Pohala now has Behavioral /Mental Services. So many people are suffering, and at least in Oregon, so many cannot find a mental health practitioner or when they do they do not align with their values. Psychiatric Mental Health Nurse Practitioner Tyler Mostul is unlike most in that he has an unique perspective and aims to focus more on therapy, holistic approaches as opposed to pharmaceuticals. When warranted Tyler Mostul PMHNP has the expertise to prescribe pharmaceuticals and does so, thoughtfully.
His original interest in psychiatry grew out of his experience volunteering for a year with the homeless in Los Angeles, California. After he graduated with his Bachelor’s degree in Business Administration and a minor in Theology, he developed an interest in learning how a person comes to be in a place where they did not have a house to live in. At that time, this was not a situation that he or anyone close to him had ever had to deal with. He figured there was no better way to learn than to LISTEN to those who found themselves experiencing homelessness directly.
During his time in L.A., he was present in the lives of those who were some of the most oppressed in our society. He witnessed these people grossly mistreated by police, paramedics, and other social service providers. He listened to horror stories of what people go through to survive. He realized that mental health and substance abuse are two of the largest personal barriers to people improving their lives, and he saw firsthand that the way society at large chooses to deal with these things does not work very well. In fact, the places people are told to go for help often cause more harm than good. This awakened a passion inside of him to attempt to help people deal with their problems in a way that causes them the least amount of distress as possible.
This experience and others for him solidified the belief that there are always significant psychological, social, and environmental factors that contribute to a person’s mental health. Whether a person lacks enough money to pay for their basic needs or has plenty of money, there will always be significant psychological, social, and/or environmental factors involved. This concept heavily influences his practice today.
Psychiatry attempts to say that a person’s mental health struggles are due to there being something wrong with their brain. First of all, this is a theory that even psychiatry acknowledges is a theory and not fact, yet many mental health providers promote this theory as fact. The theory that mental health challenges are caused by there being something wrong with the brain never made sense to Tyler as he saw there were endless things going on in a person’s life that could easily explain why a person would be depressed, anxious, or addicted to something. Not only is there no brain scan, blood test, genetic test, or other objective test mental health professionals use to diagnose mental health conditions, Later he learned that the evidence does not support the brain-based theory of psychological distress either.
Tyler Mostul PMHNP does not see depression, anxiety, mania, addiction, hearing voices, or seeing visions as some kind of brain disease or as “insane.” Instead he sees them as sane ways of relating to and coping with a person’s often insane world. Acknowledging this has the potential to provide some relief as we open up to being more gentle and compassionate with ourselves. Discovering new ways of relating to our insane world also has this potential. He hopes to explore these possibilities with his clients.
Tyler Mostul PMHNP is accepting new patients. Call Pohala for an appointment today (503) 572-4196
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
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
Despite our crazy Winter weather,❄️ Spring 🌷🌿 is around the corner and Pohala is welcoming this event with our:
Spring Cleanse: Nutritional Detox and Reboot Class.
This class is filled but that doesn’t mean we can’t share some detox tips with everyone. If you’re not in the class, let us know, and, if there is enough interest we may do another one.
Vera Vos NP will speak on Environmental Toxins:
She tells us:
‘Often, the big question is, why detox? A big reason is to decrease the burden of harmful chemicals in our bodies. But, aren’t there laws that ensure clean and safe water, air, food, etc? If only that were true. There are more than 80,000 registered chemicals in use. About 1600 of these chemicals have been tested for carcinogenicity by the EPA. In 2016 then President Obama amended the 1976 Toxic Substance Control Act which will now require the EPA to study the not yet tested chemicals for safety. Unfortunately, they are only required to study 20 different chemicals at a time and testing must be completed within 7 years. How quickly EPA moves through the testing is definitely dependent on funding and the political climate. So, while the federal government makes it’s ponderous way through 80,000 (minus 1600 already done) chemicals, it’s up to us to educate ourselves regarding what potential toxins we may be coming into contact with.
The Environmental Working Group (EWG) is a non-profit American activist group that specializes in research and advocacy in, among other things, toxic chemicals. Check out their website for an extensive guide to the most toxin free products for your home and personal use. Our homes may be our sanctuary but the air inside can be 2-5 times more polluted than the air outside. There are guides for everything from mattresses to cleaning products to lightbulbs and much more. Here’s to spring cleaning!
Whether you are attending our class you can schedule your personal Nutritional Cleanse consult. Vera Vos NP and Lisa Del Alba ND accepting new patients.
Here is to YOU!!!! The more you care for yourself the better the World Can BE. Healing can happen.
Call us for an appointment (503) 572-4196
Many have been vulnerable to viruses since the snow has come to the NW. Remember we are always surrounded by germs. It just matters if the ‘submarine’ is breached per se. This happens when our immunity decreases or inflammation increases.
For children viruses are like ‘cleaning the house.’
A child most times comes out ahead to their next developmental step after the virus.
For adults viruses can mean overwhelm or a response to balance over-inflammation. They prevent cancer cells from proliferating.
Julie Foster Nurse Practitioner has 3 suggestions to heal through a virus.
Protect your inner fire of warmth and regain control of your immunity:
1. Wear 3 layers on top.and 2 on the bottom. Keep neck and ears covered when going outdoors. Even place cotton in your ears at bedtime. Wear a silk scarf to sleep. Do not let a draft create a chill. At first sign of virus (a tickle in your throat, sore neck, or just a thought…’Am I getting sick’), drink cup of hot herbal tea, take a hot shower/bath, apply a hot water bottle on the belly or at your feet when you go to bed.
2. Keep bowels loose. Try Natural Calm or Magnelevures once daily or take buffered Vitamin C and take 2 to 7gms to bowel tolerance. Back off the dosing once they have loosened.
3. Take an immunity herbal or homeopathic remedy. Julie Foster has prescribed Biovegetarian with warming herbs to stop the virus or decrease the duration for over 12 years.
At Pohala Clinic – A Place of Healing we can individualize your care plan during your illness. Also consult us or your trusted medical provider before trying a new regimen.
Health is not without Illness. But we can grow stronger in our response to it.
We are always Becoming!
Why are Primary Care Providers so important? ⚕⚕
Here are a few things that set PCP’s apart from other health care providers:
- Primary Care Provider’s are trained to treat the entire person, physically, mentally and emotionally.
- PCP’s provide healthcare for all ages…. from infants to geriatrics.
- PCP’s get to know their patients and their preferences. We make sure to keep your family situations and job pressures in mind when it comes to providing you well rounded health care.
- PCPs are trained to build a trusting and lasting relationship with you, and work together with you to meet your goals.
At Pohala we have the best kind of PCP’s medicine offers:
Family Nurse Practitioners ⚕ and Naturopathic Physicians 💼.
Together we have nearly 70 years of experience to manage all your health care needs.
Schedule with any of us!
Julie Foster FNP
Donna London FNP
Vera Vos FNP
Lisa Del Alba ND
Paresh Shelat ND
Call (503) 572-4196
We want to get to know you!
YOU DO NOT HAVE TO FACE YOUR LIFE CHALLENGES ALONE.
Donna London MSN, FNP-BC is a Board-Certified Family Nurse Practitioner originally from the Midwest where she obtained her undergraduate degrees in nursing and healthcare administration (1988 and 1998 respectively).
Her desire to become an advanced practice nurse developed as a result of her growing knowledge that there were thousands of Americans who didn’t have access to basic healthcare services, due to a shortage of primary care providers. It was at that time that she felt a deep responsibility to be part of the solution to fill the gap in underserved areas and for those patients who lack access to quality health care.
Donna later attended Oregon Health and Science University’s RN to BS nursing program where she graduated summa cum laude. She continued on to get her master’s degree in Maryville University’s Family Nurse Practitioner program.
Donna enjoys partnering with patients to meet their wellness goals including preventive care, managing chronic diseases, women’s health, men’s health and well child checks and sports physicals.
While she enjoys working with a variety of patients and health care issues, she especially enjoys working with perimenopause and menopausal women, successfully assisting them as they begin to transition from one stage of life to another one. She believes this can be a transformative and exciting period in the lives of women…if an individualized approach to managing their physical and psychological needs are addressed.
Donna provides an integrative approach to patient care, combining traditional/conventional and alternative/complementary as appropriate. Following a patient centered care model, she is committed to providing care that is respectful of individual patient preferences, needs and values.
She has a passion for helping her patients achieve their wellness goals and believes a life well lived involves developing and maintaining a healthy mind, body and soul…regardless of the state of health or “illness” a patient is in.
In her spare time, Donna enjoys traveling, singing jazz, home decorating and spending time with loved ones.
Please contact Pohala Clinic to visit Donna London.
Pohala Clinic Client Julie A. Fast talks about working with Julie Foster for chronic pain management help.
“Managing chronic pain is more than medications. It’s about lifestyle changes and helping a person find natural ways to exercise and work with the pain in order to have a functional life.”
I’ve worked with nurse practitioner Julie Foster as my primary care physician in Portland, Oregon for over ten years. During this time, she has helped me through a variety of sport related injuries that eventually led to a problem with chronic pain. With her help, I have regular body treatments from various processionals, have worked on my diet and eventually got my pain under control. Julie’s advice is always specific. We talk about sleep and natural treatments. We use homeopathic remedies and acupuncture and well.
She reminds me that what I put in my body will be reflected in how my body responds to injuries. I know this and am working on it daily.
I want to share my story with others who are looking for help with chronic pain so that they can hopefully work with Julie in finding a plan that works in all areas of life.
Chronic pain is with me daily. I know that without my own way of dealing with the ups and downs of energy I experience depending on my pain levels, I will have a tough time in life.
Do You Need Help with Chronic Pain?
We all need a plan to help us get on with life, even when the pain makes it difficult to get out of bed. I consider myself half way through this journey of getting my body back to where it was before I had my biking accident. This is something I love about working with Julie Foster. She gives me time. There is no judgement when I tell her I’m still having trouble with sugar and there is always a celebration when I am able to better follow her advice. Her patience with me has allowed me to find help for chronic pain that got me out of my special anti gravity chair and back in the world.
Julie taught me that chronic pain can have a life of its own. I need to be aware of what is real in my body and what is being created by my overloaded brain. Julie often says, “The body and mind often trade off. The mind gives us trouble and when we have this figured out, the body then sends us a message that there is still more work to do. Eventually, balance happens when the mind and the body are healthy at the same time.”
This is my goal. Julie allows me to be human. When I am not able to follow the diet in a way that I know will help, she reminds me that the next day is another chance to make better choices. This has allowed me to learn more about what I need. My weight has stabilized and I am now working on finding an eating plan that helps with the pain in general. This includes the following:
- Night shades such as tomatoes and chili peppers cause an immediate flare in my body. Stopping my favorite Mexican and Thai dishes has not been easy, but for now, I am very conscious of my night shade intake and it is helping greatly.
2. Movement. Chronic pains tells us that we can’t move. This is rarely the case. Even someone like myself with multiple injuries can move.
3. White sugar. Julie once said to me, “Julie, the fat that is created on the body from sugar consumption becomes its own organ. It can become yet another source of pain.” When I am free from white sugar, even for a week, my pain levels go down greatly.
4. Medication pain management. My goal is to be pain medication free. To do this, I continue to work with Julie and the other practitioners in my life who are helping me change my diet and work on my specific injuries.
Without Julie, this would be too overwhelming. With her, I am reminded that I can get my body healthy again. It takes a team and Julie is an important part of that team.
Julie A. Fast
To book a time with Julie Foster or one of our Pohala Practitioners, please call the Pohala Clinic and let the receptionist know that Julie A. Fast referred you!
by Vera Vos
One of the most fascinating and significant biological discoveries of this century is that we are not alone in our bodies.
Human bodies are made up of approximately 37.2 trillion cells. There is an estimated 100 trillion microorganisms (single celled creatures) that live on and within us, about 3 times more cells than our own bodies! Whole ecosystems of microorganisms live in every part of our body – skin, brain, liver, lungs, etc. The ecosystem that gets most talked about is our gut microbiome (the collection of microorganisms that inhabit our gut), which when all dumped together on a scale weighs about 2 Kg and consists of at least 1,000 species of bacteria, not to mention viruses, fungi, protozoa and archaea. Two thirds of our gut microbiome is unique to us as an individual, like our finger print.
Why is this such a big deal? We still have lots to learn but all the microorganisms in our body and, maybe, especially our gut microbiome have a huge influence on our health. They are major contributors to digestion and largely responsible for extracting nutrients from food. They spearhead the production of certain vitamins like B and K and play a major role in immune function. The surprising thing is how much influence they have on today’s most common disease processes.
Due to changes in our food supply and other factors, certain strains of microorganisms are increasingly common in the human gut and may be associated with weight gain and obesity, cancers, autoimmune disorders, and mental health, especially depression, anxiety and autism.
Considering obesity is associated with increased risk for heart disease, stroke, diabetes, some cancers, arthritits, and many other chronic diseases, the unique make-up of our own gut microbiome is very significant to our health.
So how do we maximize the health of our gut microbiome, and, coincidentally our own health? Obviously eating a healthy diet is most important. I recommend 70-80% or more of our diet be whole plants – vegetables, fruits, legumes, nuts, seeds and whole grains. Buying organic, local and seasonal or growing your own is probably best and adding lots of fresh herbs and spices, wild mushrooms and fermented foods creates a favorable gut environment for healthy microbes. There are more non-gluten grains available than ever before and sprouted, organic wheat products may be tolerable for those sensitive to wheat gluten.
If you would like to learn a whole lot more about how our microbiome influences our health and how to cultivate a microbiome that helps us thrive, check out the program below:
Click here to watch a video on how we are interconnected and the power we have to heal from within.
Please call our Pohala office if you would like to make an appointment to talk about gut health.