Category: Newsetters

Spring Newsletter 2023

April 24, 2023

Whether you are new to the clinic or have been with us from the beginning, we are glad you are here!

We had very humble beginnings and now we seem to be growing at an exponential rate. With growth comes change. As the Greek  philosopher Heraclitus said “There is nothing permanent except change”.

We have new faces in the clinic, a clinic in Poulsbo as well as Manette. So many new patients, and a much busier practice.

Here are some ways we can improve your experience:

Communications

BUSY PHONES

Most days we have two people answering phones and still can not get to each of you personally as you call in. This is why when you call you need to leave a message. All front desk messages are handled by the end of the day. When you call and do not leave a message we do not know you need us.

PROVIDER PHONE

Medication refills, specific needs from your provider- please do this on the provider line. It is a message phone, and a text line 360-621-1104.

You can also reach this line by hitting option 2 when calling the main front desk line.

Price Changes

We had an increase in our membership price this year. This is our 4th increase since we opened our doors nearly 9 years ago. It is never our goal to price people out of our services so if you are having a hardship please let us know. We can work with you on payment plans or scholarships if needed.
With this we will have some new charges for clinic add on services starting in May (member prices; not for billable Medicare patients):

  • B-12  Injections : $10
  • Toradol Injections: $15
  • Joint Injections :$20 per body part
  • Tetanus shot : $47
  • CDL Physicals (starting in August)
    •  Member: $50
    •  Non Members: $150 (not Medicare)
  • Acupuncture
    • Members/Medicare: $40-$70
    • Non Members :$100 (not medicare)

Clinic Staff & Schedule

VACATION SCHEDULE

We are approaching warmer months which brings vacations for our staff. Work life balance is something we strive for, taking good care of ourselves helps us take good care of you.  We appreciate your patience if we are down in staffing at a particular time you want an appointment. It’s okay to see a different provider if yours is away.

URGENT CARE

We piloted an urgent care in our Manette location for the months of February and March, hoping to help with the lack of community urgent care clinics on the weekends. We did this as a service to the community.  We were able to help about 6 patients during this time and may do another pilot of this idea in the Fall. For now we will not be open on Saturdays.

STAFF CHANGES

This Summer Tammy will be moving back to South Carolina to be closer to family. We will miss her terribly.

If you happen to know a licensed nurse that would love to be a part of our amazing staff. Have them send a cover letter and CV to tanya[email protected].

Appointments & Refills

MEDICATION REFILLS

Please allow 2-3  business days for all refills, especially controlled refills. Best requested directly thru your pharmacy or the provider line.

WELLNESS EXAMS

Plan ahead for your yearly wellness exam then we can make sure you get in with your provider of choice at a time that is best for you and for us.

SAME DAY APPOINTMENTS

We do our best to get urgent exams (illness or injury) on the same day. This may not be with your provider if they do not have openings. Our providers communicate with each other so do not worry about seeing someone different.

COVID-19, the Bully

March 19, 2020

By Nita Baer MA Lifespan Integration Therapist/Consultant Spiritual Director 

Surreal times! I’ve entertained a host of emotions this week as our community shuts down and the stock market flails. COVID-19 feels like a bully and the fall out chaotic. I’ve known bullies since day one. No fun!! 

This bully put our world into a steep, disorienting learning curve. Super uncomfortable! As humans we prefer comfortable because at a subconscious level our animal (reptilian) brain equates “sameness” with safety. Our first, subconscious question, in every situation is … “Am I safe?” This need for safety is found in your amygdala that was formed 80% in uterus and the last 20% in the first couple months of your life. Your amygdala houses your fight, flight, freeze, and collapse responses. All information comes in through your bodies five senses for screening by the amygdala before moving into conscious thought. 

If you were born into a home were your parent responded with warmth and kindness when you cried your outlook on life is much more likely to be, “Yes, I am safe. All will be well, and all manner of things will be well.” Thank your parent! 

If your parent was unpredictable for any reason, or unable to soothe you because you were sick, your matrix was wired much, much, differently. Your brain tells you, “If I am uncomfortable, I am in trouble. Nothing that causes me to feel uncomfortable ends well for me. We are going to die!” 

This anxiety does not improve by telling yourself to get a grip! In fact, dismissal will ramp up your emotions big time. Think of your amygdala like a young child. If a child thinks the adult in charge is not going to watch out for them, they freak out. If the child knows the adult in charge will be kind, stay with them even if they have big emotions, the child will calm down. 

This is because the worst thing a human can experience is a felt sense of abandonment. Abandonment to an infant (remember the forming age of your amygdala) means we die. A felt sense of abandonment verses physically being left is what matters. If a child cries or reaches out to their caregiver who is preoccupied with their phone or too busy, the child becomes anxious. Right now, in our community there are many people feeling anxious. Not uncomfortable, not restless, but perched on the edge of a panic attack, or well into a panic attack. They struggle moment by moment to ride the wave of emotion. They may startle more easily, anger may have a shorter fuse, they may withdraw or become really clingy. 

And these can be normally really high functioning folks! Like you and me! For those of you who believe, “All will be well,” the dysregulated emotions of the anxious may seem uncalled for, overreacting, a waste of energy, foolish, etc. How very privileged you are! Be thankful your amygdala is working well for you! 

This is a time for you to offer empathy (Brene Brown has a great free online animation regarding empathy) and offer constructive alternatives. Somewhat like a kind parent who validates a child’s emotion and then helps the child reorganize. Reorganizing an infant may be all about changing a diaper. Helping an adult reorganize may look like taking a walk, doing yoga, telling a funny story, offering art supplies, helping them consider what is true about the present moment. 

You who feel anxious… for God’s sake stay off the news!!! You all know the drill by now. Social-distancing, wash your hand, quarantine if you feel sick. All the details are too much and unnecessary! 

If you are reading, this the truth is, you have many more resources then when you were a child. The uncomfortableness of this moment is not the same as when you were an infant. Now you have many, many more options. You can call a friend, take a walk, a bike ride, weed, (our yards may look amazing this year!) read a funny story, do Qi-Gong, yoga, Sudoku, read something inspirational, do art, cook good food. (Yes, there is food. People in China are not starving, I checked!) The vast majority of you are not stuck in a blanket needing someone to pick you up! 

Make a choice to breathe deeply many times a day. Breathe in to the count of eight, hold it, exhale deeply and pause. Repeat ten times. If anxiety is increasing, count anything and everything. Count backwards by three or seven. Counting drives you into your left brain that will help your right brain (where your emotions hang out) calm down. Smell something yummy, feel the seam of your jeans, notice the colors around you. And breathe some more! 

To be human is amazing!! We all grew our own heart and lungs, we are tenacious, resourceful and strong! Remember vast majority of folks want to help you! 

Be well! 

Resources:

Lee Holden Qi-Gong, online classes and he is offering free wellness routines. 

Oak App for breathing.

Luminosity is a brain training app. A constructive place to put your mind to work.

Down Dog App offering free routines right now.