Welcome! The 4 Quadrants of Functional Diagnosis Sxs of a Functionally Disturbed Patient

Transcription

1 Welcome! The 4 Quadrants of Functional Diagnosis Sxs of a Functionally Disturbed Patient Fatigue or low energy Digestive disorders Allergies Reduced immunity Infertility Hormonal dysfunction Sleep disturbances Anxiety or depressive tendencies Weight fluctuations 1

2 What Is Functional Diagnosis? Why Should You Bother? 2

3 The Four Essential Questions Question # 1 Is there a dysfunction in this patient? If so, where is it? The Four Essential Questions Question # 2 What are the sources or causes of the dysfunction? 3

4 The Four Essential Questions Question #3 What individualized treatments are needed? The Four Essential Questions Question # 4 When has function been restored? 4

5 The Functional Diagnosis Hierarchy Assess The Following: 1. The organs of the GI (digestion, absorption, mucosal barrier) 2. The gallbladder 3. Adequate detoxification and elimination (liver, kidneys, and large bowel) 4. Optimal nutrient levels: tissue minerals, vitamins, and EFAs 5. Blood Sugar Regulation & Oxidative Stress 6. Adrenals 7. Thyroid 8. Sex Hormones 9. Inflammation 10. The Immune System 11. Cardiovascular System 12. Kidney and Bladder Quadrant #1 Functional Signs and Symptoms Analysis 5

6 Are You Re inventing the Wheel? 4 Common Problems 1. Spending too much time asking questions. 2. Not knowing what to do with all of the information they gather. 3. Never looking at the initial i i lhistory again. 4. Using symptoms as their primary means of tracking progress. 6

7 Health Assessment Questionnaires Tracking symptoms over time To encourage compliance To chart progress Substantiate the changes in their symptoms Assess Symptom Burden Quadrant #2 Functional and Nutritional Physical Exam Skills 7

8 Are You Touching Your Patients Enough? Functional and Nutritional P.E. Acne in adults Dilated capillaries Bumps on arms Dermatographism Low wound healing Skin tags Vertical creases on forehead Skin Examination 8

9 Nail Examination Spooning of the nails Soft nails or poor growth Cracking of the tips of the fingers Red tips to fingers Ridging of the nails Reflexology Auricular Medicine Pulse Tongue Skin Applied Kinesiology Neurological Reflexes The Mirrors of the Body 9

10 The HCL Point The Enzyme Point 10

11 Quadrant #3 Functional In Office Testing Easy to do In Office Testing: Advantages Results back immediately Easy to re test t Gateway testing 11

12 What are some of the tests you can do in office? 23 Functional Urinalysis Tests Urine ph Urine Specific Gravity Bowel Toxicity test Urine SedimentTest Urine Calcium Urine Adrenal Stress Test 12

13 Other In Office Lab Tests Oxidata Free Radical Test Salivary ph Dr. Bieler s test Gastro test Metabolic ph Testing Zinc taste test Zinc challenge Kane s mineral testing Tissue mineral assessment Summary of the Benefits Easy assessment of dysfunction Gateway test Results are immediate Testing is easily performed Reference pointto to makesuretreatment is working No expensive equipment A great source of additional income 13

14 Quadrant #4 Functional Blood Chemistry Analysis What You Need To Know Blood Testing Is One of The Most timportant tfdm Tools for the Identification of Functional Disorders and for Disease Prevention 14

15 Blood Chem & CBC Analysis The Functional lapproach Oriented around changes in physiology and not pathology. Ranges based on optimal physiology Use of tighter ranges Some Other Points Patterns and trends Fitting it into your FDM practice Approaching the Analysis 15

16 Sample Case 34 year old female presents to clinic complaining of fatigue, weight gain, infertility, poor skin, and a history of increased cholesterol. Past hx. of oral contraceptive use. On Physical exam showed a BP of 106/68, pulse 82, weight 142 lbs, tenderness in RUQ, rest of abdominal exam unremarkable, skin: bumps on arms, generally dry skin, flaky on upper arms, nails weak and split. Chem screen and CBC: Cholesterol 210, uric acid 1.03, thyroid panel normal, CBC normal. Sample Lab Case Only two values outside the reference range: Ui Uric Aid13 Acid 1.3 (3.0 55) 5.5) Cholesterol Some reasons 5.30 for (3.36 a decreased 5.20) uric acid? Fanconi s syndrome Wilson s syndrome SIADH Heavy metal poisoning Malignancies (Hodgkin s or multiple myeloma) Deficiency of xanthine oxidase 16

17 Complete Functional Analysis Using Foundational Hierarchy GI dysfunction (Hypochlorhydria/ gastric inflammation, Pancreatic insufficiency, dysbiosis): globulins, alk phos, MCV, WBCs, Eosinophils, monos Liver/Biliary dysfunction with EFA need: TGs, LDL, Monocytes Minerals: Magnesium, molybdenum and zinc: uric acid, Alk phos, GGT Vitamin Need: (Anemia B12/folate, B6): HGB, MCV, RDW, GGT, uric acid Blood Sugar: Pancreas glucose, LDH Blood sugar: Adrenal hypofunction: Potassium, glucose, LDH Renal insufficiency: Phos, BUN/Creat ratio Immune insufficiency: WBCs, Monos (recovery) The Main Role 1. The prevention of disease and dysfunction 2. The early detection of disease and dysfunction 3. Advanced patient specific treatment techniques 17

18 Treatment Must Address the underlying cause Respect biochemical individuality Focus on restoring gphysiological function Cause no harm Benefits to the Patient Improved quality of health Reduced costs Reduced suffering Increased likelihood of a cure Reduced incidence of premature aging, mortality, and morbidity 18

19 Successful limplementation of Functional Diagnosis Requires a System Successful limplementation of Functional Diagnosis Requires Support 19

20 Successful limplementation of Functional Diagnosis Requires Tools Who Will Benefit? Patients with inflammatory conditions Patients with energy issues Patients with blood sugar dysregulation Patients with ihcardiovascular disease Hormonal issues Dermatological conditions 20

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