HeartBeatPROVIDENCE

QUALITY HEALTH CARE IN THE INLAND NORTHWEST | SUMMER 2015

Read Heart Beat on your tablet or smartphone. Just go to phc.org/heartbeat for the latest issue or to sign up for email delivery.

FINDING THE WORDS

Lindsay Daehlin and Maggie Rowe help families who don’t speak English

UP AND COMINGTwo students share why

they chose careers in the growing health care fi eld

MEETING OUR MISSIONWhat’s the value of

Providence’s care for the community?

Providence Urgent Care & Emergency mobile-friendly wait times are now online at waittimes.phc.org!

Providence Urgent Care - open 8 a.m. to 8 p.m. daily in three convenient locations:North: Highway 2 at Hawthorne Road Downtown: Just off I-90 at 5th & Division

Valley: One mile east of Sullivan on Indiana

Every dollar raised in our community by Children’s Miracle Network Hospitals ensures our kids receive the finest care possible through state-of-the-art technology, specialized equipment, pediatric research and critical programs. Watch for our 2015 campaign with Jennifer Lopez and “put your money where the miracles are!”

www.shmcchildren.org

FROM THE HEARTEXECUTIVE EDITOR MANAGING EDITOR Sharon Fairchild Allison Milionis

MEDICAL EDITOR SENIOR CONTENT EDITORJeff Collins, M.D. Matt Morgan

SENIOR ART DIRECTOR PHOTOGRAPHERMonya Mollohan Gary Matoso

Elaine Couture, Regional Chief Executive

BOARD OF DIRECTORS

Providence Health Care Eastern Washington (PHC) is the parent organization of a number of Catholic health care ministries sponsored by the Sisters of Providence and the Dominican Sisters in Spokane and Stevens counties. These ministries include:

HOSPITALSProvidence Sacred Heart Medical CenterSacred Heart Children’s HospitalProvidence Holy Family HospitalProvidence Mount Carmel Hospital (Colville)Providence St. Joseph’s Hospital (Chewelah)

OTHER HEALTH SERVICESPAML (Pathology Associates Medical Laboratories)Providence Adult Day HealthProvidence DominiCare (Chewelah)Providence Emilie Court Assisted LivingProvidence Medical GroupProvidence St. Joseph Care Center & Transitional Care UnitProvidence VNA Home Health

PHC is part of the Providence Health & Services health care system, which spans fi ve states from Alaska to Cali-fornia and east to Montana. For more details, visit phc.org.

MISSION STATEMENTAs people of Providence, we reveal God’s love for all, especially the poor and vulnerable, through our compassionate service.

CORE VALUESRespect | Compassion | Justice | Excellence | Stewardship

CONNECT WITH USfacebook.com/ProvidenceSpokanefacebook.com/ProvidenceSacredHeartChildrensHospitalfacebook.com/ProvidenceHolyFamilyHospitalyoutube.com/ProvidenceSpokane twitter.com/Providence_PHC

Gary Livingston, Ph.D., Chair

Marian Durkin, Vice ChairLorilei Bruggink Patricia Butterfi eld, Ph.D.Ramon Canto, M.D.Jeff Clode, M.D.Dan Dionne, M.D.Rich Hadley Elaine HoskinKeith Marton, M.D.

Rob McCann, Ph.D.Thayne McCulloh, Ph.D.Sr. Judith Nilles, OPPaul PimentelMike ReillyMary SeleckyCurt ShoemakerLarry Soehren Phil StalpJim Watts, M.D.Ron Wells

Copyright 2015 © Providence Health Care. Online at phc.org. Published three times a year by McMURRY/TMG, LLC. Send comments to heartbeat@providence.org or Marketing & Communi-cation, 101 W. Eighth Ave., Spokane, WA 99204.

Th e Future of Your Care

Patients and families rely on Providence Health Care as a beacon of light during times of greatest

need—both in their darkest days as well as their most joyous ones when welcoming a newborn into their family. We are committed to creating healthier communities where care is accessible, aff ordable and high quality.

In this issue of Heart Beat, you will read about the innovative ways we are transforming health care. One that may surprise you: a new health care model that patients can access without leaving home.

This spring, we launched Health eXpress. Patients can now have a secure, real-time visit with a Providence provider from their home, their offi ce or any location via a smartphone, tablet or laptop. You can learn more

about this exciting technological advancement on page 9.

On page 14, you will read how our caregivers are bridging the lan-guage divide using interpretation services, and page 18 features Prov-idence Occupational Medicine, a program that is helping patients heal and return to their careers.

In addition to providing con-venient access to patients, we are also committed to fi lling the gap in our communities by providing resources for our Community Ben-efi t Program. In 2014, Providence Health Care contributed more than $109 million in community benefi t to residents in eastern Washington. Our Community Ben-efi t Program exemplifi es our Mis-sion to improve the overall health and well-being of the communities we serve, with particular concern for poor and vulnerable persons. Read more about it on page 26.

I am thankful that PHC serves as a beacon of light for eastern Washington—a tradition that began more than 150 years ago and continues today.

Elaine CoutureRegional Chief Executive Providence Health Care

THE PROVIDENCE VISION

“CREATING HEALTHIER COMMUNITIES, TOGETHER”WE CONTINUE TO PIONEER CARE DELIVERY, WORKING WITH PARTNERS TO IMPROVE OUR COMMUNITIES’ HEALTH AND WELL-BEING.

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CONTENTS

ON THE COVER: Lindsay Daehlin (left) and Maggie Rowe are social workers who ease the way for families who don’t speak English. Read their story on page 14. Photo by Gary Matoso.

Features

14 BRIDGING THE LANGUAGE DIVIDE When Liz Rodriguez’s daughter was diagnosed with cancer, a Providence social worker helped Rodriguez find her voice.

18 WORKING WONDERS After illness or injury, many workers turn to a program that provides therapy and assistance with the paperwork.

22 HEALTHY CAREERS Want to make a difference? Health care is a great option. Get insights from two caregivers-in-training.

5 HEALTHY LIVING

Prepare for a first yoga class; go barefoot without worry; side-step ACL injuries; and more.

8 INSIDER Consult with your doctor via mobile app; game-changing health facility celebrates one year; and other news.

10 CHILDREN’S HEALTH The outlook for kids with cystic fibrosis is brighter than ever.

12 CARDIAC REPORT A newer treatment option gives older patients hope for addressing aortic stenosis without conventional open heart surgery.

26 COMMUNITY A look back at last year’s contri-butions to local health and how they honor our Mission.

28 FOUNDATION An inside look at where donations come from, and who decides where they go.

29 MD SPOTLIGHT Local internist introduces herself and shares how her role is different from that of a family medicine physician.

30 CALENDAR Save the dates for these summer 2015 classes, events and activities.

31 HEALTH TIP The what, where, when and how of planting herbs for better health.

32 ROLE MODEL A Providence caregiver steps in to save a life—in an unexpected setting.

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HEALTHY LIVING

FREE Recipe Book AvailableProvidence Health Care’s 2015 Heart Healthy Guide is here. You won’t want to miss culinary hits like Greek Lentil Stew and more. To request your copy, just email heartbeat@providence.org.

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SHARE YOUR HEALTHFUL EATING TIPSHave good ideas for includ-ing healthier foods in your family’s meals? Share them with us on our Facebook page. Go to facebook.com/

ProvidenceSpokane or email heartbeat@providence. org.

3 Reasons to Pick PlumsSummer is the season for fresh fruit. As you’re stock-ing your cart with berries and melons, don’t forget this seasonal sensation: the plum. The benefi ts of the stone fruit, so dubbed because of its pit, include:

1. POTASSIUM. A plum has more than 100 milligrams of potassium, a mineral that can help maintain a lower blood pressure, protecting you from heart disease.

2. LOW “GI” SCORE. Despite its sweetness, the plum is considered a low-glycemic index (GI) food. Low-GI foods cause only slight rises in blood sugar and tend to aid in weight loss and diabetes control.

3. FIBER. A natural remedy for constipation, dried plums—aka prunes—off er a balance of insoluble fi ber (to move food along through the digestive tract) and soluble fi ber (helping you feel fuller longer).

QUICK TIP

With their sweet juiciness, plums aren’t always prac-tical on the go. For an easier way to eat more plums, remove the pit and drop the fl esh into your next fruit smoothie. Or pick up a bag of dried plums to keep in your desk drawer.

6 HEART BEAT SUMMER 2015

HEALTHY LIVING

BEFORE YOU GO BAREFOOTAh, summer. It’s time to kick off our shoes and feel the grass (or sand) beneath our toes. It’s a great feeling—but not without some risk. Keep those feet safe with these tips from the American College of Foot and Ankle Surgeons.

GET YOUR TETANUS BOOSTER. Wounds can lead to infections like tetanus. If it has been more than 10 years since your last tetanus shot, it’s time for a booster.

REACH FOR THE SPF. Feet (tops and bottoms!) can be sunburned, so don’t skip them when you put on sunscreen.

THINK FIRST. Mowing the lawn? Spending time around campfi res? Walking a rocky shore? Put on shoes.

IF YOU HAVE DIABETES, NEVER GO BAREFOOT. People with diabetes may not always feel an injury, and infections can be slow to heal.

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DON’T TAKE THEM FOR GRANTEDOur feet support us, day in and day out. Have concerns about your feet? Visit your family practice physician or fi nd one at phc.org by selecting “Find a Provider.”

Exercises to Help Prevent ACL TearsFor athletes, an ACL (anterior cruciate ligament) tear can end a season or even a career. For the rest of us, this knee injury can be painful, debilitating and expen-sive. To reduce the risk of injury, consider incorporating exercises designed to prevent ACL injuries. Here are a few examples:

Plyometrics. These are quick, powerful bursts that fi rst lengthen, then shorten, a muscle. Jumping off of a box, then jumping up again is a good example.

Balance. Whether you’re prac-ticing a skill while standing on one leg or using a balance board, balance exercises build the mus-cles around the knee.

Single-leg strength and stability. Exercises like jumping on one leg can increase stability.

TWEAKED SOMETHING?

If you have experienced an injury, contact one of our sports medicine physicians at 509-252-9602.

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NOT SLEEPING WELL?

You may have a sleep disorder and not realize it. To learn more, consult your physician or con-tact the Providence Holy Family Sleep Center at 509-482-2116.

ONE OF THE BEST WAYS TO PREVENT SWIMMER’S EAR IS TO KEEP YOUR EARS DRY. CONSIDER USING A BATHING CAP OR WETSUIT HOOD WHEN YOU SWIM. YOU CAN ALSO TRY SPECIAL EARPLUGS. AND ALWAYS DRY YOUR EARS WITH A TOWEL AFTER HITTING THE POOL.

30 minutesThat’s how long of a nap might be needed to reverse the hormonal damage caused by a poor night’s sleep, according to a study published in the Journal of Clinical Endocrinology & Metabolism. Without quality sleep, you may be at a higher risk for obesity, high blood pressure and diabetes. Consider your power nap a half-hour well spent.

A YOGA PRIMER WHAT CAN YOU EXPECT FROM

YOUR FIRST YOGA CLASS?

First, know there are a variety of

approaches to yoga—from gentle

fl ow to more vigorous power yoga.

But most classes include exercises

to lengthen your spine, improve

posture, strengthen legs and enhance

balance. And most end in “corpse”

pose, an opportunity to lie still,

meditate and savor a few minutes

of peaceful recovery for your body.

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KProvidence Health Care is committed to providing care that is true to our Mission and our core strat-egy of building healthier communities where care is affordable, accessible and high quality.

Just a year ago, Providence Medical Park opened in Spokane Valley. This unique, multidisciplinary outpatient facility offers patients a variety of health care services in one location and represents the future in health care delivery systems. Having urgent care, primary care and specialty physicians in one spot alongside pharmacy, laboratory and imaging

services (such as X-ray, CT and MRI) allows us to maximize convenience for patients and ultimately help to reduce the cost of health care.

Earlier this year, the ambulatory (or outpatient) surgery center opened at Providence Medical Park, filling a void in this community and providing much-needed access to lower-cost outpatient surgery services for residents. The new ambulatory surgery center is an essential part of our plan to transform the health care system by providing quality medical services in the most cost-effective way.

Providence Medical Park Celebrates 1 Year

NEED URGENT CARE?

There are three conveniently located Providence Urgent Care Centers in Spokane, open every day from 8 a.m. to 8 p.m.

Visible from Interstate 90, Providence Medical Park is easy to find, with plenty of convenient, free parking.

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TRY IT TODAY

For more information, visit healthexpress.com or download the mobile Health eXpress app from the App Store for iPhone or Google Play for Android devices.

Is Your Heart at Risk?Heart disease is the leading cause of death of Americans. The good news is that it can often be prevented. We’re here to help. Take your free heart risk assessment at providence.org/MyRiskMyHealth.

INTRODUCING VIDEO CONSULTATIONSHealth care is now as close as your smartphone,

tablet or computer with Providence Health eXpress.

This technology provides on-demand, secure video

consultations for common medical conditions such

as colds, sore throats, ear infections or rashes. A

Providence doctor or nurse practitioner can review

your medical history, answer questions, diagnose

and treat your condition, and even prescribe

medication—with virtually no waiting!

Health eXpress is the next step in Providence’s

effort to expand the availability of care. “This

improves access for our patients, putting them

in touch with a provider in a way that is fast, easy

and less expensive—and in many cases preventing

more serious illnesses and the need for more

extensive health care services,” says Elaine Couture,

Providence Health Care’s regional chief executive.

Providence Health eXpress visits are $39 and

available to most people, with or without insur-

ance. Some health plans cover telehealth visits as

a reimbursable expense. People without health

insurance or those with a health plan that does

not cover telehealth visits may also use Provi-

dence Health eXpress and pay for a visit with

a credit or debit card. Check with your health

insurance provider to see whether Providence

Health eXpress visits are a covered benefit or

reimbursable expense.

10 HEART BEAT SUMMER 2015

Growing Up, Growing OlderPatients with cystic fibrosis are enjoying longer lives— and more advanced treatments—than ever before

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hair. We also may inherit medical conditions. One of them is a life-threatening, not-yet-curable disease known as cystic fibrosis.

Sixty years ago, children with CF often didn’t live past elementary-school age. Now, thanks to medical advances, many more people with this disease are enjoying vibrant and productive adult lives. Helping them thrive is Providence Pediatric Pulmonology and Cystic Fibrosis Clinic, with its team of specialists working together, equipped with the newest CF screening methods and treatment.

“It’s exciting that, with proper treatment, many adults with CF can train for a career and have children,” says Michael McCarthy, M.D., a pediatric pulmonologist at the Providence clinic, part of Providence Medical Group. “But even if they’re otherwise healthy, they can have frequent respiratory illnesses, such as bronchitis and pneumonia, and digestive prob-lems. Some face liver problems.”

CAUSES AND EFFECTS OF CFCF is caused by copies of a defec-tive gene that are passed down by both parents, and symptoms can appear as early as infancy. The disease hits all cells, especially those in the lungs and pancreas, resulting in too little salt and water

A way to cure the underlying cause of cystic fibrosis is on the horizon, according to Michael McCarthy, M.D.

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By Claire Sykes

THE OLDEST CF PATIENT AT PROVIDENCE PULMONARY

CLINIC IS 62

CYSTIC FIBROSIS BY THE NUMBERS

30,000Number of children and adults in the U.S. with CF

170

Number of CF patients Providence Pediatric

Pulmonology and Cystic Fibrosis Clinic sees regularly

1,000 U.S. PATIENTS ARE DIAGNOSED ANNUALLY

4 MONTHS IS THE AVERAGE AGE OF CF DIAGNOSIS

18AVERAGE LIFE EXPECTANCY

IN 1980

40.5AVERAGE LIFE EXPECTANCY

TODAY

improves the outcome for patients with CF,” Dr. McCarthy says.

LEADING-EDGE THERAPIESAntibiotics have been used for more than 50 years in CF treatment, but the newest ones do a better job of clearing infected mucus secretion from the airways. Other medica-tions thin out mucus, helping to prevent inflammation in the lungs. With home treatment, CF patients breathe in a mist of various medi-cations. And for 20 minutes two times a day, they can slip on an inflatable vest that vibrates against the chest to loosen the mucus.

While these methods tackle symptoms, researchers have been working to attack the underlying cause of CF. The most recent drug, ivacaftor, “makes a dramatic differ-ence for about 5 percent of patients with a particular drug mutation,” Dr. McCarthy says. “Similar drugs are on the horizon for patients with more common mutations.”

Also exciting is research in gene therapy, which changes the defec-tive gene inside the cell. “It’ll actu-ally cure people of the disease,” Dr. McCarthy notes. “It’s not avail-able yet, but I’m confident it will be. We’re looking forward to rapid advancements in CF therapies.”

Though new therapies are in development, Dr. McCarthy encourages those with CF to con-tinue their current treatments. “It’s important for our patients to remain as healthy as possible from the tools we have now,” he says, “so new treatments will be even more effective for them.”

on the outside of the cells. In the lungs, the normally thin layer of mucus thickens, clogging airways and trapping bacteria. This leads to a stubborn cough, wheezing and shortness of breath, as well as infections and possible severe lung damage. Mucus buildup in the pancreas keeps digestive enzymes from being released, so the body can’t break down food and absorb nutrients effectively.

EXPERTS AT THE READY“At Providence, we’re working hand in hand with physicians of various expertise for children and adults, as well as experienced dietitians, respiratory therapists, nursing staff, pharmacists and social workers,” Dr. McCarthy says. “We’re instrumental and generous in providing the best model of care for all of our patients with CF.”

That care begins with neonatal screening, a blood test made avail-able years ago that is now required for all babies born in the U.S. “If it shows a particular chemical released from the pancreas in abnormal amounts, that gives us a hint that CF is likely,” Dr. McCarthy says.

Babies with a positive result or CF symptoms undergo what’s called a sweat test, a painless procedure that measures salt in the sweat. High levels signal CF. Depending on cir-cumstances, genetic screening via a blood test may be done instead.

“The earlier the diagnosis, the sooner we can intervene to restrain the lung condition, and the better the prognosis. And now, a variety of new therapies dramatically

QUESTIONS ABOUT CF?For more information about CF, contact the Providence Pediatric Pulmonology and Cystic Fibrosis Clinic at 509-474-6960 or visit providence.org/CFSpokane.

12 HEART BEAT SUMMER 2015

CARDIAC REPORT

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narrowing of the aortic valve open-ing. Affecting mostly older people in their 70s and 80s, AS restricts blood flow in the valve and causes symptoms such as breathlessness, chest pain and heart pounding.

Without valve replacement, about 50 percent of AS patients die within two years. Because conventional open heart valve replacement would be too risky for some patients, until recently they had no surgical option to address the condition.

But five years ago, TAVR became available for higher risk patients in the U.S. and at Providence Spokane Heart Institute, initially through participation in an FDA research trial. Like all minimally invasive procedures, TAVR requires only a very small incision. Surgeons insert a catheter-held, animal-tissue valve through the groin or chest into the

perform some of the most complex procedures. Patients from across the United States come to Sacred Heart Medical Center for this expertise.

NEW OPTIONS FOR HEART PATIENTSAccording to Leland Siwek, M.D., a cardiothoracic surgeon at Providence Northwest Heart & Lung Surgical Associates, Sacred Heart Medical Center, many heart problems requiring surgery can be addressed with minimally inva-sive options. In fact, people who undergo transcatheter aortic valve replacement (TAVR) may be able to avoid heart surgery altogether.

TALKING TAVROne of the most common mini-mally invasive procedures, TAVR treats aortic stenosis (AS), a

When it comes to heart health, Providence Spokane Heart Institute stands as

a leader, with one of the largest and most experienced teams of surgeons and cardiologists in the region. They rely on the latest equipment and techniques to perform every pos-sible cardiac surgery. As more and more procedures shift from con-ventional techniques to minimally invasive approaches, sometimes only the tiniest cuts are required.

While most patients still require conventional surgery to perform complex or multiple procedures on the heart, minimally invasive heart surgery currently accounts for over 20 percent of all heart surgery at Providence Sacred Heart Medical Center. The facility is the only medi-cal center in the inland Northwest to

Getting to the Heart of ItMinimally invasive surgery can heal your heart with fewer complications

large artery and thread it up to the heart. Then they gently push the damaged valve aside and implant the new one—all without opening the chest or stopping the heart.

Dr. Siwek, along with cardiovas-cular surgeons Brandon Reynolds, M.D., and Matthew Forrester, M.D., and interventional cardiologists Michael Ring, M.D., Braden Batkoff, M.D., and Steven Thew, M.D., with support from the Providence Spokane Heart Institute surgical team, have performed over 250 TAVR procedures.

ANOTHER HEART ADVANCEMENTIncreasingly, surgeons are turning to robots to do jobs that only con-ventional open heart surgery did in the past: repair the mitral valve, close up holes and remove tumors. Robots also help perform coronary bypass grafting without stopping the heart. Over 1,000 robotic open heart procedures have been per-formed at Sacred Heart over the past 12 years.

With robotic surgery, small inci-sions are made in the chest. These serve as entryways for the robot’s instruments, including a camera. One surgeon stands by the patient while another sits at a computer con-sole, which gives a close-up, three-dimensional view of the inside of the heart. Here, the surgeon can control the robot’s instruments, reaching and turning nimbly in ways that no human hands can. Sometimes, the

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By Claire Sykes

Patients have less pain, quicker recovery and smaller scars after minimally invasive heart surgery than after more invasive pro-cedures. “Knowing how these patients would struggle through open heart surgery and then see-ing them bounce back so quickly is very gratifying,” Dr. Siwek adds.

The next two developments on the horizon are TAVR for patients before they get very sick and trans-catheter mitral valve replacement (not just repair).

Meanwhile, as technology for minimally invasive surgery marches forward, Providence Spokane Heart Institute promises to keep doing what it does best: improving and extending the quality of life for its patients.

EDUCATED DECISIONS

Procedures Side-by-SideThe experts with the Providence Spokane Heart Institute Minimally Invasive Heart Surgery program can help you decide whether a minimally invasive procedure is right for you.

TRADITIONAL SURGERY

MINIMALLY INVASIVE SURGERY

Anesthesia General General

Average length of procedure

5–6 hours 2–5 hours

Entry incision siteIn chest through

breastboneIn leg or between ribs

Incision length 8–10 inches 1–2 inches

Chest trauma Higher Lower or none

Average hospital stay

5 days 3 days

Recovery time 2–3 months Days to weeks

robot joins catheter-based and other minimally invasive techniques in Providence Spokane Heart Institute’s advanced hybrid operating suites.

“With minimally invasive sur-gery, many patients are receiving lifesaving treatment they otherwise couldn’t get,” Dr. Siwek says. “And robotic surgery can be as effective or better than many conventional open heart procedures.”

Heartfelt HistoryIn 1959, Ralph Berg, M.D., performed Spokane’s first open heart surgery at Sacred Heart. Less than 50 years later, Providence Sacred Heart Medical Center introduced the first comprehensive cardiac robotic surgery program in the west-ern U.S. Now Providence Spokane Heart Institute leads the region in advanced cardiovascular procedures, including a range of minimally invasive surgical techniques. PSHI is on the Sacred Heart Medical Center campus. To learn more about PSHI and the Minimally Invasive Heart Surgery program, contact the TAVR-structural heart replacement coordinator at 509-340-3227, or visit provhealth.org/heartcare.

14 HEART BEAT SUMMER 2015

WHILE 7-YEAR-OLD ALISON RODRIGUEZ WAS TREATED FOR CANCER, SOCIAL

WORKERS MET HER SPANISH-SPEAKING

MOTHER WITH COMPASSION

AND CONCERN

STORY BY DANITA PETEK

PHOTOS BY GARY MATOSO

BRIDGING THE LANGUAGE DIVIDE

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Top right: After nine months of chemotherapy and one surgery, Alison Rodriguez is in recovery from osteosarcoma, a cancerous tumor in the bone. Bottom right: Alison and her brother, Ethan, at the Ronald McDonald House, where the Rodriguez family stayed during Alison’s treatment.

16 HEART BEAT SUMMER 2015

“YOUR CHILD HAS CANCER.” Those words are some of the most frightening a parent can hear. But imagine the added strain when the parent does not speak the language of the hospital staff.

This was exactly what happened to Liz Rodriguez in November 2014. Liz’s daughter, Alison, a seemingly healthy 7-year-old, had pain and a lump in her leg. When the physician in their hometown of Pasco, Wash., referred them to Sacred Heart Children’s Hospital, Liz, who speaks Spanish only, was afraid. How would they be treated? How would they find their way in a huge hospital?

The 2½-hour drive to Spokane was punctuated with anxiety. “My hus-band was working, and I was scared driving in the city,” explains Liz through an interpreter. “On the way, I worried the staff would not have patience with me. It was unpleasant not knowing if I would be treated poorly because I was not in my own social group. But I had no choice.”

LIFE TURNED UPSIDE DOWNAlison’s diagnosis was osteosar-coma, a cancerous tumor in the bone most common in children and young adults. She would need nine months of chemotherapy. Understandably, Liz was afraid. She didn’t know how she was going to help Alison during her treatment. “I wouldn’t know what to do if she fainted or had a reaction to the med-ication,” she says. And Liz could not explain her fears to Alison’s caregivers, because only a few peo-ple at the hospital spoke Spanish.

Feeling isolated and alone, Liz did not leave Alison’s room for the first few days. Then she met Lindsay Daehlin, a pediatric social worker who speaks Spanish. Daehlin was the first person Liz felt she could really talk with.

Daehlin coaxed Liz out of Alison’s room. “I loved to talk with her and she helped me know it was OK to walk around,” Liz says. Soon, Liz became acquainted with other Spanish-speaking families who were at the hospital occasionally.

Daehlin helped arrange for Liz, Alison and Ethan, Alison’s 5-year-old brother, to stay at the Ronald McDonald House so that Alison could be close to Sacred Heart for her chemotherapy treatments and frequent lab draws between hospital stays. Eventually, Alison’s father, Leo, was able to take a leave from his job as a machine maintenance manager at a food processing plant to join his family, thanks to the generosity of his co-workers and Providence Health Care Foundation.

OVERCOMING THE CULTURAL GAPBeyond medical translation, non-English speaking patients and their family members crave conversation about day-to-day things. Daehlin and her co-worker Maggie Rowe have developed strong bonds with the families they help in this way. “We are their window to the world,” Rowe says. One patient affectionately calls her hija, or “daughter” in Spanish.

Rowe helps non-English speaking families every day. “On numerous

Easing WorriesThe Rodriguez family’s story is not

uncommon. Many families struggle

with the emotional and financial

realities of unplanned medical care.

That’s why Providence Health Care

Foundation-Eastern Washington

has funds earmarked for emergency

needs. In 2014, the foundation pro-

vided nearly $70,000 in financial assis-

tance to pediatric patients and families:

Gas gift cards: $14,000

Hotel accommodations: $27,700

Grocery gift cards: $5,975

Utilities assistance: $20,975

HELP A FAMILY IN NEEDEvery gift makes a difference. Please donate to the Children’s Samaritan Fund at phc.org/giving or by calling 509-474-4917.

Lindsay Daehlin, a pediatric social worker who speaks Spanish, helped Liz Rodriguez feel more comfortable.

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occasions I have seen parents who do not speak English treated as though they have low intelligence or a reduced ability to understand the prescribed medical plan. In many cases, I believe the plan hasn’t been communicated in a culturally sen-sitive way,” she says. “Who really can remember complex medical instructions without a written reminder to follow at home? Plus, these families don’t have a lifeline to call if they get confused.”

There are many nuances that make it challenging to get personal information from families. It’s important to know whom to address and how to ask sensitive questions. In some cultures, it is proper for people to pretend they understand, even if they don’t. In situations where a patient fears prescribed medication or treatments but is unable or unwilling to express con-cerns, the individual may appear to be ignoring medical staff.

Rowe explains why practicing cultural humility is so important. “Approaching situations from a humble perspective helps us under-stand that we need to come with our minds and hearts ready to learn. We can ask the patient’s family about their culture openly. It is our duty to meet our Providence motto: ‘Know me, care for me, ease my way.’ I believe that it is perfectly fine to ask someone about their culture authentically within this framework. We can get past our own anxiety by asking more detailed questions and communicating on a deeper level with the people we serve—language barrier or not.”

PROGRESS FOR ALISON—AND LIZ, TOOBy March 2015, Alison’s tumor had shrunk enough for the next treat-ment: surgical removal and replace-ment of the affected bone. Leo was concerned about the material they were going to use to replace bone in Alison’s leg. Although he’s able to converse in English, he relied on a

translator to help explain technical medical terms to Liz and Alison.

“I believe everything happens for a reason,” Liz says. “Maybe God has a plan. In the beginning I didn’t even know how to ask for a glass of water. Now this is my school—the nurses are helping me learn words in English. The staff has also learned some Spanish. On my birth-day, they all wished me ¡feliz cum-pleaños!,” she adds with a smile.

The family hopes the treatment will mark the end of Alison’s ill-ness. Liz likens it to a nine-month pregnancy. “Alison will be reborn healthy,” she says.

Interpretation ServicesSacred Heart Children’s Hospital has interpretation services available daily and in-

person visits for sensitive conversations, as well as mobile MARTTI (My Accessible

Real-Time Trusted Interpreter) carts that connect patients and families to a transla-

tor via a video feed anytime, day or night. The interpretation system is similar to

Skype. The “face,” about the size of a standard computer screen, is used in clinical

spaces to provide real-time interpretation in a variety of languages. The caregiver

simply dials in to MARTTI and requests an interpreter, who then translates the

information while the patient watches and listens.

In a way, Liz has experienced her own rebirth. Since that first drive from Pasco to Spokane, she has overcome many fears. Now, she’s less anxious being surrounded by people who don’t speak Spanish.

“The hospital staff has done a wonderful job of helping me over-come the pain of my daughter’s ill-ness,” she says. “They understand how painful it is to have your child diagnosed with cancer and not be able to do anything about it. It doesn’t matter that I came from a different culture. There has never been any discrimination—just very nice, professional people.”

Communicating with non-English speaking families involves a nuanced under-standing of intercultural communication, according to pediatric social worker Maggie Rowe.

18 HEART BEAT SUMMER 2015

After Lisa sustained an ankle injury on the job, she got a helping hand from the Occupational Medicine Program at Providence.

STORY BY STEPHANIE CONNER PHOTOS BY GARY MATOSO

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Providence Occupational

Medicine helps people heal

and return to their careers

WORKINGIt was a Friday afternoon in October, and Lisa had just finished a visit at a client’s

home. Lisa, who lives in Spokane and is a case manager for a health care orga-nization, was headed out the door as she turned to share a few more words with her client.

“I continued to walk backward and didn’t realize there was a 5-inch step,” Lisa says. “I stepped off backward and rolled my right ankle.”

Losing her balance, Lisa fell to the sidewalk.

“We ended up calling the fire depart-ment, and they came and put a stabilizer on my leg,” she recalls. “We didn’t know if it was broken, and my ankle swelled up like a baseball.”

Lisa spent the evening in the emer-gency department at Providence Sacred Heart Medical Center.

“I found out I’d sprained it,” she says, adding that it was a third-degree sprain. “Then, I learned I needed to talk to my primary care doctor because I had sus-tained the injury on the job.”

Also, she was required to complete paperwork for the Washington State Department of Labor & Industries (L&I),

WONDERS

20 HEART BEAT SUMMER 2015

The next day, Lisa had her fi rst appointment at Providence Occupa-tional Medicine – 5th and Division.

“That began a long and really great relationship,” she says. “I never had problems with any of the paperwork, and I never had prob-lems with getting appointments.”

PROGRAM OFFERINGSOccupational medicine deals with the treatment and preven-tion of job-related illnesses and injuries—from managing work-ers’ compensation claims to pre-employment screenings, explains John Smith, director of Providence Occupational Medicine, which opened last July. The program off ers the following services: Substance testingHearing conservation Vision screening

Fit-for-duty/pre-employment assessments Department of Transportation certifi cation Physical therapy, massage and occupational therapy for injured workersOn-site radiology and laboratory services

There’s a key diff erence between Providence’s Occupational Medicine Program and the way this care is traditionally provided, notes Tom Martin, program integration man-ager for Providence Health Care. “If you’re an injured worker in the tra-ditional model, you would go to your primary care provider, or you would go to the ER or urgent care, where you’d be triaged and sent on to a doctor who’d manage your care,” he says. “Then, that doctor might send

which manages workers’ compensa-tion claims and pays benefi ts.

Lisa was nervous about her injury and about navigating the L&I process—until she learned about the Occupational Medicine Program at Providence.

HELP AT JUST THE RIGHT TIMEOn the Monday after the accident, Lisa discovered she wouldn’t be able to see her primary care doctor for several days. She was instructed to go to an urgent care center but struggled to fi nd one that handled L&I claims.

“Then, I got a call from Providence Occupational Medicine,” she says. The caller explained that the program could provide medical care and help with paperwork. “It was perfect timing,” she says.

Stephanie Stoke, M.D., notes that her providers help with the administrative aspects of returning to work, including paperwork, phone calls to employers and claims manager communication.

“OUR GOAL IS TO GET EVERY INJURED WORKER BACK TO WORK SO THEY CAN REMAIN EMPLOYED AND INSURED.”

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you to a separate imaging center, a separate specialist, and a separate physical therapy facility.”

In this scenario, Martin explains, a patient uses more resources (which can mean more time in recovery and more dollars) and lacks the benefit of care coordination.

“In our model, we have all the services under one medical network, united by a common electronic medical record, where all the doctors are communicating in real time,” he adds. That benefits both the patient and the employer. “Partnering with primary care physicians and specialists to better manage the specific nuances of a claim allows for improved patient and employer satisfaction and a timely return to work. It is the medical home model for the injured worker population.”

Stephanie Stoke, M.D., a Providence physician who is board-certified in occupational and envi-ronmental medicine, adds that her team of providers refers patients back to their primary care physi-cians for medical conditions not related to the workplace injury. And they work hand-in-hand with Providence’s orthopedic surgeons and other specialists to provide concurrent care when necessary.

“The surgeons do what they do best—surgery—and my providers handle all other aspects of return to work: paperwork, phone calls to employers, claims manager com-munication, etc.,” Dr. Stoke says. “Our goal is to get every injured worker back to work so they can remain employed and insured.”

Providence’s Occupational Medicine staff includes physicians, nurse practitioners, physician assis-tants and medical assistants. In addition to the downtown location, there’s a second site on Hawthorne Road. A third one is slated to open at Providence Medical Park in

August to make getting care even more convenient.

“We want injured workers and employers to know that at Providence, we’ve got you covered,” Martin says. “We’ll make sure the patient’s care is coordinated, and we’ll advocate for them to expedite a timely return to work. We will also make sure that the needs of the employers are addressed throughout the process. It is a team approach in creating a healthier workforce.”

SIMPLIFYING RED TAPEFor Lisa, getting help with the L&I paperwork was a tremendous advantage of the program.

“Working with any kind of gov-ernment agency, you want to make sure the paperwork is done right the first time,” she says. “You want to make sure you’re going to have your claim accepted.”

At Providence, Lisa found experts who helped her with the paperwork from the beginning, verified how many days she had for therapy and helped her get the additional ther-apy days she needed, too.

“They always had the paperwork ready so my human resources super-visor could have it. I never received any phone calls from work about it,” Lisa says. “Providence made it easy.”

It also helped keep her attention on recovering. “The paperwork headache wasn’t something I had to focus on,” she says. “So I could focus on getting healthier, my job and my family.”

HER PATH TO RECOVERYLisa went to physical therapy three times a week. She received integrated care by utilizing on-site physical and massage therapies, ice, and electrical stimulation provided by the therapists at St. Luke’s Rehabilitation Institute.

“All of the therapists communi-cated with one another,” she says. “That collaboration really helped. I felt I was getting the best expertise.”

Lisa returned to work within a week, though she relied on others for transportation for 3½ weeks before she could resume driving. She started on crutches and progressed to a brace and a boot.

Lisa was given a realistic time frame from the beginning, which was helpful, she says. The staff’s positive attitudes were encouraging as well. Lisa was released from the Occupational Medicine Program in January. Since then, she says she’s resumed her normal activity.

“I’ve gone walking. I’ve gone hiking,” she says. “I’ve even worn heels!”

WORK SMART

Top Five Causes of Injury at Work1. Overexertion (includes

injuries related to lifting, pushing, pulling, holding, carrying or throwing)

2. Falls on same level3. Struck by object or equipment4. Falls to lower level5. Other exertions or bodily

reactions (includes bending, crawling, reaching, twisting, climbing, stepping, kneeling, sitting, standing or walking)

FIND A FACILITY Look up the Providence Occupational Medicine facility that’s closest to you by visiting providence.org/spokane

occupationalmedicine.

22 HEART BEAT SUMMER 2015

HEALTHYCAREERS

HEALTH CARE IS A DIVERSE INDUSTRY

WITH GREAT OPPORTUNITY TO

MAKE A DIFFERENCE

Think about why you do what you do for a living. Is it because it’s enjoyable?

Does your job challenge you? Does your fi eld off er opportunities for

growth and job security? Are you making a diff erence?

Health care workers cite these rea-sons (and more!) for their career choices.

The industry is growing rapidly. Health care is projected to add the most number of jobs of any industry between 2012 and 2022, accord-ing to the U.S. Bureau of Labor Statistics. This is in large part due to the aging baby boomers.

Health care is also an industry that off ers a wide variety of jobs. While many people think of doctors and nurses when it comes to health care careers, there are myriad other options, such as medical technicians, hospital billing special-ists, physical therapists, pharmacists, dietitians, epidemiologists, home health aides, informa-tion technologists, respiratory therapists, social workers, marketers, administrators and more.

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STORY BY SHELLEY FLANNERYPHOTOS BY GARY MATOSO

Eric Cotterell switched his academic path toward nursing so he could work directly with individuals on their care.

24 HEART BEAT SUMMER 2015

With so many roles, health care is an industry in which every person-ality and skill level can find a niche. Some people want to work directly with patients; others choose to work behind the scenes. But they all have one thing in common: Every position directly affects patients’ lives every single day.

Providence Health Care is contributing to the growth of the health care field by partnering with universities in the region to provide internships and other sup-port for educational programs to train health care workers.

We interviewed two local stu-dents preparing for careers in health care to give you an idea of the wide range of professions that affect patient health and safety.

ERIC COTTERELLNURSING STUDENTGONZAGA UNIVERSITYHave you always wanted to

work in health care?

Eric: Yes. A lot of my family mem-bers, especially on my father’s side, are in health care. I grew up around that and I enjoyed it. I’ve always had a natural ability for the sciences.

When I was younger, I thought I’d be a physician like my dad. My sister went to medical school, too. And when I started at Gonzaga, I was pre-med.

Why did you decide against

going to medical school?

Eric: I just decided it wasn’t some-thing I wanted to move forward with. I took a couple of classes that led me to the nursing program. With nursing, I like the people aspect—you get more [time] work-ing directly with individuals on their care. I wanted to be working with the patient more. If you think about it, when you’re in the hos-pital, who do you really see most often? The nurse.

What academic path have you

chosen to become a nurse?

Eric: The program I’m in at Gon-zaga is a four-year undergraduate degree. At the end, I’ll have a BSN [Bachelor of Science in Nursing]. After I graduate, I’ll have to take the board exams. Then once I pass, I’ll become a registered nurse and have all the requirements I need to get a job and start working.

What area of nursing

interests you?

Eric: I’m not sure yet. I kind of like a fast-paced environment, so maybe ER or ICU [intensive care unit]. I was able to do an OR [operating room] rotation. Being a surgical nurse would be cool, or a nurse anesthetist.

It’s hard to pick, because they can’t put you in everything as far as rotations go. Last semester we did an OB rotation. This semester is psychiatric and [medical-surgical]. When I did my [pediatric] rotation, my initial thought was that I didn’t necessarily want to go into that. But I ended up enjoying it. There are a lot of opportunities in nursing.

What are your long-term goals?

Eric: Eventually, I’d like to go back for my master’s and be a nurse practitioner.

47%14 of the 30 jobs with the highest projected growth in the coming

decade are in health care.

What attracts you to the

nurse practitioner role?

Eric: It’s pretty much the highest you can go in nursing. You get a little bit more freedom and have a lot more training. NPs can pre-scribe medication, and you have more responsibility. You can have family practice, or you can special-ize in something like nephrology. You can do a lot of things with it.

What was your experience

at Providence like?

Eric: I like Sacred Heart a lot. I was only there for a short time, but it was clean and well-kept. It seemed like whoever is the leader, they really take their job seriously for making the place as comfortable as possible for patients and staff.

ALYSSA GEDDISMED-TECH STUDENTPROVIDENCE SACRED HEART SCHOOL OF MEDICAL TECHNOLOGYHave you always wanted

to work in health care?

Alyssa: I’ve always wanted to help people. Before I went to college, I knew I wanted to work with cancer. I looked at all the different tracks, ranging from being a pathologist to a doctor, but I decided I didn’t want to have direct patient contact. When I went to college, I got into lab work.

I like the independence of lab work. You get to be alone but work in a group at the same time. It’s very fulfilling. It’s nice to know that you need to do your best work because it immediately affects your patients. It’s a fascinating field.

What are the responsibilities

of a medical technologist?

Alyssa: I didn’t really know the full extent until I got into the pro-gram. I knew they looked at patient samples—like blood and urine—for

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abnormalities, but it’s so much more than that. Medical technolo-gists analyze diff erent body fl uids through complex testing to exam-ine content such as cell count, elec-trolyte or drug levels, the presence of microorganisms and much more. For example, a technician can tell if there are potentially cancerous cells in the blood or if a patient’s diabe-tes isn’t well managed. The testing is complex and takes time. It defi -nitely is not as simple or fast as the television shows make it out to be.

Medical technologists can work in the hospital or at a clinic, doc-tor’s offi ce or blood bank. You can be a generalist or specialize in one particular area that interests you. You can also work for [medical] instrument manufacturing compa-nies, helping develop instruments

and communicating between the lab world and manufacturing world.

What do you hope to

do after graduation?

Alyssa: I hope to get a job! It’d be nice to be a generalist at a hospital or a clinic.

What are your long-term goals?

Alyssa: I’d like to be a lab supervi-sor. I might go back at some point and get my Ph.D. to become a lab director.

Are you pleased with the

laboratory science program

at Providence Sacred Heart

School of Medical Technology?

Alyssa: Very much so. I’m extremely glad I did it. The teachers are extraor-dinary. If you don’t know what you’re

doing, they direct you to a place where you’re confi dent and comfort-able. I’m really happy I got in.

Sacred Heart is just such a great place. Everyone is always really helpful and really nice. The lab workers are all so dedicated to doing a great job for their patients. I love it here, and I’d recommend the pro-gram to anyone.

INTERESTED IN BEING A MED-TECH?The Providence Sacred Heart School of Medical Technology prides itself on producing well-qualifi ed gradu-ates who are competent to enter the laboratory profession and highly recruited throughout the region. To learn more, visit providence.org/

medtechprogram.

As a medical technologist, Alyssa Geddis will analyze body fl uids through complex testing.

26 HEART BEAT SUMMER 2015

COMMUNITY

help. Having the opportunity to talk candidly about substance use in a time of crisis helped Chris begin a journey toward a life without drugs.

Thomas had been in and out of treatment for meth and marijuana substance abuse for two years. He frequently ran from treatment and relapsed when overwhelmed with the urge to use drugs. When Thomas came to Sacred Heart Emergency Department for an

In the heat of an argument, Chris threatened to kill himself. His father took the threat seriously and brought

Chris to the emergency depart-ment of Sacred Heart Children’s Hospital. There, Chris tested posi-tive for cocaine and amphetamines. Because of a unique program devel-oped by Daybreak Youth Services in Spokane, Chris’ doctor was able to reach a counselor who stepped in to

injury related to his meth use, the charge nurse made a call to Daybreak’s program. As a result, Thomas has been receiving ongo-ing case management and support for three months. He talks about his barriers to treatment, his fears surrounding homelessness, and the sadness he experiences. But he also talks about his hope for change.

Chris and Thomas are among the more than 100 Spokane area youths ages 10 to 17 who have benefited from the Rapid Response Program offered by Daybreak Youth Services. Its drug and alcohol assessment services are available 24 hours a day, 365 days a year, and are often the first step on a path to freedom from alcohol and chemical dependency.

It’s just one of 71 unique com-munity programs that Providence Health Care supports to improve the health of the communities it serves. It represents one of the many ways Providence reaches out beyond the walls of its care settings to touch lives when relief, comfort and care are needed.

Each year, Providence Health Care directs its community benefit contributions to treat our patients and their families, connect families with preventive care, fill gaps in community services and offer hope in difficult times.

In 2014, Providence’s commu-nity benefit in eastern Washington totaled more than $109 million.

Reaching Beyond Hospital WallsThe 2014 Community Benefit Report describes how Providence provides care where it is needed most

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Providence Health Care’s 2014 Community Benefit Funds

In eastern Washington, Providence Health Care community

benefi t includes services and fi nancial support provided

by Sacred Heart Medical Center & Children’s Hospital, Holy

Family Hospital, Mount Carmel Hospital, St. Joseph’s Hospital,

Providence Medical Group, DominiCare, Emilie Court Assisted

Living, St. Joseph Care Center & Transitional Care Unit, VNA

Home Health, and Inland Northwest Health Services (INHS).

Community benefi t does not include expenses such as salaries,

new construction, facility improvements, investments in

advanced technology, bad debt or taxes that Providence Health

Care pays in the course of normal operations.

DOWNLOAD THE REPORT

For more about how Providence Health Care supports the com-munity, go to phc.org and click “Community Support” and then “Community Benefi t Report.”

244,011Pounds of additional food made

available to families in need by the Hunger Coalition of

Stevens County as the result of collaboration with Providence.

$109 MILLION

In 2014, Providence Health Care in eastern Washington contributed more than $109 million toward community benefi t.

$68.4 MILLION

Unfunded portion of

government-sponsored

medical care: Diff erence between the cost of care and what is paid by state and fed-eral government—does not include Medicare.

$1.7 MILLION

Community health,

grants, donations: Free services such as patient education, health screenings, immunizations and support groups, as well as donations to community partners.

$22 MILLION

Free and discounted

medical care for

patients in need: Financial assistance for those who are uninsured, underin-sured or otherwise unable to pay for their health care.

$10.6 MILLION

Education and research: Subsidies for medical residency programs, nursing and other education and medical research.

$6.2 MILLION

Subsidized services: Clinical and social services provided to meet a community need that is not being met by other resources.

28 HEART BEAT SUMMER 2015

FOUNDATION

WHAT YOUR SUPPORT HAS ACCOMPLISHED

For a look at how philanthropic dona-tions make a difference at Providence, visit phc.org/giving and click on “Your Gifts in Action.”

Make a DifferenceThe strong tradition of philanthropy in eastern Washington has allowed our facilities to grow

The Sisters of Providence relied on community donations to fund Spo-kane’s first hospital,

back in 1886. Joyce M. Cameron, Providence Health Care Founda-tion’s chief development officer, shares why philanthropic support is still important today and how funds raised by the foundation are used in Spokane and Stevens counties.

THE NEED FOR A FOUNDATIONA fundraising organization remains necessary for the health and suc-cess of Providence’s facilities. “As a not-for-profit health care system, we rely on donors to help support vital projects that are above and beyond capital budgets,” Cameron says.

The foundation funds a wide range of projects, from a half-million-dollar piece of equipment to a wig for a child with cancer. For some families, a serious illness can be financially devastating. “We help families shoulder that burden by assisting

with the basic necessities most of us take for granted,” Cameron says.

WHO DONATES AND WHY“The majority of our individual donors are grateful patients,” Cameron notes. “They, or a loved one, have received exceptional—sometimes lifesaving—care at a Providence hospital and want to give back as a way to say thank you.”

Usually the thank-you takes the form of a financial donation, but there are other ways to make an impact. For example, a new grand-parent might purchase a commemo-rative tile on the baby wall at Sacred Heart or Holy Family. High school students may host a fundraiser to support a classmate battling cancer. Those wanting to leave a legacy can include Providence Health Care Foundation in their estate plans. “There are many ways to help and we are grateful for all gifts, both

large and small,” Cameron says.Corporate donors are a part

of the picture, too. “We have some wonderful partnerships in the cor-porate community,” Cameron says. “These business leaders understand that health care is an economic driver in our region and want to align them-selves with the area’s health care leader. Quality health care also helps them retain and recruit talent.”

WHERE DONATIONS GO“All the money we raise stays right here in our community to support the six Providence hospitals in Spokane and Stevens counties,” Cameron says. In addition, donors can specify exactly where their gifts will be applied. There are more than 250 funds that support different hospitals and areas of focus, from pediatric oncology and cardiac research to bus passes to help needy patients get to treatment. “Whatever your passion, we have a fund that allows you to make a meaningful dif-ference,” Cameron adds.

THE FUNDING PROCESSA grants allocation committee meets monthly to review funding requests and make recommendations for board approval. “We don’t just sit on this money; we are putting it to work by giving away at least as much as we raise every year.”

IN 2014, PROVIDENCE HEALTH CARE FOUNDATION AWARDED 517 GRANTS TOTALING MORE THAN $4.1 MILLION AT OUR SPOKANE-AREA HOSPITALS.

JOYCE M. CAMERON

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MD SPOTLIGHT

Q: What’s the difference between a family medicine physician and an internal medicine physician?A: Family medicine physicians see adults and children, but an internal medicine physician only sees adults, primarily older adults. We also take care of more com-plicated conditions such as heart disease, diabetes or COPD. Specialists usually start with internal medicine, then specialize in the field of their interest. Those that remain in internal medicine generally stay in hospitals. Not many practice outpatient medicine, which is what I do at the clinic in Spokane Valley.

Q: How did you choose internal medicine?A: Originally, I wanted to do pediatric and internal medicine, which is a four-year residency. But there aren’t any four-year residency programs on the West Coast so I chose to focus on internal medicine. I liked the more complicated, detail-oriented aspects of internal medicine, and I enjoyed listening to the stories of my older patients. That’s still the most grati-fying part of my job, hearing life stories and getting to know my patients. That’s really fun.

Q: You’re caring for adults with complicated health issues. What is one of the most common health issues among your patients?A: Obesity and related complications. I talk to my patients about diet and exercise, and making lifestyle changes. If I can get them started on an exercise program, then the goal is to change their lifestyle so they lose weight in the long run. Even not gaining weight between visits is a form of success.

Q: Do your patients see you and a specialist at the same time?A: If they need specialized care they’ll continue seeing their specialist once or twice a year, and I’ll see them in between those times. I actually become their pri-mary care provider. The average age of my patients is 65, which means they’re usually on multiple medications with side effects that can be difficult to manage. It’s helpful for them to have one person who can care for all their health needs.

Q: Where did you go to school?A: I attended medical school at the Uni-versity of Washington and did my under-graduate work at the College of Idaho in Caldwell. I came to Spokane to do a resi-dency at Providence and I’ve worked in the Spokane Valley office for two years.

CARIJEAN QUEEN, M.D., INTERNAL MEDICINE, PROVIDENCE MEDICAL PARK, SPOKANE VALLEY

Good Medicine For internal medicine physician CariJean

Queen, M.D., listening to her patients’ stories is a rewarding aspect of care

SCHEDULE A VISIT

Are you ready to find a physician who really gets to know you and helps you manage your complex health issues? An internist may be a good choice. Visit phc.org and select “Find a Provider” to search for an internist in your area.

30 HEART BEAT SUMMER 2015

CALENDAR

SMOKING CESSATION FOR MOMS-TO-BEHealthier moms, healthier babies. Get help kicking the tobacco habit. Classes are offered at Providence Pharmacotherapy clinics in three locations. To learn more, contact:

PROVIDENCE

MEDICAL PARK

16528 E. Desmet Court, Spokane Valley, WA 99016, 509-944-8985

PROVIDENCE SACRED

HEART MEDICAL CENTER

101 W. Eighth Ave., Spokane, WA 99204, 509-474-2232

PROVIDENCE HOLY

FAMILY HOSPITAL

5633 N. Lidgerwood St., Spokane, WA 99208, 509-482-3057

INHS COMMUNITY WELLNESS CLASSESTo register, go to wellness.inhs.org.

TAKE A PICTURE OF YOUR

BODY COMPOSITION

The InBody machine gives you a complete picture of your body com-position. One-time test is $20, or take advantage of our special: Buy three, get one free!

HOW MANY CALORIES DOES

YOUR BODY USE PER DAY?

Get a metabolism analysis. The

Summer 2015 Classes, Events and Activities

MedGem calorimeter is the per-fect test for anyone trying to lose, maintain or even gain weight.

SUPPORT FOR DIABETES

If you’ve been living with diabetes for a long time or have been diag-nosed recently, attend an INHS diabetes support group led by a certified diabetes educator and talk with others who have diabetes.

PREVENT OR DELAY

PREDIABETES

In this two-part series we’ll give you the understanding you need to help delay or prevent the

progression of prediabetes to Type 2 diabetes. Bring a support person at no charge.

QUIT IT—FOR GOOD

Have you tried to quit smoking many times? Join INHS and Providence Health Care for a free four-week pro-gram designed to help you achieve success in quitting.

BABYSITTING BASICS

This fun, hands-on course is for youths ages 10 to 15. The class will help give them the skills and training they need to be a safe and successful babysitter.

SEE MORE EVENTS

Check out the full calendar of events at phc.org/heartbeat. Hover over “Health Resources,” then choose “Calendar of Events.”

PREPARE FOR BABY

Providence offers education classes for expecting moms and new parents. Select from a range of classes: childbirth, breast-feeding, infant/child CPR and first aid, Mother-Baby Time group and more. To find a complete list of health education classes, go to phc.org, and select Calendar of Events from the Health Resources drop-down menu, or call 509-474-2400.

6 in 10In Washington, 64.2 percent of new moms are successfully breast-feeding at 6 months.

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HEALTH TIP

Savor the FlavorsReap the health benefits of planting an herb garden

24 cupsOne basil plant can produce as much as 15–24 cups of basil in a single season when harvested every three to four weeks, according to the Herb Society of America.

GARDENING EXPERIENCES FOR YOUR LOVED ONEGardening classes and activities are offered by Providence Adult Day Health, which provides adult day care for seniors challenged by disease, injuries or frailty. For more information, call 509-482-2475.

few basics such as basil, oregano, thyme, marjoram, mint, rosemary, parsley, chives and cilantro.

WHERE TO PLANT.Look for a spot that gets about six hours of sunlight per day. And, if possible, plant close to your kitchen. That way it’s easy to dash outside to grab a sprig while you’re preparing dinner.

WHEN TO PLANT.To avoid wilting caused by the midday sun, plan to transplant your herbs early in the morning or late in the afternoon.

HOW TO PLANT.Use high-quality soil, and dig holes about 18 inches apart. (Each hole should be about twice the width of a plant’s root ball.) Consider putting taller herbs toward the back of your bed and shorter ones in the front. And if you’re not yet an expert on recognizing the leaves and scents, be sure to label your herbs.

Of course, don’t forget to water your herbs regularly. To get the most out of your herbs, harvest them a little at a time throughout the season.

Sure, you could pick up fresh herbs at the market (or use

dried herbs) to season your culinary creations. But picking herbs from your own backyard is much more satisfying—not to mention the wide array of health benefits that come with minding your own herb garden.

For starters, gardening is a won-derful reason to get outdoors and benefit from some sunlight—a natu-ral mood enhancer. And gardening is a nice, gentle exercise, burning 200 to 400 calories per hour.

Plus, consider this upside: Using fresh herbs in your meals instead of butter or other fats can give you a flavor boost without the extra calo-ries. And since you’re the gardener, you can rest easy knowing exactly how the herbs are grown, whether pesticides were used and when the herbs were harvested.

No horticulture experience is necessary; herbs are great for beginning gardeners. Here’s how to get started this summer:

WHAT TO PLANT.Look for bedding plants at your local nursery or hardware store garden center. These are plants that can be transplanted into pots or into the ground. Start with a

ROLE MODEL

Providence Sacred Heart Medical Center & Children’s Hospital101 W 8th AveSpokane, WA 99204

NON-PROFIT ORG

US POSTAGE

PA I DHEART BEAT

OUR MISSION IS TO REVEAL GOD’S LOVE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE. OUR VALUES ARE RESPECT, COMPASSION, JUSTICE, EXCELLENCE AND STEWARDSHIP.

Kelli True, Quality Management Specialist

Angel on EarthKelli True, her husband and their 5-year-

old son were at an RV show on Jan. 24 when

they heard an announcement asking for any

doctors in the building to come to security.

True, a registered nurse and Sacred Heart’s

quality management specialist, rushed to help.

“I walked over to a security guard and he says,

‘You can’t go in there.’ I said, ‘I’m not a doctor,

but I am a nurse.’ He looked at me and said,

‘Well, then get in there!’ ”

Through the doors, a woman was lying on

the floor, unconscious. True checked for a

pulse, but found nothing, and she started CPR.

True continued compressions until para-

medics arrived. Today the woman is doing

amazingly well. “She tells everyone I’m her

angel,” True says. “I say God put me in the

right place at the right time.”

DO YOU KNOW CPR?

Learn the lifesaving technique for infants, children and adults. For a class schedule, visit washington.providence.org/events and select the “Health Education” category or call 509-474-2400.

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In an unexpected setting, quality management specialist Kelli True (also a registered nurse) stepped in to save a life.