Copy

October 2016


Dear Colleagues,
 
It is almost time for our AGM. Full members, please set aside an hour to attend this important association event. The ANPA committee and the services we provide for you are built on the goodwill of volunteer members. We need more member participation. If you have a few hours to spare each month, please let us know and we will be happy to nominate you. You do not need to have committee experience. What you do need is a passion for our profession, a willingness to work as a team, good communication skills and an open attitude to learning

Remember, ANPA is the only professional association only for naturopaths. This means we never dilute our efforts for the profession of naturopathy. Invite colleagues to join up. If they are members elsewhere and like what we are doing and want to support us, they can join up as Secondary members. If you need help from the office to mail out application forms, please don’t hesitate to ask. http://www.anpa.asn.au/join-here/how-to-join-anpa

Mentors and supervisors are top of the list when new graduates are asked what they need most. Mentoring or supervision can be offered via skype, phone or face to face. This is a worthy activity. Read the guidelines and advise the office of your interest. http://www.anpa.asn.au/my-anpa/clinical-observation-or-supervision 
 
A special highlight of this newsletter is the recent Australian Naturopathic Summit. ANPA was pleased and proud to have supported this event as the only association Sponsor. From humble beginnings, three inspired naturopaths had a vision for our profession. We in ANPA backed this venture. We knew it was the right thing to do. Looking back I am so proud we did. I was surprised and amazed at the attention to detail and the quality of the presenters. was so happy to have participated in one of the most inspiring events for the naturopathic profession in Australia. A remarkable achievement. I look forward to the next one and would not miss it!  
 
Other highlights in this e-news include AGM 2016, Clinical Practice – Case Study, Book Review, Student Focus, Interviews with new ANPA members and Benefits for ANPA members.
 
Let's keep the light of Naturopathy burning bright.

Yours in good health.

Sincerely,


Editor, ANPA President
A SPECIAL WELCOME TO NEW ANPA MEMBERS

Full Members


Janelle Buick, Jacob Fabich, Rachel Hornby, David Kemp, Jacqueline Peters, Sally Sherriff and Ellen Tattam.
 

Student Members


Colin Crane, Miriam Guscott, Julia Lette, Carmen Lizasoain, Jennifer Munoz, Catherine Ryall, Kate Shore, Alison West and Megan Yim.
2016 AGM

Monday October 24th 2016
7.30-8.30pm
 


4.30pm: Perth  
6.30pm: Brisbane
7.00pm: Adelaide  
7.30pm: Melbourne / Sydney / Canberra / Hobart   
    
 
ANPA will be conducting the Annual General Meeting via GoToMeeting.  More members can participate and be included with this format. All full members should have received a hardcopy of the AGM documents via the mail. (AGM Notice, Nomination form for Committee positions, Professional Excellence Award Nomination form and Proxy form).

Members can claim 5 CPE points for AGM attendance. Please advise the ANPA office ASAP if you are able to attend. We must achieve a quorum for the AGM to proceed. Attendees will be emailed the link or dial in number to join.   
 
Ideally, you will have good communication skills, like working with a team, have a few hours to volunteer each month and are on email.  You do not necessarily have to have committee experience, just a willingness to learn and grow.  There are many volunteer opportunities in ANPA. Full members are invited to join the ANPA committeeEven though nominations needed to reach the office by 5pm September 23rd nominations can be made subsequently.   
 
Any member wanting to know more about committee volunteering, please contact the office. A committee member will be happy to make contact and have a chat about this worthy role. 
 
Important deadlines:  
  1. Proxy forms must reach the ANPA office by Wednesday October 12th 2016, 5pm. 
  2. Professional Excellence Award Nominations must reach the ANPA office by noon Friday September 30th  2016. 
AUSTRALIAN NATUROPATHIC SUMMIT

The inaugural Australian Naturopathic Summit was a roaring success! 

By Nirala Jacobi, BHSC, ND (USA), ANPA Member 
 
When Rachel Arthur and I met at a conference last October, we had both separately dreamed of putting together an Australian Naturopathic conference. We both envisioned an event that featured the best naturopathic speakers and that would bring us together as a profession. Kathryn Simpson, a recent naturopathic graduate, joined us and we formed the first Australian Naturopathic Summit. Within the week, we started to meet at my house, and over the next 10 months we refined our vision for the inaugural event... 
Eta Brand and Patricia Oakey at the Summit Reception area
L-R Kathryn Simpson, Nirala Jacobi & Rachel Arthur on the podium
For those of us lucky to have attended last month’s Summit, it was truly special. Every speaker delivered an outstanding presentation on which successful path they had taken in their naturopathic career. The two days were filled with a buzz and excitement and just plain love for the profession.  You can purchase the recording of the presentations soon on www.AustralianNaturopathicSummit.com.au. 
 
My personal highlight was the Gala Dinner and awards ceremony followed by the candle light ceremony which brought many to tears with its simple but profound message: “I am not alone – there are many of us. The Gala Dinner was completed with a fantastic live band that had everyone dancing in no time.

To keep the naturopathic spirit burning, we’ve set up FaceBook group ANS Connect for anyone to join us in the conversation.   
Keeping the light of Naturopathy burning bright at the Gala Evening
Naturopathic elders - Gala Evening
Thanking the Support Team and Bumble Bees
CLINICAL PRACTICE – CASE STUDY

B. hominis and D. fragilis:
M
anagement vs Eradication 

by Marta Browne, ANPA Committee Member
 

Introduction: 

Elimination of D. fragilis and B. hominis can be extremely difficult. Many clients fail to achieve complete eradication after multiple treatments of both herbs and antibioticsWhile the pathogenicity of B. hominis is under debate, D. fragilis is certainly not considered commensal and so attempt at eradication of both organisms is usually recommended. 
 

Conventional treatment:

Metronidazole for 10 days 400-750mg tid with the higher dose noted as more successful. Tinidazole, tetracycline, iodoquinol and paramomycin have also been found to be successful (especially with D. fragilis), but these can be difficult to source in Australia.   
 
If all attempts at eradication fail, then symptomatic management may be the only option left. It is also important to evaluate the risk vs benefit of any proposed treatment to determine the appropriateness of therapy. Where the risk or anticipated side effects outweigh the likely benefit, then another plan should be considered – even if that is simply conservative management involving observation and symptom management only.   
 

Case:

DG is a 69 year old female with D. fragilis and B. hominis confirmed on stool PCR. There has been no attempt at eradication to date. 
 

History: 

DG had a long and extensive history of anxiety / stress and associated complications (such as long-term tooth grinding), reflux and large joint and lower back pain. She also noted a more recent history of bleeding (including a severe nosebleed that required hospitalisation), hair loss and gastric symptoms (diagnosed as Blastocystis hominis & Dientameba fragilis on stool PCR).
 
DG described the development of gastric symptoms following a trip overseas almost two years ago. She noted that she had loose, slippery stools approximately ten times per day and felt bloated and gassy. There was no incontinence, but there was a strong urge and bowel motions were associated with cramping pain. 
 

Physical Exam / Vitals: 

On examination she appeared quite thin, but had good colour and was in good spirits – she noted some stiffness in her left shoulder. Her blood pressure was 140/90mmHg sitting, blood glucose was 5.6 (non-fasting), Zinc tally indicated possible zinc deficiency (no response after +10sec), BMI 18.6 (52.5kg, 1.68m), dipstick urinalysis showed no abnormalities. She noted numbness of her peripheries (more in feet than hands).  She was relaxed, mentally alert and established rapport easily. 
 

Medications / Supplements: 

Caltrate, Cartia, Efexor, Fosamax, Somac and Symbicort and Claratyne as needed.   
 
Women's multivitamin (details unknown).    
 
She had been prescribed metronidazole 400mg, but had not commenced this yet due to previous side effects (she noted unpleasant metallic taste and gastric problems with previous antibiotic use). 
 

Lifestyle: 

DG was a non-smoker of 20yrs (previously approx. 30 pack years) and consumed approx. 4 alcoholic drinks per day (liqueur + 3 x wine). She noted that she appeared to have a tolerance to this as she did not feel tipsy, but simply relaxed and admitted she would have some trouble stopping if asked to do so. She practiced regular yoga and pilates, maintained social relationships, travelled extensively with her husband and reported no difficulties with sleep. 
 

Diet: 

Analysis appeared to include adequate caloric intake and was high in fruits, vegetables and lean white meat. She rarely ate red meat, bread or bovine dairy (uses goat's milk instead of cow). She consumes 1-2 cups of tea/coffee per day. 
 

Family History: 

CVA in both her mother and maternal grandmother. 
 

Treatment Plan: 

Duration - 8wks = two complete rounds of treatment 

Prescription (Protocol based on Dr J. Hawrelak recommendations) 
  • Bioceuticals Paracea Forte – 1 cap tid (3wks on, 1wk off) 
  • Bioceuticals Intestamine – 1 tsp mane (increase to bd after 1-2wks) 
  • Sunray Slippery Elm powder – 1 tsp mane (increase to bd after 1-2wks) 
  • Orthoplex S. Bifido Biotic – 2 cap bd 
  • Zinc – 50-80mg/day (increased per tolerance, retest zinc after 1mth) 
Dietary guidelines – no change to current diet.   

Lifestyle guidelines – advised to avoid alcohol where possible during treatment period (although acknowledged that she may not be able to do so at this stage). 
 

Expected Outcome: 

Best case outcome was for complete eradication, although this was not expected given the high load on PCR and known difficulty in eradicating these organisms.   
 
Likely outcome was for a greatly diminished organism load, leading to significant reduction in symptoms.   
 
Least likely outcome was for little to no reduction with no improvement in symptoms. 
 

Actual Outcome: 

4/52 follow up (in office):  Zinc levels had returned to adequate levels and supplementation was dropped to 30mg/day. DG had experienced some increased abdominal discomfort during this period. 
 
8/52 follow up (in office):  Zinc levels had returned to good levels and supplementation was ceased. Abdominal discomfort had decreased significantly compared to previous levels. Treatment was ceased at this point with instruction to continue with regular probiotic use. Stool PCR (organised by her GP) after eight weeks of treatment showed significantly reduced parasite load, although not complete eradication. Further follow-up testing would be dependent on symptoms or GP request. 
 
12/52 follow up (via email):  Symptoms had decreased significantly to the point of not requiring any regular support, however occasional 'tummy rumbles' and bowel urgency still occurred, although this was very rare compared to previously.   
 

Discussion: 

Given that complete eradication with either conventional or naturopathic therapies is difficult and may have many unpleasant side effects, this case showed the importance of informing patients of likely outcomes. DG had been supplied with a script from her general practitioner for a course of antibiotics, but previous experience with antibiotics had involved unpleasant side effects and she was not keen to repeat these. She understood that naturopathic treatment could have less severe side effects. She understood that neither of these had any guarantee of success, although both would have some benefit. In this context, DG chose to continue with naturopathic treatment based on the lessened side effects with similar chance of success. It is important to note that should antibiotic therapy be the most appropriate course of action, then naturopathic support before, during and after treatment would be beneficial.     
 
Continued treatment after 8wks was discouraged as the cost to benefit ratio had changed. The likely benefit from continued treatment was now reduced to the point that the continued financial costs and side effects of treatment outweighed the potential benefits. 
 
DG is a complex individual and although she had noted anxiety and stress in her medical history, she did not wish to address these at this point in time, as she felt she was managing well and was receiving adequate support. She was aware that there was additional support available for her, should she feel the need for it. 
 

Conclusion: 

In this case, DG was informed that complete eradication was not guaranteed and in many individuals is never achieved. She was pleased with the outcome of reduced symptoms and organism load.  Continued treatment would not likely have resulted in complete eradication. It would not have been ethical to continue due to the financial costs, physical side effects and low chance of successful complete eradication.  In cases of concomitant D. fragilis and B. hominis infection, given the difficulty in complete eradication, a practitioner should be able to offer organism load reduction and symptom decrease as a viable outcome without feeling that complete eradication is the only goal.   
 

Naturopathic Principles 

From a naturopathic perspective, it is important to go back to the six foundational principles. In this case the focus was clearly on treating the whole person and doing no harm. Continued attempts at eradication the organisms would have possibly caused more harm than good. DG was content with the choice to cease treatment. Continued fixation only on her digestive tract would have been disregarding her comfort (both psychological and physical) and constituted doing her harm. It was more useful to focus on education regarding future travel medicine and safety, symptom management and allow her to feel confident that she had been treated as an individual, rather than a disease.
STUDENT FOCUS

Survey & Sub-committee

A Student Survey is being developed to identify your expectations and needs from the ANPA. Please watch out for this in the next few weeks.  

Student Sub-committee is to be established. A representative from each education provider across the country will have a place on this committee. If you are a student in a naturopathy program and you would like to participate, please contact the ANPA office. We want to be kept up to date regarding the important issues for students around the country. Meetings will be held via teleconference.  

STUDENT MEMBER INTERVIEW

Rachel Morley


Bachelor of Health Science, NaturopathyMelbourne, 4th year.  
 
Prior education: Bachelor of Science (Biology)/Bachelor of Primary
                             Teaching
 

Why have you chosen to study Naturopathy?  
My love of health has always had an interest in the causes of why and how dis-ease in the body occurs. Feeling healthy and vital has always been an important aspect in my life. The holistic treatment and healing principles of Naturopathy have inspired and influenced me to study to be a naturopath.
 
Why did you become an ANPA student member?
After I heard about ANPA at college. I was impressed by the positive benefits of an affiliation with a reputable and great association.  

What are the aspects of your study that you enjoy? 
I love to study all of the areas of Naturopathy particularly the causes, physiology and treatment of various conditions. Currently I am attending clinic. I enjoy the dynamic atmosphere and am excited to be able to begin to consult and treat my own patients.
 
What aspects of your study could you see improved?
I need to my knowledge in dispensing of the right herb for particular conditions. I need to have more experience in making a more rapid and precise choice of herbs. 
 
What have you discovered that you weren’t aware of before you started your studies?
Naturopathy in the health industry is increasing exponentially. Many people are beginning to seek treatment from a variety of modalities to improve health. I also am now aware of the increasing number of multi-modality clinics offering integrative treatment for patients
 
Where do you see yourself in 5 years’ time? 
I aspire to be an established Naturopath practicing within a clinic environment. I believe in holistic and integrative treatmentI envisage working alongside and in collaboration with other health care practitioners for optimal patient care.
 
Do you have any special interest areas?
I do not have any particular special interests. However I have done extensive research into allergies in children, diabetes and cancer. The aetiology, prevention and treatment for these conditions. Family members have had experienced these conditions. That has motivated my interest.  
 
Any comments about registration for naturopaths?
I believe registration for Naturopaths is vital and hopefully not too far awayIt is important that our education and training is recognised to a specific standard. This minimum standard will also give the public the reassurance that they need from approved practitioners
 
Any tips for survival with a demanding study load and often working to pay your way through the program?  
I believe that if you have passion for your choice of study or work then one has a deep intrinsic motivation to learn and succeed. Studying is then an enjoyable task rather than a chore. I am a mother of three young childrenI have had to have structure and organisation to ensure that a balance is maintained (most of the time!). My strong support network has also assisted me and has played an integral role throughout my studies.

BOOK REVIEW

Law and Ethics in Complementary Medicine, Michael Weir, 5th Edition 

By Marta Browne, ANPA Committee Member

Weir’s work is a standard text for many CAM educational institutions ethics courses and has been required reading for nearly every CAM student since it was first published in 2000. The newly released 5th edition takes into account the very latest recommendations and changes coming through the COAG (Council of Australian Governments) Health Council regarding the introduction of the National Code of Conduct for Health Care Workers. It is important that students, practitioners, and researchers keep abreast of these changing laws.  

The 5th edition has updated cases and details regarding classic modalities including chiropractic, osteopathy, massage, naturopathy, herbal medicine, homeopathy, acupuncture and TCM, but has also taken a deeper look into two areas of complementary medicine that have experienced significant growth – holistic counselling and yoga. Yoga is approached from the perspective of a physical and spiritual health activity. I found it interesting to read about the ethical ramifications.

An area not covered in the text is the growing field of corporate wellness. It is being offered by an increasing number of naturopaths. How this emerging area of naturopathic care and the ethical dilemmas that arise will need to be dealt with are future issues the profession will need to contemplate. I hope that future editions cover cases and precedents as they become available for review. 
 
 
All textbooks should be considered works in progress always evolving and incorporating changes in scientific research, societal values and legal requirements. Law and Ethics in Complementary Medicine is adapting very well in this regard. The book is easy to read, comprehensive and a valuable handbook for setting the framework for legal and ethical education. 

Publishers Allen &Unwiin have kept the text as a compact softcover, thus keeping the price point well within reach of most students.
 Overall, I highly recommend this text is as an excellent resource for students, current practitioners and researchers. Purchase the new edition of Law & Ethics in Complementary Medicine online.

ANPA members receive 15% off the RRP of $49.44 plus free delivery in Australia and New Zealand if you place your order from the 28th September to 31st October 2016. Promotion Code: COMPMED15 
FULL MEMBER INTERVIEW

Ellen Tattam

Where did you train as a naturopath?  
I studied at Endeavour College of Natural HealthBrisbane. I qualified in June 2016 with a Bachelor of Health Science (Naturopathy). 
 
Are you in practice? 
I have recently started practicing and doing support work in a naturopathy clinic on the Sunshine Coast.
 
What led to your joining ANPA?
I like the fact that ANPA is an association just for Naturopaths and also how personal the joining process has been so far. This association has been very supportive and helpful and I have heard a lot of good feedback from other members.  
 
What motivated you to become a naturopath?
Helping and caring for people is something very close to me. Becoming a Naturopath has allowed me to use this interest in caring in my professional life. To be a Naturopath I believe empathy and compassion are two core traits needed. My love for learning, health and science has been an absolute blessing.
 
Is this motivation still the same now compared to when you first began?
I love being a Naturopath even more now that I am in practice. After meeting many inspirational practitioners and peers throughout my studies I have gained a wealth of knowledge from each experience and am excited to start using this in the my own world! 
 
As a new practitioner what modalities do you mainly use in your practice?   
Herbal medicine, nutritional medicine, flower essences and nutrient compounding. I have been learning more about nutrient compounding recently which has been so valuable. 
 
Do you have a vision for naturopathy in Australia?  
When I commenced my studies I noticed a shift towards natural medicine. It would be great to see Naturopathy become more integrated in communities with other health practitioners. This is the very best treatment plan for clients. I would also like to see Naturopathy offered in rural communities as part of a public health outreach. 
 
What are your interests besides naturopathy?
In my spare time I enjoy spending time at the beach, cooking, playing netball and travelling to new countries. 
 
What words of wisdom would you share with a new graduate naturopath? 
Grab every opportunity with both hands, seek a mentor, continue learning, and don’t be afraid to step off the path you have had in your head for the last four years of study! My life has turned upside down in the past three months and starting a new chapter that I never would have seen myself doing so soon after graduating has been an amazing experience.

BENEFITS FOR ANPA MEMBERS!

American Botanical Council (ABC) NEW!

 
The American Botanical Council (ABC) is the premier nonprofit organisation providing reliable, authoritative information on herbs and other beneficial botanicals.  With members in 81 countries, the ABC seeks to promote the responsible use of herbal medicine. 
 
The ABC is offering ANPA members a special reduced fee to become a Professional Member for 50% off the regular price.   
 
ABC Professional Membership provides:  
  • access to ABC’s entire website with 8 searchable databases;  
  • up to 3 copies of the acclaimed journal HerbalGram, enough for your personal library and waiting room; and  
  • usable information delivered directly into your email inbox every week.  
You have two Professional Membership options: 
  1. Without a hard copy of the HerbalGram journal. The journal is available online in PDF and other formats. The cost would be US$75.00 (a 50% discount off the regular yearly price of US$150).
     
  2. With a hard copy of the journal HerbalGram. The cost would be US$95.00 (US$75.00 + $20 shipping).   
Click here to take up the offerYour ANPA membership number is required when taking up the offer. 
 


Bioconcepts Education Centre 

 
We are pleased to offer a reduced subscription for ANPA members to access the Bioconcepts Education Centre (BEC) portal. This portal offers education on demand with a catalogue of articles, videos, podcasts and case studies, as well as interviews and complementary webinars.

Natural Medicines (formerly Natural Standard) is included. This database provides high quality, evidence-based information on dietary supplements (including herbs, vitamins, and minerals), functional foods, diets, complementary practices (modalities), exercises, and medical conditions. 

The purchase of a subscription can go towards your ANPA CPE points.  There are additional BEC member-only benefits. These include discounts to Bioconcepts events and publications.  
 
BEC annual membership is AU$60.   
ANPA members receive 10% off until 31 December 2016. 
Use coupon code: AbK21a 
THIS NEWSLETTER IS PROUDLY SPONSORED BY:
Forward Join ANPA
Australian Naturopathic Practitioners Association
Suite 36 / 123 Camberwell Road

East Hawthorn
Victoria 3123
Tel: 03 9811 9990


Naturopath Contact Naturopath Contact

Disclaimer: The ANPA has tested the links to articles prior to publication. Some news organisations remove stories and disable links. The ANPA provides them as a member service and cannot guarantee the accuracy of the information.







This email was sent to <<Email Address>>
why did I get this?    unsubscribe from this list    update subscription preferences
Australian Naturopathic Practitioners Association · Suite 36 / 123 · Camberwell Road · East Hawthorn, Vic 3123 · Australia

Email Marketing Powered by Mailchimp