MEDICAL HEALTH
& WELLNESS
DIRECTORY
THE DANGERS OF PROLONGED THUMB-SUCKING AND PACIFIER USE
BY KYLE DOSCH
Seeing a baby suck on a pacifier or an infant on their thumb is one of those memories a parent will keep forever.
Most hospitals even send home a conventional rubber green pacifier with a newborn baby. And while it is normal for small children to use a pacifier or their thumb to calm down or to stop crying, prolonged usage of either can lead to oral health problems down the line.
In general, according to the American Academy of Pediatric Dentistry, children up to the age of three will not face issues from the use of pacifiers or thumb-sucking, but if they keep that habit up as they age there can be major issues with their bite, their teeth, chewing, how their mouth rests and problems with their tongue.
Thumb-sucking, finger-sucking or pacifier use should be discontinued before a child reaches three years of age. If not stopped, these habits can harm the eruption and position of the permanent teeth and affect the health of surrounding oral tissues.
There are two types of pacifiers: conventional and orthodontic. Orthodontic pacifiers are generally flat bottomed and square, which is designed to imitate the shape of the mother’s nipple. Conventional pacifiers — which are often the type sent home with newborns from the hospital — tend to be round. While either option will soothe a child, the orthodontic pacifiers are the least likely to contribute to bite issues after teething.
These habits tend to persist because of physical and emotional stimuli, including boredom, hunger, stress, hyperactivity, pleasure, sadness and various kinds of disabilities. An increase in your child’s level of stress or anxiety can lead to the continuation of the thumb-sucking habit beyond a healthy age.
There are five main issues that may arise from prolonged thumb-sucking or pacifier use:
• Open bite: Upper and lower teeth don’t touch when the mouth is closed.
• Increased overjet: Upper jaw and teeth protrude excessively forward.
• Chewing: Upper and lower teeth don’t articulate correctly to provide a solid chewing
surface.
• Cross bite: Upper back teeth sit inside the bottom teeth and appear tilted inward toward your tongue, instead of lining up straight and fitting into each other.
• Tongue thrust compensation: An infant generally pushes their tongue out when swallowing, while children and adults rest the tongue against the roof of their mouth.
All five of these issues can cause too much pressure being placed on the teeth and jaw, leading to speech impediments, issues with facial development and gum problems – they can also eventually require surgery.
Remember, a child utilizes their thumb or a pacifier for a reason, so offering encouragement and helping them come up with other solutions to overcome boredom or anxiety is the way to go.
Kyle Dosch, DDS, is Delta Dental of Washington’s dental director.
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MEDICAL DIRECTORY
ACUPUNCTURE
MIDDLE PATH ACUPUNCTURE
Ellensburg - 502 N. Anderson St. Cle Elum - 402 1st St., Suite 104
509-925-1530
ADDICTION & REHABILITATION CENTERS
MERIT RESOURCE SERVICES
200 E. 3rd Ave. Ellensburg, WA 98926
509-925-9821
BARTH CLINIC
2141 Dolarway Rd., Unit 1
Ellensburg, WA 98926
509-925-7867
SUNDOWN M RANCH | DRUG & ALCOHOL TREATMENT CENTER
2280 State Route 821 Yakima, WA 98901
800-326-7444
IDEAL OPTION
602 N 39th Ave STE 200 Yakima, WA 98902 (877) 522-1275
ASSISTED LIVING, RETIREMENT AND REHABILITATION CENTERS, RETIREMENT LIFE, ADULT COMMUNITIES & CARE HOMES
CASCADE MANOR SENIOR APARTMENTS
101 Pearl Street Ellensburg, WA 98926
509-925-3061
GENTEEL ESTABLISHMENT
781 Kaynor Road Ellensburg, WA 98926
509-968-3469
HUNTINGTON COURT SENIOR APARTMENTS
306 E. Manitoba Avenue Ellensburg, WA 98926
509-925-5178
KITTITAS INTERACTIVE MANAGEMENT
305 N. Anderson St. Ellensburg, WA 98926
509-968-4432
AVISTA SENIOR LIVING
1008 E. Mountain View Ave. Ellensburg, WA 98926
509-260-3049
PACIFICA SENIOR LIVING
818 E. Mountain View Avenue Ellensburg, WA 98926
509-941-2297
PRESTIGE POST-ACUTE AND REHAB CENTER
1050 E. Mountain View
Ellensburg, WA 98926
509-925-4171
HEARTHSTONE SENIOR LIVING
802 E. Mountain View Avenue Ellensburg, WA 98926
509-925-3099
Hearthstone Senior Living offers independent and assisted living with wellness programming and personalized care in a supportive community.
ROSEWOOD ADULT LIVING
COLDWELL BANKER CENTRAL
508 North Main Street Ellensburg, WA 98926
509-859-3474
GRACE MANOR ADULT FAMILY HOME
906 Seattle Ave Ellensburg, WA 98926
206-683-0821
RUTH’S HOME – NOVA HOUSE
301 E 3rd St , Cle Elum, WA 98922 (509) 304-9618
RUTH’S HOME – MALIBU HOUSE
401 Main St South Cle Elum, WA 98943 (509) 304-9618
RUTH’S HOME – BELAIR HOUSE
304 E 3rd St Cle Elum, WA 98922 (509) 304-9618
AUDIOLOGY, HEARING CENTERS, HEARING AIDS & ACCESSORIES
INLAND HEARING AIDS INC.
207 W. Tacoma Avenue Ellensburg, WA 98926
509-962-8488
NORTHWEST AUDIOLOGY
601 N. Main, Suite #1
Ellensburg, WA 98926
509-962-9575
VALLEY HEARING ASSOCIATES
2205 W.Dolarway Rd. Suite 1 Ellensburg WA 98926
Ph # 509-925-2211 Fax # 509-925-2216 www.valleyhearingassociates.com
Scott Wise, H.I.S. & Business Owner
Ashley Poulsen, Business Owner MIRACLE-EAR HEARING AID CENTER 1011 N Alder St Ellensburg, WA 98926 (509) 903-0490
THOMPSON AUDIOLOGY 1111 N 35th Ave Yakima, WA 98902 (509) 248-0933
BIRTH CONTROL, SEXUAL HEALTH, AND PREGNANCY CENTERS
CARE NET PREGNANCY CENTER OF KITTITAS COUNTY
111 E. 4th Avenue Ellensburg, WA 98926
509-925-2273
PLANNED PARENTHOOD –ELLENSBURG HEALTH CENTER
613 N. Pine Street
Ellensburg, WA 98926
866-904-7721
CANCER TREATMENT & INFORMATION CENTERS
NORTH STAR LODGE
808 N. 39th Ave. Yakima, WA 98902
509-574-3400
CARDIOVASCULAR
DISEASES SPECIALISTS
MICHELLE SMEBACK, ARNP KVH
VASCULAR SURGERY
Michael Zammit, MD KVH Vascular Surgery
Bobbi L. Hoppe, MD, FACC, FHRS KVH Cardiology
MEMORIAL CARDIOVASCULAR IMAGING CENTER
406 S. 30th Ave. Yakima, WA 98902
509-248-7715
CHIROPRACTORS
DAVID BRIDGEMAN, M DC
120 E. 1st Street Cle Elum, WA 98922
509-674-4448
CENTRAL WASHINGTON CHIROPRACTIC 801 S. Ruby Street, Suite 1
Ellensburg, WA 98926
509-962-8008
EAST CASCADE CHIROPRACTIC 202 W. 1st St., Suite 1 Cle Elum, WA 98922
ELLENSBURG CHIROPRACTIC PS 109 S. Water Street, Suite 2 Ellensburg, WA 98926
509-962-2225
ELLENSBURG INTEGRATED MEDICINE
304 S. Water St., Suite 103 Ellensburg, WA 98926
509-925-7246
ALPINE CHIROPRACTIC AND DECOMPRESSIONS
1011 N. Alder St. Ellensburg, WA 98926
509-962-2570
COUNSELORS & MENTAL HEALTH
CENTRAL WASHINGTON COMPREHENSIVE MENTAL HEALTH
220 W. 4th Avenue
Ellensburg, WA 98926
509-925-9861
402 S 4th Avenue Yakima, WA 98907
509-575-4084
CHRISTIAN CARE SERVICE
1206 N. Dolarway Rd., Suite 210 Ellensburg, WA 98926
509-933-2273
CREATYOGA
103 E 3rd Ave, Ellensburg, WA 98926
509-899-0010
CROSSROADS COUNSELING
603 N. Main Street, Suite 1 Ellensburg, WA 98926
509-962-4300
EASTSIDE VOCATIONAL SERVICES 902 N. Enterprise Way Ellensburg, WA 98926
509-962-1950
JOHNSON, PHILIP 617 S. 48th Avenue Yakima, WA
509-966-2794
KITTITAS VALLEY COUNSELING CENTER LLC
413 N. Main Street, Suite D Ellensburg, WA 98926
509-925-4400
MOSAIC COUNSELING SERVICES
112 W. Railroad Cle Elum, WA 98922
509-674-5144
COMPREHENSIVE ON PEARL
707 N. Pearl, Suite E Ellensburg, WA 98926
509-925-9861
JILL SCHWARZ
603 N. Main, Suite 1 Ellensburg, WA 98926
509-962-6110
STILLWATER COUNSELING SERVICE
1206 N. Dolarway Road, Suite 203
Ellensburg, WA 98926
509-925-1840
ANDREA UTZINGER MS LMHC AND THOMAS LOGAN MA LMHC
COUNSELING SERVICES
103 E. 4th Avenue, Suite 200 Ellensburg, WA 98926
509-929-1984
MARCIA RORTY, PHD
103 E 4th Ave, Suite 201
Ellensburg, WA 98926 (509) 607-6440
KIMBERLY FINGER LICSW
109 E. Third Ave., Suite 5 Ellensburg, WA (509) 559-5781
DENTAL
AVANTA DENTAL
306. S Main Street #1 Ellensburg WA 98926
509-505-5039
BIG COUNTRY FAMILY DENTAL
307 W. 1st Avenue, Suite 1 Ellensburg, WA 98926
509-962-6172
CENTRAL WASHINGTON ORAL & FACIAL
109 N Pine St Ellensburg, WA 98926 (509) 663-0068
CENTRAL WASHINGTON
PEDIATRIC DENTISTRY
109 N. Pine Street Ellensburg, WA 98926
509-933-2973
CLE ELUM DENTAL CLINIC
206 W. 1st Street
Cle Elum, WA 98922
509-674-2307
CREEKSIDE DENTAL
2601 Triple L Loop Ellensburg, WA 98926
509-933-4800
COMMUNITY HEALTH OF CENTRAL WASHINGTON
521 E. Mountain View Avenue
Ellensburg, WA 98926
509-933-2400
Hours: Mon- Fri 7:00am – 5:00pm Saturday 8:00am -4:00pm
Services: Comprehensive dental care for the entire family
Preventative and restorative dentistry
Same Day Emergency Appointments available
SWIFTWATER DENTAL CARE
101 Harris Ave.
Cle Elum, WA 98922
509-674-5153
DR. MARK SIKS, DDS
215 E. 4th Avenue
Ellensburg, WA 98926
509-925-3200
MOUNTAIN VIEW DENTAL
708 E. Mountain View Avenue
Ellensburg, WA 98926
509-962-2755
ellensburgdentist.com
Mountain View Dental is a long-standing Ellensburg dental office offering quality services including dental implants and same day crowns.
PARKER ORTHODONTICS
109 N. Pine Street
Ellensburg, WA 98926
509-962-6902
PEARL CARE DENTAL
2401 W. Dolarway Road Ellensburg, WA 98926
509-925-6553
WILLIAM PHILLIP, DDS, PS
201 E. Mountain View Avenue
Ellensburg, WA 98926
509 962-8299
SULLIVAN FAMILY DENTAL
305 E. 2nd Avenue
Ellensburg, WA 98926
509-962-9020
SUNRISE DENTAL
601. N Main Street Suite 2
Ellensburg WA 98926
509.933.3300
DIALYSIS
DAVITA ELLENSBURG DIALYSIS CENTER
2101 W. Dolarway Road, Unit 1 Ellensburg, WA 98926 (833) 352-2148
DIETITIAN /NUTRITION
CARLI HILL, PLLC
200 E 4th Ave
Ellensburg, WA 98926 (509) 426-7008
PEACE & NUTRITION
413 N Main St Suite A Ellensburg, WA 98926 (509) 607-8972
NESTED NUTRITION
422 N Pine St, Ellensburg, WA 98926 Hello@Nested-Nutrition.com
ELECTROLYSIS
ELLENSBURG ELECTROLYSIS
171 Brown Road
Ellensburg, WA 98926
509-899-1166
FUNERAL/CREMATORIUM SERVICES
BROOKSIDE FUNERAL HOME & CREMATORY
500 E Mountain View Ave
Ellensburg, WA 98926
509-925-2902
JOHNSTON & WILLIAMS FUNERAL
HOME & CREMATORY
301 E 3rd Ave Ellensburg, WA 98926
509-925-2902
201 N Harris St Cle Elum, WA 98922
509-674-4445
GENERAL PRACTICE
COMMUNITY HEALTH OF CENTRAL WASHINGTON
521 E. Mountain View Avenue
Ellensburg, WA 98926
509-962-1414
COMPASSDIRECT HEALTHCARE
100 W 3rd Ave, Ellensburg, WA 98926
Phone: 509-388-2345
KVH FAMILY MEDICINE – CLE ELUM
Hours: 8 a.m. to 5 p.m., Monday - Friday
Address: 201 Alpha Way, Cle Elum
Phone: 509-674-5331 or 509-9625060
www.kvhealthcare.org
Sarah Heniges, PA-C
Alisa Peterson, MSW, LICSW
Joe Smith, DPT
John Asriel, MD
Nate Everett, DPT
Rob Merkel, PA-C
Chelsea Newman, PA-C
Auren O’Connell, DNP
Andrew Thomas, MD
KVH FAMILY MEDICINE - ELLENSBURG
Located in KVH Medical Arts Center, 100 E Jackson Ave Suite 301 3rd Floor, Ellensburg, WA 98926
Phone: 509-933-8777
www.kvhealthcare.org
Ann Parr, PA-C
José Diaz, PA-C
William Phillips, ARNP
Mark Larson, MD
John Merrill-Steskal, MD
Annaliese Stone, DO
Carissa Dahl, ARNP
Julia Riel, PA-C
Jie Casey, DO
Vanessa Wright, MD
GENERAL SURGERY
KVH GENERAL SURGERY
Hours: 8 a.m. to 5 p.m., Monday –Friday
Address: 611 S Chestnut St, Suite A, Ellensburg
Phone: 509-962-7390 www.kvhealthcare.org
Timothy O’Brien, MD
Tom Penoyar, MD
Christopher Petty, MD
Lauren Wilkholm-Meyer, MD
HOME HEALTH SERVICES
HOME CARE SERVICES
1206 W. Dolarway Road, Suite 217 Ellensburg, WA 98926
866-291-3017
509-962-6242
KVH HOME HEALTH
1506 E. Radio Road
Ellensburg, WA 98926
Phone: 509-962-7438
www.kvhealthcare.org
LISA’S TENDER CARE
11852 Hwy 10
Ellensburg, WA 98926
509-899-1196
HOSPICE
KVH HOSPICE
309 E Mountain View Ave, Ellensburg, WA 98926
509-962-7438
www.kvhealthcare.org
HEARTS & HANDS OF KITTITAS COUNTY
302 E 2nd Ave
Ellensburg, WA 98926 (509) 968-5117
HOSPITALS
KVH HOSPITAL
Hours: Open 24 hours
Address: 603 S Chestnut St, Ellensburg Phone: 509-962-9841
www.kvhealthcare.org
Hospital Services
Cardiopulmonary Services
Critical Care
Emergency Services
Family Birthing Place
Imaging Services
Laboratory Services
Surgical Services – Inpatient and Outpatient
Urgent Care – Cle Elum
Community Education
Birthing Classes
4th Trimester Resource Center
Cancer Support
Diabetes Education and Support
KVH Primary Care and Specialty Centers:
KVH Family Medicine – Cle Elum
KVH Family Medicine – Ellensburg
KVH Home-Based Primary Care
KVH Cardiology
KVH ENT & Allergy
KVH General Surgery
KVH Home Health
KVH Hospice
KVH Internal & Adult Medicine
KVH Neurology
KVH Occupational Therapy
KVH Orthopedics
KVH Pediatrics
KVH Pharmacy
KVH Physical Therapy
KVH Rapid Access
KVH Speech Therapy
KVH Urgent Care – Cle Elum
KVH Vascular Surgery
KVH Women’s Health
KVH Workplace Health
Wound Care
KVH Specialty Services – Anticoagulation Clinic, Addiction Services
HOSPITAL EQUIPMENT AND SALES
KITTITAS MEDICAL SUPPLY
709 S. Main St. Ellensburg, WA 98926
509-929-3000
INSURANCE – LIFE, MEDICAL, HOSPITALIZATION, LONG TERM CARE & SURGICAL
AMERICAN FAMILY INSURANCE
315 N Sprague St, Ellensburg, WA 98926
509-933-2200
COUNTRY FINANCIAL
Devin Shannon
302 N. Pearl Street Ellensburg, WA 98926
509-933-3000
FARMERS INSURANCE
SHAUN MONTGOMERY
300 N. Main, Ellensburg, WA 98926
509-925-9633 Cle Elum 98922
509-674-2408
LAEL INSURANCE AND FINANCIAL SOLUTIONS
CUSTOM MEDICAL PLANS
2301 W. Dolarway, Ste. 5 Ellensburg, WA 98926
509-962-8800
STATE FARM
INSURANCE AGENCY INC.
400 N. Pearl Ellensburg, WA 98926
509-925-1483
415 E. 1St Cle Elum, WA 98922
509-674-5107
VIRGINIA GAYKEN INSURANCE
205 S. Main Ellensburg, WA 98926
509-925-1811
INTERNAL MEDICINE
KVH INTERNAL MEDICINE
Hours: 8 a.m. to 5 p.m., Monday - Friday
Address: 700 E Manitoba Ave, Suite 101, Ellensburg Phone: 509-925-6100 www.kvhealthcare.org
Jamin Feng, MD
David Jackson, MD
Anita Schiltz, ARNP
Andy Schock, PA-C
MASSAGE
ALENTE SPA AND SALON
310 N. Pine Street
Ellensburg, WA 98926
509-925-2500
AWAKENING BODY MIND SPIRIT
814 E. 5th Avenue
Ellensburg, WA 98926
509-962-9656
EAST CASCADE CHIROPRACTIC
202 W. 1st St., Suite 1
Cle Elum, WA
509-674-5057
ELLENSBURG CHIROPRACTIC
109 S. Water, Suite 2
Ellensburg, WA 98926
509-962-2225
GAIA CENTER
109 E 3rd Ave., Suite 4
Ellensburg, WA 98926
509-929-2822
JOANN’S THERAPEUTIC MASSAGE
708 S. Tamarack
Ellensburg, WA 98926
509-962-4968
JANE MCCLENNEY - MOVE LIGHTLY
109 E. 3rd, Suite 1
Ellensburg, WA 98926
509-929-3838
MIDDLE PATH ACUPUNCTURE
502 N. Anderson St.
Ellensburg, WA 98926
509-925-1530
SCENTS OF TOUCH MASSAGE
305 N. Anderson St
Ellensburg, WA 98926
509-899-3136
SIMPLE INDULGENCE WELLNESS
101 West Montana Ave, Suite A Roslyn, WA 98941
509.850.9710
Nicolet Armitstead, LMT
Simplifying wellness - offering bodywork, craniosacral therapy and skin care. simpleindulgencewellness.com
SHIATSU THERAPY
105 W. 5th, Ste 107
Ellensburg, WA 98926
509-925-4903
TWO HANDS AND HEART
509-929-2639
SUN RIVER MASSAGE THERAPY
301 W 2nd Ave, Ellensburg, WA (509) 859-6047
MEDICAL AESTHETICS
MARIPOSA MEDICAL AESTHETICS
309 N Pearl St, Ellensburg, WA 98926 (509) 306-8537
SKIN UNFILTERED MEDICAL AESTHETICS
1206 N Dolarway RD • Unit 210B Ellensburg, WA 98926 (509) 406-7208
SIMPLE INDULGENCE WELLNESS
101 West Montana Ave, Suite A Roslyn, WA 98941 509-850-9710
WINNING FOUNDATIONS
CLINICAL SKINCARE
401 W 1st St. Cle Elum, WA 98922 (509) 674-6960
MEDICAL SUPPLIES
KITTITAS MEDICAL SUPPLY
709 S. Main St. Ellensburg WA 98926
509.929.3000
MEDICAL TRANSPORTATION (NON-EMERGENCY)
CABULANCE
509-925-8680
Ellensburg Central Transit provides farefree, 24-7 accessible non-emergency medical transportation to contracted facilities.
HOPESOURCE
509-933-2287
MENTAL HEALTH SERVICES
CENTRAL WASHINGTON COMPREHENSIVE
MENTAL HEALTH
707 N. Pearl Street Ellensburg, WA 98926
509-925-9861
HORIZONS CLUB
220 W. 4th Avenue Ellensburg, WA 98926
509-925-1372
VALLEY PSYCHOLOGICAL SERVICES
2109 W Dolarway Rd, Ellensburg, WA 98926 (509) 968-5086
NATUROPATHIC
SWIFTWATER NATUROPATH
116 N. Oakes Ave. Ste 4 Cle Elum, WA 98922
413 N. Main St Unit H Ellenburg, WA 98121
509-240-8676
NEUROLOGISTS
NORTHWEST NEUROSCIENCES
3911 Castlevale Rd. Yakima, WA 98902
509-834-7050
KVH NEUROLOGY
700 E Manitoba Ave Suite 106, Ellensburg, WA 98926 (509) 933-8919
Website/email: kvhealthcare.org
OBGYN
KVH WOMEN’S HEALTH
Hours: 8 a.m. to 5 p.m., Monday – Friday
100 E. Jackson Avenue, Unit 200 Phone: 509-933-8720 www.kvhealthcare.org womenshealth@kvhealthcare.org
Teresa Beckett, ARNP, PA-C
Jie Casey, DO
Holly Dawson, DO
Maribel Serrano, MD
Emilie Toretta, ARNP, CNM
OCCUPATIONAL MEDICINE
KVH WORKPLACE HEALTH
Hours: Mon. – Fri. 8am to 7pm,
Address: 702 E Mountain View Ave, Suite 2
509-933-8830
Ryan Ahr, PA-C
Robert Meyer, MD
OCCUPATIONAL THERAPY
KVH OCCUPATIONAL THERAPY
309 E. Mountain View Ave. Ellensburg, WA 98926
509-933-8677
www.kvhealthcare.org
MOUNTAIN VIEW OCCUPATIONAL THERAPY
700 E Mountain View Ave Suite 502 Ellensburg, WA 98926
509-934-2723
OPHTHALMOLOGISTS, OPTOMETRISTS & OPTICAL GOODS
FAMILY EYE CLINIC
707 N. Pearl Street, Suite D Ellensburg, WA 98926
509-925-9873
112 E. 2nd St. Cle Elum, WA 98922
509-674-4313
PEARL STREET OPTICAL 317 N. Pearl St. Ellensburg, WA 98926
509-899-9333
PACIFIC NORTHWEST RETINA
2205 W. Dolarway Road, Unit 2 Ellensburg, WA 98926 206-215-3850
VALLEY VISION ASSOCIATES 2201 W. Dolarway Road Ellensburg, WA 98926 509-925-1000
ORTHODONTISTS
PARKER ORTHODONTICS
109 N. Pine Street Ellensburg, WA 98926 (509) 962-6902
CHRISTOPHER ORTHODONTICS
1206 N Dolarway Rd, Suite 101 Ellensburg WA, 98926 (509) 508-5346
ORTHOPEDIC SHOES, APPLIANCES & PROSTHETIC
KITTITAS ORTHOTICS & PROSTHETICS
1206 N. Dolarway, Suite 110 Ellensburg, WA 98926
509-925-7700
ORTHOPEDICS, ORTHOPEDIC
SURGERY, BONE & JOINT
KVH ORTHOPEDICS
Hours: 8 a.m. to 5 p.m., Monday –Friday
Address: 611 S Chestnut St, Suite D, Ellensburg
Phone: 509-933-8700
Website/email: www.kvhealthcare.org
Ada Cheung, MD
Dena Mahre, PA-C
Thomas Mirich, MD
James Repsher, PA-C
Daniel Hiersche, M.D.
ORTHOPEDICS AND SPORTS MEDICINE
700 E. Manitoba Avenue, Suite 106 Ellensburg, WA 98926
509-962-6727
ORTHOPEDICS NORTHWEST PLLC
111 South 11th Ave Suite 320 Yakima, WA 98902 (509) 454-8888
100 E Jackson Ave, STE #201, Ellensburg, WA 98926 (509) 454-8888
PEDIATRICS
COMMUNITY HEALTH OF CENTRAL WASHINGTON
521 E. Mountain View Avenue Ellensburg, WA 98926
509-962-1414
KVH PEDIATRICS
100 E. Jackson Avenue, Suite 101
Ellensburg, WA 98926
509-962-KIDS (5437) Fax: 509-962-5438
Hours: Mon-Fri, 8:30 am - 5 pm
Elise J. Herman, MD
Paul DeBusschere, MD, FAAP
Christine Ward, ARNP
Meghan Young, DO
PERSONAL TRAINERS/FITNESS
ANYTIME FITNESS
2305 W. Dolarway Road Ellensburg, WA 98926
509-925-5445
Experienced and knowledgeable Personal Trainers
Red Light Therapy and Tanning 24/7 access to over 5,000 clubs
Clean, Comfortable, and friendly
CLE ELUM’S 24 HOUR GYM
113 Harris Avenue
Cle Elum, WA 98922
509-674-5696
EMPOWERED FITNESS
202 N. Pine St. Ellensburg, WA 98926
509-925-1810
THE GYM
427 N. Main Street
Ellensburg, WA 98926
509-962-6200
JAZZERCISE
2060 Vantage Hwy. Ellensburg, WA 98926
509-933-2348
ELLENSBURG CROSSFIT
301 W 2nd Ave, Ellensburg, WA 98926 (509) 330-5544
GARAGE STUDIO FITNESS LLC
413 N Pine St, Ellensburg, WA 98926 (509) 213-0085
PHARMACIES
FRED MEYER PHARMACY
201 S. Water Ellensburg, WA 98926
509-962-0533
KVH PHARMACY
603 S. Chestnut St (within KVH Hospital) Ellensburg, WA 98926 (509) 925-8484
Open 24 hours a day, seven days a week
RITE AID PHARMACIES
700 S. Main Ellensburg, WA 98926
509-925-4232
SAFEWAY PHARMACY
400 N. Ruby
Ellensburg, WA 98926
509-962-5096
SUPER ONE FOODS
200 E. Mountain View Ellensburg, WA 98926
509-962-7770
WHOLE HEALTH PHARMACY
800 S Pearl Street Suite 1 Ellensburg WA 98926
509-925-6800
PHYSICAL THERAPY
ARGONAUT PEAK PHYSICAL THERAPY 722 E. University Way Ellensburg, WA 98926
509-962-1553
CANYON VIEW PHYSICAL THERAPY
100 E Jackson Ave, Ste 201 Ellensburg, WA 98926
Phone: (509)925-6220
Fax: (509)925-6221
Canyonviewpt.com
Our goal is to help you get back to the things you love!
Don’t let pain keep you from life.
KVH PHYSICAL THERAPY
301 E Mountain View Ave, Ellensburg
509-962-7386
Cle Elum
201 Alpha Way, Cle Elum
509-674-5331
www.kvhealthcare.org
NORTHWEST PHYSICAL THERAPY
105 N. Pennsylvania Ave. Entrance on E. Railroad Ave. Cle Elum, WA 98922
509-674-0908
PODIATRISTS
CASCADE FOOT & ANKLE
611 S, Chestnut Ave. Suite C Ellensburg, WA
509-925-4633
2460 Racquet Lane Yakima, WA
509-225-3668
PUBLIC HEALTH
KITTITAS COUNTY HEALTH NETWORK
107 E Mountain View Ave Ellensburg, WA 98926
509-925-5246
healthierkittitas.org
KCHN advocates for whole-person health through community collaborations and connections to resources for a healthier Kittitas County for all.
KITTITAS COUNTY
PUBLIC HEALTH DEPARTMENT
507 N Nanum Street Suite 102 Ellensburg, WA 98926
509-962-7515
VASCULAR SURGERY
CENTRAL VALLEY VASCULAR CENTER
1005 W. Walnut St., Suite 120 Yakima, WA 98902
509-454-6545
SENIOR CITIZEN SERVICE ORGANIZATIONS
AGING & LONG-TERM CARE-
SOUTHEAST WASHINGTON
206 W. 1st Avenue
Ellensburg, WA 98926
509-925-8765
ELLENSBURG ADULT ACTIVITY CENTER
506 S. Pine Ellensburg, WA 98926
509-962-7242
LIVING WELL - LISE MCGOWAN
Free Senior Home Referral Service
509-607-9980
SENIOR NUTRITION PROGRAM
506 S. Pine St., Ellensburg, WA 98926
509-933-3333
SPEECH PATHOLOGISTS
KVH SPEECH THERAPY
309 E. Mountain View Ave. Ellensburg, WA 98926
509-933-8677
SUMMIT SPEECH THERAPY
700 E Mountain View Ave Suite 502 Ellensburg, WA 98926
509-731-4018
URGENT CARE
KITTITAS VALLEY URGENT CARE
Monday - Friday, 8am - 7:30pm
Saturday & Sunday 9am - 5:30pm
Holidays 10am - 6pm
702 East Mountain View Ave, Ste. 1 Ellensburg, WA 98926
Phone: 509-968-KARE
Fax: 509-201-1760
Kathy Keebaugh, MD
Wendy Owens, MD
Troy Bowers, P-AC
Cassie Gavin, ARNP
Chris Bently, PA-C
Mark Babin, PA-C
KVH Urgent Care – Cle Elum
Hours: 10 a.m. to 10 p.m. daily
Address: 214 W 1st Street, Cle Elum, 98922
Phone: 509-674-6944
Website/email: www.kvhealthcare.org
Resources Available at Facility: After hours medical care for patients with minor illnesses or injuries. Lab and x-ray on-site. No appointment needed.
UROLOGIST
YAKIMA UROLOGY ASSOCIATES
Adult & Pediatric Urology Clinic
2500 Racquet Lane #100 Yakima, WA 98902
509-249-3900
Surgery: 509-249-3910
VITAMINS & FOOD SUPPLEMENTS
BETTER LIFE NATURAL FOODS
416 N Pine St
Ellensburg, WA 98926
509-925-2505
YOGA
WILD ROSE YOGA
203 N. Harris Ave. Cle Elum, 98922
425.280.3275
MAYO CLINIC Q AND A: CHOLESTEROL — KNOW YOUR NUMBERS
REGIS FERNANDES | Mayo Clinic News Network
DEAR MAYO CLINIC: I am in my 30s and overweight, but I thought I was too young to worry about cholesterol. I just learned my cholesterol is high. I know diet and exercise are important. Do I need medication?
ANSWER: Cholesterol is a type of fat in our blood. Our bodies need a small amount of cholesterol to build the structure of cell membranes, make certain hormones and help with metabolism, such as producing vitamin D. The catch: We don’t need too much cholesterol.
Atherosclerosis, also known as narrowing of the arteries, happens when cholesterol builds up and blocks blood flow. This buildup is called plaque, which can clog arteries and can burst, leading to a blood clot. Atherosclerosis can cause heart problems such as chest pain (angina) or heart attack. It also can lead to problems in the brain, including transient ischemic attack, stroke, peripheral artery disease in the legs or arms, and even kidney failure.
Cholesterol and triglycerides are types of lipids. They travel in our blood by attaching to proteins. Adults 20 and older should ask their healthcare team about their lipid profile and how to interpret the numbers.
• Low-density lipoprotein (LDL) cholesterol: We call LDL «bad» cholesterol. Below 100 milligrams per deciliter (mg/dl) is optimal for healthy people in the absence of coronary artery disease. If you have heart disease, your LDL should be below 70 mg/dl. Treatment decisions to reach appropriate levels need to be based on personal risk factors.
• High-density lipoprotein (HDL) cholesterol: We call HDL «good» cholesterol. It absorbs cholesterol in the blood and brings it to the liver, which flushes it from the body. For females, it should be above 50 mg/dl. For males, it should be
above 40 mg/dl.
• Triglycerides: Triglycerides are a type of fat we use for energy. If you have too high of a triglycerides level, it can cause heart disease. Less than 150 mg/dl is optimal.
• Total cholesterol: This is the sum of LDL and HDL cholesterol plus 20% of triglyceride levels. A total cholesterol level below 200 mg/dl is desirable.
Some people who are overweight may get heart disease not because their LDL is high but, rather, because their HDL is low and their triglycerides are high. That relationship can cause heart disease as much or even more than just high LDL cholesterol. These lipid abnormalities are significant for young people in their 30s or 40s who are overweight. Their triglyceride levels increase, and their HDL lowers. They’re becoming prediabetic. Their LDL is staying the same, but they’re still heading to heart disease.
Treating high cholesterol depends on individual risk. The higher the risk — for example, with someone who already had a heart attack — a higher percent of reduction is needed. Medication to lower cholesterol can reduce LDL by about 60% to 65%. Lifestyle changes can reduce LDL by 10% to 15%.
Several medications can help manage lipids. Discuss options with your healthcare team.
The body’s ability to handle cholesterol is genetically determined. Genetic disorders that raise cholesterol levels are common. Familial hypercholesterolemia usually is caused by a genetic mutation preventing the body from clearing cholesterol. People with the condition are more likely to require medication to reduce their cholesterol levels.
For people with genetic disorders that expose them to elevated cholesterol since birth, heart disease can happen at
a younger age. So we start treating their high cholesterol with medication at a young age.
Beyond medication, lifestyle modifications help manage lipids:
• Limit meat and dairy intake; they have saturated fat, which raises LDL cholesterol.
• Consume more fish, soluble fiber, fruit and vegetables.
• Avoid diets high in carbohydrates, particularly refined carbs like sugar and white flour. They raise the blood sugar level quickly, raising triglycerides. Reducing simple refined carbohydrates helps lower triglycerides and weight because you store less fat.
• Control your weight. It lowers your triglycerides and improves your HDL levels.
• Exercise about 150 minutes of aerobic activity a week at a moderate intensity. Moderate intensity means you must breathe through your mouth. If you’re breathing through your nose, that is low intensity. Exercise prevents cholesterol from building up, but it doesn’t change LDL concentration levels. You must burn about 2,000 calories a week to lower LDL concentration. However, exercise helps lower triglyceride levels and maintain weight loss.
• Do strength training at least twice a week. It helps your cardiovascular and muscular systems. Not everything we do to prevent heart disease is about cholesterol.
The National Heart, Lung and Blood Institute recommends people get their first cholesterol screening between ages 9 and 11, and repeat it every five years. For men 45 to 65 and women 55 to 65, cholesterol screenings should occur every one to two years. Over 65? Test annually. More frequent testing may be needed for people who have or are at risk for coronary artery disease.
Dr. Regis Fernandes, Cardiovascular Medicine, Mayo Clinic, Phoenix
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