Arkansas Center for the Study of Integrative Medicine

Conditions Treated

 

Which conditions do we treat at the

Arkansas Center for the Study of Integrative Medicine?

 

Generally, we treat people with chronic and/or difficult to treat conditions. 

A typical patient is one who was previously healthy and active, and now, has fatigue and other symptoms that are not resolving.  

What is my approach to helping patients heal/recover?

Let's talk about yarn. 

 Anyone who has done yarn work knows how challenging it can sometimes be to find the starting point in a skein of yarn.  You think you have pulled on an outside end only to find out that it is pulling from the inside and creating a great, tangled, ball of mess. 

Now imagine a person with a complex, chronic illness. 

 You can't just grab the first "end" that you see and pull.  The situation may become more complex instead of helping you and the patient peel back the layers to find what is driving the illness.  

When working with people with complex chronic illness, an illness that involves multiple (all) body systems, where do I start to help them get better?

I start with History.  A good, comprehensive, interactive, history.

My new patient intake form gives me a rough outline and an idea of what this person is dealing with. 

The new patient visit is 2 hours.  Whatever was in the intake form is the starting point for the conversation, but there is always much more information that I find by actually asking questions and listening to the person.

Why a 2 hour initial visit?

1.  Most of my patients have a complex history with multiple medical events and evaluations. 

2.  There are often very important clues related to their current illness that they may not even realize needed to be said.  A medical history is more than a list of surgeries and tests. 

3.  This is sometimes the first opportunity that the person feels that they are being heard and their concerns validated.  Sometimes being heard is the first step on their healing journey. 

4.  Family medical history can contribute significantly to the medical history.

5.  Environmental exposures are an important part of the history.  Where has that person lived? What chemical challenges are we looking at?

6.  During this visit the initial lab testing is decided on. This is not a One-Size-Fits-All clinic and not everyone gets the same testing. 

7.  There will likely be some teaching time.  Actually, this is part of just about every visit.  I have found that most of my patients want to learn all they can about their illness.  I use Clinic/Telemedicine time to explain why particular lab findings are important and what the lab findings together are telling us.  I also explain how different nutrients, and even medications, are working to improve symptoms and health. 

Helping a person with their medical/health/healing journey is my job but also my calling.  I have maintained an independent practice so that I could continue to create my vision of the optimal healing environment.

For information on becoming a new patient, please send an email with your request to ar_center@myupdox.com 


Anyone who has done yarn work knows how challenging it can sometimes be to find the starting point in a skein of yarn.  You think you have pulled on an outside end only to find out that it is pulling from the inside and creating a great, tangled, ball of mess.
Now imagine a person with a complex, chronic illness.
You can’t just grab the first “end” that you see and pull.  The situation may become more complex instead of helping you and the patient peel back the layers to find what is driving the illness.

When working with people with complex chronic illness, an illness that involves multiple (all) body systems, where do I start to help them get better?
I start with History.  A good, comprehensive, interactive, history.  No short cuts. 

My new patient intake form gives me a rough outline and an idea of what this person is dealing with. 

The new patient visit is 2 hours.  Whatever was in the intake form is the starting point for the conversation, but there is always much more information that I find by actual asking questions and listening to the person.  

Why a 2 hour visit?
1.  Most of my patients have a complex history with multiple medical events and evaluations. 
2.  There are often very important clues related to their current illness that they may not even realize needed to be said.  A medical history is more than a list of surgeries and tests. 
3.  This is often the first opportunity that the person feels that are being heard and their concerns validated.  Sometimes being heard is the first step on their healing journey. 
4.  Family medical history can contribute significantly to the medical history. 
5.  Environmental exposures are an important part of the history.  Where has that person lived?  What chemical challenges are we looking at?
6.  During this visit the initial lab testing is decided on.  This is not a One-Size-Fits-All clinic and not everyone gets the same testing. 
7.  There will likely be some teaching time.  Actually, this is part of just about every visit.  I have found that most patients want to learn all they can about their illness.  I use Clinic/Telemedicine time to explain why particular lab findings are important and what the lab findings together are telling us.  I also explain how different nutrients, and even medications, are working to improve symptoms and health.  

What happens after the visit that is still actually part of the visit?
Orders and charting. 
Lab orders are written and sent to the patient in their secure portal. 
Lab that involves kit testing will be ordered. 
Prescriptions will be written and sent to the pharmacy.  
Specific supplements are selected and this information goes into the medical chart. 
Charting is documentation for the official medical record and is also a document for the patient.  The chart note covers what we discussed and the lab findings.  The treatment plan outlines our next steps in the treatment plan and lists current medications and supplements.  It details the plan for follow-up testing and visits. 

Patients can contact me with questions through their secure portal.  Many simple questions can be answered through the portal.  More complex questions may need a phone or Telemed visit. 

Helping a person with their medical/health/healing journey is my job but also my calling.  I left the Medical Business so that I could create my vision of the optimal healing environment for my patients.  
 
Anyone who has done yarn work knows how challenging it can sometimes be to find the starting point in a skein of yarn.  You think you have pulled on an outside end only to find out that it is pulling from the inside and creating a great, tangled, ball of mess.
Now imagine a person with a complex, chronic illness.
You can’t just grab the first “end” that you see and pull.  The situation may become more complex instead of helping you and the patient peel back the layers to find what is driving the illness.If you would like information on becoming a new patient, please send an email to ar_center@myupdox.com and request new patient information

Additional Information on Autism and Fibromyalgia

 Autism and Fibromyalgia

There are several reasons that I am writing about these two conditions together.  One reason, is that many of the people I see have one or the other of these two conditions.  Of the children with autism, many have a family member with Fibromyalgia or chronic fatigue or a chronic inflammatory or auto-immune illness.

Another reason to write about these conditions together is because of some of the common “themes” in onset, progression and responses to treatments.

Some of the common “themes” are:

  • Onset after a traumatic event.  This can include, but is not limited to, a major illness, a high fever, surgery, car accident or major emotional loss.
  • Gastrointestinal involvement, with either IBS, constipation or diarrhea.
  • Reflux.
  • Brain fog – problems with focus and concentration.
  • Migraines.
  • Chemical sensitivities.
  • Food sensitivities.
  • Depression.
  • History of multiple antibiotic treatments.
  • Yeast overgrowth symptoms.
  • Thyroid disorder
  • Improvements seen with (but not limited to) :
    • Methyl-B12 and activated folate
    • TMG or DMG
    • Magnesium
    • Epsom salt baths
    • Vitamin B6
    • Dietary interventions, including the Specific Carbohydrate Diet
    • Gluten avoidance
    • Cod liver oil
    • Additional vitamin D and/or vitamin A
    • Support of detoxification pathways and systems
    • Support of the endocrine system
    • Support of the immune system
    • Movement therapies
    • Behavioral therapies
    • Low dose Naltrexone
    • Anti-viral therapies
    • Anti-fungal therapies

As you can see, there are multiple therapeutic approaches and not every person will need every one of these therapies.

How do we determine which therapies to use?  History, present medical condition, lab results, and response to previous therapies.

Why do we see these common themes?  This is what I think is happening.  Of course, the more we learn, the more we change what we think we know.  But, see what you think of this idea.

Every one of us is exposed to chemicals every day.  Some of these chemicals are made naturally in the body and are necessary for normal functioning and life.  Some of these chemicals are part of the food we eat.  Naturally occurring chemicals we can do the best with.

Then, there are the other chemicals.  Chemicals in our water.  Chemicals in and on our food, whether from pesticides, herbicides or from artificial additives and colors in processed foods.  Chemicals in make-up.  Chemicals from our clothes.  Chemicals in the air.  Chemicals in building supplies.  Many of these chemicals are more difficult for our body to handle.

Every one of us has a built-in detoxification system.  A system to break these chemicals down and get rid of them.  However, each of us has a different SIZE of detoxification system, based on our genes. 

So, let’s talk about 3 basic sizes.  Gallon size, quart size and teacup size.

Imagine a gallon bucket.  Every day, a quart of toxic material is poured in and processed out.  The same thing, every day.  Then, one day, a quart and a half of toxic material is poured in.  No problem.  The quart and a half of toxic material is processed out.

Now, imagine a quart bucket.  Every day, a quart of toxic material is poured in and processed out.  The same thing, every day.  No problem.  Then, one day, a quart and a half of toxic material is poured in.  IT OVERFLOWS!!!  This smaller system has been overloaded and now shrinks to ½ it’s original size!  It can’t even handle the usual quart of material on a daily basis anymore.  This just overwhelms the system.

Now, imagine a teacup.  You would think, that when we are born, we would be able to handle whatever the world presents to us.  However, we now know that even in utero, a baby is exposed to a significant level of toxins and his/her detoxification system may actually already be compromised at the time of birth. 

So, back to the tea cup.  Did you know that there are different sizes of tea cups.  Let’s say that one baby has a detoxification capacity which, for purposes of this illustration, is the size of your mother’s tea cup.  And another baby, again for the purpose of this illustration, has a detoxification capacity the size of your small daughter’s toy tea cup.  Now, let’s give each baby the same toxic challenge.  The larger tea cup may do just fine.  But not the smaller tea cup.

When a person is an adult and has a smaller detoxification capacity, their system can be overwhelmed and chronic disease such as Fibromyalgia may result.

When a person is a baby, with a developing central nervous system, and a smaller detoxification capacity, when their system is overwhelmed, not only do you see symptoms similar to Fibromyalgia, you also see symptoms related to the central nervous system.