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Mid-ColuMBia MediCal CeNTeR

New Heart Specialist and Pediatrician t

Reaching for the Sky Hood River Artist Faces Cancer Head On

www.mcmc.net

Community BeneďŹ t Report

Tips for Healthy, Vibrant Skin Spring 2012


Dear Neighbor In the 23 years that I have had the good fortune of being associated with Mid-Columbia Medical Center, stories of our innovative, humanistic approach to caring for our patients and communities have appeared in literally hundreds of media outlets around the globe. Needless to say, we are not used to the kind of attention we have received lately related to the alleged acts of an anesthesiologist who once was entrusted with the care of our patients. Certainly we have never had to endure a series of one-sided statements designed to discredit our own handling of the related investigation. In the history of this organization, this is the first time that our deep commitment to our patients’ safety has been compromised so terribly. Measures that were always in place to safeguard our patients have been revisited and strengthened where necessary to help ensure this can never happen again, but we know we can’t make the pain go away quickly. Our hearts go out to the victims of these horrific acts and their loved ones. They have suffered most of all. But this has also been painful for every member of the MidColumbia Medical Center family, including all the employees, physicians and care providers, volunteers and board members who have worked so hard to build a truly special, and safe, center of healing. It is especially painful to endure the allegations made against this organization, and the good people who comprise it, without having the freedom to respond with complete facts — with our side of the story. Winston Churchill said, “The truth is incontrovertible. Malice may attack it, ignorance may deride it, but in the end, there it is.” We will have our time, and trust that in the end any questions you may have will be answered. But for now please accept my assurances, and those of every member of our organization, that nothing is more sacred to us than the safety and well being of our patients.

Duane Francis President/CEO

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Spring 2012 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, M.D. Rob Carnahan Duane Francis Gretchen Kimsey Carina Schmidt Wallace Wolf, Jr., D.V.M.

In This Issue:

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Still Laughing: Still Going Hood River artist Kathy Watne uses her mother’s words as inspiration to face cancer head on, and her own strength and resiliency to overcome it.

Women Treating Women The care team at Celilo Cancer Center treats every patient as if he or she were a member of the family. But a special bond is created when women care for women.

Deep in the Heart MCMC’s new pediatrician Denis FitzSimon, M.D., provides skilled and compassionate care to area children.

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Community Benefit Report

Step-by-Step Planning MCMC’s coordinated rehabilitation programs provide a comprehensive continuum of care to help patients.

Bright Lights, Small City New heart specialist Dr. Kevin Wei brings international expertise and another OHSU connection to his new practice at Water’s Edge.

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Healthy Edge Including tips for taking care of the skin your in.

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 8-15 Jim Semlor Pages 2, 4-7 Printed with Agri based inks on recycled paper,10% post consumer. All rights reserved. No information may be reprinted without the written consent of MCMC.

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By Cate Hotchkiss

Still Laughing; Still Going Strong Hood River artist Kathy Watne uses her mother’s words as inspiration to face cancer head on and her own strength and resiliency to overcome it.

It was June 2011, and Kathy Watne, a Hood River enamel artist, was branching out. Inspired by her expansive garden and the trees visible through her studio window, ideas were flowing. She kept an extra close eye on the trees. “When you’re a windsurfer, you’re always looking at the trees because when they start moving around, it’s time to go down to the river,” Watne explains. Watne’s renderings of trees are as delightful and uplifting as she. By firing opaque and transparent enamels on small copper plates, a new approach for the long-time jewelry maker, her trees display depth, texture and vitality. They form a grove on her studio wall. Some stand straight and tall; some sway. Her birch trees shine. “Fall Tree” is dropping its leaves. Life was good last June. In addition to enjoying a surge in creativity, windsurfing season had arrived. Plus, she was planning to spend a month in Hawaii with her husband, Stewart. The couple enjoyed an active lifestyle together windsurfing, cycling, hiking, skiing and riding motorcycles. Cancer was not supposed to be part of Watne’s inspired life. But there it was — a dark shadow on a routine mammogram that led to a second mammogram. That was followed by a biopsy and surgery

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to remove a raisin-sized tumor and three lymph nodes, two of which turned out to be cancerous resulting in the final diagnosis: Stage IIA ductal carcinoma in situ (DCIS). “It all happened so fast,” says Watne, then 54. “I hardly had time to think about it.” She and Stewart were in shock. “It just didn’t seem like I had cancer. When you have the flu you feel sick or when you break your leg you feel something. But with cancer, I didn’t feel anything.” When her doctor recommended chemotherapy and radiation treatment because the cancer had spread to the lymph system, shock turned to fear. “When I heard ‘chemo,’ I thought, Oh my God, that’s the death sentence,” she says. Yet, despite her fear, Watne was determined to take the scary diagnosis and treatment in stride.

At Ease at Celilo Watne’s surgeon recommended Celilo Cancer Center for her treatment. Celilo’s warm staff and tranquil environment immediately put Watne at ease. After just one visit, she says, everyone knew her name. She also appreciated the center’s lush gardens, soothing water features and abundant natural light, which reflected elements in her own home. There were sweeping views of the Columbia River. Art by local artists hung on the walls. This was her kind of place, even if it was a place for cancer care. In July, Watne started her eight-month treatment: six intravenous chemotherapy treatments followed by radiation therapy to destroy any remaining cancer cells and reduce the risk of cancer’s return.

“When I told my mom I had cancer, she said, ‘You were the little girl who would fall down in the mud and get up laughing and keep going.’”

She recalls how helpful the entire staff was. Melodi Johnson, R.N., Celilo’s nurse navigator and breast care coordinator, empowered her with lots of useful information and resources, helping to demystify the treatment process.

Resiliency was something Watne could count on.

“She really helped me understand what was going on,” says Watne.


“I have great, close, true friends. I knew they had my back. Cancer has probably made me closer to them.” — Kathy Watne

Watne wasn’t shy about voicing an important concern: For example, could she and Stewart still go to Maui in October? Because she did so well during treatment, the Celilo providers created a treatment schedule that allowed her to go. “I may have had cancer, but I was in Hawaii sitting on the beach. I wasn’t going to complain”, she says.

Sisterhood of Support Before heading to Hawaii, Watne started losing her hair. “When it started falling out, it really started falling out,” she says, “It was a milestone — you wonder when it’s going to happen.”

Jessica Vincenzo, M.S.W., Celilo’s social worker, made sure that not only Watne was doing O.K., but that Stewart’s needs were met, too. The center’s oncology nurse practitioner, Nina Van Es, A.N.P., consistently checked in with Watne to find out how she was feeling, sleeping and eating. Watne had chemo every 21 days on Tuesdays. Like clockwork, when the weekend hit after a treatment, she felt tired and her taste buds changed. After dropping five pounds following the first treatment, Watne asked Van Es, “Is this a cancer treatment program or just a weight-loss program from hell? Maybe I’ll lose weight!” Even through cancer, Watne maintained her upbeat spirit—and eventually, her healthy appetite, both of which, she says, helped keep her strong. She also took advantage of complementary therapies offered on-site including massage, the Jacuzzi, sauna and acupuncture to reduce the negative side effects of the powerful chemicals in her bloodstream.

To mark the event, she invited her girlfriends to a party at Atomic Hair Lounge in Hood River where good friend and stylist Janiene Crum carefully shaved Watne’s head. Her friends took a video. “Janiene did a great job,” says Watne. “It was liberating to have my head shaved. I kind of secretly always wanted to shave my head because it would fit better under a motorcycle, cycling or windsurfing helmet.” After it was shaved, her girlfriends assured her she had a nice head. She admits that when she first found out she had cancer, she didn’t want to worry them. “I didn’t want to tell my friends I had cancer for a long time because it was such awful news, but then I thought if it were one of my girlfriends, I’d want to know. So I emailed all my friends,” Watne says.

They rallied around her and supported her every step of the way, including setting up a driving schedule so she’d never have to drive herself from Hood River to The Dalles and back. There was a friend or family member with her for each five-hour chemo treatment. “I have great, close, true friends. I knew they had my back. Cancer has probably made me closer to them.” When Watne felt comfortable enough walking around the beach in Hawaii without a hat on, a couple of women on the beach approached her with their own cancer stories. “I’ve talked to women with good stories,” she says. “They were amazed I was out there windsurfing. I felt like I was getting support everywhere.”

Standing Tall and Strong Watne had her last radiation treatment in February. Her prognosis is good. Her hair is growing back, but she thinks she’ll keep it short. “It’s coming back in all these weird colors,” she says. “It’s cool. I’m thinking about a henna (natural dye) design.” She refers to her cancer surgery as her “raisonectomy” and her time at Celilo as positive and nurturing. In the back of her mind, she wonders if the cancer will return, but like her trees she stands tall, strong and rooted in the earth, while continuing to reach for the sky.

“Everyone at Celilo truly listened to my needs,” she says. “I was able to maintain a pretty normal lifestyle going through this.” “Fall Tree”

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By Dick Baltus

“Every woman I treat reminds me not to take life for granted.” — Dr. Ann Harris The care team at Celilo Cancer Center treats every patient as if he or she were a member of the family. But a special bond is created when women care for women.

The word “celilo” means “the sound of water upon the rocks,” which echoes the powerful spirit of hope and healing that so well defines Mid-Columbia Medical Center’s one-of-a-kind cancer center. On the following pages, we show glimpses of this spirit through the words of the women whose hands, hearts and minds contribute so much to the unique healing environment that is Celilo. We also celebrate the united spirit of women helping women — a “sisterhood” eloquently described by Celilo’s social worker Jessica Vincenzo, who says: “All humans are connected. All women are really connected. We all have an experience somewhere that is like one another. A woman with breast cancer is a part of you. How you help her move through her experience has to be sensitive to the female, not just the patient.”

Ann Harris, MD, Surgeon As the surgeon, I am usually the first physician on the cancer treatment team that meets with patients. The first visit consists of a lot of education on their cancer and cancer in general.  We go over the team approach and explain the different aspects of care they may receive.  We also discuss the surgeries in particular and which one would best suit them. I also try to provide a lot of reassurance that they are not alone in this fight, they are going to get through this and aren't going to die. 

“These women let me in and have to completely trust a perfect stranger. I don't take that lightly.” It is amazing to work with women. Maybe it is because, as a woman, I can understand their thought process. But connecting with them on a personal level, when they are going through what is likely the most difficult time in their life, is an absolute gift. These women let me in and have to completely trust a perfect stranger. I don't take that lightly. Every single one of my patients provides me with perspective on life.  I have yet to meet a woman who is not affected by this journey, but the most common remark I hear is, "I wouldn't wish this on anyone, but it has changed me so much in so many good ways." Every woman I treat reminds me not to take life for granted. 6

“As a woman, I feel a special Kerry Proctor, MD, Pathologist As a pathologist, my role is to assist the patient’s doctor in getting to the correct diagnosis, whether that be confirming cancer, classifying the type of cancer, assessing surgical margins or arranging for ancillary studies, including molecular testing. We help solve puzzles — our job is a lot like detective work.


“I’ve met extraordinary human beings. They have been a gift to me. Many of them have become part of who I am.”

Nina Van Es, ANP, MSN, MS Oncology Nurse Practitioner As a nurse practitioner, I manage the chemotherapy treatments for patients in consultation with the oncologists. I also make referrals to complementary therapies that patients are open to such as acupuncture, massage, gentle yoga and physical therapy. The pathology of the disease is a very small part of the total person. I try to help patients focus on the living. I ask them, “What do you love? What nurtured you before cancer? If you liked jogging, can you still run around the block?” I try to help patients focus on the new normal. I encourage them to focus on the positive and things they can enjoy. I’ve met extraordinary human beings at Celilo. They have been a gift to me. Many of them have become part of who I am. They are great teachers. It’s an honor to do this work.

connection to my breast cancer patients.” Mostly, I’m behind the scenes, but I am also part of MCMC’s Breast Care Center team, and I am available to do fine needle aspirations on certain women who are presenting with breast lumps or enlarged lymph nodes. I enjoy being part of a multidisciplinary team, with the common goal of delivering the highest level of care to our breast cancer patients. As a woman, I feel a special connection to my breast cancer patients and enjoy working with the other members of the team to ensure we arrive at the correct diagnosis as quickly as possible.

Melodi Johnson, RN Breast Health Coordinator and Nurse Navigator I see myself as an educator — guiding, supporting, reassuring and helping women completely understand their diagnosis and options for treatment. Sometimes absorbing medical information and making decisions can be daunting. A cancer diagnosis doesn’t just affect women physically; it can affect them socially, relationally, emotionally, spiritually and financially. We understand this and are concerned with the whole person.  When I first meet a patient, I create a personalized notebook with relevant materials and resources. I try to empower them with education so they can make informed decisions. I also try to be mindful of their personal needs and learning styles.

“I think of these women as snowflakes; each is unique.” 

We have a wonderful women’s support group. Women tell their stories and are supportive of each other. We also offer body image programs, as well as integrated medicine. It’s not a cook ie-cutter approach. I think of these women as snowflakes; each is unique. 

We want women to know we are here for them. I count it a blessing to work with them. In fact, I’ve never loved a job or my team more. 

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“I love working here because you see people get very clear about what life is about.”

Denise Watson, Clinical Lab Assistant My role is to conduct a complete blood count for patients. The blood counts are important because they determine whether someone can have chemotherapy.

Jessica Vincenzo, MSW Social Worker

I’m also here to help patients in any way I can, which includes empowering them in their healthcare process. I try to let them know why a test is being done and how we are going to obtain the specimen.

As an oncology social worker, I try to figure out what barriers might stand in the way of patients focusing on their healthcare. What attracted me to social work was losing my mother to stage 4 breast cancer. If my mom had been treated in a facility like this, she may not have lived longer, but she would have had a completely different experience. She was treated in a large facility in a large city — it was a concrete jungle. She had a great oncologist, but had to go to a different location for every type of treatment. She didn’t have access to alternative modalities.

My chair is like that of the beautician’s. Women share their fears, joys, family plans and their day. Everyone who sits in my chair is in a different place. Some are afraid. I acknowledge and try to alleviate people’s fears. I’ve prayed, laughed and cried with patients. Sometimes I can’t say a thing because there’s not a word to say, but I can hold a patient’s hand.

Here, the mind, body and spirit get addressed all under one roof. People know your name. You’re not just a number. The staff is truly nurturing.

We, as a team, don’t rush patients. We listen. We try to make this a brighter place. We let patients know they matter. We remember their names.

I love working at Celilo because you see people get very clear about what life is about. It’s a gift to be able to work with people who are at their most vulnerable.

If I had cancer, I would come here.

Paula Lee-Valkov, MD, Radiologist Radiology is detective work for the whole body. It’s challenging, fun and exciting at the same time. Our role as radiologists comes in multiple stages during diagnosis and treatment. The most significant role is in the diagnosis of cancer and afterwards, during the follow-up of the cancer, to monitor the effectiveness of and response to treatment. We work as a cohesive team, which is really rewarding. As opposed to being in a big city

“It’s helpful and comforting . . . for women to find support among women who have helped other women through this process.” 8

“If I had cancer, I would come here.”

or big faceless hospital, the doctors here can just call one another and have heart-to-heart conversations in a relatively easy manner. As radiologists, we work mostly behind the scenes. We don’t necessarily know what our cancer patients look like, but we know their names. When you see significant disease on a scan at diagnosis or significant worsening during follow-up, it’s very sad. There’s still a human element. When I see the images from a woman with breast cancer, it hits home. At Celilo, it’s helpful and comforting for patients to have access to non-physician providers who are very familiar with cancer, and for women to find support among women who have helped other women through this process. Plus, MCMC is a very non-institutional place — that provides a lot of comfort for people.


By Dick Baltus

Deep in the Heart If you were to take a leisurely stroll through the pages of Dr. Denise FitzSimon’s curriculum vitae (professional resume), past the education and training history, by the board certifications and licensures, down the names of practice sites and over the impressive list of awards, committee assignments, research projects, university faculty positions and administrative responsibilities, when you emerged at the other side you would have been exposed more than 80 times to a single word… …Texas. And the CV only chronicles the 26 years of Dr. FitzSimon’s training and professional life. The years before that were also All Texas, All the Time. Is it any wonder Mid-Columbia Medical Center’s newest pediatrician calls herself a Northwesterner? Wait…what?

She may be from the Lone Star State, but MCMC’s new pediatrician Denis FitzSimon, M.D., feels right at home in the Gorge, providing skilled and compassionate care to area children.

“I was born and bred in Texas, but have been coming to the Northwest for almost 30 years to visit family and friends,” says the children’s specialist and Texas A&M grad (both undergraduate and medical school). “I fell in love with it.” Dr. FitzSimon’s moved here in 2006, bought a house at the base of Mt. Hood, met and married a fellow named Howard Hawkes, merged their families (eight children including twin girls placed with her in permanent foster care when they were 16), prepared to settle down, then didn’t. “When I met Howard he was living in Condon and running a wind farm,” she says. “Considering our different professions and the economy at the time it was tough for us to find a way that we both could be working and living in the same place at the same time.” Coincidentally, both had Texas connections, and when Howard found a job there,

Dr. FitzSimon found herself back in her native state. The family was together, but she missed Oregon and didn’t want to mess with Texas for long. “I didn’t like it; I went a year without rain,” she says. “Both of us really missed being here, so we worked our way back up.”

“I was born and bred in Texas, but have been coming to the Northwest for almost 30 years to visit family and friends. I fell in love with it.” Howard left the wind power industry he’d been in for 25 years and opened an antique store in Hood River. Dr. FitzSimon picked up where she left off, providing comprehensive healthcare for children, a career she had targeted when she was still caring for dolls. Continued on page 10

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Deep in the Heart Continued from page 9

“I knew I wanted to be a pediatrician when I was 7,” she says. “I’m one of those strange people who have always know what I wanted to do. My great grand-father was a country doctor outside San Antonio, who rode a horse to make house calls. He was the physician caring for people in his town, and he had a big influence on me.” Dr. FitzSimon’s enthusiasm for her profession is obvious to patients, parents and colleagues. She has been named to the list of America’s Top Pediatricians each of the past six years. “I had a pediatrician I really loved, and when I used to serve on a committee that interviewed medical school candidates, many of them were strongly influenced by their pediatrician. We do play an important role in helping children learn habits at a young age that can later help prevent some of the health problems that are so prevalent, like obesity. “I love seeing children. They are so honest and open and, for the most

part, positive. And most parents are very motivated to do the right thing for their kids. So you can really make a difference in their lives.” As much as she loves her profession, Dr. FitzSimon also enjoys her down time. She and her husband enjoy snowshoeing, which comes in handy when one lives at the base of Mt. Hood. They also love to sturgeon fish. Dr. FitzSimon also has designs on getting back into the sport of fencing. She didn’t take it up until she was 42, but quickly made her mark, rising as high as No. 3 in the national rankings for women in her age group. Take a stroll through Google sometime and you’ll even find articles written about her fencing prowess – after you get past all the references to Texas. Dr. Denise FitzSimon is in practice at Columbia Hills Family Medicine in The Dalles. To make an appointment for your child, please call 541.296.9151.

MCMC Enhances Its Web Presence Mid-Columbia Medical Center recently unveiled a new and improved website to offer our online visitors an even more comprehensive, in-depth look at the people, programs and services available from the Gorge’s healthcare leader. Here is just a sampling of the information and resources MCMC is now dropping conveniently in your laptop or desktop computer. • Calendar of Events: The place to go if you are looking for a health education program, exercise class, yoga sessions and much more. • Departmental Information: Learn about all the programs with MCMC, and explore detailed micro-sites for specialty clinics and programs, including Family, Women’s and Internal Medicine clinics, Orthopedics, Cardiology, Urology, Celilo Cancer Center and Water’s Edge. • Meet our Medical Staff: Search for a physician or another healthcare professional, and view fascinating video profiles to get a glimpse of the personalities of some of the people providing care in your community. • Information to help future patients prepare for admission. • Our popular New Baby page, where you will find a special web page devoted to each MCMC newborn. • Job Opportunities: Visit our Careers link to learn about current job openings and submit an online application. All this and much more on the new MCMC website. See for yourself at: MCMC.net

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IN SERVICE TO

Our Communities MID-COLUMBIA MEDICAL CENTER’S ANNUAL COMMUNIT Y BENEFIT REPORT

Elise Bailey takes time from her busy schedule each week to read to a third grader.

and support programs to MCMC’s ongoing effort to recruit new healthcare providers to the community.

Joyce Powell Morin helps facilitate a support group for the widows of veterans.

All of these activities are funded by any revenue the hospital receives that exceeds the cost of the care and services we provide.

Lab and pathology employees buy gifts during the holidays for homeless teens.

Each year we face additional challenges in our quest to fulfill our community benefit mission.

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hroughout Mid-Columbia Medical Center there are scores of examples of people and departments contributing their time, talents and, often, finances in service to others in area communities.

An ever-growing percentage of every dollar MCMC receives must be used to make up for the insufficient reimbursements we receive from the government for care provided to patients covered by Medicaid

and Medicare. Still more revenue is devoted to our charity care program, which has grown significantly with the economic downturn. These and other forces beyond our control make it increasingly challenging to support our community benefit initiatives. However, we remain committed to maintaining and enhancing the highest standards of performance in the areas that we can control. On the pages that follow you can read about some of the specific community benefit activities that occurred in 2010 in service to our community.

These are called “community benefit” activities, and they are undertaken voluntarily to help MCMC fulfill its mission to improve the overall health and quality of life of Gorge-area communities. Community benefit activities range from providing millions of dollars worth of free care to individuals without the means to pay to providing free health education

A Designated Planetree Patient-Centered Hospital

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An Open Book

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he’s a lifelong reader with a passion for books, and now she is sharing her love of literature and literacy with children. Elise Bailey, MCMC’s materials manager, began volunteering her time at Dry Hollow Elementary School in The Dalles as part of the SMART (Start Making A Reader Today) program. She spends 30 minutes a week reading with a third-grade girl and another 30 minutes with a kindergarten boy, and enjoys the time immensely. “I love to read, it’s just a passion of mine,” Bailey says. “I want to pass that excitement along.” She likes to watch her young friends as they explore the world of books. “It’s fun to watch the face of a child as you read to them, their reaction as the story develops … I ask them questions sometimes before we turn the page about what’s going to happen next.” Bailey says she loves seeing the youngsters get involved in the stories, and admits she gets as much as she gives during the sessions. “When I come out of there I am so full of energy – I could go the whole day.” Bailey has five grandchildren and loves to read books to them as well. Their current favorite was a surprise to her – it’s the “Dick and Jane” series that so many cut their teeth on as young readers. She’s surprised it’s held up so well over the years. When it’s time for the reading sessions at Dry Hollow, she and the other SMART volunteers watch as the children enter the room.

“You see them look for their mentor, and you can see their eyes light up when they find them,” she says. At home Bailey likes adventure stories, like Clive Cussler’s tales, and books about the outdoors, and stories about quirky people with a life to share.

“I love to read, it’s just a passion of mine. I want to pass that excitement along.” “I read them and say, Wow, I’m kind of like that myself,” she says. “When you read, it’s like taking a vacation. There’s always something I can apply to my life.” Bailey tries to read one book a week, and she’s routinely working on anywhere from two to eight at a time. She likes to have a book close at hand at all times in case she runs into a little unexpected down time. The SMART volunteers make a decided impression on the children, she says, serving as a positive role model. Some kids may not get the experience of reading aloud with someone at home. “You spend time with them, and they know someone cares,” Bailey says. She’d love to see the children she reads with in another 10 years, to see if their shared experience took root. ”I’d like to see if they’ve developed not just a passion for reading, but also for helping others,” she says. “All you’ve got to do is open the book,” she said. “Then it’s about the story, and the child.”


CO M M U N I T Y BENEFIT

By the Numbers Mid-Columbia Medical Center has a long-standing commitment to offering residents of the region free opportunities to improve their health status through an array of free educational programs and health screenings. Thousands of individuals took advantage of these offerings last year:

(L-R) MCMC’s Joyce Powell Morin co-facilitates the Widows of Veterans Support Group with Barbara Thomas and Ruth Otto.

Supporting Widows And Women Vets

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oyce Powell Morin is no stranger to volunteerism. The longtime MCMC employee has been involved in volunteerism since her high school days, when she was a candy striper at MCMC (then The Dalles General Hospital). Powell Morin’s current responsibilities as director of the hospital’s Spiritual Care department includes overseeing MCMC’s volunteers, and the countless hours she has given her own time to important causes has prepared her well for the job. Among the volunteer activities she is involved in today is serving as one of three facilitators for the Widows of Veterans & Women Veteran’s Support Group, which grew out of the “Keep the Home Fires Burning” community group that was formed in 2011 to assist local veterans and their families. Although Powell Morin is not a war widow (the two other facilitators are), she says the rewards of being part of the group are many. The

facilitators offer grief support and help participants move forward after a loss. They also provide information on practical topics like veteran’s benefits and the transition back home for women veterans. “It’s an incredible opportunity to serve in the community,” Powell Morin says. “Our veterans’ widows and women soldiers have special needs, and the monthly support group provides an avenue for friendship, fellowship, sharing lessons learned, and emotional and spiritual support for grieving loss. “I feel privileged to be a part of the healing process for these hurting individuals.” The facilitators report that the group continues to grow and new members are always welcome. The group meets on the second Tuesday of each month at 11 a.m. at 201 Federal Street in The Dalles. Call Powell Morin at 541.296.7266 for more information.

6,500 Healthy Learners… …benefited from the comprehensive free consumer health information available at MCMC’s Planetree Health Resource Center in downtown The Dalles and via the center’s popular free lecture series.

370 People Kept the Beat… ….by either walking in the Heart Truth Health Walk or attending one of the Go Red for Women Heart Expo sponsored by MCMC.

350 Know More About Diabetes… ….than they did before attending the annual MCMC-sponsored Diabetes Day, which offered free screenings and an array of educational opportunities.

125 Shots in The Arm… …were given during MCMC’s Visiting Health Services drive-by flu vaccine clinic.

120 People Pumping Up… …with free blood pressure checks performed by MCMC staff at the annual Health and Safety Fair.


Lab director Lois Corbett (in red) and her staff give to homeless teens during the holidays.

Quality Care For All

Giving, Close To Home

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t’s kind of like the “shadow people” – both those who give and the ones who receive – coming together each year under the lights of a holiday tree. There are the teenagers, homeless for any number of reasons, some sleeping on other people’s couches, some in cars or wherever they can find shelter, struggling to still get to school and not give up. And then there are the employees of MCMC’s Laboratory and Pathology departments, who through a community intermediary reach out to the homeless teens each year to share holiday gifts. “These are the kids that are left out each year,” says Lois Corbett, director of Laboratory Services for MCMC. “They live out there in the shadows – a lot of people don’t know who they are.” Corbett and her employees and colleagues, who work largely behind the scenes at the hospital, feel a bit of kinship. “We’re kind of like that too,” she says. “And every year we love doing this.” For the last three years members of the two MCMC departments buy gifts that are distributed through the MidColumbia Community Action Council

to homeless students attending The Dalles-Wahtonka HIgh School. The kids aren’t always easy to find. “They want to be incognito; they don’t want everyone to know they’re homeless,” Corbett says, adding that council volunteers are responsible for tracking the kids. Lab and Pathology staff members donate everything from socks and sweatshirts to gift cards easily redeemable by the teenagers to meet daily needs. The gift cards are a favorite of the male employees who participate. “It’s hard enough to get them to buy presents for their own families,” Corbett says with a laugh. The main concern each year is that they have enough for all the teens, and so far there’s been plenty to go around. This year more than 80 teenagers received presents. And more than half of department employees participate. This year that included 44 laboratory workers and four pathologists, all of whom are glad for the chance to help. “It really kind of touches everybody,” Corbett says.

Each year MCMC’s financial resources are stretched both by voluntary, missiondriven commitments and by other forces beyond our control. In 2010, 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.

$

3,722,000

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

$

10,049,037

The value of care provided to patients covered by government-sponsored programs (Medicare and Medicaid), whose reimbursements to MCMC were far below our actual costs. As the Baby Boom generation continues to swell the ranks of Medicare recipients, and as reimbursements from the federal government continue to decline, the financial burden on MCMC on other hospitals will continue to grow more significant. In just one year, MCMC’s financial loss from reimbursement shortfalls grew by more than 20 percent.

A Designated Planetree Patient-Centered Hospital


By Mark Adams

Step-by-Step Planning MCMC’s coordinated rehabilitation programs provide a comprehensive continuum of care to help patients like Roland Simantel get back on their feet as quickly as possible.

Solid planning generally leads to successful outcomes. Loran “Roland” Simantel is walking testament to that. And he is walking better than he has in a long time thanks to Mid-Columbia Medical Center’s rehabilitation team and his own hard work.

MCMC Rehab team members Jayme Mason (left) and Janell Wyatt assist help Roland Simantel as he continues on the road to recovery from the effects of a stroke.

Simantel runs the J Bar S Ranch near Wasco with his sons and has never shied away from hard work. But the wheat rancher, who has a mild case of Parkinson’s disease, had the limits of his work ethic tested earlier this year when he suffered a stroke. After being stabilized in the MCMC Emergency Department, Simantel was admitted to Oregon Health & Science University in Portland for specialized care. After his treatment, he was sent home, where he realized he still didn’t have his legs completely under him. It wasn’t long before he was back in the MCMC Emergency Department, being treated for a head injury that occurred when he fell getting out of bed. That’s when MCMC staff developed a longrange plan to get Simantel firmly back on his feet. The plan included a two-week stay in mPower, the hospital’s inpatient rehabilitation unit, followed by regular visits to MCMC’s outpatient therapy program at Water’s Edge. The goal of mPower, says physical therapist Janell Wyatt, is to develop comprehensive plans for each patient that addresses their specific needs so they can return to the highest level of functioning as quickly and safely as possible. “We take a multidisciplinary team approach and give patients access to the wide range of therapeutic tools

and programs that are available here,” Wyatt says. The mPower unit has six private rooms, a gym and a kitchen. Patients are cared for by a 24-hour medical and nursing staff, along with the rehabilitation staff, which includes physical, occupational and speech therapists. After they return home, patients then continue their recovery with the help of MCMC’s outpatient rehabilitation therapy team. “That continuum of care can make all the difference in the world to a patient,” Wyatt says. “If, for example, a person has a mild stroke, then goes directly home, he or she is not going to have as successful a recovery as someone who benefits from a plan of care, a trained rehabilitation team and an organized system of rehabilitative care.” Wyatt says Simantel was a favorite of the staff of the staff because of his positive attitude and willingness to put in the hours needed to improve.

“Roland was really a hard worker,” Wyatt says, “He took everything we said to heart and really participated. He listened to everything we wanted him to do and always wanted to know what more he could do to help.” Simantel has high praise for Wyatt and the rest of the mPower staff. “The care was excellent,” he says. “I can’t say enough about it — I’m doing a lot better.” Simantel has been going to Water’s Edge for outpatient therapy since the end of February. The rancher says he always looks forward to the challenge of working with the rehab team. True to form, he’s jumping in with both feet to ensure he gets back to his former self as soon as possible, all according to plan. For more information about: mPower Acute Inpatient Rehabilitation, call 541.506.6901. For MCMC Outpatient Therapy, call 541.296.7202.

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By Dick Baltus

Bright Lights, Small City New heart specialist Dr. Kevin Wei brings international expertise and another OHSU connection to MCMC’S Cardiology Clinic at Water’s Edge.

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Kevin Wei, M.D., has “big-city doctor” all but imprinted on the pocket of his shirt. He was born in Hong Kong and split his youth between there and Toronto. He earned his bachelor’s and medical degrees at the University of Toronto, and was a member of the faculty of Virginia Medical Center, where he practiced patient care, conducted research and earned a reputation as, in one colleague’s words, “an internationally recognized leader in echocardiography.” In 2005 Dr. Wei moved from Virginia to Portland and over the next six years helped double the size of the Cardiology Division of Oregon Health & Science University. The point being, he is not the likeliest of candidates to now being practicing in The Dalles and offering his significant skills and expertise in heart care to patients throughout the Columbia River Gorge. Dr. Wei is just the latest in a series of physicians who, with virtually the entire world of practice opportunities at their feet, have chosen The Dalles. This includes his practice partner, David Guarraia, M.D., who in 2009 established The Gorge’s first full-time cardiology practice, a collaboration between MidColumbia Medical Center and OHSU. Dr. Guarraia’s practice filled so quickly that MCMC and OHSU were soon looking for a second heart specialist to answer the need. They didn’t have to look far. “I saw this as a great opportunity to do something I have wanted to do for a while, which is to practice in a smaller community where there is significant need for specialty heart care,” Dr. Wei says. He whet his appetite for the setting in 2010, when he practiced one day a week in Longview, Wash., so he isn’t a stranger to the small-town setting. But in the MCMC | OHSU Cardiology Clinic at Water’s Edge he sees the opportunity for something bigger than just a small-town practice.

“I saw this as a great opportunity to do something I have wanted to do for a while, which is to practice in a smaller community where there is significant need for specialty heart care.” “We want to work to build a facility for diagnosing and managing heart disease that is similar to what is available at OHSU,” Dr. Wei says. MCMC has helped him take a big step toward that goal by equipping the Water’s Edge clinic with state-of-the-art echocardiography equipment, which means area residents now have local access to an important tool for diagnosing an array of heart conditions. Dr. Wei has specific expertise in contrast, or bubble, echocardiography, which uses tiny gas bubbles injected into the blood stream to evaluate and understand blood flow and heart function. He was trained in the procedure at the University of Virginia Medical Center by one of its leading experts, Dr. Sanjiv Kaul, and later followed Dr. Kaul to OHSU. In addition to his practice at MCMC | OHSU Cardiology, Dr. Wei continues to

see patients at OHSU and is a member of the medical school faculty. He still works with Dr. Kaul, who has high praise for his colleague. “Dr. Wei is one of the most experienced clinical contrast echocardiography experts in the world and a widely sought-after teacher,” Dr. Kaul says. “At least half a dozen of Dr. Wei’s research papers on the topic are the most oftenquoted in echocardiography.” Dr. Wei says bubble echocardiography helps him visualize heart structure and function with much greater clarity than other commonly used techniques. Other than OHSU, the Water’s Edge Cardiology Clinic is the only setting in Oregon where the technology is available. “The bubbles really light up the images and give us a better view of the heart,” he says. “Having this technology available will provide significant benefits to heart patients throughout the region.” The same can be said about MCMC’s partnership with OHSU, Dr. Wei adds. “Our clinic at Water’s Edge really is like a satellite clinic of OHSU,” he says, adding that it is also “A win-win situation for me. I get to keep my connection with OHSU, but also get to see patients in this smaller setting, which I am really enjoying.” Dr. Kevin Wei is in practice at Water’s Edge Cardiology, 551 Lone Pine Blvd, The Dalles. For information or appointments, please call 541.506.6531.

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Healthy Edge

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

Head to Toes, It’s All Connected The skin is the largest organ of the body and reflects your overall health. Keeping yourself healthy in every way is essential to optimal skin health. For healthy, vibrant skin, consider these tips from the wellness experts at The Spa at Water’s Edge:

• Protect your skin by using a sunscreen each day (see Page 19 story on how to pick the best one). • Get regular exercise. Exercise improves circulation, which nourishes skin cells and promotes a healthy glow. It also makes you sweat, which helps rid your body of toxins. Plus, it reduces stress. • Manage stress. Stress can make your skin more sensitive and aggravate skin problems. It can also interfere with sleeping, which is vital to skin health. The Spa at Water’s Edge offers an array of mind-body classes and therapies such as facials, massages and acupuncture to help manage stress and promote vitality. • Eat a healthy diet that includes plenty of fresh fruits, vegetables, lean protein and whole grains. Buy what’s fresh —

Take Care of the Skin You’re In To help you, The Spa at Water’s Edge offers a line of high-quality skin-care products and several programs you can take advantage of.

PROGRAMS • New! Skin Fit Club. This new program allows men, women or teens to purchase affordable skin-care packages that include facials and other services and products. The Spa’s goal is to enable lients to access top-quality skin care on a routine basis, combining facials with effective at-home care. • Complimentary skin-care consultation. The estheticians at The Spa can help you develop a skin-care program tailored to your needs. First, they examine your skin under a 18

enjoy the bounty of fresh produce from the Gorge. • Get your beauty sleep. Studies show that sleep deprivation is associated with decreased circulation, which can lead to puffy eyes and dull-looking skin. • Drink plenty of water. Drinking water is essential to keeping your skin hydrated. Dehydrated skin looks and feels dry. The skin is the largest organ of your body, yet it’s the last one to receive the benefits of water. • Don’t smoke. If you do, make a commitment to quit. • Support your lifestyle efforts with a good skin-care routine. The Spa at Water’s Edge offers complimentary skin care consultations to help you develop a routine that’s right for you.

The first step in getting great skin is to develop a skin-care plan that’s right for you.

magnifying light and then discuss your needs and concerns, health history, lifestyle and any sensitivities you have. • Educational classes. (See the Well Aware calendar for a list of upcoming classes related to your skin health.)

SKIN-CARE PRODUCTS • New! The Spa at Water’s Edge signature line of skin-care products. The Spa has just launched its own line of medical-grade skin care products designed with ingredients that really work. The products feature clinically tested plant extracts, stabilized vitamins and antioxidants. Products are free of harsh and unwanted ingredients such as parabens, phthalates and progesterone.

• Osmosis Skincare: Osmosis Skincare addresses every aspect of skin damage; collagen/elastin production, scar tissue build-up, loss of skin nutrition, growth factors and DNA damage. • Colorscience Pro Makeup. This mineral-based, luxury makeup feels good and is good for your skin. It also helps protect skin from the damaging effects of the sun and environment. The Spa’s estheticians can help you choose and apply makeup that helps you look and feel your best.


What You Don’t Know About Sunscreen Can Burn You Enjoying the great outdoors is part of the Gorge lifestyle, yet trying to choose a safe, effective sunscreen can be confusing given all the products on the market. Here are some facts from Mary Lively, esthetician at the Spa at Water’s Edge, to help demystify the latest science on sunscreen and sun protection: • First, there are two types of ultraviolet rays: UVA rays and UVB rays. UVA rays are the longer, deeper-penetrating rays that damage collagen and elastin. UVB rays are the shorter rays that cause you to turn pink or burn. Both rays cause early skin aging and increase skin cancer risk. • There are two categories of sunscreens: chemical (absorb the sun’s rays) and physical (deflect the sun’s rays). • The majority of sunscreens sold in drugstores are chemical sunscreens, which are less effective than physical sunscreens because they absorb the rays; they have a higher rate of irritation; they degrade rapidly so need frequent reapplication; and they only protect against UVB rays, with the exception of those containing avobenzone. Avobenzone, however, is an unstable ingredient that breaks down into unknown chemicals when exposed to sunlight. To prevent it from breaking down quickly, companies have added other chemicals to prolong its effectiveness — more chemicals can lead to more irritation. • Physical block sunscreens are the most effective because they deflect UVA and UVB rays. There are two ingredients that make a physical block: zinc oxide and titanium oxide. These ingredients are stable and long lasting. How do you know if your sunscreen is chemical or physical? Turn the bottle over and look at the ingredients — don’t necessarily trust what the front of the bottle claims.

• Don’t be misguided by the SPF number. This number only refers to the protection offered from UVB rays, not UVA rays, and refers to the amount of time you are protected, not how strong it is. Plus, higher SPFs can cause more irritation. • This summer, the Sunscreen Labeling Protection Act goes into effect, which may help to reduce all the confusion. Under the new guidelines, ingredients in sunscreen will remain the same, but the labels must be clearer and more accurate. For instance, there will be no such thing as an SPF higher than 50 because the research doesn’t support that an SPF higher than that number provides extra protection. Sunscreen companies will no longer be able to claim “waterproof” or “sweatproof,” but may claim “water-resistant.” Sunscreens may be labeled “broad spectrum” if they block UVB radiation and a percentage of UVA radiation. And, they can now claim that they protect against skin cancer and early aging.

HOW TO APPLY SUNSCREEN Once you’ve chosen the right sunscreen, it’s important to apply it properly. “With every client,” says Lively, “I stress the importance of daily sunscreen. I make sure they know how important it is year-round. UVA rays penetrate glass, so it’s important to wear sunscreen even when you’re inside”, Lively explains. How much sunscreen? The American Cancer Society recommends using about a palm full (one ounce) to cover the arms, legs, neck and face of an average adult. Most sunscreens must be reapplied at least every two hours and more if you are swimming or sweating. In addition to sunscreen, experts also suggest wearing protective clothing, a widebrimmed hat and sunglasses and seek shade when the sun’s UV rays are most intense between 10 a.m. and 4 p.m. The Spa at Water’s Edge carries a full line of high-quality, broadspectrum physical block sunscreens, which not only protect your skin, but feel great, too. For more information, call 541-506-5788.

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WELLNESS AT WATER’S EDGE

S P R I N G 2012

CORE HEALTH & WELLNESS All classes and clinics are held at Water’s Edge, 551 Lone Pine Blvd., The Dalles, unless otherwise indicated. Pre-registration required; please call 541-296-7319 to register or for appointments.

Cardiac Rehabilitation Clinic

Acupuncture Therapy

Individual Nutrition Consultation

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

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.

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

Individual Diabetes Nutrition Education

Mindfulness Based Stress Reduction

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.

Wednesdays, 2:30 to 4:30 pm Begins Sept. 26, 8-week program $199

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

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

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.

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 obtain: • Lasting decreases in physical and psychological symptoms • An increased ability to relax • Reductions in pain levels and an enhanced ability to cope with pain that may not go away • 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


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

Healthy Weight Solutions

Evening classes: May 7, 14, 21 & 28, 6 to 8:15 pm Sept. 10, 17, 24 & Oct. 1, 6 to 8:15 pm Day class: July 2, 9, 16 & 23, 2 to 4:15 pm

Wednesdays, 6:30 to 8:30 pm $199 Next Class begins Sept., 8-week program Call 541-296-7519 for dates and times

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.

Borderline or Pre-Diabetes Class Tuesday, June 5, 6 to 7:30 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 Meditation Wednesday, August 8, 7 to 8:30 pm 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.

Reflexology for Couples Class Thursday, June 28, 6 to 8:30 pm $35

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 obtain your bodies ideal balance. You are welcome to bring a support person for free!

A natural healing art based on the principle that there are reflex points in the feet which correspond to every system within the body. Through application, reflexology relieves tension, improves circulation and helps to promote the natural function of the related body area. Each couple will work with their partners feet and learn how to apply basic reflexology therapy. This treatment feels wonderful and is delightfully relaxing.

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 Relaxation ................................. 60min/$150 90min/$200 Therapeutic ............................... 60min/$170 90min/$220 Youth Sports............................ 45min/$60 series of four/$220 ADD ONS

Add warm stones to any massage ............................ $15 Extend massage by 15 minutes .................................. $15 Hitto Muscle Repair Gel ................................................ $15 Includes use during treatment plus 4 treatments for home REFLEXOLOGY

Reflexology .............................................................. 60min/$65 Reflexology & Relaxation Combo ...................... 90min/$100 ACUPUNCTURE

Evaluation & Treatment...................................................... $85 Follow-up Treatment .......................................................... $55

HYDROTHERAPY

RESURFACING TREATMENTS FACIAL AND BODY

Botanical Mineral Bath & Mini-Reflexology ..........................................................$45 & Essential Facial............................................................$105 & Relaxation Massage...............90min/$99 120min/$120 & Therapeutic Massage ..........90min/$109 120min/$130 HAIR REMOVAL

Eyebrows ...................... $15 Bikini............................. $35 Full Face........................ $50 Full Leg ......................... $60 Brazilian ....................... $85

Lip or Chin .................... $10 Underarm..................... $35 1/2 Leg.......................... $35 Full Leg w/Bikini......... $85 Back..................... $35 & up

SKIN CARE AND FACIALS

Men’s...............................$75 Essential ...................... $75 Teen .............................. $45 Treatment Focused .....$85 Back .............................. $95 Make-up Application & Lesson .................... $50 $25 applied to make-up purchase

Infusion Peel......................................... $95 series of five/$400 Microdermabrasion................................ $95 series of six/$485 Add an Essential Facial $50

Therapeutic Body Exfoliation ........................................... $55 Vichy Exfoliation................................ 45min/$75 75min/$110 Essential .............................................................. 45min/$75 Therapeutic ...................................................... 75min/$110 TREATMENT PACKAGES

Renew Total Body Skin Care ........................ 2.5 hours /$150 Essential Facial / Body Exfoliation / Botanical Mineral Bath

Relax................................................................ 2.5 hours /$170 60 min Relaxation Massage / Essential Facial / Botanical Mineral Bath

Rejuvenate $25 in skin care products ............ 2.5 hours /$200 60 min Relaxation Massage / Facial Peel or Microdermabrasion Resurfacing Treatment / Essential Facial

Revitalize $50 in skin care products ............. 2.75 hours /$295 Treatment Focused Facial / Vichy Exfoliation 60 min Relaxation Massage / Lip and Eye Collagen treatment

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THERAPY PROGRAMS Water’s Edge 551 Lone Pine Blvd. 541-296-7202

Skin Care Club 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.

Our multidisciplinary approach to outpatient rehabilitation services includes physical therapy, occupational therapy, speech therapy and aquatic therapy.

Specialized Programs Physical Therapy Functional Capacity Evaluation (FCE) 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

Club 6

Treat your skin to 3 facials in 6 months and receive 50% off your 4th facial.

Club 12

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.

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!

Mother’s Day Gift Certificates and Spa Packages

GORGE COMMUNITY DRUG TAKE BACK • Most abused prescription drugs come from family and friends. You could be a drug dealer and not even know it. • More Americans die from prescription drug abuse than cocaine, heroin and hallucinogens combined. • A study of 139 streams in 30 states found drugs in 80% of water samples.

TURN IN YOUR EXPIRED OR UNWANTED:

Friday, May 4

10 am to 2 pm • Moro - Road Department, 4th & Hood Street

Saturday, May 5 A gift any Mom will adore, elegantly wrapped and a special added gift. Or plan a healthy and relaxing spa day retreat for yourself, mom and friends. Contact the Spa Desk for more information. 541-506-5788.

Check out Water’s Edge website for new spa services and specials. www.Wellness@WatersEdge.Com

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10 am to 2 pm • The Dalles - Mid-Columbia Senior Center • Hood River - Hood River County Courthouse • Cascade Locks - Fire Station

• • • •

Household prescription medicines Over-the-counter medicines Vitamins, nutritional supplements Pet medicines

NOT ACCEPTED: • Needles or sharps • Thermometers

• Medical waste • Medical equipment

For more information, contact: Hood River Commission on Children & Families 541-386-3335 Sherman County Commission on Children & Families 541-565-3200 / YouthThink 541-506-2673 Presented by: YouthThink, Hood River County Commission on Children & Families, Wasco County Commission on Children & Families, Sherman County Commission on Children & Families, Providence Hood River Memorial Hospital and Health Services, Planetree Health Resource Center, Mid-Columbia Medical Center, Faith Connections Coalition, Hood River County Alcohol, Tobacco and Drug Prevention Coalition, Sherman County Prevention Coalition, Tri-County Hazardous Waste & Recycling Program, Eastern Region Oregon DEQ, Hood River City Police Department, The Dalles City Police Department, Hood River County Sheriff’s Office, Sherman County Sheriff’s Office, and Wasco County Sheriff’s Office.


AEROBICS, YOGA & TAI CHI THE

Health & Wellness CENTER

Our facility 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 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 www.WellnessAtWatersEdge.com for more information.

EXERCISE CLASSES Les Mills BODYPUMP™

Schedule HOURS Monday - Friday: 8 am - 1 pm, 3 - 8 pm Saturday: 8:30 am - 1 pm

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.

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!

EVERY WEEK Monday: Ball hop games Wednesday: Jump Rope and Hula Hoop Games Friday: Twister Please contact the Kid’s Club for more information regarding 2012 workshop and Parent’s Night Out schedule. 541.506.5786

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

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

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.

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

Gentle Yoga An easy-does-it class perfect for beginners.

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

Healing Hatha Yoga This class is tailored to the individual. Beginners welcome!

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

Vinyasa Flow Yoga Explores flexibility, strength and balance.

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.

Trainer Challenge Sign up by 4/20/2012 to experience a challenge of a lifetime. Work directly with a personal trainer and four other team members in this 12 session program lasting 6 weeks. Compete for body fat loss bragging rights along with a monetary award. $120 for members and $150 for non-members. Call 541-506-5779 for details and to register or come down the fitness center and register on site

Performance Testing Please call 541-506-5779 to learn more about the following: Resting Metabolic Rate (RMR), VO2 Max, Lactate Threshold, Body Composition, Submax VO2, and Sub-max Strength Assessment. 23


NON-PROFIT U.S.Postage

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

PA I D MID-COLUMBIA MEDICALCENTER Permit #161


WellAware - Spring 2012