One of my favourite American cities, it was a pleasure to return to San Diego for the first time in 10 years. Attending ACAM’s Spring conference, the flashbacks made their appearance.

The Westin Hotel Gaslamp, the site of the 4 day medical conference, is nicely placed, with access to the downtown core and restaurants, and not far from Seaport Village and Petco Park.  Saturday morning I awakened to bullhorns, drums, marchers and chanters  - a protest was in full swing at the hotel entrance by 7:00 am.  I’m thinking: "I haven’t even delivered my presentation yet and already there's dismay and opposition!" (Seems there were a collection of disgruntled hotel workers exercising their right to protest lack of benefits, not a lecture on identifying toxic metals in children.)

As I shared at the beginning of my lecture, alluding to the aforementioned flashbacks, I recalled that in 1989 I visited San Diego for 1 month as a 4th year medical student. I signed up for an elective in Preventative Cardiology at UCSD La Jolla.  At that time, the research being conducted linked menopause and increased risk of heart disease in women to cholesterol elevations that can occur at menopause http://bit.ly/7j1c3I. The intervention was to initiate Hormone Replacement Therapy and monitor cholesterol levels.  I was young and green - and more interested in the beach, visiting my sister and the San Diego area than the idea of giving hormones to women to change lipid blood markers. The hypothesis wasn’t proven - HRT didn’t lower the women’s cholesterol effectively and that aspect of the program’s research died.

Fast forward 10 years to 1999 - my first ACAM conference, where my passion for learning true prevention and addressing underlying cause continued to be fed, having trained then in chelation therapy. Now I was attending training sessions that particularly held my interest!  The studies published in the latter part of the last decade, as The Trial to Assess Chelation Therapy (TACT) was being conducted, further piqued my interest in understanding lead’s role in various health conditions. And this is where today's post comes full circle.

Looking at lead’s biokinetics in the human body, it became apparent through my research that menopause is a time when lead mobilizes from bone storage in a woman, with increasing cholesterol (and uric acid) I suspect acting as compensatory defense mechanisms. The body is attempting to regulate and protect itself in the female at this time of transition and oxidative stress, which can also elevate blood pressure.  The increased risk of postmenopausal women toward heart disease might be attributable to lead, not hormone deficiency - and the intervention that I propose needs to be examined is lead removal, or using antioxidants and other nutrients to manage its negative effects. Hopefully TACT will provide some answers about the clinical effects of chelation therapy in women, and later studies might unravel the mechanism.

"Looking back" is an opportunity for historical reflection and learning. Seeing the interconnections is part of the fun.
 
 
On Thursday, May 3, I travel to San Diego to deliver a lecture at ACAM’s Spring Conference. This is an honour for me, given that ACAM (the American College for the Advancement of Medicine) has been so instrumental in my own education for 13 years, and now I have an opportunity to provide the lesson!

My topic is Pediatrics: Identifying and Removing Toxic Metals in Children.  The audience is physicians and naturopaths who want to learn more about this important subject.  The developing fetus can be exposed to toxic metals during pregnancy, and healthy newborns have 287 chemicals in the cord blood that flows to nourish them.  This is a startling statistic from research conducted a few years back.  

A large segment of my clinical work involves treatment of developmentally delayed children, including those with a diagnosis of autism. The Autism Research Institute keeps statistics regarding interventions that can benefit or aggravate autistic children, and detoxification of heavy metals has the highest benefit rating.  I can attest to this based on my own experience as a physician involved in the management of this condition, which is complex and comprehensive while requiring a broader understanding of underlying factors like oxidative stress and immune system imbalances. My talk will outline this work, and offer advice on how to approach toxic metal burdens in children responsibly, safely and effectively, from a CAM perspective.

Many of you are aware that I address adult conditions in a similar fashion.  Autoimmune diseases, like Rheumatoid Arthritis, and Chronic Fatigue, Fibromyalgia, MS, and related conditions have at times responded very well to my management protocols over the years. A large patient group that receives chelation therapy in my clinic are those with heart disease.

NOTE: The Trial to Assess Chelation Therapy, conducted by the NIH, is a research study I was involved in.  It is meant to answer the question: what are the benefits and/or risks of chelation therapy in participants with previous heart attack and over the age of 50? The trial has been completed, and the results are to be released in the coming months. Stay tuned!