2014 For Your Health by Statesman Journal Media

for your

September 2014

CHANGES IN

Weight Loss SURGERY

30 WAYS TO

IMPROVE YOUR HEALTH

Cover Oregon

Get Fit... WITH THE 5210 CHALLENGE

A YEAR LATER

MEDICAL DIRECTORY

OVER 300 DOCTORS, SPECIALISTS, DENTISTS & CHIROPRACTORS AT YOUR FINGER TIPS

For Your Health 2013 | 1

2 | For Your Health 2013

What matters to Salem Hospital?

You matter Share what matters to you and see what matters to us. Check out the stories behind these photos and many more at facebook.com/SalemHospital.

matter. For Your Health 2013 | 3

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TABLE OF CONTENTS The Changing Industry of

Weight Loss Surgery ................................................... 7 One Day at a Time

...................................................

30 ways to improve your health over the next month

Men’s Health ..................................................................... 50 And the Annual Wellness Exam

Dental Directory ........................................................... 52 Doctor Profile of

Carolyn Hale ...................................................................... 58

Get Fit With the

5210 Challenge ............................................................. 20 Chiropractor Directory ......................................... 60 Cover Oregon: A Year Later.......................... 26 Great Expectations ................................................... 30 A Look at Local Hospital Maternity Care

‘‘

Bariatric surgery used to be the ill-begotten, red-headed stepchild of general surgery.

Medical Directory ....................................................... 32

That it was just crazy people unable to make changes. That has changed 180 degrees.” - See page 7 to learn more.

Directory listings were provided by the Oregon Medical Board, the Oregon Board of Dentistry, the Oregon Physical Therapist Licensing Board, and the Oregon Board of Chiropractic Examiners. The listings provided are of active licenses practicing in Marion and Polk counties and are current as of September, 2013. Names on the lists provided by the boards with no location, no phone number or no credentials were deleted. Where applicable, credentials are listed following each name. The Statesman Journal makes no guarantees about the completeness or accuracy of these lists. Publication of this list is not an endorsement of the practitioners therein. To report errors in the lists please contact the following boards: Oregon Medical Board at omb.info@state.or.us; or 971-673-2700

Oregon Physical Therapist Licensing Board at Physical.Therapy@state.or.us; or 971-673-0200

Oregon Board of Dentistry at information@oregondentistry.org; or 971-673-3200

Oregon Board of Chiropractic Examiners at oregon.obce@state.or.us; or 503-378-5816

For Your Health 2014 | 5

STAFF Project Leaders Neil Potter 503-399-6809 Nathan Jackson-Hockett 503-399-6886

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Advertising Management Patrick Bruce John Herron Jim Simonsen Valerie Thorne

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Kimberyle Barkley Brandy Bell Bill Beyer Clare Bruce Kayla Charlton Margie Davenport Jamie Jarman Anna Kozell Brian Leslie Terri McArthur John Moffett Nichole Nixon Kassandra Perkins Gayle Rastorfer Lisa Rowland Christopher Salaz Yolanda Sifuentez

Valid through 10/15/2014 at the participating store locations listed above for a $4 freshly squeezed juice (12 oz size) (plus applicable tax). Upsize available at additional charge. No substitutions. Limit one per customer per transaction. This coupon cannot be used in combination with any other offer, coupon or discount, and may not be sold, transferred, reproduced or altered in any fashion. Only original coupons will be honored. No cash value. Jamba Juice reserves the right to refuse any unauthorized or adulterated coupon. Not valid for Jamba Juice employees. ÂŠJamba Juice Company 2014. Team Member: Scan code or use LSM screen, 'Fresh Juice Promos' button, then '$4 12 oz Juice' button.

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ÂŠ2014 Statesman Journal Media, a Gannett Company. For Your Health is published as an advertising feature and distributed to the subscribers of the Statesman Journal, Silverton Appeal and Stayton Mail along with other select locations. To be included in further publications, or to reach our audience, please contact your sales representative, or call 503-399-6602 or email golocal@statesmanjournal.com.

The Changing Industry of Weight Loss Surgery By Amy Joyner

ariatric. Roux-en-Y. Gastrectomy. Those are big words for a problem that continues getting bigger each day in America: Obesity. Even with extreme exercise and dedicated dieting, obesity and its associated health problems leave many people with nowhere to turn when seeking a healthier, skinnier, more active life. Jenny Chadwick is one of those people. The 32-year-old Salem woman who works at a cellular communications store said, “I’ve struggled with weight my whole life. I wanted to be healthy; I wanted to play with my nephews; at the beach I couldn’t walk on the sand.” When she spoke with her coworkers at T-Mobile about how some of them dealt with the same problems, she learned a bit about weight loss surgery and how the company’s health insurance could cover the cost. Soon, she attended a seminar at the Salem Health Bariatric Surgery Center and began her journey. “After dieting and such, I really thought surgery was going to be the best method to reach my goals,” she said. In October 2013, Chadwick weighed 240 pounds. She began working on a diet and exercise plan to get her body ready for her bariatric surgery, which was performed by Dr. Rajan V. Nair, M.D., medical director at the Salem Health Bariatric Surgery Center. Chadwick’s surgery happened on St. Patrick’s Day, 2014, and thanks to her pre-operative efforts, she weighed 204 pounds just prior to the operation. In late July 2014, she was at 151 pounds, having undergone a roughly 52-pound weight loss since undergoing surgery. She knows her goal weight of 120 pounds is attainable. For Your Health 2014 | 7

“I have been hiking. …I’ve played in tide pools. Anything that is outdoors, I am doing,” she said. Her success is the result of her hard work and working hand-in-hand with the Bariatric Surgery Center’s team of physicians, nurses and dieticians who have taught her how to live well. “At the hospital, they teach you how to eat correctly – portions and what to avoid,” she said. And if she falls off course, she has a support group there of professionals and friends.

Team approach Leading the team at the Salem Health Bariatric Surgery Center is Nair, Chadwick’s surgeon. As the center’s medical director, Nair said, “Most of the people who look seriously at bariatric surgery have been looking into it for about a year and a half. They have tried multiple diets and exercise regimens. The success rate for achieving and maintaining weight loss goals from non-surgical approaches is less than 5 percent. And, 8 to 12 percent of the weight they lose, after 5 years, they’ve gained it all back.” “It’s a pretty standard story. We don’t want to take away hope for losing weight without surgery. It can be possible.” Nair knows that surgery is a proven last resort for many patients who have exhausted all other options and qualify for undergoing a surgical weight loss procedure due to their Body Mass Index and other health issues. “In the long term, when a person has a BMI over 40, they are going to die,” the surgeon said before listing the litany of co-morbid health conditions of obesity: Cardiovascular disease, diabetes, high cholesterol, high blood pressure and sleep apnea.

Surgical Weight Loss Options Adjustable gastric banding surgery LAP-BAND (adjustable gastric banding surgery) is a surgery that decreases the amount of food your stomach will hold but does not change the normal digestive process. A hollow plastic band is wrapped around the stomach near its upper end to create a small pouch that will only hold a small amount of food. The band also creates a narrow passage between the pouch and the larger portion of the stomach. This narrow passage delays the emptying of food from the pouch and causes a prolonged feeling of fullness. The band can be tightened or loosened over time to change the size of the passage. The amount of food that a patient can comfortably eat with LAP-BAND is very small. Gastric banding allows for dramatic weight loss without changing the shape or function of the digestive system.

Gastric bypass weight loss surgery In gastric bypass surgery (also called Roux-en-Y surgery), the stomach is divided into two sections. A pouch the size of a small egg is formed from the upper end of the stomach using surgical staples. The amount of food a patient can eat is limited by the size of the pouch, which is why gastric bypass is so effective for weight loss. The small pouch is connected to the intestine so that food can be passed normally. The large part of the stomach that is left after the pouch is formed will still produce important digestive juices, so it is connected to the intestines below the other connection. This makes the “Y” shape that gives the procedure its technical name (Roux-en-Y).

Sleeve weight loss surgery Sleeve weight loss surgery (also called laparoscopic sleeve gastrectomy or gastric sleeve) involves the surgeon making about six small incisions in your abdomen and passing a tiny camera and other instruments needed to perform the surgery through these openings. During sleeve weight loss surgery, the surgeon will remove most (about 80 to 85 percent) of your stomach. This creates a much smaller tube-shaped stomach which is about the size and shape of a banana (holding approximately 5 to 7 ounces). This smaller stomach pouch fills with food quicker so that you feel full sooner. Patients typically lose about 60 percent of their excess body weigh over 12 to 18 months. Source: Salem Health

“This is still an elective surgery. It’s for when a person is at the end of the rope,” he said. The process starts with an information session offered at Salem Hospital. The public session is offered once each month and lasts 1 ½ to 2 hours. Attendees receive a patient information packet of paperwork to fill out and return to the Bariatric Surgery Center. 8 | For Your Health 2014

“If they are felt to be good candidate, we will see the patient in the office. Patients undergo a 2- to 3-month (diagnostic) workup to make sure all medical problems that go along with obesity are cleared up,” he said.

“Our age for our patient population is over 21. … The bulk are 21-to-45-yearold women,” Nair said. “We like that population because they are younger and we can catch their problems earlier. They are just starting to get

‘‘

Bariatric surgery used to be the ill-begotten, red-headed stepchild of general surgery. That it was just crazy people unable to make changes. That has changed 180 degrees.” - Dr. Rajan V. Nair their major medical issues due to obesity.” Nair works with Dr. Catherine Boulay, M.D., the center’s second bariatric surgeon. They are joined by Debbie Wiessner, bariatric nurse coordinator, and two licensed, registered dieticians. All team members undergo strict training and have access to specific equipment, all necessary to maintain their status as an official Center of Excellence, certified by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP.)

Offerings and outcomes Though “gastric bypass” has become a catch-all term for the half dozen surgical procedures used to effect weight loss, each surgery has its own name, efficacy and risk. Those used at Salem Health are: Adjustable gastric banding surgery (LAP-BAND), gastric bypass weight loss surgery and sleeve weight loss surgery. When a patient is accepted for care by their bariatric surgery program, the patient and the physician will decide which procedure is the right option. Available data of outomes, or results from past patients, is available. Nair said it’s all part of being a recognized Center of Excellence, which not only means that they provide better care for bariatric surgery patients, but they also collect the data

necessary to prove it. With the center’s history of treating more than 700 patients and having a demonstrated track record of favorable outcomes, he gladly tells that the mortality risk for bariatric surgery patients is less than 1 percent. “In bariatric surgery, there is no free lunch. If you take on more risk, you get more benefit. …The results and safety have improved tremendously over time,” Nair said. “Our database is really rich with clinical data. People can look at results, risk adjusted, before deciding.”

weight. Nair said, “Because most of your fat is stored in the tissue directly beneath the skin, when the fat is gone, the skin will eventually sag. The skin will shrink, but not as rapidly as the fat is lost. “Six to 12 months after surgery, you will see the worst of the sagging skin. Younger patients may have more elastic skin and may not sag as much as older patients. Some patients may wish to have excessive skin surgically removed, but we recommend waiting 18 to 24 months after surgery, when weight loss has stabilized.”

And as outcomes have become more positive, attitudes about weight loss surgery have changed. “(Bariatric surgery) used to be the ill-begotten, red-headed stepchild of general surgery; that it was just crazy people unable to make changes. That has changed 180 degrees,” said Nair. “Patients, to a large extent, say they don’t care so much about their weight but are more interested in their health and say, ‘I want to get off the insulin.’” Nair said surgical weight loss may also provide benefit for women whose weight is problematic for becoming pregnant and carrying a child to term. He recommends that women wait 18 months after their weight loss surgery to become pregnant. Another consideration that requires a wait is the removal of excess skin that remains after a patient loses

Jenny Chadwick weighed 240 pounds in October 2013, before undergoing gastric bypass surgery for weight loss.

In July 2014, Jenny Chadwick weighed 151 pounds, having undergone a roughly 52-pound weight loss since undergoing gastric bypass surgery.

For Your Health 2013 | 9

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For Your Health 2013 | 11

One Day at a Time: 30 Ways to Improve Your Health Over the Next Month By David Hegle

very day, we make decisions that impact our health. On their own, grabbing another bite of ice cream or choosing stairs over the elevator aren’t going to radically change anything. Still, improving health doesn’t have to be a monumental, all-encompassing task with a 10-year plan and 24/7 discipline. Each day, there are many modest actions that can nudge you in the right direction. To get you started, we asked local health experts to give their best doable ideas with genuine benefits.

1. Belly Breathe Taking 10 deep breaths will allow your belly to expand. If possible, inhale through your nose and exhale slowly using your abdominal muscles and diaphragm for control. Not only do full breaths have a relaxing effect, they also help oxygenate the brain. (Salem Health)

2. Try the Best Medicine Laughing for a minute can be all it takes. Watch a funny movie or giggle with a child. Laughter has been shown to reduce stress, lower blood pressure and burn off a few calories. (Salem Health)

3. Plan Ahead Save time and stress during the week by planning and preparing a weeks’ worth of meals at the start of the week. This gives you a better overview of your nutrition and helps you avoid emergency fast food runs. (WVP Health Authority)

4. Go Without Germs Washing hands is one of the best ways to prevent spreading germs, but soap and sink are often out of reach. Place a hand sanitizer in your bag, work area, garage or travel bag to keep you clean in the meantime. (Salem Health)

6. Harbor Healthy Snacks Leave the house with a piece of fruit or cut-up veggies along with a lowfat cheese stick or portion of nuts. By keeping a healthier snack handy, you’ll benefit from another serving of fruits or veggies and be less likely to give in to junk food. (WVP Health Authority)

7. Choose Finer Fats Add good fats to your diet like nuts, avocados, salmon and sardines. Monounsaturated and polyunsaturated fats help maintain a healthy brain and heart. (Salem Health)

5. Find a Furry Friend Spend time with your own pet, borrow a friend’s or lend a hand at a place like the humane society. Animals have been shown to reduce blood pressure and increase quality of life. (Salem Health)

12 | For Your Health 2013

8. Take Sleep Seriously Sleep plays an important role in both your mental and physical health. Set yourself up for a good night’s sleep by making your bedroom into a quiet, relaxing and dark environment, and give yourself plenty of time to wind down at the end of the day. (Salem Health)

9. Build Those Bones! Each time you sit down to watch TV or work on your computer, sit down and stand up ten times to improve muscle and bone health. (Salem Health)

10. Plan Breakfast Choose a simple breakfast pattern and stick with it. For example, oatmeal topped with fruit in season, a variety of nuts, and a touch of honey. Breakfast eaters are more likely to maintain a healthy weight. (WVP Health Authority)

11. Make Some Moves Music can help relieve stress and provide an overall sense of well-being. Listen to a favorite song and consider dancing to add fun and physical activity to your day. (Salem Health)

12.

Combine With Caution

Always check with a pharmacist before taking prescription medications at the same time as over-the-counter products, including dietary supplements. Treatments that work well on their own could cause trouble together.

14. Record Records Make a list with dates of your last wellness checks and immunizations. This can keep you on top of your family’s health needs instead of wondering, forgetting, or calling each doctor’s office. (Salem Health)

Contemplate the good in your life by jotting down five things you’re thankful for, helping to cultivate an attitude of gratitude. (WVP Health Authority/Salem Health)

Grow a little herb garden in a small container or window box to have fresh herbs handy. They are a great way to season your cooking or even take the place of salt. (Salem Health)

15. Add Baby Steps You can amp up your exercise without going to the gym. Add a little footwork while standing at the sink, vacuuming, gardening, or washing the car. Park further away in the parking lot, use the stairs instead of the elevator, walk your kids to school and walk your dog around the block — each extra step adds up over the day. (WVP Health Authority/Salem Health)

16. Drink More Water By adding a twist to your water (such as a slice of lemon, cucumber or orange) you’ll have a tasty alternative to sugarsweetened drinks. (Salem Health)

17. Use the BudSystem Buddy System Have a friend keep you on track to hit the gym or just walk every day. You’ll be more consistent and have more fun with good company. (Salem Health)

18. Store Up Smoothies Prepare smoothies ahead of time and freeze them. You can take them out of the freezer the night before and have a healthy breakfast waiting for you. (WVP Health Authority)

(WVP Health Authority)

13. Give Thanks

Your 20. Raise Own Herbs

19. Play If you’ve forgotten how, watch some kids. Allow yourself some down time to play in whatever way makes you feel creative and refreshed. (Salem Health)

21. Preparation Matters Grill or roast vegetables instead of frying or boiling them to get richer flavor without canceling out the health benefits. (WVP Health Authority)

22. Swap Out Carbs Try using spaghetti squash or spiraled zucchini in place of pasta for a zesty, antioxidant, lower-calorie and glutenfree Italian meal that’s still filling. (WVP Health Authority)

For Your Health 2014 | 13

23. Protect Pills Store medication appropriately: in a secure location to prevent theft; out of reach of children and pets to prevent accidental overdose; away from heat and humidity (nix the bathroom) because excess heat and humidity can degrade medications more rapidly. (WVP Health Authority)

24.

Look on the Bright Side

Your brain’s neurons stay connected better, yielding better cognition, when you’re thinking, “How can I make this work?” and intentionally pursue a positive outlook. (Salem Health)

25. Stand Up Straight Stand up tall with shoulders relaxed, chest open and palms facing your sides. Improved posture not only looks good but reduces fatigue in the upper neck and shoulders. (Salem Health)

26. Take Nutrition Notes Need to get back on track with weight loss goals? Write down what you eat and drink, or try a calorie counter app for your smartphone. Research shows this simple, revealing habit changes eating patterns. (WVP Health Authority)

Your 27. Know Numbers Track your blood pressure, cholesterol levels, BMI and waist circumference. If you want to change any of these numbers, develop a next step plan that works for you -- just knowing the score can help motivate change. (Salem Health)

28. Healthy Chat Call family, catch up with a friend, or just chat with a store clerk. Socialization is a way of improving brain health, and verbally processing can help reduce stress. (WVP Health Authority/ Salem Health)

29. Learn a Little Take a class for fun, enjoyment and to learn something new. Chemeketa Community College offers a tuition waver for people at least 65 years old to audit a class, and the Community Health Education Center at Salem Hospital offers classes on a wide variety of topics like cooking, brain agility, and using an exercise ball. (Salem Health)

30. Chuck with Care Different medications have different recommendations for proper disposal. In general, pharmacies cannot take back expired medication, but can provide information on disposal. (WVP Health Authority)

The experts: Salem Health ideas provided by Jan Irving RN, PhD; Nancy Baldwin CES, LCCE, ICPFE; Kristin Jordan RN, MPH; and Cynthia Crosby MSN, RN, RNC.

14 | For Your Health 2013

WVP Health Authority promotes health resources in Marion and Polk counties; ideas provided by WVP clinical pharmacists and the Living Healthy staff.

• 111 Year History Providing Personal Medical Care to the Salem Community • Full Medical Services from 19 Primary Care Providers and 1 General Surgeon • Patient-Centered Primary Care Home • Participant in CMS Comprehensive Primary Care Initiative • On-Site Lab, X-Ray, CT Scanning, Digital mammography, Ultrasound

5050 Skyline Village Loop S., Salem DrsClinic.com 503-485-5024 (New Patient Inquiry)

503-391-1110 (General Inquiry)

APPOINTMENT HOURS Mon-Thurs 8:00 am - 6:30 pm Fridays 8:00 am - 5:00 pm Saturdays 8:15 am - 1:00 pm

For Your Health 2013 | 15

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Fitness trackers, smart glasses, and Bluetooth watches that would make Dick Tracy drool--2014 has seen the rise of wearable technology. But one device has been surprisingly absent from the conversation, despite its technological advances: the modern hearing aid.

hether it’s due to stigma or budget concerns, most individuals who could benefit from wearing hearing aids do not wear them. In fact, out of the 40 million Americans who have reported suffering from hearing loss, only one in five people will actually use hearing amplification technology as a solution. Studies show that even hearing loss in one ear can negatively affect daily life. Since 1997, hearing aids have gone through revolutionary changes with the introduction of digital technology. Now more than ever, hearing aids can deliver quality sound and create a personal listening experience for the wearer. Digital programmable hearing aids have all the features of previously used analog programmable aids but use sound processing to convert sound waves into digital signals. A computer chip in the aid analyzes the signals to determine whether the sound is noise or speech. It then makes modifications to provide a clear, amplified, distortion-free signal. Sound features include: background noise suppression and speech preservation, and sound directionality. Today, hearing aids also come with a variety of personal features like Bluetooth streaming for phone calls, television and music. In 2014 hearing aid manufacturer Starkey introduced Halo, the Made for iPhone® Hearing Aid. This hearing aid works with the user’s iPhone through an app which allows the user to make basic volume and sound adjustments. The app also provides an impressive geotagging feature, which works with the phone’s GPS to save hearing aid settings to specific locations and will adjust the aids automatically whenever the wearer is in that geotagged environment. The use of hearing aids can make all the difference in someone’s work, home, and social life.

16 | For Your Health 2013

Hearing loss has been shown to cause fatigue, irritability, stress, depression, and social anxiety. Additionally, it has been linked to more serious conditions like Alzheimer’s and Dementia. The sooner a

hearing loss is addressed, the more successful someone will likely be with hearing amplification. If hearing loss is something that affecting your life or the life of a loved one, consider hearing aids as a solution.

But where do you start? It is impossible to pick the right hearing aid without first having your hearing tested by a professional. An evaluation should minimally consist of three basic tests: a puretone assessment to evaluate how well you hear, a speech discrimination test to determine how hearing loss is affecting your ability to understand speech, and an additional puretone test to determine how sound is being conducted through the bone. This evaluation should take approximately 30 minutes and should be conducted in a sound proof booth. A full diagnostic evaluation consists of additional tests and more extensive versions of the aforementioned base testing. This is a better choice because not only does it assess the extent of the hearing loss, but can help you to understand the cause of it. These types of hearing evaluations may be covered by health insurance, but a referral to an audiologist from your physician may be necessary. It is important to always involve your physician in the process. Choosing a pair of hearing aids can seem like a daunting task, considering the emotions and commitment involved. There are so many options available it can be difficult to sift through all the marketing to determine what the best solution is for you. The simplest way to determine what is best for your needs is to narrow down your choices based on the following criteria: your needs, your style preference, and your budget.

Your Needs: There are many impressive features in hearing aid

technology today. However everyone’s lifestyle is different so it is best to assess what your day-to-day needs are. For instance, someone with a sedentary lifestyle could do just fine with a basic hearing aid, while someone with a very demanding communication environment would require more advanced technology. Things to discuss with your hearing care professional include: sound quality features, background noise, programs, telephone compatibility, feedback reduction, and Bluetooth capability and other special features.

Your Style Preference:

Hearing aids come in a variety of sizes, colors, and styles. There are five basic styles of hearing aid. They differ by size, placement on or inside the ear, and the degree to which they amplify sound. The styles include: behind-theear, micro behind-the-ear, in-the-ear, in-the-canal, and completely-in-thecanal. The physical design will not only affect the cosmetic appearance, but it also can affect lifespan, comfort, moisture and wax, battery life, and cost.

Your Budget: When selecting the appropriate hearing aid, the simplest advice is this: Get the best hearing aid you can most reasonably afford. Analyzing your budget is strictly under your control as the consumer—and it always should be. You should never feel pressured to buy something that is out of your predetermined budget. Reliable, entrylevel hearing aids start at about $925 each. While there are cheaper options available (as-seen-on-tv, internet, or mail-order), the Better Hearing Institute found in an evaluation of the instruments that they would not recommend these to anyone. Like-wise, these options do not provide the same adjustments and accurate follow-up services as a professional would. Your relationship with an audiologist will

make all the difference in your hearing experience. By Oregon State Law, hearing aids have a 30-day trial period in which the consumer can return the product and receive the majority of their money back—and the refund must be in the consumer’s hand within 10 business days of the products return. Smart phones, health monitoring devices and computers aren’t the only technology that has seen revolutionary advances in the last ten years. With all the features and tools available in the hearing aid industry, now is the best time for anyone who is hearing impaired. ■ —Scot Frink, Audiologist and Owner at Salem Audiology Clinic

For over 30 years,

the Salem Audiology Clinic has been serving the Salem area for We offer professional hearing evaluations, hearing aid consultations, quality hearing aid repair services and educational classes on communication strategies and hearing loss. Call us today at (503) 588-1039 to schedule an appointment or for our current class schedule!

For more information about hearing loss and hearing aids, call (503) 588-1039 for your free copy of

The Shoppers’ Guide to Hearing Aids or go to SalemAudiologyClinic.com

For Your Health 2013 | 17

silvertonhealth.org

18 | For Your Health 2013

Keeping the Mid-Valley well ?M¼^M JMMV \ISQVO KIZM WN ;QT^MZ\WV [QVKM ! IVL VW_ W]Z XMZ[WVIT _IZU KIZM KW^MZ[ \PM 5QL >ITTMa ?PM\PMZ aW]¼ZM aW]VO WZ WTL PI^M \PM [VQNNTM[ WZ [WUM\PQVO UWZM [MZQW][ _M SVW_ aW] IZM UWZM \PIV I XI\QMV\ ¸ aW]¼ZM I XMZ[WV .ZWU XZQUIZa KIZM \W WZ\PWXMLQK[ XZMOVIVKa \W XMLQI\ZQK[ _M \ISM KIZM WN aW] SILVERTON: 503.873.1500 WOODBURN: 971.983.5200 KEIZER: 503.779.2271

For Your Health 2013 | 19

Fight Obesity & Avoid Diabetes With

The 5210 Challenge

By Dennis Thompson

olks in Marion County now have access to a new local website and app that could help them fight obesity and avoid diabetes.

“People kept asking for a website and apps to track their behavior on those four things that are represented in 5210,” Stice said. “If you want to do the challenge, you now can log in when you like.”

The 5210 Challenge this summer has debuted a web site, 5210Challenge. org, that will allow participants to track behaviors that can reduce their risk of obesity and diabetes.

The 5210 Challenge asks participants to undertake four specific activities on a daily basis:

The locally sponsored wellness challenge also has produced a smartphone app that will track healthy behaviors, said Jeanine Stice, manager of the Living Healthy Program at the WVP Health Authority.

• Limit leisure time in front of a computer, TV or tablet screen to two hours or less.

Go to 5210Challenge.org to sign up individually, as an organization or a team for free.

• Eat five servings of fruits or vegetables.

• Perform 1 hour of daily exercise. • Drink zero sweetened beverages. Local groups banded together to create a challenge around these four behaviors in 2011, based on alarming numbers regarding the rate of obesity and diabetes in Marion County, Stice said. Marion County currently has a diabetes rate of 7.6 percent, higher than the state average of 7.2 percent, according to the latest numbers from the Oregon Health Authority.

BROUGHT TO YOU BY:

The county also has an obesity rate higher than the state average. About 28 percent of Marion County residents are obese, compared with the state average of 24.8 percent, the OHA says. Diabetes and obesity can lead to myriad health problems later in life, making aging a misery for those with the chronic conditions, Stice said. Obese people put tremendous pressure on their joints every day, which can lead to arthritis and other joint problems. Diabetes predisposes people for a number of serious health problems including blindness, kidney failure and amputation. “Most people don’t have a problem really having diabetes when they rank quality of life, but I think it’s because you don’t realize how it will affect your health,” she said. “It’s hard to believe how silent that disease is until you reach the end stage, where you start having all these problems. People have the impression that the medication is taking care of the disease and that it’s not progressing, and that’s just not so.” The groups chose the 5210 Challenge to battle these conditions because “these are health behaviors we want people to do every day,” said Kristin Jordan, a registered nurse and health educator with Salem Health’s Community Health Education Center. Similar programs have been undertaken elsewhere in the United States, but they tend to focus on children. Here in Marion County, leaders expanded it to include all family members. “We felt strongly that the message needed to impact families,” Stice said. “If we were going to ask kids to engage in these healthy behaviors, we needed to ask everyone in the family to engage in these behaviors.”

20 | For Your Health 2013

In the challenge, people have to hew to the recommended behaviors for

5210challenge.org 5 servings of vegetables or fruit increases fiber and antioxidant intake. 2 hours or less of leisure screen time allows more time for activity. 1 hour of daily activity maintains muscle mass. 0 sweetened beverages can lower calorie intake.

30 days. The person who is most successful at sticking to the goals will win. “You can try it and get used to doing those habits, and hopefully then you’ll adopt them,” Jordan said. “It’s a really great program. It’s easy to use, and it’s something that can get people on the right track. It is a valuable resource for our community.” About 41,000 people locally had participated in the 5210 Challenge as of last spring, Jordan said. They included people working at employers like the MAPS Credit Union, Santiam Hospital, Marion County, and the City of Salem, as well as members of groups like the YMCA and the Boys & Girls Club, Stice said. Part of the fun of the challenge is that workplaces can take it up and offer prizes for top participants, Stice and Jordan said. But participation hasn’t been as easy as it could be. “Up until now, we’ve had paper trackers where people could see whether they are meeting their goals or not,” Jordan said. “It’s a little more difficult to track than we would like it to be.” Organizers hope that the new website and apps will make it “a lot easier and more enjoyable for people to take on the challenge,” she said. They are just wrapping up a Spanish version of the website, Stice said.

For Your Health 2013 | 21

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your wishes?

Whatâ&#x20AC;&#x2122;s the one thing we all will face and almost none of us want to discuss?

Yes, you guessed it. Death.

Problem is, none of us know what the circumstances of our deaths will

be. And if your situation meant you would not be

My life PORTFOLIO

able to make decisions for yourself, who would?

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The Ro Role of Advance Directives Advance directives are how you formally document docume your wishes. Would you prefer to be at home at the end of your life? Do you want wan medical technology to keep you alive? Who should make medical decisions for you if you are unable? Itâ&#x20AC;&#x2122;s important to prepare your advance directives, and share your decisions with those close to you, BEFORE a crisis arises.

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Planning Pl i iis vital it Medical crises can be chaotic and divisive for any family. Proper planning reduces stress and eases decision making. Visit wvh.org/mywishes for helpful tools

Online Resources As a leader in end-of-life care, Willamette Valley Hospice has vital planning resources on our website (wvh.org/mywishes):

including the â&#x20AC;&#x153;My Life Portfolioâ&#x20AC;? that helps you consolidate vital personal information (e.g., financial account numbers, passwords) in a single resource.

22 | For Your Health 2013

Oregon Advance Directive

Legally document your choices for medical care and life-sustaining treatments and/or appoint someone to make healthcare decisions for you if you are unable.

AT YOUR SIDE.

Physician Orders for Life-Sustaining Treatment (POLST)

Specify the treatments you do or do not want to receive in a medical emergency. (Intended for those who are extremely frail or in the late stages of a chronic illness.) Q

My Life Portfolio Consolidate important personal information (e.g., account numbers, passwords, funeral arrangements) in one resource to aid loved ones in decision making.

Help is available Willamette Valley Hospice staff is available to provide complimentary workshops to groups that would like to learn more about advance directives or have someone walk them through the process of completing one. Contact Willamette Valley Hospice at 503.588.3600 or visit wvh.org to learn more.

We knew from the very beginning what Mom wanted. Holly Collier Judyâ&#x20AC;&#x2122;s daughter You have the right to live your last months as you want. The sooner you call Willamette Valley Hospice, the more we can help.

From social workers to music therapy, nurses to chaplains, our experienced team has one goal: to help you live your journey according to your wishes. Do your loved ones know yours? Get our advance directives tools today.

For Your Health 2013 | 23 ÂŠ2014 Willamette Valley Hospice

ADVERTORIAL

Salem’s Newest Dermatologist A

native of Silverdale, Washington, near Seattle, Dr. Preston Chadwick is happy to have returned to his Pacific Northwest roots, and in early August, 2014 became the newest physician to join the Dermatology Clinic in Salem as a dermatologist. He began his medical education giving serious thought to becoming a family practitioner, but switched gears when he stumbled upon a specialty that seemed to offer endless intrigue, he said. “I moved away from all the broken bones.”

“I was intrigued by all the complexities and differences of analyzing and treating a rash,” Dr. Chadwick said. The fascinating rash that lead to a career path for Dr. Chadwick was Scarlet Fever. Though Dr. Chadwick completed his Bachelor’s degree in exercise physiology at Brigham Young University in Provo, Utah, the remainder of his higher education occurred at institutions located along the East Coast. He received his doctorate in 2010 at Drexel University College of Medicine in Philadelphia. He then spent an intern year at Lankenau Medical Center in Wynnewood, Pennsylvania. He also completed a three-year dermatology residency at Cooper University Hospital in Camden, New Jersey. With Dr. Chadwick’s wife hailing from Virginia the decision to relocate from the East Coast was not easy. Once the couple saw that open, rolling farmland is just as plentiful in the Willamette Valley as it is near the East Coast, they became much more interested. By mixing in Salem’s energetic lifestyle, the Chadwick’s decision became much easier, he said. “It has been a marvelous transition. I get to practice what I love in a place I love,” he added. Dr. Chadwick enjoys keeping his wife Kaitlin and their 4-year-old son busy by hiking to enjoy the mountains and waterways in their new location. At the Dermatology Clinic, he joins four other physicians and four physician assistants in treating patients of all ages, all of whom he admires.

Reasons to visit the Dermatology Clinic General dermatology: For

patients at all ages, a full spectrum of medical and surgical care is available for all stages of common conditions such as Acne, Rosacea and Psoriasis; wart treatment; mole checks of the whole body; and, assessing sun damage.

Cosmetic procedures: To help patients feel more vibrant, care options can include Botox; fillers; facial peels; in-office microdermabrasion; and, laser hair removal. Laser Treatments: The

latest technology can lessen the prevalence of Port Wine Stains and redness from Rosacea, Psoriasis and Vitiligo.

Complex medical conditions: Mohs treatment

of skin cancers; patch testing for allergies; and, Photodynamic therapy for Psoriasis.

Surgical procedures:

Excisions of benign and malignant areas; and, nail surgery. 24 | For Your Health 2013

Dr. Preston Chadwick

‘‘

I walk in the footsteps of some fantastic physicians here. I will continue that rich tradition of providing

Beautiful Healthy Skin is

SKIN

personal care.” - Dr. Preston Chadwick

“I walk in the footsteps of some fantastic physicians here. I will continue that rich tradition of providing personal care,” he said.

Skin Cancer Examinations Examin xaminations ations Mohs Micrographic icrographic Surgery • Acne Treatment/Surgery T • Photodynamic Therapy

Eyelash Innovation Excimer Excimer Laser Laser • Pulsed Dye Laser • Cosmetic Treatments

•

“I will stay up to date on the best therapies and treatments,” he said. “I take pride in my work and will never fall behind the curve.” While Dr. Chadwick is off work, he said his family keeps busy doing a lot of hiking to enjoy the mountains and waterways in their new location.

2441 GREAR STREET NE, SALEM

503-364-3321 Hours: Monday - Friday 7-5

For Your Health 2013 | 25

Cover Oregon A Year Later By Dennis Thompson

regonians obtaining health insurance through the state marketplace should have a better experience when open enrollment rolls around in November, after the state hands off key functions to the federal HealthCare.gov. The most significant advance: Consumers will be able to purchase Oregon health insurance online, something that has not been available to date.

26 | For Your Health 2013

“Customers applying for or renewing private plans will be able to complete the entire process online in one sitting through HealthCare.gov,” said Cover Oregon spokeswoman Ariane Holm. “We know that technology works and will be providing clear instructions for how consumers apply for and enroll in coverage.”

There’s a limited amount of time now until open enrollment occurs.”

However, officials are under a lot of pressure to complete the handoff by Nov. 15, when open enrollment starts and people flock to their computers looking to buy insurance.

CoverOregon.com never became fully functional during open enrollment for 2013. People could peruse insurance offerings on the website but had to pick up the phone to make their purchase.

“I hope what’s being gained is a functional website,” said Sen. Richard Devlin, D-Tualatin, co-chair of the state legislative committee that oversees technology projects. “It looks like things are going in the right direction, but time will tell whether they can keep on schedule.

Officials decided earlier this year to hand the Oregon exchange’s website duties over to the feds after it became clear that the tangled mess left by Oracle and Cover Oregon would take too much time and money to clear up.

Oregonians should have nearly as many choices for insurance during 2015 open enrollment, Devlin said. All but one of the 16 insurance companies that participated in the Oregon health marketplace this year will offer plans for next year on the federal website, he said. Cover Oregon will continue to control the health care marketplace, setting coverage rules and approving rates.

‘‘

“In the coming months, we will begin ramping up outreach and education efforts directed at Oregonians who need health coverage.” - Ariane Holm, Cover Oregon spokeswoman

And CoverOregon.com will remain on the web, helping direct people to either the federal website or to a state website through which eligible people can sign up for the Oregon Health Plan, Holm said. “Customers applying for the Oregon Health Plan will have a more streamlined online application, and the process for determining eligibility will be completely automated,” she said. Current customers enrolled in a 2014 private plan through Cover Oregon will be notified before the next open enrollment what steps they need to take to renew their coverage for 2015, Holm said. “In the coming months, we will begin ramping up outreach and education efforts directed at Oregonians who need health coverage,” Holm said. Cover Oregon, with the assistance of the Oregon Health Authority, has managed to lay the groundwork for the

transition to HealthCare.gov, according to a July 28 report from Maximus, a quality assurance company hired to watchdog the project. Cover Oregon announced in July that it had hired Deloitte Consulting, a global firm based in the United Kingdom, to “ensure Oregonians have seamless online enrollment into health insurance this fall.” Under an $18.4 million contract, Deliotte will serve as the system integrator for transitioning the private health market to the federal system and transferring Medicaid signups to the Oregon Health Authority. “We have delivered in other states and we are committed to doing it again so that Oregonians can enroll in health insurance online in November,” says Kevin Kelly, National Practice Director for State-Based Marketplaces at Deloitte.

will have to remain well organized to meet the November deadline. Once the website has been handed off to the feds, Devlin expects it will remain under their control for quite some time to come. “There is little support for creating a new state-based exchange,” he said. “Given the history of Cover Oregon, I, at this point, do not see any support within the Legislature for that.” In fact, Devlin expects legislators in 2015 to question whether Cover Oregon itself needs to remain in existence. “I think the biggest question is, is there even a necessity to continue to have an outside public corporation to maintain the remaining functions Cover Oregon will have, or would those functions be better brought back under the state government,” he said.

But Maximus warns that Cover Oregon is working under a tight timeline and For Your Health 2014 | 27

Salem Radiology Next Generation CT Scanner Cuts Radiation Dose to Patients By 35-40% The next generation of CT scanner has arrived in Salem, Oregon. Salem Radiology Consultants prides itself on providing state of the ar t medical imaging technology and recently unveiled its newest addition; a CT scanner that substantially reduces radiation exposure to patients.

Sa ale em Rad dio olo ogy y SALEM

(503) 399-1262 salemradiology.com 28 | For Your Health 2013

Administrative Director, R.A. Neitzel, admitted to being especially excited about their newest technology and the immediate 40% reduction in radiation dose to patients. According to Neitzel, “This is a significant step for ward for patient safety. Previously, upgrades to CT technology were focused primarily on scanning faster and with greater image quality. Now the focus has shifted to lowering the amount of radiation to the patient with superior image quality.”

the standard by fur ther reducing the radiation dose used by 35% for head scans and 40% for all other scans of the body. Over the next 5 to 7 years, as imaging centers and hospitals replace their older equipment, I believe low dose CT scanners will become the new standard. Patients will demand the added safety.” While reducing radiation dose is impor tant for all patients, it is especially impor tant for younger patients and patients with conditions that require multiple CT scans over time. Recently, the U.S. Food and Drug Administration announced an initiative to reduce unnecessar y radiation exposure from medical imaging.

“Over the next 5 to 7 years as imaging centers replace their older equipment, low dose CT scanners will become the new standard. Patients will demand the added safety.”

According to Neitzel, “Many centers have scanners that provide dose modulation that automatically adjusts the radiation beam during the scan based on the density of the body area being imaged. This has become standard equipment. The new technology is a leap ahead of

As of Januar y 1, 2011, The Patient Protection and Affordable Care Act provides patients with more power to choose where they receive their imaging ser vices. You are encouraged to consult with your doctor about your imaging choices and request a facility that offers the safest scanning technology. There is a new MRI scanner in Salem that is receiving considerable attention within the medical community and

High Definition 3T MRI Becomes the Preferred Choice For Patients and Physicians is quickly becoming the scanner of choice for many of the patients and physicians of the Salem area. 3T MRI is a new and sophisticated technology that previously was only available at the larger academic medical centers and research facilities such as the Oregon Health and Sciences University. Tesla (T) is the unit of measurement quantif ying the strength of a magnetic field. With greater magnetic strength comes the ability to detect and visualize smaller structures within the body. Greater magnetic strength also allows scan sequences to be completed in less time. The

new 3T MRI has a magnetic field strength that is twice the strength of any other local MRI scanner. The new scanner also features an open design that is 17% larger than any other local scanner for greater patient comfort and can also accommodate patients weighing up to 500 pounds. Patients entering the 3T scanning suite will find the experience to be ver y different. The skylight scanning suite has been specifically designed to maximize patient comfort. Patients are also encouraged to bring to their appointment their iPod or MP3 player so they can relax and enjoy their personal playlist.

“When we scan the joints and muscles using 3T MRI, we have a greater ability to see small structures, including cartilage, tendons and ligaments. This new technology improves all of our scan sequences. Also, because we can image in thinner sections, we can even evaluate the small joints of the hands and feet.”

Dr. Leon Burrows Musculoskeletal Radiologist Director of Orthopedic & Sports Injury Imaging

“3T MRI systems are becoming increasingly important in the early detection and characterization of breast malignancy. When used in coordination with mammography and ultrasound, 3T MRI is a powerful clinical tool for evaluating patients with a high risk of having breast cancer.”

Dr. Kathleen Scanlan Radiologist Director of Women’s Imaging “3TMRI excels at imaging the anatomy of the brain and spine. Not only are scanning times reduced, which will lead to decreased motion artifact, but spatial resolution also improves. This results in improved resolution of MR angiography of the brain and neck, improved visualization of very small structures such as the cranial nerves and structures of the inner ear, and improved sensitivity for detection of white matter lesions such as are seen in patients with multiple sclerosis. Blood products are also more easily detected with MRI. Overall, we expect our patients to have a more pleasant experience, and we expect higher quality images that will appeal to our referring clinicians.”

Dr. Jared Sadler Neuroradiologist | Co-Director of 3T Neuro Imaging For Your Health 2013 | 29

Great Expectations:

A Look at Local Hospital Maternity Care By Navneet Kaur

t is natural for expectant parents to experience anxiety during pregnancy, particularly for firsttime parents. Usually, most of this anxiety stems from concerns over the well-being and safe delivery of their newborn. Knowing what kind of services your hospital provides might cut down this anxiety to a great degree. There are many great options in the Mid-Valley when it comes to maternity care and it is important to take into consideration many factors from facilities to education and more.

Facilities For many women, the delivery room is the deciding factor of how they choose a hospital. Erica Lentz, RN, OB nurse at Santiam Hospital says that “during their stay at Santiam Hospital, delivering parents enjoy spacious private rooms with views of the Willamette Valley or the Cascade Mountain Range.” She goes on to say that each of the rooms are equipped with their own private labor tub.

‘‘

Salem Hospital’s Family and Birth Center was recently voted ‘Best Place to Have a Baby’ for the second year in a row.” - Sarah Horn, Salem Health Director of Women’s and Children’s Service Santiam Hospital offers postnatal massage, postpartum physical rehabilitation for mothers, lactation services, and mental health support. Additionally, the facility also has accommodations to personalize their delivery rooms. With provisions to dim the lights, and encouraging patients to bring their own music to play, “mothers are provided a unique experience,” says Lentz. Sarah Horn, Salem Health Director of Women’s and Children’s Service informs that Salem Hospital’s Family and Birth Center was recently voted “Best Place to Have a Baby”

for the second year in a row in StatesmanJournal.com’s Best of the Mid-Valley. “Our goal is to provide family-centered care that exceeds our patients’ and families’ expectations during their stay with us,” Horn says and adds that their rooms are equipped with Jacuzzi tubs, birthing balls, squatting bars, rocker gliders, and daybeds for the support person. Most hospitals have employed midwives, and although they don’t have doulas on staff, they welcome their presence during the delivery. Horn says, “Our master’s prepared certified nurses provide care for mothers during pregnancy and delivery. They work in collaboration with the obstetrician hospitalists at Salem Hospital.”

Prenatal Care Today, prenatal care is more than just a doctor’s visit. Patients often receive education and counseling regarding nutrition and exercise during their care sessions. “There is an increased knowledge surrounding the mental health needs of moms-to-be and new mothers as well as the benefits of nutrition and exercise during pregnancy – all of which are critical to a growing baby’s well-being,” says Rita Kester, Marketing Communications

30 | For Your Health 2013

Director of Silverton Health. While mothers are more aware now than in the past and have access to a wealth of prenatal information online, Kester stresses the importance of relying on accurate medical information.

Education To supplement this need, many hospitals offer resources such as classes, informational groups, and childbirth preparation courses for expectant parents and family members. These courses range from introductory classes for first-time parents as well as childbirth refresher classes for parents who have already started their family but have another child on the way. Boot camp for new dads, and baby care and feeding courses are also offered. “We would encourage new and returning parents to come see where miracles happen by taking a tour to become familiar with the nursing units, and get first-hand information on where they will be staying and what to expect during their stay,” Horn says. Salem Health provides a wide selection of networking opportunities - from childbirth preparation classes to long after delivery - by connecting with new moms at no-cost groups like the Mom & Me Breastfeeding Support Group and New Moms’ Connection. The Hospital’s CHEC (Community Health and Education Center) is a valuable resource for parents at all stages. Silverton Hospital takes this experience to a whole new level. According to Kester, “Boot Camp for Dads-to-be” is led by trained volunteers working in conjunction with Silverton Hospital staff. This offers a place for new dads to share and learn from each other. While dads are gaining valuable handson experience, moms are next door getting well-deserved pedicures and massages. Childbirth and other support groups are also available and led by Silverton Health registered nurses and physicians.

Well-Baby Nurseries As for well-baby nurseries, Horn says that they have changed from a

traditional nursery to an area utilized to perform routine checks such as hearing screens. She says, “There is a well-baby nursery located on the Mother/Baby unit; however, (sic) infants are encouraged to room in with their mothers. This is common practice among most birthing facilities.” Erica Lentz corroborates this information. Lentz says, “We take the baby there (nursery) for a brief assessment, jaundice treatment, circumcisions etc., but then, you choose.”

Higher Levels of Care In addition to maternity care that you might Santiam Hospital offers rooms equipped with private labor tubs expect, hospitals are also raising their credentials by focusing on higher levels of care. Kester says that Silverton Hospital comprehensive ultrasounds and caring is a part of Oregon Health & Science for pregnant women who have special University’s Telemedicine Network, medical problems, for example heart or which is an innovative new technology kidney disease, hypertension, diabetes that enables Silverton Hospital care etc. “Our NICU (Neonatal Intensive providers to collaborate in real Care Unit) has achieved outcomes time with a pediatric intensivist or that rate our quality of care in the top neonatologist from OHSU. It also has a 25 percent of a national/international central monitoring system that enables network of over 900 NICUs,” adds them to check on their Horn. She further says, “In addition patients remotely. to our Level III NICU, which is on the same floor as our birthing suites, Horn is proud of Salem Health’s Neonatal Intensive Care Unit and says so mom’s and their baby can stay that they have specialists who combat together, we also have OB hospitalists unplanned complications or critical (obstetricians who are in-house 24/7) cases. The Maternal-Fetal Medicine ready to assist our patients day doctors provide support pre-delivery. or night.” The specialists monitor and care for moms with high-risk pregnancies. They are trained in performing

For Your Health 2014 | 31

MEDICAL DIRECTORY ACUPUNCTURE Nancy Arntson, LAc .................. 503-798-2918 Christopher Beardall, LAc ......... 503-982-6925 Gene Bruno, LAc ...................... 503-371-8770 Eric Buckley, LAc ...................... 503-371-8770 Travis Buckmaster, LAc ............. 503-981-4591 Margaret Campbell, LAc .......... 503-798-2918 Wendy Childs, LAc ................... 503-383-9796 Haekyung Dixon-Kim, LAc ....... 503-873-6705 Margaret Eng, LAc ................... 503-873-6705

James Moore, MD .................... 503-566-4520

CHILD & ADOLESCENT PSYCHIATRY

Timothy Pederson, MD ............ 503-561-5200

Joseph Chien, DO .................... 503-945-9276

John Ross, MD ......................... 503-299-9906

Janis Strickler, MD .................... 503-588-5955

Timothy Thurston, MD ............. 503-566-4520

Leon Harrington, MD ............... 503-990-8772

Eric Vonborstel, MD ................. 503-769-2175

Cynthia Visner, MD ................... 503-945-2800

Reginaldo Molina, MD ............. 503-365-3965 William Monson, MD................ 503-561-5200

Jennifer Williams, MD .............. 503-561-5200 Paula Wutte, MD ...................... 503-365-3965

AUDIOLOGY

Kristin Hamilton, LAc ................ 503-910-3140

Nimeshkumar Mehta, MD ........ 503-588-3945

Clarence Holman III, LAc .......... 503-881-8361

Kavan Ramachandran, MD ....... 503-588-3945

Karen Kaufman, LAc ................. 503-364-3022

Kishan Ramachandran, MD ...... 503-561-5200

Christopher Kleronomos, LAc .. 844-724-6789 Nina Meledandri, LAc .............. 971-221-7421 Angela Pfaffenberger, LAc........ 503-364-3022 Andrew Pilarski, LAc ................. 360-561-9235 Lyndsay Posey, LAc .................. 503-877-4850 Gabriel Prewitt, LAc.................. 503-877-4850 Katie Rablin, LAc ...................... 503-873-6705 Brett Renquist, LAc................... 503-585-1282 Monica Rudestam, LAc............. 971-409-4049 Robin Schaefer, LAc ................. 503-678-2277 Louisa Silva, MD ....................... 503-585-9239 Linda Taylor, LAc ...................... 503-365-7700

Bijaya Shrestha, MD ................. 503-588-3945

503-400-6498 3857 Wolverine St NE Building C-16 â&#x20AC;˘ Salem, OR www.SalemAudiologyClinic.com C. Scot Frink, M.S. FAAA

503-877-1684

Carol Sayre, Au.D., CCC-A

503-877-1684

Jonathan Hamm, COCH

503-877-1684

Beth Carter, Au.D. FAAA

503-877-1684

Randy Lerner, MA

503-877-1684

Tori Blomquist, MS, CCC-A

503-877-1684

CARDIOLOGY

Deborah Tremblay, LAc ............ 503-881-6379

Kamran Ghalili, MD .................. 503-814-4440

Felicity Woebkenberg, LAc ...... 503-873-6704

Raghunandan Kamineni, MD ... 503-814-4440

ALLERGY & IMMUNOLOGY Mark Chan, MD ........................ 503-361-5400 James McDonald, MD.............. 503-364-0189

Fayez Bader, MD ...................... 503-588-3945 Peter Bernardo, MD ................. 503-873-5310

Echo Hobbs, LAc ...................... 503-581-5990

Laura LaDue, LAc ..................... 503-399-1400

CRITICAL CARE MEDICINE

James Lowry, MD ..................... 503-814-4440 William Stiles, MD .................... 503-585-5585

CARDIOVASCULAR DISEASES

Nicole Vanderheyden, MD ....... 503-494-8311 Bharat Ved Prakash, MD ........... 503-588-3945

DERMATOLOGY

503-362-8385 1430 Commercial Street SE Salem, OR 97302 www.SilverFallsDerm.com John Young, MD

503-362-8385

William Lear, MD

503-362-8385

Angela Bohlke, MD

503-362-8385

Cory Maughan, DO

503-362-8385

Laura Metzger, MD ................... 503-990-8772

Matthew Fedor, MD ................. 503-814-4440

Brandon Markus, DO

503-362-8385

Charles Wagner, MD................. 503-364-0189

Wallace Lai, MD ....................... 503-585-5585

Scott Thomas, DO

503-362-8385

Joshua Leichman, MD .............. 503-585-5585

Karla Snider, DO

503-362-8385

Richard Wilson, MD .................. 503-585-5585

Benjamin Perry, DO

503-362-8385

Bryce Desmond, DO

503-362-8385

ANESTHESIOLOGY Lori Borella, MD........................ 503-769-2175 Timothy Connelly, MD ............. 503-566-4520 David Farber, MD ..................... 503-365-3965

CARDIOVASCULAR SURGERY

Amr Hegazi, MD ....................... 503-654-5636

Juan Oyarzun, MD.................... 503-371-4044

Mark Kelly, MD ......................... 503-561-5200

Thomas Winkler, MD

503-371-4044

Jason Ling, PA-C

503-362-8385

Charla Staggs, PA-C

503-362-8385

Tiffany Zimmer, NP

503-362-8385

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 32 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

HANDS DOWN – HE’S THE MAN TO SEE FOR HANDS Ken Wilson, MD

Patients rave about his personalized approach, heartfelt compassion and professional excellence. When you’re ready to see a doctor who believes that caring should be a part of healthcare, bring him your hands that fall asleep, your wrist and thumb pain, arthritis, and fingers that don’t work properly.

Dr. Wilson is a certified hand surgeon, a member of the American Society for Surgery of the Hand, and a fellowship trained orthopedic surgeon specializing only in conditions affecting the elbow, wrist, hand, fingers, and thumb. He considers it a privilege to be trusted in serving the good people of the Willamette Valley for nearly 20 years.

503-375-2529

700 Bellevue St., S.E., Suite 260 Salem, Oregon 97301 (Conveniently located in Northbank Plaza)

HandSurgeryofOregon.com For Your Health 2013 | 33

MEDICAL DIRECTORY Leonard Hamm, MD ................. 503-873-1500 Jeffrey Hemstreet, MD ............. 503-561-5200 Robert Hillstrom, DO................ 503-623-8301 Gretel Honis, MD ..................... 503-623-7333

503-364-3321 2441 Grear Street, NE Salem, OR 97301 www.salemdermatologyclinic.com John M. Currie, MD

503-364-3321

S. Jon Denton, MD

503-364-3321

Michael E. Goodenberger, MD 503-364-3321 Shashi K. Srinivasan, MD

503-364-3321

Preston W. Chadwick, MD

503-364-3321

Charles Johnson, MD ............... 503-561-5634

503-588-2674 1165 Union St. NE #100 Salem, OR 97301 www.SalemImaging.com

Edward Junn, MD ..................... 503-769-9256 Robert Kelly, MD ...................... 503-561-5634 Ryan Kirkpatrick, MD ................ 503-561-5200 Kenneth Kolarsky, MD .............. 503-873-1691

Victor J. Leonardo, M.D.

503-588-2674

Lazeni Koulibali, DO ................. 503-561-5634

Robert W. Myers, M.D.

503-588-2674

Neil Lancefield, MD.................. 503-561-5634

Christopher D. Goeser, D.C., M.D. 503-588-2674

Katherine Landen, MD ............. 503-561-5634

Joseph D. Trudeau, M.D.

503-588-2674

Rebecca Lucas, DO .................. 503-689-1585

Edwin Y. Wang, M.D.

503-588-2674

Laura Moire, MD ...................... 808-987-7654

Piper K. Rooke, M.D.

503-588-2674

Rumm Morag, MD.................... 503-561-5634

Prasanth M. Prasanna, M.D.

503-588-2674

Brian Orth, DO ......................... 503-561-5634

Michael Hanslits, MD................ 503-399-1262

Min Pak, MD ............................. 503-561-5634

David Harrison, MD .................. 503-399-1262

Trevor Phillips, MD ................... 503-561-5634

Ken Hirasaki, MD ...................... 503-399-1262

Lewis Sayre, MD ....................... 503-561-5634

5900 Inland Shores Way N, #202 Keizer, Oregon 97303 503-463-6799

Jose Novoa, MD ....................... 503-399-1262

Jillian Schmunk, MD ................. 503-561-5634

Anthony Pappas, MD ............... 503-362-0254

Robert Sloan, MD ..................... 503-561-5634

William Purnell Jr., MD ............. 503-362-0254

Danny Sparks, MD .................... 503-769-2175

8642 SW Main Street, #100 Wilsonville, Oregon 97070 503-218-1201

James Schmidgall, MD............. 503-602-3399

Donald Stader III, MD .............. 503-561-5634

Michael Smolin, MD ................. 503-399-1262

Kirsten Steketee, MD ............... 503-561-5634

Daniel Tarbox, MD ................... 503-361-5400

Sean Steward, MD.................... 503-623-7333

Carolyn I. Hale. M.D. Samuel Bremmer, M.D. Joel James, PA-C

EMERGENCY MEDICINE

Charles Stringham, MD ............ 503-769-2175 Henry Truong, MD .................... 503-561-5200 Vince Truong, DO..................... 503-561-5200

Michael Barr, MD ...................... 503-561-5634

Steven Vets, DO ....................... 503-769-2175

Pamela Bird, DO....................... 503-561-5554

Aaron Vitells, MD ..................... 503-588-8528

Teresa George, PA .................... 503-364-3321

Eric Brown, MD ........................ 503-873-1690

Clare Wallner, MD .................... 503-623-8301

Eric Harmon, PA ....................... 503-364-3321

Jack Buchanan, MD .................. 503-561-5554

Joshua Walterscheid, MD......... 503-561-5634

Richard Thomas, DO ................ 503-362-8385

Robert Chisholm, MD............... 503-873-1500

Dennis Winner, MD .................. 503-370-5373

Julie Miller, R.N., D.N.C., M.E.P.C.

DIAGNOSTIC RADIOLOGY

Brian Clothier, MD .................... 503-561-5634 Kyran Colbry, MD ..................... 503-561-5634 Gail Defrees, MD ...................... 503-873-1690

ENDOCRINOLOGY, DIABETES & METABOLISM

Maxwell Abbott, MD ................ 503-399-1262

Amy Dourgarian, MD ............... 503-494-8311

Stephen Burrows, MD .............. 503-399-1262

Timothy Duenas, MD ............... 503-561-5634

Martin Bassett, MD................... 503-399-8105

Richard Collins, MD .................. 503-399-1262

Timothy Edelblute, MD ............ 503-561-5634

Thomas Chamberlin, MD ......... 503-362-9334

David Farthing, MD .................. 503-399-1262

Matthew Fahey, MD ................. 503-769-9256

Cort Garrison, MD .................... 503-561-6058

Michael George, MD ................ 503-399-1262

Donald Graham, MD ................ 503-873-1690

Kristen Gehring, PA .................. 503-399-8105

Sidney Green, MD .................... 503-399-1262

Christopher Hale, MD .............. 503-561-5634

Rodney Michaels, MD .............. 503-589-0565

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 34 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

We Know Skin. Oregon’s

1Choice In Dermatology

• Medical, Surgical, & Pediatric Dermatology • Experienced Mohs Surgeon, Board Certiﬁed Dermatologist • Acne, Eczema, Psoriasis, Mohs, Warts, Skin Cancer, & Melanoma Screening • Most Insurance Plans Accepted

877-757-DERM (3376)

1430 Commercial St SE | SilverFallsDerm.net Other Locations: Woodburn, Gresham, Albany, Corvallis, Longview For Your Health 2013 | 35

MEDICAL DIRECTORY FAMILY MEDICINE

Antonio Germann, MD ............. 503-982-2000

FAMILY PRACTICE

Roy Hall, MD ............................ 503-399-2424

John Ahlen, MD ....................... 503-814-4400

Keith Haugen, MD ................... 503-873-1500

Roger Applegate, MD .............. 503-304-7600

Barbara Hoover, DO ................. 503-315-4015

James Auerbach, MD ............... 503-363-0524

Marion Hull, MD ....................... 503-814-4400

Raymond Baculi, MD ................ 503-399-2424

Evan Inman, MD ....................... 503-361-5400

Lawrence Barnes Jr., MD .......... 503-897-4100

Damian Jorgensen, MD ............ 503-769-2259 Olivia Kamayangi, MD.............. 503-378-7526

Elizabeth Blount, MD ............... 503-873-8686 Richard Boughn, MD ................ 503-769-7771

503-391-1110 5050 Skyline Village Loop, S Salem, OR 97306 www.drsclinic.com

Micaiah Kuzma, MD.................. 503-399-2424

Rashanda Brown, DO .............503-391-1110

Earl Lee, DO ............................. 503-399-2424

Christopher Buckley, MD........503-391-1110

Jessica Lehrfeld Smith, DO ...... 503-873-5667

Jay Campbell, DO ..................503-391-1110

Evelin Dacker, MD .................... 503-399-1400

Joshua Meador, DO ................. 503-361-5400

John Daniels, MD ..................... 503-399-2424

Sheila Mitchell, MD .................. 503-373-8550

Johnny Deblock, DO ................ 503-945-2800

Jerrod Mitzel, MD .................... 503-362-6304

Guesly Dessieux, DO ................ 503-769-6386

William Nagel, MD ................... 503-945-2800

Heather Diaz, MD ..................... 503-588-0076

David Edmonds, MD ..............503-391-1110 Heidi Fletemier, MD ...............503-391-1110 Cynthia Harper, MD ................503-391-1110 Antje Howard, MD..................503-391-1110 Myron Lee, MD .......................503-391-1110

Caroline King-Widdall, MD ...... 503-361-5400 Lara Knudsen, MD .................... 971-599-1002

Derek Norcom, MD .................. 503-399-2424

Andrea Lind, MD ....................503-391-1110

Hella Nordberg, MD ................. 503-361-5400

R. Kirsten Rey-Rosa, MD .........503-391-1110

Eric North, MD ......................... 503-874-6026

George Thomas, DO ..............503-413-2042

Phoenix North, MD................... 503-874-6026

Curt Hawkinson, PA-C ............503-391-1110

Warren Okuns, MD ................... 503-414-8507

Julie Broyhill, MD ..................... 503-982-2174 Stephen Chaffee, DO ............... 503-623-2345 Denise Chun, MD ..................... 503-982-2000 Kea Crandall, MD ..................... 541-327-2380 Thomas Culhane, MD ............... 503-967-7418

Nancy Dougherty, MD ............. 503-399-2424 Christopher Edwardson, MD .... 503-623-2345 Monchito Entena, MD .............. 503-982-2202 Carolyn Fairfax, MD .................. 503-363-8047 Gerald Farnell, MD ................... 503-399-2424 John Fitzgerald, MD ................. 503-399-2424

Mark Olson, MD ....................... 503-361-5400 Marcia Adams, MD ................... 503-986-0325

Tom Flaming, DO ..................... 503-623-8376

Laura Ostrom, DO .................... 503-525-7673

Rex Baker, MD .......................... 503-361-5400

David Foster, MD ..................... 503-769-6367

Patricia Otis, MD ...................... 503-361-5400

Fred Foulke, MD ...................... 503-399-2424

William Peffley, DO .................. 503-623-1200

Irene Fu, MD ............................ 503-399-2424

Nikhil Batra, MD ....................... 503-561-5200 Nathan Bay, MD ....................... 503-873-8686

Kyla Pepper, MD ...................... 503-361-5400

Michael Gabe, MD ................... 503-873-5667

Scott Bean, MD ........................ 503-371-3232

Michael Puerini, MD ................. 503-373-0168

Lesley Garber, DO.................... 503-399-2424

William Carnett, DO ................. 503-814-4400

Michelle Rasmussen, MD ......... 503-814-4400

David Chen, MD ....................... 503-813-3860

Clinton Sanford, MD................. 503-873-2770

Tomas Gigena, MD .................. 503-982-2174 Julie Gilbert, MD ...................... 503-393-2533 John Gilliam II, MD................... 503-873-1578

Ryan Cooley, MD ..................... 503-399-2424

Elisabeth Ann Scott, MD .......... 503-378-7526

Susan Corzilius, MD.................. 503-361-5400

Littu Skariah, MD ...................... 503-814-4400

Yara Delgado, MD .................... 503-845-2000

Amy Sutkus, MD ....................... 503-897-4100

Suzanne Deschamps, MD ........ 503-361-5400

Jolson Tharakan, MD ............... 503-982-2174

Leslie Drapiza, MD ................... 503-588-0076

Kim Thompson, DO ................. 503-399-0021

Lynette Dupee, PA .................... 503-361-5400

Lisa Thottappilly, MD ............... 503-814-4400

Joseph Dziados, MD ................ 503-361-5400

Julian Uselman, DO.................. 503-873-5667

Jared Eller, DO ......................... 503-399-2424

Jeanette Walker, MD ................ 503-399-1400

John Hayes, MD ....................... 971-983-5371

Charles Essex, MD.................... 503-838-1388

Gerald Williams, DO ................ 505-399-2424

James Heder, MD..................... 503-371-3232

Jackson Ferguson, PA............... 503-769-6386

Anda Yangson, MD .................. 503-561-5200

Manya Helman, MD ................. 503-589-0539

Sandra Garrard, MD ................. 503-399-2424

Henry Youga, MD ..................... 503-814-4400

Clark Hoffman, MD ................... 503-945-7125

Ritchie Gooch, MD ................... 503-769-7771 Michael Grady, MD .................. 503-873-1764 Kendall Graven, MD ................. 503-399-2424 Page Griffin, MD....................... 503-982-2000 Scott Hadden, MD ................... 503-749-4734 Ole Hansen, MD....................... 503-373-1840 Aaron Hanson, DO ................... 503-362-5435

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 36 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

For Your Health 2013 | 37

MEDICAL DIRECTORY Tanie Hotan, MD ...................... 503-749-4734

Steven Shelton, MD.................. 503-378-5530

Katie Houts, MD ....................... 503-871-8686

James Stageman III, MD .......... 503-873-1500

Joseph Huang, MD .................. 503-873-5227

Leslie Stevens, DO ................... 503-361-5400

Jeffrey Humphrey, DO.............. 503-623-8376

Jeffrey Stoessl, MD ................... 503-399-2424

Jacob Jackson, MD .................. 503-361-5400

Mark Surbaugh, MD ................. 503-399-2424

Karen Johnson, MD .................. 503-371-3232

Katie Tihanyi, MD ..................... 503-362-1314

Lance Jungwirth-Large, MD ..... 503-769-2641

Alicia Tonnies, MD ................... 503-361-5400

Randell Jura, MD ...................... 503-399-7607

Jeffrey Turcot, MD .................... 503-588-5892

Michael Kelber, MD .................. 503-391-6615

Mark Vanderburgh, MD ............ 503-399-2424

Johan Kohler, DO ..................... 503-399-2424

Thomas Vanveen, MD .............. 503-990-8772

Faith Koschmann, MD .............. 503-845-2000

David Wagner, MD ................... 503-588-1234

David Krier, MD ........................ 503-703-4745

James Walker, MD .................... 503-845-2000

Robert Larson Jr., MD............... 503-873-8923

Paul Weaver, DO ...................... 503-538-8952

Steven LaTulippe, MD .............. 503-623-5430

Patricia Weeks, MD .................. 503-399-2424

Lance Loberg, MD.................... 503-561-5554

Thomas Weiser, MD ................. 503-304-7642

Ian Loewen-Thomas, MD ......... 503-399-2424

Keith White, MD ....................... 503-838-1133

William Lucas, MD .................... 503-623-1200

Joseph Whitson, DO ................ 503-361-5400

Kathryn Lueken, MD ................. 503-371-7701

Robert Willey, MD .................... 503-623-6650

Mark Margoles, MD.................. 503-361-5400

Gayle Wilson, MD .................... 503-623-8826

Hal Mitchell, DO....................... 503-623-3199

Mary Wilson-Pant, MD ............. 503-378-7526

Jerry Moss, MD ........................ 503-990-8772

Loring Winthrop, MD ............... 503-399-2424

Paul Neumann, MD .................. 970-221-0883

Pamela Witherspoon, MD ........ 503-304-7600

Anne Nunes, DO...................... 503-399-2424

Karla Wottge, DO..................... 503-838-8313

Gwendolyn Oran, MD .............. 503-361-5400

Ralph Yates, DO ....................... 503-814-1391

Kenneth Orchard, MD .............. 615-889-2469

Timothy Zuk, MD ...................... 503-399-2424

Donald Orwick, MD.................. 503-399-2424 Ronald Palm, DO ..................... 503-393-0540 Mark Patton, DO ...................... 503-798-4200 Niels Pedersen, MD ................. 503-399-2424 Paul Perrin, MD ........................ 503-551-2859 Sarah Peters, MD...................... 503-873-6987 Timothy Peters, MD ................. 503-873-6987 Juliette Power, MD ................... 503-361-5400 Harvey Price, MD...................... 503-990-8774 Tracy Read, MD ........................ 503-982-2174 Gina Remington, MD ............... 503-623-8151 Brett Robinson, MD .................. 503-581-8899 Bradley Roemeling, MD ........... 503-361-5400 John Rollings, MD .................... 503-585-6388 Deborah Sailler, MD ................. 503-361-5400 Mark Sauerwein, MD ................ 503-588-0076 Jeanne Savage, MD ................. 503-982-2000

FOOT & ANKLE SURGERY Robert Scott, DPM ................... 503-370-8784

FORENSIC PSYCHIATRY Mark Diamond, DO .................. 503-378-2438 Donald Dravis, MD ................... 503-378-2446 Andrew Nanton, MD ................ 503-945-2853 Scott Reichlin, MD .................... 503-910-3612 Simrat Sethi, MD ...................... 503-945-2800

GASTROENTEROLOGY Patrick Birbeck, PA .................... 503-584-3222 Roger Epstein, MD ................... 503-874-2427

GENERAL PRACTICE

875 Oak St SE Ste C3010 Salem, OR 97301 503-399-7520 www.SalemGastro.com Michael Buck, MD Edward Schultheiss, MD Robert Ponec, MD, FACP, FACG Lawrence Gates Jr, MD, FACP, FACG, AGAF Makkalearn Em, MD Patricia Kao, MD Katherine Hoda, MD Richard Brandes, MD Daniel Butler, PA-C Mindy Glivinski, PA-C David Reavis, PA-C Denise Cedar, RD, LD, CDE Ivan Dassenko, MD .................. 503-581-7379 Olwyn Davies, MD.................... 503-873-5331 George Degner, MD ................. 503-373-1840 Bruce Duffy, DO ....................... 503-371-2260 Paula Eschtruth, DO ................. 503-585-5155 John Kulus, DO ........................ 503-838-3665 Karen Landers, MD................... 503-373-3787 Scott Miller, MD........................ 503-588-1234 Mark Nurre, MD ....................... 503-304-7600 Gary Stanford, MD ................... 503-982-3781 Viven Valdez, DO ..................... 503-967-6771 Terence Young, MD .................. 503-371-1558

GENERAL SURGERY Carrie Allison, MD .................... 503-561-5200 Catherine Boulay, MD .............. 503-399-2424 Muthalib Cassim, MD ............... 503-884-6147 Glena Caton, MD ..................... 503-399-2424 Christine Clarke, MD ................ 503-364-6843 George Clarke, MD .................. 503-364-6843

Mark Scherlie, DO .................... 503-371-3232

Richard Alley, MD..................... 800-452-2147

Andrew Cleary, MD .................. 503-561-5200

Michael Schiferl, MD ................ 503-990-8772

Neal Berner, MD....................... 503-986-4825

Beth Dayton, MD ..................... 503-364-6843

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 38 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

GREAT CARE. CLOSER TO HOME. Our new Keizer Station Medical Office is scheduled to open December 15.

We’re growing with you, in the Mid-Valley! Our Keizer Station Medical Office brings great care closer to where you live and work. To serve you better, we now have four convenient offices in the Mid-Valley.

Take a look at what this new, state-of-the-art facility offers members:

CONVENIENT LOCATION Just off I-5, our new location is convenient for members who live and work in North Salem and Keizer.

Volcanoes Stadium

EVERYTHING UNDER ONE ROOF We fit into your busy life. With 16 brand-new exam rooms and pharmacy, lab, and imaging services all in one location — it’s easy to get your care needs met quickly. Keizer Station Keizer Station Medical Office Medical Office 5940 Ulali Drive 5940 Ulali Drive Keizer, OR 97303 Keizer, OR 97303

Chemawa

Rd NE

TOP DOCTORS You’ll find six primary care physicians ready to help you and your family at Keizer Station.

With our new location, Kaiser Permanente has North Salem and Keizer covered!

549KPA-14/8-14

For Your Health 2013 | 39

MEDICAL DIRECTORY Jennifer Neahring, MD ............. 503-561-3133

George Degner, MD ................ 503-769-7151

Yolanda Suarez, DO ................. 503-315-5400

Christian Devaux, DO............... 503-399-2424

HOSPITAL ADMINISTRATION William Holloway, MD .............. 503-561-5290

503-391-1110 5050 Skyline Village Loop, S Salem, OR 97306 www.drsclinic.com Eric Laro, MD ..........................503-391-1110 Kristopher Dozier, MD .............. 503-361-5400

Martin Kehrli, MD ..................... 503-986-4991

INFECTIOUS DISEASES

Bukhosi Dube, MD ................... 503-561-5200 Sharon Eder, MD ...................... 503-986-4989 Elana Fedor, MD ....................... 503-362-9334 Kamran Firoozi, MD .................. 503-588-3945 Mark Fischl, MD ........................ 503-399-2424 Ahmad Gill, MD ....................... 503-561-5200

Richard Basilan, MD ................. 503-561-1823

William Gillespie III, MD ........... 503-399-2424

Cliffton Bong, MD .................... 503-585-0777

Maurice Golden III, MD ............ 503-982-0403

John Girod, MD ....................... 503-585-0777

Ronald Ray Guzman, MD ......... 503-399-2424

INTERNAL MEDICINE

Kathleen Harder, MD................ 503-399-2424 Harold Harmon, MD ................. 503-362-9334

Jonathan Durning, MD ............. 503-364-6843

Harmon Harvey Jr., MD ............ 503-362-6304

Kai Engstad, MD ...................... 503-371-4044

Jon Hughes, MD ...................... 503-371-7703

Ronald Jaecks, MD ................... 503-361-5400

Richard Hunt, MD ..................... 503-361-5400

Jiyoun Kim, MD ........................ 503-399-2424

Paul Huun, MD ......................... 503-399-2424

Gloria Marlowe, MD ................. 503-315-5795

Elisabeth Jappay, MD .............. 503-362-9335

Robert McGreevy, MD ............. 503-769-3785

Patricia Jimenez Mendez, MD .. 503-585-6388

Rajan Nair, MD ......................... 503-399-2424

503-391-1110 5050 Skyline Village Loop, S Salem, OR 97306 www.drsclinic.com

Jordan Raymer, MD .................. 503-873-1500

Jeffery Brown, MD .................. 503-391-1110

Christopher Kirk, MD................ 503-881-1147

Fay Seppala, MD ...................... 503-769-3785

Linda Cunningham, MD ......... 503-391-1110

Laslo Kolta, MD ........................ 503-362-1314

Alison Smith, MD ..................... 503-831-0784

Robert Davies, DO ................. 503-391-1110

Vinitha Kumar, MD ................... 503-561-1823

Tracy Taggart, MD .................... 503-561-2448

Robert Hejl, MD...................... 503-391-1110

Gregory Lackides, MD.............. 503-399-2424

Michael Vanronzelen, MD ........ 503-364-6843

Hoa Hoang, MD ..................... 503-391-1110

Jacqueline Logan, MD ............. 503-947-9003

Harris Waters, MD .................... 503-873-5310

Christian Duren, PA-C ............. 503-391-1110

Dominique Mall, MD ................ 503-561-5200

Patricia Stupfel, ANP .............. 503-391-1110

John Manos, MD ...................... 503-561-5200

Gloria Alexander, MD ............... 503-399-2424

Carmelo Mejia, MD .................. 503-361-5400

Mohamad Al-Hafez, MD........... 503-561-5290

Natalie Melrose, MD ................ 503-561-5200

Beata Anasz-Kopecka, MD ....... 503-361-5400

Sharon Meyers, DO .................. 503-986-5100

Mary Beland, MD ..................... 503-361-5400

Brett Mikeska, MD .................... 503-561-8565

Kenneth Wilson, MD ................ 503-375-3636

Dawn Bost, MD ........................ 503-945-2853

Debbie Miller, MD .................... 503-362-9335

Carolyn Yang, MD .................... 503-370-4311

Ulista Brooks, MD ..................... 503-945-7125

Manisha Mittal, MD .................. 503-945-2800

HOSPICE & PALLIATIVE MEDICINE

Heather Burgin, MD ................. 503-399-2424

Utpal Mondal, MD.................... 503-561-3333

Stephen Carp, DO .................... 503-399-2424

Wenn Ng, MD .......................... 503-561-5200

Robin Chandler, MD ................. 503-399-2424

Chris Nobis, MD ....................... 503-990-8772

Nancy Boutin, MD .................... 503-561-5294

Mudasir Chisti, MD................... 800-410-4142

Cynthia Nocek, MD .................. 503-378-7526

Daniel Harris, MD ..................... 503-315-1003

Curtis Climer, MD ..................... 503-981-9526

Claire Norton, MD .................... 503-561-5305

Beverly JeffsSteele, DO............ 503-588-3600

Barry Coplon, MD .................... 503-361-5400

Eliza Oh, MD ............................ 503-362-9335

Gordon Moe, MD ..................... 503-390-1954 Everett Mozell, MD................... 503-399-2424

Benjamin Wilson, MD ............... 503-399-8105

GERIATRIC MEDICINE Syed Zaidi, MD ........................ 503-561-1823 Shanjian Zhu, MD ..................... 503-990-8772

HAND SURGERY

Anneliis Juurma, MD ................ 503-361-5400 Priya Kansal, MD....................... 503-561-7171 Scott Keith, MD ........................ 503-561-5200

Swati Mehta, MD ...................... 503-561-5913

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 40 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

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MEDICAL DIRECTORY Hyung Park, MD ....................... 503-561-5200 Ken Park, MD ........................... 503-786-1158 James Parosa, MD .................... 503-588-3945 Steven Paulissen, MD ............... 503-362-9334 Mojabeng Phoofolo, MD ......... 503-561-5200 Preethi Prakash, MD ................. 503-561-5200 Renee Prins, MD ....................... 503-561-6444 James Pritchard, DO ................ 503-986-4962

MEDICAL ONCOLOGY

OBSTETRICS & GYNECOLOGY

Jan Merin, MD.......................... 503-315-4663

Darcy Blanchard, DO ................ 503-399-2424

Edward Orlowski, MD .............. 503-561-6444

William Cely, MD ...................... 503-562-2229

Charles Petrunin II, MD ............ 503-561-6444

Yuen Chau, MD......................... 503-399-2424

John Strother, MD .................... 503-561-6444

Laura Chong, MD ..................... 503-399-2424

NEPHROLOGY

Denis Dalisky, MD .................... 503-873-8853 Dawn Estelle-Vinecki, DO......... 503-566-4535

Denis Privalov, MD ................... 503-561-8572

Andreea Andone, MD .............. 503-561-8565

Mark Rarick, MD ....................... 503-361-5400

Frederick Frank, MD ................. 503-399-2424

Lance Dicker, MD ..................... 503-561-8565

Sheila Goldsworthy, MD ........... 503-399-2424

Bharat Rattan, MD .................... 503-561-5437

Eva Lee, MD ............................. 503-561-8565

John Hannig, MD ..................... 503-562-2229

Jayaprakash Reddy, MD........... 503-561-5200

Misha Mohindra, MD................ 503-561-8565

Robert Harder, MD ................... 503-399-2424

Barney Saunders, MD............... 503-945-7175 Richard Segal, MD.................... 503-561-5400 Mi Seo, MD............................... 503-561-5200

NEUROLOGICAL SURGERY

Elizebeth Harmon, MD ............. 503-399-2444 Ming Hsieh, MD ....................... 503-361-5400 Deborah Johnson, MD ............. 503-585-9695

Christian Speer, MD ................. 503-566-4546

Robert Buza, MD ...................... 503-510-5505

Valerie Joyce Heffner, MD ........ 503-399-2424

Robert Steele, MD.................... 503-585-6388

Mauricio Collada Jr., MD .......... 503-581-5517

Barbara Keller, MD ................... 503-873-8853

Marc Sunday, DO ..................... 503-361-5400

Valerie Coon, MD ..................... 503-581-5517

Ralph Lewis, MD ....................... 800-972-7207

David Tate, MD ........................ 503-399-2424

James Coulter, MD ................... 503-743-4806

Cheryl Lugenbill, MD................ 503-399-2424

Heidi Thomas, MD ................... 503-371-3232

Charles Hatchette, MD ............. 503-399-1386

Heather Mackay-Gimino, MD ... 503-814-4582

Kevin Thompson, DO ............... 503-585-5585

Jerry Hubbard, MD .................. 503-399-1386

Gregory Mallek, MD ................. 503-814-4480

Natasha Tiffany, MD ................. 503-561-6444

Paul Williams, MD .................... 503-704-7045

Charles McGee, MD ................. 503-561-5200

Drissana Tran, MD .................... 503-588-3600

Julie York, MD .......................... 503-561-7240

Jeffrey Wang, MD .................... 503-399-2424 James Wasenmiller, MD ........... 503-364-5838 Raymond Westermeyer, MD..... 503-814-4400 Richard Woods, MD ................. 503-361-5400 Sunny Yadav, MD...................... 503-561-5200 Ourania Yue, MD ...................... 503-798-4200 Eleanor Zawada, MD ................ 503-982-0403 Wen Zhong, MD ....................... 503-561-5200

INTERVENTIONAL CARDIOLOGY Hrishikesh Iyengar, MD............. 503-561-7171 Barath Krishnamurthy, MD ....... 800-876-1718

MAXILLOFACIAL SURGERY James Eyre Jr. , MD .................. 503-581-1999 David Swiderski, MD ................ 503-581-0223

NEUROLOGY

Sherif Al-Hawarey, MD ............. 503-561-4000

Lavena Morgan-Jahanshir, MD . 503-485-5959 Patricia Peterson, MD ............... 503-399-2424 Jonathan Pugmire, MD ............ 503-763-3660 Brooke Renard, MD .................. 503-873-8853

Elizabeth Bjornskov, MD .......... 503-763-5917

Lisa Rice, MD ............................ 503-561-5200

Emma Burbank, MD ................. 503-856-0111

Mark Rowley, MD ..................... 503-873-7920

Anton Coleman, MD ................ 503-561-5200

Keita Sakon, MD....................... 503-814-4480

Benton Davidson, MD .............. 503-385-1664

Steven Samawi, MD ................. 503-361-5400

Kevin Jamison, MD .................. 503-856-0111

Vicki Seller, MD ........................ 503-315-5710

Henry Nino, MD ....................... 503-873-1722

Cara Streit, MD......................... 541-387-8940

Thomas Phipps, MD ................. 503-856-0111

Susan Taylor, MD ...................... 503-769-9522

Rafal Smigrodzki, MD ............... 503-370-5200

David West, MD ....................... 503-814-4480

NEURORADIOLOGY

Kyu Kim, MD ............................ 503-399-1262 Jared Sadler, MD ...................... 503-399-1262

NUCLEAR MEDICINE John Overbeck, MD ................. 503-967-7418

OCCUPATIONAL MEDICINE

Marc Bodow, MD ..................... 503-391-9911 Marcus Braman, MD ................. 971-983-5433 R Harding, MD ......................... 503-769-2175 Thomas Thrall, MD ................... 503-362-5242 Howard Tsang, MD ................... 503-362-5242

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 42 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

Mennonite Village

Picture yourself living at Mennonite Village... A Not-for-Profit Continuing Care Retirement Community Providing Life-Enriching Services A 275-acre community in a rural setting, Mennonite Village provides spacious living spaces for all levels of retirement – just a short drive from Corvallis, Salem, or Eugene. With award-winning healthcare and beautifully landscaped grounds, Mennonite Village is an inclusive community of amazing people.

• • • • •

Independent living homes and apartments Assisted living apartments with support available 24/7 Memory care, including respite care and on-site foster care Skilled nursing & rehab services, inpatient and outpatient In-Home Care services in Linn, Benton, and Marion counties

541-928-7232 5353 Columbus St. S.E., Albany, Oregon www.mennonitevillage.org www.facebook.com/mennonitevillage For Your Health 2013 | 43

MEDICAL DIRECTORY Kevin Walters, MD .................... 503-370-4867

OPHTHALMOLOGY Medical Center

Eye Clinic

503-581-5287 655 Medical Center Dr. NE. Salem, OR 97301 www.mceyeclinic.com U. John Berzins, M.D.,L.L.C. 503-581-5287 Robert E. Tibolt, M.D.

503-581-5287

Marcus A East, M.D.,L.L.C.

503-581-5287

Ryan W. Lapour, M.D.,L.L.C. 503-581-5287 Samuel Farmer, MD .................. 503-371-4350 Robin Glotzbach, MD ............... 800-813-2000 Richard Lieurance, MD ............. 503-361-5400 Gordon Miller, MD .................... 503-363-1500 Richard Neahring, MD .............. 503-585-2022

Tony Lin, MD ............................ 503-763-6581

Craig Anderson, MD ................ 503-371-4647

Marcus Pollard, MD .................. 503-873-8740

John Borgoy, MD ..................... 503-361-5400

David Pressman, MD ................ 503-540-6300

Poly Chen, MD ......................... 503-371-1010

Brian Puskas, MD...................... 503-873-1722

Eugene Hiebert, MD ................ 503-399-9446

Enoch Shaw, MD ...................... 503-480-0485

Trevor Jorgensen, MD .............. 503-371-4647

Kent Smillie, MD ...................... 503-540-6300

Ajay Mohabeer, MD ................. 503-967-6100

Malcolm Snider, MD ................. 503-540-6300

Rebeca Monreal, DO................ 503-967-6771

John Stevens, MD .................... 503-585-7021

Donald Winder Jr., PA .............. 503-371-1010

Nicolas Stratton, MD ................ 503-769-8470 Gregory Strum, MD .................. 503-508-7651 David Thorsett, MD .................. 503-873-1722

John Ballard, MD...................... 503-540-6400 Jerry Becker, MD ...................... 503-559-2991 Richard Block, MD .................... 503-873-1500 Timothy Borman, DO ............... 503-375-3636 Harold Boyd, MD ..................... 503-540-6300 John Coen, MD ........................ 503-540-6300 Mark Dolan, MD ....................... 503-540-6300 Robert Fan, MD ........................ 503-540-6300 Mark Foglesong, MD ............... 503-540-6300 Richard Gardner, MD ................ 843-422-5320 Raylene Gordin, MD ................. 503-375-3636 Michael Hahn, MD ................... 503-361-5400 Jeffrey Knight, MD ................... 503-540-6300 Michelle Lewis, PA .................... 503-540-6300

Mark Magilner, MD ................... 503-561-5350 Rosemary Makar, MD ............... 503-999-3746 Clark McDonald, MD................ 503-561-5350

Monica Zilkoski, MD ................. 503-540-6300

Pamela Smith, MD.................... 503-561-5598

Robert Zirschky, MD ................. 503-540-6300

Penny Vanderveer, MD ............. 503-561-5350

OTOLOGY, LARYNGOLOGY, RHINOLOGY

Daryl Vogel, MD ....................... 503-561-5350 Debbie Wu, MD ....................... 503-561-5350

PEDIATRICS Martin Altschul, MD.................. 503-763-5918 Candye Andrus, MD ................. 503-361-5400 Suzanne Bailey, MD ................. 503-362-2481

Scott Stice, MD ......................... 503-585-2022

ORTHOPEDIC SURGERY

Alicia Kavka, MD....................... 503-561-5350

Richard Tobin Jr., MD ............... 503-540-6300

Edmund Servais, MD ................ 503-371-4350

Andrew Westfall, MD................ 503-371-4350

PATHOLOGY

Frederick Tiley, MD .................. 503-390-5975

David Rowell, MD ..................... 503-585-2022

Russell Warner, MD................... 503-585-2022

PAIN MEDICINE

Kelly McCormick, MD .............. 503-540-6300

Kathy Butler, PA ........................ 503-540-0288

503-400-6492 3099 River Road South Salem, OR 97302 www.entsalem.com Joseph H. Allan, MD, FACS

503-400-6492

John S. Donovan, MD

503-400-6492

Bruce C. Johnson, MD

503-400-6492

Gary J. Nishioka MD, DMD

503-400-6492

Douglas J. Skarada, MD

503-400-6492

Clark R. Thompson, MD

503-400-6492

Crystal Miyake, AuD

503-400-6497

Dustin Bronsdon, AuD

503-400-6497

Andrea Liuzzo, AuD

503-400-6497

Emily McMahan, AuD

503-400-6497

Nadine Palmateer, MA, CCC-A 503-400-6497 Diana Peterson, AuD

503-400-6497

Heidi Sheridan, AuD

503-400-6497

Kenneth Carlson, MD ............... 503-364-2181 Suzanne Dinsmore, MD ............ 503-364-2181 Edward Edwards, MD ............... 503-981-9531 Fara Etzel, MD .......................... 503-364-2181 Antoinette Farah, MD ............... 503-364-2181 Emma Germann, MD................ 503-361-5400 Warren Griffin III, MD................ 503-362-2481 Brian Gumbs, MD ..................... 503-361-5400 Raymond Hausch, MD .............. 503-309-0652 Kimberly Heggen, MD.............. 503-364-2181 Mark Helm, MD ........................ 503-364-2181 Jenny Hoelter, MD.................... 503-364-2181 Erin Hurley, MD ........................ 503-540-0288 Nina Hyndman, MD .................. 503-362-2481 Lillian Iwatsuki, MD ................... 503-399-2424 Jeffrey Jarvi, PA ........................ 503-362-2481 James Jensen II, MD ................ 503-873-1690 Brian Jordan, MD ..................... 503-814-3558

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 44 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

MEDICAL DIRECTORY Dorin Kemmerle, MD ............... 503-364-2181

Francine Boullosa, PA ............... 503-370-4863

Julia Pulliam, PA ....................... 503-623-2345

Elizabeth King, MD ................... 503-362-2481

Megan Buechler, PA ................. 503-378-7526

Kelly Ramirez, PA ..................... 503-769-2641

Vincent Koletar, MD.................. 503-362-2481

Jaimie Caiazzo, PA.................... 503-540-6300

Chelsea Roberts, PA ................. 503-362-2481

Elena Kormaskova, MD ............ 503-981-5348

Nancy Campbell, PA................. 503-982-2174

Heather Rollins, PA ................... 503-393-2533

James Lace, MD ....................... 503-364-2181

Tauni Carter, PA ........................ 503-399-8105

Susan Rosen, PA ....................... 503-684-8252

Pollyanna Lam, DO ................... 503-585-6388

Julie Cramer, PA ....................... 503-585-5585

John Roth, PA ........................... 503-364-2181

Michael Marlowe, MD .............. 503-763-3669

Julie Crownover, PA .................. 503-561-8565

Thomas Scarey, PA ................... 503-364-2181

Lauren Mcnaughton, MD.......... 503-540-0288

Michael Cvitash, PA .................. 503-873-1722

Jennifer Semmelroth, PA .......... 503-399-7520

Kristianna Daniels, PA ............... 503-361-5400

Anna Severin, PA ...................... 503-623-8376

Mario Diaz, PA .......................... 503-990-8772

Ronald Smith, PA ...................... 541-677-4814

Amy Ditzel, PA .......................... 503-361-5400

Odessa Steigleder, PA .............. 503-485-4787

Julie Douglas, PA...................... 503-561-5200

Erin Steward, PA ....................... 503-982-2174

Christian Duren, PA .................. 503-391-1110

Curt Stilp, PA ............................ 503-540-6300

Rachel Feinberg, PA ................. 503-873-8686

Kelby Stout, PA ......................... 503-873-4115

Kylie Fonteno, PA ..................... 503-378-7526

Matthew Summers, PA ............. 503-769-2641

Jennifer Foster, PA .................... 503-399-1400

Patrick Thies, PA ....................... 503-540-6300

Martin Okpalike, MD ................ 541-667-3400 Jill Pearson, MD........................ 971-983-5371 Alvaro Rey-Rosa, MD ................ 503-361-5400 Melanie Ronai, MD ................... 503-362-2481 Amelia Roth, MD ...................... 503-364-2181 Richard Steinberg, MD ............. 503-981-5348 Andrea Stout, MD..................... 503-362-2481 Kim Wentz, MD ........................ 503-981-5348 Thomas Wilson, MD ................. 503-362-2481 Jennifer Wirsig, MD .................. 503-362-2481 Sarah Wright, MD ..................... 503-362-2481 Yu Xu, MD ................................. 503-361-5400

PHYSICAL MEDICINE & REHABILITATION Erik Blake, MD .......................... 503-561-5976 Raymond Brumbaugh, MD ....... 503-561-5976 Ma Ko Chen, MD ...................... 503-370-5200 John French, MD ...................... 503-561-5976 Ryan Hoke, MD ........................ 503-561-5291 Todd Holmes, MD .................... 503-370-5200 James Hook, MD ...................... 503-561-5976 Linda Jensen, MD ..................... 503-986-4985 Dung Truong, MD..................... 503-561-5976 Kaidong Wang, MD .................. 530-370-5200 Mary Westfall, MD .................... 503-986-4983

PHYSICIAN ASSISTANT

Scott Frazee, PA ....................... 503-371-4044 Arden Gage, PA ........................ 503-623-3199 Halie Goffrier, PA ...................... 503-362-2481 Ann Gould, PA .......................... 503-769-2641 Miriam Habafy, PA .................... 503-981-0423 Scott Hall, PA ............................ 503-873-8686 Channa Hang, PA ..................... 503-588-0076 Jami Herbst, PA ........................ 503-589-0565 Gregory Hochstein, PA ............. 503-566-4500 Jami Hoke, PA .......................... 503-362-6304 Jennifer Holt, PA ....................... 503-540-6300 Scott Johnson, PA..................... 503-623-3199 Nicole Kehrer, PA ...................... 503-540-6300 Patricia Kenney-Moore, PA ....... 503-990-8772 Cheryl Kuehnel, PA ................... 503-566-4500 Chelsea Lee, PA ........................ 503-623-8376 Chen Ling, PA ........................... 503-362-8385 Kimberly Lovato, PA ................. 503-623-2345 Christine Magill, PA .................. 503-561-7171 Laura Mason, PA ....................... 503-485-4787

Diana Aby-Daniel, PA ............... 503-399-8105

Erika McCarthy, PA ................... 503-561-7100

Veronica Tiburcio-Espinoza, PA .. 503-982-2000 Jennifer Tobin, PA .................... 503-371-4044 Timothy Tseng, PA .................... 503-378-7526 Pamela Voltz, PA....................... 503-371-4044 Jeremy Waldie, PA ................... 503-371-1010 Kari Wattenbarger, PA .............. 503-990-8772 Diana Whiteaker, PA ................. 503-364-2181 Amber Wiesenfeld, PA ............. 503-588-0076 William Williams, PA ................. 503-378-7526 Richard Withers, PA .................. 503-838-1133 Megan Wolfram, PA ................. 503-561-7240 Angela Young, PA..................... 503-371-3232

PLASTIC & RECONSTRUCTIVE SURGERY Edwin Austin, MD..................... 503-561-7000 Chad Bingham, MD.................. 503-585-2022 Bruce Carter, MD...................... 503-561-7000 Keith Neaman, MD................... 503-561-7000 William Nisbet, MD .................. 503-364-5033

PODIATRY

Lola Achilova, PA ...................... 503-982-2000

Bridget Metcalf, PA .................. 503-763-5939

Shannon Anderson, PA ............. 503-873-8686

Angila Murray, PA ..................... 503-361-5400

John Callahan, DPM ................. 503-581-2505

Kurt Atkin, PA ........................... 503-361-5400

Crystal Neideigh, PA ................ 503-838-8313

Daniel Campbell, DPM............. 503-378-1162

Marguerite Ballard, PA.............. 503-981-5348

Silvia Ochoa Sosa, PA ............... 503-588-0076

James Lisle, DPM ..................... 503-588-8188

Nicole Bangs, PA ...................... 503-540-6300

Margaret Pascual, PA ................ 503-364-2181

Michael Matthews, DPM .......... 503-361-5400

Erik Bates, PA............................ 503-399-2424

Arminia Peyregne-Lollar, PA ..... 503-540-6300

Tom Mesdag, DPM................... 503-838-3668

Kevin Bell, PA ........................... 503-540-6300

Frannie Proffitt, PA .................... 503-623-5430

Ruben, Pollak, DPM.................. 503-769-7960

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem

Silverton, Mt. Angel South Salem Woodburn, Amity, St. Paul, Aurora For Your Health 2014 | 45

MEDICAL DIRECTORY Catherine Purdy, DPM.............. 503-585-6122

Hung Tran, MD ......................... 503-585-7454

Robert Stevens, DPM ............... 503-363-0763

Janice Veenhuizen, MD ............ 503-371-1970

Micah Tovey, DPM ................... 503-982-1112

Sara Walker, MD ....................... 503-945-2800

PSYCHIATRY

Michael Willet, MD ................... 503-798-4204

Sanjay Adhia, MD ..................... 503-945-9276

Robert Wolf, MD ...................... 503-561-5761

Lynn Alvarez, DO ...................... 541-497-1855

Jay Wung, MD.......................... 310-867-4653

Richard Bingham, MD .............. 503-584-9922

Patricia Zurflieh, MD ................. 503-945-2800

Nancy Broskie, MD ................... 503-364-7049 Roselee Cain, MD..................... 503-585-7454 Deborah Carlson, MD .............. 503-949-4990

PSYCHIATRY NEUROLOGY

Vitaly Chikrizov, MD ................. 503-945-2800

Richard Rahe, MD..................... 503-220-8262

Octavio Choi, MD .................... 503-945-2800

Steven Tackett-Nelson, MD...... 503-362-1999

Leslie Christianson, DO ............ 503-945-2800 Daniel Costa, MD ..................... 503-561-5761 Edward Daly Jr., MD................. 503-362-1999

PSYCHOSOMATIC MEDICINE

Kay Dieter, MD ......................... 503-588-5351

Jenna Hiestand, MD................. 503-945-2941

Roger Donovick, MD ................ 503-945-2800

Narayana Pai, MD .................... 503-945-2853

Michael Duran, MD .................. 503-945-8962 Susan Elmore, MD .................... 503-378-2423 Steven Fritz, MD ....................... 503-945-9044

PULMONARY DISEASES

George Fussell, MD ................. 503-945-2800

Steven Marvel, MD ................... 503-588-3945

Rubina Gundroo, MD ............... 503-945-2887

Theodore Shultz, MD ............... 503-588-3945

Thomas Hallee, MD.................. 503-945-2800

John Silver, MD ........................ 503-769-9455

Richard Hedlund, MD ............... 503-588-5955 Valrie Honablue, MD ................ 503-945-2800 Erum Khaleeq, MD ................... 503-945-7115

RADIOLOGY Scott Ambruster, MD ................ 503-399-1262

Rosemary Laramore, MD .......... 503-990-8772

Travis Fromwiller, MD ............... 503-399-1262

Sanyup Lee, MD ....................... 503-945-2800

Michael Pass, MD ..................... 503-494-8311

Jeffrey Lenox, MD .................... 503-584-1941

Kathleen Scanlan, MD .............. 503-399-1262

Lorraine Linder-Skach, MD ....... 503-945-2800

Sean Stack, MD ........................ 503-399-1262

Don Matsunaga, MD ................ 503-378-2438 Beverly Matthews-Brylski, MD .. 503-945-2800 Richard Mead, MD ................... 503-945-2800 James Miller, MD...................... 503-561-5761 Michael Miller, MD ................... 503-370-5791

Martin Johnson II, MD .............. 503-588-3945 Thye Schuyler, MD ................... 503-561-5170

Joel Suckow, MD ...................... 503-588-5816

UROLOGY James Crane, MD ..................... 503-561-7100 David Elkins, MD ...................... 503-561-7100 David Elmgren, MD .................. 503-561-7100 Anjana Ganeshappa, MD ......... 832-452-8760 Alan Hay, MD ........................... 503-561-7100 Michael Lemmers, MD ............. 503-873-1722 Alan Manson, MD..................... 503-361-5400 John Mhoon, MD ..................... 503-561-7100 Roger Nellans, MD ................... 503-763-3620 Bradley Warner, MD ................. 503-561-7100

VASCULAR NEUROLOGY Robert Egan, MD ..................... 503-856-0111 Michael Sluss, MD .................... 503-856-0111 Michael Wynn, DO ................... 503-581-7959

VASCULAR SURGERY Gerald McManama III, MD ....... 503-585-5585 Ricky Pittman, MD .................... 503-371-8346 Glen Roseborough, MD ........... 503-585-5585

SLEEP MEDICINE

Rebecca Ricoy, MD .................. 503-362-1999

George Suckow Jr., MD ........... 503-881-3539

Samuel Wang, MD.................... 503-561-5294

Daniel Mendez Allwood, MD ... 503-399-0652

Eun Park, MD ........................... 503-588-5955

Robert Stone, DO..................... 503-945-2800

Arnella Hennig, MD.................. 503-561-5135 Matthew Kang, MD .................. 503-561-5135

RHEUMATOLOGY

Saleh Ismail, MD....................... 503-588-3945

Daryl Ruthven, MD ................... 503-378-2076

Matthew Gordon, MD .............. 503-561-5294

Rebecca Callis, MD .................. 503-399-0652

Mukesh Mittal, MD ................... 503-945-2800

Michele Rowley, MD ................ 503-873-7920

THERAPEUTIC RADIOLOGY

Keifong Seeto, MD................... 503-585-0575 Hyong Shim, MD ...................... 503-990-7187

SPORTS MEDICINE Daniel Schweigert, MD ............. 971-983-5250

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 46 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

For Your Health 2013 | 47

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For Your Health 2013 | 49

Men’s Health

and the Annual Wellness Exam

By Amy Joyner

sk any woman and she will tell you that men will only schedule a trip to the doctor when they feel terribly ill and need medication. Unfortunately, a local primary care physician agrees, as he sees it every day in his medical practice when men regularly avoid having their annual physical exam. “Most people are too busy to take care of things that aren’t immediately bothersome. The annual exam is a moment to have a physical sit-down with the physician and ask questions. I remind guys when the wife comes in with them that married men live longer than single men. Wives will take action and remind their man (to have their annual physical),” said Charles Essex, M.D. Essex offers comprehensive health care through Willamette Health Partners - Monmouth Medical Center, an affiliate of West Valley Hospital. He attended medical school at the Medical College of Wisconsin and served as a lieutenant commander and physician in the U.S. Navy. He then spent several years in private family practice in North Carolina, Idaho and Alaska before coming to Oregon.

“The individualized physical is of great value. …The greatest value is that the physical is a forum for discussion between a doctor and patient. What we are really looking for is individually factored.”

Assess Risks Early Essex has seen countless younger men who simply won’t worry about a health issue before it becomes a problem, or they become older. Unfortunately, many complicated health conditions such as diabetes and heart disease go unnoticed and, over time, they become harder to treat.

What to Expect at an Annual Wellness Exam At the end of the annual wellness exam, the doctor will discuss with you any extra tests that are important for you to have according to your health and age. The physician informs you of

Time and time again, Essex tells patients, “Act early, and proactively, and we can get ahead of (problems) now.”

any health risks that were

To expand on the importance of thinking ahead, Essex said, “The annual physical is sometimes looked upon as an older type of physical, which is sort of falling out of favor. … The favored name is now the ‘annual wellness visit,’ and its (approach is) not the same for a 20-year-old as it is for an 85-year-old. That one-size-fits-all physical doesn‘t reveal the most.

recommended. Lifestyle

50 | For Your Health 2014

determined you might have and which treatment is changes and medication may be discussed. Getting your immunizations up to date will also be covered. Source: eHow.com

“(An annual physical) is actually every bit as essential when you are young because that is when you can prevent certain problems, and preventing disease is easier than managing a disease. It’s absolutely important to have an opportunity to prevent the diseases associated with aging. The time to do that is when you are young.” In patients who consistently avoid their routine annual exam, Essex commonly sees escalated health problems that could have been avoided or significantly lessened if they had been caught early. He cites the number-one example of high cholesterol, which would have been found through a blood test of lipid levels. During that same blood testing, diabetes and pre-diabetic conditions may also be found, with the physician putting a treatment plan in place. “With the great incidence of diabetes, watching sugar levels is important,” the doctor said. Blood work may also be done to detect the blood’s clotting rate, determine levels of kidney function and the presence of anemia. High blood pressure and a loss of physical fitness may also be found and addressed during the physical, Essex said.

Calming Cancer Fears In patients of all ages, certain cancers may be detected early through the annual wellness exam. Essex knows it is his job to calm their fears with accurate data and modern detection methods. For instance, many men simply cringe at the thought of prostate exams and a possible diagnosis of prostate cancer, which may happen with a prostatespecific antigen (PSA) blood test. The higher a man’s PSA level, the more likely it is that he has prostate cancer.

‘‘

Most people are too busy to take care of things that aren’t immediately bothersome. The annual exam is a moment to have a physical sit-down with the physician and ask questions... Act early, and proactively, and we can get ahead of (problems) now.” - Charles Essex, M.D.

However, there are additional reasons for having an elevated PSA level, and some men who have prostate cancer do not have elevated PSA, according to the U.S. National Library of Medicine and National Institutes of Health.

population, and a man’s family history of cancers doesn’t greatly change the doctor/patient discussion about prostate cancer. “In the annual exam, the discussion is held, and the man can make an active choice,” he added.

NIH publications state “some advisory groups now recommend against the use of the PSA test to screen for prostate cancer because the benefits, if any, are small and the harms can be substantial. None recommend its use without a detailed discussion of the pros and cons of using the test.”

Another discussion about cancers, specifically colorectal cancers, will happen during the wellness exam when another dreaded word is used – colonoscopy.

Essex agrees with the confusion and said, “The PSA is such a controversial topic. There are many responsible, informed physicians who say they will never do a PSA on anyone,” Essex said. He prefers to use time during an annual exam to talk with the patient about his individual, specific concerns about prostate health. Again, a one-size-fits-all approach can lead to more invasive, expensive medical procedures and biopsies being performed. “(Knowing) the PSA may not extend life. …But, there is no other test. If you don’t get the PSA, you are doing nothing. (Prostate cancer) is real and it is common. But only about 3 percent is highly aggressive,” Essex tells. He added that treatment is generally more aggressive in the younger

“Look. Just do it,” Essex said. “A lot of things in life you would prefer not to do. But, you don’t want to look back and say, ‘If only.’ You are only screened on 10-year intervals, and when you distribute the colon prep over that 10-year period, it is reasonable.” Often, the only reason a colonoscopy is not done is that people don’t like it. Essex said, “There is no substitute and no argument that says you should not do your colonoscopy. That is from age 50 on.” In males of all ages, the wellness visit will include discussion about breast cancer and testicular health. “Testicular cancer is a disease of men ages 20 to 50. They need to be aware that it happens. Do a self-exam as a routine while showering. The difference between a normal and ‘not normal’ testical is so obvious,” Essex said. “It is fairly easy to detect and one

of the most curable of cancers if you find it in time. But, it’s not part of the mindset in 20-year-olds.” Finally, men will learn about their breast health during the exam. “Breast cancer is a rare disease in men but happens,” Essex said. “Many breast lumps are not cancer in men. Any number of conditions can lead to hormone-driven lumps in normal breast tissue. Too much alcohol can lead to developing breasts on both sides (of the chest). Marijuana smoking can develop breast tissue.”

Only In Males Another issue receiving a lot of attention lately is testosterone levels, or Low-T. Essex said a blood test can measure testosterone levels, but he warns that many patients are “manipulated by marketers.” He added, “Many men with low testosterone feel great. It is only a problem when the man says it is a problem. That is a borderline ethical discussion between doctor and patient. Most men with low testosterone don’t have any problems associated with it. And a low level is a trade-off with heart health. When I tell them this, I’ve had several patients say, ‘never mind.’”

For Your Health 2014 | 51

DENTAL DIRECTORY A Ruth Abraham, DDS ................. 503-390-1100 Daniel Adair, DDS .................... 503-585-2030 Michelle Aldrich, DMD ............. 503-391-9016 Francis Allen, DMD .................. 503-588-6560

Cheryl Cooper, DDS ................. 503-585-1458

Rita Hartley, DMD .................... 503-378-5804

Jonah Cooper-Leavitt, DMD .... 503-837-0512

Michelle Hasbrook, DMD ......... 503-838-2998

Steven Cowgill, DMD ............... 503-363-9637

Mark Haskell, DDS.................... 503-873-8614

Mark Cruise, DMD .................... 503-364-7944

David Hatch, DMD ................... 503-362-3032

James Hayden Jr, DMD............ 503-363-3311

Reid Amborn, DMD.................. 503-581-8141

Allison Daniels, DMD ............... 503-370-4860

O. Lee Hazen, DMD ................. 503-585-7447

Gerald Anderson, DMD ........... 503-393-9106

Thomas Davis Jr, DMD ............. 503-623-2653

Weston Heringer III, DMD ........ 503-364-7545

Kregg Delange, DMD .............. 503-370-4313

Lilia Herrera, DDS ..................... 503-391-8920

Steven Deming, DDS ............... 503-623-2389

Ben Hoerner, DMD ................... 503-378-2320

Wallace Dick, DDS.................... 503-393-3233

Joel Hopkin, DMD.................... 503-375-2000

Gregory Dilger, DDS ................ 503-378-0466

Kenneth Horn, DMD ................ 503-769-5210

Roger Dow, DMD ..................... 503-363-1712

Stephen Hough, DDS ............... 503-363-6525

Sunny Drake, DMD................... 503-385-8821

Charles Howard, DDS............... 503-363-5962

Steven Duffin, DDS .................. 503-393-5133

Scott Howe, DMD .................... 503-370-7651

Thomas Dugan, DMD .............. 503-370-7651

David Howerton, DMD............. 503-375-2000

Deanne Baptiste, DMD ............ 503-981-9531 Brad Bateman, DMD ................ 503-364-7232 William Bateman, DMD ............ 503-375-0007 Marie Baumgartner, DDS ......... 503-393-5133 Thomas Bell, DDS .................... 503-399-7460 Athena Bettger, DMD............... 503-375-9282 Michael Bliss, DMD .................. 503-873-6118 Kris Blodgett, DMD .................. 503-981-1841

William Hu, DMD ..................... 503-378-1334

Gary Boehne, DMD .................. 503-363-9993

Craig Ellison, DDS .................... 503-873-6118

Travis Hunsaker, DDS................ 503-363-2536

Paul Bonar, DMD ...................... 503-581-4615

James Eyre Jr, DMD ................. 503-581-1999

Benjamin Hunsaker, DMD ........ 503-363-2536

Victoria Bonar, DMD................. 503-581-4615 Mary Beth Bowman, DMD ....... 503-981-1360 Chris Bowman, DMD ................ 503-585-3636 Jila Bowman, DDS .................... 503-370-4843 Nathan Braxmeyer, DMD ......... 503-873-8614 Timothy Burns, DDS ................. 503-769-9699

Steven Campbell, DDS............. 503-399-0721 Spencer Campbell, DMD ......... 503-370-4311 Barton Carter, DMD.................. 503-588-2404 Alan Carter, DMD ..................... 503-873-8335 Scott Cartwright, DDS .............. 503-986-0330 Ana Castilla, DDS ..................... 503-399-0721 Edariz Castilla, DDS.................. 503-370-4313 Holly Chamberlain, DDS .......... 503-363-0027 Matthew Chase, DMD .............. 503-873-8614 Kevin Christiansen, DDS........... 503-363-6500 Daniel Chung, DDS .................. 503-588-6560 Jennifer Clemens, DMD ........... 503-391-2219 Christel Cochell, DMD.............. 503-585-8688

Katherine Farrell, DMD............. 503-982-7777 Kamran Fattah, DMD ............... 503-585-4282 Jennifer Frankel, DMD ............. 503-463-4663 Robert Friess, DMD .................. 503-585-0101 Donald Fromherz, DMD ........... 503-393-2696

Marc Iwahiro, DMD .................. 503-393-2264

Rodney Janssen, DDS .............. 503-393-6286 William Johansen, DDS ............ 503-363-3311 Dennis Johnson, DMD ............. 503-581-9419 Cole Johnson, DMD ................. 503-967-6665

Brian Gilmore, DDS .................. 503-364-7502 Kelly Gilmore, DMD ................. 503-364-7502 Vernon Gilmore, DMD.............. 503-364-7502 Fred Girod, DMD ..................... 503-769-4321 Margaret Giruc, DDS ................ 503-581-2446

Bryan Johnson, DDS ................ 503-362-9548 Randall Jones, DMD................. 503-838-0434 Arwinder Judge, DDS .............. 503-463-4000

Rachel Glancy, DMD ................ 503-588-6560

Aziz Karam, DMD ..................... 503-370-4914

Irene Glanville, DMD ................ 503-371-2424

Lloyd Karst, DDS ...................... 503-378-1212

Daren Goin, DMD .................... 503-769-3366

Francis Kaufman, DDS .............. 503-363-0411

Jeffrey Gries, DMD ................... 503-769-5611

Gabriel Kennedy, DMD ............ 503-375-2000

Robert Grim, DMD ................... 503-370-8030

Allen Kerr, DMD ....................... 503-981-4095

Renee Guillen, DDS ................. 503-375-9282

Tara Khalil, DDS ........................ 503-588-6560 Michael Kim, DDS .................... 503-873-3530

Travis Cochell, DMD ................. 503-585-8688

R. Jeremy Haider, DMD............ 503-363-3311

Wendell King, DMD ................. 503-588-0061

Caleb Vernon Coombs, DMD .. 503-400-3260

Sean Hanson, DMD .................. 503-391-2848

Michelle Kirkpatrick, DMD ....... 503-362-8359

Sean Cooper, DDS ................... 503-363-5865

Jennifer Harms, DDS ................ 503-588-6560

Alan Kolb, DMD ....................... 503-623-8010

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 52 | For Your Health 2014

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora

DENTAL DIRECTORY L

Katherine Lane, DMD ............... 206-543-5800

Bryan Nakagawa, DMD ............ 503-581-2454

Richard Sale, DMD ................... 503-708-5865

Erin Lange, DMD ...................... 503-879-2020

B Nelson, DDS ......................... 503-769-5210

Daniel Saucy, DMD .................. 503-399-0724

John Laseter, DMD ................... 503-588-9700

Peter Nguyen, DDS .................. 503-587-9949

Jay Schofield, DMD.................. 503-362-0500

David Cheung-Fai Lau, DDS .... 503-991-5921

Gary Nishioka, DMD ................ 503-581-1567

Gary Schoonover, DMD ........... 503-390-2421

Linda Le, DDS .......................... 503-885-8275 Robert Lee, DDS ...................... 503-585-2440 Nahmjee Lee Skarada, DMD .... 503-485-2578 Biao Li, DDS ............................. 503-364-7776 Steven Lind, DMD .................... 503-566-7000 Theresa Lindquist, DMD........... 503-363-0622 Michael Litchfield, DMD ........... 503-364-7244 Scott Loman, DDS .................... 503-581-9419 Anthony Lucio, DDS ................. 503-362-8359 Ray Lunt, DDS .......................... 503-364-9515

M Philip Comerford Mann, DDS... 503-363-1661 John Martin, DMD.................... 503-585-8420 Albert Maziarz, DDS ................. 503-581-9211 John McDonald, DMD ............. 503-585-5400 Travis McFee, DDS ................... 503-587-9633 Jennifer Marie McLeod, DMD .. 503-390-4117 Martin Mehr, DDS..................... 503-371-6000 Mark Menes, DDS .................... 503-378-5804 Stephen Mercer, DDS ............... 503-588-0116 E Merzenich, DMD ................... 503-585-7447 John-David Miller, DDS ............ 503-581-1569 Gregory Miller, DMD ................ 503-373-0891

Joshua Schuyler, DMD ............. 503-982-5315

Ioane Ofisa, DDS ...................... 888-468-0022 Thalia O’Hara, DDS .................. 503-375-2206 Daniel O’Leary, DDS ................ 503-588-7800 Vanessa Olson, DDS ................. 503-588-6560 Holly O’Shea, DMD .................. 503-375-9282 Jennifer Owens, DDS .............. 503- 580-6077

Joseph Seare, DMD ................. 503-370-8788 John Seifert, DMD.................... 503-585-4281 Bruce Sellers, DMD .................. 503-363-8466 James Shelton, DMD ............... 503-581-1142 Gregory Shook, DMD............... 503-378-5528 John Shurtz, DDS ..................... 503-838-1800 Nicholas Alexander Smith, DMD .. 503-982-2010 Kristen Smith, DMD.................. 503-363-0031

John Pak, DDS ......................... 503-370-4843

Sean Smith, DDS ...................... 503-364-0646

Thomas Palandech, DDS .......... 503-588-7800

Cory Smith, DMD ..................... 503-769-3366

Donald Paluska Jr, DMD........... 503-362-5019

O’Neill Solanky, DDS ............... 503-364-3980

Marc Andre` Panet-Raymond, DDS .. 503-362-3719

James Southworth, DMD ......... 503-371-7487

Kaushali Patel, DMD................. 503-362-3032

Jordan Sparks, DMD ................ 503-363-5432

William Payne, DMD ................ 503-364-9222

Robert Staley Jr, DDS ............... 503-399-4743

Steven Peck, DMD ................... 503-362-6456

H. Clayton Stearns, DMD ......... 503-378-1334

Megan Peterson, DMD ............ 503-390-4117

Marcus Stones, DMD ............... 503-581-9026

Richard Pfau, DMD ................... 503-362-9151

Carl Stubblefield, DMD ............ 503-588-7800

Shauna Pier, DDS ..................... 503-845-6891

David Swiderski, DDS ............... 503-581-0223

Raleigh Pioch, DDS .................. 503-399-0220 William Porter, DMD ................ 503-587-9949 Kendall Pyper, DDS .................. 503-874-9119

T Jordan Takaki, DMD ................. 503-540-9041 Timothy Tanada, DMD ............. 503-945-2958 Jennifer Taylor, DDS ................. 503-304-7631

David Moline, DDS................... 503-399-0724

Reuben Ramillosa, DDS ........... 503-364-7812

Richard Teel, DDS..................... 503-581-1569

Mark Montgomery, DMD ......... 503-559-6388

Lady-Jean Ramsey, DMD ......... 503-393-6286

Mark Thomas, DMD ................. 503-362-3032

Selma Moon, DDS .................... 503-391-6021

Tricia Ray, DMD ........................ 503-363-1661

David Thompson, DMD ........... 503-769-3246

Monte Morgan, DMD ............... 503-362-7869

Amanda Reavely, DDS ............. 503-399-0220

William Trevor, DDS.................. 971-600-3498

Weston Morrill, DMD ............... 503-623-6616

Sean Reisig, DDS...................... 503-581-9552

Ronda Trotman, DMD .............. 503-363-4774

Mark Mullenbach, DMD ........... 503-982-2010

Krista Richey, DDS.................... 503-363-5865

Tai Truong, DMD ...................... 503-378-1334

Steven Murata, DMD................ 503-363-6500

Mark Rogers, DMD................... 503-362-1515

Misty Trybom, DDS .................. 503-370-4313

Timothy Murphy, DMD ............ 503-378-2320

Abigail Rollins, DMD ................ 503-362-8364

Paul Turgesen, DMD ................ 503-838-5051

Kenneth Murray, DDS .............. 503-370-8787

Stephanie Rose, DMD .............. 503-371-2424

Edward Muth, DMD ................. 503-362-3723

David Ross, DMD ..................... 503-363-6892

Megan Muth-Larson, DMD ...... 503-362-3723

Kimberly Ross, DDS.................. 503-391-9016

U Jeffrey Ulmer, DMD .................. 503-540-9041

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City

NE Salem/Keizer Silverton, Mt. Angel South Salem West Salem Woodburn, Amity, St. Paul, Aurora For Your Health 2014 | 53

DENTAL DIRECTORY

Make a Difference V

Dustin Wylam, DMD..................503-399-9790

Jeffrey Van Kirk, DMD ...............503-769-6351

in Their World.... and Yours

Brian Van Voorhis, DDS .............503-393-2651 Jeremy Vistica, DMD .................503-759-3333

W E. Eric Webster, DDS .................503-879-2020 Robert White, DDS ....................503-588-6560

Klint Yeck, DMD ........................503-363-4774

Lisa Wipf, DMD .........................503-364-7275 Benita Wong, DDS ....................503-363-3311 Christine Woodward, DDS ........503-378-1984

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Jay Wylam, DMD.......................503-585-4281

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Stephen Yenne, DMD ................503-362-0500 Mary Yoo, DDS ..........................503-540-9041 Joni Young, DMD ......................503-581-8004 Trenton Young, DDS ..................503-363-0292 Raymond Youngberg, DMD ......503-585-0101

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503-371-2424 For Your Health 2013 | 55

ADVERTORIAL

Heppner Chiropractic A Drug-Free, Hands-On Approach

eople living in chronic pain often must rely on painkillers to get through the day, or are forced to resort to risky surgeries. Chiropractic care offers a valuable alternative to drugs or surgery, said Dr. Abby Heppner, owner of Heppner Chiropractic in Salem. “Chiropractic care is a great way to take care of the pain in a more conservative way, and return people to the activities in life they love to do,” Heppner said.

care. The term “chiropractic” combines the Greek words “cheir” (hand) and “praxis” (practice) to describe a treatment done by hand, according to the National Institutes of Health. In particular, chiropractic care is intended to balance your body’s structure, to improve its overall function and promote its ability to repair itself. A core treatment of chiropractic care is called “spinal manipulation” or “chiropractic adjustment,” a procedure in which doctors restore joint mobility by manually working the joints (ACA).

Dr. Abby Heppner Chiropractic care focuses on problems of the musculoskeletal system and “We work on realigning the spine, the nervous system and how these which helps decrease tension and disorders affect a person’s overall muscles as well as inflammation,” health, according to the American Heppner said. Chiropractic Association. Other pain relief techniques provided Doctors of chiropractic care practice a by chiropractors include application of drug-free, hands-on approach to health heat and ice, electrical stimulation of

56 | For Your Health 2013

muscles, and relaxation techniques. Chiropractors can help solve patients’ general health problems through clinical examination, laboratory testing, and diagnostic imaging like X-rays or MRI, according to the ACA. They also are trained to recommend lifestyle changes that can improve a person’s health, including those related to nutrition, diet and exercise. Most people who seek out chiropractic care are suffering back pain, neck pain or headaches. A federal survey conducted by National Institutes of Health found that 74 percent of Americans who sought out complimentary care for back pain had chosen chiropractic therapy, and 66 percent reported that they had received “great benefit” from their treatments. But chiropractic care also can be helpful for people with arthritis, scoliosis, asthma, sinus problems and digestive issues, Heppner said.

Pregnant women in particular may find chiropractic care to be very beneficial, Heppner said. Expecting mothers often develop chronic back and hip pain during their pregnancy, which can cause difficulty sleeping. “When people are pregnant, their center of gravity shifts and there is significant weight gain,” Heppner said. “Their ligaments relax and grow more stretchy.” These body changes place additional stress on muscles, joints and ligament, causing sprains, strains and tears. Unfortunately, pregnant women who have developed chronic pain often find themselves with limited choices for treatment. “They can’t take that much medicine, and they certainly don’t want to have surgery,” Heppner said. Chiropractic care offers a safe alternative for these women, albeit one they might not consider right away. “Pregnant women are hesitant, because they don’t know if it’s safe,” Heppner said. “It certainly is safer than taking prescription drugs. I would say it’s safer for both mother and baby than most of the alternatives.” In fact, chiropractic care during pregnancy can make labor and delivery easier and shorter, Heppner said. Heppner Chiropractic offers treatment from two chiropractic physicians and four licensed massage therapists. Chiropractic care has taken on a more prominent role in American medicine since the passage of the Affordable Care Act. Insurance companies are now required to cover treatment provided by chiropractic physicians if they fall under the essential health benefits guaranteed by health care reform. Many Oregon health insurance plans cover chiropractic and other forms of alternative care, and Heppner Chiropractic will bill insurance plans for both chiropractic care and massage therapy. For Your Health 2013 | 57

Carolyn Hale

...Doctor, Volunteer, “Nana” By David Hegle

er grandkids are always asking for sleepovers at “Nana’s”, and one reason has to be Carolyn Hale’s infectious laugh. The doctor of dermatology has much to enjoy in life: a varied day job; 26 years at the same Presbyterian church; a big family with a close twin sister and three grandchildren. One grandson and granddaughter are close by, another grandson in Minneapolis. Hale helped the Minneapolis daughter relocate from Rochester, and recalling

the challenges of moving a young boy plus two cats elicits a fresh wave of laughter. Hale has “an interest in young people not paying for mistakes forever.” At the Oregon Youth Authority’s Hillcrest correctional facility in southeast Oregon, she’s met many young people paying for some major mistakes. She works to erase some of the most visible: tattoos. “It’s my belief you should always be doing some volunteer work,” Hale said, “giving back to the community in an unpaid way.” The Mid-Valley community has long been home, with undergrad studies at Linfield and a medical degree from OHSU. Hale started practice in 1988 and has been in the Salem-Keizer area since 1998. Now 65, her expertise has benefited places far from Oregon.

58 | For Your Health 2013

Kobbi R. Blair

Hale’s friend and fellow dermatologist, Dr. Susan Denman, persuaded her to visit Honduras in 2006 on a medical aid trip for Medical Teams Northwest. Making it a family affair,

‘‘

That’s one of the best things about dermatology, how diverse my appointments are... You know these kids are going to have a rough time — we’re not giving them an easy life, we’re just trying to make it less hard.” - Carolyn Hale, M.D.

“our daughters knew Spanish so they interpreted,” Hale said. For another trip with Denman, this time to Tanzania in 2008, the focus was entirely on consulting with other doctors. Especially in countries where there are hardly any dermatology specialists, Hale believes “education is key to doing any good.” Dermatology treatments are often ongoing. An example from her practice: patients at great risk for skin cancer undergo full body photography and come back once a year for a careful comparison by Hale. For such trips abroad, the American Academy of Dermatology asks for volunteers, and the tangible perks aren’t great. “You work hard when you go, and you pay for your own way,” Hale said. “You have to gather your own equipment, your own medications.” Doctors shoulder significant costs and

Regarding her own parenting days, Hale recalls consulting “a counselor when one of my kids was acting out. ‘Your child will be fine,’ they said. ‘She has a good education and you have a good income.’

also lose revenue while away from their normal practices. Hale loves to travel, but family is one reason to stay closer to home; in her multi-generational tribe, there are upcoming weddings and recent funerals, including her mother’s.

“I thought, how unfair in our society that income would dictate the result of a person’s life. That’s always bothered me. If a parent has enough money, they can pay for their kids’ tattoos to come off.”

Hillcrest, currently waiting for its first user review on Google, is a much closer opportunity to volunteer. Once a month, for the past 15 years, she visits to remove gang tattoos via laser treatments.

Dr. Denman was once again the instigator, starting, bringing in Hale, and 2 years later withdrawing from the Hillcrest program due to a Portland relocation.

At her practice at Dermatology Northwest, Hale is entirely focused on medical matters, from cancer concerns to all manner of acne, eczema, and lesions, as well as stubborn bedsores and wounds from an autoimmune disease like lupus.

Hale became the sole volunteer, as she is now. Her constant contact at Hillcrest is Griselda Solano Salinas, part of the Office of Inclusion and Intercultural Relations.

“That’s one of the best things about dermatology,” Hale said, “how diverse my appointments are.” At the office, Hale doesn’t deal with those who lament having a raincloud permanently drawn on their arm. Inky regret will not get you an appointment. However, her compassion is evident as she wields a laser at Hillcrest. “This was just the perfect fit for me, and it’s an obvious need.” Hale said. “These kids need to be able to get back into society in a good and healthy way.”

Name: Carolyn Hale, M.D.

“It’s hard to find a dedicated employee, much less a volunteer,” Salinas said. “We are very fortunate to find someone like Dr. Hale.”

Practice: Dermatology Northwest, 5900 Inland Shores Way, Suite 202, Keizer, OR 97303

Hale gives her time at least once a month, but also her own money. Over time, the laser wore out like any other piece of technology, but Salinas said Hale and Denman together donated a second laser so treatments could continue.

Contact: 503-463-6799

It takes many laser treatments to sufficiently remove a tattoo, but by the time youths first see Hale, they’re not the same person who was admitted to Hillcrest. “When I see them, they’re very polite kids – they don’t have that chip on their shoulder,” Hale said. “They have to have decided they don’t want to be in gangs anymore. Different kids just take longer to figure that out.”

Kobbi R. Blair

Hale Profile

Salinas explained that “it’s their own choice to say ‘this is something that’s keeping me from change, and no one wants to hire me because I have these gang tattoos visible.’” The free cost, extensive treatment time, and numerous candidates from

How to help: Doctors and nurse practitioners are invited to consider joining Hale in making a difference at Hillcrest.

multiple Oregon facilities mean hundreds of names on a waiting list. Salinas and Hale emphasize the opportunity for other physicians or nurse practitioners to make a real impact by joining the program in any capacity. “When [youths are] almost ready to leave, I’ll ask them where they are going to go,” Hale said. Their answers are encouraging but sobering. “You know these kids are going to have a rough time — we’re not giving them an easy life, we’re just trying to make it less hard.”

For Your Health 2014 | 59

CHIROPRACTOR DIRECTORY E

John Ewanyk, DC ..................... 503-378-0068

503-391-9222 Heppner Chiropractic 925 Commercial St. SE., Suite 260 Salem, OR 97302 www.HeppnerChiropractic.com Abby Heppner, DC

503-391-9222

Stover Harger, Jr., DC

503-391-9222

Herbert Freeman, DC ............... 503-393-3133

Benjamin Gifford, DC ............... 503-588-3100

Terrence Hansen, DC ............... 503-362-8892

Patrick Hart, DC ........................ 541-327-2222 Brian Herren, DC ...................... 503-763-3528 Charles Holton, DC .................. 503-623-3903

Timothy Akita, DC .................... 541-980-1389

Kevin Holzapfel, DC ................. 503-877-1995

Gregory Albright, DC ............... 503-390-5552

Laurie Hubbell-Smith, DC ........ 503-480-0200

Christopher Allen, DC .............. 503-874-9355

Bryan Hulsey, DC ..................... 844-724-6789

Patrick Arden, DC ..................... 503-769-2801

Jeffery Baker, DC ...................... 503-304-2225 Christopher Beardall, DC ......... 503-982-6925 Sunita Bhasin, DC ..................... 503-390-1552 James Biser, DC ....................... 503-468-6640 Keith Boline, DC ....................... 503-393-0321 Donald Bowers, DC .................. 503-623-4090 Dennis Burlison, DC ................. 503-859-2181

Zohra Campbell-Bolduc, DC .... 503-370-9090 Kelly Chapman, DC .................. 503-623-2225

John Palmer, DC....................... 503-378-0068 Richard Peterson, DC ............... 503-371-4055

David Gasser, DC ..................... 503-362-7064

Patrick Owen, DC ..................... 503-589-0700

Anthony Pham, DC................... 503-463-6131 Theresa Pitcairn, DC ................. 503-841-3252 Roger Popp, DC ....................... 503-981-1254

Harlem Quijano, DC ................. 503-877-9745

Brett Renquist, DC ................... 503-585-1282 John Renquist, DC ................... 503-585-1282

Jordan Sajovic, DC ................... 503-304-2225

Andrew Isaksen, DC ................. 503-391-9112

Robin Schaefer, DC .................. 503-678-2277 Del Schaeffer, DC ..................... 503-362-1023 Douglas Schubert, DC.............. 503-581-7138

Alicia Jeffers, DC ...................... 503-505-3842

Brent Seifert, DC ...................... 503-881-1668

Craig Johnson, DC ................... 503-585-1026

Brent Smith, DC ....................... 503-378-0068

Brian Joynt, DC ........................ 503-577-5920

Damon Spink, DC..................... 503-391-0848

Brian Stearns, DC ..................... 503-364-9910

Guruka Khalsa, DC ................... 503-362-2623 Michael Kirkland, DC................ 503-831-4668 Steven Koc, DC ........................ 503-365-8399

Kristine Tallman, DC ................. 309-373-3789 Gideon Tarnasky, DC................ 503-838-6491 Gary Taylor, DC ........................ 503-409-9543

John Lawton, DC ...................... 503-581-7590

Sharon Thornton, DC ............... 503-838-3466

Russell Colgan, DC................... 503-364-5751

Richard Layman, DC ................. 503-362-5500

Alpheus Thornton Jr, DC .......... 503-508-9324

Daniel Cook, DC ...................... 503-585-2585

Donald Leary, DC ..................... 503-371-9593

Christina Torres, DC ................. 503-315-8448

Carol Cooper, DC ..................... 503-393-6071

Peter Lind, DC .......................... 503-581-6846

Christopher Clemens, DC ........ 971-240-0925

Daniel Cote, DC ....................... 503-873-8099 Ronald Crockett, DC ................ 503-371-9796 Lloyd Cummings, DC ............... 503-581-0873

Joseph Vance, DC .................... 404-661-8833

Ryan McCormic, DC ................. 503-304-2225 Colleen McDonough, DC ......... 503-485-0830 Tomas McFie, DC ..................... 503-588-8657

James Wallace, DC .................. 503-581-1801 James Warner, DC .................... 503-390-1144

Gary Dahlstrom, DC ................. 503-585-4131

Lyndon McGill, DC ................... 503-362-5555

Steven DeShaw, DC ................. 503-981-4591

Sandra Medak, DC ................... 541-580-7696

David Weaver, DC .................... 503-390-5552

Mark Diaz, DC .......................... 503-838-1951

Geary Michels, DC ................... 503-399-7607

Ronny Webb, DC ..................... 503-981-1267

Trevor Douglass, DC ................ 541-390-3096

Daniel Miller, DC ...................... 503-981-4591

John Whitmire, DC ................... 503-363-3483

Ann Durrant, DC....................... 503-873-4226

David Milroy, DC ...................... 503-363-6868

John-Paul Whitmire, DC ........... 503-362-1002

Michael Dutton, DC ................. 503-763-3528

Jeffery Moll, DC ....................... 503-769-5411

Christian Wissinger, DC ............ 503-588-6633

James Dyson, DC ..................... 503-361-3949

Sam Moursalian, DC ................. 503-779-4243

Joshua Wolfram, DC ................ 503-689-1216

LOCATION KEY Dallas, Monmouth, Independence Downtown Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City 60 | For Your Health 2014

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