How to Write Your Legislator

No on SB-442Write your Oregon Legislators

  • Address them by “Senator” or “Representative” and their last name.
  • Introduce yourself in the first line with your name. Identify yourself as a constituent (if you are) or as a representative of an organization or an affiliation.
  • Be polite. Use appropriate and respectful capitalization and punctuation. Check spelling and grammar.
  • Be clear and concise. Try to keep your letter as close to 250—300 words as possible, while including enough information about why you are writing to them.
  • Explain your issue clearly and why it is important that you are contacting them. Give enough information for the legislator to understand your position.
  • If applicable, include slides, charts or other documents that support your arguments as attachments.
  • Be specific with your request. Tell the legislator you are asking them to oppose SB 442.
  • Remember that SB 442 is not a partisan bill, regardless of your Legislator’s party affiliation. This is an issue that impacts all Oregonians.
  • It is appropriate and encouraged to request a response. Ask what his/her position on the issue is or how s/he will vote on SB 442.
  • Offer yourself as a resource if they would like any additional information.
  • Remember any and all correspondence with staff and legislators at a state or government issued email address is part of the public record and is not considered private or confidential correspondence.
  • Don’t forget to include your contact information.
  • Conclude the letter politely with “Sincerely” or “Thank you for your time”.

Getting Involved in the No On SB442 Campaign

No on SB-442I typically stay out of politics.  My role as your pediatrician is to provide you with the best medical care and information available and help you navigate the difficult decisions of when to give which  vaccines, when to use antibiotics or not, what tests to do,  and so on.

Oregon Senate bill 442-3 plans to completely remove your rights as parents to get informed consent, and your rights to use a philosophical or religious exemption when it comes to vaccines.  In the complex world of vaccines, I see this as a change we cannot allow to happen.

I will be sending more specific information in days to come about a rally in Salem, and other ways to get involved.  For the moment if you wish to sign up to get more information as it becomes available and potentially to get involved please fill out the form here:


Thanks you for your support.


Dr. Paul



Dr. Thomas Weighs in on the Blame Game

BlameGameThe following is a response to Dr Jay Rosenbloom’s guest columnist “Enough with the eye rolling and blame game over measles outbreak (guest column) which can be read here…

I agree with Dr Rosenbloom’s statement “It is my opinion that we, the medical community, should stop the blame game and recognize we have contributed to the decline in confidence by not doing our best at communicating”.  What he fails to recognize is that the loss of confidence is due to what is and is not being communicated.  When you fail to address parent’s concerns by simply stating as he recommends:

“If we were presenting this information to Mr. Spock, from planet Vulcan, he would conclude that the only logical course of action would be to vaccinate everyone”, Dr Rosenbloom clearly is not presenting the disturbing studies on aluminum toxicity:

  • The fact that it is being injected at 10 times the known toxic dose to newborns
  • That 99% of them are not at risk for hepatitis B
  • AND that giving the hepatitis B series to infants is increasing autism and causing developmental delays
  • AND not providing lasting immunity to the late teen years when they most need the protection.

If Dr Rosenbloom means what he says in his title, I wonder why his narrative contains the following statements: “…when a parent has heard vaccines can be harmful, no matter how unreliable the source …”

You see, the problem most of my peers are facing is that they want to selectively quote safety studies and deny those studies that show vaccine side effects or risks. The public is too well-informed these days, and the studies are available. This attitude of “doctor knows best” is exactly what will erode our profession’s credibility.

What we have is a lack of trust.  I don’t trust the advice most of my peers give on vaccines.  They seem not to read any of the studies that make it obvious, we should not be continuing the misguided program of giving the Hepatitis B vaccine to babies of mom’s who do not have Hepatitis B. How do you change the status quo when it needs to be changed?

I say it is changed with information.  It is for that reason I give you the studies showing why the mandating of the Hepatitis B vaccine before teenage years will continue to erode our trust in CDC, AAP, and those doctors and government officials who choose to ignore the data and studies I present below.

Dr Rosenbloom, I hope you will review these studies so you can then make the statement you made “those of us in the medical field know the science, statistics, and the research”.  Apparently there is some knowledge gap for many physicians who stick to sound bites of “vaccines are safe” and to quote Dr Rosenbloom, “We know vaccines don’t cause autism”.  The Institute of Medicine (IOM) report widely quoted as proof there is no link between vaccines and autism or side effects has not a single study included in the references showing aluminum toxicity or side effects.  Clearly if you choose to look only at studies that conclude what you want, that is what you get.   That is not “knowing the science”.

The vaccine-autism link is far from clear.  Those of us who care for large numbers of children who started off normal and regress to autism, know there is likely a link. We need more studies.  One of the most often quoted studies proving no link, the 2004 Pediatrics study, actually had intentionally excluded data that showed a 300% increase in autism in boys who got the MMR before age 3.

I refer you to my testimony at the Oregon senate hearing on SB442 for some of the references. You can see it here…




Dr. Paul


Meningococcal Group B Vaccine Trumenba- Now Available at Integrative Pediatrics

Meningococcal DiseaseWith the recent tragic death of a student at the University of Oregon, (four students contracted the type B strain), it is timely that two vaccines have just been approved to cover type B meningococcal.  The previously available vaccines (Menactra and Menveo) cover the other main strains (types C, Y, and W) and we have been offering these to those 11 years and older and strongly encouraging all college bound students to get these vaccines.  We have known that they didn’t cover type B, which causes most cases in Oregon.

Of the two vaccines available for type B, we are selecting Trumenba.  It uses the same technology that has been used in preparing the Prevnar that we give routinely to infants without much difficulty, and it has way less aluminum than the other product for type B meningococcal disease.  This vaccine will be discussed tomorrow at the ACID / CDC meeting and will likely receive approval and recommendation for use in all those age 10-25. As with many brand new vaccines, there will be a period of time that we are not sure if insurance will cover it.  Cost runs around $150 per shot and you need 3 shots with the second one 2 months after the first and the third one 6 months after the first dose.

If you have a child over the age of 10, and especially if you have a child at the University of Oregon or who will be going there soon or is a student  there now and cannot get the vaccine at school, please call our office and make an appointment.

Know that meningococcal illness can be rapidly fatal but it is also very treatable when it is caught early. Catching it early is important.  Signs of infection often include high fever, chills, body aches (that all sounds like the flu), and then if you get a rash, especially petechiae or purpura (broken blood vessels that don’t blanch with pressure) then you need to be seen immediately. You don’t wait until morning or later in the day when that kind of rash develops. You can have symptoms of blood infection (sepsis) with rapid heart rate, lowering blood pressure, and poor blood flow to the arms and legs as the body  shunts blood to vital organs.  You can have symptoms of meningitis (brain inflammation) with headache and confusion leading to coma or seizures.

It is important to seek medical attention if you are in doubt.  A complete blood count (CBC) will often show a very low or very high white blood cell (WBC) count with a left shift (more neutrophils and bands). Once this is discovered, a shot of ceftriaxone can be life and limb saving.


Learn more about Meningococcal Disease here…


Dr. Paul





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