sign in sign up
<<
Home , Urogynecology

PACESETTER kadlec.org

Zubair Rehman, MD, is one of six to finish his first year of residency. Read about the first year of the program on page 2.

In this Meet the new residents…Page 4 Getting relief from acid reflux….Page 6 issue Parking garage to open…Page 5 New specialty offers help, hope…Page 7

May 2016 A higher level of care A look at Kadlec Family Residency as it heads into its second year

NEARLY ONE YEAR AGO, Kadlec reflect on that first year. welcomed the first six members of “Being a part of a new program can program so successful this first its new Residency be challenging for everyone — residents, year.” program. the Family Medicine Residency team, “We are so excited” were the words and even the Kadlec clinical staff,” she Growth of the residents of Amy Sweetwood, MA, director of said. “It’s not just the residents who “It’s been wonderful to see the Kadlec Graduate , as were learning; we have all learned and progress of the residents through she described the incoming class and collaborated to make the program the year,” she said. “They have all the beginning of the program. stronger as the year went on. There worked hard, worked together and Recently, the program’s second class was a lot of work put in by so many been eager to learn. They lived up of residents was announced. people; that’s been amazing to watch. I to our expectations and more; they “We have finished the first year, have been so impressed by the support are a caring, compassionate group of and these outstanding residents are of everyone involved to make this doctors.” moving into their second year; When looking for members of meanwhile, we now are welcoming that first class, the Kadlec selection another outstanding class. It’s such team sought residents who might a great time for the program,” she consider practicing in the region after said. completion of the three-year program. It’s also a good time to Nationally, 65 percent of residents stay in the community where they train.

How has it been being a part of the inaugural first What have you enjoyed most class of family medicine about being in the Tri-Cities? residents? I have enjoyed the vibrant culture and It is an amazing feat to be diversity and being able to partake in able to tackle and resolve activities, which have included hiking new challenges every day Badger Mountain, playing tennis and that include the business spending time with family. Overall, my side of medicine and time here has been great, and it has been more importantly patient a well-balanced lifestyle between work management and health. and family life. ­— Zubair Rehman, MD — Jinesh Shah, MD

2 Is residency harder than ? What has been your favorite rotation so far? The focus of medical school is medical As physicians, we love the “easy” patients, the ones that knowledge. During residency we continue are textbook for a disease presentation. But the ones to broaden our medical knowledge, but we remember, and even sought out, are the complex, we have the added dimension of real-life atypical, “but-wait-there’s-more” type of patients. These patient care. I’m not sure that one is more patients push your abilities to the edge and make you a difficult than the other; they have both better for treating them. The hospitalist rotation been incredibly challenging but are also provides that experience and makes it my favorite. very rewarding. — Tayyab Tahir, MD — Patrick Johansing, DO

“We have been pleased that these “Patients know this is a training residents have enjoyed the Tri-Cities and feel a part of the team, helping area and Kadlec,” she said. “They are the residents grow. The patients are respected by the physicians they have happy with the extra time they get been working with this year. They are to spend with the residents and with well liked by their patients who can the second set of eyes caring for them move with them into their private with the presence of the supervising practice after completion of residency. physician. That’s been fun to watch,” They helped us recruit for the second said Sweetwood. What has surprised you class. All of these things are important “Throughout the year, Drs. Erick most about being a resident? in keeping our residents engaged in Isaacson, Katie Karlson, Matthew How much support you have. our community and our region.” Lawrence and Payal Gaba have been Coming out of medical school, instrumental in teaching the new while I was definitely excited to be Opening the Family Medicine Residency a resident, I was also somewhat clinic —Continued on page 4 scared. While you see patients as An important part of a resident’s a medical student, your primary training takes place inside the responsibility is to learn. As a , rotating through various resident you take on much more departments and specialties, while responsibility as you are now directly additional training takes place in the involved in the management, clinical setting. The new Kadlec Family decision-making and overall Medicine Residency clinic opened just care of each patient. The over a year ago to serve this purpose. transition is intimidating, “We not only launched a new but what I’ve learned is residency program, we launched being a resident doesn’t a new clinic at the same time,” said mean you are now on your Sweetwood. own taking care of patients, but rather you are developing a leadership role amongst a What’s the life of a resident like? supporting team of professionals. The life of a resident at Kadlec is exciting I’ve truly enjoyed being a resident, and rewarding. We have the opportunity to caring for patients of all ages in a work with the best physicians and caregiver variety of settings, and am definitely teams in the region to make a difference surprised by the support and people in the lives of patients. This community is willing to help me through a great place to grow our skills and build the arduous journey of lifelong relationships. residency. — Tyler Clark, MD — Daniel Torba, MD

kadlec.org 3 Kadlec is also looking to expand Welcome to our Ye a r one its faculty panel. “We have had a number of physicians express interest new residents —Continued from page 3 in teaching. It shows that Kadlec’s medical staff is passionate about what Kadlec’s six new residents will be residents and working side by side they do and wants to pass along their starting their three-year residency with them as they care for patients,” knowledge, experience and passion to program this summer. They are: she said. the residents. The residents also help the providers remain on the cutting- Clara Abbey, MD, Parlin, N.J. Potential growth of the program edge of their field,” said Sweetwood. Jeremy Dayrit, MD, Moscow, Idaho “One of our goals now is to expand “We all feel good about our first the number of resident spots that we year. We have a lot ahead; beginning in Mark Halvorson, MD, Prineville, Ore. have in our program. We are currently June we will have both a first-year and Jamie Hagestedt, MD, Salem, Ore. at six per year,” she said, “and we would a second-year class,” said Sweetwood. like to see that grow. We see the “It is so satisfying to work with these Trinh Nguyen, MD, Sacramento, need for additional Family Medicine new doctors who are excited about Calif. physicians in our region, and growing providing the best care possible to the Bill Toukan, MD, Palm Desert, Calif. our program can help meet that need.” patients of our region.”

Kadlec is proud to celebrate the 25th Anniversary of its Inpatient Rehabilitation and . Since 1989, patients from throughout the Mid-Columbia region have trusted its physicians, therapists and staff with their rehabilitation care. Pictured are members of the Inpatient Rehab staff.

COMMUNITY-BASED new providers PROVIDERS Seattle Children’s KADLEC REGIONAL AnnaMarie Vaughan, PA-C Christy Masterman, DCNP Tri-Cities Clinic Cardiothoracic WelcomeMEDICAL CENTER 900 Stevens Drive 888 Swift Blvd., Richland Interventional Senior Health Suite 204, Richland (509) 946-4611 1100 Goethals Drive 560 Gage Blvd. (509) 946-0976 Suite E (3rd Floor), Richland Suite 102, Richland Salaam Sallaam, MD Lawrence Alvarado, MD (509) 942-3095 (509) 942-3135 Pediatric Allen Chen, MD Thainia Moravia, ARNP Northwest Orthopaedic Zahid Nawaz, MD Adult Hospitalist and A division of Proliance Surgeons Stephen McPhee, PA Urgent Care 6710 W. Okanogan Place 4808 W. Clearwater Ave. 875 Swift Blvd., Richland Kennewick Kennewick (509) 946-1654 Kasshia Mostad, PA Emergency Medicine (509) 783-2000 (509) 942-2355 Desiree Ang, ARNP Kalpita Hatti, MD Vicki Boll, PA-C Orthopedics KADLEC CLINIC Rheumatology Family Medicine 1100 Goethals Drive and Dermatology Find a specialist or family provider at Suite E (3rd Floor), Richland 104 Columbia Point Drive (509) 942-3095 Richland kadlec.org/clinic. (509) 942-3190 4 Drive on up River Pavilion Kadlec’s new parking garage opening soon Construction Update LATER THIS SUMMER, patients and campus was also important during visitors at Kadlec Regional Medical Center the planning of the garage. The completion of the final four floors will find it easier to access the hospital “We believe the design and of the River Pavilion is set for this fall. with the opening of the long-anticipated placement of the garage provide an Two of the floors will open in October, parking garage. added opportunity to build a new followed by a phased opening of The five-deck, $15.2 million facility medical office building on the campus the final floors. When opened, the was made possible through Kadlec’s at some future date,” he said. expanded space will house acute care recent affiliation with Providence Initially, the garage will be reserved and up to two floors of intensive care. Health & Services. The garage will for patients and guests. provide nearly 660 parking stalls. “Once we study utilization, we will Parking at the hospital has long make a determination if we have the been inadequate. capacity to open the upper floors for and soften its appearance.” “When the four-story Kadlec building limited staff and physician parking. Our A timeline to add the retail space was opened in 1971, the hospital had first priority is to accommodate our has yet to be determined. 48 doctors and 165 nurses. Today, the patients and guests,” he said. medical center has 3,400 employees, The employee parking lots will Patience has been appreciated and the vast majority of these are on remain available, and the shuttle “Our guests and staff have had to the main campus,” said Jeff Clark, Kadlec servicing these lots will continue. navigate around construction and vice president, Support Services. have done so without complaining. “These numbers reflect the growth Potential for more than parking We truly appreciate everyone’s of the hospital, and there was just not The facility was designed to include patience. I think people understand enough parking to handle it. Building a retail center on the ground floor how important this project is. When a parking garage was the best long- facing Swift Boulevard. we announced at a Richland City term solution. We also recognized “Adding businesses to the parking Council meeting that we were going the importance of addressing future garage will not only provide additional to build a parking garage, those in growth. The garage was built larger services nearby the hospital, it will attendance clapped,” Clark said. “It was than today’s demands would dictate in make the facility more than just a clear we were not the only ones who order to accommodate future needs.” parking garage,” said Clark. “It will really recognized the need for this facility. It’s Utilization of land on the Kadlec change the streetscape of the building been a long time coming.”

kadlec.org 5 New, easier test for acid reflux

DO YOU HAVE a great deal of of acid. Many patients complained indigestion or a burning sensation of discomfort. in the center of your chest? Do you BRAVO uses a wireless, small regularly get sour or bitter-tasting capsule-based test. The capsule is fluids in your throat or mouth? Do you temporarily attached to the wall avoid bending over to prevent acid of the esophagus during an upper from backing up into your throat? endoscopy. The capsule collects If you can answer yes to any pH level measurements for up to of these questions, you might 48 hours, and once the test is finished, have chronic heartburn or GERD the capsule passes harmlessly. (gastroesophageal reflux disease). “Patients wear a small receiver, which Now there is a non-invasive test for collects the readings,” said Pat Faragher, heartburn at Kadlec — it’s called RN, Kadlec clinical education. “Patients BRAVO® esophageal pH test. The also record symptoms by pressing results from this quick and easy buttons on the receiver.” diagnostic test determine the cause of Data from the receiver is used to aid the symptoms and the best treatment in diagnosis and treatment planning. to prescribe. “This test is much more comfortable, Traditional pH testing requires the and patients can maintain regular The new test is available use of a flexible catheter threaded activities,” said Faragher. “For people through Kadlec Clinic through the nose. The catheter, with reflux and heartburn, it can . For information, protruding from the nose, is connected provide an easier way to get a call (509) 942-3180. to a recorder that registers each reflux diagnosis.”

their condition more effectively. effectively with family, friends and Living well Each workshop covers techniques health professionals; nutrition; and to deal with problems such as: how to evaluate new treatments. DO YOU or someone you know live frustration, fatigue, pain and isolation; Sessions are highly participative, with a chronic health condition — appropriate exercise for maintaining and mutual support and success build such as diabetes, emphysema, arthritis, and improving strength, flexibility participants’ confidence in their ability migraine headaches, asthma and heart and endurance; appropriate use to manage their health and maintain disease — that affects daily life? Kadlec of ; communicating active and fulfilling lives. is offering a series of workshops for people living with ongoing health conditions to achieve a healthier way of living. Helping you live well The Living Well series of self- Workshops offered at no charge at Kadlec Healthplex are: management workshops was • Living Well with Chronic Conditions developed at Stanford University and is • Thriving and Surviving Cancer Workshop designed to complement and enhance • Living Well with Chronic Pain Workshop medical treatment and disease Each workshop is held once a week for six weeks. management. Through the series of For dates and times or to register, please call (509) 946-4611, classes, participants will learn what ext. 5593. they can do to feel better and manage

6 Kadlec Clinic urogynecologist one of few in country A new specialty offers help, hope PELVIC FLOOR DYSFUNCTION affects at least one in four women. While many go undiagnosed and untreated, the symptoms can be frustrating, embarrassing and lifestyle altering. Fortunately advancements in this area of care are growing. One of these developments is the creation of a new that takes a comprehensive approach to managing pelvic disorders. Called Female Pelvic Medicine and Reconstructive Surgery, it’s a of and gynecology, and the Mid-Columbia has one of the country’s first physicians board certified in this specialty (also called urogynecology). Larry Smith, MD, with Kadlec Clinic Associated Physicians for Women, became a board certified urogynecologist in 2014. When the specialty was introduced, for a Patients are seen by both self-referral and physician short period of time, Larry Smith, MD referral. For more information, call (509) 942-2555. urogynecologists who met strict criteria were permitted to earn board certification. individuals may withdraw to hide the condition. Dr. Smith was among the few physicians to qualify. He is the When treatment is sought, problems with the bladder only board certified urogynecologist in the region and one may be seen by a urologist, issues involving the uterus may of only a handful in the state. be treated by a gynecologist, and a colorectal surgeon may deal with rectum problems. An effort to coordinate pelvic A common disorder care for patients led to the creation of an expertise that The pelvic floor is a web of muscles, ligaments and nerves masters the entire pelvis. at the bottom of the pelvic region, where it supports the “There is a natural physical overlap,” said Dr. Smith. “Our uterus, bladder, colon and rectum; stabilizes the pelvis, goal as urogynecologists is to work with urologists and trunk and hip joints; and plays a role in everything from the gynecologists to provide comprehensive care for women birthing process to continence. with pelvic floor issues.” Pelvic floor disorder occurs when the pelvic muscles “There is a big need for this specialty, especially with and tissue weaken or are injured. The most common cause the aging of the baby boomers,” said Dr. Smith. “It’s a is childbirth, but other factors can contribute, including frustrating and embarrassing issue, so many are not being overweight, asthma, chronic constipation, physically proactive. We need to continue to educate them that we strenuous jobs, abdominal surgery, strenuous exercises (like have effective treatments, and help is available.” weight lifting) and aging. Among the procedures provided by Dr. Smith are robotic Common pelvic floor symptoms include urinary or fecal surgical procedures (including for prolapse), non-mesh incontinence, and . slings, Botox for an overactive bladder, uterus-preserving The effects on patients are much more than physical; surgery, InterStim® and vaginal mesh removal. Kadlec also offers a specific Women’s Health and Pelvic Floor Rehabilitation program. For more information, call (509) 942-2660 and ask for C.J. Shane, DPT, or Cassie Malecha, DPT.

kadlec.org 7 Pacesetter is published by Kadlec Nonprofit Org. U.S. Postage 888 Swift Blvd., Richland, WA 99352 PAID (509) 946-4611 Walla Walla, WA Permit No. 44 kadlec.org 888 Swift Blvd. Mary Lynn Merriman, MLM Communications, editor Richland, WA 99352 Kim Fetrow, photography Pacesetter Editorial Board chair: Nan Domenici Pacesetter Editorial Board members: Bill Baldwin, Megan Bouche, Jeff Clark, Dawn Coffin, Nancy Dahlberg, Mindy Eakin, Meg Fallows, Kris Gauntt, Jim Hall, Kelly Harper, Karen Hayes, Cara Hitt, Robbie Loomis, Mary Lynn Merriman, Angela Mohondro, Nikki Ostergaard, Renee Sams, Tim Stephens, Emily Volland, Glenn Welch, Stephanie C. Williams The material in Pacesetter is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. Information in Pacesetter comes from a wide range of medical experts. Models may be used in photos and illustrations. 2016 © Coffey Communications, Inc. All rights reserved.

Mark your calendars

Resources and tools for caregivers5th Annual of ALL experience levels. Classes, resources offered in Spanish THURSDAY, JUNE 9 Presented by Kadlec Neurological Resource Center KADLEC IS NOW OFFERING a number of its classes in Spanish. CONFERENCE SCHEDULEResources and tools for caregivers of all experience Classes offered at Kadlec Healthplex include Initial and Renewal levels. Heartsaver First Aid, CPR and AED. KEYNOTE | 10:30 am – 12:00 pm June 9, 10 a.m. – 4 p.m. Preparing for Childbirth is offered online. For those interested Choosing to Care and Finding Resilience – Amy Goyer, AARP Family andThree Caregiving Rivers Expert Convention Center in this class who do not have access to a computer with Internet, ATTENDEES WILL: No charge special arrangements can be made through Kadlec’s Education • Be able to cite the number of family caregivers in the U.S. • Name threeFeaturing ways to connect Amy Goyer,with other Author, caregivers. Speaker and Department. • Understand the challenges facing family • UnderstandConsultant three ways tospecializing build a caregiving in aging team. and families. Kadlec’s efforts to reach those who speak Spanish also caregivers today. • Understand the mindset of resilience and how it benefits include taking first aid training into the community, including • Describe three ways caregivers can take care of caregivers. to a conference of the Washington Potato Foundation. themselves while caring for others. 12thKADLEC Annual NEUROLOGICAL RESOURCE CENTER PRESENTS THE 12TH ANNUAL “These classes have been great for the community and have Northwest Autism Conference been so well received,” said Megan Bouche, Kadlec Training Center LUNCH + SENIOR LIFE | 12:00 pm – 1:00 pm (Visit the SENIOR LIFE SHOW and enjoy lunch at the concession) (formerly Southeastern coordinator. “Offering classes is about helping our Spanish-speaking Washington Autism community to be healthier, gain important medical training and BREAKOUT SESSIONS (SELECT ONE) | 1:00 pm – 2:15 pm Conference) even prepare for the birth of a child. It can be frustrating to want Caregiving Beating the Senior Blues this information but struggle with a class in an unfamiliar language. Amy Goyer, AARP Family and Caregiving Expert Jim Pinnell, CommunityFor families, Education providers Coordinator, and educators. FORMERLY THE Not only do they receive the information in Spanish, they are able to ATTENDEES WILL BE ABLE TO: ComprehensiveAugust MentalSoutheastern 9 Health– 10 Washington Autism Conference ask questions and get answers in their own language. These classes • Understand how being organized can help caregivers ATTENDEES WILL:Three Rivers Convention Center take better care of themselves. • Learn waysFeaturing to promote Arthur good mental Fleischmann, health. Co-Author of best- have proven to be a big help.” Kadlec Neurological Resource Center’s library at Kadlec Healthplex • Identify three key time-management skills for caregivers. • Learn theselling signs and book symptomsThree RiversCarly’s of depression Voice, and in seniors. Alix Generous, Mental August 9-10, 2016 Convention Center also includes a number of resources available in Spanish. • Describe five key pieces of information caregivers need. • Learn howHealth depression Advocate| 7016 is W Grandridgetreated Blvd, and Kennewickand who Motivational treats Speaker. To • Describe three ways to file/store important documents depression. A conference aimed atlearn making more life easier or to for register those impacted for this by autism. event, call and easily access them when needed. • Learn a positive intervention technique to use with For more information on the classes offered in Spanish, For families, providers, and educators(509) . Gain tools 943-8455 and resources, listen or to and visit interact kadlec.org/knrc with speakers, and . participate in sessionssomeone designed to experiencing give you practical information a mental on Autism disturbance. topics . Executive function, anxiety, • Describe five ways to use technology to organize emotion regulation, food selectivity, challenging behaviors, girls and women, transitions, parenting, and more . visit kadlec.org and click on “Register for a Class.” caregiving information, teams and tasks. FEATURED CONFERENCE ADMISSION: KEYNOTE SPEAKER: Arthur Fleischmann PRESENTERS: PRESIDENT & CEO, JOHN ST. ADVERTISING (TORONTO) Richard Guare, PhD PROFESSIONAL Together with his daughter, Arthur wrote a best- D-BCBA, AUTHOR August 9-10 ...... $195 selling account of their struggles and successes Co-author of Executive Skills August 9 ...... $145 entitled Carly’s Voice, which has been translated in Children and Adolescents, August 10 ...... $145 BREAKOUT SESSIONS (SELECT ONE) | 2:30 pm – 3:45 pm into six languages. Smart but Scattered and Coaching Students with Executive Skill Deficits. FAMILY MEMBER August 9-10 ...... $120 Pharmacognizant: Effective The Positive Approach™kadlec.org to CareKaren McKibbin, PsyD August 9 ...... $95 A higher level of care KEYNOTE SPEAKER: Alix Generous CLINICAL PSYCHOLOGIST August 10 ...... $95 management starts with awareness CertifiedMENTAL HEALTH Positive ADVOCATE, MOTIVATIONAL Approach™ SPEAKER toDr. McKibbinCare trainedTrainers: at John Hopkins University and STUDENT Alix Generous’ childhood was hindered with was mentored by Dr. Tony August 9-10 ...... $120 Shane R. Johnson, PharmD, BCACP; Clinical Pharmacist, Karenundiagnosed Hayes, Autism Cathy Spectrum Manderbach Disorder. Now at and Sue Pinard Attwood. She is the author of August 9 ...... $95 23 years old, she has appeared before the United “Life on the Autism Spectrum: Kadlec Senior Health Center Nations, made a significant contribution to science, A Guide for Girls and Women.” August 10 ...... $95 ATTENDEESgiven three TED WILLtalks, and traveledBE ABLE the world. TO: AND MORE! ATTENDEES WILL BE ABLE TO: • Compare and contrast “normal vs not normal” aging • Identify major risk factors for medication errors. Additional Day forrelated Educators to| August various 11, 2016 cognitiveSPONSORSHIPS functions. AVAILABLE! Autism Institute presented by Kennewick School District & WSU Tri-Cities. Contact KNRC at (509) 943-8455 or Registration fee is $55. Contact Laura Laing at (509) 222-6570 email [email protected]. • Recognize common medication mistakes that can leador [email protected] • forDescribe information and tothe register. five sensory input and processing systems. to patient harm. To register or to see• theDiscuss full list of featured the presenters,impact call of (509) changing 943-8455 or visit sensory kadlec.org/knrc. awareness and • Develop a better system for maintaining medication processing as dementia progresses. list(s).