Moodle at CCNM

Dr. Ho’s presentation will focus on the link between diet and cancer risk, and the simple things people can do to decrease their chances of developing the disease by food choices. Cancer is an incredibly complex disease, but for certain cancers, like breast, prostate and colon cancer, diet could make a big difference in your risk. Many natural compounds found in foods target the same pathways that drugs use to help fight off cancer and other diseases. Cancer prevention research can be hard to understand, as the results aren’t seen right away, but preventing cancer absolutely will save lives. As we find out about what drives the biology of cancer, it is becoming clearer that it’s not just genetics that predicts your risk. Even if genetics is not in your favor, there are choices you can make with your environment and your food choices that can help you tip that balance favorably, and will be discussed throughout the presentation. Recent research examining the impact of sulforaphane, a dietary bioactive derived from cruciferous vegetables, on genetic and epigenetic processes important in breast and prostate cancer will be highlighted.

Genomic medicine is putting eggs into the SNP basket. But what if your patient is not born with SNPs? You swore they had MTHFR, COMT and others yet SNPs are not present. Other patients seem to be absolutely healthy yet they are born with a myriad of significant SNPs. What’s going on?! Learn how to incorporate gene function in your practice so you are prepared for either situation.

A middle-aged woman is struggling with panic attacks for most her life. She wonders if genetics is something she should look into or not. She gets her genetic report and has no clue what it means. Dr. Lynch works through a case study incorporating history, SNPs and pathways to discover what is triggering her panic attacks - and why...

As Naturopathic Physicians you are the primary care providers for a diverse patient base. This gives us the opportunity to provide treatment for both genders through the various milestones of their lives. Many of these patients are primarily healthy but many will experience acute or long lasting systemic illnesses in their lifetime. The chance of these patients having an acute medical emergency in your office is real. Managing a medical emergency occurring in the primary care setting can be difficult. We need to make critical decisions quickly. You can be confident with these critical decisions when you are prepared. Mitigation of medical emergencies, in your practice, uses the knowledge that you have already obtained. Understand the value of proper preplanning for medical emergencies.  Pharmaceuticals:Epinephrine 1:1000Oral Glucose

This presentations offers an overview of external applications of Chinese herbs. Because this is a vast subject, the goal of this presentation is to introduce the concepts behind external applications, introduce several common application methods such as daubing powders, applying soaks, washes and compresses, and applying soft plasters. In addition, we introduce the method of preparation and method of usage of several of the methods of external application including Ru Yi Jin Huang San, Bing Peng San, and Da Huang Di Yu San. While the majority of the discussions will target dermatological disorders or treatment of sprains, strains, and contusions. This presentation also includes some external applications for the treatment of internal disorders.

Disordered eating behaviors can have a profound impact on digestive physiology resulting in altered motility, anatomy, digestive secretions, immunologic status, and microbial balance. These challenges contribute to the development of a number of different GI disorders, including the category of “Functional GI Disorders” which may have a prevalence up to 98% in patients with eating disorders. Many of these symptoms naturally resolve through the eating disorder recovery process, but to make matters more complex, many patients with eating disorders also had gastrointestinal concerns prior to the onset of their eating disorder. This overlap can present challenges in clinical practice and raises many questions. When should we be pursuing testing for GI symptoms? How do we ensure that our interventions do not cause harm? For conditions for which dietary modification is typically a cornerstone of treatment, when is it appropriate to include these modifications? This presentation explores these questions through presentation of research, clinical experience, and conversation.

Disordered eating behaviors can have a profound impact on digestive physiology, resulting in changes to motility, anatomy, digestive secretions, immunologic status, and microbial balance. These changes often lead individuals with eating disorders to develop any number of functional gastrointestinal disorders (FGID), with some studies estimating a 98% prevalence of FGID in patients with an eating disorder (Boyd, et al. 2005). And to make matter more complex, the symptoms of the eating disorder itself can often be indistinguishable from the symptoms of these gastrointestinal disorders, making it difficult for clinicians to identify appropriate treatment strategies. This overlap can present challenges in the setting of a functional GI practice, and poses some difficult questions. How do we appropriately screen for and recognize patients who have eating disorders? How do we ensure that our interventions do not cause harm to these patients? Do we consider dietary modification or other cornerstones of digestive health treatments in this patient population? This presentation will explore these questions, as well as provide useful tools for clinical evaluation, management, and appropriate referrals for patients with disordered eating behavior and diagnosable eating disorders.

Although brain injuries have received a great deal of press lately, they are still poorly understood. In this presentation, we explore brain injuries through the lens of Applied Psychophysiology, “the practical understanding of the mind-body interrelationship with regard to therapeutic treatments of various kinds”. (Jonas: Mosby's Dictionary of Complementary and Alternative Medicine. (c) 2005, Elsevier.) Research and clinical experience point to a strong connection between brain injuries and digestive disorders including SIBO. A review of that research is presented to illustrate and expand upon gastrointestinal cases gleaned from the private practice of Kayle Sandberg-Lewis. Steven Sandberg-Lewis presents research on treatment options for traumatic brain injury are in the early stages. Factors to consider in the cascade of dysfunction for these patients include reducing oxidative stress, excitotoxicity, and inflammation (activated microglia) as well as supporting mitochondrial function, membranes, synapses and axons. Several protocols have been studied with multiple nutritional and botanical options. This 30 minute presentation gives an overview of the choices and present the evidence available.

The Canadian College of Naturopathic Medicine (CCNM) and the Ontario Association of Naturopathic Doctors (OAND) are hosting the third of its Collaborative Care Panel Series discussions on Collaborative Family Medicine. The purpose will be to explore the challenges and opportunities of working collaboratively to enhance patient care.The presenters in this presentation are Dr. Nick DeGroot, ND; Dr. Christine Palmay, MD; Dr. John Gannage, MD; Dr. Michelle Richea, ND; Dr. Jordan Robertson, ND; Dr. Courtney MacEwan, MD.

Fermented foods are integral elements of culinary practices in every part of the world. This presentation discusses the reasons for this, and ways in which the process of fermentation transforms foods and beverages, with a focus on nutritional transformations. Fermentation predigests foods, making nutrients more bioavailable, breaking down many toxic compounds, and generating various by-products, some of which have been found to have therapeutic applications. The greatest health benefit of fermented foods are the bacteria themselves, which are probiotic and help to restore biodiversity in the intestines, where they contribute not only to improved digestion but also immune function, mental health, and almost every aspect of our functioning and well-being.

Research suggests that “classic” fibromyalgia (FMS) is a central pain processing disorder and does not appear to be a peripheral somatic disorder. Dr. Brady will emphasize the concept that this central-mediated disorder is strongly associated with psychological disorders, including trauma and abuse history, depression, anxiety, irritable bowel syndrome, and sleep disorder. Common mechanisms in-play regarding these concomitant issues and global pain will be fully explored and accurate differential diagnostic and comprehensive naturopathic therapeutic strategies will be discussed in-detail. The concept of “pseudo” or “false” fibromyalgia diagnostic labels will also be discussed, to include various organic and functional medical conditions, as well as somatic musculoskeletal conditions, which confound the accurate diagnosis of “classic” FMS will also be presented. Natural and pharmacological interventions options will be presented, including discussion of the following medications: - Savella (milnacipran HCl) - Duloxetine hydrochloride (Cymbalta) - Pregabalin (Lyrica) -Gabapentin -Naltrexone

This lecture discusses common gastrointestinal bacterial and parasitic infections and gives guidance for diagnosis and treatment. Also discussed is the importance of eradication of these infections as a key primary approach to reversing metabolic endotoxemia and establishing optimal gastrointentinal health. Prescriptive medications as well as herbal and nutraceutical treatments are discussed as well. Pharmaceuticals discussed include: Pyrantal Pamoate, Nitazoxanide, Praziquantel, Albendazole, Mebendazole, Tinidazole, Ivermectin, Iodoquinol

Gu Syndrome is a chronic inflammatory syndrome involving an autoimmune reaction and/or simultaneous infections by many different pathogens or parasites such as funguses, viruses and spirochetes. These simultaneous infections thrive upon each other's existence and symbiotically assist each other in the process of feeding on the infected person. This presentation gives an overview of different manifestations of Gu Syndrome, describes the history of Gy Syndome in classical Chinese medical texts, and describes different treatments for Gu Syndrome such as the application of Chinese Herbs and adherence to an anti-inflammatory diet.

Five element cartography is an effective and unique system of medicine that diagnoses and treats the cause of disease. David Ford explains and promotes the idea of elemental balance with the patient and their surroundings. In standard TCM teaching, the Ko cycle is taught as a cycle of restraint and control.This presentation re-examines this idea and re-frames Ko as the force for balance and harmony. Participants will be presented with a method for mapping the elements within their patients to identify imbalances and restore harmony through treatment.

Historically, the heart has been regarded as a source of wisdom, spiritual insight, courage, thought and emotion. It wasn’t until the 1700s that humans began relegating this spiritual center to the role of a machine, whose function was only that of pumping blood. Modern research reminds us that the heart is an incredibly complex, dynamic and intelligent organ, communicating with and influencing the brain and the rest of the body. This class will cover the traditional uses, mythology and lore of several heart-centered herbal allies, with additional emphasis on dietary and lifestyle changes that can support healing on physical, emotional and spiritual levels.

This presentation begins by establishing a baseline understanding of the typical ways physicians use electronic communications, -- e.g. email, texting, online video, etc – in practice. We then come to understand legal and ethical implications of these uses and provide some guidance for adhering to those laws and ethics.  The presentation focuses on a combination of the learners’ professional and ethical responsibilities and the legal standards that help them know how to live up to those responsibilities. Concrete examples are used to help ensure understanding of the material.

A core tenet of Naturopathic medicine is to provide deep, holistic care for patients that addresses the whole person. As such, NDs frequently develop closer relationships with patients than do their allopathic counterparts. In addition, NDs in Oregon have recently found themselves being more closely integrated into primary care for Oregonians and thus under closer scrutiny from their licensing board. It has become clear that one common cause of complaint to the board involves boundary violations. In order to help attendees learn how to establish rigorous boundaries with patients, as opposed to either overly ridged or overly porous boundaries, this presentation will show attendees how psychotherapists use professional boundaries as both a tool for maintaining ethical behavior and for improving clinical outcomes along with discussion of the many ways in which this model applies to Naturopathic medical practice. The presentation will also explore the all-important topic of which kinds of patient conditions and which situations typically foster boundary crossings and violations.

'The Immune System' was an outgrowth of understanding the treatment of AIDS. Contemporary epidemics of cancer, some causes of diabetes, and auto-immune diseases have a clear basis in the murky world of immunity. Environmental pollution from chemical, parasitical and nuclear radiation sources pose growing challenges for global health. Chinese medicine--particularly its classical reservoirs--can provide a more accurate understanding for all pracitioners and researchers with what is going on in the body in response to these unprecedented conditions. Contemporary Chinese treatment methods, particularly overlooked non-needle techniques, afford practitioners and patients with empowering tools for direct investigation and treatment of all immune conditions.

Humans have evolved alongside bacteria internally and externally for all of humanity. There is a growing interest in understanding and researching the human microbiome and numerous health and disease connections have been made pertaining the health of our internal microbial communities. We explore culture in the microbial sense and culture in the human sense as the two collide when we discuss the processes of fermentation, which is found in every civilization across the globe throughout history. Fermented foods and/or the knowledge to make these items have traveled the globe with human migration sometimes against great odds. In this talk we consider how teaching people to ferment foods and beverages in their own homes may have an impact on creating a healthy kitchen microbiome, and thus may positively impact their health through improved internal microbiomes from the regular production and consumption of fermented foods. We also discuss how these techniques are a way to connect back to our ancestral diets.Encouraging and teaching people/patients/clients how to ferment foods at home may have a positive impact on a broad range of health concerns due to the increased production and consumption of fermented foods, which contain probiotics. Learning these techniques can also be healing for people as it allows them to create autonomy over their food production and foster a connection to non-processed ancestral diets.

Lymphocytic colitis (LC) and collagenous colitis (CC) are two causes of chronic non-bloody diarrhea, and are coupled under the diagnosis of microscopic colitis (MC). These are inflammatory diseases of the colon which have no gross changes and are identified by histology alone. Dr. Sandberg-Lewis has treated a significant number of cases of MC. In this presentation he defines these conditions, explains their known etiology, risk factors and pathophysiology and focuses in more detail on the most effective standard and Naturopathic treatment and management strategies. Pharmacology is included in this discussion (drug causes of MC, dosages and tapering strategies for prescription medicines and some off label approaches.) Indeterminate colitis is also discussed – that condition that falls between Crohn’s colitis and ulcerative colitis. Even with the eclectic approach of NDs, knowing the definitive diagnosis for inflammatory bowel disease holds importance and allows you to focus your treatment toward more proven options rather than guessing. What do you do when there is no definitive diagnosis? Sandberg-Lewis attempts to demystify this – discussing his approach in these situations.