Skagit Regional Health is renewing its commitment to quality and compassionate care for all.
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Help at my most vulnerable time
One patient's birth story at the Skagit Valley Hospital Family Birth Center.
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Fast recovery, successful results
Surgeon-driven precision through robotic surgery.
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Exceptional healthcare, always.
As a public hospital district, Skagit Regional Health tailors our services to meet the needs of our individual communities. We serve Skagit, Island and North Snohomish counties with two hospitals and 27 clinics. Our service areas are diverse: we serve rural communities such as Darrington; island communities such as Camano Island and Anacortes; and more populous hubs such as Mount Vernon, Arlington and Smokey Point.
As Skagit County’s largest employer and with many patients relying on our care, our Board of Commissioners found it imperative to prepare and implement a threeyear strategic plan to guide us into the future. The strategic plan was created through a board-led process that incorporated community socio-economic data as well as input from community leaders, healthcare providers and our employees.
The strategic plan includes new mission, vision and values statements, as well as strategic themes. It was adopted by the board in August and together with our accompanying action plan will be the guiding documents to lead Skagit Regional Health beginning in 2025 and sustain us through 2027. The plan framework is included in this publication, on page 23.
One of our strategic themes is Focused Growth and Development. Recognizing that the Arlington community is experiencing significant population growth, Skagit Regional Health is pleased to partner with Public Hospital District 3 to move forward with the construction of a new medical office building, planned to be completed in 2027. Phase one will include a medical office building that will house primary and urgent care clinics. There will be room to build and expand services in the future, as funds allow.
This is an exciting time and a season of great opportunity to continue to provide our community with exceptional care and service. Thank you for your continued support and for entrusting us with your health.
Brian Ivie President & Chief Executive Officer Skagit
Regional Health
About Skagit Regional Health
Skagit Regional Health, Public Hospital District 1, is a nonprofit, community-owned entity governed by local citizens through a publicly elected Board of Commissioners.
Public Hospital District 1 Board of Commissioners:
• Peter Browning
• Frei Burton, Chair
• Bruce Lisser
• Jeffrey Miller, PhD, JD
• Dale Ragan
• Gary Shand
• Monira Vakil, DO
The Board of Commissioners may be reached at srhboard@skagitregionalhealth.org
Skagit Regional Health includes Skagit Valley Hospital, Cascade Valley Hospital and 27 clinic locations in Skagit, north Snohomish and Island counties. With more than 3,000 staff and providers, including 250 employed physicians and advanced practice providers, Skagit Regional Health is Skagit County's largest employer.
Skagit Regional Health is committed to providing and enhancing healthcare services and has a vision to transform healthcare by improving access, service, quality and efficiency in support of our goal of a healthier community.
For more information about Skagit Regional Health, visit SkagitRegionalHealth.org
HealthQuest is published by Skagit Regional Health. It is intended to provide information about general health and resources. To reach the editor, contact marketing@skagitregionalhealth.org or call 360-814-2424.
In this issue
5 Embracing prevention
Addressing the anxieties that may come with cancer screenings
6 Surgeon-driven precision at Skagit Regional Health
Check out our lineup of surgical robotics and how patients are benefitting from this advanced technology
8 Navigating the journey of prostate cancer
Anacortes resident Rick Pilling charted the course for detecting and treating his prostate cancer
10 Q&A: Is joint replacement right for you?
Skagit Regional Health orthopedic providers offer their perspectives
12 Help at my most vulnerable time
One patient’s story of walking through the unexpected at the Skagit Valley Hospital Family Birth Center
SKAGIT REGIONAL HEALTH FOUNDATION
16 Community gifts Various local organizations have contributed to advancing healthcare at Skagit Regional Health
17 Foundation updates
A new endowment fund for scholarly projects and a follow-up on the now fully funded Cardiac Cares campaign
18 ParTee Golf Classic recap Sponsors and golfers made it a successful event!
19 Board of Trustees update Incoming and outgoing members of the Board of Trustees
LIFESTYLE
14 Beating the winter blues
Coping with Seasonal Affective Disorder
15 Demystifying menopause Important information for women
20 Meet our newest providers and residents
21 Advance care planning
Your questions on end-of-life directives answered
22 Resources for a healthy life
COVER: The Skagit Regional Health Foundation announces new campaign benefitting the Family Birth Center at Skagit Valley Hospital.
ABOVE: A pregnant patient stands in one of twenty-one maternity care rooms that will be renovated as part of the Skagit Regional Health Foundation's Family Birth Center campaign.
Follow us on social media
See updates on new providers, awards and developments happening right here in your community.
What our patients are saying
Real patients share their experiences about the care they received while at Skagit Regional Health.
LOCATIONS
Urgent Care
Station Square
"Skagit has got urgent care figured out. Large clinics in multiple locations, minimal wait time compared with other counties; the nurses, MAs and doctor were very friendly and helpful; front desk was very prompt and helpful and kind to everyone. Much appreciated! Wish other health systems would follow their example."
Emergency Department
Cascade Valley Hospital
"My girlfriend fell down and we ended up bringing her here to get checked on. At the front desk, Rose was amazingly sweet and made sure that my girlfriend felt heard. Next was Emily, who did her best to get my girlfriend's information through slurred words. After that, Teri took us back for treatment. She did an amazing job making my girlfriend feel comfortable, listening to us and helping me to get her into scrubs. Then we met Dr. Miller, who did a thorough job checking on her every pain. I truly appreciate the staff here. Thank you so much to the Cascade Valley team for making a terrifying experience so much easier to bear."
CARE TEAM
Nursing staff
Cascade Valley Hospital
"The nursing staff at CVH are simply incredible. I could not have asked for a more personable or attentive care team while I was there."
PROVIDERS
Jivatesh S. Tung, MD
General Surgery
"In a world where medical care can often feel like an assembly line, Dr. Tung and the team at Skagit Valley Hospital stood out like a beacon of hope. At 70, my body is more like an old car—a vintage model, well-loved but prone to breakdowns. When I was diagnosed with sigmoid colon cancer, I told Dr. Tung, "Please bring your ‘A’ game." And did he ever. Dr. Tung performed a robotic surgery that was nothing short of miraculous. With tiny, almost invisible incisions, he removed a portion of my colon and biopsied my lymph nodes, discovering that all the cancer was gone. It was as if he had a magic wand instead of a robot. The medical staff during my recovery were paragons of compassion and responsiveness. From the moment I woke up in my room, they attended to my every need with a kindness that felt genuine and heartfelt. Even on a Saturday, Dr. Tung himself checked in on me several times, ensuring that I was comfortable and healing well. If you are seeking a highly proficient, caring and impressive colon cancer surgeon, look no further than Dr. Tung. The man is a medical marvel, and the staff at Skagit Valley Hospital are nothing short of extraordinary."
Learn more about robotic surgery at Skagit Regional Health on page 6.
C. Brooksby Hafen, DO Family Medicine
“As a 70-year-old who has encountered numerous medical professionals throughout the years, I feel incredibly fortunate to have Dr. Hafen as my general practitioner. Dr. Hafen stands out as a profoundly intelligent and thoughtful partner in my healthcare journey. Unlike many past experiences, I don't feel rushed or like just another appointment in his schedule. Instead, Dr. Hafen is genuinely present and engaged during our consultations, always aligning his medical advice and solutions with my specific health goals. The difference in care is palpable...Dr. Hafen's approach makes me feel valued and respected as a patient. My hope is sincerely that Dr. Hafen continues with this practice for many years to come, as his commitment to patient care and his dedication to personalized treatment plans are unparalleled."
R. Dylan Morris, DO Spine Surgery
"The team y'all have is absolutely amazing. I've never had a pleasant experience with hospitals, but this has all changed. Excellent staff from start to finish was phenomenal. Everyone loves their job and all wearing a smile. My neck fusion went exceptionally well and the care team is one in a million. I'd double the stars if I could. Thank you Dr. Morris and everyone who took excellent care of me during my stay and throughout my recovery."
Embracing prevention
Coping with the
anxiety that can come with cancer screenings
One of the most powerful tools in the fight against cancer is early detection. Today, cancer screenings are widely available, technology has come far in the diagnosis and treatment of cancer and as a society we are now more educated than ever on the causes of cancer.
“A cancer detected through a screening exam is much more likely to be curable,” said Michal Whiton, MD, radiation oncologist at Skagit Regional Health. “When cancers are detected in their later stages, after they begin to cause symptoms or have metastasized to other areas of the body, they are less commonly curable and require significantly more treatment.”
Sometimes, the anxiety of the screening itself may make it a difficult task for some to accomplish. Patients may relate to one of the anxieties listed below:
Fear of a positive result
The fear of facing a potentially life-threatening diagnosis can be overwhelming.
• Remember – If you wait until you experience symptoms to be screened, it could be too late. Early detection gives you the best chance of recovery, and regular screening is essential to catching it early.
Discomfort during the procedure
Some screening tests can involve physical discomfort or sensations that individuals find distressing.
• Remember – Compared to treatment for advanced cancer, the discomfort with a screening exam is minimal. Screenings help maintain a healthy and good quality of life.
Financial concerns
A finding of cancer typically leads to further treatment, which can be costly, especially for individuals without adequate health insurance coverage.
• Remember – Financial assistance is available and there are financial resources specifically for patients receiving cancer treatment.
Fear of the unknown
Uncertainty about the procedure itself or the implications of the results can be unsettling.
• Remember – Your primary care provider is ready to listen and help you get through your screening tests. If a cancer is diagnosed, your providers will help guide you to the right treatments and beyond.
The Skagit Regional Health Foundation raised $7,282 for breast cancer care at Skagit Speedway Breast Cancer Awareness Night.
Fear of judgment or stigma
Some individuals may worry about being judged or stigmatized based on the results of a cancer screening, especially if the test is related to behaviors that are advised against due to their link to cancer.
• Remember – No one is here to judge you. Skagit Regional Health provides expert cancer care to anyone who needs it.
Oncology providers at Skagit Regional Health understand hesitations with completing a screening and want to remind patients there is tremendous benefit in finding ways to make your screenings a priority.
“The most common screening exams such as pap smears, PSAs, colonoscopies, low-dose chest CTs for smokers and mammograms are extremely safe and significantly reduce the risk of dying from cancer or needing extensive treatments," said Dr. Whiton.
Talk to your primary care provider about receiving regular screenings for cancer, and visit SkagitRegionalHealth.org/Cancer to learn more about our services.
StealthStation ENT Navigation System
Surgeon-driven precision
For some, the words “robotic surgery” may conjure up an image of a robot scrubbing in and asking the surgeon to step aside, but this is far from reality. Instead, the robot serves as a tool for the surgeon to use in order to enhance precision, visibility and safety while performing the procedure.
Robotic-assisted surgery has augmented the capabilities of Skagit Regional Health’s already skilled surgeons. By equipping them with the latest tools and technologies, they perform complex procedures with even greater accuracy and efficiency.
Robotic-assisted surgery has been in use for 30 years. It has evolved and advanced to become the standard of care because it offers significant benefits over traditional surgical techniques: greater precision, smaller incisions and reduced recovery times. The technology has only improved, expanding the range of treatable conditions.
Skagit Regional Health has expanded the use of roboticassisted technology, ensuring patients receive a high standard of care in our own community.
Navigating critical areas of the head and neck: The StealthStation ENT Navigation System
Everyone’s bodies are different. The StealthStation ENT Navigation System provides image-guided surgery for safe and exact endoscopic surgeries for those critical areas of the sinuses and skull base. The system is used by Ear, Nose & Throat (ENT) surgeons to treat complex sinus issues including revision surgery, chronic sinusitis with nasal polyps, nasal tumors or defects of the skull base. It is also used for initial
sinus surgery in cases where the anatomy is complex.
“StealthStation allows the surgeon to use the patient’s pre-operative CT scan to verify their position during surgery to an accuracy of as little as 1mm,” explains ENT specialist Christopher England, MD “This helps to provide safer, faster and more complete surgery.”
Robotic navigation for spine surgery: The Excelsius GPS
The ExcelsiusGPS helps surgeons create a surgical plan based on a patient’s individual anatomy, making surgery much more precise and customized. It also increases safety for sensitive spine surgery and has improved efficiency in the operating room.
“Using the robot can greatly decrease time in the operating room (OR) by 10 to 20 percent,” says spine surgeon R. Dylan Morris, DO “Less time under anesthesia and a shorter time in the OR is better for the patient.”
Multi-specialty robotic-assisted surgery: The da Vinci® Xi™ Surgical System
The da Vinci® Xi™ Surgical System has proven to be very effective for thoracic/lung cancer, urologic, colorectal, gynecological and general surgeries. Since implementing the first robot in 2018, Skagit Regional Health has trained more surgeons on its use, necessitating the addition of a
ExcelsiusGPS
at Skagit Regional Health
second robot at Skagit Valley Hospital in 2024.
Skagit Regional Health general surgeon Allison Porter, MD, FACS, said that with the da Vinci® Xi™ Surgical System, “Our surgeons have shortened overall length of stay, case length and have increased utilization of minimally invasive surgical techniques to avoid the need for larger incisions. The end result is less pain and a faster recovery after surgery.”
The da Vinci® has changed the surgical landscape in our community, offering minimally invasive surgery for those patients who are not candidates for traditional laparoscopic surgery.
Accurately diagnosing lung cancer: The Ion Robotic Bronchoscopy System
“Lung cancer is usually not symptomatic until it’s very far advanced and not treatable,” says Richard Leone, MD, PhD, FACS, thoracic surgeon at Skagit Regional Health. The Ion allows clinical teams to identify lung masses before they spread to a point that’s not treatable. “Lung cancer, when we identify it early, is very treatable and very curable,” underscores Dr. Leone.
The Ion Robotic Bronchoscopy System is a minimally invasive biopsy tool used to better reach tumors in the lungs and diagnose lung cancer more accurately. The Ion allows
for access to tumors in almost any location in the lung safely, where traditional needle biopsy is limited.
Precise orthopedic surgery: The CORI Surgical System
The Smith + Nephew CORI Surgical System is used in orthopedic procedures such as total and partial knee arthroplasty. The surgical platform utilizes software planning tools combined with robotic precision that allows for very fine adjustments to ensure implants are positioned correctly and aligned with the patient’s anatomy.
“The CORI Surgical System allows the orthopedic surgeon to plan a patient's total knee and total hip reconstruction in three dimensions and optimize implant sizing, placement and the biomechanics of the joint for optimal function1, 2 ,” says Alexander Willis, MD. “After the planning, it allows for precision execution of the plan so that patients ultimately have the best possible biomechanics and stability in their joints. This has been shown to improve recovery 3 and long-term function4.”
1Batailler C, White N, Ranaldi FM, Neyret P, Servien E, Lustig S. Improved implant position and lower revision rate with robotic-assisted unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthros. 2019;27(4):1232-1240
2Gregori A, Picard F, Lonner JH, Smith JR, Jaramaz B. Accuracy of Imageless Robotically Assisted Unicondylar Knee Arthroplasty. International Society for Computer Assisted Orthopaedic Surgery (CAOS) 15th Annual Meeting;2015; Vancover, Canada
3 Based on JOURNEY II family of implants. Mayman DJ, Patel AR, Carroll KM. Hospital related clinical and economic outcomes of a bicruciate knee system in total knee arthroplasty patients. Poster presented at: ISPOR Symposium; May 19-23, 2018; Baltimore, Maryland, USA.
4 Based on UKA surgery. Shearman AD, et al. EKS Arthroplasty Conference. May 2-3, 2019; Valencia, Spain.
Ion Robotic Bronchoscopy System
Smith + Nephew CORI Surgical System
da Vinci® Xi™ Surgical System
A Navigating the journey of prostate cancer
s an avid boater, Rick Pilling of Anacortes knew how to navigate well. His health was no exception; due to his family history of prostate cancer, he decided to steer his own course with screening and early detection.
“My father died from metastatic prostate cancer and my grandfather had prostate cancer as well,” said Pilling. “It is a common genetic trait and made me quite aware and fairly proactive.”
Because of this, he carefully watched the PSA numbers in his labs and in 2015 noticed results that concerned him. This, coupled with his family history, led him to request a radical prostatectomy.
In the years that followed, he continued to follow up with routine PSA tests and in 2023 had a small rise and asked for more frequent testing. He talked with his primary care provider and was referred to a urologist. Though his imaging appeared normal, he remembered the rise in his bloodwork
and his family history and continued to press his case forward.
“I have friends who are medical doctors and I considered going to Seattle for care,” said Pilling. “However, two of my friends highly recommended Skagit Regional Health.”
The Skagit Regional Health (SRH) Cancer Care Center has a team of highly-trained cancer specialists who have provided state-of-the-art cancer care to the community for more than 30 years. From screenings to diagnosis to treatment to remission, the cancer care team walks closely with each patient, offering them quality care and compassionate support every step of the way.
Pilling made appointments with two SRH oncologists. “Both highly impressed me. Originally, I was to get typical prostate bed radiation, however, the two oncologists conferred and got my prostate tissue from Swedish
Medical in Issaquah. They had a genomic test performed and I was scored as a high risk, confirming my gut instincts. My radiation plan was changed accordingly. It was important to me that I did not wait and more importantly, they were supportive of my aggressive approach.”
Pilling’s treatment continued through the holiday season with his wife by his side.
“The doctors met me each Wednesday to check on my progress, and the day-to-day visits with the staff and radiation technicians were beyond first class,” said Pilling. “They became family. They never had a bad day and made my bad days better.”
Today, Pilling continues to follow up with PSA tests and remains mentally prepared for any potential next steps. But he has hope and confidence in his care team.
“I’m confident that the more aggressive and early approach we have taken was well thought out and appropriate,” said Pilling. “I have already recommended SRH to a friend. I’m positive you can’t do any better in the ‘Big City.’”
Pilling highly recommends all men to advocate for their health and own their path forward.
“Most men will get prostate cancer; some will die from it.” said Pilling.
"The doctors met me each Wednesday to check on my progress, and the day-to-day visits with the staff and radiation technicians were beyond first class. They never had a bad day and made my bad days better."
When should you see a urologist?
Urological symptoms – such as frequent or painful urination, kidney stones and UTIs –though initially minor inconveniences, can escalate if left untreated.
Scheduling a doctor’s appointment can save you from pain and may even save your life. But when is it time to see a urologist?
Enhanced access to care
“Follow your instincts. At a minimum, have a PSA test. Know the markers and understand any increases. Research the treatments. Read reputable sources. You can drive your treatment options. You can be your best advocate.”
Following his own advice and with the help of his care team, Pilling has had good results. He added, “The supportive and expert SRH providers I have cannot be matched anywhere.”
Urologists specialize in the health of the urinary tract and reproductive functions for men and women. They can diagnose and treat issues with medicine or through surgery. Urologists conduct thorough assessments, taking into consideration your symptoms and health history. They may order lab tests or imaging to tailor the treatment plan to your needs.
If you experience any of the following symptoms, consider consulting a urologist:
• Urinary issues such as painful urination, blood in urine, or changes in urination frequency or control
• Bladder issues including poor bladder control, overactive bladder or incontinence
• Frequent urinary tract infections
• Enlarged prostate
• Erectile dysfunction or male infertility
• Low testosterone
• Prostate cancer screening and treatment
• Treatment of other urological cancers such as bladder cancer, kidney cancer and testicular cancer
• Kidney stones
Skagit Regional Health has significantly grown urology services to better serve the community.
listen in
Over the past year, Skagit Regional Health has welcomed three new urologists and a urology physician assistant, expanding access to services by more than 50%. Conveniently located in Mount Vernon and Oak Harbor, our clinics ensure comprehensive care for various urological conditions. Outpatient surgical procedures are done locally at the Mount Vernon Surgery Center, allowing patients to stay in the community for their care.
Surgical innovations for minimally invasive procedures
If surgery becomes necessary, we offer minimally invasive procedures using the da Vinci® Xi™ Surgical System. Roboticassisted surgery allows our surgeons to perform procedures with enhanced precision and small incisions, leading to faster recovery times.
According to urologist Kyle Schuyler, MD, "Robotic surgery allows us to perform procedures through small incisions, typically about a centimeter in size. This approach decreases blood loss, reduces postoperative pain and enables earlier discharge from the hospital."
Take charge of your urologic health
If you recognize any of the symptoms mentioned, discuss them with your primary care provider to explore the possibility of consulting a urologist.
Skagit Regional Health is dedicated to supporting you with experienced professionals, advanced technologies, comprehensive services and convenient locations on your journey to improved urologic health.
"Prostate
LEFT: Rick Pilling and his wife Debbie.
BELOW: Rick completing routine bloodwork at the Skagit Regional Health Cancer Care Center oncology lab.
Cancer & Robotic Surgery"
Kyle Schuyler, MD Urology
Q&A
Is joint replacement right for you?
Joint replacement surgery is a big decision for those suffering from pain and difficulty moving. Many people have questions about this procedure. Skagit Regional Health (SRH) orthopedic surgeons provide insight into the benefits, what to expect before, during and after surgery and tips for a successful recovery.
Q: What are the most common reasons patients seek joint replacement surgery?
A: If you are experiencing pain, weakness or limited mobility, it might be time to consider joint replacement surgery. The most common joint replacement surgeries are for the shoulder, hip and knee. Ankles, elbows and wrists can also be replaced.
Christopher Sheu, MD, FAAOS, CAQSM, orthopedic surgeon at the Mount Vernon Surgery Center, explains, "The main complaints are pain, decreased function, decreased motion and sometimes weakness. Depending on the joint, you may also have patients who experience instability, locking or catching."
Q: How do you determine if a patient is a good candidate for joint replacement surgery?
A: Good candidates for joint replacements are experiencing significant, long-term pain due to arthritis and have not found relief through more conservative methods. Skagit Regional Health orthopedic surgeon Brett Hall, MD, states, "Becoming a candidate for joint replacement is based on several factors including overall health status, age, degree of arthritis and the effect of the arthritis on quality of life."
Patients generally begin to address arthritis pain with diet changes, exercise, medications, injections or assistive devices. "If those things fail, then we talk about surgery as a last resort," says Dr. Sheu.
Q: What should patients do to prepare for surgery?
A: Once surgery is deemed appropriate, the orthopedic team will obtain insurance authorization and ensure the patient is medically fit for surgery. Patients may need to focus on weight
loss or managing conditions like diabetes or smoking cessation prior to joint replacement, notes Dr. Hall.
In addition to the physical and medical preparation, orthopedic surgeon, Alexander Willis, MD, emphasizes the importance of mental and social preparations. "From a social standpoint, it is crucial for patients to have support at home during the recovery process," he says. In addition to setting up for recovery at home, becoming well-informed about the surgery will set patients up for success.
Q: What happens during the joint replacement procedure?
A: The surgery itself involves a minimally invasive approach with a small incision along the joint.
"We take care to preserve the soft tissues, remove the diseased portions and replace them with a prosthetic joint," explains Dr. Sheu. Most patients can go home the same day to start their recovery.
Q: What does recovery look like after joint replacement surgery?
A: Dr. Willis believes physical therapy is crucial post-surgery. "Having an expert guide you through which motions you can do after the surgery and checking in with them frequently is going to give you the best possible outcome," he says.
Recovery times vary depending on the type of work and the joint replaced. Dr. Willis explains, "For patients with sedentary jobs, they can usually return to work within four-to-six weeks after a hip or knee replacement. For those with jobs involving occasional walking or standing, it might take two and a half months and for physically demanding jobs, at least three months."
Dr. Hall adds, "I tell most patients that it takes close to six months to get the full benefit from the joint replacement."
"Following surgery, the most common thing we hear is, 'Why did I not do this earlier?'" CHRISTOPHER SHEU, MD, FAAOS, CAQSM
MEDICINE
Q: What advice do you have for patients to ensure a successful recovery and long-term outcome after joint replacement surgery?
A: Dr. Hall emphasizes that having a joint replacement for the right reasons and proper preparation—both medical and physical fitness—are critical for a successful outcome.
Having an involved family member or friend as your “coach” who understands the procedure and the recovery process, can also play a huge role in ensuring a smooth recovery.
Dr. Willis stresses the importance of education and realistic expectations. "The more educated you are and the more realistic your expectations are about the perioperative and postoperative periods, the better you'll understand the pain and the necessary therapy. This leads to higher satisfaction with the overall experience."
Q: Can joint pain be prevented?
A: Yes! "One of the best ways to help prevent joint pain is through low-impact aerobic exercise and maintaining a healthy body weight," advises Dr. Hall. Yoga, swimming and walking are all low-impact activities that can help to strengthen the muscles that support your joints. Stretching to increase flexibility of those muscles can also help.
If you're experiencing joint pain, speak with your primary care provider or an orthopedic provider to develop a personalized treatment plan. Skagit Regional Health offers Orthopedics & Sports Medicine appointments at the Mount Vernon Surgery Center and in Smokey Point and Stanwood.
For more information on joint replacement or to schedule an orthopedic appointment, call:
Mount Vernon Surgery Center 360-814-2663 Smokey Point 360-435-6641 Stanwood 360-435-6641 "Joint Replacement" Christopher Sheu, MD, FAAOS, CAQSM Orthopedics & Sports Medicine "Total
Help at my most vulnerable time
BY VIRY DELGADO - SKAGIT REGIONAL HEALTH FOUNDATION BOARD OF TRUSTEES
As soon as I stepped into the room, a flood of memories washed over me. I had to close my eyes, center myself and take a breath.
This place – a labor and delivery room at Skagit Valley Hospital – brought me back to that winter evening eight years ago, when I gave birth to my son. I felt a rush of adrenaline. My eyes grew wide as I took it all in again: the familiar space, the sounds, even the scents took me back to the weeks I spent here.
This was my second baby. With my daughter, I was in labor for five hours and she came into the world naturally and without incident. I was confident things would be the same this time around. But sometimes, things don’t go as planned.
Everything was going fine, but I had a hard time dilating. The labor nurses helped me to stay comfortable. Labor came slowly. I had been there all day and when evening came, it was finally time to push. I had a hard labor. I just remember being so tired.
At about 7 p.m., things turned for the worse. The doctor said the baby was wrapped in his umbilical cord. They
rushed to take him because his heart rate was going down. They called in a special team to help. When he came out, we were waiting for him to cry… and there was silence. He wasn’t breathing. The doctors and specialists took him aside and were working so hard to save his life. My mom, husband and I just watched and were so worried. It
"They called in a special team to help. When he came out, we were waiting for him to cry...and there was silence. He wasn't breathing. The doctors and specialists took him aside and were working so hard to save his life."
felt like a long time before we finally heard him cry. Then, we all cried. Because of his complications, our son had a 15-day stay in the special care nursery. He was anemic, was on oxygen and needed to be closely monitored. The hospital offered me a room so I could be close by. It was a very stressful time but the nurses took really good care of me. They were so helpful and attentive. I was able to rest because I knew someone was always with him. They were my angels.
Today, my son is a happy, healthy and active 8-year-old. He’s so smart. He loves baseball, playing chess and is an artist. Sometimes it’s hard to imagine him starting off so delicate.
Recently, as a Trustee with the Skagit Regional Health Foundation, I was invited to tour the Family Birth Center. We heard from the nurse director about the hospital’s plans to not only update the labor and delivery rooms, but also upgrade the equipment in each room. I could not help but get emotional when they demonstrated how much better and more efficient their work will be after the remodel. Having the latest
lifesaving equipment available will help so many others. Being able to maneuver in the space will give the care team the room they need to work together. Time is precious when a life is at stake.
The reasons behind the project made so much sense to me, having gone through my experience and really witnessing the amazing job they do helping families and newborns at their most vulnerable time.
I feel so very blessed that Skagit Valley Hospital had the advanced capabilities to care for my son’s level of need. Being back at the obstetrics unit at the hospital all of these years later made me stop and appreciate the medical expertise and the loving care we received there.
The Skagit Regional Health Foundation is raising funds for this special project. Eight years later, I’m in
Skagit Regional Health Foundation announces new capital campaign
The Skagit Regional Health Foundation Board of Trustees is pleased to launch its new annual campaign, which will benefit the Family Birth Center at Skagit Valley Hospital.
The campaign goal of $1.6 million will pay for the renovation of the Skagit Valley Hospital Family Birth Center’s 21 single maternity care rooms. The rooms will be redesigned to create a welcoming, spacious environment where the exceptional birthing center care team can provide support to moms and their newborns. The project will include important safety and security upgrades to the unit. It’s estimated that the 21-room renovation will take just over one year, with construction to be completed by the end of 2025.
“The growing challenges of labor and delivery services are felt in every Family Birth Center. Skagit Regional Health is taking charge of making this project a priority for our community,” said Tami Schnell, Regional Director of Women’s and Children’s Services.
Campaign donations of any size will assist in the success of the fundraising
a position to give back to the people and the place that saved my son’s life and gave me the physical care and emotional support I needed. They were there for me. Now, I'm here for them.
Use the QR code below to support the Skagit Regional Health Foundation's Family Birth Center Capital Campain.
Why I give
“Toward the end of our time, we want to help as long as we can. We have been a part of the Skagit Valley Hospital community for a long time and it is rewarding to give to projects that continue to help patients thrive. The Foundation helps meet needs that can’t be met or need a little extra support.”
- DR. LYALL BISHOP
Retired SRH pediatrician and wife Judy, supporters of The Skagit Regional Health Foundation's Family Birth Center campaign. For more information about giving opportunities, scan the QR code, visit us online at SkagitRegionalHealth Foundation.org or call 360-428-2140.
effort. There are 21 opportunities to name a single maternity care room with a $10,000 gift. Proceeds from the Foundation’s annual ParTee Golf Classic and Festival of Trees will also benefit the annual campaign.
The Board is honored to have trustees Lesha Boucher, RN, and Aldi Kllogjeri serve as campaign co-chairs.
“We are excited to create an opportunity for our community to show their support for this important patient care area,” said Kllogjeri.
In 2023, more than 900 babies were born at Skagit Valley Hospital.
Beating the winter blues
Winter is called the “most wonderful time of the year,” but it can be a dreary time for adults in the Pacific Northwest. This is often referred to as the “winter blues.” Angela Clements, PA-C, family medicine provider at Skagit Regional Clinics – Stanwood, answers questions about beating the winter blues.
What are the winter blues?
The "winter blues," or Seasonal Affective Disorder (SAD), is a type of depression that typically occurs during the fall and winter months when daylight saving time ends, peaking in January and February. With this seasonal time shift, we see less daylight, more grey skies and drearier moods arise.
What are the symptoms?
The most prominent symptoms of SAD are feeling depressed most days, reduced energy, loss of concentration and interest in activities, feelings of worthlessness or hopelessness, trouble sleeping or oversleeping, nausea or loss of appetite and/or suicidal thoughts.
What preventative care tips would you recommend to manage Seasonal Affect Disorder?
Self-care strategies can help prevent SAD or manage symptoms, such as socializing, getting active, eating healthy foods, getting adequate sleep, going outdoors more and engaging in activities that interest you.
Receiving guidance from a counselor or therapist to identify the core of your sadness, recognize the triggers of it and to learn coping skills is also very helpful in dealing with your seasonal blues.
Medications are sometimes helpful for severe cases of SAD, where other non-pharmacological strategies have been unsuccessful.
I personally get active. I leave the house to engage in an activity I know I enjoy, such as spending time with friends and family, playing games, going out for dinner or movies, creating crafts, getting a little extra sleep and surrounding myself with things that make me laugh.
How can a patient talk with their doctor about the shift in season and mood?
Bringing up a sensitive subject can feel scary. Be reassured you’re not the only one who’s experienced what you’re feeling. Discussing it with your provider can be a first “healthy” step in getting the help you need.
Your provider will do a thorough evaluation to see if SAD is the correct diagnosis. If so, they can discuss ways to combat those winter blues and guide you toward other strategies in the event this becomes a more chronic case of depression.
If you or someone close to you notices a change in your mood or behavior associated with the change of season, consider talking to your doctor. Early recognition and treatment yields a much better outcome for your symptoms.
If you are struggling with suicidal thoughts, substance abuse, or thoughts of self-harm, please call or text 988 to be connected to the Suicide and Crisis Lifeline. There are resources out there 24/7/365 to aid you in times of emotional need, and each call or text is confidential and free.
Demystifying
Important information for women
Menopause is a complex and often frustrating era in a woman’s life. But understanding what to expect when entering this natural milestone can help.
Skagit Regional Health provider Donna Lee, ARNP, offers expert advice to help women navigate their menopause journey.
Understanding the perimenopause to menopause timeline
From a technical perspective, menopause is defined as going one full year without having a menstrual period. Some women go 10, even 11 months and then get their period — at which time the clock starts over. The average age for entering menopause in the United States is currently 51.
Prior to menopause, however, women can start going through perimenopause starting as early as age 40. Perimenopause initiates when menstrual periods become more irregular.
“Women could start to have periods that are further apart, or a little bit longer in length, or they skip an entire month. This can go on for several years,” states Lee.
Effective tactics to mitigate symptoms
Symptoms that may accompany perimenopause include an occasional hot flash, irregular periods and vaginal dryness. Lee wants to clarify that such symptoms don’t necessarily
indicate an immediate impending transition into menopause.
“A couple of hot flashes does not mean a woman will be in menopause within the next two or three months. It's just a symptom of the perimenopausal period,” she notes.
One way to mitigate premenopausal and menopausal symptoms is to maintain healthy habits, such as exercising regularly, eating a healthy diet and abstaining from tobacco use. Additionally, tactics such as keeping a cool temperature in the bedroom at night and avoiding alcohol use before bed help to stave off hot flashes. For vaginal dryness, Lee assures there are over-the-counter remedies available.
Getting real about hormone therapy
Lee routinely gets asked about hormone therapy and its effectiveness. She explains that hormone therapy can be very helpful for some. Those who have had a prior history of breast cancer, stroke, heart attack or blood clots are not good candidates for hormone therapy.
According to Lee, the ideal woman for hormone therapy would be someone who is less than 10 years away from their final period. “They are in the first 10 years of menopause and they don't have
high blood pressure or uncontrolled cholesterol. And, they're suffering from symptoms such as hot flashes that are causing sleep disturbance or vaginal dryness. Especially if they're at high risk for osteoporosis, those women would be good candidates for hormone therapy.”
The menopausal and postmenopausal care continuum
Many women presume that once they’ve entered menopause, they don’t need to continue with Pap tests or pelvic exams. Lee explains that women should continue with Pap tests until age 65 - and possibly even longer - if there has been an abnormal result. She also recommends a yearly pelvic exam.
“We want to look at the tissue. Women may need some vaginal estrogen. We also check for any lesions and the possibility of vulvar cancers. We talk about incontinence and pelvic floor health. We also look at the potential for pelvic floor prolapse, which we can treat with exercise and surgery in appropriate cases.”
Wondering about menopause?
Talk with your primary care provider about seeing a women’s health specialist at Skagit Regional Health. Visit SkagitRegionalHealth.org to search for the provider that’s right for you.
The mission of the Skagit Regional Health Foundation is to raise, manage and distribute funds to assure the continued availability of quality healthcare services and programs at Skagit Regional Health. The Foundation fosters awareness of and community support for Skagit Regional Health through the involvement of the people it serves.
Recent community donations
Dwayne Lane's Skagit Subaru offers care kits and hope to cancer patients
Every year for the last nine years, Dwayne Lane’s Skagit Subaru, in partnership with The Leukemia and Lymphoma Society, has wrapped our cancer patients in comfort and warmth…literally! This past June, representatives from Dwayne Lane’s Skagit Subaru delivered blankets for cancer patients, care kits and messages of hope to Skagit Regional Health’s Cancer Care Center as a part of the Subaru Loves to Care program.
LEFT: Staff from the Skagit Regional Health Cancer Care Center and the Skagit Regional Health Foundation accepted care kits from Dwayne Lane's Auto Family and Skagit Subaru.
Burlington-Edison High School ASB raises funds to benefit cancer care in honor of loved ones
The Skagit Regional Health Foundation is grateful to the Burlington-Edison High School Associated Student Body (B-EHS ASB) for a donation of $482.73 to the Foundation’s Cancer Care Fund.
Students raised these funds in honor of their family members and friends who have had a cancer journey. This is the 12th consecutive year that the B-EHS ASB has raised funds in support of cancer care at Skagit Regional Health.
RIGHT: Representatives from the Burlington-Edison ASB present their check to the Skagit Regional Health Cancer Care Center.
Kendrick Family Heart & Vascular Institute complete
Nearly $5 million was raised through donor gifts and grants during the Skagit Regional Health Foundation’s Cardiac Cares Capital Campaign to purchase innovative diagnostic imaging equipment for the three cardiac catheterization labs. The campaign may be over, but the benefits of good heart health for the community have just begun.
All three catheterization labs are fully equipped and staff are seeing up to 150 patients per month for heart and vascular procedures.
New endowment created for Graduate Medical Education scholarly activities
The Skagit Regional Health Foundation is pleased to have received a generous $10,800 gift from Mary Ramsbottom, MD, to establish an endowment to support Graduate Medical Education Family Medicine and Internal Medicine residents' scholarly activity projects.
The initial campaign goal was $3 million - the second-most ambitious fundraising initiative in the Foundation’s 35-year history. While the campaign was initially scheduled to continue through 2024, an anonymous gift of $3 million, presented this past October by a couple who receives care at Skagit Valley Hospital, secured the completion of the campaign. This gave the Foundation the ability to donate more than $4 million to this important patient care project.
The Ramsbottom Scholarly Activity Financial Endowment (SAFE) will provide grant opportunities for residents to help fund projects that promote solutions to health and medical issues. The SRH Foundation will manage the endowment and both established and new Foundation donors will have the opportunity to support the endowment through individual contributions. In the next decade, Skagit Regional Health’s Graduate Medical Education program will train more than 100 physicians. As an Associate Director of the Internal Medical Residency Program and Chair of the Skagit Regional Health Institutional Review Board, Dr. Ramsbottom has impassioned enthusiasm for the program. The program combines medical training and academic rigor embedded in a supportive learning environment, empowering participants. Giving this gift allowed her to create a living legacy that will impact healthcare education for future generations of providers.
Thank you, Dr. Ramsbottom!
Skagit Regional Health Foundation Cardiac Campaign co-chairmen Brett Fontes and Travis Coulter and Foundation Executive Director Linda Frizzell see the completed remodel of the cardiac catheterization labs.
RIGHT: Mary Ramsbottom, MD pictured with two Skagit Regional Health resident physicians.
Sponsors and golfers make a difference for patient care
The Skagit Regional Health Foundation, in partnership with Title Sponsor Marathon Petroleum, held its 20th annual ParTee Golf Classic on Friday, June 21 at the Skagit Golf and Country Club. With the tremendous support of generous sponsors and a full field of golfers and tournament volunteers, more than $110,000 was raised in support of the Foundation’s new $1.6 million campaign for the Skagit Valley Hospital Family Birth Center renovation project.
Course Event Sponsors
Baird Private Wealth Management – Jeff Stewart, CFA
Banner Bank
Chad Fisher Construction
Electrocom Sound & Communication Systems
Dwayne Lane’s Skagit Subaru
G&W Commercial Interiors
LifeNet Health
Lisser & Associates
Moss Adams
North Cascade Insurance
SaviBank
SB&C, Ltd.
Skagit Regional Health
The Office Tavern
WaFd Insurance Group
Whidbey Coffee
Eagle Hole Sponsors
Biringer Nursery
Community Healthcare FCU
Crothall Healthcare
Foster Garvey
HomePlace Memory Care
JTK Engineering
Mount Vernon Police Services Guild
Mount Vernon Professional Firefighters
Optimum Properties
Peoples Bank
Piper Sandler
Rehema for Kids
St. Clair Enterprises, Inc./ FedEx Ground
Skagit Transportation
TechPower IT Solutions
Thomas Cuisine
TRICO Companies
VSH CPAs
Woodcraft Wood Floors
Where the Heart Is
Game Sponsors & Underwriters
Empower
Bruce & Debra Lisser
Retail Lockbox
Skagit Law Group PLLC
Structured Communications Dr. Rob Zwick
ParTee Golf Classic
Committee
Mike Marken Co-Chair
Aaron Robbins Co-Chair
Kate Biringer
Lesha Boucher
Duane Henson
Michelle Knutzen
Bristal Latham
Holly Nielsen
Carter Otos
Brent Thompson
Foundation Staff
Kylee Dowe
Tournament Coordinator
Linda Frizzell
Wendy Ragusa
TITLE SPONSOR
GOLF CART SPONSOR
GOLF BAG VALET SPONSOR
GREEN FLAGS SPONSOR
19TH HOLE SPONSOR
Community leaders join Skagit Regional Health Foundation Board of Trustees
The Skagit Regional Health Foundation Board of Trustees installed two new Board members at its annual dinner meeting held on May 16, 2024.
Michelle Knutzen is the staffing coordinator for Cascade Valley Hospital’s Emergency Department. She has been involved in Foundation events for more than a decade assuming key leadership roles on the Festival of Trees and the ParTee Golf Classic committees. Michelle volunteers for the Sedro-Woolley Riding Club and the Burlington-Edison High School Football Boosters. She is a graduate of Sedro-Woolley High School and Skagit Valley College and is currently pursuing her healthcare administration certificate from Western Governors
Our mission
The mission of the Skagit Regional Health Foundation is to raise, manage and distribute funds to assure the continued availability of quality healthcare services and programs at Skagit Regional Health. The Foundation will foster awareness of and community support for Skagit Regional Health through the involvement of the people it serves.
Skagit Regional Health Foundation
P.O. Box 1376
Mount Vernon, WA 98273
360-428-2140
Nonprofit tax ID #: 94-3078550
Like us on Facebook at: Facebook.com/SkagitRegionalHealthFoundation
To
University. She and her husband Toby reside in Burlington. They have a grown daughter and a college-bound son.
Sandra Nootenboom is the Proposal Manager with Snelson Companies of SedroWoolley. She is the 2024 Festival of Trees co-chair. Her community leadership has included serving on two Seattle Children’s Hospital guilds here in the Skagit Valley. Sandra is a graduate of Mount Vernon High School and has her Bachelor’s Degree in Business Management. She and her husband Ryan reside in Bayview. They have a grown daughter and a middle school-aged son.
Thank you to outgoing Trustees
At its annual Board dinner meeting, Board members and their guests raised their glasses to toast two fellow trustees. After completing a full nine years on the Foundation, the Board said farewell and thank you to Mike Lervick. For each year of his tenure, he served an integral role in Festival of Trees operations including setup, tree delivery and hospitality. Dr. Richard Leone’s three-year service on the Board is also greatly appreciated. His leadership as a Skagit Regional Health provider was valuable.
The Skagit Regional Health Foundation Board of Trustees supports the Foundation’s mission to raise, manage and distribute funds to assure the continued availability of quality health care services and programs at Skagit Regional Health.
Board of Trustees
Volunteers are the key to the Skagit Regional Health 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.
Zach Barborinas President
Brent Thompson Vice President
Katie Jungquist Vice President of Cancer Care
Laura Fisher Vice President of Planned Giving
Travis Coulter Secretary
Aldi Kllogjeri Treasurer/Annual Campaign Co-chair
Alicia Huschka Assistant Treasurer
Lesha Boucher Annual Campaign Co-chair
Bobbi Ahrenius
Katie Biringer
Viry Delgado
Brett Fontes
Duane Henson
Brian Ivie
Michelle Knutzen
Mike Marken
Evelyn Morse
Holly Nielsen
Sandra Nootenboom
Larry Otos
Scott Railton
Aaron Robbins
Gary Shand
Angela Speer Usyk
Kris Wollan Staff
Linda Frizzell Executive Director
Wendy Ragusa Stewardship and Annual Fund Manager
Kylee Dowe Development and Digital Engagement Coordinator
Choosing a primary care provider
It’s open enrollment season – the time of year when you can choose a new insurance plan, which could also mean searching for a new primary care provider. Begin your search by selecting the right primary care provider to partner with you to maintain your health and wellness. Here’s how:
Start by assessing your specific needs
A family medicine provider can treat all ages; internal medicine specialists primarily see adults and pediatricians specialize in children. Next, consider practicalities such as insurance coverage, location and office hours that fit your schedule.
Research potential providers
Seek recommendations from trusted sources, check online reviews and verify credentials like board certification and experience. Be outspoken about
Meet our newest providers
your needs and gauge communication style, ensuring the provider listens attentively and involves you in decisions.
Evaluate the provider's approach
What is their stance on preventive care and how they handle referrals to specialists if needed?
Trust your instincts during the initial meeting to determine if you feel comfortable and confident in their care.
Need to find a doctor?
Use our Find-a-Doc tool online to search for a provider that meets your needs.
SkagitRegionalHealth.org/ Find-A-Doctor
Choosing a primary care provider is a personal decision that impacts your long-term health. By prioritizing compatibility, qualifications and convenience, you can find a healthcare partner who supports your well-being and helps you navigate your health journey.
Skagit Regional Health is committed to providing high-quality, comprehensive healthcare to our communities while serving patients with compassion and respect. Our multi-disciplinary team of primary care providers, specialists and surgeons come together for you, the patient, to provide you with the best care possible.
To continue that mission, we are pleased to welcome the following providers to our team:
Mallory Beach, ARNP
Family Medicine
Camano Island
Nana Biney, MD
OB Hospitalist
Skagit Valley Hospital
Eleanor DeShone, PA-C
Urology
Mount Vernon
Yevgeniy Eugene Elikh, MD
Family Medicine
Family Medicine Residency Clinic
Curran Emeruwa, MD
Urology
Mount Vernon
Jasleena Grewal, ARNP
Neurology
Mount Vernon
Jeremy Godsell, MD
Ear, Nose & Throat
Mount Vernon Surgery Center
Welcome new residents!
Joshua Larson, DO
Internal Medicine
Internal Medicine Residency Clinic
Fima Macheret, MD
Electrophysiology
Mount Vernon Cardiology
Stephen Mowery, MD
Family Medicine
Mount Vernon
Rosalynn Nguyen, DO
General Surgery
Arlington Specialty Clinic
Hannah Purvis, PA-C
Family Medicine
Station Square
Kyle Schuyler, MD
Urology
Mount Vernon
Sidra Tufon, PA-C
Gastroenterology
Mount Vernon Surgery Center
Tiffany Walker, PA-C
Urgent Care
Skagit Regional Health offers robust Family Medicine and Internal Medicine residency programs, each spanning three years, designed to cultivate the next generation of compassionate and skilled physicians. Our residents benefit from a comprehensive curriculum and hands-on experience, ensuring they are well-equipped to meet the diverse needs of our community.
Family Medicine
Arika Boswell, MD
Harsukhjit Deol, DO
Jose Garcia, MD
Matthew Hall, DO
Andrew Larson, DO
Stanley Moore, MD
Roberto Zevallos, MD
Internal Medicine
Asheesh Batra, DO
Nur Bruss, MD
Chorng-Yu Chao, DO
Aziz Eshov, DO
Trevor Haverkamp, DO
Meredith McDermott, DO
Mansi Naria, MD
Glen Mark Sumagit, MD
t Hospice of the Northwest, we believe informed patients are empowered patients. We encourage people to take an active role in their healthcare decisions, not just at the end of life, but before a medical crisis occurs. One important way to do this is through advance care planning—a vital process that allows you to have a voice in your medical care, even if you're unable to speak for yourself. Here, we answer questions people often have about advance care planning:
What is advance care planning?
Advance care planning is a vital process that enables you to make plans for your future healthcare. It involves discussing, documenting and sharing what is most important to you. This might include your preferences for pain management, life support measures or where you will receive care. Advance care planning ensures your wishes are known and respected should you become unable to communicate them during a medical emergency.
Why is advance care planning important?
According to research, completing an advance directive increases the likelihood that healthcare providers and family members will carry out your wishes. Research has also shown that advance care planning leads to better quality of life for the patient, as well as reduced moral distress and an improved bereavement experience for those you love.
Advance Care Planning
What is an advance directive?
An advance directive—also called a living will—is a legal way to document your healthcare wishes. It allows you to designate a healthcare agent to make decisions for you if you cannot make them yourself. Once completed, this document should be shared with the people who matter most to you and your healthcare providers to ensure your wishes are followed.
Who should have an advance directive?
Every adult over the age of 18 should have an advance directive. It’s a common misconception that only older adults or patients with serious illnesses need one. Since accidents or sudden illnesses can happen at any age, it’s important to have an advance directive in place throughout the lifespan.
Do I need a lawyer?
In most cases, you won’t need to talk to a lawyer. The most important part of advance care planning is talking to your healthcare provider and your loved ones. Advance directive forms are readily available online, can be filled out at home and are made legal once notarized or signed by two qualifying witnesses.
What is a healthcare agent?
Also known as a healthcare proxy or durable power of attorney for healthcare, your healthcare agent is the person (or persons) you choose to make decisions for you if you are unable to speak for yourself. Choose someone you trust who will understand and advocate for your wishes. This could be your spouse or another family member, a close friend or even a neighbor. Discuss your choices with them beforehand, make sure they’re comfortable with the role and be sure to give them a copy of your advance directive.
What if I change my mind?
You can revoke or change your advance directive at any time. In fact, it’s recommended that you review and revise it any time a life event occurs, or every 10 years. Be sure to communicate the changes and provide new paperwork to your healthcare agent and medical providers.
How do I start the conversation?
Talking about the end of life can be difficult, but it's one of the kindest gifts you can give yourself and your loved ones. It’s okay to start small—you don’t have to talk about everything in one conversation. Bring up an end-of-life story from a book or TV show, ask for their thoughts and share your own. Keep the dialogue open to build comfort and understanding over time.
Resources for a healthy life
Screenings
Direct Access colonoscopy
Healthy adults 45 and older who have not had any colon-related symptoms or any other major health problems are eligible to receive a screening colonoscopy without a provider’s referral through Skagit Regional Health’s Direct Access program. Call 360-814-5739 to schedule.
Mammography
Mammography plays an integral part in the early detection of breast cancer because it can show changes in the breast up to two years before you or your healthcare provider can feel a noticeable lump. Call 360-814-8208 to schedule a mammogram in Mount Vernon or Arlington.
Talk with your healthcare provider about the other screenings available at Skagit Regional Health:
• Prostate Cancer Screening
• Lung Cancer Screening
• Cervical Cancer Screening
To learn more, go to SkagitRegionalHealth.org and search ‘screenings.’
Mental Health
988 Suicide and Crisis Lifeline
If you or someone you are worried about is experiencing thoughts of suicide, a mental health crisis, a substance use crisis or any other kind of emotional distress, please call or text 988 to be connected with a trained crisis counselor. It is confidential, free and available 24/7/365. Services are available in Spanish, along with interpretation services in over 250 languages.
Deaf/hard of hearing/TTY: Use your preferred relay service or dial 711 then 988.
Childbirth/Family Resources
Family Birth Center
Scan the QR code or visit SkagitRegionalHealth. org/FBCStay for more information and a tour of Skagit Valley Hospital's Family Birth Center.
Childbirth Education virtual class
Skagit Regional Health offers an evidence-based, video-rich and engaging online childbirth class. You will have access to videos, animations, optional read-along audio, quizzes, interactive exercises and essential pregnancy, birth and new-parent tools, including a PDF library, glossary and web links. Scan the QR code to visit the Classes and Events page at SkagitRegionalHealth.org or call 360-814-2283.
Lactation support
Call 360-814-2283 to meet with a lactation specialist during and after your hospital stay.
Community Resources
Give blood
Bloodworks Northwest offers blood drives in our region to serve our communities' blood supplies. The mobile bus will be outside Skagit Valley Hospital's main entrance, Skagit Regional Health - Smokey Point and Cascade Valley Hospital on several occasions. An appointment is required. Call 1-800-398-7888 or visit BloodworksNW.org to schedule.
Have unused medications?
Dispose of them properly
Search MedTakeBackWashington.org or call 844-482-5322 to find local, secure drop-off kiosks for your unused medications or to order mail-back supplies.
STOP THE BLEED®
The person next to a bleeding victim may be the one who’s most likely to save them from bleeding to death. In a STOP THE BLEED® class, you’ll gain the ability to recognize life-threatening bleeding and act quickly and effectively to control bleeding. Take the STOP THE BLEED® training course, provided by Skagit Regional Health instructors, and become empowered to make a life-or-death difference when a bleeding emergency happens. This event is free and open to the public. Please email pross@skagitregionalhealth.org to find a class near you
Support Groups
Cancer
Support Group
This free support group for all cancer patients their families, friends and caregivers meets on the last Wednesday of every month from 4:30 - 5:30 p.m. Call 360-814-8255 for more information.
Stroke Support Group
Provided by Skagit Regional Health rehabilitation therapists, this caring support group for stroke survivors, their loved ones and caretakers offers up-to-date education and information. This group meets the last Wednesday of every month from 2 - 3 p.m. For more information, call 360-814-8394 or email mpelosi@skagitregionalhealth.org.
Ostomy Support Group
A friendly and inspiring support group for people with ostomies, their families, caregivers and friends. Reduce anxiety, learn coping skills and be in a place to share your concerns and get emotional support. This group meets on the second Tuesday of every month at Skagit Valley Hospital from 6 - 7 p.m. Please call Cathy at 360-202-3410 for more information.
From the Board of Commissioners
It is our distinct privilege to share Skagit Regional Health’s 20252027 strategic plan. The plan represents the collaborative work of the Skagit Regional Health Board of Commissioners, staff, state and industry stakeholders across Northwest Washington.
Planning for the future delivery of health services is crucial in meeting the needs of our growing, increasingly diverse and aging population. The 2025-2027 strategic plan outlines how we will tackle upcoming challenges by embracing discovery and learning, building partnerships and engaging our community to provide excellent healthcare services and promote our community’s wellbeing. This plan will serve as the core roadmap for enhancing and evolving our clinical services, fostering community involvement and managing our infrastructure.
As part of the process, new mission, vision and values statements were carefully crafted to help guide the strategy. Our new mission is clear, concise and memorable. Our new vision is aspirational and our values speak to our core principles that will guide our organizational culture.
Mission:
Exceptional healthcare, always.
Vision:
Improving lives through compassionate and innovative healthcare.
Our priority is to continue delivering exceptional healthcare. To achieve this, four distinct strategic themes have been identified to drive the plan forward:
People first
– Optimize engagement and satisfaction through the development and support of our patients, providers and staff.
• Be the healthcare system of choice for patients.
• Be the employer of choice for the entire care team.
Clinical excellence – Deliver high reliability by providing consistency and excellence in quality.
• Be a leader in high-quality, high-value outcomes for all patients with every interaction.
• Leverage data and clinical informatics to improve care.
One system – Promote patient-centered care through enabling teams to do their best work and accelerating integrated operations.
• Create seamless transitions of care.
• Unify culture and process.
Focused growth and development –Thoughtfully evaluate and plan for new growth opportunities, ensuring appropriate fiscal stewardship and strategic alignment.
• Run Skagit Regional Health efficiently, as demonstrated by positive and/or improving operating income.
• Develop infrastructure to meet the healthcare needs of growing communities.
• Provide the right services at the right time and place.
Each of these strategic themes is supported by clear goals, plans and performance measures to ensure that the overarching objectives of the strategic plan are met and the best health outcomes are achieved for our community. This strategic plan serves as a framework for uniting our entire team, together with the community, to stay ahead of future opportunities and challenges. We are confident that this plan will help Skagit Regional Health realize its vision of “improving lives through compassionate and innovative healthcare.”
Frei Burton Chair, Public Hospital District No. 1 Skagit Regional Health Board of Commissioners
Brian Ivie President & Chief Executive Officer Skagit Regional Health
The Public Hospital District No. 1 Board of Commissioners, L to R: Monira Vakil, DO; Dale Ragan; Bruce Lisser; Gary Shand, Peter Browning; Jeffrey Miller, PhD; Frei Burton, Chair.