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MID-COLUMBIA MEDICAL CENTER

New Directions Celeste Hill-Thomas takes the helm of the health foundation

Napping From A to ZZZZZZ Built For Speed MCMC E.D. staff is ready when you need them

Fall 2004 w w w. m c m c . n e t


Preparing For Company A

s children throughout the Columbia River Gorge head back to school, we at Mid-Columbia Medical Center are preparing to host an important educational exchange of our own. Saturday, Sept. 25, a delegation of health professionals and government officials from Mexico will arrive in The Dalles for a five-day stay in our community. The visit is part of an organized effort by government officials from our state and Mexico called the Oregon-Mexico Health Professionals Exchange. The program's objective is to provide an informative experience that helps our colleagues from across the border understand how the public and private health system works locally and statewide. This also gives our local healthcare professionals the opportunity to increase their understanding of and sensitivity to the unique needs of our Hispanic patients. Local physician John Schwartz, M.D., his wife Kathy, the director of Wasco-Sherman County Public Health Department, my wife Tami and I were among the Oregon delegation that visited Mexico last year. We're looking forward to hosting our new friends this time around. We'll be providing them with a close-up look at our methods of delivering care both at MCMC and in the community, and demonstrating some of the important partnerships we have developed to ensure our Hispanic friends have access to quality healthcare. If you happen to meet any members of the Mexican delegation in our community, I hope you will extend to them the same warm welcome we received when we visited their country last year. I'm also pleased to announce the exciting news that after a diligent effort on our part, Life Flight and AirLife have resumed providing emergency air transport services to and from Mid-Columbia Medical Center. This greatly enhances our ability to provide timely care to trauma victims and to transport patients needing highly specialized critical care to Portland hospitals. We enthusiastically welcome these programs back to our community. There's a new feature in this issue of Well Aware. For the first time, we are including the newsletter of the Center for Mind and Body Medicine at MCMC. In addition to interesting articles, you will find a comprehensive listing of the educational and support programs provided regularly by the center's outstanding professional staff. We also introduce in this issue some new faces at MCMC. These include Celeste Hill-Thomas, who is the new director of the Mid-Columbia Health Foundation. Celeste is well known in our community for her outstanding fund-raising work on behalf of some familiar local non-profit organizations. We're excited to be able to put her considerable skills to work helping us grow the foundation so that even more people and programs in our community can benefit from its financial support. You'll also meet our newest physician, Dr. Richard Camacho, learn how to get the most benefits from your bike fitness program, discover the pros and cons of a quick cat nap and much more. Happy reading. Sincerely,

Duane Francis President/CEO


Fall 2004

Inside Scoop It is Our Mission. . . To lead and act as a catalyst in promoting health for all people. To recognize the individual as a whole human being with different needs that must be enthusiastically met. To communicate a vision of health, art, education, technology and a center for healing which will continually upgrade the quality of life in the community environment in which we live. To empower people to become partners in their health care. Mid-Columbia Medical Center is a not-for-profit healthcare organization offering comprehensive services to the Mid-Columbia Region and is governed by a volunteer Board of Trustees: Robert L.R. Bailey Jorge Barragán Pamela Clausen Duane Francis Gretchen Kimsey Robert A. Staver, M.D. Wallace Wolf, Jr., D.V.M. WellAware is published by Mid-Columbia Medical Center 1700 East 19th Street The Dalles, OR 97058

(541) 296-7545

ON THE COVER

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New Directions Experienced fund-raiser Celeste Hill-Thomas takes the reins of the Mid-Columbia Health Foundation

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Built for Speed

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Meet MCMC’s Emergency Medicine Physicians

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Remembering Randy

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Emergency Medicine Quick Facts

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Room Service

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Planetree Health Lecture Series

Back

High Fiber Recipes

Emergency Department medical director finds fast pace is good medicine

New scholarship fund for students from Wasco and Sherman Counties honors former hospital president’s son.

The Pros and Cons of Napping Provider Profiles The Human Resource Kathleen Martin connects cancer patients with Celilo’s unique programs and services. MCMC patients get a taste of the good life with new in-room meal program.

All rights reserved. No information may be reprinted without the written consent of MCMC.

Insert: Photo Credits: Photos by Susan Garrett Crowley.

News From the Center for Mind and Body Medicine

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New Directions Experienced fund-raiser Celeste Hill-Thomas takes the reins of the Mid-Columbia Health Foundation By Leslie Teegarden

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ith 20 years of fund-raising experience, Celeste Hill-Thomas was looking for a career opportunity that would allow her to make a difference in her community. She found it at the Mid-Columbia Health Foundation. The foundation’s new director says that, with the health needs of Gorge-area residents increasing, philanthropy becomes ever more important.

“I want to get out and visit with community members, learn what they already know about the foundation and understand their expectations from the hospital.” “Having access to quality healthcare is critically important, especially in a rural community such as ours,” Hill-Thomas explains. “Mid-Columbia Medical Center plays an enormous role in our community, and I look forward to growing the foundation’s resources so we can contribute to the hospital’s continued success.” In addition to generating revenue from several fund-raising programs, Hill-Thomas plans to continually seek opportunities to support efforts to improve community health, collaborate with community-based organizations and foster strategic partnerships with local and national associations. She also plans to report to the community the foundation’s accomplishments in these areas. “I want to get out and visit with community members, learn what they already know about the foundation and understand their expectations from the hospital,” Hill-Thomas says. “In general, I know that

both our community and the healthcare industry are facing enormous challenges. However, I believe that, working together, we can continue to build a strong hospital foundation; one that matches donors’ interests and values with the hospital’s needs.” Hill-Thomas views her new position a career dream come true. “I wanted to give my passions to an organization that had a mission aligned with my own,” she explains. Hill-Thomas served previously as the project manager, investor relations officer and marketing director of Columbia River Bank. She joined the bank in 1998 after working for six years at U.S. Bancorp, where she was the direct marketing project manager for a six-state region. An active community volunteer, Hill-Thomas currently serves as a member, and former chair, of the St. Mary’s Academy School Board. She has developed and managed successful fund-raising campaigns for Soroptimists, St. Mary’s Academy and Hospice of the Gorge. Through her previous charitable work experiences, Hill-Thomas has enjoyed watching dreams take shape and seeing socially beneficial initiatives become actual programs and services. “It has been a personal goal of mine to incorporate philanthropy into my professional life, and working for the foundation is a great opportunity to continue my community involvement,” she adds. Hill-Thomas has been married to Britt Thomas for 19 years. They have two young children, Devin and Lexi. For more information on projects funded by the Mid-Columbia Health Foundation, visit mcmc.net or call 296-7275.

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for Speed

BUILT

Emergency Department medical director finds fast pace is good medicine By Leslie Teegarden

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n his first career, Patrick Grimsley, D.O., stabilized organizations facing environmental issues such as contamination from pollutants, toxic substances and hazardous materials. Now, he stabilizes people facing personal trauma such as sudden illness, severe injury and unexpected complications from disease. “While working as an environmental consultant with Hanford in the Tri-Cities, I decided to volunteer my time in an emergency department,” Dr. Grimsley recalls. “I found the environment and work to be very stimulating and much more rewarding than my work as a consultant. So I decided to pursue a career in emergency medicine.” Leaving his hometown behind, the future doctor headed for California to attend Western University of Health Sciences, where he earned his doctor of osteopathic medicine degree. Afterward, he completed his internship and residency at King/Drew Medical Center in South Central Los Angeles. Although he joined Kaiser Permanente’s hospital in Hollywood, Dr. Grimsley realized he ultimately wanted to live closer to his family in Washington. “Initially, I was impressed by Mid-Columbia Medical Center’s philosophy of care and the wonderful staff I would be working alongside, “ Dr. Grimsley says. “And then I was enticed by the opportunity to live on the banks of the Columbia River again; it felt like home.” Accepting MCMC’s offer to join the emergency department, Dr. Grimsley and his wife Naomi moved to The Dalles two years ago. Last July, he was named as the department’s new medical director. “In the past year, we’ve added an excellent group of physicians to our department, and I continue to be impressed with the responsiveness of our consulting services - all of our doctors and clinical staff are excellent people to work with,” Dr. Grimsley explains. “They all contribute to the high quality of patient care we strive to provide.” In the future, Dr. Grimsley hopes to expand the department to accommodate even more patients. In the meantime, the MCMC Emergency Department will continue doing what it does best - providing outstanding, compassionate, around-the-clock care to anyone in need. "We know you have great expectations for emergency care and our team is pleased to provide you with the latest in medical technology in a healing environment."


Meet MCMC’s

Emergency Medicine Physicians Erin M. Burnham, M.D.

Alexander D. Lapidus, M.D.

Is certified by the American Board of Emergency Medicine. She earned her medical degree at Oregon Health Sciences University, where she also completed her residency.

Is certified by the American Board of Emergency Medicine. He earned his medical degree at the University of California Davis and completed his residency at Oregon Health Sciences University.

John D. Elliott, M.D. Completed his medical training at Texas Tech University Health Science Center in Lubbock, and his internship and residency at the University of Arizona in Tucson.

J. Brent Sholar, M.D. Earned his medical degree at the Naval Medical Center in San Diego and completed his internship and residency at Oregon Health Sciences University. He is certified by the American Board of Emergency Medicine.

John L. Jacobson, M.D. Completed his medical training and residency at Oregon Health Sciences University. He is a Fellow of the American College of Emergency Physicians and he is certified by the American Board of Emergency Medicine.

Rich J. Davis, M.D. Earned his medical degree from Ohio State University’s College of Medicine, completing his internship at Kern Medical Center in Bakersfield, Calif. He is certified by the American Board of Emergency Medicine. Kathleen B. Moore, M.D. Completed her medical training at the University of Kentucky, completing her internship and residency at the University of Southern California in Los Angeles. She is certified by the American Board of Emergency Medicine. Patrick G. Grimsley, D.O. See article on page 4.

EMERGENCY MEDICINE 101

See page 8

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Remembering Randy By Dick Baltus

New scholarship fund for students from Wasco and Sherman Counties honors former hospital president’s son.

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n 1983 Gary Rood was in the seventh year of his decade-long tenure as president of The Dalles General Hospital (now MCMC). The hospital was doing well; the career was progressing according to plan. The kids were growing up great; the new grandchild was a joy. Life was good. Then suddenly, painfully, it turned upside down. One day Randy, Gary’s middle child, the college student, the athletic one, complained to his dad about pain in his legs. A year later Randy was gone. He was 23. Twenty years have passed since Gary lost his son to lymphoma. He left MCMC in 1986 to form his own nursing home company, and eventually moved to Vancouver, Wash., where he started a successful senior housing company called Lifestyles. But Gary has deep roots in the community that was his home for 14 years. He still lives part-time on the ranch he owns here. The Rood name is well known in The Dalles, but not

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because of Randy, who grew up in Portland and didn’t have the ties to The Dalles his dad did. However, thanks to his father’s generosity, Randy’s name will have special meaning in the lives of many local students for years to come. This year Gary established a lasting tribute to his son through the Mid-Columbia Health Foundation. The Randy Rood Memorial Scholarship granted its first-ever awards to five young students from Wasco and Sherman counties (see related article). Their dreams of attending college will be getting a significant boost from scholarships of up to $2,500 annually for as many as five years. “When I lost Randy, I made a vow that if I was ever in the position, I would do something to memorialize him,” Gary says. “I always assumed I’d do something related to healthcare, since that’s where I’ve spent my entire career. Eventually, I came to the realization that more lives could be touched by helping young people get an education.” “The scholarship idea was very appealing to me,”


From left to right: Phil Kaser, chairman, Mid-Columbia Health Foundation with scholarship recipients: Randy Arellano, The Dalles High School; Mirella Perez, The Dalles High School; Lacey Lick, Wahtonka High School; Jesica Wolff, Dufur High School; Amanda Palmquist, South Wasco County High School.

Foundation Awards First Randy Rood Scholarships

M Gary adds. “Wasco and Sherman counties have continued high unemployment, and that really impacts families. There’s a tremendous need for ways to help kids from the area get a good college education to help them be successful in life.” The fund was established with a gift of $100,000. The objective is to grow the fund until its interest alone can be used for scholarships, assuring the program continues in perpetuity. To that end, there is an expectation that, after graduating, recipients will make “all reasonable attempts” to repay their scholarships through their own gifts to the health foundation. Up to 10 new scholarships will be awarded each year, and each award is renewable for four years as long as the student maintains a 2.5 grade point average and meets other expectations. The awards are made by a committee composed of MCHF board members, school officials and others. “It was a great group of people who designed this program and helped interview the students and select the recipients,” Rood says. “It was exciting and rewarding to create this from the ground up.” While Rood could have made his donation to any of countless foundations that provide scholarships, he says establishing a memorial to his son was too personal for that approach. “I chose Mid-Columbia Health Foundation because I wanted to be involved in the process,” he says. “I wanted the rewards of getting to know the kids and being able to see first-hand how this program will benefit them. “Also, I wanted to keep my gift here because I’m hopeful that it will encourage others, who have been blessed as I have, to come forward and support the community and the health foundation in their own way.” For complete information about the Randy Rood Memorial Scholarship Fund, to make a donation or to inquire about an application, please call the Mid-Columbia Health Foundation at 541-296-7275.

id-Columbia Health Foundation has named five recent high school graduates from Wasco and Sherman counties as the first recipients of Randy Rood Memorial Scholarships. The Randy Rood Memorial Scholarship Fund was established by former MCMC president Gary Rood to honor his son, who died of cancer in 1984 (see story). It is intended to support outstanding young citizens who, without some level of financial assistance, might be denied the opportunity to attend college, says Karen Knoll of the MCHF. Scholarships of up to $2,500 are awarded annually and are renewable for four years. In addition to financial need, several other criteria are used to determine scholarship recipients. These include overall academic achievements, involvement in community service and teacher recommendations. “We are delighted to be able to provide support, through this new scholarship fund to these students and help them as they take the next important step toward fulfilling their academic goals,” says MCMC CEO Duane Francis. “And we are especially grateful to Gary Rood, whose generosity brought this program to life and will sustain it in the future.” “Our goal is to grow this fund significantly over the coming years, so that scholarships are available to benefit even more Wasco and Sherman county college-bound students in the future,” says Knoll.

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Emergency Medicine 101 Quick Facts about MCMC’s Emergency Department

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rom a high fever in the middle of the night to a severe accident, medical emergencies are unpredictable - no one expects to have one. We hope you never have a reason to visit our emergency department but, if you do, take comfort knowing that a skilled team backed by state-of-the-art technology is ready for you, 24 hours a day, 365 days a year. Fully staffed, Level III Emergency Department

Board of Medical Specialties recognized EM as the nation’s 23rd medical specialty.

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Emergency Glossary

hile many hospital emergency departments treat only minor injuries such as cuts and breaks, trauma centers are capable of providing a higher level of care. As a Level III trauma center, Mid-Columbia Medical Center has 24-hour access to an in-house emergency physician, trauma surgeon and anesthesiologist, in addition to intensive care services and orthopedic surgeons. Level I and Level II trauma centers have access to more specialists and sub-specialists, while Level I trauma centers have a strong focus on teaching and research.

No appointments are necessary

ER or ED?

Specialty physicians (cardiology, surgery, internal medicine, orthopedics, gynecology, pediatrics, neurology) ready at a moment’s notice

hile the term emergency room is still around, the preferred term in the emergencymedicine field is emergency department.

X-ray, lab, CT scan and ultrasound testing available 24 hours a day Spanish interpreters on staff 24 hours a day, with ability to obtain other language interpreters either in hospital or by phone Life Flight helicopter pad on campus

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What Do Trauma Levels Mean?

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A Young Specialty

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here has always been a need for emergency care but emergency medicine is a relatively young specialty. In 1961, it took an official shape when four physicians in Alexandria, Va., formed the first group dedicated to providing care in an emergency department setting. It was coined the Alexandria Plan. Eighteen years later, the American

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ver wonder what those doctors are talking about? Get up to speed with our mini guide to ED terms. Angioplasty: A surgical procedure in which a small catheter with a balloon tip is threaded into the coronary artery. Arrhythmia: occurs when the beat of the heart is no longer originating from the sinus node, and the rhythm is abnormal. C-section: shorthand for cesarean section, which is the surgical delivery of a baby through the abdominal wall. Edema: excessive accumulation of fluid. Intubation: the procedure of inserting a tube into the trachea of a patient who is not breathing. Stat: Slang expression for hurry up.

Common ED abbreviations BP: blood pressure CBC: complete blood count CHF: congestive heart failure EKG (or ECG): electrocardiogram; measures heart activity EMT: emergency medical technician MI: myocardial infraction (heart attack) MVA: motor vehicle accident


Napping From A to ZZZZZZZZZ By Leslie Teegarden

Mid-Columbia Medical Center’s Center for Sleep Medicine. “The best solution is good nocturnal sleep, but judicious use of napping can increase your short-term alertness and productivity.” Research has revealed the following napping guidelines:

Paul Cardosi, M.D.

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hile lazy afternoon naps are summertime rituals for many, does a nap in the afternoon make up for midnight tossing and turning? Prodigious nappers, including John F. Kennedy, Winston Churchill and Napoleon Bonaparte believed so. And recent medical studies on sleep deprivation have confirmed that naps are clearly useful for some people in some situations. “We are a chronically sleep-deprived society and we could certainly use the extra ZZZs,” says Paul Cardosi, M.D., sleep disorders specialist at

• You should nap for 15 to 30 minutes. Otherwise, you will enter deep sleep and find it difficult to wake up. If your sleep debt is so great that you require a longer nap, try to sleep for at least 90 minutes to complete a sleep cycle. Sleeping for more than 90 minutes can throw off your circadian rhythm - the body’s internal clock - and interfere with normal nighttime sleep. • Try not to nap past four in the afternoon. Late napping will delay your falling asleep at night and make it more difficult to wake up in the morning. Dr. Cardosi cautions against napping as a substitute for a good night’s sleep. “When it comes to sleep, many of us don’t know what is normal, what is not, and what deserves a doctor’s attention,” he says. “A mid-afternoon slump is normal, but excessive sleepiness is not.”

If you’re a regular napper and experiencing difficulty falling or staying asleep at night or are having difficulty remaining alert during important tasks (like driving) despite your naps, give up the nap and see what happens, Dr. Cardosi suggests. “People tempted to nap in the afternoons are probably not getting enough sleep and may even have a sleep disorder,” he adds. While midday snoozing is beneficial to someone who is a normal sleeper but who is getting insufficient sleep at night, it isn’t a solution for lack of sleep. Individuals with moderate or severe sleepiness, whether occasional or chronic, need diagnosis and treatment. There are about 85 recognized sleep disorders, most of which are treatable. Among the most common are snoring, sleep apnea, restless legs syndrome and insomnia. These disorders are more than an annoyance - they may pose significant medical problems such as strain on the heart and lungs that lead to high blood pressure, heart attack or stroke. Treatment for these disorders may include medication, relaxation training, behavioral therapy or the use of special devices that help people improve their sleep. If you have questions or concerns about your sleeping habits, do not hesitate to ask your physician about them or contact the Center for Sleep Medicine at 541-296-7724.

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New Internist Now Welcoming Patients

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hough he didn’t initially plan to become a physician, Richard Camacho, M.D., had a fascination for medical science early on. At age 5, he even had a “clinic” in the spare room of his family home. “When I was in the fourth grade, my mother was hospitalized several times,” Dr. Camacho recalls. “Naturally, I was very worried and wanted to understand what was happening. So I began reading things like the Reader’s Digest Family Health Guide and Medical Encyclopedia.” But even after his mother’s recovery, the future doctor continued to read anything he could find related to health and healing. After learning that his family had a history of cardiovascular disease, Dr. Camacho says he became especially interested in studying matters of the heart. Born in the Philippines, Dr. Camacho moved to San Jose when he was 17. Being in the heart of the Silicon Valley, he felt a “stable” career would be in the field of engineering. His father, however,

By Leslie Teegarden

strongly urged him to consider medicine. Enrolled already at De Anza College in Cupertino, Calif., Dr. Camacho moved to La Mirada to pursue a biology degree at Bioloa University, where he also earned a minor in biblical studies. After graduating, he returned to the Philippines, where he received his doctor of medicine degree at De La Salle University’s College of Medicine. Upon completing his internal medicine internship and residency at Maryland General Hospital, Dr. Camacho explored practice opportunities in New York, Massachusetts, Arizona and The Dalles. “Once I arrived in The Dalles, toured the area and met with my future colleagues, I knew I wanted to move my family here,” Dr. Camacho explains. “This is the type of community where I can have a rewarding practice and still be home in time to see my son play ball.” As a general internist, Dr. Camacho’s professional interests include treating

Richard Camacho, M.D. patients with cardiovascular disease, lung disease and diabetes. “My philosophy as a physician involves developing long-term partnerships with my patients and delivering superior and very personal medical care,” Dr. Camacho says. When not seeing patients in his practice, Dr. Camacho enjoys spending time outdoors. Some of his favorite activities include hiking, camping and rock climbing. He thinks he might even give windsurfing a try. Dr. Camacho makes his home in The Dalles with his wife Sharon and their 6-year-old son Joshua. To schedule an appointment with Dr. Camacho, call his office at 296-2583.

Nurse Practitioner Makes Perfect Transition By Corey Eldridge

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he magnificent natural play ground may have lured Toni Smith to The Dalles, but it was the personality of the area’s people that led her down a new career path. Smith moved to the area in 2000 when her husband took a job as a fisheries biologist. The Gorge was the ideal setting for the Smiths, both of whom are avid outdoors people. “We enjoy hiking, boating, skiing and snowboarding,” Smith says. “Coming from Illinois to the Gorge, the Mecca of the outdoors, was exciting.” In Illinois, Smith worked as a nurse,

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primarily caring for children and patients with eating disorders. She quickly found a job at MCMC and was so taken with the quality and personalities of her patients and the people working alongside her, she was motivated to pursue her own clinical practice. While still working at MCMC, Smith enrolled in the nurse practitioner program at the University of Portland. After earning her degree, she moved across the street to the hospital’s internal medicine department. It was a good move, Smith says. “One of the biggest rewards of this job is the (continued next page)

Toni Smith, F.N.P.


The Human Resource

Kathleen Martin connects cancer patients with Celilo’s unique programs and services.

By Dick Baltus

“Cure sometimes, heal often, comfort always.” The quote belongs to Hippocrates, the founder of medicine, but Kathleen Martin, L.C.S.W., has grown pretty attached to it herself. Though the sentence is nearly 2,500 years old, the MCMC licensed clinical social worker feels it could serve as the perfect modern day motto for Celilo, the unique cancer center where she works. “It’s the focus of all our efforts,” Martin says. In the position she has held for nearly a year, Martin is integrally involved in those efforts. Though her job description is far-reaching, her primary responsibility is to connect cancer patients and their families with the unique array of curative, healing and comforting resources available through Celilo. Martin meets with every new Celilo patient and his or her family to assess their needs and provide an overview of the center and its offerings. Her orientation includes a detailed discussion of Celilo’s unique Integrative Therapy program, which combines traditional, stateof-the-art cancer-treating modalities (chemo and intensity modulated radiation therapy) with a host of complementary therapies. Celilo patients can take advantage of acupuncture, massage, nutritional counseling, aromatherapy,

relaxation training, yoga, a soothing spa and many other programs to address their biological, social, spiritual, intellectual and environmental needs. “Part of what I do is to help demystify the experience for patients,” she says. “There are a lot of people who have never used a spa before or participated in a relaxation program. Some are hearing about the types of programs available at Celilo for the first time.” Even so, Martin adds, more and more patients are expecting to take an active role in their own care and are looking for education and support resources to facilitate that effort. “Patients are much more aware now that they have an important role in their own care,” Martin says. “They are really excited to learn that, while they are here, they will be a real partner in their care. They are looking for education and support to help select the therapies they feel are appropriate for them.” To that end, Martin works with patients through the course of their care at Celilo and also is a resource for after-care programs and services, both at Celilo and in the community. Her long list of responsibilities includes leading patient and caregiver support groups, providing short-term counseling, helping find resources for individuals who are uninsured or underinsured and collaborating with

community providers. “We want to ensure our patients have the resources they need from us and from public, private and nonprofit organizations to make a successful transition from cancer patient to cancer survivor,” Martin says. Martin’s background prepared her well for her many duties. She earned a master’s in social work from Portland State University after graduating from the University of Oregon in community service and public affairs. Now in her eighth year at MCMC, Martin’s work experience before Celilo includes stints in Visiting Health Services, where she worked as a social worker and home care coordinator, and with the Pulmonary Rehabilitation Program. She still teaches mind-body techniques to pulmonary rehab patients. Martin says the rewards of working at Celilo are many. Then again, she’s felt that way in every position she’s held at MCMC. “I get feedback every day from people using Celilo and MCMC and getting good results. I get to hear how big a difference these people and programs make in people’s lives. That makes it a great place to come to work every day.”

Toni Smith (from page 10)

patient relationships,” she says. “It’s great to get to know my patients, and not just from a personal standpoint. The better I know a patient, the better I can care for him or her.” Smith says one of her primary goals is to provide her patients with the information and choices they need to benefit most from her care.

“I want my patients to leave my office without having any questions about their care or treatment or the options available to them,” she says. “I try to give my patients as much information as I can and to empower them to make choices related to their treatment.” Given that patient choice and access to information are important tenets of

the Planetree philosophy, Smith and MCMC appear to be a match made in her idea of heaven on Earth. “The Dalles is a great community with great people,” she says. “I love this place and caring for its people.” To schedule an appointment please call 296-5256.

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ROOM

SERVICE

By Cory Eldridge

MCMC patients get a taste of the good life with new in-room meal program

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ood is medicine. And here’s the kicker - even food you might think isn’t good for you can be. If your favorite meal is fettuccine alfredo, it may help you heal faster than steamed broccoli and broiled chicken will. Here’s why: Eating food you like generally makes you feel better. When you feel better, you heal faster. To take full advantage of food’s healing qualities, MCMC patients now enjoy room service with a full menu. The new room service enables patients to choose their own meals rather than be fed the prescribed, and often less-than-tasty, diets often associated with hospitals. MCMC’s menu looks like it belongs to an upscale restaurant. The comprehensive menu includes foods friendly to many ethnic, health, and religious diets. Black bean and rice burritos, baked halibut with horseradish sauce, roast pork, french dip sandwiches, chicken breast with sautéed mushrooms - that’s just a small sampling of the delicious entrees MCMC patients can choose from. In addition, patients are served on their own time schedule, not the kitchen’s. They can order food from the menu anytime between 6:30 a.m. and 7 p.m. Room service is a natural fit with MCMC’s Planetree philosophy of patient-centered care,

says Tia Bailey, R.N., director of Planetree. “Planetree gives patients the autonomy to be an active participant in their own care,” Bailey says. “You may prefer to eat at 6:30 rather than 8. Room service allows us the flexibility to meet each patient’s personal needs and desires.” Always seeking new ways to improve a patient’s stay, MCMC staff found that other hospitals that had implemented room service programs experienced increased patient satisfaction. “No matter how positive we try to make the hospital experience, people would still rather not be in the hospital,” says Carol Stafford, director of Nutrition Services. “So anytime we can allow our patients to remain in control and to make decisions for themselves, like when and what they eat, it’s positive.” Stafford says room service also helps control MCMC’s food costs, which contributes to lower healthcare costs for the community. “We only give food to those who want it,” Stafford says. “If a patient only eats toast for breakfast, why would we serve him a whole meal?” More choices, more flexibility, better food what else would you expect from a hospital known for catering to its patients’ needs and wishes?

M I D - C O L U M B I A M E D I CA L C E N T E R

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Planetree Health Resource Center

2004

Lecture Fall HealthSeries

Informative Discussions on Your Good Health

Tues. Sept. 14

Tues. Sept. 28

Crystal Clear: Seeing into the Future

Can You Do the Math? Counting Carbs

As Baby Boomers age, the number of Americans with major eye diseases and resulting vision loss is increasing. For people over 40, age-related macular degeneration, glaucoma, cataract and diabetic retinopathy are the most common eye diseases. Join John Willer, D.O., board certified ophthalmologist at Cascade Eye Center, as he sheds some light on the aging eye, discusses new Optomap® technology, and talks about what you can do to protect your eyesight as you grow older.

Trying to lose weight? You’re not alone. About half of all adults in the U.S. today are overweight, and typically one in four of us is on a diet. The low-carb craze is one of the hottest approaches to weight loss. MCMC’s Tracy Dugick, R.D., C.D.E., explains the science behind the fuss and looks at the success of these diets in the long-run. If you want an inside scoop on low-carb eating, this program’s for you!

Tues. Oct. 5 The ABCs of Chinese Medicine

Tues. Sept. 21 From Girl Power to Golden Girls Have you wondered when your teenage daughter needs her first Pap test? Or whether your 65-yearold mother can stop getting them? Maybe you’re curious about the new HPV test for cervical cancer, or any of the new family planning methods now available. Join Jennifer Hanlon, F.N.P., Columbia River Women’s Clinic, for the latest recommendations in women’s health, and a fresh look at some common problems and dilemmas across the lifespan. This talk is suitable for women of all ages.

For over 23 centuries, Chinese medicine has offered a complete medical system that diagnoses, treats and prevents illness. The strategy of Chinese medicine is to improve health and well-being by restoring harmony. It is an individualized approach to healing that is different yet complementary to that of Western medicine. Eduardo Fernandez, L.Ac., explains and offers insights into the basic principles of Chinese medicine and its aim to increase our capacity to recover and sustain our health.

All lectures are free and open to the public. Lectures will be held in the Medical Center Office Plaza Conference Room at

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LANETREE

clip & save

Health Resource Center

Mid-Columbia Medical Center. All programs are from 7 to 8:30 p.m. Your on-time arrival is appreciated. Phone 296-8444 to pre-register. You may also register on our Web site: www.mcmc.net (click on Planetree Health Resource Center, then Lecture Series). We look forward to seeing you.

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Eating Well High Fiber Recipes Fiber, roughage, bran, plant bulk ... whatever you call it, we know it’s important to health. Dietary fiber has been shown to protect us from cancer (especially colon cancer), heart disease, bowel disease, including constipation and diverticulosis, and obesity. It may also help to reduce blood sugar levels in people with diabetes. You should eat between 25 and 30 grams of fiber each day to gain these health benefits. Most Americans consume only 10 to 12 grams a day. A few small changes could help alter that dramatically. Fiber is found only in plant foods. Fruits and vegetables are a good source of fiber, especially if you eat them fresh with the skin on. Fiber is also found in whole-grain breads and cereals. You must read the ingredient list on the food label to make sure it says “whole grain.” Otherwise, you may be consuming brown coloring without any additional fiber. Beans and other legumes are an excellent and inexpensive source of fiber. Food labels also list fiber content. Foods with more than four grams of fiber are considered to be good sources. Try this delicious fiber-rich recipes, courtesy of http://www.mealsforyou.com

Banana Date Nut Salad in Pastry Prep: 10 min, Cook: 10 min. 4 frozen puff pastry shells 2 bananas, peeled and cut into 1/2 inch slices 8 dates, pitted and chopped 1/4 cup chopped walnuts 1 tsp. lemon juice Bake puff pastry shells according to package directions. Combine bananas, dates and walnuts in a mixing bowl. Sprinkle with lemon juice and toss. Just before serving, spoon fruit mixture into baked puff pastry shells. PER SERVING: calories 574, fat 23.2g, 34% calories from fat, cholesterol 0mg, protein 7.2g, carbohydrates 92.6g, fiber 13.1g, sugar 56.0g, sodium 119mg. DIETARY EXCHANGES: Milk: 0.0, Vegetable: 0.0, Fruit: 4.5, Bread: 0.0, Lean meat: 0.0, Fat: 4.2, Sugar: 1.4, Very lean meat protein: 0.2

Chicken and Black Bean Sauté Prep: 10 min, Cook: 20 min. 2 tsp. unsalted butter 2/3 cup onion, finely chopped 1 lb. boneless skinless chicken breast halves, cut into 1 inch pieces

2 lbs. black beans, drained 3/4 tsp. turmeric 1/4 tsp. cayenne pepper 1/4 tsp. pepper 4 scallions, sliced 2 cups plain lowfat yogurt 4 white pitas, opened at one side and lightly toasted Melt butter in a heavy nonstick skillet over medium high heat. Sauté onion 5-7 minutes or until golden. Add chicken and sauté 3-4 minutes or until chicken is lightly browned. Stir in black beans, turmeric, cayenne and pepper and sauté 3-4 minutes. Reduce heat to medium low. Stir in half the scallions. Sauté 2-3 minutes, stirring constantly until scallions are softened. Remove from heat and stuff into pita breads. Sprinkle with remaining scallions and a dollop of yogurt. PER SERVING: calories 620, fat 6.9g, 10% calories from fat, cholesterol 78mg, protein 53.0g, carbohydrates 85.2g, fiber 18.9g, sugar 20.7g, sodium 704mg. DIETARY EXCHANGES: Milk: 0.7, Vegetable: 1.0, Fruit: 0.0, Bread: 4.6, Lean meat: 0.0, Fat: 0.6, Sugar: 0.0, Very lean meat protein: 3.4

Southwestern Rice Skillet Prep: 5 min, Cook: 10 min. 3 cups cooked rice 1 lb. american mixtures santa fe 1 lb. red kidney beans, rinsed and drained 1-3/4 cups Mexican style stewed tomatoes, cut up 1/2 cup shredded cheddar cheese Combine all ingredients, except cheese, in a heavy nonstick pan over medium high heat. Bring to a boil. Reduce heat to low and simmer 5 minutes, or until vegetables are heated through, stirring occasionally. Remove from heat and sprinkle with cheese. Cover and let stand until cheese is melted. Per serving: calories 738, fat 8.4g, 10% calories from fat, cholesterol 15mg, protein 36.8g, carbohydrates 130.6g, fiber 22.9g, sugar 11.8g, sodium 355mg. DIETARY EXCHANGES: Milk: 0.0, Vegetable: 0.9, Fruit: 0.0, Bread: 7.9, Lean meat: 0.5, Fat: 0.6, Sugar: 0.0, Very lean meat protein: 0.0

Tuscan Tuna Salad Prep: 20 min. 1/2 head Romaine lettuce 13 ounces marinated artichoke hearts, cut in half, marinade reserved 3 Tbs. balsamic vinegar 2 tsp. packaged pesto sauce 2 lbs. canned Great Northern beans,

drained and rinsed 1/4 lb. sun-dried tomatoes, prepared according to package directions 1/3 cup black olives 13 ounces canned water-packed albacore tuna, flaked Line a platter with lettuce leaves. Combine reserved artichoke marinade, vinegar and pesto in a bowl. Add artichokes, beans, tomatoes and olives. Toss gently and spoon over lettuce. Top with tuna and drizzle with any remaining dressing from bowl. Serve at room temperature. PER SERVING: calories 574, fat 12.4g, 18% calories from fat, cholesterol 28mg, protein 49.6g, carbohydrates 73.7g, fiber 24.7g, sugar 16.7g, sodium 1519mg. DIETARY EXCHANGES: Milk: 0.0, Vegetable: 4.6, Fruit: 0.0, Bread: 3.2, Lean meat: 0.0, Fat: 2.0, Sugar: 0.0, Very lean meat protein: 2.8

Breakfast in a Muffin 1 cup whole wheat bran 1 cup whole wheat bread flour 1 cup quick rolled oats 1/4 cup ground flax 1 cup chopped raw cashews or your favorite nut 1 cup chopped dates 1/2 tsp salt 1 1/2 tsp baking powder 1 1/2 tsp baking soda 3/4 tsp cinnamon 1/2 tsp nutmeg Mix above ingredients together 1/4 cup canola oil 1/2 cup plain non fat yogurt 1/4 cup honey 1/3 cup egg white or egg substitute 1/3 cup soy milk 1/4 cup water Mix wet ingredients together then add to dry ingredients FOLD IN: 2 cups fresh or partially thawed blueberries 1 1/2 cups shredded fresh apples Bake in 350 degree oven for 22 to 25 minutes Makes 12 large muffins NUTRITION FACTS FOR 1 MUFFIN: Calories Protein Carbohydrates Total Fat Saturated Fat Sodium Fiber

325 10 gm (12%) 35 gm (43%) 16 gm (45%) 2 gm 350 mg 10 gm

NON-PROFIT CURRENT RESIDENT

1700 E. 19th St., The Dalles, OR 97058

U.S. Postage

PAID MID-COLUMBIA MEDICAL CENTER Permit #161


Center for VOLUME 2, ISSUE 3 FALL 2004

Mind & Body Medicine I N T E G R AT I N G M I N D, B O DY & S P I R I T

“Most folks are about as happy as they make their minds to be.” — ABRAHAM LINCOLN

Choosing the Right Fit to Stay Fit BY STACEY ROMNEY, PT

Many of us watched in awe as Lance Armstrong won his sixth Tour de France this year. The nine-minute comeback, the powerful mountain climbs, the speed of the time trials, every revolution of Lance's wheels in the 2,000-mile race was strong, yet seemed effortless.

Your body's position on the bike affects how you ride. It affects how much power you can efficiently deliver to the pedals. It affects how comfortable you are on the bike.A position that is more comfortable may not allow you to put as much energy into moving the bike forward as a less comfortable position might.

Didn't it make you want to get on a bike?

How do you decide where to position your body on the bike?

Bicycling is an excellent aerobic activity that can be enjoyed by all ages. Living in the Gorge, we are lucky to have miles and miles of country roads to explore, as well as dedicated bike paths like the Riverfront Trail in The Dalles, the Mosier Twin Tunnels and, for mountain bikers, the Deschutes Trail.

Ask yourself, "What do I want to do with my bike? Why am I riding?" A track sprinter is not the least bit concerned with how comfortable he is sitting on the bike. During the race, (which may last for less than a minute), he may only be seated for five or 10 seconds.A long distance tourist traveling coast to coast across the USA might spend 5 to 12 hours a day in the saddle, day after day. He is probably far more concerned with being comfortable and enjoying the scenery than with going as fast as he can.

Before you start riding you need to examine your bike fit. Erik Moen, P.T., C.S.C.S., an elite-level bicycling coach, says, "Good bike fit promotes good posture with muscles and joints working in harmony. If this doesn't exist, riders will likely experience pain and be predisposed to injury. The most common bike fit errors include excessive saddle height (high and low), excessive handlebar reach (long and short), and misalignments of the pedal and shoe."

There are many different resources on the both the Internet and at your local bike shop. Are you a Candidate for Pulmonary Rehabilitation? Many people throughout the region with If breathing difficulties affect you, you are chronic breathing problems have found invited to take advantage of this free an important resource in the Pulmonary screening clinic: Rehabilitation Program at MCMC's Center Free pulmonary function and oxygen for Mind and Body Medicine. saturation level testing. Candidates for this program include Wednesday, Nov. 10, 1-5 p.m. people with: Center for Mind & Body Medicine • Asthma 1810 East 18th St. • Chronic bronchitis Call to pre-register, 296-7202. • Emphysema • Pulmonary fibrosis

Bicycle fitting is a subject most people find quite mysterious.

Fitting systems with charts and graphs, computer software, measuring devices and "rules of thumb" make for a lot of confusion. But it's really quite simple.

MID-COLUMBIA MEDICAL CENTER

T H E DA L L E S , O R E G O N

mcmc.net


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Upcoming Programs

Center for Mind & Body Medicine

Class

Add a little Upcoming education programs from the Center for Mind & Body Medicine Mid-Columbia Medical Center Pre-registration required; please call 296-7202 to register unless otherwise indicated.

Fitness Programs INDIVIDUAL FITNESS CONSULT

Meet with our fitness expert and develop a fitness program that is right for you. The consult includes body fat, flexibility and strength testing and a personalized fitness plan. By appointment only.

$50 FITNESS FOR HEALTH

Designed for all levels of fitness. Begin or maintain a personal fitness program using state-of-the-art equipment with the assistance of a fitness instructor. Attend any combination of times that is convenient for your schedule.

Mondays, 5:30-9 a.m. and 4 -7 p.m. Tuesdays, 5:30-10:30 a.m. and 4-7 p.m. Wednesdays, 5:30-9 a.m. and 4-7 p.m. Thursdays, 5:30-10:30 a.m. and 4-7 p.m. Fridays, 5:30-9 a.m. and 4-7 p.m. Saturdays, 7:30-11:30 a.m. CMBM Exercise Room $30 per month T’AI CHI (YANG STYLE SHORT FORM)

T’ai Chi is an ancient mind/body/spirit discipline of relaxed movement. It involves gentle, meditative exercise for individuals of all ages and fitness levels. Participants will enjoy increased balance, flexibility and coordination and improve well being, while reducing stress and associated pain and fatigue.

Begins Tuesday, Sept. 21 New students: 2 or 6:30 p.m. Returning students: 1 or 5:30 p.m. $40 per 8-week session THERAPEUTIC EXERCISE

This eight-week class is intended for those whose chronic pain and/or illness make it difficult to engage in traditional exercise. Supervised by a physical therapist and registered nurse, this program offers strengthening and stretching exercises that will aid in pain management and reducing stress. A physician referral is required for health insurance coverage.

Stress Reduction and Wellness Services BREATH WORKSHOPSTRESS REDUCTION

Join Jill Kieffer, R.N., to learn simple breathing techniques that can help lower blood pressure and pulse, decrease stress and anxiety, improve immune function, ease insomnia, improve digestion and speed healing time. Wear loose, comfy clothing.

2 parts: Tuesday, Sept. 21 and 28 6:30 to 7:30 pm. or Wednesdays, Oct. 13 and 20 2 to 3 pm $20 INTRODUCTION TO MEDITATION

Mounting research is showing the benefits of relaxation practices. In this basic class you will learn the history of meditation, the medical benefits and simple relaxation techniques that you can use in your personal plan of good health. Pre-registration required as space is limited.

2 parts: Tuesdays, Nov. 2 and 9 6:30 to 7:30 pm Celilo Meditation Room $20 STEPS TO SUCCESS TOBACCO CESSATION

This four-week program addresses the effect that smoking cessation has on a person’s body, mind and spirit. It combines traditional smoking cessation methods with aromatherapy and other integrative medical practices. These tools will lessen the impact of stress on your health and well being and help reduce the effects of withdrawal.

Oct. 13, 20, 27 and Nov, 3, 5:30 to 7:30 pm CMBM Classroom Registration is through Columbia Gorge Community College 298-3112 Tuition: $55; lab fee $25 MANAGING YOUR CHOLESTEROL FOR LIFE

If you have been told by your doctor that you have high cholesterol or you would like to know about the relationship between nutrition and cholesterol, join our dietitian, Jennifer Zimmerman, and learn how diet

to your life. changes can be a big part of managing your cholesterol. This 90-minute clinic will help you develop a plan that is safe, sane and promotes disease prevention.

Tuesday, Nov. 16 6:30 to 8 p.m. CMBM Classroom $10 (fee also covers one support person) HEALTHY WEIGHT SOLUTIONS

The Center for Mind & Body Medicine is offering a unique weight loss clinic! Healthy Weight Solutions outpatient program is a 10-week progressive weight loss and wellness clinic that will be a safe and supportive environment for weight loss achievement, stress reduction and disease prevention. The program will focus on a holistic solution to weight management. The program is led by a multidisciplinary team that includes a dietitian, registered nurse and physician. The curriculum will include research-based integrative strategies that are simple, practical and lifelong. Space is limited.

Call for class schedule Wednesdays 6:30 to 8:30 pm INTRODUCTION TO AROMATHERAPY

$25 registration fee; $5 supply charge Aromatherapy is a multifaceted healing art, using the essential oils of aromatic plants and trees to promote health and wellness. This class will provide education in the safe use of essential oils, both at home and in the workplace. Promote relaxation and uplift your body and mind. Students will create their own aromatherapeutic blend to take with them.

Saturday, Nov. 13, 9 to 11:30 a.m. AROMATHERAPY WORKSHOP - LEVEL II

This workshop is intended for those students who have completed “Introduction to Aromatherapy.” Enjoy a hands-on experience involving the senses! Under the guidance of aromatherapist Barb Robison, you will learn to create relaxing bath therapies, room sprays and other customized personal care products to uplift mind, body and spirit. The use of aromatic plant materials has long been shown to promote general health and wellness.

Saturday, Jan. 29, 2005, 9 to 11:30 a.m $25 registration fee; $10 supply charge

Call for clinic schedule M I D - C O L U M B I A M E D I C A L C E N T E R • T H E DA L L E S , O R E G O N • m c m c . n e t


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Upcoming Programs HOLIDAY GIFT MAKING

This workshop is intended for graduates of Introduction to Aromatherapy. It will include instruction in packaging and making relaxing and healing spa products for special gift giving. Participants will receive their own handcrafted aromatic spa basket.

Saturday, Dec. 4, 9 a.m. to noon $50 DECLUTTER YOUR HOME, DECLUTTER STRESS

Are you feeling overwhelmed by clutter in your home? Does the clutter impact your life and cause you stress? Join Nyla Kent as she guides you on a journey in learning key principles that will help you to reduce the emotional impact of clutter.

Tuesday, Nov. 30 6:30 to 8 p.m. CMBM Classroom Free RELAXING WITH RHYTHM

Join Dr. Steve McLennon the first Wednesday of every month for relaxation through rhythmic drumming. Instruments are provided - just bring yourself! Drumming can help you reduce and manage stress in your everyday life. Learning skills to better handle your stress can help improve your quality of life and increase your sense of well being.

First Wednesday of each month, 6:30-8 p.m. $30 for 5 sessions, $50 for 10 sessions or $8 drop-in INDIVIDUAL NUTRITION CONSULTS

Meet with our registered dietitian for one-onone coaching. A dietitian provides reliable, objective nutrition information by separating facts from fads and translating the latest scientific findings into easy-to-understand nutrition information. By appointment only. MASSAGE THERAPY

Massage therapy is one of the oldest forms of health practice. It has been used to enhance healing and general well being since ancient times. This therapy manipulates the skin, muscles and joints for muscle relaxation, improved circulation and stress relief. To schedule an appointment or purchase a gift certificate for a massage, call 296-7389.

Yoga Classes YO-KIDS/ FAMILY

Bring Mom, Dad or a grandparent and have fun at Yo-Kids! Use your imagination as you stretch like a cat, a dog or a cobra. Stand on one leg like a flamingo, roar like a lion and breathe like a bunny. We finish our class with a rest and a story. You and your grown-up will leave with a smile on your face. Builds body awareness, self-esteem and focus. Space is limited, call 541-296-7202 to pre-register. AGES 3 TO 5

Fridays, 8:30- 9:15 a.m. Session A: Sept. 17 - Oct. 8 Session B: Oct. 15 - Nov. 5 Celilo Center 4 weeks Cost: $30 (Adult attendance required) AGES 5 - 8

Mondays, 3:30 to 4:30 p.m. Session A: Sept. 20 - Oct. 25 Session B: Nov. 1 - Dec. 6 Celilo Center 6 weeks Cost: $45 (Adult attendance required) PRENATAL YOGA

Enjoy your pregnancy and prepare for childbirth with safe, gentle prenatal yoga. Enjoy the company of other moms-to-be as you stretch, breathe and relax. This class offers a supportive, fun atmosphere, honoring you during this special time.

Thursdays, Ongoing class. start anytime. 4-5 p.m. Celilo Center $30 for 5 sessions, $50 for 10 sessions or $8 drop-in YOGA - ALL LEVELS

Unwind and rejuvenate your mind and body with yoga stretching, breathing exercises and relaxation. This class is designed for all ages and levels of fitness. Increase your flexibility, strength and balance. Instructor: Susan Erikson.

Mondays & Thursdays, 5:30-7 p.m. Celilo Center $30 for 5 sessions, $50 for 10 sessions or $8 drop-in

YOGA - RISE AND STRETCH

Start your day with yoga. Get the kinks out and energize your body and mind. Practice includes breath work and relaxation to help you meet the day with balance, calm and positive energy.

Wednesdays, 6:30-7:30 a.m. Celilo Center $30 for 5 sessions, $50 for 10 sessions or $8 drop-in FLOW YOGA

This class is geared towards those desiring an invigorating Yoga practice. Using vinyasa flow (moving fluidly from one asana to another using the breath as a focus) we will increase strength, balance and flexibility. Those with injuries are invited to learn how to modify specifically for their situation. Yoga experience is preferred but not necessary. Instructor - Jill Kieffer RN Wednesdays, 5:00- 6:30 pm Celilo Center $30 for 5 sessions, $50 for 10 sessions or $8 drop-in GENTLE YOGA

This easy-does-it class is perfect for beginners or people with limited mobility. Stretch, breathe and ease your way into greater flexibility. Wednesdays, 8-9 a.m. Celilo Center $30 for 5 sessions, $50 for 10 sessions or $8 drop-in

Core Programs Call for class dates and times CARDIAC REHABILITATION CLINIC LIVING HEALTHY WITH DIABETES MEDICAL SYMPTOM REDUCTION CLINIC PULMONARY HEALTH SERVICES Many insurance companies and Medicare will cover all or a portion of the clinic fee. We will assist you to determine your insurance benefits. Physician referral may be required.

541-296-7202

Celilo Center $40 for one hour; $25 for a half-hour

M I D - C O L U M B I A M E D I C A L C E N T E R • T H E DA L L E S , O R E G O N • m c m c . n e t


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for Center Mind & Body Medicine Mind Your Health Center for Mind & Body Medicine Helps Patients Discover Healing Capacities of the Mind BY LESLIE TEEGARDEN

For some, the phrase mind over matter is just an expression. But many Americans are starting to learn that the mind does matter, especially in matters of health. What goes on in your mind can have a strong impact on the condition of your body— for better or for worse. No longer considered out of the mainstream, "integrative medicine" programs are opening in hospitals and clinics across the nation as more and more health providers see the wisdom of adopting the holistic (whole-person) model of care. Integrative medicine, an approach that combines traditional medicine (allopathic) with an array of complementary therapies, has been shown to help patients take better advantage of the natural healing capacities. An early proponent of integrative medicine, Mid-Columbia Medical Center opened its Center for Mind & Body

Medicine eight years ago. "It is our belief that integrative medicine is the optimal, most thorough approach to health and wellness," explains Barbara Robison, director of the center. "It enhances the best conventional medicine with a mind-bodyspirit approach to address illness before, during and after the appearance of disease. Patients who take this approach typically feel better and have better outcomes." While Western medicine is the gold standard for trauma, infectious diseases, cancers and acute conditions such as stroke and heart attack, research studies show that mind-body medicine techniques lower blood pressure, decrease heart disease and cancer risk, block pain, lighten depression, calm anxiety and boost the immune system. "A person's attitude and emotional state can affect his or her chances of recovery from a serious disease," says

Robison. "Our programs can work sideby-side with patients’ usual medical care because our goal is to provide the tools that help bring about healing from within." Integrative medicine works best when all those involved in care play an active role, with the patient playing the lead part. In addition to improving a person's sense of well-being and health, mind-body therapies are self-empowering and enjoyable. Consider some of the options available: guided imagery and relaxation, massage therapy, rhythmic drumming,Ta’i Chi, aromatherapy, acupuncture, journaling, therapeutic exercise, music therapy, breath workshops, fitness programs and gentle yoga. If you have questions about integrative medicine or are interested in developing healthy habits through mind-body therapies, do not hesitate to ask your physician or contact the Center for Mind & Body Medicine at 541-296-7202.

NON-PROFIT ORG U.S. POSTAGE

PAID Center for Mind & Body Medicine Mid-Columbia Medical Center 1700 E. 19th • The Dalles, OR 97058

The Dalles, OR Permit #161


2004-Q3-Fall-WellAware