“Is coffee good for you?” asked my Uber driver as we made our way along I-295 heading for the airport. “Well, it depends on the person,” I replied cautiously – in the way I often do when I’m trying to gauge the inquirer’s actual level of interest in the Pandora’s Box-like question he or she just posed. I was also trying to buy myself time to tame the ultra nerdy part of me who gets excited talking about cytochrome P450 enzyme pathways and genetic variances that influence how quickly or slowly an individual may metabolize caffeine, thus determining how impacted a person might become after exposure to the drug. As we neared the Southwest terminal, my driver humored my inner nerd as politely as possible and seemed ready to tone down his consumption level in exchange for possible relief from anxiety, insomnia and irritability.
And am I really the best person to ask about coffee? I am probably one of the only people on the planet who can lay claim to having lived in Seattle, Washington for 5 years and never purchased a Starbucks venti grande! My un-American behavior was not guided by a moral compass but by the unnerving symptoms of intense anxiety and digestive upset that followed after my high school explorations of coffee – my body quickly teaching me that coffee is my poison. I could have tried to override it as many individuals do and suffer through the symptoms in exchange for 2-3 more pseudoproductive hours in the day. After recently completing my 23 & Me test and discovering that I inherited a bum lot of gene variances making it difficult for my liver to break down caffeine, I am really glad I didn’t push it.
The same pathways that detoxify caffeine in the liver also break down estrogens, so if I was a coffee drinker, I would be more at risk of developing fibrocystic breast disease and uterine fibroids. And while it may be my poison, studies show that coffee consumption may delay or prevent Parkinson’s Disease. Moral of the story: the research about caffeine intake and risk or prevention of chronic disease ultimately depends on the person consuming it.
Dear Owner of this Body,
I couldn’t help overhearing you and your friend chatting yesterday over lunch (a salad of all choices?!) about Dr. Emily’s Fall Detox. I admit, I was a bit intrigued as your friend raved about her experience during the Spring Detox. And word from down below is that Old Man Liver is gearing up for a 10 day vacation!
What is in this for me, I wondered? I decided to do my own research and did you know that sugar is eliminated during this Detox? You can’t be serious about this!
How would you get through the day without that granola mixed in vanilla yogurt in the morning or your pudding cup at lunch? And pa-lease do not forget that coveted bowl of ice cream before bed! Surely your daily array of treats are worth trading off for the afternoon energy crashes, the unpredictable mood swings and mounting dental bills? Those 10 minutes of sugar rush are worth every bite even if your family cannot rouse you off of the couch for dinner.
What would you do without me in charge? EAT KALE?! Half of your decisions each day are based on satisfying my cravings. And before you go digging around on WebMD and see the negative press about sugar linked to cancer, diabetes and dementia, let me just say that I didn’t mean for it to get so out of hand. I will try to tone it down a notch… really…
Well, if you must go through with this, think of all the good times we have had and try to drop me a bit of stevia every once in a while.
Patiently awaiting transformation in ourselves and in our world…
My husband and I started composting last year. And while I wish I could say that I rolled up my sleeves, bought some worms and a turn-crank plastic bin to keep in the backyard, the truth is that we subscribed to a wonderful local service called Compost Crew who picks up our bin each week and does the dirty work for us. Now every time we have to clean out the fridge or dispose of a bulky cauliflower stalk, I sigh with relief that the moldy leftovers and other food scraps will not go to waste. Through a process as old as life and death itself, that which is no longer viable gives way to growth and creation.
As the summer heat intensifies and the smell of decomposing food in our bin ripens, the discomfort in my senses is only magnified by the radio reports each day highlighting the break down of trust in our communities and a focus on that which separates or divides us. And yet, there is another story brewing. It is the story that you are telling – the healing story that begins with a break down of old beliefs around your relationship to your body…to your pain…to your diagnosis. This story is as personal as it is universal as grief gives way to peace, grudges give way to forgiveness and anger gives way to love.
Summer is a natural time of connection – when the heart lowers its shield and embraces opportunities for building community and deepening in love. What you focus on grows. May summer offer you time to cultivate joy and light-heartedness so that come Fall, we can collectively harvest an abundance of wellness for our communities and our planet.
One of the blessings and responsibilities of being a part of an emerging profession like naturopathic medicine is that we need a strong and unified voice in order to move the profession forward. That is why for the past nine years I have joined with fellow leaders in the naturopathic field along with naturopathic medical students to participate in our annual Lobby Day in Washington DC hosted by the AANP (American Association of Naturopathic Physicians). Each year, I bring the stories and concerns of my patients to the offices of Maryland legislators in an effort to increase access to naturopathic care and promote use of non-pharmaceutical options for managing chronic health conditions – with an ultimate goal of lowering healthcare costs. With issues like the opioid epidemic and the rising healthcare costs for seniors on the forefront of national healthcare attention, the time to acknowledge the role that NDs can play in emphasizing disease prevention and lowering rates of chronic disease is now.
This year we thanked members of Congress who have supported our efforts to have Naturopathic Doctors included as enumerated providers in the Veterans Health Administration (VA). While this is still an evolving process, more steps have been taken over the past year to make this an eventual reality. Connecting Veterans with naturopathic care will expand the range of drug-less options available for managing chronic pain and PTSD.
We also requested support for a Medicare Pilot Project that would study the impact of naturopathic care on lowering the rates of cardiovascular disease in seniors. Over 83 million Americans have cardiovascular disease and half of those individuals are seniors. A study like this could demonstrate the cost effectiveness of naturopathic medicine and our impact on improving quality of life.
As Maryland Senator Barbara Mikulski nears her retirement, I would like to acknowledge her tremendous support of naturopathic medicine and contributions to our legislative efforts. In 2013 she introduced a Senate Resolution creating the first ever Naturopathic Medicine Week and in 2015, she submitted a letter to the Department of Veterans Affairs on our behalf calling for inclusion of NDs as a provider type within the VA. We look forward to honoring her legacy by advancing naturopathic medicine in Maryland through continued advocacy, excellent patient care, and community health promotion.
The dream is now a reality.
A journey that began back in January 2011 when the Maryland Naturopathic Doctors Association first introduced our licensure bill to the Maryland General Assembly has now resulted in the issuance of licenses to practice naturopathic medicine in Maryland. This great triumph is still being celebrated all across the country as Maryland becomes the 17th state to license naturopathic doctors in the US.
As I await the arrival of my official license in the coming weeks, I wanted to provide current and prospective patients with more information about the implications of licensure and how it will impact my practice. Hopefully many of your questions will be answered below:
Will you be able to act as my Primary Care Provider?
By law, NDs will not serve as primary care providers in Maryland and will act as specialists in natural medicine.
Will insurance companies be required to cover naturopathic care?
No, the naturopathic licensure law does not include provisions for third party reimbursement. Services will remain out-of-pocket.
As a patient, will I need to do anything different once you are licensed?
All current and new patients will be asked to sign a consent form which will clearly outline the scope of practice for NDs in Maryland and remind patients that I will not be serving as their primary care provider.
Once licensed, what will change with your practice?
I will be able to order laboratory tests and perform physical exam to support clinical diagnosis. As a licensed health care professional in Maryland I will also be able to better connect and collaborate with other health care providers to improve patient care.
Will you be able to prescribe medications?
No, NDs will not be permitted to prescribe pharmaceutical medications under the current law. A multi-disciplinary Naturopathic Formulary Council is being established to review what types of pharmaceuticals NDs may be able to prescribe in the future.
How do I set up an appointment?
Please contact my office manager Gwen at: 443-226-7665 or email@example.com.
“Just fix me.” An all too common demand expressed by new patients who seek out naturopathic care after having seen countless doctors and specialists. When I respond, “that’s not my job,” followed by, “my job is to offer you a new possibility,” the patient’s reaction will largely determine how the therapeutic relationship will unfold.
These individuals arrive with long-term suffering coupled with a story about being broken. Phrases such as “I don’t feel like myself,” or “This isn’t me,” reveal the perceived distance between a state of current suffering and a remembered experience of health and wellbeing. I admit that my first impulse is to want to “fix” and draw the shortest line possible between pain and cure. However, my job as a practitioner is to refrain from reacting. My job is to First Do Nothing.
The principle of First Do Nothing was introduced to me early on in my naturopathic education by sage and experienced healers in the field. While the words passed through my consciousness off and on over the years, it is only more recently that I have come to understand how essential this practice truly is and its unfortunate absence in modern medicine.
At first glance the words First Do Nothing may imply negligence or passivity when quite the opposite is true. Living in a reactionary culture where knee-jerk responses and escapist behaviors surface in the face of adversity and discomfort, First Do Nothing is the invitation to “stay” – to hold a loving and grounded presence in the face of all that is difficult to face. In the pause before responding, recommending or reacting, the person is held in a space of deep active listening and positive regard. First Do Nothing is its own medicine.
Recently a woman came to see me with a chronic and nagging left-sided neck pain. She had seen several health care providers in search of relief only to have the pain return after treatment. To better understand the underlying cause of her neck pain, I guided her into a brief meditation. As she closed her eyes and tuned in to the sensation in her neck, she transitioned from describing her neck pain to sharing a story of past events resulting in regret and a loss of trust. Her verbal expression of this story gave way to self-forgiveness and a re-connection to deep love. By the end of the meditation, the woman surprisingly noticed that her neck pain had disappeared for the first time in many months.
Without a homeopathic remedy, a cranio-sacral adjustment or any host of anti-inflammatory protocols that I might have leapt to for addressing chronic neck pain, this woman reminded me of the medicine that is delivered in the midst of a healing presence. With this learning, I look forward to walking in partnership with more individuals who are ready to remember their own capacity for healing and transformation.
The beginning of 2016 marks the start of an exciting new chapter in my practice as we join the group of talented healers at BlueGreen. I look forward to welcoming you to my new office location at 222 W. Cold Spring Lane in the Evergreen neighborhood of Baltimore. Aside from the inviting and tranquil ambiance that BlueGreen offers, patients will also enjoy the amenities of free and convenient parking as well as the ease of handicapped accessibility. I will continue to offer naturopathic care and cranio-sacral therapy for adults and children and natural dispensary services for current patients. To schedule an appointment, please call (443) 226-7665. Wishing you a healthy, joyful and prosperous New Year!