2011-Q4-Winter-WellAware by Mid-Columbia Medical Center

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MID-COLUMBIA MEDICAL CENTER

Winter 2011

Homecoming Welcome Back â&#x20AC;Ś Dr. and Dr. Schwartz Dr. Marc & Meghan McAllister, NP Mandi Morgan, CNM

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Dear Neighbor,

s I walked into Mid-Columbia Medical Center a few mornings ago, it occurred to me that there I was, comfortable in shirtsleeve weather, while holiday decorations were already up in area stores. It was a nice reminder of another of the many benefits we all enjoy living in this wonderful neck of the woods. Sometimes we take living here for granted, but that often changes if we spend any time away — as was the case with several of the people you will read about in this Well Aware. It is with great pleasure that we at MCMC welcome home several health professionals who are either natives or longtime residents of the area. Drs. Bruce and John Schwartz, who were so instrumental in bringing comprehensive orthopedic specialty services to the Gorge, have returned from what John has called a “wild Alaskan fling.” Anyone who has ever received care from one of the “Bones Boys,” or gotten to know them in the community, understands how good it is to have them back. Dr. Marc McAllister and his wife Meghan grew up here, and could have relocated just about anywhere after completing their education and training. That they returned home to practice tells us all we need to know about how they think the Gorge measures up to the rest of the world. And then there is Mandi Morgan, a former MCMC employee, who never left permanently, but instead made daily trips to Portland to complete her training as a certified nurse midwife. She is back for good, and for the good of patients of Columbia River Women’s Clinic. It is great to have them all back in this place we, and they, love so much. Having them practicing and living in our region is a gift that will keep giving for years to come.

Happy Holidays

Duane Francis President/CEO

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Winter 2011

Inside Scoop A Designated Planetree Patient-Centered Hospital

It is Our Mission …

(ON THE COVER)

The Boys are Back in Town

To lead and act as a catalyst in promoting health for all people.

Longtime The Dalles orthopedic specialists Drs. Bruce and John Schwartz return from Alaska.

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 is 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 541-296-7545 mcmc.net Photo Credits: Lauri Streaker, Cover (Dr. Bruce S.), page 5 Jim Semlor Photography, Cover (Dr. John S.), pages 4, 6-8, 9 (nursing staff), 10 (Megan McAllister, NP) 11-12, 15-16

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Kind and Generous Hood River resident Cyndi Sischo’s journey with cancer leads to Celilo, where she finds light in the darkness.

No Place Like Home After completing training as a certified nurse midwife, Mandi Morgan returns to The Dalles.

All About Kids MCMC expands the availability of pediatric care with three new providers.

Spaaaaaaaahhh Read about the benefits of stress-reducing, therapeutic mineral bath salts and bath soaks.

You Can Go Home Again Marc McAllister, M.D., returns to the Gorge to join the urology practice of family friend Gary Gingrich, M.D.

Resolution Solution At Water’s Edge, personal trainers help turn New Year’s resolutions into lifelong solutions.

Celilo Adds Another Tool Water’s Edge Calendar

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John Schwartz, M.D.

Longtime The Dalles orthopedic specialists Drs. Bruce and John Schwartz return from Alaska — and couldn’t be happier to be back.

The Boys are hen Drs. Bruce Schwartz and John describe the land from whence they came, their words are poetic enough to beg the question why anyone in his right mind would ever leave. The homes overlooking the ocean; the eagle’s nest outside the bedroom window; the ridiculously bountiful fishing; the Friday night jam sessions at the neighborhood hole in the wall (named, of course, The Hole in the Wall) … for two brothers drawn to small towns and big outdoors, there wasn’t much to not like about living in Ketchikan, Alaska. But then they begin to describe their new home, which, as many will know, is really their old home, and it is hard to imagine the two orthopedic surgeons (remembered by many as the Bones Boys or Bones Brothers) ever left The Dalles. “There is nothing better than The Dalles and eastern Oregon; this is my first love,” Bruce says. “To have the opportunity to come back to familiar surroundings, to be around my kids and grandkids, and to work again with a very high-level hospital that always gave me the support and tools I needed to take care of my patients, that was just too good to pass up.” Bruce is not just the grandfather of his kids’ children, he’s also the grandfather of orthopedic medicine in The Dalles. The Missouri native established the region’s first orthopedics practice in the early 70s, then lured his younger brother out west to join him several years later. The two practiced together for 12 years in The Dalles, before Bruce relocated to Ketchikan in 1995. John followed four years ago.

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“As much as my wife Kathy and I Ioved living in The Dalles, we always wanted to experience working and living somewhere else, really different, before we finished our careers,” says John. “Joining Bruce up in Alaska, when he needed a partner, gave us that opportunity. The wild Alaskan fling has been great, but this is our community, and we always planned to come back.” The brothers have a special bond that has helped them work side by side for 15 years without ever having an argument, Bruce says. Their mutual admiration is obvious, even when John is comparing his older brother’s looks to a hunting dog’s. “There’s one photo with Bruce and one of his dogs where you can’t decide which one needs a trim worse,” John says. “It’s true what they say about people looking like their pets. But working with him is very special.” “John always takes the extra time to provide excellent patient care; he is always looking out for his patients,”

Bruce Schwartz, M.D.

Back in Town By Dick Baltus

Bruce says. “Practicing together gives us a lot of opportunities to talk and share knowledge, and I think that really benefits our patients.” The Schwartzes are already scheduling appointments in their practice, which will open Jan. 3 at MCMC I OHSU Orthopedics, 1739 E. 12th, in The Dalles, right across the street from their former clinic. They will provide a wide range of general orthopedic care, including total joint reconstruction, fracture care, sports medicine, arthroscopic procedures and hand surgery. For their patients who require sub-specialty care, they will be able to make convenient referrals to the orthopedic

surgeons of Oregon Health & Science University who practice in The Dalles through the medical school’s partnership with Mid-Columbia Medical Center. That’s one of the changes in the local community the Schwartz brothers are eager to be part of. They are just as eager to once again be able to take advantage of some of the community assets that haven’t changed. “Being in Alaska was a great adventure; there really wasn’t a bad thing about it,” John says. “But there were a lot of things Kathy and I missed. When we left The Dalles our passion was cycling, and you just couldn’t do that in Ketchikan. And one of Continued on page 18

“It feels like coming home. It’s like playing a nice fiddle. It’s got the right action, the notes are sweet and it just feels familiar.” — Dr. Bruce Schwartz

Drs. Bruce and John Schwartz will begin seeing patients Jan. 3, but appointments are now being made. Please call MCMC I OHSU Orthopedics at 541.506.6500 for scheduling or other information.

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Kind and Generous

By Dick Baltus

Hood River resident Cyndi Sischo’s journey with cancer leads to Celilo, where she finds light in the darkness.

It was the darkest moment of Cyndi Sischo’s life, with the chilling words of a cancer diagnosis still ringing in her ears, and the love of her family the only thing protecting her from all the thoughts colliding in her head. And it was about to get darker. As Cyndi waited for follow-up testing in the large, cold, unfamiliar institution, her home seemed much farther away than it was. Her hope did too. “It was so frightening,” Cyndi says. When the testing was completed, she wouldn’t go back. She wouldn’t need to. “The first time I walked into Celilo I immediately knew it was different,” Cyndi says. “I wasn’t as afraid, and I didn’t feel so overwhelmed.”

ew people expect a cancer diagnosis, but Cyndi Sischo could be the poster girl for unlikely candidates. The longtime Hood River resident and secondgrade teacher and her husband Sanford (as well as 7-yearold son Cole) are health enthusiasts for all seasons. They cycle, hike, windsurf and ski. Cyndi has coached for the Mt. Hood Meadows Ski Team for years. “Anything outdoors we have a passion for,” she says. “Every season we have some sport. We’ve always lived a healthy lifestyle. We are very active and appreciate everything that is around us.” In fact, it was Cyndi’s active lifestyle that took her to the doctor last June, completely unsuspecting that there could be anything wrong with her other than the foot she cut windsurfing. But there was. She had felt the lumps herself, “but cancer wasn’t even on my radar,” Cyndi says.

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Of all the blessings she counts today, none ranks higher than that windsurfing accident. The tests her doctor ordered after detecting the lumps came back positive for aggressive stage II breast cancer. “If I had waited before going to the doctor, it would have advanced into my lymph nodes,” Cyndi says. After her experience at the other cancer center, Cyndi was determined to conduct a thorough vetting of the center she and her family would entrust with her treatment. Celilo Cancer Center came highly recommended by her physician, but Cyndi would have to see for herself. Her first impression, which immediately eased some of her fears, was reinforced the further she got into the center, and the more staff people she met. “Just the fact that you walk into the center and it is so calm and the first people you see are smiling at you and you aren’t herded into some

cubicle makes so much difference,” Cyndi says. Celilo’s breast care coordinator Melodi Johnson was there to provide information and support. Steven Fu, M.D., Ph.D., was introduced as Celilo’s medical oncologist, and Cyndi met with Ann Harris, M.D., from MidColumbia Surgical Specialists, who has a special interest and expertise in breast surgery. “It was amazing to meet these people,” Cyndi remembers. “Dr. Fu has these amazing credentials, and when we met with Dr. Harris she sat with us for two hours to discuss our options. And this was even before we had decided for sure we were choosing Celilo. I really felt at peace with her.” Everywhere she went, every program she learned about and every person she met convinced Cyndi that Celilo was where she wanted to receive her care. But her husband and son got to vote too.

“I just felt really safe at Celilo, and I could feel my fear being replaced with a feeling that I was going to be O.K. But it was also very important that I be treated at a place where my son felt safe too,” Cyndi says. “And at Celilo it was very clear that Cole was welcome. I never felt like I was seen as a person with cancer. We were treated as a family, and that made all the difference in the world while I was in treatment. It really helped me focus on being a wife and a mom.” If they were treated as a family, the Sischos say they also felt like they were family. “It is very clear that everyone who works at Celilo really wants to work there,” Sanford says. Cyndi says she will never forget Celilo director Lyn Vincenzo holding her hand and crying with her when her hair began falling out after starting chemotherapy. “I thought, Continued on page 17

“… it was also very important that I be treated at a place where my son felt safe too. And at Celilo it was very clear that Cole was welcome.” — Cyndi Sischo

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Mandi Morgan, CNM

After completing training as a certified nurse midwife, Mandi Morgan returns to The Dalles to “give back” to the community she was raised in.

No Place Like Home By Lori Russell

andi Morgan may have put more than 50,000 miles on her car in the two years pursuing her goal of becoming a certified nurse midwife, but she says the time and effort were worth it. Last June, after countless hours commuting between The Dalles and Portland, Morgan graduated from the Oregon Health & Science University with a master’s degree in nursing. Two months later she began seeing patients at the Columbia River Women’s Clinic in her hometown of The Dalles. “When some people hear I’m a midwife, they think I only deliver babies,” Morgan says. “I tell them that while I love delivering babies, I also care for women throughout the lifespan from adolescence to menopause.” As a certified nurse midwife, Morgan provides prenatal care and delivery, gynecological care and consultation, annual exams, contraception and family planning, menopause and perimenopause management and services for teens. She also writes prescriptions and orders laboratory tests, mammograms and ultrasounds. Nurse midwives have been caring for American women through pregnancy and other normal stages of life since the

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early 1900s. Certified nurse midwives (CNMs) are registered nurses who have completed graduate-level training and passed a national certification exam. A graduate of The Dalles High School, Morgan earned her bachelor’s degree in nursing from Linfield-Good Samaritan School of Nursing in Portland. She worked in pediatrics and high-risk labor and delivery before returning to The Dalles to work at the First Impressions Family Birthing Center at Mid-Columbia Medical Center. “I loved doing labor and delivery and postpartum care at MCMC,” says Morgan of her seven years at First Impressions. “I think we give great care and I love the Planetree philosophy.” Morgan says her time at MCMC spurred an increasing interest in women’s health across the lifespan rather than

Columbia River Women’s Clinic with whom she worked during deliveries at MCMC. She also talked with MCMC’s president and CEO Duane Francis. “Everyone was incredibly supportive and encouraging,” she says. “I knew I didn’t want to work anywhere else. I wanted to practice in The Dalles. It is my way of giving back to the community where I grew up.” Morgan says she considers it an honor to be present with her patients at one of the most important times of their lives — the birth of a child. “Most women will share their birth stories for the rest of their lives. I want to do everything I can to provide care during pregnancy and in labor that supports the individual needs that are unique to each woman.” “We are excited to bring a midwife level of

“When some people hear I’m a midwife, they think I only deliver babies. I tell them that while I love delivering babies, I also care for women throughout the lifespan from adolescence to menopause.” — Mandi Morgan, CNM

A former nurse in MCMC’s birthing center, Mandi Morgan will be working with the team (above) again, but now as a midwife.

just during the labor-and-delivery experience. She was drawn to midwifery because of its focus on patient education and individualized care. “I have always been passionate about education,” she says. “I have taught childbirth education classes. I enjoy spending time with patients. During labor process, I stay with the woman at her bedside and work with her support person and nurse to give her individualized care, support and guidance.” Before applying to the nurse midwifery program at OHSU, Morgan discussed her plans with the doctors at

experience to the practice,” says James Faherty, M.D., of Columbia River Women’s Clinic. “Mandi is extremely intelligent, calm in a crisis and has a good breadth of experience. She is very patient and sensitive to a woman’s needs during labor and delivery.” When she is not working, Morgan enjoys spending time with her family and friends. She and her husband Sky have two children. Mandi Morgan is now accepting new patients at the Columbia River Women’s Clinic, 1810 East 19th St. Suite 209, in The Dalles. Call 541-296-5657 to make an appointment.

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DR. LOUISE SIVAK’S CARE IS INFUSED with 20 years of experience and the love of a career she knew she wanted to pursue when she was a child herself, growing up in Washington D.C. “I’ve known ever since I was a teenager that I wanted to be a pediatrician,” she says. “When I went to medical school I considered other fields, but pediatrics was my best experience. That just confirmed it.” Dr. Sivak studied medicine at Washington University School of Medicine in St. Louis. She completed her internship and residency in Salt

All About

he care and nurturing of kids is not child’s play. One of the most important steps a parent can take to safeguard their child’s long-term health and wellbeing is to establish a relationship with a healthcare provider as early as possible. That’s why Mid-Columbia Medical Center is committed to giving area parents access to a spectrum of physicians and providers who care for children. In addition to the many family practitioners in the MidColumbia who provide children’s care, there are several pediatric specialists, who focus exclusively on the care of children, from newborns and toddlers to teens. In recent weeks, MCMC has brought in three new providers to join Dr. Corinda Hankins in the care of Gorge-area pediatric patients. They are pediatric physicians Sara McCaffrey, M.D., and Louise Sivak, M.D., Ph.D., and nurse practitioner Meghan McAllister, N.P. The four will relocate soon from their current setting at Columbia Hills Family Medicine on 12th Street in The Dalles to a separate pediatric clinic on 19th, just across from MCMC.

To make an appointment with any of the new pediatric providers of Columbia Hills Family Medicine, please call 541.296.9151.

Meghan McAllister, N.P.

“I like that MCMC has expa pediatric care in the Mid-Co

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Lake City and stayed there to pursue extensive cancer studies for five years, which culminated in a doctoral degree. She then spent three years as a fellow at Denver Children’s Hospital treating young patients with cancer, blood diseases and in need of bone marrow transplants. In her Columbia Hills practice, Dr. Sivak focuses on a broader spectrum of care, providing preventive services and general pediatric care, as well as treating children with chronic issues. “A little bit of prevention can make a huge difference in the lives

of children,” she says. “If you can make small impacts now — keeping them healthy, keeping them fit, trying to make sure other issues are addressed, like school attendance and prevention of substance abuse — you can make a huge impact later.” Although Dr. Sivak has spent most of her years in large cities, she says she’s a small-town person at heart. For the last decade she’s lived in the Northeast, working in New Hampshire and Vermont. “I like to have my community be my family,” she says.

Kids MEGHAN MCALLISTER, N.P., CAN certainly say this community is her family. The pediatric nurse practitioner grew up in The Dalles, along with her husband, urologist Marc McAllister, M.D. The McAllisters, who have two children ages 4 years and 3 months, jumped at the chance to return to their hometown to practice. Both sets of grandparents plus siblings live in the area. Dr. Marc McAllister has been working with longtime urologist and family friend Dr. Gary Gingrich (see article on Page 14). Meghan, who got her nursing degree in 2009 from UCLA, will

Sara McCaffrey, M.D.

By Jim Hays

begin her new practice in January 2011. “It’s a great opportunity to serve the community,” she says. “I like that we will be able to treat kids locally and I like that MCMC has expanded the availability of specialized pediatric care in the Mid-Columbia region. You have the opportunity to help people at the clinic and then see them at the grocery store or at the soccer field. That’s one of the great things about working in a small town.” With the McAllisters’ roots already in the community, they’ll be running into family and old friends often. “We hope to be here a long time,” she says.

panded the availability of specialized Columbia region.”

“Everyone here, from top to bottom, is very genuine and very welcoming. I love working in this clinic.” — Sara McCaffrey, M.D.

COMING TO THE DALLES WASN’T A homecoming for Dr. Sara McCaffrey, but it felt like it. Dr. McCaffrey and her husband Rob, then a professor at Rensselaer Polytechnic Institute in upstate New York, lived for a year in Corvallis during the 1990s. They were so taken by the Northwest they kept an eye out for a chance to return permanently. Continued on page 15

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Barb Robison

Spaaaaaaahhh The director of The Spa at Water’s Edge discusses the benefits of stress-reducing, therapeutic mineral bath salts and bath soaks. By Barb Robison

Spa: The word spa comes from a town in Belgium renowned for its thermal mineral waters. It is allegedly an acronym for Roman Emperor Nero’s phrase- “Salus per aquam” (health by water) stated upon seeing the magnificent fountains of Rome.

e live our lives on a fast track. We rise each morning, take a quick shower and head down the track to get where we need to be. Then we do it again the next day. And we stress ourselves out — sometimes without even realizing it. Research shows that up to 95 percent of all illnesses are caused by or related to stress. As a society we should be alarmed and working on solutions. What do you do to cope with and reduce your stress? The impact of stress on health should encourage all of us to learn and teach our children the art of stress reduction. Hydrotherapy (bath therapy) can be one avenue to add to your arsenal of stress-reducing activities along with mindful healthy living. A hydrotherapy bath is a sensory experience, a therapeutic treatment

that warms the muscles and internal body to allow deep relaxation. That is the place where healing can begin and symptoms such as muscle and joint pain can improve. It is natural medicine. And it feels wonderful. Since ancient times, water has been used in many healing therapies and cultural traditions. As a society, our best use of water is to employ it for healing and nourishing and hydrating our body. A therapeutic bath is an excellent treatment for whole-body rejuvenation. The skin, being the largest organ and riddled with capillaries and ducts, is a major eliminative and absorptive system. The added minerals and botanicals help to detoxify the body. Engaging this system, plus our sense of smell and touch, by using

For more information about the benefits of a professional or home bath, or to make an appointment for a hydrotherapy bath treatment at The Spa, please call 541.506.5788.

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the healing modalities of aromatherapy and bath therapy together, can bring about profound changes in both mind and body. Aromatherapy stimulates the limbic system which is the part of the brain that is thought to control our various emotional and behavioral patterns. A brief rest and wrap follows the soak. This allows the body to continue the detoxifying process. At the end of a hydrotherapy session at The Spa at Water’s Edge, we offer a mini-reflexology treatment or gentle hand/foot lotion application. Our patients go home relaxed and feeling a sense of peace. When I give a hydrotherapy treatment, I know that tonight, when my patient goes to bed, she or he will sleep well. And that is priceless to our health. Spa Bath vs. Home Bath To achieve the greatest benefits of a therapeutic bath, combine home baths with a comprehensive spa experience, like that provided at The Spa at Water’s Edge. At The Spa, trained professionals combined the deepest stress-reducing therapy with clinical-grade products. Therapy includes a mini-reflexology treatment that continues the healing process and relaxation. Self-therapy can be continued at home, once or twice per week if possible. People often ask me, why pay $45 for a bath? I tell them to try the treatment and then make a decision. I look forward to the comments that always follow — “Wow, I am totally relaxed, and I understand why it is important to come to the Spa for a professional hydrotherapy session.” A professional soak at The Spa is recommended at least once a month, or several times a month is optimal. For a full therapeutic treatment, follow the hydrotherapy with a 60 or 90 minutes massage. The warm water and botanicals prepare the body for massage. The results are amazing.

Holiday Spa Specials

Hydrotherapy mineral bath and 60-minute massage This combo treatment is the ultimate in relaxation, detoxifying and preparing the muscles for massage. A soak in our deep tub, with added minerals and botanicals plus a 60-minute massage. $99

Sunshine Bliss Winter blahs? Take a trip to the sunshine with our hydrotherapy bath soak. An aromatic delight with blends of citrus and spring blossoms. Includes soak in our private tub, wrap and mini-reflexology. $45

Gift Certificates Healthful and Thoughtful Gifts — Stop by The Spa at Water's Edge and visit our retail shop. Second floor Water's Edge Building.

A Spa Treatment: THE PERFECT GIFT Experience a rejuvenating visit to the Spa at Water's Edge Bring this coupon in to book a Hydrotherapy treatment any Tuesday in December for $35 — Regularly $45

Call

541-506-5788

and book your appointment today. Offers expire December 31, 2010

Appointments are limited to availability

Continued on page 18

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You Can Go Home Again By Dick Baltus

Dr. Marc McAllister returns to the Gorge to join the urology practice of family friend Gary Gingrich, M.D.

he origins of Dr. Marc McAllister’s new partnership with longtime The Dalles urologist Gary Gingrich, M.D., can be traced to a hiking trail in the Wallowas almost two decades ago The two families were both visiting the popular Eastern Oregon recreational spot not long after Dr. Gingrich had set up his practice in The Dalles. That set the stage for a chance meeting between the new doctor and the 9-year-old future doctor that years later would heavily influence Dr. McAllister’s decision to return home to practice medicine. “I was around the same age as Gary’s kids, so we grew up playing baseball and soccer together,” he remembers. “Then in high school and through college I did mentorships and internships in the operating room at Mid-Columbia Medical Center, allowing me to get to know him even better.” Dr. McAllister left The Dalles to attend Willamette University, before entering one of the country’s most prestigious medical schools, Johns Hopkins in Baltimore. He and his high school sweetheart, and now wife, Meghan Coats McAllister, had open minds about where they would eventually pursue their careers (she began as a nurse and is now a pediatric nurse practitioner), and it was far from a forgone conclusion they would return home after Dr. McAllister finished his urology internship and residency training at Loma Linda University. “We had been thinking that eventually it would be nice to come

back closer to family,” Dr. McAllister says. “Other than that we weren’t set on anything.” But a phone call from his old friend and mentor from The Dalles eventually set the wheels in motion for a return home. “Gary called a couple years ago, explained that the need for urologic care in the Gorge had grown to a point where another physician was needed , and said he would love to talk to me if I was interested,” Dr. McAllister remembers. “Once Meghan and I started talking about the possibilities, we rapidly became excited about returning.” As a urologist, Dr. McAllister is trained to prevent, diagnose and treat conditions affecting the urinary tracts of males and females, and the reproductive system of males (see box.) Dr. McAllister says he was drawn to the field because of the opportunity to provide care for a broad range of conditions and the rapid technological advances seen in the specialty. He has been trained in the latest urological techniques, including minimally invasive surgery and robotics. “Urology is a broad field, but you can become pretty specialized,” Dr. McAllister says. “But you can’t really do that in a small region, and that’s what I like about practicing back in my home town. I am able to practice a broader spectrum of care.” He says he started thinking about a career in medicine during high school, and had dreamed of attending Johns Hopkins, where some of the brightest minds in

medicine practice and teach. “The Johns Hopkins urology training program is very well thought of across the country,” he says, “and I feel very fortunate to have been exposed to physicians who are considered the thought leaders in the field of urology.” Dr. McAllister joined Dr. Gingrich in the office of Gorge Urology in early July, and it was a busy summer. In addition to starting his new practice, he and Meghan recently welcomed their second son, William, to their family, which also includes 4-year-old Jack. If you would like to make an appointment with Dr. McAllister, call Gorge Urology, 1805 E. 19th St., at 541-296-2201.

What is Urology? Urology is the medical and surgical specialty that focuses on the urinary tracts of males and females, and the reproductive system of males. Common urologic conditions include: Urinary tract infections Stress incontinence Benign prostatic hyperplasia Male infertility Kidney stones Prostatitis Prostate and testicular cancer Erectile dysfunction Vasectomy and vasectomy reversal

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Marc McAllister, M.D.

Foundation Update Several community events have been held over the last few months, with a portion of proceeds dedicated to projects of the Mid-Columbia Health Foundation. The foundation wishes to express its gratitude to the following generous organizations that have demonstrated their support for our mission of improving the health of area communities: Splash for Pink – More than $6,000 (Next Century Campaign) Grand Fondo – $4,000 (Celilo Cancer Center Fund) Ft. Dalles Days Pro Rodeo – $4,000 (Next Century Campaign) Columbia Gorge Mortgage – $2,500 (Next Century Campaign) The Theatre Company of The Dalles – $1,000 (Susan D. Peterson Diabetes Fund) In this giving time of year, please join these community organizations and support the Mid-Columbia Health Foundation. To make your tax-deductible donation, contact MCHF at 541.296.7275 or mchf@mcmc.net You can also mail your donation to MCHF, 1700 E. 19th Street, The Dalles, OR 97058.

All About Kids continued from page 11 “We loved this area,” says Dr. McCaffrey. In addition to her medical degree, Dr. McCaffrey holds a master’s degree in nutritional biochemistry from Boston University. She did her pediatric residency at Massachusetts General Hospital in Boston and has 22 years’ experience as a physician. Dr. McCaffrey says she immediately felt at home at Columbia Hills Family Medicine. “Everyone here, from top to bottom, is very genuine and very welcoming. I love working in this clinic.” The McCaffreys have three children — two daughters attending college and a 10-year-old son. They enjoy the close proximity of hiking, bicycling, skiing and camping, and are particularly impressed with their new surroundings, she says. “What drew us to this area was the surroundings and the incredible scenery,” says Dr. McCaffrey, who is bilingual in Spanish. “Just the topography and the overall beauty of the area. Plus we enjoy a more rural lifestyle and the closeness of things like orchards and wineries.”

To make an appointment with any of the new pediatric providers of Columbia Hills Family Medicine, please call 541.296.9151.

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Martina Rizzo, membership services coordinator

Resolution Solution

By Jim Hays

Water’s Edge personal trainers help people make healthy changes that can last a lifetime — as opposed to the lifespan of most New Year’s Resolution.

ou’ve been telling yourself for years you need to get into better shape. And with the New Year coming up, maybe that seems like a good time to start an exercise program, stick with it, watch the pounds melt away, feel your restored energy and start living a little healthier. A lot of people tell themselves the same thing, and even start working toward their goals. Then life happens, as it always does, and a busy schedule turns the daily workout into a couple times a week, then every two weeks and soon not at all. And another New Year’s resolution becomes something else you’ve been meaning to do. It doesn’t have to be that way. At Water’s Edge Health and Wellness Center, individuals at all levels of health are learning how to overcome obstacles that can prevent a well-meaning person from becoming just plain well. “Although New Year’s is generally the time when people make their resolutions related to health and wellness, there is nothing inherent that happens with the arrival of a new year that would make somebody change their lifelong habits,” says Martina Rizzo, membership services coordinator of the Health and Wellness Center at Water’s Edge. “To make a resolution

successful, you have to be ready to make changes and those don’t need to wait for a new year.” Wanting to make changes is one thing, however. Following through can be much more difficult. Rizzo says people, without being aware of it, often erect artificial barriers for themselves that may sabotage efforts to improve their health and wellness. One common one is to leap into a vigorous exercise program without being properly prepared. This can lead to stiffness, soreness and even injuries if that well-intended person tries to go too far, too fast. Water’s Edge has an answer there, too. New members receive three complimentary sessions with a nationally certified personal trainer that can be very helpful in getting a fitness program off to a strong, sustainable start. “I encourage our trainers to have a good conversation with clients to get a feel for their exercise and nutrition habits and the stress they are under in their everyday lives,” says Meghann Jenkins, director of fitness at Water’s Edge. “From that we can design a workout program that works for that individual.” Jenkins is also a certified Wellcoach, leading a Water’s Edge program designed to help people get into the workout habit and stay there. continued from page 23

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:04 AM Page 17

Kind and Generous continued from page 7 oh my God, here is someone who really understands what I am going through,” she says. Melodi Johnson would stop by the Sischo’s home with information, and later, Cole reminds his mother, “People (from Celilo) would bring you food.”

“I could feel my fear being replaced with a feeling that I was going to be O.K.” — Cyndi Sischo

“On the days when you didn’t think you’d be able to see anything positive, the people at Celilo could always bring something bright to your life,” Cyndi says. And to think, Cyndi’s journey began in such darkness. Her prognosis is excellent. Cole would write her notes during her treatment reminding her, “The force is with you” and now, after chemotherapy and surgery, it appears it was. “Basically, I think I’m good,” Cyndi says. If there is one word that best describes how she feels today, after the chance discovery of an unexpected disease,

the introduction to the people of, and care available from, Celilo, the support and love of family and friends, that word is “grateful.” And Cyndi found what she believes to be the perfect expression of her gratitude in a song. Natalie Merchant’s “Kind and Generous” now lives on the play lists of many of Celilo’s staff members, a thank you from Cyndi to remind them of the gifts they have given to another family.

You've been so kind and generous I don't know why you keep on giving For your kindness I'm in debt to you For your selflessness — my admiration For everything you’ve done You know I’m bound to thank you for it.

From Water’s Edge Health and Wellness Center … Winter Personal Training Special

Kid’s Club Winter Workshop

Purchase a four-session package and receive a complimentary resting metabolic rate test by one of our exercise specialists. Your resting metabolic rate (RMR) is the rate at which you burn energy or calories at rest. With this baseline knowledge your trainer can set you on the path to success with a healthy weight loss or conditioning program.

Saturday, Dec. 11, 10 a.m. to 1 p.m.

Special good for December, January, and February.

Please join Kid’s Club for our Winter Workshop. This December children are invited to join Kid’s Club staff in making holiday ornaments and decorations that they and their families can enjoy this holiday and for many to follow. Please call Kid’s Club at 541-506-5786 for more information. We hope to see you there.

Please call 541-506-5779 for more information.

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:04 AM Page 18

The Boys are Back in Town continued from page 5 my other passions is fly fishing. The Deschutes is my home river, and I’ve really missed it. There is really nothing like the smell of sage brush and a bright blue sky and a redside trout on your fly rod.” This fall Bruce pulled his RV into town while on an extended hunting expedition with one of his champion hunting dogs, and, still weeks away from moving, he was already starting to settle into his old community. “It feels like coming home,” he says. “It’s like playing a nice fiddle. It’s got the right action, the notes are sweet and it just feels familiar. I’m already running into

people I knew from town or my practice. I may not always recognize their face, but I may remember something like their giggle. It doesn’t feel like it’s been 15 years.” The fiddle metaphor gives away another passion that is universal in the Schwartz family. Bruce and his wife, Sher, both played in a bluegrass band in Ketchikan. John and Kathy also are musicians. All four hope to get back into their “new old” community’s musical circle. To friends, family and patients alike, just hearing the Bones Boys are back in town already is music to the ears.

“The Deschutes is my home river, and I’ve really missed it. There is really nothing like the smell of sage brush and a bright blue sky and a redside trout on your fly rod.” — John Schwartz, M.D. The Spa continued from page 12 Benefits of the Minerals We Use in Hydrotherapy Magnesium – The Star Mineral A bath at The Spa includes the use of mineral salts, which are very beneficial for correcting various skin imbalances, including disease conditions, and improving the skin’s barrier function. The high magnesium content of these salts benefits the skin and body in several ways: • Magnesium stimulates healthy bio-chemical processes within the body, including an improved cellular metabolism. • Magnesium is a co-factor of SOD (superoxide dismutase), a powerful anti-oxidant. • It is an excellence anti-stress trace element and improves muscle relaxation and contraction. • It aids the transmission of nerve impulses. NOTE: Hydrotherapy is not always compatible with certain medical conditions, including high blood pressure, heart conditions or pregnancy.

Bath Therapy Instructions: Use ½ cup to ¾ cup mineral salts per full tub of warm bath water. Soak for 10 minutes If desired – add 1 to 2 tablespoons whole milk cream or massage oil. Caution — tub can be very slippery if you add any base oils or cream. Other optional additions: • Essential oils – to reduce stress, headache pain, bodily aches and pains, symptoms of colds and flu, toxic overload. • Bath gel or soap Minerals are available at The Spa at Water’s Edge: Kerstin Florian- Thermal Mineral Salts Dead Sea Mineral Salts and Mustard Salts manufactured for The Spa Aromatherapy Class: Saturday, Feb. 26, 9 a.m. to noon Fee $50 Call 541.506.5788 to register

Celilo Adds Another Tool to Fight Cancer The words Elekta Synergy linear accelerator won’t mean much to the average person, but they will mean a lot to cancer patients throughout the region. This is the name of the latest technology installed at Celilo Cancer Center to benefit cancer patients needing treatment with advanced radiation therapy. The new equipment combines CT scanning with intensity modulated radiation therapy to help cancer treatment specialists even more precisely and effectively deliver the advanced IMRT technology that has been available since Celilo opened. The addition of CT technology provides “3-D image-guided” capabilities that enable higher doses of radiation to be delivered more precisely to cancer tumors. This increases the effectiveness of treatment and reduces the effect on surrounding tissue, says Keith Stelzer, M.D., Ph.D., Celilo’s medical director of radiation oncology. “We have been doing IMRT very effectively for nine years, and this is the latest advancement in that technology,” Dr. Stelzer says. “It provides several benefits to patients. It shortens their treatment time, increases comfort and allows us to more effectively adjust for body and organ movements that can occur during treatment.” The technology is especially useful for treating certain types of patients, Dr. Stelzer adds, such as those with lung cancer who might not be candidates for surgery. Mid-Columbia Medical Center made a significant investment (approximately $2 million) to ensure area cancer patients had access to the new technology without having to travel out of the area.

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:04 AM Page 19

Winter 2011

WELLNESS AT WATER’S EDGE CLINICS AND CLASSES FROM MIDCOLUMBIA MEDICAL CENTER

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

Arthritis and Nutrition

Individual Nutrition Consultation

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.

Monday, Feb. 28, 9 to 10:30 am $10 (fee includes one support person) Free to Water’s Edge Members

By appointment only. Some insurance plans may cover a portion or all of the visit. Meet one on one with our Registered Dietitian. Research indicates, nutrition plays a vital role in health and disease management. Our dietitian will guide you in eating healthy and feeling your best.

Pulmonary Health Services

Wednesday, Jan. 12, 3:30 to 5 pm $10 (fee includes one support person) Free to Water’s Edge Health and Wellness Center Members

The Pulmonary Rehabilitation Program at Mid-Columbia Medical Center 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. This 10-week clinic will guide patients in lifestyle changes that will help them to improve their endurance and quality of life: • decreasing shortness of breath; • improving physical conditioning and exercise tolerance; • improving emotional well being.

Eating healthy is a smart way to manage or prevent disease. Jennifer Zimmerman, RD will discuss the value of eating healthy to better manage the symptoms of arthritis and to feel your best.

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 of nutrition and cholesterol, join our dietitian, Jennifer Zimmerman and learn how diet changes can be a big part of managing your cholesterol. This clinic will help you to develop a plan that is safe, sane and promotes disease prevention.

Water’s Edge Mid-Columbia Medical Center

at Lone Pine Village

551 Lone Pine Blvd. The Dalles

Healthy Weight Solutions Wednesdays, 6:30 to 8:30 pm Begins Jan. 27, 2011 $250 (discount for Water’s Edge Members) This outpatient program is a unique 8week progressive weight loss and wellness clinic that will provide 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 curriculum will include research based integrative strategies that are simple, practical and lifelong.

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:05 AM Page 20

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 About Those New Years Resolutions… Monday, Jan. 24, 6 pm Free Is one of your resolutions to take better care of yourself? Start the new year off right by learning how to achieve healthy, vibrant skin, at any age! We will discuss what treatment options are available at the Spa at Waters Edge and help you formulate a plan to get your skin in shape!

Acupuncture Therapy Offered at Celilo Cancer Center or Water’s Edge Call for appointments or more information. Water”s Edge 541-506-5788 Celilo Canter 541-506-6998 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.

Freshstart – Tobacco Cessation Class Call for Class Schedule Free There’s never been a better time to quit smoking or using tobacco than right now. Freshstart provides you with the structure and support you need to help

you quit and stay quit for good. Tobacco Cessation coordinator Emily Curtis leads you through four one-hour classes designed to help you discover the keys you need to leave tobacco behind for good. To register, call 541-296-7319.

Love and Communication – a Workshop for Couples

each other. This class is limited to 8 couples. The class will begin with basic instruction and then each couple will be assigned a room and practice with guidance from our massage therapists. Each couple will receive a complimentary bottle of our customized massage oil blend.

Monday, Feb. 7, 6:30 to 8 pm $25

Love Is In The Air — Do You Love Your Skin?

Rodney McDowell, LCSW

Saturday, Feb. 19, 10 am Free

Committed couples keep their relationship growing. Why are we attracted to each other and how do we keep that attraction alive. What keeps a relationship healthy? Effective communication is one key to strengthening and keeping relationships healthy. In this workshop you will learn about the evolving relationship as well as learn helpful communication tips that will strengthen or revitalize your relationship.

Couples Massage Class Friday, Feb. 18, 6:30 to 9 pm $75 This couples massage class is based on simple, easy-to-learn relaxation massage techniques and is designed to help you and your partner share the nurturing, relaxing, therapeutic benefits of massage with

If you have a love/hate relationship with your skin, this class is for you! We will cover common skin conditions like acne and rosacea, and which ingredients and treatments are most effective.

Introduction to Aromatherapy Saturday, Feb. 26, 9 am to noon $50 (includes supplies) 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.

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

ORGANIC MEDI FACIALS

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/$550 Facial.......................................................................................$XX ADD ONS

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

HYDROTHERAPY

Botanical Mineral Bath Therapy and Wrap ....................$45 Botanical Mineral Bath Therapy & 60min. Massage....$99 Sunshine Bliss Hydrotherapy Mineral Bath ....................$45 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

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:05 AM Page 21

AEROBICS, YOGA & TAI CHI Membership Information; Single, Couple and Family Memberships are currently available. Our center offers a medical fitness approach to achieving lasting lifestyle changes and optimal wellness. We invite you to call 541-506-5779 to learn about membership. We offer a comprehensive selection of group exercise classes for all fitness levels. All group classes are included with membership. Nonmembers are welcomed. Please call for prices. THE

Mindfulness & Breath Work Part 1 Wednesday, Jan. 26 Part 2 Wednesday, Feb. 2 Or Part 1 Wednesday, March 16 Part 2 Wednesday, March 23 7 to 8 pm Free 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, comfortable clothing.

Introduction to Mindfulness Part 1, Wednesday, Feb. 9 Part 2, Wednesday, Feb. 23 Free Water’s Edge Meditation Room Mounting research is showing the health benefits of relaxation practices. In this basic class you will learn the history of mindfulness, the medical benefits and simple relaxation techniques that you can use in your personal plan of good health.

Health & Wellness

Some class sizes are limited. So, please call to register your spot 7 days in advance or less for each class. Class schedule subject to change, please check the calendar at WellnessAtWatersEdge.com.

CENTER

EXERCISE CLASSES

TAI CHI

Group Cycle – Mon 5-6 pm; Sat 12:30-1:30 pm

Tai Chi for Balance – Mon 9-10 am;

Tues/Thurs 5:45-6:45 am & 6-7 pm;

Tues 5:30-6:30 pm; Fri 1-2 pm

A great way to get a vigorous workout on an exercise bike! Instructors guide the group through varying phases of intensity. Participants determine their own exertion level.

A great introduction to Tai Chi, Participants may sit or stand during this class.

Intro to Strength – Sun 4-4:30 pm This 30-minute class will guide beginners through the basics of building strength.

Core Fusion – Thurs 9-10 am This is a mat-based core stabilization/yoga blend class.

Ride and Relax – Fri 7:30-8:30 am This class blends cycling, stretching and relaxation to build strength and flexibility.

Water Aerobics – Mon-Thurs 9-10 am; Tues/Fri 6-7 pm; Mon/Wed/Fri 10:30-11:30 am; Wed 4-5 pm A low-impact water workout that will improve muscle tone and cardiovascular fitness. All levels.

Dance Aerobics – Wed 5:30-6:30 pm Featuring interval training sessions where fast and slow rhythms are combined to tone and sculpt your body while burning fat.

Circuit Training – Mon/Wed Noon-1 pm Interested in building strength while simultaneously getting a great cardio workout? New participants are encouraged to sign up for the first class of the month.

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 safe and effective workouts.

YOGA Chair Yoga – Thurs 9-10 am 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 This easy-does-it class is perfect for beginners or people with limited mobility. Stretch, breathe and ease your way into greater flexibility.

Hatha Yoga All Levels – Mon/Wed 6:15-7:45 pm This class incorporates props such as mats, blankets and blocks, 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 with focus on breath, healthy alignment, core awareness, strength, flexibility and mindfulness. Beginners welcome!

Sunrise Yoga – Tues/Thurs 6:30-7:30 am Breathe, stretch, strengthen and begin your day in a positive way. All levels.

Vinyasa Flow Yoga – Wed 5-6 pm Incorporating pranayama (breath), asanas (postures) and exploring deeper floor poses, this class is for intermediate and advanced students of yoga.

Les Mills© Group Fitness Classes Coming This Winter – Fall in love with fitness. These dynamic group exercise classes are designed to give you the results you want while having more fun than you thought possible. You’ll never look at fitness the same way.

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:05 AM Page 22

DIABETES AWARENESS Please call 541-296-7319 to register.

Living Healthy with Diabetes Mondays, 2 to 5 pm Jan. 10, 17 & 24, March 7, 14 & 21

OUTPATIENT THERAPY SERVICES 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.

Rehabilitation Programs Orthopedic Rehabilitation

Neurological Rehabilitation

Specialized Programs

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

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

Occupational Therapy Hand Therapy and Upper Extremity Lymphedema Treatment and Therapy Speech Therapy Dysphagia Aquatic Therapy With a physician’s referral, these therapies are covered by most insurance plans, including Medicare. We will assist you to determine your insurance benefits.

WINTER SPORTS PERFORMANCE CLINICS THE

Health & Wellness CENTER

551 Lone Pine Blvd. WellnessAtWatersEdge.com

CLASSES

Individual Certified Diabetes Nurse Educator Consultation

A women’s health physical therapist can help resolve difficulty with pelvic pain, incontinence, pregnancy and postpartum concerns, and get you back to the lifestyle you enjoy.

SCHEDULE

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 Diabetes Education program at MCMC is accredited by the American Diabetes Association.

Physical Therapy Functional Capacity Evaluation (FCE) Golf Clinic Mobility & Seating Clinic Osteoporosis Vestibular Rehab & Balance Therapy Women’s Health Physical Therapy New!

DATES: Dec. 20-23 & 27-30 CLASS INFORMATION Limited to 15 participants per class. Call 541-506-5779 to register. Age limit is 13-19 . COST: Individual Day (2 sessions): $25 2 Day Package: $40

TOTAL BODY STRENGTHENING Learn proper lifting techniques for upper and lower body weight training. Class will addresses common lifting mistakes, performance enhancement supplements, workout durations, muscle soreness, and frequency of workouts. CORE AND BALANCE TRAINING Class focuses on strengthening core and stabilization muscles, and increasing your overall balance. Class will address common mistakes with abdominal and low back exercises, recommended stretching protocols, recognizing center of balance.

1 Week Package: $72 (Cannot be split between the two weeks) 2 Week Package: $120 • Fitness Center Adult Day Pass included in the weekly package prices. • Classes are not part of the normal Water’s Edge fitness program, and are not included in the membership.

PLYOMETRIC TRAINING Work on increasing burst power, muscle speed, increasing vertical jump, and stamina. Class will address injury prevention with repetitive activities, proper landing and throwing techniques, appropriate plyometric training schedules, and dynamic warm-up activities. AGILITY TRAINING Improve your footwork, increase your change of direction reactions, and improve general reaction times. Class will address ankle strengthening plans, upper body form in running activities, and bracing vs. taping.

Monday, Dec. 20 & 27 12:15-1 p.m. Men’s Core and Balance Training 1:15-2 p.m. Men’s Plyometric Training 2:15-3 p.m. Women’s Total Body Strength Training 3:15-4 p.m. Women’s Agility Training

Wednesday, Dec. 22 & 29 12:15-1 p.m. Men’s Plyometric Training 1:15-2 p.m. Men’s Core and Balance Training 2:15-3 p.m. Women’s Agility Training 3:15-4 p.m. Women’s Total Body Strength Training

Tuesday, Dec. 21 & 28 12:15-1 p.m. Men’s Total Body Strength Training 1:15-2 p.m. Men’s Agility Training 2:15-3 p.m. Women’s Plyometric Training 3:15-4 p.m. Women’s Core and Balance Training

Thursday, Dec. 23 & 30 12:15-1 p.m. Men’s Agility Training 1:15-2 p.m. Men’s Total Body Strength Training 2:15-3 p.m. Women’s Core and Balance Training 3:15-4 p.m. Women’s Plyometric Training

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:05 AM Page 23

Resolution Solution continued from page 16 “There are some people who can set their own goals and have the knowledge base and determination to follow through and reach that goal,” says Jenkins. “It’s rare but you do see them from time to time. For the rest of us, though, we need a little bit more. And a personal trainer or Wellcoach will significantly increase your chances of success.” Wellcoaching, Jenkins explains, is a one-on-one service that is a hybrid of personal training, nutrition and counseling. Wellcoach trainers help clients view fitness and nutrition as key components of their overall health, and help them recognize conditions that might keep them from reaching their goals. Wellcoaching is designed to bring the client along gradually, starting slowly and simply and then helping to build progress through exercise and nutrition. The trainer and client set specific goals, determine ways to measure progress; keep the program realistic and achievable; and set a time frame in which to reach the goals. “Even if people are eating healthy and exercising regularly, they might not be getting the full benefits if they are, for example, experiencing extreme levels of stress at their job,” Rizzo says.

“Wellcoaching can help people discover what obstacles are holding them back and find ways to work through them so that they can achieve the results that they want.” The Health and Wellness Center at Water’s Edge offers an ideal environment for people looking for guidance and assistance toward the lifestyle goals. Besides its Wellcoaching program, modern fitness and aquatics facilities the center offers a wide range of classes — including courses to help people eat healthier at home. “Water’s Edge offers a unique environment,” Rizzo says. “It is conveniently located and easy to come in and get your workouts done. Many of our members have commented about how much they enjoy coming in because now their workouts don’t seem like a chore. There is a real feeling of community here among our members and staff, and we pride ourselves on giving very personalized attention. That’s what keeps our members coming back.” For information on personal training, Wellcoaching or becoming a member of Water’s Edge Health and Wellness Center, phone Rizzo at 541-506-5779 or go to www.wellnessatwatersedge.com

“Wellcoaching can help people discover what obstacles are holding them back and find ways to work through them so that they can achieve the results that they want.” — Martina Rizzo, Membership Services Coordinator, Waters Edge Health and Wellness Center

Chef Manager Wally Inouye Join us during the holiday season and beyond for casual dining with a focus on fresh, local ingredients. In addition our delicious dining menu, offered seven days a week, check into some of our special activities and events. • Best Happy Hour in the Gorge – 3-6 p.m. • New Friday Night Suppers • Sunday Brunch • Banquet, Meeting and Wedding Facilities Space is still available for your business or private holiday party, and we host weddings small and large.

Coming In January • Quick-serve Tapas (small plates) lunch buffet • Dinners to go New nightly dinner entrees you can pick up and take home. Just $8-$12 including beverage • Friday Night Winemaker Dinners

541-506-5777 551 Lone Pine Blvd., The Dalles www.WellnessAtWatersEdge.com

OFF Present this coupon for $3 oﬀ any food item.

Expires February 1, 2011. | Limit one coupon per customer. Not valid during happy hour or with any other oﬀer.

Mon.-Fri. 6 a.m. to 9 p.m., Sat. 7 a.m. to 8 p.m., Sun. 9:30 a.m. to 3 p.m. For our complete menu, visit www.WellnessAtWatersEdge.com

Well Aware winter 2010_UPDATE_MCMC 11/23/10 10:05 AM Page 24

NON-PROFIT U.S. Postage

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

PA I D MID-COLUMBIA MEDICAL CENTER Permit #161

SAVE THE DATE IN

The Heart Expo Friday, Feb. 4 11a.m. - 2 p.m. The Dalles Civic Auditorium

Heart Truth Walk/Run Saturday, Feb. 5 10 a.m The Dalles Marina

(541) 296-8444 â&#x20AC;˘ www.mcmc.net/library

-Columbia Resource Health District.

2011