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Live Healthy 2012 |

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2012

WELLNESS 

| 

UGANDA  

|  CANCER  |  

DIABETES  

|  STROKE  |  C.A.R.E.S.


CONVENTIONAL THINKING: A house as a tax deduction. COLDWELL THINKING: A home as a stress reduction. CBHolmanPremier.com

Coldwell Banker Holman Premier Realty is the #1 Residential Real Estate Office in Klamath County since 1999. Put our expertise to work for you so you can enjoy what is most important.

COLDWELL BANKER HOLMAN PREMIER REALTY 3815 S. 6th St., Klamath Falls, OR 97603 • (541) 884-1343 Each office independently owned and operated. Equal housing opportunity. Bill Haskins, Principal Broker / President. ©2012.


“I am continuously left in awe when, even after a 9-hour wait for a complaint as simple as chronic knee pain, the villagers are appreciative, kind and thankful,� -Dr. Stephanie Van Dyke (story on page 31)


s t n e t n o C Table of

Stroke 

YOUR THOUGHTS? Please share your thoughts and comments about this Sky Lakes Medical Center publication or related topcs by e-mail, feedback@skylakes.org, or by calling 541-274-4778 during regular business hours weekdays.

Telestroke Brings Providence Brain and Spine Institute Experts to Sky Lakes Medical Center   8 Are You at Risk for a Stroke?   9 F.A.S.T. — Learn to Recognize the Signs of a Stroke  9

Lake of the Woods Races   Diabetes

11

Joint Health   C.A.R.E.S.

17

Proper Hand-Washing   GEMS Vehicles   Patient Financial Services   Rehabilitation

22

Diabetes Complications   Diabetes Warning Signs   Diabetes IQ — Do You Know the Risks and Signs of Diabetes?   Diabetes Services 

12 13 14 15

Klamath-Lake Cares   18 Lustig-Butts Earns Award   19 Purple Crying  20 Tips to Soothe a Crying Infant  21

Outpatient Rehabilitation Services  

23 24 26

Uganda

Uganda Clinic  31

Cascades East   Wellness

34

Ready, Set, Exercise!  38 BMI: One Tool to Determine Health   40 Balance Tips   41 Managing Stress   41

Pregnancy Health 

Eating Right When Pregnant   Exercise During Pregnancy  

Recipes 

“Sweet” Potato Fries   Best Roasted Chicken   Black Bean and Corn Salad   Turkey Tacos   Rhubarb Cake  

Cancer

Find Cancer Early: Guidelines for Screenings  Kramer Earns Award  New Oncologist, New Internal Med Specialist  You Can Be A Hero – Again 

Useful Numbers  

42 44 45 46 47 48 49 50 52 53 54 55


MASTHEAD Editor: Tom Hottman, Sky Lakes Medical Center Advertising: Herald and News Design: Saffron Owen, Herald and News Cover design: Saffron Owen, Herald and News

31

UGANDA CLINIC

Photographs by Bryan Meltz To view more photos, visit BryanMeltz.com.

INFORMATION Live Healthy is published as a community service by the Herald and News in conjunction with Sky Lakes Medical Center. Material in this report is obtained from a range of medical and healthcare sources and is not intended to replace examinations or consultations with a physician. If you

have concerns about specific items that appear in this publication, consult your personal physician about their effects on your health. To offer suggestions or for more information, e-mail feedback@skylakes.org


We either do the job or we don’t, healing the patient is the only thing that matters. Every day when we come to work, we know there are no shortcuts or excuses. Good enough doesn’t work here, we do. We are healers.


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Stroke TELESTROKE BRINGS PROVIDENCE BRAIN AND SPINE INSTITUTE EXPERTS TO SKY LAKES MEDICAL CENTER

I

f you or someone you know has a stroke, faster care can mean a better outcome. That's why Sky Lakes Medical Center and Providence Brain and Spine Institute are working together to provide Klamath Falls with the most advanced stroke care. Now, along with excellent emergency care at Sky Lakes Medical Center, you have access to some of Oregon's top stroke specialists 24 hours a day. Through an advanced video system, Providence Telestroke Network allows neurologists from Providence Brain and Spine Institute to be “in the room” with you, your family and your Sky Lakes Medical Center emergency physicians. The Providence neurologists can review records and diagnostic results, perform a full examination and consult with your local clinicians to help determine the best course of treatment for you. "Once a patient has a stroke, every second counts,” notes Sky Lakes Emergency Department Director Ron Woita, RN. “By utilizing in real time the vast expertise of the Telestroke Network to ensure appropriate diagnosis and treatments, we can minimize unnecessary delays."


You may be at higher risk if: • You have high blood pressure • You have heart disease • You smoke cigarettes • You have diabetes • You are overweight or physically inactive • You have atrial fibrillation (irregular heartbeats) • You have high blood cholesterol

Providence Telestroke Network provides Klamath Falls a 24-hour portal to Providence Stroke Center, a program focused on improving stroke care for patients with results that are backed by evidence:

• Stroke patients cared for by neurologists at the time of their emergency have better outcomes. • Stroke units that treat a higher volume of patients with clots, hemorrhages and aneurysms have a lower percentage of stroke deaths. • An organized, multidisciplinary approach to post-stroke care and rehabilitation reduces death and disability. Having access to Providence Telestroke Network means you can receive the most effective treatments right in Klamath Falls, near your family and friends.

F

A

S

T

FACE

ARMS

SPEECH

TIME

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ARE YOU AT RISK FOR A STROKE?

STROKE IS AN EMERGENCY THAT REQUIRES FAST TREATMENT TO SAVE LIVES AND LIMIT DISABILITY. You can recognize stroke symptoms by remembering the word FAST. F is for face – when smiling, does one side look weak or uneven? A is for arms – when raising both arms, is one arm weaker? S is for speech – is speech mixed up or slurred? T is for time – call 9-1-1 if you notice any of these signs.

Neurologist Dr. Kurt J. Slater Dr. Kurt J. Slater provides neurodiagnostics

services

including — though not limited to — nerve conduction studies,

electromyography,

electroencephalography, and lumbar puncture.

He is currently accepting new patients

2200 Bryant Williams Drive, Suite 7 Klamath Falls Skylakes.org 541.274.8960

SKY1030M-DrSlaterAd.indd 1

5/18/10 10:08 AM


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Providence Telestroke Network

276 miles away...

.

.. and by your side at Sky Lakes Medical Center Besides excellent emergency care, you now have access to some of Oregon’s top stroke specialists, 24 hours a day. Through an advanced video system, Providence Telestroke Network allows stroke neurologists from Providence Brain and Spine Institute in Portland to be “in the room” with you, your family and Sky Lakes Medical Center emergency physicians, helping to determine the best and fastest treatment for you. To learn more about Providence Telestroke Network at Sky Lakes Medical Center, visit www.skylakes.org.

Providence Stroke Center, part of Providence Brain and Spine Institute, is a nationally certified primary stroke center and a leader in comprehensive, state-of-the-art stroke care, education and research. Providence St. Vincent Medical Center in Portland and Providence Portland Medical Center are both Get With The Guidelines® gold award recipients for consistent excellence in stroke care.


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he Sky Lakes Medical Centersponsored Lake of the Woods Races have been a traditional rite of the season for decades. Runners from throughout the Klamath Basin join others from around the West and converge on the 15-kilometer lap-around-the lake course the first Saturday in June to socialize and to run.

formation regarding nutrition, training, stretches and more. Hundreds of people compete; some for the fun of it; some for the challenge; some for a time. And they all achieve a degree of health by being in a race or preparing for it.

Half- and one-mile events for children 12 and younger were added in 2010 The shorter event – a 5K out-and- to encourage exercise as a lifelong back – has become the race of and family-friendly activity. choice for neophyte runners and walkers, while the 15-kilometer race Sky Lakes Medical Center partners continues to challenge more experi- with like-minded organizations and enced runners. businesses to put on the events, which are among the medical cenSky Lakes Medical Center also or- ter’s community health outreach proganizes the “Couch to 5K” lecture grams promoting health by encourseries in which experts provide in- aging physical activity.

GET READY TO RUN! This year’s Lake of the Woods Races are Saturday, June 2. More information and entry forms are available at SkyLakes.org or by calling 541.274.4768.


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Diabetes DIABETES COMPLICATIONS From Diabetes.org, the American Diabetes Association

D

iabetes increases your risk for many serious health problems. The good news? With  the  correct treatment  and  recommended lifestyle changes, many people with diabetes are able to prevent or delay the onset of  complications.

Neuropathy: Although it can hurt, diabetic nerve damage can also lessen your ability to feel pain, heat, and cold. Loss of feeling often means you may not feel a foot injury. Ask your healthcare provider about special therapeutic shoes, rather than forcing deformed feet and toes into regular shoes.

Eyes: With regular checkups, you can keep minor problems minor. And if you do develop a major problem, Skin changes: At times the foot may there are treatments that often work become very dry, peel, and crack. After bathing, dry feet and seal in well if you begin them right away. the remaining moisture with a thin People with diabetes are at in- coat of petroleum jelly or other uncreased risk for eye complications. scented hand cream. Most people with diabetes will get some form of retinopathy, a disorder Calluses: High-pressure areas unof the retina. der the foot cause too much callus that may require therapeutic The earlier problems are diagnosed, shoes and inserts. If calluses are the more successful the treatments not trimmed, they get thick, break can be. down, and turn into ulcers (open sores). Let your healthcare provider Feet: People with diabetes can decut your calluses. velop many different foot problems. Even ordinary problems can get worse and lead to serious compli- Foot ulcers: Most often occur on the cations. Foot problems most often ball of the foot or the bottom of the happen when there is nerve dam- big toe. Often they are the cause of age, also called neuropathy, which ill-fitting shoes. Even though all ulresults in loss of feeling in your feet. cers do not hurt, every ulcer should Poor blood flow or changes in the be seen by your healthcare provider shape of your feet or toes may also right away. Neglecting ulcers can recause problems. sult in infections.


High blood pressure: High blood pressure — also called hypertension — raises your risk for heart attack, stroke, eye problems, and kidney disease. As many as 2 out of 3 adults with diabetes have high blood pressure. Having your blood pressure checked regularly and taking action to reach your blood pressure target can prevent or delay diabetes problems.

NutritioN CouNseliNg ° MetaboliC testiNg Diabetes self-MaNageMeNt eDuCatioN

Diabetes services Assistance with meal planning for specialized diets or medical conditions.

As many as 2 out of 3 adults with diabetes have high blood pressure. Because of the risks of high blood pressure to people with diabetes, the American Diabetes Association and the National Institutes of Health recommend a lower blood pressure target than the general public (less than 130/80 mmHg). Blood pressure can be controlled with lifestyle changes, such as diet and exercise, and medication.

DIABETES WARNING SIGNS From Diabetes.org, the American Diabetes Association Diabetes often goes undiagnosed because many of its symptoms seem so harmless. Recent studies indicate that the early detection of diabetes symptoms and treatment can decrease the chance of developing the complications of diabetes. Type 1 Diabetes Frequent urination Unusual thirst Extreme hunger Unusual weight loss Extreme fatigue and Irritability Type 2 Diabetes* Any of the type 1 symptoms Frequent infections Blurred vision Cuts/bruises that are slow to heal Tingling/numbness in the hands/feet Recurring skin, gum, or bladder infections

The Sky Lakes Diabetes Services Education Program is recognized by the American Diabetes Association. That means coverage by Medicare for comprehensive diabetes education. Diabetes Services

541.274.2633

Nutrition Services

541.274.3800

*Often people with type 2 diabetes have no symptoms SkyLakes.org

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Poor circulation: Can make your foot less able to fight infection and heal. Don’t smoke and follow your healthcare provider’s advice for keeping your blood pressure and cholesterol under control.


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DIABETES IQ Do you know the risks and signs of diabetes? An estimated 23.6 million Americans have diabetes, but here’s the catch: About one in three don’t know it. Are you one of them? Take our true/false quiz to test your knowledge about type 2 diabetes—the form that accounts for 90 percent to 95 percent of all diagnosed cases.

1. Eating too much sugar causes diabetes. True / False

2. Exercise can delay or prevent diabetes. True / False

3. Children used to get adultonset, or type 2 diabetes, but that trend has reversed. True / False

4. Since diabetes results in high blood glucose, often the first warning sign is a constant energy high. True / False

5. African-Americans and Hispanics are at higher risk for diabetes than Caucasians. True / False

6. A baby’s birth weight plays into a mother’s risk for diabetes. True / False

7. If you have diabetes, you are destined to a lifetime of insulin injections. True / False

ANSWERS 1. False. Genetic and lifestyle factors cause diabetes. However, a healthy meal plan can help you ward off obesity, a major risk factor.

2. True. “Exercise makes your

LEARN MORE

A simple blood test can detect diabetes. Talk to your doctor to find out whether you should be tested. For more information, call Sky Lakes Diabetes Services, 541-274-2633, or visit the American Diabetes Association Web site at diabetes.org.

body need less insulin. And it makes you fit and reduces weight,” says Jennifer Lehman, a dietitian and diabetes educator at Sky Lakes Medical Center.

3. False. It’s just the opposite. With an increase in childhood obesity has come an increase in diagnoses of type 2 diabetes in children, Lehman says. In fact, many clinicians no longer use the term “adult-onset.”

4. False. A common warning sign is fatigue. Others include frequent urination, unusual thirst and unusual weight loss. But don’t hang your hat on these—often people with diabetes have no idea. “You may have no symptoms at all until kidney problems or heart disease occur,” Lehman says, stressing the importance of regular blood glucose checks at your healthcare provider.

5. True. There are genetics and ethnic differences that affect how much insulin your body needs and how much insulin your body can make, but no one yet knows why.

6. True. A baby weighing more than 9 pounds may indicate the mother had diabetes during pregnancy, known as gestational diabetes. Having gestational diabetes or giving birth to a baby weighing more than 9 pounds increases the mother’s risk for developing type 2 diabetes later in life

7. False. “If you keep your blood sugar, blood pressure and lipids normal, as well as keep your weight in check, you can often manage your diabetes without insulin.” Lehman says.

SCORE 7: You’re a blood-glucose genius 5 – 6: You have type 2 intellect 3 – 4: Average, anyone? 1 – 2: It’s time to see the doctor. 0: Have you ever been to the doctor?


DIABETES SERVICES The Diabetes Services at Sky Lakes Medical Center is the only American Diabetes Association Recognized Diabetes Education Program in the Klamath Basin. Using a one-on-one or group education setting, educators provide patients with necessary information regarding management of diabetes. Topics of education may include: • • • •

Meal Planning Blood Glucose Monitoring Exercise Medications, including insulin

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• Preventing/ Managing Complications • Foot Care • Dental Care

One-on-one education sessions are customized to help newly diagnosed patients gain the skills they need to manage their disease successfully. Additionally, education sessions can help to keep patients current on research and management strategies, or to help patients through the changes in treatment of their disease. For more information and to learn about upcoming events, call 541.274.2633.

SAVE THE DATE: Living Smart with Diabetes Health Fair, Saturday, November 3.

Now Offering

allergy service

Functional and Cosmetic Eyelid Surgery Scott Stevens, M.D. Physician/ Surgeon of the Eye

Dr. Richard DeVore has

Lucentis® (Ranibizumab Injection) & Avastin® (Bevacizumab Injection) for the treatment of Macular Degeneration

added nasal allergy testing and treatment to his recently opened practice in the new Sky Lakes Ear, Nose and Throat Clinic.

Mark Fay, M.D. Physician/ Surgeon of the Eye

Laser Treatments for Secondary Cataracts, Diabetes, Glaucoma and Retina Repair Functional and Cosmetic Botox® (Botulinum Toxin Type A) Routine Vision Exams • Optical Goods Complete Medical Eye Care

He was board certified in otolaryngology in 1989, and has special interest in endoscopic sinus surgery, thyroid and parathyroid surgery, pediatric ENT, and inhalant allergies. He is accepting new patients.

Cataract Surgery including: ACRYSOF® RESTOR®, Multifocal IOL, ACRYSOF® Toric, Astigmatism Correcting IOL, Crystalens®, Accommodating IOL

Jennifer Sparks, O.D. Optometric Physician

Outpatient Surgery in association with Klamath Surgery Center Edwin Tuhy, O.D. Optometric Physician

Klamath Surgery Center specializes in outpatient surgery. Our patients enjoy many advantages including personalized service, excellent medical care, comfortable, convenient facilities and low costs.

The Sky Lakes Ear, Nose and Throat Clinic 2617 Almond Street

541.850.7680 SkyLakes.org

2640 Biehn St., Suite 3 • Klamath Falls, OR 97601 • 541.884.3148 • www.klamatheyecenter.com


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BRING THE PAIN Accidents can happen anywhere, but the best care is right here. At the Klamath Orthopedic & Sports Medicine Clinic we offer the comprehensive and attentive care you’d expect to find in a big city, right here in Klamath Falls. Our doctors and support team are a part of the Center for Total Joint Care. We specialize in complete orthopedic care, including Minimally Invasive Surgery, Total Neck and Spine Care, Sports Medicine and Arthroscopy, Reverse Total Shoulder and a full range of Bone and Joint Surgeries.

541.884.7746

klamathbones.com


WE MAKE THE DIFFERENCE

Dr. Michael Casey M.D.

Dr. Karl Wenner M.D.

Dr. Kevin Heaton D.O.

Dr. Edward Van Tassel D.O.

Dr. Karl Knudsen M.D.

Dr. Jason Conaughty M.D.

541.884.7746

klamathbones.com

2200 Bryant Williams Drive, Suite #1

JOINT HEALTH

I

f you feel pain and stiffness in your joints, you may have arthritis. This condition is caused by inflammation and swelling where two bones meet, such as in your hands, wrists, knees and hips. It’s the most common reason for American disability, according to the Centers for Disease Control and Prevention.

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Osteoarthritis is the variety that is most common as you age. It affects nearly 21 million adults and is caused by wear and tear on your joints, combined with a history of previous injuries and made worse by being overweight. Most people older than age 60 will develop some degree of osteoarthritis, and women are more susceptible than men.

Finding Relief How osteoarthritis is treated depends on which joint is affected, but a combination of diet, exercise and drugs are usually elements used to manage the condition. Shedding just 11 pounds can cut the incidence of osteoarthritis in the knee by 50 percent, according to the Framingham Knee Osteoarthritus study. Control your weight by following a healthy, balanced diet filled with vegetables, fruits and whole grains. Omega-3 fatty acids, found in oily fish and other sources, help fight the inflammation leading to arthritis. At least 30 minutes of daily exercise can help keep your joints flexible and improve muscle tone. Choose water exercises if your joints are very painful. (Remember to check with your physician before starting an exercise program.) And arthritis medications range from over-the-counter painkillers like aspirin and topical creams to prescription inflammation reducers. Talk with your doctor or an orthopedic surgeon about the best options for you.

South Cascade Surgery Center is performing orthopedic, outpatient surgery cases at 2200 Bryant Williams Drive. Talk to your orthopedic surgeon for more information or call 541.274.5799.

The pain of arthritis can make continuing your “normal” lifestyle a challenge. Seek help from family, friends and professionals to manage daily tasks and your outlook on life. Learn relaxation techniques to reduce stress. Meet with an occupational therapist to discuss helpful tools—such as insoles, a cane or handrails— that may make it easier for you to get around. Small changes like this can make living with arthritis more bearable.


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C.A.R.E.S. KLAMATH-LAKE CARES

With support from The Ford Family Foundation, CARES began in 2012 to proactively screen children exposed to domestic violence. Statistically, more than 50 percent of children with ky Lakes Medical Center’s a parent who has been victimized Child Abuse Response and at home are also being harmed, so Evaluation Services (CARES) earlier intervention can detect or is dedicated to providing safe, prevent children from being harmed. comprehensive, objective Working with community partners medical assessments to children, such as Department of Human and to raising awareness about Services, law enforcement and child abuse through coordinated, Klamath Crisis Center, we are able collaborative educational programs. to respond more readily to children endangered by domestic violence. Since 1993, law enforcement, government, nonprofit agencies Anyone who works with children is and concerned families have turned required by Oregon statues to report to CARES as an unbiased, expert suspected abuse for investigation by source of determining whether authorities. CARES trains hundreds children from birth to age 18 may of these professionals each year have been physically, sexually or on how to recognize signs and emotionally abused or severely symptoms of child abuse, when and neglected. how to report possible abuse, and the effects of continued abuse on However, the number of children victims and society. and youth evaluated by CARES has increased steadily each year. In “Child Abuse Prevention Is 2011, a total of 291 children received Everybody’s Business” is at once confidential medical examinations the CARES slogan and its guiding and forensic interviews in the child- principal. Because every child friendly facilities at CARES. deserves to be protected.

S


K

The prestigious national award recognizes her service “educating our community partners on a variety of topics involving child abuse and its prevention, educating the CARES medical examiners team, conducting peer reviews, recruiting new medical examiners, developing and updating policies, and much more,” said Ken Morton, CARES executive director.

tional Children’s Advocacy Center in 1985, and revolutionized the way America responds to child sexual abuse. A department of Sky Lakes Medical Center, CARES is a medical safe-haven for those affected by child abuse and provides a compassionate environment for analyzing possible cases of physical abuse, sexual abuse, or neglect. CARES staff also work proactively in the community to help educate and raise awareness about child abuse symptoms, effects, and available resources to help families.

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LUSTIG-BUTTS EARNS AWARD

lamath Falls nurse practitioner Eleanor Lustig-Butts, the lead medical examiner at Sky Lakes Medical Center’s Child Abuse Response and Evaluation Services (CARES), is the recipient of the 2012 National Children’s Advocacy Center’s Outstanding Service Award in Medical Care.

CARES is accredited by the National Children’s Alliance (NCA) and maintains expert professional services in In the nearly two decades she has accordance with the NCA standards worked at Klamath-Lake CARES, for child abuse intervention centers Lustig-Butts has developed multiple across the country. education programs for a variety of community partners, including mediThe National Children’s Advocacy cal providers, law enforcement agenCenter provides extended services cies, teachers, mental health practitioners, child protective agencies, in prevention, intervention, and treatment for abused children, and and other advocacy centers. is one of the leading providers of The Outstanding Service Awards are quality training for professionals based on the pioneering work that working with abused children and began with the formation of the Na- their families. Suspected abuse should be reported to the Oregon Department of Human Services by calling 541-883-5570; law enforcement via 911, or anonymously to a national hotline, 1-800-4-A-CHILD (1-800-422-4453).

TRANSFORMING hEALTH nATURALLY More than just Pain Management!

Now Offering ‘Needle-less Acupuncture’ Women’s Health • Pain Management • Herbal Medicine Allergies • Stress / Anxiety Relief • and treats much more

Jan Polson MAOM, LAc, Master of Acupuncture 541.850.2208 905 Main Street, Suite 412 in the Medical Dental Building www.BasinAcupuncture.com


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PURPLE CRYING

M

ost people think they’d never harm their child. Yet there are hundreds of cases of child abuse annually in the Klamath Basin. The top trigger for child abuse: Crying. That’s why Klamath-Lake Child Abuse Response and Evaluation Services (CARES) and other Sky Lakes departments launched a comprehensive education effort: the Period of PURPLE Crying. It informs parents about the dangers of shaking an infant, and offers ways to reduce stress related to the crying. Designed to stop child abuse by the stress of inconsolable crying, the message is simple: Stop, pause, reset.

Healthy baby crying is normal. When the baby resists soothing and crying persists, despite being healthy and well cared for, caregivers can become frustrated. But it’s not their fault, nor the baby’s. The Period of PURPLE Crying” describes the characteristics of crying in healthy infants. It Peaks at 2 months of age and ends at 4 or 5 months; is Unexpected; Resists soothing; the child appears to be in Pain; it is Long lasting (typically 20 minutes to five hours); and occurs more in the Evening. This period of increased crying is temporary and eventually does end.

SAME-DAY APPOINTMENTS Our Mission:

for Children who are ill or have URGENT medical needs

• Provide efficient, high quality service • Create and maintain a friendly, professional environment • Value your child, our patient, and affirm your family and its role in creating a positive, healthy environment • Provide appropriate intervention and referrals • Teach parents how to care for children who are affected by disease, illness or injury

24-HOUR NURSING & PHYSICIAN COVERAGE

If you are pregnant, call us to schedule a free pre-delivery consultation

Nicola J. Cherry, MD & Associates

Office Hours: Monday through Friday 8:30 a.m. - 5:00 p.m.

2580 Daggett Ave. • Klamath Falls, OR 97601 • 541-884-1224 Please visit our website at: www.cckonline.com


TIPS TO SOOTHE A CRYING INFANT 1. Feed baby. Hunger is the main reason a baby will cry. 2. Burp baby. Babies do not have a natural ability to expel air built up in their stomach. 3. Give baby a lukewarm bath. However, never leave the baby unattended. 4. Massage baby. Gently stroking a baby’s back, arms, or legs can be very comforting. 
 5. Make eye contact with baby and smile. This can distract and comfort them. 6. Kiss baby. A kiss can help lessen the tension during fierce crying episodes. 7. Sing softly. Lullabies were created because of their effectiveness at calming crying babies. 8. Hum in a low tone near baby’s head. Men often use this soothing feature best. 9. Run a vacuum cleaner. This neutral, masking sound and other “white noises” are hypnotizing to babies. 10. Take baby for a ride in the car. Vibrations from a car have a sleep inducing effect. Always make sure the baby is secure in a rear-facing car seat in the back seat.

Rand Hale, MD Shelley Thorpe, FNP Accepting new patients.

While these and other techniques work most of the time, nothing works all the time. This does not mean anything is necessarily wrong. If the caregiver becomes angry or very frustrated, it’s best to put the baby in a safe place and take a short break to collect oneself. Never shake a baby.

CARES staff are available to make presentations about normal infant crying and dangers of Shaken Baby Syndrome, general facts about child abuse, and the Stop The Hurt Campaign. For information or to request a speaker, call CARES at 541-883-6289.

General Surgeon, Stanton T. Smith, M.D.

A board-certified surgeon, and Stockton, California, native, Dr. Smith relocated to Klamath Falls from Connecticut where he completed a fellowship in minimally invasive surgery.

Sky Lakes Family Medicine Clinic 3000 Bryant Williams Drive Suite 120

541.274.8980 SkyLakes.org

He has extensive training in advanced laparoscopic surgery, complex hernia repair, and gastrointestinal surgery. Additional services provided include upper and lower endoscopy; endocrine, breast, vascular and weight-loss surgery. Like all of our doctors and medical staff, Dr. Smith is committed to the highest quality care for his patients. He is now accepting new patients.

To make an appointment call 541.274.2345

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PROPER HAND-WASHING

T

he Centers for Disease Control and Prevention recommend the following steps for handwashing:

1. Wash your hands with running water and soap. 2. Rub your hands together for at least 20 seconds. 3. Pay special attention to your wrists, the backs of your hands, between your fingers, and under your fingernails. 4. Leave the water running while you dry your hands on a paper towel. 5. Use the paper towel as a barrier between the faucet and your clean hands when you turn off the water. If soap and water are not available, use gel hand sanitizers or alcohol-based hand wipes containing 60 – 90 percent ethyl alcohol or isopropanol. Most supermarkets and drugstores carry these products. Carry one or both with you when you travel, and keep them in your car or purse.

Sky Lakes Medical Center staff teach hand hygiene to children during the "Safety Fair" last fall.

If using the gel sanitizer, rub your hands until the gel is dry. You don't need to use water. The alcohol in the gel kills the germs on your hands.

Wash your hands after: • Touching parts of your body that are not clean. • Using the bathroom. • Coughing, sneezing, or using a handkerchief or disposable tissue. • Eating, drinking, or using tobacco. • Handling soiled kitchen utensils or equipment.

• Handling other soiled or contaminated utensils or equipment. • Handling or preparing foods, especially after touching raw meat, poultry, fish, shellfish, or eggs. • Changing diapers, handling garbage, using the phone, shaking hands, or playing with pets.

RECYCLE YOUR SCRAP METAL HUGE Selection of NEW & REMNANT Steel for all your METAL NEEDS.

Americans use over 100 million steel cans and over 200 million aluminum beverage cans

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That’s enough to rebuild the entire U.S. commercial airliner fleet every three months! WE DELIVER

Recycling Services • Now Buying Batteries 2825 Broadmore St. · Klamath Falls, OR · 541.883.3583

2680 Memorial Drive • Klamath Memorial Park 541-883-3458 • Family owned & operated


GEM VEHICLES

S

ky Lakes Medical Center put into service two Global Electric Motorcars -- GEM cars – thanks to a donation from Sky Lakes Volunteers.

The low-speed, all-electric vehicles will save the hospital more than $9,000 in fuel costs each year, while providing expanded service shuttle services for our patients and visitors. The vehicles help the hospital in its mission to be more environmentally conscientious. With less maintenance and no fuel costs, Sky Lakes will benefit from the convenience of recharging the cars through standard 110-volt outlets. The all-electric vehicles are street legal, giving the vehicle access to the Cancer Treatment Center or other facilities on the Sky Lakes campus. Sky Lakes Volunteers President Sue Groth puts a vinyl sticker on the back window of one of the GEM cars the medical center uses for its shuttle service.

“Our new GEM vehicles have zero emissions, minimal energy use, and will pay for themselves, through fuel savings, in less than two years,” said Sky Lakes Facilities Director Rick McGuffey.

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PATIENT FINANCIAL SERVICES

S

ky Lakes Medical Center leaders have long believed that healthcare must be both accessible and affordable. Because of the efforts of the community medical center, hundreds of patients receive special consideration on their bills thanks to a liberal financial assistance policy. Advisers in Sky Lakes Medical Center’s Patient Financial Services work hard to help patients manage their medical bills and can offer a variety of assistance programs. Programs include discounts for both insured and uninsured patients through the Sky Lakes Financial Assistance Policy; a pre-payment discount offered to qualifying individuals, and through services offered by Chamberlin Edmonds, which provides patient eligibility and enrollment services. The Financial Assistance Policy helps patients who may be eligible for special consideration on certain non-elective services. The assistance a patient can receive is based on household size and household income and works on a sliding scale.

SKY LAKES MEDICAL CENTER FEDERAL POVERTY LEVEL TABLE % of Federal Poverty Level 1

100% (Poverty Level)

200%

200% – 225%

225% – 250%

250% – 275%

275% – 300%

300% – 350%

350% – 400%

Financial Assistance % 2

100% (No Charge)

100% (No Charge)

80%

60%

40%

20%

0%

0%

Annual Maximum Out of Pocket 3

$0

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$25,000

MICK INSURANCE AGENCY, INC. Here to help you with your Individual, Group or Medicare Insurance needs

Carol Mick & Jodi Applegate Agents

4509 S. 6th St., Suite 110 Klamath Falls, OR 97603

541.882.6476 Fax: 541.273.2364

Do you qualify? To learn more about the medical center’s assistance policy and programs, call

541-274-6699 weekdays.


SKY LAKES MEDICAL CENTER FEDERAL POVERTY LEVEL TABLE CONTINUED Size of Household 4

Maximum Annual Household Income Levels 5

1

$11,170

$22,340

$25,133

$27,925

$30,718

$33,510

$39,095

$44,680

2

$15,130

$30,260

$34,043

$37,825

$41,608

$45,390

$52,955

$60,520

3

$19,090

$38,180

$42,953

$47,725

$52,498

$57,270

$66,815

$76,360

4

$23,050

$46,100

$51,863

$57,625

$63,388

$69,150

$80,675

$92,200

5

$27,010

$54,020

$60,773

$67,525

$74,278

$81,030

$94,535

$108,040

6

$30,970

$61,940

$69,683

$77,425

$85,168

$92,910

$108,395

$123,880

7

$34,930

$69,860

$78,593

$87,325

$96,058

$104,790

$122,255

$139,720

8

$38,890

$77,780

$87,503

$97,225

$106,948

$116,670

$136,115

$155,560

9

$42,850

$85,700

$96,413

$107,125

$117,838

$128,550

$149,975

$171,400

10

$46,810

$93,620

$105,323

$117,025

$128,728

$140,430

$163,835

$187,240

1. % of Federal Poverty Level are Sky Lakes Medical Center's multiplication percentages to calculate Maximum Annual Household Income Levels. 2. Financial Assistance % is the sliding discount corresponding to the sliding income (Maximum Annual Household Income Levels). 3. Annual Maximum Out of Pocket is the total amount owed annually per household after financial assistance, adjustments and insurance payments. 4. Size of Household is typically determined by the number of exemptions reported on the most recently filed tax return but can be modified for any additions or subtractions to the household and/or changes in marital status. 5. Maximum Annual Household Income Levels are updated annually and based on amounts issued by the Department of Health and Human Services.

Gastroenterologist Dr. Patrick Maveety Dr. Patrick Maveety offers diagnosis and treatment for many conditions, including: • Inflammatory bowel diseases • Ulcerative colitis • Crohn’s disease • Liver and pancreatic diseases • Swallowing disorders • Acid reflux

Dr. Maveety also performs surgical procedures including: • Colonoscopy • Colon cancer screening • Upper endoscopy

Dr. Maveety is now accepting referrals from your primary care physician. Clay McCord, MD, is an accomplished rheumatologist, and is board certified in both rheumatology and internal medicine.

2200 Bryant Williams Dr., Suite 6 Klamath Falls, OR 97601 541.274.8970

skylakes.org

He is currently accepting new patients.

SkyLakes.org

2200 Bryant Williams Drive, Suite 2 Klamath Falls 541.880.2750

Live Healthy 2012 |

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26 | Live Healthy 2012

Rehabilitation OUTPATIENT REHABILITATION SERVICES

A

t Sky Lakes Outpatient Rehabilitation Services, physical therapy, occupational therapy and speech therapy are available in one convenient location.

• Exercises to build strength and

Services offered by the department include:

Spine Rehabilitation: Hands-on, manual therapy individually designed to manage back and neck pain while restoring function and range of motion.

Orthopedic Rehabilitation: Specialized treatment for the prevention and correction of injuries and disorders of muscles, joints, tendons, and ligaments. Treatments include: • Plans to restore physical function and regain skills needed to perform daily activities

endurance

• Training to improve balance and regain mobility

• Optimize independence

When therapy is appropriate: • New pain or chronic conditions • Before surgery, as a form of prevention • As a supplement to current physician treatment • After spinal surgery

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

Drug & Gifts

Prescriptions • Gift Boutique Over the Counter • Balin’s Fudgery Health • Postal Substation Cards • UPS Shipping • Cosmetics by Lady G Your Good Neighbor Pharmacy

1791 Washburn Way • Klamath Falls, OR 97603 • (541) 884-1347


Falls are not a normal part of aging. If you answer “yes” to any of these questions, you may have a balance problem. • Have you fallen in the past year? • Do you have dizziness or feel unsteady? • Have you had a stroke or other neurological problem affecting your balance? • Do you use a walker or wheelchair, or need assistance to get around? Hand and Upper Extremity Therapy: Treatment regimen to the shoulder, elbow, forearm, wrist or hand, following injury or surgery. What symptoms would I feel? • Progressive joint and/or muscular pain in arm • Tingling, “pins and needles” or numbness in arm • Poor coordination or difficulty holding items • Weakness in arm • Loss of ability to perform normal tasks like writing or dressing Neurological Disorder Rehabilitation: Increasing function despite diseases or injuries that impair the brain, spinal cord and/ or nerves. Impairments that can be treated: • Difficulty with moving and coordination • Weakness, either sudden or progressing • Difficulty with balance • Loss of feeling in body parts Lymphedema Management: Lymphedema is a chronic condition where fluid builds up in the tissues, causing swelling of the arm, leg, trunk, head, and neck. It occurs after trauma, surgery, removal of lymph nodes and or radiation treatment.

SIGNING BONUS! Come in today, sign a contract, and receive your bonus. Schedule a tour today and have lunch on us! Tours are available 7 days a week.

More Choices • Quail Park offers Cottages,

Retirement, Assisted Living, and new Semi-Private Rooms.

More Amenities

• All come with Meals and Amenities like Swimming Pool, Hot Tub, Café, All Day Dining, Theater Room, and more. Plus, we’re Pet Friendly!

Aging should be worry free... 1000 Town Center Drive • Klamath Falls, OR 97601 (541) 885-7250 • Fax (541) 882-8882

TARA FREY PERSONAL TRAINING and SENIOR FITNESS Specializing in Senior Fitness, Tara offers certified training in home and at Recovery Zone by appointment Call Today! 541-331-8579 or email: frey_tara@yahoo.com

Lheiavlethaier life!

Training Benefits Include: • Improved balance • Improved post-surgery recovery time • Improved healing with pre-surgery fitness Tara Frey is certified by: • International Weightlifting Association • American College of Sports Medicine • Nutrition Certified • Gerontology Certified • Women’s Fitness Certified

27 Live Healthy 2012 |

Balance and Vestibular Rehabilitation: Exercise-based approach in managing dizziness, vertigo, and loss of balance. The goal is to improve visual motor control and tolerance to motion, increase activity levels safely and reduce the risk of falls.


28 | Live Healthy 2012

Signs and symptoms that therapy may be helpful: • Tight, achy feeling in tissues • Arm or leg easily tires and feels heavy • Visual swelling in arm, leg, head, neck or chest Pelvic Floor Rehabilitation: Works on the area between your belly button and hips. The muscles and nerves in this area help control the bladder and bowel, support organs, and have enjoyable, pain-free sex. Signs and symptoms that therapy may be helpful: • Urine leakage or “overactive” bladder • Difficulty making bowel movements • Pelvic pain or pain during sexual intercourse Sports Injury Rehabilitation: Cutting-edge care and techniques to restore maximum function and increase strength, speed and stamina. May benefit people with: • Muscle strains • Ankle sprains • Fractures • Shin splints • Achilles tendonitis • Plantar fasciitis • Tennis elbow • Rotator cuff injuries • Knee injuries: ACL, MCL, meniscal tears

• Sport-specific injuries (running, cycling, football, golf, skiing, etc.) Injured Worker Rehabilitation is a highly structure goal-oriented and individualized treatment program to help you return to work. Treatments are designed to help improve the cardiovascular, neuromuscular, biomechanical, and psychosocial functioning of a worker. The program is individually designed for people with unresolved injuries who want to return to work. Motor Vehicle Accident Care: Treatment program designed to address injuries that are the result of a collision. You might benefit from the program if you have: • neck or back pain • neck or back stiffness • shoulder pain • dizziness • pain or numbness in the arm and/or hand • concentration or memory problems. Our therapists treat patients one at a time and patients see the same therapist throughout the duration of their care. This means consistent high-quality treatment you can count on.

Sky Lakes Outpatient Rehabilitation Services are located at the Center for Occupational Health, Washburn Way and Crosby Avenue. Call 541-274-6406.

Shoulder care Preparing for shoulder surgery or still in a sling from your recent surgery? Call 541-274-6406 for a free pre-surgery education class schedule or for a free sling check.


Uganda


30

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Live Healthy 2012 |

31

UGANDA CLINIC

I

magine a better life for people who are oppressed, those in the most need. Imagine that they can now receive healthcare when just five years ago there was no way to treat their dehydration, no vaccinations for their children, and no access to basic medical needs.

Imagine also there was a local doctor who reached out to the Ddegeya Village in Uganda to build a medical clinic. Meet Stephanie Van Dyke, M.D., a resident physician at Cascades East Family Medicine in Klamath Falls. At the end of her first year of medical school, she departed to Uganda to build the clinic that just celebrated its fifth anniversary. Fueled by her passion to improve the health of those that cannot help themselves, she used a small inheritance from her grandmother, the talent of close friends, and the help of locally donated supplies to start a clinic that can now see an average of 15,000 villagers per year.


32 | Live Healthy 2012 Klamath Falls physicians provide medical care to Uganda villagers, who previously went without basic medical care.

In March 2011, loaded with supplies collected by heartfelt local healthcare workers and a team of local medical providers, Dr. Van Dyke returned to the Uganda clinic to provide medical care for Ugandan villagers. Accompanying her were Al Glidden, M.D., a local family practitioner, Mary Anne Keane, RN, of Sky Lakes Palliative Care, Mary Anne’s daughter, Celina, Karl Wenner, M.D. of Klamath Orthopedic and Sports Medicine, and Dr. Wenner’s wife, Ann. As is usually the case when a medical team performs a medical mission trip in foreign country, the locals lined up early in the morning to be seen – sometimes taking a full day to travel

to the clinic. Some wait until late in the afternoon due to the long line in front of them.

looking at the palm of a person’s hand or the nail bed to determine if the patient is critically anemic.

“I am continuously left in awe when, even after a 9-hour wait for a complaint as simple as chronic knee pain, the villagers are appreciative, kind and thankful,” says Dr. Van Dyke. “When quality, affordable medical care is so hard to attain, it is not taken for granted.”

Pain medicine is nearly impossible to obtain and dispense in the country. For Mary Anne Keane, this was a stark reminder to visiting clinicians of how lucky we are in the United States to have access to medications, especially for the dying and most acutely injured.

Even the most basic of lab procedures in the United States, a complete blood count, is far outside the clinic’s capabilities. Instead of relying on tests, practitioners rely instead on physical exam skills, for example,

Dr. Wenner performed a toe amputation, one of the most mundane surgeries in the United States, but very complex in Uganda, due to the lack of electricity, no sterile field, and no running water. Dr. Wenner stayed


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33

up late the night before the surgery, plotting out what he would do should he encounter complications and how he would ensure the patient’s wellbeing. The surgery was considered necessary because the risks of doing nothing far outweighed the risky procedure itself. “The Wheel” is a philosophy that Dr. Wenner abides by, as do those medical practitioners that traveled to the Uganda medical clinic. In “The Wheel,” people think outside the box and look at current operations that are less than optimal and ask how they can make them better. This routine requires going beyond the basics and it requires seeking well-

ness of whatever part of the system is in jeopardy - this often means going against the grain and risking scrutiny - but doing so with the reward of knowing the work is something true and meaningful. “Traveling on the wheel of life is the road I want to take,” says Dr. Van Dyke. “While there are many risks, the potential payoff is great; we are part of something we believe in. There will be many to tell us that we can’t because we’re not talented enough, old enough, or even too old. But if we stay focused, we can drown out their voices and continue to envision a world better than the one we see today.”

Photographs by Bryan Meltz and David Robinson. To view more photos, visit BryanMeltz.com.


34 | Live Healthy 2012

Cascades East C

ascades East Family Medicine is both a medical clinic and a three-year rural family medicine training program on the Sky Lakes Medical Center campus. It is a decades-long partnership between the medical center and Oregon Health & Science University and remains OHSU’s only residency training program outside the Portland metro area. Cascades East is accredited by the Accreditation Council for Graduate Medical Education (ACGME). In 2010, Cascades East received from the council a full five-year reaccreditation with no citations – a very rare accomplishment. “The physicians and staff at Cascades East are dedicated to providing personal, comprehensive, and continuing health care for people of all ages, their families, and the rural community of Klamath Falls,” said Joyce Hollander-Rodriguez, M.D., a

graduate of the Cascades East program and now the program director. Patient-Centered Primary Care The Oregon Health Authority this spring recognized Cascades East Family Medicine as a Tier 3 PatientCentered Primary Care Home. The award is the highest level available for demonstrated excellence in providing high-quality individual and family-centered care. Patient-centered primary care is a “team-based approach to care focused on keeping people healthy.” The team of health professionals at Cascade East collaborates to provide patients with personal, continuous, and coordinated care for physical, mental, oral, and specialty care needs. This approach allows the team to focus on prevention and necessary care delivery, which can ultimately save time, money and lives.


The physicians, registered nurses, clinical staff and other team members at Cascades East have recently recruited a family medicine nurse practitioner and a behavioral science coordinator. Katie Heinrich, FNP-BC, joined Cascades East in December after relocating to Klamath Falls from Wisconsin. Michol Polson, PhD, chose to relocate to Klamath Falls from Tennessee to practice as a marriage and family therapist.

If you are a victim, or know someone who is, please contact us. Nobody deserves to be abused.

As a recognized primary care home, Cascades East will continue to evaluate the health needs of the community and work to improve care to meet those needs. The organization looks forward to continued collaboration with local public health agencies and community organizations to educate patients, identify community health priorities, and develop plans to improve the overall health of Klamath Falls.

C

ascades East receives approximately 1,000 applications annually from physicians seeking entrance to the residency program – almost 20 percent of the total applicants to family medicine programs. During the period of October to January annually, some 85 qualified medical students interview for the residency training the program. Each year, a class of exceptional physicians graduates and a new class begins training. Cascades East is proud to celebrate its 17th graduating class. This outstanding group of family medicine physicians has graciously served our community since joining us in June 2009. They are: Kristi Coleman, M.D. Kanani Dilcher, M.D. Katie Forman, M.D. Debra Hartley, M.D. Daniel Pederson, D.O. Sarah Scott, D.O. Ed Trobaugh, M.D. Stephanie Van Dyke, M.D.

No matter what he says, the abuse is NOT your fault.

A division of TEACH, Inc.

112 East 2nd Street • Alturas, CA 96101

530-233-4575 or 24-hr Hotline 800-291-2156 www.teachinc.org

The Modoc Crisis Center is a local agency that provides services to victims of sexual assault and/or battered men/women and their children.


36 | Live Healthy 2012

We are fortunate that four graduates decided to remain in Klamath Falls and continue to serve our community. Dr. Coleman and Dr. Pederson will join Cascades East Family Medicine Residency Program as faculty of Oregon Health and Science University. Dr. Hartley will be joining Sky Lakes Medical Center, and Dr. Trobaugh will be joining Klamath Open Door Clinic. Also remaining in Oregon are Dr. Dilcher, who will serve people in Bandon, and Dr. Scott, who will move to Burns. Cascades East is delighted to announce the Class of 2015. These physicians will relocate to Klamath Falls this summer: Stephanie Casey, D.O. Rowena Crow, M.D. Larry Istrate, M.D. Jade Jensen, M.D. Lance Lee, M.D. Flor Mounts, M.D. Larissa Thomas, M.D. Brock Trejo, M.D.


Family. Community. Education.

Complete Physical Exams | Well Child Exams | Immunizations Women’s Health | Family Planning, Prenatal, OB & Newborn Care 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 Espaùol

Providing experienced family medicine health care to people of all ages

Clinic Hours: Mon., Tues., Wed., & Fri., 8:30 a.m. to 5 p.m. Thurs., 8:30 - 11:30 p.m. and 4:30-7:30 p.m. 2801 Daggett Avenue | Klamath Falls, Oregon, 97601 Ph 541-274-6733 | SkyLakes.org


38 | Live Healthy 2012

Wellness READY, SET, EXERCISE! Can’t make the leap from sitting on the couch thinking about exercise to actually doing it? Answers to these four questions will help get you started.

W

e’ve all had the thought before. You know, the one that comes to you at 2 a.m. when you’re captivated by an infomercial that promises abs of steel in four-and-a-half minutes a day on some complicated contraption. Or maybe the thought crosses your mind while you’re chasing the grandkids around, thinking how nice it would be to have the energy of an 8-year-old. It’s that voice that says, “I really need to get back to the gym.” Maybe it’s been a week. Maybe it’s been two years. Whatever the case, once you get active, you’ll feel the positive effects almost immediately. Here are answers to four common questions about getting started on the path to physical fitness.

What physical activity has the lowest dropout rate? Find out the answer, and more, when you take a free online quiz from the American Heart Association. Go to americanheart.org and search “Healthy Heart Workout Quiz.”

1. What type of exercise is best? The best type of exercise is the one that you’ll do, so start slow. Some experts say the easiest thing to do is start some sort of a walking program. You can walk in your neighborhood or go hiking along the OC&E trail. Trainers say that making the activity fun will make it more likely you’ll continue them. 2. Do I have to exercise on Saturdays? Depending on your fitness level, exercising at least three days a week for 30 minutes at a time is a start. Breaking up workouts—for example, 15 minutes in the


morning and 15 minutes at night—counts. For increased fitness, try to advance to five days a week for 30 minutes, mixing aerobic exercise and resistance training. “Resistance” refers to strength training and includes using free weights. If you don’t have any, substitute water bottles, heavy canned goods or other hefty household objects. 3. How do I know if it’s safe to exercise? Remember to check with your doctor before starting a fitness routine. Even if you’ve worked out in the past but stopped for a significant amount of time, it’s always a good idea to get your doctor’s OK; there might be underlying issues you’re not aware of, such as high blood pressure. Keep in mind, a medical concern doesn’t necessarily disqualify you from starting an exercise routine. You may need to adjust your workouts so they’re safe, or your doctor might recommend medication to help control an issue like hypertension. 4. What can I do to stay motivated? Having someone there to encourage you and keep you going can be a huge help, especially when getting started. Recruit a friend, and set up an exercise plan. You’ll be less likely to bail on a workout if you know you’re leaving your partner hanging.

QUICK TIPS • For many people, working out four to five days per week is plenty. • Rest is a critical part of any exercise program and essential for limiting the chance of injury. • Increase the pace and intensity of your workout over time. For example, with weight training, start with a weight you can lift eight to 12 times, and do no more than three sets. When that becomes easy, increase the weight by 2 to 5 percent. • Don’t overestimate your abilities. Whatever you think you can do, take it down a notch to start. • Remember the water. Drink it before, during and after exercise to prevent dehydration and fatigue.


40 | Live Healthy 2012

BMI: ONE TOOL TO DETERMINE HEALTH

T

he body mass index (BMI) uses a ratio of your height to weight to approximate your body fat. Some medical professionals feel that BMI is a more reflective and important number to consider when assessing your weight. Carrying too much weight can cause many serious health problems, such as heart disease, stroke, diabetes and pregnancy complications. According to experts, fat is more important to measure than weight since excessive fatness is the true definition of obesity. But BMI is not without its limits.

Height

The BMI tool cannot distinguish between lean muscle mass and body fat and may overestimate the level of body fat in some people (i.e. athletes and body builders). In fact, two individuals with the same BMI might have a widely different percentage of body fat. In those cases, more sophisticated measuring devices, such as immersion tanks, might be used to provide a more accurate reading. But for the majority of us, BMI offers a good gauge as to how we’re doing weight wise.

Weight (lbs) Normal Weight

Overweight

Obese

A BMI calculator can be found in the Health Library at SkyLakes.org

Here are the general BMI ranges for adults: • Less than 18 means you are underweight. • Less than 18.5 indicates you are thin for your height. • A BMI between 18.6 and 24.9 indicates you are at a healthy weight. • A BMI between 25 and 29.9 suggests you are overweight for your height. • A BMI of 30 or greater indicates obesity.


BALANCE TIPS

F

alling is not a normal part of aging and can be prevented. Being aware of fall risks, ways to prevent falls, and staying active may prevent you from falling.

Here are a few ideas to make your home safer: • Remove or secure throw rugs • Increase lighting, especially ways to the bathroom and on stairs. • Cover wiring and cords with bright colored tape in spiral fashion to create a pattern and change in color to keep them from blending in with the ground.

Are you at risk? Get a free balance screening, performed by a licensed physical therapist at Sky Lakes Outpatient Rehabilitation Services. You’ll get a personalized “balance report card” so you can discuss results with your physician. Call 541-274-6406 for a free appointment.

MANAGING STRESS

E

ven the perfect job can be stressful at times. Because most of us have to work for a living, here are some tips from the American Psychological Association for managing job-related stress:

• Make the most of workday breaks. Just a few minutes of "me time" can improve your mood. If you have an office, close your door and meditate. Or try taking a quick walk or chatting with a colleague about anything other than work. • If you feel angry, walk away. Count to 10 and then take another look at the situation. Physical activity also can help defuse anger. • Set reasonable standards for yourself and others. Don't expect perfection. Also, make sure you and your boss agree on your responsibilities and performance criteria so you can focus your energy appropriately.

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42 | Live Healthy 2012

Pregnancy Health

EATING RIGHT WHEN PREGNANT

G

ood nutrition during pregnancy, and enough of it, is very important for your baby to grow and develop. You should consume about 300 more calories per day than you did before you became pregnant. Although nausea and vomiting during the first few months of pregnancy can make this difficult, try to eat a well-balanced diet and take prenatal vitamins. Here are some recommendations to keep you and your baby healthy.

Goals For Healthy Eating When Pregnant • Eat a variety of foods to get all the nutrients you need. Recommended daily servings include 6-11 servings of breads and grains, two to four servings of fruit, four or more servings of vegetables, four servings of dairy products, and three servings of protein sources (meat, poultry, fish, eggs or nuts). Use fats and sweets sparingly. • Choose foods high in fiber that are enriched such as whole-grain breads, cereals, pasta, rice, fruits, and vegetables.

• Make sure you are getting enough vitamins and minerals in your daily diet while pregnant. You may need to take a prenatal vitamin supplement to make sure you are consistently getting enough vitamins and minerals every day. Your doctor can recommend an over-the-counter brand or prescribe a prenatal vitamin for you. • Eat and drink at least four servings of dairy products and calcium-rich foods a day to help ensure that you are getting 10001300 mg of calcium in your daily diet during pregnancy. • Eat at least three servings of iron-rich foods per day to ensure you are getting 27 mg of iron daily. • Choose at least one good source of vitamin C every day, such as oranges, grapefruits, strawberries, honeydew, papaya, broccoli, cauliflower, Brussel sprouts, green peppers, tomatoes, and mustard greens. Pregnant women need 70 mg of vitamin C a day.


• Choose at least one good source of folic acid every

Hormone Help

day, like dark green leafy vegetables, veal, and legumes (lima beans, black beans, black-eyed peas and chickpeas). Every pregnant woman needs at least 0.4 mg of folic acid per day to help prevent neural tube defects such as spina bifida. • Choose at least one source of vitamin A every other day. Sources of vitamin A include carrots, pumpkins, sweet potatoes, spinach, water squash, turnip greens, beet greens, apricots, and cantaloupe. Know that excessive vitamin A intake (>10,000 IU/ day) may be associated with fetal malformations.

• Get Your Health Back • Look Younger • Feel Alive

Foods to Avoid When Pregnant

S E RV I C E S : • Hormone Testing & Balancing • Bio-identical Hormone Therapy • Medical Weight Loss

• Avoid alcohol during pregnancy. Alcohol has been linked to premature delivery, mental retardation, birth defects, and low birth weight babies. • Limit caffeine to no more than 300 mg per day. The caffeine content in various drinks depends on the beans or leaves used and how it was prepared. An 8-ounce cup of coffee has about 150 mg of caffeine on average while black tea has typically about 80 mg. A 12-ounce glass of caffeinated soda contains anywhere from 30-60 mg of caffeine. Remember, chocolate contains caffeine -- the amount of caffeine in a chocolate bar is equal to 1/4 cup of coffee. • The use of saccharin is strongly discouraged during pregnancy because it can cross the placenta and may remain in fetal tissues. But, the use of other non-nutritive or artificial sweeteners approved by the FDA is acceptable during pregnancy. These FDAapproved sweeteners include aspartame (Equal or NutraSweet), acesulfame-K (Sunett), and sucralose (Splenda). These sweeteners are considered safe in moderation so talk with your health care provider about how much non-nutritive sweetener is acceptable during pregnancy. • Decrease the total amount of fat you eat to 30% or less of your total daily calories. For a person eating 2000 calories a day, this would be 65 grams of fat or less per day. • Limit cholesterol intake to 300 mg or less per day. • Do not eat shark, swordfish, king mackerel, or tilefish (also called white snapper), because they contain high levels of mercury. • Avoid soft cheeses such as feta, Brie, Camembert, blue-veined, and Mexican-style cheese. These cheeses are often unpasteurized and may cause Listeria infection. There’s no need to avoid hard cheese, processed cheese, cream cheese, cottage cheese, or yogurt. • Avoid raw fish, especially shellfish like oysters and clams.

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VENTANA

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Women, Men & Teens: No one is exempt from hormone imbalances! Get back on track and be your best…

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Located at the Klamath Women’s Clinic, 1903 Austin Street, Suite B, Klamath Falls No referral needed • Covered by most insurance plans

Routine, Urgent and Consultative Gynecologic Care Minimally Invasive Surgery and Hysterectomy Alternatives Specialty Obstectrical Care including Management of High-Risk Pregnancies

Call 541.205.6890 to schedule an appointment 2640 Biehn Street, Suite 1 Klamath Falls, OR 97601 www.HEARTFELTOBGYN.com 664011-Heartfelt-QTR-Stay-Healthy


44 | Live Healthy 2012

EXERCISE DURING PREGNANCY source: WebMD.com Maintaining a regular exercise routine throughout your pregnancy can help you stay healthy and feel your best. Regular exercise during pregnancy can improve your posture and decrease some common discomforts such as backaches and fatigue. There is evidence that physical activity may prevent gestational diabetes (diabetes that develops during pregnancy), relieve stress, and build more stamina needed for labor and delivery. If you were physically active before your pregnancy, you should be able to continue your activity in moderation. Don't try to exercise at your former level; instead, do what's most comfortable for you now. Low impact aerobics are encouraged versus high impact. Do not let your heart rate exceed 140 beats per minute.

Childbirth, sibling, and breastfeeding classes are offered many times throughout the year. Visit SkyLakes.org for the year’s schedule.

The pregnant competitive athlete should be closely followed by an obstetrician. If you have never exercised regularly before, you can safely begin an exercise program during pregnancy after consulting with your health care provider, but do not try a new, strenuous activity. Walking is considered safe to initiate when pregnant.

The American College of Obstetrics and Gynecology recommends 30 minutes or more of moderate exercise per day on most if not all days of the week, unless you have a medical or pregnancy complication.

What Exercises Are Safe During Pregnancy? Most exercises are safe to perform during pregnancy, as long as you exercise with caution and do not overdo it. The safest and most productive activities are swimming, brisk walking, indoor stationary cycling, step or elliptical machines, and

low-impact aerobics. These activities carry little risk of injury, benefit your entire body, and can be continued until birth. Tennis and racquetball are generally safe activities, but changes in balance during pregnancy may affect rapid movements. Other activities such as jogging can be done in moderation, especially if you were doing them before your pregnancy. You may want to choose exercises or activities that do not require great balance or coordination, especially later in pregnancy.

What Exercises Should Be Avoided During Pregnancy? There are certain exercises and activities that can be harmful if performed during pregnancy. They include: • Holding your breath during any activity. • Activities where falling is likely (such as skiing and horseback riding). • Contact sports such as softball, football, basketball, and volleyball. • Any exercise that may cause even mild abdominal trauma such as activities that include jarring motions or rapid changes in direction. • Activities that require extensive jumping, hopping, skipping, bouncing, or running. • Deep knee bends, full sit-ups, double leg raises, and straight-leg toe touches. • Bouncing while stretching. • Waist-twisting movements while standing. • Heavy exercise spurts followed by long periods of no activity. • Exercise in hot, humid weather.


Recipes "SWEET" POTATO FRIES Prep Time: 15 minutes | Serves 6 Serving Size: 10-12 Fries Dietitian Tip: Sweet potatoes are packed full of good nutrition providing a good source of vitamin A, fiber and vitamin C. Adults and kids will love these “Sweet” Potato Fries.

Nutritional Facts Calories 160 Carbohydrates 28 g Protein 2 g Fat 4.5 g Saturated Fat 0.7 g Cholesterol 0 mg Sodium 35 mg Dietary Fiber 3 g

Ingredients • Cooking spray • 2 large sweet potatoes (about 2 pounds total), peeled and cut into ½-inch wedges • 2 tablespoons olive oil • 1 teaspoon cinnamon • ¼ cup Splenda® Brown Sugar Blend Preparation 1. Preheat oven to 400 degrees. Spray a baking sheet with cooking spray. 2. Place potatoes in a bowl and add oil; toss to coat. 3. Add remaining ingredients and mix well. 4. Place potatoes on a baking sheet and bake for 35 minutes or until potatoes are soft. THIS RECIPE IS GLUTEN-FREE

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BEST ROASTED CHICKEN Prep Time: 15 minutes | Serves 8 Serving Size: 3 ounces chicken

Nutritional Facts Calories 200 Carbohydrates 0 g Protein 29 g Fat 8 g Saturated Fat 2.2 g Cholesterol 90 mg Sodium 150 mg Dietary Fiber 0 g

Ingredients • Cooking Spray • 1 onion, roughly chopped • 2 carrots, roughly chopped • 2 celery stalks, roughly chopped • 5-6 stems of fresh parsley • 5-6 stems of fresh thyme • 1 (5½-pound) whole roaster chicken • 1 teaspoon salt (optional) • 1 teaspoon ground black pepper • 1 Tablespoon olive oil • 2 lemons, cut into wedges • 4 cloves garlic, peeled and smashed • 1 cup fat-free, reduced sodium chicken broth MAKE IT GLUTEN-FREE: Ensure that the broth is gluten-free and this recipe can be gluten-free.

Prepare this Best Roasted Chicken recipe ahead of time. After cooking, place the broth in the refrigerator overnight and the fat will rise to the top and solidify slightly. Then you can just scrape the fat off the top and have just the broth leftover to serve with the skinless chicken. Also, be sure to let the chicken rest before you cut it or you’ll lose a lot of the juices from the meat. Preparation 1. Preheat oven to 450 degrees. Coat a 9x13 baking or roasting pan with cooking spray. 2. Add chopped onion, carrots and celery to the pan and top with fresh parsley and fresh thyme. Mix ingredients to evenly distribute them. 3. Remove and discard giblet and neck from chicken cavity. Trim excess fat around neck and cavity opening. Rinse chicken with cold water and pat dry. 4. Starting at the neck, loosen skin around breast using your finger. Rub entire chicken (including breast meat under the skin) with olive oil. Season the outside of the chicken and the inside of cavity with the salt and pepper. 5. Fill the cavity of the chicken with the lemon wedges and smashed garlic and place chicken breast- side up into the pan on top of the herbs and vegetables. 6. Pour the chicken broth over the vegetables and bake in oven for 30 minutes. After 30 minutes reduce heat to 350 degrees and bake chicken additional 45 minutes. 7. Remove the chicken from the pan and let it rest, covered with foil for 20 minutes. Strain the vegetables and herbs from broth in the bottom of the pan. De-fat the broth and set aside (you should end up with about one cup of broth). Discard the vegetables. 8. Once the chicken has rested, remove the skin and cut into 8 pieces, discarding the carcass, lemons and garlic. Pour the de-fatted broth over the chicken and serve.


BLACK BEAN AND CORN SALAD Prep Time: 12 minutes | Serves 12 Serving Size: 1/2 cup

This salad is perfect for a spring picnic or quick lunch dish and is jam-packed with fiber.

Ingredients • 1 29-ounce can black beans, rinsed and drained • 2 cups frozen corn, thawed • 1 red bell pepper, finely diced • ½ cup red onion, finely diced • ½ cup fresh cilantro, chopped • 2 small limes, juiced • 3 Tbsp olive oil • ½ tsp cumin • ¼ tsp garlic powder • ¼ tsp black pepper • ¼ tsp cayenne pepper (optional) Preparation 1. In a medium bowl, combine beans, corn, red pepper, red onion and cilantro. 2. In a small bowl, whisk together remaining ingredients and pour over bean salad. Toss to coat. MAKE IT GLUTEN-FREE: Verify that the canned beans and spices that you are using are gluten-free and this dish can be gluten-free.

541-884-8767

To help you Live Healthy, our products are Gluten Free... and We Cure WITHOUT chemical nitrates!

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You’re gonna LOVE our Jerky!

Award Winning Custom & Specialty Meat Shop 7400 Kings Way • Off Highway 39 between KCC & Southside Bypass

Nutritional Facts Calories 110 Carbohydrates 16 g Protein 4 g Fat 4 g Saturated Fat 0.6 g Cholesterol 0 mg Sodium 50 mg Dietary Fiber 4 g

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48 | Live Healthy 2012

TURKEY TACOS Prep Time: 10 minutes | Serves 8 Serving Size: 1 taco

This meat mixture also makes a great topping for baked tortilla chips with reduced fat cheese for nachos. Top them with the lettuce, tomatoes, cilantro and Greek yogurt for a great party snack.

Ingredients • Cooking spray plus 1 tsp olive oil • 1 lb ground turkey (93% lean, sometimes written 93/7) • 1 packet taco seasoning mix (1 oz) • 1 15-ounce can no added salt petite diced tomatoes • 1 15-ounce can fat-free or vegetarian refried beans • 8 corn tortillas (about 6” diameter) • 2 cups iceburg lettuce, shredded • 2 medium tomatoes, diced • ¼ cup cilantro, minced • ½ cup non-fat Greek style plain yogurt • 2 limes, quartered Preparation

Nutritional Facts Calories 225 Carbohydrates 25 g Protein 18 g Fat 7 g Saturated Fat 1.5 g Cholesterol 45 mg Sodium 570 mg Dietary Fiber 5 g

1. Add the cooking spray and olive oil to a large sauté pan over high heat. 2. Sauté the turkey until just cooked through, about 6-7 minutes. 3. Add the taco seasoning packet and the canned tomatoes with the juice. The seasoning packet says to add water but use the juice from the tomatoes instead. Bring to a simmer. 4. Simmer for three minutes, then stir in the refried beans until incorporated. 5. Build the tacos with 1/3 cup of meat and bean mixture and top with lettuce, tomato, a sprinkling of cilantro, 1 tablespoon of Greek yogurt and a lime wedge on the side. MAKE IT GLUTEN-FREE: Verify that the seasoning packet, refried beans, and tortillas you are using are gluten-free and then this dish can be gluten-free.


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RHUBARB CAKE Serving size: 1 piece (1/16th of cake)

Rhubarb is in season right now! If you don’t have any in your backyard, ask your neighbors if they have any to share! This is a healthier alternative to the traditional rhubarb pie (plus it’s easier to make and takes less time!) Top with fresh strawberries and a dollop of whipped cream or eat as is!

Ingredients: • ½ cup brown sugar • 1 ¾ cups Greek yogurt (plain or vanilla) or low fat sour cream • 1 egg • 1 tsp vanilla • 1 cup all purpose flour • 1 cup whole wheat flour • 1 tsp baking soda

• ¼ cup crushed almonds (optional) • 2 cups diced (small), fresh rhubarb *** Optional topping *** • ¼ cup white sugar • 1 pat soft butter • 1 tsp cinnamon

Preparation 1. Preheat oven to 350 degrees. 2. Beat yogurt and sugar until smooth. 3. Add egg and vanilla, beat. 4. Mix all purpose flour, whole wheat flour, baking soda and almonds in a separate bowl. 5. Beat flour mixture into yogurt mixture until smooth. 6. Gently mix in rhubarb (batter will be very thick!) 7. Pour into 9x9 baking dish. 8. Mix sugar and cinnamon. Cut butter into it until mixture is crumbly. Pour evenly over cake batter and bake 70-90 minutes, (until toothpick or knife inserted in center comes out clean.)

Nutrition Facts (made with Fage 2% plain Greek yogurt, almonds, sugar topping):

Calories: 160 Total Fat: 4.5 gm Sat Fat: 1.4 gm Trans Fat: 0 Cholesterol: 66 mg Sodium: 109 mg Total Carbohydrates: 24 gm Fiber: 2 gm Protein: 7.5 gm


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Cancer FIND CANCER EARLY: GUIDELINES FOR SCREENINGS

S

ome cancers can be found early, before they have had a chance to grow and spread. The American Cancer Society recommends these screening guidelines for people who are at average risk for cancer. If you have an increased susceptibility to certain types of cancer because of your family’s medical history or other factors, you may need to follow a more aggressive screening schedule, such as starting at an earlier age or being screened more often. Talk to your doctor. Breast Cancer Screening recommendations: • Women should have yearly mammograms starting at age 40 and continuing for as long as they are in good health. • Clinical breast exams should be part of periodic health exams, about every three years for women in their 20s and 30s, and every year for women 40 and older. • Women should regularly perform breast self-exams and promptly report changes to their doctors. Self-exams contribute to women’s awareness but should not be relied upon to detect cancer.


Cervical Cancer Screening recommendations: • Women should begin cervical cancer screening about three years after they begin having vaginal intercourse, but no later than 21 years old. • An annual Pap test, or one every two years using the newer liquidbased Pap test, should be part of a woman’s health regimen. • Beginning at age 30, women who have had three normal Pap test results in a row may get screened every two to three years. • Women 70 or older who have had three or more normal Pap tests in a row and no abnormal results in the last 10 years may choose to stop having cervical cancer screenings. But women with a history of cervical cancer, exposure to DES (a synthetic form of estrogen once prescribed to pregnant women) before giving birth, HIV infection or a weakened immune system should continue these regular screenings for as long as they are in good health. Prostate Cancer Screening recommendations: • Men should get both the prostate- specific antigen (PSA) blood test and digital rectal examination annually, beginning at age 50. • Men at high risk (black men and men whose fathers or brothers were diagnosed before age 65) should begin testing at age 45. • Men at even higher risk, who

have multiple relatives affected at an early age, could begin testing at age 40. Depending on the results, no further testing might be needed until 45. Colon and Rectal Cancer Screening recommendations: • Beginning at age 50, both men and women should follow one of the following five testing schedules: yearly fecal occult blood test (FOBT) or fecal immunochemical test (FIT); flexible sigmoidoscopy every five years; yearly FOBT or FIT, plus flexible sigmoidoscopy every five years; double-contrast barium enema every five years; colonoscopy every 10 years. • All positive tests should be followed up with colonoscopy. Some men may be candidates for “virtual” colonoscopy using an advanced CT scanner. Melanoma Skin Cancer Screening recommendations: • Check your own skin about once a month. Know the pattern of moles, freckles and other marks so you can identify changes. Have friends or family members check hard-to-see areas such as your back. • Ask your doctor to check suspicious moles and have them removed if needed. If you have many moles, you should get a careful exam from your doctor or a dermatologist, along with monthly skin self-exams.

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KRAMER EARNS AWARD

B

radley Kramer, MD, an oncologist at Sky Lakes Cancer Treatment Center, this spring became a two-time recipient of the national “Outstanding Performance Award” from the American College of Surgeons Commission on Cancer. He was one of 20 to receive the award this year. In his capacity as “cancer liaison physician” for the cancer program, which includes Sky Lakes Cancer Treatment Center as well as area physicians, surgeons and related services, Dr. Kramer is responsible for providing leadership and direction to establish, maintain, and support the facility’s cancer program. The cancer program at Sky Lakes Medical Center is accredited by the Commission on Cancer and is ranked in the top 2 percent nationally. Kramer is among a network of more than 1,600 physicians who serve three-year appointments as liaisons between local programs and the national commission. The commission’s award recognizes Kramer’s contributions that help im-

prove the quality of care delivered at the treatment center, his work facilitating quality improvement initiatives using data submitted to the National Cancer Database, his leadership and support for cancer-control activities in the community and with the American Cancer Society, and for serving as a role model that distinguishes him as a “physician champion” for the cancer program. Established in 1922 by the American College of Surgeons, the Commission on Cancer is a consortium of professional organizations dedicated to improving survival and quality of life for cancer patients through standard-setting, prevention, research, education, and the monitoring of comprehensive quality care. Kramer has been at Sky Lakes since 2007. He graduated from the Medical College of Wisconsin and did his internship at St Joseph’s Hospital in Milwaukee. He completed his training in Radiation Oncology at Tufts University in Boston and practiced in Illinois and Wisconsin before moving to Klamath Falls.


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NEW ONCOLOGIST, NEW INTERNAL MED SPECIALIST A physician currently receiving specialized training at Boston University’s Roger Williams Medical Center will join Sky Lakes Cancer Treatment Center this fall, and her husband will join Sky Lakes Adult Medicine Clinic this summer. Zeina El Amil, M.D., is completing a fellowship in oncology and hematology at Boston University’s prestigious Roger Williams Medical Center. She is a member of the American Society of Clinical Oncology and a diplomate of the American Board of Internal Medicine. Bassel Choufani, M.D., completed his internal medicine residency at Roger Williams Medical Center and has been in practice since June 2008. He also is a diplomate of the American Board of Internal Medicine. Over the summer, two temporary oncologists will serve Cancer Treatment Center patients. Ken Wurtz, M.D., a board-certified medical oncologist with 30 years’ experience, will provide medical oncology care. He will arrive June 11 and will work alongside Juergen Bertram, M.D., who has been providing medical oncology services since last fall on a temporary basis. Dr. Bassel Choufani; Dr. Zeina El Amil

A part of the community since 1990, Sky Lakes Cancer Treatment Center provides chemotherapy and radiation therapy for patients in a four-county area. It is nationally accredited by the American College of Surgeons Commission on Cancer, and is part of Sky Lakes Medical Center’s international accreditation by DNV.


54 | Live Healthy 2012

Douglas Todd, MD

H

undreds of community-minded individuals, businesses and organizations became “heroes” more than two decades ago by contributing to a community fund drive to build the Sky Lakes Cancer Treatment Center.

Dr. Douglas Todd is a Board Certified

Otolaryngologist by the American Board of Otolaryngology. He is also a Board Certified Head and Neck Surgeon. Dr. Todd offers exceptional treatment and a strong commitment to state-of-the-art procedures with a friendly, down-to-earth nature. He is accepting new patients.

YOU CAN BE A HERO – AGAIN

Cascade Ear, Nose, Throat & Facial Plastic Surgery 3000 Bryant Williams Drive Suite 200

541.274.3000 SkyLakes.org

Sky LakeS DermatoLogy 3000 Bryant Williams Dr.

Others have become heroes with their continuing support. Their combined generosity has helped thousands of people who are cancer survivors because of the treatment they received at the Sky Lakes facility. Sky Lakes Cancer Treatment Center’s care professionals provide both medical treatments and radiation treatments to Klamath-area cancer patients. A key tool they use for radiation treatments, a linear accelerator, is nearing the end of useful service. A campaign will officially launch in mid-June to raise funds to help the hospital purchase and install a new linear accelerator and a replacement CT scanner. The scanner is used to precisely locate the position of tumors that the linear accelerator will treat. “The current unit has served us very well for years,” says Brad Kramer, M.D., radiation oncologist at the treatment center. “We need to replace it, however, so cancer patients continue to receive the best care possible.” It will cost an estimated $4 million to purchase and install the devices, and the hospital leadership is relying on the generosity of the community to supplement the replacement’s budget.

Jaymie Panuncialman, M.D.

HOW TO HELP

Certified by the American Board of Dermatology.

You can “be a hero” by donating to the Cancer Fund. Call the Sky Lakes Foundation office, 541-274-4768, to learn how.

Call 541-274-8900

DERMATOLOGY CLINIC

SkyLakes.org

CTC Classes

Classes and support groups are offered free of charge by the Sky Lakes Cancer Treatment Center. Call 541.274.4171 for more information and a schedule.


USEFUL NUMBERS

The

“Home”

Team Advantages: #1 Overall Property Sales* #1 Residential Real Estate Transactions* #1 Commercial Sales Volume* #1 Running Y Ranch Real Estate* #1 Advanced Education & Designations #1 Cumulative Years of Experience • • • • • • • •

In-House Legal Counsel Short Sale and Foreclosure Resource Buyer and Seller Seminars Investor Resources Relocation Assistance State Accredited Real Estate School New Manufactured Home Dealer Servicing So. Oregon and Northern Ca

Debra Gisriel, Principal Broker, Owner

* Based on Klamath County MLS Statistics for the period 1-1-11 to 12-31-11

Three Convenient Locations to assist you with all of your Real Estate Needs!

Main Street

403 Main Street

(541) 884-1717

Running Y Ranch

Washburn Way

(541) 850-5660

(541) 882-6700

5391 Running Y Road 2650 Washburn 105B

IMPORTANT NUMBERS: Pacific Power . . . . . . . . . . 888-221-7070 Gas: Avista Utilities . . . . . . . . . . . . 800-659-4427 Water: City of K-Falls . . . . . . . . . . . 541-883-5301 Garbage: Waste Mgmt . . . . . . . . . . . 541-884-7706 Telephone: CenturyLink . . . . . . . . . . 800-244-1111 Cable TV: Charter . . . . . . . . . . . . . . . . . . 877-728-3814 Satellite TV: DirecTV . . . . . . . . . . . . . . . 888-777-2454 Satellite TV: Dish Network . . . . . . . 800-823-4929 Newspaper: Herald and News . . 541-885-4410 City Police (Non-Emergency) . . . . . . 541-883-5336 Real Estate: Fisher Nicholson . . 800-460-8124 Electric:

Search all MLS Listings on www.fnrhomes.com

Sky Lakes Medical Center, main 

541-882-6311

Ambulatory Care Department

541-274-5101

Cancer Treatment Center

541-274-4171

Cascades East Family Medicine 

541-274-6733

CARES

541-274-6289

Day Surgery

541-274-4700

Diagnostic Imaging

541-274-6269

Emergency Department

541-274-6176

Lab Services

541-274-6240

Medical Records 

541-274-6287

Outpatient Rehabilitation

541-274-6406

Outpatient Scheduling

541-274-6740

Patient Accounts (Business Office)

541-274-6221

Patient Financial Aid Counselors

541-274-6699

Personnel (Human Resources)

541-274-6260

Pharmacy

541-274-3784

Resource Management

541-274-6282

(Complete listing in the telephone directory) COMMUNITY SERVICE NUMBERS Medical, Fire or Police Emergency

911

Klamath Crisis Center

541-884-0390

Oregon Road Conditions (toll free)

800-977-6368

Poison Control Center (toll free)

800-452-7165

Senior Citizens Council

541-883-7171

RECORD YOUR FREQUENTLY USED NUMBERS HERE Physician  Physician  Dentist  Pharmacy  Insurance Company (medical)  ID#  Agent 

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Hero

Kurt and his family gave in 1987

Survivor Rachel - in remission lung cancer - 2010

The people of Klamath who donated over the years to the Cancer Treatment Fund didn’t know whom they would help. Turns out, some people ended up helping their friends or family members or even themselves. Be a hero and donate to the Cancer Treatment Fund, you never know whom you’ll help. Donate at 541 274-4768. 2 8 6 5 D A G G E T T AV E N U E , K L A M A T H F A L L S , O R 9 7 6 0 1

KFallsHero.org

Live Healthy 2012  

Sky Lakes Medical Center Publication

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