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

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.

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

📣 PSA - Wash ya hands !!! 🧼 🙌 Today I got messages from tons of moms of kids—ages 2 months to 16 years—all running high ...
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!

💓 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 ...
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.

🎉 GAME TIME! 🎉 Update: We have our winners for this round —listed below !! 🏆 Here’s your chance to win by playing along ...
07/21/2025

🎉 GAME TIME! 🎉 Update: We have our winners for this round —listed below !! 🏆

Here’s your chance to win by playing along with my other holistic-minded patients in a fun round of what I am calling “Crunchy Patient Bingo!” 🌿✨

👇 How to Play 👇
1️⃣ Take a look at the bingo card below.
2️⃣ If you spot 5 things in a row (horizontal, vertical, or diagonal) that you have in your home, on your phone, or in your natural wellness stash — YOU’VE GOT BINGO! 🙌
3️⃣ Leave a comment that says:
“BINGO — [insert time you’re posting] ⏰”
AND include a photo of the first item from your bingo row (yes, even if its the random poopy diaper pic saved on your phone that you text to me earlier this week 😂)
4️⃣ Then reply to your own comment with a pic of each of the other 4 items — 5 total pictures to complete your row!

NO need to label the direction, just post the items from your winning line.
Keep it fun and crunchy — don’t share anything too personal 😝

💰 The first BINGO with all 5 pics in their comment wins!

Have fun — and may your Berkey be full, your binders be strong, and the odds be ever in your crunchy favor. 🌾💪✨

Ready.Set.Go. 🏁 💨

🎉 CONGRATS 🎊
1st place 🥇 Ewa 9:20
2nd place 🥈Julie, Sun kissed 9:36
3rd place 🥉 Emily 9:40
4th place 🏅Barbara 9:43

I 💯 % certify y’all as crunchy !!!

Kindly, PA Nicole

Start time: 9:09pm
End time: 9:43pm

2025 is shaping up to be a year of momentum and awakening 💥✨ No matter where you stand politically, we must admit it’s i...
07/19/2025

2025 is shaping up to be a year of momentum and awakening 💥✨ No matter where you stand politically, we must admit it’s inspiring to see people getting engaged, thinking deeper, and standing up for what they believe in, right? 🙌💡

Are you feeling the shift? ⬆️

Who or what topic are you hoping rises to the top this year? 👀

What change were you excited to see — or what do you hope to see next? 🌱

Do you think we will see the change in our lifetime or more like our grandchildren’s lifetime? 💭

Let’s stay hopeful, stay active, and stay prayerfully grounded. ❤️

Kindly, PA Nicole

Disclaimer: The views expressed on this page may or may not be mine, my patients’, my practice’s, or even my cows’s. The punctuation there was hard 🤯. Sometimes I post things just to stir the kombucha.🍹

Don’t take it personally. Don’t take it as medical advice. And definitely don’t take it or eat it or sniff it before reading the label. 😉

🌿 Products I Love – Part 6: EARTHLEY! 🍃What’s not to love!? 💚 Patients, Share your favs + why in the comments!Earthley i...
07/18/2025

🌿 Products I Love – Part 6: EARTHLEY! 🍃
What’s not to love!? 💚 Patients, Share your favs + why in the comments!

Earthley is one of my all-time favorite natural wellness brands — clean, simple, effective, and aligned with the values I share in my practice. You will see my stash behind my desk!

Whether you’re supporting immunity, hormones, gut health, or your little ones, they have safe, holistic options the whole family can use.

🌸 Some of MY must-haves:
– Good Night Lotion (magnesium!)
– Nourish Her Naturally

🤧 Favorites for Illness + Immune Support:
• Elderberry Elixir – immune staple for the whole family
• Feel Better Fast – help fight viruses and reduce symptoms naturally
• Cough-B-Gone – gentle but effective for wet or dry coughs

👶 Kid-Friendly Favorites:
• Infant Tummy Relief – amazing for gas, colic, and upset tummies
• Teeth Tamer – natural teething relief without harmful chemicals

….and so much more….

I love that their products are made with real ingredients, no junk, no synthetics — just plant-based, purposeful care.

If you’re looking to restock your crunchy cabinet or try something new, Earthley is a brand I truly stand behind.

👉 Let me know your favorite Earthley product or if you need help picking one for your wellness goals!

Kindly,
PA Nicole

Earthley


25% off Magnesoum Lotion: MAG25
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25% off Teeth Tamer: TEETH25

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Not feeling my best today so took a sick day. Here’s our view watching “dog tv” with nature sights + sounds.  Wilson is ...
07/17/2025

Not feeling my best today so took a sick day. Here’s our view watching “dog tv” with nature sights + sounds. Wilson is our new mini dachshund “therapy dog.”

😄Things newly crunchy parents say when I offer a surprisingly crunchy suggestion … “Windi? Who? ⛽️ 💨….….. Wait ……….… it ...
07/17/2025

😄Things newly crunchy parents say when I offer a surprisingly crunchy suggestion …

“Windi? Who? ⛽️ 💨
….
….. Wait
……….… it goes where?”

“This sounds like something my abuela 👵🏻 did… and she had 12 kids that lived to 101.”

“You want me to put garlic… 🧄 in the …?”

“Where do I buy Castor oil 🧴 exactly?”

“… ohh 🧅 onions in socks? ”

“He’s (insert age of 2, 6, 11 or 35+). He’s not gonna drink bone broth 🥣 .”

“Do I need a coupon 🎟️ for this?”

“So no Tylenol, just tea 🫖 , hmmk.”

“Are we curing him or making soup 🍜 ?”

“Okay but can I still do Chick-fil-A and say we’re crunchy?” 🐄

“Do I rub the honey 🍯 on her or feed it to her?”

“How many tinctures do I need before I’m a good mom?”👩🏼

“You’re one dropper away from turning me into that dad.”👨🏻

“My pediatrician said that won’t work.” 🛑

“Honey, did you hear that ? A beer 🍺 will help your milk supply!” ::: does 🤙 ::::

“So why do I have to stop using Q-tips?”

“My kids probiotic costs more than my skin care routine!” 🫧

“ Can you put that on a prescription pad?”
Referring to either :
‘Requires date nite’
‘Colonize the vaglna’ or
‘Needs more intimacy.’ 🤗

“Spell … 🌱 asahwagnya … ashwahnda … asswargra… ashamatcha.. OshuaGonda..?”

“… Salt… 🧂 Room?”
and/or
“Halotherapy?”💡👼🏻

=====
All in good fun 🤩 !!
So before you freak out …
Don’t worry, these are paired with a traditional suggestion like colloidal silver is to a fine wine🍷 as amoxicillin is to a good cheese 🧀 .
=====

Kindly,
PA Nicole

📸: Me and my kiddo at Living Holistic
Where SaltAndSoulHalotherapy.com is located: 350 Nursery Rd. Ste 1101, The Woodlands.

🧠💔 The Body Remembers What the Heart Tries to Forget 💔🧠When we go through trauma—Not just big events,but the hidden woun...
07/15/2025

🧠💔 The Body Remembers What the Heart Tries to Forget 💔🧠
When we go through trauma—
Not just big events,
but the hidden wounds too—

• A betrayal that shattered your trust
• Rejection that made you question your worth
• Abandonment from someone who should’ve stayed
• Abuse—physical, emotional, spiritual
• Words spoken over you that still echo in your head
• A parent who withheld love or approval
• A relationship that turned toxic but felt inescapable
• Loss you were never allowed to grieve
• An apology you never received
• Being blamed for what wasn’t your fault
• Growing up too fast in a chaotic home
• Being constantly on edge, waiting for the next outburst or bad thing to happen
• Feeling invisible in the moments you needed someone most
• Being forced to keep secrets that made you feel shame
• Church hurt that caused you to doubt God’s love
• Betrayal by someone you trusted with your soul
• Carrying responsibilities that were never yours to carry
• Feeling unsafe in your own body or home
• Trauma from childbirth, medical care, sickness, or near-death experiences
• Being gaslighted and made to feel “crazy” for telling the truth

🩹 Every one of these experiences leaves a mark.
And your body doesn’t forget.
We don’t just “get over it.”

We store it.
🧠 In our brains
💪 In our muscles
💔 In our nervous system

Our bodies keep the score. 🖊️

There’s an incredible (and intense) book by Dr. Bessel van der Kolk called “The Body Keeps the Score.”

🎧 The audiobook is phenomenal too because HE reads it himself.
It’s a heavy read… hard at times… but absolutely worth it.

One of the deepest forms of stored trauma?
👉 Unforgiveness.

It’s like drinking poison ☠️ —
and expecting them to suffer.

Meanwhile, you can’t sleep, you hurt—
you stay stuck,
you relive the moment that hurt
…while they go on with their life.

Unforgiveness tightens the chest.
It builds in the gut.
It creates dis-ease that becomes
… disease.

🦠 I’ve seen firsthand how unforgiveness quietly poisons the soul. In my own life, holding on to resentment made me feel powerful ((for a moment))—only to slowly drain me.

It hardened parts of my heart that were meant to stay soft.

I carried tension in my body, couldn’t sleep well, and found myself reliving moments that should have been surrendered.

Now, in my work with patients, I see this same heaviness ⛓️. People come in with chronic pain, anxiety, fatigue, even autoimmune flares—and sometimes the root isn’t just physical.

It’s emotional.
It’s spiritual.

It’s the weight of wounds never released.

So many are sick from bitterness they didn’t even realize they were carrying.

But the moment they begin to forgive—even if the process is messy and slow—you can almost see the light begin to return. ☀️

🚪

Forgiveness doesn’t change the past.
But it absolutely changes the present.
And it opens the door for real healing.

❤️‍🩹

Because Jesus sees it all.
He never forgot you.
He came to heal that too.

“See to it that no bitter root grows up to cause trouble and defile many.”
– Hebrews 12:15

🕊️

Forgiveness IS NOT saying what they did was okay.

IT IS…
…. saying, I won’t let it control me anymore.
…. releasing the offense to the only One who sees it all clearly.
… letting God carry the gavel—and giving yourself permission to heal.

Even Jesus, while still bleeding, said:

“Father, forgive them, for they do not know what they are doing.” (Luke 23:34)

That’s not weakness.
That’s supernatural strength.
And He offers it to you.

🙏 A PRAYER FOR WHEN UNFORGIVENESS IS BREAKING YOUR HEART & HURTING YOUR BODY

If you’re holding on to something that’s eating away at your peace,
let this be a moment of surrender.

Dear Lord,

My heart is heavy. I am running to you.
I need to feel your embrace. Your touch in my life.

I confess that I’ve been holding on to pain, anger, and resentment.

I’ve tried to protect myself by not letting go… But I see now it’s hurting me more than anyone else.

I feel justified in my pain—but I hear You calling me to freedom.

I choose, today, to release this person to You. I place the offense at the foot of Your cross.

:::: Be Specific Here ::::

Jesus, You forgave through suffering—
Teach me how to forgive through mine.
Uproot bitterness. Heal what’s broken.

Restore peace where there’s been torment.
Renew a right spirit within me. (Psalm 51:10)

Thank You for forgiving me more than I could ever deserve.

Help me become a vessel of that same grace.

I trust You with justice. I trust You with my healing.

In Jesus’ name,
Amen.

💡 We put so much focus on being right... Maybe we need to put more focus on helping right* away,
forgiving right* now,
giving right*fully,
& living right*eously.

Friend, you don’t have to carry this forever.

Healing is holy.
Forgiveness is freedom.
And God is near to the brokenhearted. ❤️

Kindly,
PA Nicole

Products I love part 5- Bills ! Ok not really!🚨 Ever opened a hospital bill and felt like you accidentally bought a smal...
07/12/2025

Products I love part 5- Bills ! Ok not really!
🚨 Ever opened a hospital bill and felt like you accidentally bought a small yacht?

😳🧾⛵

Yeah… me too. I’ve personally been hit with surprise medical bills that made my jaw drop—and I work in medicine! I know how stressful, confusing, and downright defeating it can be — especially when insurance complicates it all!

Even before I became a PA I ditched insurance & vowed to never let it stand between me and a my patients.

So no, I despise surprise bills & insurance 😤 , but I do love a good nonprofit hospital with a patient advocate that has soft eyes and smells like Ponds face cream and adore a good Christian cost-sharing program (many options)!

When I joined Samaritan Ministries (a Christian healthcare cost-sharing program—in place of my family’s insurancenc), I had to get creative. Without traditional insurance, I learned how to negotiate, navigate hospital billing, and advocate for affordable care—both for myself and my family.

➡️ Here’s an example:
When I needed to have a full robotic hysterectomy, I was quoted a high five-figure amount —see pic. But through negotiation and cash-pay discounts, I ended up paying much less—and I’ve included a photo showing the original cost breakdown vs. what I was actually required to pay.

Thankfully, I was able to do a payment plan, and Samaritan Ministries covered everything above $1,500. It was a huge blessing.

🕊️ If you’re interested in Samaritan Ministries, I’d love to share more. It can replace or supplement insurance, especially if you’re looking for a faith-based, community-focused alternative. Visit samaritanministries.org and watch their videos to see how it works—or just reach out and they’ll walk you through it.

When my son had a $22,000 knee surgery at a large local children’s hospital, I also tried to negotiate—but it was much harder due to the way that hospital handles billing. That experience taught me the importance of choosing a “nonprofit hospital” whenever possible, especially if you’re uninsured or paying out of pocket.

💡 What I’ve Learned — and How I Want to Help My Patients :

• 60% of U.S. hospitals are nonprofits, which means they’re legally required to offer income-based discounts—even after your visit.
• If your family income is under $128,600 (for a family of four), there’s a good chance you qualify.
• Most patients never apply—because hospitals don’t exactly advertise this.
……. But I will!!!!!

🎯 So Here’s What You Can Do:

1. Let me know if you’re heading to the hospital or already got a big bill. Send it to my email with title HOSPITAL BILL.

2. I’ll check your eligibility in seconds using Goodbill (with me = a free service).

3. If you qualify, I’ll send you a link to a form and to upload income info (pay stubs, prior year tax return, etc.—takes under 10 minutes).

4. Goodbill works directly with the hospital, handles all the paperwork, and keeps you updated. Most approvals come through in 30 days or less.

✅ YOUR EMERGENCY/HOSPITAL GAME PLAN (With Me as Your Provider):

📞 Step 1: Contact me before (if possible) or after your hospital visit.
🧾 Step 2: I check if you qualify for help
📤 Step 3: You fill out a quick form from Goodbill
💸 Step 4: Save hundreds—or even thousands—on your bill

🏥 Local Nonprofit Hospital Systems to Prioritize
• Houston Methodist
• Memorial Hermann
• CHI St. Luke’s Health
• MD Anderson Cancer Center
• St. Joseph Medical Center

Next, maybe…
• Texas Childrens (billing not easy to negotiate, so busy, never been nice to me about billing —maybee they can get tagged in this and make a good change! Love lots of their staff - want this to work)
• UTMB, Ben Taub, LBJ (because they are government options = just as much fun as the government to try to get some support.)

You should know nonprofit systems are legally obligated to offer income-based financial assistance—even after you’ve already received care. If you’re uninsured, underinsured, or facing a large out-of-pocket bill, they are supposed to help guide you through what to ask and how to apply.

But if they don’t …

It’s just a couple extra steps for me—it could mean real peace of mind for you and your family. Whether you’re insured, uninsured, or exploring faith-based options like Samaritan Ministries, I’m here to advocate for your health—and your wallet.

If you’re facing a big hospital bill or unsure where to go, please reach out. We’ll walk through it together.

💙 Always in your corner.

Kindly,
PA NICOLE

📸: This was my upfront bill before my hysterectomy that I asked for. We signed on the dotted line that this was the max that they would charge me for all services. This also included anesthesia but not my physicians fees. I only paid $1500 of it and Samaritan Ministries covered the rest of the $15,000. After this procedure being covered sI was pretty committed to never buying insurance again.

✨ What I would’ve said as an IBCLC (lactation consultant) vs. what I say now as a PA (physician assistant) … ✨I recently...
07/11/2025

✨ What I would’ve said as an IBCLC (lactation consultant) vs. what I say now as a PA (physician assistant) … ✨

I recently read ***yet another*** mommy blog post (thier pic said “Fed is NOT best”) about feeding kiddos, and honestly—it sent me into a spiral that ended with me rage-eating coscto chocolate covered almonds while texting a friend, “Was I a terrible mom for giving my kid Ge**er puffs in 2003?”😅

There is SOOOO much information flying around right now. So many opinions. Reels. Handheld 📲 Contradictions to “Do this, not that.”

Social media can be helpful, but lately?
It’s driving me a bit mad.😠

So I’ll just say this plainly:
I’m incredibly grateful that 19 & 22 years ago, when my sons were babies, I didn’t have to sift through this much noise.

Good grief!! How do you tune some of this out ❓

Back then, I relied on instinct, prayerr 🙏 , a few trusted voices🤞🏻, and a whole lot of grace.

If I’d been surrounded by today’s debates, I would’ve constantly questioned whether I was getting it right.

So if you’re feeling that right now— I see you. 👀

And I hope this post feels like a breath of fresh air, not more pressure. 😮‍💨

Let’s talk about “Fed is Best.”

This phrase was born from a good place, I think 🤔 —a place of deep compassion for parents in survival mode, doing the best they could with the resources they had.

As an IBCLC, I said it often. It was a lifeline to many—a reminder that keeping your baby alive, safe, and nourished IS enough.

And now, as a physician assistant who has walked alongside families through chronic illness, food sensitivities, gut dysfunction, and developmental delays—I’ve come to see there may be limitations in that phrase.

“Fed is best” can offer grace, yes—but it can also shut down deeper conversations that are necessary for long-term health.
It can validate survival mode while unintentionally silencing discussions about nutrition, healing, and thriving. It closes the chat on how can we best support you ?

We can honor both truth and tenderness.
We can extend compassion and accountability. We can care without compromise.

🍼 Breastfeeding vs. Formula-feeding (and what we’re not talking about enough):

Even with years of experience as a lactation consultant, I struggled feeding my own infants.

When my 2nd son was born 19 years ago, he had an awful tongue & lip tie. Breastfeeding was excruciating.
I was cracked, bleeding, and emotionally drained.

I knew something wasn’t right, and I asked for his tongue tie to be clipped—
But back then, that was still a foreign conversation. Providers often brushed it off. There wasn’t widespread understanding or support like there is today.

So, we supplemented with HEB soy-based formula, because at the time that’s what AOL message boards said might be best. 🤷‍♀️ Through tears. Through guilt. Through survival. I knew what breastmilk offered, I know what I preached to mamas, and I knew I was doing the best I could.

If you’ve walked that road—please hear me:
You didn’t fail.
You fed your baby.
You loved them fiercely.
That’s what matters most. 💛

But here’s what’s also true:
Breastmilk is a living substance. 🥛
It’s not just food—it’s dynamic, intelligent nourishment. It’s God’s design.

It contains antibodies, hormones, enzymes, prebiotics, probiotics, stem cells, and anti-inflammatory compounds that shift moment to moment to meet a baby’s specific needs.

No formula, no matter how advanced, can replicate that.

—-THAT SAID— ::::breathe:::::
formula has come such a long way. 🙌
There is absolutely NO shame in formula feeding.

Today we have such better options:
✨ European formulas with whole milk and minimal additives
✨ Goat milk-based options that are easier to digest
✨ Blends enriched with prebiotics and probiotics to support gut health and development

These innovations matter!!

Let’s celebrate that we now have safer, higher-quality choices for families who need them. 💃🏼 🕺

Let’s move beyond survival and ask—how can we support children to thrive?

Let’s respect that parents truly know what’s best for their children and their unique family dynamic—and what matters most is that they feel surrounded by love, not judgment, and supported every step of the way.

‼️

Let me be blunt:
If you’ve never sat across from a mom who is considering su***de because breastfeeding felt impossible like I have, then you don’t get to make sweeping statements about what’s “best.”

If you’ve never sat with a dad like me who’s about to lose the family car to repossession because they can’t make ends meet without a dual income because mom is at home breast-feeding around the clock, then respectfully, you don’t get to have the final word on what “should” be done in someone else’s home.

If you’ve never cried with a mom like I have—one who’s on Reglan, pumping around the clock, desperate to increase her supply, spending hundreds of dollars on lactation consultants, supplements, and every trick in the book—then you don’t get to hold weight in her conversation or her decision. Because this isn’t just about milk. It’s about emotional survival. It’s about identity, pressure, exhaustion, and often heartbreak. Until you’ve sat in that sacred space with her—tears, cracked ni***es, and all—you don’t get to dictate what “best” looks like for her or her baby.

Real families are making real sacrifices just to survive.

Feeding choices are never made in a vacuum—they’re made in the context of infant needs, maternal health, financial strain, mental health, marital tension, and sheer exhaustion.

So yes, your values matter.
Your opinions are valid.
But they’re NOT universal truth. 🌍

Your opinions ARE rooted in your own experience—and that’s valid. But what worked for you doesn’t work for everyone.

This is bigger than ideals. This is about survival. This is often about saving a mother, an infant, or a family livelihood.

What every parent really needs is not your criticism—
….. It’s your compassion.

‼️

🥑 Starting Solids: Baby-Led Weaning & Alternatives

…. Because the judgment and opinions doesn’t stop when your baby turns six months old….

Introducing solids is more than just checking off a box on the baby tracker.

It’s where the foundations of gut health, taste preferences, immune balance, and nutritional status are laid.

Many are told to start with rice cereal at 4 months, but that’s outdated advice with minimal nutritional value.

Baby-Led Weaning (BLW) is one great option—offering soft, whole foods that babies explore at their own pace. It helps with motor development, food curiosity, and autonomy.

But it’s not the only way.

Some families feel more comfortable starting with purées, and that’s okay too! You can make homemade baby food with simple, nourishing ingredients:
🥑 Mashed avocado
🥕 Pureed sweet potato
🍌 Banana mash
🍳 Soft egg yolk
🥩 Pureed grass-fed meats or liver

Truth be told?
My 1st kid didn’t have McDonald’s chicken nuggets until he was like four years old.
My fourth baby?
Pretty sure she had her first bite of a nugget at six months old. 😂

There’s something to say about just making it work and doing what you need to do to stay sane.

It’s not about picking the “perfect” method.
It’s about offering real food from the start.
Whole, nutrient-dense, iron-rich, simple.

…It is about being in tune with YOUR baby—not an influencer’s curated feed featuring their suspiciously quiet, avocado-loving, probably AI-generated perfect baby who sleeps 12 hours and signs “thank you” at 6 months. 💬😂

🍭 The Hidden Impact of Junk Food, Sugar, Dyes, and Fillers:

What we have done as a society is normalize ultra-processed snacks, pouches full of fruit sugars, and colorful treats for toddlers that are anything but innocent.

⚠️ Artificial dyes like Red 40 and Yellow 5 are linked to hyperactivity and banned in many countries.
⚠️ High-fructose corn syrup, seed oils, and trans fats promote inflammation and alter gut health.
⚠️ Additives and preservatives can disrupt focus, mood, immunity, and sleep.

This isn’t about demonizing birthday cake. 🎂GIVE THEM CAKE!!

Everything in moderation and with thoughtful consideration has its place—because balance, not perfection, is what truly sustains us.

It’s MORE about what our children are eating every single day.

Their brains, guts, and hormones are still developing. And what we feed them literally becomes the material for that development.

This isn’t about perfection. It’s about protecting their baseline.

Choosing nourishment more often. And remembering that we are their example.

🙏 A Gentle Reminder:

God designed our bodies with breathtaking wisdom.

“I praise You, for I am fearfully and wonderfully made.” – Psalm 139:14

Our children were knit together with purpose. Every cell formed by divine design.

“Do you not know that your body is a temple of the Holy Spirit within you…?”
– 1 Corinthians 6:19

That applies to them,
….. and to us.

When we care for our bodies with intention—through food, rest, movement, and peace—we model reverence for God’s creation.

Let’s be gentle, grace-filled stewards.
Let’s nourish our little ones with what is good and life-giving.
And let’s nourish ourselves, too—because they are always watching.

🕊️

You don’t have to get it all right.
You just have to keep showing up—
With grace.
With courage.
And maybe a little bit of sarcasm, tears, and coffee in a Yeti mug that hasn’t been microwaved for the third time today. ☕😉

You do you, boo .🐻
You’ve got this. 💪
And God’s got you. 💕

Let’s raise a generation that doesn’t just survive— …. but thrives. 🌿

Anyone else suddenly craving a Taco Bell burrito purely because it reminds you of your childhood and the thrill of a 99¢ dinner after softball practice? 🌯😅 Just me?

Kindly,
PA Nicole

📸 My baby girl’s very first bite of avocado 🥑 — now she’s 14 and still making that face when not pleased with dinner options.
📸 My son turning 1 with his 1st cake— now he’s 22 and towering over me at 6’6”

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