Wednesday, December 19, 2012

Peace on Earth, Goodwill towards All


From Michael Cronin, ND
AANP President

Kyle and I had our neighborhood Christmas party this weekend—it was a potluck of course. We have lived in our town, Cave Creek, for 12 years, and in that time we have met many folks and now consider several of them friends. They are of different ages, members of the cross country team, horse lovers, and neighbors. We track each other’s career changes and catch up with the kids and their paths. The best part about this party is our hug and wishes to each other for a Merry Christmas and happy, successful New Year.

I can’t give you a physical hug in my blog, but I am sending you, our community of NDs, a digital hug and the best wishes in 2013. May your:

  • Practice prosper,
  • Phones ring with new patients,
  • Prescribed nutrients hit the desired targets,
  • Advice be taken and recognized for its wisdom,
  • Journey bring you new professional relationships that advance your practice,
  • Daily readings be captivating and advance your work,
  • Practice change or add a modality that keeps work interesting,
  • Engagement with your state and national ND organizations effect change,
  • Drive to work each day leave you feeling good and looking forward,
  • Trips home from work be filled with a sense of accomplishment,
  • Personal health, energy, sleep, and attitude improve,
  • Road lead to finding and appreciating friendships, and
  • Life be filled with love.

Happy holidays! May 2013 be your best year yet!

Monday, December 10, 2012

You Never Know Where You Will Learn Something That Changes Your Practice: Lysine for CNS Disorders and Cognitive Function

Written by Shiva Barton, ND, LAc
2011 Physician of the Year

OK, even though I am no longer Physician of the Year – that was soooo 2011 – I was asked to contribute to the AANP blog. Just when you thought it was safe...

A few weeks ago I gave a talk at the local Senior Center. I had given a talk there a few years ago and evidently I didn't kill anybody so they invited me back. The topic was, “When Would or Should a Person Consider Using CAM.” The talk was part of a community event where vendors were invited to have tables promoting their senior relevant businesses. (Did you know that there is an association of Senior Relocation Services – think selling or cleaning out houses, estate sales, etc. – and that there is an accreditation process for these services?) As I looked out over the audience there must have been 100 or more people there. The difference between this time and last time I spoke was that now I QUALIFY TO BE A SENIOR! (Big 6-0!)

I was the first speaker, which I enjoy, because people don't generally nod off right away. Anyway, I love to give these kinds of talks because it is easy to make them relevant. I generally ask who in the audience has seen the different types of complementary practitioners. Examples include, ND (not too many – i.e. none), DC, acupuncturist, massage therapist and reiki practitioner. I ask people to share the reason that they went – not so much the medical condition but why they didn't pursue conventional care. Then, I expound on each of those possibilities: conventional care didn't work, the treatment suggested had side effects, or the patient was not interested in the recommended conventional treatment. This approach to a talk can be a little dicey because you never know if someone is going to try to give you their life story. As the speaker, you must be willing to artfully interrupt someone, hopefully, without them being offended. There were plenty of good stories to build on from in this audience.

As you can imagine, it is always helpful to give a handout at this type of event. Something that is relevant to the attendee, speaks directly to them, and of course has your contact info on it. I don't find practice brochures to be that helpful in this instance. The handout that I like to give is a list of recent patients and conditions we have seen at our practice. As an example:
  • 6-year-old boy with recurrent ear infections,
  • 45-year-old man with metastatic colon cancer, and
  • 65-year-old woman with insomnia.
Listing the ages and conditions really gets people to thinking that this might benefit themselves or a family member.

The whole talk went pretty smoothly. The feedback was good and I even got a few patients out of it. One thoughtful question stood out. Among the patients I had listed on my handout were two patients in their 80s with dementia: one with presumed Alzheimer's (beginning stages) and one with presumed Lewy Body dementia (advanced stage). One of the attendees asked me if we actually cured all these cases, rather than had only seen them—very appropriate, pointed question. Which comes to the crux of our practice—what do we consider a successful outcome?

I spoke about some of the patients who were not cured, but had improvement or successful outcomes. I particularly focused on two patients with metastatic cancer who were able to extend their lives and maintain a good quality of life before dying. I also spoke about two patients with dementia, who have improved memory and their cognitive decline has slowed but not stopped. To me, these are somewhat successful outcomes. I, of course, want everyone to be totally cured, but this isn't a reality, unfortunately.

At the end of talk lots of people came over afterward to ask me questions. The man who asked the question about cure came up to me as well. He asked me if I ever used lysine to treat dementia (I had never heard of this). He said a friend of his cured his mother of Alzheimer's disease using lysine. Of course, I was extremely skeptical, since I know that there is no cure for Alzheimer's. His friend wrote a book about it. The man said he would bring me a copy. That afternoon the book showed up at my office. The author is Brad Pitman and the title of his book is, Ma Is Back. The book is an easy read; I couldn't put it down. I recommend that you get it.

Pitman chronicles the decline of his mother's functioning to the point where she didn't recognize people, was having fecal incontinence multiple times at night, and more. Then he started giving her lysine. (I'll have you read the book to see how he figured it out.) She started to immediately and slowly improve. Eventually she was back to normal again (I think it took 6 months–can't remember exactly). Quite phenomenal and unbelievable if you ask me–except it is true! Very interesting stuff. I could go into the science behind it, but I will save that for another time.

I have a patient that I mentioned above with advanced Lewy Body dementia. She, like Mr. Pitman's mom, did not recognize her daughter, had fecal incontinence, and was not speaking an unable to feed herself. Within one week of taking Lysine, 1000 mg, three times per day, she was periodically able to: hold her food, feed herself, recognize her daughter, make conversations, be oriented times three. Now, she is not cured, and may never be, but this is certainly an improvement, with continued upswings. The treatment is inexpensive and seemingly helpful so it is worth trying it with your patients with CNS issues, especially memory disorders. I spoke about this at the New Hampshire Association of Naturopathic Doctors’ conference last weekend. A couple of ND's mentioned that they had seen benefit with neurological pain as well.

So there you are, my gift to you for this Holiday Season.

Wednesday, November 28, 2012

The Game is On

Michael Cronin, ND
AANP President

We are in for big changes in the US healthcare system with the re-election of President Obama and the successful review by the supreme court of the Patient Protection and Affordable Care Act (ACA).

From the original ED to the excited new CEO
in AANP's new office - Let's go! 
The AANP and Jud Richland, our CEO, are ready to engage. The AANP office has moved into a more effective workspace three blocks from the White House. Our State and Federal Affairs, Public Education and Media Outreach, and Scientific Affairs Committees have been very productive in giving advice to the 2013 workplan to optimize our efforts in achieving our common goals. The Board of Directors has now approved the AANP 2013 strategic plan.

The 2013 strategic plan has three main focuses:

  1. Public Education and Media Outreach
  2. State Licensure
  3. ND inclusion in the healthcare system using the language of the ACA

Public Education and Media Outreach
Physicians who listen will continue to find their voices in the New Year. AANP is focused on using media to drive new patients to our members. AANP plans to bring on a media specialist who will work with naturopathic experts to increase the amount of positive media attention naturopathic physicians receive. The raised awareness of naturopathic medicine will ultimately drive traffic to our Find an ND. We will continue to improve our online patient educational tools, for example the downloadable article through Natural Health Insights. Have you visited www.naturopathic.org from your mobile phone recently? The mobile landing page directs patients straight to the find-a-doctor search tool.

State Licensure
AANP will bring a renewed focus, increased energy, and more resources to this arena in 2013. The leadership of the State and Federal Affairs Committee is dedicated to better coordination and support for states. The State Alliance is where this work occurs. I encourage you to watch the video on our release of the state legislative toolbox, and invite you to participate in the monthly webinars. The toolbox provides a variety of resources to support the states. One example tool is safety and effectiveness data on the naturopathic profession in licensed states. The webinars will help attendees how to best utilize this data in state licensure efforts. Other examples include AANP and the colleges teaming up to provide expert testimony to legislators and ideas on how to engage the voice of your patients and the support of our conventional colleagues to gain licensure in more states.

Affordable Care Act
This law affects every facet of healthcare and the 6 sections that include “licensed CAM providers” open many possibilities for inclusion of ND’s in a wide variety of programs. These opportunities will require us to fight for inclusion in every state and require us to establish a precedent early in the game. The inclusion of NDs is vital to continuing our momentum. AANP is honored to have engaged the services of Deborah Senn as our federal lobbyist. She is engaged on this issue nationwide and has the commitment, connections, and experience to optimize our efforts. We are focused on enabling NDs to participate in the best of the Employee Retirement Income Security Act health plans, provide the preventive medicine services outlined by the ACA with no out-of-pocket cost for the patient, and have access to new employment opportunities.

I would like to ask all AANP members to join and get active in your state associations. If your AANP or state association membership has expired, please renew it and get involved so that we all have the resources we need to be successful.

Monday, November 26, 2012

Staying in the Country

By Jaclyn Chasse, ND
2013 AANP Board Member

We’ve just come off of a busy time. I live in NH, a swing state, so we had been inundated with political ads, mostly negative ads slinging mud at the other side.  I was looking forward to the negativity ending, but it seems that since President Obama’s re-election, there is still a palpable tension among Americans. There is frustration, disappointment, and anger among Romney supporters. Meanwhile, there is a large proportion of Democrats who are filled with relief, gratitude, and excitement at what’s in store in America’s near future. I don’t want to get too much into politics, but I bring this up because I also hear one question which I greatly appreciate—the quiet voice asking, “We are where we are. Now, how are we going to move forward?”

I think this question represents our times, and it is one of the great challenges of being alive, being in relationship. In the naturopathic community, we actively embrace the commonalities between us—our love of patient relationship, our respect for the whole person, for individualized medicine, and our undying curiosity in figuring out the human body. However, we also are challenged by our different perspectives. Should we try to integrate more into the current medical model or should pharmaceuticals or hydrotherapy dominate a patient’s treatment plan?

I am so excited to join the AANP Board of Directors, and come to it with that quiet voice asking, “How are we going to move forward?” I was so pleased to attend my first AANP board meeting and see that question resonate with the members of the board. I can share with you that although there are differing opinions among board members, communication happens in a respectful, thoughtful, and productive way. The way I wish it could happen on a larger, national level within our legislative houses. Dissenting opinions, delivered respectfully.  I feel so grateful to be a part of such a thoughtful group. I also feel grateful that the future of the AANP is in their hands. I am confident that the diversity of members’ ideas and ideals will be represented there, and that the Board will continue to move the association in a direction that meets the needs of the members it serves.

Since the election, I’ve seen Facebook posts of acquaintances’ saying, “Forget it, I’m leaving the country.” That’s not what we need. If you have not been wholly satisfied with the work of the AANP, you shouldn’t “leave the country” either. We need your voice and for you to provide feedback through the member survey, and to connect with a board member to share your ideas, share your solutions, and share your time to make the organization and our profession better. In joining the Board, I am choosing to have an open-door policy. Please share your thoughts and most importantly, your ideas, to make this the best organization it can be.

Tuesday, October 23, 2012

Progress in Puerto Rico

By Efraín Rodríguez Malavé, ND
2012 AANP Physician of the Year
San Juan, Puerto Rico

This year, the AANP honored me with the 2012 Physician of the Year Award in recognition of all the work that I have done in raising awareness about naturopathic medicine and establishing the profession as legitimate and regulated. Though my journey has been long, it has been very productive.

I fell in love with the profession of naturopathic medicine in 1982. I decided to leave my home of Puerto Rico, in the East Caribbean, and attend school in Portland, Oregon, in the western part of the US, to get my ND degree. In 1984, I was sitting in a meeting at NCNM where Dr. Jim Sensenig was discussing the need to organize an association to promote and develop our profession. At the conclusion of the meeting, he asked me, “After you finish your degree are you going back to Puerto Rico to help us expand our profession?” I answered, “Yes, I will. That is my country. It is where I was born, where my family and friends live. And I’ll go back and help them with their health.” I graduated and returned home to Puerto Rico in 1986.

As soon as I arrived home, I started taking steps to regulate the profession. Eleven years after my return, our dream was realized and our law that regulates naturopathic doctors was passed. Since then, NDs on the island have been able to practice without fear of being prosecuted by MDs. Our scope of practice is broad but not full. Next year, we will be working and lobbying to clarify the language of our regulation, so it will allow us to practice to the full extent of our naturopathic medical training.

We have also recently been working on health insurance coverage. And lastly, but certainly not the least, we are working on getting the naturopathic program at Universidad del Turabo accredited by the CNME. The program met the CNME eligibility requirements in April and is moving through the self-study program and will hopefully be up for candidacy in 2013.