Friday, 26th April

Time Topic Speaker
8:00 – 8:15 Welcome and Introduction Michael Ash BSc, DO, ND and Patrick Hanaway MD
8:15 – 9:30 Gastrointestinal Dysfunction, Chronic Disease, and the Functional Medicine Matrix Model 

Gastrointestinal dysfunction is a core component of a variety of chronic disease processes. Comprehending the connections and interactions that take place in and around the gastrointestinal tract is of central importance to understanding gastrointestinal dysfunction, which is an essential part of any integrative approach to your patient’s health. Equally important is developing practical skills to assess and treat these dysfunctions. Dr. Hanaway will first review and clarify these relationships as he pulls on various threads of the Functional Medicine Matrix to show us the key antecedents, triggers, and mediators that will frame the core of the seminar. He will then introduce the central skills and rules of thumb that will be highlighted throughout the course.

Patrick Hanaway MD
9:30 – 10:00 Cooking Demonstration 

Dr. Lipski will demonstrate how to incorporate food as medicine not only into our practice with patients, but into our own personal lives as well. Join her for a short demonstration of nutritious, delicious, and simple techniques in food preparation and cooking that help to bring balance to the gastrointestinal tract.

Liz Lipski, PhD, CCN, CHN and Patrick Hanaway MD
10:00 – 10:30 Morning Break
10:30 – 12:00 Thinking Through the Case 

Each faculty member will take 30 minutes to present a case and demonstrate how to practically use the matrix as they work through the case. The object is to provide a tour through the thought processes of these three experienced functional medicine practitioners. What kind of questions would you ask? What kinds of tests would you order? How would you begin to approach the case therapeutically? Why would you follow this course of action? These clinical cases on constipation, IBS/GERD and autoimmune disease will form a framework for how to dissect and analyse clinical cases as we proceed through the weekend.

All Attending Faculty
12:00 – 13:30 Lunch Break
13:30 – 14:00 Q & A All Attending Faculty
14:00 – 15:30 Assessment of Digestive Insufficiencies, Intestinal Permeability, and ‘Allergies’ 

What are the critical factors for proper digestion and absorption? What goes wrong in maldigestion vs. malabsorption? What tools are available to evaluate digestive dysfunction and insufficiencies? What is the prevalence of food allergies, sensitivities, and intolerances in the general population? What are the underlying mechanisms? How do we discriminate these food reactions? What are the best laboratory and empirical ways to accurately assess these? In this lecture, Dr. Mullin and Dr. Lipski will catalogue and clarify the underlying causes of digestive impairments and techniques for accurately assessing them. They will focus on clarifying food allergies, sensitivities, and intolerances and the practical aspects of diagnosing these conditions.

Gerard Mullin, MD, MS, CNSP
15:30 – 16:00 Afternoon Break
16:00 – 17:15 Replace and Replenish: Treatment of Digestive Dysfunction 

The Elimination/ Challenge Diet is an important diagnostic and therapeutic tool in the functional medicine tool box. Drs. Hanaway and Lipski will begin describing this process and then move more deeply into the treatment of digestive dysfunction. How do you know when to utilise pancreatic enzymes, bile salts, or hydrochloric acid in treatment? What are the best foods, botanicals, and nutraceuticals that can be used to stimulate bile, increase mucous secretion, and soothe an irritated or inflamed gastrointestinal tract? How do you differentiate between enzyme products, sialagogues, cholagogues, and choleretics? Dr. Hanaway and Dr. Lipski will delve into the treatment strategies involved in replacing, replenishing, and potentially restoring impaired digestive secretions.

Liz Lipski, PhD, CCN, CHN and Patrick Hanaway MD
17:15 – 18:00 Q and A All Attending Faculty
18:15 – 19:30 Delicious, Exotic and Nutritious Finger Buffet and Welcome Drinks All Attending Faculty

* Speakers/subjects and times may change