“ I'm anxious to get back to my life.” - EvergreenHealth

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“ I'm anxious to get back to my life.” - EvergreenHealth Powered By Docstoc
					                             Fall 2008

“ I’m anxious to
 get back to my life.”
 Evergreen’s team approach
 helped Sherilynn Prichard
 beat colorectal cancer.

 page 5

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                                                               ME S SAG E F R O M T H E C E O                                                                                                    CA NCER SERVICES                                                                      3

                                                        Your Feedback Makes
                                                        Evergreen Better
                                                        Everybody likes to know when they do well – whether it’s good grades
 Andrew Turella, MD
                                                        on a report card, compliments on an amazing dinner or a pat on the
                                                        back from the boss. We’re no different at Evergreen...but just as
                                                                                                                                    “I just thought,
 Emergency Medicine        Steve Brown, CEO
                                                        importantly, we also like to hear about the things that could be
                                                       improved – because that’s how we learn and how we get better.
                                                                                                                                     ‘I gotta get through this.’”
 Terry Mengert, MD
                           Patients and visitors to Evergreen can provide feedback through a number of avenues – by phone            Sherilynn Prichard never thought she’d learn to ride a
    Family Practice        or letter, in person or via our Web site. When that feedback points out problems, our Patient
 Stephanie Baker, MD
                                                                                                                                     motorcycle. Then again, she never thought she’d battle
                           Relations staff works with department managers to make improvements.
                                                                                                                                     Stage III colorectal cancer at the age of 37 – and win.
   Gastroenterology        The community’s input is also extremely valuable in our long-range planning, because what we
                           think is important might not be what YOU think is important. We regularly conduct telephone               With the coordinated care she received from Evergreen’s
   Russ Arjal, MD
                           surveys and focus groups to gauge the community’s feelings about our programs and services. Every         cancer program, she’s got a new lease on life.
  Hospitalist – Adult      three years, we survey the community regarding their health status and health habits. This data
 Michelle Gordon, MD       helps us pinpoint the area’s biggest health needs so we can design programs to address those needs.
 Elizabeth Schultz, MD     We also invite community leaders to provide input into our three-year strategic planning process.
Christopher Slatore, MD    We are also involving more and more community members on various advisory boards. We call
                           them “patient-family advisors,” and there are nearly 50 of them currently providing feedback and
 Hospitalist – Pediatric   insight into Evergreen services. A good example is our Evergreen Neuroscience Institute Patient-
 Mikelle Bassett, MD       Family Advisory Council. This group – made up of patients, caregivers and Community Advisors –                                                                                                                                              Sherilynn Prichard
                           meets monthly to discuss how to make the institute’s services as user-friendly as possible for
       OB/GYN                                                                                                                        When she first started having symptoms last fall, Prichard chalked      they’re too young or they couldn’t possibly have cancer – much like
                           patients dealing with stroke, MS, Parkinson’s and other movement disorders. The group is also
    Kent Davis, MD                                                                                                                   up the constant diarrhea and bloody stools to stress – after all, she   Sherilynn Prichard did. But he stresses that survival rates dramati-
                           involved in the final design of the institute’s space in the new DeYoung Pavilion to make sure it is
   Susan Eagan, MD                                                                                                                   had a newborn and was going through a divorce. But after living         cally improve the sooner cancer is found and treated.
                           usable, soothing and easily accessible for our patients.
                                                                                                                                     with the symptoms for eight months, she visited her primary care
                                                                                                                                                                                                             Prichard will continue taking an oral dose of chemotherapy for six
   Otolaryngology          Last – but certainly not least – is our group of dedicated Community Advisors. You can read more          physician who recommended a colonoscopy. The diagnosis came
                                                                                                                                                                                                             months, and she’ll have regular checkups for two years. If no trace
  Lisa Mulligan, MD        about their valuable contributions on page 9 and view a list of our current advisors below. In our        back as Stage III cancer.
                                                                                                                                                                                                             of cancer is found after that, she’ll be in remission.
                           area, Evergreen is unique in inviting this level of feedback on a regular basis from private citizens.
                                                                                                                                     “I was in shock. I never in a million years would have guessed
   Pain Management                                                                                                                                                                                           READY TO MOVE ON
                           Bottom line – everything we do at Evergreen is all about the community and about the people who           cancer,” she remembers. “I didn’t know how to feel. I just thought,
    David Hou, MD                                                                                                                                                                                            So much has changed for this mother
                           look to us to take care of them. That’s a very big deal to us, and thanks to your input and feedback,     ‘I gotta get through this.’”
    Jason Kim, MD                                                                                                                                                                                            of three since her diagnosis of rectal
                           we’re able to offer the best health care whenever you or your family should need us.
                                                                                                                                     BEATINg THE ODDS                                                        cancer that she sometimes doesn’t
      Pediatrics                                                                                 Warmest regards,                    Fortunately, Prichard was a candidate for presurgical chemotherapy      recognize the woman in the mirror.
  Robin Graham, MD                                                                                                                   (also known as neoadjuvant chemotherapy) and radiation treatment.       While she’s still dealing with the side
                                                                                                                                     Dr. Timothy Carlos of the Cascade Cancer Center at Evergreen over-      effects of her current regimen,
        Podiatry                                                                                                                                                                                             Sherilynn Prichard says she’s also
                                                                                                Steven E. Brown, FACHE               saw her chemotherapy regimen. “My role was to shrink Sherilynn’s
  Ilona Barlem, DPM                                                                                                                                                                                          ready to move on. “I’m able to play
                                                                                                Chief Executive Officer              tumor to prepare for surgery,” he explains. She also received
  Serge Barlem, DPM                                                                                                                                                                                          with my kids,” she says. “I’m starting
                                                                                                                                     radiation therapy under the supervision of Dr. Michael Hunter.
                                                                                                                                                                                                             to feel like a normal person again.”      Michael Hunter, MD and
      Radiology                                                                                                                      The six weeks of chemotherapy and radiation were grueling, with                                                   Timothy Carlos, MD
 David Alexander, MD       2008 COMMUNITY ADVISORS                                                                                   a range of side effects that forced her to stop working. But the        Yet her cancer has left a lasting
  Edwards Lee, MD                                                                                                                    treatment worked. During the operation to remove the portion of         impression. “I’m anxious to get back to my life,” she says. “But I
                           Bothell David Anderson • Sherry Anderson • Evelyn Gaylord • Christine Griffiths • Steve Holland           rectum that contained the cancer, surgeon Harry Kahn found no           have a different outlook now. Maybe I got cancer so I could help
  Brandon Liu, MD
                           • Barbara Horn • Larry Peeler • Virgil Snyder Duvall Robin Akkerman Kenmore Linda                         trace of malignancy. Prichard had beaten the odds. “I was told that     others with cancer down the road. I’m doing things I always
                           Holman • Shirley Lam Kirkland Don Bartleson • Irina Bolotin • Don Duncan • Eunice Hostetter •             only 5 percent of people in my situation see the results that I did,”   wanted to do, like learning to ride a motorcycle. I could have lost
                           Kathy Iverson • Shelley Kloba • Charles Morgan • Arthur Mussman • Christopher Nokes • Teddy               she exclaims. “That means I beat 95 percent of the population!”         my life, so now it’s time to live.”
                           Overleese • Nancy Remak • Patty Tucker Redmond Connie Adams • Chuck Brockway • Shirley
                           Ferguson • Carol Garing • Tim McLaughlin • Judith Simpson • Lee Steventon • Carla Ruiz •                  “It wasn’t an easy course of treatment,” Dr. Carlos says, “but it       Visit the Evergreen Web site at www.evergreenhealthcare.org/
                           Sheryl Wilkins Sammamish Emily Hutchison • Lynanne Lewis Woodinville Lori Dey •                           turned out so well for her.” He notes that many people, with            screen/colorectal for the American Cancer Society’s screening
                           Steve Engstrom • Karen Holt                                                                               similar symptoms, may ignore them or brush them off by thinking         guidelines for colorectal cancer.
  4                                                            O RT H O P E D I C S E RV I C E S                                                                                                                                H OSPICE SERVICES                                                                         5

                                                                               “I was fighting through the pain –                                               “It’s like helping
                                                                                trying to be a tough guy.”                                                       a family member.”
                                                                                 Weight lifting has always been a passion for Lynnwood                              “There’s just no way we could have gone through this
                                                                                 resident Curtis Doyle. But three years ago, while                                  – emotionally, physically, medically – without the sup-
                                                                                 attempting an aggressive squat with weights, he was                                port of Evergreen Hospice. They made it possible for
                                                                                 overcome with pain in his right hip.                                               Cynthia to remain at home.”

  Curtis Doyle                                                                                                                                                                                                                                                                                         Eileen Hebert with a

                                                                                                                                                                                                                                                                                                        photo of her sister,
       “I was very active and never had any problems before,” Doyle,             cartilage and shaved down the excess bone. “These procedures used                                            Eileen Hebert is talking about the people      workers, trained volunteers to help with chores or
       then 42, says. “I heard a ‘pop’ and knew I had done something             to be done by dislocating the hip to complete the surgical work and                                          she describes as “angels on earth” – the       read to patients, bereavement services. We provide           Cynthia McCrary
       right away.”                                                              relocating it,” he says. “There’s no question today’s procedure,                                             men and women of Evergreen Hospice who         the medical equipment and work with physicians
                                                                                 done adequately, is significantly less traumatic to the joint.”                                              helped her beloved sister, Cynthia McCrary,    and pharmacists on medications.”
       Doyle walked out of the gym that day, “but I was fighting through the
                                                                                                                                                                                              and their family, after a devastating
       pain – trying to be a tough guy,” he remembers. “When Dr. Angelo          Less trauma means less pain and less recovery time, benefits that                                                                                           To experience the full benefit of hospice care, Evergreen Hospice
                                                                                                                                                                                              diagnosis of terminal melanoma, the
       had me rank my pain on a scale of one to 10, I was a nine.”               Doyle experienced. “After the surgery, Dr. Angelo asked me how I                                                                                            suggests families contact them as early as possible. Spangler points
                                                                                                                                                                                              deadliest form of skin cancer.
                                                                                 felt. I told him I didn’t feel anything,” he recalls. “I wasn’t trying to                                                                                   out that many families struggle on their own before getting hospice
                                                                                 be tough – there was just no pain. I had zero pain!”                                                         McCrary was just 48 years old when she         involved. “I think it’s comforting for people to have somebody
       Orthopedic surgeon Dr. Richard Angelo wasn’t surprised. “Instead                                                                                                                       died at her home last September – a single     come in and take over,” she says. “They can just enjoy their family
       of having the ball of the thigh bone fit smoothly into the hip cup,       PAIN-FREE AND ACTIVE
                                                                                                                                                             Sarah Spangler, RN               mother with two young-adult daughters.         member and not have to worry about all the other stuff.”
       Curtis had an overgrowth of bone leading to impingement of the            A mechanical engineer, Curtis Doyle was back on the job the next                                             Hospice nurse Sarah Spangler met the
                                ball and socket,” he explains. “This led to      day and eager to resume his active lifestyle. “I was on crutches for                                                                                        “No matter what the problem was, or what the challenge was, or
                                                                                                                                                                    McCrary family as they were just beginning their journey, a time
                                the gradual tearing of the labrum, a ring        nine days and then did six weeks of physical therapy,” he says.                                                                                             what the question was, they were there,” Hebert recalls. “It made
                                                                                                                                                                    that can be overwhelming. “The patient and the family must first
                                of protective cartilage that provides a rim      Today, with Dr. Angelo’s approval, Doyle runs two-and-a-half miles                                                                                          all the difference in the quality of Cynthia’s life, and it gave her a
                                                                                                                                                                    take in such a terrible diagnosis, and then figure out what to do,”
                                around the cup, which distributes force and      and does a total weight workout every day. He also swims.                                                                                                   great deal of peace knowing she was supported by these angels all
                                                                                                                                                                    she explains. “Most people have no idea what to expect as they
                                ‘cushions’ the joint.”                                                                                                                                                                                       the way along her journey. They were simply wonderful.”
                                                                                 “I tell patients who’ve had this surgery to not regularly pursue a                 help someone they love die with dignity at home.”
                              The bone overgrowth problem is called a            high-impact sport,” Dr. Angelo cautions. “Be user-friendly. Play soccer                                                                                     “PART OF OUR FAMILY”
                                                                                                                                                                    Spangler is part of a home hospice care team that has special
                              femoro-acetabular impingement, and it was          or softball on grass fields. If running is really a passion, cross-train           expertise in managing the physical, emotional and spiritual needs        Hospice help is available by phone 24/7, and in person as often as
                              a preexisting condition that might not have        with cycling, swimming – something without the impact load on                      of terminally ill patients and their families. The team has one goal –   necessary. Spangler visited Cynthia McCrary once a week in the
                              caused Doyle problems for years. But the           the hip.”                                                                          to bring comfort to those facing a life-limiting illness while           beginning, then daily toward the end. “You get so close to them; it’s
                              deep squat immediately crushed and tore                                                                                               supporting their loved ones preparing to say goodbye.                    like helping a family member,” she says.
                                                                                 That commonsense approach has paid off for Doyle, who remains
Richard Angelo, MD            the labrum and caused intense pain,
                                                                                 pain-free and as active as ever. “By six months after surgery, I was                                                                                        Eileen Hebert agrees. “We consider the hospice people to be part of
                              necessitating surgery.                                                                                                                A LEARNINg ExPERIENCE
                                                                                 able to do everything I could do in high school!”                                                                                                           our family now,” she says. “I want to help get the word out about
                                                                                                                                                                    “The act of dying is a learning experience for families,” Spangler
       Dr. Angelo employed a now-standard minimally invasive technique                                                                                                                                                                       what hospice is and how it works, so hopefully other families will
                                                                                 For more information or a referral to an Evergreen-affiliated                      notes. It’s something that Eileen Hebert quickly recognized. “I didn’t
       to repair Doyle’s hip, creating four quarter-inch incisions in the                                                                                                                                                                    make the choice that will allow their loved ones to stay at home.”
                                                                                 orthopedic surgeon, call the Evergreen Healthline at 425.899.3000                  even know what we were going to need,” she says.
       front side of the hip, through which he removed the damaged
                                                                                 or visit our Web site at www.evergreenhealthcare.org.                                                                                                       For more information about Evergreen Hospice services, please
                                                                                                                                                                    That’s where Evergreen Hospice comes in. “Hospice provides just
                                                                                                                                                                                                                                             visit our Web site at www.evergreenhealthcare.org.
                                                                                                                                                                    about everything,” Spangler explains. “We have bath aides, social
  6                                                                  C A R D I AC S E RV I C E S                                                                                                                      WOMEN’S A ND CH IL D REN’S SERVICES                                                                  7

                                                                                   “You really have to                                                            “All of us were involved
                                                                                    help this man.”                                                                to keep them safe.”
                                                                                    What would prompt a prominent Chilean cattle                                      Sometimes it takes an entire hospital to save a mother
                                                                                    rancher to travel more than 7,000 miles to seek medi-                             and her baby. In Kelly McClure’s case, it took
                                                                                    cal treatment? For Eduardo Engler, it was the search to                           Evergreen specialists from maternal-fetal medicine,
                                                                                    find a cure for atrial fibrillation – a debilitating heart                        oncology, endocrinology, hematology and cardiology
                                                                                    condition that was about to ground him.                                           to solve her medical mystery.

  Eduardo Engler                                                                                                                                                                                                                                                                                                Kelly McClure

                                                                                                                                                                                                                                                                                                           with husband Josh
       Atrial fibrillation is a heart rhythm disturbance caused by abnormal         He had the procedure in 2005 and remained in the Kirkland area for                                         At 33 weeks into her pregnancy, McClure’s        were intertwined. Every time the baby would move
       electrical signals in the heart. The heart races; if not treated, it can     follow-up care from Dr. Rodrigues’ experienced staff, lead by nurse                                        blood pressure began shooting between            and press on the tumor, the resulting adrenaline rush          and daughters
       lead to stroke. Engler is passionate about flying, and the condition         practitioner Mary Hall. “Proper monitoring is critical to the optimal                                      extreme highs and lows. She was carefully        would send McClure’s heart rate racing. But there            Kylie and Ashtyn
       was threatening the renewal of his pilot’s license.                          short- and long-term success of the procedure,” Dr. Rodrigues stresses.                                    monitored, then admitted to the Critical         was one piece of good luck. Instead of being in the
                                                                                    “There can be issues afterward, and we need to be there to adjust                                          Care Unit at Evergreen Hospital at 35 weeks      normal vertical position in the uterus, McClure’s baby was lying
       Engler’s episodes began in his mid-50s. He tried all kinds of medica-
                                                                                    medications and offer reassurance – and often hold their hands.”                                           with an initial diagnosis of preeclampsia –      in a horizontal, or transverse, position. “That saved their lives,”
       tions, but nothing seemed to help and the episodes grew more
                                                                                                                                                                                               a potentially life-threatening condition that    Dr. Kline says, “because it reduced the amount of contact the baby
       frequent. So Engler’s in-laws began researching possible surgical            Once Engler returned home to his ranch in Osorno, Chile, Dr.
                                                                                                                                                                                               causes high blood pressure. But that didn’t      had with the tumor.”
       options in the Los Angeles area, where they lived. They also checked         Rodrigues remained in touch with him and his Chilean physicians
                                                                                                                                                                                               explain the fluctuation between high and
       with national leaders such as the Mayo Clinic and Johns Hopkins.             via e-mail, continuing to guide his aftercare. Engler experienced no                                                                                        To prepare her for surgery, McClure was put on medication to block
                                                                                                                                                                                               low blood pressure.
       They found that one surgeon’s name kept coming up – Dr. Derek                further episodes, and he returned to the cockpit.                                                                                                           the receptors to the hormone secreted by the tumor. She was observed
                                                                                                                                                              Carolyn Kline, MD
       Rodrigues of Eastside Cardiology Associates in Kirkland, Washington.                                                                                                                      Dr. Carolyn Kline, a maternal-fetal medicine   by a team of specialists who monitored her pregnancy, her blood
                                                                                    Dr. Rodrigues has now performed well over 100 left atrial ablations.
                                                                                                                                                                      specialist, was part of the team that found the answer – two tumors       pressure fluctuations and her cancer, and she received 24-hour
       PIONEERINg TREATMENT                                                         His program is one of the most experienced in the state and shows
                                                                                                                                                                      – a cancerous one in McClure’s intestinal tract, and a rare and very      nursing care. At 37 weeks, she was finally ready for a very delicate
       So Engler flew 7,000 miles to meet with Dr. Rodrigues, who, along            long- term success with atrial fibrillation patients. He routinely sees
                                                                                                                                                                      dangerous one called a pheochromocytoma (pheo), which was                 C-section using a full abdominal incision. Dr. Kline and surgeon
       with his Sound Heart colleague Dr. Alan Heywood, had been                    patients from around the state.
                                                                                                                                                                      sitting directly on top of McClure’s uterus.                              Michael Towbin cradled the uterus during delivery so it wouldn’t
       perfecting a surgical treatment for atrial fibrillation. It involves                                                                                                                                                                     touch the tumor. After obstetrician Theresa Tsang delivered the baby,
                                                                                    “I’M jUST HUMBLED.”
       threading a catheter through the blood vessels in the leg up to the                                                                                            LIFE-AND-DEATH SITUATION
                                                                                    In spring 2008, Eduardo Engler returned to Kirkland – this time to                                                                                          Dr. Towbin took over and removed both tumors.
                                 heart. Then Dr. Rodrigues ablates, or                                                                                               The cancerous tumor would have to be dealt with, but it was the pheo
                                                                                    thank Dr. Rodrigues personally for the surgical expertise that gave
                                 knocks out, the areas of the heart where                                                                                            tumor causing McClure’s immediate health crisis. “When pushed              “SHE WAS PERFECTLY HEALTHY.”
                                                                                    him back his active lifestyle. “It changed my life,” the now 62-year-
                                 the abnormal electrical signals are coming                                                                                          upon, the pheo tumor secretes a powerful hormone that acts like            Remarkably, baby Ashtyn was unharmed throughout the grueling
                                                                                    old Engler told him with a grateful smile.
                                 from. The procedure is performed at our                                                                                             adrenaline on the body, causing the spikes in blood pressure,”             ordeal. “She was perfectly healthy,” Kelly McClure remembers.
                                 Sound Heart partner hospital, Overlake             How did that make Dr. Rodrigues feel? “I’m just humbled,” he said,               Dr. Kline explains.                                                        “She was never affected by anything – she was a trooper.”
                                 Hospital Medical Center. “It’s a challenging       and then recalled the first time they met. “I thought, ‘my goodness…
                                                                                                                                                                     “In cases of preeclampsia, the right thing to do is deliver the baby       “The baby did unbelievably well,” Dr. Kline agrees, “and Kelly did
                                 procedure to do well, and not without risk,”       you really have to help this man because he’s come all this way. We
                                                                                                                                                                     early to relieve the high blood pressure,” Dr. Kline continues. “Had       beautifully. Things could easily have gone badly, but it was a real team
                                 he cautions, “but it can be life-changing for      are going to find a solution for him.’”
                                                                                                                                                                     we not diagnosed the pheo tumor, the pressure of a normal C-section        effort across many hospital departments. All of us were involved to
                                 those active individuals who simply don’t
                                                                                    For more information on Sound Heart – the cardiac collaboration                  on the tumor would have triggered a massive release of the hormone         keep them safe around the clock, and it probably saved their lives.”
                                 want to live at a subpar level.” That’s exactly
                                                                                    between Evergreen and Overlake hospitals – please call                           that likely would have killed Kelly.”
                                 what Eduardo Engler was looking for.                                                                                                                                                                           For more information on Women’s and Children’s Services at
Derek Rodrigues, MD                                                                 425.899.3000.
                                                                                                                                                                     While the tumor had nothing to do with her pregnancy, the two              Evergreen, visit our Web site at www.evergreenhealthcare.org.
  8                                                               NEUROSCIENCES                                                                                                                   YOUR EVERGREEN L EVY D OL L A RS AT WORK                                                            9

                                                                                                                                                              Evergreen Healthcare’s commitment to provide services outside the walls of our hospital is unique
                                                                                                                                                             on the Eastside and contributes significantly to the health and well-being of our community. In this
                                                                                                                                                                   continuing series, we highlight some of the programs made possible by your levy support.

                                                                             “It was like sleeping                                                  Community Advisors Help
                                                                              with Darth Vader!”                                                    Evergreen Shape Its Future
                                                                              Rick Thomas was first diagnosed with obstructive                      How do a banker, a community volunteer and an executive
                                                                                                                                                    assistant help determine the health care services offered by
                                                                              sleep apnea (OSA) 15 years ago. He would stop                         Evergreen Healthcare? As members of Evergreen’s Community
                                                                              breathing while he slept, causing him to wake up                      Advisor program, they provide input on health care issues to
                                                                                                                                                    Evergreen and its publicly elected Board of Commissioners.
                                                                              frequently during the night – leaving him dead tired
                                                                                                                                                    The advisors attend monthly educational sessions where they
                                                                              during the day.
                                                                                                                                                    learn about health care issues facing the community and about
                                                                                                                                                    Evergreen programs and services to address those issues.

                                                                                                                                                    Advisors are also involved in various committees and task
                                                                                                                                                    forces. Banker Chuck Brockway was one of three advisors who
                                                                                                                                                    served on Evergreen’s strategic-plan steering committee along
                                                                                                                                                    with Evergreen administration and medical staff leadership.    Community Advisors Eunice Hostetter, Christine Griffiths and Chuck Brockway
  Rick Thomas                                                                                                                                       “The highlight for me was the planning retreat, and seeing our
                                                                                                                                                    months of hard work come together to form the 2009-2011 plan,” Brockway says. “That
       Thomas was treated with a machine called CPAP – for Continuous         OSA is one of the most prevalent forms of sleep disorders. Patients   included tough decisions about which services to fund.”
       Positive Airway Pressure. A mask over his nose forced air through      come to the center for a consultation that includes a comprehensive                                                                                                             Recruiting New Members
                                                                                                                                                    Community volunteer and breast cancer survivor Eunice Hostetter is serving on the oncology
       his nasal passages and into his throat, holding his throat open so     medical history and a review of their symptoms. Based on that,                                                                                                                  Each fall, Evergreen recruits new members
                                                                                                                                                    advisory board, where she is able to give input regarding Evergreen’s cancer services. “I was
       that he could breathe normally and sleep through the night.            a patient may be recommended for an overnight diagnostic                                                                                                                        for the Community Advisor program.
                                                                                                                                                    able to be a voice for more lymphedema services to meet patient demand,” she explains,
                                                                              sleep study.                                                                                                                                                                    Advisors serve three-year terms, and they
                              The CPAP worked, but it had its downside.                                                                             “and Evergreen responded by expanding staffing to meet the community’s needs.”
                              “The mask was uncomfortable to wear and         That was the case for Rick Thomas, and his sleep study confirmed                                                                                                                must live in the Evergreen district, which
                                                                                                                                                    Christine Griffiths, an executive assistant, decided to become an advisor after completing
                              the machine was quite noisy,” he shares.        severe sleep apnea. Dr. Su prescribed a new-generation CPAP                                                                                                                     encompasses Bothell, Duvall, Kenmore,
                                                                                                                                                    her cancer treatment at Evergreen. She is currently serving on the patient advisory board
                              “My wife said it was like sleeping with         machine that was a vast improvement over the model Thomas had                                                                                                                   Kirkland, Redmond, Woodinville, part of
                                                                                                                                                    for the Evergreen Neuroscience Institute. “We meet monthly to discuss plans for the
                              Darth Vader!” Another drawback was the          used the first time. “The manufacturers of CPAP machines are                                                                                                                    Sammamish and portions of unincorpo-
                                                                                                                                                    institute’s facility that’s being built in the new DeYoung Pavilion,” she says. “We’re making
                              CPAP’s lack of portability. “We are part of     making good strides in getting the masks more comfortable,” Dr. Su                                                                                                              rated northeast King County. Applications
                                                                                                                                                    sure the new building will best accommodate patients dealing with Parkinson’s and MS.”
                              a group that does medieval reenactments,        notes. “The devices themselves are also much smaller and much                                                                                                                   are available online at www.evergreen-
                              which is basically 15th-century camping.        quieter.” Thomas is also using a more comfortable nasal pillow        Community Advisors are also ambassadors, representing Evergreen at community events                       healthcare.org or by calling 425.899.2664.
                              We’d be camping two or three days a week,       instead of the face mask.                                             as well as getting feedback about Evergreen from their friends, neighbors and colleagues.                 Applications are being accepted through
                              as often as 30 weeks a year, and I’d have to                                                                          This feedback is shared at the monthly meetings with Evergreen administrators and the                     Oct. 17.
Henry Su, MD                                                                  “LIKE NIgHT AND DAY”                                                  Board of Commissioners. “We write everything down and follow up, and then get the
                              struggle without the CPAP.”
                                                                              Perhaps best of all for Rick Thomas, the new-generation CPAP          answer back to the particular advisor so they can close the loop,” explains Evergreen CEO
       Thomas eventually gave up on the CPAP, and found his concentra-        machines can be used with battery packs – perfect for the camping     Steve Brown. “The advisors take their job very seriously…as do we. I’m just so delighted
       tion and energy level lapsing due to poor sleep. He had to stand up    trips that are such a big part of his life. “It’s been a remarkable                                                                                                             ABOUT THE EVERgREEN LEVY
                                                                                                                                                    that we have them. See page 2 for a list of the Community Advisors.
       in meetings just to stay awake. He worried about dozing off while      change – like night and day,” he enthuses. “My energy level is so                                                                                                               Roughly $14.1 million of Evergreen
       driving. He knew he needed to do something, so this past April, he     much better, I’m staying way more focused, and I’m even getting a                                                                                                               Healthcare’s 2008 budget is funded
       came to the Evergreen Sleep Disorders Center looking for help.         good night’s sleep when I’m camping!”                                                                                                                                           by regular levy money paid to King
                                                                                                                                                                         Did you know?
       “AS DANgEROUS AS DRIVINg DRUNK”                                        Evergreen’s Sleep Disorders Center, which opened in 2003, is                                                                                                                    County Public Hospital District No. 2.
                                                                                                                                                                        Healthline is a free community service of Evergreen Healthcare.
       “Studies show that driving when you’re sleepy can be as dangerous      accredited by the American Academy of Sleep Medicine (AASM),                                                                                                                    Some of this money is used to pay for
                                                                                                                                                                        We’re available 24/7 to help you:
       as driving drunk,” says Dr. Henry Su, the medical director of          meaning it has met or exceeded the AASM’s standards for care.                                                                                                                   buildings and equipment; the rest
                                                                                                                                                                        •	 Find	a	physician
       Evergreen’s Sleep Disorders Center. “In addition, recent studies                                                                                                                                                                                       funds innovative community health
                                                                              For more information on the Sleep Disorders Center, please call                           •	 Register	for	health	education	classes
       have shown that OSA is associated with high blood pressure, heart                                                                                                •	 Talk	to	a	nurse	about	a	health	concern                                             programs to meet the diverse needs
                                                                              425.899.4280 or visit our Web site at www.evergreenhealthcare.org.
       disease and stroke.”                                                                                                                                                                                                                                   of the area we serve. The taxation rate

                                                                                                                                                                    Call the Healthline at          425.899.3000                                              for 2008 is $.27 per thousand, or $81
                                                                                                                                                                                                                                                              for a $300,000 home.
  10                                                       W ELL N E S S I N T H E C O MMU N I T Y                                                                                                         UPDATES F ROM EVERGREEN H EA LTH CA RE                                                                          11

                            We’re all familiar with the old adage “an ounce of prevention is worth a pound of cure.”
                 While Evergreen Healthcare is here to take care of your disease treatment needs, we believe it’s preferable to                           Considering Spine Surgery?
                               prevent disease whenever possible, or to catch it at its earliest, most treatable stages.                                                               Is neck, arm, back or leg pain keeping
         In this continuing series, we’re providing prevention tips and disease screening information that you can use to stay healthy.                                                you from living an active life? Spine
                                                                                                                                                                                       surgery might be the answer to regaining
                                                                                                                                                                                       your mobility and reducing your pain.

                                                                                                                                                                                     Evergreen Hospital’s neurologic and
       Influenza                                                                 OTHER TIPS TO LESSEN YOUR RISK
                                                                                 Avoid close contact.
                                                                                                                                                                                     orthopedic spine surgeons are at the
                                                                                                                                                                                     forefront of advanced spinal surgery
                                                                                 Stay away from crowds during flu season. Avoid close contact with
                                                                                                                                                                                     techniques, including minimally invasive
                                          It’s never too early to start          people who are sick. When you are sick, keep your distance from
                                                                                                                                                                                     surgery, artificial disc replacement and
                                          thinking about the upcoming flu        others to protect them from getting sick, too.
                                                                                                                                                                                     motion preservation. Under appropriate
                                          season and how to best protect
                                                                                 Clean your hands.                                                        circumstances, spinal surgery may be a viable option for people
                                          yourself and your family. There’s
                                                                                 Washing your hands often will help protect you from viruses and          who are tired of the pain and limitations caused by injury, arthritis
                                          not a whole lot that medicine can
                                                                                 bacteria. Use an alcohol-based gel if you don’t have access to water.    or just wear and tear on their spine.                                         DeYoung Pavilion Update
                                          do to treat the flu once you have
                                          it, but there are several things you   Clean shared surfaces frequently.                                        Join our surgeons for a free seminar on spine surgery options, and            Construction continues on the five-story DeYoung Pavilion, which will be home to
                                          can do to lower your chances of        Viruses can live on surfaces such as phones and keyboards for            learn about Evergreen’s comprehensive spine program that guides               the Evergreen Neuroscience Institute, medical offices, underground parking and a
                                          getting the flu in the first place.    several hours.                                                           you from pre-op preparation through surgery, recovery and                     Sound Transit hub. The building is scheduled to open in Spring 2009.

                                                                                                                                                          physical therapy. Please call 425.899.3000 to reserve your seat.
                                          “The single best way to prevent        Avoid touching your eyes, nose or mouth.
                                          the flu is to get vaccinated each      This prevents germs from entering your body.
                                          fall,” explains Dr. Francis Riedo,
                                          Evergreen’s medical director for
                                                                                 Cover your mouth and nose.
                                                                                                                                                                       Thursday, October 9, 6:30-8:30 p.m.
                                                                                                                                                                              Evergreen Hospital                                    Are You Prepared
                                                                                 Cover your mouth and nose with a tissue when coughing or                                                                                                                                                           Emergency
                                          infectious disease. “In general,
                                          anyone who wants to reduce their
                                                                                 sneezing. If you don’t have a tissue, cough or sneeze into your
                                                                                                                                                                                Refreshments will be served
                                                                                                                                                                                                                                    For a Disaster?                                                Readiness Fair
                                                                                 elbow. It may prevent those around you from getting sick.
                                          chances of getting the flu should                                                                                                                                                         Disaster can strike suddenly and leave us                     Saturday, Nov. 1
Francis Riedo, MD
                                          get vaccinated, but it is highly
        recommended that those who are at high risk of having serious flu
                                                                                 Eat a nutritious diet.
                                                                                 A well-nourished immune system is better able to fight off infections.
                                                                                                                                                          CarePages Help Patients                                                   without power for days. Whether it’s an                        9 a.m. – 2 p.m.
                                                                                                                                                                                                                                                                                                 Evergreen Hospital
                                                                                                                                                                                                                                    earthquake, a ferocious storm or a
        complications get an annual vaccination.” Those groups include:
                                                                                 Stay active.                                                             Stay Connected                                                            manmade disaster, we need to be ready to                            Free
       • All children 6 months to 18 years of age                                Regular exercise boosts the immune system. People who exercise                                                                                     survive on our own for up to several days.
                                                                                                                                                          We know that emotional support from family and friends is impor-
       • All children 6 months to 8 years of age (who should receive two         may still catch a virus, but they often have less-severe symptoms                                                                                  Evergreen’s Emergency Readiness Fair will provide all the information
                                                                                                                                                          tant to a patient’s healing and well-being. That’s why Evergreen
         doses of vaccine if they have not been previously immunized)            and may recover more quickly.                                                                                                                      you need to prepare and protect your family during an emergency.
                                                                                                                                                          employees and physicians have donated the funds to make
       • Persons 2 to 64 years of age with chronic medical conditions such                                                                                                                                                          You can even purchase disaster kits and learn how to prepare your
                                                                                 SYMPTOMS                                                                 CarePages available to our patients.
         as heart or lung disease, kidney disease or diabetes, or who are                                                                                                                                                           pet for a disaster.
                                                                                 Primary symptoms of influenza are fever, fatigue, aches and pains,
         on long-term aspirin therapy                                                                                                                     CarePages are private, personalized Web pages that allow patients
                                                                                 chills and cough. The flu is usually at its worst for three to four                                                                                Bring your family, friends and neighbors, and be better prepared for
       • Persons 65 years of age or older                                                                                                                 to share updates with family and friends, receive messages of
                                                                                 days, though recovery can take seven to 10 days.                                                                                                   the next emergency.
       • Residents of long-term care facilities                                                                                                           encouragement and support, read stories and tips, and meet others
       • All pregnant women (at any stage of pregnancy)                           If you get the flu, stay home! You are still contagious, and you’ll     in similar situations. The pages are easy to build – and they’re free!
       • Health care personnel who provide direct patient care
       • Household contacts and out-of-home caregivers of children less
                                                                                 recover more quickly if you get some rest.                               Visit www.CarePages.com/evergreen to get started!
                                                                                                                                                                                                                                    Evergreen Facilities To Go
                                                                                 See a doctor if you develop any of the symptoms listed below, as it
         than 6 months of age
       Your primary care provider will begin offering the flu vaccine this
                                                                                 may be a sign that the influenza has developed into something more
                                                                                                                                                          FAMILY HEALTH AWARENESS DAY
                                                                                                                                                                                                                                    Tobacco-Free on Nov. 20
                                                                                 serious, such as pneumonia.
       fall. It should be received by the end of November in order to allow                                                                                                                                                         For years, Evergreen has provided a tobacco-free campus except for
                                                                                                                                                          Saturday, Nov. 1 • 9 a.m. – 2 p.m. • Free
       the antibody to develop before the start of flu season.                   •   Difficulty breathing                                                                                                                           designated, outside smoking areas. We’re now pleased to announce
                                                                                                                                                          Evergreen Hospital
                                                                                 •   Persistent fever                                                                                                                               that effective Nov. 20, all Evergreen facilities will be totally tobacco
                                                                                 •   Vomiting or inability to keep fluids down                            This hands-on event will help families take charge of their health        free. There will be no smoking on the grounds or outside any of our
                                                                                 •   Painful swallowing                                                   through healthy lifestyle choices. Attend free “mini” health classes      primary care clinics. There will be no smoking in cars on campus or
                                                                                 •   Persistent coughing                                                  and demonstrations, visit the health and resource fair, and               in our parking garages. Smokers will need to utilize the public
  DO YOU NEED A PHYSICIAN REFERRAL?                                              •   Persistent congestion and headache                                   participate in CPR Saturday.                                              sidewalks that ring the campus.
  The	road	to	wellness	begins	with	regular	medical	checkups.	The	                                                                                         Activities will include cholesterol and glucose screenings ($5 charge),   We feel that as the leading provider of health care services in our
  Evergreen Healthline’s free physician referral service can help                                                                                         nutrition education, activity booths for the kids, immunization
                                                                                                                                                                                                                                    community, we have a responsibility to provide a healthy environ-
  you connect with a primary care provider in your neighborhood.                                                                                          information and much, much more!
                                                                                                                                                                                                                                    ment for patients, visitors and employees.
  Call 425.899.3000 and press “1.”                                                                                                                        Registration is required for CPR Saturday and the screenings.
12                                                                                            C L AS S E S                                                                                                                                                   CL ASSES                                                                                  13

      Register for Classes Online or by Phone
      For your convenience, you may register and pay for classes 24/7                                 Pre-registration is required for all classes. Checks, VISA and                 HYPNOSIS FOR WEIGHT LOSS
                                                                                                                                                                                     AND SUPPORT
                                                                                                                                                                                                                            INTRODUCTION TO
                                                                                                                                                                                                                            CHINESE MEDICINE
                                                                                                                                                                                                                                                                       Forums and                               LIVING WELL WITH DIABETES
      online at www.evergreenhealthcare.org/classes. You may also call                                MasterCard are accepted. Refunds and rescheduling will only be                                                                                                                                            Information on healthy meal
      the Evergreen Healthline at 425.899.3000, Mon.-Fri., 7 a.m.-7 p.m.                              given for cancellations two business days prior to the class. Let us           Discover the many ways that            Learn about Chinese medicine,              Resource Fairs                           choices, heart disease, managing
                                                                                                                                                                                     hypnosis can encourage healthy         herbs and acupuncture and what                                                      your diabetes, and how you can
                                                                                                      know if you need special accommodations to participate.                        behaviors that lead to weight loss.    to expect when you visit a doctor                                                   receive the most benefit from your
                                                                                                                                                                                     Sept. 17, Oct. 15, Nov. 19,            of Chinese medicine. Sept. 29, 7-          DEFINING YOUR CANCER                     health care team. Nov. 6, 6:30-
                                                                                                                                                                                     Dec. 10, 7-9 p.m., $10, plus $15       8:30 p.m., $10.                            SURVIVORSHIP                             9 p.m., free.
                                                                                                                                                                                     materials fee to instructor.                                                      Our annual Cancer Survivors Day
     PARENTINg &                                         PARENTING SKILLS TO                         INFANT AND CHILD CPR                     ADVANCED CARDIAC                                                                                                         explores essential guidelines for
     RELATIONSHIPS                                       DEVELOP RESPONSIBLE                         Learn to prevent accidental injuries     LIFE SUPPORT                                                                  eNDINg	INSOMNIA:	A	DRug-                   survivorship, such as finding            FAMILY HEALTH
                                                         CHILDREN                                    and deaths, plus CPR, choking            For health care providers with         WeIghT-lOSS	SuRgeRY:	                  FREE SOLUTION FOR SLEEP                    meaning in your life after cancer,       AWARENESS DAY
                                                         In this class based on her book             management and household safety          advanced life-support responsibili-    IS IT RIGHT FOR YOU?                   Learn the latest techniques, includ-       detecting recurrence, understand-        This hands-on event will help
                                                         Mentor Manager, Mentor Parent,              information. Participants receive a      ties. Two-part class begins Oct. 16,   Experts from the Evergreen             ing self-hypnosis, to fall asleep fast     ing the role of genetics, and making     families take charge of their health
     Improve your family relationships
                                                         Dr. Cecile Culp Mielenz will help           CPR card valid for two years.            Dec. 11, 4-10 p.m., $235; includes     Bariatric Center will discuss surgi-   and sleep deeply and restfully all         small changes for a healthy life.        by discovering tips for making
     by discovering the unresolved
                                                         you discover how to develop                 Oct. 11, Nov. 8, Dec. 13, 9 a.m.-        textbook. Recertification students     cal options, postoperative follow-     night long. Oct. 1, 7-9 p.m.,              Survivors, families and friends are      healthy lifestyle choices. Attend
     issues that might be blocking the
                                                         responsibility in your children.            12:30 p.m., or Oct. 16, Nov. 20,         only need to take second day           up, lifestyle changes, financial       $10, plus $15 materials fee to             welcome. Lunch and refreshments          free mini-health classes and dem-
     flow of love, understanding and
                                                         Sharpen your mentoring skills and           Dec. 18, 6-9:30 p.m., $40.               of class.                              information and nutrition support.     instructor.                                are included. Sept. 20, 8 a.m.-          onstrations, visit the health and
     communication. One-day class
                                                         gain insight into how your parent-                                                                                          Sept. 10, Oct. 8, Nov. 12, Dec. 10,                                               4 p.m., free.                            resource fair and participate
     begins Sept. 27, Oct. 25, Nov. 22,
                                                         ing style predicts your children’s          COMMUNITY CPR                                                                   6-8:30 p.m., free.                     FREEDOM FROM ANXIETY:                                                               in CPR Saturday. Activities will
     Dec. 13, 10 a.m.-6 p.m., $50.                                                                                                            PEDIATRIC ADVANCED
                                                         behavior. Oct. 14, 7-9 p.m.,                                                                                                                                       FINDING DEEP PEACE                                                                  include cholesterol and glucose
                                                                                                     Comprehensive course that covers         LIFE SUPPORT                                                                                                             HEALTHIER HEART FAILURE
                                                         $25. Book available for purchase                                                                                                                                                                                                                       screenings ($5 charge), nutrition
     PEARLS OF WISDOM                                                                                adult, child and infant CPR.             For health care providers with         STRESS AND YOUR                        Learn how to transform your                Enjoy a heart-healthy lunch and
                                                         at class.                                                                                                                                                                                                                                              education, activity booths for the
                                                                                                     Participants receive a CPR card          pediatric advanced life-support        WAISTLINE                              worries and anxieties, finding and         get updates on heart failure,
     A discussion of physical and                                                                                                                                                                                                                                                                               kids, immunization information
                                                                                                     valid for two years. Oct. 11, 25,        responsibilities. Two-part class       Discover how stress affects your       connecting to your own center of           healthy nutrition and the effects of     and much, much more!
     emotional changes brought on by
                                                         MANAGING DEPRESSION                         Nov. 8, 29, Dec. 27, 9 a.m.-             begins Nov. 13, 4-10 p.m., $235;       eating pattern and choices. Oct.       peace, clarity, creativity and joy.        humor and attitude on the heart.
     puberty. Learn how to open com-                                                                                                                                                                                                                                                                            Registration is required for CPR
                                                         THROUGH THE HOLIDAYS                        12 p.m., $40.                            includes textbook. Recertification     23, 7-8:30 p.m., $10.                  Dec. 3, 7-9 p.m., $10.                     Oct. 7, 12-2:30 p.m., $5.
     munication lines, build self-esteem                                                                                                                                                                                                                                                                        Saturday and the screenings. Nov.
     and celebrate the rites of passage.                 Explore the complex causes, symp-                                                    students only need to take second                                                                                                                                 1, 9 a.m.-2 p.m., free.
     For girls ages 10 to 12 and their                   toms and dynamics of depression;            COMMUNITY FIRST AID                      day of class.                          EATING ON THE RUN                      POETRY AND HEALING
     mothers. Oct. 6, 7-9 p.m., $10.                     learn skills and attitudes that can
                                                                                                     For individuals who already hold a                                              Do you know how to make the            Discover healing in the poetry of
                                                         provide relief during the holidays.
                                                                                                     current adult CPR card and need          WELLNESS                               healthiest food choices at fast food   others and in the process of being
                                                         Dec. 10, 7-9 p.m., free.
     FOUNDATIONS: TOOLS FOR                                                                          first aid only. Participants receive a                                          restaurants? Participants learn        a poet in your own life. Enjoy           YOGA FOR WOMEN OF                        BEGINNING YOGA
     RAISING A SUCCESSFUL                                                                            first aid card valid for two years.      STRENGTH CONDITIONING                  practical tips and strategies to       guided meditation, writing oppor-        SUBSTANCE
                                                         EMERgENCY & SAFETY                          Oct. 11, 25, Nov. 8, 29, Dec. 27,                                               make nutrition work regardless         tunities and sharing a poem that                                                  Learn to increase flexibility, gain
                                                                                                     1-5 p.m., $40.                           Resistance training improves your      of a hectic lifestyle. Sept. 25, 7-    reflects your experience and             These classes are designed for           strength and relax with the yoga
     Explore five key foundational                       EDUCATION
                                                                                                                                              strength and aids with healthier       8:30 p.m., $10.                        inspires healing for you. Dec. 8, 7-     women of size who want to relax          techniques of breath, body align-
     basics that will enhance your                                                                                                            bones and joints, weight loss and                                                                                      and improve balance, flexibility         ment and self-awareness. The pace
     child’s success and teach them to                                                               COMMUNITY CPR & FIRST AID                                                                                              8:30 p.m., $10.
                                                         SelF-DeFeNSe	FOR	KIDS                                                                increased energy. Learn strength-                                                                                      and fitness through gentle mindful       of this class is slow and gentle.
     make the right choices. You’ll also                                                             Comprehensive course that covers         training basics you can do at home     WELLNESS SCREENING                                                              movement and breath awareness.           Six-week sessions begin Sept. 16,
                                                         An interactive workshop that
     gain strategies to increase respect                                                             adult, child and infant CPR, barrier     that are appropriate for all fitness   Includes fasting full-panel choles-    THE SANDWICH GENERATION:                 Each class welcomes beginning            Oct. 28, 5:30-6:45 p.m., $65.
                                                         teaches safety and self-defense
     and compassion and cultivate a                                                                  devices, accident prevention and         levels. Oct. 20, 7-9 p.m., $10.        terol test, glucose, blood pressure    COPING WITH CAREGIVING                   and returning students. Sept. 15,
                                                         techniques. For kids ages 8 to 12.
     positive relationship with your                                                                 basic first aid. Participants receive                                           and metabolic syndrome screening,      Are you sandwiched between your          24, Oct. 22, Nov. 17, Dec. 1,
                                                         Nov. 22, 9-11 a.m., $10.                                                                                                                                                                                                                             STRESS REDUCTION YOGA
     child. Oct. 8, 6-9 p.m., $30.                                                                   a CPR and first aid card valid for                                              and Framingham Risk Assessment.        aging parents and your children?         7-8:15 p.m., $10.
                                                                                                                                              SMOKENDERS: STOP                                                                                                                                                Move with the flow of yoga,
                                                                                                     two years. Oct. 11, 25, Nov. 8, 29,      SMOKING                                Results will be given before you go    Learn to develop techniques and
                                                         PERSONAL SAFETY                                                                                                                                                                                                                                      breath and awareness to decrease
     DEALING WITH ANGER                                                                              Dec. 27, 9 a.m.-5 p.m., $75.                                                    home. For an appointment, please       build skills that make caregiving        MOVING WITH THE FLOW
                                                         Could you defend yourself if                                                         Learn step-by-step techniques that     call 425.899.2660. $30.                more effective and less stressful.                                                stress, increase relaxation and
     Discover more effective ways to                                                                                                          can help you break the habit. Free                                                                                     Yoga movement and awareness              develop a mindful connection to
                                                         needed? Learn simple techniques                                                                                                                                    Explore coping mechanisms, how
     express your feelings and make                                                                  CPR FOR HEALTH CARE                      introductory meeting Sept. 22,                                                                                         practices partner with your body         your body and spirit. Six-week
                                                         that will help you to protect                                                                                                                                      to take care of yourself, and local
     your response a choice rather than                                                              PROVIDERS                                7-8 p.m.                               INTEGRATIVE MEDICINE                                                            and emotions to reduce the pain          sessions begin Sept. 18, Oct. 30,
                                                         yourself and ensure your personal                                                                                                                                  resources that are available to
     a reaction. Two-part class begins                                                               For health care providers; includes                                                                                                                             and suffering that can accompany         5:30-6:45 p.m., $65.
                                                         safety. Nov. 10, 7-9 p.m., $10.                                                                                             What is it? Why is it so popular?      assist you in this juggling act.
     Nov. 5, 7-9 p.m., $20.                                                                          CPR, airway obstruction, barrier                                                                                                                                health and emotional challenges.
                                                                                                                                              HYPNOSIS FOR SMOKING                   Learn how you can benefit from         Oct. 2, 7-9 p.m., free.
                                                                                                     devices and use of an Automated                                                 integrative medicine and support                                                Four-week series begins Oct. 16,
                                                         BABYSITTING BASICS                                                                   CESSATION                                                                                                                                                       MEDITATION RETREAT
     PARENTING WITH LOVE &                                                                           External Defibrillator (AED).                                                   healthy choices for body-mind-                                                  7-8:15 p.m., $45.
     LOGIC: TIPS & TOOLS                                 Teens ages 11 to 16 learn how to            Participants receive a health care       Learn how hypnosis can make the        spiritual well-being. Sept. 22,        MOVEMENT & MEDITATION                                                             Enjoy a day of relaxation and
                                                         handle emergencies and care for             provider CPR card valid for two          transition from smoker to non-         7-8:30 p.m., $10.                                                                                                        renewal in a peaceful local setting
     A wonderful refresher class or an                                                                                                                                                                                                                               YOGA FOR EVERYONE
                                                         infants and children. Includes              years. Oct. 18, Nov. 15, Dec. 6,         smoker more comfortable and                                                                                                                                     as we share and support each other
     introduction for those who are                                                                                                                                                                                         MOVING WELL WITH
                                                         infant/child CPR basics. No CPR             9 a.m.-12 p.m., or Oct. 14, 23,          natural, with fewer side effects.                                                                                      Unite mind, body and spirit as           with meditation, gentle movement,
     new to the Love and Logic tech-                                                                                                                                                 ASK AND TELL                           CHINESE MEDICINE
                                                         card issued. Oct. 4, 18, Nov. 1, 15,        Nov. 11, Dec. 11, 6-9:30 p.m., $60.      Oct. 29, Nov. 5, 7-9 p.m. $10, plus                                                                                    you explore yoga postures and            silence, learning and discovery.
     niques. For parents of toddlers
                                                         Dec. 6, 20, 9 a.m.-3 p.m., $40. $15                                                  $15 fee to instructor for materials.   Learn how to collaborate with          Learn how to use Chinese medi-           breathing practices to deepen your       Beginners and returning meditation
     through adolescents. Oct. 21, 7-9
                                                         discount for Infant /Child CPR                                                                                              your health care team to incorpo-      cine’s seasonal focus to improve         awareness and improve your health.       students are welcome. Sept. 20,
     p.m., $25. Workbook is available
                                                         class if enrolled in babysitting class.                                                                                     rate the benefits of integrative       your health, concentration and           Six-week sessions begin Sept. 16,        10 a.m.-3 p.m., $55. Bring a sack
     for purchase at class for $12.
                                                                                                                                                                                     medicine on your wellness journey.     flexibility with gentle movement         Oct. 28, 7-8:15 p.m., $65.               lunch.
                                                                                                                                                                                     Nov. 20, 7-8:30 p.m., $10.             and meditation. Oct. 6, 7-8:30 p.m.,
 O c to b e r                   N ov e m b e r                    December                                                                                                                                                  $10.
 s   m    t     w   t   f   s   s   m    t       w   t   f   s    s   m   t   w   t   f   s
                1 2 3     4                               1          1 2      3 4 5    6
  5 6 7          8 9 10 11      2 3 4            5 6 7    8       7 8 9       10 11 12 13
 12 13 14       15 16 17 18     9 10 11          12 13 14 15      14 15 16    17 18 19 20
 19 20 21       22 23 24 25     16 17 18         19 20 21 22      21 22 23    24 25 26 27
 26 27 28       29 30 31        23 24 25         26 27 28 29      28 29 30    31                                                                                                                ADDITIONAL CLASS INFORMATION IS AVAILABLE AT WWW.EVERgREENHEALTHCARE.ORg/CLASSES
                                                                                                                                                                                     YOU CAN REGISTER ONLINE, OR CALL THE EVERGREEN HEALTHLINE AT 425.899.3000		•		MONDAY	-	FRIDAY,	7:00	A.M.	-	7:00	P.M.
14                                                                           C L AS S E S                                                                                                                                            CH IL D BIRTH CL ASSES                                                                        15

     MINDFULNESS PRACTICE                   CHOLESTEROL AND                         WHAT YOU NEED TO KNOW                                                                                                                                          YOGA DURING PREGNANCY                  CAR SEAT INSPECTION CLINIC
     AND SUPPORT GROUP                      DIABETES SCREENING                      ABOUT STROKE                                                                                                                                                   Learn deep relaxation for comfort      Have your child’s care seat checked
     Strengthen your formal and infor-
     mal meditation practice in a group
                                            Screening will include fasting full-
                                            panel cholesterol test and glucose
                                                                                    Find out about preventable risk
                                                                                    factors and steps you can take to
                                                                                                                                                                      Pondering                                                                    in pregnancy, childbirth and
                                                                                                                                                                                                                                                   beyond. Six-week series, $90.
                                                                                                                                                                                                                                                                                          for proper installation by a Certified
                                                                                                                                                                                                                                                                                          Child Passenger Safety Technician.
     context. The heart of each session
     is meditation practice; sharing
                                            screening. Results will be given
                                            before you go home. You must
                                                                                    prevent strokes. Learn stroke signs
                                                                                    and symptoms along with crucial
                                                                                                                                   CANCER LIFELINE AT
                                                                                                                                                                      Parenthood                                                                   Classes available at Evergreen or
                                                                                                                                                                                                                                                   in Redmond. Call 425.899.3000
                                                                                                                                                                                                                                                                                          Advance registration is required.
                                                                                                                                                                                                                                                                                          Saturdays, 10 a.m.-2 p.m., free.
     and discussion contribute to           register for time slot. Nov. 20,        first response to these signs.                                                                                                                                 for schedule or visit our Web site
     the healing focus. Two-week            12:30-2:30 p.m., free.                  Oct. 15, 6:30-8 p.m., free.                Evergreen and Cancer Lifeline are      Planning for a pregnancy?                                                    at www.evergreenhealthcare.org.
                                                                                                                                                                                                                                                                                          CLASSES FOR THE
     sessions begin Sept. 25, Nov. 3,                                                                                          partnering to offer comprehensive      Learn all that Evergreen has
     7-8:30 p.m., $25.                                                                                                                                                                                                                                                                    ENTIRE FAMILY
                                            SEASONAL AFFECTIVE                      HEADACHE MANAGEMENT                        classes and support groups for         to offer, including choices for                                              BABY CARE
                                            DISORDER                                An informative discussion about
                                                                                                                               cancer patients and their families.    prenatal care and our numer-                                                                                        DADS ONLY
     ESPECIALLY FOR WOMEN                   Discover why the lack of sunlight       the causes, diagnosis, management          Ongoing support groups for cancer
                                                                                                                                                                      ous programs for follow-up                                                   A DAY ABOUT BABY                       Expectant fathers meet with a
                                            can cause some to experience            and treatments related to headache         patients and their families include
                                                                                                                                                                      care and support. You’ll also                                                Hands-on learning and breakout         facilitator to discuss fatherhood,
                                            fatigue, weight gain and altered        problems. Dec. 9, 7-8:30 p.m.,             Bosom Buddies, Colorectal, Care-
     MENOPAUSE                                                                                                                                                                                                                                     topics cover diapering, bathing,       labor and birth, experiences and
                                            sleeping habits and how you can         $10.                                       givers, Touched by Cancer and          tour our nationally recognized
     Information and support for                                                                                                                                                                                                                   soothing your baby, baby carriers      expectations. Oct. 14, 7-9 p.m., $25.
                                            improve your mood with medical                                                     Reclaiming Your Life. Fall programs    Family Maternity Center.                                                     and newborn characteristics.
     women experiencing menopause;
                                            options and light therapy. Dec. 18,                                                include Exercise and Energize with                                                                                  Sept. 27, Oct. 25, Nov. 29, Dec. 20,
     covers symptoms, hormone                                                       LOOK GOOD . . . FEEL BETTER                                                       Nov. 13, 6:30-8:30 p.m., free.                                                                                      EXPECTING A GRANDBABY?
                                            12:30-1:30 p.m., free.                                                             the Lebed Method, Gentle Yoga,                                                                                      10 a.m.-3 p.m., $75/couple. Does
     replacement therapy, nutrition,                                                A unique program that teaches
                                                                                                                               Qigong Sitting Meditation, Ikebana                                                                                  not include information about          Tour the maternity center and
     osteoporosis, exercise, sexuality                                              female cancer patients beauty
                                                                                                                               and Nutrition. To view program                                                                                      feeding your baby.                     learn about infant care plus ways
     and developing a personal plan.        HEALTH CHALLENgES                       techniques to help restore appear-
                                                                                                                                                                                                                                                                                          to support the new family. Oct. 24,
     Sept. 24, 7-9 p.m., $10.                                                       ance and self-image during chemo-          descriptions and a class schedule
                                                                                                                                                                      PREPARINg FOR BABY                      FAMILY MATERNITY                                                            7-8:30 p.m., $25 each/couple.
                                            EATING WELL WHEN YOU                    therapy and radiation treatments.          and to register for programs, visit                                                                                 INFANT FEEDING AND
                                                                                                                                                                                                              CENTER TOUR
     URINARY INCONTINENCE                   DON’T FEEL LIKE IT                      Nov. 10, 1-3 p.m., free. To register,      www.cancerlifeline.org or call                                                                                      PUMPING
                                                                                    please call 1.800.227.2345.                                                       NEW! WHAT KIND OF PARENT                Take a 20-minute tour of                                                    AFTER YOUR BABY IS BORN
     A broad overview of the types of       Learn how to deal with low appe-                                                   800.255.5505.                                                                                                       Learn about the feeding phases of
                                                                                                                                                                      DO YOU WANT TO BE?                      Evergreen’s award-winning Family
     urinary incontinence, potential        tite, taste changes and digestive                                                                                                                                 Maternity Center. Children,          baby’s first year of life as defined
                                                                                                                                                                      Find your parenting ‘voice’ and                                              by the American Academy of             PAReNT-BABY	ClASSeS
     causes and methods of treatment.       discomfort during times of illness.     NEUROLOGICAL EXERCISE                                                                                                     attending with parents, welcome.
                                                                                                                                                                      discover how to implement the                                                Pediatrics. Also learn the basics of
     Oct. 28, 6:30-8:30 p.m., free.         Participants will learn how to use      GROUP                                                                                                                     Call 425.899.3000 for schedule                                              Our popular weekly sessions pro-
                                                                                                                                                                      parenting practices you desire for                                           breastfeeding, pumps and feeding
                                            food to stabilize weight, minimize      Gentle stretch and strength             CONSIDERING SPINE                                                                  or visit our Web site at                                                   vide education and support from
                                                                                                                                                                      your family. Two-day workshops                                               baby while away. Sept. 11, Oct. 14,
                                            discomfort and restore feelings of      exercises for patients affected by      SURGERY?                                                                          www.evergreenhealthcare.org                                                 trained facilitators and other new
     ESPECIALLY FOR OLDER                                                                                                                                             begin Oct. 4, 9:30 a.m.-12 p.m.                                              Nov. 12, Dec. 11, 7-9 p.m.,
                                            strength and well-being. Oct. 27,       neurological disorders such as          Join our spine surgeons to learn                                                  to register. Free.                                                          parents. Advance registration is
     ADULTS                                                                                                                                                           and Dec. 6, 1-3:30 p.m. $50 each/                                            $35 each/couple.
                                            7-9 p.m., $10.                          Parkinson’s, stroke and multiple        about Evergreen’s comprehensive                                                                                                                               required; call 425.899.3000 or visit
     Evergreen offers a number of                                                   sclerosis. Four-week sessions           spine program that guides you                                                                                                                                 our Web site for the schedule. Class
     classes, health screenings and                                                                                                                                                                           SPANISh-SPeAKINg	TOuR                                                       is free for babies 0-3 months old.
                                            LOWDOWN ON HIGH                         begin Sept. 29, Oct. 27, Nov. 24,       from pre-op preparation through                                                                                        CHILD CARE OPTIONS
     support services for seniors around                                            12:45-1:45 p.m., $20.                   surgery, recovery and physical            BRINGING BABY HOME                      Tour the Family Maternity Center
     the community. To receive the free     CHOLESTEROL                                                                                                                                                       with a Spanish-speaking guide.       Learn how to choose the type of
                                                                                                                            therapy. Oct. 9, 6:30-8:30 p.m.,          Learn how to cope with the normal                                            child care best suited to your fami-   STARTING SOLID FOODS
     Evergreen Horizons newsletter,         Get the facts on the role of choles-                                                                                      adjustments of becoming a family        Features classroom discussion
                                                                                    PARKINSON’S                             free.                                                                                                                  ly’s needs and budget. Provides        Learn practical and research-based
     call 425.899.2661 or e-mail:           terol, HDL, LDL, triglycerides and                                                                                        while keeping your relationship         time. Offered monthly, 7-9 p.m.
     Horizons@evergreenhealthcare.org.      their effects on your health. Learn     COMMUNICATION GROUP                                                                                                       Call 425.899.3000 for dates. Free.   an overview of in-home daycare,        information on the healthy feeding
                                                                                                                                                                      intact during the early baby years.                                          commercial daycare, nanny and
                                            simple techniques to lower choles-      Monthly program for Parkinson’s         gRIEF & BEREAVEMENT                                                                                                                                           of solid foods for babies and
                                                                                                                                                                      This is a research-based and tested                                          au pair care, plus the ins and outs
                                            terol. Nov. 18, 6:30-8 p.m., $10.       patients to practice speaking with      Pre-registration is required for all                                                                                                                          toddlers. Quiet, arm-held babies
     AARP DRIVER SAFETY                                                                                                                                               program of The Gottman Institute.       PREPARINg FOR                        of hiring students or family child
                                                                                    increased loudness in a relaxed         programs; call 425.899.1077.                                                                                                                                  welcome. Recommended for par-
     PROGRAM                                                                                                                                                          For pregnant couples, couples with      LABOR & BIRTH                        care providers. Sept. 20, Nov. 19,
                                                                                    environment with others who have                                                                                                                                                                      ents of infants 4-12 months of age.
                                            DIABETES BASIC SKILLS                                                                                                     new babies, and those who are                                                7-9 p.m., $35 each/couple.
     Interested in improving your driving                                           movement disorders. Oct. 1,                                                                                                                                                                           Oct. 7, Nov. 4, Dec. 2, 7-9 p.m.,
                                            For people recently diagnosed with                                              BEREAVEMENT SERIES                        thinking of starting a family. Quiet,
     skills and possibly receiving an                                               Nov. 5, Dec. 3, 1-2:30 p.m., $5.                                                                                          Register early for our popular                                              $25 each/couple.
                                            diabetes or those who need a                                                                                              arm-held babies welcome. Two-day
     insurance discount? This program                                                                                       Six-week series that assists the                                                  Labor & Birth Basic Series for       HAPPIEST BABY ON
                                            refresher. Many insurance plans                                                                                           workshops begin Oct. 4, Dec. 6,
     provides eight hours of classroom                                                                                      healing of those who have lost a                                                  first-time parents. Ideally, you     THE BLOCK
                                            will cover this class. Call             PARKINSON’S TELEHEALTH                                                            9 a.m.- 4 p.m., $125 /couple.
     instruction and covers the effects                                                                                     loved one through death. Next                                                     will want to register to attend
     of aging and medication on driving,    425.899.3008 to register.               View live, interactive educational                                                                                                                             Soothe your baby in minutes! For        BABY AND FAMILY BOUTIQUE
                                                                                                                            series begins Nov. 13, 12:30-                                                     during your 5th-8th month of
     basic driving rules, license renewal                                           talks designed to help patients and                                               PELVIC HEALTH CLASS                                                          expectant parents and new parents       The Baby & Family Boutique
                                                                                                                            2:30 p.m. or 7-9 p.m. Suggested                                                   pregnancy. Visit our Web site at
     and more. Two-part class begins                                                families improve their knowledge                                                                                                                               (bring your newborn). Fee includes      features baby clothing, infant
                                            SUCCESS WITH HEART                                                              donation is $30.                          Learn techniques to minimize pain       www.evergreenhealthcare.org/
     Nov. 7, 10 a.m.-3 p.m.; one-day                                                of Parkinson’s disease. Sept. 15,                                                                                                                              a CD and VHS/DVD. Sept. 20,             carriers, breastfeeding clothing
                                            FAILURE                                                                                                                   during your pregnancy and birth.        childbirth for complete class
     class Oct. 4, Nov. 8, Dec. 6,                                                  Oct. 20, Nov. 17, Dec. 15, 2-                                                                                                                                  Nov. 15, Dec. 13, 10 a.m.-12 p.m.;      and supplies. Breast pumps are
                                            Learn about the disease, self-                                                  SUPPORTING OUR CHILDREN                   Special attention to the pelvic floor   descriptions.
     9 a.m.-5 p.m., $10.                                                            3:30 p.m., free.                                                                                                                                               Oct. 7, 7-9 p.m.; Dec. 2, 6:45-         available for rent or purchase. Our
                                            management skills, medications to                                                                                         muscles also helps to optimize                                               8:45 p.m. $60 each/couple.
                                                                                                                            Assists the grieving parent in                                                                                                                                 helpful and knowledgeable staff
                                            improve symptoms and quality of                                                                                           healing after the birth and prevent     HYPNOBIRTHING
                                                                                                                            dealing with the struggles facing a                                                                                                                            provides complimentary, profes-
     HEALTHY DIGESTION                      life, and tasty low-sodium cooking.     PARKINSON’S WELLNESS                                                              problems that may arise later.
                                                                                                                            grieving child. For children ages                                                 Use guided imagery, visualization    CAR-SAFe	KIDS                           sional bra fitting with no appoint-
                                            Two-part class begins Nov. 4, 1-        SERIES                                                                            Sept. 9, Nov. 11, 7-9 p.m., $20
     Learn key points to restore                                                                                            6 to 12 and their parent/guardian.                                                and special breathing for a safe                                             ment necessary. The Boutique is
                                            2:30 p.m., $5 per class.                The Booth Gardner Parkinson’s                                                     each/couple.                                                                 Learn the basics of selecting and
     digestive function and help your                                                                                       Call for dates of next series.                                                    and satisfying birth. Five-week                                              located inside the Breastfeeding
     immune system to fight off offend-                                             Care Center presents an informa-                                                                                                                               using a car seat specific to your
                                                                                                                            Donations accepted.                                                               series begin Sept. 23, Nov. 4.                                               Center at Evergreen Hospital,
     ing pathogens and invaders.                                                    tional lecture on healthy nutrition                                                                                                                            family’s needs. May be attended
                                                                                                                                                                                                              $135/couple plus $25 materials                                               Coral Suite 320, and is open
     Oct. 16, 12:30-1:30 p.m., free.                                                for Parkinson’s patients and on                                                                                                                                during pregnancy or whenever
                                                                                                                                                                                                              fee collected at first class.                                                Mon.-Sat., 8:30 a.m.-4:30 p.m.
                                                                                    issues of intimacy. Sept. 26, 12-                                                                                                                              choosing a new car seat. Sept. 23,
                                                                                                                                                                                                                                                   Oct. 22, Nov. 20, 7-9 p.m., free.       For more information, call
                                                                                    2:30 p.m., free.                                                                                                                                                                                       425.899.3603.

                                                      PR I MA RY C A R E S E RV I C E S

                                                                  A Good Fit for Your Health
                                                                  From checkups to the common cold, from an earache to a serious
                                                                  disease – your primary care provider is your partner in health through-
                                                                  out your life. Your provider will help you stay well, treat you when you
                                                                  get sick, and refer you to specialists when the need arises.

                                                                  The Evergreen Medical Group’s seven neighborhood primary care
                                                                  clinics offer a range of providers and philosophy options. Our board-
                                                                  certified family practice physicians can take care of your entire family’s
                                                                  health care needs – everyone from Mom and Dad to teens, toddlers and
                                                                  even newborns – in the same convenient location. Parents can even
                                                                  schedule their own appointments around those of their children.

                                                                  Evergreen Medical Group sites are accepting new patients, and our
                                                                  providers would welcome the opportunity to establish a relationship
                                                                  with you or any of your family members and friends. We’d love to hear
                                                                  from you – just contact a clinic at your earliest convenience.

NEED A PRIMARY CARE PHYSICIAN?                                                                                       Evergreen Healthcare
The	evergreen	Medical	group	primary	care	network	has	sites	located	throughout	the	community	for	your	                Board of Commissioners
convenience. For office hours and directions, see our Web site at www.evergreenhealthcare.org.
                                                                                                                     Al DeYoung,
CANYON PARK 1909 214th St. SE, Suite 110 • 425.488.4988 DUVALL 14720 Main St. NE, #109 • 425.788.4889                Bothell /Duvall /Woodinville
KENMORE 18208 66th Ave. NE, #200 • 425.485.6561 REDMOND 8301 161st Ave. NE, #308 • 425.882.5020                      Jeanette Greenfield, At Large
SAMMAMISH 22850 NE 8th, #103 • 425.898.0305 WOODINVILLE 17000 140th Ave. NE, #101 • 425.481.6363
                                                                                                                     Rebecca Hirt, Kirkland/Kenmore
FAMILY MEDICINE OF REDMOND 8299 161st Ave. NE, #101 • 425.881.8813
SENIOR HEALTH SPECIALISTS 11521 NE 128th St., #100, Kirkland • 425.899.6800                                          R. August Kempf,

EVERgREEN’S TWO URgENT CARE locations are open extended hours to handle nonemergency                                 Rex Lindquist, At Large
illnesses	and	injuries.	Patients	are	seen	on	a	walk-in	basis	according	to	severity.
REDMOND URgENT CARE 8301 161st Ave. NE, #105 • 425.883.3333                                                          You may contact the
Hours: M-F 9 a.m.-8 p.m. / S-S 9 a.m.-5 p.m.                                                                         Commissioners by e-mail at
WOODINVILLE URgENT CARE 17000 140th Ave. NE, #101 • 425.488.2273                                                     evergreenhealthcare.org
Hours: M-F 3-7:30 p.m. / S-S 9 a.m.-4 p.m.

                                                                                                                     Evergreen Monitor is published as
                                                                                                    Presorted        a community service by Evergreen
                                                                                                   US Postage        Healthcare. Its contents are not
                                                                                                     PaiD            intended to replace professional
                                                                                                   Evergreen         health care. See your health care
                                                                                                                     professional for information
                                                                                                                     relevant to your medical history.
      12040 NE 128th Street
      	Kirkland,	WA	98034                                                                                            Editor: Gail Neubert, 425.899.1881
                                                                                                                     Photography: Larry Gill
                                                                                                                     Design: GA Creative

                                                                                                                     Evergreen Healthcare is an equal
                                                                                                                     opportunity employer and service
                                                                                                                     provider. For career opportunities
                                                                                                                     at Evergreen, visit our Web site at


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