Dr. Nicole Hoff DMS, PA-C, Physician Assistant

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Dr. Nicole Hoff DMS, PA-C, Physician Assistant

Unapologetically changing how healthcare is done. Your health is in your hands. I am here to help.
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Dr. Nicole Hoff, DMS, PA-C is a Board-Certified Physician Assistant (PA) and a proud graduate of Yale University School of Medicine’s PA Program (2023). Nicole’s approach to healthcare is deeply personal and family-focused. "I want to have a family-friendly practice and schedule so my kids can stop sharing their mom so much," Nicole shares. "But I also want to be able to pray for my patients and w

ith my patients. I don’t want insurance dictating the care I give, and I want to ensure my services are affordable. I believe in prescribing lavender oil, vitamin d, and sunshine, just as much as I do metformin, ibuprofen, and antibiotics. I also want to empower my patients to make their own healthcare decisions, recognizing that God is the great physician." Before becoming a PA, Nicole earned a Bachelor of Arts in Maternal and Child Health, specializing in lactation. For over 15 years, she empowered families as a midwife assistant, doula, childbirth educator, and 10 years as an International Board Certified Lactation Consultant (IBCLC). She also spent time serving as a hospital chaplain that ignited a passion for supporting those navigating major life transitions, from welcoming their first child to experiencing loss or facing barriers to care. Nicole’s dedication to faith-based mental health care, especially for children and families, is at the core of her mission to provide affordable, accessible healthcare. In December 2023, Nicole completed her Doctorate of Medical Science from Shenandoah University. Her doctoral project focused on integrating Adverse Childhood Experiences (ACEs) screening into primary care as a standard of practice. Outside of work, Nicole cherishes time on their mini-farm in Magnolia with her husband and four children (born in ‘03, ‘05, ‘10, ‘13). Together, they strive to “Know Him and make Him known.” Whether in the North Houston area or her hometown community in the Rio Grande Valley, Nicole is passionate about making a difference. At Rife Pediatrics & Family Care, Nicole offers primary care for adults and children of all ages, faith-based mental healthcare services, and trauma-informed women’s health care. Her motto is: “Unapologetically changing the way healthcare is done. I am here to help.” You can reach her at 832-843-8246 for appointments or inquiries.

08/10/2025

🚌 The Skin Struggle Bus — you don’t have to stay on it forever! 🙅‍♀️

Even if you’re crunchy 🥑🥕, there are some safe, effective compounded prescriptions that can help you get past stubborn skin & nail issues — and still keep your street cred.

I prescribe these through Magnolia Pharmacy 💊 — they have amazing customer service and can answer any of your questions.

👶 Kiddos with…
✨ Warts →
Fluorouracil + Salicylic Acid in Occlusaderm
✨ Molluscum →
Cimetidine + Ibuprofen + Tea Tree Oil + EGCG in Lipoderm Base

👩‍🎓 Teens with…
✨Acne →
Clindamycin + Niacinamide in Clarifying Cream
✨ Rosacea→
Ivermectin + Niacinamide in Clarifying Cream
✨ Backne →
Sulfacetamide sodium + Clindamycin + Niacinamide in Clarifying Cream

🧑‍🦳 Adults with…
✨ Rosacea →
Metronidazole + Ivermectin + Niacinamide + Oxymetazoline in Clarifying Cream
✨ Melasma →
Hydroquinone + Kojic Acid + Ascorbic Acid + Niacinamide
✨ Nail Fungus →
Thymol + Fluconazole + Itraconazole + Ketoconazole + Tea Tree Oil
✨ Acne (yes, adults get it too!) →
Spironolactone+Clindamycin+ Niacinamide in Clarifying Cream
✨ Seborrheic Dermatitis →
Ketoconazole + Salicylic Acid + Zinc Pyrithione Cream

💊 And of course… this is likely in addition to clean skin and nail products, vitamins & supplements I’ll recommend. Act surprised 😂 if I tell you to clean up your diet 🥗 and drink more water💧.

Just don’t struggle on the struggle bus if you don’t want to….. 🛑

💻 How to get started:
Schedule a quick TeleMed call — $100 if you’re not a member, Included if you’re part of my monthly TeleMed membership. 🙌

Kindly,
PA Nicole 💚

📸 : my ideal sunset 🌅

08/09/2025

That next day pink eye tho:
Exactly the same 👀

Patient Perk: 👉 Sign up now for TeleMed for your kiddos and get same-day support for all the things like pink eye, rashes, and the common crud once school starts. 📚

$65/month (for phone/text support directly with me anytime) covers all the kids in the home (yes—even those college kiddos back to school too). Text Jordan at 281-729-4414 to get started today! 📲

Free for after pricey kid funzone induced pink eye : breastmilk in the eye.
And if you’re not breastfeeding at the moment—then that awkward “hey… can I borrow some?” call to your sister in law is truly priceless. 😂

08/05/2025

If you had fun money 💰 to spend on something unapologetically crunchy — no guilt, no budget talk, no raised eyebrow from your in-laws 👀… what would it be?

Mine:
That brand p a c t
(7 of each item, so laundry can be just once a week) — yes, Facebook ads, you got me.

Never knew I needed … matching organic freshly aged cotton underwear and bras 🩲 and pocketed sundresses 👗 made of versatile fabrics from vegan butterfly lashes and ethically-sourced, carbon-neutral threads spun by forest-dwelling fairies 🧚 , designed with timeless styles in eco-friendly compostable packaging, delivered by minimalist musicians…. until now!

Keyword: “matching!”

I haven’t matched anything in a decade… except maybe my scrubs. But now? Suddenly I need matching eco-soft undergarments 👙 and fair-trade bedding that whisper affirmations while I fold laundry in peace.

::whispers softly, like I’m making a deal with the algorithm::

🤫

::::: :::::

::::: size Large :::::

Because they’re always listening. 👀

- PA Nicole

08/04/2025

🛌 Rest + Recovery—Health Modulator 1️⃣
🧺 This post is for you if…You won’t invite someone over because your pantry looks like a raccoon broke in and gave up halfway.

You won’t ask for help because your fridge is so disorganized you’d have to give a tour with disclaimers.

You can’t seem to rest because the laundry isn’t done—
…but also?
You haven’t had the energy to look at the laundry for the last three weeks.
(And maybe it’s becoming part of the furniture now.)

This is for the woman who is drowning in the invisible work no one claps for.

Who keeps saying, “I’ll rest when it’s done,”

……but it’s never done.

Let’s talk.
Let’s get honest about rest, help, and healing—
and why you were never meant to carry it all alone.

💞

Last month, a beautiful soul sat across from me.

Eyes tired.
Shoulders tight.
Voice soft.

And she whispered 🥱 :

“I feel like I have to earn rest…
while my husband just…
…. gets to rest.”

Whew. That one landed hard.

She wasn’t angry.
Just confused.
Why does her nervous system scream when she sits down?
Why does his rest feel expected and hers feel selfish?

How did the family dynamic quietly become this:

“Dad works hard and needs downtime. Mom? She can push through.”

But you know what?

She’s not broken.
She’s conditioned.

⏸️

In our culture, women—especially mothers—carry invisible loads 🧺:
• The meals
• The emotions
• The logistics
• The what-ifs
• The mental tabs open all. the. time.

And yet, we’ve been fed this quiet lie:
💥 “Unless you’re exhausted and productive, you haven’t done enough.”

But that’s not health.
That’s survival.
And you deserve so much more than that.

💝

In clinic, when someone is worn thin by burnout, insomnia, chronic fatigue, or anxiety, I do check labs (cortisol, thyroid, iron, hormones, neurotransmitters)—
But I also ask:

What story is your nervous system still believing?

That you can only rest when everyone else is okay?

That your value comes from being needed, not nourished?

❣️

So what needs to shift?

We don’t just treat exhaustion.
We rewrite the story.
And yes, that might start with labs—but it often needs to start at home.

🗣️ Conversations worth having:

💬 With your spouse:

“Let’s talk about our rhythms. I need rest, too. Not after everything’s done—now.”

Discuss your limits. Ask their limits. Consider creating a schedule or routine that includes rest for all.

💬 With your parents or in-laws or siblings:

“Can you help with the kids once a week so I can reset?”

If trust is an issue, I get it. This can be awkward especially if your family doesn’t understand your crunchy ways. Perhaps suggest they come to your home and you’re there— just resting in your room. Resting isn’t always sleeping. Maybe you can journal, take a warm bath, or go out in the garden without worrying about the kids inside.

💬 With a neighbor or friend:

“Would you trade an afternoon of kid-watch or a meal drop-off?”

Rest doesn’t always require a bed or money or a lot of time. It does require honesty, humility, and receiving help.

💡

And here’s the funny—not-so-funny—part my patient shared:

She told me the reason she can’t accept help is because…

…. her house is trashed ….

This sweet mom—raising four kids under the age of ten—is worried her house looks like…

……four kids under the age of ten live in it….

She’s worried someone might see it looking….

…. lived in ….

💥 Let that sink in:
We are so conditioned to perform “put together” that we apologize for evidence that we are, in fact, doing the most sacred, messy work of raising actual humans.

So let me say it plainly:
Your worth is not in your dishes put away.
Your value is not in the vacuum lines.
Your clutter doesn’t disqualify you from receiving help.

You don’t need to clean your way into worthiness.
You don’t need to organize your way into permission.
You are allowed to be messy AND supported.

Asking for help might be the difference between having the energy for the big things—and the sanity for the day-to-day.

👉No good friend, family member, or fellow mama-in-the-trenches is going to judge you for a messy home—

but they will worry if you burn out, snap at your kids, and lose yourself trying to keep up appearances.

So …

#1: ASK.FOR.HELP.
Receive it, take it, reciprocate it, and don’t apologize for it!

🏡

#2: What Else You Can Do From Home

If rest feels unfamiliar…
If your body resists slowing down…
If your nervous system is wired and tired…

Here’s where to begin 👇

• 🧬 Support your adrenals
Whole foods, hydration, stable blood sugar. HelloLingo.com has an affordable, continuous glucose monitor to track your sugars and thus your energy. Consider gentle adaptogens like ashwagandha.

• 🧘‍♀️ Regulate your nervous system daily
Vagal toning (humming, deep breathing, tapping). Nature. Laughter. Stillness. Constant states of fight flight or freeze consider a vagus nerve stimulator.

• 🌙 Reset your circadian rhythm
Morning light. Less screen time at night. Consistent sleep/wake cycles. Consider a red light bulb in the bedroom.

• ✨ Honor trauma-informed rest
When guilt creeps in, pause and ask: “Who told me I had to earn this?” You didn’t fail—you’re healing. Write it down. Reframe that thought. And don’t repeat it.

• 🌸 Practice faith-based rest
Sabbath time. A slow morning. Scripture and stillness. Rest is not quitting—it’s obedience.

• 💊 Consider functional tools
Magnesium glycinate before bed. Herbal tea. LDN if needed (under provider guidance).

• 💬 Talk about it
Let trusted people reflect back to you what’s already true: You are worthy of rest.

📖

#3 : Rest is Biblical.

Rest is Holy.
Rest is not weakness—it is worship.

“By the seventh day God had finished the work… so on the seventh day He rested.”
— Genesis 2:2

“Come to me, all who are weary… and I will give you rest.”
— Matthew 11:28

“But Jesus often withdrew to lonely places and prayed.”
— Luke 5:16

“In peace I will lie down and sleep…”
— Psalm 4:8

God modeled rest.
Jesus practiced it.
Scripture commands it.

💛

So to the tired mama, the burned-out caregiver, the high-achieving woman quietly unraveling…

Your worth is not in what you produce.
Your identity is not in your pace.
You were never meant to burn out to prove anything.

🌿

Rest is your inheritance.
Receive it with open hands.
And watch what begins to heal from the inside out.

Kindly ,
PA Nicole

📸: Just a glimpse of my mess (when they were little)—because healing happens in real life, not perfect ones. 💛 If you’ve got a mess you’re willing to tell us about to remind the rest of us we’re human too, drop your story below 👇Let’s normalize lived-in, loved-in spaces

08/02/2025

✨ Let’s get real about healing.
Not trendy.
Not a quick-fix.
Not always easy.
But deeply powerful.

In the coming days to weeks, I will discuss l 7 core modulators of health—and they matter more than you might think. 💛

I had a patient last month—a young mom in her 30s, exhausted, overwhelmed, dealing with skin flare-ups, hormonal chaos, and crushing fatigue.

She wanted answers.
Labs.
Maybe meds.
Mostly rest.

She said, “I just want to feel like myself again.”

But here’s what we uncovered together 👇

Before reaching for labs or prescriptions, we looked at the real foundations of her body’s balance:

1. 🧘‍♀️ Rest + Recovery – not lazy, but deeply healing
2. 🏃‍♀️ Movement + Resistance – for strength, lymph flow, and detox
3. ☀️ Light Exposure + Sleep Rhythms – circadian rhythm = medicine
4. 🥗 Nutrition – not just food, but nourishment
5. ☣️ Toxic Load – from gut to environment
6. 🧠 Psychosocial Health – trauma, stress, emotional load
7. 🏡 Community + Living Environment – connection = protection

💥 These 7 areas aren’t just wellness buzzwords. They are modulators of every major system in her body AND your body.
From your hormones to your immune system to your nervous system.

They overlap.
Intersect.
Heal deeply.

⚡ In clinic, we can test for clues that show us where things are off:
• Nutrient deficiencies
(like Vit D, zinc, B12, magnesium)
• Hormone imbalance
(cortisol, estrogen, DHEA, thyroid)
• Inflammatory markers
(CRP, homocysteine)
• Gut health
(stool testing, candida, leaky gut)
• Environmental toxins
(mold, metals, plastics)
• Genetic predispositions
(MTHFR, COMT)

🌿 And we can support healing with:
• Personalized supplements
• Detox support
(binders, sauna, glutathione)
• Trauma-informed care & mental health tools
• Sleep hygiene strategies
• Community care + faith-based support
• Nervous system regulation
(vagal toning, breathwork)
• Targeted movement plans
(not just gym workouts!)

In the coming days, I will continue to talk here about ways you can aim to implement some things at home!

🔥 Because here is the truth:
You don’t have to hustle your way into health.
You don’t have to “earn” rest.
You don’t have to wait until you’re broken to begin.

Anotherr dear patient last week felt like rest had to be earned!! So it encouraged me to later today highlight # 1 🧘‍♀️ Rest + Recovery!

💬 If you’re feeling stuck—start here. These modulators are where transformation begins. Even in the mess. Even when it feels slow. Even when life feels cray cray😜 .

💛 I believe healing is layered, and you’re worth the full, beautiful process.

🤝 Ready to get curious about your core modulators? Let’s walk this road together.

👉 Know someone else that might benefit be sure to share this post so they can follow along!

Kindly,
PA Nicole

📸: What does your PA do on Saturdays? 😆 This. mostly this. 👇And catching up on your charts & refills. Then back to this. 🫏

08/01/2025

Slower to respond today because I have been moving my son back to College Station which took longer than anticipated. So proud of him. 👍 ❤️ What he won’t know until he goes to bed tonight is that Mom got him new Ninja Turtle sheets to be the cool guy in the dorm. 😂 If you’re not occasionally trolling your kids - you’re doing it wrong !

07/26/2025

🌿 Calling All Moms! 🌿
I am currently seeking Mommy Mentors + Mommy Mentees to join a beautiful new community connection program. Whether you’re the mom who’s “been there, done that” or the one who’s right in the thick of it, 😅
…….this is your invitation to link arms with another mama and walk through motherhood together.

🤝 What’s This All About?
Motherhood is sacred, beautiful, exhausting, and overwhelming—all at the same time. And while no 2 journeys are alike, I believe no mom should walk alone. That’s why I am launching a crunchy, granola grassroots 🌱(pun intended 😆) Mom-to-Mom Mentor Program—creating space for encouragement, friendship, wisdom, and grace.

💗 Who I am Looking For:

✨ Mommy Mentors:
These are seasoned moms who’ve walked through the newborn fog, teething battles, sleep regressions, health challenges, toddler tornadoes, threenagers and teenagers—and who are now ready to pour back into another mom’s life.

Mentor Requirements:
• Must have experience raising littles (any age welcome!).
• Must be understanding and respectful that the majority of moms in this community blend traditional and holistic care (ex: homeopathy, supplements, prayer, breastfeeding, etc.).
• Willing to check in via text or phone call at least once a week.
• Open to planning play dates, coffee chats, or meetups occasionally.
• Willing to support without judgment and offer insight when invited.
• Optional: Help a mom out in a pinch with a meal, books, or child care.

🌱 Mommy Mentees:
Are you in the thick of newborn life, navigating sleep, solids, or strong-willed toddlers or teens? Feeling unsure or alone on your health journey or motherhood path? You don’t have to figure it all out by yourself. Let’s connect you with a mom who’s walked a similar road and wants to lift you up.

Mentee Requirements:
• A mama in need of emotional support, encouragement, or community.
• Open to hearing another mama’s experience and being open and honest in your struggles and experiences.
• Interested in holistic, faith-based, or gentle parenting principles (not required, but many mentors will share this mindset).
• Most importantly: Being willing to ask for help when needed.

💞 Why This Matters (How you benefit)

Being a Mommy Mentor gives you a chance to give back—to reflect on your own journey and use what you’ve learned to bless someone else. You’ll be amazed how nourishing it is for your own heart to walk alongside a fellow mama and witness her growth, resilience, and joy.

Being a Mommy Mentee reminds you that you’re not alone. Having someone check in on you regularly, offer a non-judgmental listening ear, and share simple encouragement can be life-changing. Sometimes, you just need someone to say, “I’ve been there too. It gets better.”

📝 How Matching Works:

Once you sign up as either a Mommy Mentor or Mommy Mentee, you’ll receive a quick questionnaire. This helps me get to know you better so I can make meaningful, intentional matches.

The questionnaire will include things like:
• Your children’s ages
• Your parenting style or preferences (faith-based, gentle, sleep training, holistic, etc.)
• Health approach (traditional, holistic, or blended)
• Specific struggles or victories you’ve experienced (colic, feeding, allergies, anxiety, tantrums, teens, adult children, etc.)
• What kind of connection you’re looking for (encouragement, shared play dates, prayer partner, etc.)
• Communication preferences (text, call, video chat, in-person)
• Personality or lifestyle notes (introvert/extrovert, flexible schedule, homebody, etc.)

🙏 Once I receive your responses, I’ll prayerfully and thoughtfully pair you with someone who complements your season, mindset, or needs. This won’t be a perfect science, but I’ll do my best to help the right conversations start.

💬 After you’re matched, I’ll make a warm intro via group text or email and then it’s up to you two to begin the journey—whether that’s a quick call or setting up your first coffee or park date.

This isn’t about more pressure or perfection—just about creating space for support and connection in a world where so many moms feel isolated. 💛

🛑 Disclaimer —Please note:
This program is a voluntary, community-led initiative. Rife Pediatrics & Family Care and me personally are not responsible for the conduct, advice, or actions of any mentor or mentee. Mentors and mentees will not be background-checked, and all participation is at your own discretion and risk. We recommend using discernment and setting healthy boundaries as you begin your connection. This is meant to be a peer-to-peer support system, not a substitute for professional or medical care.

📝 Interested?

Drop a 💕 in the comments with the word “Mentor” or “Mentee”, and I will send you a form to help you get started. Let’s create a culture of support where no mom feels like she has to do it all alone.

Because motherhood isn’t meant to be a solo journey—it’s meant to be shared.

Kindly,
PA Nicole

Ps. This program needs a name, so help me think of one! M&M’s didn’t sound holisitc enough 😜 !!

📸 This is me and one of the best mentors I’ve ever been blessed to have in my life. 💛 Meet Dr. Flower — my very first clinical preceptor, the mother of Dr. Rife (whom so many of you know and love), and now my supervising physician here at Rife Pediatrics & Family Care. 🤠 We don’t always wear cowboy hats… but when we do, she makes it look pretty darn cute!

Dr. Flower is not only an experienced MD with decades of clinical wisdom, but also a faithful, grounded, and incredibly insightful mom who brings so much heart and grace into her care. She’s walked through the seasons of motherhood and medicine with integrity and compassion, and I’ve learned so much from her—professionally and personally.

🖊️ If you’ve seen her name listed on your chart or prescription as supervising physician, now you can put a face to the name. She plays a quiet but important role behind the scenes, supporting me as I support you.

I’m beyond grateful to be mentored by someone who leads with wisdom, faith, and love—and I hope you feel that ripple in your care too. 💫

07/25/2025

When One Child Takes All the Air in the Room… 💨

In almost every family, there’s usually one child who feels…

………more……….

More intense.
More sensitive.
More reactive.
More exhausting.

Dr. James Dobson used to call them “strong-willed.”

I call them deep feelers.

Sometimes they’re the ones with the biggest hearts
…… AND the biggest meltdowns.

The most brilliance and the most chaos.

And parents, if that’s your child—you are not alone.

🤍

Here’s what I want you to know:

It is okay to have a season where one child takes more of your energy.

It’s okay to pour into them when they’re struggling.

That’s love. ❤️

But when that season starts to feel like “survival…”

When your whole home begins tiptoeing around one child just to avoid the next explosion… 💥

When your other kids are getting the last 5% of you, and even your marriage feels like it’s walking on eggshells…

That’s when it’s time to pause and say:
Maybe there’s something deeper going on here. 👇

If you’ve tried to take a family photo lately, you probably already know exactly which child I’m talking about— 😆
because they’re either goofing off, refusing to smile, or stealing the spotlight in some unforgettable way. 📸😅

You might even be thinking right now of the one you have to walk on eggshells for—just to keep the peace at home.

🥚

And here’s the thing:
Sometimes, it’s the extreme rule follower who spirals when things go off-course.
Other times, it’s the constant rule breaker who turns the whole house upside down.

The one who won’t sleep or the one who sleeps too much. The one who won’t eat or the one who eats too much. The one that’s loud or the one that’s quiet.

Different packaging. Same impact.

💣

In my own home, I’ve lived this.
There was a time when one of my 4 children needed 95% of me and my husband.

We gave him all we had—
but it left scraps for everyone else.

It created imbalance.
Choas.
Anxiety.
Grief.
Resentment.

And honestly, a kind of low-grade trauma for the rest of the kiddos and constant bickering between us as a couple.

We didn’t know what to do. We didn’t know how to handle it. We felt like there was no right way to parent or no wrong way to parent, and we felt helpless. We needed somebody to look at it from the outside.

We needed consistency. We needed goals. We needed rewards and consequences. We needed to stop helicoptering. We needed intervention.

But mostly, we just needed to listen.👂

🗣️

I often now tell families this truth:

In dysfunctional dynamics, we all cater to the most chaotic person in the home—trying to keep the peace. But really, we’re just preserving their comfort at the cost of everyone else’s well-being.

😞

If this feels familiar, I want to gently suggest:

Bring that child in. 🩺

Not because something is wrong with them— 🧩
—— but because there may be something we can understand better.

🧠

Maybe it’s not “just big emotions or bad behavior.”
Maybe it’s emotional dysregulation.
Maybe it’s PANS/PANDAS.
Maybe it’s chronic pain, inflammation, or sensory overload.
Maybe it’s a learning difference.
Maybe it’s a delay in language, social, or motor development.
Maybe it’s OCD.
Maybe it’s anxiety or ADHD.
Maybe it’s trauma stored in the body.
Maybe it’s a dental issue, sleep disorder or sensory processing disorder.
Maybe it’s even mold, gut imbalance, food sensitivities, allergies, or a hidden infection.

❓

Whatever it is—we can explore it together.

The goal isn’t to “fix” anyone.

The goal is to help everyone in your family feel seen, safe, and supported.

💞

To move from barely holding it together…
to functioning as a whole, connected family.

🏡

You don’t have to do this alone.
If I can’t help, I will point you in the right direction.

Your story matters.
Your child matters.
And so do the others in your home who have been getting “the leftovers”. ✨

💡

And here’s something I wish someone had told me wayyyy back then…

When I was in the thick of it, giving 95% of myself to that one child,
God gave me a revelation I’ll never forget:

The child who once drained all our energy?
He’s now an adult with a magnetic, positive energy that people are drawn to.
What felt like constant arguments, resistance, and emotional intensity—
those are now the very traits that make him a strong leader, a bold truth-teller, and a person of conviction.

I wish someone would’ve told me:
The way he argued, the way he demanded justice and clarity—
would become one of his most honorable gifts.

🎁

So this is me telling you, parents :
“”””What may feel hard right now…
may be your child’s biggest asset. 🌱”””””

Hang on.
Pray for that revelation. 🙏
Pray to see past the struggle.
Pray to hone in on that character trait and shape it into a skill.

Let’s turn burden into blessing.
With grace and solidarity. 🫶

Kindly, PA Nicole

📸: when mine were little, and not everyone could smile at the same time for a good family picture! The oldest is now 22 and the youngest is 12.

07/24/2025

So many of us—patients, friends, loved ones—live in a constant state of fight, flight, or freeze. 🥶

bodies tense.
thoughts race.

But we are not our emotions.
We are not defined by our fear.
We can feel it — without becoming it.

Take a deep breath.
Wrap your hands around a warm cup of tea or hot coffee. ☕️🙏

Now speak this verse out loud over yourself and your space,
because there is power in your voice
and authority in your presence.

Maybe add …
“I am not my anxiety.
I am not my overwhelm.
I am not the storm I feel swirling inside me.
I am steady.
I am loved.
I am anchored.
I have the authority to pray over myself and my home and my mind . I can ask for anything that doesn’t belong here to leave.
Let this home be a place of peace.
Let every corner, every room, every anxious shadow be filled with light.
If it doesn’t belong—
fear, shame, torment, confusion—
it must go.
Because this space, this heart, this life
was made for love.
For laughter.
For breath.
For rest.
Even now, I let go.
I let go of what I can’t control,
and I welcome in what is true:
I am safe.
I am seen.
I am held.
I am not alone.”

In Jesus name Amen.🙏

Kindly, PA Nicole

07/24/2025

📣 PSA - Wash ya hands !!! 🧼 🙌

Today I got messages from tons of moms of kids—ages 2 months to 16 years—all running high fevers. 😷 In fact, it’s 11:30pm and I just sent my last text of the day to a worried mama.

Last week it was mostly adults with fever testing positive for you-know-what-vid.

This week it’s clearly the kids’ turn. 🙃

👉 So here’s your reminder:

💧 Wash your hands & the kid’s hands
🌞 Get outside when possible
🍊 Stay on top of vitamins (D, C, zinc, elderberry, and pre/probiotics are my top recs!)
🌿 Have a basic immune support protocol ready at home. ((See links in comments))👇🏻

🧠 FEVER FACTS FOR PARENTS:

Fever is a healthy immune response. 💪🏻
It’s the body turning up the heat to fight off infection. It’s not always bad and doesn’t automatically mean danger!

.… in general ….

✅ WHEN It’s Okay to Stay HOME
with fever 🏡 :

• Fever under 104°F in older kids; under 101.4°F in younger kids AND alert, drinking and playful at moments.
• Child is drinking fluids, not worried about dehydration
• No trouble breathing or bad pain
• Still peeing, even if eating less
• Fever responds to cool compresses, lukewarm baths, remedies or fever reducing medications

🏥 WHEN to Contact us during a fever:
• Fever & Child is “not themselves”- a lot more sleepy, not eating or drinking well, vomiting, achey, rash, ear pain, grumpy, etc
• Fever lasting more than 4 days
• Needing a Test- like urine or a swab
• When ya need reassurance or a visit

🏥 WHEN we might say go to Urgent Care
• If we happen to be booked full or closed
• Parent intuition says so
• Needing quick X-rays, breathing treatments, or quick rsv/strep/flu/cov tests closer to home
• Symptoms such as any uncontrolled pain, fever, dehydration, or lethargy

Urgent Cares to Consider

1. DAVAM on 1488 – Fast testing, great with kids, does X-rays & breathing treatments. May be pricey.

2. Medella (Magnolia & Tomball) – Open late (9 PM), efficient, good for school-aged kids. Testing not always fast.

3. Texas Children’s Urgent Care (lots of satellite locations but main one is 2nd floor above ER in woodlands) – Long wait. Best for small kiddos needing pint sized blood draws, urine checked, or imaging.

🚨 Straight to Emergency Room with Fever

• Baby under 2 months with fever ≥100.4°F. Older kiddos temp above 101.4 with worrisome symptoms.
• Seizures or not waking easily
• Difficulty breathing, blue lips, or grunting, or chest retractions (sucking in chest) or can’t manage their snot well
• Stiff neck, severe headache
• Vomiting/diarrhea with no relief
• Blue lips or pale, mottled skin
• Not urinating for 8+ hours
• Child is unresponsive or confused
• Sudden rash with very high fever (esp. if purple)

…🙏 And most importantly…

Remember, God did not give us a spirit of fear, but of power, love, and a sound mind
(2 Timothy 1:7).

When your child has a fever or you feel unsure, lay your hands on them and pray. You don’t need to wait for a provider to bring or speak healing—you have spiritual authority as their parent.

You were chosen to love, protect, and intercede for them.

Your prayers matter.

Here’s a prayer you can speak over them:

“Dear Lord, I speak peace over ((childs name))) body. I command every sickness to leave and health to be restored. Heal them from the top of their head to the tips of their toes. Give me clarity and strength to care for them. Thank you, Lord, for your protection and healing. In Jesus’ name, Amen.”

Don’t underestimate the power of your presence,
your touch,
and your faith.

You are equipped, and you are not alone.

See links in comments for protocols to have on hand.

📌 Disclaimer: This post is for educational and informational purposes only and does not substitute medical advice. Every child and situation is unique. If you’re ever unsure what to do, please contact your healthcare provider or visit the nearest urgent care or ER. When in doubt, it’s always better to be seen and safe. 💛

Kindly,
PA Nicole

📸: This beautiful gift came from a patient’s garden today 🌿💐 It absolutely made my day. Feeling so grateful for the sweet families I get to care for—I love it so much!

07/22/2025

💓 Don’t skip a beat… or a discounted EKG!
I have an EKG Day coming up in mid-August, and it’s the perfect time to check in on your heart health ❤️ —without breaking the bank.

If you’re due for an EKG (or think you might be), let us know!

An electrocardiogram (EKG) gives us a quick look at your heart’s rhythm and function—and it can catch problems before they become bigger concerns.

Why might you need an EKG?

🧭 Conventional reasons to consider an EKG:
• Palpitations or a racing heart
• Dizzy spells or fainting episodes
• Chest discomfort or pressure
• Tired, weak, or short of breath
• High blood pressure or cholesterol, Diabetes, or Thyroid issues
• Irregular heartbeat or issues in past
• Pre-op clearance
• Starting or monitoring medications (ADHD meds, antidepressants, statins, GLP-1s, etc.)
• Family history of heart disorders

♻️ Holistic reasons to screen with an EKG:
• Chronic fatigue or burnout
• Brain fog, depression, or anxiety
• Mold, Lyme, or environmental toxicity
• Long COVID, EBV, viral reactivation
• Frequent palpitations after caffeine or meals
• Adrenal fatigue, HPA axis regulation
• Concern about stress
• Sleep disruptions or insomnia
• Electrolyte imbalances (especially if using saunas, fasting, keto, cleanse or detox)
• POTS, dysautonomia, or vagus nerve dysfunction
• Biohacking / peak performance goals – baseline rhythm check for athletes or high performers
• EMF sensitivity or electrosmog exposure concerns
• Unexplained panic attacks or inner restlessness
• Postpartum recovery
• Hormonal shifts (perimenopause/menopause)

💜 Physical Signs You Might Need an EKG:
• JVD (neck vein beating/bulging)
• Irregular or fast heartbeat: Noticed by you or felt on pulse check
• Dizzy spells or fainting: Especially when standing up quickly
• Vision changes: Blurring, greying out, or tunnel vision with fatigue
• Edema (swollen ankles/feet/hands)
• Pale or blue-tinged skin/lips/fingers
• Chest wall movement or fluttering
• Hearing heartbeat in your ears
• Fatigue with posture changes or after meals

✨ An EKG is a quick, non-invasive ((unless you are super hairy 👀 )), and affordable way to learn more about your heart—and your overall health.

📅 25-minute EKG & Vitals visit | $50

🗓 Spots are limited—message us to get your appointment booked! PM or ask for Jordan at 281.729.4414.

Kindly,
PA Nicole

🩺 Disclaimer:
I am not a cardiologists—if I was, I’d have a fancy boat named “Sinus Wave”. 😅 This EKG screening is for general wellness and rhythm monitoring purposes only. Any concerning findings may be referred to cardiology or electrophysiology for further evaluation. You will get a copy to keep for your records. Ages 18+ only. And no, I can’t tell if you’re in love—just if your heart’s skipping beats for other reasons.

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Magnolia, TX

Telephone

+18328438246

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http://Www.RifePediatrics.com/

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