Living Connection Holistic Lifestyle Center
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Table of Contents Phase I - Research
Phase II - Research Analysis and Persona Development
Page 1 - 21
Phase III - Program Development and Site and Building Surveying Page 40 - 72
Phase IV - Analysis of Similar Projects, Concept Development, and The Beginning of Schematic Design Development
Programming 41 - 45
Page 73 - 110
Site Analysis 46 - 61
Precedent Studies 74 - 95
Building Analysis 62 - 72
Concept Statement 96
Page 22 - 39
Facility Description 1 Survey Data 23 Research Overview 2 Interview Transcript 24 Typology Deep Dive 3 Client Analysis 25 & 26 Case Studies 4 - 7 User Descriptions 27 & 28 Typology Inspiration 8
Concept Imagery 97 Ancillary User Analysis 29
Literature Reviews 9 -21
Materiality Imagery 98 Primary User Journeys 30 - 37 Parti Diagram 99 & 100 Values 38 Schematic Design Diagrams 101 - 106 Goals 39 Prototypicals 107 Design sketches 108 - 109
Living Connection Holistic Lifestyle Center A holistic cancer treatment retreat and research facility. Offering alternative health assistance and retreat experience, for sick or treatable patients and their families in the heart of the Tillamook, Oregon State Forest. During the duration of their stay they will receive holistic treatment and educational lifestyle changing classes.
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Why a Holistic Lifestyle Center? Research Overview After researching and reviewing current forms of cancer treatment, I found that the American Anti-Cancer Institute and other unorthodox cancer treatment organizations commonly support forms of FDA recognized “Complementary Alternative Medicine” (CAM) as well as, either the exact or some form of, “Gerson therapy”. While many organizations offer forms of CAM, and Gerson therapy is also offered in a retreat in Arizona, it does not offer a specific form of unorthodox cancer treatment called “PIOH,” which stands for Precision Intestinal Oxidative Hydrotoning. Currently, PIOH is practiced without any other forms of unorthodox treatment out of Burien, WA in a commercial complex. My scope of work includes designs to accommodate spaces to perform Gerson Therapy in conjunction with PIOH in a rejuvenating atmosphere. Exterior from the scope of my project will be on-site retreat suites for an in-patient experience, as well as an escape from the urban world during the treatment process.
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Cancer Typology Deep Dive Vocabulary
Attributes
Issues
- Malignant = Life threatening (usually in terms of a disease or tumor
- PIOH = Precision Intestinal Oxidative Hydrotoning
- Further research facilities to record all treatment types
- Adenocarcinoma = Tumor formed of connective tissue
- Gerson Therapy = - Juicing - Organic Vegetarian Diet - Supplement Intake +Potassium + Lugol’s Solution + Co-enzyme Q10 with Vitamin B12 +Flaxseed oil +Pancreatic Enzymes +Pepsin (A stomach enzyme) - Taking coffee or chamomile enemas - Preparing food specifically
- How to serve the percentage of people who may not respond positively to treatment
- Melanoma = cancer causing moles - Lobular carcinoma = more common form of breast cancer - Anaplastic Non- Hodgkin’s Lymphoma = Rare form of blood cancer more common in young boys - Cholangiocarcinoma - Bile duct cancer - Fibrillary Astrocytomas = slow growing brain tumors
- Sanitation at site - Accommodation for guest of cancer patients
- Opportunities to practice other forms of CAM therapies
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Case Studies Encuentro Guadalupe Complex of cottages and villas Architects: Graciastudio Location: Valle de Guadalupe, Baja California Square Feet: 20 rooms of 215 square feet each. Inspirational take away: External suites inclusive to a single resort that have an ironic complimentary contrast to their surroundings. The use of light next to dark materials in the night also inspired me.
Case Studies Coeur d’Alene Tribe Resort Hotel and Spa Architects: Mithun Location: Square Feet: 170,000 Inspirational take away: To gain LEED gold certification the way this building has done. The use of light and shadows cast in public spaces to create ambiance. The use of materials and abstracted forms in flooring patterns and light fixtures. The use of structure and beams to create planes. Page 5
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Case Studies Snake Tree Houses Woodland Hideaway Resort Architects: LuĂs and Tiago Rebelo de Andrade Location: 5450-130 Bornes de Aguiar, Portugal Square Feet: 291 Inspirational take away: The use of shape, material and environment, inspired me. The modular structures could essentially be put into my site as forest retreat suites. The use of approach and appearance of the unusual structure also appealed to me.
Case Studies Orhidelia Wellness Facility Spa Architects: Enota Location: PodÄ?etrtek Slovenia Square Feet: 107,531.5 Inspirational take away: The use of space, light, color, reflections and materials, such as glass, wood and structural beams, inspired me. The indoor lounge chair set up also inspired me due to its use of natural materiality. Goal: incorporate warmth and reflection in my design. Page 7
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Typology Inspiration Attributes
Literature Review: The Bob Wright Protocol By Webster Kehr - Independent Cancer Research Foundation, Inc. This article addresses PH Levels in the blood versus in the cancer cells and that cancer is caused by glucose eating microbes in the cells. From the results of: Bob Wright Protocol and Advanced Stage Cancer Patients @cancertutor - https://www.cancertutor.com/bob_wright/
Problems
Solutions
Kill Microbes inside the cancer cells to revert the cells into normal cells.
Drinking kangen water has shown results in helping cancer patients.
If PH increases quickly, the microbes are likely to be killed.
Treatment starts with an anti-microbial protocol to kill the microbes in the bloodstream to prevent herxheimers before - This article refers to success rates bringing the body to alkalinity. without statistical proof of studies to add validity.
By quickly increasing PH, people can develop Herxheimers (feeling temporarily brain dead).
Synthesis: Based on this literature review: - My facility needs space for a controlled study of microbes in cancer cells and alkalinity to prevent herxheimers.
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Literature Review: Interview on “Killing Cancer, Not People” By Bob Wright - Interviewed by Sandra Minere From the results of:
An Interview with Robert G. Wright, Author of “Killing Cancer-Not People” http://integrativewellnessexpert.com/an-interview-with-robert-g-wright-author-of-killing-cancer-not-people/
Topic Robert Wright’s Four steps he would take if diagnosed with cancer. - He is an expert in his wellness field and on the board for the American Anti-Cancer Institute (AACI). - AACI offers information on non-traditional cancer treatments in the U.S.
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Problem: Cancer
Bob Wrights Suggested Solutions:
Article has no factual data or statistics to provide scientific backing the information.
1. Eat the right organic diet 2. Drink Ionized water 3. Use reliv supplementation 4. Precision Intestinal Oxidative Hydrotoning (PIOH Therapy)
Literature Review: “The Wright Stuff” - A word from Bob Wright AACI From the results of:
Wright, B. (2014, April). The Wright Stuff [A word from Bob Wright]. Retrieved November 28, 2016, from http://www.americanaci.org/uploads/8/1/2/0/8120997/the_wright_stuff_report_volume_2_issue_4.pdf
Topic
Problem
Solutions
Prima Neuvera is a natural plant extract that is used as a pain reliever for cancer patients in South America.
American Anti-Cancer Institute needs funding to expedite studies.
They received funding and, as of the publication of this article, are currently in the final testing period before introducing it to the public.
The FDA will claim it as an “unproved drug” due to injection delivery to patients. Article has no factual data or statistics to provide scientific backing the information.
American Anti-Cancer Institute will release the drug in permitting countries outside of the United States until they find an approved solution to release the drug in the U.S.
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Literature Review: Help Build or rebuild the immune system By The Independent Cancer Research Foundation, Inc. From the results of:
The Independent Cancer Research Foundation, Inc. - The ICRF | Independent Cancer Research Foundation http://www.new-cancer-treatments.org/index.html
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90% cure rate of patients treated with “Metabolic therapy.�
True cure rate is roughly 45% of patients previously treated with orthodox practices.
Topic: Help Build or rebuild the immune system By The Independent Cancer Research Foundation, Inc. From the results of:
The Independent Cancer Research Foundation, Inc. - The ICRF | Independent Cancer Research Foundation http://www.new-cancer-treatments.org/index.html
Problems Cancer is caused by microbes which are inside cancer cells.
Natural or alternative treatments target cancer cells or do not damage non-cancerous cells.
- Dr. Kelley’s statistics only applied to newly diagnosed patients. Synthesis:
Beet and carrot juice both contain oxalic Alternative treatments appear to only be Alternative cancer treatment may not start acid which kills cancer cells and may, in working fast enough for some cancer pa- fact, revert the cells back into normal cells. largely beneficial to new patients who have not been previously treated with tients. orthodox practices. Neither Positive or Negative Independent cancer research foundation is looking for better ways to kill the microbes. Solutions The cellet-budwig protocol The plasma-beck protocol
400 + alternative medicines for cancer treatment
ICRF needs to further document the progress of orthodox treatment patients
Dr. William D. Kelley had a 90% cure rate out of his 33,000 patients he treated with natural medicine and called “Metabolic therapy.” - True cure rate is 40% - 50% of patients who had previously gone through orthodox treatments. Page 13
Literature Review: Complimentary Alternative Medicine From the results of 108 case studies, 88.2% of people going through cancer treatment also performed some form of CAM. Journal of Clinical Oncology http://ascopubs.org/doi/full/10.1200/jco.2004.03.121
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88.2% of patients practice CAM
Topic: Complimentary Alternative Medicine From the results of: International Journal of Pharmaceutical Sciences and Research Journal of Clinical Oncology http://ascopubs.org/doi/full/10.1200/jco.2004.03.121
Holistic Medicine:
Selective list of CAM therapies
Synthesis:
Stepping stones of new life in modern medicine. Holistic derived from “holism� - living being viewed as a whole integrated entity.
- Acupuncture - Biofeedback - Deep breathing exercises - Diet based therapies (Varies - Adkins for example) - Reiki - Massage - Meditation - Movement therapies (Varies) - Natural products such as enzymes and herbs (Varies) - Naturopathy - Progressive Relaxation - Tai Chi - Traditional Healers
Almost any form of self-care can be considered CAM.
Users: People of all backgrounds have been recorded to use CAM. Greater amount of CAM users are likely to be adult women with higher education backgrounds.
Women are more likely to take steps toward preventative health by using CAM the more they are educated in general. I would like my designs to appeal to both men and women.
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Literature Review: Radiation Therapy From the results of: Radiation Therapy The Gale Encyclopedia Cancer Fact and Figures http://www.cancer.org/acs/groups/content/@research/documents/document/acspc-047079.pdf ACS Recorded a 55% average success rate to survive through to the five year mark after receiving radiation therapy.
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55% of patients survived past 5 years
Topic: Kill or damage cancer cells in the form of therapy From the results of:
Synthesis:
Radiation Therapy The Gale Encyclopedia
Even the positive solutions of radiation cause extensive cell damage and causes patients to experience isolation at some point during their treatment.
Problems
Solutions
Neither Positive or Negative
Can have serious consequences and should not be done by pregnant women because it can damage the cells of the baby.
Can be used along with chemotherapy and other forms of therapy.
Kills cells by damaging their DNA.
Damages DNA within cell therefore, making their ability to grow impossible.
Normal cells grow slower and normally have less damage.
Does damage normal cells. Can only be given in small doses due to extensive damage (1-5 minutes per session) Radiation therapy can cause: - Nausea - Vomiting - Hair loss - Anemia - Skin burn - Sterility - Death
Treatment is painless - like an ex-ray. Experimental anti-bodies are being studied to bind to the cancer cells and then be killed by radiation.
Synthesis: Curious to know if the study could be performed outside of the body and then re-injected like plasma.
Increases the risk of lukimia in children.
*If an implant is used, patients temporarily become radioactive and need to remain isolated.
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Literature Review: Chemotherapy From the results of:
Five-year cancer survival rates with Gerson diet therapy: Research http://www.naturalnews.com/043083_Gerson_diet_cancer_patients_five-year_survival.html Chemotherapy Encyclopedia Britannica, Inc., 1 Jun 2016; http:’’0-academic.eb.com.library.scad.edu/levels/collegiate/article/22796. Accessed 25 Sep. 2016 Chemotherapy The Gale Encyclopedia
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72% of patients survived past 5 years
Topic: To kill cancer cells by using alkylating agents to impair cell division (chemical compound) From the results of:
Chemotherapy Encyclopedia Britannica, Inc., 1 Jun 2016; http:’’0-academic.eb.com.library.scad.edu/levels/collegiate/article/22796. Accessed 25 Sep. 2016 Chemotherapy The Gale Encyclopedia
Synthesis: Chemotherapy has been accepted as normal to cause a secondary form of cancer.
Problems
Solutions
Neither Positive or Negative
Chemotherapy is likely to cause a drop in the white blood cell count which lowers the immune system and keeps it from functioning properly.
It is a drug that kills cancer in a specific part of the cell.
Vina alkaloids come from the periwinkle plant - these drugs keep cells from dividing normally
Chemotherapy drugs are toxic to normal cells just as they are to cancer cells. - Normal cells are more likely to be damaged in the process Chemotherapy can cause: - Nausea - Loss of appetite - Vomiting - Hair loss - Anemia and fatigue - Infection - Easy bleeding or bruising - Sores in the mouth and throat - Neuropathy and other damage to the nervous system - Kidney damage
Patients can partake in adjuvant chemotherapy - In conjunction with other treatments Multiple forms of taking chemotherapy include: - Orally - Injection - Through a catheter or port - Patients can be in patients or out patients depending on varying factors - Treatments may occur daily, weekly or monthly
Rest periods between treatments may be required for patients Some patients bring their friends or family for company and support during treatment
*Normal results, according to the American Cancer Society, are developing a secondary form of cancer called a malignancy.
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Literature Review: Gerson Therapy vs. Orthodox Treatment Stats. From the results of 50 case studies, 100% of people going through Gerson therapy made it to the five year survival mark where only 79% of people going through orthodox treatment survived. That is a 21% difference in survival rates. Five-year cancer survival rates with Gerson diet therapy: Research http://www.naturalnews.com/043083_Gerson_diet_cancer_patients_five-year_survival.html Gerson therapy http://skepdic.com/gersontherapy.html
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72% of patients survived past 5 years
100% of patients survived past 5 years
Topic: Surviving Against All Odds: Analysis of 6 case studies of patients with cancer who followed Gerson Therapy From the results of:
Gerson Therapy http://ict.sagepub.com/content/6/1/80.full.pdf https://www.ncbi.nlm.nih.gov/pubmed/17351030
Selective list of CAM practices
Treatments
Neither Positive or Negative Facts
Cancers included but were not limited to: 1 Malignant melanoma 2 Invasive adenocarcinoma of the breast 3 Lobular carcinoma 4 Anaplastic non-hodgkin’s lymphoma 5 Cholangiocarcinoma 6 Fibrillary Astrocytomas
1 Treated solely by Gerson therapy Patient diagnosed without symptoms and ended the case studies well.
Not considered a conclusive study of Gerson as treatment.
2 Chemotherapy and Gerson Survivor
Dietary manipulation may at least, improve life and potentially increase survival.
3 Chemotherapy, hormone therapy and radiotherapy before being treated by Gerson therapy. Survivor
It is the best to consult a healthcare professional while considering Gerson if the patient has already gone through orthodox treatment.
*Six patients participated in a fully documented case study during their cancer treatments.
4 Chop chemo (1 cycle) then Gerson Survivor
All cancers listed varied in severity and complications.
Gerson Therapy (PDQ (R) ) - Patient version is recognized by the National Cancer Institute
5 Treated solely by Gerson Therapy Deceased after six years of being diagnosed. 6 Chinese herbal therapy, radiotherapy then Gerson. Stable but not completely healed at the end of the case studies Still a survivor
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Phase 2
Survey Data Summaries 72% of survey recipients stated that either they or their loved one was hospitalized overnight while receiving treatment. 94% of patients made lifestyle changes once they were diagnosed with cancer such as quitting smoking, diet and exercise. Only 50% of survey recipients joined their loved one in practicing lifestyle changes 50% of survey recipients said they would like to stay on site with the patient while they received treatment. 27.78% of survey recipients said they would like multiple family members to stay on site. 22.22% Did not wish to accompany the patients.
Patients were hospitalized Patients make lifestyle overnight during treatment. changes once diagnosed with cancer.
Yes
Loved ones joined the patient in making healthier lifestyle changes.
No
Loved one wants to stay with the patient while they receive treatment.
Multiple
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Interview with PIOH practitioner, Dirk Yow, of Seattle, WA. I, Nicole Chaco, of Savannah College of Art and Design, interviewed Dirk Yow on the requirements and needs of running his practice in order to incorporate them into my building design. My goal is to create a holistic cancer treatment research facility in the form of a resort in the Tillamook national forest in Tillamook, Oregon. The current building I will be facilitating my interior design schemes in is the Tillamook Forest Interpretive Center. I want to do this so that the patients can have an exclusive get-a-way to a tranquil facility with their families and loved ones while they receive PIOH treatment and any other necessary treatment during the duration of their stay.
What is your official title? I’m a medicine man but I’m a PIOH practitioner. I specialize in detoxification.
Why is the official title medicine man? It goes back to the fact that I was recognized in Alaska for my work there in the community - when I went back to school to complete my degree I was invited up there and they gave me the title to honor my healing work that I gave them in the community.
How many employees do you need per patient? To keep the institute running optimally you need a front desk person “ the face of the institute needs to be very organized” - An assistant - PIOH practitioners - Great website manager for scheduling purposes - Probably 2 clerically and at least one floating assistant for PIOH. - A supervisory roll person (Dirk)
At your practice, is there a target number of patients that you feel is most productive being treated at once? What equipment do you need in each Technically, I can work on one patient at a room? time. By myself I’ve seen as many as fifty a week If I had four students going and each student worked full time (30 PIOHs a week) would be 120 PIOHs a week.
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be a problem being in the room. Each station should have an exhaust fan near the toilets. People are off gassing while they are detoxing.
Would you support a research facility that could potentially provide the data that the FDA needs to be able to prove PIOH to be a beneficial cancer treatment? ABSOLUTELY YES It would be really easy to measure Cortisol levels to see if there is a correlation between detoxing the liver and Cortisol found in the blood.
Would you consider working with Hydrotherapy instrument and that means each radiation and chemotherapy?
room needs to have its own toilet lines for hot, I have people that come in and are going through that as well. Am I for that, no. But like cold, and sink plumbing. I said i am not their doctor. Everything is on wheels and can be quickly disconnected and moved around on wheels. All the proper procedures to clean would not
Client and Users: White Heron Precision Intestinal Oxidative Hydrotoning Sponsors
Analysis
Users
PIOH is supported by:
Potential Clients/Users:
- The American Anti-Cancer Institute
- White Heron Operational Staff
- The Independent Cancer Research Foundation, INC. - Gerson Institute Which is recognized by the National Cancer Institute and holds a patent
- Cancer Patients - Cancer Patients Family Members - Doctors/Nurses/Oncologist/PAs - Dietitians / Instructors / Trainers
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Client and Users: Patients
Treatment Facilitators
- Previously Treated with orthodox treatment - Previously treated with unorthodox treatments - Newly diagnosed - Remission follow-up
- PIOH Practitioners - Oncologist - Nurses - Physicians Assistants
Building Staff and Permanent Residents - Retreat Manager - Staff - Dietitians - Health Instructors
Family Members -Immediate - Intimate - Distant Relatives - Children/teens
Design Needs - Privacy
- Machine accommodating sterile spaces / rooms
- Care - Resilient flooring
- Offices
- Family suites
- Back of house / possible housing
- Suites
- Comfort
- Recreational public space - Clerical office spaces
- Kitchens
- Individualized Spaces - Tranquility
- Play areas -Gym/ multi-functional spaces
Users: Dirk Yow
John O’Malley
Mary Thompson
Rebecca Joseph
The Joseph Family
George Jones
Claire Calhoun
David Calhoun
Dane Osis
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Secondary and Ancillary Users: The Joseph Family Receptionist
Local Store Owner Patient’s Husband Park Ranger
Mary Thompson
Charles, James and Stephanie
David Calhoun
George Jones
Dane Osis
Mary is a local Tillamook resident that runs the reception desk at the PIOH ceremony center. She is a strong Democrat, mother of two, wife, daughter, sister and devoted humanitarian. She commutes to work daily because she believes in the practice that Dirk runs. She enjoys hiking, getting to know new people, and spending time with her family in her free time.
Charlie is a strong, hard working, loving father, son, brother and husband. He stands by Claire in her decision to pursue holistic health in her cancer treatment. When not working, Charlie enjoys cycling and staying informed on the latest news on CNN. JJ is a young rebel figuring out adolescence. He is figuring out how to handle his mom being sick. JJ is the opposite of Charlie in every way but always steps up to be the Jr. man of the house whenever his parents need his help. He enjoys playing guitar, going to warp tour with his friends and playing video games. Steph is just young enough to not quite understand what her mother is going through. She just wants to play with mommy and daddy even though she is “very mature for her age.”
David is Claire’s devoted husband. He does not understand why she will not just go through chemotherapy again since it worked the first time. Although he does not understand his wife’s decision, he will still support her. He is a very traditional, loving, strong willed, southern gentle husband, father, grandfather, son and brother. David loves spending time with his wife on walks or sipping sweat tea on the porch. Separately he also enjoys taking a walk through the past with a good book or movie-documentary.
George is the local Tillamook Kroger store manager. He is a 45-year-old husband, father, son, brother and friend. He is a strong Hilary supporter that would go to the end of the earth to support his family. George does not affiliate himself with any religious practices but loves to spend his free time volunteering at the Advent Health, Tillamook Regional Medical Center and local church organizations in his free time.
Dane is a 28-year-old Tillamook State Park Ranger. He loves the great outdoors and lives his life as a true outdoorsman. He lives a humble life, doing what he loves, and makes just under 40k a year. Dane is currently a single dad to his three fur babies, Davy, Crocket and Annie. Although he is technically a millennial he is not very tech-savvy. Dane graduated from Oregon State University to pursue his dream as a park ranger and now spends his free time hiking, fishing and mushroom foraging.
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How The Facility Affects Ancillary Users
George Jones
Dane Osis
Tillamook Kroger Owner
Tillamook State Park Ranger
Ancillary User
Ancillary User
Higher produce sales
More potential park visitors
Higher flora/fauna sales
Bigger mushroom tour class sizes
Higher overall sales
Opportunities to share his knowledge of local foods or animals
Potential health benefits New regular and irregular customers Meet new people
More frequent tour groups Cultural learning opportunities More reasons to patrol the parks for safety Bigger demographic to educate on wildlife
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Primary User
Dirk Yow Dirk is a 63-year old medicine man. He currently runs White Heron, which performs ceremonial purifications, out of Burien, WA. He has been a medicine man for 35+ years now and is a strong believer in Christ and that the human body can heal itself if you only take care of it and listen to it’s needs. Dirk grew up as a Native American-Indian and has a background in drugless healing. He holds a BFS from Evergreen State College in conjunction to prior life experience. Dirk is devoted to detoxifying the body by cleansing the colon, liver, and lymph system and has the tools, knowledge and technology to do so.
Lead Practitioner
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User Journey: Start the day
PIOH Ceremony
Create and review charts
- Arrive at practice - Review daily client list - Set up treatment rooms - Get charts read
- Review bowel movements with patient - Pray with Patient (Varies) - Can see/oversee up to 36 treatments a day
- Char patient’s Cortisol levels in order to see if there is a correlation between detoxing the liver and Cortisol levels over time.
Break for lunch
Afternoon Appointments
Wrap Up Workday
- Lunch break falls after retreat cafe lunch hour - Often meets with patients to talk over lunch
- Precision Intestinal Oxidative Hydrotoning - Set up for next day appointment
- Finalize daily Cortisol charts - Record any billing information - Send out follow-up emails - Review current events & new medicines
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Primary User
John O’Malley John is a 28-year-old physician’s assistant. He holds a MS from South University in Savannah, Georgia and has a God given passion to help others. John left his job at UCSD medical center where he made upward of six figures to be a student at White Heron and practice PIOH under Dirk’s supervision. John hopes to change the face of healthcare and he plans to do so by mixing his knowledge of orthodox practices with PIOH and other forms of CAM treatments.
Student Practitioner
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User Journey: Meet the patient
History of present illness
Doc. and Review Systems
- Find out about any allergies, or medications the patient may currently be taking.
- Document the patient’s heath and cancer history
- Document each body system
Break for lunch
Afternoon Appointments
Wrap Up Workday
- Perform PIOH therapy
- Track the Cortisol levels of the patient in relation to detoxing the liver.
- Prepare patient for PIOH Therapy
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Primary User
Rebecca Joseph Rebecca is a 39-year-old mother of two, wife, sister and daughter. She is a recently diagnose cancer patient that wants to try holistic medicine and practices to heal her body before using orthodox methods. She lives a comfortable lifestyle and makes on average 52k a year and her husband makes upward of 300k a year. She was raised roman catholic but does not practice that faith. She is both English and German and can trace her ancestors back to the mayflower. She speaks four languages and has a Master’s of Fine Art in Fibers. Although she is not very materialistic, she is very tech savvy. Rebecca uses her tech skills to spread awareness about chemicals in fabric dyes through social media. She would call herself a left wing activist. In her free time she likes working in her studio and teaching her daughters her craft and environmentally mindful practices.
Newly Diagnosed Patient
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User Journey: Start the day
Prepare for PIOH
PIOH Ceremony
- Find out about any allergies, or medications the patient may currently be taking.
- Drop kids off at family hub or their desired activity
- Precision Intestinal Oxidative Hydrotoning
Post PIOH nutrition
Afternoon activities
Prepare for bed
- Organic fresh pressed juice
- Family guided hike (with wheelchair) - Gym/Yoga - Facility amenities - Dinner at the cafe
- Castor oil pack - Put the kids to bed - Enjoy the sounds of the Tillamook State Forest
- Raw, organic meal
- Head to treatment
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Primary User
Claire Calhoun Claire is a 65-year-old grandmother, mother, sister and wife. She has previously beaten cancer with chemotherapy treatments but is in her first stage of relapse. She is open to trying new things, which is why she is going to do PIOH. She and her husband are retired and live in Asheville, NC with their dog, Tuck. Before retiring, together they made upward of 90k yearly on average but were fabulous at saving and budgeting. She is a strong, “All American,” Christian woman that graduated from Northwestern University in Chicago, IL. She is very family-oriented and would rather be shopping with her grandkids than “swiping that fruit pad” (her granddaughter’s iPad) on the sofa.
Previously Diagnosed Patient
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User Journey: Start the day
Retreat activities
Prepare for PIOH
- If sickness of the stomach is present, wait for it to subside
- Full breakfast at retreat cafe - Head back to suite for chemotherapy medicine and rest
- Nature walk with Tuck and David - Nutrition class
- Walk to treatment room
PIOH Ceremony
Post PIOH nutrition
Prepare for bed
- Precision Intestinal Oxidative Hydrotoning
- Organic fresh pressed juice
- Couples in-suite massage - Castor oil pack - Pull out the sickness preparation bedside table feature
- Raw, organic meal
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Values
POEMS of PIOH
People
Cancer patients and their families
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Objectives
Environment
Messages
Services
Services
Heal holistically and educate in order to change patients paradigm to become more proactive with practicing preventative health measures.
The embodiment of a holistic wellness center.
Our goal is to educate people on the functions of their body. PIOH speaks directly to how bowel constipation can affect the brain, blood, bones and entire body.
+ PIOH + Saunas + Massage Therapy + Physical Fitness + Meditation Classes +Gym Space +Connection to Nature
+ Acupuncture + Coffee Enema Guidelines and Equipment + Castor Oil Packs + Juice Classes and Bar + Nutritionist +Advising
Goals Five “E�s Experiential Goals
Entice
Enter
Entice guest to utilize this destination retreat facility by allowing their loved ones to experience this healing PIOH in a beautiful atmosphere that they want to be able to be included in.
Enter into a welcoming atmosphere that embodies a luxurious version of home.
Engage
Engage in energetic low-maintenance lessons in self-care, healing, wellness, fitness, nutrition and awareness.
Exit
Extend
Exit feeling completely equipped to maintain their health, if not improve it, on their own once they leave the facility.
Follow up with newsletters, new recipes, retreat scholarship opportunities, personal patient health check-ups and exit packages to assist patients in maintaining, if not improving, their health.
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Phase 3
Programmatic Goals
Design Objectives
To treat cancer and other body ailments holistically Make the treatment process less intimidating. Educate families in a fun and non-stressful manner Create an escape for patients and their families Create opportunities for lifestyle changes Find a way for families to bring these strategies home with them when they leave
To develop a new take on medical procedure rooms (almost creating an “In-retreat hospice”) Create retreat rooms that provide guest with the appeal of a resort facility Design a place for family classes and photo opportunities that make the retreat a go-to fun place to visit Design a tranquil facility in a nature-rich location Have fitness and meditation studios that brings new meaning to “from the inside out.” Have guest suites resemble a tiny home for lifestyle practices
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Programming
Services: PIOH Therapy Room Auditorium Space Clerical Spaces Reception Guest Suites Cafe Gym Health Spa Community Hub Juice Bar
Machine Prep
PIOH Therapy
Record Cortisol
Programming Juice bar
Size Matrix: Health
Fitness
Community Hub
Reception
Clerical Spaces
Theatrical Space
Retreat Suites
Cafe
Treatment Room
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Programming PIOH Therapy Treatment Room Additional space necessary: Waiting area for extended family members Seating within treatment room for patient’s guest
Theatrical Space Auditorium Space uses: - Lectures - Movies for periods of unuse. - Seminars among other health practitioners.
Clerical Space Offices Additional space necessary: - Overseer’s Office - All Practitioner’s Offices -Retreat Manager’s Office - HR Office - Maintenance - Security - Private meeting rooms - Therapy rooms
Reception Front Desk Receptionist purpose: - The face of the facility - Greets guest - Website facilitator
Programming Retreat Suites Guest Rooms Space concerns: Space constraints will inhibit the functionality of the program if guest suites are included within the building. Proposal of external suites, separate from current site as phase two of program process will be necessary.
Cafe Food Related Spaces
Health & Fitness
Community Hub
Gym
Family Room
Additional space necessary:
Additional space necessary:
Additional space necessary:
- Dining area - Juice bar - Tutorial counter - Quick grab food - Kitchen - Cold storage space - Storage - Loading dock - Maintenance space
- Multi-functional Studio
- Adjacent to theater
- Weight lifting area
- Daycare
- Sauna
- Play space
-Acupuncture
- Billiards/Ping pong
-Massage Therapy
- Storage
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Site Analysis: Location Tillamook State Forest
Publicly owned, 364,000 acre forest in the United States that sits in the northwest corner of Oregon, between Portland and the coast.
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Site Analysis: Local Population and Demographics of the nearest town, Tillamook, OR.
The site is located in a State forest that is publicly owned property. Therefore, the local demographic is only urban although the site is rural. Population in 2014: 4,940 of the urban town nearest to the site. Population change since 200: +13.5% Males: 2,188 (44.3%) Females: 2,752 (55.7%) Median resident age: 35.9 years Oregon median age: 39.1 years Estimated median household income in 2013 was $34,473 Estimated median Oregon household income: $50,251 Page 47
Site Analysis: Overall Topography Approx. Elevation: 1,063 feet (324 meters) above sea level
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Site Analysis: Surrounding Views
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Site Analysis: Site Circulation Exits and Approach
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Site Circulation The site can be accessed through the Wilson river highway or on a back road from Jones creek road which will lead back to the highway or to Jones creek campground. The Wilson river also leads to the site and goes under the buildings observation bridge.
Site Analysis: Site Circulation Security
Concerns/Solutions Security concerns may be due to multiple points of access in a fully covered, woodland area. Solutions could be security cameras and staff manning the site 24/7 as well as the existing large parking lot at the Southeast end where guest can feel assured their cars are safe.
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Site Analysis: Proximity to other services and transportation access
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Grocery Stores
Gas Stations
Site Analysis: Approximately a 33 minute drive and a 45 minute bus ride to other services off site
Restaurants
Hotels/Inns
Hospitals/ Clinics
Airport
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Tillamook, Oregon Climate Chart Jan Feb Mar Apr May Jun Average high in ferinheight: 52 54 56 58 62 65 Average low in ferinheight: 37 37 38 39 44 48
Site Analysis: Climates
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Av. precipitation in inches: 13.5 9.69 9.72 7.09 4.72 3.58
Tillamook, Oregon Climate Chart Jul Aug Sep Oct Nov Dec Average high in ferinheight: 68 69 69 63 56 51 Average low in ferinheight: 50 50 46 42 40 36
Site Analysis: Climates
Av. precipitation in inches: 1.38 1.3 2.99 6.93 13.86 13.23
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Site Analysis: Climates: Tillamook State Forest is in a microclimate as a temperate rainforest
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Site Analysis: Sun and Wind Diagrams in conjunction with site organization.
Due to the higher altitude, the site has a higher wind level than the town of Tillamook, OR. It also has lower traffic and pedestrian noise levels. This is due to extreme isolation of the site from all urban amenities and noises that is naturally provided by the surrounding topography and forest.
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Site Analysis: Sun and Wind Diagrams Winter Solstice Sunrise: 7:53am Sunset: 4:30pm
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Site Analysis: Sun and Wind Diagrams Summer Solstice Sunrise: 4:27am Sunset: 8:04pm
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Site Analysis: Sun and Wind Diagrams Fall Day, Oct. 27th Sunrise: 6:48am Sunset: 5:08pm
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Site Analysis: Design Features Suspension Bridge Leading to Site
Observation Tower Overlooking Site
Exterior Classroom Separate From Site
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Building Analysis: Structural Systems Key: Structural walls not showing openings Columns
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Building Analysis: Massing Key: Exhibit Gallery Restrooms Gift Shop Theater Clerical Spaces Educational Storage/Mechanical Decks Circulation Page 63
Building Analysis: Hierarchy of Spaces: 1 Exhibit Gallery 2 Theater 3 Educational
7
4 Decks 5 Circulation 6 Clerical Space 7 Restrooms 8 Gift Shop 9 Storage/Mechanical
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9 8
4
5
9 2
4
5 9 9 3
9
6 1 4 3
3
9 4 4
Building Analysis: Floor to roof-deck height with human scale Height: 25’ 6” Human scale: As shown
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Building Analysis: Building Envelope Massing and Fenestration Key: Fenestration
Building Envelope
Note:
The fenestration appeals to the modularity of the exterior design. With the a-symmetrical axis and the repetition of the windows the building creates visual harmony.
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Building Analysis: Vertical Circulation Key: Points of entry/exit
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Building Analysis: Safety Key: Accessibility Fire safety points of alternative exits
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Safety Note: Due to isolation of the building, security could be a potential issue and future security measures should be implemented in design.
Building Analysis: Sun patterns: Summer
Fall
Winter
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Building Analysis: Thermal Gain and natural light sources: Summer
Design Note: Passive solar design could be potentially implemented on the west facing wall by creating a passive solar heating and cooling by adding additional material and an overhang.
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Building Analysis: Structure Key: Unique design features to the building such as:
- Observation Tower Bridge - “Donkey” Monument - Outdoor Amphitheater
A-Symmetrical building layout Axis of building
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Building Analysis: Existing Materiality Wood
Metal
Stone
Steel
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Phase 4
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Precedent Studies: Hippocratic Health Institute Programmatic studies: The Hippocratic Health Institute supports its results with empirical data, adding blood profiles and physicians to the staff, leaving a legacy of healing beyond anecdotal stories. Mission statement: Helping people help themselves. At HHI, guests are never told that they can be ‘healed’, it’s about giving people the tools they need to help themselves achieve their goals; They only speak from experience. Today, hundreds of thousands of people have been through HHI, offering mountains of substantive data and empirical evidence that allows HHI staff to truly teach from experience.
Precedent Studies: North Bend House Forest Retreat Architects: Johnston Architects Location: North Bend, Washington, United States Square Feet: 2100 “Big ideas� taken from this study: The organization of the houses.
The use of material.
The use of making a small space seem large with opening spaces.
The play of light in the darkness.
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Precedent Studies: North Bend House The unique design of this forest retreat is intentioned to accommodate both professional and practical demands of forest living, but it also fulfill a deep desire to do what is right [pay homage to the environment they are inhabiting].
Precedent Studies: North Bend House Approach:
Inviting arrival into the space showing interconnectivity between relating buildings.
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Precedent Studies: Existing Materiality Wood
Solids
Paint
Flooring
Precedent Studies: North Bend House The separation of public and private spaces that is shown in these two plans here give retreat users the ability to entertain while having their own space to ‘retreat’ to. Key: Public Private
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Precedent Studies: North Bend House Organization:
Cluster with a central axis The primary spatial relationship shows the importance of the common space adjacencies displayed in the open floor plan. Key: Bedrooms Circulation space Living Room Family/Media Room Utility Room Restrooms Kitchen Stairs
Precedent Studies: North Bend House Parts to the whole:
The entire composition of the space could be summarized into three categories.
Key: Primary Space Secondary Space Additional Space
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Precedent Studies: Phoenix Children’s Hospital Children’s Hospital Architects: HKS Architects Location: Phoenix, Arizona, United States Square Feet: 770,000 “Big ideas” taken from this study: The organization of the hospital.
The use of color and reflection.
The importance of privacy.
The use of circulation.
The use of light.
Precedent Studies: Phoenix Children’s Hospital The design goal of the hospital is to create an oasis to alleviate children’s fears and worries that is visually connected to the surrounding landscape, emulating the mountains and desert. The space offers young patients and their families welcoming distractions through color and movement.
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Precedent Studies: Phoenix Children’s Hospital Approach:
Inviting arrival into the space showing interconnectivity between relating buildings.
Precedent Studies: Existing Materiality Veneer
Tile
Paint
Flooring
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Precedent Studies: Phoenix Children’s Hospital Strong separation of public spaces versus private spaces are shown in the plans. This gives patients privacy yet doctors will still have quick access to them. Key: Diagnostic / treatment Public / administrative
Precedent Studies: Phoenix Children’s Hospital Organization:
Vertical stacking reduces horizontal travel for medical and support staff. Flexible pediatric clinics are grouped in expandable modular units to ebb and flow with daily needs. Key: Patient care units Lease space Public / administrative Building services Diagnostic / treatment Circulation Vertical Circulation / shafts Auxiliary color Page 87
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Precedent Studies: Phoenix Children’s Hospital Parts to the whole:
The entire composition of the space could be summarized into these categories. Key: Patient care units Diagnostic / treatment Public / administrative Building services Lease space Circulation Vertical Circulation / shafts Auxiliary color
Precedent Studies: Writer’s Retreat Private Retreat Architect: Achitectare Location: Itaipava, Petrópolis - RJ, Brazil Square Feet: 334 “Big ideas” taken from this study: The isolation and simplicity of the house.
The use of natural material. The separation of spaces.
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Precedent Studies: Writer’s Retreat This retreat symbolizes a cave which suggest shelter, self-knowledge, return to basics, reflection, pregnancy, growth, freedom through thought and many other meanings.
Precedent Studies: Writer’s Retreat Approach:
Inviting arrival into the space welcomed by a stone path leading to the main entrance.
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Precedent Studies: Existing Materiality Wood
Metal
Stone
Glass
Precedent Studies: Writer’s Retreat The separation of public and private spaces is shown in the plan clearly through the main entry corridor.
Key: Private Public
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Precedent Studies: Writer’s Retreat Organization: Cluster
The primary spatial relationship shows the importance of the common space adjacencies displayed in the floor plan. Key: Primary Space Secondary Space Lavatory Space Outdoor Space
Precedent Studies: Writer’s Retreat Parts to the whole:
The entire composition of the building could be summarized into four categories.
Key: Primary Space Secondary Space Lavatory Space Outdoor Space
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Living Connection Concept In order to restore to balance, nature has a radial healing process. This process brings hope by showing the apparent changes that started within each living organism. From the inside out, Living connection triggers our desires to remove the toxic layers of our lives. Here, we start with the toxicity that is within our own bodies so that patients are able to find a hopeful balance within their own lives.
Concept
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Materiality
Schematic Design Diagrams Parti Exploration
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Schematic Design Diagrams Parti Diagram
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Schematic Design Diagrams Adjacency Diagrams
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Schematic Design Diagrams Adjacency Diagrams
2.
1.
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3.
Schematic Design Diagrams Design A + Bubble Diagram + Block Diagram + Strong linear public vs. private spaces + Public spaces all accessible from the building exterior
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Schematic Design Diagrams Design B + Bubble Diagram + Block Diagram + Strong public vs. private spaces + Flexible circulation
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Schematic Design Diagrams Design C + Bubble Diagram + Strong adjacencies
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Schematic Design Diagrams Circulation Studies
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Design Sketches:
Prototypicals + Patient Room Page 107
Design Sketches:
Prototypicals + Patient Room
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Design Sketches:
Moments + Reception Page 109
Thank You!