Gala of Hope p20 3D mammography at Island – 1st in Skagit County! Cardiopulmonary Care – improving lives

Winter 2018 HeartbeatsMagazine Commissioner Message Message your provider Expanding, enhancing Island’s services for women by Jan Iversen conveniently via Island Hospital Board of Commissioners ell, 2018 is here and we have a lot hap- patient portal Wpening as Island Hospital is updating hat is the best way to communicate with your provider: facilities and services to best meet our communi- Wmessage via the patient portal or phone call? ty’s medical needs. I’m really excited about the Providers overwhelmingly encourage patients to use their expansion and upgrading of our services dedi- myIslandHealth patient portal for communication on non-urgent cated primarily to women. medical questions. Messaging on the portal can reduce miscom- This year, Island will: munication and delays that sometimes occur with phone com- • Initiate three-dimensional (3D) mammography, a first for our munication. county. Patients are heeding their providers’ advice by putting down • Expand women’s services in our Physical, Occupational & their phones and picking up their tablets. Many patients are Speech Therapy Center. accustomed to using electronic communication and prefer it over • Continue to enhance our Birth Center support services using the phone so messaging their provider is second nature. It Along with these great additions, headache-pain specialist Michael gives them the freedom to send messages to their provider at a Jones PA-C brought his exceptional practice – highly utilized by time that is convenient for them (messages can be sent 24/7) and women 20–45 years old – to the Center for Pain Management at Island there is no waiting on-hold or for a call back. Hospital last fall. In 2016, the IH Diagnostic Imaging Department Questions you can ask over the portal include: added a third ultrasound unit, made possible with a generous donation • Visit follow-up questions by the Janice and Jerrel Barto Family Charitable Trust. • Questions about your lab results or diagnostic tests We are very excited to offer the first 3D mammography unit in • Questions or advice about new or current medications Skagit County that will provide better, earlier breast-cancer detection • Non-urgent medical questions compared with two-dimensional. The Genius 3D Mammography For patients and providers, messaging on the portal provides System by Hologic will be of great benefit for many other reasons as a fluid line of communication that saves time. well. See the complete article on page 5 of this issue. In addition to being able to message your provider, with the Our Physical, Occupational & Speech Therapy (POST) center has myIslandHealth patient portal you’ll be able to: added staff to focus on important women’s medical issues, including • View and request appointments pelvic pain, pregnancy pain and bladder neurologic re-education. The • Request prescription refills Center has increased staff availability to meet our growing demand for • Review your personal these exceptional services by compassionate therapists who are very health record experienced in women’s health concerns. • View lab results and While our Thomas P. Brooks MD Birth Center is considering diagnostic reports expanding support services – and enhancing those we already offer – • View current billing many are still in the planning stage. The Birth Center recently added activity wireless fetal monitors that are much more comfortable than hard- • Update personal pro- wired versions. These also provide better information and improve the file information nurses’ ability to monitor the health of the fetus. Under consideration Patients can sign for the Birth Center is the addition of pain-relief alternatives to epidur- up for the myIs- als. We’ll be sure to get this information out to the community as soon landHealth as these are available. patient portal Headache specialist Mike Jones MPAS-C was featured in the fall online at 2017 Heartbeats Magazine. His practice has grown rapidly and we are www.island- very fortunate to have him here at Island Hospital. Mike Jones is on the hospital.org cutting edge of headache-pain research and treatments. He works with or at their each patient to develop a personal plan to stop headache pain and uti- next visit lizes medication only if other methods are not effective. For detailed to the information on how he helps headache sufferers, read his column on hospital page 5 of this issue. or clinic. I am very pleased with the addition of services provided at Island Hospital and how we are meeting the needs of women in our commu- nity; I hope you are too. On behalf of the elected Board of Commissioners, I encourage your comments and ideas. Please contact us at (360) 299-1327 or [email protected]. We want to hear from you.

2 | Heartbeats | Winter 2018 Our Mission: We will deliver quality, As I See It... compassionate and By Vince Oliver, IH Chief Executive Officer personalized healthcare to the communities we serve. hen I arrived also installed two boilers to replace the previous here in the three, saving maintenance and installation Island Hospital W (Skagit County Public Hospital District No. 2) spring of 2000, I discovered costs. is governed by a Board of Commissioners. that Island Hospital was • LED fixtures – We are now 80% transitioned to Correspondence to commissioners can be sent to: indeed a very special facility and organization. One LED lighting that saves a significant amount on Commissioners c/o Administration would not expect to have – especially considering the utilities, maintenance and parts. 1211 24th St. small size and rural surroundings – such a wide • Fidalgo Medical Associates (FMA) Obstetrics & Anacortes, WA 98221-2590 range of services and such compassionate, high-qual- Gynecology services – FMA has been a stalwart Position 1 ity care. However, once you live here you realize that primary-care clinic in Anacortes for many years Jan Iversen this is an exceptional community of involved and and is outgrowing its space. Therefore, we are Position 2 caring people who work tirelessly to improve our moving the Ob/Gyn practices to an adjacent Warren Tessler quality of life. clinic area that will give the other providers (Secretary) At this time, we at Island Hospital are working in some additional space as well. Position 3 the most cost-effective and efficient manner to • New MRI (magnetic-resonance imaging) – The Paul Maughan PhD (President) upgrade and maintain our older facilities. The new system will be installed later this year. MRI Position 4 August 2017 ballot measure increasing our mainte- is a key diagnostic tool for orthopedic (spine Lynne M. Lang PhD nance and operations (M&O) levy will provide an and knee) and neurologic (stroke evaluation) Position 5 additional $1.7 million (for a total of $2.7 million) to conditions. A.J. "Chip" Bogosian MD take on these projects, along with 2017 net revenue • 3D mammography – We are proud to be the and contributions from the Island Hospital first in Skagit County to offer this service. (See Heartbeats is published by the Community Relations/ Foundation. article page 5). Education Department. Our major projects this year are: So, a lot is going on as we work to maintain and • Surgery ventilation – This new system offers improve our facilities and purchase the medical tech- Comments or suggestions to: (360) 299-1310 redundant fans, humidity control and energy nology necessary to continue to be one of savings for each operating room and less risk of Washington State’s best hospitals, regardless of size. Community Relations/ Education the system going completely down. I always encourage your comments, concerns and Director • Hot-water boilers – These new boilers are dra- suggestions. Feel free to contact me directly at voli- Dennis Richards matically more efficient than the old boilers in [email protected] or at Community RELATIONS COORDINATOR Barb LeDuc providing hot water for heating the hospital. We (360) 299-1327. Community Education Coordinator Kelsey Jenison Interested in learning how you Health Resources Coordinator Jackie Marucci BEAT IT! can participate in the BEAT IT ini- Time to BEAT IT! Graphics/Design EAT IT is a heart-wellness (available at www. Fight Heart tiative? Check out our upcoming Teresa L. Pierzchala Disease screening programs: Binitiative developed to islandhospital. WriterS encourage our community mem- org). Chara Curtis Cholesterol & Glucose Screening Laura Canby bers to do all they can to maintain It is hoped that the BEAT IT When: Tues., Jan. 23, 8 – 11 a.m. program creates more awareness PHOTOGRAPHY a healthy heart. Heart wellness Tues., April 10, 8 – 11 a.m. ACME Creative was selected as the focus when of, and increases the number of Where: Health Resource Center cardiovascular disease was identi- residents who utilize wellness pro- Cost: $10 (insurance may cover fied as a top chronic-health con- grams that help prevent heart dis- the cost of your screening) cern by Island Hospital’s 2016 ease. Island Hospital encourages Our Community Needs Assessment our community to accomplish this Blood Pressure Checks by attending health screenings, When: Every Wednesday, educational activities and working Promise Community Health 9 a.m. – Noon Education students, from with a primary-care provider to Where: Health Resource Center Your best healthcare Western Washington University, maintain optimal heart wellness. Cost: FREE experience begins at developed the acronym BEAT IT. Look for the BEAT IT icon on page For more information on Island Hospital. BEAT IT = 18 to learn what health screenings screenings or the BEAT IT initiative Balanced Diet We always place can help you be more engaged in call the Community Education Exercise Regularly your heart, and overall health. your emotional Attend Screenings Department at: 360-299-1309 or Remember: Preventative actions and medical needs Take Action visit www.islandhospital.org/Beat- lead to healthier lives. It first and foremost. Winter 2018 | Heartbeats | 3 New Medicare cards: What you need to know he risk of identity theft and fraud is on million Medicare beneficiaries require new Tthe rise, especially among those 65 and cards, so this transition will not be complete older. With so many things to worry about until April 2019. protecting, one thing that may slip your mind Your healthcare providers are already is to protect your health-insurance cards. If aware of this change and they have been you haven’t paid close attention, you may have working hard to make sure this is a seamless overlooked the fact that your Social Security transition for you. Simply bring your new number acts as your Medicare identification Medicare card to your medical appointments number. This leaves Medicare beneficiaries so staff members can begin billing using your exposed to the fraudulent use of Social new MBI number. The only task for you is to Security numbers and illegal use of Medicare be aware of scams related to this change. benefits. The Centers for Medicare & Please be aware that you will not receive Medicaid Services (CMS) are taking steps to phone calls from Medicare asking you to veri- protect seniors from fraud by removing Social fy your personal information or asking for Security numbers from Medicare cards. checking and savings account information. In Starting in April, CMS will begin mailing FREE taxi service new Medicare cards that will feature a ran- fact, Medicare will not call you for anything domly assigned Medicare Beneficiary related to this matter. If you receive a suspi- for San Juan Identifier (MBI). You will not experience any cious call, please hang up immediately and be benefit changes with the new MBI and you do sure not give any personal information out County patients not have to do anything to receive your new over the telephone. card. It will automatically be sent to the mail- If you have questions about this change atients who live in San Juan County ing address Medicare has on file for you. If with Medicare, please contact the Island Pcan receive free round-trip taxi you have recently moved, please make sure Hospital SHIBA (Statewide Health Insurance service when obtaining medical services Medicare has your current address on file by Benefits Advisors) team at (360) 299-4212, or from Island Hospital or a hospital- informing the Social Security Administration contact the state SHIBA helpline at (800) 562- operated clinic. of your address change. Please note that 58 6900. Eligible Hospital Services • Birth Center • Cancer Care Center March for Meals – 2018 Bowling Bash • Cardiopulmonary Rehabilitation eals on Wheels in Skagit County provides seniors with a daily • Diagnostic Imaging Mhot meal, and last year more than 3,150 Skagit seniors • Emergency Services received 145,000 meals – with 85,000 delivered to their homes – • Laboratory Services through the program. Meals on Wheels depends on financial • Physical, Occupational & Speech support from the community to continue this vital service. Therapy Interested in donating? Join the annual March for • Psychiatry & Behavioral Health Meals campaign to help raise funds and awareness of • Respiratory Therapy the need in Skagit County. • Surgery Center • Wound Care & Hyperbaric Medicine Join the Bowling Bash – March 24 • Have fun while helping to raise money for Meals on Eligible Clinics & Off-Campus Services Wheels by sponsoring a team of four to enjoy two games of • Anacortes Family Medicine bowling, food, refreshments and prizes! The team entry fee is • Fidalgo Medical Associates $250. Don’t have a team? No problem. If you pay $250 to sponsor a team, bowlers will be • Headache Clinic assigned to you. • Island Surgeons • Island Hospital Sleep Wellness Center Make a donation to March for Meals • Skagit Regional Clinics – Cardiology • Local businesses, organizations and individuals can make donations and be recognized at • Skagit Regional Clinics – Urology the Anacortes Senior Activity Center at the following levels: Platinum - $1,000, Gold - • The Walk-In Clinic at Island Hospital $500, Silver - $250, Bronze - $100. • Donations of any amount are welcomed. In 2016, donations of under $100 were made by How to reserve free taxi service 190 donors, contributing over $5,500 to Meals on Wheels! Every dollar makes a differ- Those who wish to use this service ence in providing meals for local seniors. need only call Mert’s Taxi, (360) 708-6358, Please make checks payable to Meals on Wheels and mail or drop off at the Anacortes the day prior to your appointment and Senior Activity Center, 1701 22nd St., Anacortes, WA 98221. arrange to be met upon arrival at the ferry Visit www.bowlingbash.org or call Sally Hill at the Anacortes Senior Activity Center at (360) terminal. 293-7473 for more information. Questions? Call (360) 299-1310.

4 | Heartbeats | Winter 2018 1st in Skagit County! 3D mammography now offered at Island he Diagnostic Imaging (DI) Department at Island Hospital is Tnow offering 3D mammography, a first for Skagit County. This new unit produces a three-dimensional view of the breast tissue that helps detect breast cancer in its earliest stages, when it is easier to treat and more curable. While performed the same way as traditional mammography, 3D mammograms are beneficial for women with dense breast tissue as it provides a clearer image for radiologists. In addition, the new unit less- ens the risk of a false positive, so there will be far fewer callbacks for a second mammogram. One of every eight women will develop breast cancer. If caught “We selected the Hologic GeniusTM 3D Mammography unit for its early, the five-year survival rate is almost 100%. There are various ranking and reputation in the industry. The unit also has significant guidelines suggesting when women should start screening and how upgrade capabilities,” said DI Director Ray Ould CNMT. “We have often they should screen, but all medical groups agree that screening several add-ons already selected once they are available.” saves lives. Although the risk for breast cancer increases with age, The Genius 3DTM exam younger women are at risk: One in six breast cancers occur in women • is the only mammogram that is Food and Drug Administration- age 40-49. Although any level of screening is better than none, it is esti- approved as superior for women with dense breasts compared to mated that screening every other year will miss up to 30% of cancers 2D mammography alone. relative to annual screening. The American College of Radiology rec- • finds 20-65% more invasive breast cancers than 2D. ommends an annual screening mammogram beginning at age 40, and • reduces callbacks by up to 40%. “We are very proud to be the first hospital in the county with 3D these are the guidelines nearly all insurance companies follow. The mammography,” said Island Hospital CEO Vince Oliver. “This is made majority of insurance plans will cover screening mammography due to possible with the recent passage of the property-tax levy as well as Ray its exceptional preventative health value. Ould’s outstanding efforts to bring this service here in a most cost-effi- To schedule your mammogram call the Island Hospital Diagnostic cient manner.” Imaging scheduling line at (360) 299-4288. Best treatments for the most common symptom by J. Michael Jones MPAS-C accompany many illnesses. In those cases, head- patient is best served by focusing on ache serves as an alarm system, warning us that getting better rather than to continue eadache has been something is wrong or to intentionally disable us the endless pursuit for the “cause.” Hcalled the most so that we rest while we recover from that illness. common symptom. A study, When a car alarm goes off, the first When headaches reoccur, it is usually not warn- which appeared in Lancet thing you do is to look for a burglar. ing of something else wrong but because the Neurology (Vol 7, Issue 4, But when it continuously goes off, and headache alarm system, itself, is broken. We call April 2008), reported that, no burglars are found, then you must these primary headaches. worldwide, 47% of people focus on fixing the alarm. have headaches of some Primary headaches, such as migraine, are the most common disabling headache condition. A ŸŸ The second approach is trying physical type. Around 15% of people measures. These include everything suffer from the most common severe type of genetic mutation within the headache alarm sys- from massage and acupuncture, to headache, migraine. About 3-4% of people have tem is usually responsible for most migraine dis- headaches on more days than not. More women orders. Five migraine genes have been found so nerve blocks and Botox. Some of the have migraine than men because of the added far. Other factors, including head or neck injuries, newer physical measures include neurological stress of the cycling of estrogens. It can start headaches, or make them worse. wearable or implantable electrical therefore affects women during the most pro- Our goal of headache treatment is to reduce nerve stimulators and devices that ductive years of their lives. Headache disorders in the frequency by 80% and to find ways to stop send a magnetic pulse into the brain general, cause more disability than all other neu- the headaches that do start. There are four paths to stop a migraine (TMS). rological diseases because they are so common, to getting headaches under control: ŸŸ The third category of treatment is ranking 7th on the World Health Organization’s ŸŸ The first step is making sure there is dietary. We wish that a particular diet list of reasons for disability. not an underlying cause. A good head- The symptom of headache is a normal and would mitigate headaches, but the ache clinician can quickly rule out healthy part of our natural defense system. It is evidence from research is, unfortu- often part of the constellation of symptoms that these other causes. Once an underly- ing cause has been ruled out, the continued on page 22 Winter 2018 | Heartbeats | 5 Menopausal hormone-replacement therapy by Robert Prins MD, Ob/Gyn of disease and treatment of disease. Estrogen cles was just published in the Journal of the Island Hospital Chief Medical Officer effectively prevents heart disease. Estrogen American Medical Association (JAMA) last treatment of heart disease was a disaster, well- September. They concluded that for the entire t has long been recognized after we attempted to prevent fur- study group there was not an increased car- observed that there I ther heart attacks in males by using estrogen diovascular or cancer risk during a cumulative is a distinct difference in therapy. The study was supposed to be com- follow up of 18 years. the occurrence of heart prised of “just post-menopausal” women disease between men and There were many more problems with this whose average age would be 45-55. These study that biased its conclusions that I have women. Women appear to would be women who had waning estrogen have heart attack symp- not detailed here. In all, the study was badly which needed to be replaced. The investiga- toms 10 years on average conceived, biased and its conclusions not war- tors, however, chose to select a broad spec- later than men. Documented heart attacks ranted. Estrogen is safe and it is effective in trum of menopausal women whose average occur on average 20 years later. These differ- preventing heart disease, reducing the risk of age was 63.5 with the oldest woman admitted ences disappear if a woman has her ovaries Alzheimer’s Disease, reducing the incidence of to the study being 79. This group of women, removed before the menopause and is pre- colon cancer and preventing osteoporosis. Its on average 15 years post-menopausal, had sumptive evidence that female hormones are effects of eliminating hot flashes and insom- already developed those plaques in their arter- responsible. Studies in non-human primates ies. The effect of estrogen on them was the nia, promoting genital health and improving have repeatedly shown the protective benefits same as in the males treated with estrogen for bowel and bladder function are also well rec- of female hormones in the prevention of coro- heart attacks. ognized as the beneficial short-term effects of nary-artery disease. Experiments on isolated Since the original article many investiga- HRT. Using post-menopausal estrogen blood vessels have repeatedly demonstrated tors outside of the study have reworked the replacement is a very personal choice, but it is that female hormones prevent fatty deposits an important choice that needs to be made (plaques) and maintain the health of the lin- data of the smaller cohort of “just post-meno- with valid information. ing of these blood vessels. Female hormones pausal” women in the study. They found the Island Hospital Chief Medical Officer Robert appear to lower bad cholesterol (LDL) in the expected 35-50% decrease in heart disease so blood and raise good cholesterol levels (HDL). well described in the cohort longitudinal stud- Prins MD, Ob/Gyn, practices at Fidalgo Low LDL levels matched with high HDL lev- ies of the past. The most recent of these arti- Medical Associates at Island Hospital. els have always been an indicator of a low risk of heart disease. Finally, multiple large obser- vational longitudinal studies (following a sin- gle person over time) carried out over the last 50 years have repeatedly demonstrated a First baby of 2018 celebrated 35-50% reduction in heart disease. Island Hospital had So wherein lies the controversy concerning estrogen replacement (hormone-replacement to wait a few extra therapy or HRT) in the menopause? In 1993 a days to welcome the study was begun to test the above hypothesis first baby of 2018. that estrogen therapy in the menopause would With much anticipa- reduce the incidence of heart disease. More tion, a healthy baby than 16,000 women were recruited for the girl was born Jan. 3 study, which was to continue until 2005 but at 6:35 p.m. to proud was discontinued early in 2002. This study, a parents Taylor and subset of the Women’s Health Initiative, was Josh Ratzel of Oak randomized (patients were randomly assigned Harbor. Braelynn to HRT or placebo), and double-blind (nei- Ratzel weighed in at ther investigators nor the patients knew what 7 lbs., 5 ½ oz. and medicine they were taking). The results pub- lished with great fanfare received widespread measured 20 inches. media attention. The study concluded that Welcome to the world there appeared to be no protective benefit Braelynn! with the use of HRT and was stopped early because of a concern about the number of breast cancer cases in the HRT group. How do we reconcile these conflicting pieces of information? The problem with the study lies in the failure of its investigators to recognize the difference between prevention 6 | Heartbeats | Winter 2018 People at Island

Skagit Northwest Orthopedics welcomes Camille Connelly MD urgeon Camille Cleveland Clinic. means gardening, walking the dog or return- SConnelly MD Dr. Connelly’s peer-reviewed publications ing to high-level athletics. I approach an recently joined the profes- have appeared in multiple specialty journals orthopedic problem as a two-way street while sional staff of Skagit and orthopedic texts. Her research projects explaining the issue and treatment options, Northwest Orthopedics have been presented at regional and national working to make a treatment plan most (SNO), specializing in foot specialty conferences. appropriate for the individual’s situation. I and ankle orthopedic sur- Raised in Marysville, Dr. Connelly attend- believe it is important, in most cases, to start gery. ed and graduated co-valedictorian from with nonoperative treatments, but it is impor- Dr. Connelly earned her MD from the Marysville-Pilchuck High School. She went on tant to discuss all options and make an University of Washington (UW) School of to be a scholar athlete and four-year letter informed treatment plan moving forward. Medicine. She was awarded an orthopedic winner in Track and Cross Country at UW. “Thrilled to be back in the beautiful Pacific research fellowship at the University of Runner and former college athlete, Dr. Northwest, I am dedicated to providing the Cincinnati (UC) and completed her residency Connelly understands the physical and mental highest quality orthopedic care to my com- in Orthopedic Surgery at University Hospital, burdens injury can have on quality of life. munity.” UC School of Medicine, OH. She comes to “My goal in orthopedic care,” she says, “is Skagit Northwest Orthopedics has offices SNO following completion of a fellowship in to help patients get back on their feet and back in Anacortes and Mount Vernon. For appoint- Orthopedic Foot and Ankle Surgery at the to their desired activities – whether that ments call (360) 424-7041. Merle Cancer Care Center welcomes Diana Bartlett ARNP iana Bartlett ARNP recently joined the Bartlett’s nurse-practitioner experience includes most recently DMerle Cancer Care Center and is seeing working at Island Hospital as a member of the hospitalist team, con- patients with hematologic disorders as well as currently providing care to patients in our local skilled-nursing and those diagnosed with cancer. assisted-living facilities. As an RN, she served as a Palliative Care Formerly with Island Internal Medicine, Nurse Case Manager at Harborview Medical Center, Seattle, and as a Bartlett holds a broad background in Internal Hospice Registered Nurse Case Manager at Hospice of the Medicine, Palliative Care and Emergency/Trauma Northwest, Mount Vernon, and at Capital Hospice, Falls Church, VA. nursing. She received advanced training as a She also served as an RN in the emergency departments of Island combat medic with the U.S. Army at Fort Sam Houston Armed Hospital; Naval Air Station Whidbey Island; and Shand’s Hospital, Forces Medical Center, San Antonio, TX; an ASN degree from Florida University of Florida, Jacksonville. State College, Jacksonville; and a BSN degree from Washington A board-certified nurse practitioner in adult gerontology and State University, Pullman. Her MSN and Adult-Gerontology Nurse hospice/palliative care, Bartlett is passionate about serving those in Practitioner degrees were awarded by George Washington University, Washington, DC. continued on Page 22

Winter 2018 | Heartbeats | 7 People at Island

Two nursing Meet Kirstie Hunskor, supervisors named SWC Clinic Supervisor sland Hospital has promoted two highly qualified nurses to ast October the Sleep Wellness Center INursing Supervisor for their respective departments. L(SWC) named Kirstie Hunskor Clinic Stacie Hansen RN Supervisor, a position in which she is responsible for SWC’s day-to-day operational leadership. Stacie Hansen RN is Nursing Supervisor of Hailing from Big Lake, WA, Hunskor attended IH’s 31-bed Acute Care unit and 6-bed Intensive Skagit Valley College, concurrent with beginning Care Unit (ICU). A charge/staff nurse at IH for 10 her healthcare career at Skagit Valley Hospital, years, Hansen now oversees a combined staff of Mount Vernon, and United General Hospital, 114 registered nurses and certified nursing Sedro-Woolley, where she worked as an emergency-room assistant, assistants. additionally filling in shifts for Radiology and the Birth Center. “I’ve known that I wanted to be a nurse since When Hunskor’s first born was diagnosed with cancer at age nine I was a young girl,” Hansen said, “but what really put my dreams in months, Hunskor made a career change. She got her real-estate license motion was when I had my first child, who had to spend 10 days in and succeeded in real-estate sales until the market crashed. She then the hospital after she was born.” transitioned into advertising and worked as a multi-media specialist Hansen then went to nursing school and began working at for Yellowbook USA, where she was quickly promoted to Senior Island Hospital in November 2007. Account Executive. A fortuitous sales call led her to becoming the “I originally had plans to work in OB (obstetrics/Birth Center),” Sales Manager of The Bridge Assisted Living, where she was promot- Hansen said, “but after beginning on the Med/Surg unit, I fell in ed to Executive Director within three months love with the generally older, acute-care patients that we serve, With her then-infant now a cancer-free teenager, Hunskor and her and I couldn’t think of working anywhere else. two daughters moved to Anacortes in 2015. She is now happy to call “Many on the team I am now leading have worked together for Anacortes her home and enjoys spending time with her significant several years. I love my team members, and I always look forward other Harv and her, now, three daughters. to meeting the diverse needs of our patients in Acute Care/ ICU,” “I was excited to accept the position of Clinic Supervisor of the she said. Sleep Wellness Center and be able to serve the community I now call “We are a small hospital, but one with an excellent reputation home,” she says. “It has been so rewarding to see patients’ lives change for quality care, new facilities and single-patient rooms,” she contin- by finally being able to get a good night’s sleep. It’s like a heavy fog has ued. “I have been told by patients that they have passed by other been lifted from them, taking with it all of the depression and anxiety hospitals in order to receive care at Island.” that was a result from years of frustrating, draining, restless nights. Rhonda Lowry RN Patients are coming in excited by how productive they now are at Rhonda Lowry RN is Nursing Supervisor of work and more focused at home with their families.” Surgical Services. The Sleep Wellness Center is located at 1110 22nd St., Anacortes. For Lowry began working at Island Hospital in appointments call (360) 299-8676. July 2006 as an acute-care nurse. Two years later she transitioned to the Surgical Services Department, where she gained nine years of experience working as a perioperative nurse, a charge nurse and a What’sTake this quick Your self-test and Snore decide if you sufferScore? from sleep post-anesthesia nurse. She is skilled in many facets of OR (operat- apnea. ing room) nursing and was responsible for ensuring the efficient 1. Can you fall asleep quickly? flow of four operating rooms and the endoscopy suite. 2. Do you have a large neck? “I am excited to join the Surgical Services leadership team and 3. Do you feel tired and groggy when you wake up? am committed to provide the best surgical care and experience for 4. Are you a loud, habitual snorer? 5. Are you overweight? our patients at Island Hospital,” Lowry stated. 6. Are you sleepy during waking hours much of the time? Lowry lives in Anacortes with her husband and two children. 7. Have you been told that you choke, gasp or hold your “Having a great place like Island Hospital in my own backyard for breath during sleep? employment is a blessing,” she added. 8. Do you have a headache when you wake up in the morning? If you answered “yes” to any of these questions, you should discuss your symptoms with your physician or a sleep specialist.

8 | Heartbeats | Winter 2018 People at Island

Marilyn Brown brings passion for wound care to Island ith 25 years’ experience in medical sales Wand a passion for wound and skin care, Marilyn Brown has been named Director of the Wound care at Island Wound Care & Hyperbaric Medicine Center Using a multidisciplinary approach customized to fit each (WCHMC) at Island Hospital. In this role she lever- patient’s medical needs along with the most advanced wound- ages her unique knowledge and experience of healing techniques, the WCHMC staff treats patients with pres- key wound-care supplies and technology as well sure ulcers, arterial ulcers, venous ulcers, diabetic and non-heal- as the latest thinking to solve complex problems ing wounds of all types. utilizing enhanced collaboration to WCHMC’s multidisciplinary team Chronic, non-healing wounds may be caused by: of experts. • Diabetes Brown received her Associate degree in Business from Everett • Poor circulation Community College and has worked with various companies such • Traumatic injury as KCI, Hill-Rom, Medline, Sound Health Wound Management and • Radiation therapy and many other medical conditions. MiMedx before joining WCHMC. She comes to WCHMC with a sales Non-healing wounds can occur when the oxygen level in and marketing background. and around the wound falls below a level at which the body’s Having extensive experience and knowledge of all sides of the normal healing process and ability to fight infection becomes wound-care spectrum – technology, provider and patient – Brown impaired. These wounds require specialized wound care, at says, “I am thrilled to be part of Island Hospital’s Wound Care & times including oxygen-therapy treatment. Hyperbaric Medicine Center. Here, advanced treatments, such as hyperbaric therapy, are used alongside advanced wound dressing Hyperbaric Medicine to achieve optimal healing. Dr. David H. Brown (no relation to The WCHMC has two spacious hyperbaric oxygen chambers Marilyn) and the staff of dedicated nurses exercise great compassion equipped with the latest computer technology. Patients who while helping patients and healing wounds. I am grateful to be part may benefit include: of such an exemplary team.” • Those with selected non-healing wounds that have not Brown makes her home in Snohomish, WA, with her husband of closed with conventional care 33 years. She enjoys camping and gardening and spending time • Cancer patients with tissue damage as a result of radiation with her grandson. therapy The Wound Care & Hyperbaric Medicine Center is located in the • Those with advanced diabetic foot ulcers Medical Arts Pavilion, at 1015 25th Street, Anacortes. For consulta- • Those experiencing chronic bone infections. tions or appointments call (360) 899-4600. Psychiatry & Behavioral Health welcomes new social worker sychiatry & case management. In this role, she managed Psychiatry & Behavioral Health interdisciplin- PBehavioral Health the legally blind and low-vision veterans pro- ary team that focuses on providing compre- at Island Hospital is gram as well as provided support groups and hensive treatment to patients. “I am honored pleased to welcome treatment plans for veterans. and excited to have the opportunity to con- Medical Social Worker, She has also worked for multiple Joint Base tribute to personal and community wellness Jennifer Kapolchok, to the Duty Stations as a Military Family Life through working at Island Hospital,” states team. With a diverse Counselor, providing solution-focused coun- Kapolchok. “I am passionate about promoting background in behavioral seling services to active-duty military mem- and encouraging positive change in the lives health, Kapolchok will offer direct support bers and their families. Most recently of people, and enjoy working collaboratively services and resources to individuals in need. Kapolchok worked for the Department of the with others on important life goals.” Kapolchok graduated Summa Cum Laude Navy at the Fleet and Family Support Center In her free time, Kapolchok enjoys spend- from the University of Alaska Anchorage as a Social Advocacy Clinical Counselor School of Social Work in 2008, obtained her where she conducted therapy services to ing time with her two children, reading, clinic license in 2012 and has been using her active duty sailors and their families. Part of exploring and participating in local activities licensure to assist vulnerable and underserved her role included working as a case manager and seeking out new adventures. populations ever since. Shortly after becoming for the Family Advocacy Program, working Psychiatry & Behavioral Health is located a clinical social worker, Kapolchok worked for with military members affected by domestic in the Medical Office Building at 2511 M the Department of Veteran Affairs in violence. Avenue, Suite G. Call (360) 299-4297 to make Anchorage, providing crisis intervention and Kapolchok is a great addition to the an appointment.

Winter 2018 | Heartbeats | 9 Volunteers at Island

Award-winning ham radio club serves Island Hospital sland Hospital has the ability to communicate with other Iresponding agencies when an unforeseen event such as a storm or earthquake takes out communications infrastructure. This is made possible by 20 Island Hospital radio volunteers who are members of the Skagit Amateur Radio Emergency Communications Club (SARECC). The group has nine sites in Anacortes – including the Anacortes Fire and Police departments, water-treatment plant – along with Island Hospital. SARECC has more than 100 members and was noted for excellence last year when it was awarded the “Special Service Club” designation by the American Radio Relay League Northwest Division. “This designation signifies our Skagit club as ‘leaders in their ama- ▲ teur radio communities who provide active training classes, publicity Radio volunteers Jay Ham MD and Richard Rodriguez run programs and actively pursue technical projects and operating activi- a check of the ham radio equipment in a designated room at ties’,” said SARECC President Peter Witheford. “We have outstanding, Island Hospital. Dr. Ham was formerly an anesthesiologist committed and active members who make this happen.” at the hospital and Rodriguez is president of the Skagit The SARECC seeks new members and those interested should con- County ham-radio club. tact Ann Marie Humphries at (360) 293-1087. Therapy dogs visit IH patients, visitors, staff sland Hospital therapy dogs visit Acute received very well by patients, visitors and proven skills; and the ability for dog and ICare each week and have been staff alike. Dog therapy is believed to pro- handler to have good patient-contact skills. vide physical and emotional benefits for For any questions or further information those who come in contact with these well- contact Jan Hemme at [email protected]. trained dogs. The handlers – and dogs – in the program are fully registered and go through orientation as Island Hospital vol- unteers in order to provide this in-hospital service. Teams need to be added to the Island Hospital Therapy Dog program. Requirements are a healthy, well-behaved dog of any size or breed; a handler with

▲ Volunteer Therapy Dog Sheyna brings some cheer to Nursing Services Administrative Assistant Misti Lamay- ▲ Pratt CNA. As you can see, Sheyna How ya doin’? – Volunteer Therapy ▲ and other therapy dogs are required to Dog Monroe, with handler/Volunteer Volunteer Noriko Fitz-Gerald makes a wear the official IH Volunteer identifi- Claudia Peters, visits a staff person visit to Acute Care with Volunteer cation badge. during a visit to Acute Care. Therapy Dog Lucy.

10 | Heartbeats | Winter 2018 Work and Breastfeeding by Jody Cousins MD f the 90% of Owomen in Washington State who choose to nurse their baby, most plan to continue when they return to work – usually just weeks or ▲ months after their babies are born. Many Another great success – Auxilians staffing the annual Miniature Christmas Tree moms say returning to work is one of the Sale are (from left) Janice Altomari, Betty-Anne Ely, Joan Simmerman, Julie most common reasons for giving up Anderson, Julie Hildebrandt, Karen Toedte, Jeri Liggitt and Margaret Read. breastfeeding before they want to. How can you make breastfeeding fit into your plans? Below are a few abbrevi- Auxiliary lauds members, community support ated tips from Within Reach, a program by Betty-Anne Ely appreciation. Our thanks to the IH Medical of the Breastfeeding Coalition of IH Auxiliary President staff and Walgreens for assisting us in the pur- Washington. chase of the candy bars. ŸŸKnow your rights: National law he Auxiliary again realized a highly March 16: Easter Basket Sale. We put requires all employers of 50 or more successful year in 2017, and I cannot T together pretty baskets and fill them with people to entitle most mothers to overstate to whom the credit belongs: you, our goodies and toys for the kids. Also available take a reasonable break time to pump generous community and the talented group are small plants to adorn a desk or a bedside breastmilk as many times as needed of women with whom I work in the Auxiliary. table for those loved seniors in your life. up until their child’s first birthday. This Our Vial of Life program offers our island Ongoing Projects law also requires employers to pro- community additional peace of mind in the vide you with a private, non-bath- event of a medical emergency. This is made “Heart” & Sports Pillows: Auxiliary mem- room space to pump milk. (FLSA 29 possible, in large part, by our local Walgreens, ber Miriam Montgomery makes our “heart” U.S.C 207(r)). who donates the vials, and by our two print- pillows for every patient diagnosed with breast ŸŸIntroduce a bottle to your baby about ers, Anacortes Printing and Westward cancer. This year she came up with sports pil- 2 weeks before you return to work. Designs, who only charge for their costs for lows, 18” square and made of the fabric of ŸŸExpressing milk between or after our needed printed materials. your favorite sports team – college or profes- feedings allows you to collect milk to Revenue from our Miniature Christmas sional. Perfect! offer in a bottle. Tree Sale has continued to grow since three Lifeline: We fund 12 community members ŸŸTry different nipples to see which one years ago, when Dave Sem from Sebo’s donat- who need this vital medical-alert service but your baby prefers. ed the trees. We were thrilled by his generosity who could otherwise not afford it. We thank ŸŸMany mothers find it is best to start and remain grateful to the Henerys, who pur- the Noon Kiwanis Club, Anacortes storing expressed milk at least 2 chased Sebo’s and continue Sem’s generosity to Soroptimists and the Lions Club for their weeks before returning to work or this day. The Auxiliary takes it from there, financial assistance. school. If you are one, store the milk in using our talent and funds to bring these trees Our membership is growing steadily, now small amounts, 2-4 oz. to life. numbering 22. Our common desire is to sup- ŸŸIf you can, return to work or school port our hospital in ways both meaningful Mark the date! gradually, helping you and your baby and fun. If you are considering membership adjust to the new schedule. Feb. 14: Candygrams. Our decorated and want to support your hospital in the com- For more information visit www.with- chocolate bars are bought by the hospital staff pany of new friends, I welcome your call at inreach.org or talk with your lactation to gift another in the hospital as a gesture of (360) 840-3038. specialist. Dr. Cousins is the Medical Director for A sincere thank you goes to all in the community who the Center for Maternal & Infant Care at support our events, and a huge thank you goes to my Island Hospital and a family-practice physi- cian with Fidalgo Medical Associates. For fellow Auxiliary members who donate their time and information or appointments call (360) personal funds for all the projects mentioned above. 293-3101.

Winter 2018 | Heartbeats | 11 CARDIOLPULMONARY CARE CENTER AT ISLAND BIOS James W. Schermele RRT joined the Cardiopulmonary Care Center at Island ave you experienced a heart or lung The CCC at Island Hospital draws partici- Hospital in 2014 and provides pulmonary related medical condition? If so, cardio- pants from a large geographical area that sur- rehabilitation services to patients. Prior to H joining the CCC, Schermele served as a respi- pulmonary rehab at Island Hospital may be the rounds Anacortes, WA. ratory therapist at the Billings Clinic, Billings, perfect fit for you. The staff of the CCC consists of cardiac nurs- MT; and St. Patrick Providence, Missoula, MT, The Cardiopulmonary Care Center (CCC) es Jan Priggee RN, CCRP (certified cardiac where he gained experience in intensive has the capacity to see up to 48 patients per day. rehab professional) and Kim Merrill RN, CEN care, emergency room and in-patient thera- Four one-hour strength and conditioning ses- (certified emergency nurse); Jim Schermele RRT py. He has also worked as a respiratory thera- sions are offered three days per week: Monday, (registered respiratory therapist); and exercise pist at United General Hospital, Sedro- Wednesday and Thursday. physiologist Courtney Stewart BS, CEP (certified Woolley, WA. The goal of the program is to improve the exercise physiologist). The team works together Jan Priggee RN, CCRP has been with participants’ overall health and quality of life in a to design individual exercise programs for each Island Hospital for 16 years in ICU and safe, supervised setting utilizing an individual- participant. The program is overseen by Director Cardiac Rehabilitation and has been an inte- ized treatment plan. Ilima Shaw PT, who is also the Director of gral part of community diabetic education Both cardiac and pulmonary programs Physical, Occupational and Speech Therapy and a proponent of optimizing diet for cardi- require a physician’s referral. A qualifying diag- It doesn’t matter what level of fitness partici- ac health. She has been a registered nurse for nosis for the cardiac program could be triggered pants are in when they begin the program. 43 years with 20 years of experience in a by a cardiac event such as a heart attack; a stent “You’re never too old or out of shape to start CCU/Open Heart Unit in a Chicago area hos- or angioplasty; a cardiovascular surgical event, exercising,” said Schermele. pital. ▲ Courtney Stewart BS, CEP is an exercise such as a bypass, valve replacement or heart Each participant is taken through a number Patient Patrick Tyson enjoys working with Jim Schermele RPT during exercise regi- transplant; or Peripheral Artery Disease. of assessments to determine their exercise toler- physiologist who has worked at Island men. Hospital for three years and develops individ- A qualifying diagnosis for the pulmonary ance, and an exercise program of strength and ualized exercise programs for patients program could include Chronic Obstructive endurance is specifically designed. Based on enrolled in the CCC, including adaptive exer- Pulmonary Disease (COPD) – an umbrella term individual lifestyle and the outcome of the help you to lead a more active and productive Cardiac and pulmonary rehab programs are cise programs for patients with orthopedic lifestyle. covered by most insurance plans. for five different diseases: restrictive lung diseas- assessments, short- and long-term goals are injuries. She also monitors exercise sessions ▲ Stewart is very skilled at adapting exercises es, such as pulmonary fibrosis, interstitial lung established. Whether you have an acute or If you’ve had any heart- or lung-related con- for the participants after graduation. for all the participants with the baseline knowl- Jan Priggee RN, CCRP shares a light disease or obesity; and even neuromuscular dis- chronic disease, cardiopulmonary rehab can ditions, ask your physician if a rehabilitation Kim Merrill RN, BSN, CEN re-joined the moment during a patient’s workout. eases, such as multiple sclerosis. help stabilize and slow the progression. This will edge that many also have orthopedic conditions/ program is right for you. For more information CCC staff in 2016, working part time. She has concerns. This creates a positive environment about the Cardiopulmonary Care Center at worked in healthcare for more than 20 years that enables these patients to be successful and Island Hospital, call (360)299-4242 or visit www. in roles that range from pre-hospital emer- improve their overall health. islandhospital.org. gency medical services to emergency room Vital signs – including blood pressure, heart RN in level II trauma centers. Bagpipes, my pipes and Pulmonary Rehab rate, O2 levels and cardiac rhythm – are moni- by Bob Maxson, Pulmonary Rehab Care recipient bagpipes again – though they remained on my bucket list. tored throughout the treatment sessions to I retired in 1999 and moved to Lopez Island after 20 years of ministry assure safety. The staff works closely with the learned to play the bagpipes while in college and enjoyed it with the Presbyterian Church followed by 20 years as a counselor with immensely. Yet once I went off to grad school, I didn’t pick up the referring physician to communicate any changes I juvenile court. I soon learned that someone on Lopez taught bagpipes, in the participant’s baseline. Referrals are also so I eagerly signed up for lessons but had to drop out because my pipes made to other health care professionals when couldn’t produce the airflow needed to keep the bagpipes going. indicated. I experienced early fatigue and shortness of breath with most physical This program began in 2003, and the Center activities, and tests resulted in my diagnosis of COPD along with chronic was renovated and enlarged in 2013. There is a asthma. (Walking had been my primary exercise, but I knew I really need- wide age range of participants – aged 20s ed to do more. As far as my asthma, I was either ignorant of the symp- toms or just chose to ignore them out of denial.) My doctor recommend- through 90s -- and outcomes reflect that all ages ed that I take advantage of the pulmonary care offered by Island Hospital. benefit. Client numbers continue to grow with I had the doldrums and didn’t want to do anything, but I eventually did currently about 150 patients enrolled each year. as my doctor advised. The cardiopulmonary gym at Island Hospital Jim [Schermele] and Courtney [Stewart] sat down with me and has a large number of aerobic exercise machines. explained the program I was about to engage in. At the conclusion of The focus is not only for aerobic activities, but their presentation, they asked if I had any questions. I asked, “Will I be also strength and high intensity interval training. able to play the bagpipes?” I think I caught them off base, so to speak. In addition to exercise, a 30-minute educational Courtney responded, “We’ll do our best.” session on various health-related topics is offered ▲ Within the first two weeks of rehab, I wanted to do things and name weekly. Pulmonary Rehab patient Bob Maxson surprises the cardio- projects and tasks I had previously tossed aside as being “unnecessary” After graduating from the 12-week program, pulmonary staff (from left: Jim Schermele RT, Jan Priggee when, in fact, they had been simply too much for me to cope with. I was participants are encouraged and can continue to RN, CCRP, and Courtney Stewart BS, CEP in background) inspired to regain the ability to do those enjoyable things that I had pre- exercise in this supervised setting 2 days a week, on his graduation day from Pulmonary Rehab by playing viously dismissed as out of my reach. Tuesday and Friday, for a nominal fee. More the bagpipes for them. He played “Amazing Grace” and I appreciate feeling alive again and credit the Pulmonary Rehab pro- than 80 percent of patients continue with an gram and team with my newly realized ability to play the bagpipes again. “Saogan”, a Welsh lullaby. exercise program, either at the CCC or at local ▲ gyms. Courtney Stewart BS, CEP works with patient James Stewart . Health & Wellness Classes

All classes at Island Hospital require registration unless specifically stated in the class description. For classes with a fee, prepayment is also required. Please note that some classes cannot be held without a minimum number of participants and some classes have a registration cap. You will be notified if a class is cancelled. A full refund will be granted if the class is cancelled or if your cancellation is received at least 24 hours prior to the start of class. If you show up to a class without registering, we cannot guarantee space in the class.

When: Monday, March 26, 5 – 6:30 p.m. ily. Class will include a tour of the birth center and Monday, May 21, 5 – 6:30 p.m. time for participant discussion. Classes Where: Fidalgo Room When: Thursday, February 22, 6:30 – 8:30 p.m. Cost: $25/per couple or individual (covered by Apple Where: Fidalgo/Burrows Rooms Advance Healthcare Health) Cost: $25/per couple or individual Directives Instructor: Effie-Jo Lindstrom BA, BSN, RN, IBCLC Instructor: Teri Shilling MS, LCCE, CD(DONA), IBCLC Where There’s a Will, There’s a Way “Class was informative Join Hilary Walker, a “This was a great class - very trained advance care plan- and enjoyable” informative. It was very interesting ning facilitator, for a – Breastfeeding Matters class participant learning all the new information detailed workshop that compared to when I had children.” will guide each participant Car & Booster Seat Clinic through completing Drop in to have your car and – Grand-parenting class participant advance healthcare direc- booster seats checked by nation- tives. This class will use the ally trained car seat technicians End of Life Washington from Safe Kids Northwest. They Infant Massage Class form. Participants will go home with a finished will check your seat for safety, Learn how to use massage copy to share with loved ones and their medical make sure you are using it cor- as a way to connect with providers. rectly and show you how to properly install the seat your baby. This class will When: Friday, April 20, 10 a.m. – noon in your car. No appointment required, please just discuss and demonstrate Where: Anacortes Senior Activity Center drop in. ways massage can be used Cost: $15 When: Thursday, February 8, 3 – 5 p.m. to help manage colic, sinus Contact: 360-293-7473 for information about how Thursday, April 12, 3 – 5 p.m. issues, improve digestion to register Where: Island Hospital’s 24th Street parking lot and increase your baby’s Instructor: Hilary Walker Cost: FREE positional awareness of Questions: 360-299-1309 his/her extremities. Participants should plan to Birth and Beyond NEW! bring their baby, a blanket and massage oils to the Grand-parenting Class class. Suggested oils include olive oil, grapeseed oil Breastfeeding Matters Class Are you a grandparent to a or sunflower oil. Wear comfortable clothing and Topics include getting young child or an expect- expect to spend time on tumbling mats with your started with breastfeeding ing grandparent? If so, this baby practicing massage techniques. and its benefits, breast- is the class for you. When: Thursday, March 1, 4:30 – 6 p.m. feeding in the early weeks Whether or not your Where: Fidalgo/Burrow Rooms of postpartum, in special grandchild is being born at Cost: $10 situations and while work- Island Hospital, you can Instructor: Lindsay Harris PT, DPT, CSCS, CIMI ing. Specific questions are learn what has stayed the welcomed and will be same in childbirth, infant addressed. This class is care and early development and what has changed open to pregnant and postpartum women and their over the years. This class describes ways grandpar- babies. ents can offer support and assistance to a new fam-

REGISTRATION visit www.islandhospital.org/classes OPTIONS ››››››1. 14 | Heartbeats | Winter 2018 Classes

Six-Week Childbirth Education Health Care Essential Oils Classes Professionals Training This six-week class is designed to prepare parents- Instructor: Michelle to-be for the arrival of their new baby. Participants HIV/AIDS Training for Licensure Mahler of Circle of will learn essential skills and develop confidence as Island Hospital offers a DVD-based, four-or seven- Healing Essential Oils they approach the end of pregnancy, labor, birth hour HIV/AIDS training. Participants will take a test has been leading and early parenting. Prenatal health, stages of during the training. A certificate of completion will workshops at Puget be provided with the successful completion of the Sound area co-ops and labor, coping techniques, pain relief options, breast- schools since 2004. feeding, newborn care and more will be covered. course. This course is offered in English only. If Class is a blend of discussion, DVDs, hands-on prac- translation is needed, it is up to the participant to tice and guest speakers. coordinate. When: Tuesdays, March 20 – April 24, 6 – 8:30 p.m. When: Monthly, call for dates Winter Skincare Basics Tuesdays, May 15 – June 19, 6 – 8:30 p.m. Cost: FREE (residents of Skagit, Island & San Juan Winter can be harsh on your skin. Learn how to Where: Fidalgo/Burrows Rooms Counties) $30 for non-residents make healing skin and haircare products using Cost: $95/per couple or individual (covered by Apple Registration: 360-299-1309 essential oils, jojoba oil, vitamin E oil, rosehip and Health) borage seed oil. You will leave the class with a per- Instructor: Teri Shilling MS, LCCE, CD(DONA), IBCLC Diabetes sonal skin or hair blend and will have recipes to make additional blends in the future. Weekend Childbirth Education Diabetes and the Ketogenic Diet When: Wednesday, February 28, 6 – 7:30 p.m. Classes Do you have type 2 diabe- Where: Fidalgo Room tes? Learn how to manage Cost: $35, (includes skincare blend) This two-day class is for those unable to attend the your diabetes through the six-week session. Prenatal nutrition, stages of labor, low carbohydrate, keto- coping techniques, pain relief options, breastfeed- genic diet. This course will Health Insurance ing, newborn care and more will be covered. Class is review basics of the keto- a blend of discussion, DVDs and hands-on practice. genic diet. Learn how diet Medicare 101: Understanding Your Class must meet minimum registration require- affects type 2 diabetes Medicare Choices ments to be held. including methods for con- Do you need help deciphering the Medicare puzzle? When: Sat. & Sun., February 3 & 4, 10 a.m. – 6 p.m. trolling blood sugar and weight loss. Nondiabetic Join us to learn more about traditional Medicare Sat. & Sun., April 7 & 8, 10 a.m. – 6 p.m. participants are welcome to attend to learn about coverage, Medicare Advantage Plans, Prescription Where: Fidalgo/Burrows Rooms the many benefits of the ketogenic diet. Drug Coverage, gaps, enrollment and fraud protec- Cost: $130/per couple or individual (covered by Apple When: Tuesday, February 20, 3 – 4:30 p.m. tion. Health) Where: Fidalgo/Burrows Rooms When: Monday, March 26, 1 – 2:30 p.m. Instructor: Teri Shilling MS, LCCE, CD(DONA), IBCLC Cost: FREE Monday, April 16, 1 – 2:30 p.m. Instructor: Jan Priggee RN, CCRP Where: Fidalgo/Burrows Rooms Cancer Care Cost: FREE Driver’s Safety Instructor: SHIBA Volunteer Look Good…Feel Better A specialized class dedicated to helping women AARP Smart Driver address appearance and self-image concerns expe- During this class intended for those 50 and older, “Great information rienced during chemotherapy or radiation treat- you will refresh your defensive driving techniques, ment. Look Good Feel Better focuses on skin care, review the rules of the road, learn new traffic laws clearly provided” make-up, proper care for nails and hair alternatives. and much more! Get a discount on your auto insur- – Medicare 101 class participant Each participant receives a free kit of cosmetics ance for completing the course. Classroom instruc- donated by the cosmetic industry. This program is tion only. sponsored by the American Cancer Society. When: Wednesday, March 28, 9 a.m. – 5 p.m. When: 1st Monday, 1 – 3 p.m. Where: Fidalgo/Burrows Rooms Where: Merle Cancer Care Center Conference Room Cost: $15 AARP members, $20 non-members Instructor: Madeline Rose Cost: FREE Contact: 360-588-2082, registration preferred

2. Email [email protected] 3. Call (360) 299-4204 Winter 2018 | Heartbeats | 15 Classes

Meditation Physical, Occupational Pelvic & Bladder Health Are you having a tough Instructor: Jan & Speech Therapy time staying dry after Hodgman MA has more Before & After Orthopedic Surgery childbirth, power walking than 40 years of medi- For those planning on hav- or even after sneezing? If tation experience. ing a total knee or hip so, there are physical ther- replacement, shoulder sur- apy interventions that can gery or back surgery, join help. Learn to strengthen an occupational therapist your pelvic floor muscles to from Island Hospital to get help prevent urinary leak- answers to your questions age from a physical therapist with Physical, about returning to an inde- Occupational & Speech Therapy at Island Hospital. Meditation for Everyday Living pendent lifestyle after sur- When: Thursday, February 22, 10 a.m. – noon Meditation has been clinically proven to reduce gery. Post-operative exercises and adaptive equip- Where: Fidalgo/Burrows Rooms stress, blood pressure, anxiety and help with rest- ment will be discussed. Cost: $10 ful sleep. This gentle, three-session class includes When: Tuesday, February 13, 1 – 2:30 p.m. Instructor: Reiko Nystrom MPT guided exercises, attending to what’s immediately Tuesday, March 20, 1 – 2:30 p.m. present in our experience and an invitation to Tuesday, April 10, 1 – 2:30 p.m. Special Events being rather than doing. Tuesday, May 8, 1 – 2:30 p.m. When: Thursdays, April 26, May 3 & 10, Where: Fidalgo Room 6 Steps to Help High Blood Pressure 6:30 – 8:30 p.m. Cost: FREE Join local naturopathic Where: Fidalgo Room Instructor: Pamela McNamee OT/L physician, Alethea Fleming Cost: $48 for a discussion on what Instructor: Jan Hodgman MA Improving Your you can do to help your Aging Memory hypertension. Practical tips Parenting Is your memory not quite that you can take home what it used to be? Join an about food, lifestyle and Childcare: Island Hospital speech-lan- supplements will be cov- Limited free onsite childcare (ages 2-8). Childcare guage pathologist, to learn ered. requires advance registration and space is limited. strategies and activities to When: Wednesday, May 16, 2 – 3 p.m. Email Nicole Mortimer, Anacortes School District to improve your memory and Where: Fidalgo/Burrows Rooms reserve childcare: [email protected] keep your mind sharp. Cost: FREE When: Wednesday, March 21, 1 – 2:30 p.m. Instructor: Alethea Fleming ND Parenting classes are made possible by a partnership Where: Fidalgo/Burrows Rooms with the Anacortes School District & Island Hospital. Cost: $10 Stop the Bleed Instructor: Libby Lewis MA, MEd, CCC-SLP

Love & Logic NEW! “Instructor was excellent” Parenting Class Series – Improving Your Aging Memory The Love and Logic Institute provides practical tools and techniques that help parents achieve class participant respectful, healthy relationships with their chil- dren, and helps prepare their kids for the real Osteoporosis: Exercise & Nutrition world. This class is intended for parents with young What would you do in a mass shooting event or if children, ages 0-8. The four-week course will you came upon a car accident? In large tragic events include a variety of topics: Week #1 Guiding Kids to many victims will die from uncontrolled bleeding. Own and Solve Their Problems, Week #2 Avoiding The Stop the Bleed program teaches bystanders Power Struggles, Week #3 Setting Limits Without how to stop bleeding until first responders arrive. Waging War, Week #4 Teaching Responsibility. This course will teach the correct techniques for When: Tuesdays, April 17 – May 8, 6 – 7:30 p.m. applying a tourniquet, packing a wound and how to Where: Whitney School, 1200 M Ave., Anacortes properly apply pressure dressings. Participants will Cost: $30/per person or $40/per couple (scholarships also learn how to identify certain wounds and the available) Learn what types of exercises are most beneficial special care those wounds require. A certificate of Instructor: Elaine Commins, Love & Logic Trainer for your bones and which foods will help keep your completion will be provided at the end of the train- bones strong from an Island Hospital physical thera- ing to participants that are able to successfully pist and registered dietician. Come prepared to try demonstrate their ability to Stop the Bleed. some exercises you will be able to do at home. When: Tuesday, March 27, 10 a.m. – 12:30 p.m. When: Wednesday, April 25, 1 – 3 p.m. Thursday, March 29, 1 – 3:30 p.m. Where: Fidalgo/Burrows Rooms Where: Fidalgo/Burrows Rooms Cost: $10 Cost: FREE Instructors: Allison Blackwell PT, DPT & Suzie DuPuis RD Instructors: Lisa Edwards RN & Denise Jones RN, MN 16 | Heartbeats | Winter 2018 Resources & Support Groups

their waterproof Personal Help Button whenever Cardiopulmonary Pregnancy, Children they need help, calling a certified Lifeline monitor Care Center Programs and Families who assesses the situation and summons appropri- ate help. Cardiac Rehabilitation Access to Baby and Child Dentistry Contact: 800-635-6156 If you have stable angina or have had a heart (ABCD) attack, heart bypass surgery, valve surgery, angio- Did you know that regular dental care is recom- Skagit Adult Day Program plasty or stent placement in the past year, this mended to start before an infant’s first birthday? Lunch & Learn monitored exercise program will help you increase Families with children up to age six can call Skagit Local experts share knowledge and insight regard- your endurance and provide you with the neces- County’s ABCD program for help with dental care for ing elder care over a light homemade lunch. sary education you need to make lifestyle changes their children. When: 1st Tuesday, 12:30 – 2 p.m. for better cardiac health. Contact: 360-416-1523 Where: Anacortes Christ Episcopal Church Contact: 360-299-4242 Cost: FREE Center for Maternal & Infant Care Contact: Gentry House, 360-293-4466 Pulmonary Rehabilitation Pregnant and have Apple Health? Maternity sup- Are you unable to do the things you used to do port services through Island Hospital can help! because of shortness of breath and fatigue? Services consist of preventative health education to Teens Pulmonary Rehabilitation may be the answer. An support a healthy pregnancy and baby, and Anacortes Teen Clinic exercise specialist will teach participants exercises includes a multidisciplinary team consisting of a The Teen Clinic is free of charge for teens (age 18 that will increase strength and decrease fatigue. registered nurse, lactation consultant, nutritionist and under). The clinic is open on Wednesdays from Also, learn about the cardiopulmonary system, and social worker. The Center for Maternal & Infant 2 – 5 p.m. and is located at 2601 M Ave., Suite C, medications and nutrition to maximize strength Care helps connect expecting moms to community Anacortes. Drop-ins are welcome. and endurance. This course is Medicare-approved resources. Anacortes Teen Clinic Services: and may be covered by insurance. Contact: 360-293-3101 • Family planning Contact: 360-299-4242 • Contraceptive education and supplies including Nurse-Family Partnership condoms, birth control pills and emergency con- Health Insurance First-time moms who are eligible for Apple Health traception or WIC can enroll in Skagit County’s Nurse-Family • Pregnancy testing In-Person Assisters Partnership (NFP) program. Moms are paired with • Sexually transmitted infection prevention educa- (Non-Medicare) nurses who meet with them from early pregnancy tion Island Hospital offers free appointments with an until their child turns two, providing personalized Contact: 360-293-6973 In-Person Assister. This program is intended to help information and support for a healthier pregnancy individuals (not on Medicare) understand the and a more confident parenting experience. Services are provided by Skagit County Public Weight Management details regarding enrollment for health insurance Overweight? through the Washington Healthplanfinder. Health at no cost to families. Contact: 360-416-1523 Over time, weight seems to just creep onto us, yet it Contact: 360-299-4924 does so at a cost to our health, mobility and agility. SHIBA Skagit Healthy Beginnings Meet with our registered dietitian for an individual Need free help understanding Medicare or health Phone Line dietary session. Insurance may cover cost. insurance connected to Medicare, Part D prescrip- Child & Family Health staff at Skagit County Public Contact: 360-299-1300, ext. 2567 tion coverage, the “extra help” program or more? Health provides information and referrals to help Island Hospital’s SHIBA program has expert volun- families of pregnant women and young children Support Groups teers trained by the Office of the Insurance find activities and services that promote health, Commissioner available to give free, unbiased development and well-being. Alzheimer’s Association - Caregivers information. Contact: 360-630-8352 (call or text) Monday – 2nd Monday, 1 p.m. Contact: 360-299-4212 Friday Westminster Presbyterian Church, 1300 9th St. Anacortes Mental Health Women, Infants and Children Contact: Ann, 360-299-9569 (WIC) Nutrition Program Better Breathers NAMI (National Alliance on The WIC program provides healthy foods, nutrition 3rd Tuesday, 1 – 2 p.m. Mental Illness) education, breastfeeding support and linkage to Burrows Room, Island Hospital NAMI Skagit provides support, education and health and social services. WIC serves women who Contact: Jim, 360-299-4242 advocacy for people with mental illness and their are pregnant, breastfeeding or post-partum and families within Skagit County. NAMI Skagit offers infants and children up to age five. WIC is an equal Grief support groups and classes. opportunity provider and does not discriminate. Every Wednesday, 3:30 – 5 p.m. Contact: Skagit HELPLINE: 800-273-8255 Contact: Anacortes: 360-416-7595, Swinomish Fidalgo/Burrows Room, Island Hospital Suicide Prevention Lifeline: 800-273-TALK or Indian Health Clinic: 360-466-3900 Contact: Doug, 360-202-1699 800-SUICIDE Kidney Seniors Meets Quarterly Lifeline Anacortes Senior Activity Center Lifeline is an easy-to-use personal response system 1701 22nd St., Anacortes that allows older adults living at home to get quick Contact: 360-293-7473 assistance whenever it is needed. Participants press Winter 2018 | Heartbeats | 17 Resources & Support Groups NAMI Mental Health Cancer Support meetings involve sharing, educational segments 4th Thursday, 7 – 9 p.m. and guest speakers. You do not need to be a patient United Methodist Church of Anacortes Groups at Island Hospital to attend. Contact: Virginia, 360-421-7331 Call for dates Art & Healing for Cancer Patients Merle Cancer Care Center Conference Room Parkinson’s Cancer patients are welcome to join art therapist, Contact: Danah, 360-588-2082 3rd Thursday, 1:30 – 3 p.m. Margaret Carpenter Arnett BSN, ATR, to reduce Fidalgo/Burrows Rooms, Island Hospital stress and improve emotional well-being through Cancer Caregiver Contact: Jerry, 360-293-2185 art therapy. No artistic skills required. A supportive space for anyone caring for someone, 1st & 3rd Wednesdays, 2 – 4 p.m. or is affected by someone, living with cancer. Restless Leg Syndrome Merle Cancer Care Center Conference Room 2nd Monday, 3 – 4 p.m. Call for dates Contact: Danah, 360-588-2082 Merle Cancer Care Center Conference Room Fidalgo/Burrows Rooms, Island Hospital Contact: Danah, 360-588-2082 Contact: Charlotte, 360-293-7328 Better Together – Supporting Rooms and times are subject to change. Please call Women with All Cancers contact before attending any support group. For Women with a current diagnosis of any cancer are more information about these support groups, welcome to join a community of support. Weekly please call 360-299-1309.

Health Screenings

Sponsored by the Island Hospital Foundation and needed medications only. Your results will be sent to you in the mail. No appointment required. Balance Screening Please do not arrive prior to 7:30 a.m. Call 360- Our physical therapists can help determine where 299-1309 for questions. your body is vulnerable and help you develop strat- When: Tuesday, April 10, 8 – 11 a.m. egies to prevent falls. Appointments are required. Where: Health Resource Center When: Tuesday, February 20, 10:30 a.m. – 12:30 p.m. Cost: $10 (insurance may cover the cost of your Where: Physical, Occupational & Speech Therapy at screening) Island Hospital Cost: FREE Colon Cancer Screening Colon cancer is one of the leading causes of death Blood Pressure Checks from cancer in the United States, but with early Blood pressure indicates the health of detection it can be treated much easier. This screen- BEAT IT! your heart and blood vessels. Fight Heart ing will provide you with a take-home stool sample Disease Untreated, elevated blood pressure kit that can detect hidden blood, which can be a can result in stroke. Get your blood symptom of growths within the colon. Just com- When: Tuesday, February 27, 9:30 a.m. – 4 p.m. pressure checked regularly at one of the following plete the kit at home and return it to Anacortes Where: Health Resource Center locations: Family Medicine. Your results will be mailed to you. Cost: FREE Health Resource Center No appointment required, just stop by to pick up a Every Wednesday, 9 a.m. – noon Memory Awareness Screening kit. You must be present to get a kit! Are you or a loved one becoming more forgetful or Anacortes Senior Activity Center If you have insurance (other than Medicare or Last Tuesday of the month, 9 – 10:30 a.m. maybe have started to misplace things more often? Medicaid), please bring your insurance card. Most Have you become lost in a familiar place or noticed Bone Density Screening insurance plans cover a set of preventative screening a change in mood, behavior or personality? If so, This non-intrusive test provides an estimate of your tests at no cost to you. We will bill your insurance so this screening can be a first step in helping deter- bone density by scanning your heel. If you already you can get credit for this screening. If your insurance mine if you might suffer from memory loss. This have a diagnosis of osteoporosis confirmed by a doesn’t cover the cost of the screening, your cost will examination consists of a series of questions and more complex imaging test, this is not the screen- be $10. Call 360-299-1309 for questions. tasks designed to test memory, language, thinking ing for you. This screening is accurate for women When: Tuesday, March 6, 9 – 11 a.m. and other intellectual functions. Appointments are only. Appointments are required. Where: Anacortes Family Medicine, required. When: Tuesday, April 3, 9 – 11 a.m. 2511 M Ave. Suite B When: Tuesday, March 20, 9 – 11 a.m. Where: Health Resource Center Cost: $10 (insurance may cover the cost of your Tuesday, May 1, 9 – 11 a.m. Cost: $5 screening) Where: Health Resource Center Cholesterol & Glucose Screening Hearing Screening Cost: FREE This blood test determines your total Are you having a hard time hearing as well as you Pulmonary Function Screening BEAT IT! cholesterol, HDL, LDL, triglyceride and used to? Help is available and easy once you have If you get short of breath while getting dressed, Fight Heart confirmed hearing loss. This screening will provide Disease glucose levels, which can be indicators climbing stairs or walking with a friend, or if you of cardiovascular disease or diabetic you with a simple hearing test provided by Dr. Holly have smoked for 10 years or more, this screening tendencies. A 12-hour fast is required with water Kennedy of the Anacortes Hearing Center. can help determine your lung function. You and Appointments are required. 18 | Heartbeats | Winter 2018 Health Screenings your doctor can then decide on a treatment plan to Swallow Screening Vitamin D Screening improve the quality of your life. Appointments are Concerned about your swallow? Do you cough or This screening will determine the level of vitamin D required. clear your throat frequently when eating or drink- in your blood. Studies have shown that low levels of When: Tuesday, May 8, 9 a.m. – noon ing, have wet sounding vocal quality, have conges- vitamin D may contribute to the possibility of devel- Where: Health Resource Center tion with repetitive colds or pneumonia, have diffi- oping osteoporosis, cancer and other health condi- Cost: FREE culty with chewing and/or require multiple swal- tions. Your results will be sent to you in the mail. Skin Cancer Screening lows with bites or sips? If you are experiencing one Appointments are required. Have your skin visually checked for any abnormali- or more of these symptoms, meet with a speech- When: Tuesday, April 24, 9 – 11 a.m. ties by Lyndsey Switzer PA-C of Rosario Skin Clinic. language pathologist to determine if you might Where: Health Resource Center Appointments are required. have a swallowing disorder. Appointments are Cost: $30 When: Wednesday, May 23, 8 a.m. – noon required. Where: Health Resource Center When: Tuesday, April 17, 1:30 – 3:30 p.m. Cost: FREE Where: Physical, Occupational & Speech Therapy at May 2017 Screening Results: 28 people participated, Island Hospital 20 required a follow-up visit with their healthcare Cost: FREE provider.

You Can Save a Life – You Have it in You! Please give blood at Island Hospital Monday, March 19 & Monday, May 14 10 a.m. - 4 p.m. Fidalgo/Burrows Rooms • Call 360-299-1309 for an appointment. Brussels sprouts – nutrition-heavy “baby cabbages” by Suzie DuPuis RD Island Hospital Dietician Brussels sprouts are a great winter vegetable that loves the cold weather. According to local farmer, Jen Schuh of Shuh’s Farms, Brussels sprouts get sweeter as the weather cools, making November/ December perfect months for these cute, local “baby cabbages”. Roasted Brussels Sprouts (Serves 4) Ingredients: 1½ - 2 c fresh brussels sprouts 3 - 4 Tbsp Olive oil 2 Tbsp Balsamic vinegar 1 tsp honey Salt and black pepper to taste Crushed Rose pepper

Toss Brussels sprouts in 2-3 Tbsp oil and place on large baking sheet. Roast at 450’F for 20 - 30 min- utes until tender and slightly charred. Remove Brussels sprouts from oven and toss with blended olive oil, balsamic vinegar and honey. Place back in oven for 5 - 10 minutes to caramelize. Season with salt, black pepper and crushed Rose pepper, and serve. Winter 2018 | Heartbeats | 19 Island Hospital Foundation

New York, New York: A Night on the Town is theme for 15th Annual Gala of Hope ou are invited to immerse yourself in drugs are high and a burden for this depart- Ythe excitement of New York City when ment. The clinic also needs twelve IV pumps the Island Hospital Foundation (IHF) hosts and eleven infusion chairs. Four of the new its 15th annual Gala of Hope on April 28. infusion pumps would be able to run pre- New York New York: A Night on the medications concurrently to reduce infusion Town, chaired by Reid and Ann Meyers, will times for our patients, saving up to 1.5 hours dazzle you with the spectacular Manhattan for each treatment. You can literally help pro- Skyline and the sights and sounds of vide our patients more precious time for life Broadway. On this night, there’s no subway outside the clinic. ride required to stroll through Central Park This year’s Gala will also sustain ongoing for a sampling of Big Apple culinary delights, funding for the Mental Health Intervention Island Hospital Foundation’s and then sit with friends to feast on a delecta- program that provides counseling, therapy 15th Annual Gala of Hope ble dinner reminiscent of the historic and social-work services for students in Delmonico’s Restaurant. Anacortes schools; assistance for patients and New York New York: Just as Lady Liberty holds her torch high, families in need by offsetting costs of trans- we’ll raise our paddles to support cancer care portation, prescription co-pays, lodging, as A Night on the Town in our community. This year, we’re dedicating well as other treatment-related expenses the Heartstrings portion of the evening to cru- through patient-relief grants; and community April 28, 2018 cial funding for one of our busiest clinics, the programs like the Health Resource Center and at the Swinomish Casino & Lodge Merle Cancer Care Center. Over and over, we free preventative health screenings. Tickets are $150 per person and Sponsorships hear from patients and their families that it is Please melt your little (A-)town blues and range from $1,600 - $10,000. For more infor- a comfort to receive top-quality personal care be a part of it – New York New York! We mation contact the Foundation at (360) 299- just minutes from home. Even with large promise you a fabulous evening as we recreate 4201 or [email protected], or patient volumes, the costs of cancer infusion the city that never sleeps! visit www.myihf.org/events. Working behind the scenes for the 15th Annual Gala of Hope he holds a PhD and is a national con- tains an office in San Antonio, from where Ssultant who works in the field of they hail. housing and social services for the home- They are Ann and Reid Meyers, co-chairs less. Philanthropy has been her life, and with of this year’s Gala of Hope, New York, New her recent move to Anacortes, she has also York: A Night on the Town. As they had become involved with the homeless and chaired or participated in a good number of disenfranchised, serving as a board member galas (a hallmark of the Southern culture), of the Anacortes Family Center and Chair of when they heard that the Foundation was in need of a chair for this event, “We can do the highly successful Anacortes Family this,” they agreed, and answered the call. Center Capital Campaign. “Our purpose in life is to help people,” she He is an attorney whose entire career has said. been given over to employment law. He “To give back,” he added. retired as Senior Vice President of USAA and “And having come to this area since has been active on several corporate and 1997, we’ve long known the importance non-profit boards, and in the golf industry. and amazing quality of services Island Though he claims to be retired, he practices employment law in Anacortes and main- continued on Page 21

20 | Heartbeats | Winter 2018 Island Hospital Foundation

In remembrance of Norman “Norm” Allan he Island Hospital Foundation wishes to Remembering Texpress our deep sorrow upon the pass- The Island Hospital Foundation ing of our dear friend and Board member, received gifts to remember and Norm Allan, who succumbed to cancer on honor those listed here between October 12, 2017. He was 75. Sept. 1 and Dec. 31, 2017: Committed to his family and his communi- ty, Norm joined the Fidalgo Rotary immediate- In Memory of: ly upon his arrival in Anacortes in 2006, even- Norm Allan Blair McCallum, RPT tually serving as its president. In 2015 he joined Jack Bollerud Prudy Mondhan the Foundation Board and, bringing his invest- ment banking expertise, he jumped into the Edwin Zane Brown Hadi Mostafavi-Nassab treasurer role in early 2016. Norm continued to John Carrabba Gary L. Nelson serve on the Finance Committee in 2017. He Richard S. Cole William Paden was passionate about working to grow the IH Leslie “Les” Cooper Erik B. Pihl Foundation Endowment Fund to provide for our hospital’s future needs. Donald C. Ellis Molly Ann Reisner We extend our heartfelt condolences to Don Finsen Jeanne Robinette Norm’s wife of 53 years Barbara, his sons David Warren “Woody” Fry John Sargent and Gregory and their wives Marcy and Leslie, Murray Goddard O. Newell Sheffer as well as his countless friends. Nancy Gorbics Ellen Kathleen Smith John Hachey Michael Stark Meyers continued from Page 20 Dennis J. Heggem Stew Sterling Micheal Herbert Peter Stone Hospital offers this community, now our chairs, everyday people doing everyday home,” she said. things that never seem to make the news,” Tom Hudson June Thomas “We want to help in any way we can to he mused aloud. Richard “Dick” Iversen Marge Thomas ensure that our hospital continues its history The Meyers seized on this year’s theme – Swanhild Johnson Ivonne Van Lawick of exceptional care to the community,“ he New York, New York – “because we want to Tony Lauro Ian Wright added resolutely. replicate the fun we had at last year’s Gala – “And then, there are so many extraordi- only with a new twist. We hope to bring the nary people we’re meeting,” she said. glitz, glamour and fun that is the Big Apple In Honor of: Austin, the first baby of 2017 “Members of the Board, committee to Anacortes via the Gala of Hope.” Guardian Angels: Dennis Richards Jacqueline Marucci Barb LeDuc Dr. Kathy Garde Free Blood Pressure Checks Kelsey Jenison Every Wednesday! To remember or honor 9 a.m. - noon someone with a donation, please send the person’s name Island Health Resource Center and type of remembrance Call requested along with a check payable to “Island Hospital 360-299-1309 Foundation.” Mail to: for more information. 1211 24th Street Anacortes, WA 98221 Info: (360) 299-4201

Winter 2018 | Heartbeats | 21 TREATMENTS continued from Page 5 Interpretation nately, showing that our foods play now, migraines have been treated with services and audio- less of a role in headache than we drugs that were created for totally different thought in the 1980s or 90s. Most issues – such as high blood pressure, depres- loop amplifiers are modern headache clinics no long use sion and aesthetics (smooth wrinkles). Of available 24/7 for food trigger lists or rigid diets, as we the more than 6,000 medications on the Interpretation services and audio loop amplifiers did in previous decades. Many food market, about 25 to 30 have also been help- patientsare available and 24/7families. for patients and families. supplements have also been studied ful in preventing headaches. These medica- and only about five have evidence of PleasePlease ask ask your your healthcare provider for more information. tions can be quite effective and have been providerInterpretation for more information. services and audio loop amplifiers being helpful and that help is modest proven to be safe with long-term use. It is are available 24/7 for patients and families. at best. However, we always try dietary our goal to use medications, precisely tai- Please ask your healthcareINTERPRETATION provider for more information. supplements first. Over-the-phone interpretation services are available in lored to each individual’s type of headache ŸŸ The fourth category of preventative more than 170 languages and lifestyle to reduce the headaches the treatment is using medications. INTERPRETATION most with no side effects. Often, unlike However, until this point there have INTERPRETATIONOver-the-phone interpretation services are available in other bad diseases, headache disorders AMERICANmore than 170 SIGN languages LANGUAGE been no migraine-specific medications Over-the-phone interpretation services are often resolve over time naturally. I will pres- Video-remote or in-person American Sign Language on the market to prevent headaches. available in more than 170 interpretationlanguages available.In -person sign language must be That will all change this year when sev- ent these new treatments in detail in the scheduled in advance. eral exciting new treatments specifical- next issue of Heartbeats Magazine. AMERICAN SIGN LANGUAGE J. Michael Jones MPAS-C provides services Video-remote or in-person American Sign Language ly targeting migraine prevention will interpretation available.In -person sign language must be AMPLIFIERS be available. at the Headache Clinic in the Medical Office scheduled in advance. Audio loop amplifiers provide a clear sound for individuals The development of these new migraine- Building, 2511 M Ave., Suite C, Anacortes. For with hearing loss. Works with headphones or individuals specific medications is unique because, until appointment or more info, call (360) 299-4929. AMERICAN SIGN LANGUAGEwho have T-Coil equipped hearing aids. Video-remote or in-person AmericanAMPLIFIERS Sign Audio loop amplifiers provide a clear sound for individuals Language interpretation available.with hearing In-person loss. Works with headphones or individuals sign language must be scheduled in advance. BARTLETT continued from Page 7 who have T-Coil equipped hearing aids. her community and finds this an exciting time in the fields of oncology and palliative care. “Folks are living longer,” she said, “and many are being cured thanks to astounding medical advances. Additionally, for those faced with terminal illness we now have more to offer in terms of support and symptom management.” AMPLIFIERS Bartlett, her husband and dogs are enjoying trail running, hiking and camping in the Audio loop amplifiers provide a clear beautiful Pacific Northwest. sound for individuals with hearing loss. The Merle Cancer Care Center is located on the upper level of the Medical Arts Pavilion, Works with headphones or individuals 1015 25th Street, Anacortes. For more information or a consultation call (360) 299-4200 or who have T-Coil equipped hearing aids. visit www.islandhospital.org.

J. Michael Jones PAIN MANAGEMENT MPAS-C

22 | Heartbeats | Winter 2018 Support Department Spotlight

▲ The Pharmacy Department works as a team to provide nearly 300,000 doses of medication annually. Pharmacy Department – Providing optimal, individualized patient services, support he Island Hospital Pharmacy tuted an Antimicrobial Stewardship Program, Each year, the Pharmacy Department TDepartment provides evidence-based, an innovative and intensive practice-based reviews and optimizes tens of thousands of cost-effective and safe drug therapy to attain activity focusing on the pharmacist’s role in medication orders that lead to nearly 300,000 optimal patient-care outcomes. The Pharmacy the area of appropriate use of antimicrobial medication doses for acutely ill patients. staff utilizes modern technology and empha- agents. The program emphasizes a team “Patient safety is priority one,” said sizes education, training and development of approach to implement a program that will Kenneth Martin PharmD, Director of staff. improve patient care, reduce healthcare Pharmacy. “We have an excellent staff that is Working closely with nurses and physi- expenditures, and potentially reduce rates of detail-minded, experienced and work excep- cians, pharmacists provide oversight of medi- resistance and prolong the longevity of the tionally well as a team.” cation selection and utilization for hospital limited number of antimicrobial agents avail- Along with Martin, the Pharmacy patients. Department staff advises nurses and able to treat infections. physicians to ensure all medications are pre- Department includes seven pharmacists: scribed appropriately, are administered safely • David Ball PharmD and work effectively. • Melvin Cook RPh, MS Island Hospital’s Pharmacy Department • Bernadine Feist RPh, BCPS also provides specialized outpatient infusion • Ashleigh Galamison PharmD services via the satellite pharmacy located in • Don Jones PharmD the Merle Cancer Care Center. • Kristin Rogers PharmD Committed to patient safety • Travis Vandeway RPh In addition, the Department has nine IH pharmacists and technicians practice pharmacy technicians: on all patient floors, including the Emergency • Christine Adkison CPhT, buyer and lead Department (ED) where staff provides rigor- • Geneva Blackmer CPhT ous monitoring of patients’ personal medica- tions, proven to improve post-ED care and cut ▲ • Hilary Foran CPhT re-admission rates. In addition, pharmacists • Jean Houston CPhT are at the forefront of medication safety and After mixing a sterile compound, • Joshua Lecha CPhT have instituted new technologies that improve pharmacy tech Jackie Wall hands • Brianna Sommer CPhT workflow and automate processes to prevent medication to tech Joshua Lecha. All • Caron Teijen CPhT errors in patient care. medications are checked by by a phar- • Angel Villalobos CPhT The IH Pharmacy Department has insti- macist before delivery to patient area. • Jackie Wall CPhT

Winter 2018 | Heartbeats | 23 Island Hospital Foundation Non-Profit Org. 1211 24th Street US Postage Paid Anacortes, WA 98221 Permit No. 106 BLAINE, WA

ECRWSS Resident

24 | Heartbeats | Winter 2018