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

                                                            Alan B. McDaniel, M.D.

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

                                                            Alan B. McDaniel, M.D.

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

                                                            Alan B. McDaniel, M.D.

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

                                                            Alan B. McDaniel, M.D.

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

                                                            Alan B. McDaniel, M.D.

1.       Describe the physiology of testosterone and aging.

2.      Be able to test, treat and follow-up in a safe and rational manner.

 

        12:00 – 1:30 pm            Lunch On Your Own

 

1:30 – 3:30 pm          Insulin Resistance:

                                                Syndrome X and the Metabolic Syndrome

                                                            Alan B. McDaniel, M.D.

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

                                                            Alan B McDaniel, M.D.

                                                1.    Explain new concepts about vitamin D, parathyroid  dysfunction and renal dysfunction.

2.    Diagnose and treat patients with disordered calcium homeostasis.

 

          4:45 – 5:45 pm            Case Presentations

                                                            Alan B McDaniel, M.D.

                                                1.    Plan an orderly laboratory and allergy work-up

                                                2.    Integrate properly sequenced therapy and extended laboratory evaluations to restore patients’ health.

 

           5:45 – 6:15 pm            Questions and Answers

 

 

Faculty:

 

Alan B. McDaniel, M.D., Course Director

Ohio Valley Integrated Medicine

1919 State St.  Ste 100

New Albany, IN  47150

 

W. A. Shrader, Jr., M.D., FAAEM

Santa Fe Center for Allergy and Environmental Medicine

141 Paseo de Peralta,  Ste A

Santa Fe, NM  87501

 

Stephen Genuis, , M.D., FRCSC, DABOG

2935 - 66 Street

Edmonton, Alberta T6K 4C1

CANADA

 

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