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KVH News

Debbie Hulbert (Inpatient Care)

HealthNews · January 7, 2022 ·

Debbie Hulbert loved to work in her garden, growing vegetables. A graphic designer by trade, she also loved to cook and paint, and had plenty of energy to do it all, until one day in late July 2021, when she found a lump.

Two weeks later, she received an official diagnosis: triple-negative breast cancer (TNBC). Aggressive treatment resulted in total hair loss, mouth and sinus trouble, digestive tract issues, and more. “The chemo is chasing after anything that replicates quickly,” Debbie explains. Which is why she needed a transfusion of platelets in November. Impacted by the hospital capacity issues that have been in recent news, KVH didn’t have room for Debbie at the time, so she was sent to a major Seattle hospital to recover.

It wasn’t long before she was dealing with neutropenia. “My white blood cells were basically non-existent,” she says, making her vulnerable to any kind of bacteria or virus. She relapsed in early December. “I was on a strong antibiotic to combat an infection, but my fever had broken through it.” She needed treatment immediately.

Her oncologist called KVH Hospital to inform them his patient was on her way in. ER staff had the Hulberts pull into the ambulance bay, where they wheeled her directly into the emergency unit, rather than having her enter through the front lobby. “They were concerned with reducing my exposure to others in the hospital,” she says.

Debbie was later transferred to the Medical/Surgical Unit, where staff followed “very careful protocols. They made sure to let me know exactly what they were doing at all times,” says Debbie. “They showed me how they were protecting me.” At one point, when the sound of harsh coughing filled the halls, staff reassured her of her safety.

“There was no COVID on the floor at the time,” she recalls, concerned after being exposed to the virus during her Seattle hospital stay. Debbie learned that Med/Surg staff at KVH were assigned to specific areas within the unit, and only certain people would be allowed to enter her room, to ensure the highest levels of safety for their vulnerable patient.

“I felt incredibly safe,” says Debbie. “Everyone that came in my room addressed me, talked to me – housekeeping, nurse’s aides, nurses, doctors – they treated me like a human being, making sure I was comfortable and had everything I needed.”

It was impossible for Hulbert not to compare her treatment with the west side experience she’d had just weeks earlier. “I stayed on the top floor in a state-of-the-art medical facility. Seattle hospital rooms don’t get better than that.” And yet, “I was a room number,” Debbie says. “I would sometimes have to wait a half an hour to get help to go to the bathroom.”

As an inpatient at KVH, “When I rang the bell, someone was there in 30 seconds,” which mattered a lot to Debbie when dealing with, among other things, intense bouts of diarrhea.

More importantly, Debbie felt seen. “The care, the compassion, the idea that everyone that talked to me, they’d come in and say, ‘How’re you doing today?” And they’d remember something we’d talked about the day before. I really mattered, you know, as a human being and not just a patient in a room,” she says. “I felt safer there, I felt seen there, I felt cared for.”

Treated with broad spectrum drug IVs, Debbie remained in the hospital until her cultures were clear and staff knew she was safe to go home, armed with two more antibiotics to cover anything that the IV medications could have missed. “I went home feeling stronger than I had in a month or more,” she said.

While Debbie has a long way to go in her battle with cancer, she’s already looking forward to resuming her creative lifestyle. She occasionally paints acrylic pieces in her bathroom when she has the energy, inspiring her husband: “He carved out a part of his shop to make me a paint studio,” she crows. “Once I’m feeling stronger, I’ll have my own studio to paint in.”

MIS-C Awareness Week

Kirsten Oursland · December 15, 2021 ·

sick child wearing face mask

A rare and severe condition associated with Covid-19 is MIS-C (Multisystem inflammatory syndrome in children). This condition can cause “different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. We do not yet know what causes MIS-C. However, we know that many children with MIS-C had the virus that causes COVID-19, or had been around someone with COVID-19. MIS-C can be serious, even deadly, but most children who were diagnosed with this condition have gotten better with medical care.”

– CDC (Español)

For more information about this syndrome and to help bring awareness please follow the FB event and share!

What to do if you think your child is sick with MIS-C

Contact your child’s doctor, nurse, or clinic right away if your child is showing symptoms of MIS-C:

Ongoing fever PLUS more than one of the following:

  • Stomach pain
  • Bloodshot eyes
  • Diarrhea
  • Dizziness or lightheadedness (signs of low blood pressure)
  • Skin rash
  • Vomiting

Be aware that not all children will have all the same symptoms.

How to Recognize: Multisystem Inflammatory Syndrome in Children (MIS-C)

MISC_symptomsDownload
MISC_symptoms_spanishDownload

CDC Data

Find More Here: CDC Covid Data Tracker

MIS-C Patients By Age Group
MIS-C Patients by Race & Ethnicity
MIS-C Patients By Sex
Reported MIS-C Case Ranges by Jurisdiction, on or before Nov 30, 2021

References & Resources

  • Washington State Department of Health News Release (Español) / Monthly Update
  • CDC (Centers for Disease Control and Prevention) MIS-C (Español) / Data Tracker
  • HealthyChildren.org by the American Academy of Pediatrics (Español)

Covid-19: Pediatric Insights

HealthNews · November 12, 2021 ·

medical providers that the family and the child trust can be an invaluable source of information and a big part of the decision making – Dr. Elise Herman

The AHA, American Academy of Pediatrics and Children’s Hospital Association host this panel discussion on how pediatricians and hospitals can work with parents to build trust in the safety and efficacy of the COVID-19 vaccine for children.

American Hospital Association

Insights from pediatric health care leaders on COVID-19 vaccines for children


Earlier this week Dr. Elise Herman, KVH Pediatrics, joined other pediatric health care leaders for a panel discussion hosted by the American Hospital Association (AHA), American Academy of Pediatrics and Children’s Hospital Association.

To learn more visit www.aha.org/vaccineconfidence


Resources mentioned by Dr. Elise Herman:
  • Dr. Elise Herman / KVH Blog Contributor Post: COVID-19 Vaccine for Children 5-11 Years Old
  • American Academy of Pediatrics
  • Washington Chapter of the American Academy of Pediatrics
  • CDC.gov / Centers for Disease Control and Prevention: Covid-19
Speakers:
  • Yvonne (Bonnie) Maldonado, M.D., Chief, Division of Pediatric Infectious Diseases, Stanford University School of Medicine
  • Lee A. Savio Beers, M.D., FAAP, Professor of Pediatrics and the Medical Director for Community Health and Advocacy at Children’s National Hospital, President of the American Academy of Pediatrics
  • Elise J. Herman, M.D., Pediatrician, Kittitas Valley Healthcare-Ellensburg, Washington
  • Andrew Pavia, M.D., Chief, Division of Pediatric Infectious Diseases, Primary Children’s Hospital
  • Moderator: Roxie Cannon Wells, M.D., President, Cape Fear Valley Hoke Healthcare, and AHA Trustee

Family Feeding Dynamics

HealthNews · August 19, 2021 ·

Feeding kids can be stressful! This webinar focuses on a simple, stress-free approach to mealtime that will help your child create a lasting healthy relationship with eating.

About the Presenter:

Dana Ogan is an Associate Professor at Central Washington University where she directs the Dietetic Internship and undergraduate Food Science & Nutrition program. Dana’s research interests include vitamin D, nutrition in athletes with spinal cord injury, and child nutrition. In her spare time, she enjoys hiking, yoga, and reading. She lives in Ellensburg with her husband (Greg), their 2 sons (Michael & Andy) and their beloved goldendoodle (Fergie).

All presenters for KVH Childbirth & Family Education’s free webinar series are local experts covering a range of topics of interest to families at all stages.

KVH Childbirth & Family Education offers free webinar series

HealthNews · July 29, 2021 ·

Julie Harwell, RN, BSN is hosting a free webinar series through our Childbirth & Family Education Program at Kittitas Valley Healthcare. The most recent webinar titled “Creating Meaningful Learning Communities: How Covid has helped us to Reimagine Possibilities in Education” details how one local school adapted to the COVID-19 restrictions and found opportunities for resilience and growth in the classroom and our community.

“The Covid-19 Pandemic brought about many changes in the way we as a society approach school. In addition to the challenges, the past year brought many opportunities for us to reflect on education and how we can best support engagement in learning for children. We found great value in more outdoor education, multi-age groups, parent partnerships in learning, and extending the walls of the classroom to include more community places and partners. This year illustrated the great potential we have to provide meaningful learning experiences for our children when families, children, schools and community members work together.”

Webinar presenter Natalia Parker, a founder of and the current Director at Discovery Lab of Ellensburg, has worked with children and families in varying capacities for the past 20 years. After graduating with degrees in Psychology and Infant Mental Health, Natalia worked in various roles educating and supporting caregivers, children and students in grades Kindergarten through Post-Secondary. Currently, in her role at Discovery Lab she works to support meaningful and engaging teaching and learning practices that best support healthy child development. When she isn’t at work she loves to be outside exploring the beautiful area we live in.

Check out our website to learn more about the KVH Childbirth & Family Education Program.

Beat the heat: Diabetic safety

HealthNews · July 1, 2021 ·

Photo: Even in summer, foot protection is a priority for people living with diabetes. Skip the sandals and barefoot walks. Keep them covered!

Wear sunscreen. Stay hydrated. Wear light, loose clothing. Anyone who’s lived in Kittitas County for more than a year knows these basics for survival in the summer heat. If you’re diabetic, there’s another concern to add to the list: extreme temperatures can spike your blood sugar levels, and wreak havoc on testing equipment and medication.

Recent findings show that the summer heat drives more people with diabetes to the ER, and more diabetics are hospitalized due to heat illness.

“First of all, be aware of your environment. Watch the forecast. When we’re in for a hot spell, there are some things you can do to prepare for diabetic safety,” advises Nicole Norton, Diabetes & Nutrition Education Coordinator at KVH.

Careful planning of your diet is always important, but even more so in extreme temperatures. Think through any adjustments you need to make. And be diligent in avoiding added sugars. “A lot of folks reach for sugared sodas, sweet teas, and juices when they’re thirsty,” warns Norton. “For someone with diabetes, it’s safest to stick with water.”

Another common mistake is skipping meals. Norton explains, “We’re more active in the summer, and we get distracted, forgetting to eat when we should.” That’s not good in normal conditions, but in the heat of summer, it’s even more dangerous. Be familiar with the early symptoms of low blood sugar, and keep some carbohydrates with you to eat if you need to raise your blood sugar.

Once you put the steps into practice, diabetic safety becomes just another automatic healthy habit.

Medication storage is another concern. While unopened insulin should always be kept in the fridge, storing any medications in the heat can degrade them. “Don’t keep medications in your car,” advises Norton. “In a high temp situation, use an ice pack in an insulated lunch pail.”

More frequent testing is also a good idea. Your diabetes educator can help you with guidelines for an appropriate testing schedule.

It’s easy to forget, but foot problems are common for people with diabetes, and summer is all about bare feet, sandals, and open toed shoes. “Keep your feet covered in well-fitting shoes,” says Norton, “even in warm weather. Check your feet every day, and get treatment right away for any injuries.”

It’s a lot to consider, but, like using sunscreen and staying hydrated, once you put the steps into practice, diabetic safety becomes just another automatic healthy habit. “We all have health limitations of some kind,” says Norton. “With a little preplanning and awareness of their surroundings, people living with diabetes can enjoy themselves in the summer like anyone else.”

Article updated 7/2021. Original post 8/2017.

Managed by Kittitas Valley Healthcare, HealthNews does not provide medical advice. For medical advice, please see your healthcare provider.

Tick bites in children

Elise Herman , MD · May 5, 2021 ·

Contributor: Dr. Elise Herman, MD, KVH Pediatrics

Ahhh, summer! As that much anticipated warmer weather comes, it brings with it the risk of tick bites and the diseases they can cause. Knowing how to prevent tick bites, what to watch for if your child is bitten and how to remove ticks can make us feel more ready for outdoor adventures with our kids.

Ticks have 8 legs, flat oval bodies, and vary in size from the tiny deer tick (size of a poppy seed) to the wood/dog tick (size of an apple seed). They can swell to two or three times their usual size when they have had a blood meal. After sucking blood for 3-6 days, ticks fall off on their own, often leaving a small red bump. As it feeds on the blood, some of the tick’s spit gets transmitted to the host’s body and can cause infection. Ticks must be attached for at least 36 hours to spread infection.

Washington has fewer tick-borne diseases compared to other parts of the country, but we do have cases of Lyme Disease, babesiosis, tick paralysis, and tularemia. Lyme Disease is the most common tick-borne disease in our state and the US. It is most prevalent in the Northeast, mid-Atlantic, upper Midwest, and to a lesser extent on the West Coast. It is spread by the very small deer tick. 80% of Lyme Disease starts as a circular or oval red bull’s eye rash called erythema migrans at the tick bite location within 3-30 days of a bite. It can expand to up to 12 inches and lasts 2-3 weeks. Other signs of early Lyme Disease are fever, body aches, headache, chills, and neck stiffness. If Lyme disease is diagnosed early and treated with antibiotics, progressing to later stages of the disease is very unlikely. The later stages can involve bull’s eye rashes elsewhere on the body, joint pain, temporary facial paralysis, and limb weakness.

There are steps you can take to help prevent tick bites. Avoid dense, grassy or wooded areas, and stay to the center of the trail. Ideally, everyone should wear hats, light colored clothing, long sleeves, and long pants tucked into socks. You can spray permethrin on clothing (not the skin) to decrease tick attachment. Insect repellent containing 20-30% DEET is safe for children but you should minimize its use on very young children and infants. Do not use products that combine DEET and sunscreen since sunscreen needs to be applied more frequently than DEET. Do not apply DEET to the hands of young kids or near their eyes or mouth.

Do a tick check of your child right after being outdoors where there might have been tick exposure. Look at the clothing first, then the skin and scalp. Don’t forget behind the ears, in the armpits and groin area. Showering may help prevent attachment. If you do find a tick, use tweezers to grasp it close to the skin; pull gently and slowly to remove. Try not to crush it when doing this and wash the area well afterwards.

It is important to remember that the chance of a tick bite causing any disease is extremely low. Only 2% of deer tick bites will cause Lyme Disease even in high-risk areas and here in Washington state we are at low risk of any tick disease. So, wherever your outdoor adventures take you and your kids this summer, a bit of planning to prevent tick bites and knowing how to handle them if they happen will help you to all enjoy those long summer days!

Betty Osborne (Neurology)

HealthNews · April 21, 2021 ·

“Dr. Gustavson is super nice. His voice is soft and it just makes you feel comfortable. I felt good when I left his office – knowing I was going to be okay.” – Betty Osborne

KVH has welcomed a new Neurologist to our specialty team. His name is Dr. Andrew R. Gustavson. Dr. Gustavson comes to KVH with expert training in both Neurology and Psychiatry. He has worked all over the world, but his desire was to get back to practicing Neurology here in Eastern Washington.

Dr. Gustavson desires to treat patients with compassion and he works with them to build long-lasting relationships. The patient and their family are all participants in assuring the very best care. When someone has a neurologic disease, this may require care over the course of many years. The Doctor, the patient and their family are all essential to providing the best care for an individual. Dr. Gustavson enjoys this part of his practice and loves working with family members of his patients – either remotely or here in Kittitas County.

We received some recent comments from a patient after she came to see Dr. Gustafson for the first time in late 2020:

The patient, Betty, has had Parkinson’s disease for many years. Prior to Dr. Gustavson’s arrival at KVH, Betty had to go to Seattle to be seen by a Neurologist. This would mean her Daughter would need to take an entire day off to drive her to these appointments in Seattle. Betty wasn’t a fan of going to Seattle for her care. When Betty found out a Neurologist was coming to Ellensburg – she was ready to make an appointment right away.

“When I went to see Dr. Gustavson he checked me really good. He watched me walk and had me do some exercises to hold my hands out straight and fall backwards. I didn’t think I could do it, but he reassured me saying “We are here to catch you”. He is very nice. He speaks softly and makes you feel comfortable. He was very thorough and gave me a good checkup. I told him I would be out of medicine in January, so he said – “just come back and see me in three months and I will order and manage your medication for you.
You are doing well on this medicine.”

Dr. Gustavson says that if a patient has Parkinson’s disease we usually manage their care with medications. We can use surgical approaches if the disease gets more severe. I am seeing many Parkinson’s Disease patients since we opened my practice in Ellensburg, up to 50% of my patients on some days. The care of a person with Parkinson’s disease has to be individualized because you need to set up a medication regimen that’s is built specifically to help them with the issues they are having. It’s also a disease that progresses or changes over time – so we need to teach them and their caregivers how to adjust their medications themselves based on their symptoms.

Dr. Gustavson fell in love with Neurology as a college student. He became interested in how the brain works and this remains a great mystery. This means that we rely heavily on the patient history and physical exam to find the answers. It’s a very personal type of medicine. We have to work hard, with the right diagnosis, to tailor treatment to each individual person, according to their needs.

KVH is honored to have Dr. Gustavson on our team and to be able to provide this special care in the local community. Betty and many others are happy to have expert neurology care much closer to home.

View Dr. Gustavson’s provider bio page.

KVH partners with The Shoemaker Foundation to Reduce Maternal Mortality in Kittitas County

HealthNews · September 23, 2020 ·

Kittitas Valley Healthcare has partnered with the Shoemaker Foundation to implement the Blue Band Initiative in Kittitas County; a project that aims to improve awareness, recognition, and management of preeclampsia.

Preeclampsia is a multi-system progressive disorder that can occur any time during pregnancy and up to six weeks after delivery. It is characterized by hypertension and evidence of organ injury. As many as one in twelve pregnancies is affected by preeclampsia.

The Blue Band Initiative provides patient education and home blood pressure devices so mothers experiencing hypertension can closely monitor their health. Home monitoring and early recognition of symptoms may mean the difference between life and death for women with preeclampsia. Mothers are encouraged to wear a special “blue band” bracelet to quickly alert first responders and healthcare providers that she is at risk for preeclampsia, limiting delays in diagnosis and treatment. Thirteen separate healthcare organizations in Kittitas County are participating in the Blue Band Initiative.

The Blue Band Initiative fosters a shared model of care between the patient and her healthcare team promoting both quality patient care and patient self-advocacy. Kittitas Valley Healthcare Obstetric provider, Dr. Holly Dawson said “Patients have given great feedback about the program stating that it is helpful for them to be proactive about their health. They feel empowered to understand what is going on with their bodies and when to seek care.”

KVH would like to formally thank The Shoemaker Foundation for their support of this important initiative.

The Foundation at KVH was established in 1986 to support the mission of Kittitas Valley Healthcare. It consists of a 19-member volunteer board, dedicated to improving the services offered throughout the healthcare system. Since its inception, through the generosity of our community, The Foundation has donated over $2 million to the organization.

Resources:

Blue Band Initiative at KVH

Giving to The Foundation at KVH

Colton Harlin (Emergency Surgery)

HealthNews · August 28, 2020 ·

At the tender age of 10, Colton Harlin was generally used to the bruises and scrapes of pee wee football. And when the goal is a quarterback sack, a little pain for your efforts is to be expected, even during practice.

Colton was knocked down on the play. The quarterback remained unscathed. But Colton?

“My head was ringing,” he recalls. “My stomach was, like, hurting a lot.”

They returned to the sidelines, where Colton confided to his mother, Miranda. “I figured he’d be okay,” she says. “He’d cried ‘wolf’ so many times before; we thought he was just trying to get out of going to school.”

(Sound familiar, fellow parents?)

It wasn’t long before Colton was back on the field. He seemed fine.

“You know, we raised him to be a tough kid,” says his father, TJ. “We’re telling him, ‘You know what, son, you’re going to be all right. Sometimes we pull a small muscle in our tummy during practice. It’s bound to happen.'”

At the Saturday game, Colton was knocked down again. The pain came back like a flood. “I just tried to suck it up,” he recalls. “I didn’t want to cry in front of people.” Colton, telling his coach he was going to be sick, was pulled from play.

Returning home after the game, Colton went straight to bed, and to sleep. “I thought, ‘Maybe he’s just tired and needs rest,” says Miranda. The next morning unfolded like a typical family Sunday. “We’re up later, doing our normal routine, and Colton was watching TV.”

Suddenly, she saw her son bowing over the side of his chair. “I asked him what was wrong. His face was pure white. I said ‘Yeah, we’re going to go to the doctor, right now.’” She asked her daughter, Dakotah, to let TJ know, and with that, Miranda and Colton were out the door.

Colton and his family.

“We’re on our way to the hospital,” says Miranda, “and I’m on the phone with my mom. I said, ‘What if it’s appendicitis or something like that?’ But I didn’t know for sure.”

Still trying to reach TJ, the pair went straight to the ER. Labs were ordered. Miranda knew what was coming next. “Colton had never had his blood drawn with a needle,” she says. “But his nurses were able to calm him and get the needle in, and he was a champ right after that.”

Miranda and TJ finally connected by phone. “She said Colton was going right into surgery, and my heart just dropped,” he says, learning that his son would need an emergency appendectomy. “My world’s flashing before my eyes,” TJ recalls. “I played football for nine years. I’ve been hit in the stomach lots of times. And now this. Then I really started feeling like a bad parent, that he was really hurt.”

Dr. Daniel Smith would be performing the appendectomy. It was Miranda’s first time meeting the provider from KVH General Surgery. “He had the best bedside manner, ever,” she says. “He told Colton that he had a sick appendix, that we really don’t need it and don’t even really know why we have one. He reassured him and helped him understand what was happening.”

TJ and Miranda sat in the waiting room while Colton underwent surgery. “Of course I’m doing all the research I can possibly dig up on this,” says TJ. Less than an hour later, they were told Colton was in recovery, that everything had gone well. They’d been able to remove the appendix before it would have ruptured. Miranda immediately jumped up and ran in to see her boy.

Colton spent the night in the medical/surgical unit. “He got great care. The nurses were on top of anything he needed. They made sure he didn’t have a fever or any reactions to anything.”

When Colton was discharged the next morning, football was on his mind. “His team was going into the playoffs,” says Miranda. And so they carefully, slowly eased him back into practice, and before long, he was back on the field.

TJ has a message for all the ‘football fathers’ out there. “When your child says they’re hurt, really pay attention. It could be something serious. You know, we’re always pushing our sons to be greater than we were. Take into account what’s going on, and don’t shrug anything off. This could have been catastrophic.”

Miranda agrees. “Now, his toe starts aching, or whatever, we’re going to the doctor. We’re never going to not believe him again.”

As for Colton, he’s got his sights set on a career in the NFL. A linebacker for the Kansas City Chiefs, to be exact. And once he’s there? “Make it to the playoffs,” he grins. “And the Superbowl.”

Colton’s family would like to especially thank all of the staff who were involved in his care: Phyllis, Jana, Katie, Hannah, Pat, Luke, Jamie, Abigail, Ken, Kara, Anji, and Dr. Smith.

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