Dr Anastasia Boulais

Born in Russia, Anastasia moved hemispheres to Australia at the age of 17 to study science and medicine. She became interested in the theory of evolutionary mismatch while in medical school which led to her being one of foundation members of The Ancestral Health Society of New Zealand. Having embraced Western science, Anastasia is also rediscovering her rich cultural Russian heritage and its unique understanding of health and disease. She is currently based in Christchurch where she works in an urgent care clinic, practices martial arts, rides her bike, and lifts heavy things.

PRESENTATION: Breaks, Sprains, and Pains: Ancestral Health Perspectives in Urgent Care

The rise of chronic diseases of civilization is well recognised in the medical community and is firmly linked with our increasingly sedentary lifestyle and Western dietary pattern. We lament the fact that our kids don’t climb trees, teenagers are glued to their screens, and adults prefer to binge watch their sport while bingeing on pizza and beer. But at least we don’t hurt and injure ourselves. Or do we? In 2015/16 there were over 2 million claims lodged with ACC (NZ Accident Compensation Corporation) – the highest number since the introduction of the scheme in 1974. We sprain more ankles, hurt more backs and break more bones than one would expect for a nation which supposedly does not hit its daily movement target. In this talk we examine several typical cases presenting to an urgent care facility and discuss their surprising link with modern lifestyle.

LEARNING OBJECTIVES: 

  • To learn to define the proximate and ultimate causes of disease according to the evolutionary mismatch theory
  • To analyse typical acute musculoskeletal medical presentations according to the mismatch theory framework
  • To identify possible chronic disease and lifestyle causes of the acute musculoskeletal presentations and suggest lifestyle interventions to prevent recurrence

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