Practical
Nutrition, IV Nutrition
and the New
Endocrinology
March 1 – 3, 2008
Overview:
To teach the practicing physician about the most important
oral nutrients patients usually need and how to evaluate their nutritional
status with selected laboratory tests
To teach the diagnosis and treatment of common endocrine
disorders
To provide experience with IV nutrient
formulation and administration with a hands-on workshop.
OBJECTIVES:
At the end of this
CME activity, the participant should be able to:
Understand
how to assess individual nutritional status and know which forms of nutrients
are effective, not as effective, which excipients and additives to avoid, and
treat their patients with the most effective oral nutrients necessary.
Provide
efficient and effective treatment for endocrine disorders.
Explain when and how to provide safe and
effective oral and IV Nutrient Therapies in the office setting.
Saturday,
March 1, 2008
1:30
– 3:30 pm Introduction to New
Endocinology and The Thyroid
Part
I: Updating the Endocrine “Disease
Model”
Part
II: Correct Interpretation of Laboratory
Tests
Of
Endocrine Function
Part
III: The Thyroid: Physiology,
Dysfunction, Diagnosis and Treatment
1.
Identify
clinical stages of endocrine dysfunction prior to overt failure.
2.
Describe
common laboratory tests for hormone function and their correct interpretation.
3.
Discuss
the central regulation of endocrine function.
4.
Describe
the significance of tests for pituitary hormones.
5.
Cite
instances proving the vulnerability of this mechanism.
6.
Discuss
the production of thyroid hormone and its function.
7.
Recognize
and diagnose disorders of the thyroid gland and disturbances of hormone
metabolism.
8.
Safely
and effectively treat patients with various thyroid problems.
9.
Accurately
and effectively monitor hormone therapy.
3:30
– 4:00 pm Thyroid Conundrums:
Tricky Little Situations
1.
Identify
and investigate challenging thyroid conditions and special considerations,
advanced level.
2.
Avoid
complications of thyroid treatment.
3.
Recognize,
diagnose and correct causes of thyroid treatment failure.
4:00
– 4:15 pm Questions and Answers
4:15
– 5:00 pm Beverage Break
5:00
– 6:30 pm The Adrenal Gland:
Stress and Chronic Fatigue
1.
Appreciate
the roles of the adrenal gland in health and distress.
2.
Test
and treat patients with varying degrees of compromised function.
3.
Explain
the importance of the relation between the adrenals and the gonads.
Sunday,
March 2, 2008
8:00
– 8:45 am Basic Biochemistry of
Important Nutrients
W.A. Shrader, Jr., M.D., FAAEM
1.
Present
an overview the basic biochemistry of the important nutrients used in clinical
practice: why some nutrients work
8:45
– 9:45 am Introduction to
Nutrition - 30 Years’ of Clinical Experience
W.A. Shrader, Jr., M.D., FAAEM
1.
Understand
the clinical diagnosis of some nutrient deficiencies
2.
Discuss
an overview of the most important nutrients to use for maximum benefit to your
patients, and why and when to use them
3.
Discuss
the forms of nutrients that are less effective and some nutrients, additives,
excipients and other things to avoid
9:45
– 10:30 am Beverage Break with
Exhibitors
10:30
– 11:30 am Laboratory Testing
for Nutrients
Stephen Genuis, , M.D., FRCSC, DABOG
1.
Discuss
an overview of some of the available laboratory tests available for in vitro
nutrient evaluation
2.
Illustrate
the pros and cons of these tests
11:30
– 12:00 pm Panel for Questions:
Dr. Shrader & Dr. Genius
12:00
– 1:30 pm Lunch On Your Own
1:30
– 1:45 pm IV Therapy with
Nutrients: Rationale, Indications and
Precautions
W.A. Shrader, Jr., M.D., FAAEM
1.
Discuss
an overview of the rational, safety and efficacy of intravenous nutrients in
the treatment of many common conditions
1:45
– 2:00 pm Great IV Protocols
You Need To Know
W.A. Shrader, Jr., M.D., FAAEM
1.
Discuss
several IV protocols available for various problems.
2.
Demonstrate
which protocols are appropriate for specific patients.
3.
Demonstrate
how to customize the IV protocol as required by a patient’s special
circumstances.
2:00
– 2:30 pm Calculating
Osmolarity: A Critical Factor When You
Use
IV Therapy
W.A. Shrader, Jr., M.D., FAAEM
1.
Discuss
the importance of utilization of the appropriate IV fluid osmolarity for
optimal safety to patients.
2.
Precisely
calculate the osmolarity of any parenteral solution one would want to
administer, utilizing the Osmolarity
Formula.
2:30
– 3:00 pm Questions and Answers
3:00
– 3:30 pm Beverage Break
3:30
– 4:30 pm Practicum – IV
Therapy Infusion
W.A. Shrader, Jr., M.D., FAAEM
1.
Demonstrate
how to prepare an IV infusion formula from its constituent ingredients.
2.
Correctly
administer an IV infusion by way of a hands-on session with actual IV infusion
solutions.
4:30
– 5:30 pm Practicum – IV
Therapy Push
W.A. Shrader, Jr., M.D., FAAEM
1.
Demonstrate
how to prepare an IV push formula from its constituent ingredients.
2.
Correctly
administer an IV push by way of a hands-on session with actual IV push solutions.
5:30
– 6:00 pm Questions and Answers
Monday,
March 3, 2008
8:00
– 9:30 am The Ovaries: PMS,
Menstrual Problems and
Menopause
1.
Describe
the hormone changes of the ovarian cycle.
2.
Use
clinical history and laboratory tests to diagnose and treat hormone imbalances.
3.
Identify
the causes of the hormone replacement controversy.
4.
Discuss
options for addressing the problems of the menopausal patient, including
synthetic and bio-identical hormones, SERM’s, and phytoestrogens.
9:30
– 10:00 am Beverage Break
10:00
– 12:00 p.m. Andropause: DHEA,
Aromatase, and Male HRT
1.
Describe
the physiology of testosterone and aging.
12:00
– 1:30 pm Lunch On Your Own
1:30
– 3:30 pm Insulin Resistance:
Syndrome
X and the Metabolic Syndrome
1.
Explain
our new understanding of the pathogenesis of type II diabetes mellitus, a
preventable condition.
2.
Describe
the evolutionary benefits of insulin resistance and the negative impact of
modern environment, diet and lifestyle.
3.
Discuss
hormone and metabolic imbalances and other problems caused by untreated insulin
resistance.
4.
Effectively
use the laboratory to diagnose these patients.
5.
Develop
a successful treatment intervention based on knowledge of the causes of
dysfunction.
3:30
– 4:00 pm Beverage Break with
Exhibitors
4:00
– 4:45 pm Bones and Hormones:
Evaluating the Osteoporotic Patient for PTH, Vitamin D and Related Problems
4:45
– 5:45 pm Case Presentations
5:45
– 6:15 pm Questions and Answers
Faculty:
W. A.
Shrader, Jr., M.D., FAAEM
141 Paseo de Peralta,
Ste A
Santa Fe, NM 87501
Stephen
Genuis, , M.D., FRCSC, DABOG
2935 - 66
Street
Principal
Audience:
[1]
M.D.’s and D.O.’s: all primary care
physicians and specialists who deal with
complex chronic diseases in their practices.
[2] Other healthcare professionals
who are interested in understanding how the Model of Environmental
Medicine’s approach achieves more successful outcomes for patients with complex
chronic diseases.
Primary
Methods of Teaching:
Ø Plenary
Sessions
Ø Roundtables
Ø Case
Presentations
Ø Question
and Answer Sessions
Ø Comprehensive
Syllabus
Ø Hands
on Practicum