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The Meaning Of Quality

Women on Weights

Meet Our New Cancer, Urology Specialists Fall 2011



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What Defines Us I hope you had a great summer and thank you for reading our latest issue of Well Aware. In this and every issue, our goal is to share with you stories that help tell the story of who we are at Mid-Columbia Medical Center. Each Well Aware features patients who have turned to us for some kind of treatment with happy results. These stories tell you who we are as a care team committed to helping you maintain a healthy, happy and productive life. You will find articles in this, and virtually every, Well Aware introducing you to new physicians and other care providers. These speak to our determination to offer you access to skilled health professionals in your own community. Also in this issue we explore the topic of quality – how we define quality at MCMC and measures we take to ensure we are continuously improving the quality of our care, upgrading our services and advancing the skills of our people. These types of articles tell you who we are as an organization that already meets the highest standards for quality care but still strives to reach higher in service to our communities. All of the stories we share help to collectively define us as an organization committed to your health and wellness. To this list of MCMC characteristics, I could add dozens of others — from the compassion of our staff, which describes an organization that truly cares about our patients, to our employees’ spirit of volunteerism, which demonstrates how deep our roots are planted in the communities we serve. But more than any of these other characteristics, Mid-Columbia Medical Center has always been defined best by the goodness of our people. Over the years, so many individuals — probably some of your neighbors, friends or family members — have worked so hard to build and maintain our organization’s good name. And now that name is being mentioned in media accounts, as well as conversations throughout our communities, describing some horrific acts allegedly committed by an individual who was not employed by this hospital, but was a member of our care team. These allegations are not only incredibly disturbing, they also are heartbreaking to all of us at MCMC who trust those we work alongside to, above all else, respect and protect the individuals in our care. But our message to you now is this: Our commitment to the care and safety of our patients is too sacred, our bond with each other too unbreakable, and our identity as a compassionate, humanistic organization too strong to ever be changed by the acts or behavior of any individual. This single story will not define us. We will be defined by our legacy of caring for this community and by the continued good work we do in the future to preserve the health and security of those we serve. In Health and Wellness,

Duane Francis President/CEO

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Fall 2011 a Designated Planetree Patient-Centered Hospital

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 create 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 governed by a volunteer Board of Trustees: Robert L.R. Bailey Daniel Boldt Paul Cardosi, M.D. Duane Francis Gretchen Kimsey Carina Schmidt Wallace Wolf, Jr., D.V.M. WellAware is published by: Mid-Columbia Medical Center 1700 East 19th Street The Dalles, OR 97058 Editor: Dick Baltus e-mail:

In This Issue:









A Full Monte After orthopedic surgery to repair his blown-out knee, Monte Johnson is close to being back on his skis and back in the saddle again.

Healthy Edge Exercise during pregnancy, healthy diet tips and 10 reasons women should lift weights.

Meet Our New Urologist Dr. Nathan Ullrich finds perfect matches in his new practice, the local medical community and the Gorge lifestyle.

The Quality Question In a hospital, there are many ways to define quality care. But at MCMC there is only one way to pursue it, and that is with deep-seated passion and an organization-wide commitment.

New Cancer Doctor Dr. Adam Leikensohn is new to Celilo Cancer Center, but he is no stranger to the Gorge.

News: You Can Lose Healthy Weight Solutions is helping people achieve lasting weight loss.

Positive Reflections Women in cancer treatment find help for their self-image.

Wellness Clinics, classes and programs to help you reach your healthy best.

Writers: Dick Baltus, Cate Hotchkiss Photography: All photos Lauri Streaker except Page 14, Jim Semlor Printed with Agri based inks on recycled paper,10% post consumer. All rights reserved. No information may be reprinted without the written consent of MCMC.

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By Dick Baltus

A Full Monte After orthopedic surgery to repair his blown-out knee, Monte Johnson is close to being back on his skis and back in the saddle again.

Monte returned to breaking ponies not long after his knee surgery, performed by orthopedic surgeon John Schwartz, M.D. (right)

The way Monte Johnson sees it, if you are going to blow out a knee skiing it ought to be the result some kind of equipmentflying, head-over-heels, Dagwood-Bumstead-style calamity. It shouldn’t happen while making a routine turn. Where’s the ESPN highlight in that? “I was just taking one last run at the end of the day,” he says, remembering that day last spring. “I made a turn, and heard a pop. It’s kind of a boring story.” Maybe, but not as boring as Johnson’s life could have been had his story had a disastrous ending. Johnson, who spent about a decade living in The Dalles with his father and step-mother before moving to the Modesto area, relies on his knees for a lot more than just bending. He makes his living breaking ponies, and he makes his fun skiing, both activities in which functioning knees come in handy. So Johnson says he feels fortunate to now be feeling well on his way to complete recovery, after having his knee repaired last May by The Dalles orthopedic surgeon John Schwartz, M.D.

“It is feeling a lot better now than I ever expected it to after learning what had happened,” Johnson says. What happened, Dr. Schwartz explains, was “a blown-out ACL (anterior cruciate ligament) and what we call a bucket-handle meniscus tear.” The ACL is a ligament that connects the upperleg with the lower leg. The meniscus is a C-chaped piece of cartilage in the knee that helps provide knee stability and functions as a shock absorber. Dr. Schwartz was able to repair Johnson’s ACL using a graft from his hamstring, and also was able to repair the meniscus, rather than remove the damaged portion, which is often necessary. After the repairs were made, Johnson was referred to MCMC’s Outpatient Therapy program at Water’s Edge. Dr. Schwartz says patients with knee injuries similar to Johnson’s typically return to a normal level of functioning, or very close to it.

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There are a lot of people in the region who either earn their living, or have their fun, working with horses. Among them, knee injuries are not uncommon.

“Results are generally very good,” he says. “Athletes, for example, can usually return to their previous competitive level in most sports. Most patients come back and do really well.” There are a lot of people in the region who either earn their living, or have their fun, working with horses. Among them, knee injuries are not uncommon. Johnson’s skiing accident actually occurred on a mountain in California, where he has worked on a ranch for the last few years. He returned to The Dalles for his surgery on the advice of his father and step-mother, who were aware that Drs. John and Bruce Schwartz had returned to practice in the area. Johnson is glad he made the trip. “I was pretty limited in what I could do for a while, but my knee is getting better all the time and I’m going back to work,” he says. “I’m not

yet riding the rough colts – the ones that want to get me off them — but there are a lot of things I am able to do now. Dr. Schwartz did a fantastic job, as far as I’m concerned.”

For information about knee repair, sports medicine or any other orthopedic concern, or to make an appointment with Drs. John or Bruce Schwartz, or orthopedic physician assistant Jenn Van Atta, call 541.506.6500.

MCMC | OHSU Orthopedics is now located at Water’s Edge, 551 Lone Pine Blvd.

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A Series by Cate Hotchkiss

The Quality Question In a hospital, there are many ways to define quality care. But at MCMC there is only one way to pursue it, and that is with deep-seated passion and an organizationwide commitment. In the series of articles that follows, we define what quality means to us and what that means to you.


Through a Patient’s Eyes

Quality care, as defined by the federal Agency for Healthcare Research and Quality, is “doing the right thing for the right patient, at the right time, in the right way to achieve the best possible results.” Nancy Smith, 72, has her own definition. Quality care, she says simply, “puts you at ease.” Smith was recently a patient at Mid-Columbia Medical Center for 11 days for a series of surgeries related to a complex hiatal hernia and bowel obstruction. She says the doctors and nurses were attentive, caring and thorough. There were other things, too, that made a difference for Smith, who as a retired nurse understands the quest for quality. “I was tickled to death to see a well-supplied linen closet in the hallway,” recounts Smith. “I also liked the way the nurses did their patient education packets and the orientation board up on the wall. They put down the name of the nurse and aide.

landed her in the hospital for five days and on life-support for three of them. She says she’s also been in for a gall-bladder removal and for the “cruise ship bug.” “When I go to MCMC, I am confident that I’m going to get the type of care I need quickly and thoroughly,” says Smith. “No matter what department I’ve been in, whether it was Imaging or the Emergency Department, I felt I was well cared for by the doctors, nurses and entire staff.” In fact, Smith says she has stayed in The Dalles partly because of the broad variety of care MCMC offers. “I received the type of care at MCMC that I hope I gave when I was a nurse,” she says.

“I even noticed that the housekeeper was interested in quality. She was courteous and did a good job. Even the gentleman who came in to fix the blinds was courteous.” In fact, Smith and her family were so pleased with the entire experience that her son brought the staff five pounds of candy when she was discharged. This was Smith’s fourth visit to the hospital since 1995. She says her first experience dates back to that year when she had an acute asthmatic attack, which

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Quality Means Patients Come First


Nancy Smith’s story is one of many illustrating Mid-Columbia Medical Center’s core quality belief, which is this: When your activities revolve around providing the best possible care and experience for your patients, you will achieve the highestquality results. This concept is called patient-centered care, and it is recognized by the Institute of Medicine as a key component of healthcare quality. While a holistic, patient-centered approach to healthcare has become more mainstream in the industry, MCMC, with its adoption of the Planetree model of care more than 20 years ago, is one of the pioneers of the concept and still one of its leading innovators. In fact, today MCMC is the only hospital in Oregon to have been designated a “Planetree Patient-Centered Hospital.”

“When you’re working at MCMC, if you can show that something will improve patient care, everybody gets on board.” According to Planetree, patient-centered care is a model in which providers partner with patients and their families to identify and satisfy the full range of patient needs and preferences, while supporting the professional and personal aspirations of their staff. “One of the core components of Planetree is access to information for our patients,” says MCMC vice president Dianne Storby, R.Ph. “Patients receive better care when they are partners in their care.” Storby says MCMC staff not only does their best for patients, they also support each other. She says “it’s a joy” to work in a culture in which new ideas about how to help patients are both encouraged and nurtured. “We’re always looking for better ways of doing things,” says Storby. “It doesn’t matter what the initiative is — when you’re working at MCMC, if you can show that something will improve patient care, everybody gets on board, from the physicians to the staff,” she says. In fact, an initiative called TCAB, which empowers nurses to be conduits of change and quality improvement, has just begun on MCMC’s medical-surgical unit — please read on for more information.

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Small Changes.

Big Impact. On MCMC’s medical-surgical unit, nurses are taking charge and making meaningful changes to improve quality through an innovative program known as Transforming Care at the Bedside (TCAB). Regina Rose, MCMC vice president of nursing, explains that TCAB was originally developed for the med-surg unit because, throughout the industry, there is a high turnover of nurses in that unit due to its challenging work environment. Nationally, med-surg nurses tend to spend only 1.7 hours at the bedside of their 12- hour shift, Rose explains. “Nurses were not feeling they were able to devote the time they wanted with their patients,” she says. This initiative, a program of the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI), emerged, Rose says, to help nurses change that. “TCAB is a combination of patient safety, having more time at the bedside and improving the nurses’ working environment,” Rose explains. “Nurses are more empowered to make changes and have the autonomy to do that.” That autonomy is making a difference already, according to Kim Hartley, R.N., manager of the acute care unit and a 20-year employee of MCMC.

MCMC nurses, including (L to R) Connie Jubitz, R.N., Sarah McQuade, R.N., Matah Brown, R.N., Ellie Thomsen, R.N., and Tiffany Savery, C.N.A., are helping transform care at the patient bedside.

How TCAB Works “All the ideas are generated by the staff,” says Hartley. “This not only improves our patient experience, but it improves the experience of the staff as well.” Hartley says her staff has a long history of providing high-quality care, yet the demands in today’s complex healthcare environment have increased. “I see quality everyday in my staff,” says Hartley. “They really care. If you are a patient, they don’t see you as a room number or disease; they see you as a whole person. When you can humanize something, it makes a difference in the quality of care you give and get.” Hartley says that by improving the systems already in place, nurses can spend more time with their patients and less time behind the computer or hunting for supplies. “Nurses went into nursing to be by the bedside and make a difference,” she says. The TCAB team meets weekly to brainstorm and generate new ideas. Once an idea is identified, nurses test it through a process that allows the team to quickly determine its feasibility. The team then generates data to determine if the idea should be adopted, adapted or abandoned. Data is tracked over time to assess the overall effect of the changes.

Already, Hartley says she’s seen a transformation in her unit. “The program has generated a lot of enthusiasm among our staff,” she says.

Outcomes Hospitals that have implemented TCAB consistently report positive outcomes such as decreased patient falls and pressure ulcers, increased time spent by nurses in direct patient care and increased patient and nursing satisfaction. Rose says MCMC already has a very active pressure ulcer management program in which nurses regularly turn and reposition patients. In fact, at MCMC, pressure ulcer rates are below 1 percent, which is well below the national average. MCMC also has a rigorous fall-prevention program. The Institute for Healthcare Improvement reports that patient falls are among the most common occurrences reported in hospitals and are a leading cause of death in people ages 65 or older. So far in 2011, there have been no falls in MCMC’s inpatient rehabilitation unit. “That’s because the nurses are there with the patients where they need to be,” Rose explains.

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Partnering, Measuring, Improving A key strategy for improving quality care at Mid-Columbia Medical Center, says vice president Dianne Storby, is to partner with organizations that give MCMC and their patients the opportunity to benefit from access to best practices, and measure the hospital’s performance in key areas against other hospitals. In addition to its Planetree affiliation and rare PatientCentered Care designation, MCMC also promotes empowering patients with information by participating in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), a voluntary national survey that asks patients about their experiences during a recent hospital stay. The survey evaluates aspects of the healthcare experience that are meaningful to patients. MCMC ranks well above average in many areas. Complete information and scores for MCMC and other participating area hospitals, including communication with doctors and nurses and quality of discharge instructions and medication information can be found at The site also provides information about specific clinical aspects important to quality care, such as clipping the hair around a patient’s surgical site rather than shaving it to reduce skin trauma and chance of infection, or delivering pre-surgical antibiotics at precisely prescribed times, also reducing the chance of infection.

INFECTION CONTROL RATES With a Class I infection rate of only 1.2 percent, MCMC is ranked among the nation’s best-performing hospitals. Performance in a second area, Class II infection rates, is evenbetter — less than 1 percent compared with the national average of between 3 percent and 15 percent.


15% 10%

National Hospital Average


National Hospital Average

0% Class I infection rates Class II infection rates

MCMC infection rates are among the lowest of all U.S. hospitals!


MCMC’s scores are much better than the national average in both of these areas. Attention to such seemingly small details is critically important because contracting infections can have potentially dire consequences. MCMC’s attention to such details has paid off in the form of infection rates that are among the lowest in all U.S. hospitals (see chart). Storby says one of MCMC’s key quality partners is the Oregon Association of Hospitals and Health Systems (OAHHS), whose director of quality and clinical services says the hospital has a strong and long-standing commitment to activities that enhance quality care. “MCMC always steps up because it’s obvious that quality and patient safety are huge priorities for the organization,” says Dianne Waldo. “They do a great job on multiple fronts.” In fact, it was through its partnership with OAHHS that MCMC had the opportunity to participate in the Robert Wood Johnson Foundation (RWJF) initiative, Transforming Care at the Bedside (see story on page 8). Waldo says when MCMC heard about it, “They jumped on board.” Additionally, MCMC is currently participating in three other RWJF-funded quality improvement initiatives aimed at reducing hospital readmissions among heart failure patients, increasing the efficiency of its emergency department and improving language services for patients who speak little English. “Many of our most important quality activities have been initiated and led by providers at the bedside or employees who are closest to our patients and bring forward their own ideas for how to improve their care or hospital experience,” says Duane Francis, MCMC’s president and CEO. “We have countless staff members who have pursued hours and hours of extra training to expand their knowledge or earn specialized certifications that greatly enhance the quality of care available to our patients. We participate in quality studies to ensure our care meets or exceeds the highest national standards. I know from the quality of suggestions we regularly get from physicians and staff that they are continuously asking themselves the question, ‘Is there a way we could do this differently to benefit our patients’. “Every hospital has its own ways of defining, measuring and attempting to improve the quality of their care, but I am reminded on an almost daily basis how deep our staff’s commitment is to the quality process.” 9

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Quality Staff = Quality Care From the lab to diagnostic imaging, MCMC has a highly trained staff committed to delivering the highest-quality, most up-to-date care. In fact, MCMC encourages all staff to pursue advanced training in their fields. The Nursing Department provides many examples of this philosophy in action. Many MCMC nurses have undergone the rigorous training necessary to become nationally certified in their areas of expertise and interest. National certification demonstrates a nurse’s personal and professional value and commitment to his or her practice and is an indication of professional excellence. MCMC nurses hold national certifications in the following departments: •

Wound Care

• Critical Care Unit Care

Emergency Department Department

• Surgical Surgical Services Services


• Visiting Health Visiting

Oncology (Celilo Cancer Center)

The First Impressions birthing center is just one MCMC department where patients benefit from the care of nurses who not only offer years of experience but also specialized training.

Advanced Training and Certifications •

All ICU/telemetry nurses hold Advanced Cardiac Life Support Certification (ACLS).

All pediatric nurses are Pediatric Advanced Life Support Certified (PALS).

All emergency department nurses have ACLS and PALS certifications and have completed the Emergency Nursing Pediatric Course (ENPC) and Trauma Nursing Core Course (TNCC).

Obstetrics: All First Impressions nurses are certified by NRP (Neonatal Resuscitation Program) and in ACLS and EFHM (specialized training in monitoring mothers and babies)

Acute Care – The majority of MCMC nurses are ACLS certified. All nurses that care for children are PALS certified.

All Celilo nurses are chemotherapy certified.

All endoscopy and surgical services nurses are ACLS certified.

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By Cate Hotchkiss

News: You Can Lose You may just need the help of Healthy Weight Solutions “Habit is habit, and not to be flung out of the window by anyone, but coaxed downstairs a step at a time.” Mark Twain

Slow and steady—that’s the way Barb Robison, MCMC’s director of Mind-Body Medicine, lost 25 pounds and has kept the weight off for years. Like many people, Robison struggled with weight loss and yo-yo dieting. She says it wasn’t until she restructured her lifestyle and thoughts around food that she found long-term success. Robison’s mission is to help others take charge of their weight and health through Healthy Weight Solutions, a research-based, eight-week weight-loss and wellness clinic at Water’s Edge. The mind-body program aims to help people adopt skills that improve eating habits for life. A multi-disciplinary team including a dietitian, personal trainer and nurse will provide simple, practical and lifelong strategies to help people reach their goals. They will also help clear up misconceptions how to balance nutrition and physical activity. Robison went through the program herself seven years ago when it was first launched. “Now I can go into a restaurant or cook at home and automatically eat an appropriate portion size,” she says. “I’ve learned to make choices without having to struggle. It’s just who I am. My attitude toward food has really changed.” Robison’s story illustrates some good news about long-term weight loss— it is possible and it gets easier over time. In fact, according to a recent study published in the American Journal of Clinical Nutrition, after people have

successfully maintained their weight loss for two to five years, the chance of longer-term success greatly increases. “When you set goals and make small changes, they become life skills and become permanent,” says Robison. “It is work, but over time, it becomes easier.”

Mindfulness Based At the core of Healthy Weight Solutions is mindfulness, which involves being truly aware in the moment, says Jill Kieffer, RN, who teaches the mindfulness component of the program as well as other mind-body classes at MCMC. Kieffer studied with internationally known scientist, writer and meditation teacher Jon Kabat-Zinn, Ph.D., who developed Mindfulness Based Stress Reduction (MBSR) at the University of Massachusetts Medical School 30 years ago.

Barb Robison

Benefits of Mindfulness •

Reduced tension, anxiety and stress

Lower blood pressure and cholesterol levels

“Mindfulness is about paying attention and being aware without judgment or critical thoughts,” she says. “It is being aware of what you’re doing as you’re doing it.”

Stronger focus and concentration

Clearer thinking, less emotional turmoil

Research shows that mindfulness helps people choose to eat better, exercise more and manage stress—three elements essential to weight loss and good health, notes Kieffer.

Greater creativity, enhanced performance at work and play

More joy, love and spontaneity

Greater intimacy with friends and family

Deeper sense of meaning and purpose

A view of a spiritual dimension of being

“We all know what we’re supposed to do to lose weight: eat less and exercise more. But it’s often hard because we try to force ourselves to make changes,” she says. “If we make small changes and listen to our bodies, we can be more successful.” Continued on page15

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Healthy Edge

Healthful News From the Wellness Specialists at Water’s Edge

Staying Fit During and After Pregnancy Staying fit is important for everyone, but research suggests that a moderately fit mom will have an easier delivery and faster recovery. Fitness can also help with the stamina required to be a new mom. If you already exercise, it is typically safe to continue do to so throughout your pregnancy. If you do not exercise currently and wish to become fit while pregnant, you can begin a fitness program once cleared by your doctor. Walking is one of the safest and best exercises to continue or begin prenatally. Leg-strengthening exercises, such as squats, will be helpful to support pregnancy weight as well as to lift the baby once it is born.

Core strengthening (not sit-ups) will help heal or deter pregnancy-induced low-back pain. Exercise will help women deal with weight gain and the emotional variability associated with pregnancy and birth. Staying fit will help new moms enjoy an improved sense of well-being and handle the changes and stress associated with a new baby. MCMC programs at Water’s Edge offer skilled services from physical therapists and personal trainers specifically trained to help during the prenatal and postpartum periods.

It is important to check with your care provider prior to continuing or beginning any exercise program, because some pregnancy conditions limit exercise tolerance. All pregnant women must also follow specific guidelines that vary by age and previous level of fitness. For more information or to schedule an appointment to meet one on one with a therapist or trainer to discuss an exercise program, call 541-296-7202.

Tips for Eating Well: Dietitian Kjersti Madsen Kjersti Madsen’s first dietary guideline: Enjoy your food. In fact, the MCMC’s newest registered dietitian would rather stay away from the word diet altogether. She prefers lifestyle. “A lot of people have tried diets in the past and are successful for a couple months then fall back into old habits, which results in their weight returning to where they may not want it to be,” says Madsen, who works out of Water’s Edge. Her overall approach to weight loss and maintenance is to help people increase their metabolism through smaller, balanced meals and correct portion sizes. A world traveler, Madsen also encourages people to be adventuresome with food. She enjoys providing different cooking and seasoning ideas that are both beneficial and flavorful.

Madsen also promotes setting attainable, realistic goals and celebrating successes along the way so that new eating patterns are sustainable. “Eating is a learned behavior,” she says. “If you’ve been eating one way for the past 30 years, it’s hard to make changes or overhaul your diet. Make small changes one at a time.” The one thing we all can do now is the same thing our mothers told us to do years ago: Eat more vegetables, Madsen says. “Seeing the bounty of all the fresh fruits and vegetables in the Gorge has been very impressive,” says the Alaska native. “Take in all the seasonal fruits and vegetables that you possibly can.” Madsen will be designing individualized programs and education about the link between diet and health in the next Healthy Weight Solutions (see Well Aware calendar for details). She is also available for personal nutritional counseling at Water’s Edge. For more information, call 541-296-7319.

Kjersti Madsen, Healthy Weight Solutions instructor

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WOW! Women on Weights Water’s Edge trainers give females a lift with Women on Weights. “It’s amazing what a really good squat or lunge can do for a body,” says Susie Griffin. Griffin is a certified personal trainer at Water’s Edge Health & Fitness Center, where in a new strength-training program called Women on Weights (WOW!) she is teaching women an array of exercises that “help us move more efficiently in life,” she says. “Weight lifting has a connection to real-world activities,” Griffin adds. “If you have a really good squat, for instance, you have really good core dynamics and you can lift overhead, you can get up from the ground and move more evenly from left to right and up and down. Strength training is an essential part of a balanced exercise program.” Yet, despite its well-known benefits (see “10 Reasons”), only 21 percent of women participate in strength training compared to 27 percent of men, according to the 2008 National Health Interview Survey. The survey also shows that the percentage of women who engage in strengthening activities tends to decrease with age. Griffin says there are misconceptions among women about lifting weights, such as “weight lifting will make me bulk up.” Weight lifting can actually help women lose weight because more muscle translates to burning more calories, even while sitting still, she explains. Furthermore, Griffin says it’s really important to challenge our bodies as we age. “Our body adapts a lot quicker than we think it does,” she says. “You have to stress your body or do something different to see changes. We all grow older. But when we stop moving, we grow old.

How Often? The American College of Sports Medicine recommends that all adults do muscle-strengthening activities at a moderate- or high-intensity level for all major muscle groups two or more days a week. WOW! will be held for eight weeks, with two hour-long sessions per week. The class begins September 28 at the Health & Fitness Center at Water’s Edge. For more information and to register, call 541-506-5779.

Susie’s Top 10 Reasons to Lift: 1 Self-empowering. Strength training is a great way to take charge of your health. 2 Boosts self-confidence and self-esteem. Strength training promotes both emotional and physical well-being. 3 Increases metabolism. A boost in metabolism aids in weight loss. It also promotes healthy blood pressure, cholesterol levels and heart rate. 4 Decreases body fat. A greater composition of muscle to fat helps the body burn calories more efficiently. 5 Improves muscle tone. Look better, feel better and preserve muscle mass. 6 Increases endurance, power and strength. Getting stronger and fitter helps make daily activities easier. 7 Improves balance, coordination and posture. 8 Increases mind-body awareness. Move with ease, efficiency and intention. 9 Boosts stamina. Enjoy more energy throughout the day. 10 Increases bone density. Reduce the risk of osteoporosis and falls.

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By Dick Baltus

Deja Vu Dr. Adam Leikensohn may be new to the Celilo Cancer Center medical staff, but he is no stranger to the Gorge.

Adam Leikensohn, M.D., came a long way to start caring for cancer patients in the Gorge, but it’s not as if he didn’t know the way.

A graduate of Duke University and the University of Miami School of Medicine, he followed his father’s footsteps into the medical profession.

The new medical oncologist for Celilo Cancer Center at Mid-Columbia Medical Center made his way out west from his home state of Florida, but he has been making almost annual trips to Hood River since his teens.

“My dad is a plastic surgeon and he started taking me to the hospital with him when I was 7,” Dr. Leikensohn says. “All the nurses would give me candy, and I started thinking, Man, being a doctor must be the greatest job ever because you go to work and get candy.

“My father is an avid windsurfier and has a second home in Hood River,” says the Bradenton, Fla., native. “He’d come out here every year, and I started coming out with him when I was 15 and took up the sport myself.” Dr. Leikensohn considered it a huge stroke of good fortune to learn there was an opportunity to practice his cancer care specialty in the small region he had for so long considered his second home. Only three physicians practice at Celilo, which provides care for cancer patients throughout the Gorge and beyond. But Dr. Leikensohn’s desire to move just happened to coincide with Celilo oncologist Dr. Samuel Taylor’s desire to retire. In that regard, Celilo feels just as fortunate to have found Dr. Leikensohn as he does to have found Celilo.

Dr. Adam Leikensohn with Celilo’s breast care coordinator Melodi Johnson, R.N.

“I still like candy, but that’s not really what motivates me in my practice,” he adds, laughing. What does motivate him is the opportunity to combine the complicated science of medical oncology with the rewards of direct patient care. “The intellectual aspect of the sub-specialty excites me; there are so many new advances coming along regularly which continue to improve our effectiveness in treatment patients,” Dr. Leikensohn says. Dr. Leikensohn began assuming the care of new patients, as well as those previously under the care of Dr. Taylor, in July. He says he is already very impressed with Celilo.

“He is an outstanding young cancer specialist, who brings both the clinical and interpersonal skills we were looking for,” says Dr. Steve Fu, medical director of medical oncology for Celilo. ”He is a great fit for our care team and our patients, and we feel very fortunate that he was available when we were looking to add someone to our team.”

“It is a beautiful and impressive facility; and it provides a level of care and breadth of services that are very rare for an area this size,” he says. “It’s the kind of cancer center you would expect to find in a big city and affiliated with a large research center.”

Dr. Leikensohn is a board-certified internal medicine physician who was in practice in at a hospital in Madison, Wisc., before entering, in 2008, the threeyear Hematology/Oncology Fellowship Program at the University of Tennessee.

Celilo’s newest doctor is anxious to get settled into his new practice, as well as to start enjoying some of his favorite pastimes, including windsurfing, hiking and cycling, and, in the winter months, snowboarding.

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News: You Can Lose Continued from page 11

Kieffer points to society’s stressed-out lifestyle as a major culprit in its battle with weight and obesity. She explains that long-term, chronic stress increases levels of the hormone cortisol, which can lead to increases in appetite and cravings for unhealthy foods. “It’s what we think about things that causes us stress,” she says. “And stress plays a big part in our health, including gaining weight. There is quite a mind-body link there.”

Keiffer says we can prevent overeating by being mindful of eating healthy food and normal portion sizes, while using all five senses to truly enjoy a meal. “Instead of eating on autopilot, slow down, taste your food, look at it, eat slowly and put your fork down between bites,” she says. “By eating mindfully, we eat less and feel more satisfied.” In fact, Kieffer believes that by eating and exercising mindfully and by learning how to respond to stress more mindfully, “The weight will take care of itself.” To register for Healthy Weight Solutions or learn more about MCMC’s mind-body programs, call 541-296-7319 or see the Well Aware calendar.

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By Dick Baltus

Positive Reflections A Celilo Cancer Center program is helping women feel better about themselves so they can feel better during their treatment.

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Many women in ongoing treatment for cancer often feel guilty devoting time to their appearance instead of focusing their complete attention on their disease. At Celilo Cancer Center, the Reflection’s body image program is helping female patients feel better about feeling better about themselves. “While cancer treatment works on the inside of a woman’s body, Reflections is designed to promote healing on the outside,” says Celilo’s Michelle Lauterbach. “Studies have shown that if a cancer patient feels good about how she looks it can have a positive effect on her treatment outcome.” Lauterbach came up with the idea for the Reflections program, which is funded by a grant from The John Wayne Foundation through the Kiteboarding for Cancer event in Hood River. “I thought we needed something to offer ladies to help them feel like women again,” she says. “They are so focused on getting rid of their cancer, and their body image gets pushed under the rug. Reflections gives them a couple hours where they can turn their focus in a different direction.

Esthetician Annette Scott (L), helps Celilo patients like Mary Martinez (C) through Reflections, a program devised by Michelle Lauterbach (R).

The core component of Reflections is a complimentary, two-hour “Pamper Me” session, during which cancer patients are treated to a foot bath, a one-hour facial, hairstyling, and makeup application, using La Bella Donna products. Local esthetician Annette Scott delivers the pampering. “It is an honor to be able to work with these patients,” she says. “I am amazed at how much love and camaraderie cancer patients share when they come together. They come in feeling their worst, and we provide some skin care and some education about the benefits of it, and they are all so grateful. I get as much out of it as they do.” Mary Martinez, who received her second cancer diagnosis last October, says Reflections made a world of difference in her self-image as she went through treatment at Celilo. “When you first get diagnosed, you are so shocked and so afraid, and then you start taking medicine that’s really rough,” she says. “Then your hair starts to fall out, and you have no eyebrows and your nails aren’t healthy. You look in the mirror and don’t recognize yourself. “But in Reflections you are devoting time just to yourself. They are not only pampering you, but also telling you how to do skin care, and you are also making connections with other people. “ The program, Lauterbach says, “speaks to who we are as women.” And in the middle of cancer treatment, Reflections sends a welcome message.

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By Cate Hotchkiss

Fitting Right In New urologist Nathan Ullrich, M.D., finds perfect matches in his new practice, the local medical community and the Gorge lifestyle.

Nathan Ullrich, M.D., feels fortunate to live and practice medicine in the Gorge, where he says the medical community has priorities that are in line with his own. “What I see in this community are a lot of providers who are really focused on providing quality care and also committed to leading a balanced life,” says Dr. Ullrich, the newest member of Gorge Urology, who recently moved with his family from Pullman to Hood River. He and his wife have two boys, ages 6 and 9. “I wanted to be in a place where my boys could grow up and have opportunities to enjoy so many different types of recreation in a community that supports that lifestyle,” he adds. For Dr. Ullrich, a balanced life includes spending time in the mountains doing the things he loves — cycling, skiing, kayaking and ultra-marathon running. “The Gorge is an incredible place to train,” he says. “I can go out my door and be on trails in less than 10 minutes. If I’m going to be out running for five, six or even nine hours, I’d like to be somewhere beautiful. The Gorge offers so much beautiful scenery and low-traffic loops.” Dr. Ullrich completed medical school at the University of Washington in Seattle and his residency at the University of Arizona. He practiced urology for six years in Pullman before joining Drs. Gary Gingrich and Marc McAllister in Gorge Urology. He is now seeing patients in the Gorge Urology offices in The Dalles and Hood River.

As a urologist, Dr. Ullrich is trained to diagnose and treat all types of urologic disorders in men and women, as well as disorders of the male reproductive system. He has a particular interest in helping people with urinary incontinence and other types of dysfunctional urination patterns. “I was very impressed with Drs. Gingrich and McAllister and their commitment to the community,” he says. “The fact that we’re in three different stages of our careers is really beneficial to all of us in terms of collaboration and providing up-to-date, state-of-the-art care locally.” “What I especially like about urology is working with men and women to improve their quality of life,” he says. “I like being able to offer both surgical solutions for people’s problems as well as non-surgical therapy.” If you would like to make an appointment with Dr. Ullrich, in The Dalles or Hood River, call Gorge Urology at 541-296-2201.

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By Dick Baltus

Removing Barriers Mid-Columbia Health Foundation, MCMC and La Clinica del Carino team up to help area women in need gain access to free mammograms and other important breast-health resources.

The good news and the bad news about the number of women who get their recommended annual mammograms are one and the same: Half do; half don’t. It doesn’t take a glass-is-half-empty attitude to focus attention on the latter group. It takes a commitment to ensuring the highest number of women possible are benefiting from the most effective technology available for detecting breast cancer at its earliest, most successfully treatable stage. The Mid-Columbia Health Foundation (MCHF), Mid-Columbia Medical Center and La Clinical del Carino are collaborating on a program designed to make it easier for many area women to access mammograms and other important breast-health resources. Their program, called Breast Health for Strong Families, will provide free mammograms, transportation and breast health education for low-income, geographically isolated, Hispanic/ Latina, uninsured or under-insured women in Wasco, Hood River, Sherman and Gilliam counties.

Kate Stoysich

Breast Health for Strong Families will be reaching out to women in those population groups as well. Grant dollars will be used to provide free transportation to and from mammogram appointments. In addition, funds will help support a Promotora (health promoter) position to assist with outreach and education and to accompany women to their mammogram appointment if necessary.

The Promotora position was filled by Kate Stoysich, who has been deeply involved in the development of Breast Health for Strong Families. In addition to helping increase access to breast-health services, Stoysich also will be working with women to help them gain the confidence needed to take charge of their own healthcare as well as their families’. “What excites me most about this program is the opportunity for people to advocate for themselves and take charge in their own healthcare and lives,” Stoysich says. According to the National Cancer Institute, medically vulnerable women, such as those who live in rural areas, have low income, and are minorities are more likely to die from or be harmed by breast cancer.

Breast Health for Strong Families is determined to improve those odds for women throughout the region. To learn more about this program, or find out if you qualify for a free mammogram, please call Kate Stoysich at 541.296. 4610.

The program will be funded for the next three years by an array of grants secured by the health foundation, including $54,000 from the Meyer Memorial Trust, $35,000 from Susan G Komen for the Cure and $5,000 from the United Way of the Columbia Gorge. “One of the main barriers that prevents women from receiving mammograms is they simply can’t afford them,” says MCHF’s Kris Boler. “Through this program we hope to remove that obstacle for many women.” While the grant dollars will be used to subsidize mammograms, those funds also will be augmented by MCMC, which will provide substantial discounts on the cost of both the state-ofthe-art digital mammograms and radiologist fees. But cost is not the only barrier many women face, Boler adds. “A lot of women in our region live a long way from the hospital and either can’t afford transportation or don’t have transportation. And then there are cultural and language barriers that members of our Hispanic and Latino population often face.” 19 well_aware_FALL_2011 19

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HEALTH AND WELLNESS FAIR Saturday, Oct. 1 10 a.m. to 2 p.m. Water’s Edge

Join us...

For a day of health screenings, talks with health professionals, tour medical offices and more: • Drive Thru Flu Shot Clinic, a great chance to get your immunization • Community Drug Take Back, bring in your expired or unused medications and we will dispose of them • Water's Edge 1-year Anniversary Open House • Orthopedic and Cardiology Clinics Grand Opening • Much more. Join us for any or all of this healthy celebration. • For more information, contact:

Wellness Retreats and Spa Packages

Planetree Health Resource Center Health Lecture Series – Fall 2011 Informative Discussions on Your Good Health All lectures are free and open to the public, and are held at Water’s Edge, 551 Lone Pine Blvd., The Dalles, in the Deschutes Room on the second floor. All programs are from 7 to 8:30 p.m. Your on-time arrival is appreciated. Call 541-296-8444 or visit to register. TUESDAY, OCT. 4

Transforming Your Skin at Any Age Good skin care is important no matter your age. Join Mary Lively, Skin Esthetician at Water’s Edge as she discusses what you can do to achieve healthy looking skin at any age. Learn effective treatments using at home products for common skin conditions such as Rosacea, acne, and aging skin, as well as professional treatments and procedures available to keep you looking your best.


Foot Health and Aging: What’s Normal, What’s Not The average person takes about 10,000 steps per day. That’s a lot of steps over a life span. Over time, normal changes occur with aging. What are normal changes associated with age and activity, and what isn’t? How can you avoid abnormal conditions that cause pain? Join Neil Washington, DPM, as he discusses common foot conditions and what you can do to keep your feet pain free.

MCMC OUTPATIENT THERAPY Water’s Edge 551 Lone Pine Blvd. 541-296-7202 Our multidisciplinary approach to outpatient rehabilitation services includes physical therapy, occupational therapy, speech therapy and aquatic therapy.

Specialized Programs

Plan a healthy and relaxing spa day retreat for yourself, family, co-workers and friends. Contact the Spa Desk for more information. 541-506-5788.

Gift certificates are available.

Physical Therapy • Functional Capacity Evaluation (FCE) • Golf Clinic • Osteoporosis Program • Vestibular Rehab & Balance Therapy • Women’s Health Physical Therapy • Mobility & Seating Clinic Speech Therapy • Dysphagia

Occupational Therapy • Hand Therapy and Upper Extremity • Lymphedema Treatment and Therapy Aquatic Therapy

Rehabilitation Programs • Orthopedic Rehabilitation • Neurological Rehabilitation

With a physician’s referral, these therapies are covered by most insurance plans, including Medicare. We will assist you to determine your insurance benefits.

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Fall 2011


Core Health & Wellness

All classes are held at Water’s Edge, 551 Lone Pine Blvd., The Dalles, unless otherwise indicated. Pre-registration required; please call 541-296-7319 to register.

Cardiac Rehabilitation Clinic Cardiac Rehabilitation is the next step after a heart attack or heart surgery, a diagnosis of stable chest pain or other cardiac conditions. This 10-week clinic includes supervised exercise, nutrition and education in heart health management. This clinic will help you regain strength, lessen fatigue while learning the tools to reduce cardiac risk factors. Classes are offered throughout the year and covered by most insurance plans.

Pulmonary Health Services Mid-Columbia Medical Center’s Pulmonary Rehabilitation Program is designed for patients with chronic respiratory disease (COPD), emphysema, asthma, chronic bronchitis, pulmonary fibrosis and other chronic lung conditions. This class explores the relationship between

breathing disorders and physical activity. Over 10 weeks participants will learn lifestyle changes that will help them to improve their endurance and quality of life. Program goals include: • Decreasing shortness of breath • Improving physical conditioning • Exercise tolerance • Improving emotional well being

Individual Diabetes Nutrition Education In a one-on-one setting, our registered dietitian will review your blood sugars in relationship to your nutrition. Together you will customize a healthy eating plan that will support living very healthy with diabetes. Covered by most insurance plans.

Individual Certified Diabetes Nurse Educator Consultation

Living Healthy with Diabetes Oct. 3, 10 & 17, 2 to 5 pm The Diabetes Self-Management Education Class is a learning experience for people who are newly diagnosed or have a history of diabetes. In this class, you will learn blood-sugar monitoring, nutrition and meal planning, stress reduction, medications and much more. We encourage a support person to attend at no additional fee. Day and evening classes are available throughout the year. The Mid-Columbia Medical Center Diabetes Education program is accredited by the American Diabetes Association.

Schedule a one on one with our registered nurse and learn about the many aspects of blood-sugar management. Our nurse will customize the visit to address your specific concerns. Covered by most insurance plans.

For information or to pre-register, call 541-296-7319.

Water’s Edge Mid-Columbia Medical Center

at Lone Pine Village

551 Lone Pine Blvd., The Dalles Monday-Friday 5:30 am - 9 pm Saturday 7 am- 6 pm, Sunday 1 - 6 pm 21 well_aware_FALL_2011 21

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All classes are held at Water’s Edge, 551 Lone Pine Blvd., The Dalles, unless otherwise indicated. Pre-registration required; please call 541-296-7319 to register.

WORKSHOPS & CLINICS Acupuncture Therapy Acupuncture is one discipline taken from the heritage of Chinese medicine. The technique involves the insertion of very fine needles at specific points in the body which have been shown to be effective in the treatment of various conditions.

Call for appointments or more information. 541-506-5788

Individual Nutrition Consultation By appointment only. Some insurance plans may cover a portion or all of the visit. Research indicates nutrition plays a vital role in health and disease management. Our registered dietitian will provide one-on-one guidance on eating healthy and feeling your best.

Healthy Weight Solutions

Mindfulness-Based Stress Reduction Wednesday, 2:30 to 4:30 pm begins Sept. 28, 8 weekly classes

Water’s Edge Meditation Room In this clinic our instructor will help you explore ancient and modern evidence-based healing techniques. You will experience gentle meditative yoga and other natural techniques, called mindfulness relaxation practices, to help you activate your own natural healing powers.

Mindfulness & Breath Work Wednesday, Oct. 19, 7 to 8:30 pm Free Water’s Edge Meditation Room Learn simple breathing techniques that can lower blood pressure and pulse, decrease stress and anxiety, improve immune function, ease insomnia, improve digestion and speed healing time. Wear loose, comfy clothing.

Saturday Relax and Renew Retreat

Wednesdays 6:30 to 8:30 pm Begins Sept. 28

This unique eight-week weight loss and wellness clinic that will provide a safe and supportive environment for weight loss, stress reduction and disease prevention. The program will focus on a holistic solution to weight management. The curriculum will include researchbased integrative strategies that are simple, practical and lifelong.

Saturday, Oct. 22, 9 am $99 Water’s Edge Join our Mind Body staff for a day of relaxation and renewing your spirit. You will experience Yoga, meditation, healthy living tips, a healthy lunch and a spa treat! Sign up before Oct. 15.

Couples Hand and Foot Massage Class Tuesday, Nov. 1 7 to 8:30 pm $35

Water’s Edge Meditation Room We are often so busy when we get home from our workdays that we forget to connect with our significant others. In addition to learning hand and foot massage couples will have the opportunity to reconnect and give undivided attention to their partner. The class starts with a brief exercise in meditation and being present before couples are walked through hand and foot massage techniques.

Diabetes Discovery Day Friday, Nov. 11, 11 am to 3 pm Free Water’s Edge Diabetes Discovery Day is an opportunity for anyone with diabetes and their families to receive the latest information on diabetes. Come hear experts in their fields as they discuss the latest advances in research and treatment.

Spa Menu – Combine any two single services and receive a 10% discount excluding waxing. Gift certificates available. MASSAGE

Swedish, Pregnancy or Relaxation 60min/$65 90min/$90 Deep Tissue or Warm Stone...........60min/$75 90min/$100 Reflexology............................................................................$65 Botanical Mineral Bath Therapy & 60-min. Massage....$99 BODY TREATMENTS & MASSAGE

Chamomile or Turkish Vichy Body Treatment................ $90 Vichy Shower Exfoliation & Massage Package .............$140 Chamomile Body Scrub Exfoliation ....................................$65 Exfoliation and Massage.................................................. $110 ADD ONS

Massage Add 15 minutes to any massage .................$15


Signature................................................................................$75 Rosacea/Sensitive ...................................................................$85 Nourishing Anti-Oxidant .......................................................$85 Acne............................................................................................$95 Men’s Sport Facial ..................................................................$75 FACIAL RESURFACING TREATMENTS

Infusion Peel............................................. $100 ea or 5/$450 Microdermabrasion ..................................$100 ea or 6/$550 ADD ONS

Add a Facial............................................................................$50


Botanical Mineral Bath Therapy and Wrap ....................$45 Botanical Mineral Bath Therapy & 60-min. Massage....$99 Therapeutic mineral soak with added citrus and spring blossoms WAXING SERVICES

Eyebrows............................................................................... $15 Lip............................................................................................$10 Chin .........................................................................................$10 Bikini .......................................................................................$35 Underarm.............................................................................. $35 1/2 Leg................................................................................... $35 Full Leg .................................................................................. $60 Full Leg with Bikini...............................................................$85 Brazilian Wax.........................................................................$85

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AEROBICS, YOGA & TAI CHI Health & Wellness THE


We offer a comprehensive selection of group exercise classes for all fitness levels. All group classes are included with membership. Non-members are welcome. Please call for prices. Some class sizes are limited. Registration becomes available seven days prior to each class. View current calendar at



W.O.W! Women on Weights – Tues/Thurs 12-1 pm

Golden Yoga – Tues 9-10 am

from 9/27– 11/17

Schedule EVERY WEEK Monday: Ball hop games Wednesday: Jump Rope and Hula Hoop Games Friday: Twister


In this eight-week all women program, you will learn the essential skill of strength training and how it benefits the movement in your life. Personalized instruction from a certified personal trainer, peer support and weekly wellness presentations will give you the ageless gift of selfempowerment, knowledge and personal growth. • 2 sessions/week for 8 weeks: • Members: $128 ($8/session) • Non-Members: $192 ($12/sess ion) **Does not include fitness membership, only locker room/WOW classroom access) • Registration ends 9/22/11. Call 541-506-5779 to register

Les Mills BODYPUMP™ – Mon/Tues/Thurs 5:30-6:30 pm; Wed 5:45-6:45 am / Intro to Body Pump – Thurs 5-5:30; Sat 9-10 am

Tutoring at the Kid’s Club starting in September! Open to anyone in the community, you do not have to be a member of Water’s Edge, small fee associated with offering. Focus will be the 3 R’s. Reservations recommended. Call Wendi at the Kid’s Club for more specifics. Sept. 24, Fall into Fall Crafts day Oct. 22, Halloween Workshop Nov. 25, Black Out Friday 7 am - 1 pm NO EVENING CARE AVAILABLE. Dec. 10, Christmas Workshop Dec. 16, Parents Night Out 5:30-9 pm Normal care from 3-5 pm Contact the Kids Club for more information: 541.506.5786

A challenging barbell workout for all your major muscle groups; this class combines great music and exercises like squats, presses, lifts and curls that will shape and tone muscles.

Pilates – Wed 6:45-7:45 am

Classic pilates infused with modern core exercises to improve your posture, strength and flexibilty. All levels welcome!

Group Cycle – Mon/Thurs 5:45-6:45 am

A great way to get a vigorous workout on an exercise bike! Participants determine their own exertion level.

Core Fusion – Thurs 9-10 am

This is a mat-based core stabilization/yoga blend class.

Water Aerobics – Mon-Fri 9-10 am; Mon/Tues/Fri 6-7 pm; Mon/Wed/Fri 10:30-11:30 am; Wed 4-5 pm

A lower impact water workout that will improve muscle tone and cardiovascular fitness. All levels.

Circuit Training – Mon/Wed Noon-1 pm

Build strength while getting a great cardio workout.

Zumba – Mon 6:45-7:45 pm; Wed 6:15-7:15 pm

Love to dance? Try this class!

A gentle form of yoga practiced while sitting in a chair, or standing using a chair for support.

Gentle Yoga – Tues/Thurs 7:30-8:30 am An easy-does-it class perfect for beginners.

Hatha Yoga All Levels – Mon/Wed 6:15-7:45 pm

This class incorporates props, allowing participants to receive the maximum benefit from each posture.

Healing Hatha Yoga – Mon 3:30-5 pm

This class is tailored to the individual. Beginners welcome!

Sunrise Yoga – Tues/Thurs 6:15-7:15 am

Breathe, stretch, strengthen and begin your day in a positive way. All levels.

Vinyasa Flow Yoga – Wed 5-6 pm Explores flexibility, strength and balance.

TAI CHI Tai Chi for Balance – Mon 9-10 am; Tues 5:30-6:30 pm

A great introduction to tai chi. Participants may sit or stand during this class.

Personal Training – One-on-one sessions with a personal trainer can assist you in developing a training program and reaching personal goals. Trainers can work with your physician, physical therapist and other healthcare specialists to develop a safe program. Performance Testing – Please call 541-506-5779 to learn more about the following: Resting metabolic rate (RMR), vo2 max, lactate threshold, body composition, sub-max vo2, and sub-max strength asssessment.

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CURRENT RESIDENT a Designated Planetree Patient-Centered Hospital 1700 E. 19th St., The Dalles, OR 97058


Hold These Dates! Saturday, Oct. 1 MCMC Health and Wellness Fair Water’s Edge, The Dalles Waterfront • Join us for a day of health screenings, talk to health professionals, tour medical offices and more. See calendar inside.

Saturday, Oct. 15, Harvest Fest 10 a.m. - 5 p.m. Renken Farms, 3050 Three Mile Road, The Dalles • Wagon Rides / Petting Zoo / Scarecrow Making / Live Music / Apple Cider / Food and More • FREE ADMISSION — Then purchase tickets for designated activities. Food items and seasonal produce for purchase also. • A Benefit for Great ‘n’ Small Child Development Center

Tuesday, Oct. 25 Pastoral Care Week: Community Forum 5 - 8:30 p.m. Mid-Columbia Medical Center • Dinner, a viewing of “From Place to Place,” a documentary detailing the plight of youth aging out of the foster care system and a panel of youth discussing their experiences in the system and ways our communities can better serve this vulnerable population. • For more details or to RSVP (by Oct. 18), please contact the MCMC Spiritual Care Dept., 541.506.6999 or

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