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“Bone Up on Bone Health” with Chelsea Newman, PA-C

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Upper Kittitas County Senior Center Hosts “Bone Up on Bone Health” with Chelsea Newman, PA-C

Cle Elum, WA – February 20, 2025 – The Upper Kittitas County (UKC) Senior Center is excited to announce a special “Bone Up on Bone Health Presentation” with KVH’s Family Medicine Cle Elum Physician Assistant Chelsea Newman, on March 18th from 4:00 PM to 5:00 PM in the Center’s main hall.

During this month’s Community Talk, Chelsea Newman will provide valuable insights on the prevention and treatment of osteoporosis and fall prevention—two essential topics for older adults seeking to maintain and improve their bone strength and overall well-being. Chelsea will share practical tips for the diagnosis, pharmacological treatments and lifestyle recommendations for osteoporosis.

This presentation is free and open to the community, and we encourage all to attend. It will be a great opportunity to learn about strategies for staying active, healthy, and safe in everyday life.

Details of the Event:

  • Date: March 18, 2025
  • Time: 4:00 PM – 5:00 PM
  • Location: Upper Kittitas County Senior Center, Main Hall, 719 E 3rd St, Cle Elum, WA 98922
  • Speaker: Chelsea Newman, PA-C from KVH’s Family Medicine Cle Elum Clinic

The UKC Senior Center is dedicated to supporting the health and wellness of older adults in our community, and we are pleased to offer this educational session as part of our ongoing programming.

For more information, please contact the UKC Senior Center at 509-674-7530.

About Upper Kittitas County Senior Center:
The Upper Kittitas County Senior Center is a community-based organization that provides a variety of programs, services, and activities for the Upper Kittitas County community. The Center is committed to enhancing all aspects and well-being of the lives of older adults through educational opportunities, social activities, and resources that promote health and well-being.

Bad Breath in Children

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As a parent, you may occasionally wonder how your sweet child can have such bad breath, but bad breath in kids happens!

As opposed to just ‘morning breath’, chronic bad breath (“halitosis”) can have a variety of causes and occasionally can indicate a true medical problem. The most common reasons for halitosis in children include:

  • Poor dental habits: Without routine brushing and flossing, bacteria on the teeth increase, which can cause a filmy layer called plaque. Plaque can lead to cavities and gum inflammation, both of which can cause bad breath.
  • Dry mouth: This can result from not drinking enough water, sucking of thumbs or fingers, chronic nasal congestion, or chronic mouth breathing.  A dry mouth means saliva is not adequate to wash bacteria and food particles away.
  • Infection or disease: Viral or bacterial throat, tonsil, or sinus infections can cause bad breath. The bad breath should improve once the infection resolves. If your child has fruity breath, this is quite unusual and could indicate a serious problem like diabetes, though other signs like excessive thirst and urination would typically be present as well.
  • Allergies: Chronic nasal congestion or postnasal drip due to allergies can create bad breath.
  • Foreign body: If a bead, piece of tissue, or some other small foreign body is stuck up in the nose, a foul odor and nasal discharge from one side of the nose may develop.
  • Large, pitted (having an irregular surface) tonsils: Although shallow pits are normal, they can trap bacteria, nasal secretions, and bits of food, which can become calcified, resulting in a tonsil ‘stone’ or tonsillith. This looks like a small whitish lump and can have a bad odor. It is not, however, pus and does not indicate a throat infection.
  • Certain foods: Eating foods with strong odors like garlic, onions, etc. can cause bad breath, but it is usually temporary.

There are multiple things to try if your child is having bad breath. Brushing teeth well (begin when teeth are touching) at least twice a day, flossing, and brushing the tongue is important. Make sure your child is drinking plenty of water throughout the day. Older kids can chew sugar-free gum with Xylitol which increases saliva, decreases bacteria, and lowers plaque buildup which can keep the mouth healthier overall.

If you observe chronic nasal congestion or mouth breathing, talk with your child’s health care provider.  If tonsil stones are noted, recall that these are harmless and usually go away on their own. Older kids can try gargling with salt water which may loosen the stone. If your child’s breath has a fruity odor especially if there are signs of diabetes, call your child’s provider right away.

Remember that in most cases bad breath is not serious and can be easily remedied. If your child’s breath is not improved by the above measures, a visit with your child’s healthcare provider and/ or dentist may be in order.

more about The contributor

Dr. Elise Herman

headshot of Dr. Elise Herman
Blog Posts
Profile

Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

Maternal Health Awareness Day

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January 23, 2025, marks Maternal Health Awareness Day, an important occasion to reflect on the health and well-being of mothers both globally and locally. It highlights the challenges many women face during pregnancy and childbirth, while emphasizing the urgent need for better care, resources, and support in communities everywhere. Whether in remote areas or urban centers, raising awareness can help ensure that all mothers, regardless of their location, have access to the care they deserve, paving the way for a healthier future for mothers and their children.

KVH is dedicated to supporting local families and maternal health through 4th Trimester Resource Center and KVH Women’s Health clinic.

Preventing Hearing Loss in Kids

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Excellent hearing is crucial to a child’s health and development. Poor hearing, even if mild, can cause problems in communication, learning, speech, and social skills. There are multiple reasons a child may develop hearing loss, including chronic ear infections, trauma, certain medications, and vaccine-preventable serious brain infections like meningitis.

In 2023 the American Academy of Pediatrics released a policy statement concerning one of the most preventable causes of hearing loss—excessive noise exposure, calling this a “largely unrecognized … serious public health hazard”. This type of hearing loss can be temporary or permanent. Over 12% of kids aged 6-19 years and 17% of adults under age 70 have permanent hearing damage from loud noise exposure.

Because children have smaller ear canals, higher frequency sounds are more intense and potentially more damaging. Think of noise as ‘dose-related’; the longer the exposure, the more risk even if just slightly louder than what is considered safe. Sounds over 75 dB for older children and adults can cause damage, depending on length of exposure. Noises we consider routine like city traffic, TV, and lawnmowers can harm children’s hearing. Concern has also been raised about infant sound machines used to help babies fall asleep. Since infants can have damage beginning at 60 dB, it is recommended to keep a noise level at 50 dB or lower, but sound machines may exceed this.

Depending on your child’s age, hearing loss can present differently. They may not meet developmental milestones. A 3-month-old should alert to a sound and babble back and forth. By 6 months, you should hear some consonants (“mamamama”, “dadada”, etc.). A 1-year-old will follow simple directions like, “Look at Mommy!”. Toddlers and older kids with hearing loss may have unclear speech, say “Huh?” a lot, and want the volume of TV or music turned up. Acute loud noise exposure can also cause ear pain and ringing in the ears (“tinnitus”).

Personal listening devices (PLDs) such as iPods, smartphones with earbuds, and headphones for watching TV can magnify the risk. The World Health Organization estimates 1.5 billion people worldwide are risking hearing damage from ‘unsafe listening practices’.

We can start early to protect our child’s hearing. Checking decibels in your child’s environment is helpful although decibel apps on phones are not 100% accurate. Anything over 85 dB can harm an adult’s hearing, and over 70 dB can impact a child. The louder the noise, the faster it can cause damage. 

Infant sound machines should be at least 7 feet away from a baby and at 50 dB max. Consider avoiding loud noise exposure (concerts, fireworks, etc.) but if unavoidable, younger children can wear sound protecting earmuffs (plastic cups connected with a headband) over their ears. Ear plugs are safe for older kids and there are different types; ‘musician earplugs’ dampen volume yet preserve audio quality better than foam earplugs from the drugstore.

Be a good role model by setting good rules for hearing protection and wear ear plugs yourself when appropriate. Set clear expectations for protecting every family member’s hearing. Loud background noise can also be distracting, worsen a child’s mood, and disrupt learning, so routinely having a quiet home at times can be a benefit. If you have concerns, talk to your child’s health care provider about getting a formal hearing evaluation by an audiologist.

more about The contributor

Dr. Elise Herman

headshot of Dr. Elise Herman
Blog Posts
Profile

Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

Kittitas County Public Health – Address Confirmed Pertussis Case

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The Kittitas County Public Health Department has issued a press release regarding a confirmed case of pertussis (Whooping Cough) in the area.

Visit WA State Department of Health for more information https://ow.ly/bsbE50UtNPx

Read their full press release here > https://www.co.kittitas.wa.us/press/default.aspx?prID=12047

Kittitas County Public Health is Working with Ellensburg High School to Address Pertussis

KVH Foundation Contributes Over $510,000 to Support KVH Departments and Patient Care

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Ellensburg, WA, December 12, 2024

Kittitas Valley Healthcare (KVH) would like to thank The Foundation at KVH for its significant 2024 financial contributions to Kittitas Valley Healthcare departments, providing critical funding to enhance patient care and support essential services. With a total distribution of $510,938, these donations underscore the Foundation’s unwavering commitment to improving healthcare in our community.

This year’s contributions have enabled the acquisition of vital medical equipment, educational materials, and patient care resources. Highlights of the donations include:

  • Emergency Department: $3,113 for Stop the Bleed kits to enhance emergency preparedness.
  • Nutrition Department: $990 for diabetic nutritional education supplies to support patient education.
  • Family Birthing Place: $1,031 for team leadership materials to strengthen care for expectant families.
  • Cancer Support Group: $890 for community cancer support group materials, fostering connection and resilience.
  • OB/ED/OR: $40,350 for four Glidescopes to improve patient care during procedures.
  • Leadership Team: $5,750 for Valor Training and conference attendance, promoting professional growth.
  • Home Health & Hospice: $18,686 for hospice patient materials and supplies to ensure compassionate end-of-life care.
  • Internal & Adult Medicine: $21,000 for a bladder scanner and supplies to enhance diagnostic capabilities.
  • KVH Imaging: $12,335 to fund mammograms for uninsured patients, advancing early detection of breast cancer.
  • TETWP (Tough Enough to Wear Pink): $702 for breast cancer awareness educational materials.
  • Medical/Surgical Nursing: $1,090 for training programs to elevate nursing expertise.
KVH Foundation

Additionally, The Foundation at KVH spearheaded a substantial $405,000 in 2024 funding for specialized medical equipment and advanced technology, including:

  • Family Medicine – Ellensburg: $10,300 for a bladder scanner.
  • Speech Therapy: $36,000 for a fiberoptic endoscope camera, enabling enhanced diagnostic accuracy.
  • OB/ED/OR: $82,000 for rapid transfusion and blood warming equipment to optimize critical care.
  • Orthopedics: $114,267 for a fracture table and $162,433 as a contribution toward the ARVIS Surgical Navigation System to advance orthopedic surgical precision.

These generous contributions exemplify The Foundation at KVH’s mission to improve healthcare services for the benefit of all.

“We extend our heartfelt gratitude to The Foundation at KVH for their unwavering support. These donations not only enhance the resources available to our departments but also reinforce our ability to deliver compassionate, high-quality care to our community,” said Jason Adler, CEO at KVH.

The Foundation at KVH continues to be a beacon of hope and a vital partner in driving innovation and excellence in healthcare for Kittitas Valley.  For more information about The Foundation at KVH and its initiatives, please visit https://www.kvhealthcare.org/foundation/ or contact Laura Bobovski at 509-933-8669.

2024.12.12 Foundation Distribution.pdf

Indoor Activities with Your Child

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It is great for everyone to get outside daily but sometimes we are stuck inside, often due to stormy weather or extreme cold temperatures. It may be easy to default  to ‘screens’ like video games, iPads, and scrolling on smartphones, but there are lots of things your child can do that involve creativity, brainpower, and just simple play. Use your judgement with the following activities depending on the age of your child.

Art- In addition to drawing and painting, don’t forget Play-doh (home-made Play-doh recipe on-line), cut or torn paper, collages, etc.

Baking (with good supervision of course)

Crafts- Local craft and dollar stores have inexpensive materials appropriate for different ages. “C” can also be for ‘Charades’, the classic guessing game.

Dancing- Put on the classic music you grew up with and rock out with the kids!

Eggs- Use paints or markers to decorate the shells of hard-boiled eggs.

Fort- Let you child get creative making a fort of boxes, blankets, chairs, etc.

Giggling- Tell jokes, riddles, do hand clap routines, etc.

Hair- Have fun with wacky hair styles for the kids (and maybe for you—let them play hairdresser!).

Indoor scavenger hunt- Give kids a list of colors, shapes, and specific items to look for in one room or small area of the house.

Jump rope- This is great indoor exercise if you have enough space.

Kitchen duty can be fun when kids come up with a (simple) menu and you prepare food together.

Listen to music- Consider exploring music of different cultures and parts of the world.

Make music- Use real instruments or pots and pans, shaking a jar of beans, etc. Have a musical parade through the house- noisy but fun!

Necklace– Dye tube-shaped pasta using a small amount of food coloring mixed with white vinegar and let dry. Thread on yarn for a cute necklace (make big enough to go over the head).

Obstacle course-Your child can create a course with cardboard boxes, towels as ‘water’ to be jumped over, a length of string as a ‘tightrope’, throw pillows as rocks to be stepped on with the floor as ‘hot lava’, etc.

Pretending- Kids love to pretend, whether it is acting out a fairy tale or pretending to be a teacher. Endless options!

Quiet activities like puzzles and Legos are a nice way for your child to play independently.

Reading- The reader (either you or your child) can use funny voices and exaggerated emotions which make it very entertaining. Or try Racing in unusual ways: crab-walk, bunny hopping, while holding a big spoon of water, etc.  

Seal, swan, snake- Take turns acting like different animals and see if others can guess which critter is being imitated. Also do some ‘Science experiments’—you can find many ideas on-line.

Tell stories about when your kids were little or make up stories together about adventures their stuffed animals might have. There is a lot of guidance on-line for storytelling.

Uno or other kids’ card games are simple, fun and can encourage good sportsmanship.

Vet office for stuffed animals- Set up a pretend animal clinic- use a flashlight and other household items as ‘instruments’ to examine the ‘patients’.

Writing letters- Teach your kids this ‘lost art’ and let them experience how happy the recipients will be to get an actual letter!

X marks the spot- create a simple map of one room in the house and hide ‘treasure’ (small things like fridge magnets) and put an X on the map for their location. See how your treasure hunters do without too much help.

Yarn- Kids can learn finger knitting, crocheting, or standard knitting with on-line instruction.

Zinnia seeds- Plant zinnia or other (small) flower/ herb seeds in cups with seed or potting mix. A small UV light or a spot on a sunny windowsill will be needed once the seeds sprout.

more about The contributor

Dr. Elise Herman

headshot of Dr. Elise Herman
Blog Posts
Profile

Dr. Herman is passionate about community health outreach, school programs, and child/family health and wellness. She has more than 31 years of experience as a pediatrician in Ellensburg, Washington, the last 3 with KVH Pediatrics. In 2022 Dr. Herman mostly retired from practice and continues to contribute blog posts and remain a visible advocate for kids in the community.

Farewell to KVH CEO Julie Petersen

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As Julie Petersen retires after eight and a half years as CEO of Kittitas Valley Healthcare, we should recognize the incredible work she’s done for the people of Kittitas County. When the Board hired Julie in 2016, we knew that she had a strong financial background, having served as CFO and CEO at Prosser, and she came highly recommended by other healthcare leaders. As a CWU graduate, it was also something of a homecoming for her. The Board was confident that we were hiring the right person for the job. But we couldn’t have anticipated just how much she would contribute to our community.

With the support of the Board, Julie’s primary goal has been to provide greater access to healthcare services in Kittitas County and to do so in a financially sustainable way, so that KVH can remain a locally controlled community hospital. Julie saw the growing demand for services here and vowed to keep care local, so people didn’t have to travel over a pass to get treatment. Under her leadership, KVH began to offer many new specialty services, including cardiology, neurology, vascular surgery, nephrology, maternal fetal medicine, pediatrics, otorhinolaryngology (ENT), workplace health, wound care, dermatology, and inpatient dialysis. KVH has also expanded existing services, including physical therapy, and now has a 24-hour outpatient pharmacy and a rapid access clinic. To handle our growth, KVH purchased and renovated the Medical Arts Center and the Radio Hill Annex. We are almost finished with the expansion of our operating rooms, which will greatly increase the number of surgeries our clinicians can perform. Because of physician shortages and low reimbursement rates, several hospitals in Washington state have had to close their OB/GYN practices, especially in rural areas. Julie has maintained those services here so residents don’t have to travel to Yakima to deliver their babies.

Since 2017, the population of Kittitas County has stayed roughly the same as it is now: about 46,000. Yet the number of patient encounters (appointments) has grown by 60 percent: from 67,757 in 2017 to 108,250 this year. The number of unique patients we serve has grown from 26,201 in 2018 to 38,105 in 2023. It can be frustrating when you have to wait weeks to see your doctor, but KVH is doing its best to keep up with patient demand.

What is perhaps most impressive is that, under Petersen’s watch, KVH has done all this while remaining financially solvent. Rural hospitals confront unique financial challenges, which has led to the closure of 193 rural hospitals in the U.S. since 2005. Many others have merged with or been acquired by larger systems – 58 already this year. Unlike many other healthcare organizations in Washington and elsewhere, KVH has maintained a positive operating margin – this despite the fact that Kittitas County Public Hospital District 1 has the lowest tax levy of any other public hospital district in the state.

Julie is one of the most respected healthcare executives in the Northwest. She has had several leadership positions with the Washington State Hospital Association, the Association of Washington Public Hospital Districts, and the American Hospital Association. She has maintained positive relationships with our elected officials in both Olympia and Washington, DC. She received WSHA’s Joe Hopkins Award in 2022, “a lifetime achievement award for a health care leader who has made outstanding contributions to health care in the state, especially to rural health care.”

Behind the scenes, Julie has performed many acts of kindness and sacrifice that are too numerous to mention. Julie has always been transparent with and taken direction from the elected commissioners. She refused to be given a raise that was any higher than what the unions negotiated for themselves. When hospitals were losing revenue during the COVID pandemic because of freezes on non-emergency procedures (among other things), no employee was fired or had their pay cut. Julie has also promoted people from within. She has mentored the new CEO, Jason Adler, and the other members of the Senior Leadership Team to become excellent leaders in their own right – thus helping to make the organization strong beyond her tenure as CEO.

I can’t think of anyone who has had as much of a positive impact on Kittitas County over the last eight and a half years. On behalf of the Board, I want to thank her for her dedication to the well-being of the people of Kittitas County, both patients and KVH’s nearly 800 employees. Personally, I am grateful for her intelligence, her dry sense of humor, and her moral character. It’s been a pleasure to work with such a smart and savvy CEO who’s also always trying to do the right thing.

Matt Altman is President of the KVH Board of Commissioners and a professor at Central Washington University

Jason Adler appointed as next CEO of KVH

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We are pleased to announce the appointment of Jason Adler as the next Superintendent and Chief Executive Officer of Kittitas County Public Hospital District #1, dba Kittitas Valley Healthcare.  Jason will assume these responsibilities on December 12, upon the retirement of Julie Petersen, current CEO.

Jason has been with KVH since 2014, beginning his journey with us as a Financial Analyst and most recently serving as Chief Financial Officer. He brings extensive experience in healthcare finance and reimbursement and has played a pivotal role in our rural networks. Jason shares the Board’s vision of continued growth and expanded access to healthcare services. He and his family are deeply committed to Kittitas County, and they look forward to raising their children in this community. We are confident that Jason is the right person to lead KVH into the future.

We will celebrate this transition on December 10 at 3:00p.m. with a small reception in the KVH Hospital Café.   Please join us as we thank Julie for her years of service and welcome Jason into this new role.

National Shortage of IV Solution

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The United States is experiencing a severe national shortage of IV solution. IV solution is used in many ways in hospitals and health care settings, including to treat dehydration, to deliver medications, to stabilize blood pressure, to help with blood transfusions, and during many surgeries. While we at Kittitas Valley Healthcare are experiencing shortages of IV solution, we are ready and available to provide emergency care. All hospitals are taking multiple steps to conserve supply, including rescheduling some less time-sensitive procedures and changing the way we deliver care in accordance with expert state and national guidance in order to reserve IV solution.

The shortage was caused when Hurricane Helene damaged the North Carolina manufacturing plant that produces about 60 percent of the IV solution used in America. We are carefully managing our supply of IV solution to make sure patients who need it most can receive the fluids they need. We are using strategies to conserve supplies. For example, if you come in for care you may be asked to drink fluids before and during your stay rather than receiving fluid through an IV, or your medication may be delivered in a different way.

We are in daily communication with government agencies and our IV solution supplier seeking to increase supply as soon as possible. Please do not hesitate to reach out to your provider with specific questions about your care.