2009 Spring HealthQuest

SPRING/summer 2009

A p u bl i c a t i o n of SK AGI T VA L L E Y HO SPI TA L Ne w s , E d u c a t i o n a n d Ph i l a nth ro p y

Heart and vascular: advanced care earns honors, saves lives Screenings help you know your risk of heart disease Breast cancer clinic brings multidisciplinary proactive approach to care

New diabetes education program teaches nutrition, management, activity Generous community supports Skagit Valley Hospital Foundation

2009 Skagit Hospice Brunch & Auction Disc ov er

CROATIA Dobro DolŜi Saturday, May 30, 2009 10:30 a.m. – 2:30 p.m.

At the Corporate Air Center Port of Skagit, Burlington

Join us for an afternoon of fun and adventure exploring enchanting Croatia without leaving the Skagit Valley. Delicious foods, rousing music, and authentic dance troupes will leave you with a lasting taste of this diverse country. The silent and live auctions will feature over 300 exciting items with numerous opportunities to support Skagit Hospice services for people with lifelimiting illnesses in our community.

Reservations required: Seating is limited so call now for your tickets: $75 per person on or before May 14 and $85 after.

For information and tickets call 360-814-5702

Skagit Valley Hospital Foundation

July 10, 2009

11 a.m. shotgun start

at Eaglemont Golf Course

Raising funds to support quality health care services and programs at Skagit Valley Hospital

2 SKAGIT VALLEY HOSPITAL See page 29 for details.

from gregg’s desk

Partnerships help bridge uncertain future Uncertainty is a word we can all relate to right now as the state of the local, state and national economy has people and organizations reeling. Skagit Valley Hospital is certainly feeling the effects of the downturn and awaits the outcome of the state budget and federal stimulus package and for the wheels to begin to turn on health care reform.

Skagit Valley Hospital is seeing an upward trend in provision of charity care and uncompensated care and we know that our role as the community’s safety net will be tested in the months to come.

The state of health care in our country presents challenges at many fronts. As charity care costs rise, reimbursements go down. Struggling companies, families and government agencies are all challenged to balance budgets.

Skagit Valley Hospital has a 50-year track record of providing safe, quality care to our community and will continue to remain true to our mission “To serve our communities with compassion and dignity, one patient at a time.” Patient safety remains our number one focus.

That is why the hospital is dedicated to three significant community-wide initiatives focused on bolstering the broken mental health system; improving access to primary care and enhancing health and wellness opportunities for children. Each involves people from across the community and a variety of agencies, schools and programs in the search for improvement.

Our health care system is struggling to serve the needs of the mentally ill in our community. A lack of housing, facilities and psychiatric specialists places a burden on the few programs that exist and results in a population that is dramatically underserved.

A forum conducted in late 2008 brought together more than 70 advocates for the

mentally ill to address issues and priorities for moving forward. As a result, Skagit Valley Hospital is moving forward with funding requests to the state and the federal Congressional delegation to develop a new Care Center for behavioral health services within the hospital to replace the current, outdated facility. The hospital Board of Commissioners has pledged $1 million and the Skagit Valley Hospital Foundation has pledged to raise money toward the $3.2 million project.

Access to primary care – or a medical home – is a challenge for many in our community, especially those who are low income or uninsured. Again, the hospital is partnering with organizations in the community to work to improve availability of care so patients can benefit from prevention care and are not forced to use the emergency room. Later this year, Sea Mar Community Health Clinic will begin providing services to patients in facilities within Skagit Valley Hospital, in addition to the existing clinic on LaVenture Road, as a way to expand access to care. This will allow SeaMar to add two physicians to serve the community.

For our children, the next generation, our organization is concerned about obesity and inactivity. The hospital, along with Skagit County, has launched the Skagit County Children’s Health Initiative to bring a community coalition together to find ways to engage healthcare providers, school districts and agencies in building programs to help children make healthy choices.

Many challenges and a good share of uncertainty are before us, however, our focus remains the good health and wellness of the people we serve.

— Gregg Agustín Davidson, FACHE Chief Executive Officer

spring & summer 2009 / Volume 6 / Issue 2

HealthQuest is published three times a year

by Skagit Valley Hospital in Mount Vernon and the Skagit Valley Hospital Foundation.

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WHERE TO FIND US In Person: Main entrance located on Hospital Parkway in Mount Vernon.

By Mail: P.O. Box 1376 Mount Vernon, WA 98273 Phone: 360-424-4111 Fax: 360-424-2416 On the Web: www.skagitvalleyhospital.org CAMANO COMMUNITY HEALTH CLINIC 127 N. East Camano Drive Camano Island 360-387-5398 Physician Referral Line: 360-848-5555 or 360-629-5850 SKAGIT VALLEY HOSPITAL REGIONAL CANCER CARE CENTER In Person: 307 South 13th St., Ste. 100 Mount Vernon, WA

By Mail: P.O. Box 1376 Mount Vernon, WA 98273 Phone: 360-814-2146 Fax: 360-814-2445 SKAGIT VALLEY KIDNEY CENTER AND WOUND HEALING CENTER 208 Hospital Parkway Mount Vernon 360-814-2184 For additional copies or more information, contact Health Education Coordinator Linda Wright at 360-814-2325 or Director of Marketing Kari Ranten at 360-814-2370 or go to our Web site at www.skagitvalleyhospital.org

COVER PHOTO Interventional cardiologists Kamol Lohavanichbutr, MD, FACC and newcomer Sanjeev Vaderah, MC, FRCPC, stand in Skagit Valley Hospital’s state-of-the-art cardiac catheterization lab.

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Photo by Linda Wright

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2.1 million

Interventional cardiologist Sanjeev Vaderah, MD brings experience, skill to cardiology practice.

Get screened

New heart and vascular screening provides information on disease risks.

Breast cancer center

Multidisciplinary clinic takes proactive approach, close to home.

medicine, MS to community.

Diabetes education 16

New program provides patient-centered program.

Annual Report 20

Skagit Valley Hospital Foundation raises

20

New cardiologist in town

New neurologist 11

Dr. Patti Brettell brings passion for

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IN EVERY ISSUE

20 SVH Foundation 32 HealthQuest Classes

Stanwood & Camano Island

34 HealthQuest Classes

Mount Vernon

42 Hospital Services 43 HealthQuest Class Registration

more than $2.1 million in 2008.

SPRING&SUMMER2009

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Five-star service

Heart and Vascular

Institute

Skagit Regional Heart & Vascular Institute, a partnership of Skagit Valley Hospital, Skagit Valley Medical CenterCardiology and Skagit Radiology, is dedicated to providing a full continuum of care from the initial encounter in the ER, to definitive diagnosis and management, to cardiac rehab.

Skagit Valley Hospital is home to the county’s only cardiac catheterization laboratories. For patients experiencing a cardiac emergency or heart attack, the availability of acute care makes the facility the destination of choice.

The county’s three hospitals share a common goal of getting patients the help

4 SKAGIT VALLEY HOSPITAL

they need as quickly as possible with rapid access to the cath lab, where clogged arteries can be reopened, reducing the risk and injury of a heart attack.

“Time is muscle,” said Dr. Jeff Feld, cardiologist with Skagit Valley Medical Center-Cardiology and cath lab medical director. “The more time that goes by, the more damage to the heart.”

Emergency department staffs at each hospital collaborate on achieving a rapid response. The guideline is to have a patient in the cath lab within 90 minutes of arriving in an ER, however, the local healthcare team aims for 60 minutes from ER to cath lab.

Skagit Valley Hospital earned a five-star rating from HealthGrades and is ranked number one in the State of Washington in providing these coronary intervention procedures.

“We continue to improve the quality of care and every staff member has dedicated themselves to our patients,” said Dr. Kamol Lohavanichbutr, MD, interventional cardiologist with Skagit Valley Medical Center - Cardiology. “If the patient comes in early, we can get their arteries open early and we can save lives, avoid complications and their quality of life is better.”

For patients with vascular disease, the care team includes cardiologists, interventional radiologists and surgeons.

Dr. Muneer Desai, an interventional radiologist with Skagit Radiology, said area patients benefit from close communications between radiologists and surgeons to determine the appropriate course of treatment for a patient.

“We can use wires, balloons and stents in minimally invasive procedures to improve circulation to various parts of the body,” Dr. Desai said. “However, surgeons are absolutely essential as they can treat things we can’t treat. We have a conference regarding each patient, and that is unique here.”

Skagit Valley Hospital participates with the Northwest Cardiovascular Network to advance heart care throughout the region.

The Northwest Cardiovascular Network is an alliance of physicians and hospitals specializing in diagnosing and treating heart disease. Collectively, the members of the Northwest Cardiovascular Network have won more awards for excellence in heart care than any other health care provider in Washington. The accolades earned by the network’s members include being recognized as a national Top 100 Heart Hospital five times and the #1 Heart Hospital in Washington three times.

ABOVE Left: Members of the cath lab team at work.

Left: Kamol Lohavanichbutr, MD, interventional cardiologist.

Interventional cardiologist joins local practice Interventional cardiologist Sanjeev Vaderah, MD, FRCPC arrived in Mount Vernon at 3 p.m. on a Wednesday in February, was on call by 3:15 p.m. and was in the cardiac catheterization lab for his first case at Skagit Valley Hospital by the following morning.

“My impression coming here is all very positive,” said Dr. Vaderah, who joins Kamol Lohavanichbutr MD, FACC in providing interventional cardiology services to the region along with a staff of five cardiologists and one electrophysiology cardiologist who make up Skagit Valley Medical Center (SVMC) – Cardiology.

As an interventional cardiologist, Dr. Vaderah performs non-surgical procedures for treating cardiovascular disease. Interventional cardiologists use catheters, which are thin, flexible tubes, to get inside blood vessels for diagnostic tests or to repair damaged vessels with angioplasty to stretch open the vessel or by placing stents to keep the vessel open. The work is performed in a cardiac catheterization lab and Skagit Valley Hospital is home to the only facilities in Skagit County, with a new lab due to open later this year.

ABOVE: Sanjeev Vaderah, MD recently joined the local cardiology team.

“This is cutting-edge technology,” Dr. Vaderah said. “Patients feel better, sometimes almost immediately.”

Dr. Vaderah joins SVMC after spending four years at Inland Cardiology Associates in Spokane and serving as an Interventional Cardiology Fellow at the University of British Columbia’s St. Paul’s Hospital.

Dr. Vaderah has a Bachelor of Medicine, Bachelor of Surgery from the University of Delhi, India. He served as a resident in medicine at Safdarjung Hospital in India, an internship in internal medicine at Long Island College Hospital in New York and a residency in internal medicine at St. John’s Episcopal Hospital in New York.

He served a Fellowship in Cardiology in New York and worked as an attending physician in medicine and cardiology at Cape Breton Regional Hospital in Nova Scotia.

Continued on page 6

SPRING&SUMMER2009

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Dr. Vaderah

Continued fome page 5

He is a diplomate of the American Board of Internal Medicine, certified by the Royal College of Physicians and Surgeons of Canada and board certified in cardiovascular disease and internal medicine.

Dr. Vaderah is trained in performing peripheral interventions to help patients with peripheral vascular disease.

With the growing number of people impacted by cardiovascular disease, Dr. Vaderah stresses that prevention is the key.

“It all comes down to prevention,” he said. “The biggest modifiable risk factor is still smoking. The message is trickling down that it’s not cool to smoke.”

Dr. Vaderah enjoys the chance to counsel patients regarding behavior and diet modifications and appreciates the ever-improving arsenal of cholesterol and blood pressure lowering medications. However, his favorite part of the job is in the cath lab.

“In the last 20 years, this is one of the most rapidly evolving fields in medicine,” he said.

He predicts continued development of the use of drug-coated stents, bioabsorbable stents, the potential for catheter-based heart valve repair in place of more complex, invasive surgery and looks forward to the opening of Skagit Valley Hospital’s new cath lab.

In addition to finding a vital place to practice, Dr. Vaderah said he, his wife and two children, ages 17 and 13, are pleased to be living in Western Washington to be close to family and friends living in Seattle and Vancouver, B.C.

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Screening

yields information, tips to reduce risk of heart disease

By Margaret Friedenauer

I’m a morning person. I like my mornings to consist of waking up to the radio, taking a shower and reading the newspaper over a bowl of oatmeal. Once I arrive at work, I fix a cup of tea while my computer is warming up. Two hours later, I’m usually ready for a cup of coffee.

So, while participating in a screening to have my ankle brachial pressure index tested, along with my blood pressure, full lipid profile and body composition sounded daunting, the hardest part of the whole affair was having to skip my oatmeal, tea and coffee for a morning. But I figured it’s a small price to pay to evaluate the state of my cardiovascular health and stroke risk.

The screening is a new service to the community. It’s offered by Skagit Regional Heart & Vascular Institute, a partnership of Skagit Valley Hospital, Skagit Valley Medical Center Cardiology and Skagit Radiology. With a combination of tests that take about 40 minutes, participants are given immediate results that can show if they have an increased risk of cardiovascular and peripheral arterial disease (PAD).

I scheduled a time for my screening keeping in mind I would have fast for 12 hours beforehand. Scheduling each screening allowed me and the other participants to work through the tests with the providers without having to wait long.

My screening began in a private exam room where a health care provider measured my blood pressure and weight. She then measured my body fat composition using a wand with an infrared light held close to one of my biceps. All of these were routine, quick and painless.

The next part of the screening – the blood test to determine my lipid profile was one of the most surprising. I’m used to getting this type of blood test with a rubber band around my upper arm and a little prodding with a needle from a phlebotomist to find a vein in my arm. A few vials of blood and a couple of days later usually net the results. This typical way of screening a lipid profile is not a wholly unpleasant affair and one I normally go through twice a year in order to keep tabs on my triglycerides and cholesterol.

But this time, it only took a quick, painless finger prick and my results were ready in less than five minutes.

Using a newly developed method of testing, the health care provider is able to get enough blood from a finger prick to test right at the screening station. A printout of the results is available in less than five minutes.

Those five minutes were just enough time to finally indulge in coffee and a granola bar while I waited for the second part of the screening.

The next step of the screening took place in a second exam room with another health care provider who explained the process of measuring my ankle-brachial index (ABI). The ABI is measured by using a blood pressure cuff on each ankle, one at a time. The health care provider used a small, hand-held Doppler ultrasound to listen to the blood vessels. The ultrasound is necessary since the pressure in the ankles is harder to hear than the blood pressure taken on the arm, but it provides a valuable tool to detect evidence of arterial blockages from plaque buildup.

As I reclined on an exam table, sans shoes and socks, it took the health care provider about five minutes to listen and record my ankle- brachial pressure from both ankles. She calculated my index and was able to determine my ankle-brachial index, a number that showed my risk was, fortunately, low. Had my index been abnormal or shown an increased risk, she would have advised that I contact my primary care physician for a follow-up to check for additional signs of peripheral arterial disease (PAD), which can be linked to a higher risk of heart attack or stroke.

The health care provider also went over my results from the lipid profile, blood pressure and body fat composition. Taken together, they provide a snapshot of my heart and cardiovascular health. She explained the normal ranges for each of the tests and then showed me how my results fared within – or outside of – those ranges.

Where my numbers were less than ideal, she gave me tips and materials for working on decreasing my risk. I also had the option of having my results sent directly to my primary care physician so that he could also offer some guidance – and persuasion – about reducing my heart disease risk.

In all, the screening took about a little more than a half hour. But sacrificing 40 minutes and breakfast for one morning was well worth the knowledge I gained about my own heart.

For more information on how to sign up for the hear and vascular screening, see page 36.

Multidisciplinary team focused on breast cancer When a patient is diagnosed with breast cancer, anxiety can build in waiting for further tests, physician appointments and getting a treatment plan.

Physicians and staff at the Skagit Valley Hospital Regional Cancer Care Center are always conscious of the need to get the patients the answers and support they need.

A new plan for a breast cancer center of excellence redoubles those efforts with a multidisciplinary approach to provide a comprehensive evaluation for newly diagnosed patients.

Clinicians involved in the center will include surgeons, pathologists, radiologists, radiation and medical oncologists along with providers of ancillary services such as nutrition, physical therapy and social work and complementary therapies such as acupuncture and massage.

“Our goal is to offer patients and their families a comprehensive evaluation within a timely manner,” said Dr. Theodore Kim, Medical Director of the Skagit Valley Hospital Regional Cancer Center.

“The physicians and staff at the Regional Cancer Care Center understand that being diagnosed with breast cancer is very stressful on patients and their families. To help alleviate that anxiety and provide the best treatment options, patients and their families will have a complete evaluation by all the subspecialties within 48 hours.”

“We also understand that the best chance for a cure requires the cooperation and communication between medical specialists such as pathology, radiology, surgery, medical and radiation oncology,” said Dr. Kim. “We are very fortunate in Skagit County to have physicians and providers who

share the goal to provide the best care for the people in their community.”

“Our breast cancer specialty clinic will ensure such multimodal care is achieved in a time efficient, organized manner. Our goal is to have women seen by physicians represented all the involved modalities of care within 1-2 days and then have such physicians review and consolidate treatment recommendations the following day,” said radiation oncologist David Kantorowitz, MD, PhD. “Our goal in this, as in all treatment we give, is to provide the most modern care in a warm local environment. The women we see are someone’s wife, mom, sister.

Like our own, each deserves the best.”

Skagit Valley Hospital Regional Cancer Care Center is a network member of the Seattle Cancer Care Alliance, which is a partnership between the world-renowned Fred Hutchinson Cancer Research Center, UW Medicine and Seattle Children’s.

The close relationship with the experts at Seattle Cancer Care Alliance provides physicians and their patients with access to clinical trials and the latest breast cancer research. Plans for the breast cancer clinic include teleconferencing capabilities for second opinions and to include SCCA physicians in a dedicated breast cancer conference.

Continued on page 8 ABOVE: Dr. Theodore Kim, DO, medical oncologist (center, right) is surrounded by representatives of Safeway who presented a $200,000 check, for the breast cancer clinic to the Skagit Valley Hospital Foundation.

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Breast Cancer Clinic Continued from page 7

The clinic concept meets the needs of today’s breast cancer patients, Dr. Kim said.

“It’s very exciting,” Dr. Kim said. “We really have a vision of proactive care and to change management of care in a community setting while coordinating care with an academic center such as SCCA.” The program received a boost from Safeway, Inc. which made a donation of $200,000 to the breast care clinic.

“Our donation of $200,000 to the breast center at Skagit Valley Hospital reflects the passion and true spirit of giving shown by our customers and employees who believe the opportunity exists to find a cure within our lifetime,” said Cherie Myers, Director of Public and Government Affairs for Safeway, Inc. During the month of October, Safeway conducted a companywide initiative to raise funds for breast cancer research efforts and treatment programs. A total of $1.3 million was raised statewide.

The funds from Safeway will be used for patient education, providing resources for patients and seminars on self-breast examination and prevention, Dr. Kim said.

“Cherie Myers and Safeway share our vision to help change the way breast cancer is treated in this region,” Dr. Kim said. “As a community, we can all improve how our loved ones are treated. Being diagnosed with breast cancer can be devastating, however, there is always hope and as a community we will keep fighting for a cure.”

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Patients impact research to help save lives

By Seattle Cancer Care Alliance

When a person has cancer, there is a lot of hope and trust that the doctor they have chosen will provide them with the most advanced care available. Over the years, better techniques and more effective medications have been developed that cure people sooner or help alleviate their symptoms so they can maintain a good quality of life. This wouldn’t be possible without medical research.

Clinical trials are essential to research. That’s where new drugs and new treatments come from. The goal of clinical trials is to increase the knowledge about diseases like cancer and develop more effective and less toxic methods to treat it. That’s when patients themselves can be part of improving medicine.

Skagit Valley Hospital Regional Cancer Care Center is a member of the Seattle Cancer Care Alliance (SCCA) Network. Together, they provide leadingedge cancer care to people in the Pacific Northwest. SCCA is an outpatient care facility for people who have cancer or other blood diseases, like Aplastic anemia. It is also part of the three world-renown research institutions, Fred Hutchinson Cancer Research Center, University of Washington Medicine and Seattle Children’s.

Research and clinical trials are essential to SCCA’s mission of finding new and better ways to treat cancer. Through the SCCA Network, Skagit Valley Hospital’s Regional Cancer Care Center can offer its patients access to the newest therapies and treatments available, to give them the best possible chance of curing their disease.

Many patients are interested, even eager, to participate in clinical research. One reason is that they are interested in new, innovative treatment options that are not offered at every medical oncology office.

But finding enough patients to conduct a clinical trial is sometimes a problem for researchers. Nationally, only about 4 to 5 percent of cancer patients take part in clinical trials. There are many reasons for this low participation rate, including a lack of information about clinical trials for patients and myths about clinical trials in general. By participating in a clinical trial, patients receive the best care and treatments available for their disease.

When a person has cancer, taking part in a research study means they are making a unique contribution to others—a gift to the future where cancer is not the dreaded disease it is today.

For more information about clinical trials at Skagit Valley Hospital Regional Cancer Care Center, go to www.skagitvalleyhospital.org or to the Seattle Cancer Care Alliance Web site at: www.seattlecca.org.

Regional Cancer Care Center remodel complete, expansion opens this fall Expansion and remodeling of Skagit Valley Hospital’s Regional Cancer Care Center is nearing completion.

The first phase, a remodel at the south end of the center is finished and is home to seven new infusion stations for chemotherapy and a small nurses station in what previously served as office space. The improvement brings to 22 the number of infusion chairs in the center. Patients started using the new chemotherapy area in March.

At the north end, external work for a third vault for radiation therapy and reorganization of the waiting area and physician offices is complete and the 16-week installation and commissioning process for a new state-of-the-art linear accelerator is under way.

The 1,200 square foot addition will house an Elekta Axesse linear accelerator which adds new technology and precise radiation therapy options to treat cancer of the brain, lungs, liver, pancreas and near the spine.

New director commitment to quality

sees

at Regional Cancer Care Center Margot Connole joins the Skagit Valley Regional Cancer Care Center at an exciting time of growth and advancement of technology and with a team of healthcare providers in place to offer each patient personalized, quality care.

“It’s a beautiful environment, especially with the healing gardens,” Connole said of the center that is currently expanding to add seven additional stations in the chemotherapy suite and a third linear accelerator for radiation therapy.

Connole is the new Director of the Regional Cancer Care Center, arriving in February from Centura Health in Denver, Colorado where she served as Vice President of Oncology Services.

Skagit Valley Hospital’s network membership with the Seattle Cancer Care Alliance (SCCA) was a key to Connole’s attraction to the job. The SCCA is a partnership of the world-renown Fred Hutchinson Cancer Research Center, UW Medicine and Seattle Children’s.

“Here we have people with a lot of passion and a lot of talent. The staff and physicians are just stellar. The commitment of the administration to the program is tremendous,” Connole said. “The facility, the technology and the affiliation with the Seattle Cancer Care Alliance all speak to a commitment to quality. There is passion, expertise and a commitment to quality.”

Skagit Valley Hospital has provided cancer care services for more than 30 years and opened the comprehensive Regional Cancer Care Center in December 2006. The new center provides chemotherapy, radiation therapy and complementary therapies.

“The SCCA is absolutely a factor and a critical move for our cancer program. Not only does the affiliation give access to clinical trials, but SCCA helps support physician recruitment and overall advancement of oncology care,” she said. “The affiliation helps the community feel comfortable that they can get top-rated care staying right here, so they don’t feel like they have to drive to Seattle to get this high level of care.”

Connole, who has worked in oncology administration for 10 years, describes cancer care as “a calling” for those who provide patient care.

“Oncology is a really special area and when you think of the concept of a team, it’s not a stretch to say that teamwork is an essential,” she said.

“Everything we each do to make our patients’ day easier is a gift, a real gift.”

Cancer care also involves support for the whole family as they make their way through the emotional, spiritual, physical or financial distress of a cancer diagnosis.

The Regional Cancer Care Center staff identifies and offers resources at all levels to assist the patient and family in getting grounded and moving forward.

“Cancer affects the whole family,” Connole said. “That distress interferes with everything else we’re trying to do to help the patient. Once they have answers and a plan, people can manage.”

Connole’s move to the area is a return to Washington as she previously worked at Providence Everett Medical Center. A native of Virginia, she earned a Bachelor’s degree from Virginia Polytechnic Institute and State University and a Master’s in Health Administration from Medical College of Virginia.

ABOVE: Margot Connole serves as the new director of the Skagit Valley Hospital Regional Cancer Care Center.

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Nutritionist gains oncology certification Skagit Valley Hospital Regional Cancer Care Center nutritionist Lou Kupka-Schutt, PhD, RD, CSO recently became a Board Certified Specialist in Oncology Nutrition.

Kupka-Schutt earned the designation through the American Dietetic Association after successfully passing a rigorous exam and logging more than 2,000 hours working with cancer patients. She is among fewer than 200 nutritionists in the country to have the certification, according to the association.

“This was an important step as it is a newer specialty for a dietician,” KupkaSchutt said. “The more you specialize in an area, the better you know it and the more you are able to help the patients.”

A longtime nutritionist at Skagit Valley Hospital, Kupka-Schutt started working with cancer patients and their families four years ago. She can help develop nutrition plans for before, during and after cancer treatment to help patients feel better and maintain energy.

During treatment, she learns about the medications patients are taking and the treatment plan. Half of cancer patients are malnourished due to their illness while others have a raised metabolic rate that requires more calories to stay strong.

“For me, it’s about knowing what the treatment is and the nutritional implications and knowing how to help people with that to maintain their strength,” she said.

Food is one of the few things cancer patients feel they can maintain control of during their treatment and Kupka-Schutt offers tips for enjoyable nutrition choices.

“This is one of those tools they can have control over,” she said. “They are in control of how they nourish their body.”

Skagit Valley Hospital now offers a screening for vitamin D. To find out your blood levels of Vitamin D see pages 33 and 36.

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I mpo r ta n t f acts

Vitamin D about

you should know

by Lou Kupka-Schutt, PhD, RD

Vitamin D is constantly in the news today. While we know it’s good for our bone health, now we are hearing that Vitamin D is related to a wide variety of health issues and that people are often deficient in Vitamin D. To understand the benefits, it is important to understand the basics about Vitamin D and why it’s so important to good health.

What is Vitamin D?

Vitamin D is a vitamin that is actually produced in our body.

In order for the body to produce Vitamin D, it must be exposed to adequate sunlight (about an hour per week). The Vitamin D that we get from the sun and from fortified foods must then be converted to an active form in our body. This involves both the liver and the kidneys.

The active form of Vitamin D is Vitamin D3 or calcitriol. As we get older, we may produce less Vitamin D. In addition, most of us in the Northwest do not get adequate sunlight to produce Vitamin D.

What does it do?

Vitamin D is most well known for its involvement with bone health. It is necessary to absorb calcium. Therefore, people with low Vitamin D levels may be more likely to suffer from osteoporosis or joint pain. However, new research is showing that Vitamin D has many more functions in the body than just helping our bones.

Vitamin D also effects the neuromuscular and immune systems and can reduce inflammation. Because of these functions, Vitamin D deficiency has been related to a variety of disease states including: autoimmune disorders, cancer, diabetes, heart disease, hypertension, multiple sclerosis, osteoarthritis and osteoporosis.

Where do I get Vitamin D?

The best sources of Vitamin D are the flesh of fish including tuna, mackerel and salmon along with fish liver oils. Fortified foods such as milk, orange juice, yogurt and some cereals also contain Vitamin D.

How much Vitamin D do I need?

The recommended amount of Vitamin D for adults per the Institutes of Medicine Recommended dietary levels are: 200 IU for people 50 years or younger, 400 IU for 51-70 years and 600 IU for those over aged 70. This is the amount needed to prevent the bone disease rickets. These recommendations will be reviewed this year and are most likely to increase to at least 400 IU for younger adults and 800 IU to 1000 IU for older adults.

Who is at risk for Vitamin D deficiency?

Those at risk of Vitamin D deficiency include breastfed infants, older adults, people with limited sun exposure, people with dark skin, those who can - not absorb fat and people with a body mass index greater than or equal to 30.

How do I know if I am deficient?

The best way is to have your Vitamin D level measured. This will give your doctor the tool to help determine the appropriate Vitamin D supplement level for you.

Can I take too much Vitamin D? Excessive Vitamin D may cause nausea, vomiting, poor appetite, weight loss, weakness and constipation along with raising calcium levels.

Community Neurologist: Patti Brettell, MD brings focus on MS Neurologist Patti Brettell, MD, brings experience in research and business and a love of working with patients to her new practice at Skagit Valley Medical Center.

Dr. Brettell, who joined the local practice in February, received her bachelor’s and master’s degrees in chemistry and organic chemistry and her MBA at the University of Wisconsin.

She worked for several years in product and research development before finding a way to combine her skills for research and desire to more directly affect people’s lives by going to medical school.

She received her MD at the Chicago School of Medicine, completed an internship in Internal Medicine at the University of South Florida and served her residency in neurology at the University of California Davis. She is board certified by the Academy of Psychiatry and Neurology.

Dr. Brettell’s path to becoming a neurologist started early as she worked for several years at a doctor’s office during high school and college. She enjoyed the patient interaction and was inspired by the doctor’s care for his patients.

While she enjoyed her work in research, she said it didn’t offer the intimate connection with people she craved. So, after 15 years in research and over the age of 40, she decided to pursue a career in medicine.

“I was really interested in making a difference in people’s lives and helping people on a personal basis,” she said.

Dr. Brettell said she was initially interested in family medicine as a way of working closely with a wide variety of patients.

“My style is more like family practice and I thought I’d be a great family medical doctor,” she said.

She was also interested in working in rural communities and so she accepted a fellowship with the National Health Service Corps on the Flathead Indian Reservation in Montana. Family medicine however, didn’t tap into her skills as a researcher as much as she wanted. So she began exploring the option of a specialty.

“This mind that worked in research needs to be in a specialty,” she said of herself.

Neurology offered the balance of analysis and patient interaction Dr. Brettell said she was looking for. The range of conditions neurology focuses on demands attention to mechanisms and problem solving, she said.

“I want to be a community neurologist, a general neurologist,” she said. “I’ve never questioned if neurology is right for me.”

That’s not to say Dr. Brettell doesn’t have more specific areas she is interested in. Over the years, Dr. Brettell has worked closely with several multiple sclerosis (MS) patients and doctors in the field. She first became involved because her husband, Michael, has MS and is involved in several MS organizations and efforts. Dr. Brettell began studying and working with other neurologists with MS experience and at institutions such as University of British Columbia, UC Davis and UCLA Brain Center. She is involved with the The National MS Society, Greater Washington Chapter and the organization works closely with her to make sure patients north of Everett have access to her expertise without having to travel to Seattle.

Dr. Brettell said she enjoys the partnerships and circle of colleagues she is involved with. She said also it’s crucial for doctors in smaller communities, especially in specialties such as hers, to build those relationships with doctors and organizations in larger metropolitan areas.

“I like to leverage my skills from my business background to making and keeping those connections.” she said.

Continued on page 12 ABOVE: Neurologist Patti Brettell, MD works with a patient in her Skagit Valley Medical Center office in Mount Vernon.

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11

Dr. Brettell

Physician makes switch from family practice to emergency department

Dr. Brettell for the past several years has worked at St. Joseph’s Hospital and Cascade Neurologic Clinic in Bellingham.

She said she is excited to join Skagit Valley Medical Center because of the range of providers at the single location.

Shawna Laursen, MD has chosen to venture into the world of emergency medicine at Skagit Valley Hospital after more than a decade in family medicine and time spent as an associate professor of medicine. Dr. Laursen began in the winter working in the Skagit Valley Hospital Emergency Department as a new physician with Northwest Emergency Physicians.

Continued from page 11

“I like to have a community of doctors to work with,” she said.

Dr. Brettell said she was also impressed with Skagit Valley Hospital’s partnerships with a range of services such as the Swedish Neuroscience Institute’s TeleStroke Program. The program bolsters Skagit Valley Hospital’s stroke support services in the Emergency Department through 24/7 access to Swedish’s stroke team experts via real-time, telemedicine-based technology.

Dr. Brettell said the telemedicine partnership is an example of the same kind of partnerships she likes to create.

“It’s nice to see a hospital so forward thinking and aligned with others,” she said.

With her experience in MS, Dr. Brettell will be able to dispense at the medical center and hospital one of the newer treatments for MS patients. The infusion drug Tysabri is used to treat aggressive forms of MS and is given monthly by a doctor. The hospital and medical center had to receive certain certification and equipment in order to pave the way for Dr. Brettell to dispense the medication. But being able to offer the drug at the medical center or hospital allows Dr. Brettell to treat some of her patients locally rather than having to refer them to Everett or Seattle.

“It’s nice to know we have that drug in our arsenal,” she said.

In addition to MS patients, as a general neurologist Dr. Brettell said she treats a variety of ailments, including migraines and epilepsy.

Dr. Brettell and James Bowen, MD will offer a presentation on MS on May 20.

See page 34 for more information.

12 SKAGIT VALLEY HOSPITAL

Dr. Laursen grew up in Alaska and moved to Seattle to attend University of Washington and received her undergraduate degrees in biology and psychology. She stayed at the University of Washington for her MD. After her residency at Family Medicine of Southwest Washington she joined Fidalgo Medical Associates in Anacortes. She was a clinical instructor at UW and became a clinical assistant professor in 2001. She served as Chief of Medicine and later, Chief of Staff at Island Hospital before starting work at Skagit Valley Hospital’s Emergency Department.

Dr. Laursen said she chose to move into emergency medicine

because she was looking for a new challenge and to expand her skills “After 11 years of family medicine it was time for a change,” Dr. Laursen said. “I found family medicine to be very rewarding but also very time consuming.

My mid-career shift to emergency medicine has allowed for continued professional growth. With this change, I find that I am as excited about being a doctor now as I was 10 years ago.”

Dr. Laursen said she also enjoys the intensity and broad spectrum of patient care needs that emergency medicine requires.

Dr. Laursen also hopes to continue with her faculty work. She began teaching residents shortly after serving her own residency and remains a clinical associate professor of family medicine at the University of Washington.

“I look forward to continued teaching opportunities in my emergency medicine career,” she said.

Podiatrist partners with patients to reach activity, quality of life goals Podiatrist Cindy Bullock, DPM, AACFAS, joined Northwest Orthopaedic Surgeons in Mount Vernon in February.

Dr. Bullock completed her undergraduate studies at University of California at Irvine and postbaccalaureate study in medical biochemistry at University of Kent in Canterbury, England.

She completed her Doctor of Podiatric Medicine degree from Temple University School of Podiatric Medicine and served her residency at

University of Utah and Department of Veterans Affairs Medical Center.

She is a member of the American College of Foot and Ankle Surgeons, the American Podiatric Medical Association and the Washington State Podiatric Medical Association.

Doctors of Podiatric Medicine (DPMs) are physicians and surgeons who diagnose and treat disorders of the foot, ankle and lower leg.

Conditions commonly addressed can vary from bunions, hammertoes, and heel pain, to arch problems, fractures and

infections. Many times, podiatrists are also part of a team approach toward the care of a patient with diabetes, a disease which can result in specific foot concerns.

Dr. Bullock said she enjoys her specialty because of her interest in sports and the multifaceted approach podiatry demands.

“Each patient comes having a personal goal,” she said. “It may be a desire for getting into or maintaining an active lifestyle, decreasing pain or recovering from an injury. Partnering that goal with my experience and a personalized plan, it is gratifying for me to share in each patient’s path toward foot and ankle health.”

Dr. Bullock’s special areas of focus include foot and ankle fractures, sports injuries, heel pain, endoscopic fascial release, ankle arthroscopy, orthotics, bunions and hammertoes.

Dr. Bullock most recently worked as a podiatric surgeon at ABQ Health Partners in New Mexico and served as chief of staff at Westside Hospital in Albuquerque.

Having been raised near the water and mountains in San Diego, Dr. Bullock said she was longing to return to a similar environment. She has extended family in Bellevue and first visited the Northwest during the World’s Fair Expo in 1986 in Vancouver, B.C. “It really made an impression on me and I was excited about the opportunity to return,” she said.

Dr. Bullock enjoys travel, hiking and watching professional football, especially as a fan of the San Diego Chargers.

Gynecologist joins Skagit Valley Medical Center Stephen Waszak, MD started seeing gynecology patients at Skagit Valley Medical Center in February.

Dr. Waszak mostly recently worked in private practice at the Women’s Clinic of Seattle which he’d been with since 1979. He retired from private practice in December to spend more time with his family.

He now sees patients on Thursdays and Fridays at the medical center in Mount Vernon and provides some service for physicians who need help with their practices on a part-time basis.

Dr. Waszak completed his undergraduate studies at the University of Michigan and his M.D. at University of Michigan Medical School. He served his internship and residency in obstetrics and gynecology at the University of Washington Hospital in Seattle.

Dr. Waszak is a clinical faculty member at the University of Washington and is a past deputy chief of Obstetrics Department at Swedish Hospital.

Expecting?

Tour the

Family Birth Center

Get to know the Family Birth Center before the birth of your baby with a tour of our spacious, secure, well-appointed unit at Skagit Valley Hospital.

The large waiting room, with a game area for children, television and plenty of chairs to accommodate the extended family, also features a view on the nursery.

Tours take place twice monthly, at 6 p.m. on the second Tuesday and 1 p.m. on the fourth Saturday of each month.

With just six to eight people on each tour, guests will have a chance to see the Family Birth Center, ask questions and get a feel for the comfortable, yet state-of-the-art, surroundings.

Take a look at one of the large private patient rooms, with amenities for family members, flat-screen TV, private bathroom with jetted tub and attractive décor. Behind the cabinetry is an infant warmer and all of the supplies the providers will need to support mom before, during and following the birth.

Check out the surgical suites where mom will go if a C-section is in order.

These modern operating rooms are right within the Family Birth Center, easily accessible to physicians and patients.

ABOVE: The staff of the Family Birth Center welcomes tours of the new family-focused facilities.

SIGN UP FOR A TOUR! Call 360-814-2424 SPRING&SUMMER2009

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Children’sTherapy relocates to enhanced, central facility

Skagit Valley Hospital’s Children’s Therapy Program is moving to new space on the hospital’s Mount Vernon campus. The new expanded facility will bring together services previously offered in Stanwood and Mount Vernon into one location dedicated to the unique needs of infants and children with developmental disorders.

The program, one of 14 Pediatric Neurodevelopment Centers in the state, will be located in the hospital just off 15th Street in Mount Vernon with ample parking and a separate entrance.

For the past 12 years, highly trained program staff has provided services to infants and children with developmental disorders and delays ranging from autism and cerebral palsy to delays with feeding, swallowing, fine and gross motor skills and sensory integration disorders. The program combines physical, occupational and speech therapy in a comprehensive approach to diagnosis and treatment.

The new 5,000-square-foot facility features lighting and colors based on research for best practices regarding spaces for children with special needs.

The center will include a dedicated sensory room, including climbing wall and suspended equipment, space for individual and group feeding assessments, discipline-specific therapy rooms and a lending library.

For information regarding the Children’s Therapy Program, call 360-814-2699.

ABOVE: Eleven-month old Edwin Morales enjoys a ride on a swing with his mother Juana Rodriguez as therapist Erin Kau’i looks on in the new Children’s Therapy Program space at Skagit Valley Hospital.

14 SKAGIT VALLEY HOSPITAL

Hospital sponsors events to benefit wellness, activity Skagit Valley Hospital sponsored a wide variety of events during 2008 with a focus on wellness, research, physical activity, healthy nutrition and awareness.

The list includes: • The Relay for Life, in Burlington and in 2009 in Stanwood, both to benefit the American Cancer Society.

• Skagit Council on Aging’s annual March for Meals to benefit Meals on Wheels.

• Mount Vernon Farmers Market, which includes a seasonal weekly Wednesday market at the hospital’s campus.

• Funds to help print the Skagit Council of Governments’ Skagit County bike map and walking trail map.

• Arthritis Foundation’s Jingle Bell Walk/ Run. • Publication of the Skagit County Health Department’s informational flu insert published in the Skagit Valley Herald.

• Camano Senior and Community Center 2008 Island Gala to support the center, which is home to Meals on Wheels and nutrition and physical activity programs for seniors.

• Skagit Senior Day in the Park.

We’d like to keep in touch!

Are you interested in a specific health topic? Would you like to know more about heart disease, cancer prevention or diabetes? Skagit Valley Hospital is interested in providing you with the information you need for health and wellness. We are compiling a list of e-mail addresses so we can tailor communications to your needs. If you would like to be part of our e-mail communications, please let us know by sending an e-mail to kranten@ skagitvalleyhospital.org. We plan to send items just three times a year and offer our e-mail list members early notification and preferred registration for classes and screenings. We look forward to hearing from you.

Center for Sleep Disorders receives program accreditation The Center for Sleep Disorders at Skagit Valley Hospital received program accreditation from the American Academy of Sleep Medicine in February.

A sleep study helps to diagnose sleep disorders that may be causing not only disruptions in sleep and fatigue, but other health concerns.

“The American Academy of Sleep Medicine congratulates the Center for Sleep Disorders at Skagit Valley Hospital on fulfilling the high standards required for receiving accreditation as a sleep disorders center,” said Dr. Mary Susan Esther, AASM president. “The center is a significant resource to the local medical community and will provide academic and scientific value in addition to the highest quality care for patients suffering from sleep disorders.”

To receive a five-year accreditation, a sleep center must meet or exceed all standards for professional health care as designated by the AASM. The accreditation process involves detailed inspection of a center’s facility and staff, including an evaluation of testing procedures, patient contacts and physician training. Additionally, the facility’s goals must be clearly stated and include plans for positively affecting the quality of medical care in the community it serves.

The six-bed Center for Sleep Disorders opened in March 2008, replacing a twobed facility within the hospital. With the opening of the new center under the medical direction of certified sleep specialist Murali Maheswaran, DO, the volume of sleep studies increased nearly 25 percent in 2008, compared to 2007.

The American Academy of Sleep Medicine currently accredits more than 1,600 sleep medicine centers and laboratories across the country.

Each spacious private room is furnished with a queen-sized “Sleep Comfort Select 5000” bed that a patient can adjust to suit their preferred level of firmness. An armoire provides a place for clothing and belongings and the interior décor is in warm natural tones. A flat-screen TV, private bathroom and other amenities provide a home-like environment for the patient’s overnight stay for a sleep study.

The American Academy of Sleep Medicine is a professional medical society for clinicians, researchers and other health care providers in the field of sleep medicine. As the national accrediting body for sleep disorders centers and labs, the AASM is dedicated to setting standards and promoting excellence in sleep medicine heath care, education and research.

For information about the sleep center, call 360-814-2612 or to reach the office of Dr. Maheswaran, call 360-428-2586.

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Diagnosed with diabetes?

Education program serves as resource

There are 23.6 million people in the United States, or 8 percent of the population, who have diabetes, according to the American Diabetes Association (ADA). As the prevalence of diabetes continues to rise, so does the need for education and resources for patients and their families.

Skagit Valley Hospital earned education recognition and certification for the Diabetes Self-Management Program from the ADA in February and started offering outpatient classes and inpatient counseling in March.

“Our goal is to identify these patients early on in their diagnosis and provide them with a base of knowledge from the beginning on how to monitor their diabetes, how to use the information they receive and the options and choices they have for medication, nutrition and physical activity,” said Amy Navarre-Cantrell, PA-C and a Certified Diabetic Educator.

“This is a patient-centered and patientled direction of care and treatment plan,” Navarre-Cantrell said. “Patients need to be an advocate for their own health.”

In addition to Navarre-Cantrell, patients will meet with an exercise specialist and registered dietician for the twice a month classes. Dr. Jennifer

16 SKAGIT VALLEY HOSPITAL

Benson of North Cascade Family Practice is the program’s Medical Director.

The program will focus on newly diagnosed adult type 2 diabetes patients, who represent 80 percent of the diabetes diagnoses. These patients typically fall in the 30 to 35 year old age group and have other issues such as high blood pressure, high cholesterol or are overweight.

“Diabetes can sometimes be brought on by excess weight and a sedentary lifestyle,” said Gail Noble-Sanderson, Director of Rehabilitation Services at Skagit Valley Hospital. “That’s why there is a significant diet and exercise component to encourage a healthy lifestyle.”

Patients are encouraged to bring a support person with them to the classes.

“With a new diagnosis, patients have a fair amount of motivation,” NavarreCantrell said. “Then it’s just about finding a way to get patients to stay involved with monitoring and managing their diabetes so they can live a long and healthy life.”

In addition to adults with type 2, the program aims to collaborate with OB-GYNs and family physicians to provide education for pregnant women with gestational diabetes and to work with pediatricians and family physicians on assisting with education and management of children with diabetes.

For more information, see page 35.

Hospital campus to host veterans clinic The new veterans outpatient clinic will open early this summer in a medical office building on the Skagit Valley Hospital campus.

The Northwest Washington VA Puget Sound Community Based Outpatient Clinic will provide a full range of services to veterans. The clinic will occupy the entire second floor and part of the third floor of the building that is home to the Skagit Valley Hospital Regional Cancer Care Center on 13th Street in Mount Vernon.

The new clinic construction by JTM Construction of Seattle was well under way in February as reception areas, waiting, exam and procedure rooms, dental suites and physician offices took shape in spaces featuring warm colors, natural light and views of Mount Baker and the surrounding region.

Currently, 2,200 veterans are enrolled with the temporary VA outpatient clinic location in Sedro-Woolley where primary care, mental health and laboratory services are available. The staff includes two full-time primary care physicians, a psychiatrist, two RNs, two LPNs, two social workers, a pharmacist, a program support assistant and a nurse manager.

The opening of the expanded facility will allow enrollment to rise to 6,500 veterans.

The new 16,700-square foot facility will also broaden the scope of services available to include primary care, mental health, dentistry, audiology and optical services.

Veterans who are not currently enrolled in the VA system may call 1-800-329-8387, extension #76542 or visit www.va.gov.

Hospital Board sets policy regarding Death With Dignity Act

Inpatient hospice care available at Skagit Valley Hospital Skagit Valley Hospital and Skagit Hospice Services, LLC have successfully begun implementing general inpatient care for Skagit Hospice patients needing short-term hospitalization.

Although this is a “new service” to Skagit Valley Hospital, it is not a new level of care to those who have worked in Medicare Hospice Certified Programs, such as Skagit Hospice.

“The availability of the inpatient hospice support will provide an important continuum of care to our community,” said Jan Iverson, Chief Nurse Executive at Skagit Valley Hospital. “When more intensive approaches to pain or other symptom management is necessary, utilizing Skagit Valley Hospital provides the additional resource in order to serve the acute needs of our patients.

We are looking forward to being part of our regional palliative care team.”

The Medicare hospice benefit has been in existence since the 1980s, designed to provide those with a life-limiting illness a holistic approach to end-oflife care. The benefit is designed to be utilized by patients who have a prognosis of living six months or less to enable his or her family to get their affairs in order and to say their goodbyes.

The benefit has four different and distinct levels of care: Routine home care, continuous care, respite care and general inpatient or hospitalization.

Occasionally, a patient may experience rapidly changing symptoms such as increased shortness of breath or an escalation of pain. Patients and their families may want the familiarity of their community hospital to assist them with the management of these symptoms. The patient’s Skagit Hospice RN Case Manager assesses the need for inpatient care and contacts the patient’s physician for admitting orders.

The Case Manager then contacts the hospital and arranges transportation.

The case manager or patient’s physician calls hospital personnel with a verbal report and provides them with the current written plan of care, medications and transfer summary within 24 hours.

The hospice social worker contacts the inpatient social worker on admission day and communicates the plan of care.

The case manager and all hospice interdisciplinary group members continue to participate in making visits to the patient as necessary and consulting with hospital personnel.

The case manager and the hospice interdisciplinary group determine the day of discharge. Once a patient is stabilized and symptoms are managed, the patient then is transferred home and their care again transfers seamlessly to the Skagit Hospice interdisciplinary team serving the patient in his or her home.

To learn more about Skagit Hospice, go to www.skagithospice.org, call 1-800894-5877 or e-mail hospice_info@ skagitvalleyhospital.org.

The Skagit Valley Hospital Board of Commissioners approved a hospital policy regarding the state’s Death With Dignity Act approved by voters in November. The law, which took effect on March 4, 2009, requires hospitals to make a public statement of policy.

The policy approved by the Board of Commissioners on Feb. 27, 2009 does not allow patients to self-administer life-ending medications at Skagit Valley Hospital and does not allow the hospital pharmacy to fill a prescription for life-ending medication.

However, the policy does allow providers who desire to do so to respond to and openly discuss any patient’s inquiry about life-ending medication and help patients to make informed decisions about end-of-life care and options. Healthcare providers at Skagit Valley Hospital may perform the duties of an attending or consulting physician, may prescribe life-ending medication, may provide counseling or perform other duties as allowed by the law.

The act requires that an adult Washington resident who is certified as having a terminal illness with six months or less to live, who is found to be competent by two physicians, may voluntarily request a prescription for life-ending medication three times.

The requests must include two oral and one written request spanning at least 15 days, and the patient must be able to self-administer the lethal drug.

The Death With Dignity Act is clear that no provider, including Skagit Valley Hospital, is required to assist a qualified patient in ending his or her own life.

Skagit Valley Hospital will continue to provide compassionate, high-quality care to all our patients. Any patient wishing to receive life-ending medication while a patient at Skagit Valley Hospital will be assisted in transfer to another facility of the patient’s choice and will be assured continuity of care.

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Six ways you can help improve your care Patients and families must take an active role in their health, wellness and care. Here are six tips to improving your care: 1

Ask questions if you have doubts or concern.

• Choose a doctor you feel comfortable talking to.

• Write down your questions for your healthcare team so you don’t forget them.

• Take notes when you meet with your doctor.

• Ask questions and make sure you understand the answers.

• If you think something is wrong, speak up. You have the right to ask about your own care.

• If you are hospitalized, know what the treatment will include, and how long the treatment should last.

• Tell your doctor and other members of your healthcare team about recent hospitalizations and care you’re receiving.

2

Involve your loved ones.

• If possible, have a friend or family member with you to help ask questions and understand the answers. It’s easy to be overwhelmed by the amount of information presented.

3

Know your medications and supplements.

• Give your doctor and pharmacist a list of all the medications you take, including non-prescription medications, vitamins and herbal remedies.

• Read the label when you get your medication including all warnings.

• Ask about side effects and what to avoid while taking the medication.

• Tell your doctor or nurse if you have any drug allergies.

• Make sure your medication is what the doctor ordered and that you know what it’s for and how to use it. Ask the pharmacist about your medication if it looks different than you expected.

• Carry your list with you – Skagit Valley Hospital offers a compact Medication Record card that easily fits in a wallet (**see below). Have your list with you when you go to the doctor or the hospital and make sure to include your physician’s name and phone number. rIGHT: Copies of Skagit Valley Hospital’s handy wallet size Medication Record cards area available at no cost at the Information Desk in the hospital’s Main Lobby off

18 SKAGIT VALLEY HOSPITAL

Hospital Parkway in Mount Vernon.

4

Help prevent the spread of infection.

• Remind friends, family, and caregivers to wash/sanitize their hands before coming into direct contact with you. Cleaning hands is an important way to prevent the spread of infection.

• Discourage family or friends with an active cough from visiting you at the hospital or accompanying you on your doctor visits.

MRSA prevention

5

Understand what will happen if you need surgery.

• Ask your surgeon: Exactly what will you be doing? About how long will it take? What will happen after the surgery? How can I expect to feel during recovery?

• Make sure your surgeon has explained any potential complications.

• Tell the surgeon, anesthesiologist, and nurses about any allergies or bad reactions to anesthesia.

• Verify that the doctor or nurse has clearly marked the body part to be operated on.

6

Know what to do after you are discharged from the hospital.

• Make sure you feel comfortable with discharge instructions given by your healthcare team.

• Review medications you are prescribed with your doctor or nurse, including the medications’ names, dosage amounts and how often you will be taking them.

• Ask your doctor or nurse to provide the phone number to call if you have questions following your discharge.

Skagit Valley Hospital is taking extra steps with prevention strategies for Methicillin Resistant Staphylococcus Aureus or MRSA.

MRSA is a type of staph infection that has become resistant to antibiotics and is increasingly prevalent in the community.

“We are actively working to reduce MRSA,” said Richard Abbott, MD, Quality Improvement Medical Advisor for Skagit Valley Hospital. “There is a certain percentage of people in the community who already carry MRSA, but it isn’t until they have an illness that it is known. Our goal is to continually reduce the number of patients who develop clinically-acquired MRSA.” Skagit Valley Hospital’s prevention strategies include private rooms, flagging charts of patients with a previous MRSA infection, contact precautions, such as providers wearing gloves and gowns, and hand hygiene.

Hand washing is known to be one of the primary ways to prevent the spread of infection and Skagit Valley Hospital was one of eight hospitals recognized by the Washington State Hospital Association in 2008 for outstanding hand hygiene practices.

Expanded strategies begin with a three-month pilot of MRSA screening for critical care patients from April to June which involves taking cultures on all critical care patients upon admission and discharge, maintaining contact precautions for all critical care patients until MRSA results are obtained (normally within 24 hours), daily chlorhexidine baths for all critical care patients, written and oral education and counseling regarding MRSA treatment and prevention for those who test positive for MRSA and random environmental sampling. Following discharge all room’s are thoroughly cleaned and intermittently surfaces will be cultured.

“We’re trying to initiate a lot of measures to help keep patients safe,” Dr. Abbott said.

The pilot will be followed by a thorough project evaluation and a decision how to proceed with MRSA screening.

Currently, the Centers for Disease Control does not recommend culturing of all patients for MRSA upon admission.

Patients and their families are invited to partner with the hospital in the prevention of the spread of infection by washing their hands or using hand sanitizer and avoiding visits to patients if someone has an active cough or illness.

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Skagit Valley Hospital Foundation 20 08 A nnual r eport

Our Mission The mission of the Skagit Valley Hospital Foundation is to raise, manage and distribute funds to assure the continued availability of quality health care services and programs at Skagit Valley Hospital. The Foundation will foster awareness of, and community support for Skagit Valley Hospital through the involvement of the people it serves.

Board of Trustees

Volunteers are the key to the Skagit Valley Hospital Foundation’s efforts in securing philanthropy. We are pleased to acknowledge the efforts of our trustees, who unselfishly give their time and resources as an example to all, and who provide leadership in the Foundation’s prudent stewardship of gifts.

Dr. Richard Abbott Susan Brown Chris Cammock Molly Coddens Shepard Cutler Gregg Davidson Gary Fiedler Jami Hagman Marcia Johnson Megan Kovanen Virginia Learned Corey Mendoza Brad Methner

Myrene Moller Stan Olson Christie Peterson Kyle Reep Jaynie Roozen Richard Roozen Deanna Scott Judi Seegert Bob Taylor Mike Urban Shirley Watkinson Iris Wilson

Staff

Linda Frizzell

A Letter from the President If you are struggling to find good news is this current economy, may I invite you to take a good look at the good that is being done through the Skagit Valley Hospital Foundation. Our Board of Trustees and Staff are humbled, once again, by your generosity as we publish our 2008 Annual Report.

With each donation, we see the good that results. Good things like: cutting-edge cancer treatment; break-through physical therapy for special needs children; closeto-home kidney dialysis; advanced cardiac care and surgical services; a healing environment that includes art, light, music and gardens; a Family Birth Center that meets the needs of the entire family; the Sunrise Inn that provides an inexpensive and cozy “home away from home” for patients and their families; a clinic on Camano Island that serves a very diverse population and much more.

Good can be seen all around, when we focus on the accomplishments fostered by dedicated volunteers, generous donors, hard-working healthcare providers and a supportive community. Our Annual Report for 2008 offers our Board of Trustees and Staff a good opportunity to extend to each and every one of you a very sincere thank you. The accomplishments achieved in 2008 are your accomplishments. The good found is the good given.

So, with all the “bad news” out there, we want to encourage you to take time to reflect on the good…the good you have accomplished as your read this issue of HealthQuest magazine. “It will do your heart good.”

Sincerely,

Executive Director

Wendy Ragusa

Development Coordinator

Becky Wells

Development Associate

20 SKAGIT VALLEY HOSPITAL

Judi Seegert, President Skagit Valley Hospital Foundation

Skagit Valley Hospital Foundation

Donors Our

With sincere gratitude to our community for your support, the Board of Trustees of the Skagit Valley Hospital Foundation proudly presents our Annual Report for the Year 2008.

Through your charitable support, you have helped make Skagit Valley Hospital the best regional community hospital in the Northwest. So with much gratitude, we say “thank you� on behalf of our patients and their families whose lives you have touched.

The Foundation Board of Trustees wishes to thank the following for

Breast Cancer Fund Sedro-Woolley Riding Club

Cancer Care Capital Campaign Fund Dr. & Mrs. Richard Abbott Kelli Anderson Jim Beemer Sheryl Bettle Janet & David Blue Paul Blum Boo Shoot Gardens Theda Bordner Jack & Betty Brandmeir BrandQuery, LLC Dave & Marrilee Bretvick Raymond & Ardlyn Breum Eleanor Brookings Mara Brophy Dr. Gary & Susan Brown Burlington Mid-Day Rotary Camaloch Ladies Golf Club Chris & Shaun Cammock Paul & Scotta Carr Dr. Richard & Bonnie Cavell Celgene Corporation Chapter GB P.E.O. Gerald & Susan Christensen Joye & James Church Wendy Cobb Frank & Molly Coddens Linda Codlin Gary & Karen Coselman Norman & Pat Dahlstedt

their generous gifts. Donations listed were received from January 1, 2008 to December 31, 2008.

We apologize for any incorrect or misspelled names that may appear in any of the listings. Please help us maintain accurate donor records by notifying the Foundation office at 360-814-8376, of any errors.

Lisa & Brent Davis Jane Debauge Dimensional Communications, Inc. James & Nancy Duffy Chester Dutton Mike & Jodi Dynes James & Monica Eillis Arne Eriksen Fraternal Order Of Eagles/Everett Fraternal Order Of Eagles/Stanwood Jeff & Linda Frizzell Grace Garrett Steve & Tami Gilbert Robert Gruber Bill & Barbara Gurney Lori Harlow Douglas Harris Gerald & Sharon Highet Michele Hill Kaye Hoegemeyer Earl L. & Katherine H. Jensen James & Nancy Johnson Demetra Karras Tom & Jackie Karsh Priscilla Keating Marjorie Kilbreath Eldeen King Dan & Megan Kovanen James & Mary Lewinski Bruce & Debra Lisser Thomas & Brenda Litaker

Carl & Cheryl Loeb Daniel Malin Lee & Ann Mann Deborah Martin Gerald & Leanne Maskell Douglas & Dorothy Matthies Donna McCabe Randolph & Nona Miller Myrene Moller Diane Morton Danielle Mullen Malcolm & Constance Munsey Phil & Rita Newton Marion Nicholas Gail Noble-Sanderson North Cascades Intergroup of OA Elizabeth Norton Elaine Oder Padgett & Padgett, PLLC Frank & Catherine Pattermann Karen Pederson Betty Perrin Peggy Perry Robert & Joan Peterson Getty Phippen Dr. & Mrs. Erik Pihl Planting Design Margaret Potter Puget Sound Kidney Centers Maurice & Janine Ragusa Alex & Francesca Ragusa Steve & Kari Ranten Kyle Reep

Stan & Cheri Relyea John & Berdean Ring Terry & Mary Rios Ritter Construction Management Inc. Patti Rivers Richard & Jaynie Roozen Ken Rush Jan Russell Steve & Jennifer Schultz Freda Schumacher Gerry & Pam Schutte Deanna Scott Nick & Judith Seegert Anthony Senff & Catherine Ledray-Senff Seven Sisters Inc. John Simon Skagit Valley Hospital Guild Derek & Susan Slotemaker Debbie Snyder Stanwood Lions Club Eugene & Marie Swanson Swinomish Indian Tribal Community Bob & Denise Taylor William & Krista Thomas Kathy Tobin Elizabeth Torgerson Urban Forestry Services Marguerite Van Gasken Egbers C.M. & Lona Vander Griend, Jr. David & Debra Ventura Laurene Vigoren Herb & Arlene Waltner Carrie Warfield Lloyd & Shirley Watkinson Katherine Weckerly Christie Weeda Jean Wegner Craig & Becky Wells Wells Nursery LLC Doug & Kim West Western Nursery Sales Whidbey Island Bank Susan Wilson Betty Wuflestad Jim & Ruth Youngsman Don & Linda Zimmer

Gerald & Susan Christensen Garner & Marjorie Ekstran Fran Hansen Janet Horen Tom & Kathy Perry Bill & Julie Vaux

In Honor of Kellie Cargile Jeff & Linda Frizzell

In Memory of Louise Austin Joan Austin Don & Sandi Cobb

In Honor of Dr. Theodore Kim Marrilynn McMullen In Honor of Carolyn Lund Dennis & Shirley Anderson David & Diane Danubio Anna Lee Lund Bernice Stensen Erna Williams In Honor of Marrilynn McMullen Robert McMullen In Honor of Felix Minor Mike & Sharon Minor In Honor of Shelby Peacock Warren & Diane Bingham In Honor of The Skagit Valley Hospital Foundation Cornele Suta Gribble In Honor of Sue Stalcup Rebecca Ammeter In Honor of Karla Strand Joseph & Jennifer Amendt In Honor of Mary Ann Wachsmuth Jerome Wachsmuth In Honor of Isabell Zeller Jim & Julianna Lindell In Memory of Edward Anderson SmithBucklin Corporation In Memory of Leroy Anderson Theodore Erickson In Memory of Jeanette Andrews Larry & Janette Lund

In Honor of Dominique Dailly Rebecca Ammeter In Honor of Mit Harlan Dr. Brandon & Kate Atkinson In Honor of Mildred Kachold Fred Kachold In Honor of Marjorie Kilbreath Bob & Pam Burkland

In Memory of Bill Bailey Gerald & Susan Christensen Patricia & Robert Gauksheim Michael & Kathrina Ginal Dr. Raul & Nelly Torres Ruth Wylie In Memory of George Ballard Scott & Julie Knight

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2 0 0 8 A nn ua l r eport In Memory of Nancy Bannister Gerald & Susan Christensen Fred & Arlene Miller In Memory of Carolyn Barker Gene & Louise Barker In Memory of Janice Barnes Gerald & Susan Christensen In Memory of Judy Beck Elaine Barnett Sandra Faber Robert & Martha Graham Ron Kesselring Lloyd & Janice Morgan

Mr. & Mrs. Ramon Rupke Wayne & Diane Shantz Andrew & Tietje Young In Memory of David Berk Gerald & Susan Christensen In Memory of Bob Bischoff State Farm Insurance Brad Methner Agency In Memory of Mary Bonacci William & Patricia Becker Susan & Mike Longbottom Diane Morton Steve & Jennifer Schultz Skagit Valley Hospital Guild

In Memory of Melvin Bouslog John Bouslog Mike & Jodi Dynes Fisher Companies, Inc. Mr. & Mrs. William Knutzen Helen Mingee Skagit State Bank Betty Smith Rick & Ruth Turner In Memory of Francis Bradley Sandra Bradley

Skagit Valley Hospital Foundation .35% Cancer Care Patient Assistance Fund .17% Community Education .72% Children’s Therapy Program 5.25% Kidney Dialysis

Regional Cancer Care Center

.95% Family Birth Center .01% Chapel 1.43% Gifts of Art .98% Additional Program Assistance

Numbers

BY THE

The Skagit Valley Hospital Foundation enjoyed another successful year in 2008, receiving gifts that totaled more than $750,000 in cash and stock, pledges, in-kind gifts and bequests.

In turn, the Foundation was pleased to provide the following grants totaling more than $2.1 million to support specific programs and services at Skagit Valley Hospital: 1,890,000 Regional Cancer Care Center $

$7,400 Cancer Care Patient Assistance Fund

$3,500 Community Education $15,000 Children’s Therapy Program $110,000 Kidney Dialysis $20,000 Family Birth Center

$300 Chapel $30,000 Gifts of Art $20,500 Additional Program Assistance

22 SKAGIT VALLEY HOSPITAL

In Memory of Steve Bragg Doris May Glen & Diane Rice The Landing At Colony Wharf LLC In Memory of Donna Brann Donald & Betty Boe John & Merydee Carlson Christine Charters Margaret Fletcher Toni Hulbert Victor Johnson Mr & Mrs Howard Kerber Fred & Beth Sizelove In Memory of Geraldine Brown Norma Finstuen In Memory of Aileen Brue Alfie Hill In Memory of Dr. Earl Cammock Arne & Patricia Brakke Roger & Wendy Ragusa In Memory of Lynn Chapman Gerald & Susan Christensen Anna Hreha Susan McKinley Youthnet In Memory of Maria Chase Arthur Chase In Memory of Don Colyn Howard & Mary Harris Whatcom County Studebaker Drivers Club In Memory of Charles Conrad Florence Bowen Arne & Patricia Brakke Arlene Clarke Barbara Coulter Emerson & Barbara Koetje Robert & Jean Kolb Gregory & Yvonne Malland Mark & Jeanne McAree Marvin & Louise Meyer Michael & Sue Mitchell Phil & Rita Newton Roger & Wendy Ragusa Helen Ruff Val Smith Douglas Winnie

In Memory of Carol Lee Crane John & Diane Boisen Gerald & Susan Christensen Chuckanut Valley Veterinary Clinic Inc. Shirley Cleary Mr. & Mrs. George Dewey James & Nancy Duffy Marilyn Gardner Shirley Gilbert Westly & Juanita Gilfry Sharon Grant Robert & Barbara Gstohl John & Claudette Gubrud Fran Hansen Alfie Hill Mary Hudson James & Barbara Hulbert Toni Hulbert Hulbert Farms, Inc. William & Jean Irwin Jack & Mona Kerr David Le Beau Gary & Sandy Loustalot Larry & Janette Lund Cheryl Madsen Violet Madsen McDonald’s Business Office Garnet & Chuck Mell Corey Mendoza & Jyl Bruns Jerry Nelson Don & Marion Nulle Osborne Seed Company, LLC W.E. Nub Poppe Port Of Skagit County Roger & Wendy Ragusa Kimberlee Ray Mark & Mary Roetcisoender Mary Rygmyr David & Janet Schorno Jack & Arletta Shields Skagit Law Group PLLC Skagit Valley Medical Center Warren & Linda Walz Laurie Ware Adeline Westcott Richard & M’Lisse Williams Williams & Nulle, PLLC Frank & Barbara Young In Memory of Delmer Cummings Sarah Cummings In Memory of Todd Danubio James & Carolyn Lund Nick & Judith Seegert

In Memory of John Cowan Judith Pearce

In Memory of Fred Darvill Arne & Patricia Brakke

In Memory of Vicki Cox Gerald & Susan Christensen Huntly & Sandee Gordon Dennis & Annette McDonald

In Memory of Richard A. Davies Patricia Davies In Memory of Dona Dick Rita Sutker

Skagit Valley Hospital Foundation

the

YEAR IN REVIEW 2008 was a busy and successful year for the Skagit Valley Hospital Foundation.

Here is a snapshot of our accomplishments!

In Memory of Jeanne Dow Brian Dow In Memory of Elva Dunlap Huntly & Sandee Gordon In Memory of Becky Eames Richard & Sylvia Haggen Glenn Kawasaki Shannon Rasheed In Memory of Kendal & Kay Ellestad Renee Fleury In Memory of Arvid Ellestad Ted & Aretta Jonkheer In Memory of Lilly Erickson Ed & Betty Gordon Tom Jenson Jerry Nelson In Memory of Jim Fagan Huntly & Sandee Gordon

January

In Memory of Brian Fleming Larry & Janette Lund

Final strategy was created for the last year of the Cancer Care Center Capital Campaign that lay ahead.

In Memory of Pastor Edward Fritschel Mae Fritschel In Memory of Laurence Gabriel Beatrice Gabriel

February More than $10,000 was raised for the Children’s Therapy Program at the 5th Annual “Have A Heart” dinner at Il Granaio.

In Memory of John Garner Don & Joan Brady Alfie Hill Larry & Janette Lund Ruth Wylie In Memory of Gerry Good James & Ruth Downes Larry & Janette Lund In Memory of Edward Grueger Bob & Annette Iverson Minkler

March

In Memory of Marie Hale Randy & Marion Tastad

The Foundation’s Board of Trustees retreated to update the organization’s strategic plan.

In Memory of Robert Heathers Shirley Heathers In Memory of Marion Hendershot Larry & Janette Lund

April Skagit Valley Hospital employees generously gave more than $20,000 to support the work of the Foundation during the annual Employee Giving Campaign.

In Memory of Borgny Heynsten Reidar & Mildred Ytgard In Memory of Hoke Hodgins Linda Parker In Memory of John Holtum Genevieve Holtum

In Memory of Guy Hosley Marcia Bedard Jane Cameron Kathleen Cloutier Thomas & Elizabeth Hollingsworth Gary & Marcella Hosley Helen Kierce Mary Lynch Karen Moran Richard & Edith O’Donnell Walter & Linda Ollen Dennis & Mary Shute Thomas & Susan Sullivan John & Barbara Yestramski

In Memory of Shirley Kristiansen Patricia Cain In Memory of Merline Lechnick William Lechnick In Memory of Patricia Lehtinen Elaine Laparle In Memory of Charles Litaker William & Krista Thomas

In Memory of June Hudson Nancy Blue Emily Boe Florence Bowen Patricia Cain Eileen Carpenter Don & Sandi Cobb Maria Conijn Alfie Hill Mary Hudson Elaine Huffstodt Victor Johnson Carl & Cheryl Loeb Diane Morton Mike & Anita Roozen Nick & Judith Seegert Pete & Bonnie Verge Craig & Becky Wells Mark & Lisa Wolfe

In Memory of Maurice Longnecker Chester Dutton In Memory of Michael Loomis State Farm Insurance Brad Methner Agency In Memory of John Lovgreen Lowell & Marion Severud In Memory of Danette Lyons David & Heidi Lyons

In Memory of Mary Isakson Walton Isakson

In Memory of Ralph Maloney James & Patricia Close Jim Douglas Robert & Betty Galbreath Jeffrey & Claudia Marken Michael & Paige Marken David McElliott Norman & Shirley Rammage Edwin & Roseann Scott Kenneth Thompson

In Memory of Gail Iverson Cheryl Bishop

In Memory of Gerald Mapes Karen Fure

In Memory of J. M. Johnson William & June Bounds

In Memory of Eyvon McManama Steve McManama

In Memory of Bob Hulbert Ted & Aretta Jonkheer

In Memory of Niles Jordan Huntly & Sandee Gordon In Memory of Elizabeth Joyner Larry & Janette Lund

In Memory of Robert McMullen Susan & Mike Longbottom In Memory of Marrilynn McMullen Reino & Benita Marsula

In Memory of Ethel King Ila King In Memory of Nancy Kintner Richard & M’Lisse Williams In Memory of George Kirn Donald & Laura Johnson James & Carolyn Lund In Memory of Nancy Kitner Karen Fure Jim & Mary Lynn Kitner

In Memory of Bill McPherson Janette McPherson In Memory of Harold Mellum Karen Fure Keith & Christie Peterson In Memory of Martha Meritt David & Joyce Chastain Karen Lee Paul & Wanda Meritt Wilma Ridinger

SPRING&SUMMER2009

23

2 0 0 8 A nn ua l r eport In Memory of Robert Miller Helen Miller In Memory of Dan Miller Ruth Wylie In Memory of Dorothy Morgen Gerald & Susan Christensen In Memory of John Murphy James & Marsha Roney In Memory of Emily Nelson George & Patricia Craig Richard & Constance Cunnington Charles & Kathleen Elde Russell & Diane Esser Michael & Suzanne Felt Samuel & Dina Fisher Joy Fletcher W.M. & A.M. Gordon John Hayes Lloyd & Annie Jennings Harvey & Leonore Kilmer Howard & Darlene Libbey Jerry & Glenda Matthews Dennis & Annette McDonald Larry & Doreen Nelson Jim & Joyce Rasar Loretta Rodvelt Rebecca Rosencrans Rulersmith Dwayne Schroeder Mr. & Mrs. Richard Tjersland Wayne & Nadine Watkinson Gary & Wanda Wilhonen In Memory of Ron Nobach Nick & Judith Seegert In Memory of Vel Noteboom Richard & Vera Nowadnick In Memory of Rodney Olson William & Diane Gusa James & Susan Nichols Judy Rich In Memory of Francis Paciotti Arie Grin In Memory of James Parker Linda Parker In Memory of Dennis Pearce Robert & Karen Buchanan Gerald & Susan Christensen Mr. & Mrs. Dale Christensen Shirley Cleary David & Diane Danubio Thomas & Peggy Durgin Maurice & Jeannette Edlund David & Roberta Eldridge Cherie Falke Lawrence Hanson George & Jennifer Howard Alice Jacobs Ronald & Arlene Keolker

Peggy Larsen James & Carolyn Lund Ray & Merilyn Mc Clure John & Mary Olson Ruth Painter Jeffrey & Linda Pearce Rod & Kay Sundberg Al & Muriel Watts Adeline Westcott

In Memory of Larry Schopf Adeline Westcott

In Memory of Sophie Vrana Fern Scheuerman

In Memory of Howard Schutte Keith & Christie Peterson

In Memory of Kay Walsh Janeie & Yank Belisle

In Memory of Les Peck Peter & Diane Colman

In Memory of Deborah Skogmo Pat Wilcox

In Memory of Jan Pekich Mary Hudson In Memory of Don Peterson Lou Ann Davis In Memory of Tom Pollino Dennis & Annette McDonald In Memory of Amanda Proudfoot Randal & Sherrill Hudson In Memory of Bettijeanne Puffett Willard Puffett In Memory of David Radcliffe Judy Rich In Memory of Keith Raudebaugh Dee Raudebaugh

In Memory of Carl Sinnema James & Carolyn Lund Larry & Janette Lund

In Memory of Doreen Snyder Linda Codlin

In Memory of Bob Wilcox Pat Wilcox

In Memory of Patricia Sorensen Col. & Mrs. D.B. Grover Irene Ranten Torleif & Valborg Redal Nancy VanZandt Burton & Bonnie Whelan In Memory of Ronella Squires Carol Doyle In Memory of Alan Stringer Plum Creek Foundation

In Memory of Susan Rhoades Patricia Cain

In Memory of Walter Sullivan Judy Rich

In Memory of Myra Roller Anne Britten

In Memory of Janet Thiessen Corey Mendoza

In Memory of Mary Rygmyr Cheryl Bishop Huntly & Sandee Gordon In Memory of George Saling Ruby Saling In Memory of Sally Schols Craig & Becky Wells In Memory of Georgia Schopf Marvin & Kris Anderson Jerry & Nancy Erickson Donald & Laura Johnson Fern Scheuerman

24 SKAGIT VALLEY HOSPITAL

In Memory of Tony Wetsch Shirley Heathers In Memory of Stephen Whoolery Edith Whoolery

In Memory of Jack Sullivan Frank & Clare Gosser

In Memory of Vivian Rousu Reid & Barb Foslien Steve & Kari Ranten Irene Ranten

In Memory of Harold Wells Maurice & Janine Ragusa

In Memory of Gladys Skrinde Erling Skrinde

In Memory of Lea Rae Reep Mike & Jenna Urban

In Memory of Elsie Ross Brent & Lisa Davis Don Ross

In Memory of James Warn Dr. Dennis & Vicki Cooley

In Memory of Wade Timmerman Frances Lundquist In Memory of Adrien VandenBosch Harry & Lois Armintrout Charles & Rita Jones Phyllis Little In Memory of James Vaughan Jean Vaughan In Memory of John Vaux Helen Vaux In Memory of Ruth Vercoe Jerry & Sharon Hayes Alfie Hill Rich & Jeri Prange In Memory of Fred Veroske Shirley Heathers

In Memory of Phyllis Wilson Judy Smith In Memory of William Wilson Iris Wilson In Memory of Jack Wylie Ruth Wylie

Regional Cancer Care Center Healing Garden Pavers Dr. Brandon & Kate Atkinson Hady Bennett Raymond & Kathie Carnegie Tim & Wendy Casper Mike Cheek Lindsi Dec Rachel Foster Anne Gooding James & Patricia Grenfell Benjamin Griffiths Cheryl Gunder Lena Howard Kylee Kitchens Ariana Lallone Carrie Miller Harold Oosterhof Pacific Northwest Ballet Brian Pease Joe & Kathy Thurmond Olivier Wevers

Cancer Care Fund Don & Sandi Cobb Louis & Dominique Dailly Genentech Raquel Hansen Reed & Donna Harlow Karen Mulhern Skagit Valley US Bowling Congress Mary Welch Wayne Wooten

In Memory of Becky Eames Acme Food Sales, Inc. Action Food Northwest, Inc.

Tara Birtwhistle Gregory Blaumer Dennis Brown Scott & Monique Brown Jeff Capeloto Jeffery Carbone Carolyn Chulos Terry Conner William Crawford DPI Distribution Plus, Inc. Thomas & Bonnie Frank Dale Henley Vanessa Leonard Riolama Lorenzo-Lasa Metzger Specialty Brands, Inc. Robert & Linda Mrozik Mike Murrow New Frontier Marketing, LLC Jayne Palombaro Gordon Peck Patrick & Rebecca Skaggs Arthur Spellmeyer III The J.M. Smucker Co. Scott Thomas Richard & Margaret Thomas Carl & Geraldine Thomas Twila Greene Trust Adeline Westcott

Cardiac Fund Ervin & Janice Otis Kyle Smith Kathy Tobin

In Memory of Victor Cain Carolyn Howson In Memory of Jack Duncalf Kathleen Duncalf In Memory of Charles Holmes Alice Grimmius In Memory of Nigel Jacks Carolyn Peterson In Memory of Tim Jenkins Ray & Helene Jenkins Diane Morton Craig & Becky Wells In Memory of Nancy Knapp Ray & Helene Jenkins In Memory of Rodney Olson Steven & Suzanne Appelo

Chapel Fund

Ray & Judy Pearson

Children’s Therapy Program Fund

Lennart Bentsen Rodger Bowman Tamara & Robert Cesena Gerald & Susan Christensen Frank & Molly Coddens Dean & Janice Cunningham Gregg & Lea Davidson

Skagit Valley Hospital Foundation

THE YEAR IN REVIEW

May The Foundation celebrated “20 Years of Granting Wishes” during its annual meeting.

June The Foundation’s Fine Art committee hosted an art reception and show in honor of the many regional artists represented in the hospital’s art collection.

July More than $50,000 was raised at the 5th Annual ParTee Golf Classic at Eaglemont Golf Course.

August Family and friends of patient Gail Iverson, in partnership with the Foundation, held a “Cajun Night at the Quarry,” raising nearly $15,000 for the Wound Healing Center at Skagit Valley Hospital.

September The Sedro-Woolley Riding Club presented the Foundation with a check in support of Breast Cancer Care with funds raised during their “Tough Enough To Wear Pink” event.

Gary & Stephanie Fiedler Foresters Skagit Valley Branch Gertrude Sawyer Guild Grace Cochrum Guild Mike & Jan Gradl James & Patricia Grenfell Jami Hagman Paul & Keri Halgren Neil & Susan Hall James & Glenda Hobbs Rhonda Huggins Les & Fay Huggins SVH Human Resource Department JEM Family Guild Dr. Morrie & Marcia Johnson Lex & Stephanie Kaligis Toby & Michelle Knutzen Dan & Megan Kovanen Learned Commerical, Inc. Gerald & Leanne Maskell Doris May Jonathan & Ann McDonald Bradley & Pamela Methner Gail Noble-Sanderson Stan & Audrey Olson Frank & Catherine Pattermann Peggy Perry Dennis & Janiece Reilly Restore Massage Richard & Jaynie Roozen Robert & Rebecca Rosenfeld Steve & Jennifer Schultz Nick & Judith Seegert John Simon Skagit Valley Hospital Guild Soroptimist International of Sedro Woolley Starbucks- Mount Vernon Haggen Bob & Denise Taylor Richard & Deborah Thurman Mike & Jenna Urban Zachary Warner Iris Wilson Wire Fab Company In Honor of Carolyn Ranten Steve & Kari Ranten In Memory of Bob Ballegeer George & Georgina Ballegeer In Memory of Natalie Brown Joan Fox

Critical Care Unit Fund Zak Thatcher

Education Fund

H. Biktimir Jean Leib Elizabeth McNett-Crowl Kristin Moulton Linda Wright

Family Birth Center Fund

Janeie & Yank Belisle Sue Husk Judith Kennedy Kathy Jo Piazza Pat Proctor Raymond & Sandra Shively Eric & Lynn Smith Virginia Thompson Stephen & Gayle Torgerson Jay & Kathy Wright In Honor of the Family Birth Center Staff Eric & Lynn Smith In Memory of Margaret Lindbloom Barbara Lowery

Festival of Trees Live Auction Patrons

Kenneth Brown John & Michele Burke Sharon Cole Waldschmidt Dean & Janice Cunningham Michael & Susan Custance Leonard & Jill Eliason Jim & Becky Goodrow Neil & Susan Hall Ken Holz Donnie Keltz Dan & Megan Kovanen Clay & Virginia Learned Steven & Tracy Leckenby Aaron & Tricia Logue Mike & Kristin Lovell Wade & Martha Mahala Steve & Jan Massey John & Judith Montoya David Moore Pam Nelson Mr. & Mrs. Robert Paciotti Tom & Sheryl Peterson Dennis & Cheryl Pratt Dale & Susan Ragan Roger & Wendy Ragusa Donald & Margaret Semrau Richard & Kay Steiner Larry & Mei Sie Thompson Scott & Jacquelyn Waltner Brad & Angie Watson Troy & Angie Wright Jeff & Brenda Zeiger Dr. & Mrs. Robert Zwick

Festival of Trees Fund

Derrill & Liz Adair Dr. Brandon & Kate Atkinson Julie Blazek Jay Bowen BrandQuery, LLC. Dr. Gary & Susan Brown

Peter & Laurel Browning Steve & Kellie Cargile Frank & Molly Coddens Computer Source of NW WA, Inc. Credo Graphics John Curley Michael & Susan Custance Troy & Demi Daman Trinidad Davidson Sheri Easley Roy & Beverley Funk Don & Carol Gilbert Jim & Becky Goodrow James & Patricia Grenfell Neil & Susan Hall Lori Harlow Reed & Donna Harlow Deanna Hudson Emily Hughes ING Financial Advisers, LLC Rod & Mari Juntunen Dr. Ted & Sara Kim Duncan & Bridget Landreth Wade & Martha Mahala Bradley & Pamela Methner Michael Moe Gilmore Moen Gilles & Tracy Montaron John & Judith Montoya Marc & Mary Neff Dan & Jan Olson Tom & Sheryl Peterson Ron & Gailyn Ploeg Dan Powers Tony & Glenda Pratt Nick & Judith Seegert Nick & April Seegert, Jr. Brett Simbe Soroptimist International of Burlington Isabel Stewart Eric & Andrea Van Pelt Richard & Shaun Wesen Troy & Angie Wright Linda Wright

Festival of Trees Title Sponsors Blade Chevrolet Whidbey Island Bank

Festival of Trees Sponsors Astrid Aamot All West Select Sires Amerinet Jerry & Betty Anderson Associated Petroleum Products, Inc. Bank of America Business Banking BarclayDean Bellingham Anesthesia Associates, P.S.

SPRING&SUMMER2009

25

2 0 0 8 A nn ua l r eport Ben Richards Fabrication LLC Bennett, Bigelow & Leedom, P.S. Cheryl Bishop Julie Blazek Richard E. & Wendy Blomberg John Bouslog Arne & Patricia Brakke BrandQuery, LLC Dennis & Theresa Brown Kristen Buxton – UBS Private Wealth Management Calico Cafe & Bakery of Mount Vernon Carl’s Custom Jewelry Cascade Bank Cascade Mall Celgene Corporation Charles Fine Jewelry Gerald & Susan Christensen Ken & Suzanne Christianson Chuckanut Valley Veterinary Clinic Inc. Brian & Mary Clark Cameron & Mindy Cleeland Wendy Cobb Frank & Molly Coddens Dr. Robert Coffey R. Charlie Collins, D.D.S. Concrete Nor’west Craft Stoves Of Western Washington, Inc Dennis & Wenda Cross Crown Distributing Co. Dean & Janice Cunningham D. Alexander King Construction, Inc. Gregg & Lea Davidson Decker Architects, LLC Doreen DeLong Diamond B Constructors Dogs Are Barkin Limited Doyle Guffie’s Rallye Auto Sales Val & Sheri Durham Hebeltje Dykstra Dr. John & Marie Erbstoeszer Arne Eriksen Evergreen Physical Therapy Express Employment Professionals Fisher Companies, Inc. Bette Fitzgerald Fohn & Company, P.S. Food Services, Inc. Foothills Toyota Scion Frontier Bank Roy & Beverley Funk G & D Wallace, Inc. Gilbertson Funeral Home Glass Tech Stanwood, Inc. Jim & Becky Goodrow Matthew Granard James & Patricia Grenfell Group Health Cooperative of Puget Sound

Haggen Food & Pharmacy Fran Hansen Hansen’s Furniture Hanson Brothers Construction Steve & Jewell Harmon Hawthorne Funeral Home Jerry & Sharon Hayes Hayton Farms, Inc. Hilde Family Dentistry Alfie Hill Hoffman Construction Company Of Washington Warren & Shelly Holden Holland Health Services, Inc. Horizon Bank Mary Hudson Hughes Farms, Inc. J P Automotive Patricia Jenkins Tom Jensen & Judy Cookson John Henken RV, Inc. Rudy Johnson Jeremy & Rebecca Johnston Rod & Mari Juntunen Kamb & Kamb Kern Funeral Home Key Bank Knutzen Farms LP Bobbi Krebs-McMullen Lou Kupka-Schutt Laboratory Corp Of America Latte Da Espresso Dr. Rick & Tracey Levine Life Care Management, LLC Lisser & Associates, PLLC Carl & Cheryl Loeb Long Painting Company Mahlum Architects Maple Wood Farm, Inc. Martin Commercial Fueling, Inc. Mary McClung Tina McNealey Elizabeth McNett-Crowl Ron & Annette Medford Steve & Leah Meissner Corey Mendoza Merry Meet, Inc. Mexico Cafe Judge John & Susan Meyer Mike & Jean’s Berry Farm Aggie Mikula Mitchell Septic, Inc. Modern Cleaners Diane Morton Moss Adams, LLP Mount Baker District Dental Society Mountain Glen Retirement Center Danielle Mullen Robin Murphy Ross North Country Motors North Puget Oncology Northwest Orthopaedic Surgeons

26 SKAGIT VALLEY HOSPITAL

Oasys, Inc. On The Road Espresso John & Shirley Osborn Drs. Dana & Vicki Otterholt Art & Darlene Palmer Sally Palmgren Pat Rimmer Tire Center/ Burlington Pat Rimmer Tire Center/ Sedro Woolley Paul M Halgren DDS, MSD, PLLC Peoples Bank Dottie Piazza Pohl, Dobbins & Letourneau, OD Margaret Potter Quality Floor Covering, Inc. Steve & Kari Ranten Matt & Becky Ray Kyle Reep Jill Reid Richard & Mary Jo Reitsma Rick’s Refrigeration, Inc. Mark & Mary Roetcisoender Rolfson’s Home Furnishings Richard & Jaynie Roozen Indira Rouw SB & C, Ltd Schenk Packing Company, Inc. Richard Shafer Jay & Robin Sherman Silverstein Thomas Rice & Associates

Skagit Radiology Inc., P.S. Skagit State Bank Skagit Valley Medical Center Skagit Valley’s Best Produce, Inc. Skagit Wild Bird Supply Smiley Insurance Services, Inc. Soroptimist International of Burlington St John Glass State Farm Insurance Brad Methner Agency State Farm Insurance Carol Lawson Agent State Farm Insurance - Keith Sorestad Agency Lynn & Barbara Strauss Strauss Jewelers/The Deming Corporation T & C Farms, Inc Team Health Inc Tercero Insurance Agency, Inc. Terry W. Greer, INC. P.S. The Drain Doctor Toyota Motor Sales, USA, Inc. Tropical Tanning Truck Toys Twin City Foods, Inc. Mike & Jenna Urban Valley Drywall, Inc. Valley Farm & Pet Center Van’s Equipment VECA Electric

Are you interested in making a bequest?

Sometimes a patient or their family wishes to make a gift to Skagit Valley Hospital as a way to say thank you for the exemplary care they have received.

Gifts are welcomed through the Skagit Valley Hospital Foundation at any time.

Some individuals are more interested in delaying their gift and thanking the hospital through a gift in their will. The hospital can be named as a beneficiary in your will in a number of ways. In addition to providing significant support to the hospital, a charitable bequest may save significant estate tax dollars.

For more information, contact Foundation Executive Director, Linda Frizzell, at 360-814-2140.

Venture Club Volwiler & Wynne, P.S. Jerry Walton Lloyd & Shirley Watkinson Wee Care Early Learning Centers, Inc. William & Dawn Wells Western Industrial, Inc. Western Nursery Sales Westlake Electronic Supply, Inc. Williams & Nulle, PLLC Iris Wilson Windermere Real Estate Skagit Valley Stedem Wood Wycoff Insurance Agency, Inc. Xtra Special Cakes

Festival of Trees Gifts-In-Kind

Anacortes Ship Harbor Inn AW Pottery Bella Soul Salon & Day Spa Chris & Cheryl Bonsen Boo Shoot Gardens Dr. Gary & Susan Brown Linda Buzzard Cascade Stone Supply Charles Fine Jewelry Christianson’s Nursery Elise Cosgrove Costco Wholesale Cougar Marketing Credo Graphics Gregg & Lea Davidson Designs By Arlene Graham & Virginia Dorland Esenta Skin Care & Massage Clinic Cynthia Fidler Tracy Finnegan Jeff & Linda Frizzell Lisa Gallagher Go USA Jim & Becky Goodrow Eddie Gordon Paul & Jean Groesbeck Jami Hagman Paul & Debbie Hagman Tina Hawes R. Dale & Tina Heinkel Nancy Hudson Greg & Barb Ingman Insanity Motors Island Medical Spa Jungle Luv Don & Melissa King Karen King Kelley Kirkpatrick-Berg Teresa Koke Dan & Megan Kovanen La Conner Fruit & Produce Mollie Lama

Skagit Valley Hospital Foundation

THE YEAR IN REVIEW October In celebration of Skagit Valley Hospital’s 50th anniversary, the Foundation presented Public Hospital District #1 commissioners with an original work of art titled “The Anniversary Gift.”

The three-panel piece was created with fused glass and encaustic collage.

November The 20th annual Festival of Trees was held, raising $322,280 for the Regional Cancer Care Center Capital Campaign.

SKAGIT VALLEY HOSPITAL FOUNDATION

FESTIVAL OF TREES

December The Foundation Board and staff celebrated reaching their $4 million capital campaign goal for the Regional Cancer Care Center!!

Jeff & Shelly Langness Learned Commerical, Inc. Richard & Joanne Leitch Thomas & Brenda Litaker LUXE Salon Lori Manduchi Ben Mann Marilee Marich Jack Martin Linda McJunkin Richard & Eiren McKay Mister T’S Trophies Katie Niemann Piazza Construction Barb Pinney Don & Michele Power Dennis & Cheryl Pratt Precept Wine Distributors Quilted Impressions Kyle & Kelly Reep Carla Rinker, L.M.P. Rocky Mountain Chocolate Factory San Simeon Interiors Deanna Scott Skagit Valley Gardens Skagit Valley Wine Association Stupid Prices Robin & Greg Thramer Richard & Laury Volwiler Wal-Mart Craig & Becky Wells Katie West Wilson Picture Framing, Inc. Troy & Angie Wright John & Shelley Youngquist

Fine Art Fund

2009 Hospital Foundation Greeting Card Contest The Skagit Valley Hospital Foundation invites amateur and professional artists of all expertise levels to participate in the Skagit Valley Hospital Foundation holiday greeting card contest. We are looking for an image to select for the Foundation’s 2009 holiday greeting card.

Winning entrant will receive a $100 honorarium.

Deadline: Contest

submissions are due to Wendy Ragusa/Skagit Valley Hospital Foundation by 5 p.m., Monday, July 13, 2009.

For complete contest rules, entry form and participant agreement visit www. skagitvalleyhospitalfoundation.org or contact Wendy Ragusa at 360-814-5747.

Dr. & Mrs. Richard Abbott Dr. & Mrs. Stephen Aldrich Lucinda Arnold Jennifer Bowman Frank & Molly Coddens Jan Conklin Dr. Nanette Crowell Gregg & Lea Davidson Richard Delaney Al & Kathy Dennis Bob Doop Mike Doran Embellish Jeff & Linda Frizzell Mary Ann Gebhard Neil & Susan Hall Ruth Halvorsen James & Glenda Hobbs Janet Iverson Mark Iverson Dr. Morrie & Marcia Johnson Joseph Kinnebrew Carl & Cheryl Loeb Bert McCabe Lin McJunkin

In Memory of Alison Johnson Huntly & Sandee Gordon

Richard & Eiren McKay Dr. Pat & Esther McLatchy Roger & Wendy Ragusa Terry & Mary Rios Steve & Jennifer Schultz Skagit Art Association Al & Joan Udd Craig & Becky Wells

In Memory of Charles Litaker Diane Morton

Foundation Support Fund

Hospital Television ING Financial Advisers, LLC Learned Commerical, Inc. Lutheran Community Foundation Nolan Lee Farms Indira Rouw S. Herbert & Lucille Rubin Dave Ryberg Skagit Valley Hospital Guild United Way of Southern Nevada Julia Weinberg Ty Westenhaver In Honor of Bob & Betty Bonjorni Adeline Westcott

In Memory of Blanche McKelvy Carol Cotton Olaf Reynolds Warren Reynolds In Memory of Rodney Olson Bellingham Technical College Learning Center Don & Joan Brady Frontier Bank Ed & Connie Lord Diane Morton Jeffrey & Deborah Scott In Memory of Chiyeko Ozaki Linda Wright In Memory of Gladys Peck Mary McClung In Memory of Amanda Proudfoot Michelle Knutzen

In Honor of Camano Stanwood Medic One Rita Sutker

In Memory of David Radcliffe Skagit Valley Hospital Auxiliary

In Honor of Diane Morton Kathleen Waton

In Memory of Don Rogers James & Glenda Hobbs

In Memory of Effie Anderson Majel Shuler

In Memory of Myra Roller Colleen Dunwoody George & Lucille Lundstrom

In Memory of Don Belisle Don & Carol Gilbert

In Memory of Elsie Ross Lisa & Brent Davis

In Memory of Jennifer Bender Ann Sutphin In Memory of Natalie Brown Warren Bud & Marilyn Gilbert Skagit State Bank In Memory of Edna Christoffer Arturo & Judy Vivanco

In Memory of Cecil Stevenson Jay & Kay Stevenson In Memory of Sophie Vrana Randy & Beth Merritt

Kidney Dialysis Fund

In Memory of Carol Lee Crane Fran Hansen

Robert & Deborah Connolly Ervin & Janice Otis Skagit Rebekah Lodge No. 82

In Memory of Fern Erickson Ann Erickson

In Memory of Jack Ballard Carol Miller

In Memory of Guadalupe Guzman Arne & Patricia Brakke

In Memory of Jennifer Bender Art & Dalene Bender Robert & Maxine Box Tom & Susan Isenhart Steve & Allison McCallie

In Memory of Bob Hulbert Diane Morton

SPRING&SUMMER2009

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2 0 0 8 A nn ua l r eport In Memory of William Brown Mary Alice Brown Ronald & Linda Hagelin Jackie Solomon Andrew & Lois Thompsen Matt & Susan Thompsen Jerome & Mary Ann Wachsmuth In Memory of Robert Butler Edward Argelander Alice Butler Amilda Diamond Lonnie & Tami Lemke Milo Lystne Tony & Debra Ramey In Memory of Ralph Bylund Roy & Marie Anderson In Memory of Dr. Earl Cammock Larry & Janette Lund In Memory of Virginia Cruse Barnett Lawn & Garden Repair Shop In Memory of Ernest Dahl Carol Miller In Memory of Shirley Fleming Larry & Janette Lund In Memory of Bob Frantz Frank & Susan Uker In Memory of Don Graves Paul & Joan Beckman Richard & Louella Bergeson James & Nancy Duffy W. L. Ellin Merle Haines Amil & Gloria Knudsen Stanley & Marilyn Sandvik Edward & Carol Schwabe James Toland Forrest & Virginia Wohlhueter In Memory of Hoke Hodgins Evelyn Buchanan In Memory of Tammi Hopkins Chris & Jeanne Skeels In Memory of Winnie Houser Kathleen Allmaras Ray Houser Law Offices of Richard C Labarthe, P.C. In Memory of Niles Jordan Doreen Spencer In Memory of Mary Ketchum Grace Johnson Jerry & Deann Ketchum

Robert & Judy Krause Tom & Carol Nixon In Memory of Gerald Knutson Jay & Kathy Duffy Ray & Stephanie Frier Dennis Knutson Donald & Roberta Martin Joanne Ostlund Loren & Donna Saxby In Memory of Dan Miller Winnifred Adelman Barbara Ballard John Bouslog Monty Bowman Verla Bradford Larry & Donna Burton Herald & Dyan Catlin Gerald & Susan Christensen Ruth Christofferson Chuckanut Valley Veterinary Clinic, Inc. Conway Feed, Inc. Norman & Pat Dahlstedt Bill Davis Henry & Charlotte Dykstra Patricia Dynes Jerry & Pamela Eerkes Milton & Kathryn Egbers Keith & Doris Egbert Leonard & Joan Evans Everson Auction Market Excel Dairy Service, Inc. Farmer’s Equipment Company Rhoda Fickel Karen Fure Jess & Georgia Galbreath Warren Bud & Marilyn Gilbert Lorraine Gundersen William & Diane Gusa John & Elma Halkola Jerry & Linda Handlos John & Linda Hastings James & Glenda Hobbs Joyce Holt Ray Houser Dorothy Hughes Hughes Farms, Inc. Douglas & Alfa Jackson Roger & Leslie Jungquist Marlen & Audrey Knutson Tim & Colleen Knutzen Mr. & Mrs. William Knutzen Gary Koops Mr. & Mrs. Roger Lervick Marjory Mathers Anna McNett John & Judith Montoya Archie & Jo Nelson Nolan Lee Farms Norm Nelson, Inc. John & Shirley Osborn Danya Parker Michael Price

28 SKAGIT VALLEY HOSPITAL

Nadine Reinstra Darrell & Joanne Ricci Judy Rich Mark & Mary Roetcisoender Lanny & Mary Ross Dr. Gene & Charlotte Sargent Geneva Sasnett Vernon & Patricia Savage Skagit Law Group PLLC Skagit State Bank Jeffrey & Catherine Skodje Marlene Smith Dr. & Mrs. David Smith Sandy Tenneson Terminal Freezers, Inc. Janet Tripp Twin City Foods, Inc. Wallace & Associates Herb & Arlene Waltner Lyle & Merri Lou Wesen Burton & Bonnie Whelan Kirk & Paula Wilson Leighton & Susan Wood In Memory of Margaret Omdal Carol Miller In Memory of Leah Otis David & Beverly Gufler In Memory of Joe Salinas Arturo & Judy Vivanco In Memory of Florence Smiley Larry & Janette Lund

Maynard Johnson Endowment Fund In Memory of Sid Beeman Judge John & Susan Meyer In Memory of Carol Lee Crane Judge John & Susan Meyer In Memory of Ernest Dahl Judge John & Susan Meyer In Memory of Alphild Eliason Judge John & Susan Meyer In Memory of Bill Empie Dorothy Hughes In Memory of Gail Iverson Judge John & Susan Meyer In Memory of Nancy Kintner Judge John & Susan Meyer In Memory of Mary Rygmyr Judge John & Susan Meyer In Memory of Dr. Ole & Bertha Slind Judge John & Susan Meyer

Par Tee Golf Classic Title Sponsor Fisher Companies, Inc.

Par Tee Golf Classic Sponsors

All West Select Sires Ameriprise Financial Scott Berg CPI Plumbing & Heating Elekta EMC Electric, Inc. Express Employment Professionals Fidalgo Yacht Detailers Foothills Toyota Scion Foster Pepper PLLC Dan & Megan Kovanen Laboratory Corp Of America Art Larvie Leverage Information Systems Lisser & Associates, PLLC Marsh USA, Inc. Corey Mendoza Mobile Merchandisers Mount Baker District Dental Society North Cascade Street Rod Association Oasys, Inc. Pat Rimmer Tire Center Piper Jaffray Hortencia Porras Kyle Reep Riverside Chiropractic Clinic SB & C, Ltd Seattle Cancer Care Alliance Nick & Judith Seegert Sims Honda Skagit Law Group PLLC Skagit State Bank Snelson Companies, Inc. State Farm Insurance Brad Methner Agency State Farm Insurance Carol Lawson Agent Tesoro Northwest Company The Bedside Project LLC Volwiler & Wynne, P.S. Washington Lettuce Trucking Co Wells Nursery LLC Yellow Book Sales & Distribution Co

Par Tee Golf Classic Gifts-In-Kind Ashley Furniture Homestore Dr. & Mrs. Gary & Susan Brown Carino’s Italian Grill Carpenter Creek Winery Channel Lodge Charles Fine Jewelry

Frank & Molly Coddens Gregg Collins Consumer Rental Center, Inc. Costco Wholesale Reid & Debra Ellsworth Fairfield Inn & Suites Farmhouse Restaurant Jeff & Linda Frizzell Garden Cafe Gifts By Design Jami Hagman Hampton Inn Handy’s Heating, Inc. Hansen’s Furniture Reed & Donna Harlow Alfie Hill Holiday Inn Express Hugo Helmer Music, Inc. Patricia Jenkins Karl’s Paints Knutzen Farms LP Louis Auto Glass LUXE Salon Bradley & Pamela Methner Mexico Cafe Mr. T’s Trophies Larry & Debbie Nootenboom Pasek Cellars Keith & Christie Peterson Rocky Mountain Chocolate Factory Rolfson’s Home Furnishings Richard & Jaynie Roozen Similk Golf Course Skagit Farmers Supply Soft Icon Strauss Jewelers/The Deming Corporation Summersun Landscape & Nursery Mark & Gretchen Thomas Tulip Valley Vineyard & Orchard Mike & Jenna Urban Lloyd & Shirley Watkinson Craig & Becky Wells Wells Nursery Westside Les Schwab Tire Center

Sunrise Inn Fund

Mary Bonson Island Sunrise Foundation Jay & Kathy Wright In Memory of David Banta Howard & Joan Banta In Memory of John Murphy Elizabeth Murphy

Wound Care Center Fund

ABC Special Event Rentals Ruth Boschma Nancy Cook

Skagit Valley Hospital Foundation

S AV E T H E DAT E July 10, 2009

ParTee Golf Classic to benefit Cancer Care Services at Skagit Valley Hospital - at Eaglemont Golf Course in Mount Vernon.

July 18, 2009

Women’s Event - Taste for the Cure to benefit the Breast Care Clinic at Skagit Valley Hospital - at Carpenter Creek Winery in Mount Vernon.

August 13, 2009

Garden Party to benefit Skagit Valley Hospital’s Fine Art Program - a tour of three amazing Mount Vernon gardens.

For more information on any of the events listed above, please contact the Skagit Valley Hospital Foundation office at 360-814-8376.

Jerry & Starleen Corrion Gregg & Lea Davidson Geoff & Susie Devries John & Katherine Egan Peter & Janet Flones Floyd & Delores Jones Foundation Carolyn Granston Robert Grant Neil & Susan Hall Greg & Lori Hall Sara Henry Mr. & Mrs. Gary Iverson Elliott & Victoria Johnson Dr. & Mrs. Mark Johnson Brian & Rose King Suellen Lemmon Kelley & Karen Moldstad Lyle Ovenell Judy Rich Anthony Senff & Catherine Ledray-Senff Jane Sneeringer Don & Gail Stultz Arline Watson Jan & Toni Wolfgang In Memory of Gail Iverson Maurice & Janice Aasland Carol Anders Barnett Implement Company, Inc. Ruth Beidler Evelyn Belew Peter & Elizabeth Berg Betty Black John Brannan David & Joanne Brown Children’s Museum of Skagit County

Gerald & Susan Christensen Collins Fisheries, Inc. Cecile Cooper Jerry & Starleen Corrion Lucia Ann Cullup Lynn Cushway Martha Davidson Henry & Ruth Davis Der Kinderhuis Montessori, LLC Tim & Judy Edinger John & Katherine Egan Larry & Kathy Ellestad Robert & Shirley Erickson Steven & Rita Fiedler Peter & Janet Flones Mailand & Jeanne Frank Robert Grant James & Patricia Grenfell Greg & Lori Hall Sara Henry Cameron & Marcia Hershaw Tim & Jama Hiltz David & Gretchen Honeyman Mary Hudson Mary Hulbush Joseph & Roberta Johnson Martha Johnson Elliott & Victoria Johnson Donald & Laura Johnson Madell Jolly Garret & Pat Kamimura Helen Knudsen Krieg Construction, Inc. Nadine Larson Solveig Lee Dr. Rick & Tracey Levine Joyce Linn Bruce & Debra Lisser

Kathy & Larry Locken Reino & Benita Marsula Fred & Joanne McDaniel A.P. & D.M. Meisch Greg & Nancy Mellum Samuel & Kristy Miller Michael & Betty Moser Lyle Ovenell Gretchen Pickett Dr. & Mrs. Erik Pihl Judy Rich LaDonna Richardson Martin & Juanita Robinett Leland & Crystal Sadlowsky Vicki Sanders Ron Schmidt Charles & Susan Seaton Bob & Nadine Simpson Skagit State Bank Marion Smith Charles & Rose Spolek Edna Strege Don & Gail Stultz Richard & Deborah Thurman Jerry & Pam Vietzke Arline Watson Paul & Karen Whelan Jan & Toni Wolfgang Leighton & Susan Wood Len & Clara Wood In Memory of Niles Jordan Shauna Jordan Allen & Glenna Long

GOLF CLASSIC Join us for the 6th Annual ParTee Golf Classic on July 10, 2009 at Eaglemont Golf Course! The tournament, played in scramble format, begins at 11:00 a.m. with a shotgun start.

The $125 registration fee includes green fees, lunch, dinner, use of a golf cart and activities at each hole. Other features include a putting contest, hole-in-one prizes, a raffle and many give-aways!

This event raises funds to support quality health care services and programs at Skagit Valley Hospital. More than $50,000 was raised last year, and proceeds from this year’s event will support Cancer Care Services.

Be sure to reserve your spot early (or better yet, round up a team!) as this tournament fills up quickly. For tournament and sponsorship information please contact Becky Wells at the Skagit Valley Hospital Foundation, 360-814-8376.

We’re looking for HOLE SPONSORS! Take advantage of this prime opportunity to advertise your business by calling us at 360-814-8376.

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Heartfelt Support Shown for Children’s Therapy Program The Skagit Valley Hospital Foundation is pleased to announce that $10,365 was raised at the February 23 “Have A Heart For Kids” dinner event benefiting the Children’s Therapy Program at Skagit Valley Hospital. Guests dined on a fabulous six-course meal prepared by chef and owner Alberto Candivi and the staff of Il Granaio Italian Restaurant in Mount Vernon. Candivi is the founding sponsor of this charitable event that began in 2004. Misha Lynch, mother of a program patient spoke eloquently about her child’s care and progress. To show the Foundation’s gratitude for Candivi’s passionate support of this vital care program, Foundation Executive Director Linda Frizzell presented him with a special framed art print created by artist and board member Molly Coddens. Members of the Grace Cochrum Guild served the dinner and provide financial support to the Children’s Therapy Program through their annual fundraisers.

Four

Million Reasons to Celebrate

In May 2005, the Skagit Valley Hospital Foundation launched its largest fundraising campaign in its 20-year history.

Contributors – patients and their families, Foundation board members and donors, physicians and hospital staff, foundations, small businesses and corporations were exceptionally generous in their decision to support the Foundation’s $4 million Regional Cancer Care Center Capital Campaign. At the Foundation’s annual Festival of Trees Gala auction last November, the Board of Trustees celebrated the end of the campaign and accomplishment of that goal.

More than 1,700 donors contributed to the three-year campaign with gifts ranging from a few dollars to a quarter of a million

LEFT: Skagit Valley Hospital Foundation Executive Director Linda Frizzell (left) and Skagit Valley Hospital Director of Rehabilitation Services Gail NobleSanderson (right) thank event underwriter Alberto Candivi.

30 SKAGIT VALLEY HOSPITAL

dollars. Ninety percent of campaign gifts came from individuals and families.

“Those individuals who contributed to the campaign significantly and positively impacted our community’s healthcare. Their giving has brought quality cancer care close to home,” said Judi Seegert, Foundation Board President.

“People knew giving to the campaign was an excellent investment in the future of our local healthcare system,” said Kyle Reep, campaign co-chair.

Reep and co-chair Vicki Cooley along with board presidents Mary Hudson (2005–2007) and Judi Seegert (2007–2009) steered the campaign with amazing vision, stewardship and enthusiasm. They oversaw six committees and campaign events including a car raffle, special fund-raising dinners at Nell Thorn Restaurant in La Conner and the Stanwood Grill, three Festivals of Trees, three golf tournaments, three employee giving campaigns, a pond walk, tulip bulb sales, garden paver sales, presence at the downtown Mount Vernon tulip festival and EDASC Schmooze Fair, and the Regional Cancer Care Center Open House.

Skagit Valley Hospital Foundation The results of the campaign were influential for the foundation when it saw its donor base grow by more than 40 percent. “We are so thankful to those donors who consistently give to the foundation and to those who gave for the first time through the capital campaign,” said Hudson, who served as Foundation Board president for the first two years of the campaign.

“The generosity of the community was beyond our expectations,” said Cooley.

My heartfelt gratitude goes to the many people who gave of their time and energy to accomplish our dream! Special thanks to the Skagit Valley Hospital Foundation staff, community volunteers, and the generous donors who believed in our cause enough to put us over the top and supported one of the largest capital campaigns in Skagit Valley history.”

The campaign has had a tremendous impact on the center, which opened in December of 2006, by assuring that cancer patients have access to the best and smartest state-of-the-art radiation equipment and infusion technology for their therapies. When Skagit Valley Hospital opened the Regional Cancer Care Center, expectations for significant growth were high. It was unexpected how large the growth became.

In 2007, more than 1,100 patients were seen and the number of visits rose again to more than 1,500 by the end of 2008. The center serves people from the Canadian border through Snohomish County and west to include Island and San Juan counties. The Regional Cancer Care Center at Skagit Valley Hospital can claim the expertise of four medical and two radiation oncologists, close proximity to a full-service hospital, advanced diagnostic capabilities and an invaluable partnership with Seattle Cancer Care Alliance, representing Fred Hutchinson Cancer Research Center, UW Medicine and Seattle Children’s.

The center continues to expand to meet the needs of the community and will offer additional access to radiation therapy with the construction of a third radiation treatment suite scheduled for completion in fall 2009 and the opening of seven additional chemotherapy stations in March.

Many lives have changed since the opening of the center. It is with our community of generous donors who stretched far to support this $4 million endeavor - by writing a check, to buying a raffle ticket, to bidding on a Christmas tree - that the amazing work at the Regional Cancer Care Center at Skagit Valley Hospital continues the mission of the Foundation to assure access to comprehensive, quality and compassionate health care.

Thank you for being a part of the Foundation’s reason to celebrate!

Safeway Gives $200,000 Grant to Support New Breast Cancer Clinic Safeway, Inc. presented a $200,000 grant to the Skagit Valley Hospital Foundation for use in the Regional Cancer Care Center’s new breast cancer clinic.

During the month of October, Safeway conducted a companywide initiative to raise funds for breast cancer research efforts and treatment programs.

“The prevalence of breast cancer makes it a disease for everyone to be concerned about. By supporting research and treatment programs, we are in effect supporting countless employees and customers,” said Cherie Myers, Director of Public and Government Affairs for Safeway, Inc. “ We will continue to work toward the day when medical research can find a cure. In the meantime, we hope this donation brings your efforts one step closer to that day.”

“Partnerships with the Seattle Cancer Care Alliance and Beck & Call Services, a van transport option for patients in outlying areas, have added value to the patient experience at the Regional Cancer Care Center,” said Lori Harlow, Skagit Valley Hospital’s Chief Operating Officer.

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Tips to being an informed, involved healthcare consumer Healthcare is a hot topic. There are changes occurring daily that can leave your head spinning. How can you keep up and help your doctor make good decisions about your health?

First, be an educated healthcare consumer. Become acquainted with your insurance plan and what it covers. This is sometimes challenging, but a little education beforehand can save you a lot of grief later.

With prescriptions, most insurance plans have a formulary, or list of preferred medications that they cover. See if your doctor can prescribe from this list. Ask for generics where available. Also, you can reduce medical bills by seeing in-network providers and planning ahead to see your primary care doctor instead of using the emergency room.

Know your medical history and keep accurate records. Pick one primary care doctor and stay with that doctor, with the goal of building a healthcare relationship.

If you have several medical issues, plan to see your doctor for brief check-ins at least three to four times a year. Ask for the most current information on routine physicals and screening tests for your age group.

Keep your doctor informed about all the specialists you consult, tests you have, and over-the-counter medications you take, including natural or herbal medicines. Bring your medicines with you in a bag to your appointments, or keep an accurate list. If you are diabetic, bring your blood sugar logs to your visits. Likewise, bring your blood pressure logs if you have hypertension.

Continued on page 41

Change Your Life classes in your Stanwood/Camano Island neighborhood

Camano Community Health Clinic hours: Monday: 9 a.m. to 5 p.m.

Tuesday: 9 a.m. to 5 p.m.

Wednesday: 9 a.m. to 5 p.m.

Thursday: 9 a.m. to 6 p.m.

Friday: 9 a.m. to 4 p.m.

Closed for lunch: 12:30 to 1:30 p.m.

Saturday and Sunday: Closed

Location: 127 N. East Camano Drive, Suite A Camano Island 360-387-5398

Skagit Valley Hospital offers the following health screenings and education programs at the Skagit Valley Medical Center - Stanwood/Camano, 9631 269th Street NW, Stanwood or the Camano Community Health Clinic, 127 N. East Camano Drive. To register, complete the registration form on the inside of the back page or call 360-629-6481 or 360814-2424. Pre-registration is required for all classes unless otherwise noted.

Call 360-629-6481 to register

Screening to Detect Peripheral Arterial Disease, Elevated Cholesterol and More!

The Skagit Regional Heart & Vascular Institute, a partnership of Skagit Valley Hospital, Skagit Valley Medical CenterCardiology and Skagit Radiology, offers a community screening for all adults over age 18 each month on a Tuesday in Stanwood.

Attend this screening to find out your risk of cardiovascular disease and stroke and learn how to reduce it. The screening

32 SKAGIT VALLEY HOSPITAL

includes the following tests and results are immediate: • Ankle brachial pressure index to help detect peripheral artery disease (no caffeine or nicotine for one hour prior) • Blood pressure • Full lipid profile for cholesterol plus glucose requires 12 – 14 hour fast, water and medications only (no alcohol 24 hours prior.) This is a fingerstick test with immediate results.

• Body composition testing to detect elevated body fat

• Review results with a health care provider Call 360-629-6481 to schedule an appointment in Stanwood for this screening program that takes just 40 minutes! The cost is only $25.

Cholesterol, Diabetes and Blood Pressure Screenings

Cholesterol screenings are provided at the following locations by Skagit Valley Hospital in cooperation with Dynacare Skagit Laboratories. Cholesterol tests are recommended at least once every five

Health Care Services Stanwood & Camano Island years beginning at age 20. Individuals with a strong family history of heart disease or risk factors, such as high blood pressure, diabetes or who smoke, may need to be tested more often.

Full Lipid Profile: 12-14 hour fast required, water and prescribed medications only, no coffee or tea. No alcohol 24 hours prior. Results include total cholesterol, HDL, LDL, triglycerides and glucose (blood sugar) levels and are mailed to your home in one week. Fee: $15 (cash or check payable to SVH only).

Blood pressure checks are provided at no cost. For information call 360-814-2424 or 360-629-6481. No appointment or preregistration is required.

April 23: July 16 (Thur) 8 - 9:30 a.m.

Camano Community Health Clinic 127 N. East Camano Drive May 21; August 6 (Thur) 8 – 9:30 a.m.

Skagit Valley Medical Center Stanwood/Camano Conference Room A/B

Vitamin D Level Screening (New)

Why should you have your Vitamin D levels tests? Studies have shown a strong link between an individual’s vitamin D levels and the risk of developing cancer.

New research shows a direct link between vitamin D deficiency and the risk of developing multiple sclerosis in people with a genetic predisposition for the disease.

Vitamin D also plays an integral role in bone health. Other studies have linked low levels of vitamin D to diabetes and high blood pressure.

This new screening can help you identify the level of Vitamin D in your blood.

Results are available in one week. This screening not recommended for patients on anticonvulsant medication. Fasting is not required. The cost is $35.

April 23; July 16 (Thur) 8 - 9:30 a.m.

Camano Community Health Clinic

Bone Density Screening

Osteoporosis, or low bone density, affects 10 million Americans, mostly women, and 34 million more have low bone mass. Over 1.5 million fractures are caused each year in the U.S. as a result of osteoporosis.

Find out if you are at risk for osteoporosis by having a bone density scan.

This is a non-invasive, painless scan of one hand. Results are available immediately.

Fee $10 (cash or check payable to SVH). No appointment is required.

April 23; July 16 (Thur) 8 - 9:30 a.m.

Camano Community Health Clinic May 21; August 6(Thur) 8 – 9:30 a.m.

Skagit Valley Medical Center Stanwood/Camano Conference Room A/B

AARP Driver Safety Program

This two-session program for people older than 50 is designed to enhance the driving skills of the mature adult.

Insurance companies are required to give a discount on auto insurance for those over age 55 who complete the course. Course fee is $12 for AARP members; $14 for nonmembers. Please bring check payable to AARP and your AARP card or number (if you are a member) to the first class – do not mail check. Pre-registration is required.

May 13 and 14 (Wed/Thur) 1 – 5 p.m.

Skagit Valley Medical Center Stanwood/Camano Conference Room A/B Pay at the class

Skin Cancer Screening

Local dermatologists will conduct visual inspections of skin abnormalities you are concerned about. Call 360-814-2424 or 360-629-6481 to schedule an appointment.

April 30 (Thur) Provided by Thomas Langei, MD, with Skagit Valley Medical Center

May 20 (Wed) May 21; August 6 (Thur) Provided by J. Semmes Mickelwait, MD, 8 – 9:30 a.m. with Advanced Dermatology Skagit Valley Medical Center Stanwood/Camano Conference Room A/B All classes require pre-registration unless specified.

1 – 4 p.m.

Skagit Valley Medical Center Stanwood/Camano Conference Room A/B No charge Pre-registration is required

Blood Drive

Donating blood is a simple and generous gift that can save a life. Did you know that one blood donation can help up to three patients? The Puget Sound Blood Center urges you to donate the “gift of life” at the following blood drive:

July 8 (Wed) 10 a.m. - 12:30 p.m. and 1:15 – 4 p.m.

Skagit Valley Medical Center Stanwood/Camano Pre-registration required by calling 1-800-398-7888

CPR and First Aid Classes are held at the Freeborn Fire Station in Stanwood. Call 360-387-8043 for more information.

Heart Saver Adult/Child CPR Classes are held at Terry’s Corner Fire Station on Camano Island. For more information call 360-629-3008.

First Aid Classes are held at Terry’s Corner Fire Station on Camano Island. For more information call 360-629-3008.

Babysitting Classes are held at Terry’s Corner Fire Station on Camano Island. For more information call 360-629-3008.

A Cardiac Support Group is available at the Stanwood Senior Center on the first Thursday of each month from 2 - 3 p.m.

Call 360-630-9234 for more information.

The Island County Health Department is located at 127 N. East Camano Drive, down the hall from the Camano Community Health Clinic. They offer services ranging from TB testing, WIC/Maternity Support Services, HIV/Aids Testing, Immunizations, Healthy Baby Visits and more. For more information call 360-3870184.

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Change Your Life classes in your Mount Vernon neighborhood Women’s Health Luncheon

Breast Health for Life: A Wise Woman’s Guide to Breast Health

Join us at the Women’s Health Luncheon to learn more about the latest research about the prevention, detection and treatment of breast cancer. The presenter, Peter R. Eby, MD is Assistant Professor of Radiology in the section of Breast Imaging at the University of Washington School of Medicine and Seattle Cancer Care Alliance. The event is sponsored by the Skagit Valley Hospital Regional Cancer Care Center.

Dr. Eby received his MD from Vanderbilt University. He completed his residency in Diagnostic Radiology and fellowships in Emergency Radiology and Breast Imaging at the University of Washington. Dr. Eby has published research on breast MRI, mammography and image-guided procedures. He is responsible for training residents and fellows in clinical breast imaging, including new methods of imaging and interventions. His research interests are focused on developing technologies for image-guided treatment of breast cancer.

In this luncheon presentation Dr. Eby will also provide an overview of breast cancer plus guidelines for recommended screening and early detection.

34 SKAGIT VALLEY HOSPITAL

Don’t wait too long! ! Many of our classes fill quickly so early registration is recommended. You are not confirmed in the class until we receive your payment (for classes requiring payment). Don’t lose your space in class – pay early! See the inside of the back cover of this magazine for registration information. Pre-registration is required for all classes unless otherwise noted.

This event is co-sponsored by Mountain Glen Retirement Center, Mira Vista Center, Life Care Center of Skagit Valley, OptionCare and Ashley Gardens of Mount Vernon.

May 14 (Thur) 11:30 a.m. – 1:30 p.m.

McIntyre Hall Mount Vernon $12 (includes lunch) Pre-registration required

by May 11

Doc Talk

Multiple Sclerosis

This one-evening presentation will provide participants with an overview of multiple sclerosis (MS), an update on the most current methods of treatment, plus information about local and nearby resources available for MS patients and their families.

The presentation will be provided by Patti Brettell, MD, a neurologist with Skagit Valley Medical Center and James Bowen, MD, Medical Director of the Multiple Sclerosis Center Swedish Neuroscience Institute.

May 20 (Wed) 6 – 8 p.m.

Skagit Valley Hospital Cascade Room No charge but pre-registration is required

Meditation for Calming and Focusing Your Mind

Have you thought about trying meditation but find it too difficult on your own? Let an experienced meditator guide you in simple techniques to become comfortable with this valuable skill. Comments from previous class participants include: “Jan could not have been better!! I loved the class.” “This class was exactly what I hoped for.

Jan was just wonderful in all aspects.”

Meditation is now scientifically recognized to help alleviate stress, mild depression and anxiety. Decluttering your mind can help you become more focused and productive. Become a happier, calmer you!

Jan Hodgman, MA, has been meditating for over 30 years and has eight years of monastic practice as an ordained Zen priest. She is also a Certified Focusing Trainer, writer and musician and loves introducing people to meditation.

April 20 and 27 (Mon) 6 – 8 p.m.

Cascade Room $29

An Overview to Understanding and Helping your Child with Sensory Processing Difficulty

This one-evening class will provide an introduction to sensory processing/ sensory integration. Participants will learn more about their own sensory system to help them understand and help their child. The class will include information on topics such as: What is sensory integration/processing? How does it affect my day-to-day activities?

How could it be affecting my child’s dayto-day activities and behavior?

The class will include time for handson experiential learning using various senses, plus brainstorming daily activities that are challenging for children with sensory processing difficulties and strategies that may be helpful (such as haircuts, fingernail clipping and meal times).

The instructors are Erin Kau’i, MA, CCC-SLP, and Lisa Gayle, OTR/L, both with Skagit Valley Hospital’s Rehabilitation Services Department.

July 1 (Wed) 6 – 8:30 p.m.

Skagit Valley Hospital Children’s Therapy Department Enter through Kincaid Street entrance $10 for class materials

Continuing Health Education Individual Weight Loss and Nutrition Counseling

Lou Kupka-Schutt, PhD, RD, can provide you with the support you need in setting and meeting your nutritional and weight loss goals. Lou has more than 20 years experience in working with individuals providing the most upto-date information about nutrition and weight control to help them make wise nutritional choices to manage their weight and improve their health.

This three-month program begins with a one-hour session, in person or by phone, to create an action plan and set goals. Three half-hour sessions will

be held in the first month, then four bi-weekly sessions over the next two months, for a total of three months of support, advice and education. Followup sessions can be done in-person, by phone or via email. The cost is $239. Call 360-814-8274 for more information. Call 360-814-2424 to register for the program.

Certified Diabetes Education Program (New)

Skagit Valley Hospital now offers a comprehensive education program for newly diagnosed Type II or adult-onset patients with diabetes or those whose diabetes is poorly managed.

The program also provides education for pregnant women with gestational diabetes in collaboration with OB-GYNs and family physicians. In addition, the program provides education and management of children with diabetes in collaboration with pediatricians and family physicians.

The program is taught and coordinated

by Amy Navarre Cantrell, PAC, Certified Diabetic Educator, in cooperation with an exercise specialist and Lou Kupka-Schutt, PhD, Registered Dietician, who will also be teaching portions of the classes. The program includes an introductory oneon-one appointment, six hours of group sessions (two three-hour classes) held one week apart with follow up. Dr. Jennifer Benson at North Cascade Family Practice is the Medical Director for the program.

Our hospital patients with diabetes will benefit from diabetes education during their hospital stay and are referred to our Certified Diabetes Education program upon discharge from the hospital.

The program requires a physician referral so talk to your health care provider. The program is covered by most insurance companies. Please check with your insurance provider to confirm. For more information about the program call 360-814-2699.

All classes require pre-registration unless specified.

Introduction to Diabetes Management

If you or a loved one is currently dealing with diabetes, and have questions regarding the diagnosis and management of the disease, attend this one-evening program. Certified Diabetes Educator Amy Navarre Cantrell, PAC, will provide an overview of the physiology, recommendations for monitoring and the basics of food and nutrition in this introductory class.

May 18 (Mon) 6 – 7:30 p.m.

Skagit Valley Hospital Cascade Room Enter through Kincaid Street entrance $10

Total Joint Replacement Class

This two-hour class helps to prepare patients for their upcoming joint replacement surgery. We have incorporated classroom instruction, procedure specific therapy instruction and have allotted time to complete pre-registration paperwork. You will learn what to expect before, during and after joint replacement surgery.

Our experienced nurses and therapists will address your concerns and will be available to answer your questions. Lunch is included.

The class meets every Wednesday from 1 – 3 p.m. at Skagit Valley Hospital in San Juan B. For more information, directions and to register for this class, please call 360-814-2424. There is no charge for this program.

Heart Healthy Fitness Program

Are you having trouble starting an exercise program or staying motivated?

Do you need direction and professional guidance? Come join us for exercise in a safe and stress free-environment. The Heart Healthy Fitness Program focuses on individual goals and plenty of oneto-one attention. We work on strength training, balance and cardiovascular. For questions and class times, call 360-8148368.

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Cardiac Rehabilitation Program

Have you had a recent heart attack, bypass surgery, angioplasty, heart valve surgery or stent placement? We have a program to help you return to your active lifestyle and learn how to reduce your risk factors. A Registered Nurse and Exercise Specialist supervise the classes and provide a safe, friendly atmosphere to ask questions and learn how to pace yourself as you recover. This is a physicianreferred program and Medicare and most insurances cover cardiac rehab. For more information call 360-814-8368.

First Aid and CPR

Skagit County Medic One offers CPR and First Aid classes for $10 per person.

This fee covers the cost of certification cards and materials. For more information call 360-428-3236 or email billc@skagitems.com.

Health and Wellness Screenings

Screening to Detect Peripheral Arterial Disease, Elevated Cholesterol and More!

The Skagit Regional Heart & Vascular Institute, a partnership of Skagit Valley Hospital, Skagit Valley Medical CenterCardiology and Skagit Radiology, offers a community screening for all adults over age 18 every Tuesday.

Attend this screening to find out your risk of cardiovascular disease and stroke and learn how to reduce it. The screening includes the following tests and results are immediate: • Ankle brachial pressure index to help detect peripheral artery disease (no caffeine or nicotine for one hour prior) • Blood pressure • Full lipid profile for cholesterol plus glucose requires 12 – 14 hour fast, water and medications only (no alcohol 24 hours prior.) This is a fingerstick test with immediate results.

• Body composition testing to detect elevated body fat • Review results with a health care provider

36 SKAGIT VALLEY HOSPITAL

Why should you attend this screening? Here are the facts:

• Peripheral arterial disease (PAD) caused by plaque buildup in the limbs affects about eight million Americans.

The Ankle Brachial Pressure Index (ABI) is a measure of the reduction in arterial blood pressure of the legs and is used to detect evidence of blockages from plaque buildup (PAD.) Abnormal ABI’s are associated with increased incidence of cardiovascular disease.

• Over 100 million Americans have high blood cholesterol levels, also associated with increased incidence of cardiovascular disease.

• High blood pressure affects one in three adult Americans. Untreated high blood pressure may result in a stroke.

• Elevated levels of body fat may lead to problems such as hypertension, elevated blood lipids (fats and cholesterol), diabetes mellitus and cardiovascular, all related to obesity.

Call 360-814-2424 or 360-629-6481 from Stanwood/Camano Island to schedule an appointment in Mount Vernon or Stanwood for this screening program that takes just 40 minutes! The cost is only $25.

Also see Stroke and Aneurysm Screenings on page 37 for a screening of the aorta and carotid arteries.

Cholesterol, Diabetes and Blood Pressure Screenings

Cholesterol screenings are provided

by Skagit Valley Hospital in cooperation with Dynacare Skagit Laboratories.

Cholesterol tests are recommended at least once every five years beginning at age 20. Individuals with a strong family history of heart disease or risk factors, such as high blood pressure, diabetes or who smoke, may need to be tested more often.

Full Lipid Profile: 12-14 hour fast required, water and prescribed medications only, no coffee or tea. No alcohol 24 hours prior. Results include total cholesterol, HDL, LDL, triglycerides and glucose (blood sugar) levels and are mailed to your home in one week. Fee: $15 (cash or check payable to SVH only).

Blood pressure checks are provided at no cost. For information call 360-8142424 or 360-629-6481. No appointment or pre-registration is required.

April 30; June 18 (Thur) 7:30 – 9 a.m.

Skagit Valley Hospital San Juan Room A/B Enter through Kincaid Street entrance

Bone Density Screening

Osteoporosis, or low bone density, affects 10 million Americans, mostly women, and 34 million more have low bone mass. Over 1.5 million fractures are caused each year in the U.S. as a result of osteoporosis.

Find out if you are at risk for osteoporosis by having a bone density scan. This is a non-invasive, painless scan of one hand. Results are available immediately. Fee $10 (cash or check payable to SVH). No appointment is required.

April 30; June 18 (Thur) 7:30 – 9 a.m.

Skagit Valley Hospital San Juan Room A/B Enter through Kincaid Street entrance

Vitamin D Level Screening (New)

Why should you have your Vitamin D levels tests? Studies have shown a strong link between an individual’s vitamin D levels and the risk of developing cancer.

New research shows a direct link between vitamin D deficiency and the risk of developing multiple sclerosis in people with a genetic predisposition for the disease. Vitamin D also plays an integral role in bone health. Other studies have linked low levels of vitamin D to diabetes and high blood pressure.

This new screening can help you identify the level of Vitamin D in your blood. Results are available in one week.

This screening not recommended for patients on anticonvulsant medication.

Fasting is not required. The cost is $35.

April 30; June 18 (Thur) 7:30 – 9 a.m.

Skagit Valley Hospital San Juan Room A/B Enter through Kincaid Street entrance

Stroke and Aneurysm Screening

This ultrasound screening test will help you identify whether you are at increased risk for stroke and vascular disease and provide information so your physician may begin preventive treatment if necessary. Skagit Valley Ultrasound Associates will provide Vascular Health Screenings that include evaluation of the carotid arteries to screen for disease or narrowing and of the abdominal aorta to screen for aneurysms.

The ultrasound screening tests:

• Are non-invasive, quick and painless • Utilize state-of-the-art ultrasound technology • Are performed by board certified sonographers and reviewed by a board certified radiologist.

Individuals whose screening results suggest the need for further evaluation will be referred to follow-up care with their physician.

A physician referral is not necessary.

The cost is $59 for the combined carotid and aorta screening and is payable by cash or check only. This exam is not billable to insurance.

To register for an appointment, call 360-428-8208, Monday – Friday, between 8 a.m. – 5 p.m. Screenings are held at Skagit Valley Ultrasound Associates located at 1320 E. Division, Mount Vernon.

Skin Cancer Screening

Local dermatologists will conduct visual inspections of skin abnormalities you are concerned about. Call 360-814-2424 or 360629-6481 to schedule an appointment.

April 22 (Wed) Provided by J. Semmes Mickelwait, MD, with Advanced Dermatology

June 18 (Thur) Provided by Thomas Langei, MD, with Skagit Valley Medical Center 1 - 4 p.m.

Skagit Valley Hospital Shuksan Room Enter through Kincaid Street entrance No charge Pre-registration required

Vision Screening

A certified ophthalmic technician from North Cascade Eye Associates will conduct vision and glaucoma screenings.

Bring contact lens case for lens storage during screening.

Call 360-814-2424 or 360-629-6481 to schedule an appointment.

April 30 (Thur) 1 – 3 p.m.

Skagit Valley Hospital Cascade Room Enter through Kincaid Street entrance No charge but pre-registration required

Blood Drive

Donating blood is a simple and generous gift that can save a life. Did you know that one blood donation can help up to three patients? The Puget Sound Blood Center urges you to donate the “gift of life” at the following blood drive:

July 2 and 3 (Thur/Fri) 10 a.m. - 12:30 p.m. and 1:15 – 4 p.m.

Skagit Valley Hospital Cascade Room Pre-registration required by calling 1-800-398-7888

Elder Driver Screening

Are you worried about an elderly family member’s ability to drive a car? Or maybe you are not sure if you should still be driving.

Occupational Therapist Laurie Mathews performs the screening that identifies a variety of health, fitness and cognitive issues that may effect a person’s ability to drive. The screening looks at vision issues such as contrast, field of vision and acuity plus range of motion and strength.

The screening takes 75-90 minutes at the Rehabilitation Department at Skagit Valley. The charge is $135 and insurance does not pay for this service. The results will be reviewed with the client and a copy sent to their health care provider (if client was referred by a health care provider.)

For information, call 360-814-2184.

Free Blood Pressure Screenings

Automated blood pressure machines donated by the Skagit Valley Hospital Foundation are available at the following locations:

• Skagit Valley Hospital Diagnostic Imaging Center • Skagit Valley Hospital – Kincaid Street Entrance • Skagit Valley Medical Center - Stanwood/Camano

Is it Time for Your Mammogram?

Remember the steps to breast health!

1. Do a monthly breast self-exam.

2. If you are 40 or older, have a mammogram every one or two years.

3. Have a yearly check-up, including a clinical breast exam.

For a screening mammogram appointment, call 360-424-9607.

The Breast Care Center

1320 East Division Street Mount Vernon 360-424-9607 Open Monday – Friday, 7 a.m. – 5:30 p.m.

A service provided cooperatively

by Skagit Valley Hospital and Skagit Radiology.

The Elder Driver Screening can help you, a physician or a family member decide if a person is capable of being behind the wheel.

All classes require pre-registration unless specified.

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Childbirth and Infant Care

Lactation Services at Skagit Valley Hospital

Pregnancy and Childbirth

This six-week course for expectant parents includes information about emotional changes during pregnancy, the labor process, breathing techniques, the role of the support person, breastfeeding and newborn care. The fee is $90 and medical coupons are accepted. Medical coupons are required two weeks before the class begins. A seven-week option includes breastfeeding and a local pediatrician to discuss your baby’s first three months for an additional $20 (not covered by medical coupons.) Classes are offered at Skagit Valley Hospital. Pre-registration required.

Childbirth Express: One-day Saturday or Two-day Weekend

One-day Saturday and two-day weekend intensive childbirth preparation classes are available. The fee is $95 and medical coupons are required two weeks before class begins. Pre-registration required. A $5 discount is available on the Breastfeeding and Newborn Care class when registering for it at the same time as the Childbirth Express class, making it only $20.

Breastfeeding and Newborn Care

In this two and one-half hour program, one of Skagit Valley Hospital’s Family Birth Center’s nurse Lactation Consultants will aid parents in gaining the knowledge necessary to make feeding decisions regarding their new baby. In addition, a local pediatrician will be available to provide information on newborn care – time for questions will be allowed. Preregistration required. The class fee is $25.

Call for class dates and times.

Family Birth Center Tours

Free tours of the Skagit Valley Hospital Family Birth Center are offered twice a month. Call 360-814-2424 to schedule a tour.

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Child Safety Seat Checks

Certified child safety seat technicians will assess your seat for age- and sizeappropriateness, proper installation and use, recalls and visible damage.

This screening is highly recommended for parents-to-be, prior to the birth of your new baby, to learn how to safely install and use your car seat.

April 16; May 21; June 18; July 16; Aug. 20 (Thurs) 1 - 3 p.m.

13th Street, just south of the Skagit Valley Hospital Diagnostic Imaging Center entrance Co-sponsored by Skagit Safe Kids.

Pre-registration is not required. Call Bill Craig at 360-428-3236 for more information regarding additional dates and times.

If you are interested in learning how to install car seats and help parents install their car seats properly, call Bill Craig, Skagit County Medic One at 360-428-3236 or via e-mail at billc@skagitems.com.

Here at the Family Birth Center, we are dedicated to you and your baby’s health. That is why we provide one of the most inclusive lactation services programs in the region. There are six Internationally Board-Certified Lactation Consultant Registered Nurses available to visit you during your hospital stay and help you experience a successful start to breastfeeding your baby.

The Lactation Services office serves also as a Holister rental station, where breast pumps and accessories are available to rent or purchase. If you are pregnant or breastfeeding or know someone who is and would like to know more about Lactation Services at Skagit Valley Hospital, please call 360-814-BABY and one of our consultants would be happy to talk with you.

Healthy Aging Events AARP Driver Safety Program

This two-session program for people older than 50 is designed to enhance the driving skills of the mature adult.

Insurance companies are required to give a discount on auto insurance for those over age 55 who complete the course.

Course fee is $12 for AARP members; $14 for non-members. Please bring check payable to AARP and your AARP card or number (if you are a member) to the first class – do not mail check. Pre-registration is required.

June 29 and 30 (Mon/Tue) 9 a.m. – 1 p.m.

Cascade Room Pay at class Please see page 33 for information about classes in Stanwood/Camano Island.

Elder Driver Screening

An Elder Driver Screening available in Skagit Valley Hospital’s Rehabilitation Department can help you, a physician or a family member decide if a person is capable of being behind the wheel. For more information see page XX or call 360814-2184.

Kidney Dialysis Education Pre-dialysis Education

This Skagit Valley Kidney Center program is for people with reduced kidney function who would like to explore treatment options for renal replacement therapy. Patients, families and caregivers will receive information about treatment options, diet, health maintenance, financial and social concerns.

These two introductory sessions help reduce many anxieties a person may have related to the “unknown”. The sessions provide an opportunity for patients to make more informed choices. Classes are provided by physician referral. For more information, call 360-814-8313.

Mental Health

Family-to-Family Education Program

Free 12-week course for families of adults with mental illness. The course focuses on helping family members understand the major mental illnesses and maintain their own well-being while providing needed support to their ill family members. This program is provided

by NAMI Skagit, an affiliate of the National Alliance on Mental Illness. Call 360-588-8229 or 360-856-9049 for more information or to register. Space is limited.

Peer-to-Peer Education Program

Free nine-week class for adults with mental illness or brain disorders to help them better understand their illness and maintain and improve their recovery.

NAMI Skagit provides this program.

Call Aimee Beckwith at 360-466-2192 for more information and to register. Space is limited.

Visions for Tomorrow Education Program

Free 10-week class for parents or primary caregivers of a child or teen with mental illness or a brain disorder. The course helps families with communication, coping, problem management, rehabilitation, recovery, and advocacy. NAMI Skagit provides this program. Call Marti Wall at 360-7664107 for more information and to register.

Space is limited.

For more support, adults living with a mental illness may drop-in at the Skagit Peer Connections Center anytime, Monday through Friday between 10 a.m. – 4 p.m. at 1115 Riverside Drive, Mount Vernon. There are support groups, classes, hobby time, free lunch, and always someone to talk with and keep company.

Support Groups

Call 360-814-2424 or 360-629-6481 for current Skagit County Support Group information.

Mental Health Support Group

NAMI Skagit Open Group meets on the 4th Tuesday of each month from 7 – 9 p.m. in the San Juan B Conference Room at Skagit Valley Hospital. For more information contact Trish Rodriguez at 360-540-0795 or Marti Wall at 360-766-4107.

Ostomy Support Group

Second Tuesday of each month from 6:30 - 8 p.m. in the Sauk Room at Skagit Valley Hospital. Call Cathy Schaeffer at 360-814-2600 for more information.

Cancer Support and Information

All programs are free of charge For additional information on any of these services or events please contact Cancer Care Social Services at 360-814-8236 or 360-814-8255.

Look Good, Feel Better

Cancer can rob a woman of her energy, appetite and strength. But it doesn’t have to take away her self-confidence. This program teaches beauty techniques to women in active treatment or those who

All classes require pre-registration unless specified.

are about to start treatment. It helps them combat the appearance related to the side effects of treatment.

The Look Good, Feel Better sessions are led by trained, volunteer cosmetologists who teach women how to cope with skin changes and hair loss using cosmetics and skin care products donated by the cosmetic industry. Women also learn ways to disguise hair loss with wigs, scarves and other accessories. Space is limited so be sure to register by calling the American Cancer Society at 1-800-ACS-2345.

Fourth Monday of each month 1 - 3 p.m.

Skagit Valley Hospital Sauk Conference Room Enter through Kincaid Street entrance

The following are all drop-in groups held at Skagit Valley Hospital. Each is facilitated by one or more oncology social workers and may feature guest speakers.

Women’s Cancer Support Group

Second Wednesday of each month from 5 – 6:30 p.m. in the Shuksan Conference Room. This group is for women who are undergoing treatment for, or have experienced breast, ovarian, uterine or cervical cancer. Call 360-814-8236 for additional information.

Living with Cancer

Fourth Wednesday of each month, 5 – 6:30 p.m. in the Shuksan Conference Room. A support group for cancer patients and their closest support person.

Call 360-814-8236 for more information.

Expressive Art Therapy for Cancer Patients

First and third Mondays of each month, 2 p.m. – 4 p.m. in the Shuksan Conference Room. Margaret Carpenter Arnett, BSN, ATR has been doing art therapy with cancer patients for over ten years. We are pleased to have her her! Creating art may reduce anxiety and stress plus improve emotional well-being. It is a great opportunity to process and integrate the challenges of serious illness and treatment.

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If you are someone who asks “Who am I now?,” consider coming to this group.

Grief Support Services

Skagit Hospice Services Bereavement Program provides support to anyone in our communities coping with grief and loss after the death of a loved one. Call us for information and referrals, attend a free grief support group, or borrow materials from our Resource Center. For more information and directions, phone 360814-5550 or 1-800-894-5877.

Daytime Ongoing Grief Support

First and third Tuesdays at 12:30 p.m. in the Skagit Hospice Offices at 819 S. 13th Street in Mount Vernon and the second and fourth Mondays at noon in Anacortes at Westminster Presbyterian Church, 1300 9th Street.

Evening Ongoing Grief Support

Second and fourth Thursdays at 5:30 p.m. at The Landing, 2136 Highway 20 (brown house) in Sedro-Woolley.

In-Service Education

For grief and loss presentations for your organization or employees, contact the Skagit Hospice Services Bereavement Coordinator at 360-814-5589.

Vernon and after hours by appointment.

A member of the hospice team can answer questions or help you find what you need.

For information call Skagit Hospice Services at 360-814-5550 or the Foundation at 360-814-5702. The Skagit Hospice Foundation is proud to be a supporter of this valuable community resource center.

Please remember the Skagit Valley Hospital Gift Shop next time you need a gift for a friend or relative.

Interested in helping the Skagit Hospice Foundation?

2-1-1 is a free, easy-to-remember phone number that connects people to what they need, whether that means receiving help, or offering it through volunteer time or donations.

The Skagit Hospice Foundation is currently accepting applications for new board trustees. This group of volunteers works to raise funds to support hospice programs and to educate the community about available services. The goal of the board is to ensure that everyone who wants or needs hospice care receives services regardless if they can pay or not. The foundation has also started planning for the 2009 annual brunch and auction and is seeking community members interested in working on a committee to make this year’s fundraiser the best ever to support hospice in our community. For information, call the foundation office at 360-814-5702.

Speakers are available for civic organizations and churches as a service of the Skagit Hospice Foundation. Call 360814-5702.

The Skagit Hospice Services Resource Center is open weekdays from 8 a.m. to 5 p.m. in the lobby of the Skagit Hospice office at 819 South 13th Street in Mount

40 SKAGIT VALLEY HOSPITAL

Important! The 2-1-1 call line will be open Monday through Friday, 8 a.m. to 5 p.m. 2-1-1 is not a crisis line. If the need can’t wait until the next business day, please call the CARE Crisis Line at 800584-3578. In the event of a life-threatening emergency or a crime in progress, always call 911.

Speakers Bureau

Skagit Hospice Services Resource Center:

Community members seeking information about end-of-life issues are likely to find what they need at the Skagit Hospice Services Resource Center. A wide range of resources are available on caregiving, coping with disease, end of life concerns, grief and loss, and inspiration for challenging times. Visitors will find a comfortable place to sit and read, browse, or find materials to check out.

By dialing 2-1-1, people will reach a trained information specialist who can help determine the service they need, and refer them to the most appropriate resource among the full range of public and private programs available.

Some residents may have difficulty accessing the 2-1-1 line via cell phone or a business line. The current Community Information Line number, 800-223-8145, will remain active and can be used instead of calling 2-1-1.

Skagit Hospice Speakers Bureau

A free lending library open to the community

For easy access to community services dial 2-1-1

Skagit Valley Hospital Gift Shop

The Skagit Valley Hospital Gift Shop has many wonderful hand-made and retail gift items for sale with all proceeds going to the Skagit Valley Hospital Guild.

In 2008 the Guild purchased equipment for the Telestroke Program and pledged an additional $26,000 to the Skagit Valley Hospital’s Cancer Care Capital Campaign, increasing their total pledge to $101,000.00.

Need an interesting presentation for your club or organization? Skagit Valley Hospital’s Speakers Bureau provides speakers on a number of health care related topics, many at no cost. For more information on speaker topics or to schedule a presentation, call Kaye at 360814-2348.

Help Wanted

Caring People with Big Hearts

Volunteers make the difference at Skagit Valley Hospital. Our volunteers perform a variety of important jobs, from helping nurses with patient care and conducting hospital tours for school children to working in gift shops, at the information desks or in clerical positions.

The Department of Volunteer Services at Skagit Valley Hospital coordinates

Join us for a prime rib

in the 1415 Deli at

Skagit Valley Hospital

Friday, June 5 5 – 7 p.m. $12.95

($10.95 with coupon) Menu to include prime rib, baked potato, vegetables, dinner roll, soup or salad, coffee or fountain beverage.

Dessert is extra.

This coupon entitles you to $2 off the regular price. You must present this ad to redeem special. the activities of over 425 volunteers in support of the hospital’s operations. For more information or to become a member please call 360-814-2142.

Health Insurance Questions?

Call the SHIBA HELPLINE at 360814-2345. We have a wonderful group of volunteers to help people of all ages with their health insurance needs as well as assistance with understanding insurance options. SHIBA = Statewide Health Insurance Benefit Advisors.

in Skagit County, be sure to tune in to channel 10 at 7 p.m. each evening to watch HealthQuest TV. This half-hour show features a new guest each week showcasing our local physicians and health care professionals on a variety of topics ranging from latest treatment options for heart, cooking shows and cancer care to prevention topics highlighting local physical activity programs, grocery store tours and more. Join us to learn more about how to improve your health and health care options in our area.

Contact Us

To inquire about volunteering or request services, please contact Steve Schultz at 360-814-2142 or contact our main information desk at 360-814-5059.

Visit www.ParentHelp123.org to apply for state-sponsored health insurance and food programs. ParentHelp123.org is a great online resource to help families find out income guidelines and their eligibility for state-sponsored benefit programs, complete an application for programs such as Children’s Health Insurance, Pregnancy Medicaid, Basic Health, WIC and Basic Food (Food Stamps) or access educational materials about family health, breastfeeding and more.

Continued FROM page 32

Opportunities for service at Skagit Valley Hospital include:

• Grace Cochrum Guild • J.E.M. Guild • Skagit Valley Hospital Guild • Skagit Valley Hospital Auxiliary • J.E.M. Guild

You may be referred to a specialist.

The Breast and Cervical Health Program will pay for many diagnostic services and connect you to treatment if needed. For referral to a nearby clinic or eligibility information call 1-888-651-8931.

Be informed

Skagit Valley Hospital has a wonderful volunteer opportunity – play our beautiful grand piano for guests of the hospital to enjoy. If you are an accomplished pianist who would like to share your talent for others to enjoy, call 360-814-2142.

Guilds and Auxiliaries

• you are age 40 through 64, and • your income falls within program guidelines • you are not on Medicaid or Medicare • are experiencing breast symptoms regardless of age

HealthQuest TV on Cable-Access Television Station 10 ParentHelp 123 If you are a Comcast cable subscriber

Pianists Wanted

• Pianists • Information Desk • Surgical Services • Gift Shop • Workroom Volunteers • Mail Delivery

You are eligible if:

Need a Physician?

Call our free Physician Referral Line at 360-848-5555 or 360-629-5850 from Stanwood or Camano Island. The Physician Referral Line is open weekdays between 9 a.m. – 5 p.m.

Washington Breast and Cervical Health Program

You may be eligible for a free women’s health exam that includes a breast exam, a mammogram, a pap test and exam through the Washington Breast and Cervical Health Program.

Finally, take responsibility for your health.

Your doctor needs a partner, a willing participant in care. Cooperation is essential to a good healthcare relationship. Educate yourself, with your doctor’s assistance, about any medical conditions you may have. Ask questions about medications you may take and possible side effects. Learn to recognize the difference between a side effect and an allergic reaction. Don’t stop a medication suddenly for a minor, irritating side effect without contacting your doctor. Also realize that some side effects are temporary and will decrease with time, so be patient.

If you work together with your doctor, you can enjoy a rewarding and productive partnership. Remember, the goal of successful healthcare is to ensure your quality of life.

Christina Morris, MD works at Camano Community Health Clinic, 360-387-5398.

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List of services at Skagit Valley Hospital Skagit Valley Hospital provides a full continuum of care to our community, ranging from outpatient diagnostics and rehabilitation services to surgery and acute care. Learn more about the following services by going to www.skagitvalleyhospital.org.

ABOVE: Sunrise Inn provides a home away from home. The well-appointed guest house for patients and families is across 13th Street from Skagit Valley Hospital. Private rooms and reasonable rates. Call 360-424-4111.

42 SKAGIT VALLEY HOSPITAL

• Acute Care • Administration • Breast Care Center • Camano Community Health Clinic • Cancer Care • Cardiac Rehabilitation • Cardiac Electrophysiology • Catheterization Lab • Care Center • Care Management • Chemotherapy • Children’s Therapy Program • Clinical Education • Clinical Services/Infection Control • Computed Tomography Imaging (CT Scan) • Critical Care • Diagnostic Imaging • Echocardiography • Emergency Trauma Center • Endoscopy • Family Birth Center • Food Services • Gift Shop • Health Information Management • HealthQuest • Heart Care • Hospice Care • Hospitalists on site 24/7 • Interpreting - Translating • IV Therapy • Kidney Dialysis - outpatient and inpatient • Laboratory • Library • Magnetic Resonance Imaging (MRI)

• Materials Management • Medical Staff Services • Nuclear Medicine • Nursing Administration • Nutrition Counseling • Oncology • Outreach and Development • Pastoral Care/Chaplains • Patient Advocate • PET/CT • Pharmacy • Physical, Speech & Occupational Therapy • Physician Referral Services • Positron Emission Tomography (PET Scanning) • Psychiatric Care/Counseling • Quality Management • Radiation Therapy • Rehabilitation Services • Respiratory Therapy • Skagit Hospice Foundation • Skagit Valley Hospital Foundation • Sleep Center • Statewide Health Insurance Advisors (SHIBA) • Sunrise Inn • Surgical Services • Ultrasound • Volunteer Services • Welcome Baby • Wound Healing Center • X-Ray

4 Easy Ways PHONE 24 Hours a Day, 7 Days a Week Call 360-814-2424 or 360-629-6481 Call us anytime day or night and leave your detailed course information with your name, address and phone number in our voice mail, or with the scheduler. You will receive a confirmation in the mail.

Class Registration Discounts

Save money on Change Your Life classes (see pages 34-35 for listings, except Women’s Luncheon) Physician Referral Discount - Provide a written physician referral and receive a 20% discount on any Change Your Life classes except the Women’s Health Luncheon.

Group Discount - Receive a 10% discount when registering with a group of four or more for any Change Your Life classes. To receive this discount, payment must be received in advance.

Senior Discount - If you are age 60

or older, receive a 10% discount on all Change Your Life classes except the Women’s Health Luncheon.

Refund Policy

INTERNET

A full refund will be granted if the class is cancelled or if you cancellation is received at least three working days in advance of the class date.

24 Hours a Day, 7 Days a Week Go to: www.skagitvalleyhospital.org Click on Calendar

Cancellations received within two working days of the class date will be charged a $10 processing fee.

MAIL HealthQuest

Skagit Valley Hospital P.O. Box 1376 Mount Vernon, WA 98273-1376 Fill out this form and include your check or charge card number.

No refund will be given after the class has begun.

To request a refund, call 360-814-2424 or in Stanwood/Camano Island call 360-629-6481 or TTY 360-814-2218, then submit a written request to:

FAX

HealthQuest

24 Hours a Day, 7 Days a Week 360-814-8222 Complete this form and fax it to the number above.

Skagit Valley Hospital P.O. Box 1376 Mount Vernon, WA 98273-1376

Registration Form

Please complete the following information (use one copy for each participant - feel free to duplicate this form or register on our Web site, www.skagitvalleyhospital.org and click on HealthQuest)

CLASS or SCREENING

DATE

FEE

TYPE OF PAYMENT (Please do not send cash) Check (make checks payable to SVH-HealthQuest) Mastercard

Subtotal: Less 10% discount (see Discounts above / only one discount per person) Total amount enclosed: Name:________________________________________________________________________ Address:______________________________________________________________________ City, State, Zip Code:_ ___________________________________________________________ Day Phone:___________________________ Home Phone:_______________________________ E-mail address:________________________________________________________________

VISA

Credit Card Number: ____________________________________ Expiration Date:________________________ Signature: ____________________________________

Questions on Registration?

Call Skagit Valley Hospital at 360-814-2424, from Stanwood and Camano Island call 360-629-6481 or for hearing impaired, please call TTY 360814-2219

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PRSRT STD U.S. POSTAGE PAID SAM INC

Skagit Valley Hospital

P.O. Box 1376 Mount Vernon, WA 98273-1376 Sponsored by Skagit Valley Hospital Foundation

ECRWSS RESIDENTIAL CUSTOMER

brandquery ad TO BE PLACED

HERE 8.25” x 6.75”