Welcome to Vitality NW

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Working Hours
Monday - Friday 09:00AM - 17:00PM
Saturday - Sunday CLOSED

Natural Medicine Clinic specializing in Women’s Health, Men’s Health, & Children’s Health



Vitality NW / FAQ

Why Should Men Go To The Doctor?

Dr. Bob here! I wrote this post as an answer to a question I’ve been asked many times. Now that I take most kinds of insurance, it’s time for me to start reaching out to the Vitality Community to see how I can help expand our reach. The first place I want to start is with a direct challenge to men. Why should you go to the doctor? (note: This article is written from a cis-gendered heterosexual perspective, mostly aimed at cis-gendered men, but I recognize how complicated gender truly is and believe part of the issue is the dichotomy our culture pushes. The football player vs. the cheerleader dynamic of gender is a huge problem) When I joined Vitality NW as a practitioner, one of my goals was...

Clinic FAQs: 7 things to know about being a patient at Vitality NW.

Here's some stuff we'd love for everyone to know about being here. [caption id="attachment_4016" align="aligncenter" width="300"] Many learning! Much Fact![/caption] Scheduling: You can call the office at 503-344-1345 or schedule online at vitalitynw.com/schedule-appointment. Calls, emails, and online scheduling are returned in order of medical priority. New patient visits are 90 minutes long. Follow ups are generally 45 minutes. Please let us know if you have a time constraint that requires a quick visit, or if you're particularly worried about an exam due to past trauma or discomfort and may need more time. I can combine family visits for some amalgamation of those times, but kids do get a bit restless after the second hour in the office. I am not worried about your menstrual cycle or your...

What Supplements Should I Give My Kids? Foundations Series #1

There’s the optimal life, which we should all strive towards- and then there’s what actually happens. We all, as busy parents, have bought fast food because travel time from point A to point B was the only time anyone was going to get to eat. Most of us are guilty of occasionally handing over a screen because we needed to get something done. Perhaps, as an expression of love, we have overscheduled our children. Or maybe your kid isn’t into optimal health. We all know a couch potato who’s really proud of their mountain dew habit, and maybe your kid is that guy. A question that I get all the time is “What Should My Kid Be Taking?” Keep in mind that this is very generalized...

Back to Work: Breastfeeding Guide

By Adrienne Koznek, IBCLC I recently held a webinar about breastfeeding and returning to work outside the home. So many families have to juggle breastfeeding, pumping, storing, and giving breast milk to their babies sooner than they would like. My hope is that by having information and support, families can continue their breastfeeding relationship while going to work or school. [caption id="attachment_3995" align="aligncenter" width="683"] It's like they know us. Everyone is happy and working with baby is fun.[/caption] The World Health Organization recommends exclusive breastfeeding for at least 6 months, then introducing appropriate solid foods while continuing to breastfeed for 2 years or beyond. Unfortunately, in the United States breastfeeding rates drop significantly at 3 months. According to the CDC’s breastfeeding report card, 81.1% of babies start out...

How do I know if I need pelvic floor physical therapy?

Patient story time: Once upon a time there was a woman who came in with a history of urinary incontinence from early childhood and continuing, worsened by the surgical birth of her first child. She had lived with shame and extra changes of clothes for years, and all that ever came of telling doctors was that she would just “have to live with it”. That’s not a terribly empowering thing to hear, so she kept searching. Along the way she found out that 90 % of women who deliver vaginally and 75% of women who deliver via cesarean had a problem called a “cystocele” which means that the bladder has fallen out of alignment and is hanging into the vagina a little bit. France has a...


By Adrienne Koznek, IBCLC Whenever I tell someone about my job, they always ask me “what made you decide to get into that?”  My answer is simple: My personal breastfeeding journey started out rocky, to say the least - and I wanted to do something to make sure other families don’t have to go through what I went through. [caption id="attachment_3711" align="aligncenter" width="1024"] They look so peaceful even when things are super hard.[/caption] How did I become an IBCLC?  I completed the International Board of Lactation Consultant Examiners (IBLCE) pathway 2 program (https://iblce.org/certify/pathways/).  I completed more than 90 hours of lactation-specific education, in addition to 14 health and science courses (anatomy & physiology, and nutrition, among others). Possibly most importantly, I completed more than 300 hours of clinical...

Five Reasons to Schedule a Home Lactation Consultation

by: Adrienne Koznek, IBCLC  When breastfeeding problems arise, an International Board Certified Lactation Consultant (IBCLC) is a key support person to overcoming them.  Trained in a wide array of issues (including mastitis, sore nipples, tongue tie, and supply concerns, among others), an IBCLC is considered the “Gold Standard” in lactation support. To that end, leaving the house in the early days postpartum can feel incredibly daunting.  Here are give reasons why new parents may want to consider calling an IBCLC for a lactation consult in their home. 1.        You just had a baby!  You are (definitely) tired, and (probably) sore and feeling overwhelmed to some degree.  The first few days, weeks, and even months of having a newborn ought to be treated as a time of healing and...

Do You Have Postpartum Depression?

This is the story I see most often. Mom comes in and she’s tired. She feels like any attempt to take care of herself is either blocked by a screaming child or would be implausible because of other life factors. Eating has been a struggle. When kiddo (or kiddos) are sleeping, laying down would be nice but falling asleep is hard plus there’s all of this work that should be caught up on. The thought is actually overwhelming so what gets done is not a nap or the work, but mostly the repeated thought that if she could somehow just do more, “things” would be better. That’s why the Edinburgh Postnatal Depression Scale has a question asking whether you blame yourself for things going wrong, and...

Five reasons to see an IBCLC

Even for the experienced mother, breastfeeding can come as a challenge in the early postpartum period.  For the mother who wants to breastfeed, early support from a professional is a huge key to success. Number 1: Your baby is having trouble latching This is a common early problem.  It can occur for a number of reasons.  Improving the latch may be as simple as having an International Board Certified Lactation Consultant (IBCLC) show you some basic techniques that facilitate an ideal latch.  If you don't see improvement with adjustments, further evaluation may be needed. Number 2: Your nipples are sore and/or damaged  Transient tenderness in the very early stages of breastfeeding is not necessarily an indicator of a problem.  However, if the pain becomes more than you can bear...


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