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The Beat Goes On
Lincoln Family Receives
Lifetime Achievement David Lincoln Award
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avid Lincoln and the Lincoln family were honored earlier this year with AZ Business magazine’s first Lifetime Achievement Award, part of the annual 2012 Healthcare Leadership Awards ceremony. The Lincoln family has nurtured an organization that grew out of a church mission to help Sunnyslope’s neediest residents in the 1930s into today’s locally owned, not-for-profit health care network. David Lincoln has been on the John C. Lincoln Health Foundation Board for 33 years and recently became an emeritus board member of the John C. Lincoln Health Network board, marking 45 years of service there. Now in his 80s, Lincoln continues to take his day-to-day board responsibilities seriously, offering sound advice and wisdom on the future of the Network. The Lincoln family’s unparalleled financial commitment to health care in the Valley continued in 2011, when they donated $4 million to renovate the lobby of John C. Lincoln North Mountain Hospital. Learn more about the Lincoln family legacy at JCL.com/about.
July / August 2012
A Clear Edge for
Recovery Attitude. Does it really make a difference after surgery?
“Absolutely,” said orthopedic surgeon Amon Ferry, MD. “Patients who are determined to get better do. Those who are not, don’t.” Deborah Dubree took that concept to a whole new level, Dr. Ferry said. “The day after most patients have had a knee replaced, they’re still groggy, lying in bed, not with the program yet,” he said. “When I went to see Deb the day after her surgery, she was sitting up, totally alert, working on her computer! I couldn’t believe it.” Dubree had a secret to her success, an edge. Or, in her terms, she had “the ClearEDGE Difference.”
John C. Lincoln orthopedic surgeon Amon Ferry, MD, and his successful knee replacement patient, Deb Dubree.
ClearEDGE is what she does for a living, coaching elite professional athletes to optimize performance. After surgery, she lived what she teaches. “With my athletes, we talk about expectations,” Dubree explains. “I talked with Dr. Ferry about expectations for my recovery, so I knew the goals I was working to achieve. I didn’t have to wait for recovery to happen to me. I could work to make my recovery happen.” Dubree’s knee problems date back to 2005, when her knee started making “crunchy sounds,” and she had a cartilage repair procedure called microfracture surgery. continued on page 2
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Cover Story
Sunnyslope Students Paint ‘Pathway to Healing’ at North Mountain
A Clear Edge for
Recovery >
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Popular with many super athletes, the procedure creates tiny fractures that cause new cartilage to develop in the underlying knee bone. Dubree liked it because it was minimally invasive and required little recovery time. “It was important to get my knee fixed quickly, because I was scheduled to go to Australia and New Zealand and I had to speak at a major convention in San Diego,” she said. Like the rest of her life, this involved a lot of movement. Although most of her coaching is done by phone – she’s available 24/7 to her clients – some of her work is done on the field, court or course. She works where her clients work, and she has to be able to keep up with them. “They have to trust I know the challenges that limit their optimal performance. Sometimes that means I have to be out where they are,” she said. Most relevant, however, was that her coaching helps athletes recover after injury or surgery. That’s what she needed. By the end of 2010, her left knee was just bone grating on bone. Even with her mental toughness, she just couldn’t keep going. Knee replacement surgery was necessary. Her primary care doctor gave her Dr. Ferry’s name, but with the approach she takes for clients, she did the research to be sure she was making the right decision for herself. When she saw that Dr. Ferry’s credentials include a fellowship with the esteemed Harvard Orthopedic Surgery and Sports Medicine Service, she consulted with him and was sold. “He really listened and answered all my questions – about the procedure, the facility, options for anesthesia, pain management,
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and what to expect,” Dubree said. “I wanted quantifiable goals, and he gave them to me.” “Joint replacement is almost always successful, but it is still serious,” Dr. Ferry said. “It should be done as a last resort.” “That’s where Deb was,” Dr. Ferry said. “She had end stage degenerative joint disease, osteoarthritis. All the cartilage in her knee was destroyed.” Dr. Ferry recommended a special implant designed for female athletes whose femur bones are narrower toward the knee than those of their male counterparts. “You want to choose the implant that’s going to fit best for the individual,” he said. They did the surgery and Dubree applied her professional principles. The day after surgery, when most patients are still groggy, “I saw her working on her laptop,” Dr. Ferry said with some amazement. “I told her that her recovery was going to be awesome.” “I did what I teach my clients – visualize healing,” Dubree said. “It’s important to have a daily objective: What can I do today to further my ability?” “It helped that the nursing care and physical therapy were all so good,” Dubree said. “Everyone was warm and encouraging – I felt well cared for.” “I love working with athletes,” Dr. Ferry said. “They not only do what we ask, they do more. That’s what Deb was doing.” And it worked for Dubree. “In three weeks I got rid of my walker and I was back at work,” she said. “By now, I’m at 100 percent.” Learn more about knee replacement surgery at JCL.com/orthopedics.
July / August 2012
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unnyslope students transformed the 200-foot-long construction fence into a work of art that represents the connection of the community and healing to John C. Lincoln North Mountain Hospital. The lobby renovation project to create a “Pathway to Healing” was made possible by a $4 million gift from Joan and David Lincoln and Lillian Lincoln Howell. The lobby will be complete in November 2012. Until then, the hospital entrance temporarily has moved east, and visitors and patients see an extraordinary construction fence: Kids’ handprints mark the path, and images depict a rainbow, the sun, clouds, quotes about healing, the hospital, “S” Mountain, their school, flowers, cacti, families and fish. The painting project was made possible by these sponsors: DPR Construction, WD Manor, CCRD, Orcutt Winslow, Ganado Painting, Walters and Wolf, Wilson Electric, Primera and John C. Lincoln Health Foundation.
More than 800 kindergartners through eighth graders from Sunnyslope Elementary School turned the construction fence at John C. Lincoln North Mountain Hospital into a mural representing our community.
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Dr. Ferry and Deb Dubree review the medical images of her knee surgery.
JCL.com
Your Health
Liz Shapiro, FNP, a family nurse practitioner at John C. Lincoln’s Dearing Family Medicine
Nurse Practitioners Nurse practitioners deliver a unique blend of medical care by incorporating personalized health education, counseling, and teaching patients about healthy lifestyle choices.
“We distinguish ourselves from other health care providers by focusing on the whole person when treating specific health problems,” said Liz Shapiro, FNP, a family nurse practitioner at John C. Lincoln’s Dearing Family Medicine. Nurse practitioners have an advanced graduate degree and are licensed and board-certified through national organizations. They can work in a variety of settings including cardiology, emergency, primary care and others. To find a nurse practitioner in your neighborhood visit JCL.com/practices.
Build Your Medical Home
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hat comes to mind when you hear Providers who “medical home?” A house filled with medical establish great equipment, a residential medical homes facility, a home health care service? know their Current terms used in patients, their health care refer to a “medical home” as none of the above. A families and medical home is a unique their history. relationship between patients and their primary care provider who works in partnership with them to manage and coordinate all their health care needs over a long period of time. As we age, chronic health conditions become more common. Developing a medical home can help reduce and/or improve the risks associated with chronic health conditions and lead to overall better patient outcomes. “One provider who sees a patient on a regular basis can evaluate the patient’s overall situation and provide alternatives, rather than just trying to claim a single health issue,” said Gary JCL.com
Rada, MD, of John C. Lincoln’s Saguaro Family Practice. Building a medical home is the joint responsibility of the patient and the provider. Patients should do their research to find the type of provider that works best for them. When you meet with them, come prepared with a full background of medical and family history, and then remain with that provider over a long period of time. “There is a lot more to a patient visit after I establish a relationship with them,” Dr. Rada said. “Not only do I address their current situation, I take into consideration their past symptoms and conditions, family medical history and other information learned throughout their care for a proper medical recommendation. Providers who establish great medical homes know their patients, their families and their history. They work with patients as partners and use a proactive team approach, while preventing duplication of services.” Make John C. Lincoln Physician Network your medical home. Find a primary care physician at JCL.com/practices. July / August 2012
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Medical Technology
Endoscopic Ultrasound Cuts Down Radiation Visits
Giving New Hope to Cancer Patients
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ames Forster started his fight against pancreatic cancer without much hope. “It all started about two years ago when I started feeling pain in my right side. I just ignored it hoping it would go away. Along with the increased pain, I slowly began inching my belt up, loop by loop. It was only when I looked in the mirror one day, two years later, that I realized something was wrong,” said Forster, 69, a retired custodian from Sky Harbor Airport. “The doctors told me I had pancreatic cancer that couldn’t be removed and said there wasn’t much they could do. My family encouraged me to look into other options and that is when I heard about stereotactic radiation.”
Normal radiation treatments for cancer patients are received over the course of six weeks. When someone is diagnosed with cancer and requires chemotherapy and/or radiation, reducing office visits and time spent at the doctor’s office can alleviate strain on the patient’s physical energy and allow for more meaningful time to spend with their family and friends.
Benefits of Endoscopic Ultrasound
Endoscopic ultrasound allows doctors to microscopically examine tissue in and around the digestive tract. It can:
> Determine metastasis of certain tumors less than one to two centimeters that cannot be seen through other imaging devices. > Detect abnormalities by penetrating the layers of the GI tract with a small needle rather than waiting for abnormal tissue to be examined with a microscope. > Investigate other organs of the body including lungs, kidneys, liver, spleen and rectum.
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Pancreatic cancer patient, James Forster, (far right) can now spend more time with his family, thanks to Thomas Daniels, MD, of Phoenix Cyberknife, (far left) and Anu Mathew, MD, director of Endoscopic Ultrasound at John C. Lincoln North Mountain (center).
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> Show the inner surface of the digestive tract through detailed images.
John C. Lincoln North Mountain Hospital and Phoenix CyberKnife have teamed up to condense the number of radiation visits to improve patient outcomes through the combination of John C. Lincoln’s Endoscopic Ultrasound procedures and CyberKnife’s localized radiation treatments. Endoscopic Ultrasound (EUS) is a method of abdominal imaging to see organs near the stomach and esophagus including the pancreas, bile duct, liver, gallbladder and July / August 2012
the walls of the gastrointestinal tract. EUS can determine the extent of the spread of cancers and diagnose masses. It also assists in killing tumors through the placement of gold coils called fiducials inside the masses. “Once fiducials are placed inside the tumor, CyberKnife can perform localized radiation to the exact location of the tumor instead of the traditional radiation throughout the body,” said Anu Mathew, MD, director of the Endoscopic Ultrasound department at John C. Lincoln North Mountain Hospital. “This helps kill the tumor in a shorter amount of time and allows the CyberKnife to adjust for tumor movement.” “Treating tumors in the pancreas, lung or liver with radiation are difficult because those tumors move as you breathe,” added Thomas Daniels, MD, of Phoenix CyberKnife. “Implanting fiducials enables the radiation beam to track and correct for movement in real time and allows patients to breathe normally during their treatment sessions. This eliminates harm to the healthy surrounding tissues of the patient as well.” “Going through this process has allowed me to spend more time with my family,” said Forster. “I would encourage others to go to the doctor if they are experiencing pain and not wait. Give yourself a chance as life is short and don’t give up.” For more information about endoscopic ultrasound, visit JCL.com/eus.
JCL.com
When There Was ‘Nothing Else They Could Do,’
Tiny Heart Pump Fills the Void
JCL.com
the one remaining was a very small vessel that could not carry enough blood for his heart to function effectively. That’s not good. This explained why he was in such constant pain and why, frankly, the quality of his life was horrible.” Armstrong’s severe coronary artery disease, problems with his heart valves and fragile overall health made him an extremely high risk patient, even for a
The heart diagram above shows blood returning to the heart through the (blue) atrium and ventricle, which send the depleted blood out to the lungs for fresh oxygen. The refreshed oxygen-rich blood returns to the (red) atrium and ventricle, where the tiny curlique Impella heart pump is temporarily implanted to help keep blood flowing out through the aorta to the organs and other vital parts of the body.
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octors at other hospitals told me for years there wasn’t anything else they could do to help my heart. But after I came to the John C. Lincoln in April – because I could hardly breathe – I woke up with something that felt like a new heart. “And I haven’t had any chest pain since then,” 65-year-old Phoenix retiree William Armstrong recalled, with a fair amount of satisfaction. It was, he agreed, a pretty dramatic turnaround. Armstrong’s heart problems started more than a decade ago while he was still active as a painter/ contractor working on construction projects throughout the Valley. His heart problems worsened over time, and in 2007 he had triple bypass heart surgery. “It was a big surgery,” he said. It forced him to retire, but it didn’t solve all his heart problems. “I’ve had several angioplasties over the years since. Then doctors told me they’d done all they could.” Because his medical problems left him unable to work or manage his own home, Armstrong moved in with his adult son and was relatively sedentary. When he attempted even moderate activity, he’d have to reach for the nitroglycerin or other heart medications. In early April, chest pain and breathing problems brought him to the John C. Lincoln Deer Valley Hospital Emergency Department. “I can’t tell you what they did during the first couple of days I was there,” he said. “They had me on a lot of medicine and I just don’t remember anything.” His doctor remembers. When Armstrong came into the Emergency Department, interventional cardiologist Tri Nguyen, MD, medical director of Non-Invasive Cardiology and vice chairman of the Department of Medicine at the Deer Valley Hospital, was on call. “When we evaluated Mr. Armstrong,” Dr. Nguyen said, “we discovered that two of his three bypass grafts had failed, and
procedure that is usually not considered particularly risky. “We needed a backup plan in case his heart failed while we were working on him,” Dr. Nguyen said. “We needed to be sure his heart would keep working.” Armstrong’s backup plan was the world’s tiniest heart pump, a minimally invasive cardiac assist device called Impella LD that helps the heart pump blood during interventional procedures.
The Impella device is not new; it was approved by FDA in 2008. But within the past six months it has been recommended in medical protocols published by the American College of Cardiology, the American Heart Association and the Society for Cardiac Angiography and Interventions. Impella is not a permanent fixture. It is a temporary bridge that helps the heart continue to pump and keep blood flowing to the brain and vital organs while patients are treated for severe heart attacks or with high risk angioplasties. Installed with a catheter through the ascending aorta and into the heart’s left ventricle, it reduces the heart’s workload while increasing cardiac output. That means it reduces the heart’s oxygen consumption while increasing the delivery of oxygen and other vital nutrients through blood delivery throughout the body.
“We needed a backup plan in case his heart failed while we were working on him. We needed to be sure his heart would keep working.” Dr. Nguyen installed two stents in Armstrong’s coronary arteries so that optimal blood flow could resume. The procedure took less than an hour and when the stents were successfully placed, the Impella pump was withdrawn. “I’m feeling so much better now,” Armstrong said. “I’m really glad that Dr. Nguyen could implant the new device without opening my chest. I don’t think I could have handled that again.” While recuperating, Armstrong said he’s watching a lot of television, except on “really good days when I take my motorcycle, my Harley, out for a ride.” Learn more about heart care at John C. Lincoln by visiting us online at JCL.com/heart.
July / August 2012
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Foundation News
John C. Lincoln Volunteers
Help Desert Mission Food Bank Help the Hungry in our Community
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t Desert Mission Food Bank, almost half of the clients had to make a choice between paying for shelter or buying food for their families. Help the Food Bank fill in the gaps so that fewer mothers and fathers are faced with that choice by donating as an individual or by asking your company to host a food drive. “In the past three years, we have seen a 55 percent increase in food needs,” said Cindy Hallman, vice president, John C. Lincoln Health Network, and executive director, Desert Mission. “When individuals and companies even host a simple food drive to collect essentials such as peanut butter and pasta/rice, a great need in our community is met, and Food Bank resources are stretched to serve more families in need.” Hosting a food drive is simple. You will find information and a tool kit online at JCL.com/foodbank with this information:
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Serve Community for 60 Years
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n January 1952 – the same year the Desert Mission Convalescent Hospital was licensed by the Arizona Department of Health – 28 ladies met as the Network’s first volunteer group, the Women’s Auxiliary, to raise money and support. Since then, the John C. Lincoln Health Network has grown to two hospitals, multiple physician practices and expanded community services. More than 1,900 volunteers make up today’s North Mountain Auxiliary and the North Mountain and Deer Valley volunteers. The Auxiliary remains an important part of the culture and support of the Network, although fewer hospitals around the country have Auxiliaries today. The trend is to have volunteers only, said Mary Anne Carter, president of the Association of Arizona Healthcare Volunteers and a North Mountain Auxiliary member since 1984. “We have a lady who is 100 and a past president, and she still wants the newsletter so she knows what’s going on. We feel like we are part of something bigger,” added Sue Beck, the current president of the North Mountain Auxiliary. The North Mountain Auxiliary also helps fund grants and scholarship opportunities distributed by its members. Dues are $10 a year. Most volunteer as well, but it’s not a requirement. Last year, the Auxilians and volunteers served 194,492 hours throughout the Network. They greet visitors and transport patients, help at Desert Mission and at events, and more. If that volunteer time is equated to dollars, it’s a value-added benefit of $4.24 million. “We cannot fulfill our mission without the generosity of our volunteers. We are grateful for their amazing commitment and for all they do,” said Linda Llewellyn, BSW, CAVS, director of Volunteer Services at the John C. Lincoln Health Network. Join us! Contact Volunteer Services North Mountain, 602-331-5729, or Deer Valley, 623-879-5765. JCL.com/volunteers
Most Needed These staples are most needed at the Food Bank:
> Canned Vegetables > Canned Fruit
> Canned Soup/Stew > Pasta/Rice
> Peanut Butter
> Canned Tuna/Meat
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> A booklet with contact information, Food Bank facts, hunger statistics, ideas and information on setting up a drive. > A form to fill out and email or print and mail to help you set up your drive and set goals. > A poster to customize and print to promote your food drive.
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July / August 2012
Volunteers and Auxiliary members Donna Fuller, left, and Lynn Engle deliver books, magazines, puzzles and other hospitality items to patients at the hospitals to make their stay a better experience.
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Food Items
Follow us on facebook.com/JCLfoundation and stay informed about the John C. Lincoln Foundation happenings, events and more.
What’s Happening >
July & August > Screenings/Seminars
Tee Off
at John C. Lincoln Health Foundation’s Lincoln Guild Invitational and Help Change Lives
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oin more than 200 golfers for a day of fun and support the important community programs of Desert Mission at the 26th Annual Lincoln Guild Invitational on Friday, Sept. 14, 2012, at the Wildfire Golf Club at JW Marriott Desert Ridge, 5350 E. Marriott Drive, Phoenix. Register at JCL.com/golf or call 602-331-7860. Individual golfers are $350 each, and foursomes are $1,400. Sponsorship opportunities also are available. The day begins at 6:30 a.m. with registration and breakfast followed by a 7:30 a.m. shotgun start. Lunch and awards are at noon. In the last 25 years, the golf tournament has raised more than $2.5 million to support children and families in need through the Desert Mission programs: Food Bank, Community Health Center, Children’s Dental Clinic, Lincoln Learning Center, and Marley House Behavioral Health Clinic. Last year, 35,000 individuals received assistance through Desert Mission’s health and human service programs. The Food Bank distributed 36,391 emergency food boxes and more than 3,100 children received low cost care at the Children’s Dental Clinic. “In 2011, we saw a 15 percent increase in people seeking assistance from Desert Mission services,” said Marcia Mintz, CEO of the John C. Lincoln Health Foundation. “We invite you to share in our efforts, and together, we can help change lives and strengthen our community.” JCL.com
How to Care for Yourself Both During/After Breast Cancer Treatment
6 to 8 p.m. Aug. 30, John C. Lincoln Health Network Support Services Center, 2500 W. Utopia Road, Suite 100, Phoenix. The 40-minute talk by Jamie Sellar, MA, LPC, program director, and Margie Tate, registered dietician, from The Wellness Community-Arizona will be followed by a Q&A. Open to everyone. Light snacks provided. RSVP to 602-712-1006 or rsvp@twccaz.org.
Hearing Screenings
Young Survival Coalition
6 to 8 p.m. on the second Tuesday of every month for breast cancer patients in their 20s, 30s and 40s. Information: yscphoenix@ youngsurvival.org or visit youngsurvival.org.
Breast Cancer Learn and Support Group 6 to 8 p.m. on
the second and fourth Thursdays of every month for those with breast cancer to find support and learn from one another. Open to family and friends. Co-sponsored by The Wellness Community-Arizona. RSVP by calling 602-712-1006 or email rsvp@twccaz.org.
John C. Lincoln audiologist Kristin Wells, AuD, will conduct free hearing tests for adults from 8 a.m. to 4 p.m. on Aug. 14, 15 and 16 at the Tatum Health Center, 18404 N. Tatum Blvd., Suite 101, Phoenix. Appointments are required and can be scheduled by calling 602-494-6237. Special offers on hearing aids also will be available.
THRIVE! Young Breast Cancer Survivor Group 6 to 8 p.m. on
> Breast Cancer
Yoga for Recovery
Support Groups
The John C. Lincoln Breast Health and Research Center hosts free support groups to meet the needs of women with breast cancer at different stages in life. The following groups are hosted at its center, 19646 N. 27th Ave., Suite 205, Phoenix. For more information about any of the groups, call 623-780-HOPE (4673) or visit JCL.com/breasthealth.
the first Tuesday of every month. A free program for those in their 40s and younger. Open to family and friends. Co-sponsored by The Wellness Community-Arizona and Southwest Ambulance. RSVP by calling 602-712-1006 or email rsvp@twccaz.org.
6 to 8 p.m. on the first and third Thursday of every month across the street from the Breast Health and Research Center in Medical Office Building 1, 19841 N. 27th Ave., Suite 400, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital. Co-sponsored by The Wellness Community-Arizona. RSVP by calling 602-712-1006 or email rsvp@twccaz.org
> Support Groups
Circle of Help Advanced and Caregivers 10:30 a.m. to noon Metastatic Breast Cancer 6 to 8 p.m. on the fourth Thursday of every month for women with recurrent, advanced or metastatic breast cancer.
Cooking for Wellness 6-8 p.m. on Aug. 21, Oct. 16 and Dec. 18. Margie Tate, registered dietitian, covers breast cancer-related nutrition topics.
John C. Lincoln Health Network offers a variety of classes, events and support groups to the community each month.
on the first Wednesday of every month in the Desert Mission Neighborhood Renewal office, 9229 N. Fourth St., Phoenix, on the campus of John C. Lincoln North Mountain Hospital. Free. No registration necessary. 602-870-6374. The next meeting is Aug. 1 as no meeting will be held in July due to the holiday. July / August 2012
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Better Breathers
For those living with lung disease. 1:30 to 3 p.m. on the fourth Thursday of every month. Call the Respiratory Care Department at 602-870-6060 ext. 5793 for meeting locations. Free.
Please visit JCL.com/ events for more information on upcoming events.
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nonprofit org. U.S. POSTAGE
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PHOENIX, AZ PERMIT NO. 4524
P.O. Box 9054 Phoenix, AZ 85068-9054 Address Service Requested
John C. Lincoln > Honored by Experts. Honored to Serve. N
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e’re a not-for-profit organization that includes hospitals, physician p ractices and a network of charitable community service programs. The honor and privilege of serving the people of North Phoenix has been a mission that’s driven our efforts for more than 80 years. Although our focus is local, we hold ourselves to standards of health care and business excellence worthy of national recognition. From nursing care to community service to business ethics and more, we’ve been honored by experts with awards for practically every aspect of what we do. But it’s not the trophies that matter. The way we see it, the greatest honor of all is that people trust us with their lives in moments of their greatest vulnerability. That’s a privilege we take seriously.
John C. Lincoln Urgent Care
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Map Not to Scale
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John C. Lincoln Breast Health & Research Center
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Emergency Department and our 24/7 Children’s Emergency Center, Mendy’s Place.
John C. Lincoln North Mountain Hospital 602-943-2381 Emergency Department and Level 1 Trauma Center.
7th Ave.
43rd Ave.
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John C. Lincoln Deer Valley Hospital 623-879-6100
John C. Lincoln Immediate Care
Desert Mission
Tatum Boulevard
John C. Lincoln Deer Valley Hospital
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24th St.
John C. Lincoln North Mountain Hospital
John C. Lincoln Urgent Care 623-434-6444 John C. Lincoln Immediate 602-485-7451
Provides walk-in care 7-days a week.
John C. Lincoln Health Foundation 602-331-7860 Embodies community service, medical excellence and human dignity.
Desert Mission 602-331-5792
Providing service for our community’s most vulnerable. LOOP 101
John C. Lincoln Physician Practices
Find a family physician near you at JCL.com/practices.
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