providence heart beat magazine | winter, 2019 · 4 heart beat winter 2019 getty images healthy...

HeartBeatPROVIDENCE

QUALITY HEALTH CARE IN THE INLAND NORTHWEST | WINTER 2019

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

STROKE INNOVATIONSSkilled providers use the latest technology to improve outcomes 24/7

THE FUTURE OF HEALTH CAREHow robotic surgery, telehealth and mobile apps are advancing medicine

MIGHTYMIGHTYMobile imaging units make important heart tests more accessible for families across the region

TINY AND

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CONTENTS VOLUME 57, NO. 2

ON THE COVER: 5-year-old Elliott Naftzger was born with a heart condition that needs periodic monitoring, now made easier with mobile imaging. Photo by Gary Matoso.

2 HEART BEAT WINTER 2019

Features6 State of the Heart

Meet a 5-year-old girl benefi ting from a portable imaging machine.

8 Prime TimeTechnology is clearing the way for more e� ective stroke treatment.

10 The Future of MedicineProvidence is changing health care to improve options and lower costs.

Departments4 Healthy Living

Sacred Heart named a “best hospital”; healthy Instant Pot recipe; how to manage screen time.

13 Health TipHere are three ways to keep your health habits from taking a tumble.

14 CommunityA new day-treatment program addresses a gap in mental health care.

16 CalendarSave the dates for these 2019 classes and events.

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We’re Innovating Health Care

THE PROVIDENCE VISION

HEALTH FOR A BETTER WORLDWe continue to pioneer care delivery, working with partners to improve our communities’ health and well-being.

READ ON YOUR TABLET OR PHONE: PROVIDENCE.ORG/HEARTBEAT 3

EXECUTIVE EDITOR MANAGING EDITOR Sharon Fairchild Nicole Stewart

MEDICAL EDITOR ASSOCIATE CREATIVE Je� Collins, M.D. DIRECTOR Matt MorganART DIRECTORCameron Anhalt

Elaine Couture, Chief Executive

BOARD OF DIRECTORSMary Selecky, ChairPatricia Butterfi eld, Ph.D.Je� Clode, M.D.Marian DurkinRich Hadley Michelle HegeCourtney LawRob McCann, Ph.D.

Mike Moore, M.D.Mike O’MalleyJe� PhilippsPaul PimentelMark Schemmel, M.D.Ben SmallLarry Soehren Ron Wells

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 SERVICESProvidence Adult Day HealthProvidence DominiCare (Chewelah)Providence Emilie Court Assisted LivingProvidence Infusion and PharmacyProvidence Medical GroupProvidence Medical Park, Spokane ValleyProvidence St. Joseph Care Center & Transitional Care UnitProvidence VNA Home HealthSt. Luke’s Rehabilitation Institute

MISSION STATEMENTAs expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

CORE VALUESCompassion | Dignity | Justice | Excellence | Integrity

CONNECT WITH USfacebook.com/ProvidenceEWAfacebook.com/ProvidenceSacredHeartfacebook.com/SacredHeartChildrensyoutube.com/ProvidenceSpokane twitter.com/Providence_PHC

Copyright 2018 © Providence Health Care. Published by MANIFEST LLC. Send comments to [email protected] or Marketing & Communication, 101 W. Eighth Ave., Spokane, WA 99204. For more information, visit washington.providence.org.

HeartBeatPROVIDENCE

FROM THE HEART

A s you read through this edition of Heart Beat, I hope you’ll notice a common thread across

the stories: innovation.You’ll learn about Providence’s

innovative equipment and mobile technology when you read Elliott Naftzger’s story. When she was only 4 days old, Elliott had her fi rst of several heart surgeries. Today, our traveling imaging machine makes everyday life so much easier for sweet Elliott and her family.

You’ll see innovation in action with the advancement of robotic surgery and meet the patient who received the 1,000th robotic cardiac procedure of Leland Siwek, M.D. Dr. Siwek is also a big proponent of telehealth and mobile applications to bring his patients the care they need where they want it.

And you’ll be inspired by our innovative care delivery when you read about RISE, a program providing outpatient mental health services for adolescents and adults in Spokane.

These stories help paint a picture of what we’re working on. Our long-term vision at Providence Health Care is “Health for a Better World,” and that means easier, more aff ordable, more accessible health care for all.

No matter how much technology advances, our caregivers across Spokane and Stevens counties rely strongly on our Mission to guide them. We know that nothing replaces a compassionate, caring health care provider in your time of need.

Elaine Couture, RN, BSN, MBAExecutive Vice President/Regional Chief Executive, Washington and MontanaProvidence Health Care Chief Executive

SHARE YOUR STORYTell us about the care you received at Providence. Email [email protected].

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HEALTHY LIVING

INSTANT POT TIPS AND RECIPES FOR HEALTHY COOKINGInstant Pot is a popular kitchen appliance designed to consolidate preparing and cooking food into one electronically controlled device. To learn more about Instant Pot cooking methods and the benefi ts of pressure cooking, visit blog.providence.org and search for “instant pot.”

Courtesy of Tastythin

Ingredients 2 tablespoons butter or ghee 1 small onion, chopped ½ yellow bell pepper, chopped

3 cloves garlic, minced 1 teaspoon grated fresh ginger

1 teaspoon cumin 1 teaspoon coriander 2 teaspoons garam masala

1 teaspoon turmeric ¼ teaspoon cayenne pepper (or more to taste)

1½ teaspoons sea salt 1 can (15 ounces) diced tomatoes

½ cup full-fat coconut milk 2 pounds boneless, skinless chicken breast

Directions1. Set the Instant Pot to Sauté.2. Add butter, onion and yellow pepper and cook 3–4 minutes

until veggies start to soften.3. Add garlic, ginger, spices and salt and cook 1–2 minutes.4. Add tomatoes and coconut milk and stir well to combine.5. Place chicken on top of mixture. Close the lid and set to

Poultry (or Manual for 15 minutes).6. When cycle is complete, remove chicken and shred. Using

an immersion hand blender, puree the sauce. Add the chicken back to the sauce and adjust seasoning to taste.

Prep time: 5 minutes. Cook time: 25 minutes. Makes 6 servings. 280 calories per serving.

YOU BRING OUT THE BEST IN USProvidence Sacred Heart Medical Center & Children’s Hospital has been recognized as a best hospital in the region. U.S. News & World Report named the medical center No. 1 in eastern Washington and No. 2 in the state of Washington. Providence Mount Carmel Hospital in Colville was recognized as high-performing in hip replacement. The report also ranked seven specialties and procedures as high-performing at Sacred Heart hospital.

Instant Pot Chicken Tikka Masala

We Can See You NowTwo new Providence Express Care at Walgreens locations are now o� ering fast, easy and a� ordable care for most common illnesses and injuries. The clinics, at Wandermere (12315 N. Division St.) and Pines & Sprague (12312 E. Sprague Ave.), are operated and sta� ed by Providence medical professionals. Combined with the stand-alone Providence Express Care Clinic at Lincoln Heights Shopping Center on Spokane’s South Hill, Express Care Clinics allow for walk-ins, same-day scheduling and an after-hours option for

care on evenings and weekends. To schedule an appointment at any of

the three Express Care locations, call 888-227-3312 or visit providenceexpresscare.org.

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When Technology Can Help You RelaxTechnology might not seem to go hand in hand with meditation. But plenty of free apps with soothing-sounding names are aimed at helping you fi nd a moment of peace.

Aura. This app has short guided meditation sessions and allows you to track your mood and learn about your emotional patterns.

Calm. With programming for all levels—whether you’re a mindfulness newbie or guru—this app includes topics ranging from happiness and forgiveness to nonjudgment and body scan.

Headspace. Want a personalized progress page to track your stats, such as average duration of meditation? This app has it, along with a buddy system so you and your friends can motivate each other.

Insight Timer. This app has thousands of free guided meditations and music meditation tracks.

Omvana. This app features a variety of meditation experts and meditations that range from three minutes to one hour, plus a background music mixer to personalize your meditation practice.

Managing Screen TimeHealth care experts recommend limiting children’s screen time to two hours a day, but that’s easier said than done. Toddlers have their own mobile devices. School-age kids are doing homework on tablets. Teenagers are texting and social networking. And TVs are still everywhere.

What is a parent to do? Start with these tips.

1. Focus on quality. Make sure you know what your child is watching. It’s a good idea to check out a few episodes of a show your child is interested in. Use your common sense about what’s appropriate and worthwhile.

2. Set parental controls. If you can’t screen everything, let technology help you. Use parental controls on devices and within apps so kids don’t have unlimited access to content.

3. Model the lifestyle you want to encourage. That might mean no screens at the dinner table, no smartphones on the nightstand and keeping phones turned o� until after breakfast, for example.


Is At-Home Microneedling Here to Stay?Microneedling, an increasingly popular, minimally invasive procedure, involves lightly puncturing the skin with a hand-held rolling device or pen containing fi ne needles. Do these strange instruments actually help your skin and possibly reverse time? Find out at blog.providence.org —search for “microneedling.”

Instant Pot Chicken Tikka Masala

Number of robot-assisted cardiac procedures performed by Providence surgeon Leland Siwek, M.D. See page 10 for the story.

1,000

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Heartof the

Mobile imaging technology enables people throughout the region with congenital heart disease to get the care they need close to home.

State

STORY BY STEPHANIE CONNERPHOTO BY GARY MATOSO

When Rachel Naftzger was 20 weeks pregnant, she had a routine ultrasound to check the health of the baby. The

sonographer thought something looked amiss but couldn’t say for certain. That led Rachel to a specialist for a 3D ultrasound and then to Providence Sacred Heart Medical Center & Children’s Hospital for a fetal echocardiogram, a specialized ultrasound used to diagnose heart conditions in unborn babies.

Elliott Naftzger has needed heart monitoring since birth. Now age 5, she and her parents, Rachel and Carter, can save the three-hour drive to Spokane because Providence is bringing the imaging unit to their and others’ communities.

HeartHeartof the

HeartMobile imaging technology enables people throughout the region with congenital heart disease to get the care they need close to home.

State

STORY BY STEPHANIE CONNERPHOTO BY GARY MATOSO

When Rachel Naftzger was 20 weeks pregnant, she had a routine ultrasound to check the health of the baby. The

sonographer thought something looked amiss but couldn’t say for certain. That led Rachel to a specialist for a 3D ultrasound and then to Providence Sacred Heart Medical Center & Children’s Hospital for a fetal echocardiogram, a specialized ultrasound used to diagnose heart conditions in unborn babies.

Elliott Naftzger has needed heart monitoring since birth. Now age 5, she and her parents, Rachel and Carter, can save the three-hour drive to Spokane because Providence is bringing the imaging unit to their and others’ communities.


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Rachel’s baby girl was diagnosed with hypoplastic left heart syndrome, a condition associated with underdeveloped left heart structures.

“The most comforting part was they knew what it looked like,” Rachel says. “They told us about the surgeries she’d need and that they’d follow her for her whole life. They had a plan.”

When Elliott was 4 days old, she had her fi rst heart surgery. She had her second when she was 5 months old. Another followed in June when she was 4 years old.

People with congenital heart disease (born with the condition) like Elliott often require regular monitoring with echocardiograms, or echos—which let doctors see the parts of the heart and the movement of blood through the heart—throughout their lives. Traveling to Spokane for these visits can be diffi cult for those individuals and their families.

Thanks to a $50,000 grant from Avista Foundation to Children’s Miracle Network Hospitals, including Providence, and additional funding from the Providence Health Care Foundation, the Providence Center for Congenital Heart Disease acquired a new portable echo machine in November to better serve patients in its clinics across central and eastern Washington, northern Idaho and northeastern Oregon.

Elliott Naftzger had her fi rst heart surgery at 4 days old, and she will require monitoring throughout her life.

Convenience FactorEchocardiography is crucial in a pediatric cardiology practice, says Rick Jensen, M.D., pediatric echo lab director with Providence Center for Congenital Heart Disease.

Elliott has needed echocardiograms once or twice a year to check the health of her heart, and driving three hours to Spokane can be a challenge for the Walla Walla family. But thanks to the availability of mobile echocardiography, the Naftzgers will be able to get Elliott’s important tests done at a satellite clinic close to home. The new portable echo machine will be available at satellite clinics throughout the region.

The distance from Spokane is “a big deal for a lot of the population,” Dr. Jensen says, noting the impact on work and school schedules. “Providing services closer to home is our goal.”

Providence’s congenital echo labs perform about 6,000 echocardiograms a year, for fetuses, newborns, children and adults with suspected or known congenital heart disease. And for many of his practice’s patients, Dr. Jensen says, a portable echo machine provides the same kinds of information and answers as a larger hospital-based machine.

Portable Yet PowerfulThe large echo machines in hospitals are movable, Dr. Jensen says, but there’s a limit. “We can wheel them from patient room to patient room or into the operating room,” he explains. “But you can’t put one in your car.”

Portable echo machines, he adds, are about the size of two to three laptops stacked on top of one another. “You can carry it with your hand. You can put it on a cart or bedside tray. You can take it on a plane if you wanted to. It’s pretty amazing to think that something you typically wheel around and would need a forklift to move can be this small.”

The smaller device, Dr. Jensen notes, contains all of the basic components of a full-size model, including computer, monitor and keyboard and variable sizes of transducer probes (which send the ultrasound waves) for newborns, kids and adults.

“Having these small units is really important for us to serve these families,” Dr. Jensen says. “Some of these kids have chronic diseases and need to be seen every three to six months for serial exams.”

Rachel says she and her husband, Carter, are excited to take advantage of the portable echo technology, which they expect will save time and money. “It will be very nice to not make that trip to Spokane,” she says.

CONGENITAL HEART CARE FOR ALL AGESThe Providence Center for Congenital Heart Disease is unique in that it provides care for all people with congenital heart disorders—it doesn’t stop seeing people when they become adults, like many programs. To learn more about the practice and providers, visit phc.org and search for “Congenital Heart Disease Spokane.”

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Providence’s congenital echo labs perform about

6,000echocardiograms a year

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imaging software that helps neurologists determine which stroke patients are eligible for a life-changing clot removal surgery. The software helps expand the surgery to more stroke patients.

This technology was validated by a landmark 2017 trial that showed advanced imaging techniques, combined with minimally invasive clot extraction, might extend the time frame in which physicians can perform a clot removal. This trial, called DAWN, revealed that patients can benefi t from the surgery up to 24 hours after the

of oxygen for so long that the damage is permanent.

Not long ago, a person who was experiencing a stroke in these circumstances might have spent the rest of his years in an assisted living facility.

But now, thanks to advances in technology, trial studies and treatment guidelines, the same person could walk out of the hospital to enjoy an independent life.

Trial Breaks New GroundProvidence Sacred Heart Medical Center has adopted RAPID, an

STORY BY AMY SAUNDERS | PHOTOS BY GARY MATOSO

Shortly before bedtime, a man notices numbness and tingling in his right arm. But it hardly seems like an

emergency, and he decides to turn in for the night.

The next morning, he wakes up paralyzed on his right side and struggles to speak—he’s the victim of a stroke, caused by a clot in a blood vessel leading to his brain. Family members rush him to the hospital, but it’s too late to do much. The time window for removing the clot has passed, and his brain tissue has been deprived

PrimeTIME New technology widens

the window for doctors to successfully treat stroke.

Providers use RAPID software on mobile devices to help determine which stroke patients are eligible for clot removal surgery.

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NATIONALLY RECOGNIZED STROKE CARE NEAR YOUThe stroke program at Providence has earned the Gold Seal of Approval, the highest recognition from The Joint Commission, an independent group that accredits and certifies health care organizations. To learn more, call 509-474-4567.

onset of symptoms, up from the previous guideline of six hours.

The window for administering an intravenous treatment to dissolve a clot, tissue plasminogen activator (tPA), remains 4½ hours.

Sacred Heart stroke neurologist Yi Mao, M.D., was a fellow on the DAWN trial, which included people who arrived at the hospital between six and 24 hours after stroke onset.

Under the previous six-hour guideline, the only course of action for such patients was rehabilitation to help them manage the debilitating effects of stroke.

But in the trial, people underwent clot removal if imaging suggested they had a large volume of brain tissue with insufficient oxygen supply.

The results: For every 100 patients treated with clot removal, 49 had a less disabled outcome than they would have without treatment, with 36 of those becoming functionally independent.

“Before the trial, patients would not have been candidates for retrieval, and now they’re walking out of the hospital,” Dr. Mao says. “It was quite groundbreaking.”

Software O�ers ClarityThough Sacred Heart adopted the 24-hour treatment guideline in 2017, the new RAPID software better informs neurologists evaluating treatment for stroke.

A special type of CT scan provides a rough estimate of how much brain tissue is dysfunctional versus permanently damaged.

RAPID builds on this CT scan by offering a real-time view of blood flow in the brain and measurements of salvageable brain tissue. As a result, neurologists can better determine which people would benefit from clot removal and which would not because of the risk of surgery.

“The RAPID software allows us to determine with more precision the patients who can still benefit

from clot retrieval, particularly in the expanded window of six to 24 hours,” Dr. Mao says. “In the future, it may even allow us to select patients who can benefit from clot retrieval without a specific time restriction.”

Providers in Sacred Heart’s dedicated interventional radiology suite, which recently expanded during a $2.89 million redevelopment, are available 24/7 to serve stroke patients.

But while doctors now have more resources for treating stroke, time remains the most critical factor. Dr. Mao reminds people to think of the acronym FAST when recognizing a stroke: Face—is it drooping? Arm—can you raise both? Speech—is it slurred or strange? Time—if you observe any of these signs, call 911.

“For patients, the message doesn’t change if it’s 4½ hours or six hours or 24 hours. Time is brain,” Dr. Mao says. “If you think you’re having a stroke, don’t sleep on it; don’t try to wait it out. Seek care immediately.”

Jayson Brower, M.D., and Louisa Lavy, M.D., review digital scans for blocked arteries in the brain.

Can Strokes Be Prevented?A stroke strikes suddenly, but that

doesn’t mean it can’t be prevented.

As a symptom of cardiovascular

disease, stroke usually is caused

by a buildup of plaque in the blood

vessels. People with high blood

pressure or diabetes, as well as

people older than 65, men and

African-Americans, are more

susceptible to stroke.

To reduce your stroke risk:

Exercise for at least

30 minutes per day.

Limit alcoholic beverages

to one drink per day for

women and two for men.

Quit smoking.

Lower your blood pressure

by avoiding high-cholesterol

foods and reducing salt in

your diet.

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For 10 years, Erik Jackson, 46, knew he had a mitral valve prolapse, a potentially

serious condition that allows blood to leak back into the heart. In 2017, he learned his condition had worsened from moderate to severe. His hometown cardiologist in Alaska suggested he look outside the state for a surgeon who could help him.

The procedure to repair his heart required a provider with extensive robotic-assisted heart surgery expertise. A friend of a friend suggested that Erik look at Providence Sacred Heart Medical Center and

cardiovascular surgeon Leland Siwek, M.D.

“I liked his record,” Erik says. Dr. Siwek performed Erik’s lifesaving surgery with the da Vinci Surgical System, a sophisticated tool controlled by surgeons to achieve a high level of precision while using fewer, smaller incisions. Erik’s procedure was Dr. Siwek’s 1,000th robotic cardiac procedure—he’s one of just 10 heart surgeons in the country to reach this milestone.

Dr. Siwek’s vast experience with robotic surgery is indicative of Providence Health Care’s commitment to technology, including robotic surgery, telehealth and mobile applications, to help provide better care.

Reaching Beyond Hospital WallsThe traditional model of providing care has been “hospital-centric and geographically anchored,” says

The

of

M E D I C I N EFU T URE

Technology is constantly evolving, and that means greater choices and better health care for you.


STORY BY STEPHANIE CONNERPHOTOS BY GARY MATOSO

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Kirk Rowbotham, M.D., chief executive of Providence Medical Group in Washington/Montana.

That doesn’t make sense anymore, Dr. Rowbotham says, explaining that Providence is on a mission toward “patient-centered” care. This initiative to change the way the system delivers care aims to off er people a wide range of care options—including hospitals and surgical centers, mobile applications, telehealth, home care and retail clinics.

“It’s an eff ort to serve people where they can best be served and to provide care at a lower cost,” Dr. Rowbotham says. Part of this evolution is the recognition that “in-person visits aren’t necessarily the only way to provide care,” he adds.

Telehealth programs allow doctors to provide care using telecommunications technology, such as computers and phones. Providence’s telestroke program provides physicians at rural

Kirk Rowbotham, M.D., chief executive of Providence Medical Group in Washington/Montana, says Providence is focused on “patient-centered” care that includes hospitals and surgical centers, mobile applications, telehealth, home care and retail clinics.


Right Care, Right Place, Right TimeAs technology advances, you

have a growing number of

options for health care. But

do you know where to go—

and for what? Here’s a primer.

911. Call 911 for life-

threatening injuries or if

you see signs of stroke or

heart attack.

Emergency Department. For severe illnesses and

injuries that absolutely

can’t wait, head to your

nearest hospital.

Urgent Care. Providers

here treat minor illnesses

and injuries like sprains

and strains, fractures, cuts

requiring stitches, and

rashes. This is a great option

if you have an urgent need.

Primary Care. Your main

doctor can address most

of your health care needs,

including routine checkups

and management of

chronic illnesses. This is

also typically your fi rst call

for most minor illnesses

and injuries.

Express Care Clinics and Virtual. If you have a simple

health issue, such as a cold,

cough, fl u or sore throat, a

quick visit to one of three

Express Care Clinics is a

convenient option. Or use

your mobile device to speak

to a provider. To check

out expanded weekday

and weekend hours, visit

providenceexpresscare.org

or download the Providence

Health Connect app on

your smartphone.


hospitals access to stroke experts at larger facilities. This means hospitals can provide care—and save lives—they might not otherwise be able to.

Another program, telepsychiatry, is helping address the large percentage of hospital emergency department beds occupied by mental health patients. Telepsychiatry connects these patients with psychiatrists at other locations for evaluation, freeing up beds for others in need.

People can also directly connect with providers through Express Care Virtual. Using their computer, phone or tablet, they can video chat with a provider to discuss issues and even get a prescription if necessary.

“This technology gives us another opportunity to meet patients where they are,” Dr. Rowbotham says. “Not everything needs to be an appointment that you drive to and wait.”

A number of other telehealth programs are at varying stages of development. The convenience of these services is fueling their popularity. And Providence sees opportunities to help reduce costs for the system and patients alike.

YOUR PROVIDENCE HEALTH CARE CONNECTIONWith Providence Health Connect, you can schedule appointments, view your health records, message your doctor and more. Learn about the service and download the app at providence.org/health-connect-app.

Health Care on Your PhonePeople are accustomed to doing more on their phones and expect that convenience to extend to their health care.

“They are increasingly open to a digital interaction for care that is appropriate,” Dr. Rowbotham says.

In addition to the Express Care Virtual app, the Providence Health Connect app can be used to book appointments, fi nd care locations and update health information. Plus, it links to MyChart, Providence’s service that lets people access their electronic medical records.

Parents and soon-to-be parents can use the Circle by Providence app, which provides information from pregnancy through the teen years. The app includes tracking tools, to-do lists and age-specifi c articles and also connects with MyChart, so busy parents receive reminders.

Robot-Assisted SurgeryThe da Vinci Surgical System is used across multiple surgical specialties at Providence: urology, gynecology, general surgery and cardiology.

“We have one of the oldest robotic surgery programs in the country, and one of the broadest,” says R. Steven Brisbois, M.D., chair of the hospital’s Robotics Committee, noting that surgeons

at the hospital do about 1,200 robotic surgeries a year. “We could not provide the level of care we do without the robotic system. It’s revolutionized surgery.”

Dr. Siwek and Branden Reynolds, M.D., were early adopters of robotic-assisted heart surgery and have performed a combined 1,600 robotic procedures in the past 15 years. The robot translates a surgeon’s hand, wrist and fi nger movements in real time as he or she precisely controls miniature instruments to perform the operation.

“The technology allows us to do certain complex open-heart procedures in a much less invasive way,” Dr. Siwek says.

For surgeons, the surgical robot is a valuable tool in cases of mitral valve repairs like Erik’s. “Not only is it less invasive for the patient, but with the robotic approach, we have a better view and better access to the mitral valve,” Dr. Siwek says.

For patients, that means a greater chance of a successful surgery as well as less blood loss and an easier recovery.

Erik has noticed.“It was a really good experience.

I encourage people to investigate their options,” he says. “Heart surgery is something you want to get right.”

Erik Jackson’s easier recovery from robot-assisted heart surgery a� orded him more quality time with his two sons, Kian (left) and Dylan.


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While holiday cards might encourage you to “eat, drink and be merry,” the typical holiday season might be described as “eat, sit and be harried.” Here are a few ways to ensure your health habits don’t take a tumble and you can keep that momentum going into the new year.

Healthy Balance at the HolidaysKeep your sanity as you celebrate the season.

HEALTH TIPBy Korrin Fotheringham, MS, RDNG

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KORRIN FOTHERINGHAM, MS, RDN,clinical dietitian, Providence Sacred Heart Medical Center

Instead OfBingeing on high-calorie foods at parties and get-togethers.

Celebrate This WayMake your own lighter versions of treats, and plan for a few splurges on your favorites so you won’t feel deprived.

Instead OfUsing your busy schedule as an excuse for not exercising.

Celebrate This WayGet active with your family and friends by taking a walk, getting guest passes to the gym or organizing a game of touch football.

How to Maximize Your TechMake your modern

devices work for you as

you strive to maintain

balance this winter.

On the computer: Catch

free workout videos for

exercises from pushups

to Pilates by simply

searching YouTube.

On your smartphone: Diet- and exercise-

tracking apps like

MyFitnessPal or Lose It!

help you keep tabs on

how much you’re eating

and moving.

On your wrist: Fitness

activity monitors like

Jawbone Up, Fitbit Flex

or Nike+ Fuelband SE use

accelerometers to track

how much you’re walking,

moving and sleeping.

Instead OfLetting your in-laws get to you, spending too much money or worrying about creating a picture-perfect event.

Celebrate This WayFocus on what really matters. Try a simplifi ed approach that makes people, not stuff , a priority. It will help you relax and be thankful for what you have.

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COMMUNITY


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NRISE UpNew program addresses a gap in mental health services in our region.

In the late hours of the night, depressed and confused, 13-year-old Jacob* was taken to the Emergency

Department at Sacred Heart Children’s Hospital. His grandmother, Linda, learned that Jacob had been cutting himself—a form of self-harm and a sign of emotional distress.

We’ve all seen the headlines: Suicide rates are surging, and resources are being stretched to the limit.

Jacob’s physical wounds were treated, and now people in similar situations can be referred to a program at Providence Health Care to get further help.

This past fall, in an effort to continue to address our community’s need for mental health care, Providence opened RISE, an intensive day-treatment program for adolescents and adults at Providence Holy Family Hospital Medical Building in northern Spokane. The clinic was funded by $400,000 in grant money from Providence Health Care Foundation.

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MAKE A MEANINGFUL CONTRIBUTIONYou can support RISE and other Providence programs that are helping address our community’s mental health care crisis by giving to Providence Health Care Foundation at providence.org/givingewa.


By Kathy Maurer

care allows people to keep up with important obligations, such as work or school, while getting the help they need.”

HELPING IN MANY WAYSRISE is just one of several Providence programs designed to address the mental health care crisis for adults and adolescents in our region. Behavioral Education Skills Training (BEST) is a fi ve-week day-treatment program at Sacred Heart Children’s Hospital that provides intensive therapeutic treatment for boys and girls attending kindergarten through sixth grade. Providence also provides outpatient and stabilization care to adults and seniors, as well as inpatient psychiatric beds at Providence Sacred Heart Medical Center.

A joint venture between Providence and Universal Health Services recently opened a 100-bed psychiatric hospital at Fifth Avenue and Browne Street in Spokane. Over time, Inland Northwest Behavioral Health will increase capacity to care for adolescents and adults in the region.

These programs are making a diff erence. After Jacob completed intensive therapeutic treatment, his grandmother wrote, “You saved my grandson’s life. You have helped him fi nd joy in his life, and I now have hope for his future.”

*Name has been changed

RISE—which stands for resources, insight, support and empowerment—reduces the need for hospitalization and helps individuals battling depression and anxiety thrive in the community. The program also serves those being discharged from inpatient hospital care.

MEETING A GREAT NEEDAdults and adolescents like Jacob receive individualized care from a multidisciplinary, skilled and compassionate team that includes psychiatrists, psychologists, licensed independent clinical social workers and advanced registered nurse practitioners. Services include medication management, group therapy, individualized counseling, art therapy, yoga and meditation, all in a newly renovated space designed to provide a welcoming, community atmosphere.

The program is ideal for those who need a higher level of care than provided in a traditional outpatient setting but who do not require inpatient psychiatric hospitalization. “RISE off ers a safe, structured environment, and participants return home at night, which helps them practice the new coping and resilience-building skills they are learning while maintaining important family and community relationships,” says Tamara Sheehan, regional director of behavioral health for Providence Health Care. “Providing this type of

For adults and adolescents battling depression and anxiety, the RISE program provides access to art therapy, individual and group therapy, yoga classes and tools to help participants develop coping and resilience-building skills.

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PA I DHEART BEAT

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

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

CALENDAR

Health and WellnessCommunity Wellness ClassesVisit courseregistration.inhs.org for dates, times and locations for all upcoming classes.

A New Year’s Resolution to Manage Weight?Let us help you reach your weight-loss goals in the new year. Learn more about weight-management programs and services such as MedGem, InBody, Group Lifestyle Balance and Wellness Advising.

Mental Health First AidLearn to identify, understand and respond to signs of mental illnesses and substance use disorders. This eight-hour training gives you the skills you need to reach out and provide initial help and support to someone who might be developing a mental health or substance use problem or experiencing a crisis.

WE CAN SEE YOU NOWWith six Express Care and Urgent Care locations throughout Spokane, Providence provides more options for same-day visits when your primary care doctor’s o�ce is booked or closed. Visit providenceexpresscare.org or call 888-227-3312.

Providence Classes, Support Groups, Forums and EventsVisit washington. providence.org for dates, times and locations.

FREE Bloomsday Training Clinics, Presented by Providence and KaiserBring your friends and family to get in shape for Bloomsday, with help from health and fitness experts.

Saturday mornings, March 16–April 27Spokane Falls Community College Physical Education Gym 8:30 a.m.: Arrive 8:30–9 a.m.: Learn from health and fitness experts and warm up with a personal trainer 9 a.m.: Start your walk or run outside

Register at providence.org/bloomsday.

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