Issuu

August 2007

Where caring counts. Feel the difference.

New Lab Stations @ MGH • Privacy • Safety • Convenience

Vol. 23 No. 4

Save the Date for

2007 Fantasy Forest November 14 - 17

The

ab Techs (l to r) Teresa Horne, Mona Mecham, Stephanie Kling, and Elysa Gaffney demonstrate how private and comfortable two of the three newly-installed phlebotomy (blood draw) patient stations are in MGH’s recently remodeled laboratory. “The goal of the remodel was to accommodate our growth in outpatient testing, provide privacy, and support national patient safety goals regarding positive patient and sample identification,” said Dee Ann Kline, Ph.D., director of laboratory services. “Adding cubicles gives us a degree of privacy that we had not previously been able to provide. The addition of a third draw station creates less waiting time for the patient. We placed a computer at each draw station and now the phlebotomists are entering the lab order and labeling tubes with the bar-coded label that positively identifies the sample, throughout the entire testing process.” MGH employs a professional team of highly trained and experienced lab techs who are skilled and competent in patient draws.

What’s Inside: 2 3 4 5 6

Free Community Connections for Elders Two Local Champions Honored Traveling Abroad — Healthfully 2007 Quality Care Open Immunizations at Oakland Bay Pediatrics, North Mason Medical Clinic 7 News Briefs 8 Open Letter, MGH Free Class Saves a Life

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12th annual Fantasy Forest, sponsored by Mason General Hospital Foundation, is gearing up for the 2007 season. It is scheduled to run from November 14 to 17, at The Pavilion at Sentry Park, Shelton. Here is how you can help make this year’s event the best ever: ✦ Volunteer to work at Fantasy Forest events ✦ Donate goods, services, holiday baskets, art, or anything else to be used for Fantasy Forest auctions and raffles ✦ If you are a craftsperson, artist, cottage products entrepreneur, commercial retailer of holiday gifts, or anyone who has seasonal goods to sell, apply for your space, now for the Fantasy Forest Bazaar on Friday, November 16 If you are able and willing to help, or if you wish additional information or an application for vendor space, please call the Foundation Office at (360) 427-3623 (from Belfair (360) 275-8614). For more information visit www.MasonGeneral.com.

Blood Sugar Control Is Improving Of the 20.8 million Americans with diabetes, more than half are keeping their blood sugar at the level recommended by their doctors, compared to only a third who had their blood sugar under control in 2001. Tight control of blood sugar is crucial to preventing diabetic complications that affect the heart, large and small blood vessels, nerves, kidneys, eyes and other organs. [SOURCE: Julie Steenhuysen, “Americans Making Progress Managing Diabetes,” Reuters Health, June 23 2007]

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SCOPE Free Community Connections for Elders Saturday, September 29 Seminars: 10:30 a.m. - 3 p.m. Olympic College, Shelton

Senior citizen? Caring for an elder? What happens when a parent can’t take care of themselves? Come and connect with the people, information, and services in our community that are here for you. Attend free seminars and visit with local agencies. Olympic College, Shelton, is located at 937 W Alpine Way. Call (360) 432-5400 for more information.

In Memory of Mark R Corley, M.D. Mark R Corley, M.D., a well respected and highly regarded physician, passed away in July, 2007, after a long battle with cancer. He moved to Shelton in August of 1987 to set up his practice and was later joined by his wife, Joan, and daughter, Amy. He was the first ever ophthalmologist to practice in Shelton, Mark R Corley, M.D. and served as chief-of-staff at Mason General Hospital in the early 1990’s. Dr. Corley will be truly missed, as he was a compassionate man who touched many lives.

Caring for the family... just like yours.

from Our Patients s o d ! Ku “Mason General Hospital has the best food ever!”

“Excellent care by all. RN’s were excellent and competent.” “Dr. Bonfante is wonderful. She was very personable and did not mind (or express in any way if she did) all the extra visitors in the room.” “You have a wonderful staff and awesome doctors! Thank you for caring.” “Jenny was my nurse. She is the first one I remember seeing. She seemed very compassionate and took the extra time to explain things to me. She helped me a lot and took the time to care. As I was leaving, she went out of her way to speak with me and my husband.” “Dr. Joe Hoffman was excellent! He gave comfort as well as great medical help!!” “MGH: I take this opportunity to let you know how much we appreciate your staff. Beginning with the preparation for my husband’s surgery to the present time, and from Dr. Ogle to the registration and nursing staff, we experienced the most caring and helpful attention one could ever imagine. Kudos and thank you to all!”

Lower Back Carries Heavy Load MSN, EdD, MaryAnne Murray, iﬁed, ARNP, Board Certtitioner Family Nurse Prac

Pen Ho Board Certiﬁ u, M.D. ed, Family Practice

Terry M Diabet allory, AR es Spec NP ialist

M.D. T. Reasol, Jose Jeffrey Internal Medicine ed, Board Certiﬁ

Whenever you lift or carry, you are likely putting a heavy load on the five vertebrae in the lowest part of the back, known as the lumbar spine. Depending on the anatomy of your spine and the way you lift and carry, the cartilaginous discs in the back are subject to movement and herniation or rupture, resulting in lower back pain. Lower back pain does not necessarily mean a herniated disc, and a herniated disc does not always mean long-term problems. For at least six months, conservative treatment for lower back pain usually includes rest (but not total bed rest), anti-inflammatory medication and physical therapy, including training in how to lift without putting undue pressure on the lumbar spine. [SOURCE: Sharon Brady and Sarah Jackson, “Anterior Lumbar Interbody Fusion – Advances in Spinal Fusion Technology,” AORN Journal, November, 2005]

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SCOPE Two Local Champions in Healthcare Honored work with,” said Jennifer Fitchitt, director of medical staff services. At age 78, with eighteen years as MGH District No. 1 commissioner, Don has no plans to retire. “I’m having too much fun right now,” he said.

Don Wilson, commissioner.

Honored as champion in Emergency Services, Greg Yates and his crew of Fire District 5, Allyn, can best be exemplified in how they worked to save a life on March 23, after receiving an emergency dispatch to a 56-year old man who had suffered a heart attack while out clam digging. Yates, a paramedic with 16 years’ emergency experience, arrived at the scene with EMT, Debbie Gau, having to carry the unconscious man on foot 200 feet across the mud at low tide. They were met by Fire

Don Wilson, commissioner of Mason County Public Hospital District No.1, and Greg Yates, Fire District 5 firefighter/ paramedic, both outstanding members of the medical community in Thurston and Mason Counties, were selected as 2007 Healthcare Champions by the Business Examiner. Honored as a cha mpion in support services, Donald Wilson’s valued contribution comes from his extraordinary integrity and years of business experience. A native of Mason County and Korean War veteran with a Master’s degree in business, Don had no technical healthcare background, but a good deal of business experience and a reputation for good old fashioned trust in business. In 1989, after his retirement, Don took a commissioner’s seat and is now serving his third six-year term on the three-member board. Don is best known for his strong leadership and vision for the overall best interest of the community. “He really understands what it takes to have a strong organization,” said Bob Appel, Mason General Hospital CEO. At commission meetings, Don seeks input from hospital staff members themselves, where their needs are concerned. He is also involved in the recruitment of new physicians, and valued for his insights into what skills are needed. “He is awesome to

Above, Firefighter and EMT Debbie Gau, and main “Champion” Paramedic Greg Yates.

Right, Fire District #5 Crew who helped on the call are Chief Dick Knight, and Firefighters/EMT’s Paul Andrews, Bonnie Knight, and Alex Dudder.

Chief, Richard Knight and his wife Bonnie; and with EMT volunteers, Paul Andrews and Alex Dudder. The team worked relentlessly to revive the man with the defibrillator. It was not until the tenth shock that the man’s heart was able to sustain a rhythm on its own. “I’ve been doing this many years,” said Yates, “ and the general outcome under these conditions is that they do not survive.” The man’s survival is owed to the great teamwork of Yates’ crew, and the victim sustained no permanent damage. Assistant Chief, Jeff Cowan calls the crew’s save, “incredible.”

Congratulations to both honorees, and thank you for your “caring” that makes our community “feel the difference”. Editor’s note: Contributed by Kamilla McClelland, Business Examiner

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F O U R

SCOPE Services You Can Use as an Outpatient...

2007 Quality Care

Laboratory Diagnostic Imaging (mammography, x-ray, ultra sound, CAT, etc.) Physical Therapy Respiratory Therapy Dietitian Services Classes: Diabetes Education, FREE Congestive Heart Failure Post-Hospitalization Clinic, and FREE Community CPR MGH and Clinics are now providing all medical records electronically. This means faster and more efficient ways of sending results to your physician’s office.

Traveling Abroad? Planning a tour through the cities of Southeast Asia? Pondering the idea of traipsing through the jungles of Africa? Organizing a relaxing cruise through Mexico or the Panama Canal? Do you want to go fully prepared, and allay those fears of bringing something home other than a gift for your relatives? Set up an appointment with the Mason County Public Health Travel Clinic. Call (360) 427-9670 (ext. 400) for more details. “Let us help you have a wonderful trip!”

atients. ... P w e w No pting N

Monica Vuong, M.D. Ophthalmologist • Routine Eye Exams • Diagnosis & treatment of eye diseases

2300 Kati Court, Suite C, Shelton, WA

(360) 426-8717

• Treatment of Glaucoma, Cataracts & Diabetes • Emergent Care • Eye Surgery

This year’s 2007 Golf Tournament Title Sponsors were “Little Creek Casino & Resort and Squaxin Island Tribe.” Representing the sponsors were Ray Peters and his daughter, Kennedy; Don Whitener; and Walt Archer.

Golfers Raise Monies for Hospital Equipment More than $47,000 was raised at Mason General Hospital Foundation’s 2007 Quality Care Open Golf Tournament, held at Allyn’s LakeLand Village Golf Course the end of June. Little Creek Casino & Resort and Squaxin Island Tribe were the Title Sponsors of the sold-out event. Here are the winners: Low Gross Darryl Skaugstad, Art Ricketts, Chuck Ricketts, Jamie Lewis Low Net Cheryl Graf, Carl Graf, Charlotte Neeves, Rand Neeves 2nd Place Handicap Division Roger Hoff, Gene Dunbar, Jim Ghiglione, John Price 3rd Place Handicap Division Gary Koch, Bill Smith, Kevin Tinsley, Gayle Weston 4th Place Handicap Division Bob Hackney, Travis Hackney, Kyle Hackney, Alice Hackney Low Non-Handicap Mark Skinner, Joel Boede, Jayme McCann, Darren Boede 2nd Place Non-Handicap Keith Geary, David Nixon, Dennis Blood, Bill Tucker 3rd Place Non-Handicap Kris Shegrud, Shaun Meadows, Dean Johnson, Kevin Lee 4th Place Non-Handicap Ken Johnson, Greg Anderson, Larry Sparling, Jim Wilson

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SCOPE

re Open Golf Tournament Thank You Sponsors, for Your Help! The 13th Annual MGH Foundation 2007 Quality Care Open Golf Tournament, under the direction of Jack Stark and Steve DeMiero, and sponsored by Little Creek Casino & Resort and Squaxin Island Tribe, was held at the LakeLand Village Golf Course in Allyn at the end of June. The tournament was pre-sold out for months, with players coming from all over the area to participate. These sponsors helped to make the annual event a big SUCCESS. Thank you, sponsors and golfers, for a great day! Title Sponsor Little Creek Casino & Resort and Squaxin Island Tribe Women’s Prize Sponsor Christmas Village Men’s Prize Sponsor Manke Lumber Company Contest Prize Sponsor Dynamic Collectors Tent Sponsor Mt. St. Helen’s Evergreens and the Eveland Family Golf Course Sponsor Arnold & Smith Insurance Tee Pack Sponsor Capital Business Machines Banner Sponsor Hiawatha Corporation

Registration & Brunch Sponsor Heritage Bank Entertainment Sponsor AIG Valic - Bob and Betty Paulsen Hospitality Cart Sponsor Community Financial Center Program Sponsor Arnold & Smith Insurance

El Riesgo de la Diabetes Durante el Embarazo

Hole Sponsors AMS Real Estate, Fred Finn Arnold & Smith Insurance Ashby Homes Bill Schultz Insurance Brady Trucking William Busacca, D.D.S. CellNetix Pathology Coca Cola DeMiero Enterprises Edward Jones - Baumgartel Electrocom Telecom Falcon Financial, Inc. Green Diamond Resources Hackney Family Dentistry Healthcare Laundry Services Jimini Construction John L. Scott Real Estate Key Bank of Shelton KMAS AM1030 KPS Health Plans La Factor Day Spa Lumbermens of Shelton

Mason County Title Company McCarty & Associates “a marketing firm” McComb Funeral Home Michael Bell & Company Mountain View Women’s Health Clinic Peninsula Credit Union Sage Book Store Shelton Health & Rehabilitation Center Simpson Timber Company South Sound Radiologists Taylor Shellfish Farms Tupper’s Floor Coverings & Interiors Vern’s Restaurant Michael Wittenberg, C.P.A. Major in Kind Gift Donors Coca Cola Food Services of America Gillis Auto Center

Pre-Diabetes Mothers at Risk

Es sabido desde hace mucho tiempo que la diabetes durante el embarazo es un riesgo tanto para la madre como para el bebé. A través de un extenso estudio se ha descubierto que un nivel de azúcar elevado en la sangre aumenta el riesgo de tener bebés con sobrepeso y de los nacimientos por cesárea. Estos bebés tienen la tendencia a tener bajos niveles de azúcar en la sangre y altos niveles de insulina lo cual aumenta el riesgo de obesidad, diabetes y de altos niveles de azúcar cuando son adultos. “Hemos establecido sin ninguna duda que incluso los niveles de azúcar menos elevados que la diabetes conllevan un riesgo”, de acuerdo al autor del estudio presentado en la junta científica anual sobre la diabetes de la Asociación Americana Diabetes.

It’s long been known that diabetes during pregnancy is a risk for both mother and child. A recent large study found that high blood sugar in the mother during pregnancy is associated with an increased risk of large babies and first-time Caesarean section births. The babies were more likely to have low blood sugar and high insulin levels with an increased risk of obesity, diabetes, and high blood sugar in later life. “We have established, without any question, that the levels of blood sugar less elevated than typical diabetes carry risks,” wrote the lead author of the study which was presented at the annual scientific meeting of the American Diabetes Association.

[ORIGEN: Karla K. Johnson, “Study Links Blood Sugar to Newborn Risks,” AP Health, June 23, 2007; Study by Boyd Metzger of Northwestern University]

[SOURCE: Karla K. Johnson, “Study Links Blood Sugar to Newborn Risks,” AP Health, June 23, 2007; Study by Boyd Metzger of Northwestern University]

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SCOPE Now Available at Oakland Bay Pediatrics & North Mason Medical Clinic HPV Immunization In June 2006, the Advisory Committee on Immunization Practices (ACIP) voted to recommend the first vaccine developed to prevent cervical cancer and other diseases in females, caused by certain types of genital human papillomavirus (HPV). The vaccine protects against four HPV types, which together cause 70 percent of cervical cancers and 90 percent of genital warts. The Food and Drug Administration (FDA) recently licensed this vaccine for use in girls/women, ages 9 - 26 years. The vaccine is given through a series of three shots over a sixmonth period.

Rotavirus Vaccine Every healthy newborn in the United States should receive a new vaccine designed to protect against an intestinal germ called rotavirus. Pediatricians recommend three doses of the oral vaccine for nearly every child, at age 2 months, 4 months, and 6 months.

Concerns about Vaccines Unfounded Concerns about the safety of commonly used vaccines spread rapidly among parents. Well controlled studies, however, have found these concerns to be unfounded. ✽ No causal association between MMR vaccine and autism was found in large studies in England, Finland and Denmark. A 1998 study alleging a link has been rejected by all major health organizations and was retracted by its authors in 2004. ✽ Contrary to allegations, data from 200,000 subjects in the Nurses’ Health Study found no link between hepatitis B vaccine and chronic fatigue syndrome or MS. ✽ Tetanus, hepatitis B, and influenza vaccines did not increase the risk of relapse in MS patients, according to a European study. ✽ Several studies have found no increased risk of type 1 diabetes associated with any of the routinely recommended childhood vaccines. ✽ Based on multiple large epidemiological studies, the Institute of Medicine concluded “the evidence favors rejection of a causal relationship between thimerosal-containing vaccines and autism.” Because of concerns about the mercury in thimerosal (a preservative), all common childhood vaccines now contain either no thimerosal or only trace amounts of it. [SOURCE: Sanford R. Kimmel, et al, “Addressing Immunization Barriers, Benefits, and Risks,” Journal of Family Practice, February, 2007]

Having a baby? Want to have it close to home? Go to www.MasonGeneral. com/birth.htm to read all about Mason General Hospital’s birthing plans and its physicians.

www.MasonGeneral.com/BillingQuestion.htm

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SCOPE News Briefs............................................ …Congratulations to MGH “Employees of the Month”: July - Craig Chase, maintenance; and August - Teena Waylett, materials store clerk. …Treasures Thrift Store recognized “Volunteers of the Month” for May - Sue Ayers; June - Carolyn Vogel; and July - Edna Stewart. Congratulations! …Monica Vuong, M.D. was hired by Mason County Eye Clinic as a full-time ophthalmologist to care for patients of all ages. Her specialty is Monica Vuong, M.D. in surgery and diseases of the eye and she brings experience in the management of cataracts, glaucoma, diabetic retinopathy, and macular degeneration. She also performs cataract surgery and laser procedures. “Dr. Vuong worked at the Eye Clinic as a ‘locum tenens’ (temporary physician), and we are delighted that she has agreed to accept a full-time position. We have received so many positive comments about the care she gave as a locum physician,” said Terry Megiveron, clinic director for Public Hospital District No. 1. Dr. Vuong grew up in the Seattle area and received her medical degree from the University of Washington. She did her internship at the University of Massachusetts, Worcester; and her residency at Drexel

EMPLOYEE FOCUS Craig Thurston, certiﬁed surgical technologist “I really enjoy what I do (at MGH),” said Craig Thurston, a certified surgical technologist at MGH. “I like the size of MGH. A smaller-sized hospital allows us to be a lot closer with co-workers, which creates a family atmosphere.”

University, Philadelphia, Pennsylvania. To make an appointment to see her at Mason County Eye Clinic, please call (360) 426-8717. Mason County Eye Clinic is located at 2300 Kati Court, Suite C, Shelton, and is a part of Public Hospital District No. 1 – the governing body of Mason General Hospital, Oakland Bay Pediatrics, and North Mason Medical Clinic. …Once again the Ladies of the Lake have come through with dozens of handmade quilts for Mason General Hospital. These ladies donate their time and energy (not to mention materials) to make quilts for all the newborns in Mason General Hospital’s birthing center. Thank you ladies, for all you do! …This year’s Mason General Hospital Foundation 2007 American Business Women nominees are Lynn Busacca, Mason County Literacy, retired; Vickie Gonzales, Peninsula Credit Union; and Lynn Harvey, owner, Twigs ‘n Twine. The luncheon honoring these women will be held at MGH on Friday, September 14, 2007 at 11:30 a.m. Tickets are $25 each and are available by calling MGH Development Office at (360) 427-3623. Every year MGH’s Foundation honors three outstanding businesswomen who are or were successful in their occupations, work or have worked in Mason County, and are active and volunteer in their community. Past honorees include: 1998 – Miriam Hall, Janet Thornbrue and Patti Tupper; 1999 – Nita Bariekman, Jean Lee and Norma Taylor; 2000 – Kay Gott, Colleen Hunter and Doris Wilson, M.D.; 2001 – Beth Johnston, Betty Wolfe and Mary Helen Anderson; 2002 – Carol Hunter, Rose

Are You Ready for a Disaster?

Join in on 3 Days, 3 Ways Visit: www.govlink.org/3days3ways/

Nye and Cherrie Reitsch; 2003 – Janis Byrd, Carolyn Olsen and Gayle Weston; 2004 – Patti Case, Betty Wing and Catherine Ann Wolf; 2005 – Angela Wake Olsen, Michelle Schnitzer and Renee Youngs; and 2006 – Xinh Dwelley, Irene Locke and Virginia J. McCarty. …In the June issue of SCOPE, every copy had an insert listing all physicians who see patients locally. Unfortunately, Dr. Garrett Ogle, board-certified in general surgery, was Garrett Ogle, M.D. accidentally omitted. We are sorry for this omission, as we know him to be a great surgeon and he deserves all the recognition he should receive. You may reach him at (360) 426-4142. …Dean E. Gushee, M.D., chief-ofemergency services at MGH, recently participated as an oral examiner at the American Board of Emergency Medicine oral certification examination. This position requires four full days’ devotion to the examination process and demands a high level of expertise and dedication to the Dean Gushee, M.D. specialty of emergency medicine. “MGH’s willingness to support this program and the specialty of emergency medicine is deeply appreciated,” said Lynnette Doan-Wiggins, M.D., president of the American Board of Emergency Medicine.

Want to See & Hear about Mason General Hospital? Go to www.MasonGeneral.com and scroll to the bottom of the home page and look for “Video Tour.”

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SCOPE dministration

Our Mission: We take every possible action to protect and promote the health of the people in Mason County while extending respect and compassion as we serve each individual. , ne ia Published by: Public Hospital District No. 1 for D d e an sitiv Dear Bob, Eric, rm you all of a po fo in Mason General Hospital, Oakland Bay Pediatrics, to l ai al em er is en th G on I am writing classes that Mas North Mason Medical Clinic, and Mason County PR C ity is th un m h m ac te co the also helps er ht Eye Clinic. ug da y outcome of one of M . ., free to the public m DiDonna, R.N To Business Office: Office hours: 8 a.m. – 6:30 p.m., s, se as cl e th Hospital provides of he . At one at to r th he ks s as w m lo Monday – Friday. Spanish Translator Available. g al in e th brea class when tim had extra rescue . H, em G th M Located at Gateway Center, 2505 Olympic Hwy d at te r an to w na at di ic th education coor embers of the publ N., Suite 460, (360) 427-9547 m e. to d tim an ng s, lo or ry ct ve T for a EM an gave to the instru en Mason General Hospital: Visiting hours: be ve to ha e go ow, I 10 years. When w As most of you kn r fo 8 a.m. – 8:30 p.m., daily. Located at: 901 Mt. r te gh efi fir r not been a voluntee r equipment may View Drive, Building 1, PO Box 1668, Shelton, ou es im et m My daughter has So t. r equipmen ou on WA 98584-5001, (360) 426-1611, from Belfair nd pe de e a call, w m . To (360) 275-8614. Serving the medical needs ed m ed fro ne ed n iv he ce w re e that she ks be availabl as m e th of the entire county since 1968. Accredited e of w e , on on ter My daughter had mmunity CPR. La co r fo by the Joint Commission on Accreditation of or ct ru st . in es e as an our hom Healthcare Organizations. for donating her tim ll patient, about three minutes from , id at they sa a fa th r to fte ed A ch TTY/TTD: (360) 427-9593. Translation ” at e. sp iv di ns e espo wer ress (by it came in as “unr og ll, pr ca Services Provided. Se habla español. Equal e in th as t w go R e w CP that When Opportunity Provider. en the report was Th . g” in th ea br l “agona minutes. e re th to Oakland Bay Pediatrics: 247 Professional in ve ith ga w m ed To ask ppen wife). This all ha said, “Grab the m Way, Shelton, WA 98584, (360) 426-3102 er ht f ug ie da Ch y m tt , Ba hen our w at th When we arrived do I North Mason Medical Clinic: 140 N.E. S.R. ld ou hy w I thought, well w d behold, we had an 300, Belfair, WA 98528, (360) 275-4084, w Lo . ay yw me in his class.” an of us? I grabbed it (my first time from Shelton (360) 426-8405 d k ea as ah m st e ju th e g er in th us is thrust w ja a do Mason County Eye Clinic: 2300 Kati Court, to d ha to use it. We also . k) Suite C, Shelton, WA 98584, (360) 426-8717 as at m th ce at fa t e ou th e these ever having to us Administration: Bob Appel, chief with Tom giving at th u yo d ll te Ha to e. t s save a lif I really wan an ci ni executive officer; Eric Moll, chief financial ch te al ic o emergency med layed about five de officer; Diane Stillman, chief operating en be ve ha class, it helped tw ld ou k - ventilations w officer; Bonnie J. Davis, M.D., chief of ive. we not had a mas have been so posit t no yone ay er m ev e staff; Nancy Trucksess, commissioner/ of om tc ng ei ou e l-b el th the w minutes, and ways thinking of president; Scott Hilburn and Don Wilson, al r fo , m To to s So kudo commissioners. . into contact with es m co Scope: Published six times per year. he Editor: McCarty & Associates, Inc. Sincerely, T EM d oyee an “a marketing firm” Paula Wood, empl

Hospital A An Open Letter to

To Bremerton

NONPROFIT ORG U.S. POSTAGE PAID OLYMPIA, WA PERMIT NO. 78

Mason General Hospital POB 1668 Shelton, WA 98584

ECRWSS Postal Customer