Moodle at CCNM

An evidence based review of common diets purported to benefit individuals with cancer. We will dive deep into the claims of each diet and determine whether there is a good scientific foundation for each. Diets to be reviewed include Budwig, Ketogenic, Vegan/Juicing, Fasting, and Mediterranean.

The purpose of this presentation is to allow the attendee a chance to “catch up” after a full day of genomic presentations and get an introduction to the day’s material. Dr. Anderson presents several case studies on patients he has managed. A “1-2-3” approach will be presented which outlines how practitioners can “troubleshoot” the treatment issues that happen when either the patient “self-treats” or has an unusual reaction to a nutrigenomic therapy.  Pharmaceuticals discussed in case presentations will include Deplin, Metanx, Buproprion, and Diphenhydramine.

Celiac disease made a splash with the gluten-free diet craze. Gluten is now almost a household word, however celiac disease continues to be underdiagnosed in the US and around most of the world. Celiac disease is a common condition effecting 1% of the population, yet in the United States we have only diagnosed an estimated 15%-20% of all celiacs. Research is robust on celiac disease and the complexities continue to be revealed. Dr Shaver will guide you on an update of the recent research on celiac disease with brief mention of the non-autoimmune disorder of non-celiac gluten sensitivity, in the areas of pediatrics and adolescents, Research on pharmaceutical treatment advancements in celiac disease will be discussed.

This presentation reviews current cervical cancer screening guidelines, updates and management of abnormal pap tests and HPV findings using the American Society of Colposcopy and Cervical Pathology (ASCCP) algorithms. There are some cases at the end of the presentation that will allow participants to apply the guidelines and practice using the algorithms. Participants will be able to apply this to their practice right away.

In this seminar, practitioners learn how to enhance clinical practice through effective insurance billing and coding techniques, tips, and essential guidelines. Dr.Ilana Gurevich, ND, Lac is an established expert in Naturopathic medical and has worked with a variety of individual businesses throughout the years. In this presentation she discusses and answer most questions related to billing and coding. Attendees can expect to learn how to:  1) Be able to choose the appropriate code based on there services2) Be able to chart in compliance with the details that the code they used require3) Feel confident that if they are audited there charting will be consistent with the requirements of that code

This brief overview of allopathic medications for depression and anxiety primes the naturopathic physician to better assist the patient who wishes to either utilize or cease use of psychiatric medications. We will specifically look at the SSRI and SNRI class of medications, as well as anxiolytics such as benzodiazapines and antihypertensives. We will cover appropriate use, naturopathic considerations, side effect profiles, and intra-class comparisons.

The clinical manipulation of the microbiome by the use of pre and probiotics in the USA has seen an exponential rise in the past 5 years. Despite the recent expansion of information the wide spread support by major medical societies the use of pre and probiotics is significantly hampered by the lack large randomized prospective studies. The lack of strain-specific data sets, lack of dose response, poor understanding of clear links to mechanism, and general misinformation about pre and probiotic products has limited the therapeutic use.  As the use of probiotics grows beyond general claims of overall gut health to more targeted health claims data is starting to emerge to support use in not only clinical setting but in programs supporting health lifestyles. Much of the focus in medical and surgical practice now revolves around the protection from gut barrier disruption and alterations in intestinal permeability as well as immunologic compromise.  Large prospective randomized trials have now reported benefits in prevention of Ventilator Associated Pneumonia, antibiotic associated diarrhea, and Clostridium difficile diarrhea. Smaller prospective trials have shown use of probiotics to decrease total infectious complications actually shorten hospital stays. Determining a clinically effective dose (potency) for administration of a probiotic is a key but it appears that positive data is now available in pneumonia, antibiotic associated diarrhea, and a variety of other routine clinical challenges. This presentation reviews the current clinical perspective and possible use strategy for optimizing use of “probiotics” in a medical and surgical practice as well as the use to prevent acute surgical and chronic medical diseases.

Selected attendees and patients (both diabetic and non-diabetic) are connected to a continuous glucose monitoring system for 72 or more hours. Real-time glucose numbers will be transmitted and interesting highlights of the glucose data and dietary diaries are analyzed during the presentation. Relevant patient data from Dr. Chapman's diabetes-focused practice are also presented. Dr. Chapman also discusses the clinical utility of CGMS (continuous glucose monitoring system) in the naturopathic primary care setting in prevention and treatment of both autoimmune and type 2 diabetes mellitus. Clinical relevance will include cost, safety, CGMS initiation, dietary analysis, prevention of hypoglycemia, medication adjustments, and reduced hospital interventions. Audience participation will be implemented through questions and case studies. The presentation on CGMS will be followed by a more general discussion on autoimmune diabetes management with Julie Verfuth, ND. Drs. Chapman and Verfurth discuss various approaches to optimal glucose management.

This talk covers the basic virology and clinical features of congenital CMV. We discuss diagnosis and management of congenital CMV and how this pertains to the new Oregon state law. Finally, we discuss the implications of the new CMV law for practitioners across the state. (Note: includes discussion of the early use of antivirals)

Over the history of Chinese medicine some unique uses of specific herbs have developed. Some of these uses are typically not found in English language texts and some are never or rarely seen even in modern Chinese texts. This presentation discusses some of these uses and gives the background information necessary to enable practitioners to apply these unique and effective herbs in situations for which they may or may not have previously considered them. Further, this presentations covers some less commonly used herbs that are particularly useful for disorders that we frequently see in the clinic. This presentations emphasizes clinical utility and aims to give participants information that will be immediately application to their practices. It includes both internal and external uses for the herbs.

This presentation will explore the role of compassion as an essential therapeutic ally in clinical practice. Dr. Diaz will describe how compassion and rapport with patients can strengthen the therapeutic alliance and provide patients with enhanced resilience and better clinical health outcomes.

Classical Chinese Medicine is based on the vitalistic belief that the body has both the spiritual and physical resources within itself to heal. Of all western medical traditions, homeopathy shares this core tenant and the belief that the body just needs to be stimulated to react, and this healing at the level of body, mind, and spirit will occur.  Dr. Samuel Hahnemann, the founder of homeopathy, noted that sometimes patients would relapse into ill health even after apparent cure. He developed the concept of Miasm as an explanation of a hidden chronic disease. The 4 Miasms commonly discussed: Psora, Sycosis, Tuberculosis, and Syphilitic bear some similarity to the 6 conformation theory discussed by Zhang Zhongjing in the Shang Han Lun.Through comparing these two theories we can expand our ability to diagnose our patients, and further expand our treatment approaches to assist in supporting our patients back to health.

How do the three phases of detoxification work? How do pharmaceuticals affect them? A common area of misunderstood reactivity is sulfite oxidation, which often is mistaken for a Type-1 histamine reaction. This session is designed to give clarity to the signs of these reactions as well as prevention and treatment strategies. Phase-2 is dominated by Glutathione and Glycine but also these “back-up” hydroxyl reduction in Phase-1. How do pharmaceuticals affect these supports, how clinically can we assess and support them and what does it look like clinically when they are overwhelmed? Additional case studies are discussed. Pharmaceuticals discussed in case presentations will include Mucomyst, Succimer, acetaminophen, codeine, ciclosporin and diazepam.

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.

This talk will discuss the reasons why we are in dire need of change in the therapeutic approach to cardiovascular disease, and how evidence of alternative treatments using food alone or nearly that has been right under out noses for years. I will review research and clinical evidence proving worth of this most classic of ‘food as medicine’ approaches, as well as help sift through weaker research on different dietary approaches trying to be passed off as good evidence. Finally I will summarize the overlapping principles in what has been discovered, and how to use them to create an applicable approach for everyone.

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.