Moodle at CCNM

This presentation covers underlying motility disorders associated with SIBO such as abnormal MMCs, CIPO, enterocele, and bowel surgeries.

In continuing the discussion of the principle of treating underlying causes of SIBO rather than simply focusing therapy on reduction of bacterial overgrowth, we cannot overlook the thyroid gland’s role in motility. Evidence has emerged for thyroid disorders as one of SIBO’s etiologies. This presentation explores SIBO’s intersections with dysthyroidsm, and points to implications in developing effective treatment plans and strategies for prevention of recurrence. The presentation will include a brief overview of thyroid prescribing, both clinically and sub-clinically, including use of Levothyroxin, Tri-iodothyronine, dessicated Thyroid USP, and compound prescribing.

The objective of this lecture is to educate individuals on the all aspects of NAD (Nicotinamide adenine dinucleotide); its biochemistry, history of use clinically, applications of use, understanding of the delicacy of its use in addiction medicine & mental health disorders, as well as for other health issues. Focus will be on intravenous use but oral, transdermal & intra-nasal use will also be discussed. Also, emphasis will be placed on the importance of proper training & methodical use clinically.

This presentation introduces the student to the anatomy and physiology of the subtle energy body system and its application to the individual in how it relates to the emotions, the thought patterns held in the unconscious mind and correlating symptomology held in the physical body. Students will learn to understand physical symptomology of disease from an expanded perspective which includes the subtle energy body and its interconnection with the emotional, mental and spiritual levels. Specifics of the subtle energy body system will be explored both theoretically through the examination of two different subtle energy body systems developed throughout the world, and personally through the exploration of their own energy system. Case histories will be presented and an exploratory exercise will be included.

In this presentation, we are joined by three panelists who share their stories involving their near death experiences followed by a Q & A.

Neuroinflammation is found in all persons with chronic neurologic diseases as well as those with traumatic brain injury. Glial cell activation results in neuroinflammation, which often manifests in a case history with one or all of the following: cognitive decline, mood disorder, pain. All of these manifestations show up regularly in every clinical practice and have proven to be quite difficult to completely resolve. One of the reasons for this lack of resolution could be due to failure to recognize and specifically treat neuroinflammation. This presentation will review the mechanisms by which glial cell activation occurs. All of the common causes of glial activation will be covered including endotoxicity, traumatic brain injury, oxidative stress and environmental pollutants. The pivotal role of glutathione in preventing neuroinflammation from becoming chronic will also be presented.

Sometimes our most commonplace herbs, often growing abundantly around us, are overlooked in favor of newer, exotic, or imported herbs or preparations. But the commonplace "boring" herbs endure through millennia because they are reliable, potent, and often versatile in their applications. Recent scientific research gives insights into the mechanisms of some traditional uses, and adds knowledge about possible expanded applications. This presentation covers recent research and traditional uses for Urtica, Matricaria, Althaea, Allium sativum, Plantago, Calendula, and Hypericum. These plants are abundant, inexpensive or free, powerful and truly "people's medicines."

There is so much to learn in herbalism from our rich historical past but creating new and innovative ways to use herbs is fun and exciting. In this workshop, Dr. Glen Nagel will discuss bringing innovations from the world of modern gastronomy to herbalism. We will discuss and demonstrate the use of the pressurized whipper using N2O and CO2 to make foams, fluffs, and whips. We will explore using different bases such as gums, seaweed gels, egg whites, and fats. Let’s have fun with laughing gas in a new safe way!Herbal foams are incredibly light and fluffy, give an amazing new taste and texture to common medicinal plants. We will explore this new field by talking about theory and then develop and practice making some fluffs, using a variety of herbal mucilages like marshmallow, seaweeds, egg whites, garbanzo water, and others. Foams are Fun: Light, mostly air, high flavor, many uses, made with laughing gas (N20) so they are naturally fun!

In your practice, 6% of your patients, or more, have Non-Celiac Gluten Sensitivity (NCGS). Confused the difference between NCGS, non-celiac wheat sensitivity, gluten allergy, wheat food sensitivity, wheat allergy and celiac disease? Dr Shaver discusses diagnosis and reviews the research about this relatively new condition, named in 2011. There are important ethical issues to discuss with your patient prior to prescribing any of the current gluten-free diets (Keto, Paleo, Low Fodmap, Anti-Inflammatory, Wahls, etc.) if one has not thoroughly tested for NCGS and celiac disease.

This lecture is intended to review in depth the indications, contraindications, and adverse effects of a range of non-opioid pharmaceuticals commonly used in pain management. Our lecture will be focused on adult pain management, and limited to oral products – we will not be discussing topical or injectable medication.  Topics covered will include:- Non-steroidal anti-inflammatories (NSAIDs) – naproxen, ibuprofen, aspirin, meloxicam, diclofenac, celecoxib- Corticosteroids – prednisone and methylprednisolone- Acetaminophen- Muscle Relaxants – baclofen, carisoprodol, cyclobenzaprine, metaxalone, methocarbamol, tizanidine- Anticonvulsants – gabapentin, pregabalin, topiramate, valproic acid- Antidepressants – amitriptyline, nortripyline, duloxetine, venlafaxine, milnaciprin

This lecture is intended to review in depth the indications, contraindications, and adverse effects of a range of natural therapies commonly used in pain management. Additionally, we will cover the clinical trial data that supports use of these approaches and products. Our lecture will be focused on adult pain management, and limited to diet and oral products – we will not be discussing topical or injectable medication.  Topics covered will include:- Dietary Approaches with Clinical Trial Data- Nutraceuticals, including Vitamins B2, B6, B12, Folate, D, Magnesium, CoQ10, Glucosamine, Alpha—Lipoic Acid, Omega-3 Fatty Acids- Herbal Medicine, including Curcuma, Petasites, Boswellia, Tanacetum, Mitragyna. It is beyond the scope of this lecture to discuss cannabis.

This second of two talks by Dr. Korn provides an overview of state -of -the- art science about foods, nutrients and herbal medicine for the prevention and treatment of Diabetes Type 2, Cognitive Health and Alzheimer’s Disease. We will explore bio-individuality, genetics, alternatives to medications such as statins and Metformin, the intersection of culture, and why there is no one right diet for everyone.

Outlet dysfunction constipation is commonly overlooked cause of chronic constipation. This group of conditions is often a consequence of poor coordination of colonic, abdominal, pelvic and rectal musculature resulting in ineffective or incomplete expulsion of stool during defecation. This can be caused by weak colonic contractions, rectal hyposensitivity, rectal outlet obstruction, poor lower abdominal muscle recruitment, increased ano-rectal muscle tone or anismus. It is estimated that about 50% of those with outlet dysfunction constipation also suffer from slow transit constipation. Outlet dysfunction constipation should be evaluated first in-office with a detailed history and physical examination. Further evaluation by a pelvic floor physical therapist or GI motility specialist is often warranted. Dr. Kimball discusses when to refer and common treatment approaches performed by specialists. Treatment of outlet dysfunction constipation requires a coordinated and personalized approach to treatment to achieve resolution. As part of this presentation, Dr. Kimball reviews the application of behavioral modifications, dietary modifications, physical therapy, nutritional supplements, pharmaceuticals and biofeedback therapy to address outlet dysfunction constipation disorders. Also discussed is the use of osmotic laxatives, stool softeners, enemas, colonic secretogogues: linclotide and lubiprostone, muscle relaxants: tizanidine and cyclobenzaprine, and botulinum toxin injection.

Clinical practice often presents challenges in effectively diagnosing and treating pain originating from the vertebral column. The spine refers pain in a few complex yet predictable patterns to the upper back, shoulders, hips and lower extremities. These patterns offer a road map back to pathological spinal segments. Once the spinal segment is identified this pain can be effectively and comprehensively treated. If the spinal segment is not addressed only transient reduction in symptomotolgy is experienced. This lecture will give the clinician effective diagnostic criterion as well as multiple treatment modalities for more successful outcomes.

PANS is a form of autoimmune encephalitis that can cause a wide-spectrum of symptoms in the pediatric population. A heightened level of clinical suspicion and thorough medical history is imperative in order to provide prompt and comprehensive treatment. With antibiotics, anti-inflammatories and integrative therapies it is possible to turn a potentially chronic and debilitating illness into a treatable one. In this presentation, Dr. McAllister lectures on more current research findings and discuss clinical cases in order to show the wide symptom picture and integrative treatment options for this illness.

Parkinson’s disease has long been considered a neurological disorder. Yet, people with Parkinson’s exhibit both motor and non-motor symptoms, only some of which are brain derived. As we learn more and more about Parkinson’s, the gastrointestinal influences on disease is becoming increasingly clear. Not only do people with Parkinson’s experience constipation, there’s evidence that Parkinson’s may originate in the gut. In this seminar, we examine the gut-brain axis in Parkinson’s. We discuss microbiome influences on Parkinson’s, gut contributions to neuroinflammation, and strategies to balance the gut-axis in Parkinson’s disease.

When presented with a patient in pain, a thorough examination and survey of potential pain generators needs to be completed. Different tissue types refer pain in characteristic ways that help the practitioner better determine what the problem is and how to treat it. A comprehensive understanding of anatomy and classic physical examination is often far better at reaching an effective diagnosis and good outcome than any particular imaging technique, and far more reassuring to the patient.

Chronic Pain Syndromes are complex disease states characterized by multi-system dysfunction and a high degree of co-morbidity and symptomology. Given the difficult nature of treatment, limited available option for recalcitrant conditions and problems with polypharmacy and special populations, safer more effective treatments are necessary.  Peptides represent a treatment methodology which can address root causes of illness via multi-system modulation and restoration.Peptides:Selank and Semax; GHRP & GHSP; BPC; Hcg/AOD; Thymosin; DSIP; Epithalon.

Our mission as physicians is to assist and facilitate the healing of our patients. Before that can happen,the physician has to heal himself. They must practice walking their talk. The more doctors are able to heal themselves mentally, emotionally and physically, the greater will be the good they will be able to do for others. It’s a simple premise that makes all the sense in the world. My presentation is meant to empower doctors through utilizing and embracing certain techniques and practices that provide them with the means to change and heal themselves. These techniques are easily integrated into one’s lifestyle through simple repetition and discipline. The Physician Heal Thyself program both stimulates and motivates the participant to make the changes to work on themselves so they can better relate and heal their patients.

Traditional, holistic systems of medicine understand that in order to offer remedies and true paths to healing we must be able to not only know their actions, but their qualities and what areas of the body they affect. Today, evidence-based medicine values data in the form of clinical trials. We gather data in the form of organoleptic learning, find patterns through sipping tea and doing a plant proving. Plant sits often are used to help understand the spirit of the plant, but in this workshop we dissect the physiological workings of a plant we ingest. We look at flavors, qualities, and how sort through and define actions in the body.