THE 5TH PILLAR Better Outcomes Faster Mel Hopper Koppelman, MSc MBAcC. 25 September 2015 BAaC Conference
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1 THE 5TH PILLAR Better Outcomes Faster Mel Hopper Koppelman, MSc MBAcC 25 September 2015 BAaC Conference
2
3 WHAT WE DO
4 WHAT WE DO Gather Info Pattern Healing Treatment
5 WHAT WE DO Gather Info Pattern Healing Treatment
6 THE FOUR PILLARS Listen & Smell Ask questions Gather Info Look Palpate
7 Gather Info
8 stressful job migraines wakes at 3am constipation wiry pulse Gather Info bloating red eyes
9 WHAT WE DO red eyes migraines constipation stressful job wakes at 3am bloating wiry pulse Pattern
10 WHAT WE DO red eyes migraines wiry pulse constipation wakes at 3am bloating stressful job Pattern
11 WHAT WE DO Gather Info Pattern Treatment
12 WHAT WE DO Pattern Treatment
13 WHAT WE DO acupuncture dietary therapy Pattern Treatment stress management herbs tuina
14 WHAT WE DO Gather Info Pattern Treatment effective individualised addresses underlying causes & symptoms empowering to the patient safe
15 WHAT HAPPENS WHEN...
16 WHAT HAPPENS WHEN... It doesn t work? It works too slowly? Patient s not motivated to change? Patterns are too complex?
17 Gather Info Pattern Treatment Plan
18 Listen & Smell Look Gather Info Ask questions Palpate
19 THE 5TH PILLAR Listen & Smell Look Gather Info Biochemistry Ask questions Palpate
20 Listen & Smell Blood Ask questions Gather Info Spit Biochemistry Palpate Look Poo Wee
21
22 Blood Spleen Blood Kidneys Liver Lungs Heart Qi Jing
23 Blood Xu Anemia
24 Blood Xu Anemia Blood XuAnemia
25 mean cell volume iron binding capacity haemoglobin Blood XuAnemia iron ferritin B12 folate
26 mean cell volume Ane B12 iron binding iron Blood haemoglo bin ferritin folate
27 mean cell volume Low Iron Ane Too small Low B12/Folate B12 iron binding iron Blood haemoglo bin Normal ferritin folate Too big
28 mean cell volume Optimal Low Iron Ane Too small B12 iron binding iron Blood haemoglo bin Normal Low B12/Folate ferritin folate Too big
29 CASE STUDY: RF 42yo Female Query MS? Abdominal Pain that wanders Ovarian cyst Wellness
30 CASE STUDY: RF MCV MCH Hb RBC folate B12 TIBC
31 CASE STUDY: RF MCV MCH Hb Normal Normal Normal RBC Normal folate B12 Normal Normal Normal TIBC
32 CASE STUDY: RF MCV MCH Hb RBC folate B12 TIBC Low B12/folate Low B12/folate Low iron Low iron Low folate Inconclusive Low Iron
33 Blood Spit Biochemistry Poo Wee
34
35 ADRENAL FUNCTION Kidneys / Water grey Orange Adrenal Function
36 ADRENAL FUNCTION Kidneys / Water Adrenal Function grey Orange
37 ADRENAL FUNCTION Orang grey e Elevated Normal Low Normal Stage I Stage II Stage IIII
38 ADRENAL FUNCTION cortisol Orang grey e Elevated Normal Low Normal Stage I Stage II Stage IIII
39 ADRENAL FUNCTION cortisol Orang grey e Elevated Normal Low DHEA Normal Stage I Stage II Stage IIII
40 ADRENAL FUNCTION cortisol Orang grey e Elevated pregnenolone Normal Low DHEA Normal Stage I Stage II Stage IIII
41 ADRENAL FUNCTION Yang Yin DHEA Cortisol grey Orange Phase I Phase II Phase III Kidneys / Water Adrenal Function
42 ADRENAL FUNCTION Cortisol grey Orange Kidneys / Water Adrenal Function DHEA
43 ADRENAL FUNCTION Cortisol DHEA grey Orange Progesterone Oestrogen Testosterone Kidneys / Water Adrenal Function
44 ADRENAL FUNCTION Cortisol DHEA grey Orange Progesterone Kidneys / Water Adrenal Function Testosterone Oestrogen
45 CORTISOL DAILY RHYTHM Cortisol nmol/ml Morning Noon Afternoon Nighttime
46 CASE STUDY: HS Cortisol nmol/ml Morning Noon Afternoon Nighttime
47 Blood Spit Biochemistry Poo Wee
48
49 DIGESTIVE FUNCTION Spleen / Earth GI Function
50 DIGESTIVE FUNCTION Spleen / Earth GI Function GI Function Spleen / Earth
51 DIGESTIVE FUNCTION GI Function Spleen / Earth Spleen GI Function
52 DIGESTIVE FUNCTION Enzymes Parasites GI Function Spleen / Earth Microbiome Bacteria Inflammation SCFAs Spleen GI Function Occult Blood
53 CASE STUDY: RK 38F GI Function Spleen / Earth Spleen GI Function Presenting complaints: Hashimoto s low energy anxiety rashes
54 CASE STUDY: RK 38F GI Function Spleen / Earth Spleen GI Function Presenting complaints: Hashimoto s low energy Parasites anxiety rashes
55 Blood Spit Biochemistry Poo Wee
56
57 ENERGY PRODUCTION Qi Production Mitochondrial Function
58 ENERGY PRODUCTION Blood Lung Qi Mitochondrial Function Qi Production Qi Qi Production Mitochondrial Function
59 ENERGY PRODUCTION Mitochondrial Function Qi Production Qi Production Mitochondrial Function
60 ENERGY PRODUCTION 1 8 Mitochondrial Function Qi Production Qi Production Mitochondrial Function
61 ENERGY PRODUCTION B3 1 Fe 8 Mitochondrial Function Qi Production 2 7 Fe 3 B3 Mg 6 4 Fe Qi Production Mitochondrial Function B2 5 Mg B1 B3 B2
62 METABOLIC FUNCTION Fat Burning Mitochondrial Function Qi Production Oxidative Stress Protein Burning Vitamin Markers Qi Production Mitochondrial Function Carb Burning Dysbiosis Liver Detox
63 METABOLIC FUNCTION Fat 1 Burning Mitochondrial Function Qi Production Oxidative 7 Stress Protein 3 Burning Vitamin 6 Markers Qi Production Mitochondrial Function Carb 2 Burning 4 Dysbiosis Liver 5 Detox
64 MEASURING B12 B12 deficiency depression anxiety nerve pain / damage anemia memory loss
65 MEASURING B12 B12 deficiency depression anxiety nerve pain / damage anemia memory loss B12 50% accurate MMA gold standard
66 CASE STUDY: KF 38F Presenting complaints: post natal depression low energy
67 CASE STUDY: KF 38F Presenting complaints: post natal depression low energy B12 MMA Optimal Extremely Elevated
68 CASE STUDY: HP 53F Presenting complaints: carpal tunnel arthritis - worse for cold Gather Info Pattern Treatment Other Sxs: IBS-D < stress lots of antibiotics thyroxine energy - up & down frequent colds/infection
69 CASE STUDY: HP 53F Kidney Yang Xu Spleen Qi Xu Liver Qi Stag Blood Xu Bi Syndrome Gather Info Pattern Treatment
70 CASE STUDY: HELEN P Gather Info Pattern Treatment Acupuncture
71 CASE STUDY: HP Autoimmune Thyroid High cholesterol Immune dysregulation Low Vitamin D MCV High Gather Info Pattern Treatment
72 CASE STUDY: HP Autoimmune Thyroid High cholesterol Immune dysregulation Low Vitamin D MCV High Gather Info Parasite (E Nana) Low Lacto & Bifido Poor protein digestion Genetics: MTHFR Pattern Treatment
73 CASE STUDY: HP Autoimmune Thyroid Kidney Yang Xu Poor protein digestion Spleen Qi Xu Parasite (E Nana) Liver Qi Stag Low Lacto & Bifido Low folate/b12 Blood Xu Genetics: MTHFR Gather Info Pattern Treatment
74 CASE STUDY: HP Tx: Parasite Protocol Gut Healing Gluten Free Diet B12/Folate Gather Info 4Rs: Remove Repair Restore Replace Pattern Treatment
75 CASE STUDY: HP Outcome: IBS: completely gone Carpal tunnel: completely gone (unless she eats gluten) More energy No more colds or congestion
76 NEXT STEPS
77 THANK YOU
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