Douwe Rienstra, MD

Educational Activities

2006 | 2005 | 2004 | 2003 | 2002 | 2000 - 2001 | 1988 - 1999

December 7, 1999 - Port Angeles.   James Leverenz, MD from the University of Washington's Dementia Clinic spoke on treatment of Alzheimer's Disease.

Treatment of Alzheimer's disease is not uniformly successful. Even the latest pharmaceutical, donepezil (Aricept), is not helpful for all patients. Still, it is better on average than any other medication, and can often improve functioning and behaviour.  Dr Levernenz noted that many doctors in his field now prescribe 1500 units vitamin E daily for their Alzheimer's patients. In my opinion, Alzheimer's is better prevented than treated.

November 17, 1999 - Jefferson General Hospital.   Daniel Loube, MD of Virginia Mason spoke on diagnosis and treatment of sleep disorders.

About 3 percent of us have disordered sleep. This is usually not apparent to patient or physician. Sometimes family members will notice that the person stops breathing at night, or wakes up gasping; sometime the person notices sleepiness during the day. In other cases, the person may notice only restless legs at night, may seem to have seizures during the day, or may notice nothing at all. Sleep disorders increase the risk of death from heart disease, stroke, and accidents. However, they can be treated. For those of you who use positive-pressure machines to help sleep at night, you should know that the Respiron brand is, as far as I can tell, the most effective machine.

November 6, 1999 - Duke Medical Center.   Barton F Haynes, MD of the Duke Faculty spoke on cutting edge measures to support the human immune system in immunodeficiency and AIDS.

Fred Sanfilippo, MD detailed the mechanisms of immune-system rejection of transplanted organs, and how to avoid and treat these problems.

Andrew Berchuck, MD described the genetics of hereditary ovarian cancer. Some families have a genetic makeup that predisposes them to develop cancer of the breast and ovary. A woman can be tested before she develops cancer to determine whether or not she carries this genetic tendency. We do make this test available at our office.

October 13th to 16th, 1999 - Fifty-sixth annual meeting of the Association of American Physicians and Surgeons.  

Among the speakers was Bonnie Dunbar, PhD, Professor of Molecular and Cell Biology at Baylor University Medical College. She is, among other pursuits, a vaccine developer. She presented evidence that the hepatitis B vaccine can cause progressive vision loss and other adverse effects. She pointed out that US medical journals do not publish reports of adverse effects of vaccines, so most reports appear in overseas journals. The US government does not fund research on adverse effects of vaccines; while pharmaceutical companies do research, they keep their clinical trial data secret. Although they deny that there are any problems, their trials on side-effects of the recombinant hepatitis B vaccine looked only at the four days following immunization, too soon to discover auto-immune side-effects. Hepatitis B vaccine is given to human newborns with few studies on this age-group and this despite the fact that we know that the newborn immune system is different from the adult.  

Dr Dunbar reported that the ACIP, the American Council on Immunization Practices, is made up of vaccine-industry insiders. The CDC (Centers for Disease Control) reports that it monitors the ACIP to prevent conflict of interest, but in fact it keeps its procedures secret. The ACIP did not publish minutes until forced to by Congress, and in response now plans to meet "off-the-record." Dr Dunbar reported that she is concerned that industry profits from vaccination programs make it difficult for them to judge the wisdom of the vaccination programs dispassionately. 

Note to the reader: Immunization has saved millions of lives, and I recommend specific immunizations to specific people at specific times. I have felt for many years, however, that the immunization industry publicizes the benefits of immunization vigorously and describes the risks much less vigorously. As of today, the arguments for and against immunization are carried on too often by groups that are too willing to shade the truth.  

Another topic discussed at this meeting: Dr Mark Hiatt spoke on the mechanics by which the American Medical Association and the Carnegie Foundation conspired to close most American medical schools in the early 1900's. American medical education owes its current complexion to a report by Abraham Flexner, commonly called the Flexner report.  The result of this report was that herbalism, homeopathy, and other forms of medical education were erased from our country. African-American schools, with two exceptions, were closed. (This article is copyright 1999 by the Alpha Omega Alpha Honor Medical Society, reprinted by permission from The Pharos, Volume 62, number 1)  

September 15, 1999 - Papulosquamous skin eruptions--presented by Claire Haycox, MD of Virginia Mason.  Papulosquamous skin eruptions are rashes involving the outer layer of the skin. The most common of these is eczema; the word eczema comes from the Greek word for "boiling" and refers to the many tiny bubbles under the skin that occur when the rash is fresh. Eruptions, boiling--a pretty dramatic subject. 

Dr Haycox quizzed us with slides showing unusual presentations of the different forms of eczema, pityriasis rosea, lichen planus, psoriasis, and tinea. She reviewed methods of diagnosis and treatment. I enjoy dermatology and I enjoyed her talk.

August 11, 1999 - Alzheimer's disease: Assessment, Diagnosis, and Care--presented by Rebecca Logsdon, PhD from the University of Washington and Jack Hutton, MD, neurology. Dr Hutton outlined recent advances in our understanding of Alzheimer's dementia. This involves degeneration of the microtubules inside the brain cells as well as degeneration of proteins outside the cells. The result is an inflammatory process involving free radicals which damages the tissues further.

Africans and Asians are less likely to develop Alzheimer's dementia than we are, unless they move here, so there may be something in our diet or environment that promotes Alzheimer's dementia. People with a parent or sibling who have developed Alzheimer's dementia are more likely to develop it, but most cases develop without such a family history.

This workshop covered diagnosis (what is and what isn't Alzheimer's dementia), pharmaceutical measures to prevent and treat Alzheimer's dementia, and how to help families deal with loved ones who have Alzheimer's dementia.  

Personally I believe that we are wise to start taking healthy doses of anti-oxidants about the time we turn 50 years old.  In addition, my experience is that phosphatidylserine, ginkgo, Vinpocetine, Bacopa, and acetyl-L-carnitine are noticeably helpful in improving mental function, even in younger people. 

June 26, 1999 - Russell Manuel, MD, studied acupuncture in Hong Kong and Beijing. He has since found electroacupuncture to be more effective. He teaches a one-day course. We started by identifying the twelve most useful points, using an electrical point- finder. We then went on to use a selection of the 44 most useful points to treat shoulder, back, and neck pain. I treated another course participant with bicipital tendinitis; he reported an immediate 90% reduction in pain. At the end of the day, he said that the pain relief was not complete, but significant and continuing. We are still evaluating this technique.

May 13 and 14, 1999 - Oregon Health Sciences University and the Sommer Memorial Lectures. These lectures are an unusual opportunity since they aren't sponsored by the pharmaceutical companies. The most useful lectures were on abnormal clotting conditions and the immunology of rheumatoid arthritis.  There was an unusual acknowledgement by two of the speakers of the value of nutrition and vitamins, expressed in a by-now-all-too-familiar supercilious manner.   

April 25, 1999 - Jon Pangborn has a doctorate in biochemistry and twenty years ago had a son who was autistic. He became interested in the biochemistry of amino acids as part of an effort to help his son. He has since devoted his life to a study of amino acids in human health and disease and is recognized as the leading authority on this subject. He notes that people with headaches, chronic fatigue, environmental illness, cardiovascular disease, learning and developmental disorders, neurologic and mental disorders, and degenerative disorders frequently have abnormalities of amino acid metabolism and benefit from correction of these disorders.  

We have started using his methods and find them helpful.

Bob Smith is recognized as the world's leading authority on hair analysis. He's published, over a period of twenty years, many papers in the field and consulted for leading governmental and academic authorities. He has a wide knowledge of the patterns of minerals appearing in the hair and how they relate to health and disease. Mr Smith has done hair analysis for the prison authorities and determined that a particular pattern of mineral imbalance appears in the hair in children and adults prone to violent behavior. He discussed how to avoid errors in the use of hair analysis and how hair analysis can be used to diagnose illness.

April 23, 1999 - Nutritional Approaches to Cardiology by Seth Baum, MD, an interventional cardiologist from Florida. Interventional cardiologists are so called because they insert tubes and other devices into people with blocked arteries. Dr Baum described all the latest types of procedures used, their benefits and drawbacks. He also described his successful experiences using coEnzyme Q10, carnitine, crataegus, and other nutritional methods to treat patients with severe heart disease.

March 20, 1999 - One day clinical practice update on therapeutic nutrition. Three speakers stood out. Parris Kidd, an authority on brain aging, reviewed the physiologic processes by which our brains age. He reviewed the research on phosphatidylserine which is a critical component of the brain. Mothers with more of this in their diet have more intelligent children. Aging adults with slower brains improve when phosphatidylserine is added to their diet. We have used this for a few years for this purpose. As a result of this talk, we have located a product that contains phosphatidylserine and four other brain-friendly nutrients to enhance mental function. Dr Jonathan Wright spoke on hormone replacement for men. Contrary to popular belief, testosterone replacement may be beneficial for the prostate gland. There is no shortage of research to show that testosterone benefits the circulatory system in both men and women. Finally, Patrick Bouic, PhD from South Africa, introduced us to sterols, substances in plants similar to cholesterol which balance the immune system and hold promise for rheumatoid arthritis and other immune diseases, as well as hepatitis C and AIDS.

March 10, 1999 - Harry Geggel, MD, Virginia Mason corneal specialist, outlined the laser surgical techniques he uses to improve vision. Most patients are able to see 20/40 or better without glasses. Complications can occur. People can have dry eyes. Serious damage to the eye can, in uncommmon instances, occur. Many people will have a glare around the edge of their vision at night due to the nature of the shaping of the cornea.  About ten of my colleagues at Jefferson General attended the talk. At the end of the two hours, one was ready to sign up for the surgery immediately and most others were seriously interested.

March 4, 1999- I gave a presentation to the Journal Club at Jefferson General Hospital on "Fast-Track Treatment of Suspected Strep Throat."

January 10, 1999 - Jeffrey Bland, PhD gave an all-day seminar entitled "Improving Intercellular Communication." We have all heard of hormones, those substances by which cells send messages to each other. Sometimes these messages don't get through. Many people develop a resistance to the insulin signal, which the pancreas sends to the body after a meal to provide for metabolism of glucose. People with a "spare tire" are prone to develop such resistance to insulin.  Leptin is a signal intended to tell us that we have had enough to eat. People with a spare tire often develop an insensitivity to the leptin signal, and don't feel full as they did when they were younger.  Impairment of intercellular signals in this case often leads to diabetes, and its terrible complications including heart disease.  Nutritional techniques can improve this situation.

December 9, 1998 - Terry Quigley, MD of Virginia Mason, described state of the art methods used for repair of damaged blood vessels.

November 11^th, 1998 - Michael Gluck, MD of Virginia Mason gave an outstanding presentation on malabsorption of nutrients and diarrheal illness. He has found that use of non-pharmaceutical measures, such as Lactobacillus, is often required to help these problems. I found him an original thinker and straightforward speaker.

October 16^th through 19^th, 1998 - For the third time I attended Drs Jonathan Wright and Alan Gaby four day course in nutritional therapy. These men are pioneers in the use of nutritional therapy in medical practice and I have learned a huge amount from them that has been of invaluable help in our clinic. Each time I attend their course I gain a deeper understanding of the role of various nutrients in the human metabolism and how these nutrients can be used as medicines for various illness.

October 15^th,1998 - Glucose Control and Macrovascular Complications given by the Joslin Diabetes Center pointed out that eighty percent of diabetics die from cardiac disease. Reduction of elevated cholesterol lowers cardiac risk by about 50% in diabetics, much more than in the rest of us.

October 9^th and 10^th, 1998 -- The University of Washington School of Medicine presented an Update in Diabetes Therapies. One memorable phrase was "a diabetic is a heart attack waiting to happen." Though there is nothing undramatic about peripheral vascular disease, neuropathy, renal disease or blindness, the toll of cardiac disease strikes diabetics even more relentlessly than the rest of us. One lecturer simultaneously enlists compliance and educates hesitant patients with the phrase "I'd rather give you a handful of pills to keep you from that first heart attack than wait for it and treat the 2/3s of you that are left."

September 9, 1998 - Daniel Neuzil, MD of Virginia Mason gave an update on the use of ultrasound in evaluating patients for vascular surgery.

July 8, 1998 - David Newell, MD, Associate Professor of Neurologic Surgery at the University of Washington discussed surgical treatment of blood vessel disorders of the brain. They are investigating the use of 'clot-busting' drugs for treatment of stoke, though they are not yet practical enough for use here in Port Townsend.

June 10, 1998 - Howard Muntz MD of Virginia Mason outlined current treatment of ovarian cancer. He judges screening by use of blood tests not to be justified for general use at this time. He notes that careful listening to, and examinaton of, each woman is the best method of ensuring that we pick up this terrible illness as early as possible, so that treatment has the best chance of success.

May 30 to June 1, 1998 - Medicines from the Earth symposium on herbal medicine sponsored by Gaia Herbal Research Institute, at Black Mountain, North Carolina. Herbalism was a mainstream medical endeavor prior to the early 1900's when the eclectic, herbal, and homeopathic medical schools were purged from our system. This did not occur in Europe, so Simon Mills, the European presenter, hailed from a very traditional academic post in Exeter, England. Herbalists, unlike naturopaths, study and follow more ancient traditions of knowledge than do naturopaths. I learned more about prepartion of herbs than I knew before. Several speakers outlined their methods for "purifying the liver and intestinal tract." I learned of formulas for improving the immune system in youngsters as well as adults, learned more details about medicinal mushrooms, and heard Tori Hudson ND give an excellent presentation on women's health care.

May 28, 1998: The Chief of Cardiovascular Surgery at UW spoke about current methods and techniques. He feels that the current competitive climate results in some surgery being done under less-than-ideal conditions.

March 11, 1998: Tom Williamson-Kirkland MD and Steve Fey MD from Virginia Mason spoke on methods of helping people with chronic pain get back to a productive life. Sometimes this involves detoxifying them from inappropriate narcotics. On other occasions, narcotic pain relievers are underutilized.

March 11, 1998: Jefferson General Hospital video presentation from Harvard Medical School on integration of alternative and traditional medical methods.

March 9, 1998: National Audio Conference call discussed new treatments for erectile dysfunction. Ones that we make available include hormones (testosterone), medications such as sildenafil (Viagra) or alprostadil (Muse), and appliances such as the venous flow constriction device or the vacuum device. Sometimes these are more effective when used in combination.

February 26, 1998: Completed a five-hour course on "risk management." The gist of the course? The best way to reduce risk is to practice good medicine.

February 25, 1998: Keri Johns at Jefferson General Hospital hosts another famous 7 am video presentation from Harvard Medical School. Michael Lerner spoke on alternative treatments for cancer. Lerner's book "Choices in Healing" from MIT Press is a very even-handed discussion of cancer treatment, both conventional and alternative. Lerner's opinion, which is difficult to argue with, is that alternative treatments may offer some benefits, but in most cases do not offer any "cures" that traditional treatments do not offer. However, not all cancer is the same; each person and each kind of cancer is different.

February 11, 1998: Jefferson General Hospital video presentation from Harvard Medical School on massage therapy, given by a massage therapist who treats people whom no one else could cure.

February 11, 1998: John Hsiang from the Department of Neurosurgery at Virginia Mason spoke on operations for relief of trapping of the nerves in and around the spinal column. He makes sure he is more likely to succeed by declining to operate on people who are unlikely to benefit from the surgery. As he says "There is no medical condition, no matter how terrible, that surgery cannot make worse."

January 14, 1998: Jefferson General Hospital video presentation from Harvard Medical School about acupuncture.

January 6, 1998 - I gave a talk of natural hormone replacement in the menopause to the medical staff at Jefferson General Hospital.

November 20, 1997: Dr. Doug Backhous from Virginia Mason outlined new treatments of hearing loss including implantations of electronic devices in the ear. These are best suited for the young, as the technology is not yet advanced enough to be appropriate for older people.

November 15, 1997: The Annual Forum on Therapeutic Nutrition covered several topics:
* Treatment of menopause, including conventional pharmaceuticals, hormone replacement therapy, nutritional supplements and Chinese botanical medicines.
* Ancient botanical medicines are still used today and modern physiologic studies confirm many of the benefits claimed for them by the ancients. 
* Vitamin B12 comes in various forms, each of which has different therapeutic use. Not all vitamin B12 is the same.
* Isoflavones (found in soybeans) are effective in treatment and prevention of cancer, heart disease, osteoporosis and other conditions.
* Not all heart disease is due to high cholesterol, much of it is due to homocysteine, a natural substance whose concentration rises in the body when we're short in folic acid, B6 and B12. Homocysteine should be measured and treated, if required, in people at risk for heart disease.

October 29 and 30th, 1997: I attended a two-day workshop in Anaheim, California covering the therapeutic use and methods for EDTA chelation therapy. Although this treatment is not understood or accepted by many physicians, there is a great deal of accumulated experience and data on the use of EDTA chelation for circulatory diseases. Some studies appear to show regression of arteriosclerosis with chelation therapy. EDTA chelation therapy is always combined with diet and nutritional methods. At the end of the course I successfully completed the certification test given by the American Board of Chelation Therapy. I was impressed that several of the doctors giving the course were in their seventies and eighties and still in practice.

October 21, 1997: Olympic Memorial Hospital with the Merck Human Health Division presented a program on the medical diagnosis of asthma and osteoporosis.

October 13 through October 15, 1997: The First World Conference on Nutrition and Vitamin Therapy in New York City dealt with a multitude of topics. I heard some of the leading physicians in nutritional and alternative medicine.  After hearing Leo Galland, M.D. speak, I bought and read his book "Four Pillars of Healing." I could not have said it better myself. Peter Himmel, M.D. spoke about DHEA and pregnenolone. Peter K. T. Pang, a researcher, detailed how "essential" hypertension is related to increased levels of calcium in the cell. (This may be one reason that EDTA chelation therapy is beneficial, because it lowers those levels.) Michael Janson, M.D., president of the American College for Advancement of Medicine, outlined "The Vitamin Revolution in Healthcare". Peter D'Adamo, N.D. (who wrote at Right 4 Your Type) gave a presentation of his ideas.  Many of my patients have used his diet;  some benefited, some did not. Peter Langsjoen, MD, spoke on the use of CoEnzyme Q10 in people with heart disease. He (with his father) is one of the leading researchers in this country on this topic. Abram Hoffer, MD is one of the founders of orthomolecular medicine and practices in Victoria, B.C. He related that high dose niacin and other nutrients are often effective in the treatment of schizophrenia and other difficult-to-treat disorders. Julian Whitaker, M.D. spoke about heart disease. David Horrobin, M.A., is well-known to me as a researcher on evening primrose oil. He outlined how essential fatty acids affect childhood development and psychiatric and developmental disorders. Udo Erasmus spoke on essential fatty acids. Michael Schachter, M.D. spoke on the complimentary approach to cancer treatment. Charlotte Gerson of the Gerson Institute spoke on her clinic's approach to the treatment of cancer. Parriss Kidd spoke on the reversal of brain aging with phosphatidyl serine. Herman Baker is an authority on vitamin analysis in the blood and developed many of the technique we use for vitamin analysis for our patients. William Rea, MD, one of the founders of environmental medicine, detailed his approach to environmental aspects of health and disease.

September 25, 1997: Attended a lecture on botanical medicine by Steve Morris, a naturopathic physician. He studied in Africa with James Duke, one of the national authorities on botanical medicine. He spoke on the uses and potential side effects of botanical medications.

September 16, 1997: I participated on an educational activity on chronic hepatitis C.

August 6, 1997: Treatment of chronic obesity involves realistic goals and recognition that even a 10% weight loss can be very helpful toward maintenance of optimal weight. This course covered pharmaceutical agents. (In our clinic we often combine nutritional methods to improve the risk-benefit ratio.).

May 14, 1997: Virginia Mason presented a program on quality assurance.

April 9, 1997: Ken Casey, MD, Virginia Mason, spoke on sleep apnea. Many people with heart disease and other problems have unrecognized disturbances of sleep as a causative factor. Proper diagnosis and treatment can prevent unnecessary heart disease and stroke.

March 13 and 14^th, 1997: The College of Medical Education in Tacoma, Washington presented a 12-hour, two day course reviewing current concepts of internal medicine. We learned that the older, less-expensive antibiotics are more effective in certain situations than are the newer, high-priced ones. Also, a neurologist gave figures showing that people with migraine headaches are less likely to have abnormal MRI scans than are people who do not have such headaches.

March 6, 1997: Southern Medical Association presented a 2-hour video presentation on management of cholesterol. The party line, but it is good to know the information.

February 20, 1997: I attended a refresher course in cardio-pulmonary resusitation..

February 12, 1997: Dr. Andrew Jacobs of Virginia Mason outlined recent advances on the treatment of pancreatic cancer. Pretty slim advances, if you ask me.

February 5, 1997: Jefferson County Health Department outlined recent immunization measures.

January 27, 1997: Dr. Peter K.T. Pang from the Department of Physiology, University of Alberta, presented a talk on calcium handling by the cell and its relationship to high blood pressure.

11-13-96: A researcher from Europe spoke about a nutrient that is commonly used along with and without chemotherapy to enhance survival in people with cancer. Reduced glutathione is a substance in the cell which helps protect the cell from cancer producing processes. Reduced glutathione can be enhanced in the cell through oral administration of glutathione and flavonoids.  (Note, lipoic acid also effectively increases intracellular glutathione.)

10-25 to 10-28-96: Seminar with Dr. Jonathan Wright and Alan Gaby going into great detail on their nutritional methods for treatment of many conditions and diseases. This course covered the use of intravenous vitamins and other techniques to treat chronic fatigue syndrome in particular and many other diseases as well. This one was too rich in helpful details to outline here. I have learned a great deal from these guys over the years. Suffice it to say they gave out a syllabus listing over 2000 references supporting the methods they use.

10-12-96: Seminar by Michael Murray, naturopathic physician reviewing natural alternatives to over-the-counter and prescription drugs.

10-9-96: Albert Einstein College of Medicine and Virginia Mason Medical Center co-sponsored a program covering new concepts in treatment of the rheumatic diseases entitled "Solving Diagnostic And Therapeutic Dilemmas". Again, the party line. The lack of imagination of the academicians at this conference reminded me of the British "redcoats," who couldn't understand why the colonists won the war.

9-19-96: The Centers for Disease Control National Immunization Program presented an update on immunization.

9-11-96: Virginia Mason presented program on pre-operative evaluation of the surgical patient.

6-12-96: If you are in an exercise class with woman of middle age, you will find that about half of them are wearing a pad to protect themselves from leakage of urine during exercise. Other woman will leak urine with coughing or sneezing or heavy lifting. This common problem is, unfortunately, often ignored. Treatment is usually successful. This course at Jefferson General Hospital outlined diagnosis and treatment of these conditions using local resources.  A good local resource is Dr Levy.

5-3 to 5-5-96: The Washington Native Plant Society Spring Study Weekend in eastern Washington gave me opportunity to study botanical medicine "on the ground".

4-20-96: This update in nutritional therapy outlined methods to retard aging of the brain as well as aging of the body. New cancer treatments were discussed as well as nutritional factors and gastrointestinal disease.

March 16 and 17, 1996: Using saliva, people can be tested for function of the adrenal glands, amounts of DHEA that they produce, inadequacy of production of estrogen and testosterone. This course outlined how subtle problems with the adrenal glands can lead to rather disabling illness. Discussed treatment of this dysfunction as well as diagnosis and treatment of abnormalities in the bacteria of the intestine.

3-13-96: Update on diagnosis and treatment of osteoporosis sponsored by the Virginia Mason Medical Center.

1-10-96: Management of heart disease sponsored by the Virginia Mason Medical Center.

12-13-95: Diagnosis and treatment of depression including bi-polar (manic depressive) disorder. Sponsored by Virginia Mason Medical Center.

11-8-95: Update in primary care dermatology. Sponsored by Virginia Mason Medical Center.

10-23-95: Tumor conference at Jefferson General Hospital.

10-4-95: Controversies in the diagnosis and treatment of prostate cancer with Paul Lange, M.D., chairman of the Urology Department at the University of Washington School of Medicine.

9-19-95: Tumor conference at Jefferson General Hospital.

4-28-95: 6 hour conference in cardiology in primary care. Sponsored by the College of Medical Education in Tacoma, WA.

4-18-95: Tumor conference at Jefferson General Hospital.

4-12-95: Diagnosis and treatment of foot and ankle problems. Sponsored by Virginia Mason Medical Center.

3-21-95: Tumor conference at Jefferson General Hospital.

3-8-95: Management of grief and depression with review of antidepressant drugs sponsored by Virginia Mason Medical Center.

1-11-95: Diagnosis and treatment of abnormal uterine bleeding. Birth control pills, estrogen replacement therapy, hormonal treatment of urinary difficulties. Sponsored by Virginia Mason Medical Center.

12-19-94: Evaluation and treatment of prostate problems with Dr. Bertram Levy.

11-9-94: Diagnosis and management of common knee problems. Given by Dr. Mandt of the Sports Medicine Clinic at Virginia Mason Medical Center.

10-12-94: Update on treatment of diabetes. Sponsored by Virginia Mason Medical Center.

10-4-94: All day conference at Tacoma sponsored by the College of Medical Education. Topics discussed were cost effective use of antibiotics in childhood infectious diseases, Helicobactor pylori infection as a cause of duodenal ulcer, management of diabetes, cost effective methods of evaluation of headache. Diagnosis and management of domestic violence. Management of abnormal uterine bleeding. Evaluation and treatment of back pain.

9-24-94: All day conference on naturopathic treatment of common problems. Topics discussed were abnormality in the bacteria within the intestine and treatment of same. Nutritional treatments of high blood pressure. Evaluation of the liver's ability to handle toxins. Nutritional treatment of arthritis and asthma.

9-19-94: Diagnosis and treatment of esophageal and stomach problems including duodenal ulcer disease. Sponsored by Virginia Mason Medical Center.

6-13-94: Ear, nose and throat review and update with Dr. Robert Craven.

5-13 through 5-15-94: Advanced training course in Ayurvedic Medicine at the College of Maharishi Ayurveda at Maharishi International University. Course included treatment of respiratory problems, psychiatric difficulties, cardiovascular disease, menopausal problems, gastrointestinal diseases, gynecological disorders and neuromuscular problems. Methods of treatment included dietary measures, behavioral measures, home remedies and herbal treatments.

4-13-94: Evaluation and treatment of low back pain. Evaluation and treatment of bleeding inside the skull. Sponsored by Virginia Mason Medical Center.

3-9-94: Evaluation and treatment of loss of bladder control in woman. Sponsored by Virginia Mason Medical Center.

2-6-94: 3 hour meeting on various methods of treatment of fibromyalgia and chronic fatigue syndrome. Sponsored by the Seattle Fibromyalgia Association.

1-12-94: Functional bowel disease including irritable bowel syndrome. Sponsored by Virginia Mason Medical Center.

December 8, 1993. Diagnosis and treatment of musculoskeletal diseases of the shoulder, sponsored by Virginia Mason Medical Center.

December 3-5 1993. Advanced course in Maharishi Ayurveda at the college of Maharishi Ayur-Ved in Fairfield Iowa. Patient evaluation, recent research, and treatment plans for hypertension, gastrointestinal disorders, arthritis and musculoskeletal problems, pediatric disorders, mental health, gynecological disorders, skin diseases, headaches, and cardiovascular disease.

November 8-10, 1993.  Clinical reviews at the Mayo Clinic. This three day course covered many subjects. We were taught a technique to anesthetize a finger with one injection instead of four. The speaker on prevention of cardiovascular disease was hesitant to talk about vitamin E, but under extreme pressure from the audience divulged from very exciting research results indicating great protective effect of vitamin E against arteriosclerosis. Also covered - adult immunization, rashes in children, colo-rectal cancer screening, fibromyalgia, management of common ear problems, diabetes treatment, hypertension treatment in the elderly, dental implants, hearing aids, vaginitis in little girls, depression, shoulder disease, allergy testing, and many other topics.

October 13, 1993. Diagnosis and treatment of skin cancer, sponsored by Virginia Mason Medical Center.

September 8, 1993. Hepatitis A, B, C, D and E-diagnosis and treatment sponsored by Virginia Mason Medical Center.

April 7, 1993. Basic Life Support refresher course at Jefferson General Hospital attended by Dr. Rienstra and Sheila Bailey, certified medical assistant.

March 10, 1993. New concepts and treatment of headache, sponsored by the Virginia Mason Medical Center.

January 13, 1993. Triggering factors associated with asthma, new treatment modalities in asthma and review of asthma treatment, sponsored by Virginia Mason Medical Center.

December 9, 1992. Hand Injuries and Infections, sponsored by Virginia Mason Medical Center.

November 12, 1992. Dermatological Review, "What's New in the 90's", an all day course covering the skin and system and diseases, infectious diseases of the skin, drug eruptions, oral diseases, hair loss, evaluation of pigmented skin lesions, and psoriasis, and other subjects.

September 27, 1992. Five day course in Maharishi Ayur-Veda at Maharishi International University in Fairfield, Iowa.

September 9, 1992. Ophthalmology including a survey of common eye problems sponsored by Virginia Mason Medical Center.

June 4, 1992. Brief Therapy in Action, a 1 day course in results-oriented counseling.

April 8, 1992. Evaluation of thyroid disorders sponsored by Virginia Mason Hospital.

March 12, 1992. Day long review of Internal Medicine, including treatment of an enlarged prostate, high blood pressure, cardiovascular disease, cholesterol disorders, asthma, congestive heart failure, and common orthopedic problems. Sponsored by the Tacoma Academy of Internal Medicine.

March 5, 1992. Treatment Overview HIV/AIDS, sponsored by Jefferson General Hospital.

January 8,1992. "Cold Hands, Cold Feet": Circulatory and Other Causes of Cold Extremities sponsored by Virginia Mason Medical Center.

December 11, 1991. Diagnosis and Treatment of Chronic Low Back Pain, sponsored by Virginia Mason Medical Center.

November 9, 1991. Neurology and Neurosurgery Conference, sponsored by Virginia Mason Medical Center.

November 8, 1991. One Day Basic Science Lectureship at Swedish Hospital covering bone marrow transplant, genetic aspects of muscle diseases, biochemical basis of bone illnesses, and care of the extremities in people with neurologic illnesses.

October 9, 1991. Foot and Ankle Problems, sponsored by Virginia Mason Medical Center.

May 1991. Operative Treatment of Painful Toenails, Plastic Surgery Techniques & Needle Aspiration of Breast Masses and Treatment of Skin Cancer. One day course sponsored by Pierce County Medical Society.

May 8, 1991. Diagnosis & Treatment of Common Ear, Nose & Throat Problems, sponsored by Virginia Mason Medical Center.

April 1991. Genital Warts & Cervical Cancer, sponsored by Virginia Mason Medical Center.

March 13, 1991. Asthma Treatment, sponsored by Virginia Mason Medical Center.

March, 1991. Inflammatory Bowel Disease. All day seminar sponsored by Virginia Mason Medical Center.

February,1991. Treatment of Depression, sponsored by Virginia Mason Medical Center.

December 12, 1990. Primary Care of AIDS. Sponsored by Virginia Mason Medical Center. AIDS testing, management of people with positive test for AIDS, prevention, treatment.

December 7, 1990. Practical Pediatrics at Virginia Mason Medical Center. Hepatitis in children, Chronic Epstein Barr Virus Infection, Mild Asthma, Childhood Rashes, Lyme Disease, Children with Recurrent Infections, Immunization Update, Attention Deficit Disorder (Hyperactivity), Elevated Cholesterol in Children.

October 10, 1990. Surgical Antibiotic Prophylaxis. Sponsored by Virginia Mason Medical Center.

September 29, 1990. Pulmonary Symposium, including chronic obstructive pulmonary disease (Emphysema) Asthma and Chest Infections, sponsored by Virginia Mason Medical Center.

April 11 - 15, 1990. Nonpharmological Approaches to Prevention and Treatment of Chronic Diseases. Medical Conference on Maharishi Ayurveda at Maharishi International University in Fairfield, Iowa.

February 14, 1990. Primary Occupational Medicine. Sponsored by Virginia Mason Medical Center.

November 10 - 12, 1989. Advanced Cardiac Life Support. Two day course at Stevens Memorial Hospital, Edmonds, Wa.

October 12-15, 1989. Advanced Ayurveda Training Program, Fairfield, Iowa.

July 1989. Pharmaceutics & Medical Therapeutics. Thirteen hour course sponsored by the Yale School of Medicine.

April 29, 1989. One day Cardiology Symposium sponsored by the Virginia Mason Medical Center.

March 1989. Review of Alcohol & Cocaine Abuse presented by the Virginia Mason Medical Center.

March 1989. Neurology Seminar sponsored by the Virginia Mason Medical Center.

January 21, 1989. Seminar on AIDS. I give one of the best talks at the seminar. Sponsored by Jefferson County Health Department.

September 14, 1988. Management of Hypertension.

June 10, 1988. Pain: Assessment and Intervention in Clinical Practice. Jefferson General Hospital.

June, 1988. Layered Closure of Lacerations. Sponsored by Hahnemann University.

Spring 1988. Hospice Care, including Symptom Management. Sponsored by the Hospice Education Institute.

April 24 and 25, 1981. Two day seminar on rheumatic diseases in Madison, Wisconsin, presented by faculty from the University of Wisconsin Medical School and the University of Wisconsin Hospitals.

3/29/05 ms L

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