O ctober 5, 1994 • T he P ortland O bserver P \ ge A6 Flu Vaccine Arrives In Portland Area Immunization Clinics Are Scheduled At Neighborhood Sites Multnomah County has sched­ uled special Flu Im m unization C lin ic s at n e ig h b o rh o o d sites throughout the county between O ct. 10th and Oct. 28th. Dr. Gary L. Oxm an, M ult­ nom ah C ounty H ealth O fficer, recom m ends that the follow ing individuals be im m unized against influenza before the flu season starts which is usually D ecem ­ ber: Senior citizens over age 65; county residents o f any age with chronic health problem s which require m edical follow -up such as heart disease, kidney disease, d ia b e te s , b re a th in g p ro b le m s, and im m unosuppressive condi- tions including HIV/AIDS infec­ tion; children re ceiv in g lo n g ­ term aspirin therapy who may be at risk of developing R eye’s Syn­ drome; medical personnel who have contact with high risk pa­ tients; individuals who provide care to high risk persons in the home setting; and nursing home staff. Influenza is a viral infection of the bronchial tubes and lungs that can make a person ill at any age. Most people are sick with the flu only a few days, but some people—especially the high risk groups—may become seriously ill and even require hospitalization. Flu shots are therefore now begin recom m ended also for any person who wishes to avoid com ­ ing down with the flu. “This y ear’s flu vaccine in­ cludes protection from A/Texas/ 36/91, A/Shangdong/9/93, and B/ Panam a/45/90 which is projected as being the causes of flu occur­ ring this w inter in O regon” ex ­ p la in e d P eg g y Lou H illm an , Multnomah C ounty’s Im m uniza­ tion C oordinator. “ We do re co m m en d th at people check with their doctor before taking the vaccine, but most people have no side effects from the flu shot, other than some soreness in the arm that received the injection,” she said. The vaccine will begin to p ro v id e p ro te c tiv e im m u n ity within two weeks after vaccina­ tion. Although this y ear’s vaccine im munizes for three strains of viruses, the flu shot cannot p ro ­ tect people from all the different strains of viruses which may o c­ cur. Flu shots are formulated to cover the m ajor virus strains that are expected to hit during this year’s flu season. Usually the flu season O r­ egon runs from N ovem ber to April with the largest num ber of cases beginning in December and declining in February. Pneum ococcal vaccine will also be offered this year for the first time. Pneumococcal infec­ tion causes serious illness includ­ ing pneum onia and m eningitis. Anyone can get pneum ococ­ cal disease, but persons over 65 years of age and persons o f any age who have alcoholism , heart or lung disease, kidney failure, diabetes or certain types of can­ cer have the greatest risk and age who have alcoholism , heart or lung disease, kidney failure, dia­ betes or certain types o f cancer have the greatest risk and are encouraged to get the vaccine. One dose of the vaccine (be­ tween 1997 and 1983) or who Mental Health Help Offered At any given time, 17 million Americans suffer from depression, yet less than one-third of these indi­ viduals seek help. Sadly, despite the fact that treatment is available and recovery likely, 15 percent of those individuals commit suicide. In an effort to broaden public awareness, depression will be the focus of a mental health screening to be offered at free at Providence Medi­ cal Center, Mental Health and Chemi­ cal Dependency Programs, and across the country on National Depression Screening Day as part of Mental Ill­ ness Awareness Week. The depression screenings which are not a substitute for a complete examination will include a psychia­ trist led depression education ses­ sion; anonymous completion of a depression check list; a brief, indi­ vidualized review of the completed check list with a mental health pro­ fessional; print and video informa­ tion about depression; and the op- portunity to leant about referral op­ tions. A ccording to Dr. Magnus Lakovics, Regional Executive Di­ rector of the Mental Health and Chemical Dependency Program for the Providence Health System, ben­ efits of taking part in the screening and educational session include early detection of depression, a better un­ derstanding of depression, its signs and symptoms, insight into available treatments and information about received the current vaccine (1983 to present) 6 or more years ago. No appointm ents are needed at any of the following special Flu/Pneumococcal Immunization Clinics conducted by Multnomah County Health Department. There is no charge for flu or pneumococcal immunizations for persons 65 and older or on M edi­ care. People on Medicare must bring their cards with them. Som e a p p o in tm e n ts are available at regular Multnomah County Health Clinics. There is a charge for the flu and pneumococcal immunization. For more information, call Multnomah County Information, 248-3816. I M ade I t ! resources in the community. Depression screenings areavail- able Thursday, Oct. 6, 6:00 p.m., in the hospital’s amphitheater, 4805 N.E. Glisan. The information num­ ber for depression screening at Provi­ dence Medical Center is 230-6009. West side screenings will be held from 9 a.m. to 11 a.m. and 5 a.m. to 7 p.m. at the Tualatin Valley Mental Health Center, 14600 N.W. Cornell Road in Portland. The center’s num­ ber is 645-3581. Computers To Improve Medical Service A new computer system being introduced at Kaiser Permanente’s Sunset Medical Office in Washing­ ton County may make magazines in pharmacy waiting rooms obsolete. Many patients at the medical office now find their prescription filled be­ fore they even have a chance to pick up People or Sports Illustrated. “This system does seem to speed things up,” says Aloha resident Karen Huegel, who has Kaiser Permanente coverage through her employer, Intel. “ My prescription was filled right away and I didn’t have to wait.” “Our Clinical Information Sys­ tem is fast,” says Kaiser Permanente pharmacist Kathryn Ring, RPh. She explains that before the computer pilot began this summer, members would be handed a prescription by their doctor, then carry it down to the pharmacy and wait for it to be filled. Now, all 17 primary care doctors at Sunset have a computer workstation at their desk and type in the prescrip­ tion. With one keystroke the doctor sends the prescription instantly to the pharmacy. “ At least two-thirds of the time we will have the medication waiting before the patient can even get dressed and walk here from the exam room,” says Ring. “We hand them their medi­ cine and tell them if they want to catch up on the magazines they’re welcome to stay.” Peggy McClure is helping intro­ duce the Clinical Information Sys­ tem, which she predicts will be used by all Kaiser Permanente physicians by 1996. McClure says the HMO is building on its earlier computeriza­ tion successes. “The system we are testing gives physicians the further ability to enter each patient’s diagno­ sis, vital signs and visit notes, as well as to send orders for X-rays, lab tests, prescriptions and other services di­ rectly to those departments,” says McClure. “Physicians can also call up their appointments for the day and review specific information about who they’ll be seeing. Advice nurses will also be able to assist members better over the phone by having vital information about each patient at their fingertips.” Family practitioner Michael Krall, MD, is one of the first physi­ cians to try out the new software. “A real benefit of this system,” says Dr. Krall, “is it improves documentation of patient care. As I type in my notes and tests I’ve ordered, they automati­ cally become part of the patient’s electronic medical record.” Unlike a paper chart, once the system is fully implemented the elec­ tronic record will be available in seconds at any Kaiser Permanente facility a member visits. It will also enable a Kaiser Permanente doctor to consult a colleague across town about a patient and let both see the medical record at the same time. Dr. Krall says once the system is fully in place it will help health pro­ fessionals deliver even better pre­ ventative care. Kaiser Permanente’s Assistant Regional Medical Director Homer Chin, MD, who has been active in developing the Clinical In­ formation System, agrees. He says the system has the potential to track immunizations, health maintenance screenings, and referrals, and gener­ ate consent forms and patient letters. “Ultimately, the system should cap­ ture enough data to help researchers learn how all patients receiving cer­ tain treatments have fared. Regula­ tors and employer groups are anx­ ious for this kind of documentation.” McClure says the system runs within the popular Microsoft Win­ dows program and was developed by Epic Systems Corporation of Madi­ son, Wis. At the end of each medical appointm ent, patients receive a printed visit summary showing their vital signs, what took place during the visit, instructions from the doc­ tor, and any tests they are to take. Patients have been favorably im­ pressed. “It’s nice to walk out with a summary that lists my medications and the amount,” said Huegel. 'How I lost more than 20 pounds with Weight Watchers and reached my personal goal/ By Kathleen Sullivan "Life looks beautiful from here. I’m at the weight 1 want to be, and I feel the way I want to feel. And you know what got me off to such a great start? Weight Watchers Superstart program. "That's because Superstart is like a 'jump start' for people who want to lose weight. During this two-week program, you'll eat real food you make yourself-including your favorites from really simple recipes. You'll feel great and you will see those pounds drop away. Examlng Eating Disorders A fo u r-w e e k E d u c a tio n a l G roup designed for persons who suffer from (or who suspect they suffer from) eating disorders is being offered to community m em ­ bers. Sponsored by the Eating D is­ o rd ers Program o f the P acific U niversity Psychological Service C enter, the Group will be held from 6 p.m. to 7:30 p.m. on four consecutive W ednesdays begin­ ning Oct. 12. Location will be the Pacific University Psychol­ ogy S ervice C enter, 511 S.W . 10th Ave., Suite 400. Eating disorders are a seri­ ous national health problem a f ­ fecting women and children as well as men. Bulim ia, A norexia N e rv o s a , an d C o m p u ls iv e O vereating create a major health problem s and can interfere with relationships while causing feel­ ings of helplessness and w orth­ lessness. This Educational G roup o f­ fers hope for recovery in a sup­ portive and caring environm ent. "I lost eight pounds in just two weeks on Superstart. Can you imagine? Eight pounds!" NORTHEAST PORTLAND NORTH PORTLAND N orthm inster Presbyterian 2833 N. Portland Blvd. Fellowship Hall Tues. 7:00 p.m. mnatha Church .2 N.E. 12th vEnter on Skidmore) Sat. 9:30 a.m. Nationwide Insurance 919 N.E. 19th Ave. Wed. 11:45 a.m. Tillamook Park Bldg. 2108 N.E. 41st Ave. Mon. 7:00 p.m. Tues. 7:00 p.m. Wed. 9:30 a.m. & 5:00 p.m. Thurs. 7:00 p.m. Fri. 9:30 a.m. University of Portland 5000 N. Willamette Blvd. ! Columbia Hall (Enter from Portsmouth) Wed. 4:45 p.m. Temple Baptist Church 1319 N.E. 7th, Fireside Room Tues. 12:00 Noon JOIN ANY MEETING ANYTIME For Information Call Collect Weekdays 8:30a.m. to 5:00 p.m. (503) 297-1021' | This is Kathleen - experience As people vary, do does in d ivid u a l weight loss, maintenance and results, c 19Q4 WEIGHT WATCHERS IN TERN A T ¡O N A L I N C , O w ner o f the registered trademark All rights reserved To learn more about advertising in ®lje ^Jortlanh (Observer, call (503) 288-0033 9*3 tm n