At Salish Ketamine, we believe in a holistic approach to wellness. We offer innovative ketamine therapy treatments, empowering you to feel your best from the inside out.
Our team of experts are board-certified and utilizes ketamine infusions to treat treatment-resistant depression, anxiety, PTSD, chronic pain, and OCD. We prioritize patient comfort and safety, creating a supportive environment for your journey towards mental and emotional well-being.
Patients will have their IV’s placed under ultrasound guidance for their comfort and to reduce the number of needle sticks.
Dr. Raj Jayarama
Physican
I’m a board-certified emergency physician with 25 years of experience, currently practicing at St. Joseph Emergency Department and Skagit Valley Hospital, where I’ve served as Medical Director of the Emergency Department for the past six years. I completed my residency training in New Jersey and went on to pursue an ultrasound fellowship in Charlotte, North Carolina.
In addition to emergency medicine, I also work in an integrative medicine clinic—an experience I deeply value. I believe in the powerful connection between mind and body, and in the importance of treating both to promote true healing.
Now based in Bellingham, Washington, I recharge by exploring the local trails on my mountain bike. Before medicine, I played rugby for 12 years, and I still carry that same spirit of grit, camaraderie, and resilience into everything I do.
Dr. Richard Baluyot
Physican
I am a board-certified Emergency Medicine physician currently practicing at Skagit Valley Hospital and Cascade Valley Hospital. I was born and raised in Las Vegas, went to medical school in Utah and completed residency training in Philadelphia and New Jersey. My medical journey allowed me to experience a wide breadth of patient populations, healthcare systems, and clinical approaches broadening my perspective and strengthening my ability to adapt to the unique needs of each one of my patients. I believe that effective care begins with listening and understanding each patient’s unique circumstances, and building a foundation of trust. My goal is to combine my broad clinical experience with emerging treatment approaches to provide thoughtful, personalized care that helps patients explore new possibilities for improving their health and quality of life.
On a more personal note, I have 2 dogs and 1 cat that my wife and I love to take on hikes/trails whenever possible. My wife and I are also big foodies and are always looking for a new place to try out when we have the time.
Emergency Medicine Experience
As an emergency physician, Dr. Jayamara has extensive experience administering ketamine for procedural sedation, rapid sequence intubation, and acute pain management. This familiarity with ketamine’s pharmacology, dosing, and effects in emergent situations provides a strong foundation for using it safely and effectively in a clinical setting for other indications like treatment-resistant depression or chronic pain.
Rapid Assessment and Triage
Emergency medicine requires quickly assessing patients, triaging cases based on acuity, and initiating appropriate treatment plans. This skill set translates well to evaluating candidates for ketamine therapy, identifying potential contraindications or risk factors, and determining suitable dosing regimens.
Managing Acute Adverse Effects
Dr. Jayamara’s training has prepared him to promptly recognize and manage potential acute adverse effects associated with ketamine administration, such as emergence reactions, hemodynamic instability, or respiratory depression. His expertise in airway management and resuscitation is invaluable for ensuring patient safety during ketamine infusions or injections.
Multidisciplinary Collaboration
The fast-paced emergency department environment necessitates close collaboration between physicians, nurses, pharmacists, and other staff. This experience likely facilitates Dr. Jayamara’s ability to work cohesively with psychotherapists and others involved in delivering comprehensive ketamine-assisted psychotherapy services.
