For Your Health

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

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,


‘‘

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

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


PersOnalIZeD MeDICIne

‘‘ You hope to find a

genetic target that

is very common,

Personalized medicines fight cancers that fit the profile

BY David Hegle

‘‘


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

























added safety.”




SALEM

























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.

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


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


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.


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.

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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.


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.

‘‘


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.

‘‘


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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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.


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

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O wens St.

River R

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Golf Course Rd. Mission St.

Kuebler Blvd.

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Sprague High School

Salem Hospital

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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

Acupuncture Nancy Arntson, LAc �� (503) 798-2918

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Prasanth Prasanna, MD �� (503) 588-2674

William Purnell, Jr�, MD �� (503) 362-0254

James Schmidgall, MD �� (503) 602-3399

Michael Smolin, MD �� (503) 399-1262

Emergency Medicine Michael Barr, MD �� (503) 561-5634

Pamela Bird, DO �� (503) 561-5554

Jack Buchanan, MD �� (503) 561-5554

Robert Chisholm, MD �� (503) 873-1500

Brian Clothier, MD �� (503) 561-5634

Kyran Colbry, MD �� (503) 561-5634

Gail Defrees, MD �� (503) 873-1690

Amy Dourgarian, MD �� (503) 494-8311

Timothy Duenas, MD �� (503) 561-5634

Timothy Edelblute, MD �� (503) 561-5634

Donald Graham, MD �� (503) 873-1690

Christopher Hale, MD �� (503) 561-5634

Leonard Hamm, MD �� (503) 873-1500

Michael Hare, MD �� (503) 363-8171

Jeffrey Hemstreet,MD �� (503) 561-5200

Robert Hillstrom, DO �� (503) 623-8301

Charles Johnson, MD �� (503) 561-5634

Robert Kelly, MD �� (503) 561-5634

Ryan Kirkpatrick, MD �� (503) 561-5200

Kenneth Kolarsky, MD �� (503) 873-1691

Lazeni Koulibali, DO �� (503) 561-5634

Neil Lancefield, MD �� (503) 561-5634

Katherine Landen, MD �� (503) 561-5634

Rebecca Lucas, DO �� (503) 689-1585

Rumm Morag, MD �� (503) 561-5634

Min Chai Pak, MD �� (503) 561-5634

Trevor Phillips, MD �� (503) 561-5634

Lewis Sayre, MD �� (503) 561-5634

Jillian Schmunk, MD �� (503) 561-5634

Robert Sloan, MD �� (503) 561-5634

Danny Sparks, MD �� (503) 769-2175

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

David Edmonds, MD (503) 391-1110

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



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


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




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



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



Infectious Diseases Cliffton Bong, MD �� (503) 595-0777

John Girod, MD �� (503) 585-0777

Internal Medicine



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


MEDICAL DIRECTORY



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


MEDICAL DIRECTORY



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


MEDICAL DIRECTORY



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


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




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


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


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.

Not a subscriber? Call us today at 1-800-452-2511 or visit StatesmanJournal.com/subscribe.

From healthy foods to the changes in health care, you’ll find something interestingand informative in thismonthly section. Published on the last Sunday

of everymonth, only in the Statesman Journal.

lOCatIOn Key Dallas, Monmouth, Independence Downtown Salem NE Salem/Keizer North Valley (Woodburn, Amity, St. Paul,


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




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




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


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



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


PHYSICAL THERAPIST DIRECTORY



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


The preceding directory includes physical therapists with active licenses practicing in Marion and Polk counties. .................................... ................ .......................

What’s your college game plan?

EO/AA/ADA institution

chemeketa.edu503.399.3995


CHIROPRACTICDIRECTORY



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

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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


‘‘

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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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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