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SCOPE Magazine August 2012

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AUGUST 2012  VOL. 28, NO. 4  MASON GENERAL HOSPITAL & FAMILY OF CLINICS

Page 13…

New Surgery Wing is complete

Walking can change your health… page 2

Pack healthy lunches for sharper minds… page 3


get moving Walking helps turn back the clock

About two years ago, Susan Bruun

took steps to improve her future. She started walking regularly. “I had been having some heart irregularity, then some cholesterol and potential blood-sugar issues showed up in my blood work... but when I stepped on the scale at the cardiologist’s office – that was the real wake-up call!” Bruun remembered. She started by walking for about 30 minutes a day, several days a week, while also watching her diet more carefully. “I was pretty proud of myself when I went back for my next check-up, but my doctor was still not impressed with the results of my blood work, so she told

No matter

the need...

me to ‘kick it up,’ ” Bruun said. About that time, a friend introduced Bruun to a local walking route. It covered a fivemile course around Shelton, including walking uphill. “It was a challenge at first, but I gradually built up endurance, and now I do the walk daily – but in reverse, so I can be challenged with the steeper hill. I intend to go every morning, rain or shine, thanks to some good rain gear!” Bruun said. She also enjoys having her husband, John’s company during her walks. “He pushes me to go faster!” she said. Since she started walking two years ago, Bruun has lost about 70 pounds. In addition, her cholesterol numbers

MGH Ankle & Foot (360) 427-0366 MGH Eye Clinic (360) 426-8717 MGH Family Health (360) 426-3862 MGH Mountain View Women’s Health (360) 426-0955 MGH Shelton Orthopedics (360) 427-0663 MGH Surgery Clinic (360) 426-4142

We have a surgeon who is close to home. General surgery, gynecological, eye, shoulder, hand, hip, knee, foot and ankle… CMYK

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Susan Bruun have improved significantly, as well as her blood pressure. She is now off all of her heart-related medications, and her blood-sugar levels are well within the normal range. “I have more energy for my two precious grandchildren, and I enjoy having the time to pray and listen to music and podcasts that help me keep my focus on the Lord,” she said. Bruun has found inspiration from the book, Made to Crave by Lysa Terkeurst. She explained that reading this book helped her learn the difference between feeling “empty” and feeling “hungry”. Along those lines, a recent article in the New York Times cited a study in laboratory animals as well as humans, indicating that regular aerobic exercise, such as walking, can also help stimulate brain development and regenerate brain growth. It has even been shown to rejuvenate brain activity in some seniors.


caring

Sarah Fulkerson, registered dietitian

Healthy lunches pack brain power Whether you’re packing a brown-bag for

the office or planning a lunch menu for your school-aged children, now is a great time to start reassessing the nutritional value of what’s inside those lunch boxes. Sarah Fulkerson, a registered dietitian and certified diabetes educator for MGH&FC, offers a few tips for preparing healthy, tasty meals. “Eating a healthy lunch should keep energy levels up throughout the afternoon, promote alertness and stable moods, prevent hunger and over-eating later on, and even help boost immune function,” Fulkerson advised. She sees positive results in people who make healthier meal choices. “Eating healthy foods on a regular basis improves concentration and performance (both mental/academic, and physical) for all ages… not to mention that making healthy food choices can prevent disease and promote overall wellness,” she explained. Fulkerson recommends selecting some of the following “brain foods”: Choose REAL foods wherever possible, meaning foods that are as close to their original state as they can be, such as a fresh apple instead of apple juice. Make healthier substitutions, such as snacking on almonds instead of chips, etc. Have a balance of nutrients at meals, including some healthy carbohydrates including fruit, whole grains, legumes, etc.; healthy protein such as nuts, soy products, fish, lean meat, eggs, cottage cheese, etc.; and heart-healthy fat such as avocados, olive oil, nuts, and seeds. Vegetables are always a good choice such as beans, carrots, broccoli, spinach, lettuce, and asparagus, among many others.

“Just as important as WHAT you eat is HOW OFTEN you eat,” Fulkerson continued. “It’s important to eat small amounts regularly throughout the day to maintain energy levels and prevent extreme hunger which usually results in eating too much of the notso-healthy foods!” continued on page 5…

Healthy lunch menus for the family N

eed inspiration for how to pack a healthy lunch for you and your kids? Sarah Fulkerson, registered dietitian and certified diabetes educator for MGH&FC, offered the following ideas for preparing a nutritious, individual lunch each day:

First, choose just one of the following sandwiches or entrées:

Tuna sandwich on whole grain bread Egg salad sandwich on whole grain bread Smoked or roast turkey breast on whole grain bread Lean roast beef on whole grain bread Natural peanut butter and all-fruit spread on whole grain bread Whole wheat pita topped with pizza sauce and mozzarella cheese (not a pre-packaged, name-brand option) Tuna kits Roll-ups: fill whole wheat flour tortillas with refried beans and shredded cheese; tuna fish, or with smoked turkey breast, shredded lettuce and cheese — or make your own combinations Hot soup in a thermos

Next, choose just one fruit: Fresh fruit such as apple slices (drizzled with orange juice to prevent them from turning brown), a small bunch of grapes, a banana, orange slices, strawberries, or blueberries continued on page 5… SCOPE  3


caring What’s new at The Birth Center…

Praise for

The Birth Center at MGH

Babies are all smiles in The Birth Center’s new nursery photos! During the first six months of this year, 131 babies were born at The Birth Center at Mason General Hospital. And showing off MGH’s newborns just became easier with WebNursery – MGH’s new online photography service. Now, no matter where grandma lives – as long as she has internet access – she, too, can enjoy pictures of the new baby! With a parent’s permission, the Hospital staff will photograph the newborn and display the pictures on MGH’s secure WebNursery site, hosted by “Our 365”. With a password, family members may then view the photos at the WebNursery. For patient privacy, photos are issued identification numbers, while only first names and last initials appear with the pictures online. This service is FREE to all families of babies born at MGH. There is no obligation to purchase any of the photographs. However, for prints, parents receive a proof sheet of all the portraits, from which they may order and pay for enlargements. Portrait orders can be placed via the website at www.masongeneral.com/birth.htm, where more information is also available. Orders may also be faxed to “Our 365” at (866) 295-7618, or made by calling (800) 620-8474. Please have the customer identification number ready with the order.

March

New parents Ben and Chelsea Fraser with son Elkanah.

2012 Birth C enter s taff, CMYK Words what y cannot expr ess ho ou wm 3 days ’ve done as a . Thes team fo uch we appr e have eciate r us ov emotio been t er the nally, a he mo la nd spir s and th t s t phys it ey wer ically, e infin ually loaded help a it days o ely mo nd f our li re m first ch support. We ves, ild, and came h anageable w ith you ere to left wit You have o r h a lot have o ur more. ur dee Sinc p e s t apprec erely, iation & resp ect.

The Fr aser F amily

The Birth Center makes breastfeeding easier Expecting a baby soon? MGH&FC would like to make nursing easier on mothers by offering breast pumps and accessories locally. Available either for purchase or rental, breast pumps offer lactating mothers options for flexibility when dealing with busy schedules. The Birth Center at MGH provides Medela Symphony breast pumps and educational support for its nursing personnel, and is now making them available to new mothers through rental. MGH&FC Auxiliary Gift Shop, temporarily located downstairs across from the cafeteria, is selling high-quality, hospital-grade electric and manual breast pumps featuring a convenient, backpack-style bag, along with a selection of quality lactation supplies. The Gift Shop is open Monday to Friday, 10 a.m. to 4 p.m. Call them at (360) 426-1611 extension 3307, or view their price list for breastfeeding supplies online at the Hospital website. If you have questions about breast pump rental, call (360) 427-9558.  4  S C O P E

CMYK901 Mountain View Drive, PO Box 1668, Shelton, WA 98584 • Shelton (360) 426-1611, from Allyn Mason General Hospital (360) 275-8614 • www.MasonGeneral.com • TTY/TDD: (360) 427-9593 • Equal Opportunity Provider • Translation Services Provided • Se habla español • Approved by the Joint Commission • Healthcare’s Most Wired Hospital, 2011

Chronic or severe wound? Don’t suffer any longer. Stay close to home when your physician refers you to MGH&FC Wound Care Services. Call (360) 432-3285.


“Dr. Keep (She lton Family Medicine) is a great doctor. T he level of care I re ceived from him is the best I have had. Dr. Keep takes tim e to listen to m y concerns, and addresses each problem head -on to reach a goal we are bo th satisfied wit h. Thank you, to Dr. Keep and h is great staff of n urses.” — SFM patien t

Metabolic syndrome in teens linked to lack of fiber in diet Metabolic syndrome, often a precursor of type 2 diabetes, has become increasingly prevalent among American adolescents, and a major reason may be low level of fiber consumption. A study that analyzed the diets of more than two thousand teenagers found that those eating the most fiber-rich foods had the lowest risk of the metabolic syndrome. About six percent of the subjects had metabolic syndrome, consisting of high blood pressure and cholesterol, elevated blood sugar and large waistlines. The syndrome was most common among those eating less than three grams of fiber per thousand calories. Recommended intake is 14 grams per thousand calories. [SOURCE: “Fiber-eating teens have lower rate of metabolic syndrome,” Reuters Health, November 8, 2011]

Healthy lunches Container of unsweetened applesauce Container of reduced-fat yogurt (stay away from the ones with sprinkles or added toppings) Fruit roll-ups or fruit leather made with real fruit puree

Then select only one vegetable: Raw carrots, broccoli, or cauliflower with ranch dressing Mini salads – place cut-up romaine or other dark, leafy greens in a plastic container with a lid. Place croutons in aluminum foil to be added later, and put salad dressing in a small container with a lid Celery with peanut butter and raisins

Finally, treat yourself to only one of the following snack options: Mozzarella cheese sticks Raw almonds, walnuts, pistachios, cashews, and peanuts (if packing a student’s lunch, make sure there are no peanut allergies in the class) Trail mix made of dried fruit (raisins, dried cranberries, dried cherries), raw almonds or other nuts, sunflower seeds, minipretzel rings or sticks, goldfish pretzels, popcorn, etc. Baked tortilla chips and salsa Natural peanut butter on wholegrain crackers

Lunches continued from page 3…

Savory substitutions

“Breakfast is also a crucial meal, no matter what your age!” she emphasized. The best breakfasts combine some healthy carbohydrates with protein. She suggests nutritious breakfast ideas such as peanut butter on a whole wheat English muffin, an egg, pepper and onion scramble in a corn tortilla, or cottage cheese and fresh fruit.

Fulkerson also encouraged “making over” meals by finding healthier alternatives, such as sandwiches with leaner deli meats, wholegrain breads and lower-calorie condiments; as well as substituting fried chips and snacks with baked chips, air-popped popcorn, trail

continued from page 3…

mix, or vegetables with dip. When enjoying fruit, fresh selections or fruit served in natural juices is always better than fruit served in syrup. Yogurt, trail mix, and homemade baked goods such as oatmeal cookies or fruit muffins make a more wholesome option to satisfy a sweet tooth than cookies or pre-packaged snack cakes. Try quenching your thirst with water, low-fat milk, or 100-percent fruit juice instead of fruit cocktails or sodas. These small nutritional changes can add up to significantly lower levels of sugar, fat, and calories, while at the same time upping the levels of fiber and nutrients consumed in the meal.

Healthy lunch tips Fulkerson also provided “10 Tips for Packing a Healthy Lunch,” by Sue Frederick, author of A Mother’s Guide to Raising Healthy Children. 1. Keep it simple. 2. Get protein into the lunch instead of just carbohydrates. 3. Ask your child to help. 4. Prepare ahead on Sundays. 5. Heat up leftovers. 6. On hot days, make a smoothie. 7. Provide fresh, raw veggies with dip. 8. Make a big salad on Sunday and set aside smaller servings to enjoy later in the week. 9. Always have a fast, easy lunch ready for Friday mornings. 10. Shop for your child’s lunches at a natural foods store.  SCOPE  5


caring Employee focus Melissa Chappell, MGH&FC business office, handles all the patient accounts for the eight clinics that are a part of Mason General Hospital & Family of Clinics. “I enjoy my work here,” she said. “I would love to be able to spend my entire career here, as this is such a great place to work. The people are very knowledgeable and professional.” Melissa has worked in the medical industry for 13 years – the last three and a half years with MGH&FC.

Employees of the Month …Congratulations to MGH&FC “Employee of the Month” for July – Bobbie Paquette, Mountain View Women’s Health; and August – Carol Blevins, central registration.

Welcome new staff

…Samuel Blake, M.D., began seeing patients at MGH Shelton Family Medicine in July. Dr. Blake, who is boardeligible, received his medical degree from the University Of Vermont College of Medicine in 2009, and did his residency at St. Peter Hospital Family Medicine Residency Program in Olympia. …Optometrist Jenni Aaseby, O.D., joined the staff at MGH Eye Clinic in April. She graduated Summa Cum Laude from the University of Houston College of Optometry in 2005 and comes highly recommended. She joins Monica Vuong, M.D., board certified eye surgeon. Dr. Aaseby specializes in eye exams and contact lens fittings. 6  S C O P E

Misti Webb joined the staff at Mountain View Women’s Health as the new clinic manager. She has more than 12 years of management experience in healthcare and insurance.

Zero elective deliveries Washington State recently began a state-wide initiative to reduce the number of elective deliveries of newborn babies before 39 weeks. Full term pregnancy is 40 weeks. Research demonstrates that overall, babies are more developed and have less health problems if delivered after 39 weeks. The staff in The Birth Center at MGH took this challenge, which resulted in the number of elective deliveries before 39 weeks dropping to zero. MGH was the only Critical Access Hospital (CAH) in Western Washington that met this “zero elective deliveries” initiative. Its success would not have been possible without the leadership and teamwork of The Birth Center management, staff, and physicians.

Classes/Support Groups CPR Free Community CPR class in Sept. MGH&FC is offering another FREE Adult, Child, and Infant Basic Life Support CPR class on Thursday, September 13 from 6 to 9 p.m. in MGH&FC’s Learning Center, located next to McDonald’s on Olympic Highway North. The class is open to the entire community, and participants are advised to wear comfortable clothing. A Spanish interpreter will be made available on request. Class size is limited, so please pre-register by calling The Learning Center at (360) 427-3609. This is not a First Aid class.

Diabetes “Living Well with Diatetes” class in Sept. A diagnosis of diabetes does not mean that it has to take over your life! Plan to attend MGH&FC’s two-day class entitled “Living Well With Diabetes.” The two consecutive afternoon sessions will be on Tuesday and Wednesday, September 18 and 19 from 12:30 to 4:30 p.m. in the Skokomish and Washington Rooms at the Hospital. Due to limited space, advanced registration is required. Diabetes education is a covered service under most insurance plans. To pre-register, call Sue Barwick, R.N., C.D.E., at (360) 426-1611, ext. 3301 (from Allyn (360) 275-8614, ext. 3301).

American Business Women’s Award recipients Tickets are now on sale for the 15th annual American Business Women’s Award Luncheon set for Friday, September 21 from 11:30 a.m. to 1 p.m. Due to the Campus Renewal Project, the luncheon will be held at St. Edward’s Catholic Church, 601 W “C” Street, Stephanie L. Shelton. This year’s Fyfe recipients are Stephanie L. Fyfe, owner of Steph’s Espresso; Diana Goldy, office services director, Green Diamond Resource Company; and Patty J. Ayala Ross, library manager, Shelton Timberland Library. Tickets Diana Goldy for the event are $25 per person, and are available at the MGH Development Office at Gateway Center, 2505 Olympic Highway North, Suite 460, Shelton; or by calling (360) 427-3623 (from Allyn (360) 275-8614).   Patty J. Ayala Ross


MGH staff donation:

Healthy Food Drive

M

ore than 355 pounds of food were collected for MGH&FC’s Healthy Food Drive during the National Hospital Week celebration in May. Staff from the Hospital and its eight clinics joined in the collection, which was then donated to the food bank run by Shelton United Methodist Church (SUMC). The theme, “Healthy Food Drive” was used to promote health and wellness, an ongoing initiative of MGH&FC. Collecting the food and then passing it on to SUMC were: Jim Culligan, SUMC; Jim Stuteville, SUMC; Meghan Lucas, MGH development; Lela Culligan, SUMC; Jan Dishon, SUMC; and Jennifer Capps, MGH development.

spital General Holoyees: n o s a M r a p De f Clinics Em nerous & Family o for your ge h c u m o s lus $20 Thank you s of food, p d n u o p 5 5 f3 od bank donation o nk. Our fo a b d o fo on r ou ing in Mas id s in cash for re s n o rs n’t have od for pe on. We do lt provides fo e h S in g y they ostly livin s; if they sa e County, m n li e id u g k is resource e food ban h T income or . m e th our we serve tions from a need food, n o d y r ta s from by mone a donation supported tr x e e m o s anks on and ESOME, th congregati W A re a u you. Yo people like Food Bank h rc u h C t again! ­ is thod United Me —Shelton

Annual Women’s Health Event another success!

MGH&FC’s Anna Bruce, R.N., education department and medical/surgical/pediatrics unit, takes the blood pressure of one of the event attendees.

MGH Diagnostic Imaging Department’s annual Women’s

Health Event, sponsored by the Washington Breast, Cervical and Colon Health Program, and the Karen Hilburn Breast & Cervical Cancer Fund (KHBCCF) was another great success. According to the organizer of the Event, Karry Trout, RT(R)(M), 37 women received free or reduced-cost screening mammograms – 10 more than at the 2011 Event. The mammograms were available to women who were uninsured or underinsured, with financial assistance provided by KHBCCF. Free diabetes and cardiac testing, as well as blood pressure checks, were also offered. The next Women’s Health Event is set for this October, which is National Breast Cancer Awareness Month.

Check out alternative therapies for chronic back pain Persons looking at the Alexander technique as a complementary/alternative therapy for chronic back pain might also consider yoga, acupressure, spinal manipulation, acupuncture and strengthening and stabilizing exercises. Some small studies have found significant benefits from yoga and Chinese acupressure. A United Kingdom study found moderate benefits for spinal manipulation combined with supervised exercise. Strengthening and stabilizing exercises have been found at least moderately effective. Results of studies of acupuncture have been mixed. [SOURCE: Paul Little, “Randomized controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain,” British Medical Journal, August 19, 2008]  SCOPE  7


caring Neighbors who make a difference

Goldsborough Creek Fun Run/Walk T

he annual Goldsborough Creek Fun Run/Walk (2- and 7-mile run or walk) was held in June as a part of the Forest Festival activities. There were more than 230 participants – from all across the area. Centennial Guild, an affiliate of MGH Foundation, was the organizer of the event, with all proceeds going to Mason General Hospital & Family of Clinics. This year’s event was sponsored by Regence BlueShield. Next year’s Fun Run/Walk is set for Saturday June 1, 2013. Join the fun, make memories with friends, family, and co-workers – and support your community at the same time!

A

s a part of Key Bank’s national “Neighbors Make the Difference” campaign, staff from the Shelton Branch office of Key Bank volunteered their time to work in Treasures Thrift Store in May. Participating were (l-r) Diane Robinson, Lilly Adair, Dana Puderbaugh, Traci Hanson, Gayle Weston, and Val Chappell.

Supplements linked to cancer risk

A diet high in fruits and vegetables is known to be associated

with a reduced risk of lung cancer, and the red and yellow pigments known as carotenoids are believed to carry the greatest antioxidant protection. Seeking this kind of protection through supplements may not be wise, however, according to recent research. The large Vitamins And Lifestyle (VITAL) study found that long-term use of beta-carotene, retinol, vitamin A, lutein and lycopene supplements was associated with a significantly higher risk of lung cancer.

Some made it a family event (above)… Others, for office unity (below)… Staff members from Mountain View Women’s Health catch their breath near the finish line: Nkem Nwosa, M.D.; Nora Cutshaw; Tahni O’Connor, Tracy Strahan and Sonya Upson.

Earlier studies had found an increased risk among beta-carotene supplement users who smoked, but this study found an increased risk among both smokers and non-smokers. The authors speculated that: 1) the bioavailability of these substances may be higher in supplements than in food, 2) the higher dose may interfere with the action of other beneficial micronutrients, or 3) a large intake may interfere with natural immune responses. [SOURCE: Jessie A. Satia, et al, “Long-term use of beta-carotene, retinol, lycopene, and lutein supplements and lung cancer risk: results from the VITamins And Lifestyle (VITAL) study,” American Journal of Epidemiology, 2009; 169(7):815-826]

8  S C O P E

“From the first person to the last, including anesthesia, all took the time to talk to me and made sure I understood. They all worked as a team and are so good to each other and to the patients.”   —Surgery patient


giving MGH Foundation receives bequest, Endowment Committee shares basics of planned giving Note: Every year MGH Foundation receives gifts designated by the members of our community through their Wills. Recently, the Foundation received a bequest of more than $27,000 from a generous supporter. Some estate gifts we are aware of, others come as a surprise. We appreciate all gifts made to the Foundation and welcome the opportunity to recognize and thank our donors – privately, through our donor acknowledgement program, or through membership in our Enduring Flame Society. If you have designated a gift to MGH Foundation and would like us to be aware of it, or if you are interested in learning more about how you can make an estate gift to the Foundation, please contact Jennifer Capps, chief development officer at (360) 427-3622. Thank you, to all of the members of our community who choose to contribute to the Foundation throughout the year. For more information about MGH Foundation, visit us on the web at www.MasonGeneral.com.

The Basics of Estate Planning Submitted by Andrea L. Huff and Joe L. Snyder, attorneys. Andrea is a member of the Endowment Committee of the Mason General Hospital Foundation. Estate planning is important to everyone. The following are the most common estate planning documents and the purposes they serve: A Will designates who receives assets, such as family members and/or charities. It names an Executor and appoints Guardians for minor children. Powers of Attorney designate who you wish to make decisions on your behalf if you cannot make them yourself for both financial decisions and health care decisions. continued on page 13 …

Please u enclosed se the envelo make yo ur tax-fre pe to e dona help sup port MG tion to H&FC. To make a secured donation www.Ma online go to sonGene ral.com.

MGH Foundation contributors memorialized MGH Foundation would like to acknowledge former contributors. Listed below are supporters, now deceased, that the Foundation would like to recognize for their past support of our mission and work in the community. Please join us in acknowledging their support of the Foundation during their lifetimes.

Ardith Brown

Wes Johnson

Paul Solomon

Neil E. Evander

Frank Lewis

Shirley Winkelman

Vean Gregg

Jerry Lynch

Kenneth H. Wolden

Marilouise McQuiston

Memorial contributions made to MGH Foundation Mason General Hospital Foundation has received generous donations in memory of the individuals listed below. Donors and memorialized individuals listed in this report reflect contributions made to the Foundation between April 27 and June 27, 2012.

Karla Evans   In memory of:­    Vean Gregg Harold & Marian Greenberg   In memory of:­    Vean Gregg Scott & Karen Hilburn   In memory of:­    Vean Gregg

Roger & Linda Hoff   In memory of:­    Bill Brickert    Don Edmiston    Kenneth H.     Wolden Mark & Bobbie Mager   In memory of:­    Vean Gregg

Mike & Meghan Lucas   In memory of:­    Vean Gregg   ­Bob Jurin Leland & Cathie Rhodes   In memory of:­    Bill Brickert Bellaine West   In memory of:­    Kenneth H.     Wolden

Every effort has been made to ensure the integrity of this listing. If we have inadvertently omitted any names, please accept our apologies and most sincere thanks for your generosity and continued support of Mason General Hospital Foundation.  SCOPE  9


community

Christmastown quilters at at recent celebration at MGH&FC are, in front (l-r): Susan Zorn, Janet Land, Joyce Spatz, Lois Mineo, Emmi Wood, Evelyn Freeman, JoAnne Mills, Vicki Scholzen, Diana Austin, Sue Wilson and Jane Callea. Back (l-r): Caroline Archer, Chris Smilanich, Beverly Burbridge, Linda Walker, Sandy Bamford, Barbara Dennis, Marilyn Dybeck, LouAnn Davis, Lorna Burgwin and Debbie Harden.

Welcoming newborns with special quilts Each baby born at MGH receives

a special welcoming gift: a quilt personally crafted by the volunteers of Christmastown Quilters. This local quilting group was formed in the early 1990s and for the past several years has been donating its handmade quilts to babies born at MGH. In June, members of the Christmastown Quilters hosted a tea at the Shelton United Methodist Church to celebrate all of those who help make these donations possible. During this event, the group presented almost 70 quilts to The Birth Center at MGH. Several Hospital employees recently contributed money and quilting supplies, including batting, fabric, and yarn to help the quilters continue their special work. If you would like to donate to or join the quilters group, they can be contacted by email at christmastownquilters@gmail.com.

10  S C O P E

Prostate awareness saves lives

Prostate cancer kills up to 33,000 men – the population of some small towns – each

year in the United States, said Bill Prastka of the Mason-Shelton “Warrior” Chapter of Us TOO International, a local prostate cancer support group. Citing statistics from www. prostatewashington.org, Prastka said prostate cancer is the second-leading cause of cancer death in men, following lung cancer. A man is diagnosed with prostate cancer every three minutes, while the disease kills another man every 20 minutes. If a man’s father or brother has been diagnosed with prostate cancer, the risk for developing the disease doubles, he added, again referencing recent studies. “But increasingly, the good news is that much, if not most of this, is unnecessary! To find out more, start by asking your doctor (internist), urologist, and even an oncologist if you’re the one guy out of six who will have to deal with this,” Prastka advised. To find out how prostate cancer survivors beat the odds, the local prostate cancer support group will host an informative fair between 1 and 4 p.m. on Saturday, August 11, at the Olympic Bakery at Spencer Lake, Shelton. Medical experts will be on hand, giving presentations on relevant topics, including genetic risk factors, proper lifestyle choices, and benefits of early cancer screening and diagnosis, as well as a wide range of effective treatment options. Five wineries will also be serving “pours” with some complimentary food pairings available. “Think helpful anti-oxidants!” Prastka quipped. Vendors will also be present, along with music, and a limited barbecue on the patio – all in a relaxed atmosphere. Numerous donors have pledged items for a silent auction as part of this event. Opportunities for more serious conversations will continue until 10 p.m. For more information, go to www.olympicbakery.com. Additional information about the local Prostate Cancer Support Group can be found at www.ustoo.org, or the local affiliate, www.olyustoo.org. This is the sponsoring 501-(c) 3 non-profit for this community’s local Prostate Cancer Support Group. Contact information is also available at MasonGeneral.com under Support Groups in the dropdown menu.


hola Suplementos están relacionados con riesgo de cáncer Se sabe que una dieta alta en frutas y verduras está asociada con reducir el riesgo del cáncer de pulmones, y los pigmentos rojos y amarillos conocidos como carotinoides se cree que proveen la mayor protección antioxidante. Pero el tratar de tener este tipo de protección a través de suplementos puede que no ser lo más sabio, según un estudio reciente. El estudio de Vitaminas y Estilo de Vida (VITAL por sus siglas en ingles) encontró usar por un largo tiempo suplementos de beta-carotinoide, retinol, vitamina A, luteína y licopeno estaba asociado con un mas alto riesgo de cáncer en los pulmones. Un estudio previo encontró un aumento de riesgo de los fumadores que toman suplementos de beta-caroteno, pero este estudio encontró un aumento en el riesgo en los fumadores y no fumadores. Los autores especularon que 1) a bio-disponibilidad de estas substancias puede ser mayor en los suplementos que en la comida, 2) la dosis más alta puede interferir con la acción de otros micronutrientes beneficiosos, o 3) un suplemento alto puede interferir con acciones inmunes naturales.

Aumente el consumo de fibra A pesar de los múltiples beneficios a su salud que provee la fibra, la mayoría de los americanos comen menos de la mitad de la cantidad recomendada. Para mejorar su consumo de fibra considere:

Un plato de cereal de grano integral en su desayuno Remplazar el pan blanco, pasta y arroz por productos de granos integrales Comer frutas y verduras Agregar semillas y nueces a sus ensaladas o sopas Agregar frijoles, lentejas y garbanzos en sus comidas Comer una comida vegetariana al menos una vez a la semana

[SOURCE: Jessie A. Satia, et al, “Long-term use of beta-carotene, retinol, lycopene, and lutein supplements and lung cancer risk: results from the VITamin And Lifestyle (VITAL) study,” American Journal of Epidemiology, 2009; 169(7):815-826]

[SOURCE: Kathleen M. Zelman, MPH, RD, LD, “Dietary fiber: insoluble vs. soluble,” WebMD Feature, reviewed by Brunilda Nazario, M.D., October 29, 2010]

Quien necesita un suplemento en su dieta?

Terapias alternativas para el dolor crónico de espalda

La mayoría de los americanos se alimentan bien y reciben los nutrientes que necesitan. Según la Asociación Americana Dietética y el Instituto Nacional de Salud, las personas que pueden necesitar un suplemento son:

Personas de 50 y mayores (vitamina B12, calcio and vitamina D) Mujeres en postmenopausia (calcio, vitamina D) Personas de piel oscura o aquellos que no toman el sol por al menos 15 minutos al día. Ancianos frágiles que no tienen apetito o están enfermos Personas que tienen una dieta restringida debido a una alergia o a cirugía baratica. Pacientes que tienen condiciones médicas crónicas como cáncer, anemia o enfermedad célica. En la mayoria de los casos, es major que un medico recomiende que suplementos tomar. [SOURCE: “Who needs a supplement?” Johns Hopkins Health After 50, February, 2012]

Las personas buscando una terapia alternativa/ complementaria de la técnica de Alexander para el dolor crónico de espalda pueden considerar, el yoga, acupresion, manipulación espinal, acupuntura y ejercicios de estabilidad y fortalecimiento. Algunos estudios han encontrado suficiente beneficios del yoga y la acupresion China. En Reino Unido un estudio encontró beneficios moderados de la manipulación espinal en combinación con ejercicio. Los ejercicios de estabilidad y fortalecimiento se han encontrado moderadamente efectivos. Los resultados de los estudios de acupuntura han estado mezclados. [SOURCE: Paul Little, “Randomized controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent aback pain,” British Medical Journal, August 19, 2008]  S C O P E   11


quality May 14, 2012

Dear Mr. Appel,

ur Emergency Room staff I am writing to commend yo . care I received there on 5/5/12 for the excellent, benevolent t day, in shock and quite I arrived around 3:15 p.m. tha d been hit and cut by a lawn frightened, as my left hand ha e re still intact, but I wasn’t sur mower blade. My fingers we en done, and I am a licensed what damage might have be myself from Hoodsport to massage practitioner. I drove nce and x-rays. Mason General to get assista the Reception area and I was immediately greeted at fore being called in by Linda waited just a few moments be mpassionate and calming Schwartz, R.N. She was so co uld write a letter about my that I asked her name so I co idea that EVERYONE else I experience with her. I had no mpassionate, calming and encountered would also be co is a ne’s names… perhaps there efficient! I did not get everyo r rking that day. I do remembe roster that shows who was wo of my hand and, again, was that Terrence took the x-rays t. pleasant as well as proficien I am healing. I left with I was lucky… all is okay and antibiotics (because Dr. a bandaged finger, a script for r cut is a dirty cut”) and a Hoffman said, “a lawn mowe and ryone waved, said good-bye Eve . arm my in t sho us an tet wished me well. physically and emotionally. I felt very well taken care of, through a very rough I thanked them for helping me easy as possible. They were afternoon and making it as s aware of why the situation wa present with me and seemed ng compassion helped my heali so frightening for me. Their there. process begin right then and have an amazing staff in I wanted to let you know you I am that they were there the the ER and how appreciative afternoon of 5/ 5/12. Best regards, WA JanetMarie Wolfe, Kirkland,

12  S C O P E

Open MRI coming in 2013

Our Campus Renewal Construction Project is making room for a new, stateof-the-art Open MRI unit. Many new pieces of high-tech medical equipment will be installed during the construction, and the Panorama HighField Open MRI is at the top of the list.

Boosting your fiber consumption Despite the many health benefits of fiber, most Americans eat less than half the recommended amount. To improve your fiber intake, consider: a bowl of whole grain cereal for breakfast replacing white bread, pasta and rice with whole grain products snacking on fruits and vegetables adding seeds and nuts to salads and soups incorporating beans, chick peas and lentils into your meal plans eating a vegetarian meal at least once a week. [SOURCE: Kathleen M. Zelman, MPH, RD, LD, “Dietary fiber: insoluble vs. soluble,” WebMD Feature, reviewed by Brunilda Nazario, M.D., October 29, 2010]

MGH&FC are tobacco-free facilities and the entire campus is a tobacco-free zone. Please refrain from smoking or using chewing tobacco .


business Campus Renewal Project By Derek Rae, Construction Manager, Associate, OAC Services, Inc.

August is an exciting time for this area! MGH&FC celebrated the Dedication Ceremony and Open House of Phase 1 of the Hospital’s Campus Renewal Construction Project – 20,000 square feet of state-of-theart surgery suites. The completion of Phase 1 includes the Hospital’s two new south parking lots, a drive-up loop to the new main entrance, post anesthesia care unit, outpatient services, two endoscopy rooms, lab draw space, three operating rooms, a ‘central sterile area’ to support the Surgery department, and ancillary areas for staff and storage. Total completion is scheduled for the middle of August – ahead of the original schedule for September. Work on the new cafeteria has begun. The plan is to double the amount of space that exists today and separate the serving area from the sitting area. From the cafeteria is a door that goes out to the stairs and exterior courtyard. That existing stairway is going to be demolished and replaced with a new, enclosed stairwell that will lead from grade level to a first floor main corridor. The cafeteria remodel and addition will be complete by November, however the stairwell will not be open until the spring of 2013. The Intensive Care Unit (ICU) is working with their new nurses’ station. The nurses’ station looks similar to the new nurses’ stations installed in The Birth Center and in Medical/Surgical/Pediatrics. This marks the completion of renovations to the ICU. All renovation work in The Birth Center is also complete, and the only remaining renovations are to patient rooms in Medical/Surgical/ Pediatrics. The next phase of construction will begin soon. Phase 2 includes demolition of existing surgery areas to make way for a MRI suite, new conference rooms, and additional rooms in Emergency. The existing main (north) entrance will become the Emergency entrance, no longer sharing the entrance with Registration and other Hospital patient services. The north entrance will be reconstructed to have a drive-up loop similar to that of the new south entrance. Phase 2 work will continue into the spring of 2013. Be sure to check the “Construction Progress” board at the north entrance of the Hospital for more detailed updates.

How do I enter the hospital now? Good question. The new surgery wing is conveniently located adjacent to the south entrance of the Hospital. The south entrance was temporarily closed in the spring of 2011 because of the construction project. The north entrance, where patients and visitors have entered since 1992, was formerly known as the Main Entrance to MGH. As of August 16, with the opening of the new surgery wing, the south entrance has been designated as the MAIN ENTRANCE for patients and visitors not needing the Emergency Department (ED). Ed patients will still access the Hospital via the north entrance. Patients and visitors will no longer be able to access MGH via Sherwood Street, as it is now a dedicated fire/ emergency access point to our Hospital campus grounds.

Estate planning

continued from page 9…

A Health Care Directive (also known as a “living will”) states your decision about life-sustaining treatment if you are terminal. Cremation or Burial Authorization establishes your decision and designates persons who are authorized to make the specified arrangements. Other documents that may be appropriate for your family are the following: A Community Property Agreement is a contract between a husband and wife which usually provides that upon the death of a spouse, property passes to the surviving spouse. Several versions of Community Property Agreements exist which one is best depends on your personal situation. A Community Property Agreement is not appropriate for every married couple. A Revocable Living Trust is an alternate estate planning tool appropriate in some situations. As with a Will, a trust designates where your assets pass at your death and names Trustee(s) to administer the trust. A Will is still necessary to name Guardian(s) for minor children, to designate the trust as the beneficiary, and to make other appropriate provisions. Tax planning is also important for income and estate taxes and usually involves larger estates. Note: the estate tax exemption is currently $2.0 million for Washington and $5.0 million for the federal government. However, income tax planning for retirement accounts can be important in estates under the estate tax exemptions.  S C O P E   13


CMYK

901 Mountain View Drive Shelton, WA 98584

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Mason General Hospital

N 13th St

1 Mountain View Women’s Health 2 MGH Eye Clinic 3 Shelton Family Medicine 4 MGH Shelton Orthopedics 5 MGH Ankle & Foot 6 MGH Family Health 7 MGH Surgery Clinic 8 Oakland Bay Pediatrics

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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. Published by: Mason General Hospital & Family of Clinics. Published six times per year. Editor: McCarty & Associates, Inc. “a marketing firm”. Business Office: Office hours: 8 a.m. – 5:30 p.m., Monday – Friday. Spanish Translator Available. Located at Gateway Center, 2505 Olympic Hwy N., Suite 460, (360) 427-9547 Mason General Hospital: Visiting hours: 8 a.m. – 8:30 p.m., daily. Intensive Care Unit (ICU) visiting hours: special hours on a patient-by-patient basis, call for Unit hours. Located at: 901 Mountain View Drive, PO Box 1668, Shelton, WA 98584-5001, (360) 4261611, from Allyn (360) 275-8614. Serving the medical needs of Mason County since 1968. Accredited by The Joint Commission. TTY/TDD: (360) 427-9593. Translation Services Provided. Se habla español. Equal Opportunity Provider. Administration: Bob Appel, chief executive officer; Eric Moll, chief administrative officer; Kevin Roscoe, M.D., chief of staff; CMYK Nancy Trucksess, commissioner/president; Scott Hilburn and Don Wilson, commissioners.

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The Pavilion at Sentry Park November 14, 15, 16, & 17, 2012

Mason General Hospital Foundation presents

Fantasy Forest 2012

Take a trip through the past and into the future of Mason General Hospital & Family of Clinics – through a wonderland of fun & festivities for all!

Tickets are on sale now for the following featured events:

Fashion Show & Luncheon • Wine Tasting: A Toast to Our Donors Business Lunch • Father-Daughter Night Out • Friday Night Battle of the Generations • Candy Cane Carnival • Gala & Live Auction

Events sell out early! So reserve your tickets now by calling (360) 427-3623 or purchase online at www.MasonGeneral.com/2012_fantasy_forest.html – where you will also find more information about Fantasy Forest 2012 events.

2012

Fantasy Forest raises money to buy new, state-of-the-art medical equipment for Mason General Hospital & Family of Clinics. Mark your calendars and get your tickets today before the train leaves the station! You don’t want to miss Mason General Hospital Foundation’s biggest event of the year and the opportunity to support your local hospital!

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Professional Way


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SCOPE Magazine August 2012 by Mason Health - Issuu