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Medical directory 2013

A supplement to the Daily Record

Inside: Going gluten free Sugary drinks and health Treating diabetes Senior fitness

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A special publication of the Daily Record

2013 Medical Directory Table of contents

Senior fitness

Gluten free

Diabetes help

Exercising later in life: The senior fitness class offered at the Adult Activity Center in Ellensburg helps keep senior citizens on their feet.

Going gluten free: There’s an increasing amount of gluten-free food products in stores today. Some people choose to remove gluten from their diets. Some do it out of necessity.

Keeping it under control: It takes regular exercise, a healthy diet and blood sugar monitoring to keep diabetes under control. Kittitas Valley Community Hospital has programs to help.

Page 4

Page 9

Page 13

Liquid calories

Be smoke free

Cold and flu

They add up: Alcoholic beverages, energy drinks and sugary mochas are best left to the “once in a while” category because they’re loaded with calories.

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Page 16

Page 18 1 | Medical Directory 2013

Page 20

Brian Myrick / Daily Record

Sandra Zach, SAIL class instructor, leads seniors at the Adult Activity Center in Ellensburg as they work out with weights on Dec. 7.

Exercising later in life Fitness class keeps senior citizens on their feet By OLIVER LAZENBY staff writer Mary Ann Tapp walked out the door to take her dog for a walk one day last summer. She walks her dog a few times every day, but this time she suddenly felt dizzy and fell to the ground, injuring her foot. Since moving to Ellensburg two years ago, Tapp has fallen 10 or 12 times, she said. But this was the worst. “I thought, something has to change, because I keep

falling,” she said. A couple friends told her about a fitness class at the Ellensburg Adult Activity Center called SAIL (Staying Active and Independent for Life.) Tapp started coming to the class, and hasn’t fallen since. “After about a month I had no more dizziness and I stopped getting off balance when I went out walking,” Tapp said. “I go out and walk my dog several times a day and I don’t feel like I’m gonna land on the ground.”

SAIL What: SAIL (Stay Active and Independent for Life) exercise class. Where: Ellensburg Adult Activity Center. The hour-long SAIL class leads seniors through a variety of exercises designed to help keep them healthy, independent and able to overcome everyday dangers. They build strength and

2 | Medical Directory 2013

When: 1:30 to 2:30, Monday, Wednesday and Friday. Cost: Free with a $20 annual Ellensburg Senior Center membership. practice motions like getting out of chairs, and stepping into a bathtub or up a curb. Many of the exercises focus on improving balance and preventing falls, because falling is a major threat to

independent living for seniors, course instructor Sandra Zach said. Every year, about one third of people older than 65 fall at least once, according to the Center for Disease Control and Prevention. The risk increases with age. About half of people over 80 fall each year. “People tend to shuffle their feet more than really lift them up, and with sidewalks around here you have to lift your feet,” Zach said. “It might seem easy to you, but it’s not to them,” Zach said. Since Zach started teaching SAIL two years ago, she hasn’t heard of any one in the course falling. The exercises are mostly easy to do, but they build strength through repetition and help prevent falls, Zach said. “Come on, you can do it,” Sandra Zach said over the chorus of “Lollipop” by the

Brian Myrick / Daily Record

Mary Ann Tapp of Ellensburg began attending SAIL classes at the Adult Activity Center to improve her See Exercise, Page 6 balance because she had fallen several times. She hasn’t fallen since she started attending the class.

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ABOVE: Sandra Zach, SAIL class instructor, encourages seniors at the Adult Activity Center as they work out with dumbbells. RIGHT: Rudy Sautter of Ellensburg works out with weights at a SAIL class at the Adult Activity Center in Ellensburg.

EXERCISE Continued from Page 5 Cordettes playing on the boom box at a recent SAIL class. A circle of seniors, most of them over 80, copied Zach’s motions. The group has a big range in ability. Some can do the movements flawlessly, while others sit out or take a coffee break during the more difficult exercises.

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4 | Medical Directory 2013

place. These exercises mimic the motions needed for seniors to catch themselves after stumbling on a crack. “You lose stability as you get older,” Zach said. “If you’re used to doing some of these exercises, you are a little quicker to right yourself if you trip.” After that, Zach guides the class through a variety of exercises with weights. The class isn’t as aerobic as another exercise course at the Adult Activity Center, but

See Exercise, Page 7

For seniors, exercise helps Even brief bouts of vigorous exercise can help memory By MELISSA HEALY MCT


erhaps you’ve noticed you’re less likely to forget where you parked your car after a brisk tennis match than after a trip to the library. There’s a reason for that, says a new study: In healthy seniors and those with emerging memory problems, even a single brief bout of vigorous exercise and the release of norepinephrine that comes with it can enhance memory of what came just before it. The phenomenon is one of evolution’s cleverest memoryenhancing tricks: When an event triggers high emotion — the unexpected sight of a snake, for instance, and the fear reaction that comes with it — we tend to remember longer and better the details surrounding that event. For

the young and inexperienced, the ability to remember those details — where and when one saw that snake, and how exactly it behaved — increases the odds that one will live long enough to reproduce. But do those who have already survived into old age also benefit from the norepinephrine effect, and can it help compensate for memory impairment? Researchers at University of CaliforniaIrvine set out to explore those questions. To do so, they recruited 31 healthy older adults with an average age of 69, and 23 subjects who had been diagnosed with “amnestic” mild cognitive impairment — memory loss that is problematic but which falls short of Alzheimer’s disease. All were shown a series of 20 emotionally positive images — beautiful

A new study says for healthy seniors and those with emerging memory problems, even a single brief bout of vigorous exercise can enhance memory. landscapes, baby animals, sports scenes. And then, half of those in each group were put on treadmills to exercise for six

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See Memory, Page 8


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Continued from Page 6 participants try to keep their heart rates up throughout the hour-long session, Zach said. “We try to work all the muscles through our different exercises,” she said. Zach knows the value of SAIL for the seniors she instructs. She was a participant in the fitness course for six months before she started teaching it. She started coming to SAIL because she had fallen several times. Rudy Sautter, like most SAIL participants, said the social aspect of the class is

Brian Myrick / Daily Record

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reason enough for him to come. “It’s definitely a social draw. Everybody cares about everybody else,” Zach said. “If people are missing, I’ll generally call to see if they’re OK or what we can do to help.” Several people in the class live on their own and wouldn’t have anybody to check on them otherwise, Zach said. Right now, Zach’s class is the only SAIL class in town, but she says at least one physical therapist in Ellensburg is planning to become SAIL-certified next year.

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Mary Ann Tapp of Ellensburg hasn’t fallen since she started SAIL classes at the Adult Activity Center in Ellensburg. A new study says exercise can help seniors with memory problems.

Continued from Page 7 Subjects in the other half of each group were allowed to sit quietly. Sixty minutes after their brief workout (or their restful sit), the subjects were given a surprise free-recall test, in which they were asked to describe the photos they had seen and as many details as they could remember. Among those with normal memory function, a single bout of exercise increased recall of photos and details by 30 percent. Among subjects with amnestic mild cognitive impairment, those in the brief-exercise group improved their recall even more: they remembered twice the number of photos and details than did those who did not exercise. They didn’t remember as much as the non-exercising adults

with normal memory, but they did recall more than they would have. Not only did those with cognitive impairment improve their recall, they released more norepinephrine in response to exercise, apparently

compensating for their faulty memories. Sabrina Segal, a postdoctoral fellow at Irvine’s Center for Stress and Health and the study’s lead author, said researchers have established that ongoing exercise

regimens help support memory function in both healthy older adults and those with memory problems. But she and her colleagues were struck that for both groups, even a short, one-time bout of exercise strengthened recall.

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Going gluten free For some, it’s by choice; for others, it’s necessary By ALISA WEIS for the Daily Record


f you analyze the ingredients in the foods you purchase, it’s likely that you’ve noticed an increasing amount of glutenfree labels in the grocery store. Gluten is the protein found in wheat, barley, rye, malt and certain oats. While some people are going gluten-free by choice, others avoid such ingredients because it’s an absolute necessity. Marc McPherson, a Central Washington University police officer, became incredibly sick a little more than four years ago. In a short amount of time, he lost more than 20 pounds from his 6-foot, approximately 165-pound frame. If his aunt hadn’t been diagnosed with celiac disease the year before, he wouldn’t have known which tests to ask his doctors to run. Sure enough, he tested off the charts for celiac, a disease where chronic failure to digest food is triggered by the small intestine’s sensitivity to gluten. Though his symptoms were mostly related to digestive troubles, it’s also common

Allowed foods Many healthy foods are naturally gluten-free: ■ Beans, seeds, nuts in their natural, unprocessed form ■ Fresh eggs ■ Fresh meats, fish and poultry (not breaded or marinated) ■ Fruits and vegetables ■ Most dairy products Avoid the following foods unless labeled gluten-free or made with corn, rice, soy or

other gluten-free grain: ■ Beer ■ Breads ■ Cakes and pies ■ Candies ■ Cereals ■ Cookies and crackers ■ Croutons ■ French fries ■ Gravies ■ Imitation meat or seafood

for those with celiac disease to experience headaches, fibromyalgia-type symptoms and other signs of malnutrition. Because of the damaged cilia in his intestines, nutrients weren’t absorbing properly. He knew he’d need to adopt a gluten-free lifestyle. The process has been easier with the support of his wife, Sharrie, a law enforcement clerk for the Kittitas County Sheriff’s Office and a Jazzercise instructor.

■ Matzo ■ Pastas ■ Processed luncheon meats ■ Salad dressings ■ Sauces, including soy sauce ■ Seasoned rice mixes ■ Seasoned snack foods ■ Self-basting poultry ■ Soups and soup bases ■ Vegetables in sauce

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Marc and Sharrie McPherson pose for a photo after their first mountain climb together.

GLUTEN Continued from Page 9 “It was daunting to read all the labels at first,” Sharrie said. “If you buy an apple, at least you know what you’re getting. When you start scanning each item, the malt vinegar and the

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wheat starch, it makes you realize how important it is to limit processed foods.” When Marc’s stepsister sent them “The Gluten-Free Shopping Guide,” the process became simpler. Sharrie recommends this resource to anyone considering a gluten-free diet since there’s a category for certain brands

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and items such as acceptable chips and cookies. While not 100 percent gluten-free herself, Sharrie helps Marc by avoiding certain foods, knowing what to request at restaurants, and ensuring no cross-contamination occurs during meal preparation. “There was a lot of pre-planning at first, but our family is used to eating this way now, and we really see the benefits,� Sharrie says. “We have a lot of casseroles and use the crock pot for chicken and baked potatoes to save time during the busy week.�

Trial and error That doesn’t mean there wasn’t a lot of “tasting� trial and error in the beginning of their gluten-free days. They sampled almond and coconut flour and “went through a lot of bad bread recipes� before settling on what worked best for their family. “We now use Pamela’s

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Products quite a bit, and I bake bread for Marc about once a week,� Sharrie says. “Though you have to pay a premium for certain gluten-free foods, I order Pamela’s Products by the case and am on an auto-ship program, which helps us save money.� With two boys, ages 5 and 3, Sharrie says she sometimes allows regular bread and items such as Nutrigrain bars in their home. Though the children aren’t held to such a strict eating standard, they are learning to be mindful of cross-contamination. Sharrie ensures that they wash their hands after eating foods with gluten and makes sure that she doesn’t use the same cutting board for Marc’s sandwiches as she does for the boys’. Cross-contamination concern makes them a little leery about dining out at unfamiliar restaurants.

See Gluten, Page 12


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GLUTEN Continued from Page 11 When in doubt, Marc orders a fairly bland salad with an oil and vinegar dressing since dressings often contain a gluten thickener. Thankfully, many local businesses accommodate gluten-free needs. Sharrie says the Ellensburg Pasta Company has a specially trained kitchen staff. Likewise, Campus U-Tote-Em offers a gluten-free bun for burgers. The Tav has a dedicated fryer. More options are posted at www.urbanspoon. com. Click on Washington state, Ellensburg and “gluten-free.”

Making a difference Though some might think of the downside to such restrictions in diet, Sharrie says, “I saw how healing it was for Marc and found it absolutely amazing that what we eat can

make such a difference in our lives.” The McPhersons have used their experience to improve their personal health and nutrition. Since going gluten-free, Marc has been able to regain weight and put on muscle mass. Sharrie says as much as celiac disease forced a change in their lives, it was having children that made them pursue a more active lifestyle. Whereas their default activity five years ago involved clicking through channels after a long work day, the McPhersons are just as often out on family walks, bike rides, and hikes on Manastash Ridge. Always aspiring for more, Marc and Sharrie decided to climb Mount St. Helens this past summer, and Sharrie is contemplating a next marathon or a mountaineering adventure with Marc. Knowing their boys are looking to them as role models in life, they want to set their health standards as high as possible.







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Wheat may be possible for people allergic to gluten Can scientists create glutenfree wheat plants to make bread with? Writing in the journal the Proceedings of the National Academy of Sciences, a team of scientists concludes that it’s quite possible. People with serious gluten allergies such as celiac disease now have only one tried-andtrue option: swear off all foods containing wheat, barley and rye. Only that way can they avoid the damage that gluten exposure wreaks: abdominal pain, nutritional deficiencies and a progressive flattening of the tiny hairlike villi in the gut that are needed for the proper digestion of food. It takes discipline

Avoiding gluten isn’t easy, and those with the discipline to succeed deal with a host of restrictions to their diets. Scientists have experimented with another tack: sifting through different varieties of wheat and barley lines that lack, or make a lot less of, key gluten proteins in their grains. (Gluten is a complicated mix of proteins that are stored in seeds of wheat, barley and rye, and only some

— not all — of these proteins trigger the allergic reactions.) Though they’ve found varieties that lack some of the important allergenic proteins, “None of the tested materials was completely nontoxic for celiac patients and thus could not be recommended for general consumption,” note authors of the study. WSU scientists

Those authors, Shanshan Wen of Washington State University in Pullman and colleagues, tried a different approach. It hinged on a key enzyme — one that helps activate a whole set of genes that make the most problematic gluten proteins. Using a genetic engineering trick, they knocked out that enzyme. As a result, the seeds of the wheat they studied had sharply reduced levels of this set of problem proteins. The authors say it’ll take more tinkering before they can create a line that eliminates the problem proteins entirely while keeping other non-problem ones in the seeds. But they say they have a good chance of doing it and that the resulting wheat still should make decent bread for baking. — MCT

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or people with diabetes, the amount of time required to keep the disease in control can be overwhelming. It takes regular exercise, a healthy diet and constant blood sugar monitoring. Mike Katz, an Ellensburg resident who was diagnosed with type 2 diabetes 23 years ago, knows firsthand the importance of controlling the disease. His father had his Mike leg amputated Katz below the knee due to a diabetes complication. Modern technology and research has made diabetes easier to manage, but the number of people diagnosed with diabetes in the United States is increasing 35 to 50 percent per year. Kittitas Valley Community Hospital offers programs that help people control the disease. After Katz was diagnosed, he began bicycling and taking daily walks with his dog.

A dietician at the hospital worked with him to plan his diet. At first, diet and exercise was enough to control his blood sugar, but diabetes is a progressive disease. Five years after being diagnosed, Katz began taking oral medication and, eventually, insulin injections. “Once you have it, you have it,” Katz said. “But you can keep it under control and live a reasonably normal life.” Katz attends a monthly support group with a variety of diabetesrelated presentations. “They always have something worth listening to,” Katz said. “I like the meetings when they discuss different foods and sugar-free recipes.”

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See Diabetes, Page 14

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DIABETES Continued from Page 13 “We’re always trying to encourage people to take advantage of the education,” said Pam Dick, diabetes coordinator at KVCH. “The research shows that people who have had at least one session with an educator have better control and management than people who haven’t.” Medicare covers several hours of diabetes education per year, Dick said.

New technology Dick talks with patients about diet and exercise, and helps diabetes patients learn how to perform insulin injections and use blood sugar monitors. Some of the technology, like blood sugar monitoring, has come a long way. Patients used to check

blood sugar levels by dipping litmus paper in their urine. Most diabetes patients are nervous about insulin injections at first, Dick said. KVCH has a fake plastic stomach that patients can use to practice the injections. “Whether they’re a rancher or a 90-year-old little grandma, everyone seems to be nervous about insulin injections,” Dick said. “The nice thing is the needles are so small and fine, you can’t even really feel them when they inject.”

Practice Practicing injections into a plastic abdomen typically shows patients that the injection is more gentle than they thought. Patients who learn the proper technique before


Diabetes help at KVCH KVCH offers diabetes self management classes, a support group and education. To learn having to do it on themselves are comfortable with the process, Dick said. While diabetes is manageable, the constant attention it requires can be exhausting, Dick said.

more, go to departments-and-services/ diabetes-education. “It’s hard to stay on top of their treatment because its a day-in, day-out thing,” she said. “It’s really tiring for people. I had a patient who said, ‘I just want to go on a diabetes vacation.’”

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Liquid calories add up Some drinks belong in the ‘once in a while’ category By ALISA WEIS for the Daily Record


iquid calories can be deceptive, and it’s easy to forget that sugary mochas, alcoholic beverages, and energy drinks are best left to the “once in a while” category. The American Journal of Clinical Nutrition recently reported that weight loss was linked to reduction in calorie consumption. In a recent study, researchers found that “cutting 100 calories a day from liquid results in weight loss of about half pound at six months and 18 months, whereas only .1 pound was

lost for food calories at those time increments,” according to the Mayo Clinic. Kittitas Valley Community Hospital registered dietician and diabetes educator Pam Dick has a few tips. She’s sure you’ve heard it before, but it’s important to drink approximately eight glasses of water a day and remember that “a lot of caffeine negates hydration.” So don’t stop drinking water simply because you are drinking eggnog lattes and spiced cider. If you’re headed through the local coffee drive-through, you might tell yourself that those tempting seasonal drinks are “a treat and not for

every day,” Dick says. Since so many people like to cover the bitter taste of coffee with something sugary, consider adding dark chocolate cocoa to your drink in place of milk chocolate. Though not as sweet, it won’t take long to appreciate the added flavor. If you’re craving a cup of eggnog, you can purchase the “light” variety and not worry quite as much about the impact to your waistline.

for a Mike’s hard lemonade mixer that is higher in sugar and has about 250 calories per drink. While distilled vodka and whiskey have about 80-100 calories per serving, the calorie count goes up with a soda mixer. Since partygoers don’t often pause before reaching for the next drink, it’s wise to calculate the calories and decide on how much to consume before heading to the event.

Energy drinks Alcohol When it comes to alcoholic beverages, Dick recommends selecting a four ounce, 80-100 calorie wine before reaching

While moderation works in many scenarios, Dick cautions against consuming the energy drinks that are so prevalent on the market these days.



REG IST ER 4FREE 2 SUBMIT YOUR EVENTS! 14 | Medical Directory 2013

The Food and Drug Administration is scrutinizing the caffeine content in a product called 5-Hour Energy. Because the FDA is still inspecting the health concerns of such drinks, Dick says they’re best to avoid until proven safe. Meanwhile, one or two cups of coffee (without too much added sugar) haven’t shown to have a negative impact on most

people’s health. In selecting your daily beverages, it’s important to realize that liquid calories don’t tend to satiate us nearly as much as solid food does. A study at Purdue University looked at the effects of food form on appetite. Participants consumed either a whole apple, applesauce or apple juice of the same caloric value. The participants who had the apple juice were ready for their next meal almost an hour earlier than those who had a regular apple.

See Liquid, Page 19

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15 | Medical Directory 2013

Smoke-free living Speak with a trained quit coach to be successful By ALISA WEIS for the Daily Record


here’s no time like the beginning of a new year to decide you’ve lit your last cigarette. Since it’s easier said than done, services such as Washington State Tobacco Quit Line (1-800-QUIT-NOW for English and 1-877-2N0-FUME for Spanish) offer tailored telephone support. Rather than listening to an automated voice, prospective quitters are matched with a Quit Coach who has undergone more than 240 hours of specific training to help people overcome urges and create a

plan. The coach also recommends nicotine replacement therapy through use of nicotine gum or a patch if needed. “We direct clients interested in tobacco cessation directly to the quit line,” says Kasey Knutson, a local educator for the Kittitas County Department of Health. “People are far more successful in overcoming (their addiction) once they’ve spoken with a trained quit coach or undergone nicotine replacement.” In August, new funds from the Centers for Disease Control and Prevention were made available to give people help and support in kicking the habit. The assistance comes

regardless of insurance status. Since the state’s quit line began in 2000, more than 170,000 residents have received help, and Washington has seen a 30 percent drop in adult smoking. Dr. Richard Hurt of the Mayo Clinic’s Nicotine Dependency Center said there’s more than just willpower in giving up smoking. Nicotine changes the chemistry in one’s brain, making the addiction a powerful one to quit on one’s own. Another helpful resource for those wanting to quit smoking is www.becomeanex. org, a free online program which allows people “to relearn life without cigarettes.”

Users are encouraged to track their typical smoking habits and set up replacement activities which include spending more time in smoke-free establishments such as malls, churches or libraries. If former smokers start getting fidgety, itching for something to hold in their hands, recommendations include reaching for a water bottle, a paper clip or a pencil instead. Likewise, lollipops, cinnamon sticks and hard candies are recommended.

Giving it up Local caregiver and full-time mom Renae Morse says that while she didn’t experience the guidance of a quit coach,

Daniel Hanson, M.D. Physican & Owner – Accepting New Patients Dear Community, My wife, Heidi and I moved to Ellensburg in the summer of 2011 with very high hopes, but uncertain of what to expect. Coming out of a residency program in New Orleans, Louisiana, to a private practice in rural Washington was a huge change for us. We are both very happy here and greatly appreciate the support of both the medical and nonmedical community. One of my personal goals was to uphold the standard of care set by my predecessor, Dr. John Boys Smith, while slowly integrating new services into the community. As a result, last year I successfully added new retinal services and equipment to the practice. This year, one of the new services that I am excited to offer in Ellensburg is the ability to implant astigmatism correcting intraocular lenses during cataract surgery. The equipment required to do that also lets me obtain the most accurate results in patients with previous LASIK or RK surgery. I look forward to living in Ellensburg for many years to come and will strive to provide the latest and highest quality eye services to this community. Thank you again for your support! Sincerely, Daniel Hanson, M.D. Monday-Friay 8:00 am-5 pm (Available after hours for emergencies)

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American smokers The share of Americans who smoke has fallen dramatically since 1970, from nearly 40 percent to about 19 percent. But the rate has stalled since about 2004, with about 45 million adults in the U.S. smoking cigarettes. she was able quit smoking by chewing gum and hard candies such as Werther’s Originals. Though she’d smoked on and off since the age of 18, she knew the cigarettes had to go when she learned she was pregnant with her now 4 1/2-year-old daughter Jaime. “I knew I had to cold turkey it,” Morse says, given the lifechanging event of becoming a mother. “But I was able to focus on replacing a bad habit with a good one.” Though the natural stress of life lent to her decision to pick the habit up after her daughter’s birth, she decided to stop for good after her second child, Ryan, was born three years ago. “I have more energy and no longer like the smell of smoke at all,” she said. “The best part is not having to go outside in the winter and

Steps to stop The website gives five first steps for the prospective quitter which spell out an acronym for the word “start.”The steps are as follows: S: Set a quit date, T: tell family, friends and co-workers so you can gain their support, A: anticipate your challenges, R: remove cigarettes and tobacco from your home, car and work, T: talk with your doctor and ask for extra support through this endeavor. freeze in order to smoke anymore.” Though it may seem difficult, people who quit smoking will find immediate rewards. Among them: an improved sense of taste and smell, easier breathing and the fact that nicotine leaves the body within three days. As for the long-term results of the healthy decision? A lowered risk of innumerable diseases including heart disease, stroke, emphysema and 13 types of cancer, not to mention a positive example to others who aspire to let the life-stealing habit go.

RICHMOND, Va. (AP) — Talk about a smoke break. Tobacco companies have introduced almost no new cigarettes or smokeless tobacco products in the U.S. in more than 18 months because the federal government has prevented them from doing so, an Associated Press review has found. It’s an unprecedented pause for an industry that historically has introduced dozens of new products annually, and reflects its increasingly uneasy relationship with the Food and Drug Administration, which in 2009 began regulating tobacco. Officials at the FDA say the reviews of applications for new products have taken so long because of “significant deficiencies” and because the agency is taking extra care in reviewing products that pose public health risks. Industry executives

say cigarettes haven’t changed in any meaningful way and the delays don’t make sense. They say the changes are as simple as a brand name change, cigarette filters or, in some cases, different packaging. Since June 2009, when the law allowing the agency to regulate tobacco went into effect, the tobacco industry has submitted nearly 3,500 product applications, according to data obtained by the AP under a Freedom of Information Act request. While none have been ruled upon, the vast majority of these products are already being sold. A grandfather clause in the law allows products introduced between February 2007 and March 2011 that are similar to those previously on the market to be sold while under review. They can be removed from shelves if they don’t pass muster.

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LIQUID Continued from Page 17 It’s no wonder people forget to calculate the calories they drink. As a nutritionist, Dick knows that some of patients are hesitant to seek her advice at first since eating and drinking are such personal choices. She says that she is there to “tweak and help with changes here and there.” She’s invested

New tobacco products halted

in helping patients create conscious habits that will impact the greater picture of their health and fitness, not in keeping people away from the occasional treat. The way she approaches it is this: “If you’re drinking three Mountain Dews a day, let’s bring it down to two and work on making lasting changes over time.”


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Cold and flu myths, facts Colds don’t come from the weather or having wet hair By NANCY CHURNIN MCT


obody wants the common cold as a guest, but the upper respiratory infection keeps knocking at the door, never more frequently than during the winter holiday season. Some experts have suggested it offers a service in building up a child’s general immunities. Bah, humbug to the cold bug on that, responds Dr. Jeffrey S. Kahn, director of infectious diseases in the department of pediatrics at University of Texas Southwestern Medical Center.

“I would not favor exposing young infants to respiratory viruses as this can lead to lower respiratory tract disease like pneumonia and upper respiratory tract infections, which often lead to otitis media (ear infections) which can be serious and lead to increased use of antibiotics — not good,” Kahn said. “While I agree that there may be a prevailing germ phobia in our culture and not all microbes are bad, I would not put the cold viruses in this category.” That said, here’s a look at common myths and how best to prevent and fight colds, according to Kahn and to Dr.

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Amber Hyde, an independent primary care physician at Methodist Mansfield Medical Center; Dr. Paul Kim, a family practitioner associated with Baylor Regional Medical Center at Grapevine; and Dr. Janna Massar, an internist associated with Texas Health Presbyterian Hospital Plano. ■ Colds are caused by cold weather. No, they are caused by viruses. However, you might be more susceptible to colds in the winter months because you tend to go indoors in crowded environments where you are more likely to pick up other people’s viruses. Plus, there are some strains of cold viruses that thrive in the cold, and cold weather can dry out your sinuses, making them more vulnerable to infection. ■ You can catch a cold by going outside with wet hair or damp clothes. No, but being wet can weaken your immune system, which makes it more likely that you can catch a cold. ■ It’s easy to spot a cold. No, it can be challenging to diagnose because there’s a lot of overlap among

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upper respiratory infections. Untreated allergies can lead to colds, and colds can be a breeding ground for bacterial infections. You can help your doctor distinguish between an allergy and cold by telling him or her if you get your symptoms consistently at specific times of year when certain allergens might be in play. ■ The best cure is vitamin C. No, there’s no proof that vitamin C helps, but vitamins C and B-12 have fans among medical professionals, and they can’t hurt. Some experts strongly recommend zinc lozenges, but because of divergent studies, the National Institutes of Health only asserts “zinc lozenges might be useful ... as a treatment option.” It recommends more research and caution, particularly after the U.S. Food and Drug Administration warned consumers to stop using three Zicam intranasal cold-remedy products containing zinc when some users lost their sense of smell. In contrast, studies show that good old chicken soup,

which seems to have antiinflammatory properties, might reduce the length and severity of colds. Drinking lots of fluids, gargling with salt water and breathing warm, humidified air that moistens your sinuses can help, too, by easing congestion. ■ You’re less likely to get sick if you wash your hands and use hand sanitizers. Yes, hand sanitizers can reduce your chances of getting sick by killing the viruses that cause the common cold. Washing hands frequently with soap and water for 30 seconds at a time is recommended. Kissing and hugging people who have colds is not recommended. ■ You should rush to the doctor at the first symptom for antibiotics. No, antibiotics can only kill bacteria in a bacterial infection; a cold is a viral infection for which there is no cure. Doctors vary on how soon an otherwise healthy adult should go in for help. Some believe you can lessen the severity and duration of the cold by prompt, aggressive action, while others say you should wait it out unless you have severe vomiting, nausea or diarrhea or severe shortness of breath, because those symptoms indicate a bacte-

rial infection, flu or asthma. Kids, the elderly and those with weakened immune systems are the most vulnerable and should be treated right away. ■ The flu is just a big cold — wait it out. No, the flu is a virus, as the cold is, but you should seek treatment right away as the flu has the potential to be life threatening. Deaths in a three-decade period ranged from 3,000 to as high as 49,000 per season, while an average of 200,000 people a year are hospitalized, according to the Centers for Disease Control and Prevention. You know you’re dealing with the flu, rather than a cold, if your temperature is 103 F or greater and you have a sudden onset of high fever, body aches and pains in six hours or less, which is not

19 | Medical Directory 2013

the case for colds. Better yet, don’t wait to get the flu, say the experts at the CDC’s National Center for Immunization and Respiratory Diseases. If you haven’t been vaccinated yet, they advise getting immunized now — particularly children, senior citizens, pregnant women or those with chronic medical conditions such as asthma, diabetes and heart disease, as these factors put you at high risk for serious flu-related complications. The vaccine usually takes one to two weeks to give protective immunity, but the flu season typically lasts six to eight weeks or longer. Plus, the good news, according to the CDC, is that this season’s vaccine should protect against most of the flu viruses that have been currently identified. ■ Colds take a long time to germinate. No, if you are infected, it should happen within 24 hours. ■ Colds are not dangerous. Yes, they aren’t dangerous for an otherwise healthy adult. But if they’re untreated and get worse, they can weaken even a healthy adult’s body, precipitate an asthma attack and make you a candidate for bacterial infection and other illnesses that can be dangerous, including bacterial bronchitis and viral pneumonia. ■ Scientists are close to finding a cure for the common cold. No, it’s impractical to look for a cure when the viruses that cause colds are constantly changing. The best offense is a good defense. Strengthen your immune system with a healthy diet, exercise and sleep, and remember to wash your hands and to treat the symptoms at the first sign of trouble.

Pertussis cases on the rise U.S. whooping cough is at its highest level in 50 years By DON SAPATKIN MCT Pertussis is at its highest level nationally in a half-century. But cases of pertussis, also known as whooping cough, often decline in late fall into early winter. With 16 deaths nationwide this year — most of them infants no more than 3 months old — a decline that is more than a typical seasonal variation could be good news, as pertussis usually appears in waves several years apart. On the other hand, several states, mainly in the West, have been fighting multiyear outbreaks;

Washington reached levels even higher than before a vaccine arrived in the 1940s. At that time, pertussis caused 5,000 to 10,000 deaths a year in the United States. The classic “whoop, whoop” sound of children gasping for air amid coughing spasms set parents on edge. The disease is so contagious that up to 90 percent of close contacts who don’t have immunity will become infected; a single sneeze can do it. Sarah Long, a baby in 1945, remembers her mother talking about the time when all five children in the family came down with pertussis. “She did not change clothes

What is whooping cough? Whooping cough is a highly contagious illness caused by bacteria. It mainly affects the respiratory system. Whooping cough is very serious, especially for babies and young kids. Is can cause pneumonia, seizures, brain damage, and death. Symptoms differ depending on age. Babies and young kids can

have severe coughing spells that make it hard to eat, drink, breathe, or sleep. The cough is often followed by a “whooping” sound when breathing in. Some babies may turn blue because they don’t get enough oxygen and can’t catch their breath. Older kids and adults may have a bad cough, runny nose, and fever.

for two weeks,” said Long, chief of infectious diseases at St. Christopher’s Hospital for Children in Philadelphia. She stayed in the room “to make sure we would all make it through coughing spells.” A “whole cell” vaccine using a killed Bordetella pertussis bacterium was added to diphtheria and tetanus toxoids as combination immunizations in the late 1940s; within two decades, pertussis in the United States was almost gone. Most of the world still uses that DTwP vaccine. But the side effects — pain and swelling at the injection site, and fever — were worse than from other vaccines. And there were fears,

later disproved, that it caused neurological damage. As the disease faded from memory, some parents questioned the vaccine’s worth.

Switch to DTaP The United State began switching to an “acellular” version made with components of the bacterium, known as DTaP, in 1992; by 2000, nearly all children got the new version of the full five-shot series. A few years later, pertussis began to rise. “It was borne out over time that those who got only the acellular vaccine got less protection by age 7, 8, and

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9,� said Long, a member of a pertussis working group for the Centers for Disease Control and Prevention. The old vaccine didn’t fade until around age 11, she said. The difference is now believed to be the biggest reason for the recent spikes. Parents’ refusal to vaccinate their children over religious beliefs or philosophical objections has been cited in some outbreaks around the country.

Booster shot To counteract the waning immunity, the national vaccine advisory panel in 2005 recommended a booster shot using the adult formulation (Tdap) at age 11-12, and is finalizing guidance that women get vaccinated during each pregnancy, passing antibodies on to their newborns. Most children who get the disease are infected by adults. Research shows that 75 percent of infant cases were transmitted by household contacts or caregivers, and guidelines call for them to be vaccinated. But fewer than 10 percent of adults have had Tdap. The vaccine has caused other conundrums. Even as immunity wanes, it lessens severity of the disease, so pertussis is less likely to be diagnosed based on symptoms, which tend to be milder in older people. It also complicates standard labora-

tory tests, which underdiagnose the infection by a factor of 10 or more. “Pertussis is a weird kind of disease,� said Gary Emmett, chief of inpatient pediatrics at Thomas Jefferson University Hospital. It looks like a cold: runny nose, aches, low fever, and a mild cough. It often goes away in adults after a week or two — plenty of time to have infected children. The cough may continue, Emmett said, and “could be mistaken for asthma.� Some cases then worsen, with vomiting and coughing fits that lead to exhaustion. The youngest infants are unable to gasp for air with the classic “whoop,� but many briefly stop breathing, known as apnea. More than half are hospitalized; of those, 1 percent to 2 percent die, the CDC reports.

The most in 50 years As pertussis spreads — 38,056 cases have been reported nationally since January, the most since 1959 — there is a growing recognition that something must be done. Among the possibilities: strengthening the vaccine somehow, developing a new one, returning to the old one, and giving a booster shot at a younger age. “This is a miserable disease,� said Caroline Johnson, director of the Division of Disease Control. “I don’t want to be the parent of a kid who is suffering.�

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Diet soda has consequences


Lauren West, left, and her son Michael West pose with Diet Coke at their home in Plano, Texas in November.

Just because it has no calories, doesn’t mean it’s healthy By LESLIE BARKER MCT DALLAS — In Laura West’s household, a 24-pack of Diet Coke lasts about a week. She drinks two or three a day, her 15-year-old son Michael at least that many. “I’ve always been associated with Diet Coke,” says West, 45, an avid runner who lives in Plano, Texas. “If people don’t know

what to get me, they get me Diet Coke” memorabilia. She and Michael have gone through phases when they “try to be good” and cut down on their consumption, she says. But “at this point, I don’t have that many bad habits. If there was a study to come out saying it shortens your life by five years, I’d probably stop or try to stop.” West might be right in being at least a little concerned. Although

consuming something with no sugar might sound healthy, and beverage-makers offer evidence that the drinks can indeed help with weight loss, independent health experts say the drinks are not innocuous.

Seven scary results Prevention magazine recently offered seven scary results of drinking diet soda, including issues with weight, kidneys,

22 | Medical Directory 2013

metabolism, teeth and cells. “The fact that it has zero calories does not mean it has no consequences,” says Sharon Fowler, a specialist in the Division of Clinical Epidemiology, School of Medicine at the University of Texas Health Science Center in San Antonio. Echoes Charles W. Wakefield, a professor at Texas A&M Health Science Center Baylor College of Dentistry: “People think, ‘Diet

Fact: On average Americans consume nearly 100 pounds of sugar and high-calorie sweeteners each year, or almost 30 teaspoons a day. Nearly half comes from soda or fruit drinks that contain sugar or other sweeteners; together such drinks are the — MCT top source of calories in the American diet.

soda is so much better for me.’ You see them on Sunday night buying four cases of that stuff, and it’s just for one week.” His concern is teeth (more on that later). Fowler’s worry, among others, is the link between diet soda and obesity. “If you’re overweight and drinking diet sodas, there’s an even greater risk of weight gain than being overweight and not drinking them,” she says.

which keeps track of people who have lost 30 pounds and kept the weight off for at least a year. One thing registrants had in common: “They used diet soft drinks to maintain weight loss,” Schorin says. “These are palpable ingredients that can help people in their efforts” to lose weight, she says.

Your teeth Five-time increase Nancy DiMarco, professor of nutrition at Texas Woman’s University, points out a study in the journal Microbiology and Ecology, which shows this: “People who drank one or more diet sodas a day have a five-time increase in waist circumference in 10 years compared to those who drank none.” Crazy, huh? Isn’t the whole point of diet drinks to help people lose weight? Maybe, but our bodies have other ideas. “We are designed in a way that taste matters in our body’s ability to figure out how many calories we have,” Fowler says. “Disrupting that makes it harder for the body to figure out.” Sweet tastes tend to be caloric, which kicks off metabolism. But if a sweet taste comes in and there’s nothing to burn, she says, the body learns not to rev up. Studies suggest that because you’re not full, your metabolism will slow down, she says. “If you’re never full, it will lead you to search out more food all the time. You’ll eat more on a regular basis, more calories on a daily basis than you normally would.” But dietitian Marilyn Schorin, who has a doctorate in nutrition and is a consultant to the American Beverage Association, says if diet sodas were unhealthful, she wouldn’t drink them. She cites a Harvard University study in which participants who drank a diet soda a day cut daily calories by 100 and lost weight over three years. “That showed people didn’t compensate by saying, ‘I’ll eat more of something else.’” Schorin also offers information from the National Weight Control Registry,

In so doing, are you harming your teeth? Quite possibly, says Wakefield at Baylor. “Acidity, not sugar, is what dissolves tooth structure until it gets deeper and turns into decay,” he says. This is especially detrimental for people taking any of several hundred medications that can cause dry mouth. “If someone like you or me has normal saliva, we could sip on fruit juice, Diet Coke, lemonade, and it wouldn’t bother us,” Wakefield says. “But for these people, and there are a lot of them, with compromised quality or quantity of saliva, they have a problem.” If you don’t have dry mouth, you still need to be careful, he cautions. Don’t sip on one throughout the day and rinse your mouth with water when you finish.

Osteoperosis Wakefield is also concerned about the link between sodas — sugared and sugar-free — and osteoporosis. Just a few of either a week can predispose people to the bone-eroding disease, he says, “particularly if consumed through the teen years into the mid-20s, the period when lifelong bone formation takes place.” So what to do with this information? Remember that diet sodas, along with their higher-calorie sugared counterparts, offer nothing nutritionally. Then again, neither do potato chips or Milk Duds. So think — yes, that most useful of M-words — moderation. Schorin adds another: mindfulness. “Diet sodas,” she says, “are not a permission slip to eat whatever you want.” 23 | Medical Directory 2013


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Mon, Wed, and Fri: 9:00 A.M. - 12:00 P.M., 2:00 P.M. - 6:00 P.M., Thurs: 8:00 A.M. - 3:00 P.M. Address: 605 N. Main St. Suite #3, Ellensburg, WA 98926 Phone: 509-962-8008 Fax: 509-962-8009 Website/e-mail:

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Mon, Wed, and Fri: 7:30 A.M. - 5:00 P.M., Tues & Thurs: 8:00 A.M. - 5:00 P.M. Sat: 9:00 A.M. - 11:00 A.M. Address: 109 Water St., Suite #2, Ellensburg, WA 98926 Phone: 509-962-2225 Website/e-mail: /

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DENTIST Creekside Dental

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Hours: Mon-Fri: 8:00 A.M. - 5:00 P.M. Address: 708 East Mountain View Phone: 509-962-2755 Fax: 509-962-2750 Website/e-mail: /

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Mon-Wed: 7:00 A.M. - 6:00 P.M. Thurs-Sat: 7:00 A.M. - 5:30 P.M. 1206 Dolarway Rd. Suite 101, Ellensburg, WA 98926 509-933-2400 509-933-4804

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509-962-9020 305 E 2nd Ave, Ellensburg, WA 98926

Sunrise Dental Hours:

Mon: 9:00 A.M. - 7:00 P.M. Thurs & Sun: 9:00 A.M. - 6:00 P.M. Address: 306 S. Main Street, Suite 1, Ellensburg, WA 98926 509-790-0080 Phone: 509-232-7181 Fax: Website/e-mail:

Accepting New Patients · Best Way to Contact: Phone Accept Medicaid Patients, Private Insurance, Have sliding fee program

25 | Medical Directory 2013

Travis M. Howey, DDS & Associates

Comprehensive eye care, full service optical. Sarah K. Storrs, OD, Optometrist

Hours: Mon-Fri: 9:00 A.M. - 5:00 P.M. Address: 601 N. Main Suite 2, Ellensburg, WA 98926 Phone: 509-933-3300 Fax: 509-933-3311 Website/e-mail: / Resources Available: General dentistry for all ages, Crowns, Fillings, Root Canal Therapy, Cosmetic Dentistry. Children welcome, Nitrous available. Travis Howey, DDS, General Dentistry

Accepting New Patients · Best Way to Contact: Phone

Accepting New Patients · Best Way to Contact: Phone, Website/e-mail

Valley Vision & Hearing Associates Hours: Address:

Mon-Fri: 8:00 A.M. - 6:00 P.M. 2201 W. Dolarway Rd. Suite 2, Ellensburg, WA 98926 Phone: 509-925-1000 Fax: 509-925-2474 Website/e-mail: Resources Available: Comprehensive optometry, audiology, and ophthalmology

Julia Moritis, DDS, General Dentistry

Robert D. Davis, OD Optometrist

Accepting New Patients · Best Way to Contact: Phone

Accepting New Patients · Best Way to Contact: Office Phone

Pam Thomas, RDH, Hygienist

Accepting New Patients · Best Way to Contact: Phone

Abel W. Li, MD, Ophthalmologist

Accepting New Patients · Best Way to Contact: Office Phone

Candy Wetzel, RDH, Hygienist

Accepting New Patients · Best Way to Contact: Phone

Leo Oltman, LDO, HIS

Accepting New Patients · Best Way to Contact: Office Phone

Early appointments available

Scott M. Oltman, OD, Optometrist

Accepting New Patients · Best Way to Contact: Office Phone


Julia A. Coe, AuD., Audiologist

Accepting New Patients · Best Way to Contact: Office Phone

Boys Smith Vision Center

Jennifer R. Crown, OD, Optometrist

Accepting New Patients · Best Way to Contact: Office Phone Hours: Mon-Fri: 8:00 A.M. - 5:00 P.M. Address: 109 N. Pine Street Phone: 509-962-3937 Fax: 509-962-4057 Website/e-mail:

Nancy Smart, MS, CCC-A

Accepting New Patients · Best Way to Contact: Office Phone


Dr. Daniel Hanson, M.D., Ophthalmologist

Accepting New Patients · Best Way to Contact: Phone

Family Eye Clinic Hours:

Mon, Wed, & Thurs: 8:00 A.M. - 12:00 P.M., 1:00 P.M. - 5:00 P.M. Tues: 9:00 A.M. - 12:00 P.M., 1:00 P.M. - 5:00 P.M. Fri: 7:00 A.M. - 1:00 P.M. Sat: First of the month, 8:00 A.M. - 12:00 P.M. Address: 301 E. 2nd Ave., Ellensburg, WA 98926 Phone: 509-925-9893 Fax: 509-962-1639 Website/e-mail: / Resources Available: Treatment of medical conditions (glaucoma, macular degeneration, retinal diseases, etc.).

Cle Elum Medical Center Hours: Mon-Fri: 8:00 A.M - 5:00 P.M. Address: 201 Alpha Way, Cle Elum Phone: 509-674-5331 or 509-962-5060 Fax: 509-674-5034 Website/e-mail: or using secure patient portal Resources Available: Complete comprehensive medical care for newborns to adults of all ages. Lab and x-ray on site. Jean Crane, MD, Family Practice

Accepting New Patients

26 | Medical Directory 2013

Paul Schmitt, MD, Family Practice

The Valley Clinic

Accepting New Patients Elizabeth Wise, MD, Family Practice

Hours: Mon-Fri: 8:00 A.M. - 5:00 P.M. Address: 716 E. Manitoba Ave., Ellensburg, WA 98926 Phone: 509-925-3151 Fax: 509-925-4382 Website/e-mail: or using secure patient portal

Accepting New Patients Jon Patton, PA-C, Family Practice

Accepting New Patients Rob Merkel, PA-C, Family Practice

Resources Available: Complete comprehensive medical care for newborns to adults of all ages. Lab and x-ray on site.

Accepting New Patients

Bruce Herman, MD, Family Practic and Obstetrics

Accepting New Obstetric Patients

Community Health of Central Washington - Ellensburg

Mark Larson, MD, Family Practice

Not Accepting New Patients Hours: Mon-Fri: 8:00 A.M - 5:00 P.M. Address: 521 E. Mt. View Ave., Ellensburg, WA 98926 Phone: 509-962-1414 Fax: 509-962-1408 Website/e-mail:

John Merrill-Steskal, MD, Family Practice

Accepting New Patients · Best Way to Contact: Office Phone Scott M. Oltman, OD, Optometrist

Not Accepting New Patients Resources Available: Pharmacy, WIC, First Steps, CSHCN (Children with Special Health Care Needs), Family Medicine, Pediatrics, OB Care and Delivery

Wendy Owens, MD, Family Practice

John Asriel, MD, Family Practice & OB

Don Solberg, MD, Family Practice

Accepting New Patients · Best Way to Contact: Phone

Not Accepting New Patients

Not Accepting New Patients

Bill Powell, DO, Family Practice & OB

Accepting New Patients · Best Way to Contact: Phone


Mara Fusfield, ARNP, Family Practice

Accepting New Patients · Best Way to Contact: Phone Accepting New Patients · Best Way to Contact: Phone

Central Washington Comprehensive Mental Health

We accept most private insurances, Medicare, Medicaid, Healthy Options, Basic Health Plan and offer discounted fees for those who qualify.

Address: 220 W. 4th Avenue, Ellensburg, WA 98926 Phone: 509-925-9861 or 509-925-4168 Website/e-mail:

Dan L. Hiersche, MD

Ellensburg Counseling

Hours: Address: Phone:

Resources Available: Orthopedic Surgeon

Address: 200 N. Pearl, Ellensburg, WA 98926 Phone: 509-925-2123 Fax: 509-925-2126 Website/e-mail: /

Nancy L. Wells, M.D.

Counseling Services

Hours: Address: Phone: Fax:

Hours: Sun-Wed: 8:00 A.M. - 7:00 P.M. Address: 103 E. 4th Ave., Suite 200, Ellensburg, WA 98926 Phone: 509-962-6235 Website/e-mail:

Roberta Buum, PA-C, Family Practice

Mon-Thurs: 8:00 A.M. - 5:00 P.M. 700 E. Manitoba St. 106, Ellensburg, WA 98926 509-962-6727

Mon-Thurs: 9:00 A.M. - 5:00 P.M. 611 S Chestnut, Ste C Ellensburg, WA 98926 509-925-9355 509-925-9358

Resources Available: Medical office including minor surgeryFamily medical care, including pregnancy/obstetrics/delivery, pediatrics, newborn care, adult and adolescent medical care

Resources Available: Counseling for individuals teen to adult, couples, and families.

27 | Medical Directory 2013

Andrea Utzinger, MS LMHC, Licensed Mental Health Counselor

Accepting New Patients · Best Way to Contact: Phone

Rite Aid Pharmacy

Thomas Logan, MA LMHC, Licensed Mental Health Counselor


Accepting New Patients · Best Way to Contact: Phone

Address: Phone:


Mon-Fri: 9:00 A.M. - 9:00 P.M. Sat: 9:00 A.M. - 6:00 P.M. Sun: 10:00 A.M. - 6:00 P.M. 700 South Main Street, Ellensburg, WA 98926 509-925-4232

Safeway Pharmacy Bi-Mart Pharmacy Hours: Phone: 509-925-6996 Address: 608 E. Mountain View Avenue Ellensburg, WA 98926 Website/e-mail:

Cavallini’s Pharmacy Phone: Address:

Super 1 Pharmacy

509-674-2571 106 East 1st St., Cle Elum, WA 98922


Mon-Fri: 9:00 A.M. - 7:00 P.M. (Closed for Lunch 1:00 P.M. - 1:30 P.M.) Sat: 9:00 A.M. - 6:00 P.M. Address: 200 E. Mt. View, Ellensburg, WA 98926 Phone: 509-962-7777 Fax: 509-962-7785 Website/e-mail:

Cle Elum Drug Phone: Address:

Address: Phone:

Mon-Fri: 9:00 A.M. - 7:00 P.M. Sat: 9:00 A.M. - 6:00 P.M. Sun: 11:00 A.M. - 6:00 P.M. 400 N. Ruby St., Ellensburg, WA 98926 509-962-5096

509-674-2155 219 E. 1st. St., Cle Elum, WA 98922

Resources Available: Prescription-filling

Downtown Healthmart Pharmacy

Tues Bosch, Pharmacist and Pharmacy Manager

Accepting New Patients Hours:

Mon-Fri: 9:00 A.M. - 6:00 P.M. Sat: 9:00 A.M. - 5:00 P.M. Address: 414 N. Pearl St., Ellensburg, WA 98926 Phone: 509-925-1514 Fax: 509-925-1545 Website/e-mail: Resources Available: Retail Pharmacy, Health and Beauty Aids, Convalescent and Home Health Supplies and Rentals, Cards and Gifts

Sharon Wyllys

PHYSICAL THERAPY Argonaut Peak Physical Therapy

Roger Glaser, Registered Pharmacist

Accepting New Patients · Best Way to Contact: Phone or In-Person David Cross, Registered Pharmacist

Accepting New Patients · Best Way to Contact: Phone or In-Person Clinton Knight, Pharm D (Director of Pharmacy)

Accepting New Patients · Best Way to Contact: Phone or In-Person

Hours: Mon-Fri: 8:00 A.M - 5:00 P.M. Address: 722 E. University Phone: 509-962-1553 Fax: 509-962-1554 Website/e-mail: Jonathan T Suttles, MS, PT

Accepting New Patients

Fred Meyer Pharmacy

Leticia Leal, PTA

Hours: Address: Phone:

Mon-Fri: 9:00 A.M. - 9:00 P.M. Sat: 9:00 A.M. - 7:00 P.M. Sun: 10:00 A.M. - 6:00 P.M. 201 S. Water St., Ellensburg, WA 98926 509-962-0533

Accepting New Patients Specialize in working with: Injured Workers, Back and Neck Pain, Orthopedic Patients, and Shoulders and Elbows. We offer Hands on Care. Sports Rehabilitation and Back to School.

28 | Medical Directory 2013

Bull Durham Professional Building Northwest Physical Therapy & Fitness Center Hours:

Physical Therapy: 8:00 A.M. - 6:00 P.M Fitness Center: 6:00 A.M. - 8:00 P.M. Address: 112 West Railroad, Cle Elum, WA 98922 Phone: 509-674-0908 Fax: 509-674-0920 Website/e-mail: Resources Available: Physical Therapy, Personal Training, Medical Billing Craig S. Pigeon, PT, Physical Therapist

Accepting New Patients · Best Way to Contact: Phone

SPECIALIZED MEDICINE Care Net Hours: Tues-Fri: 11:00 A.M. - 5:00 P.M. Address: 111 East 4th Ave. PO Box 740, Ellensburg, WA 98926 Phone: 509-925-2273 (24-Hour Helpline) Website/e-mail: Resources Available: Abortion Education, Pregnancy Tests, Verification of Pregancy Test Results, Parenting & Marriage Support, Single Parenting Support, Baby Layettes, 24/7 Helpline, Material Aid, Client Advocacy, STD/STI Information, Abstinence Program, Adoption Referrals, Church Referrals, Community Referrals, Housing Referrals, Legal Referrals, Medical Referrals, Parenting Support, Post Abortion Support

Sue J. Davis, PTA, Physical Therapist Assistant

Cascade Foot and Ankle

Best Way to Contact: Nicole Moore, Medical Billing Agent

Hours: Mon & Thurs: 8:30 A.M. - 5:00 P.M. Address: 100 E. Jackson Ave., Ste. 105 Phone: 509-925-4633 Fax: 509-925-1576 Website/e-mail:

Best Way to Contact:

Canyon View Physical Therapy Hours: Mon-Fri: 7:15 A.M. - 5:30 P.M. Address: 100 East Jackson Suite 201, Ellensburg, WA 98926 Phone: 509-925-6220 Fax: 509-925-6221 Website/e-mail:

Resources Available: We treat all aspects of the foot, surgery suite in our Yakima office, Diabetic foot care, sports injuries, ingrown toenails. Cascade Foot and Ankle also has a medical day spa “Sole Therapy” in its Yakima location, 3919 Creekside Loop, Yakima 98902.

Resources Available: Comprehensive rehabilitation assessment treatment of sports-related injuries and/or complications, post-operative rehabilitation, orthopedic manual therapy and spinal rehabilitation.

Stuart Cardon, DPM

Natalie Joyce, MPT, Physical Therapist

Accepting New Patients · Best Way to Contact: Office Phone Paul Goebel, MHS, PT, Physical Therapist

Accepting New Patients · Best Way to Contact: Office Phone

Central Hand Therapy Address: Phone:

100 East Jackson Suite 200, Ellensburg, WA 98926 509-962-1132

Jay Callarman, DPM

Accepting New Patients · Best Way to Contact: 509-225-3668 or Office Phone

Cascade Recovery Resource Center Hours: Mon-Thurs: 9:00 A.M. - 5:00 P.M. Address: Fri: 9:00 A.M. - 2:30 P.M. Phone: 707 North Pearl St., Suite D, Ellensburg WA 98926 Fax: 509-933-3838 Website/e-mail: 509-933-4044 Resources Available: Assessment and referral for substance use disorders, Intensive Outpatient Program, Alcohol and Other Drug Information School, Relapse Prevention Program, Family Treatment, Intervention Services, Deferred Prosecution and DUI clients accepted. Pam Stoneburg, CDP, NCACI, Owner/Program Administrator

Accepting New Patients · Best Way to Contact: Phone We have fully trained staff available to assist with whatever services are needed, including several chemical dependency professionals. Services may be covered by most health insurance programs, and we contract with our patients for out-of-pocket expenses. We accept medical coupons for any adults referred to us through Dept. of Children and Family Services, as well as any youth clientele. We accept most major credit/debit cards.

29 | Medical Directory 2013

Central Washington Podiatry Service Phone: Address:

800-676-4675 307 S. 12th Ave., Ste. 9, Yakima

Central Washington Sleep Disorders Clinic Phone: Address:

888-216-2049 700 E. Manitoba Ave., Suite 101, Ellensburg, WA 98926

Cle Elum Urgent Care Center

Hospitalist Program Imaging Services Laboratory Services Nutrition Services Pharmacy Services Rehabilitation Services - Physical, Occupational, and Speech Therapy Respiratory Care Services Surgical Services - Impatient and Outpatient Community Education

Birthing Classes Cancer Support Community Health Library Diabetes Education Classes Diabetes Support KVCH Primary Care and Specialty Centers

Mon-Fri: 3:00 P.M. - 11:00 P.M. Weekends & Holidays: 8:00 A.M. - 11:00 P.M. Address: 201 Alpha Way, Cle Elum Phone: 509-674-6944 Fax: 509-674-7794 Website/e-mail:

Cle Elum Medical Center (Family Medicine) Cle Elum Urgent Care Center Kittitas Valley Internal Medicine Kittitas Valley Orthopedics Kittitas Valley Surgical Associates Sakura Women’s Health (Gynecology) The Valley Clinic (Family Medicine)

Resources Available: After hours medical care for patients suffering from minor illnesses or injuries. On-site lab and x-ray.



DaVita Dialysis Phone: 866-544-6741 Address: 2101 West Dolarway Road #1 Ellensburg, WA 98926 Website/e-mail:

William Waltner, MD Joseph Zitterman, MD

Kittitas Valley Community Hospital Family Birthing Center

Ellensburg Pediatrics

Hours: Open 24 Hours Address: 603 S. Chestnut St., Ellensburg, WA 98926 Phone: 509-962-9841 Website/e-mail:

Hours: Address: Phone: Fax:

Kittitas Valley Internal Medicine

Mon-Fri: 9:00 A.M - 5:00 P.M. 611 S Chestnut, Ste E Ellensburg, WA 98926 509-961-5437 509-962-5438

Janet Penny, MD

Best Way to Contact: Phone Elise J. Herman, MD

Best Way to Contact: Phone

Larry Birger Jr., MD, Internal Medicine

Kittitas Valley Community Hospital Hours: Open 24 Hours Address: 603 S. Chestnut St., Ellensburg, WA 98926 Phone: 509-962-9841 Website/e-mail: Hospital Services

Acute Care Critical Care Emergency Services Family Birthing Center Home Health and Hospice Hospitalist Program

Hours: Mon-Fri: 8:00 A.M. - 5:00 P.M. Address: 700 E. Manitoba Ave., Suite 101, Ellensburg Phone: 509-925-6100 Fax: 509-925-7604 Website/e-mail: Not Accepting New Patients Jamin Feng, MD, Internal Medicine

Not Accepting New Patients David Jackson, MD, Internal Medicine

Accepting New Patients Andy Schock, PA-C, Internal Medicine

Not Accepting New Patients

30 | Medical Directory 2013

Kittitas Valley Orthopedics Hours: Mon-Fri: 8:00 A.M. - 5:00 P.M. Address: 611 S. Chestnut St., Suite D, Ellensburg Phone: 509-933-8700 Fax: 509-933-8705 Website/e-mail:

Pregnancy Testing, Options, and Services STD Testing and Treatment Men’s Health Services General Health Care Women’s Health Services LGBT Services

Sakura Women’s Health

Anthony Longo, MD, Orthopedics

Hours: Mon - Fri: 8:00 A.M. - 5:00 P.M. Address: 611 S. Chestnut St., Suite D, Ellensburg, WA 98926 Phone: 509-933-8700 Fax: 509-933-8705 Website/e-mail:

Accepting New Patients Anthony Smith, PA-C, Orthopedics

Accepting New Patients

Kittitas Valley Surgical Associates

Ginger Longo, MD, Gynecology

Hours: Mon-Fri: 8:00 A.M. - 5:00 P.M. Address: 611 S. Chestnut St., Suite A, Ellensburg Phone: 509-962-7390 Fax: 509-925-6948 Website/e-mail:

Teresa Beckett, ARNP, Gynecology

Accepting New Patients Accepting New Patients

Spirit Therapeutic Riding Center

Timothy O’Brien, MD, General Surgeon

Address: 1051 Sorenson Road Ellensburg, WA 98926 Phone: 509-929-1401 Website/e-mail:

Accepting New Patients Frank Smith, MD, General Surgeon

Accepting New Patients

OBGYN Of Ellensburg



Cascade East Animal Clinic

Mon-Thurs: 8:00 A.M. - 5:00 P.M. Fri: 8:00 A.M. - 4:00 P.M. After Hours and Weekends On-Call Address: 611 S. Chestnut St., Suite B, Ellensburg, WA 98926 Phone: 509-962-5000 Website/e-mail: / John Sand, MD, OBGYN

Address: Phone:

Critter Care Animal Clinic

Tonia Stevenson, ARNP


Paula Lins, PA-C, MPH

Address: Phone:

Planned Parenthood Hours: Address: Phone: Fax:

Mon & Fri: 9:30 A.M. - 5:00 P.M. Tues: 10:30 A.M. - 6:30 P.M. Wed & Thurs: 9:30 A.M. - 6:30 P.M. 613 North Pine Street, Ellensburg, WA 98926 866-904-7721 509-925-6732

Services Offered:

Abortion Services Birth Control Services Patient Education Emergency Contraception Pregnancy Testing, Options, and Services

902 E. 1st St., Cle Elum, WA 98922 509-674-4367

Mon - Fri: 8:00 A.M. - 5:00 P.M. Sat & Sun & Evenings: By Appointment 1442 W University Way, Ellensburg, WA 98926 509-925-5911

Ellensburg Holistic Animal Wellness (E-HAW) Address: 415 N Pine Street Phone: 509-925-4118 Website/e-mail: Resources Available: wellness exams, animal acupuncture, superior nutrition, ozone therapy, Western & Chinese herbs, and equine dentistry Erin Zamzow, DVM

31 | Medical Directory 2013

Ellensburg Animal Hospital Hours:

Mon - Fri: 8:00 A.M. - 5:00 P.M. Sat: 8:00 A.M. - 12:00 P.M. Address: 1800 Vantage Highway, Ellensburg, WA 98926 Phone: 509-925-2833 Fax: 509-925-7714 Website/e-mail: / Michael Fuller, D.V.M. Daniel Charlton, D.V.M. Michelle Charlton, D.V.M. Samantha Howard, D.V.M.

Mt. Stuart Animal Hospital Hours: Address: Phone:

Mon - Sat 807 E 8th Ave, Ellensburg, WA 98926 509-925-2332

Valley Veterinary Hospital Hours:

Mon - Fri: 8:00 A.M. - 5:00 P.M. Sat: 8:00 A.M. - 12:00 P.M. Address: 2090 Vantage Highway, Ellensburg, WA 98926 Phone: 509-925-6146 Fax: 509-925-6148 Website/e-mail: Dr. Mark Hayden Dr. Ben Rizor Dr. Joan D. Sackett

32 | Medical Directory 2013



962-9575 VOICE & TTY

Don’t miss the Sounds of their lives, try the next generation of digital hearing aids at Northwest Audiology

Trust Only An Audiologist For SOUND Advice • Total Hearing Health Program • Full Service Hearing Aid Center • Multi-Line Including ReSound, Phonak, Oticon, Widex, Siemens, Starkey & More • Repair and Service All Makes • Extended Trial (On All Hearing Aids) • Hearing Aid Accessories & Batteries • Swim & Noise Plugs • Assistive Listening & Alerting Devices • Preferred provider for most major insurances including Uniform Medical Plan and Group Health. • We accept most major medical insurances including Medicare, Medicaid and L&I

Thank You Kittitas County for the trust you have placed in us for the past 17 years!


603 N. Main Suite 2 Ellensburg (Corner Of Main & 6th) We Accept 810266.MED13.CNR


CareCredit, Sound Choice

H O S P I TA L • • • •

24-Hour Emergency Care Surgical Services Critical Care Family Birthing Center

• • • •

Community Health Library Physical Therapy Speech/Occupational Therapy Home Health & Hospice

603 S. Chestnut St. • Ellensburg, WA 98926 962-9841 • TDD 925-8472

CLINICS Cle Elum Medical Center 509-674-5331

Cle Elum Urgent Care Center 509-674-6944

The Valley Clinic 509-925-3151

Kittitas Valley Internal Medicine 509-925-6100

Kittitas Valley Orthopedics 509-933-8700

Sakura Women’s Health 509-933-8720

Kittitas Valley Surgical Associates 509-962-7390

H O S P I TA L • • • •

24-Hour Emergency Care Surgical Services Critical Care Family Birthing Center

• • • •

Community Health Library Physical Therapy Speech/Occupational Therapy Home Health & Hospice

603 S. Chestnut St. • Ellensburg, WA 98926 962-9841 • TDD 925-8472

CLINICS Cle Elum Medical Center 509-674-5331

Cle Elum Urgent Care Center 509-674-6944

The Valley Clinic 509-925-3151

Kittitas Valley Internal Medicine 509-925-6100

Kittitas Valley Orthopedics 509-933-8700

Sakura Women’s Health 509-933-8720

Kittitas Valley Surgical Associates 509-962-7390

Medical Directory 2013