Dr. Eric Yarnell, ND – Conditions Treated

Dr. Yarnell is an extensively awarded doctor, teacher, and a noted authority specializing in men’s health including prostate cancer, all digestive health concerns, and urology concerns for all individuals.

As a professor teaching these subjects to medical students and doctors for over 20 years, he is much sought after for his expertise and we are very fortunate to have him in our community. He is also one of the preeminent practitioners and teachers of the field of herbal medicine.

Conditions Treated

Chronic prostatitis
Chronic pelvic pain
Interstitial cystitis
Chronic epididymitis
Benign prostatic hyperplasia
Recurrent urinary tract infections
Urinary incontinence
Overactive bladder
Peyronie’s disease
Erectile dysfunction
Male genital lichen sclerosus
Genital warts
Spina bifida
Vesicoureteral reflux
Chronic kidney disease
Polycystic kidney disease
IgA nephropathy
Membranous glomerulonephropathy
Membranoproliferative glomerulonephropathy
Alport syndrome
Diabetic nephropathy
Hypertensive nephropathy
People on dialysis
Focal segmental glomerulosclerosis (FSGS)
Lupus nephritis
Monoclonal gammopathy of unknown significance
Nephrotic syndrome
Renal artery stenosis
Kidney stones
Prostate cancer
Bladder cancer
Kidney cancer (renal cell carcinoma)
Testicular cancer
Ulcerative colitis
Crohn’s disease
Primary biliary cirrhosis
Primary sclerosing cholangitis
Wilson’s disease
Anal fissure or fistula
Aphthous stomatitis
Barrett’s esophagus
Celiac disease
Cirrhosis of the liver
Colon polyps
Irritable bowel syndrome
Small intestinal bacterial overgrowth (SIBO)
Elevated liver enzymes
Zollinger-Ellison syndrome (gastrinoma)
Stomach/Duodenal ulcer
Hepatitis B/C
Low stomach acid (hypochlorhydria)
Fatty liver
Microscopic colitis
Collagenous colitis
Lymphocytic colitis
Pernicious anemia (autoimmune gastritis)
Pruritus ani

Dr. Madeleine Morrison, ND – Conditions Treated

Dr. Morrison brings decades of experience in general naturopathic family medicine, women’s health, and pediatrics to our community. She focuses on…

Conditions Treated

Women’s Health
General Family Medicine
Autoimmune Concerns
Multiple Sclerosis
Food Allergies
Seasonal Allergies
Kidney Disease
Pain Management
Sexual Dysfunction
Memory Loss

Mast Cell
Multiple Sclerosis
Small Intestinal Bacterial Overgrowth (SIBO)
Irritable Bowel Syndrome (IBS)
General Wellness
Bone Health
Heart Conditions
Hormone Health
Premenstrual syndrome (PMS)

Dr. Meghan Kemnec, ND – Conditions Treated

Meghan Kemnec is a seasoned, residency trained clinician passionate in her practice of integrative family medicine with a specialization in pediatrics and women’s health from preconception to menopause. Her clinical interests include balancing hormones, immune health, digestive disorders, and endocrine disorders including diabetes and hypothyroidism, as well as respiratory health. She is trained in IV nutrient therapy, Perineural Injection Therapy, and PRP.

Dr. Kemnec holds a Doctorate in Naturopathic Medicine (ND) from Bastyr University and a BS from the U.S. Naval Academy in Annapolis, MD. After graduating with her ND, Dr. Kemnec completed a competitive family practice residency at the Bastyr Center for Natural Health in Seattle, WA.  She is also a Diplomate of the American College of Lifestyle Medicine.

Conditions Treated

Adrenal Fatigue
Chronic Fatigue
COVID (Long and Acute)
Ear Infections (Chronic and Acute)
EBV (Chronic and Acute)
Estrogen Dominance
Gender Dysphoria

Heart Disease
Leaky Gut
Menopause Management
Nutrient Deficiency
Postpartum Health
Respiratory Infections
Urinary Tract Infections
Vaccine Counseling
Weight Gain/Loss
Well Child/Woman Exam

Dr. Denise Cooluris, ND – Conditions Treated

Dr. Cooluris, Clinical Director of Hill Park, specializes in women’s health, integrative family medicine, complex medical issues, hormone health, and environmental medicine. She provides advanced management of bio-identical hormone therapy, IV Nutrient Therapy, and diagnostics for complex medical concerns.

Many of our patients are familiar with her care and presence at the center, which includes individualized diagnostic skill combined with a depth of clinical integrative medical knowledge.

Conditions Treated
Women’s Health
Polycystic Ovary Syndrome (PCOS)
Vaginal Health
Vaginal Atrophy
Vulvar Lichen Sclerosus
Acute & Chronic Vaginitis
Abnormal Uterine Bleeding
Hormone Imbalance
Thyroid and Adrenal Health including Hashimoto’s
Environmental Toxicity
All general acute and chronic family medicine concerns

Prostate Biopsy: Is it Necessary? How to Decide and What to Do

by Eric Yarnell, ND

If you have an elevated PSA level and it has been recommended that you have a biopsy, consider these important tips before you do.

First, it is becoming more and more clear that a prostate MRI should be done before any biopsy. There are several reasons why:

    1. Many MRIs show there is no cancer, and thus a biopsy would be a waste of time.
    2. If an MRI does show a spot that might have prostate cancer, the biopsy can be targeted to that area instead of being somewhat random.
    3. Almost always, this means a prostate biopsy can be limited to just 1–3 samples being taken, instead of the standard of 12 or more.
    4. The MRI can also show other important information such as the size of the prostate, if the seminal vesicles, urinary bladder, lymph nodes, or bones in the area are being affected.

Overall, prostate MRIs help reduce the number of prostate biopsies, which is a very good thing, while providing lots of other information ultrasound-guided biopsies can’t deliver, or aren’t as good at assessing.

It is crucial that the MRI is done on a 3 Tesla strength machine (older MRI machines had 1.5 Tesla magnetic fields and are not sufficient for seeing the prostate). If you have concerns about the contrast material used in MRIs, we have natural therapy options to help counter the low risk of side effects they may cause.

A proper MRI will give what is known as PI-RADs score. This is a standardized assessment of how likely it is that serious prostate cancer would be found on a biopsy. Generally speaking only PI-RADS 4 or 5 lesions should be biopsied, and sometimes even these prove not to be cancer. If there is only a PI-RADS 3 lesion, then usually it means no biopsy is needed and a repeat MRI should be done in a year (almost always without contrast on this follow-up imaging). PI-RADS 1 and 2 lesions never need to be biopsies.

There are other tests Dr. Yarnell can discuss with you as well to help determine if a prostate biopsy is necessary in the first place.

Second, if the MRI shows an issue or a prostate biopsy is going to happen, it is imperative that it be a transperineal, not a transrectal biopsy. Currently over 90% of prostate biopsies are done through the rectal wall, which does provide good and fairly easy access to the prostate. However, this brings with it a quite high risk of infection, including potentially deadly sepsis. This risk is so high, that the entire country of Norway has essentially abandoned transrectal prostate biopsies, and in 2021 the European Association of Urology agreed, saying only transperineal biopsies should be done. In this type, the needle or needles are placed through the skin between the base of the penis and the anus. While a bit more challenging for the urologist, it provides just as good information and is dramatically safer.

Dr. Yarnell can help explain all these options to you, and help advocate with your urologist to make sure you get an MRI when appropriate. If it appears a biopsy is recommended, Dr. Yarnell will help support you getting a transperineal prostate biopsy focusing only on problem lesions, and not a transrectal prostate biopsy or a fishing expedition all over your prostate. Furthermore, he can provide natural treatments to go with the biopsy to reduce the already very low risk of side effects even further.

Some patients are concerned that a biopsy will spread cancer. Two studies have looked into this concern with prostate biopsies. One found that while very rarely you could find evidence of prostate cancer cells in the blood after a biopsy (just 4 cases out of 42 studied). This supports the long-held naturopathic notion that the immune system can take out a few errant cells that might escape during a biopsy. Another study found that in just 2% of prostate biopsies was there any evidence of cancer cells being pushed around inside the prostate by the needle. Given that the rate of prostate cancer mortality has gone down despite the near tripling of the number of prostate cancer biopsies being performed, it is highly unlikely that prostate biopsies cause any significant amount of cancer spread. Again, Dr. Yarnell can recommend some supplements to help reduce this already extremely low risk if you wish.

If you want a forward-thinking doctor who really puts patients first, stays up-to-date on the latest findings, and can implement a science-informed natural approach to prostate problems of all kinds, then call and make an appointment to see Dr. Yarnell.



Bastacky SS, Walsh PC, Epstein JI (1991) “Needle biopsy associated tumor tracking of adenocarcinoma of the prostate” J Urol 145(5):1003–7. 

Midiri F, Vernuccio F, Purpura P, et al. (2021) “Multiparametric MRI and radiomics in prostate cancer: A review of the current literature” Diagnostics (Basel) 11(10):1829.

Moreno JG, O’Hara SM, Long JP, et al. (1997) “Transrectal ultrasound-guided biopsy causes hematogenous dissemination of prostate cells as determined by RT-PCR” Urology 49(4):515–20.

Wolinsky H (2023) “Death Spurs Country’s Shift to Safer Prostate Biopsies” Medscape Medical News, March 15, https://www.medscape.com/viewarticle/989696