2019 Medical Directory

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Medical Directory TABLE OF CONTENTS

Achilles Tendon May Be Window Into Heart Disease Severity..........................................................Page 4 Coronary calcium test could help clarify heart disease risk – and control cholesterol....................Page 6 Youth sports injuries can turn into chronic problems, doctors warn..............................................Page 7 Heart meeting features fish oil, vitamin D, cholesterol news........................................................Page 8 Heart attacks are becoming more common in younger people, especially women...................Page 10 Multivitamins and supplements: To take or not to take?...................................................................Page 12 Home remedies: What about those wrinkles?.......................Page 13 2019 MEDICAL SERVICE LISTINGS.......................................................PAGE15 3 • 2019 Medical Directory

Achilles tendon may be window into heart disease severity American Heart Association News For people with coronary artery disease, the thickness of the Achilles tendon may be an indicator of the severity of their disease and how likely they are to have

a heart attack, new research suggests.

The Achilles tendon – the longest and strongest tendon in the body – connects the calf muscles to the heel bone.

The study, presented recently at the American Heart Association’s Scientific

Sessions meeting in Chicago, looked at the association between severity of coronary artery disease and thickness of the Achilles tendon in 241 people who had received a stent to open a blocked blood vessel in their heart.

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The researchers identified participants with an Achilles tendon thickness of 9 millimeters – about a third of an inch – or more. About 80 percent of those patients had more than one heart artery that was blocked, placing them at higher risk for a heart attack. Among those with a thinner Achilles tendon, 58 percent had more than one blocked heart artery.

People with a thick Achilles tendon also were more likely to have left main coronary artery disease, which is associated with the highest risk of heart disease and death.

The study’s lead author, Dr. Takuya Hashimoto, a cardiologist at the Kitasato University School of Medicine in Tokyo, said that a diagnosis of Achilles tendon thickness could potentially be used to identify people at risk of heart

People with a thick Achilles tendon also were more likely to have left main coronary artery disease, which is associated with the highest risk of heart disease and death. disease.

But he said this study c o u l d n’t c o n f i r m t h a t because it included patients already with coronary artery disease and did not look at patients with Achilles tendon thickening due to other causes.

Another study presented at the conference looked at the best way to diagnose familial hypercholesterolemia, or FH, by measuring Achilles tendon thickness.

FH is an inherited disorder that causes dangerously high

cholesterol levels. Achilles tendon lumps caused by cholesterol deposits, known as xanthomas, are a known indicator of coronary artery disease in people with FH. X-rays are generally used, but the new study found that ultrasound imaging may be better at detecting the genetic condition among people who needed a heart stent.

Dr. Philip Ades, a cardiologist at the University of Vermont College of Medicine who was not involved with either study, said the research addresses an

association that has intrigued heart doctors for years.

“As a clinician, if I see a patient with a very thickened Achilles tendon or xanthomas, I’ll tell myself, “If they’re depositing cholesterol in their tendons, it’s very likely they’re depositing lipids elsewhere, such as in their coronary arteries,’” he said.

But given that there already are numerous ways to predict which patients are more likely to develop coronary artery disease, Ades said he doesn’t see screening for Achilles tendon thickness as something likely to become routine.

“Sending people to the hospital for a fancy X-ray of their Achilles isn’t warranted when we already have these simple measures to tell us who is more likely to have coronary disease,” he said.

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Coronary calcium test could help clarify heart disease risk – and control cholesterol American Heart Association News When doctors are sorting out what to do about a patient’s cholesterol, a key calculation is that patient’s future risk for developing heart disease. But what if that risk is uncertain?

New cholesterol guidelines released Saturday suggest it can help to have a coronary artery calcium test when risk status for people 40 to 75 years old is uncertain to determine who will benefit from statins.

Also known as a CAC test, it involves a type of rapid X-ray called a CT scan. It takes cross-sectional images of the vessels that supply blood to the heart muscle, to check for the buildup of calcified plaque, which is composed of fats, cholesterol, calcium and other substances in the blood. This calcium is different from the calcium in bones and isn’t

related to too much calcium in a diet.

The measurement can help a doctor identify who is at risk for heart disease before a person has signs or symptoms.

“A coronary artery calcium score can help refine decision-making about whether someone needs a medication to reduce their risk,” said Dr. Donald Lloyd-Jones, a cardiologist and chair of the Department of Preventive Medicine at Northwestern University in Chicago.

The new cholesterol guidelines now have the benefit of more scientific studies that show the difference a CAC score can make in homing in on a person’s future risk of cardiovascular disease – and whether to start on cholesterollowering drugs such as statins.

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According to the new guidelines, here are some groups where CAC testing may be useful: • People reluctant to begin statin therapy and who want to understand their risk and potential benefit more precisely.

• People concerned about restarting statin therapy after stopping treatment because of side effects.

• Men ages 55 to 80 or women 60 to 80 with few risk factors who question whether they would benefit from statin therapy.

• People ages 40 to 55 with an estimated 10-year risk for developing heart disease between 5 percent and 7.5 percent, and risk factors that increase their chances of heart disease. universally for everyone but is most helpful for those whose risk falls in an intermediate zone.

The guidelines lead doctors through a process – using a calculated formula and taking into account risk factors such as diabetes, cholesterol levels and high blood pressure – to place a patient in four classifications of risk: low, borderline, intermediate and high.

For intermediate or some borderline patients, the guidelines suggest doctors have an in-depth discussion about the potential benefits of statin drugs, considering all risk factors. If uncertainty remains whether to use a statin, doctors can consider delving further with a CAC test.

The test isn’t always covered by insurance but can range in cost from about $100 to $400. It involves an equivalent amount of radiation exposure as a mammogram. The guidelines recommend the screening be done in facilities that have up-todate technology that delivers the lowest radiation possible.

“It’s been demonstrated to be able to help (doctors) make better decisions and target those people who may need medication to reduce

risk or identify people with a CAC score of 0 who may be able to avoid medication,” said Lloyd-Jones, a member of the guideline writing committee. “It makes a compelling case for cost-effectiveness. Our expectation is that insurance should start to cover it, not as a universal screening test, but for those people with intermediate risk.”

A score of 1 to 99 indicates calcium is beginning to accumulate, and it then becomes a clinical judgment, said Dr. Scott Grundy, chair of the guideline writing committee and professor of internal medicine at the University of Texas Southwestern Medical Center and Veterans Affairs Medical Center in Dallas. “If your score is above a 100, then those people should probably be taking a statin.”

The new CAC recommendation comes amid controversy in the field, he said. “Not everyone has been as thoughtful about it. So, we tried to develop the ideas in a more reasonable way based on the data that’s available. Evidence is growing, and we want to use it appropriately in the right people.”

Youth sports injuries can turn into chronic problems, doctors warn

By Kate Thayer Chicago Tribune

in recent years, and at younger ages.

“I’m seeing kids from 7 on up for overuse injuries,” she said. The injuries come in the forms of sprains, breaks, stress fractures and other problems Leo Anderson was in the middle of a baseball game when he threw a that cause “much more increased pain at a much younger age” than she ball he had just caught, heard a crunch in his elbow and fell to the ground. used to see, and span many sports.

That sound was a growth plate in his elbow breaking, and it ended the Kramer said children are at risk for these injuries because they are still now-15-year-old’s season last spring. growing and growth plates are shifting. She said she advises these young Doctors said the break was caused by overuse, and the Highland Park, Ill., athletes and their parents to try more variety in sports or cross-conditioning, teenager had surgery to place a pin in his elbow to stabilize it. Anderson, and stresses the importance of rest. Societal pressures seem to play into the a catcher who had been trying out desire for high achievement in sports, pitching, wore a cast for 12 weeks before often leading to overplay, Kramer said. his comeback this fall, playing for the “Sports specialization has led to almost an “If we could convince people to not Slammers club team in Lake County. The specialize in one sport at a young age, it freshman at Lake Forest High School also epidemic in sports injuries,” said “Kids are would help a lot,” she said. had physical therapy until November and For Leo Anderson’s arm injury, the fatigued, and they’re not strengthening the tipping says he hopes to play for his high school point seemed to be when Leo, team in the upcoming spring season, in a catcher since childhood, started to try way they should be.” addition to his other team. out pitching with private lessons, plus But his father, Bill Anderson, said he now his regular team practices, which begin closely monitors his son’s play, and that the in October and last through July. His dad “Over the past 10 years, you’d maybe see said rainouts last spring caused more injury was a warning. Leo, like many youth athletes, plays baseball 10 months out of back-to-back games, which he thinks also the year. “Quite honestly, it just didn’t occur the occasional high school ACL tear. Now contributed to his son’s overthrowing. to me that he was overusing his arm” “Looking back it was pretty obvious,” you’re seeing it in 12-, 13-year-olds,” she Doctors say overuse injuries in youth Bill Anderson said. “As a parent, I’m (now) said. With such injuries at 13, “are you sports have increased significantly n much more hypersensitive to Leo having the past decade. They blame it on kids a sore arm.” going to have arthritis when you’re 30?” focusing on one sport early on and playing Anderson said he, along with Leo’s it year-round, sometimes on multiple coaches, doctor and physical therapist, teams at once. is monitoring Leo’s play to make sure the “Sports specialization has led to almost injury is healed and to prevent another — Dr. Elizabeth Matzkin, an epidemic in sports injuries,” said Dr. overuse injury.

Elizabeth Matzkin, surgical director of Ed Tolzien, co-owner of the Slammers, women’s musculoskeletal health at Brigham and Women’s Hospital in Boston said he and his staff “strongly encourage our kids to cross-train and play and assistant professor of orthopedic surgery at Harvard Medical School. multiple sports” to prevent overuse injuries. About 70 to 75 percent play a “Kids are fatigued, and they’re not strengthening the way they should be.” sport other than baseball, he said.

Matzkin said that, in the past decade, she’s seen overuse injuries in young Many baseball leagues and the Illinois High School Association limit the athletes that she used to see mainly in adults. number of pitches players can throw in a game and a season to prevent “Over the past 10 years, you’d maybe see the occasional high school ACL injuries. Tolzien said his youth players abide by such guidelines, and though tear. Now you’re seeing it in 12-, 13-year-olds,” she said. With such injuries there aren’t official limits on high school-level club teams, his coaches keep a at 13, “are you going to have arthritis when you’re 30?” close eye on players, who are also given strength and conditioning exercises.

While doctors and physical therapists say they can treat the injuries, The team also partners with Illinois Bone and Joint to make sure players some worry what will happen as these young athletes grow up - when old get proper treatment and to learn more about injury prevention, he said. injuries could turn into chronic problems.

Matzkin, who is on American Academy of Orthopaedic Surgeons board “We can get you back playing your sport ... but what we can’t do is prevent of directors, said education of coaches and parents is necessary to prevent your arthritis in your knee,” Matzkin said. Then “you’re seeing young women overuse injuries in kids. in their 30s who can’t keep up with their kids in the backyard.”

The academy teamed up with the American Orthopaedic Society for Sports Doctors say it’s largely up to parents and coaches to try to prevent these Medicine this year to begin OneSport Injury campaign, which focuses on injuries through cross-training and rest. just that. The slogan is: “Doctors can treat them. Parents and coaches can But that message can be hard to follow in the increasingly competitive prevent them.” field of youth sports, in which more parents seem to have their sights set The campaign offers materials geared toward coaches, parents and young on college scholarships and even professional play for their kids, said Dr. athletes, providing prevention tips, statistics on injuries and guidelines for Andrea Kramer, a pediatric orthopedic surgeon at the Illinois Bone and specific sports.

Joint Institute.

“Sports are beneficial, but playing the same sport more than eight months Kramer, who treated Leo Anderson, said she’s seen more overuse injuries out of the year can be detrimental,” Matzkin said.

7 • 2019 Medical Directory

Heart meeting features fish oil, vitamin D, cholesterol news

By MARILYNN MARCHIONE, AP Chief Medical Writer

CHICAGO (AP) — Fish oil, vitamin D, novel drugs, new cholesterol guidelines: News from an American Heart Association conference over the weekend reveals a lot about what works and what does not for preventing heart attacks and other problems.

Dietary supplements missed the mark, but a prescription-strength fish oil showed promise. A drug not only helped people with diabetes control blood sugar and lose weight, but also lowered their risk of needing hospitalization for heart failure.

Good news for everyone: You no longer have to fast before a blood test to check cholesterol. Don’t stop at the doughnut shop on your way to the clinic, but eating something before the test is OK for most folks, the guidelines say.

They’re from the Heart Association and the American College of Cardiology and are endorsed by many other doctor groups.

No authors had financial ties to drugmakers.

Here are highlights from the conference, which wraps up Monday:

CHOLESTEROL

Heart disease is the leading cause of death worldwide. High cholesterol leads to hardened arteries that can cause a heart attack or stroke. When guidelines were last revised five years ago, they moved away from

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just using cholesterol numbers to determine who needs treatment and toward a formula that takes into account age, high blood pressure and other factors to more broadly estimate risk.

That was confusing, so the new guidelines blend both approaches, setting targets based on the formula and considering individual circumstances, such as other medical conditions or a family history of early heart disease.

“It will never be as simple as a single cholesterol number,” because that doesn’t give a clear picture of risk, said one guideline panel member, Dr. Donald Lloyd-Jones of Northwestern University.

If treatment is needed, the first choice remains a statin such as Lipitor or Crestor, which are sold as generics for a dime a day. For people at high risk, such as those who have already had a heart attack, the guidelines suggest adding Zetia, which is also sold as an inexpensive generic, if the statin didn’t lower cholesterol enough.

Only if those two medicines don’t help enough should powerful but pricey newer drugs called PCSK9 inhibitors be considered.

Many insurers limit coverage of them — Repatha, sold by Amgen, and Praluent, sold by Sanofi and Regeneron — and the guidelines say they’re not cost-effective except for folks at the very highest risk.

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Finally, if it’s unclear whether someone needs treatment, the guidelines suggest a coronary artery calcium test, which looks for hardening of the arteries, to help decide. It’s a type of X-ray with a radiation dose similar to a mammogram and costs $100 to $300, which most insurers do not cover.

Lloyd-Jones and others defended its use.

“Half of people will have a zero calcium score and can avoid a statin very safely,” a quarter will score high and need treatment, and the rest will need to weigh options with their doctors, he said.

The Cleveland Clinic’s Dr. Steven Nissen, who had no role in the guidelines, called them a big improvement but disagreed with “using a test that involves radiation to decide whether to give a drug that costs $3 a month,” referring to the price of statins. A cheap test to check for artery inflammation would be better, he said.

FISH OIL, VITAMIN D

Two major studies gave mixed results on fish oil , or omega-3 fatty acids.

There are different types, including EPA and DHA. In a study of 26,000 healthy people, 1 gram a day of an EPA/DHA combo, a dose and type found in many dietary supplements, showed no clear ability to lower the risk of heart problems or cancer.

But another study testing 4 grams a day of Amarin Corp.’s Vascepa, which is concentrated EPA, found it slashed heart problems in people at higher risk for them because of high triglycerides, a type of fat in the blood, and other reasons. All were already taking a statin, and there’s concern about the results because Vascepa was compared to mineral oil, which can interfere with statins, and may have made the comparison group fare worse. Still, some doctors said Vascepa’s benefits seemed large enough to outweigh that worry.

The study that tested the lower amount of fish oil in the general

population also tested vitamin D , one of the most popular supplements, and found it did not lower the risk of cancer or heart problems.

“I think we need to accept that that’s a good test” and that the vitamin is not worthwhile, said Dr. Jane Armitage of England’s Oxford University. “We do not see any benefit.”

“Don’t waste your money on those supplements,” which are not well regulated and are of varying quality, said Dr. Deepak Bhatt of Brigham and Women’s Hospital in Boston.

DIABETES People with diabetes often die of heart disease or heart failure, and new diabetes medicines are required to be tested in large studies to show they don’t raise heart risks. One such medicine, Jardiance, surprised doctors a few years ago by lowering the risk of heart attacks and strokes.

A second medicine, Invokana, later showed similar benefits but with some worrisome side effects.

A new study tested a third drug, Farxiga, in more than 17,000 diabetics with other heart risk factors and found a lower rate of hospitalization for heart failure or death from heart-related causes — 5 percent among those on the drug versus 6 percent in a placebo group after four years of use. That’s on top of the drug’s known benefits for controlling diabetes.

Certain infections and a serious buildup of acids in the blood were more common with Farxiga but these were rare and are known complications of the drug. It costs about $15 a day, about the same as similar medicines. Farxiga’s maker, AstraZeneca, sponsored the study and many study leaders consult for the company.

One independent expert, Dr. Eric Peterson, a Duke University cardiologist and one of the conference leaders, said doctors have been eager to know if the earlier studies suggesting these drugs might help hearts were a fluke. Results from the new study, the largest so far, “could make this class of drugs much more standardly used” for diabetics with high heart risks or heart failure, he said.

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Medical Directory | Diabetes

Heart attacks are becoming more common in younger people, especially women American Heart Association News

Heart attacks – once characterized as a part of “old man’s disease” – are increasingly occurring in younger people, especially women, according to new research.

The study presented Sunday at the American Heart Association’s Scientific Sessions meeting in Chicago and published in the AHA journal Circulation, sought to investigate heart attacks in the young, a group frequently overlooked in cardiovascular research.

Past research has shown heart attack rates in the U.S. have declined in recent decades among 35- to 74-year-olds. But for the new study, researchers wanted to look specifically at how many younger people were having heart attacks.

They included data from a multi-state study of more than 28,000 people hospitalized for heart attacks from 1995 to 2014. The results showed 30 percent of those patients were young, age 35 to 54.

More importantly, they found the people having heart attacks were increasingly young, from 27 percent at the start of the study to 32 percent at the end.

“Cardiac disease is sometimes considered an old man’s disease, but the trajectory of heart attacks among young people is going the wrong way. … It’s actually going up for young women,” said Dr. Sameer Arora, the study’s lead author. “This is concerning. … It tells us we need to focus more attention on this population.”

Among women having heart attacks, the increase in young patients went from 21 percent to 31 percent, a bigger jump than in young men.

Researchers also found that young women had a lower probability than men of getting lipid-lowering therapy, including antiplatelet drugs, beta blockers, coronary angiography and coronary revascularization.

“Women were not managed the same way as men, and that could be for a combination of reasons,” said Arora, a cardiology fellow at the University of North Carolina School of Medicine.

“Traditionally, coronary artery disease is seen as a man’s disease, so

women who come to the emergency department with chest pain might not be seen as high-risk,” he said. “Also, the presentation of heart attack is different in men and women. Women are more likely to present with atypical symptoms compared to men, and their heart attack is more likely to be missed.”

Dr. Ileana L. Piña, a cardiologist who was not involved in the research, called the study “another wake-up call to physicians, especially male physicians” to pay attention to the symptoms of heart disease in women.

“The number one killer of women is not breast cancer or uterine cancer; the number one killer of women is heart disease,” she said. “And until we pay attention to this, these kinds of figures are going to keep coming up.”

Piña and Arora both said they would like to see women better represented in future studies on heart disease.

“It’s very important to enroll enough women so we can actually take a look at the female population separately,” said Piña, a professor of medicine and epidemiology at Montefiore Medical Center in New York City.

The study also found that high blood pressure and diabetes were rising among all patients who had heart attacks. Compared with young men in the study, young women were even more likely to have high blood pressure, diabetes and chronic kidney disease.

“With the weight issues we have in this country, we have diabetes and hypertension coming along with it. I tell my patients very clearly, ‘You need to get your weight down and move and exercise,’” Piña said.

But focusing on your health can be particularly challenging for women because of long-held gender beliefs about parenting and household work, she said.

“It’s hard when a woman is working two jobs and taking care of the family, too,” Piña said. “They’ll do anything for their families, but they often leave themselves for last. We need to teach women to change their health attitude and take care of themselves. If they don’t do well, their families won’t do well either.”

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Multivitamins and supplements: To take or not to take?

From Mayo Clinic News Network

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“People ask me this question quite often: ‘Should I be taking certain vitamins and supplements?’ And the answer is, quite honestly, ‘It depends,’” says Anne Harguth, registered dietitian at Mayo Clinic Health System.

According to the Dietary Guidelines for Americans, you should meet your nutritional needs primarily through diet. For some people, however, taking certain supplements may be the best way to get nutrients they may be lacking through diet. So, Harguth cautions it’s important to understand the exact impact supplements will have on your body before getting out your wallet, .

Whole food is not to be replaced by supplements, as supplements cannot replicate all the health benefits of whole foods. For example, fruits and vegetables carry many different nutrients that provide health benefits to the human body. So, depending on your diet and current physical state, spending money on supplements may not be necessary. Listed below are Mayo Clinic’s three main benefits to whole foods vs. supplements: Greater nutrition. Whole foods are complex, containing a variety of the micronutrients your body needs — not just one. An orange, for example, provides vitamin C plus some beta carotene, calcium and other nutrients.

It’s likely these compounds work together to produce their beneficial effect.

Essential fiber. Whole foods, such as whole grains, fruits, vegetables and legumes, provide dietary fiber. Most high-fiber foods are also packed with other essential nutrients. Fiber, as part of a healthy diet, can help prevent certain diseases, such as type 2 diabetes and heart disease, and it can also help manage constipation.

Protective substances. Whole foods contain other substances important for good health. For example, fruits and vegetables contain naturally occurring substances called phytochemicals, which may help protect you against cancer, heart disease, diabetes and high blood pressure. Many are also good sources of antioxidants — substances that slow down oxidation, a natural process that leads to cell and tissue damage.

Vitamin and mineral supplementation is recommended for some people with certain conditions. Supplements may be appropriate for people who: • Don’t eat well or consume less than 1,600 calories a day.

• Are a vegan or a vegetarian who eats a limited variety of foods.

• Don’t obtain two to three servings of fish a week. If you have difficulty achieving this amount, some experts recommend adding a fish oil supplement to your daily regimen.

• Are a woman who experiences heavy bleeding during your menstrual period.

• Have a medical condition that affects how your body absorbs or uses nutrients, such as chronic diarrhea, food allergies, food intolerance, or a disease of the liver, gallbladder, intestines or pancreas.

• Have had surgery on your digestive tract and are not able to digest and absorb nutrients properly.

“To sum it up, if you’re a pretty healthy person with a well-balanced diet containing a wide variety of foods — including fruits, vegetables, reduced fat dairy products, whole grains, legumes, lean meats and fish — you most likely don’t need supplements,” adds Harguth. “Talk to your health care team and dietitian if you have questions or concerns.”

Home remedies: What about those wrinkles?

From Mayo Clinic News Network Wrinkles are a natural part of aging, especially for the face, neck, hands and forearms. But some people are more prone to wrinkles based on sun-exposure and other factors. Although genetics mainly determine skin structure and texture, sun exposure is a major cause of wrinkles, especially for fair-skinned people. Pollutants and smoking, also contribute to wrinkling.

While some people welcome their wrinkles, as a sign of character, if your wrinkles bother you there are things you can do to minimize developing wrinkles.

• Protect your skin from the sun.

Protect your skin _ and prevent future wrinkles _ by limiting the time you spend in the sun and always wearing protective clothing, such as wide-brimmed hats, long-sleeved shirts and sunglasses. Also, use sunscreen when outdoors, even during winter.The American Academy of Dermatology recommends using a broad-spectrum sunscreen with an SPF of 30 or more. Apply sunscreen generously, and reapply every two hours _ or more often if you’re swimming or perspiring.

• Use products with built-in sunscreen.

When selecting skin care products, choose those with a built-in broadspectrum sunscreen _ meaning it blocks both UVA and UVB rays.

• Use moisturizers.

Dry skin shrivels plump skin cells, which can lead to premature fine lines and wrinkles. Though moisturizers can’t prevent wrinkles, they may temporarily mask tiny lines and creases.

• Don’t smoke.

Even if you’ve smoked for years or smoked heavily, you can still improve your skin tone and texture and prevent future wrinkles by quitting smoking.

• Eat a healthy diet.

There is some evidence that certain vitamins in your diet help protect your skin. More study is needed on the role of nutrition, but it’s good to eat plenty of fruits and vegetables.

ALTERNATIVE MEDICINE Many over-the-counter wrinkle creams and lotions promise to reduce wrinkles and prevent or reverse damage caused by the sun. But these products are not likely to make a noticeable difference in your skin.

The Food and Drug Administration (FDA) classifies these creams and lotions as cosmetics, which are defined as having no medical value. So the FDA regulates them less strictly than it does drugs. This means that products don’t need to undergo rigorous testing for safety and effectiveness before approval to go on the market.

Because the FDA doesn’t evaluate cosmetic products for effectiveness, there’s no guarantee that any over-the-counter product will reduce your wrinkles.

If you’re looking for a face-lift in a bottle, you probably won’t find it in overthe-counter wrinkle creams. The benefits of these products are usually only modest at best.

COMMON INGREDIENTS IN ANTI-WRINKLE CREAMS The effectiveness of anti-wrinkle creams depends in part on the active ingredient or ingredients. Here are some common ingredients that may result in some improvement in the appearance of wrinkles.

• Retinol.

Retinol is a vitamin A compound, the first antioxidant to be widely used in nonprescription wrinkle creams. Antioxidants are substances that neutralize free radicals - unstable oxygen molecules that break down skin cells and cause wrinkles.

• Vitamin C. Another potent antioxidant, vitamin C may help protect skin from sun damage. Before and between uses, wrinkle creams containing vitamin C must be stored in a way that protects them from air and sunlight.

• Hydroxy acids.

Alpha hydroxy acids, beta hydroxy acids (salicylic acid) and poly hydroxy acids are exfoliants _ substances that remove the upper layer of old, dead skin and stimulate the growth of smooth, evenly pigmented new skin.

• Coenzyme Q10.

This ingredient may help reduce fine wrinkles around the eyes and protect the skin from sun damage.

• Peptides.

This ingredient has been used in products for wound healing, stretch marks and now wrinkles.

• Tea extracts.

Green, black and oolong tea contain compounds with antioxidant and antiinflammatory properties. Green tea extracts are the ones most commonly found in wrinkle creams.

• Grape seed extract.

In addition to its antioxidant and anti-inflammatory properties, grape seed extract promotes wound healing.

• Niacinamide.

A potent antioxidant, this substance is related to vitamin B-3 (niacin). It helps reduce water loss in the skin and may improve skin elasticity.

13 • 2019 Medical Directory

Valley Vision and Hearing Associates Welcome Dr. Hanson & Boys Smith Vision Center Patients!

Our clinic is dedicated to providing patients with individualized, personal service, one that caters to every aspect of your eyecare and hearing needs.

Robert Davis, O.D., F.A.A.O. Erick Johnson, O.D. Abel W. Li, M.D. Scott Oltman, O.D.

Leo Oltman, L.D.O., H.I.S. Emily Korszen, OD William Devany, H.I.S. Daniel Hanson, M.D.

Call today to schedule an appointment!

Open Mon-Fri, 8:30-5:30

(509) 925-1000

2201 West Dolarway Rd, Ste 2, Ellensburg www.valleyvisionassociates.com “like” us on facebook!

1847755

1544754

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ACUPUNCTURE

Middle Path Acupuncture 502 N. Anderson St. Ellensburg, WA 98926 509-925-1530 www.middlepathacupuncture.net rsimpsonmp@gmail.com Rand Gillen, LMP Ruth Bare, LMP Jeff Lippincott Tom Wierken

ADDICTION & REHABILITATION CENTERS Merit Resource Services 507 Nanum #30 Ellensburg, WA 98926 509-925-9821 Hours: 8 am - 5:30pm www.meritresources.org

Barth Clinic

401 S. Main Street Ellensburg, WA 98926 509-933-1388 Fax: 509-933-1387 Hours: M, W, F Noon-6pm/Fri & Sat. by appt. www.barthclinic.com jimbarth@barthclinic.com Jim Barth, CDP-Administrator Brittany Schill, CDP-Clinical Director Meghan Travers

Sundown M Ranch | Drug & Alcohol Treatment Center 2280 State Route 821 Yakima, WA 98901 800-326-7444 www.sundown.org

ASSISTED LIVING, RETIREMENT AND REHABILITATION CENTERS, RETIREMENT LIFE, ADULT COMMUNITIES & CARE HOMES Cascade Manor Senior Apartments 101 Pearl Street Ellensburg, WA 98926 509-925-3061

Genteel Establishment 781 Kaynor Road Ellensburg, WA 98926 509-968-3469

Huntington Court Senior Apartments 306 E. Manitoba Avenue Ellensburg, WA 98926 509-925-5178

Hyatt Family Facilities

www.HyattFamilyFacilities.com Serving three locations: Landmark Care and Rehabilitation 710 N. 39th Avenue Yakima, WA 98902 509-248-4102 Selah Care and Rehabilitation 203 W. Naches Selah, WA 98942 509-697-8503

Willow Springs Care and Rehabilitation 4007 Tieton Drive Yakima, WA 98908 509-966-4500

Kittitas Interactive Management (KIM) 781 Kaynor Road Ellensburg, WA 98926 509-968-4432

Meadows Place Senior Living 1008 E. Mountain View Ave. Ellensburg, WA 98926 509-925-4484 Fax: 509-925-4483 www.enlivant.com skuehl@enlivant.com

Pacifica Senior Living

818 E. Mountain View Avenue Ellensburg, WA 98926 509-925-1220 Fax: 509-925-1230 LMcGowan@PacificaSeniorLiving.com www.PacificaEllensburg.com Where our family is committed to yours!

Prestige Post Acute and Rehab Center 1050 E. Mountain View Ellensburg, WA 98926 509-925-4171

Prestige Senior Living at Hearthstone 802 E. Mountain View Avenue Ellensburg, WA 98926 509-925-3099

Rosewood Adult Living

1101 E. Umptanum Road, Suite 500 Ellensburg, WA 98926 509-962-2100

AUDIOLOGy, HEARING CENTERS, HEARING AIDS & ACCESSORIES Divers Professional Hearing Aid Sales and Service 407 E. 2nd Avenue Ellensburg, WA 98926 509-962-8711

Inland Hearing Aids Inc. 207 W. Tacoma Avenue Ellensburg, WA 98926 509-962-8488

Northwest Audiology

601 N. Main, Suite #1 Ellensburg, WA 98926 509-962-9575 Fax: 509-962-5575 www.nwhearingcenter.com hearingquestions@nwhearingcenter.com Linda Lee Nelson, MSPA, CCC-A Certified Clinical Audiologist Mila L. Raulerson, AuD, CCC-A Doctor of Audiology

Thompson Audiology

3810 Kern Road, Suite B Yakima, WA 98902 509-248-0933 Ellensburg: 509-925-5883 www.thompsonaudiology.com

Valley Vision and Hearing Associates 2201 W. Dolarway Road Ellensburg, WA 98926 Hours: Mon-Fri, 8:30 am-5:30 pm, Sat. appointments available 509-925-1000 www.valleyvisionassociates.com Robert Davis, O.D., F.A.A.O. Abel W. Li, M.D. Scott Oltman, O.D. Erick Johnson, O.D. Audiology Department Leo Oltman, H.I.S.

BIRTH CONTROL, SExUAL HEALTH, AND PREGNANCy CENTERS Care Net Pregnancy Center of Kittitas County 111 E. 4th Avenue Ellensburg, WA 98926 509-925-2273 24-Hour Helpline info@pregnancyhelpellensburg.org www.pregnancyhelpellensburg.org Hours: Mon-Fri, 11 am-5 pm

Planned Parenthood – Ellensburg Health Center Hours: Mon, Tue & Thur, 9 am-6 pm 613 N. Pine Street Ellensburg, WA 98926 866-904-7721 www.ppgwni.org

Planned Parenthood – yakima Health Center Hours: Mon-Thur, 9 am-6 pm Fri, 9 am-5 pm 1117 Tieton Drive Yakima, WA 98902 509-248-3625 www.ppgwni.org

CANCER TREATMENT & INFORMATION CENTERS North Star Lodge

Ellensburg Office: 100 W. Jackson Avenue, #104 Ellensburg, WA 98926 509-962-8611 Please call the Yakima Office to schedule an appointment Yakima Office: 808 N. 39th Avenue Yakima, WA 509-574-3400 Hours: Mon-Fri, 8 am-5pm

CARDIOVASCULAR DISEASES SPECIALISTS Cardiac & Thoracic Institute of Central Washington 111 S. 11th Avenue, Suite 120 Yakima, WA 98902 509-574-4433

Memorial Cardiovascular Imaging Center 509-248-7716 Yakima, WA 98902

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yakima Heart Center

Ellensburg, WA 98926 509-962-4300 Jackie Moore, MED, LMHC

406 S. 30th Avenue, Suite 101 Yakima, WA 98902 509-248-7715

Laura Doughty, MS

CHIROPRACTORS

109 E. 3rd Avenue, Suite 7 Ellensburg, WA 98926 509-925-2258

Dave Bridgeman, M DC 120 E. 1st Street Cle Elum, WA 98922 509-674-4448

Eastside Vocational Services

Central Washington Chiropractic 801 S. Ruby Street, Suite1 Ellensburg, WA 98926 509-962-8008

902 N. Enterprise Way Ellensburg, WA 98926 509-962-1950

Johnson, Philip 617 S. 48th Avenue Yakima, WA 509-966-2794

East Cascade Chiropractic 202 W. 1st St., Suite 1 Cle Elum, WA 509-674-5057 www.eastcascadechiro.com info@eastcascadechiro.com Hours: Mon., Tues., Thurs. 9am - 6pm Wed, Fri. 8am - 1pm Dr. Jesse Messerschmidt

Kittitas Valley Counseling Center LLC

Ellensburg Chiropractic PS

Comprehensive on Pearl

413 N. Main Street, Suite D Ellensburg, WA 98926 509-925-4400

Mosaic Counseling Services 112 W. Railroad Cle Elum, WA 98922 509-674-5144

109 S. Water Street, Suite 2 Ellensburg, WA 98926 509-962-2225

707 N. Pearl, Suite E Ellensburg, WA 98926 509-925-7507

Bridgeman Chiropractic

Jill Schwarz

304 S. Water St., Suite 103 Ellensburg, WA 98926 509-925-7246

603 N. Main, Suite 1 Ellensburg, WA 98926 509-962-6110

Linder Chiropractic Center

Shaw Chiropractic Center 305 N. Anderson Ellensburg, WA 98926 509-962-9633

yoga Enhancement

Avanta Dental

306. S Main Street #1 Ellensburg WA 98926 509.925.3160

Big Country Family Dental

309 E. 2nd Avenue Ellensburg, WA 98926 509-962-6172 www.bigcountryfamilydental.com bigcountryfamilydental@hotmail.com Hours: Mon-Thur, 8 am-Noon and 1 pm-5 pm Dr. Robert Moon

James Cole, Psychologist 413 N. Main St, Suite A Ellensburg, WA 98926 509-925-5226

Central Washington Pediatric Dentistry

Crossroads Counseling

315 N. Sprague Street Ellensburg, WA 98926

603 N. Main Street, Suite 1

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DENTAL

1206 N. Dolarway Rd., Suite 210 Ellensburg, WA 98926 509-933-2273 www.christiancareservices.org

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2601 Triple L Loop Ellensburg, WA 98926 509-933-4800

Ellensburg Dental Care

1206 N. Dolarway Road, Suite 101 Ellensburg, WA 98926 509-933-2400 Fax: 509-933-4804 Hours: Mon-Fri, 7 am-5:30 pm Opening on Saturdays soon! www.chcw.org dental.reception@chcw.org Dr. Brenden Davis, DMD, MPH Dr. Daniel Whitemarsh, DMD Dr. Jacob Butler, DMD

Endodontics Exclusively 1020 S. 40th Avenue, Suite F Yakima, WA 98908 509-965-7668

Ivory Denture Care, Inc.

Lorin D. Peterson, DDS

Central Washington Comprehensive Mental Health

Christian Care Service

Creekside Dental

Andrea Utzinger Counseling Services

COUNSELORS

402 S 4th Avenue Yakima, WA 98907 509-575-4084 www.cwcmh.org

311 E. 1st Street Cle Elum, WA 98922 509-674-2307

1206 N. Dolarway Road, Suite 203 Ellensburg, WA 98926 509-925-1840

Thomas Logan 103 E. 4th Avenue, Suite 200 Ellensburg, WA 98926 509-929-1984

220 W. 4th Avenue Ellensburg, WA 98926 509-925-9861

Cle Elum Dental Clinic

210 S. 11th Avenue, Suite 45 Yakima, WA 98902 509-454-2273 www.ivorydenturecare.net Hours: Mon, Tue, Thur, Fri, 9:00 am-4:00 pm Sat, 9 am-12 pm Wed/Sun, Closed

Stillwater Counseling Service

1011 N. Alder Ellensburg, WA 98926 509-962-2570

509-859-2646 / Fax: 509-469-2556 www.cwpediatricdentistry.com absmith08@gmail.com M-F: 8:30am - 5pm Dr. Neal H. Smith, DMD Dr. Amy B. Smith, DMD

101 Harris Ave. Cle Elum, WA 98922 509-674-5153 lorinpetersondental.com Mon. - Thur., 8am - 5pm Dr. Lorin Peterson

Siks Mark

215 E. 4th Avenue Ellensburg, WA 98926 509-925-3200

Mountain View Dental Center 708 E. Mountain View Avenue Ellensburg, WA 98926 509-962-2755

O’Connor Family Dental 1015 S. 40th, Suite 15 Yakima, WA 98908 509-966-0660

Parker Orthodontics 315 N. Sprague Ellensburg, WA 98926 509-962-6902

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Pearl Care Dental

2401 W. Dolarway Road Ellensburg, WA 98926 509-925-6553 www.pearlcaredental.com Cristina Bender, DDS PS Michael R. Cole DDS Fred Melton DDS

William Phillip, DDS, PS 201 E. Mountain View Avenue Ellensburg, WA 98926 509 962-8299 Fax: 509-962-8289 Hours: Mon & Wed, 8 am-5 pm Tue & Thur, 7 am-2 pm www.wpdds.com drphillip@fairpoint.net

Reep Family Dental 3804 Kern Road, Suite A Yakima, WA 98902 509-248-0986

DIALySIS

GENERAL SURGERy

Davita Inc

KVH General Surgery

2101 W. Dolarway Road Ellensburg, WA 98926 509-925-2333

ELECTROLySIS Ellensburg Electrolysis 171 Brown Road Ellensburg, WA 98926 509-962-4800

GENERAL PRACTICE Community Health of Central Washington 521 E. Mountain View Avenue Ellensburg, WA 98926 509-962-1414

Family Health Care of Ellensburg

6201 Summitview Avenue, Suite 100 Yakima, WA 98908 509-966-4433

107 E. Mountain View Avenue Ellensburg, WA 98926 Phone: 509-962-6348 Fax: 509-962-2003 Hours: Mon-Thur, 7:30 am-8 pm Fri, 7:30 am-5 pm Sat, 8 am-4 pm www.fhcoe.com, clinic@fhoe.com Byron Haney, MD - Family Practice & OB John Walters, MD - Family Practice & OB Chad Mongrain, DO - Family Practice & OB Stephanie Brower, MD - Family Practice & OB Ryan Beachy, PA-C - Family Practice & OB Aaron Long, ARNP - Family Practice

Sunny Smile Orthodontics

KVH Family Medicine – Cle Elum

Sullivan Dental

305 E. 2nd Avenue Ellensburg, WA 98926 509-962-9020 Hours: Mon - Thurs, 8 am - 5pm www.ellensburgdds.com sullivandental@gmail.com Drs. Kevin & Margie Sullivan

Summitview Pediatric Dentist

Local Location 708 E. Mountain View Avenue Ellensburg, WA 98926 509-962-2755 Main Location: 1725 E. Lincoln Avenue Sunnyside, WA 98926 509-837-7933

Sunrise Dental

601. N Main Street #1 Ellensburg WA 98926 509.361.5500

yakima Oral and Maxillofacial Surgery Assoc.

4207 Tieton Drive Yakima, WA 98908 509-965-8911

yakima Pediatric Dentistry 3909 Creekside Loop, Suite 140 Yakima, WA 509-834-2004

DERMATOLOGy Dermatology Arts

1701 Creekside Loop, #120 Yakima, WA 98902 509-853-7546

Hours: 8 a.m. to 5 p.m., Monday - Friday Address: 201 Alpha Way, Cle Elum Phone: 509-674-5331 or 509-962-5060 www.kvhealthcare.org Zoe Carlson, ARNP Sarah Heroiges, PA-C Rob Merkel, PA-C Chelsea Newman, PA-C Auren O’Connell, DNP Elizabeth Wise, MD Norman Wood, DO

KVH Family Medicine - Ellensburg Address: 716 E Manitoba Ave, Ellensburg Phone: 509-933-8777 www.kvhealthcare.org June Bredin, MD Megan DeSelms, PA-C José Diaz, PA-C Lori Drews, ARNP Bruce Herman, MD Mark Larson, MD Kevin Martin, MD John Merrill-Steskal, MD Megan Power, ARNP Julia Riel, PA-C Krista Summers, MD Brett White, PA

Nancy Wells

611 S. Chestnut, Suite C Ellensburg, WA 98926 509-925-9355

Hours: 8 a.m. to 5 p.m., Monday – Friday Address: 611 S Chestnut St, Suite A, Ellensburg Phone: 509-962-7390 www.kvhealthcare.org Timothy O’Brien, MD Tom Penoyar, MD Frank Smith, MD

HOME HEALTH SERVICES Home Care Services

1206 N. Dolarway Road, Suite 217 Ellensburg, WA 98926 866-291-3017 509-962-6242

KVH Home Health KVH Hospice Address: 309 E. Mountain View Ave. Phone: 509-962-7438 www.kvhealthcare.org

Lisa’s Tender Care 11852 Hwy 10 Ellensburg, WA 98926 509-899-1196

Total Care Inc.

307 S. 12th Avenue #18 Yakima, WA 98902 509-248-7846

HOSPICE KVH Hospice

309 E Mountain View Ave 509-962-7438 www.kvhealthcare.org

HOSPITAL EqUIPMENT AND SALES Keeler’s Medical Supply 2001 W. Lincoln Yakima, WA 98902 509-452-6541

Kittitas Medical Supply

800 S. Pearl St., Suite 2 Ellensburg, WA 98926 509-929-3000 / Fax: 509-834-7414 www.kittitasmedical.com starla@howardsmedical.com Hours: M-F, 9am - 5pm

HOSPITALS KVH Hospital

Hours: Open 24 hours Address: 603 S Chestnut St, Ellensburg Phone: 509-962-9841 www.kvhealthcare.org Hospital Services Critical Care Emergency Services Family Birthing Place Imaging Services Laboratory Services Surgical Services – Inpatient and Outpatient Urgent Care – Cle Elum

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MEDICAL DIRECTORY Community Education Birthing Classes Cancer Support Diabetes Education and Support KVH Primary Care and Specialty Centers KVH Family Medicine – Cle Elum KVH Family Medicine – Ellensburg KVH General Surgery KVH Home Health KVH Hospice KVH Internal Medicine KVH Occupational Therapy KVH Orthopedics KVH Pharmacy KVH Physical Therapy KVH Speech Therapy KVH Urgent Care – Cle Elum KVH Women’s Health KVH Workplace Health

Astria Regional Medical & Cardiac Center 110 S. 9th Avenue Yakima, WA 98902 509-575-5000

INSURANCE – LIFE, MEDICAL, HOSPITALIzATION, LONG TERM CARE & SURGICAL American Family Insurance 2101 W. Dolarway Road, Suite 3 Ellensburg, WA 98926 509-933-2200

Jackie Gause

State Farm - Scott Rollins Insurance Agency INC

Healing Touch Massage

400 N. Pearl Ellensburg, WA 98926 509-925-1483 415 E. 1St Cle Elum, WA 98922 509-674-5107

Virginia Gayken Insurance

KVH Internal Medicine

Hours: 8 a.m. to 5 p.m., Monday - Friday Address: 700 E Manitoba Ave, Suite 101, Ellensburg Phone: 509-925-6100 www.kvhealthcare.org Larry Birger Jr., MD Jamin Feng, MD David Jackson, MD Anita Schiltz, ARNP Andy Schock, PA-C

814 E. 5th Avenue Ellensburg, WA 98926 509-962-9656

Body Nirvana

Shaun Montgomery 300 N. Main Ellensburg, WA 98926 509-925-9633 Cle Elum 98922 509-674-2535

Fevergeon Financial 1206 N. Dolarway Road, Suite 219 Ellensburg, WA 98926 509-925-5105

Lael Insurance and Financial Solutions Custom Medical Plans 2301 W. Dolarway, Ste. 5 Ellensburg, WA 98926 509-962-8800 Cell: 509-899-1851 Jerrylael@hotmail.com

Ellensburg Chiropractic

300 N. Water Ellensburg, WA 98926 509-929-2822

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109 E. 3rd, Suite 1 Ellensburg, WA 98926 509-929-3838

Minda Rose

310 S. Sprague Ellensburg, WA 98926 509-962-3088

Scents of Touch Massage 305 N. Andersont St Ellensburg, WA 98926 509-899-3136

Shiatsu Therapy

105 W. 5th, Ste 107 Ellensburg, WA 98926 509-925-4903

Two Hands and Heart 509-929-2639

201 S Main Street Ellensburg WA 98926 509.260.9406

202 W. 1st St., Suite 1 Cle Elum, WA 509-674-5057 www.eastcascadechiro.com info@eastcascadechiro.com Hours: Mon., Tues., Thurs. 9am - 6pm Wed, Fri. 8am - 1pm Dr. Jesse Messerschmidt

Gaia Center

Jessica Noyes

Jane McClenney - Move Lightly

East Cascade Chiropractic

314 E. 4th Ellensburg, WA 98926 509-925-4394

New york Life Insurance

Ellensburg, WA 98926 509-929-3636

MEDICAL AESTHETICS

For your Image

1300 N. Dolarway, Suite 2 Ellensburg, WA 98926 509-962-2511

Ellensburg, WA 98926 509-962-8008

103 E. 4th, Suite 201 Ellensburg, WA 98926 509-925-1196

109 S. Water, Suite 2 Ellensburg, WA 98926 509-962-2225

Libke Insurance

708 S. Tamarack Ellensburg, WA 98926 509-962-4968

Massage for Body and Feet

Awakening BodyMind Spirit

Farmer’s Insurance

JoAnn’s Therapeutic Massage

INTERNAL MEDICINE

310 N. Pine Street Ellensburg, WA 98926 509-925-2500

301 N. Railroad, Suite C Cle Elum, WA 98922 509-674-7422

104 W. 5th Ellensburg, WA 98926 509-929-3540

Adrienne Martin

Alente Spa and Salon

Devin Shannon 302 N. Pearl Street Ellensburg, WA 98926 509-933-3000

1011 E. 1st Ellensburg, WA 98926 509-962-4132

205 S. Main Ellensburg, WA 98926 509-925-1811

MASSAGE

Country Financial

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1206 Dolarway Rd., Ste. 205 Ellensburg, WA 98926 509-925-1450 jnoyes@ft.newyorklife.com

AWAKE Health

MENTAL HEALTH SERVICES Central Washington Comprehensive Mental Health 220 W. 4th Avenue Ellensburg, WA 98926 509-925-9861

Horizons Club

220 W. 4th Avenue Ellensburg, WA 98926 509-925-1372

NATUROPATHIC Bonnie S. Reay, ND 108 W. 2nd Street Cle Elum, WA 98922 509-260-1226

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Swiftwater Naturopath 116 N. Oakes Ave. Ste 4 Cle Elum, WA 98922 509-240-8676 www.naturopathcleelum.com droliviafranks@gmail.com Dr. Olivia Franks

NEPHROLOGy SERVICES Nephrology Associates of yakima 315 Holton Avenue, Suite 100 Yakima, WA 98902 509-248-6292

NEUROLOGISTS Northwest Neurosciences

1110 N. 35th Ave. Yakima, WA 98902 509-834-7050 Fax: 509-834-7060 Hours: Mon-Fri, 8 am-5 pm www.nw-mc.com Eduardo Meirelles, MD,PhD, FAANS, FRCSC Peter Gilmore, MD

OBGyN KVH Women’s Health

Hours: 8 a.m. to 5 p.m., Monday – Friday Address: 700 E Manitoba Ave, Suite 109 Phone: 509-933-8720 www.kvhealthcare.org womenshealth@kvhealthcare.org Teresa Beckett, ARNP, PA-C Ginger Longo, MD

Obstetrics and Gynecology of Ellensburg 611 S. Chestnut Street, Suite B Ellensburg, WA 98926 509-962-5000 Hours: Mon-Thur, 8 am-5 pm Fri, 8 am-4 pm 24/7 call coverage John H. Sand, MD, OBGYN

OCCUPATIONAL MEDICINE KVH Workplace Health

Hours: 8 a.m. to 7 p.m., Monday – Friday Address: 702 E Mountain View Ave, Suite 2 509-933-8830 Ryan Ahr, PA-C Robert Meyer, MD

OCCUPATIONAL THERAPy KVH Occupational Therapy KVH Speech Therapy 302 E 2nd Ave 509-933-8677 www.kvhealthcare.org

OPHTHALMOLOGISTS, OPTOMETRISTS & OPTICAL GOODS

ORTHOPEDIC SHOES APPLIANCES & PROSTHETIC

Advanced Eye Care

Kittitas Orthotics & Prosthetics

Boys Smith Vision Center

Vaux Shoes

3999 Engelwood Avenue, Suite 101 Yakima, WA 98902 509-452-2020 109 N. Pine Street Ellensburg, WA 98926 509-962-3937 Fax: 509-962-4057 Hours: Mon-Fri, 8 am-5 pm Optical Shop hours Mon-Fri, 8 am-5:30 pm www.boyssmithvision.com Daniel W. Hanson, MD - Owner Mitchell V. Brinks, MD

Cascade Eye Center 1211 S. 40th Avenue Yakima, WA 98902 509-966-2966

Family Eye Clinic

707 N. Pearl Street, Suite D Ellensburg, WA 98926 509-925-9873 | Fax: 509-962-1639 Hours: Mon - Thurs. 8am - 5pm Cle Elum Office: 807 W. Davis Street, Suite 102A Cle Elum, WA 98922 509-674-4313 Hours: Tue & Wed. 8am - 5pm Dr. Sarah K. Storrs O.D.

Figgs Eye Clinic

1410 Lakeside Court, 103 Yakima, WA 98902 509-453-2010

Pearl Street Optical

317 N. Pearl St. Ellensburg, WA 98926 509-899-9333 Hours: Mon-Fri 10am-5pm, Evening & Weekends by appointment “Something for Everyone” Rachel M. Crites L.D.O.

Valley Vision and Hearing Associates 2201 W. Dolarway Road Ellensburg, WA 98926 Hours: Mon-Fri, 8:30 am-5:30 pm 509-925-1000 www.valleyvisionassociates.com Robert Davis, O.D., F.A.A.O. Abel W. Li, M.D. Scott Oltman, O.D. Erick Johnson, O.D. Audiology Department Leo Oltman, H.I.S.

1206 N. Dolarway, Suite 110 Ellensburg, WA 98926 509-925-7700

5635 Summitview Avenue, Suite 4 Yakima WA 98908 509-965-7170

yakima Orthotics & Prosthetic 313 S. 9th Avenue Yakima, WA 98902 509-248-8040

ORTHOPEDICS, ORTHOPEDIC SURGERy, BONE & JOINT KVH Orthopedics

Hours: 8 a.m. to 5 p.m., Monday – Friday Address: 611 S Chestnut St, Suite D, Ellensburg Phone: 509-933-8700 Website/email: www.kvhealthcare.org Gary Bos, MD Dena Mahre, PA-C Thomas Mirich, MD James Repsher, PA-C

Daniel Hiersche, M.D. Orthopedics and Sports Medicine 700 E. Manitoba Avenue, Suite 106 Ellensburg, WA 98926 509-962-6727

Orthopedics Northwest 1211 N. 16th Avenue Yakima, WA 509-454-8888

PAIN MANAGEMENT Waters Edge Memorials Pain Relief Institute 1460 N. 16th, Suite D Yakima, WA 509-574-3805

PEDIATRICS Community Health of Central Washington 521 E. Mountain View Avenue Ellensburg, WA 98926 509-962-1414

Ellensburg Pediatrics

611 S. Chestnut Street, Suite E Ellensburg, WA 98926 509-962-KIDS (5437) Fax: 509-962-5438 Hours: Mon-Fri, 8:30 am - 5 pm Elise J. Herman, MD Ashley Nordell, CPNP

PERSONAL TRAINERS/FITNESS Anytime Fitness

2305 W. Dolarway Road Ellensburg, WA 98926 509-925-5445

19 • 2019 Medical Directory

2019

K I T T I TAS

COUNTY

MEDICAL DIRECTORY

Cle Elum’s 24 Hour Gym

KVH Physical Therapy

113 Harris Avenue Cle Elum, WA 98922 509-674-5696

301 E Mountain View Ave, Ellensburg 509-962-7386 Cle Elum 201 Alpha Way, Cle Elum 509-674-5331 www.kvhealthcare.org

Empowered Fitness 202 N. Pine St. Ellensburg, WA 98926 509-925-1810

Northwest Physical Therapy 112 W. Railroad Cle Elum, WA 98922 509-674-0908

The Gym

427 N. Main Street Ellensburg, WA 98926 509-962-6200

Jazzercise

PHARMACIES Bi-Mart

PULMONARy

KVH Pharmacy

603 S. Chestnut St (within KVH Hospital) Ellensburg, WA 98926 (509) 925-8484 Open 24 hours a day, seven days a week

Rite Aid Pharmacies

303 Holton Avenue Yakima, WA 98902 509-575-7653

Central Valley Vascular Center 111 S. 11th Avenue, Suite 201 Yakima, WA 98902 509-454-6545

Safeway Pharmacy 400 N. Ruby Ellensburg, WA 98926 509-962-5096

yakima Vascular Associates

3999 Englewood Avenue, Suite 202 Yakima, WA 866-253-3732 100 E. Jackson, Suite 104 Ellensburg, WA 98926 Please call the Yakima office to schedule an appointment

Super 1 Foods

200 E. Mountain View Ellensburg, WA 98926 509-962-7777

Whole Health Pharmacy

SENIOR CITIzEN SERVICE ORGANIzATIONS

800 S Pearl Street Suite 1 Ellensburg WA 98926

Aging & Disability Resource Center

PHySICAL THERAPy Argonaut Peak Physical Therapy 722 E. University Way Ellensburg, WA 98926 509-962-1553

206 W. 1st Avenue Ellensburg, WA 98926 509-925-8765

Ellensburg Adult Activity Center 506 S. Pine Ellensburg, WA 98926 509-962-7242

Canyon View Physical Therapy 100 E. Jackson, Suite 201 Ellensburg, WA 98926 509-925-6220 Fax: 509-925-6221 Natalie Joyce, MPT Cheri McCoy, DPT Natasha Hennings, PT, DPT, OCS

2019 Medical Directory •

Lung & Asthma Center of Central Washington

VASCULAR SURGERy

700 S. Main Ellensburg, WA 98926 509-925-4232

Retired Senior Volunteer Program 707 N. Pearl St, Suite I Ellensburg, WA 98926 509-962-4311

Senior Nutrition Program 506 S. Pine St. Ellensburg, WA 98926 509-933-3333

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508 N. Ruby Ellensburg, WA 98926 509-925-2850

Kittitas Valley Urgent Care

507 N Nanum Street Suite 102 Ellensburg, WA 98926 509-962-7515 /www.co.kittitas.wa.us/health/default.aspx

201 S. Water Ellensburg, WA 98926 509-962-0533

Speech Pathology Associates

Cascade Foot & Ankle

Kittitas County Public Health Department

Fred Meyer Pharmacy

Address: 302 E 2nd Ave Phone: 509-933-8677 Website/email: www.kvhealthcare.org

URGENT CARE

PUBLIC HEALTH

608 E. Mountain View Ellensburg, WA 98926 509-925-6996

KVH Speech Therapy

PODIATRISTS 100 W. Jackson, Suite 105 Ellensburg, WA 509-925-4633 3919 Creekside Loop Yakima, WA 509-225-3668

307 W. 1st Avenue, Suite 1 Ellensburg, WA 98926 509-933-2348

SPEECH PATHOLOGISTS

Monday - Friday, 8am - 8pm Saturday & Sunday 10am - 6pm Holidays 10am - 6pm 702 East Mountain View Ave, Ste. 1 Ellensburg, WA 98926 Phone: 509-968-KARE Fax: 509-201-1760 David Wood PA-C Jennifer Lewis ARNP

KVH Urgent Care – Cle Elum

Hours: 10 a.m. to 10 p.m. daily Address: 214 W 1st Street, Cle Elum Phone: 509-674-6944 Website/email: www.kvhealthcare.org Resources Available at Facility: After hours medical care for patients with minor illnesses or injuries. Lab and x-ray on-site. No appointment needed.

UROLOGIST yakima Urology Associates Adult & Pediatric Urology Clinic 2500 Racquet Lane Yakima, WA 98902 509-249-3900 Surgery: 509-249-3910

VITAMINS & FOOD SUPPLEMENTS Better Life Natural Foods 111 W. 6th Ellensburg, WA 98926 509-925-2505

Mike’s Herbal & Nutrition Service 550 Strange Road Ellensburg, WA 98926 509-962-6105

WHEELCHAIR LIFTS AND RAMPS AND HANDICAP CONSTRUCTION Arbor Design & Woodwork

407 S. Sprague Street Ellensburg, WA 98926 509-925-9875 Alterations, remodel and construction for disabled and aging Fred Padjen

Custom Technology 460 McLaughlin Yakima, WA 98902 509-965-3333