WellAware Spring 2013 by Mid-Columbia Medical Center

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MID-COLUMBIA MEDICAL CENTER

A Fresh Approach To Food t

Preventing & Managing Concussions

Community Benefit Report Spring 2013

Take That, Diabetes! A Classic Success Story

www.mcmc.net

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Dear Neighbor Quality is a word that gets used a lot in the healthcare industry. All too often it is used arbitrarily, with no substance to back it up. Healthcare organizations throw out phrases like “world-class physicians” and the “highest-quality care possible” and their public, apparently, is supposed to accept them as truth, without expecting they have actually done something to earn their own high praise. We don’t play that game at Mid-Columbia Medical Center. We think it is important to let you know how our care measures up, but fortunately we don’t have to rely on hyperbole to get our point across. Instead we rely on the quality of our people. For example, in this issue of Well Aware you will read about three MCMC nurses who were among only 16 individuals in Oregon honored as 2012 Nurses of the Year by the March of Dimes. Only Oregon Health & Science University had as many nurses honored, and that speaks volumes about the quality of nursing care available at MCMC. We encourage our nurses and other personnel to pursue continuing education in their ﬁeld, and in all areas of the hospital you will encounter professionals with advanced training and national certiﬁcations. The quality of our staff also has helped our organization receiving numerous awards recognizing the overall quality of care provided to our patients. This includes not only regular accreditations from the Joint Commission — a sign that we meet or exceed the industry’s highest quality standards — but also awards for our participation and performance in national studies designed to improve quality of care. You can read in this issue about the most recent of these, the Aligning Forces for Quality study. MCMC also was honored last year by The Oregonian as the sixth-best place to work among Oregon’s large employers. We know that a high-quality workplace attracts a high-quality workforce, so we have committed ourselves to creating an environment that encourages personal growth and fosters high performance. Ultimately, the true measure of a quality healthcare organization isn’t the words it uses to describe itself. It’s the quality of the people who comprise that organization. And in that regard, our people speak for themselves.

Duane Francis President/CEO

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Spring 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 Carina Schmidt Wallace Wolf, Jr., DVM 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 by Lauri Streaker 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.

In This Issue:

Playing It Safe MCMC’s Orthopaedics and Sports Medicine team helps area athletes head off serious problems related to concussions.

Food With Thought The man in charge of food at MCMC takes a fresh and local approach to MCMC’s menus.

In Good Company Three MCMC nurses are among only 16 statewide to earn 2012 Nurse of the Year honors.

A Force for Quality An outstanding performance in a national quality improvement project shows MCMC is serious about meeting the highest standards for patient care. .

Diabetes, Schmiabetes! Diagnosed with diabetes at age 3, and still full of vim and vigor at age 78, Anne Marie Smith says the secret to success is showing the disease who’s boss.

Community Benefit Report How MCMC is giving back to the communities we serve.

Our Unsung Volunteer A tribute to Peggy Berthold.

Playing for Keeps The threat of diabetes motivates Ed Stephenson to develop a healthier game plan and start working back to his former self.

Healthy Edge Weight-loss advice from our experts.

20 Wellness at Water’s Edge Clinics, classes and programs to help you reach your healthy best.

On the cover: Anne Marie Smith and her husband, Leon, with their 1946 Chevrolet pickup. 3

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By Dick Baltus

Dr. Mark Cullen has extensive training and experience in sports medicine and concussion management.

Playing It Safe MCMC’s Orthopaedics and Sports Medicine team will offer area athletes specialized expertise and sophisticated testing to help head off serious problems related to concussions.

Playing sports is a great way for young athletes to have fun, stay in shape, and learn the value and beneﬁts of teamwork and much more. But there are, of course, risks involved in almost any sport, and concussions are among the most common of them. It is estimated that there are around 4 million sports-related concussions annually and that about 10 percent of all student athletes participating in contact sports suffer a concussion each year. The incident of sports-related concussions is increasing so rapidly that the Centers for Disease Control now conclude they have reached an epidemic level. Many concussions are not recognized by parents or coaches and are frequently never evaluated by a physician. While concussions are most common in football, they can happen in virtually any sport, says Mark Cullen, M.D., of MCMC | OHSU Orthopaedics and Sports Medicine. “Concussions are most common in sports like football, soccer, basketball and wrestling, but I have treated them in cheerleaders, gymnasts, even swimmers,” says Dr. Cullen. And, of course, there are numerous sports and activities outside of school where concussions can occur, like cycling, playground activities and, in this region especially, water sports. “If you are kite boarding and hit the water at 25 miles per hour, it is very similar to hitting your head on concrete,” Dr. Cullen says. Dr. Cullen’s goal is for MCMC’s Sports Medicine physicians and athletic trainers to build on the already close relationships that exist with area high schools to help ensure that concussive injuries are quickly detected, properly treated and carefully managed to prevent the potential serious long-term problems they can cause. 4

What is a concussion? A concussion occurs when the brain is forcefully shaken inside the skull. It can occur from a hit to the head or blow to the body that causes the head to move rapidly back and forth. But it doesn’t take a major impact or direct hit to cause a concussion, according to Dr. Cullen. A concussion is not a bruise to the brain, it is a metabolic injury that affects the physiology of the brain and can have many different symptoms including headache, nausea, dizziness, fatigue, light sensitivity, balance issues and confusion. The symptoms a patient experiences are frequently linked to the part of the brain most affected by the concussion. Symptoms typically occur rapidly, and then gradually disappear with rest. “We have learned a lot about concussions through research over the last decade; it is important to understand that symptoms get better in weeks, not days,” Dr. Cullen says. “Recovery varies with each individual but typically takes three to four weeks in high school students and four to six weeks in middle school students. Even what seems to be a mild bump to the head can cause a serious injury.” Recovery can be set back signiﬁcantly, or additional damaged caused, by returning the injured athlete to activities too soon. School work can cause just as much damage as physical activity in the early post concussive period. That underlies the importance of proper management of sports concussions. Sports medicine specialists work closely with athletes and their parents and

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Mark Cullen, MD

John Schwartz, MD

Concussions: What to Look For If your child plays a sport, you should know the signs of a concussion. Visit our Concussions app on our MCMC Orthopaedics & Sports Medicine Facebook page (bit.ly/mcmcortho) for a list of symptoms and more information.

coaches and teachers to ensure the safe return back to school and eventually back to sports. “Athletes, of course, are always going to be anxious to get back to their sport, but you can’t rush the healing process,” Dr. Cullen says. “All concussions are serious. You can’t just tough it out and get back in the game.” n Dr. Cullen, Dr. John Schwartz and the MCMC Sports Medicine athletic trainers, Gorge-area residents have access to extensive experience in concussion management and a valuable tool for monitoring injuries and helping determine when it is safe to return to play.

About ImPACT ImPACT is a sophisticated research-based computer test used to guide an athlete’s recovery following concussion. The test takes about 20 minutes and measures multiple aspects of cognitive functioning including verbal and visual memory, processing speed and reaction time. Using ImPact, the MCMC Sports Medicine team intends to develop a concussion management program similar to the one Dr. Cullen established in his previous practice in Gwinnett County, Georgia, home to that state’s largest school district. It is recommended that all kids involved in high-risk contact sports receive a baseline ImPACT test before their season begins. If they suffer a head injury on the ﬁeld or experience concussion symptoms, the test can be re-administered and the results can be compared to the athlete’s baseline test results.

“Any athlete suspected of having a concussion is held out of competition until they are cleared by a physician,” Dr. Cullen says. “If we detected an abnormality on examination or neurocognitive testing with the ImPACT test, the athlete is held out of physical activity and re-evaluated weekly until their symptoms resolve and their neurocognitive function return to the levels of their baseline test. “Using ImPACT here will give us critical information we need to assess each athlete’s progress then, working with parents and coaches, determine when it is safe to return to play.” Dr. Cullen has been using ImPACT for nine years, and even spent time working with physicians and scientists who developed the program in 2002. Over the course of 15 years in his previous practice, Dr. Cullen developed one of the Atlanta area’s premier sports medicine and orthopaedic surgery practices and was a leader in sports concussion awareness in Atlanta. He is clearly at the top of his game, and now he’s committed to helping athletes throughout the Gorge stay at the top of theirs as well.

Drs. Mark Cullen, John Schwartz and the MCMC | OHSU Orthopaedics and Sports Medicine team at Water’s Edge provide comprehensive preventive, medical and surgical care for the spectrum of orthopaedic and sports-related conditions. To make an appointment, call 541.506.6500.

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Paul Hickman (below right) visits Mountain Shadow Meats, in Dufur, a supplier for MCMC'S patient and cafe meals as well as for The Bistro at Water's Edge (right), where the focus is on fresh and local.

By Dick Baltus

Food With Thought The new man in charge of food at MCMC turns the tables with a fresh and local approach to hospital menus and The Bistro at Water’s Edge.

Chances are when you think of fine-dining establishments a hospital room isn’t the first venue that comes to mind. If it is, there is a high probability that you need to get out more. That said, MCMC’s director of food and nutrition is sparing no effort to ensure hospitalized patients benefit from the same approach to dining that the finest restaurants use – bringing delicious recipes to life with the freshest ingredients raised or grown as close as possible to 1700 East 19th Street in The Dalles. Paul Hickman isn’t saying the chance to taste MCMC’s food is worth getting yourself admitted to the hospital, mind you. But he has no problem encouraging a visit to the Atrium Falls Café (inside MCMC) or The Bistro at Water’s Edge, which have become popular dining destinations thanks to the same fresh-and-delicious philosophy. MCMC has for many years worked to ensure patients enjoyed meals that defied the “typical hospital food” stereotype. But Hickman has taken that commitment to new heights since taking over the food and nutrition department in August 2011.

Though he has a master’s degree in food service management from the Cornell School of Hotel Administration and has spent his entire professional career in the food services industry, the hospital setting was foreign to Hickman. So it was only natural that, once he started applying all he knew at MCMC, hospital patients and visitors to the Atrium Falls Café would be enjoying food that tasted more like it came from one of the restaurants Hickman had owned previously in Southern California. Hickman's ﬁrst ingredient for change was to sharpen the focus on freshness. “My goal was to convert us to a scratch kitchen,” he says. “A lot of the food served here previously came out of a box or a can, but now 80 to 90 percent of what our patients and customers eat is made from scratch.” Just as important, Hickman adds, it is most likely made with local ingredients. ‘I have been a small business owner in the past, so I understand the importance of supporting local people,” he says. “But beyond that, when we buy from local sources we just wind up with better products.”

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The list of ingredients used at MCMC and The Bistro at Water’s Edge that are produced just minutes away is impressive. “All our beef comes from Mountain Shadow Meats; it’s 100 percent natural and raised in Dufur,” Hickman explains. “We get all of our greens in season from Seed to Table Farm near Maupin. We get tomatoes in season from a local grower and our apples and pears come from Hood River. Even the coffee we serve at The Bistro comes from Ground in Hood River.”

“I understand the importance of supporting local people. But beyond that, when we buy from local sources we just wind up with better products.” — Paul Hickman “I just showed them what we were purchasing from an outside source and told them if they were willing to grow it, we’d buy from them,” he says.

Fish served at MCMC and The Bistro makes a short trip down the Columbia. In fact, says Hickman, the only protein he uses that doesn’t come from a local source (because he hasn’t found one) is poultry.

Hickman even worked with Mountain Shadow Meats to get special sirloin steaks cut so he could make that very un-hospitallike menu item available to patients not on restricted diets.

As a board member of Gorge Grown Food Network, Hickman has the connections and knowledge to ﬁnd the best sources available, and having them local has allowed him to develop creative partnerships that beneﬁt both buyer and seller.

Ensuring a high quality of food at MCMC and The Bistro is not just a personal philosophy, Hickman says. “I think it falls right in line with our Planetree philosophy of putting what is best for our patients and customers ﬁrst,” he says. “And it is an added beneﬁt that we are able to do this while also supporting businesses in our community.”

He gets better products, often at lower cost, and his local sources have a reliable buyer, ensuring steadier income and less waste. For example, Hickman developed the relationship with Seed to Table by agreeing to purchase any of their produce not sold at the local farmer’s market. Now they are even custom growing produce for MCMC.

Review The Bistro on Check-in on Foursquare/ Yelp for special offers.

Of course, none of these efforts could have come to fruition without dedicated food service staff members throughout MCMC, Hickman says. “Our cooks and entire staff have really stepped up to the challenge to help improve recipes and ﬂavors for our patients and guests. The cooks are the backbone of our kitchens, and they have learned new cooking techniques and are excited to be using fresh ingredients.” Hickman says MCMC patients and customers of the Atrium Falls Café and The Bistro at Water’s Edge are also responding enthusiastically to his thoughts on food. That’s no surprise. He and his team have given them a lot of good stuff to chew on. 7

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By Mark Adams Nurse of the Year honorees Patricia Gilbert, Jeri Foster-Horrocks and Melodi Johnson with Regina Rose, MCMC's vice president of nursing.

In Good Company Three MCMC nurses are among only 16 statewide to earn 2012 Nurse of the Year honors.

When it comes to quality healthcare, sometimes the best comes in small packages. That adage certainly holds true when it comes to nursing in the state of Oregon. Consider that three of the 16 individuals honored as 2012 Nurses of the Year by the March of Dimes work at Mid-Columbia Medical Center. More than 400 nurses were nominated for the award, and only one other Oregon hospital had as many nurses honored. That was Oregon Health & Science University, the largest healthcare organization in the state. “What that says to me is that, even in a small rural setting, our nurses continue to do cutting-edge work,” says oncology nurse Melodi Johnson, R.N., one of MCMC’s honorees. The Celilo Cancer Center staff member was named Nurse of the Year in the Small Hospitals category. MCMC’s Jeri Foster-Horrocks, R.N., was honored as Emergency Nurse of the Year and Patricia Gilbert, R.N., was named top nurse in the Nurse Educator category. While praising all nurses for their profound impact on the lives of patients, the March of Dimes says the 16 nurses singled out this year “were acknowledged for their constant care, compassion and dedication to improving the quality of other’s lives through service.” Regina Rose, MCMC’s chief nursing oﬃcer says that, because the award requirements are so stringent and more than 400 nurses are

nominated statewide, it is truly signiﬁcant to be honored as one of the select few Nurses of the Year. Having three winners this year and one (Shelley Reynolds Wacker, R.N.) last year, Rose says, speaks volumes about the quality of care provided by MCMC nurses. “I’ve worked at large and small hospitals for 31 years, and I know our nursing quality can match any organization’s,” Rose says. “The quality of care here is exceptional.” All three of the winners credited their supervisors, colleagues and patients with challenging them to be the best they can be in offering compassionate care and staying abreast of the latest advancements in medicine relevant to their jobs. “We want to make sure our patients get the same quality of care they would get in Portland or Seattle,” says Gilbert, MCMC’s director of performance and quality systems. Gilbert, a mother of two who’s been at MCMC for 11 years, says her job is to make sure the hospital’s high standards of care represent the best nursing practices available — constantly updated as medicine advances. “There’s a lot of research and new quality initiatives involved in keeping patient care at the top level,” she says. “I love the validation this award provides; it says we’re doing things right.” Gilbert says she’s never wanted to be anything but a nurse taking care of people. As a nurse educator she gets to share her philosophy of patient care with those she works with.

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“When I hear how well a nurse I’ve trained is doing in treating patients, it gives me great satisfaction,” she says. “Mid-Columbia Medical Center is a great place to work; it shows both in how our patients are treated and how my supervisors treat me as a person. We’re a family.” Emergency nurse Foster-Horrocks says a commitment to excellence is a shared trait at MCMC. She’s spent 41 years in nursing, the last 11 in the Emergency Department at MCMC. “I think we have a lot of great nurses who continually work to further themselves. Our world is constantly changing — we have to stay on top of things to keep our knowledge and skills up.” The emergency nurse has two grown sons and two grandchildren she takes care of during the week, while working weekends and holiday shifts at the hospital. “After 41 years in nursing I was blown away by this honor,” Foster-Horrocks says, particularly knowing she was up against nominees from much larger hospitals. “We’re a small hospital, but we all do our best to give our patients the best care we can provide.” Nurse of the year Johnson has been at MCMC since 2000. She’s married with three grown children and says she enjoys the opportunities she’s been given to help educate MCMC staff members. “We have the autonomy to build our own program,” she says. “It’s not one-size-fits-all, so we research and adjust and figure out how to make the best practices available fit our small rural health center.” Hospital supervisors are the biggest cheerleaders for staff growth, Johnson says, adding that she feels humbled by the March of Dimes award when there are so many deserving of recognition at MCMC. “I love oncology, I love my patients and the staff and the support we get from our administrators,” she says. “If you love what you do it makes you want to come to work every day, always rising to meet the needs of your patients.”

A Force for Quality An outstanding performance in a national quality improvement project shows MCMC is serious about meeting the highest standards for patient care. Mid-Columbia Medical Center commitment to continuous quality improvement recently included taking part in a prestigious national program designed to improve the quality and safety of patient care. Between January 2011 and July 2012, MCMC was one of more than 100 hospitals nationally, and 14 in Oregon, participating in the Aligning Forces for Quality Hospital Network. The goal of the program was to significantly improve healthcare in targeted communities, and the results showed it has done just that. Ninety percent of participating hospitals improved the quality of care for patients in measureable ways. Not only was MCMC among that 90 percent, its performance was among the best of all network hospitals. “The project focused on three quality improvement initiatives – reducing hospital readmissions, improving language services and improving the flow of patients through the emergency,” said Dianne Storby, MCMC’s executive vice president of operations. Hospitals had the choice of participating in one or more of the initiatives; MCMC was one of a minority of hospitals that chose to focus on all three. Teams were formed to address each of the initiatives and were charged with developing plans to ensure MCMC met or exceeded project benchmarks. Mission accomplished. MCMC finished in the top 10 percent of hospitals participating in the initiative intended to reduce the readmission rates for patients with heart failure and in the top 50 percent of those working to improve language services. “People were really enthusiastic about participating in this project,” said Lisa

Erickson Sosa, R.N., MCMC’s compliance coordinator. “Even after the study ended our teams were still looking for new ways to enhance care in these areas.” Among the positive results of the project: • All patients in MCMC’s emergency department are screened for their preferred spoken language and a new service enables patients to speak with a translator via computer to ensure important health information is communicated accurately. “This has not only improved communication but it has reduced the time it takes for patients to be seen in the emergency department,” Erickson Sosa said. • A new process is in place that allows nurses to identify heart-failure patients earlier in their stay so that the education process can begin sooner. Education also now continues during a follow-up phone call once each patient is discharged. “That has given us the opportunity to identify and correct a lot of issues that some of our patients face that in the past might have led to a readmission, like they weren’t able to make a doctor’s appointment or get a prescription ﬁlled,” Erickson Sosa said. • Nurses also have provided education about the care of heart failure patients in community settings, such as adult foster homes. Erickson Sosa says the longer the project went on, the more people wanted to participate in it, not just from MCMC but also in the community. “Everyone shared the same commitment to improving care,” she said. “Our teams were composed of people from our nursing staff, emergency department, admitting, our clinics, and then other care providers outside of the hospital. It really became a community project.”

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By Mark Adams

Diabetes, Schmiabetes! Diagnosed with diabetes at age 3, and still full of vim and vigor at age 78, Anne Marie Smith says the secret to success is showing the disease who’s boss.

Don’t try telling Anne Marie Smith that her diabetes should be an obstacle to doing something. Or if you do want to try, be prepared to duck. Having been diagnosed with type 1 diabetes at age 3, the 78-year-old is a shining example of how to live a full life with the disease. “You can live a good, long life by eating right and getting exercise,” The Dalles resident says emphatically. “And there are good medical professionals here who will take care of you.” Smith was diagnosed with diabetes so long ago that home blood sugar tests involved boiling a urine sample on a hot plate. Doctors then told her parents their daughter would likely not live very long. She sure showed them. Later, doctors again had bad news: childbirth was too risky; she might die. She showed them again — six times. “If someone tells me I can’t do something, I’m bound and determined to do it,” the former McMinnville farm girl says. Until recently, Smith walked two miles a day. She still gets out to walk the dog and climbs up and down the stairs in her two-story home “about a million times a day.” The couple has even traveled by horseback along parts of the Oregon Trail, camping for days at a time. Her husband Leon helps Ann Marie with her daily blood sugar checks and insulin shots — “because marriage is a partnership,” she says — and she helps him when he needs a hand with his latest restoration project, a 1946 Chevrolet pickup. Smith says she’s done pretty much everything she’s wanted to do in life and credits family and medical professionals for their support. She is now the patient of Maile Anslinger, M.D., at Water’s Edge Internal Medicine Clinic. 10

The American Diabetes Association honored Anne Marie Smith for managing her diabetes so well for so long.

“I’ve had great doctors all the way through,” she said of MCMC. “And Dr. Anslinger has this marvelous ability to work with a person — I can’t express how much she is needed in the community.” Both Dr. Anslinger and diabetes educator Tracy Dugick, R.D., helped arrange an awards ceremony for Smith last year during the annual MCMC Diabetes Discovery Day. Smith received the American Diabetes Association’s Joslin 75-Year Medal for managing her diabetes so well, which she said was quite an honor. Dugick says it’s a well-deserved one. “Ann Marie is an amazing woman,” Dugick says. “She lives a very healthy lifestyle. She’s had very few diabetes complications and attributes any ailments she has to ‘old age.’ If I had to pick a word to describe her, it would be ‘spunky’.” She’s all that and a bag of chips — reduced fat and low sodium, of course. If you would like to learn more about MCMC’s Diabetes Health and Education services, please call 541.296.7319.

Check out our Diabetes Education board on Pinterest for tips, recipes and resources.

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Mid-Columbia Medical Center’s Annual

Community Benefit Report

In Service to Our Communities Each year Mid-Columbia Medical Center prepares this Community Benefit Report to highlight the many activities we pursue as an organization or as individuals as part of or mission to improve the overall health and quality of life of Gorge-area communities. This report covers our activities during 2011. On the pages that follow you can read about some of the specific projects, programs, services and individuals that help demonstrate our community benefit mission in action. In general our “community benefit” activities are designed to: • Ensure all patients throughout our service area have access to high-quality healthcare, regardless of their ability to pay; • Provide educational programs and support services to area residents;

• Provide ﬁnancial support when possible to important community programs, organizations and events; • Support the continuous training of healthcare professionals and invest in facility and technology upgrades;

Our commitment to all we serve assures that we will continue to overcome each new challenge, and in doing so we will rely on the innovation, determination and skills of our valued employees.

• Encourage our employees to volunteer their time and talents to important community causes.

Our people — and your fellow community members — give us complete faith in the future of your hospital, and our communities.

All of these activities are funded by any revenue we receive that exceeds the cost of the care and services we provide. And each year we face additional challenges in our quest to fulﬁll our community beneﬁt mission. Reimbursement from the government continues to shrink for the care we provide to patients covered by federal (Medicare) and state (Medicaid) programs. And while the economy has shown signs of improving,

1700 East 19th Street, The Dalles

the recession left in its wake many more individuals and families who must rely on their community hospital for free healthcare in their time of need.

On the following pages we will introduce you to just a few of these outstanding people, and in the coming months you will meet even more.

w w w. m c m c. n e t 11

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Prevention and Education Each year MCMC employees turn out to kick off Go Red For Women’s Heart Health.

MCMC was an important partner for local organizations working to solve or alleviate important social problems and for residents of the Gorge seeking to improve or enhance their own health. Areas of focus in 2011 included:

Obesity MCMC partnered with La Nuestra Comunidad Sana to provide instructors for a family weight-loss program addressing nutrition and obesity in the Hispanic/Latino population. Twenty-three families graduated from the program, and scholarships were provided to those in need.

Heart Disease/ High Cholesterol

Preventing Child Abuse

It was another successful year for the MCMC-sponsored Go Red for Women, which served more than 500 people with information on women’s heart health, various screenings and more.

MCMC again provided an important subsidy to the Families First Home Visiting program, which provides intensive parenting support for families at risk of child abuse. MCMC’s funding supported the hiring of an additional staff member, which eliminated the waiting list for families requesting assistance from this program. MCMC’s support of Families First has coincided with a steady four-year decline in the incidence of child abuse in Wasco County.

Diabetes More than 300 people attended MCMC’s Diabetes Discovery Day, where they had access to free screenings, diabetes education programs and an array of vendors and informational displays.

MCMC’s Health and Wellness Fair at Water’s Edge provided hundreds of area residents the opportunity to learn about available health services, meet local physicians and providers, receive education on healthrelated topics and take advantage of free health screenings. More than 100 blood pressure readings were given, in addition to screenings for depression and body mass index. Discounted lab tests also made it easier for people to identify health issues that could potentially impact their quality of life.

Connie Jubitz Connie Jubitz, R.N., is an assistant nursing education coordinator and has worked at MCMC since 2005. She and her husband have lived in The Dalles for 17 years and have three children. Connie enjoys helping out with church and school projects that allow her to stay connected with young people.

“Sometimes we just play games and build friendships,” she says of ways to create connections that have a positive impact on young lives. “You never know when you can help someone out.” 12

General Health

Her present and past volunteer activities include: • MCMC "Hospital Land" program, providing first-graders a non-threatening experience with the hospital • Medical Reserve Corps • Blood pressure checks for Go Red for Women • Volunteer youth summer camp first aid provider • Service projects with school and church groups • Volunteer nurse and chaperone on high school field trips

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Giving Back

Linda Compton Born and raised in The Dalles, Linda has worked for Mid-Columbia Medical Center since 2007 and is now cardiology and orthopaedics practice manager at Water’s Edge Medical Clinic.

Through the Community Tithing Program, an array of organizations in the community received donations from MCMC based on the volunteer hours donated to their cause by MCMC employees. In 2011, 8,588 volunteer hours and approximately $50,000 were donated to the following organizations:

She and her husband, Craig, have been married for 22 years and have a 7-year-old daughter, Paige. Linda enjoys volunteer service because it strengthens her relationships and ties to the community.

“I see a lot of Mid-Columbia staff members involved outside the hospital. This is our community and we’re part of it, we’re interested.” Her present and past volunteer activities include: • Chapter BF P.E.O.- philanthropic educational organization offering college scholarships to women in The Dalles • AYSO soccer coach • St. Mary’s Academy PTO treasurer; auction and parent volunteer • Lions Club and Distinguished Young Woman scholarship program

Quality Care for All Each year MCMC’s ﬁnancial resources are stretched both by voluntary, mission-driven commitments and by other forces beyond our control. In 2011, MCMC provided the following free and/or subsidized care and made contributions to other programs and organizations as part of its mission to improve the health of the communities we serve.

$3,047,979

$4,085,565

The amount of free treatment provided by MCMC last year to patients without the means to pay for their care.

The value of care provided to patients covered by governmentsponsored programs (Medicare and Medicaid), whose reimbursements to MCMC were far below our actual costs.

After School Productions Appleton Fire Department AYSO Boy Scout Troop #352 CASA Cherry City Crush Community Meal Distinguished Young Women of Wasco Co. Dufur Threshing Bee FISH Food Bank Friends of The Dalles Cheerleading Gorge Nonproﬁt Collaborative Helping Hands Against Violence High Prairie Community Council Hood River Adopt a Dog Hood River County Library Hood River Valley High School Northern Wasco County Parks and Recreation Sherman County Fire Defense Board SMART (Start Making A Reader Today) Theatre Company of The Dalles The Dalles Alpine Ski Club The Dalles Art Assoc. The Dalles Cherry Bomb girls The Dalles Gorge Youth Football The Dalles Farmers’ Market The Dalles Jr. Baseball Organization The Dalles Little League The Dalles Swim Team The Dalles Wahtonka Friends of Football The Dalles Wahtonka HS Drama Dept. Wasco Co. 4-H Leaders’ Assoc. Wasco Co. Fair and Rodeo Windy River Gleaners Whitson Elementary School Women of the Moose Chapter 1494 Wonderworks Children’s Museum 13

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The support of Mid-Columbia Health Foundation has enabled MCMC's mammography team to provide free mammograms to many area women without insurance coverage.

A Foundation for Better Health In 2011, the Mid-Columbia Health Foundation made an array of generous donations of money, services or time to local individuals needing assistance or organizations helping those indeed. Examples include:

Free Mammograms

Scholarships

Life Savers

As a partner in the Breast Health for Strong Families program, MCHF ensured 39 women without the means to pay beneﬁted from free mammograms for the early detection of breast cancer.

MCHF helped 70 individuals realize their goals for a better education by awarding scholarships to area nursing students, high school students and employees of Mid-Columbia Medical Center or their dependents.

A gift from the foundation to the Wasco Co. Sheriff’s Office made possible the purchase of three portable automated external defibrillators for use by first responders.

Tracy Dugick Tracy Dugick, R.D., is a registered dietitian and diabetes educator at MCMC. She has lived in The Dalles for almost 18 years, and she and her husband have two sons.

• Diabetes education presentations for organizations and businesses

Her long list of volunteer activities springs from a lifelong philosophy:

• Served on the Senior Advisory Council for 10 years

“You learn a lot about yourself when you give to others. And I wanted my children to see the beneﬁts — like forever friendships and self-satisfaction. I like the thought of making things better for someone else.”

• Gives diabetes talks to area support groups

Her present and past volunteer services with an MCMC connection include: • “Go Red Day” Co-Chair • Co-chaired MCMC Diabetes Day for several years — now assists as needed • Lecturer for Planetree Lecture Series and Senior Center

• Teaches nutrition for LaClinica Steps to Wellness Classes

Present and past community volunteer activities: • Christmas caroling at Celilo Cancer Center patient homes • Chaired St. Mary's Academy auction • Provides nutrition talks to various middle school & high school sports teams (wrestling, swimming, soccer, football, track, etc) • Friends of Football volunteer • Volunteer at track meets for The Dalles Wahtonka High School • Ski team "team mom”

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By Margaret M. Haupt, FNP, Family Nurse Practitioner

Our Unsung Volunteer Margaret “Peggy” Berthold I met Peggy 17 years ago at The Dalles Family Practice. As she was preparing to leave the exam room that day, I encouraged her to make an appointment with MCMC’s Mammography Department (then called A Women’s Place). After I gave recited the number for Peggy to call, she hesitated a moment, a smile creeping onto her face, then softly said, “It’s you.” Seeing the puzzlement on my face, Peggy asked if I had memorized that number. I assured her I had and explained that I had made a concerted effort to memorize most of the hospital’s numbers so I could easily contact staff members. Peggy then asked if I had been giving the mammography number I gave her to all of my female patients. Again, I answered Yes. Then, in her sweet voice she said, “That is my telephone number.” And it had been since 1967. It took a moment or two for my brain to understand that I had memorized the wrong number for MCMC Mammography. I had transposed one number, and all those times I had been telling my patients to call and schedule their mammograms, I was unknowingly telling them to call Peggy. Chagrined, I apologized for my error and asked Peggy how she had handled all of these calls to her home. She explained that she would just tell the woman calling about the number error and then give them the correct number. Peggy added that, if she was away from the phone and a patient would leave a message

on her answering machine, she would call the MCMC mammography department, relay the message, and ask the staff member to call the patient if needed. Again, I assured Peggy that, henceforth, I would always give my patients the correct number. She replied she was just glad to know that there was a good reason. I had a bouquet of ﬂowers sent to Peggy in gratitude for her many years of unknown assistance to our patients. She was so pleased to receive it. Peggy continued to see me for her care, and every few years I would ask her if MCMC patients were still calling her home in error. She’d always smile and say “Of course! But not so many since you memorized the correct number!” We are blessed to have people in our lives who make life just a little better in some small way.

Nurse practitioner Margaret Haupt and her patient and friend Peggy Berthold.

To all of the women who ever called the wrong number to schedule their mammogram, this is the woman who helped you without ever complaining about it or even bringing it to anyone’s attention until I solved her mystery that day 17 years ago. Margaret M. “Peggy” Berthold died last Dec. 8 at the age of 88. I had the distinct privilege of knowing this remarkable woman for nearly 20 years as a patient and as a friend. She would have wanted me to remind you that the number for the MCMC Mammography Department is 541.298.4000.

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By Cate Hotchkiss

Playing for Keeps The threat of diabetes motivates Ed Stephenson to develop a healthier game plan and start working back to his former self.

It has been a lot of years since he played high school football, but it was still hard for Ed Stephenson to believe, when it hit him last summer, that it was nearly three Ed Stephensons ago. While he didn’t harbor any illusions that at age 61, he should still be weighing around 155 and ready to play, Stephenson never thought just moving around would be diﬃcult. But he never thought his weight would hit 424 pounds either. Chronic knee and back pain had made routine chores, like mowing the lawn, impossible for the retail lumber manager from Rowena. And when Stephenson looked in the mirror, he didn’t like what he saw. He liked the diagnosis of pre-diabetes he got last July even less. It was time for some changes. “Diabetes scared me,” he says. “I didn’t want the insulin or other things associated with the disease. I wanted to be around for my wife and family. And for myself.” As the ﬁrst steps toward improving his health, Stephenson’s doctor referred him to Mid-Columbia Medical Center’s diabetes education and physical therapy programs at Water’s Edge. Stephenson summoned up the competitive spirit that once drove him as an athlete and dove into the challenge. “Once I make up my mind I am going to do something, I normally do it,” he says. “I think it’s because of my sports background; I set a goal and I do it. When something comes up that I feel strongly about, I really dig in.” 16

After high school, Stephenson remained active for 20 years, playing fast-pitch softball, soccer and volleyball. But after suffering a knee injury, he stopped playing sports and started spending more time sitting — and drinking a lot of soda. “I kick myself every day for getting here, but I’m here,” he says. “Now I have to go the other way.”

Ready for change Stephenson’s journey back to health began with his attitude. “The pre-diabetes diagnosis scared him,” says MCMC physical therapist Stacey Romney, who worked with Stephenson last summer. “It was a wake-up call. There’s a short window of opportunity to help people when they are motivated. He was highly motivated from day one.” Once a patient is ready for change, Romney explains, it’s the job of the patient’s team— in Stephenson’s case, his physician, physical therapist, dietitian and the medical ﬁtness staff at Water’s Edge Health & Fitness Center — to work closely together to facilitate the changes the patient wishes to make. With diligence and pure grit, Stephenson has reshaped his lifestyle. He’s lost 48 pounds, decreased his pain, increased his functionality and improved his outlook on life. He’s no longer pre-diabetic (meaning his blood sugar has returned to a normal level) and his blood pressure is normal. And, Stephenson says, he’s only just begun.

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In fact, his goal is to get back to his football weight. “I’m more motivated than ever because I’m seeing success,” he says.

Here’s what’s working: Exercise. First, Romney helped Stephenson establish a safe and appropriate gym and pool exercise program. Once Stephenson was discharged from physical therapy, he continued to exercise on his own at Water’s Edge, but with close supervision from the medical fitness staff. “We want to give people the education and tools to continue on their own,” Romney explains. “Ed has done a great job of soldiering on.” When Stephenson started at Water’s Edge he would last just three minutes on two of the cardio machines; now he’s up to 21 minutes on each. He says he “goes hard” for about 75 minutes in the fitness center and spends another 15 to 20 minutes in the Water’s Edge therapy pool. He’s there four to five times per week. In the afternoons, he and his wife, Suzi, walk their two black Labs, Dakota and Paige. While his goal is two hours of exercise a day, Stephenson says he’s not a “fanatic” about it.

But he certainly understands the benefits. “I know what it’s like to be in good shape, and I know what it’s like to not be in good shape — it doesn’t feel good,” he says. Healthy eating. In addition to receiving nutritional counseling from dietitian Kjersti Madsen, R.D., Stephenson completed Healthy Weight Solutions, a research-based weight loss and wellness program offered by MCMC that helps people adopt skills that improve eating habits for life. Stephenson says he’s learned how to manage his portions while still enjoying the foods he loves. The biggest change he’s made has been giving up soda. “I knew it was my number one problem,” says Stephenson. “It was also the number one thing I enjoyed. I stopped drinking it completely on July 24 (the day he was diagnosed).” Stephenson says he’s learned to replace highfat foods with fruits and vegetables and other nutrient-rich, high-fiber foods that fill him up with fewer calories. He intends to lose 50 pounds every six months until he reaches his ultimate goal weight.

“I know I can’t lose 200 pounds in six months,” he says. “I learned in Healthy Weight Solutions that I have to set realistic goals.” Staying on track. “It’s not easy to exercise when you’re as heavy as I am,” says Stephenson. “You keep having the pains. Even after a good day of working out, I go home and I hurt. I could very easily say I’m done. But I keep saying to myself, Do you want to quit and have diabetes?” He says he feels rewarded when he goes to the doctor and gets positive feedback and support along with real numbers reﬂecting his progress. Don’t go it alone. Stephenson says that “getting in with the right people” at Water’s Edge along with the steadfast support he’s received from his wife, Suzi, have been crucial to his success thus far. “It’s exciting when you see a patient go through all these different types of care at our facility and you see them improve,” says Romney. “I don’t see Ed slowing down,” she adds. For information on any of the programs mentioned in this article, contact the main desk at Water’s Edge, 541.506.5779.

Ed Stephenson and his wife, Suzi, walking their black labs, Dakota and Paige.

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Healthy Edge

Healthful News From the Health & Wellness Experts at Water’s Edge

Are you ready to lose weight? Old habits die hard, and quick fixes don’t work. Research shows that your chances of losing weight and keeping it off are better if you’re ready to make real lifestyle changes. “Most of us know what to do to lose weight,” says MCMC dietitian Jennifer Zimmerman, R.D., “Doing it is a different thing.” She says once people are ready to commit to making positive changes, she and the dietitians at Water’s Edge can help them take action. Here, she shares some of the strategies she and her team use to help people eat better, manage their weight and adopt healthy habits for life.

Find a good motivator.

“People know about the benefits of eating well and exercising,” says Zimmerman. “But they have to find their own good reasons to make those changes, and be ready to do the work.” She says it’s important to uncover what is truly meaningful and to focus on it—whether it’s to look better, feel better, fight disease or improve overall health. Pick a positive, personal motivator and remember it especially in the face of obstacles, she says. Need some inspiration? Read the article on Page 16 about Ed Stephenson, who has lost weight and changed his health destiny by adopting new eating and exercise patterns after being diagnosed with pre-diabetes.

Take small steps.

With more than 1,200 diet books on the market, many of them offering quick fixes, people get discouraged when they lose weight only to gain it back. Research shows that past failures can diminish our confidence. On the other hand, studies show that success breeds success. If we believe we can improve the way we eat and exercise, we are more likely to do so. Small successes each day can help build confidence and help us make lasting changes. “People respond to realistic changes,” says Zimmerman. “We meet clients where they are and help them figure out what they’re capable of doing today. We don’t tell people what to do.” The idea, she says, is to achieve small victories that build confidence. Over time, small successes lead to significant results. She says losing one or two pounds a week is realistic for most people.

Set SMART goals. SMART goals are: Speciﬁc Measureable Action-based Realistic Time-based

For instance, simply setting a goal of “exercising more” isn’t enough. A SMART goal is: “I will walk for 30 minutes Monday through Friday at 6:30 a.m. before work at the track by my house.” And don’t be afraid to adjust your goals; what worked three months ago may not work today. Review your goals and adjust them as necessary.

Find support and accountability.

Friends, family, the medical ﬁtness staff at Water’s Edge — surround yourself with people who want you to succeed and support your efforts. To keep yourself honest, consider journaling or keeping a food-and-exercise diary. Logging what you do and eat can help you stay on track. Dietitian Jennifer Zimmerman, RD

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Food is Medicine: Enliven your plate with color

Create a plan that works for you. And enjoy!

When people have a wellthought-out plan for healthy eating and exercising, they are more likely to be successful, explains Zimmerman. Pick foods and forms of exercise you like. If you’re not enjoying what you’re doing or eating, you probably won’t stick with it. “To sustain weight loss, you have to set a goal, do the work, follow through and hold yourself accountable,” she says. “What’s successful is doing the work day to day.”

Reward yourself for a job well done.

Consider treating yourself to one of the mind-body services at Water’s Edge. Schedule a relaxing massage or a facial or whatever inspires you. You deserve it. MCMC’s registered dietitians at Water’s Edge provide an array of nutrition therapy for wellness, weight loss and many medical conditions and diseases including heart disease, high cholesterol, diabetes, kidney disease, gastrointestinal conditions and more. For more information about creating a nutrition and wellness plan that works, call 541.296.7319. Or check out the Well Aware calendar for information on Healthy Weight Solutions.

It’s no secret that good food promotes better overall health. This is especially true when it comes to fruits and vegetables. According to many health authorities, a diet high in fruits and vegetables is associated with decreased risk for chronic disease. In fact, the American Institute for Cancer Research has stated that, if the only change a person made was to eat more than five servings of fruits and vegetables each day, cancer rates would drop by as much as 20 percent. Fruits and vegetables supply essential vitamins, minerals, fiber and phytochemicals (natural substances found only in plants). Generally, fruits and vegetables with the most color – dark green, red, yellow, and orange – have the most nutrients and phytochemicals. Mounting evidence shows that phytochemicals may help fight disease. Hundreds of phytochemical compounds have been identified in plant-based foods and continue to be discovered. New research is under way to find out just how these compounds work to protect our health. And, eating fruits and veggies is beneficial to weight loss because they are naturally low in calories, high in fiber and they fill you up.

Visit our fitness and nutrition boards on Pinterest at pinterest.com/mcmchealth

Yet, most of us struggle to get the recommended ﬁve or more servings a day. The Centers for Disease Control reports that the average American consumes less than two cups of fruits

and veggies each day. It should be four to ﬁve cups. Need some fresh ideas on how to add fruits and veggies to your day? Start with your shopping cart. Here are some tips to take to the grocery store or your local farmer’s market.

• Buy produce in season — it’s the most flavorful and saves you money. • Buy frozen fruits — they make great smoothies for breakfast. • Consider frozen veggies — they are packed at their ripest state so they are equal to fresh produce in nutrient content. • Dress up salads with dried fruits or simply enjoy a handful as a snack. • Consider canned fruits and vegetables. Fruits packed in their own juices have less sugar than fruits packed in heavy syrup.

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SPRING 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.

For information or to register call 541.296.7319.

Water’s Edge Mid-Columbia Medical Center

at Lone Pine Village

551 Lone Pine Blvd., The Dalles 20

Therapy Programs Water’s Edge, 551 Lone Pine Blvd. 541.296.7202 Our multidisciplinary approach to outpatient rehabilitation services includes physical therapy, occupational therapy, speech therapy and aquatic therapy.

Specialized Programs Physical Therapy Free Chronic Pain classes monthly — taught by a PT Biomechanical Bicycle Fitting — “Get fit to be fit” Golf Clinic Mobility & Seating Clinic Osteoporosis Vestibular Rehab & Balance Therapy Women’s Health Physical Therapy Aquatic Therapy Occupational Therapy Hand Therapy & Upper Extremity Lymphedema Treatment & Therapy Speech Therapy Dysphagia

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

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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 Mindfulness Meditation Wednesdays, March 20 or July 17 September 11 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. You are welcome to attend one or both classes.

Mindfulness-Based Stress Reduction Wednesdays, 6:30 to 8:30 pm Begins April 3, 8-week program Meditation Room $199 In this clinic our instructor will help you to explore ancient and modern evidence-based 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

Living Healthy with Diabetes

Individual Nutrition Consultation

Evening Class, 6 to 8:15 pm May 6, 13, 20 and June 3 Day Class, 2 to 4:15 pm July 1, 8, 15 and 22 To register call 541. 296.7319

By appointment only. Some insurance plans may cover a portion or all of the visit.

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.

Mindfulness Breath Wednesday, June 12, August 14 or October 9 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. You are welcome to attend one or more classes.

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.

Healthy Weight Solutions Wednesdays, 6:30 to 8:30 pm $199 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!

SHAPEDOWN Call for dates and times (After school) To register call 541.296.7319 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 selfesteem, 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.

Connect with us on Twitter @watersedgemcmc and Facebook at facebook.com/WatersEdgeWellness to stay up to date with new classes, special offers and more! 21

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Aerobics, Yoga & Tai Chi

YOGA

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.

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.

Vinyasa Flow Yoga Explores flexibility, strength and balance.

Health & Wellness at Water’s Edge

Now Offering 6-Month Memberships • A great option for part-time residents.* • No enrollment fee and monthly rate of only: $80/Individual; $100/Couples

Stop into Water's Edge or call today:

541.506.5779 *Enrollment in our 6-month option is available only in April through September.

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!

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. Preview our classes on YouTube at youtube.com/mcmchealth

HOURS Monday - Friday: 7:45 am - 7:30 pm Saturday: 8:30 am - 1 pm

WEEKLY ACTIVITIES INCLUDE: • • • •

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 Kid’s Night Out schedule. 541.506.5786

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To register for classes call 541.296.7319. To schedule an appointment in the Spa call 541.506.5788.

Skin Care Club

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.

Mother’s Day Gift Certificates

Wellness Retreats and Spa Packages

Give Mom a gift of pampering and relaxation. Choose one of our spa packages or customize by combining any two services (excluding hair removal) and receive 10% oﬀ the service.

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

Relax and Renew • • • • • •

For spa menu and spa services: www.WellnessAtWatersEdge.com or call 541.506.5788.

Essential Facial Botanical Mineral Bath 60-minute Relaxation Massage 2.5 hours of pampering and relaxation Beautifully gift wrapped $200 (includes gratuity)

Rejuvenate your skin with 6 facials in 12 months and receive 7th facial FREE!

Relax and Rejuvenate

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!

• • • • •

Essential Facial 60-minute Relaxation Massage 2 hours of pampering and relaxation Beautifully gift wrapped $140 (includes gratuity)

Review The Spa on Check-in on Foursquare/ Yelp for special offers

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

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 Therapeutic Body Exfoliation ........................................... $55 Rain Hydro Therapy.......................... 45min/$75 75min/$110 Scalp Massage / Foot Therapy / Bath Therapy / Massage

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 Essential.....$125 Men’s...............................$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

WellAware SPRING 2013 FINAL_Layout 1 3/11/13 9:30 AM Page 24

NON-PROFIT U.S. Postage

CURRENT RESIDENT

PA I D MID-COLUMBIA MEDICAL CENTER Permit #161

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

Pulmonary Health Awareness Day Wednesday, March 27 11 a.m. to 3 p.m. Water’s Edge, 551 Lone Pine Blvd, The Dalles Pulmonary Health Resource Booths open at 11 Free Admission

Water’s Edge is proud to sponsor

2013 Cherry Blossom Fitness Festival Duathlon • Half Marathon Sunday, April 14 Columbia Gorge Discovery Center The Dalles

Call 541.296.7319 for more information

LECTURES SCHEDULE Noon

Life With Lung Disease

1pm

Better Breathing and Your Medications

2pm

Food and Breath

For registration and other information, visit www.cherryblossomfitnessfestival.com

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