WINTER 2016

Festival of Trees raises funds for Kidney Center 26

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HealthQuestA publication of Skagit Regional Health

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New providers join medical staffFrom boxer to surgeonExpanded OB care in StanwoodSedro-Woolley practice joins Skagit Regional Clinics 15

Winter WellnessTips to good health 12

Endocrinology?Dr. George Ang explains 4

What is

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13TH ANNUAL

SAVE THESE DATES

SPONSORSED BY:

Monday March 7th, 2016Il Granaio Restaurant

100 E. Montgomery StreetMount Vernon

For reservations call: 360-814-5747

June 24th 2016

Skagit Golf & Country Club Burlington, Washington

For information and tickets call: 360-814-8376

Gregg Agustín Davidson, FACHEChief Executive Officer

20162016 is shaping up to be an

amazing year at Skagit Regional Health as several major projects work together to advance medicine and safe patient care across the region.

Our projects include the implementation of a new Electronic Health Record, preparing to lease and operate Cascade Valley Hospital and Clinics in Arlington and developing our clinical affiliation with UW Medicine.

The Skagit Regional Health Board of Commissioners approved a major investment to benefit our patients by selecting Epic as the vendor for a new Electronic Health Record (EHR). This strategic decision supports Skagit Regional Health’s efforts to advance medicine and affirms our organizational goals for patient safety, quality care, system growth and population health.

This new clinical tool will improve system interoperability, connectivity with the patients we serve and data sharing across our continuum of care. More than 300 staff members, including many providers, nurses, techs and medical assistants, participated in the selection process, an illustration of the high interest and enthusiasm in this project to benefit our patients. Implementation will take place over the next 18 months with go-live in mid-2017.

We also have a definitive agreement with Cascade Valley Hospital and Clinics that will have Skagit Regional Health leasing and operating the Arlington hospital and five related clinics later this year. I see this as an important step in providing access to care in the region and being a leader in meeting the needs of patients who live in north

Snohomish, Skagit, and portions of Island counties.

Skagit Regional Health is a key component of the health care safety net in the region. We provide care for all patients regardless of their ability to pay and more than 70 percent of our patients are covered by Medicare and Medicaid.

We continue to work with UW Medicine on our clinical affiliation and ways we can bring the strengths of this world-renowned health care

institution to benefit the patients we serve. The UW Neighborhood Smokey Point Clinic opens in January, offering primary care services, and the UW Medicine Maternal Fetal Medicine Clinic has been operating in Smokey Point since 2014 providing high-risk pregnancy services. Both are located at 3823 172nd Street NE in Smokey

Point, where Skagit Regional Clinics continues to offer Urgent Care and specialties including cardiology, neurology, urology and occupational medicine. The location is also the home for our Regional Cancer Care Center. Join us for an open house on January 23 – details on page 11.

These are exciting times with lots of change going on. What does not change is our commitment to our patients and our mission to “continually improve the health of our communities, serving with compassion and respect, one person at a time.”

Making major moves in

Winter 2016 3

HealthQuest is published three times a year by Skagit Regional Health and the Skagit Valley Hospital Foundation.

HealthQuest

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HealthQuest ClassesStanwood and Camano Island

HealthQuest ClassesMount Vernon

HealthQuest ClassRegistration

Festival of Trees a success! Raises funds for Skagit Valley Kidney Center

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Cover PhotoEndocrinologist George Ang, MD joined Skagit Regional Clinics in July and sees patients in his Mount Vernon office.

Photo by Linda Wright

WINTER 2016 / VOLUME 13 / ISSUE 1

WHERE TO FIND USIn Person:Main Skagit Valley Hospital entrance located on Hospital Parkway in Mount Vernon.

By Mail:P.O. Box 1376Mount Vernon, WA 98273Phone: 360-424-4111Fax: 360-814-2416

On the Web:www.skagitregionalhealth.org

Find a Doctor Phone Line:360-848-5555 or 360-629-5850

SKAGIT REGIONAL CLINICSAnacortes: 360-293-0308Anacortes Urology: 360-293-2173Arlington: 360-657-8700Camano Island: 360-387-5398Cardiology: 360-336-9757Mount Vernon: 360-428-2500Oak Harbor: 360-639-3093Residency Clinic: 360-814-6230Riverbend: 360-814-6800Sedro-Woolley: 360-856-4222Stanwood: 360-629-1600

SKAGIT VALLEY HOSPITAL REGIONAL CANCER CARE CENTERIn Person:307 South 13th St., Ste. 100Mount Vernon, WA

3823 172nd St. N.EArlington, WA

By Phone:Phone: 360-814-2146 or 360-618-5000Fax: 360-814-2445

THE BREAST INSTITUTE360-814-8148

For additional copies of HealthQuest or more information, contact Outreach and Media Coordinator Linda Wright at 360-814-2325 or go to our Web site at www.skagitregionalhealth.org.

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What is Endocrinology?Dr. George Ang explains this complex specialty

From boxer to surgeon Meet new general surgeon Allison Porter, MD

Winter WellnessTips to good health during the short days of winter

Expanded OB careRhett Andelin, MD joins Jimmy Grierson, MD in Stanwood

New name, familiar providersSedro-Woolley practice joins Skagit Regional Clinics

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Gar

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Endocrinology is the study of the complex system of glands that make and release hormones controlling our growth, development, reproduction and metabolism. When glands produce too much or too little hormones, the effects can be felt throughout the body.

An endocrinologist uses advanced training to diagnose and treat hormone imbalances through lifestyle changes, medications or refers the patient for surgical procedures.

“I like to see patients take control of their disease and not the disease controlling the patient,” said Dr. Ang.

The most common endocrine disease in the United States is diabetes, which affects nearly 29 million people.

“Almost half of the patients we see as endocrinologists have diabetes,” said Dr. Ang.

Dr. Ang works in partnership with his patient’s primary care provider to jointly manage the care of diabetes and other chronic diseases in order to prevent complications. If left untreated, patients with diabetes can suffer from heart disease, stroke, kidney disease, amputation and blindness.

Dr. Ang noted that it can be challenging for primary care providers to manage so many diseases. “That’s why I’m here to help,” said Dr. Ang. He compares his role in a patient’s care to a cardiologist who works with a patient and his or her primary care provider to manage heart disease as a team.

Area primary care providers welcome Dr. Ang’s expertise and the enhanced access to endocrinology services here in Skagit County.

“We are very happy to have an endocrinologist in the area to enhance the care of those patients with diabetes, thyroid disease and other endocrine conditions,” said local internist Mary Ann Hink, MD.

Depending on the patient’s diagnosis, treatment plan and preference of the primary care provider, Dr. Ang may see patients a few times or on an ongoing basis. Some patients, particularly those with diabetes, benefit from endocrinology appointments every few weeks.

Because diabetes affects so many areas of the body, endocrinologists also work closely with dieticians, diabetes educators, podiatrists and optometrists.

Dr. Ang also treats adult patients with thyroid disorders, thyroid cancer, high cholesterol, Vitamin D deficiency, osteoporosis, pituitary

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A frequently asked question to George Ang, MD is “what is

Endocrinology?” Dr. Ang is the perfect person to answer that

question as he joined Skagit Regional Clinics in July 2015 as

the area’s first full-time endocrinologist.

What is

Winter 2016 5

disorders and adrenal disease. Many of these conditions present opportunities for Dr. Ang to work with other local specialists in the fields of nuclear medicine, radiology and surgery. “We are a team to take care of the initial diagnosis, treatment and then ongoing follow-up care,” said Dr. Ang.

Dr. Ang’s arrival at Skagit Regional Clinics has been well received by local patients. Many patients who previously had to travel to Bellingham for endocrinology appointments can now receive care closer to home.

Skagit Regional Clinics offers endocrinology appointments in Mount Vernon five days a week. To schedule an appointment, call 360-814-6315.

LEFT: Dr. George Ang says he enjoys working in partnership with patients and their primary care provider to jointly manage chronic illnesses.

GEORGE ANG, MD is a graduate of the University of Santo Tomas in Manila, Philippines. He completed

Internal Medicine residency training at St. Johns’ Episcopal Hospital – South Shore in Far Rockaway, New York. He completed an Endocrinology fellowship at SUNY – Health Science Center at Brooklyn followed

by an Endocrinology, Diabetes and Metabolism fellowship at SUNY – Health Science Center in Syracuse and served as a faculty in the division of Endocrinology after training. Dr. Ang is certified by the American Board of Internal Medicine and the Subspecialty Board of Endocrinology, Diabetes and Metabolism.

The Skagit Regional Health Board of Commissioners in November approved a major investment to benefit patients in the region by selecting Epic as the vendor for a new Electronic Health Record

(EHR). This strategic decision supports efforts by Skagit Regional Health to advance medicine and affirms the organization’s goals for patient safety, quality care, system growth and population health.

This new clinical tool will improve system interoperability, connectivity with patients, access to information and data sharing across Skagit Regional Health’s continuum of care, including Skagit Valley Hospital, Skagit Regional Clinics, Skagit Valley Hospital Regional Cancer Care Center and Skagit Valley Kidney Center. With the recently approved definitive agreement, the single platform EHR will also extend to Cascade Valley Hospital and Clinics.

“This is a critical, strategic decision for our organization, our region and, most importantly, the patients we serve,” said Gregg Davidson, Chief Executive Officer. “We are taking this important strategic step for all the right reasons.”

The purchase of the EHR represents an investment of approximately $72 million over the next five years. The implementation over the next 18 months will provide a key, best-of-class clinical tool, and

a significant economic impact to the community.

Various staff from Epic will be on site throughout the process, spending significant periods of time in our community. Additional staff, including an EHR project manager, will be hired in Information Systems at Skagit Regional Health to support the implementation process.

John Sternlicht, Executive Director of the Economic Development Association of Skagit County, greeted the announcement with enthusiasm.

“Not only does this huge investment in a state-of-the-art electronic health record speak to the advanced level of health care available in Skagit County, but also the professionals coming to work in our area for a long period will have a significant economic impact through meals, lodging and retail sales,” Sternlicht said. “And of course, I wouldn’t be at all surprised if some of them fall in love with our community and decide to stay.”

Next steps involve negotiating a contract and finalizing the plan. Implementation will take approximately 18 months, with go-live anticipated in mid-2017.

The process leading to the vendor selection included an EHR planning committee led by Dr. Rico Romano and Dr. Chris Kweon, and more than 300 staff and providers who took time during demonstrations by the three finalist vendors to evaluate the products.

Winter 2016 5

New Electronic Health Record serves as investment in patient

safety, quality care

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FROM

From the time she was young, DR. ALLISON PORTER found ways to challenge herself. As a teenager, she volunteered to participate in a flood relief project in rural Idaho not knowing at the time that it would help shape her career path.

During the trip, Dr. Porter woke up before sunrise to shovel rotten grain out of a silo because the temperature inside the silo became too hot during the day.

“It was physically demanding, but when it was finished, the farmer, who was a father of six and who had lost his entire crop that year, was so grateful that he broke down in tears when he thanked us,” said Dr. Porter. “I realized at that moment that I wanted to use my career to help others in a way that was extraordinarily meaningful to them.”

Dr. Porter attended Harvard University. She completed her pre-med requirements while earning a degree in Astronomy and Astrophysics. She continued to challenge herself outside the

classroom by walking on to the university’s junior varsity soccer team. When the soccer season ended, she joined a boxing class as a way to stay active. When the class became less challenging, she entered

competitions. Dr. Porter boxed competitively for eight years and was ranked seventh nationally in the Bantamweight division before retiring.

Dr. Porter has found similarities between her experience boxing and performing surgery. In boxing, there has to be incredible focus on preparation. One must be

thoroughly prepared because the stakes are high, she said. The same is true of surgery. In the OR, Dr. Porter is very focused and describes being in almost a meditative state.

“My mind is focused on one thing. I love that feeling,” Dr. Porter said. “I love to harness the focus I learned as a boxer to help people through surgical care. That’s one of the reasons I chose a career in surgery.”

Following graduation from Harvard, Dr. Porter worked as

a research technician at Fred Hutchinson Cancer Research Center. She was also a prominent public speaker about cancer research and funding during her reign as Miss Washington through the Miss America Organization. Just after her tenure as Miss Washington, she began her first year of medical school at the University of Washington.

Dr. Porter remained in Seattle to complete a General Surgery internship and residency at Virginia Mason Medical Center, and then returned to the University of Washington for an Advanced Minimally Invasive Surgical Fellowship which focused on surgery of the stomach and the esophagus. She performs an array of general surgery procedures, but specializes in antireflux surgery, hiatal hernia and paraesophageal hernia repair, and open and laparoscopic hernia repairs.

When looking for a place to establish a practice, Dr. Porter wanted to find a rural community that offered opportunities to serve the Hispanic population as she had while working as a Spanish Medical Interpreter and when she helped to establish the Hispanic Health Pathway program during medical

BOXER TO SURGEON

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Dr. Allison Porter, a new general surgeon at Skagit Regional Clinics, says she finds familiar focus in her sports experience with boxing and her medical specialty of surgery.

Winter 2016 7

The Board of Commissioners recently approved the purchase of new linear accelerator equipment for our radiation therapy program. Located in the Susan and Leighton Wood Family Radiation Wing at Skagit Valley Hospital Regional Cancer Care Center, the new state-of-the-art technology will expand current treatment capabilities.

“We are thrilled to be acquiring Elekta’s state-of-the-art technology for accurate and efficient radiation delivery with the new Versa HD,” said Dr. Michal Whiton, radiation oncologist at the Regional Cancer Care Center. The vendor and the accelerators were selected in a process including input from our radiation therapy providers and staff.

“Many of our patients have cancers that are located in very critical areas and demand an extra level of tumor targeting precision, or

lesions that require very high doses of radiation to achieve better tumor control, which reduces the length of the treatment course. Versa HD is perfect for these complex cases by

virtue of its advanced beam-shaping, imaging and high dose rate technologies,” said Dr. Whiton.

The new technology replaces the original equipment purchased in 2006 and 2009. The new systems will be in use in June 2016.

“We are thrilled that the Board of Commissioners is dedicated to keeping cutting edge technology available in our community,” said Director of Oncology Barb Jensen. “This is a great way to kick off our 10th anniversary as a comprehensive cancer program. We are proud to provide compassionate, expert care for the people of our region.”

Board approves purchase of new radiation therapy equipment

BOXER TO SURGEON

MEET THE GENERAL SURGERY TEAM AT SKAGIT REGIONAL CLINICS

Skagit Regional Clinics – General Surgery offers minimally invasive laparoscopic surgery, surgical oncology, vascular surgery, thoracic surgery for the lung and esophagus, endocrine surgery (thyroid and parathyroid), gallbladder surgery, care for breast disease, hernia repair, varicose vein treatment and screening endoscopies. The surgeons include:

• Joel Dean, MD• Joshua Hawkins, MD, FACS• Morris Johnson, MD, FACS• Steven Lee, MD• David Lauter, MD (not pictured)• Chinnaya Parimi, MD• Allison Porter, MD

Plastic and Reconstructive Surgery:• Edwin Chang, MD, FACS

To schedule a surgery consultation, please call 360-428-2586. Winter 2016 7

school. She also knew the importance of finding the right team of surgeons with whom to work. She had worked with Skagit Regional Clinics’ surgeons Dr. Joel Dean, Dr. Joshua Hawkins and Dr. Chinnaya Parimi during her time at Virginia Mason Medical Center.

“I knew and trusted them, which is important when picking your partners,” said Dr. Porter. Skagit Regional Clinics was a natural choice.

Dr. Porter said she approaches her surgical practice with the mindset that human life is precious, she prioritizes safety and compassion in the care of her patients and takes into account the values of her patients when making surgical decisions.

Dr. Porter remains active in her free time mountaineering, surfing, snowboarding and participating in competitive Crossfit events. She also enjoys spending time with her husband and young son.

SUSA N A N D L E IGH TON WO OD FA M I LY R A DI AT ION W I NG

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Skagit Regional Health opened the Heather Schols Cardiac Rehabilitation Center in October. The center, located on the garden level of Skagit Valley Hospital is also home to the Mark Iverson Rehabilitation Gym, education center and sports medicine clinic gym.

Cardiac rehabilitation program patients can now use state-of-the-art exercise and rehabilitation equipment. Educational components of the program are taught in a modern, comfortable environment in the center.

The opening of the Heather Schols Cardiac Rehabilitation Center was warmly welcomed by Skagit Regional Health staff, patients and the public.

“How fortunate I am (and we all are), to have the Cardiac Rehab and Heart Healthy Fitness programs at Skagit Valley Hospital,” said cardiac rehabilitation patient Jim Kenny. “After 70 years of enjoying the typical American diet I was diagnosed with cardio-vascular disease requiring an angioplasty procedure. Next came six weeks of closely monitored cardiac rehabilitation, providing helpful education about heart disease and just the right amount of exercises for aiding the recovery process.”

The sports medicine side of the center offers patients the latest exercise equipment, plenty of floor space for balance, movement and agility training and more for athletes, weekend warriors and active individuals alike under the expert supervision of the Skagit Regional Health physical therapy team.

The $410,000 project was funded by the Skagit Valley Hospital Foundation. Generous gifts from hundreds of donors made this project possible. (See related story on Page 24)

Cardiac Rehabilitation has a

NEW HOME

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ABOVE: Exercise Specialist Jeff Rhodes works with Ken Fowler in the new cardiac rehabilitation gym.

ABOVE: Don Woodworth listens closely as Cardiac Rehabilitation Coordinator Liz Browning offers instructions for exercising on a treadmill.

H E AT H E R SCHOL S C A R DI AC R E H A BI L I TAT ION CE N T E R

ABOVE: The Mark Iverson Rehabilitation Gym.

Winter 2016 9

There are other, lesser known factors that also impact our heart health every day.

WAIST CIRCUMFERENCE: Although being at an unhealthy weight is a risk factor for heart disease, waist circumference alone has been shown to increase risk. In recent studies, belly fat cells have been shown to churn out hormones, chemicals and other inflammatory substances that greatly increase the risk of heart disease.

STRESS/EMOTIONS: Stress happens. When we are under pressure, our body overworks our hearts by producing excessive adrenaline-this is not good for the heart. Exercise regularly to train our hearts to handle stress and find ways to relax for a few minutes each day (yoga, reading, speak with a counselor, bubble bath, etc.).

Heart disease is the number one killer of Americans. It claims more than 610,000 lives every year – more than all cancers combined. The good news – it’s 80 percent preventable! Rarely do many of us think about our hearts as we go about our daily lives. However, by limiting risk factors, we can do our part to take care of the organ

that keeps us going! Most know the common heart health tips:

F E B R U A R Y I S H E A R T M O N T H

Be heart smart!BIRTH CONTROL: Some research has shown a link between certain types of birth control and an increase in blood pressure.

If you are concerned, speak with your healthcare provider about the most heart-healthy birth control option for you.

SUGAR INTAKE: Even if you are not overweight, excessive sugar intake can significantly increase your risk of heart disease. In a 15-year study, individuals who consumed 25% of their daily calories as sugar were twice as likely to die from heart

disease. The American Heart Association recommends that women consume no more than six teaspoons of sugar (or equivalent) per day and no more than nine teaspoons per day for men.

GETTING PLENTY OF SLEEP: When we are asleep, our blood pressure and heart rate goes down allowing the heart some well-deserved rest. Also, when the body is well-rested, we are more likely to be active which is great for our hearts and overall wellness!

Don’t smoke

Maintain a healthy blood pressure (120/80 mmHg or less)

Enjoy a healthy diet (fruits, vegetables, unsalted nuts such as almonds, cashews, and walnuts)

Keep cholesterol levels low (180 mg/dL or less)

Regularly exercise (30 minutes of activity daily)

Cardiac Rehabilitation has a

NEW HOME By Bhrigu “Rishi” Parmar, MD, Skagit Regional Clinics – Cardiology

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Overactive Bladder (OAB) is not a single disease, but the name for a group of troubling urinary symptoms. It may include a sudden strong urge to “go” with the fear (or reality of) urine leakage (incontinence) if it is not possible to “make it in time.” Leaks, when they occur, may range from a “little dribble” to a “big flood.” OAB may also include frequent urination, day and night, sometimes frequent enough to markedly disrupt sleep or work.

OAB affects millions of men and women perhaps as many as 30 percent of men and 40 percent of women in the United States. The condition becomes more common with increasing age but can begin at younger age as well. With more severe symptoms, sleep, work and social life can become severely impaired, sometimes leading to fatigue, isolation and even contributing to depression. Many people living with the condition do not ask for help because of embarrassment or the assumption that there is “nothing to be done about it” or that it is “simply part of aging.”

The truth is, there are plenty of things we can do to help. Evaluation includes a medical history and history of urinary symptoms, sometimes including a “bladder diary” to track your symptoms. This, in combination with a physical exam, will lead to a plan to work on improvement in symptoms. Treatments may include behavioral changes, medications and other therapies.

Behavioral changes may include changes in diet, particularly decreasing intake of food and drink that may irritate the bladder,

pelvic floor exercises, good control of diabetes when present and earnest efforts at weight control. Medications are often capable of

markedly improving bothersome bladder symptoms in combination with behavioral changes and making patients feel “normal” again.

Sometimes, behavioral changes and medications alone are not sufficient to get a patient’s severe symptoms under control, and many simply assume they have to “live with”

the situation at this point. While this may have been true in the past, today there are several other minor outpatient procedures we can offer to patients who are not sufficiently helped by medications or do not tolerate medications. These treatments can also be remarkably effective for urinary urgency and frequency and also urge urinary incontinence.

These treatments may include injections of “botox” into the bladder muscle to decrease the overactive contractions and sensations, and also trial of a “bladder pacemaker,” a small nerve stimulator that can calm the pattern of overactive behavior of the nerves to the bladder (see related story, page 11). Botox is a simple procedure, but does need to be repeated a few times a year. The bladder pacemaker can potentially hold symptoms in check for many years at a time. Remarkably the bladder pacemaker can also be very effective with the most common types of fecal (bowel) incontinence as well and is covered by Medicare and other insurances.

The bottom line is that knowledge is power and there is

much we can do to help patients with OAB get their lives back. The first step is to ask for help.

AMY ARISCO, MD has practiced urology at Skagit Regional Clinics since 2013. She completed her medical degree at the University of Texas Health Science Center in Houston followed by a general surgery residency and a urology residency, both at the University of Alabama in Birmingham. She returned to Texas where she completed a Neuro-urology and Voiding Dysfunction fellowship.

Let’s talk about Overactive Bladder (OAB)By Amy Arisco, MD

Winter 2016 11

The UW Neighborhood Smokey Point Clinic will open on January 11, 2016 and the community is invited to join in celebrating its opening. Be among the first to tour the new clinic and meet providers at a Community Open House from 1 to 3 p.m. on Saturday, January 23, 2016 at 3823 172nd Street NE in Smokey Point. With giveaways and activities, it’s fun for the entire family.

You can enjoy the following hands-on activities for adults and children alike:

• Take pictures of you and your family in our photo booth

• Put together your own first aid kit

• Learn basic first aid tips

• Guess how many teaspoons of sugar you eat and drink every day

• Collect Mr. Yuk stickers and learn the top poison exposures for adults and children

• Enjoy free refreshments

• Meet Harry the Husky

Smokey Point clinic to host open house January 23

Joan Gagnon of Oak Harbor had struggled with severe urinary symptoms for many years before a visit with Skagit Regional Clinics Urologist Amy Arisco, MD started her on a path to a vastly improved quality of life.

“I was willing to try anything,” Gagnon said, noting she had previously had two bladder procedures and went to see Dr. Arisco with the idea of considering a third, if it could help. She was suffering from a type of overactive bladder with severe urinary urgency/frequency and also urge urinary incontinence, and had failed multiple medications and other conservative managements.

“I knew there were new techniques, but did not know about this option,” Gagnon said. “I am so happy with this. I am able to do whatever I want without planning my day completely around where the bathrooms are located.”

Upon meeting with Gagnon, Dr. Arisco recognized she would be a potential candidate for Medtronic’s InterStim bladder control therapy. The system – a pacemaker-like device – is implanted under the skin in the buttock in an outpatient

procedure with a “lead” reaching down beneath the tailbone to one of the sacral nerves traveling to the bladder. These nerves serve the pelvic floor muscles, the bladder and the bowel and low levels of electrical stimulation of certain nerves in the region can very effectively calm down severe symptoms of both overactive bladder and bowel, often with remarkable improvements of urinary urgency/frequency, urge urinary incontinence as well as fecal urgency and many forms of fecal incontinence in well selected patients.

Gagnon first participated in a two-week evaluation of the system. During a brief outpatient procedure a temporary lead – a thin wire – was inserted near the appropriate sacral nerves. For the evaluation, Gagnon wore an external neurostimulator on a belt connected to the lead to serve as the “brains and battery” for the test period. She could tell immediately that it was making a difference.

“Right away, I noticed a difference,” she said. “It works for me. No more pads, no more worries.”

With a successful trial complete, Gagnon went in for a day surgery

procedure at Skagit Valley Hospital last March to have the device implanted under her skin. She can control the stimulator where needed using a remote control though most of the time she does not even have to think about it at all.

“I have talked to a lot of people about this. Incontinence happens to a lot of women,” Gagnon said. “I would recommend this to anybody who hasn’t had success with other methods dealing with incontinence.”

Dr. Arisco said she enjoys seeing her patients experience improved quality of life.

“It’s very satisfying. These are some of the happiest patients I have because it’s truly life changing,” Dr. Arisco said.

Learn more about Medtronic Bladder Control Therapy at everydayfreedom.com or search “Medtronic Bladder Control Therapy” on YouTube.

Skagit Regional Health and Island Hospital are partners in Skagit Regional Clinics’ urology practice which provides adult and pediatric urological services in Mount Vernon, Anacortes and Smokey Point. Patients may call 360-814-6565 for an appointment.

• Enjoy music from members of the Husky Marching Band

Skagit Regional Clinics and the Regional Cancer Care Center will host tours and events as well.

These are just some of the fun activities available. Stop by and see what else UW Medicine and Skagit Regional Health bring to Smokey Point.

Friends and family welcome!

“I am so happy”Procedure helps patient control incontinence

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Look for healthy slow cooker options

Often during cold weather months, we tend to eat, heartier, hot meals that can be packed with fats and sodium. Healthy slow cooker meals can be an efficient, healthy alternative to casseroles and soups.

Snack smartEnjoying a movie on a cold,

drizzly day? Don’t reach for the buttery popcorn, chips or candy. Instead, try some Greek yogurt with a few dark chocolate chips, pita chips and hummus or frozen grapes.

Keep indoor air fresh with plants

Windows close in October and open again in April. Air indoors can get stuffy without the airflow from open windows. Palm plants, ivy, and gerbera daisies can help keep indoor air fresh all winter long!

Keep exercise safeIf you regularly exercise outdoors,

make sure you have the proper apparel, shoes and equipment to perform activities safely in cool temperatures. With shorter days, make sure running gear, dog leashes and bicycles have reflective pieces to ensure that you are seen by drivers.

Warm up for warmer weather exercise

As spring approaches, don’t simply pick up where you left off in fall. Slowly increase your level of activity (10 percent each week) to avoid overuse injuries, tendonitis and stress fractures.

Drink water! Individuals are just as likely

to experience dehydration in the winter as summer. Simply because it’s cool out does not mean that your body is utilizing less water. Make sure you are properly hydrated all winter long.

Moisturize dry skin. Cold air and wind outside

and heat indoors will dry out your skin. Drink water and keep your skin well moisturized.

Avoid seasonal illnessGet your flu shot, wash

hands regularly, cover your cough, and stay home from work or school if you’re sick.

Keep colorful produce in the meal mix

Try these winter/year round produce to stay healthy and save money: Apples, arugula, beets, broccoli, bok choy, brussels sprouts, spinach, cabbage, carrots, celery, kale, oranges and squash.

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Winter Wellness

Winter 2016 13

What are varicose veins?Valves within the veins ensure

that blood flows in one direction, returning blood to your heart from other areas in your body. If the valves become weak or damaged, blood can pool up causing your veins to swell. This can lead to varicose veins.

What are the signs or symptoms of varicose veins?

The most common symptoms of my patients include tired, achy, heavy, painful legs; leg swelling, bulging veins, itchy veins, leg restlessness and nighttime cramps. These symptoms can occur in one or both legs, but often one leg is worse than the other.

Who suffers from varicose veins?

People who are on their feet a lot tend to suffer more from varicose veins. This includes nurses, teachers and bank tellers to name a few occupations. Women are at a higher risk than men of developing varicose veins as are those patients with a family history.

How do you treat varicose veins?

We offer an in-office radiofrequency ablation procedure that takes about an hour per vein. It

does not require sedation and patients experience minimal downtime afterwards. The goal of the procedure is to close off the diseased vein and re-route blood flow to healthy veins.

What is a Radiofrequency Ablation (RFA) procedure?

During this outpatient procedure, an IV is placed into the patient’s damaged vein. An RFA catheter goes into the vein using live ultrasound to confirm the appropriate location. The affected vein is given local anesthesia for patient comfort. Heat generated by the RFA catheter is transferred to the vein causing it to close. The catheter is removed once the entire vein is treated. Blood begins to flow through healthy veins rather

Varicose Veinthan the damaged veins following the procedure. After several days, the patient returns to the office for a follow-up ultrasound to verify closure of the vein and to ensure that there are no complications.

How do your patients describe the feeling in their legs after the procedure?

My patients report resolution or improvement of their symptoms along with cosmetic enhancements, typically within two weeks of the procedure. Their legs feel lighter and fresher; the bulging and swelling disappears. I have had patients tell me that they feel like they have “a whole new leg.”

What do you recommend to a patient experiencing symptoms of varicose veins?

Patients have several options. Talk with your primary care provider to see if you have any visible signs of varicose vein disease. If so, ask for a referral to a vein specialist or ask for your health care provider to initiate diagnostic testing (a painless ultrasound of the veins) to confirm venous disease. Another option for anyone with symptoms is to register for a free vein screening which are offered multiple times throughout the year.

See page 29 and 32 for information about Dr. Lee’s next free vein screening.

Many people believe that varicose veins are simply a cosmetic issue; however, when left untreated varicose veins can lead to heavy, aching, swollen legs, discoloration of the skin and, in some cases, venous ulcers. Local surgeon and vein specialist, Dr. Steven Lee helps to explain symptoms of vein disease and how varicose veins can be treated.

Winter 2016 13

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DR. JIMMY GRIERSON has been providing family-centered care in Stanwood for more than a decade. This has included delivering approximately 45 babies each year at Skagit Valley Hospital. The addition of DR. RHETT ANDELIN to Skagit Regional Clinics - Stanwood in July has increased the capacity to care for patients of

all ages, including moms-to-be. Dr. Andelin discovered his love

of science when he was a student at Stanwood High School. Following graduation, he sought a career that combined science and helping people. This led him to pursue a career in family medicine.

Family medicine providers care for patients of all ages. Some family medicine physicians also offer obstetrics, allowing them to provide prenatal care, deliver babies and see both the babies and moms in follow-up.

Dr. Grierson and Dr. Andelin are able to take care of 95 percent of pregnancies, but refer out patients with complications, such as insulin dependent diabetes or multiples. They are also able to perform cesarean sections with their OB/GYN counterparts at Skagit Valley Hospital.

“OB is part of the essence of family medicine and is at the core of what we do. We truly take care of the entire person,” said Dr. Grierson.

“We feel like we are a part of the family,” added Dr. Andelin. “We are able to continue the relationship after delivery and take care of the mom and baby, which is rewarding.”

Dr. Grierson noted that in some cases he provides care to multiple generations within the same family. In some families, he cares for four generations. “It starts with OB,” said Dr. Grierson.

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Expanded OB care availableExpanded OB care availablein Stanwood with addition of local graduate

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Skagit Regional Clinics welcomesPhysicians Care Family Medicine

The providers of Physicians Care Family Medicine in Sedro-Woolley joined Skagit Regional Clinics in September, helping to ensure that primary care remains accessible to area residents.

Dr. H. Edwin Stickle, Dr. Gilson Girotto, Kimm Layland, PA-C and Tiffany Johns, PA-C remain in their Sedro-Woolley office in the Pavilion, 1990 Hospital Drive.

Dr. Robert Jacobsen moved his practice from Burlington to Skagit Regional Clinics’ family medicine office in Mount Vernon.

“We are pleased to have added the providers of Physicians Care Family Medicine to the Skagit Regional Health team,” said Jane Root, Chief Administrative Officer of Skagit Regional Clinics. “These well-established healthcare providers will help support the continued needs of primary care for a growing community.”

H. EDWIN STICKLE, MD provides family medicine with obstetrics. He is a graduate of Loma Linda School of Medicine in California and completed family medicine residency at Hinsdale Hospital in Illinois.

GILSON GIROTTO, DO is a graduate of the University of North Texas Health Science Center in Fort Worth, TX. He completed residency at Wilson Memorial Regional Medical Center in Johnson City, NY. Dr. Girotto is fluent in Portuguese and Spanish.

ROBERT JACOBSEN, MD provides family medicine with obstetrics on SRC’s main campus in Mount Vernon. He attended medical school at St. Louis University School of Medicine in Missouri and residency training at Womack Army Community Hospital at Fort Bragg, NC.

KIMM LAYLAND, PA-C completed her training at George Washington University in Washington, DC. Her special interests include preventative care and treating patients with chronic diseases. She is certified by the National Commission on Certification of Physician Assistants.

TIFFANY JOHNS, PA-C attended St. Francis University in Loretto, PA where she completed her Physician Assistant training. She is certified by the National Commission on Certification of Physician Assistants.

Camano Island resident Lauren Lukehart has been a patient of Dr. Grierson’s for nine years. She describes Dr. Grierson as kind, patient, honest and truly one-of-a-kind. Dr. Grierson delivered her three children and is caring for her while she awaits the arrival of her fourth child, due in May. She said she appreciates that the same doctor is able to care for her during pregnancy, at the birth of her baby, and as her children grow up.

Patients of Dr. Grierson and Dr. Andelin note they appreciate seeing the same doctor for prenatal appointments and delivery and find that the physicians are easily accessible for appointments or questions.

“Some people think that small town care means that the care isn’t as good, but I think that the opposite is true,” said Dr. Grierson.

SKAGIT REGIONAL CLINICS – Stanwood offers primary care to patients of all ages, obstetric care and podiatry. On-site lab and X-ray services are also available. Appointments can be scheduled by calling 360-629-1600.

LEFT: Dr. Rhett Andelin, left, has returned to Stanwood to join longtime physician Jimmy Grierson, MD in offering family medicine with obstetrics at Skagit Regional Clinics in Stanwood.

LEFT: Dr. Jimmy Grierson chats with patient Lauren Lukehart of Camano Island and her three children, EverLee, age 2, Tressa, age 5 and Olivia, age 7. Dr. Grierson delivered Lauren’s three children at Skagit Valley Hospital and is caring for her as she awaits the arrival of her fourth child in May.

Expanded OB care availableExpanded OB care availablein Stanwood with addition of local graduate

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Taras Kindrat, MDSpecialty: OB/GYNPractice Location: Skagit Regional Clinics – Mount VernonPractice Philosophy: I practice evidence-based medicine while respecting the patient’s opinion.

Special Interests: My special interests include minimally-invasive gynecology.What sparked your interest in medicine as a career? I like to have a birthday every day (delivering babies)!

Additionally, there are three generations of physicians in my family. What do you enjoy most about your practice? I enjoy taking care of women during different periods of their life. Dr. Kindrat received his medical degree from Lviv State Medical University in Ukraine. He completed Internal Medicine residency training at New York Medical College in Bronx, NY and completed his OB/GYN residency at Our Lady of Mercy Medical Center in Bronx, NY. Dr. Kindrat is board certified by the American College of Obstetrics and Gynecology as well as the Royal College of Surgeons of Canada. Appointments can be made by calling 360-428-2575.

OB/GYN

Erin Van Allen, PA-CSpecialty: General SurgeryPractice Location: Skagit Regional Clinics – Mount VernonPractice Philosophy: An educated patient is more comfortable and confident during their surgical course and throughout the recovery process. I strive to help our surgical patients feel this way.

What do you enjoy most about your practice? I enjoy spending time with patients educating them about their surgical procedures and surgical recovery. I’m always happy to take the

extra time with patients and their families to answer questions and guide them throughout their surgical experience. Ms. Van Allen is a graduate of Wake Forest University School of Medicine’s Physician Assistant Program. She worked in the general surgery department at Skagit Valley Medical Center from 2003 - 2009 and at Skagit Regional Clinics from 2011 - 2014. She is happy to be back in the Pacific Northwest where she enjoys hiking, skiing, mountain biking and running in addition to traveling and spending time with her husband and son.

GENERAL SURGERY

Soumya Parimi, MDSpecialty: PulmonologyPractice Location: Skagit Regional Clinics – Mount VernonSpecial Interests: I see patients with any pulmonary problems, but am excited about providing endobronchial ultrasound as a service – hopefully in

early 2016. What sparked

your interest in medicine as a career? The science involved

in the practice of medicine combined

with the human interactions made it a perfect choice.

What do you enjoy most about your practice? I enjoy building a relationship with my patients and helping them understand their disease. Dr. Parimi attended medical school at Gandhi Medical College in Hyderabad, India. She completed Internal Medicine residency training at Virginia Mason Medical Center and a Pulmonary and Critical Care Fellowship at the University of Washington Medical Center, both in Seattle. Dr. Parimi is Board Certified in Internal Medicine, Pulmonary Medicine and Critical Care Medicine. Outside of the office, she enjoys reading and hiking. Appointments can be made by calling 360-428-2550.

PULMONOLOGY

New Providers

Sound Physicians, a health care organization focused on improving quality and lowering cost throughout the acute episode of care, now provides hospitalist services for Skagit Valley Hospital.

A hospitalist is a doctor who specializes in the care of patients who are in the hospital. At Skagit Valley Hospital, the team of Sound Physicians known as hospitalists offer round-the-clock care to patients whose primary care

providers request the service.“Skagit Valley Hospital shares our

values of quality and innovation,” said Robert Bessler, M.D, chief executive officer of Sound Physicians. “We look forward to utilizing an engaged team of physicians, regional leadership and proven workflows to provide quality care for the Mount Vernon community.”

Gregg Davidson, FACHE, chief executive officer of Skagit Regional Health, said, “We chose Sound

Sound Physicians provides hospitalists to Skagit Valley Hospital

Physicians for its strong regional presence and proven track record of performance management expertise. We look forward to partnering with them and furthering our mission to be a healthcare leader in the Northwest.”

Sound Physicians will recruit a team of 12 hospitalist physicians, including a chief hospitalist, as well as a hospitalist nurse focused on driving performance improvements and patient satisfaction efforts.

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Amanda Stinger, MDSpecialty: PediatricsPractice Location: Skagit Pediatrics

What motivated you to pursue a career in medicine? During high school, I became interested in medicine. It wasn’t until a medical mission trip to Central America that I knew I wanted to be a doctor.

Special interests: Newborns and breastfeeding, early child development, nutrition, adolescent healthWhat do you most enjoy about pediatrics? The chance to watch a child grow up and get to know their family in the process. There are 10 well-child visits alone in the first two years of life, which gives me a unique opportunity and privilege to connect with families, and ultimately allows me to provide better care.What do you enjoy most about your practice? Talking about your health, especially health problems, can be difficult. My goal in every interaction is to allow patients (and their parents!) to be heard, thoughtfully consider the options, and as a team, develop the best plan to move forward. Being both a physician and a parent helps me provide patients with comprehensive, holistic care. Dr. Stinger sees patients from birth through 21 years old for preventive care and routine acute and chronic medical conditions. Appointments can be made by calling 360-428-2622.

PEDIATRICS

Jimmy Dang, DOSpecialty: Orthopedic hand and upper extremity surgery Practice Location: Skagit Regional Clinics – RiverbendPractice Philosophy: We use our arms and hands in our everyday activities, and an injury to them can leave us significantly limited. My goal is to help you restore your function, through the least invasive means possible, to allow

you to return to the things that you enjoy doing most.Special Interests: My special interests include upper extremity problems in patients of all ages, from the shoulder to the fingertips

including fractures, arthritis, sports and tendon injuries and nerve compression conditions.What sparked your interest in medicine as a career? Volunteering at a children’s hospital during college opened my eyes to the medical field and to patient interactions that led me to choose medicine as a career. Dr. Dang is a graduate of Kansas City University of Medicine and Biosciences in Missouri. He completed his Orthopedic internship and residency at Oklahoma State University Medical Center in Tulsa followed by an Orthopedic Hand Surgery Fellowship at Florida Orthopaedic Institute in Tampa. Dr. Dang is board certified. Appointments can be made by calling 360-814-6800.

ORTHOPEDICS AND SPORTS MEDICINE

Christina Jepperson, ARNPSpecialty: Family MedicinePractice Location: Benson Medical GroupWhat motivated you to pursue a career in medicine? My father was very ill when I was a young child and I saw on a weekly basis the difference nurses, doctors and medical staff made in my

life and his. I wanted to be that person when I grew

up. I first went to nursing school

and recently went back to get my

Master’s degree and now practice as an Advanced

Registered Nurse Practitioner.

Special interests: I thoroughly enjoy my newborn and pediatric patients. They grow and learn new things so quickly that each appointment is a new adventure. In addition, I spent many years as a Cardiac ICU nurse at the UWMC and really enjoy managing patients with heart disease and conditions. Practice philosophy and scope of practice: My practice philosophy is to take the time I need to listen to my patients and to invite them to be a part of their health care management. I love empowering people to make positive choices and changes to their health and to reap the rewards of this. As an Advanced Registered Nurse Practitioner, my scope of practice includes preventative medical care, diagnosis and treatment of illness including procedures, and routine care throughout the life span. Appointments can be made by calling 360-399-7700.

FAMILY MEDICINE

Residents and a medical student in the Graduate Medical Education Program at Skagit Regional Health assisted in providing more than 50 sports physicals for children in the Mount Vernon School District last fall. Chris Schwartz, DO, Danh Ngo, DO, Helen Nguyen, DO, Family Medicine Residency Program Director, David Kanze, DO, Tracey Traylor, third-year

medical student and Mark Litton, DO all assisted with the program. Andy Donahue, vice principal of La Venture Middle School wrote, “Thank you so much for bringing your residents (and student) to La Venture to perform free physical exams. This will allow many of our students to participate in sports who likely would not have been able to.”

Residents provide free sports physicals

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Allen Johnson, MDSpecialty: Internal MedicinePractice Location: Skagit Regional Clinics – Sedro-Woolley

Practice Philosophy: My role as a physician is to assist you in finding the best options to relieve your suffering and improve your life as much as possible within the current situation of your health and life.

I don’t follow absolutes and understand that things change constantly. My goal is to partner with people who seek my opinion and input to help them help themselves.Special Interests: I enjoy working with cardiovascular disease, hypertension and complex disease management. What do you enjoy most about your practice? I enjoy working with a team to improve people’s lives.Dr. Johnson obtained his medical degree from the University of Wisconsin in Madison. He completed an internal medicine internship and residency at Virginia Mason Medical Center in Seattle. Dr. Johnson is board certified in internal medicine. In his free time, Dr. Johnson enjoys mountain biking, snowboarding and working on his wooden boat. Appointments can be made by calling 360-856-4222.

INTERNAL MEDICINE

Bhrigu “Rishi” Parmar, MD Specialty: CardiologyPractice Locations: Skagit Regional Clinics – Mount Vernon Cardiology, Skagit Regional Clinics – Anacortes Cardiology and Skagit Regional Clinics – Sedro-WoolleyPractice Philosophy: My goal is to provide evidence-based care in a personalized manner.Special Interests: I enjoy educating

patients about their health and I strive for optimal patient-physician collaboration to improve health outcomes.What do you most enjoy about your practice? I enjoy

being able to improve patient’s health and quality of life.Dr. Parmar attended the Medical College of Wisconsin. Following completion of an internship and residency at the University of Washington in Seattle, Dr. Parmar moved to Salt Lake City where he completed a Cardiovascular Disease Fellowship at the University of Utah. Outside of the office, Dr. Parmar enjoys spending time with his family, hiking and travelling. He is fluent in Hindi and Punjabi. Appointments can be made by calling 360-336-9757.

CARDIOLOGY

Kay O’Neill, PA-CSpecialty: Orthopedics and Sports MedicinePractice Location: Skagit Regional Clinics - RiverbendPractice Philosophy: As a provider, my goal is to inform my patients of

their medical condition, answer any questions or concerns,

and educate them on how best to manage

their conditions. When surgery is

warranted I will be with them every step of the way.

Special Interests: I particularly enjoy treating patients with arthritis and treating fractures.What do you enjoy most about your practice? I enjoy the hands-on aspects of medicine, such as assisting in surgery, administering injections and casting.Ms. O’Neill worked as an athletic trainer for 20 years. During that time, she witnessed the contributions that Physician Assistants made in the operating room and decided to become a PA. She completed her Master of Physician Assistant Studies at Chatham College in Pittsburgh, PA. Appointments can be made by calling 360-814-6800.

ORTHOPEDICS AND SPORTS MEDICINE

New Providers

Skagit Valley Hospital has received the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Bronze Quality Achievement Award. The award recognizes the hospital’s commitment and success in ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.

To receive the Bronze Quality Achievement award, hospitals must achieve 85 percent or higher

adherence to all Get With The Guidelines-Stroke achievement indicators for one calendar quarter.

These quality measures are designed to help hospital teams provide the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. They focus

Skagit Valley Hospital receives Quality Awardon appropriate use of guideline-based care for stroke patients, including aggressive use of medications such as clot-busting and anti-clotting drugs, blood thinners and cholesterol-reducing drugs, preventive action for deep vein thrombosis and smoking cessation counseling.

“With a stroke, time lost is brain lost, and this award demonstrates our commitment to ensuring patients receive care based on nationally-respected clinical guidelines,” said Director of Emergency Services Jessica Bell, MSN, RN, CEN, ACNS-BC.

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The Hospice of the Northwest Foundation funds dignity, compassion and comfort to terminally ill members of our community and ensures that quality hospice care is available to all who are coping with a life-limiting illness. If you would like more information about the Foundation or Hospice of the Northwest services, please visit our website, www.hospicenw.org, or call 360-814-5702.

Hospice of the Northwest Foundation event raises $230,000

The Hospice of the Northwest Foundation held its 14th Annual Auction and Gala in September with 404 guests and 30 community sponsors raising more than $230,000 in support of expert and dignified end-of-life care in Skagit, San Juan, Island and northern Snohomish Counties.

For the past few years Elma Johnson’s wild blackberry pie has generated a frenzy of bidding and excitement. In 2012 the bidding reached $2,700, in 2013 the pie sold for a record setting $2,800, 2014 saw an astonishing $5,200 paid for the pastry! This year, Elma’s pie sold for $6,000! The donor generously donated the pie back to be resold; raising another $4,000, for a jaw dropping total of $10,000. The “raise a paddle,” to be used exclusively to provide complementary therapies, raised $84,000.

Other highlights from the event included a welcome from retired Lt. Colonel, US Air Force, Greg Anders. Anders, the executive Director of the Heritage Flight Museum, and Dr. Anita Meyer, Medical Director of Hospice of the Northwest, shared their support of Hospice care and encouraged the audience to help support the mission of compassion and dignity.

The Hospice of the Northwest Foundation has committed to providing more than $320,000 in program grant funds to Hospice of the Northwest during 2015. These grant funds help bridge the gap between what the agency is reimbursed through Medicare and other insurance programs, and what it costs to provide quality and compassionate hospice care. Grant funds also help defray agency costs for clinical

education, technology upgrades, complementary therapy, bereavement care, and uncompensated patient care.

“The expert and dignified care that Hospice of the Northwest provides is made possible through the generous support of our donors, and we are deeply grateful for your support of our mission,” said Wendy Rohrbacher, Executive Director of the Hospice of the Northwest Foundation. She thanked the Hospice of the Northwest staff “for the dignified care they provide to our community, families, friends, and neighbors every day.” And she explained that “their teamwork and dedication are unsurpassed.”

Go to www.hospicenw.org to view “Kolten’s Story,” a video about a 16 year old Hospice of the Northwest patient and his family. The Hospice of the Northwest Complementary Therapy program helped the family reconnect with each other and find joy in the midst of their grief.

Kolten’s Story

ABOVE: Hospice of the Northwest Operations Board members Tom Litaker, Jane Root and Ted Brockmann, display a Seahawk football signed by Head Coach Pete Carroll, that was part of a Seahawks themed auction item donated by board members.

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LEFT: Elma Johnson, whose famous wild blackberry pie broke new records by selling for a total of $10,000, addresses the crowd.

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DAVIDSON TO LEAD WSHA

GREGG DAVIDSON, CEO of Skagit Regional Health, was elected Chair of the Washington State Hospital Association at the association’s annual meeting in October. As Chair, Davidson will preside over the Board of Trustees and lead the hospital association’s work for the coming year. “Gregg has long been a leader in the association, and we’re very excited to have him in the chair position,” said Scott Bond, President and CEO of the Washington State Hospital Association. The Washington State Hospital Association is the membership association of all 105 hospitals in Washington state.

HOSPITAL EARNS ACHIEVING BEST CARE AWARD

Skagit Valley Hospital was recog-nized in October for outstanding achievement in making health care safer at the annual meeting of the Washington State Hospital Associa-tion in Seattle. Skagit Valley Hospital earned the 2015 “Washington State Hospital Association Achieving Best Care” award for its efforts to decrease patient harm. Skagit Valley Hospital is one of only 10 hospitals in Wash-ington state to receive this award.

LEFT: Chief Operating Officer Mike Liepman accepts the “Achieving Best Care” award.

in the NEWSSkagit Regional Health

Nursing students from Skagit Valley College played an integral role in the September 30 mass flu vaccination clinic at Skagit Valley Hospital. A total of 883 staff, providers and volunteers received flu shots in one day. Getting

STUDENTS HELP WITH MASS FLU VACCINATIONvaccinated protects not only the person receiving the shot, but those around them including patients, family members and coworkers.

20 Photo courtesy of WSHA

Photo courtesy of WSH

A

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Director of Planning and Marketing KARI RANTEN was recognized at the Skagit Women’s Alliance and Network (SWAN) banquet in October as the 2015 Skagit Women’s Alliance and Network Woman of the Year for Professional Achievement. Ms. Ranten has worked for Skagit Regional Health since 2000, following a 20-year career in the newsroom at the Skagit Valley Herald.

LEFT: Janey Dodge, President of SWAN, Kari Ranten and Skagit County Auditor Jeanne Youngquist.

in the NEWS

THINK PINK!Dozens of people enjoyed

educational opportunities, a photo booth and speakers discussing breast cancer prevention at the annual Think Pink! Event in October at Skagit Valley Hospital.

DAVIDSON TO LEAD WSHA

TEAMHEALTH WEST GROUP MANAGEMENT TEAM OF THE YEAR

MD for his steady presence and serving as a “true example of a great physician and mentor.” Dr. Carl Berliner also announced that the Skagit-Island Counties Medical Society has started a new scholarship – the F. James Beckner, MD Medical Scholarship, for students in Skagit and Island counties who are pursuing a medical career. Dr. Beckner passed away in October.

The Medical Staff of Skagit Regional Health honored JAMES BECKNER, MD with a Lifetime Achievement Award at an early-morning celebration in August, attended by physicians, staff, Dr. Beckner and his family. The award recognizes Dr. Beckner’s more than 40-year career in medicine, including the past 34 years as a solo practice internist in Stanwood. Dr. Beckner was hailed by medical staff President Lucia Muller,

MEDICAL STAFF HONORS DR. JAMES BECKNER

SWAN WOMAN OF THE YEAR

Director of Emergency Services and Behavioral Health JESSICA BELL and Emergency Services Medical Director DR. SHAWNA LAURSEN were recognized as TeamHealth’s Management

Team of The Year out of more than 120 sites in the Western Region at the TeamHealth Regional Directors Meeting September 17 in Los Angeles.

LEFT: Shawna Laursen, MD and Jessica Bell, MSN, RN were honored by TeamHealth.

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Don’t drink, don’t smoke during pregnancyBy Barbara Geraghty, MD, Pediatric Hospitalist

Don’t drink The dangers of drinking alcohol

while pregnant are well-established scientifically and well-known publicly. Widespread multimedia educational campaigns starting in the 1980s increased public knowledge about Fetal Alcohol Syndrome and its characteristic lifelong physical and mental disabilities. Federal legislation has required warning labels on alcoholic beverage containers since 1988. Don’t smoke

With the recent legalization of marijuana in Washington State, marijuana use might seem like an acceptable option to decrease the symptoms of pregnancy, such as nausea, vomiting, pain and even anxiety or depression. While warning labels are not yet required on marijuana products, both the American Academy of Pediatrics and the American Congress of Obstetricians and Gynecologists discourage the use of marijuana in pregnancy.

Exposure to marijuana during pregnancy has been linked to a decrease in fetal growth and lower IQ with associated attention, memory and learning problems. The chemical in marijuana, tetrahydrocannabinol (THC), is stored in body fat. A developing baby’s brain and body are made of a lot of fat and can store THC for a long time. Prolonged childhood exposure to THC is linked to behavior problems (impulsive, aggressive and antisocial) and mental illness (anxiety, depression and schizophrenia).

The use of marijuana during breastfeeding must also be avoided. THC concentrates in breastmilk and passes to the baby through breastfeeding. Since THC is stored in body fat, “pumping and dumping” to clear the breastmilk after marijuana use is not effective.

Marijuana can make children very sick with trouble staying awake and difficulty breathing, which can result in coma. Accidental poisonings must be prevented by storing all

marijuana in locked areas and by avoiding marijuana use around children. Marijuana smoke has many of the same cancer-causing chemicals found in cigarette smoke.

What do you do? Better options are available to

cope with pregnancy symptoms than marijuana use. Safer medications can be recommended by your doctor to decrease symptoms. Online educational resources include www.learnaboutmarijuana.org and www.colorado.gov/marijuana, where there is a special report on marijuana use during pregnancy and breastfeeding. Help quitting marijuana use can be found by calling the Washington State Recovery Helpline at 1-866-789-1511.

The bottom line is that, like alcohol, there is NO known safe amount of marijuana use during pregnancy and breastfeeding.

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Marijuana appears to be here to stay. It is now legal in 23 states and the District of Colombia. In Washington, we have both legal medical and recreational marijuana.

The marijuana plant contains more than 100 cannabinoids, the active chemical components. Of these, the most discussed are THC (delta-9-tetrahydrocannabinol) and CBD (cannabidiol). THC is responsible for the euphoria or “high” feeling when using marijuana. CBD seems to have significant potential in true medical use as initial studies suggest that CBD can be helpful in epilepsy, Parkinson’s disease, multiple sclerosis, cancer treatment and neurogenic pain. Quality medical studies remain limited as marijuana remains illegal at the federal level.

For recreational use, plants have been cultivated for higher and higher THC content and the marijuana available now is very different from that used socially in the 1970s. These higher potency

THC products have more potential for psychiatric side effects such as memory loss, apathy, decreased motivation and engagement, anxiety, depression and psychosis. While the jury is still out on side effects due to limited quality studies, there is clear consensus that exposing developing brains to THC is not healthy.

As marijuana use in the general population increases, we are seeing more chronic use side effects in the Emergency Department. Cannabinoid Hyperemesis Syndrome is a problem in younger patients who have been heavy cannabis users for years. It is characterized by horrible, unrelenting, violent vomiting. The majority of nausea medications we have are ineffective in treating the nausea and the only option for improvement is getting all of the cannabinoid out of the system. As cannabinoids are fat soluble, heavy users may require months of abstinence to see any relief.

MARIJUANA: The State of the Science

By Shawna Laursen, MD, Skagit Valley Hospital Emergency Department

IF YOU CHOOSE TO USE MARIJUANA THERE ARE SOME COMMON SENSE TIPS FOR SAFER USE:

1. Don’t drive. Prescription or not, your reflexes are impaired and you put yourself and others at risk.

2. Make sure your marijuana does not fall into unsuspecting hands. Keep it safely stored as you would other medications.

3. With all the new edible forms available including honey, drinks, chocolates, and bakery goods, make sure these are kept away from children, pets and unsuspecting adults.

4. Don’t use marijuana in any form while pregnant.

The brain does not fully complete development until about the

age of 25. The pre-frontal cortex is the last area of the brain to

finish developing. This area helps to control impulses, anticipate consequences, plan, and think

in the abstract.

FACT:

Winter 2016 23

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M A R I L Y N L U P I N A C C I

Mission The mission of the Skagit Valley Hospital Foundation is to raise, manage and distribute funds to

assure the continued availability of quality health care services and programs at Skagit Valley Hospital. The Foundation will foster awareness

of and community support for Skagit Valley Hospital through the

involvement of the people it serves.

Board of TrusteesVolunteers are the key to the Skagit Valley Hospital Foundation’s efforts in securing philanthropy. The Skagit Valley Hospital Foundation is led by the following group of community

leaders who serve generously and without compensation.

Zach BarborinasDee BerglinKevin BinghamSusan BrownChris CammockJill ChristensenKati CollinsCheryl ConnerMary June CurtisGregg DavidsonJacqueline HawkinsDr. Joshua HawkinsDebbie HendricksKelli HutchensBalisa KoetjeVirginia LearnedPattie LewisJean Miller

Melissa NelsonChristie PetersonJill PickeringRichard RoozenBrett SimbeJim SpaneShirley WatkinsonDr. Rob Zwick

StaffLinda FrizzellExecutive Director

Wendy RagusaDevelopment Coordinator

Becky WellsDevelopment Associate

Assuring the availability of quality health care

To learn more about how you can support the Skagit Valley Hospital FoundationVisit: skagitregionalhealth.org/Hospital-Foundation

Skagit Valley Hospital FoundationP.O. Box 1376Mount Vernon, WA 98273360-428-2140

Like us on Facebook at www.facebook.com/ SkagitValleyHospitalFoundation

A Family GiftWhen the Skagit Valley Hospital

Foundation Board of Trustees pledged to raise $410,000 to build a new Cardiac Rehabilitation Center at Skagit Valley Hospital, they were supporting the creation of a state-of-the-art center where patients recovering from a heart incident join a program of exercise, education and behavior modification.

Thanks to a generous gift from the Kelly Schols’ family and friends, the Foundation reached the goal in 16 months and the Heather Schols

Cardiac Rehabilitation Center was opened. In September, a recognition and dedication ceremony was held for the rehabilitation facility, drawing community members, donors and medical staff.

The Skagit Valley Hospital Foundation thanks the Schols Family for this generous commitment and is proud to name the center in memory of Heather Schols.

ABOVE: Pictured above are Kelly Schols and his daughters Alysa and Amy.

25Winter 2016

It is two hours into her four-hour dialysis treatment and Marilyn Lupinacci of Mount Vernon has already spent the morning in Water Zumba class at the YMCA and made a trip to the grocery store.

Marilyn is the mother of two and proud grandmother of two. She and Bill, her husband of 53 years, met while students at Washington State University. Marilyn held a full career as a social worker where she worked closely with Child Protective Services. This led to many years of also opening up their home to a number of foster children. She led a fast paced, busy life.

And then 10 years ago, she just wasn’t feeling right. After visits to several physicians, it was finally discovered that her kidneys were failing.

The spunky 75-year-old now sees her dialysis treatment as her job – a job that she has had for the past nine years while she waits to receive a kidney transplant.

Kidney dialysis is the life-sustaining treatment for individuals with kidney failure. Dialysis is performed by connecting patients to a kidney dialysis machine which removes waste

products from their blood. Individuals with kidney failure generally need dialysis treatment three days a week, every week of their lives.

Last summer, the Skagit Valley Hospital Foundation Board of Trustees pledged to raise $415,000 to purchase 27 new kidney dialysis machines for the Skagit Valley Kidney Center. The Skagit Valley Kidney Center in Mount Vernon serves more than 130 patients from Skagit, Island and Snohomish counties.

Marilyn said she hopes that the community will rise up and support this campaign. “I receive great care here at the Skagit Valley Kidney Center – the staff is so kind and the facility is always spotless. New machines will help improve the dialysis process which, for me, may mean less time hooked to a machine.”

If you would like to help fund the Kidney Dialysis Campaign, contact Executive Director Linda Frizzell at 360-428-2140 or send your check to Skagit Valley Hospital Foundation, P.O. Box 1376, Mount Vernon, WA 98273. Gifts can also be made on-line at skagitregionalhealth.org/Hospital-Foundation.

A Good Coug Down!Not Even Kidney Dialysis Can Keep

M A R I L Y N L U P I N A C C I

Benefiting from Generous Community

Support

CPI PLUMBING A check for $2,500 was presented to

Foundation President Richard Roozen by September 2015 CPI Plumbing Employee of the Month Andy Saulsbury. CPI’s Charity Club Program allows their employee of the month to select a charity that will receive a donation in their name, and Andy selected The Breast Institute Fund in honor of cancer awareness. The Foundation is grateful for their generous support!

TOUGH ENOUGH TO WEAR PINK

The Skagit Valley Hospital Foundation was honored to accept a check for $1,002 from the Sedro-Woolley Riding Club from their annual Tough Enough To Wear Pink fund-raising event. The club has given $9,889 over the past nine years to support the Breast Institute at Skagit Valley Hospital’s Regional Cancer Care Center.

CONTINUED ON PAGE 28

ABOVE: SVHF Development Coordinator Wendy Ragusa and Trustee Virginia Learned accept a check from SWRC Members.

2626

Festival of Trees Raises Funds for Kidney Dialysis Project

Most Traditional AwardPeppermint Twist

In partnership with Associated Petroleum Products, the Thanksgiving Weekend festivities main event was the “White Wonderland” Gala & Auction on November 28 sponsored by Heritage Bank and Whidbey Coffee. This night hosted more than 600 guests, featured eight local eateries including COA Mexican Eatery, Chuckanut Manor, Fortune Mandarin Restaurant, Hello Cupcake!, La Conner Seafood & Prime Rib, Max Dales Steak & Chop House,

Oyster & Thistle and Taste of India and of course highlighted the auction of 26 trees and more than a dozen fantastic live auction items. The high-bid items included the “Peppermint Twist” tree, Sitka, Alaska fishing trip and NASCAR package.

Additional giving opportunities included the purchase of designer wreaths, best of live auction tickets, “green for green” raffle tickets, tree raffle tickets, a raffle featuring gifts,

services and experiences from local, near and far, and the silent auction of mini trees – smaller versions of the full size auction trees. The Fund-A-Dream raised more than $26,000 for the Kidney Dialysis project. This raise-the-paddle event presented guests an opportunity to pledge a monetary gift to the project.

With many ways to give, the Foundation recognizes our event sponsors for their tremendous

Designers’ Choice AwardIt’s An aDOOR-able Christmas

Most Original AwardA Little Party Never Killed Nobody

The Skagit Valley Hospital Foundation’s 27th annual Festival of Trees raised more than $285,000 to support Skagit Regional Health’s Skagit Valley Kidney Center.

Winter 2016 2727

Public Day ChoiceThe Joy of A Snoopy Christmas

Best Tree TopperMr. & Mrs. Sandy Claws

Team SpiritThe Joy of A Snoopy Christmas

sponsorship support– Pacific Woodtech – Designer Wreaths, Key Bank – Mini Tree Silent Auction, Alfie-Hill – Banta – Raffle Tree, Insight Healthcare Architecture – Best of Live, Bertelsen Winery - Beverage Bar, AmeriTeam Services – “Green for Green” and Meyer Sign & Advertising and Enchanting Princess Events – Local, Near and Far Raffle.

Over the past 26 years, the Foundation’s signature fund-raising event has raised more than $4.5 million to support programs and projects at Skagit Valley Hospital. Those dollars come from the financial support of donors, sponsors, auction buyers, designers and volunteers, including many who give annually to this beloved community event.

Two days of community tree viewing and a family breakfast provided a full weekend of holiday merriment, activities for children and entertainment. Many thanks to Skagit Bank and Thomas Cuisine Management for their sponsorship of Family Festival Days.

Two hundred guests attended Breakfast in Wonderland the Festival’s children’s pancake breakfast. Sponsored by Food Services of America and held Friday morning, November 27, this year’s theme was inspired by “Alice in Wonderland.” The breakfast event included a plush teddy bear as the gift to young guests, a visit from Santa, photo booth, appearance by “Wonderland” characters, games, craft activities, face-painting, the popular “tree décor” scavenger hunt and several giving opportunities. Special thanks to TechPower Solutions, Inc. for their sponsorship of the Rudolph Raffle. Young guests had an opportunity to win a new Hewlett Packard Pro Tablet.

Our designers and their families enjoyed a casual evening among the trees at the annual Designer Appreciation Night on November 24. Sponsored by Peoples Bank, the evening included a champagne toast, dessert bar, photo booth by Strike a Pose Events and a recognition program.

President’s Choice AwardJourney to Christmas

The winning tickets of the Tree Raffle and the Local, Near and Far Raffle were drawn at the conclusion of the weekend events. Patsy Monroe of La Conner was the winner of “Who’s Peeking in the Packages” a red and white decorated tree by Norma Smith and April Hustead. Lynda Cole of Anacortes was the winner of Local, Near and Far Raffle. She won more than $3,000 worth of gifts, services and experiences donated from businesses around the Skagit region.

Believe it or not, Festival planning begins every January. The Foundation board and staff are deeply appreciative of the hours and hours of creativity, organization and volunteer management provided by our Festival committee of more than 25 community volunteers. We give special thanks to Festival of Trees co-chairs Kati Collins and Lianna Neyens.

Festival Volunteers of the YearSUSAN BROWN (right) and CHRISTIE PETERSON (left) were honored as the 2015 Festival Volunteers of the Year. Susan, a Foundation trustee, has served as Festival Housekeeping Chair and provided additional support to event logistics. Christie has served as a Festival of Trees volunteer for more than 20 years and nearly that many years as Festival Hospitality Chair. Both outstanding leaders for the Foundation, their “get it done” energy and passion for the work of the Foundation help to make the Festival of Trees the very best experience for our guests and volunteers.

“We are very thankful to have been asked to be involved with such an amazing and timeless event. We appreciate all of the volunteer hours given to the event and all of the

generous donors and bidders who helped to make this year one of the best ever!”- Festival of Trees Co-Chairs, Lianna Neyens and Kati Collins

Winter 2016

Best Children’s ThemeSeussical Christmas

Design Sponsor’s ChoiceSnowman Wishes and Snowflake Kisses

28

SKAGIT WOODSTOCK

CARDIAC ARREST FESTThe Skagit Valley Hospital

Foundation thanks Birdsview Brewery for selecting the Heather Schols Cardiac Rehabilitation Center as the beneficiary of their recent Cardiac Arrest Fest, held on October 24, 2015.

More than $1,700 was raised from 10 percent of all October beer sales of their “Cardiac Arrest” beer and during the day-long music festival, featuring the bands “The Touks” and “Whiskey Fever.”

RIVERSIDE HEALTH CLUB If you wore pink to a group fitness

class at Riverside Health Club on October 29, 2015, you played a role in raising an amazing $1,750 to support programs and services at Skagit Valley Hospital’s Regional Cancer Care Center. For the third year in a row, the club generously donated $5 for every person wearing pink to class on that day. The Foundation is grateful for this partnership!

Community Support

The Seven Lakes in Seven Hours fund-raising event held September 12, 2015 raised $56,850 to benefit the new Heather Schols Cardiac Rehabilitation Center at Skagit Valley Hospital. The second annual event drew more than 40 hikers who hiked/ran 26 miles to the seven lakes in the Chuckanut Mountain Range in seven hours. Participants were led by local “iron men” Kevin Bingham, Ed Perry and Kelly Schols who dedicated this cardio-challenge in memory of Kelly’s late wife, Heather Schols, to benefit the Skagit Valley Hospital Foundation. Funds raised at this year’s event nearly completed the $100,000 pledge made by the Kelly Schols family to name the Heather Schols Cardiac Rehabilitation Center. The new center opened to patients September 8, 2015.

The Foundation extends a special thanks to Todd Power and Skagit Search & Rescue for their support.

SEVEN LAKES IN SEVEN HOURS

CONTINUED FROM PAGE 25

The sixth annual Skagit Woodstock was held August 15, 2015 at Edgewater Park in Mount Vernon. The one-day event featured a car show, brew fest, frisbee dogs and the music of six local bands: BUCULA, Daddy’s Gotta Girlfriend, Never Cry, Signs of Life, The Troy Fair Band and The Unknown. This year’s event raised $9,500 to benefit the Skagit Valley Hospital Regional Cancer Care Center and the Heather Schols Cardiac Rehabilitation Center. This event has raised more than $52,000 in its six-year history. The Foundation board and staff are very grateful to event coordinators Tom Judge, Dave Clark and Reed Harlow and their team of community volunteers.

ABOVE: Participants of the 2015 Seven Lakes in Seven Hours event gather for a group photo.

ABOVE: Pictured are Riverside Health Club owners Karen Westra and Denise Houtsma presenting a check to Foundation Director Linda Frizzell.

29Winter 2016

A department of Skagit Valley HospitalStanwood & Camano Island

Camano Island 127 N. East Camano Drive, Suite A Camano Island 360-387-5398

Stanwood9631 269th St. NW, Stanwood360-629-1600

Screening to Detect Peripheral Arterial Disease (PAD), Elevated Cholesterol and More!

Attend this popular screening to find out your risk factors for developing PAD, cardiovascular disease and stroke and learn how to reduce them. Call 360-629-6481 to schedule an appointment for this screening program that takes just 40 minutes! The cost is only $39 and it is held on Monday mornings in Mount Vernon. Visit page 32 for more information.

Cholesterol/Diabetes, Vitamin D and Bone Density Screenings

Full Lipid Profile plus Glucose: 10-12 hour fast required, water and prescribed medications only, no coffee or tea. No alcohol 24 hours prior. Fee: $15

Vitamin D: Fasting is not required. Fee: $39

Bone Density: This is a non-invasive, painless scan of one hand. Results are available immediately. Fee $10.

For information call 360-814-2424 or 360-629-6481. No appointment or pre-registration is required.

Debit or credit card or personal check – no cash accepted.

January 27 (Wed)8 – 9 a.m.Skagit Regional Clinics - Stanwood9631 269th Street NW

March 16 (Wed)8 – 9:30 a.m.Camano Senior Center606 Arrowhead DriveCamano Island

FREE Vein ScreeningSteven Lee, MD, surgeon with

Skagit Regional Clinics, will be administering screenings to evaluate visible varicose veins in the legs and help raise awareness of venous disease and the available treatment options.

Screenings take less than 10 minutes and are open to men and women. Participants are examined individually in a private environment and should wear loose-fitting clothes (no pantyhose). Shorts or skirts are best.

February 22 (Mon)1:30 – 4:30 p.m.Skagit Regional Clinics - Stanwood9631 269th Street NWNo charge but pre-registration required

FREE Skin Cancer Screening

Corinne Sayler, PA-C with Skagit Regional Clinics – Dermatology will conduct visual inspections of skin abnormalities you are concerned about. No charge. Call 360-814-2424 or 360-629-6481 to schedule an appointment.

March 10 (Thur)1 - 4 p.m.Skagit Regional Clinics - Stanwood9631 269th Street NW

Blood DriveFebruary 12 (Fri)10 a.m. – 4 p.m. (except 12:30 –

1:15 p.m.)Skagit Regional Clinics - Stanwood9631 269th Street NW – mobile vanPre-registration required by calling

1-800-398-7888.

AARP Driver Safety Program

This two-session program for people older than 50 is designed to enhance the driving skills of the mature adult. Insurance companies are required to give a discount on auto insurance for those over age 55 who complete the course. Course fee is $15 for AARP members; $20 for non-members. Pre-registration is required.

February 15 and 16 (Mon/Tue)9 a.m. – 1 p.m.Skagit Regional Clinics - Stanwood9631 269th Street NWPay at the class

Island County Health Department

The Island County Health Department is located at 127 N. East Camano Drive, down the hall from the Skagit Regional Clinics - Camano Island. Visit www.islandcountyhealth.org for more information or call 360-387-0184.

All classes require pre-registration unless specified. Call 360-814-2424 or see inside of back cover. 29

CLASSESHealthQuest DON’T WAIT TOO LONG! Many of our

classes fill quickly so early registration is recommended. You are not confirmed in the class until we receive your payment (for classes requiring payment). Don’t lose your space in class – pay early! See the inside of the back cover of this magazine for registration information. Pre-registration is required for all classes unless otherwise noted.

CHANGEYOUR

STANWOOD/CAMANO NEIGHBORHOOD

30

Love the Way You Live!Women’s ‘Love Your Heart’ Luncheon

In this presentation, inspirational speaker and best-selling author Jennifer Read Hawthorne shares her

secrets for loving the way you live, no matter what’s going on in your life. With lively stories from her book “Life Lessons for Loving the Way You Live” and real-life experiences, Jennifer will show you how to adjust your thinking (and why

it’s important), how to find greater balance and better health, and how to experience the serenity that comes from doing and being your best.

Jennifer is co-author of four bestselling books, including “Chicken Soup for the Woman’s Soul” and “Chicken Soup for the Mother’s Soul.” Both books reached #1 on the New York Times and #1 and #2 on USA Today’s best-seller lists and continue to be among the most popular of all books in the “Chicken Soup for the Soul” series.

This event is sponsored by the Skagit Valley Hospital Heart & Vascular Institute.

February 9 (Tue) 11:30 a.m. – 1:15 p.m.Swinomish Casino and Lodge12885 Casino Drive, Anacortes$19 includes lunch$130 for table of eight

Doc TalksCarpal Tunnel Syndrome

Carpal tunnel syndrome is a hand and wrist condition that

causes numbness, tingling and other symptoms. Carpal tunnel syndrome is caused by a pinched nerve in your wrist.

This discussion with plastic surgeon Edwin Chang, MD with Skagit Regional Clinics will

provide information about the symptoms, diagnosis and treatment options for carpal tunnel.

February 3 (Wed)6 – 7 p.m.Skagit Valley HospitalNo charge but pre-registration required

Understanding MenopauseThis presentation by Sarah Evans,

ARNP, with Skagit Regional Clinics in Sedro-Woolley, will provide up-

to-date, accurate information about menopause and menopausal symptoms. The discussion will include various options for treating menopausal symptoms such as hot flashes and mood swings including hormone therapy, home

remedies and more. Time will be allowed for your questions.

March 1 (Tue)6 – 8 p.m.Skagit Valley HospitalCascade RoomNo charge but pre-registration required.

Especially for Girls: What’s Happening to Me

Skagit Regional Health is offering this popular mother-daughter class on puberty that will help them

address the sensitive topics of physical and emotional development taught in a relaxed environment by Jean Chakraborty, MD, OB/GYN with Skagit Regional Clinics-Mount Vernon.

Designed for girls ages 8-11, the

class includes information about girls’ changing bodies, menstruation, an overview of hygiene products, emotional changes and issues regarding self-esteem, healthy eating, development and body image. It is not a sex education class.

April 27 (Wed)6 – 8 p.m.Skagit Valley HospitalNo charge but pre-registration required

Continuing Health EducationMeditation for Calming and Focusing Your Mind

Let an experienced meditator guide you in simple techniques to become comfortable with this valuable skill in this three-session class. Meditation is now scientifically recognized to help reduce stress and anxiety, blood pressure and help with restful sleep.

Jan Hodgman, MA, has been meditating for more than 40 years and spent eight years in a Japanese Zen monastery.

Feb. 4, 11 and 18 (Thur)6 – 8 p.m.Skagit Valley Hospital$39

CLASSESHealthQuest DON’T WAIT TOO LONG! Many of our

classes fill quickly so early registration is recommended. You are not confirmed in the class until we receive your payment (for classes requiring payment). Don’t lose your space in class – pay early! See the inside of the back cover of this magazine for registration information. Pre-registration is required for all classes unless otherwise noted.

CHANGEYOUR

31Winter 2016 31All classes require pre-registration unless specified. Call 360-814-2424 or see inside of back cover.

Spanish for Health Care Providers Workshop

Learn essential Spanish vocabulary and phrases common in your health care workplace in this six-hour class, in order to communicate with Spanish-speaking patients on a basic level, while addressing several cultural differences.

The instructor is Sarah Rowan, owner of Salud! Spanish Programs. This program is approved for six contact hours of continuing nursing education.

Feb. 10 and 11 (Wed/Thur)5:30 – 8:30 p.m.Skagit Valley Hospital$125 includes course materialsPre-registration required

Elder CareMany of us will one day find

ourselves needing care for ourselves or a loved one. This two-evening program brings clarity to the maze of support options available. Learn about alternative living situations, transportation, nutritional and medical services, in-home care (including home-health and hospice), as well as how to access these options. Discover the costs of each and the role of Medicare, Medicaid, LTC insurance, and other funding options. The first night will focus on developing a team of support services to allow individuals to remain in their own homes. The second session will review alternative living situations and how to how to make the transition as smooth as possible for everyone involved, as well as reviewing the legal documents needed and additional options available to help ensure your wishes are honored through the end of life.

Instructor Debbie Gann, CSA, Director, Home Attendant Care (Whatcom/Skagit/San Juan/Island

Counties) has more than 25 years of healthcare experience and is a certified Dementia Trainer.

Feb. 24 and March 2 (Wed)Skagit Valley Hospital5:30 – 8 p.m.No charge but pre-registration required

AARP Driver Safety ProgramThis two-session program for people older than 50 is designed to enhance the driving skills of the mature adult. Insurance companies are required to give a discount on auto insurance for those over age 55 who complete the course. Course fee is $15 for AARP members; $20 for non-members. Pre-registration is required.

March 21 and 22 (Mon/Tue)San Juan Room A/B1 – 5 p.m.Skagit Valley HospitalPay at the class

Certified Diabetes Education Program

Skagit Regional Health offers a multi-disciplinary, comprehensive education program for adults with diabetes, either newly diagnosed or for those patients needing extra guidance with diabetes control. The program includes individual and group education.

Continuous Glucose Monitoring (CGM) is also available through the program. A small sensor, worn in the abdominal area, measures and stores data for four to five days.

A physician referral is required so talk to your health care provider. The program and CGM is covered by most insurance companies. Please check with your insurance provider to confirm. For other questions, or more information about the program, contact our Diabetic Education

Program Scheduler at 360-814-2184 or visit www.skagitregionalhealth.org, search Diabetes Education.

Pulmonary Rehabilitation Program

This intensive program can help patients with chronic lung disorders including emphysema, chronic bronchitis or asthma, reduce respiratory symptoms, improve functional independence and complications and reduce hospitalizations. The program is provided by a multi-disciplinary team. Participants learn self-management and relaxation techniques to improve emotional well-being, skills to help regain control of their breathing, and pursue activities to the fullest extent of their abilities.

The class meets on Tuesdays and Thursdays from 1:30 – 3:30 p.m. for approximately 10 weeks. For more information call 360-814-2236.

Total Joint Replacement Class

This two-hour class helps to prepare patients for their upcoming joint replacement surgery. We have incorporated classroom instruction with procedure-specific therapy. You will learn what to expect before, during, and after joint replacement surgery.

The class meets the first and third Wednesday of the month from 1 – 3 p.m. at Skagit Valley Hospital. For more information, directions and to register for this class, please call 360-814-2424. There is no

charge for this program.

Photo by Gary Brown, MD

32

Heart Healthy Fitness Program

Come join us for exercise in a safe and stress-free environment at Skagit Valley Hospital. The Heart Healthy Fitness Program focuses on individual goals and plenty of one-to-one attention. We work on strength training, balance, and cardiovascular fitness. For questions, cost and class times, call 360-814-8368.

Cardiac Rehabilitation Program

Have you had a recent heart attack, bypass surgery, angioplasty or stent placement, heart valve surgery or congestive heart failure? We have a program to help you return to your active lifestyle and learn how to reduce your risk factors. A Registered Nurse and Exercise Physiologist supervise the classes and provide a safe, friendly atmosphere to ask questions and learn how to pace yourself as you recover. This is a physician-referred program and Medicare and most insurances cover cardiac rehab. For more information call 360-814-8368. Diabetes Prevention Program

The National Diabetes Prevention Program can help you lower your risk for type 2 diabetes with gradual, modest lifestyle changes. The program includes year-long support and motivation with 16 weekly class meetings followed by eight monthly meetings. The next class is scheduled to begin on January 21 from 5:30 – 6:30 p.m.

Contact WSU Skagit County Extension for more information: 360-428-4270 ext. 224, Laura DeFreese, Diabetes Prevention Program Lifestyle Coach or laura.defreesed@wsu.edu or visit http://ext100.wsu.edu/skagit/fam/diabetes/.

Health & Wellness ScreeningsHeart and Vascular Screening: Detect Peripheral Arterial Disease (PAD), Elevated Cholesterol and More!

The Skagit Regional Heart & Vascular Institute offers this popular community screening on Monday mornings for all adults over age 18.

Attend this screening to find out your risk factors for developing peripheral artery disease (PAD), cardiovascular disease and stroke and learn how to reduce them. The screening includes the following tests and results are immediate:

• Ankle brachial pressure index to help detect peripheral artery disease (no caffeine or nicotine for one hour prior).

• Blood pressure.

• Full lipid profile for cholesterol plus glucose requires 12 – 14 hour fast. This is a fingerstick test with immediate results.

• Body composition testing to detect elevated body fat.

• Review results with a health care provider.

Call 360-814-2424 or 360-629-6481 from Stanwood/Camano Island to schedule an appointment for this screening program. It takes just 40 minutes! The cost is only $39 and screenings are held on Monday mornings in Mount Vernon. Also see Stroke and Aneurysm Screenings on page 33 for a screening of the aorta and carotid arteries.

FREE Vein ScreeningSteven Lee, MD, surgeon with

Skagit Regional Clinics, will be administering screenings to evaluate visible varicose veins in the legs and help raise awareness of venous disease and the available treatment options.

Screenings take less than 10 minutes and are open to men and women. Participants are examined individually in a private environment and should wear loose-fitting clothes (no pantyhose). Shorts or skirts are best.

January 25 (Mon)1:30 – 4:30 p.m.Skagit Valley HospitalPre-registration required

FREE Skin Cancer Screening

Dermatologist Sam Wilson, DO, with Skagit Regional Clinics will conduct visual inspections of skin abnormalities you are concerned about. Call 360-814-2424 or 360-629-6481 to schedule an appointment.

February 10 (Wed)1 - 4 p.m.Skagit Regional Clinics-RiverbendDermatology Department2320 Freeway Drive, Mount Vernon

Cholesterol/Diabetes, Vitamin D and Bone Density Screenings

Full Lipid Profile plus Glucose: 10-12 hour fast required, water and prescribed medications only, no coffee or tea. No alcohol 24 hours prior. Fee: $15

Vitamin D: Fasting is not required. Fee: $39

Bone Density: This is a non-invasive, painless scan of one hand. Results are available immediately. Fee $10.

For information call 360-814-2424 or 360-629-6481. No appointment or pre-registration is required.

Debit or credit card or personal check only – no cash accepted.

February 16 (Tue)7:30 – 9 a.m.Skagit Valley HospitalCascade Room - Kincaid Street

entrance

33Winter 2016 33All classes require pre-registration unless specified. Call 360-814-2424 or see inside of back cover.

FREE Vision ScreeningA certified ophthalmic technician

with North Cascade Eye Associates will conduct vision and glaucoma screenings. This is not an evaluation of cataracts or macular degeneration. It is an acuity (vision) and eye pressure test only. Bring a contact lens case for storage during the screening. Call 360-814-2424 or 360-629-6481 to schedule an appointment.

February 26 (Fri)1 - 3 p.m.Skagit Valley Hospital

Stroke and Aneurysm Screening

This ultrasound screening test provided by Skagit Digital Imaging is non-invasive, quick and painless, and will help you identify whether you are at increased risk for stroke and vascular disease.

The cost is only $59 for the combined carotid and aorta screening. To register for an appointment, call 360-428-8208 weekdays between 8 a.m. and 5 p.m. Screenings are held at Skagit Radiology located at 1320 E. Division, Mount Vernon.

Bone Marrow DrivesIf you are between the ages of

18 – 44 you could be a possible match for a patient in need of a bone marrow transplant.

Every day in this country, over 6,000 patients stricken with life-threatening diseases such as leukemia, lymphoma and sickle cell anemia search the Be The Match

Registry in the hope of finding a matching bone marrow donor. It begins with a simple cheek swab. Learn more about how you can become a donor and the steps of the donation process at bethematch.org.

May 4 (Wed)7:30 a.m. – 11:30 a.m.Skagit Valley HospitalShuksan Room – Kincaid Street

entrancePre-registration not required.Visit bethematch.org for more

information.

Blood DrivesMarch 14 (Mon)10:30 a.m. – 12:30 p.m.Mobile van at Skagit Regional Clinics –

Riverbend2320 Freeway Drive, Mount Vernon

April 4 (Mon)8 a.m. – 2 p.m.Skagit Valley Hospital

Pre-registration required by calling 1-800-398-7888.

FREE Blood Pressure Screenings

Automated blood pressure machines are available at the following locations:

• Skagit Regional Clinics – Mount Vernon• Skagit Valley Hospital –

Kincaid Street entrance • Skagit Regional Clinics - Stanwood

Is it Time for Your Mammogram?The Breast Care Center1320 East Division StreetMount Vernon360-428-7270

A service provided cooperatively by Skagit Valley Hospital and Skagit Radiology.

Childbirth & Infant CarePregnancy and Childbirth

This six-week course for expectant parents includes information about emotional changes during pregnancy, the labor process, breathing techniques, the role of the support person, breastfeeding, and a local pediatric care provider to discuss your baby’s first three months. The fee is $110. Medical coupons are accepted. Full payment or a copy of your medical coupon is required two weeks before the class begins. Classes are offered at Skagit Valley Hospital. Pre-registration is required. Call 360-814-2424 or 360-629-6481 to register.

Photo by Gary Brown, MD

34

Childbirth Preparation: Weekend Course

Skagit Valley Hospital offers a two-day childbirth preparation class on weekends. Plan to begin the course in your seventh or eighth month of pregnancy. The class includes the same topics as the six-week course. A tour of the Family Birth Center is included. The fee is $95. Medical coupons are accepted. Pre-registration is required. Call 360-814-2424 or 360-629-6481 to register.

Family Birth Center ToursFree tours of the Skagit Valley

Hospital Family Birth Center are offered twice a month. Call 360-814-2424 or 360-629-6481 to schedule a tour.

New Mom’s Group This group is led by a nurse/

lactation consultant and a WIC peer counselor. Bring your baby, join us for beverages and talk about your experiences as a new mom. Meet other moms, weigh your baby, and get answers to your questions about breastfeeding, development, and much more. Pregnant women, moms with babies, and any woman with breastfeeding questions are welcome to attend. Held on Thursdays from 11 a.m. – Noon in the Skagit Valley Hospital Family Birth Center Waiting Room. Call 360-428-2229 with questions.

Breastfeeding and Newborn Care

Skagit Valley Hospital’s Family Birth Center’s nurse Lactation Consultants will aid parents in gaining the knowledge necessary to make feeding decisions regarding their new baby. In addition, a local pediatric care provider will be available to provide information on newborn care – time for questions will be allowed. Pre-registration required. The fee is $25 for this two and one-half hour program. The cost is only $20 when registering for the weekend childbirth preparation class at the same time. Call 360-814-2424 or 360-629-6481 for class dates and times.

Prenatal FitnessPrenatal Fitness is an eight-week

program designed to strengthen the body for all the changes it will experience during pregnancy. The class includes cardio, strength, flexibility and balance training. Prenatal Fitness is designed to accommodate all stages of pregnancy and various fitness levels. This class is taught by a certified pre- and post-natal fitness instructor.

Jan. 19 – March 8 (Tue)6:30 - 7:30 p.m.Skagit Valley HospitalFamily Birth Center Waiting Room$79

Lactation Services at Skagit Valley Hospital

There are four Internationally Board-Certified Lactation Consultant Registered Nurses available to visit you during your hospital stay and help you experience a successful start to breastfeeding your baby.

If you are pregnant or breastfeeding and would like to know more about Lactation Services at Skagit Valley Hospital, please call 360-814-BABY and one of our consultants would be happy to talk with you.

Gestational Diabetes Program

Skagit Valley Hospital offers a referral-based education program to improve gestational diabetes self-management skills. Our highly trained and dedicated diabetes education team provides participants with the skills to manage their blood sugar through healthy eating, stress management, increased activity, and blood glucose monitoring. The program offers individual nutrition therapy appointments. For more information please contact our Diabetes Education Program at 360-814-2184.

Child Safety Seat ChecksCertified child safety seat

technicians will assess your seat for age- and size-appropriateness, proper installation and use, recalls, and visible damage. This screening is highly recommended for parents-to-be, prior to the birth of your new baby, to learn how to safely install and use your car seat. Co-sponsored by Safe Kids Northwest. Pre-registration is not required.

Jan. 21; Feb. 18; March 17 (Thur)1 - 3 p.m.Skagit Valley Hospital at main entrance

covered area

Kidney Dialysis EducationKidney Failure Treatment Options

This Skagit Valley Kidney Center program is for people with reduced kidney function who would like to explore treatment options for renal replacement therapy. Patients, families, and caregivers will receive information about treatment options (such as dialysis and transplant), diet, health maintenance, financial, and social concerns. For more information and registration, call 360-416-5717.

Cancer Support Services

All programs are provided for cancer patients and survivors and are free of charge. For additional information on any of these services or events please call 360-814-8255.

Cancer Support GroupThe Skagit Valley Hospital

Regional Cancer Care Center offers a monthly support group for individuals and their caregivers dealing with the emotional life changing challenges of a cancer diagnosis. The group is open and available on a drop-in basis (pre-registration welcomed.) The group meets at 4 p.m. the second Thursday of each month. To register, or for further information, please contact Peter Wold, MSW, Oncology Social

35Winter 2016

Worker at 360-814-8255 or via email at pwold@skagitvalleyhospital.org. The meetings are held in the Safeway Conference Room at Skagit Valley Hospital Regional Cancer Care Center, third floor.

Look Good, Feel BetterThe Look Good, Feel Better

sessions are led by trained, volunteer cosmetologists who teach women either in active cancer treatment or about to start treatment how to cope with skin changes and hair loss using cosmetics and skin care products donated by the cosmetic industry. Women also learn ways to disguise hair loss with wigs, scarves, and other accessories. Pre-registration is required; register by calling American Cancer Society Everett office at 425-404-2193.

Jan. 25; March 28 (Mon)1 – 3 p.m.

February 22 (Mon)5 – 7 p.m.

Skagit Valley Hospital Regional Cancer Care Center

Safeway Conference Room (third Floor)307 South 13th StreetMount Vernon

Art and Healing Group First and third Mondays of each

month, 2 – 4 p.m. in the Safeway Conference Room (third floor) at the Regional Cancer Care Center. Instructor Margaret Carpenter Arnett, BSN, ATR, has been doing art therapy with cancer patients for more than 20 years. Creating art can promote healing by reducing anxiety and stress and improving emotional well-being. Please note that artistic “skills” are not required! Come and join this fun and welcoming group. For more information call 360-814-8255.

Diabetes Support This group meets the third

Tuesday of each month from 7 - 8:30 p.m. at Skagit Valley Hospital. Call 360-814-8274 for more information.

Grief Support Services

Hospice of the Northwest provides support to anyone in our communities coping with grief and loss after the death of a loved one. We provide the Grief Recovery Method Support Group throughout the year. The Grief Recovery Method Program provides action choices that help people move beyond the pain caused by loss. It is an eight-week program that creates a safe environment in which to look at old beliefs about dealing with loss; to look at what losses have affected your life; and to take new actions which lead to completion of the pain attached to one of those losses. For more information, referrals and to receive a current Grief Group schedule, please call 360-814-5570 or 360-814-5550.

Hospice of the Northwest Resource Center: A free lending library open to the community

Books and other materials are available for adults, teens, and children. Topics include caregiving, coping with disease, end of life concerns, grief and loss, and spirituality. You can also visit our website at: www.hospicenw.org, selecting Helpful Resources, then click on Hospice Resource Library Catalog.

The Resource Center is open weekdays from 8 a.m. to 5 p.m. in the lobby of the Hospice office at 227 Freeway Drive, Suite A in Mount Vernon and after hours by appointment. For information call Hospice of the Northwest at 360-814-5570.

In-Service Education For grief and loss presentations

for your organization or employees, contact the Hospice of the Northwest Bereavement Department at 360-814-5570. For clinical education or presentations for your organization or employees, contact Hospice of the Northwest at 360-814-5550.

Hospice Program Seeks Volunteers

A unique and meaningful volunteer opportunity is available through Hospice of the Northwest, serving Skagit, Island, San Juan and Snohomish counties.

Volunteers offer support and companionship to individuals with life expectancies of six months or less. Volunteer trainings are held in the fall and spring of each year. To learn more, please contact Julie Pryor Barr, Volunteer Supervisor at 360-814-5588 or jbarr@hospicenw.org.

Community EducationWant to learn more about hospice

services and what they might mean for you and your family? Hospice of the Northwest staff is available to give educational presentations to community groups. For more information, please call 360-814-5550.

35Photo by Gary Brown, MD

36

Mental HealthMental Health Support Group

NAMI Skagit Open Support Group meets on the fourth Tuesday of each month from 7 – 9 p.m. in the Shuksan Room at Skagit Valley Hospital. Family members and those living with mental illness are welcome. For more information contact Marti at 360-770-5666 or Al at 360-424-5802.

NAMI Basics Education Program

A free six-week class for parents or primary caregivers of a child or teen with mental illness or a brain disorder such as ADHD, bi-polar and others. The course helps families with communication, coping, schools and education needs, rehabilitation, recovery, and advocacy. The next will be held in early spring of 2016. For information, call Jerry at 360-631-1238 or Marti at 360-770-5666.

Family-to-Family Evidence-Based Education Program

Free 12-session (six-week) course for families of adults with mental illness or a brain disorder. The course focuses on helping family members understand the major mental illnesses and maintain their own well-being while providing needed support to their ill family members. This program is provided by NAMI Skagit, an affiliate of the National Alliance on Mental Illness. The next class will begin April 2016. Call Marti at 360-770-5666 or Judy at 360-424-5802 for more information. Space is limited so reservations are required.

Peer-to-Peer Education Program

Free ten-session (five week) course for adults with mental illness or brain disorders to help them better understand their illness and maintain and improve their recovery. NAMI Skagit provides this program at no charge. The next course will start April 2016. Call Polly Lowman at 360-630-9881 for more information and to register. Space is limited.

Skagit Valley REACH Center

People come to Skagit Valley REACH Center to build confidence, self-esteem, and self-worth, being proactive in their mental health recovery and personal wellness. We are a peer-run center that provides volunteer opportunities, community resources, housing education, employment education, public computer access, computer classes, community voicemail, and self-supporting recovery classes. We work with individuals age 16 and older. SVRC is open Monday through Saturday from 9 a.m. to 6 p.m. and is located at 1413 E. College Way in Mount Vernon WA.

For information call 360-873-8635, or email Center Director Jeff Reynolds reynoldsj@svreach.org or visit www.cvabonline.com.

Youth and Adult WRAP (Wellness Recovery Action Plan)

The Wellness Recovery Action Plan, or WRAP, is an evidence-based system that is used world-wide by people who are dealing with mental health and other kinds of health challenges, and by people who want to attain the highest possible level of wellness. This program is provided by Skagit Valley REACH Center.

For more information call 360-873-8635, or email Center Director Jeff Reynolds reynoldsj@svreach.org.

The Recovery and Wellness Program

This program is available to any Skagit County resident between the ages of 16 and 24 who needs assistance with linking to community services while in substance abuse treatment, or just recently discharged from treatment. The program is housed with Catholic Community Services Recovery Center in Burlington through a grant from Skagit County. Interested candidates can contact 360-757-0131 for more information or to make an appointment with one of the Recovery and Wellness Coordinators.

Support GroupsOstomy Support Group

A friendly support group for people with ostomies, their friends and families. Meets the second Tuesday of each month in the Shuksan Conference room at Skagit Valley Hospital (use Kincaid Street entrance) from 6 to 7 p.m. For more information contact Cathy Schaeffer at 360-202-3410.

37Winter 2016 37

Community News & ResourcesSpeakers Bureau

Skagit Regional Health’s Speakers Bureau provides speakers on a number of health care related topics, many at no cost. For more information on speaker topics or to schedule a presentation, call Val at 360-814-2424.

Volunteer Services at Skagit Regional Health

Volunteer opportunities at Skagit Regional Health include information desks, pianists, clerical and many others. Call Steve Schultz at 360-814-2142 for more information.

Junior Medical Volunteers The Junior Medical Volunteer

program is for students age 16-18.

For Students and Job SeekersThe number of positions

are limited so prospective volunteers should apply at least a year in advance of any school deadlines that may be applicable. High school students seeking course or club credit should apply and begin volunteering before their senior year.

Guilds and Auxiliaries Many volunteers choose to serve

through membership in one of our volunteer service and fund-raising groups including the Grace Cochrum Guild, J.E.M. Guild, SVH Auxiliary and SVH Guild.

Other Volunteer Department Services:Hospital and Clinic Tours

Tours of our facility for groups and individuals are available. Reservations are required. Call 360-814-2142 to schedule a tour.

Gift Shop The gift shop is open Monday

through Friday from 10 a.m. to 6 p.m. and Saturday from 8 a.m. – 1 p.m. in the main lobby. All proceeds from the Gift Shop are returned back to help Skagit Regional Health in areas of need.

Need a Doctor?Call our free Find a Doctor Phone

Line at 360-848-5555 or 360-629-5850 from Stanwood or Camano Island. The referral line is open Monday - Saturday 6:30 a.m. to 8 p.m. and Sunday 8 a.m. to 5 p.m.

Watch HealthQuest TV on Cable-Access Television Station 10 and on YouTube.com.

If you are a Comcast cable subscriber in Skagit County, be sure to tune in to channel 10 to watch HealthQuest TV. The show airs at 11:30 a.m., 4:30 p.m. and 7 p.m. every day.

This half-hour show features a new guest each week showcasing our local providers and health care professionals on a variety of topics ranging from latest treatment options for heart disease and cancer care to prevention topics highlighting local walking trails and cooking shows. You can also view our HealthQuest shows online at www.youtube.com/skagitvalleyhospital.

Trail Guides, Bike Maps and More at BeActiveSkagit.org

Visit BeActiveSkagit.org Web site to learn more about opportunities to be physically active in Skagit County including trail guides, an activity tracker and much more.

Photo by Gary Brown, MD

38

Agreement for affiliationThe Boards of Commissioners of

Skagit Regional Health and Cascade Valley Hospital and Clinics approved a definitive agreement for affiliation in November that will ultimately lead to Skagit Regional Health leasing and operating Cascade Valley Hospital and Clinics.

After three years of thoughtful discussion, this decision represents a significant milestone as the two organizations move boldly forward to embrace change in health care and make a difference in the communities we serve. Working together will ensure expanded access to care, bring growth to the number of services and providers available to the communities, and will keep the focus on quality, safe patient care for all.

Upon approving the agreement on Nov. 4, board members from our organizations expressed pride and commitment for the future,

describing “a great relationship” and “good fit.”

Skagit Regional Health and Cascade Valley Hospital and Clinics share common values and have

a long-standing record of working together to bring health care to the communities we serve. Both organizations are public hospital districts with elected commissioners. Both also have a clinical affiliation with UW Medicine.

The timing for Skagit Regional Health to begin

operations of Cascade Valley Hospital and Clinics will await the outcome of an application for a Certificate of Need from the state Department of Health. A Certificate of Need is required by the state Department of Health when there is a lease, sale or purchase of all or part of an existing hospital.

The agreement follows the goals and principles set very early in the discussions:

• Enhance clinical services

• Promote organizational long-term stability, including physician recruitment and retention.

• Prepare for healthcare reform, including a best-in-class information technology platform.Several work groups and

a steering committee with representatives of both organizations are hard at work to guide our progress for a smooth transition. A five-month period of due diligence will allow time to work on details of the agreement.

We are proud of the hard work and effort by the Boards of Commissioners and leadership teams to retain focus on reaching an agreement that will benefit the people of our communities with health care services today and well into the future.

38

Jeffrey Miller, PhD, JDPresidentPublic Hospital District No. 1Skagit Valley Hospital Board of Commissioners

Winter 2016 39

EFFECTIVE JANUARY 1, 2016 Skagit Regional Health no longer accepts cash as a method of payment*. Credit cards (Visa, Mastercard and Discover), debit cards, including pre-paid debit cards, and personal checks will continue to be accepted.

Many of Skagit Regional Clinics’ satellite offices have operated under a “cashless” policy for more than a year. These successful pilot programs have reduced security risks and helped with loss prevention. The change will also improve efficiency during appointment check-in.

*Skagit Regional Clinics’ pharmacies will continue to accept cash.

Total amount enclosed:

Name: _______________________________________________________________________

Address: _____________________________________________________________________

City, State, Zip Code: ___________________________________________________________

Day Phone: __________________________ Home Phone: ______________________________

E-mail address:________________________________________________________________

Check (make checks payable to SRH-HealthQuest)

Mastercard VISA

Credit Card Number: ____________________________________

Type of Payment (Please do not send cash)

Please fill out this form and include your check or charge card number along with the requested information (use one copy for each participant - feel free to duplicate this form or register on our Web site.

Class or Screening Date Fee

MailHealthQuest Skagit Regional Health P.O. Box 1376 Mount Vernon, WA 98273

Phone360-814-2424 or 360-629-6481

Internetwww.skagitregionalhealth.org, click on Events

Fax360-814-8222Complete this form and fax it to the number above.

Questions?Call Skagit Regional Health at 360-814-2424, from Stanwood and Camano Island call 360-629-6481 or for hearing impaired, please call TTY 360-814-2219

Expiration Date: _______________________

Signature:____________________________________

39

Class RegistrationHealthQuest

Winter 2016

Skagit Regional Health goes cashless

Patients with questions about this policy may contact the appropriate Skagit Regional Health Financial Services office:

Skagit Regional Clinics Financial Services360-428-2521

Skagit Valley Hospital Financial Services (by last name)

A – C 360-814-2627D – H 360-428-2287I – Q 360-445-8576R – Z 360-445-8575

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