evergreenhealth monitor - fall 2015

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monitor COMPREHENSIVE SPECIALTY CARE Discover more than 80 clinical specialties at EvergreenHealth that help you live your healthiest best 20 15 FALL A Joint-Replacement Surgery that Reverses Shoulder Pain When a Diabetes Diagnosis Provides a New Lease on Life Innovation Adds More Comfort to Prostate Cancer Care KICKING THYROID CANCER WITH A TOP-NOTCH TEAM P. 6

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Health news, classes and more from EvergreenHealth in Kirkland, WA.

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  • Fall 2015 1

    monitor

    COMPREHENSIVE SPECIALTY CAREDiscover more than 80 clinical specialties at EvergreenHealth

    that help you live your healthiest best

    20 15FALL

    A Joint-Replacement Surgery that Reverses

    Shoulder Pain

    When a Diabetes Diagnosis Provides a

    New Lease on Life

    Innovation Adds More Comfort to

    Prostate Cancer Care

    KICKING THYROID CANCER WITH A TOP-NOTCH TEAM

    P. 6

  • 2 EvergreenHealth Monitor

    Though these stories represent just a handful of the specialty care practices across the EvergreenHealth system, they exemplify our collaborative approach to enriching the health and well-being of every life we touch.

    On behalf of the 950 physicians and more than 4,000 employees of EvergreenHealth and EvergreenHealth Monroe, I thank you for your continued confidence in our promise to be your most trusted partner in health.

    Sincerely,

    Robert H. Malte, Chief Executive Officer

    Dear friends,Welcome to the Fall edition of Monitor. As always, we hope that its contents help you and your family in your pursuit of health and well-being, as well as serve as a source of pride in your hospital.

    Our vision to earn our communitys trust through exceptional clinical outcomes every day serves as a constant motivation and inspiration for our doctors, nurses, and staff across our more than 80 clinical specialties that comprise EvergreenHealth delivering a depth and breadth of clinical capabilities and skill to serve patients who face any range of complex challenges or conditions.

    As youll read in this issue of Monitor, our specialists pioneer the latest advancements within their fields and collaborate with health care partners and colleagues to create a seamless and satisfying patient experience. They are advocates, innovators and listeners, each who create meaningful relationships with their patients to bring healing, comfort and relief.

    Robert H. Malte, Chief Executive Officer

    We invite your feedback and questions.Contact us at [email protected]

    Message from the CEO

  • Fall 2015 3

    Specialty Care at EvergreenHealthAt EvergreenHealth, we offer more than 80 clinical specialties, representing a

    breadth of services and programs that is among the most comprehensive in the region. Across our integrated system, doctors at the top of their fields provide expert care for heart and vascular

    conditions, cancer care, orthopedics, neurosciences, womens and childrens services, pulmonary care, home care, hospice services, and many other medical and surgical specialties.

    Our specialty care is enhanced by the relationships we have with other top physicians and organizations in the community. EvergreenHealth, through its clinically integrated network, EvergreenHealth Partners, and our relationships with Virginia Mason and Seattle Cancer Care Alliance, provides care in a collaborative approach that ensures a seamless experience. When it comes to making important decisions about your health, our physicians partner with you to provide the most knowledgeable and informed recommendations to treat any range of conditions.

    In this issue, youll read about patients who are overcoming complex health care challenges with the support of compassionate specialists and advanced treatments options. From defeating cancer to thriving in the face of a chronic condition, the patients youll meet share a resiliency that inspires all of us at EvergreenHealth to live our healthiest best.

    Table of Contents

    Jeff J. Tomlin, M.D. EvergreenHealth Senior Vice President and Chief Medical Officer

    In Every Issue02 Message from the CEO

    16 Health Classes

    18 EvergreenHealth Foundation

    20 Primary, Urgent, Emergency and Specialty Care

    Updates15 EvergreenHealth Leads the Region in Reducing Readmissions

    Welcome New Practices and Providers

    Recognized as Americas 100 BestTM Hospitals

    Enhancing Experience with a New Direction

    AMERICAS100 BEST

    CRITICALCARE2016

    Features 04 A Joint-Replacement Surgery that Reverses

    Shoulder Pain

    06 Kicking Thyroid Cancer with a Top-Notch Team

    08 Comprehensive Specialty Care at EvergreenHealth

    10 When a Diabetes Diagnosis Provides a New Lease on Life

    11 Innovation Adds More Comfort to Prostate Cancer Care

    12 Living Your Healthiest Best

    14 Specialty Care at EvergreenHealth Monroe

  • 4 EvergreenHealth Monitor

    A JOINT- REPLACEMENT SURGERYthat Reverses Shoulder Pain

    Throughout his career, Dr. Edwin Ned Brockenbrough, a vascular and thoracic surgeon, knew he needed a hobby that could complement his demanding on-call schedule. He took to gardening, and the grounds surrounding his Hunts Point homea place his family has lived for 50 yearsshow the meticulousness and care hes put into it over the decades.

    But the now retired, active 85-year-old has never been one to sit idle. Family vacations took the Brockenbroughs to a beloved fishing resort in Alaska, where, in the summer of 2014, they returned for their 30th annual visit.

    As the trip neared its end, Dr. Brockenbrough was aboard a small boat when it suddenly pitched and sent him shoulder-first into the boats hull. It was a serious enough blow that Dr. Brockenbrough knew hed need treatment, but knew it could wait until his return home.

  • Fall 2015 5

    FIND THE PERFECT FIT WITH CUSTOMIZED KNEE IMPLANTSDr. Vincent Santoro, an orthopedic surgeon at EvergreenHealth, is one of Washington states leaders in using customized implants for total knee-replacement surgery that are tailored to fit each patients specific anatomy.

    With the ConforMIS prosthesis, no two implants are the same. Instead of using traditional

    off-the-shelf implants that come in standard sizes, Dr. Santoro uses 3D mapping to create a model to produce customized knee implants, specially designed to fit each patients natural shape and contours.

    The result for patients is a quicker recovery and considerably less pain thats often associated with the fit of an unmatched replacement, Dr. Santoro said. Customized implants are also projected to have a longer lifespan than traditional alternatives, which provides an ideal solution for patients who want to lead an active lifestyle for 20-plus years down the road.

    Dr. Vincent Santoro,

    EvergreenHealth Orthopedic

    & Sports Care

    Find Your Partner in Quality Care

    To find a physician specializing in orthopedic care, visit www.evergreenhealth.com/ortho or call the 24/7 Nurse Navigator & Healthline at 425.899.3000.

    Back in Washington, an X-ray revealed a complex fracture that needed to be stabilized by a sling and mended with plenty of rest. But after a few months, the injury began bothering him more severely and an MRI showed damage to his rotator cuff with multiple fractures that did not heal.

    Though he was hesitant to pursue surgery, Dr. Brockenbroughs son, Dr. John Brockenbrough, an otolaryngologist at EvergreenHealth, referred him to Dr. Michael Codsi who is fellowship-trained in orthopedic shoulder surgery.

    He was living with a significant, complex injury that was limiting his daily life in ways that he may

    have not even noticed at the time, Dr. Codsi explained. The combination of arthritis,

    shoulder blade fractures, and a tear in his rotator

    cuff tendon made him a good candidate for a

    specialized procedure that we do here at EvergreenHealth, providing a good chance of relieving his pain and restoring his strength for the

    long run.

    The solution was reverse shoulder replacement surgery. In a reverse replacement, highly skilled and specially trained surgeons

    repair the joint by swapping the position of the shoulders ball and socket joint after removing the areas of

    the bones damaged by arthritis. Instead of the ball extending as the top portion of the arm bone as it would in a typical shoulder a reverse repair uses a prosthesis that attaches a new ball to the shoulder bone and creates a socket to replace the top of the arm bone.

    This relatively new procedure provides a treatment option to a segment of the population that previously didnt have a viable long-term solution, Dr. Codsi added.

    Dr. Codsi and his partner, Dr. Vincent Santoro, are among the few specialists in the region who are trained in reverse replacements, which have been increasingly utilized over the last decade.

    As for Dr. Brockenbrough he couldnt feel better. Hes back to his regular exercise routine, enjoying his garden, and he was able to return to Alaska this year, injury-free, for his familys annual fishing trip.

    Dr. Michael Codsi, EvergreenHealth

    Orthopedic Surgeon

    I may be 85, but thanks in part to this team, I just dont feel like it!

  • 6 EvergreenHealth Monitor

    Seventeen-year-old Iza Alcorn is a busy high school student who wasnt ready to be slowed down by a sore throat last year. But when she began complaining of headaches and sensitivity to light, her mom knew something wasnt right.

    When it comes to your kids, you know them the best, said Norma Arauz, Izas mother. Something inside told me to take Izas concerns seriously.

    A visit to the Bothell familys primary care provider, Dr. Lilaine Leonardo at the Lakeshore Clinic, confirmed her mothers intuition. Dr. Leonardo detected thyroid nodules, which sparked a two-week, seamless coordination of care from biopsy to cancer diagnosis, followed by surgery to remove harmful cells from the active teenagers thyroid and lymph nodes. Though her prognosis was promising, the process was intensely emotional for Iza and her family.

    Hearing I had cancer was really hard for me and my family, but I knew I was in good hands and my doctors made me feel like I was going to get through this, Iza described. I knew complaining wasnt going to help.

    Hearing I had cancer was really hard for me and my family, but I knew I was in good hands

    Kicking Thyroid CancerWith a Top-Notch Team

    Iza Alcorn and her mother,

    Norma Arauz

    Something inside told me to take Izas concerns seriously.

  • Fall 2015 7

    Dr. Daniel Zeitler,

    EvergreenHealth

    Ear, Nose & Throat Care

    Hearing I had cancer was really hard for me and my family, but I knew I was in good hands

    Kicking Thyroid CancerWith a Top-Notch Team

    Dr. John Brockenbrough,

    EvergreenHealth Ear, Nose & Throat Care;

    Iza Alcon; Dr. Komal Patil-Sisodia,

    EvergreenHealth Diabetes & Endocrinology Care

    Iza first saw Dr. Komal Patil-Sisodia at EvergreenHealth Diabetes & Endocrinology Care for a biopsy that confirmed papillary thyroid carcinoma. Dr. Patil-Sisodia referred her to Dr. John Brockenbrough of EvergreenHealth Ear, Nose & Throat Care, who performed a successful surgery to remove the cancer.

    Dr. Brockenbrough credits Izas positive attitude, along with crucial family support, as some of the most important factors that have contributed to her fast recovery.

    As a cancer care provider, I treat patients who understandably have a lot of apprehension, Dr. Brockenbrough said. Through this whole process, Iza has remained determined and incredibly optimistic. In her case, recovery has as much to do with her outlook on life as it does with the medical interventions we provided. Positive people like Iza tend to achieve better outcomes.

    Looking back, Iza remembers last spring as a time that was just too busy to let cancer get in her way. Even amid her diagnosis and treatment, she earned her best report card. Now cancer-free, she continues to set a high bar for herself in her school work, on the soccer field and in preparing for college next year, where Iza hopes to study to become a nurse.

    I was thrilled to learn that she wants to enter the health care field, Dr. Brockenbrough said. She is going to be an exceptional provider, and Dr. Patil and I have already promised to give our input on her college essay. We know shes going to do great things.

    DR. DANIEL ZEITLER JOINS EVERGREENHEALTH EAR, NOSE & THROAT CARE EvergreenHealth is pleased to welcome Daniel M. Zeitler, M.D., to EvergreenHealths Ear, Nose & Throat Care team. Dr. Zeitler is board certified in otolaryngology, otology and neurotology, and he specializes in ear and skull surgeries. He is the only physician fellowship-trained in otology, neurotology and skull base surgery practicing on the Eastside of the Puget Sound region.

    In his area of specialty, Dr. Zeitler is engaged in a variety of clinical and basic science research projects, which have been featured at national and international meetings for professionals within the ear, nose and throat medical field. Dr. Zeitler also is involved with research affecting the use of cochlear implants for single-sided deafness in children and adults as well as cochlear implantation in the elderly.

  • 8 EvergreenHealth Monitor

    COMPREHENSIVE SPECIALTY CAREEvergreenHealth and the affiliated practices of our clinically integrated EvergreenHealth Partners network align the resources to help patients navigate a comprehensive range of specialty care and services.

    Our patient-centered and collaborative approach allows our specialists to work in concert with one goal in mindsolving our patients health care concerns

    with high-quality, safe, compassionate, and cost-effective solutions.

    Providing clinical excellence across more than 80 specialties and sub-specialties means that patients can access the best care and service within the network they know and from providers they trust.

    EvergreenHealth Practices

    Cancer Care EvergreenHealth Halvorson Cancer Center www.evergreenhealth.com/halvorson 425.899.1860

    Cardiology EvergreenHealth Heart & Vascular Care www.evergreenhealth.com/heart 425.899.0555

    Colorectal Care EvergreenHealth Colon & Rectal Care www.evergreenhealth.com/colon 425.899.4600

    Endocrinology EvergreenHealth Diabetes & Endocrinology Care www.evergreenhealth.com/diabetes-care 425.899.6414

    General Surgery EvergreenHealth Surgical Care www.evergreenhealth.com/surgical-care 425.899.5500

    Geriatrics EvergreenHealth Geriatric Care www.evergreenhealth.com/geriatric-care 425.899.4280

    Hospitalist Care EvergreenHealth Hospitalist Services www.evergreenhealth.com/hospitalists-at-evergreen 425.899.2560

    Neurology EvergreenHealth Booth Gardner Parkinsons Care Center www.evergreenhealth.com/parkinsons 425.899.3123

    EvergreenHealth General Neurology Care www.evergreenhealth.com/neuro-care 425.899.3135

    EvergreenHealth MS Care www.evergreenhealth.com/ms 425.899.5350

    OB/GYN & Maternity Care EvergreenHealth Gynecological Care www.evergreenhealth.com/womens-gynecological-care 425.899.2160

    EvergreenHealth Maternity Care www.evergreenhealth.com/maternity 425.285.0060

    EvergreenHealth Midwifery Care www.evergreenhealth.com/midwife 425.899.4012

    Evergreen Womens Health Center www.evergreenhealth.com/wc-tan 425.285.0060

    EvergreenHealth Womens Care Kirkland www.evergreenhealth.com/wc-kirkland 425.899.6400

    EvergreenHealth Womens Care Monroe www.evergreenhealth.com/wc-monroe 360.794.1444

    EvergreenHealth OB Hospitalist Services www.evergreenhealth.com/hospitalists-at-evergreen 425.899.3500

    Orthopedic, Sports & Spine Care EvergreenHealth Orthopedic & Sports Care www.evergreenhealth.com/ortho-sports 425.899.4810

    EvergreenHealth Orthopedic & Sports Care Monroe www.evergreenhealth.com/orthopedic-and-sports-care-monroe 360.794.3300

    EvergreenHealth Rehabilitation Services www.evergreenhealth.com/rehab 425.899.3139

    EvergreenHealth Sport & Spine Care www.evergreenhealth.com/sport-spine 425.899.1220

    Interventional Spine Care www.evergreenhealth.com/interventional-spine-care 425.899.1210

    Otolaryngology EvergreenHealth Ear, Nose & Throat Care www.evergreenhealth.com/ENT 425.899.4590

    Pain Management EvergreenHealth Pain Care www.evergreenhealth.com/dr-charles-chabal-md-pain-management 425.899.2365

    Podiatry EvergreenHealth Foot & Ankle Care www.evergreenhealth.com/foot-and-ankle-care 425.899.4650

    Psychiatry EvergreenHealth Behavioral Health www.evergreenhealth.com/behavioral 425.899.6300

    Pulmonary Care EvergreenHealth Pulmonary Care www.evergreenhealth.com/pulmonary 425.899.6972

    Sleep Medicine EvergreenHealth Sleep Services www.evergreenhealth.com/sleep 425.899.4280

    Urology EvergreenHealth Urology Care www.evergreenhealth.com/urology 425.899.5800

    Vascular Care EvergreenHealth Vascular Care www.evergreenhealth.com/vascular 425.450.7007

    EvergreenHealth Surgical & Vein Care www.evergreenhealth.com/vein-care 360.794.1415

    Wound Care EvergreenHealth Wound Care Services www.evergreenhealth.com/wound 425.899.2160

  • Fall 2015 9

    Neurology Advanced Family Medicine www.afmllc.us/neurology 425.453.6838

    OB/GYN Care Advanced Family Medicine www.afmllc.us/obgyn 425.453.6838

    Center For Womens Health at Evergreen www.womenshealthcare.org 425.899.4455

    Eastside OB/GYN www.eastsideob.com 425.899.5000

    Pacific Gynecology Specialists www.pacificgyn.com 206.965.1700

    Opthalmology & Optometry Advanced Family Medicine www.afmllc.us/optometry 425.453.6838

    Bellevue Lasik & Cataract www.bellevue-lasik.com 425.450.6990

    Washington Pacific Eye Associates www.infocusoptical.com 425.899.2020

    Orthopedics, Sports Medicine & Spine Care Eastside Orthopedics & Sports Medicine www.kneefootankle.com 425.899.6060

    Kirkland Spinecare www.kirklandspinecare.com 425.899.5030

    Lake Washington Sports & Spine*** www.lakewass.com 425.818.0558

    Mimi D. Johnson, M.D. www.evergreenhealth.com/dr-miriam-d-johnson-md-sports-medicine-pediatric 425.899.4200

    Ortho Washington** www.orthowashington.com 425.820.1221

    Pro Ortho* www.proortho.com 425.861.6258

    Otolaryngology Bellevue Ear Nose & Throat www.bellevueent.com 425.454.3938

    Proliance Eastside Ear Nose & Throat* www.eastsideent.com 425.451.3710

    Pathology Puget Sound Institute of Pathology www.psip.com 206.622.7747

    Anesthesiology Matrix Anesthesia www.matrixanesthesia.us 425.822.8888

    Bariatric Surgery Northwest Weight Loss Surgery www.nwwls.com 425.385.2263

    Clincal Psychology Eastside Psychological Associates www.eastsidepsychologicalassociates.com 425.427.2474

    Dermatology North Sound Dermatology www.northsoundderm.com 425.336.4876

    Pro Sports Club www.proclub.com/wellness/dermatology 425.861.6281

    Sima Medical & Cosmetic Clinic www.simaclinic.com 425.398.2700

    Strother Dermatology & Laser Treatment Center www.kirklandlaser.com 425.899.4144

    Endocrinology & Diabetes Aria Endocrinology www.ariaendocrinology.com 425.242.5412

    Bellevue Endocrine Consultants www.bellevueendocrine.com 425.289.0374

    Gastroenterology Associated Gastroenterology of Northwest www.kirklandgi.com 425.899.2211

    Puget Sound Gastroenterology at Kirkland www.pugetsoundgastro.com 425.899.4500

    Hand Surgery Ericson Hand & Nerve Center www.wbericson.org 425.776.4444

    Proliance Hand, Wrist & Elbow Physicians* www.prohand.com 425.283.5230

    Nephrology Cascade Kidney Specialists www.cascadekidney.com 425.453.8406

    Eastside Nephrology & Hypertension www.eastsidenh.com 425.899.5111

    Pediatrics Woodinville Pediatrics www.woodinvillepediatrics.com 425.483.5437

    Plastic Surgery Puget Sound Plastic Surgical Group www.drbryanmcintosh.com 425.321.2643

    Podiatry Integrative Foot & Ankle Centers of Washington www.seattlefootdoctor.com 425.822.7426

    Lakeshore Clinic www.lakeshoreclinic.com 425.821.4040

    Mill Creek Foot & Ankle Clinic www.millcreekfootandankle.com 425.482.6663

    Northwest Foot & Ankle 206.365.5484

    Ortho Washington** www.orthowashington.com 425.820.1221

    Pro Sports Club www.proclub.com/sports-medicine/podiatry 425.861.6258

    Robert B. Kierstein, D.P.M. www.kirklandpodiatry.com 425.899.5331

    Washington Foot & Ankle Sports Medicine www.rundoctor.com 425.899.3234

    Radiology Radia www.radiax.com 425.563.1500

    Rheumatology Richard A. Neiman, M.D. www.evergreenhealth.com/dr-richard-a-neiman-md-rheumatology 425.899.1664

    Urology Washington Urology Associates www.washingtonurologyassociates.com 425.899.5800

    * A division of Proliance Surgeons

    ** A division Washington Sports Medicine Associates

    *** A division Emerald City Sports & Spine

  • 10 EvergreenHealth Monitor

    Provides a New Lease on LifeWhen a Diabetes DiagnosisAfter Abby Edwards was diagnosed with Type 2 diabetes in 2004, she spent the better part of a decade carefully managing her symptoms with prescribed oral medications, a strict diet and an impressive exercise routine.

    By 2014, though, something was off. I just didnt feel well; I didnt feel like myself, she described.

    Despite hearing otherwise from her doctors at the time, Edwards instincts led her to believe that her symptoms had more to do with her diabetes than poor health.

    She decided to see a different specialist, and was referred to Dr. Komal Patil-Sisodia, who practices endocrinology at EvergreenHealth. From their first meeting, Edwards knew she had found a partner who was a passionate advocate for her health.

    I felt for the first time that someone really listened to my story and was determined to figure out what was going on, Edwards said.

    Together, they ran a series of tests new teststhat would reveal why her regimen, despite her commitment to a healthy lifestyle, seemed to be failing.

    Listening to Abby set something off in my mind, Dr. Patil-Sisodia explained.

    It was very apparent that she didnt have the typical indicators of a Type 2 diabetic and her body wasnt responding to the medications she had been taking for 10 years.

    Dr. Patil-Sisodias test confirmed that Edwards pancreas had completely ceased producing insulin and that she in fact had Type 1 diabetes, which is managed with a very different approach. Its why no medication,

    I felt for the first time that someone really listened to my story

    Dr. Komal Patil-Sisodia, EvergreenHealth Diabetes & Endocrinology Care

    other than insulin, would effectively treat her symptoms.

    They immediately began a new regimen of insulin injections and regular blood-sugar level checks and eventually transitioned Edwards to an insulin pump and continuous glucose monitor that she wears around the clock to help manage her blood sugar and insulin levels.

    I have a great deal of respect for Abby and her motivation. She took the bull by the horns and followed up with diabetes education, focused on her diet and learned how to

    trust her body again, Dr. Patil-Sisodia shared.

    Observing the two, its evident that feeling of respect is mutual.

    Now a year after her Type 1 diagnosis, Edwards describes

    having a new lease on life.

    I had gotten to the point where I had lost confidence in doing

    simple things I once enjoyed. But by following

    Dr. Patil-Sisodias instructions and learning how to trust my

    body again, I feel like Ive gotten my life back, Edwards explained.

    I cant think of a better outcome to any story, Dr. Patil-Sisodia beamed.

  • Fall 2015 11

    By injecting a gel-like substance between the prostate and the rectum, the treatment serves as a protective barrier throughout the course of radiation treatments. The gel, called SpaceOAR, was approved by the FDA in April of this year following extensive clinical trials led by Dr. Hsi and a team of researchers.

    The ultrasound-guided injections use liquids that form a solid gel once in place. Acting as a temporary buffer, the new technology separates the prostate and the rectum for up to six months before it naturally dissolves and safely reabsorbs into the patients body.

    Erickson, the first patient at EvergreenHealth to receive the treatment, said he is optimistic about his prognosis.

    There have been a lot of decisions to make about my treatment so far, and there will be more, so I feel lucky to have such a great team on my side.

    When Joe Erickson sat down with the radiation oncology team at EvergreenHealth, he knew their transparent approach to treatment options was just what he needed to start his battle against prostate cancer.

    What he didnt know was that he would be a prime candidate for a procedure that has been hailed as the last decades most significant advancement in prostate cancer care.

    The new treatment is being pioneered by Dr. R. Alex Hsi, a

    radiation oncologist specializing in brachytherapy at EvergreenHealths Halvorson Cancer Center.

    Though its common for many men with prostate cancer to experience

    excellent outcomes and survival rates, radiation treatment can be damaging to neighboring organs, and that can have a significant impact on patients quality of life, Dr. Hsi explained. What weve discovered with this new intervention is that we can improve patients comfort and reduce radiation exposure to normal tissues by 75 percent.

    Dr. R. Alex Hsi, EvergreenHealth Radiation Oncologist

    INNOVATION ADDS MORE COMFORT TO PROSTATE CANCER CARE

    Joe Erickson

    WHAT IS BRACHYTHERAPY? As a specialist in brachytherapy, Dr. Hsi, in collaboration with his urology colleagues, places radioactive seeds in or near tumors in the prostate, which work alone or in combination with external beam radiation delivered by EvergreenHealths state-of-the-art linear accelerator.

  • 12 EvergreenHealth Monitor

    Living Your Healthiest Best

    My family and I make intentional choices to spend quality time doing something fun and active. Thats how Ive been living my healthiest best lately, as a family unit.

    Karlyn Huddy, M.D., EvergreenHealth Heart & Vascular Care

    Living my healthiest best means keeping a positive attitude and staying happy. I believe that good health is linked to happiness. I feel that keeping the patients that I work with happy, along with providing safe and quality health care, will lead to the best outcome.

    Andrew Martina, O.T.R./L., Occupational Therapist, Rehabilitation Services

    Staying active is very important. Finding fun and creative ways to do so makes it even more enjoyable. The trick is to adapt to your environmentshine, sleet, or snow.Oscar Gonzalez, M.D., Preventive Cardiologist, EvergreenHealth Heart & Vascular Care

    Providers across the EvergreenHealth system are connected by the shared values of living well and striving for fulfillment in many aspects of life. We call it living your healthiest best.

    We asked specialists what living your healthiest best means for their patients and for them, personally, too.

    12 EvergreenHealth Monitor

    Living your healthiest best is about taking care of yourself by exercising regularly, having a healthy diet, not overeating, getting adequate sleep, having good ways of managing stress and enjoying life. For patients living with a chronic disease, there is also a role for a care provider team to give knowledge and guidance in developing an individual treatment plan. Ted R. Brown, M.D., M.P.H., Director of NeuroRehabilitation, MS Center at EvergreenHealth

    Get to know us. For a referral to an EvergreenHealth specialist, talk to your primary care provider or call our 24/7 Nurse Navigator & Healthline at 425.899.3000.

  • Fall 2015 13

    I sleep. Sometimes thats easier said than done, but a good nights sleep is the foundation for everything else that matters to me health, family, friends, learning, work, fun. Restorative sleep is so hard to come by in the hospital, and it has a huge impact on how people feel when theyre admitted. At least twice a week, patients tell me, Id feel so much better if I could just get one good night of sleep. When it finally happens, when they sleep

    through the night, they look and feel like a million bucks.Jill A. Denny, M.D., EvergreenHealth Hospice & Palliative Care

    I run, and mostly in wooded areas. Especially if Im feeling stressed or tired from a long day of work, running makes my entire body feel relieved and clears my mind. I love the foliage of the Pacific Northwest and getting outdoors brings me joy. I try to remember this when working with my patients and incorporate therapy outside whenever possible.

    Brianne Lynch, D.P.T., Rehabilitation Services

    Living your healthiest best may seem impossible: eat better, lose weight, avoid stress and get enough sleep. Where do you begin? What I do and advise my patients to do is focus on one thing and set achievable milestones. If you want to live a healthy lifestyle, define your goal and tackle it one step at a time.

    I recently backpacked the Grand Canyon, from the South to the North Rim. I was intimidated by the final 6,000-foot ascent, not to mention the 30-pound pack that I was carrying. I wasnt sure that I could do it. I took it step by step. I focused on getting to the top of each switchback and before I knew it, I conquered all 6,000 feet with that pack on my back.

    Josephine Wang, M.D., EvergreenHealth Womens Care

    My wife, son and I play tennis four or five times a week! Not only does it help me maintain my cardiovascular health, it has helped me stay close to my family while encouraging my son to live a healthy, active lifestyle. Playing tennis is great for reducing stress and keeps me mentally sharp to continue providing care for patients every day. Jacob Lin, M.D., EvergreenHealth Heart & Vascular Care

    Dr. Jeff Stickney, ProOrtho Kirkland

    ANTERIOR APPROACH HIP REPLACEMENT

    QUICK RECOVERY AND LESS PAIN Orthopedic surgeons at EvergreenHealth are among the few providers in the region to offer the latest procedure in hip replacement surgery. According to Drs. Jeff Stickney and Chris Boone, the anterior approach significantly reduces recovery time and pain, and yields better mobility for patients who want to continue living an active lifestyle.

    By operating on the front of the hip where your front pant pocket would be these highly trained surgeons work between tissues without making incisions into the muscles. The result is a faster recovery, with many patients returning home the same day of the procedure.

    Attend a FREE seminar to learn if the anterior approach is right for you. Visit www.evergreenhealth.com/hip for upcoming dates this fall.

    Dr. Chris Boone, Bellevue Bone and Joint

  • 14 EvergreenHealth Monitor

    Specialty Care at EvergreenHealth Monroe

    The EvergreenHealth Monroe campus is home to a growing range of specialties that provide patients even greater choice and access to the highest quality, most satisfying care and

    service right in Sky Valley. In addition to established providers, the alliance with EvergreenHealths Kirkland campus has expanded the number of specialists practicing at the facility.

    As an important part of the EvergreenHealth integrated system, Monroe specialty practices offer a mix of services that complement the systems comprehensive approach to health care and wellness, said Jack Handley, M.D., chief medical officer of EvergreenHealth Monroe. Whether patients need an outpatient surgical procedure or partner in cancer care, our Monroe-based team connects residents here to quality medical care in their own community.

    THE WOUND HEALING CENTER at EvergreenHealth Monroe offers state-of-the-art specialized wound healing care using interventions including the centers hyperbaric oxygen chamber, which can speed the healing process for a range of conditions through exposure to 100 percent oxygen at high pressures.

    ORTHOPEDIC & SPORTS CARE in Monroe treats injuries and chronic conditions for athletes and non-athletes alike with expert care from highly trained and experienced orthopedic specialists who partner with patients to provide both surgical and non-surgical solutions.

    EVERGREENHEALTH SURGICAL & VEIN CARE provides inpatient and outpatient state-of-the-art surgical services including laparoscopic surgery, cancer procedures, hernia repair, and varicose vein treatments, from its location next to the EvergreenHealth Monroe campus.

    For those seeking to treat addiction, the RECOVERY CENTER helps with individualized programs to meet specific needs, offering outpatient resources, rehabilitation programs, residential treatment, detoxification services and medication assisted abstinence, along with evaluations and referrals.

    EvergreenHealth Monroe has also entered into an agreement with FAIRFAX BEHAVIORAL HEALTH that paves the way for a 34-bed psychiatric unit to open this year. The partnership provides a full range of adult psychiatric care services, offering a local solution to a state-wide shortage of inpatient psychiatric care beds.

    WOMENS CARE IN MONROE offers comprehensive obstetrical and gynecological care to help women of all ages live their healthiest best.

    EvergreenHealth Monroe also offers specialty care from providers within:

    Cardiology Gastroenterology Dermatology Podiatry Urology Urogynecology

    Outpatient Therapy Services include:

    Cardiovascular Services Pulmonary Function Testing Pulmonary Rehabilitation Pain Management Physical Therapy and Speech Therapy Occupational and Hand Therapy Anticoagulation Therapy

    The alliance between EvergreenHealth and EvergreenHealth Monroe continues to bring new specialists to Sky Valley. To see a list of specialists visit www.evergreenhealthmonroe.com/find_physician or to schedule an appointment with a provider, call Monroes dedicated 27/4 Nurse Navigator & Healthline at 360.794.1111.

  • Fall 2015 15

    EvergreenHealth leads the region in reducing readmissionsEvergreenHealth is just one of two Puget Sound-area health care systems that will avoid paying federal penalties this year thanks to its success in reducing 30-day hospital readmission rates among Medicare patients. EvergreenHealth is the only Washington hospital to avoid the penalty four years in a row. Learn more at www.medicare.gov/hospitalcompare/readmission-reduction-program.

    Coming Soon! Enhancing Experience with a New Direction This fall, EvergreenHealth will install new hospital campus signage which will offer a simplified way for patients, visitors and guests to find their way on our campus, beginning with the easiest entry point for their visit.

    Weve arrived at a new way to help our guests easily find the right entrance and parking for their visit with us using East, West and Central Entrances for the means of navigation.

    The new signage will rename exterior entrances and parking as follows:

    West Entrance and West Parking, formerly known as Main Entrance and Silver Parking Garage

    Central Entrance and Central Parking, formerly known as Blue Entrance and Blue Parking Garage

    East Entrance and East Parking, formerly known as Evergreen Surgical Center & Parking

    Recognized as Americas 100 BestTM Hospitals EvergreenHealth recently was named one of Healthgrades Americas 100 BestTM hospitals in five specialties: stroke care, pulmonary care, gastrointestinal care, general surgery and critical care. The achievement is part of findings released in a national study, which demonstrates how clinical performance differs dramatically between hospitals and the impact that this variation may have on health outcomes and organizational costs. Read more at www.evergreenhealth.com/healthgrades.

    AMERICAS100 BEST

    CRITICALCARE2016

    WELCOME NEW PRACTICES AND PROVIDERS TO EVERGREENHEALTH Jeffrey F. Bray, M.D., brings more

    than 15 years of experience in obstetrics and gynecology care to EvergreenHealth Womens Care, which serves patients with comprehensive care across a broad range of services for women and families.

    Heather Vas, PA-C, recently joined EvergreenHealth Primary Care Sultan where she brings more than 20 years of experience caring for patients of all ages with an emphasis in asthma, allergy, immunology and family medicine.

    Fabio Vasquez, M.D., is the newest member of the EvergreenHealth Primary Care Woodinville team, focusing on preventive care for patients of all ages through careful listening, evidence-based practices and compassionate care, in addition to being fluent in Spanish.

    Scott D. Weber, M.D., a Sky Valley resident since 2001, expands the team at EvergreenHealth Primary Care Monroe with family practice, pediatrics, mens health, integrative and natural medicine and minor office procedures.

    Mark Freeborn, M.D., has established EvergreenHealth Spine & Neurosurgical Care, specializing in diagnosing, treating and repairing the conditions that cause back pain using the least invasive and most effective methods to reduce or eliminate discomfort.

    Fall 2015 15

    Updates

  • 16 EvergreenHealth Monitor

    For your convenience, you may register and pay for classes 24/7 online at www.evergreenhealth.com/classes. You may also call the EvergreenHealth Nurse Navigator & Healthline at 425.899.3000, Mon.Fri., 7 a.m.7 p.m.

    Pre-registration is required for all classes. Checks, VISA and MasterCard are accepted. Refunds and rescheduling will only be given for cancellations two business days prior to the class. Let us know if you need special accommodations to participate.

    HEALTH CLASSES: Register for classes online or by phone

    FREE SEMINARS

    Learn about our advanced treatment technologies, discuss options and lifestyle changes, and find support.

    Breakthrough Treatment for Hip Pain

    Back Pain

    Weight-loss Surgery: Is it Right for You?

    Plantar Fasciitis

    PARENTING &RELATIONSHIPS

    Classes to strengthen connections between families, parents and children

    Resisting Germs from Irresistible Kids

    WELLNESS &HEALTH LIVING

    Participate in hands-on wellness experiences that provide education, fitness tools and demonstrations in the kitchen where you will learn how to master recipes, gain nutritional knowledge and more!

    Healthy Meals Made Easy!

    Relax and Renew

    Healthy Menopause

    Strength Training for Everyone

    Holiday Wellness: Keeping Calm Through the Holidays

    Avoid Brain Drain

    Natural Immune Boosting Tips

    Are You Ready for an Emergency?

    Stretching 101

    Breathing Exercises

    EMERGENCY & SAFETYEDUCATION

    Participants receive training and credentials in first aid, life support and more.

    Babysitting Basics

    Infant & Child CPR

    Community CPR

    Community First Aid

    Community CPR & First Aid

    Health Care Provider CPR

    Advanced Cardiac Life Support

    Pediatric Advance Life Support

    SENIOR HEALTH CLASSES

    In addition to the classes offered at EvergreenHealth Medical Center, we offer classes and health screenings at other convenient community locations. Visit www.evergreenhealth.com/classes for class schedules and locations.

    AARP Smart Driver Program

    Seasonal Affective Disorder: Are You Feeling Sad?

    Cholesterol and Diabetes Screening

    Affordable Care Act - (ACA) en Espaol

    NEUROLOGICAL &MOVEMENT DISORDERS

    EvergreenHealth Neurological Care offers classes and support groups to aid patients living with a variety of neurological diseases and movement disorders.

    Mood & Cognition in MS: What You Can Do

    Dance for Parkinsons

    Laughter Therapy for People with Neurological Problems

    Neurological Exercise Group

    Neuro-Nutrition Class

    From-The-Ground-Up Strength & Flexibility

    Optimize Your Wellness: Be the Champion of Your Health & Wellbeing While Living With MS

    Living Well After Stroke

    Evergreen Mens Group

    Therapeutic Yoga for MS

    CHILDBIRTH PREPARATION

    For class dates and times or to register for classes, go to www.evergreenhealth.com/ childbirth-classes or call the EvergreenHealth Nurse Navigator & Healthline at 425.899.3000. Register early during your pregnancy, as classes fill quickly.

    Tour of the Family Maternity Center

    Tour de la Sala de Maternidad en EvergreenHealth para Parejas de Habla Hispaa

    Understanding Your Prenatal Testing Options

    Warm Welcomes

    Meet a Midwife

    Labor & Birth Basics

    Labor & Birth for Teens & Young Adults

    Labor & Birth Multiples

    Labor Coping Skills Review

    Prepare the Nest: Childbirth, Breastfeeding & Newborn Care Class

    HypnoBirthing The Mongan Method

    Siblings Class

    Conscious Fathering

    Fit4Baby

    Yoga for Pregnancy

    Pelvic Health Class

  • Fall 2015 17

    BABY CARE

    New or expectant families learn effective techniques for parenting infants and babies through their first years of life.

    For more scheduling information: For a full listing of classes, descriptions, dates and times visit www.evergreenhealth.com/classes.

    Cancer Care Classes

    STRENGTH. DIGNITY. HOPE.

    Classes and support groups at Halvorson Cancer Center

    EvergreenHealth offers cancer care support and education for patients and families in partnership with Cancer Lifeline. To register, call 206.297.2500 or 1.800.255.5505 or visit online at www.cancerlifeline.org.

    ARTISTIC EXPRESSION

    Holiday Paper Art Dcor

    COOKING DEMONSTRATION

    Brain Foods to Improve Moods

    Building Immunity Through Diet

    Foods That Fight Fatigue

    Happy Holiday Treats

    Help Prevent & Survive Cancer Through Diet

    EXERCISE AND MOVEMENT

    Gentle Yoga

    Lebed Health Steps (Session II)

    Tai Chi for Everyone

    PRESENTATIONS

    Anti-Inflammatory Foods for Health & Wellness

    Beyond Survivorship to Thriving

    Caregiving: Support for You & Your Family when Someone You Love Has Cancer

    Chemo Brain: What Is It & How To Live With It

    Compassion & Choices of Washington, An Overview

    Understanding Your Pathology

    STRESS MANAGEMENT

    The Benefits of Song for Relaxation

    Stress Management & Relaxation Techniques

    SUPPORT GROUPS

    Bosom Buddies Breast Cancer Support Group

    Breast Friends Breast Cancer Support Group

    Colon Cancer Support Group

    Living With Cancer Support Group

    Living With Metastatic Cancer Support Group

    Oral Head and Neck Cancer Support Group

    AMERICAN CANCER SOCIETY (ACS)

    Day About Baby

    Breastfeeding Basics & Beyond

    Pumping Class

    Bringing Baby Home Workshop

    Parent-Baby Groups

    Back to Work Parent-Baby Group

    Parenting Your Toddler Classes

    This is Not What I Expected

    Starting Solids

    Breastfeeding Your Older Baby

    Baby & Family Boutique

    Car Seat Safety

    Car Seat Checkup

    Infant Safety & Injury Prevention:Just for Parents

    Infant Safety & Injury Prevention: Just for Grandparents

    To register for monthly sessions, call ACS at 1.800.237.2345

    Look Good, Feel Better Workshop Support for Women Dealing with Hair Loss

  • 18 EvergreenHealth Monitor

    Show your support for Hospice and Palliative Care

    EvergreenHealth Foundation News

    EvergreenHealths Hospice and Palliative Care programs rely on your generosity to provide these compassionate services to patients and their families in some of the most challenging and trying timesdying and death. You can show your support by joining us at the seventh annual Seasons of Hope Luncheon, which benefits both programs.

    Our experience with EvergreenHealth Hospice was truly transformational during my wifes battle with Glioblastoma Multiforme. They altered our feelings of fear and lessened the burden of caregiving, allowing us to focus on living fully with my wife during her end-of-life journey. Everyone should be this fortunate! Jeff Baker

    This years Seasons of Hope program features keynote speaker Terry Hershey: author, humorist, speaker, dad, ordained minister and garden designer. Hershey is an internationally known speaker who shares his practice of

    pause and sanctuary, to help us do less and live more. Hershey will illustrate that sanctuary is not a new-age fad or lifestyle upheaval; rather its a way to approach and embrace your daily life personal or corporate through a lens of grace, freedom, and contentedness.

    The Frank Coluccio Construction Company hosted an amazing golf tournament in August at The Golf Club at Newcastle, raising more than $60,000.With over 140 guests, the event was a major success to support the purchase of a new state-of-the-art AlterG Anti-Gravity Treadmill for the Booth Gardner Parkinsons Center at EvergreenHealths Neurological Institute.With this new treadmill, developed with technology from NASA, patients are supported by a waist belt, making them virtually weightless, while they use their muscle memory to rehabilitate and recover quickly.

    Thank you to Frank Coluccio Construction and the Coluccio family, event sponsors, donors, volunteers, and guests who support EvergreenHealths mission to advance the health of this community.

    Dr. Jeff Tomlin, EvergreenHealth Senior Vice President and Chief Medical Officer joined Nick Coluccio, co-owner of Frank Coluccio Construction, on the course and spoke on behalf of EvergreenHealth at the awards ceremony following the tournament.

    Thursday, November 12, 11:30 a.m.-1:30 p.m. Lynnwood Convention Center $50/person; $500/table of 10

    You can reserve tickets online at www.SeasonsofHopeLuncheon.org or by calling 425.899.1900. For more information about the luncheon, contact Christie Elliott at the EvergreenHealth Foundation at 425.899.1906 or [email protected].

    Suggested donation of $100 is encouraged.

    Coluccio Golf Tournament Raises More Than $60,000 for Parkinsons Care

    Pictured (left to right): Pat Grady, Coluccio Construction employee; Nick Coluccio; Dr. Jeff Tomlin; and Grant Degginger, an attorney with Lane Powell, which also sponsored the event.

  • Fall 2015 19

    Golden Hammer Ceremony Kicks off Acute Rehabilitation Unit Remodel

    Save the Date: Make your commitment early!

    The charitable focus of the 2016 Evergreen Gala is EvergreenHealths Family Maternity Center. As one of the busiest maternity centers in the state, the center has the privilege of playing a special part in the lives of over 4,500 families each year as they welcome their new babies. Ensuring these families experience a personalized, comfortable, safe and joy-filled arrival of their treasured little one is of utmost importance. Gala proceeds will fund new fetal monitors, allowing our laboring mothers to experience the highest level of mobility, comfort and safety during this incredibly important time. Visit EvergreenGala.org or call 425.899.1900 for more information.

    Members of the Acute Rehabilitation Unit (ARU) Medical and Management Team, the Halvorson family, and the Remak family were invited to join the Foundation team at the Golden Hammer Ceremony in July, signifying the start of the ARU remodel. With real golden hammers in tow, attendees threw caution to the wind (figuratively, of course) and gave it their best shot putting holes in a designated wall that has since been demolished for pivotal upgrades to the facility.

    The new ARU will feature 14 upgraded patient rooms that will resemble a home bedroom with advanced patient beds. The updated unit will also offer a Home Transition Apartment, which along with the redesigned rooms, will help improve the patient experience and enable patients to be on the fast-track to recovery through these enhanced features.

    The Home Transition Apartment will act as the crucial transition between EvergreenHealth and home-life carefully integrating patients to real-world surroundings, such as a kitchen and other living areas. The Home Transition Apartment was named in honor of Nancy Remaks parents, Gene and Ruth Freedman.

    The Golden Hammer Ceremony denoted the kick-off of the four- phase remodel, which will be completed by year-end. The new ARU is coming to fruition thanks to the generous donors of the 2014 Evergreen Gala, the Remak and Halvorson families, and Michael and Mary Kay Hallman.

    Blue Jeans and Boots Gala raised more than $108,000 to support EvergreenHealth Monroe Foundation!Guests in western attire joined EvergreenHealth Monroe Foundation for its Blue Jeans and Boots Gala on September 19, 2015. The event featured country music, silent and live auctions, a raffle and a special message from Dr. Jim Swenson, an orthopedic surgeon in Monroe, who is currently serving in the Army Reserves in Afghanistan. The Gala was the kick-off of a yearlong $150,000 campaign to support the remodel of EvergreenHealth Monroes Recovery Center.

    A SPECIAL THANK YOU

    to The Pine Creek Nursery for donating its space, Hook and Ladder Barbeque for donating their catering services, emcee Jesse Jones of KIRO-TV and all of the wonderful auction donors, volunteers, and guests.

    APRIL 30, 2016

    ... will help improve the patient experience and enable patients to be on the fast-track to recovery ...

  • 20 EvergreenHealth Monitor

    We make health care easy and convenient with 10 primary care practices, two urgent care centers and two 24/7 emergency departments, along with comprehensive primary, specialty and emergency care provided at our sister hospital, EvergreenHealth Monroe.

    Our primary care practices offer evening and weekend hours, with Saturday and Sunday walk-in care available at Canyon Park. We also provide more than 35 specialty practices.

    For hours, directions and appointments, visit our website at www.evergreenhealth.com. Or call our 24/7 Nurse Navigator & Healthline at 425.899.3000 for help selecting a provider.

    PRIMARY CARE

    Canyon ParkDuvallKenmoreKirklandMonroeRedmondSammamishSultanWoodinvilleSignature Care, Woodinville

    URGENT CARE

    RedmondWoodinville

    SPECIALTY PRACTICES

    Anticoagulation ServicesBooth Gardner Parkinsons Care CenterColon & Rectal CareDiabetes & Endocrinology CareDiabetes Education & Nutrition Services

    Ear, Nose & Throat CareEvergreen Womens Health CenterEye Care - coming December 14Foot & Ankle CareGeneral Neurology CareGeriatric CareGynecological Care Halvorson Cancer Center Heart CareHospiceInfectious Disease CareInterventional Spine CareKidney CareLipid ServicesMaternal-Fetal MedicineMidwifery CareMultiple Sclerosis CenterOrthopedic & Sports CarePain Care Palliative CarePulmonary CareRadiology OncologyRehabilitation Care

    Sleep ServicesSpine & Neurosurgical CareSport & Spine CareSurgical CareUrology CareVascular CareWomens CareWomens Care, MonroeWound Care Services

    EMERGENCY CARE

    EvergreenHealth Medical CenterRedmond Medical CenterEvergreenHealth Monroe

    HOSPITALIST SERVICES

    EvergreenHealth Hospitalist CareEvergreenHealth OB Hospitalist CareEvergreenHealth Intensivist Care

    12040 NE 128th StreetKirkland, WA 98034www.evergreenhealth.com

    FACEBOOK facebook.com/evergreenhospital.org

    TWITTER @EvergreenHosp

    YOUTUBE youtube.com/evergreenhospital

    PINTEREST pinterest.com/evergreenhosp

    INSTAGRAM @EvergreenHealth

    EVERGREENHEALTH BOARD OF COMMISSIONERSAL DEYOUNG Bothell/Duvall/WoodinvilleJEANETTE GREENFIELD At LargeREBECCA HIRT Kirkland/KenmoreR. AUGUST KEMPF Redmond/SammamishCHUCK PILCHER, M.D. At LargeEDITOR: EvergreenHealth Marketing & Public Relations Group & Firmani + Associates Inc.PHOTOGRAPHY: Michelle Poole

    DESIGN: Arscentia

    You may contact the Commissioners by email at [email protected].

    EvergreenHealth Monitor is published as a community service by EvergreenHealth. Its contents are not intended to replace professional health care. See your health care professional for information relevant to your medical history.

    EvergreenHealth is an equal opportunity employer and service provider.

    For career opportunities at EvergreenHealth, visit our website at www.evergreenhealth.com.

    Follow EvergreenHealth on:

    Multiple Locations for All Levels of Care

    For more information including phone numbers, hours, addresses, directions and appointments, please visit www.evergreenhealth.com.

    Download our mobile app by searching EvergreenHealth.