Holistic PediatricsRandall Neustaedter OMD

www.cure-guide.comcureguide@gmail.com

Holistic Pediatrics

• A philosophical and practical approach to pediatric care that focuses on the principles of health and wellness.

• Dedicated to integrative treatment using natural methods to stimulate healing, treat illness, and recover balance.

Children’s Health Care Needs

• Regular pediatric visits

• Primary care

• Holistic acute care

• Holistic constitutional care

Deficiencies of conventional care

• Inadequate nutritional counseling

• Inadequate vaccine informed consent

• Attention to environmental toxins

• Ineffective treatment for acute illness

• Toxicity of drug regimens for chronic disease

Effective conventional care

• Trauma care

• Diagnostic expertise

• Interventions in life-threatening illness

• Maintenance drug regimens (hormones)

• Surgical conditions

• Familiarity with rare syndromes

Principles of Well-Child Care

• Developmental assessment

• Nutritional assessment

• Screening tests and exams

• Physical exam

• Diagnosis

• Anticipatory guidance

Holistic Well-Child Care

• Temperament assessment

• Goodness of fit, parenting style

• Need for constitutional treatment• Learning style and enrichment

Maternal Supplements

–Omega 3 fats (500+ mg DHA)

–Vitamin D

–Probiotics

–Calcium/Minerals

Omega-3 Sources

Holistic Acute Care

• URI, sore throats (strep), otitis

• Bronchitis, pneumonia

• GI viral illness

• Antibiotic avoidance

Treatment of Chronic Disease

Immune disorders• Atopy: Eczema – Asthma• Food allergy• Recurrent otitis and URI

Functional disorders• Attention and behavior• Migraines• Reflux – Colitis - IBS

Holistic Treatment Methods

• Acute care management–Homeopathy–Herbs–Acupuncture

• Constitutional Care–Chinese medicine–Homeopathy–Chiropractic/Osteopathy

Birth to Twelve Months

Well Child Care

First Week

• Establish breastfeeding

• Maternal supplements

• Sleeping arrangements

• Mattresses

• Jaundice

Sleeping Choices

• Bed sharing

• Co-sleeper

• Bassinet/Crib in the parent’s room• Nursery

Mattress Wrapping

• Use thick, clear (not colored) polyethylene sheeting, available in the paint section of your local hardware store.  The thickness of the polyethylene must be at least 125 microns, or 5 mil.  Not PVC.

• Place the polyethylene over the top of the mattress and down the ends and sides, and then secure it firmly beneath the mattress with strong adhesive or duct tape. Not airtight on the underside.

• On top of the polyethylene place a fleecy pure cotton blanket and tuck this in securely.  Then make the bed using  sheets and pure wool or pure cotton blanket/s.

Week Two

• Weight gain

• Regulation

• Vitamin D

• Attachment parenting–Holding

–Breastfeeding on demand

–Co-sleeping

Vitamin D

• 400 IU Vitamin D3 per day

• Sun exposure 30 minutes per day fully clothed without a hat

• 30-60 minutes per wk in a diaper

• Cod liver oil 1 tsp/50 lbs body wt

1 tsp cod liver oil = 1,000 IU D

One to Two Months

• Vaccine decisions

• Fluoride

• Digestive problems

• Environmental toxins

• Bath time products

Toxins to Avoid

• Pesticides• Plastic toys • Plastic containers/bottles

– Use glass and stainless steel• Air fresheners• Petrochemicals in cleaning products, soaps, and

shampoo• Teflon• Microwaves

Vaccine Decisions

• DTaP• Hib• Pneumococcus (PCV)• Hepatitis B• Polio (IPV)• Flu• Chickenpox (Var)• MMR

Vaccine Choices

•Hepatitis B at birth

• Informed choice

•Delaying vaccines

•Exemptions

Vaccine Ingredients

–Formaldehyde

–Antifreeze (propylene gycol)

–Aluminum

–Mercury (thimerosal)

–Animal viruses

Adverse Effects

• Chronic reactions– Immune suppression (allergies, infections)– Autoimmune disease (diabetes, arthritis)

• Acute reactions– Allergic, anaphylactic– Toxic (seizures, encephalitis, autism)

Immune System

– Cell Mediated System—TH1• First line defense against outside world• Protects against intracellular organisms,

such as viruses, fungi, protozoa & parasites, cancer cells, allergies & transplant rejection

• Does not produce antibodies; produces cytokines

Immune System

– Humoral System—TH2• Second line defense against outside world• Produces antibodies from stimulation of B-

lymphocytes • Plays strong role in allergies (IgG, IgE)

– Th1/Th2 balance = “immunostasis”

Vaccines and Immune Function

• Vaccines induce Th2 humoral specific antibodies and Th2 dominance– Antibodies block viruses from entering cells– Viruses are internalized in the cell and antibodies

cannot enter the cell– Producing chronic ongoing infections in cells– Th2 dominance produces allergies, asthma, chronic

colds, otitis, chronic inflammation, and cancerParris Kidd, PhD, Th1/Th2 balance: the hypothesis, its

limitations, and implications for health and disease, Alternative Medicine Review, August 2003 v8 i3 p223 (24)

Asthma Incidence15 % of children

Asthma incidence in children

Vaccines and Asthma

Study of 1,177 vaccinated and unvaccinated children in NVIC families. Children with no FH of asthma and no antibiotics were 11 times less likely to report asthma if unvaccinated. Children with a family history were half as likely to have asthma if unvaccinated.(No potential confounders altered the results.)

Enriquez R, et al. The relationship between vaccine refusal and self-report of atopic disease in children. Journal of Allergy and Clinical Immunology 2005 (April); 115 (4):737-744

Immune Supplements

• Omega-3 fats either through breast milk or fish oil as a supplement

• Vitamin D 1,000 – 2,000 IU• Probiotics

– Bifidobacteria– L rhamnosus, L reuteri

• Prebiotics– Fructooligosaccharides (FOS) or

arabinogalactans

• Adaptogens – mushrooms, astragalus

Four Months

• Solid food introduction (5-6 months)

• Rolling over, reaching out

• Relationships

Introducing Solids

• 5-6 months– Cooked fruits (applesauce, prunes)– Veges (carrots, yams, broccoli)

organic only– Bananas

• 7-9 months– Soup– Egg yolks (organic)– Avocados, squash, peas, peaches

Introducing Solids

• 10-12 months– Yogurt (whole milk, organic), butter– Poultry– Blueberries, papaya, mango

• 12 months– Oats, wheat, rice– Spinach, strawberries– Whole egg, cheese– Tahini, honey, melons, corn, oranges,

Six Months

• Sitting, crawling, safety

• Role of acute illness

• Sunscreens (zinc oxide)

• Teething

Sunscreens

• Oxybenzone, methoxycinnamate, and salicylates recovered from plasma and urine (1% of applied dose)

• MOC kills mouse cells• Titanium dioxide absorbs 70% of UV light and

generates free radicals• TiO2 causes DNA damage in human cells• Uncoated ZnO and all TiO2 is are photoreactive• Dimethicone coated micronized zinc oxide is

photostable (does not absorb UV and does not generate hydroxyl radicals

Zinc Oxide Sunscreens

Nine Months

• Mobility and safety

• Anemia

• Motor skills

• Anxieties

Toddlers

• Developmental Assessment

• Temperament

• Five Phases

• Multiple intelligences

• Independence and tantrums

• Anxieties and language

• Daycare, preschool and illness

Temperament

• Activity• Rhythmicity

(Regularity)• Approach/Withdrawal• Adaptability

• Intensity • Mood• Persistence/attention• Distractibility• Threshold/sensitivity

Goodness of Fit

Temperament Types

• Easy – rhythmic, approachable, adaptable, mild, positive

• Difficult – arrythmic, withdraws, slow to adapt, intense, negative

• STWU – withdraws, slow to adapt, mild, negative

Multiple Intelligences

• Linguistic

• Logical-mathematical

• Spatial

• Bodily-Kinesthetic

• Musical

• Interpersonal

• Intrapersonal

• Naturalist

Howard Gardner

Thomas Armstrong

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