Summer Sun Safety

sunshine-summerSummer in the Northwest brings a variety of outdoor activities, which results in higher sun exposure. At this time of year, it is important to remember the good and bad results of increased sun exposure to keep you and your family safe.

VITAMIN D is produced by our skin after exposure to sunlight; therefore summer is a great time to increase your body’s production. This vitamin plays an important role in controlling your immune system, bone health, and hormone production. Healthy levels of vitamin D are important for everyone, but especially for people with autoimmune diseases or chronic diseases. If you don’t know your vitamin D levels, consider asking your doctor about having this tested.

MOOD SUPPORT is generally noticed during the sunny seasons. During the winter months, Seasonal Affective Disorder (SAD) is common and results in many people feeling depressed or unmotivated. This is naturally alleviated during the Spring and Summer as the sun begins to shine more often. If you suffer from this condition, consider talking to your doctor about ways to cope during the winter months.

SUNBURN is an inflammatory reaction of the skin cells from excessive exposure to UV rays. It is usually temporary and the redness and pain will resolve within a couple of days. Serious sunburns include blistering and peeling of the skin, which takes longer to heal and can cause more complications. The more sunburns a person has in their lifetime, the higher their risk of skin cancer and pre-cancerous skin conditions. People with naturally lighter skin tones will burn more easily.

SAFETY TIPS FOR THE SUMMER SUN

-Watch your dose: know your limit to sun exposure and limit your unprotected outdoor time accordingly. People with lighter skin can tolerate less sun exposure than people with darker skin.

-Cover up: a wide brimmed hat and a shirt with sleeves can do wonders for sun protection. Also consider coverage from an umbrella or other shade if you will be outside for a longer duration.

-Stay hydrated: generally I recommend 1/2 of your weight in ounces of water per day (ie if you weigh 150lbs, you drink 75oz of water per day). When you are outside sweating, the needed amount can increase greatly. Also, remember to add a glass of water for every alcoholic or caffeinated drink you consume.

-Sunscreen: I recommend wearing sunscreen if you will be out in the sun for more than 30 minutes (or less if you are very fair skinned). Look for an SPF 20-30 sunblock, anything higher is not necessary. There is quite a bit of controversy over which sunscreen is the safest. I think that decision depends on your priorities. Please look into the database and articles on the Environmental Working Group website to read more: www.ewg.org/2012sunscreen

Essential Oils- Some of My Favorites

EssentialOils900

Essential oils can be a powerful health tool, and they are known for their subtle and gentle effects.  I love essential oils and have used the extensively in my life and in my clinical practice, but I do not proclaim myself as an expert in essential oils.  Many of my colleagues and teachers are more knowledgeable than I am in this area.   That being said, here are some of my favorites!

Notes:

*This information is from my personal experience and from my education in naturopathic medical school.  I don’t have any references for this material, it is mostly been verbally passed down from the experts.

*Essential oils are generally safe to try for people of all ages and most health concerns, but it is best to speak with a holistic medical provider before using.

* If you know that you have an allergy to any of these plants, then DO NOT use the essential oil.

*Also, essential oils are generally safe when used externally, and most should be diluted before applying to the skin (best diluents include almond oil, jojoba oil, your lotion/moisturizer, olive oil). With very limited exceptions, it is usually not recommended to take essential oils internally unless properly diluted.

Lavender- the good-for-everything oil.  Great for mental health, helps with nervousness, anxiety and depression.  It can either bring up the parasympathetic nervous system (rest and digest) or bring down the sympathetic nervous system (fight or flight), it is very balancing.  Apply it to the inner wrist or bottom of the feet for relief.  Can be applied directly to minor skin burns, as it helps decrease the sensation of pain and heat and can prevent blistering.  It can relieve migraines when combined with peppermint.

German Chamomile- great for bug bites, skin injuries like scrapes/rugburn, hives and eczema.  It is a powerful anti-inflammatory, so it is great for any skin condition with redness.  Mix with calendula oil for a powerful healing oil, or mix a few drops into your moisturizer.

Tea Tree- a potent antimicrobial.  This works well for skin and nail fungus, but can be too strong for the skin if not diluted.  This is a great addition to liquid hand soap or shampoo.  It can also be used in a diffuser to clean the air in a room, although some people do not enjoy the smell of this oil.  Interestingly, manuka honey is honey from bees pollinating the tea tree, and has many healing properties.

Peppermint- Great digestion tonic, helps to stimulates digestion by increasing saliva and bile production. It can also relieve gas and nausea. For these uses one drop followed by a glass of water is sufficient.  Topically it is good for hot flashes because it gives the skin a cool sensation. This is also great in a diffuser to clean the air in a room.  Almost everyone likes this smell.

Eucalyptus- This is great for respiratory infections and allergies.  It has antiviral activity, and is cooling to swollen, irritated tissues.  Add a few drops to a pot of hot water to breathe in the steam when you’re sick.  You can also apply one drop to the bottom of your nose when allergy season hits to keep your sinuses clear.

Rose Geranium- Great for women’s health conditions.  You can rub a few drops on your lower abdomen for menstrual cramps.  It may be able to balance the female hormones if used regularly, and it is one of those “feel good” smells which may be related to increasing the parasympathetic nervous system.  Good for those who crave sugar during their menses.

{Disclaimer: this is not considered personal medical advice, and you should speak with a physician before making diet and lifestyle changes. I’m happy to be that physician; all you need to do is schedule an appointment with me}

New Workshops Coming Up!

fruit veggie heart

Book now as space is limited!  Dr. Ward-Selinger and Dr. Herman are teaming up to present on these exciting topics.  Please reserve your space at www.sellwoodyoga.com

April Workshop:
Intro to Cleansing, $10 to reserve your space
In this workshop we will discuss the benefits of cleanses and and outline different protocols, as well as how to choose a program that’s right for you.  Dr. Kai and Dr. Lauren will provide tips for a safe and effective cleanse program, as well as ways to incorporate these healthy habits into your every day life.  Attendees will also receive a discount to use towards the group cleanse scheduled at Elixia Wellness Group in May 2014.
pollen

May Workshop:
Conquering Allergies, $10 to reserve your space
The incidence of food and skin allergies is steadily increasing. In this workshop we will discuss the causes and prevalence of environmental and dietary allergies.  Dr. Kai and Dr. Lauren will discuss how to limit your exposure to allergens and will discuss effective, natural allergy treatments that provide long term allergy control.

“Obamacare” from My Perspective

ACAThis post is more of an editorial than usual, so bear with me.

There aren’t many other topics lately that spark such a heated debate as the Affordable Care Act (ACA).  People love it and hate it, some think it’s socialist and some think it’s long overdue.  Some think it’s completely overboard and others think it is not nearly enough.  Some think it’s expensive others think it’s only a mere fraction of our actual healthcare costs.  Everyone is entitled to their own opinion, and no one can really expect us all to agree on whether it is right or wrong.  Surely we will not agree on what is “enough”, as the scale varies wildly from “provide nothing to nobody” to “provide everything for everybody”.  This post is only to provide an inside scoop from a Naturopathic Physician’s perspective.

ACCESS TO CARE: Since January 1st I have seen an influx of patients coming in to the clinic for general checkups or to take care of their known health problems.  Some of them have been without health insurance for years because they could not afford it. Patients with diabetes, high blood pressure, thyroid disease, psychiatric issues, and other conditions have been without medications, labwork and imaging for extended periods of time.  For those of you lucky enough not to have any chronic health conditions, let me stress how critical it is to get regular care.   Unmanaged health issues can result in heart attacks, blindness, pain, nerve problems, and much more.  It has been truly amazing to provide care to these patients who are so greatly in need.  I’ve also seen patients who have insurance for the first time in their lives, and are being diagnosed with serious conditions that they did not know they had.  The sooner we diagnose a problem and address the cause, the healthier they will be.  It is LONG overdue that everyone has equal access to healthcare.

ACCESS TO NATUROPATHIC MEDICINE: On a more political level, the ACA contains a clause which states that insurers cannot discriminate against medical providers who practice within their scope.  Therefore, medical providers will be reimbursed the same rate for similar services.  This is a huge step for Naturopathic Physicians who practice in primary and specialty care.  First of all, many insurance companies do not cover Naturopathic services, which excludes a large population from seeking our care. Second of all, if it is covered, often times the reimbursement rate is significantly lower than if the patient saw an MD (sometimes as low as 15% of the typical reimbursement rate for an MD visit).  Interestingly, Naturopathic visits are often twice as long and therefore much more in depth, and also involve much more counseling and education (such as dietary advice, supplementation, herbal medicines, exercises, physical treatments, etc).  This makes it extremely difficult to have a sustainable business.  Although much of the population does not know what Naturopathic Physicians do, and maybe wouldn’t choose to utilize our medicine, we deserve to be reimbursed at the same level for those who choose to use our services.  I take great pride in offering my patients safe, effective and thorough care, which should be reimbursed as such.

It has been truly inspiring and motivating to see so many people take charge of their health since January 1st.  I imagine that this year will continue to bring many new people to healthcare, and hopefully more people to Naturopathic Medicine.  I know the plan isn’t anywhere near perfect. I know that it is expensive.  But, if you have been fortunate enough to have access to healthcare and insurance your whole life (such as I have), you may not realize how life-changing the ACA is.  It has taken me seeing it through the eyes of my patients to realize this. I hope that sharing my side of things has helped others see the benefits of the ACA.

Here’s a great link about the ACA and Naturopathic Medicine: http://www.bastyr.edu/news/general-news-home-page/2013/01/health-care-reform-extends-reach-naturopathic-medicine

Sweeteners: the good, the bad and the ugly

Sugar

 

Let’s talk about sweeteners.  First of all, it deserves mentioning that the average American consumes 60-100 pounds of sugar per year (numbers vary according to the source).  This is a drastic increase over the past 200 years, from approximately 18 pounds per year. Obviously, humans like the taste of sugar.  It doesn’t take much extrapolation to associate the increase in sugar consumption with the increase in obesity and diabetes, among other health problems.  It’s also easy to assume that the increase in available processed foods and drinks have made this easier to attain.

Of course, no sweeteners are good for you in large quantities, but let’s minimize the harm.  I hope you already know that natural sweeteners are the only way to go.  Honey and maple syrup are the best, because they don’t need to be processed to be good.  They are naturally sweet and don’t require chemical modification.  They can be used in almost any recipe that calls for sugar (you may need to adapt the other liquid ingredients).  Other great sweeteners include fruit purees, dates and other dried fruits or juices.

Here’s a breakdown of the bad stuff:

White sugar is a highly processed product from sugar cane.  Brown sugar is just slightly less processed, containing more of the natural molasses.  Molasses is just what comes out of processing sugar cane to make white sugar (molasses actually has some nutritional benefits, unlike white and brown sugar which have miniscule to NO nutrition).  High fructose corn syrup (HFCS) is a chemical experiment that is 40-55% fructose (fruit is naturally 0-20% fructose).  It is known to be a major contributor to obesity- do not consume it.  Agave nectar is just as processed and bad for you as high fructose corn syrup.  It actually has more fructose than HFCS, at a whopping 55-90%!  If you own it, throw it away.

Artificial sweeteners like Splenda, NutraSweet, and Equal are chemicals that trick your taste buds into thinking that there is something useful like sugar coming down the tube. Therefore, your body gets all excited for it but then nothing comes of it.  Your gut and liver have to break down these strange chemicals and they don’t know what to do with them.  There have been many studies linking bladder cancer to these sweeteners.  Do NOT use them.

Stevia is a “natural” sweetener, but is rather processed to be in form that is useful.  Have you ever tasted it and noticed the strange aftertaste?  It’s the best out of the other processed sugars, but… Why?  Just use fruit, honey or maple syrup for those times that you want something sweet.

If you have ever tried to completely avoid sugar, you know how hard it is.  It is in products that you would never expect.  Also, taking it away creates a strong desire for it, just like an addiction.  Although it’s not easy to give up, once you do you will realize that you do not need it. You will also notice how excessively sweet everything is! You will be all the better for it.

 

{Disclaimer: this is not considered personal medical advice, and you should speak with a physician before making diet and lifestyle changes. I’m happy to be that physician; all you need to do is schedule an appointment with me}

Happy and Healthy 2014

FREE CLASS AT SELLWOOD YOGA!

A Healthy Routine for the New Year
Saturday January 11, 2014 2pm-3pm

The New Year is always a great time for reflection of the past, and anticipation for the future.  It is also a time when we are inspired to make changes to our lifestyle that will allow for greater health and happiness.  Take this time to set the framework for making this year your best and healthiest!

The class will include
– high-yield guidelines for a healthy diet
– finding a balanced exercise routine
– easy and effective self-care,
– and more!

Dr. Lauren Ward–Selinger is a Naturopathic Physician in Portland, Oregon, certified by the Oregon Board of Naturopathic Medicine. She has a well balanced approach to wellness, utilizing both naturopathic and conventional tools to find a healthy approach for treatment.  She treats all ages and a variety of conditions, as well as performing regular preventive screenings and exams.  It is her goal to have you feeling and looking your best, while preventing future health issues. 

Sign up at www.sellwoodyoga.com

 

How to get better sleep

Sleep is the arguably the most important part of the day, and it is also a huge struggle for so many people.  It has been shown that during sleep our bodies take time to repair damaged tissues and combat inflammation, as well as have a much needed break from digesting new food.  Without proper sleep, your body won’t have proper time to heal and repair.  People suffering with chronic pain, chronic fatigue, mood disorders, alzheimer’s, diabetes and other conditions would benefit greatly from this optimal time of healing.  It is also essential for athletes, whose activities could cause minor injuries or aches and pains.  It is in your best interest to do all that you can to control your sleep cycle.  Feeling rested with energy is such a fabulous way to start the day!

Here are some tips for how to get that snug-as-a-bug-in-a-rug, fulfilling sleep:

–   Go to bed and wake up at the same time every day.  This is optimal, and occasionally unattainable.  Do your best.

–   Sleep in a completely dark room (no cracks under the door, no glowing alarm clock, use light-blocking curtains)

–   Save the bedroom for sleeping and intimate activities only (no working or homework). On that note, do your best to make your room a sanctuary for sleep.  Make it clutter free, relaxing colors and sounds, comfortable temperature, etc.

–   No use of glowing electronics for 1 hour before bed (phone, tv, tablet, computer). The blue light stimulates your pineal gland, which tricks your body into thinking that it is not nighttime.

–   No eating within an hour of bedtime, and no caffeine after 12pm.  As stated above, sleep is  a time of digestive rest.  Unless you have a medical condition that requires otherwise, try to go to bed with a slight sensation of hunger (*weight loss tip!).

–   Avoid the excessive alcohol intake, especially before bedtime.  Alcohol raises your cortisol, which will keep you up at night.  If you do fall asleep, it will be less restful than if you didn’t have alcohol in your system.

–   Exercise or get some vigorous movement going within an hour of waking in the morning.  This gets your cortisol pumping, which is what should spike in the morning to get you out of bed.  By having a regular morning workout routine, you will encourage the cortisol burst to occur on its own before you even get up.  (*also a weight loss tip!)

–   If you cannot fall asleep after 30 minutes, get out of bed and read or do something relaxing for 30 minutes (don’t turn on the TV or computer!). Then try again.

If these tips do not help set your circadian rhythm within a few weeks, you may need a little help from our botanical, nutritional or pharmaceutical friends.  Commonly recommended supplements include melatonin, phosphatidyserine, chamomile, valerian, passionflower, kava kava, and hops.  These are all great and have their roles, but chronic use of some of these could have side effects.  Please consult a physician if you need help with choosing a sleep aid and the proper dosages.  Also, if you have an opposite sleep schedule (working nights and sleeping days), you are also a special situation and should seek a physician’s advice.  Did you know that working a swing/graveyard shift puts you at greater risk of many diseases?  It’s best to only work these hours for a limited time if possible.

Please contact me with any questions or comments. Happy sleeping!

Diabetes and Blood Glucose Stabilization

Diabetes is a prevalent condition throughout the world, but is becoming much more so in the United States and other western countries.  The increase is partially attributed to better diagnostic methods, but unfortunately the “western lifestyle” is also to blame.  The CDC reports that 8.3% of the US population has diabetes, and almost 2 million adults are diagnosed every year.

There are several types of diabetes and blood glucose imbalances, outlined below.  Some people do not have a diagnosis of diabetes but are considered pre-diabetic, hyperglycemic, or hypoglycemic.  Much of the information below can be useful for any type of blood glucose disorder.

  • Type I diabetes is an autoimmune condition, often diagnosed in youth.  In a typically short period of time, the pancreas will stop making insulin and the patient must inject it.
  • Type II diabetes is generally more gradual and occurs in adulthood, and is often a result of diet and lifestyle factors. If caught early, it can sometimes be reversed or halted with treatment. Pre-diabetes is the very early stage of this disease.
  • Type 1.5 diabetes is a combination of the above two types.  It often begins in late childhood or adulthood, and has an autoimmune component as well as lifestyle component.
  • Glucose stabilization issues: this is a catch-all term to include hyperglycemia and hypoglycemia, episodes of low or high blood glucose.  These are often described symptomatically with dizziness, lightheadedness, low energy, fatigue, decreased athletic performance, and food cravings.  Although difficult to diagnose, diet and lifestyle changes can make dramatic improvements.

Tips for stabilizing your blood glucose:  Diet and lifestyle changes can be incredibly effective!

Physical activity: A mix of aerobic and resistance training is the most effective.  Studies have shown that high intensity interval training works well.  This type of exercise is quick, easy and doesn’t require any special equipment.  Plus, studies have shown that just 150 minutes of physical activity per week lowers the risk of diabetes (that’s only 22 minutes per day!).

Diet:  There are a ton of studies on what to eat and what not to eat with diabetes or blood glucose issues.  I’ve found that it’s not just what you eat, but how you eat that affects your blood glucose the most. These are the tips that I find are most successful for my patients:

  • Follow the anti-inflammatory diet guidelines as much as possible (see last post)
  • Protein, Fat and Fiber at EVERY MEAL!
  • Eat a small portion every 4 hours during the day
  • Do not eat at least an hour before bedtime
  • AVOID: high fructose corn syrup, trans fats, soda, energy drinks
  • MINIMIZE: baked goods, corn, alcohol, caffeine

Nutritional and botanical medicine:  Many individual nutrients have been studied rigorously and determined to be helpful with blood sugar stabilization.  Although most of these nutrients are part of a healthy daily diet, some are notched up to therapeutic doses.  Botanical therapies are used regularly in Naturopathic Medicine.  Discuss these with a physician before beginning;  to find healthy and safe doses tailored to you.

  • Chromium: improves insulin sensitivity, central obesity, and glucose control
  • Vitamin D: Supplementation improves insulin sensitivity and reduces inflammation
  • Magnesium: Deficiency independently associated with the development diabetes. Supplementation lowers fasting blood glucose
  • Botanical therapies: Curcumin/turmeric, fenugreek, bitter melon, berberine/Oregon grape are used to lower blood glucose.

{Disclaimer: this is not considered personal medical advice, and you should speak with a physician before making diet and lifestyle changes. I’m happy to be that physician; all you need to do is schedule an appointment with me}

References:
National Diabetes Fact Sheet.  CDC.  http://www.cdc.gov/diabetes/pubs/factsheet11.htm

The cost-effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired glucose tolerance. Herman WH, Hoerger TJ, Brandle M, Hicks K, Sorensen S, Zhang P, Hamman RF, Ackermann RT, Engelgau MM, Ratner RE; Diabetes Prevention Program Research Group. Annals of Internal Medicine 2005 Mar 1;142(5):323-32.

Acute high-intensity interval exercise reduces the postprandial glucose response and prevalence of hyperglycaemia in patients with type 2 diabetes. Gillen JB,  Diabetes Obes Metab. 2012 Jun;14(6):575-7. doi: 10.1111/j.1463-1326.2012.01564.x.

Blood sugar and insulin stabilization. Pizzorno, J. Presentation from 11/2012.