We Accept the Following Insurance Companies at Pohala Clinic 

We know that insurance coverage is very important when you are making health care decisions. We accept a variety of insurance companies at Pohala including Blue Cross Blue Shield, Providence , United Health Care, First Choice Health, MODA  and Pacific Source. We are also willing to work with any other insurance company you may use.
Pohala is committed to providing the best care in functional and natural medicine in the Portland area. We have a variety of specialists including family care, nurse practitioners, naturopaths, psychiatric professionals, acupuncturists and body workers.
We will gladly answer any questions you have about insurance coverage. Feel free to contact Pohala with your questions.
Julie Foster- Nurse Practitioner, Owner

Nettle Tea with Julie Foster

A rainy, walk last week in Oregon. I was able to collect Nettles. 🌿🌱Additionally, Horsetail, Ferns, Trillium and endless medicine surrounded me in the Forest.

Nettles:
1. Tea for Iron Deficiency and Blood Building.
2. Nettle vinegar for base of salad dressings and drinking vinegar eases digestion.
3. Add to soups
4. Saute with veggies.

My sweet rescue dog🐕 Shasta was curious about them too.

Just finished a cup🍵 of Nettle Tea. Yum!!!!

– Julie Foster

The Courage to Heal with Nurse Practitioner Julie Foster

Last night met by my endearing Anthroposophic colleagues 🙋‍♀️🙋‍♀️🙋‍♀️ who travelled to stay with me, then to wake up at 4am and travel to New York for a week of training.

One theme is to discuss the Courage 🦁 to Heal. I think it relates to…

1. What does it mean as a Healer to show up for a person to invite a space for healing to happen?

2. How can patients too have the Courage to stand in the face of anything and be brave enough to Heal?

What healing means to one person can mean something else to another. 🌸

We will cover topics for women’s health, chronic illness, and one of my favorite teachings on the Alchemy of the 7 Sacred Metals for healing. All of this in the context of holistic medicine.

Did you know that the word Anthroposophy means Human in Divine Wisdom? And furthermore the Divine Sophia (Feminine) Wisdom. Why does that matter? When we can know ourselves and be guided in such a higher force of Divine Wisdom then we may become or see our full human potential.

Anthroposophy gives me a lens to view the cosmos and all its facets for healing. We focus on what makes us healthy (salutogenesis). Out of this true healing is possible. My practice is guided in part by these approaches.

🌈🔱

– Julie Foster

 

Eat Breakfast Like a King

The article Eating breakfast? Skipping a morning meal has higher risk of heart-related death from USA Today explains the importance of eating a healthy breakfast.

Eat breakfast like a king, lunch like a prince, and dinner like a pauper…this is advice of which anthroposophical doctors have long been aware.

Digestive forces are strongest earlier in the day.

Are you considering intermittent fasting? For most people, eating breakfast and lunch, and then fasting the rest of the day is the best overall option.

(If you have an eating disorder, think of the structure of your meals and avoid the concept of intermittent fasting.)

Looking to improve sleep quality? Eat breakfast!

Trying to improve your cardiovascular risk and lower your blood pressure? This is the ticket!

Needing to improve blood sugar control? Eating your heavier proteins and fats earlier in the day will help them stabilize.

Another caveat: avoiding sweet tastes until the afternoon hours improves energy and cognitive powers, and can eliminate that annoying after-lunch grogginess.

 

 

When to Use CBD and When to Be Careful with CBD

CBD or not to CBD?

My long time friend and colleague Monique Kramer and I had a lovely night educating our community on the safe and beneficial uses of CBD oil.

With the war on drugs CBD oil is a better option for chronic pain control. When it works, it really works. It is best to take regularly and you can also start and stop without withdrawal symptoms.

It is an option if you have generalized anxiety, PTSD, social anxiety.

It is an option for chronic illnesses that cannot be relieved other ways.

It is an option for headaches and seizures.

It is an option for a lifestyle of chronic stress.

It is an option for most cancers or auto-immune diseases like lymes, lupus, chronic fatigue syndrome, EBV.

For the aging elder it can be used with or instead of NSAIDs for arthritis.

As with anything from Nature it is a spiritual being that must be recognized and respected. I see it as a spirit helper in a way. If it is used in a exploitive and unconscious way I do not think it can work or can cause harm. A person must be aligned with a strong and compassionate ego when approaching something like CBD. We have seen all too often those who abuse substances.

It is NOT for the person who has a family history or personal history of Bipolar, Schizophrenia, Psychosis. Only then and unless it is closely monitored and it is a Hemp Based (not a marijuana based) can CBD oil be used carefully.

In cases where a person carries the genetics for mental illness they should not try Marijauna as THC or CBD, as it can flip the genetic switch for Bipolar, Schizophrenia, or Psychosis. I have seen this directly in my practice. It is sad and devastating. My friend, Julie A. Fast an expert on Bipolar and I have written on this before.

If you were to go to a dispensary, which you can in Oregon to find a pure, organic, non-gmo product that is reasonably priced and does not contain marijuana/THC it is nearly impossible and is cost-prohibitive.

I have been able to find one source for a purely CBD (with a trace of THC) that is hemp- based, organic, non-gmo and the cost is reasonable at Purium Health Products.

Before you start anything new consult your trusted provider.

Healing can Happen 💮💮💮

If you want more information schedule with Julie Foster FNP

What is the Difference Between Unipolar Depression and Bipolar Depression?

Pohala Client Julie A. Fast writes about the differences between unipolar and bipolar depression for Health Central online. 

 

Depression is Complex

All human brains can experience depression, but there is more than one kind of depression. The most common depression is situational where a person goes through a downswing due to a life experience. This depression can often be treated by therapy that is specific to the event, such as grief counseling. In contrast, unipolar and bipolar depression are considered genetic, medical conditions. They often occur without a life experience trigger and usually need a more medical than therapy-based treatment approach.

Unexpected Symptoms of Unipolar and Bipolar Depression

Depression is often described as weepy, sad, and hopeless, but this is only one type of depression. The other depression, irritated depression, is angry, negative, and complaining. People with irritated depression often go untreated as they are considered bitchy, rude, or negative. Irritated depression can manifest in road rage, punching and kicking tires and walls, yelling and statements, such as “I hate everyone! Leave me alone!” Both unipolar and bipolar depression can either be the typical weepy depression or irritated depression.

What is the Difference between Unipolar and Bipolar Depression?

There are two genetic mood disorders: unipolar depression and bipolar disorder. Bipolar includes the mood swings bipolar depression and bipolar mania. Unipolar depression and bipolar depression share the same symptoms with three main differences: 1) Bipolar depression is more episodic than unipolar, 2) Bipolar depression is always on the edge of mania, and 3) Due to the mania risk, bipolar depression treatment is different than unipolar depression treatment.

Click here to read the rest of the article from Julie A. Fast on Health Central.com.

More bipolar disorder related blogs: Steroids, Allergies and Bipolar Disorder: Q&A with Portland Nurse Practitioner Julie Foster

What is Epigenetics Theory?

Pohala Client Julie A. Fast answers the question: What is Epigenetics Theory? in her article for Health Central.com.

Article excerpt:

Genetics is the study of heredity and the variation of inherited characteristics. Epigenetics is the study of how the environment around us and the choices we make can change the expression of inherited genes and whether these changes in gene regulation can then passed to a child. Richard C. Francis, the author of Epigenetics: How Environment Shapes Our Genes notes, “Social interactions are a particularly important source of gene regulation.” Think of the possibilities!

An Example of Epigenetic Theory from Bipolar Disorder

Bipolar is considered a genetic illness. Two children, raised in the same environment have a grandfather with bipolar. One child has naturally expressed bipolar mania at age 17 with no substance use. The other child who lives with depression, but no mania takes an SSRI antidepressant at age 28. She has her fist mania three weeks later and now has a bipolar diagnosis. Her substance-induced mania is considered an epigenetic change causing a latent gene to switch on. Epigenetic theory asks, “Can the switched-on quality of this gene then be passed to a child?”

What is the Epigenome?

Epigenetic changes do not affect our DNA (genome), but instead influence the expression of genes through changes in the epigenome, a set of chemical compounds that tells our genes what to do including switching genes on or off and controlling the production of proteins in particular cells. R. Francis calls this epigenome the director of a play while our genes are the actors. The epigenome represents the nurture side of the nature vs. nurture debate. If we learn to control our epigenome, can we direct the expression of genes for better health?

Click here to read the rest of the What is Epigenetics Theory? article from Julie A. Fast.

 

Natural Weight Loss Tips from Pohala Clinic in Portland, Oregon

Healthy eating is a big part of any medical health plan. At Pohala Clinic, we know that weight loss is not easy, but we also know from working with thousands of clients throughout the years that certain practices do work. We asked each staff member at Pohala for a natural Weight Loss tip. We hope this helps you get started on a plan you can use for life, if weight management is a goal. The answers are as diverse as our practitioners!

 

From Julie Foster, Family Nurse Practitioner

I am not a fan of the term “Weight Loss.”  What are we losing? Where does the weight go?

I would rather ask,  ‘What can we gain by having a healthy relationship with our body, mind, and spirit?’

I encourage my patients to examine their relationship with food when exploring the idea of  a healthy body.

If we are at peace with ALL aspects of our life and we structure our days with balanced,  whole plant based foods,  we can find a natural weight that suits us.

I say this to my clients: When you crave certain foods ask yourself, ‘What am I really craving? Maybe you just need to let down, cover up, or escape something and you use food to do this. Believe me it happens for most of us.  I heard a patient tell me ‘I eat my emotions’ and another say ‘I avoid eating to control my emotions.’  We cannot use food one way or the other. Food is food. It fuels us. Period.

How can we become neutral and lighthearted about food? When I work with patients about weight loss I avoid making weight loss the goal and instead encourage patients to take a path of self discovery. Once a person can see the patterns in his or her life that are a hinderance to becoming one’s best self,  healing begins.

The rest falls into place. Then, education about nutrition can be properly applied and digested (literally).

From Malia Susee, Acupuncturist and Chinese Herbalist…

Support the Spleen and get good sleep!

In Traditional Chinese Medicine, the Spleen (I’m capitalizing it to differentiate it from our biomedically-viewed organ) is responsible for the transformation food to chi, (Qi), or useable energy, and the transportation of it this useable energy to the rest of the body. Good sleep supports a healthy metabolism, whereas sleep deprivation throws off the metabolism causes us to crave sugar. Overdoing carbohydrates and sugar causes the Spleen to get bogged down and inefficient, leading to even more carb cravings and potentially less good sleep! Prioritizing healthy sleep not only helps us use the calories we have, but helps keep unhealthy cravings at bay.

 

Vera Voss

Vera Vos, Family Nurse Practitioner

When your gut is happy, you are happy! Your gut is inhabited by gazillions of microorganisms like bacteria, viruses, protozoa and others that have a huge influence on your health and, as more and more research is showing, your happiness and weight! The kind of food you eat feeds those microorganisms and the ones that like the sugar, processed foods, bad fats, etc of the Standard American Diet (SAD) cause chronic disease, mental health issues, obesity, brain fog, fatigue, etc.

The ones that make you happy, healthy and slimmer, your allies and friends have a huge preference  for high fiber stuff like vegetables (cooked and raw), fruits, legumes, nuts/seeds, healthy whole grains (quinoa, farro, bulgur, teff, etc), fermented foods (sauerkraut, kimchi, miso, kefir, tempeh, etc) and prebiotic foods like onions, garlic and jicama. Say Bon Appetit! to your microorganisms and start including each of these food categories into your diet every day to greatly increase your allies and friends which will heal your gut and body, make you happy and motivated, and support weight loss. 

***

We want you to feel supported at Pohala. Our clinicians are here to listen and help. We will come up with a weight loss, healthy eating and life balanced plan that fits into your life. If eating disorder help is needed, we have specialists who can help directly and connect you with outside services.

 

Please call our clinic to work with one of our health care professionals to create a plan for a healthy body.

Talk Story and Donna London Family Nurse Practitioner in Portland, Oregon

We continue to be excited about all the providers at Pohala.

Donna London FNP shares some TalkStory with us:

From Little Girl to Family Nurse Practitioner

‘I decided I wanted to be a nurse at the age of five. I loved caring for animals when I was younger…much to my mothers dismay, but the idea that I could care for “humans” happened when I saw a nurse on television and I knew…this was my  purpose.’  Donna London see her medical practice as her calling. How many providers remember this? I think even after all the hustle and bustle every provider can tell you a similar stirring in their soul.

Donna London’s goal as a healthcare professional the first time she sees a new client? 

‘My goal is to assure patients feel heard, respected and validated by making them feel we are partners in their health and wellness care. I believe this empowers and encourages patients to become proactive participants in their health care and as a result achieve better health outcomes.’  She believes in preventive medicine. When a medical provider can really know and have a relationship with their patients so many other things about one’s health is understood and easier to face.

She has a personal Heart’s Desire to personally have a better understanding of her patients 

‘It’s my heart’s desire to truly “see” my patients, to meet them where they are in their illness or health, so together we  can make a difference in their overall wellbeing.’

Donna’s view on western medicine (allopathic)  v. eastern (naturopathic) medicine?

Western medicine alone does not mirror what patients want from the health care community. More patients, are searching for practitioners who provide both or at least one who is open to the idea.For the best health care outcomes, I believe combining traditional and naturopathic medicine plays an important role in  clinical practice.

Donna is currently accepting new patients

CALL TODAY FOR AN APPOINTMENT AT POHALA CLINIC

(503) 572-4196

 

Healthy Eating Strategies for Good Digestion from Paresh Shelat in Portland, Oregon

Healthy Eating Strategies for Good Digestion from Paresh Shelat, Pohala Clinic Naturopathic Physician and Acupuncturist. 
Food Hygiene: Have you ever wondered why the exact same meal, eaten at different periods of time, can cause a wide range of symptoms or no symptoms at all? 🤔 Unbeknownst to many, the state of our nervous system may directly impact our ability to digest and process food (ie Fight-Flight-Fright vs REST & DIGEST). One of the most important pieces of information I pass on to my patients revolves around the process of eating. This may be more important than the types of foods my patients consume at times.⁣

__⁣


Here are several lifestyle modifications to improve digestion WITHOUT medications or supplements 💊:⁣

__⁣


1.) Chew food in its entirety. (If that means chewing each bite of food 30 times until it turns to mush, DO IT! Or at least try).⁣

2.) Do not eat “on-the-go” or when you’re in a rush. (Your body will not properly digest food).🚗💨

3.) Eliminate or limit external stressors while consuming food (ie t.v, noisy environment, arguments or tense discussions etc).🗣🖥

4.) Try your best to cook your own food and add different spices that stimulate and prepare your body for digestion such as cumin, mustard seeds, and rosemary. 👨🏾‍🍳

5.) Apple cider vinegar before meals may aid in digestion.
To book an appointment with Dr. Shelat, please call the Pohala Clinic.