2013
Northeast Oregon
Health & Wellness
Your reference guide to the resources and activities available for healthy living in Eastern Oregon.
A Community Service from
Community Connection of Northeast Oregon, Inc. www.ccno.org
Administrative Office: 104 Elm Street, La Grande, OR 97850 • 541-963-3186 Margaret Davidson, Executive Director
Serving Baker, Union & Wallowa Counties Baker City 2810 Cedar 541-523-6591
La Grande 1504 Albany 541-963-7532
Enterprise 702 NW 1st 541-426-3840
Caring for our Senior Citizens in their homes and at our Senior Center IN-HOME CARE: • A few hours a week to keep Senior Citizens living independently in their homes. • Bathing, dressing, meal preparation, grocery shopping, light housekeeping, respite care, transportation to doctor appointments. CAREGIVER RESPITE CARE • Let us care for your loved one and give you a break HEALTH SERVICES: • Blood Pressure Testing • Foot Care Clinics • Medical Equipment Loans NUTRITION:
Daily Mon - Fri in Baker & La Grande • Mon, Wed, Fri in Enterprise & Tues Breakfast in Enterprise
• A nutritious hot meal at the Dining Center • Meals on Wheels delivered to the home. Also available in outlying communities GENERAL PUBLIC TRANSIT • Call for information on commuter services and service to outlying communities • See routes and times at www.neotransit.org FUN ACTIVITIES • Senior Socials • Aerobics • Tai Chi • Line Dancing • Bingo in Baker City Mondays at 6:30 pm • Bingo in La Grande Tuesdays at 6:30 pm
The mission of Community Connection of Northeast Oregon, Inc. is to advocate for and assist senior citizens, children, low-income persons and persons with disabilities in attaining basic human needs and in becoming more self-sufficient
Contents
Your guide to health and wellness in Northeast Oregon ■■St. Alphonsus Medical CenterBaker City — 4 ■■Grande Ronde Hospital — 6 ■■St. Luke's Clinic Eastern Oregon Medical Associates — 8 ■■Baker medical providers — 10
Photo by Lisa Britton
Grande Ronde's Helistop officially opened in November 2012.
Northeast Oregon Health & Wellness Guide
■■Union County medical providers — 12
2
■■Wallowa County health care
—
14
■■Grande Ronde Helistop
—
18
■■Oncologist serves three counties —
20
■■Veterans services — 24 ■■EDGAR and telemedicine
—
26
■■New approach to hip replacement — 30 ■■Oregon health care reform
—
32
■■ODS College of Dental Science
—
38
Photo by LIsa Britton
EDGAR and the telemedicine program at Grande Ronde Hospital allows patients to see specialists without having to travel.
This is a publication of the Baker City Herald and The Observer. It is also available online at www.bakercityherald.com and www.lagrandeobserver.com
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St. Alphonsus-Baker City
S. John Collins/Baker City Herald
Saint Alphonsus Medical Center-Baker City
Northeast Oregon Health & Wellness Guide
B
4
aker City’s hospital, which has been serving the community since Aug. 24, 1897, underwent a change of sponsorship in 2010 to become Saint Alphonsus Medical Center-Baker City, which makes it part of Trinity Health and the Saint Alphonsus Health System, a four-hospital, 714bed system serving southwestern Idaho, Eastern Oregon and northern Nevada.
Saint Alphonsus - Baker City 3325 Pocahontas Road, Baker City 541-523-6461 www.saintalphonsus.org/bakercity
Misson
We serve together in Trinity Health, in the spirit of the gospel, to heal body, mind and spirit, to improve the health of our communities, and to steward the resources entrusted to us.
Values
The Trinity Health Core Values are fundamental and reflect the philosophy of the organization. They form the basis for the organization's spiritual center. They are the connection for finding meaning and purpose. Our values provide the standards for evaluation. They are non-negotiable and freely chosen and will stand the test of time:
■■ Respect ■■ Social justice ■■ Compassion ■■ Care of the poor and underserved ■■ Excellence
Billie Ruth Bootsma Clinic The Billie Ruth Bootsma Clinic opened in September 2011 in a remodeled section of St. Alphonsus Medical Center-Baker City to provide infusion services, including: chemotherapy, pain managment, IV hydration, blood transfusions, allergy injections, wound care, treatment for chronic illnesses, central line catheter care. On Fridays, Dr. Maynard Bronstein, an oncologist and hematologist who lives in La Grande, travels to Baker City to see patients, saving them a trip out of town. For more information about the clinic, call 541-523-8112.
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Photos Supplied by Dave Densley • Downtown Historic Baker City
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Grande Ronde Hospital Northeast Oregon Health & Wellness Guide
Chris Baxter/The Observer
6
During an open house at Grande Ronde Hospital, Dr.Tim Schoenfelder demonstrates medical equipment to young visitors.
Grande Ronde Hospital G
rande Ronde Hospital is a not-for-profit, 25-bed Critical Access Hospital (CAH). In addition to the hospital and its range of diagnostic, surgical and therapeutic outpatient services, the main facility also houses the Regional Hematology and Oncology Clinic, the Family Birthing Center, the Rehabilitation Therapy Department and Gym, and the Home Care Services Department which includes Home Health Services and Hospice Care. Grande Ronde Hospital is the only hospital in Union County. It is one of the top employers in northeast Oregon, with more than 500 employees. Mission
We will ensure access to high quality, cost-effective health care in a safe, customer-friendly environment for all those in need of our services.
Information 900 Sunset Drive, La Grande 541-963-8421 www.grh.org Vision
We will be recognized as a premier small and rural health system based on the quality of our clinical services and effective outcomes, the competency and compassion of our staff, our application of technologies, our financial stability and value of services, our creative and skillful leadership, and our emphasis on community need, health promotion, patient education and disease prevention.
St. Luke's Clinic - EOMA
S. John Collins / Baker City Herald
Clinic doubles in size, adds services By Mark Bogart
Northeast Oregon Health & Wellness Guide
For the Baker City Herald
8
By nearly doubling its physical size, St. Luke’s Clinic-Eastern Oregon Medical Associates has made room for major expansion and modernization of its operations and services. The changes, which are still in progress, include a larger staff, more visiting specialists, modern equipment, electronic medical records, and a physical structure that supports a team approach in managing patient care, according to Chris Knoll, the clinic’s site manager. The expanded area (about 16,000 square feet) houses a staff of 55 employees, including 11 providers (six doctors, three physician assistants, and two nurse practitioners) Knoll said. Specialists in the areas of cardiology, urology, and pulmonology, as well as a nurse practitioner in oncology also make scheduled visits to the Baker City clinic. The clinic now has 18 examination rooms plus four within the specialty service clinic. Services in mental health are being developed and will include a licensed clinical social worker, a licensed counselor, and psychiatric mental health nurse practitioner, Knoll said. In the expansion, the clinic has added a digital X-ray area and an infusion center. To support the clinic’s collaboration and training goals, the facil-
St. Luke's Clinic - EOMA 3950 17th Street, 541-523-1001
ity now includes small meeting rooms and a 60-seat conference room where the staff meets regularly. Implementation of the EPIC system for electronic medical records was a major undertaking for the clinic, said Dr. Jon Schott, the clinic’s medical director. Schott said EPIC is used by many other clinics and hospitals throughout the St. Luke’s Health Care System and beyond, including Oregon Health Sciences University (OHSU) and Providence Health Care. A patient’s medical information from different providers is entered into one electronic EPIC file, rather than having records from multiple files sent back and forth between providers. A patient’s doctor in Boise, Portland or Baker City can use the same records, thus improving efficiency and communication, as well as reducing the chance for errors, Schott said. See St. Luke's/Page 22
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Baker City medical providers Northeast Oregon Health & Wellness Guide 10
Saint Alphonsus - Baker City Emergency Room 3325 pocahontas road, 541-523-6461 ■■ Steven Delashmutt, M.D. ■■ Nancy Hutnak, D.O. ■■ David Richards, M.D. ■■ Galen Church, D.O. ■■ Michael McQueen, M.D. Saint Alphonsus Medical Group Baker Clinic 3175 pocahontas road, 541-523-4415 ■■ Melissa Knutson, D.O. ■■ Leslie Jackson, M.D. ■■ Bud Zunino, F.N.P. ■■ Elizabeth Chattin, PA-C ■■ Kate Grace, PA-C Saint alphonsus Valley medical Clinic 3820 17th st., 541-523-4465 ■■ Charles E. Hofmann, MD ■■ Bryan Braun, PA-C ■■ Kate Grace, PA-C Saint Alphonsus General Surgery 3325 Pocahontas road, 541-523-1797 ■■ Barbara Tylka, MD ■■ Mary Colvin, MD
■■ Devin Bowman, PA-C (Family Practice) Eagle cap clinic 3705 midway drive, 541-523-4497 ■■ Randy Alanko, MD st. Alphonsus rehabilitation services 3325 pocahontas Road, 541-523-8130 ■■ Kim Zinn, DPT, ATC ■■ Carl Hansen, PT, Cert. SMT ■■ Kadeen Manson, DPT ■■ Jill Peacock, OTR/L ■■ Mary Beth Ely, OTR/L ■■ Diana Downing, PTA ■■ Judy Stewart, PTA baker valley physical therapy 3950 17th St., 541-523-8888 www.bakervalleypt.com ■■ Blake Marlia, DPT ■■ Rob Bachman, PT ■■ Jodi Flanagan, MPT ■■ Flint Stearns, OTR/L ■■ Sallly Bachman, PTA Ophthalmology 3705 midway drive, 541-523-6428 ■■ James Davis, MD
Saint Alphonsus -Baker City Orthopedics 3325 Pocahontas road, 541-523-1797 ■■ Eric Sandefur, D.O. ■■ Autumn Swiger- Harrell, PA-C
baker vision clinic 2150 Third St., 541-523-5858 ■■ Sheryl Blankenship, OD ■■ Leslie Elms, OD ■■ Logan Mitchell, OD
Saint Alphonsus - Baker City Radiology ■■ Gem State Radiology 541-523-8137
podiatry 2830 10th St., 541-523-0122 ■■ Michael Rushton, DPM
St. luke's Eastern Oregon medical associates 3950 17th St., 541-523-1001 ■■ Jonathan D. Schott, MD (Family Practice) ■■ J. Daniel Smithson, MD (Family Practice) ■■ Eric R. Lamb, MD (Family Practice/Obstetrics) ■■ William P. Irvine, MD (Family Practice/Obstetrics) ■■ Kal Kelley, MD (Family Practice/Obstetrics) ■■ Trisha Eckman, MD (Family Practice/Obstetrics) ■■ Deb Vencill, FNP (Family Practice) ■■ Linda Ellis, FNP (Family Practice) ■■ Monte Anderson, PA-C (Family Practice) ■■ Zana Delic, PA-C (Family Practice)
chiropractors ■■ Baker City Chiropractic 2618 10th St., 541-523-6561 ■■ Family Chiropractic Health 2899 10th St., 541-523-6565 ■■ Elkhorn Chiropractic 2805 10th St., 541-523-2495 Baker county health department 3330 pocahontas road 541-523-8211 Continued/Page 40
Northeast Oregon Health & Wellness Guide
PROVIDERS - Union County
**Grande Ronde Hospital staff
12
GRH Surgical Anesthesia ■■ Sheridan Klinger, CRNA** Grande Ronde Hospital ■■ Tim Schoenfelder, MD** Grande Ronde Hospital ■■ Aaron Spracklen, MD** Grande Ronde Hospital Dentistry ■■ Sean Benson, DDS GRH Emergency Medicine ■■ Lew Baynes, MD** Grande Ronde Hospital ■■ Ken Chasteen, MD** Grande Ronde Hospital ■■ John Page, MD** Grande Ronde Hospital ■■ Gary Zeigler, MD** Grande Ronde Hospital ■■ Vicki Hill Brown, CFNP** Grande Ronde Hospital ■■ Karen Phelps, FNP** Grande Ronde Hospital Family Medicine ■■ Bryan Conklin, MD – La Grande Family Practice ■■ Travis Evans, FNP-C – Regional Medical Clinic ■■ Susan Jensen, MD – La Grande Family Practice ■■ Kim Montee, MD – Union Clinic ■■ John Schaefer, MD – La Grande Family Practice ■■ Ellen Schoenfelder, MD – La Grande Family Practice General Surgery ■■ Richard Haddock, MD** Grande Ronde Hospital ■■ Richard Holecek, MD – Private practice ■■ Andrew Pearson, DO – Regional Medical Clinic ■■ Christopher Woodworth, MD – Regional Medical Clinic
Hematology and Oncology ■■ S. Maynard Bronstein, MD – GRH Regional Hematology and Oncology Clinic Hospitalist ■■ Steven Hunsaker, MD** ■■ Ronald Reynoso, MD** ■■ Nitesh Sharma, MD** ■■ Madhavi Tangirala, MD** Immediate Care ■■ Lien Dretke, CFNP – GRH WalkIn Clinic ■■ Stephanie Mooney, FNP – GRH Walk-In Clinic Internal Medicine ■■ Heidi Abreu, MD – – GRH Regional Medical Clinic ■■ Stephen Bump, MD– GRH Regional Medical Clinic ■■ Keith Graham, MD– GRH Regional Medical Clinic ■■ Jose Gutierrez, MD– GRH Regional Medical Clinic ■■ Betsy Neeley, MD– GRH Regional Medical Clinic ■■ Susan Rice, MD– GRH Regional Medical Clinic ■■ Inski Yu, MD– GRH Regional Medical Clinic Neurology ■■ Rodrigo Lim, MD– GRH Regional Medical Clinic Obstetrics and Gynecology ■■ Milo Hibbert, MD** Grande Ronde Hospital ■■ Dawn Knight, MD – GRH Women’s Clinic ■■ Dale Robinson, MD– GRH Women’s Clinic ■■ Stacy Whitaker, DO– GRH Women’s Clinic Ophthalmology ■■ William Pettit III, MD – private practice
Orthopedics ■■ Chad Burgoyne, MD – Regional Orthopedic Clinic ■■ Clay Hill, FNP-C Regional Orthopedic Clinic ■■ Don Warren, MD Regional Orthopedic Clinic Otorhinolaryngology (Ear, Nose, Throat) ■■ Brian Affleck, MD- Regional ENT Clinic ■■ Joe Petrusek, MD – private practice Pathology ■■ Mark Aldape, MD** Pediatrics ■■ Kevin Grayson, MD-GRH Children’s Clinic ■■ Michael Hetrick, MD-GRH Children’s Clinic ■■ Melindres Lim, MD-GRH Children’s Clinic ■■ Sarah Rollin, MD-GRH Children’s Clinic Podiatry ■■ Stacey J Clarke, DPM – private practice Psychiatry ■■ Joel D. Rice, MD-private practice Radiology ■■ Matthew Allen, MD-Blue Mountain Pathology ■■ Daniel A. Kirkham, MD-Blue Mountain Pathology ■■ Randy Siltanen, MD-Blue Mountain Pathology Urology ■■ Patrick McCarthy, MD-Private Practice Women's Health ■■ Jill Parsons, WHCNP-GRH Women’s Clinic
Continued/Page 40
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Wallowa County Northeast Oregon Health & Wellness Guide 14
95 years of health care T he hospital in Enterprise was founded about 1918 as a private institution, operating out of the converted County High School building. In 1947 the Wallowa County Court took over operation of the Enterprise Hospital. The people of Wallowa County, feeling that more adequate hospital facilities were necessary, built the present Wallowa Memorial Hospital with the aid of Federal Hill-Burton Funds at an approximate cost of $250,000 and officially opened it on Dec. 1,1950. In 2007 a state-of-the art hospital opened in Enterprise. Wallowa Memorial Hospital is a 25-bed critical access hospital which serves all of Wallowa County.
■■Medical providers: Wallowa Memorial Hospital 601 Medical parkway, Enterprise 541-426-3111 www.wchd.org Olive Branch Family Health 306 W. North St., Enterprise 541-426-7171
■■ Theresa Russell, F.N.P.
Wallowa Valley Professional Building 107 SW First St., Ste. 104, Enterprise 541-426-6070 ■■ Rusty Woods, M.D. Wallowa Mountain Medical 100 N East St., Joseph, 541-432-7777 ■■ R. Devee Boyd, M.D., internal medicine ■■ Emily Sheahan, M.D., internal medicine ■■ Kristen Caine, M.D., internal medicine ■■ Tracy Frei, Nurse Practitioner
Parkway Health and Wellness Center Winding Waters Clinic 603 Medical Parkway, Enterprise 541-426-4502 ■■ Elizabeth Powers, M.D., family medicine ■■ Scott Siebe, M.D., internal medicine ■■ Renee Grandi, M.D., family medicine ■■ Keith DeYoung, MD family medicine ■■ Kathy Siebe, pediatric nurse practitioner ■■ Shannon Wiedeman, adult nurse practitioner
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Wallowa County
Photo by Katy Nesbitt
Construction of the new residential care facility behind the Wallowa Memorial Hospital is well underway. When completed, it will replace the Wallowa Valley Care Center,
Northeast Oregon Health & Wellness Guide
■■Medical Providers, continued
16
■■ Chad Burgoyne, MD, orthopedic surgeon
Chiropractors
■■ Kenneth D. Rose, MD, general surgeon
Alpine Chiropractic Clinic 610 W North St., Enterprise 541-426-3107 ■■ John and Billie Suto, D.C.
603 Medical Parkway Enterprise, OR 97828 541-426-3463 603 Medical Parkway Enterprise, OR 97828 541-426-3870
Winding Waters Eye Clinic, 519 W. North St., Enterprise 541-426-3413 ■■ Troy Bailey, O.D.
Dentists ■■ Jason Follett, D.M.D.
204 Residence, Enterprise, 541-426-3531
■■ Gary R. Underhill, D.M.D.
102 S River St., Enterprise, 541-426-3650
■■ Steve Zollman, D.M.D.
401 B Main St., Joseph, 541-432-6555
Wallowa Valley Chiropractic Clinic 109 E Main St., Enterprise 541-426-3101 ■■ Gale Barton, D.C.
Acupuncturists Windspirit Oriental Medicine and Wellness Retreat 61880 Wallowa Mtn. Road, Joseph 541432-9463 ■■ Laurel Sander Wallowa Mountain Acupuncture 103 Hwy 82, Suite 5, Enterprise 541-398-1279 ■■ Amy Zahm Wallowa County Health Department 758 NW First St., Enterprise 541-426-4848
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The New Helistop Northeast Oregon Health & Wellness Guide
Photo by Lisa Britton
18
Grande Ronde Hospital's helistop opens for patient transport Courtesy Grande Ronde Hospital
G
rande Ronde Hospital transported its first patient from the new helistop on Nov. 21, 2012. Prior to the helistop, Lifeflight landed in a field across the street from the hospital, which meant critically ill patients had to be transported by ambulance. Now those patients are wheeled straight out from the hospital hall via a new climate-controlled vestibule. A fixed-wing plane was also stationed at the airport, also required ambulance transport. “We are excited about being able to take full advantage of the opportunity we have with the addition of a helicopter based here, which has already proven beneficial for Union County patients. Having the helicopter land here will further improve emergency care for more of our patients while alleviating safety concerns over landings at Central Elementary,” said Doug Romer, executive director of patient care services at GRH. Having a direct flight path in and out of the helistop for the Life Flight A-Star helicopter provides quicker and safer transfer times for the hospital’s
most critical patients. Hospital staff works directly with the Life Flight crew to transfer patients via a walkway that leads from the hospital’s second-floor Medical-Surgical unit. Work began on the helistop project in May 2012. According to Timothy Wilcox, project manager, building the $1.2 million helistop was a project unlike any other he’s undertaken during his career in construction management. “Integrating local, state, and federal codes with FAA and OSHA requirements, along with the added geological site issues of construction on a hillside will definitely challenge a person, “ he said. “But watching that helicopter fly off with a patient in need gives us all a measure of pride and satisfaction in the end result.” The GRH Foundation has raised funds to offset the $1.2 million expense of the project. Additional gifts for the project were provided by the Saint Alphonsus Heath System, Boise, and legacy gifts given by the estates of Glen and Jean McKenzie and Alex McKenzie. This spring, the Hospital and Foundation will hold a joint ceremony to officially open the Helistop with special tours for the public.
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Oncology Northeast Oregon Health & Wellness Guide
Photo by Lisa Britton
20
Dr. S. Maynard Bronstein visits with Buck Baker of Elgin in the infusion clinic at Grande Ronde Hospital. Dr. Bronstein sees patients in Union, Baker and Wallowa counties.
On-site oncology means less patient travel By Lisa Britton
For the Baker City Herald
Dr. S. Maynard Bronstein knows his patients don't like to travel. He specializes in oncology and hematology. "They feel bad to start with, treatment makes them feel worse, then they have to drive," he says. Not anymore. He joined the medical staff at Grande Ronde Hospital in September 2011, and now works in La Grande, as well as travels to Baker City every Friday and Enterprise two times a month to see patients. Which means patients no longer have to travel to Walla Walla or the Boise area for their chemotherapy treatments. Prior to moving, Dr. Bronstein discovered the need for oncology services when he saw patients at a weekly outreach clinic and through telemedicine consults. Now he offers oncology and hematology services for patients within Union, Wallowa and Baker counties. These services include diagnosis and treatments, including procedures such as therapeutic
phlebotomies and bone marrow biopsies. Medical treatment includes a variety of medications regiments from oral medications to intravenous medications. Also, he often includes ancillary services within patient's treatment plans, such as dietary or physical therapy consultations.
About the doctor
After completing his undergraduate degree at Duke University in Durham, N.C., Dr. Bronstein attended Duke University School of Medicine, receiving his combined Medical Doctorate and Doctorate of Philosophy in 1992. He also completed his internship and residency there, then earned a fellowship in hematology and oncology from Duke in 1999. He worked as an emergency room physician at the Fayetteville VA Medical Center in North Carolina until 2000. For the next three years, he worked for the Department of Medicine at Durham Regional Hospital, and in 2003 went to work in the Hematology/Oncology Department for the Medcenter One Health System in Bismarck,N.D. In 2007, he moved to the Pacific Northwest.
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ST. LUKE'S CLINIC-EOMA Northeast Oregon Health & Wellness Guide 22
St. Luke's Clinic joins LEAP program By Mark Bogart
For the Baker City Herald
St. Luke’s Medical ClinicEastern Oregon Medical Associates (EOMA) in Baker City has been selected to participate in the Robert Wood Johnson Foundation’s LEAP program. The Baker City clinic is one of 30 “exemplary practices” nationwide chosen to participate in the project. The selection reflects EOMA’s team-based care, patient access and quality of service, according to a blog operated by Dr. David Pate, M.D., J.D., who is president and CEO of St. Luke’s Health Care System based in Boise. The LEAP program’s goal is “to identify and share workforce practices that make primary care accessible and effective for more patients,” according to a summary from the RWJ foundation. New services, especially in the area of mental health, will also contribute to the team-based approach and what EOMA Site Manager Chris Knoll referred to as a “patient-centered medical home.”
EOMA became a part of St. Luke’s two years ago, improving the clinic’s ability to bring in specialists and use staff in a variety of ways. “St. Luke’s took a risk,” said Dr. Jon Schott, medical director at the EOMA. “We wouldn’t be able to afford it without them.” Schott also praised the clinic’s staff, saying, “They have worked incredibly hard…” to implement changes such as the new EPIC electronic medical records system which went online the fall. The St. Luke’s news blog said many of the promising practices being recognized actually began to develop at EOMA before it joined St. Luke’s. The article credits the clinic with building relationships with specialists and other providers, including Oregon Health Sciences University (OHSU), and Mountain States Tumor Institute (MSTI), as well as St. Luke’s. Officials also recognized the clinic for working closely with Baker City’s hospital, St. Alphonsus Medical Center-
St. luke's Continued from Page 8
Another feature of EPIC is an element called “MyChart,” which gives patients access to their own records via computer, allowing them to be more involved in their medical care.
Baker City, on cases involving complex multiple needs. This is especially significant because of the strong rivalry in Idaho and Eastern Oregon between St. Luke’s and St. Alphonsus health care systems. Steps taken to improve access and care at St. Luke’s-EOMA include increased hours of access, division of staff into teams which collaborate on individual patients’ care, and coordination of care for patients with multiple needs. One result of the changes cited in the blog is a 50-percent reduction in hospital emergency room visits for urinary tract infections and bronchitis by EOMA patients. The LEAP program will involve a team of professionals who will visit the 30 sites to see how they use their staffs to provide quality care to patients. After that, findings from the study sites will be integrated into training and technical assistance materials that can be used by others, according to St. Luke’s officials.
Knoll explained that the St. Luke’s clinic uses about two-thirds of the expanded building, with Baker Valley Physical Therapy and Interpath Laboratory leasing the remainder. The building is owned by a group of medical providers and other local investors, he said. One section of the facility, originally planned for a dental office, has not been developed so far. Dental services may still be added in the future, Knoll said.
For more information: www.stlukesonline.org
New Directions Northwest, Inc. is a not-for-profit organization that has been providing alcohol and drug treatment services since 1968. We employ over one hundred people in Baker City. Our mission is to provide our clients and community the highest level of prevention, education and treatment of alcohol and drug abuse problems possible.
2100 Main Street, Baker City • 523-7400
We provide the following programs in Baker City: • Baker House - Adult Residential Treatment for those who have been unable to obtain sobriety on an outpatient basis. Accepts statewide referrals. • Recovery Village - Provides treatment to women who live with their children in a residential setting for up to six months. Accepts statewide referrals. • Elkhorn Adolescent Treatment Center - Residential treatment center for youth with serious alcohol and drug problems. Accepts statewide referrals.
• Blue Mountain Addictions Program An outpatient alcohol and drug treatment program serving Baker County, providing traditional outpatient services, intensive outpatient services, DUII services, adolescent outpatient, Preventive services and a job seekers program.
• Powder River Alternative Incarceration Program - this nationally recognized treatment program is located inside of the Powder River Correctional Facility. This program is acknowledged as on of the best “in prison” programs in the country.
Veterans
www.wallawalla.va.gov
Northeast Oregon Health & Wellness Guide
Walla Walla VA Medical Center provides services for veterans in NE Oregon
24
The Jonathan M. Wainwright Memorial VA Medical Center is based in Walla Walla, Wash., and operates four community-based outpatient clinics for local veterans, including one in La Grande that opened in May 2008 at 202 12th St. The La Grande VA Clinic provides veterans with primary health care and behavioral health care as well as various group therapy programs. Specialty care is provided by referral to tertiary VA medical centers or through community providers in the local area. The La Grande VA Clinic’s primary service area includes Morrow, Umatilla, Union and Wallowa counties, with approximately 1,507 veterans from this area currently receiving care at the clinic. Hours are 8 a.m. to 4:30 p.m. weekdays (excluding federal holidays). For more information, call 541963-0627. In 2012, the Walla Walla VA opened a telehealth primary care clinic in Enterprise, called Wallowa County VA Telehealth Clinic. The clinic was made possible through rural health funds. The Walla Walla VA is leasing space from Wallowa Resources in the old Wallowa Memorial Hospital structure, and the clinic’s four room permanent home within the building was remodeled to suit the needs of providing appropriate care to area Veterans. The clinic is staffed full-time by a registered nurse on-site, and an ARNP located at the La Grande Clinic provides primary care services to area veterans via telehealth communications on select days each week. Hours are 8 a.m. to 4: 30
Resources for veterans Baker County: Veterans Office, 1995 Third St. 541-523-8223 Union County: 2301 Cove Ave., La Grande 541-962-8802, 541-963-5272 Wallowa County: 104 Litch St., Enterprise 541-426-3155 Ext. 241 Walla Walla VA Medical Center 77 Wainwright Drive, Walla Walla, Wash. 509-525-5200 • 888-687-8863 www.wallawalla.va.gov Boise VA Medical Center 500 Fort St., Boise, Idaho 208-422-1000 Caldwell Clinic 4521 Thomas Jefferson St., Caldwell, Idaho 208-454-4820
p.m. weekdays (excluding federal holidays). For information about eligibility for care, call 888687-8863, and ask for eligibility. For information about the telehealth clinic, call Jessica Bringman, nurse manager at the Lewiston VA Clinic, at (208) 746-7784 or Linda Wondra, public affairs, at 888-687-8863, Ext. 22811.
License # 7492
Specializing in Medical Sports - Auto Injury Soft Tissue Care in Oregon for over 13 years.
+ Certified Medical Massage Practitioner + Certified Kinesio Taping PractitionerTM + Certified Flexibility Coach + 2005 Oregon LMT of the Year + 2010 Oregon Meritorious Award Recipient + 2008 & 2012 Summer Olympic Trials Medical Team
John Combe LMT, NCTMB
Combe's Wellness Center (541) 993-9355
La Grande
Telemedicine Northeast Oregon Health & Wellness Guide 26
Photo by Lisa Britton
Doug Romer, executive director of patient care services, demonstrates EDGAR, the robot that makes telemedicine possible, whether that means a specialist from Atlanta, Ga., consulting on a patient's care or a new mother seeing her infant who is in NICU at a different hospital.
EDGAR helps keep patients home ■■Through telemedicine, patients in La Grande can have face-to-face appointments with specialists from afar
By Lisa Britton
For the Baker City Herald
EDGAR silently glides into the room, swiveling his head to assess space and make sure he can fit between the chair and the wall. It's hard not to refer to the robot as "he" — there's that masculine-sounding name, for one thing. But it's also easy to attribute a human presence to this machine that moves by itself ... with the help of Yair Lurie, who is with InTouch Health in Santa Barbara, Calif. EDGAR doesn't just roam the halls of Grande Ronde Hospital — this robot has taken distance out of the equation when it comes to health care
because patients no longer have to travel to see specialists. Thanks to this technology, patients can visit face-to-face with a doctor who may be as close as Walla Walla, Wash., or as far away as Georgia. "The whole concept is to keep patients at home," said Doug Romer, executive director of patient care services who has been instrumental in developing the telemedicine concept at GRH. Last year there were 500 exams by telemedicine at GRH. The hospital has four robots. The most recent addition is that Dr. Jay Nutt is now on staff at GRH and seeing local patients via telecommunication from Portland, where he is
See EDGAR/Page 28
Practicing in Baker City since 1985
3705 Midway Drive • (541) 523-6428
Specializing In: • Cataracts • Contact Lenses • Cosmetic Eyelid Surgery • Diabetic Eye Care • Eye Exams • Medical Diagnosis • Eye Injuries
• Glaucoma • LASIK Evaluation & Care • Macular Degeneration • Office Surgery • Pediatric Care • Retinal Disorders
Telemedicine Northeast Oregon Health & Wellness Guide 28
EDGAR Continued from Page 26
co-founder and director of the Oregon Health and Science University's Parkinson Center of Oregon (PCO). changing laws
Romer and Lurie went before the Oregon Medical Board to promote this technology and challenge the law that providers can't practice across state lines. He pursued the change after discovering that the 17 ICU doctors in St. Louis couldn't practice at GRH even after obtaining their Oregon license. "Each one said 'inactive,' " Romer said. So he took a laptop to the Medical Board to demonstrate the technology, which was deemed as good as in-person consultations. The law was changed, and legislation passed. "That opens the whole state to how medical consultations are done," he said. "All it took was showing the technology. There are no limits," Romer said. The robots are HIPAA-compliant, and each requires permission before logging on. Through EDGAR, providers can take photos and listen to heartbeats (with the help of a nurse). "We have a dozen robots we can connect to from here," Romer said. InTouch Health handles network and permissions. That is the company Lurie is with, and he has worked with Romer for the last five years. And now, the use of iPads make it possible for providers to check on their patients from afar — all they need is a little device that creates a hot spot for Internet access. As for EDGAR, he can go almost anywhere. "The only thing that's shaky is elevators. He can't push the buttons," Romer said with a smile. Also, the amount of metal in the elevators can interfere with EDGAR's connection. Some doctors like to drive EDGAR around while others prefer not too — but the hospital staff learn these preferences. And that partnership is what Romer said
“We've probably saved $2 million in transportation costs and hundreds of thousands of miles.” — Doug Romer, executive director of patient care services at Grande Ronde Hospital
makes this technology possible. "It takes more than a robot to make a telemedicine program successful," he said. And it is constantly growing. He said GRH is the only place where a stress echo can be done via telemedicine. The patient at GRH exercises on the treadmill, then immediately lays on a table for an ultrasound. Through EDGAR, a cardiologist can watch the heart's reaction to activity. "He can watch the heart beat through ultrasound. It's real-time stuff." He said soon Dr. Leslie Jackson, who works at Saint Alphonsus Medical Group-Baker Clinic in Baker City, can see rheumatology patients in La Grande with the help of EDGAR. "Why should patients have to travel to Boise, Portland, Walla Walla or Baker City for care?" Romer said. Between patient consultations, family conferences and more, EDGAR has saved a lot of money. "We've probably saved $2 million in transportation costs and hundreds of thousands of miles," Romer said.
Barefoot Wellness Yoga Schedule
Monday, Tuesday & Wednesday 5:15 - 6:30 PM All Level Hatha Flow Yoga Tuesday & Thursday 10:00 - 11:00 AM Gentle & Restorative 1798 Main Street Baker City MadHabit Boutique Basement
Barefoot Wellness Owner/Instructor Toni Goss 541-910-4114 barefootwellness.toni@gmail.com www.barefootwellness.net
Baker County Veteran Services 1995 3rd Street, Baker County Courthouse 541-523-8223 Jane Chandler, Veteran Services Coordinator The Baker County Veteran Services Office provides access to the wide range of benefits and services offered to veterans and their dependents. Health Care, Education, Compensation & Pension, Burial Benefits & much more
Create Memories... WITHOUT ALCOHOL
Certified Clinical
Speech-Language Pathologist For All Ages
Anita Swartz M.A., CCC-SLP
541-523-2983 3990 Midway Dr., Baker City one block off Pocahontas across from hospital. • • • •
Language Development Aphasia rehab. following stroke Articulation & Voice Remediation Treatment of swallowing dysfunction, etc. • Therapy following cochlear implants
Prevention Program • Community Awareness • Community Partnerships • Youth Programs For information, call 541-523-8364 2100 Main Street, Baker City
Surgery
Normal hip anatomy
Hip-replacement surgery Many people have hip-replacement surgery if treatments such as water therapy, weight loss or medications don’t relieve their pain. Surgery often becomes necessary due to some form of arthritis. Although half a million Americans have metal-on-metal hip implants, the FDA has warned of potential problems with the devices, and Johnson & Johnson is facing a number of lawsuits over its Pinnacle model.
How procedure is done 1
Area of concern in the hip socket is removed and re-shaped
2
Cup is secured in the socket and a liner is placed inside the cup
3
Stem is inserted in femur or leg bone
4
Metal ball attached to the stem is placed in the cup
Pelvis
• Chance of dislocation decreases; dislocation occurs when the ball slips out of the socket in the pelvis
Detail drawing
• Chance of device fracture is less than with other materials
2 Cup
1 Hip socket
Metal liner
Cons
Metal
3 stem
• High levels of cobalt and chromium, caused by wearing of metal components, can enter the bloodstream
Femur (leg bone)
• Neurological, cardiovascular, renal and thyroid problems can occur stemming from metals in the blood • Destruction of muscle, bone and soft tissue can occur
Metal ball
Implant material combinations
By the numbers
• Metal-on-plastic (polyethylene) • Metal-on-metal
• Ceramic-on-ceramic • Ceramic-on-metal
Pros
• Other implant materials lose more material when the ball and socket grind together compared with metal surfaces
4
• Ceramic-on-plastic (polyethylene)
Metal implant pros and cons
Inserts into hip socket Image courtesy of DePuy Orthopaedics, Inc.
Surfaces grinding against each other can cause small pieces of metal to break off and enter the bloodstream
Source: Johnson & Johnson/DePuy, FDA.gov, Reuters
150,000
1,600
10%
Patients who received a Pinnacle device (estimate)
Approximate number of lawsuits pending in U.S. courts related to the Pinnacle metal-on-metal hip system by Johnson & Johnson
Percentage of surgeons using those implants since the FDA warning
Graphic: Jemal R. Brinson, Chicago Tribune
© 2012 MCT
Northeast Oregon Health & Wellness Guide
MCT graphic
30
A new technique for total hip replacement surgery By Lisa Britton
For the Baker City Herald
A new technique in total hip replacements is now available in Baker City. It’s called an anterior hip replacement, which means the surgeon reaches the hip joint through the front instead of the side or back. “When you go through the side or back you have to detach muscles and sew them back on,” said Dr. Eric Sandefur, an orthopaedic surgeon at Saint Alphonsus Medical Group-Baker City. With the anterior approach, the muscles are split rather than detached. The recovery time for an anterior replacement is about two weeks, compared to six to eight weeks for a standard hip replacement. Not everyone is a candidate for this new approach — factors include weight and muscle mass. A total hip replacement may be necessary for these reasons: • A hip fracture that didn’t heal properly • A chronic illness, such as rheumatoid arthritis • Wear and tear from years of constant use. In this surgery, the surgeon replaces the ball-andsocket with metal implants.
First performed in 1960, hip replacement surgery is one of the most successful operations in all of medicine. According to the Agency for Healthcare Research and Quality, more than 285,000 total hip replacements are performed each year in the United States. The hip is one of the body's largest joints. It is a ball-and-socket joint. The socket is formed by the acetabulum, which is part of the large pelvis bone. The ball is the femoral head, which is the upper end of the femur (thighbone). The bone surfaces of the ball and socket are covered with articular cartilage, a smooth tissue that cushions the ends of the bones and enables them to move easily. A thin tissue called synovial membrane surrounds the hip joint. In a healthy hip, this membrane makes a small amount of fluid that lubricates the cartilage and eliminates almost all friction during hip movement. — American Academy of Orthopaedic Surgeons, orthoinfo.aaos.org/
All Natural ... No Bull!
MICHAEL RUSHTON, DPM Podiatric Physician and Surgeon
po•di•a•try
n. The study and treatment of foot ailments
— po-di’a•trist. n
Treatment and Surgery of the Foot and Ankle • In-grown Nails • Bunions • Warts • Gout • Corns & Callouses • Diabetic Foot Screening • Foot Odor • Athletes Foot • Treatment for pain in feet, shins, heels, knees, lower back • Custom-molded Orthotics Dr. Rushton is a Medicare participant and Preferred Provider for Lifewise and Blue Cross/Blue Shield.
Baker City 2830 10th Street 524-0122
Wednesdays in La Grande 1002 Spring Ave Suite 1 541-963-3431
The doctor speaks Spanish – El doctor habla Espanol.
Health Care Northeast Oregon Health & Wellness Guide 32
Oregon's health care reform By Lisa Britton
For the Baker City Herald
Affordable Care Act
When asked to explain Oregon’s health care reform, Dr. Charles HofEnrollment begins in October 2013 for the Health Insurance mann breaks it down into three points: Exchange, which will be an online marketplace for individuals • Coordinated Care Organizations and businesses to compare insurance policies to find the right • Health Insurance Exchange fit for their situation. • Medicaid Expansion Hofmann, who practices in Baker Top Things to Know for Healthy Individuals City, has been involved with policies at Under the health care law, insurance companies can no the state level, and is currently working longer drop you when you get sick just because you made a on the eastern region CCO. But more mistake on your coverage application. on that later. Parents have new options to cover their children. If you Hofmann’s second and third points have children under age 26, you can insure them if your policy are part of the federal health reform allows for dependent coverage. The only exception is if you law, the Affordable Care Act, which will have an existing job-based plan, and your children can get be fully implemented in 2014. their own job-based coverage. In October 2013, open enrollment Job-based health plans and new individual plans are no begins for individuals and businesses longer allowed to deny or exclude coverage to any child under who will be able to buy health benefit age 19 based on health conditions, including babies born with plans through the exchange, an online health problems. marketplace where people can compare Starting in 2014, if your income is less than the equivalent insurance policies and choose the best of about $88,000 for a family of four today and your job one for their situation. doesn’t offer affordable coverage, you may get tax credits to Also, businesses will have a choice to help pay for insurance. either offer health insurance plans to Starting in 2014, if your employer doesn’t offer insurance, employees or provide a stipend for them you will be able to buy insurance directly in an Exchange that to buy their own policy. gives you power similar to what large businesses and mem2014 will also bring the tax credit for bers of Congress have to get better choices and lower prices. families, which will become available for — http://www.healthcare.gov/ those with income between 100 percent and 400 percent of the poverty line who are not eligible for other affordable coverage. Here are two examples of that income chart: • 130 percent of the federal poverty level is $29,965 annually for a family of four • 400 percent is $92,200 for a family of four This applies to Hofmann’s No. 3 — Medicaid expansion. The limits will rise, meaning that 200,000 more Oregonians will be eligible for the Oregon Health Plan (OHP). And that brings us back to No. 1 — Coordinated Care Organizations (CCOs). Hofmann said the OHP benefits — physical, behavioral and dental — will be administered through regional CCOs. There are 15 to 20 in Oregon, and one to cover the eastern half of the state. However, there are also health care advisory committees in each county, which have one representative on the regional CCO. The goal, he said, is to have “systems in every county so people have access to integrated care.” And in that is a “triple aim” — better care, lower cost and higher quality. “That’s what we aim to achieve,” he said. “This is an opportunity to design a system for the patient. It’s patient-centered.” The new system will also focus on preventive care, and helping people get care sooner. “People don’t have access to care, so they wait until they’re sicker,” he said. With more coordinated care, and access to same-day appointments, patients could stay healthy. “We’ve got to change the paradigm,” he said.
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Providing leading, innovative, and guided resources for the community's fitness and health. Offering all of the equipment and amenities necessary for a fit and healthy lifestyle!
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Healthy Habits
MCT photo
Bodyweight exercises, like the planks shown here, are in the top 10 popular exercises this year.
Back-to-basics exercises are hot for 2013 Northeast Oregon Health & Wellness Guide
■■Pushups, planks, pullups and squats are back in style for fitness
34
By Helena Oliviero
The Atlanta Journal-Constitution
(MCT) — Forget fancy workout gear. One of the hottest trends of 2013 suggests you need nothing more than your own body weight. Body weight training includes back-to-basics exercises — pushups, planks, pullups, squats and other exercises — and using the body as resistance is a leading trend this year. A survey recently released by the American College of Sports Medicine says among fitness trends, body weight training appears in the top 10 for the first time. “The reason body weight exercises are becoming popular is because it’s a proven way to get and stay fit,” said Walt Thompson, associate dean for graduate studies and research in the College of Education at Georgia State University. He authored the study. “And it’s related somewhat to the economy. Our mentality is more back to the basics.” Thompson said using your own body weight to work out has been around for centuries. Gyms are repackaging body weight training by adding lights, music and fitness instructors to make it seem “fun, exciting, new.” And body weight training is something people can do in the comforts of home for free. The American College of Sports Medicine survey,
“The reason body weight exercises are becoming popular is because it's a proven way to get and stay fit. And it's related somewhat to the economy. Our mentality is more back to the basics.” — Walt Thompson, Georgia State University
now in its seventh year, was completed by 3,346 health and fitness professionals worldwide. Other fitness trends rounding out the top 10 include strength training, sharing personal trainers and incorporating more diet programs into fitness programs. So, what’s fallen off the list? Pilates, spinning and stability balls. Thompson believes while Pilates is still popular in some pockets of the country, enthusiasm has waned in Atlanta and elsewhere in recent years. He said it raises the question of whether Pilates was ever a real trend or more of a passing fad. See Exercise/Page 36
Healthy Habits Northeast Oregon Health & Wellness Guide 36
Exercise Continued from Page 36
Meanwhile, yoga, while not in the top 10 in this latest survey, appears to have staying power. Yoga secured No. 14 in this latest survey. Thompson believes yoga’s evolution to include many variations, such as hot yoga and power yoga, helps keep this form of exercise seeming new and fresh — and ultimately convinces people it’s worth paying for these classes even during lean economic times. Jacob McLendon, owner of AGX (formerly Adrenaline Group Xercise), has seen interest in body weight training build for years now. McLendon said people are more likely to combine intense cardio with strength training to achieve more well-rounded fitness. Some of his fitness clubs’ most popular classes include a mix of exercises such as leg squats, pushups and plyometrics, which involves high-intensity jumping moves. “People are getting more educated on the body and how it operates, and how body weight training not only makes you strong, but can help you with everyday movements in life like lifting your groceries into the car, walking up that flight of stairs,” said McLendon, who has fitness centers in Chamblee and Sandy Springs, Ga. “The aesthetic benefits of working out and how you look in the mirror is one thing,” he said, “but the main fact people need to focus on is and are paying more attention to is what’s going on under the surface — your muscles, your whole internal system and how your organs work, the strength of your bones.” Meanwhile, Laura Wilkinson Sinton shares a personal trainer with a friend three days a week. Doubling up on the trainer makes it less expensive than one-on-one sessions, and having a workout buddy gives her accountability. “I know if I am not there, my workout buddy is there expecting me to be there,” said Wilkinson Sinton of Atlanta. The intense, 60-to-90-minute sessions begin with a one-mile run and then include a wide range of exercises designed to make the body sweat and build muscles — lifting weights, lunges, pushups and bench presses, and the list goes on. Her personal trainer devotes one session a week to body weight training. Wilkinson Sinton, 55, started the three-times-aweek sessions with the personal trainer more than three years ago. While her weight has remained the same, her body fat percentage has dropped sharply.
Top 10 fitness trends 1. Educated, certified and experienced fitness professionals: Educated and experienced fitness professionals claimed the top spot in 2013 for the sixth consecutive year. 2. Strength training: Remaining in the No. 2 spot for the second year in a row, this trend is important for men, women, young and old to improve or maintain strength. 3. Body weight training: This is the first appearance of this trend in the survey. Body weight training uses minimal equipment. 4. Children and obesity: With nearly one in three children ages 10 to 17 considered overweight or obese, childhood obesity continues to be a serious public health problem. 5. Exercise and weight loss: Incorporating diet and exercise is of growing interest among fitness professionals. 6. Fitness programs for older adults: The baby boom generation is growing older and living longer. 7. Personal training: As more professional personal trainers become certified, they are more accessible and available. 8. Functional fitness: Functional fitness uses strength training to improve balance, coordination and endurance in order to participate in daily activities without any stress. 9. Core training: Core training stresses strength and conditioning of the stabilizing muscles of the abdomen, thorax and back. 10. Group personal training: This trend, fueled by the economic downturn, allows the personal trainer to provide individualized service catered to small groups of two to four people. Source: American College of Sports Medicine annual survey completed by 3,346 health and fitness professionals worldwide
“I recently had my checkup, and my doctor said, ‘Whatever you are doing, keep doing it,’” she said. It’s not particularly cheap, with Wilkinson Sinton estimating she spends about $500 a month on the personal trainer. “It’s an investment in myself,” Wilkinson Sinton said. “The way I look at it is this is preventive health care. I can spend the money now or spend the money later on health problems. It is the best stress reliever and makes me feel great,” she said.
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DENTAL SCIENCE 38
ODS College of Dental Science An innovative private-public partnership in Eastern Oregon now offers convenient study for associate's and bachelor's degrees in dental hygiene. The partnership matches the resources of The ODS Companies (ODS), Eastern Oregon University (EOU) and Oregon Institute of Technology (OIT). Students can earn an associate's of applied science in dental hygiene or enter a bachelor's degree completion program. Dental Hygiene offers a variety of career options with opportunities as clinician, educator, administrator/manager, researcher, consumer advocate and change agent. To be considered for acceptance to the dental hygiene program, students must: â&#x20AC;˘ Complete the series of pre-Dental Hygiene courses below, with a minimum grade point average of 2.5, at the university or community college of your choice prior to beginning the ODS 18-month program. The courses are: Anatomy and
Information ODS College of Dental Science 909 Adams Ave, La Grande 541-663-2720
Physiology, College Algebra, Elementary Chemistry/Lab, English Composition, Introduction to Dental Hygien, Microbiology, Speech â&#x20AC;˘Submit a Dental Hygiene Program Application for Admission. The ODS College of Dental Sciences also offers quality, affordable dental care in a safe and professional environment: adult cleaning, adult fluoride, child cleaning, child fluoride, adult/child fluoride, x-rays and exams. Additional services are also available. Please call 541-663-2721 to make an appointment or request additional information about our discounted services.
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HEALTHY HABITS
As of Jan. 1, GRH is smoke-free For nearly 30 years, Grande Ronde Hospital has promoted a policy for a smoke-free campus, but as of Jan. 1, 2013, the hospital implemented a tobacco-free policy, meaning there is no use of any tobacco products by employees, patients or visitors. According to a press release, “We have developed this tobacco-free policy to provide a healthy and safe environment for employees, patients and visitors and to promote the best, most positive health choices. Policies that discour-
providers Dentists — Baker County
Northeast Oregon Health & Wellness Guide
■■ Stephen Koza, DMD
2502 Cove Ave., La Grande, 541-963-4962
Baker Dental GrouP
■■ Joseph Martinez, DMD
■■ Tod Chandler, DMD ■■ Justin Bingham, DMD
■■ James McMahan, DMD
2800 Main St., Baker City, 541-523-6012
40
age tobacco use can improve our patient care by helping wounds heal faster, lowering infection rates and improving birth outcomes.” An interdepartmental team has been developed to oversee this change in policy and it includes tobacco users as well as non-users. Those with questions or concerns are welcome to contact the Community Relations Department at Grande Ronde Hospital 541-963-1480. “We appreciate your support for this exciting new opportunity to improve the health of us all.”
■■ Sean Benson, DDS
1831 First St., Baker City, 541-2144
Mountain Valley Dental
3980 Midway Dr., Baker City, 541-523-6311
■■ Dan Hayden, DDS
Hills Family dentistry
2889 D St., Baker City, 541-523-3870
■■ Stuart Hills, DDS ■■ Meggan Hills, DDS
■■ Andrew Kooning, DMD
2800 Main St., Baker City, 541-523-6012
■■ Warren Whitnah, DMD
Halfway, 541-742-6012
Dentists — Union County ■■ Mark Harris ■■ Stephen McLean, DMD
1809 Third St., La Grande, 541-963-0924
■■ Russell Kilpatrick, DMD ■■ Brian Kruse, DMD
1502 N. Pine #2, La Grande, 541-963-6445
904 Sixth St., La Grande, 541-963-3525 504 Fourth St., La Grande, 541-963-5632
■■ Patrick Nearing, DMD Eli Mayes, DDS
1614 Fifth St., La Grande, 541-963-8585
■■ Wesley Rampton, DMD
1902 Fourth St., La Grande, 541-963-4111
■■ Cynthia Morris, DDS
10609 S. Walton Road, La Grande, 541-963-2741
■■ Brian Spencer, DDS
1501 Sixth St., La Grande, 541-963-2520
Eye providers — Union County ■■ W. Pettit
1404 Gekeler Lane, La Grande, 541-963-3119
■■ Bert Frewing, OD
1602 Fourth St., La Grande, 541-963-6224
■■ La Grande Family Eye Care
1502 N. Pine, La Grande, 541-963-3788
■■ Apple Eye Care
10709 S. Walton Road, La Grande, 541-663-4100