SCOPE Magazine October 2007

OCTOBER 2007

Where caring counts. Feel the difference.

Oakland Bay Pediatrics Welcomes You

Pediatricians, Robert D. Sewell, M.D.; Meltem Karatepe, M.D.; Saad Al Alou, M.D.; and (not pictured) MaryAnne Murray, family nurse practitioner; offer quality healthcare to our area youth, from birth through eighteen. They specialize in the healthcare of infants, children, and adolescents. Their goal is to provide patients and their parents with the best possible medical care and preventive guidance. Local parents are discovering they can save valuable time (and gas!) by taking their children to Oakland Bay Pediatrics in Shelton.

Meet the Medical Staff Saad Al Alou, M.D., board-certified, pediatrics, completed his studies in pediatrics and adolescent medicine at St. Joseph Children’s Hospital, Paterson, NJ, which is an affiliate of Mount Sinai School of Medicine of New York. He enjoys being a pediatrician Continued on page 3…

What’s Inside: 2 Fantasy Forest Events Schedule 3 Combating Head Lice 4 It’s Flu Season!

5 Reduce Medical Harm in the 5 Million Lives Campaign 6 News Briefs 7 Hospital Foundation Honored Three Local Business Women 8 Eating to Prevent Diabetes

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Vol. 23 No. 5

2007 Fantasy Forest

Where the Holidays Come Alive Mason General Hospital Foundation’s Fantasy Forest will be held November 14 to 17 at the Pavilion at Sentry Park in Shelton.

The event will feature beautifully decorated Christmas trees, raffles, a gift shop, and other specialties. New to this year’s Fantasy Forest is the “Apple Cup Fantasy,” an evening to include Mason General Hospital’s volunteers, employees and community supporters through fun, competition, and cheering for their favorite team (at least for this evening) – Cougars or Huskies – within the elegant setting of beautiful trees.

One of the many Christmas trees from 2006.

Fit, Better than Fat at Any Weight Even with regular exercise, some persons still carry a little excess weight. And their efforts may not be going to waste. A Canadian study of 169 healthy males found that those with the highest level of fitness had the least abdominal fat regardless of weight or body mass index.

Abdominal fat, as evidenced by waist circumference or waist-hip ratio, is considered a risk factor for both heart disease and diabetes.

[SOURCE: Jean-Pierre Despres, Archives of Internal Medicine, July 23, 2007]

Turn to page 2 for events schedule…

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T W O

Fantasy Forest Events For tickets call: 360-427-3623 Wednesday, November 14o

Friday, November 16n

Fashion Show & Luncheon

Tidbits & Trinkets Giftique Holiday Bazaar

11 a.m. to 1:30 p.m.

Exciting Fashion Show with fashions by Chico’s of Olympia, a gourmet luncheon, gift shop, silent auction, and raffle.

Reservations required. $40 per person or $400 for a table of 10.

FREE Community Open House 2 p.m. to 4 p.m.

Beautifully decorated Christmas trees, gift shop, and raffle. Free and open to All

“ Apple Cup” Fantasy 5:30 p.m. to 10 p.m.

Cougars or Huskies, an evening of fun, competition, and cheering on your favorite team.

Rivals compete for bragging rights of winning the “Apple Cup”. Wear your Coug or Husky college colors, bring your friends, and help your team win! Event also features tournament games, a gift shop, raffles, tailgate food, and a no-host bar. Reservations required. $20 per person. Not a Cougar or a Husky? Wear your favorite team colors! Event is open to all.

Thursday, November 15o

FREE Community Open House 10 a.m. to 5 p.m.

Beautifully decorated Christmas trees, gift shop, and raffle. Free to All

FREE Senior Day Tea 2 p.m. to 4 p.m.

Entertainment, gift shop, beautifully decorated Christmas trees, raffle, cookies, tea, and coffee. Free to All

Father-Daughter Night Out 6 p.m. to 9 p.m.

Beautifully decorated Christmas trees, dinner, dancing, professional photographer, gift shop, raffle, and fun, fun, fun.

Reservations required. $20 per person.

9 a.m. to 4 p.m.

Holiday gift bazaar featuring hand-crafted and commercial seasonal and non-holiday gift items, gift shop, raffle, and a no-host lunch.

Free to All

Swing Fever Festival 8 p.m. to 11 p.m.

Music by Swing Fever, dancing, hearty appetizers, wine, gift shop, raffle, and a no-host bar.

Reservations required. $35 per person, $60 per couple, $350 for table of 10.

Saturday, November 17o

Teddy Bear Party 9:30 a.m. to 11:30 a.m.

Children’s entertainment, Santa, refreshments, surprises, and gift shop.

Reservations required. $7.50 per person, $20 per family, and ages 3 and under are free.

FREE Community Open House 12 p.m. to 3 p.m.

Beautifully decorated Christmas trees, gift shop, and raffle.

Free to All

Gala & Auction 6 p.m. to 10 p.m.

Gourmet dining, champagne, wine, silent auction, live auction, gift shop, raffle, and a no-host bar. Black tie is optional.

Reservations required. $1,200 Sapphire table for 10 Table includes an appreciation gift for each guest. $1,500 Emerald table for 10 Table includes a limited edition ornament for each guest, preferred seating, and personal wait staff.

Folate Found to Cut Stroke Risk In a meta-analysis of eight randomized, controlled studies, researchers found that persons taking folic acid supplements had an 18 percent reduced risk of having a first stroke. In some sub-groups who took supplements for three years or longer the risk reduction was even greater – about 25 percent.

The benefit of folic acid supplements in reducing the risk of cardiovascular disease is still controversial. [SOURCE: Marlene Busko, “Meta-Analysis Suggests Folic Acid Reduces Risk for Initial Stroke,” Medscape Medical News, June 1, 2007; Xiaobin Wang, The Lancet, June 2, 2007]

Se ha Descubierto que el Ácido Fólico Ayuda a Reducir el Riesgo de Embolia Cerebral Durante un extenso análisis en el que se realizaron ocho estudios al azar los investigadores han descubierto que las personas que toman suplementos de ácido fólico reducen el riesgo de sufrir una embolia cerebral en un 17%. En algunos de los grupos que tomaron los suplementos durante 3 años o más año la reducción del riesgo incremento a un 25%.

Todavía no se ha resuelto la cuestión sobre el beneficio de los suplementos de ácido fólico en la reducción del riesgo a contraer enfermedades cardiovasculares.

Fantasy Forest Volunteers Needed… for this year’s events. Serving, greeting, organizing, setting up, folding programs, and so on… if you can volunteer in any way, on any day, from Sunday, Nov. 11 through Sunday, Nov. 18, call the Foundation Office at 427-3623, 426-2859, or 275-8614 for information & to sign up.

Listen for additional information on KMAS 1030 AM radio and watch for the Fantasy Forest insert in the Journal.

P A G E

Head Lice More Prevalent?

If you think the head lice problem is a bigger issue than it was when you were a child, you’re right. In the United Kingdom, the number of prescriptions written for head lice shampoo increased 37-fold between 1980 and 1995. It’s believed that a similar increase occurred in the United States.

Six to twelve million American children are bothered by head lice each year. Some of the increased prevalence can be attributed to the evolution of strains of lice that are resistant to available medications. [SOURCE: Rachel Nowak, “Hair Wars: They Have Sucked Our Blood for Millennia, Resisting All Efforts To Defeat Them,” New Scientist, December 25, 2004]

Effectiveness of Lice Drugs Declines Head lice are rapidly developing resistance to many of the most common medications used to treat them.

Permethrin 1%, a common over-thecounter treatment, demonstrated 96 percent efficacy after a single application in a study conducted in 1985, but only 45 percent efficacy in a similar study conducted in 2006.

[SOURCE: Mark Lebwohl, Lily Clark and Jacob Levitt, “Therapy for Head Lice Based on Life Cycle, Resistance, and Safety Considerations,” Pediatrics, May, 2007]

Don’t Use Kerosene or Gasoline Home remedies for head lice recommend applying mayonnaise, petroleum jelly, olive oil, vinegar, and other substances to the hair to suffocate lice.

Reports regarding the effectiveness of these treatments are mixed and have not been proven in clinical studies. Gasoline, kerosene, or insecticides – on their own or in combination with other substances – are dangerous and should never be used.

[SOURCE: Kosta Y. Mumcuoglu, et al, “International Guidelines for Effective Control of Head Lice Infestations,” Journal of Drugs in Dermatology, April, 2007]

T H R E E

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Oakland Bay Pediatrics Continued from page 1…

and has dedicated his career to the care of all children. He is fluent in Spanish, Romanian, and Arabic.

Meltem Karatepe, M.D., board-eligible, pediatrics, received her medical degree from the University of Istanbul, Turkey, and completed her residency at the Metropolitan Hospital, New York. Her training included pediatric and neonatal intensive care, pulmonology, endocrinology, infectious diseases, cardiology, dermatology, radiology, nephrology, hematology-oncology, genetics, and adolescent medicine.

Robert D. Sewell, M.D., board-certified, pediatrics, loves children – working with them, treating them, and seeing them grow and develop into successful young adults. He sees himself as a resource or support person for parents, families, and fellow professionals, to help them deal with common and uncommon childhood problems. Practicing in Mason County offers the chance to build and develop closer relationships with the families that come to Oakland Bay Pediatrics – something often lost in the larger communities. In his spare time he enjoys music, reading, traveling, sports and spending time with his family.

MaryAnne Murray, ARNP, is a board-certified family nurse practitioner who enjoys working with children of all ages. She has extensive experience in psychiatry.

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from Our Patient s o d s!

Ku

F O U R

Thank You Ladies!

“Dr. Belville was kind and age-appropriate with my son. He showed my husband and I x-rays and explained his thoughts well.” (ED)

“The nurses were wonderful with my comfort and care.” (ED) “I was impressed with the cleanliness of the surgery area. It was very organized. Things were well-placed.

Mason General Hospital reminds me of the early years of Northwest Hospital where I worked in the 60’s and 70’s.

It is small and friendly and you feel like you belong.”

(Surgery patient) “Everyone was nice and took extra care to calm my anxiety.” (ED) “I was very pleased with the care I received at your hospital. I would not hesitate to put myself in the caring hands of the professionals at Mason General.”

(Surgery patient) “Without a doubt, the very best care and treatment in my entire experience. No better hospital anywhere.” (Inpatient) “Mason General has the most attentive and caring medical staff – from doctors to nurses to other employees. This hospital gets a 5-star rating in my book.” (Inpatient) “I had called the ER prior to my arrival and when I arrived I was attended to immediately. A patient could not have had better service. Thank you.” (ED) “Because we were in Washington on a trip from California, we had no idea of what we would encounter in this emergency department, but we were extremely pleased with the prompt, direct, and professional treatment received. Thanks so much!” (ED) “Mason General has an outstanding menu!”

(Inpatient)

Winter is coming…

Are You Ready to protect your family in case of a power outage due to a wind, snow, or ice storm?

Go to www.govlink.org/3days3ways/ for advice on how to prepare your family.

For many years, Mason General Hospital’s babies have gone home in either a handmade quilt or blanket from members of our “quilting, crocheting/knitting” community. Knitted or crocheted hats and booties are also provided by other community crafters. Recently, the nurses and staff of MGH’s Birthing Center honored these talented and dedicated volunteers with a tea in September. Participants included members of the Christmastown Quilters, Ladies of the Lake Quilting Club, Mt. Olive Quilters, and other individual crafters. Pictured here are some of the ladies in attendance (back row, left to right) Sharie Sund-Lakas, Jo Bartley, Judy Richter, Sandra DeLost, Caroline Archer, Beverly Burbridge, Loureen Horton, Barbara J. Hasbrouck, Jane Callea, Vicky Scholzen, Jeanne Jackson, Joyce Spatz, Kathy Stack, (middle row) Char Mann, Lynn Layton, Eunice Williamson, Helen Hughes, Allison Conant (front row) Hazel Bartley and Sandra Stafford. “These quilts and accessories are special gifts mom’s don’t receive anywhere else,” said Tanya Van Boening, R.N., one of the coordinators of the tea. “We are so fortunate to have these special ladies in our community who enjoy serving and loving others.”

It is Flu Season!

Please remember to: • Cover your mouth/nose when coughing/sneezing & dispose of tissue in the nearest waste receptacle • Wash your hands often with soap and water Can’t wash? Use antiseptic hand gel • Avoid close contact with ill persons • Stay home when you are sick Remember To Get Your Flu Shot!

Es la estación de la gripe.

Por favor acuérdese de • Cubrirse la boca o nariz cuando tosa o estornude.

Tire el pañuelo de papel a la papelera más cercana • Lávese las manos a menudo con agua y jabón.

Cuando no pueda lavarse las manos use un gel antiséptico para las manos • Evite el contacto cercano con personas enfermas • Si está enfermo quédese en la casa Recuerde Ponerse La Vacuna Contra La Gripe

P A G E

F I V E

Mason General Joins “5 Million Lives Campaign” to Reduce Medical Harm Mason General Hospital joined the Institute hospitals every day.

IHI defines “medical for Healthcare Improvement (IHI) in their 5 harm” as unintended Million Lives Campaign, a national campaign physical injury resulting to dramatically reduce incidents of accidental from or contributed to by medical harm in U.S. hospitals. The 5 Million medical care (including Lives Campaign asks hospitals to improve the the absence of indicated care they provide in order to protect patients medical treatment) that requires additional from five million potential incidents of medical monitoring, treatment, or hospitalization, or harm over a 24-month period, ending Decemthat results in death. ber 9, 2008. It represents a continuation of the Mason General Hospital was pleased to be a largest improvement effort undertaken in recent participant in the 100,000 Lives Campaign, focushistory by the healthcare industry. ing especially on heart attack care interventions.

The 5 Million Lives Campaign builds upon the Nationally, an estimated 122,300 lives were success of the 100,000 Lives Campaign, in which saved as of June 2006.

3,100 participating facilities (representing 75% of U.S. hospital beds) avoided unnecessary deaths MGH Steps Up by implementing six evidence-based intervenMason General Hospital plans to implement tions, along with other worthy improvement and continue working on the following interveninitiatives. The new Campaign promotes the tions as part of their participation in adoption of up to 12 improvements in the 5 Million Lives Campaign: l a t pi care that can save lives and al Hos ic r • Prevent Methicillin-Resistant e n e G st reduce patient Mason are, diagno me Staphylococcus Aureus (MRSA) o t g c n co injuries, and it u o y Comi ts, medical infection... by reliably using n whe aims to enroll for tes emember, bby – scientifically-proven infection g? R even more hosin lo control practices throughout imagin into the ma pitals than the le to b the hospital. a e r ea number that parer” w hey arrive. b • Reduce harm from m u n t ticipated in the first king a n the order a t high-alert medications... “ y B si Campaign. “Mason atient p starting with a focus on anticoagulants, e v r se General has pledged sedatives, narcotics, and insulin. to improve and main• Reduce surgical complications... by tain all 12 of these care commitments,” stated maintaining excellence in following care Bob Appel, CEO of Mason General Hospital. recommendations from the Surgical Care ImIHI estimates that 15 million incidents of provement Project. medical harm occur in U.S. hospitals each year.

• Prevent pressure ulcers... by reliably using This estimate of overall national harm is based science-based guidelines for the prevention of on IHI’s extensive experience in studying injury this serious and common complication. rates in hospitals, which reveals that 40 to 50 • Deliver reliable, evidence-based care incidents of harm occur for every 100 hospital for congestive heart failure... to reduce readmissions. With 37 million admissions in admissions. the United States each year (according to the • Get Hospital Boards on board... by defining AHA’s National Hospital Survey for 2005), this and spreading new and leveraged processes equates to approximately 15 million harm events for hospital Boards of Directors, so they can annually – or 40,000 incidents of harm in U.S. become far more effective in accelerating the

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www.MasonGeneral.com

improvement of care.

• Deploy Rapid Response Teams... at the first sign of patient decline – and before a catastrophic cardiac or respiratory event.

• Deliver reliable, evidence-based care for acute myocardial infarction... to prevent deaths from heart attack.

• Prevent adverse drug events... by reconciling patient medications at every transition point in care.

• Prevent central line infections... by implementing a series of interdependent, scientifically-grounded steps.

• Prevent surgical site infections... by following a series of steps, including reliable, timely administration of correct perioperative antibiotics.

• Prevent ventilator-associated pneumonia... by continuing use of a series of interdependent, scientifically-grounded steps.

Editor’s Note: MGH has long participated in the IHI’s improvement efforts through adding continuous quality care improvement, including the recent 100K Lives Campaign. They are pleased and excited to be a part of the new 5 Million Lives Campaign, seeking to learn and to continually improve the care provided at MGH. The desire to provide patients of Public Hospital District No. 1 of Mason County with the best care possible is reflected in MGH’s commitment to the nationwide effort, by adopting the 12 interventions of the 5 Million Lives Campaign.

New to the area?

Need a doctor?

Want to get to know your hospital?

Go to www.

MasonGeneral.com for detailed information on services, doctors, classes, and support groups.

P A G E

S I X

News Briefs............................................ ...Congratulations to MGH “Employees of the Month”: September - Faith Davenport, receptionist, Oakland Bay Pediatrics. ...Treasures Thrift Store recognized “Volunteer of the Month” for August - Teresa Chamberlain. Congratulations! ....Ana Maria Mihalcea, M.D., boardcertified in internal medicine, joined the medical staff at Mason General Hospital in September. Dr. Mihalcea will see patients at Olympic Physicians Ana Maria Mihalcea, M.D. P.L.L.C., Shelton, (360) 426-2500.

Dr. Mihalcea was recently a full-time internist at the Tri Area Health Clinic, a community health center in Southwest Virginia, affiliated with the Veterans Administration. She received her medical degree from Rhein-Westphalian Technical University School of Medicine, Germany in 1999. She did her residency at the University of Virginia, Charlottesville, VA. Dr. Mihalcea believes in the connection of attitudes and lifestyle in the causation

of disease in the body, and sees great possibility of health improvement in changing these two aspects of one’s life. Health, first and foremost, begins as a state of mind that is translated into the body. She greatly enjoys inspiring and supporting individuals on their journey of healing, in addition to addressing problems on a traditional medical level.

In her spare time she enjoys sports and the outdoors. ...Lystra B. Celestine, M.D., boardeligible in obstetrics and gynecology, joined the medical staff at Mason General Hospital in September. Dr. Wilson works with Jonathan A. Gold, M.D. at Mountain View Women’s Health Center, 2300 Kati Court, Suite A, Shelton, and may be reached at (360) 426-0955.

Dr. Celestine enjoys working closely with Lystra B. Celestine, M.D. her patients and caring

EMPLOYEE FOCUS Craig Chase, maintenance Craig Chase, a 15-year maintenance employee at MGH began working as a part-time employee in maintenance to help with the responsibilities of the construction of the new addition to the hospital.

“I guess they liked what I did, because they kept me on and increased me to full-time,” Craig said. In his current position as a leader in maintenance, he makes sure the flow of work is on schedule. “We use a preventive maintenance program that is proactive, to prevent any downtime of the facilities which may interrupt patient care.”

Craig likes working at MGH because of the variety in his job, and the staff. “Everyone is easy to work with, as they go the extra mile to make sure you can do your job. The staff is very accommodating and helpful and wants the best for the patients.”

October is National Breast Cancer Awareness Month Go to http://nbcam.org/about_nbcam.cfm for more information on early detection, risk factors, and more. Need a mammogram? Call (360) 426-1611 (from Belfair (360) 275-8614) to schedule one today!

for women of all ages. She has a special interest in urogynecology. Dr. Celestine graduated from St. George’s University School of Medicine, Grenada, West Indies in 2003, and did her internship and residency in obstetrics and gynecology at North Oakland Medical Center, Pontiac, MI. ...Sherry Curtis, a certified nursing/medical assistant and education assistant at Mason General Hospital, was recently appointed as Regional Faculty for the American Heart Association, in Basic Life Support.

Sherry was nominated to this faculty position by MGH’s Education Director, Tom Sherry Curtis DiDonna, R.N. “Sherry is an excellent Basic Life Support instructor. With her role in CPR classes, Sherry has contributed much to the community,” said DiDonna.

An American Heart Association Regional Faculty acts as the quality assurance and ongoing expert in the field of basic life support. They serve as resource on issues and protocols relating to training centers, training center faculty, instructors, and ECC staff. A large responsibility of the Regional Faculty is to act as a coach and mentor to training centers and new instructors. This is a two-year appointment.

Having am baby? Want to have it close to home?

Go to www.MasonGeneral. com/birth.htm to read all about Mason General Hospital’s birthing plans and its physicians.

P A G E

Appetite Suppressants Pose Danger Appetite suppressants such as fenfluramine and dexfenfluramine have been implicated in many cases of pulmonary hypertension and heart valve problems. According to one European study, subjects reporting use of any appetite suppressant within the previous year had a 10-fold increased risk of pulmonary hypertension. Use of an appetite suppressant for longer than three months resulted in a risk more than 20 times that of other subjects.

In another study, persons diagnosed with pulmonary hypertension associated with fenfluramine or dexfenfluramine had a median survival of 2.5 years. [SOURCE: Leung Ying Ying, et al, “Pulmonary Hypertension, Hyperthyroidism, and Fenfluramine: A Case Report and Review,” Medscape General Medicine, November 8, 2006]

Ghee – It’s Saturated Fat Eating Indian-style food is an excellent way to fill your diet with nutritious vegetables and legumes. Most traditional recipes, however, are prepared with “ghee” or clarified butter. Unsalted butter is heated until the milk solids separate from the pure butterfat, which is then used in cooking.

Ayurvedic medical practitioners in India believe that ghee has beneficial health qualities. Many Western dietitians point out that ghee is saturated fat and recommend substituting vegetable oil, even if the flavor of the dish suffers as a result. [SOURCE: “Ask Tufts Experts,” Tufts University Health & Nutrition Letter, September, 2007]

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Monica Vuong, M.D. Ophthalmologist • Routine Eye Exams • Diagnosis & treatment of eye diseases

2300 Kati Court, Suite C, Shelton, WA

• Treatment of Glaucoma, Cataracts & Diabetes • Emergent Care • Eye Surgery

(360) 426-8717

S E V E N

Hospital Foundation Honored Three Local Business Women Three local business women – Lynn Busacca, Mason County Literacy, retired; Vickie Gonzales, Peninsula Credit Union; and Lynn Harvey, Twigs ‘n Twine; were the recipients of the 2007 American Business Women’s Award presented by the Mason General Hospital Foundation in September. Every year MGH’s Foundation honors three outstanding business women Lynn Busacca who are or were successful in their occupations, work or have worked in Mason County, and are active as volunteers in the community. There were 15 nominations this year.

Lynn Busacca grew up in California with a keen interest in books and people – her mother being a librarian and her father a writer/literary agent. She holds two Bachelor’s degrees, majoring in history, education, and psychology; and a Master’s in Human Resource Management. Lynn has always been committed to community work, integrating it with her profession, and in the 1980’s she formed Mason County Literacy, a tutoring program for adults with limited or no reading skills, which later grew to include reading, writing, math, English language, and computer skills training.

In 2007 Lynn retired as director of the very successful organization that grew from a $15,000 budget in 1991 to its present, nearly $300,000 budget, in 2007.

Vickie Gonzales was born and raised in Shelton and went to work for Peninsula Credit Union right from Shelton High School. Currently handling all Vickie Gonzales new employee training in the HR department, Vickie worked in a variety of the Credit Union’s departments prior to this, and in 2006 received their “Employee of the Year” award. She has been involved in numerous community organizations, including co-chairing the American Cancer Society’s annual Relay for Life for the past 6 years, raising thousands of dollars to fight cancer. Vickie is an executive board member of the Kody Foundation, helping families in need; is vice president of the O’Neill Orthopaedic Guild, raising money for Mary Bridge Children’s Hospital; and is involved in several other charitable organizations.

Lynn Harvey opened Twigs ‘n Twine in 2004, a unique home decor and gift shop in Shelton, that attracts people from all over the state and beyond, with its artsy atmosphere and interesting merchandise.

Stepping into her store you are immediately taken Lynn Harvey by the wonderful scents and ambiance created by her beautiful displays that reflect Lynn’s own warmth and enthusiasm. An exceptional businesswoman as well as an expert decorator, Lynn also teaches and does demonstrations for participants in her occasional seminars that often feature guest artists. Lynn has been extensively involved in community events such as Forest Festival and OysterFest, donates generously to charities (including designer trees for Fantasy Forest), and has been a past volunteer in several other community services.

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E I G H T

Eating to Prevent Diabetes

Caring for the family... just like yours.

Eating a diet that includes plenty of salads and cooked vegetables while avoiding meats and other fatty foods appeared to be an effective way of reducing the risk of type 2 diabetes, according to data from 36,787 Australian adults in the Melbourne Collaborative Cohort Study. [SOURCE: Allison Hodge, American Journal of Epidemiology, March, 2007; Michelle Rizzo, “Dietary Patterns Linked to Type 2 Diabetes Risk,” Reuters Health, March 21, 2007]

, MSN, EdD, MaryAnne Murray tified, ARNP, Board Cerctitioner Family Nurse Pra

Comer para Prevenir la Diabetes De acuerdo a los datos obtenidos en un estudio en el que participaron 36.787 adultos australianos, la mejor manera de reducir el riesgo a contraer diabetes de tipo 2 es incluyendo abundantes ensaladas y verduras cocidas en su dieta y evitando comer carne y otros alimentos con un alto contenido en grasa.

Pen H Board Certi ou, M.D. fied, Family Practice

Terry M Diabe allory, AR N tes Sp ecialis P t

www.MasonGeneral.com/ BillingQuestion.htm

M.D. T. Reasol, Jose Jeffrey Internal Medicine d, fie rti Ce Board

Our Mission: We take every possible action to protect and promote the health of the people in Mason County while extending respect and compassion as we serve each individual.

Published by: Public Hospital District No. 1 for Mason General Hospital, Oakland Bay Pediatrics, North Mason Medical Clinic, and Mason County Eye Clinic.

Business Office: Office hours: 8 a.m. – 6:30 p.m., Monday – Friday. Spanish Translator Available. Located at Gateway Center, 2505 Olympic Hwy N., Suite 460, (360) 427-9547 Mason General Hospital: Visiting hours: 8 a.m. – 8:30 p.m., daily. Intensive Care Unit (I.C.U.): special hours on a patient-by-patient basis, call for Unit hours. Located at: 901 Mtn. View Drive, Building 1, PO Box 1668, Shelton, WA 98584-5001, (360) 426-1611, from Belfair (360) 275-8614.

Serving the medical needs of the county since 1968. Accredited by the Joint Commission on Accreditation of Healthcare Organizations. TTY/TTD: (360) 427-9593.

Translation Services Provided. Se habla español. Equal Opportunity Provider.

Oakland Bay Pediatrics: 247 Professional Way, Shelton, WA 98584, (360) 426-3102 North Mason Medical Clinic: 140 N.E. S.R. 300, Belfair, WA 98528, (360) 275-4084, from Shelton (360) 426-8405 Mason County Eye Clinic: 2300 Kati Court, Suite C, Shelton, WA 98584, (360) 426-8717 Administration: Bob Appel, chief executive officer; Eric Moll, chief financial officer; Diane Stillman, chief operating officer; Bonnie J. Davis, M.D., chief of staff; Nancy Trucksess, commissioner/president; Scott Hilburn and Don Wilson, commissioners.

Scope: Published six times per year. Editor: McCarty & Associates, Inc. “a marketing firm”

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