Embracing Change

With the New Year approaching, many of us are already making resolutions that we will never keep. What makes these resolutions, although often they are the choices we know will make a positive difference in our lives, so hard to stick to?

Change can be challenging and sometimes seems downright impossible. Often we are motivated by a health goal – healthier looking skin, weight loss, being able to keep up with the grandkids, etc. The motivation is coming from an intellectual or emotional place (and usually after a weekend or holiday full of indulgence). Once a “diet” or resolution is put in place, our physical needs and dependencies start to demand more attention. Cravings and old habits come to the forefront and our willpower is put to the test.

Whatever you resolutions for change are, is it important to set realistic goals and to first explore any potential barriers that could hold you back from achieving these goals.

Before making any resolutions this year, consider journaling about the following:

1)   What are my intentions or expectations for making these changes?

2)   What are my triggers that may cause me to stray from these goals?

3)   How can I avoid these triggers?

Once you are clear about your limitations and barriers to wellness, consider visualizing your resolutions and ideals. A vision board or collage can be a helpful tool and daily reminder of what your goals are. For more information and guidance on how to start this kind of project, visit:

http://bravelyplayfulcreations.com

http://chrstinekane.com/how-to-make-a-vision-board

After you’ve cleared your path of barriers, think about other strategies you can implement to improve your success.

1)   Involve a friend – accountability is key, and often this has to come from an outside source. Ask a friend to join you in your resolution – whether it be to volunteer, walk everyday, or drink more water – holding that commitment with another person often increases the chances of success

2)   Start small and make a plan – if you haven’t been exercising, starting with a marathon is not likely the best idea. Although that may be your long-term goal, going from no exercise at all to a full out training program is a good way to set yourself up for disappointment. Why not make smaller, more achievable goals? 15 minutes a day for a month, then 30 minutes a day for 3 months and growing from there may seem like baby steps but you’ll be encouraged and proud of your growth and more likely to continue with your plan.

3)   Track your progress. Sometimes when we are in the middle of it, it’s hard to see the forest from the trees. Although real change takes time, find a realistic way to track your success and find a healthy reward to keep your motivation strong. Don’t be afraid to pat yourself on the back with a spa treatment, new book, or movie night as your achieve milestones along the way.

4)   Surround yourself with support and ask for help – form a team of people who know what your goals are and are willing to support you in them. Depending on your goals, this may include a naturopathic and/or medical doctor, counselor, life coach, family members, and friends.’

Naturopathic medicine offers many solutions for improving resolution success. Stress management, craving reduction, and detoxification support are all part of a follow-thru plan that your naturopathic doctor can help you with.

One final note: before making any changes, try loving yourself as you are today. Although a few resolutions here and there may improve the way you feel and your health level from the inside out, we really are perfect just the way we are.

Wishing everyone a happy and healthy New Year.

The Magnificent Immune System

Our immune systems, when working properly, are amazing and effective. The immune system, which includes our skin, mucous membranes, white blood cells, and lymphatic system, are the body’s defense against infection and illness. The super cells of the immune system are constantly circulating the body, looking for unfamiliar cells (such as viruses, bacteria, parasites, and fungi) to attack and remove.

Germs are everywhere! Luckily, our first line of defense is the barrier our skin and mucous membranes (nasal passage way, upper respiratory tract) provide from the outside environment. Maintaining healthy skin and mucous membranes is therefore an important (and sometimes forgotten) way to support immune function and avoid getting sick.

Inflammation and fever are the body’s natural responses to infection. Most bugs do not tolerate higher temperatures and that is one reason why it’s better to safely support a fever rather than to suppress it. 

If a germ does get thru the initial barriers, a cascade of events is triggered and our innate immune system bursts into action. First, our immune cells need to identify a germ as being foreign and potentially harmful. A type of white blood cell known as a phagocyte is continuously patrolling the body. When these cells identify a germ they sound the alarm to alert other white blood cells of the danger. B cells and T cells (specialized white blood cells) are drawn to the scene and are part of the body’s adaptive immune system. These cells allow for the immune system to maintain a memory - so that if the body encounters that same germ again, they will be faster to recognize it and respond.

We can’t and shouldn’t always avoid getting sick. Suffering with the occasional cold or flu is beneficial to the innate and adaptive parts of our immune system. However, there are many effective natural strategies to support immune health - leading to less frequent infection and reduced length and intensity of symptoms when infection does occur.

• Hand washing. Knowing we are all covered in bugs, support your skin barrier with regular hand washing. Evidence suggest proper hand washing reduces the risk of illness but as much as 20%. Consider using a non-alcohol based soap, preferably castile soap to which you can add essential oils.
• Dry skin brushing. Supports skin health and stimulates the lymphatic system. Handout at www.thepeartreeclinic.com
• Sweat! Sweating (thru exercise, sauna, stream baths) creates an artificial fever and promotes the elimination of toxins.
• Support a fever. A fever indicates the immune system has been “turned on” and acts to kill off bugs that do not tolerate higher temperatures. For ways to safely support a fever, visit www.thepeartreeclinic.com.
• Sleep. As both a preventative and treatment tool - getting proper rest is an essential and underused strategy. Have you ever noticed the tendency to get sick during busy and stressful periods? Could it be your body’s attempt to get you to slow down?
• Avoid sugar. Sugar is harmful to health. Period. When it comes to immune function, sugar has been shown to reduce white blood cell activity by as much as 40%. Be aware that sugar is present in foods you may not suspect, like ketchup and fruit juices.
• Eat a rainbow (and no, this doesn’t mean skittles - see #6). Get a variety of different colored fruits and vegetables in your diet daily to ensure the spectrum of vitamins, minerals, and phytonutrients.
• Ensure your vitamin D status is optimized. Many of us are vitamin D deficient and this can make a huge difference in immune function. Speak to your naturopathic doctor about vitamin D.
• Eat your healthy fats. Omega 3s are immune supportive, reduce inflammation, support brain and cardiovascular health, and more. Good food sources include: wild fish, sardines, walnuts, flax oil, and a good quality fish oil supplement.
• Try our Wet Sock Treatment. It sounds weird but it works! See the details at www.thepeartreeclinic.com.

The last and definitely the most important tool for staying healthy - LAUGH and PLAY! Laughing reduces the negative and suppressive impact of stress on immune function. Laughter is far more contagious than any cold or flu - and a lot more fun!

For more information on how you can support your immune system, questions about the flu shot, and ways to get thru an infection naturally, call The Pear Tree to speak with one of our naturopathic doctors.

In health,

Dr. Melissa Blake, ND

Anxiety - Finding the Root Cause

Imagine waking every morning with a feeling of dread. Think how it would feel to find your heart racing and your body sweating for no obvious reason. What would it mean to experience fear so intense it feels life-threatening?

These sensations, along with other symptoms such as shortness of breath, fatigue, irrational thoughts, body shakes, diarrhea, nausea, headaches, and lightheadedness can all be signs of anxiety.

Although a person with anxiety may feel scared and isolated, it is a very common concern. Health Canada estimates 10% of Canadians suffer from some form of anxiety, although mild cases may go undiagnosed and the statistics are likely an underestimate. Anxiety does not discriminate and can affect a person of any age, gender, religious belief, sexual orientation, or race.

Stress and worry are both natural and necessary - some degree of temporary anxiety is a healthy thing to experience during periods of high stress. Those feelings of worry and concern, when experienced in the short term, can motivate us to look for solutions to solve our problems. Constant worry and long term stress are not normal. They can wreak havoc on our physical, emotional, and spiritual wellness and can manifest in symptoms of anxiety. Anxiety is worry taken to the extreme.

Consistent high stress levels in combination with the lack of effective coping strategies is a major trigger for anxiety. Other triggers, which need to be ruled out or addressed, that can increase anxiety include low/irregular blood sugar levels, lack of sleep, hormonal imbalances (PMS, menopause/andropause), thyroid disease, toxic burden, and nutritional deficiencies.

Individual Approach

Anxiety manifests in different people for different reasons and can be experienced in different ways. Some people have strong physical symptoms (chest pain, shortness of breath), others experience anxiety on a mental level (persistent negative thoughts, catastrophic thinking), while others have behavioral signs (avoiding social situations, fastidious tendencies). Often anxiety presents as a combination of all of the above. 

 

It is important for people who suffer from anxiety to speak to a doctor about their symptoms as well as any known triggers (although, as is often the case with anxiety, the specific triggers are unknown).  

Naturopathic doctors aim to treat each person as an individual, based on their own unique experiences and symptoms. In order to accurately identify what may be at the root of  your condition, your doctor may request any or all of the following tests:

Neurotransmitter testing, Stress Hormones (including cortisol), Saliva Hormones, Thyroid workup, Nutritional testing (Iron, B12, Magnesium, hair elements, food allergies, blood sugar levels), Blood gases, heavy metals

Naturopathic Solutions

Healthy Basics:

Diet and a healthy gastrointestinal tract are essential in an anxiety management plan. Consider a diet that focuses on clean water and high quality plant foods. Begin your day with a balanced breakfast and aim for 1-2 small snacks between meals to control blood sugar fluctuations. Highs and lows in blood sugar balance can have a major impact on anxiety levels.

Food as Medicine:

Various nutrients have been shown to have a positive effect on anxiety. B6, magnesium, GABA, Inositol, and Theanine are a few. Herbs such as chamomile, ginger, and lavender are calming and also beneficial. Depending on the effect you need or want, you may choose to supplement. Speak to your naturopathic doctor about ways to optimize your vitamin plan and address your imbalances.

Stress Reduction:

There are amazing therapy options when it comes to reducing the impact of stress on the body. Whether it's group meditation, deep breathing exercises before bed, homeopathy, acupuncture, massage therapy, private yoga sessions, or Reiki - find a strategy that works for you and use it often. Your naturopathic doctor can guide and assist you in finding effective coping strategies for your stress.

Summary

By addressing physical, emotional, and energetic imbalances, your personalized health management program will give you the tools for a positive, life-changing approach to anxiety.

Optimizing Gut Health for Overall Wellness

Did you know that as much as 70% of your immune system is in your digestive tract? Gut-associated lymphoid tissue (GALT) is a system made up of several types of immune tissues and cells that plays an essential role in maintaining immune health. Along with these important immune cells, neurotransmitters and brain cell messengers are also highly concentrated along the gastrointestinal tract - the tube that goes from mouth to anus.                           

Often we do not recognize the importance of gut health until we experience symptoms that we connect with an imbalance - such as bloating, constipation, and diarrhea. However, because of the gut’s connection to immune and mental health, other symptoms like depression, anxiety, eczema, allergies, asthma, etc. can also be directly linked to an unhealthy digestive system. How can we optimize gut function, and in turn also support immune and mental health? By following the 3 R plan - Reduce, Repair, and Replace.

1. Reduce: refined carbohydrates (white breads, pasta, and flours, candy, soda, sugar, etc.) are major contributors to illness for a variety of reasons. One is the negative impact they have on gut flora. The word “flora” relates to all the bugs that reside in the gastrointestinal (GI) tract. Most of these bugs are beneficial to our health and the function of the GI tract. These bugs are often called ‘probiotics’. Refined carbohydrates throw off the good guys by feeding other organisms such as yeast. An imbalance in gut flora can lead to brain fog, skin conditions, mood concerns, and weak immune function. Refined carbohydrates are also pro-inflammatory and can damage the sensitive lining of the GI tract, leading to increased intestinal permeability (also known as leaky gut). This damage sets off a cascade which involves food particles being absorbed into the blood stream and triggering an immune response, producing inflammation through out the body. High sugar carbohydrates also negatively impact blood sugar levels and create a viscous cycle of ups and downs as well as craving and addiction. Avoiding refined carbohydrates and following a hypoallergenic is the first step in optimizing gut health.

1. Repair: the gut needs certain nutrients to thrive. If the system isn’t working properly, it will have a more difficult time benefiting from supplements and good quality food choices. A naturopathic doctor can help develop a repair plan to suit your needs. Such a plan may include digestive enzymes, apple cider vinegar, fiber, glutamine, and water.

1. Replace/Restore: after we’ve reduced the burden and repaired the function, we can now move towards restoring the gut. This step almost always includes probiotic supplementation. Friendly bacteria are essential for health and perform a number of functions in the body, including supporting the immune response, reduce allergic tendencies, influence healthy bowel habits, and assist in digestion and absorption of certain nutrients.  Probiotics have been promoted in various yogurt brands, however, many of these products do not have therapeutic doses and often probiotics in a high quality supplement form are required. For the best results, discuss probiotic supplementation with your naturopathic doctor. Fermented foods, such as unpasteurized sauerkraut and kombucha, help feed probiotics and can be included as part of a restorative bowel plan. From here, various nutritional deficiencies can also be addressed.

Bottom line: the gut is the foundation of health and following a 3R plan is likely to promote benefits in all aspects of your wellness. 

As said by Hippocrates: “All diseases begin in the gut.” 

Speak with your naturopathic doctor about how you can optimize your wellness thru a gut plan.

Integrative Medicine - The Best of All Worlds

Often when people ask about my chosen profession there is an assumption that I, and other “alternative” practitioners like me, are opposed to the treatment strategies used in the conventional medical system. There seems to be this idea that naturopathic doctors and medical doctors are conflicting forces. I would like to clarify this misconception and discuss some of the differences between conventional and complementary medicine.

Conventional Medicine is the term used to describe the system that most of us as familiar with. It includes such tools as pharmaceutical drugs, surgery, emergency care, radiation, and chemotherapy. There is no doubt that there have been major scientific breakthroughs in medicine and that we are lucky to be living in an era that can provide such developed skills.

The problem with the medical system as it exists is not the physicians, their training, nor the wonderful advancements in pharmaceuticals and surgery. The problem is that the system is exclusive, relying on a limited scope of tools. Although not all conventional physicians are “anti” complementary medicine, there does seem to be the assumption that natural medicine is not based on science and therefore holds less value. 

Fortunately, the basics of natural medicine do not require studies to prove their benefits (do we really need a double-blind, multimillion dollar study to prove that eating fruits and vegetables is good for us, that exercise prevents disease, or that a healthy environment helps to create a healthy individual?). This evidence has been provided by our ancestors and is centuries old. History provides us with the largest pool of evidence we will ever need. However, when it comes to developing more modern natural approaches, such as potential interactions between drugs and herbs, high doses of vitamins and minerals, and chelation and IV therapy, studies are necessary and they do exist. In fact, a large part of naturopathic training focuses on the scientific evidence behind such strategies. 

Medicine can be defined as “the art and science of healing. It encompasses a range of health care practices evolved to maintain and restore health by the prevention and treatment of illness.” With that definition, there is really no need to define complementary versus conventional medicine. However, there has been a shift somewhat from that definition, particularly here in the Western world, to a system that relies almost exclusively on presented scientific evidence rather than patient experience and practitioner wisdom. 

So where does that leave us? 

Last fall I had the opportunity to attend a medical conference put on by the American College for Advancement in Medicine (ACAM). The defined vision of this organization is to educate physicians and other health care professionals on the latest findings and emerging procedures in complementary, alternative and integrative medicine. ACAM has been in existence for more than 25 years and focuses on educational programs based upon the most current, comprehensive and scientifically sound evidence available. Members of the College are highly educated professionals interested in one thing – patient focused care. 

As individual systems, we can never be as great as we would be together. Integrated medicine combines the best of all worlds. Treatments are chosen based on patient-centered care, merging a variety of medical interventions to best suit the individual’s needs. Over 2000 years ago Aristotle said “the whole is greater than the sum of its parts”. Two thousand years of wisdom. 

Perhaps the most important medical breakthrough will occur when the two worlds embrace their differences and work together.

Men Matter - The importance of male role models

Audrey with her Grampy Blake

No man stands so straight as when he stoops to help a ‘child’.  Knights of Pythagoras

While we celebrated Father’s Day (aka Special Man’s Day), I found myself grateful for all the wonderful men in my life, and now in my daughter’s life. She is so lucky to have a number of strong, positive male role models around her, including her amazing father and 2 wonderful grandfathers. A gift she will benefit from her entire life. Unfortunately, this is not always the case. 

Modern day living has isolated us from extended family and has interrupted the very important aspect of community. Without this network which includes grandfathers, uncles, and family friends, children have few male role models to look up to other than ones forced on them by the media (athletes and entertainers).

It is essential in the development of children to have a positive male role model in their lives. Sometimes this importance is underestimated, maybe even mostly by men themselves.

Fathers are just as important to children as mothers. And the statistics prove it. Father-deprivation is a more reliable predictor of criminal activity than race, environment or poverty. (Sources: National Fatherhood Initiative (U.S.A.), US Bureau of Census (U.S.A.), FBI (U.S.A.) In fact, children who have a father (or a father figure) who is actively involved in their lives do better in school, get in less trouble, and make more money than children who don’t have a male role model (US Dept of Health, Jan 2011). Many other statistics can be viewed on the Canadian Children’s Rights Council’s website. (www.canadiancrc.com)

No matter how many wonderful women surround them, boys and girls need male role models. Ideally this is a father, but it is not always a possibility, and their fathers alone are not enough. The lack of male role models exists perhaps more in the community at large than at home as fewer and fewer men are choosing to get involved (teachers, coachers, youth group leaders, etc.).

By about age 3, male-ness and female-ness become very important concepts for children in their view of the world, and will remain so for at least the next 15 years. Yet, except for their fathers, both boys and girls have virtually no significant relationships with any other adult males at this age. Without a healthy model to navigate towards, children instead look to media and friends to fill that role. Behaviours are then deemed appropriate based on fictional characters and immature peers. The sense of normalcy is skewed.

Being a role doesn’t mean you are perfect - none of us are. It means you care and you are willing to show it. You don’t need to be a father to be a role model and have a major positive impact in a child’s life.

Men and women alike (including single moms and same-sex couples) need to recognize that a relationship with a stable, supportive male is one of the best things we can give our children. Every child needs a community of people around them who are totally committed to their success. We need to not only be the positive role model but also make an effort to create this community for our children.

Here are some useful resources that may help:

Local church and youth groups

Family and friends

Useful websites: 

http://www.bigbrothersbigsisters.ca

www.canadiancrc.com

http://www.bgccan.com

http://cscatlantic.ca

Weathering Allergies Naturally

What are allergies anyway?

The word “allergy” means different things to different people. Allergies can be the reason you dread spring (what’s fresh air to others is your nightmare); why your digestive symptoms are a huge source of stress; or why skin reactions bring you down. Some people’s allergic reactions can be life threatening (anaphylactic). 

All are a symptom of an imbalance in immune function and too much inflammation.

An allergy, by definition, involves the immune system behaving in an abnormal way. When functioning optimally, our immune systems can correctly identify potentially harmful particles we eat, drink, touch, and inhale in the run of a day. Sometimes our systems lose that ability and start mounting unnecessary attacks against otherwise harmless molecules. The attack often involves the release of histamine and an inflammatory cascade follows. Various triggers combine to set the stage in motion - low nutrient intake, high intake of nutrient depleting and inflammatory foods, stress, genetics, environment, etc. can all be pieces of the allergy puzzle. So what can we do?

Identify Triggers and Avoid if Possible

If your allergy is anaphylactic it has to be avoided when all possible. Typically, anaphylactic allergies are easier to identify because the reaction is so immediate and severe. Other allergies, such as delayed food allergies, can be less obvious and may require elimination diets or further testing. Environmental allergies can also be challenging identify correctly. The Pear Tree docs use a variety of methods to identify allergies.

Quench Allergies thru Nutrition

Certain foods have been shown to ease allergy symptoms. Here are some foods with anti-allergenic properties: 

• Omega 3 rich foods such as flax oil, walnuts, sardines, spirulina, salmon, cod, and mackerel have significant anti-inflammatory and immune balancing effects. 
• Vitamin C and quercetin act to stabilize cells that release histamine. Foods such as apples, lemons, onions, parsley, turmeric, and thyme are rich in these nutrients. 
• As a potent antioxidant, Vitamin E rich foods, such as dark leafy vegetables, egg yolks, and flaxoil can be helpful 
• Raw foods rich in enzymes help breakdown inflammatory molecules. Including a wide variety of fruit and vegetables in your diet, especially papaya and pineapple, will ensure this benefit. 

A is for Allergies Smoothie

1 ripe Avocado

3 Apples - washed well, ideally organic, skin on

1 thumb sized piece ginger

1/2-1 lemon juiced

1 tablespoon flaxoil

4 cups greens

4 cups water

Blend in high powered blender until smooth. Makes 2 large servings.

A Comprehensive Approach

Depending on the severity of your allergy reactions, supplements may be necessary. Supplements that include therapeutic doses of the nutrients mentioned above (Vitamin C, quercetin, omega 3, and Vitamin E may be helpful).

It is always helpful to attempt to address the cause - and with allergies, inflammation and immune imbalance are probable. Improving liver function can help reduce toxic burden and inflammation in the body. A change of season cleanse may be ideal for you.

Immune support can help reduce allergy symptoms. Herbal remedies such as astragulus, burdock root, nettles, and various mushrooms all provide immune benefits.

Digestive function plays an important role in managing allergies. Balanced gut flora is essential and probiotics and/or fermented foods can help.

Naturopathic medicine offers a range of solutions to seasonal and year-round allergy sufferers. Homeopathy, herbal medicine, detoxification support, and acupuncture can all effective in preventing and relieving allergy symptoms. 

Addressing your allergies naturally offers benefits that extend far beyond allergy season and, over time, can rebalance the immune system and eliminate allergies all together!

Visit Dr. Blake today for a naturopathic approach to your allergies.

Seven Days of Green Smoothies - Day 7

The Pear Tree Clinic releases a newsletter once a month. We are currently working on our May edition, set to be published later this week, all about allergies. It is with that theme in mind that I made the final smoothie post.

Quercetin is a flavonoid (plant chemical) that has been shown to have antihistamine-like properties. This is a winner for anyone suffering from allergies. This smoothie is apple based to increase the quercetin content.

Vitamin C has also been shown to help stabilize histamine secreting cells. As well as having a positive effect on the immune system, vitamin c is an anti-allergy power house. Lemon juice provides vitamin C in this recipe.

Omega 3 are anti-inflammatory and provide amazing benefits in the prevention and treatment of allergies. Flaxoil (cold-pressed, unheated) is added for the omega 3 benefits.

Avocado is added for the wonderful texture it adds and also for the potent antioxidant benefits of vitamin E.

Then there's the greens. Really it's no surprise that they reduce allergies - they do everything! High in vitamin K, E, and loaded with enzymes, they really are a superfood you want to include daily, during allergy season and otherwise.

A is for Allergies Smoothie

1 ripe Avocado
3 Apples - washed well, ideally organic, skin on
1 thumb sized piece ginger
1/2-1 lemon juiced
1 tablespoon flaxoil
4 cups greens
4 cups water

Blend in high powered blender until smooth. Makes 2 large servings.

Seven Days of Green Smoothies - DAYS 5 & 6

My family and I were away for the weekend - and traveling tends to throw a wrench in my smoothie plans. I thought about packing the blender...but decided on a pre-made powder for the two days we would be away. I am a big fan of real food, but sometimes convenience becomes a necessity and, luckily, there are some very decent options for getting greens in your diet in an easy, blender-free way.

Recently I've become very attached to Vega products. They have a great line of vegan protein options and newer products that also have greens. Vega One is what I used while on the road, however Genuine Health has Greens+ products that are also good. Even simple spirulina powder would work.

The Vega powders mix easily - basically all you need is a shaker cup and a liquid. I recommend 8-12 oz. per scoop of powder. Audrey's favourite combination is almond milk and the french vanilla powder.  Natural works well in diluted fruit juice (1/2 water, 1/2 pineapple is a nice combo).

More information on the Vega products can be found at myvega.com

When doing your best to eat well, it's nice to know there are options on those busy days.

Seven Days of Green Smoothies - DAY 4

The Green Smoothie That's Actually Green Smoothie

They say we eat with our eyes first and, in all honesty, although green at heart, the last few smoothies turn out more brown than green. This one though, has a very grown-up taste and beautiful green colour.

2 kiwi (peeled)
4 small apples (cored, skin on if organic)
1 lemon juiced
4 cups kale
1 or more tablespoons chopped ginger
2 cups water

Place all ingredients in high power blender, adding more water if necessary, and blend until smooth. Serves 2-3.

Greens Pack a Punch Smoothie - DAY 3

Greens Pack a Punch Smoothie

Arugula is a full flavoured green - and does well with other strong herbs, like mint! If you're not a big arugula fan or are new to green smoothies, swap the arugula for spinach. If that's the case, you may also want to swap the mint for a milder herb like parsley, but either way is tasty! The first time I made this with arugula, I had to add a splash of maple syrup for Audrey, but now she likes the arugula flavour just fine.




1 cup fresh herb (mint, parsley)
1 cucumber
1 avocado
4 cups greens (arugula, spinach)
1 cup frozen blueberries
1-2 cups of water

Place all ingredients in blender and blend until smooth, adding more water for desired consistency. Sweeten as needed with a splash of maple syrup. Enjoy cold.

"Naturopathic docs seek regulation" with Letter to the Editor

This article appeared April 17 in the Moncton Times and Transcript. Although the overall message is positive, the article was a bit unclear in some aspects. Read it over -  then take a look at my letter to the editor. I'd be interested to hear what you think. More exposure for New Brunswick naturopathic doctors :)



HEALTH
NATUROPATHIC DOCS SEEK REGULATION
BY COLE HOBSONTIMES & TRANSCRIPT STAFF 16 APR 2013 11:27PM


The field of naturopathic medicine is currently unregulated in New Brunswick, but that hasn’t stopped the industry from growing in the province, according to a local doctor.

Dr. Martin Gleixner is a naturopathic doctor who works at the Moncton Naturopathic Clinic. He is also the president of the New Brunswick Association of Naturopathic Doctors, the self-regulating association that is looking to build credibility for this relatively new form of medical practice.

“Why it’s not regulated is simply that it’s like other provinces that aren’t regulated, it’s still quite new to New Brunswick. If you look at five years ago we had two naturopathic doctors here,” he said, noting the government doesn’t approve regulation with such small membership numbers. “Luckily now within five years we’re already up to 15 and that’s only going to increase in numbers. We’ll continue operating as an association and regulate the profession through that venue.”

The New Brunswick association describes naturopathic medicine as a “comprehensive and holistic approach to improving health, and treating illness in patients of all ages.” Their website states that it’s the art and science of disease diagnosis, treatment and prevention using natural therapies and substances. Naturopathic treatments can be used effectively on their own or complement conventional medical treatments. The association notes that a naturopathic doctor blends modern clinical sciences with traditional healing practices.

Gleixner said a lot of the issues they face deal with a misconception of what they do and the background they have. For example, Gleixner said while they are not yet officially regulated in the province, naturopathic doctors who are affiliated with the provincial association have gone through undergraduate study and then four years of medical school and also passed the required licensing tests at one of the accredited locations in Canada.

As an example, Gleixner holds a master of science degree and obtained his doctor of naturopathic medicine from the Boucher Institute of Naturopathic Medicine in British Columbia. From there, he obtained licensing and registration with the College of Naturopathic Physicians of British Columbia.

He said many of the diagnostic tools they use are similar to conventional doctors and they work with the hospitals in getting information on patients such as blood test reports and imaging studies.

“We understand the conventional approach for diagnostics and we use that as part of our tools,” he said.

In a sense of treatment approaches, however, Gleixner said they are “radically different” from conventional doctors.

“It’s not about drug versus supplement, it’s about you have these symptoms, we have this diagnosis for a certain disease, now instead of treating the symptoms directly as the only thing, we continue that sometimes if you have to provide relief and give some symptoms management,” he said, noting solutions can come from various nutrients, natural medicines or even acupuncture.

While there are recognized credentials that can be obtained, as the provincial association is still seeking title protection in New Brunswick, they advise people to make sure they are dealing with an actual certified naturopathic doctor and not someone simply claiming the title.

“Most people again they aren’t really bold enough to put ‘doctor’ unless they truly went through the eight years education that we need. It does happen, again the example where someone is a doctor in homeopathic medicine but then will do that crossover and add an ND after their name just for extra marketing, even though there’s no truth,” he said. “Again it’s because we don’t have a title protection yet in New Brunswick.”

There are currently two accredited schools in Canada for this type of work, the one Gleixner attended in British Columbia and the Canadian College of Naturopathic Medicine in Toronto.

In Canada there are five provinces that have naturopathic regulations: British Columbia, Alberta, Saskatchewan, Manitoba and Ontario.

Gleixner also said the Canadian Association of Naturopathic Doctors website at cand.ca is a great resource on the field as well as to determine whether or not a naturopathic doctor has proper accreditation.

Mélanie Sivret, a communications agent with the Department of Health, noted their department is working with the members of the New Brunswick Association of Naturopathic Doctors to discuss models to formalize their practice in the province.

“There are very few naturopathic doctors in New Brunswick, compared to other provinces. However it is anticipated that the demand for their services will increase over time,” she wrote in an email. “With this understanding, we continue to learn from other provinces and explore different models of oversight.”

Dr. Ed Schollenberg is the registrar at the College of Physicians and Surgeons of New Brunswick, which deals with licensing and monitoring of conventional physicians.

He said opinions are mixed in the medical community on naturopathic doctors.

“A lot of physicians would tend to dismiss it, but patients are entitled to make their own choices and if they feel some benefit, we don’t object,” he said. “They go to their own type of training and it’s obviously significantly different and I think you’ve got varying views of that among physicians, from dismissing it, to tolerating it to I guess being quite open-minded about the whole thing.”

Schollenberg noted that it’s unfortunate with no title protection that there aren’t tighter controls on who could claim to be a practitioner.

“Our general view is if you are providing a service to the public in that context you should do it in a regulated manner and they’ve been looking into that,” he said, noting naturopathic doctors could run into regulation issues due to a current lack of “critical mass” of people involved in the practice. “I think it’s still a preliminary stage.”

Dr. Melissa Blake is a naturopathic doctor who works out of The Pear Tree Naturopathic Clinic in Dieppe, which offers infrared sauna and ionic foot bath sessions, a dispensary, and IV therapy treatments.

She is also the vice-president of the provincial association and said public perception of what they do has increased greatly in recent years.

“It’s 100 times better than when I first graduated seven years ago, but there’s still a lot of awareness and education that needs to happen about exactly who naturopathic doctors are, what the training is and what we can do for people,” she said.

Blake said a lot of the work they do is about prevention of issues as opposed to treating them after they have happened.

“So we look at things like stress and lifestyle factors, including nutrition and how they impact health on a short-term and long-term basis and how we can use naturopathic modalities like diet, exercise, stress management, herbs, acupuncture, to stay well. But also I think naturopathic doctors are well trained in management of disease as well,” she said. “I think our strong point is definitely in chronic disease management, versus where I think the conventional system sort of excels is more in acute care, we are chronic care.

Blake added that another big issue with a lack of regulation is that their work isn’t covered under most health-care plans, which can make it pricy to have to pay out of pocket for their services.

She said she’s had good co-operation with doctors in the conventional medical field and she hopes their profession continues to gain respect and is soon regulated.

“It will just bring us on par with some of the other provinces in the country, it’s not like we’re asking for too much, there’s many other provinces that are regulated and are practicing to their full scope,” she said. “I think it’s only common sense that happens in New Brunswick.”


Letter to the Editor - April 29, 2013


I was recently interviewed and quoted for an article that appeared April 17 titled "Naturopathic docs seek regulation". Although I feel the article was very informative and touched on many important points, there were some inaccuracies that I would like to clarify with this letter.

Within the last paragraph of the article, it was suggested that naturopathic medicine is not covered by healthcare plans. This is completely inaccurate. Although not covered by provincial healthcare, most extended healthcare plans offer significant coverage for visits to naturopathic doctors. This is important to know as many people feel unable to afford naturopathic services and are unaware of their coverage. You can find out what your coverage under "naturopath" is by simply calling your insurance carrier.

The message naturopathic doctors in New Brunswick want to promote is that we are well educated and well trained healthcare professionals who can play a vital role in complementing the current healthcare options available in New Brunswick. Proper regulations for health services are a public safety issue and, as noted by Dr. Schollenberg, "if you are providing a service to the public in that context you should do it in a regulated manner".

All members of the New Brunswick Association of Naturopathic Doctors (www.nband.ca) are required to maintain licensing, memberships, and continuing education status that is on par with NDs practicing in regulated provinces.

Naturopathic doctors in New Brunswick are excited about the potential of naturopathic medicine in the province, are eager to work with other healthcare professionals, and are working hard towards regulating this very worthy (and quickly growing!) profession.

A big thank you to the times and transcript for shedding some light on this important issue.

In health,

Melissa Blake, ND

Seven Days of Green Smoothies - DAYS 1 & 2

The more I learn about nutrition - the more emphasis I put on greens. Green smoothies are my daughter's favourite way to eat her greens, probably because they are so delicious! Each recipe can be tailored to accommodate what you have in your fridge or the benefits you are looking for. Don't be afraid to try your own! Our smoothies are loosely based on recipes we've tried but have adapted to our tastes. Leftover smoothie can be stored in airtight container for up to 24hrs and blended again when ready to eat. For small blenders or single servings, simply half the recipes.

Day 1 - Ginger Boost Smoothie

Ginger is a potent anti-inflammatory. It's also a wonderful digestive tonic. If you are new to ginger, try half the amount suggested and increase to your taste. As with most things, fresh is best, but powdered ginger would work ok here too.

1 thumb sized piece of fresh ginger

1 cup frozen blackberries

2 cups of kale (washed and trimmed)

1/2 cup fresh parsley

1/2-1 cup of water

Place all ingredients in high speed blender and blend until smooth, adding more water if needed to reach desired consistency. Makes 2-3 large servings. This smoothie tends to separate quickly - so keep any leftovers in the blender and refrigerate. When you are ready for another taste, simply blend again and enjoy! This recipe works well at room temperature or poured over ice. 

Day 2 - The Proof is in the Mustache Smoothie

I really did grab whatever I saw when I first opened my fridge for this smoothie - and it turned out great! The texture is almost pudding like thanks to the avocado. Yummy! It is a bit on the sour side but an extra ripe pear or a splash of local maple syrup would sweeten things up nicely. The wheatgrass powder is a superfood and a great addition to this recipe.

1 cup frozen blueberries
1 cup fresh pineapple
1 ripe pear
1 avocado
4 cups of baby spinach
1 tablespoon wheatgrass powder
1 cup water



Place all ingredients in high speed blender and blend until smooth, adding more water if needed to reach desired consistency. Makes 4 large servings. This smoothie has a thick consistency and does not separate so is great for taking on the road!

Steps to Going Green with Your Family

Of all the nutritional advice out there, perhaps the choice that provides the most benefit is getting more greens in your diet.

Greens, which include spinach, kale, arugula, watercress, beet greens, etc. are important for many reasons. They are packed with essential phytonutrients, fiber, vitamins, and minerals. With all of these benefits, greens are also low in calories and are an important part of achieving and maintaining healthy weight. Considering the fact that overall obesity, particularly obesity in children, is on the rise, adding more greens daily is an essential part of improving the short term and long term health of your family.

Getting more of these super foods in your family's diet can be made easier with the following suggestions:

Smoothies - blending fruit and greens is a great way to enhance the flavor and increase intake. It is always best to rotate your fruit and greens to increase the variety of nutrients, but a favorite smoothie in my home is:

2 cups spinach
2 ripe pears
2 cups frozen blueberries
1/2" piece of ginger
1/2 cucumber
1-2 cups of water (to desired consistency)

Blend in high powered blender and serve immediately. Makes 2 large servings.


Purées - especially with kids, texture is everything. Try increasing greens by cooking and adding puréed versions to their favorite foods such as applesauce, mashed potatoes or squash. Puréed greens in soups is also a good way to encourage more greens. As palates begin to appreciate the flavor, greens can simply be sprinkled on top or finely chopped and mix in. Parsley, which is a wonderful source of vitamin K, calcium, and vitamin A, is a great green to try this with.

Salads - one large salad a day helps to boost your family's intake of vegetables. Adding sliced fruit, berries, avocado, nuts, seeds, and a tasty homemade dressing will increase the flavor and the chances that everyone will clean the veggies off their plates! One of our favorite dressings is rich and creamy:

1-2 garlic cloves
1 teaspoon whole grain mustard
1/2 teaspoon turmeric
2 tablespoons each chopped fresh parsley and chives
1/4 cup minced red onion
1 teaspoon raw honey or local maple syrup
2-4 tablespoons cold pressed extra virgin olive oil or coconut oil melted (add 2 then increase to thin if needed)
1-2 tablespoons of lemon or lime juice

Place in high powered blender and blend until smooth and creamy. Add a bit of water if needs thinning.

Roast - roasting most veggies brings out the sweetness, so if veggies are a challenge in general for your family, try roasting. Roasting greens makes them crispy and can be a great treat. Again it's all about texture!

Choose a tougher green like kale. Preheat oven to 400F and pop in cookie sheet while it heats. Wash greens and toss with a bit of olive oil, just enough to coat. Use herbs and spices that you like - kelp for saltiness, chili powder for a bit of heat, garlic powder, etc. Spread leaves evenly over pan (they should sizzle on the hot pan). Put in oven for 10 minutes, turning once halfway thru. Remove from heat and enjoy!


Although greens are being highlighted here, all veggies have major health benefits and deserve a starring role in every meal. Chemicals and nutrients in plant foods have been shown to boost immune function, reduce inflammation, slow aging, promote healthy weight, improve appearance of skin, ensure optimal bowel health, prevent cancer, and protect against osteoporosis.

It has been well proven that as fruit and vegetable intake increases in the diet, chronic disease and premature deaths decline.

How empowering! What an amazing influence we can have on the quality of our own lives as well as those of our children.

With all this being said, sometimes both adults and children can resist what is good for them. Especially with children, exposure is key. Even if they don't eat what's on their plate, be sure to put small portions in front of them consistently. After a few times, they are bound to sneak a taste. Keep in mind, children look to their role models for cues - be sure you try a taste every time to encourage the same behavior.

For more delicious green recipes, visit www.nourishingmeals.com