Fall 2018

HeartbeatsMagazine Patient offers compelling story of surgery care. See Island Surgeons p. 12

Envisioning the future Island Hospital p.2 Physicians join Merle Cancer Care Center p.5 Patient shares importance of blood-pressure checks p.9 Commissioner Message FMA Women’s health clinic opens What does Island Hospital of the future look like? Each year the Island Hospital Board of Commissioners, Administration and members of the Medical Staff hold a Leadership Conference to devel- op a strategic vision for the short and long term. This year’s gath- ering will be held later this year to discuss a most-serious challenge: Considering the changes we are seeing in healthcare delivery across the nation, what does Island Hospital of the future look like? The Annual Leadership Conference will be facili- tated by ECG Management Consultants and focus on ▲ three goals: A newly renovated space in the Island Medical Center (adjacent to the • Improving patient access. Island Hospital main 24th Street entrance) has allowed Fidalgo Medical • Providing the right services for our community Associates (FMA) obstetrics and gynecology providers a dedicated space demographics. to practice, as well as allow the previous space to be utilized for primary • Defining ways to deliver healthcare that exceeds patients’ expectations. care. Ob/Gyn physicians Kathy Garde MD, Nadine Foist MD and Robert The Commissioners – along with Administration, Prins MD will practice at the new facility. Exam rooms are larger and members of the Medical Staff and Island Hospital modernized for patient care and comfort. For appointments or more Foundation – will gather together to brainstorm solu- information call FMA at (360) 293-3101. tions and agree on plans to achieve these three goals. To do this, we need to further analyze our core services and envision ways we can deliver them in the most cost-efficient and effective manner based on the economic and regulatory realities in today’s health- MRI upgrade barely noticeable, care market. Our current model needs improvement as we are seeing lagging revenues due to significantly except where it counts! lower than expected inpatient volumes. We must atients who enter the MRI room at Island Hospital will likely look for vast chang- work to examine the entire organization, from prima- Pes and see few. They might listen and hear that the new module is quieter than ry care to inpatient services, to improve access and the last – but that’s only if they’ve had an MRI before. They may look at the circular delivery of care. opening to the unit and see it is the same size. But it’s precisely those barely noticeable At the conference we will consider different sce- traits that have, in part, made the installation of the MRI upgrade such a success. narios as potential options, considering operational, What is noticeable to the radiologist is far-advanced depth of vision and clarity. regulatory, financial and strategic implications of What is noticeable to the physician is greater ability to diagnose previously undetected each. ECG will present sustainable models that pro- problems in ever-earlier stages. And what is ultimately felt by the patient is an vide the services our community demands. As in the increased sense of confidence and ability to make decisions based on what they and past, it will take several months to implement our the professionals have factually seen. strategic plan. We will continue to work with ECG Said Ray Ould, IH Director of Diagnostic Imaging, “Thanks to the forward-thinking of over the next year to gather more data and further Island Hospital Administration, contractors and so many others involved even before develop the plan. We will keep our community this upgrade, we were able to save 60% of the cost that would otherwise have been informed about our progress and decisions during required of building a new room from scratch and buying new, rather than upgrading”. this process. He added, “We in the Diagnostic Imaging Department are particularly thankful to As Island Hospital Commissioners, we are the Island Hospital Foundation for gifting us with a breast coil. This one-hundred-thou- charged with representing Skagit County Public sand-dollar act of generosity together with our new 3-D mammography unit will undoubtedly save lives. One life saved, one medical condition caught in time, was and Hospital District No. 2 (Island Hospital) residents. I is our goal.” encourage you to share your comments and ideas. Please contact us at (360) 299-1327 or commission- Cover Photo: Taking a stroll at Cap Sante Marina is Heather Zeilstra, who has [email protected]. We want to hear from you. great things to say about her care at Island Surgeons. See page 13.

2 | Heartbeats | Fall 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. Island Hospital (Skagit County Public Hospital District No. 2) Meeting our community’s needs is governed by a Board of Commissioners. Correspondence to commissioners can be sent to: hospital administrator/chief executive officer Other factors contributing to our challenge in Commissioners is involved in a wide range of decisions meeting primary-care demand in the district are slow c/o Administration A 1211 24th St. regarding all aspects of community medical-care credentialing by health insurers, clinic processes and Anacortes, WA 98221-2590 delivery. These responsibilities include staffing, a lack of space. Position 1 finances, community involvement, partnerships and Credentialing is the confirming and review of the Jan Iversen more. provider’s application by all potential third-party pay- Position 2 However, at Island Hospital, my top priority and ers to ensure that all educational, licensure and feder- Warren Tessler concern is recruiting physicians and advanced practi- al and state standards have been met. We are working (Secretary) tioners (nurse practitioners, physician assistants) to with our contracted insurance carriers to become Position 3 meet an increasing need for primary-care providers more expeditious, but they seem to require more Paul Maughan PhD in our hospital district. We do all we can to fill these information – and are usually slower in responding – (President) positions as quickly as we can so we can continue to than in the past. Each insurance company does this Position 4 meet demand. However, the amount of notice may credentialing audit separately and some move slower Lynne M. Lang PhD vary, and we feel a deficit if we can’t get a provider in than others, but Medicare and Medicaid are the fast- Position 5 place quickly. There are many reasons a provider may est. A.J. "Chip" Bogosian MD leave that can limit our primary-care capacity; with Our Family Care Clinics, Anacortes Family Heartbeats military relocation (often of a spouse) and retirement Medicine and Fidalgo Medical Associates, are work- is published by the Community Relations/ among the top reasons. Typically, when a provider ing collaboratively to improve our processes so we Education Department. leaves, we hire locum tenens (temporary) providers, can efficiently increase capacity. Some of these chang- Comments or suggestions to: to avoid any gaps in care for our current patients. es have already been enacted by the time you read (360) 299-1310 It can take as long as 10 months from the time we this, and more will be forthcoming. Community Relations/ Education start recruiting a position to when the provider starts As for a lack of space, I believe we have made sig- Director practicing here. nificant progress resolving this with the expansion of Dennis Richards Once here, the new provider needs an orientation Fidalgo Medical Associates (FMA) in the Island Community RELATIONS COORDINATOR period to learn organizational policies and proce- Medical Center (facility just west of main 24th Street Barb LeDuc dures as well as clinic operations and other basics entrance). The new space will house FMA’s obstetrics Community Education Coordinator such as the electronic medical-record system. and gynecology (Ob/Gyn) providers (Nadine Foist Kelsey Jenison & Mary Beth Robinson MD, Kathy Garde MD and Bob Prins MD) and staff Health Resources Coordinator in office space adjacent to the FMA reception area. Julie McKee This allows the previous Ob/Gyn space to be utilized Graphics/Design Free Blood for primary care. Teresa L. Pierzchala We are aware that some local residents are experi- Writer encing difficulty finding a primary-care provider Chara Curtis Pressure Checks (PCP) in our district. I assure you that we are doing PHOTOGRAPHY all we can to ensure we offer the services needed by Lisa Kuhlein Every Wednesday, 9 a.m. - noon our community. In fact, I have instructed an interde- partmental task force to review and improve our pro- Island Health cess so those requesting a PCP get a response within Our Resource one business day; and a provider who meets your Center needs. If you need a PCP or specialty physician, please Promise call the Resource Center at Island Hospital, (360) Your best healthcare 299-1397. I always encourage your comments, concerns and experience begins at suggestions. Feel free to contact me directly at voli- Island Hospital. [email protected] or at (360) 299-1327. We always place your emotional and medical needs Call 360-299-1309 for more information first and foremost.

Fall 2018 | Heartbeats | 3 3D mammography proves far better than 2D, says Mayo Clinic physician hree-dimensional (3D) mammography has great Tadvantages over two-dimensional (2D), as it offers three distinct benefits – better cancer detection, fewer false positives and more peace of mind – according to a Mayo Clinic radiologist. Dr. Robert Maxwell notes that 3D mammograms allow better accuracy in the detection and diagnosing of cancer compared to 2D (traditional) mammograms. The two-dimensional mammogram provides only top and side images of the breast, obtaining about four images. In comparison, 3D mammograms obtain approximately 300 images, which provides better cancer detection and fewer false alarms. 3D mammograms provide a more certain diagnosis allowing the radiologist to see greater detail in the breast tissue. This should offer peace of mind for women with dense breasts, since they have a higher cancer risk and more certainty in diagnosis lessens anxiety. Island Hospital offers the Hologic GeniusTM Mammography unit that • is the only mammogram that is Food and Drug Administration-approved as superior for women with dense breasts compared to 2D mammography alone. • finds 20-65% more invasive breast cancers than 2D. • reduces callbacks by up to 40%. To schedule your mammogram call the Island Hospital Diagnostic Imaging scheduling line at (360) 299- 1315.

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4 | Heartbeats | Fall 2018 People at Island

Merle Cancer Care Center welcomes two new oncologists rs. Wang and Nestor have joined the Credited with 17 peer-reviewed publica- Merle Cancer Care Center staff of the Merle Cancer Care Center tions, Dr. Wang is a member of the American D The Merle Cancer Care Center at Island (MCCC) and are now seeing patients. Society of Hematology and is an Associate Hospital operates in a state-of-the-art facility Junfeng Wang MD, PhD Member of the American Society of Clinical Oncology. with the latest equipment and comfortable Board certified in furnishings. The MCCC exceeds the stan- Patrick Nestor MD Oncology, Hematology dards established by the Commission on and Internal Medicine, Board certified in Medical Cancer – with staff specially trained and expe- Junfeng Wang MD, PhD, Oncology (2003) and rienced in the physical and emotional ele- received his Bachelor’s Hematology (2004), degree (Medicine) from Patrick Nestor MD earned ments of a cancer diagnosis – while offering: West China University of his Bachelors of Biologic • Chemotherapy Medical Sciences, China, Science from the • Non-chemotherapy medication adminis- in 1987 and his Doctor of Medical Sciences University of Chicago in tration from Peking Union Medical College, Beijing, 1990 and his Medical • Blood product transfusion in 1995. He completed his residency in Doctor degree from University of Texas • Private visits with physicians and a nurse Internal Medicine in 2008 at Greenwich Health Science Center, San Antonio, in 1997. practitioner Hospital, Yale School of Medicine, CT; and There he was honored with both the Merck • Referral to radiation therapy received an additional three years’ clinical Manual Award and Summer Research training in hematology/oncology at the Fellowship. He fulfilled his internship and res- • Personalized genomic therapy University of Washington, Fred Hutchinson idency at in Internal Medicine at the • Emotional and educational support Cancer Research Center. University of Wisconsin, Madison, in 2000 • Coordinated access and consultation with Dr. Wang most recently practiced as medi- and was a Fellow in Hematology and Medical oncology experts at Seattle Cancer Care cal oncologist/hematologist at The West Oncology at Washington University, St. Louis, Alliance, Virginia Mason, UW Medical Clinic, Memphis TN. He had previously MO, until 2003. Center and other specialists throughout served as oncologist at George E. Wahlen VA Since 2003 Dr. Nestor has practiced the Pacific Northwest region. Medical Center, Salt Lake City (SLC); as Medical Oncology/Hematology with The Merle Cancer Care Center is located on Assistant Professor, GU Medical Oncology, PeaceHealth St. Joseph Cancer Center, Huntsman Cancer Hospital, also in SLC. He Bellingham, where he was also a member of the upper level of Island Hospital’s Medical Arts began his career as Acting Instructor, the Cancer Committee and Clinical Trial Pavilion, 1015 25th Street, Anacortes. For infor- Hematology/Oncology, University of Principle/Sub-Investigator. mation call (360) 299-4200 or visit www. Washington. islandhospital.org. Wound Care & Hyperbaric Medicine Center welcomes Brian Minow MD ertified by the American Board of Family Director of Wound Care and Hyperbaric Medicine, responsible for man- CMedicine, Brian Minow MD has joined the aging overall operation of medical services and patient care at the Wound Care & Hyperbaric Medicine Center McKenzie-Willamette Advanced Wound Healing Center. (WCHMC) at Island Hospital. He brings over 20 “Wounds that fail to heal,” Dr. Minow says, “are a sign that a person years diverse experience, including primary care, has underlying health issues. To heal chronic wounds, the focus needs wound care and hyperbaric medicine. to be placed on the whole patient, rather than only addressing the ‘hole Dr. Minow received his Bachelor’s degree cum in the patient’ with dressings and antibiotics. Once the underlying laude from the University of California (UC), Irvine, health issues are identified and managed, the patient will regain the in 1991. He earned his Doctor of Medicine degree from the UC School ability to heal the wound. of Medicine, San Diego, in 1995, and completed his residency in Family “Because successful wound healing,” he continues, “is patient-cen- Medicine at Kaiser Permanente Orange County, California, in 1998. tered, rather than wound-centered, and different patients have different Dr. Minow entered his medical career at Kaiser Permanente La Palma underlying problems and care needs, I strive to encourage patients to Medical Offices, La Palma. He remained in California until 2016; as a become equal partners in their care. To realize this goal, the team and I Wound Care Specialist for Baromedical Physicians Associates, Santa Ana, aim to help the patient understand why the wound is not healing, what CA and as a practicing physician for Whitaker Wellness Institute, options are available for treatment, and what expectations are required Newport Beach. He served 10 years as Physician, President and CEO of of them to achieve wound healing. With this information, patients can LifeLine Paramedical Services, Inc., Buena Park, before becoming be at the heart of all decision-making. Physician, President and CEO of BSM Medical, Inc., San Ramon, CA. Dr. Minow comes to WCHMC from Springfield, OR, where he was Medical continued on page 23

Fall 2018 | Heartbeats | 5 People at Island

Cory Bergman MD joins Island Eye Physicians & Surgeons sland Eye Physicians & Surgeons (IEP&S) has Scholarship as well as The Doctoring Award 2014, presented by the Iwelcomed Cory Bergman MD to its staff. UC School of Medicine and the Life Quality Institute, and given to one Recipient of multiple honors and awards, Dr. graduating senior “for demonstrating compassion, humanity, and Bergman specializes in cataract surgery and gener- respect for personhood in medicine.” Dr. Bergman fulfilled his intern- al ophthalmology, complementing IEP&S’s team of ship at Saint Joseph Hospital, Denver, CO, and his Ophthalmology res- board-certified ophthalmologists who deliver com- idency at Loma Linda University, CA. prehensive and first-quality eye care. “I grew up in Whatcom County,” Dr. Bergman said, “and my family Dr. Bergman earned his Bachelor degrees, and I are overjoyed to be back in the Pacific Northwest. The sense of summa cum laude, while at Whitworth University, Spokane, WA, where he received the Whitworth Distinguished Collegiate vision is truly amazing and I feel fortunate to be involved in such a Achievement Award, the Outstanding Whitworth Senior Biology remarkable field. It is both a privilege and honor to have the opportu- Award and a Whitworth Religion and Philosophy Departmental nity to work with patients to preserve and restore sight.” Scholarship. Additionally a four-time NCAA All-American Athlete in Dr. Bergman is a member of the American Society of Cataract and Swimming, Bergman was honored with the Dennis Spurlock Award Refractive Surgery and American Academy of Ophthalmology. (so named for the former All-America quarterback). He received his Island Eye Physicians & Surgeons is located in the Island Medical Doctor of Medicine degree from the University of Colorado (UC) Center, 1213 24th St., Suite 300, Anacortes. To schedule an appointment School of Medicine, Aurora, in 2014, and was a recipient of UC’s Adler with Dr. Bergman call (360) 293-2020. Island Internal Medicine physicians Christine transition back to full clinic duties Adkison achieves by Olivia Fisher, Clinic Manager office-visit capacity by more than 50%. This Island Internal Medicine/La Conner Medical Center will help ease the difficulty of getting in to see a physician and meet the growing national award n 2006 the physi- Icians of Island demand to see a primary-care physician in sland Hospital Internal Medicine (IIM), our community. IPharmacy Lead Drs. Llewellyn, Murray Internal medicine is primary care for Technician/Buyer and Horesh, approached adults (like a pediatrician is for children). Most Christine Adkison was the Island Hospital (IH) internal medicine physicians choose either 3rd Place Awardee for the administration with a inpatient or outpatient medicine to practice National Pharmacy proposal to provide inpa- as they leave their training. The hybrid model Purchasing Association tient hospitalist services. A hospitalist is a of being both a full-time hospitalist on cer- Outstanding Buyer of the medical specialty which is dedicated to inpa- tain days and a full-time outpatient-clinic Year Award. The award – presented at the tient medicine, providing a full-time presence physician on other days (as was done by the association’s August conference – honors in the hospital which improves overall quality exemplary work in pharmacy-purchasing physicians of IIM for 12 years) is actually of care for the hospital and the patients. IH leadership, improvement, creativity, attitude extremely rare these days. Although such a administration agreed it was time to start a and cost savings. Adkison was also awarded a hybrid practice is unusual and difficult, the hospitalist program, and the program devel- $250 scholarship for education expenses. oped and grew over the next 12 years. physicians of Island Internal Medicine found “The Pharmacy is fortunate to have In August, IIM physicians – Drs. Kotal, it extremely fulfilling, challenging and Christine as our buyer, she’s a true team player Horesh, Murray and Young – have stepped rewarding. willing to help out whenever and wherever down from their duties as hospitalists at IH, Island Internal Medicine has two offices. needed,” said Director of Pharmacy Ken feeling it was time to dedicate more time to The Anacortes office is located at 912 32nd their outpatient practice. Hence, a new Martin PharmD. “She is dedicated to excel- St. and the La Conner office at 528 Myrtle St. group, TeamHealth, has assumed responsibil- lence and continues to carefully evaluate and ities for the hospitalist program. (These physi- Hours of both clinics are 8:30 a.m. to 5 p.m., select vendors and manufacturers to cut cians will be featured in the Winter 2019 Monday through Friday. Both clinics are expenses for our purchases of medications. Heartbeats Magazine.) accepting new patients and can be contact- She is also keenly aware of drug shortages and The benefits for IIM patients and the com- ed at (360) 293-4343 for Anacortes and (360) proactive in mitigating the effects it may have munity is that the physicians have increased 466-3136 in La Conner. on patients and providers.”

6 | Heartbeats | Fall 2018 People at Island

Anacortes Family Medicine Erin Flanigan ARNP welcomes James Abbey MD joins Fidalgo pecializing in Internal Medicine, James Abbey MD has joined SAnacortes Family Medicine (AFM) and is now seeing patients. Medical Associates Dr. Abbey received his Bachelor’s degree from Austin College, Sherman, registered TX, and then was certified in Medical Technology by the School of Allied Anurse who was Health Sciences, University of Texas (UT) Southwestern in Dallas. He earned employed by Island his Master’s degree at the Graduate School of Biomedical Science, University Hospital from 2013 to of North Texas, Fort Worth, and his Doctor of Medicine degree, in 2014, at 2017 in the Intensive Texas Tech University Health Sciences Center, Lubbock, and fulfilled his resi- Care Unit (ICU) and dency at its Amarillo branch. Acute Care, Erin Early in his medical career, Dr. Abbey was employed as certified pharmacy technician by the Flanigan ARNP fur- Medical Center of Plano, TX, and later as medical technologist (Generalist) by UT-Southwestern. He comes to AFM from InfantRisk Center, Department of Pediatrics, Texas Tech University Health thered her skills and education and has Sciences Center, Amarillo, where he served as medical researcher. In the research year between joined the staff of Fidalgo Medical school and residency, he focused on how to safely use medications in breastfeeding women. He Associates (FMA) as an advanced regis- is credited with more than 20 completed research projects, publications credits and presenta- tered nurse practitioner and is now seeing tions in this field, online or in print. patients. “From treating complex conditions to common ailments, I enjoy continuity of care and Flanigan received her Master of Science encourage my patients to be a part of our decision-making process,” Dr. Abbey stated. “My phi- in Nursing, Family Nurse Practitioner losophy maintains that all aspects of an individual’s wellbeing are interconnected, and I concen- degree in September 2017 from the Drexel trate on providing comprehensive care for each patient. My training has prepared me to care for University’s College of Nursing and Health adult and aging populations with a compassionate, evidence-based and cost-effective focus.” Professionals in Philadelphia, PA. Prior to Dr. Abbey – who is board-eligible in internal medicine and a member of the American College of this, she had attended the University of Physicians – is taking new patients. For appointments call (360) 299-4211. Anacortes Family Medicine Alabama in Tuscaloosa to earn her is located in the Island Hospital Medical Office Building, 2511 M Ave., Suite B, Anacortes. Bachelor of Science in Nursing at its Capstone College of Nursing and a Minor in Computer Based Honors at its Honors College. (You can find her saying “ROLL Skagit Northwest Orthopedics TIDE” often during football season!) “I am thrilled to join the FMA staff and happy to be back at Island Hospital work- introduces two new providers ing to provide healthcare services to the kagit Northwest Orthopedics (SNO) 2013 with a Master of Heath Science degree in local community,” Flanigan says. “When Srecently added two physician assistants Physician Assistant Studies. I’m not working, I can be found spending to its staff. Working in or near Baltimore, MD, she time with my husband, friends, and our Caryn Clippert PA-C was a lecturer at Towson University’s Dept. of two dogs or out in the local forest lands Electronic Media & Film (where she later taking in our beautiful surroundings.” After earning her became an adjunct professor until her move As a registered nurse, Flanigan special- bachelor’s degree in to the Northwest in April, 2018) as well as a ized in trauma, surgical and medical ICU Electronic Media from PA-C at Northwest Hospital in Medicine, care. Now, as an advanced practice nurse George Washington Surgery and Operating Room; MedStar practitioner, she focuses on disease preven- University, Washington, Franklin Square Hospital in General Surgery tion and is a member of the Academy of DC, Clippert went on to and Orthopedics; and Mercy Medical Center, Nurse Practitioners and the Obesity distinguish herself by Institute for Foot & Ankle Reconstruction. Medical Association. being the first Savannah She has twice presented original research for Fidalgo Medical Associates is located at College of Art & Design student to graduate the American Academy of Physician 1213 24th St., Anacortes, and can be with an Master’s of Fine Arts in Sound Design Assistants (AAPA) and is a member of reached at (360) 293-3101. and by being listed in 2009’s Who’s Who in Physician Assistants in Orthopedic Surgery American Professors. She then enrolled in and the AAPA. Smith College, Knoxville, TN, graduating in continued on page 23

Fall 2018 | Heartbeats | 7 People at Island

Gayle Littlejohn RN, BSN, MBA named Director of Surgical Services erving patients and (MBA) from City University in 1997. In the Family Medicine & Nurse Treatment; Shealthcare organi- meantime, she earned Lean Management cer- Kaiser Permanente, Portland, OR. zations since 1977 and tification (1997), her Six Sigma green belt • 2008-2009 Administrative Director highly skilled as a leader (2008), Project Management certificate from Women’s Services, Adventist Health, with extensive qualifica- Portland State University (2008) and a 2016 Portland. tions, Gayle Littlejohn RN, Oregon State March of Dimes Nurse of the • 2001-2008 Director Patient Care Services, BSN, MBA has been select- Year award. Shriners Hospital for Children, Portland. ed to serve Island Hospital Far from all-inclusive, Littlejohn’s recent pro- • 1994-2000 Director Surgical Services, St. as its Director of Surgical Services. fessional experience includes: John Medical Center, Longview, WA. In 1977 Littlejohn received her Associate • 2014-2017 Nurse Manager Surgical “I most enjoy the time I get to spend with degree in Nursing from Mt. Hood Community Services: Providence Seaside Hospital, patients and working with staff to make each College, Gresham, OR, and in 1991, her Seaside, OR. patient’s experience the best it can be,” she Bachelor of Science in Health Care • 2010-2013 Patient Team Manager says. “I have lived most of my life in the Pacific Administration from City University-Seattle. Urology, ENT & Physiatry; Regional Northwest. Married and now with two grown She earned her Bachelor of Science-Nursing Practice Administrator OB-GYN Urology; children and one grandson, I was looking for a (BSN) in 2015 from Phoenix University and her Department Administrator OB-GYN; and place just like Anacortes and feel fortunate to Master’s degree in Business Administration Assistant Department Administrator be with Island Hospital.” Pastor Sam Millen joins IH Volunteer Chaplains aving lived in five countries and five states, Pastor Millen also attended a Counseling Techniques course at HPastor Sam Millen loves human diversity James Madison University, Harrisonburg, VA, and was taught how and is comfortable working with people from var- crucial it is to L.U.V. (Listen, Understand and Validate) when helping a ied backgrounds. He holds a Masters of Divinity person identify his or her goals and resources – spiritual, emotional, or from Andrews University, Berrien Springs, MI, otherwise. “It was a wonderful experience, and Professor Emeritus J. and has completed one unit of Clinical Pastoral Edson McKee constantly challenged me because he truly believed in Education (CPE). While completing the CPE unit my potential.” (as well a working on a per diem basis) Pastor The current pastor at Anacortes Adventist Fellowship, Pastor Millen Millen has spent hundreds of hours as a hospital chaplain. utilizes the Washington State Ferry system to commute between He believes we are more than physical beings. “The human spirit is expressed as much in humor as in depth, as much in joy as in grief,” he Anacortes and Orcas Island, where he lives with his wife Angie and says. “Listening is a lot of what I do, and am constantly in awe of their three children. patients and their loved ones whose stories reveal the depth of emotion More information about Island Hospitals’ Volunteer Chaplains pro- felt in life’s experiences, from drawing the first to the last breath.” gram is available at numerous locations within the Island Hospital “I love being part of a team,” he adds, “whose mission is to deliver campus including the Resource Center and online at www.islandhospi- quality, compassionate and personalized healthcare to the communities tal.org/chaplains. Patients, families or visitors need only to ask a nurse we serve.” to contact the volunteer chaplain or call (360) 661-4733. Barb Aguero RN, CNOR retires after 37 years Barb Aguero RN, CNOR, Department of Surgical Services, has retired after serving Island Hospital patients for 37 years. In July, a reception was held to honor Aguero that included family and friends as well as fellow hospital staff and leadership. Chief Executive Officer Vince Oliver and Chief Financial Officer Elise Cutter (right) were on hand to wish her all the best in retirement.

8 | Heartbeats | Fall 2018 People at Island

McKenna, Feist achieve annual awards sland Hospital presents the annual Employee of the Year and “We sincerely value and respect Mike’s exceptional leadership skill, IManagement Leadership awards at the employee recognition din- dedication and professionalism,” added Oliver. ner each year. However, with this event taking place too late (May) to McKenna earned Bachelor’s degree in applied mathematics from publish in the Spring Heartbeats, the awardees are recognized in this Old Dominion University, Norfolk, VA, and his Master of Arts degree issue. in national security and strategic studies from Naval War College, Engineering Director Mike McKenna selected Newport, RI. In 2015 he retired as a U.S. Navy Captain after 29 years of service. for Management Leadership Award Great leaders are the key to an organization’s Oncology Pharmacist Bernie Feist RPh success. As Peter Drucker, the recognized “father selected Employee of the Year of management” famously stated, “Leadership is As the dedicated pharmacist for the Merle doing the right things.” Cancer Care Center, Bernie Feist RPh is thorough Island Hospital’s 2017 Management Leadership and ensures patients are getting the very best care. Award (MLA) recipient Mike McKenna, Director of Plant Operations She works tirelessly with patients’ insurance com- at Island Hospital, exemplifies the characteristics of management excel- panies to find the most-affordable treatment lence. options and to make sure the hospital is reimbursed appropriately. “Great leaders set direction, build an inspiring vision, and guide Feist has also taken the initiative on cost-saving measures, such as people to achieve goals,” said Vince Oliver, Island Hospital CEO. “Since close scrutiny of costly chemotherapy drugs. She commits to maintain- Mike’s first day at Island Hospital on Nov. 2, 2015, he has been a great ing a strict inventory and conducting self-initiated audits. Feist is leader.” known for her attention to detail and exemplary customer service. “McKenna took over the hospital Plant Operations Department and “Given a project big or small, Bernie finds a way to get it done with built a first-class customer-service department for our patients and little or no supervision,” said Director of Pharmacy Ken Martin caregivers ensuring a safe, secure and well-maintained facility,” Oliver PharmD. “Her expertise in cancer care makes her unique among her said. fellow staff pharmacists.” The MLA awardee is selected by vote of Island Hospital managers. Feist pushes herself to grow in her field and achieve high standards. Nominations for McKenna included these statements: She maintains her board certification in pharmacy and continuously • “Actively listens to staff members” works to improve her clinical skills. • “Works to create reasonable resolutions for all parties” Feist received a Bachelor’s degree in Pharmacy from the University • “Positive and easy going” of Kansas, Lawrence, where she graduated with honors. She is board • “Mike says what he will do and does what he says”. certified as a pharmacotherapy specialist by the Board of Among McKenna’s accomplishments was the implementation of a Pharmaceutical Specialties. work-order management system designed to manage the department Prior to her arrival at Island Hospital, Feist was a Clinical workflow and ultimately respond faster to work orders from all areas of Pharmacist at Skagit Valley Hospital Pharmacy where among other the hospital. duties she evaluated medication therapy, provided counseling, and In addition, McKenna took it upon himself to improve the method supervised supporting personnel in medication preparation and distri- by which the hospital analyzes and prioritizes its capital budget, result- bution. She also has worked as a Clinical Pharmacist at Salina Regional ing in a fully formed recommendation to Administration for the bud- Medical Center in Salina, KS and as a Clinical Specialist at Island get year. Hospital. Weekly blood-pressure checks prove (sometimes dramatically) helpful ittle did I know that I had a Following the BP test, Elaine said Lou Ferguson Lblood-pressure problem until to me, “188 over 99,” and quickly has her blood I almost passed out last January advised me to go see my doctor. ▲ pressure while at the Lighthouse Care Center, This I did, and was quickly put on checked by where my husband had resided. medication. Elaine Lucky me: It was a Wednesday Elaine Oliphant, retired RN, is so Oliphant at morning, and I was told to go see helpful. She gives great information the Resource Elaine Oliphant at Island Hospital and advice, and I go to her almost Center at because she is there every every Wednesday. She doesn’t Island Wednesday, helping people by merely screen for BP but also deliv- offering blood-pressure (BP) test. So Hospital. off I went, and am I glad! continued on page 23 Fall 2018 | Heartbeats | 9 Care Coordination: What it can mean for you e are fortunate to have a quality healthcare system in this Wcommunity that strives for easy access and follow-up care. Across the U. S., however, the system is fragmented, and care for patients with chronic conditions can be uncoordinated with services duplicated, e.g., lab/x-ray orders, redundant appointments, etc. This lack of coordination can result in poor outcomes with avoidable emer- gency visits, hospitalizations and re-admissions – basically, not meeting patients’ needs. Quality healthcare is, first and foremost, intended to serve you and eliminate stress placed on you or your loved ones when the way is not clear. This is why Island Hospital has developed a no-cost Care Coordination Program for patients with chronic conditions including ▲ diabetes, asthma, COPD/emphysema, coronary artery disease or heart Katie Hartman RN (left) with patient Jan Wolfe at the failure. We recognize that understanding and managing such condi- Island Hospital Farm Stand. Hartman helps coordinate care tions can bring on a sense of dread rather than ease. Island Hospital for Island Hospital Family Care Clinics patients. can help you do something about that! I was gaining weight faster than I could say “scale.” I didn’t feel “Give a man a fish and you feed him for a day; teach a man to quite right and didn’t know why. I decided I should be tested. fish and you feed him for a lifetime.” Shortly before this, I had, at last, found a doctor who listened to Your Care Coordinator will: me and respected my whole person. Dr. Wilhelm told me that the test • Meet with you, one-on-one – in person, via the myIslandHealth showed elevated blood glucose and that I had prediabetes. I would patient portal or via phone. need to make many lifestyle changes to bring down the glucose lev- • Help you navigate the healthcare system. els lest they continued to elevate and bring on type 2 diabetes. She • Educate you in ways that “de-mystify” your condition. knew I’d have many questions and recommended I see Katie (Care • Provide ongoing support between provider visits by Coordinator Katie Hartman RN). Since then, I have been amazed by her knowledge of the resourc- ✧✧ Answering your visit follow-up or medication questions. es available to me, many of them free. She has led me to find educa- ✧✧ Assisting you with prescription refills. ✧ tional classes and the right diet (with encouragement to stick to it). ✧ Assisting you with referrals. She knows not only where but also how to get things done. • Manage your medications and treatment plans. When I told Katie I had been plagued by hip pain for over three • Schedule follow-up appointments and services. years but none of my previous doctors had been concerned, she Care Coordination takes into account the paradox of change: When advocated for me and enlisted my doctors’ help to order the MRI a person feels accepted for who they are and what they do – no matter that showed I needed hip-replacement surgery. She then contacted a how unhealthy – it allows them the freedom to consider change rather home-health agency to help prepare me for the procedure before- than needing to defend against it. hand as well as provide post-surgery rehab. We urge you to ask your primary-care provider if Care Katie is what you would like in a friend. Throughout this journey, Coordination might benefit you. she’s walked alongside me, linking arms. “We can do this!” she says. More information is available at the Resource Center, throughout Jan Wolfe the hospital campus or by calling (360) 299-1300 ext. 5671. Auxiliary continues to fund projects for Island Hospital, our community By Betty-Anne Ely International of Anacortes and the Anacortes ect, for which the Penny Drive monies are President, Island Hospital Auxiliary Lions Club. Additionally, our annual Penny always set aside solely for Lifeline and supple- Drive was successful again this year, raising mented by our general funds. or many years the Island Hospital $547 to be used solely for our Lifeline project. We have a busy year ahead, living up to FAuxiliary (IHA) has supported com- Lifeline members in Skagit County who pay our mission statement: “Work collaboratively munity members who have needed a Lifeline monthly for this service can still do so by pay- with Island Hospital leadership to raise funds medical-alert device to stay in their homes but ing directly to Philips. to support, promote and participate in special did not have funds to do so. On Jan. 1, 2018, Several years ago, our club committed to projects and services for the benefit of Island Island Hospital discontinued its operational purchasing the needed over-bed tables for the Hospital, its patients and our community’s association with Philips Lifeline; because of new patient beds. To date we have been able health.” New members are always welcomed! this there has been confusion as to whether to provide 22 new tables – which, at $600 We continue to distribute Vial of Life kits, this service is still possible through IHA. each, is quite a feat for this small group! mostly to physician offices, which is most The Auxiliary has been able to continue Everything we earn through our events is gratifying; and end-of- life issue discussions funding its CURRENT Lifeline scholarships given back to the hospital or community ser- are now paid for by Medicare – so important because of the generous support of the vices that work to improve our overall health Anacortes Noon Kiwanis Club, Soroptimist needs. The only exception is the Lifeline proj- continued on page 23 10 | Heartbeats | Fall 2018 Fact Check: Misconceptions about headache causes by Michael Jones MPAS-C The Headache Clinic at Island Hospital

he oldest misconception about headaches is that they are “simply Tcaused by stress.” This is never the case. That misconception probably started because more women suffer from headaches than men, and in the Victorian age (and before) it was considered a sign of frailty. It is true that Pets are an important part of many stress can aggravate virtually any pre-existing disease, such as diabetes or patients’ lives, an important bond heart disease. The International Headache Society does not list “stress head- that is addressed in care by Hospice ache” or even “tension headache” as legitimate types of headache. “Headaches, especially headaches in the face or forehead, are caused by of the Northwest. Here, Monte the sinus problems.” Wrong. This misconception was fueled by marketing programs of several over- miniature horse has his mane the-counter medications in the sixties and seventies. They showed an outline of the sinuses braided by a patient. (which were usually throbbing) and saying that if you hurt there, then you probably have “sinus headache.” The remedy was their medication. Their medications were usually a pain medication and a vasoconstrictor. Those medications did alieve the symptoms (reinforcing the belief that it Peace of Mind for was a sinus problem) although it was more likely a type of migraine. The sinuses can cause pain when they have disease, such as acute sinusitis, which would show up on a CT scan. But recur- Patients with Pets rent headaches are usually not related to the sinuses. The International Headache Society does eople bond with pets in much the not list “sinus headache” as a legitimate headache type. Psame way they connect with family. “Headaches are usually caused by tight muscles.” Wrong. While it might feel like tight muscles, According to Jonathan Jordan LCSW, who scientific studies of the involved muscles (using EMG) show no tightness during most headaches. studies the human-animal bond, belong- When someone tells a headache sufferer that they can “feel the tightness in certain muscles” or ing to social groups that include humans and animals greatly benefits our society. It continued on page 22 is therefore not surprising that during the most important and challenging life stage, the end-of-life journey, pets play a critical role. The next generation of pain treatment “For many patients, keeping a beloved pet nearby is a significant part of provid- is here in regenerative medicine ing compassionate and dignified care,” patients with a variety of conditions that said Bob Laws, Executive Director of By Herbie Yung MD Hospice of the Northwest. “Finding a Skagit Northwest Orthopedics include osteoarthritis, tendonitis and home after they pass may be one of the joint injuries. Since your own blood most important pieces of unfinished busi- ach person’s body products are injected back into your contains its own ness that worries a patient.” E body, the chance of developing any aller- Recently, Hospice of the Northwest healing and growth fac- gic reaction is extremely unlikely. tors that help to heal cer- partnered with Pet Peace of Mind, a • Placental tissue injections: Based on a national program that helps patients keep tain injuries such as bruis- similar idea, this technology utilizes their beloved pets at home. The program es, cuts and bumps. Two already shed placenta and not live fetal provides volunteer pet-care services and technologies have been stem cells. The placenta is part of a devel- ultimately foster care for the pet when a developed from this natu- oping fetus and donated from mothers patient dies. ral process of healing and are called “regenera- after scheduled Caesarean sections. The We believe patients deserve to have tive”: platelet rich plasma (PRP) and placental tissue is sterilized and the cells and their closet companions with them at end tissue injections. What are they? How do they growth factors are extracted from the of life, and now through Pet Peace of Mind work? amnion and chorion, processed, and then and volunteers in the community, Hospice • PRP: Your own blood is drawn and spun packaged into vials. As one can imagine, of the Northwest is able to honor that down using a centrifuge to concentrate a placenta contains plenty of growth fac- goal. If you are interested in learning more the growth factors into a smaller volume. tors that are required in the growth and about our program, contact Erin Long at It can then be injected back into the development of a fetus, but is no longer 360-814-5588 or [email protected]. body’s tendons and joints – such as the needed when the fetus miraculously knee, shoulder or hip. The concentration emerges as a baby. of growth factors recruits other healing Due to cost and availability, these technol- factors and stem cells to the distressed ogies were previously limited to elite athletes area as your body attempts to repair and heal itself. PRP has been shown to help continued on page 23 Fall 2018 | Heartbeats | 11 island surgeons Providing Surgery patient comments exceptional M. Leah Oman MD exemplifies commitment to patients, community surgical services acing a possible breast cancer diagnosis, I was Freferred to Dr. Oman about three years ago. I was terribly nervous about my appointment but was imme- Compassionate care meeting diately impressed by the professionalism and quick patients’ personal needs response from Dr. Oman and her staff. She settled most of my nerves quickly and assured me that she would sland Surgeons (IS) is comprised of three outstanding board-certi- do everything in her power to make sure the insurance Ified surgeons specializing in general, thoracic, breast and laparo- company would approve my diagnostic mammogram. scopic-surgery services. The clinic has been a vital part of healthcare serv- She put aside personal time to litigate with my ing western Skagit County, northern Whidbey Island and the San Juan insurance company. After the approval, I was diag- Islands for more than 40 years. nosed with Stage 3 invasive ductal carcinoma. My fami- The clinic has earned a reputation for excellent service, exemplary ly and I were petrified, but when Dr. Oman shared the patient relations and commitment to the health of our community. IS experiences of her personal journey, she helped us joined the Island Hospital organization in 2009, a move deemed necessary make the most important decision of my life. to continue its focus on providing personal service to each and every After my double mastectomy, Dr. Oman held up my patient and their family. family, physically and emotionally. She took time from IS was started, and has grown to meet the specific demand for surgical her personal and professional life to call and make sure services in our community, including those for: that everything was okay – day or night, she needed • Colon, rectal certainty that we were getting the healthcare we need- • Breast ed. • Gallbladder She and her staff have set their standards high with • Hernia commitment to not only healthcare but also faith, fami- ly and community. I feel blessed to have her as a doctor, • Port-a-cath as an angel and as a gift shared by us all. • Skin • And more Heather Zeilstra Island Surgeons (Island Surgeons continually receives accolades from ▲ 1213 24th Street, #700, Anacortes current and former patients. For more patient testimonials Former Leah Oman MD and Island Surgeons patient Heather Zeilstra (right) (360) 293-5142 about the great surgery care provided by IS physicians, shares a waterfront moment with her partner Patti Wells and grandson www.islandhospital.org/islandsurgeons visit www.islandhospital.org) Nathan Felix.

Joseph Mulcahy MD, FACS M. Leah Oman MD Bryan Potter MD • MD, Saint Louis University, St. Louis, MO • MD, Texas Tech University Health Sciences • MD, University of Cincinnati • Chief of Surgery, Granville Medical Center, School of Medicine • Fellowship, Surgical Oncology, MD Oxford, NC • Residency, General Surgery, Palmetto Anderson Cancer Center, Houston, TX • Chief of Surgery/Chief of Staff, Maria Health Richland, Columbia, SC • Residency (Chief Resident), Department of Parham Hospital, Henderson, NC • Fellowship in Breast Disease, Surgery, Jewish Hospital, Cincinnati • Fellow in the American College of Comprehensive Breast Center, Palmetto • Surgeon, Coshocton County Memorial Surgeons (FACS) Health Richland Hospital, Coshocton, OH • Member, Southern Medical Society, • Chief of Surgery, Willow Creek Women’s • Member, American Board of Surgery, Society of Laparoendoscopic Surgeons, Hospital, Johnson, AR American Board of Venous & Lymphatic Southeastern Surgical Congress • Member, American Medical Association, Medicine. American Society of Breast Surgeons. 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, November 19, 5 – 6:30 p.m. Infant Massage Class Monday, January 21, 5 – 6:30 p.m. Learn how to use massage Classes Where: Fidalgo Room as a way to connect with Cost: $25/per couple or individual (covered by Apple your baby. This class will Advance Healthcare Health) discuss and demonstrate Directives Instructor: Effie-Jo Lindstrom BA, BSN, RN, IBCLC ways massage can be used Car & Booster Seat Clinic to help manage colic, sinus Where There’s a Will, There’s a Way Drop in to have your car issues, improve digestion Join a trained advance care planning facilitator for a and booster seats checked and increase your baby’s detailed workshop that will guide each participant by nationally trained car positional awareness of through completing advance healthcare directives. seat technicians from Safe his/her extremities. Participants should plan to Participants will go home with a finished copy to Kids Northwest. They will bring their baby, a blanket and massage oils to the share with loved ones and their medical providers. check your seat for safety, class. Suggested oils include olive oil, grapeseed oil When: Friday, October 26, 1 – 3 p.m. make sure you are using it or sunflower oil. Wear comfortable clothing and Where: Anacortes Senior Activity Center correctly and show you how to properly install the expect to spend time on tumbling mats with your Cost: $15 seat in your car. No appointment required, please baby practicing massage techniques. Contact: 360-293-7473 for information on how to just drop in. When: Tuesday, November 6, 1 – 2:30 p.m. register When: Thursday, December 13, 2 – 4 p.m. Where: Fidalgo/Burrow Rooms Thursday, February 14, 3 – 5 p.m. Cost: $10 Birth and Beyond Where: Island Hospital’s 24th Street parking lot Instructor: Lindsay Harris PT, DPT, CSCS, CIMI Cost: FREE Six-Week Childbirth Education “Very educational. Very much enjoyed Questions: 360-299-1309 Classes the class. Instructor answered all Grand-parenting Class This six-week class is designed to prepare parents- Are you a grandparent to a to-be for the arrival of their new baby. Participants questions asked. It was a comfortable young child or an expect- will learn essential skills and develop confidence as class to attend and understand.” – ing grandparent? If so, this they approach the end of pregnancy, labor, birth Breastfeeding Matters class participant is the class for you. and early parenting. Prenatal health, stages of Whether or not your labor, coping techniques, pain relief options, breast- grandchild is being born at feeding, newborn care and more will be covered. Breastfeeding Matters Class Island Hospital, you can Class is a blend of discussion, DVDs, hands-on prac- Topics include getting learn what has stayed the tice and guest speakers. started with breastfeeding same in childbirth, infant When: Tuesdays, November 6 – December 11, and its benefits, breast- care and early development and what has changed 6 – 8:30 p.m. feeding in the early weeks over the years. This class describes ways grandpar- Tuesdays, January 8 – February 12, of postpartum, in special ents can offer support and assistance to a new fam- 6 – 8:30 p.m. situations and while work- ily. Class will include a tour of the birth center and Where: Fidalgo/Burrows Rooms ing. Specific questions are time for participant discussion. Cost: $95/per couple or individual (covered by Apple welcomed and will be When: Thursday, October 25, 6:30 – 8:30 p.m. Health) addressed. This class is Where: Fidalgo/Burrows Rooms Instructor: Teri Shilling MS, LCCE, CD(DONA), IBCLC open to pregnant and postpartum women and their Cost: $25/per couple or individual babies. Instructor: Teri Shilling MS, LCCE, CD(DONA), IBCLC

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

Weekend Childbirth Education When: Tuesday, November 27, 3 – 4:30 p.m. Where: Fidalgo/Burrows Rooms Health Care Classes Cost: FREE Professionals This two-day class is for those unable to attend the Instructor: Jan Priggee RN, CCRP six-week session. Prenatal nutrition, stages of labor, Training coping techniques, pain relief options, breastfeed- ing, newborn care and more will be covered. Class is Driver’s Safety HIV/AIDS Training for Licensure a blend of discussion, DVDs and hands-on practice. Island Hospital offers a DVD-based, four-or seven- AARP Smart Driver hour HIV/AIDS training. Participants will take a test Class must meet minimum registration require- During this class intended for those 50 and older, ments to be held. during the training. A certificate of completion will you will refresh your defensive driving techniques, be provided with successful completion of the When: Sat. & Sun., December 1 & 2, 10 a.m. – 6 p.m. review the rules of the road, learn new traffic laws Sat. & Sun., February 9 & 10, 10 a.m. – 6 p.m. course. This course is offered in English only. If and much more! Get a discount on your auto insur- translation is needed, it is up to the participant to Where: Fidalgo/Burrows Rooms ance for completing the course. Classroom instruc- Cost: $130/per couple or individual (covered by Apple coordinate. tion only. When: Monthly, call for dates Health) When: Wednesday, November 28, 9 a.m. – 5 p.m. Instructor: Teri Shilling MS, LCCE, CD(DONA), IBCLC Cost: FREE (residents of Skagit, Island & San Juan Where: Fidalgo/Burrows Rooms Counties) $30 for non-residents Cost: $15 AARP members, $20 non-members Registration: 360-299-1309 Special Forum Instructor: Madeline Rose Health Insurance Headache Forum Essential Oils Medicare 101: Understanding Your Instructor: Michelle Mahler of Circle of Medicare Choices Healing Essential Oils Do you need help deciphering has been leading the Medicare puzzle? Join us workshops at Puget to learn more about traditional Sound area co-ops and Medicare coverage, Medicare schools since 2004. Advantage Plans, Prescription Drug Coverage, gaps, enroll- Headache specialists James Moren MD and J. ment and fraud protection. Michael Jones MPAS-C will present a review of When: Monday, January 14, 1 – 2:30 p.m. headache research, new discoveries, diagnosis and Aromatherapy Monday, February 11, 1 – 2:30 p.m. the latest in treatments. There will also be ample Learn how aromatherapy can provide stress relief. Where: Fidalgo/Burrows Rooms time allotted for questions from those who attend. In this interactive class we will smell, mix and test Cost: FREE Reservations are required. several recipes. You will leave the class with the Instructor: SHIBA Volunteer When: Wednesday, November 7, 5:30 - 7 p.m. confidence to work with essential oil remedies in Medicare Open Enrollment Where: Fidalgo/Burrows Rooms the future. Cost: FREE Join us to learn about the annual Open Enrollment When: Wednesday, December 12, 6 – 7:30 p.m. period and your opportunity to make changes to Where: Fidalgo Room Medicare Prescription Drug Coverage (Part D) and Diabetes Cost: $25, (includes massage oil blend & recipes) Medicare Advantage Plans (Part C) for 2019. Important timelines for making changes and infor- Keto Diet for Heart Health & Winter Skincare Basics mation on how to research your options will be cov- Diabetes Management Winter can be harsh on your skin. Learn how to make healing skin and haircare products using ered. The ketogenic diet is a low When: Tuesday, October 23, 1 – 2:30 p.m. carbohydrate diet that has essential oils, jojoba oil, vitamin E oil, rosehip and borage seed oil. You will leave the class with a per- Tuesday, October 30, 1 – 2:30 p.m. been proven to help man- Where: Fidalgo/Burrows Rooms age blood sugar and con- sonal skin or hair blend and will have recipes to make additional blends in the future. Cost: FREE trol weight loss. Individuals Instructor: SHIBA Volunteer with type 2 diabetes and When: Wednesday, January 23, 6 – 7:30 p.m. heart disease will learn the Where: Fidalgo Room basics of the ketogenic diet Cost: $35, (includes skincare blend) and how it may improve “Excellent information provided!” their health. – Medicare 101 class participant

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

When: Wednesday, December 5, 1 – 2:30 p.m. Meditation Where: Fidalgo/Burrows Rooms Special Events Instructor: Jan Cost: $10 Stop the Bleed Hodgman MA has Instructor: Libby Lewis MA, MEd, CCC-SLP more than 40 years of meditation experience. “Instructors are very cheerful, helpful and knowledgeable.” – Osteoporosis: Exercise & Nutrition class participant Meditation for Everyday Living Resolve to bring more ease and peace into your Osteoporosis: Exercise & Nutrition life! Meditation has been clinically proven to reduce stress, blood pressure, anxiety and help What would you do in a mass shooting event or if with restful sleep. This gentle three-session class you came upon a car accident? In large tragic includes guided exercises, attending to what’s events, many victims will die from uncontrolled immediately present in our experience and an invi- bleeding. The Stop the Bleed program, teaches tation to being rather than doing. bystanders how to stop bleeding until first respond- When: Tuesdays, January 8, 15 & 22, ers arrive. This course will teach the correct tech- 6:30 – 8:30 p.m. niques for applying a tourniquet, packing a wound Where: Cypress Room and how to properly apply pressure dressings. Cost: $48 Learn what types of exercises are most beneficial Participants will also learn how to identify certain for your bones and which foods will help keep your wounds and the special care those wounds require. bones strong from an Island Hospital physical thera- A certificate of completion will be provided at the Physical, pist and registered dietician. Come prepared to try end of the training to participants that are able to Occupational & some exercises you will be able to do at home. successfully demonstrate their ability to Stop the When: Wednesday, December 12, 1 – 3 p.m. Bleed. Speech Therapy Where: Fidalgo/Burrows Rooms When: Tuesday, November 13, 2 – 4 p.m. Ergonomics Cost: $10 Wednesday, January 9, 10 a.m. – noon Are you having pain dur- Instructors: Allison Blackwell PT, DPT & Suzie DuPuis Thursday, January 24, 10 a.m. – noon ing your work day? If so, RD Where: Fidalgo/Burrows Rooms this class is for you! Cost: FREE Pelvic & Bladder Health Instructor: Stop the Bleed Instructor Research shows proper Are you having a tough desk set-up can decrease time staying dry after Skagit Adult Day Program work related injuries. This childbirth, power walking Lunch & Learn course will provide or even after sneezing? If resources to help adjust Local experts share knowledge and insights regard- so, there are physical ther- ing elder care over a light homemade lunch. your work station to best apy interventions that can fit your body, as well as education on proper pos- When: 1st Tuesday, 12:30 – 2 p.m. help. Come learn ways to Where: Anacortes Christ Episcopal Church ture. strengthen your pelvic When: Tuesday, December 4, 1 – 2 p.m. Cost: FREE floor muscles to help pre- Contact: Gentry House, 360-293-4466 Where: Computer Training Room vent urinary leakage from a physical therapist with Cost: $5 Physical, Occupational & Speech Therapy at Island Instructor: Lindsay Harris PT, DPT, CSCS, CIMI Hospital. Improving Your Aging Memory When: Thursday, November 15, 10 a.m. – noon Is your memory not quite Where: Fidalgo/Burrows Rooms Free Blood what it used to be? Join Cost: $10 an Island Hospital speech- Instructor: Reiko Nystrom, MPT Pressure Checks language pathologist to learn strategies and activi- Every Wednesday! ties to improve your mem- “Thank you so much! I think these ory and keep your mind exercises will really be helpful to me. 9 a.m. - noon sharp. The instructor’s enthusiasm for Island Health Resource Center the subject really came through and motivated me.” Call 360-299-1309 – Pelvic & Bladder Health class participant for more information.

16 | Heartbeats | Fall 2018 Resources & Support Groups Cancer Support Health Insurance Nurse-Family Partnership First-time moms who are eligible for Apple Health Better Together – Supporting In-Person Assisters or WIC can enroll in Skagit County’s Nurse-Family Women with All Cancers (Non-Medicare) Partnership (NFP) program. Moms are paired with Women with a current diagnosis of any cancer are Island Hospital offers free appointments with an nurses who meet with them from early pregnancy welcome to join a community of support. Weekly In-Person Assister. This program is intended to help until their child turns two, providing personalized meetings involve sharing, educational segments individuals (not on Medicare), understand the information and support for a healthier pregnancy and guest speakers. You do not need to be a details regarding enrollment for health insurance and a more confident parenting experience. patient at Island Hospital to attend. through the Washington Healthplanfinder. Services are provided by Skagit County Public Call for dates Contact: 360-299-4924 Health at no cost to families. Merle Cancer Care Center Conference Room Contact: 360-416-1523 Contact: Danah, 360-588-2082 SHIBA (Medicare) Need free help understanding Medicare or health Skagit Healthy Beginnings Phone Cancer Caregiver insurance connected to Medicare, Part D prescrip- Line A supportive space for anyone caring for someone, tion coverage, the “extra help” program or more? Child & Family Health staff at Skagit County Public or is affected by someone, living with cancer. Island Hospital’s SHIBA program has expert volun- Health provides information and referrals to help 2nd Monday, 3 – 4 p.m. teers trained by the Office of the Insurance families of pregnant women and young children Merle Cancer Care Center Conference Room Commissioner available to give free, unbiased infor- find activities and services that promote health, Contact: Danah, 360-588-2082 mation. Serving western Skagit County and Orcas, development and well-being. San Juan and Lopez islands. Contact: 360-630-8352 (call or text) Individual Counseling Contact: 360-299-4212 Monday – Friday Individual counseling is offered by a Master’s level, licensed social worker and available to anyone liv- Mental Health Women, Infants and Children ing with and/or anyone affected by cancer. This (WIC) Nutrition Program service is open to the community; participants do NAMI (National Alliance on Mental The WIC program serves families on tight budgets, not need to be patients at the Merle Cancer Care Illness) providing healthy foods, nutrition education, Center to qualify. Insurance may cover the cost of breastfeeding support and linkage to health and this service. Appointments required. NAMI Skagit provides support, education and advo- cacy for people with mental illness and their fami- social services. WIC serves families with infants and Contact: Danah Peace Laws LICSW, OSW-C, 360- children up to age five and women who are preg- 588-2082. lies within Skagit County. NAMI Skagit offers sup- port groups and classes. nant, breastfeeding or post-partum. WIC is an equal Contact: Skagit HELPLINE: 800-273-8255 opportunity provider and does not discriminate. Cardiopulmonary Suicide Prevention Lifeline: 800-273-TALK Contact: Anacortes WIC office: 360-416-7595, Care Center Swinomish Indian Health Clinic: 360-466- Programs Pregnancy, Children 3167 and Families Cardiac Rehabilitation Teens If you have stable angina or have had a heart Access to Baby and Child Dentistry Anacortes Teen Clinic attack, heart bypass surgery, valve surgery, angio- (ABCD) The Teen Clinic is free of charge for teens (age 18 plasty or stent placement in the past year, this Did you know that regular dental care is recom- and under). The clinic is open on Wednesdays from monitored exercise program will help you increase mended to start before an infant’s first birthday? 2 – 5 p.m. and is located at 2601 M Ave., Suite C, your endurance and provide you with the neces- Families with children up to age 6 can call Skagit Anacortes. Drop-ins are welcome. sary education you need to make lifestyle changes County’s ABCD program for help with dental care for Anacortes Teen Clinic Services: for better cardiac health. their children. • Family planning Contact: 360-299-4242 Contact: 360-416-1523 • Contraceptive education and supplies including Pulmonary Rehabilitation condoms, birth control pills and emergency con- Center for Maternal & Infant Care traception Are you unable to do the things you used to do Pregnant and have Apple Health? Maternity sup- because of shortness of breath and fatigue? • Pregnancy testing port services through Island Hospital can help! • Sexually transmitted infection prevention edu- Pulmonary Rehabilitation may be the answer. An Services consist of preventative health education to exercise specialist will teach participants exercises cation support a healthy pregnancy and baby, and Contact: 360-293-6973 that will increase strength and decrease fatigue. includes a multidisciplinary team consisting of a Also, learn about the cardiopulmonary system, registered nurse, lactation consultant, nutritionist medications and nutrition to maximize strength and social worker. The Center for Maternal & Infant Weight Management and endurance. This course is Medicare-approved Care helps connect expecting moms to community Overweight? and may be covered by insurance. resources. Contact: 360-299-4242 Over time, weight seems to just creep onto us, yet it Contact: 360-293-3101 does so at a cost to our health, mobility and agility. Meet with our registered dietitians for an individual dietary session. Insurance may cover cost. Contact: 360-299-1300, ext. 2567

Fall 2018 | Heartbeats | 17 Resources & Support Groups Support Groups Grief Parkinson’s Disease Every Wednesday, 3:30 – 5 p.m. 3rd Thursday, 1:30 – 3 p.m. Alzheimer’s Association - Fidalgo/Burrows Room, Island Hospital Fidalgo/Burrows Rooms, Island Hospital Caregivers Contact: Doug, 360-202-1699 Contact: Jerry, 360-293-2185 2nd Monday, 1 p.m. Kidney Restless Leg Syndrome Westminster Presbyterian Church, 1300 9th St. Meets quarterly, (call for dates) Call for dates Anacortes Anacortes Senior Activity Center Fidalgo/Burrows Rooms, Island Hospital Contact: Ann, 360-299-9569 1701 22nd St., Anacortes Contact: Charlotte, 360-293-7328 Better Breathers Contact: 360-293-7473 3rd Tuesday, 1 – 2 p.m. Rooms and times are subject to change. Please call NAMI Mental Health contact before attending any support group. For Burrows Room, Island Hospital 4th Thursday, 7 – 9 p.m. Contact: Jim, 360-299-4242 more information about these support groups, United Methodist Church of Anacortes please call 360-299-1309. Contact: Virginia, 360-421-7331 Breast, Cervical and Colon Health Program: free cancer screenings for eligible women and men itrine Health administers the Breast, Cervical and Colon Women diagnosed with breast or cervical cancer are eligible to be CHealth Program (BCCHP) for the Washington State transitioned onto insurance for treatment through BCCHP. Citrine Department of Health, offering free cancer screenings for uninsured Health-BCCHP encourages those who don’t have health insurance or and underinsured residents of Washington. who can’t afford their current insurance plan to check out new options The program focuses on low-income individuals who are in need of made available by the Affordable Care Act: screening with a focus on reaching those that have never or rarely • Washington Apple Health. This expanded Medicaid program is been screened. Citrine Health urges those residing in Island, San Juan, free and now covers more people. Skagit, Snohomish, Pierce and Whatcom Counties and who feel they • Qualified Health Plan. Those ineligible for Washington Apple may be eligible to contact its regional office at (425) 259-9899 or toll- Health may still qualify for a low-cost health plan. free at (888) 651-8931. To learn if you qualify for Apple Health or to apply for a Qualified Health Plan, go to www.wahealthplanfinder.org Who is eligible? BCCHP is a state-wide program. Additional information on this Eligible are people who are uninsured and do not qualify for Apple and many more programs is available at www.doh.wa.gov. Health, or are underinsured. (“Underinsured” can include those whose health plan does not cover diagnostic screenings or who can’t afford the out-of-pocket costs to get screened.) Those who meet this first eli- gibility requirement may then be eligible for free cancer screenings if they are: • Women between 21 and 64 years for cervical screening • Women 40-64 for breast screenings. (Funding is also available for women ages 18–39 experiencing breast symptoms.) • Men and women between 50 and 64 years for colon screening. • Women or men who meet low-income criteria. Below is an abbreviated chart of income criteria used in determin- ing eligibility. family size monthly income annual income 1 $2,529 $30,350 2 $3,429 $41,150 3 $4,329 $51,950 4 $5,229 $62,750 Last year, Citrine Health’s BCCHP program paid for 1539 separate breast and cervical screenings in their region involving 1224 mammo- grams, 623 pap smears, and 205 colon-cancer screenings. They also paid for diagnostic work-ups on abnormal findings including colon polyp removal, breast biopsies, diagnostic mammograms, breast ultra- sounds, ductograms and surgical consultations. The screenings found 17 pre-cancer and invasive breast cancers, 11 high-to-severe cervical dysplasias, and 18 clients needing polyps diagnosed. 18 | Heartbeats | Fall 2018 Health Screenings

Sponsored by the Island Hospital Foundation confirmed hearing loss. This screening will provide you with a simple hearing test provided by Dr. Holly Balance Screening Kennedy of the Anacortes Hearing Center. Our physical therapists can help determine where Appointments are required. your body is vulnerable and help you develop strat- When: Tuesday, February 19, 9:30 a.m. – 4 p.m. egies to prevent falls. Appointments are required. Where: Health Resource Center When: Tuesday, February 12, 10:30 a.m. – 12:30 p.m. Cost: FREE Where: Physical, Occupational & Speech Therapy at NEW! Island Hospital Memory Screening Cost: FREE Do you have difficulty paying attention or keeping up in a conversation, staying on topic, or remem- Blood Pressure Checks bering information and names? Are finding words, Blood pressure indicates the health of expressing thoughts, or planning and following BEAT IT! your heart and blood vessels. Fight Heart through with a schedule becoming more difficult? If Disease Untreated, elevated blood pressure so, our Speech Language Pathologists can help can result in stroke. Get your blood identify the nature of your difficulty and determine pressure checked regularly at one of the following if you have a cognitive communication deficit. They locations: can also provide strategies to help you improve in Health Resource Center these areas of difficulty in order to help you suc- tion with repetitive colds or pneumonia, have diffi- Every Wednesday, 9 a.m. – noon ceed. Appointments are required. culty with chewing and/or require multiple swal- Anacortes Senior Activity Center When: Tuesday, November 27, 1:30 – 3:30 p.m. lows with bites or sips? If you are experiencing one Last Tuesday of the month, 9 – 10:30 a.m. Tuesday, January 29, 1:30 – 3:30 p.m. or more of these symptoms, meet with a speech- Where: Physical, Occupational & Speech Therapy at language pathologist to determine if you might Bone Density Screening have a swallowing disorder. Appointments are This non-intrusive test provides an estimate of your Island Hospital Cost: FREE required. bone density by scanning your heel. If you already When: Tuesday, November 13, 1:30 – 3:30 p.m. have a diagnosis of osteoporosis confirmed by a Pulmonary Function Screening Tuesday, December 11, 1:30 – 3:30 p.m. more complex imaging test, this is not the screen- If you get short of breath while getting dressed, Tuesday, January 8, 1:30 – 3:30 p.m. ing for you. This screening is accurate for women climbing stairs or walking with a friend, or if you Tuesday, February 5, 1:30 – 3:30 p.m. only. Appointments are required. have smoked for 10 years or more, this screening Where: Physical, Occupational & Speech Therapy at When: Tuesday, January 22, 9 – 11 a.m. can help determine your lung function. You and Island Hospital Where: Health Resource Center your doctor can then decide on a treatment plan to Cost: FREE Cost: $5 improve the quality of your life. Appointments are Vitamin D Screening Cholesterol & Glucose Screening required. When: Tuesday, November 6, 9 a.m. – noon This screening will determine the level of vitamin D This blood test determines your total in your blood. Studies have shown that low levels of BEAT IT! cholesterol, HDL, LDL, triglyceride and Where: Health Resource Center Fight Heart Cost: FREE vitamin D may contribute to the possibility of devel- Disease glucose levels, which can be indica- oping osteoporosis, cancer and other health condi- tors of cardiovascular disease or dia- Swallow Screening tions. Appointments are required. betic tendencies. A 12-hour fast is required with Concerned about your swallow? Do you cough or When: Tuesday, October 30, 9 – 11 a.m. water and needed medications only. No appoint- clear your throat frequently when eating or drink- Where: Health Resource Center ment required. Please do not arrive prior to 7:30 a.m. ing, have wet sounding vocal quality, have conges- Cost: $30 Call 360-299-1309 for questions. When: Tuesday, October 23, 8 – 11 a.m. Tuesday, January 15, 8 – 11 a.m. Where: Health Resource Center Cost: $10 (insurance may cover the cost of your screening) NEW! You Can Save a Life – Diabetic Foot Screening In observation of National Diabetes Month the You Have It in You! Wound Care Center is offering a foot screening. This Please give blood non-invasive screen will check for common foot at Island Hospital issues that may result from diabetes including neu- ropathy, poor circulation, and loss of sensation. Monday, December 17 Appointments are required. When: Monday, November 19, 9 – 11 a.m. 10 a.m. - 4 p.m. & 1 – 3 p.m. Where: Health Resource Center Fidalgo/Burrows Rooms Cost: FREE Call 360-299-1309 Hearing Screening for an appointment. Are you having a hard time hearing as well as you used to? Help is available and easy once you have

Fall 2018 | Heartbeats | 19 Island Hospital Foundation

IHF welcomes three new members to its Board he Island Hospital Foundation (IHF) has been extremely fortunate in attracting individuals of broad experience, remarkable skills and Tkeen foresight to serve on its Board of Directors. The three individuals introduced below are no different, and their combined assets are certain to complement those of existing Board members as they endeavor to provide fiscal oversight and stewardship, set policies and goals, as well as fundraise for the organization to meet its objectives. Laura Brown-Snider Brian Hayes Jennifer Mann HSSE/Assurance Raised in Bellingham, For 35 years prior to Manager for the Shell Brian Hayes attended opening Tides of Anacortes facility, Laura Washington State Anacortes, Jennifer Mann Brown-Snider had spent University, majoring in worked in the adhesives much of her career work- Business Administration. industry, where her vari- ing in and around safety Following college, he ous roles provided keen for employees and environmental services at worked as a senior claims adjuster for Farmers understanding of customer service, sales and industrial facilities in California and Texas Insurance, where he met his wife Shannon. In sales management. She was ultimately named before arriving in Anacortes in May of this 2000 he took a job at Fuller & Thaler Asset Director of Global Sales and Marketing. Mann year. Management as an Operations Specialist. and her husband Torben moved from “While living and working in Contra Costa After two years, he was promoted to Director California to Anacortes in 2005, and in 2015 County, CA, I served on the Leadership Team of Operations. One year later, he was promot- Mann retired from her executive role and for the Cancer Support Community in ed to Vice President and became a sharehold- decided to open Tides – which is now her full Walnut Creek,” she said. “I very much enjoyed er in the firm. He remained in this capacity time job. the role which provided me the opportunity for 13 years until moving back to Washington “My husband and I have attended several to give my time and talents to a worthy cause State to be closer to family, settling in galas to benefit the hospital,” Mann said, “as that supported cancer patients, free of charge. Anacortes in 2014. we have always felt strongly that we should The Center provided counseling, support “When considering joining the Board,” he support our local hospital. Four years ago, we groups, nutrition assistance, exercise classes said, “my wife and I were invited to attend the lost my mother in three short weeks, and and education for cancer patients and their reception that featured the new 3D mammog- nothing became more important than accessi- families. I found my role in this very fulfilling. raphy unit. I was struck by the fact that the bility to good healthcare facility. I was remind- I now look forward to being part of the local Foundation’s tireless efforts have such long- ed of how vital Island Hospital and the community and volunteering some of my lasting, tangible benefits and positively impact Foundation truly are. I feel very fortunate to time to support Island Hospital through the so many lives in our community. I cannot now hold a seat on the Board and serve the Foundation in its endeavors to help uplift and think of a more worthy organization to which hospital and community with both my sustain a great healthcare facility.” I can lend my support in the greater acquired skills and vision.” Anacortes area than Island Hospital.” IHF Digital Donor Wall invites as it honors ighteen months in the planning, the new IHF donor wall (located Eon the east wall of the reception area at the main 24th Street entrance) was unveiled in June, and the care put into its content and design was apparent to all. A committee comprised of individuals representing the Foundation, ▲ the Hospital Commissioners and all affected hospital departments – IHF Director Jeannette Papadakis (left) and Development from Engineering to Information Systems – met to plan and review the Coordinator Christy Lyman at the new donor wall. wall’s progress based on four major criteria: The wall must be (1) a thoughtful recognition to our supporters, (2) representative of our com- photographed by local photographers whose aim was to reveal the munity, (3) easy and cost effective to update and (4) easy to maintain. Anacortes we hold dear. The new wall does all that and more. To the left, a dedication panel proclaims: We are profoundly grateful to our family of supporters who make it pos- The names of our donors (since 2005) are reflected on acrylic film sible for us to honor our promise, commitment and mission: quality, beneath the glass and on the adjacent digital display. These, along with donation levels, will be updated annually. The vibrant, backlit display is constantly changing with local landscapes, architecture and citizens continued on page 21 20 | Heartbeats | Fall 2018 Island Hospital Foundation

Golfers Ace the 17th Annual Remembering The Island Hospital Foundation Island Hospital Golf Classic received gifts to remember and olfers teed-up real green for Island tude to all the sponsors and vendors that honor those listed here between GHospital and the Island Hospital shared the day with us; those who provided April 1 and Sept. 30, 2018 Foundation (IHF) at the 17th Annual Golf raffle and silent-auction items, on-course cui- Classic. In addition to raising funds for IHF, sine and other contributions. They, along with MEMORIALS: golfers completed 18 holes of golf all the while the hard work of many volunteers, made this Joanne Anthony Chuck Moore enjoying comradery and some good, old-fash- year’s event such a tremendous success.” Judy Busch Margaret Marie Murray ioned fun. “Again, another stellar year,” shared Winners Recap one participant, “It’s an honor to attend and Les Cooper Cheryl Palmer be affiliated with your hospital.” 1st Place Low-Gross Team and winner of Thomas F. Evans Mary Papadakis the Vince Oliver Cup: Ogden Murphy Each golfer received a Nike golf backpack, Ernie Ghezzi John J. Phillips was provided a BBQ lunch, unlimited bever- Wallace Law (Don Black, Wayne Tanaka, ages and wrapped up the day with a rollicking Greg Ott, Drew Pearsal) Dr. George Gjerset Meri Van Luven Robert Krause Jordan Weber awards banquet. 1st Place Low-Net Team: Intalere Team #1 While foursomes took to the fairways, (Ken Freeman, Dave Hardy, Mark Creed, golfers participated in a number of on-course Randy Linemeier) competitions that kept the day lighthearted and fun. Longest Drive, Closest to the Pin, 2nd Place Low-Gross Team: Chad Fisher In Honor of: and the Casino Hole contests are always Construction (Dan Fisher, Duke Fisher, Joanne Andricos Margaret Eggstrom favorites. First-time sponsor, China City, host- Marlin Fowler, Chris Jensen) Dr. Mark Backman Julie Wollam ed the Wine Toss at the 17th hole. 2nd Place Low-Net Team: Parker Smith Feek Dr. Jody Cousins Charlotte Yablonsky All 140 golfers did more than just partici- & Richard Cole (Jeff Murphy, Tim Nierman, Ryan Roberts, Dr. Justin Curran pate in a memorable day of golf; they champi- Mike Reph) oned the healthcare needs of our community. To remember or honor someone In fact, the Golf Classic netted an all-time KP (Closest to the Hole) winner: Bob Lama with a donation, please send the high of $64,368 – the proceeds of which are – Proforma Marketing Solutions person’s name and type of 10% above the previous year! Longest Drive Men: Duke Fisher – Chad remembrance requested along “All of the proceeds from the event,” said Fisher Construction with a check payable to “Island IHF Director Jeannette Papadakis, “go directly Hospital Foundation.” Mail to: to funding programs such as our Health Longest Drive Women: Crystal Eddy – Skagit 1211 24th Street Resource Center, free and low-cost health Bank Anacortes, WA 98221 screenings, the Island Hospital Mental Health Grand Raffle Prize Winner: Brandon Schuh School Intervention Program and patient- Info: (360) 299-4201 – Property Trio assistance programs. “In addition to thanking the golfers them- View tournament photos at https://www. selves,” she added, “we wish to express grati- islandhospitalfoundation.org/event-pictures/ Wall continued from page 20 compassionate healthcare for the commu- nities we serve. Beneath it are words written by physi- cian, philosopher and philanthropist Dr. Debasish Mrida: “Giving without expecta- tions is the ultimate secret source of abun- dance.” The donor wall is an invitation, and you are invited to view its representations of community, generosity and love of neigh- bor in selflessness. We admire and honor those who have supported our hospital and ▲ extend an invitation to all to join our IHF Winning the Vince Oliver Cup as the team with the lowest gross score was the family. Please stop by the Foundation office, Ogden Murphy Wallace foursome. OMW has been a major sponsor of every or visit www.islandhospitalfoundation.org Island Hospital Golf Classic. to learn more. Fall 2018 | Heartbeats | 21 Island Hospital Foundation

▲ Holding up a couple of the ten quilts created each month, are ChemoQuilters (from left) Pati Dever, Suzanne Lockridge, Sue Trczinski, Carol Jones, Ruth Tax-Smart Tips Sturing, Mary Bame, Patti Sutter, and Cathy Berk. for Tax-Smart ChemoQuilters sew comfort Supporters n Wednesday mornings at 10, in the the North Puget Cancer Center, each with a OFellowship Hall of Westminster label containing the name of the group and y giving generously, you may Presbyterian Church, a small number of quil- the quilter’s name on the back. Breduce your taxable income and ters begin to filter in, and the work resumes. “We’re one of many groups whose hand- support what you care for and love! In 2005 Shelly Withall, former owner of an made items are donated to the hospital gift • Instead of writing checks, consider Anacortes quilting business, envisioned stitch- shop, newborns and chronic-care patients,” saving capital gains tax by making a ing lap quilts to comfort cancer patients said ChemoQuilter Pati Dever, “and it’s grati- gift of stocks, bonds or mutual funds undergoing chemotherapy during their treat- fying to know that our gifts are so appreciated. to Island Hospital Foundation. The ments. Today, an average of 10 quilts per “We donate all fabrics ourselves,” she tax advantage could be substantial. month is meticulously created in this ongoing added, “but quilt batting is our biggest • If you are 70 ½ or older, you can give effort. expense. Should anyone care to donate funds directly from your IRA to a qualified charity such as the Island Hospital These lovingly made quilts are delivered to for batting or wish to join our merry group, Foundation without having to pay the Merle Cancer Care Center (MCCC) and please call me at (206) 714-7359.” income taxes on the money. • Designating the Island Hospital Foundation as a beneficiary of all or continued from page 11 part of a retirement account is a pop- Headaches ular way to give, and it may reduce that the sufferer “carries their stress in [certain] muscles”, that usually cannot be validated by taxes paid by your estate or heirs. It objective testing. Treatments, such as Botox, do not work by relaxing muscles, but rather by qui- usually takes only a few minutes to etening pain nerves. do! “Sometimes the only treatment for headaches is pain medication.” Wrong. Frequent use of To learn more about planned giving, pain medications almost always makes headaches worse over time. They suppress the pain for a please contact: few hours, but then cause the headaches to come back at a higher intensity. Yet there are 10 or Jeannette Papadakis so nonpharmacological treatments that can prevent headaches. There are more than 25 medica- Island Hospital Foundation Director tions that, when taken daily, can prevent headaches. There are new anti-bodies (“migraine vac- 360.299.4247 cine”) that can prevent headaches from coming with no side effects, and there are several FDA [email protected] approved electrical and magnetic devices that have been proven to prevent or treat bad head- or visit our website at myihf.org. aches. Island Hospital Foundation J. Michael Jones MPAS-C practices at The Headache Clinic at Island Hospital, located at the lower EIN #91-1030686 level of the Medical Office Building, 2511 M Ave., Suite C, Anacortes. For appointments call (360) 299- 4929.

22 | Heartbeats | Fall 2018 emergency medicine, pediatrics, intensive Dr. Minow continued from page 5 Skagit continued from page 7 care, general surgery, urology, obstetrics/gyne- cology and urgent care. She also fulfilled an “Chronic wounds are a silent epidemic. Janelle Shah PA-C eight-week rotation in orthopedics. Because of this, getting care for a wound With a Bachelor of Between 2008 and 2012, Shah additionally can be scary. I hope that by placing the volunteered at 10 healthcare organizations, patient at the center of care and educating Science degree from shadowing practicing physicians and a phar- them on what to expect, our team can help Albany State University, patients overcome their fears and guide Albany, GA, Shah entered macist at six locations while assisting provi- them through the journey to wound clo- the Post Baccalaureate sion of patient care. sure.” Premedical Program at Shah gained valuable experience during The Wound Care & Hyperbaric Medicine Drexel University College her two years as a healthcare surveyor for Center is located in the Medical Arts Pavilion of Medicine, Philadelphia, Pioneer Marketing Research Group, Norcross, at 1015 25th St., and can be contacted at PA, where she earned her Masters of GA. A Navy wife, she came to SNO in (360) 899-4600. Interdisciplinary Health Science. She then September 2018 from the Neurological & studied at Christian Brothers University, Orthopedic Institute of Florida, Jacksonville, Memphis, TN, graduating in 2016 with where she worked as a physician assistant. Blood Pressure continued from page 9 Masters in Physician Assistant Studies. Skagit Northwest Orthopedics has two Shah’s four-week clinical rotations were locations in Anacortes: 2720 Commercial Ave. ers good education and listens to what I served at various Memphis-area hospitals and and 1017 20th St. For appointments call (360) have to say. She talks with me prior to test- included cardiology, inpatient, psychology, 424-7041. ing, and I finally realized that she was lower- ing my blood pressure before taking the test. Auxiliary continued from page 10 Her questions and advice really helped me: the timing of food and pills intake fol- lowed with the BP test an hour or two later – twice a day, morning and night, 12 hours apart – is so important! Elaine says, “Be con- sistent.” She has me save all of my testing in a tablet, and she reviews that weekly, explain- ing to me what is happening. She is so thor- ough! I can’t say enough good things about her! Once, my reading was 200 over 94, and Elaine quickly suggested that I go see my doctor straightaway! This I did, and he ▲ quickly increased that medication. I’m slow- The Island Hospital Auxiliary again held a summer gathering on the Cap Sante ly improving, and I have Elaine to thank for Boat Haven docks, courtesy of the Port of Anacortes. this! She is like an angel who comforts us all, to our community. The vials are stocked at the as candle arrangements this year. Come early who helps us and gives correct advice. I love Resource Center at Island Hospital, the Island to get your tree choice! Our gratitude to the talking with her and appreciate her so Hospital Foundation office, the Main Fire Henery family of Sebo’s Anacortes for their much! Station, Windermere Realty and the Senior donation of the trees. Lou Bergeson Activities Center. They are offered at no For more information about the IHA – Anacortes charge to our community. new members are always welcome – contact Free blood-pressure checks are Mark your calendars for Friday, November Auxiliary President Betty-Anne Ely at (360) offered each Wednesday at the 9, 7:30 a.m.-noon: Miniature Tree Sale 840-3038. Resource Center from 9 a.m. to noon. We will include “Miriam’s Pillows” as well

PAIN TREATMENT continued from page 11 and celebrities. Though not covered by insurance, we are glad they The procedure itself is no more painful than any other joint or ten- have now been made more affordable for use by the general public. don injection. We use local anesthetic to numb the skin and the patient Who is a good candidate for orthopedic regenerative medicine? may experience some soreness from the needle. Depending on which Each person is different and should be evaluated as such. We evalu- body part we are delivering the medicine to, we may use an ultrasound ate what therapies, injections or surgeries a person has had as well as or fluoroscope to help guide the needle to the precise location. This other factors that include the condition that we’re trying to treat, how helps ensure that the medicine gets into the correct spot. severe that condition is, and what other medical conditions the indi- Herbie Yung MD practices with Skagit Northwest Orthopedics. For vidual has that might exclude him or her from having the procedure. appointments call (877) 418-7920.

Fall 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 | Fall 2018