Friday, January 13, 2006

Nutritional Therapist

Found the following information on the profession of Nutritional Therapist in Malaysia. To practice this, one must be a graduate of an accredited university and program, or be a member in an equivalent US or UK organization.

Didn't look like any of Jessie's degrees and memberships are listed. So, "Prof. Dr." Jessie Chung, Dr. Rebecca Tiew and all of the white lab-coat salespeople at NHF cannot call themselves "Nutritional Therapist" unless they have a Certificate of Practice.

Note what conditions Nutritional Therapy may be helful - not Hepatitis B, brain tumour, "liver got problem", although early stage cancer is listed.

Also note how remedies may be prescribed. The practitioner cannot be seen distributing and endorsing a product, and certainly cannot have his picture affixed (no matter how much of a pretty boy he is) to the prescription.

Not only is "Prof. Dr." Jessie Chung a fraudulent doctor, she is not even a qualified "Nutritional Therapist", and cannot even be a convincing fraud. In my opinion, the fake degrees and credentials is just a con for the more lucrative sales of uncertified dried foliage being passed of as herbal remedies.

When was the last time you saw a medical professional in a mall in his medical whites doing tests and pushing medications on passer-bys???


The Background
Even in the developed West, it is estimated that only 5% of the population is interested in finding out the nutritional values of food that they consume. While other technologies have gone supersonic, the medical application of research in food and nutrition remains in the “Stone Age”. Medical schools pay lip service to nutritional medicine despite extensive research in genomics. Even in the most technologically advanced country, only 6% of graduating physicians received some formal training in nutrition. Consequently, many orthodox (drug-based) doctors tend to dismiss the widely proven curative powers of nutrition since they have little or no formal training or exposure in this area.

Doctors trained in western orthodox medicine are drug-oriented and they spend most of their time and effort identifying a disease process so that they can prescribe one or more drugs as part of their treatment plan. Orthodox medicine does have its special strengths in the areas of trauma and emergency. However, it treats only the symptoms and the disease manifestations, and not the fundamental cause(s) of the disease. Essentially, such treatments are designed to ‘contain' the acute symptoms of the illness since symptoms are exactly what patients relate to them in their clinics.

The present health care focusing on the use of mostly imported, western-manufactured, expensive drugs leads to the phenomenal growth over the past decades of the all-powerful for-profit pharmaceutical companies supplying symptom-suppression drugs of every conceivable variety. However, the general public is unaware that many of the commonly used drugs were initially extracted from food and herbs used as part of natural medicine for centuries past.

The orthodox treatment model of “ waiting for our body to break down before attempting to fix it ” may be unacceptable in terms of the huge economic costs to the nation as well as the cost of human suffering. In this 21 st Century, preventive medicine is poised to transform itself into a force to be reckoned with. Such a practice was popular in Asia centuries' ago. A rapidly growing middle-class, educated, and IT-literate population means a much stronger demand for, among others, medical treatments that inflict fewer or no harmful side effects, a more personalized partnership between patients and medical therapists/practitioners in solving their health/medical problems, and access to much less intrusive but evidence-based medicine which is more reasonably priced.

It is now widely recognised that the strongest defense system against diseases is our bodies' own natural antioxidants and immune system. In the Western developed nations, people are spending increasing amounts in complementary therapies.

What's Nutritional Medicine?
It is a branch of complementary medicine which seeks the ultimate cause(s) of an illness/disease and then prescribes a treatment scheme that is drug free . Usually, this involves the use of highly sophisticated diagnostic tests available to science, designing a diet that matches the nutritional needs of the patient, modifying patient's lifestyle, detoxifying patient, and supplementing patients with the required macro- and micro-nutrients targeted at specific health issues.

Preventive medicine is the hallmark of nutritional therapy. It takes years to develop chronic health problems, which are diagnosed and mapped out well before they reach their critical or even ‘terminal' stages. This is especially true in the case of treatment for heart disease, stroke, hypertension, diabetes, and cancer. In treating any life-threatening disease, the nutritional therapist would work closely with other medical practitioners in offering an integrated medical therapy.

How does a Nutritional Therapist compare to a Nutritionist or a Dietician?
Dieticians tend to restrict themselves to designing diets recommended by orthodox doctors for whom they work. They usually design them for a rather narrow purpose such as a low sodium diet or a low calorie diet. Nutriceuticals are not used.

There is no generally agreed definition of a ‘ Nutritionist ' and many graduates in nutrition or in related disciplines tend to call themselves as such. Generally, a degree in nutrition does not cover medical diagnosis and treatment (therapy). However, some coverage on medical applications of nutrition can be found at the post-graduate levels.

Nutritional medicine/therapy covers a much wider area of nutrition which has potential for medical applications. Its core curriculum covers anatomy, physiology, biochemistry, nutriceuticals, macro-and micro-nutrients, nutritional values of food sources, lifestyle diseases, medical diagnosis and treatment strategies for major health problems and diseases. To practice as a therapist would also require a prescribed period of supervised clinical experience in the treatment of patients in hospitals.

While we wait for comprehensive Gene Therapy to be developed from the recently completed Human Genome Project, there is already a mountain of scientific evidence from the world's most prestigious medical institutions showing how food, lifestyle and environment directly influence our genetic expression, our general health, and our aging process.

Currently, the degrees accredited by the British Association of Nutritional Therapy (BANT) include the MSc (Nutritional Medicine) offered by the University of Surrey which is open to doctors and other health professionals, and the BSc (Nutritional Medicine) offered by the Plaskett Nutritional Medicine College, England associated with membership of the British Wholistic Nutritional Medicine Society (WNMS). Other comparable degree programmes from JPA-recognised universities are acceptable to MSCT. Those holding degrees in human nutrition and are accredited by either the American College of Nutrition for the “ Certified Nutrition Specialist ” award or the American Board of Nutrition or Diplomates of the American Board of Anti-Aging Health Professionals (ABAAHP) are also eligible to apply to MSCT for a practising licence.

What does the Training entail?
Basically, there are three parts to the training as a nutritional therapist:

Stage 1 – A degree level training in the combined areas of nutrition, physiology, biochemistry of food sources and nutriceuticals;

Stage 2 – Training in diagnosis, pathology, and treatment of named medical conditions; and

Stage 3 – Supervised clinical experience in hospital(s)/clinic(s) as prescribed.

Essentially, academic training must fully integrate a scientific knowledge of nutrition with the current understanding of the pathology of medical problems. In addition, a thorough knowledge of evidence-based non-drug medical therapies to be followed by a prescribed period of clinical nutrition is required for practising this fairly well-developed branch of complementary medicine in the West.

The standard at which MSCT aims for is that of Western Europe where, for instance, BANT and WNMS operate. At the present moment, BANT and WNMS do not have practising members practicing in the Asia Region, except in Australia and in New Zealand , suggesting that this profession is still rather new to this part of the world.

There are various alternative qualifying routes available to those wishing to practice in Malaysia , although academic training deemed lower than a British HND is unlikely to be acceptable to MSCT. Those aspiring to join this profession can email nutrition@msct.org.my for advice and counselling. Training programmes for Parts I and II are now in place. Part III is likely to be available within the next two years or so.

What Health Problems can Nutritional Medicine treat?
Nutritional Medicine can offer most of today's chronic health problems a genuine alternative to drug and/or surgical therapies. These problems include those of the heart (arteriosclerosis, atherosclerosis), digestive/bowel systems, liver, gall bladder, pancreas, immune system. The therapy may also cover specific problems such as high blood pressure (hypertension), allergies (sinus, skin, food), elevated fasting insulin/ insulin resistance/Syndrome X (hyperinsulinemia), glucose intolerance (pre-diabetes II), elevated blood fat (hyperlipidemia), elevated cholesterol(hypercholesterolemia), chronic stress (elevated cortisol), elevated homocysteine (hyperhomocysteinemia), heavy metal poisoning, yeast-connected (Candida albicans), elevated blood uric acid (hyperuricemia, gout), low metabolism (hypothyroidism), overweight/obesity, poor blood circulation, acne, chronic inflammatory problems (sore throat, hemorrhoids), gum diseases (periodontitis), pre-menstrual syndrome (PMS), back aches, fatigue (hypoadrenia), insomnia, and pre-mature aging. These health problems and diseases are generally the cumulative results of poor diet and lifestyles.

In addition, nutritional therapy is being used extensively to help defeat several forms of cancer in their early stages, to enhance optimal growth of children, and to meet other special needs by athletics and senior citizens. Nutritional therapy is indeed a well-documented medical and health care intervention system for these and a host of other modern lifestyle diseases.

What's the Status of this Profession in Malaysia ?
To practise as a “ Nutritional Therapist ”, one has to have a Certificate of Practice issued by the Malaysian Society for Complementary Therapies (MSCT), which is an umbrella body for non-drug medical therapies recognised by the Ministry of Health. MSCT is self-regulatory and each of its Chapters (Divisions) is required to adopt the finest international standards appropriate to its respective field of practice. There are four categories of membership, namely Associate, Ordinary, Associate Practising, and Ordinary Practising. No practising member must be gainfully employed by any manufacturer or distributor of nutriceuticals and they are not permitted to publicly endorse any health products from any commercial company.

Those who are keen to be associated with this all-important field of preventive medicine should initially join as an Associate Member of the MSCT, whose position in the complementary medical profession is likely to be protected by legislation inthe coming years. Graduates in nutrition from JPA-recognised universities may apply to join as an Ordinary Member where further training under Parts II and III will qualify them as Ordinary Practising members. An expatriate who is member of the BANT, WNMS, ACN, ABN, or a Diplomate of the ABAAHP may apply to join as Associate Practising member so long as they have a valid work permit and are able to secure a professional indemnity cover from an insurance company in Malaysia .

In leading medical centers and practices in Western Europe and in North America , complementary practitioners work along side orthodox (drug-based) practitioners to create what is now known as “ integrated medicine ”, which is truly medicine of the future. To help achieve this vision in the coming years, MSCT wishes to invite more graduates in the sciences and other related disciplines to enroll on its current qualifying and/or clinical training schemes, which are expected to be increasingly rigorous in view of the rapid global developments in evidence-based medicine. Research evidence will pour in not just from the traditional medical schools, but also from related academic disciplines such as biotechnology, laboratory science, genetics, psychology, and cellular microbiology.

2 Comments:

Anonymous Anonymous said...

Great blog I hope we can work to build a better health care system as we are in a major crisis and health insurance is a major aspect to many.

Mon Jan 16, 07:24:00 PM EST  
Anonymous Anonymous said...

She is a professional dedicated to solving emotional needs of the entertainment industry.
Turns out it goes straight back to your medical insurance company.
It requires one to put aside their frame of reference while
listening to you and to be willing to see your experience from your perspective.
My blog - wukonoov.spruz.com

Tue Jan 01, 01:08:00 AM EST  

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