Using Labs to Manage Your Child’s Biomedical Program and Interpret the Results

To enlarge this document for easy viewing please click Fullscreen below.

Embedded Scribd iPaper - Requires Javascript and Flash Player
Using Labs to Manage Your Child’s Biomedical Program and Interpret the Results
Tracy Ziemann PA-C Sonja Hintz RN
True Health Medical Center Naperville, IL
Goals for this Presentation
 Basic Laboratory Tests your general
practitioner can order  How do the lab findings present in my child’s behavior  Potential treatment options available for abnormal results
Build your foundation
Create your own History and Physical: some- times a time line is helpful  Review your:

 

Environment: Home, School and other places, what triggers are there Diet: texture, food choices, when your child eats Elimination: Are your Childs stool frequent, or infrequent, what color and odor do they have?
Gathering information
 When a doctor sees an autistic child there
is a need for the parent to relay the child's physical condition  In the biomedical treatment of autism we look at behaviors and the physical condition of the child to place them in category
Basic initial testing

      
CBC, CMP TSH, Free T4 Iron, Ferritin Lead, blood Copper (serum), Zinc (plasma) Ammonia, blood (Has to be sent Frozen) Immune system evaluation: IgG total and 4 subclasses, IgA and 2 subclasses, total IgE and IgM
Additional Blood Tests

         

Strep Titers
 
CMV EBV HHV6 HSV Varicella Measles Mumps Rubella Hep. B surface Ab Polio
ASO titer quantitative AntiDNASE B Ab quantitative
Mitochondrial Tests: Blood Amino Acids Carnitine Panel Lactic Acid Pyruvate Acid

Physical Presentation
    

   

“Never sick” “Always sick” Regression after illness Poor eye contact Improved eye contact with a fever Stimmy Behavior
• Hand flapping • Sideways glancing • Finger flicking

  
Olive leaf extract Elderberry Oil of Oregano Herbs/Nutrients that support the immune system Antiviral medications: Valtrex High dose Vitamin A Homeopathy Enzymes

Physical Presentation
   


  
Poor eating Clearing the throat Swollen lymph glands Obsessive thoughts/behavior Seizures Tics Someone else in the family has strep
  
  
Biofilm treatment esp if strep is found in the stool Antibiotics: Zithromax Probiodics Immune supportive agents: IVIG Berberine Golden Seal Oregon grape root
GI Health Markers
 Stool testing
  
CDSA CPP x3 Microbiology Great Plains lab- OAT Metabolic Analysis Profile (MAP) Genova diagnostics
 Urine organic acid test (OAT)
 
Yeast symptoms
   
   
Giggly, inappropriate laughing Foggy, spacey Change in bowel movements (foul/yeasty smelling stools), gas, and bloated belly Yeasty rash/diaper rash, white coating on tongue, red ring around the anus, ringworm, cradle cap Bedwetting or accidents Sleep disturbance or Night waking Hyperactivity, hand flapping, toe walking Sugar craving
 Start a potent Probiotic  Digestive Enzymes  Clean up the diet
Casein/Gluten free Limit sugar Consider SCD and/or Low oxalate  Support the gut and reduce inflammation
Vitamins/supplements, herbs, medications
More Treatment options…

Antifungals • Drugs  Nystatin, Ampho B  Fluconazole  Itraconazole  Ketoconazole • Herbals  Berberine  Grapefruit Seed Extract  Oil of Oregano, Pau d’Arco  Garlic, Samento Homeopathy
Look OUT for “Die Off”
     
Loose stools, diarrhea Behavior, irritability Head aches, head banging Fatigue Sleep disturbance Rashes

What may keep you and your child up at night
Signs and Symptoms of Parasites
      
Discomfort and bloating of stomach Itchy buttocks, night waking, fecal smearing Diarrhea and constipation Teeth grinding Mal absorption of nutrients, pica, insatiable appetite Allergies Behavior changes and/or aggression, worse at full moon  Picking  Biting  Restlessness
Treatment for Parasites
 
Probiotics Herbs
• • • • • Wormwood Black walnut Pumpkin seeds Clove Coconut oil
 
Homeopathy Antiparasitic medications
• • Metronidazole Paromomycin
 They don’t go
down without a fight!!
Potential reactions when eliminating these pathogens

  
Irritability, aggression, behavioral issues Increased stimming, hyperactivity, sleeplessness Skin rash, diaper rash, fever Side effect of supplement or allergy to drug Yeast or Bacterial Flare-up (Balancing act) Detox Reaction = Too rapid of an effect leading to vitamin or mineral deficiency, oxidative stress, liver or kidney stress Die off = Rapid death of gut bugs, leading to excess release of toxins and subsequent liver or kidney stress

Possible Causes
  

Treatment Approach

  
Rate severity, if severe stop supplement, notify physician Treat with Activated charcoal/Bentonite clay and/or Alka Seltzer Gold, homeopathic remedy, if helpful probably die off Rule out dysbiosis, treat accordingly Check ammonia level Add Liver Support
• Milk thistle, artichoke extract, dandelion root • Give at bedtime
Clostridia produce toxins and enzymes that create severe gut inflammation and produce watery diarrhea
Clostridia issues
Symptoms  Aggressive  Temper  Agitation  Irritable  Very foul stools  Mucus in stools  Severe diarrhea following antibiotic use Treatment  Probiotics, High Potency single strain  Sacchyromyces Boulardii  Antibiotics • Vancomycin • Metronidazole (Flagyl)  Immune modulators  Homeopathics  HBOT
Evaluation of Heavy Metal Toxicity
 

  
 
Provocative Testing is often unconvincing in ASD due to impaired detoxification. Urine Toxics, Fecal Toxics, and Hair Analysis show excretion of toxic metals. We have no way to determine total body burden. RBC Blood testing is a poor measure of chronic heavy metal burden. However, blood may show acute exposure. There are no standards for diagnosing chronic toxicity. There are no tests to determine body burden of metals. Lead is a bone seeker and can only be measured in blood 12 hrs after exposure, therefore blood Pb is not an adequate indicator of low level chronic toxicity. Mercury has an affinity for fatty tissue and a developing brain, and is very rarely seen in blood. Urinary porphyrin testing – promising.
Benefits of Chelation
 Better sleep  Cognitive gains  Better speech and language  Improved eye contact  Fine and gross motor improvement  Better focus, attention, awareness
 IMPORTANT to continue to
monitor symptoms.  Labs can only help point us in the right direction.
Have courage and follow your own path.
Thank You and Good Luck on your Journey

What a great powerpoint! It

What a great powerpoint! It covered so many of the basics and is the perfect thing to watch for families who are new to the biomedical approach! Thanks for taking the time to put this on the site! This information will truly be helpful to many parents out there!!