Cardio Cancer and Immunity Iodine Intake

:dropcap_open:D:dropcap_close:r. Theresa Dale maintains that every cell in the body contains and utilizes iodine, and is an ongoing, DNA-driven process throughout life. The current iodine deficiency crisis absolutely merits consideration. The facts reflect that, on a daily basis, iodine is essential to life itself.iodine
The most recent National Health and Nutrition Survey (NHANES study performed every 10 years) found that in the United States, human iodine levels declined 50% over the 30-year period of 1971 to 2000. The World Health Organization (WHO) stated that 129 countries have soil that is profoundly iodine deficient; one-third of the world’s population live in iodine deficient areas; and mortality rates are 50% higher in iodine-deficient populations. These facts are called “clues.” Currently, iodine deficiency affects 72% of the world’s population. These statistics motivate Dr. Dale to focus on general causes and solutions of iodine deficiency.
What are the foremost causes of iodine deficiency? Here are 10 disturbing reasons, just to name a few:
  1. Low to no ocean fish or sea vegetable intake.
  2. “Sea” or “real” salts that in fact do not contain adequate amounts of iodine to maintainhealthy iodine levels.
  3. Inadequate use of iodized salt, especially with “low sodium” diets.
  4. Drinking chlorine residue-rich water from high chlorine levels in treated municipal water (chlorine is a goitrogen).
  5. Ingestion of fluorine (as fluoride) in municipal water supplies (fluoride is a major goitrogenic agent.
  6. Intake of bromine in foods and beverages, such as brominated vegetable oils, electrolyte/sugars replenishers, carbonated drinks, etc.
  7. Over consumption of bromine bakery products, such as breads, pastas, cereals, etc. (bromine is a major goitrogenic agent).
  8. Radioactive iodine used in medicine exacerbates iodine deficiency.
  9. Declining daily overall mineral uptake levels, such as soil erosion, monoculture-based farming, highly processed foods, etc.
  10. Radioactive pollution and exposure emanating from nuclear power plant leakage, and possibly extreme exposure to cell phone radiation. The latter reason is an impressive 21st century concern, which Dr. Dale has addressed in her homeopathic and nutritional formulations.
Eliminating cellular radiation has become a necessity, which needs a patient’s chiropractor needs to address effectively. Radiation is present from Fukushima, EMF, and EMR, including the medical exposure to radiation. Ionic iodine along with homeopathy is the best way to protect the body and eliminate intracellular radiation.
Fluorine, chlorine, bromine, iodine, and astatine are called “halogens” or “salts” in group 17 on the periodic table, and they all have precisely seven electrons in their outer shells. Based on atomic weight, fluorine, chlorine, and bromine are able to “displace” iodine because they can attach to the same receptor sites. Thyroxine, an important thyroid hormone comprised of one tyrosine molecule plus four iodine molecules, can be constructed with four molecules of fluorine, bromine, and/or chlorine—instead of iodine—rendering the T4 absolutely useless.
Approximately 4% of the body’s mass consist of minerals, and under normal circumstances, the body contains approximately 20 to 30 mg of iodine, most of which is stored in the thyroid gland located in front of the neck, just under the voice box. Smaller amounts of iodine are also found in lactating mammary glands, the stomach lining, salivary glands, and in the blood. Interestingly, women have a higher iodine need than men do and iodine is a core “essential” element in fetal development.
According to Dr. Dale, author of Revitalize Your Hormones and Transform Your Emotional DNA, without sufficient iodine the body is unable to synthesize these thyroid hormones. Because these thyroid hormones regulate metabolism in every cell of the body, playing a role in virtually all physiological functions, an iodine deficiency can have a devastating impact on health and well-being.
Thyroid hormone synthesis is tightly controlled. When the amount of thyroid hormone in the blood drops, the pituitary gland secretes a hormone called thyroid-stimulating hormone (TSH). As its name suggests, TSH then stimulates the thyroid gland to increase its uptake of iodine from the blood, so that more thyroxine (T4) can be synthesized. By definition, T4 contains four iodine atoms. When necessary, thyroxine is then converted to the metabolically active triiodothyronine (T3), a process that involves stripping one iodine atom from T4. In areas where there is little iodine in the diet, typically remote inland areas and semi-arid equatorial climates where no marine foods are eaten, iodine deficiency gives rise to hypothyroidism, symptoms of which are extreme fatigue, goiter, mental slowing, depression, weight gain, and low basal body temperatures, to name some indicators.
:dropcap_open:Iodine deficiency is the leading cause of preventable mental retardation, a result that occurs primarily when babies or small children are rendered hypothyroid by a lack of the element.:quoteleft_close: 
Iodine deficiency is the leading cause of preventable mental retardation, a result that occurs primarily when babies or small children are rendered hypothyroid by a lack of the element. The addition of iodine to common table salt has largely eliminated this problem in wealthier nations, but as of March 2006, iodine deficiency remains a serious public health problem in the developing world. Iodine deficiency is also a problem in certain areas of Europe. It has been estimated to cause a billion dollars in healthcare costs per year in Germany. Iodine levels have fallen 50% over the last 30 years (from an already seriously low level), and throughout this time there has been a simultaneous increase in thyroid related conditions, autoimmune disorders, and numerous cellular mutagenic problems.
In alignment with this information, Dr. Dale probed into three or four areas where dietary and lifestyle changes, along with preventative proprietary ionic iodine supplementation, may improve health.
  • Stomach cancer: Some researchers have found an epidemiologic correlation between iodine deficiency, iodine-deficient goiter, and gastric cancer. A decrease of the incidence of death rate from stomach cancer after implementation of the effective iodine-prophylaxis has been reported too. The proposed mechanism of action is that the iodide ion can function in gastric mucosa, detoxifying poisonous reactive oxygen species, such as hydrogen peroxide.
  • Breast cancer: The breast strongly and actively concentrates iodine into breast milk for the benefit of the developing infant, and may develop a goiter-like hyperplasia, sometimes manifesting as fibrocystic breast disease when iodine levels are low. Studies indicate that iodine deficiency, either dietary or pharmacologic, can lead to breast atypia, an abnormality in a cell, and increased incidence of malignancy in animal models, while iodine treatment can reverse dysplasia. Laboratory evidences demonstrate that the effect of iodine on breast cancer is in part independent of thyroid function and that iodine inhibits cancer promotion through modulation
  • Cardiovascular health and diabetes: Dr. Michael Donaldson says, “Iodine stabilizes the heart rhythm, lowers serum cholesterol, lowers blood pressure, and is known to make the blood thinner as well, judging by longer clotting times seen by clinicians. Iodine is not only good for the cardiovascular system, it is vital. Sufficient iodine is needed for a stable rhythmic heartbeat. Iodine, directly or indirectly, can normalize serum cholesterol levels and normalize blood pressure. Iodine attaches to insulin receptors and improves glucose metabolism, which is good news for people with diabetes.”
Minerals cannot be made in the body and must be obtained from our diet. Concentrated food sources of iodine include sea vegetables, yogurt, cow’s milk (preferably raw), eggs, strawberries, and mozzarella cheese. Fish and shellfish can also be concentrated sources of iodine. When dietary sources are not enough, or when foods that contain adequate amounts of iodine are now toxic and adulterated, Dr. Dale recommends using biologically available ionic iodine, yet warns of the dangers of taking the wrong type of iodine. Doctors and all healthcare practitioners want to be well informed about minerals and their interactions now more than ever.
Theresa Dale, PhD, CCN, NP, Founder, The Wellness Center for Research & Education, Inc.Dean, California College of Natural Medicine 502c3. You can call Dr. Theresa Dale at (866) 962-6484 or visit:

The Chiropractor’s Role in Quality of Life for Cancer Patients

:dropcap_open:O:dropcap_close:ver the past two and a half years I have had the opportunity to learn more about the side effects of chemotherapy and radiation than I would ever have imagined. Working more than 40 plus hours a week with patients who are actively treating for sarcomas, carcinomas, leukemia and lymphomas with chemotherapy and/or radiation keeps me on my toes and thinking outside the box. The training from Palmer College and 13 years in the field was wonderful preparation for the emotionally charged and incredibly rewarding moments I share with these patients. 

chiroadjustmentlegBut some may wonder why cancer patients would want to go anywhere in the vicinity of a chiropractor. I am hoping your answer is the same as mine and my employer’s: “why wouldn’t they?” Richard J. Stephenson, the founder and chairman of Cancer Treatment Centers of America, is an advocate of chiropractic care because he has reaped the benefits of chiropractic adjustments for years. He recognized how he functioned more optimally and realized that the patients in his cancer centers would most definitely benefit from chiropractic as well.

One reason that chiropractic might be a popular choice for cancer patients is trust. Patients of any health care provider may become attached and develop trust over time. When the hands on application of the chiropractic adjustment is added to a relationship that has been built over time, there can often be a deep connection. Human touch is thought to be powerfully healing. If a chiropractic patient that is diagnosed with cancer is looking to reduce their anxiety and improve their healing potential, it makes sense that the individual would choose to include chiropractic in their treatment plan. Additionally, chiropractors frequently are the first practitioners to find cancer, either through detailed history and exam or radiographs. Certainly, finding a life-altering condition such as cancer would facilitate some level of trust. So, what can be done with that trust? Let us be clear. Chiropractic does not cure cancer. Chiropractors do not treat cancer. Cancer is complex. The chiropractor that works outside the professional scope of practice does more than jeopardize the safety of his patient. He jeopardizes the reputation of our profession. However, chiropractors have the training and the responsibility to find and treat vertebral subluxation. The key is utilizing safe and effective means to do so. Knowing the contraindications for treating specific regions is paramount.

Simply put, the contraindications for chiropractic care being administered to cancer patients are as follows:

  • Primary bone cancer: no treatment within five spinal segments of or directly to the affected extremity
  • Unstable bone metastases: no treatment available within five spinal segments of the affected extremity
  • Cord compression from space occupying lesion
  • Do not treat any extremity with a thrombosis
  • Extreme low levels of platelet count

The emphasis on integrating chiropractic care with cancer treatment should be in collaboration with all those involved in the decision-making process. Ultimately, the patient decides what to include. However, patients need to be offered choices and an opportunity to make the best educated decision they can.

Furthermore, patients do have the right to have chiropractors involved with their care if they so wish. The Magna Report stated that chiropractors should be given hospital privileges for those patients who were admitted while under chiropractic care. Furthermore, it stated that DCs should be granted access to diagnostic equipment within the chiropractic scope of practice. The Magna Report and the Wilks vs. AMA lawsuit were vital and only two of many examples that brought chiropractic to new heights of public awareness and access. However, “within the scope of practice” is a key idea to remember when treating cancer patients. It is imperative to know when to refer. With the internet bombarding the search-engine-savvy patient with pills and potions that cure, stop and prevent different types of cancer, the DC that starts prescribing supplements and herbs to a patient receiving conventional treatment for cancer may be putting that patient at risk. While some supplements or herbs may protect a tumor during radiation, others may interfere with chemotherapy.

The key to integrating chiropractic with oncology treatment is a cooperative and communicative approach. Cancer patients face many problems while undergoing treatment to extend their lives. It takes teamwork, open-mindedness and a patient-centered model to fulfill the goal of an improved quality of life.

Jeffrey Sklar, DC, Regional Director of Chiropractic Services at Cancer Treatment Centers of America in Philadelphia, has been practicing chiropractic for more than 15 years. Dr. Sklar serves on the ACA committee for Health Promotion and Wellness and is a district board member for the Pennsylvania Chiropractic Association.

Educating Your Chemotherapy-Induced Peripheral Neuropathy: Patients on Complementary Alternative Therapies

:dropcap_open:Y:dropcap_close:our chemotherapy-induced peripheral neuropathy patients are probably sick of taking pills and being stuck with needles. The idea of having to take even more medication after their chemotherapy is over can be frustrating.
They’ve made it through chemotherapy and all the side effects they expected. Now, they’re suffering from: 1
  • Shooting pain
  • Burning and numbness wheelchairwoman
  • Tingling in the hands and feet
  • Inability to sleep because of pain 
To say they’re frustrated would be an understatement. Many chemotherapy-induced peripheral neuropathy patients are turning to complementary alternative medical techniques for relief. In many communities, DCs are leading the way.

Some of the more popular treatments sought by patients are: 

  • Massage therapy 
  • Physical therapy 
  • Chiropractic care  
These treatment options can often help provide some relief to your chemotherapy-induced peripheral neuropathy patients. But the real power is in learning more about what good care can do for these patients. Your first step in the clinic is getting them to take advantage of your advanced education and expertise.  

Here’s how you can help your chemotherapy-induced peripheral neuropathy patients understand exactly how these options work:

Massage Therapy
Massage therapy is rubbing the soft tissues of the body. It not only helps chemotherapy-induced peripheral neuropathy patients by reducing pain and tension, it improves blood flow.  
Improved blood flow makes it less likely that chemotherapy-induced peripheral neuropathy will cause permanent nerve damage and can even help to reduce any damage they already have. Aside from those benefits, massage therapy also encourages relaxation. Just being able to relax helps to relieve pain. 
When Physical Therapy May Help Too
Physical therapy is treatment that improves mobility and makes it easier to get the body moving again. Once patients are able to move again, they can start exercising and getting their body back into shape. 2
Physical therapists use exercise, mobilizations, education, heat, cold and techniques to help improve their chemotherapy-induced peripheral neuropathy patients’ nerve damage. PTs work side by side with DCs and MDs in many offices, as well as in outpatient settings and progressive hospitals.
Explaining Chiropractic Care 
Chiropractic treatment includes manual adjustments of the spine and skeletal structure to put the body back into the best biomechanical function. But, when a patient has been in pain for a period of time, like a chemotherapy-induced peripheral neuropathy patient, the body often has significant mechanical dysfunction, which chiropractors understand can have far-reaching effects on their patient’s overall health. Uncorrected, that leads to even more pain. Great chiropractic care is often another successful alternative therapy when combined with a multifaceted approach to health and chemotherapy recovery. Once the skeletal structure is optimized, other modalities can be implemented in a logical fashion. DCs can be trained in a highly specialized protocol for the treatment of patients suffering from chemotherapy-induced peripheral neuropathy. Combination treatment protocols often include physical therapy, manual manipulation of the spine and skeletal structures, exercise, prescriptions, massage, diet and nutrition counseling and other treatments designed specifically for the individual patient. Getting the proper training can help these patients and save them from spending their post-cancer lives in pain. And when you have that training, we’ll help you educate them on their best chance for a pain-free life. 

The Role of Chiropractic in an Integrative Cancer Treatment Setting

doctors5:dropcap_open:C:dropcap_close:onventional oncology and alternative medicine are often considered to be on opposite ends of the medical spectrum. However, cancer patients are increasingly seeking out alternative options such as chiropractic, naturopathy, and acupuncture as complementary practices to augment their cancer treatment.   An integrative approach to cancer care that combines both conventional treatment and complementary therapies is an approach that patients want and a model that should be more accessible for patients.

Today there are integrative settings where oncology patients are treated with scientifically supported complementary therapies, and where the medical community and the alternative community communicate and cooperate for the good of the patient. Integrative medicine offers numerous benefits to oncology patients, including reduction in suffering from prescribed medical treatments and treatment of the whole person instead of just their disease. One of the leading hospitals to embrace integrative medicine is Cancer Treatment Centers of America® (CTCA).

At CTCA, diverse care teams work together to provide the best treatment plan for the patient-teams consisting of not just an oncologist and a nurse care manager, but often a dietician, naturopath, social worker, chiropractor, and spiritual advisor. This group meets regularly to discuss all aspects of the patient’s care, including physical, emotional, and spiritual needs. The patient is the sole focus of the treatment plan, with the team of practitioners surrounding the patient. In this integrative setting, the team considers not only the side effects of surgery, radiation, and chemotherapy, but also what non-drug therapies could benefit the patient during treatment.

:quoteright_open:This group meets regularly to discuss all aspects of the patient’s care, including physical, emotional, and spiritual needs.:quoteright_close:

Unfortunately, because some supplements can negatively interact with chemotherapy and radiation therapy, patients are often advised by their physicians to avoid supplements altogether. As a result, those patients might seek complementary alternatives on their own or seek the counsel of practitioners who are inexperienced in treating cancer patients. In either case, they will not benefit from the expertise of practitioners who have an appropriate understanding of the interactions supplements may have with conventional oncology treatments. At CTCA, on the other hand, integrative teams experienced in the appropriate use of supplements can often safely enhance the medical treatment and help manage some of the side effects of chemotherapies.

Patients who seek chiropractic care most frequently do so with complaints of pain. After a thorough assessment, a chiropractor may suspect that the patient has some form of cancer and refer the patient for appropriate oncology follow up. And, while a cancer diagnosis should not prevent the chiropractor from locating and treating vertebral subluxation, chiropractors do need to proceed with caution, working in tandem with the patient’s oncology care team. In fact, the chiropractor could serve as an integral part of the care team, apprising the team of any new chiro-related symptoms that may be related to disease progression. CTCA chiropractors have access to their patients’ latest scans and tests, allowing them to utilize the most effective, most appropriate, and safest techniques for those patients.

It is widely accepted in chiropractic that a “subluxation free” body will best adapt to both physical and emotional stress. Recent studies by Bakris, et al., (2007), Kaminskyj, Frazier, Johnstone, & Gleberzon (2010), and Teodorcyzk-Injeyan, McGregor, Ruegg & Injeyan (2010), have validated some of the general health benefits of spinal manipulation, including improvements for hypertension, asthma, and antibody production. There is a need in the chiropractic community for more studies like these which will further validate chiropractic use. CTCA has integrated chiropractic therapy into its care model for over five years and is further studying the benefits of chiropractic care for cancer patients.

Following are just a few examples of the clinical benefits of chiropractic care at CTCA: Surgical patients are invited to see the chiropractor on staff before and after surgical procedures to address muscular and skeletal complaints associated with the procedure, bed rest, or exacerbated pre-existing conditions. Chiropractors at CTCA also treat many patients who are undergoing radiation treatments. Radiation therapy often requires patients to hold their bodies in uncomfortable positions for extended periods of time, causing pain and delaying treatment even for people who have never experienced neck or back pain before.   Radiation therapy may also cause tissue fibrosis, which can be readily managed with chiropractic care.

Meanwhile, chemotherapy can cause side effects that include nausea, headaches, muscle soreness, balance disturbance, and neuropathy, which can be addressed by a chiropractor who can offer the patient non-medicinal relief. Using chiropractic as a non-drug alternative for pain relief can reduce the risk of drug interactions and the side effects of pain medications.

:dropcap_open:Radiation therapy may also cause tissue fibrosis, which can be readily managed with chiropractic care.:quoteleft_close:

Ultimately, the chiropractor’s role in the integrative oncology setting is to test and monitor the patient’s musculoskeletal health, as well as help alleviate the numerous side effects of the patient’s course of therapy. As new symptoms arise, the chiropractor has the ability to determine if certain symptoms are related to the progression of the disease or if, instead, they are musculoskeletal in nature or even a side effect of treatment.

The chiropractor must choose the appropriate and safest form of adjusting. By adjusting subluxations, the chiropractor can reduce pain and inflammation, improve the body’s ability to heal itself, increase the overall well-being of the patient, and play a key role in the integrative approach where the patient benefits from the combined expertise of multiple disciplines.



Bakris G, Dickholtz M Sr, Meyer PM, Kravitz G, Avery E, Miller M, Brown J, Woodfield C, Bell B. Atlas vertebra realignment and achievement of arterial pressure goal in hypertensive patients: a pilot study.  J Hum Hypertens.  2007 May;21(5):347-52. Epub 2007 Mar 2.

Kaminskyj A, Frazier M, Johnstone K, Gleberzon BJ.  Chiropractic care for patients with asthma: A systematic review of the literature.  J Can Chiropr Assoc. 2010 Mar;54(1):24-32.

Teodorcyzk-Injeyan JA, McGregor M, Ruegg R, Injeyan HS.  Interleukin 2-regulated in vitro antibody production following a single spinal manipulative treatment in normal subjects.  Chiropr Osteopat.  2010 Sep 8;18:26

The Post-Chemotherapy Cancer Patient—A Growing Chiropractic Patient Population

:dropcap_open:A:dropcap_close: cancer diagnosis is terrifying. The questions, the fear and the concept of facing their own mortality are enough to paralyze even the strongest individual.

In the not so distant past, the standard was surgery, chemotherapy, or radiation or some combination of the three and that was it.


Then the patient played the waiting game to see what, if anything, worked.

What people didn’t realize was that the end of a course of chemotherapy was not the end of the healing process. They would be dealing with the lasting effects of chemotherapy long after their hair returned and the nausea ended.

And one of those lasting effects is post-chemotherapy peripheral neuropathy.

Fortunately for the chiropractic community, cancer patients are quickly learning that chiropractic, nutrition and often the correct forms nerve stimulation when combined in the hands of a skilled chiropractor can help alleviate the symptoms of their post-chemotherapy peripheral neuropathy.

The post-chemotherapy peripheral neuropathy patient is becoming an enlightened consumer of complementary therapies that go beyond traditional medications and standard medical treatments.

A new-enlightened approach to treating their peripheral neuropathy symptoms gives the chiropractic community an ever-expanding patient population to serve. Treating these patients who have already walked through an experience most people live in fear of can be incredibly rewarding.

To get them in your office though, you need to show them exactly how your chiropractic and specialty care can improve their quality of life. It’s not just about marketing the traditional chiropractic care that people associate with whiplash or sports injuries. It’s about educating the potential post-chemotherapy peripheral neuropathy patient on a three-pronged approach to their medical issues:

First, Chiropractic—It’s Not Just About Adjustments

Chances are that your potential post-chemotherapy peripheral neuropathy patients have never been treated by a chiropractor. They may think they know what a chiropractor does but they may not understand everything that chiropractic can do for managing their condition.

Traditionally, chiropractors have been associated with treatment of injuries and illnesses affecting the bones, muscles, ligaments, tendons and joints. In educating the post-chemotherapy peripheral neuropathy patient, recognize that they can be dealing with gait problems, muscular weakness or even issues caused by radiation. The stress of dealing with any of these conditions cannot always be addressed by standard chiropractic techniques.

Chiropractic, by itself, cannot prevent or cure cancer, but it can help the post-chemotherapy neuropathy patient deal with the symptoms and pain associated both with their cancer and their course of treatment. Often, by carefully mobilizing the spine and related tissues, we stimulate a healthier nervous system and that’s a basic building block for regaining their pre-cancer health and alleviating their nerve pain.

:quoteleft_open:Chances are that your potential post-chemotherapy peripheral neuropathy patients have never been treated by a chiropractor.:quoteleft_close:


Chemotherapy and other cancer medications can wreck a patient’s digestive system. In the process of killing cancer cells, it can also damage healthy cells and that’s what brings on the side effects of chemotherapy. This can affect not only affect their ability to eat but also prevent the body from getting the nutrients it needs.

Talk to your post-chemotherapy peripheral neuropathy patients about their nutrition issues. They can be dealing with any number of symptoms ranging from nausea and loss of appetite to dry mouth and changes in their sense of taste and smell. Offering nutrition information and dietary planning services is another way to serve this patient population. Good nutrition will boost the immune system and let it do its job in fighting off illnesses brought on by chemotherapy.

Potential post-chemotherapy peripheral neuropathy patients may not realize that this is an area of their recovery you may help with. So, if you are trained in this specialty, make sure you include nutrition information in your patient education materials. Post-chemotherapy peripheral neuropathy patients need to make sure they’re getting nutrients to prevent or reverse nutritional deficiencies, lessen the side effects of treatment and improve their quality of life. Without appropriate, simultaneous nutrition, other treatment protocols have no chance of success.

:quoteright_open:There are some nerve stimulation techniques to help peripheral neuropathy patients, but some are potentially harmful.:quoteright_close:

Appropriate Nerve Stimulation

Once a course of treatment has been designed and a nutrition plan established, the final piece in the overall treatment of the post-chemotherapy peripheral neuropathy patient treatment plan is nerve stimulation.

There are some nerve stimulation techniques to help peripheral neuropathy patients.
But some are potentially harmful. Misapplication is dangerous. Learn the correct ways, and then educate your potential post-chemotherapy peripheral neuropathy patients on the options available to them.

Some patients may have adopted an attitude of “I went through chemotherapy and my cancer is gone. I shouldn’t complain about nerve pain. I should just be thankful to be alive”.

What they need to know is that they don’t always have to just live with sleeplessness, pain, and balance and walking issues secondary to their treatment. Your chiropractic practice, when specially trained and equipped can offer them hope for a more normal life without debilitating pain. Yes, they survived cancer but they can beat their post-chemotherapy peripheral neuropathy, too.

Precise combinations of chiropractic, nutrition and often nerve stimulation are showing great promise in helping post-chemotherapy peripheral neuropathy patients return to a pain free life, without the debilitating effects of neuropathy.

Serving this courageous patient population can be incredibly rewarding. But it is a subspecialty that takes some study and time to learn. When you are ready, let them know you’re there to help them.