http://www.bambuclinic.com Wed, 12 Jul 2017 16:00:11 +0000 en-US hourly 1 Beat the Heat http://www.bambuclinic.com/beat-the-heat/ Mon, 26 Jun 2017 22:43:29 +0000 http://www.bambuclinic.com/?p=1362 Temperatures have been over 90 degrees the last few days. It has got me thinking about the hazards of nature and what we should all be ready for when we venture out. Remember to spend at least 30 minutes a day outdoors. But take heed and as the scouts say “be prepared”. The best approach…

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Temperatures have been over 90 degrees the last few days. It has got me thinking about the hazards of nature and what we should all be ready for when we venture out. Remember to spend at least 30 minutes a day outdoors. But take heed and as the scouts say “be prepared”.

The best approach to any sun danger is prevention.  You should not be spending time outside during the hottest, brightest parts of the day.  Go out for your dose of sunshine either in the morning or the evening when the sun is low in the sky and drink extra water in the summer to account for the fluid loss caused by sweating.  By the time your body produces the thirsty signal, you are already dehydrated.  Try to hydrate proactively so that this does not happen.

Sun Burns

Use hydrotherapy to your benefit—take brief cool baths and apply wet towels to the area.  Fresh macerate of the Aloe vera plant, lavender oil or hypericum oil have all been reported to be helpful.

Dehydration

Prevention is key.  Drink half your body weight in ounces of water on a normal day, add a glass or two for each hour spent in the sun and even more if you are exercising in the sun.

Heat Exhaustion

Heat exhaustion happens when a person exercises in a hot, humid environment—fluid loss through sweat occurs and the person’s body temperature rises (up to 104 degrees).

  • Confusion
  • Dark-colored urine (a sign of dehydration)
  • Dizziness
  • Fainting
  • Fatigue
  • Headache
  • Muscle or abdominal cramps.
  • Nausea, vomiting, or diarrhea.

By Knowing the dangers of hot days in the sun we can plan ahead and all have a safe and healthy summer.

 

A Cool Recipe for a Hot Week

 

CHICKEN SALAD WITH GREEN BEANS AND POTATOES

Green Beans, Carrot with Chicken Studio Photo


1 pound small new potatoes, halved
12 ounces green beans
3 tablespoons extra-virgin olive oil
2 teaspoons Dijon mustard
1 tablespoon white wine vinegar
1/4 sea salt
1/4 freshly ground black pepper
1 2- to 2 1/2-pound rotisserie chicken, meat shredded
1 bunch watercress, thick stems removed

Steam potatoes for 10 minutes. Add the green beans and cook, covered, until the potatoes and green beans are tender, about 4 to 5 minutes. Run under cold water to cool.

In a small bowl, whisk together the oil, mustard, vinegar, salt and pepper.

Divide the chicken, watercress, potatoes, and beans among plates. Drizzle with dressing.
Serves 4.

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Write An HB 2778 Letter http://www.bambuclinic.com/write-hb-2778-letter/ Wed, 12 Apr 2017 22:46:39 +0000 http://www.bambuclinic.com/?p=1305 DC’s, LMT’s and LAc’s have jointly worked together to introduce a bill (HB 2778) to the House that effectively puts an end to prior authorization programs like Evicore, ASHN, etc. It also has a provision that stops insurer’s from charging higher copays/co-insurance/ deductibles than what it costs to access physician services. Lastly, has some language…

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DC’s, LMT’s and LAc’s have jointly worked together to introduce a bill (HB 2778) to the House that effectively puts an end to prior authorization programs like Evicore, ASHN, etc. It also has a provision that stops insurer’s from charging higher copays/co-insurance/ deductibles than what it costs to access physician services. Lastly, has some language amended that will not allow insurer’s to request refunds for services rendered when benefits where quoted.
We need emails to flood Mitch Greenlick’s (Chair Health Care Committee) office right now…

 
 

POTENTIAL PATIENT LETTER:
Dear [ ],
I am writing you to discuss HB 2778.  I have insurance through [insurance company], that I chose because of the chiropractic and acupuncture services it provides.  However, upon seeking care I found out that the insurance company can deny and/or limit treatment through a “prior-authorization program”.  This was not disclosed to me prior to choosing my insurance.  Prior Authorizations are unfair to me as a customer and costly for the state of Oregon.  In denying or limiting my care for services, it potentially forces me to seek pain drugs or other more costly and unneeded care.  Prior Authorizations also provide a costly burden on my provider. Please pass HB 2778 for the benefit of the insured patient as well as the providers.  Please help remove the barriers for me to get care that I need.
[PLEASE PROVIDE ANY PERSONAL TESTOMONY OF LIMITING CARE OR ACCESS TO PROVIDERS YOU’VE EXPERIENCED]
Thank you for taking action in this matter.
Sincerely,

 

You can read the overview and text of the bill here: https://olis.leg.state. or.us/…/201…/Measures/ Overview/HB2778

 

We are encouraging anyone who has had their health care access limited to contact both their personal representative and Chairperson of Health Committee Rep. Mitch Greenlick. Please describe your experience, how it hindered receiving timely and effective healthcare and how it effected your life.
Rep. Mitch Greenlick:
Capitol Phone: 503-986-1433
Capitol Address: 900 Court St. NE, H-493, Salem, Oregon 97301
District Phone: 503-297-2416
District Address: 412 NW Couch St #104 Portland, OR 97209
Email: Rep.Mitch…@state.or.us
Website: http://www. oregonlegislature.gov/ Greenlick
To find your personal representative:

 

Thank you for your action in this matter.

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Breathing http://www.bambuclinic.com/breathing/ Mon, 27 Mar 2017 09:00:26 +0000 http://www.bambuclinic.com/?p=1278 why bother? Breathing is important for so many reasons. The lungs detoxify the body as the carbon dioxide that we exhale is a waste product of every cell in our body. Carbon dioxide is generated in the process of generating cellular energy. One might argue that breathing is the most crucial of all routes of…

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why bother?

Breathing is important for so many reasons. The lungs detoxify the body as the carbon dioxide that we exhale is a waste product of every cell in our body. Carbon dioxide is generated in the process of generating cellular energy. One might argue that breathing is the most crucial of all routes of elimination. To notice the immediacy of its effect, try to stop breathing for five minutes. The carbon dioxide must be removed from the body for the blood to exchange it for more oxygen. Oxygen in turn yields more energy and the cycle begins again.

By exhaling carbon dioxide and exchanging it for oxygen, the lungs also maintain tight control over the acid/base balance of the blood and surrounding tissues. Carbon dioxide acts as an acid in the body and inflammation occurs when excess acidity accumulates. In fact, you cannot have inflammation without acidity.

In addition, the lungs serve a crucial rhythmic role in the body. In synch with the heartbeat, the breath rate can be calming to the nervous system by stimulating the vague nerve rhythmically. Patients obtain a great amount of benefit to their emotional stability, mental focus and stress levels by incorporating deep breathing into their daily routine. One inhalation should last the same amount of time as five heartbeats and an exhalation as much as ten beats of the heart. Just as we eat, sleep and work in synch with the circadian rhythm and menstruate with the lunar cycle, the breathing/heart rate acts as a lesser rhythm which synchronizes our body’s physiological activity. When these internal clocks become inconsistent, the body suffers multiple hormonal and nervous imbalances that can lead to innumerable patient complaints including poor sleep, weight gain, aches and pains, digestive distress, fatigue, variations in mood, headaches, and many more.

Energetically, the lungs are the organs of communication. Not only do the lungs generate the air that passes over the vocal chords to produce speech, but trees take in the carbon dioxide we exhale and, in turn, give off the oxygen we breathe. This give and take between ourselves and the outside world integrates our human physiology into a larger scheme, universal sustainability. In addition, the lungs in Chinese medical theory represent the organ of grief. So, when examining the underlying reasons for your lung symptoms, your naturopath might consider these energetic influences.

the research

what’s the skinny?

Studies have shown that the yogic practice of unilateral nostril breathing modifies the central nervous system. Utilized correctly, this exercise can alter mental clarity/focus and the body’s alertness as controlled by the autonomic nervous system. Depending on whether you use the right/left nostril or breathe unilaterally through alternating nostrils, the benefits can be lowered blood pressure, decreased anxiety, increased cognitive ability and decreased heart rate variability. There are quantifiable effects on the autonomic nervous system particularly in the eye where decreases in intraocular pressure are measurable.

Check out these links to read more about the positive benefits of unilateral nostril breathing:

Benefits of Cerebral Breathing

Benefits of Unilateral Nostril Breathing

Effects of Unilateral Nostril Breathing on the Nervous System

What to do?

our recommendations

The physicians at Bambú Clinic recommend this simple breathing exercise. To start, we suggest that you incorporate 100 deep conscious breaths per day into your routine. Deep refers to a breath into your belly, not one that elevates your shoulders. Your belly should fill up first followed by your chest. Conscious means that you are thinking about breathing while you are doing it. Placing your attention on your breathing increases the stress management benefits of this exercise. All that is required is that you count as you inhale slowly and, then, exhale for twice the time of the inhalation. When you get better at this technique, try to inhale while your heart beats five times and exhale as it beats ten. Once you have mastered this technique, you should complete only 4-6 breathing cycles each minute. The idea is to breathe while you are stopped at a traffic light, or standing in line at the grocery store. Place reminders on your makeup mirror or in your wallet. Do five breaths here and ten more there. Soon you will be doing 100 daily with no trouble at all.

Thank you,

We hope you found this information helpful. We strive to help our patients find a healthy way in the world. If you have topics you’d like us to address in future issues, please let us know. We are always available for questions and comments.

Warm Regards,

The Physicians of Bambu Clinic

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Gluten & Dairy Free Flap Jacks http://www.bambuclinic.com/gluten-dairy-free-flap-jacks/ Mon, 20 Mar 2017 09:00:18 +0000 http://www.bambuclinic.com/?p=1275 INGREDIENTS ¼ cup coconut flour ¼ teaspoon baking soda 2 tablespoons your favorite natural nut butter of choice (I like peanut or almond butter) 2 eggs, slightly beaten ½ tablespoon honey or maple syrup 1/2 medium banana, mashed ¼ cup Almond Breeze Almond milk Original Unsweetened ( But I like Vanilla Unsweetened) INSTRUCTIONS In large…

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INGREDIENTS
  • ¼ cup coconut flour
  • ¼ teaspoon baking soda
  • 2 tablespoons your favorite natural nut butter of choice (I like peanut or almond butter)
  • 2 eggs, slightly beaten
  • ½ tablespoon honey or maple syrup
  • 1/2 medium banana, mashed
  • ¼ cup Almond Breeze Almond milk Original Unsweetened ( But I like Vanilla Unsweetened)

INSTRUCTIONS

  1. In large bowl whisk together coconut flour and baking soda; set aside. In a separate medium bowl, beat nut butter, eggs, honey, banana and almond milk together until smooth and well combined. Add wet ingredients to flour mixture and mix together. Note: If you find that the batter is WAY too thick (almost paste like), you can add in a teaspoon or two of milk until it is smooth, but still thick.
  2. Lightly coat a large nonstick skillet or griddle with vegetable or coconut oil and place over medium low heat (coconut flour is sensitive to burning so medium-low heat is best). Drop about 3 tablespoons of the batter onto the skillet; you may need to use a spoon to spread out the batter just a tiny bit. It’s important not to place more than 3 tablespoons of batter at a time; the pancakes can be hard to flip if they are too large, so smaller pancakes are best. Plus mini pancakes are adorable, duh. It’s very important to cook until bubbles appear on top and the edges are well cooked. Flip cakes and cook until golden brown on underside, 2 minutes. If you find that the pancakes are browning too quickly then you need to lower your skillet heat a bit. Wipe skillet clean and repeat with more melted butter or cooking spray and remaining batter. Makes 2 servings, 3 pancakes each.

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Memory http://www.bambuclinic.com/memory/ Mon, 13 Mar 2017 09:00:21 +0000 http://www.bambuclinic.com/?p=1272 Most of us, as we get a little older, start to wish that our memory would serve us better. We notice that we cannot recall a person’s name or remember what we went into the next room to do. While stress and overwhelm create a fast-paced life which predisposes us to memory lapses, there are…

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Most of us, as we get a little older, start to wish that our memory would serve us better. We notice that we cannot recall a person’s name or remember what we went into the next room to do. While stress and overwhelm create a fast-paced life which predisposes us to memory lapses, there are real things we can do that will make a positive difference in our memory every day. This month, the physicians of Bambú Clinic discuss memory lapses and improvement.

How Could I Forget?

All too often, a patient tells us they are concerned about their memory. It may be a parent who forgot to pick up a child from school, someone who forgot to turn off the stove after heating soup, or even one of our physicians here at Bambú Clinic who (gasp!) forgot to check their phone messages. Any of this sound familiar? With our busy lives, we all too often overload our days (and our minds) with “to-do” items.

If you are continually forgetting important things during your day, be honest with yourself about how much you are expecting of your mind. Our brains are not designed to cook, email, and talk on the phone all at once! Simplify your expectations, do one thing at a time, and watch your memory improve.

Improvement

In addition to banning multi-tasking, these three simple tips can have a profound effect on your memory and brain function.

  • Sleep: get a full night’s rest
  • Drink water: stay hydrated
  • Chew your food

Sleep:

Sleep aids in learning in two distinct ways. First, adequate sleep improves focus, concentration and efficiency of creating a new memory. But, memory requires three separate brain functions—acquisition of new knowledge, consolidation and recall. While acquisition and recall occur only when you are awake, studies have shown that the second way sleep and memory are connected is in the consolidation step. When a memory consolidates, it becomes a “stable” neural network, this activity takes place while you sleep. This part of the process may be more crucial to the accuracy and reliability of memory retention than wakeful focus and attention. As this seems to be true for both factual and procedural learning, this information may help to explain why infants and children require more sleep than adults.

Water:

Just like inadequate sleep, even mild dehydration can impair your focus and concentration. Our bodies are at least 60% water, making it the best liquid to hydrate ourselves. Water is also a primary donor of oxygen to our systems. More oxygen in the body means more oxygen to the brain, boosting our mental clarity, alertness and attention. Water also provides an excellent conductor for electrical impulses including transmission of nervous signals.

Chewing:

It may seem strange, but emerging evidence suggests that chewing your food properly significantly improves your memory. Scientists in the UK discovered that subjects performed better on tests of both short and long-term memory if they chewed gum during the trial. A March 2000 Japanese study showed increased activity of the hippocampus, a crucial brain structure involved in memory, while people chew. To be clear, the gum is not necessary, just the chewing. Crunchy foods may stimulate the hippocampus more substantially than softer foods.

Super Foods to boost Memory

Our newsletter would not be complete without a discussion of the role diet can play in boosting memory. These super foods can help your brain to function at its best. Try to incorporate them into your diet as often as possible.

Fatty fish, including wild salmon, sardines, and anchovies have omega-3 fatty acids that are healthy for your brain (and your heart!)

Blueberries have been shown in numerous studies to do wonderful things for memory and the brain in general. Blueberries contain anthocyanin, a known memory-boosting phytochemical. They also contain many other phytochemicals that may contribute to healthy brain function.

Rosemary contains carnosic acid, which is neuroprotective and may play a role in the prevention of Alzheimer’s disease and other neurodegenerative brain disorders. One study even found that just the scent of rosemary improved the memories of office workers.

Spinach has been shown to prevent and even reverse memory loss in rats. This may be due in part to its high folic acid content, a nutrient that is believed to be protective against Alzheimer’s disease and age-related memory loss. Just a half-cup of cooked spinach provides two-thirds your daily requirement of folic acid.

Thank you,

We hope you found this information helpful. We strive to help our patients find a healthy way in the world. If you have topics you’d like us to address in future issues, please let us know. We are always available for questions and comments.

Warm Regards,

The Physicians of Bambú Clinic

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March Flowers? http://www.bambuclinic.com/march-flowers/ Mon, 06 Mar 2017 18:06:44 +0000 http://www.bambuclinic.com/?p=1268 Believe it or not, the daffodils and crocuses are already poking their heads out of the ground here in Portland.  Don’t be fooled, though, we won’t likely see the sun until July.  But, in the meantime, we will be enjoying some blooms to remind us that indeed it is spring.  This month, I came across…

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Believe it or not, the daffodils and crocuses are already poking their heads out of the ground here in Portland.  Don’t be fooled, though, we won’t likely see the sun until July.  But, in the meantime, we will be enjoying some blooms to remind us that indeed it is spring.  This month, I came across an article published in Discover magazine in 2006 that reminded me of some concepts in the book Biology of Belief.  Those two publications inspired this month’s health letter.

As naturopathic physicians, we focus primarily on the things that our patients can change to optimize their health. To do this effectively, we study the underlying mechanisms of illness, both acute and chronic. This means that usually we are looking at research illuminating the effects of diet, exercise, breathing, hydration, lifestyle, relationships, and spiritual contentment on overall wellness. In other words, we hold a deep belief that these alterable factors play a major role in your health. On the other hand, conventional medical research has turned more and more over the past decade to looking primarily at the ways in which our DNA dictates the development of various health conditions. The debate is a classic one, nature vs. nurture. Does your physical/mental health depend more on the genetic code you were born with or the life experiences/lifestyle choices you have been exposed to? Medical findings in the past few years have shown that the answer to this debate might not be an “either/or,” but rather “both.”

In the 1980s, scientists completed the Human Genome Project. As genes code for proteins in our bodies and the estimate was that each human being required over 120,000 proteins to perform the daily tasks of life, researchers expected to find a comparable 120,000+ genes. Imagine their surprise when the entire Human Genome Project consisted of no more than 25,000 genes. This figure alone points to a crack in the theory that everything can be explained by DNA. In fact, the body makes an abundance of different proteins from each gene. So, then, how does the body know which protein to make?? The solution is to look at epigenetics. “Epigenetics” is a fancy term for the environment surrounding the DNA. The environment of the cell determines which proteins are necessary and that message is conveyed through complex interactions to trigger the DNA to respond.

The significance of the results of the Human Genome Project has since been confirmed in many studies. In 2000, researchers at Duke University showed that the agouti gene in mice, which usually codes for ravenous, yellow rodents who are more susceptible to diabetes and cancer, can be completely turned off with a simple adjustment in the diet of the pregnant mothers. In addition, this study demonstrated that this effect permeated several of the following generations. Your mother’s lifestyle choices not only can change the expression of your genetic code, but also the genetic code of your children and your grandchildren.

“Michael Meaney, a biologist at McGill University has pursued an equally provocative notion: that some epigenetic changes can be induced after birth, through a mother’s physical behavior toward her newborn.”(DNA is Not Destiny, Discover, Nov 2006) His research showed that mother rats who engaged in nurturing behaviors raised offspring who were relatively brave and calm compared with other rats whose mothers had neglected them. After analyzing brain tissue from both sets of offspring, Meaney discovered that the behavior was the result of a fundamental change to the epigenetic structure of the DNA precipitated by the nurturing behavior. “Nurture” had made its way into “nature”-a phenomenon thought to be impossible.

To read more on this topic, go to “DNA is Not Destiny, the new science of epigenetics rewrites the rules of disease, heredity, and identity” by Ethan Watters, Discover, Vol. 27 No. 11, November 2006.

Daily Practices

Knowing that we have the power to alter how our genes express themselves opens a whole new area for empowerment over our health.  Try these simple exercises which will undoubtedly change the structure of your own epigenetic code.

  • Eat a nutritious, whole foods diet
  • Drink clean, healthy water
  • Cultivate loving, supportive relationships
  • Breathing exercises: 100 deep breaths a day is all it takes.  Use the technique that works for you.
  • Yoga, Tai chi, Qi gong, meditation: Incorporate mindful, moving meditation or seated prayer into your routine.

For one week, fast from your life.  Take the week off work and all other obligations.  Eat a simple diet, do a daily prayerful practice, take walks, drink herbal teas, do saunas and other detoxifying rituals, receive some form of loving touch.

Book Recommendations

The Biology of Belief: Unleashing the Power of Consciousness, Matter & Miracles by Bruce Lipton, PhD.

With more than 100,000 copies sold of his self-published book, The Biology of Belief, Bruce Lipton teams up with Hay House to bring his message to an even wider audience. This book is a groundbreaking work in the field of new biology, and it will forever change how you think about thinking. Through the research of Dr. Lipton and other leading-edge scientists, stunning new discoveries have been made about the interaction between your mind and body and the processes by which cells receive information. It shows that genes and DNA do not control our biology, that instead DNA is controlled by signals from outside the cell, including the energetic messages emanating from our thoughts. Using simple language, illustrations, humor, and everyday examples, he demonstrates how the new science of Epigenetics is revolutionizing our understanding of the link between mind and matter and the profound effects it has on our personal lives and the collective life of our species.

About the Author

Bruce Lipton, Ph.D. is an internationally recognized authority in bridging science and spirit and a leading voice in new biology. A cell biologist by training, he taught Cell Biology at the University of Wisconsin’s School of Medicine, and later performed pioneering studies at Stanford University’s School of Medicine. He has been a guest speaker on dozens of TV and radio shows, as well as keynote presenter for national conferences.

Thank You,

We hope you found this information helpful. We strive to help our patients find a healthy way in the world. If you have topics you’d like us to address in future issues, please let us know. We are always available for questions and comments.

Warm Regards,

The Physicians of Bambú Clinic

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Gluten: What’s the big deal? http://www.bambuclinic.com/gluten-whats-big-deal/ Mon, 06 Feb 2017 21:06:48 +0000 http://www.bambuclinic.com/?p=1259 As we approach yet another holiday known for its sweet treats we at Bambu would like to share with you one way to reduce the burden of those Valentine goodies. Whether you are intolerant to gluten or not, everyone can benefit from a little variety in their diet, and eating gluten-free is one way to…

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As we approach yet another holiday known for its sweet treats we at Bambu would like to share with you one way to reduce the burden of those Valentine goodies. Whether you are intolerant to gluten or not, everyone can benefit from a little variety in their diet, and eating gluten-free is one way to diversify the grains you consume.

Don’t forget to stop by the clinic between 3 and 6pm on Wednesday, February 10th for a gluten-free showcase of sweet and savory treats – we’d love to see you!

Gluten: What’s the big deal?

Gluten is a protein found in wheat, barley, rye, and spelt. It’s never been easy for people to digest, but over the years wheat has become one of the easiest crops to mass produce and because of this our exposure to gluten has skyrocketed. This tiny protein makes its way into the average American diet many times a day, every single day. Unless a baked good is specifically labeled gluten-free, it was most likely made with wheat flour. Cereal, bread, bagels, pasta, crackers, cookies, cakes, pastries, flour tortillas all contain gluten. Unless we are consciously watching how much we consume, many Americans are eating gluten between 3 and 6 times a day! Any food eaten this often runs the risk of becoming problematic. The two most common gluten-related health concerns are celiac disease and gluten intolerance.

Celiac disease is an auto-immune condition that gets triggered by the ingestion of gluten. In celiac disease the body responds to gluten like a threat, and the same antibodies that attack the gluten in order to get rid of it actually attack the lining of the intestines as well. This assault on the digestive tract leads to extensive nutrient malabsorption and related disorders (anemia, osteoporosis, infertility and miscarriages just to name a few). Once thought of as a rare condition, the incidence of celiac disease is on the rise around the world, and affects at least 3 million people (1 in 133) in the United States alone. Because there is a genetic component to the disease, incidence among family members is increased to 1 in 22 people.

Gluten intolerance resembles celiac in that people who are intolerant also produce antibodies to gluten. These antibodies, however, do not attack the lining of the intestine. While they can create a great deal of inflammation and physical distress, they tend not to lead to the same amount of tissue destruction. Gluten intolerance can cause a wide range of symptoms, but is not an autoimmune condition. It’s estimated that as many as 30-40% of people may have some kind of reaction to gluten.

Symptoms for celiac and gluten intolerance often overlap. Potentially frustrating for patients and clinicians alike, the symptom pictures can vary so much from person to person that diagnosis can be challenging. People may not experience any abdominal symptoms at all – leading many physicians away from the idea that food may be a culprit. Celiac patients and gluten intolerant people alike may experience any of the following:

  • Bloating and gas
  • Abdominal pain
  • Indigestion and reflux
  • Chronic diarrhea
  • Chronic constipation
  • Vomiting
  • Fatty stool
  • Foul smelling stool
  • Weight gain
  • Weight loss
  • Failure to thrive in infants
  • Delayed growth and/or puberty in children
  • Unexplained iron-deficiency anemia
  • Fatigue
  • Bone or joint pain
  • Arthritis
  • Bone loss or osteoporosis
  • Depression or anxiety
  • Tingling numbness in the hands and feet
  • Seizures
  • Missed or irregular menstrual periods
  • Infertility or recurrent miscarriage
  • Canker sores inside the mouth
  • Rashes
  • Hair loss

In addition, many people with celiac disease have an increased incidence of other autoimmune conditions, including type 1 diabetes, Sjogren’s syndrome, rheumatoid arthritis, and autoimmune liver and thyroid disease. Left untreated, celiac disease increases the risk for liver complications and digestive tract cancers later in life.

There is some question as to whether gluten intolerance that is ignored can eventually become celiac disease. Are these two independent conditions or simply two ends of a spectrum for a single disorder? The jury is out on medical classification – but one thing is for sure, both conditions require treatment and care.

Diagnosis and Treatment: What to do?

Antibody levels are the first thing to check when concerned about a gluten reaction. Naturopaths often look at salivary or fecal IgA antibodies to gluten first, and if further work up is needed move along to blood draws. Kenneth Fine, MD, of Enterolab (a laboratory that specifically diagnoses food intolerances) believes that checking for reaction in the GI tract (saliva or stool) is a more accurate way of diagnosing intolerances than looking in the blood. First, look where the reaction is actually occurring. If a positive reaction is found in the gut, then look to the blood and see how extensive it is. Blood tests can look for both antibodies to gluten and antibodies that attack intestinal mucosa (for celiac disease). If the latter are positive the gold standard for celiac diagnosis is an intestinal biopsy.

The most important treatment in either condition is a gluten-free diet. We know that this can be challenging, and we also know that it’s become much, much easier to do over the past several years. With the number of people finding that gluten doesn’t agree with them, the number of substitute products, cookbooks, and resources on the market these days is astounding.

Other treatments help to reestablish gut mucosa health while replacing valuable nutrients lost from chronic malabsorption (iron, folate, vitamins D and B12 in particular). The GI tract is a microenvironment unto its own. Long-term inflammation from ongoing exposure to gluten can greatly compromise the function of the tract – what’s the quality of the saliva? How much stomach acid is produced? How well does the pancreas secrete digestive enzymes? What’s the balance of good gut bacteria? It’s important that treatment not stop with diet alone, but that people work with a trained clinician to help investigate these questions in order to restore optimal gut function.

 Gluten-Free V-Day Recipe: Super Moist Brownies

Try out the following recipe on your family and friends, we promise they won’t know the difference! And if you have favorite recipes you’d like to share, email them to us. We’d love to post them on our website so others can benefit, too!

Ingredients:  

  • 1 cup butter
  • 2 oz unsweetened chocolate
    1 cup sugar
    2 eggs
    1 tsp vanilla
    1/4 cup rice flour
    1/4 tapioca flour
    1/4 potato starch flour
    1/4 tsp xanthum gum

To bake:

Preheat oven to 350°. Combine chocolate and butter over low heat until melted. Place chocolate into a mixing bowl and add sugar, eggs, and vanilla. Lightly beat by hand until combined. Stir in dry ingredients. Spread into an 8 x 8 inch greased baking pan and bake for 25-30 min at 350°. These brownies freeze well (if there are any left!) for a rainy day treat. Enjoy!

Thank you,

We hope you found this information helpful. We strive to help our patients find a healthy way in the world. If you have topics you’d like us to address in future issues please let us know. We are always available for questions and comments.

Warm Regards,

The Physicians of Bambú Clinic

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Water, water, water … http://www.bambuclinic.com/water-water-water/ Tue, 24 Jan 2017 21:23:16 +0000 http://www.bambuclinic.com/?p=1247 what’s the difference? There are so many different water products available today, a little vocabulary to clarify the most common. Tap Water:Tap water is regulated by the Environmental Protection Agency (EPA). There are 119 chemicals and contaminants that the EPA requires municipal water sources to test for on a regular basis. (To put this in…

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what’s the difference?

There are so many different water products available today, a little vocabulary to clarify the most common.

  1. Tap Water:Tap water is regulated by the Environmental Protection Agency (EPA). There are 119 chemicals and contaminants that the EPA requires municipal water sources to test for on a regular basis. (To put this in perspective there are more than 82,000 chemicals in use in the U.S. today). Municipal water sources will differ in how they choose to reduce
    contamination.
  2. Bottled Water:Bottled water is regulated by the Food and Drug Administration (FDA) which determines the maximum levels of certain contaminants allowed. These levels are based on the EPA’s requirements for tap water. The FDA only regulates bottled water that crosses interstate lines, and their stated position on regulating water facilities is as follows: “Because FDA’s experience over the years has shown that bottled water has a good safety record, bottled water plants generally are assigned low priority for inspection.” The bottled water industry has turned to regulating itself in order to prove the safety of their products to the public. Certifications by the National Sanitation Foundation (NSF) and the International Bottled Water Association (IBWA) give consumers confidence that someone is assessing the quality of their drinking water.

There are several different types of bottled waters available:

*Distilled Water is created by boiling water and condensing the steam in a clean container. Impurities, contaminants, and minerals are left behind. Distilled water contains virtually 0 parts per million (ppm) of total dissolved solids (TDS). Total Dissolved Solids includes bad solids, like mercury and bacteria, as well as good solids, like calcium and magnesium.

*Reverse Osmosis is a purification technique in which water is forced through semipermeable membranes not porous enough to let minerals or other contaminants through. Dasani™ is a bottled water purified by reverse osmosis (minerals are added back into the water after purification to enhance taste leading to 15 ppm TDS).

*Spring Water is water from an underground source that flows to the earth’s surface unaided. Collected at the source, spring water is brought to a bottling plant and tested for impurities and contaminants similar to tap water. Poland Spring® is bottled spring water. It averages between 26 and 60 ppm TDS.

*Mineral Water originates from an underground water source and contains a constant level of minerals and trace elements, no minerals may be added later. It has no less than 250 ppm TDS. Calistoga® Sparkling Mineral Water contains between 490 and 590 ppm TDS. Perrier® averages around 475 ppm TDS.

Problems with Bottled Water:

  1. Phthalatesare chemicals used in making plastics. Most of the disposable water bottles today are polyethylene terephthalate, or PET, bottles. Phthalatesare used in thousands of consumer products from plastic bags to passifiers to shampoos and makeup, and have been shown to leach into the environment and into our bodies. In high enough concentrations phthalates can be carcinogenic, interfere with the endocrine system, and cause damage to reproductive organs and developing fetuses. What’s a high enough concentration? Nobody knows yet. There are several different types of phthalates in use and because they are used in such a wide variety of products everyone’s exposure will vary. Our thoughts? Error on the side of caution. Especially if you are pregnant, intend to get pregnant, or have a personal orfamily history of endocrine related cancers (breast, prostate, ovarian, etc).
  2. Think about theenvironmental burdenof all these bottles! It can take upwards of 100 years for a plastic bottle to break down. And when it does finally break down think about the chemicals that leach into the environment and lead to hormonal problems for frogs, fish, birds, and once again… you! The earth’s water cycle is a closed system, what we have is what we get!
  3. Bottled water isnot a cost effective wayto get your daily serving. If you drink 64oz of water a day (and we recommend that you drink half your body weight in ounces daily) you could spend anywhere from $400 to $800 dollars a year just on water!!!

Problems with Tap Water:

  1. Municipal water companies have to test for approximately 120 contaminants in their water on an ongoing basis. In a 5 year survey of more than 22 million tap water samples, the environmental watchdog organization Environmental Working Group (ewg.org) found260 contaminants present in the nation’s tap water, 140 of which are not regulated by the EPA and have no safety standards. According to chemical listings in seven standard government and industry toxicity references 52 of these contaminants are linked to cancer, 41 to reproductive toxicity, 36 to developmental toxicity, and 16 to immune system damage.
    Click here for their full report.
  2. There are more than 82,000 chemicals in use in the U.S. today. When it comes to water contamination we will only find what we are looking for. Between 1999 and 2000 a US Geological Survey foundhormones,cholesterolantibiotics, and other pharmaceuticals in 111 streams around the country.
  3. DBP’s,disinfectant by-products. Many municipal water sources use ozone and/or chloramines (chlorine and ammonia) to kill bacteria, parasites, and other microbes. Both of these techniques create by-products that have been shown to causecancer in laboratory animals. Purifying water is a tricky balancing act in which the risk of pathogenic microbes must be weighed against the risk of toxic by-products. To date several hundred DBP’s have been identified.

Our recommendations

  1. Visit theEnvironmental Working Group’s databaseof water samples. Enter your zip code, select your water company, and find out the top contaminants of concern in your water supply.
    *For those of you living in Boston and immediate surrounding areas your water company is probably the Massachusetts Water Resources Authority. Click here for a list of towns that receive water from the MWRA.
  2. Purchase a water filter that is certified by the NSF (an independent public health and consumer safety testing organization) that will remove a wide range of contaminants, including those of particular concern for your area. We recommend looking at a Multi-Pure filtration unit.We use a Multi-Pure filter at home and in the office. The company has the most extensive list of filtered contaminants on the market. While the upfront cost for a filtration unit can be a little steep (from $180 to $500) the filters ($50) only have to be changed once a year. In the long run this is an enormous savings over other purified water options. Barry Levine is a recommended local Multi-Pure distributor and can be reached at 617.617.738.9597 for orders.
  3. Reserve the use of plastic bottles for traveling and for times when a glass just won’t cut it. Drink the majority of your water from a non-plastic container.
  4. Never heat water in a plastic container or drink from a water bottle that’s been sitting in the sun for long periods of time.

Thank you,

We hope you found this information helpful. We strive to help our patients find a healthy way in the world. If you have topics you’d like us to address in future issues please let us know. We are always available for questions and comments.

 

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Congratulations to our Portland Monthly 2017 Top Docs http://www.bambuclinic.com/congrats-portland-monthly-top-docs/ Mon, 16 Jan 2017 18:43:21 +0000 http://www.bambuclinic.com/?p=1229 CONGRATULATIONS BAMBU CLINIC Everybody needs expert advice sometimes to stay on top of our health. Over the past 13 years Portland Monthly has compiled a list of peer screened doctors, nurse practitioners and caregivers in the Portland Metro area. This year the part of the physician assistant is also being recognized as that role becomes more used…

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CONGRATULATIONS BAMBU CLINIC

Everybody needs expert advice sometimes to stay on top of our health. Over the past 13 years Portland Monthly has compiled a list of peer screened doctors, nurse practitioners and caregivers in the Portland Metro area. This year the part of the physician assistant is also being recognized as that role becomes more used in today’s care.

So how is this list made? It starts with an intensive five-month survey process by asking these professionals a single question, spanning seventy five medical specialties: to whom would they trust the care of their loved ones? Thousands participated in the 2016 survey, submitting more than 12,000 nominations. The list reports the highest 5% of those voted for, who were then carefully vetted by a volunteer panel of local medical professionals. The results are thought to stand all on their own.

We want to take this time to congratulate our doctors,

Rebecca (Asmar) Krisko, ND   Elise Schroeder, ND  Angela Read, MAcOM, LAc

for making the Portland Monthly Top Docs for 2017.

You can see more of the top docs on the Portland Monthly Searchable Database that can be found at the link below.

Click here for the Searchable Database

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Emunctories http://www.bambuclinic.com/emunctories/ Mon, 09 Jan 2017 20:55:03 +0000 http://www.bambuclinic.com/?p=1225 Emunctories: 1. How do you define an emunctory and the emunctories system? An emunctory, most simply, is a “route of elimination.” But, a more complex understanding would be any process or location by which the body rids itself of toxic substances or waste products it does not need. Primary emuntories (GI, lung, skin, kidney) are…

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Emunctories:

1. How do you define an emunctory and the emunctories system?
An emunctory, most simply, is a “route of elimination.” But, a more complex understanding would be any process or location by which the body rids itself of toxic substances or waste products it does not need. Primary emuntories (GI, lung, skin, kidney) are the most efficient routes of elimination, when those are not working properly, the body will attempt to use secondary emunctories. These secondary emunctories are not only not as efficient, they are not “meant for” this job of elimination. Therefore, secondary emunctories often develop an “itis” when the primary emunctories are not working. Any chronic “itis” is an indication of poor elimination through primary emunctories.
2. What are the physiological and philosophical differences between emunction and detoxification?
Philosophically: Emunction is proper physiology working well to process, filter, and eliminate toxins and waste products. Detox is an external force imposed on the body to drive out impurities. Emunction is a passive process of optimizing function, detox is an active process of pushing out perceived contamination.
Physiologically: Emunction involves optimizing functionality of all major routes of elimination as well as considering what is required to properly process any ingested substances and to move the waste products through the fluid systems of the body to the proper routes. Detox, physiologically, involves stimulating the liver, removing external toxic exposures, and some kind of external process to eliminate (colonic, enema, sauna etc.)
3. Which of the emunctories is the most critical for care?
All are the most critical. All must be working efficiently to support optimal health.
4. What are the clinical applications of the emunctories systems? What are these clinical applications based upon?
Not sure what you mean by “based on,” but we apply the idea of opening emunctories as a first step in the treatment of every patient that comes to the clinic. We believe that most patients’ symptoms are at least partially the result of poor emunctory function, but also that open emunctories provide a stable foundation upon which to build optimal health. Open emunctories virtually guarantee fewer side effects or adverse effects of medications (both ND and MD remedies). In addition, once the emunctories are open and properly functioning, we can dive deeper into the physiology that will reveal the underlying reason why the patient became ill. Without this foundation of open emunctories, we would be dealing with many more complications as treatment progresses.
5. “The exultation of the vital force is accomplished by the stimulation of the emunctories.” Faber’s medical dictionary of 1865. Please elaborate.
When you provide gentle stimulus to the emunctories and watch them open and begin to function properly, you do, then, get to see the vital force in action. The body restores itself to proper function on many deeper levels just by returning these systems to balance.
What is the impetus for creating this elective?
If you know how to properly restore emunctory function, you know how to begin EVERY naturopathic case. Every patient will benefit from this foundational approach and it provides a very stable place for each naturopath to then use his/her own individual style to treat the case. Proper function on this level is the foundation for good ND care regardless of what else you choose to do. And our collective results will improve by many times if we all employ this approach in our practices before we do any type of external intervention.
6. Which classical methods do you employ to assess that a patient may need emunction/detoxification?
Asking basic questions about digestion, sleep, energy, appetite, mood, menses.
Assessing the case history by keeping emunctory function in mind. Like I said, all chronic inflammations are related to emunctory function. Must draw relationships between the chronic constipation of a patient and their skin rash that will not go away. But, it is easy to assess which patients need this when we believe that every patient needs this. Its not always that every patients emunctories are not functioning properly (although it is often the case), but every treatment plan requires proper emunctory support to be even more effective and to achieve long-lasting cure.
7. Would pulse taking, tongue reading and iridology be adequate complementary assessment tools for assessing emunctory function?
Yes, I believe these tools can add information to a case that is already developing. If you have good support in the case history, the family history and lab reports, these assessment modalities can add further pieces of the puzzle. When assessing emunctories in the context of a case, we are trying to put a puzzle together to determine the underlying cause of the patient’s imbalance. These tools can be invaluable at providing missing pieces.
8. Which common classical patterns require emunction?
Constipation, skin problems, joint problems, chronic inflammations “itises,” chronic discharges (cough, acne, etc…), congestion of any part of the body (edema, liver congestion like dysmenorrhea), weight issues esp. overweight patients, absence of proper immune function (never gets sick, autoimmune), any disease of growth/storage (cancer, cysts, growths, fibroids, high cholesterol), the list goes on & on…
9. What treatment modalities do you use to stimulate emunctories?
100 conscious breaths/day, water, get outside daily, castor oil packs, daily movement/exercise, dry skin brushing, acidophilus, 2 tbsp ground seeds daily, UNDAs, flower essences, acupuncture, gemmotherapies, homeopathy
10. Where does emunction fit in your therapeutic order?
We do nothing before we are sure that the emunctories are functioning properly. If we treat before the emunctories are optimal, we risk the patient suffering unnecessary effects of treatment.
11. How do mental/emotional aspects of clearing emunctories manifest?
The emotional sphere can be included as a higher order emunctory. Our emotions are definitely one way in which we eliminate some of what we encounter on a daily basis. So, then, emotional symptoms can also be a product of opening the emunctories. As you decongest the GI in working with a constipated patient, anxiety might manifest indicating that the kidney is really the emunctory that needs your support in this process. So, emotions can also help to point the physician to the proper emunctory to support (lung-grief, kidney-anxiety/fear, liver-anger)
12. How is sound spiritual health associated with healthy emunctories?
We do not believe that sound spiritual health is possible without healthy emunctories. This is the place we are all trying to achieve… balanced physical and spiritual health… cannot have it without optimizing the basic fundamental processes of the body like elimination of wastes.
13. How do we communicate with other allied health practitioners what we are doing when we “open the emunctories?”
I think we just tell them we are optimizing the body’s ability to eliminate waste products.
14. If properly managed the function of the emunctories should not decline with age. Please elaborate on this statement.
I do not agree with this statement. I think that the natural decline of the emunctories IS the normal aging process and that “dying of old age” means partly that your emunctory function cannot keep up with the demand. More cells die than can be regenerated…
15. How could chronic back pain or a diagnosis of schizophrenia be managed through opening the emunctories?
Back pain is very common. If emunctories are not efficient, then waste products build up. Where are they going to go?? An intelligent system will not deposit these waste products in the heart or brain (crucial organs) so often, they are deposited in the joint spaces. Chronic back pain goes away regularly by maximizing emunctory function.
Schizophrenia is a much more severe diagnosis. If the toxic products/wastes have crossed the BBB, then all systems are likely involved in this long term degeneration of health. Meaning that emunctories need to be opened first, then all the systems of the body will need to be supported and rebalanced to achieve any real progress on this diagnosis.
16. What are the emunctories of our living environment/earth and how do they correlate to our physiological emunctories?
Seems our living earth has obscured its emunctories, but we do have living systems for dealing with wastes/toxic byproducts. Respiration is one of these systems. Not only humans breathe… plants breathe also, but in reverse. So, our waste product CO2 is their fuel and their waste product O2 is our fuel. The oceanic soup has many mechanisms for processing byproducts of organic life and recycling them back into the environment as usable materials. And weather patterns are also an environmental balancing act. Our thunderstorm is the counterpart to an environmental event on the other side of the globe.
17. What is the role of public health and policy in keeping our environment clean and our emunctories properly open?
Hmm… It is our responsibility to maintain our own personal health as a reflection of the overall health of the planet and I think it is our responsibility to maintain the health of the planet as a reflection of our personal health. Health has inherent value. We do not need to “prove” its benefit. By optimizing the wellness of our individual bodies and of the world, we provide an atmosphere in which spiritual growth and evolution can occur.

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