More than a year into the pandemic and our lives have still not returned to normal. Almost every day I give thanks for the fact that in Maine, we have been relatively safe and so blessed with an abundance of outdoor activities that have helped many of us stay somewhat sane and connected through this challenging year.
But my heart goes out to those people who have lost loved ones during the pandemic, without being able to be by their side due to hospital safety precautions or inability to travel. Not only has COVID-19 taken so many lives – I think about how painful the grief process must be, no matter the cause of death, when there isn’t the kind of closure we all would hope for when a loved one is passing.
Family Constellation work, offered here at Camden Whole Health, is a groundbreaking healing modality that can be especially helpful in situations where unresolved grief is preventing a person from moving on. This can be true in cases where loss was never fully processed in the past (for instance, if a parent died suddenly and a child was just too young to understand and cope with the loss), or in the current global situation we find ourselves in, where the natural grief process of being by a loved one’s side as they are dying has been completely interrupted.
A Family Constellation Facilitator can help a client move through a grief process that has become stuck, by helping them to connect with their loved one on an emotional level and express thoughts and feelings that could not be shared in real life. In a private session, this happens by allowing the client to share their story and then inviting them to represent their loved one with a chair, footprints or a figurine. This helps the client imagine their loved one’s presence and move from “just talking about it” to a more holistic, embodied approach that invites all levels of the client’s experience (the mental, emotional, physical and spiritual) to be accessed and expressed. All of this happens in a gentle, organic fashion where the client determines what they wish to explore, at what pace they wish to go, and to what extent. Not only does this process create room to express thoughts and feelings that had become stuck and inaccessible, but through the facilitator’s gentle guidance there is also a possibility for a sense of connection with the deceased, resolution and completion. Often, after 3-5 sessions a client will feel a remarkable shift in terms of their grief – while sadness about losing a loved one doesn’t just disappear, they may report feeling less heavy, less stuck, less numb, less depressed, more in the present, more connected to their loved one on a soul level, more able to feel, more available to life again, +and more at peace.
It’s important to note that for many, the pandemic has also brought on a cluster of other types of losses: e.g. loss of social structures and support systems, loss of social connections and friendships, financial losses, employment losses (whether that be actual job loss, job insecurity or loss of job relationships and structure), relationship break-ups, even loss of alone time or couples’ time, especially for parents working from home. In addition, these losses have often created increased stress within family units and intimate relationships. While we have all had to adapt and find ways to make the best of it, it’s important to recognize when certain losses, changes or sacrifices are having such an impact on our quality of life that it’s creating ongoing negativity or suffering. Here too, having a safe and confidential space to address these difficulties can bring great relief, shift interpersonal dynamics, support new coping skills and make room for positive change. *** Anna Witholt Aurora is a certified Family Constellation Facilitator and a Life Coach and offers individual sessions (and groups, once that is safe to do so) at Camden Whole Health on Mondays, Tuesdays and Thursdays. For more information or to book a session, please visit www.soulmoves.me.
by Dr. Barbara MacDonald, ND, LAc for the Maine Association of Naturopathic Doctors on 7.10.20
As you are aware, in only a few months, a coronavirus never seen before has impacted every person on Earth. It has halted life as we know it by infecting more than eight million including 2,700 Mainers so far. Sadly, the COVID-19 has taken the lives of 423,000 of our loved ones – one quarter were Americans.
You are likely experiencing information overload related to COVID-19 and are more than ready to return to ‘normal’ life. As licensed naturopathic doctors (NDs) in Maine, we feel it important, however, to let you know that we are there for you in this troubling time with constitutional and evidence-based, individualized holistic healthcare covered by most insurance companies.
While scientists are still searching for cures for COVID-19, from medical, Naturopathic & Chinese medicines, you won’t find us making claims that are unsupported by data. There are currently no well-designed studies assessing whether natural medicines can help prevent or treat COVID-19. That hasn’t stopped us from using our tried and true system of medicine or our many holistic tools to support those whose goals include prevention, reduction of symptoms, duration and severity of illness and recovery from COVID-19.
Just as all healthcare providers in our local communities, we take this illness very seriously. We understand the lack of evidence that we all wish we had in the pursuit of prevention and treatment methods. We are here doing our best with little information to test and treat you and help you recover to the best of our abilities using the tools and treatments we have used for previous viral illnesses and immune-related illness.
PREVENTION IS KEY
Members of the Maine Association of Naturopathic Doctors would like to reiterate the CDC’s guidelines for protecting others in the case that you may have been unknowingly infected by coronavirus.[i] A person can spread the virus even without having any symptoms. We encourage each of you when in public, to cover your nose and mouth, maintain social distance, regularly wash or sanitize your hands and frequently touched surfaces. If you are exposed to someone who has COVID-19, quarantine from others and contact your doctor for testing and support.
While we do not claim that healthy lifestyle choices prevent you from getting COVID-19, some studies show those with underlying health conditions such as lung and heart disease, obesity, diabetes, or high blood pressure have more severe symptoms upon contraction of the novel coronavirus.[ii] So, it makes sense to follow the World Health Organization’s recommendations to make healthy choices, especially at this time. We all agree in recommending that you consider getting regular physical activity, avoid tobacco, monitor the mental and emotional well-being of yourself and your loved ones.[iii] Take deep breaths, stretch, or meditate, get plenty of sleep and eat a well-balanced diet.
As experts in nutrition, licensed ND’s encourage people to eat their own personal ‘healthiest’ diet or seek our counsel to figure out what that is for you. In general, we encourage people to eat whole food, plant-based diet rich in fruit and vegetables, unrefined whole grains if you tolerate them, a variety of healthy proteins and fats while reducing the consumption of sugar, alcohol, deep-fried foods, simple carbohydrates like white flour and processed ‘junk’ foods. Drink plenty of water instead of sweetened soda and juices.
The novel coronavirus is reported to usurp the body’s immune response resulting in people experiencing a great variety of signs and symptoms. Naturopathic doctors have many holistic, evidence-based tools for supporting patients’ unique constitution, tailored to their individual needs through each phase of the body’s reaction to the virus.
When we are called upon to help support the health and well-being of a person with any health challenge, including COVID-19, in addition to following CDC guidelines for reporting and referral, we are devoted to our principles: call upon the healing power of nature, treat the underlying cause of illness, remove obstacles to the cure, treat the whole person, doctor as teacher.[iv]
The Naturopathic approach to disease prevention and management and the naturopathic tools available to the well-trained physician/doctor are well studied in the viral setting. With disclosure to our patients regarding the lack of study on such a new and serious illness, we have been applying our approach for our patients who wish to use all resources available to them in serving their goals including prevention, limiting severity and duration of the disease, recovering from COVID-19 and restoring health afterward.
In the absence of effective vaccination or proven therapeutics, we offer what has been effective in other viral illnesses, cytokine storm situations and recovery from other severe life-threatening health challenges. There are no data to prove which if any botanical, homeopathic, lifestyle, nutraceutical or treatment will be powerful enough against contracting and managing COVID-19. But, we can propose natural medicines based on their known mechanism of action and historical data against other viral illness that, first do no harm and may, and in the future, may be found to help in the following ways:
· Modulate immune function to stimulate antiviral immunity in the prevention phase
· Modulate the production of inflammasomes, NFkb and other inflammatory cytokines
· Modulate immune function to calm the cytokine storm
· Activate healing and repair mechanisms after the severe phase of illness to restore proper function to systems negatively affected
· Restore proper nutrient status to facilitate return to normal function
· Enhance neurotransmitter, microbiome and adrenal function to improve mental, emotional health and energy
SARS-CoV-2 stimulates a part of the innate immune response called the inflammasome that seems to trigger the immune response in an overactive manner called a cytokine storm that can cause severe damage to the lining of the organs, especially the lungs.[v] One mechanism that functional or Naturopathic doctors have called upon in their treatment of the cytokine storm are natural agents found in other illness to dampen the inflammasome function such as ECGC from green tea and a bioflavonoid called quercetin.[vi]
Other types of natural medicines that have been used in viral illnesses that activate inflammasomes, cytokine storms, flu, etc. that are in the toolbox of many licensed ND’s and Functional MD’s/DO’s that are being studied to determine if they will be helpful with COVID-19 with minimal risk of harm include vitamin D, melatonin, curcumin, resveratrol, green tea, quercetin, zinc, Elderberry and many more.[vii]
As COVID-19 was first experienced in China, the use of Chinese herbs has been a staple in the prevention and management of COVID-19 since the third state guidelines published in December, 2019. Most recent hospital surveys found that 85% of people with COVID-19 are now being given a combination of modern western medicine and traditional Chinese herbal therapy.[viii]
The experience of doctors in hotspots in China, who used a combined approach, observed that the Chinese herbal therapies were successful at preventing those with mild symptoms from getting worse and to be particularly effective at treating the febrile and respiratory symptoms.[ix] Herbs that Naturopathic doctor’s borrow from a huge bounty of Chinese botanical research since the 2002 SARS epidemic include the use of Scutellaria and Houttuynia cordata and many others that block viral replication of earlier SARS virus.[x]
Using similar herbs used in the previous SARS epidemic, frontline workers in China, in 2019, found a dramatic reduction in the contraction of the novel coronavirus.[xi], [xii]
A registry of Naturopathic physicians’ management of COVID-19 has been created by the American Association of Naturopathic Physicians.[xiii] Together, scientists from the fields of naturopathic medicine, Chinese medicine, acupuncture, immunology and nutrition apply their expertise to the study of natural medicine are putting their resources together to help identify what natural methods are most supportive to those with COVID-19.
In conclusion, members of the Maine Association of Naturopathic Doctors wish for you to know that if you are inclined to take a constitutional & evidence-based holistic approach to your healthcare for any health challenge, including COVID-19, we are here for you from testing to treatment.
The right to free speech and honoring our freedom to express our different belief systems seems to have divided us, resulting in more judgement, anger, and fear in a time where we must call for unity. It is up to each of us to commit to being supportive of one another in spite of our varying beliefs in this most difficult of times. In response to this division, Maine Licensed Naturopathic Doctors call upon each of you to promote kindness, respect and tolerance.
[v] Conti P, Ronconi G, Caraffa A, et al. Induction of pro-inflammatory cytokines (IL-1 and IL-6) and lung inflammation by Coronavirus-19 (COVI-19 or SARS-CoV-2): anti-inflammatory strategies. J Biol Regul Homeost Agents. 2020;34(2):1.
[vi] Tozsér J, Benko S. Natural compounds as regulators of NLRP3 inflammasome-mediated IL-1? production. Mediators Inflamm. 2016;2016:5460302.
This is offered as our way of helping to keep our community safer as there is no other resource for asymptomatic individuals who want testing. In addition, the Governor has mandated that those visiting our state have the option to be tested instead of a 14-day quarantine but other local test sites are not yet operational.
Until state-funded community-wide asymptomatic testing is available locally, we will continue testing people who are not our patients. We are doing our best to keep costs down in an effort to test as many people as want to be tested.
There are many different scenarios when deciding if, when and what type of testing people need. We offer nasal swab, saliva, antibody blood draw, antibody finger stick and stool testing.
To decide if you have been exposed and are actively shedding virus and could be contagious, a nasal swab is ideal. Keep in mind, however, that a person could have SARS-CoV-2 and still not have enough viral shedding to test positive YET. Nasal swab testing is ideally done the day prior to symptoms or at the peak of symptoms and may remain positive (except for unanticipated testing error) until 2 weeks after symptom onset. Some people choose to combine nasal swab sooner and antibody testing later. Stool testing picks up active viral shedding as well but may remain positive for up to 5 weeks after nasal swab testing has become negative. This helps one understand if symptoms they had a month ago were from the novel coronavirus.
Saliva testing, like nasal swab, identifies active viral shedding as well, but there needs to be quite a bit of DNA in the sample to be positive and therefore is ideal during peak of symptoms when someone wants to do testing for the novel coronavirus at home instead of coming to the office. This is not a good screening test for tourists.
We offer two types of antibody testing. One, by blood draw, maybe more accurate for a person who wants to know if the symptoms they had a while ago were from SARS-CoV-2 as it will be more concentrated in the plasma from a blood draw. The drawback is that the CDC recommends using “major labs” like Quest that we use if one is compelled to do antibody testing which they still do not recommend. However, the Quest test may have up to a 26% false-negative rate. This means that if it is positive, it is very likely accurate (except for very rare lab contamination or error) but if it is negative, there is a 26% chance that the person’s symptoms were from the novel coronavirus but the test wrongly indicated that they were not. Another drawback is that Quest does not offer IgM testing which indicates if a person was recently infected and is still likely to be contagious. They only offer IgG antibody testing which indicates that a person was infected sometime in the past. Another plus of this test is that it does give quantitative information if a person is trying to watch if their titer (levels of antibodies) is going up or down.
FINGER STICK IGM-IGG ANTIBODY TEST ($75) A more sensitive and specific antibody test that is taken by a simple finger stick is available as well with a 15-minute turnaround time. This test has been studied in China to be much more accurate, is simpler to do with a faster turnaround time and is much less expensive. This one tests both antibodies: IgM and IgG. It does not give a quantitative amount of antibody if someone is trying to see their titers over time, however.
No test can determine if a person has COVID-19 immunity at this time and should not be used to give us a false sense of security that we are safe from contracting it. We can also contract it soon after being tested and, for up to 14 days be spreading it to others unknowingly.
All antibody tests have false negative rates that concern doctors and the CDC. Ideally, people would have both a properly administered, transported and analyzed nasopharyngeal swab and an antibody test regularly to assess if they are contagious. Since this is not feasible, please continue to do all of the following: cover your mouth and nose in public and when visitors come to your home, maintain at least 6 feet between you and others, wash your hands in very warm/hot water for at least 20 seconds, sanitize your purchases then wash your hands after.
HELP DETERMINING WHICH TEST TO HAVE:
If you need the doctor’s help to decide which test to have done, schedule with Dr. Deb or Dr. Barb or ask your own PCP.
If you have been seen since May 1st, schedule a 15-minute check-in (approximately $60 if we are not in-network with your insurance provider or haven’t met deductible/co-insurance).
If you are an existing patient but have not been seen since May 1st, please schedule a 30-minute check-in ($100-125 if we are not in-network with your insurance provider or haven’t met deductible/co-insurance).
For local community members who know what type of testing they want, but who are not patients, you do not need a check-in with a doctor, just schedule your test with our staff. If you don’t know what type of test you want, please schedule a 30-minute check-in with a doctor ($125) to establish a doctor:patient relationship, sign all consents prior to the telehealth visit.
People visiting our area who wish to not quarantine for the full 14-days, you must use the SARS-Cov-2 nasal swab test. You will be asked to sign a consent and agreement that you will remain in isolation until your result is back (usually within 3 days). That means you will not go to stores, gas stations, etc., until after your lab results are back.
Staff are available to answer the phone and email Monday – Thursday (10-4) until July 6th, then Reception will be open the same hours as the pharmacy listed below. Call 230-1131 and if the line is busy, email: firstname.lastname@example.org and request a call back, please. So sorry, but since COVID our lines have been jammed.
If you are a patient with concerns that you may have COVID-19 or have been exposed, please CALL THE OFFICE at (207) 230-1131 and we will return your call the same business day. If you don’t get through, email your doctor and staff at email@example.com.
Camden Natural Pharmacy
Pharmacy items are available all summer by pre-order, pre-pay and pick up in the foyer or we will ship them to you upon your request.
List the product name, brand, quantity of pills in the bottle, how many bottles you want.
Staff will call you for payment then place your bag with initials on it in the foyer
Pick up your bag during reception/pharmacy hours in the foyer wearing a mask and only one person in the foyer at a time please.
If you want your bag to be placed outside in the white box after hours, you assume responsibility for the replacement cost if they are taken by someone else
We now have plenty of immune support so patients can order up to 2 bottles of those items now per person.
On July 6th, if the Governor’s mandate still allows, we will open the pharmacy store and reception area with limited hours:
Monday & Tuesday Noon-4 pm
Wednesday – Friday 10-4 pm
In-Person Doctor Visits
Our receptionists will help you decide if in-person or telehealth (with your consent) serves you best. You may come in to see Dr. Deb or Dr. Barb if you need an examination or a physical medicine treatment like an adjustment or acupuncture.
Upon arrival, please wait in the car until we come to do your temperature check. Please put on your mask, roll down the window and temporarily remove the left hearing aid if you wear one. We will bring you into the clinic where we require you to sanitize your hands.
Please bring your own water as we cannot serve tea and water at this time. Patients coming for acupuncture, wear loose fitting clothing and bring a blanket if you want one please
For your safety, we require that you cover your mouth and nose at all times, sanitize hands upon entry, maintain 6 feet from staff and other patients, try to avoid touching supplement bottles in the pharmacy.
You will be contacted to answer a COVID-19 screening questionnaire a week prior to the appointment. If the answers to these questions become ‘yes’ after you are screened CALL TO RESCHEDULE PLEASE. Please pay with a credit card if possible.
Camden Whole Health Lab
The blood draw station has been moved so you will enter it directly. Please do not approach the door. Our phlebotomist will come to get you. The lab is open for patient blood draws M-Th mornings by appointment only (207) 230-1131 or email firstname.lastname@example.org to request a call to schedule.