2010 Fall HealthQuest

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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

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Teaching Hospital

Skagit Valley Hospital greets first 12 medical students from PNWU

Skagit Regional Clinics New name, same great care

Back pain?

Physicians lead new spine program

Helping hands

New board members join Skagit Valley Hospital Foundation

from gregg’s desk

It’s a new day.

In health care, we are entering an era of major change, innovation and opportunity. There are challenges in our future. However, our focus remains on the path of growth and advancement to meet the health care needs of the people in the communities we serve.

Our progress of recent months is a clear indication of our actions to live out our vision to be “the best.”

On July 1, Skagit Valley Hospital and Skagit Valley Medical Center came together to become an integrated

health care delivery system. SVMC is now known as Skagit Regional Clinics, with eight locations

Saint Joseph Center

215 N. 15th St., Mount Vernon

Friday, Nov. 26, 5:30 p.m.

Community Days Saturday, Nov. 27, 10 a.m. – 5 p.m.

Sunday, Nov. 28, 10 a.m. – 2 p.m.

Proceeds benefit the Mental Health Center at Skagit Valley Hospital

Title Sponsors

Call 360-814-5747 for ticket and event information

RedsWhites andBrews Saturday, Nov. 27, 7 p.m.

2 | Skagit Valley Hospital

www.skagitvalleyhospital.org/ways-to-give/hospital-foundation/

Gala & Auction

across Skagit, north Snohomish and Island counties. While it’s a new name, the organization features the same outstanding providers, locations, staff and service our communities have come to appreciate. As the health care delivery system evolves, having a vital, integrated system puts the organization in a strong position to continue to grow and add services. We also believe this positions us well for changes due to federal health care reform.

Also in July, we welcomed our first 12 medical students from Pacific Northwest University of Health Sciences as we become a teaching hospital, dedicated to instructing and encouraging new physicians, with hopes of retaining some of this young talent in our community for the long-term benefit of all. The first dozen students will be joined by 12 more next summer and followed by residents in 2012.

The need for physicians remains high.

While we have successfully assisted in recruiting 65 physicians to our community in the past three years, we have a goal to bring in 27 more providers this year.

We continue to advance the level and breadth of services available right here in our communities. Examples include

the new spine program with advanced procedures offered by three surgeons.

This program is a natural progression for Skagit Valley Hospital as our skilled staff, expanded facility, spacious operating rooms and private patient rooms lend to the addition of this new level of services.

Our Regional Cancer Care Center now offers stereotactic radiosurgery using precision radiation therapy with the latest equipment and The Breast Institute is providing multidisciplinary care to newly diagnosed breast cancer patients.

Skagit Regional Heart & Vascular Institute earned top honors in the

state of Washington and top 10 percent in the United States for coronary interventions for 2010. In Surgical Services, the latest in minimally invasive procedures are available along with a wide range of orthopedic services with a high level of expertise in total joint replacements. Skagit Valley and Cascade Valley hospitals are collaborating on a new 40,000-square foot facility in Smokey Point to provide primary and specialty health care services.

The completion of the new hospital in 2007 was not an end point, but the beginning of a regional, integrated health system, opening the door to the future of health care.

We are about providing the highest level of health care services to the people of the region. And, while we face the uncertainty of the economy and state and federal reforms, we remain willing and capable of adapting to meet the challenge.

It’s a new era, built on a tradition of excellence. We appreciate the continued support of the community as we move forward to bring you the health care services you need.

— Gregg Agustín Davidson, FACHE Chief Executive Officer

fall 2010 / Volume 7 / Issue 3

HealthQuest is published three times a year

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

Future doctors

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Leading edge

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Twelve third-year medical students begin two years of study at Skagit Valley Hospital

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: 360-814-2416

Latest tools in radiation therapy provide precision in battle against cancer

On the Web: www.skagitvalleyhospital.org Physician Referral Line: 360-848-5555 or 360-629-5850 SKAGIT REGIONAL CLINICS Anacortes: 360-293-0308 Arlington: 360-435-2144 Camano Island: 360-387-5398 Cardiology: 360-336-9757 Mount Vernon: 360-428-2500 Oak Harbor: 360-814-6200 Sedro-Woolley: 360-856-4222 Stanwood: 360-629-1600 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 The Breast Institute 360-814-8148 SKAGIT VALLEY KIDNEY CENTER AND WOUND HEALING CENTER 208 Hospital Parkway Mount Vernon Kidney: 360-814-8260 Wound: 360-814-2600 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.

Skagit Regional Clinics

Providers in eight locations – from Anacortes to Arlington – provide outstanding patient care

COVER PHOTO Skagit Valley Hospital’s first class of 12 third-year medical students from Pacific Northwest University are joined by Robert E. Sutton, PhD, PNWU Vice President of Academic Affairs, front left, and PNWU Regional Dean Richard Abbott, MD, center back.

Spine program New program provides variety of solutions for back pain

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Photo by Linda Wright

Good works

Skagit Valley Hospital Foundation welcomes new volunteers, enjoys successful fund-raising events

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HealthQuest Classes 27

Stanwood & Camano Island

HealthQuest Classes 29

Hospital Services 38

Mount Vernon

HealthQuest Class 39 Registration

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Skagit Valley Hospital hosts 12 medical students Skagit Valley Hospital welcomed its first class of medical students in July with the arrival of 12 third-year students from Pacific Northwest University of Health Sciences (PNWU).

The students will spend two years at Skagit Valley Hospital, participating in a series of educational rotations ranging from family practice and surgery to psychiatry and obstetrics.

PNWU welcomed its inaugural class of students in 2008 as the region’s first medical school in 60 years to address a critical need for more health care professionals to work in rural and underserved communities.

The school has a commitment and mission to train, educate and encourage scientific research for health professionals who will provide quality care to rural and underserved communities of the Pacific Northwest.

“Many of our students are returning to their hometowns or a place nearby, to serve the community in which they grew up,” said Lloyd Butler, DO, acting PNWU president.

“Our mission comes full circle and we couldn’t be more proud or excited to send our students out.”

Skagit Valley Hospital is among just 10 locations in a five-state region to be selected by PNWU for student

Meet the Students

rotations. PNWU leaders and faculty acknowledge it is a great opportunity for the students and the hospital.

“After traveling to almost every hospital in the Northwest, the environment at Skagit was magical and so fit our mission and our students. I think the community of Mount Vernon is so privileged to have a hospital with the mission and values that exist at Skagit Valley,” said Robert E. Sutton PhD, Vice President of Academic Affairs. “This environment will make our students excited to practice medicine in smaller more rural areas.”

The selection process for teaching hospitals was rigorous, with Skagit Valley Hospital quickly rising to the top.

“When I met the administration and staff I had no doubt that Skagit Valley Hospital is where we want our students to

Sarah M. Burke, BS, BA

Rhyne Dengenis

Kimberlyn Detrick

Sarah Burke, who was born and raised in Skagit County and attended BurlingtonEdison High School, is very excited to return home for her clinical rotations.

She is a graduate of Pacific Lutheran University. For the past two years at PNWU, she volunteered as a student doctor at the Union Gospel Mission’s medical clinic and has traveled to Guatemala and Uganda on medical mission trips. Her father is Dr. John Burke, radiologist with Skagit Radiology in Mount Vernon. Sarah enjoys traveling, hiking, fishing, and drawing.

Rhyne Dengenis received a bachelor’s degree from the University of Washington in 2006. He has family nearby in King and Snohomish counties. He is an avid supporter of physical fitness and wellness, and enjoys training for triathlons in his spare time. Rhyne has professional interests in orthopedics, sports medicine, and emergency medicine.

Berlyn Detrick, from Santa Cruz, Calif., received her undergraduate degree from Lewis and Clark College in Portland, Oregon and did her post baccalaureate at University of Nevada, Reno. She previously worked at Mount Baker Planned Parenthood in Skagit, Whatcom, and Island counties and for Outward Bound in the North Cascades. She founded PNWU’s Wilderness Medicine Club. She has extensive experience working and living with Spanish-speaking populations and conducted research in the Peruvian jungle.

She is currently interested in Obstetrics and Gynecology. She enjoys backcountry skiing, and mountaineering.

4 | Skagit Valley Hospital

train,” said Robyn Phillips-Madson, DO, MPH, Dean and Chief Academic Officer of the College of Osteopathic Medicine.

“Our students will learn in a functional health care environment where patient safety, compassion, courtesy, efficiency, and appropriate presentation of the facilities and self are emphasized, and where universal attributes such as respect, hard work, and good communication are valued.”

Gretchen Eickmeyer, CFRM, noted the common values of PNWU and Skagit Valley Hospital.

“It’s our shared values and commitment to caring for all people through patientcentered quality medicine,” she said.

“Launching a new teaching hospital program requires a commitment from the hospital, the medical staff, and the community, aspects that have all seen strong support at Skagit Valley Hospital,” said Pam Royston, assistant vice president of academic affairs at PNWU.

Ryan Kelln

John Pham

Ryan Kelln, a native of Bellingham, received a bachelor’s degree in Public Health from the University of Washington in 2005. He spent three years working as a Youth Director at University Presbyterian Church in Seattle and volunteering with families of children receiving cancer care.

He enjoys playing soccer, basketball, and other sports. He is interested in pursuing pediatrics and sports medicine as a specialty.

John Pham previously worked as a high school biology and chemistry teacher in the Bellevue School District. He holds a bachelor’s degree in biology from Cornell University where he received the Excellence in Leadership Award from the Cornell National Scholars. He has worked at a summer camp for children with cancer, which inspired him to pursue a career in medicine. He enjoys the outdoors, traveling, is an avid soccer player, and runner.

David M. Lewis, BS, MSA

Heather Preissler

David Lewis, who grew up in Port Angeles, received his bachelor’s degree in biology from the University of Washington in 2006. While attending the UW, David worked during his summer vacations as a surgical orderly at Olympic Memorial Hospital. After graduation, he spent a year working as a teacher with the Clallam County AmeriCorps program before attending Pacific Lutheran University and achieving a master’s degree in education.

David spends his free time hiking, fishing, skiing, scuba diving, and playing a variety of sports. He is interested in pursuing internal medicine and cardiology as a specialty.

Heather Preissler grew up in Duvall, WA, and attended Bellevue Community College and Central Washington University where she graduated with a bachelor’s degree in biology. She worked as a dental assistant for seven years in Bellevue before starting medical school at PNWU. She has served on medical missions and is passionate about global health. Heather is married and enjoys spending her free time with her husband and family as well as traveling, cooking, running, playing soccer, snowboarding, and anything outdoors.

“To have a community that is this supportive is unique and it is vital for these students as they feel welcomed,” Royston said.

The overwhelming physician support to serve as teachers and preceptors will allow the students to remain in the community for all of their training.

“It’s the support of the physicians that is making this possible. I couldn’t ask for better role model physicians, so genuine and compassionate,” she said. “This helps students form their basis for becoming professional physicians and it’s going to bring a lot more back to this institution and community.”

Statistics show medical students and residents frequently stay to practice in the community where they train.

“Research has shown that 30 percent of physicians stay to work in the area CONTINUED ON PAGE 6

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Jeffery Pryor

Trent Sensiba

Sarah Steele

Jeffery Pryor, from Pittsburg, Calif., graduated from Azusa Pacific University where he earned a bachelor’s degree in biology. While attending college, Jeff worked in a molecular biology lab on campus attempting to determine nuclear localization signals for viruses. Before attending PNWU, Jeff began a Master’s in Public Health at Loma Linda University and hopes to complete his master’s in the future. Jeff enjoys kayaking, cycling, movies, and going to the gym.

Trent Sensiba, from Redmond, holds a bachelor’s degree in science from Portland State University. A former Wellness Coach at a retirement community and personal trainer, his path to medicine began during the summer of 2005 when he received his EMT I certificate from College of the Desert in Palm Springs. He has a passion for global health and spent a summer in Ecuador working in hospitals. Trent enjoys hiking, fly fishing, triathlons, golf, and exercise.

Sarah Steele is originally from Fontana, Calif., and received her bachelor’s degree in exercise physiology from the University of Hawaii in Hilo. She attended the university on a full softball scholarship and earned both All-Academic and AllConference honors as well as leadership awards. She has also volunteered her time in the student-run Union Gospel Mission clinic in Yakima. She enjoys playing softball and volleyball, surfing, tae-kwondo, and reading. She is interested in pursuing pediatric oncology as a specialty.

CONTINUED FROM PAGE 5

How many years of school does it take to become a doctor?

Bachelor’s degree: Four years Medical school: Four years Residency: Three to five years Specialty Fellowship: One to three years TOTAL: 12 to 16 years Average medical student debt upon graduation: $156,456, according to the Association of American Medical Colleges (AAMC), the average educational debt of indebted graduates of the class of 2009.

6 | Skagit Valley Hospital

where they were trained,” said Janell Kiel Nelson, MA, program manager for medical education at Skagit Valley Hospital. “With PNWU’s approach to recruitment, and the establishment of our own residency programs, we anticipate our retention rate could be as high as 60 percent.”

Richard Abbott, MD, a former longtime family practice physician in Mount Vernon and part-time quality medical advisor for Skagit Valley Hospital, has added the title of Regional Dean for PNWU to serve as the primary contact on site for the medical students.

“This is an exciting new venture to add to the community,” Dr. Abbott said. “I want to do my part for this venture to be successful in the long term to bring in bright, young physicians who may stay and work in the valley.”

As someone who knows and works with many physicians in the community, he said he sees the keen interest among doctors to help train new doctors.

“They all recognize that every physician was once a student. They are here to teach the art of medicine in addition to the science of medicine,” Dr. Abbott said.

“And there are benefits to being a teacher because you want to be up on the latest information so you are teaching evidencebased medicine, and it’s fun watching someone learn.”

Patients will see benefits as well as get more one-on-one time with medical professionals. The students will not provide any independent treatment – that is left to the physicians – but students will be available to gather information and provide updates to patients.

“As a general rule, I think patients will enjoy being part of teaching the students,” Dr. Abbott said.

Skagit Valley Hospital will host an additional 12 medical students beginning in July 2011 and is applying for accreditation from the American Osteopathic Association to begin residencies in July 2012, starting with family medicine and internal medicine and ultimately expanding to include general surgery, orthopedic surgery, psychiatry, and a traditional internship year.

Lauren Sullenberger Lauren Sullenberger received a Bachelor of Science degree at the University of Washington and with research experience from an internship at Ceptyr Inc., the University of British Columbia, and a completed senior project at The Fred Hutchinson Cancer Research Center, Lauren accepted the opportunity to work on a Specialized Project of Research Excellence (SPORE) in breast cancer at Beth Israel Deaconess Medical Center in Boston, MA. She plans to pursue both medicine and clinical research.

Last summer, she participated in a six-week research rotation as a visiting medical student at the Johns Hopkins Medical Institutions. Lauren is an avid photographer, artist, classical guitar enthusiast, and rock climber.

radiation oncologist

Arrives

Michal Anne Whiton, MD arrived in August, returning to her native Skagit County as a radiation oncologist at Skagit Valley Hospital Regional Cancer Care Center.

Dr. Whiton, originally from Edison, completed her residency training and year-long training as Chief Resident in Radiation Oncology at Thomas Jefferson University in St. Louis in June.

She joins David Kantorowitz, MD, PhD and a skilled team of physicists, dosimetrists, therapists, and nurses in providing radiation therapy and stereotactic radiosurgery.

Cullen Taplin Cullen Taplin, from Seattle, attended the U.S. Coast Guard Academy and transferred to the University of Washington to earn a bachelor’s degree in aquatic and fishery sciences. Because of his tradition of military service and all the positive experiences he had through the Coast Guard, Cullen accepted a Navy scholarship and is looking forward to a career in Navy medicine.

“I am looking forward to working with the entire oncology team at the Skagit Valley Regional Cancer Care Center. I have been continually impressed with the level of technology and expertise offered by Dr. Kantorowitz and the talented medical oncology team within this local cancer center,” Dr. Whiton said. “Many of the specialized treatments that are available here, were previously only available at larger academic centers. So, it is with great enthusiasm that I will join this group of dynamic and compassionate oncologists.”

Save the Date

Survivor Celebration set for October 2, 2010

Skagit Valley Hospital Regional Cancer Care Center will host the 13th annual Survivor Celebration on Oct. 2, 2010 at the Swinomish Northern Lights Casino near Anacortes. The Survivor Celebration provides music,

entertainment and inspiration for those who have fought cancer or are fighting cancer and the people who love them.

For more information or reservations for this free event, call 360-814-8287.

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New

These images show an example of the higher level of precision provided by VMAT (right) compared to IMRT (left) in a head and neck cancer case. The dose conformity, illustrated by the colored lines on the images is more precise within VMAT, which is available at Skagit Valley Hospital Regional Cancer Care Center.

TOOLS Two new tools debuted at Skagit Valley Regional Cancer Care Center in May and June to advance the precision treatment of cancer using radiation therapy.

Physicians performed the center’s first stereotactic radiosurgery on a cancer patient in May and became the first non-research clinic in the state to offer Volumetric Modulated Arc Therapy (VMAT) on an Elekta linear accelerator in June.

Radiosurgery debuts Radiation Oncologist David Kantorowitz, MD, PhD, teamed up with Neurosurgeon Barry Landau, MD for the first intracranial radiosurgery case in Skagit County. The addition of the new Elekta Axesse equipment in 2009 coupled with the new partnership with Dr. Landau from Bellingham brings this highly advanced treatment capability to patients here.

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in the battle against cancer

Intracranial radiosurgery uses the finely tuned radiation beams provided by a linear accelerator in a high dose to “essentially vaporize” tumors located in the brain in one treatment, Dr. Kantorowitz said.

A team, including the physicians, physicist, dosimetrist, and therapists, develops a treatment plan for the patient using results of MRI and CT and Image Guided Radiation Therapy to contour the tumor. All members of the team review and approve the plan.

“We make sure everything is matching up to the millimeter,” Dr. Kantorowitz said. “This is very, very precise.”

Dr. Kantorowitz said extracranial radiosurgery has also been used for treatment of lung, liver, and other cancers.

“This is an exciting advancement that we have been working on for a long time,” Dr. Kantorowitz said.

VMAT reduces treatment time VMAT provides a technique that dramatically speeds delivery of precise radiation therapy. The system allows gantry speed, dose rate, beam shape and intensity, and collimator rotation to all adjust at the same time, allowing a treatment that once took 20 minutes to be completed in four minutes, said Miron Zaini, PhD, DABR, Chief Physicist at Skagit Valley Hospital Regional Cancer Care Center.

“We can deliver the treatment much faster and spare the normal tissues much better,” Dr. Zaini said.

Skagit Valley Hospital Regional Cancer Care Center has compiled the most advanced set of radiation treatment capabilities available as the first nonresearch clinic in the state to offer VMAT on an Elekta linear accelerator and one of a small number nationwide to deliver VMAT on a beam modulator, Dr. Zaini said “We are at the forefront,” Dr. Zaini said.

“We want to bring the latest and best to the patients we serve.”

Bruce Mathey, MD is board certified in hematology and medical oncology.

He is a graduate of the University of Illinois College of Medicine in Chicago, completed a fellowship at the University of Washington and a residency at the University of Michigan Medical Center.

All three physicians see patients in Arlington. In July 2006, Skagit Valley Hospital assumed operations of the cancer care program at Cascade Valley Hospital in Arlington. The center moved into Cascade Valley Hospital’s new building in January and is located on the second floor.

Trio of oncologists provide cancer care in Arlington

Three board-certified oncologists provide care to patients at the Skagit Valley Hospital Regional Cancer Care Center at Arlington, located within Cascade Valley Hospital.

Mehrdad Jafari, MD is board certified in

internal medicine and medical oncology.

He also serves as medical director of medical oncology at the Skagit Valley Hospital Regional Cancer Care Center in Mount Vernon. Dr. Jafari studied GI cancers, including colon, esophageal, liver, pancreas, and stomach, during his 2004 clinical externship at M.D. Anderson Cancer Center at the University of Texas.

Dr. Jafari received his medical degree from the Würzburg School of Medicine, Würzburg, Bavaria, Germany.

Kiarash Kojouri, MD, MPH is board certified in internal medicine, medical oncology and hematology. He performed his residency with the Department of Medicine and the University of Oklahoma Medical Center where he also had his fellowship in hematology and oncology.

He most recently served as an assistant professor of hematology and oncology at the University of Oklahoma Health Sciences Center.

ABOVE: From left, oncologists Bruce Mathey, MD, Mehrdad Jafari, MD and Kiarash Kojouri, MD. Drs. Jafari and Kojouri practice in Arlington and Mount Vernon.

The Arlington location is complemented by services available at the Skagit Valley Hospital Regional Cancer Care Center in Mount Vernon where comprehensive, state-of-the-art cancer care includes radiation oncology, chemotherapy, and complementary therapies in a wellappointed facility on the hospital’s Mount Vernon campus.

Skagit Valley Hospital’s Regional Cancer Care Center received accreditation with commendation from the American College of Surgeons Commission on Cancer in 2008 and has been accredited since 1975. The center is a network member of the Seattle Cancer Care Alliance, a partnership of Fred Hutchinson Cancer Research Center, UW Medicine, and Seattle Children’s, which allows access to the latest in diagnosis and clinical trials.

Skagit Valley Hospital Regional Cancer Care Center at Arlington is located at 330 South Stillaguamish Ave. in Arlington. For more information, call 360-435-2133, ext. 3337. To reach the Regional Cancer Care Center in Mount Vernon, call 360-814-2146.

SCCA: A vital partnership Skagit Valley Hospital Regional Cancer Care Center is honored to be the only cancer care facility in Northwest Washington to be selected as a network affiliate of the Seattle Cancer Care Alliance (SCCA). SCCA unites Fred Hutchinson Cancer Research Center, UW Medicine, and Seattle Children’s.

The affiliation allows providers and their patients at the Regional Cancer Care Center access to the latest in clinical trials and research. Physicians note that the connection to SCCA is an important advantage.

“Patients want cutting-edge care, which many times, is only available at academic centers. This affiliation puts us at the forefront,” said Kiarash Kojouri, MD.

For information about network membership, go to www.skagitvalleyhospital.org and select Cancer Care.

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Board members, leaders, providers, staff, and volunteers celebrate Skagit Regional Clinics on July 1, 2010.

New name,

same great care The merger of Skagit Valley Hospital and Skagit Valley Medical Center became official on July 1, marking the debut of Skagit Regional Clinics.

The integration of the two organizations is designed to improve access to quality, evidence-based health care services, and enhance recruitment and retention of providers to the region including Skagit, Island, and north Snohomish counties.

The acquisition and launch of Skagit Regional Clinics is the start of a new era for Skagit Valley Hospital as an integrated health care system, said Chief Executive Officer Gregg Davidson.

“This is a new day and an exciting time for Skagit Valley Hospital, Skagit Regional Clinics and, most importantly, for the people of the region who deserve access to the highest quality health care services,” Davidson said.

SVMC’s locations in Mount Vernon, Stanwood, Sedro-Woolley, Arlington, Anacortes, and Oak Harbor along with the hospital’s Camano Community Health Clinic will all bear the Skagit Regional

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Clinics name. The merger means more than 100 providers and 300 staff of the clinics will join the hospital’s ranks, boosting the hospital’s total employment to more than 1,800.

The two organizations have been working on a plan for the past 18 months and gained formal approval from the hospital’s Board of Commissioners and the clinic system’s shareholders in March.

Morrie Johnson, MD, general surgeon with Skagit Regional Clinics, recalls the 40-year history of Skagit Valley Medical Center, which was started by nine general practitioners.

The hospital will purchase some assets and equipment and lease remaining facilities from SVMC this year in a twoyear merger plan. In July 2012, the hospital will acquire the membership units of SVMC.

“I want to thank everyone who has been involved and, most of all, I want to thank the patients.

They are our friends and our neighbors,” Dr. Johnson said during celebration events on July 1.

The integration and name change to Skagit Regional Clinics will have no impact on patient-provider relationships at each location.

“The providers and locations all remain the same,” Davidson said. “Our providers will continue to provide excellent care, based on the unique needs of each patient.”

The hospital, which continues to be in a strong financial position, will pay for the transaction with proceeds from cash reserves and revenue bonds. The purchase price to be paid over the next two years totals $17.4 million.

The merger brings financial benefits including higher reimbursement from government health care programs, improved overall reimbursement for some services and lower costs.

services are available including the diagnosis and treatment of acute and chronic illness, prevention, disease management, referrals, and follow-up for specialty diagnostic treatment and arrangements for inpatient admissions, immunizations, physical examinations, and basic laboratory services. The clinic is located at 127 N. East Camano Drive, Camano Island. For more information, call Skagit Regional Clinics – Camano Community Health Clinic at 360-3875398.

located at 1400 E. Kincaid Street, Mount Vernon. For more information, please call 360-428-2500.

Oak Harbor

SRC – Oak Harbor currently offers patients access to dermatologic care every Thursday. Dermatology patients are seen in the Whidbey Community Physicians suite, located at 275 SE Cabot Drive, Oak Harbor. For more information, please call 360-814-6200.

Cardiology

Skagit Regional Clinics Anacortes

Cardiovascular care is offered to patients in Anacortes five days per week.

Pulmonology and dermatology are offered one day per week in this location. SRC – Anacortes is located at 1220 22nd Street, Suite B, Anacortes. For more information, call 360-293-0308.

SRC – Cardiology offers comprehensive heart and vascular care including interventional and non-interventional cardiology as well as electrophysiology.

Other services include peripheral vascular disease care and intervention, echocardiography, stress testing, lipid clinic, congestive heart failure management, T-Wave Alternan’s testing, and a mobile echocardiogram service.

SRC – Cardiology is located at 307 S. 13th Street, Mount Vernon. For more information, call 360-336-9757.

Arlington

SRC – Arlington (formerly Cascade Family Medical Group) has served the health care needs of the local community since 1990. Family medicine is available Monday through Saturday. Family medicine providers work with patients to address their long-term health care needs, acute illnesses and injuries, chronic disease management, obstetrical care, and preventative services. Osteopathic care is also available. Family medicine practices welcome patients of all ages. Dermatology is offered every Friday in Arlington.

Laboratory services are also available.

SRC – Arlington is located at 326 S. Stillaguamish Avenue, adjacent to Cascade Valley Hospital in Arlington. For more information, call 360-435-2144.

Camano Community Health Clinic

SRC – Camano Community Health Clinic opened in October 1999 in response to a need for accessible, affordable, quality health care for the 10,000 residents on Camano Island. Primary health care

Sedro-Woolley

SRC – Sedro-Woolley offers internal medicine, general surgery, and optometry Monday through Friday. Specialties, including cardiology, podiatry, and orthopedics, are available one day per week at this location. Lab and imaging services are available as is a full-service pharmacy, which offers the convenience of a drive through to pick up prescriptions.

SRC – Sedro-Woolley is located at 1990 Hospital Drive, Sedro-Woolley. For more information, please call 360-856-4222.

Mount Vernon

The largest of the SRC facilities, SRC – Mount Vernon offers a wide range of primary and specialty medical care and services to care for the entire family. Primary care practices include family medicine, internal medicine, and pediatrics. Specialty departments include dermatology, gastroenterology, general surgery, neurology, OB/GYN, occupational medicine, optometry, orthopedics, pediatric endocrinology, podiatry, pulmonology, rheumatology, sleep medicine, and urgent care. This location also offers patients easy access to pharmacy services as well as lab and diagnostic imaging. The Mount Vernon location is immediately south of Skagit Valley Hospital. SRC – Mount Vernon is

Stanwood

SRC – Stanwood offers family medicine and internal medicine five days per week and midwifery, OB/GYN, podiatry, and orthopedics are available one day per week. Lab and X-ray are also available.

SRC – Stanwood is located at 9631 269th Street, Stanwood. For more information, please call 360-629-1600.

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Online video shows total joint patients how to do exercises Patients who are having a joint surgery can now visit http://www. skagitvalleyhospital.org/programservices/hospital-services/rehabservices/videos/ to watch a video

featuring exercises to assist in the healing and rehab process. The video is meant to be used in conjunction with a brochure, also available online for download in a pdf format to print.

The video is available in three formats including upper extremity, lower extremity, and lower extremity total joint exercises. The exercise program is intended to be used in collaboration with your orthopedic surgeon’s rehabilitation prescription.

above: Radiologist Laurence Cambron, MD, Holly Kerstiens CNMT, nuclear medicine and PET/CT lead, Radiologist Feiyu Xue MD, PhD, and Director of Diagnostic Imaging John Simon celebrate national accreditation of the Nuclear Medicine program at Skagit Valley Hospital.

Nuclear Medicine program earns accreditation Skagit Valley Hospital’s Nuclear Medicine team including Skagit Radiology, Skagit Valley Regional Clinics Cardiology and the cardiovascular lab staff received program accreditation from the Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories (ICANL).

More than 10 million nuclear medicine imaging and therapeutic procedures are performed each year in the United

States, according to ICANL. The imaging procedure is effectively used in a broad range of medical specialities, including cardiology, to safely diagnose and treat disease.

Skagit Valley Hospital received accreditation in 16 areas including nuclear medicine, the nuclear cardiology laboratory, myocardial perfusion imaging, and Positron Emission Tomography (PET).

PET/CT offers better detection of human disease process Skagit Valley Hospital has one of the most advanced diagnostic imaging tools, a PET/CT scanner, in the Regional Cancer Care Center.

PET (Positron Emission Tomography) is a nuclear medicine technique used to image a functional process, such as glucose metabolism, in the human body. CT(Computed Tomography) is a conventional 3-dimensional X-ray technique for detecting anatomic abnormalities inside the body. Combining PET and CT allow medical doctors making diagnosis of a disease process in the human body earlier and more accurately.

The most common use of PET/CT is in cancer diagnosis and monitoring.

12 | Skagit Valley Hospital

How does PET/CT work?

• Cancer cells grow at a faster rate than normal cells.

• Growing cancer cells tend to use glucose as a primary source of energy.

The faster the cells grow, the more glucose they consume.

• A radioactive labeled glucose, FDG, is injected into the patient before he/ she is scanned in the PET/CT. • The FDG molecules are trapped inside the fast-growing cancer cells after injection inside the body, which are detected by PET/CT.

• The combined PET/CT scanner provides a detailed anatomic map of abnormal glucose metabolic activity from cancers within the body. This helps the doctors see the cancers in an earlier stage, and see their distribution more accurately.

• PET/CT also helps doctors monitor cancer treatment response. When cancer cells are killed by chemotherapy or radiation therapy, they lose the ability to use glucose. .

Other uses of PET or PET/CT include detection of heart disease, infection and seizure focus in the brain, and diagnosis of Alzheimer dementia.

program helps people with back pain, injuries Relief is available for people suffering from back pain or injuries with the addition of a new spine program at Skagit Valley Hospital.

Three experienced, talented physicians have joined the medical staff to offer a full range of spine services from lumbar decompressions to discectomy or fusion.

Skagit Valley Hospital has long been known for excellence in orthopedics, with a focus on total joint replacements. With the hospital expansion in 2007 which includes six spacious operating rooms, the facilities are in place to provide more specialized services, said Marcia Morgenthaler, RN, BSN, MSN, Orthopedic and Spine Service Line Director.

“A lot of our patients have had to leave the area for these kinds of spine services,” Morgenthaler said. “This is a natural progression for our services and gives patients the opportunity to be close to home, have the support of family and friends and access to outstanding care.”

Spine Surgeon Farouq A. Al-Hamdan, MD, FRCS, opened a practice in Mount Vernon in May, while David Goldman, MD and David Baker, MD, both of Fourth Corner Neurosurgery in Bellingham, started providing surgical services in June at Skagit Valley Hospital. A fourth physician, David Mourning, MD will join Northwest Orthopedic Surgeons in November.

“These are all experienced physicians who are coming to this area. We are very enthusiastic about offering this new service to our community,” Morgenthaler said.

Farouq Al-Hamdan, MD, FRCS Dr. Al-Hamdan’s practice, Spine Science Institute in Mount Vernon, provides a full range of spine services based on the need of the patient.

“Eighty percent of the population will suffer from back pain at some point in their lives,” Dr. Al-Hamdan said. “Back pain is a complex condition that can really affect a patient’s life. I enjoy the challenge of helping these patients.”

Dr. Al-Hamdan most recently was the attending spine surgeon and assistant professor at the University of Texas Medical Branch (UTMB) in Galveston, TX. He served as a clinical fellow in orthopedic surgery at the Medical College of Ohio in Toledo and in spine surgery at UTMB and the University of Arizona Health Sciences Center in Tucson.

Dr. Al-Hamdan provides evaluation and treatment of spinal conditions, ranging from conservative treatments such as medication or physical therapy to major surgical procedures.

“The goal is to restore the level of activity the patient had before the problems started,” Dr. Al-Hamdan said.

“My interest is in minimally invasive techniques. Surgical procedures today involve smaller incisions and the use of scopes to aid the physician in seeing and repairing problems.”

Dr. Al-Hamdan said his goal is to provide state-of-the-art treatments and high quality care with superior results.

“These procedures involve a shorter recovery, less tissue damage, and a quicker return to regular activities,” he said. “I always explain to the patient and the family the spine problem they have and give them as much information as possible.

With adequate information the patient feel comfortable to participate in the decision making process of the treatment.”

David Goldman, MD, David Baker, MD Neurosurgeons David Goldman, MD and David Baker, MD started performing procedures at Skagit Valley Hospital in April 2010.

Two thirds of work by neurosurgeons is spine surgery, with focus on the neck and low back, Dr. Goldman said. Since starting practice in Bellingham in 1990, Dr. Goldman has seen a significant change in spine surgery to provide minimally invasive procedures.

“Minimally invasive surgery means to reduce the incision to something very small,” Dr. Goldman said. “This means less pain, less blood loss and less time in the hospital.”

The spine program at Skagit Valley Hospital provides the opportunity for patients to get high-level services without the inconvenience of leaving the area. ““You have the experts and medical equipment right here at our community hospital so that patients don’t need to travel to the big city for high-tech spine surgery,” he said. “ Skagit Valley Hospital is a first-rate facility, and the patients are noticing it.”

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New self-referral program for colorectal cancer screening If you need a screening colonoscopy – one phone call and one appointment is all it takes.

This self-referral, direct access program at Skagit Valley Hospital allows patients to

Web Teaser http://www.skagitvalleyhospital.org Home

Settings

Breast Care Center

make an appointment for colorectal cancer screening – called colonoscopy.

Patients who qualify for direct access are healthy adults who are seeking a screening colonoscopy as an initial screening or follow-up polyp surveillance.

These patients will be interviewed by phone and then scheduled for a screening colonoscopy.

“It has been very popular with patients who want a screening because they don’t have to make a separate appointment with the doctor – we take care of it with a phone call,” said Stacy Gonzales, RN, Clinical Manager of Endoscopy at Skagit Valley Hospital.

Patients who are symptomatic, taking blood thinners, or have any heart or lung compromise, will be connected to the gastroenterology office to set up a physician consult before a procedure is scheduled.

Karen Dec, MD

Clinical Director of the Breast Care Center Women’s imaging is devoted to the diagnostics and treatment of diseases and conditions unique to women. As a breast imaging specialist, I realize my work makes a difference in our patients’ lives and in our community. This is why I want to let women know how important screening mammography is in the battle against breast cancer and why I disagree with a 2009 federal task force recommendation.

Go to

www.skagitvalleyhospital.org to read Dr. Dec’s complete column

Internet

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Colorectal cancer is preventable, treatable and beatable. As the third most common cancer in America for men and women, the risk of a person developing colon cancer in their lifetime is about 1 in 17.

The American Cancer Society recommends screening for colorectal cancer for men and women at average risk beginning at age 50. An increase in the use of this screening procedure has contributed to a drop in the death rate from colorectal cancer over the past 15 years as polyps are found and removed early, before they turn into cancer.

For information and to schedule a screening colonoscopy at Skagit Valley Hospital, call 360-814-5739. If you leave a message, your call will be returned in a timely way.

Skagit Valley Hospital to partner on Smokey Point health care facility Skagit Valley Hospital in Mount Vernon and Cascade Valley Hospital and Clinics in Arlington will partner on a new 40,000-square foot facility in Smokey Point to provide primary and specialty health care services.

The two public district hospitals have partnered since 2007 on cancer care as the Skagit Valley Hospital Regional Cancer Care Center at Arlington is located within Cascade Valley Hospital and Clinics, and just moved in to the hospital’s new 40,000 square foot facility in Arlington.

The new project, set for completion in summer 2011, will bring the two hospitals together in a joint venture to operate a multi-specialty clinic with the goal of improving access to care for residents of north Snohomish County. Physicians will include primary care providers, including pediatricians, internal medicine and women’s health, and specialists such as cardiologists and gastroenterologists. A total of 11 family practice providers and

two on-call providers are employed by Cascade Valley at its current Smokey Point Clinic.

The new location is a 2.5-acre site is owned by Cascade Valley Hospital off 172nd Street in the Smokey Point area of Arlington.

In addition to physician clinics, the new facility will have diagnostic imaging services, such as MRI, X-Ray, CT and Ultrasound, along with laboratory services, pharmacy and urgent care.

“We see great benefit to working together with Cascade Valley Hospital on this project to enhance access to care for patients in the region,” said Gregg Davidson, Chief Executive Officer of Skagit Valley Hospital. “This allows us to bring more providers to the area while sharing the financial burden of the project to best use our capital resources and maximize the benefit to the people of the communities we serve.”

Two firsts in the cardiac cath lab

Skagit Valley Hospital’s cardiac catheterization lab was the scene of two “firsts” this spring, under the direction of Electrophysiologist Sanjeev Wasson, MD, FACC. In February, installation of a new mapping system called “Velocity” was complete, the first of its kind in Western Washington. A second mapping system - Carto 3 - was also installed.

The mapping system was followed in May with a first for the state of Washington as Dr. Wasson implanted a new model pacemaker that nearly doubles the battery life of the device in a patient from Stanwood.

Both events put Skagit Valley Hospital’s cardiovascular program at the leading edge of technology and patient care, Dr. Wasson said.

“Skagit Valley Hospital continues to be the regional leader in both interventional cardiology and comprehensive rhythm management,” Dr. Wasson said. “As an adjunct to the growth of the highest quality cardiac care program, this advanced technology allows rapid acquisition of accurate data necessary for the safest performance of surgical ablation procedures.”

Dr. Wasson trained at the renowned Cleveland Clinic and has worldclass expertise in the treatment of a wide spectrum of rhythm disorders, including

atrial fibrillation. More than 100 atrial fibrillation cases have been safely completed under his care, the latest addition to the Center of Excellence for Atrial Fibrillation Ablation program.

“Skagit Valley Hospital will remain in this leadership position of physician guidance and administration’s understanding of the importance of staying ‘state of the art’ with not only our technological advances, but our core values which support patient safety at the highest level,” Dr. Wasson said.

In support of a core value of patient safety and to stay abreast with latest technological advances, Skagit Regional Heart & Vascular Institute has acquired the expertise and technology to provide two 3-dimensional mapping systems which cater to two different arrhythmia populations.

The “Velocity” mapping system by St. Jude Medical allows the physician to see the catheters inside the heart – real time – and reduces the use of fluoroscopy and radiation exposure to the patient.

Using a system of external patches on the body, the electrical currents from the patches “talk to each other” and allows computerized mapping of the exact location of the catheter as Dr. Wasson employs ablation to treat the heart. The technology is used in any electrophysiology case to assist in treating all irregular heartbeats or arrhythmias

and reduces the treatment time from more than four hours to approximately two hours.

“The picture quality is much better,” Dr. Wasson said. “It’s good for patient comfort, safety and patient care.”

While the Velocity Ensite system meets the needs of a majority of our arrhythmia patients, the Carto3 3D mapping expertise rounds out the cardiac cath lab equipment and educational requirement to include patients that benefit from only that level of attention. “We have made both the educational and financial commitment to our patient population,” said Dr. Wasson.

Implantation of pacemakers has long been a way to normalize a patient’s slow heart beat, but had the downside of requiring replacement every five to eight years. About 250 pacemakers are implanted annually at Skagit Valley Hospital.

A new pacemaker, Evia ® by Biotronik, features a battery life of eight to 14 years in a smaller-sized package, reducing the number of surgeries a patient will have over time, and maximizing the ability to monitor, store data, and provide physicians with early alerts.

Dr. Wasson implanted the first device in Washington – one of the first dozen in the country – for Stanwood patient Thomas Bownes.

“I am pleased to offer my patient a pacemaker which could last twice as long as others on the market. This device will last 8-14 years depending on how much he uses it,” Dr. Wasson said. “This should reduce the total number of surgeries he will need to have in the future for device replacements.”

The new pacemaker also allows for remote monitoring of the device and patient via cell phone. Patients can literally phone in data regarding the performance of the pacemaker and the status of the patient using a cell phone anywhere in the world, allowing Dr. Wasson to monitor how the patient is doing.

“This device has an advanced algorithm to increase my patient’s normal heart rate with exercise while alerting me and my staff to the presence of abnormal rhythms via cell phone and Internet technologies to help me better care for them,” Dr. Wasson said.

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Cardiologist Rajesh Bhola, MD Cardiologist Rajesh Bhola, MD finds his colleagues and the facilities at Skagit Valley Hospital an inviting combination.

Dr. Bhola’s Peace Arch Cardiology has offices in Fairhaven and Lynden in Whatcom County. Many of his patients choose to come to Skagit Valley Hospital for diagnosis and treatment of their heart problems.

Dr. Bhola graduated from Maulana Azad Medical College in New Dehli, India and completed a residency at Cook County Hospital, in Chicago, Illinois.

He also completed an imaging fellowship in nuclear medicine at the University of Colorado Health Sciences Center in Denver, Colorado and a cardiology fellowship at the University of Kansas School of Medicine in Kansas City.

An experienced cardiologist, Dr. Bhola said the most common complaints he hears from patients are chest pain, shortness of breath, racing of the heart, and dizziness or fainting spells.

A thorough diagnostic plan, which may include services ranging from nuclear imaging to cardiac catheterization, is used to pinpoint the problem.

As a general and invasive cardiologist, Dr. Bhola uses Skagit Valley Hospital’s state-of-the-art cardiac catheterization lab to diagnose patients “We are able to offer comprehensive cardiac care to patients in partnership with the cardiologists at Skagit Valley Hospital,” Dr. Bhola said.

If a patient needs ablation to address atrial fibrillation, a pacemaker or defibrillator, a stent or angioplasty, then one of the interventional cardiologists or eletrophysiologist at Skagit Regional Clinics – Cardiology will be consulted.

“Affiliation of Dr. Bhola with Skagit Regional Clinics- Cardiology has allowed us to expand our compassionate and world-class advanced cardiac care to the residents of Whatcom County making us a true regional leader,” said Electrophysiologist Sanjeev Wasson, MD. Dr. Bhola enjoys the combination of patient contact and procedures that cardiology offers as a specialty.

“The experience of interacting with patients is fascinating. I see a patient as a whole and I always treat them with respect,” he said. “I am listening to their story.”

Dr. Bhola encourages people to set goals for themselves to make lifestyle changes ranging from weight loss to exercise to portion control.

Dr. Bhola is fluent in many languages, has traveled to nearly every country around the world and as a youth planned to be a professional cricket player.

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In addition, Skagit Valley Hospital is the recipient of the HealthGrades Coronary Intervention Excellence Award™ by ranking among the top 10% in the Nation for Coronary Interventional Procedures.

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Skagit Valley Hospital earned a 5-star ranking and is #1 in Washington for the second year in a row for the quality of coronary interventional procedures according to HealthGrades, the leading independent healthcare ratings organization.

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For information, go to www.healthgrades.com or www.skagitheart.org.

If I can do it,

anyone can!

The cost of health care is a concern for many people these days and Judy Cope is no exception, especially when she suddenly found herself in the position of being without health care insurance after 30 years of being self-employed.

As a result of losing her health insurance and other changes in her life, Judy decided more than a year ago to adopt a take-charge attitude regarding her health.

Judy knew she was overweight and needed to know more about the rest of her “numbers,” including her cholesterol, blood pressure, body fat and more. She decided to explore the resources available

in the community. She has always received and read the HealthQuest magazine and seen the screenings offered at Skagit Valley Hospital but never followed up. When she received the magazine in the spring of 2009, she discovered a Heart & Vascular Screening for only $29. Since her financial resources were limited, and the screening was very affordable, she decided to attend.

It was a decision that has impacted her lifestyle ever since.

“This screening gave me the proverbial wake-up call,” Judy said. She realized she had nine out of the 14 risk factors that are checked at the screening include high cholesterol, blood pressure, body composition, and weight.

“If you don’t know what your numbers are, the fear builds. Every time I felt an ache or pain I would worry, but knowing the numbers has taken the fear away,” she said.

Michelle Frey, the health specialist who conducted Judy’s screening, “made me feel good and at ease. She had warmth and was welcoming and non-judgmental. She made suggestions for ways to get on track with my health.”

Judy proceeded to learn more about nutrition and physical activity.

“I did a lot of reading, inner checking, learned what foods I really liked, what foods

Judy Cope receives guidance from boot camp instructor Lou Faralan.

are my downfalls, and how I use food in stressful situations. I decided I was never going to feel deprived,” she said.

Judy learned calorie values of food and how many calories she could eat each week to lose ½ to ¾ pound per week. “I tried to make it interesting and looked at it as a challenge, not deprivation,” she said.

Starting an exercise program was more of a challenge since Judy had never exercised as an adult.

“I eased in by beginning with an exercise bike and walking. I tried to do something every day to help get into a routine, even if it was just ten minutes,” she said. She has since enrolled in Zumba classes and is now in a “boot camp.”

“I recently discovered that I had hip bones again!” she said.

Because of her limited financial resources, she has found free or low-cost options through Skagit Valley College, Skagit Valley Family YMCA, Skagit County Parks and Recreation and through her church.

One year later, during her birth month, Judy attended the Heart & Vascular Screening again to compare her results. This time the numbers were impressive. She had lost 41 pounds, her risk factors were down to three out of 14, her body fat was reduced by 10 percent and her blood pressure was normal. Judy has continued to lose weight and has now lost a total of 70 pounds.

Judy is proud of the changes she has made and feels that “if I can do it, anyone can.”

“What a wonderful gift to give myself on my birthday month every year. This screening is truly a gift to the community,” she said.

For more information about the Heart & Vascular Screening, sponsored by the Skagit Regional Heart & Vascular Institute, call 360-814-2424 or visit SkagitHeart.org.

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vessels and the healing of chronic wounds in patients treated with HBO. “When oxygen is delivered under pressure it is inhaled as more densely packed oxygen molecules and it dissolves into the blood beyond what can normally be carried by the red blood cells,” said Dr. Zwick, medical director of the Wound Healing Center. “That increases the volume of oxygen carried by the plasma by about five or six times.”

Hyperbaric Oxygen Program

helps patients heal Dr. Robert Zwick says Skagit Valley Hospital has a new tool in its armamentarium to treat disease. This tool is hyperbaric oxygen and is available now at The Sonya Beard Hyperbaric Oxygen (HB0) Program which opened this summer in the hospital’s Skagit Wound Healing Center.

The HBO program is named for Mrs. Beard of Mount Vernon, who, before her death in May, donated $165,000 to pay for two Seachrist monoplace hyperbaric

oxygen chambers at Skagit Valley Hospital.

The Gail Edward Iverson Circle of Friends also raised and contributed funds to support the project.

The chambers allow 100% oxygen to be delivered under pressure in the chambers to help promote the growth of new blood Armamentarium (Medicine) the items that comprise the material and equipment used by a physician in his professional practice

An Evening

This infusion of oxygen helps to heal diabetic ulcers, osteomyelitis (bone infection), failed skin grafts, post-radiation injuries or osteonecrosis, which is bone death caused by poor blood supply to the area.

“With HBO, these oxygen-starved tissues start growing blood vessels,” Dr. Zwick said. “Once the wound is healed, the increased metabolic demands of wound healing are no longer present and you no longer need HBO.” Patients receive 90-minute treatments, five days per week totaling 20 to 40 treatments, depending on the disease being treated and the body’s ability to grow blood vessels. HBO patients are reevaluated every 30 days. The patient wears a gown and lies down in an individual chamber made of clear acrylic, which allows the patient to see what is going on in the room and allows the

Polo

with

More than 200 guests enjoyed “An Evening with Polo” on July 22nd at the La Conner Polo Fields. The event, presented by the Gail Iverson Circle of Friends in partnership with the Skagit Valley Hospital Foundation, was a fundraiser for the Skagit Valley Hospital’s Wound Healing Center. Guests enjoyed an exhibition polo match, dinner and a variety of games, raffles, and a live auction.

18 | Skagit Valley Hospital

Event coordinator Mark Iverson led polo players onto the field.

hyperbaric technologist to have constant visual contact with the patient. An intercom system provides for conversation between patient and technologist and accommodates patient viewing of the personalized television screen mounted on the outside of the chamber.

As the chamber pressurizes, they will have a warm feeling and as they decompress they will feel a chill. The effect of the chamber is the same as being under 33 feet of water (without the water), which is why they call each treatment a “dive.”

“This definitely adds another tool to help heal chronic wounds and provides a service to these patients – especially cancer patients – that hasn’t been available in the community,” said Program Manager Dennis Reilly. “There is still a lot of research being done on other medical uses of HBO and I think we will see new indications for its use in the decades ahead.”

Skagit Valley Hospital will provide hyperbaric oxygen treatment on an outpatient basis and will not provide emergent care for issues such as carbon monoxide poisoning or decompression illnesses. These cases will continue to be referred to Virginia Mason Hospital in Seattle, the region’s only multi-place, critical care oriented hyperbaric facility.

Guests enjoyed the polo exhibition - a precursor to the weekend Governor’s Cup.

Ron Solberg, DO: New Mental Health Center medical director values hospital’s focus on caring for mentally ill Ron Solberg, DO, brings experience at inpatient and outpatient mental health programs large and small to his new role as medical director of the Skagit Valley Hospital Mental Health Center.

At Skagit Valley Hospital, he sees a clear interest from the community in advancing care for the mentally ill and a commitment from the hospital to enhance the department.

“This is the type of program that I want to be associated with, that community mindedness that these are my neighbors and we have a certain responsibility to take care of our own,” Dr. Solberg said. “I see that community connectedness here to provide the best medical care, including mental health care.”

Dr. Solberg arrived in March to oversee the 15-bed adult, inpatient Mental Health Center.

He is a graduate of the University of Iowa and received his Doctor of Osteopathy at the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa. He served a psychiatric residency and fellowship at the University of South Dakota in Sioux Falls.

Dr. Solberg said he was immediately drawn to the field of psychiatry while in residency.

“I found it fascinating and filled with hope,” he said. “The patients were some of the most resilient individuals I had ever been around.”

Dr. Solberg has also received additional training in working with pediatric and adolescent patients. His practice experience started with five years as medical director of a 34-bed inpatient program at Mercy Health System in Des Moines followed by six years with St. Cloud Hospital in Minnesota and two years at the 138-bed inpatient program at the University of Minnesota.

Skagit Valley Hospital is “a good fit” for Dr. Solberg and his goal to work with patients through a crisis period, provide a complete assessment, and develop an outpatient plan. He provides consults for patients who arrive at the Emergency

Department or are hospitalized for other concerns.

“We help them get through the crisis and fully assess what is going on. Then we give them tools to go out with,” he said.

“The goal is to provide the best care for each individual. Everybody has a story, they are not just a diagnosis or a code number.”

Patients spend an average of 5.5 days at the Mental Health Center and benefit from individual as well as group therapy.

“Many times they get as much from each other as they do from the clinical staff,” said Jackie Karsh, Director of the Mental Health Center. “They don’t feel alone anymore.”

Mentally ill people continue to face a social stigma that is difficult to overcome without community support.

“It’s about getting back to the principle of seeing the mentally ill individual as your potential neighbor,” he said. “We have to think about what we are each doing about mental health. It’s getting back to that one voice and asking ourselves what can I do to make a difference.”

Plans are under way to relocate, improve and expand the Mental Health Center.

Skagit Valley Hospital has committed $1 million and has received $800,000 in a federal appropriation for the estimated $3 million project. The Skagit Valley Hospital Foundation has committed to raise the remaining funds to make the project a reality.

Dr. Solberg said he is very pleased that Skagit Valley Hospital is becoming a teaching hospital in connection with the osteopathic school Pacific Northwest University of Health Sciences and is planning to be involved as an instructor.

“Being involved in the teaching sector raises the bar at this hospital and raises the morale,” he said. “It indicates the hospital is reaching for excellence and creates a sense of pride that we are involved in training the providers of the next generation.”

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Five Junior Medical Volunteers earn college scholarships The Skagit Valley Hospital Guild announced the award of $500 scholarships to five deserving students who participated in the Junior Medical Volunteer program at Skagit Valley Hospital.

Mount Vernon High School students Nathan Rex, Madeline Furlong, Matthias Struck and Karin Kawauchi, and SedroWoolley High School student Kaila Eason were honored by Guild members on May 27 and recognized by the Skagit Valley Hospital Board of Commissioners on May 28 for their academic success and service as volunteers.

Nathan Rex has a 3.72 grade point average (GPA) and has participated for one year in Running Start at Skagit Valley College. He participates in orchestra, cross country, track, and a variety of volunteer

activities. He plans to study nursing at the University of Washington.

Madeline Furlong has a 3.95 GPA and is involved in community and high school theater, serves as president of the Mount Vernon High School Earth Club, is Features Editor for the school newspaper, and a member of the National Honor Society. She plans to study international policy at Wellesley College in Massachusetts.

Matthias Struck has a 3.46 GPA and has attended school full time through Running Start at Skagit Valley College.

He is an Eagle Scout and a member of the National Honor Society. He plans to attend the University of Washington to study health sciences with the ultimate goal of becoming a doctor.

Karin Kawauchi has a 3.98 GPA and participates in the Chinook and Mount Vernon High School swim team. She is a member of the National Honor Society and serves as a swimming instructor and lifeguard at the Skagit Valley Family YMCA. She plans to attend the University of Washington to study visual communications and graphic design.

Kaila Eason has a 3.95 GPA, participates in band and wind ensemble, plays tennis, and is a member of the National Honor Society. She plans to attend the University of Washington to major in biochemistry or ecology, with the ultimate goal of becoming a neurologist. She also plans to spend time in the Peace Corps.

Skagit Valley Hospital gains new accreditation Skagit Valley Hospital received threeyear accreditation in July in the National Integrated Accreditation for Healthcare Organizations from DNV Healthcare Inc., an operating company of the internationally known Det Norske Veritas (DNV).

Five surveyors were on site at the hospital for three days in May for a thorough review of policies, procedures, environment of care, quality and safety to ensure compliance with U.S. Centers for Medicare and Medicaid regulations.

In addition, DNV is recommending Skagit Valley Hospital for Primary Stroke Certification following a survey of the stroke program, and Skagit Regional Clinics had a successful survey as well.

The surveyors were complimentary of the hospital’s “amazing staff,” close attention to patient care and modern, spacious facilities.

20 | Skagit Valley Hospital

The DNV representatives reflected that they are partners with Skagit Valley Hospital in ongoing efforts to improve our quality of care.

“The accreditation process is part of your improvement process and we will work together on this,” said Surveyor Randy Snelling. “You’re the experts. It’s up to you to make this hospital as good as it can be.”

Skagit Valley Hospital is among a growing number of health care facilities across the country switching to DNV. Skagit Valley Hospital was previously accredited by The Joint Commission.

CATCH: Program gets kids moving The children’s health crisis and obesity epidemic are issues with roots lay in inactivity and poor diet. Skagit Healthy Communities (SHC) and Skagit Valley Hospital are at the forefront in combating these problems.

SHC has partnered with the Skagit Valley Family YMCA and Children of the Valley afterschool childcare programs to provide the Coordinated Approach to Child Health (CATCH) kids program at 16 childcare sites throughout Skagit County.

CATCH is designed to increase levels of physical activity, provide nutrition education, and empower children to make their own healthy snacks.

Data was collected

related to children’s level of physical activity, eating habits, and nutritional knowledge before and after CATCH was offered as a method of gauging the program’s lifestyle impact.

Results from the pilot, which was conducted earlier this year are extremely promising. Childcare providers report that they felt that children were more physically active as a result of the program. Students agreed, showing increased confidence in their ability to stay active during their afterschool programs and improve overall fitness.

Improvements were measured in awareness of the need to consume at least five servings of fruits and vegetables a day and recognition that what they eat can make a difference in their chances of getting heart disease or cancer.

CATCH also enables students to encourage positive change throughout the community by influencing the lifestyles of their friends and family.

Trouble sleeping? Skagit Valley Hospital offers accredited sleep center; board certified sleep specialist Skagit Valley Hospital’s Center for Sleep Disorders at Skagit Valley Hospital is accredited by the American Academy of Sleep Medicine and overseen by certified sleep specialist Murali Maheswaran, DO. Halim Hanna, MD, a pulmonary disease specialist at Skagit Regional Clinics Mount Vernon, also recently earned board certification in sleep medicine.

The Center for Sleep Disorders opened in March 2008 features six spacious private rooms 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.

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

New spine program CONTINUED FROM PAGE 13

Dr. Goldman encouraged patients experiencing back pain to consult with a physician to explore the options.

“Sometimes patients can benefit greatly from surgery, but other times its more appropriate to use medical management,” he said. “My goal is to find the safest, most effective way to help the patient get their life back, and resume normal activities.”

Dr. Goldman graduated from New College in 1975 with a Bachelor of Arts in Experimental Psychology. He graduated from the University of Missouri Medical School in 1981, and completed a residency in neurosugery at the University of Missouri in 1988. He served on the neurosurgery faculty at Oregon Health Science University until 1990, and completed a fellowship in neuro-oncology.

He is Board Certifed in Neurosurgery.

Dr. Baker is a graduate of Tulane University in 1976 with a Bachelor of Science in Biomedical Engineering. He graduated from Tulane Medical School in 1980, and completed a Neurosurgery Residency at Oregon Health Science University in 1988. He received Board Certification in Neurosurgery 1996.

Farouq Al-Hamdan, MD Spine Science Institute 119 Hospital Parkway Mount Vernon, WA 98273 360-428-0999 www.spinesci.com David Baker, MD David Goldman, MD Fourth Corner Neurosurgery 710 Birchwood Ave. Suite 101 Bellingham, WA 98225 360-676-0922 www.cascadebsc.com/neurosurgery/

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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Pediatrician found passion for medicine at early age Mariel Castillo-Guanzon, MD knew in high school that she wanted to become a pediatrician.

“Every time I saw a baby, I wanted to be able to take care of him or her,” said Castillo-Guanzon. It wasn’t until she completed her residency training that Castillo-Guanzon found she truly enjoyed the full range of patients she now sees in her practice at Skagit Regional Clinics – Mount Vernon (formerly Skagit Valley Medical Center), from newborn babies to adolescents.

Dr. Castillo-Guanzon was raised in the Philippines and attended the University of Santo Tomas School of Medicine and Surgery in Manila.

She traveled to Brooklyn, NY for residency with the intention of returning to her family in Manila upon completion of her pediatric training.

However, during residency she became aware of stark differences in the philosophy of medical care in the U.S. and Philippines.

“I realized that a lot of things I learned in residency wouldn’t be applicable in the Philippines,” said CastilloGuanzon. “The U.S. focuses on preventative care, where doctors in the Philippines do not.”

Dr. Castillo-Guanzon found herself drawn to - and more comfortable with - the philosophy of preventing illnesses in children rather than waiting until a child becomes ill to begin caring for them.

During the course of her training and in the three years she spent serving as the sole pediatrician in an impoverished area in rural Tennessee, Dr. Castillo-Guanzon identified the important attributes and skills of a successful pediatrician.

“Patience and listening to the parents are important. The parents know the most about their children and it’s important to trust their instincts,” said Dr. CastilloGuanzon.

Dr. Castillo-Guanzon is happy to have settled with her husband, Stanwood internist Dr. Ryan Guanzon, and two children in the Pacific Northwest. The area’s rainy climate reminds her of her home in the Philippines, even though the weather is much cooler here.

In her free time, Dr. Castillo-Guanzon enjoys seeing movies and going to the park with her family. She recently enjoyed experiencing the Skagit Valley Tulip Festival for the first time.

Dr. Castillo-Guanzon joined the pediatric department of Skagit Regional Clinics in Mount Vernon in February.

Urologist brings skills to Mount Vernon practice Bill Vanasupa, DO, joined the staff of Northwest Urology Clinic in July bringing skills developed during nine years in the U.S. Army.

“The Army provided me with more opportunities as far as excellent training and has given me the chance to run a clinic at a large base,” said Dr. Vanasupa, who comes to the Northwest after practicing for several years at the William Beaumont Army Medical Center at Fort Bliss in El Paso, Texas.

A native of Troy, Michigan, Dr. Vanasupa received a Bachelor of Science in Biology from the University of Michigan.

He received a Doctorate of Osteopathic Medicine from Kirksville College of Osteopathic Medicine in Kirksville, Missouri, the founding school of osteopathic medicine in the United States.

He picked osteopathic medicine because of the focus on the whole person.

Medicine is in Dr. Vanasupa’s family as his father was a general surgeon who later practiced family medicine and his great uncle was a neurosurgeon.

“It’s not just treating the symptoms,” he said. “It’s looking at the whole person and how it is all inter-related.”

“I was always encouraged to pursue a medical career,” he said. “I chose urology because it’s a good mix. I am in the clinic and getting to know the patients and I am also able to do a variety of surgeries.”

Dr. Vanasupa said he is pleased that Skagit Valley Hospital is becoming a teaching hospital in connection with Pacific Northwest University of Health Sciences, an osteopathic program, and hopes to be involved in teaching some day.

He recently attended training in the new male sling system procedure and enjoys providing the full spectrum of urological services including laproscopic and minimally-invasive procedures, reconstruction, and kidney stone treatments.

22 | Skagit Valley Hospital

“I do enjoy teaching,” he said, noting he was involved with a physician assistant residency program and earned “Preceptor of the Year” honors.

Dr. Vanasupa performed his general surgery internship and urology residency at Tripler Army Medical Center in Honolulu before heading for Texas. His nine-year commitment to the Army concluded in June.

A fan of marine biology and the orca, Dr. Vanasupa sought out a place in the Northwest to live and work.

“I have found the people to be very friendly,” he said. “The facilities at the hospital are great with all of the modern equipment I was looking for.”

Away from work, Dr. Vanasupa enjoys hiking, mountain biking, weight lifting, and playing his baby grand piano and he looks forward to learning to kayak and rock climb.

Northwest Urology Clinic has offices in Mount Vernon, Anacortes and Ketchikan, Alaska. Drs. Darrell Cornelius, Winston Jones and Laurence Lee, and Amy Navarre-Cantrell, PA-C are part of the practice. For information, call 360-424-7991.

Pediatrician joins Skagit Regional Clinics Donna Queyquep, MD recently joined Skagit Regional Clinics’ pediatric department (formerly Skagit Valley Medical Center) in Mount Vernon.

She brings with her an appreciation of technology and a keen awareness of being a good steward of resources.

being shocked during her first month of residency when gloves were used and discarded. “In the Philippines, gloves were autoclaved and reused. I felt guilty throwing supplies away after only one use,” said Queyquep.

After graduating from the University of Philippines 2001, she performed her residency in pediatrics at the Texas Department of Health in El Paso, Texas and her internship at Texas Technical University HSC in Odessa, Texas.

Queyquep determined her career path earlier than most.

At the age of four, she informed her mother that she wanted to be a “baby doctor.” She attributes this desire to having an excellent pediatrician while growing up in the Philippines.

Queyquep attended college and medical school in the Philippines where technology was scarce.

She decided to come to the United States for residency training where she had improved access to resources. Though she admits it is helpful to have technology and ample resources at her fingertips in the U.S., her experience attending medical school in the Philippines gave her a greater appreciation of available resources than many of her American peers. She recalls

the U.S.

Dr. Queyquep has a positive outlook about practicing pediatric medicine in

“One of the biggest advantages in the U.S. is the accessibility of childhood vaccines,” said Queyquep. “In the Philippines, kids aren’t likely to get vaccines unless there is a medical mission to the area and many vaccines are never available to Filipino children.”

Queyquep said she is pleased that the local population is interested in vaccines which she believes are an integral part of preventing many childhood illnesses.

Her experiences in both the Philippines and in the U.S. have taught her that the attributes of a good pediatrician are universal.

“Relating to the family and listening are the keys to being a successful pediatrician no matter where you practice,” said Queyquep. “Patients need to be reassured that I understand what they are going through. That understanding between the patient, family and doctor is what good relationships are built on.”

Dr. Queyquep is looking forward to building long-term relationships with the patients in her practice.

Outside of the office, Dr. Queyquep spends time outdoors with her husband and son or inside tending to her fresh water aquarium.

Dermatologist enjoys variety of practice Michael Nelson, MD, dermatologist at Skagit Regional Clinics (formerly Skagit Valley Medical Center), found his calling in medical school at Vanderbilt University.

While attending the Nashville school, he signed on to do research through a National Institute of Health program, and was paired with a dermatologist investigating skin remodeling. He became fascinated with the field and found he enjoyed the variety it offers.

“Dermatology allows you to care for patients of all ages, from one month to 100 years old,” said Nelson. He added, “It’s also very satisfying to draw from our knowledge of medical diseases, surgical problems, and cosmetic issues to create the best outcomes for those in our care.”

Dr. Nelson has found that the most important skills for a dermatologist are having keen observation to discern between different processes in the skin and having good communication skills. He

has also developed a patient-centered care philosophy in his practice.

“The patient is the number one priority in my practice. My goal is to get patients better and improve the quality of their life,” he said. “Educating the patient is important as well as listening carefully and understanding that you are treating the patient, not just the disease.”

Dr. Nelson’s care plans reflect his practice philosophy and he tailors treatments to the patient’s individual needs.

“I try to be judicious when treating my patients. With skin cancer or moles, for example, it is important to achieve an appropriate balance of observation versus biopsies based on people’s unique situations and preferences,” said Nelson.

Dr. Nelson has recently returned to clinical research. He currently leads a psoriasis study through Skagit Regional Clinics’ Clinical Research Department and hopes to be involved in other clinical research opportunities in the future.

Dr. Nelson also takes special interest in cosmetic dermatology and skin surgery.

Dr. Nelson currently cares for patients at Skagit Regional Clinics’ Mount Vernon, Anacortes and Oak Harbor locations.

In his free time, Dr. Nelson prefers outdoor activities, such as hiking in the Cascades with his wife, biking, and kayaking -- activities he always enjoys with the protection of sun screen!

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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

Foundation welcomes new board members The Skagit Valley Hospital Foundation is pleased to welcome two new board members to our Skagit Valley Hospital family.

and programs through Skagit Valley Hospital. The Foundation will foster community awareness of, and 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 Jami Augustine Dee Berglin Susan Brown Chris Cammock Jill Christensen Molly Coddens Jackie Cress Shep Cutler Gregg Davidson Gary Fiedler Marcia Johnson Megan Kovanen

Staff

Linda Frizzell

Executive Director

Wendy Ragusa

Development Coordinator

Becky Wells

Development Associate

24 | Skagit Valley Hospital

Virginia Learned Corey Mendoza Jean Miller Stan Olson Christie Peterson Jaynie Roozen Richard Roozen Deanna Scott Bob Taylor Shirley Watkinson Polly Wilhonen Dr. Rob Zwick

Jill Christensen, a Skagit county native, resides in Bow with her husband Jeff and their two children. Jill is active in her children’s schools and has participated as a tree designer in the Foundation’s annual Festival of Trees.

Jean Miller moved to the Mount Vernon area several years ago with her husband and three sons. Jean has retired from practicing law and participates in a full calendar of volunteer activities.

Car donations benefit Foundation If you have an old car, truck, boat or RV, consider donating it to the Skagit Valley Hospital Foundation’s Vehicle Donation Program.

requirements and provide you with a taxdeductible donation receipt at the time of pick-up!

Working in conjunction with the Volunteers of America, the Skagit Valley Hospital Foundation will make arrangements to conveniently and quickly pick up your vehicle donation at no cost to you. We handle the title transfer

To learn more abut the Skagit Valley Hospital Foundation’s Vehicle Donation Program, contact Foundation Executive Director Linda Frizzell at 360-428-2140.

Volunteers Provide Valuable, Passionate Workforce The Skagit Valley Hospital Foundation plans and hosts several major fundraising events during the year – Par Tee Golf Tournament and the annual holiday fete Festival of Trees to name a few.

The Foundation welcomes community members to sponsor, volunteer at and

participate in any of its events to help support quality, comprehensive health care at Skagit Valley Hospital.

As any one who plans events knows, if it were not for the volunteers that give of their enthusiasm, time, talent and resource an event’s success can be short-lived.

Ways to Volunteer with the Skagit Valley Hospital Foundation People of all ages and interests have contributed more than 5,000 hours each year to help the Skagit Valley Hospital Foundation accomplish its mission.

Their leadership, vision and passion in fundraising efforts enabled the Foundation to positively impact the lives of Skagit Valley Hospital patients in all care areas.

Volunteering with the Skagit Valley Hospital Foundation not only can greatly improve the lives of children and families who receive care at Skagit Valley Hospital.

It makes our community stronger.

Volunteers opportunities include serving on Foundation boards or committees or assisting with one of the Foundation’s key fund-raising events including the Have A Heart For Kids dinner (February) to benefit the Children’s Therapy Program; Par Tee Golf Classic (July) to benefit the Cancer Care Patient Assistance Fund; Gail Edward Iverson Circle of Friends Event (Late Summer) to benefit the Wound Healing Center; and Festival of Trees (Thanksgiving Weekend) to benefit selected key projects/programs.

For more information about the ways you can serve your community as a Skagit Valley Hospital Foundation volunteer call 360-814-5747.

Fine Art Fundraiser for Skagit Valley Hospital Saturday, September 11, 2010 4:00 - 7:00 p.m.

Masonic Center 1023 E. College Way, Mount Vernon Open and free to the public

GOLF

$48,650 Raised 152 golfers played in the 7th Annual Par Tee Golf Classic, which took place on July 9, 2010 at Eaglemont Golf Course in Mount Vernon. The tournament, played in scramble format, began at 10 a.m. with a shotgun start.

Golfers were treated to lunch, dinner, putting contests, use of a golf cart plus activities and refreshments at each hole. Other features included hole-inone prizes, a raffle, silent auction and

many give-aways! This year’s event, sponsored by Fisher Companies, Inc. & Tesoro Refining & Marketing Co. raised a gross $48,650 with a net of $34,250, proceeds will benefit the Cancer Care Patient Assistance Fund.

The Skagit Valley Hospital Foundation would also like to thank the following sponsors for contributing to the success of this year’s tournament:

Title Sponsors

Refining and Marketing Company

• Ameriprise Financial – Jim Goodrow • Association of Washington Public Hospital Districts • Business Bank of Skagit County • D.A. Davidson – Scott Berg, Scott Elliott, Art Larvie & Kyle Reep • BAC Enterprises, Inc. • Cisco • Labcorp Inc./Dynacare Laboratories • EMC Electric, Inc. • Express Employment Professionals • Fisher Companies, Inc. • Foster Pepper PLLC • Alfie Hill • Insanity Motors – Dan Kovanen • Leverage Information Systems • Lisser & Associates, PLLC • MacGregor Publishing Company/Yellowbook • Marsh Risk & Insurance Services • Meyer Sign & Advertising • NW Golf Carts, Inc. • Oasys, Inc. • Optimum Properties • Parker Smith Feek

• Keith & Christie Peterson • Piper Jaffray • Hortencia “Terry” Porras • Premera Blue Cross • Printwise/PrintStreams • Ragen MacKenzie/Wells Fargo Investments – Corey Mendoza & Jeff Stewart • Resource Corporation of America • S B & C, LTD • Seattle Cancer Care Alliance • Sims Honda • Skagit Endodontics • Skagit Farmers Supply • Skagit Ford Subaru • Snelson Companies, Inc • State Farm Insurance – Carol Lawson, Brad Methner & Keith Sorestad • Tesoro Refining & Marketing Co. • The Bedside Trust, LLC – Brian Wong • The Unity Group • Thomas Cuisine/Skagit Bistro • Trico Contracting, Inc.

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Skagit Valley Hospital Employees Care!

Despite the continued challenging economic times we are experiencing, the incredible employees of Skagit Valley Hospital gave generously during the 2010 Employee Giving Campaign titled “i care.”

An amazing $29,083.97 was given to the Skagit Valley Hospital Foundation through payroll deductions, cashed-out vacation time and direct gifts. Funds were also raised through a raffle.

The money raised will be gifted back to various areas of Skagit Valley Hospital to provide program support and purchase equipment. It is the mission of the Foundation that these gifts and other funds raised throughout the year will enable us to continue to support top quality care for the patients we serve.

The Foundation thanks the employees of Skagit Valley Hospital for their on-going support!!

Campaign begins for Mental Health Center project The Skagit Valley Hospital Foundation has pledged to raise $1 million toward a $3 million project to relocate and expand the Mental Health Center.

Skagit Valley Hospital’s Mental Health Center is a 24-hour a day, 365-day per year operation, accepting both voluntary and involuntary admissions. The patient load for 2010 is estimated at 600 patients.

The Mental Health Center is designed to provide a therapeutic environment for individuals (ages 18-65) experiencing a crisis that requires a short-term stay.

The intent of the program is to empower the patient to make positive changes toward hope, increase self-awareness and provide education about diagnosis and treatment options.

Unfortunately, the hospital’s current facility no longer meets our community’s needs. The unit is licensed for 15 beds but can seldom operate at that level. Since patient rooms are double occupancy, an incompatible gender or diagnosis mix often prevents the center from operating at capacity.

The remodeled unit will accommodate two seclusion rooms; private rooms and the ability to separate acuity levels. The new space will also increase security and be more efficient in a healing and calming environment. The remodel will allow the hospital to operate at its 15-bed capacity 100 percent of the time.

To ensure that the new center opens as soon as possible and our patients have access to the best care in a respectful and compassionate atmosphere, the Foundation invites you to join us in making a gift to this important project. Our community deserves no less.

You can make a difference With your help, Skagit Valley Hospital will soon be able to open the doors of its new Mental Health Center and offer options never before available to our local residents. Your gift, of any size, is meaningful, and will make a important difference in many lives.

Please send your gift to: Mental Health Center Project Skagit Valley Hospital Foundation P.O. Box 1376 Mount Vernon, WA 98273

house LEFT: Avery Mc Cullough, age 2, is one happy girl as her parents won this adorable Spane Buildings playhouse built for the 2010 SCIBA Playhouse Raffle this past April.

More than $6,200 was raised for the Skagit Valley Hospital Foundation’s Mental Health Center Project Fund.

26 | Skagit Valley Hospital

Change Your Life classes in your Stanwood/Camano neighborhood

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

The Skagit Regional Heart & Vascular Institute offers a community screening for all adults over age 18, on Tuesday mornings.

Peripheral Arterial Disease (PAD) is a common condition that affects approximately 10 million adults in the US. About 5% of people over the age of 50 are believed to suffer from PAD. PAD is more common is men and most often occurs in older persons (over the age of 50). The same risk factors associated with heart disease are also linked with PAD. Attend this screening to find out your risk of PAD, 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).

Skagit Valley Hospital offers the following health screenings and education programs at Skagit Valley Regional Clinics - Stanwood, 9631 269th Street NW, Stanwood or Skagit Valley Regional Clinics - 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 360-814-2424. Pre-registration is required for all classes unless otherwise noted.

Call 360-629-6481 to schedule an appointment for this screening program that takes just 40 minutes! The cost is only $29 and is held on Tuesdays at Skagit Valley Hospital. A physician referral is not necessary, although we ask that you provide the name of a primary care provider, if you have one, so results can be forwarded.

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.

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

Sept. 28 and 29 (Tue/Wed) 1 – 5 p.m.

Skagit Regional Clinics Stanwood 9631 269th Street NW Conference Room A/B Pay at the class

Skagit Regional Clinics A department of Skagit Valley Hospital

• 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.

Locations: Camano Community Health Clinic 127 N. East Camano Drive Suite A Camano Island 360-387-5398 Stanwood 9631 269th Street NW Stanwood 360-629-1600

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Cholesterol, Diabetes and Blood Pressure Screenings

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

Results are mailed to your home. This screening not recommended for patients on anticonvulsant medication. Fasting is not required. The cost is $35 (cash or check payable to SVH). No appointment required.

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 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. 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.

October 21 (Thur) 8 – 9:30 a.m.

Skagit Regional Clinics Stanwood 9631 269th Street NW Conference Room A/B November 11 (Thur) 7:30 - 9 a.m.

Skagit Regional Clinics Camano Community Health Clinic 127 N. East Camano Drive

Blood Drives

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 one of the following blood drives:

September 7; Dec. 21 (Tuesdays) 10 a.m. – 12:30 p.m. & 1:15 – 4 p.m.

Skagit Valley Regional Clinics Stanwood 9631 269th Street NW Mobile van in parking lot Pre-registration required by calling 1-800-398-7888.

28 | Skagit Valley Hospital

Bone Density Screening

Osteoporosis, or low bone density, affects 10 million Americans, mostly women, and 34 million more have low bone mass. More than 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.

October 21 (Thur) 8 – 9:30 a.m.

Skagit Regional Clinics Stanwood 9631 269th Street NW Conference Room A/B November 11 (Thur) 7:30 - 9 a.m.

Skagit Regional Clinics Camano Community Health Clinic 127 N. East Camano Drive

Vitamin D Level Screening

Why should you have your Vitamin D levels tested? 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.

October 21 (Thur) 8 – 9:30 a.m.

Skagit Regional Clinics Stanwood 9631 269th Street NW Conference Room A/B November 11 (Thur) 7:30 - 9 a.m.

Skagit Regional Clinics Camano Community Health Clinic 127 N. East Camano Drive CPR and First Aid Classes are held at various locations in Stanwood. Call the North County Regional Fire Authority at 360-652-1246 for more information.

Heart Saver Adult/Child CPR Classes are held at the Stanwood Fire

Department. For more information call 360-387-1512.

First Aid Classes are held at the Stanwood Fire Department. For more information call 360-387-1512.

A Cardiac Support Group is available at the Stanwood Senior Center on the third Tuesday of each month from 10 - 11 a.m.

Call 360-814-8368 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 360-387-0184.

Change Your Life classes in your Mount Vernon neighborhood Women’s Health Luncheon If It’s Not About the Hair What Is It About?

As a chaplain for Seattle Cancer Care Alliance and a breast cancer survivor, Debra Jarvis has learned a lot about how people deal with the challenges of life. With selfdeprecating humor and spiritual insight, Jarvis discusses her recovery from Stage II breast cancer – an ironic twist of fate after years of working as an oncology chaplain and her thoughts about the importance of finding meaning in the life challenges we all face.

Working with cancer patients, She has met with many people faced with a diagnosis of cancer and been impressed with the amazing attitude of the patients she meets. Jarvis encourages developing an attitude of curiosity during a challenging event instead of focusing on the fear. Once the crisis is passed, the challenge is to stay awake to life and remain curious and open.

Jarvis’ acclaimed book, It’s Not About the Hair: And Other Certainties of Life & Cancer, is one woman’s look at life, death, and all the places in between. In the book and in her work, She encourages us to learn to take risks and trust our gut.

Jarvis is an ordained minister and currently serves as a general oncology chaplain for the Seattle Cancer Care Alliance.

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 sponsored by the Skagit Valley Hospital Regional Cancer Care Center and cosponsored by Ashley Gardens, Creekside Retirement Community, Home Attendant Care, Life Care Center of Skagit Valley, Mira Vista, Walgreens, and the Bridge at Mount Vernon.

ablations. The presentation will include information on minimally invasive techniques to help restore function.

Minimally invasive techniques decrease pain associated with surgery and speed recovery time.

September 28 (Tue) 6:30 – 8 p.m.

Cascade Room Enter through Kincaid Street entrance No charge but pre-registration is required

Please join us for another entertaining and informative Women’s Health Luncheon.

Why not bring a friend?

October 28 (Thur) 11:30 a.m. – 1:30 p.m.

McIntyre Hall Mount Vernon $15 includes lunch Pre-registration required by October 25

Doc Talk Series: New Options for Back Pain Relief

Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point during their lives.

Farouq Al-Hamdan, MD, FRCS, orthopedic spine surgeon with the Spine Science Institute in Mount Vernon, discusses options for pain relief and restoring function to improve mobility and quality of life.

Hyperbaric Oxygen in the Treatment of Wounds

This presentation by Robert Zwick, MD, and Dennis Reilly, PT, CWS, both with the Skagit Valley Hospital Wound Healing Center, will focus on how hyperbaric medicine can facilitate wound healing. The discussion will include information about the physiological effect on the human body, when it is appropriate to use, different delivery models, and safety issues surrounding the use of compressed oxygen saturation.

This presentation is appropriate for both the inquisitive layperson and the medical professional. Time will be allowed for questions.

Dr. Al-Hamdan will discuss pain management options including nonsurgical methods such as medications and physical therapy plus interventional techniques including injections and

All classes require pre-registration unless specified.

October 19 (Tue) 6:30 – 8 p.m.

Cascade Room Enter through Kincaid Street entrance No charge but pre-registration is required

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Oct. 4 - 11 (Mon) 6 – 8 p.m.

Skagit Valley Hospital Cascade Room Enter through Kincaid Street entrance $29

Diagnosis and Treatment of Early Stage Breast Cancer and DCIS Breast cancer is the most common type of cancer found in women in the United States. Finding and treating breast cancer in its earliest stages is important to winning the battle against it. This presentation will cover the basics of breast anatomy, the process of cancer development, and lead to a discussion of the current methods available for breast cancer detection and the various treatment options for patients once early stage breast cancer is diagnosed.

Living Well Workshop: Maintain an Active and Fulfilling Life with a Chronic Health Problem

Living Well Workshop is a six-week self-management workshop designed to help people gain self-confidence in their ability to manage any type of ongoing health problem. These health problems may include heart disease, lung disease, stroke, diabetes, arthritis, cancer, high blood pressure, being overweight, fibromyalgia and others.

This presentation is provided by Michal Whiton, MD, radiation oncologist with Skagit Valley Hospital Regional Cancer Care Center

Designed at Stanford University, research studies have shown that the workshop is extremely effective in helping people manage their health. People with different ongoing health problems, or caregivers to someone with chronic conditions, attend together in this highly interactive program, focusing on building skills, sharing experiences, and support.

Classes are facilitated by Liz McNett Crowl, Candace Wittenberg, and Bob Dionne.

Oct. 27 (Wed) 6 – 7:30 p.m.

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

________________________ Meditation for Calming and Focusing Your Mind

Have you thought about trying meditation but find it too difficult to do 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.”

Subjects covered include: • Ways to deal with problems such as frustration, fatigue, pain, and isolation

Oct. 14 – Nov. 18 (Thur) 4 – 6:30 p.m.

Skagit Valley Hospital Shuksan Room $30 includes course book and CD Limited to 15 participants Pre-registration is required

Estate Planning and Living Wills

Join local attorney Colonel Betz for this popular presentation on estate planning, trusts, powers of attorney, wills, inheritance taxes, and probate. He will also speak on the importance of advanced directives/living wills and how to prepare them. This presentation is sponsored by the Skagit Valley Hospital Foundation.

Oct. 27 (Wed) Noon – 2 p.m.

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

Current Trends in Cancer Care

Learn about the most current advancements in the top four cancers including breast, prostate, colon, and lung as well as information on what to look for when choosing a facility for treatment. Participants will also take a virtual video tour of the Regional Cancer Care Center.

• Appropriate exercise for maintaining and improving strength, flexibility, and endurance

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

Jan Hodgman, MA, has been meditating for more than 30 years and has 10 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.

30 | Skagit Valley Hospital

with Chronic Conditions and an audio relaxation CD, “Time for Healing.”

• Appropriate use of medications • Communicating effectively with family, friends, and health professionals • How to evaluate new treatments Each participant receives a copy of the companion book, Living a Healthy Life

All classes require pre-registration unless specified.

This presentation is provided by Barbara Thompson, RN, Director of the Skagit Valley Hospital Regional Cancer Care Center.

November 8 (Mon) 6 – 7 p.m.

Skagit Valley Hospital Regional Cancer Care Center Safeway Conference Room (3rd Floor) 307 South 13th Street No charge but pre-registration necessary

Nutrition and Diabetes

Learn how to eat to control your blood sugar and weight. This two-hour class will provide information on healthy eating focusing on the diabetic. In addition, you will also get hands-on practice as you tour the Skagit Valley Food Co-op and learn how to read labels and identify healthy foods. This class is taught by Lou Kupka-Schutt, PhD, RD with Skagit Valley Hospital.

Sept. 3 (Fri) 11 a.m. – 1 p.m.

Skagit Valley Food Co-op Room 309 (3rd floor of co-op building, follow signs) 202 S. First Street, downtown Mount Vernon Register with Co-op cashiers or by calling 360-336-9777 No charge

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 up-to-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.

Follow-up sessions can be done in-person, by phone or via e-mail. The cost is $239.

Call 360-814-8274 for more information.

Call 360-814-2424 to register for the program.

Continuing Health Education Certified Diabetes Education Program

Skagit Valley Hospital offers a comprehensive education program for adults with diabetes, either newly diagnosed or for those patients needing extra guidance with diabetes control. The program includes an introductory oneon-one appointment, six hours of group sessions (two three-hour classes) covering the basics of diabetes management, and at least two hours of one-on-one education in nutrition. Individual appointments to review medication issues related to diabetes self- management, including maximizing the use of insulin, are also available.

The program is coordinated by Amy Navarre Cantrell, PA-C, Certified Diabetic Educator, who teaches classes in cooperation with Exercise Specialist Michelle Frey and Registered Dietician Christina Sackman. Dr. Geoffrey Spielmann with Skagit Regional Clinics – Mount Vernon serves as Medical Director for the program.

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 other questions, or more information about the program, contact Katie Mirante at 360-814-2184.

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.

Nov. 4 and 5 (Thur/Fri) 1 – 5 p.m.

Skagit Valley Hospital San Juan A/B Pay at class Please see page 27 for information about classes in Stanwood/Camano Island.

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.

The class meets the first and third Wednesday of the month 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 360-8142424. 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 one-to-one attention. We work on strength training, balance, and cardiovascular fitness. For questions and class times, call 360-8148368.

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 $20 per person, payable in advance. This fee covers the cost of certification cards and materials. For more information call 360-428-3236 or email billc@skagitems.com.

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Health & Wellness Screenings

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

The Skagit Regional Heart & Vascular Institute offers a community screening for all adults over age 18 on Tuesday mornings.

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.

Why should you attend this screening? Here are the facts • Peripheral Arterial Disease (PAD) caused by plaque buildup in the limbs, affects about 10 million American adults in the U.S. About 5 percent of people over the age of 50 are believed to suffer from PAD. The same risk factors associated with heart disease are also linked with PAD. 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.

• More than 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 360-6296481 from Stanwood/Camano Island to schedule an appointment for this screening program. It takes just 40 minutes! The cost is only $29 and screenings are held on Tuesday mornings at Skagit Valley Hospital. A physician referral is not necessary, although we ask that you provide the name of a primary care provider, if you have one, so results can be forwarded.

Also see Stroke and Aneurysm Screenings on page 33 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. 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.

Oct. 7 (Thur) 7:30 – 9 a.m.

Skagit Valley Hospital Screening held in the Skagit Regional Heart & Vascular Institute Enter through the Diagnostic Services entrance on 13th Street

Bone Density Screening

Osteoporosis, or low bone density, affects 10 million Americans, mostly women, and 34 million more have low bone mass. More than 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.

Oct. 7 (Thur) 7:30 – 9 a.m.

Skagit Valley Hospital Screening held in the Skagit Regional Heart & Vascular Institute Enter through the Diagnostic Services entrance on 13th Street

• Review of results with a health care provider.

32 | Skagit Valley Hospital

All classes require pre-registration unless specified.

Vitamin D Level Screening

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

Results are mailed to your home. This screening not recommended for patients on anticonvulsant medication. Fasting is not required. The cost is $35 (cash or check payable to SVH). No appointment required.

Oct. 7 (Thur) 7:30 – 9 a.m.

Skagit Valley Hospital Screening held in the Skagit Regional Heart & Vascular Institute Enter through the Diagnostic Services entrance on 13th Street

Stroke and Aneurysm Screening

No need to wait for a special promotion to come to town or stand in line at a crowded community center. You can schedule your screening exams year around and have the exams performed using state-of-the-art equipment, conducted by board certified diagnostic technologists and reviewed by a board certified radiologist.

Skagit Valley Ultrasound Associates provides 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. This ultrasound screening test is non-invasive, quick and painless, and 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.

A physician referral is not necessary, although we ask that you provide the name of a primary care provider, so results can be forwarded. The cost is only $59 for the

combined carotid and aorta screening and is payable by cash or check only. This exam is not billable to insurance. Individuals whose screening results suggest the need for further evaluation will be referred to follow-up care with their physician.

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

Skin Cancer Screening

Local dermatology offices will conduct visual inspections of skin abnormalities you are concerned about. No charge. Call 360-814-2424 or 360-629-6481 to schedule an appointment.

Sept. 29 ( Wed) provided by Michael Nelson, MD with Skagit Regional Clinics Nov. 10 (Wed) provided by J. Semmes Mickelwait, MD with Advanced Dermatology 1 - 4 p.m.

Skagit Regional Heart & Vascular Institute Skagit Valley Hospital Enter through Diagnostic Services entrance on 13th Street

Vision Screening

A certified ophthalmic technician will conduct vision and glaucoma screenings.

Bring a contact lens case for storage during the screening. No charge. Call 360-8142424 or 360-629-6481 to schedule an appointment.

Oct. 5 (Tue) 3 – 5 p.m.

1990 Hospital Drive, Sedro Woolley Provided by Skagit Regional Clinics – Sedro Woolley Oct. 29 (Fri) 1-3 p.m.

Skagit Valley Hospital San Juan A/B (enter through Kincaid Street entrance) Provided by North Cascade Eye Associates

3rd Annual Men’s Health Fair and Prostate Screening

Learn more about men’s health and participate in a variety of screenings including digital rectal prostate exams and PSA testing, diabetes screening, blood pressure checks and education information. Call 360-424-7991 for more information.

Sept. 25 ( Sat) Northwest Urology Clinic 1311 E Division Street, Mount Vernon 9 a.m. – 1 p.m.

No charge to attend $20 for PSA blood testing Call 360-848-7661 to schedule an appointment Drop-ins are welcome!

Blood Drives

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 one of the following blood drives:

Sept. 17 (Fri); Dec. 29 and 30 (Wed/Thur) 10 a.m. – 12:30 p.m. and 1:15 – 4 p.m.

Skagit Valley Hospital Cascade Room Enter through Kincaid Street entrance Pre-registration required by calling 1-800-398-7888.

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 Regional Clinics Stanwood

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Is it Time for Your Mammogram?

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

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.

One-day Saturday and two-day weekend intensive childbirth preparation classes are available. The fee is $95. Full payment or a copy of your medical coupon is required two weeks before class begins.

Pre-registration is 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 360-814-2424 or 360-629-6481 for class dates and times.

A service provided cooperatively

by Skagit Valley Hospital and Skagit Radiology.

Childbirth & Infant Care

Family Birth Center Tours

Free tours of the Skagit Valley Hospital Family Birth Center are offered twice a month. Call 360-814-2424 or 360-6296481 to schedule a tour.

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. Full payment or a copy of your medical coupon is 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.

34 | Skagit Valley Hospital

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 an Ameda 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.

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.

Sept. 16; Oct. 21; Nov. 18; Dec. 16 (Thurs) 1 - 3 p.m.

Skagit Valley Hospital at main entrance covered area Mount Vernon Co-sponsored by Skagit Safe Kids. Preregistration 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.

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.

This introductory session helps reduce many anxieties a person may have related to the “unknown”. The session provides an opportunity for patients to make more informed choices. Class is provided by physician referral. For more information, call 360-814-8318.

All classes require pre-registration unless specified.

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

CLIMB® Children’s Lives Include Moments of Bravery:

CLIMB is a special support program for children ages 6-11 who have a parent or guardian undergoing cancer treatment.

The CLIMB program was developed by the Children’s Treehouse Foundation, a non-profit foundation dedicated to the emotional support of children who have parents with cancer. Our facilitators have received special training and resources to provide this program.

The CLIMB program offers two-hour group meetings every week for a period of six weeks and dinner is provided for participants. Each child is provided their own workbook to capture their progress, which they can share with their family at home. Additional resources are provided to the parent or guardian for education and support.

This program is being offered free of charge and is funded by the Skagit Valley Hospital Foundation. As an organization, we recognize that cancer affects the entire family and desire to provide support at multiple levels. Receiving treatment at Skagit Valley Hospital is not a requirement to participate.

The Fall 2010 dates are October 5, 12, 19, 26 and November 2 and 9. The program will be offered on a quarterly basis and will be repeated in Spring 2011.

For more information about the CLIMB program or to register your child, please contact Amber Ford, Oncology Social Worker, at 360-814-8255. Pre-registration is required. CLIMB group meets Tuesday evenings from 5:30 p.m. - 7:30 p.m. in the Safeway Conference Room (3rd Floor) at Skagit Valley Hospital Regional Cancer Care Center.

Tai Chi/Qigong Class

Tai Chi and Qigong are traditional Chinese exercises that have been a daily prescription for health and longevity for hundreds of years. This class focuses on balance, posture, relaxation, breathing, and visual and mental concentration. The elements of Tai Chi and Qigong help the immune system, central nervous system, blood supply and circulation, as well as strengthen bones, joints, and tendons.

The movements are slow in tempo, very low impact on the body, and can be done standing or seated. Please join us for this new and exciting class on the second and fourth Tuesdays of each month from 2 – 5:15 p.m. The class is held in the Safeway Conference Room (third floor) at Skagit Valley Hospital Regional Cancer Care Center. Instructor: Bob Shapiro.

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 are about to start treatment. It helps them combat the appearance-related 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 (not held in May and December) 1 - 3 p.m.

Skagit Valley Hospital Regional Cancer Care Center Safeway Conference Room (3rd Floor).

Drop-in Classes

Women’s Cancer Support Group

Second Wednesday of each month from 5 – 6:30 p.m. in the Safeway Conference Room (third floor) at the Regional Cancer Care Center. This group is for women who are undergoing treatment for, or have experienced breast, ovarian, uterine, or cervical cancer. Facilitated by Amber Ford, MSW, Oncology Social Worker, with guest speakers arranged. Call 360-814-8255 for additional information.

Art and Healing Group First and third Mondays of each month, 2 – 4 p.m. in the Safeway Conference Room (third floor) at the Regional Cancer Care Center.

Our knowledgeable instructor has been doing art therapy with cancer patients for over ten years! 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. Please note that artistic “skills” are not required!

Instructor: Margaret Carpenter Arnett, BSN, ATR. Healthy-Steps: Moving You to Better Health with the Lebed Method First and Third Thursday of each month, 3 - 4:30 p.m. in the Safeway Conference Room (third floor) at the Regional Cancer Care Center. The Lebed Method is a fun, gentle exercise program designed and proven beneficial for those with breast cancer, lymphedema, other cancers, and chronic conditions. Lebed combines easy stretches, low-impact aerobics, and relaxation techniques with great music.

Lebed exercise has been found to increase range of motion, strength, physical stability, and quality of life. Please join us for this fun and exciting group. Please note this class is held September through April.

Instructor: Joan Weeks-Keppel.

SAVE THE DATE!

The Skagit Valley Hospital Regional Cancer Care Center will be holding their 13th Annual Survivor Celebration on Saturday, October 2nd, 2010. We will gather at the Swinomish Northern Lights Casino in Anacortes for music, inspiring speakers, and lunch. This event is free for cancer survivors and an adult guest. Please call 360-814-8287 for event updates or to RSVP. HealthQuest Fall 2010

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Grief Support Services

Hospice of the Northwest, formerly Skagit Hospice, provides support to anyone in our communities coping with grief and loss after the death of a loved one. Call our Bereavement Program for information and referrals, attend a free grief support group, or borrow materials from our Resource Center. For more information, phone 360-814-5589 or 360814-5550.

Bridges The Journey from Loss to Living Again Eight-week support group beginning Tuesday, September 14 from 1 – 3 p.m. in Mount Vernon. Learn how to reconcile to loss, cope with change, heal and grow. Sessions include facilitated discussion, readings, and other activities.

No charge but pre-registration is required.

Group closed after second session.

Call 360-814-5570 for information or registration.

Evening Ongoing Grief Support

First and third Thursdays from 5:30 to 7 p.m. in Sedro-Woolley at the Senior Center, 715 Pacific Street.

Loss of a Child (at any age) Ongoing Grief Support Second and

fourth Thursdays from 5:30 to 7 p.m. in Mount Vernon at the Hospice office at 819 S. 13th Street. Please call 360-814-5589 to register.

Living with Grief Tuesday, November 9 from 12:30 – 2 p.m. Learn about grief and discover sources of healing and hope in this single session presentation. Free and open to grieving people and their family and friends. No registration required.

In-Service Education For grief and loss presentations for your organization or employees, contact the Hospice of the Northwest Bereavement Coordinator at 360-814-5589.

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Hospice of the Northwest Services Resource Center A free lending library open to the community

Books and other materials are available for adults, teens, and children. Topics include care-giving, 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.

The Resource Center is open weekdays from 8 a.m. to 5 p.m. in the lobby of the Hospice office at 819 South 13th Street in Mount 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 Hospice of the Northwest’s Bereavement Program at 360-814-5589.

Interested in helping the Hospice of the Northwest Foundation?

The Hospice of the Northwest 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 of ability to pay. For information, call the foundation office at 360-814-5702.

Mental Health Family-to-Family Education Program

Free 12-week course for families of adults with mental illness or a brain disorder will begin September 9. 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 360-424-5802 for more information or to register. Space is limited.

Peer-to-Peer Education Program

Free nine-week class starting September 7 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 Brandon Nevi at 360-4215784 for more information and to register.

Space is limited.

Mental Health Support Group

NAMI Skagit Open Group meets on the 4th Tuesday of each month from 7 – 9 p.m. in the Shuksan Room at Skagit Valley Hospital. For more information contact Trish Rodriguez at 360-540-0795 or Marti Wall at 360-770-5666.

NAMI Basics Education Program

Free six-week class for parents or primary caregivers of a child or teen with mental illness or a brain disorder starts October 7. The course helps families with communication, coping, schools and education needs, rehabilitation, recovery, and advocacy. NAMI Skagit provides this program. Call Marti Wall at 360-770-5666 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.

For more information call 360-848-8615.

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

Ostomy Support Group

Second Tuesday of each month from 6:30 – 8:30 p.m. in the Sauk Room at Skagit Valley Hospital. Call Cathy Schaeffer at 360-814-2600 for more information. No meeting in February.

Community News & Resources For easy access to community services dial 2-1-1

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.

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.

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.

If you have difficulty reaching 2-1-1, call 800-223-8145 instead.

Speakers Bureau

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 the activities of over 465 volunteers in support of the hospital’s operations.

Opportunities for service at Skagit Valley Hospital include: • People with a “Green Thumb” • Pianists • Information Desk • Surgical Services • Gift Shop • Workroom Volunteers • Mail Delivery • Guilds and Auxiliaries: - Grace Cochrum Guild - J.E.M. Guild - Skagit Valley Hospital Guild - Skagit Valley Hospital Auxiliary - Gail Iverson Circle of Friends

Contact Us Gift Shop The Skagit Valley Hospital Gift Shop has many wonderful hand-made and retail gift items for sale. Please keep the Skagit Valley Hospital Gift Shop in mind for your gift shopping needs. The gift shop is open Monday through Friday from 9 a.m. to 5 p.m. and on Saturdays from 9 a.m. to 1 p.m. All proceeds from the Gift Shop are returned back to help Skagit Valley Hospital in areas of need.

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.

Pianists Wanted

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.

Watch HealthQuest on Cable-Access Television Station 10

If you are a Comcast cable subscriber 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.

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.

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.

Are you trying to stop smoking?

Seattle’s Fred Hutchinson Cancer Research Center (www.fhcrc.org) is launching a new study that may be able to help you quit. Please visit www.webquit.com for more information.

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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: Skagit Valley Hospital’s Family Birth Center features spacious private patient rooms with amenities for family and a compassionate, highly-skilled staff to assist with the birth of your child. For a tour of the Family Birth Center, call 360-814-2424 or 360629-6481.

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• Acute Care • Administration • Breast Care Center • Cancer Care • Cardiac Rehabilitation • Cardiac Electrophysiology • Cardiac Catheterization Lab • Case Management • Chemotherapy • Children’s Therapy Program • Clinical Education • Clinical Services/Infection Control • Computed Tomography Imaging (CT Scan) • Critical Care • Diagnostic Imaging • Echocardiography • Electrophysiology • Emergency Trauma Center • Endoscopy • Family Birth Center • Food Services • Gift Shop • Health Information Management • HealthQuest • Heart & Vascular Institute • Hospice Care • Hospitalists on site 24/7 • Hyperbaric Oxygen Program • Interpreting - Translating • IV Therapy • Kidney Dialysis - outpatient and inpatient • Laboratory • Library • Magnetic Resonance Imaging (MRI) • Materials Management • Medical Staff Services • Mental Health Center • Nuclear Medicine • Nursing Administration • Nutrition Counseling

• Occupational Therapy • Oncology • Orthopedics • Outreach and Development • Pastoral Care/Chaplains • Patient Advocate • PET/CT • Pharmacy • Physical Therapy • Physician Referral Services • Positron Emission Tomography (PET Scanning) • Psychiatric Care/Counseling Inpatient • Quality Management • Radiation Therapy • Rehabilitation Services • Respiratory Therapy • Skagit Hospice Foundation • Skagit Regional Clinics: - Anacortes - Arlington - Camano Community Health Clinic - Cardiology - Mount Vernon - Oak Harbor - Sedro-Woolley - Stanwood • Skagit Valley Hospital Foundation • Sleep Center • Speech Therapy • Spine program • Statewide Health Insurance Advisors (SHIBA) • Sunrise Inn • Surgical Services • The Breast Institute • Ultrasound • Volunteer Services • Wound Healing Center • X-ray

Class Registration Refund Policy

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

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

4 Easy Ways 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 the adjacent mailing address.

Mail HealthQuest

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

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.

Internet

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

Fax

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

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 Calendar)

CLASS or SCREENING

DATE FEE

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

VISA

Credit Card Number: ____________________________________ Expiration Date:________________________ Signature: Total amount enclosed: Name:________________________________________________________________________ Address:______________________________________________________________________ City, State, Zip Code:_ ___________________________________________________________ Day Phone:___________________________ Home Phone:_______________________________ E-mail address:________________________________________________________________

____________________________________

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 HealthQuest Fall 2010

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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

Main entrance located on Hospital Parkway in Mount Vernon. Please call (360) 814-2424 for more information or visit www.skagitvalleyhospital.org