P age T he P ortland O bserver • J anuary 8, 1997 Gcience Kaiser Permanente Emergicenter Kaiser Perm anente is offering something new to the Pacific N orth­ west: the Emergicenter. The new service is like a hospital emergency room without the hospital. Located for now in the same place where the hospital emergency de­ partment always has been, but now renamed: Bess Kaiser Medical Office 5055 N. Greeley Avenue Portland, OR 97217 (503)285-9321 It will move to a new building on north Interstate in late 1998. This new $40 million investment on the Edgar F. Kaiser Health Center cam ­ pus will inlcude, in addition to the E m ergicenter, after-hours urgent care, a medical office with services such as outpatient surgery, lab, phar­ m acy, and rad io lo g y (m am m o ­ graphy, ultrasound, CT scans, and X-rays), and a parking structure. The Staff Administrator is Kathy Laird, Emergicenter Manager. Kenneth Nisbet, M D ., Kaiser Permanente’s chief o f Emergency Medicine. “ Basically, the Emergicenter is like the ground floor o f any hospital without the upper floors.” - Dr. Nisbet Experienced emergency medicine physicians, nurse practitioners, phy­ sician assistants, nurses, cast techni- c ians and other staff provide care 24- hours per day, seven days per week. Specialists will provide telephone and on-site consultation as needed. The Emergicenter will treat emer­ gencies that are not life-threatening, and serious injuries and illnesses that require immediate treatment in or­ der to prevent serious complications. (Examples are deep cuts, broken bones, seizures, shortness o f breath, suspected poisoning, and sudden onset o f severe headache or abdomi­ nal pain.) Emergency services are provided to all patients, whether they are Kai­ ser Permanente members or not. Only a few other such centers known to be delivering emergency care like this throughout the United States, as follows: ♦ The Henry Ford Hospital System, which has had free-standing emer­ gency departments fo r ! 5-20 years. ♦ K a ise r P e rm a n e n te s P arm a Emergency Center in Ohio ♦ Kaiser P erm anente's Baldwin Park Urgency Care Center in south­ ern California Most people who use emergency departments are not admitted to a hospital. The history o f emergency department use in Kaiser Perma­ nente’s Northwest division is simi­ lar to national statistics: Only 15 percent o f emergency room patients are admitted to the hospital. Almost half o f those who are admitted are discharged within 24 hours. P a tie n ts tre a te d at the Emergicenter who require hospital admission will be transferred to the appropriate hospital. New study looks at women chewing tobacco and snuff Adult women who use snuff or chewing tobacco are invited to par­ ticipate in an interview study which seeks to learn more about smokeless tobacco use by women. Although men who use sm oke­ less tobacco have been the focus o f previous research, not a lot is known about women who use snuff and chewing tobacco. “We need to understand the fac­ tors involved with smokeless tobacco use by women, in order to help women who want to quit and to develop effective prevention pro­ grams for girls at risk for using,” says Herb Severson, a behavioral scientist at the Oregon Research In­ stitute. Participants in the study will be paid $ 15 to take part in a confidential interview about their smokeless to­ bacco use. Interviews can be con­ ducted by phone or in person, at the participant’s convenience. Women age 18 or older who have used smoke­ less tobacco for at least a year are encouraged to participate. The study is being conducted as a dissertation project at the University o f Oregon, in connection with the Oregon Re­ search Institute. The use o f smokeless tobacco by both men and women is a growing health problem in the United States. Many people consider smokeless tobacco a safe substitute for smok­ ing; however, regular use o f snuff and chewing tobacco can lead to various health problems, including gum disease, heart disease, and ora! cancer. By learning more about why people use, we hope to find ways to help people quite and reduce the number o f people at risk. For more information, or to enroll in the study, please call Debbie Cohen-Smith at the Oregon Research institute at 484-2123 or 1-800-266- 7009. Influenza Vaccinations Can Save Health-Care Dollars A study at Baylor College o f Medi­ cine in Houston o f patients hospital­ ized for asthma, chronic obstructive pulmonary disease or congestive heart failure showed that two-thirds o f them had chronic lung disease — and 25 percent tested positive for influenza. Another 15 percent were found to have two other flu-like res­ piratory infections, respiratory syn­ cytial virus or parainfluenza viruses. “This indicates that vaccinating these patients for influenza could reduce hospitalizations - and thus medical costs - among these people by as much as 25 percent,” said Dr. W. Paul Glezen, epidemiologist at Baylor’s Influenza Resarch Center. In the study, researchers tested hospitalized patients for the pres­ ence o f flu or other respiratory vi­ ruses for a four-year period. Experts at the Flu Center have long known that people with such illnesses are prime candidates for developing life-threatening compli­ cations from influenza. For that rea­ son, they have recommended that these high-risk people get annual flu vaccinations. But the study’s results indicate that the need for influenza inocula­ African American Brothers and Sisters, are you sick an tired o f being sick and tired? tion is even more important than previously thought because the im­ pact o f the viruses is greater than previously thought, G lezen said. Many previous studies looked only at pneumonia as a complication of influenza. “It’s a rarity when a medical pro­ cedure can be shown to actually save money,” Glexen said, “but the clear evidence is that widespread immu­ nization against influenza can pro­ duce significant medical cost sav­ ings — and all o f this can be accom­ plished with a safe, readily available and inexpensive inoculation.” Tips To Be Fit: All About Exercise by V ince & Y olanda Exercise & Medication “I ’m taking medication that makes me a little sleepy. Can / still workout? I still feel strong. "—John Dover, DE Sedatives, narcotic pain relievers and antihistamines can cause drowsi­ ness, throw your balance off and affect your judgment. Before you take any medication you should ask your doctor if it’s safe to workout while taking it. The affect o f some medications can last even after you finish taking them. So find ou, how long it takes for the medication to wear off. If the label and your doctor tell you not to operate machinery while taking a medication, that means exercise equipment too. AB Trim Down “How can I get my abdomen flat? / do a lot o f abdominal exer­ cises but I fe e l I need something else. M y friends have been giving me some o f the craziest sugges­ tions. / need some expert advice. ”- -Mary' Jacksonville, FI Working your abdomen every Program Includes: Classes with Dr. Crawford; Exercise Program; Vitamin Supplements; Stress Management; and Weight Loss Products Classes Start Jan. 14, 1997 You M ust preregister on Jan. 2 at 6:30 PM Please Bring All Prescription Medication With You. Where: Lutheran Inner-City Ministries 4219 N. E. MLK Jr. Blvd. Cost: $125 One Time Registration Fee - $175 Monthly Fee Remember - Health Is Wealth! Enrollment is Limited! Call 833-8915 For More Information. other day can help you develop a trim waistline. But, you can do situps and crunches all day and still not see that hard earned muscle if your body is carrying excess body fat. When it comes to developing a flat stomach, diet is just as important as your workout. You have to elimi­ nate rich fatty, high sodium foods from your diet. Aerobic activity is the next com­ ponent you have to incorporate to get that mid-section flat. Aerobic activities include walking, jogging, stair climbing, bike ridding, dancing and swimming. Aerobic exercise is the only way to effectively bum fat. You must spend at least 45 minutes each session doing aerobics to burn fat effectively. The average person can comfortably start with 10 to 15 minutes o f aerobic exercise. Gradu­ ally build your aerobic exercise time to 30 to 45 minutes three to five times a week. Concerned about kids & exercise “I have a five year-old daughter. I want to get her started with exer­ cise. H'hat is a good age to start. -Joan Houston TX It’s good to see that you’re con­ cerned about your child’s fitness even at this early age. Children have special exercise needs. And you should keep in mind that preteens are more prone to injuries from over­ use o f muscles, joints and bones during exercise. It’s important to start your child off slowly. Walking is a great aerobic exer­ cise to start with. You can start walking with your child as young as five. At this age they will not only get in a good aerobic workout, but they will start developing good health habits. Mounting evidence shows that disease can begin as early as age 10. To determine how far your child should walk for their age divide your child’s age by three. One mile in 20 minutes is a good pace for five to eight-year-olds and one mile in 12 minutes is a pace good for a child over nine. Before starting your fitness pro­ gram, consult your physician. Legacy Heart Services Offers Educational Program In celebration o f American Heart Month, legacy Heart services is of­ fering a special program entitled “Thriving—Not just Surviving: Keys to building Heart Healthy Marriages & Families” on Saturday, February 15, 1997. The presentation will be followed by a heart-healthy dessert reception and book signing. Wayne M. Sotile, Ph D, a nationally known author and p re se n te r, w ill p ro v id e “ h e a rt healthy” advice on contemporary marriage and family life, including: • the relationship between stress and heart disease. • the stages in a couple's journey. • the myth o f the balanced life. • how to control yourselfduring un­ controllable times. • six keys to lasting intimacy. At 9:30-11:00 a.m. is the presen­ tation, and 11:00 a.m. - noon Heart- healthy dessert reception and book signing. The event takes place at the Mult­ nomah Athletic Club, on 1849 S.W. Salmon Street, Portland. Admission is free, but pre-regis­ tration is required. Call 335-3500 for more information and to register. For 18 years, W ayne Sotile has co-directed Sotile Psychological as­ sociates in W inston-Salem, North Carolina. Dr. Sotile has authored three books, including Heart Illness & Intimacy-How Caring Relation­ ships aid Recovery and High pow­ ered Couples, and is one o f the most sought after speakers in the country. His focus is on stress and relation­ ship management. Free Health Screens The Providence Health System Long Term Care Division offers free health screenings to adults throughout the year, from 9 to 11:30 a.m., on Wednesday, Jan. 8. The first free health screenings will take place at Holly Tree Vil­ lage, 5335 S. W. Murray Blvd., Beaverton, Oregon. Call 644-6437 for more information. A second free health screening will happen 9 to 11:30 a.m., Thurs­ day, Jan.23, at the St. Alexander’s Catholic Church, 170 N. 10th Ave., Cornelius, Oregon. Call 359-0446 for more information. A third screening at 9 to 11:30 a m. on Wednesday, Jan. 29 will be at the Community Senior Center o f Hillsboro, 750 S.E. 8th, Hillsboro, Oregon. Call 648-3823 for more in­ formation. Adult Community Health Screen­ ings are designed to assess an individual’s health and identify risk factors that require follow-up care. Participants receive a general physi­ cal assessment, a blood pressure check, diabetes and cholesterol test, pharmacy and nutrition counseling and referral for medical care, if needed. Screenings are conducted by health professionals and are offered at various locations in the Portland tri-county area. Call (503) 288-0033 io advertise in (Tlte ^ìox tlanh ODbscvucr Did you make a New Y ear’s Resolution to Lose Weight. L et’s do it Together in a Healthy way! Join: Love Your Body Weight Loss Program with Dr. Jewel L. Crawford, M.D. A 5 M AN G O S sweet and juicy LIVING LARGE You have it made in the U.S. Coast Guard. 20 careers to choose from, including saving lives, law enforcement and environmental protection. Competitive salary. 30-days’ paid vacation. Free housing & meals, medical & dental care and travel. Earn college credits. Eligibility for G.I. Bill. 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