5/12/20 Clinic Update
The following is from an email we sent out to our patients on 5/12/20. If you are an established patient and did not receive this publication, please check your email/notification settings.
We are excited to announce that we will begin seeing local patients in the month of June, most of whom are already scheduled. We define a “local patient” as someone who is able to drive here and back in one day, without taking an airplane or other form of public transportation.
Our plan is to then begin seeing traveling patients in the month of July. However, this could change depending on trends, authoritative recommendations, and a number of other health and safety related factors.
Our new office policies, outlined below, look very different from what our patients are used to and are designed with one goal in mind: maximizing safety within our office.
We will ask everyone over the age of 2 to bring a mask from home, if available, and to wear a mask or other face covering at all times when in our building. We will have very limited masks available for patients who need them. (We will make exceptions for patients with respiratory or sensory issues preventing safe mask use).
Our waiting room will be closed until further notice.
Prior to checking in, we will take your temperature and ask screening questions.
Anyone with a temperature over 100.4 (per WA State DOH), or who is symptomatic, or has been in contact with a person who is symptomatic or has had a possible CoVID19 exposure, will need to be rescheduled.
Appointments will be managed to allow for social distancing. To do this, patients will be asked to wait outside or in their vehicles until their provider is ready for their appointment, and then again after their appointment while waiting to place a supplement order and while waiting to check out.
Detox and IV appointments will be scheduled on a very limited basis, with scheduling directed by our physicians and coordinated by our support staff.
We will ask that only the patient scheduled is present, or the child scheduled and ONE guardian. Please, no extra siblings, friends, family members etc.
We will have sanitizing wipes and sprays available in our restroom and will ask that each patient using our facilities help sanitize after use.
All complimentary items such as coffee/tea/water etc. will be no longer be, “self-help." Please bring your own snacks and beverages.
These policies will apply to local and traveling patients alike. If you are planning on traveling in the month of July or thereafter, please consider these policies while planning transportation and accommodations especially if you are scheduled along with additional family members.
Many of these policies are very different from what you are used to at Holistic Healing Arts. Although a lot may have changed, there is one thing that has remained the same: how committed we are to your health and safety.
Following safe sanitation practices and infection control has always been an area where HHA has exceeded. We will continue using the same high quality, safe disinfectant products in between patients as well as some of the best medical grade air purifiers on the market positioned throughout the office. We clean common surfaces on a regular, frequent basis. We will continue making those tough calls and adapting our policy, as needed, in a dedicated effort to stay a step ahead.
We look forward to seeing everyone in office again!
4/21/20 Clinic Update
Many of you have been asking when we will be able to see patients in office again. The short answer is, we are not sure yet. We are still keeping a close eye on all the current recommendations. On Saturday, the US and Canada agreed to keep the border closed to "nonessential" travel for an additional 30 days. Schools are to remain closed through the end of the school year. Washington, Oregon and California have banned together on planning how and when to reopen each state's economy, and as of now, the stay at home order in Washington State has been extended through at least, May 4th.
With such a large percentage of our patient base (and staff) being immune compromised, I would expect our office to continue with remote appointments for an additional 14-21 days after restrictions are lifted. Of course, this could change based on the circumstances, but as of now, all appointments in May will be remote testing and phone consults only. We have been continuing to schedule June appointments in a way that will allow us to easily be able to adjust to whatever appointment type is appropriate at that time, although, most of June's schedule is currently full.
We appreciate your continued patience and know this has been especially hard on those of you who have not been able to come see us for your regular IVs, Detox, Neural Therapy and other services. It has been a stretch for every one of us and we are eager to invite you in again, as soon as possible!
The feedback we received from the first mass text message we sent out let us know how many of your are still needing help. In response, our providers have shuffled things around to create additional spots in their schedules. Even though it is normal for us to be scheduling several months out, if you are in need of medical care, please do not hesitate to reach out to Appointment Scheduling with a CHARM message or voicemail and we will do whatever we can to fit you into your provider's schedule.
We are currently scheduling local and out of state NEW patients the same way, with an intake appointment over the phone to start. If you or someone you know are looking to establish care with our team, the first step is to fill out an intake form on our website and we will contact you within 2-3 weeks.
We hope you are taking time to take care of yourselves right now. In this, with all of its challenges, there is a lot of opportunity as well. Opportunity to readjust, to reevaluate priorities, to plan, to let go, to grieve, to rewrite outcomes, to spend time getting to know and work on ourselves and to spend time at home with family (if you are so lucky). It is a time of creativity on a mass level. A time to grow our resilience and a time for hope. We hope you take some of this time to do the things that fill you up.
We really look forward to being able to see you all in front of us again, but until then, know that we are here for you when you need us! We will continue posting these updates as the situation changes.
In good spirit and health...
Your Team at Holistic Healing Arts
3/26/20 Clinic Update
With new mandatory WA State restrictions now in place, we will continue converting office visits scheduled in the months of March and April to remote testing/phone consults.
We are not seeing patients in-office or accepting any visitors at this time. However, we are available during our normal business hours (Monday-Friday from 9 am- 5 pm) by phone and CHARM message. We are actively scheduling established patients and accepting new patients as well.
Please note that our office is closed for conferences Thursday, March 26th-Friday, March 27th.
All new local patients who have not yet been seen in office, will begin just like our out of state patients, with a phone intake appointment. This will allow your provider to ship you any test kits/lab orders they believe will be helpful in determining your care. Some labs can take up to 4-5 weeks for the results to come back, so this should work fairly well with our current situation. We will see you in office as soon as we can.
To All patients scheduled in office, please look for a CHARM message from our team at least a week+ prior to your appointment. We are working as quickly as we can to get everyone's appointment rescheduled appropriately. There are a few things we need to collect from you at least 3 business days prior to your appointment, we are requesting the same from everyone, so please help us out by getting back to us as quickly as possible, thank you! If you have any questions about this process, don't hesitate to send a message to, Appointment Scheduling. We will send more specific instructions in that initial message.
All new appointment in May and June are being scheduled a bit differently for now as well, as we are unable to predict how quickly things will change. All office visits are being scheduled for a minimum of 2 hours, allowing us the flexibility to switch your visit to whichever appointment type is appropriate at that time, and without all of the rescheduling which is hard on both our patients and staff. If we are able to see you in office, your appointment length will be adjusted to your provider's normal recommendation.
If you would like to place an order with our dispensary, please send a CHARM message or leave a detailed voicemail (extension 4). A few of our manufactures are in short supply, so please know that it is taking extra time to process and ship orders. Some orders will be partial until we are able to acquire additional product. Our dispensary team will let you know what to expect in regards to your specific order as quickly as possible. We are working closely with all of our suppliers and expect these shortages to be temporary.
We really appreciate all the support and kind words we have received from patients over the last few weeks! It means a lot!
Thank you for your patience, as we continue to do all that we can to help support you and your family within our current limitations.
We wish you all good health and ease through this time of transition. May we all come out healthy and a little more resilient and feeling grounded on the other side.
Your Team at Holistic Healing Arts
Dear Patients and Friends of Holistic Healing Arts,
As many of you are aware, several cases of coronavirus (COVID-19) have now been confirmed in Washington State, and other regions around the United States. Our team has been studying this event intently and meets daily to discuss new reports and the latest information, as well as plan and implement any new and necessary safeguards here at Holistic Healing Arts. We wanted to share with you our current plan to lessen the chance of exposure within out office, as well as provide information on general immune boosting supplements that may be helpful, and steps your family can take to prepare at home.
Please read through the following information as our office is running a bit differently than usual and our office procedures will change as needed in order to keep our patients and staff safe.
If you are scheduled for in-person appointments at our clinic but are uncomfortable traveling outside of your home or to Washington State, our team of physicians is prepared to work with you remotely. Please message “scheduling” in the Charm portal or call our office and leave a voicemail for Scheduling (ext. 3) at (425)582-7678 to adjust your appointment accordingly. Please give us as much notice as possible when adjusting your appointments, so we can help fit in other patients who are currently on our providers' wait lists.
Out of an abundance of caution for our immune-compromised patients and staff, if you have any of the following exposures or symptoms, do not come to our office. Please call our front desk to switch your visit to a phone consultation.
We will only be managing the following symptoms remotely at this time:
Shortness of breath
If you have been in close contact with any persons with a confirmed COVID-19 infection.
If you have traveled outside of the United States.
Aside from treating patients remotely, we are disinfecting all surfaces throughout the day, running some of the best air purifiers on the market, and have made sure that every person on our staff is on preventative and aggressive support tailored to the individual. We are working hard to stay healthy and keep those around us healthy, so we can help you and your family stay healthy too.
In addition, we are enforcing strict guidelines for all non-patients who enter our building.
Please watch this page for more up to date information regarding our clinic policies regarding this situation.
Symptoms of Coronavirus:
The CDC states that the symptoms most associated with COVID-19 are a fever and sore throat for 3-4 days followed by a cough and shortness of breath. This can progress to severe respiratory distress for vulnerable populations. At this time, it appears to be most impactful for older people and those with underlying health issues, including immune deficiency. Incubation time can be 2-3 weeks before symptoms appear following exposure.
Treatment and prevention:
With the recent coronavirus threat, we have had lots of questions on the best way to protect yourself and your family. Fortunately, in addition to well known sanitary practices such as regular hand washing, avoiding touching your face and staying away from crowds, alternative medicine has a lot to offer in regards to anti-viral support and immune boosting benefits. After consulting with many of our respected colleagues, we have put together a list of suggested products that can be used. Please note that none of the following suggestions are proven to prevent or treat the coronavirus, nor are they recognized by the FDA to help strengthen the immune system. Although, we have found them to be helpful to our staff and some of our patients, they are not a replacement for seeking medical care from a licensed healthcare provider. The following information is for educational purposes only. We are also not suggesting you take all of these items, but wanted you to know some things to consider having in your home arsenal. We have consultations available for anyone who would like to discuss this further and most products can be ordered through the patient portal (preferred) or by calling our office at (425)582-7678 ext. 4, and speaking with Jason in our dispensary. To limit your wait time, place your order ahead of time for pick-up, or we will ship your items Priority (preferred).
** Please note that these suggestions are NOT for pregnant women and children under 2 years old.
Supplements to consider:
Elderberry- (Sambucus nigra)- The berries and flowers of elderberry are packed with antioxidants and vitamins that may boost your immune system. They can help tame inflammation, lessen stress, and help protect your heart, too. Some experts recommend elderberry to help prevent and ease cold and flu symptoms. Sambucol is a name brand product available as a liquid at most drugstores and dose is based on weight. There are also many options of gummies and tinctures. We carry one from Wise Woman Herbals. Below, we have also included a recipe to make your own syrup.
Vitamin A and D- This has been our go-to protocol for anti-viral protection during cold and flu season. High dose vitamin D was found a few years ago in a Brazilian study to be more effective than the flu vaccine for prevention. Please note that vitamin A should not be used in pregnant women (toxic to the fetus over 5000-10,000IU) and in children under 2 years old. Otherwise the suggested doses:
Vitamin A (Klaire Mycelized vitamin A liquid or Biotics Bio Ae-mulsion drops)- 100,000IU once daily for 7 days, then stop. This can be repeated every 6-12 weeks as needed.
Vitamin D (MHP vitamin D drops or Biotech offers a 50K vit D pill to make this easy)- 50,000IU once daily for 7 days, then stop.
Selenium- This is a simple mineral that was researched to be extremely useful during the H5N1 bird flu outbreak and really helped both in prevention and in treatment of acute symptoms. Prevention dose is 200-400mcg daily and if you actually get ill, you can increase to 200mcg 4 times daily for a week. This can become toxic if taken long-term. Good options for this are Thorne Selenium citrate capsules, Jarrow Selenium Synergy or Genestra Selenium CWS drops.
Colloidal Silver- This was also found to be extremely effective during research with the H5N1 outbreak and has been a consistent anti-viral and immune protectant used in our practice for years. Preventive dose is 2 sprays by mouth twice daily and acute dosing goes up to 4 times a day. ACS silver spray, Argentyn and BioPure Microsilver liquid are great options for this. Nasal spray options of these are also available.
Mycopolo and the URI’s is an herbal formulation Dr. Chistopher Wakely put together a few years ago that we love for any unusual viral illness, especially when the upper airways and lungs are involved. This contains usnea and a variety of other herbs. There are also many other herbal suggestions that we can customize for your particular health needs. One of the most respected herbalists, Stephen Buhner, has suggested some custom formulas specifically for coronavirus protection. We have all ingredients available to customize the proper formula for you, but this would require a consultation with your provider.
Researched Nutritionals CryptoPlus and Myc-P are great tincture formulations with tons of immune enhancing and anti-viral properties. Dose would be 1 dropperful twice daily as prevention and may go higher with acute symptoms. Please consult with your physician about this.
Zinc- 60-300 mg daily with food. Watch that this can cause some nausea, so taking it later in the day with a high protein meal can be better tolerated. Metagenics zinc drink as a swish and swallow or Seeking Health Zinc Lozenges are a great way for some lower doses of zinc (like 30mg) to have direct contact in the oral mucosa, which is great at the first sign of symptoms.
DoTerra On guard or Young Living Thieves blend- Either of these are excellent for viral protection. On guard is available as capsules to take 1 capsule twice daily during cold/flu season. Otherwise they are available in oil blends that can be diffused near your sleeping area or taken internally up to 2 drops twice daily.
BioBotanical Research Biocidin- This is the product that always travels with me. The drops are in a glycerin base, so the taste is acceptable for children. The spray is in alcohol and is a bit more potent in taste (but weaker in strength), but is handy when on the go. Dose for travel protection is 1 dropperful before and after plane rides or 2 sprays before, during and after the flight. Otherwise preventive dosing ranges from 5 drops or 2 sprays twice daily to much higher. Consult with your physician on this please.
Monolaurin or Lauricidin- This is derived from coconut and has amazing immune boosting benefits. This is something we often use for chronic conditions related to EBV or CMV, but it is also a first go-to during cold and flu season. Preventive dosing would be 1 capsule twice daily of monolaurin 300mg capsules. Acute dosing can go as high as 1 scoopful 3 times daily of lauricidin pellets. Please consult with your physician before doing the higher doses.
Host Defense MyCommunity (medicinal mushroom blend)- Preventive dose is 1 capsule twice daily and acute dosing may go much higher. This is great immune-boosting prevention during any cold/flu season or travel.
Briotech for sanitizing surfaces and skin:
Taken from Briotech's Website: "Preliminary testing in 2016 at the University of Washington School of Public Health showed Briotech HOCl had an effective surface kill of 99.999% of coronavirus OC43 (a close relative to the novel coronavirus) in ten minutes or less." For more information please go to: www.briotechusa.com
You can use the spray to help aid in disinfecting surfaces s well as spray on hands every time you wash them.
Periodic facial spritz may help reduce transmission of viruses and bacteria from surfaces to your face and lungs
Use it to wipe down the area on the airplane when traveling
This is one of the things we are using in the office to help sanitize all surfaces.
Elderberry Syrup – Instant Pot Recipe
* Preventive dose is 1 TBS twice daily for adults, or 1 tsp twice daily for children
1.5 Cup Elderberries (available on Vitacost.com)
4 Cups water
1 Tsp Cloves, Ginger, Cinnamon (all to preference)
1-2 small orange peel
7 minutes Instant Pot on High Pressure, Manual/High pressure release
Saute for 15 minutes
Cool to Handle
Strain/squeeze with a cheese cloth
Add 1 ½ cups raw local honey (can reduce for lower sugar), stir then jar.
Note: After squeezing the berries you can put them in a snack bag then freeze, then use with a diffuser to make tea.
How can I prepare my household for the potential impact of a pandemic?
(Information from our own Dr. Katie Dahlgren's recent blog post on the Corona Virus. Click here to visit her article or go to www.DrKatieDahlgren.com/blog)
Be sure to find balanced, reputable sources for accurate information. Read information distributed online with a critical eye for accuracy and relevance.
Stay home if you have acute cold or flu symptoms.
Incorporate healthy habits to promote optimal immunity – this includes time in nature, eating a healthy diet, maintaining good hydration, sleep hygiene, spiritual connection and stress management.
Ensure that your nutrient status is well supported by eating a variety of healthy foods and supplementing with professional-grade nutrients when needed.
Implement an herbal and functional medicine protocol to support viral and respiratory immunity.
Keep a 4-week supply of food and dry goods in your home – be sure you have enough for everyone in the family, including pets. Supplies at many stores in Western Washington are already low as the community is purchasing higher quantities of household supplies than normal.
Keep a 30 -day supply of essential medications at home in case of an interruption in supply.
Identify child-care plans in case schools are cancelled for extended periods.
Discuss options for working remotely with your employer in case the illness becomes more widespread.
Use essential oil diffusers and natural anti-microbial agents to clean surfaces in the home and car frequently.
Use air filters in the home – most will help to reduce pathogens and particulates, some (like Molekule or Vollara) also destroy microbes.
Please stay safe and know that our physicians are available to you for consultation. If you have any questions or concerns, please don’t hesitate to contact our office or schedule a time to talk to your provider.
Dr. Amy Derksen and all of us here at Holistic Healing Arts