MID-COLUMBIA MEDICAL CENTER
Breathing Easier With Lung Disease t
Hip, Hip Hooray Joint Replacement Program Receives Gold Seal
www.mcmc.net
Fit at Fifty
Water Birthing
Winter 2013
Dear Neighbor You may have learned recently from The Dalles Chronicle, The Oregonian or our own website that in September Mid-Columbia Medical Center was honored as the sixth-best place to work among the largest employers in the state. This was based on an employee survey conducted in companies throughout the state by an independant data collection firm. Our high ranking was a great feel-good story for those of us within the MCMC family, especially when we learned that nearly 60 percent of our employees took the time to respond to the survey. They ranked our organization equal to or higher than other hospitals in key areas like working conditions, pay and benefits. That’s great for us, but what does it mean to you? The most obvious benefit of creating a workplace in which employees enjoy their co-workers and environment, feel valued by the people for whom they work and believe they are fairly compensated for what they do is this: Their satisfaction shows. It shows in the way they serve and care for our patients and visitors — you, in other words, if not in the past then most likely at some point in the future. It also benefits you because an organization with an employee-friendly reputation is an organization that is able to continue attracting high-quality people. Hospitals nationwide are struggling to fill critical positions because of a dwindling supply of well-trained, skilled healthcare professionals. At MCMC, we’ve succeeded where many others have not in large part because people we recruit understand that not many other employers can match the quality of life we offer, whether at play or at work. That is a rare combination, and if you have ever needed care from MCMC, I am confident you’ve seen for yourself the outstanding quality of people it has attracted.
Duane Francis President/CEO
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Winter 2013 t
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, MD Rob Carnahan Duane Francis Gretchen Kimsey Carina Schmidt Wallace Wolf, Jr., DVM
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In This Issue:
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Totally Awesome MCMC becomes only the third Oregon hospital to achieve the rare Gold Seal of Approval for its Total Joint Replacement Program.
Meet Our Newest Providers Introducing sports medicine specialist Mark Cullen, MD, nurse practitioner Johanna Nesse, FNP, and cancer specialist Patrick Archie, MD.
A Life Changer After completing MCMC’s Pulmonary Rehabilitation program, Patricia Brace moves past the effects of her lung disease and finds the light at the end of the tunnel.
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Healthy Edge Water’s Edge receives certified medical fitness center designation.
Fit at Fifty Regaining her physical fitness has helped Keri Byers rediscover her former self, inside and out.
Fluid Delivery MCMC becomes the first hospital in the Gorge to offer water birthing.
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Hard Work, Big Results, By George His own stubbornness and determination and the assistance of MCMC’s rehabilitation team help Goldendale stroke patient return to his former self.
Wellness at Water’s Edge Clinics, classes and programs to help you reach your healthy best.
WellAware is published by: Mid-Columbia Medical Center 1700 East 19th Street The Dalles, OR 97058 mcmc.net Editor: Dick Baltus e-mail: richardb@mcmc.net Writers: Dick Baltus, Cate Hotchkiss, Mark Adams Photography: Lauri Streaker Pages 3, 10-11, 14-15, 18-19 Jim Semlor Cover and pages 2, 3, 4-9, 16-17 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.
On the cover: Tammy Swearingen gets back in high gear after hip replacement surgery.
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By Mark Adams
Totally Awesome MCMC becomes only the third Oregon hospital to achieve the rare Gold Seal of Approval for its Total Joint Replacement Program.
Tammy Swearingen’s laughter comes much easier today than it did a short year ago. Chronic pain consumed much of her life back then, loudly raging throughout an eroding hip joint. It shouted for complete attention as it pushed away other priorities and changed Swearingen from the inside out. “The pain was unbearable,” she remembers. “And I was unbearable, to myself and other people. The way my personality was a year ago, I wouldn’t have wanted to be around someone who acted like me.” Swearingen feels fortunate that her own support system – loved ones, friends and even clients who employed her as a housekeeper — were much more patient and understanding with her. The Dalles resident is also thankful that ultimately her hipreplacement surgery — performed last December by orthopedic surgeon John Schwartz, MD, of MCMC | OHSU Orthopedics — and recovery went so well that most of the things taken from her by the pain, those parts of her life that brought her great joy, have since been returned. “Things are totally different now,” she says. “Before the surgery it was all doom and gloom; the anxiety and depression pain brings can just take over. But I’m enjoying being able to move again, to go hiking and hunting again and shopping with my daughters and grandchildren. I feel like the most important thing I’ve gotten back is my freedom.” Swearingen is convinced she had just the right team for her procedure. And if further evidence is needed to support her testimonial, MCMC’s Total Joint Replacement Program can provide it in the way of the Gold Seal of Approval it recently received from The Joint Commission.
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This rare certification signifies that MCMC’s program meets or exceeds the prestigious quality organization’s stringent patient care and safety standards for hip and knee replacement surgery and rehabilitation. Mid-Columbia Medical Center is one of only three Oregon hospitals to earn the Gold Seal for its Total Joint Replacement team, which includes all local orthopedic surgeons and the hospital’s surgery, nursing and rehabilitation therapy departments. Kim Hartley, RN, MCMC’s director of acute care nursing, says staff worked hard to establish a high-quality joint replacement program and wanted to take the extra step of seeking the voluntary certification from a well-respected independent organization. “We knew we had all the pieces in place, and we wanted outside confirmation,” she says. “The seal of approval certifies to the community that we use the best medical practices available, the quality of our care is excellent and the resulting outcomes for our patients are the best possible.” As part of the certification process, MCMC will undergo equally stringent renewal exams conducted annually by The Joint Commission. “The renewal process requires continued improvement,” Hartley says. “The process fosters increased communication and a shared vision for the future among all members of the multidisciplinary team working to develop and meet these goals.” That is a major attraction for Dr. Schwartz, who sees every orthopedic professional and staff member as vital to the program’s success. “One part of the ongoing certification requires regular meetings to evaluate our progress,” he says, “We share information, which leads to
improved training and communication. It’s all of us in this together.” Dr. Schwartz and Hartley agree the certification standardizes procedures now ingrained in the treatment process, improving care and reducing infection risk. “We’re making sure we do certain things in a specific way — basic things that need to happen the same way every time,” Dr. Schwartz says. Swearingen’s hip operation is one of several surgeries she’s had since suffering severe injuries in a car accident years ago. Dr. Schwartz, who has treated Swearingen for an extended part of that time, calls her a young and vivacious person made miserable by the increasing pain in her hip. “Now she’s back up and rolling again. It’s good to see her feeling good,” he says. Swearingen has revived her active housecleaning business and is also studying at Columbia Gorge Community College to be a medical assistant. She’s grateful for her good friend, Steve Reffet, who was “awesome” about doing errands or whatever else she needed, and for her daughters and grandchildren, who waited patiently for her bubbly personality to return. The road from painful darkness back to the light was a hard one at times but well worth the trip, Swearingen says. She advises others not to postpone joint replacement surgery if they need it. “It just creates havoc if you wait,” she says. “You try to compensate for the pain when you walk and then harm other joints. You need to get it done when your doctor tells you to get it done.”
Representing the MCMC Total Joint Team are (L-R) Brandon Strizich, Rehabilitation Therapy; Connie Jubitz, RN, Acute Care Nursing; Dr. John Schwartz, MCMC l OHSU Orthopedics; Zack Chown, Physical Therapy and Kim Hartley, RN, Acute Care Nursing.
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Meet Our Newest Providers
The Jock Doc Whether a weekend warrior or competitive athlete, if sport is your game chances are you are going to get to know new orthopedic specialist Dr. Mark Cullen.
When it comes to sports and sports medicine, Mark Cullen, MD, is a man for all seasons.
Dr. Cullen says there’s no question that athletes in The Dalles area are going to know who is.
As the newest member of the MCMC | OHSU Orthopedics medical/surgical team, Dr. Cullen has not only devoted his career to getting athletes back into the game after a sports injury, he also truly enjoys watching any sport played.
“As a sports medicine specialist, I enjoy being out on the sidelines. I’m not content to sit in the office waiting for patients to come to me,” he says. “I go to where sports are played because it is what I do and what I love to do. Following a full day at the office and on weekends, I go watch and cover cross-country, volleyball, soccer, track, baseball, football; you name it, I love it.”
From injury to diagnosis, treatment, rehabilitation and return to play, Dr. Cullen provides total care for athletes and non-athletes of all ages. “Sports Medicine is more than surgery,” Dr. Cullen says. “It is about easy access to care from the day of injury, accurate diagnosis, comprehensive rehabilitation and good communication with parents, coaches, and trainers about the athlete’s progress — it is total care of the athlete from beginning to end.”
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Dr. Cullen says it is important to be involved in sports injuries as soon as possible after the injury occurs. “I welcome calls for sports injuries 24/7 – it is what I do. I’ll see athletes on the sidelines or in my office. I want to be out there talking to baseball coaches about pitch counts and to parents about concussions. I’m not here just to do your surgery, I’m here to keep you active doing what you love to do.”
Originally from the Northeast, Dr. Cullen relocated to Atlanta following completion of his training. Over 15 years, he developed the region’s premier sports medicine and orthopaedic surgery practice, becoming the go-to specialist for athletes. He would typically see a full schedule of patients in his office during the day and still being on the sidelines for a 7:30 p.m. kickoff. Saturdays he would hold a walk-in injured athletes clinic. He plans to add a Saturday morning “sports injury clinic” at Water’s Edge to improve access for athletes. Contrary to what the term might imply, sports medicine involves much more than treating competitive athletes, Dr. Cullen says. “It involves care of young athletes with ACL (anterior cruciate ligament) tears and weekend warriors who have suffered overuse injuries like rotator cuff tears, tendonitis and muscle strains. I’ve had patients who tore an ACL during a tug of war or while teaching a child to skip.” Dr. Cullen is a graduate of Temple University School of Medicine in Philadelphia. After earning his medical degree, he completed a five-year orthopaedic surgery residency-training program at the University of Cincinnati Medical Center. He received additional sports medicine training in the premier fellowship program at Cincinnati Sports Medicine and Orthopaedic Center. Dr. Cullen is board certified in orthopedic surgery.
Dr. Cullen and his wife have four children, ages 9, 11, 12 and 13. He says the family visited and spent considerable time in the Northwest for several years before deciding to move The Dalles. “We fell in love with The Dalles the first time we visited in 2010; it just felt like home,” he says. “We fell in love with the wonderful people, the strong and collegial hospital system, the beauty of the area and the small town community. All that with the extra bonus of great skiing.” “Our move to Oregon, will allow me to practice in the field that I love and for our family to experience things we truly love, including enjoying the outdoors, golfing, fishing, skiing, boating, making new friends and getting involved in the community.” No matter what the season. Appointments are now being made with Dr. Mark Cullen at MCMC l OHSU Orthopedics, Water’s Edge, 551 Lone Pine Blvd., The Dalles. Please call 541.506.6500.
“Sports medicine isn’t just for athletes. It involves care of young athletes with ACL tears and weekend warriors who have suffered overuse injuries. I’ve had patients who tore an ACL during a tug of war or while teaching a child to skip.” — Mark Cullen, MD
In addition to his general orthopaedic surgery skills, Dr. Cullen has special interest in the treatment of shoulders and knees and in sports concussion management. “I’ve had four shoulder surgeries myself, which helps explain my special interest in that area,” he says. “And sports concussion management is another interest of mine that is getting a lot of attention in the news. I plan to bring my expertise and skills to the community in treating and educating parents and coaches about sports concussion diagnosis and treatment.”
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Meet Our Newest Providers By Mark Adams
You Can Go Home Again She has been away since she was 10, but nurse practitioner Johanna Nesse, FNP, already feels right at home in her new practice.
Since she returned to The Dalles last summer, after many years away, family nurse practitioner Johanna Nesse has received lots of warm “welcome homes.” It’s been nice, she says, if not just a little surreal, since she hasn’t been remembering most of the people who have recognized her. Nesse did, after all, leave The Dalles when she was only 10. Still, she says, the reception “has been very gratifying. I get all these warm greetings from people I don’t even know. It’s a very friendly and cheerful place.” Nesse says her parents, Dr. Rolf and Anne Nesse, are the reason the community is treating her like an old friend. Dr. Nesse was a family practice physician in The Dalles for many years before the family moved to Idaho. He still practices medicine in the Spokane Valley and his love for helping people was passed on to his daughter. Joanne spent most of the last decade in Colorado, attending school and earning a master of science degree in nursing at the University of Colorado. She then worked with heart patients at Swedish Medical Center in Denver. “I think a lot of my drive to get a master’s degree in nursing was that I wanted to be more involved in the day-to-day care of patients over a long period of time,” Nesse 8
says. “I wanted to go into general family practice, and there weren’t a lot of opportunities to do that in Colorado.” Ultimately she found her golden opportunity with the hometown hospital where she was born. She is now practicing with Judy Richardson, MD, and Carrie Vieira, PA-C, at Columbia Crest Clinic, Family Practice in The Dalles. As a nurse practitioner, Nesse sees her own patients and diagnoses and treats ailments. She can prescribe medications and order tests, referring patients to a physician as necessary depending on their needs. “I want to be more involved in preventive medicine, helping patients before they develop chronic disease,” she says. “I want to catch them before they need to enter the hospital and help them live their lives the way they want to live them.” Her experience with the MCMC family so far has told her she made the right decision when choosing the next stage of her medical career. “I think it’s a great community of providers, she says. “I like the Planetree philosophy and I see it exhibited in the interaction staff members have with patients and with each other.” Nesse says she is also once again enjoying the small-town friendliness of the area as
well as its natural beauty and opportunities for outdoor recreation. She is an avid long-distance runner and likes to participate in half-marathons, ideally those run on mountain trails. She’s also been snow skiing since she was 5 years old. Nesse also loves music. She’s played the violin since she was 3 and enjoys everything from Bach to more contemporary genres. She and her partner of 11 years, Harley Judd, were recently married. Nesse is looking forward to meeting more members of the The Dalles community in her new practice. “When you meet people as a healthcare provider you are on a different level with them in terms of trust – they open up to you,” she says. “You see a lot of people you would never get to meet otherwise and you get to help them with whatever they’re struggling with. You go from meeting them for the first time to immediately helping them solve their problems.” She hopes to have a long career in The Dalles caring for hometown patients of all ages. Appointments with Johanna Nesse can be made by calling 541.296.7677.
Meet Our Newest Providers By Mark Adams
Human Interest Celilo’s new cancer specialist is perfectly suited for the patientcentered philosophy practiced at Mid-Columbia Medical Center.
There’s a signature moment in Dr. Patrick Archie’s earliest experience at MidColumbia Medical Center, an instant when the young doctor first realized he had discovered a special place to practice a truly different, deeply personal brand of patient care. It occurred in 2008, the halfway point in the new Celilo Cancer Center hematologist/oncologist’s advanced medical training. Dr. Archie had taken a year off from training to recharge his physical and spiritual batteries and was working as a hospitalist at both MidColumbia and Providence Portland Medical Center, where he had completed his residency. One morning Dr. Archie entered the room of an MCMC patient in her 80s, who was there alone, with no family to visit her. As he reviewed her medical chart and checked on her progress, an employee delivered a breakfast tray to the woman, who looked down at the meal, shrugged and said, “I don’t think I have the strength.” So Dr. Archie took off his white coat, sat down and helped her eat breakfast, taking a break from his duties as a doctor to just spend some time as a companion. As he recalls the moment now he asks, “In what other hospital would I have the chance to do that?” Not in the rapid-fire frenetic environments of the other medical facilities in which he had spent so many of his past years. “In another setting I wouldn’t even have
thought about doing it,” he says. “But I was at MCMC. It was just so natural, and it was amazing.” The time spent with that elderly patient, and his early experiences at Celilo, have convinced Dr. Archie that he has settled in the perfect environment for pursuing his desire to make human connections in the best and the most difficult of situations. “The medical team is not on an assembly line here,” he says. “We have a manageable number of patients and time to answer all of their questions. There’s a great emphasis at Celilo on providing the best possible personal care for our patients, and for me that’s what really matters.” Dr. Archie says achieving that level of care requires he be able to empathize with his patients. “I always ask myself the question, ‘If I were this patient, how would I want to be treated? What would I want to know and how would I want to be spoken to?’.” The more clearly information is communicated the better, he adds. “The scariest thing about cancer is what you don’t know. I try to maintain excellent relationships with all of my patients. We usually have such good conversations that most of their questions are answered before they leave.” Dr. Archie says he strives to be the kind of doctor he would want his own mother to see. “I want to always give patients the attention they deserve and the best care possible.”
His residency training included a one-year rotation working in the Phil Knight Cancer Institute at Oregon Health & Science University. He later completed a three-year fellowship in Houston at the University of Texas M.D. Anderson Cancer Center, considered the leading cancer treatment facility in America. There he won the 2012 Humanitas Award for Compassion in Patient Care, a fitting award for a doctor now practicing in a hospital known worldwide for its personalized care. When Dr. Archie was considering joining Celilo he described the MCMC philosophy with a colleague who is a well-known expert in the field of physician-patient relationships. “You, of all the people I know,” the colleague told him, “will love a place like that.” Dr. Archie is married, and he and his wife Abbie are both musicians. His current musical passion is flamenco guitar; she plays piano. They have a black Labrador named Nash, whom they rescued from an animal shelter. The couple would like to have a family someday, and Dr. Archie said that’s about all their circle of life will need to be complete. “I want to be a good doctor, a good husband, a good musician and maybe a good father someday. I’m going to concentrate on those things and hope for continual improvement.” 9
By Dick Baltus
A Life Changer After completing MCMC’s Pulmonary Rehabilitation program, Patricia Brace moves past the effects of her lung disease and finds the light at the end of the tunnel.
It was 2003 when Patricia Brace learned she had late-stage emphysema, would have to go on disability and had better get used to accessorizing with an oxygen tank. And Brace could take a hint. Rather than take the bad news lying down, The Dalles resident got moving. After 30 years of smoking, she quit. She started exercising and eating better, losing weight in the process. She said No to disability, and found a job — at a health food store, no less. Then the store moved to a new location, a building where a few months later black mold was detected. This is not a good thing for anyone, let alone someone with chronic lung disease. But Brace needed the job. “We had already been there three months when they found the mold, but I needed the money,” she says. “I went into denial and worked there for about a year…until I just couldn’t any more.” As a result of her own positive lifestyle changes, Brace’s lung capacity had been increasing, but the prolonged exposure to the toxic mold took its toll. By the time she quit, her lung function was back down to only 22 percent of capacity. Brace was back under active medical supervision and watching much of the progress she had made slip away (“I went from functional to non-functional,” she says) when she read about MidColumbia Medical Center’s Pulmonary Rehabilitation program.
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Offered at Water’s Edge, the comprehensive exercise, education and stress-reduction program is designed to help patients with an array of chronic lung and breathing problems, such as COPD (chronic obstructive pulmonary disease), emphysema, bronchitis, fibrosis of the lung and asthma. Under the supervision of a physician, a team of health professionals, including nurses, a pharmacist, dietitian, exercise physiologist and stress-reduction expert, assists participants through the three-phased Pulmonary Rehab program. In the first two phases, participants gain an array of useful information, covering topics such as medication management, proper nutrition, how to get the most out of medical office visits, preventing respiratory infections and how to better manage stress, which has a role in most medical conditions. They also benefit from individualized and monitored exercise to build strength and endurance. In the new third phase, called MedEX, participates are able to continue to experience the benefits of medically supervised exercise after they have graduated from the 10-week program. Brace is one of many Pulmonary Rehabilitation graduates who refer to their time in the program as “life changing.” “It changed my entire world,” she says. “I learned how to manage stress and deal with anxiety, how to breathe properly, how diet affects my condition, how to uses medications properly.”
Are You a Candidate? Pulmonary Rehabilitation was designed for patients with lung disorders, …Whose shortness of breath compromises their lifestyle. …Who want to learn more about their disease. …Who want to learn ways to improve their breathing. …Who want to increase their exercise endurance.
Pulmonary Awareness Day Wednesday, March 27 Pulmonary Rehabilitation director Susan Benedict with successful grad Patricia Brace.
Watch for details about a special day of informative events and activities being planned at Water’s Edge for people with breathing disorders.
Brace says the supervised exercise took away her fear of becoming active again, which has paid significant dividends. “I didn’t think I would ever get any muscle tone back again. During this same time, I was taking care of my mother until she passed away. If I hadn’t been in this program, I would not have had the energy or stamina to do that.” The addition of the MedEX program has been an additional plus, Brace says. “I don’t have any equipment at home, so after I graduated I was afraid I wouldn’t be able, or motivated, to continue exercise. So I was really excited to hear about the new Phase III. It keeps me going and keeps things fresh. The program’s trainers are excellent, and being able to exercise at Water’s Edge and look out over the river is like a spiritual experience.” Brace isn’t confining her workouts to MedEX though. The 61-yearold gets plenty of exercise being the grandmother of six. “One of my granddaughters and I hiked this summer to the tunnels in Mosier,” Brace says. “She was counting the number of times I had to stop and get my oxygen level back up, but when we finished she said, ‘Grandma, I can’t believe you could do this.” Not long ago, Grandma wouldn’t have believed it either. If you would like to learn more about the Pulmonary Rehabilitation program at MCMC, please call 541.296.7319. The program is covered by Medicare.
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Healthy Edge
Healthful News From the Health & Wellness Experts at Water’s Edge
Heart Disease is Not Just for Men If you’ve been thinking heart disease is mainly a manly thing, then here is some news that may jolt you.
cardiovascular disease, including 7.5 million women suffering from coronary heart disease.
The rate of heart disease in women in the U.S. is not only higher than men, it is also more likely to go undiagnosed until later stages of the illness — when it is sometimes too late.
More women than men die of cardiovascular disease each year — 26 percent of women will die within one year of a recognized first heart attack, compared to 19 percent of men. And women are still less likely than men to receive appropriate treatment, the coalition states.
Cardiovascular disease is the leading cause of death among American women, killing more than a third of those who die annually. But because attention and research over many years has focused largely on male heart problems, women have been historically under diagnosed and treated for heart-related conditions. The good news is, that focus is changing. Many health agencies have been working hard to get the word out regarding heart disease symptoms and risk factors in women. According to the National Coalition for Women with Heart Disease, 42.7 million women in America are living with some form of
Women who are armed with appropriate information on the causes of heart disease have the opportunity to ask questions of healthcare professionals and make healthy lifestyle choices that can significantly cut down their health risks.
Recognize the Signs The heart specialists of MCMC | OHSU Cardiology at Water’s Edge have provided the following information to help women recognize the signs of heart disease or a heart attack. (For more information on women and heart disease, visit womenshealth.gov.) There are several health issues that may indicate heart disease in women. They include:
• Fatigue, even after resting all night • Shortness of breath • Dizziness • Nausea • Discomfort in the arm and chest
• Trouble sleeping • Feeling scared or nervous • New or worsening headaches • Back pain Women experiencing any of those symptoms should tell their doctor they are concerned about their heart. 12
Signs of a heart attack in women can be the same as those commonly assisted with male heart attacks, including arm, neck, back and jaw pain as well as nausea and shortness of breath. But women may also experience less common and more subtle signs, such as:
• Heartburn • Loss of appetite • Feeling weak or tired • Coughing • Heart flutters • An achy, tight or “heavy” feeling in the chest or back
• Breaking out in a cold sweat The more heart attacks signs that are present, the higher the likelihood of a heart problem. Do not wait longer than five minutes to see a doctor.
Heart Disease Risk Factors
Health & Wellness Center Earns Rare Accreditation
There are several risk factors that increase the likelihood of cardiovascular disease. They include:
The Health and Wellness Center at Water’s Edge has earned the distinction of being officially certified as a medical fitness center — a sign of excellence in the health and wellness industry.
• Diabetes • High blood pressure • High cholesterol • Lack of exercise • Obesity • Smoking • Stress • History of heart disease in the family Not smoking, eating healthy foods, maintaining a healthy weight, staying active and working with a doctor to control diabetes, cholesterol and blood pressure can all reduce the risk of heart disease.
February is National Heart Month See back page for information on Go Red For Women’s Heart Health.
“Traditional gyms are often designed to help the fit get fitter,” explains Martina Rizzo, health and wellness operations manager at Water’s Edge. “Water’s Edge is different in that we offer everyone, no matter where they fall on the fitness spectrum, the opportunity to safely improve their health and wellness.” In the Water’s Edge medical fitness model, medical and wellness services are integrated in one safe setting where people of all ages and medical conditions have an opportunity to take charge of and improve their overall health and well-being. Medical supervision, accountability and tracking outcomes play key roles in helping people make positive lifestyle changes. “We are committed to working with people with medical conditions and to creating programs that people can turn to for improving those conditions with exercise and lifestyle changes,” Rizzo explains.
“The staff provides guidance, as MEDICAL they are very F ITNESS knowledgeable A S S O C I A T I O N in the areas of various medical conditions and how they may be improved by exercise.” And, for those with no chronic conditions and not on prescription medications, exercising and using the array of wellness services offered at Water’s Edge can help prolong health and prevent disease, Rizzo adds. Studies show that two-thirds of our healthcare costs are driven by our daily choices. Water’s Edge was created to provide an inspiring and well-equipped space to help people learn to make healthier choices in their lives. “We provide a destination for wellness,” Rizzo says. “We would like for people to feel like Water’s Edge is their place. Each person uses this facility in a different way, depending on what their needs and goals are. “Our mission is to help people shift toward wellness on their scale between disease and being optimally healthy,” Rizzo adds. The medical fitness certification demonstrates that Water’s Edge is moving in the right direction — helping individuals and the overall community move toward prevention, wellness and optimal health. For more information on Water’s Edge memberships, please call 541.506.5779.
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By Cate Hotchkiss
Fluid Delivery MCMC becomes the first hospital in the region to offer water birthing, which is gaining popularity among mothers seeking a more natural delivery. The Sawyers with newest family member Ethan, one of MCMC’s first water-birth babies.
Before he took his first breath on Oct. 11, baby Ethan Oliver Sawyer first felt warm water against his face followed by the warmth of his mother’s hands.
new 190-gallon water birth tub provides the deep-water immersion that gives mothers the more comfortable feeling of floating, Becker adds.
Sawyer says during the water birth, she felt a sense of control over the birthing process. She appreciated the hands-off approach and lack of medical interventions.
Ethan was one of the first babies delivered in the new water birth pool in Mid-Columbia Medical Center’s First Impressions birthing center. Water birth, or giving birth while immersed in warm water, has become increasingly popular among women who wish to avoid pain-blocking medication, explains Ann Becker, RN, CNM, director of First Impressions.
That experience through labor and delivery made a difference to Ethan’s mother, Cora Sawyer. After having her first two babies “on land” in a conventional hospital bed, she says water birth was gentler on her body throughout the labor, delivery and recovery process.
“Two nurses and a doctor were there; they were very attentive and ready to intervene had anything happened, which was one of the draws of having a water birth at the hospital and not at home,” she explains. “They just kind of watched and coached a little bit.
“The demand for water birth is growing, so we wanted to make sure we were responding by making this alternative available to our mothers,” she says. MCMC is the only hospital in the Gorge that offers the water birth option, which, Becker explains, is a “hands-off modality,” meaning providers and/or nursing staff are present, but only intervene when absolutely necessary. Usually the mother pulls the baby out of the water herself. “Mothers like it,” says Becker. “It gives them control.” While hydrotherapy during labor has long been offered in a Jacuzzi tub at MCMC, the
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Why Water Birth? Sawyer provides her own colorful answer to that question: “It’s a way to have a baby without feeling like you’re dying,” she says. When she learned from her nurse midwife, Mandelynn Morgan, CNM, that water birth was an option, she and her husband, Jared, embraced it. “We wanted to try something more natural and relaxed,” explains Sawyer. “Giving birth in the water seemed natural, peaceful, calming and simple. I didn’t want to be offered pain relief. With water birth, needing pain relief didn’t even cross my mind.”
“Essentially I delivered, and it was all me hands on and not them at all. I was the first one to touch my baby, scoop him up and hold him. It was an amazing experience.” After she delivered, she says she and Jared were left alone in the peaceful, calming room with their baby. “It was a nice bonding experience for all of us.” Sawyer says water birth made the postpartum period easier, too. “My body never took the harsh toll it did the first time. The next day, I was in no pain. I was up and around the next day. I felt good.” “The whole water birth process was incredible,” she adds. “It all added up to be a success and a huge blessing for us.”
Just three days after Sawyer gave birth, K’Lynn Lane arrived at First Impressions in active labor — it was time to fill the pool again. Like Sawyer, she had an instant connection with water and its healing properties. “I knew I wanted to have a natural delivery and thought What can I do to make it easier on my body?” explains Lane. “I knew the water would be where I’d be most comfortable. I wanted to be able to move around and get into different positions as my body progressed through labor. I also wanted to do what was best for the baby and be fully present for the whole experience, especially afterward. The water allowed me to stay relaxed and calm; for me that was a big part of my desire for this.” Buoyant in the pool, Lane could move freely, manage her pain and thus stay more aware of all that was happening. When it was time to push, Lane says the baby’s head came out easily, but the doctor had to maneuver the baby’s shoulders out just a little bit. Lane then pulled the baby out herself and onto her chest while her husband, Josh, also in the pool behind her, was looking over her shoulder.
“He was my rock,” she says. “He was a huge part of the delivery. I couldn’t have done it without him. It was absolutely beautiful.” Becker explains that for a woman to qualify for water birth, she must have a “normal” pregnancy without medical or obstetrical problems that would put her or her baby at high risk. She says people often ask what prevents the baby from breathing underwater. The baby, she explains, only stays underwater a few seconds and doesn’t take a breath until he or she feels the air. “We’re all on top of it,” says Becker, “We’re not going to take risks.” She says the babies that have been born via water birth have arrived “super alert with wide open eyes and a great tone. It’s really lovely.” After a successful first wave of water births, Becker expects to fill the pool many more times. “I’ve been doing this for 35 years, and I actually got a little teary during the first water birth – it was fun to watch,” she says. “We’re excited to be able to offer it.”
For more information about birthing options at MCMC, contact First Impressions Birthing Center at 541.296.7210 or talk to your provider.
“I knew I wanted to have a natural delivery and thought What can I do to make it easier on my body? I knew the water would be where I’d be most comfortable.” The Lane family revisits the 190-gallon water-birth tub.
— K’Lynn Lane
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By Cate Hotchkiss
Fit as a Fiddle at Fifty Regaining her physical ďŹ tness has helped Keri Byers rediscover her former self, inside and out.
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At age 50, Keri Byers is back on track. And she plans to stay there. The kindergarten teacher at Covenant Christian Academy has steadily lost 50 pounds in the last few years. But the weight loss is just part of her success story, she says. “I’ve found myself again,” explains the former Texan in a charming southern accent that reveals her roots. “Being health conscious is really who I am.” Growing up and into her early 20s, Byers was an athlete. She ran track and triathlons, played basketball, spent untold hours in gyms. “After having children, I kind of put my fitness on hold,” says the mother of four, ages 11, 16, 21 and 25. “Gradually, the weight caught up with me.” Byers made the decision to shift gears — to get back into shape — several years ago as she faced a difficult divorce process. She wanted to be strong for herself and her children. With her well-being at stake, she knew that getting physically fit would also give her the positive state of mind she needed to get through a challenging time “without collapsing,” she says.
supplementing with vitamins and nutrient-rich shakes to fill any nutritional gaps. And she drank lots of water. She then added group fitness classes to her routine, including Body Pump, a highenergy barbell class that helped tone and strengthen her body. Now, she’s a class instructor, something she says she never expected. She teaches two Body Pump classes per week and loves it. “When the opportunity was presented, I thought: Can I do this at my age? It’s really an intense program,” says Byers. “Teaching is a way to give back. It’s also helped my confidence.” She also recently completed a triathlon, the first she’s run in nearly 30 years. “I’d never worn a wet suit,” she says. “I was out there in the Columbia River sayin’ to myself, What have I gotten myself into?” And in the next breath: “You keep goin’, girl.” Whether in her role as teacher, friend or mom, Byers encourages others to harness their own strengths to overcome obstacles. She believes people allow the fear of failure to hold them back or keep them from trying. In fact, her greatest reward comes from encouraging another person.
“We all have the power to make positive changes in our lives,” she says. “I tell people: You can do it. You can keep going. You will make it.” Byers has created a tool to help her stay on track, the “Wheel of Balance of Life.” “My goal is to stay balanced,” she says. “It’s important to rest, too, so I can take care of others.” She regularly checks in with herself to ensure each piece of the wheel is getting the attention it deserves. Recently, she added graduate school to the balancing act, taking online courses through Concordia University toward a master’s degree in education. It’s sometimes a challenge to balance it all, she says. “I still want a clean house,” she says, laughing. “I made apple bread on Sunday. I still find time to cook.” Beautiful both inside and out, Byers adds, “I’m getting older, but I feel better than I’ve felt in 20 years.”
For information about membership in The Health & Wellness Center at Water’s Edge, please call 541.506.5779.
“I knew I had a lot of healing to do and I didn’t want to go on anti-depressants,” Byers explains. Her biggest challenge was overcoming the fear of moving on, but she refused to let fear hold her back. Instead, she joined support groups, adopted a healthy lifestyle and began exercising regularly — a positive formula that moved her toward wellness and a “healed-up” lifestyle, she says. When the Health & Wellness Center at Water’s Edge opened in June 2010, Byers joined and “hit it hard,” she says. She started by lifting weights, swimming and cycling. She also improved her diet, adding more fruits and vegetables and
After putting her fitness “on hold,” Keri Byers is pumping up again.
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By Dick Baltus
Hard Work, Big Results, His own stubbornness and determination and the assistance of MCMC’s rehabilitation team help Goldendale stroke patient return to his former self.
The best sign George Scheredella could have received that he was almost recovered from his stroke was a sign that might have offended some people. After leaving MCMC’s mPower Acute Inpatient Rehabilitation unit last June, Scheredella returned just three months later to say Hello to the therapy staff he had work so closely with for two intense weeks. The problem was, he had made so much progress that the staff didn’t recognize him. Of course, Scheredella wouldn’t call that much of a problem all things considered. On June 7, the Goldendale resident experienced a bleed in his brain that made the right side of his body go weak, affected his speech and resulted in a trip to OHSU for stroke care. Six days later he was transferred to mPower with limited use of his right side and able to speak in only one-word responses, primarily yes and no. “I could barely use my right hand for a month; now I have almost full use of it,” says Scheredella, who obviously has regained the use of multiple words as well. He needed a wheelchair to get around when first admitted, but within a few days graduated to a walker, then a cane and soon was moving on his own. He owes his progress to the intensive plan of therapy led by the mPower staff and to his own hard work, not to mention a little stubbornness. “The therapists helped me tremendously,” Scheredella says. “They worked on my speech and mobility, got me up every day to walk and do different exercises and activity. And I was pretty determined get better. I really kept at it and pushed the envelope. I’m pretty stubborn, and the staff said it was good to be stubborn.”
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In just a few months, George Scheredella has recovered enough from his stroke to complete a roofing project by himself.
Scheredella also gives ample credit to his wife, Peggy, who was encouraged by staff to participate in his care and showed up every day. “She was my Rock of Gibraltar,” he says. Autumn Morrety-Randall, RN, mPower nurse manager, says the goal of the therapy team is to return patients home or into another community setting, such as an adult foster home or assisted living setting, as quickly as possible. So the therapy regimen is fairly intense. Over the course of three hours each days, patients may be involved in a range of activities, including physical, occupational and speech therapy and an array of socialization programs, many outside the unit.
By George
George and his “Rock of Gibraltar,” wife Peggy.
“Patients eat three meals a day in our community dining room, and their families are welcome; that’s part of the therapy, but it also helps with socialization,” says Morrety-Randall. “On Thursdays, we help patients make the transition back into the community by taking them places like the post office or Discovery Center or retail outlets.” If discharged to their home, as Scheredella was, patients receive follow-up visits from Mid-Columbia Medical Center’s Home Health team and often additional therapy from MCMC Outpatient Therapy, located at Water’s Edge. Scheredella completed all phases of his treatment with flying colors.
The goal of the therapy team is to return patients home or into another community setting, such as an adult foster home or assisted living setting, as quickly as possible. “I still have a few problems with my speech if I get talking too fast, but I can close my fist now real tight, and I am getting healed up.” He’s back to operating both tractors and horses and looking so good he’s not looking familiar to the people who helped him get back to his former self. For more information about mPower Rehabilitation, please call 541.506.6901.
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W I N T E R 2013 | W E l l N E s s aT WaT E R ’s E d g E
Core Health & Wellness All classes and clinics or appointments are held at Water’s Edge, 551 Lone Pine Blvd., The Dalles, unless otherwise indicated. Pre-registration or appointments 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 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 10-week class explores the relationship between breathing disorders and physical activity. It will guide patients in making lifestyle changes that will help them to improve their endurance and quality of life. Goals within this program include: • Decreasing shortness of breath • Improving physical conditioning and exercise tolerance • Improving emotional well being
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.
Individual Diabetes Nutrition Education Meet one on one with our registered dietitian, who will review your blood sugars in relationship to your nutrition. Together you will customize a healthy eating plan that will support living well with diabetes. Covered by most insurance plans.
Individual Certified Diabetes Nurse Educator Consultation 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 you and customize the visit to your specific concerns. Covered by most insurance plans.
All lectures are free and open to the public, and are held in the Deschutes Room on the second floor at Water’s Edge, 551 Lone Pine Blvd., The Dalles. All programs are from 7 to 8:30 p.m. Call 541.296.8444 or visit www.mcmc.net/library to register. Tuesday, Feb. 19
Good Night, Sleep Tight: Children & Sleep Dr. Paul Cardosi, director of MCMC Sleep Center The quality and quantity of your child’s sleep can affect the entire family. Find out how you can you encourage good sleep habits for your child, why sleep is so important to children and their well-being, and how much sleep children actually need at different stages of development. Tuesday, Feb. 26
Could it be Your Thyroid? Dr. James Lundblad, Endocrinologist at OHSU and Columbia Crest Clinic Outpatient Services Learn the many disorders that affect the thyroid plus symptom management and treatment. Tuesday, March 5
The Low Glycemic Index Diet: Is it for You? Registered Dietitian Kjersti Madsen Learn about the Low Glycemic Index Diet and the role it plays in weight loss and the prevention of chronic illness such as diabetes and heart disease.
Babies 101: Healthy Pregnancy, Health Delivery and Getting Your Body Back
Water’s Edge at Lone Pine Village
551 Lone Pine Blvd., The Dalles 20
Spring Health Lecture Series
Tuesday, March 12
For information or to register call 541.296.7319.
Mid-Columbia Medical Center
Planetree Health Resource Center
Ann Becker, RN, MN, CNM, director of First Impressions at MCMC; Mandelynn Morgan, CNM at Columbia River Women’s Clinic; Christina Castellano, PT, DPT, director of MCMC Outpatient Therapy Our panel of experts discusses what makes a healthy pregnancy, the newest in labor and delivery options available at MCMC, including water births, and getting your body back after childbirth.
W E l l N E s s R E s o u R c E s f R o m m I d - co lu m b I a m E d I c a l c E N T E R
Workshops & Clinics Living Healthy with Diabetes Jan. 7, 14, 21, 28, 2 to 4:15 pm or Mar. 4, 11, 18, 25, 2 to 4:15 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 Diabetes Education program at MCMC is accredited by the American Diabetes Association.
Healthy Weight Solutions Wednesdays, 6:30 to 8:30 pm $199 Begins Jan. 16, 8-week program Call 541.296.7319 for dates and times Looking for a change? Lacking motivation? Come join us in Healthy Weight Solutions to get the boost you need to live the life you've imagined. By focusing on mindful living in all aspects of your life, including food, exercise and stress reduction, you will learn to live in harmony. In our eight-week program we will provide you with an individualized meal plan tailored to your metabolic rate as well as personal training ideas for exercise. Healthy Weight Solutions provides you with the tools to sustain a healthy life and attain your body’s ideal balance. You are welcome to bring a support person for free!
Mindfulness Meditation Wednesday, Jan. 23 or Wednesday, Mar. 20 7 to 8:30 pm Water’s Edge Meditation Room Free 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.
Mindfulness Breath Wednesday, Feb. 20, 7 to 8:30 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 comfy clothing.
Borderline or Pre-Diabetes Class Tuesday, Feb. 26, Noon to 1 pm Free Studies show that diabetes can be delayed for 10 years or prevented with lifestyle change. If your healthcare provider has told you that you have pre-diabetes or you are interested in preventing diabetes, this class is for you.
Mindfulness-Based Stress Reduction Wednesdays, 2:30 to 4:30 pm Begins April 3, 8-week program $199 In this clinic our instructor will help you to explore ancient and modern evidencebased researched 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. The practice allows you to attain: • Lasting decreases in physical and psychological symptoms • Reductions in pain levels and an enhanced ability to cope with pain that may not go away • An increased ability to relax • Greater energy and enthusiasm for life • Improved self-esteem • An ability to cope more effectively with both short and long-term stressful situations • Healthy weight management
Individual Nutrition Consultation 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.
SHAPEDOWN Starts Feb. 26, after school Call 541.296.7319 for dates and times SHAPEDOWN is a program that for over 30 years has gained national recognition for teaching parents and children about living a healthy lifestyle. It is geared for children ages 6 to 18 years of age. Children and teens in SHAPEDOWN enhance their self-esteem, improve peer relationships, adopt healthier habits and begin to normalize their weight within their genetic potential. Parents feel better about their parenting and about their child. The family becomes healthier and closer. The results of SHAPEDOWN go far beyond weight control.
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Aerobics, Yoga & Tai Chi Water’s Edge Health & Wellness Center offers a medical fitness approach to achieving lasting lifestyle change and optimal wellness. We offer a comprehensive selection of group exercise classes for all fitness levels. All group classes are included with membership. Non-members are welcomed. Please call 541.506.5779 for prices. Currently we offer more than 40 group classes per week! Some class sizes are limited. Registration becomes available 7 days prior to each class. Class times and days vary. Please check the calendar at WellnessAtWatersEdge.com for up-to-date information.
WEEKLY ACTIVITIES INCLUDE:
YOGA Core Yoga
Healing Hatha Yoga
This is a mat-based core stabilization/ yoga blend class.
This class is tailored to the individual. Beginners welcome!
Gentle Yoga
Sunrise Yoga
An easy-does-it class perfect for beginners.
Breathe, stretch, strengthen and begin your day in a positive way. All levels.
Hatha Yoga All Levels This class incorporates props, allowing participants to receive the maximum benefit from each posture.
HOURS Monday - Friday: 8 am - 1 pm, 3 - 8 pm Saturday: 8:30 am - 1 pm
Vinyasa Flow Yoga Explores flexibility, strength and balance.
• • • •
Physical Activities Hide & Seek Treasure Hunt Adventures Dehydrating Fruit Arts & Crafts
Please contact the Kid’s Club for more information on new programing for 2013 as well as Parent’s Night Out schedule. 541.506.5786
Skin Care Club
EXERCISE CLASSES Les Mills BODYPUMP™
Water Aerobics
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.
A lower-impact water workout that will improve muscle tone and cardiovascular fitness. All levels.
Les Mills BODYFLOW™ Fusion of Tai Chi, Yoga and Pilates-inspired poses that will leave you feeling strong, centered and calm.
Circuit Training Interval resistance training intended to help you build strength and improve cardiovascular fitness.
Boot Camp Ramp up your workout with a dynamic combination of plyometric drills and body and weight exercises. Intensely fun!
Group Cycle/Core This is an awesome 45-minute cardio blast workout on a stationary bike followed with 30 minutes of core specific exercises.
Group Cycle A great way to get a vigorous workout on an exercise bike! This class is taught by inspiring instructors making it fun and challenging! 22
Zumba Aerobic dance exercise designed to tone and sculpt your body while burning fat.
Tai Chi for Balance 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 Assessment.
Club 6
Our Skin Care Clubs were created to help you achieve the healthy skin you desire through individualized skin care therapies. Both pay-asyou-go plans allow you to receive fabulous discounts as you fulfill your commitment to caring for your skin.
Club 12
Treat your skin to 3 facials in 6 months and receive 50% off your 4th facial.
Rejuvenate your skin with 6 facials in 12 months and receive 7th facial FREE!
All Skin Care Club members will receive fun surprises with each visit. Schedule your treatment today and sign up for the Skin Care Club of your choice!
To register for classes call 541.296.7319. To schedule an appointment in the Spa call 541.506.5788.
Couples Massage Class Tuesday, Feb. 12, 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 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 complementary bottle of our customized massage oil blend.
Aromatherapy for Massage Therapist
Valentine’s Day Gift Certificates
Tuesday, Feb. 26, 9 am to 3 pm $75
Couples Relaxation Massage for Two $200
This class is geared for massage therapists who are interested in customizing Essential Oils in their practice. Instruction will include basic chemistry and how essential oils work in harmony with the body, how to choose oils based on physiological and emotional levels, the art of blending and three treatments you can do with clients.
Introduction to Aromatherapy Saturday, March 2, 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.
Includes 60-minute couples massage, $50 toward dining and beverages in our Bistro and a chocolate surprise. Delightfully gift wrapped.
OR Choose any dollar amount toward a full spa service and we will include a chocolate delight for your loved one.
Wellness Retreats and Spa Packages 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 For spa menu and spa services: www.WellnessAtWatersEdge.com or call 541.506.5788.
Spa Menu — Combine any two single services and receive a 10% discount excluding waxing. Gift Certificates available. MASSAGE
Relaxation............................................ 60min/$65 90min/$90 Therapeutic ............. 60min/$75 90min/$100 120min/$135 Happy Hands/Feet/Neck/Shoulders .................... 60min/$75 Couples Massage Relaxation ..................................... 60min/$150 90min/$200 Therapeutic................................... 60min/$170 90min/$220 ENHANCEMENTS
Add warm stones to any massage .............................. $15 Extend massage by 15 minutes .................................... $15 Foot Therapy (reflexology or massage) ................15min/$15 Scalp Massage....................................................... 15min/$15 Scalp & Face Massage ......................................... 15min/$15 REFLExOLOGY
Reflexology .............................................................. 60min/$65 Reflexology & Relaxation Combo ...................... 90min/$100 ACUPUNCTURE
Evaluation & Treatment...................................................... $85 Follow-up Treatment .......................................................... $55
BATH THERAPY
RESURFACING TREATMENTS FACIAL AND BODY
Botanical Mineral or Oriental Bath Therapy & Mini-Reflexology............................................................$45 & Essential Facial .............................................................$105 & Relaxation Massage ................90min/$99 120min/$120 & Therapeutic Massage............90min/$109 120min/$130
TREATMENT PACKAGES
Head to Toe Therapy ........................................... 2 hours/$130 Scalp Massage / Foot Therapy / Bath Therapy / Massage
HAIR REMOVAL
Eyebrows ...................... $15 Bikini............................. $35 Full Face........................ $50 Full Leg ......................... $60 Brazilian ....................... $85
Infusion Peel......................................... $95 series of five/$400 Microdermabrasion................................ $95 series of six/$485 Rain Hydro Therapy.......................... 45min/$75 75min/$110
Lip or Chin .................... $10 Underarm..................... $35 1/2 Leg.......................... $35 Full Leg w/Bikini......... $85 Back..................... $35 & up
SKIN CARE AND FACIALS
Cell Actif Plus Professional Facial Treatment .....................$125 Men’s...............................$75 Essential Facial ............$75 Treatment Focused .....$85 Teen .............................. $45 Make-up Application Back .............................. $95 & Lesson ...................... $50
Head to Toe Rain Hydro Therapy ................. 2.25 hours/$155 Rain Hydro Therapy / Head & Foot Therapy / Massage
Especially for Women ...................................... 4.5 hours/$275 Therapeutic Facial / Massage / Dietitian Coaching Sessions
Renew Total Body Skin Care ......................... 2.25 hours/$175 Essential Facial / Botanical Mineral Bath / Rain Hydro Therapy
Relax ........................................................................ 2 hours/$99 Therapeutic Facial / Take Home Skin Care Package
Rejuvenate ........................................................ 2.5 hours/$200 Facial Peel or Microdermabrasion / Essential Facial / Massage / Products
Revitalize......................................................... 2.75 hours/$295 Treatment Focused Facial / Rain Hydrotherapy Body Exfoliation Relaxation Massage / Lip & Eye Collagen Treatment / Products
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NON-PROFIT U.S. Postage
CURRENT RESIDENT
PA I D MID-COLUMBIA MEDICAL CENTER Permit #161
1700 E. 19th St., The Dalles, OR 97058
JANUARY 31, AND FEBRUARY 1 & 2 FREE ADMISSION
men s Heaart Health 2013 I t s time to get your red out at a t he 2013 Go Red for Women s Heart Health event.
Learn how to love your heart with three days of heart healthy education, fun, and activities. For full information contact the Planetree Health Resource Center at 541-296-8444 or www.mcmc.net, or follow this event on Twitter at #MCMCGoRed or facebook at http://bit.ly/mcmcgored.
THURSDAY, JA JANUARY 31 Small Steps for Big Changes Water’s Edge, 6pm - 8pm Limited seating – please call for registration at 541-296-8444 The journey of a thousand miles begins with a single step. Join our panel of experts as we discuss the small steps that can lead to big changes for disease prevention, a healthier heart, and a longer and happier life. Panel members, MCMC Cardiologist Dr. David Guarraia, Brandon Strizich, Director of Fitness and Wellness at Water’s Edge, Rodney McDowell, LCSW, and Kjersti Madsen, Registered Dietitian will talk about tips to help make the changes you need on your journey to better health.
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www.hearttruth.gov
FRIDAY, FEBRUARY 1 (NATIONAL WEAR RED DAY) Heart Expo & Noon Heart Wa alk The Dalles Civic Audito orium, 11am – 2pm t Free Health screenings (Know your numbers!) t Noon Heart Walk - Poker Fun Walk through historic downtown The Dalles t t Interactive exhibits and prize drawings t Massage, yoga, reiki, and other relaxation stations t Heart Health Café soup and bread lunch ($3.00 cash only)
SATURDAY, F FEBRUARY 2 The Heart Truth - 3k/5k Walk/Run and 10k Run t On-site registration 9:30am – Walk/Run 10am t Register by Friday, January 25 to be guaranteed a shirt – www.mcmc.net, or pick up a registration form at the Planetree Health Resource Center, 200 E 4th St., The Dalles t Cost: Pre-registration: $15 includes shirt; $5.00 no shirt, or Day of Race Registration: $20 includes shirt; $10 no shirt. Student pricing: $5.00 no shirt t Prizes, hot drinks available for purchase - cash only t Mid-Columbia Health Foundation Cardiac Rehab Assistance Fund
A health promotion project of Mid-Columbia Medical Center, Planetree Health Resource Center, North Central Public Health District and Water ’s Edge.