Live healthy 2015 by S O

SKY LAKES 50 YEAR ANNNIVERSARY | CANCER CARE | WELLNESS | NUTRITION | EXERCISE

2 | Live Healthy 2015

This is more than a completed touchdown pass. We see a fully recovered knee and an athlete returning to what he loves.

Highly skilled orthopedic care is right here in Klamath Falls. Our physicians are trained in several different disciplines and bring their own expertise to the practice. We are dedicated to our mission of achieving exceptional outcomes through personalized, compassionate care. Your treatment is our highest priority. Your health is our greatest concern.

KlamathBones.com 541.884.7746

CEO Message Locally Owned, Nationally Known. “We are challenged and excited by the changes in the healthcare. This is a unique time when innovative and effective new services will change our lives and the lives of our neighbors.” I wrote those words some 20 years ago as part of a welcoming message for new employees. Little did I know how true they would remain today. During this 50th anniversary year for the medical center, as we reflect on the past and the future of healthcare and Sky Lakes, we are again challenged and excited about what’s ahead.

Living healthy is a lifestyle and your home plays a big part. When your family is ready for a change, come grow with an industry leader. Together we will keep your home healthy and find the right fit for your family.

This I know: Sky Lakes will be part of the innovation to meet the healthcare needs of the people and the community we are proud to serve. That’s our nature, reflected in our philosophy of creativity, responsibility, careful management, and of working to making things better. Some of the stories in this year’s Live Healthy will describe how the medical center staff and leadership regularly demonstrate our commitment to health and to our community. During our anniversary celebrations, we will recognize the pioneering spirit of the hardworking volunteers who collected more than $1.3 million – nearly double the original goal – from a generous community during a two-year campaign in the early 1960s. That effort culminated with the original hospital’s opening on October 10, 1965. Sky Lakes honors that spirit by providing highquality care every day, by continuing to be a leader in healthcare and in our community, and by forging partnerships that will help people enjoy a more fulfilling life. Paul Stewart, CEO, Sky Lakes Medical Center

Coldwell Banker Holman Premier Realty 3815 S. 6th Street, Suite 110 Klamath Falls, Oregon 97603 541.884.1343 • CBHolmanPremier.com

4 CELEBRATE WITH SKY LAKES Come celebrate half a century with Sky Lakes. Unearth a time-capsule or eat some cake — You’ll find information on all the festivities at the bottom of this page.

Material in Live Healthy is obtained from a wide range of sources and is not intended to replace examinations or consultations with a physician. If you have concerns about specific items in Live Healthy, consult your personal physician about their effects on your health.

NURSE NOSTALGIA How has nursing changed over the past 50 years? Read Dee Burnett’s first hand account on page 9.

ADVERTISING Herald and News DESIGN Saffron Owen, Herald and News

COMMUNITY BUILDING To celebrate its anniversary, Sky Lakes is giving back to the community that has supported it through 50 years. Read how on page 7.

YEARS

| Live Healthy 2015

DISCLAIMER Live Healthy is published as a service by the Herald and News for Sky Lakes Medical Center, 2865 Daggett Ave., Klamath Falls, Ore., 97601.

Sky Lakes Medical Center is celebrating its 50th year of operation. The timeline along the bottom margin of the following pages details that journey.

SKY LAKES 50TH ANNIVERSARY

CELEBRATION

EVENTS

Tuesday, October 6 • 12:30 p.m. TIME CAPSULE OPENING The opening of the 1965 Time Capsule will take place at 12:30 p.m. in the Community Garden (on the OIT side of Sky Lakes) weather permitting. The event will last about 30 minutes. Limited seating is available. You may bring your own lawn chair. In the case of inclement weather, the event will be held in the Sky Lakes cafeteria. Light refreshments will be available.

Friday, October 9 • Noon BIRTHDAY CAKE CELEBRATION Celebrate with birthday cake at noon in the meeting rooms across from the cafeteria on the first floor of the medical center. Free.

Table Of Contents

CEO Message Sky Lakes 50th Anniversary Celebration Events Celebratory Donations Dee Burnett: A Nurse Looks Back Home Health Rural Campus Campus to Offer Social Services Walk with a Doc Electronic Health Records Upgraded Cascades East Family Medicine Do Your Cups Runneth Over? Cancer Treatment Center Colorectal Cancer Early Detection Saves Lives Prevention Power Assess Your RISK Health Tips Recipes Cold and Flu IQ Wellness Center

GET THE BODY YOU WANT! There’s no magic pill for a healthy body, but there are plenty of things you can do to improve your fitness and your life. Read more on page 30.

3 4 6 8 11 12 14 16 18 20 21 22 24 25 26 28 30 33 34

16 WALK FOR WELLNESS Join a local Sky Lakes doctor on a walk and improve your overall fitness. Learn more on page 16.

BOOST YOUR CANCER PROTECTION Learn which foods have cancer fighting properties on page 26.

Saturday, October 10 • 10 a.m. – 2 p.m. GOLDEN 6K FUN RUN/WALK/BUS RIDE/BICYCLE EVENT Golden 6K Fun Run/Walk/Bus Ride/Bicycle event from 10 a.m. to 2 p.m. Cost os $5 per person (no discount for groups, children, seniors or students) and includes a T-shirt. Pre-register using the form available at SkyLakes.org or register the day of event. T-shirts are available while supplies last. The event will begin in the main parking lot of the hospital and end in downtown Klamath Falls. Brochures will allow for a self-guided tour of sites related to the history of healthcare in the Klamath Basin. Stations along the way will provide activities, water, and information. Walking groups and bus tours with a guide will leave the Sky Lakes parking lot on the half-hour. The bus will return walkers and runners to Sky Lakes.

Monday, October 12 • 3 p.m. TIME CAPSULE CREATION A new Time Capsule will be created and buried at 3 p.m. This event will take place in the Community Garden on the north side of the medical center, weather permitting, and with limited seating for the 30 minute presentation.

6 | Live Healthy 2015

ky Lakes Medical Center is marking 50 years in the Klamath Basin this year: 1965 to 2015. To really celebrate its “birthday,” it is giving $1.5 million in gifts to the community over the next four years to help enhance health and wellness through activities, parks, the city pool and organizations building on Klamath's great outdoors. The $1.5 million includes a $600,000 contribution to the Blue Zones Project. Sky Lakes’ $1.5 million will be matched by $1.2 million from Cambia Health Foundation, as their investments in the Blue Zones Project. The Klamath Falls area has challenges to overcome to make its citizens healthier, said John Bell, chairman of board of directors for Sky Lakes, in a promotional video about the anniversary.

Celebratory Donations Written By SAMANTHA TIPLER, H&N Staff Reporter

“In order for us to overcome those challenges, we're going to have to come together as a team,” he said. “It's going to take a number of groups, organizations, people, that will commit to this. And that's why this is so exciting. We're starting to see that come together.” “We're thrilled to be able to make this 'birthday gift' to the community,” said Sky Lakes CEO Paul Stewart. “But for it to be successful and for it to be the investment it's intended to be, it will entail everyone stepping up and participating.” ELLA REDKEY POOL The Ella Redkey Pool is a staple of the Klamath Falls Community. Previously, Sky Lakes donated funds to get third graders into swim lessons. Further donations to the pool are part of Sky Lakes' $1.5 million community gift. Funds will go toward continuing swim lessons for third graders for the

1912 1920

Band-Aid invented by Earle Dickson

E-

Hospital relocated to Eldorado & Esplanade called Blackburn Sanitarium

1911 1st Hospital established by Alexander J. Lyle at N. 6th & High

1920 Klamath Valley Hospital established by L.L. Truax & Warren Hunt (MDs) at 6th & Pine

That will make it more attractive for families to go to the pool and enjoy family-oriented activities, Stewart said, and along the way learn how to swim. “I think we have too few kids that are growing up today that are active and have those opportunities,” he said. “Ella Redkey is a wonderful asset to this community as a municipal pool.” KIT CARSON PARK “As a third-generation resident of Klamath Falls and Klamath County, Kit Carson Park has been a pretty important part of my upbringing,” Bell said. “So we're very excited, in conjunction with the city, to be making an investment in that park, and bring it a level that it will be able to be used by all the different residents of our city.” Sky Lakes’ fund will install walking paths, add natural landscaping and natural play structures. “That provides safe opportunities for kids to get out and climb and be active,” Stewart said.

KLAMATH TRAILS ALLIANCE Sky Lakes' $1.5 million contribution to the community includes a donation to the Klamath Trails Alliance, the volunteer group building and maintaining walking, hiking, cycling and running trails in the Klamath Basin. One of the KTA's biggest project is the Great Klamath Circle: a planned 150-mile route to encapsulate Upper Klamath Lake, Crater Lake National Park and the OC&E Woods Line State Trail. “Which I think will be a great opportunity for people to take advantage of the beautiful outdoors that we've got here,” Stewart said. GREEN SPACES Funds will contribute to building a new downtown park, or green space for everyone to enjoy. “All of these investments that we're making are designed to encourage people to be outside and active and enjoy the beautiful scenery that we have,” Stewart said. “But we also value creating green spaces throughout our community. Makes it more attractive for everyone – visitors and all of us – to be outside and just look around and see that there's some beautiful spaces to take advantage of.”

Also on the list is a “bark park.” That's a dog park for canines and their owners.

Bell believes a park downtown will encourage business development and help spur the economy.

And the funds will build a new pump track for cyclists. That's a continuous loop where riders use momentum, along with the pumping motion of their upper and lower body to keep up speed around the track.

“When you make a downtown space like that, and put in a park, you're saying it's important,” he said. “We're willing to invest. We're making it a place where people can go on their lunch hour, after work, to hang out.” ●

1927

1929 Iron lung invented Emergency polio ward patients are lined up close together in iron lung respirators so a team of doctors and nurses can give fast emergency treatment as needed.

Hillside Hospital established by George Merryman (MD) at Alameda & Pacific Terrace

AP Photo

1922

Insulin invented by Sir Frederick Banting

AP Photo/The Canadian Press

1928 Penicillin discovered

1933 Electron microscope invented by Ernst Ruska & Max Knott

7 Live Healthy 2015 |

next four years. The dollars will also pay for improvements at the pool, like a splash pad for younger children.

8 | Live Healthy 2015

n the 50-plus years Dee Burnett has worked in the nursing field, she has seen extensive changes in the way care is delivered “and the changes are for the good – much safer,” she believes.

This Klamath Falls native studied nursing at Kansas City General Hospital in Kansas City, Missouri , starting her career as a student nurse under the supervision of clinical instructors. “They looked more at bedside nursing then…,” she recalled. “We started IVs and did blood draws from the start. It was an eye-opener. My favorite area to work in was the Emergency Room.” ER nursing remained her favorite and is what most of her career focused on. She returned home to work at Klamath Valley Hospital – nursing in “men’s surgery and Emergency – it was quite a combination,” she said. “There were three 8-hour shifts and I worked 3 to 11 p.m.”

Dee Burnett: A Nurse Looks Back Written By LEE BEACH, H&N Staff Reporter

After a year’s stint at Marin General Hospital in California in an ortho-neuro unit, she got a call that nurses were needed for the then new Presbyterian Intercommunity Hospital, predecessor of today’s Sky Lakes Medical Center. It was October, 1965. “We all helped in moving patients to PIH (from Valley Hospital). It was hectic – only by the grace of God, it all went well.” Most of her years at Sky Lakes have been spent in the ER, her first love, until eight years ago, when she considered retiring from nursing. Rather than lose such a valuable resource, however, the hospital offered her the position of clinical record review nurse, in which she reviews cases with staff and physicians.

1958 Laser invented Scientist and inventor of the laser Dr. Theodore Maiman pours liquid nitrogen into a cooling unit around one of the first experimental lasers.

AP Photo

October 13, 1961

Stanford Research Institute completes research on study to determine if there is a need for a hospital in Klamath

Presbytery of Southwestern Oregon approves motion to form a Presbyterian Hospital in the Klamath area

1959

OR ST HI EPR

June 10, 1960

1944 Kidney dialysis machine invented

Internal pacemaker invented Pincus Shapiro, 76, with the machine used to keep him alive.

AP Photo/Anthony Camerano

1960-1961 Klamath County Chamber of Commerce studies the study

“We had to turn around to see the patients. There were no cardiac monitors. All vitals were taken by hand, not machines. The ER had three beds, one stethoscope and one blood pressure cuff,” and she recalled they had to share their use. Initially, there were no doctors on duty, and the physicians had to be on call. Their names were listed alphabetically for nurses to call to inform them of a patient in the ER and the symptoms the patient was experiencing. “I remember doctors generally came in even if the case wasn’t in their specialty, but the patient was always seen by a physician.” She emphasized that, “It was so important to have good rapport with the doctors and to anticipate what they might need for that patient and to have it ready for them.” Hospital stays were longer in the early years, and Burnett feels the trend to shorter stays is much better for the patients, citing blood clots, muscle atrophy pneumonia and bed sores resulting from being in bed too long. NEW TECHNOLOGY “We have such great technology compared to where we were 50 years ago,” she said. “Primary diagnostics were used then – X-ray, lab studies, physical exams and patient medical history. While these are still the essential starting points, she also believes in following “gut instinct.” “If there was a head injury,” she continued, “we did not have CTs. We did lumbar punctures to see if there was blood in the spinal fluid.”

1962 Fundraising campaign kicks off; goal to raise $725,000 of the $2,958,000 needed to build a hospital. (At completion the total cost came to $3.1 million.)

If there might be internal bleeding, there was no MRI to visualize it. The procedure she described to make a determination ended with holding up a container of aspirated fluid to see if you could read printing through it.

Live Healthy 2015 |

HOSPITAL CARE THEN The ICU had six beds at the time, and the nurses’ station was positioned so their backs were to the patients.

“We did have defibrillators (for heart irregularities),” she said, “but nurses didn’t operate them. They also didn’t read EKG strips. Now, nurses receive training in advanced cardiac life support.” Now there are IV pumps that regulate the amount and time for dispensing medication. Previously, Burnett would hold her watch up next to the drip chamber and count 25 drops in a minute as 100 ccs per hour. There were two ventilators (machines which helped people breathe) at the time the hospital opened, and anesthesiologists had to determine the settings. Then the nurses would operate them. There were no respiratory therapists.

Needles were sharpened on a stone, washed, rinsed with ether and sterilized so we could use them again.

Other improvements in equipment she praised are automatic non-invasive blood pressure measuring devices, fetal monitors (baby heart rate) and many other devices. SAFETY “We must always put the patient first,” said Burnett, “and the number one thing is patient safety. We have all kinds of things in place for patient safety.” One area of significant change is in the use of disposable medical supplies. 

November 3, 1963 Groundbreaking Ceremony

1964 Alexis Runyan elected 1st President of the Guild

1964 January 1962 Articles of Incorporation and Bylaws approved for a new hospital

June 18, 1963 Dedication ceremony (Senator Barry Goldwater (AZ) participated)

Eleanor Ehlers and a few of her friends create the Volunteer Guild, an organization of women to offer services to the hospital

10 | Live Healthy 2015

“There were no disposable items,” as she ticked off how anything made of cloth, gloves, catheters, glass syringes with re-sharpened metal needles, glass IV bottles were washed and sterilized for re-use. “Instruments were handwashed, double-wrapped and sterilized in an autoclave. Gloves were washed, blown dry, powdered, wrapped and then sterilized. Needles were sharpened on a stone, washed, rinsed with ether and sterilized so we could use them again.”

hospital) has made a huge improvement in fall safety.

Cautious handling by nurses of all these supplies both now and in the past have not changed, though procedures have, to ensure patient safety.

“Years ago, patients coming into the emergency room might be angry,” she said, “but they were glad to see a nurse. Now we need to be alert to patients’ personalities.”

Stringent safeguards are in place which govern access to the newborn nursery, where family used to come and go to meet the new babies. A new fall prevention plan now in place (in the

“We’ve always had controls on narcotics,” said Burnett, “but now they are even more tightly regulated.” Nurses have to be more aware of their own safety now, she believes, than in the past because of the increase in drug and alcohol abuse and how unpredictable some incoming patients may be. Security personnel are now provided by the hospital.

THE TEAM The size of the team that now takes care of each patient has grown as new therapies, equipment and treatments

A BEGINNING In the times that Hillside and Klamath Valley Hospitals operated in Klamath Falls, according to Fred Stiverson, medical care and specialized equipment was scattered among the doctors’ offices in town. Stiverson was asked in 1960 to join the hospital board which operated as an exploratory committee to determine the feasibility of the community building a hospital which would “get the medical field together all in one place,” he said. “The board had Stanford Research come in to see if the whole county could get behind this effort. They found taxpayers were willing to support it, and they did. It’s the taxpayers’ hospital.”

For five years, there was fundraising, federal grant application, design and talking to architects which resulted in the opening of Presbyterian Intercommunity Hospital in October 1965. The community still lacked a cancer treatment center until the latter 1980s, when land was donated for that purpose. When Stiverson was diagnosed with prostate cancer in late 1989, his physician felt it was safe to wait on treatment in anticipation of the new center opening in January, 1990, and Stiverson became the first patient to receive radiation at the new center.

have been developed and training in their uses have become standard curriculum for nurses and therapists. “It used to be the physician, nurse and maybe a surgeon – now it’s a whole team, which makes a much better outcome for the patient,” she said. “The physician is in charge, and as a nurse, you remain within your scope of practice.” She believes most physicians see the nurses as team members, and she has much respect for them. “Our number one thing is patient safety. If there is a question (about care), I need to and have a right to question, but you must go through proper channels. Doctors care about patients – they’re in this profession for the same reasons we are.” One thing Burnett acknowledges is that nurses now are expected to tell patients more about their care and treatment than in the past, when only the doctors could speak to them about it. On the other hand, “You have to be so careful,” she cautioned, “with HIPPA (Health Insurance Portability and Accountability Act). It protects the patients but can also hinder, depending on the circumstances.” An area of concern for her is that, “Some people have lost ethics in their nursing. By that I mean doing the right thing, being accountable. When I have been asked to talk to student nurses at OIT (Oregon Institute of Technology), I emphasize, ‘When nursing becomes just a job, it’s time for you to get out.’” ●

October 10, 1965 3:00 p.m.

ST AT S

HO OP O P S PI EN E N I TA IN G NG L D

Presbyterian Inter-Community Hospital admits first patients

MDs

200 VOLUNTEERS

243 EMPLOYEES *Employees may be represented in more than one catergory.

Medicare covers 100 percent of the costs for home health care as long as the patient is considered homebound, documents said. A co-pay or supplementary payments could be required when using other insurance. For non-Medicare patients, two months of home health service typically costs between $200 and $300, documents said.

Home Health Home health care brings the care provider to the patient.

The top four conditions home health patients are experiencing are cancer, congestive heart failure, diabetes and wound care. Home health caregivers can alert the patient’s physician if they feel that it is necessary to amend their medication. At the direction of the patient’s physician the Home Health nurse can help the patient adjust dosages, change their medication box, and help them apply the corrected doses. Clients who are not homebound, but who wish to stay in their own homes, can pay for private duty services that include assistance with bathing, dressing, feeding and personal hygiene. Private duty, also called personal support, is not covered by Medicare. Private duty caregivers are unlicensed, and no doctor is needed, documents said. Customized in-home care plans can also include light housekeeping, shopping, meal preparation and medication management. For more information or a free consultation, call Sky Lakes Home Health at 541-274-6293. From home health Frequently Asked Questions at SkyLakes.org. ●

October 10, 1965 71 Patients transferred from Klamath Valley & Hillside hospitals

October 11, 1965 9:34 p.m. 1st baby born. 6 lbs., 11 ¼ oz Patricia Helen Bryan is born to Mr. and Mrs. Bryan at 9:34 p.m.

5 ENGINEERING 3 PHYSICAL THERAPY 4 MEDICAL RECORD 4 RADIOLOGY 3 PHARMACY 22 ADMINISTRATIVE STAFF 177 NURSES 3 INHALATION THERAPY 9 LAB 28 DIETARY

11 Live Healthy 2015 |

he Sky Lakes Home Health service is based on patient needs, and each program individually tailored to ensure patients receive the appropriate care. According to SkyLakes documents, home health visits typically last about an hour, with two to three visits per week depending on the admission diagnosis.

12 | Live Healthy 2015

Rural Campus Written By Joyce Hollander-Rodriguez, MD

ur community will welcome the first six students from Oregon Health & Science University’s Campus for Rural Health – Klamath on Monday, Sept. 28. Along with Coos Bay, we are hosting the first pilot programs for OHSU’s new rural health initiative. The vision of the campus is to improve the health of our state through a well-trained interprofessional health care workforce. The Campus for Rural Health brings together dentistry, nursing, pharmacy, physician assistant and medical students. Students earning master’s degrees in public health will be added in the future. Students will participate in rural-community rotations as part of their clinical training. Different than a bricks and mortar building or lecture hall, the Campus for Rural Health matches students with supervising preceptors in each community where they learn the hands-on aspects of clinical care within their

COST TO BUILD THE HOSPITAL:

BEDS

ST AT S

HO OP O P S PI EN E N I TA IN G NG L D

$3,500,000 SQUARE FEET

profession. As students work and learn in rural areas, they gain exposure to the unique aspects of providing health care in smaller communities and more remote areas. Students will work in small groups on community projects, allowing them to become better integrated and also to give back to the communities that host them. Traditional health professional training programs have kept learners from different disciplines and professions fairly separate until now. Training these students in an interprofessional manner, where they learn from each other and about each other is a key goal of this program. As health professionals prepare for future practices in rural or urban settings, the ability to work in interprofessional teams will be critical to creating a highly functioning health care system. The students will live in shared housing to help ease the sense of isolation that can develop when away from the Portland campus. Shared housing will also create more opportunities for students to interact with each other. The OHSU Campus for Rural Health builds on existing OHSU programs in Klamath: the bachelor’s nursing program and the Cascades East Family Medicine Residency. Collaboration with Oregon Tech is also a key aspect of the new campus. The OHSU Campus for Rural Health – Klamath has a new program coordinator, Jennifer Volpi, and an education director, Kristi Coleman, M.D. Both are based at Cascades East Family Medicine Center. They will work closely with me in my role as Regional Associate Dean for Rural Health as we move through our first year. Future plans call for OHSU to recruit a dean for the rural campus who will oversee rural health education across the state. As more students are added to the community, the campus will work to incorporate more of the excellent providers in this region as teachers and supervisors. And the more that we expose tomorrow’s health care professionals to rural and remote areas, the more likely they are to live and work in those areas in their future. ●

Independently Owned and Operated SPECIALIZING IN: Routine, urgent and consultative gynecologic care Evaluation and management of abnormal bleeding Minimally-invasive surgery and hysterectomy alternatives In-office, no-incision female sterilization Specialty obstetrical care including management of high-risk pregnancies Our cesarean section rate is less than half the national average! Same-day appointments available

4 STORIES

CALL

TODAY (541) 205-6890

14 | Live Healthy 2015

rganizers behind a multipurpose human services campus on South Sixth Street in Klamath Falls are moving forward with renovations to the former West One Auto building, with plans to start construction in spring 2016. The campus will act as a bridge between mental health and job training services, as well as a sobriety station, and services for the homeless through the Klamath Falls Gospel Mission – described by organizers as a “one-stop” hub for those in need.

Campus to Offer Social Services Written By HOLLY DILLEMUTH, H&N Staff Reporter

“The philosophy behind it is to help those who can and are able to contribute to society, to learn skills that enable them to do that, to pull them out of the welfare cycle,” said Paul Stewart, CEO of Sky Lakes Medical Center. “It's work for reward.” Sky Lakes Medical Center bought the property in 2014, and is working in conjunction with local grass-roots group, Klamath Works, on the effort. The Klamath Falls Gospel Mission held a celebration in June to kick-start its efforts to relocate the mission site from downtown to the campus where a new men's and women's emergency shelter and kitchen and dining hall – totaled at $2.35 million – is scheduled to be built. “Our hope is to go get the roads and the utility infrastructure done in 2016 and break ground on at least two of the next buildings,” Stewart said. “The hope eventually is there's a whole variety of welfare services and government agencies that will be located on the campus. All of those other entities are in different stages of conversations about what's it going to take for (them) to move there.” The site is estimated to hold 12 buildings, including the possibility of Oregon Department of Human Services and Klamath-Lake Community Action Services opening their doors on site. Stewart said if DHS decides to open its doors on site, it could be one of the largest tenants on the campus. Campus design is being conducted by local firm ZCS Engineering.

CEO BOYD HO OP S EN PIT IN AL G

SANDERSON

Erwin L. Brower, Principal Falcon Heights Elementary School T.A. DeMerritt (Ted), Standard Oil Distributor Herbert F. Gooding, Egg rancher William B. Sweetland, Herald & News Editor

CHAIRMAN OF THE BOARD Ross Ragland, Educator

Image courtesy of Ross Ragland Theater

B OA RD M E M B E RS Robert G. Groves, Pastor of 1st Presbyterian Church Grant E. March, Partner in Bly Logging Company James D. Monteith, Manager U.S. Bank Donald Bauer, MD (Radiologist) Fletcher Conn, MD (General & Surgical)

Eleanor C. Ehlers, Civic Volunteer George W. Smith, Sunny State Produce Fred P. Stiverson—Civil Engineer David Carman Robert M. Graves

Molly Jespersen, director of care management for the office, and staff play a key role on the “front lines” of connecting clients with resources they can use to live healthier lives. Jespersen provides one-on-one case management style services to help individuals live healthier lives. The service will integrate naturally into the collaborative environment that Stewart and others are trying to foster at the human services campus.

“Right now we are going through a planned unit development application process so that we can parcel up the 18 or 19 acres into lots that can then be designated to different entities,” he said.

“What we're finding often times is the individuals don't have the tools or resources to follow a healthy diet. Something that we've been able to do really successfully is get members of our community connected with places like the food bank or the Salvation Army to pick up the fruits and vegetable box. In the past, transportation has been a huge barrier for people actually getting to that location. So that's where we come in and we can fill in that gap, and help connect them with that.”

“One of the buildings that will be on campus will actually be a collaboration center where representatives from all those different agencies can come together and case manage.” Renovations are currently underway on the former dealership's building. Stewart is uncertain how long the building has sat vacant, but he estimated 10 to 15 years. “The building was pretty run-down,” Stewart said. “We've had to go back in and invest significant resources in bringing that building back to where it's usable.” Stewart said the campus has a “layered” approach to service offerings, starting with the Outpatient Care Management, an off-shoot of Sky Lakes Medical Center, which has also recently located to the 15,000-20,000-squarefoot former West One Auto building.

“Our goal is really about promoting selfsufficiency,” Jespersen said.

Jespersen and staff want to ensure clients have life skills needed to gain employment that can essentially change the trajectory of their lives. “We understand how important being healthy is to being a productive member of society, so we want to make sure everybody has the tools and resources they need to manage their health effectively,” Jespersen said. “We work so closely with all of these providers already. What this will allow us to do is instead of that phone call, we can actually do a warm hand-off to another program and make sure that transition is smooth and actually happens.” ●

ANNUAL BUDGET BY TH TH E1 EE ST N YE D O AR F

1.1 MILLION SURGERIES PER MONTH

OCCUPANCY

15 Live Healthy 2015 |

“Klamath Works is going to try to pull in other social services, if you will, in a collaborative network that helps bring different forces to bare to help manage that individual,” Stewart said. “Next tier is going to be the Blue Zones (project) where we overlay that and create a huge volunteer initiative to really go out and approach the grocery stores and schools to adopt different philosophies and models that enable people to get access to all of the things that,” Sky Lakes’ Outpatient Care Management program is trying to teach them.

16 | Live Healthy 2015

etting out and walking three times a week for a half-hour can do so much for a person’s health, but taking those first steps seems to be the hardest.

That’s why local doctors have banded together to get the public off the couch and into Moore Park for three Saturday sessions this fall to walk with a doc. Dr. Brock Trejo, 34, brought the idea to Klamath Falls in 2012. It is modeled after Ohio doctor David Sabigr’s idea, who decided to get his patients out for a personal walk with him to get them into the rhythm of exercising. “We had pretty good response the first year we did the walks at Oregon Institute of Technology track, but it’s kind of fallen off,” Trejo said. “We moved it to Moore Park, starting at the pavilion, which may be easier access for folks.” It’s Trejo’s hope that the walks grow in numbers and frequency. With more participants, more doctors will also join and perhaps there can be more walks at other locations in town.

Walk with a Doc

Dr. Joe Volpi, 33, will be one of the doctors walking with patients. He’s a long-distance runner; in fact an endurance runner who has participated in 100-mile runs. But it all starts with small steps.

Written By GERRY O’BRIEN, H&N Editor

Each session will start with a short talk by the doctors about a certain health topic, such as eating healthy or how to curb smoking. The topic titles may sound unusual, but that’s to spur interest of the walkers. The walks are just under an hour around the pavilion paved track,

“I think it’s a wonderful program,” Volpi said. “I’m a big proponent getting people outside doing physical activity. It’s a good mode for medicine, it’s preventative medicine.”

1968

David Arnold becomes President & CEO

Full accreditation received by the Joint Commission on Accreditation of Hospitals

–1

July 1967

March-July 1967 Ray Nelson is acting President & CEO

1967

First heart transplant Surgeon Dr. Christiaan Barnard is shown after performing the first heart transplant on patient Louis Washkansky on December 3, 1967 in Cape Town, South Africa. AP Photo

1969 Artificial heart invented

October 10, 2015

Dr. Kasey Schmidtbauer will discuss, “The benefits of a healthy marriage on health.” October 24 , 2015

Dr. Joe Volpi will explain how endurance running effects health, is that something you can/could participate is? Is running a marathon in your future?

The doctors won’t be available to give specific medical advice, but general health tips on chronic obstructive pulmonary disease or diabetes or smoking cessation.

“Find something that interests you. You don’t have to be a runner to get healthy,” Trejo said. For example, he played college and professional soccer for a while because he liked to run, but not the less- interesting cross-country running. He also took up swimming for the same reasons, because it interested him. Today he competes in triathlons; swimming, biking and running. Trejo recently completed his residency and will join the Sky Lakes Klamath Medical Clinic as a family practitioner, replacing Dr. John Kleeman who has retired. ●

Dr. Joseph Volpi

November 14, 2015

Dr. J.P. Prouty will talk about sports injuries, what the most common injuries are and how to avoid them. The walks begin at 9 a.m. at the lower pavilion at Moore Park. Dr. Brock Trejo THE DO’S AND DON’TS OF WALKING

Don’t walk at a pace that leaves you breathing heavily, especially if you’re just starting to exercise. You should be able to carry on a conversation or sing a song without becoming breathless as you walk. Do replace fluids during and after every walking workout. Don’t watch your feet as you walk. This can cause neck and shoulder strain. Instead, walk with your head up, back straight, and shoulders relaxed. Do use your entire foot. You should land on your heel with your toes and the ball of your foot raised at a 25-degree angle. Then rock forward and push off with your toes. Don’t use ankle weights during your walking workout. They place too much strain on your lower leg and interfere with your stride. Do use stretching exercises, as well as warm-up and cool-down periods, for maximum performance. Don’t forget to relax and take smooth, even strides, especially as you increase the speed of your workouts.

April 1971

June 1973

April 1977

Outpatient construction completed

First class of OIT Nursing students graduate

New wing added

9 97 –1 70 19

Live Healthy 2015 |

“It’s really a good Q&A session and oneon-one time with a doctor,” Volpi said. “It’s a great way to share information.” Volpi is in his last year of residency at Cascades East Family Medicine Center. He plans to be a family medical practitioner.

“Smoking, for example, is so bad for you in so many ways, but people don’t realize it,” Dr. Trejo said. “Smoking affects just about every organ in your body and every joint.” Trejo, like Volpi, suggest those who want to exercise but don’t know where to begin, should start with these short walks.

THE SCHEDULED WALKS WITH A DOC ARE:

so walkers should wear comfortable clothing and walking shoes.

October 1970

1976

ER expansion completed

Geothermal project completed

18 | Live Healthy 2015

Electronic Health Records Upgraded Sky Lakes completes 18-month conversion to new health record software Written By STEPHEN FLOYD, H&N Staff Reporter

ky Lakes Medical Center has unveiled their new medical records software, which is making it easier for both patients and doctors to access the information they need.

Online as of Aug. 1 throughout Sky Lakes' network of facilities, Epic electronic health records allows both inpatient and outpatient information to be available through the click of a mouse. “It has gone really beyond my expectations of success,” said David Chabner, Epic Project Director, who oversaw the 18-month implementation of Epic. A NEED FOR CONSOLIDATION Chabner said electronic health records are nothing new for Sky Lakes, which had been using MEDITECH since 1992 to track patient records electronically. Chabner said there eventually came a time when Sky Lakes needed a system that was more integrated throughout the network to better provide for patient needs.

1979 1977

Magnetic resonance imaging (MRI) invented First used for brain scanning only a few years ago, MRI reveals remarkable anatomical detail for physicians and researchers.

–1

AP Photo/Warren Jorgensen

April 1979 Merle West donates $1,000,000 to the hospital and the hospital creates the Merle West Medical Center Foundation as steward of this generous gift

The hospital board votes to change the hospital’s name to Merle West Medical Center

Patients are able to access information such as their history of hospital procedures, portions of their medical records, can send notes to or request appoints with their physicians, and even view and pay their bill online.

Sky Lakes then began looking at Epic, which Chabner said they could access through Asante, the health system that owns hospitals in Medford, Ashland and Grants Pass.

“This Epic product allows us to have a full patient portal,” said Chabner.

“Epic's business model only sells to very large organizations,” explained Chabner. “Their recommendation was a new model that they have called Community Connect. And, with Community Connect, what they encourage organizations our size to do is go out and find another Epic customer, a large Epic customer, and buy software from them.” A SHARED DATABASE Chabner said Sky Lakes opted to partner with Asante over other Epic customers in Oregon because a large number of referrals from Sky Lakes are to Asante's Rogue Regional Medical Center in Medford. He said this would be a benefit because, as an Epic customer through Asante, providers in Medford will have direct access to local patient information through a shared database. “They show up at Medford, the doctor pulls the patient's record up, they can see everything that was done at Sky Lakes Medical Center,” said Chabner Chabner said other Oregon hospitals using or becoming part of Epic (which he said account for all major medical facilities except St. Charles Hospital, in Bend) can also access patient information from Epic databases, making immediate access to patient charts a state-wide possibility. VIEWING RECORDS FROM HOME The new Epic software will also allow patients access to their records from home through the MyChart portal at the medical center's website, SkyLakes.org.

JUST GETTING STARTED And it is the medical center's future hope that doctors will be able to access and interact with patient records remotely though new mobile app software being made available through Epic. Chabner said, this October, doctors with Sky Lakes, as well as Asante, will take part in a pilot program to load Epic on their smart phones and tablet computers, allowing them to use Epic on the go. Chabner said mobile software may not be new to Epic, but the latest version is expected to allow doctors the ability to update and edit patient information remotely rather than only from a desktop computer. “This last version that came out in February really improved some features to it, to the point that Asante and Sky Lakes felt that it was something to move forward with,” said Chabner of the updated app. Chabner added, with regard to expected Epic upgrades in the future, the company has a goal of allowing patients to directly schedule appointments through MyChart, though such a feature is still in the works. Chabner said, in the meantime, messages through the patient portal requesting appointments can still serve as a remote means of scheduling. ●

1980

April 1984

Helipad added

CCU Construction

Hepatitis-B vaccine invented

203

BEDS

S AT

–1

1980

Access is available from a button on the homepage, through the Patients & Visitors link at the top of the welcome page, or through mychart.skylakes.org.

LICENSED

1200+ BIRTHS PER YEAR

19 Live Healthy 2015 |

“To be able to see a patient across that care continuum, both outpatient and inpatient, became very difficult,” said Chabner of the older software. “There was a real need for us to have visibility across that care continuum.”

20 | Live Healthy 2015

ince the beginning, Sky Lakes has sought to make sure people in rural Klamath Falls have access to big-city medical care. This is especially evident in the partnership of Sky Lakes, Cascades East Family Medicine, and Oregon Health and Science University (OHSU). “In this partnership, we’re bringing university care to our neighborhoods and rural communities,” said Dr. Joyce Hollander-Rodriguez, Program Director of Cascades East. Cascades East is unique: It’s the only partnership that OHSU has with a rural community in Oregon that includes both graduate medical education and clinical care. This means patients have better access to primary care as well as opportunities to learn how to improve their health by preventing illness.

Cascades East Family Medicine Partnership provides access to care, builds for the future

Cascades East includes a clinic that improves access to care for the entire community. “Our contract with the community is that they can get the care they need when they need it,” explained Dr. Hollander-Rodriguez. “We provide care in different settings, whether it’s at the hospital, the clinic, the skilled nursing facility, or hospice. We occasionally do home care as well.” Cascades East does this to provide familiar and consistent care, which is better for patients. In order to more effectively give care to patients, Cascades East providers seek not only to treat patients, but also to promote healthy lifestyles. “We try to influence health in places outside of the doctor’s office,” said Dr. HollanderRodriguez. The Cascades East mobile clinic – a converted RV outfitted with examination and nurse stations and a patient consult area – logs more than 1,000 miles a year providing care in rural area communities that may have limited access to medical care. The fuel, maintenance and supplies are provided by Sky Lakes. ●

February 1985 February 1987 Lab Addition completed

Skilled Nursing Facility Completed

Business Office (now WPS Administration) completed

September 1987

–1

September 1987

1st Floor Construction Work

September 1986 South Parking Lot completed

Live Healthy 2015 |

Do Your Cups Runneth Over?

oasting the highest breastfeeding rate in our country, there is certainly no shortage of breastmilk flowing in the Pacific Northwest! HERE’S HOW:

If you are a nursing mom, you possess a vital resource for some of our most vulnerable premature and ill infants whose mothers may not have available milk.

1. Call Northwest Mothers Milk Bank toll-free, 1-800-204-4444, for a 10-minute health screening over the phone; 2. Complete a few forms: health and lifestyle questions, consent forms, and medical releases; 3. Come to the Sky Lakes Lactation Department in the Family Birth Center for a free blood test; 4. Bring your frozen milk to the Lactation Department. We’ll take it from there!

This year, Sky Lakes created a partnership with Northwest Mothers Milk Bank, to serve as a milk drop sight for mothers desiring to donate excess breastmilk to struggling infants in their community. We believe milk donors are local heroes, saving babies drop by drop. And now, donating has never been safer or easier.

For more information from the Sky Lakes Lactation Department, call Carolynn or Ana at 541-274-6201. ●

January 1989

April 1989

Cancer Treatment Center opens

September 1988

Hugh Currin House opens

Cancer Treatment Center Dedication

1987 Merle West Medical Center Foundation developed

CHAIRMAN O F THE BOARD Chuck A. Bailey

B OA RD M E M B E RS

Van S. Mollison Eleanor C. Ehlers David R. Arnold

Eston E. Balsiger Bryant Williams Hugh B. Currin

22 | Live Healthy 2015

he Sky Lakes Cancer Treatment Center staff provides cancer education, screening and support groups for patients and their families dealing with cancer.

The center is conveniently located near the Sky Lakes Medical Center in Klamath Falls and allows cancer patients to stay local for cancer treatment. According to Sky Lakes Spokesman Tom Hottman, if the treatment center wasn’t located in Klamath Falls, cancer patients would be forced to travel to out of the area, to cities such as Medford or Bend, for treatment. “We are lucky to have this and to have it so close to home so patients don’t have to travel, especially in winter,” said Cancer Treatment Center Director Susan Morton. Hottman, noted that the state-of-the-art Klamath Falls center provides services that are not available in other cities.

Cancer Treatment Center

“We know that because physicians in Medford are referring patients to the services over here,” Hottman said.

Written By LACEY JARRELL, H&N Staff Reporter

Morton noted that having a local treatment center reduces the impact cancer has on loved ones, too. She explained that family members or friends must often drive cancer patients to treatment appointments, which sometimes interfere with work or other weekday commitments. “This way it’s a lot less of an impact on the family unit,” Morton said. Morton said the center has about 40 staff, including physicians and specialists.

1992 Paul Stewart becomes President & CEO

October 1994 1994

Cascades East opened

–1

$7 million Surgery Unit opens

September 1994 1993 Child Abuse Response & Evaluation Services (CARES) opens

Grant from the Susan G. Komen Foundation ($7,575) funds the Breast Cancer Fund to pay for mammograms for women in the community

23 Live Healthy 2015 |

“The staff are the heart of the center; they surround our patients and make sure they have everything they need,” Morton said. Statistics indicate the center treated more than 3,700 in the period of 2004-2014. Specialized equipment, such as the center’s Elekta Infinity radiation treatment unit, minimizes the effects cancer of treatment. The Elekta linear accelerator has the ability to perform CT scans to pinpoint cancerous tumors in 3-D and 4-D before delivering high-energy x-rays to targeted tumors. “We have grown with advances in technology,” Morton said. The Cancer Treatment Center was established in 1990 and has expanded twice — once in 1994 and again in 2003. According to center documents, more than 4,000 donors have contributed to the center’s development. The Cancer Treatment Center is accredited by the American College of Surgeons Commission on Cancer. In 2004, the center received the American College of Surgeons Commission on Cancer Award. The accreditation ensures patients receive multidisciplinary, comprehensive care; access to information on clinical trials and new treatments; lifelong patient followup; support and survivorship care and continuous improvements for patient care. ●

CANCER SUPPORT GROUPS Cancer Support Group • Every Tuesday, 4 to 6 p.m Open to all individuals who have been, or are being affected by cancer. . Breast Cancer Survivor Group • 1st Thursday of every month, 5 to 6 p.m Open to women who are affected by breast cancer and the women in their lives who support them. Prostate Cancer Support Group • 1st Tuesday of every month at noon. Offers information and education to all men and their support systems. All groups are held at the Henzel Pavilion, 2200 Eldorado St., in Klamath Falls.

1995 Mabel Liskey Henzel donates $1,000,000 toward the construction of the Community Health Education Center and KBBH (formerly KYDC)

HUGH CURRIN HOUSE

Cancer patients can stay near the Sky Lakes Cancer Treatment Center at the Hugh Currin House while undergoing treatment. The hospitality house can accommodate one family member or friend per patient. The Hugh Currin House is located east of the Sky Lakes Medical Center Cancer Treatment Center and is a comfortable atmosphere where patients and families can stay. The house is named in honor of Dr. Hugh B. Currin, a physician born and raised in Klamath Falls. Currin always “dreamed of a place for patients undergoing treatment and their families to stay near the hospital,” according to center documents. The house features two common areas — including a shared living room, kitchen and dining room — and six bedrooms, each with its own bathroom. The house also has three RV pads with hookups for electricity; water and sewer are provided, as well as bathroom, shower and laundry facilities. Meals can be prepared at the house or purchased at the hospital’s cafeteria. Patients can stay at the Hugh Currin House free of charge, but a $10 donation per night for the house and $5 per night for an RV pad is appreciated. Reservations can be made 8 a.m. to 5 p.m. Monday through Friday. Reservations are available on a first-come, first-served basis. Priority is given to Cancer Treatment Center patients. For more information or to make reservations, call the Cancer Treatment Center at 541-274-4171.

December 1998

September 1996

Family Birth Center completed

Henzel Pavilion dedicated

March 1995

September 1995

Klamath Kids Count created to raise money to renovate the Eldorado Place motel with a goal of $400,000 toward the $3.5 million needed

Dialysis Center opens

1997 All Hospital Board members (9) named to the Foundation Board (8) for a total of 17 Foundation Board members

24 | Live Healthy 2015

o one likes to think about cancer. But especially when it comes to colorectal cancer, giving it some thought could be a lifesaver. According to the American Cancer Society (ACS), regular screenings and some lifestyle changes can help prevent colorectal cancer. There are some risk factors, like age and family history, which you can’t do anything about. Here are four things you can do to reduce your risk:

Colorectal Cancer Look for the Oncology Program Annual Report at SkyLakes.org/health-services/cancer-treatment-center for helpful screening information.

EAT THE RIGHT KIND OF DIET A diet high in red meat and processed meats can increase colorectal cancer risk. On the other hand, diets high in fruits and veggies have been linked with decreased risk. The ACS recommends eating five or more servings of fruits and vegetables daily, limiting consumption of red and processed meats, and choosing whole grains whenever possible. GET ADEQUATE EXERCISE Physical inactivity can increase your chance of developing colorectal cancer—but getting a move on can reverse that risk. Aim for at least 30 minutes of physical activity five days a week, says the ACS, and more activity is even better. WATCH YOUR WEIGHT Obesity increases the risk of colorectal cancer, so try to maintain a healthy weight through diet and exercise. CONTROL THOSE VICES Long-term smokers are more likely to develop colorectal cancer, says the ACS, and the heavy use of alcohol has also been linked to colorectal cancer. Kick the smoking habit, and limit alcohol to no more than two drinks a day for men and one drink a day for women. These four steps can help prevent a host of other problems, too, so take control and get headed on a healthier path. ●

December 2004

May 15, 2007

Medical Office Building 1 completed

KMSB Building purchased (now Business Office & CCC)

Inpatient Care Area Project (ICAP) completed

–2

January 2002

October 2003 Cancer Treatment Center Expansion completed

March 2007 Emergency Department Expansion completed

DERMATOLOGY CLINIC

Jaymie Panuncialman, MD

Early Detection Saves Lives

3000 Bryant Williams Dr, Ste. 100 | 541-274-8900 SkyLakes.org

UROLOGY CLINIC

Sky Lakes campaign encourages responsible health decisions

ome cancers can be found early, before they have had a chance to grow and spread. And when tumors are detected at their early and localized stages, patients have more treatment options and survivability rates increase dramatically. Early detection is a proven strategy to increase the chances of a positive outcome and save lives. Sky Lakes Medical Center annually sponsors a multi-media campaign promoting early detection and encouraging people to talk to their physician to schedule a cancer screening exam. The campaign kicks off during the annual Sky Lakes Living Well community health fair, and its conclusion coincides with the annual Klamath Relay for Life cancer fundraising event.

David Chadbourne, MD (Coming in Oct) 2630 Campus Dr | 541-274-2991 SkyLakes.org

GENERAL SURGERY

The early detection campaign, like many other Sky Lakes activities, is part of a continued effort to promote proactive and responsible health decisions. Learn more about early-detection screenings in the Cancer Treatment Center section of SkyLakes.org. ●

2007 Main campus now at 308,915 square feet

Stanton Smith, MD, FACS Jared Ogao, MD 3000 Bryant Williams Drive , Suite 110 Klamath Falls, OR 97601• 541.274.2345

MARC D. ORLANDO, M.D., F.A.C.S.

GENERAL SURGERY Marc D. Orlando, MD, FACS

May 2007

Name changed to Sky Lakes Medical Center

3000 Bryant Williams Drive , Suite 220 Klamath Falls, OR 97601• 541.851.2032 SkyLakes.org

26 | Live Healthy 2015

BROCCOLI: Packed with antioxidants and phytochemicals, including sulphorophane. “Sulphorophane is proposed to stimulate enzymes that help detoxify potential carcinogens,” says Colleen Doyle, M.S., R.D., of the American Cancer Society. Other cruciferous vegetables like cauliflower and kale are also rich in sulphorophane. SALMON: Coldwater fish such as salmon have high levels of omega-3 fatty acids. “The highest levels of omega-3 fatty acids are found in free-range wild game, and the colder the temperature [where they are found], the higher the omega-3 levels will be,” says Keith Block, M.D., editor of Integrative Cancer Therapies.

Prevention Power Amp up cancer protection in your diet

Here are some specific foods to get you going in the right direction:

CARROTS: High in beta carotene, which helps plants absorb light, according to Ronald R. Watson, Ph.D., author of Functional Foods & Nutraceuticals in Cancer Prevention. Beta carotene accumulates in the fat under the skin and seems to absorb some of the radiation energy from sunlight, possibly reducing the risk of skin cancer. Squash, pumpkin and green, leafy vegetables are other sources of beta carotene. WALNUTS: High in omega-3 fatty acids. “Walnuts have five times the amount of omega-3 fat per ounce compared to most other nuts,” says Michael Roizen, M.D., co-author of The RealAge Makeover and The RealAge Diet. Aim for 5 ounces of walnuts a week. TOMATOES: High in antioxidants and the phytochemical lycopene. “Lycopene can prevent cellular damage and abnormal cell replication and growth,” Block says. Lycopene is best absorbed in cooked tomato products. In a Harvard study, men who ate two or more servings a week of tomato sauce or other cooked tomato products had a 20 percent less chance of developing prostate cancer, Doyle says. Lycopene may also reduce breast cancer risk and is found in red grapefruit and watermelon as well as tomatoes. ONIONS: Along with garlic, onions contain the phytochemical allicin. “I compare its action to Lysol,” says 5 A Day’s Valerie Green, explaining that allicin acts as an antiviral, antifungal and antibacterial agent, and may zap toxins related to cancer development. BLUEBERRIES: High in ellagic acid, a phenolic compound. “Phenolics are a category of phytochemicals that protect cells from free radical damage,” Doyle says. Other sources are red grapes, raspberries, strawberries and blackberries. Berries are also high in a class of phytochemicals called anthocyanins, which act as powerful antioxidants, Green says. ●

2013

June 2015

Klamath Radiology Building becomes Outpatient Imaging (OPI)

New Linear Accelerator installed

West One building dedicated as Klamath Works project site installed

–2

March 2013

October 2013

March 2014

Sanford Clinic and Sky Lakes Adult Medicine Clinic open

Wellness Center opens

28 | Live Healthy 2015

Are your odds of developing cancer higher than they should be? Ask yourself these questions:

Assess Your RISK Every “yes” could quite possibly increase your risk for cancer. But relax. Knowing your risk factors is the first step toward improving your chances of stopping cancer in its most curable early stages—or avoiding it entirely.

1 2 3 4 5

If You Answered Yes to Question 1 Your Assignment:

If You Answered Yes to Questions 2 & 3 Your Assignment:

There’s a reason cigarettes are called “cancer sticks.” Smoking is directly linked to at least 15 different kinds of cancer, including most cases of lung cancer, which kills more people than colon, breast and prostate cancers combined.

You know that eating right and exercising helps keep your heart healthy and your waist slim. Did you know that it’s a strong defense against cancer, too? Colon, endometrial and postmenopausal breast cancer, as well as some kidney cancers, are strongly associated with obesity. What’s more, he adds, there’s plenty of evidence that people who exercise are less likely to develop cancer, especially of the breast and colon.

KICK THE STICKS

Nevertheless, giving up tobacco might be one of the hardest things you ever do. After all, it’s addictive. But the payoff is huge: Quitting smoking is the single best way to cut your cancer risk, according to the American Cancer Society. There’s another benefit, too—quitting helps protect the people around you. Studies show that secondhand smoke causes approximately 3,000 lung cancer deaths each year. And if you’re the nonsmoker in your household, persuading your loved ones to kick the habit is a great investment in your own health.

EAT BETTER, MOVE MORE

Experts advise eat lots of fruits and vegetables. Go easy on the fat, sugar and alcohol. Walk 30 minutes on most days of the week, and climb stairs instead of taking the elevator. These basic, sensible steps can help keep your weight within the healthy range for your height. Remember to consult your healthcare provider before beginning an exercise regimen.

Do you smoke or live with someone who does? Is commuting to work the most physical activity you get on a daily basis? Given a choice between shredded wheat and fried eggs, do you always pick the eggs—preferably with bacon? Has one of your parents, grandparents or siblings ever been diagnosed with cancer? Do you put off going to the doctor until you’re feeling awful?

If You Answered Yes to Question 4 Your Assignment:

If You Answered Yes to Question 5 Your Assignment:

Knowing your family health history can be a crucial tool for prevention and early detection. Learning as much as you can about immediate family members who’ve been diagnosed with cancer doesn’t require a diagnostic procedure—just a willingness to have some potentially awkward conversations.

Finally, there’s one thing you can do for your health that requires almost no effort at all: noticing changes in your body that might suggest something’s wrong.

KNOW YOUR HISTORY

Your family health history research should span not only your parents and siblings, but also your grandparents, aunts, uncles and first cousins. Write down what kind of cancer they had, when they were diagnosed and at what age, what treatment they received and how successful it was. This information will help your doctor spot any patterns worth noting. For example, if someone in your family developed colon cancer at age 45, your doctor may recommend that you begin regular screenings in your 30s or 40s instead of waiting until age 50.

WATCH YOURSELF

No one knows your body as well as you do. It only takes a few minutes to check for lumps where lumps shouldn’t be, glance at moles and freckles to make sure they haven’t changed, and ask yourself how long an ache or twitch has been bothering you. Those few minutes might save your life. For more information on how often to do certain self-screenings and when to see your doctor, visit the American Cancer Society at cancer.org.

Partnering with you in life 2200 Bryant Williams Drive, Suite 3 541.274.6406 · SkyLakesPT.com

Orthopedic and Spine Care · Balance and Vestibular Rehabilitation · Hand and Upper Extremity Therapy Neurological Disorder Rehabilitation · Lymphedema Management · Pelvic Floor Rehabilitation Occupational Therapy · Sports Injury Rehabilitation · Speech and Language Pathology

Family. Community. Education.

Cascades East is a patient-centered medical home providing team-based care to people of all ages

Complete Physical Exams | Well Child Exams Immunizations | Women’s Health Family Planning, Prenatal, OB & Newborn Care Marriage and Family Therapy Sports Medicine | Orthopedic Clinic Mental Health & Social Services | Lab, X-Ray, and EKGs Office Procedures (including biopsy, circumcision & vasectomy) Same Day Visits for Acute Illness | Se Habla Español Clinic Hours: Monday, Tuesday, Wednesday & Friday 8:30 a.m. to 5:00 p.m. Thursday 8:30 a.m. to 11:30 a.m. and 4:30 p.m. to 7:30 p.m.

2801 Daggett Avenue | Klamath Falls, Oregon, 97601 541-274-6733 | SkyLakes.org

30 | Live Healthy 2015

WALKING FOR FITNESS Walking: Humans are programmed to do it from birth. Few people may be able to run five miles at a stretch, but many can walk the same distance with ease.

Health Tips Tips for a healthier you, starting today!

It’s not surprising then that as an exercise regimen, walking is among the most popular forms of physical recreation in the nation, with an estimated 77 million Americans walking for health every day. It’s easy, it’s painless, and it’s good for life. Why Walking? Anyone can start a walking program to improve health and fitness, no matter what his or her current fitness level. Seriously overweight people can begin to shed pounds and tone muscles almost immediately by walking for just half an hour every other day. Runners or other athletes can repair torn muscles and ligaments more quickly if they walk as part of their rehabilitation. And individuals with heart trouble or high blood pressure can improve their health dramatically by walking a little every day. Getting started is easy, since almost everyone already owns the necessary walking equipment: a comfortable pair of well-cushioned shoes. No special clothes, no gadgets, and no expensive accessories are required. Even the weather can’t stop walkers, since it can be just as easy to walk around the mall a few times as it is to take off on a regular neighborhood route. Whether it’s a stroll or a racewalk, any amount of walking at any intensity will build muscle, strengthen bones, relieve stress, improve cardiovascular function, and boost anyone’s outlook on life.

WANT GREAT ABS? SKIP THOSE SIT-UPS! Want better abs and a stronger core? Sit-ups once ruled as the way to tighter abs and a slimmer waistline, while “planks” were merely flooring. Now planks — exercises in which you assume a position and hold it — are the gold standard for working your core, while classic sit-ups and crunches have fallen out of favor. Sit-ups are hard on your back and planks recruit a better balance of muscles on the front, sides, and back of the body during exercise than sit-ups, which target just a few muscles. Remember, your core goes far beyond your abdominal muscles. Finally, activities of daily living, as well as sports and recreational activities, call on your muscles to work together, not in isolation. Sit-ups or crunches strengthen just a few muscle groups. Through dynamic patterns of movement, a good core workout helps strengthen the entire set of core muscles making you strong and steady! ●

The Health Benefits of Walking • Gain without pain. The best news about walking is that it provides all the health benefits of other exercises without the risk of injury. So walkers can improve their cardiovascular capacity at the same rate as joggers, burn more calories than people who play tennis, and strengthen muscles at the same rate as basketball players. And they can do it day after day because their bodies don’t experience the jarring impact associated with other forms of exercise. • Losing fat, building muscle. Most people find it hard to believe something as simple as walking can burn calories at a level that can sculpt a flabby body into a firm physique. But just by walking at a moderate pace, people can burn fat at a faster clip than those who jog the same distance. The difference is that walking a certain distance takes longer, so more time is spent boosting metabolism and shedding fat. Generally, the longer the walk, the greater the benefit. • Cardiovascular strength. Walkers don’t have to burn up the pavement at a six-minutes-a-mile pace to reach an aerobic level that strengthens the heart and improves lung capacity and endurance. Keeping a workout within the appropriate target heart range is enough. Anyone who’s starting an exercise program should always check with the doctor to get the go-ahead. Then be sure you have a good pair of walking shoes and appropriate clothing for the weather. Neither should be a problem, since almost everyone owns shoes they like to walk in and breathable clothes they can layer. Many people invest in a well-fitting pair of athletic shoes made especially for walking, but usually any pair of lightweight shoes with good heel support and a comfortable innersole will do.

Live Healthy 2015 |

Walk This Way Starting slowly is best, especially for people who are seriously overweight, have a chronic medical condition, or are recovering from illness or surgery. Regardless of fitness level, everyone needs to perform some gentle stretching before working out, as well as slower warmup and cool-down periods at the beginning and end of each workout session. All three components will guard against overexertion, shin splints, muscle aches, and the fatigue that can sabotage even the best of intentions. A good schedule for beginners is 30 minutes a day, every other day. After a week or two, they’re ready to extend workouts to 45 minutes. In subsequent weeks, walkers can try to increase the distance walked in 45 minutes, which will provide a better aerobic workout and increase muscle tone. In study after study, researchers are finding that the healthy benefits of walking depend not on the distance covered or the speed achieved, but on the consistency with which a fitness routine is followed. It’s not enough to start a walking program; the rewards come with sticking to it. ●

Your Target Heart Rate Whenever you work out, try to keep your heart beating at a rate that provides the most beneficial conditioning for your heart and lungs (see chart). To determine your heart rate at any point during your workout, stop and press your fingers to the large artery on the right side of your neck. Count for six seconds, then add a zero to the number to get your beats per minute. Too fast? Slow down for a while. Too slow? Pick up the pace.

Age 25 30 35 40 45 50 55 60 65

Target Heartbeats Per Minute 98-146 95-142 93-138 90-135 88-131 85-127 83-123 80-120 78-116

BE PROACTIVE ABOUT SUN PROTECTION! Klamath Falls is a sunny place! And even when the summer ends, it’s important to protect your skin from the sun’s harmful ultraviolet rays. Skin cancer affects millions of people in the United States and kills more than 9,000. But, sunscreen can help block UV radiation. So, before heading outdoors, even in fall or winter, apply a broad-spectrum sunscreen with an SPF of 30 or high and wear protective clothes, including a heat with a broad brim that covers the ears and back of the neck. And if possible, avoid the sun when it is most intense… between 10am and 4pm! ●

STAY SHARP! We all want to keep our brain sharp as we age and we can! Studies show that the “use it or lose it” idea especially holds true with mental acuity. Try reading books, participating in social activities, and doing computer activities at least three times per week. Figure challenging things out like how the stock market it or what to plant in your garden next summer. Remembering facts, reasoning, and making decisions will help you stay mentally active. The more intellectual enrichment (like these great health tips!) or complexity of thought is associated with a significant delay of cognitive problems as you age! So, keep those thinking caps on! ●

32 | Live Healthy 2015

GET MORE EXERCISE! Exercise is good for the body and mind, lowering risks for many serious illnesses, including heart disease and stroke. It boosts mental sharpness, and by strengthening muscles and shaving of excess weight, it takes a load of aching joints. Regular exercise can enable some to cut back on medications, such as high blood pressure or diabetes drugs, saving money and easing unwelcome side effects. Try getting at least 150 minutes a week of exercise and strength-training two times a week! One simple way to bump up your activity is to slip short spurts of exercise into your day. Start noticing downtime— while you’re on hold on the phone, for example, or during TV commercials—and fill these minutes with simple activities, such as marching or jogging in place, a few strength exercises, jumping jacks, and so on. This can be a time-saver, too. You’ll build stamina while reaping some health rewards, particularly if the activities you choose last 10 minutes or more. ●

OUTSMART YOUR APPETITE! Limiting your caloric intake is essential to weight loss. Whether you eat out, prepare your own meals, or occasionally grab food on the run, your appetite isn’t just governed by physical factors. It’s also independently influenced by the sight of food and what the people around you are eating or ordering. What to do: • Resize your dinner plates. Portions seem larger on smaller plates, so consider scaling down. • Serve food in the kitchen. To discourage second helpings, pre-serve your portions onto each plate at the kitchen counter rather than bringing serving bowls to the dining table. • Start dinner with a salad or broth-based soup. Studies show that starting a meal with a small salad and lowcalorie dressing such as oil and vinegar or a broth-based soup can help curb your appetite. • Eat mindfully. Mindful eating asks you to sidestep distractions and tune into body signals. ●

PRACTICE STRENGTH TRAINING! Did you know that you should practice strength training at least two times a week? It helps develop strong bones, control weight, boost stamina, manage chronic conditions and focus! We’re all familiar with strength training at the gym, but it can also be done at home! Some choices are listed below: Body weight. You can do many exercises with little or no equipment. Try pushups, pullups, abdominal crunches and leg squats. Resistance tubing. Resistance tubing is inexpensive, lightweight tubing that provides resistance when stretched. You can choose from many types of resistance tubes in nearly any sporting goods store. Free weights. Barbells and dumbbells are classic strength training tools. Weight machines. Most fitness centers offer various resistance machines. You can also invest in weight machines for use at home. ●

EAT HEALTHIER! A healthy diet—packed with vegetables, fruits, whole grains, nuts, and lean protein—has the power to help prevent a range of major ailments, including heart disease, high blood pressure, type 2 diabetes, gastrointestinal disorders, and some forms of cancer! As Michael Pollan says, “Eat food. Not too much. Mostly plants.” Additional Tips: • Eat foods that are filling and low in calories (like brown rice, whole-wheat bread, oatmeal, beans, lentils, and other legumes). • Cut down on meat, and when you eat it, cut out fat and reduce portion sizes (about 3 ½ or 4 ounces per serving). • Avoid fried foods. • Avoid fast foods. • Avoid high-calorie, low-nutrient snacks (like chips). Watch out for low-fat snacks because they often have large amounts of sugars and carbohydrates. • Watch what you drink! Regular sodas, fruit juices, and alcoholic beverages are high in calories. ●

HEALTHY RECIPES! The following recipes were graciously provided by Blue Zones Project - Klamath Falls. To learn more about Blue Zones Project, please visit www.BlueZonesProject.com

Aztec Corn Salad Ingredients: • 2 cups frozen corn, thawed • 1/2 cup quinoa, cooked • 15 ounces black beans, drained and rinsed • 3 tbsp. lime juice

From the kitchen of: Blue Zones Project®

Directions: Combine corn, pre-cooked beans, and quinoa and chill or allow to cool at room temperature. Add lime juice before serving. Chef’s note: You can substitute three ears of fresh corn for the frozen. Tip: Serve as a side dish or in a whole wheat wrap. Yields: 6 servings15 per serving: 148 calories, % calories from fat: 0%, % calories from saturated fat: 0%, Trans Fat: 0%, Sodium 159 mg

Brought to Oregon by Cambia Health Foundation

SOME HEALTHY FAVORITES Almonds Almonds are a rich source of fiber, protein, hearthealthy fat, antioxidants, vitamins and minerals, making them a one-stop food. They’re high in calories, so check your portion size; try to stay within 1 ounce, which is 23 whole, shelled nuts. Avocados Avocados are a great addition to any diet. They help make you feel full, have good fats (like monounsaturated and polyunsaturated fat), Vitamins C and E, potassium, and lutein. In addition, when you add them to salsa or in a salad, they help us better absorb carotenoids, lycopene, and beta-carotene, which are important antioxidants that help protect us from cancer, heart disease, and many other problems! Beans We all know that beans are full of fiber, but this helps them protect against certain cancers. They’re also a top-rated food for diabetics, per the American Diabetes Association. And when combined with a grain, they comprise a highquality vegetarian source of complete protein.

Quinoa and Sweet Potato Chili Ingredients:

From the kitchen of: Blue Zones Project® Directions:

Heat oil in a large, heavy soup pot over medium-low heat. Add onions, and cook them until they are soft and start to turn brown (about 10 minutes). Add the garlic and cook for about 2 minutes. Add the tomato paste, chili powder, cumin, and oregano and cook for about 2 minutes, stirring constantly. Add the beans, stock, and potatoes. Then, season with salt and pepper. Cook for about 5 minutes. Next, add the quinoa. Cooking cooking for 15 - 30 minutes, stirring frequently, until quinoa and potatoes are cooked and the chili has thickened. Add a bit of water if the becomes too thick for your liking. Top with avocado and chopped cilantro.

Yields:

Serves 6 Per Serving: 355 calories, 5 g fat, 695 mg sodium, 12 g fiber, 17 g protein

Brought to Oregon by Cambia Health Foundation

Beans are also an excellent dietary source of folate and also have high levels of iron, potassium and magnesium, which can improve bone health and blood pressure levels Quinoa Quinoa is one of the few complete proteins, which makes it great for nutrition, It’s also a great source for magnesium, phosphorus, and manganese! Sweet potatoes Sweet potatoes have Vitamin A, beta-carotene, fiber, folate and potassium, which all improve health, including keeping your immune system strong! They can also improve skin, repair damage, and make your skin silky-smooth. ●

• 29-ounce can black beans, rinsed and drained • 32-ounce reduced sodium vegetable stock • 1 sweet potato, peeled and cut into bite-size chunks • 1 cup dry quinoa • salt and pepper to taste • avocado, cilantro for garnish (optional)

• 1 Tablespoon olive oil • 1 onion, chopped • 5 cloves garlic, minced • 1 Tablespoon chili powder • 1 Tablespoon cumin • 1 teaspoon oregano • 6-ounce can tomato paste

Loma Linda Minestrone Ingredients: From the kitchen of: Blue Zones Project®

• 2 tbsp. olive oil • ½ medium red onion (chopped) • 2 cups frozen mixed vegetables (peas/carrots/corn) • 4 cups vegetable broth

• ¾ cup shell pasta • 2 15 oz. cans beans, rinsed and drained (1 can garbanzo, 1 can cannellini or other) • 1 tspt. dried basil • 1 15 oz. can diced tomatoes (undrained) • 1 tbsp. fresh thyme

Directions: Heat the olive oil over medium heat in a large soup pot. Add the onion and sauté until onion is translucent (5-10 minutes). Add broth, beans, tomatoes, vegetables, shell pasta, basil and thyme. Bring soup to a boil, then cover and reduce heat to a simmer for about 20 minutes, until pasta is tender. Enjoy! Yields: Serves 10

Per serving: 176 calories, 3 g. fat, 526 mg. sodium, 6 g. fiber, 7 g. protein

Brought to Oregon by Cambia Health Foundation

34 | Live Healthy 2015

1 Cold and Flu IQ Ah, the coming season. The one characterized by sniffling, sneezing, wheezing and uncontrollable coughing. You know, cold and flu season. And as the viruses circulate, so does misinformation. Take this quiz to test your cold and flu IQ.

WOMENâ&#x20AC;&#x2122;S HEALTH CLINIC

Linda Walker, MD, FACOG 2850 Daggett Ave | 541-274-8610 SkyLakes.org

2 3 4 5

What symptoms do colds and flu share?

a. Runny or stuffy nose b. Coughing and sneezing c. Fever d. Fatigue e. All of the above Getting a flu shot will give you the flu.

(True/False) Once you have the flu, all you can do is ride it out.

(True/False) Going out in the cold with a wet head will make you sick.

(True/False) To cure a nasty seasonal bug, you should:

a. Starve a cold, feed a fever. b. Feed a cold, starve a fever. c. Load up on vitamin d. Do all of the above. e. Do none of the above.

RHEUMATOLOGY CLINIC

W. Clay McCord, MD 2200 Bryant Williams Dr, Ste. 2 | 541-274.2750 SkyLakes.org

ANSWERS

1 E. All of the above

Colds and the flu share many of the same symptoms, making it difficult to distinguish one from the other. The flu is often characterized by more severe symptoms. For instance, a cold sufferer may have a low-grade fever, whereas a flu patient will experience fevers that are 101 degrees or higher. And colds usually vamoose after five to seven days, while the flu can linger for two weeks.

2 False

The flu shot will not give you the flu. This myth is perpetuated because a killed flu virus is a component of the vaccine. Because the shot may result in muscle soreness or a slight fever, people may believe they’ve been given the flu.

3 False

Antiviral medications may shorten the length of your flu, reduce its severity and even make it less contagious.

False

Because both colds and flu are virus-based, cold weather isn’t a factor. The reason winter months are cold and flu season has more to do with being indoors: Folks are cooped up together, so there’s more chance to pass viruses around through sneezing, coughing and other contact.

E. Do none of the above

When sick, eat if you’re hungry. That’ll keep your strength—and defenses—up. And the claims that large doses of vitamin C can cure what ails you are unproven. So drink that OJ if you like it, but not to shake that bug.

SCORE

4–5: Your cold and flu IQ is off the charts • 2–3: You need another shot of information • 0–1: You’d better call in sick now

EAR, NOSE AND THROAT CLINIC

Richard DeVore, MD David Souza, MD

OUR CARE SPEAKS FOR ITSELF

AUDIOLOGY

Barry West, PhD, CCC-A

3000 Bryant Williams Dr, Ste. 200 | 541-274-8650 SkyLakes.org

541.882.1636 2210 Shallock Avenue www.HighDesertHospice.com Nurse Owned and Operated

Live Healthy 2015 |

36 | Live Healthy 2015

he Sky Lakes Wellness Center takes a holistic approach to health: balancing physical, mental and environmental health.

The Wellness Center opened in March, and started seeing its first cohort of patients, who will go through a yearlong wellness program, at the end of April.

Wellness Center Written By NORA AVERY, H&N Staff Reporter Photos By, KEVIN HUME H&N Staff Photographer

For now, the patients are employees of Sky Lakes and their families, but the wellness center team is hoping to expand the patient base in 2016, said program director Katherine Pope. The wellness center is the brainchild of Pope and medical director Dr. Stephanie Van Dyke, with the goal of helping people live healthier lives. The program incorporates instruction on nutrition, physical activity, stress management, mindfulness, and self-efficacy, or self-confidence, said Pope and Van Dyke. The two women are joined by registered dietitian Jennifer Lehman and behavioral therapist Jeanette Rutherford, as well as administrative assistant Stephanie Scott, who all help create and improve the program curriculum. â&#x20AC;&#x153;We're all about wellness in a whole person manner,â&#x20AC;? Rutherford said. The goal of the program, Van Dyke explained, is for enrollees to make sustainable lifestyle changes to improve their health, as opposed to a quick-fix diet. It's also about more than just losing weight; patients can also reduce their risk for diabetes, improve cholesterol and blood pressure levels, as well as other health issues. The program has already been successful for one of their own: As of the end of August, Scott has lost almost 30 pounds since April 28. She's lost more than 5 inches off her waist, and dropped more than four points off her starting BMI, or body mass index.

That preventative and disease-reversing aspect is “one of the key factors that sets us apart,” from other health clinics, Van Dyke said. That holistic approach is important, Pope agreed. Instead of just focusing on heart health, for example, the wellness center team talks with patients about where they live, their lifestyle, level of physical activity, mental health, and more, she explained. Scott's husband Gene has had great success in the program as well. In the same time period, he lost 63 pounds, 5 inches off his waist, and more than nine points from his BMI. “The best part of the whole process has been doing it together,” Scott said in an email. “We depend on each other and keep each other in check when the other feels like they aren’t succeeding. We’re also able to be a part of the other’s success.” Following the wellness program is the key to the Scotts’ success. The couple track their food and calorie intake, track their exercise, up to 120 minutes a week, and have increased their fruit and vegetable intake by adding at least one serving at every meal. “We eat three meals and two snacks a day and have a fruit or veggie for each,” Stephanie Scott said. “We also do food prep at the beginning of each week so all snacks are prepared and meals are planned for the week with everything already stocked in the house. We also decided to get rid of any and all foods that are poor choices so we do not keep processed, high-fat, calorie, sugar, salty foods in the house.” The Center for Disease Control recommends eating five to nine servings of fruit and vegetables a day, Van Dyke said; they're naturally low in calories and packed with nutrients, so you can feel full without eating too much, she said. The wellness program helps enrollees fill out a paper form to track calories, or many patients use the smart phone app, My Fitness Pal, Pope said. Counting calories isn't always easy, Scott said — it's not something she would do forever, but it does help. She and her husband keep a food scale handy in the kitchen, and use measuring cups and spoons as scoops to easily measure their food. Counting calories helps patients be mindful of what they're eating, making them more aware of the nutrition facts of their regular foods, like how many calories or how much sugar is in a can of soda, Rutherford said. Once they make that realization, they can understand the benefits of maybe drinking less soda in a day, she said. “It's really hard to change our behaviors unless we're aware of what we're doing,” Van Dyke agreed. As for exercise, Pope said the program encourages patients to add physical activity to their lives slowly, especially if patients are just beginners. “Walking is the best way to be introduced,” Pope said. Start with just 20 to 30 minutes a week, and gradually build up to 150 to 200 minutes a week, Pope said. Strength training can also be added in down the road, but they don't want patients to risk injury, she said. 

or The doct y r e v e is in day! Licensed Physician On Duty On Site X-Ray, Lab, EKG Evaluation • Treatment • Physicals Occupational Health Services Insurance Billing

J. Eric Brunswick, M.D.

Thomas C. Koch, M.D.

Laura L. Moore, M.D.

Kathie J. Lang, M.D.

Open mOn-Fri 8-7, Sat 9-6, Sun & hOlidayS 9-3

3737 ShaSta Way, Suite a • Klamath FallS (541) 883-2337 • Fax: (541) 883-2504

So, what do we have at Treasures? • Clothing • Shoes • Jewelry/Purses • Hats/Belts/Ties

• Books/CDs/DVDs • Furniture A UNIQUE THRIFT STORE • Gardening • Home Décor • Kitchen/Linens • Kid’s Books 3226 South 6th Street • Toys... and more! Mon-Sat 10-4 • 541-880-0596

All proceeds benefit our community through the services Klamath Hospice provides.

38 | Live Healthy 2015

Jeanette M. Rutherford, MA, LPC

It's also important to incorporate physical activity by doing something you enjoy, Van Dyke said. Not everyone loves CrossFit or Zumba, or going to the gym at all. Doing something you enjoy also helps you stick with it too, she said. Start with physical activity in moderation, take baby steps instead of jumping into extreme sports, she said. Pope also suggested that you can incorporate exercise into your daily life — try walking or biking to work, gardening, or simply parking farther away from the entrance to the store. While the team recommends 30 minutes of physical activity a day, if that seems daunting, you can break it up into just three 10 minute walks a day. Raking leaves is also great exercise, Rutherford added. One of the best things about the program though, Scott said, is that “you're never told that you can't.” For the Scotts, that means they don’t feel guilty about having a bowl of ice cream as long as they track the calories, or take a break for a day. In the long run, that helps patients be more successful, Pope said. Always denying yourself foods that you love, like ice cream, or bacon, or bread, isn't sustainable, and is the reason most diets fail, she explained. Instead, adjust the frequency or portion sizes for such treats, Van Dyke suggested. That makes it much more likely that a person will stick with a lifestyle change. The latter part of the wellness program will focus on motivation, Van Dyke said. Lifestyle changes can be a “slippery slope” sometimes, and the team will help patients get back on their feet if they feel like they're losing motivation she said. “We all have failure, but what is most important is getting ourselves back up,” Van Dyke said. It's not even failures, Rutherford said, but just different choices. ●

WELLNESS SEMINAR SCHEDULE “Don't Go Extinct” Wellness Seminars are held the third Tuesday of every month at 6 p.m. at the Community Health Education Center, 2200 N. Eldorado Blvd. Call 541-880-2770 for more information.

October 20 • “Weight of the Nation, Part II:” Despite our Technology, why is there still no Silver Bullet to Prevent or Reverse Obesity? Prizes: Two $50 Hutch’s Bicycle Store and two $50 Fred Meyer gift certificates November 17 • How to Reduce Stress and Increase Joy Everyday Prizes: Two $50 Fred Meyer and two $50 Asana Yoga and Sole gift certificates December 15 • “Weight of the Nation, Part IV:” A film that Explores the Major Driving Forces and Looks at Opportunities for Communities to Fight Back Prizes: Two $50 Sherm’s Thunderbird Market and two $50 Ledge gift certificates January 19 • Inspirational Weight Loss Success Stories From our Community Prizes: Two $50 Sherm’s Thunderbird Market and two $50 Fred Meyer gift certificates

Jeanette is the Behavioral Therapist for the Sky Lakes Wellness Program and has been a practicing therapist in Klamath Falls since 1999. She grew up in Southern Indiana and is very happy to now be an Oregonian. A strong emphasis of her work and personal philosophy has been a focus on prevention and self-care. She is trained in EMDR therapy and is a Family Mediator for Klamath County divorce and child custody cases. When she learned Sky Lakes was opening the Wellness Center she decided she wanted to be a part of this exciting new venture - she hopes to use her wide variety of therapeutic experiences to impact Klamath County residents in a positive way!

Stephanie Scott, BS

Stephanie is the Administrative Assistant at the Wellness Center where she helps to coordinate all aspects of the clinic to and keeps it running smoothly. Born and raised in Klamath Falls, she graduated from Mazama High School in 2005 before attending the Oregon Institute of Technology where she graduated in 2011 with a Bachelor of Science in Communication. She has worked for Sky Lakes Medical Center since 2012. She and her husband enjoy camping, fishing, hunting and watching Oregon Duck football games.

Jennifer Lehman, RD, CDE

Jennifer Lehman is the Registered Dietitian for the Sky Lakes Wellness Center and Program Coordinator for Sky Lakes Diabetes Services. She grew up in Oklahoma where she obtained a Bachelor of Science in Nutritional Sciences, before moving to Klamath Falls in 2005 to work with the bariatric program and outpatient diabetes education program at Sky Lakes Medical Center. Over the past 10 years, she has managed patients’ chronic conditions, and is now thrilled to change her focus to work toward preventing those very conditions. As a result of Jennifer’s newfound passion for preventive medicine and population health, she is completing her Master of Public Health.

Stephanie Van Dyke, MD, MPH

Stephanie Van Dyke is the medical director for the Sky Lakes Wellness Center. She trained as a primary care physician in New York, and underwent residency at Oregon Health Science University’s Cascades East Family Practice. Throughout residency, Stephanie learned the value of preventing disease, which led to her obtaining an MPH (Master of Public Health) at Johns Hopkins prior to returning to Klamath Falls to begin the Wellness Center. Stephanie previously established a nonprofit health clinic in Uganda, and is currently serving on the board of Klamath Basin Behavioral Health.

Katherine Jochim Pope, RN, MPH

Katherine Pope, program director of the Sky Lakes Wellness Center, is originally from rural Indiana. She taught English in France before attending nursing school, and went on to work in oncology and bone marrow transplant in Phoenix, Ariz. However, desiring to effect change on the population health level, she also obtained her Master of Public Health at Johns Hopkins School of Public Health. While there, she met Dr. Van Dyke and together, they designed the Wellness Center. She is thrilled to live in Klamath Falls and is currently serving on the board of the Klamath Falls Downtown Association.

PRIMARY CARE CLINICS

Michele Rushton, MD Daniel Pederson, DO Chin Hee Jun, MD (Coming this fall) 3001 Daggett Ave, Ste. 101 | 541-274-8930

Laneah Snyder, MD Debra Hartley, MD Rand Hale, MD

Laurentiu Istrate, MD Rinnah MacVittie, AGNP

3001 Daggett Ave, Ste. 102 | 541-274-8980

KLAMATH MEDICAL CLINIC

David Dassoff, MD Karl Tieva, MD Randall Machado, MD Jerri Britsch, MD Dawn Jennings-Peterson, MD

Ian Panuncialman, MD Brock Trejo, MD Carl Barbee, MD Lynne Bettles, FNP Brooke Smith, PA-C

1905 Main St | 541-882-4691

Ana Ferguson, FNP Reid Culton, MD (Coming in December) 2617 Almond St | 541-274-8690

Alden Glidden, MD Karen Shingler, AGNP 2600 Clover St | 541-274.8670 SkyLakes.org

After 50 years it’s time to celebrate. In order to celebrate over 50 years of serving Klamath Falls and the surrounding communities we have planned a really big party. Come join us for one or all of our events. We couldn’t have done the last 50 years without you.

October, 2015 Public Events

6 Time Capsule Opening – 12:30 p.m.; north side of medical center. Light refreshments following 9 Birthday Cake – Noon; first-floor meeting rooms. 10 Site-to-Site Walk/Run (about 6K) –10 a.m.; Sky Lakes main parking lot to Sixth and Main streets. Shuttle every half hour 12 Build, Bury New Time Capsule – 3 p.m.; north side of medical center. Light refreshments following

For more information, visit SkyLakes.org