Top 10 Things to DO for Your Health

In today's world most people expect a cure for illness to come in the form of a pill. For over 40 years we have been 5 years from a drug to cure cancer, heart disease, diabetes, you name it. True cure, as it turns out, comes from choices people make in how they live their daily lives.

Here are my top 10 favorite ways to add health to your picture and prevent future dis-ease.

1. Get outside EVERYDAY. We evolved under the sun (and the rain). Our bodies need it, and, believe it or not, our houses are often the most toxic spaces in our daily lives. Go out and take a deep breath, or 100, see #4.


2. Move your body! Do 30-60 minutes of low impact movement EVERYDAY. Tai Chi, yoga, walking, and rebounding (mini trampoline) are all great ways to get your circulation to move nutrients in and toxins out. If your are doing aerobic exercise be sure to wear a heart monitor and stay below 80% of your max heart rate.

3. Drink plenty of filtered water for your kidneys. You have heard me say it before and I say it again, drink water! One half of your body weight in ounces is a great place to start.

4. Take 100 deep conscious breaths a day for your lungs. When was the last time you filled your lungs? In addition to being an excellent way to eliminate toxins, deep breathing also massages your heart, calms your nervous system, and increases your energy.

5. Make healthy eating choices. Eat food, Not Too Much, Mostly Plants. What counts as food? See my article "The story of food Part II: The Simple Truth". Eat in a calm, relaxed atmosphere. The parasympathetic nervous system (PNS) is the "rest and digest" nervous system. The PSN digest your foods only if it is turned on. It is only turned on if your "fight or flight" nervous system is off. RELAX, enjoy your meal, and don't forget to CHEW (I'm serious)!

6. Drink a teaspoon of apple cider vinegar 10 minutes before meals to stimulate your digestive juices. This is especially important for meals you don't cook (no, the microwave does not count as cooking!), and eat on the run (which you won't do anymore, see #5). Tip: get a 2oz dropper bottle and fill it with vinegar to have with you at work or school. Take 2 droppers full before meals.

7. Take probiotics or eat a homemade, cultured food EVERYDAY. Wait a second. Didn't I say not to take things? The truth is all healthy cultures traditionally ate cultured or fermented food providing their digestion with beneficial GI flora and protecting it from disease. This just isn't the case in our day and age. Yogurt is okay, as long as you are sure you are not sensitive to dairy (lactose and/or casein), and you make it yourself to ensure live cultures.

8. Sleep 8 hours every night. If you get less than eight hours of sleep a night, you are operating impaired; your alertness, productivity and creativity, and general health are all affected. Between the seventh and eighth hour is when we get almost an hour of REM sleep, the time when the mind repairs itself. If you’re a six-hour sleeper, you’re missing that last, important opportunity to repair and to prepare for the coming day.

9. Dry skin brushing and caster oil packs (COP) to move your lymph. Your have twice as much lymph fluid in your body as blood and the lymph doesn't have a pump to move it around the body. Lymph continuously bathes each cell and drains away toxic metabolytes in a circulatory system powered only by your breathing and movement. Things like COP, dry skin brushing, deep breathing, lymphatic massage and regular exercise help rid your body of toxins and bath your cells in vital nutrients.

10. PLAY! Do something fun EVERYDAY preferably with people you like. Yes, you can say a doctor (or, at least a med student) told you to.

Life is ultimately about BALANCE not perfection. I do most of these most days. Everyday I am able to do them all I thank myself for adding another day of health into my life. Try it and see how good you can feel.

Sarah Marshall is a candidate to graduate as a Naturopathic Doctor in June 2009. She is currently practicing as a medical intern at the Natural Health Center Portland, OR. If you would like to schedule and appointment for a personalized health consultation with her call (503) 552-1551.

I Treat People, Not Their Symptoms



You say you don’t treat the symptoms, what does that mean?

Looking at the symptoms your body expresses is like looking at an iceberg. If you only focus your attention, and treatments, on what you can see, you are missing most of the picture. About a month ago a friend of mine asked me if I had any “miracle cures” for a rash she had recently broken out in. She told me she had had the rash off and on for 35 years mostly during times of stress, which she was currently in.

I explained to her that I don’t treat symptoms, her rash, directly. I treat people who have symptoms. Why you have eczema is not for the same reason as why anyone else dose. I target the why, not the symptom, when I form my treatment plan.

I also explained to her a common misconception in medicine is that there are miracle cures or quick fixes. Although it seems like you just got the rash you have really had it for 35+ years and it may take a longer time to heal than you may expect.

The analogy I like to use is an oldie but a goody. Lets say your car has a symptom. You are driving and you notice a rash, in the shape of a gas pump, has broken out on the dash, and it's glowing! You go to the car doctor and describe this glowing, light problem to her and tell her you want it to go away. The doctor has two choices; she can treat only the symptom and prescribe electrical tape to cover the light, or she can address the cause of the light developing in the first place, and fill the gas tank. The tape may seem like a miracle cure taking only moments to make the light “go away” but there are obvious long term problems with that option. By taking the time to properly treat the cause the car is inherently better off after the treatment; in the other case, even with the light “gone” the car, and driver, are headed for disaster.

How would you treat the cause of the eczema?

Any treatment to "make it go away" would be suppressive and not curative. My best recommendation is to address the cause, the stress.

I would support the body's stress response, make it more efficient and thus decrease the need for it to respond with a symptom, like a skin rash. Here is an example treatment plan:

  1. Help the body cope with stress: B complex, Co Enzyme Q10 and relaxation (obvious, I know, but it actually works!)
  2. Specifically for the skin: Zinc, Vit E, Vit A, and fish oil
  3. Avoid inflammatory foods like sugar, alcohol, red meat, and simple carbohydrates (anything made with flour) to decrease the body’s systemic level of inflammation and allow the immune system to focus more energy on the rash.
  4. Drink plenty of water (1/2 your weight in oz per day minimum, more if you exercise)
5. Breathe deeply, often! Take 20 breaths 5x a day, at least. Find a quite place to sit (even if it is the bathroom) and take 20 DEEP SLOW breaths. Each breath should take about 15 seconds (6s in, hold for 6s and out for 3s). 20 breaths will take you 5 minutes. Trust me you have time for this! Deep breathing calms the whole nervous systems and reminds it how to be relaxed. Your lungs are an excretory organ and have 150 times the surface area of your skin. By breathing deeply, you excrete more waste through your lungs, taking the pressure off your skin.

All of these treatments will help relieve the symptoms of the rash and help the person be healthier overall. The same treatment plan could then be used preventively in times of stress, before the outbreak occurs, and possibly avoid the rash all together.

All recommendations suggested here are purely for your own information and education. The information is not a substitute for professional medical advice, diagnosis or treatment. Sarah Marshall is a candidate to graduate as a Naturopathic Doctor in June 2009. She is currently practicing as a medical intern at the Natural Health Center Portland, OR. If you would like to schedule and appointment for a personalized health consultation with her call (503) 552-1551.

The Story of Food Part III: The Simple Truth

There is a lot to know out there about "eating right". In learning about nutrition you will find contradictions, inapplicable facts, and a lot of confusion. I have been working to figure out how to build up your knowledge about nutrition without overwhelming you.

So let's simplify things.


"Eat food. Not too much. Mostly plants." - Micheal Pollan

The only rule is - there are no laws in eating: there are guidelines. I can't stress enough that this is intended to improve your life, not restrict you so much you can't breathe. Trying to eat "right" can be a very consuming activity and it should take some time and effort, however, it should equally be enjoyable and fun.


Eat Food

Most of what is on our shelves are food substitutes trying to convince us they are food. To expand on "eat food" are the following guidelines. Don't eat anything that:
  • has more than 5 ingredients
  • contains ingredients you don't recognize
  • contains ingredients you can't pronounce
  • contains high fructose corn syrup
  • your Great Grandmother wouldn't recognize as food

What counts as food? The best definition for food is what we commonly think of as "whole foods". Whole foods are foods that are in the same form in the grocery store as they are in nature. We could substitute the word wild for whole. Whole grains can be confusing because the term is applied to highly processed foods that contain "whole grains". If you look at the ingredients list on most of these "whole foods" they fail the 5 ingredient and pronounce-ability tests and thus are unqualified as "food". Finding these foods in grocery stores is easy. Stick to the outer edges of the grocery story and avoid the inner isles. Careful though - these days not all items on the outer edges are whole foods.



Not Too Much

Okay, I know I said there are no laws but if there were this would be the one. Eating in moderation just can't be beaten as a great standard to live by. Numerous studies have been done showing that regardless of nutrient content eating fewer calories can be the single best diet intervention to improving health in the United States. The good news is I can still eat ice cream some of the time; the bad news is I can't eat it everyday. I will take 'sometime' over 'never' any day.

If we do begin to restrict our caloric intake it is all that much more important the foods we do eat have the most nutrient bang for their buck. Guess what foods those are? You got it, whole foods!

Mostly Plants

About one thousand years ago humans made a dramatic shift in the source of their calories from mostly leaves to mostly seeds. One thousand years may seem like a long time but in the context of our evolutionary history its is actually pretty short. If we condensed human evolution into one year we began to eat a diet heavy in grains (seeds) about 2 days ago or 43 hours. The reasons for this change are more complex than I want to get into or that you want to read about here. (If you do have an interest, read "Guns, Germs, and Steel: The Fates of Human Societies" by Jared Diamond). The relevancy to us here is - was it the best change for our health?

Grains have a relatively high glycemic load (amount of glucose released into our blood per gram of food eaten) and although marketed as a high fiber food the actual best sources of fiber are fruits and vegetables that grow above ground (i.e. not potatoes). Sixty-five percent of our daily caloric intake should be made up of plants and the majority of that should be fruits and vegetables. Grains aren't bad for you, per se, but we have to return to the whole food recommendation and ask ourselves if we have ever seen a bagel tree in nature.

In the simplest summary I repeat, "Eat Food. Not too Much. Mostly Plants" - MP.


References: Anyone who has read Micheal Pollan's book "In Defence of Food" will find this information very familiar and I want to credit him for the phrases, "Eat Food. Not too Much. Mostly Plants" and "More Leaves than Seeds". However the information provided here, and in his book, are the standard recommendations of the majority of Naturopaths.

All recommendations suggested here are purely for your own information and education. The information is not a substitute for professional medical advice, diagnosis or treatment. Sarah Marshall is a candidate to graduate as a Naturopathic Doctor in June 2009. She is currently practicing as a medical intern at the Natural Health Center Portland, OR. If you would like to schedule and appointment for a personalized health consultation with her call (503) 552-1551.

Back at last


Hello my loyal readers.

I greatly apologize for my absence and I am back! Truth be told my last post was just before finals, which I followed with the most necessary and inspiring 10 days in Mexico. Upon returning and a rough reentry into medical school I take my Primary entrance exam tomorrow, the last step before I enter the clinic as a fully functioning intern. And so I write tonight, at 11:00 pm, about taking time for the self: an integral aspect of health and healing.

All recommendations suggested here are purely for your own information and education. The information is not a substitute for professional medical advice, diagnosis or treatment. Sarah Marshall is a candidate to graduate as a Naturopathic Doctor in June 2009. She is currently practicing as a medical intern at the Natural Health Center Portland, OR. If you would like to schedule and appointment for a personalized health consultation with her call (503) 552-1551.

Taking Time for the Self


"What, do something for me?"
"But I don't have time!"

Gone are the days when we can run ourselves into the ground doing for others. Because of work, family, or friends we as a society are running on "E". I am not asking, I am telling all of you that's all in the past. Starting now we all must invest in ourselves if we wish to invest in our future.

It is evident that as a nation we are getting sicker by the hour. I often sit and think about how a country that has more technology, more industry, who frankly has a culture based on more, more, more, can have ever rising rates of chronic illness and disability. This is a complex issue and I do not pretend to have the solution. But I have a solution; when I take an hour, or even 10 minutes and turn off my phone, put down the to do list, stop moving 100 miles an hour and just breathe, something miraculous happens.

I had the great privilege to spend 10 long days in that state, last month, on a retreat in Isla Mujeres, Mexico. Slowing down that completely brought me frighteningly in touch with myself. No longer distracted by classes, exams, patients, my husband, money, grocery shopping, or even cooking I found a deafening silence left in the wake of the chaos I called daily life. And, I was scared. What would I find in that silence? Would there be anything there at all?

First, I slept. A lot. It was clear I had been burning the candle at both ends for too long and I needed to rest and repair. I was at a formal retreat, and as such, had some schedule to adhere. The intention of the retreat (aptly named "Portals to the Self") was about tuning inward into the deep, possibly dark, place inside where only You are left. There I was able to do all the repair I needed. By the third day, I finally felt I was fully present. The inertia of my previous pace of life had finally left my body. Finally, I was standing still, in the present moment.

What I found in that moment was a person I had not spoken with in a long time. She was funny, and interesting, and had dreams and goals I had forgotten. She loved to dance, and swim, and write, and laugh. When I finally slowed down, when the world around me stopped moving, when I turned off the technology and listened, I met myself, again.

I know a few of you are reading this and asking what has this got to do with medicine.

EVERYTHING!

If you are sick, if you are exhausted, if you are fighting a disease, you are fighting with your self. It is only by going within, slowing down and listening that we may experince the true nature of healing. The yogis know this. The Chinese know this. Our ancestors know this. It is time we remember.

This is the meaning of Vis Medicatrix Naturea, the healing power of nature, our first tenet of Naturopathic Medicine. Find that still and quite place inside of you and you have found your own power to heal.

I want you to close your eyes and imagine a world without chronic illness, a world without diabetes, heart disease, or cancer. Look around you at all the people full of energy, life, and vitality. Imagine what we could do. Imagine the community, the sharing, the peace our world could have.

Imagine it and it can be so.

It starts with you.

Begin the healing today.

All recommendations suggested here are purely for your own information and education. The information is not a substitute for professional medical advice, diagnosis or treatment. Sarah Marshall is a candidate to graduate as a Naturopathic Doctor in June 2009. She is currently practicing as a medical intern at the Natural Health Center Portland, OR. If you would like to schedule and appointment for a personalized health consultation with her call (503) 552-1551.

The Story of Food: Part 2: If Not Organic Then What?

Okay so I debunked some of our more idyllic thoughts about organic farming, at least at the level of the national chains. If organic boxed salad from the grocery store isn’t all it's cracked up to be then what do we eat?

This answer is remarkably simple with a complex twist. Put simply, eat local. The complexity is that eating local requires more from you than a drive to your local grocery store. The old adage couldn’t be more true - we are exactly what we eat. Instead of letting the grocery store determine which farmers raise your food, and what foods you will eat, it is time to take back control of what goes into your mouth and, in turn, what makes up your body.

You should eat what you feel good about, grown by people who raised the food in such a way that makes you feel good. This is personal and there isn’t an easy answer. It will require a little research on your part. You may even find you are willing to have different levels of quality for different foods. You may care less about how your tomato was raised than your steak. These are choices you need to explore and make yourself.

To aid you in that process I encourage each and every one of you to read two books by Michael Pollen. The order you choose to read them in depends on if you want the answer before the background or vice versa. The answer book is In Defense of Food. The background book is Omnivores Dilemma (both books are highlighted on my recommended reading list). If books are not your thing check out the following websites:

The ultimate eating manifesto: Local Organic! And it’s out there. This is a map of the farmers markets, co-ops, restaurants, stores and farms that support local organic foods registered with localharvest.org. If you don’t know where to find local organic foods in your area visit http://www.localharvest.org/ for a farmer’s market near you for fun, community, and great healthy food.

All recommendations suggested here are purely for your own information and education. The information is not a substitute for professional medical advice, diagnosis or treatment. Sarah Marshall is a candidate to graduate as a Naturopathic Doctor in June 2009. She is currently practicing as a medical intern at the Natural Health Center Portland, OR. If you would like to schedule and appointment for a personalized health consultation with her call (503) 552-1551.

The Need For Change: Part 1


A college ecology professor of mine insisted that Darwin was misquoted and meant to say “the survival of the fit ins”. By that, my professor meant the ability of an organism to adapt, or change in order to fit into an ever-changing environment. This changeability allows species of all kinds to survive.

In the modern world we have manipulated and altered our living and eating circumstances to such an extent we avoid the need to adapt to our external environment altogether. Or so we thought. We invented efficient heating and cooling systems thereby eliminating the need to adapt to seasonal temperature changes. We have humidifiers and de-humidifiers to avoid natural weather shifts, electricity to avoid the night, machines to avoid the physical work, and cars to avoid the walk.

What have we done but invent a new environment? Moreover, it is an environment that no longer forces us to be healthy in order to survive. Humanity has “evolved” to such a degree that our lifestyle no longer demands health as its default. The current default lifestyle has sufficiently degraded enabling prolonged disease on a wide scale. We must begin again. We must change our ways, our habits, and our cultures if health and healing are what we wish to promote.

Anyone who has ever seen a naturopath can report that she or he often asks you to make changes in your life. From eating habits and exercise, to taking supplements and herbs at inconvenient times, recommendations Naturopathic Doctors make require you to do something differently than you previously have.

How we change effectively is a topic I have spent much time contemplating and researching. Toward my own improved health, I have asked myself to make significant changes in my own life. I have observed moments of great success and disappointing failure at doing so. I am curious to explore with you what drives us to live healthfully: Why We Change, How We Change, and When Change Occurs as a Reflection of Who We Truly Are.