Response to COVID-19

New Policies for Coronavirus Safety - 06-16-2020

Before your next visit:

  • After scheduling your next visit, you will need to complete an online COVID-19 screening questionnaire and a new COVID-19 Informed Consent before coming into the clinic. This is to help reduce the chances of an infected person entering the clinic.

  • Once you arrive for your appointment, please wait in your vehicle or outside the clinic. You may text us at our direct line to alert us of your arrival.

    • Michael’s direct line: 408-724-9999

    • Jessica’s direct line: 408-724-8999

  • When we are ready for you, we will call you and walk out to greet you outside the front door of the clinic.

  • We will be wearing a mask and other protective gear. Anyone entering the clinic must wear a mask (this is a public health requirement). We will have a surgical mask for sale if you forget one. 

  • Your temperature will be taken with a touch-less thermometer before you are invited into the clinic (this is a public health requirement).

  • Please come to your appointment in comfortable, loose clothing, as we will no longer be providing Thai pants for your use. 

  • We will now be providing Text Messaging Notifications for your convenience; you will receive text message notifications and reminders along with the standard email notifications and reminders to prevent missed appointments. You may opt out of this feature at any time. 

What to expect in the clinic:

  • To ensure our safety so that we are protected, reducing our risk of contracting the virus and transmitting it from patient to patient, we will be taking the following precautions:

    • You will be asked to use hand sanitizer upon entering and exiting the clinic. Touch-less hand sanitizer dispensers are mounted in all treatment rooms, the reception area and hallway.

    • The reception area is closed for the time being - please do not bring children or family to wait in the reception area unless absolutely necessary.  Please ask us in advance. 

    • We will be wearing Personal Protective Equipment (PPE):

      • KN95 masks 

      • Eye protection

      • Hair coverings

      • Medical scrubs

      • Silicone shoe covers

  • The County requires anyone who enters the clinic to wear a face mask at all times. Please ensure your nose and mouth are covered for the face mask for work properly. If you do not have a face mask, a surgical mask will be made available for your purchase.

  • We have all been recently tested for COVID-19. We will be tested at a minimum on a monthly basis to ensure your safety and our safety. 

  •  4 stage HEPA UV-C filters will be running in each treatment room, in our back office and in the reception area.

  • We will be using CDC recommended and FDA approved disinfectants for cleaning between patients and at the end of the clinic day. As always, we aim for the lowest chemical exposure to our patients and ourselves in cleaning products while meeting CDC requirements for disinfecting for the SARS-CoV2 virus. Information on the product being used is available here.

  • The Bay Area and Santa Clara County are still active COVID-19 community outbreak hot-spots with Shelter-In-Place guidelines, so in-person treatments will be scheduled if determined to be 'essential' and modified to be acupuncture or eletro-acupuncture focused, limiting our time in the treatment room together to a maximum of 30 minutes to ensure collective safety and limited risk of potential transmission. Manual therapies will be limited for the time being.

  • We will still be able to work together towards your health goals with acupuncture, herbs, and limited manual therapy, ensuring the time for you to be heard, supported and feel connected. 

  • Payment methods:

    • For telemedicine consults:

      • Invoices will be emailed to you (via our Square).

      • You can choose to keep a credit card on file on Square.

      • Signature requirements have been eliminated.

      • If you do not want to keep a credit card on file through our secure merchant services portal, we kindly request payment of the invoice immediately after your session.

    • For in-person sessions:

      • Payment will be collected at the end of the visit. However, we are no longer requiring a signature for accepting credit card payments.

      • Preferred payment methods are:

        • Credit card

        • Apple Pay

        • Google pay

      • Our payment portal, front desk and front desk chair will be disinfected after every use.

  • All appointments may be booked via phone or email. Online appointment booking will be unavailable for now. 

If anyone is experiencing any of the symptoms associated with what is believed to be an early sign of COVID-19, you will be asked to reschedule your appointment for a telehealth session. In a telehealth session, we will be able to go over your exact symptoms, make the appropriate healthcare recommendations and offer treatment options, while protecting your safety and our safety, as well as the health of others who may be coming into the clinic.

No in-person treatment will be administered for anyone experiencing any of the following:

  • Respiratory symptoms (shortness of breath, difficulty breathing, cough)

  • Congestion or runny nose

  • New loss of smell or taste

  • Sore throat

  • Fever (99 degrees F or higher) or chills

  • Extreme fatigue

  • Diarrhea 

  • Nausea or vomiting

  • Other unusual symptoms (e.g. rashes, persistent headache of recent onset, dizziness)

If you have any of these symptoms, please contact us in advance of your appointment, to help determine the best course of action. 

If you have any questions or would like more information on our new policies and procedures, please ask. If you need special accommodations, please let us know in advance of your scheduled appointment.

We continue to be guided by best practices, current research and recommendations from the World Health Organization (WHO), Center for Disease Control (CDC), our local Santa Clara County health officials, and acupuncture associations. In light of the ongoing pandemic, we have new policies and procedures to ensure all of our safety

While your experience in the clinic in some ways will feel different, our commitment to providing you the best holistic health care remains constant. These changes allow us to re-open safely during these unprecedented times. 

  • Appointment Availability:

    • We will be treating fewer patients per day with more time between patients allowing ample time between visits to disinfect treatment rooms, shared spaces, and contact surfaces and to reduce your risk of coming in contact with another patient.

    • Appointment availability will be reduced as we slowly re-open with fewer days and fewer hours in the clinic for in-person sessions. With limited appointment availability, this means that your preferred appointment time may not be available and/or you may need to wait longer to get in for an appointment. We greatly appreciate your patience and understanding as we work alongside one another to help protect the safety of our community.

 

  • Telehealth will remain the primary way we connect for consultation & assessment.

    • Through telehealth (HIPPA compliant video or voice calls), we can discuss your current state of health, track your health goals, progress, and concerns. This is the method we will use to go over self-care techniques & lifestyle recommendations (such as custom Qi Gong exercises, self-massage techniques, dietary suggestions, and herbal formula protocols). This is also where we will review supplements, discuss lab and imaging results, as well as review symptoms to revise or create a customized herbal approach for you. 

    • For the time being, in-person appointments will be conducted in a hybrid fashion:

      • All New Patient Consults and Follow-up Consults (done at the beginning of every visit) will be conducted remotely via phone or a video call to check in and assess your health, progress and concerns, supplements, herbal protocol and all other lifestyle, dietary and exercise recommendations. This will be scheduled at the beginning of your appointment time (with you remaining in your car or outside the clinic) to maximize our face-to-face treatment time. 

      • For the time being, all in-person treatment will be Acupuncture focused. Craniosacral therapy, Tuina (Chinese Orthopedic Massage), and Cupping will be made available but limited to 30 minutes maximum for in-person treatment for all services provided (including tongue and pulse assessment & acupuncture).

      • Herbal formulas, supplements, and tea can be picked up in person immediately following an in-person treatment or scheduled in advance at a specific time. Otherwise, all products can be shipped to you quickly and safely via USPS.

Research on Herbal Medicine to address COVID-19

We are guided by cutting-edge research, integrative medicine guidelines in China, and time tested, empirical medical practices.

 

There is a hospital in Henan, China that reported in early February on how they have implemented integrative medicine guidelines and prevention to protect all of their thousands of medical and hospital staff from being infected by coronavirus.  Not only are they using standard safety precautions and protective gear, they are also utilizing SARS protocols and giving them Chinese herbal formulas on an ongoing basis.  As reported in Pharmacological Research, March 2020:

 

"Currently, the total number of confirmed cases treated by TCM has reached 60,107. In 102 cases of mild symptoms treated with TCM, the clinical symptom disappearance time was shortened by 2 days, the recovery time of body temperature was shortened by 1.7 days, the average length of stay in hospital was shortened by 2.2 days, the improvement rate of CT image was increased by 22 %, the clinical cure rate was increased by 33 %, 27.4 % reduction in the rate of common to severe cases and 70 % increase in lymphocyte. In addition, in the treatment of severe patients with TCM, the average length of stay in hospital and the time of nucleic acid turning negative has been shortened by more than 2 days." (Ren et al., 2020)


These guidelines for response to SARS-CoV-2 were developed out of the 2003 SARS-Cov-1 outbreak where three separate studies, looking at tens of thousands of subjects, showed successful prevention of contracting the disease by front-line healthcare workers taking herbal formulas (Luo et al., 2020). 
 

 

For those who were not directly exposed or had lower risk, they were given a more gentle preventive herbal formula that they drank on a daily basis.


We have sourced the highest quality granules of these formulas and have them available in our store, or with an herbal consultation.*

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

For those on the front lines providing direct care to infected COVID-19 patients or for those who were in higher risk categories, they were given more complex individualized herbal formulas on a daily basis.

 

And for COVID-19 patients, as soon as symptoms arose, they were treated with Chinese herbal formulas in conjunction with Western medicine.  “According to the current clinical guideline in China and the experiences in the treatment of SARS or Middle East Respiratory Syndrome (MERS) patients, both conventional medicine and traditional Chinese medicine (TCM) are used for the treatment of patients with infection of SARS-CoV 2 in China.” (Yang et al., 2020, p. 1708 -1709)

 

(Read the full report here.)

Our herbal pharmacy is here to support your health. Click here to see everything we have treated using the formulas in our pharmacy.  We are here for non-COVID-19 primary care as well.*

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

 

We will continue to provide herbal support to all of our existing patients and are currently accepting new patients looking for support. 



 

 

Sources:
 

Cinatl, J., Morgenstern, B., Bauer, G., Chandra, P., Rabenau, H., & Doerr, H. (2003). Glycyrrhizin, an active component of liquorice roots, and replication of SARS-associated coronavirus. The Lancet, 361(9374), 2045–2046. https://doi.org/10.1016/S0140-6736(03)13615-X

Cui, H.-T., Li, Y.-T., Guo, L.-Y., Liu, X.-G., Wang, L.-S., Jia, J.-W., Liao, J.-B., Miao, J., Wang, L., Wang, H.-W., & Wen, W.-B. (n.d.). Traditional Chinese medicine for treatment of coronavirus disease 2019—A review. 9.

Fiore, C., Eisenhut, M., Krausse, R., Ragazzi, E., Pellati, D., Armanini, D., & Bielenberg, J. (2008). Antiviral effects of Glycyrrhiza species. Phytotherapy Research, 22(2), 141–148. https://doi.org/10.1002/ptr.2295

Luo, H., Tang, Q., Shang, Y., Liang, S., Yang, M., Robinson, N., & Liu, J. (2020). Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs. Chinese Journal of Integrative Medicine. https://doi.org/10.1007/s11655-020-3192-6

Ren, J., Zhang, A.-H., & Wang, X.-J. (2020). Traditional Chinese medicine for COVID-19 treatment. Pharmacological Research, 155, 104743. https://doi.org/10.1016/j.phrs.2020.104743

Yang, Y., Islam, M. S., Wang, J., Li, Y., & Chen, X. (2020). Traditional Chinese Medicine in the Treatment of Patients Infected with 2019-New Coronavirus (SARS-CoV-2): A Review and Perspective. International Journal of Biological Sciences, 16(10), 1708–1717. https://doi.org/10.7150/ijbs.45538

Zhang, K. (2020). Is traditional Chinese medicine useful in the treatment of COVID-19? The American Journal of Emergency Medicine, S0735675720301881. https://doi.org/10.1016/j.ajem.2020.03.046

Additional Information and research will be added in the coming days.

Chan, K. W., Wong, V. T., & Tang, S. C. W. (2020). COVID-19: An Update on the Epidemiological, Clinical, Preventive and Therapeutic Evidence and Guidelines of Integrative Chinese–Western Medicine for the Management of 2019 Novel Coronavirus Disease. The American Journal of Chinese Medicine, 1–26. https://doi.org/10.1142/S0192415X20500378

Chen, Ji., Fan, H., Zhang, L., Huang, B., Zhu, M., Zhou, Y., Yu, W., Zhu, L., Cheng, S., Tao, X., & Zhang, H. (2020). Retrospective Analysis of Clinical Features in 101 Death Cases with COVID-19 [Preprint]. Intensive Care and Critical Care Medicine. https://doi.org/10.1101/2020.03.09.20033068

Chen, Y., Guo, J. J., Healy, D. P., & Zhan, S. (2007). Effect of integrated traditional Chinese medicine and western medicine on the treatment of severe acute respiratory syndrome: A meta-analysis. Pharmacy Practice (Internet), 5(1). https://doi.org/10.4321/S1886-36552007000100001

Cui, H.-T., Li, Y.-T., Guo, L.-Y., Liu, X.-G., Wang, L.-S., Jia, J.-W., Liao, J.-B., Miao, J., Wang, L., Wang, H.-W., & Wen, W.-B. (n.d.). Traditional Chinese medicine for treatment of coronavirus disease 2019—A review. 9.

Fiore, C., Eisenhut, M., Krausse, R., Ragazzi, E., Pellati, D., Armanini, D., & Bielenberg, J. (2008). Antiviral effects of Glycyrrhiza species. Phytotherapy Research, 22(2), 141–148. https://doi.org/10.1002/ptr.2295

Huang, Z., Pan, X., Zhou, J., Leung, W. T., Li, C., & Wang, L. (n.d.). Chinese herbal medicine for acute upper respiratory tract infections and reproductive safety: A systematic review. Mechanism of Action, 13.

Jin, Y.-H., Cai, L., Cheng, Z.-S., Cheng, H., Deng, T., Fan, Y.-P., Fang, C., Huang, D., Huang, L.-Q., Huang, Q., Han, Y., Hu, B., Hu, F., Li, B.-H., Li, Y.-R., Liang, K., Lin, L.-K., Luo, L.-S., … Wang, X.-H. (2020). A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Military Medical Research, 7(1), 4. https://doi.org/10.1186/s40779-020-0233-6

Jo, S., Kim, S., Shin, D. H., & Kim, M.-S. (2020). Inhibition of SARS-CoV 3CL protease by flavonoids. Journal of Enzyme Inhibition and Medicinal Chemistry, 35(1), 145–151. https://doi.org/10.1080/14756366.2019.1690480

Kim, Y., Narayanan, S., & Chang, K.-O. (2010). Inhibition of influenza virus replication by plant-derived isoquercetin. Antiviral Research, 88(2), 227–235. https://doi.org/10.1016/j.antiviral.2010.08.016

Leung, P.-C. (2007). The Efficacy of Chinese Medicine for SARS: A Review of Chinese Publications After the Crisis. The American Journal of Chinese Medicine, 35(04), 575–581. https://doi.org/10.1142/S0192415X07005077

Li, X., Yu, J., Zhang, Z., Ren, J., Peluffo, A. E., Zhang, W., Zhao, Y., Yan, K., Cohen, D., & Wang, W. (2020). Network Bioinformatics Analysis Provides Insight into Drug Repurposing for COVID-2019 [Preprint]. MEDICINE & PHARMACOLOGY. https://doi.org/10.20944/preprints202003.0286.v1

Luo, H., Tang, Q., Shang, Y., Liang, S., Yang, M., Robinson, N., & Liu, J. (2020). Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs. Chinese Journal of Integrative Medicine. https://doi.org/10.1007/s11655-020-3192-6

Luo, Y., Wang, C.-Z., Hesse-Fong, J., Lin, J.-G., & Yuan, C.-S. (2019). Application of Chinese Medicine in Acute and Critical Medical Conditions. The American Journal of Chinese Medicine, 47(06), 1223–1235. https://doi.org/10.1142/S0192415X19500629

Sun, N., Wong, W.-L., & Guo, J. (2020). Prediction of potential 3CLpro-targeting anti-SARS-CoV-2 compounds from Chinese medicine. 13.

Wei, W., Du, H., Shao, C., Zhou, H., Lu, Y., Yu, L., Wan, H., & He, Y. (2019). Screening of Antiviral Components of Ma Huang Tang and Investigation on the Ephedra Alkaloids Efficacy on Influenza Virus Type A. Frontiers in Pharmacology, 10, 961. https://doi.org/10.3389/fphar.2019.00961

Wu, Q., Zhou, L., Sun, X., Yan, Z., Hu, C., Wu, J., Xu, L., Li, X., Liu, H., Yin, P., Li, K., Zhao, J., Li, Y., Wang, X., Li, Y., Zhang, Q., Xu, G., & Chen, H. (2017). Altered Lipid Metabolism in Recovered SARS Patients Twelve Years after Infection. Scientific Reports, 7(1), 9110. https://doi.org/10.1038/s41598-017-09536-z

Xiaoguang, W., & Zejing, L. (n.d.). Prevention and treatment of viral respiratory infections by traditional Chinese herbs. Chinese Medical Journal, 7.

Yang, Y., Islam, M. S., Wang, J., Li, Y., & Chen, X. (2020). Traditional Chinese Medicine in the Treatment of Patients Infected with 2019-New Coronavirus (SARS-CoV-2): A Review and Perspective. International Journal of Biological Sciences, 16(10), 1708–1717. https://doi.org/10.7150/ijbs.45538

Yuan, J., Kou, S., Liang, Y., Zeng, J., Pan, Y., & Liu, L. (2020). Clinical Characteristics on 25 Discharged Patients with COVID-19 Virus Returning [Preprint]. Infectious Diseases (except HIV/AIDS). https://doi.org/10.1101/2020.03.06.20031377

Zhang, D., Wu, K., Zhang, X., Deng, S., & Peng, B. (2020). In silico screening of Chinese herbal medicines with the potential to directly inhibit 2019 novel coronavirus. Journal of Integrative Medicine, 18(2), 152–158. https://doi.org/10.1016/j.joim.2020.02.005

Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., Xiang, J., Wang, Y., Song, B., Gu, X., Guan, L., Wei, Y., Li, H., Wu, X., Xu, J., Tu, S., Zhang, Y., Chen, H., & Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. The Lancet, S0140673620305663. https://doi.org/10.1016/S0140-6736(20)30566-3

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