Based on research data and 40 collective years of clinical practice, the following briefly summarizes our recommendations for optimizing immune function and avoiding viral illness.
In health, Dr. Kim Nearpass & Dr. Justin Pollack
Practice basic safety during a pandemic
Dr. Justin Pollack, ND
Viruses cause cold and flu, in fact what we call the 'Flu' is short for influenza virus. Over 200 different viruses can initiate a cold, including rhinoviruses, RSV, adenoviruses, and even several inocuous coronaviruses. Many biologists don't consider viruses to be alive, since they require a living cell's 'machinery' to make copies of themselves. They can persist in fluids, like respiratory droplets for varying amounts of time. That said, viruses are fragile and die with simple soap and water when on your hands or exposed surfaces. Antibacterial soaps are overkill. Antibiotics are useless against them, since viruses slip into, and are hidden inside our own cells. If used against a virus, antibiotics can weaken the immune system by damaging digestive flora balance and leaving a person at greater risk for infection. One of the most effective ways our body has to kill virus, is to create a fever of over 101°Fahrenheit to 'cook them out.'
Since 2002, there have been three new beta corona viruses that have attached to receptors deep in human lungs / respiratory tracts, triggering inflammatory immune responses. For some, this creates a deadly ARDS (Acute Respiratory Distress Syndrome) response.
Can you get it twice? Probably not, but we won't know for a couple years as scientists and epidemiologists track the effects of COVID-19. Immunity developed to an influenza virus is lifelong. That said, influenza is a sloppy replicator, and every year there are many new "mutations" to influenza virus that could cause a person to get a new flu. Weak “cold-causing” coronavirus immunity lasts about a year. Immunity developed to SARS and MERS lasted several years on average.
Dr. Justin Pollack, ND
However many times a day you eat, you have an opportunity to focus on what you are eating, and put aside the “troubles of mind” that follow us wherever we go. In doing so, you make a profound shift in your physiology. A rare and beautiful parasympathetic “rest and digest” shift happens to your nervous system. This parasympathetic shift only occurs when we sleep, or when we truly relax and find gratitude for the gifts set before us.
Every food set on your plate, or in your bowl, represents a relationship that was formed between the Sun and the Earth, when chloroplasts that came to live symbiotically inside many plants, learned to capture the electromagnetic energy of the sun. That energy is used to transform gas (carbon dioxide) and water into starches/sugars, amino acids/proteins, and lipids/fats that the rest of us can enjoy. It is a gift. If we are eating the flesh of another animal that once ate those leaves, fruits, grains, seeds, nuts, roots and vegetables, it is even more of a gift. In whatever spiritual tradition you find yourself, even if it is none, there is a way to give thanks for that gift, and by setting your mind on that course, you have set the parasympathetic wheels of digestion in motion.
A good goal in any part of your life is to find thankfulness for what you have. When you are thankful, you see things more as they are, instead of in a positive or negative light. If you cannot find something to be grateful for, start with a tree. Remember that the trees, grasses, even the smallest phytoplankton and “pond scum” are recycling our CO2 into the oxygen that we need to live. Each tree is giving us life. Each time we look at a tree, we can be thankful.
Thich Nhat Hahn says, “Eating a meal in mindfulness is an important practice. We turn off the TV, put down our newspaper, and work together setting the table. After breathing we smile. Then, we look at each person as we breathe in and out in order to be in touch with ourselves and everyone at the table. After breathing and smiling, we look down at the food in a way that allows the food to become real. This food reveals our connection with the Earth. Each bite contains the life of the Sun and the Earth. We can see and taste the whole Universe in a piece of bread! …When I hold a bowl of rice or a piece of bread, I know that I am fortunate, and I feel compassion for all those who have no food to eat and are without friends or family.”
Encountering the present moment.
“There are so many exercises we can do to help us breathe consciously. We can recite four lines silently as we breathe in and out: Breathing in, I calm my body. Breathing out, I smile. Dwelling in this present moment, I know this is a wonderful moment. Just breathing and smiling can make us very happy, because when we breathe consciously, we recover ourselves completely and encounter life in the present moment.” - Thich Nhat Hahn
When we eat mindfully, taking time with our food, and the friends or family gathered with us, it is easier to notice if there is a distasteful morsel headed toward our mouth. Rotten bite of apple, anyone? It is easier to make choices about how nutritiously we want to eat, perhaps setting down things that we grew up with, which are not so nutritious for us. French fries with “goop”, anyone?
Take a look at the “Bastyr Healthy Plate”. Be mindful and choose your food wisely. While there is no sugar, no bacon, no ice cream, no beer or wine on that plate, there is always a little room for Michael Pollen’s quote: “Treat treats as treats.” Thank goodness for treats… and nutritious food, of course.
Dr. Eryn J. Scott, ND
Play is the work of the child. – Maria Montessori
Play is a cherished childhood activity and one with profound implications on childhood health and development persisting into adulthood. Play provides a strong foundation for young children to discover materials and properties of the natural world while simultaneously offering challenges and opportunities to explore the strength and resilience of the human body. It is through the act of play children engage all areas of development including social, emotional, physical (fine & gross motor), intellectual habits and cognitive skills. Naturopathic medicine is a comprehensive health care system viewing the physical body as an integral part of the whole, while simultaneously seeking to address the root cause of disease or imbalance.
In an age of busy schedules and evolving technology, children are presented with fewer opportunities for play and exploration compared to previous generations. Sedentary behavior is associated with an increase in obesity among children and adults, thus increasing the risk for developing heart disease, diabetes, metabolic disorders, allergic and respiratory ailments and mental health disorders. A growing body of literature within the medical and educational communities has begun to investigate the benefits of play, specifically outdoor free play on childhood development and health throughout the lifespan. The American Academy of Pediatrics now encourages pediatricians to advocate for increased levels outdoor free play in preschoolers as an essential part of healthy development. Older children and adults would likely benefit from similar recommendations.
What is free play? Unlike structured classroom or extracurricular activities, which are also beneficial to overall development, free play is child-driven thereby enabling children to move at their own pace, to take risks and practice decision-making skills. Free play provides children with opportunities for self-discovery, cooperation, teamwork and engagement in the passions they wish to pursue. Free play is open-ended and invites imagination. Recall a time when you were a child playing outside or to a time when you have witnessed other children playing in a natural environment. In this setting, the opportunities are endless and are driven by a sense of curiosity. A tree suddenly becomes a castle or a fort. A stick becomes a spoon, a fishing pole or a magic wand while the leaves and rocks become food ingredients or tools, thereby allowing play to evolve at the direction of the children involved.
Research demonstrates preschool children achieve the highest levels of physical activity through outdoor play. In doing so, they build active and healthy bodies by stimulating bone and muscle growth while also enhancing immunity through exposure to beneficial microorganisms, sunlight and fresh air. Most physical activity in young children is achieved through gross motor play, such as climbing trees and running. Children are also able to integrate a large quantity of sensory information through sight, sound and touch leading to accelerated brain development. Additionally, physically active children are more adept to classroom learning with fewer disruptions or behavioral challenges.
Among the social and emotional benefits of outdoor free play are the positive impacts on self-esteem, communication and happiness. Those with greater access to green space show better self-regulation and emotional intelligence. They are able to negotiate, take turns, listen and help one another which contributes to success later on in life.
The benefits of cognitive and intellectual development in outdoor free play are more difficult to recognize, but are essential nonetheless. Brain development has been shown to be astonishingly active, inquisitive and insightful from birth, which leads to a phenomenon of concept development and understanding. In this way, children engage in a trial and error or “let’s find out approach” guided by their curiosity and desire to understand themselves and the world around them.
Developing a connection to the natural world through play has profound implications on the health of the individual and the health of our environment. It is through this introduction to the natural world that children develop a love for nature and arguably a desire to conserve our planet for future generations to come.
Additional resources for parents: How to Raise a Wild Child. There’s No Such Thing as Bad Weather. Home Grown. Balanced and Barefoot.
Life must be lived as play. – Plato
Dr. Eryn Scott is a registered naturopathic doctor specializing in pediatrics and family medicine and is currently practicing in Bozeman, MT. For more information please visit her website at www.doctoreryn.com.
Dr. Justin Pollack, ND
“Your brain is the command and control center of your body. If you want a better body, the first place to ALWAYS start is by having a better brain.” ~Daniel Amen, MD 1
Specific nutrients have profound effects on our overall emotional well-being, including our ability to focus, motivate to do things, sleep well or wake up energized. I am fascinated by what brings health and wellness to people. In my practice, learning and teaching, I have come across an abundance of research explaining how food can become neurotransmitters that directly affect our mind. For simplicity, I'm going to focus on three helpful neurotransmitters. Naturally, a full, balanced approach to mental health is much more complex than biochemistry, and should include any number of the therapies you'll find in this magazine. A short, incomplete list of things that help the brain besides the right foods, might include:
rewarding interactions in your community,
the listening ear of your loved ones and counseling,
time spent in the natural world, doing things that you love,
activities that bring you a sense of purpose, fulfillment and meaning,
moving your body in ways that feel good to you.
Good Mood Makers
Serotonin is made in the intestines from 5-HTP, which is derived from L-Tryptophan. Serotonin is our daytime “feel-good” neurotransmitter, and people who are low in this report feeling “under a dark cloud”. It helps us feel full and content after a meal, making it useful for people who need to lose weight. SSRI and MAO-inhibiting antidepressant drugs act to keep serotonin around in the nerve synapse, and people who do well with these medications might otherwise feel negative, moody, obsessive, irritable or fearful. Serotonin is converted to melatonin by the pineal glad of the brain during dark winter months and at night, and this explains why many animals hibernate and many people experience a wintertime S.A.D. (seasonal affective disorder) or low mood through the winter season. Melatonin is our “sleep hormone” which sets our nocturnal rhythm and also acts as an antioxidant for regeneration of many tissues. Without enough melatonin, people don't fall asleep well, or are restless with light sleep.
GABA (Gamma-Amino-Butyric Acid) is made in the brain from L-Glutamine. GABA acts as the main calming neurotransmitter in the brain, which makes it important for regulating the stress response. People who are low in GABA report feeling overwhelmed, easily upset or frustrated, and shaky, especially after missed meals. L-Glutamine is a good precursor amino acid, because of its importance in gut health, brain health, and muscle recovery.
Dopamine & norepinephrine are both made from the amino acid L-Tyrosine. Dopamine is the first compound made from L-Tyrosine and is the neurotransmitter responsible for pleasure and satisfaction. It provides the feeling of “I want to do that again” derived from good food, balanced exercise or intimacy. Many addictive drugs raise dopamine levels above normal, then leave a person with a dopamine deficit afterward. Alcoholics and people addicted to other drugs are often deficient in dopamine, and susceptible to addiction from low levels of dopamine. Whan a person's brain doesn't produce enough dopamine, they may develop Parkinson's disease. We see similar tremors and shaking in people going through alcohol withdrawl due to the depletion of dopamine.
Dopamine is converted into norepinephrine, an excitatory neurotransmitter that is important in mental focus and energy. This is released when we need to be alert and can be stimulated by caffeine. Norepinephrine causes the release of epinephrine (also known as adrenaline), which carries us through stressful events with greater clarity and energy, with less pain or inflammation. L-Tyrosine is also the “T” in thyroid hormones T3 and T4, which are the major hormones involved in energy, temperature regulation and fat burning.
Note that all of the good mood neurotransmitters that are listed above come from protein. Turkey is famous for containing L-Tryptophan, but all of these (Tyrosine, Glutamine & Tryptophan) can be found in a complete protein source.
Omega-3, mono-unsaturated & saturated fats: Nerve cells have membranes that are made of a high percentage of omega-3 fats, especially DHA. The nerve cell membrane also contains abundant cholesterol and the arachidonic acid found in butter and other saturated fats. Solid research is linking deficiencies of omega-3 fatty acids with depression, anxiety and other mental health problems. All of the good mood neurotransmitters listed above are held inside bags made of fat. If the bags are flexible, they can withstand stressors and neurotransmitters inside are preserved better than if the bags are made of stiff trans-fats or saturated fat sources.
Probiotics: These are good bacteria that inhabit our digestive tracts, and are responsible for the fermentation of many traditional foods like sauerkraut, sourdough, miso and tamari. In the last decade, exciting worldwide research has revealed that these microbes outnumber the cells in our own body. The literature has shown probiotics are essential for the conversion of food into nutrients we can use, and even neurotransmitters like GABA and serotonin that have good effects on our mood and emotion.
At the Mountain-River Naturopathic Clinic, we can help you figure out dietary and targeted nutrient therapies to help conditions that range from low mood or insomnia, to anxiety or attention deficit. We work with all other health care providers to ensure there are no harmful interactions with existing therapies, and make sure you have therapeutic quality nutrients at non-toxic levels.
Mountain-River Naturopathic Clinic. www.mountainriverclinic.com (970) 668-1300. 507 Main St., Frisco, CO 80443
As practitioners of Naturopathic medicine, we believe that we shouldn't throw the baby out with the bath water. In other words, optimal healthcare should combine age-old, traditional healing with cutting-edge, modern, evidence based medicine. The Arvigo Technique of Maya Abdominal Therapy® (ATMAT) exemplifies this philosophy by combining traditional medicine and modern science. Dr. Rosita Arvigo, an American Doctor living in Belize, has dedicated her life to the study of Mayan herbalism and healing, as well as being a brilliant student of anatomy and physiology. Through her passion and her work, the development and teaching of ATMAT has helped women all over the world with reproductive, urinary and digestive problems.
ATMAT practitioners use non-invasive, external massage and gentle manipulation of the organs and structures of the pelvic and abdominal regions to remove congestion. This therapy improves the flow of blood, lymph, nerve impulses and “Chi” (energy) to the vital organs and supportive tissue, and guides the reproductive and digestive organs into optimal position. This removes underlying blockages and eliminates the primary cause of reproductive and digestive complaints, thereby preventing the progression of symptoms to chronic disease. The goal is to support the vital flow of fluids and energy to nourish and repair the organs and systems naturally, and to allow the body to heal itself.
The uterus is held in position by 10 ligaments, which allow it to stretch and grow during pregnancy and move freely as the bladder and bowel fill. If these ligaments weaken or loosen, the uterus can move out of position. (Up to 80% of women are estimated to have a displaced or fallen uterus as a result of trauma or lifestyle). In addition, the pelvic and abdominal regions are storehouses for emotional stress, which can cause further congestion.
Some symptoms of uterine misalignment and pelvic congestion that can improve with ATMAT include: painful, heavy, irregular or lack of menses; fertility challenges; endometriosis, uterine fibroids and polyps; PMS and hormonal mood swings; peri-menopause and menopausal difficulties; uterine prolapse; frequent urination, bladder infections and incontinence; scar tissue; painful intercourse and low libido; and chronic constipation, hemorrhoids and other digestive disorders.
What to expect from a treatment: An ATMAT session begins with review of your individual health history, and may include a personalized herbal and nutritional plan, as well as a follow-up recommendations to help achieve your goals.
Abdominal Therapy is a relaxing and soothing experience involving deep massage. Stretching and gentle manipulation maneuvers work the ligaments and muscles to optimize organ and structural positioning. During the initial session, you will be taught how to effectively massage your own abdomen, as a continuation of your treatment. While many patients feel the beneficial effects of the therapy after one session, it is important to practice the techniques at home. This empowers you to influence and promote your own healing, and take responsibility for your own health. A few minutes of self-massage a day is key to permanently re-positioning the uterus and resolving long-term problems – without the need for extended professional treatment.
Ideally we recommend a series of 3 in-office sessions with your practitioner. Occasional maintenance visits may be necessary, depending on your condition and your dedication to the self-care massage.
Despite living in the rarified air of the Rocky Mountains near tree-line our summertime give us an amazing array of plants in our alpine forests, meadows and wetlands. Like most Summit County locals, I'm usually running or bicycling through our landscape at a fast clip, rarely taking the time to step off the path and soar the beauty and wonder that creates the dappled botanical canopy below and above. When I do take the time, it is a treat.
I was fortunate to grow up in a family that valued gardening and herbalism and was even more fortunate to stumble upon the profession of naturopathic medicine. My studies included a healthy dose of botanical medicine, nutrition, the research that verifies and modifies age-old uses for each, along with the usual sciences of a doctor. Dr. Kim Nearpass and I met while on our final years of graduate school and residency, and in 2003, made the move to her home State of Colorado. Keeping with the root meanings of both physician and doctor (docere = teacher), our goal is to educate and empower people to participate in their own healing. We work with the body's innate healing power, utilizing the least invasive therapy appropriate for the situation – lessening dependence on pharmaceutical drugs.
For the last 15 years, we have been practicing naturopathic medicine at our location along Frisco main street, and every summer, I have been leading herb walks in the forest. The dates I have set for summer 2018 are below. They may change, so please call our shop, Backcountry Herbal Apothecary, at (970) 668-1700 to RSVP.
Thursday, July 5 starting at 10am
Sunday, July 15 starting at 9am
Saturday, August 25 starting at 9am
The herb walks always start in the parking lot called “Zach's Stop” at the Southwest corner of 2nd Avenue, beyond the Peak One neighborhood in Frisco. I have a list with around 50 different plants listed, and we can usually discuss 2-3 dozen of them during the course of an hour. Suggested donation is $5 for adults, with kids free.
One of the books that I like to reference on herb walks, “Edible and Medicinal Plants of the Rockies” by Linda Kershaw, describes the value of herbals this way. “All animals, including humans, depend on plants for survival. Throughout human history, plants have provided us with food, clothing, medicine and shelter. Our recent ancestors needed to know which of their local plants were edible or poisonous, which could heal or harm, and which could provide materials for making implements, clothing and shelters. Today, many of us spend our lives in artificial environments, isolated from our natural surroundings. Most of life's necessities are mass produced elsewhere and purchased as needed. We no longer forage for food and it is easy to forget that the air we breathe, the food we eat and many of the drugs we use come from plants. Recognizing wild plants and knowing how they have been used in the past increases our appreciation of our environment.
Many of the plants that grow wild in the Rocky Mountains are also found in towns, cities and roadsides across the continent; millions of dollars are spent each year controlling weeds that might be better used for food or medicine. An appreciation of how our ancestors survived through the centuries, using many of the plants that surround us every day, may help us to bridge the gap between the artificial world in which we live and the natural environment in which we evolved.”
Modern studies are proving there is measurable, reproducible value in connecting people with the outdoors. For a humorous take on the idea of prescribing time outdoors, take a look at the faux commercial online called “Nature Rx”. Even if you cannot make it to one of the dates, we have set aside for herb walks this summer, make sure you get out to enjoy the streams, rivers, canyons, meadows, forests and mountains this area has to offer. Nature is one of the most valuable healers. Spend some time out there!
Not long after starting our practice serving Summit County in 2003, Dr. Kim and I co-founded the Backcountry Herbal Apothecary, which serves as a doorway to our naturopathic practices, the practice of Tami Clark, LAc, and several excellent practitioners of massage therapy. We are Summit County’s place to find high quality, local Western and Eastern herbal and natural products to benefit your health and well-being. We believe in the healing power of nature, honoring and preserving the health of our planet, as well as our customers and patients. For this reason, we carry products that are sustainably produced. Our herbs and essential oils are the highest quality, either organically grown or sustainably wild-crafted. The supplements we offer are professional line products, which are held to the highest standard. We also carry a variety of natural body care products and gifts, most created by Summit County and Colorado artists.
Written by Dr. Justin Pollack, ND (You can also find this article in the Summer issue of "Listen, Share and Be Kind".) Photo from AANP attendee several years ago
Photo: Allen and Patty Stretton
Written by Dr. Kim Nearpass
Early on in school, we learn about the basic survival needs: food, shelter, oxygen water and sleep. Until recently however, little was understood about the functions of sleep and how it affects our physiology. We all know how miserable it feels when we don't sleep well, decreasing our mood, energy and ability to focus. Recent scientific research has proven the vital importance of sleep on nearly every human function.
It's helpful to understand some basic sleep physiology. A healthy, balanced night's sleep contains a mix of REM (rapid eye movement) and deep, NREM (non-REM) sleep. The percentage of each type of sleep varies during different stages of life, but both are required to maintain optimal physical, mental and emotional health. REM sleep, the time when we experience dreaming and immobilization and relaxation of our voluntary muscles, allows us to integrate and “file away” our daytime experiences. During periods of NREM sleep, our brain activity switches to a meditative-like state that enables us to reflect upon, distill, strengthen and solidify our memories. A pattern of alternating REM and NREM sleep throughout the night allows us the opportunity to make repairs and heal what has been upset during the wake state.
Sleep researchers have shed light on how disruptions in the various stages of sleep can affect our health and well-being. Routinely sleeping less than the recommended 7-8 hours per night weakens your immune system, leading to more frequent illness and increased risk of cancer. Inadequate sleep also increases the risk of Alzheimer's, fertility challenges, heart disease, obesity and diabetes, as well as decreasing longevity. Inversely, sufficient quality and amounts of sleep balance emotions and improve learning, memory, creativity and decision making.
Poor sleep is a serious problem in our culture that provides endless stimulation and values productive, long work hours. According to the CDC (Centers for Disease Control), 50 – 70 million Americans report sleep difficulties, and over 9 million Americans take some form of prescription sleep medication, Zolpidem, (aka Ambien) being the most popular. Unfortunately, studies show that not only do these medications fail to support normal, healthy restorative sleep patterns, but they also weaken brain cell connections during sleep and lead to shorter life spans. Even occasional use of prescription sleeping pills (1-18 times per year) results in a 3.6 times increased risk of death.
All of this information can feel overwhelming and may increase anxiety that could worsen our sleep. The good news is that many solutions for poor sleep exist. Naturopathic medicine offers a wide range of safe and helpful herbs, nutrients, homeopathics and physical medicine treatments. In addition, your Naturopathic or medical doctor can help you identify any underlying weaknesses or imbalances that may be obstacles to quality sleep, such as hypoxia (low oxygen) or hormonal imbalances. In addition, the research that helps neuroscientists understand sleep mechanisms and physiology can also be used to help us adapt our behaviors to promote better quality and longer sleep.
In his brilliant new book, Why We Sleep, researcher and professor Dr. Matthew Walker offers these “Twelve Tips for Healthy Sleep”: