Health advice For The Whole Family

  Dr. Sarah Connors HBSc, Naturopathic Doctor
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Boost Your Immunity Naturally

9/16/2016

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September usually means the beginning of Fall and Back to School for most families. However, have you given any thought to boosting your family’s immune systems yet? The change in weather, and return to their germ infested petri dishes, I mean classrooms, means that your kids and/or you could potentially get sick any time now.
 
Why is it important to support our body’s natural ability to fight off infections?
Cold and Flu season stats
To start, there are over 200 different viruses cause influenza and influenza-like illness (fever, headaches, aches and pains, coughs, runny nose). According to a recent Cochrane review, the flu vaccine might only be effective against Influenza A and B, which represents about 10% of all circulating viruses (Jefferson et al, 2013). The authors’ conclusion from that review was, “Influenza vaccines have a modest effect in reducing influenza symptoms and working days lost. There is no evidence that they affect complications, such as pneumonia, or transmission.” (Jefferson et al., 2013).

Period of Contagiousness
You may be able to pass on the flu to someone else before you know you are sick, as well as while you are sick. Most healthy adults may be able to infect others beginning 1 day before symptoms develop and up to 5 to 7 days after becoming sick. Some people, especially young children and people with weakened immune systems, might be able to infect others for an even longer time.

How Flu Spreads
Most experts believe that flu viruses spread mainly by droplets made when people with the flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching their own mouth, eyes or possibly their nose.
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What Can We Do?
There are many things we can do to help prevent illness throughout the cold and flu season.
 
Basic Strategies:
1)Eat fresh whole foods: Eating a variety of fresh whole foods including plenty of colourful fruits and vegetables is essential to proper immune function
2)Avoid refined sugars, trans fats and salt: These foods are known to weaken the immune system.
3)Increase your consumption of vitamin C containing foods: Vitamin C is known to boost immune function and help prevent cold and flus. Increase vitamin C containing foods such as: oranges, lemons, grapefruit, strawberries, raspberries, black currants, peppers, spring greens, brussel sprouts, broccoli, cauliflower, etc.
4)Eat more garlic and onions: Garlic and onions both have anti-viral and anti-bacterial properties, helping the body to fight off any germs it may come into contact with. (Raw consumption provides a greater benefit than cooked)
5)Drink up: Ensuring you are adequately hydrated will help enhance your immune system. Aim for half your weight in fluid ounces. (ex. If you weigh 150lbs, you should consume 75oz. of water a day)

6)Sleep, Sleep, Sleep: Ensure you are getting around 8 hrs of sleep per night and you are sleeping soundly. Too little non-restorative sleep is known to weaken the immune system.
7)Exercise: Engage in at least 20 minutes of physical activity per day. Exercise helps to increase circulation and lympathic flow, both of which help boost the immune system.
8)Breathe: Practice deep breathing exercises to help manage stress. High stress, fear, and worry can weaken the immune system, making you more susceptible to infections.
9)Wash hands: Wash your hands frequently using warm water and a natural anti-bacterial soap to prevent the spread of infection.
10)Cover your Cough: Cough or sneeze into your sleeve to prevent spreading infection and avoid touching your nose, mouth, eyes until hands are washed.
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Additional Helpful Measures
Think drinking tea is just for your grandma? Well think again!

Herbal Teas
In a Harvard study, they found that people who drank 5 cups a day of black tea for 2 weeks had 10 times more virus-fighting interferon in their blood than others who drank a placebo hot drink. The amino acid responsible for this immune boost, L-theanine, is abundant in both black and green tea—decaf versions have it, too.

Your optimal dose:
Several cups daily. To get up to five times more antioxidants from your tea bags, bob them up and down while you brew.
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5 Herbs for Prevention
Astragalus (Astragalus Membranaceous)
  • A deep immune activator, it’s known for its antibacterial and antiviral properties. From a Traditional Chinese Medicine perspective astragalus helps warm the Wei Qi, which is our defensive Qi or immune system. Can be used in combination with other herbs or by itself. If you do become ill you want to switch from this herb to another that has more active illness fighting properties.
  • Dose: Decoction: 2-4 tsp/cup 3x/d
 
Siberian Ginseng (Eleuthrococcus senticosus)
  • Immune system modulator, helps the body adapt to stress and strengthens the immune system.  Also helpful for decreasing inflammation in the body. Often included in immune formulas. If taking long term, it is generally recommended to take periodic breaks from use (eg. 6 weeks on, 2 weeks off).
  • Dose: Decoction: 2-15 g 1x/d
 
Cinnamon (Cinamomum cassia)
  • A nice addition to a tea or hot cereal, this herb not only has antimicrobial properties, it also helps settle the stomach and prevent diabetes. Should not be used in pregnancy as the essential oils may cause uterine stimulation.
  • Dose: powder: 5-20 grains 3x/d, or to your taste
 
Dang Shen (Codonopsis pilosula)
  • Another good adaptogen, helps the body adapt to stress and strengthens the immune system. Used for weak lungs from a Western and Traditional Chinese Medicine perspective. Considered a milder substitute for Panax ginseng.
  • Dose: Decoction of root: 9-30 g per day
 
Schisandra (Schisandra chinensis)
  • Often combined with other similar adaptogens, it also has effects on the lungs, helping to expel mucous and decrease cough.
  • Dose: decoction: 6-9 g each day
5 Herbs for Treatment
Echinacea (Echinacea angustifolium/purpurea/pallida)
- Stimulates the immune system to increase phagocytosis by macrophages (cells that kill and eat microbes). Antimicrobial/bacterial/viral properties. Best given at the first sign of infection. Dose: Decoction: 1-2 tsp/cup 3x/d
 
Ginger (Zingiber Officinale)
  • Primarily known for its effects on the stomach. Helps to relieve nausea and vomiting, as well as gas and cramping. The warming properties of ginger gently increase the temperature of the body helping to eliminate heat sensitive microbes.
  • Dose: Infusion 1 tsp/cup as needed
 
Licorice (Glycyrrhiza glabra)
  • A sweeter herb that is good for a cough. Helps to soothe a sore throat and get mucus out of the lungs. Has antimicrobial and antiviral properties. Not recommended if you have hypertension or are pregnant/nursing.
  • Dose: Decoction (root): ½-1 tsp 3x/d
 
Elder Flower/Berry (Sambucus canadensis)
  • Used for cough and nasal obstruction (eg. sinusitis), especially good for kids because they generally like the taste. Have anti-inflammatory and antiviral properties. Also helps to induce perspiration with fever so more microbes are killed and flushed out of the system.
  • Dose: Infusion of flower: 2-4 g /250 mL water
 
Mullein (Verbascum thapsus)
  • Primarily used for cough, particularly the dry hoarse cough that causes a lot of irritation to the lungs. Helps to soothe, and decrease the cough while still getting the mucous out. Another one that could be used with kids since it has a milder taste.
  • Dose: 1-2 tsp/cup
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Infusion vs. Decoction
An infusion is a water-based preparation made by steeping leaves, flowers, and other non-woody parts of a plant in either hot or cold water. The traditional cup of herb tea is the archetypal infusion.
 
A decoction is also water based, but it’s done by gently simmering the herb in boiling water. This method is used for tougher plant parts, such as roots, barks and seeds.
 
Powders: What are they good for?
Usually when people think of tea they think of the leaves and flowers of the plant in a cup of hot water. However, there are certain herbs that are better made into an infusion using the powdered form. For example, some herbs are rich in volatile oils that are medicinally useful and when boiled will evaporate and be lost. Valerian root is an example of a woody part that would be better ground to powder and prepared as an infusion. The preparation method usually depends on the use of the herb. This is why it is important to consult with a trained practitioner because they can help you select the most appropriate herb and preparation method based on your particular health concerns.
 
 
Note: This presentation is not meant to replace the advice of a trained practitioner. In order to formulate a proper treatment plan, you should consult with your Naturopathic Doctor or other health care provider.
 
 

 
 
Resources:
Center for Disease Control and Prevention. (2013). Seasonal Influenza: Key Facts about Influenza (Flu) & Flu Vaccine. http://www.cdc.gov/flu/keyfacts.htm
Hoffmann, D. (2003). Medical Herbalism: The Formulation and Preparation of Herbal Medicines. Healing Arts Press. Print.
Jefferson et al. (2013). Vaccines to prevent influenza in health adults. http://summaries.cochrane.org/CD001269/vaccines-to-prevent-influenza-in-healthy-adults.
Ontario Association of Naturopathic Doctors. (2013). Staying Healthy in Cold and Flu Season. http://www.oand.org/staying-healthy-in-cold-and-flu-season/
Public Health Agency of Canada. (Nov 2, 2013). Flu Watch: Influenza/ILI Activity (geographic spread). http://www.phac-aspc.gc.ca/fluwatch/13-14/w44_13/pdf/fw2013-44-eng.pdf


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Are You Choosing the Right Bug Repellent?

8/8/2016

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Do you enjoy any sort of outdoor activity like camping, hiking, swimming or simply playing in the park? Do you take a few minutes before you head out to consider what sort of protection you might need? Many of us don't. However, how we assess the need for protection and choose the right protection from various bug bites can make a world of difference!
 
A Word About Zika Virus
  •  Carried by Aedes mosquitoes that range across about 30 U.S. states in the summertime
  • Though the current Zika outbreak has been concentrated in Latin America and the Caribbean, the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) is urging pregnant women and their partners to take strong precautions against mosquito bites.

Main concerns: can cause severe brain damage in newborns and potentially neurological disorders in adults (eg. Guillain-Barre).
Protection Against Zika Virus
Choose a repellent with: Picaridin (20 percent), IR3535 (20 percent), DEET (20-30 percent)
  • Choose a concentration based on the time you plan to spend outdoors. Percentage recommendations change with age somewhat, (children: Picaridin and IR3535 (20 percent), DEET (7-30 percent).

Additional Measures:
  • No repellent is 100% effective, so take extra precautions to avoid mosquito bites.
  • Cover up with pants and long sleeves when possible, especially if you need protection from both sun and mosquitoes.
  • Wash your hands after applying repellent; wash repellent-coated skin at the end of the day

Scientists have generally found bug repellents to be safe for pregnant women and their unborn children. The risk of Zika infection is far more serious than side effects of the chemical repellents, provided you use them as directed.

Other things to consider:
  • Don’t travel to places where active transmission of Zika is possible
  • Read the current CDC recommendations
  • If your partner could have the Zika virus, use protection to avoid sexual transmission
Chemicals in most Bug Repellents
EWG scientists have ranked repellents in order of effectiveness against the Aedes mosquito thought to be the primary Zika virus carrier:

Most effective
  • DEET (20-30 percent concentration)
  • Picaridin (20 percent concentration)
  • IR 3535 (20 percent concentration)
In laboratory conditions, these repellents offer strong protection from the Aedes mosquito for at least four hours. It’s important to reapply after swimming and sweating.  

Less effective
  • Oil of lemon eucalyptus  

Not effective
  • Vitamin B1 patches   
  • Essential oils
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Some essential oils may work for short periods, but others are ineffective against Aedes mosquitoes. Due to the serious risks posed by Zika, EWG does not recommend blends of essential oils for people at risk of mosquito-borne infection. There’s also West Nile and Lyme disease (carried by the bacterium on deer ticks) to consider.
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Picaridin
  •  In efficacy testing it performs like DEET, appearing to repel a wide range of pests (Badolo 2004, Barnard 2004, Carroll 2010, Consumer Reports 2010)
  • WHO recommends Picaridin, along with DEET and IR3535, for protection against mosquitoes that carry diseases (WHO 2012)
  • EPA registration data indicate that Picaridin at a concentration of 20 percent is effective against mosquitoes and ticks for 8 to 14 hours and for 3.5 to 8 hours at a concentration of 10 percent
  • Picaridin does not carry the same neurotoxicity concerns as DEET but has not been tested as much over the long term
IR3535

  • › Like DEET, IR3535 may dissolve or damage plastics
  • › 10 to 30 % IR3535 to repel biting insects and ticks (Merck 2013).   Consumer Reports tests found 20% IR3535 was slightly less effective than 15 to 30 % DEET in repelling Aedes mosquitoes
  • Consumer Reports found that it performed as well as DEET against deer ticks and Culex mosquitoes that sometimes carry West Nile virus (Consumer Reports 2010)
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DEET

  • DEET’s effectiveness at preventing bites is approached by only a few other repellent ingredients.
  • › If used as directed, DEET is considered safe by many public health organizations, including the Environmental Protection Agency, the CDC, the American Academy of Pediatrics and WHO (AAP 2005, CDC 2013D, EPA 1998, Schutze 2013, WHO 2012).
  •  Is known to irritate the eyes and in intense doses may induce neurological damage (Abdel-Rahman et al 2001, ATSDR 2004, Corbel et al. 2009).
  • In very rare cases DEET has been reported to impair the nervous system, with symptoms including seizures, tremors and slurred speech, most often after exposure to high concentrations of the chemical (ATSDR 2004, Briassoulis 2001)
  • In addition, DEET gives off a distinct odor and can damage plastic, rubber and vinyl on a variety of gear including clothing, backpacks, glasses, watches and cameras (Schutze 2013)
What to look for in a good Bug Repellent
  • › According to the available scientific literature, when you really need protection, your best bets are products made with active ingredients that have been registered with the U.S. Environmental Protection Agency (EPA) and approved by the CDC
  • When a company registers a bug repellent, it must provide EPA with technical information that shows that the chemical is effective against mosquitoes or ticks or both
  • EPA must approve any marketing claims that assert that the repellent works for a particular length of time
Tests have found that these four registered and approved repellent chemicals offer a high level of protection from a variety of biting insects and ticks and have good safety profiles:
  • ›Picaridin
  • IR3535
  • DEET
  • ›Oil of Lemon Eucalyptus and its synthetic derivative PMD
› Beware when using any of these repellent chemicals: you must follow basic guidelines to avoid overexposure. These are strong chemicals. Some should not be used on infants and young children.

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What About Botanicals?
  • › Many of these products contain allergens in highly concentrated forms
  • › Effectiveness varies widely
  • › The Environmental Protection Agency does not require registration and testing of these botanicals for effectiveness or safety, so there is not much data to confirm or contradict advertising claims
  • › Consumers have no assurance that the product actually works. That is why the only botanically-derived ingredient the CDC recommends is Oil of Lemon Eucalyptus/PMD, which has been registered with the EPA and undergone efficacy testing
Oil of Eucalyptus Oil/PMD
  • › Trade name for the repellent that originated as an extract of the eucalyptus tree native to Australia
  • Some testing has shown that concentrations of 20 to 26 percent PMD may perform as well as 15 to 20 percent DEET against both mosquitoes and ticks (Barnard 2004, Consumer Reports 2010)
  • PMD’s maximum protection time against mosquitoes and ticks is shorter than DEET’s, according to EPA documents
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Citronella Controversy?
Health Canada's Pest Management Regulatory Agency (PMRA) argued that citronella may contain a chemical called methyl eugenol, which has demonstrated carcinogenic behaviour when fed to rats. However, Methyl eugenol is an organic compound that occurs in many plants including: rose, basil, nutmeg, clove, tea tree, tarragon and bay leaf. On average, it's estimated that Europeans consume about 0.19 mg/kg per day, yet we are not warned about the dangers of these spices in our food or the toxicity of skin care with rose and tea tree.

PMRA currently “makes no distinction between naturally occurring chemicals and synthetic chemicals when assessing their risks.” This guideline doesn’t account for how chemicals behave within a plant and dismisses the conclusions of the leading experts on essential oil toxicology. Citronella appears to have chemopreventive activity. Also the fact that anticarcinogens constitute over 60 per cent of the oil while methyl eugenol is only found at 0–1.7%, "...we do not consider that citronella oil presents a material risk of carcinogenicity.”
An Ounce of Prevention…
  • Give Bugs a Smaller Target: wear long-sleeved shirts with high collars and bandanas. When walking in tall grass or brush, tuck pants into socks to keep ticks and chiggers off your body. Use nets and or fans over outdoor eating areas and place nets over strollers and baby carriers. Send your kids to camp with mosquito netting for their bunks.
  • Get rid of mosquito breeding grounds. Drain standing water around your home. If you live in a place with a high tick concentration, make a wood chip barrier between your yard and wooded areas, mow the lawn, clean up brush regularly and follow the CDC guidelines for reducing your yard’s tick population
  • Know Your Enemy: If you are in a place that presents few risks for pest-borne diseases and don’t mind getting a few bug bites, your choice of repellent may not be that critical.  On the other hand, if you need to protect yourself from Lyme disease, West Nile or other serious mosquito- and tick-transmitted diseases, your repellent and other preventive actions are serious decisions.



Note: Talk to your Naturopathic Doctor today about getting assessed and treated if needed, and as always talk to your health care provider before beginning any new medication or supplement. This information is not meant to replace the advice/guidance of a medical professional, nor should it be acted upon by individuals unsupervised by the appropriate healthcare provider.

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Are You Protecting Your Skin From the Sun Properly?

7/1/2016

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Do you depend on sunscreen for skin protection? Millions of us do, but shouldn’t. The rate of melanoma diagnosis is increasing. The consensus among scientists is that sunscreens alone cannot reverse this trend.

Not As Well As You Think!
Stanford University dermatologists reviewed CDC national survey data, and found that people who relied solely on sunscreens for sun protection had more sunburns than people who reported infrequent sunscreen use, but wore hats and clothing to shield themselves from the sun (Linos 2011). In Sweden, increased use of sunscreen by children was linked to more sunburns (Rodvall 2010). Several other studies of real-world sunscreen use found that people who use sunscreen for skin protection during periods of intense UV exposure had more sunburns (Koster 2010, Autier 2007).
False Claims
Then there’s the issue of the various claims that sunscreen manufacturers make about their products. Based on the research that’s been completed to date, there is insufficient data to support most claims on the sunscreen bottle. Claims such as: ‘waterproof’, ‘sweatproof’ and ‘broad spectrum protection’ don’t hold up. In fact, probably the most misleading is ‘cancer protection’ or ‘prevents cancer’. Sunscreen alone has not actually been shown to protect against certain forms of skin cancer, particularly melanoma, which is the most deadly form of skin cancer.
Melanoma and Other Skin Cancers
Why should we be concerned about melanoma? Well, since 2000, the rates of new melanoma cases among both men and women have been climbing by 1.4 to 1.6 percent per year (CDC 2014). A number of studies conducted in the 1990s reported higher incidence of melanoma among frequent sunscreen users (Autier 1998, Beitner 1990, Westerdahl 2000, Wolf 1998). 
UVA & UVB
When it comes to burns, there are two types of radiation that we are most concerned about: UVA and UVB. Both types contribute to the risk of melanoma, particularly with extreme sun exposure. High-energy UVB rays burn skin and directly damage skin DNA, but they make up just 3 to 5 percent of UV radiation striking the earth’s surface. More numerous UVA rays, can be equally damaging without blistering the skin. Because UVA radiation penetrates deeper into the body than UVB, it can cause a different type of DNA damage than UVB (Cadet 2009).
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SPF: Is Bigger Better?
Does SPF or the Sun Protection Factor make a difference? Most of us believe that Bigger Is Better, but there is no definitive evidence of increasing protection as the SPF values increase. In fact, beyond SPF 50, there appears to be little benefit. Properly applied SPF 50 blocks approximately 98% of sunburn rays. Properly applied SPF 100 blocks 99%. When used correctly, sunscreen with SPF values in the range of 30 to 50 will offer adequate sunburn protection, even for people most sensitive to sunburns.
Chemicals of Concern
The Environmental Working Group (EWG), a reputable research group in the US, has been putting together a report on the best and worst sunscreens/sun products since 2007. In this year’s report EWG found at least ¾ of the products they reviewed contained worrisome ingredients. Chief among them these four:
- Oxybenzone
- Retinyl Palmitate
- 4-MBC/Enzacamene
- Methylisothiazolinone (MI)
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Oxybenezone and 4-MBC are hormone disruptors and frequently used UV filters used in sunscreens. Oxybenzone could be found in about 70% of the non-mineral sunscreens evaluated by the EWG this year. Retinyl Palmitate and other Vitamin A derivatives have been shown to result in more skin tumors and lesions on animals treated with this ingredient and then exposed to sunlight. While MI, has actually been labeled as an inactive ingredient or preservative, was called ‘the allergen of the year’ by the American Contact Dermatitis Society in 2013. In March 2015, the European Scientific Committee on Consumer Safety concluded that no concentration of MI could be considered safe in leave-on cosmetic products (EU SCCS 2014). MI is present in 66 sunscreens assessed in this year’s report.
What to Look for in a Good Sunscreen
All these concerns in mind, what can we do to better protect ourselves from the harmful effects of sun exposure? One thing, when using sunscreen, pick the right one. Based on current research, mineral sunscreens tend to rate best, particularly those with zinc oxide or titanium dioxide. They are stable in sunlight, offer a good balance between protection from the two types of ultraviolet radiation (UVA and UVB) and don’t often contain potentially harmful additives. (EWG report, 2016).
Additional Protection measures
In addition to using sunscreen be smart about your exposure.
  • Do not use sunscreen as a tool to prolong your time in the sun.
  • Cover up! Hats, shirts and sunglasses are the best protection.
  • Avoid sunburn.
  • Do not use a tanning bed or sunbathe.
  • Protect kids! Early life sunburns are worse, so keep little ones out of the hot sun.

  • Pick a sunscreen with strong UVA protection.
  • Get vitamin D. There is speculation but not proof that adequate levels of vitamin D can reduce the risk of melanoma. We know that vitamin D is good for combatting other types of cancer. Commit to getting screened for vitamin D deficiency.
  • Examine your skin. Check your skin regularly for new moles that are tender or growing. Ask your primary care doctor how often you should see a dermatologist.
Sunscreen is a helpful tool for protecting your skin from the harmful effects of the sun when used appropriately. Be sure to use it as recommended, and choose a sunscreen that has minimal/no harmful chemicals in it, particularly a mineral based one.  Keep these things in mind, and the additional measures you can take to protect your skin, and you can help decrease your risk of developing serious illnesses like skin cancer.
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Natural Medicine for the On the Go Family

6/1/2016

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Now that the warmer weather is finally here, dare I say, summer! It’s time to start thinking about all the wonderful things our families can get into while enjoying fun in the sun. If you’d like to be prepared for just about anything that summer, and more importantly your kids, can throw at you here are some of my suggestions for things to have on the ready pretty well anywhere you go.

  1. Arnica 200 CH: This is one of the homeopathic remedies I hardly ever go anywhere without. If you have this first aid remedy on hand, you can attend to bumps, bruises, scraps, strains, sprains and just about everything in between. If all else fails, remember it’s for pain and you’ll be just fine.
2. Safe Sunscreen: when out in the sun for prolonged periods of time, having the right sunscreen is important. There are several factors to consider (SPF, type, Vitamin A content, etc.), but potentially one of the most essential is chemicals put in the sunscreen. Studies show chemicals put in most generic sunscreens are harmful to the body. One of the worst ingredients being oxybenzone, which can penetrate the skin and interfere with hormones. A safer option is a product containing minerals such as zinc oxide and/or titanium dioxide. Mineral based formulas don’t penetrate the skin, don’t disrupt hormones, and offer the best protection by blocking UV rays (both A and B).

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3.  Aloe gel: Despite your best efforts to re-apply sunscreen often you still managed to get a sunburn. Aloe gel soothes and cools the skin so that you will get almost instant relief from pretty well any sunburn. This can be used fairly liberally and often, as aloe gel is both anti-inflammatory and improves the rate of healing. Caution: if you have a young child, be careful they do not ingest the gel. Ingestion could cause diarrhea, nausea/vomiting and abdominal pain.
4. Cantharis 30 CH: This homeopathic remedy is great for burns of almost any type, including sunburns. You can use this in conjunction with Aloe gel or by itself. This would be a good choice if you’re concerned about your child trying to eat the aloe gel once applied. This remedy, like Aloe gel, also relieves pain and helps promote healing.

5. Apis 30 CH: This homeopathic remedy is excellent for bee stings in particular, but can be used to treat other stings and bug bites as well. Generally helps with reducing swelling, pain and heat. Especially helpful for swelling around the eyes when the eyes are becoming too swollen to open the lids. Caution: If someone in your family has an anaphylactic allergy and they require an epi-pen, do not carry Apis in place of the epi-pen.
.This is by no means all the various natural remedies you could use for these situations, nor is it all the possible situations you could potentially encounter this summer. However, this is a good place to start to cover a lot of the common issues that could occur. If you’re not familiar or comfortable with the use of any of these remedies, always check with your Naturopathic Doctor or other similarly educated health care practitioner before use.




Note: Talk to your Naturopathic Doctor today about getting assessed and treated if needed, and as always talk to your health care provider before beginning any new medication or supplement. This information is not meant to replace the advice/guidance of a medical professional, nor should it be acted upon by individuals unsupervised by the appropriate healthcare provider.

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What's A Doula?

5/1/2016

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This is a very common question I get asked whenever I introduce myself at a workshop or someone just finished reading my card or website. The running joke in my family is I had to pick some of the more ‘obscure career paths’ available just to be different. However, in all seriousness becoming a Doula as well as a Naturopathic Doctor was like fitting together two puzzle pieces when I had no idea that there was a possibility of finding that missing puzzle piece.
 
So what is a Doula anyway? I asked my classmate one Monday when I was still in Naturopathic college. She was telling us about the amazing weekend course she'd just finished. Well it comes from the Greek, meaning a woman who serves. The term ‘Doula’ was used to describe the role of the woman or women who attended births. In some cultures, women would give birth either by themselves or with the support of other women, and those who did have attendants, tended to have better outcomes. I was fascinated! I had only known about midwives as the 'alternative' to doctor attended births in hospitals. I didn't know there were other birth professionals out there, or that it was something I might consider doing. I had considered midwifery as a career prior to choosing Naturopathic Medicine, but once that choice was made I didn't think I could meld the birth world with Naturopathic Medicine in such a complementary and harmonious way.

Once I started my own journey into becoming a doula I realized that today, the term doula is a bit more recognized and is becoming more and more common place every day. A doula is now recognized as a trained and experienced professional who provides continuous physical, emotional and informational support to the mother before, during and after birth, as well as some of the postpartum period. The primary role being as a: support and resource for health and birth care. They do not constitute a replacement for a midwife or other healthcare practitioner, but are a complimentary form of healthcare for the mother and baby. What really intrigued me was the amount of research that showed how much of a benefit having a doula present provided to mom and baby. Studies have actually shown that when doulas attend births, labours are shorter, have fewer complications (like c-sections), babies are healthier and they breastfeed more easily (Hodnett et al., 2011).
 
Even though our primary concern is for mother and by extension the Mom and baby dyad, we’re also there to help the rest of the family too. Don't worry Dad, we didn't forget about you. Hodnett et al., (2011) shows that parents who receive support can:
  • Feel more secure and cared for
  • Are more successful in adapting to new family dynamics
  • Have greater success with breastfeeding
  • Have greater self-confidence
  • Have less postpartum depression
  • Have lower incidence of abuse
 
Having someone else present during pregnancy and birth who can help you navigate all the vast amounts of information and work with you to advocate for you and with you only increases your chances of having the best possible birth experience. My clients who work with me also get the benefit of my Naturopathic knowledge and skills. Being a Naturopathic Doctor and Doula allows me to offer so much more complete care to the families I work with, and they often elect to continue care with me as a family after the baby is born. The birth location that can impact whether I am able to utilize all my tools, but no matter the circumstances, the end goal stays the same: for Mom and baby (and family) to have the most positive start to their lives together.

Have questions about doulas or whether having a doula involved in your birth is right for you? Feel free to contact me by email or by phone. I also still have a few spots left for the summer on my calendar if you’re still looking for a Doula to join your birth team.
 
 


References:
Hodnett ED, Gates S, Hofmeyr GJ, Sakala C, Weston J. Continuous support for women during childbirth. Cochrane Database of Systematic Reviews 2011, Issue 2. Art. No.: CD003766. DOI: 10.1002/14651858.CD003766.pub3. 


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    Sarah Connors

    I am a Naturopathic Doctor and Doula providing care in the Kitchener-Waterloo area. I have a passion for helping people with their health issues and improving the birth experience for Moms, and their babies. I also have a life long love affair with soccer, curling, and the alto saxophone.

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