February 2013 Edition

Feature Article
Laura Culberson Farr l Executive Director, OANP
Brook Schales
l Member Services Coordinator, OANP

Recently, a worldwide epidemic struck close to home. After getting a referral of 8 names from the OANP, "John" had contacted or scheduled appointments with half of them within 3 hours of getting the referrals, ostensibly to "get help tapering off of Adderall" for his adult ADHD. After OANP alerted the NDs who had received the referrals that John was a possible drug seeker, a quick search in Oregon's new Prescription Drug Monitoring Program database showed that John had seen 20 different practitioners in the last year, receiving 90-120 tabs of amphetamines almost every week. 

All physicians need to be vigilant about possible drug-seekers and scammers. Here are some tips about how to be proactive about making sure patients get the care they need in situations where the potential for substance abuse is high. 
1. OANP will always inform you about a patient referral and will include the condition the patient is looking to address when possible. 
2. Every physician should register with Oregon's Prescription Drug Monitoring Program, which allows pharmacies and physicians to share data about patient prescription information for controlled substances in Schedules II, III, and IV. 
3.  Be aware of common tactics like "losing" medications, claiming allergies to all nonnarcotic pain relievers, and faking pain or symptoms. Be aware that drug seekers often demand a particular drug and, regardless of diagnosis, are hesitant or refuse a different drug. Perform all the proper intake questions and physical examinations before asking yourself if the patient's pain or symptoms make sense from an anatomical or biomedical standpoint.  
4. Learn about street drug combinations and what the most commonly misused prescriptions are. Remember that Soma and hydrocodone, when taken together, produce a heroine-type "high". Tagamet, when taken with crack, inhibits crack's metabolism in the liver, prolonging the addict's high. 
5.  Pay attention to your intuition. If you think you are being conned, you probably are. Addicts will go to great lengths to obtain their drug of choice. 6.  The flip side of being vigilant is to not become overly jaded or skeptical. Occasionally patients actually have their medications stolen or they are lost or destroyed. Do your best to get physical proof of what the patient is reporting.
By staying informed and alert, you will be better equipped to judge the true intentions of your patients and to avoid administering medication to drug seekers. 

News From the Executive Director
Laura Culberson Farr l Executive Director, OANP

Want a sneak peak at what to expect from the OANP in 2013? At a retreat last weekend, the OANP Board identified the priorities for the upcoming year, and developed new leadership committees to implement those priorities.

You will find that the OANP’s upcoming priorities reflect much of the feedback that
we hear directly from you!

View Full Article

Community News
A Benefit for OANP and OAAOM

When was the last time you got to dance your socks off, go to a fantastic auction, and have the proceeds support the advocacy work of the OANP???
Join us at Refuge PDX (116 SE Yamhill St., Portland, OR) for a Chinese New Year Party on Saturday, February 9th from 9PM-4AM for performing artists and asian inspired food, sushi, and tea provided by local businesses. This will be followed by a Benefit Auction Fundraiser for the OANP and OAAOM on Sunday, February 10th from 6-10PM.

Click here for more information.


The New Hampshire Association of Naturopathic Doctors (NHAND) invites you to submit an abstract for the 13th Annual Pharmaceutical Perspectives Conference.

All abstracts will be reviewed by the Conference Committee. Accepted abstracts will be published in the Proceedings Manual and course notes will be available on the NHAND website, which will be accessible to conference attendees. Please read all guidelines before submitting an abstract. Incomplete abstracts will not be reviewed.

View Full Article

A CELEBRATION OF LIFE: RICK MARINELLI - February 16, Wonder Ballroom

Dr. Rick Marinelli, a naturopathic physician and nationally recognized leader in the advancement of pain management therapies, died in Portland January 22 at age 59. A celebration of life will be held at the Wonder Ballroom on February 16th at 6:00 pm, and is open to all.  Visit In Memory of Rick Marinelli on Facebook to post your thoughts, comments and memories.

View Full Press Release

Member & Supporter News
Mary Closson l Director of Membership & Development, OANP

Community Compounding Pharmacy continues to receive high marks from physicians with their topical cream prescriptions and acceptance by many major insurance companies.

View Full Article

Mary Closson l Director of Membership & Development, OANP

Our Board and staff are proud to serve you and are grateful for your membership investment in the OANP. We are committed to "leave no ND behind” as we advocate for naturopathic medicine in the legislature and community. To better serve you, OANP is offering new technologies, new benefits, and new dues options.

View Full Article

Legislative News
Laura Culberson Farr l Executive Director, OANP

Three months ago, patients of NDs were facing losing access to their naturopathic doctor in the transition to new CCOs. However, new developments indicate that a whole new credentialing application may be in the works!

The legislative long session started this week, so get ready for five months of action alerts, legislative updates, and opportunities to have your voices heard! 

View Full Article

Clinical Research
Reusable Grocery Bags Pose Greater Health Risk Than Plastic
Social Science Research Network, January 2013

Scientists have found that, compared to plastic bags, reusable grocery bags are responsible for a 25 percent higher incidence of E. coli infection and a 46 percent higher risk of death from food-borne illnesses. Researchers examined figures before and after a ban on plastic bags in San Francisco in 2007, followed by Los Angeles, Malibu, and Palo Alto in 2012. Immediately after each ban, there was a spike in E. coli, food-borne illnesses, related ER visits, and food-infection deaths. Reusable bags were found to be breeding grounds for E. coli and other deadly bacteria.

Of randomly selected reusable grocery bags, 51 percent were found to contain coliform bacteria, and 8 percent contained E. coli. Most users increased the risk by not using separate bags for meats and vegetables, and by storing bags in car trunks where bacteria multiply faster.

Preventing and Treating Influenza With Natural Medicines
By Alan R. Gaby, M.D. l The Huffington Post, January 2013

Vaccinations and antiviral drugs are common treatments for preventing and treating influenza, but this article evaluates the scientific evidence that certain nutrients and herbs may be useful in the prevention and treatment of influenza. Findings show that
Sambucol, a proprietary preparation that contains extracts of black elderberries (Sambucus nigra L.) and raspberries (Rubus idaeus L.) inhibited the replication of influenza virus in the test tube. In addition, an extract of Sambucus nigra L.decreased the infectivity of human influenza virus H1N1 (the type that causes swine flu) in the test tube.[1] In clinical trials, treatment with Sambucol decreased the duration of illness in people suffering from influenza.

Berberine Compared to Metformin in Women With PCOS
By Wei W, Zhao H, Wang A, et al. l Eur J Endocrinol. 2012;166:99-105., December 2012

One hundred Chinese women of reproductive age who met diagnostic criteria for polycystic ovarian syndrome (PCOS) and insulin resistance were randomized to the study. All subjects received advice from a nutritionist and were instructed to limit dietary fat and carbohydrates without restricting calories. Thirty minutes of moderate to intense exercise per day was recommended but not monitored. All subjects also received the antiandrogen compound cyproterone acetate (2.0 mg/day) in a combined oral contraceptive pill with 35 mcg ethinyl estradiol, taken in a cyclic fashion. 31 patients were placed on Berberine hydrochloride (500 mg 3 times/day), 30 participants were placed on Metformin (500 mg 2 times/day for the first week, then 3 times/day for the remainder of the study), and 28 participants were placed on placebo tablet (2 times/day).

After 3 months of treatment, all 3 treatment groups showed significant reduction in body weight and BMI, with no significant difference between placebo, berberine, and metformin. Waist circumference and waist-to-hip ratio also decreased in all 3 groups; however, the berberine group showed a significantly greater reduction in these measures than the metformin or placebo groups.

Continuing Education
& Community Events

NCNM Health Biz Expo
Date: February 9, 2013
Location: NCNM Campus, Portland OR

Threshold Benefit Dance & OANP Auction

Date: February 9-10, 2013
Location: Refuge PDX,
Portland, OR

Integrative Therapeutics Digestive Wellness: Six Principles for Restoring Digestive Health
Date: February 12, 2013
Location: Webinar

OANP Member Meeting

Date: February 26, 2013
Location: TBD

Annual NW Naturopathic Physicians Convention

Date: April 12-14, 2013
Location: Downtown Waterfront Marriott, Portland, OR

Classified Ads

Practice For Sale
Location: Monarch Natural Health in Chester, Virginia

Practice Opening For Two NDs

Location: Bend, OR and Redmond, WA

Office Space Available

Location: Forest Grove, OR

Medical Office For Lease

Location: West Linn, OR

Space For Rent

Location: Eugene, OR


Abigail Aiyepola

Lisa Bryant

Lai Chim Chan

Erin Conlon

Alexis Dickey

Megan Ding

Gillian Hanson

Tayson Heward

Katherine Jones

Genevieve Lorensen

Stephanie Monesson

Please visit our website at www.oanp.org for more information about becoming a member of the OANP.



Laura Culberson Farr
Executive Director

Brook Schales, ND, LMP
Member Services Coordinator

Mary Closson
Director of Membership & Development