I've been practicing Bowen therapy since I was a 4th year student of Naturopathic Medicine. I was trained by Dan Carter. I am amazed by how gentle and yet profound this seemingly simple treatment can be. Here is a nice video made by practitioners in Australia, where Tom Bowen lived and first began using this technique. https://www.youtube.com/watch?v=i1xIVo-C1jo

Here is a link to the Bowen Academy that tells a bit of Tom Bowen’s story. I did not train with the Bowen Academy to be clear but with my professor at NCNM Dan Carter.

https://www.bowen-academy.com/method/tom_bowen

I often send folks to My New Roots for her recipe called Life Changing Bread. https://www.mynewroots.org/.../the-life-changing-loaf-of.../

It is loaded with lovely gut healing fiber. Here is an excellent review on legumes, another source of fiber. As I begin to think about preparing my garden beds for the spring, I am brought back to my Biodynamic teachings from my internship on the farm L'Armoire aux Herbes. The soil surface is a kin to the surface of our intestines. That interface with what goes into our mouth as food and the milieu of micro organisms is made healthy by the content of that food. The types of fiber we spread over that gooey surface matters, the same way it matters on our soil surface in the garden. So if you are not able to tolerate legumes or other starchy fibers, that is a sign that there is a balance that needs to be created, healing that needs to happen. Let's get to it. Instead of just avoiding fiber and parking yourself on a low fod map diet or any other restrictive diet, let's examine all the ways we can encourage a healthy terrain on that intestine surface, in very much the same way I tend to the soil surface of our gardens.

This is from My New Roots' Spring News Letter https://www.mynewroots.org/site/

A Little More About Legumes

Collectively, beans and lentils are called legumes. The legume family also includes alfalfa, clover, peas, mesquite, carob, and even peanuts. Legumes are grown all over the world in thousands of varieties, they’re truly astounding.

Since legumes absorb the flavors of the foods and spices they are cooked with, they work well in many dishes, from soups to salads, grain-based dishes, dips, and even baked goods (keep scrolling for a few MNR favorites)!

Source of protein: Legumes have more protein than any other plant-derived food. Although their protein is not complete (meaning they don't contain all nine essential amino acids), this can be remedied by combining legumes with grains or nuts to make a complete protein.

Fiber-packed: Legumes contain both soluble and insoluble fiber. Soluble fiber helps reduce blood cholesterol levels and stabilize blood sugar, while insoluble fiber acts like a broom that sweeps the digestive system clean and keeps it running smoothly.

Buying: If you purchase beans in bulk instead of from a can, you save a lot of money, prevent another aluminum can from being thrown away, and benefit from an astronomically better flavor. When in season, I like buying legumes straight from the growers at markets and farm stands. Look for heirloom varieties and have fun exploring a wide range of colors, sizes, and textures! Check out below for some great resources.

Storing: If stored correctly, beans can keep for up to a year! It is preferable to place them in tightly-sealed glass containers in a cool, dry, and dark place to prevent their colors from fading, which can alter both their taste and nutrition.

THE WORLD OF BEANS

A Few Favorites

Here are a few of my favorite and most frequently used beans that are widely available!

I encourage people to soak all beans for at least 8 hours to improve their digestive qualities, preserve nutrients, and reduce cooking time. If you are especially sensitive to gas-producing foods, soaking should never be skipped! And while you cook them, add a strip of kombu seaweed in the pot to further absorb those gaseous byproducts.

Adzuki Beans: Also called azuki beans, they work to tonify the kidneys and adrenal glands while reducing swelling in the body. They are a good source of calcium and provide a sweeter flavor, wonderful for soups and baked casseroles.

Black Beans: Offering an earthy taste, their natural black color indicates the presence of anthocyanins, a powerful antioxidant. You may also find them labeled as turtle beans and frijoles negro.

Butter Beans: These are a type of lima bean, providing a creamy, buttery texture, as their name would suggest. They are highly alkalizing and wonderful for the skin.

Chickpeas / Garbanzos / Ceci Beans: One of the most popular and versatile beans, chickpeas contain more iron than any other legume. They hold their shape well after cooking, making them a great salad addition.

Kidney Beans: Wonderful for treating edema and swelling, kidney beans are an excellent source of phosphorus, calcium, and potassium.

Pinto Beans: Translated to "painted" in Spanish, pinto beans contain the highest amount of fiber of all the legumes! They are also a great source of potassium, calcium, iron, and zinc!

RECIPE HIGHLIGHT

The Spring Supper Salad

A favorite that has been featured a few times on the blog, this recipe deserves a 3rd spotlight! It's an ideal pantry staple and the perfect seasonal transition meal. Grab your butter beans, a big bowl, and a few friends!

INGREDIENTS

Salad:

1/2 cup wild rice

1 cup dried butter beans

4-5 medium carrots

4 cloves garlic

2 Tbsp. extra virgin olive oil

1 bunch fresh dill

sea salt

freshly ground black pepper

a handful of quick-pickled red onion (recipe here)

1 batch massaged kale (recipe here)

Dressing:

1 Tbsp. Dijon mustard

1 Tbsp. maple syrup

2 Tbsp. raw apple cider vinegar

3 Tbsp. extra virgin olive oil

pinch of sea salt

Recipe from the My New Roots Archive

DIRECTIONS

1. Soak beans for 8 hours or overnight. Drain, rinse well and cover with fresh water. Add a teaspoon of sea salt. Bring to a boil, reduce to a simmer, and cook until beans are soft – about 45 minutes.

2. While the beans are cooking, rinse the wild rice well, drain, and put in a pot. Cover rice with 1.5 cups fresh water, add a couple pinches of sea salt, bring to a boil, and reduce to simmer. Cook until rice is chewy-tender – about 45 minutes. You will know the rice is done when the grains open up to reveal their purple-gray inner portion.

3. Preheat the oven to 400F. While the rice is cooking, wash the carrots and slice them on the diagonal into ‘coins’, place on a baking sheet. Grate the garlic with a microplane and combine it with the oil. Pour over carrots and toss to coat. Sprinkle with salt. Place in the oven and roast, turning them a few times over the course of 15-20 minutes. The carrots should be cooked but not mushy – al dente!

4. Make the dressing by combining all ingredients together, shake well.

5. Now all the elements come together: Drain and rinse beans in cool water to stop the cooking process. Pour dressing over warm beans and toss. Let sit for 5 minutes or so. Drain the rice if any water remains, cool slightly. Mix with beans. Toss in the carrots, scraping the pan to add garlic oil to the remainder of the ingredients. Throw in the massaged kale, as many pickled onions as you fancy, and an explosion of dill. Cracked black pepper too, if it’s calling to you.

6. Serve immediately and enjoy!

Newsletter from Dr. Amy

 My Friends!, 

"Are you safe? Are you sound? Are you whole? Are you well?" That's what I want to ask you.  Horton first asked it that way a long time ago, and they are the words that occur now.

I have had the pleasure of catching up with many of you in recent days thanks to video conferencing technology, and for this I am ever so grateful.  There is a special kind of trauma for a doctor in this distance that has grown so swiftly between people.  The feeling of losing continuity in the medical journeys we've been on together, you and I, leaves me feeling somewhat stranded personally as well as professionally.

So here is Dr Amy's fighting back against isolation newsletter, in which you can learn how to easily consult with me via telemedicine, and find some thoughts on currently available antibody tests for corona virus! 

I plan to do this again too, so watch out.  
 

Telemedicine Office Visits


Let's talk about how to schedule a teleconference with me, because I want to see you, my patients!  Teleconferencing can keep us on track; in management of chronic problems as well as new concerns that inevitably arise, even in a pandemic, and for all of those who look to a holistic medical approach to maximize personal health and wellness in any era.  And telemedicine is clearly, for the moment anyway, the way forward with much of what we do.  Therefore, a short discourse on the subject of how to teleconference with Dr. Amy follows.  Note that the appointment process is streamlined relative to what we've done in the past. 

Here's everything you need to know to schedule a telemedicine appointment:

1.  Option #1: Call me directly to schedule. #971-808-3507
2.  Option #2: Text me directly to schedule. #971-808-3507
3.  Option #3: Schedule on my website with the scheduling tool 

Don't use the Athena medical record portal - it is not enabled to schedule. The portal is where you can send prescription renewal requests, message about personal health issues, and view treatment plans and lab results. You can request an appointment there, but you can't schedule one. 


On the morning of your scheduled appointment you'll receive a clickable link by email from doxy.me that will take you to a virtual waiting room where you and I can connect for our visit.  If you can click a link in an email, you can do this! 

All of my office visits will take place by telemedicine in this way for the time being, for all our sakes.

 Novel Corona virus testing


Many of you have asked me about antibody testing for the novel corona virus. We are all impatient for reliable and generally available antibody testing for the corona virus. These would be tests we could all have which would determine who has already been exposed to the virus (and therefore may possess a measure of immunity, at least in the short term), and who has not been exposed. That testing is not here yet. 

Though numerous tests are newly available and being promoted to doctors (including yours truly) by their makers as reliable, early findings are that the current crop of tests have low sensitivity.  That means they are too likely to report negative results in the face of a positive sample, one containing antibodies to the virus.  False negative rates may be as high as 30% with these tests.  That's too high to be very useful.  And false positives are also being reported with some frequency. 

While makers of these tests report that the tests are reliable in their own testing, there is speculation that these products may not be shelf-stable, so to speak, and may tend to degrade between manufacture and time of test use, resulting in unreliable tests.

Serious concerns about the negative consequences of unreliable corona virus tests include the potential for instilling a false sense of confidence in one's status. 
Because of these concerns I am not recommending at this time testing for antibodies to COVID-19 using the current generation of widely available test kits.  When I can offer you a good test, I'll be doing just that.
 

Various and Sundry:
 

You need to know that insurance companies have loosened rules governing payment for telemedicine services, and most companies are paying for visits, even initial patient appointments, at this time. I offer a cash discount price for folks who are either uninsured or whose plans do not cover my care. 

Need refills on your herbal tinctures and supplements?  I can ship your items via the US Post, and can offer free delivery in SE Portland.  

Friends, know that I am here for you, that you are in my thoughts, and that we can work together to support your vitality and resilience, and to nurture the life force in you using all the tools in the amazing naturopathic tool kit.

Be well,

Dr Amy Johnson, N.D. 

Covid 19 tips from my trusted professors Amy Rothenberg, ND and Paul Herscu ND, MPH

Epidemic Updates from Paul Herscu ND, MPH

The influenza division of Herscu Laboratory, a 501(c)(3) non-profit multi-disciplinary medical research laboratory, presents this resource for timely updates on current epidemics (influenza or otherwise). Be sure to sign up at bottom of this blog to receive notice of new postings directly via email. Or follow @PaulHerscu on Twitter.

WEDNESDAY, JANUARY 29, 2020

Naturopathic Recommendations

The 2019 Novel Coronavirus (2019-nCoV)

Amy Rothenberg ND

The 2019 Novel Coronavirus (2019-nCoV) was first identified in the Wuhan province of China late in 2019. Genetic analysis of 2019-nCoV is in process to confirm the origin of this virus, likely from animals. Historically, SARS, another coronavirus, originated with civit cats. MERS, which also impacted humans, arose from camels. There has also been noted person to person spread of these various Coronaviruses. For the current germ, symptoms vary greatly from mild respiratory illness, fever and cough, to more severe symptoms like difficulty breathing and death. According to the CDC, symptoms can develop 2-14 days after exposure. There is currently no vaccine for 2019-nCoV.

Here are basic concepts to help avoid exposure and exposing others to any virus including this one:

  • Avoid large crowds and places with poor ventilation.

  • If you cannot avoid such places, use a properly fitted mask, though research on some more commonly used masks lacks efficacy. Regardless, if using a mask, change frequently as they harbor bacteria. 

  • Prioritize hand washing more often, with soap and water for twenty seconds, especially before eating. 

  • Avoid touching your eyes, nose, and mouth with unwashed hands.

  • Use alcohol-based hand sanitizers when handwashing is not possible.

  • Limit handling doorknobs and other public surfaces without gloves. If in the midst of a severe epidemic, consider using gloves whenever outside to limit contact. Wash gloves daily. 

  • Avoid people who are sick.

  • Cover your cough or sneeze with a tissue and discard or sneeze into your bent elbow.

  • Please stay home if you are sick!

To optimize your reaction to exposure should it occur and prevent or mitigate symptoms:

  • If you are feeling run down, take a day off for rest and healing.

  • Eat a diet that supports optimal immune function: whole grains, fruits, vegetables, lean protein, and healthy fats. Ingest food and drink that are cultured to support an active and robust microbiome which in turn supports proper immunity. Include high fiber foods is essential for that process, too.

  • Avoid sugars, alcohol, and refined, overly processed foods.

  • Remember to exercise, which helps support immune function.

  • Insure adequate sleep, essential for a well-functioning immune system.

  • Decrease or discontinue smoking as any viral-like symptoms will be worse in smokers. You also help protect loved ones from the impact of second-hand smoke.

  • Try to reduce your stress level. As stress increases, cortisol levels go up, which negatively impacts immune function.

  • It’s also essential to continue to address underlying illnesses and chronic disease. Often it is those who are chronically ill, the very young and the very old who have worse outcomes with various influenzas or viral infections. 

The following natural medicines and other approaches foster enhanced immunity while helping to create and maintain healthy mucous membrane tissue, essential for fending off germs:

  • Research has shown there are botanical medicines known to help prevent flu including licorice root, North American ginseng, elderberry, echinacea, and garlic.  

  • Likewise, nutritional supplements can be taken to help insure optimal immune system function. These include: zinc, selenium, vitamin C, probiotics, and seaweed extract. 

  • Use a humidifier as higher air humidity reduces virus survival for other viruses and may well decrease transmission here. 


Recall these approaches which can be comforting during acute illness and help with recuperation:

  • Place 1-2 cups of Epsom salt in a warm bath for a good soak. This helps to draw out inflammation and decrease muscle soreness and joint pain.

  • A hot water bottle can be a welcome presence if patient is chilly and sore.

  • Vegetable or chicken broth will help to replenish electrolytes and has other health benefits.


If you think you have been exposed to 2019-nCoV or that you have symptoms of the virus, be in touch with your medical provider. It will be important to follow quarantine guidelines and to get appropriate conventional care alongside naturopathic approaches. Addressing specific symptoms of 2019-nCoV will be individualized to the patient, and the type and severity of symptoms that arise. These are only guidelines; if you suffer from other, unrelated chronic disease, consult your naturopathic or other medical provider for further individualized care.

Posted by Paul at 1:06 PM