Brian Armstrong - Evergreen Hospital

Spring 2009
“ We’re saving
your life!”
Teamwork at Evergreen Hospital
saved tugboat captain
Brian Armstrong.
WEIGHT-LOSS SURGERY
page 4
TREATMENT FOR
MOVEMENT DISORDERS
page 6

MESSAGE FROM THE CEO
CARDIAC SERVICES
3
Evergreen welcomes
these new care
providers to
the medical staff
Critical Care Medicine
Marcus Lien, MD
Anita Tsen, MD
Diagnostic Imaging
Madhusudhan Reddy, MD
Steve Brown, CEO
Using Levy Money to Improve
the Community’s Health
“What are you doing?”
“Saving your life!”
Emergency Medicine
Reginald Duling, MD
Family Practice
Anthony Cho, MD
Alexis David, MD
Xiomara Munoz, DO
What do health education classes, a telephone nurse service and a free health clinic have in common?
These are just a few of the many Evergreen programs and services designed to meet the needs of
our diverse service area that are funded by the levy dollars you pay to King County Public Hospital
District No. 2.
Some Evergreen services are funded entirely by levy money; others are provided by the hospital and
enhanced with levy money. You won’t find most of these programs offered by other health care
organizations; Evergreen is able to provide them because of the support we receive from the community.
Fifty-one-year-old tugboat captain Brian Armstrong
woke up shortly after 2 a.m. in the worst pain of his
life. Having suffered a heart attack 11 years earlier, he
immediately recognized the symptoms and dialed 9-1-1.
Hospitalist – Adult
Louis Ramos, MD
Matthew Wemple, MD
Hospitalist – Pediatric
Holly Romero, MD
Much thought goes into how your levy money is spent. Each program or service that requests levy
funding must annually demonstrate the community need it addresses and detail program objectives
and projected outcomes. Evergreen’s publicly elected Board of Commissioners has the final say on
distribution of levy funds, based on the recommendations of a standing levy committee chaired by
Commissioner Jeanette Greenfield.
Brian Armstrong
Orthopedics
Mary Cunningham, MD
Pulmonology
Julie Wood-McClure, MD
Evergreen is one of four
Washington hospitals receiving
the Distinguished Hospital
Award for Clinical Excellence.
See page 9 for details.
While some levy-supported programs specifically address the special needs of the under-served, the
chronically ill, the disabled and high-risk populations, the majority of the programs are for use by
the entire community. For instance, if you are one of the 177,000 callers who received help from
the Evergreen Healthline last year, or one of the nearly 20,000 participants in our health education
classes, you have benefited directly from levy-supported services.
Other levy-supported services include a variety of programs for the community’s seniors and
specialty programs such as Evergreen Hospice, Diabetes Education and Evergreen’s free health
clinic located at Lake Washington Technical College.
These levy-supported services are just another example of Evergreen’s commitment to serving the
health care needs of our community. We believe these services are a good investment because they
help to improve the overall health of the community. If you’d like to learn more about our
levy-supported services, I invite you to visit our Web site at www.evergreenhealthcare.org/levy.
Thank you for your continued support of Evergreen Healthcare, and we look forward to serving
you and your family whenever you should need us.
About the Evergreen Levy
Warmest regards,
Steven E. Brown, FACHE
Chief Executive Officer
Roughly $14.7 million of Evergreen Healthcare’s 2009 budget is funded by regular levy money paid
to King County Public Hospital District No. 2. The taxation rate for 2009 is $.24 per thousand, or
$72 for a $300,000 home. The Evergreen tax district includes Bothell, Duvall, Kenmore, Kirkland,
Redmond, Woodinville, part of Sammamish and parts of unincorporated northeast King County.
That telephone call set off a chain of events that led Armstrong
through the doors of Evergreen Hospital – where a host of medical
professionals were waiting to spring into action.
Cardiologist Cynthia Warner of Eastside Cardiology Associates
directed the team that would save Armstrong’s life. “Our medical
team started working the moment Brian called 9-1-1,” she says. “The
medics called the Emergency Department (ED), and the ED then
alerted the cardiac catheterization lab, the ICU and myself. Everyone
was ready to go the moment he rolled through the doors.”
Door-to-balloon time
When it comes to heart attacks, the adage is “time is muscle.” The
faster the blocked coronary artery is opened, the less damage to the
heart. This is referred to as the “door-to-balloon” time – the time it
takes from the patient’s arrival to lifesaving balloon angioplasty.
“The national goal is 90 minutes. Meet that, and there’s a good chance
the heart will be able to maintain its overall function,” Dr. Warner
explains. “At Evergreen, our door-to-balloon time is averaging
around 60 minutes. In Brian Armstrong’s case, it took just 44
minutes – remarkable, considering it was the middle of the night.”
According to Dr. Warner, achieving that time truly takes a team
effort. “When a heart attack patient comes into the ED, a variety of
things are going on depending on the specific patient,” she states.
“We get a medical history and do an exam. IVs are set up. Chest
X-rays are taken. Blood work is sent to the lab. We do an EKG and
interpret the results. We give the patient medicines to help inhibit
the body’s clotting process, reduce the workload on the heart, and
reduce the patient’s pain.” While all this is going on, the cath lab is
setting up for the angioplasty and the medical team is doing a risk
assessment for the procedure.
Armstrong had to be resuscitated from two
cardiac arrests before he was finally able to
undergo angioplasty and have a pacemaker
installed. He was transferred to the ICU,
where he awoke vaguely aware of the
treatment that had saved his life. “I do
remember feeling the jolt from the defibrillation
paddles, and I yelled ‘What are you
doing?’” he recalls. “A nurse answered,
‘Saving your life!,’ and then I passed out.”
Cynthia Warner, MD
nationally recognized
Brian Armstrong remembers a very calming atmosphere when he
woke up. “I felt very fortunate,” he recalls. “I could tell this was a
good group of people who worked well together.”
Indeed, Evergreen’s cardiac team has been recognized by the U.S.
government; Evergreen is one of just 17 hospitals nationwide to be
cited for outstanding heart attack survival rates.
When it comes to lifesaving cardiac care, Dr. Warner says the
Evergreen team is a well-oiled machine. “Each member is crucial to
the outcome,” she says, “and everyone played a role in saving
Brian’s life as expeditiously as possible.”
For more information about Evergreen’s cardiac program, visit our
Web site at www.evergreenhealthcare.org.

4 BARIATRIC CENTER
ORTHOPEDIC SERVICES
5
“It’s given me the confidence
to step out and do things.”
Diane Ellis is living proof that you’re never too old to
pursue your passion. At 60 years young, she’s working
with nonprofit organizations in Africa as part of a
two-year commitment to the Peace Corps. “Weight-loss
surgery,” she shares, “made that possible!”
“I didn’t want to be crippled
for my first grandchild.”
Gary Harkless thought he would never be rid of the
pain. For eight years, he lived with excruciating
osteoarthritis of the knees that left him hobbled,
bowlegged and dependent on at least 10 aspirin a day.
But all that changed when he underwent bilateral
minimally invasive knee replacement at Evergreen.
Diane Ellis
Gary Harkless
At first, the idea of weight-loss surgery horrified Ellis. “But as I
researched the procedure,” she recalls, “it seemed like a pretty
reasonable thing to do.” With that decision made, Ellis discovered
that researching a place to have her surgery was easy. Health-
Grades, the nation’s leading provider of independent hospital
ratings, ranks Evergreen among the Top 10 in the state for overall
bariatric surgery.
SURGICAL OPTIONS
Evergreen’s Bariatric Center for Weight-Loss Surgery offers three
surgical options. The gastric bypass surgically alters the stomach
with a series of incisions to both limit the amount of food you can
ingest and decrease caloric absorption.
The adjustable gastric band does this by
placing a band around the top part of the
stomach to create a small pouch. No cutting
is involved, and the band is adjustable
and reversible. The newest option, sleeve
gastrectomy, involves removing a portion
of the stomach.
“All procedures are done laparoscopically,
meaning small incisions, less blood loss and
Kelly Clinch, MD
quicker recovery time,” explains Dr. Kelly
Clinch of the Evergreen Surgical Clinic. As to which procedure is
better, he says, “Data shows gastric bypass has a little better weight
loss, but there’s a higher risk associated with it, too. I think you can
be successful with either – it just depends on the patient.” Diane
Ellis chose gastric bypass.
Dr. Clinch encourages his patients to try diet and exercise first, with
surgery being their last choice. “The surgery is not magic; it’s a tool
to help people,” he points out. “I tell every patient who comes in
here, ‘If I give you a hammer, nails, wood and a saw, you can build
a house. The house, however, doesn’t build itself – it’s still a lot of
hard work to build the house.’” Weight-loss surgery is the tool, and
the hard work is the constant daily diligence over diet and exercise
to maintain the weight loss.
OFF TO AFRICA
Exercise has helped Diane Ellis keep off the 110 pounds she lost
after her gastric bypass surgery in 2004. She plays basketball on
a women’s team and takes tae kwan do with her daughter and
grandsons. Her sleep apnea is gone, and she passed the rigorous
health screening required by the Peace Corps with flying colors.
In mid-February, Ellis arrived in the southwest Africa country of
Namibia, where she has three months of training before starting
work. “I think the Peace Corps will be one of the hardest things
I’ve ever done,” Ellis says, “and without the surgery and the weight
loss, I don’t think I’d have the confidence to do it. It’s given me the
confidence to step out and do things I might not have done before.”
To reserve your seat at our free monthly seminar Weight-Loss Surgery:
Is It Right for You?, register online at www.evergreenhealthcare.org
/classes or call the Evergreen Healthline at 425.899.3000.
Harkless made the decision to have surgery after finding out he
would be a grandfather. “I decided I didn’t want to be crippled for
my first grandchild,” he remembers. Opting to have both knees
done at the same time was a no-brainer. “I didn’t want to be laid
up twice – might as well get it done,” he says.
Bilateral – Both at Once
“We perform a bilateral knee replacement depending on the overall
medical condition of the patient,” explains surgeon Robin Fuchs of
the Evergreen Orthopedic Clinic. “Gary was young, active and in
good health.” His arthritis had also caused a fairly common wear
pattern on the inside of his knees – resulting in loss of cartilage that
caused bone to rub on bone and set off intense pain. All of this made
Harkless a prime candidate for bilateral minimally invasive knee
replacement, which has been popularized in the last five years.
“The minimally invasive surgery technique we use is less invasive to
the muscles, and this allows for a quicker recovery,” Dr. Fuchs says.
“We still make the traditional bone cuts, but our refined instruments
allow us to do the operation through a smaller incision of only four
to five inches.” After the diseased bone and cartilage are removed,
the knee is resurfaced and a new knee is crafted of metal and
polyethylene.
Once the new knees are in place, the next hurdle is six weeks of
outpatient physical therapy. Harkless decided he was going to surpass
expectations. “Recovery depends on how much you’re willing to
push yourself,” he says. On his third day post-op, he was doing laps
around the nurses’ station. In addition to regularly scheduled PT,
he soaked up every bit of advice Evergreen physical therapists had
to offer on strengthening exercises he could do at home. A church
janitor in Woodinville, Harkless soon
developed his own additional regimen
that included walking through the large
building every night and climbing a
narrow staircase two steps at a time.
His dedication to recovery came, in part,
because he was free of the pain he had
lived with for years. “The bone-on-bone
pain I’d been dealing with for so long –
that was gone,” Harkless says. He
Robin Fuchs, MD
surprised Dr. Fuchs by walking into his
two-week checkup by himself. He was back at work part time just
six weeks after surgery, and returned full time after 10 weeks.
pain-free
“I knew Gary was an ideal candidate for bilateral replacement,” Dr.
Fuchs says, “and he exceeded all of my expectations.”
And Gary Harkless says the same about Evergreen. “I was totally
impressed,” he says. “I never would have guessed it would have gone
so easily. It was a great experience.” And with that, he’s out the door
– to ride his bike, take a hike, or play with his grandson – pain-free.
Learn about knee and hip replacement at our free seminar July 15.
Register online at www.evergreenhealthcare.org/classes, or call the
Evergreen Healthline at 425.899.3000.

6 Evergreen NEUROSCIENCE Institute
WOMEN’S AND CHILDREN’S SERVICES
7
“It felt like cockroaches were
crawling through my legs.”
When Langley resident Rocco Gianni started
experiencing symptoms of restless legs syndrome
(RLS) more than 20 years ago, he had no idea what
was causing the irresistible urge to move around.
He just knew he wanted it to stop.
“It’s a great way to follow
these vulnerable babies.”
Little Anna Decker is unaware of her dramatic birth
by cesarean section in January 2007. Her mom, Randi,
had developed a severe form of preeclampsia – and the
only treatment was to deliver the baby immediately.
Born only 26 weeks into the pregnancy, Anna weighed
just 22 ounces.
Rocco Gianni
Anna, Billy and
“Sometimes it hurt, like someone was poking you, “Gianni
describes. “I could live with that, but it was the constant jumping
that really got to me. It was embarrassing.” Worse yet, the RLS
symptoms also meant he existed on only a few hours of sleep each
night, as he was unable to stop moving long enough to stay asleep
for any length of time. “It felt like cockroaches were crawling
through my legs,” Gianni recalls.
Now 58, Gianni is doing much better, thanks to the Booth Gardner
Parkinson’s Care Center at Evergreen. He’s finally been able to get
some relief from the symptoms that had left him unable to sit still
through movies, business meetings or important family events.
Pinky Agarwal, MD
medication and clinical trials
Since its inception, the Parkinson’s Care
Center has been committed to helping
people with all types of movement
disorders – including Tourette’s, Huntington’s,
tremors, dystonia and RLS. The
comprehensive care offered by the center’s
team of experts ensures that patients
receive their specific care program all
under one roof – from diagnosis and
treatment to therapy and research.
“RLS is very common. It can affect up to 10 percent of the population,”
notes Evergreen neurologist and movement disorders specialist,
Dr. Pinky Agarwal. “It can impact sleep, travel and work, and tends
to get worse over time.” It also threatens the quality of life of the
sufferer on a daily basis.
Dr. Agarwal put together a program of medications to address
Rocco Gianni’s RLS symptoms. Gianni is also participating in a
clinical trial using Botox as a treatment. While its primary claim to
fame has been as a tool to fight wrinkles, Botox has also been
successfully used to treat a variety of medical conditions including
some movement disorders.
“We hope Botox will help ease restless legs symptoms by disrupting
sensory input from the legs to the brain,” Dr. Agarwal explains.
an expert team
The Booth Gardner Parkinson’s Care Center provides the expert care
of neurologists specializing in movement disorders, neuropsychologists,
physical, occupational and speech therapists, nutritionists,
social workers and counselors. This team of specialists creates a care
program tailored to the unique needs of each patient. The Center is
just one of the programs offered by the Evergreen Neuroscience
Institute. In July, the Institute will be moving into it’s new facility
in the DeYoung Pavilion on the Evergreen campus (see page 10
for details).
Through it all, Rocco Gianni has continued to enjoy his job as a
middle school teacher. He and his wife also lead teens on educational
tours around the world – and he’s currently working on a tour to
Peru. As a man who is literally always on the move, however, Gianni
is looking forward to a day when he is finally able to slow down.
For more information on treatment for movement disorders, call
the Booth Gardner Parkinson’s Care Center at 425.899.3123 or
visit our Web site at www.evergreenhealthcare.org.
Anna was whisked from the operating room to Evergreen Hospital’s
Neonatal Intensive Care Unit (NICU), where she remained for 76
days while her lungs developed and she gained the size needed to go
home. “We were all so worried those first few days,” Randi Decker
recalls. “We didn’t know if she would survive.”
Anna is now a healthy two-year-old, and her development is being
followed by Evergreen’s NICU Follow-up Clinic. “Our care for these
babies doesn’t stop when they’re finally able to go home,” explains
neonatologist Stephen Chentow, the NICU’s medical director.
“Tiny preemies can face many challenges.”
IDENTIFYING potential problems
Dr. Chentow notes these extreme preemies may have a greater
chance of developing hearing, speech, vision, motor, mental and
behavioral problems – problems that can affect the babies’ later
abilities to learn, to play and to succeed once they enter school. The
NICU Follow-up Clinic is designed to find out how prematurity has
affected these babies, and to identify, evaluate and assist the babies
and their families along the way.
Preemies who qualify for the clinic are born at 32 weeks or less
gestation, and weigh less than 1,500 grams (a little over three
pounds). “We like to see them ideally at six months,” Dr. Chentow
explains, “then at one year and again at two years. But we’ll also
see them in between those times if there’s a need.” These appointments
are based on the baby’s adjusted age, which is the age
according to the due date instead of the actual birth date.
Randi Decker
At their visits, babies are weighed and measured, and
given a developmental screening. The screening may
look like playtime, but Dr. Chentow says it’s actually a series of
tests designed to give the clinic specialists a chance to see how the
babies’ motor skills are doing, where their cognitive skills are, and
how their speech is – all the things that
are important to assessing their growth
and progress when compared to full-term
babies. “Then we work with the parents
to develop a plan and a course of action to
help the babies in the areas where they may
need some assistance,” he adds.
“we were lucky.”
The bottom line is healthier, happier babies.
“We’re able to catch any issues early and
address them early,” Dr. Chentow states. Stephen Chentow, MD
“We just want to make sure we’re taking
good care of the smallest members of our community.”
“We were lucky – Anna doesn’t have any health challenges or any
long-term effects from being born so early,” her mother says
gratefully. “I think it’s wonderful that Evergreen has this clinic,
because it’s a great way to follow these vulnerable babies.”
For more information about the NICU Follow-up Clinic, call
425.899.3602 or visit our Web site at www.evergreenhealthcare.org.

8 CANCER SERVICES UPDATES FROM EVERGREEN HEALTHCARE 9
Mobile Digital Mammography –
Coming to a Site Near You!
Steven Marth
It started with swelling in the lymph nodes in his neck. Dr. Jennifer
Heydt of Eastside Ear, Nose & Throat performed a biopsy, and the
result was cancer – squamous cell carcinoma.
“I told Dr. Heydt that I wanted my treatment at Evergreen if they
had the technology to care for me,” Marth recalls, “so she set me
up with Dr. Eric Taylor and Dr. Matthew Lonergan. Once I met
them and heard about Evergreen’s amazing new technology, imageguided
radiation therapy (IGRT), I knew I was in the right place.”
“on target, every single time.”
The IGRT system, advanced technology
on the new Varian Trilogy linear
accelerator, has become the gold
standard for radiation treatment of
head and neck cancers, according to
Dr. Taylor, Evergreen’s director of
radiation oncology.
“The Trilogy system is perfect for the
Eric Taylor, MD; Jennifer Heydt, MD;
type of cancer Steve had,” Dr. Taylor
Matthew Lonergan, MD
explains, “because the radiation beam
targets such a specific area and minimizes damage to any of the
surrounding healthy tissue.”
An imaging guidance system onboard the linear accelerator used
computer software to “map” Marth’s irregularly shaped cancer,
helping to ensure that the radiation treatments wouldn’t affect his
spinal cord and salivary glands.
Prior to each treatment, the onboard imaging system allowed daily
verification of the treatment plan to assure radiation beams would
“I knew I was
in the right place.”
As a medic with King County Medic One, Steven Marth
was very familiar with Evergreen Hospital. He’s
transported patients there; his children were born
there. So when he found himself in a fight for his life,
Marth knew right where to turn.
hit exactly where they were supposed to, and nowhere else. If
adjustments needed to be made, the computer software automatically
adjusted the treatment table. “The result is the correct dose of
radiation exactly on target, every single time,” Dr. Taylor says.
But Evergreen’s advanced technology had another advantage. The
Trilogy has a CT scanner built right in, so Dr. Taylor could monitor
how the cancerous mass was shrinking and modify Marth’s treatment
plan when necessary. “We could see everything was set up
flawlessly – the radiation was hitting the same specific area day after
day after day,” Dr. Taylor says.
During his seven-week course of radiation therapy, Marth also
underwent three rounds of chemotherapy under the direction of
Dr. Lonergan at the Cascade Cancer Center. “With the combination
of the radiation therapy and the chemotherapy, his mass just melted
away,” Dr. Taylor states.
“The focus was always on me.”
So far, the results have been outstanding. Steven Marth is still feeling
some of the side effects of the treatment, such as temporary loss of
taste, but his follow-up scans have been negative and his lymph
nodes are almost back to normal size.
“I’m extremely grateful for all the care I received at Evergreen and
the great people behind it,” Marth enthuses. “Even with all the
high tech, the focus was always on me, the patient.“
The Commission on Cancer has awarded Evergreen’s cancer program
its highest honor – a three-year accreditation with commendation.
Only 25 percent of all hospitals achieve this distinction.
Getting your annual mammogram just got easier! Evergreen’s new
mobile digital mammography coach is bringing screening mammography
to convenient locations around the community.
The mobile coach will make regularly scheduled visits to the
Evergreen Medical Group primary care clinics in Canyon Park,
Duvall, Redmond, Sammamish and Woodinville. This will make it
easier for women living or working near those areas to get their
screening mammograms without having to drive to the hospital.
The 40-foot coach is equipped with the same digital mammography
equipment used in the Breast Center at Evergreen Hospital. Patients
will register in the reception area and complete a clinical history form
in the relaxing environment. After changing into a gown in one of
the private rooms, the mammography tech performs the exam.
Thank You!
Funds to purchase Evergreen’s mobile
digital mammography coach were
donated at the 2008 Evergreen Gala.
Guest donations were generously
matched by Evergreen Healthcare
Commissioner and Foundation Trustee
Al DeYoung and his wife, Donna.
The mammography images
are interpreted at the Breast
Center by board certified
breast radiologists. Screening
mammograms are also
analyzed with computer
detection tools. The radiologist’s
report is then sent to the
patient’s primary care provider.
The mobile unit not only
provides convenient access
Evergreen Recognized as
Distinguished Hospital
HealthGrades, the independent health care
ratings service, has named Evergreen Hospital
as one of America’s Distinguished Hospitals
for Clinical Excellence TM . This places
Evergreen among the top 5 percent of
hospitals in the nation for clinical excellence.
HealthGrades determines these rankings by
rating the quality of care at 5,000 hospitals
nationwide, looking at patient outcomes in terms of mortality or
complication rates for 27 different medical procedures. You can use
this information (available at www.healthgrades.com) to see how
your local hospitals compare.
HealthGrades has already given Evergreen its top, “5-Star” ranking
for our treatment of heart attacks, heart failure and pneumonia,
and for our maternity care, general surgery and gastrointestinal
procedures.
for the community, but it also frees up more appointments at the
Breast Center for diagnostic mammograms, which are more
complex and are for women with breast symptoms.
SCHEDULING AN APPOINTMENT
Scheduling a mammogram with the mobile coach is simple! When
you call to schedule your mammogram (425.899.1849), you’ll be
offered the option of an appointment with the mobile coach at a
convenient clinic site or an appointment at the Breast Center at
Evergreen Hospital. You do not need to be a patient at an Evergreen
Medical Group primary care clinic to access the mobile
mammography coach.
One in every eight women will learn she has breast cancer at some
time in her life. Screening mammography has proven to be the most
effective method for the early detection of breast cancer. The
American Cancer Society and the National Cancer Institute
recommend that women receive a mammogram every year,
beginning at age 40.
Rose Garden Memorial Ceremony
Wednesday, July 15 – 7 p.m.
Gene & Irene Wockner Hospice Center
RSVP to 425.899.1040
Did you know?
Healthline is a free community service,
thanks to your support of the Evergreen
levy. We’re available 24/7 to help you:
• Find a physician
• Register for health education classes
• Talk to a nurse about a health concern
Call the Healthline at 425.899.3000

10
UPDATES FROM EVERGREEN HEALTHCARE
CLASSES 11
The Evergreen
Neuroscience Institute
The interior build-out continues on the Evergreen Neuroscience
Institute’s (ENI) new facility, which is located in the DeYoung Pavilion
on the southwest corner of the Evergreen campus.
Register for Classes Online or by Phone
For your convenience, you may register and pay for classes 24/7
online at www.evergreenhealthcare.org/classes. You may also call
the Evergreen Healthline at 425.899.3000, Mon.-Fri., 7 a.m.-7 p.m.
Pre-registration is required for all classes. Checks, VISA and
MasterCard are accepted. Refunds and rescheduling will only be
given for cancellations two business days prior to the class. Let us
know if you need special accommodations to participate.
The ENI will house all of Evergreen’s advanced programs for neurological
disorders, allowing our multidisciplinary specialists to focus
their expertise and research on leading-edge, compassionate care
for anyone touched by a neurological disorder.
Parkinson’s Care Center. The Booth Gardner Parkinson’s Care
Center, which treats Parkinson’s disease and Parkinson’s-plus
syndromes, has one of the top programs nationally for managing
deep-brain stimulation.
Movement Disorders Center. We treat the full range of movement
disorders, from dystonia, spasticity and restless legs syndrome to
tremor and Tourette’s syndrome. See story on page 6.
Multiple Sclerosis Center. The MS Center offers our patients
topnotch care, clinical research trials, infusion therapies, and one of
the country’s few MS fellowship-trained rehabilitation physicians.
Stroke Center. Certified as a Primary Stroke Center according to
the most stringent national standards, Evergreen Hospital provides
the full continuum of lifesaving care as well as follow-up care by
our rehabilitation experts.
Neurorehabilitation. Our cutting-edge program goes beyond
mobility to also improve emotional and social well-being. We
provide the full range of therapies in a vibrant new space designed
to simulate real-life environments to optimize the rehabilitation
experience.
Clinical research. Our commitment to research gives patients
access to novel therapies and disease-modifying medications as
much as three to five years earlier than the market release of new
drugs. Our depth of research brings patients the opportunity to
explore cutting-edge treatments.
Pediatric Unit Expands
Evergreen’s pediatric unit has relocated to a new and larger space on
the fifth floor of Evergreen Hospital’s Blue zone. That means we’re
able to provide even more private suites dedicated to our younger
patients – with all of the amenities for a comfortable hospital stay.
Each suite has an entertainment center, lots of storage, a private
bath, a daybed for a parent to spend the night…and lots of room
for visiting family and friends.
Our pediatric patients are cared for by pediatric hospitalists – who
are all on staff at Seattle Children’s. They provide pediatric care at
Evergreen as part of a collaboration with Children’s.
The DeYoung Pavilion (above) will be the new home of the Evergreen Neuroscience
Institute. The interior spaces (below) are designed to be open, filled with natural
light and easily accessible.
Education and outreach. We offer multiple programs for our
community that include classes, exercise groups and yoga. Our new
home in the DeYoung Pavilion will offer a resource center to help
patients and families navigate their wellness needs.
ENHANCING THE PATIENT EXPERIENCE
By harnessing the power of patient-centered care, education and
research, the Evergreen Neuroscience Institute helps patients and
their families live more comfortably with neurological disorders, so
they not only adapt – they thrive.
The new facility is designed to provide a sense of wellness and
well-being. With input from patients, families, providers and staff,
the architects have created a space that truly meets the unique needs
of neurological patients. It’s a comfortable space that has a feeling
of “hospitality” rather than “hospital.” It includes private areas for
conversation, natural light, soothing artwork, music and interior
landscaping. It’s an atmosphere where patients come first, where
hope and compassion combine with powerful medicine to create
life-changing care.
The ENI is scheduled to open in July. Other Evergreen programs
moving into the DeYoung Pavilion include outpatient rehabilitation
and cardiac wellness.
PARENTING &
RELATIONSHIPS
Parenting with Love &
Logic Intensive
Learn in-depth techniques and
skills for interacting calmly and
effectively with your children.
Recommended for parents of toddlers
through adolescents. May 16,
9 a.m.-5 p.m., $50. $12 for manual
due at class.
ON THE ROAD TO
INDEPENDENCE: GUIDING
TEENS TO BECOMING
RESPONSIBLE ADULTS
We want our teens to grow into
adults who can thrive on their
own. How do we balance keeping
them safe with increasing responsibility?
How do we deal with teenage
attitude? How do we get them to
do their share of the work around
the house? We’ll discuss guiding
teenagers toward success in gaining
their independence. Apr. 28,
7-9 p.m., $10 per person.
Pearls of Wisdom
A discussion of physical and emotional
changes brought on by
puberty. Learn how to open communication
lines, build self-esteem
and celebrate the rites of passage.
For girls ages 10 to 12 and their
mothers. June 4, 7-9 p.m., $10.
FAMILY CONSTELLATIONS
Improve your family relationships
by discovering the unresolved
issues that might be blocking the
flow of love, understanding and
communication. Apr. 25, Aug. 29,
10 a.m.-6 p.m., $50.
DEALING WITH ANGER
Discover more effective ways to
express your feelings and make
your response a choice rather than
a reaction. Two-part class begins
May 6, Aug. 5, 7-9 p.m., $20.
Emergency & Safety
Education
Self-Defense for Kids
An interactive workshop that
teaches safety and self-defense
techniques. For kids ages 8 to 12.
June 27, 9-11 a.m., $10.
Babysitting Basics
Teens ages 11 to 16 learn how to
handle emergencies and care for
infants and children. Includes
infant/child CPR basics. No CPR
card issued. Apr. 18, May 2, 16,
June 6, 20, July 11, 25, Aug. 8, 22,
Sept. 12, 9 a.m.-3 p.m., $40. $15
discount for Infant /Child CPR
class if enrolled in babysitting class.
Infant and Child CPR
Learn to prevent accidental injuries
and deaths, plus CPR, choking
management and household safety
information. Participants receive
a CPR card valid for two years.
Apr. 18, May 16, June 20, July 18,
Aug. 15, 9 a.m.-12:30 p.m., or
Apr. 23, May 7, 19, June 9, 25,
July 9, 21, Aug. 4, 27, Sept. 10,
6-9:30 p.m., $40.
Community CPR
Comprehensive course that covers
adult, child and infant CPR.
Participants receive a CPR card
valid for two years. Apr. 11, 25,
May 9, 23, June 13, 27, July 11,
25, Aug. 8, 22, Sept. 12, 9 a.m.-
12 p.m., $40.
Community First Aid
For individuals who already hold a
current adult CPR card and need
first aid only. Participants receive a
first aid card valid for two years.
Apr. 11, 25, May 9, 23, June 13,
27, July 11, 25, Aug. 8, 22,
Sept. 12, 1-5 p.m., $40.
Community CPR & First Aid
Comprehensive course that covers
adult, child and infant CPR, barrier
devices, accident prevention and
basic first aid. Participants receive
a CPR and first aid card valid for
two years. Apr. 11, 25, May 9, 23,
June 13, 27, July 11, 25, Aug. 8,
22, Sept. 12, 9 a.m.-5 p.m., $75.
CPR for Health Care
Providers
For health care providers; includes
CPR, airway obstruction, barrier
devices and use of an Automated
External Defibrillator (AED).
Participants receive a health care
provider CPR card valid for two
years. Apr. 18, May 16, June 20,
July 18, Aug. 15, Sept. 19, 9 a.m.-
12 p.m., or Apr. 23, May 7, 19,
June 9, 18, 25, July 9, 21, Aug. 4,
20, Sept. 10, 6-9:30 p.m., $60.
Advanced Cardiac
Life Support
For health care providers with
advanced life-support responsibilities.
Two-part class begins May 14,
July 16, Aug. 13, 4-10 p.m., $245;
includes textbook. Recertification
students only need to take second
day of class.
Pediatric Advanced
Life Support
For health care providers with
pediatric advanced life-support
responsibilities. Two-part class
begins June 11, Sept. 17, 4-10
p.m., $245; includes textbook.
Recertification students only need
to take second day of class.
Wellness
WELLNESS SCREENING
Includes fasting full-panel cholesterol
test, glucose, blood pressure
and metabolic syndrome screening,
and Framingham Risk Assessment.
Results will be given before you go
home. Call 425.899.3000 for an
appointment. $35.
SKIN CANCER SCREENING
Before you step out into the sun this
summer, come to this screening
conducted by a dermatologist.
Wear loose-fitting clothes. May 20,
6-9 p.m., free.
SUMMER SKIN CARE
Learn how to properly care for
your skin, along with strategies to
prevent skin cancer. July 15,
7-9 p.m., $10.
MANAGING HIGH BLOOD
PRESSURE
Explore how to modify your lifestyle
to help control your blood
pressure by applying the latest
research and information to planning
meals, reading labels and eating
out. June 23, 6:30-8 p.m., $10.
UPSET STOMACH?
Take a closer look at common
digestive problems such as constipation,
diverticulitis and hiatus
hernia. Find out why they increase
with age and how you can calm
that upset stomach. June 17,
6:30-8 p.m., $10.
OH, MY ACHING FEET
Join a podiatrist to learn more
about common foot ailments,
treatment options, fitting guidelines,
and the best shoes and
products available to put a spring
back in your step. June 18, 6:30-
8 p.m., free.
SOLUTIONS FOR ALLERGY
SUFFERERS
Get the facts about allergies and
the latest medications that bring
relief to your itchy eyes and stuffy
nose. May 21, 6:30-8 p.m., free.
SMOKENDERS: Stop
Smoking
Learn step-by-step techniques that
can help you break the habit. Free
introductory meeting Apr. 27,
7-8 p.m.
ADDITIONAL CLASS INFORMATION IS AVAILABLE AT WWW.EVERGREENHEALTHCARE.ORG/CLASSES
YOU CAN REGISTER ONLINE, OR CALL THE EVERGREEN HEALTHLINE AT 425.899.3000 • MONDAY - FRIDAY, 7:00 A.M. - 7:00 P.M.

12 CLASSES CLASSES 13
Lifestyle SOLUTIONS for
permanent weight loss
Learn how to achieve permanent
weight loss through practical techniques
in an informal and supportive
environment. Six-week series
begin Apr. 28, 7-9 p.m., $75.
Weight-Loss Surgery:
Is it Right for You?
Experts from the Evergreen Bariatric
Center will discuss surgical options,
postoperative follow-up, lifestyle
changes, financial information and
nutrition support. Apr. 8, May 13,
June 3, 10, July 8, Aug. 12, 19,
Sept. 9, 6-8:30 p.m., free.
DEALING WITH STRESS
Designed to help those who recognize
that stress is affecting their
health, work and relationships.
Learn skills to manage stress and
develop methods to cope. Two-part
class begins May 6, Aug. 5,
7-9 p.m., $20.
HOW TO FEEL YOUNGER
Working harder and longer in your
workout won’t just help you burn
calories – it can also make you feel
years younger. Find out how what
you do at the gym (and at the dining
table) can affect your life expectancy
and quality. June 9, 7-9 p.m., $10.
VITAMINS AND SUPPLEMENTS
FOR YOUR AGE
Explore which supplements will
benefit you, what results to expect,
and how to safely and effectively
incorporate them into your diet.
Apr. 22, 6:30-8 p.m., $10.
LIVING GLUTEN-FREE
We will cover how to test for gluten
sensitivity or allergy, which grains
contain gluten and how to live
without them, where to shop, how
to cook to fit your gluten-free lifestyle,
and how gluten sensitivity
can contribute to common conditions
such as poor digestion or
autoimmune conditions of the
joints or thyroid. May 13,
6:30-8:30 p.m., $10.
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EASY SUMMER MEALS
Explore new tricks for making easy,
nutritious meals on warm summer
days. Recipes and samples will be
available. July 7, 6:30-8 p.m., $10.
The Best Back-To-School
Brown-Bag Lunches
Learn how to make healthy choices
when packing school lunches.
Recipes and samples will be available.
Sept. 2, 6:30-8 p.m., $10.
ETHICAL WILLS
Discover how to complete a living
will that documents how you
would want to be treated at the end
of life. July 9, 6:30-8 p.m., free.
INtegrative Medicine
Evidence-based and complementary
care resources to support
whole-person wellness for mind,
body and spirit, and relational
well-being.
Wellness From Within:
The First Step
Tap your internal power and make
healthy lifestyle choices, communicate
effectively with your health
care provider, and make informed
decisions based on holistic resources
that enhance and optimize wellness.
Sept. 14, 7-8:30 p.m., free.
HYPNOSIS FOR WEIGHT LOSS
AND SUPPORT
Uncover the myths and discover
the many ways that hypnosis can
encourage healthy behaviors that
lead to weight loss. Apr. 15, May
13, June 10, 7-9 p.m., $10, plus
$15 materials fee to instructor.
Ending Insomnia:
A Drug-Free Solution
For Sleep
Learn the latest techniques, including
self-hypnosis, to fall asleep fast
and sleep deeply and restfully all
night long. May 27, 7-9 p.m., $10,
plus $15 materials fee to instructor.
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Movement For WOMEN
OF SUBSTANCE
Designed for women of size who
want to increase energy and joy
with music, dance, gentle movement
and breath awareness.
Beginning and returning students
welcome. May 11, June 8,
7-8:15 p.m., $10.
INTRODUCTION TO
CHINESE MEDICINE
Learn about Chinese medicine,
herbs and acupuncture, and what
to expect when you visit a doctor
of Chinese medicine. Apr. 20,
7-8:30 p.m., $10.
MOVING WELL WITH QIGONG
Learn how to use qigong to improve
your health, concentration and
flexibility with gentle movement
and meditation. Two-week class
begins Apr. 27, 7-8:30 p.m., $25.
MOVING WELL WITH
ARTHRITIS
Improve your fitness, balance
and flexibility with tai chi-style
and qigong movement. Apr. 20,
5:30-6:45 p.m., $10.
YOGA FOR EVERYONE
Unite mind, body and spirit as
you explore yoga postures and
breathing practices to deepen your
awareness and improve your
health. Six-week sessions begin
May 5, July 14, 7-8:15 p.m., $65.
BEGINNING YOGA
Learn to increase flexibility, gain
strength and relax with the yoga
techniques of breath, body alignment
and self-awareness. The pace
of this class is slow and gentle.
Six-week sessions begin May 5,
July 14, 5:30-6:45 p.m., $65.
BREATHING POWER
Discover how the amazing power of
breath revitalizes, empowers and
enhances your ability to meet life’s
challenges. May 6, 7-9 p.m., $10.
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Mindfulness-Based
Stress-Reduction
Program & Introduction
The MBSR program relieves pain
and stress, lowers blood pressure,
improves circulation, decreases
heart disease, improves memory
and supports healing. The weekly
class and one-day retreat format
help each participant integrate
mindfulness meditation into the
ups and downs of daily life.
Interview required prior to first
class. Eight-week series begins
Apr. 23, 6-8:30 p.m., $285
(includes materials). Introduction
to the MBSR program, Sept. 10,
6:30-8 p.m., $10.
REFLEXOLOGY
Reflexology uses a sequence of
techniques applied to reflexes
found on the feet and hands that
correspond to parts of the body.
Learn how to apply intermittent
pressure to promote overall
relaxation and balance. May 18,
7-8:30 p.m., $10.
MEDITATION RETREAT
Beginners and returning meditation
students are welcome. Enjoy this
day of relaxation and renewal in
a peaceful local setting. We will
share and support each other with
meditation, gentle movement,
silence, learning and discovery.
Aug. 1, 10 a.m.-3 p.m., $55. Bring
a sack lunch.
TIME TO TALK
The National Institute of Health
provides guidelines to help you
partner and collaborate with your
family and health care team to
support the benefits of integrative
medicine on your wellness journey.
Communication skills and evidencebased
integrative medicine resources
will help you and your team design
a patient- and family-centeredexperience
that maximizes wellness
and minimizes negative reactions.
Apr. 22, 7-8:30 p.m., free.
FINANCIAL fitness
Develop financial skills and practices
to control your money and
reduce the damaging effects
of stress on your health and the
well-being of your family. Apr. 29,
7-8:30 p.m., $10.
MEDITATION AND THE BRAIN
This user-friendly class will explore
what happens to the brain during
meditation and how the “relaxation
response” can reduce stress, invite
wellness and put happiness within
reach. July 23, 7-8:30 p.m., $10.
Especially for women
Menopause
Information and support for
women experiencing menopause.
Topics include symptoms, hormone
replacement therapy, nutrition,
osteoporosis, exercise, sexuality
and developing a personal plan.
June 16, 7-9 p.m., $10.
INCONTINENCE Therapies
A broad overview of the types of
urinary incontinence, potential
causes and methods of treatment.
June 30, 6:30-8:30 p.m., free.
Especially for
Older Adults
Evergreen offers a number of
classes, health screenings and
support services for seniors around
the community. To receive the
quarterly Evergreen Horizons
newsletter, call 425.899.1858
or e-mail Horizons@evergreenhealthcare.org.
AARP Driver Safety
Program
Interested in improving your driving
skills and possibly receiving an
insurance discount? This program
provides eight hours of classroom
instruction and covers the effects
of aging and medication on driving,
basic driving rules, license renewal
and more. Two-part classes begin
May 1, July 10 and Sept. 11,
10 a.m.-3 p.m.; one-day class Apr. 4,
May 2, June 6, July 11, Aug. 1,
Sept. 12, 9 a.m.-5 p.m.; $12 AARP
members, $14 nonmembers.
Seasonal Affective
Disorder
Discover why the lack of sunlight
can cause some to experience
fatigue, weight gain and altered
sleeping habits and how you can
improve your mood with medical
options and light therapy. April 16,
12:30-1:30 p.m., free.
Cholesterol and
Diabetes Screening
Screening will include fasting full
panel cholesterol and glucose tests.
Results will be given before you go
home. May 21, 8:30-10:30 a.m.,
free. Pre-registration required;
one free screening per participant
per year.
ELIMINATING HEARTBURN/
ACID REFLUX
Long-term, unresolved heartburn
can carry consequences. We will
discuss the potential causes, offer
solutions, and teach you how to
resolve this issue before more
serious problems arise. June 18,
12:30-1:30 p.m., free.
EATING RIGHT WITH
FOOD ALLERGIES
Are food allergies making meal
preparation difficult? Discover
ways to create healthy meals and
snacks while avoiding common
food-allergy culprits such as dairy,
shellfish and wheat products.
This overview is also beneficial
to non-allergy sufferers. July 16,
12:30-1:30 p.m., free.
HEADACHE MANAGEMENT
Is the phrase “Oh, my aching head!”
familiar to you? Then take part in
this discussion of the reasons, diagnosis,
management and treatments
related to headache problems.
Aug. 20, 12:30-1:30 p.m., free.
FRAUD FIGHTERS
Half of all victims of consumer
scams are age 50 and older. Learn
how to protect yourself by being
able to recognize consumer scams
in the mail, on the phone and
on the Internet. Sept. 17, 12:30-
1:30 p.m., free.
Forums and
Resource Fairs
HONOR DAD THE
HEALTHY WAY
What better way to celebrate Dad
or a special man in your life than
by showing him that you support
his efforts to improve his health?
This class will provide an overview
of men’s health, nutrition and
exercise tips, and cholesterol,
glucose and blood pressure screenings,
so you can encourage the
man in your life to take care of
himself. June 6, 7-11:30 a.m., $10.
DIVERSITY AND END-OF-LIFE
CARE TELECONFERENCE
This year’s national bereavement
teleconference, “Diversity and
End-of-Life Care,” will focus on
understanding how cultural histories,
traditions and beliefs can
affect end-of-life care. Apr. 29,
10:30 a.m.-12:30 p.m., $15.
Neurological &
Movement Disorders
The Evergreen Neuroscience
Institute offers classes and support
groups to aid patients living with
a variety of neurological diseases
and movement disorders.
Communication Group
Do you want to improve your
communication skills? Improve
your skills in a relaxed, welcoming
environment with others who have
communication difficulty from
stroke, Parkinson’s or other neurological
changes. Facilitated by an
Evergreen speech/hearing pathologist.
Apr. 15, May 6, 20, June 3, 17,
July 1, 15, Aug. 5, 19, Sept. 2,
1-2 p.m., $5.
DBS Support Group
Guest speakers explore the latest
on deep brain stimulation (DBS).
Group discussions will cover how
to live well with DBS, the latest
safety information and patient
stories. Apr. 24, July 24, 10 a.m.-
12 p.m., free.
DANCE WITH PARKINSON’S
Join the acclaimed Mark Morris
Dance Group to stretch and
strengthen your body and use eyes,
ears and touch to control movement
through dance. Come prepared to
move with a live accompanist and
discover how exhilarating it is to
dance – mentally, spiritually and
physically. May 2, 1:30-3 p.m.,
free.
My Stroke of Insight
Brain researcher Jill Bolte Taylor,
MD, shares the amazing firsthand
experience of her stroke as it
happened, her brain recovery and
insights into how the brain works.
We will discuss the implications
for integrative health, consciousness
and whole-brain fitness.
May 15, 6:30-8 p.m., free.
Parkinson’s Telehealth
View live, interactive educational
talks designed to help patients and
families improve their knowledge
of Parkinson’s disease. Apr. 20,
May 18, June 15, July 20, Aug. 17,
2-3:30 p.m., free.
Working on Wellness!
Reinvent the Wheel
Program
The Booth Gardner Parkinson’s
Care Center’s monthly Wellness
Workshop will clarify what wellness
means to you and help you set
goals and define steps to achieve
these goals. You will also learn
about resources that can support
you in attaining your goals. Twopart
class begins May 22, July 24,
10-11 a.m., free.
Neurological
Exercise Group
Gentle stretch and strength exercises
done in a chair or standing. For
patients affected by neurological
disorders such as Parkinson’s,
stroke or multiple sclerosis. Fourweek
sessions begin Apr. 27,
June 10, June 29, July 27, Aug. 24,
12:45-1:45 p.m., $20.
ADDITIONAL CLASS INFORMATION IS AVAILABLE AT WWW.EVERGREENHEALTHCARE.ORG/CLASSES
YOU CAN REGISTER ONLINE, OR CALL THE EVERGREEN HEALTHLINE AT 425.899.3000 • MONDAY - FRIDAY, 7:00 A.M. - 7:00 P.M.

14 CLASSES
CHILDBIRTH CLASSES
15
w
From-the-Ground-Up
Strength and Flexibility
Geared toward those with neurological
challenges including multiple
sclerosis, Parkinson’s disease and
post-stroke recovery. This weekly
mat-oriented class includes elements
of yoga, tai chi, dumbbell exercise,
exercise bands and more. Equipment
is supplied. Four-week
sessions begin Apr. 24, May 22,
June 19, July 17, Aug. 14,
Sept. 11, 2-3 p.m., $20.
Parkinson’s Disease:
Coping with Change
Why things should never change...
and how to adapt when they do.
Our neuropsychologist will discuss
psychological techniques that help
us accept changes that are beyond
our control. The discussion will
focus on proven techniques that
allow people to move forward and
direct their emotional energy versus
becoming stuck in feelings of
unfairness and negativity. Apr. 10,
12-2:30 p.m., free
Exercise and Physical
Well-being with
Parkinson’s
Experts from the Booth Gardner
Parkinson’s Care Center teach
strategies for improving your
exercise routines and physical wellbeing.
Sept. 4, 12-2:30 p.m., free.
Health Challenges
Diagnosis: Pre-Diabetes
Could you have pre-diabetes and
not know it? How is it treated?
Our diabetes experts answer these
questions and more. July 23,
6:30-8:30 p.m., free.
Diabetes Basic Skills
For people recently diagnosed
with diabetes or those who need a
refresher. Many insurance plans
will cover this class. Call
425.899.3008 to register.
Diabetes Update:
Eye Complications
People affected by diabetes are
more likely to suffer from eye
problems. Learn the symptoms
and treatments, and discover what
you can do to help lower your
risks. May 14, 6:30-8 p.m., free.
Fighting Fatigue
Fatigue is not normal and can be
caused by food allergies, thyroid
dysfunction, adrenal gland burnout
and much more. Start feeling
fabulous today! Apr. 29, 6:30-
8 p.m., $10.
What You Need to Know
About Stroke
Learn steps you can take to prevent
strokes and about stroke signs and
symptoms, along with crucial first
responses. May 7, 6:30-8 p.m., free.
Success with Heart
Failure Series
The first class, Heart Failure Basics,
covers the disease, self-management
skills, and medications to help
improve symptoms and quality of
life. The second class, Having Fun
with Low Sodium, focuses on
cooking. For patients with a diagnosis
of heart failure and family
members. Two-part classes begin
May 5, July 7, Sept. 1, 1-2:30 p.m.,
$5 per class.
LOOK GOOD . . . FEEL BETTER
A unique program that teaches
female cancer patients beauty
techniques to help restore appearance
and self-image during chemotherapy
and radiation treatments.
May 4, 1-3 p.m.; June 1, Aug. 3,
6-8 p.m., free. Call 1.800.227.2345
to register.
Grief & Bereavement
Pre-registration is required for all
programs; call 425.899.1077.
Bereavement Series
Six-week series that assists the
healing of those who have lost a
loved one through death. Next
series begin May 19, Sept. 8,
12:30-2:30 p.m. or 7-9 p.m.
Suggested donation is $30.
SUDDEN & TRAUMATIC LOSS
Six-week series for those grieving
a death by suicide, homicide or
accident. Call for dates. Suggested
donation is $30.
Supporting Our Children
Assists the grieving parent in
dealing with the struggles facing
a grieving child. For children ages
6 to 12 and their parent/guardian.
Call for dates of next series.
Donations accepted.
Evergreen and Cancer Lifeline are
partnering to offer comprehensive
classes and support groups for
cancer patients and their families.
Ongoing support groups for cancer
patients and their families include
Bosom Buddies, Colorectal, Caregivers,
Touched by Cancer, and
Reclaiming Your Life. Programs
include Exercise and Energize with
the Lebed Method, Gentle Yoga,
and Nutrition. To view program
descriptions and a class schedule
and to register for pro-grams, visit
www.cancerlifeline.org or call
800.255.5505.
Considering Joint or Spine Surgery?
Is pain is keeping you from enjoying
an active life? Evergreen’s expert
surgeons are at the forefront of
advanced surgical techniques
that can eliminate the pain and
limitations caused by injury,
arthritis or just wear and tear.
Our free seminars will detail
surgical options and introduce
you to Evergreen’s comprehensive
program that guides you from
pre-op preparation through surgery, recovery and physical therapy.
Spine Surgery
Wednesday, Apr. 29
6:30-8:30 p.m.
Knee AND Hip Replacement
Wednesday, July 15
6:30-8:30 p.m.
Seminars are held at Evergreen Hospital, and refreshments are
provided. Reserve your seat online at www.evergreenhealthcare.
org/classes, or call the Evergreen Healthline at 425.899.3000.
Pondering
Parenthood
Planning for a pregnancy?
Learn ways to optimize your
health prior to pregnancy,
and about choices in prenatal
care. Learn all that Evergreen
has to offer, including our
programs for follow-up care
and support. Includes a tour
of our nationally recognized
Family Maternity Center.
May 7, 7-9 p.m., free.
Classes fill quickly, so please register
early in your pregnancy for class
dates during your 5th-8th month.
You may register online at
www.evergreenhealthcare.org
or over the phone by calling the
Evergreen Healthline at
425.899.3000.
CHILDBIRTH PREPARATION
Labor & Birth Basics
This class teaches labor coping skills
and provides information on pain
medications and interventions
including cesarean birth. Includes a
birthing center tour. Evergreen
offers Labor & Birth Basics series
for first-time parents, for young
adults under age 21, and for those
expecting multiples. $120/couple.
NEW! Advanced Labor
Coping Skills
Couples enjoy extensive practice of
labor coping skills including positioning,
relaxation and breathing
patterns. Class assumes basic
knowledge of the birth process. Twopart
classes begin Apr. 3, June 5,
Aug. 7, 7-9 p.m., $50/couple.
Hypnobirthing
Use guided imagery, visualization and
patterned breathing for a safe and
satisfying birth. Special emphasis on
the partner’s role. Five-week series
begin May 5, July 14, 7-9 p.m.,
$135/couple. $25 materials fee
collected at first class.
Pelvic Health Class
Learn techniques to minimize pain
during your pregnancy and birth.
Special attention to the pelvic floor
muscles helps to optimize healing
after the birth and prevent problems
that may arise later. May 12,
7-9 p.m., $20 each/couple.
A Day About Baby
Learn about diapering, bathing,
soothing your baby, baby carriers
and newborn characteristics.
Hands-on learning and breakout
topics add to the enjoyment of this
unique, one-day class. Apr. 25,
May 16, June 20, July 25, 10 a.m.-
3 p.m., $75 each/couple. Does not
include information about infant
feeding.
Infant Feeding and
Pumping
Learn about the feeding phases of
your baby’s first year as recommended
by the American Academy
of Pediatrics. Learn the basics of
breastfeeding, breast pumps and
feeding your baby while away.
Apr. 14, May 13, June 11, July 14,
7-9 p.m., $35 each/couple.
CAR SEAT SAFETY
Car-Safe Kids
Learn the basics of selecting and
using a car seat specific to your
family’s needs. Apr. 29, May 18,
June 16, July 20, 7-9 p.m., free.
Car Seat Inspection Clinic
Have your child’s car seat checked
for proper installation by a
Certified Child Passenger Safety
Technician. Advance registration
is required; call 425.899.3000 to
register. Saturdays, 10 a.m.-2 p.m.,
free.
FOR EXPECTANT COUPLES
Bringing Baby Home:
Preventing marital
meltdown
Learn how to cope with the challenges
of becoming a family. For
expectant couples or new parents
with young infants. This is a
research-based and tested program
of The Gottman Institute. Quiet,
arm-held babies welcome. Two-day
workshops begin Apr. 11, May 2,
June 6, July 11, 9 a.m.- 4 p.m.,
$125/couple.
Happiest Baby on
the Block
Learn this amazing calming and
soothing technique pioneered by
Dr. Harvey Karp. For expectant
parents and new parents (bring
your newborn). Fee includes a CD
and VHS/DVD. Apr. 11, June 13,
Aug. 8, 10 a.m.-12 p.m.; May 5,
July 7, 7-9 p.m., $60 each/couple.
CLASSES FOR THE
ENTIRE FAMILY
NEW! Conscious
Fathering
This class provides dads-to-be and
new fathers a new understanding
of their baby’s needs and how
to contribute the “father effect”
from the very first days of life with
their child. Apr. 16, Aug. 30,
6:30-9:30 p.m.; June 13, 9 a.m.-
12 p.m., $40.
Siblings Class
Children who are expecting a baby
in their family learn what to expect
at home and in the hospital. Brief
tour included. Parents attend with
children. Apr. 11, May 9, June 13,
July 11, Aug. 8, 10-10:45 a.m. for
ages 2-3 years, 11-11:45 a.m. for
ages 4-5 years. $25 per child.
Expecting a Grandbaby?
Tour the maternity center and
learn about infant care plus ways
to support the new family. May 1,
July 24, 7-8:30 p.m., $25 each/
couple.
Dads Only
Expectant fathers meet to discuss
fatherhood, labor and birth, experiences
and expectations. Taught
by a certified facilitator and dad.
May 12, July 14, 7-9 p.m., $25.
AFTER YOUR BABY IS BORN
Parent-Baby Groups
Our popular Parent-Baby groups
provide weekly sessions with education
from trained facilitators and
support from other new parents.
Class is free for babies 0-3 months
old. Visit our Web site at
www.evergreenhealthcare.org
for schedules and fees.
Breastfeeding Your
Older Baby and Child
Join other moms continuing to
breastfeed beyond the first six
months for education and support.
Facilitated by a certified lactation
educator. Apr. 17, June 12, 10 a.m.-
12 p.m., $25 each/couple with baby.
Starting Solid Foods
Learn practical and research-based
information on the healthy feeding
of solid foods for babies and toddlers.
Recommended for parents
of infants 4-12 months old; quiet,
arm-held babies welcome. May 5,
June 2, 7-9 p.m., $25 each/couple.
Products and services to help you
throughout your pregnancy and
with your new baby, including the
rental and sale of breast pumps
and custom bra fitting. The
Boutique is located inside the
Breastfeeding Center at Evergreen
Hospital, Coral Suite 320. Open
Mon.-Sat., 8:30 a.m.-4:30 p.m.
Call 425.899.3603 for more information,
or visit us on our Web site
at www.evergreenhealthcare.org.
ADDITIONAL CLASS INFORMATION IS AVAILABLE AT WWW.EVERGREENHEALTHCARE.ORG/CLASSES
YOU CAN REGISTER ONLINE, OR CALL THE EVERGREEN HEALTHLINE AT 425.899.3000 • MONDAY - FRIDAY, 7:00 A.M. - 7:00 P.M.
TO REGISTER FOR A CHILDBIRTH CLASS OR FOR MORE INFORMATION, CALL THE EVERGREEN HEALTHLINE AT 425.899.3000 OR VISIT OUR
WEB SITE AT WWW.EVERGREENHEALTHCARE.ORG/CHILDBIRTH. REGISTER EARLY DURING PREGNANCY, AS CLASSES FILL QUICKLY.

PRIMARY CARE SERVICES
Evergreen Provides
Primary Care Options
Choosing a primary care provider for you and your family is very
important, because this provider is your partner in managing your
health care.
The Evergreen Medical Group’s seven neighborhood primary care
clinics offer a wide range of providers and philosophy options to
suit your family’s needs.
Dr. Manisha Nerkar, from the Evergreen Medical Group in
Woodinville, says, “As an internist, I enjoy being thorough in
managing complex diseases. I also believe that prevention is the
key to promoting good health.”
Dr. Amy Hoing, a primary care physician at the Canyon Park clinic,
says, “I love getting to know patients and their families, and working
to maintain good health…not just treating illness after it’s happened.”
Evergreen Medical Group locations
All Evergreen Medical Group sites are accepting new patients, and
would love to see you and your family.
NEED A PRIMARY CARE PHYSICIAN?
The Evergreen Medical Group primary care network has sites located throughout the community for your
convenience. For office hours and directions, see our Web site at www.evergreenhealthcare.org.
canyon Park 1909 214th St. SE, Suite 110 • 425.488.4988 Duvall 14720 Main St. NE, #109 • 425.788.4889
Kenmore 18208 66th Ave. NE, #200 • 425.485.6561 Redmond 8301 161st Ave. NE, #308 • 425.882.5020
Sammamish 22850 NE 8th, #103 • 425.898.0305 Woodinville 17000 140th Ave. NE, #101 • 425.481.6363
Family Medicine of Redmond 8299 161st Ave. NE, #101 • 425.881.8813
SENIOR HEALTH SPECIALISTS 11521 NE 128th St., #100, Kirkland • 425.899.6800
Evergreen’s two Urgent Care locations are open extended hours to handle nonemergency
illnesses and injuries. Patients are seen on a walk-in basis according to severity.
Redmond Urgent Care 8301 161st Ave. NE, #105 • 425.883.3333
Hours: M-F 9 a.m.-8 p.m. / S-S 9 a.m.-5 p.m.
Woodinville Urgent Care 17000 140th Ave. NE, #101 • 425.488.2273
Hours: M-F 9 a.m.-7:30 p.m. / S-S 9 a.m.-4 p.m.
Evergreen Healthcare
Board of Commissioners
Al DeYoung,
Bothell/Duvall /Woodinville
Jeanette Greenfield, At Large
Rebecca Hirt, Kirkland/Kenmore
R. August Kempf,
Redmond/Sammamish
Rex Lindquist, At Large
You may contact the
Commissioners by e-mail at
Commissioners@
evergreenhealthcare.org
12040 NE 128th Street
Kirkland, WA 98034
Presorted
Standard
US Postage
Paid
Evergreen
Healthcare
Evergreen Monitor is published as
a community service by Evergreen
Healthcare. Its contents are not
intended to replace professional
health care. See your health care
professional for information
relevant to your medical history.
Editor: Gail Neubert, 425.899.1881
Photography: Larry Gill
Design: GA Creative
Evergreen Healthcare is an equal
opportunity employer and service
provider. For career opportunities
at Evergreen, visit our Web site at
www.evergreenhealthcare.org.
www.evergreenhealthcare.org