I am a graduate of Bastyr University and the Northwest School of Healing. I practice a wide variety of skills and techniques. I do routine physical exams and lab work, but also include a nutritional physical exam and may run functional medicine testing.

Naturopathic physicians are the bridges between the standard western medical world and the alternative medicine techniques. Our philosophies include; belief in the healing power of nature, treating the cause rather than the symptom, treating the whole person - body, mind, and spirit, use of the role of doctor as it was originally meant - teacher, and first-do-no harm.

The scope of practice in Washington State allows naturopaths to perform physical exams, order lab tests and other diagnostic studies, make diagnosis and we have a limited prescriptive authority (this includes natural hormones).

My goals for the patient include finding the underlying causes and contributing factors to a patient's symptoms. Then I educate the patient as to what I see are the problem areas and formulate a comprehensive plan, being careful not to overwhelm the patient. We work on changing lifestyle habits and optimizing function of their body. I feel it is very important for the patient to actively participate and take responsibility for their health. The goal is to avoid patient dependency on the doctor and encourage independence through knowledge.

Q.What can I expect during the first visit?

A.Enough time is set aside to get a thorough history to get to know you. There is a physical exam and then we come up with a plan for care. This may include ordering lab tests or getting records. You can expect several aspects to be addressed.

Q.What if I am taking prescription medication?

A.That's fine. We can work on eliminating the need, find a natural alternative, or if you need or want to stay on the drug, I will use a more nutritional approach to avoid any herb/drug interaction.

Q.Does insurance pay for this? Do you accept cash clients?

A.I am happy to accept self paying clients. Many health insurance policies do cover ND care for office visits and naturopathic manipulation . Some services, lab tests and most products are out of pocket expenses. I accept Cash, VISA, MC, and Checks.

Q.What if I am not sure naturopathic medicine is right for me?

A.I offer free 10 minute consults. This is time for us to interact and see if we would be a good fit for working together. We can do this over the phone or in person at the office

Q.How strange will my life get under naturopathic care?

A.I'm a naturopathic physician, not a health nut. I don't sprout my food, compete in triathlons, or get up two hours before dawn for chanting and yoga, and don't expect my clients to do so either. Soy is not a panacea, surgery is not always a bad choice, not everyone thrives on a vegan diet. I try to be reality based with my recommendations. I understand that I am prescribing for lifestyles, personalities, and budgets, as much as I am for physical conditions. The goal is a balanced life with more fluid guidelines than rigid rules.

Q.Where did Dr. Rivers go to school?

A.I graduated from Bastyr University, now located in Kenmore, Washington.

Naturopathic Medicine, or Naturopathy, is a system of medicine that uses natural substances to treat the patient and recognition that the patient's mental, emotional, and physical states must all be treated for a lasting effect. Though the term Naturopathy was coined in 1895, this type of medicine had been practiced for hundreds, if not thousands of years prior. In the mid and late 1800s in the United States, the standard medical schools taught herbal, homeopathic, and nutritional medicine along with surgery and other more heroic type medicines.

Gradually, the pharmaceutical direction to isolate components of the herbs created more potent, but potentially more toxic drugs. Further, with the advent of antibiotics, the long-term adverse consequences of drugs was not understood and the slower, more gradual effects of Naturopathic medicine almost pushed it into disuse in the early 1900s. The current resurgence is due to a recognition of both the accomplishments and the limitations of the current medical system and the efficacy of Naturopathic medicine. The foundation of Naturopathic medicine is the vitalistic philosophy of the "healing power of nature." This means that within every human organism there is a healing energy, which includes our immune system in the fuller sense of both the physical and the psyche, which is responsible for our wellness and our ability to heal and maintain health.

Following this first premise is the second, that the therapies used to support and stimulate this healing power of nature must be in "the gentlest, least invasive, most efficient manner possible".

The third Naturopathic premise is "to diagnose and treat the cause". Naturopaths do not simply treat the manifestation of the disease but rather search for the cause and treat it.

To accomplish these goals, Naturopathic medicine incorporates many therapeutic modalities: herbal medicine, homeopathy, nutrition, hydrotherapy, food, exercise therapy, physical therapy, manipulation of the bony and soft tissues, lifestyle and counseling. Additionally, some Naturopaths elect to continue their education to receive a license to practice natural childbirth.

Naturopathic medicine treats the patient from the preventive stage through to serious, chronic and debilitating disease. Therefore, people can go to Naturopaths for colds, bronchitis, allergies, as well as for heart disease, diabetes, and malignant diseases.

Naturopaths are recognized in the state of Washington as licensed physicians who are trained not only in the naturopathic therapeutics but in the conventional fields of diagnosis: lab tests, x-rays, physical exams and other procedures. On account of this broad training, Naturopathic physicians are best able to integrate conventional and alternative medicine.

Internationally, Naturopathic medicine has both popularity and acceptance with the Conventional and Naturopathic doctor working in a more integrative manner. Much of our research comes from countries that will fund studies in which there will not be a patentable product. Hopefully, that situation will change in the United States and individuals can chose the type of medical care best for them.




Skin Care from South Africa to strengthen and normalize skin

Environ products are based on the theory that the skin, not the rest of the body, becomes Vitamin A deficient. Vitamin A deficiency in the skin can manifest as acne, atopy(eczema) discoloration and "photoaging."  The gradually increasing concentration of Vitamin A applied topically will penetrate into the DNA of the skin cells and will 'normalize' the new skin growth. Sensitive skin becomes less sensitive, acne clears up, discoloration minimizes, older skin gets plumper and wrinkles become less visible.

I do not have nice skin (or I didn't before Environ). My skin was coarse, with large pores, freckles, age spots, wrinkles and lots of scarring from acne.  By combining the Environ products with CIT-Collagen Induction Therapy- My skin looks the bests it ever has.

Environ only allows licensed practitioners to be "stockists" for their products. (there is one person on the internet claiming to sell Environ products. I have contacted Environ and they say they aren't selling to her and the adress she gives is a vacant lot.....). They sell different lines or 'ranges' as they call them-Beta-Active for acne, AVST as the 'regular' line, C-Quence for the over 40's crowd and the Evenescence range for discoloration.  I haven't tried everything but I'll tell you what I think about what I have tried.

C-Quence line- the vitamins with extra stuff for older skin.  Definitely has made improvements in my skin-crow's feet and lip lines much much less. Pores are less visible. Skin is plumper. Should be used with the C-Boost.

C-Boost-  the form of vitamin C that your skin absorbs-if your spending the money, might as well get the stuff that will work the best.

Colostrum Gel- if you use Environ regularly, the rough skin doesn't grow anymore and you won't need masks and exfoliants.  This has a little bit of alpha hydroxy acid with the colostrum, if you want an added boost to the skin rejuvination.  It's mild and doesn't cause irritation.

C-QuenceToner- I haven't used toner very much so I'm not sure how to evaluate this-wasn't drying or irritating.

Evanescence toner- this made a big difference. This is the line to deal with uneven skin tone.  After using this I have more of a 'peaches and cream' look-blotches are gone, freckles have faded and the decollotage area(one of those age give away spots) is very even in color.

Cleansing Milk- it's not oily, doesn't dry out my skin-it feels like nothing. I like it.

AVST Body Oil- this is the version of the vitamins for the body - I noticed that the hip and thigh areas were much smoother after a few months of using this two to three times a week.  They have Body profile that is supposed to target cellulite areas but I would start with this and then add on.  I have also noticed that over time the 'barnacles of aging' are fading and becoming smaller.  Hopefully it is helping to prevent new ones.

AVST line- I worked my way up to the highest level of the C-Quence line and then started to add in the AVST for extra vitamin A-with this approach I noticed significant improvement in the lip lines and the firmness of the jaw line.