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The Art of Surviving Breast Cancer Patients Find Hope and Renewed Health at Highline FULL CIRCLE:

The Child Patient Who Returned as a Doctor

Felicia Hines, Artist, Teacher and Breast Cancer Survivor


Encouraging You to

Take Care of Yourself

Eat well. Exercise. See your doctor. Every day we have the opportunity to make choices that will help us stay vital and healthy. But it isn’t always easy. Especially for women who are often so busy caring for their families that they forget to take care of themselves. So we’ve devoted this issue of Live Healthy to the wellbeing of the moms, grandmas, aunts and sisters in our community. Check out our handy tearout guide to women’s health screenings and meet two remarkable ladies who have battled breast cancer with positive attitudes and a focus on fitness. You’ll also find information on foods that can help prevent cancer, listings for diet and exercise classes and a recipe for a heart-healthy dessert.

It’s our way of recognizing that most important member

of your care team: YOU!

Have a story idea or feedback? We welcome

your suggestions. Please contact us by email at communityrelations@highlinemedical.org.

This newsletter is informational only and is not intended to replace the advice of your physician or health care practitioner. We understand how frustrating it can be to receive unwanted or incorrectly labeled mail. Highline utilizes a mailing service and submits requests to be removed directly to the mailing company. At your request, we would be happy to remove your name from our mailing list. Please cut out the entire mailing label and mail it to: Highline Medical Center, Community Relations, 16251 Sylvester Road SW, Burien, WA 98166, or email your address to commrelations@highlinemedical.org. Thank you. © 2013 Highline Medical Center

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Copywriters: Amy Bosch, Sue Eastman Editor: Mara Burke


“It’s Good to Be Home.”

Former Patient and Volunteer Returns to Highline as Physician For Internal Medicine physician Nick Jansson, MD, joining the medical staff at Highline Medical Center was like coming full circle. The Burien native was born at Highline 33 years ago. Then at age 12, he was hospitalized at Highline with complications from E. coli poisoning, in the infamous “Jack in the Box” outbreak. “I was one of the first cases in the state to be diagnosed,” he recalled. “I got great care at Highline.” He also got something else from the experience — a career calling. “I was always interested in science, but there was something profound about being so ill and so fully in the hands of my doctors,” he said. “I was scared, but I also trusted them. Although I don’t think I knew it at the time, my desire to be a doctor was born out of that experience. I wanted to have those relationships with patients.” Dr. Jansson graduated with two undergraduate degrees from the University of Washington — one in cellular and molecular biology, the other in zoology. He took two years off, working at a Burien pharmacy to save money for medical school and volunteering at Highline. “I mainly helped out in the Family Childbirth Center, making kits for new moms, taking pictures of newborns, running blood work to the lab — whatever they needed me to do,” he said. He has fond memories — and friends from those times. “The nurses in that unit are so awesome!”

Medical school and residency took him to the East Coast, Chicago, Colorado and California. “I met my wife on one of my visits home, and we lived in Connecticut during my residency,” he said. “But there was never any doubt we’d come back here to settle down.” He started looking for positions at Highline before he graduated. He soon had an offer from Highline’s Seahurst Internal Medicine (now Franciscan Medical Clinic – Seahurst). He couldn’t be happier. “I have so many ties to Highline,” he said. “The staff and volunteers tend to stay a long time and I think that speaks to what a great place it is. I can see myself retiring here,” he added. “I think deep down this has always been the place for me.” Now he and his wife are expecting their first child in February. There’s no question where the newest Jansson will enter the world. “Oh, without a doubt, the birth will be at Highline,” he said. “I wouldn’t have it any other way.”

Grateful for the care he received as a child at Highline, Burien native Nick Jansson, MD, is paying it forward. This fall, Dr. Jansson joined Franciscan Medical Clinic – Seahurst as an internal medicine physician. To make an appointment with him, please call (206) 242-8280. LIVE HEALTHY 3


Your most important

t o-do list

What women should know about health screenings You have lists for work, groceries and errands. But when do you ever put yourself at the top of your to-do list? The time is now: talking with your doctor about important health screenings is one of the most effective ways to safeguard your wellbeing. “Regular health screenings facilitate early detection and treatment of conditions before they become major problems,” said Patricia Shuster, MD, OB/GYN with Franciscan Women’s Health Associates in Burien. “For example, cervical cancer has decreased 50 percent in the last 30 years in the United States due to routine Pap screening.” Here’s a closer look at why regular health screenings should be on your to-do list. Feel fine? Health problems can still lurk Many screenings, from blood tests to Pap smears, can detect problems you may not know you have. That’s because many conditions, such as elevated blood sugar and cervical cancer, often don’t have any symptoms early on. “The good news is most conditions are easier to treat in their earlier stages,” said Meghan McSorley, MD, Franciscan Health Associates OB/GYN who practices in the Three-Tree Medical Arts Building. Heart disease in men receives lots of attention, but it’s also the number one killer of women. “Routine screenings

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can help identify risks, such as high blood pressure or high levels of cholesterol in your blood, which can lead to plaque in the arteries,” Dr. McSorley said. “Without Patricia Shuster, MD Megan McSorely, MD the test, you may not know something is wrong until you suffer a heart attack.” If you catch it early with a routine blood test, you can treat it with medication and lifestyle changes. Put your health in your hands Health screenings offer you a barometer of how well you’re doing health-wise. When you receive the recommended screenings regularly, you’ll also be able to tell where you’re improving in your daily health choices — and where you could be doing better to stay on the healthiest path possible. “Yearly screenings provide you the opportunity to talk with your doctor about your health, symptoms, family history and risks,” Dr. Shuster said. “This gives you a better chance to stay healthy and avoid certain illnesses that we can treat or prevent when caught early with screenings.”


Women’s health screenings It’s important to talk with your doctor about your health history and the screenings you need. To keep you on track, clip and save this handy chart of recommended health screenings. Screening

Why ?

When ?

Cervical cancer screening

Beginning at age 21, yearly pelvic exam with Pap collection every 3 years or based on your doctor’s recommendations

Clinical breast exam

Breast cancer screening

Every 1 to 3 years beginning at age 20; yearly starting at age 40

Mammography

An X-ray of the breasts to check for breast cancer

Yearly starting at age 40

Pap test

1

Glucose testing

Diabetes screening

Starting at age 45, every 3 years

Lipid profile assessment

Measures levels of cholesterol and triglycerides in the blood to assess risk of heart disease

Starting at age 45, every 5 years

Thyroid-stimulating hormone

Checks if your thyroid gland is working normally

Starting at age 50, every 5 years

Bone density screening

Checks for osteoporosis

Beginning at age 65, no more than once every 2 years unless other health risks develop

Colorectal cancer screening

Looks for signs of cancer in the colon and rectum

Colonoscopy starting at age 50, repeated every 10 years1

Re se a Rch a le Rt YOUNGER WOMEN BENEFIT FROM MAMMOGRAMS A new study published this fall in the journal c ancer suggests women should receive regular mammograms before age 50. Researchers at Harvard Medical School evaluated medical records from 7,300 breast cancer patients. They found that 71% of deaths occurred among unscreened women. Women under the age of 50 accounted for half of all of the deaths, while only 13% were age 70 or older. Noting that breast cancer in young women tends to be more aggressive, the authors recommended screening begin at age 40. That echoes screening guidelines from the American Cancer Society, which recommends yearly mammograms starting at age 40 for “as long as a woman is in good health.”

Have You Had Your Mammogram?

Additional methods for colon cancer screenings include: fecal occult blood test yearly; flexible sigmoidoscopy every 5 years; double

October is National Breast Cancer Awareness Month and the perfect time to schedule your mammogram. At Highline Diagnostics at 160th, we offer advanced digital mammography. In addition, two different radiologists and the iCAD Second Look computer system read each mammogram for increased accuracy. Make your appointment today. h ighline Diagnostics at 160th 275 SW 160th St Burien, WA 98166 (206) 248-8900 Visit www.highlinemedicalcenter.org/ imaging/ to learn more or call (206) 248-8900 to make an appointment.

contrast barium every 5 years; computed tomography every 5 years.

LIVE HEALTHY 5


“Your mammogram has an irregularity.”

Highline Cancer Center Brings Together All the Care that Patients Need to Beat Breast Cancer

Few words are more frightening to a woman. The good news is that when breast cancer is detected early, it is highly treatable. And Highline Cancer Center brings together all the resources patients need to survive and thrive. Just ask Xochitl Garcia. She was 38 when her cancer was diagnosed a year ago. “My bra was tight on one side and I thought I had just bought the wrong size,” she said. At her annual exam, Garcia’s gynecologist discovered a lump. It tested positive for cancer. Garcia underwent a mastectomy, chemotherapy and radiation treatment at Highline Cancer Center. “It was so great having all my treatment in one place,” Garcia said. “I had the mammogram that confirmed the cancer at Highline. I had my surgery, chemotherapy and radiation at Highline. I never had to pay for parking or drive around in traffic, and my treatment was top-of-the-line.” Highline Cancer Center is a multi-disciplinary model – meaning it brings together a wide range of experts who collaborate to determine the best treatment for each patient. It offers the latest treatment options and clinical trials, including robotic-assisted surgery, advanced chemotherapy regimens and state-of-the-art Image-Guided Radiation Therapy (IGRT). There’s also a Wellness

“There is Always Hope” Breast cancer runs in Felicia Hines’ family. So when the White Center resident learned last year she had the disease, it wasn’t a complete surprise. “I had gone religiously for checkups, but I missed one. The next time I went, there it was.” Hines, 55, underwent a double mastectomy and started chemotherapy at Highline a month later. Through it all, she has remained positive. “I knew chemotherapy would sap my energy, so I tried to be proactive,” she said. This included swimming, regular exercise and even walking four miles to and from her chemotherapy appointments. “I don’t let the cancer define me. It’s an inconvenience. I’ve got better things to do.” These better things include teaching stained glass, art and sculpture at Kennedy 6 LIVE HEALTHY

Catholic High School in Burien, where she also runs the art club. “My students were so supportive. They sent cards, did a fundraiser, and when I returned at the end of the year, they were so good!” Hines laughs. Hines cherishes time spent with her husband, taking a recent fishing trip together. The couple has two grown children — a son stationed in Afghanistan and a daughter who was recently engaged. She returned to teaching this fall. “Every time you look in the mirror you are reminded of what you have gone through,” Hines said. “But you have to move on. You have to live your life.” When Hines completed infusion chemotherapy, nurses at Highline surprised her with a flash mob dance to the song “Happy Dance.” Not surprisingly, she got up and danced right alongside them.


Center, with supportive, integrative care to enhance quality of life, including naturopathic medicine, acupuncture, accupressure, massage therapy, nutrition and lifestyle counseling and stress management. The facility itself is beautiful, light-filled and welcoming. But there’s something else that patients appreciate – something more intangible. At Highline they feel cared for, on a personal level. “This is a very important chapter in a patient’s life. We are taking this journey together,” said Dr. Bin Xie, an oncologist who specializes in breast cancer. “We take the time to truly listen to the patients, to know each person and what he or she is feeling.” He adds, “The most important thing for the patient to know is that there is Breast cancer patients at Highline benefit from always hope.” advanced radiation treatments using one of the He credits the cancer center staff first systems to target tumors with Image-Guided with creating a welcoming, supportive Radiation Therapy (IGRT). and hopeful atmosphere. Patients agree. “The nurses are incredible,” said Felicia Hines, 55, who underwent chemotherapy at Highline following a double mastectomy. “They weren’t afraid to answer my questions, and they made it a lot easier to understand what was going to happen next. There’s such a fear of the unknown with cancer. They eased that and helped keep things light. They even performed a flash mob dance for me after one of my chemo sessions. One at a time, they got up and started dancing.”

When Xochitl [so-CHEEL] Garcia was diagnosed with cancer, she approached it like she does everything else in her life — with a good attitude. Garcia, 38, was diagnosed at a routine annual exam. “I saw my doctor on a Tuesday and had a mastectomy three days later,” she said. Surgery was followed by four months of chemotherapy and radiation treatments at Highline Cancer Center. A mental health case manager, Garcia never stopped working during treatment. “I was scared, but I thought, if this is what I need to do, I’m going to do it gracefully,” Garcia said. “I’ve always been a person who makes lemonade out of lemons. It helped that my surgeon was so positive. He told me I would survive and I believed him.”

To learn more about Highline Cancer Center or for a referral to one of our physicians or oncologists, visit HighlineMedicalCenter.org

Highline Medical Center is recognized by the national Commission on Cancer (CoC) for outstanding achievement in both inpatient and outpatient cancer care. Highline received its highest-level award and achieved commendation-level performance on all of the CoC’s key standards.

Determined to transform her experience into something positive, she documented her hair loss and wig choices online for friends and family. “I needed to take the power away from cancer. I wanted to show myself as I was, rather than hide away,” she said. Photos of her with a Mohawk, then red hair, then long blonde hair reveal a fierce woman with a twinkle in her eye. While undergoing treatment, Garcia rekindled a passion for art that had gone dormant in the daily demands of work and raising her 10-year-old daughter. She also started a support group for Latino women with cancer. And she has become even more passionate about her work. “Having this extra time has given me space to think about what I really want to do,” Garcia said. “It actually made things much clearer in so many areas of my life. I’m grateful.” LIVE HEALTHY 7


We’re here for you Highline Cancer Center’s nurse navigator is with you every step of the way A cancer diagnosis brings up emotions — and questions. “What does my diagnosis mean?” “What is the next step?” “How will I care for my family during treatment?” “Can I afford to take time off from work?” “What will treatment be like?” “How will I tell my spouse and the children?” At Highline Cancer Center you don’t have to face these and other questions about your treatment alone. A cancer nurse navigator is available to support you from diagnosis through survivorship.

Offering understanding “When you’re diagnosed, you don’t know what to expect,” said Jacqui Sinatra, Director of Highline Cancer Center. “You’ve been given information that sounds a little bit like a foreign language.”

disease, lifestyle and expectations; each patient receives personalized treatment from the nurse navigator. “Our nurse navigator has many years of oncology experience,” said Jacqui Sinatra. “She is instrumental in supporting and advocating for the patient.”

Removing barriers to care Nurse navigation is an important part of cancer care. “I am the point of contact for a cancer patient, whenever cancer has been discovered,” said Toni Black, RN, Highline Nurse Navigator. “I am here to make sure all patients feel supported in their journey.” Black serves all cancer patients at Highline Medical Center.

A nurse navigator helps explain what your appointments and tests mean, why they’re important, and why it’s critical to make sure they’re completed within a specific period of time. The navigator makes it possible to make the most informed decision related to your cancer therapy. Each person is unique in their

There are many areas where your nurse navigator can help ensure your needs are met, including social support, disease and treatment education, transportation, community programs and nutrition resources. If you have financial concerns or difficulty understanding complex treatment recommendations, your nurse navigator will also help address these issues.

“We work hard to make sure required follow-ups have actually happened,” said Black. “I’m the patient’s resource contact, their go-to partner. I make sure the patient doesn’t get lost in their cancer journey.”

Serving our community Anyone in our community who is diagnosed with cancer can call for help from our nurse navigator, regardless of where or when the diagnosis was received. Physicians will often refer patients to a nurse navigator to help them get the care they need, from diagnosis to treatment to recovery. Navigators primarily provide telephonebased support, and also can see you at clinic visits or during hospitalizations. They can also continue helping you once treatment is complete. “We use our expertise in cancer care to ensure patients get through their cancer journey with the best outcome possible,” Black said. Toni Black, RN, works as a nurse at the main campus of Highline Medical Center in the Cancer Center and can be reached at (206) 901-8584.

To learn more about our cancer care program, visit HighlineMedicalCenter.org/Cancer-Center. 8 LIVE HEALTHY


Put cancer prevention on your plate You know that eating fruits and vegetables is important for your overall health, but did you know eating lots of produce can also reduce your risk for cancer? The key is filling your plate with many different colors.

“The same plant chemicals that give different fruits and vegetables their colors also help protect your body against cancer,” said Denise Cronin-Hanson, Registered Dietitian for Highline Cancer Center. “Phytochemicals are naturally occurring compounds in plants that protect their cells when growing and they protect your cells in similar ways when you eat them.” Different types of phytochemicals protect your body in different ways, so consuming a variety of produce colors is key for reaping as many benefits as you can. For instance, some phytochemicals suppress the growth of cancer. Others help your cells unload toxins that otherwise may damage the genetic material inside of your cells, contributing to cancer. And others strengthen your cell walls so they’re less prone to form harmful compounds in your body.

How to eat the rainbow “Ideally, you want to consume a minimum of five servings of fruits and vegetables per day with at least one food from each color group,” Cronin-Hanson said. These color groups include: • Purple and blue foods: grapes, beets, berries and eggplant. • Red and orange foods: tomatoes, peppers, apples, oranges and sweet potatoes. • Green and yellow foods: kale, spinach, broccoli, string beans and squash. In addition, consume plants that provide lots of aromas and flavors because they often contain cancer-preventing properties, too, Cronin-Hanson explained. Examples of these plants include garlic, onions, herbs, spices, horseradish and olives.

Getting started One of the best ways to increase the variety of colors, odors and flavors in your diet is by starting slow. “Choose one food from a color group for a day,” Cronin-Hanson said. After a few days, add another color so now you’re getting at least two servings of brightly colored plants. Continue adding colors to your diet, experimenting with new foods and flavors to discover what you enjoy. “It’s been shown that we eat with our eyes first so if your food is beautiful it enhances your enjoyment,” Cronin-Hanson said. “At the same time you’re reducing your risk of disease.”

Highline Cancer Center leads the region in providing services and education in our communities. If you would like to learn more or attend an upcoming event, call (206) 439-5577 or visit HighlineMedicalCenter.org/Cancer-Center.


in the News

Highline Specialists Make Top Doctor Lists. Each year Seattle Met and Seattle Magazine each publish a “Top Doctor” edition. Both publications use a similar selection process. Local physicians and health care providers nominate and then vote for the best doctors in a variety of specialties. This year three Highline Medical Center specialists were among the elite physicians chosen by their peers. Ophthalmologist Gary Chung, MD, was on Seattle Magazine Top Doctors list. Gastroenterologist Harry Teicher, MD, was featured on Seattle Met Magazine’s list. And Sleep Medicine physician Morris Chang, MD, was recognized as a top doctor on both lists. Left to right, Top Doctors Morris Chang, Gary Chung and Harry Teicher

Family rooms get an upgrade, thanks to Boeing employees. Families of patients in the Intensive and Critical Care units at Highline Medical Center will have more comfortable places to pass the time, thanks to the Employees Community Fund (ECF) of Boeing Puget Sound. ECF awarded a grant to the Highline Medical Center Foundation for nearly $40,000 to upgrade the family rooms, creating a more homelike, welcoming space, along with comfortable furniture, entertainment and options for rest. The rooms have small kitchens for food preparation, places for families to sit and relax and a private room to discuss medical care with the health care team. Renovation started in winter 2012 and was completed in spring 2013.

2013 Spirit of Planetree Award winners put patients first. The Spirit of Planetree Awards were created to publicly recognize individuals who personalize and demystify the health care experience for others. Anesthesiologist Dr. Glenn Powers, who joined Highline Medical Center in 1992, received the Physician Champion Award. He was acknowledged for his positive energy, and his ability to make his patients feel comfortable and reassured and for encouraging them to ask questions and be an active participant in their care. Caregiver Award recipient Roda Scego, RN, has worked for Highline’s Family Childbirth Center as a perinatal nurse since October 2002. She embodies Planetree’s patient-centered approach to care, helping her patients clarify their values and express their hopes, fears and expectations during childbirth.

Glenn Powers, MD 10 LIVE HEALTHY

Roda Scego, RN


Your Highline Medical Group Clinic Has a New Name pr iMa ry c ar e

Patients Benefit from Expanded Network

Highline Medical Group Clinics Now Part of Franciscan Medical Group On July 1, Highline Medical Group clinics and urgent care centers across the region officially became part of Franciscan Health System, providing patients with access to an expanded network of specialists, services and new technologies. While the clinics will continue to be affiliated with Highline Medical Center, their names will change to Franciscan over the next few months. By early 2014, the transition Franciscan Medical Group should be complete. is one of Washington’s Although the clinics will have a new name, the doctors and providers that patients have come to trust are still there, at the same addresses and phone numbers, providing the same services and accepting the same insurance plans.

largest physician-led medical practices. It is dedicated to patientfocused care built on long-term relationships and to improving the health and wellness of all patients across their lifetimes.

Previous Name

New Name

Burien Family Medicine

Franciscan Medical c linic – Burien

Des Moines Family Medicine

Franciscan Medical c linic – Des Moines

Riverton Family Medicine

Franciscan Medical c linic – r iverton

Roxbury Clinic (Moving late 2013)

Franciscan Medical c linic – Westwood

South Seattle Family Medicine

Franciscan Medical c linic – South Seattle

Seahurst Family Medicine

Franciscan Medical c linic – Seahurst

Seahurst Internal Medicine

Franciscan Medical c linic – Seahurst

Vashon Health Center

Franciscan Medical c linic – Vashon island

Highline West Seattle Family Medicine

Franciscan Medical c linic – West Seattle

Spec ia lt y c ar e Previous Name

New Name

Highline Neurosurgery

Franciscan Neurosurgery a ssociates – Burien

Highline OB/GYN Associates

Franciscan Women’s Health a ssociates – Burien

Highline Medical Oncology

Franciscan Oncology a ssociates – Burien

Highline Surgery Associates

Franciscan Surgery a ssociates – Burien

Urg eNt c ar e Previous Name

New Name

Highline Urgent Care – West Seattle

Franciscan prompt c are – West Seattle

LIVE HEALTHY 11


Foundation Happenings Key Bank Gift Brings Financial Counseling to Cancer Patients

Thanks to a generous $5,000 gift from Key Bank, cancer patients at Highline will have access to financial counseling. This gift will help us to assist patients, who often struggle financially, in a variety of ways, including educating them about their insurance benefits, helping them to apply for financial assistance, explaining the cost of their treatment and, in some cases, even helping them to avoid home foreclosure. KeyBank is a longtime supporter of Highline – funding staff education and also serving as an event sponsor. “At Key Bank we look for ways to give back to the communities in which we work and live,” said foundation board member, Mary Hicks, vice-president of the Burien Key Bank branch. “We are very pleased to support special needs like this whenever possible and through volunteering our time and talents.”

Middle School Philanthropists Raise Funds for Cancer Care The students of Sylvester Middle School in Burien recently presented $1,000 to the Highline Medical Center Foundation to support critical needs for cancer care. The students raised the money through a year-long penny drive, collecting 300 pounds of pennies from fellow students, neighbors, friends and families. The much-needed funds will provide financial assistance for chemotherapy and other treatments. Mark Benedum, Highline CEO, accepts a donation from Sylvester Middle School students and principal Vicki Fisher after a hospital tour.

Golfers Aim to Improve Community Health On Thursday, July 25, golfers converged at the beautiful Golf Club at Newcastle for fun and a great cause as Highline Medical Center Foundation hosted its 30th Annual Golf Classic. The event included skill-based games, division prizes and a catered lunch and dinner, with proceeds to benefit patient care at Highline. We are grateful to the many sponsors who made the day possible, especially our major sponsors:

Highline Medical Center Trustee Larry Bjork, his son Aaron, two grandsons, and friends Jared Robillard and Sean Nordberg enjoy a day on the golf course to raise funds for community health care.

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Learn About Your Health Plan Options Medicaid is expanding health care coverage to more people in Washington State. You may qualify for free coverage if you:

Free Enrollment Event Drop in. No reservations.

• Are under 65 • Are not pregnant • Are not entitled to Medicare • Have income up to 138% of the federal poverty level ($15,864 annual income for an individual, $32,499 for a family of four)

Highline Medical Center Main Campus • Burien Somers Auditorium October 18

1 – 4 pm

Enrollment started October 1, 2013 for coverage beginning January 1, 2014.

October 21

10 am – 2 pm

Even if you don’t qualify for Medicaid, you may still be eligible for tax

October 31

10 am – 2 pm

credits and reduced rates for health insurance through Washington State’s

November 6

1 – 4 pm

health care exchange. Learn more at a free event at Highline Medical

November 25

2 – 4 pm

Center. Find out about your eligibility for Medicaid or cost sharing and

December 4

10 am – 2 pm

compare plans.

December 20

10 am – 2 pm

OUR RECIPE FOR HEALTH:

Rustic Fruit Tart This layered fruit tart is like a bread pudding, making it perfect for dessert or brunch. It’s full of fruit, so serve it up without guilt. Apples have pectin, a soluble fiber that helps to prevent cholesterol buildup. Serves 12.

Ingredients: Non-stick pan spray 2 tablespoons unseasoned bread crumbs or panko bread crumbs

2/3 cup granulated sugar

1 1/2 cups all-purpose flour

Pinch of salt

1/2 cup dried cranberries

1/2 teaspoon ground ginger

6 cups (about 5 large) mixed apples and pears, peeled and sliced into thin slivers

4 large egg whites

1/2 teaspoon cinnamon

1/4 cup low-fat half-and-half

2 tablespoons fresh lemon juice

• Preheat the oven to 375°F. Spray a 9-inch round springform pan and lightly dust with bread crumbs or panko. • Beat the egg whites and half-and-half in a large mixing bowl. Beat in sugar, salt, spices and lemon juice. Add the flour to the milk mixture and mix to form a thick cake batter. • Add the fruit to the batter and mix gently just until the slices are evenly coated. Pour into prepared pan. • Bake at 375°F for about 50 minutes, or until the top is well-browned. Cool in the pan for at least 15 minutes before unmolding. Serve warm or at room temperature.

NUTRITION ANALYSIS (per serving) Calories.................................168 Total Fat ................................1 g Saturated Fat .....................0 g Monounsaturated Fat .........0 g Cholesterol ............................0 mg Sodium ..................................40 mg Fiber ......................................3 g Protein ..................................3 g

The Seasoned Cook: Be sure to taste the fruit in advance to gauge the need for sugar. Substitute soft fruits such as plums or nectarines as well as various Asian pears and apples. LIVE HEALTHY 13


Fall 2013 Classes & Events HEALTH & WELLNESS For more information about any of our classes or seminars below, including date and time, please go to www.HighlineMedicalCenter.org and click on Classes and Events, or call the number listed.

Acupuncture • Tuesdays with NataliePascale Boisseau MSA, LAc, EAMP, LMP at (206) 618-6099.

Healthy Spine Exercise Class • This class is suitable for people with intermittent and mild-to-moderate back and/or neck pain, or people who want to achieve better posture to prevent spinal dysfunction and pain. Located at Highline Therapy Services, Midway Clinic, 22659 Pacific Hwy S, Suite 201, Des Moines. Call Ruth Knagenhjelm, PT, at (206) 824-3668 to register.

DIABETES EDUCATION AND SUPPORT For more information or to register for any of the diabetes education classes, please call (206) 431-5370.

For more information about our childbirth classes, including dates, times and prices, please go to www.HighlineMedicalCenter.org and click on Classes and Events.

Carbohydrate Counting Class • Series

Family Childbirth Center Tours • Free

for those with diabetes who are on insulin. Provides practical guidelines for adjusting insulin to match carbohydrate intake. Prior experience with insulin management and meal planning is a plus. Physician referral is requested. Call (206) 431-5370 to register.

Gestational Diabetes Class • Monitoring and meal planning for women who are pregnant and have gestational diabetes. Diabetes Self-Management Training • This

two-part driver-retraining program helps older citizens improve their driving skills. Call (206) 901-5034 to register.

series provides people with diabetes practical information about living with diabetes. Medicare and Medicaid will pay for patients referred by physicians. Many private insurance companies will give partial or full coverage with a physician’s referral.

Joint Replacement Seminar • Are joint

Diabetes Skills Lab • This two-hour class is

AARP Drivers Safety Program • This

pain and stiffness hampering your lifestyle? Join us for a FREE informational seminar conducted by an orthopedic surgeon and a case manager. Learn about the options that could help you return to your normal activities and lifestyle. November 6 from 6 to 7:30pm. Main Campus, Somers Auditorium. Call (206) 431-5223 to register.

CHILDBIRTH CLASSES

for those newly diagnosed with diabetes who need to learn blood glucose monitoring and basic meal planning.

guided tours are offered as available. Please call (206) 431-5211 to schedule a time.

Ready, Set... Baby Being prepared can make your birth experience better! Our two-day Preparation for Birth class includes education, insight and frank conversation about the expected and unexpected. For class dates and to register, log on to www.ReadySetBabyClasses.com

Diabetes Support Group • Held first Monday of the month at 7pm.

Highline Wellness Center Services

Prenatal Yoga • Come and experience gentle stretching and strengthening movements that will promote deep relaxation and increase comfort during your pregnancy. Learn new ways of supporting your body through this time of intense change. Call Karuna Arts Yoga in Des Moines at (206) 878-YOGA for information.

We have partnered with leading experts in the field of integrative medicine to provide naturopathic services including naturopathic medicine, acupuncture, acupressure and yoga. Call (206) 431-5248 for information.

14 LIVE HEALTHY

Car Seat Installation Inspection Station A certified car seat technician will check for appropriate seat, recalls and proper installation on the third Friday of each month from 11am – 12:30pm in the Cedar Garage on the Main Campus.


It’s Never Too Late to Get Into Shape CANCER CARE CLASSES AND SUPPORT GROUPS Look Good… Feel Better • Interactive class for women experiencing the effects of cancer treatment. Gain inspiration and support. Tips for wearing make-up, wigs and scarves are demonstrated. Co-sponsored by the American Cancer Society. Call 1-800-ACS-2345 for class information and to register.

Yoga For Survivors • This gentle yoga course can help you reduce stress and increase physical strength, stamina and flexibility. Participants move according to their own pace. Call (206) 431-5248 for information or to register.

Understanding Lymphedema • Join us for this informative presentation on how and why lymphedema develops, early signs and symptoms and treatment options. Call (206) 431-5248 for information and to register. Benefits Advice • Highline Medical Center has a volunteer advisor available to assist you with finding answers to your health care coverage and insurance questions. Statewide Health Insurance Benefits Advisors (SHIBA) provides community members with free, impartial assistance to help you understand your health coverage, compare health care insurance policies, find a prescription drug plan and learn your rights and options. Call (206) 431-5249 to set up an appointment.

General Cancer Support Group • Provides cancer survivors, family and/or caregivers information and support through diagnosis, treatment, recovery and the challenges of the first year of living and surviving cancer after completion of treatment. Caregivers are welcome to attend. Call (206) 431-5249 for information.

Prostate Cancer Support Group • Education, information, sharing and support for men with prostate cancer and their partners. Call (206) 431-5249 for information. Laryngectomy Support Group • A support group lead by laryngectomy survivors. The group is open to survivors, spouses and/or caregivers. Provides information and support on treatment, recovery and the challenges of living with a laryngectomy. Call (206) 431-5249 for information.

ADDICTION RECOVERY SUPPORT GROUPS For more information about our addiction recovery support groups, go to www.HighlineMedicalCenter.org or call (206) 248-4787.

Magic Works Alumni • Group for graduates of Highline Addiction Recovery Center or anyone desiring clean and sober support. Wednesdays from 6 to 7:30pm.

Narcotics Anonymous • Thursdays at 7:30pm and Sundays at 7pm.

Recovering Nurses • State-approved for the nurse-monitoring program. Mondays from 4:30 to 6:30pm. Alcoholics Anonymous • Mondays at 7:30pm, Tuesdays at 7:30pm, Wednesdays at 8pm, Fridays at 7pm (AA Big Book Study), Saturdays at 7:30pm and Sundays at 9am.

Getting fit in middle age can reduce your risk of heart failure, according to research presented at the American Heart Association’s Quality of Care and Outcomes Research Scientific Sessions 2013. Researchers at the University of Texas Southwest Medical Center studied the fitness levels of 9,050 men and women. Each took two fitness tests, roughly eight years apart, with 18 years of follow-up. “People who weren’t fit at the start of the study were at higher risk for heart failure after age 65,” said Dr. Ambarish Pandey, MD lead author of the study. “However, those who improved their fitness reduced their heart failure risk, compared to those who continued to have a low fitness level eight years later.”

DUI Victims Panel • People whose lives have been altered by an intoxicated driver tell their stories. Second Tuesday of every month from 7–9pm. Family Support Group • A weekly educational support group available to friends and families of chemically dependent persons. Wednesdays from 6 to 7:30pm.

OTHER SUPPORT GROUPS Healing from Loss • Seven-week group for people who have lost a loved one through death. New groups begin quarterly. Call (206) 439-9095 for information or registration. Grief Support • A walk-in support group for those who have experienced the loss of a loved one through death. First and third Wednesday of each month from 2 to 3:30pm in the Cancer Center Meditation Room. Call (206) 431-5373 ext 5400 for information. C.O.P.D. • For patients with Chronic Obstructive Pulmonary Disease and their families. Call Jenny at (206) 431-5303.

*Somers Auditorium is equipped with an oval window audio induction loop assistive listening system.

Can Exercise Make You Smarter?

Yes! According to Harvard Medical School psychiatrist John Ratey, “Exercise is the single best thing you can do for your brain in terms of mood, memory, and learning.” According Ratey, author of the book The Revolutionary New Science of Exercise and the Brain, exercise can reverse the detrimental effects of stress, lift depression and improve learning. So lace up those sneakers and keep your brain fit.

LIVE HEALTHY 15


Highline Medical Center 16251 Sylvester Road SW Burien, WA 98166

Cecil’s knee isn’t the only thing that’s better since his surgery.

Non-Profit Org US Postage

PAID

Seattle, WA Permit #1533

Don’t Let Joint Pain Keep You from the Life You Love. Attend a Free Informational Seminar on Joint Replacement at Highline Learn about options for eliminating pain and restoring mobility at a free informational seminar, conducted by Highline orthopedic surgeon Dr. Alan Barronian. Get your questions answered and learn how you might benefit from Highline’s five-star rated joint replacement program.

Wednesday, November 6 6:00 – 7:30 p.m. HIGHLINE MEDICAL CENTER Main Campus • Somers Auditorium 16251 Sylvester Road SW Burien, WA Call 1-888-825-3227 or visit www.HighlineMedicalCenter.org/events to register.

When crippling pain forced Cecil Simms to give up the game he loves, he turned to the orthopedic experts at Highline Medical Center, rated five-stars by Healthgrades for joint replacement surgery, three years in a row. He’s happy he did. Three months after his surgery, he was back on the golf course. Today, his knee is “one thousand percent better” and so is his quality of life. “I feel amazing. I don’t feel any pain,” he says, “and my golf game is better than ever. My friends call me the bionic golfer.” His only regret: not having the surgery sooner. His advice to others: “Don’t put it off like I did and spend your life in pain. Go to Highline and get it taken care of.”

 In 2013, Highline Medical Center received Healthgrades five-star rating for excellence in joint replacement surgery for the third consecutive year.


Live Healthy Fall 2013  

Live Healthy, published by Highline Medical Center, is part of our commitment to improve the health of our community. It is informational on...

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