsquos part of their identity

ndash Flower remedies work well

108

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

55

Doctor MUST assess environmental exposures food sensitivities hormonal function digestive issues sleep patterns tissue damage psychological function detox pathways etc

EVERY PATIENT COMES WITH BAGGAGE

109

AUTOIMMUNE

bull Many patients with diagnosed autoimmune conditions have underlying tick-borne infection

ndash Part of cause for immune system turning on itself

bull They could also have a number of toxicities amp infections

110

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

56

PSYCHIATRIC SYMPTOMS

bull Many patientrsquos get depressed even suicidal

bull Can cause many problems with relationships work treatment compliance

bull Think

ndash Gut-brain

ndash Hormones

ndash Chronic pain

bull Case study Nathaniel

111

CASE STUDY

bull 35-year-old woman

bull 3 months postpartum

bull Suicidal depressed pain anxiety

bull Tried multiple meds

bull Came to me showed for Borrelia amp Babesia

bull After 3 weeks of anti-microbials amp adrenal support she was back to herself

112

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

57

TEAM OF SUPPORT

bull Team of healthcare providers

bull Family support

bull Community support

bull If still working understanding at workplace

bull Having a loved one at appointment can be helpful but sometimes they will to hide their suffering from that loved one

bull I write everything down because of memory

113

TEAM APPROACH CASE STUDY

bull Jenna

bull Working with team of NDs

bull Exit strategy = intense lab work in Germany

ndash Discovered a bacteria not active today but common in dormant stage

bull Started testing other Lyme patients

ndash 50 tested positive for same bacteria

ndash 99 of positives helped by antimicrobials

114

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

58

LIFESTYLE amp ENVIRONMENT

Home amp workplace assessments

bull Mold exposure biofilms

bull Diet

bull EMRsEMFs

bull Heavy metal toxicity

115

MOLD EXPOSURE amp MYCOTOXIN REMOVAL

bull Aspergillus (black mold) produces gliotoxin ndash Depletes glutathione

suppresses immune system

bull Healthy dose of probiotics amp high quality air purifier can usually Band-Aid a mold exposure until removed

bull Muscle test dust samples from under refrigerator top of trim or vacuum dust

116

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

59

Chronic Illness Associated with Mold and Mycotoxins Is

Naso-Sinus Fungal Biofilm the Culprit

Joseph H Brewer1 Jack D Thrasher2 and Dennis Hooper3

Author information Article notes Copyright and License

information

This article has been cited by other articles in PMC

Go to

Abstract

It has recently been demonstrated that patients who develop chronic

illness after prior exposure to water damaged buildings (WDB) and mold

have the presence of mycotoxins which can be detected in the urine We

hypothesized that the mold may be harbored internally and continue to

release andor produce mycotoxins which contribute to ongoing chronic

illness The sinuses are the most likely candidate as a site for the internal

mold and mycotoxin production In this paper we review the literature

supporting this concept

MOLD amp MYCOTOXIN BIOFILMS

117

BIOFILMS ndash THEYrsquoRE COMPLICATED

bull Can be nearly anywhere ndash the infectionrsquos hide-out

bull Different according to strain of infection

bull Busting up biofilms can be like opening Pandorarsquos box

bull Patient must be strong enough before you start ndash Digesting well methylating well hormones balanced

sleeping well eating well etc

bull Can use the biofilm tester from Life Works

bull Can challenge an organ system see if any of the three muscles go weak then test biofilm busters with that challenge

118

AK docs challenge all digestive indicators brain and eyes If you have the Life-Work Potential testers test again using biofilms and lipopolysaccharide if all indicators are strong

4202018

60

119

120

4202018

61

Source Joe Brewer MD at ILADS 2017 conference

DILUTED IODINE FOR BIOFILM

ldquostudy of 250 patients with chronic fatigue Lyme fibromyalgia ndash 98 tested positive for

gliotoxinrdquo

bull Add diluted iodine drops in nose

121

OTHER BIOFILM BUSTERS

bull Nattokinase bull Serratiopeptidase bull Trypsin bull Berberine bull Curcumin bull Quercetin bull Earthworm protein extract bull Cistus Incanus bull Diluted iodine (2 drops in

each nostril amp sniff) bull Oil of oregano bull Garlic

bull Rosemary bull Tulsi bull Andrographis bull Black cumin oil bull Neem bull Cinnamon bull Clove bull Boswellia bull Apple cider vinegar bull MCT oil

122

4202018

62

Source Medical News Today

GLUTEN SUPPORTS BIOFILMS

bull Gluten = family of proteins in grains ndash Wheat rye kamut spelt amp barley

ndash Wheat is by far the most commonly consumed

bull Two main proteins gluten are glutenin amp gliadin ndash Gliadin responsible for most of the negative health effects

bull When flour amp water mixed gluten proteins form a sticky network that has a glue-like consistency ndash Makes dough elastic gives bread ability to rise when

baked provides a chewy satisfying texture

ndash Name glu-ten is derived from this glue-like property of wet dough

123

FOOD TOXINS

124

4202018

63

SUGAR FEEDS INFECTION

125

ANTI-INFLAMMATORY DIET

126

4202018

64

EMFEMR EFFECTS

bull Activate voltage-gated calcium channels

ndash Most biological effects due to elevated intracellular calcium amp consequent nitric oxide (NO) elevation (ML Pall 2014)

bull Deplete minerals causing

ndash Bone loss muscle spasticity cognitive issues digestive issues fatigue decreased pH etc

127 Pall ML Microwave electromagnetic fields act by activating voltage-gated calcium channels why the current international safety standards do not predict biological hazard Recent Res Devel Mol Cell Biol 2014(7) ISBN 978-81-308-0000-0

BIG SOURCES OF EMFEMR

Base unit on DECT cordless phones constantly emit high EMRs (keep away from bedroom amp living areas)

Exposure decreases exponentially with distance from source Keep sleep area ldquocleanrdquo

128

4202018

65

OTHER SOURCES OF EMFEMR

bull Sleep Number beds

bull Computer monitors

bull Ceiling fans

bull Power lines

bull Vehicle Bluetooth OnStar

bull Vehicle seat warmers

bull Earthing or grounding sheets

bull Fitness trackers (FitBit)

bull ldquoSmartrdquo meters

129

HEAVY METAL TOXINS

bull Toxic soft tissue accumulation of metals that may otherwise be essential to body function ndash Lead mercury arsenic cadmium

bull Caused by ndash industrial exposure air or water

pollution foods medicines food container coatings ingestion of lead-based paints etc

bull Symptoms vary depending on metal

130

4202018

66

Source ldquoTox Townrdquo

SOLVENT TOXINS

131

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

132

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

61

Source Joe Brewer MD at ILADS 2017 conference

DILUTED IODINE FOR BIOFILM

ldquostudy of 250 patients with chronic fatigue Lyme fibromyalgia ndash 98 tested positive for

gliotoxinrdquo

bull Add diluted iodine drops in nose

121

OTHER BIOFILM BUSTERS

bull Nattokinase bull Serratiopeptidase bull Trypsin bull Berberine bull Curcumin bull Quercetin bull Earthworm protein extract bull Cistus Incanus bull Diluted iodine (2 drops in

each nostril amp sniff) bull Oil of oregano bull Garlic

bull Rosemary bull Tulsi bull Andrographis bull Black cumin oil bull Neem bull Cinnamon bull Clove bull Boswellia bull Apple cider vinegar bull MCT oil

122

4202018

62

Source Medical News Today

GLUTEN SUPPORTS BIOFILMS

bull Gluten = family of proteins in grains ndash Wheat rye kamut spelt amp barley

ndash Wheat is by far the most commonly consumed

bull Two main proteins gluten are glutenin amp gliadin ndash Gliadin responsible for most of the negative health effects

bull When flour amp water mixed gluten proteins form a sticky network that has a glue-like consistency ndash Makes dough elastic gives bread ability to rise when

baked provides a chewy satisfying texture

ndash Name glu-ten is derived from this glue-like property of wet dough

123

FOOD TOXINS

124

4202018

63

SUGAR FEEDS INFECTION

125

ANTI-INFLAMMATORY DIET

126

4202018

64

EMFEMR EFFECTS

bull Activate voltage-gated calcium channels

ndash Most biological effects due to elevated intracellular calcium amp consequent nitric oxide (NO) elevation (ML Pall 2014)

bull Deplete minerals causing

ndash Bone loss muscle spasticity cognitive issues digestive issues fatigue decreased pH etc

127 Pall ML Microwave electromagnetic fields act by activating voltage-gated calcium channels why the current international safety standards do not predict biological hazard Recent Res Devel Mol Cell Biol 2014(7) ISBN 978-81-308-0000-0

BIG SOURCES OF EMFEMR

Base unit on DECT cordless phones constantly emit high EMRs (keep away from bedroom amp living areas)

Exposure decreases exponentially with distance from source Keep sleep area ldquocleanrdquo

128

4202018

65

OTHER SOURCES OF EMFEMR

bull Sleep Number beds

bull Computer monitors

bull Ceiling fans

bull Power lines

bull Vehicle Bluetooth OnStar

bull Vehicle seat warmers

bull Earthing or grounding sheets

bull Fitness trackers (FitBit)

bull ldquoSmartrdquo meters

129

HEAVY METAL TOXINS

bull Toxic soft tissue accumulation of metals that may otherwise be essential to body function ndash Lead mercury arsenic cadmium

bull Caused by ndash industrial exposure air or water

pollution foods medicines food container coatings ingestion of lead-based paints etc

bull Symptoms vary depending on metal

130

4202018

66

Source ldquoTox Townrdquo

SOLVENT TOXINS

131

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

132

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

62

Source Medical News Today

GLUTEN SUPPORTS BIOFILMS

bull Gluten = family of proteins in grains ndash Wheat rye kamut spelt amp barley

ndash Wheat is by far the most commonly consumed

bull Two main proteins gluten are glutenin amp gliadin ndash Gliadin responsible for most of the negative health effects

bull When flour amp water mixed gluten proteins form a sticky network that has a glue-like consistency ndash Makes dough elastic gives bread ability to rise when

baked provides a chewy satisfying texture

ndash Name glu-ten is derived from this glue-like property of wet dough

123

FOOD TOXINS

124

4202018

63

SUGAR FEEDS INFECTION

125

ANTI-INFLAMMATORY DIET

126

4202018

64

EMFEMR EFFECTS

bull Activate voltage-gated calcium channels

ndash Most biological effects due to elevated intracellular calcium amp consequent nitric oxide (NO) elevation (ML Pall 2014)

bull Deplete minerals causing

ndash Bone loss muscle spasticity cognitive issues digestive issues fatigue decreased pH etc

127 Pall ML Microwave electromagnetic fields act by activating voltage-gated calcium channels why the current international safety standards do not predict biological hazard Recent Res Devel Mol Cell Biol 2014(7) ISBN 978-81-308-0000-0

BIG SOURCES OF EMFEMR

Base unit on DECT cordless phones constantly emit high EMRs (keep away from bedroom amp living areas)

Exposure decreases exponentially with distance from source Keep sleep area ldquocleanrdquo

128

4202018

65

OTHER SOURCES OF EMFEMR

bull Sleep Number beds

bull Computer monitors

bull Ceiling fans

bull Power lines

bull Vehicle Bluetooth OnStar

bull Vehicle seat warmers

bull Earthing or grounding sheets

bull Fitness trackers (FitBit)

bull ldquoSmartrdquo meters

129

HEAVY METAL TOXINS

bull Toxic soft tissue accumulation of metals that may otherwise be essential to body function ndash Lead mercury arsenic cadmium

bull Caused by ndash industrial exposure air or water

pollution foods medicines food container coatings ingestion of lead-based paints etc

bull Symptoms vary depending on metal

130

4202018

66

Source ldquoTox Townrdquo

SOLVENT TOXINS

131

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

132

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

63

SUGAR FEEDS INFECTION

125

ANTI-INFLAMMATORY DIET

126

4202018

64

EMFEMR EFFECTS

bull Activate voltage-gated calcium channels

ndash Most biological effects due to elevated intracellular calcium amp consequent nitric oxide (NO) elevation (ML Pall 2014)

bull Deplete minerals causing

ndash Bone loss muscle spasticity cognitive issues digestive issues fatigue decreased pH etc

127 Pall ML Microwave electromagnetic fields act by activating voltage-gated calcium channels why the current international safety standards do not predict biological hazard Recent Res Devel Mol Cell Biol 2014(7) ISBN 978-81-308-0000-0

BIG SOURCES OF EMFEMR

Base unit on DECT cordless phones constantly emit high EMRs (keep away from bedroom amp living areas)

Exposure decreases exponentially with distance from source Keep sleep area ldquocleanrdquo

128

4202018

65

OTHER SOURCES OF EMFEMR

bull Sleep Number beds

bull Computer monitors

bull Ceiling fans

bull Power lines

bull Vehicle Bluetooth OnStar

bull Vehicle seat warmers

bull Earthing or grounding sheets

bull Fitness trackers (FitBit)

bull ldquoSmartrdquo meters

129

HEAVY METAL TOXINS

bull Toxic soft tissue accumulation of metals that may otherwise be essential to body function ndash Lead mercury arsenic cadmium

bull Caused by ndash industrial exposure air or water

pollution foods medicines food container coatings ingestion of lead-based paints etc

bull Symptoms vary depending on metal

130

4202018

66

Source ldquoTox Townrdquo

SOLVENT TOXINS

131

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

132

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

64

EMFEMR EFFECTS

bull Activate voltage-gated calcium channels

ndash Most biological effects due to elevated intracellular calcium amp consequent nitric oxide (NO) elevation (ML Pall 2014)

bull Deplete minerals causing

ndash Bone loss muscle spasticity cognitive issues digestive issues fatigue decreased pH etc

127 Pall ML Microwave electromagnetic fields act by activating voltage-gated calcium channels why the current international safety standards do not predict biological hazard Recent Res Devel Mol Cell Biol 2014(7) ISBN 978-81-308-0000-0

BIG SOURCES OF EMFEMR

Base unit on DECT cordless phones constantly emit high EMRs (keep away from bedroom amp living areas)

Exposure decreases exponentially with distance from source Keep sleep area ldquocleanrdquo

128

4202018

65

OTHER SOURCES OF EMFEMR

bull Sleep Number beds

bull Computer monitors

bull Ceiling fans

bull Power lines

bull Vehicle Bluetooth OnStar

bull Vehicle seat warmers

bull Earthing or grounding sheets

bull Fitness trackers (FitBit)

bull ldquoSmartrdquo meters

129

HEAVY METAL TOXINS

bull Toxic soft tissue accumulation of metals that may otherwise be essential to body function ndash Lead mercury arsenic cadmium

bull Caused by ndash industrial exposure air or water

pollution foods medicines food container coatings ingestion of lead-based paints etc

bull Symptoms vary depending on metal

130

4202018

66

Source ldquoTox Townrdquo

SOLVENT TOXINS

131

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

132

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

65

OTHER SOURCES OF EMFEMR

bull Sleep Number beds

bull Computer monitors

bull Ceiling fans

bull Power lines

bull Vehicle Bluetooth OnStar

bull Vehicle seat warmers

bull Earthing or grounding sheets

bull Fitness trackers (FitBit)

bull ldquoSmartrdquo meters

129

HEAVY METAL TOXINS

bull Toxic soft tissue accumulation of metals that may otherwise be essential to body function ndash Lead mercury arsenic cadmium

bull Caused by ndash industrial exposure air or water

pollution foods medicines food container coatings ingestion of lead-based paints etc

bull Symptoms vary depending on metal

130

4202018

66

Source ldquoTox Townrdquo

SOLVENT TOXINS

131

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

132

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

66

Source ldquoTox Townrdquo

SOLVENT TOXINS

131

AGENDA

bull Tick-Borne Disease Epidemic

bull Lyme Disease amp Co-Infections

bull Diagnosis amp Testing

bull Acute Treatment

bull Chronic Disease Treatment amp Support

bull 3 Tests for Tick-Borne (hands-on)

132

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

67

APPLIED KINESIOLOGY (AK)

bull Integrated interdisciplinary approach to healthcare

ndash Originated by Dr George J Goodheart 1964

ndash Manual muscle testing (MMT) previously established by Kendall amp Kendall in 1952

bull American Medical Association (AMA) has accepted that the standard method of MMT used in AK is a reliable tool and advocates its use for the evaluation of disability impairments

133 American Medical Association Guides to the Evaluation of Permanent Impairment 5th Edition 2001510

AK MODEL

bull What distinguishes AK from MMT ndash Emphasis on proprioceptive responses of

the muscle rather than the strength

ndash Sees muscle function as a transcript of the central integrative state of the anterior horn motoneurons summing all excitatory and inhibitory inputs

ndash Locus of dysfunction ultimately rests with the nervous system

bull AK model ndash Hypertonic muscle secondary to inhibited

muscle amp inhibited muscle responsive to chiropractic manipulative therapy

134

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

68

ORDER OF TREATMENT

bull Along with symptoms history geography past treatments exams amp labs using Applied Kinesiology correctly can weed out the infections amp the order of treatment

bull Which order

ndash Tick-borne mold allergy heavy metal

ndash The patient may need to be built up before treating some of these items

ndash Find weak muscle then challenge

135

3 AK TESTS FOR TICK-BORNE

bull These 3 simple tests will help you determine if the patient needs to seek help

1 Subclavius (immune)

2 Supraspinatus (brain)

3 Quadriceps (hypoxia)

136

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

69

1 SUBCLAVIUS - IMMUNE

137

SUBCLAVIUS TEST

1 Patient sitting or supine

2 Abduct arm 180deg to side of head

3 Internally rotate arm so palm faces away from patient

ndash Patientrsquos biceps should be next to ear with the elbow completely extended

4 Doctor braces the opposite shoulder amp abducts the arm away from the head

138

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

70

2 SUPRASPINATUS - BRAIN

139

SUPRASPINATUS TEST

1 Patient seated or supine

2 Abduct the arm 45deg amp internally rotate so palm faces down (supine) or back (seated)

3 Doctor braces above the wrist amp makes sure elbow is in full extension while adducting arm

140

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

71

3 QUADRICEPS - HYPOXIA

141

QUADRICEPS TEST

Test incorporates all four quad muscles amp some hip flexors

1 Patient supine flexes hip amp knee to 90deg

2 Doctor stands above knee with hand below patella

3 Doctorrsquos forearm is parallel to ground with elbow at 90deg amp directs force toward patientrsquos foot into hip extension

142

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

72

DETERMINE TREATMENT

If one or more muscles are weak you can challenge for strength with any supplement vertebral level or extremity for adjusting or

flower remedy for emotional stability

143

DETERMINE DOSING

bull Whichever supplements they show for you can dosage with muscle challenge

bull Reschedule according to structural needs amp timing for finishing supplements

bull Retest muscles if still weak repeat supplement amp structural testing

144

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

73

INSOMNIA amp CIRCADIAN RHYTHMS

bull To muscle test

ndash When patient is supine cover eyes amp forehead which blocks out the pineal gland

ndash If a strong arm goes weak figure out what is needed

145

EXERCISE

bull Adrenally fatigued patient should only do gentle exercise

ndash Yoga walking tai chi Qi Gong etc

bull As soon as possible patient should start higher intensity interval training or burst training for increasing oxygen

bull Saunas are highly recommended

146

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

74

DIAPHRAGM amp TMJ

bull Can cause hernia amp digestive problems due to the stress of

ndash Chronic pain

ndash Holding breath

ndash Clenching teeth day or night

147

CHALLENGES

bull To tease out hidden infections when the patient seems better create body stressors ndash Muscle fatigue (wall-sit planks or

Superwoman pose) EMF exposure vagus nerve response food challenge or wind invasion

bull Retest the 3 muscles

148

Any kind of trauma or stress can send a message to the bugs to create an attack

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

75

TRIGGERS

bull Emotional stress

ndash Divorce death losing job moving etc

bull Physical trauma or injury

bull Illness

Educate patients to make an appointment after any possible trigger the sooner you find it the

faster it resolves

149

CASE STUDIES

bull Jon

ndash ALS

ndash Mayo response

bull Hazel

ndash 11 year-old girl

ndash Strep triggered underlying Lyme

ndash PANDAS

150

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

76

CAN WE BECOME IMMUNE

With individualized care healthy eating and healthy lifestyle habits I believe we can get

stronger and mutate for the better just as the bugs are doing

151

OUR APPROACH

bull Life-Work Potential Lyme Plus Test Kit to determine which infections wersquore dealing with amp to prioritize

bull Thorough history taking amp in-depth AK testing for ndash Structure emotion EMFs mycotoxinfungal virus tick-

borne bacteria parasites hormone disruptors heavy metals and solvents food toxins and foods

bull Along with psychiatric care flower remedies can be crucial for chronic patients that are depressed or even suicidal

bull Creating a team of healthcare practitioners can be most beneficial for the seriously ill patients

152

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

77

FINAL THOUGHTS

I hope that we as chiropractors can emerge and be fully recognized in the mainstream treatment of tick-borne infections We are

experts in how to help the body stay balanced and strong and we understand the internal mechanisms in which proper nutrition and

lifestyle choices can help

153

TAKE HOME POINTS

1 Tick-borne illness is an epidemic

2 Doxycycline is important but not a cure-all

ndash Still need to address co-infections

3 Treat each patient as an individual

ndash NO protocols each patient is different

4 When used correctly 3 AK tests will help you identify tick-borne disease amp determine order of treatment

154

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156

4202018

78

Dr Onniersquos email onniedoctoronniecom Tina Ashton Clinic Director tinadoctoronniecom wwwwholisticfamilyhealthcarecom 715-472-4000 Luck WI

155

ADDITIONAL RESOURCES

bull ILADS (International Lyme and Associated Diseases Society) ndash wwwiladsorg

bull Lyme Disease Association ndash wwwlymediseaseassociationorg

bull WI Dept of Health Services ndash httpswwwdhswisconsingovtickborneindexhtm

bull MN Dept of Health ndash httpwwwhealthstatemnusdivsidepcdtopicstic

kborneindexhtml

156