SPRING 2021 HEARTBEATS Island Hospital Health And Wellness Center Coming 2022! The Road to Recovery What’sPost-COVID inside Care and Treatment

A New Pod Has Arrived on Orcas Island The Well Journey Adventure Island Primary Care - Orcas Island Hospital Foundation Fundraiser 2021

SPRING 2021 | 1 CHARLES HALL, MSN, MBA, CHIEF EXECUTIVE OFFICER Wellness Center will deliver on our commitment to quality care and quality outcomes, while enhancing our region’s quality IN THIS ISSUE of life. We hope you’ll join the Island Hospital Foundation’s Spring Fundraiser beginning next week in support of the Island 2. Looking Ahead 12. The Well Journey Adventure Hospital Health and Wellness Center. A letter from Island Hospital CEO, Island Hospital Foundaton Fundraiser While we’re expanding in Anacortes, we’ve also expanded Charles Hall in the San Juan Islands. Island Primary Care – Orcas opened 16. Six Words that Led to April 5, 2021, and we couldn’t be more thrilled to have Dr. Frank 3. The Future of Health & Better Health James as Medical Director of our Orcas clinic. Island Hospital Wellness was selected by the Orcas Island Health Care District (OIHCD) 17. Know the Signs and last summer to provide primary care on the island. With the 4. Introducing Our New CFO Symptoms of Stroke help of our excellent team of providers, staff , Orcas residents, Julie Norton Stewart When Every Minute Counts and OIHCD Board members, we’re now delivering primary, same-day and after-hours care to our Orcas community 5. Keeping Young Athletes in 20. Managing Your Mental members. You can read more about the staff and services the Game Health Toolbox off ered at Island Primary Care – Orcas in this issue. Mental Health Awareness Month We are also excited to announce the expansion of 6. Meet Our Newest Providers gastroenterology, urology, women services, critical care 22. Island Primary Care - Orcas services and general surgery services with the introduction of 7. Classes and Community four highly experienced and reputable physicians. I am thrilled Screenings Island Hospital has been hard at work 25. Tele-ICU to introduce you to a few new faces at Island Hospital: planning for a Health and Wellness Center 10.Post-COVID Care and in the former NAPA building on Commercial 27. Arden Charles • Dr. Donald Wakelin is our new gastroenterologist joining Treatment Avenue in Anacortes. A Patient Story us this month to off er expanded services in digestive health to our community. • Dr. Joe Wilson is an OB/GYN who is providing expanded services in women’s health. • Dr. Patricia Franklin will assist with expanding our general s I write this message, Spring has arrived in surgery services with the Island Surgeon’s team. the Pacifi c Northwest. There are signs of • Dr. David Rice is a seasoned urologist joining Island new life and new beginnings all around the Hospital from Lewiston, Idaho. He will help expand these hospital—from the fl owers blooming critical services, alongside Dr. Kevwitch, in our urology outside my off ice window to the department. lullaby that plays with each baby born—these signs of hope Our hospital will be able to expand our care for our most remind me of how far we’ve come in the last year. A LETTER FROM OUR BOARD PRESIDENT, JAN IVERSEN Indeed, Spring of 2021 feels more hopeful than a year ago. critically ill patients with the new Tele-ICU. This allows for It’s been a long battle against COVID-19. We erected a testing 24/7 specialist care, including a remote intensivist and ICU nurses available to collaborate with our acute care team. This clinic, continuously adapted to changing requirements and am excited to share with you the future This allows for a range of programming brought technology would not be possible without the support from rolled out vaccines to our community. I couldn’t be prouder of of healthcare in our community. Island to you by various departments of the hospital. a generous community member. We are truly grateful for the Island Hospital providers, staff and Board members for their Hospital has been hard at work planning for From Dietary to Physical, Occupational and partnership and support from our wonderful community. tireless eff orts to protect our community. a Health and Wellness Center in the former Speech Therapy, to Psychiatry and Behavioral I’m also thrilled to announce Julie Norton Stewart, Throughout this pandemic, we continued to hold on to NAPA building on Commercial Avenue in Health, we plan to bring classes and education MBA, who joined our leadership team in January as our hope; to look to the future with plans and important initiatives. Anacortes. This center will reduce barriers on all facets of wellness to better improve Chief Financial Off icer. She took the helm as CFO as Elise Yes, we’ve worked tirelessly through the pandemic, but the to healthcare by off ering free and low- quality of life in our community. This will truly be Cutter moved into the Chief Operating Off icer role this year. pandemic did not stop our drive or commitment to delivering cost health education classes, seminars, a collaboration of medical providers, dietitians, Together with our Chief Nursing Off icer, Carol Northup, RN, best-in-class healthcare. I can’t think of a better time to and events for our community, both in therapists and educators working together to BSN, MA, CENP our focus will remain on expanding services announce our new facilities, new team members, and new Anacortes and beyond. improve the health of our community. and meeting the needs of our community. Please read more services than in this new issue of Heartbeats. You’ll notice that With audio-visual equipment to broadcast Please read more about the Health and about all of these new faces in this edition of Heartbeats. we’ve changed the layout and the design. It’s refl ective of our classes to areas outside of Anacortes, Island Wellness Center in this issue. I hope you’ll join I’d like to thank the community for the support we’ve commitment to the future of healthcare in our community. Hospital plans to off er both in-person and remote me in support of the Island Hospital Foundation’s received over the last year. Our entire team looks forward One of the ways we’re looking to help improve the future learning for many of the classes off ered in the Spring Fundraiser, which will raise money for to collaborating with you as we continue to address your of healthcare in our region is with a Health and Wellness new space. The focal point of the center will be our new center. The Board of Commissioners healthcare needs. I hope you enjoy a sunny spring and summer Center. Island Hospital signed a 20-year lease of the former a teaching kitchen, where community members and I greatly appreciate the support from the season, full of hope and good health. NAPA building on Commercial Avenue, across the street from can learn how to make healthy meals on a budget; Foundation. Their partnership, along with the our hospital. This center will deliver preventive and chronic understand what foods are important to battle support of our community ensures we can care management classes to the region. Educational tools and chronic illness; assist new parents with feeding deliver the best healthcare for our community resources will elevate the health and vitality of our community. their picky eaters, and more. for years to come. In an age where healthcare must be proactive, the Health and The center is being designed as a fl exible space. Continued on page 6.

2 | HEARTBEATS MAGAZINE SPRING 2021 | 3 INTRODUCING OUR NEW CFO Julie Norton Stewart Island Hospital’s New Chief Financial Officer Island Hospital welcomes new Chief Financial Off icer, Julie Norton Stewart, eff ective January 2021. Stewart succeeds Elise Cutter who served as Island Hospital’s Chief Financial Off icer since 2013 and has moved into a new leadership position as Chief Operating Off icer within the organization. Stewart brings a depth of experience to the role with expertise in leading fi nancial operations and strategic business development.

“I am happy to embrace Island Hospital’s vision while looking towards the future.”

“I am thrilled about the opportunity to move to this welcoming community where I can foster the trust and goodwill of people that rely on Island Hospital for all their healthcare needs,” said Stewart. “I am happy to embrace Island Hospital’s vision while looking towards the future and focusing on strategy and growth during this complex and challenging time.”

Stewart adds tremendous value to Island Hospital’s leadership team, contributing unique strengths with developing fi nancial models, assessing fi nancial risk, and evaluating cost structures and revenue streams.

“Julie is an excellent addition to our organization and her diverse background in fi nance will have an immediate impact on the public good as our leadership team collectively navigates through these unprecedented times,” said Island Hospital CEO Charles Hall, MSN, MBA.

Stewart earned her Bachelor of Science in Finance and Master of Business Administration (MBA) from Clemson University Island Hospital is proud to provide athletic training Anacortes School District for the last two years. in South Carolina. After living in Portland, Oregon for 22 years and owning the Academy Theater, her family has relocated to services to Anacortes High School as part of a new She is a graduate of Aurora University, with a Anacortes, creating a new home for themselves within the vibrant community. Stewart’s daughter is currently a freshman at sponsorship with the school. The collaboration of Bachelor of Science in Athletic Training and a Oregon State and her son is a junior in high school. Stewart and her family are enjoying their new home and look forward to the athletic training program with Island Hospital’s minor in Physiology. Hayley has worked in many exploring all Anacortes has to off er. comprehensive medical care helps provide every diff erent settings ranging from high school and student-athlete highly skilled care and enables collegiate athletics to outpatient care. In addition, athletes to return to play faster. Hayley is passionate about giving back to the community any way she can. One way she does This partnership ensures that an athletic trainer this is through providing guidance to the health is present at practices, home games, and post- and sports medicine teacher at Anacortes High season games to ensure the safety of all athletes in School about best practices in athletic training every sport. The athletic trainer’s role is to provide and how to grow the program. She is eager to emergency care, injury prevention, evaluation set up job shadowing opportunities for interested and rehabilitation to athletes, as well as to provide students throughout the hospital. injury consultation to physicians, coaches, parents and students. Athletic trainers are a vital role in “Working with Island Hospital, assigned to any high school athletics program and ensure Anacortes High School, is a great opportunity injured athletes receive timely and appropriate for me to work within a wider range of medical care. Athletic trainers are not just limited to professionals while continuing to support the providing care on the fi eld, but also provide amazing student-athletes in our region,” said care through physical therapy clinics, helping Stout. physicians administer pre-participation physicals, and so much more. Look for Stout on the sidelines at the next Anacortes High School sporting event. Senior Leadership Team (from left to right): Island Hospital recently hired Hayley Stout, LAT, Carol Northup, RN, BSN, MA, CENP – Chief Nursing Officer ATC, who has been the athletic trainer with Go Seahawks! Julie Norton Stewart, MBA – Chief Financial Officer Charles Hall, MSN, MBA – Chief Executive Officer Elise Cutter, MBA – Chief Operating Officer 4 | HEARTBEATS MAGAZINE SPRING 2021 | 5 New Providers Classes & Screenings

Community Classes

Childbirth Education Classes Healthy Sleep Habits All classes and screenings This four-week class is designed to Join Dr. Reyna, Medical Director of the prepare parents-to-be for the arrival of Island Hospital Sleep Wellness Center, at Island Hospital require their new baby. Participants will learn for a review of healthy sleep habits to registration unless essential skills and develop confi dence help you obtain a good night’s sleep. You as they approach the end of pregnancy, will learn how to develop a good bedtime specifi cally stated in the labor, birth and early parenting. Prenatal ritual and to identify those behaviors that health, stages of labor, coping techniques, interfere with getting quality sleep. We will program description. Please pain relief options, breastfeeding, outline normal sleep cycling and sleep newborn care and more will be covered. patterns and how that impacts whether provide a minimum you wake up feeling refreshed in the Donald Wakelin, MD Joseph Wilson, MD Patricia Franklin, MD David Rice, MD 24 hours advance notice for When: Tuesdays, July 6 – 27, morning. Gastroenterology Obstetrics & Gynecology General Surgeon Urology 6:30 – 8:30 p.m. cancellations. Tuesdays, September 7 – 28, When: Wednesday, July 28, Western Washington Fidalgo Medical Associates Island Surgeons Island Urology Medical Group 6:30 – 8:30 p.m. 1 – 1:30 p.m. Dr. Joe Wilson earned his Dr. Patricia Franklin obtained Dr. David Rice is an Where: ONLINE Where: ONLINE Dr. Donald Wakelin is an Doctor of Medicine from her Doctor of Medicine experienced urologist joining Cost: $95/per couple or individual FREE established and highly skilled the University of Arkansas degree from the University of Cost: Island Hospital from Lewiston, (covered by Apple Health) gastroenterologist with more College of Medicine in Little Arkansas in Little Rock, AR and Idaho. He received his medical Instructor: Robert M. Reyna, MD than 14 years of experience. Rock, AR. He continued his completed a general surgery degree from the University of Instructor: Teri Shilling, MS, LCCE, Wakelin earned a medical training at the National Naval residency at Virginia Mason Kansas School of Medicine and CD(DONA), IBCLC degree from the University Medical Center in Bethesda, in Seattle. An accomplished has been practicing for more College Cork in Cork City, MD with an internship in board-certifi ed surgeon, than 20 years. Dr. Rice is board Ireland. His residency in internal Internal Medicine, followed Franklin has held a number certifi ed by the American medicine and fellowship in by a residency in Obstetrics of administrative positions Board of Urology. gastroenterology training was and Gynecology. After leaving including Chief of Surgery and completed at the University of Naval service as Chief of OB/ Medical Director of Surgery Car & Booster Seat Clinic Nutrition for a Healthy Managing Your Arizona, Tucson, AZ. Wakelin is GYN at NH Camp Lejeune, and Trauma. In addition to Mental Health board certifi ed by the American Have your car and booster seats checked Pregnancy NC, Dr. Wilson entered private general surgeries, she performs Join Dr. Hammer, a psychiatrist at Island Board of Gastroenterology. by nationally-trained car seat technicians Learn essential tips for ensuring proper practice in 1987. In addition to endoscopy procedures Hospital Psychiatry and Behavioral Health . from Safe Kids Northwest. They will check nutrition during each stage of your being an accomplished board- Clinic, for a discussion on managing and your seat for safety, make sure you are pregnancy from conception to the fi rst certifi ed provider, Dr. Wilson maintaining mental health in the face using it correctly and show you how to post-partum meal. Join a registered has held multiple academic of stress. You will learn how to manage properly install the seat in your car. Face dietitian for this webinar that will cover appointments and volunteer stress, fi ght anxiety and depression, masks are required (children under 2 topics including critical nutrients for positions both domestically improve resilience, and how to manage exempt). Vehicles limited to four family each stage of fetal growth, strategies and abroad. emotions in crises. We will discuss members. Technicians will be wearing for managing morning sickness, and common myths and misconceptions masks and fresh gloves for each vehicle. methods to build your milk supply. The Future of Health and Wellness (continued) about mental health and you will gain Nourish your body with a well-balanced tools to help you live a fulfi lling and As we look to the future of healthcare, we must continually work required advocacy to get vaccines for our community and When: diet to give your growing child a great start mentally healthy life. adapt to the needs of our community. This requires expanded dedication to get them administered. On behalf of the Board Thursdays, June 10 & August 12th to life. services and additional providers. In this issue you’ll read about of Commissioners, I’d like to thank the staff and volunteers 3 – 5 p.m. expanded services in gastroenterology, urology, women’s who have worked tirelessly in this eff ort. Thank you for your Where: Island Hospital’s 24th When: Thursday, July 29, health, surgery and critical care services. We’re excited for you partnership in this important work. When: Wednesday, May 26, Street parking lot 12 – 1 p.m. to meet our new providers. 6 – 6:45 p.m. Cost: FREE Wednesday, July 28, Where: ONLINE 6 – 6:45 p.m. Cost: FREE While the hospital has been focused on expanded services If you have questions or comments for any Appointments Required: Wednesday, September 29, to meet our region’s needs, the staff has also been helping of the Commissioners, please email us at: [email protected] Instructor: Paul S. Hammer, MD 6 – 6:45 p.m. our community fi ght through the pandemic. The COVID-19 [email protected] vaccination rollout by the hospital has been a true testament to or call at 360-299-1327. Where: ONLINE the staff ’s commitment to our community. Their ability to adapt We appreciate your input and ideas. Cost: FREE and respond to a challenge quickly has been inspiring. This Instructor: Amber Phillips, MS, RD

6 | HEARTBEATS MAGAZINE SPRING 2021 | 7 Classes & Screenings Classes & Screenings Classes & Screenings

Meet Your Community Classes Instructors: Community Screenings

Memory Screening Swallow Screening Dietary Strategies for Improving Your Amber Phillips, MS, RD Balance Screening Managing High Cholesterol Aging Memory Our physical therapists can help Do you have diffi culty paying attention Concerned about your swallow? Registered Dietitian or keeping up in a conversation, Do you cough or clear your throat Chronically elevated cholesterol levels Is your memory not quite what it used determine where your body is Dietary staying on topic, or remembering frequently when eating or drinking, increase risk for heart attack and stroke. to be? Join an Island Hospital speech- vulnerable and help you develop information and names? Are fi nding have wet sounding vocal quality, Join Registered Dietitian Amber Phillips language pathologist to learn strategies strategies to prevent falls. words, expressing thoughts, or have congestion with repetitive colds for an informative 30-minute talk on and activities to improve your memory Appointments are required. planning and following through with a or pneumonia, have diffi culty with small changes you can make to your and keep your mind sharp. schedule becoming more diffi cult? If chewing and/or require multiple diet. Phillips will cover strategies that go When: Tuesday, May 11, so, our speech-language pathologists swallows with bites or sips? If you are beyond the standard advice to reduce Libby Lewis, MA, MEd, When: Wednesday, June 23, 10:30 a.m. – 12:30 p.m. can help identify the nature of your experiencing one or more of these saturated fat and cholesterol intake. CCC-SLP 10:30 – 11:15 a.m. Tuesday, July 20, diffi culty and determine if you have symptoms, meet with a speech- Speech-Language 10:30 a.m. – 12:30 p.m. Wednesday, September 29, Pathologist a cognitive communication defi cit. language pathologist to determine if When: Wednesday, July 7, 10:30 – 11:15 a.m. Tuesday, September 7, They can also provide strategies to you might have a swallowing disorder. Physical, Occupational 10:30 a.m. – 12:30 p.m. 2:30 – 3:00 p.m. Where: ONLINE & Speech Therapy help you improve in these areas of Appointments are required. Wednesday, September 15, Where: Physical, Occupational & Cost: FREE diffi culty in order to help you succeed. 2:30 – 3:00 p.m. Speech Therapy at Island Hospital Instructor: Libby Lewis, Appointments are required. When: Tuesday, July 13, ONLINE Cost: FREE Where: MA, MEd, CCC-SLP 1:30 – 3:30 p.m. Cost: FREE Robert M. Reyna, MD When: Tuesday, June 22, Tuesday, September 21, Instructor: Amber Phillips, MS, RD Sleep Physician 1:30 – 3:30 p.m. 1:30 – 3:30 p.m. Sleep Wellness Center Tuesday, September 14, Where: Physical, Occupational & 1:30 – 3:30 p.m. Medicare 101: Understanding Speech Therapy at Island Hospital Where: Physical, Occupational & Cost: FREE Your Medicare Choices Speech Therapy at Island Hospital Do you need help deciphering the Cost: FREE Medicare puzzle? Join us to learn more about traditional Medicare coverage, Paul S. Hammer, MD Medicare Advantage Plans, Prescription Psychiatrist Drug Coverage, gaps, enrollment and Psychiatry fraud protection. & Behavioral Health

When: Monday, June 14, 1 – 2:30 p.m. Offering a range of care for: Monday, July 19, • Sprains • Flu • Earache • Urinary tract infection 1 – 2:30 p.m. Teri Shilling, MS, LCCE, • Fever • Sinus infection Monday, August 9, CD(DONA), IBCLC • Rash • Minor lacerations 1 – 2:30 p.m. Monday, September 20, Lactation Specialist 1 – 2:30 p.m. Fidalgo Medical Associates Where: ONLINE Cost: FREE Instructor: SHIBA Volunteer

We’re ready for your next visit Monday – Saturday: with our newly expanded hours: 7 a.m. to 7 p.m. Sundays: 9 a.m. to 5 p.m.

2511 M Avenue, Suite B, Anacortes, WA 98221 | P: 360.293.3101 | www.islandhospital.org

8 | HEARTBEATS MAGAZINE SPRING 2021 | 9 REHABILITATION Your provider may discuss pulmonary rehabilitation or from mild to severe. Unfortunately, new symptoms may arise Island Hospital provides physical/occupational therapy outpatient care to help manage well past the time of infection or evolve into new symptoms Post-COVID Care pulmonary function prolonged symptoms as part of your recovery. This may altogether. testing and pulmonary include standard diagnostic evaluations, including pulmonary rehabilitation to identify functions tests, physical function assessments and repeat According to the Centers for Disease Control and Prevention and Treatment and treat patients with imaging scans. Current research suggests that rehabilitation (CDC), 35-54% of patients with mild acute COVID-19 breathing impairments. plays a crucial role in recovery. Using a combination of at- experienced persistent symptoms two to four months beyond THE ROAD TO RECOVERY home exercise plans and outpatient therapy sessions, patients the immediate illness. Research into the prolonged health find relief from persistent symptoms, including shortness of consequences of COVID-19 is rapidly evolving, and medical By John Mathis, MD, Internal Medicine Provider, breath, chest pain, cough, fatigue, and joint pain. Your provider professionals are working diligently to find ways to treat and Fidalgo Medical Associates will coordinate subsequent care to meet your specific needs prevent these widespread and lasting symptoms. A global The unexpected and intrusive arrival of COVID-19 has changed during recovery. effort is underway to develop centers dedicated to research the way we live our lives. The disease’s unprecedented nature long COVID and how best to care for those who have it. and scope have left many of us wondering how we will rebuild MENTAL HEALTH our futures in a post-COVID world. COVID survivors face a more Being ill for a long time can impact your mental health. While SLOW THE SPREAD significant challenge as the potential long-term complications recovering from COVID, you may feel anxious, depressed, Whether you recover quickly from COVID or take much longer, and prolonged symptoms create uncertainty and fear. As afraid, or frustrated. If your recovery is taking longer than it is essential to work with your healthcare provider on an communities prepare to return to normal, COVID survivors are expected, you may become easily irritated or angry. Try individualized management plan to support recovery. Keep in tinged with concerns about life beyond lockdown. distracting yourself by going for a walk, listening to a podcast, mind that having COVID-19 does not grant complete immunity or calling a friend when feelings of anxiousness arise. Slowly to the illness. While cases of reinfection are rare, it is best to BACKGROUND increase your activity level and do things that make you happy take steps to protect yourself and others. Continue wearing a Coronaviruses are a large family of viruses that cause such as gardening or walking your dog. Stick to a good sleep mask in public places, stay at least 6 feet away from others, respiratory infections ranging from the common cold to routine, so your body has time to repair itself. Try to go to wash your hands with soap and water often, and avoid crowds more severe diseases. COVID-19 is a disease caused by a new bed and wake up at roughly the same time every day to help in confined areas. Teach your immune system how to recognize form of coronavirus, and symptoms range from mild illness reduce irritability and boost your mood. By incorporating a few and fight the virus by getting the COVID-19 vaccine. If you have to pneumonia. While some recover quickly, others may get NOURISHMENT mental wellbeing activities each day, you will see significant questions about getting vaccinated, a conversation with your very sick and have persistent respiratory symptoms such Our bodies require more energy and fluids while fighting an improvements and feel a sense of accomplishment. provider might help put your mind at ease. as coughing, sore throat and shortness of breath following infection. Do your best to maintain a routine with eating and COVID-19. Whether COVID survivors recover spontaneously drinking to support your immune system during recovery. LONG COVID John Mathis, MD is a board certified internal medicine provider or have delayed recovery, our advice for post-COVID care Make the most out of your food and drink by choosing higher Long COVID refers to patients who have recovered from the at Fidalgo Medical Associates. He attended medical school at strategies will support people living with symptoms affecting protein options to give your body the extra energy it needs. If initial stages of the COVID-19 illness but experience many University of Utah followed by a residency at Virginia Mason their everyday life. you find that you have a poor appetite, talk with your provider symptoms well beyond the initial infection. Symptoms may Medical Center. His professional interests include pulmonology, about supplementing the short-term with a high calorie and include shortness of breath, fatigue, fevers, gastrointestinal cardiology and critical care. For more information or to REST protein drink to give your body the energy it requires. You may symptoms, sleep disorders, memory and concentration schedule an appointment with Dr. Mathis, call Fidalgo Medical Patients recovering from COVID-19 should focus on managing find that eating little and often and taking smaller bites while problems, anxiety, and depression. These symptoms can Associates at 360-293-3101. their energy. Post-viral fatigue is expected during the recovery taking deep breaths makes it easier to consume food. Rather persist for months past the initial recovery phase and can range phase and may range from feeling tired to extreme exhaustion. than eating three large meals, opt for snacks throughout the Fatigue is the body’s normal response to fighting a viral day that you find appetizing. To cope with changes in taste and infection, so it is essential to rest the body and mind while it smell, try consuming sharp, spicy, or sugary foods with stronger recovers. Relaxation and meditation can help support quality tastes. If you cannot make it to the grocery store, contact your rest. Fragrances, blankets, and soothing music may promote local grocer to ask about pickup and delivery services so you deep relaxation and improve your mood. Avoid physical and can get back to everyday life sooner. emotional exhaustion by keeping television, social media, and Quality matters. phones to a minimum. As your fatigue improves, continue to BREATHING CONTROL take short breaks throughout the day and calm your mind with Manage breathlessness by practicing breathing control. You have a choice in where to receive care. relaxation techniques. Breathing control is when you breathe gently, using little effort. When you feel suddenly short of breath, slowly breathe Hospital Compare allows consumers to select multiple ACTIVITY in through your nose with your mouth closed, so air reaches hospitals and directly compare performance data related to Keep activity levels low and only do a small number of activities deep in your lungs. Your stomach should rise as you breathe in. heart attack, pneumonia, surgery and other conditions. throughout the day. Basic activities of daily living such as Breathe out through your nose, allowing your stomach to fall washing and dressing may be taxing, so move slowly and gently. gently. Try to use minimal effort to make breaths slow, relaxed Start comparing at medicare.gov/hospitalcompare As your fatigue lifts, you may want to gradually incorporate a and smooth. Rest and wait for each new breath to come. If light amount of activity in your day with periods of regular rest. your blood oxygen levels are persistently low, you may require Avoid increasing activity levels too quickly and pushing through supplemental oxygen. Oxygen therapy is not a treatment for fatigue which can set you back. Be realistic about what level of breathlessness but is an effective at-home treatment for low activity is manageable, and be kind to yourself as you recover. blood oxygen saturation.

10 | HEARTBEATS MAGAZINE SPRING 2021 | 11 FOUNDATION’S NEW FUNDRAISER

ISLAND HOSPITAL’S NEW HEALTH AND WELLNESS CENTER

or years, community members have been able to campus. With building plans underway, community The new Health and Wellness Center will provide Classes, seminars, and free and low-cost screenings access health education classes and screenings education staff are planning new off erings that expand education, tools and support to empower community open doors for individuals to make healthier lifestyle such as blood-pressure checks, cholesterol and enhance its current programs. members to make healthier lifestyle choices. Whether it choices or talk to their provider about managing a F be a hands-on cooking class for weight loss, an exercise condition. When people connect with others facing screening, and vitamin D tests at Island Hospital. “Part of keeping quality healthcare close to home Taught by our talented doctors, nurses, therapists means expanding community health services. We’re class to help lower blood pressure or a mindfulness class similar health goals or challenges, they gain support. In and other healthcare professionals, these programs proud to be able to increase our services and provide to reduce stress, the Health and Wellness Center will an age where healthcare must be proactive, the Health are instrumental in encouraging community health, innovative programming for an ever-growing community provide opportunities for healthy exploration. Programs and Wellness Center will deliver on Island Hospital’s reinforcing healthy lifestyle choices and helping patients through the new Health and Wellness Center,” stated will be designed to help individuals get healthy and stay commitment to quality care and quality outcomes, while learn about managing chronic conditions. Classes and Island Hospital CEO, Charles Hall, MSN, MBA. healthy. enhancing our region’s focus on quality of life. seminars about childbirth, nutrition, Medicare, mental Delivering preventive and chronic care management Once renovated, the new Health and Wellness health and aging have all been a cornerstone of what the classes across the region will be a primary focus at the Center will have a state-of-the-art kitchen for cooking For more information about the new Health and hospital off ers the community. new Center. It will host an increased volume of classes, demonstrations and nutrition classes, an area for group Wellness Center, donating to the center’s fund, or to This year, Island Hospital is increasing its investment additional screenings, support groups, and other health classes, and spaces to comfortably host support groups learn about The Well Journey Adventure, scan the QR in the future of health and wellness for our community. events, and it will be equipped with video technology and behavioral-health therapy, as well as space for Code below, visit www.myihf.org/welljourney or call In 2022, Island Hospital will open a new Health and that allows both in-person and remote participation. seminars and classes. The space will be designed with 360-299-4201. Wellness Center on Commercial Avenue in the former “Our new way of learning requires new technology and fl exible walls and partitions to accommodate a variety NAPA building, across the street from the main hospital space,” said Hall. of curriculum with modern technology to broadcast remotely.

12 | HEARTBEATS MAGAZINE SPRING 2021 | 13 Honors and Memorials To register for classes, go to islandhospital.org/classes or call 360-299-4204. For details on evening events or to Gifts in Honor Gifts in Memory make a donation, go to islandhospitalfoundation.org. Dr. James Abbey Dr. Bryan Murray Norm Allan Norman Allan Dr. Lindsay Newlon Dorcan Anderson Austin and Leah The nurses at Island Gene Anderson MAY 2021 Larry Azure Hospital Claudette D. Benz Dr. Mark Backman The nursing staff on Amanda Brazas A week-long virtual adventure through health and wellness Margo & Jason Baker Acute Car Lynn Brown Bev Blair Paisley & Paxon Nye Zane Brown Judy Bohannon Dr. Oates Teri Caravan 17. MONDAY 18. TUESDAY 19. WEDNESDAY 20. THURSDAY 21. FRIDAY Jack Bollerud Kevin Otnes Adam Milo Casey Ava Borntrager Dr. Paliwal Richard Cole Healthy Healthy Exercise for Out of the Pandemic: Aging Mastery: Dr. Brown Jeannette Papadakis Jason Coyle Digestion Lifestyle: Osteoporosis Returning to SLEEP Sharon Brown Harold Partlow Virginia Cultbertson 10:00 - 10:45 a.m. Sleeping Your 9:00 - 10:00 a.m. the New Normal 9:00 - 10:00 a.m. Grace Burkett Kelly Carson Peterson Tyler Dale Way to Health 9:00 - 10:00 a.m. Phyllis Buzzel Dr. Jon Peterson Jack Dunphy 9:00 - 10:00 a.m. Teresa Marie Caravan Dr. Raish Donald C. Ellis Larry Carlander Dr. Les Richards Thomas Evans Celebration Lutheran Church Dr. Robert Rieger Chuck Frandrup Dr. C. Les Conway Edwin Rodgers Lee Furin Hospice 101 Nutrition for Osteoporosis & Managing COVID Practical Janie Crane Dr. Caroline Roeder Dr. Gjerset 12:00 - 1:00 p.m. High Cholesterol Nutrition Weight Gain Mediterranean Diet Barbee Cromack Jeri Rudolf Dr. Frank Hansen Dr. Curran Ken Ryan Wendel Headrick 11:00 - 11:45 a.m. 10:00 - 10:45 a.m. 11:00 - 11:45 a.m. 10:00 - 10:45 a.m. Elise Cutter Viola Savage Dennis Heggem Jo Ann Eastman Janet Schwartz Richard Iversen Margaret Eggstrom Dr. Jonathan Shafer Martha Jones Dr. Ellis Dr. Judah Slavkovsky Gerry Kelsch Take Your Child Spot the Signs of Living Better with Caring for the Advanced Care Bailey Erwin Dr. Stacia Smith Jim Kirk from Picky Eater Stroke: Learn to Diabetes Caregiver Planning Harvey Federman Guillermina Soltero Chris LeSourd to Fabulous BE FAST 1:00 - 1:45 p.m. 3:00 - 4:00 p.m. 12:00 - 1:00 p.m. Dr. Fellows Mary Stapp Betty Mooney Feeder 1:00 - 2:00 p.m. Jaime Fischer Naomi Stone Curtis W. Morell 2:00 - 3:00 p.m. Dr. Fisher Dr. Meg Sweeney Hadi Mostafavi-Bassab Dr. Garde Shane Taylor Laura Mueller B.J. Goolsby Marge Thomas Richard Nelson The Greene Family Barbara Turner Dr. Patrick Nestor Dr. Jeff Hambleton Dr. Wang Tom Nute Meditation 101 The Essential for Pelvic & Bladder Mediterranean Dr. Hammer Dr. Susanne Wilhem H.G. Oborne, MD 4:00 - 5:00 p.m. Fun & Safety Health Cooking Demo Dr. Daniel Hanesworth Steve and Linda Wilhoit Judy Odegaard in the Great 3:00 - 4:00 p.m. with Chef Michelle Vallentyne Harrison Dr. Robert Wilson Bob Ostlund Outdoors Michael Healthcare workers Tim and Jackie Wittman Paul Petersen 3:00 - 4:00 p.m. 2:00 - 3:00 p.m. Dr. Jason Hogge Virginia Wolfe John J Phillips Dr. Horesh Dr. Helen Young Sharon Rein Island Hospital Medical Staff John Sargent Live Doc Talk Panel MEDTalk The Great Wellness Michael Kilpatrick Florence Seaman Small, but Mighty: • The Power of Bagel Bake Experience Finale Bob Knight O. Newell Sheffer Practicing Medicine Compassion A cooking A virtual live- Dr. Charles Kotal Daniel Stone in a Rural Setting • Respiratory demonstration streaming event full of Dr. Dawei Lu Arlene M. Summers Philo Wilfred Lund Paul N. Sund Training & inspired by the entertainment, impact Rick and Meredith Machin Charles Sutton Parkinson’s teaching kitchen and fun. Dr. John Mathis Yvonne Tollefson Disease with Island Hospital Tom Miller George Underwood • Goal Setting for Commissioner, Arthur H. Moll Larry E. Walter Wellness Warren Tessler. Carolyn Moore Wallace L. Weller Vera C. Mudge Chris Whatley Dr. Joseph Mulcahy All classes are online. For more information and details on events visit Pamela S Munson islandhospitalfoundation.org.

14 | HEARTBEATS MAGAZINE SPRING 2021 | 15 SIX WORDS THAT LED TO BETTER HEALTH By: Lisa Edwards, RN, TCRN nne Heidecker had no idea she had diabetes When asked what people should know if they or their when she was visiting a friend in the hospital. As loved one is diagnosed with diabetes she said, “Take them According to the Centers for Disease The impact of a stroke on an individual containing lots of fruits and vegetables she chatted with the doctor, it became clear that to someone like Mary Beth.” Access to the education and Control and Prevention (CDC), stroke is depends on the area of the brain (fi ve or more servings per day) is an Anne needed to be tested for diabetes. resources that support diabetes patients is crucial. Not only a leading cause of death in the United where it occurs. Diff erent parts of the important step in lowering cholesterol AWhen her results returned, Anne, an Anacortes resident, for the patient, but also for the family of the patient. Anne’s States and is a major cause of serious brain control diff erent functions and, and managing elevated blood pressure. discovered that she would join the 10% of Americans with family has been critical in her journey to better health; they disability for adults. Every 40 seconds, therefore, a stroke impacts each person Be sure to incorporate exercise into your diabetes. Adopted during her childhood, she had no previous have also learned along the way with her. She remarked that someone in the United States has a diff erently. daily routine to help you lose weight, knowledge of a family history of “It’s not just you going through it, it’s stroke, so by knowing the signs and manage type 2 diabetes and control diabetes or any indication that she the whole family.” symptoms, as well as how to act if you Signs and Symptoms stress. Start slowly with a walk around should be monitoring for diabetic At the new Health and Wellness think someone may be experiencing a A stroke usually occurs suddenly and the block and gradually work up to 30 symptoms. In an unpredictable turn of “WE WANT Center, Island Hospital will provide stroke, you can help prevent death and requires immediate medical treatment, minutes of moderate physical activity events, Anne began her fi rst steps in an something for the whole family. disability. When it comes to stroke, every so it is very important to recognize per day to improve your overall wellness. unexpected journey: life with diabetes. The center will host cooking minute counts! warning signs and call 911 right away. After her diagnosis, Anne began YOU TO BE demonstrations in a teaching kitchen See the BE FAST chart below. The good news is that 80% of strokes taking diabetes medication to help and nutrition and exercise classes What is a stroke? can be prevented. Schedule a check- regulate her blood sugar and other open to all ages. Not only will there A stroke happens when there is a By adopting a healthy lifestyle and up with your primary care provider to symptoms. Like many others with AROUND.” be educational resources, there sudden interruption of blood to the knowing the modifi able risk factors, you discuss your risk factors such as high diabetes, she struggled to balance will also be rich opportunities for brain. There are two types of stroke can take steps to prevent stroke. One of blood pressure, type 2 diabetes, high healthy eating, exercise and weight. group therapy, behavioral and mental health resources and and both types stop blood from getting the most important things you can do cholesterol, smoking and obesity. Take Anne’s battle to manage diabetes continued to worsen expanded health screenings. to the brain. As a result, brain cells die to reduce your risk of stroke is control charge of your health and make time for until her son and daughter-in-law intervened with six key Coming May 17th – 21st, the Island Hospital Foundation due to a lack of oxygen and essential high blood pressure. By making a few health checks that evaluate your stroke words, “We want you to be around.” In that moment it became is hosting The Well Journey Adventure: A Virtual Adventure nutrients. An ischemic stroke is when simple lifestyle changes, such as eating a risk. clear to her that she had to make a change and she was going through Health and Wellness. This week-long fundraiser an artery in the brain gets blocked by healthy diet, exercising regularly, limiting to need help learning a new way to take care of her health. will off er classes, entertainment and more to raise funds for a clot. A hemorrhagic stroke is when a alcohol consumption and quitting Her primary care doctor referred her to Mary Beth the new Health and Wellness Center. Visit www.myihf.org/ blood vessel in the brain leaks, causing tobacco use, you can lower your blood Robinson, MS, RD/LD, CDE, a registered dietitian at Island welljourney for a schedule of events or to make a donation. You bleeding into the surrounding area. pressure and keep it down. Eating a diet Hospital. Mary Beth started the Diabetes Education Program can inspire better health for your loved ones and neighbors, to help people, like Anne, learn how to cultivate healthy eating like Anne, by participating in the Well Journey Adventure. Join habits and lifestyle choices to better manage diabetes. Anne is us, and help build a healthier community, together. Using the simple BE FAST acronym, you can act quickly to recognize the signs of a stroke. a strong woman who adores her family, so when the resources to change her life were presented to her, she had to act. “Health and family have to be fi rst,” she said when refl ecting on her journey. Education is often the fi rst step towards a healthy lifestyle. That is why Island Hospital is prioritizing the opening of a new B E FAS T Health and Wellness Center later this year. The center will be available to all in the community and will provide educational resources that support diabetes patients and their families, among other educational resources and preventative health programs. Since Anne began her journey with exercise and educated BALANCE EYES FACE ARMS SPEECH TIME eating habits, Anne has seen transformation that people dream about. Anne has lost 100 pounds and even had to go Loss of balance, Blurred One side of the Arms or leg Speech Time to headache vision face is drooping weakness diff iculty call 911 shopping to get clothing that suited her success. When asked or dizziness what the greatest reward was she said, “Losing the weight. Going to a smaller size is so rewarding!” She couldn’t help but Island Hospital is a designated Level II Stroke Center, treating more than 100 stroke patients annually. smile as she said, “I’m very pleased. I’ve come a very long way.”

Lisa Edwards, RN, TCRN is the Clinical Programs Coordinator at Island Hospital. She is responsible for the Trauma, Stroke and Sexual Assault programs that are provided to our community. 16 | HEARTBEATS MAGAZINE SPRING 2021 | 17 and promote an accelerated recovery; all with the intention to resume or increase the quality of your life. If you have a condition that requires an expertise we lack, we will help direct you to the most appropriate caregiver for your condition. We want you to have the best outcome possible!

As a patient and consumer, you have choices when it comes ATP or adenosine Surgeon to your medical services. From your initial consultation and tri-phosphate meter surgical preparation to post-operative care and recovery, Island Surgeons’ skilled team is dedicated to meeting your needs. Island Hospital’s operating rooms are equipped to serve a wide range OffBy Joseph Mulcahy, erings MD, FACS of needs, utilizing highly skilled surgeons and compassionate nurses to carry out critical procedures, keeping you close to I sometimes joke with patients that their problems are either home for your treatment and recovery. learned or inherited, and therefore caused by their parents. Clean While our genetics and what we have learned from family and Surgeons in rural or remote settings often perform a wider range friends defi nitely impact our health, it’s not the whole story. Our of services than what you may fi nd in urban hospitals. Island environment, how we use our bodies and the choices we make Surgeons often perform upper and lower intestinal endoscopies also impact our health. I would like to share one other truism of (EGD and colonoscopy), also performed by gastroenterologists. health with you: Almost everyone at some time in their life will The benefi t of having a general surgeon perform these types of be treated by a general surgeon. And those times can be anxiety procedures is that we can often treat other surgical conditions, provoking and sometimes life altering (usually for the better). such as hemorrhoids, while doing these procedures. Whether it’s The staff at Island Surgeons are dedicated to overcoming the scheduling a surgical procedure or your next colonoscopy, the SURFACE TESTING PROCEDURES ENSURE anxieties that may accompany an upcoming procedure by off ice staff at Island Surgeons can assist in guiding you through HOSPITAL CLEANLINESS listening to our patients, creating an individualized plan for each the process, including working with your insurance company and patient and prioritizing open communication throughout the ensuring referrals are complete. process while addressing your particular concerns. Disinfecting is more important than ever during During COVID, EVS has implemented additional With COVID-19 safety measures in place to keep patients and the pandemic. Environmental Services (EVS) cleaning of “high touch” surfaces such as door Why might you see a general surgeon? Maybe you have an staff safe, Island Surgeons is prepared to see you through your Supervisor April Carlson and her staff make handles, handrails, elevator buttons and restrooms. abnormal mammogram, a lump in your breast or have been procedure. If you postponed a colonoscopy or other procedure keeping the hospital clean and safe for patients In addition, Island Hospital is taking extra measures diagnosed with breast cancer. Maybe you have diverticulitis over the past year, it may be time to schedule an appointment their mission. They understand that healthcare to ensure the safety of patients: or colon cancer and might need to have part of your colon with one of our general surgeons. Further delaying care can is essential and that delaying care is not an removed. Maybe you have a lump in your thyroid, abdominal turn a simple procedure into something far more complex. pain, gallstones, a hernia or a bowel obstruction. Maybe your option. The staff follow strict Centers for Disease • Screening patients and staff Screenings such as colonoscopies can often remove polyps doctor suspects you have skin cancer and would like it removed. before they become cancer or detect cancer in its earliest stages, Control (CDC) guidelines for disinfecting surfaces • Requiring masks be worn Maybe you have longstanding heartburn and are tired of taking when it is easier to treat and leads to better outcomes. You to ensure patients remain safe and are able to medication. Maybe you have to receive chemotherapy and need may not realize this, but we have many tests to detect cancer continue to receive the care they need. It’s a big • Rearranging waiting areas to ensure chairs are spaced six IV access (port-a-cath) to get it. These are all conditions that a early (like mammograms for breast cancer), but colonoscopy is job during non-COVID times and one that got general surgeon routinely treats. And there are many others. I feet apart the only screening exam that can prevent cancer by removing even tougher this past year. like to say we treat everything but brains, hearts, the urinary tract premalignant polyps before they become cancer. • Limiting visitors to our campus and extremity bones, but even those are sometimes in the realm In addition to daily rigorous cleaning standards, of what we do to save a life. Island Hospital EVS staff randomly test patient care Island Hospital General Surgeons surfaces using an ATP or adenosine tri-phosphate At Island Surgeons, your medical needs are met with more than a scheduled surgery. Island Surgeons will work collaboratively meter. The ATP meter is used as a training tool for with referring providers to confi rm your diagnosis, determine new staff and an audit tool to ensure the highest the best treatment, make sure you are healthy enough for level of cleanliness is being achieved. Throughout the treatment you select and coordinate recovery strategies. every month, Carlson performs 96 random surface Whether under local anesthesia, sedation or general anesthesia, tests in patient care areas over all shifts and days whether open or laparoscopic (minimally invasive) surgery, of the week to make certain results are unbiased. the team at Island Surgeons provides services aimed to give Kieran Melody, MD Joseph Mulcahy, Patricia Franklin, MD “It’s important to have objective metrics to ensure you an excellent result, reduce infection, better manage pain Surgeon MD, FACS Surgeon Surgeon the hospital is safe and clean for patients and staff ,” says Carlson.

For more information or to schedule an appointment with one of our surgeons, call Island Surgeons at 360-293-5142 WE’RE READY FOR YOUR NEXT VISIT! or visit www.islandhospital.org/islandsurgeons. Keri Weigle, MD, FACS Surgeon 18 | HEARTBEATS MAGAZINE SPRING 2021 | 19 May | Mental Health Awareness Month Mental Health Tools to Help You Succeed

Tools to Help You Succeed

Tool 1: Practice breathing Deep breathing is an eff ective way to lower stress in the body. When we feel stressed, our breathing patterns change as part of the fi ght-or-fl ight response. Typically, breathing becomes short and shallow when under stress, which can lead to hyperventilation and prolong the physical symptoms of stress and anxiety. When this happens, try to make a conscious eff ort By: Dr. Paul Hammer to change your breathing pattern. Breathing in deeply delivers a message to the brain to calm down and relax. Paul Hammer, MD is a psychiatrist in the Psychiatry & Behavioral Health Try practicing square breathing, a controlled breathing Department at Island Hospital. He exercise known to relieve anxiety and calm a worried mind. earned his Medical Doctorate from the Inhale for four seconds, rest for four seconds, exhale for four Uniformed Services University of the seconds and rest for four seconds. Repeat as necessary. Health Sciences, Bethesda, MD. He went on to complete his psychiatry internship at the National Naval Medical Center in Bethesda and his residency at the Naval Medical Center Tool 2: Sleep in San Diego, CA. For information Stress often has a direct infl uence on sleep. Not getting or appointments, call Psychiatry & Behavioral Health at Island enough sleep can make coping with daily stressors diff icult. Hospital at 360-299-4297. Our bodies need to enter a period of deep sleep to repair and Tool 4: Take breaks restore. When feeling stressed or anxious, you may not be able Taking breaks from work is not only benefi cial for you, but it to enter this phase of deep sleep or fi nd that you are restless also has a positive impact on your productivity and wellbeing. throughout the night. By getting the recommended seven to Taking breaks allows you to recover from stress and restore nine hours of sleep, you can improve concentration, regulate mental energy and decrease exhaustion. Research suggests your mood, and increase mental clarity. Avoid looking at bright that mini-breaks, which are taking a few minutes away from Since 1949, May has been observed as screens two to three hours before bedtime, and take time to work, are just as crucial as lunchtime breaks for boosting your Mental Health Month to encourage wind down and quiet your mind at least one hour before bed. mood and preventing stress. Allow your brain and body time to recharge by stepping away from screens to nourish your us to think about our mental health Establish a bedtime ritual of taking a warm shower or bath, health and reboot your brain. Try to detach from work by doing light stretches, using essentials oils, or drinking non- and raise awareness around support, spending your lunch breaks outside to increase your bodies prevention, and acceptance. Having a caff einated tea to help release physical tension and encourage serotonin production, which will make you feel calm and healthy sense of wellbeing promotes healthy sleep. focused. an increase in resilience and manages how you respond to stress. It can also improve your general outlook on life. Using these practical tools to alleviate Tool 3: Exercise Tool 5: Journaling Physical exercise, including jogging, swimming, cycling, stress when faced with challenges, Refl ecting is a great way to focus your thoughts and feelings. walking, gardening, and dancing, are proven to reduce By writing in a journal, you can understand what is going on you can prioritize your mental health anxiety and depression. Not only is physical activity a great in your mind and healthily deal with emotions. As you address and regulate uncomfortable feelings distraction from negative thoughts, but exercise also releases your issues internally, you may start to recognize habits and to overcome challenges. endorphins and serotonin that improve your mood. You can patterns and fi nd ways to change them. You can also use your also reduce feelings of isolation and loneliness by participating journal to set specifi c goals and measure your progress over in physical activity that puts you in touch with other people. It is time. There is no right way to journal – you may like to use your recommended that adults get at least 30 minutes of moderate laptop, a coloring book, or to jot down your thoughts on paper. to intensive exercise per day. If you cannot fi nd the motivation However you decide to journal, try to do it regularly, setting to exercise, ask friends or family to help keep you on track or aside fi ve minutes to refl ect on your thoughts and feelings. break up your 30 minutes by combining shorter 10–15-minute sessions.

20 | HEARTBEATS MAGAZINE SPRINGSPRING 2021 2021 | |21 21

Island Primary Care - Orcas A Partnership in Best-in-class Rural Healthcare

On April 5, 2021, Island Hospital opened EXPANDED HEALTH SERVICES ISLAND PRIMARY CARE – ORCAS PROVIDERS Island Primary Care – Orcas, providing The following primary care services are off ered at primary, same-day and after-hours Island Primary Care – Orcas: services on Orcas Island. • Scheduled and same-day appointments The partnership between the Orcas Island Health Care • Preventative care for adults and children District (OIHCD) and Island Hospital enables Orcas Island • Chronic condition management for adults and children residents to continue receiving quality primary care in • Acute medical illness – including coordination for a addition to expanding services through more community- higher level of care Dr. Frank James Karen Caley Orr Jennifer Utter Susan Jordan based activities. • Acute and subacute injury management Medical Director PA-C PA-C PA-C • Laboratory services, including point-of-care testing Primary Care Physician Physician Assistant Physician Assistant Physician Assistant Island Hospital responded to OIHCD’s Request for Proposal and courtesy labs The following Island Hospital providers will provide regular, on- in May 2020, which identifi ed the need for a partner willing to • COVID-19 testing and vaccine clinics going support to the Orcas clinic, making visits to the clinic on establish a single clinic in the District-owned facility, and one • Diagnostic testing – including EKG’s and X-ray services a consistent basis and utilizing tele-health, when appropriate, that was aligned with the vision to enhance the community- • Immunizations for adults and children for follow-up care. based model. The partnership was identifi ed as a natural fi t, • Prenatal support services AFTER-HOURS CARE as both entities are public hospital districts with experience Future specialty care services will be added as the need 360-293-3101 for more information. & CARE SUPPORT TEAM treating rural residents. arises. Services that are being considering include: Collaboration with Island Hospital’s network ensures Pediatrics, Women’s Health, Urology, Psychiatry and coordinated services with a more fl exible and reliable care Island Primary Care – Orcas is uniting community-based care Behavioral Health. model. Orcas Island residents will have access to after- with specialty healthcare services specifi c to local needs. This hours care seven days a week. Patients will call the clinic partnership brings innovate healthcare closer to home and INTRODUCING THE ISLAND PRIMARY number, 360-293-3101, whether during or after clinic hours. is equipped to meet the growing needs of a remote, rural CARE – ORCAS TEAM Dr. Jon Peterson Dr. Kathy Garde Dr. Brandon Greene If after-hours, the patient will be asked to provide relevant Primary Care Physician Women’s Health Physician Pediatrician information. The on-call Island Hospital physician will return community. Highly-qualifi ed clinicians provide local residents The Medical Director responsible for all medical supervision Island Hospital Island Hospital Island Hospital with primary and specialty care and will continue to evolve and quality regulation is Dr. Frank James. With over 30 the call within 30 minutes to provide advice on symptoms as the specifi c needs of the community are identifi ed. Island years of practice and leadership experience, Dr. James is an Promoting the values and vision of Island Primary Care and conditions. If determined to be medically necessary, the Hospital’s accessibility from the ferry terminal has provided exceptional contributor to helping fi ne tune the new clinic – Orcas is the leadership team. Practice Clinic Director, Island Hospital physician will contact an Orcas Island provider a convenient way for Orcas residents to seek additional model. His passion for equity of care is surpassed only by Patty Codd, brings over 30 years of healthcare leadership to address urgent medical issues on the Island. This may medical services beyond primary and preventive care. Island his desire to provide rural and remote residents with high- experience; 12 years with Island Hospital. Aaimee Johnson, result in an after-hours clinic visit or help in facilitating an Hospital and Island Primary Care – Orcas will eff ectively share quality healthcare. Dr. James’ integrity, professionalism, CRHCP, was hired as the new Clinic Manager for the Orcas appointment in the clinic the following day. The after-hours resources and collaborate on health service improvements and respect for the community will signifi cantly impact the clinic. Aaimee has 16 years of leadership experience in a rural protocols ensure that those who cannot wait for treatment with a commitment to achieving better healthcare for Orcas clinic’s success. health clinic. Rounding out the team is Clinic Supervisor, Shila have their critical medical needs promptly assessed. Island residents. Wachtel. Shila has served in a nursing and clinical leadership To ensure continuity of care, Island Primary Care – Orcas has role on Orcas Island for 18 years. A new patient liaison Island Primary Care – Orcas is committed to providing best- The one-clinic model is the foundation for success. Rural additional providers to increase access to a greater range of position has been added to the Orcas clinic to ensure smooth in-class rural health care. Orcas residents now have greater services are supported by Island Hospital’s broader network, local healthcare services. A transition team of Island Hospital connectivity to clinic and hospital services. Neisha Grams access to care and support services to ensure their long-term which will widen the scope of locally available healthcare providers are currently delivering services to guide the serves this role to help facilitate care for Orcas residents who medical needs are met. services. Stemming from a long history of patient needs, provision and planning of sustainable healthcare. Through may need help navigating the complexities and transitions of Island Primary Care – Orcas is expanding care to meet the May 2021, this transition team will provide services to off -island care. To fi nd out how Island Primary Care - Orcas can needs of all residents, as well as looking to create a close residents and respond to initial challenges that arise to make improve your health and wellbeing, or to establish care collaboration with Orcas Island Fire & EMS. Together, these steady improvement. Patients will have access to providers Together, the leadership team will build a strong clinic culture with a provider, call 360-293-3101 or visit are the entities who care for patients 24/7, making the new at the Orcas clinic, Monday – Friday. The complete team is and will focus on establishing healthy relationships with the www.islandhospital.org/orcas for more information. clinic model responsive healthcare at its best. expected to be in place by early 2022. community.

22 | HEARTBEATS MAGAZINE SPRING 2021 | 23 May’s Featured Recipe

MEDITERRANEAN TUNA BLOSSOM This recipe comes together in fewer than fi ve minutes, making it the perfect choice for a quick lunch or fuss- free summer dinner. Substitute heart-healthy olive oil and creamy avocado for mayonnaise to improve the lipid profi le. Nutrient dense parsley is a convenient herb addition grown locally year round. Serves 1-2. Ingredients: • 1 fi ve ounce can tuna in spring water WHY IS TELE-ICU NECESSARY? Tele-ICU Research shows that hospitals with a dedicated intensivist on • 1 Tbs olive oil staff have a signifi cant reduction in ICU mortality. Unfortunately, • 1/4 avocado (approx. 2 Tbs) TRANSFORMING CRITICAL CARE there is a limited number of board-certifi ed intensivists in • 2 tsp Dijon or yellow mustard CLOSE TO HOME the United States, and the issue has only worsened by the unprecedented burden of the COVID-19 pandemic. Thankfully, • 1 Tbs minced fresh parsley Beginning this summer, Island Hospital will be revolutionizing tele-ICUs put specialist expertise within reach to reduce the healthcare by introducing the critical care tele-ICU program. • 1/8 tsp black pepper length of stay and mortality in ICUs. Hospitals have access to This state-of-the-art technology ensures that critically ill • 2 tomatoes a board-certifi ed, United States trained intensivist through the patients have 24/7 remote monitoring by off -site intensive care tele-ICU program to assist with the most clinically complex • lettuce leaves physicians (intensivists). Remote nurses and intensivists will patients. Patients treated at hospitals with the tele-ICU support Island Hospital’s clinical team to deliver critical care program were 26% more likely to survive the ICU and discharge Directions: when an emergency occurs in the Intensive Care Unit. Tele-ICU from the ICU 20% faster. In mixing bowl, combine strained tuna with oil, has broadened the scope of how local hospitals treat critically avocado, mustard, parsley and black pepper. Turn ill patients close to home. tomato stem side down onto cutting board. Slice A tele-intensivist can augment conventional critical care wedges into tomato without cutting completely. and bridge the gaps during shift changes, off -shift hours or WHAT IS TELE-ICU? overnight hours, and during times of high unit activity. The Using a spoon, mound tuna salad into cut tomato, Tele-ICU is a transformational program that extends critical tele-ICU platform uses algorithms to analyze patient data lightly pressing between wedges without crushing them. care resources right to a patient’s bedside. Intensivist-led and combines it with clinical risk factors and physiological Serve on a bed of lettuce leaves. teams provide around-the-clock, proactive care for critically parameters to predict patient deterioration. This unique ill patients using a combination of audio-visual technology, technology continuously captures and monitors the data in Tips: predictive analytics, data visualization and advanced reporting real-time, enabling early warning tools to alert the bedside To support underweight individuals, double the olive oil and capabilities. Tele-intensivists use real-time monitoring to team during an urgent medical situation. avocado. To support weight-loss eff orts, olive oil may be assess patient instability, order diagnostic tests, make a halved. diagnosis, order treatment, and intervene with life support devices to signifi cantly reduce complications in the ICU. A centralized remote hub makes intensivist care accessible for TELE-ICUs ARE EFFECTIVE AT: critical patients with unpredictable medical prognoses at • Reducing clinical complications Amber Phillips, MS, RD community hospitals. Through the interactive tool, patients Registered Dietitian receive 24/7 care, support and advice to improve healthcare • Improving patient outcomes quality. Tele-ICU is not a replacement for the ICU bedside team • Reducing healthcare costs but a support system to complement and enhance care for Island Hospital’s ICU patients and their families. • Improving clinical processes

24 | HEARTBEATS MAGAZINE SPRING 2021 | 25 rden Charles, a Guemes Island resident, artist and painter A works from her beach studio that looks out over the water toward Jack Island and Mount Baker. She’s been inspired by the view since spending summers there in the 1970s. “It’s inspirational to me just being there in that solitude,” says Arden. It has been an ideal place to create narrative art and paintings that tell real and imagined stories, Arden’s passion and specialty. For at least eight years, she’s created watercolor images, collages, and other works in that studio. However, as time passed, Arden began to experience the soreness and pain that comes from arthritis in her shoulders, making it diff icult to practice the art she loved. She approached her primary care provider to discuss the options to help relieve the pain. WHAT’S THE EXPERIENCE LIKE FOR A PATIENT? TRANSFORMATIVE GIVING With a degree in commercial art Tele-ICU focuses on exceptional family-centered care Island Hospital recognized the urgent need for telehealth from the University of Washington, outcomes. Tele-ICUs can connect patients with their families alternatives to protect the community during the onset Arden began creating artwork while at using video conferencing solutions such as FaceTime, Skype of the COVID-19 pandemic. Through online community her fi rst job in 1961—a photo stylist in and WhatsApp. This service provides vulnerable patients with conversations, the Island Hospital Foundation communicated Seattle for a commercial photography the ability to virtually consult, collaborate and coordinate care information about the virus, how the pandemic aff ected the studio. She collected items and artifacts with family and the clinician team, any time of day or night. local regions and how lock-down orders involved the hospital. for photo shoots that would help tell a Through these conversations, generous supporters and donors story. Arden began using some of these Patients and medical devices are observed through a two-way invested in state-of-the-art medical equipment to help Island pieces to create her own works and inspire art that told stories, to stay closer to home. She went to see Dr. Kenneth Oates audio, high-defi nition, pan-tilt-zoom camera. These cameras Hospital and front-line workers in a time of crisis. Tele-ICU both real and imagined. at Skagit Northwest Orthopedics for a procedure at Island provide a bird’s-eye view into rooms that’s powerful enough and eight new ventilators, testing cartridges for the Cephid She joined the Northwest Watercolor Society and was Hospital. Skagit Northwest Orthopedics is the primary to read a prescription on a medicine bottle or check pupil machine, COVID-19 testing supplies, and other critical medical voted into Women Painters of Washington in 1997. She gained orthopedic provider at Island Hospital. Dr. Oates felt that dilation. The high-resolution cameras allow remote nurses equipment were funded through donations made to the Island several opportunities to show some of her art in select Seattle Arden was a perfect candidate for a procedure involving a and intensivists to virtually visit with patients and maintain the Hospital Foundation. Tele-ICU will transform critical care galleries, including the Convention Center. After moving to new, more compact device for shoulder replacement. She human connection during times of intense isolation. delivery at Island Hospital and provide the best possible care Guemes Island in 2007, she was honored to be in a gallery show would be the fi rst person to receive this new device at Island outcomes for patients and their families. in Bow-Edison. Hospital. The critical care team requires full access to patient data to As the pain and soreness from arthritis increased, Confi dent in Dr. Oates’ abilities, Arden decided to go monitor clinical indicators such as heart rate, blood pressure, making it painful to paint, the time came to choose shoulder forward with the procedure. “Dr. Oates was fabulous. He’s a oxygen saturation and ventilation settings. Through the replacement. This surgery involves removing parts of the perfectionist, and his positive attitude and excitement to try electronic transfer of medical information from the bedside shoulder joint and replacing it with an artifi cial implant that this device gave me confi dence,” says Arden. team to the tele-ICU hub, tele-intensivists can predict patient mimics the joint with a ball, socket, and stem that extends into The surgery went smoothly, just as planned. Arden deterioration and immediately intervene to save lives. This the top of the arm. The surgery relieves pain and helps restore recovered quickly and appreciated the follow-up care and prevents patients from having to transfer out of local hospitals motion and function of the shoulder. physical therapy that Dr. Oates had prescribed. After a swift far from family and loved ones. With high hopes that surgery would relieve pain, she and uneventful recovery, she’s returned to her passion and pursued the procedure on her right shoulder. Her experience at can again be found in the solitude of her studio, inspired by a Seattle hospital was less than satisfactory. the views and stories. For her left shoulder replacement procedure, Arden opted

26 | HEARTBEATS MAGAZINE SPRING 2021 | 27 Employee Recognition Every year during National Hospital star rating north of Seattle—and been honored as Week (May 9 – 15, 2021), Island Hospital a Top 100 Rural Hospital in the US (out of nearly FIFTEEN YEARS Tracey Dobkins, BSN, RN celebrates the years of service of its more than 726 2,000 small community hospitals) by the Chartis Denise Richter employees. As a staff , we have a unifi ed mission to Center. And, together, we’ve kept our hospital and Megan Ove, RT (CT) Helen Whitley, CNA provide the best possible healthcare to our patients clinics safe and open for care during one of the most Kristin Rogers, PharmD, BCPS Kristin Cartwright, CNA and their families, 365 days a year, 24 hours a day. challenging years in healthcare. Your commitment to Teena Peardon, CTR Hubert Felder, MLT Over the years, we are bonded by the many hours our patients, your co-workers and to Island Hospital Richard Ralston, CRT Chara Leopard, RN spent comforting the sick, caring for the newborn and is extraordinary. We especially want to acknowledge Myrna Salcedo, CNA Laurel Klepsch, MA-P rehabilitating the injured. As a team, we have proven those individuals listed here for reaching a milestone Theresa Pierson, BSN, RN Tasha Bunch Island Hospital to be a leader in healthcare. We have in their years of service at Island Hospital. April Carlson, T-CSCT Eric Wildman achieved a 4-star rating by Medicare—the highest Konnie Kleparek Trish Fuik Delfi na Reyes Thomas Wright, RT (CT) (MR) Eva Ould FIVE YEARS Rachel Page, RN Kevin Tuck Kyle Hull Jackie Wall Sarah Rozycki, LPN Brent Adkison Zachary Geleynse, RN Lisa Honey, CPC Vanessa Foster Deanna Edson Abigail Bolanos, PT Josephine Ziegler, CST Billiejo Emerson Jamie Hofmann, RN Elizabeth Sutton, RN Melonie Rankin TWENTY YEARS Kelley Ross Carolyn Chung, OTR/L Jennifer Taylor, MA FORTY-FIVE YEARS Libby Lewis, MA, CCC-SLP Eva Hardesty, MSN, RN, BC Danell Broyles, RN Renee McKinnon Luella Breckenridge, CRCST, CHL Michelle Senff , RN Jane Berghuis, BSN, RN Gayla Welborn, CPC Bill Love Nancy Parnell Eric Hao John Silver Thomas Elliott, RN, CNOR Rade Dotlich, MT Jacklyn Nolasco, CNA Shannon Peinado, BS, MT Nadine Foist, MD Gregory Barney, RT (MR)(CT) Mark Hessler Hope Pios-Lindquist, BSN, RN David Derting Amy Shardlow Amanda Jonasen, RN Kristal Merrick Brandi Toner, RN Megan Hill Jessica Reik Amanda Campbell Donna Maratea Jennifer Raff erty, RT (CT) Jeff rey Freeland, RRT Tiari Schwab, CPC Holly Slockbower

TEN YEARS Barbara LeDuc Carrie Shelton, CRCST, CIS, CHL Marianne Van Rooyen, BA, RN Benjamin Krieg, PBT Laura Schaff ner, BSN, RN Benjamin Wilmot Lauren Mireles, MSN, RN-C Bo Gillentine Leslie Kowalczyk, MA Janelle Johnson, LPN Angela Straw, OT Shane Hoelzle, RT (CT) Mary O’Brien, CNA Lindsay White, CNA

28 | HEARTBEATS MAGAZINE SPRING 2021 | 29 BETTER NIGHTS = BETTER DAYS (AT SCHOOL!)

Island Hospital has administered

School performance can suff er due to sleep disorders﹘ believed to affect as many as 30% of our children. vaccines, and counting! SYMPTOMS INCLUDE: • Bedtime refusal We can help! • Sleep walking 360-299-8676 • Bed wetting FOR INFO OR • Insomnia APPOINTMENT • Excessive daytime sleepiness, irritability WE ALSO HELP ADULTS • Mood, behavior or HCA Center of Excellence/ SLEEP WELL! school problems Preferred Provider

*Note: Vaccine count was updated on 4/19/2021 www.islandhospital.org/sleepwellnesscenter

30 | HEARTBEATS MAGAZINE SPRING 2021 | 31 Non-Profit Org. US Postage Paid **************ECRWSS**** FOUNDATION Permit No. 106 1211 24th St RESIDENTIAL CUSTOMER BLAINE, WA Anacortes, WA 98221

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