to stay well

2 011
SUMMER
a multiCare publication
multicare.org
Treat yourself
well
to stay well
CHANGES YOU CAN MAKE TODAY
FOR A BETTER TOMORROW
Allenmore Hospital ~ Good Samaritan Hospital ~ Mary Bridge Children’s
Hospital & Health Center ~ Tacoma General Hospital ~ MultiCare Clinics
spotlight
What’s inside
4
The PURPLE
project
A new campaign
aims to prevent
shaken baby
syndrome.
6
Medical
research
Could participating
in a study be right
for you?
8
Back to
school
It’s not too early to
plan ahead for your
children’s health
care needs.
10
A little goes
a long way
These four lifestyle
changes can prevent
chronic disease—
and its high cost.
MultiCare Health System is a leading-edge,
integrated health organization made up of
four hospitals, numerous primary care and
urgent care clinics, multispecialty centers, Hospice
and Home Health services, and many other services.
A not-for-profi t organization based in Tacoma since
1882, MultiCare has grown over the years in response
to community needs. Today we are the area’s largest
provider of health care services, serving patients at
dozens of locations in Pierce, South King, Kitsap and
Thurston counties. Learn more at multicare.org.
HEALTHY LIVING is published as a community service for the
friends and patients of MultiCare Health System, a not-for-profi t
community organization, P.O. Box 5299, Tacoma, WA 98415-0299.
800.342.9919, multicare.org.
For comments or suggestions about HEALTHY LIVING,
please write to us at [email protected]. Information in
HEALTHY LIVING comes from a wide range of medical experts.
If you have any concerns or questions about specifi c content
that may affect your health, please contact your health care
provider.
Copyright © 2011 Coffey Communications, Inc. CUN26632c
2 • Healthy Living
a message
from the CEo
We all look forward to the
long, sunny summer days
here in Western Washington, especially after this
very long, rainy winter.
Summer is a time of year
that reminds us why
living here is so special.
Gardens are in full bloom and farmers
markets abound with fresh, locally grown
produce. We’re spending more time outdoors
and we’ve broken out our warm weather
wardrobes.
For many reasons, summer is the time
when many of us make a renewed effort to be
proactive about our health and fi tness. In this
issue of Healthy Living, we are pleased to
provide you with information and resources
to help you take charge of your health and the
health of your family.
Several of our expert MultiCare physicians
offer great tips on how you can stay healthy
and avoid preventable chronic illness (page
10), advice on some of the best ways to stay
safe during exercise (page 12), and suggestions for back-to-school preparations to
get your child off to a healthy start this fall
(page 8).
Another feature in this issue that may
be helpful is our story on clinical research
(page 6). Research studies, or clinical trials,
are an important part of health care. They
provide valuable insights into how well new
medicines and medical devices work in treating an array of medical conditions. Clinical
trials also offer patients the chance to
receive personalized care from leading
specialists—and the opportunity to really
make a difference in the kind of treatments
that can potentially benefi t thousands
of people.
MultiCare offers a wide range of research
studies, primarily through the MultiCare
Research Institute as well as our Pulmonary
Research Department. These studies cover
the full range of health care, from sleep studies to asthma medication; from artifi cial
heart valves to drugs that treat cancer. There
are numerous studies going on every day
right here in our community, so patients can
participate easily.
I hope MultiCare and Healthy Living can
help inspire you to take charge of your health
this summer and all year round.
Diane Cecchettini, RN
President and CEO
MultiCare Health System
MultiCare news
in tHE WoRKS
Construction
begins for
Covington
Emergency
department
Construction began in May on
the new MultiCare Covington
Emergency Department, which
will help meet the health care
needs of our growing community. The 24,000-square-foot
facility will offer the following
services:
• A total of 19 treatment rooms, including four
rooms designed to support pediatric patients
and two resuscitation rooms
• Advanced imaging services, including digital x-ray, CT and ultrasound, which will allow
for faster diagnostic procedures
• An ambulance bay large enough to handle
four ambulances at a time and a separate
entrance for patients arriving by car
Some of the key construction milestones:
• Sellen Construction set up trailers and
fencing in April.
• Actual construction work started in
late May.
• The fi rst two months have involved underground utility work, grading and excavation.
• Excavation for the building footings and
foundation will start afterward.
• Structural steel will begin going up later this
summer and the building skin in early fall.
• Interior build-out will take place through the
fall and winter.
• Opening for patients is planned for spring 2012.
Please call our construction hotline at
253.372.7395 or visit covingtonmedical
center.org if you have questions about our construction plans.
Connect with us online
Stay with us
multicare.org
‘Like’ our page
facebook.com/multicarehealth
system
Baby Talk
Sign up for our free weekly parenting email newsletter. messages
are tailored to your week of pregnancy or the age of your child.
Baby talk is developed from the newest evidence-based practices
and our years of experience supporting families. Get weekly
information about your pregnancy, parenting tips and more:
• Your baby’s developmental
Follow us
twitter.com/multicarehealth
Subscribe to health
multicare.org/health-newsletter
Go mobile
m.multicare.org
• Weekly advice, tips and
The Healthy Living Blog:
Join the conversation
support
The Healthy Living Blog offers expanded
• Resources to better
features related to the printed version
support you throughout your
of Healthy Living, articles and informa-
pregnancy and beyond
tion related to health and wellness,
• Research findings that
and the opportunity to comment on
impact you and your baby
every entry.
milestones, week by week
to learn more or
to sign up, visit
multicare.org/baby-talk.
Visit hlmagazine.wordpress.
com to be a part of Healthy
Living’s online community.
multicare.org • 3
MultiCare news
Program educates new
parents to prevent shaken
baby syndrome
In an effort to reduce the increasing incidence of abuse and
shaken baby syndrome in Pierce County, MultiCare Tacoma
General Hospital and MultiCare Mary Bridge Children’s Hospital
& Health Center have launched a campaign to help new parents
better understand their babies’ crying.
Parents of every baby born at MultiCare Tacoma General
Hospital are shown a 10-minute DVD, presented by the National
Center on Shaken Baby Syndrome, called The Period of PURPLE
Crying (see the key at right). The program by the same name
teaches parents about the dangers of shaking a baby and offers
them coping strategies for when they’re frustrated.
The goal of early parent education is to prevent occurrences
of abuse. The push for a proactive educational campaign began
after six children died as a result of abuse in Pierce County
in 2008.
The video features segments such as “Why shaking a baby is
dangerous” and “Consequences of shaking a baby.” It also shares
stories from parents whose children died as a result of being shaken.
Additionally, volunteers are donating handmade purple hats
to send home with babies born at Tacoma General to help remind
parents to keep their baby safe.
Good Samaritan
New docs on the block
Patrick W. Fisher, DO
Emily Huang, DO
Cardiovascular disease
Cardiac Study Center
Physical medicine and rehabilitation
Locum Tenens, Good Samaritan
Physical Medicine and Rehabilitation Center
Sushanta K.
Goswami, MD
Internal medicine
Sound Inpatient Physicians
William H. Hall, MD
Urology
CompHealth
Locum Tenens, Puyallup
Urological Consultants
Yoshio Inoue, MD
Medical oncology
MultiCare Medical Associates
Maggie L. Likes, MD
Pediatric cardiology
Seattle Children’s South
Sound Cardiology
P
U
R
P
L
E
eak of crying: Your baby may cry more each week—
the most at 2 months, then less at 3 to 5 months.
nexpected: Crying can come and go, and you don’t
know why.
esists soothing: Your baby may continue to cry no matter
what you try.
ain-like face: Crying babies may look like they are in pain
even when they are not.
ong-lasting: Crying can last as much as five hours a day
or more.
vening: Your baby may cry more in the late afternoon
and evening.
The information in the video is based on more than 25 years of
research on infant crying and normal infant development conducted
by Ronald G. Barr, MDCM, and other scientists. The Period of Purple Crying concept was developed by Dr. Barr, professor of pediatrics at the University of British Columbia in Vancouver, B.C.
To learn more about the Period of Purple Crying program, go
to purplecrying.org.
Suresh R. Mereddy, MD
Eric Shibley, MD
Internal medicine
Sound Inpatient Physicians
Internal medicine
Locum Tenens, Sound Inpatient
Physicians
Noreen Mian, MD
Pediatrics
MultiCare Medical Associates
Kurt A. Norman, MD
Medical oncology
MultiCare Medical Associates
Victor L. Obregon, MD
Obstetrics and gynecology
MultiCare Medical Associates
Chirag Sanghvi, MD
Anesthesiology
Locum Tenens, Rainier
Anesthesia Associates
4 • Healthy Living
Michelle Show, MD
Family medicine
MultiCare Medical Associates
Keith M. Spellman, MD
Diagnostic radiology
NightShift Radiology
Jan S. Sunde, MD
Obstetrics and gynecology
MultiCare Medical Associates
Xinda D. Wang, MD
Medical oncology
MultiCare Medical Associates
MultiCare news
multiCare
pharmacies
expand services
MultiCare’s Pharmacy Services offers convenient services for patients in multiple locations
throughout Pierce and South King counties,
as well as a number of benefi ts, including:
• Medication fi lled on-site for both hospital
patients and outpatients
• Full access for pharmacists to your
electronic health record
• 24/7 pharmacy support via phone
• Low-cost, competitively priced generics
with 90-day refi ll supplies
• Convenient mail order refi lls
Our current MultiCare Pharmacy
Services locations are:
• MultiCare Clinic Pharmacy
Located next to MultiCare Tacoma General
Hospital and Tacoma Family Medicine Clinic
253.403.4920
• Allenmore Pharmacy
Located inside MultiCare Allenmore Hospital
253.459.6733
• Mary Bridge Clinic Pharmacy
Located inside MultiCare Mary Bridge Children’s Hospital & Health Center
253.403.1411
• Tacoma General Emergency
Department Retail Pharmacy
Located inside the waiting room of the
Emergency Department
253.403.2403
• MultiCare Covington Clinic
What’s new about the aaP’s
new car seat guidelines?
In the April 2011 issue of the American Academy of Pediatrics (AAP) journal Pediatrics,
the AAP unveiled the long-awaited update to
its 2002 child passenger safety policy. The new
policy identifi es the following fi ve evidencebased recommendations, from birth to adolescence, for safely transporting children:
All infants and toddlers should ride in a
rear-facing car safety seat until they are
2 years of age or until they reach the highest
weight or height allowed by the manufacturer
of their car seat.
All children 2 years or older, or those
younger than 2 years who have outgrown
the rear-facing weight or height limit for their
car seat, should use a forward-facing car
seat with a harness for as long as possible,
until they reach the highest weight or height
allowed by the manufacturer of their car seat.
3 All children whose weight or height
is greater than the forward-facing
limit for their car seat should use a beltpositioning booster seat until the vehicle’s
lap-and-shoulder seat belt fi ts properly,
typically when they have reached 4 feet
9 inches in height and are between 8 and
12 years of age.
When children are old enough and
large enough to use the vehicle seat
belt alone, they should always use the
lap-and-shoulder seat belts for optimal
protection.
All children younger than age 13
should be restrained in the rear seats
of vehicles for optimal protection.
Remember that regardless of age or
size, every car safety stage is safer than
the one that comes next—rear-facing is
safer than forward-facing; a harnessed car
seat is safer than a booster seat; the back
seat is safer than the front. So choose and
use car seats that allow children to stay
in each stage as long as possible.
If you have any questions or
would like more information
about local car seat resources,
call the Mary Bridge
Car Seat Help Line
at 253.403.1417.
1 4 2 5 253.372.7220
• MultiCare Gig Harbor Medical
Park
253.530.8000
NEW
• MultiCare Good Samaritan
Behavioral Health
253.697.8333
Two additional pharmacy locations
will be opening in fall 2011 at the new
MultiCare medical offi ce buildings in
Bonney Lake and at the MultiCare Good
Samaritan main campus.
For more information about
MultiCare Pharmacy Services,
visit multicare.org/pharmacy-2.
multicare.org • 5
How to be in a
research study
Your questions answered
WHAT IS A research study? Why would you
want to be in one? How do you volunteer?
We’ve enlisted the help of MultiCare clinical trial experts Richard Shine, PharmD,
Program Director of the MultiCare Research
Institute; Anne Reedy, Manager at the
MultiCare Research Institute; and Darcie
Cruz, Supervisor at MultiCare’s Pulmonary
Research Department, to get your questions
answered.
Q:What are research studies?
A: Research studies, also called clinical tri-
als, are used to determine if a new medicine,
medical device or treatment is safe and effective. Studies take place over the course of a
few weeks, months or even years, depending
on what the study is trying to find out.
are listed there. And most organizations
that run studies, such as MultiCare, post
information about open studies on their
websites.
Q: Are studies safe?
A: “There are risks and potential side
effects with any study,” says Dr. Shine.
“That’s why we’re doing the research.”
Reedy notes that all studies in the U.S.
are approved by an Institutional Review
Board (IRB), an independent committee
that is responsible for reviewing and
approving clinical trials before they are
implemented at research sites.
“The IRB reviews the benefits and risks
of research studies,” she says, “and the IRB
reviews the Informed Consent document
to assure that patients are adequately informed of those benefits and risks.”
Q: How hard is it to
qualify to be in a study?
A: Studies usually need a lot Q: Do I have to pay to be in
of participants. So, if a patient a study?
A: In most cases, the care that patients
meets that study’s specific criteria—which may include age,
gender and a specific illness or
medical condition—joining a
study is not usually difficult,
and in most cases all you have
to do to join is call. Note
that most studies exclude people with serious
medical problems unrelated
to the condition being
studied.
Q: How do I find
a study?
A: One useful resource is the website
clinicaltrials.gov.
Many of the research studies that
are taking place
across the country
6 • Healthy Living
receive for the study—which may include
doctor visits, medicine and medical
equipment—is given to patients free of
charge. In some cases, care that patients
would receive outside of a research study
are charged to the patient or their insurance company. For instance, if a study is
being done in a surgical setting, patients or
their insurance would pay for the surgery,
but the study-related tests and procedures
would be provided at no charge.
Q: Can I earn money being in
a study?
A: “In many cases, patients are paid for their
time and travel,” says Cruz. The exact amount
a patient is paid is based on several factors, such
as the number of doctor’s visits required during
the study. The IRB does review the amounts
that patients are paid to ensure that payments
are not unduly influential.
Q: Will the study make me better?
A: That’s a difficult question to answer, agree
our experts, as studies vary.
“There’s no guarantee the patient will get
better,” says Dr. Shine. “But while the trial
might not help them, it may help other patients down the road.”
Q: So, what’s in it for me?
A: Even without the promise of a “magic
bullet” cure, there are several benefits for study
volunteers, including receiving close follow-up
with study coordinators—who are frequently
nurses with specific training in caring for the
patient’s condition or illness—and physician
investigators. And some studies, says Cruz,
such as asthma and diabetes studies, provide
patients with medical devices like inhalers and
glucometers free of charge.
“Patients learn about what works for them
and what doesn’t,” says Cruz. “We educate
them about their disease to help them manage
their disease better.”
Research, right here
MultiCare has been involved in clinical research for more than 25 years in almost every area
of medicine, including cancer, cardiac, pulmonary, diabetes, neurology and more. We can offer
patients a wide range of opportunities to join a research study—without a long commute.
For more information about our services, visit the MultiCare Research Institute’s
website at multicare.org/research or the MultiCare Pulmonary Research Department’s
website at multicare.org/pulmonaryresearch.
train your brain
adult health
yOU’RE WATCHING WHAT you eat.
you’re keeping an eye on your cholesterol
and blood sugar. you’re making sure to
schedule regular exercise. In short, you’re
doing all you can to keep your body
healthy. Good for you.
Now, what are you doing about the
health of your brain?
A healthy body makes
for a healthy mind
Luckily, the things that you are already
doing to keep your body healthy are also
beneficial for your brain.
“The fact is that just like with the rest
of the body, diet and exercise matter to
the brain,” says Dale Overfield, MD, a
neurologist with MultiCare Neurology
Puyallup who also practices at MultiCare
Neuroscience Center of Washington in
Tacoma.
According to Dr. Overfield, there is even
a growing body of data that suggests that
daily exercise may delay the onset of memory issues. On the flip side, there is also
evidence showing that if you are already
predisposed to developing Alzheimer’s, then
obesity, high blood sugar, cholesterol, or a
combination of these issues may play a role
in bringing the condition on sooner.
“That doesn’t mean these conditions
cause Alzheimer’s,” says Dr. Overfield; Alzheimer’s is, to a great extent, genetic.
“But lifestyle modifications can make a
difference.”
Active minds matter
Articles and Internet sites abound that
list numerous tips and tricks for keeping
our minds and our memories healthy as
we age. Suggestions range from doing daily
crossword puzzles to keeping an active
social calendar.
There is enough data to suggest that using the brain to actively engage in learning
new things—whether that be a language, a
dance step, or simply reading about a new
topic—is good for ongoing brain health.
“It’s not just about doing puzzles,” says
Dr. Overfield.
There is also correlation between social,
outgoing people and healthy brains, says
Dr. Overfield.
“But the truth is that we don’t know
whether one is the result or the other,” he
continues. “Do social people have healthier
brains, or do people with healthy brains
tend to be more social? There’s no good
scientific validation.”
Alzheimer’s, there is currently no pill or
other supplement that has been medically proven to improve your brain health
or your memory or reverse the course of
serious memory loss conditions such as
Alzheimer’s.
“Scientific studies have not found any
product that truly alters Alzheimer’s or
dementia illnesses,” says Dr. Overfield.
Now, where did I leave my keys? The bottom line
Unfortunately, there’s not much to be
done to counteract the little memory slips
that we all experience as we get older.
“Minor memory loss is a normal part of
aging,” says Dr. Overfield, “But it does not
impair ability. The minor memory lapses
are not important.”
When should you be concerned about
your forgetfulness? Dr. Overfield suggests
that often isn’t until family members or
friends start to worry about it too.
“When a patient comes in with complaints about memory, there’s usually no
problem,” he says. “When family members
become concerned, there may be an issue.”
Is there a pill for that?
While medicines and treatments are
available to help with the symptoms of
We can’t halt the effects of aging or
control our genes. But by living an active,
healthy lifestyle, we can help keep our
brains functioning at peak performance.
And, really, when it comes right down to
it, the best advice for keeping your brain as
healthy as possible, notes Dr. Overfield, is
advice your mother may have been giving
you since you were a kid.
“Eat a good diet,” Dr. Overfield says.
“Sleep for an average of eight hours.
Exercise.”
Strength in numbers
Classes can help you meet your health
goals. See our calendar on pages 14
through 19 to fi nd out more!
multicare.org • 7
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8 • Healthy Living
a
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“Find
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Care at right.)
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c
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chool plan
“Don’t wait until the last minute
to schedule health exams or get
immunizations.”
—Elizabeth Neuhalfen, MD
Chronic conditions
There’s a few more things to do to get ready to go
back to school if your child has a chronic condition,
such as an allergy, asthma or diabetes. Health care
practitioners can work closely with parents to help
everyone prepare, says Chelsey McLean, ARNP, a
certified nurse practitioner with MultiCare Sumner
Clinic. Below are some of the steps you can take.
Set up meetings to discuss your child’s health
condition with:
❑ Teachers
❑ School nurses
❑ Coaches
❑ School volunteers
❑ Bus drivers
Deliver to the school nurse:
❑ Medications your child needs to take at school,
along with instructions for use from the doctor
❑ Rescue medicines your child might need (such
as epinephrine or an inhaler)
❑ A three-day emergency supply of your child’s
medication
Drop off at the school office:
❑ A written care plan, such as a 504 plan and
Individualized Education Program
❑ Signed authorizations that give permission to
school personnel to administer medication and
emergency treatment
❑ Current emergency contact information that
includes guardian and health care provider
information
Shots on wheels
The Mary Bridge Mobile
Immunization Clinic travels
throughout the area offering
free shots for children. Call 253403-1767 or visit multicare.org/
immunizationclinic.
MultiCare’s Mobile Health Services also provide immunizations;
call 253-697-4010 or visit multicare.
org/mobile-health-services.
Fin
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multicare.org • 9
Seize today to
seize tomorrow
What you can do to prevent chronic disease
When diagnosis comes first
Prevention isn’t always the fi rst step in addressing a health issue.
Such is the case with allergies, says Zephron Newmark, MD, an
ear, nose and throat specialist with MultiCare Gig Harbor Medical
Park. Before allergy symptoms can be prevented, the allergy—if it
exists—needs to be diagnosed.
Many people assume a chronically stuffy nose means allergies. But that’s not always the case. For instance, it may indicate a
structural problem with the nose itself.
10 • Healthy Living
“Most people are willing to take a preventive approach, but you
have to know what you’re dealing with,” Dr. Newmark says. “The
key is, you have to identify if allergies are the cause, and then you
have to identify what you’re allergic to.” After that, it’s time to talk
prevention.
If you think you may have allergies, schedule an exam with
your doctor or visit multicare.org, where you can search for
physicians by specialty.
EAT HEALTHy, EXERCISE
R E G U L A R Ly, D O N ’ T S M O K E A N D
WATC H yO U R A L C O H O L I N TA K E .
you’ve heard it all before, right? But before you skip to the next article, consider
this: Those four moves, as basic as they may seem, can have a huge impact on
what some call the “public health challenge of the 21st century”—chronic disease.
Chronic conditions are among the most deadly
and common health problems in the U.S. They
account for 7 out of 10 deaths, and in 2005,
almost 50 percent of adults had at least one.
In addition, they’re costly. As a nation, we spend
more than 75 percent of our health care money on
chronic conditions. There is good news, though.
Chronic conditions are also largely preventable,
and that’s where those four moves come into play.
Why the basics are so important
Poor nutrition, lack of physical activity, tobacco use and excessive alcohol consumption have
all been linked to chronic diseases, says Laura
Rogers, MD, a MultiCare internist with Tacoma
Central Internal Medicine. Unhealthy choices can
increase your risk of chronic diseases, but healthy
choices can actually help prevent them.
“These four behaviors are also some of the easiest
things to implement in daily life, and they can have
a long-term impact,” Dr. Rogers says. Easiest here
doesn’t mean without effort, but it does mean that
these measures are straightforward.
“As simple as it sounds, do what you know is
best for yourself,” Dr. Rogers says.
An important part of that is watching your
weight. One in 3 adults in the U.S. is obese,
and obesity increases your risk for developing a
chronic disease. Here, again, healthy choices can
make a significant difference.
Targeting the big hitters
While all chronic diseases need to be addressed, three warrant particular attention: heart
disease, cancer and stroke. Together, they account
for more than 50 percent of deaths each year.
“The key is taking an active role in your health,”
says Suzanne Cornwall, MD, a family medicine
physician with the MultiCare Gig Harbor Medical
Park. According to Dr. Cornwall, that means following a basic healthy lifestyle. But it also means
taking advantage of medical support.
“Doctors and medical facilities can help you
make sense of prevention, especially if your risk
of one or more chronic diseases is high because
of family history or other factors,” she says. “A
provider should always take a moment to offer
you some form of education.”
Of course, for your doctor to help, you need
to see him or her regularly—at least once a year.
Prevention is about maintenance too, Dr. Cornwall notes.
In addition, you can boost your prevention
power by tapping into community health resources,
such as educational classes or nutritional counseling.
Keep tomorrow in mind
It’s true—in the short term, preventive steps
can seem like a nuisance. you may not feel like
you have time to exercise, let alone have a colonoscopy. you may not want to spend money on
a screening. Or maybe they just slip your mind.
But, as both Dr. Cornwall and Dr. Rogers
say, the key to prevention is looking farther down
the road.
“It takes less effort to prevent a chronic medical
disease from happening than it does to treat it and
deal with the consequences,” Dr. Cornwall says,
and Dr. Rogers agrees, adding, “A couple of hours
in 2011 could save you weeks, months or even
years 20 years later. It’s infinite what just a little
measure of prevention can do.”
Additional source: Centers for Disease Control and Prevention
The care you need
MultiCare offers a full range of services,
including preventive care, chronic disease
management and specialty services,
throughout Pierce and South King counties.
For a full list of our services, visit
multicare.org/services-3.
multicare.org • 11
You can’t
rush results
Getting in shape and being active doesn’t
require a lot of complicated steps. But there
are no magic shortcuts.
“Just like you would do proper maintenance
on your car before a long trip,” says Mason
Platt, MD, “the body needs similar attention
to participate at higher levels of activity.”
“It takes a while for your body to get into
‘game shape,’ so to speak,” says Paul
Degenfelder, MD. “The older you are, the
longer it takes.” But, he adds, “The body is a
very dynamic system. It responds well over
time to the stresses we put on it.”
injury-free exercise
Take steps to keep muscles, bones and joints healthy
REGULAR PHySICAL activity and
exercise is a great way to help you stay
healthy. But whether you play a team
sport, take a cardio class at your local
gym or go for brisk walks after dinner,
it’s important to keep yourself safe
from activity-related injuries.
“In the U.S., millions of people are
injured each year while exercising or
playing sports,” says Mason Platt, MD,
an orthopedic surgeon and sports medicine fellowship-trained specialist with
MultiCare Orthopedics & Sports
Medicine – Gig Harbor. “Not all injuries
are preventable, especially when playing
sports. However, there are things that
can be done to increase the odds in your
favor that you won’t become injured.”
“Train for the sport,” Dr. Platt advises.
“Do not rely on the sport to get you in shape.”
Never neglect your warm-up
Many injuries happen because people
don’t take the time to do a really thorough
warm-up, says Dr. Degenfelder. “you want
to do 10 minutes of stretching and warm
up before any activities.”
“Warm-up includes gentle exercises to
increase circulation and temperature,” Dr.
Platt says. “This increases elasticity of muscles, allowing them to stretch rather than tear.”
A good warm-up also includes static
stretching—never bouncing—after the
muscles are warm.
Pay attention while you play
Being aware of your body and its
Make sure you’re prepared
form—for example, how you’re holding
It takes more than the latest workout
your shoulders or bending your knees—
gear to be ready to take on an activity.
can mean the difference between a good
“People tend to get injured when they
workout and a painful injury.
don’t ease into activity; they start too fast,”
“Maintain good form no matter what
says Paul Degenfelder, MD, an arthroscopic you’re doing,” Dr. Degenfelder advises.
and reconstruction fellowship-trained
“When you become fatigued, form is the
orthopedic surgeon with MultiCare Ortho- first thing to fail.” A trainer, coach or class
pedics & Sports Medicine – Puyallup.
instructor can often help, he notes.
12 • Healthy Living
Listen to your body
“you have to let your body dictate what you
can and can’t do,” Dr. Degenfelder says. “Even
if you’re in good shape, you can’t necessarily
jump into a new thing, especially if you’re older.”
“In general,” he continues, “you should
expect that a good workout will leave you feeling winded and tired, but you shouldn’t feel
pain. The next day you may be sore, but you
should be able to do all your normal activities.”
Giving your body time to recover from a
tough workout is also important.
“Recovery could be one of the most important guidelines to prevent injury,” Dr. Platt says.
“At some level or another, all exercise involves
tissue injury. The body needs time and proper
nutrition to heal these tissue injuries.”
Joint Replacement
at MultiCare
MultiCare joint replacement treatments
focus on helping patients regain mobility
and return to independence. Check out our
interactive feature about different joint replacement procedures at multicare.org/
joint-replacement-interactive.
women’s health
Proactive pregnancy
Prepare now for a healthy, happy pregnancy
WHETHER yOU’RE THINKING
about getting pregnant this year or this
month—or even if you’re only in the
“someday I’d like to have a baby” stage—
it pays to plan to help ensure you and
your baby experience a pregnancy that is
as smooth and surprise-free as possible.
“you cannot start too early,” says
Moritz Bartels, MD, an OB/GyN with
the Women’s Health and Wellness Center
at MultiCare Gig Harbor Medical Park.
“I like to see patients three to six
months before they’re trying to get pregnant,” agrees Orestes Molina, MD, also
an OB/GyN with the Women’s Health
and Wellness Center at MultiCare Gig
Harbor Medical Park.
Pre-conceptional planning
Both Drs. Bartels and Molina recommend that women who are planning to
get pregnant in the near future come
in for what they call “pre-conceptional
counseling.” This is a visit in which your
doctor can do a complete physical, take
your medical history, review any medications you are on, discuss any lifestyle
changes that you might need to make and
so forth.
“It’s important to identify problems
early on,” Dr. Bartels says.
Ready to
start planning?
For a full listing of MultiCare’s
OB/GYN services and
providers near you, visit
multicare.org/womens-health.
This pre-conception consultation
with your doctor can help identify any
potential health problems that may make
pregnancy more complicated. The plan
can also lay out the steps you can take on
your own to get your body ready to carry a
growing baby. Some steps Drs. Bartels and
Molina recommend:
START TAKING PRENATAL VITAMINS
NOW, PARTICULARLY FOLIC ACID.
Taking these before pregnancy maximizes
their effects, says Dr. Bartels, especially folic
acid’s role in preventing birth defects.
QUIT SMOKING AND CUT DOWN
ON CAFFEINE AND ALCOHOL.
Smoking is an obvious health threat to both
you and your baby. And, while most doctors
agree that a small amount of caffeine is OK
while pregnant, there is no scientifically
proven number of “safe” alcoholic beverages for pregnant women.
EAT AS IF YOU’RE ALREADY PREGNANT.
Focus on healthy, regular meals, and cut back
on foods that may be harmful to you or your
baby while you are pregnant, such as shellfi sh, undercooked meat and unpasteurized
dairy products.
If you’re overweight, it’s especially important to make healthy changes to your diet
now. Being overweight increases your odds
of pregnancy complications, such as gestational diabetes, and trying to lose weight
after you become pregnant is risky.
“Pregnancy is certainly not a time to go on
a diet,” Dr. Bartels says.
ESTABLISH AN EXERCISE ROUTINE.
“Lots of patients think when they are pregnant they can’t or shouldn’t exercise,” Dr.
Molina says. “That’s just not true.”
Both doctors do caution, however, that it’s
rarely a good idea to start a new physical fi tness program after you become pregnant, so
start pre-pregnancy for best results.
When planning isn’t possible
Both doctors acknowledge that most
women don’t have the luxury of this
kind of advanced planning, as even the
most excited mothers-to-be often don’t
deliberately set out to become pregnant.
In that case, the thing to do, they agree,
is to put as many of these steps as you
can into place as early as possible in
your pregnancy for the health of you
and your baby.
Be ready for baby
MultiCare is offering a newly revamped
selection of childbirth preparation
classes as well as support groups and
other classes for expectant and new
moms, dads, and siblings. Choices include single-day and private classes as
well as an online class option.
See page 17 of this publication
for all the details, or find out more
at multicare.org/childbirthclasses.
multicare.org • 13
sma r t
Take control
July to October
for a healthy life
Unless otherwise noted, visit multicare.org/class or call
800.342.9919 for information or to register.
Education and support for
managing your health and safety
Cardiac Health &
Rehabilitation Program
Diabetes Education
A variety of education programs, including insulin
pump instruction, and individual appointments
are available. Program costs may be covered by
your insurance plan. Doctor referral needed.
• Tacoma, Gig Harbor: 253.403.1726
• South King County: 253.372.7010
• East Pierce County: 253.770.2300
Staying Safe: First Aid
Understand standard first aid and adult CPR.
Certification requires written and skills exams.
253.474.0600
Heart Healthy Eating Class
Perfect for anyone with a personal or family history of heart
disease or high cholesterol. Learn how fats, cholesterol,
carbohydrates and salt affect heart health plus how to look
out for your heart at the grocery store and in restaurants.
Fee: $30/person; $45/couple
MultiCare South Hill Clinic
253.697.8141
Aquatic Therapy Rehabilitation
MultiCare Rehabilitation Specialists.
253.459.6999
Biggest Winner Series
This 12-week program includes before-and-after
health assessments, weekly group workouts
led by a YMCA health and wellness coach, a
12-week exercise program at the YMCA, and a
lot of encouragement along the way. Books and
materials will be provided, and prizes will be
awarded to the biggest winners.
• Current members of the YMCA
of Pierce and Kitsap Counties: $299
• Nonmembers: $389
Visit piercecountygetsfit.org for
upcoming sessions and application
deadlines.
14 • Healthy Living
Yoga for Cancer Survivors
free
Designed for those who have faced cancer.
Appropriate for beginning participants.
Monthly nutrition class offered for before,
during and after cancer.
• MultiCare Tacoma General Hospital
253.403.1058
• MultiCare Gig Harbor Medical Park
253.403.1058
• MultiCare South Hill Clinic
253.697.8141
Cancer Fitness—Taming Treatment
With Exercise
Customized exercise designed for cancer survivors
during treatment and beyond.
Tuesdays
Dr. Richard C. Ostenson Cancer Center at
Good Samaritan
253.697.4899
253.403.2551
The Power of Nutrition
Medically monitored exercise therapy and
lifestyle education about risk-factor reduction,
medications, nutrition and stress reduction for
patients who have had a heart attack, cardiac
bypass surgery, angioplasty/stents, heart valve
surgery or angina. Doctor referral needed.
free
Third Wednesday of the month, 2:30 to 3:30pm
Dr. Richard C. Ostenson Cancer Center at
Good Samaritan
253.697.4899
Pulmonary Rehabilitation
Classes for adults with chronic lung conditions.
Cost may be covered by insurance.
MultiCare Allenmore Hospital
253.459.6623
NEW!
Quit Smart on the Web
Need help quitting tobacco? Join MultiCare’s
four-week web-based tobacco cessation series.
Each one-hour online class will be structured to
provide behavior change skills and participant
support group interaction. Behavior change
skills include creating a quit plan, nutrition,
physical activity and stress management.
This program will be ongoing, cycling through
the topics every four weeks. Participants can
start the program at any time in the series.
Fee: $10
Mondays, noon and 5:30pm
800.485.0205
Check your health
Breast Health and
Bone Density Screenings
The following locations offer comprehensive
DEXA screening for osteoporosis as well as everything you need for breast health: mammography,
ultrasound, stereotactic biopsy, clinical breast exams
and education.
• MultiCare Auburn Clinic: 253.876.8190
• MultiCare Covington Clinic: 253.372.7240
• MultiCare Gig Harbor Medical Park (DEXA
screening and breast health screening only):
253.792.6220
• Carol Milgard Breast Center inTacoma:
253.759.2622
• Diagnostic Imaging Northwest – Puyallup
Imaging Center: 253.841.4353
• Diagnostic Imaging Northwest – Sunrise
Imaging Center: 253.841.4353
• Diagnostic Imaging Northwest – Bonney Lake
Imaging Center: 253.841.4353
20th Annual Courage
Classic Bicycle Tour
Screenings to help
you stay healthy
MultiCare Mobile Health Services
Health screenings and immunizations for adults and
children.
253.697.4010
multicare.org/mobile-health-services
Heart Check Screening
A personalized consultation with a cardiac prevention specialist, a heart disease risk analysis and basic
lab tests.
Fee: Starts at $55
• MultiCareTacoma General Hospital
• MultiCare Gig Harbor Medical Park: 253.403.1726
• MultiCare South Hill Clinic: 253.697.8141
The 20th annual Courage Classic bicycle tour
takes place the weekend of Aug. 6 to 8. This
unique three-day bicycle adventure takes you
through Washington’s majestic mountain
passes and the scenic countryside of Western
and Eastern Washington. While you pedal, you
help stop the cycle of child abuse and neglect in
our communities. The Courage Classic supports
the Child Abuse Intervention Department at
Mary Bridge Children’s Hospital.
Visit courageclassic.org for more
details.
Weight Management
• Body Composition Testing
Check your body fat percentage and lean mass
percentage, and set a goal for your weight.
• Resting Metabolic Rate Screening
Get the exact measurements you need to successfully
lose weight. The comprehensive target calorie report
will show you how to eat the maximum amount of
food and still lose weight.
• Nutrition Counseling
Nutrition counseling sessions, offered by MultiCare
dietitians and tailored to meet your individual needs.
Call for more information about these services and
pricing.
• Gig Harbor: 253.530.8970
• Tacoma: 253.403.1503
Our healthy community
Summer’s End Fun Run
Sunday, Sept. 18, 8am
Kentwood High School
All ages and abilities are welcome to come
out and support the Covington Coalition
for a Healthy Community. Event includes:
• 1-mile junior run
• 5K run/walk
• 10K run
Prizes, T-shirts, top-place medals and fall
bounty produce are all included with your
registration. Several booths and goodie bags
are available as well. Bring the entire family.
Find out more and register at
cruzinpassport.com.
Programs and activities to help build a healthier community
MultiCare Center for Healthy Living
Education and programs for community members
and corporations. We promote health and wellness
with exercise, nutrition, weight loss, life balance
and tobacco cessation. This community resource is
made possible by generous gifts donated through the
MultiCare Health Foundation.
Coalition for a Healthy
Community (CHC)
253.403.1519
Become a volunteer for CHC and help
make a difference in the health of your
community. If you want to be involved
with the Cruzin’ Passport summer
program for Kent School District’s elementary school children, please email
• Sport-specific nutrition counseling
• Body fat testing using the Bod Pod
• Resting metabolic rate testing
[email protected]
or visit cruzinpassport.com.
Meets monthly
MultiCare Covington Clinic
253.372.7245 (Tuesday through
Thursday)
[email protected]
Sports Nutrition
Call for more information and pricing.
253.403.1503
Healthy@Work
Boost productivity and reduce absenteeism with this work-site wellness program. Program offerings include health screenings, health
education programs and classes, all taught on-site for both large
and small companies.
253.403.1503
Family health
and safety
Classes and resources to help keep
your kids safe and healthy
Children’s Asthma Education
free
Education for children with asthma and their
families.
Mary Bridge Children’s Health Center
253.792.6630
Life Jacket Loans
free
Free life jacket loaners available year-round.
Loaned for up to one week. Limited quantities.
Wearer must be present.
Available in Kent and Tacoma
253.403.1234
multicare.org/childhoodsafety
Parent Autism Education Series
free
A three-session series for parents of children
ages 2 to 5 who have been newly diagnosed
with an autism spectrum disorder. We regret that we
are unable to provide child care. Registration is
required; space is limited.
Wednesdays, Oct. 5, 12 and 19; 5 to 8pm
Mary Bridge Children’s Health Center
253.697.5225
Mary Bridge
Mobile Immunization Clinic
free
For children 0 to 18 years old in Southwest
Washington.
Available at various locations.
253.403.1767 or 800.552.1419, ext. 1767
multicare.org/immunizationclinic
Kids in the Kitchen Cooking Class
PowerCook: A Month of Healthy Meals
Kids in grades four through seven will enjoy learning
about nutrition while cooking up some wonderful,
delicious, kid-friendly recipes, all ensured to
add a bit of health to their bodies. The
class includes recipes, an apron and
prizes! Space is limited, so sign up today!
Looking for a way to save time and make healthy
family meals on a budget? Learn to PowerCook! Fix and freeze 30 nutritious meals,
and sample a few finished products.
Class taught by a registered dietitian
and certified diabetes educator from
MultiCare Health System.
Fee: $25
• Friday, Aug. 26, 10am to noon
• Thursday, Oct. 20, 5 to 6:30pm
MultiCare Covington Clinic,
Conference Room 3
800.342.9919
multicare.org/class
Fee: $35; $20 for YMCA members
and MultiCare employees
• Wednesday, Sept. 28, 6 to
9pm, Puyallup
• Wednesday, Nov. 16,
6 to 9pm,Tacoma
piercecounty
getsfi t.org
Custom-fi t Helmets
Bring in your helmet and have our
trained staff custom fi t it. Wearer must
be present.
Call for prices and times.
• Kent (sales), Tacoma (fi ttings only, by
appointment)
253.403.1234
• Puyallup (sales and fi ttings)
253.697.7385
multicare.org/childhoodsafety
SHAPEDOWN
Ten-week weight management groups
for children and teens ages 6 to 17 and
their families. Referral and assessment
required.
New groups begin Sept. 13 for ages
12 to 17 and Sept. 14 for ages 6 to 11.
For more information, call
Peggy Norman, MS, RD, CDE,
at 253-403-1256.
Children’s Diabetes Education and Clinic
Individual education for children newly diagnosed
with diabetes and their families. By appointment for
those who need further education or review. Classes,
camps and support groups also available.
Mary Bridge Children’s Hospital & Health Center
253.403.3131
Don’t WAIT!
“Diabetes, Overweight ’n’ Teens:
Weight Achievement and Intensive
Management”
Diabetes Education and Self-Management
Program class for teens ages 13 to 18 and
their families. Doctor referral needed.
16 • Healthy Living
Wednesdays
Sept. 7 to 28, Oct. 5 to 26
6 to 8pm
MultiCare Tacoma General Hospital
For more information, call Debby
Jackson, RD, CDE, at 253.403.4582.
Car Seat Inspections
Car seat inspections and phone consultations
by certified technicians.
Call for schedules.
Available in Kent, Puyallup and Tacoma
253.403.1234
multicare.org/childhoodsafety
free
Childbirth and family education
MultiCare Family Birth Centers
MultiCare Good Samaritan Hospital and
MultiCare Tacoma General Hospital are here
to help you and your family better understand
and prepare for the arrival of your baby. Our
classes and experienced educators help you
enjoy a more satisfying birth experience.
For a current schedule or to sign up for classes,
visit multicare.org/childbirthclasses.
To sign up over the phone, call 800.342.9919.
For other questions, or to use your ProviderOne
card, call 253.697.5300.
Five-week Childbirth Series
A comprehensive class covering everything from
pregnancy, birth, comfort techniques, medications for
birth and cesarean birth to postpartum, breastfeeding
and newborn care. Meet other expectant parents, tour
our Birth Center with your educator and have plenty of
time to get your questions answered. If you are hoping
to avoid the use of pain medication for childbirth, this
class offers the most practice with non-medication pain
relief techniques. Per class: 2½ hours; total series time:
12½ hours.
Fee: $90 or ProviderOne card
Childbirth: Two-day Class
All the information of a five-week series, but moves
much more quickly over two weekend days. Labor coping and support techniques will be practiced both days.
Tour of our Birth Center included. Each class day is
6½ hours with a lunch break.
Fee: $90 or ProviderOne card
Childbirth: One-day Class
Just the basics for those too busy to attend the longer
classes or who desire a class that moves quickly. While
all subjects are touched on, the primary focus of this
class is to prepare you and your birth partner for the
birth itself. Eight-hour class with a lunch break.
Fee: $80 or ProviderOne card
NEW!
Childbirth: Online Class
This online class offers prepared childbirth instruction
in an easy-to-navigate, self-paced and convenient format. Topics covered are pregnancy, labor, birth stories,
comfort techniques, medical procedures, cesarean birth,
newborn care and postpartum. This class offers information in text, animation, videos and 11 printable handouts. Total average viewing time is four to six hours.
Just for You
If you prefer a private childbirth class, this 4½-hour
private class covers the prenatal education topics
you select. Time and subjects are arranged with
the instructor.
Fee: $175 (not ProviderOne-eligible)
Newborn Basics
This one-night class offers an in-depth preparation
on what to expect from your newborn and how best
to care for him or her when you get home from the
hospital. Sleeping, feeding, diapering, bathing and
safety issues will all be covered with extra time for
your questions or concerns. Three hours.
Fee: $30 (not ProviderOne-eligible)
Big Brother/Big Sister
A fun, 1½-hour class for 3- to 7-year-olds that helps
prepare children to become an older brother or sister.
Class includes activities, safety issues and a Birth
Center tour. Parents attend with their children.
Fee: $15 per family (not ProviderOne-eligible)
free
Birth Center
Tours
View the private birthing suites and get your questions answered about giving birth at Good Samaritan
and Tacoma General hospitals. Information about
preregistration, arrival at the hospital and what to
expect during your stay will be included.
• Good Samaritan Hospital (30-minute tour)
Saturdays, 1pm
Family Birth Center lobby; no need to sign up
• Tacoma General Hospital (45-minute tour)
Three times monthly (see class schedule online)
Call 800.342.9919 to sign up.
This package includes the online class plus a onenight class with the opportunity to meet with a childbirth instructor to practice breathing, relaxation and
hands-on labor support techniques and get questions
answered. A tour may be provided if time permits.
2½ hours for one-night class.
Fee: $65 includes both online and one-night class
(not ProviderOne-eligible)
A “dads-only” class taught by an experienced father
to help expectant dads prepare for their new role.
Veteran dads bring their babies to class to help offer
a realistic, hands-on learning opportunity for the
rookies. Three hours.
Fee: $25 (not ProviderOne-eligible)
free
Fee: $40 (not ProviderOne-eligible)
Online Plus One-night Class
Boot Camp for Dads
free
Mom and Baby Breastfeeding
Support Group at Tacoma
General Hospital
This support group offers professional support for
breastfeeding; baby weight checks; and discussion
of sleep, feeding and adjustment issues. No need to
sign up.
Second and third Tuesdays, 10:30am to noon
Family Education Center, Rainier Pavilion, third
floor, MultiCareTacoma General Hospital
Mom and Baby Support Group
at Good Samaritan
This support group offers informative speakers;
discussion of sleep, feeding and adjustment issues;
baby weight checks; and encouragement and support.
No need to sign up.
Tuesdays, 10:30 to 11:30am (for infants 0 to
6 months) and 11:30am to 12:30pm (for infants
6 to 12 months)
Birth Center Classroom, Good Samaritan Hospital
YMCA: Strengthening
our community
The Y is for everyone. Our programs,
services and initiatives empower
people of all ages to be healthier in
spirit, mind and body and help foster
a community-wide service ethic.
Summer at the Y
Discover a safe place for children of all ages to make friends,
learn new skills, and tackle new challenges and adventures this
summer. Sports, dance, arts and crafts, swimming, group games—
everyone will find something they enjoy! Campers have the opportunity to experience swimming, Tae Kwon Do, making short fi lms,
photography and many other activities.
Programs vary by facility and include:
• Arts
• Day camp
• Teen leadership
• Preschool camps
• And more!
• Skill development
• Aquatics
Learn more at ymcapkc.org/summer.
Stay healthy
Resources to help
adults stay active
MultiCare Celebrate Seniority
This senior membership program for people 55+
consists of people like you who are interested in
maintaining good health and vitality throughout life,
regardless of age. This program provides access to
health education, information, discounts, socializing
and volunteer opportunities.
253.697.7385
Adult Day Health
Promoting independence for older (and
disabled younger)
adults in Tacoma.
253.459.7222
18 • Healthy Living
Exercise for Seniority
Thursdays, 11am to noon
LifeCare Center of
Puyallup
511 10th Ave. SE,
Puyallup
Call Daisha Cruz,
253.845.7566
Home Health
Resources
Comprehensive inhome services provide
nursing, therapy,
social work and aide
care to help people
manage their illness
and recovery at home.
253.301.6400 or
888.516.4504
Discover the magic of Camp Seymour!
A youth camping tradition since 1905, our programs are based on
YMCA values: Caring, Honesty, Respect and Responsibility. We nurture campers in a challenging and supportive environment where their
safety and well-being are our top priority.
At Camp Seymour your child will gain self-confidence and leadership skills and make lifetime memories through climbing, sports,
crafts, boating, camping under the stars and more.
Programs starting June 26 to Aug. 19:
• One-week overnight camps
• Guitar camps
• Performing arts camps
• Teen leadership programs
• Marine science camps
• Backpack and kayak trips for teens
• Sailing camps
Register now at campseymour.org!
Join the Y today
Visit ymcapkc.org, or check out the location nearest you:
• Gig Harbor Family YMCA: 253.853.9622
• Mel Korum Family YMCA: 253.841.9622 (Puyallup)
• Morgan Family YMCA: 253.564.9622 (Pearl Street, Tacoma)
• Lakewood Family YMCA: 253.584.9622
• Tacoma Center YMCA: 253.597.6444 (Downtown Tacoma)
• Bremerton Family YMCA: 360.377.3741
• Haselwood Family YMCA: 360.698.9622 (Silverdale)
Health Benefi ts of Walking and Exercise for Seniors
free
Sept. 12, 3pm
FrankeTobey Jones Retirement Estates
5340 N. Bristol,Tacoma
Facilitator: Kathleen Magonigle, ARNP
To register, call 253.756.6219, email [email protected] or
visit franketobeyjones.com.
Bone and Joint Health for Seniors
free
Oct. 3, 3pm
Franke Tobey Jones Retirement Estates
5340 N. Bristol, Tacoma
Facilitator: Doug Ribeca, DPT
To register, call 253.756.6219, email [email protected] or
visit franketobeyjones.com.
Enhance Fitness
An ongoing senior exercise class, offered by the MultiCare Celebrate
Seniority program, designed to improve strength, flexibility and balance as well as improve your cardiorespiratory system.
253.697.7389
Exercise for Parkinson’s
Thursdays, 11am to noon
LifeCare Center of Puyallup
511 10th Ave. SE, Puyallup
Call Daisha Cruz, 253.845.7566
Get support
Groups and services to give
you the support you need
Alzheimer’s Support Group
A support group for people who are caring for a loved
one with dementia.
Third Tuesday of each month, 5 to 6:30pm
Good Samaritan Behavioral Health, 325 E. Pioneer
Ave., Puyallup
253.697.8400
Lymphedema Networking Group
Facilitated by Julie Venn, LMP, MLD/CDT.
Second Thursday of each month, 7pm
Dr. Richard C. Ostenson Cancer Center at
Good Samaritan
253.697.4899
Covington Women’s
Cancer Support Group
For women who are currently battling cancer or are
survivors.
Second Tuesday of each month, 7 to 8:30pm
MultiCare Covington Clinic, Conference Room 1
253.372.7293
Discoveries Support Groups
For families with children 4 to 18 years old who are
coping with a family member’s serious diagnosis.
Concurrent groups for parents and children.
Mary Bridge Children’s Hospital & Health Center
253.272.8266
Tacoma Prostate Cancer Support Group
For the newly diagnosed as well as those with recurring disease. Family members, friends and medical
professionals are welcome.
Second Thursday and fourth Tuesday of each
month, 6pm
University Place Presbyterian Church,
8101 27th St. W, University Place
www.tpcsg.info
Hospice Bereavement Services
One-on-one support, groups and community
referrals through our Grief Support Services Program.
253.301.6400 or 888.516.4504
Parkinson’s Support Group
For people who have been diagnosed with
Parkinson’s disease and their support partners.
Third Thursday of each month, noon to 1:30pm
LifeCare Center of Puyallup,
511 10th Ave. SE, Puyallup
Facilitator: Karen Williams
[email protected]
253.845.7566
Food Allergy and Asthma Support Group
Shares knowledge, ideas and expertise with families
handling a child’s allergies, food allergies and asthma.
253.792.6630
Cancer Care Support at Good Samaritan
A wide range of cancer support services.
253.697.4899
BRIDGES: A Center for Grieving Children
Grief support groups for families with children 4
to 18 years old who have experienced the loss of a
parent or sibling. Concurrent groups for parents and
children.
Mary Bridge Children’s Hospital & Health Center
253.272.8266
Caregiver Support Group
Open to anyone in the community who is providing
physical or emotional care or financial assistance to an
older or disabled person.
Second Monday of each month, 1:30 to 3pm
Good Samaritan Behavioral Health, room C113,
325 E Pioneer Ave., Puyallup
Facilitator: ShannonTait
[email protected]
253.697.8533
Man-to-Man Prostate Cancer
Support Group
Facilitated by trained volunteers who have recovered
from prostate cancer.
First Wednesday of each month, 7 to 9pm
Good Samaritan Hospital (Call for room location.)
Call Weldon Plett at 253.691.2267.
Puyallup Cancer Support Group
For patients, caregivers, adult family members and
friends.
First Thursday of each month, 1 to 3pm
Dr. Richard C. Ostenson Cancer Center at
Good Samaritan
253.697.4899
Good Samaritan Mom and Baby Group
Support, education and information regarding
community resources.
Tuesdays
• 10:30 to 11:30am: 0 to 6 months old
• 11:30am to 12:30pm: 6 to 12 months old
253.697.5366
Living Well With
free
Chronic Conditions
This six-week workshop, offered through
Multi­Care’s chronic disease management
program, was developed at Stanford University and helps patients with chronic diseases
learn self-management skills. Topics covered
include eating well, managing medications,
setting goals, working with your health care
team and more.
• MultiCare Allenmore Hospital
Tuesdays, Sept. 13 to Oct. 18, 9 to 11:30am
• MultiCare Covington Clinic
Thursdays, Sept. 15 to Oct. 20, 2 to 4:30pm
• MultiCare Good Samaritan Hospital
Wednesdays, Sept. 14 to Oct. 19, 9 to 11:30am
Call 253.792.6710 to register.
MultiCare Health System
P.O. Box 5299
Tacoma, WA 98415-0299
Nonprofit Org.
U.S. Postage
PAID
MultiCare
Health System
Proactive
pregnancy:
What’s best
for baby?
Page 13
Celebrate summer
Summer is in full swing. take advantage of these summer specials at
multiCare Healthy Reflections medical & day Spa and Boutique to help
you look and feel your best while you enjoy the long, sun-soaked summer
days of the Pacific northwest.
SUMMER SPECIALS
• Put Your Best Face Forward
Enjoy a fresh and beautiful complexion this summer while staying safe
from the sun’s damaging rays! We’ve
designed a perfect summertime
facial that will gently exfoliate dry,
dehydrated skin while infusing it with
protective antioxidants to hydrate
your skin to a shimmering perfection.
$65 ($75 value)
Also, receive 20 percent off any
facial products purchased at time
of service.
• Wake Up With Makeup
Why not wake up with beautifully
applied makeup every day?
Permanent cosmetics expert Kim
Fleming’s perfected manual method
provides 100 percent accuracy to
enhance your look and simplify your
beauty regime.
Eyebrows $400, eyeliner $400,
lip liner $450, full lips $600
Purchase one makeup area and
receive a second at 20 percent off.
Mention SPA 11-24.
• Bright Eyes
no more runny mascara! Save on
time and save on cosmetics by getting your lashes and brows tinted
for summer.
$40
Latisse (Gig Harbor only): Book
your free consultation for Latisse,
and find out about getting long,
luscious lashes.
• Spray Tan
no tan lines, no painful burns...
enjoy a beautiful summer-bronze
look. Get the perfect tan without
aging and damaging your skin from
overexposure to harmful UV rays.
$40
Receive 20 percent off iS Clinical
botanical sunscreen products at
time of service.
Also enjoy 30 percent off in our Boutique
on all summer apparel, sandals and décor.
Specials good through Oct. 1, 2011. Other discounts do not apply.
MultiCare Gig Harbor Medical Park
4545 Pt. Fosdick Drive NW | 253.530.8005
MultiCare Covington Clinic
17700 SE 272nd Street | 253.372.7008
healthyreflections.org
Follow us on Facebook at facebook.com/HealthyReflections.