Insights and Blog

An ADHD focused look at how brains and motivation work together. By Dr. Hart and the creator of ADHDpie.tumblr.com The first part of this is just explaining what executive function is, so if you just want to do the checklist,...

Our longer days here can set the stage for some very solid nighttime struggles over spring and summer. Kids still need a lot of sleep, despite their protests. ...

Every year, cold and flu season ploughs through you and your kid's sinuses like a wrecking ball, leaving people feverish, home from work, and school and feeling pretty miserable. However, even the worst colds do eventually pass, hopefully a...

Did you know Dr. Bob used to be a DJ? Here's his top albums of 2018....

By Dr. Bob Dr. Hart and I talk about sleep a lot, and not always about how we aren’t getting enough of it. If we were to measure the amount of sleep our patient’s tell us they get, I can...

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...

Let me introduce myself. My name is Dr. Bob Graybill. Many of you have spoken with me over the phone or at the clinic. I may even have helped Doctor Hart with your visit or performed some physical medicine during...

Alright, alright. I know this elderberry blog is like, 1 million days overdue. I’m sorry. See, what happens is that my oldest kid keeps getting sick. So I make the elderberry syrup, and I think about filming it, and the...

The ringing in of the New Year is traditionally a time for resolutions and change. We at Vitality NW are 100% on board with commitment and change but want to remind you to make sure those changes are healthy and...

Here’s some stuff we’d love for everyone to know about being here. 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...

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...

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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...

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...

I used this recipe on occasion during both of my breastfeeding journeys. Depending on the reason for a lactation increase, they work. Don’t worry though- you can also just eat them because they’re delicious. (In moderation! Metabolic dysfunction messes with...

Written by Alicia Hart, ND Story time, y’all. With my first kid, I totally did that handmade steamed single veggie puree, each new vegetable accompanied by a 3 day wait to look for reactions to the food. We fussed and...

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...

By Alicia Hart, ND Teething has come up a few times here in the last couple weeks, and I realized I do have quite an opinion on the process. Having had an early teether (4 months) and twins on very...