healthfor your
MEDICAL DIRECTORYOVER 300 DOCTORS, SPECIALISTS, DENTISTS, CHIROPRACTORS & PHYSICAL THERAPISTS AT YOUR FINGERTIPS
New Health Care Choices
Dealing with Childhood
DepressionApp For That!We have an
NaturalorOrganicCover Oregon
September 2013
@salemhospital
facebook.com/salemhealth
salemhealth.org
youtube.com/salemhealth
“I could have killed one of my friends, and I don’t
think I could have lived with that.”
Eyes are opened
salemhealth.org/hillhopping
“Some things will never be the same,
but you can grow from where you are.”
Friendships form
salemhealth.org/TBIsupport
“It’s such a whirlwind of emotions. It’s so overwhelming. It’s exciting! So much love for the babies.”
salemhealth.org/triplets
Families grow
“It’s amazing, absolutely amazing, what they have done for him. ‘Thank you’ doesn’t even seem enough.”
salemhealth.org/gratitude
Lives are saved
“I can get on and off my bike easily, sleep
beautifully—I feel bionic!”
Bodies heal
salemhealth.org/bionic
Every day at Salem Health, we are part of memories in the making.
Whether those memories are joyful or sad, full of hope or shadowed
by fear, we can be certain of one thing…
Thank you for making us a part of your story, and thank you for sharing your memories with us and our online community. You can join the conversation with Salem Health on Facebook and Twitter, or enjoy hundreds of video stories like these on our YouTube channel.
Life’s moments happen here.
Amanda
Megan
Joshua
Gigi
Janet
@salemhospital
facebook.com/salemhealth
salemhealth.org
youtube.com/salemhealth
“I could have killed one of my friends, and I don’t
think I could have lived with that.”
Eyes are opened
salemhealth.org/hillhopping
“Some things will never be the same,
but you can grow from where you are.”
Friendships form
salemhealth.org/TBIsupport
“It’s such a whirlwind of emotions. It’s so overwhelming. It’s exciting! So much love for the babies.”
salemhealth.org/triplets
Families grow
“It’s amazing, absolutely amazing, what they have done for him. ‘Thank you’ doesn’t even seem enough.”
salemhealth.org/gratitude
Lives are saved
“I can get on and off my bike easily, sleep
beautifully—I feel bionic!”
Bodies heal
salemhealth.org/bionic
Every day at Salem Health, we are part of memories in the making.
Whether those memories are joyful or sad, full of hope or shadowed
by fear, we can be certain of one thing…
Thank you for making us a part of your story, and thank you for sharing your memories with us and our online community. You can join the conversation with Salem Health on Facebook and Twitter, or enjoy hundreds of video stories like these on our YouTube channel.
Life’s moments happen here.
Amanda
Megan
Joshua
Gigi
Janet
Ad DirectorBill Cummings
Graphic DesignerKerry Lorentz
Project Leaders Nathan Jackson-Hockett
Neil Potter
Advertising ManagementPatrick Bruce Jim Simonsen Valerie Thorne John Herron
Advertising Representatives Sarah Barker Brandy BellBill Beyer
Clare BruceCherie Cavallaro
Brian ClausJamie Jarman
Brian LeslieTerri McArthurJohn MoffettNichole Nixon
Shannon NovakMike Parker
Kassandra PerkinsJennifer Reed
Christopher SalazYolanda Sifuentez
Copy EditorMargaret Crandall-Hill
Cover design by the Gannett Imaging
and Design Center
President & PublisherSteve Silberman
ControllerRobert Quintanilla Directory listings were provided by the Oregon Medical Board, the Oregon Board of Dentistry, the Oregon Physical Therapist
Licensing Board, and the Oregon Board of Chiropractic Examiners. The listings provided are of active licenses practicing in Marion and Polk counties and are current as of September, 2013. Names on the lists provided by the boards with no location,
no phone number or no credentials were deleted. The Statesman Journal makes no guarantees about the completeness or accuracy of these lists. Publication of this list is not an endorsement of the practitioners therein. To report errors in the lists
please contact the following boards:
Oregon Medical Board at [email protected]; or 971-673-2700Oregon Board of Dentistry at [email protected]; or (971) 673-3200
Oregon Physical Therapist Licensing Board at [email protected]; or 971-673-0200Oregon Board of Chiropractic Examiners at [email protected]; or 503-378-5816
Greetings –
We live in exciting times. Our access to information on health comes to us from a click of a mouse; touch of an iPhone, and through the daily Statesman Journal and weekly Stayton Mail and Silverton Appeal. In this edition, we have gathered information to share with you as we look at living healthy in Oregon, and more specifically the Mid-Valley.
When leaders in Washington, D.C., approved the Affordable Care Act a couple of years ago, the state of Oregon was already a few steps ahead in terms of planning for a system in which all people would be in control of their health insurance coverage. We share with you comprehensive information about Cover Oregon and how it impacts your life!
We introduce you to Dr. Kamran Fattah, a dentist that uses television to draw patients into their own dental care. It is part of a high-tech approach he favors that also includes bite meters, 3-D dental imagers and automatic numbing equipment.
As the winter rains and overcast skies return, we look at depression. Often thought of as an adult condition, but it can afflict children as well. According to the American Academy of Child and Adolescent Psychiatry, about 5 percent of children and adolescents “suffer from depression at any given point in time.”
I encourage you to explore these important topics. Along the way, make sure to call on the professionals listed in our directories and on our pages that support the Mid-Valley with healthy living options. During the year, look for “Living Well” a monthly health section inside the Statesman Journal. You’ll find it the 3rd Sunday of each month, and in the Stayton Mail & Silverton Appeal the 3rd Wednesday of each month. Of course as health news breaks, you’ll be up to date with the daily Statesman Journal and statesmanjournal.com.
I welcome your feedback and comments.
To Your Health!
Bill Cummings bcummings@ statesmanjournal.com.
©2013 Statesman Journal Media, a Gannett Company. For Your Health is published as an advertising feature and
distributed to the subscribers of the Statesman Journal, Silverton Appeal & Stayton Mail along with other select
locations. To be included in further publications, or to reach our audience, please contact your sales representative,
or call (503) 399-6602 or email [email protected].
healthfor yourhealthfor your
Getting You Back To LifePoly Chen, MD • Don Winder, PA-C
503.371.1010
If you still have chronic pain after the Salem Hospital pain clinic closed, we can help. We have the most advanced chronic
pain treatments ready for you in Salem and Corvallis.Call or visit our website to make an appointment today.
We emphasize a multi-disciplinary approach to pain management.We focus on compassionate care for patients.
We coordinate care with on-site sta� experienced in interventional pain management, physical therapy, and pain psychology.
2480 Liberty Street NE,Suite 110, Salem, OR
2211 NW Professional Dr.,Suite 100, Corvallis, OR
Pain CareS p e c i a l i s t s
www.PainCareOregon.com
If you still have chronic pain after the Salem Hospital pain clinic closed, we can help. We have the most advanced chronic
pain treatments ready for you in Salem and Corvallis.Call or visit our website to make an appointment today.
We emphasize a multi-disciplinary approach to pain management.We focus on compassionate care for patients.
We coordinate care with on-site sta� experienced in interventional pain management, physical therapy, and pain psychology.
2480 Liberty Street NE,Suite 110, Salem, OR
2211 NW Professional Dr.,Suite 100, Corvallis, OR
www.PainCareOregon.com
4 | For Your Health 2013
W hen leaders in Washington, D.C., approved the Affordable Care Act a couple
of years ago, the state of Oregon was already a few steps ahead in terms of planning for a system in which all people would be in control of their health insurance coverage.
That pre-planning close to home is now seen in Cover Oregon. Promotional material about the system states, “An innovative marketplace is coming for Oregonians to compare and enroll in health insurance. With Cover Oregon, you’ll have more choices, more control and more access to health coverage than ever before. It includes coverage from both public medical programs and private insurers. Enrollment begins this October with coverage starting in January 2014.”
People in Oregon who want specifics about health insurance choices and federal mandates can start with CoverOregon.com. On that
website, people are guided through easy-to-understand pages meant for individuals, families, tribal members and businesses with fewer than 50 employees.
DeAliNg wiTh DelAy
Until late August, Cover Oregon leaders intended for the online operations to be fully functioning on Oct. 1. When the organization saw how daunting the task was going to be for its roughly 150 employees and associated 30 community partners and independent agents, Cover Oregon pulled back a bit.
According to a news release from Cover Oregon, direct access to the online sign-up will occur “later in October.’” There is no exact date yet, said Lisa Morawski, communications manager for Cover Oregon.
Rocky King, executive director of Cover Oregon, said selecting and training community partners
HealtH Care CHanges
and agents has gone as smoothly as possible, but technology got in the way.
“We were concerned with Web overload,” King said. “The first month will be a staged launch. On Oct. 1, agents and community partners will be able to enroll people through the website. Those agents and community partners are going to be in the best position to understand the system and get through it quickly. They can also identify any potential bugs in the system. “We want to make the customers experience the best we can. We will work out the bugs and answer phones. When individuals are able to come onto the website to enroll, it will be as seamless as possible.”
Until then, King said people can visit the website, and after entering their information, the site uses their zip code to put them in contact with a community partner or agent in their area. He said people should not worry that they will miss any deadline. This is the time for enrollment for coverage to begin Jan. 1, 2014.
Once the digital bugs are worked out and Cover Oregon is certain the system is working as it should, people will be able to enroll online without personal contact if they choose, King added.
But they will have the option to speak with a Cover Oregon customer service representative over the phone or meet face-to-face with a community partner, tribal representative or insurance agent in their area.
OpTiONs, peNAlTies
King is well-versed in explaining how Cover Oregon came to be.
“We have been talking about doing an exchange for almost 10 years. We predate some of the national legislation. ‘ObamaCare’ has provided Oregon the financial resources to move forward,” King said.
“The ACA requires that every state has an exchange, or they can opt
out and let the federal government do it,” King said. “Oregon is one of the 16 states that opted to run their own exchange. The other 34 have opted to have the federal government operate their exchanges. (The federal government) provides the funding for the design, development and implementation of the exchange, and for the first year of operations.
IRS tax forms due next spring will ask if the taxpayer has health insurance, and if the answer is “no,” fines will be issued. The minimum fine is 1 percent of the person’s annual income or $95, whichever is higher.
For Your Health 2013 | 5
‘‘ We want to make
the customer’s experience
the best we can. We will
work out the bugs and
answer phones. When
individuals are able to
come onto the website
to enroll, it will be as
seamless as possible.
‘‘
When passed by Congress, the ACA also required businesses with more than 50 employees to provide health care insurance for their workers. However, President Obama has postponed that mandate until 2015, giving businesses more time to study their options. Oregon’s small businesses can use CoverOregon.com to search for choices before 2015, King added.
guiDANCe, mONey is AvAilAble
King said he knows that using the Cover Oregon website could be overwhelming for some people, and trying to understand its information may lead to more frustration.
But, by selecting and training roughly 30 community partners and a still-growing number of licensed, independent insurance agents throughout the state,
Cover Oregon will provide free guidance. King even called it “hand holding.”
Samantha Shepherd is Cover Oregon’s outreach strategist, and she’s in charge of structuring the program and making sure staff, community partners and agents are fully informed.
She said many of the community partners already work with health insurance on a daily basis. They may be state or local public health departments, Safety Net clinics, local governments, school based offices or tribal agencies.
“It is really important that Cover Oregon is not recreating the wheel. Many community partners are already experienced with their communities,” Shepherd said.
Those community partners, and independent insurance agents, must pass a one-hour prerequisite
online
class. That is followed by an additional four hours of online training, regional meetings, use of online tools such as newsletters and webinars, Shepherd said.
She said Oregonians can feel
secure that they are not being sold something they don’t need. Like community partners, agents are under the same requirement to show all plans for which the person is eligible.
“Agents are licensed and certified. Community partners don’t have the ability to give advice like agents do, from their knowledge about the insurance market and their experience with the providers and the plans,” Shepherd said.
King also said that community partners and agents are trained to
provide information, but not force anybody into making a decision.
King said, “Their first vested interest is to get everybody covered. … They are appointed by us to sell all products available through the exchange.”
The agents or community partners also can assist people when
applying for financial assistance to pay premiums,
co-pays and deductibles. The amount of financial assistance is determined by your household income. (Eligibility will be based on the modified adjusted gross income for your entire household.) You may also
be eligible for cost-sharing assistance to help pay for out-of-pocket costs, such as copays and deductibles. Visit CoverOregon.com to see a preliminary estimate of health care premium cost.
King said financial assistance via tax credits can be taken immediately, or participant can
wait until the end of the year for a refund, or, take portion now to reduce the premium, and take the remainder at the end of the year.
‘‘ The Affordable
Care Act has individual-
responsibility mandate
that requires people to
have (health) insurance,
6 | For Your Health 2013
‘‘
Certifi ed by the State of Oregon:
The Department of Consumer and Business Services
issued a certifi cation to this practice. You can contact
consumer advocates at the Department of Consumer
and Business Services at (888) 977-4894,
[email protected], or www.insurance.oregon.gov
CareOnly is an exciting local service that provides you primary care medical services
for a monthly fee. It is not insurance. It allows you freedom of alliance with a
primary care o� ce without the burden and interference of insurance companies. It is 'old fashioned' medicine in that your doctor is working directly for you, not for
the insurance company.
See CareOnly.com for details
ADviCe FrOm The bOss
As executive director of Cover Oregon, King advises people to start gathering information now.
“Go to the website (CoverOregon.com). Browse and look at the plans offered in different areas. Use the calculator to find what financial assistance you may qualify for. If you still have questions, connect with a community partner or an agent in your community,” he said.
“Insurance is very complicated and plans are very different. It is essential that people get professional help in the beginning stages to make the best choice for their families,” King said.
Lastly, King said people can always feel comfortable calling 1-855-CoverOR (1-855-268-3767) and speaking directly, and securely, with a trained customer service representative.
Satellite Clinics to Serve You BetterDowntown Salem
Hope Orthopedics of OregonA full spectrum of orthopedic care
In the convenient and comfortable setting of Hope Orthopedics, you have access to:
• A skilled team of orthopedic surgeons and health professionals
• Comprehensive rehabilitation services, including physical and hand therapy
• A cast and brace department staffed by certified technicians
• X-ray, Lab, EKG and MRI
• An affiliated outpatient surgery facility, Willamette Surgery Center (just across the street)
Convenient and Comprehensive When you have an orthopedic injury or chronic orthopedic condition, traveling from one place to another to get the care you need is the last thing any doctor would order.
Good news: You don’t have to go anywhere but Hope Orthopedics. We offer a full range of orthopedic care in one location where it is easy to coordinate the appointments required to complete your recovery or manage your condition.
The Physicians of Hope Orthopedics of Oregon:Standing (L-R): Dr. Sudeep Taksali, Dr. John Coen, Dr. Kelly McCormick, Dr. Harold Boyd, Dr. Monica Zilkoski, Dr. Robert Fan, Dr. Robert Zirschky, Dr. Richard Tobin, Dr. John Ballard, Dr. David Pressman, Dr. Dan Sewell, Dr. Mark Dolan, Dr. Stephen Yao
Sitting (L-R): Dr. Jeffrey Knight, Dr. Mark Foglesong, Dr. Malcolm Snider
Foot and Ankle:Dr. Kelly McCormickDr. Monica Zilkoski
General Orthopedic:Dr. John BallardDr. Robert Fan
Dr. Mark FoglesongDr. Robert Zirschky
Hand, Wrist, Elbow:Dr. Mark Foglesong
Dr. Jeffrey Knight
Sports Medicine:Dr. John BallardDr. Robert Fan
Dr. Mark FoglesongDr. Richard Tobin
Dr. Dan SewellDr. Stephen Yao
Trauma:Dr. David PressmanDr. Sudeep Taksali
Hip and Knee:Dr. John CoenDr. Mark DolanDr. Dan Sewell
Dr. Stephen YaoDr. Robert Zirschky
Shoulders:Dr. John BallardDr. Robert FanDr. Dan Sewell
Dr. Richard TobinDr. Robert Zirschky
Consulting:Dr. Harold Boyd
Dr. Malcolm Snider
Compassionate, Competent and CollaborativeThe Hope providers have many years of training and experience treating the most complex orthopedic conditions. In addition to general orthopedic surgeons, Hope gives you access to professionals with specific expertise in:
• Feet and ankles
• Hands, wrists, elbows
• Hips and knees
• Shoulders
• Sports-related injuries and conditions
• Total joint replacement and reconstruction
• Trauma
This specialty focus ensures you are in the care of a surgeon whose skills and expertise are most appropriate for your needs.
Customized Therapy ServicesHope Orthopedics offers state-of-the-art therapy services delivered by highly trained professionals. Our visits are usually longer than standard therapy appointments, and most of our therapists are certified in more than one specialty area. This means you receive highly focused one-on-one attention and a level of expertise not often found in a physical or hand therapy setting.
Post-Therapy AssistanceHope Active Mojo is for patients who have finished their physical therapy program, but wish to continue their rehabilitation under the guidance of our team of certified athletic trainers and with access to state-of-the-art fitness equipment.
Hope Active Mojo is appropriate for individuals recovering from a wide range of conditions, such as:
• Musculoskeletal injuries
• Joint replacements
• Surgical procedures
• Sports injuries
®
607 S.E. Je�erson Street, Dallas1600 State Street, Salem 5825 Shoreview Lane N., Keizer
riate m a h as:
Performance Enhancement ProgramsThe Hope Orthopedics of Oregon sports specialists offer comprehensive testing and evaluation services to help runners and golfers improve their performance and reduce the risk of orthopedic injuries.
The Hope Run Mojo program provides runners of all levels with a comprehensive orthopedic examination that includes video analysis, musculoskeletal evaluations, footwear analysis, stretching and training advice and more.
Through the Hope Golf Mojo program, golfers benefit from an orthopedic analysis that is used to create a personalized exercise program to improve strength, flexibility and stability.
To schedule an appointment or for more information, call 503-540-6300.
Feel better get going
HopeOrthopedics.com
Satellite Clinics to Serve You BetterDowntown Salem
Hope Orthopedics of OregonA full spectrum of orthopedic care
In the convenient and comfortable setting of Hope Orthopedics, you have access to:
• A skilled team of orthopedic surgeons and health professionals
• Comprehensive rehabilitation services, including physical and hand therapy
• A cast and brace department staffed by certified technicians
• X-ray, Lab, EKG and MRI
• An affiliated outpatient surgery facility, Willamette Surgery Center (just across the street)
Convenient and Comprehensive When you have an orthopedic injury or chronic orthopedic condition, traveling from one place to another to get the care you need is the last thing any doctor would order.
Good news: You don’t have to go anywhere but Hope Orthopedics. We offer a full range of orthopedic care in one location where it is easy to coordinate the appointments required to complete your recovery or manage your condition.
The Physicians of Hope Orthopedics of Oregon:Standing (L-R): Dr. Sudeep Taksali, Dr. John Coen, Dr. Kelly McCormick, Dr. Harold Boyd, Dr. Monica Zilkoski, Dr. Robert Fan, Dr. Robert Zirschky, Dr. Richard Tobin, Dr. John Ballard, Dr. David Pressman, Dr. Dan Sewell, Dr. Mark Dolan, Dr. Stephen Yao
Sitting (L-R): Dr. Jeffrey Knight, Dr. Mark Foglesong, Dr. Malcolm Snider
Foot and Ankle:Dr. Kelly McCormickDr. Monica Zilkoski
General Orthopedic:Dr. John BallardDr. Robert Fan
Dr. Mark FoglesongDr. Robert Zirschky
Hand, Wrist, Elbow:Dr. Mark Foglesong
Dr. Jeffrey Knight
Sports Medicine:Dr. John BallardDr. Robert Fan
Dr. Mark FoglesongDr. Richard Tobin
Dr. Dan SewellDr. Stephen Yao
Trauma:Dr. David PressmanDr. Sudeep Taksali
Hip and Knee:Dr. John CoenDr. Mark DolanDr. Dan Sewell
Dr. Stephen YaoDr. Robert Zirschky
Shoulders:Dr. John BallardDr. Robert FanDr. Dan Sewell
Dr. Richard TobinDr. Robert Zirschky
Consulting:Dr. Harold Boyd
Dr. Malcolm Snider
Compassionate, Competent and CollaborativeThe Hope providers have many years of training and experience treating the most complex orthopedic conditions. In addition to general orthopedic surgeons, Hope gives you access to professionals with specific expertise in:
• Feet and ankles
• Hands, wrists, elbows
• Hips and knees
• Shoulders
• Sports-related injuries and conditions
• Total joint replacement and reconstruction
• Trauma
This specialty focus ensures you are in the care of a surgeon whose skills and expertise are most appropriate for your needs.
Customized Therapy ServicesHope Orthopedics offers state-of-the-art therapy services delivered by highly trained professionals. Our visits are usually longer than standard therapy appointments, and most of our therapists are certified in more than one specialty area. This means you receive highly focused one-on-one attention and a level of expertise not often found in a physical or hand therapy setting.
Post-Therapy AssistanceHope Active Mojo is for patients who have finished their physical therapy program, but wish to continue their rehabilitation under the guidance of our team of certified athletic trainers and with access to state-of-the-art fitness equipment.
Hope Active Mojo is appropriate for individuals recovering from a wide range of conditions, such as:
• Musculoskeletal injuries
• Joint replacements
• Surgical procedures
• Sports injuries
®
607 S.E. Je�erson Street, Dallas1600 State Street, Salem 5825 Shoreview Lane N., Keizer
riate m a h as:
Performance Enhancement ProgramsThe Hope Orthopedics of Oregon sports specialists offer comprehensive testing and evaluation services to help runners and golfers improve their performance and reduce the risk of orthopedic injuries.
The Hope Run Mojo program provides runners of all levels with a comprehensive orthopedic examination that includes video analysis, musculoskeletal evaluations, footwear analysis, stretching and training advice and more.
Through the Hope Golf Mojo program, golfers benefit from an orthopedic analysis that is used to create a personalized exercise program to improve strength, flexibility and stability.
To schedule an appointment or for more information, call 503-540-6300.
Feel better get going
HopeOrthopedics.com
Despite the name, personalized medicine isn’t about the person at all – it’s about the cancer,
and selecting a treatment that attacks only the tumor.
Genentech, a pharmaceutical research company based in the San Francisco Bay Area, identifies the goal of personalized medicine as matching people to medicine, based on the genetic makeup of their disease.
“The concept of personalized medicine has been going on for many decades,” said Dr. Bud Pierce, one of the specialists practicing at Hematology Oncology of Salem.
He’s practiced oncology for 23 years, and points to personalized
medicine in the 1980s, when researchers discovered that an excess of the Human Epidermal Growth Factor Receptor 2 protein (HER2) could lead to breast cancer that was considered HER2-positive.
As a result, Genentech researchers were able to develop Herceptin, cancer’s first personalized medicine, which blocked growth signals in HER2-positive metastatic breast cancer.
“But personalized medicine didn’t take fire until the genetic testing revolution,” Pierce said. “Now we can look at the genetics of the tumor, and with more information, we can do something about it.”
Within a type of cancer, tumors that match genetically show the same abnormal expressions of growth.
This genetic profile is called a target, and success comes when a drug is identified as attacking a specific target.
Personalized medicines have revolutionized the treatment strategy and survivability of some cancers, as Oregon Health and Science University-developed Gleevec did for
10 | For Your Health 2013
PersOnalIZeD MeDICIne
‘‘ You hope to find a
genetic target that
is very common,
Personalized medicines fight cancers that fit the profile
BY David Hegle
‘‘
For Your Health 2013 | 11
a certain form of chronic myelogenous leukemia.
The breakthrough of OSHU’s Dr. Brian Druker’s was a drug that “is toxic to the cancer but not to patients, so the tumor can be targeted,” Pierce said.
Genentech, which has manufacturing operations in Hillsboro, has continued research into numerous drugs, yielding Perjeta and Kadcyla, which also target HER2.
That protein is over-expressed in 25 percent of people with breast cancer, and those two drugs have helped patients live longer while undergoing standard treatments by slowing tumor growth.
The more rare a target – whether because of the cancer’s overall rareness or because it only shows up in a small percentage of such cancers – the more expensive it is to come up with a personalized treatment and recoup costs.
What Hematology Oncology of Salem first does is test a cancer for drugs that are FDA approved – prescriptions for Genentech drugs Perjeta and Tarceva are routine.
If a tumor is beyond that scope, patients can be referred to OHSU, Pierce said, where Phase I clinical trials are conducted, and doctors “check the bank” of known drug
results against the genetic aspects of a tumor, and look for promising results.
The benefits of personalized medicine are only felt when a specific target and drug molecule have been matched. Meanwhile, the vast majority of cancers are still fought with chemotherapy, radiation and surgery that carry additional health risks and take their toll.
Since the 1980s, costs have steadily decreased and the number of viable personalized medicines has increased.
‘‘Hopefully, as a society,
we can come up with
ways to really make this
work. Identifying targets
is way cheaper than it
was five to 10 years ago,
so there’s hope.
To discover a drug that might work against particular targets, researchers and drug companies screen thousands of compounds to find biomarkers that are viable candidates for fighting a particular genetic target.
‘‘
Salem RadiologyNext Generation CT
Scanner Cuts Radiation Dose to Patients By 35-40%
Saaleemm RRaddiooloogyy
SALEM
(503) 399-1262salemradiology.com
is quickly becoming the scanner of choice for many of the patients and physicians of the Salem area. 3T MRI is a new and sophisticated technology that previously was only available at the larger academic medical centers and research facilities such as the Oregon Health and Sciences University.
Tesla (T) is the unit of measurement quantifying the strength of a magnetic field. With greater magnetic strength comes the ability to detect and visualize smaller structures within the body. Greater magnetic strength also allows scan sequences to be completed in less time. The
new 3T MRI has a magnetic field strength that is twice the strength of any other local MRI scanner. The new scanner also features an open design that is 17% larger than any other local scanner for greater patient comfort and can also accommodate patients weighing up to 500 pounds.
Patients entering the 3T scanning suite will find the experience to be very dif ferent. The skylight scanning suite has been specifically designed to maximize patient comfort. Patients are also encouraged to bring to their appointment their iPod or MP3 player so they can relax and enjoy their personal playlist.
High Definition 3T MRI Becomes the Preferred Choice For Patients and Physicians
“When we scan the joints and muscles using 3T MRI, we have a greater ability to see small structures, including cartilage, tendons and ligaments. This new technology improves all of our scan sequences. Also, because we can image in thinner sections, we can even evaluate the small joints of the hands and feet.”
Dr. Leon BurrowsMusculoskeletal RadiologistDirector of Orthopedic & Sports Injury Imaging
“3TMRI excels at imaging the anatomy of the brain and spine. Not only are scanning times reduced, which will lead to decreased motion artifact, but spatial resolution also improves. This results in improved resolution of MR angiography of the brain and neck, improved visualization of very small structures such as the cranial nerves and structures of the inner ear, and improved sensitivity for detection of white matter lesions such as are seen in patients with multiple sclerosis. Blood products are also more easily detected with MRI. Overall, we expect our patients to have a more pleasant experience, and we expect higher quality images that will appeal to our referring clinicians.”
Dr. Jared SadlerNeuroradiologist | Co-Director of 3T Neuro Imaging
“3T MRI systems are becoming increasingly important in the early detection and characterization of breast malignancy. When used in coordination with mammography and ultrasound, 3T MRI is a powerful clinical tool for evaluating patients with a high risk of having breast cancer.”
Dr. Kathleen ScanlanRadiologistDirector of Women’s Imaging
The next generation of
CT scanner has arrived in Salem,
Oregon. Salem Radiology Consultants prides itself on providing state of the art medical imaging technology and recently unveiled its newest addition; a CT scanner that substantially reduces radiation exposure to patients.
Administrative Director, R.A. Neitzel, admitted to being especially excited about their newest technology and the immediate 40% reduction in radiation dose to patients. According to Neitzel, “This is a significant step forward for patient safety. Previously, upgrades to CT technology were focused primarily on scanning faster and with greater image quality. Now the focus has shifted to lowering the amount of radiation to the patient with superior image quality.”
According to Neitzel, “Many centers have scanners that provide dose modulation that automatically adjusts the radiation beam during the scan based on the density of the body area being imaged. This has become standard equipment. The new technology is a leap ahead of
the standard by further reducing the radiation dose used by 35% for head scans and 40% for all other scans of the body. Over the next 5 to 7 years, as imaging centers and hospitals replace their older equipment, I believe low dose CT scanners will become the new standard. Patients will demand the
added safety.” While reducing radiation dose is important for all patients, it is especially important for younger patients and patients with conditions that require multiple CT scans over time. Recently, the U.S. Food and Drug Administration announced an initiative to reduce unnecessary radiation exposure from medical imaging.
As of January 1, 2011, The Patient Protection and Affordable Care Act provides patients with more power to choose where they receive their
imaging services. You are encouraged to consult with your doctor about your imaging choices and request a facility that offers the safest scanning technology. There is a new MRI scanner in Salem that is receiving considerable attention within the medical community and
“Over the next 5 to 7 years as imaging centers
replace their older equipment, low
dose CT scanners will become the new standard. Patients will demand the
added safety.”
Salem RadiologyNext Generation CT
Scanner Cuts Radiation Dose to Patients By 35-40%
Saaleemm RRaddiooloogyy
SALEM
(503) 399-1262salemradiology.com
is quickly becoming the scanner of choice for many of the patients and physicians of the Salem area. 3T MRI is a new and sophisticated technology that previously was only available at the larger academic medical centers and research facilities such as the Oregon Health and Sciences University.
Tesla (T) is the unit of measurement quantifying the strength of a magnetic field. With greater magnetic strength comes the ability to detect and visualize smaller structures within the body. Greater magnetic strength also allows scan sequences to be completed in less time. The
new 3T MRI has a magnetic field strength that is twice the strength of any other local MRI scanner. The new scanner also features an open design that is 17% larger than any other local scanner for greater patient comfort and can also accommodate patients weighing up to 500 pounds.
Patients entering the 3T scanning suite will find the experience to be very dif ferent. The skylight scanning suite has been specifically designed to maximize patient comfort. Patients are also encouraged to bring to their appointment their iPod or MP3 player so they can relax and enjoy their personal playlist.
High Definition 3T MRI Becomes the Preferred Choice For Patients and Physicians
“When we scan the joints and muscles using 3T MRI, we have a greater ability to see small structures, including cartilage, tendons and ligaments. This new technology improves all of our scan sequences. Also, because we can image in thinner sections, we can even evaluate the small joints of the hands and feet.”
Dr. Leon BurrowsMusculoskeletal RadiologistDirector of Orthopedic & Sports Injury Imaging
“3TMRI excels at imaging the anatomy of the brain and spine. Not only are scanning times reduced, which will lead to decreased motion artifact, but spatial resolution also improves. This results in improved resolution of MR angiography of the brain and neck, improved visualization of very small structures such as the cranial nerves and structures of the inner ear, and improved sensitivity for detection of white matter lesions such as are seen in patients with multiple sclerosis. Blood products are also more easily detected with MRI. Overall, we expect our patients to have a more pleasant experience, and we expect higher quality images that will appeal to our referring clinicians.”
Dr. Jared SadlerNeuroradiologist | Co-Director of 3T Neuro Imaging
“3T MRI systems are becoming increasingly important in the early detection and characterization of breast malignancy. When used in coordination with mammography and ultrasound, 3T MRI is a powerful clinical tool for evaluating patients with a high risk of having breast cancer.”
Dr. Kathleen ScanlanRadiologistDirector of Women’s Imaging
The next generation of
CT scanner has arrived in Salem,
Oregon. Salem Radiology Consultants prides itself on providing state of the art medical imaging technology and recently unveiled its newest addition; a CT scanner that substantially reduces radiation exposure to patients.
Administrative Director, R.A. Neitzel, admitted to being especially excited about their newest technology and the immediate 40% reduction in radiation dose to patients. According to Neitzel, “This is a significant step forward for patient safety. Previously, upgrades to CT technology were focused primarily on scanning faster and with greater image quality. Now the focus has shifted to lowering the amount of radiation to the patient with superior image quality.”
According to Neitzel, “Many centers have scanners that provide dose modulation that automatically adjusts the radiation beam during the scan based on the density of the body area being imaged. This has become standard equipment. The new technology is a leap ahead of
the standard by further reducing the radiation dose used by 35% for head scans and 40% for all other scans of the body. Over the next 5 to 7 years, as imaging centers and hospitals replace their older equipment, I believe low dose CT scanners will become the new standard. Patients will demand the
added safety.” While reducing radiation dose is important for all patients, it is especially important for younger patients and patients with conditions that require multiple CT scans over time. Recently, the U.S. Food and Drug Administration announced an initiative to reduce unnecessary radiation exposure from medical imaging.
As of January 1, 2011, The Patient Protection and Affordable Care Act provides patients with more power to choose where they receive their
imaging services. You are encouraged to consult with your doctor about your imaging choices and request a facility that offers the safest scanning technology. There is a new MRI scanner in Salem that is receiving considerable attention within the medical community and
“Over the next 5 to 7 years as imaging centers
replace their older equipment, low
dose CT scanners will become the new standard. Patients will demand the
added safety.”
Salem RadiologyNext Generation CT
Scanner Cuts Radiation Dose to Patients By 35-40%
Saaleemm RRaddiooloogyy
SALEM
(503) 399-1262salemradiology.com
is quickly becoming the scanner of choice for many of the patients and physicians of the Salem area. 3T MRI is a new and sophisticated technology that previously was only available at the larger academic medical centers and research facilities such as the Oregon Health and Sciences University.
Tesla (T) is the unit of measurement quantifying the strength of a magnetic field. With greater magnetic strength comes the ability to detect and visualize smaller structures within the body. Greater magnetic strength also allows scan sequences to be completed in less time. The
new 3T MRI has a magnetic field strength that is twice the strength of any other local MRI scanner. The new scanner also features an open design that is 17% larger than any other local scanner for greater patient comfort and can also accommodate patients weighing up to 500 pounds.
Patients entering the 3T scanning suite will find the experience to be very dif ferent. The skylight scanning suite has been specifically designed to maximize patient comfort. Patients are also encouraged to bring to their appointment their iPod or MP3 player so they can relax and enjoy their personal playlist.
High Definition 3T MRI Becomes the Preferred Choice For Patients and Physicians
“When we scan the joints and muscles using 3T MRI, we have a greater ability to see small structures, including cartilage, tendons and ligaments. This new technology improves all of our scan sequences. Also, because we can image in thinner sections, we can even evaluate the small joints of the hands and feet.”
Dr. Leon BurrowsMusculoskeletal RadiologistDirector of Orthopedic & Sports Injury Imaging
“3TMRI excels at imaging the anatomy of the brain and spine. Not only are scanning times reduced, which will lead to decreased motion artifact, but spatial resolution also improves. This results in improved resolution of MR angiography of the brain and neck, improved visualization of very small structures such as the cranial nerves and structures of the inner ear, and improved sensitivity for detection of white matter lesions such as are seen in patients with multiple sclerosis. Blood products are also more easily detected with MRI. Overall, we expect our patients to have a more pleasant experience, and we expect higher quality images that will appeal to our referring clinicians.”
Dr. Jared SadlerNeuroradiologist | Co-Director of 3T Neuro Imaging
“3T MRI systems are becoming increasingly important in the early detection and characterization of breast malignancy. When used in coordination with mammography and ultrasound, 3T MRI is a powerful clinical tool for evaluating patients with a high risk of having breast cancer.”
Dr. Kathleen ScanlanRadiologistDirector of Women’s Imaging
The next generation of
CT scanner has arrived in Salem,
Oregon. Salem Radiology Consultants prides itself on providing state of the art medical imaging technology and recently unveiled its newest addition; a CT scanner that substantially reduces radiation exposure to patients.
Administrative Director, R.A. Neitzel, admitted to being especially excited about their newest technology and the immediate 40% reduction in radiation dose to patients. According to Neitzel, “This is a significant step forward for patient safety. Previously, upgrades to CT technology were focused primarily on scanning faster and with greater image quality. Now the focus has shifted to lowering the amount of radiation to the patient with superior image quality.”
According to Neitzel, “Many centers have scanners that provide dose modulation that automatically adjusts the radiation beam during the scan based on the density of the body area being imaged. This has become standard equipment. The new technology is a leap ahead of
the standard by further reducing the radiation dose used by 35% for head scans and 40% for all other scans of the body. Over the next 5 to 7 years, as imaging centers and hospitals replace their older equipment, I believe low dose CT scanners will become the new standard. Patients will demand the
added safety.” While reducing radiation dose is important for all patients, it is especially important for younger patients and patients with conditions that require multiple CT scans over time. Recently, the U.S. Food and Drug Administration announced an initiative to reduce unnecessary radiation exposure from medical imaging.
As of January 1, 2011, The Patient Protection and Affordable Care Act provides patients with more power to choose where they receive their
imaging services. You are encouraged to consult with your doctor about your imaging choices and request a facility that offers the safest scanning technology. There is a new MRI scanner in Salem that is receiving considerable attention within the medical community and
“Over the next 5 to 7 years as imaging centers
replace their older equipment, low
dose CT scanners will become the new standard. Patients will demand the
added safety.”
“Just as much of a sacred moment as the birth of someone is the death
of someone, because it crystallizes what’s really important about life and
living,” said Holly Collier, whose mother was cared for by Willamette Valley
Hospice. But how do you make the most out of every day at the end of life?
Willamette Valley Hospice is here to help.
Invaluable experience from Willamette Valley Hospice
Making Each Moment Count
Who do you want to spend time with
at the end of life? What things would
you want to be sure to do if you’re
able? How someone wishes to spend
the end of their life is a personal
choice, making that experience filled
with once-in-a-lifetime moments. It
makes them equally precious, but
also equally stressful.
Asking for Support
For those walking the end-of-life
journey with a loved one, there
always is the worry of wanting to do
everything right, including honoring
wishes and being there when you’re
needed most. Sometimes, these
responsibilities cannot be shouldered
by one person alone. At Willamette
Valley Hospice, day or night, people
who know this path are a phone
call away.
Peace of Mind
This journey can be profoundly beautiful,
filled with treasured conversations and
lifelong healing. And Willamette Valley
Hospice’s experienced support is here to
ensure families caring for an ailing loved
one get the help they need to enhance
the quality of every moment together.
Why wait?
“She didn’t want us to remember her sick
in bed. And thanks to Willamette Valley
Hospice, we were able to remember the
living mom,” said Collier. “It was the
greatest gift I’ve ever had. Because I
got to love her; I got to love her at that
wonderful moment.”
Contact Willamette Valley Hospice at
503.588.3600 or visit wvh.org for
additional guidance and considerations
for end-of-life care planning.
AT YOUR SIDE.
You have the right to live your last
months as you want. The sooner you
call Willamette Valley Hospice, the
more we can help.
To learn more, call 503.588.3600 or visit wvh.org©20
13 W
illam
ette
Val
ley
Hos
pice
Some things in life you only will do once.
There are no do-overs.
This makes them equally precious,
and stressful.
For those walking the end-of-life journey
with a loved one, you know the worry of
wanting to do everything right. To provide
the greatest comfort. To honor wishes.
Often, it becomes more than you can do
on your own.
Just know that day or night, people who
know this path are a phone call away.
This journey can be profoundly beautiful,
filled with treasured conversations and
lifelong healing.
Savor each precious step.
With less stress.
“Just as much of a sacred moment as the birth of someone is the death
of someone, because it crystallizes what’s really important about life and
living,” said Holly Collier, whose mother was cared for by Willamette Valley
Hospice. But how do you make the most out of every day at the end of life?
Willamette Valley Hospice is here to help.
Invaluable experience from Willamette Valley Hospice
Making Each Moment Count
Who do you want to spend time with
at the end of life? What things would
you want to be sure to do if you’re
able? How someone wishes to spend
the end of their life is a personal
choice, making that experience filled
with once-in-a-lifetime moments. It
makes them equally precious, but
also equally stressful.
Asking for Support
For those walking the end-of-life
journey with a loved one, there
always is the worry of wanting to do
everything right, including honoring
wishes and being there when you’re
needed most. Sometimes, these
responsibilities cannot be shouldered
by one person alone. At Willamette
Valley Hospice, day or night, people
who know this path are a phone
call away.
Peace of Mind
This journey can be profoundly beautiful,
filled with treasured conversations and
lifelong healing. And Willamette Valley
Hospice’s experienced support is here to
ensure families caring for an ailing loved
one get the help they need to enhance
the quality of every moment together.
Why wait?
“She didn’t want us to remember her sick
in bed. And thanks to Willamette Valley
Hospice, we were able to remember the
living mom,” said Collier. “It was the
greatest gift I’ve ever had. Because I
got to love her; I got to love her at that
wonderful moment.”
Contact Willamette Valley Hospice at
503.588.3600 or visit wvh.org for
additional guidance and considerations
for end-of-life care planning.
AT YOUR SIDE.
You have the right to live your last
months as you want. The sooner you
call Willamette Valley Hospice, the
more we can help.
To learn more, call 503.588.3600 or visit wvh.org©20
13 W
illam
ette
Val
ley
Hos
pice
Some things in life you only will do once.
There are no do-overs.
This makes them equally precious,
and stressful.
For those walking the end-of-life journey
with a loved one, you know the worry of
wanting to do everything right. To provide
the greatest comfort. To honor wishes.
Often, it becomes more than you can do
on your own.
Just know that day or night, people who
know this path are a phone call away.
This journey can be profoundly beautiful,
filled with treasured conversations and
lifelong healing.
Savor each precious step.
With less stress.
And, that number should rise to roughly 7,000 organic or gluten-free products in a few years, Rybloom added.
“That is where the growth will be in our industry,” he said. “That is what people want.”
The first Roth’s grocery store opened in 1962 in Silverton, home of store founder Orville Roth. Since that time, Roth’s has grown from that single store into a multi-store independent local grocer that puts priority on locally grown foods and positive relationships with those local growers.
In the past two years the stores’ shelves have come to include about 30 percent more certified-organic products, in response to consumer demand, said Will Hawkins, marketing and advertising coordinator for Roth’s.
But, what is organic? How do organic foods compare to foods that are simply termed “natural?”
The U.S. Dept. of Agriculture states that “natural” does not mean “organic” and comes with no guarantees. “Natural foods” often are assumed to be foods that are minimally processed and do not contain any hormones, antibiotics or artificial flavors. In the U.S., however, neither the FDA nor the USDA has rules or regulations for products labeled “natural.” As a result, food
16 | For Your Health 2013
Natural vs. Organic
The phrase does not refer to a long-running sports rivalry or battle between political parties.
In Oregon, as well as the nation as a whole, purchasing natural or organic foods is a consumer’s choice. That choice is becoming easier to make as food suppliers have access to more products that are being grown under stringent government regulations.
The results of those rules are USDA certifications that are more clearly defined and labeled.
Organic products are generally more expensive, but it is worth it for people to eat the healthiest food available, experts say.
“I believe it is more nutritious,” said Darin Rybloom of Roth’s Fresh Market. “Chemicals in foods? I don’t like it; I don’t think it’s right.”
Yes, it is his job to sell the organic foods, but it also his job to buy organic foods by the truckload for his customers. As Roth’s grocery buyer specializing in organic products, Rybloom is charged with selecting healthy products that will meet customer demand.
Each of Roth’s nine stores in the mid-Willamette Valley carries 24,000 products. Of that total, 4,000 are USDA certified and prominently labeled as organic or gluten-free. Rybloom is well-versed in the healthy advantages of each one of those 4,000 specialty products.
On nearly any aisle at local grocers, shoppers can most likely find the bold, brown GF affixed to gluten-free products and the bold, green “O” label for organic.
i
Organic foods DO:• Use compost and
manure instead of chemical fertilizers.
• Employ insects and birds, not chemical insecticides, to reduce pests and disease.
• Rely upon hand-weeding or rotating crops to reduce weeds, not chemical herbicides.
• Feed animals only organic products, allow them access to the outdoors, and prohibit use of antibiotics or hormones.
i
For Your Health 2013 | 17
The number of organic vegetables and fruit available is expected to greatly increase in coming years for the produce department of every Roth’s Fresh Market. Roth’s buyer of organic products, Darin Rybloom, said customer demand for healthier options is driving the growth.
Food processors can use this label on their products when they have met USDA stan-dards for growth, handling and processing.
manufacturers often place a “natural” label on foods containing heavily processed ingredients.
But, a consumer can ask, “Every apple is natural, right? It grows on a tree.” The organic apple is the same color and crunches the same as the one without a USDA Organic certification. So, why is it called “organic?”
Salem Health relies on USDA science and research to answer that question. It has published online a collection of articles and government regulations (http://salemhealth.staywellsolutionsonline.com).
“Your Guide to Organic Foods” is the lead article that details what the term “organic” means and gives reasons that the USDA believes the organic-certified
food is superior for a healthy diet.
The online site from Salem’s largest healthcare provider begins by saying, “Fruits, vegetables, grains, dairy products, and meat can all be certified as organic if they meet FDA requirements for growth, handling, and processing.
Readers can infer that what it comes down to is the use of additives and chemicals in food production.
The terms “hormone free,” “free range” and “all-natural” may be important for some consumers, but they are not the same as organic.
The USDA has developed a strict set of government standards and regulations concerning the organic-foods industry. Food producers who follow
The GF sign tells consumers that this product contains less than 20 parts per million of wheat gluten. Those with celiac disease, gluten intolerance or wheat allergies rely on this formal declaration from the processor.
18 | For Your Health 2013
those guidelines and pass inspections are allowed to use the organic label, which the USDA hopes can offer consumers a symbol that they can trust.
Trust comes from the USDA inspection process and the heavily regulated food system. Only organic guarantees no toxic synthetic pesticides, toxic synthetic herbicides, or chemical fertilizers are used in production, and no antibiotics or growth hormones are given
to animals, according to USDA documents. Organic producers and processors also are subject to rigorous announced – and unannounced – certification inspections by third-party inspectors to ensure that they are producing and processing organic products in a proper manner, the federal agency said.
Darin Rybloom inspects the gluten-free offerings at Roth’s Fresh Market in Silverton.
Organic is all about what is and is not associated with the food.
i
Roth’s Fresh Markets mark their shelf price tags with “Gluten Free” and “Organic” to assist customers while shopping for healthy food options.
Urgent CareFamily Medicine
Internal Medicine Obstetrics & Gynecology
General Surgery Allergy & Immunology
Nuclear Medicine Laboratory
Imaging Ultrasound
MRI CT
399-2424399-2424503
salemclinic.org | 2020 Capitol St. NE | Salem, OR 97301 | (503) 399-2424
Welcoming new patients...
Evening & Weekend Hours
minimally invasive surgical experts
Growing to meet the needs of our community since 1925; now in five convenient locations!
Growing to meet the needs of our community since 1925; now in five convenient locations!
salemclinic.org I 2020 Capitol St. NE I Salem, OR 97301 I (503) 399‐2424
399399‐‐24242424 503503503
minimally invasive surgical experts
Evening & Weekend Hours
Urgent Care
Family Medicine Internal Medicine
Obstetrics & Gynecology General Surgery
Allergy & Immunology Nuclear Medicine
Laboratory Imaging
Ultrasound MRI CT
Welcoming new patients...
Varicose veins: the tip of the iceberg.
The vast majority
of people su ering from venous disease
have never been evaluated.
...Varicose veins become a chronic problem when the symptoms and signs are severe enough to interfere with the enjoyment of an active life style.
hirty million Ameri-cans su�er from venous disease (compare with
Heart disease, 12 million, stroke disease 4 million). �e most common venous disorder is Venous Insuf-�ciency. �e vast majority of people su�ering from venous disease have never been evaluated. Why do they suf-fer? �ey su�er because they are unaware of the advances in the treatment of vein disease. �ey su er because their family doctor has told them not to worry about it; it is cosmetic. �ey su er because they believe (or have
been told) that the treatment is worse than the disease, images of grandma lying in a hospital bed all battered and bruised with dozens of fresh surgical incisions from her recent vein stripping. Only 1.9 million, or about 6% of the total of people af-fected, seek treatment each year. Of those who seek the advice of a vein specialist, it is estimated that 500,000 will undergo some type of treatment, therapy, procedure to treat their venous disorder. �ose who do not un-dergo treatment typically have less severe disease and will be educated about the things they can do to achieve better venous health, through behavior modi�cation and the use of several tools. Varicose veins are just the beginning, the �rst hint, that there is something wrong. If these abnormal veins are ignored, a condition called Chronic Venous Insu�ciency (CVI) will develop; how soon that progres-sion develops, depends, in part on each individual. Chronic Venous Insu�ciency is a progressive medi-
cal condition that worsens over time and a ects the low pressure vessels in the legs that carry oxygen poor blood back to the heart. �e phases of the disease (CVI) are a direct result of an abnormal increase in venous pressure. �is increased venous pressure, if le� unchecked will result in a cascade of events that will lead to the advanced stages of CVI: swelling, itching, �aky skin irritation, tissue breakdown and venous ulceration.
What is venous insu�ciency? Another term for venous insu�ciency is “Re�ux”. Healthy veins contain valves, which are composed of gos-samer thin �aps of tissue, resembling the shape of a jib sail, that open and close as part of their function to return blood back to the heart. In concert with the muscles in the leg, the valves allow blood to �ow upwards, against gravity. Venous re�ux, which is the
underlying malfunction and underly-ing cause of CVI, occurs when the valves become damaged or diseased. Re�ux or backward �ow of blood occurs in these a ected veins. Be-cause normal valves are critical for the proper functioning of these low pressure vessels, these veins become “Insu�cient” or incompetent and cannot do their job. Pooling of blood, which leads to venous hypertension, is the end result.
At what point do varicose veins become CVI?While this is not something that is universally agreed upon Varicose veins become a chronic problem when the symptoms and signs are severe enough to interfere with the enjoyment of an active life style. By the time a person devel-ops signi�cant swelling and or skin changes, the diagnosis of Chronic Venous Insu�ciency is a foregone conclu-sion. NOTE: �ere is a classi�cation system for the stages of venous insu�ciency termed C.E.A.P that is beyond the scope of this article. If you would like to know more, search “CEAP classi�cation”.
What CAN I do?-conservative management.First of all if you think you have venous insu�ciency, no matter how mild, you should consult with your doctor or vein specialist. It is impor-tant to establish a baseline against which progress, or the lack there of can be charted. Conservative management of the disease must start early in its course, much earlier than most people realize. Measures must be aimed at countering the e�ects of gravity and poorly func-tioning one-way valves which leads to the propensity of the legs to hold onto extra �uid (pooling).
Behavior modi�cation:Since we know what causes CVI and what it does to the legs, it is important that we incorporate into our daily routines measures that allow the blood to move, and as much as possible drain back to the heart. Do not sit for more that 20 minutes at a time. Set a timer, get up and walk around for 30 seconds. Elevate your legs above your heart as much as possible. Raise the foot of your bed 3-5 inches. If appropriate, lose weight, start exercise if not already exercising. Book air �ights early in or-der to get an aisle seat- this will allow
you to get up more frequently on long trips. Behavior modi�cation doesn’t cost anything.
Compression TherapyGraded compression therapy will combat the stretching of the veins
and pooling of the blood in the legs. Compression ther-apy can come in several forms, but the most common is Medical Grade elastic stockings. �ese stockings are available by prescription from your doctor or vein specialist. Unless you know what you
are doing, I would not order your �rst pair online.
What if I fail conservative management?People who are able to modify their behavior and who are comfortable wearing compression stockings can hold o� the progression of CVI for a long time. Years. If your symptoms persist and interfere with your activi-ties, in spite of conservative manage-ment, you may require treatment. In the later stages of CVI, treatment is always recommended.
TreatmentMultiple modalities exist for the treat-ment of varicose veins. From vein stripping (rarely) to catheter based treatments that fuse the vein from the inside, to surface sclerotherapy with or without foam, Ultrasound guided foamed sclerotherapy, ambulatory phlebectomy (a form of vein strip-ping). �e various treatments can be used alone, but are usually combined in a variety of ways. Today, all of these are performed as outpatient proce-dures, usually in the doctor’s o�ce with local anesthesia. Which ever method(s) of treatment is performed, behavior modi�cation, as discussed earlier, and the judicious use of com-pression therapy, will always be the mainstay of therapy and will be valu-able tools for a lifetime.
Varicose veins: the tip of the iceberg.
The vast majority
of people su ering from venous disease
have never been evaluated.
...Varicose veins become a chronic problem when the symptoms and signs are severe enough to interfere with the enjoyment of an active life style.
hirty million Ameri-cans su�er from venous disease (compare with
Heart disease, 12 million, stroke disease 4 million). �e most common venous disorder is Venous Insuf-�ciency. �e vast majority of people su�ering from venous disease have never been evaluated. Why do they suf-fer? �ey su�er because they are unaware of the advances in the treatment of vein disease. �ey su er because their family doctor has told them not to worry about it; it is cosmetic. �ey su er because they believe (or have
been told) that the treatment is worse than the disease, images of grandma lying in a hospital bed all battered and bruised with dozens of fresh surgical incisions from her recent vein stripping. Only 1.9 million, or about 6% of the total of people af-fected, seek treatment each year. Of those who seek the advice of a vein specialist, it is estimated that 500,000 will undergo some type of treatment, therapy, procedure to treat their venous disorder. �ose who do not un-dergo treatment typically have less severe disease and will be educated about the things they can do to achieve better venous health, through behavior modi�cation and the use of several tools. Varicose veins are just the beginning, the �rst hint, that there is something wrong. If these abnormal veins are ignored, a condition called Chronic Venous Insu�ciency (CVI) will develop; how soon that progres-sion develops, depends, in part on each individual. Chronic Venous Insu�ciency is a progressive medi-
cal condition that worsens over time and a ects the low pressure vessels in the legs that carry oxygen poor blood back to the heart. �e phases of the disease (CVI) are a direct result of an abnormal increase in venous pressure. �is increased venous pressure, if le� unchecked will result in a cascade of events that will lead to the advanced stages of CVI: swelling, itching, �aky skin irritation, tissue breakdown and venous ulceration.
What is venous insu�ciency? Another term for venous insu�ciency is “Re�ux”. Healthy veins contain valves, which are composed of gos-samer thin �aps of tissue, resembling the shape of a jib sail, that open and close as part of their function to return blood back to the heart. In concert with the muscles in the leg, the valves allow blood to �ow upwards, against gravity. Venous re�ux, which is the
underlying malfunction and underly-ing cause of CVI, occurs when the valves become damaged or diseased. Re�ux or backward �ow of blood occurs in these a ected veins. Be-cause normal valves are critical for the proper functioning of these low pressure vessels, these veins become “Insu�cient” or incompetent and cannot do their job. Pooling of blood, which leads to venous hypertension, is the end result.
At what point do varicose veins become CVI?While this is not something that is universally agreed upon Varicose veins become a chronic problem when the symptoms and signs are severe enough to interfere with the enjoyment of an active life style. By the time a person devel-ops signi�cant swelling and or skin changes, the diagnosis of Chronic Venous Insu�ciency is a foregone conclu-sion. NOTE: �ere is a classi�cation system for the stages of venous insu�ciency termed C.E.A.P that is beyond the scope of this article. If you would like to know more, search “CEAP classi�cation”.
What CAN I do?-conservative management.First of all if you think you have venous insu�ciency, no matter how mild, you should consult with your doctor or vein specialist. It is impor-tant to establish a baseline against which progress, or the lack there of can be charted. Conservative management of the disease must start early in its course, much earlier than most people realize. Measures must be aimed at countering the e�ects of gravity and poorly func-tioning one-way valves which leads to the propensity of the legs to hold onto extra �uid (pooling).
Behavior modi�cation:Since we know what causes CVI and what it does to the legs, it is important that we incorporate into our daily routines measures that allow the blood to move, and as much as possible drain back to the heart. Do not sit for more that 20 minutes at a time. Set a timer, get up and walk around for 30 seconds. Elevate your legs above your heart as much as possible. Raise the foot of your bed 3-5 inches. If appropriate, lose weight, start exercise if not already exercising. Book air �ights early in or-der to get an aisle seat- this will allow
you to get up more frequently on long trips. Behavior modi�cation doesn’t cost anything.
Compression TherapyGraded compression therapy will combat the stretching of the veins
and pooling of the blood in the legs. Compression ther-apy can come in several forms, but the most common is Medical Grade elastic stockings. �ese stockings are available by prescription from your doctor or vein specialist. Unless you know what you
are doing, I would not order your �rst pair online.
What if I fail conservative management?People who are able to modify their behavior and who are comfortable wearing compression stockings can hold o� the progression of CVI for a long time. Years. If your symptoms persist and interfere with your activi-ties, in spite of conservative manage-ment, you may require treatment. In the later stages of CVI, treatment is always recommended.
TreatmentMultiple modalities exist for the treat-ment of varicose veins. From vein stripping (rarely) to catheter based treatments that fuse the vein from the inside, to surface sclerotherapy with or without foam, Ultrasound guided foamed sclerotherapy, ambulatory phlebectomy (a form of vein strip-ping). �e various treatments can be used alone, but are usually combined in a variety of ways. Today, all of these are performed as outpatient proce-dures, usually in the doctor’s o�ce with local anesthesia. Which ever method(s) of treatment is performed, behavior modi�cation, as discussed earlier, and the judicious use of com-pression therapy, will always be the mainstay of therapy and will be valu-able tools for a lifetime.
22 | For Your Health 2013
Depression is often thought of as an adult condition, but it can afflict children as well.
According to the American Academy of Child and Adolescent Psychiatry, about 5 percent of children and adolescents “suffer from depression at any given point in time.”
“There are some estimates that by age 18, one in every five people has experienced an episode of depression,” says Dr. Carolyn McCarty, a researcher at Seattle Children’s Research Institute.
“Adults tend to have low moods or become withdrawn,” said Sandra Stradley, a licensed clinical social worker and therapist who practices in Salem. “With kids, it’s more irritability, anger or behavioral problems. It’s confusing when you’re trying to diagnose a child because it can look like other things.”
It’s confusing, but not impossible, as long as everyone works together.
“A good diagnosis makes for a good treatment plan,” Stradley said. “You’ve got to go through all the steps – medical
Communication key for children
with depression
BY Sarah Kickler Kelber
CHIlDren’s HealtH
‘‘ Parents need
education about
depression and how it
presents and children
need education because
it reduces stigma and
promotes understanding.
Pediatric depression can be difficult to diagnose
because it presents differently in children than in adults.
‘‘
For Your Health 2013 | 23
history, social history, biological tendencies; you want to gather all that information before proceeding.”
Once a diagnosis is made, there are a number of options for treatment – and research is being done on how to help prevent depressive episodes before they start.
As with adults, the main two treatment options are psychotherapy and medication, typically SSRIs, and opinions vary on which ought to be the first line of defense.
McCarty said that it’s “a matter of choice to start with one or another, and if one treatment doesn’t work, a patient can switch to the other.”
Stradley prefers to start with the least invasive strategy first.
“In certain situations, if the depression doesn’t respond to play therapy or talk therapy, then a child will be evaluated for medication,” she said.
But, she added, for some children and adolescents, medication is the tool that works the best. She noted that for those taking SSRIs and other prescription drugs, it’s paramount that parents learn about the side effects and make sure the medication is taken exactly as prescribed.
With therapy for children, Stradley said, it’s important for parents to be an active part of the treatment team.
There are books for every age group about depression and anxiety, which can help kids understand what’s going on and that they are not alone, she said. Plus, peer group counseling gives feedback from the counselor as well as other kids. Other therapy options include cognitive behavior changes.
“You can tell kids, ‘Did you know you’re the boss of your brain? Did you know when the ‘bully’ feelings like worry and fear come in your brain, you can tell them to go away?’” Stradley said. Changing how they think about problems can help them improve their ability to manage them.
Locally, there are several resources for parents concerned about their children’s mental health.
Marion County children can be referred to the Children’s Behavioral Health program by teachers, school counselors, pediatricians or family members for assistance.
Phillip Blea, a licensed clinical social worker and team supervisor for the department, mentioned one popular program, a parenting class called Strengthening Families, which is offered in a number of Marion County schools for parents of 10-year-olds to 14-year-olds.
The seven-week class takes place in the school setting, with each class lasting three hours. First, there is a meal together. For the second hour, youth and parents split into separate groups for learning activities, and in the third hour, they come together to discuss what they’ve learned and set some goals to work on together.
“Together” being the operative word.
“The main thing is to find lots of opportunities to talk to your youth,” Blea said. “It can be tough because they are wanting to pull away, but engaging in conversations, even about silly things, is important.”
He also recommended using Salem-Keizer School District’s Intouch
Parent-child communication
was key to McCarty’s recent
study for Seattle Children’s
Research Institute.
‘‘ The No. 1 issue
is communication. That
involves lots of empathy
for the child and trying to
understand their perspective
and point of view.
‘‘
24 | For Your Health 2013
program, which allows parents to check on their children’s grades online occasionally to make sure they aren’t getting too far behind.
She developed a program called Positive Thoughts and Actions, in
which kids in four different middle schools in Washington were taught cognitive strategies for managing emotions, solving emotional problems with a systematic approach and, she said, “how to think about things more realistically rather than distorting negative events.” The students, who had some early depressive symptoms but were not at the threshold of depression, McCarty said, were also shown how to apply these skills to their school lives, their interpersonal relationships and their health choices.
Parents were involved as well, taking part in home visits or workshops at the schools to learn strategies of their own.
The children in the control group in the study, which was published in April in the Journal of Clinical Child & Adolescent Psychology, were given an “individual support program,” which was a one-on-one interview in which the interviewer helped the children develop an action plan for dealing with their issues.
In the end, according to a release from Seattle Children’s Research Institute, “Those who received group intervention with a focus on the positive showed greater decreases in depressive symptoms, compared with those who received individual support.”
McCarty said the parent component was very important to the Positive Thoughts and Actions program.
She also recommended parents schedule regular times to check in with their children.
The next area of interest is following up with the children in her study to see how lasting the preventive effects are.
“Ideally, implementation would be the next step as well,” McCarty said, “rolling out the program to other schools or after-school venues.”
Stradley noted that cognitive therapies are extremely helpful, but, she said, “It’s very important to get to the root cause of the depression in the first place. Otherwise, it can keep cycling.”
iTips for parents• Tune in to your child’s
emotional life and how different situations make them feel. Be empathetic and listen to your child’s perspective.
• Teach your child how to problem solve. Look at a problem, and have him or her brainstorm potential ways to address it. Include creative ideas. Have your child make a choice after evaluating many different options, and then revisit the decision moving forward.
• Help your child set goals, specifically goals that are realistic (think baby steps), measurable and that can be changed.
• Talk with your child about how to manage really strong emotions. Encourage them to stop and let emotions settle down before responding to the situation.
Source: Dr. Carolyn McCarty, Seattle Children’s Research Institute
‘‘ The closer of a
relationship you have
with your child, the better
they will open up. and
the more easily parents
can differentiate between
the normal dramas of
adolescence and deeper
problems. We’ve shown
that we can help them
learn and implement
strategies to deal with
negative events in their
lives, help them draw on
their support and become
resilient even in face of
bumpy issues that are
part of the process of
growing up.
‘‘
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28 | For Your Health 2013
Research investigates link between cholesterol-lowering drugs and
diabetes risk
Lowering cholesterol is on many health to-do lists, with the U.S. Centers for Disease Control
and Prevention estimating that 71 million adults have a high level of the “bad” low-density lipoprotein (LDL) cholesterol that is closely linked to the risks of heart attack and cardiovascular disease.
This health concern has made cholesterol-lowering medications among the most commonly prescribed drugs, and in 2011, about one in four Americans older than 45 took some form of statin. Statins work by blocking HMG-CoA reductase, an enzyme used in cholesterol production.
After clinical trials in the 1990s, statins were widely introduced with known side effects such as muscle pains and cramps, but recently there has been evidence linking certain statins to
an increased risk of developing type-2 diabetes.
“Every single drug — whether over the counter or something you prescribe — will have side effects,” Krishnamurthy said. “You have to weigh the risks.”
Matthew Ito, a professor of pharmacy practice at the Oregon State University/Oregon Health & Science University College of Pharmacy, has been conducting cholesterol-related research since 1990, and he has a personal stake in statin effects.
“My interest in this whole area came about because I inherited a disorder — familial hypercholesterolemia,” Ito said.
The genetic condition affects about one in 500 people and is marked by elevated levels of LDL cholesterol.
“Before statin medications were approved for us, we really were limited in the treatment choices regarding this disorder,” he said.
Ito believes statins’ known benefits easily outweigh suspected side effects, saying for example that among 200 people taking statins, one additional diabetes case might go along with 24-40 people who have a cardiac event prevented.
“The risk-to-benefit ratio is very good,” Ito said. “Our interest in this was figuring out what was causing or what could potentially be causing this.”
Prior research showed that the use of simvastatin (better known as Zocor) accompanied a drop in the level of the protein GLUT4, which, along with insulin, helps regulate blood sugar levels. Ito also knew that statin-treated
By David Hegle
CHOlesterOl
RIGHT: Matthew Ito
‘‘Statins are a cornerstone for
treating high cholesterol.
As far as coronary disease,
there’s a huge benefit in
reducing mortality.
‘‘
cells saw a drop in Coenzyme Q10, which is needed for cells’ mitochondrial function; mitochondrial dysfunction has been identified as a possible factor in developing type-2 diabetes.
Ito, director of the Cardiovascular Pharmacodynamics Laboratory at OSU, wanted to see what would happen to cells that had their coenzyme Q10 level supplemented alongside statin exposure.
He published his results in March, showing that cells supplemented with coenzyme Q10 maintained levels of GLUT4.
This initial testing was only done with two statins – the lipophilic simvastatin and the hydrophilic pravastatin. The latter has more difficulty moving through cell membranes and did not show the same initial effect on GLUT4.
Ito is presently applying for a grant from the university to continue his research, testing more statins at a cellular level.
For the cases that call for a stronger statin, Ito said the question becomes “if that statin has a higher risk of diabetes, how can you reduce that risk?”
If a patient is already at high risk for diabetes, “maybe the first choices should be something medium-potency,” Krishnamurthy said.
Krishnamurthy considers potential side effects when choosing a statin, but prefers to have patients on the right medication at the lowest beneficial dose – and lifestyle changes that yield weight loss can allow for lower doses or drugs less powerful than simvastatin.
“The best medication is to avoid having to take one in the first place,” he said.
32 | For Your Health 2013
F olks interested in pursing a healthier lifestyle, take heed – there may be an app for that.
Tens of thousands of apps currently are available to help people count calories, track their medication, research medical conditions or pursue the perfect workout.
Jessica Hicks, a health educator with Salem Health’s Community Health Education Center, recently discovered while teaching a heart fitness class how pervasive these apps have become.
“Everyone in class was using FitBit, and they would talk about using the
LoseIt app to track their calorie intake and other apps to achieve other goals,” Hicks said. “I was pretty impressed with how into it they were, and these were women 40 years old or older – not the younger people you usually associate with the latest technology.”
But experts warn that, along with useful apps that can help a person take control of their health and fitness, there’s a fair amount of snake oil being sold.
“The regulatory agencies just haven’t been able to keep up, so you have a lot of stuff out that’s potentially harmful,” said Dr. Joe Kvedar, founder and director of the Center for Connected Health. “I would say 99 percent of them are close to worthless, but that still leaves you with a pretty big number that are useful. It’s just a matter of figuring out which the useful ones are.”
The U.S. Food and Drug Administration has been working for two years on guidelines for app developers, but until those are adopted, buyers must beware.
The safest and most useful apps tend to help people with lifestyle goals such as eating right and working out, Kvedar said.
These include apps like Nike Fitness Club, which provides workout plans matched to a person’s daily needs, or MapMyFitness, which allows a person to track both the amount of calories they consume as well as the calories they burn through exercise, Hicks said.
There are apps like Zombies, Run! that can provide additional motivation during your daily jog, and apps like Restaurant Nutrition that can help you order healthy meals when eating out.
Many medical centers and doctors clinics also have begun putting patients’ records online, so people can look up their stats and track their health. Kaiser Permanente has been a leader in this, Kvedar said.
“Because we’ve set medical care up to be so episodic, it leaves gaps in people’s lives where they would like to see some guidance or help or coaching, and the app space is filling that in,” he said.
But Kvedar said people should beware of any app that tries to step in and do the work of a doctor.
More people using apps to monitor health
HealtH teCHnOlOgy
BY Dennis Thompson
One example is an app that purports to calculate the insulin dose a diabetic needs based on the information they provide in a food diary.
“That’s just flat out dangerous to have an app doing that,” Kvedar said.
He also cited apps that claim to be able to detect skin cancer from photos taken of moles.
“They’re well-intentioned, but the algorithms are not at the stage that they can make reliable diagnoses,” Kvedar said. “They are trying hard with software that isn’t quite ready yet.”
Kevin Tillmann, a senior research analyst for Consumer Electronics Association, said he expects that smartphones could become more medically helpful once they begin being paired with other devices, much like the FitBit or Nike FuelBand apps are paired with devices people wear to track their physical activity.
Examples might be blood pressure monitors or glucose testers that automatically report results to a smartphone.
“It’s more cost-effective for those manufacturers because they don’t have to develop their own user interface,” Tillmann said. “They’ve got a screen in someone’s pocket already.”
Comm
erical St.
O wens St.
River R
oad South Mad rona
Lib
erty
Rd.
I-5
Croi
s an C
r eek
Golf Course Rd. Mission St.
Kuebler Blvd.
View
cres
t D
r.
I-22
Sprague High School
Salem Hospital
N
S
E W
Comm
erical St.
O wens St.
River R
oad South Mad rona
Lib
erty
Rd.
I-5
Croi
s an C
r eek
Golf Course Rd. Mission St.
Kuebler Blvd.
View
cres
t D
r.
I-22
Sprague High School
Salem Hospital
N
S
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36 | For Your Health 2013
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
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Acupuncture Nancy Arntson, LAc ���������������� (503) 798-2918
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Cardiology Kamran Ghalili, MD ���������������� (503) 814-4440
Raghunandan Kamineni, MD �� (503) 814-4440
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Cardiovascular Diseases Matthew Fedor, MD ���������������� (503) 814-4440
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MEDICAL DIRECTORY
For Your Health 2013 | 37
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
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Min Chai Pak, MD ������������������� (503) 561-5634
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Donald Stader, III, MD ������������ (503) 561-5634
Ronald Stallings, MD �������������� (503) 285-6853
Kirsten Steketee, MD �������������� (503) 561-5634
Charles Stringham, MD ���������� (503) 769-2175
Vince Truong, DO ������������������� (503) 561-5200
Henry Truong, MD ������������������ (503) 561-5200
Steven Vets, DO ��������������������� (503) 623-8301
Joshua Walterscheid, MD ������� (503) 561-5634
Endocrinology, Diabetes & Metabolism
Martin Bassett, MD ����������������� (503) 399-8105
Thomas Chamberlin, MD �������� (503) 362-9334
Cort Garrison, MD ������������������� 503) 362-9334
Rodney Michaels, MD ������������� (503) 589-0565
Family Medicine
(503) 391-1110 5050 Skyline Village Loop, S
Salem, OR 97306www.drsclinic.com
Rashanda Brown, DO (503) 391-1110
Christopher Buckley, MD (503) 391-1110
Jay Campbell, DO (503) 391-1110
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Heidi Fletemier, MD (503) 391-1110
Cynthia Harper, MD (503) 391-1110
Antje Howard, MD (503) 391-1110
Myron Lee, MD (503) 391-1110
Andrea Lind, MD (503) 391-1110
R� Kirsten Rey-Rosa, MD (503) 391-1110
George Thomas, DO (503) 391-1110
Curt Hawkinson, PA-C (503) 391-1110
Marcia Adams, MD ����������������� (503) 986-0325
Paul Angleton, MD ����������������� (503) 814-4410
Nikhil Batra, MD ��������������������� (503) 561-5200
Geoffrey Carden, MD ������������� (503) 606-3288
William Carnett, DO ��������������� (503) 561-4939
Evelin Carpiet, MD ����������������� (503) 798-4200
David Chen, MD ��������������������� (503) 813-3860
Ryan Cooley, MD �������������������� (503) 399-2424
Susan Corzilius, MD ���������������� (503) 361-5400
Judy Davis, MD ���������������������� (503) 371-7701
Yara Delgado, MD ������������������ (503) 845-2000
Suzanne Deschamps, MD ������� (503) 361-5400
Leslie Drapiza, MD ������������������ (503) 588-0076
Jared Eller, DO ����������������������� (503) 399-2424
Charles Essex, MD ������������������ (503) 838-1388
Sandra Garrard, MD ��������������� (503) 399-2424
Antonio Germann, MD ����������� (503) 982-2000
Roy Hall, MD ��������������������������� (503) 399-2424
Keith Haugen, MD ������������������ (503) 873-1500
Barbara Hoover, DO ��������������� (503) 315-4015
Evan Inman, MD ��������������������� (503) 361-5400
Olivia Kamayangi, MD ������������ (503) 378-7526
Caroline King-Widdall, MD ����� (503) 814-4400
Lara Knudsen, MD, MPH �������� (971) 599-1002
Earl Lee, DO ��������������������������� (503) 339-3222
Jessica Lehrfeld Smith, DO����� (503) 873-5667
Sheila Mitchell, MD ���������������� (503) 373-8550
Hal Mitchell, DO ��������������������� (503) 623-3199
Jerrod Mitzel, MD ������������������� (503) 362-6304
William Nagel, MD ����������������� (503) 945-2800
Eric North, MD ������������������������ (503) 874-6026
Phoenix North, MD ����������������� (503) 874-6026
Mark Olson, MD ��������������������� (503) 361-5400
William Peffley, DO ���������������� (503) 623-1200
Kyla Pepper, MD ��������������������� (503) 361-5400
Michael Puerini, MD ��������������� (503) 373-0168
Michelle Rasmussen, MD �������� (503) 540-7477
Marvin Roman, MD ����������������� (503) 378-7526
Loretta Scheler, MD ���������������� (503) 990-8772
Elisabeth Ann Scott, MD �������� (503) 378-7526
Yolanda Suarez, DO ���������������� (503) 315-5400
Amy Sutkus, MD ��������������������� (503) 897-4100
Kim Thompson, DO ���������������� (503) 399-0021
Julian Uselman, DO ���������������� (503) 873-5667
MEDICAL DIRECTORY
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Family Medicine Jeanette Walker, MD �������������� (503) 399-1400
Gerald Williams, DO ��������������� (505) 399-2424
Eric Wiser, MD ������������������������ (503) 769-2259 Amy Wiser, MD ������������������������ (503) 769-2259
Anda Yangson, MD ����������������� (503) 561-5200
Flora Yao, MD ������������������������� (503) 394-3633
Family Practice Roger Applegate, MD ������������ (503) 304-7600
Raymond Baculi, MD �������������� (503) 399-2424
Lawrence Barnes, Jr�, MD ������� (503) 897-4100
Elizabeth Blount, MD �������������� (503) 873-8686
Richard Boughn, MD �������������� (503) 769-7771
Julie Broyhill, MD ������������������� (503) 982-2174
Stephen Chaffee, DO ������������� (503) 623-2345
Denise Chun, MD ������������������� (503) 982-2000
Thomas Culhane, MD, MS ������ (503) 967-7418
Evelin Dacker, MD ������������������ (503) 399-1400
John Daniels, MD ������������������� (503) 399-2424
Johnny Deblock, DO �������������� (503) 378-7526
Guesly Dessieux, DO �������������� (503) 769-6386
Heather Diaz, MD ������������������� (503) 588-0076
Nancy Dougherty, MD ����������� (503) 769-9362
Christopher Edwardson, MD �� (503) 623-2345
Monchito Entena, MD ������������ (503) 982-2202
Carolyn Fairfax, MD ���������������� (503) 391-1110
Gerald Farnell, MD ����������������� (503) 399-2424
John Fitzgerald, MD ��������������� (503) 399-2424
Tom Flaming, DO ������������������� (503) 623-8376
David Foster, MD �������������������� (503) 769-6367
Fred Foulke, MD ��������������������� (503) 399-2424
Irene Fu, MD ��������������������������� (503) 399-2424
Lesley Garber, DO ������������������ (503) 399-2424
Julie Gilbert, MD �������������������� (503) 393-2533
John Gilliam, II MD ����������������� (503) 873-1578
Ritchie Gooch, MD ����������������� (503) 769-7771
Michael Grady, MD ���������������� (503) 873-1764
Kendall Graven, MD ��������������� (503) 399-2424
Page Griffin, MD ��������������������� (503) 982-2000
Scott Hadden, MD ������������������ (503) 749-4734
Ole Hansen, MD ��������������������� (503) 373-1840
Daniel Harris, MD ������������������� (503) 873-1500
John Hayes, MD ��������������������� (503) 982-2000
James Heder, MD ������������������� (503) 371-3232
Manya Helman, MD ���������������� (503) 589-1935
Tanie Hotan, MD��������������������� (503) 749-4734
Joseph Huang, MD ����������������� (503) 951-3080
Jeffrey Humphrey, DO ������������ (503) 623-8376
Rosamund Irwin, MD �������������� (503) 945-7125
Jacob Jackson, MD ���������������� (503) 361-5400
Karen Johnson, MD ���������������� (503) 371-3232
Lance Jungwirth-Large, MD ��� (503) 769-2641
Randell Jura, MD �������������������� (503) 399-7607
Michael Kelber, MD ���������������� (503) 391-6615
Johan Kohler, DO ������������������� (503) 399-2424
Faith Koschmann, MD ������������ (503) 845-2000
David Krier, MD ���������������������� (503) 703-4745
Andrea Larson, MD ����������������� (503) 873-4531
Robert Larson, Jr�, MD ������������ (503) 873-8923
Steven LaTulippe, MD ������������ (503) 623-5430
Jonathan Lindgren, MD ���������� (503) 717-7000
Ian Loewen-Thomas, MD �������� (503) 399-2424
William Lucas, MD ������������������ (503) 623-1200
Paul Neumann, MD ���������������� (970) 221-0883
Anne Nunes, DO �������������������� (503) 399-2424
Gwendolyn Oran, MD ������������ (503) 361-5400
Donald Orwick, MD ���������������� (503) 399-2424
Ronald Palm, DO �������������������� (503) 393-0540
Mark Patton, DO ��������������������� (503) 362-9334
Niels Pedersen, MD ���������������� (503) 399-2424
38 | For Your Health 2013
MEDICAL DIRECTORY
Providing Peace of Mindwith comprehensive care
skilled care personal care medical alert counseling
Home Health Care(503) 371-4567Skilled Nursing
Physical TherapyOccupational Therapy
Speech Therapy
InFocus Counseling(503) 371-7393
Child, adult and familycounseling options
Lifeline(503) 551-2681
Emergency medical alertsystem and monitoring
In Home Personal Care(503) 375-2273
Chore & companion careIncontinence care
Shower, bathing & dressingMedication assistance
OR-0000331948
For Your Health 2013 | 39
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Family Practice Paul Perrin, MD ����������������������� (503) 877-1995
Sarah Peters, MD �������������������� (503) 873-6987
Timothy Peters, MD ���������������� (503) 873-6987
Juliette Power, MD ����������������� (503) 982-2174
Harvey Price, MD �������������������� (503) 302-3556
Tracy Read, MD ���������������������� (503) 982-2174
Gina Remington, MD �������������� (503) 623-8151
Brett Robinson, MD ���������������� (503) 581-8899
Bradley Roemeling, MD ��������� (503) 361-5400
John Rollings, MD ������������������ (503) 559-3169
Deborah Sailler, MD ��������������� (503) 361-5400
Clinton Sanford, MD ��������������� (503) 873-2770
Mark Sauerwein, MD �������������� (503) 588-0076
Jeanne Savage, MD���������������� (503) 982-2000
Mark Scherlie, DO ������������������ (503) 371-3232
Michael Schiferl, MD ��������������� (503) 990-8772
Steven Shelton, MD ���������������� (503) 378-5530
James Stageman, III, MD �������� (503) 873-1500
Leslie Stevens, DO ����������������� (503) 361-5400
Jeffrey Stoessl, MD ����������������� (503) 399-2424
Mark Surbaugh, MD ��������������� (503) 399-2424
Katie Tihanyi, MD ������������������� (503) 362-1314
Alicia Tonnies, MD ������������������ (503) 361-5400
Jeffrey Turcot, MD ������������������ (503) 588-5892
Mark Vanderburgh, MD ���������� (503) 399-2424
Thomas Vanveen, MD ������������� (503) 990-8772
James Walker, MD ������������������ (503) 845-2000
Paul Weaver, DO �������������������� (503) 371-3232
Patricia Weeks, MD ����������������� (503) 399-2424
Thomas Weiser, MD, MPH ������ (503) 304-7642
Keith White, MD ��������������������� (503) 838-1133
Joseph Whitson, DO �������������� (503) 364-8151
Robert Willey, MD ������������������ (503) 623-6650
Loring Winthrop, MD �������������� (503) 399-2424
Pamela Witherspoon, MD ������ (503) 304-7600
Karla Wottge, DO ������������������� (503) 838-8313
Timothy Zuk, MD �������������������� (503) 399-2424
Foot and Ankle Surgery Robert Scott, DPM ������������������ (503) 370-8784
Forensic Psychiatry Donald Dravis, MD ����������������� (503) 378-2446
Andrew Nanton, MD �������������� (503) 945-2853
Scott Reichlin, MD ������������������ (503) 910-3612
Liban Rodol, MD, JD �������������� (503) 945-2870
Simrat Sethi, MD ��������������������� (503) 945-2800
Gastroenterology Patrick Birbeck, PA ������������������ (503) 584-3222
Richard Brandes, MD �������������� (503) 399-7520
Roger Epstein, MD ����������������� (503) 874-2427
Lawrence Gates, Jr�, MD ��������� (503) 399-7520
Katherine Hoda, MD ��������������� (503) 399-7520
Patricia Kao, MD ��������������������� (802) 847-2554
Robert Ponec, MD ������������������ (503) 399-7520
Gregory Potter, MD ���������������� (503) 361-5400
Edward Schultheiss, MD ��������� (503) 399-7520
Srinivasan Subramanian, MD �� (503) 399-7520
General Practice Neal Berner, MD ��������������������� (503) 986-4825
Ivan Dassenko, MD ����������������� (503) 581-7379
Olwyn Davies, MD ������������������ (503) 873-5331
George Degner, MD ��������������� (503) 373-1840
Bruce Duffy, DO ��������������������� (503) 371-2260
Paula Eschtruth, DO ��������������� (503) 585-5155
John Kulus, DO ���������������������� (503) 838-3665
Scott Miller, MD ���������������������� (503) 588-1234
Mark Nurre, MD ���������������������� (503) 304-7600
Gary Stanford, MD ������������������ (503) 982-3781
John Vargo, DO ���������������������� (503) 378-2302
General Surgery
(503) 391-1110 5050 Skyline Village Loop, S
Salem, OR 97306www.drsclinic.com
Eric Laro, MD (503) 391-1110
Carrie Allison, MD ������������������ (503) 561-5200
Peter Bernardo, MD���������������� (503) 585-6586
Catherine Boulay, MD ������������ (503) 399-2424
Muthalib Cassim, MD ��������������� 971-983-5200
Glena Caton, MD �������������������� (503) 399-2424
George Clarke, MD ���������������� (503) 364-6843
Christine Clarke, MD �������������� (503) 364-6843
Beth Dayton, MD �������������������� (503) 364-6843
Kristopher Dozier, MD ������������ (503) 361-5400
Jonathan Durning, MD ����������� (503) 364-6843
Kai Engstad, MD ��������������������� (503) 371-4044
Joseph Evans, MD ������������������ (503) 361-5400
Ronald Jaecks, MD ����������������� (503) 361-5400
Jiyoun Kim, MD ���������������������� (503) 399-2424
Gloria Marlowe, MD ��������������� (503) 315-5795
Robert McGreevy, MD������������ (503) 769-3785
Gordon Moe, MD ������������������� (503) 390-1954
Everett Mozell, MD ����������������� (503) 399-2424
Rajan Nair, MD ������������������������ (503) 399-2424
Jordan Raymer, MD ���������������� (503) 873-1500
Fay Seppala, MD �������������������� (503) 769-3785
Alison Smith, MD �������������������� (503) 831-0784
Tracy Taggart, MD ������������������ (503) 561-2448
Michael Vanronzelen, MD ������� (503) 364-6843
Harris Waters, MD������������������� (503) 873-5310
Benjamin Wilson, MD ������������� (503) 399-8105
Geriatric Medicine Syed Zaidi, MD ����������������������� (503) 561-1823
Shanjian Zhu, MD ������������������� (503) 361-5400
Gynecology Deborah Johnson, MD ����������� (503) 585-9695
Vicki Seller, MD ����������������������� (503) 315-5710
Hospice &
Palliative Medicine Nancy Boutin, MD ������������������ (503) 561-5294
Beverly JeffsSteele, DO ���������� (503) 588-3600
Jennifer Neahring, MD ����������� (503) 561-3133
Sheila Sund, MD ��������������������� (503) 378-1388
Hospital Administration William Holloway, MD ������������ (503) 561-5290
Martin Kehrli, MD ������������������� (503) 986-4991
MEDICAL DIRECTORY
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Infectious Diseases Cliffton Bong, MD ������������������� (503) 595-0777
John Girod, MD ���������������������� (503) 585-0777
Internal Medicine
(503) 391-1110 5050 Skyline Village Loop, S
Salem, OR 97306www.drsclinic.com
Jeffery Brown, MD (503) 391-1110
Linda Cunningham, MD (503) 391-1110
Robert Davies, DO (503) 391-1110
Robert Hejl, MD (503) 391-1110
Hoa Hoang, MD (503) 391-1110
Christian Duren, PA-C (503) 391-1110
Patricia Stupfel, ANP (503) 391-1110
Gloria Alexander, MD ������������� (503) 399-2424
Beata Anasz-Kopecka, MD ����� (503) 361-5400
Hernan Avella, MD ����������������� (503) 561-5200
Howard Baylies, Jr�, MD ���������� (503) 364-6400
Mary Beland, MD �������������������� (503) 361-5400
Ulista Brooks, MD ������������������� (503) 945-7125
Michael Buck, MD ������������������� (503) 399-7520
Heather Burgin, MD ��������������� (503) 399-2424
Douglas Carney, MD �������������� (503) 540-0304
Stephen Carp, DO ������������������ (503) 399-2424
Chad Carr, MD ������������������������ (503) 485-4787
Robin Chandler, MD ��������������� (503) 399-2424
Mudasir Chisti, MD ����������������� (800) 410-4142
Curtis Climer, MD ������������������� (503) 981-9526
Barry Coplon, MD ������������������� (503) 361-5400
Christian Devaux, DO ������������� (503) 399-2424
Bukhosi Dube, MD ����������������� (503) 561-5200
Sharon Eder, MD �������������������� (503) 986-4989
Makkalearn Em, MD ��������������� (503) 399-7520
Flora Fazeli, MD ���������������������� (503) 413-7711
Elana Fedor, MD ��������������������� (503) 362-9334
Kamran Firoozi, MD ���������������� (503) 588-3945
Mark Fischl, MD ���������������������� (503) 399-2424
Yasutake Fuke, MD ����������������� (503) 561-5200
Michael Gaither, DO ��������������� (503) 561-5200
Ahmad Gill, MD ���������������������� (503) 561-5200
William Gillespie, III, MD �������� (503) 399-2424
Maurice Golden, III, MD ��������� (503) 982-0403
Kathleen Harder, MD �������������� (503) 399-2424
Harold Harmon, MD ��������������� (503) 362-9334
Patricia Anne Haro, MD ���������� (503) 561-5200
Harmon Harvey, Jr�, MD ��������� (503) 362-6304
Mayer Horensten, DO ������������ (503) 945-2853
Jon Hughes, MD ��������������������� (503) 371-7703
Richard Hunt, MD ������������������� (503) 361-5400
Paul Huun, MD ����������������������� (503) 399-2424
Elisabeth Jappay, MD ������������� (503) 362-9335
Patricia Jimenez Mendez, MD (503) 585-6388
Anneliis Juurma, MD �������������� (503) 361-5400
Priya Kansal, MD ��������������������� (503) 561-7171
Scott Keith, MD ���������������������� (503) 561-5200
Laslo Kolta, MD ���������������������� (503) 362-1314
Gregory Lackides, MD ������������ (503) 399-2424
Jacqueline Logan, MD ������������ (503) 947-9003
Swati Mehta, MD �������������������� (503) 561-5913
Carmelo Mejia, MD ���������������� (503) 361-5400
Natalie Melrose, MD �������������� (503) 561-5200
Sharon Meyers, DO ���������������� (503) 986-5100
Brett Mikeska, MD ������������������ (503) 561-8565
Debbie Miller, MD ������������������ (503) 362-9335
Manisha Mittal, MD ���������������� (503) 945-2800
Utpal Mondal, MD ������������������ (503) 561-3333
Wenn Ng, MD ������������������������ (503) 561-5200
Chris Nobis, MD ��������������������� (503) 364-3556
Cynthia Nocek, MD ���������������� (503) 378-7526
Claire Norton, MD ������������������ (503) 561-5200
James Parosa, MD ������������������ (503) 588-3945
Steven Paulissen, MD ������������� (503) 362-9334
Preethi Prakash, MD ��������������� (503) 561-5200
James Pritchard, DO ��������������� (503) 986-4962
Denis Privalov, MD ������������������ (503) 561-8572
Kishan Ramachandran, MD ���� (503) 561-5200
Kavan Ramachandran, MD ����� (503) 588-3945
Bharat Rattan, MD, MPH �������� (503) 561-5437
Aleatha Reitsma-Mathias, MD (503) 391-1110
Neal Rendleman, MD ������������� (503) 945-2800
Lori Rumbaugh, MD ��������������� (503) 982-0403
Barney Saunders, MD ������������� (503) 945-7175
Richard Segal, MD ������������������ (503) 561-5400
Christian Speer, MD ���������������� (503) 566-4546
Robert Steele, MD ������������������ (503) 585-6388
David Tate, MD ����������������������� (503) 399-2424
Heidi Thomas, MD ������������������ (503) 371-3232
Natasha Tiffany, MD ��������������� (503) 561-6444
Drissana Tran, MD ������������������ (503) 588-3600
Anna Varghese, MD ���������������� (503) 370-5200
Jeffrey Wang, MD ������������������� (503) 399-2424
James Wasenmiller, MD ��������� (503) 585-5585
Kathleen Weiss, MD ��������������� (503) 990-8774
Walter Whitman, MD �������������� (503) 362-9033
Richard Woods, MD ���������������� (503) 361-5400
Sunny Yadav, MD �������������������� (503) 561-5200
Ourania Yue, MD �������������������� (503) 798-4200
Eleanor Zawada, MD �������������� (503) 982-0403
Interventional Cardiology Maziar Azadpour, MD ������������� (503) 485-4787
Maxillofacial Surgery James Eyre, Jr�, MD ���������������� (503) 581-1999
David Swiderski, MD��������������� (503) 581-0223
Medical Oncology Charles Petrunin, II, MD ���������� (503) 561-6444
John Strother, MD ������������������ (503) 561-6444
Nephrology Andreea Andone, MD ������������ (503) 561-8565
Lance Dicker, MD �������������������� (503) 561-8565
Eva Lee, MD ��������������������������� (503) 561-8565
Misha Mohindra, MD �������������� (503) 561-8565
Neurological Surgery Robert Buza, MD �������������������� (503) 510-5505
Mauricio Collada, Jr�, MD ������� (503) 581-5517
Valerie Coon, MD ������������������� (503) 581-5517
Jerry Hubbard, MD ����������������� (503) 399-1386
John White, MD ��������������������� (503) 378-0265
Julie York, MD ������������������������� (503) 561-7240
40 | For Your Health 2013
MEDICAL DIRECTORY
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Neurology Sherif Al-Hawarey, MD ����������� (503) 561-4000
Elizabeth Bjornskov, MD ��������� (503) 763-5917
Anton Coleman, MD ��������������� (503) 561-5200
Benton Davidson, MD ������������ (503) 585-0575
Richard Lowenthal, MD ���������� (503) 584-1128
Henry Nino, MD ��������������������� (503) 873-1722
John Pidgeon, MD ����������������� (503) 561-5200
Neuromuscular Medicine Heidi Loganbill, MD ��������������� (503) 856-0111
Neuroradiology Jared Sadler, MD �������������������� (503) 399-1262
Edwin Wang, MD �������������������� (503) 588-2674
Nuclear Medicine John Overbeck, MD ��������������� (503) 967-7418
Obstetrics & Gynecology Darcy Blanchard, DO �������������� (503) 399-2424
Michael Bowen, MD ��������������� (503) 399-2424
William Cely, MD �������������������� (503) 562-2229
Yuen Chau, MD ����������������������� (503) 399-2424
Laura Chong, MD ������������������� (503) 399-2424
Denis Dalisky, MD ������������������ (503) 873-8853
Sophie Dojacques, MD ����������� (503) 779-8957
Dawn Estelle-Vinecki, DO ������� (503) 566-4535
Frederick Frank, MD ��������������� (503) 399-2424
Sheila Goldsworthy, MD ��������� (503) 399-2424
John Hannig, MD ������������������� (503) 562-2229
Robert Harder, MD ����������������� (503) 399-2424
Elizebeth Harmon, MD ����������� (503) 399-2444
Ming Hsieh, MD ���������������������� (503) 361-5400
Thomas Kahan, MD ���������������� (503) 371-0606
Barbara Keller, MD ����������������� (503) 873-8853
Ralph Lewis, MD ��������������������� (800) 972-7207
Cheryl Lugenbill, MD �������������� (503) 399-2424
Heather Mackay-Gimino, MD � (503) 814-4582
Judy Marvin, MD �������������������� (503) 561-5200
Lavena Morgan-Jahanshir, MD (503) 485-5959
Patricia Peterson, MD ������������� (503) 399-2424
Jonathan Pugmire, MD ����������� (503) 763-3660
Brooke Renard, MD ���������������� (503) 873-8853
Lisa Rice, MD �������������������������� (503) 561-5200
Alvie Richardson, MD ������������� (503) 561-5531
Mark Rowley, MD ������������������� (503) 873-7920
Steven Samawi, MD ���������������� (503) 361-5400
Cara Streit, MD ����������������������� (541) 387-8940
Susan Taylor, MD �������������������� (503) 769-9522
David West, MD ��������������������� (503) 588-7525
Occupational Medicine Michael Adams, MD ��������������� (503) 370-4836
Marcus Braman, MD ��������������� (971) 983-5433
Robert Ingle, Jr�, MD �������������� (503) 370-4867
Howard Tsang, MD ����������������� (503) 362-5242
Kevin Walters, MD ������������������ (503) 370-4867
Oncology Edward Orlowski, MD ������������� (503) 561-6444
Ophthalmology
503-581-5287 655 Medical Center Dr. NE
Salem, OR 97301www.mceyeclinic.com
U� John Berzins, M�D�, L�L�C� 503-581-5287
Robert E� Tibolt, M�D� 503-581-5287
Marcus A� East, M�D�, L�L�C� 503-581-5287
Ryan W� Lapour, M�D�, L�L�C� 503-581-5287
Eye ClinicMedical Center
Alan Bengtzen, MD ���������������� (503) 361-2329
Samuel Farmer, MD ���������������� (503) 371-4350
Robin Glotzbach, MD ������������� (503) 361-5400
Richard Lieurance, MD ����������� (503) 361-5400
Gordon Miller, MD ������������������ (503) 363-1500
Richard Neahring, MD ������������ (503) 585-2022
David Rowell, MD ������������������� (503) 585-2022
Edmund Servais, MD �������������� (503) 371-4350
Thomas Stevens, MD �������������� (503) 581-5287
Scott Stice, MD ����������������������� (503) 585-2022
Andrew Westfall, MD �������������� (503) 371-4350
Orthopedic Surgery
(503) 540-6300 1600 State Street, Salem, OR 97301
www.hopeorthopedics.com
John Ballard, MD (503) 540-6300
Harold Boyd, MD (503) 540-6300
John Coen, MD (503) 540-6300
Mark Dolan, MD (503) 540-6300
Robert Fan,MD (503) 540-6300
Mark Foglesong, MD (503) 540-6300
Kelly McCormick, MD (503) 540-6300
Jeffrey Knight, MD (503) 540-6300
David Pressman, MD (503) 540-6300
Dan Sewell, MD (503) 540-6300
Malcolm Snider, MD (503) 540-6300
Sudeep Taksali, MD (503) 540-6300
Richard Tobin, MD (503) 540-6300
Stephen Yao, MD (503) 540-6300
Monica Zilkoski, MD (503) 540-6300
Robert Zirschky, MD (503) 540-6300
Nicole Bangs, PA-C (503) 540-6300
Kevin Bell, PA-C (503) 540-6300
Jaimie Caiazzo, PA-C (503) 540-6300
Dan Cunliffe, PA-C (503) 540-6300
Jenn Holt, PA-C (503) 540-6300
Michelle Lewis, PA-C (503) 540-6300
Jo Peyregne-Lollar, MSPAS, PA-C (503) 540-6300
Curt Stilp, PA-C (503) 540-6300
Chris Stout, PA-C (503) 540-6300
Patrick Thies, PA-C (503) 540-6300
Jerry Becker, MD �������������������� (503) 559-2991
Richard Block, MD ������������������ (503) 873-1500
Timothy Borman, DO ������������� (503) 375-3636
David Forsythe, MD ���������������� (503) 873-1688
Richard Gardner, MD �������������� (843) 422-5320
For Your Health 2013 | 41
MEDICAL DIRECTORY
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Orthopedic Surgery Raylene Gordin, MD ��������������� (503) 375-3636
Michael Hahn, MD ������������������ (503) 361-5400
Tony Lin, MD ��������������������������� (503) 763-6581
Brian Puskas, MD �������������������� (971) 983-5369
John Roberts, MD ������������������� (503) 990-8772
Richard Sandell, MD ��������������� (503) 838-4637
Enoch Shaw, MD��������������������� (503) 480-0485
Stefan Sinco, DO �������������������� (503) 561-5356
Nicolas Stratton, MD �������������� (503) 769-8470
Gregory Strum, MD ���������������� (503) 508-7651
David Thorsett, MD ���������������� (503) 873-1722
Carolyn Yang, MD ������������������� (503) 370-4311
Otology, Laryngology & Rhinology
(503) 581-1567 3099 River Road South
Salem, OR 97302www.entsalem.com
Clark R� Thompson, MD (503) 400-6492
Joseph H� Allan, MD, FACS (503) 400-6492
Bruce C� Johnson, MD (503) 400-6492
John S� Donovan, MD (503) 400-6492
Gary J� Nishioka, MD, DMD (503) 400-6492
Douglas J� Skarada, MD (503) 400-6492
Crystal Miyake, AuD (503) 400-6497
Matthew Bell, AuD (503) 400-6497
Dustin Bronsdon, AuD (503) 400-6497
Courtney Mwangi, AuD (503) 400-6497
Nadine Palmateer, MA, CCC-A (503) 400-6497
Diana Peterson, AuD (503) 400-6497
Pain Medicine Craig Anderson, MD ��������������� (503) 371-4647
John Borgoy, MD ������������������� (503) 361-5400
Ahmed Ebeid, MD ������������������ (503) 562-6002
Eugene Hiebert, MD �������������� (503) 399-9446
Jaime Nicacio, MD ����������������� (503) 814-1281
Pathology Angela Bohlke, MD ���������������� (503) 362-8385
Alicia Kavka, MD ��������������������� (503) 561-5350
Mark Magilner, MD ����������������� (503) 561-5350
Rosemary Makar, MD �������������� (503) 999-3746
Clark McDonald, MD �������������� (503) 561-5350
Pamela Smith, MD ������������������ (503) 561-5598
Penny Vanderveer, MD ����������� (503) 561-5350
Daryl Vogel, MD ��������������������� (503) 561-5330
Debbie Wu, MD ���������������������� (503) 561-5350
Pediatrics Martin Altschul, MD ���������������� (503) 763-5918
Suzanne Bailey, MD ���������������� (503) 362-2481 Hugh Baskin, MD �������������������� (503) 362-2481
Kenneth Carlson, MD ������������� (503) 364-2181
Suzanne Dinsmore, MD ���������� (503) 364-2181
Edward Edwards, MD ������������� (503) 981-9531
Fara Etzel, MD ������������������������ (503) 364-2181
Antoinette Farah, MD ������������� (503) 364-2181
Warren Griffin, III, MD ������������� (503) 362-2481
Brian Gumbs, MD ������������������� (503) 361-5400
Kimberly Heggen, MD ������������ (503) 364-2181
Jenny Hoelter, MD ������������������ (503) 364-2181
Erin Hurley, MD ���������������������� (503) 540-0288
Nina Hyndman, MD ���������������� (503) 362-2481
Lillian Iwatsuki, MD ����������������� (503) 399-2424
James Jensen, II, MD ������������� (503) 873-1690
Dorin Kemmerle, MD�������������� (503) 364-2181
Tina Kitchin, MD ��������������������� (503) 945-5812
Vincent Koletar, MD ���������������� (503) 362-2481
James Lace, MD ��������������������� (503) 364-2181
Michael Marlowe, MD ������������ (503) 763-3669
Lauren Mcnaughton, MD �������� (503) 540-0288
Martin Okpalike, MD �������������� (541) 667-3400
Alvaro Rey-Rosa, MD �������������� (503) 361-5400
Melanie Ronai, MD ����������������� (503) 362-2481
Amelia Roth, MD �������������������� (503) 364-2181
Richard Steinberg, MD ����������� (503) 981-5348
Karin Weiler, MD ��������������������� (503) 362-2481
Kim Wentz, MD ����������������������� (503) 981-5348
Thomas Wilson, MD ��������������� (503) 362-2481
Jennifer Wirsig, MD ���������������� (503) 362-2481
Yu Xu, MD ������������������������������� (503) 361-5400
Physical Medicine & Rehabilitation
Cynthia DiMauro, MD ������������� (503) 561-5200
Todd Holmes, MD ������������������ (503) 370-5200
Linda Jensen, MD ������������������� (503) 986-4985
Rebeca Monreal, DO �������������� (503) 967-6771
Kaidong Wang, MD, PhD ������� (530) 370-5200
Mary Westfall, MD ������������������ (503) 986-4983
Physician Assistant Diana Aby-Daniel, PA ������������� (503) 399-8105
Lola Achilova, PA �������������������� (503) 982-2000
Kurt Atkin, PA ������������������������� (503) 361-5400
Marguerite Ballard, PA ������������ (503) 981-5348
Reda Bassaly, PA ��������������������� (503) 378-7526
Erik Bates, PA �������������������������� (503) 399-2424
Francine Boullosa, PA ������������� (503) 370-4863
Daniel Butler, PA ��������������������� (503) 399-7520
Tauni Carter, PA ���������������������� (503) 399-8105
Julie Crownover, PA ���������������� (503) 371-4044
Richard Cunliffe, PA ���������������� (503) 540-6300
Michael Cvitash, PA ���������������� (503) 873-1722
Kristianna Daniels, PA ������������� (503) 361-5400
Mario Diaz, PA ������������������������ (503) 399-2424
Amy Ditzel, PA ������������������������ (503) 361-5400
Shannon Donovan, PA ������������ (503) 873-8686
Julie Douglas, PA �������������������� (503) 561-5200
Fredrick Durr, PA ��������������������� (503) 399-7474
Rachel Feinberg, PA, MPH ������ (503) 873-8686
Kylie Fonteno, PA ������������������� (503) 378-7526
Jennifer Foster, PA ������������������ (503) 399-1400
Scott Frazee, PA ���������������������� (503) 371-4044
Kristen Gehring, PA ���������������� (503) 399-8105
Halie Goffrier, PA �������������������� (503) 362-2481
Ann Gould, PA ������������������������ (503) 769-2641
Scott, Hall, PA ������������������������� (503) 873-8686
Channa Hang, PA ������������������� (503) 588-0076
Jami Herbst, PA ���������������������� (503) 589-0565
Juan Herrera Godinez, PA ������ (503) 485-4787
Gregory, Hochstein, PA ���������� (503) 566-4500
42 | For Your Health 2013
MEDICAL DIRECTORY
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Physician Assistant Jami Hoke, PA ������������������������ (503) 362-6304
Jennifer Holt, PA ��������������������� (503) 540-6300
Joel James, PA ����������������������� (503) 463-6799
Jeffrey Jarvi, PA ���������������������� (503) 362-2481
Patricia Kenney-Moore, PA ����� (503) 990-8772
Cheryl Kuehnel, PA ����������������� (503) 566-4500
Chelsea Lee, PA ���������������������� (503) 623-8376
Rachel Lemke, PA ������������������� (503) 873-4115
Claudio Lima, PA �������������������� (503) 361-5400
Vanessa Lind, PA ��������������������� (503) 588-0076
Chen Ling, PA ������������������������� (503) 362-8385
Kimberly Lovato, PA ��������������� (503) 623-2345
Laura Mason, PA ��������������������� (503) 485-4787
Harold McLean, PA ����������������� (503) 373-0168
Bridget Metcalf, PA ����������������� (503) 763-5939
Heather Morley, PA, MS ��������� (541) 327-2380
Angila Murray, PA ������������������� (503) 361-5400
Sean Naylor, PA ���������������������� (503) 485-4787
Crystal Neideigh, PA ��������������� (503) 838-8313
Lynette Nikkhah, PA���������������� (503) 749-4734
Silvia Ochoa Sosa, PA ������������� (503) 588-0076
Karalyn Pazdernik, PA ������������� (503) 378-7526
Arminia Peyregne-Lollar, PA ��� (503) 540-6300
Alison Phillips, PA ������������������� (503) 982-2000
Julia Pulliam, PA ��������������������� (503) 623-2345
Chelsea Roberts, PA ��������������� (503) 362-2481
Ronald Robson, PA ����������������� (503) 315-5793
Heather Rollins, PA ����������������� (503) 393-2533
Susan Rosen, PA ��������������������� (503) 684-8252
John Roth, PA ������������������������� (503) 364-2181
Stephen Schuman, PA ������������ (503) 769-6386
Jennifer Semmelroth, PA �������� (503) 399-7520
Anna Severin, PA �������������������� (503) 623-8376
Ronald Smith, PA �������������������� (541) 677-4814
Charla Staggs, PA ������������������� (866) 599-3376
Damon Stout, PA �������������������� (503) 540-6300
Matthew Summers, PA ����������� (503) 769-2641
Veronica Tiburcio-Espinoza, PA �� (503) 982-2000
Kari Wattenbarger, PA ������������ (503) 990-8772
Diana Whiteaker, PA ��������������� (503) 364-2181
William Williams, PA ��������������� (503) 378-7526
Christine Wilson, PA ��������������� (503) 588-0076
Donald Winder, Jr�, PA, MS ���� (503) 371-1010
Richard Withers, PA ���������������� (503) 838-1133
Megan Wolfram, PA ���������������� (503) 561-7240
Angela Young, PA ������������������� (503) 371-3232
Plastic Surgery Edwin Austin, MD ������������������� (503) 391-7001
Bruce Carter, MD �������������������� (503) 561-7000
William Nisbet, MD ���������������� (503) 364-5033
Podiatry Daniel Arrhenius, DPM ����������� (503) 370-8784
John Callahan, DPM ��������������� (503) 581-2505
James Lisle, DPM ������������������� (503) 588-8188
Michael Matthews, DPM ��������� (503) 361-5400
Tom Mesdag, DPM ����������������� (503) 838-3668
Richard Peffley, II, DPM ���������� (503) 370-8784
Ruben Pollak, DPM ����������������� (503) 769-7960 Catherine Purdy, DPM ������������ (503) 585-6122
Robert Stevens, DPM ������������� (503) 363-0763
Micah Tovey, DPM ������������������ (503) 982-1112
Psychiatry Richard Bingham, MD ������������� (503) 584-9922
Nancy Broskie, MD ����������������� (503) 364-7049
Roselee Cain, MD ������������������� (503) 585-7454
Vitaly Chikrizov, MD ���������������� (503) 945-2800
For Your Health 2013 | 43
MEDICAL DIRECTORY
OR-0000331473
Accessibility...In The Home...and On The Go
1-800-214-5520 • 503-838-5520
www.rjmobilityservice.com155 “E” Street • PO Box 128 • Independence, OR 97351
Homes ServicesStair Lifts & Porch Lifts •
Assistance Handles •Entry Ramps •
Hand Railings •
Vehicles Services• Hand Controls• Wheelchair & Scooter Lifts• Wheelchair Accessible Vehicles
CCB#187428
44 | For Your Health 2013
Location KEY Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Psychiatry Daniel Costa, MD ������������������� (503) 561-5761
Edward Daly, Jr�, MD �������������� (503) 362-1999
Kay Dieter, MD ����������������������� (503) 588-5351
Roger Donovick, MD �������������� (503) 945-2800
Michael Duran, MD ����������������� (503) 945-8962
Beal Essink, MD ���������������������� (503) 276-6224
Michel Farivar, MD ������������������ (503) 945-2800
Steven Fritz, MD ��������������������� (503) 945-9044
Rubina Gundroo, MD ������������� (503) 945-2887
Ronald Hofeldt, MD ���������������� (503) 399-1147
Erum Khaleeq, MD ����������������� (503) 945-7115
Sanyup Lee, MD ��������������������� (503) 945-2800
Jeffrey Lenox, MD ������������������ (503) 585-7454
Don Matsunaga, MD �������������� (503) 378-2438
Beverly Matthews-Brylski, MD �� (503) 945-2800
Richard Mead, MD ������������������ (503) 945-2800
Michael Miller, MD ������������������ (503) 370-5791
Mukesh Mittal, MD ����������������� (503) 945-2800
Thomas O’Grady, Jr�, MD ������� (503) 945-9276
Eun Park, MD �������������������������� (503) 588-5955
Dennis Reynolds, MD ������������� (503) 399-7083
Rebecca Ricoy, MD ����������������� (503) 362-1999
Michele Rowley, MD ��������������� (503) 873-7920
Luvy Ruiz-Martinez, MD ���������� (503) 945-2853
Daryl Ruthven, MD ����������������� (503) 378-2076
Jerry Schrader, MD ����������������� (503) 370-6363
Lorraine Skach, MD ���������������� (503) 945-9961
Robert Stone, DO ������������������� (503) 945-2800
George Suckow, Jr�, MD ��������� (503) 881-3539
Joel Suckow, MD �������������������� (503) 588-5816
Joseph Thoits, MD ����������������� (503) 390-5637
Hung Tran, MD ����������������������� (503) 585-7454
Janice Veenhuizen, MD ���������� (503) 362-1999
Sara Walker, MD ��������������������� (503) 945-2800
Michael Willet, MD ����������������� (503) 798-4204
Robert Wolf, MD ��������������������� (503) 561-5761
Jay Wung, MD ������������������������ (310) 867-4653
Patricia Zurflieh, MD ��������������� (503) 945-2800
Psychiatry Neurology Richard Rahe, MD ������������������� (503) 220-8262
Steven Tackett-Nelson, MD ���� (503) 362-1999
Psychosomatic Medicine Rodney Babe, MD ������������������ (503) 581-7700
Jenna Hiestand, MD ��������������� (503) 945-2853
Public Health & General Preventative Medicine
Karen Landers, MD ����������������� (503) 373-3787
Pulmonary Diseases Steven Marvel, MD ����������������� (503) 588-3945
Nimeshkumar Mehta, MD ������ (503) 588-3945
Theodore Shultz, MD �������������� (503) 588-3945
John Silver, MD ����������������������� (503) 588-3945
Radiology Travis Fromwiller, MD�������������� (503) 399-1262
Christopher Goeser, MD ��������� (503) 588-2674
Kyu Kim, MD ��������������������������� (503) 399-1262
Victor Leonardo, MD �������������� (503) 588-2674
Michael Pass, MD ������������������� (503) 494-8311
Kathleen Scanlan, MD ������������ (503) 399-1262
Sean Stack, MD ���������������������� (503) 399-1262
Joseph Trudeau, MD �������������� (503) 588-2674
Rheumatology Rebecca Callis, MD ����������������� (503) 399-0652
Daniel Mendez Allwood, MD � (503) 399-0652
Sleep Medicine Martin Johnson, II, MD ����������� (503) 588-3945
Thye Schuyler, MD ������������������ (503) 561-5170
Keifong Seeto, MD ����������������� (503) 585-0575
Hyong Shim, MD �������������������� (503) 951-7491
Sports Medicine Daniel Schweigert, MD ����������� (971) 983-5250
Therapeutic Radiology Matthew Gordon, MD ������������ (503) 561-5294
Matthew Kang, MD ���������������� (503) 561-5135
Margaret Thompson, MD ������� (503) 843-2767
Theodore Williamson, MD ������ (503) 561-5294
Urology David Elkins, MD �������������������� (503) 561-7100
David Elmgren, MD ���������������� (503) 561-7100
Anjana Ganeshappa, MD ��������� 832-452-8760
Alan Hay, MD ������������������������� (503) 561-7100
Michael Lemmers, MD ������������ (971) 983-5252
Alan Manson, MD ������������������� (503) 361-5400
John Mhoon, MD ������������������� (503) 561-7100
Roger Nellans, MD ����������������� (503) 763-3620
Bradley Warner, MD ��������������� (503) 561-7100
Vascular Neurology Michael Wynn, DO ����������������� (503) 581-7959
Vascular Surgery Gerald McManama, III, MD ���� (503) 585-5585
Ricky Pittman, MD ������������������ (503) 371-8346
MEDICAL DIRECTORY
46 | For Your Health 2013
A big, flat-screen television hangs on the wall of Salem dentist Dr. Kamran Fattah’s
examination room, and it doesn’t take patients long to learn that the TV is not there for distraction.
On the contrary, Fattah uses the TV to draw patients into their own dental care. It is part of a high-tech approach he favors that also includes bite meters, 3-D dental imagers and automatic numbing equipment.
Fattah will take digital X-rays of his patient’s teeth and then display them on the TV, enlarging them so the patient can take a look.
“It helps the patient see what I see,” he said, enlarging an image to display a potential cavity. “It’s really
meaningful for the patient to be involved in the diagnosis.”
The dentist also takes photos of patients’ teeth using a special wand camera, and displays those as well. Essentially, patients get the same view that dentists have when they move that little mirror around inside the mouth during examination.
“It’s not just me saying trust me, that filling your dentist did a year ago is bad. They can see for themselves.” Patients often are drawn in and begin asking questions about features of their teeth that seem unusual.
The television also is used to display the results of Fattah’s bite meter, which measures the amount of pressure that a person exerts on different teeth when biting down hard.
The meter itself is a sturdy plastic film with markings that resembles an electronic circuit board. The patient bites down, and a representation of their mouth appears on the screen that displays their bite – which teeth receive pressure first, which teeth receive the most pressure, and so on.
Dentist gives patients cutting-edge look at diagnoses
Dental teCHnOlOgy
‘‘ I can say,
‘Here’s a picture of
this tooth. It has a
crack in it here.
Does this hurt?’”
BY Dennis Thompson
For Your Health 2013 | 47
By repairing the mouth so that a person’s bite is consistent across all their teeth, dentists can help ease tension headaches, avoid popping jaw joints, and head off broken fillings caused by too much pressure, Fattah said.
“The best part of it is, I don’t have to do a little adjustment and then ask, does that feel better?” Fattah said. “Everyone knows when it’s right, because you can see it.”
The high-tech jewel of Fattah’s office is a small, self-contained kiosk called CEREC, which stands for CEramic REConstruction.
This computer uses photos of a patient’s mouth to create a 3-D model of their bite. CEREC then uses the model to design crowns, replacement teeth, partial bridges or fillings.
What’s more, Fattah can actually create the new crowns and teeth in his office, by wirelessly sending the data from CEREC to a milling device set up in a nearby closet.
“It takes one appointment, about an hour and a half,” Fattah said.
Fattah is on the cutting edge of these dental technologies, although he believes most dentists will be using them in the future. He figures about 12 percent of Salem-area dentists use CEREC, and knows of two other dentists that use a digital bite meter.
“There have been truly amazing advances in dental technology in recent years,” he said. “For our practice, it all works because we want every patient to be able to see what’s going on and take part in their own dental care.”
‘‘You don’t have to wait
two weeks for your
new crown. I can
design it for you here.
One appointment and
it’s perfect. It’s a great
technology.”
Because your health effectseverything else...
Don’tmiss LivingWell,your monthly guide to health.
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lOCatIOn Key Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
A Ruth Abraham, D.D.S. ............ (503) 390-1100
Michelle Aldrich, D.M.D. ........ (503) 391-9016
Francis Allen, D.M.D. .............. (503) 588-6560
Reid Amborn, D.M.D. ............. (503) 581-8141
Gaetano Amico, Jr, D.M.D. .... (503) 585-7888
Gerald Anderson, D.M.D. ....... (503) 393-9106
B Deanne Baptiste, D.M.D. ....... (503) 981-9531
Brad Bateman, D.M.D. ........... (503) 364-7232
William Bateman, D.M.D. ....... (503) 375-0007
Marie Baumgartner, D.D.S. ..... (503) 393-5133
Thomas Bell, D.D.S. ................ (503) 399-7460
Athena Bettger, D.M.D. .......... (503) 375-9282
Kris Blodgett, D.M.D. ............. (503) 981-1841
Timothy Boehm, D.M.D. ......... (503) 585-5205
Gary Boehne, D.M.D. ............. (503) 363-9993
Bruce Boer, D.D.S. .................. (503) 364-9422
Paul Bonar, D.M.D. ................. (503) 581-4615
Victoria Bonar, D.M.D. ............ (503) 581-4615
Chris Bowman, D.M.D. ........... (503) 585-3636
Kathryn Bowman, D.M.D. ....... (503) 981-1360
Mary Beth Bowman, D.M.D. ... (503) 981-1360
Nathan Braxmeyer, D.M.D. ..... (503) 873-8614
Luther Bullock, Jr, D.D.S. ........ (503) 587-9949
Timothy Burns, D.D.S. ............ (503) 769-9699
C Spencer Campbell, D.M.D. .... (503) 370-4311
Steven Campbell, D.D.S. ........ (503) 399-0721
Alan Carter, D.M.D. ................ (503) 873-8335
Barton Carter, D.M.D. ............. (503) 588-2404
Maureen Catipon Calvo, D.D.S. (503) 982-2010
Holly Chamberlain, D.D.S. ...... (503) 363-0027
Matthew Chase, D.M.D. ......... (503) 873-8614
Kevin Christiansen, D.D.S. ...... (503) 363-6500
Daniel Chung, D.D.S. ............. (503) 588-6560
Cody Cirac, D.D.S. .................. (503) 364-9422
Jennifer Clemens, D.M.D. ...... (503) 391-2219
Christel Cochell, D.M.D. ......... (503) 585-8688
Travis Cochell, D.M.D. ............ (503) 585-8688
Cheryl Cooper, D.D.S. ............ (503) 585-1458
Sean Cooper, D.D.S. ............... (503) 363-5865
Jonah Cooper-Leavitt, D.M.D. (503) 837-0512
Steven Cowgill, D.M.D. .......... (503) 363-9637
Mark Cruise, D.M.D. ............... (503) 364-7944
D Allison Daniels, D.M.D. ........... (503) 370-4860
Thomas Davis, Jr, D.M.D. ....... (503) 623-2653
Kregg Delange, D.M.D. .......... (503) 370-4313
Steven Deming, D.D.S. ........... (503) 623-2389
Wallace Dick, D.D.S. ............... (503) 393-3233
Gregory Dilger, D.D.S. ............ (503) 378-0466
Roger Dow, D.M.D. ................ (503) 363-1712
Sunny Drake, D.M.D. .............. (503) 385-8821
Steven Duffin, D.D.S. .............. (503) 393-5133
Thomas Dugan, D.M.D. .......... (503) 370-7651
E Craig Ellison, D.D.S. ............... (503) 873-6118
Sarah Elrabaa, D.D.S. ............. (503) 566-3398
Michelle Euzent, D.D.S. .......... (503) 315-0712
James Eyre, Jr, D.M.D. ........... (503) 581-1999
F Katherine Farrell, D.M.D. ........ (503) 982-7777
Kamran Fattah, D.M.D. ........... (503) 585-4282
Jennifer Frankel, D.M.D. ......... (503) 463-4663
Robert Friess, D.M.D. ............. (503) 585-0101
Donald Fromherz, D.M.D. ...... (503) 393-2696
G Brian Gilmore, D.D.S. ............. (503) 364-7502
Kelly Gilmore, D.M.D. ............. (503) 364-7502
Vernon Gilmore, D.M.D. ......... (503) 364-7502
Fred Girod, D.M.D. ................. (503) 769-4321
William Girsch, Jr, D.D.S. ........ (503) 585-3636
Margaret Giruc, D.D.S. ........... (503) 581-2446
Rachel Glancy, D.M.D. ............ (503) 588-6560
Daren Goin, D.M.D. ................ (503) 769-3366
Jeffrey Gries, D.M.D. .............. (503) 769-5611
Robert Grim, D.M.D. .............. (503) 370-8030
Renee Guillen, D.D.S. ............. (503) 375-9282
H R. Jeremy Haider, D.M.D. ....... (503) 363-3311
Sean Hanson, D.M.D. ............. (503) 391-2848
Jennifer Harms, D.D.S. ........... (503) 588-6560
Rita Hartley, D.M.D. ................ (503) 378-5804
Michelle Hasbrook, D.M.D. .... (503) 838-2998
David Hatch, D.M.D. .............. (503) 362-3032
James Hayden, Jr, D.M.D. ...... (503) 363-3311
O. Lee Hazen, D.M.D. ............ (503) 585-7447
Weston Heringer, Iii, D.M.D. ... (503) 364-7545
Ben Hoerner, D.M.D. .............. (503) 378-2320
Joel Hopkin, D.M.D. ............... (503) 375-2000
Kenneth Horn, D.M.D. ............ (503) 769-5210
Stephen Hough, D.D.S. .......... (503) 363-6525
Charles Howard, D.D.S. .......... (503) 363-5962
Scott Howe, D.M.D. ................ (503) 370-7651
David Howerton, D.M.D. ........ (503) 375-2000
Benjamin Hunsaker, D.M.D. .... (503) 363-2536
Travis Hunsaker, D.D.S. ........... (503) 363-2536
I Marc Iwahiro, D.M.D. .............. (503) 393-2264
J Rodney Janssen, D.D.S. ......... (503) 393-6286
William Johansen, D.D.S. ....... (503) 363-3311
Bryan Johnson, D.D.S. ............ (503) 362-9548
Cole Johnson, D.M.D. ............ (503) 967-6665
Dennis Johnson, D.M.D. ......... (503) 581-9419
Randall Jones, D.M.D. ............ (503) 838-0434
Ryan Judd, D.M.D. ................. (503) 393-6286
Arwinder Judge, D.D.S. .......... (503) 463-4000
DENTAL DIRECTORY
For Your Health 2013 | 49
lOCatIOn Key Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
K Lloyd Karst, D.D.S. .................. (503) 378-1212
Francis Kaufman, D.D.S. ......... (503) 363-0411
Gabriel Kennedy, D.M.D. ....... (503) 375-2000
Allen Kerr, D.M.D. ................... (503) 981-4095
Tara Khalil, D.D.S. ................... (503) 588-6560
Michael Kim, D.D.S. ................ (503) 873-3530
Wendell King, D.M.D. ............. (503) 588-0061
Michelle Kirkpatrick, D.M.D. ... (503) 362-8359
Alan Kolb, D.M.D. .................. (503) 623-8010
L John Laseter, D.M.D. .............. (503) 588-9700
Linda Le, D.D.S. ...................... (503) 885-8275
Robert Lee, D.D.S. .................. (503) 585-2440
Nahmjee Lee Skarada, D.M.D. (503) 581-1567
Biao Li, D.D.S. ......................... (503) 364-7776
Steven Lind, D.M.D. ............... (503) 566-7000
Theresa Lindquist, D.M.D. ...... (503) 363-0622
Michael Litchfield, D.M.D. ...... (503) 364-7244
Scott Loman, D.D.S. ............... (503) 581-9419
Anthony Lucio, D.D.S. ............ (503) 362-8359
Ray Lunt, D.D.S. ...................... (503) 364-9515
M Philip Comerford Mann, D.D.S. (503) 363-1661
John Martin, D.M.D. ............... (503) 585-8420
Albert Maziarz, D.D.S. ............ (503) 581-9211
Kathleen McCann, D.D.S. ....... (503) 945-9240
John McDonald, D.M.D. ......... (503) 585-5400
Travis McFee, D.D.S. .............. (503) 587-9633
Jennifer Marie McLeod, D.M.D. . (503) 390-4117
Martin Mehr, D.D.S. ................ (503) 371-6000
Mark Menes, D.D.S. ................ (503) 378-2320
Stephen Mercer, D.D.S. .......... (503) 588-0116
E Merzenich, D.M.D. .............. (503) 585-7447
Gregory Miller, D.M.D. ........... (503) 373-0891
John-David Miller, D.D.S. ....... (503) 581-1569
Joshua Moffitt, D.M.D. ........... (503) 588-6560
David Moline, D.D.S. .............. (503) 399-0724
Mark Montgomery, D.M.D. .... (503) 559-6388
Selma Moon, D.D.S. ............... (503) 391-6021
Monte Morgan, D.M.D. .......... (503) 362-7869
Weston Morrill, D.M.D. ........... (503) 623-6616
Mark Mullenbach, D.M.D. ...... (503) 982-2010
Steven Murata, D.M.D. ........... (503) 363-6500
Timothy Murphy, D.M.D. ........ (503) 378-2320
Kenneth Murray, D.D.S. .......... (503) 370-8787
Edward Muth, D.M.D. ............. (503) 362-3723
Megan Muth-Larson, D.M.D. .. (503) 362-3723
N Bryan Nakagawa, D.M.D. ....... (503) 581-2454
B Nelson, D.D.S. ..................... (503) 769-5210
Peter Nguyen, D.D.S. ............. (503) 587-9949
Gary Nishioka, D.M.D. ............ (503) 581-1567
O Daniel O’Leary, D.D.S. ............ (503) 588-7800
Holly O’Shea, D.M.D. ............. (503) 375-9282
Ioane Ofisa, D.D.S. ................. (503) 589-4515
Thalia Ohara, D.D.S. ............... (503) 375-2206
DENTAL DIRECTORY
50 | For Your Health 2013
lOCatIOn Key Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
Vanessa Olson, D.D.S. ............ (503) 588-6560
Jennifer Owens, D.D.S. .......... (503) 378-1212
P John Pak, D.D.S. ..................... (503) 370-4843
Thomas Palandech, D.D.S. ..... (503) 588-7800
Donald Paluska, Jr, D.M.D. ..... (503) 362-5019
Marc Andre` Panet-Raymond, D.D.S. (503) 362-3719
William Payne, D.M.D. ............ (503) 364-9222
Steven Peck, D.M.D. ............... (503) 362-6456
Megan Peterson, D.M.D. ........ (503) 390-4117
Richard Pfau, D.M.D. .............. (503) 362-9151
Shauna Pier, D.D.S. ................. (503) 845-6891
Raleigh Pioch, D.D.S. .............. (503) 399-0220
William Porter, D.M.D. ............ (503) 587-9949
Kendall Pyper, D.D.S. ............. (503) 874-9119
R Daniel Rabe, D.M.D. ............... (503) 588-6960
Reuben Ramillosa, D.D.S. ....... (503) 364-7812
Lady-Jean Ramsey, D.M.D. .... (503) 393-6286
Tricia Ray, D.M.D. ................... (503) 363-1661
Amanda Reavely, D.D.S. ......... (503) 399-0220
Sean Reisig, D.D.S. ................. (503) 581-9552
Krista Richey, D.D.S. ............... (503) 363-5865
Mark Rogers, D.M.D. .............. (503) 362-1515
Abigail Rollins, D.M.D. ........... (503) 362-8364
Stephanie Rose, D.M.D. ......... (503) 371-2424
David Ross, D.M.D. ................ (503) 363-6892
Kimberly Ross, D.D.S. ............. (503) 391-9016
S Richard Sale, D.M.D. .............. (503) 708-5865
Daniel Saucy, D.M.D. .............. (503) 399-0724
Jay Schofield, D.M.D. ............. (503) 362-0500
Gary Schoonover, D.M.D. ....... (503) 390-2421
Joshua Schuyler, D.M.D. ......... (503) 982-5315
Joseph Seare, D.M.D. ............. (503) 370-8788
John Seifert, D.M.D. ............... (503) 585-4281
Bruce Sellers, D.M.D. ............. (503) 363-8466
James Shelton, D.M.D. ........... (503) 581-1142
Gregory Shook, D.M.D. .......... (503) 378-5528
John Shurtz, D.D.S. ................. (503) 838-1800
Cory Smith, D.M.D. ................ (503) 769-3366
Kristen Smith, D.M.D. ............. (503) 363-0031
Nicholas Alexander Smith, D.M.D. (503) 982-2010
Sean Smith, D.D.S. ................. (503) 364-0646
O’Neill Solanky, D.D.S. ........... (503) 364-3980
James Southworth, D.M.D. .... (503) 371-7487
Jordan Sparks, D.M.D. ............ (503) 363-5432
Robert Staley, Jr, D.D.S. ......... (503) 399-4743
H. Clayton Stearns, D.M.D. .... (503) 378-1334
Marcus Stones, D.M.D. ........... (503) 581-9026
Carl Stubblefield, D.M.D. ....... (503) 588-7800
Ben Sutter, D.M.D. .................. (503) 463-4663
David Swiderski, D.D.S. .......... (503) 581-0223
T Timothy Tanada, D.M.D. ......... (503) 945-2958
Jennifer Taylor, D.D.S. ............ (503) 304-7631
Richard Teel, D.D.S. ................ (503) 581-1569
Mark Thomas, D.M.D. ............ (503) 362-3032
David Thompson, D.M.D. ....... (503) 769-3246
Ronda Trotman Reese, D.M.D. (503) 363-4774
Tai Truong, D.M.D. ................. (503) 378-1334
Misty Trybom, D.D.S. .............. (503) 370-4313
Paul Turgesen, D.M.D. ............ (503) 838-5051
U Jeffrey Ulmer, D.M.D. ............. (503) 540-9041
V Roger Van Santen, D.D.S. ....... (503) 769-6351
Brian Van Voorhis, D.D.S. ....... (503) 393-2651
Jeremy Vistica, D.M.D. ........... (503) 759-3333
W Leslie Wheeler, D.D.S. ............ (503) 623-2666
Robert White, D.D.S. .............. (503) 588-6560
David Willis, D.M.D. ............... (503) 364-3004
Kenneth Winokur, D.M.D. ....... (503) 838-1633
Nadia Winstead, D.M.D. ........ (503) 399-7718
Lisa Wipf, D.M.D. ................... (503) 364-7275
Benita Wong, D.D.S. .............. (503) 363-3311
Christine Woodward, D.D.S. ... (503) 378-1984
Matthew William Woolsey, D.M.D. (503) 623-8010
Jay Wylam, D.M.D. ................. (503) 585-4281
X Na Xu, D.D.S. ......................... (503) 587-9919
Y Russell Yamada, D.M.D. .......... (503) 508-6560
Klint Yeck, D.M.D. ................... (503) 363-4774
Stephen Yenne, D.M.D. .......... (503) 362-0500
Joni Young, D.M.D. ................ (503) 581-8004
Trenton Young, D.D.S. ............ (503) 363-0292
Z Charles Zemanek, D.M.D. ...... (503) 378-1984
Kent Zerr, D.M.D. .................... (503) 370-8778
DENTAL DIRECTORY
For Your Health 2013 | 51
Silverton Health has been an active participant
in the health and wellness of our friends and
neighbors for more than 90 years. It's a commit-
ment that we take seriously and a responsibility
we bring every day as health care providers,
employees and volunteers.
We believe everyone should have convenient
access to exceptional, comfortable and culturally-
competent health and wellness care, close to
home. What makes Silverton Health different
from everyone else is the care and compassion
that wins us the trust of our community, and
the recognition of national satisfaction awards.
Our reputation speaks for itself.
503.873.1500
PHYSICAL THERAPIST DIRECTORY
lOCatIOn Key Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
A Daniel Adels, PT ..................... (503) 393-8741
Christina Alba, PT ................... (503) 364-5313
Jennifer Allen, PT ................... (503) 561-5999
Carmen Anglin, PT ................. (503) 769-3123
Gary Anglin, PT ....................... (503) 769-3123
Christa Antrim, PT ................... (503) 540-6472
Laura Aspinwall, PT ................. (503) 561-5940
B Bonnie Bahler, PT ................... (503) 838-4244
Jason Ball, PT ......................... (541) 602-4423
Bethany Banke, PT .................. (503) 540-8701
Sherrill Beck, PT ...................... (503) 623-7305
Angela Beckner, PT ................. (503) 845-9226
Melissa Berry, PT .................... (503) 561-5291
Kyle Bidgood, PT .................... (503) 391-5542
Kay Blachly, PT ....................... (503) 540-6471
Jeffrey Blanchard, PT .............. (503) 585-4824
James Bourdet, PT ................. (503) 371-4567
Pamela Bowen, PT .................. (503) 566-7700
Linda Bowers, PT .................... (503) 561-5291
Cody Buckner, PT ................... (503) 561-5986
Ashley Buffington, PT ............. (503) 540-6471
Kara Burbach, PT .................... (503) 371-8860
Margaret Burden, PT .............. (503) 561-6906
Clara Burich, PT ...................... (503) 561-5291
C Scot Campbell, PT .................. (503) 540-8701
Marissa Catlin, PT ................... (503) 974-3467
Michelle Chaffins, PT .............. (503) 561-5291
Elena Chong, PT ..................... (503) 364-5313
Joshua Christopherson, PT ..... (503) 838-4244
Kelley Clark, PT ....................... (503) 561-1908
Catherine Coen, PT ................ (503) 540-6472
Brad Collins, PT .......................971-983-5206
Sharon Crowley, PT ................ (503) 361-5400
D Monte Daniel, PT .................... (503) 561-6969
Brent Darrington, PT ............... (503) 623-9676
Matthew Davis, PT .................. (503) 623-5581
Andrea Deem, PT ................... (503) 561-5967
Joshua Deese, PT ................... (503) 623-2901
Kate Deese, PT ....................... (503) 561-5200
Bailey Denno, PT .................... (503) 371-0779
Erin Devoy, PT ........................ (503) 779-1021
Sadie Dicker, PT ...................... (503) 561-5200
E Analee Edlefsen, PT ................ (503) 371-8860
Helen Evans, PT ...................... (503) 378-7434
F Josiah Faville, PT .................... (503) 585-4824
Judith Fevec, PT ..................... (503) 385-4621
Christine Frank, PT .................. (503) 561-6963
G Johnny Galver, PT ................... (503) 566-7782
Erica Gandolfo, PT .................. (503) 561-5291
Sascha Gervais, PT .................. (503) 385-4669
Michael Gibbons, PT .............. (503) 678-7897
Bianca Giganti, PT .................. (503) 561-5200
Andrea Gilbertson, PT ............ (503) 623-2433
Lisa Gilbertson, PT .................. (503) 463-5231
Ian Gilkison, PT ....................... (503) 769-7131
Justin Gleed, PT ..................... (503) 585-4824
Jason Gough, PT .................... (503) 561-5986
Francis Gurnee, Jr, PT ............. (503) 371-4567
H Sarah Hall, PT ......................... (503) 561-5986
Richard Hammerquist, PT ....... (503) 371-7246
Janelle Hanni, PT .................... (503) 623-7305
Julianna Harder, PT ................. (503) 561-5999
Jennifer Hartford, PT .............. (503) 763-3525
Troy Hattan, PT ....................... (503) 623-7305
Carol Hauth, PT ...................... (503) 769-7131
Craig Hawkins, PT ................... (503) 390-9009
Philip Haworth, PT .................. (503) 561-5930
Kirk Heald, PT ......................... (503) 561-5986
Matthew Hennings, PT ........... (503) 540-6471
Diana Henry, PT ...................... (503) 845-9226
Sara Hill, PT ............................ (503) 799-2275
Michael Hmura, PT ................. (503) 371-8860
Theodore Holm, PT ................ (503) 769-3499
Virginia Holman, PT ................ (503) 982-8544
I Kerstin Ilg, PT ......................... (503) 561-5986
Daryl Ivins, PT ......................... (503) 371-4800
J Renee James, PT .................... (503) 371-0779
Eileen Johnson, PT ................. (503) 763-5955
Evan Jones, PT ....................... (503) 378-7434
K Cynthia Kemper, PT ................ (503) 315-4662
Adam King, PT ........................ (503) 873-5362
Jamelle King, PT ..................... (503) 561-5999
Sean Knight, PT ...................... (503) 561-2405
Takashi Kochi, PT .................... (503) 561-5291
Luke Kohley, PT ...................... (503) 769-7131
Cathy Kosboth, PT .................. (503) 561-2934
Courtney Krause, PT ............... (503) 371-4567
Mark Kucey, PT ....................... (503) 561-5974
Jeffrey Kundert, PT ................. (503) 585-5131
L Gijsbert Laport, PT.................. (503) 540-5316
Leah Latta, PT ......................... (503) 838-2403
Janelle Lefore, PT ................... (503) 371-4567
Maureen Lenz, PT ................... (503) 385-4642
Keely Linn, PT ......................... (503) 371-1655
Heidi Linnebach, PT ................ (503) 982-0232
Cody Lommen, PT .................. (971) 235-1623
Grant Long, PT ....................... (503) 566-7700
Juan Lopez, PT ....................... (503) 561-5200
John Lowry, PT ....................... (503) 561-6946
Gary Lund, PT ......................... (503) 581-8667
For Your Health 2013 | 53
PHYSICAL THERAPIST DIRECTORY
lOCatIOn Key Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
M Julia Magee, PT ...................... (503) 371-4567
David Marquis, PT .................. (503) 982-8544
Bryn Martinez, PT ................... (503) 561-5967
Anne Martz, PT ....................... (503) 399-3101
Andrea Maurer, PT .................. (503) 364-9850
Vincent Maurer, PT ................. (877) 230-3885
David McDarby, PT ................. (503) 399-1135
Brent McLeod, PT ................... (503) 463-5231
Margie McNamara-Hibner, PT (503) 561-5999
Jillian Mears, PT ...................... (503) 370-8284
Elizabeth Miramon, PT ............ (503) 561-6962
Benjamin Mitchell, PT ............. (503) 371-4567
Karina Montgomery, PT .......... (503) 845-2736
Jon Moore, PT ........................ (503) 769-7131
N Eric Nelson, PT ....................... (503) 371-4567
Gayle Nelson, PT .................... (503) 845-9226
Caryl Nicol, PT ........................ (503) 371-4567
Mindy Nolan, PT ..................... (503) 845-2736
Janet Noland, PT .................... (503) 763-3825
P Gina Paine, PT ........................ (503) 363-6770
Laura Paquet, PT .................... (503) 769-3123
Jennifer L Pennington, PT ...... (503) 399-3101
Anna Perry, PT ........................ (503) 371-0779
Janet Perry, PT ........................ (503) 845-2736
Julie Pflug, PT ......................... (503) 561-5291
Michael Pierce, PT .................. (503) 371-8860
Gina Pieretti, PT ...................... (503) 364-9850
Steven Pitman, PT ................... (503) 588-6575
Carolyn Popma, PT ................. (503) 845-9226
Amy Predeek, PT .................... (503) 561-5200
Bruce Priem, PT ...................... (503) 763-5955
R Rhett Randall, PT .................... (503) 845-2736
Theresa Raudsepp, PT ............ (503) 845-2736
Lori Reaney, PT ....................... (503) 982-0232
Leigh Reece, PT ...................... (503) 763-3525
Michelle Reisig, PT ................. (503) 769-3123
Logan Richardson, PT ............. (503) 371-8860
Giselle Roedel, Pt ................... (503) 540-8701
Mellet Romero, PT .................. (503) 371-4567
Renske Rose, PT ..................... (503) 371-8860
Olin Royer, PT ......................... (503) 315-4662
Nancy Royse, PT ..................... (503) 371-0779
S Patricia Saier, PT ..................... (503) 845-9226
Ayako Sakata, PT .................... (503) 399-1135
Linda Schaffner, PT ................. (503) 990-8627
Angela Schoenheit, PT ........... (503) 763-3525
Brenda Schrage, PT ................ (503) 561-5992
Phillip Segura, PT .................... (503) 838-1388
Ryan Seifert, PT ...................... (503) 364-9850
Megan Seney, PT .................... (503) 561-5291
Elizabeth Shirley, PT ............... (503) 508-5032
Nicholas Siewert, PT ............... (503) 371-8860
Julia Speck, PT ........................ (503) 551-5782
Devin Sproed, PT .................... (503) 399-3101
Ashley Stanford, PT ................ (971) 983-5206
Matthew Stensrud, PT ............ (503) 623-2433
Derek Stokes, PT .................... (503) 561-5986
Justin Stuart, PT ...................... (503) 845-9226
Mike Studer, PT ...................... (503) 371-0779
Jenna Sturzinger, PT ............... (503) 463-5231
Lyndsay Stutzenberger, PT...... (503) 588-6633
William Sullivan, PT ................ (503) 361-5400
T Angie Taibbi, PT ..................... (503) 561-5291
Darcy Tataryn, PT .................... (503) 990-8627
Kathleen Thelander, PT .......... (503) 371-4567
Brittany Thiemens, PT ............. (503) 585-5131
Katrina Thomas, PT ................. (503) 364-9850
Ly Tieu, PT .............................. (503) 982-0232
Jason Tippets, PT ................... (503) 561-5291
Scott Tisler, PT ........................ (503) 585-4824
Trent Tompkins, PT ................. (503) 561-6902
Susan Trantham, PT ................ (503) 540-6479
Teresa Treinen, PT ................... (503) 393-3624
Jennifer Truax, PT ................... (503) 540-6477
Julie Tucker, PT ....................... (503) 561-5974
Robyn Tynan, PT ..................... (503) 371-8860
V Andrea Van Campen, PT ........ (503) 873-1717
Matthew Van Campen, PT ...... (503) 873-1594
Jane Vanbishler, PT ................. (503) 399-3101
Lori Vanlith, PT ........................ (503) 371-0779
Marissa Veik, PT ...................... (503) 561-5291
Noel Vercoutere, PT ............... (503) 561-5999
Kimberly Visser, PT ................. (503) 845-9226
Rolf Vognild, PT ...................... (503) 623-1844
Marilyn Von Foerster, PT ......... (503) 365-7554
W Linda Ward, PT ....................... (503) 561-5986
Susan Wells, PT ....................... (503) 769-3123
Camas Weraky, PT .................. (503) 363-6770
Brady Whetten, PT.................. (503) 371-0779
Bryce Williams, PT .................. (503) 845-9226
Cindy Williams, PT .................. (503) 485-1666
Thomas Williams, PT .............. (503) 400-6110
Halle Wilson, PT ..................... (503) 838-0001
Jayne Wilson, PT .................... (800) 525-5632
Y Ashleigh Young, PT ................. (503) 463-4221
Z Delbert Zacher, PT .................. (503) 540-6472
54 | For Your Health 2013
The preceding directory includes physical therapists with active licenses practicing in Marion and Polk counties. .................................... ................ .......................
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56 | For Your Health 2013
CHIROPRACTICDIRECTORY
lOCatIOn Key Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,
Aurora) Silverton, Mt. Angel South Salem Stayton, Aumsville, Jefferson, Sublimity, Scio, Mill City West Salem
A Gregory Albright, DC ............. (503) 390-5552
Christopher Allen, DC ............ (503) 874-9355
Jordan Ambrose, DC .............. (503) 470-0072
Patrick Arden, DC ................... (503) 769-2801
B Jeffery Baker, DC .................... (503) 304-2225
Christopher Beardall, DC ........ (503) 982-6925
Sunita Bhasin, DC ................... (503) 390-1552
James Biser, DC ...................... (503) 391-9222
Keith Boline, DC ..................... (503) 393-0321
Donald Bowers, DC ................ (503) 623-4090
Dennis Burlison, DC ................ (503) 859-2181
C Zohra Campbell-Bolduc, DC .. (503) 370-9090
Kelly Chapman, DC ................ (503) 623-2225
Russell Colgan, DC ................. (503) 364-5751
Daniel Cook, DC ..................... (503) 585-2585
Carol Cooper, DC ................... (503) 393-6071
Daniel Côté, DC ..................... (503) 873-8099
Ronald Crockett, DC ............... (503) 371-9796
Lloyd Cummings, DC ............. (503) 581-0873
D Gary Dahlstrom, DC ............... (503) 585-4131
Steven DeShaw, DC ................ (503) 981-4591
Mark Diaz, DC ......................... (503) 838-1951
Trevor Douglass, DC ............... (541) 390-3096
Ann Durrant, DC ..................... (503) 873-4226
Michael Dutton, DC ................ (503) 763-3528
James Dyson, DC ................... (503) 361-3949
E John Ewanyk, DC .................... (503) 378-0068
F Herbert Freeman, DC ............. (503) 393-3133
G David Gasser, DC .................... (503) 362-7064
Benjamin Gifford, DC ............. (503) 588-3100
H Terrence Hansen, DC .............. (503) 362-8892
Patrick Hart, DC ...................... (541) 327-2222
Abigail Heppner, DC .............. (503) 391-9222
Brian Herren, DC .................... (503) 763-3528
Charles Holton, DC ................. (503) 623-3903
Laurie Hubbell-Smith, DC ....... (503) 480-0200
I Andrew Isaksen, DC ............... (503) 391-9112
J Catherine Jaquith, DC ............ (503) 365-8399
Craig Johnson, DC ................. (503) 585-1026
Brian Joynt, DC ...................... (503) 577-5920
K Guruka Khalsa, DC ................. (503) 362-2623
Michael Kirkland, DC .............. (503) 831-4668
Steven Koc, DC ...................... (503) 365-8399
L John Lawton, DC .................... (503) 581-7590
Richard Layman, DC ............... (503) 362-5500
Donald Leary, DC ................... (503) 371-9593
Peter Lind, DC ........................ (503) 581-6846
M Ryan McCormic, DC ............... (503) 304-2225
Colleen McDonough, DC ....... (503) 485-0830
Tomas McFie, DC ................... (503) 588-8657
Lyndon McGill, DC ................. (503) 362-5555
Geary Michels, DC .................. (503) 399-7607
Daniel Miller, DC ..................... (503) 981-4591
David Milroy, DC .................... (503) 363-6868
Jeffery Moll, DC ...................... (503) 769-5411
Sam Moursalian, DC ............... (503) 779-4243
O Patrick Owen, DC ................... (503) 589-0700
P John Palmer, DC ..................... (503) 378-0068
Richard Peterson, DC ............. (503) 371-4055
Anthony N Pham, DC ............. (503) 463-6131
Theresa Pitcairn, DC ............... (503) 841-3252
Roger Popp, DC ..................... (503) 981-1254
Q Harlem Quijano, DC ............... (808) 647-4271
R Brett Renquist, DC .................. (503) 910-6823
John Renquist, DC .................. (503) 585-1282
S Robin Schaefer, DC ................. (503) 678-2277
Del Schaeffer, DC ................... (503) 362-1023
John Schmidt, DC ................... (503) 873-3641
Douglas Schubert, DC ............ (503) 581-7138
Brent Seifert, DC ..................... (480) 717-0995
Brent Smith, DC ...................... (503) 378-0068
Damon Spink, DC ................... (503) 391-0848
Brian Stearns, DC ................... (503) 364-9910
T Kristine Tallman, DC ............... (309) 373-3789
Gideon Tarnasky, DC .............. (503) 838-6491
Gary Taylor, DC ....................... (503) 409-9543
Sharon Thornton, DC .............. (503) 838-3466
Alpheus Thornton, Jr., DC ...... (503) 838-3346
T Christina Torres, DC ................ (503) 315-8448
V Joseph Vance, DC .................. (404) 661-8833
W James Wallace, DC ................. (503) 581-1801
James Warner, DC .................. (503) 390-1144
David Weaver, DC .................. (503) 390-5552
Ronny Webb, DC .................... (503) 981-1267
John Whitmire, DC ................. (503) 363-3483
John-Paul Whitmire, DC ......... (503) 362-1002
Christian Wissinger, DC .......... (503) 588-6633
Joshua Wolfram, DC ............... (503) 689-1216
For Your Health 2013 | 57
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Most folks have heard of Oregon Health & Science University, but fewer know
that Oregon has a second school located in Lebanon that is training future physicians.
The College of Osteopathic Medicine of the Pacific – Northwest Campus just took on its third class of medical students in August, boosting its current enrollment to more than 300. The college will graduate its first class in 2015.
“We’re still not that well-known,” said Dr. Paul Aversano, professor of internal medicine and neurology as well as clinical education site director at the college. “There are still people who are surprised to learn that there’s a second medical school in Oregon.”
The college is located next to Samaritan Lebanon Community Hospital and housed in a $15 million, 55,000-square-foot medical building owned by Samaritan and leased to the college. It’s a private college and receives no taxpayer support.
The college opened in 2011, driven by Oregon’s need for more doctors and the desire of the California-based Western University of Health Sciences to expand into the Pacific Northwest.
Western University’s first campus, the College of Osteopathic Medicine of the Pacific in Pomona, Calif., normally takes 50 new medical students each year from the Pacific Northwest.
“They would train their first two years in the classroom down in California, and then for their second two years they would come back to the Northwest and get clinical training,” Aversano said. “They figured, ‘We already have these 50 students coming from the Northwest,
why don’t we just start a second site?’
At the same time, Samaritan Health Services CEO Dr. Larry Mullins had been pondering the need for more physicians in Oregon, particularly in the state’s rural areas.
“While our state medical school does a great job of producing physicians, there’s a limited number of them. We knew we were going to have a tremendous demand for practitioners, particularly in the wake of health care reform.”
Mullins heard that Western University was looking for a new location in the Pacific Northwest, and Samaritan just happened to have a section of land in Lebanon that it planned to develop into a health sciences campus. The rest is history.
College in Lebanon trains new physicians
HealtH Care aCaDeMIa
‘‘We have a strong need
particularly in our rural
communities to identify
and recruit physicians.
BY Dennis Thompson
58 | For Your Health 2013
‘‘
The college produces doctors of osteopathic medicine, or DOs, who are full-fledged physicians but different from doctors of medicine, or MDs.
Both groups of medical students receive virtually the same education and training. The main difference comes in philosophy, with osteopathy focused more on prevention. “We tend to look at the person and how that disease is affecting that particular person,” Aversano said. “We aren’t chasing the disease. We’re looking at the person and disease together. It’s a more holistic approach.”
DOs also focus on the musculoskeletal system and can perform a type of manipulation similar to that done by chiropractors, although chiropractors are not actual doctors like DOs and MDs.
The campus has been a boon to Lebanon, Mullins said. Along with the college, the campus now hosts an urgent care center, a fitness and wellness center, a pharmacy, a credit union and a dialysis center. Under construction on the campus are an Oregon Department of Veterans Affairs medical building, a conference center and a hotel complex.
More importantly, the students trained in Oregon are more likely to become physicians serving in Oregon, Mullins said. He noted that of a recent class of medical students completing their residency at Samaritan, the six residents who planned to be primary care physicians are all taking jobs here.
“That’s a huge win for our state, to have that many physicians stay in the area,” he said.
‘‘It’s pretty spectacular, and
the medical school is the
anchor of it all.
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60 | For Your Health 2013
Evidence-based medicine has become a very important concept in health care, with
providers trying to control costs by making sure patients receive treatments that are backed by solid proof of their effectiveness.
It’s an approach also being adopted by some physical therapists, said Jeff Blanchard, clinic director of Valley Physical Therapy – South, in Salem.
“We don’t treat people with certain techniques just because we’ve always used those techniques,” Blanchard said of the evidence-based approach to physical therapy. “We always have to re-evaluate what we do so we can make sure we are giving patients the best and most up-to-date care.”
Ultrasound therapy and electrical stimulation treatment are two examples of techniques that Blanchard’s clinic abandoned as a result of evidence-based medicine.
“We took an opportunity to investigate ultrasound and whether it really speeds the healing of a tendon injury, and most recent literature really does not support it,” Blanchard said. “There are plenty of therapists out there who still do a lot of ultrasound, but the literature does not support it, so we don’t do it.”
On the other hand, his clinic has adopted a new treatment called Low Back Pain Revolution because research has shown its effectiveness.
The back therapy matches a patient’s symptoms and physical condition to one of three types of treatment. Depending on their state, the patient may have to receive lots of hands-on joint manipulation from the therapist, or they may be asked to perform exercises that strengthen muscles or relieve pressure on joints and nerves.
“With low back pain, the evidence shows if you have low back pain and
you get in to see a physical therapist who does the correct approach, you will be able to resolve that pain and prevent future episodes,” Blanchard said.
Physical therapy clinics that adopt an evidence-based approach will hold regular meetings to discuss cases.
evIDenCe BaseD MeDICIne
Evidence-based treatments most effective in physical therapy
‘‘A lot of people when
they have low back
pain just sit on it and
expect it will go away.
The literature shows
you can save thousands
of dollars, taking that
(proactive) approach..
BY Dennis Thompson
‘‘
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They take certain cases and assign staff members to review the literature to figure out the best treatment options for those injuries.
Blanchard urges patients to talk with their physical therapist to figure out whether they use an evidence-based approach.
They also should investigate whether their physical therapist has furthered their education, either by undergoing a residency following school or applying for additional board certifications.
Not every physical therapist is the same, and just because your doctor sends you to a therapist they like doesn’t mean that’s going to be the right fit for you”. he said. “If I were the patient, it would pay for me to do a little bit of investigation to see if it’s the right treatment approach for me.”
‘‘Talk with their physical
therapist to figure out
whether they use an
evidence-based approach
‘‘
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Our gluten-free tag is only a guide to assist you in your shopping for productsOur gluten-free tag is only a guide to assist you in your shopping for productsavailable for your dietary needs. Ingredients may change, so always read theavailable for your dietary needs. Ingredients may change, so always read thelabel and/or check with the manufacturer. We have made every e� ort to belabel and/or check with the manufacturer. We have made every e� ort to beas accurate as possible; however, we cannot be held responsible for individualas accurate as possible; however, we cannot be held responsible for individualreactions to any products, nor can we guarantee the absence of crosscontamina-reactions to any products, nor can we guarantee the absence of crosscontamina-tion. The information provided is for educational purposes only.tion. The information provided is for educational purposes only.tion. The information provided is for educational purposes only.tion. The information provided is for educational purposes only.
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With half the radiation dose and the best quality 64-slice CT scan available, discover how Salem Radiology is making a difference in patient safety.
Insist on the Low-Dose OptionThere are long term radiation exposure risks from CT that can be substantially diminished by the low dose C.T. technology now available at Salem Radiology
Consultants. SRC’s state of the art scanner is the only C.T. machine in the Mid-Willamette Valley using this new and improved technology.
Highest Quality.
Half the Radiation
Dose.
How Low Can We Go?
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