Office Visits in the Time of Covid

UPDATE 4/3/23: Masks are now optional in healthcare settings. I will continue to mask, and encourage you to do so if possible to help protect my more fragile patients.

I’m currently seeing people who are either fully vaccinated OR strictly isolating in person. Because many of my patients fall into the higher risk categories, I am taking all possible precautions to reduce our exposure to Covid-19. If you can’t isolate or get vaccinated, read about my telehealth appointments here!

“Fully vaccinated” means two weeks past your second shot (or single J&J shot).

If not fully vaccinated, please limit your potential exposures in the TWO WEEKS before your appointment.

To me, strictly isolating means:

  • Not going into buildings like grocery stores (I’ve been using Fred Meyer curbside pickup- they don’t charge for it and you can usually get same-day slots)
  • Not eating at restaurants
  • Not going to a bar or gym
  • Not using public transport
  • Not hanging out with people you aren’t living with
  • Wearing a tightly woven cotton mask over your nose and mouth if coming in contact with people (when outside, doing curbside pickup, etc).

PLEASE don’t make an appointment if you’re unvaccinated and you (and spouses, parents, children, or anyone else you live with or have contact with) cannot stay isolated before coming in. Remember that exposing me means also exposing the rest of my patients, including the medically fragile. Please be considerate and careful.

Here are the full details:

1) Changes to the office (the Oregon Health Authority guidelines are here)

UV-C air sanitizers have been placed in each room.
Plastic sheeting is under the linens, and is sanitized between each patient. Of course sheets will continue to be changed between each patient, as always.
There is a touchless hand sanitizer (alcohol) dispenser in the waiting room for your use.

The new location opens right to the parking lot, so there are no hallways or bathrooms shared with the unscreened public.

2) My actions:

I’ll be wiping down surfaces between each patient.
I’ll be masked (N95) and wearing a shield for close contact (neck & facial work).
You’ll get an automated email screening the day before you come in. Please complete it, every time. If you are sick, have had any symptoms in the past 2 weeks, or have been exposed to someone you know is sick in the past two weeks, I cannot treat you.
I have touchless methods of payment (credit cards via square, paypal, venmo). I can also take cash, but will not have change handy.

I am, of course, fully vaccinated.

3) Changes you’ll make:

You will get a Covid screening email 24 hrs before each appointment. Please complete it. :)


As noted above, masks are optional but appreciated.
Please do not bring your entourage. Although I usually enjoy seeing your family and friends, I am limiting companions to those needed for medical disability or language translation.
If you arrive early, please wait in your car or outside the building. I will not be able to take you early. Please keep in mind I am spacing patients apart both for extra cleaning time in between, and to allow potential air particles to settle.

I know this all sounds like a lot.

I know this is scary.

By being smart about this, and taking precautions, we can get back to normal life as soon as possible. 

Ok, now that you’ve read all that, please schedule online here, or call me (503-964-3422) to book or ask questions. I’m looking forward to seeing you!

Dazed and confused…

Purely coincidentally, I’ve had two patients in the past two days with the exact same complaint: Lightheadedness / confusion / disassociation from the body. One had gone to get an MRI and X- rays, but everything came back fine. One had severe neck pain, one didn’t.

Both had had dental work recently. Imagine lying back at an awkward angle for a long time, while tense…. Sure enough, both had upper cervical (neck) vertebrae out of place. The bones were cutting off the blood supply to the brain!


I treated both with acupuncture and medical massage, relaxing the muscles and gently easing the vertebrae back into place. Both patients reported instant improvement. Please remember this next time you have a headache / confusion following dental work, or any other stress on your neck.


Note: Chiropractic would have jammed the bone back in place, but not treated the cause of the problem – the tight muscle pulling on that bone – so the misalignment would be likely to return. I prefer to work upstream, on the neurological and muscular system. My method also avoids that whole risk-of-stroke thing (!).

Continuing education!

Last weekend was a full two days of continuing ed – 5 classes! Two were based in Chinese philosophy: Ghost points (used here to treat intrusive thoughts, or “haunting” memories) and Korean 4 needle technique, which is based on the elements. Those two weren’t really clicking with me, but I thoroughly enjoyed the three on Sunday. One covered the energetics of food, and how to adjust your ingredients to match your health needs and the seasons. One covered important legal aspects of running a practice (HIPAA, security, malpractice, etc). But the best one covered my favorite topic of all – the nervous system. Keep an eye out for a followup post that will explain in detail, but the short version is this: In chronic pain conditions, the brain thinks you are being continually damaged, and amplifies its reporting of pain above what’s physically happening in your body. By understanding the how and why of this, we can stop the ramping up and quiet the alarm bells. This both reduces the amount of pain you perceive in the moment, and allows the movement you need to heal. I’m really excited about incorporating this into both my practice and my personal life.

I’m giving myself a raise.

I’ve put this off for a long time… I’ve only raised my rates once (6 years ago) since I started practicing 15 years ago. I prefer to stay accessible to *all* people, but my rent keeps going up and my student loans are still horrific. So, starting July 1st, my new rates (which remain on the low end for my industry) will be as follows:

An hour of acupuncture and medical massage: $100

4 pack of hour sessions: $360 ($40 off)

A half hour of acupuncture OR medical massage: $60

5-pack of half hours: $270 ($30 off)

Birthday hours will retain their $20 discount, for $80. Smoking cessation and Returning Veteran treatments will still be free.

Any packages purchased at the old rates will be honored. In fact, feel free to stock up before July 1st, if you like. Thank you, and I look forward to serving you all for the next 15 years!

Tinnitus

Tinnitus (ringing or roaring in the ears) is one of the few things I can’t reliably treat with acupuncture. It can be mildly irritating or absolutely maddening, depending on the frequency, volume, and pitch.

Here’s a use-at-home method that just requires your hands. I can’t test it personally since I don’t suffer from tinnitus, but two of my friends who do reported this gave them temporary relief. I suspect it has to do with the impact affecting the vagus nerve. Anyway, here’s the video: Good luck!

https://www.youtube.com/watch?v=ajb37ie-Juo

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Instant Pot cooking

NOTE:  I am not getting paid by Instant Pot (or Amazon), nor do I have any other reason for this post other than to make it quicker and easier for you to cook healthy food at home. I work long hours, and sometimes I lack the energy / time to cook a traditional dinner. The Instant Pot ensures we eat out less, which saves us both cash and calories.

fast-food-collageAn Instant Pot is a digital pressure cooker. It’s well engineered to be safe and simple to use, unlike the terrifying stove pressure cooker my Mom used to make jelly when I was a kid. There are a few other brands out there that make similar machines, and if you have one of those you can use these same recipes with minimal changes in fluid amount and times.

The IP can:

  • Make hard boiled eggs* that peel like a dream, even when fresh.
  • Make bone broth / stock in an 90 minutes, not a day and half!
  • Make yogurt (some models have a specific button, others require more attention)
  • Make rice perfectly
  • Steam perfect veggies (just set it for 0 minutes!)
  • Cook tender roasts in 1.5 hours or less
  • Saute in the pot to reduce your dishwashing load
  • Caramelize onions in half an hour (make a bunch and freeze some for later!)

*Cook your eggs 5 min on high, 5 NR, 5 in an ice bath. Or for a lovely color and nutty flavor, 90 min (not a typo!) – makes incredible deviled eggs!

Continue reading

Colds and Flus

How to beat a cold with acupressure:

In the past, when people called me with a cold, I told them to come in. Acupuncture is great for the immune system! In the last few years, I have changed my policy. I now prefer you stay home if you’re contagious (how long is that?). I have patients who are immune-compromised*. This means I want to prevent their exposure, and also that I can’t work if I am sick at all – and losing a week or more of income is pretty rough (despite all the kitty snuggles).

li4So – here are some handy dandy acupressure points you can use for yourself. In all cases, press firmly with a fingertip for a few seconds, on both left and right sides. Continue reading

Cupping

You may have seen the news coverage of Michael Phelps and other Olympic athletes getting cupping. What the heck is it and how does it work?

cupping therapyDespite what that ridiculous article says, it IS ancient Chinese traditional medicine. The Chinese have been using heated cups for millennia. Practitioners warm the air inside the cup, then place it on the skin. A seal is formed. As the air cools, a vacuum is created. Standing cups are left in place. Another technique, moving cupping, involves sliding the cups around without breaking the seal. In both cases, the point is for the vacuum to separate the layers of skin and muscle and break up fascial adhesions.

Yes, it absolutely works! The reason I don’t do it in my office is that the dark circles are actually bruises – they are visual proof of broken capillaries bleeding under the skin. The vacuum created in cupping is strong enough that it does a little damage along with the good. I personally prefer to use myofacial release to break up the adhesions, sticking to the rule of “First, do no harm.” I get the same great results without any blood vessel trauma.

Next time you’re in the office, ask to see the cupping equipment. I keep a few cups around because they’re great conversation starters and they are beautiful, but sometimes modern innovation can provide a better solution.