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Wednesday, March 25, 2020

A Letter to our Patients, Families and Community

Dear Patients, Families, and Community, Your health and well-being are our top priority during this pandemic.  We hope this finds you well.  We are working to help our community in the best way we can during this difficult time. As of now, we have instituted many new procedures into Oasis Family Medicine to better serve you. Why are we making these changes?
  • To ensure the safety and wellbeing of our dedicated Oasis Team, you and your families.
  • To care for our patients while minimizing potential exposure to the COVID-19 virus.
  • To allow for your well-visits as appropriate (often via telemedicine).
  • To allow us to maintain a safe, clean environment when you visit our office.
  • To do our part to reduce the spread of COVID-19 by adhering to public health best practices.

Office Visits
  • Please continue to call and make appointments as usual, though they may be conducted as Telemedicine appointments rather than in-person.
  • When calling to schedule an appointment for yourself or someone who is sick, we will ask about your specific symptoms so that we can determine the most appropriate method of taking care of you/them. We will see sick patients either in a separate area of the office, in your car, or outside in the open air.
  • Please limit the number of family members coming to each appointment in order for us to extra-carefully clean and control the environment.

Telemedicine program:
  • The Los Angeles Department of Public Health has instructed us to move all appointments where possible to telemedicine appointments.
  • We are instituting this Telemedicine service in order to meet our patients' on-going medical needs while minimizing the need for in-person visits.
  • Virtual visits can be scheduled so we can converse and discuss your health needs just like we would in the office.
  • These can be done as phone appointments or as video appointments.  Our experience thus far has been fantastic and these telemedicine visits are actually quite enjoyable 😊
  • These visits will be billed as regular office appointments and per recent emergency legislation will be reimbursed at the same rate as any in-person office visit would be reimbursed.
  • There is no required downloading of any specific program to do the telemedicine visit. Simply an internet connection.
  • Our telemedicine software is HIPAA compliant.
  • Can be done on any phone or computer.
Frequently Asked Questions:
Is Oasis Family Medicine still open?
  • YES.  We will remain open as long as we can effectively serve our patients and community in a safe way during this pandemic. 
How is Oasis Family Medicine going to keep me safe?
  • We phone screen for symptoms all patients who are scheduled to come for any reason.
  • We keep the front door ajar or at least cracked whenever possible.
  • We clean the doorknobs consistently and frequently (especially the front door).
  • We mask any patient with symptoms.
  • We ask for social distancing in the waiting room as well as in the IV room.
  • We have signs at the front door asking about respiratory symptoms and promptly will escort anyone with symptoms to a separate room designated for anyone with symptoms.
  • IV room is a ‘well-patient’ room, only for people without symptoms.
  • IV room chairs are only to be occupied if 6 feet apart (unless already living together, then can sit closer).
  • We use personal protective equipment whenever appropriate.
  • We do any appropriate COVID-19 testing outside the building, in your car.
  • We will mail your supplement orders or run any supplement orders out to your car rather than have walk-ins for supplement orders.
  • Bottom line, many excellent precautions are in place to keep the office a safe, healthy place for you and your loved ones.
Do I have Coronavirus (COVID-19)?
  • If you or someone in your home is sick with any symptoms or symptoms consistent with COVID-19 (a fever of 100.5 F or greater and a cough or shortness of breath), everyone in your household should remain quarantined in your home for 7 days or until 3 days after symptoms have gone away (whichever is longer, which means a minimum of 7 days, but until the last person to get sick has been completely well for 3 days). 
Can I get tested for COVID-19?
  • At this time, testing resources are severely limited and hampered.  As such, ONLY patients with moderate to severe symptoms will be tested.  Hopefully soon, better and quicker testing will become available that is also more readily available.
What should I do to prevent COVID-19?
  • According to the WHO and the CDC, at this time there is no known guaranteed prevention or treatment protocols.  However, optimizing your immune system is probably the best method to prevent illness and there are many supplemental ways to help achieve this.  We are big fans of science and also common sense.  Dr. Yoshi Rahm will be doing a free Zoom town hall meeting at 12:30pm on Thursday, March 26 to give his COVID-19 insights and answer any and all questions.  If interested, join here at that time: https://us04web.zoom.us/j/145176940 
Where do I stay updated for reliable information?
A few other notes:
  • Once this pandemic state has started to improve, we anticipate that we may become quite booked out which will create a backlog and slim appointment availability.  As such, you are encouraged to keep your routine blood draws and appointments at this time to avoid even further delay.
  • We FINALLY have a reliable company to do blood draws again IN OUR OFFICE (no more Quest or Labcorp visits, unless desired).  Please call Oasis (818.957.6909) to schedule your blood draw.  It will be done with excellent hygiene. 😊
  • This is a tough time for most people.  Please do not listen to too much news as it focuses on the negative and our brains are wired to focus on the negative.  This is a pandemic to be taken seriously, but it should not be causing nearly the amount of anxiety and PTSD that it is causing.  Please stay informed.  But once informed of any pertinent updates, please focus your energy on you, your health, and your happiness.  Laugh, play, meditate, talk to the family and friends who lift you up emotionally. 

Keeping you and your family healthy has always been our top priority and now more so than ever before.  We feel so fortunate to be able to be a part of your health care needs. Be safe and be well! Your Oasis Team


Medical Disclaimer: Information provided in this article is for informational purposes only. The information is a result of years of practice and experience by Yoshi Rahm, DO. However, this information is NOT intended as a substitute for the advice provided by your physician or another healthcare professional, or any information contained on or in any product label or packaging.
Do not use the information provided in this article for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or another healthcare professional before taking any medication or nutritional, herbal or homeopathic supplement, or using any treatment for a health problem. If you have or suspect that you have a medical problem, contact your health care provider promptly. Do not disregard professional medical advice or delay in seeking professional advice because of something you have read in this email.

Information provided in this article and the use of any products or services related to this article by you DOES NOT create a doctor-patient relationship between you and Yoshi Rahm, DO. or any other physician featured in this article. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.

Wednesday, March 18, 2020

Coronavirus Update

UPDATE: As of 3/18/2020, local health policy has changed to allow only all "essential medical appointments" to be done in-person in our office. As such, Oasis Family Medicine will be offering phone and/or video telemedicine appointments for all non-essential appointments. As of the time of this posting, we are still doing in-office appointments for prolozone injections for pain, most IVs for immune stimulation, and urgent care appointments that can not be done virtually. If you have any questions, please call the office for clarification.

Please watch my new video below and refer to my prior blog on Coronavirus for basic lifestyle and supplement suggestions.

1) A new finding from a small study (https://www.sciencealert.com/who-recommends-to-avoid-taking-ibuprofen-for-covid-19-symptoms) suggests that people with coronavirus do better using acetaminophen (Tylenol) rather than ibuprofen. So until we have more information, we are advising using Tylenol instead of ibuprofen for anyone with colds, coughs, and fevers if you use those meds to begin with.

2) Probably my favorite seemingly unbiased article on COVID-19 that I've read thus far is from Dr. Mark Hyman (amazing doctor and person).  Check it out here: https://drhyman.com/blog/2020/03/17/protect-yourself-from-covid-19



Below is an encore of some very important "To-Do" suggestions from Dr. Elisa Song's blog taken verbatim. Dr. Song is an amazing pediatrician in the Bay Area at her Heathy Happy Kids office.
  • Wash hands frequently, especially before eating or touching your face. Washing hands with warm soap and water for at least 30 seconds is the best option. This study found that washing hands even with plain running water without soap was more effective than ethanol-based hand disinfectants at killing the Influenza A virus!

  • Avoid touching your eyes, nose, and mouth! Do your best to keep those little fingers away! The first step is helping children (and adults) be mindful how often we actually do touch our faces! Varying studies have shown that we touch our faces on average 23-50 times per hours. So help your children notice when they’re touching their faces so they can pay attention to not touching their faces even when you’re not with them

  • Stay home when you’re sick, unless you need urgent medical attention. You may be increasing your possible exposures to COVID-19 if you don’t have it, or exposing others unnecessarily if you do

  • Cover your cough with your elbow or tissues. Teach your kids proper cough etiquette. And if you use a tissue, immediately throw it into the trash and wash your hands

  • Keep your distance. Try to stay at least 6 feet away from anyone who is obviously sick with fever and/or respiratory symptoms

  • Irrigate your nose. While we do not know if nasal irrigation makes a difference for prevention of COVID-19, I believe that one of the MOST preventive things you can do for any viral respiratory illness is to irrigate your, and your children’s, nasal passages with Xlear nasal spray at the end of every day and after any potential exposure (work, school, playgroups, plane travel, etc.). This is a saline nasal spray with xylitol and grapefruit seed extract, both of which have antimicrobial properties. You cannot overdo it, and will not get “addicted” to it. Other options for nasal irrigation are a regular saline spray, Neti pot, and other sinus rinses like Neilmed.
    **Apart from regular hand washing, I believe that daily and frequent nasal irrigation is one of the MOST important things that we can do to prevent influenza and other viral respiratory infections from taking hold.** This is because after exposure to a virus, the influenza virus tries to invade and multiply in your nasal passages for at least 1-2 days before you develop any symptoms. Nasal irrigation can wash away viral particles before they have the opportunity to take hold, and thereby prevent many infections from happening in the first place!

  • Load up on foods and spices with antiviral properties. These include coconut oil, raw garlic, oregano, ginger, kimchi and other fermented foods, walnut, pomegranate, green tea, apple cider vinegar, and medicinal mushrooms (shiitake, maitake, reishi, cordyceps, turkeytail)

  • Eat lots of colorful fruits and vegetables. They are full of antioxidants which will destroy the free radicals that weaken our immune system and are responsible for making us feel sick when we catch a bug. Each color provides different antioxidant power – so be sure to eat a rainbow every day. If you’re kids aren’t the hugest vegetable eaters yet, give them their antioxidant dose with a smoothie packed with fruits AND veggies, use that smoothie to make Jello with grass-fed gelatin or popsicles, sneak pureed vegetables into your spaghetti sauce, soups, chilis, or whatever other way you can think of – be creative

  • Stay well-hydrated. Stick to water, coconut water, herbal teas, and bone broth. No soda or sugary drinks, please! What’s a good estimate for how much water you need at a minimum? Divide your body weight (in pounds) in half and drink that number in ounces! Do you come close

  • Drink your bone broth! Bone broth has amazing immune-supporting properties. See Amazing Bone Broth to get started easily making your own

  • Eat fermented foods. The probiotics contained in fermented foods have tremendous immune boosting powers. In fact, the fermented Korean cabbage, kimchi, was found to have significant effects in preventing and fighting the H1N1 influenza virus! Other examples of delicious fermented foods to try include sauerkraut, pickles (try “real” pickles without added vinegar like Bubbies), miso, kefir, and kombucha
  • Avoid simple sugars and processed/junk food. Did you know that your blood shows lab evidence of a lowered immune system within 30 minutes of eating simple sugars (like glucose, refined sugar, and fructose), and causes a 50% reduction in your white blood cells’ abilities to kill germs? White blood cells are our “army” cells that fight off germs. This effect is most noticeable 2 hours after ingestion, but is still present 5 hours later! Keeping blood sugar levels healthy has been shown to improve immune system activity
  • Get fresh air and moderate daily exercise. Moderate exercise can boost the production of macrophages, the kind of white blood cells that “eat” bacteria and viruses. However, intense exercise can actually temporarily decrease immune function – so don’t overdo it
  • Get adequate sleep. An increase in sleep actually increases the number of your white blood cells. On the other hand, loss of sleep even for a few hours at night, increases inflammation in our body which makes us more susceptible to catching the flu and having more severe symptoms. So make sure your whole family is getting enough zzzz’s. For tips on getting a good night’s sleep, see Eat Yourself to a Good Night’s Sleep and The 3 Things You Need to Know to Get a Good Night’s Sleep
  • Minimize stress
Below are some additional recommendations from yours truly and Oasis Family Medicine.  Please note that almost all supplements sold at Oasis Family Medicine are at least 10% cheaper than can be found elsewhere in stores or online as we try to pass on whatever savings we can to our clients.

#1: Daily Cold Plunges (or showers): it may sound whacky at first, but brown adipose tissue activation (via cold thermogenesis by way of cold showers and/or plunges) has been shown to enhance innate immunity.

#2: Sauna: the research on sauna use and cardiovascular disease protection is impressive. Additionally, sauna therapy stimulates the immune system to a high degree.

#3: Probiotics: although they've been wrongly marketed as 'cure all tummy aids' probiotics actually work by communicating with our immune system.  If you don't ferment your own foods or live on a farm, it's wise to supplement with a strain-specific probiotic with proven immune-supportive strains—especially during times of stress or travel.  Our favorite is Mega Sporebiotic available at Oasis.

#4: Selenium: as Selenomethionine is best.  At Oasis it can be found as Selenium by Pure Encapsulations.  See the attached poorly scanned document called "Studies-Selenium and the Coronavirus" but nevertheless pertinent, so I'm sharing them as they were given to me.

#5: Vitamins A, C, E and Mineral Zinc: all found in Immuplex by Standard Process also available at Oasis.  Numerous clinical studies support supplementation of these to reduce the incidence of acute lower respiratory tract infections.

#6: Mushrooms & Herbs: including echinacea, astragalus, elderberry, andrographis, lauric acid, cordyceps, shiitake, maitake, reishi.  All found in Immunotone Plus by Designs for Health also at Oasis.

#7: Silver: as a spray to use as disinfectant on surfaces, your hands, and even your nose or mouth before and after close contact with a sick person.  Highest quality available at Oasis as ACS200 Silver Spray.

#8: IV Ascorbic Acid: also known as IV Vitamin C.  Impressive against Coronavirus to say the least!  The peer-reviewed Orthomolecular Medicine News Service is a non-profit and non-commercial informational resource and has what I would call a gold mine for Coronavirus protection and/or treatment.  Check out the website here (http://www.orthomolecular.org/resources/omns/index.shtml), and below is a snap shot of the articles since February 2nd.


Volume 16 (2020)

Release #DateSubject
Vol. 16, No. 17March 5, 2020Vitamin C Saves Wuhan Family from COVID-19
Vol. 16, No. 16March 3, 2020Shanghai Government Officially Recommends Vitamin C for COVID-19
Vol. 16, No. 15March 1, 2020News Media Attacks Vitamin C Treatment of COVID-19 Coronavirus: Yet Ascorbate is a Proven, Powerful Antiviral
Vol. 16, No. 14February 28, 2020Vitamin C and COVID-19 Coronavirus
Vol. 16, No. 13February 23, 2020TONS OF VITAMIN C TO WUHAN: China Using Vitamin C against COVID
Vol. 16, No. 12February 21, 2020Three Intravenous Vitamin C Research Studies Approved for Treating COVID-19
Vol. 16, No. 11February 16, 2020Early Large Dose Intravenous Vitamin C is the Treatment of Choice for 2019-nCov Pneumonia
Vol. 16, No. 10February 13, 2020Coronavirus Patients in China to be Treated with High-Dose Vitamin C
Vol. 16, No. 09February 10, 2020VITAMIN C AND ITS APPLICATION TO THE TREATMENT OF nCoV CORONAVIRUS: How Vitamin C Reduces Severity and Deaths from Serious Viral Respiratory Diseases
Vol. 16, No. 08February 4, 2020Fluoridation: The Biggest Public Health Failure of the Twentieth Century
Vol. 16, No. 07February 2, 2020Hospital-based Intravenous Vitamin C Treatment for Coronavirus and Related Illnesses


UPDATED INFO AS OF 3/18/20:

Melatonin, nitric oxide and ascorbic acid (vitamin C) are all inextricably intertwined and deeply involved with ACE2 (which is super important when it comes to coronavirus causing lung tissue damage and even acute respiratory distress syndrome). Melatonin, nitric oxide and ascorbic acid can reduce COVID-19 virulence by inhibiting NLRP3 inflammasomes to stop the perpetuation of cytokine storms. Their critical roles in biochemical reactions and biological pathways that involve ACE2 must be fully explored as part of our fight against COVID-19.

More interesting articles and videos:

Why Melatonin might be beneficial: https://www.evolutamente.it/covid-19-pneumonia-inflammasomes-the-melatonin-connection/

Nitric Oxide Workouthttps://dryoshi.com/video-resources/.  Long version and short version.  Best to do every 4-6 hours ideally.

How stem cells & exosomes might be beneficial if moderate case (severe should go straight to hospital): https://clinicaltrials.gov/ct2/show/NCT04273646?term=stem+cells&cond=Corona+Virus+Infection&draw=2

Great YouTube video of Kim Iverson explaining how weather temperature might be affecting COVID-19 transmission: https://www.youtube.com/watch?v=9w58SYc7JYY&feature=youtu.be

Super great video with Dr. Cowen that isn't so much is applicable to this present COVID-19 situation, but is FANTASTIC at helping us realize why it might have started in the first place and gives us great things to think about for our future healthhttps://www.instagram.com/tv/B9vBfH_npkE/?igshid=ygky24u5yg6q.  

The Bottom Line:

Listen to the CDC and get yourself tested if you have symptoms or a situation that are appropriate for testing. 

Observe strict quarantine protocols if you test positive. 

If you're sick and unsure, just stay home. 

In the meantime, wash your hands lots when out and about and take a deep breath and ask "how can this situation benefit myself, those I love, and the world!"

Have a great week, stay healthy and safe, and feel free to pass this along!



Medical Disclaimer: Information provided in this article is for informational purposes only. The information is a result of years of practice and experience by Yoshi Rahm, DO. However, this information is NOT intended as a substitute for the advice provided by your physician or another healthcare professional, or any information contained on or in any product label or packaging.
Do not use the information provided in this article for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or another healthcare professional before taking any medication or nutritional, herbal or homeopathic supplement, or using any treatment for a health problem. If you have or suspect that you have a medical problem, contact your health care provider promptly. Do not disregard professional medical advice or delay in seeking professional advice because of something you have read in this email.

Information provided in this article and the use of any products or services related to this article by you DOES NOT create a doctor-patient relationship between you and Yoshi Rahm, DO. or any other physician featured in this article. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.