Medical Directory | 2021 Kittitas County

2021 KITTITAS COUNTY

MEDICAL DIRECTORY A PUBLICATION OF THE DAILY RECORD

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2021 Medical Directory TABLE OF CONTENTS FRIENDS ON THE MEDICAL FRONT LINES ...................................... PAGE 5 STUDY: MILLIONS OF KIDS ARE SKIPPING VACCINES ..................... PAGE 8 MAYO CLINIC Q AND A: WHAT IS PALLIATIVE CARE AND WHO NEEDS IT? ... PAGE 9 CARE REDIRECTED  PARENTS COMPLAIN THAT PEDIATRICIANS, WARY OF COVID, SHIFT SICK KIDS TO URGENT CARE ............................... PAGE 10 CONSUMER HEALTH: NIACIN TO BOOST ....................................... PAGE 11 MAY BE TIME TO REPLACE CLOTH FACE MASKS .............................. PAGE 12 HEALTHY MEN: COLON CANCER: A GROWING RISK FOR YOUNG MEN ...... PAGE 13 SHOULD MEN BE CONCERNED ABOUT PROSTATE CANCER? ............. PAGE 14 PSYCHOLOGIST OFFERS TIPS FOR BEATING SEASONAL AND PANDEMIC BLUES .............................................. PAGE 15 2021 MEDICAL SERVICE LISTINGS ............................................... PAGE 16

2021 Medical Directory •

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FRIENDS ON THE MEDICAL FRONT LINES

AS THESE DOCTORS DO BATTLE IN A COVID19 UNIT, THEIR FRIENDSHIP HAS BECOME A LIFELINE

By Alison Bowen Chicago Tribune CHICAGO — A few things keep Dr. Khalilah Gates and Dr. Michelle Prickett walking into Northwestern M e m o r i a l H o s p i t a l ’s intensive care unit, where t h e y t re a t s e v e re l y i l l COVID-19 patients.

A sense of duty. A passion for their profession. And their friendship, honed over more than a decade and which they’ve always counted on for shared humor that punctuates hectic, hard days in their work as pulmonary and critical care specialists.

“You dig deep and you

face the ICU for another day,” Gates said, “knowing that you’ve got Prickett.”

These ICU doctors’ f r i e n d s h i p h a s a l w ay s been strong. But this year, it’s been a lifeline, as they work to keep each other safe and sane while treating COVID-19 patients.

Gates and Prickett share

a get-it-done, no-drama mentality. Their bond was solidified by sharing stories of being born and raised in Chicago and how they chose to stay here, raise families here and practice medicine here.

T h i s y e a r, t h e y h av e leaned on each other like Continued on next page

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never before. They love their families. They have other friends. But who else can know the feeling of watching someone die alone? “ T h e r e ’s n o t a l o t o f explanation that needs to be had,” Gates said. “I can just say what I need to say and she gets it, because she’s living it with me.”

Between the two of them, the banter tends toward light.

But both know the risks they expose themselves to each day are serious. They share the fear of bringing home a deadly virus to their small children.

Gates said they have not lost a close colleague to COVID-19, but that provides little comfort.

“We’ve been lucky,” she said.

“But there’s always that fear.”

Both doctors are expert clinicians and compassionate caregivers, said Dr. Diane Way n e, v i c e p re s i d e nt of human resources at No r t h w e s t e r n M e m o r i a l HealthCare, who considers them “precious resources.”

“They’re both really heroes,” Wayne said. “The stress on front-line workers is really intense.”

When Prickett was in medical school, Wayne directed the residenc y program. She watched Prickett become a respected leader who brings an “aura of calm” into any room.

“People around the hospital are very comfortable and calm despite the uncertainties of

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what’s coming, because of how well-respected Dr. Prickett is,” Wayne said.

A MENTOR Wayne has become a mentor also to Gates, whom Wayne described as a true educator, arriving every day wondering how to best help patients.

“She’s the kind of person who goes home after a really long day and thinks, ‘How can I do this better tomorrow?’ and ‘How can I teach the people around me to do this better tomorrow?’” Wayne said.

When they met in 2007, Prickett and Gates bonded over being two women in a ma l e - d o m i nat e d f i e l d .

They were two in a class of four female fellows, and all spent hours together. Neither remembers anything tentative about their connection.

“We were kind of like friends at first sight,” Prickett said. “It’s always been a sisterhood.”

Both were attracted to the complexity of their work.

Prickett loves fixing things; her father was a toolmaker who made pieces for machines. “ Taking things apart and putting them together is always fascinating to me,” she said. Critical care is a bit like tinkering, she said. Doctors take in data, make assessments and see what happens and then continue, or change course.

And both shared stories of growing up in Chicago — Gates grew up on the Near West Side, where she currently lives; Prickett has lived on the North Side her entire life and lives on the same street as her childhood home.

“That has sealed our bond, knowing this city our entire life,” Prickett said.

B e f o re C OV I D - 1 9 , t h e y would catch up in the break room, or walk to The Windsor f o r a h a p py h o u r d r i n k .

Outside of work, their families gathered for dinner parties and play dates. In a time that now feels like a dream, they would meet at the Pricketts’, who love to host, the adults drinking sangria while children played.

Their families grew along with their friendship; Prickett attended Gates’ wedding; Gates watched as Prickett became a mother of three.

When Gates had her daughter, now 3, Prickett gave her advice on healing after childbirth.

By last year, each felt in a groove. Prickett heads a pulmonary clinic where she sees outpatients with airway issues and chronic infections; Gates is one of the main educators in critical care as assistant dean of medical education at Feinberg School of Medicine. Their focus was sharing what worked, propelling others forward.

“In academia and in professional life, a lot of people are always tr ying to push everybody down,” Prickett said. “Our goal is to lift everybody up.”

They worked to maintain that positivity this year as the pandemic swept into the city.

At the beginning of the year, Gates’ 68-year-old father mentioned stocking up on masks. “I was like, what are you talking about, dude?” she remembers. A patient recently reminded her, “ Dr. Gates, remember when you said not

to worry about coronavirus?”

“I was like, yep, I remember,” she said. “I think, naively, I had faith that we would handle it better.”

Prickett had heard something about a virus in January. Her husband usually traveled a lot for work; he started staying home. Even anticipating how a virus might arrive in Chicago, she said, “I never imagined anything could be to the scope that we saw, to be quite frank, not in my wildest dreams.”

‘SOMETHING WAS GOING ON’

By March, she said, “We knew something was going on.” Patients started showing up with fevers and coughs but not the flu. She started to selfquarantine before she had her first case.

The first confirmed COVID-19 cases in Northwestern’s intensive care unit were her patients.

They arrived with fevers and pneumonia, becoming more and more short of breath, eventually needing ventilators.

Prickett remembers having to do a bronchoscopy to sample their lungs for Centers f o r D i s e a s e C o nt ro l a n d

Prevention testing.

The number of cases per w e e k w e n t f ro m z e ro t o seven or eight. She began to think about how they could take spare parts and build respirators.

“It came kind of fast and furious,” Prickett said. “It was high risk and very stressful.”

Around this time, one morning, Gates was preparing to take her daughter to day care. Two days before, she had performed a bronchoscopy on a COVID-19 patient.

S h e re c a l l e d re a l i z i n g , “Geez, I don’t know what we’re dealing with. I just did a bronchoscopy, my kid is with me, and I’m going to send her to school.” Her husband began taking care of their daughter at home.

Like other Chicago parents, it has been challenging to juggle work and home life.

Prickett’s sons are 7, 9 and 12; the youngest had the toughest time when she initially isolated downstairs in what the family dubbed the “Mom cave.”

“They understood it was to keep them safe, but my youngest was only 6 at the time and had a hard time seeing me only by FaceTime when

he knew I was only one floor below,” she said.

Within the hospital, chats in the break room are no longer safe. Instead, Prickett and Gates text constantly, volleying gifs; they yell to each other through their offices’ adjoining wall.

This summer, those talks expanded as both watched the unrest following George Floyd’s killing. Throughout their friendship, they’d had conversations about race and cultural sensitivity issues, discussing, for example, how to handle a situation when a severely ill patient said something inappropriate to a colleague wearing a hijab.

But this summer prompted deeper conversations. Having her friend say, “I get it. This is not right,” Gates said, was “priceless.” “ Yo u o f t e n f e e l l i k e you’re isolated and nobody understands,” she said. “And to have someone that gets it and gets the complexity of it has been great, getting through this summer.”

The times they find themselves reaching out — typing out a text, or scanning for their friend in the hallway

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— is often after a patient dies in isolation. Visiting policies restrict family members from seeing infected relatives; the risk to medical staff limits their room entries.

Before COVID-19, Prickett’s rule was that no one died alone. Doctors see situations where family cannot make it in time; not everyone has someone. “Typically we like to have someone at the bedside for those moments,” she said.

But beyond safety precautions, as the city faces an increase of COVID-19 cases, not enough staff is always available to sit with a patient in their final moments.

Recently, Prickett was in the ICU. She was getting “hit hard,” Gates recalled. Multiple patients were admitted; not only COVID-19 patients, but also the others who still and suddenly need their care — people in shock and respiratory failure.

Before Gates headed home, she stopped at Walgreens, where she bought a colorful balloon that read, “Thank you.”

She brought it to her friend.

“Hey,” she said, “I think you need this.”

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7 • 2021 Medical Directory

STUDY: MILLIONS OF KIDS ARE SKIPPING VACCINES

By Nara Schoenberg Chicago Tribune Millions of American children are skipping vaccines that protect against potentially deadly or disabling illnesses due to concerns about COVID-19, according to a new Blue Cross Blue Shield Association analysis of millions of medical claims.

Children are on track to miss an estimated 9 million vaccine doses in 2020, a decrease of 26% for measles compared with 2019, and a decrease of 16% for polio, according to the analysis.

That leaves an estimated 88% vaccination rate for measles, less than the Centers for Disease Control and Prevention herd immunity requirement of 93%.

“The U.S. is on the precipice of a severe immunization crisis among children,” said Dr. Vincent Nelson, chief medical officer at BCBSA, in a news release. “The COVID-19 pandemic has significantly interrupted adherence to vaccination schedules, and the possibility that preventable diseases, like polio, could become a threat to public health once again is particularly concerning.”

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2021 Medical Directory •

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Before a vaccine was introduced, polio disabled 35,000 Americans a year, according to the CDC. BCBSA estimated the 2020 vaccination rate for polio at 89%, down 16% from 2019. The CDC herd immunity requirement for polio is 86%.

The estimated vaccination rate for whooping cough was approximately 80%, while the CDC herd immunity requirement is 92%.

The decline in vaccination rates that BCBSA found is very plausible, according to Dr. Tina Q. Tan, a professor of pediatrics at the Northwestern University Feinberg School of Medicine. Tan said the problem may actually be worse than the BCBSA figures indicate.

“This is something that is incredibly important to do,” Tan said of vaccinations. “I realize that we are in the middle of a pandemic, but health care facilities have really gone out of their way to ensure that patients are seen safely.”

The BCBSA findings are consistent with a May report from the Centers for Disease Control that found a steep drop in the number of childhood vaccinations in March and April, particularly among children older than 2. In May, the Illinois chapter of the American Academy of Pediatrics issued a statement saying an estimated 70% to 80% of children were not seeing their pediatricians due to COVID-19 concerns, and urging parents to continue routine care and vaccinations.

For the analysis, BCBSA compared member claims data from January to September 2020 with data from the same time period in 2019.

Among the findings: 40% of parents and guardians said their children missed vaccinations during the pandemic. Most vaccination postponements occurred in the spring, when the pandemic was rapidly growing, or in August, when parents passed on back-to-school vaccinations.

“These trends must be reversed,” Nelson said. “It is critical that parents and caretakers keep up with regular wellness visits and catch up on any previously missed vaccinations to keep children safe and ensure community protection against these highly contagious diseases.”

MAYO CLINIC Q AND A: WHAT IS PALLIATIVE CARE AND WHO NEEDS IT? From Mayo Clinic News Network Mayo Clinic News Network

In addition to discussion, patients are encouraged to complete an advance directive. The advance directive includes two parts: designation of a health care surrogate and a living will.

A health care surrogate is a person who would help make medical decisions if one is unable to make his or her own decisions. This person can be anyone who would feel comfortable carrying out the person’s wishes, such as a family member, friend or co-worker.

The living will is a document that outlines one’s wishes for lifeprolonging care at the end of life. Another topic that may be covered is whether a person aor if he or she would want to allow for a natural death.

The latter option is often referred to as a do-not-resuscitate order, or DNR. Palliative care is a complementary service to a person’s general or specialty medical care, and it can be provided while people are receiving medical therapies, chemotherapy, dialysis, surgical procedures or other life-prolonging therapies. People often appreciate the additional support that the palliative care team provides.

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DEAR MAYO CLINIC: My 65 year-old-mother was diagnosed recently with Parkinson’s disease.

A friend mentioned that we should see a palliative care doctor to develop a care plan. I don’t think my mother is dying anytime soon.

Can you explain palliative care and why we might need a consultation?

ANSWER: I am sorry to hear about your mother’s diagnosis. It can be challenging to have a loved one with a neurodegenerative disease like Parkinson’s disease, but it is wonderful that she has you to assist her.

Palliative care is a specialty that focuses on improving quality of life for people who have chronic, serious or advanced medical conditions. It can benefit patients and families at any point along the disease course, even at the time of diagnosis.

While you mentioned that your mother is not dying anytime soon, there is a role for palliative care throughout the disease trajectory, from the time of diagnosis until the end of life. Palliative care is not synonymous with hospice care, which is specialized care for people who are near the end of their lives.

A palliative care consult focuses on the physical, spiritual, social and psychological aspects of care for the patient, and his or her caregiver. The palliative care team may include a combination of physicians, nurses, advanced-practice providers, chaplains, social workers, therapists and pharmacists. The team assesses and manages symptoms, supports caregivers, helps establish care goals, and discusses advance-care planning.

Suboptimal control of symptoms can negatively affect quality of life.

Thus, the palliative care provider aims to maximize function and quality of life by reviewing symptoms and offering options. The types of symptoms that are assessed include pain, nausea, anxiety, depression, constipation, diarrhea, fatigue and insomnia.

The palliative care team also cares for caregivers. Caregiver stress can negatively affect patients, so the team tries to identify and alleviate caregiver stressors and burdens. This may include making recommendations for additional assistance in the home, or increasing support services, such as physical or occupational therapy, or respite care.

The team inquires about the patient’s medical, personal and family goals. For instance, one person may want to plant and tend to a garden, and another patient may want to travel to see family members. The role of the palliative team is to help patients meet their goals and ensure that their medical goals align with available therapeutic options.

Advance-care planning is the process of discussing one’s preferences for care when they are at the end of his or her life. It is a topic that some people are hesitant to discuss, but it is important, particularly when people have a serious or advanced medical condition. Making decisions in advance of when they are needed guides family members and the medical team.

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CARE REDIRECTED

PARENTS COMPLAIN THAT PEDIATRICIANS, WARY OF COVID, SHIFT SICK KIDS TO URGENT CARE

By Kristy P. Kennedy Kaiser Health News A mom of eight boys, Kim Gudgeon was at her wits’ end when she called her family doctor in suburban Chicago to schedule a sick visit for increasingly fussy, 1-year-old Bryce.

He had been up at night and was disrupting his brothers’ e-learning during the day. “He was just miserable,” Gudgeon said. “And the older kids were like, ‘Mom, I can’t hear my teacher.’ There’s only so much room in the house when you have a crying baby.”

She hoped the doctor might just phone in a prescription since Bryce had been seen a few days earlier for a well visit. The doctor had noted redness in one ear but opted to hold off on treatment.

To Gudgeon’s surprise, that’s not what happened. Instead, when she called, her son was referred to urgent care, a practice that has become common for the Edward Medical Group, which included her family doctor and more than 100 other doctors affiliated with local urgent care and hospital facilities. Because of concerns about the transmission of the coronavirus, the group is now generally relying on virtual visits for the sick, but often refers infants and young children to urgent care to be seen in person.

“We have to take into consideration the risk of exposing chronically ill and well patients, staff and visitors in offices, waiting areas or public spaces,” said Adam Schriedel, chief medical officer and a practicing internist with the group.

Gudgeon’s experience is not unusual. As doctors and medical practices nationwide navigate a new normal with COVID-19 again surging, some are relying on urgent care sites and emergency departments to care for sick patients, even those with minor ailments.

That policy is troubling to Dr. Arthur “Tim” Garson Jr., a clinical professor in the College of Medicine at the University of Houston who studies community health and medical management issues. “It’s a practice’s responsibility to take care of patients,” Garson said. He worries about patients who can’t do video visits if they don’t have a smartphone or access to the internet or simply aren’t comfortable using that technology.

Garson supports protocols to protect staff and patients, including in some instances referrals to urgent care. In those cases, practices should be making sure their patients are referred to good providers, he said. For instance, children should be seen by urgent care facilities with pediatric specialists.

REFERRAL GUIDELINES Referrals for children have become so prevalent that the American Academy of Pediatrics came out with interim guidance on how practices can safely see patients, in an effort to promote patient-centered care and to ease the strain on other medical facilities as the peak of flu season approaches. The academy recommended that pediatricians strive “to provide care for the same variety of visits that they provided prior to the public health emergency.”

The academy raises concerns about unintended consequences of referrals, such as the fragmentation of care and increased exposure to other illnesses, both caused by patients seeing multiple providers; higher out-of-pocket costs for families; and an unfair burden shifting to the urgent care system as illnesses surge.

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“I think this is all being driven by fear, not really knowing how to do this safely, and not really thinking about all of the sorts of consequences that are going to come as flu and other respiratory illnesses surge this fall and winter,” said Dr. Susan Kressly, who recently retired from her practice in Warrington, Pennsylvania, and authored the AAP guidance.

Fear is not unfounded. More than 900 health care workers, 20 of them pediatricians and pediatric nurses, have died of COVID-19, according to a KHNGuardian database of front-line health care workers lost to the coronavirus.

For the Edward Medical Group, referrals are a safe way to treat patients by using all the resources of its medical system, Schriedel said.

“We can assure patients, regardless of COVID-19, we have multiple options to provide the care and services they need,” he said.

Besides urgent care referrals and virtual visits, doctors have been given guidelines on how to safely see sick patients. That might mean requesting a negative COVID test before a doctor visit or having staff escort a sick patient from the car directly to an exam room. Also, a pilot program is underway with designated offices taking patients with a respiratory illness that could be flu or COVID-19.

BALANCING ACT It is a balancing act with some risks. In August, friends sent Kressly screenshots of parents’ online message boards from states such as Texas, Indiana and Florida that were seeing a summer spike in COVID-19 cases. Mothers felt abandoned by their pediatricians because they were being sent to urgent care and emergency departments. Kressly fears some patients will fall through the cracks if they are seen by several different providers and don’t have a continuity of care.

Also, there’s the expense. Bryce’s case is a good example. Gudgeon reluctantly took him to an urgent care facility, worried about exposure and frustrated because she felt her doctor knew Bryce best. His exam included a COVID test. “They barely looked in his ears, and we went home to wait for the results,” she said, and got no medicine to treat Bryce. The next day, she had a negative test and still a fussy, sick baby.

Urgent care facilities across the country are reporting higher numbers of patients, said Dr. Franz Ritucci, president of the American Board of Urgent Care Medicine. His clinic in Orlando, Florida, is seeing twice as many patients, both children and adults, as it did at this time last year.

“In urgent care, we’re seeing all comers, whether they are sick with COVID or not,” he said.

Meanwhile, ERs are seeing far fewer pediatric patients than usual, said Alfred Sacchetti, a spokesperson for the American College of Emergency Physicians and the director of clinical services at Virtua Our Lady of Lourdes Emergency Department in Camden, New Jersey. Although adult emergency room visits have largely returned to pre-COVID levels, pediatric visits are 30% to 40% lower, he said. Sacchetti suspects several factors are at play, including fewer kids in daycare and school with less opportunity to spread illness and people avoiding emergency rooms for fear of the coronavirus.

“You see parents looking around the department and if someone clears their throat, you can look in their eyes and see the concern,” Sacchetti said.

“We reassure them” that the precautions taken in hospitals will help keep them safe, he added.

Gudgeon considered taking Bryce to an emergency room, but she felt increasingly uncomfortable both with the thought of exposing him to another health care facility and the cost. In the end, she called an out-of-state doctor she had seen often years before moving to Illinois. That doctor phoned in an

antibiotic prescription, and Bryce quickly improved, she said.

“I just wish he didn’t have to suffer for so long,” Gudgeon said.

Kressly hopes doctors become more creative in finding ways to provide direct care. She likes the “Swiss cheese” approach of layering several imperfect solutions to see patients and offer protection from COVID-19: screening for symptoms before the patient comes in, requiring everyone to wear masks, allowing only one caregiver to accompany a sick child and offering parking lot visits for sick kids in their cars.

Most important is good communication, Kressly said. Not only does that help the patient, it can also help protect the doctor from patients who may not want to admit they have COVID symptoms.

“We can’t create this barrier to care for uncomplicated, acute illnesses,” Kressly said. “This is not temporary. We all have to creatively figure out how to get patients and families connected to the right care at the right place at the right time.”

— Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.

CONSUMER HEALTH: NIACIN TO BOOST YOUR HDL, ‘GOOD,’ CHOLESTEROL Mayo Clinic News Network Niacin is an important B vitamin that may raise your HDL, (“good”), cholesterol.

Find out if you should talk to your health care provider about taking niacin alone or with cholesterol medications.

Niacin, a B vitamin, has long been used to increase highdensity lipoprotein (HDL) cholesterol — the “good” cholesterol that helps remove low-density lipoprotein (LDL), the “bad” cholesterol from your bloodstream.

But niacin isn’t for everyone.

People who take niacin in addition to common cholesterol medications see very little additional benefit. And niacin can cause uncomfortable and sometimes dangerous side effects.

What is niacin?

Niacin (nicotinic acid) is a B vitamin that’s used by your body to turn food into energy.

Niacin also helps keep your nervous system, digestive system and skin healthy. That’s why niacin is often a part of a daily multivitamin, though most people get enough niacin from the food they eat.

When it’s used as a treatment to increase your HDL cholesterol or correct a vitamin deficiency, niacin is sold in higher doses that are prescribed by your health care provider. Prescriptionstrength niacin includes such drugs as Niacor and Niaspan.

Niacin is also available as an over-the-counter supplement.

Supplements sold over-thecounter are not regulated like prescription medications. The ingredients, formulations and effects of over-the-counter niacin can vary widely.

Don’t take niacin without discussing it with your health care provider first because niacin can cause serious side effects when taken in high doses.

11 • 2021 Medical Directory

MAY BE TIME TO REPLACE CLOTH FACE MASKS

By Grace Dickinson The Philadelphia Inquirer If your masks are beginning to feel as old as this pandemic, it’s probably time to get yourself some new ones.

The Centers for Disease Control and Prevention advises using masks that have at least two layers of tightly woven, washable, breathable fabric, such as cotton. When you wash your masks regularly, which you’re supposed to do, the fabric, as well as the fit, can begin to deteriorate. As this happens, your masks become less effective.

“A newer, fresher mask is likely to have tighter fibers, and so it’s likely better at keeping out other particles and keeping your particles in,” says Krys Johnson, an epidemiologist and assistant professor at Temple University.

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The exact timeline of when you need to replace a mask depends on the makeup of the mask, along with other factors like how much you’re washing it, and how often you’re taking it on and off.

But as a general rule of thumb: “Think about masks like seasonal attire. Update every season,” says Johnson.

Here’s how else to know if you should replace a mask.

A snug fit is key. If the elastic of your ear loops starts to loosen, it’s time to reach for something tighter.

That’s a bad sign, says Johnson, and may indicate that the fabric is deteriorating, or was too thin from the start.

A mask needs to cover your nose and mouth in order to work. If one of the straps falls off and you have to keep touching your mask to keep it in place,

this defeats its purpose.

This is perhaps the most obvious sign of all. If your mask is ripped, it needs to go. It doesn’t matter how small or large the hole is.

Experts strongly recommend owning more than one mask. And in the winter, you’ll want to carry a backup. Moving from chilly outdoor environments into cozy indoor settings makes it easy to sweat through your mask, as does wearing multiple layers.

You’re advised to always swap a wet mask for a dry one. A wet mask can make it harder to breathe. And of course it’s uncomfortable, especially if you’re walking back outside into cold temps.

When in doubt, replace it, says Johnson. We want to eliminate risk as much as possible right now, and proper mask wearing is part of that.

If you have a disposable face mask, the CDC advises throwing it away after you’ve worn it once.

HEALTHY MEN:

COLON CANCER: A GROWING RISK FOR YOUNG MEN Armin Brott Tribune News Service Dear Healthy Men: When Chadwick Boseman died of colon cancer a few months ago, I was surprised that he was so young — I always thought it was an old person’s disease. What are the risk factors for younger people, especially men?

A: You’re absolutely right. Boseman was diagnosed with colon cancer at age 39 and died at 43 — far younger than the average person who is either diagnosed with or dies from that disease. In fact, the median age for men at diagnosis is 68 (vs.

72 for women).

Overall, colorectal cancer (which includes both colon and rectal cancers) is the third most commonly diagnosed cancer in both men and women, and the second leading cause of cancer death in both men and women, according to the Colorectal Cancer Alliance (CCA, ccalliance.org). But colorectal cancer, like most other cancers, is not an equalopportunity disease. Aside from being diagnosed younger, men also die of the disease at much higher rates than women. And African Americans have the highest rates of all (20% higher for diagnosis, 40% higher for mortality).

The good news is that overall, the rates of colon and rectal cancers have been dropping since about the mid1980s, according to the American Cancer Society (ACS, cancer.org). But, interestingly, the drop is thanks mostly to the fact that fewer older people are being diagnosed — new cases in those aged 55

and up have been decreasing by about 3.5% every year. And that’s due in large part to better screening methods, which now allow potential cancers (including polyps) to be diagnosed earlier, when they’re easier to treat, according to ACS. Unfortunately, there’s some bad news too: diagnosis rates for people under age 55 have been increasing by 2% per year. Put a little differently a new report

by ACS estimates that someone born in 1990 (who would be about 30 today) is twice as likely to get colon cancer and four times as likely to get rectal cancer than someone born in 1950 (who would be 70 today).

As a result of this slow-but-dramatic increase in the rate of young people (especially if they’re male and/or African American) getting diagnosed with colorectal cancer, new screening guidelines are now recommending that people with “average risk” should get screened starting at age 45. However, according to CCA, if you have a family history of colorectal cancer or polyps, you should get screened at age 40 or 10 years before the age of the youngest case in your immediate family. If you have a genetic link to colorectal cancer, you may need to get tested as early as your 20s. in addition, if you have a personal history of any other type of cancer — especially if you received radiation to the abdomen or pelvis — or you have ulcerative colitis, Crohn’s disease, or inflammatory bowel disease, talk with your provider to see whether you should start testing earlier than 45.

Other risk factors for colorectal cancer include • Being over 55 • Being African American or Ashkenazi Jewish • Having Type 2 Diabetes • Being overweight • Eating a lot of red meat • Smoking • Heavy drinking • Lack of exercise

Chadwick Boseman

And finally, if you have any of the following symptoms, contact your provider • Changes in bowel habits (such as diarrhea or constipation) that last more than a few days • Frequent gas or bloating (once in a while is fine, but every day isn’t) • Blood in stool or black/tarry stool • Unexplained weight loss • Unexplained fatigue • Shortness of breath

FOR MORE INFORMATION ON COLORECTAL AND OTHER RECOMMENDED SCREENINGS, VISIT GETITCHECKED.COM. 13 • 2021 Medical Directory

SHOULD MEN BE CONCERNED ABOUT PROSTATE CANCER? Mayo Clinic News Network Prostate cancer is the second-most diagnosed cancer in men after skin cancer. Approximately 1 of 9 men in the U.S. will get prostate cancer in his lifetime. Most men diagnosed with the disease won’t die from it. More than 3.1 million American men are living with a prostate cancer diagnosis, according to the American Cancer Society. But the disease kills roughly 2%-3% of men in the U.S. every year.

“When you look at five-year survivals — and that’s a metric that most organizations use to determine prostate cancer aggressiveness — prostate cancer, even in some of the advanced stages, still has nearly 100% five-year survival. And that’s different than the perspective of someone having pancreatic cancer or brain cancer, where the five-year survival is not even 15% at times,” says Dr. Raymond Pak, a Mayo Clinic urologist. “Between five to 10 years, survival for untreated prostate cancer also can approach 100% for certain types of prostate cancer. So I do counsel patients based on that and tell them to put things 2021 Medical Directory •

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in perspective. I encourage all my patients to make long-term plans still and to have a positive outlook because the landscape of prostate cancer treatment is also changing, and it’s a dynamic process.”

Early detection often is key to survival. Prostate cancer screening guidelines consider a number of risk factors, including age, race and family history.

“Currently, the American Urologic Association supports screening for men at average risk between the ages of 55 and 69. And then prior to 55, it should really be a shared decision and discussion based on risk factors,” says Dr. Pak. “So what are those risk factors? Men with a family history of prostate cancer is one example. Significant family history would be a first-degree relative, such as a father or brother with prostate cancer, or a more distant relative, but at least two affected distant relatives with prostate cancer. And then any other strong family history of hereditary colon, breast cancers, as well as prostate, of course, should be considered in a younger age group. So between 40 and 55 is that high-risk group that we need to screen for if there’s a strong family history or race. African American men should also

be considered to be screened earlier under 55.”

Prostate cancer screening involves the combination of a prostate exam by a health care provider and a prostate-specific antigen blood test.

Unlike some types of cancer, prostate cancer often has no symptoms. And if a man develops symptoms, it usually means the cancer is at an advanced stage.

“Symptoms such as blood in the urine, painful urination, inability to urinate, or pain in the hips and spine ? those can all be very advanced presentations of prostate cancer. So that’s exactly the reason why we screen men actively in the specific age groups, because there are no symptoms whatsoever,” says Dr. Pak. Low-risk, nonaggressive prostate cancer is the most common type detected. And, in those cases, active surveillance usually is recommended. Your health care provider closely monitors the cancer with tests to see if the cancer is growing or causing symptoms. If the cancer has progressed to a more advanced stage, then treatment options may include surgery, radiation, medications and other therapies.

PSYCHOLOGIST OFFERS TIPS FOR BEATING SEASONAL AND PANDEMIC BLUES

By Dan Gigler Pittsburgh Post-Gazette

PITTSBURGH — Fleeting daylight.

Colder weather. Gloomy skies. The churn of conflicting emotions and financial distress that can accompany the holidays.

These elements constitute the recipe for the annual anxiety stew that Jon Weingarden’s patients have to swallow.

Add to that the recent fallout of a vitriolic presidential election and the COVID-19 pandemic, and it can be an overwhelming scenario — especially for those with seasonal affective disorder.

“We definitely do see that,” said Mr. Weingarden, a clinical psychologist and the senior program director of the Integrative Health and Aging Program and Center for Eating Disorders at UPMC Western Psychiatric Hospital.

“I work in an acute hospital setting,” said the 34-year-old who has a doctor of psychology degree. “We do see more people now that are saying, ‘Yes, this is a direct effect of COVID-19,’ whether it’s via job loss or loneliness or losses of resources, financial issues. So we are seeing more ... people getting exhausted from it.”

The SARS-CoV-2 coronavirus primarily affects the respiratory and circulatory systems and has contributed to the deaths of nearly a quarter of a million Americans since February.

But Mr. Weingarden has a different view of it.

“I look at it as a stressor,” he said.

“Stress is a psychological term. There are acute stressors like traumas and there are chronic stresses. At first when we experience stressors, even traumatic ones, it’s more common for people to have growth from a stressor, but then we tend to wear out from it.”

A recent Washington Post story said that a survey published in September in the JAMA Network Open, a monthly open access medical journal published by the American Medical Association, “found that U.S. adults were reporting levels of depressive symptoms more than three times higher during the pandemic than before it” and that a June survey conducted by the Centers

for Disease Control and Prevention yielded similar results.

Just as COVID-19 typically has a long arc between exposure and its symptoms, so too did the mental health ramifications of the disease take time to manifest.

“Even though people were extremely anxious about the pandemic, there were people who were sort of motivated, who were engaged. There is something that all of humanity was tied together in response to it, for the most part,” he said. But as it’s worn on, “I think people are really starting to get exhausted from this.”

And that gives him pause as a clinician.

“I think that’s where it really starts to couple with this seasonal depression because there’s not as many (safe) ways that you can cope with it compared to what you may have been able to do over the summer.

He said three things contribute to depression at this time of year.

“The holidays tend to become more sort of nostalgic and bittersweet. You not only have good memories, but memories of loss of things you’re no longer able to do or people you’re no longer able to see.

“Many people struggle with winter weather, something we call the winter blues. The things that tend to trigger that are the shortened days, less sunlight and colder weather where we might be less active. We look at it very much as a sort of circadian rhythm biological process.

“We also just had a time change, which is hard for people. Sometimes when they’re depressed they want to oversleep, which worsens it. If you oversleep, you miss your one sliver of sunlight. So if you’re not getting any sunlight in the morning, there’s nothing telling your body, ‘Hey, it’s daytime. Get active.’ If you’re getting up and going straight to work and getting home at 4 or 5 and not seeing any daylight, that’s a problem.”

Here’s the Catch-22 of COVID-19: “If someone has a seasonal pattern (of depression), they might be less likely to do the things they enjoyed, and now

we’ve cut the number of things they can do significantly. So that’s gonna be a major challenge. How do you stay engaged throughout the winter because those opportunities are much decreased?”

Mr. Weingarden emphasized that no one should suffer in silence or tough it out.

“The first thing I would say is that if you really are — or anticipate — struggling, get supportive resources from a professional. Connect with a counselor or a psychiatrist. If you are really, really struggling, emergency resources are the way to go.”

To help with the daily struggle, get outside, plan ahead, stick to commitments and be prepared to try something new.

“Get outside now while the weather is still nice. If you avoid going outside now and you wait until the thick of the winter, it’s going to make it much harder. Take a walk in the morning. Get up at a reasonable time. Get outside during your lunch break while the weather is still nice, and even once it gets bad, commit to bundling up,” he said.

He noted that Europeans seemed to handle winter weather better than some Americans.

“They love the cold and they don’t bat an eye at it. We’re gonna have to bundle up and change our culture a little bit, and that’s gonna be easier for some people than others.

“Commitment is a big challenge.

If you commit (only) to yourself, it’s

easy to let yourself out of it. But if you have a buddy at work or a neighbor or family member and you decide to walk together every day, committing with somebody really strengthens that because nobody wants to be the one to drop out. If one of the two of you says, ‘Hey let’s do it,’ then both of you are more likely to go.

He said the pandemic monotony of telecommuting and home schooling can lead to the feeling that every day is the same.

“If you’re eating dinner with the same person every night, that doesn’t mean that you can’t say every Friday we’re going to do something special, whatever your means allow for. (That) will make the weeks go by more quickly.

“It has been hard and it’s going to continue to be hard,” he said, suggesting people keep an eye on the big picture.

“While we’re gonna have to get through a really difficult winter, we are anticipating starting to see some vaccines in the coming year.”

For those who are concerned about family members or friends, he suggests making plans and holding the person to them.

“Make plans with each other, whether it’s a Zoom phone call every Thursday, taking a walk every morning, or checking in with each other and offering resources, making plans with each other that are safe.

“Don’t be afraid to ask somebody, ‘Hey, are you OK? Can I help?’

It’s important to make this more normalized and less stigmatized.”

Middle Path Acupuncture

Using time-honored methods to promote health and harmony in your life

Acupuncture Enlighten yourself

Eastern Medicine Discover the difference

Massage Therapy Relax & Enjoy

502 N. Anderson st. - Ellensburg, WA | 509-925-1530 | rsimpsonmp@gmail.com Monday-Friday 8:00am-6:00pm (closed 1:00-2:00pm for lunch 1967920

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MEDICAL DIRECTORY

ACUPUNCTURE

Landmark Care and Rehabilitation

Middle Path Acupuncture

502 N. Anderson St. Ellensburg, WA 98926 509-925-1530 www.middlepathacupuncture.net rsimpsonmp@gmail.com Audrey Barrett Jeff Lippincott

ADDICTION & REHABILITATION CENTERS Merit Resource Services

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)

200 E. 3rd Ave. Ellensburg, WA 98926 509-925-9821 Hours: 8 am - 5:30pm www.meritresources.org

781 Kaynor Road Ellensburg, WA 98926 509-968-4432

Meadows Place Senior Living

Barth Clinic

2141 Dolarway Rd., Unit 1 Ellensburg, WA 98926 509-925-7867 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

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

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

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

Genteel Establishment

AUDIOLOGY, HEARING CENTERS, HEARING AIDS & ACCESSORIES

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:

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710 N. 39th Avenue Yakima, WA 98902 509-248-4102

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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 Jenci Randall - Certified Clinical Audiologist

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

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MEDICAL DIRECTORY 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 406 S. 30th Ave. 509-248-7716 Yakima, WA 98902

Yakima Heart Center

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

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

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

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

Ellensburg Chiropractic PS 109 S. Water Street, Suite 2 Ellensburg, WA 98926 509-962-2225 Dr. Gary Favero

Ellensburg Integrated Medicine

Mosaic Counseling Services

Linder Chiropractic Center

Comprehensive on Pearl

Shaw Chiropractic Center

Jill Schwarz

COUNSELORS

Stillwater Counseling Service

304 S. Water St., Suite 103 Ellensburg, WA 98926 509-925-7246 1011 N. Alder Ellensburg, WA 98926 509-962-2570 305 N. Anderson Ellensburg, WA 98926 509-962-9633

Central Washington Comprehensive Mental Health 220 W. 4th Avenue Ellensburg, WA 98926 509-925-9861 402 S 4th Avenue Yakima, WA 98907 509-575-4084 www.cwcmh.org

Christian Care Service

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

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

Crossroads Counseling

603 N. Main Street, Suite 1 Ellensburg, WA 98926 509-962-4300 Jackie Moore, MED, LMHC Laura Doughty, MS 109 E. 3rd Avenue, Suite 7 Ellensburg, WA 98926 509-925-2258

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

Johnson, Philip

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

Kittitas Valley Counseling Center LLC 413 N. Main Street, Suite D Ellensburg, WA 98926 509-925-4400

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

707 N. Pearl, Suite E Ellensburg, WA 98926 509-925-7507 603 N. Main, Suite 1 Ellensburg, WA 98926 509-962-6110

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

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

Yoga Enhancement 509-899-0010

DENTAL Avanta Dental

306. S Main Street #1 Ellensburg WA 98926 509.925.3160

Big Country Family Dental

307 W. 1st Avenue, Suite 1 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

Central Washington Pediatric Dentistry 109 N. Pine Street Ellensburg, WA 98926 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

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

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MEDICAL DIRECTORY

Creekside Dental

O’Connor Family Dental

Sunrise Dental

Community Health of Central Washington

Parker Orthodontics

Yakima Oral and Maxillofacial Surgery Assoc.

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

1015 S. 40th, Suite 15 Yakima, WA 98908 509-966-0660

521 E. Mountain View Avenue Ellensburg, WA 98926 509-933-2400 Hours: Mon- Fri 7:00am – 5:30pm Sat: 8:00am – 3:30pm ACCEPTING NEW PATIENTS Services: Comprehensive dental care for the entire family Preventative and restorative dentistry Same Day Emergency Appointments available

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

109 N. Pine Street Ellensburg, WA 98926 509-962-6902

Pearl Care Dental

2401 W. Dolarway Road Ellensburg, WA 98926 509-925-6553 www.pearlcaredental.com Cristina Bender, DDS PS Iriff Ulep, DDS, DDS Cary Chellis, 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 509-388-0331

Endodontics Exclusively

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

Sullivan Dental

Ivory Denture Care, Inc.

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

Lorin D. Peterson, DDS

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

Summitview Pediatric Dentist

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

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

Sunny Smile Orthodontics

Siks Mark

Local Location 708 E. Mountain View Avenue Ellensburg, WA 98926 509-962-2755

Mountain View Dental Center

Main Location: 1725 E. Lincoln Avenue Sunnyside, WA 98926 509-837-7933

215 E. 4th Avenue Ellensburg, WA 98926 509-925-3200 708 E. Mountain View Avenue Ellensburg, WA 98926 509-962-2755

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601. N Main Street Suite 2 Ellensburg WA 98926 509.361.5500 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

DIALYSIS Davita Inc

2101 W. Dolarway Road Ellensburg, WA 98926 866-544-6741

ELECTROLYSIS Ellensburg Electrolysis 171 Brown Road Ellensburg, WA 98926 509-899-1166

GENERAL PRACTICE Community Health of Central Washington 521 E. Mountain View Avenue Ellensburg, WA 98926 509-962-1414 Hours: 8:00am – 5:30pm www.chcw.org ACCEPTING NEW PATIENTS Services: Full Range Family Medicine Pediatrics Pharmacy Services Behavioral Health Obstetrics Psychiatric Services Care Coordination On Site Lab On Site Ultrasound Osteopathic Manipulation Therapy Nutrition Services, WIC, and First Steps

2021 KIT TITAS COUNT Y

MEDICAL DIRECTORY Family Health Care of Ellensburg

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

KVH Family Medicine – Cle Elum

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 Sarah Heniges, PA-C Alisa Peterson, MSW, LICSW Joe Smith, DPT John Asriel, MD Nate Everett, DPT Rob Merkel, PA-C Chelsea Newman, PA-C Auren O’Connell, DNP Andrew Thomas, MD

KVH Family Medicine - Ellensburg

Address: 716 E Manitoba Ave, Ellensburg Phone: 509-933-8777 www.kvhealthcare.org Ann Parr, PA-C José Diaz, PA-C William Phillips, ARNP Mark Larson, MD Kevin Martin, MD John Merrill-Steskal, MD Annaliese Stone, DO Carissa Dahl, ARNP Julia Riel, PA-C Brett White, PA Jie Casey, DO Vanessa Wright, MD Desiree Bloomquist, ARNP

Nancy Wells

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

GENERAL SURGERY KVH General Surgery

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 Daniel Smith, DO Nathan Kemalan, MD

HOME HEALTH SERVICES Home Care Services

1206 N. Dolarway Road, Suite 118 Ellensburg, WA 98926 866-291-3017 509-962-6242 KVH Home Health 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

KVH Orthopedics KVH Pharmacy KVH Physical Therapy KVH Speech Therapy KVH Urgent Care – Cle Elum KVH Women’s Health KVH Workplace Health

INSURANCE – LIFE, MEDICAL, HOSPITALIZATION, LONG TERM CARE & SURGICAL American Family Insurance 100 W. 3rd Ave. Ellensburg, WA 98926 509-933-2200

Country Financial

Total Care Inc.

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

HOSPICE

301 N. Railroad, Suite C Cle Elum, WA 98922 509-581-1518

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

KVH Hospice

1506 E. Radio Road 509-962-7438 www.kvhealthcare.org

HOSPITAL EQUIPMENT AND SALES Kittitas Medical Supply 800 S. Pearl St. #2 Ellensburg, WA 98926 509-929-3000 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 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

Farmer’s Insurance

Shaun Montgomery 300 N. Main Ellensburg, WA 98926 509-925-9633 Cle Elum 98922 509-674-2408

Fevergeon Financial

1206 N. Dolarway Road, Suite 212 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

Libke Insurance

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

State Farm - Scott Rollins Insurance Agency INC 400 N. Pearl Ellensburg, WA 98926 509-925-1483 415 E. 1St Cle Elum, WA 98922 509-674-5107

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MEDICAL DIRECTORY Virginia Gayken Insurance 205 S. Main Ellensburg, WA 98926 509-925-1811

INTERNAL MEDICINE

JoAnn’s Therapeutic Massage 708 S. Tamarack Ellensburg, WA 98926 509-962-4968

Massage for Body and Feet

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 Jamin Feng, MD David Jackson, MD Anita Schiltz, ARNP Andy Schock, PA-C

305 N. Maple St. Ellensburg, WA 98926 509-929-3636

Jane McClenney - Move Lightly 109 E. 3rd, Suite 1 Ellensburg, WA 98926 509-929-3838

Middle Path Acupuncture

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

502 N. Anderson St. Ellensburg, WA 98926 509-925-1530 www.middlepathacupuncture.net rsimpsonmp@gmail.com Rand Gillen, LMT Cortney Stever, LMP

Awakening BodyMind Spirit

Scents of Touch Massage

MASSAGE Alente Spa and Salon

814 E. 5th Avenue Ellensburg, WA 98926 509-962-9656 Body Nirvana 103 E. 4th, Suite 201 Ellensburg, WA 98926 509-607-9774

305 N. Andersont St Ellensburg, WA 98926 509-899-3136

100 S. Pearl Street, Suite 2 Ellensburg WA 98926 509.929-3000

MENTAL HEALTH SERVICES Central Washington Comprehensive Mental Health 707 N. Pearl Street Ellensburg, WA 98926 509-925-9861

Healing Touch Massage

Horizons Club

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

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

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

NEUROLOGISTS Northwest Neurosciences

KVH Women’s Health

201 S Main Street Ellensburg WA 98926 509.424.5899

KITTITAS MEDICAL SUPPLY

109 E 3rd Ave., Suite 4 Ellensburg, WA 98926 509-929-2822

NEPHROLOGY SERVICES

AWAKE Health

MEDICAL SUPPLIES

Gaia Center

116 N. Oakes Ave. Ste 4 Cle Elum, WA 98922 509-240-8676 413 N. Main St Unit H Ellenburg, WA 98121 www.naturopathcleelum.com droliviafranks@gmail.com Dr. Olivia Franks

OBGYN

Ellensburg Chiropractic

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

Swiftwater Naturopath

MEDICAL AESTHETICS

Two Hands and Heart

For Your Image

108 W. 2nd Street Cle Elum, WA 98922 509-260-1226

509-929-2639

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

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

Bonnie S. Reay, ND

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

Shiatsu Therapy

East Cascade Chiropractic

NATUROPATHIC

Hours: 8 a.m. to 5 p.m., Monday – Friday 100 E. Jackson Avenue, Unit 109 Phone: 509-933-8720 www.kvhealthcare.org womenshealth@kvhealthcare.org Teresa Beckett, ARNP, PA-C Jie Casey, DO Holly Dawson, DO Maribel Serrano, MD Emilie Toretta, ARNP, CNM

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

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

OPHTHALMOLOGISTS, OPTOMETRISTS & OPTICAL GOODS Advanced Eye Care

3999 Engelwood Avenue, Suite 101 Yakima, WA 98902 509-452-2020

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.

Proliance Retina

2205 W. Dolarway Road, Unit 2 Ellensburg, WA 98926 206-215-3850

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.

ORTHODONTISTS Parker Orthodontics 109 N. Pine Street Ellensburg, WA 98926 (509) 962-6902

ORTHOPEDIC SHOES APPLIANCES & PROSTHETIC Kittitas Orthotics & Prosthetics 1206 N. Dolarway, Suite 110 Ellensburg, WA 98926 509-925-7700

Vaux Shoes

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

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

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

100 E. Jackson Avenue, Suite 101 Ellensburg, WA 98926 509-962-KIDS (5437) Fax: 509-962-5438 Hours: Mon-Fri, 8:30 am - 5 pm Elise J. Herman, MD Paul DeBusschere, MD, FAAP Christine Ward, ARNP Meghan Young, DO

PERSONAL TRAINERS/FITNESS Anytime Fitness

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

Cle Elum’s 24 Hour Gym 113 Harris Avenue Cle Elum, WA 98922 509-674-5696

Empowered Fitness

ORTHOPEDICS, ORTHOPEDIC SURGERY, BONE & JOINT

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

KVH Orthopedics

The Gym

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 Ada Cheung, 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

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

Jazzercise

2060 E. Valley Hwy Ellensburg, WA 98926 509-933-2348

PHARMACIES Bi-Mart

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

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

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MEDICAL DIRECTORY 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

PUBLIC HEALTH

URGENT CARE

Kittitas County Public Health Department

Kittitas Valley Urgent Care

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

PULMONARY

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

Lung & Asthma Center of Central Washington 303 Holton Avenue Yakima, WA 98902 509-575-7653

Safeway Pharmacy

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

VASCULAR SURGERY Central Valley Vascular Center

Super 1 Foods

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

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

Whole Health Pharmacy

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

Yakima Vascular Associates

800 S Pearl Street Suite 1 Ellensburg WA 98926 509-925-6800

PHYSICAL THERAPY Argonaut Peak Physical Therapy

SENIOR CITIZEN SERVICE ORGANIZATIONS

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 Kathy Keebaugh, MD Wendy Owens, MD Troy Bowers, P-AC Cassie Gavin, ARNP Chris Bently, PA-C Mark Babin, PA-C

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

722 E. University Way Ellensburg, WA 98926 509-962-1553

Aging & Disability Resource Center 206 W. 1st Avenue Ellensburg, WA 98926 509-925-8765

VITAMINS & FOOD SUPPLEMENTS

Canyon View Physical Therapy

Ellensburg Adult Activity Center

111 W. 6th Ellensburg, WA 98926 509-925-2505

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

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

Senior Nutrition Program

KVH Physical Therapy

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

220 E. Helena Ellensburg, WA 98926 509-933-3333

SPEECH PATHOLOGISTS KVH Speech Therapy

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

309 E. Mountain View Ave. Ellensburg, WA 98926 509-933-8677 Website/email: www.kvhealthcare.org

Speech Pathology Associates

PODIATRISTS

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

Cascade Foot & Ankle 100 W. Jackson, Suite 105 Ellensburg, WA 509-925-4633 3919 Creekside Loop Yakima, WA 509-225-3668

2021 Medical Directory •

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

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Better Life Natural Foods

WHEELCHAIR LIFTS AND RAMPS AND HANDICAP CONSTRUCTION Custom Technology 460 McLaughlin Yakima, WA 98902 509-965-3333

Empowering the community.

(509) 925-1414 • 401 N Main Street • Ellensburg, WA 98926 dailyrecordnews.com

Learn more about who we are and what we do at kvhealthcare.org

Searching for a provider? Our free Guided Patient Services (GPS) can help you navigate your choices to ďŹ nd the best ďŹ t for your healthcare needs. Call GPS at 509-933-8774.

Hospital 509-962-9841 24/7 Pharmacy: 509-925-8484 Clinics Dermatology: 509-933-8841 Family Medicine - Cle Elum: 509-674-5331 Family Medicine - Ellensburg: 509-933-8777 General Surgery: 509-962-7390 Internal Medicine: 509-925-6100 Neurology: 509-933-8919 Orthopedics: 509-933-8700 Pediatrics: 509-962-5437

Urgent Care - Cle Elum: 509-674-6944 Vascular Surgery: 509-962-7390 Women's Health: 509-933-8720 Workplace Health: 509-933-8830 Wound Care: 509-962-7441 Specialty Services Home Health: 509-962-7438 Hospice: 509-962-7438 Occupational Therapy: 509-933-8677 Physical Therapy: 509-962-7386 Speech Therapy: 509-933-8677