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www.mcmc.net

MID-COLUMBIAMEDICAL CENTER

Hip, HipHoorayJoint Replacement Program Receives Gold Seal

Winter 2013

Fit at FiftyBreathing EasierWith Lung Disease Water Birthing

Dear Neighbor

You may have learned recently from The Dalles Chronicle, The Oregonian or our ownwebsite that in September Mid-Columbia Medical Center was honored as the sixth-bestplace to work among the largest employers in the state.

This was based on an employee survey conducted in companies throughout the state by an independant data collection firm.

Our high ranking was a great feel-good story for those of us within the MCMC family,especially when we learned that nearly 60 percent of our employees took the time torespond to the survey. They ranked our organization equal to or higher than otherhospitals in key areas like working conditions, pay and benefits.

That’s great for us, but what does it mean to you?

The most obvious benefit of creating a workplace in which employees enjoy their co-workers and environment, feel valued by the people for whom they work and believe they are fairly compensated for what they do is this: Their satisfaction shows.

It shows in the way they serve and care for our patients and visitors — you, in other words, if not in the past then most likely at some point in the future.

It also benefits you because an organization with an employee-friendly reputationis an organization that is able to continue attracting high-quality people.

Hospitals nationwide are struggling to fill critical positions because of a dwindling supply of well-trained, skilled healthcare professionals. At MCMC, we’ve succeeded where many others have not in large part because people we recruit understand that not many other employers can match the quality of life we offer, whether at play or at work.

That is a rare combination, and if you have ever needed care from MCMC, I am confident you’ve seen for yourself the outstanding quality of people it has attracted.

Duane FrancisPresident/CEO

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It is Our Mission…

To lead and act as a catalyst inpromoting health for all people. To recognize the individual as awhole human being with differentneeds that must be enthusiasticallymet. To communicate a vision ofhealth, art, education, technologyand create a center for healingwhich will continually upgrade thequality of life in the communityenvironment in which we live. Toempower people to becomepartners in their health care.

Mid-Columbia Medical Center is a not-for-profit healthcare organization offeringcomprehensive services to the Mid-Columbia Region and governedby a volunteer Board of Trustees:

Robert L.R. Bailey Daniel Boldt Paul Cardosi, MD Rob Carnahan Duane Francis Gretchen Kimsey Carina Schmidt Wallace Wolf, Jr., DVM

WellAware is published by:

Mid-Columbia Medical Center1700 East 19th StreetThe Dalles, OR 97058mcmc.net

Editor: Dick Baltus e-mail: richardb@mcmc.net

Writers: Dick Baltus, Cate Hotchkiss, Mark Adams

Photography: Lauri Streaker Pages 3, 10-11, 14-15, 18-19

Jim Semlor Cover and pages 2, 3, 4-9, 16-17

Printed with Agri based inks on recycled paper,10% post consumer.All rights reserved. No informationmay be reprinted without the written consent of MCMC.

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In This Issue:

4 6 10

12 14 16

18 20

Totally AwesomeMCMC becomes only thethird Oregon hospital toachieve the rare Gold Seal ofApproval for its Total JointReplacement Program.

Meet Our Newest ProvidersIntroducing sports medicinespecialist Mark Cullen, MD,nurse practitioner JohannaNesse, FNP, and cancerspecialist Patrick Archie, MD.

A Life ChangerAfter completing MCMC’sPulmonary Rehabilitationprogram, Patricia Brace movespast the effects of her lungdisease and finds the light atthe end of the tunnel.

Healthy EdgeWater’s Edge receivescertified medical fitnesscenter designation.

Fit at FiftyRegaining her physicalfitness has helped Keri Byersrediscover her former self,inside and out.

Fluid DeliveryMCMC becomes the firsthospital in the Gorge to offerwater birthing.

Hard Work, Big Results, By GeorgeHis own stubbornness anddetermination and theassistance of MCMC’srehabilitation team helpGoldendale stroke patientreturn to his former self.

Wellness at Water’s Edge Clinics, classes and programs tohelp you reach your healthy best.

Winter 2013

6 10 18

On the cover: Tammy Swearingen gets back in high gear after hip replacement surgery.

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TotallyAwesomeMCMC becomes only the third Oregon hospital

to achieve the rare Gold Seal of Approval for its

Total Joint Replacement Program.

By Mark Adams

Tammy Swearingen’s laughter comes much easier today than it did a short year ago.

Chronic pain consumed much of her life back then, loudly ragingthroughout an eroding hip joint. It shouted for complete attentionas it pushed away other priorities and changed Swearingen fromthe inside out.

“The pain was unbearable,” she remembers. “And I was unbearable,to myself and other people. The way my personality was a year ago,I wouldn’t have wanted to be around someone who acted like me.”

Swearingen feels fortunate that her own support system – lovedones, friends and even clients who employed her as a housekeeper— were much more patient and understanding with her.

The Dalles resident is also thankful that ultimately her hip-replacement surgery — performed last December by orthopedicsurgeon John Schwartz, MD, of MCMC | OHSU Orthopedics — andrecovery went so well that most of the things taken from her by thepain, those parts of her life that brought her great joy, have sincebeen returned.

“Things are totally different now,” she says. “Before the surgery it wasall doom and gloom; the anxiety and depression pain brings canjust take over. But I’m enjoying being able to move again, to gohiking and hunting again and shopping with my daughters andgrandchildren. I feel like the most important thing I’ve gotten backis my freedom.”

Swearingen is convinced she had just the right team for herprocedure. And if further evidence is needed to support hertestimonial, MCMC’s Total Joint Replacement Program can provide itin the way of the Gold Seal of Approval it recently received from TheJoint Commission.

improved training and communication. It’s all of us in this together.”

Dr. Schwartz and Hartley agree the certification standardizesprocedures now ingrained in the treatment process, improvingcare and reducing infection risk.

“We’re making sure we do certain things in a specific way — basic things that need to happen the same way every time,” Dr. Schwartz says.

Swearingen’s hip operation is one of several surgeries she’s hadsince suffering severe injuries in a car accident years ago.

Dr. Schwartz, who has treated Swearingen for an extended part ofthat time, calls her a young and vivacious person made miserableby the increasing pain in her hip.

“Now she’s back up and rolling again. It’s good to see her feelinggood,” he says.

Swearingen has revived her active housecleaning business and isalso studying at Columbia Gorge Community College to be amedical assistant.

She’s grateful for her good friend, Steve Reffet, who was“awesome” about doing errands or whatever else she needed, andfor her daughters and grandchildren, who waited patiently for herbubbly personality to return.

The road from painful darkness back to the light was a hard one attimes but well worth the trip, Swearingen says. She advises othersnot to postpone joint replacement surgery if they need it.

“It just creates havoc if you wait,” she says. “You try to compensatefor the pain when you walk and then harm other joints. You needto get it done when your doctor tells you to get it done.”

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This rare certification signifies that MCMC’s program meets or exceedsthe prestigious quality organization’s stringent patient care and safetystandards for hip and knee replacement surgery and rehabilitation.

Mid-Columbia Medical Center is one of only three Oregon hospitalsto earn the Gold Seal for its Total Joint Replacement team, whichincludes all local orthopedic surgeons and the hospital’s surgery,nursing and rehabilitation therapy departments.

Kim Hartley, RN, MCMC’s director of acute care nursing, says staffworked hard to establish a high-quality joint replacement programand wanted to take the extra step of seeking the voluntarycertification from a well-respected independent organization.

“We knew we had all the pieces in place, and we wanted outsideconfirmation,” she says. “The seal of approval certifies to thecommunity that we use the best medical practices available, thequality of our care is excellent and the resulting outcomes for ourpatients are the best possible.”

As part of the certification process, MCMC will undergo equallystringent renewal exams conducted annually by The JointCommission.

“The renewal process requires continued improvement,” Hartleysays. “The process fosters increased communication and a sharedvision for the future among all members of the multidisciplinaryteam working to develop and meet these goals.”

That is a major attraction for Dr. Schwartz, who sees everyorthopedic professional and staff member as vital to the program’ssuccess.

“One part of the ongoing certification requires regular meetings toevaluate our progress,” he says, “We share information, which leads to

Representing the MCMCTotal Joint Team are (L-R) Brandon Strizich,Rehabilitation Therapy;

Connie Jubitz, RN, Acute Care Nursing; Dr. John Schwartz,

MCMC l OHSU Orthopedics; Zack Chown, Physical

Therapy and Kim Hartley,RN, Acute Care Nursing.

When it comes to sports and sports medicine, Mark Cullen, MD, is a man for all seasons.

As the newest member of the MCMC | OHSU Orthopedicsmedical/surgical team, Dr. Cullen has not only devoted his career to getting athletes back into the game after a sports injury, he also truly enjoys watching any sport played.

From injury to diagnosis, treatment, rehabilitation and return toplay, Dr. Cullen provides total care for athletes and non-athletesof all ages.

“Sports Medicine is more than surgery,” Dr. Cullen says. “It is abouteasy access to care from the day of injury, accurate diagnosis,comprehensive rehabilitation and good communication withparents, coaches, and trainers about the athlete’s progress — it is total care of the athlete from beginning to end.”

Dr. Cullen says there’s no question that athletes in The Dalles areaare going to know who is.

“As a sports medicine specialist, I enjoy being out on the sidelines.I’m not content to sit in the office waiting for patients to come tome,” he says. “I go to where sports are played because it is what I doand what I love to do. Following a full day at the office and onweekends, I go watch and cover cross-country, volleyball, soccer,track, baseball, football; you name it, I love it.”

Dr. Cullen says it is important to be involved in sports injuries assoon as possible after the injury occurs. “I welcome calls for sportsinjuries 24/7 – it is what I do. I’ll see athletes on the sidelines or in myoffice. I want to be out there talking to baseball coaches about pitchcounts and to parents about concussions. I’m not here just to doyour surgery, I’m here to keep you active doing what you love to do.”

The Jock DocWhether a weekend warrior or competitive

athlete, if sport is your game chances are

you are going to get to know new

orthopedic specialist Dr. Mark Cullen.

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Meet Our Newest Providers

Originally from the Northeast, Dr. Cullen relocated to Atlantafollowing completion of his training. Over 15 years, he developedthe region’s premier sports medicine and orthopaedic surgerypractice, becoming the go-to specialist for athletes. He wouldtypically see a full schedule of patients in his office during the day and still being on the sidelines for a 7:30 p.m. kickoff. Saturdays he would hold a walk-in injured athletes clinic.

He plans to add a Saturday morning “sports injury clinic” at Water’s Edge to improve access for athletes.

Contrary to what the term might imply, sports medicine involvesmuch more than treating competitive athletes, Dr. Cullen says.

“It involves care of young athletes with ACL (anterior cruciateligament) tears and weekend warriors who have suffered overuseinjuries like rotator cuff tears, tendonitis and muscle strains. I’ve had patients who tore an ACL during a tug of war or whileteaching a child to skip.”

Dr. Cullen is a graduate of Temple University School of Medicine in Philadelphia. After earning his medical degree, he completed a five-year orthopaedic surgery residency-training program at theUniversity of Cincinnati Medical Center. He received additionalsports medicine training in the premier fellowship program atCincinnati Sports Medicine and Orthopaedic Center. Dr. Cullen is board certified in orthopedic surgery.

In addition to his general orthopaedic surgery skills, Dr. Cullen has special interest in the treatment of shoulders and knees and in sports concussion management.

“I’ve had four shoulder surgeries myself, which helps explain my special interest in that area,” he says. “And sports concussionmanagement is another interest of mine that is getting a lot ofattention in the news. I plan to bring my expertise and skills to the community in treating and educating parents and coachesabout sports concussion diagnosis and treatment.”

Dr. Cullen and his wife have four children, ages 9, 11, 12 and 13. He says the family visited and spent considerable time in theNorthwest for several years before deciding to move The Dalles.

“We fell in love with The Dalles the first time we visited in 2010; it just felt like home,” he says. “We fell in love with the wonderfulpeople, the strong and collegial hospital system, the beauty of thearea and the small town community. All that with the extra bonusof great skiing.”

“Our move to Oregon, will allow me to practice in the field that I love and for our family to experience things we truly love,including enjoying the outdoors, golfing, fishing, skiing, boating,making new friends and getting involved in the community.”

No matter what the season.

Appointments are now being made with Dr. Mark Cullen at MCMC l OHSU Orthopedics, Water’s Edge, 551 Lone Pine Blvd., The Dalles. Please call 541.506.6500.

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“Sports medicine isn’t just for athletes. It involves care of young athletes with ACL tears and weekend warriors who have suffered overuse injuries. I’ve had patients who tore an ACL during a tug of war or while teaching a child to skip.”

— Mark Cullen, MD

Since she returned to The Dalles lastsummer, after many years away, familynurse practitioner Johanna Nesse hasreceived lots of warm “welcome homes.”

It’s been nice, she says, if not just a littlesurreal, since she hasn’t been rememberingmost of the people who have recognizedher. Nesse did, after all, leave The Dalleswhen she was only 10.

Still, she says, the reception “has been verygratifying. I get all these warm greetingsfrom people I don’t even know. It’s a veryfriendly and cheerful place.”

Nesse says her parents, Dr. Rolf and AnneNesse, are the reason the community istreating her like an old friend. Dr. Nesse was a family practice physician in TheDalles for many years before the familymoved to Idaho.

He still practices medicine in the SpokaneValley and his love for helping people waspassed on to his daughter. Joanne spentmost of the last decade in Colorado,attending school and earning a master ofscience degree in nursing at the Universityof Colorado. She then worked with heartpatients at Swedish Medical Center inDenver.

“I think a lot of my drive to get a master’sdegree in nursing was that I wanted to bemore involved in the day-to-day care ofpatients over a long period of time,” Nesse

says. “I wanted to go into general familypractice, and there weren’t a lot ofopportunities to do that in Colorado.”

Ultimately she found her goldenopportunity with the hometown hospitalwhere she was born. She is now practicingwith Judy Richardson, MD, and Carrie Vieira,PA-C, at Columbia Crest Clinic, FamilyPractice in The Dalles.

As a nurse practitioner, Nesse sees her own patients and diagnoses and treatsailments. She can prescribe medicationsand order tests, referring patients to aphysician as necessary depending on their needs.

“I want to be more involved in preventivemedicine, helping patients before theydevelop chronic disease,” she says. “I wantto catch them before they need to enterthe hospital and help them live their livesthe way they want to live them.”

Her experience with the MCMC family sofar has told her she made the right decisionwhen choosing the next stage of hermedical career.

“I think it’s a great community of providers,she says. “I like the Planetree philosophyand I see it exhibited in the interaction staff members have with patients and with each other.”

Nesse says she is also once again enjoyingthe small-town friendliness of the area as

well as its natural beauty andopportunities for outdoor recreation.

She is an avid long-distance runner andlikes to participate in half-marathons,ideally those run on mountain trails. She’salso been snow skiing since she was 5years old.

Nesse also loves music. She’s played the violin since she was 3 and enjoyseverything from Bach to morecontemporary genres.

She and her partner of 11 years, HarleyJudd, were recently married.

Nesse is looking forward to meeting moremembers of the The Dalles community inher new practice.

“When you meet people as a healthcareprovider you are on a different level withthem in terms of trust – they open up toyou,” she says. “You see a lot of people youwould never get to meet otherwise andyou get to help them with whateverthey’re struggling with. You go frommeeting them for the first time toimmediately helping them solve theirproblems.”

She hopes to have a long career in The Dalles caring for hometown patientsof all ages.

Appointments with Johanna Nesse can bemade by calling 541.296.7677.

You Can Go Home AgainShe has been away since she was 10, but nurse

practitioner Johanna Nesse, FNP, already feels

right at home in her new practice.

By Mark Adams

Meet Our Newest Providers

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There’s a signature moment in Dr. PatrickArchie’s earliest experience at Mid-Columbia Medical Center, an instant whenthe young doctor first realized he haddiscovered a special place to practice atruly different, deeply personal brand ofpatient care.

It occurred in 2008, the halfway point in the new Celilo Cancer Centerhematologist/oncologist’s advancedmedical training. Dr. Archie had taken ayear off from training to recharge hisphysical and spiritual batteries and wasworking as a hospitalist at both Mid-Columbia and Providence Portland MedicalCenter, where he had completed hisresidency.

One morning Dr. Archie entered the roomof an MCMC patient in her 80s, who wasthere alone, with no family to visit her. As he reviewed her medical chart andchecked on her progress, an employeedelivered a breakfast tray to the woman,who looked down at the meal, shruggedand said, “I don’t think I have the strength.”

So Dr. Archie took off his white coat, satdown and helped her eat breakfast, takinga break from his duties as a doctor to justspend some time as a companion.

As he recalls the moment now he asks, “In what other hospital would I have thechance to do that?”

Not in the rapid-fire frenetic environmentsof the other medical facilities in which he had spent so many of his past years. “In another setting I wouldn’t even have

thought about doing it,” he says. “But I wasat MCMC. It was just so natural, and it wasamazing.”

The time spent with that elderly patient,and his early experiences at Celilo, haveconvinced Dr. Archie that he has settled in the perfect environment for pursuing his desire to make human connections in the best and the most difficult ofsituations.

“The medical team is not on an assemblyline here,” he says. “We have a manageablenumber of patients and time to answer allof their questions. There’s a great emphasisat Celilo on providing the best possiblepersonal care for our patients, and for methat’s what really matters.”

Dr. Archie says achieving that level of carerequires he be able to empathize with hispatients. “I always ask myself the question,‘If I were this patient, how would I want tobe treated? What would I want to knowand how would I want to be spoken to?’.”

The more clearly information iscommunicated the better, he adds.

“The scariest thing about cancer is whatyou don’t know. I try to maintain excellentrelationships with all of my patients. Weusually have such good conversations thatmost of their questions are answeredbefore they leave.”

Dr. Archie says he strives to be the kind of doctor he would want his own motherto see. “I want to always give patients the attention they deserve and the bestcare possible.”

His residency training included a one-yearrotation working in the Phil Knight CancerInstitute at Oregon Health & ScienceUniversity. He later completed a three-yearfellowship in Houston at the University ofTexas M.D. Anderson Cancer Center,considered the leading cancer treatmentfacility in America.

There he won the 2012 Humanitas Awardfor Compassion in Patient Care, a fittingaward for a doctor now practicing in ahospital known worldwide for itspersonalized care.

When Dr. Archie was considering joiningCelilo he described the MCMC philosophywith a colleague who is a well-known expertin the field of physician-patient relationships.“You, of all the people I know,” the colleaguetold him, “will love a place like that.”

Dr. Archie is married, and he and his wifeAbbie are both musicians. His currentmusical passion is flamenco guitar; sheplays piano.

They have a black Labrador named Nash,whom they rescued from an animal shelter.

The couple would like to have a familysomeday, and Dr. Archie said that’s aboutall their circle of life will need to be complete.

“I want to be a good doctor, a goodhusband, a good musician and maybe a good father someday. I’m going toconcentrate on those things and hope for continual improvement.”

Human InterestCelilo’s new cancer specialist is perfectly suited for the patient-

centered philosophy practiced at Mid-Columbia Medical Center.

By Mark Adams

Meet Our Newest Providers

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A LifeChanger

By Dick Baltus

Offered at Water’s Edge, the comprehensive exercise, educationand stress-reduction program is designed to help patients with anarray of chronic lung and breathing problems, such as COPD(chronic obstructive pulmonary disease), emphysema, bronchitis,fibrosis of the lung and asthma.

Under the supervision of a physician, a team of healthprofessionals, including nurses, a pharmacist, dietitian, exercisephysiologist and stress-reduction expert, assists participantsthrough the three-phased Pulmonary Rehab program.

In the first two phases, participants gain an array of usefulinformation, covering topics such as medication management,proper nutrition, how to get the most out of medical office visits,preventing respiratory infections and how to better manage stress, which has a role in most medical conditions.

They also benefit from individualized and monitored exercise to build strength and endurance.

In the new third phase, called MedEX, participates are able tocontinue to experience the benefits of medically supervisedexercise after they have graduated from the 10-week program.

Brace is one of many Pulmonary Rehabilitation graduates whorefer to their time in the program as “life changing.”

“It changed my entire world,” she says. “I learned how to managestress and deal with anxiety, how to breathe properly, how dietaffects my condition, how to uses medications properly.”

It was 2003 when Patricia Brace learned she had late-stageemphysema, would have to go on disability and had better get used to accessorizing with an oxygen tank.

And Brace could take a hint. Rather than take the bad news lyingdown, The Dalles resident got moving.

After 30 years of smoking, she quit. She started exercising andeating better, losing weight in the process. She said No to disability,and found a job — at a health food store, no less.

Then the store moved to a new location, a building where a fewmonths later black mold was detected. This is not a good thing foranyone, let alone someone with chronic lung disease. But Braceneeded the job.

“We had already been there three months when they found themold, but I needed the money,” she says. “I went into denial andworked there for about a year…until I just couldn’t any more.”

As a result of her own positive lifestyle changes, Brace’s lungcapacity had been increasing, but the prolonged exposure to the toxic mold took its toll. By the time she quit, her lung functionwas back down to only 22 percent of capacity.

Brace was back under active medical supervision and watchingmuch of the progress she had made slip away (“I went fromfunctional to non-functional,” she says) when she read about Mid-Columbia Medical Center’s Pulmonary Rehabilitation program.

After completing MCMC’s Pulmonary

Rehabilitation program, Patricia Brace

moves past the effects of her lung disease

and finds the light at the end of the tunnel.

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Brace says the supervised exercise took away her fear of becomingactive again, which has paid significant dividends. “I didn’t thinkI would ever get any muscle tone back again. During this sametime, I was taking care of my mother until she passed away. If Ihadn’t been in this program, I would not have had the energy orstamina to do that.”

The addition of the MedEX program has been an additional plus, Brace says. “I don’t have any equipment at home, so after Igraduated I was afraid I wouldn’t be able, or motivated, to continueexercise. So I was really excited to hear about the new Phase III. It keeps me going and keeps things fresh. The program’s trainersare excellent, and being able to exercise at Water’s Edge and lookout over the river is like a spiritual experience.”

Brace isn’t confining her workouts to MedEX though. The 61-year-old gets plenty of exercise being the grandmother of six.

“One of my granddaughters and I hiked this summer to the tunnelsin Mosier,” Brace says. “She was counting the number of times I hadto stop and get my oxygen level back up, but when we finishedshe said, ‘Grandma, I can’t believe you could do this.”

Not long ago, Grandma wouldn’t have believed it either.

If youwould like to learnmore about the Pulmonary Rehabilitationprogram atMCMC, please call 541.296.7319. The program is coveredbyMedicare.

Are You a Candidate?Pulmonary Rehabilitation was designed for patients with lung disorders,

…Whose shortness of breath compromisestheir lifestyle.

…Who want to learn more about their disease.

…Who want to learn ways to improve their breathing.

…Who want to increase their exercise endurance.

Pulmonary Awareness DayWednesday, March 27

Watch for details about a special day of informative events and activities being planned at Water’s Edge for people with breathing disorders.

Pulmonary Rehabilitation director SusanBenedict with successful grad Patricia Brace.

Recognize the Signs

Healthy Edge Healthful News From the Health & Wellness Experts at Water’s Edge

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Heart Disease is Not Just for Men

If you’ve been thinking heart disease is mainly a manly thing, thenhere is some news that may jolt you.

The rate of heart disease in women in the U.S. is not only higherthan men, it is also more likely to go undiagnosed until later stagesof the illness — when it is sometimes too late.

Cardiovascular disease is the leading cause of death amongAmerican women, killing more than a third of those who dieannually. But because attention and research over many years has focused largely on male heart problems, women have beenhistorically under diagnosed and treated for heart-related conditions.

The good news is, that focus is changing. Many health agencieshave been working hard to get the word out regarding heartdisease symptoms and risk factors in women.

According to the National Coalition for Women with Heart Disease,42.7 million women in America are living with some form of

cardiovascular disease, including 7.5 million women suffering from coronary heart disease.

More women than men die of cardiovascular disease each year —26 percent of women will die within one year of a recognized first heart attack, compared to 19 percent of men. And women are still less likely than men to receive appropriate treatment, the coalition states.

Women who are armed with appropriate information on the causes of heart disease have the opportunity to ask questions of healthcare professionals and make healthy lifestyle choices that can significantly cut down their health risks.

The heart specialists of MCMC | OHSU Cardiology at Water’s Edgehave provided the following information to help women recognizethe signs of heart disease or a heart attack. (For more informationon women and heart disease, visit womenshealth.gov.)

There are several health issues that may indicate heart disease in women. They include:

• Fatigue, even after resting all night

• Shortness of breath

• Dizziness

• Nausea

• Discomfort in the arm and chest

• Trouble sleeping

• Feeling scared or nervous

• New or worsening headaches

• Back pain

Women experiencing any of those symptoms should tell their doctor they are concerned about their heart.

Signs of a heart attack in women can be the same as those commonly assisted with male heart attacks, including arm, neck, back and jaw pain as well as nausea and shortness of breath. But women may also experience less common and more subtle signs, such as:

• Heartburn

• Loss of appetite

• Feeling weak or tired

• Coughing

• Heart flutters

• An achy, tight or “heavy” feeling in the chest or back

• Breaking out in a cold sweat

The more heart attacks signs that are present, the higher the likelihood of a heart problem. Do not wait longer than five minutes to see a doctor.

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The Health and WellnessCenter at Water’s Edge hasearned the distinction ofbeing officially certified asa medical fitness center —a sign of excellence in the health and wellnessindustry.

“Traditional gyms are often designed tohelp the fit get fitter,” explains MartinaRizzo, health and wellness operationsmanager at Water’s Edge. “Water’s Edgeis different in that we offer everyone, nomatter where they fall on the fitnessspectrum, the opportunity to safelyimprove their health and wellness.”

In the Water’s Edge medical fitnessmodel, medical and wellness servicesare integrated in one safe setting wherepeople of all ages and medicalconditions have an opportunity to takecharge of and improve their overallhealth and well-being. Medicalsupervision, accountability and trackingoutcomes play key roles in helpingpeople make positive lifestyle changes.

“We are committed to working withpeople with medical conditions and

to creating programs thatpeople can turn to for

improving thoseconditions with

exercise and lifestylechanges,” Rizzoexplains.

“The staffprovidesguidance, asthey are veryknowledgeablein the areas ofvarious medical conditions and howthey may be improved by exercise.”

And, for those with no chronicconditions and not on prescriptionmedications, exercising and using thearray of wellness services offered atWater’s Edge can help prolong healthand prevent disease, Rizzo adds.

Studies show that two-thirds of ourhealthcare costs are driven by our dailychoices. Water’s Edge was created toprovide an inspiring and well-equippedspace to help people learn to makehealthier choices in their lives.

“We provide a destination for wellness,”Rizzo says. “We would like for people to feel like Water’s Edge is their place.Each person uses this facility in adifferent way, depending on what their needs and goals are.

“Our mission is to help people shifttoward wellness on their scale betweendisease and being optimally healthy,”Rizzo adds.

The medical fitness certificationdemonstrates that Water’s Edge ismoving in the right direction —helping individuals and the overallcommunity move toward prevention,wellness and optimal health.

For more information on Water’s Edgememberships, please call 541.506.5779.

Heart Disease Risk Factors

EM C AID LC AA S S O C IF I T N E S

T I OAA S S O C IF I T N E S

NT I OSF I T N E S

Health & Wellness CenterEarns Rare Accreditation

There are several risk factors thatincrease the likelihood of cardiovasculardisease. They include:

• Diabetes

• High blood pressure

• High cholesterol

• Lack of exercise

• Obesity

• Smoking

• Stress

• History of heart disease in the family

Not smoking, eating healthy foods,maintaining a healthy weight, stayingactive and working with a doctor tocontrol diabetes, cholesterol and blood pressure can all reduce the risk of heart disease.

February is NationalHeart MonthSee back page for information on Go Red For Women’s Heart Health.

14

MCMC becomes the first hospital in the

region to offer water birthing, which is

gaining popularity among mothers

seeking a more natural delivery.

By Cate Hotchkiss

Before he took his first breath on Oct. 11,baby Ethan Oliver Sawyer first felt warmwater against his face followed by thewarmth of his mother’s hands.

Ethan was one of the first babies delivered inthe new water birth pool in Mid-ColumbiaMedical Center’s First Impressions birthingcenter. Water birth, or giving birth whileimmersed in warm water, has becomeincreasingly popular among women whowish to avoid pain-blocking medication,explains Ann Becker, RN, CNM, director of First Impressions.

“The demand for water birth is growing, so we wanted to make sure we wereresponding by making this alternativeavailable to our mothers,” she says.

MCMC is the only hospital in the Gorge thatoffers the water birth option, which, Beckerexplains, is a “hands-off modality,” meaningproviders and/or nursing staff are present, butonly intervene when absolutely necessary.Usually the mother pulls the baby out of thewater herself.

“Mothers like it,” says Becker. “It gives themcontrol.”

While hydrotherapy during labor has longbeen offered in a Jacuzzi tub at MCMC, the

new 190-gallon water birth tub provides thedeep-water immersion that gives mothersthe more comfortable feeling of floating,Becker adds.

That experience through labor and deliverymade a difference to Ethan’s mother, CoraSawyer. After having her first two babies “on land” in a conventional hospital bed, she says water birth was gentler on her body throughout the labor, delivery andrecovery process.

Why Water Birth?

Sawyer provides her own colorful answer tothat question: “It’s a way to have a babywithout feeling like you’re dying,” she says.

When she learned from her nurse midwife,Mandelynn Morgan, CNM, that water birthwas an option, she and her husband, Jared,embraced it.

“We wanted to try something more naturaland relaxed,” explains Sawyer. “Giving birth inthe water seemed natural, peaceful, calmingand simple. I didn’t want to be offered painrelief. With water birth, needing pain reliefdidn’t even cross my mind.”

Sawyer says during the water birth, she felt asense of control over the birthing process.She appreciated the hands-off approach andlack of medical interventions.

“Two nurses and a doctor were there; theywere very attentive and ready to intervenehad anything happened, which was one ofthe draws of having a water birth at thehospital and not at home,” she explains. “Theyjust kind of watched and coached a little bit.

“Essentially I delivered, and it was all mehands on and not them at all. I was the firstone to touch my baby, scoop him up andhold him. It was an amazing experience.”

After she delivered, she says she and Jaredwere left alone in the peaceful, calming roomwith their baby. “It was a nice bondingexperience for all of us.”

Sawyer says water birth made the post-partum period easier, too.

“My body never took the harsh toll it did thefirst time. The next day, I was in no pain. I wasup and around the next day. I felt good.”

“The whole water birth process wasincredible,” she adds. “It all added up to be asuccess and a huge blessing for us.”

Fluid Delivery

The Sawyers with newest family member Ethan, one of MCMC’s first water-birth babies.

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Just three days after Sawyer gave birth,K’Lynn Lane arrived at First Impressions inactive labor — it was time to fill the poolagain. Like Sawyer, she had an instantconnection with water and its healingproperties.

“I knew I wanted to have a natural deliveryand thoughtWhat can I do to make it easieron my body?” explains Lane. “I knew thewater would be where I’d be mostcomfortable. I wanted to be able to movearound and get into different positions asmy body progressed through labor. I alsowanted to do what was best for the babyand be fully present for the wholeexperience, especially afterward. The waterallowed me to stay relaxed and calm; for methat was a big part of my desire for this.”

Buoyant in the pool, Lane could movefreely, manage her pain and thus stay moreaware of all that was happening.

When it was time to push, Lane says thebaby’s head came out easily, but the doctorhad to maneuver the baby’s shoulders outjust a little bit. Lane then pulled the babyout herself and onto her chest while herhusband, Josh, also in the pool behind her, was looking over her shoulder.

“He was my rock,” she says. “He was a hugepart of the delivery. I couldn’t have done itwithout him. It was absolutely beautiful.”

Becker explains that for a woman to qualifyfor water birth, she must have a “normal”pregnancy without medical or obstetricalproblems that would put her or her baby at high risk.

She says people often ask what preventsthe baby from breathing underwater. Thebaby, she explains, only stays underwater afew seconds and doesn’t take a breath untilhe or she feels the air.

“We’re all on top of it,” says Becker, “We’re not going to take risks.”

She says the babies that have been born via water birth have arrived “super alert with wide open eyes and a great tone.It’s really lovely.”

After a successful first wave of water births,Becker expects to fill the pool many moretimes.

“I’ve been doing this for 35 years, and Iactually got a little teary during the firstwater birth – it was fun to watch,” she says.“We’re excited to be able to offer it.”

For more information about birthing optionsat MCMC, contact First Impressions BirthingCenter at 541.296.7210 or talk to your provider.

“I knew I wanted to have a naturaldelivery and thoughtWhat can I do to makeit easier on my body?I knew the waterwould be where I’d bemost comfortable.”

— K’Lynn Lane

The Lane family revisits the 190-gallon water-birth tub.

16

By Cate Hotchkiss

Regaining her physical fitness has helped Keri Byers

rediscover her former self, inside and out.

Fit as a Fiddle at Fifty

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At age 50, Keri Byers is back on track. Andshe plans to stay there.

The kindergarten teacher at CovenantChristian Academy has steadily lost 50pounds in the last few years. But theweight loss is just part of her success story,she says.

“I’ve found myself again,” explains theformer Texan in a charming southernaccent that reveals her roots. “Being health conscious is really who I am.”

Growing up and into her early 20s, Byerswas an athlete. She ran track andtriathlons, played basketball, spent untold hours in gyms.

“After having children, I kind of put myfitness on hold,” says the mother of four,ages 11, 16, 21 and 25. “Gradually, theweight caught up with me.”

Byers made the decision to shift gears —to get back into shape — several yearsago as she faced a difficult divorceprocess. She wanted to be strong forherself and her children.

With her well-being at stake, she knewthat getting physically fit would also giveher the positive state of mind she neededto get through a challenging time“without collapsing,” she says.

“I knew I had a lot of healing to do and Ididn’t want to go on anti-depressants,”Byers explains.

Her biggest challenge was overcomingthe fear of moving on, but she refused tolet fear hold her back. Instead, she joinedsupport groups, adopted a healthylifestyle and began exercising regularly —a positive formula that moved her towardwellness and a “healed-up” lifestyle, she says.

When the Health & Wellness Center atWater’s Edge opened in June 2010, Byersjoined and “hit it hard,” she says. Shestarted by lifting weights, swimming andcycling. She also improved her diet,adding more fruits and vegetables and

supplementing with vitamins andnutrient-rich shakes to fill any nutritionalgaps. And she drank lots of water.

She then added group fitness classes toher routine, including Body Pump, a high-energy barbell class that helped tone andstrengthen her body. Now, she’s a classinstructor, something she says she neverexpected. She teaches two Body Pumpclasses per week and loves it.

“When the opportunity was presented, Ithought: Can I do this at my age? It’s reallyan intense program,” says Byers. “Teachingis a way to give back. It’s also helped myconfidence.”

She also recently completed a triathlon,the first she’s run in nearly 30 years.

“I’d never worn a wet suit,” she says. “I was out there in the Columbia River sayin’ to myself, What have I gotten myselfinto?” And in the next breath: “You keepgoin’, girl.”

Whether in her role as teacher, friend ormom, Byers encourages others to harnesstheir own strengths to overcomeobstacles. She believes people allow thefear of failure to hold them back or keepthem from trying. In fact, her greatestreward comes from encouraging anotherperson.

“We all have the power to make positivechanges in our lives,” she says. “I tell people:You can do it. You can keep going. You willmake it.”

Byers has created a tool to help her stayon track, the “Wheel of Balance of Life.”

“My goal is to stay balanced,” she says. “It’s important to rest, too, so I can takecare of others.”

She regularly checks in with herself toensure each piece of the wheel is gettingthe attention it deserves. Recently, sheadded graduate school to the balancingact, taking online courses throughConcordia University toward a master’sdegree in education.

It’s sometimes a challenge to balance it all, she says.

“I still want a clean house,” she says,laughing. “I made apple bread on Sunday. I still find time to cook.”

Beautiful both inside and out, Byers adds,“I’m getting older, but I feel better than I’ve felt in 20 years.”

For information about membership in The Health & Wellness Center at Water’sEdge, please call 541.506.5779.

After putting her fitness “on hold,”Keri Byers is pumping up again.

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The best sign George Scheredella could have received that hewas almost recovered from his stroke was a sign that might haveoffended some people.

After leaving MCMC’s mPower Acute Inpatient Rehabilitation unitlast June, Scheredella returned just three months later to sayHello to the therapy staff he had work so closely with for twointense weeks. The problem was, he had made so much progressthat the staff didn’t recognize him. Of course, Scheredellawouldn’t call that much of a problem all things considered.

On June 7, the Goldendale resident experienced a bleed in hisbrain that made the right side of his body go weak, affected hisspeech and resulted in a trip to OHSU for stroke care. Six dayslater he was transferred to mPower with limited use of his rightside and able to speak in only one-word responses, primarily yesand no.

“I could barely use my right hand for a month; now I have almostfull use of it,” says Scheredella, who obviously has regained theuse of multiple words as well.

He needed a wheelchair to get around when first admitted, butwithin a few days graduated to a walker, then a cane and soonwas moving on his own. He owes his progress to the intensiveplan of therapy led by the mPower staff and to his own hardwork, not to mention a little stubbornness.

“The therapists helped me tremendously,” Scheredella says. “They worked on my speech and mobility, got me up every dayto walk and do different exercises and activity. And I was prettydetermined get better. I really kept at it and pushed theenvelope. I’m pretty stubborn, and the staff said it was good tobe stubborn.”

Hard Work, Big Results,

By Dick Baltus

His own stubbornness and determination

and the assistance of MCMC’s

rehabilitation team help Goldendale

stroke patient return to his former self.

Scheredella also gives ample credit to his wife, Peggy, who wasencouraged by staff to participate in his care and showed upevery day. “She was my Rock of Gibraltar,” he says.

Autumn Morrety-Randall, RN, mPower nurse manager, saysthe goal of the therapy team is to return patients home or intoanother community setting, such as an adult foster home orassisted living setting, as quickly as possible. So the therapyregimen is fairly intense.

Over the course of three hours each days, patients may beinvolved in a range of activities, including physical, occupationaland speech therapy and an array of socialization programs, many outside the unit.

In just a few months, George Scheredella has recovered enoughfrom his stroke to complete a roofing project by himself.

19

By George

“Patients eat three meals a day in our community dining room, and their families are welcome; that’s part of the therapy, but it also helps with socialization,” says Morrety-Randall. “OnThursdays, we help patients make the transition back into the community by taking them places like the post office or Discovery Center or retail outlets.”

If discharged to their home, as Scheredella was, patients receive follow-up visits from Mid-Columbia Medical Center’sHome Health team and often additional therapy from MCMC Outpatient Therapy, located at Water’s Edge.

Scheredella completed all phases of his treatment with flying colors.

“I still have a few problems with my speech if I get talking too fast, but I can close my fist now real tight, and I am getting healed up.”

He’s back to operating both tractors and horses and looking so goodhe’s not looking familiar to the people who helped him get back to his former self.

For more information about mPower Rehabilitation, please call 541.506.6901.

The goal of the therapy team is to returnpatients home or into another communitysetting, such as an adult foster home orassisted living setting, as quickly as possible.

George and his “Rock of Gibraltar,” wife Peggy.

All classes and clinics or appointments are held at Water’s Edge, 551 Lone Pine Blvd., The Dalles, unless otherwise indicated. Pre-registration or appointments required; please call 541.296.7319 to register.

CardiacRehabilitationClinicCardiac Rehabilitation is the next step after a heart attack or heartsurgery, a diagnosis of stable chest pain or other cardiacconditions. This

10-week clinic includes supervisedexercise, nutrition and education in heart health management. This clinic will help you regain strength, lessenfatigue while learning the tools to reduce cardiac risk factors. Classes are offered throughout the year andcovered by most insurance plans.

Pulmonary Health ServicesThe Pulmonary Rehabilitation Program at Mid-Columbia Medical Center isdesigned for patients with chronicrespiratory disease (COPD), emphysema,asthma, chronic bronchitis, pulmonaryfibrosis and other chronic lung conditions. This 10-week class explores the relation-ship between breathing disorders andphysical activity. It will guide patients inmaking lifestyle changes that will helpthem to improve their endurance andquality of life. Goals within this programinclude:

• Decreasing shortness of breath• Improving physical conditioning

and exercise tolerance• Improving emotional well being

Acupuncture TherapyAcupuncture is one discipline taken from the heritage of Chinese medicine. The technique involves the insertion of very fine needles at specific points in the body which have been shown to be effective in the treatment of various conditions.

Individual Diabetes Nutrition EducationMeet one on one with our registereddietitian, who will review your bloodsugars in relationship to your nutrition.Together you will customize a healthyeating plan that will support living well with diabetes. Covered by mostinsurance plans.

Individual CertifiedDiabetes Nurse EducatorConsultationSchedule a one on one with ourregistered nurse and learn about the many aspects of blood sugar management. Inthis visit our nurse will work withyou andcustomize the visit toyour specific concerns. Covered bymost insurance plans.

W I N T E R   2 0 1 3     |     W E l l N E s s   a T   W a T E R ’ s   E d g E

551 Lone Pine Blvd., The Dalles

For information or to register call 541.296.7319.

Water’s EdgeMid-Columbia Medical Center at Lone Pine Village

Core Health & Wellness

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Planetree Health Resource Center

Spring Health Lecture SeriesAll lectures are free and open to the public, and are held in the Deschutes Room on the second floor atWater’s Edge, 551 Lone Pine Blvd., The Dalles. Allprograms are from 7 to 8:30 p.m. Call 541.296.8444 or visit www.mcmc.net/library to register.

Tuesday, Feb. 19Good Night, Sleep Tight:

Children & SleepDr. Paul Cardosi, director of

MCMC Sleep CenterThe quality and quantity of your

child’s sleep can affect the entire family. Find out how you can you encourage good

sleep habits for your child, why sleep is soimportant to children and their well-being, and

how much sleep children actually need atdifferent stages of development.

Tuesday, Feb. 26Could it be Your Thyroid?Dr. James Lundblad, Endocrinologist at OHSUand Columbia Crest Clinic Outpatient ServicesLearn the many disorders that affect the thyroid plus symptom

management and treatment.

Tuesday, March 5The Low Glycemic Index Diet:

Is it for You?Registered Dietitian Kjersti MadsenLearn about the Low Glycemic

Index Diet and the role it plays inweight loss and the prevention of chronic illness such as diabetes and heart disease.

Tuesday, March 12Babies 101: Healthy Pregnancy,Health Delivery and Getting Your Body BackAnn Becker, RN, MN, CNM, director of First Impressions at MCMC; MandelynnMorgan, CNM at Columbia River Women’sClinic; Christina Castellano, PT, DPT, director of MCMC Outpatient TherapyOur panel of experts discusses whatmakes a healthy pregnancy, thenewest in labor and delivery optionsavailable at MCMC, including waterbirths, and getting your body backafter childbirth.

Living Healthy with DiabetesJan. 7, 14, 21, 28, 2 to 4:15 pm orMar. 4, 11, 18, 25, 2 to 4:15 pm

The Diabetes Self-ManagementEducation Class is a learning experiencefor people who are newly diagnosed orhave a history of diabetes. In this class,you will learn blood sugar monitoring,nutrition and meal planning, stressreduction, medications and muchmore. We encourage a support personto attend, at no additional fee. Dayand evening classes are availablethroughout the year. The DiabetesEducation program at MCMC isaccredited by the American DiabetesAssociation.

Healthy Weight Solutions Wednesdays, 6:30 to 8:30 pm$199 Begins Jan. 16, 8-week programCall 541.296.7319 for dates and timesLooking for a change? Lackingmotivation? Come join us in HealthyWeight Solutions to get the boost youneed to live the life you've imagined. Byfocusing on mindful living in all aspectsof your life, including food, exercise andstress reduction, you will learn to live inharmony. In our eight-week program wewill provide you with an individualizedmeal plan tailored to your metabolicrate as well as personal training ideas forexercise. Healthy Weight Solutionsprovides you with the tools to sustain a healthy life and attain your body’sideal balance. You are welcome to bring a support person for free!

Mindfulness MeditationWednesday, Jan. 23 orWednesday, Mar. 207 to 8:30 pmWater’s Edge Meditation RoomFree Mounting research is showing the healthbenefits of relaxation practices. In this basic class you will learn the history ofmindfulness, the medical benefits andsimple relaxation techniques that you can use in your personal plan of good health.

W E l l N E s s   R E s o u R c E s   f R o m   m I d - co lu m b I a   m E d I c a l   c E N T E R

Workshops & Clinics

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Mindfulness BreathWednesday, Feb. 20, 7 to 8:30 pmFree Learn simple breathing techniques that canlower blood pressure and pulse, decreasestress and anxiety, improve immune function,ease insomnia, improve digestion and speedhealing time. Wear loose comfy clothing.

Borderline or Pre-Diabetes ClassTuesday, Feb. 26, Noon to 1 pmFreeStudies show that diabetes can be delayedfor 10 years or prevented with lifestylechange. If your healthcare provider has toldyou that you have pre-diabetes or you areinterested in preventing diabetes, this classis for you.

Mindfulness-Based Stress ReductionWednesdays, 2:30 to 4:30 pm Begins April 3, 8-week program$199 In this clinic our instructor will help you toexplore ancient and modern evidence-based researched healing techniques. You will experience gentle meditative yoga and other natural techniques, calledmindfulness relaxation practices, to helpyou activate your own natural healingpowers. The practice allows you to attain:

• Lasting decreases in physical andpsychological symptoms

• Reductions in pain levels and anenhanced ability to cope with pain that may not go away

• An increased ability to relax • Greater energy and

enthusiasm for life • Improved self-esteem • An ability to cope more effectively

with both short and long-termstressful situations

• Healthy weight management

Individual NutritionConsultationBy appointment only. Some insurance plans may cover a portion or all of the visit.Meet one on one with our registereddietitian. Research indicates nutrition plays a vital role in health and diseasemanagement. Our dietitian will guide youin eating healthy and feeling your best.

SHAPEDOWN Starts Feb. 26, after schoolCall 541.296.7319 for dates and timesSHAPEDOWN is a program that for over30 years has gained national recognitionfor teaching parents and children aboutliving a healthy lifestyle. It is geared forchildren ages 6 to 18 years of age. Childrenand teens in SHAPEDOWN enhance theirself-esteem, improve peer relationships,adopt healthier habits and begin to normalizetheir weight within their genetic potential.Parents feel better about their parentingand about their child. The family becomeshealthier and closer. The results ofSHAPEDOWN go far beyond weight control.

Les Mills BODYPUMP™ A challenging barbell workout for all your majormuscle groups; this class combines great musicand exercises like squats, presses, lifts and curlsthat will shape and tone muscles.

Les Mills BODYFLOW™ Fusion of Tai Chi, Yoga and Pilates-inspiredposes that will leave you feeling strong,centered and calm.

Circuit Training Interval resistance training intended to help you build strength and improve cardiovascularfitness.

Boot Camp Ramp up your workout with a dynamic

combination of plyometric drills and body and weight exercises. Intensely fun!

Group Cycle/Core This is an awesome 45-minute cardio blastworkout on a stationary bike followed with 30 minutes of core specific exercises.

Group Cycle A great way to get a vigorous workout on anexercise bike! This class is taught by inspiringinstructors making it fun and challenging!

Water Aerobics A lower-impact water workout that will improve muscle tone and cardiovascular fitness. All levels.

Zumba Aerobic dance exercise designed to tone and sculpt your body while burning fat.

Tai Chi for Balance A great introduction to Tai Chi. Participants may sit or stand during this class.

Personal Training One-on-one sessions with a personal trainer can assist you in developing a training program and reaching personal goals. Trainers can work with your physician,physical therapist and other healthcarespecialists to develop a safe program.

Performance Testing Please call 541.506.5779 to learn more about the following: Resting Metabolic Rate (RMR), VO2 Max, Lactate Threshold, Body Composition, Sub-max VO2, and Sub-max Strength Assessment.

Water’s Edge Health & Wellness Center offers amedical fitness approach to achieving lastinglifestyle change and optimal wellness. We offer a comprehensive selection of group exerciseclasses for all fitness levels. All group classes areincluded with membership. Non-membersare welcomed. Please call 541.506.5779 forprices. Currently we offer more than 40 groupclasses per week! Some class sizes are limited.Registration becomes available 7 days prior toeach class. Class times and days vary. Pleasecheck the calendar at WellnessAtWatersEdge.comfor up-to-date information.

HOURSMonday - Friday: 8 am - 1 pm, 3 - 8 pmSaturday: 8:30 am - 1 pm

WEEKLY ACTIVITIESINCLUDE:• Physical Activities• Hide & Seek Treasure Hunt Adventures• Dehydrating Fruit• Arts & Crafts

Please contact the Kid’s Club for moreinformation on new programing for2013 as well as Parent’s Night Outschedule. 541.506.5786

Skin Care Club Our Skin Care Clubs were created tohelp you achieve the healthy skinyou desire through individualizedskin care therapies. Both pay-as-you-go plans allow you to receivefabulous discounts as you fulfill yourcommitment to caring for your skin.

All Skin Care Club members will receive fun surprises with each visit. Schedule your treatment today and sign up for the Skin Care Club of your choice!

Club 6Club 12Treat your skin to 3 facials in 6 months and receive 50% off your 4th facial.

Rejuvenate your skin with 6 facials in 12 months and receive 7th facial FREE!

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Aerobics, Yoga & Tai Chi

Core Yoga This is a mat-based core stabilization/yoga blend class.

Gentle Yoga An easy-does-it class perfect for beginners.

Hatha Yoga All Levels This class incorporates props, allowingparticipants to receive the maximum benefitfrom each posture.

Healing Hatha Yoga This class is tailored to the individual. Beginners welcome!

Sunrise Yoga Breathe, stretch, strengthen and begin your day in a positive way. All levels.

Vinyasa Flow Yoga Explores flexibility, strength and balance.

YOGA

EXERCISE CLASSES

Valentine’s Day Gift CertificatesCouples Relaxation Massage for Two$200Includes 60-minute couples massage, $50 toward dining and beverages in our Bistro and a chocolate surprise. Delightfully gift wrapped.ORChoose any dollar amount toward a full spa service and we will include achocolate delight for your loved one.

Wellness Retreats and Spa PackagesPlan a healthy and relaxing spa dayretreat for yourself, family, co-workersand friends. Contact the Spa Desk formore information. 541.506.5788

For spa menu and spa services:www.WellnessAtWatersEdge.com or call 541.506.5788.

Couples Massage ClassTuesday, Feb. 12, 6:30 to 9 pm$75This couples massage class is based onsimple, easy-to-learn relaxation massagetechniques and is designed to help you andyour partner share the nurturing, relaxing,therapeutic benefits of massage with eachother. This class is limited to 8 couples. Theclass will begin with basic instruction andthen each couple will be assigned a room and practice with guidance from our massage therapists. Each couple will receive a complementary bottle of ourcustomized massage oil blend.

Aromatherapy forMassage TherapistTuesday, Feb. 26, 9 am to 3 pm$75This class is geared for massage therapists whoare interested in customizing Essential Oils intheir practice. Instruction will include basicchemistry and how essential oils work inharmony with the body, how to choose oilsbased on physiological and emotional levels,the art of blending and three treatments youcan do with clients.

Introduction toAromatherapy Saturday, March 2, 9 am to noon$50 (includes supplies)Aromatherapy is a multifaceted healing art,using the essential oils of aromatic plants andtrees to promote health and wellness. Thisclass will provide education in the safe use of essential oils, both at home and in theworkplace. Promote relaxation and uplift yourbody and mind. Students will create their ownaromatherapeutic blend to take with them.

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MASSAGE

Relaxation............................................ 60min/$65 90min/$90Therapeutic ............. 60min/$75 90min/$100 120min/$135Happy Hands/Feet/Neck/Shoulders .................... 60min/$75Couples MassageRelaxation ..................................... 60min/$150 90min/$200Therapeutic ................................... 60min/$170 90min/$220

ENHANCEMENTS

Add warm stones to any massage .............................. $15Extend massage by 15 minutes .................................... $15Foot Therapy (reflexology or massage) ................15min/$15Scalp Massage....................................................... 15min/$15Scalp & Face Massage ......................................... 15min/$15

REFLExOLOGYReflexology .............................................................. 60min/$65Reflexology & Relaxation Combo ...................... 90min/$100

ACUPUNCTURE

Evaluation & Treatment...................................................... $85Follow-up Treatment .......................................................... $55

BATH THERAPY

Botanical Mineral or Oriental Bath Therapy& Mini-Reflexology ............................................................$45& Essential Facial .............................................................$105& Relaxation Massage ................90min/$99 120min/$120& Therapeutic Massage ............90min/$109 120min/$130

RESURFACING TREATMENTS FACIAL AND BODY

Infusion Peel ......................................... $95 series of five/$400 Microdermabrasion................................ $95 series of six/$485Rain Hydro Therapy .......................... 45min/$75 75min/$110

TREATMENT PACKAGESHead to Toe Therapy ........................................... 2 hours/$130Scalp Massage / Foot Therapy / Bath Therapy / Massage

Head to Toe Rain Hydro Therapy ................. 2.25 hours/$155Rain Hydro Therapy / Head & Foot Therapy / Massage

Especially for Women ...................................... 4.5 hours/$275Therapeutic Facial / Massage / Dietitian Coaching Sessions

Renew Total Body Skin Care ......................... 2.25 hours/$175Essential Facial / Botanical Mineral Bath / Rain Hydro Therapy

Relax ........................................................................ 2 hours/$99Therapeutic Facial / Take Home Skin Care Package

Rejuvenate ........................................................ 2.5 hours/$200Facial Peel or Microdermabrasion / Essential Facial / Massage / Products

Revitalize ......................................................... 2.75 hours/$295Treatment Focused Facial / Rain Hydrotherapy Body Exfoliation Relaxation Massage / Lip & Eye Collagen Treatment / Products

HAIR REMOVAL

Eyebrows ...................... $15Bikini ............................. $35Full Face........................ $50Full Leg ......................... $60Brazilian ....................... $85

Lip or Chin .................... $10Underarm ..................... $351/2 Leg .......................... $35Full Leg w/Bikini ......... $85Back ..................... $35 & up

SKIN CARE AND FACIALS

Essential Facial ............$75Treatment Focused .....$85Make-up Application& Lesson ...................... $50

Men’s ...............................$75Teen .............................. $45Back .............................. $95

Spa Menu — Combine any two single services and receive a 10% discount excluding waxing. Gift Certificates available.

To register for classes call 541.296.7319.To schedule an appointment in the Spa call 541.506.5788.

Cell Actif Plus Professional Facial Treatment .....................$125

CURRENT RESIDENT

1700 E. 19th St., The Dalles, OR 97058

NON-PROFITU.S. Postage

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