Help for Menopause in Portland, Oregon by Julie Foster Nurse Practitioner

Three Natural Treatments for Menopause Symptoms

Are you suffering from Menopause? Although menopause is not a disease, it sure can feel like it as you transition into this stage of your life.  Perimenopause are the years (up to 12 years prior) of moving into menopause which are marked by 1 year of no menses or by surgical removal of your uterus (hysterectomy). Common symptoms of menopause are Hot Flashes (do you feel like a volcano), Sleep disturbances (waking up in middle of the night for no reason),  depression/anxiety, and heart palpitations.

After working with women for over 20 years and as I am now approaching menopause at the age of 49, I know very well these symptoms and what works for my patients.

Here are my 3 medications to get started on menopause management.

  1. Magnesium Glycinate – Nightly doses of magnesium will relax you, settle heart palpitations, and offer a deeper sleep.
  2. Avoid Sugar/Alcohol/Processed Foods as best you can.  This helps lessen hot flashes naturally.
  3. Natural Progesterone at bedtime if the body can handle steroids.

Call today for an appointment with a Pohala practitioner. You can find relief from the symptoms of menopause.

 

 

 

Genetic and Neurotransmitter Mental Health Testing in Portland, Oregon by Julie Foster

Should I have Genetic or Neurotransmitter testing for psychiatric or mental health medications?

As a healthcare professional it is always my goal to carefully determine what medications work with specific patients. My clients who have depression, anxiety, bipolar, or schizophrenia all have different medication needs. Genetic testing give me another tool to get the medications right from the beginning.

Whether you have a new mental health diagnosis or a chronic mental health condition, testing for  the genetic predispositions for medications and knowing neurotransmitter levels is incredibly helpful when making a decision about medications.

Pohala offers genetic and neurotransmitter testing for mental health to all patients who request the process.

Many insurances are now covering this testing.

We offer testing from companies such as Admera, Genesight, and ZRT.

Let’s get to the bottom of your healthcare needs!

Julie Foster FNP

 

Teens, Nutrition, and Acne by Vera Vos Nurse Practitioner in Portland, Oregon

 

Pohala Family Nurse Practitioner, Vera Vos talks about the article “What can you eat for clearer skin? The best and worse foods for acne,” from the Food Revolution Network. 

Stuck with Acne? Not Exactly!

The woes of adolescence! Exactly during the time of our lives when we feel the least secure about our appearance is also the time we are most likely to have problems with acne. Is acne a normal and expected rite of passage for teens? In the US 79-95% of adolescents will struggle with an acne outbreak at some point during their teenage years. Many endure the affliction for years and end up with scarring in adulthood.

Unfortunately, we are not necessarily out of the woods once we reach legal drinking age.In the US, almost half of all adult women and about 1/3 of adult men have acne, about 1/2 in each group defined their acne as moderate to severe, while the other half had mild outbreaks. A teenage only thing, it is not!

So, this must be the result of our industrialized food and toxic environment, right? Well, yes and no. Though there are traditional cultures in the world where acne is virtually unknown, many other cultures, with much cleaner food and environments than ours, still have a fair percentage of adolescents that experience acne. The abrupt change in hormones during this time period is a trigger. But, there are fewer teens affected and those that are, almost always have mild outbreaks. And, virtually everyone outgrows acne in adulthood. .

The bottom line is, of course there are things in our modern, industrialized food and personal products world, that makes acne worse and more common not only in teens but also in adults! Read the attached article  to learn what specific things you can do to improve or even cure acne

 

 

Pohala Providers stay up to date with Medications and Prescribing

 

Our Pohala Providers strive to remain up to date and educated for both Allopathic/Western Medicine and Integrative/Functional/Natural Medicine.

Today here is Julie Foster FNP and Donna London FNP at the Nurse Practitioner’s of Oregon’s Pharmacology Update. We learned about safety and use of medications for the aging population. Take home: Be careful as even OTC meds are very dangerous and poly-pharmacy leads to more problems than you may think. Combining some medications maylead to dementia, sudden heart attack, kidney failure, and gastro-intestinal bleeding.

Pain meds in elderly reduce cognitive function, respiratory drive and only should be used if absolutely necessary. Topical is a better option many times.

Have you reviewed all medications ,even supplements with with a conscientious medical provider (like us at Pohala, many PCPs are too busy to keep up)?

Taking a pill rarely provides THE answer to your health. Are you looking for a cure or symptoms relief? We keep learning more and more have integrative therapies, like Acupuncture, Massage Therapy, Mind Body techniques like EFT, meditation, prayer, and walking in nature improve many health concerns without all the dangerous side effects of pharmaceuticals.

We aim to use the least amount or none of allopathic pharmaceuticals in our patients. But if we choose to we are experts in prescribing. Safety and Quality of Life is paramount.

Food is medicine, Healthy Lifestyle can heal, and Positive Relationships can reduce Pain. 🏵🎆🏵

Follow up with your health care provider and review your medications.

Call Pohala to review your medications with one of our amazing providers. We still can schedule you in a short time (1day to 1 week), unlike most PCPs 6-8 weeks out for an appointment

(503) 572-4196

Pain Management and Acupuncture by Paresh Shelat ND, L.Ac

We often ask our health care professionals at Pohala to choose articles they find interesting  Here, Naturopathic physician Dr. Paresh Shelat shares an article from OmniaBodyWorks on how massage can help with chronic pain.

Dr. Shelat notes:  Pain Education is an ever-changing and an increasingly popular topic these days.  This article does a great job at simplifying pain mechanisms.  Not only does this apply to massage therapy, and other types of manual therapy, but also applies to acupuncture and naturopathic manipulative techniques. Each of these therapeutic modalities can be used in tandem with one another to bring about profound healing. 

Click here to read WHAT CAN MASSAGE REALLY DO? to learn more about the role massage has in helping manage pain.

To book a session with Dr. Paresh Shelat, please contact our Pohala Clinic.

 

 

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.

 

Seasonal Allergy Care in Portland, Oregon

Malia Susee Acupuncturist shares some tips on how to manage Allergies this Season.

Spring is here! Geshundheit!! If Spring and Summer allergies cloud your otherwise sunny days, here are five ways to fix the face faucet.

  1. Prevention: if you know you’re prone to airborne allergies and your symptoms have not yet started, there’s still time to herb up— Jade Windscreen Formula (a.k.a. Yu Ping Feng San) and its various modifications (formulated specifically for you by your acupuncturist) can help you ward off the sniffles, sneezes, and congestion caused by your airborne foes. Take your herbs early and often, and get acupuncture to keep your immune system balanced. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630930/
  2. If your symptoms have already started, talk to your acupuncturist about herbal formulas to address them. You would be amazed by how many herbs and formulas we have to soothe itchy or irritated eyes, runny nose, nasal congestion, sinus congestion, sneezing, and headaches!
  3. Nasal irrigation or lavage (saline rinse in one nostril and out the other) is an effective method of ridding your mucous membranes of pollens, dust, and other airborne irritants. The less prolonged exposure your nose and throat have to allergens, the less your body will be likely to react. Here’s a handy link for more information and instructions: https://www.webmd.com/allergies/ss/slideshow-nasal-irrigation
  4. Wash your hair and change your pillow case before going to bed. Out in the world, our hair collects airborne pollens and dust, and we rub our faces in each as we sleep. Again, limiting this contact lessens our bodies’ propensity to overreact! (A clean house and clean air filter help in this way, too, but keeping those microscopic irritants out of your face at night is particularly helpful.)
  5. Get acupuncture to clear your head! Acupuncture offers quick, effective alleviation of runny nose, nasal and sinus congestion, itchy eyes, watery eyes, sneezing, and other respiratory complaints, and it can safely be used with any of the above methods to treat allergies, especially with local needling and micro-current application. Results can be immediate!

 

Call Pohala at (503) 572-4196 to make an appointment with Malia Susee, L.Ac or Dr. Paresh Shelat ND, L.Ac for more information, prevention, and allergy relief.

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.⁣

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

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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.