Keeping our Flourish Community Safe with Updated Covid Protocols
COVID numbers are surging. Sigh. As you know, we’ve had careful measures in place since we reopened in June. Due to the current spread of the pandemic, and because of the holiday season which will have more traveling and gatherings, we are changing some of our regulations and protocols in order to keep everyone in the Flourish community safe.
This may affect your upcoming care with Flourish, so please read this email to make sure you’re in the know. It’s long – so take a few minutes to review it in order to keep yourself, our practitioners, and everyone’s families healthy and well.
Changes to who is eligible to continue to receive care:
- Are you (1) traveling out of state or (2) gathering indoors / unmasked / not socially distanced with people outside of your household or bubble? We ask that you not return to Flourish for care until one of the following:
- 1. You receive a negative COVID test performed at least 3 days after your last exposure to others; OR….
- 2. Seven days have passed from your last exposure to others, and you can confirm that no one that you were exposed to has developed any COVID symptoms, including mild symptoms, such as muscle aches, headache, or loss of sense of smell.
- Are you hosting out of town guests for a short- or long-term stay in your home? We ask that you not return to Flourish for care until one of the following:
- 1. You receive a negative COVID test performed at least 5 days after the guests’ arrival; OR….
- 2. Nine days have passed from your first exposure to the guests, and you can confirm that no one that you were exposed to has developed any COVID symptoms (even mild symptoms).
- We would ask that you and your guests refrain from doing high exposure activities, such as big bus tours of SF, etc. If you do, then please count that as a potential exposure, and follow the guidelines above.
- If you have any cold symptoms or other possible COVID symptoms, or if you test positive for the coronavirus, ALL of the following criteria (from the CDC) must be met before you can return to the clinic for care (please remember that COVID symptoms can be very mild in some individuals):
- 10 days since the symptoms first appeared, AND…
- 24 hours without fever, without using a fever-reducing medication, AND…
- All COVID-like symptoms are improving.
- **OR** you get a negative COVID test result, performed shortly after your symptoms appeared, and your symptoms have passed.
Changes to how to prepare for your appointment at the clinic:
- While we have required masks since June for all patients and practitioners, we are changing the standard to assure everyone’s safety. We are now requiring patients to wear face masks that are in accordance with the following regulations:
- Masks with vents, neck gaiters and bandanas will no longer be permitted in the clinic. Unfortunately, these masks have been shown to fail to properly protect others from COVID droplets.
- If you don’t have the right kind of mask, we can provide you with a disposable surgical mask for $1. You can reuse this mask for your following Flourish appointments.
- We will increase our commitment to conducting the majority of the intake / conversation portion of the appointment via phone while you remain outside the clinic – so please wait outside the clinic until your practitioner calls you.
- This is intended to minimize your exposure time inside the clinic. Don’t worry, it does NOT mean that you have to be silent in the clinic, of course 🙂
- Please ensure that you complete the emailed COVID screening questionnaire prior to each appointment. You will now receive it 12 hours in advance of your appointment. Some of the questions may prompt you to contact your practitioner with more details.
Changes to our COVID protocols in the clinic
- We are now calling patients 24 hours before their appointment time to go through Covid questionnaire as well as having them fill out the Covid screening survey.
- Practitioners will all wear face shields whenever close to a patient’s face.
- Practitioners will all wear N95 or N95-comparable masks when in the clinic, whether or not patients are present.
- We will aim to keep our close interaction with patients to less than 15 minutes, in an effort to minimize the likelihood of a CDC-defined “exposure.”
- All practitioners will be getting regular COVID tests.
- We remain committed to all prior COVID safety protocols.
We are doing our best to be able to keep our doors open in the face of this pandemic, while also keeping our patients’ and practitioners’ safety at top of mind. If you have any questions about these requirements and regulations, please be in touch, anytime.
Thank you for your continued commitment to keeping Flourish a safe space for all who enter.
Four Tips for Improving Male Fertility
Did you know that male fertility issues contribute to up to 50% of all infertility cases1,2? And that there has been an unexplained steep decline in sperm quality over the past few decades1,3,4?
We see so many women in our clinic ready to do anything to achieve a healthy pregnancy. All too often, however, we’re only able to see and treat half the picture, because their partners are not coming in with them. Furthermore, this disconnect can leave women feeling alone and unsupported in their fertility efforts, and men feeling relatively powerless in the process.
In reality, numerous factors within the male body can contribute to fertility issues: hormones, immune system, circulation, and inflammation can all play a significant role. A history of injury to the testes, or even a past head injury, can impact male fertility (any former soccer or football players out there?). And a ton of environmental factors can also contribute, including exposure to pesticides, chemicals and plastic, as well as just stress.
Even when sperm analysis results come back “normal”, there is still work that can be done to optimize all of these factors, and improve the chances of conception. And, let’s be clear, these factors can contribute not only to infertility (inability to get pregnant in the first place), but also to miscarriage – if the DNA of the sperm is damaged.
But, have no fear, Flourish is here to save the day! Here is a quick peek at some of our favorite tips for improving male fertility:
- Cool your junk: Keeping the testes cool is critical to optimizing sperm production. This means keeping laptops and phones away from the crotch, taking standing breaks at work every 30-60 mins, turning off the seat heater in your car, boxers instead of briefs and slacks instead of skinny jeans, and avoiding baths and hot tubs.
- Stop smoking: This includes marijuana, sorry dudes. Smoking either tobacco or cannabis is correlated with decreased fertility5,6,7,8.
- Healthy diet and supplements: Avoid high quantities of processed foods, coffee, red meats, alcohol, and sugar9. Instead, opt for a Mediterranean-style diet10: omega-3 rich foods, lots of fresh organic vegetables and fruit, whole grains, lean meats and seafood. In addition, supplementing vitamins C and E, folate, CoQ10, L-carnitine, zinc and selenium have all been shown to improve sperm analysis numbers11,12,13. But make sure you always choose high quality supplements. Cheap supplements can include additives or even heavy metals that can actually make things worse.
- Get herbs and needles: Regular acupuncture and herbal medicine can make a measurable impact on male fertility14,15,16,17. We work to promote healthy circulation, balance the endocrine system, reduce inflammation in the body, and support healthy lifestyle changes in our male fertility patients. Here at Flourish, we see the best results with weekly acupuncture for at least 3 months (about the length of time of sperm production, from beginning to end), with herbal medicine to support some patients. Semen analysis performed along the way provides a great measuring stick for our progress. And, gentlemen, have no fear: this does not include inserting any needles into your, ahem, sensitive areas!
To schedule an appointment to work on optimizing your fertility, you can book online, via email, or by phone (707-205-1224). Or drop us a note with any questions that you may have about how we can help you.
- 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691969/
- 2. https://www.auanet.org/guidelines/male-infertility-optimal-evaluation-best-practice-statement
- 3. https://onlinelibrary.wiley.com/doi/full/10.1111/andr.12149
- 4. https://journals.sagepub.com/doi/abs/10.1177/0960327117703690
- 5. https://www.ncbi.nlm.nih.gov/pubmed/30916627
- 6. https://link.springer.com/article/10.1007/s10815-015-0553-8
- 7. https://www.sciencedirect.com/science/article/pii/S2090123210000585
- 8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814952/
- 9. https://academic.oup.com/humupd/article/23/4/371/3065333
- 10. https://www.nature.com/articles/s41598-019-39826-7
- 11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739574/
- 12. https://academic.oup.com/humrep/article/23/5/1014/646098
- 13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5203687/
- 14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479084/
- 15. https://www.tandfonline.com/doi/abs/10.3109/01485019708987914
- 16. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1439-0272.2000.tb02862.x
- 17. https://www.sciencedirect.com/science/article/pii/S0015028205005911
Post-Fire Self Care Tips and Tools
As the fires up in Butte County continue to burn, our community here in Sonoma County is feeling the impacts daily. Not only has the heavy smoke led to several unhealthy air quality days in a row, but it is also triggering the trauma our community experienced last year from the Tubbs Fire. We feel the pain and loss coming up from last year and our team of practitioners here at Flourish Integrative Health has compiled some simple tools and tips for you to take care of yourselves and your families during this trying time. We invite you to continue reading below to learn more.
If you find that you need some additional support, acupuncture is incredibly helpful in addressing stress as well as supporting lung and respiratory health. Additionally, Dr. Jen Riegle, ND is offering nebulized glutathione treatments to support respiratory health and Vitamin B-12 shots to boost immune health.
Respiratory Protector and Stress Soother Tea Recipe for after smoke inhalation
We have been formulating and brewing some delicious tea that will support and fortify your lungs and respiratory system. Rosemary’s Garden in Sebastopol is an excellent place to shop for these ingredients.
It will assist your body to release the highly toxic smoke which we have inevitably inhaled. So make some tea, or batches for others to support healing and soothing those mucous membranes that may be irritated.
It is great for our Fire Fighters, safe for pregnant mamas though you can omit or decrease the licorice if going to take over a longer period of time. Look at the recipe for alterations in pregnancy. Safe for nursing mamas, children, and the elderly. Only avoid if extreme high blood pressure/hypertension.
It also provides nervous system and stress support.
Here is a recipe of dried ingredients to make for 5 gallons of tea. (Double dose if using fresh herbs)
3 parts: Astragalus; 45g: 1 cup
2 parts Marshmallow; 30g: 1/2 cup
1 part Licorice: 15g: 1/4 cup (decrease or omit if pregnant and going to drink over a long period of time, safe for short periods of time: can replace with 1 cup of Nettles)
2 parts Rosehips; 30g: 1/3 cup
Decoct or simmer for 1 hour.
2 parts Mullein: 30g: 2 packed cups
(limit consumption of Mullein with loose stools in Pregnancy)
1 part Scullcap: 15g: 3/4 cup
1 part Chamomile: 15g: 3/4 cup
Let simmer for 20 mins
1/2 part Lemon Balm: 7.5g: 2 Tablespoons
1/2 part Thyme: 7.5g: 2 tbsp
1/4 part Rosemary:4g: 1 Tbsp
Let simmer for 5-10 minutes, turn off. Strain with a cheese cloth to ensure no fine hairs from the mullein get through (put one over strainer) and drink 3x daily.
Give this to your little ones, loved ones, or make it an act of self-care and support your body get back to balance. If making for others or distributing: please label with above precautions for pregnant women and those with hypertension/ high blood pressure.
Thank you to Jen Bredesen, teacher at the California School of Herbal Studies, for bringing her wisdom and love to this formula.
If you are looking for some pre-packaged teas that can provide some respiratory health support, these are a few of our favorites that you can find at Whole Foods, Community Market, Olivers, etc:
Gaia – Sinus Comfort and Bronchial Wellness
Yogi – Breathe Deep and Throat Comfort
Choice – Organic Throat Cozy
Traditional Medicinals – Throat Coat and Breathe Easy
Our friends over at Farmacopia in Santa Rosa are an excellent resource for respiratory and immune support as well.
The Center for Mind-Body Medicine has some wonderful audio recordings to guide you in soft belly breathing and guided imagery to help relieve stress and overwhelm. To access, please click here. If you need additional support with dealing with trauma, please contact NAMI – National Alliance on Mental Health. They offer free support and can link you with a qualified therapist to work with.
Please do not hesitate to reach out with any questions. We are honored and grateful to be a part of this community and our team of practitioners is here to provide you with support as we move through these challenging times. Sending lots of love to all of you out there.
Tuesday Tips: Bone Broth! One of the most mineral-rich foods out there!
Recently, I have been telling all of my patients about bone broth. This golden delicious liquid is chock-full of minerals and has helped several patients heal digestion, support immune system, heal and prevent injury, and recover from illness. I personally prefer Beef Marrow Bone Broth because it feels very nourishing to my body. However, if there are other conditions that are needing more tendon/ ligament support such as tendonitis, joint issues, knee pain, I will sometimes recommend Chicken feet/ necks. Check out all of the minerals that are contained in this delicious liquid. To your health, Vladi
Beef Bone Broth
Several large beef marrow bones, with or without meat attached
1 Tbs. apple cider vinegar or lemon juice
Combine all ingredients in a crockpot and fill with water. Let cook on a low setting for 12-36 hours.
Strain with a colander or sieve, lined with cheesecloth – for a clearer broth.
Enjoy warm or let cool to use in other meals. Keeps in the fridge for several days or freeze indefinitely. I take the fat out once it is solid.
- Soup – Just add vegetables, or meat to broth and heat until warm. Season after cooking with salt and pepper and your favorite spices.
- Cooking Liquid – Use broth in place of water to cook vegetables and meat in a frying pan or pot. Bring broth to a boil, add meat and vegetables, reduce heat and simmer until cooked.
- Gravy – Use to make gravy for vegetables and meat. Add organic butter (2 Tbs.) in a skillet. Whisk in broth and cook. Add salt and pepper to taste.
- Tea – Drink broth like a tea. This is great in the winter or when sick. Fill a thermos and sip throughout the day. The most traditional use for seasoned broth is as a first course, to enhance the digestion of any meal to come.
- Cleanse – Forget about juice, use broth as a liquid cleanse! Mix it up with chicken, beef or pork bone broth, add spice to taste. Yum!
Bone Broth contains lots of nutrients from the cartilage and bone. These include:
- hyaluronic acid
Recipe adapted from Berkeley Nutrition by Stephanie Gruber, Board Certified in Holistic Nutrition
Flourish in Fall with these simple tips
I wanted to take the opportunity and write about staying healthy as the seasons change. As the last few weeks of summer transition into fall, we experience an energetic shift. According to Chinese Medicine, Summer is a time of maximum Yang expansion and fall begins the building of Yin. There is a condensing, a crystalizing, a heavier energy. This is also a time of focus, harvest and bringing together. In Chinese Medicine, the inner microcosm and outer macrocosm are intertwined, and as the inner and outer balance, there is health. When there is disharmony between the inner and outer (for example, you are pushing on a project when what is being called for is patience and waiting), there is dis-ease. Here are some easy tips for matching the energy of the seasonal change:
CARRY LAYERS no matter how warm the days are. Especially keep the neck and low back covered, as these are sensitive to cold and wind.
BEGIN TO MAKE AND DRINK BONE BROTH DAILY. This rich, mineralizing drink will up your immunity, remineralize and rehydrate.
FIND YOUR FAVORITE IMMUNE TONIC AND CONSUME IT DAILY: Some of my favorites are Bone Broth, Elderberry, Reishi, Astragalus, Vit C and Zinc
PULL YOUR ENERGY INWARD: Begin to go to sleep earlier and sleep in if possible. In the great expanse of summer, we sometimes expend a lot of energy. Now is the chance to start consolidating our energy, just like the trees do, by letting go of their leaves.
LET GO: Autumn in Chinese Medicine has a lot to do with letting things fall, fall away, and surrender. As we pull our energy into focus, we let go of anything extraneous. This is a good time to do an internal or external cleanse. You can think about doing a nourishing cleanse of your body; a purge of your closet; a Facebook fast; or any other way of cleansing that feels good for you.
Restore your Spirit in Maui ~ Women’s Wellness Retreat
Women’s Wellness Retreat May 1-7, 2015 | Maui
Yoga, Ayurveda, Chinese Medicine, Visioning, Healthy Eating.
Dreaming of a getaway with plenty of time and space to feel connected, refreshed and inspired?
This Women’s Wellness Retreat was designed for you!
Luxuriate in the warm Hawaiian sun, delight in the delicious tropical ocean breeze, and rejuvenate yourself in the clear, refreshing water of the Pacific. One thing most women have in common regardless of where we are in our life journeys is the need for better self-care. This retreat is your opportunity prioritize your own physical, mental, emotional and spiritual nourishment, by spending an entire week putting your needs first.
October 19-25, 2014 in Luniupoko, Hawaii (near Lahaina)
This retreat is the perfect getaway whether you live in the islands or come from afar. Housed in a breathtaking West Maui Estate with sweeping ocean views and stunning sunsets, you will enjoy: -Daily movement (Yoga or Qigong) adapted for all levels of experience/flexibility -Delicious organic healthy gourmet meals locally sourced as much as possible -Inspiration and instruction for improving your wellbeing from the wise perspectives of Chinese Medicine, Ayurveda, and Holistic Nutrition -3 Gourmet Catered Meals with Ayurvedic principles, and local, fresh, seasonal ingredients -Guided Meditations and tools for developing an effective, ongoing meditation practice -Visioning exercises that will help you transition your dreams and personal transformation goals into reality -Time for introspection and self-care -Opportunities for island exploration through waterfall hikes, shopping excursions and ocean adventures -Hormone Balance & Well Women’s Tips with Vladi -Understanding the Body’s Messages through the Lens of Ayurveda with Danielle -Healthy Gourmet Cooking Class with Fiorella -Small Group Setting which will ensure connection, and attention to individual requests/needs -Private Sessions will be available at discounted rates for those interested in having more one-on-one support – One Round-trip shuttle to the airport More Details: Click Here
Flourish Integrative Health is devoted to helping you achieve vitality and well-being: physically, emotionally, mentally, spiritually. Through the modalities of Chinese Medicine such as Acupuncture, Herbs, Massage, Nutrition and Bio-Energetics, let us support you to achieve radiant health! Just as a plant needs the right ingredients of sunlight, nourishment and proper environment, let us find your unique needs to help you FLOURISH.