Blog - Dr. Kate Naumes||Holistic Wellness
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13 Sep Have you wondered whether Naturopathic Care is a good investment?

The Scientific Affairs Committee of the American Association of Naturopathic Physicians compiled data and released the following paper earlier this year:

Naturopathic Medicine:
A Key Part to Healing the Nation’s Financial Health Care Crisis

Increasing levels of chronic disease including: diabetes, heart disease, chronic pain, cancer and obesity, have created a multi-trillion dollar financial burden on the medical system. Naturopathic medicine may reduce the need for expensive conventional care by promoting health and decreasing the need for medical interventions over the long term.  Naturopathic doctors are primary care providers that treat acute and chronic conditions as well as address health promotion and disease prevention.

Naturopathic medicine costs less than conventional care.

  • Use of natural health products has the potential to improve health outcomes and reduce cost compared to conventional treatment by anywhere from 3.7- 73%. (1)
  • A 2006 University of Washington study found that in WA State, naturopathic care cost insurers $9.00 per enrollee vs. $686.00 for conventional care. (2)
  • Manual therapy cost less than primary care for neck pain and decreases recovery time, thereby also improving productivity. (3)
  • One year of a lifestyle intervention program (similar to that recommended by naturopathic physicians) for patients with coronary artery disease not only improved all health outcomes and reduced the need for surgery but also cost significantly less then conventional treatment ($7,000 vs $31,000 –$46,000). (4)
  • Naturopathic care, when used for reduction of cardiovascular risk factors (high blood pressure and cholesterol, for example) improved health and increased job productivity, and was determined to actually be a cost-saver for an employer. (5)
  • Naturopathic care used for chronic low back pain, not only cost less than a standard physical therapy regimen but also decreased absenteeism by up to 7 days in a worker’s year. (6)

Naturopathic medicine decreases the need for medical interventions by improving patient wellbeing, preventing disease and treating disease by improving health.

  • The naturopathic emphasis on prevention and health promotion saves lives and dollars. Lifestyle modification counseling prevented more cases of diabetes than drug treatment. (7)
  • It is estimated that if the current level of medical intervention continues the US will end up spending $9.5 trillion dollars over the next 30 years caring for cardiovascular disease, diabetes and congestive heart disease alone. By adding preventive strategies to improve patients’ health, total cost could be reduced approx. $904 billion or almost 10%. (8)
  • Although the initial cost of prevention and treatment using natural medicine is sometimes similar to conventional care the benefits gained by avoiding disease and their associated costs are invaluable and much preferred by patients. (9)
  • Patients who received intensive lifestyle modification and naturopathic therapy for type II diabetes improved all health scores (lipid levels, body fat percentage, etc.) and decreased medication requirements compared to those on standard therapy, in just one year. (10)

The use of naturopathic medicine decreases total medical expenditure.

  • Total expenditure on health care by insured complementary and alternative medicine (CAM) users is less than non-CAM users ($3,797 vs $4,153); this is an approximate $9.4 million saving for just 26,466 CAM-users (11)
  • Patients with the greatest disease burden, which tend to be the most expensive patients, show the most significant reduction in total medical expenditures when utilizing CAM.(12)
  • Naturopathic doctors are the bridge between alternative and conventional care and model true integrative care. Patients who receive care from an integrative primary care physician have reduced medical costs and need of medical intervention when compared to those receiving conventional primary care. (11)
  • Naturopathic care in Canada reduces the use of prescription medications by 53%. (13)
  • Reduction in drug prescriptions (61% less) and use of conventional medical care (55% less) are substantial among CAM users. (14)

References

  1. Kennedy, Deborah A. et al. Cost Effectiveness of Natural Health Products: A Systematic Review of Randomized Clinical Trials. eCAM 2009; 6(3) 297-304 (5).
  2. Lafferty WE, et al. Insurance Coverage and Subsequent Utilization of Complementary and Alternative Medicine Providers. Am J Manag Care 2006; 12(7): 397-404 (7).
  3. Korthals-de Bos, Ingeborg B. C. Cost Effectiveness of Physiotherapy, Manual Therapy, and General Practitioner Care For Neck Pain: Economic Evaluation Alongside A Randomised Control Trial. BMJ 2005; 326: 911-917.
  4. Ornish, Dean. Avoiding Revascularization with Lifestyle Changes: The Multicenter Lifestyle Demonstration Project. Am J Cardiol 1998;82:72T–76T.
  5. Seely D, Herman P. Presented at 2010 AANP Conference. Model Whole Practice Study Finds Naturopathic Care Effective, Cost Saving for Canadian Employer. Unpublished. http://theintegratorblog.com/index.php?option=com_content&task=view&id=682&Itemid=189
  6. Herman PM, Szczurko O, Cooley K, Mills EJ. Cost-effectiveness of naturopathic care for chronic low back pain. Altern Ther Health Med. 2008 Mar-Apr;14(2):32-9.
  7. Williamson DF. Primary prevention of type 2 diabetes mellitus by lifestyle intervention: implications for health policy. Ann Intern Med 2004; 140(11):951-7.
  8. Kahn, Richard. The Impact of Prevention on Reducing the Burden of Cardiovascular Disease. Circulation 2008, 118:576-585.
  9. Woolf, Steeve.  A Closer Look at the Economic Argument for Disease Prevention. JAMA 2009; 301 (5) 356-3.
  10. Hernan WH. Costs associated with the primary prevention of type 2 diabetes mellitus in the diabetes prevention program. Diabetes Care. 2003; 26(1):36-47.
  11. Lind, Bonnie K. et al: Comparison of Health Care Expenditures Among Insured Users and Nonusers of Complementary and Alternative Medicine in Washington State: A Cost Minimization Analysis. J Alternative and Complementary Med 2010; 16: 411-417.
  12. Sarnat, Richard L.  et al. Clinical Utilization and Cost Outcomes From and Integrative Medicine Independent Physician Association: An Additional 3- Year Update. J Manipulative Physiol Ther 2007; 30: 263-269.
  13. http://www.ccnm.edu/sites/ccnm/files/pdfs/news_events/press_releases/attitudes_towards.pdf
  14. Stewart D. Utilization, Patient Satisfaction, and Cost Implications of Acupuncture, Massage, and Naturopathic Medicine As Covered Health Benefits; A Comparison of Two Delivery Models. Alternative Therapies in Health & Med. 2001.

DISCLAIMER: Dr. Kate Naumes holds a Doctorate in Naturopathy and a Certificate in Midwifery from Bastyr University. The state of Texas does not license Naturopathic Doctors. As such, she holds her license in California and acts in Texas as a wellness consultant, not as a physician.

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19 Aug Natural Solutions for Helping Prevent Mosquito Bites

Name of Expedition: Panama Canal Zone Participants: Seth E. Meek, Samuel F. Hildebrand Expedition Start Date: 1911 Expedition End Date: 1912  Purpose or Aims: Zoology (Fishes) Location: Central America, Panama, Canal Zone  Original material: album print Digital Identifier: CSZ33983

As you may already be aware, the Texas Department of State Health Services has commissioned aerial spraying of the chemical Duet. The most up to date information regarding the spraying can be found at the City of Dallas’ website.

The City of Dallas has issued the following recommendations:

  • Minimize exposure. Avoid being outside, close windows and consider keeping pets inside while spraying occurs.
  • If skin or clothes are exposed, wash them with soap and water.
  • Rinse homegrown fruits and vegetables with water as a general precautionary measure.
  • Cover small ornamental fish ponds.
  • Because the chemical breaks down quickly in sunlight and water, no special precautions are suggested for outdoor swimming areas.

—————–
Now, everyone knows that taking precautions to reduce the risk of mosquito bites and possible disease spread is very important, but excessive exposure to synthetic, chemically-based insect repellents can cause long term harm.  Furthermore, the most common ingredient used in commercial insect repellents, DEET (N,N-Diethyl-meta-toluidine), is not recommended for use on children under two months of age or on pregnant women.

If you do use DEET-based repellents, read the label and make sure you use them according to the manufacturer’s’ guidelines. A certain amount of DEET can be absorbed through your skin and into your bloodstream, and in large doses it can make you seriously ill. DEET can act as an irritant, and has been reported to be the cause of seizures, insomnia, mood disturbances and impaired cognitive function. The NHS and the Health Protection Agency (HPA) say that products containing 50 percent DEET are safe to use while pregnant, however we don’t know much about the possible harmful effects on the developing baby.

Beware of misting systems that contain permethrin, a neurotoxin that is dangerously toxic to cats, and potentially dangerous to humans. Also of concern is the new Off! Clip-on, which contains the chemical Metofluthrin, known to cause severe neurotoxic symptoms in dogs, rabbits, and rats. To minimize your exposure,  replace any old air filters in your home in addition to using an additional air purification system, if you own one.

Fortunately, there are many safer options to help ward off the pesky suckers:

  • Wear protective clothing that is loose-fitting and light in color.
  • Avoid wearing bright or floral patterns.
  • Use unscented shampoo, soap, deodorant, laundry detergent, etc.
  • Refrain from wearing perfume.
  • High quality garlic capsules can work wonders in preventing mosquito bites.
  • Use mosquito netting when outside for prolonged periods, especially over strollers, baby carriers and car seats when the baby is sitting in them outside.
  • Eliminate standing water around your home.
  • Plant mosquito repellent herbs such as rosemary, lemon balm, lavender, basil and catnip.

Try one of the following more natural mosquito repellents:

  • Skeeter Screen’s Patio Eggs and reed diffusers utilize bug-deterring essential oils to repel mosquitoes over a space of about 200 square feet.
  • Adults and older children can apply undiluted vanilla essential oil to pulse points (wrists, neck, ankles) to repel mosquitoes with a pleasant smell.
  • A homemade repellent can be made using a low (2-4 percent) dilution of essential oils such as eucalyptus and/or lemon eucalyptus with a base, such as jojoba, or almond oil mixed in a spray bottle.  This can be applied to children over the age of two and is safe for pregnant women.  Spray only on children’s clothes away from their eyes, like the backs of shirts and shorts and on socks and shoes.
  • Cinnamon and peppermint are also effective in warding off mosquitoes. Cinnamon can burn, so it is not advised to use with small children.
  • Look for safer repellent sprays available for purchase that contain P-menthane-3,8-diol (PMD). PMD is the active ingredient in oil of lemon eucalyptus and is in the most widely-used Chinese insect repellent, quwenling.  Repel Lemon Eucalyptus Insect Repellent Lotion and Spray Lotion, Survivor Lemon Eucalyptus Insect Repellent, Off! Botanical Insect Repellent are good choices. However, PMD is roughly half as effective as DEET, so reapply as necessary.
  • Repellents that contain picaridin, a plant-derived compound, have an excellent tolerability profile, in contrast to DEET. Picaridin is odorless, non-sticky, and non-greasy; it also does not irritate skin, stain fabrics, or degrade plastics. Look for Sawyer Insect Repellent, Cutter Advanced, and Cutter Advanced Sport.

The risks and benefits DEET, Duet and other pesticides will likely be debated for some time. In the meantime, at least for Dallas residents, the aerial spraying continues. Have further questions? Schedule an appointment to set up a cleanse to optimize your detoxification system so that your body can best eliminate DEET and other environmental toxins. As Alejandro Junger MD so beautifully explains, “cleansing is turning up the intensity and effectiveness of the detoxification system.”

written by Kate Naumes ND and Andrea Kavanaugh

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13 Jul How Naturopathic Doctors Are Proving the Value of Integrative Medicine

Here is a great article recently posted by the Huffington Post:

In the mid-1980s, leaders of the reemerging naturopathic medical profession faced a tough challenge. They had to make the case for a scientific basis for their field prior to any history of federal support for naturopathic research.

The naturopathic physician authors of such pioneering volumes as the Textbook of Natural Medicine and bestselling, consumer-focused counterpart the Encyclopedia of Natural Medicine searched the world’s literature. They referenced diverse studies on diet, therapeutic nutrition, lifestyle, stress and exercise and profession’s whole person, multi-modality, natural therapeutic-focused form of integrative medicine.

Many of these references were gleaned from conventional medical literature. Bottom line: The reemergence of naturopathic doctors (N.D.s) owed a significant debt to research of their medical doctor (M.D.) colleagues.

Read the rest of John Weeks’ article here.

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30 Jan Eco-friendly, holistic health loving mom’s checklist

 

The lovely blog tinydallas has a regularly occurring “moms we love” segment.

“Not too long ago, Dr. Kate Naumes weighed in with a post on how to keep the kiddos healthy during flu season using natural remedies. Dr. Naumes is a naturopathic doctor that works with women and children, showing them how to use various holistic methods to maintain and improve their health. I’ve always been intrigued by (and a big believer in) the practice of holistic medicine and was eager to learn more about this former Oregonian, now an Oak Cliff resident. So without further adieu, here’s a peek into her world….”

Read more here

Also, if you haven’t checked out this blog and you live in DFW it is a delight to read.  I count myself lucky to be included in its posts.  Thank you tinydallas.

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