Physician to Physician: Summer 2014  |  Meet Our New OB/GYN Teams!
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The Oregon Clinic Continues to Grow

OB/GYN Practice Expands, Adds Nurse-Midwife Services

Women's Health Today  Everywoman's Health

The Oregon Clinic has greatly expanded our Obstetrics and Gynecology practice to provide women access to twelve of the area’s top Obstetrician/Gynecologists, Nurse Practitioners, and Board Certified Nurse-Midwives.

“The growing Portland population means there are more and more women in our community in need of quality gynecological care and we are thrilled to expand our services and add the physicians and staff from Women’s Health Today and Everywoman’s Health,” stated Jill Shaw, DO, The Oregon Clinic. “We are especially excited to now offer patients the option to consult with a certified nurse-midwife or family nurse practitioner when appropriate, expanding our line of care and giving patients a choice in how they manage their pregnancy and overall health.”

In April, Women’s Health Today joined our team. Then in July, Everywoman’s Health also joined: 

Joining from Women’s Health Today:

Welcoming New Patients
5050 Northeast Hoyt
Suite 362 and Suite 353 (Midwife Clinic)
Portland, OR  97213
(503) 239-6800
Refer a Patient

Joining from Everywoman’s Health:

Welcoming New Patients
501 N. Graham St.
Suite 445
Portland, OR 97227
(503) 284-5220
Refer a Patient

Achievements and Acknowledgements
Facilities Served by The Oregon Clinic - Radiation Oncology Receive ACR Accreditation
Patients of The Oregon Clinic - Radiation Oncology (in partnership with Providence Health & Services) can be certain they are receiving the highest level of care available in Portland. Earlier this year, all three radiation oncology facilities served by The Oregon Clinic—Providence Portland Medical Center, Providence St. Vincent Medical Center, and Clackamas Radiation Oncology Center—were awarded a three-year term of accreditation by the American College of Radiology (ACR). The efforts to earn ACR accreditation were championed by The Oregon Clinic and required collaboration with the Providence team, and now these three facilities are the only radiation oncology locations in Portland to achieve ACR accreditation.

“Our program philosophy is to provide the safest and highest-quality services to our patients. As part of our continuing commitment to excellence, The Oregon Clinic asked the ACR to objectively evaluate our program,” said David Gannett, MD, medical director for The Oregon Clinic - Radiation Oncology. “It was only with the close collaboration and hard work of our physicians together with the radiation oncology professionals at the Providence locations that we were able to achieve this prestigious designation and go above and beyond to ensure the quality of our patient care.”

Read the full story...
We're Here To Help
Do you have patients diagnosed with sleep apnea? Are they struggling with CPAP/BPAP therapy?
The Oregon Clinic offers your patients a free monthly sleep apnea education & support program at our Gateway Medical Office Building.

When: Every 4th Tuesday at 1:30pm
Where: 1st Floor Conference Room,
Gateway Medical Office Building
1111 NE 99th Ave.,
Portland, OR 97220

Free and Open to the Public
Call (503) 963-3030 or refer your patient online.
Healthcare in The Media
Yes, Sovaldi Costs $1,000 a Pill, But Liver Docs Would Like To Prescribe It To More Patients
“If price were no issue, most patients would be candidates and would want it and we’d prescribe it,” said Dr. Ken Flora, director of hepatology for The Oregon Clinic’s Liver Clinic.

Read the full article in the Portland Business Journal...
New Services & Locations
The Oregon Clinic Expands Podiatry Services to Patients in Clark County
In July 2014, Dr. Troy Simmons opened a new Podiatry office in Mill Plain, WA. Appointments available Tuesdays from 9:00am to 4:00pm.

The Oregon Clinic’s new Podiatry office is located at the Mill Plain Medical Office Building, 315 SE Stone Mill Dr., Suite 200, Vancouver, WA 98684. Refer a patient online or by calling (503) 963-2964. 
Liver Clinic First in Nation to Receive Prestigious NCQA Recognition
The Liver Clinic, part of The Oregon Clinic Gastroenterology - East, is one of only three Portland-area clinics to have successfully completed the rigorous requirements and receive designation as a Patient-Centered Specialty Practice (PCSP) by the National Commission on Quality Assurance (NCQA). It is the only liver clinic to receive the honor.
According to Ken Flora, MD, FACG, AGAF, Director of Hepatology for The Liver Clinic, “NCQA recognition required that we rigorously review patient protocols in a meaningful way, paying particular attention to communication between ourselves, the patients, and the primary providers. We developed pathways defining levels of care among the different liver diseases, allowing us to determine who would do what, when, where, and for how long.

We configured our clinic so we can interact with primary care providers in a manner that better satisfies their expectations and the needs of the patients. And we developed clinical algorithms to standardize the evaluation of patients with liver disease and better define at which point referrals to specialists would be appropriate.”
The Liver Clinic provides care for several thousand patients with liver disease, ranging in severity from acute illness to cirrhosis and its related complications.

The Liver Clinic offers the latest treatments for hepatitis B and C, liver failure, and, in conjunction with the gastroenterologists, hepatobiliary surgeons, and radiation oncologists of The Oregon Clinic, liver and biliary cancer.

NCQA is a private non-profit organization dedicated to improving health care quality, which accredits and certifies a wide range of health care organizations. For further information on NCQA’s Patient-Centered Medical Home and Patient-Centered Specialty Practice designations, see the article “Transforming Specialty Practice — The Patient-Centered Medical Neighborhood” in the April 10, 2014 issue of the New England Journal of Medicine.
The Oregon Clinic - The Liver Clinic
(503) 963-2707
1111 NE 99th Ave., Suite 301
Portland, OR 97220
Refer your patient online.
Introducing Our New Physicians
Surgical & Burn Specialists Welcomes Dr. Charles Mueller
Charles Mueller, MD
Dr. Mueller is a board-certified surgeon with more than 20 years of experience practicing rural healthcare. For the past 17 years, Dr. Mueller has served as surgeon and chief of surgery for the Texas County Memorial Hospital in Houston, Missouri, where he also served as Chief of Medical Staff for nine years. He also previously served as a Major in the United States Air Force Medical Corps. His Areas of Focus include Hernia Repair, Gallbladder Surgery, and Appendectomy. Dr. Mueller is welcoming new patients: refer your patient online.

Meet many of our specialists via their video profiles by clicking here.
Local Specialists. National Reputations.
Dr. Lee Swanstrom Appointed as a Director of the American Board of Surgery
We are proud and excited to share that Lee Swanstrom, MD, FACS, was elected as a director for the American Board of Surgery, serving a six-year term. Dr. Swanstrom is an award-winning surgeon with our Gastrointestinal and Minimally Invasive Surgery division (GMIS) and previously served as president for the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). The American Board of Surgery is an independent, nonprofit organization founded in 1937 and has the responsibility of certifying surgeons to practice and of defining the standards of education, training, and knowledge in the field of surgery.

“It is truly an honor to be nominated by my peers and selected by the Executive Directors of the ABS to serve as a Director of the Board. The ability to have a say in how surgeons are trained and certified, and to help set policies on the future direction of American surgery, makes this the highest honor an academic surgeon can attain,” shared Dr. Swanstrom.

Dr. Swanstrom has been featured twice as one of Portland Monthly Magazine’s “Top Doctors.” He is credited with performing the first natural orifice transluminal endoscopic surgery in the United States in 2007, a transgastric cholecystectomy, as well as many other pioneering “firsts.” He is one of only two physicians in Oregon who implants LINX devices to control gastroesophogeal reflux disease (GERD).
The Oregon Clinic
Gastrointestinal and Minimally Invasive Surgery (GMIS)
(503) 281-0561
4805 NE Glisan Street
Suite 6N60
Portland, OR 97213
Refer your patient online.
Something to Look For.
Family History Matters for Colon Cancer

Family history matters when it comes to identifying patients who are at increased risk for colon cancer. Related factors to consider in these patients include the number of relatives with colon cancer, the age of the relative when the cancer was diagnosed, and whether it is a first-degree relative (parents, sibling) or second-degree relative (uncle, aunt, grandparent) who had the diagnosis. (Table 1)

Average risk patients should start screening at age 50. But what about those patients at higher risk? After identifying a high-risk patient because of family history, we suggest following the 2009 guidelines published by the American College of Gastroenterology. (Table 2)

You occasionally may find an otherwise healthy patient who has a young family member with colon cancer. These patients are at much higher risk, and the general rule is to start screening by colonoscopy when the patient is 10 years younger than the age of the relative at diagnosis, no later than age 40. For example, if your patient had a brother diagnosed at age 40 with colon cancer, your patient should then have his or her initial colonoscopy at age 30.

Finally, sometimes the decision about when to start colon screening is unclear. What about patients who don’t know their family history? At what age should patients with a polyposis syndrome have their colonoscopy? What do you tell a patient who has family members with multiple other cancers? Should they have earlier screening?

Consider a physician-to-physician consultation with The Oregon Clinic Gastroenterologists for all your colon cancer screening questions.

Table 1
Family History Lifetime Risk
One first-degree relative with colon cancer 2-3 times increased
Two first-degree relatives with colon cancer 3-4 times increased
First-degree relative with colon cancer diagnosed at age < 50 years 3-4 times increased
One second- or third-degree relative with colon cancer About 1.5 times increased
Two second-degree relatives with colon cancer 2-3 times increased
One first-degree relative with an adenomatous polyp About 2 times increased

Table 2
Familial Risk Category Screening Recommendation
Single first-degree relative with CRC or advanced adenoma diagnosed at age >= 60 years Same as average risk
Single first-degree with CRC or advanced adenoma diagnosed at age <60 years or two first-degree relatives with CRC or advanced adenomas. Colonoscopy every five years beginning at age 40 years or 10 years younger than age at diagnosis of the youngest affected relative.
New Procedures & Treatments
Now Offering Low-Dose CT Scan for Lung Cancer Screening


The US Preventive Services Task Force (USPSTF) now recommends lung cancer screening with low-dose computed tomography (CT) scans of the chest for patients age 55-80, with a 30 pack-year history of smoking, who continue to smoke or have quit smoking within the last 15 years, and would be willing and able to undergo curative treatment. The Oregon Clinic has recently launched a Lung Cancer Screening Program that meets all of the USPSTF requirements, including a multidisciplinary review of CT scans with nodules that are greater than 8mm in size, and using one of the few ultra low-dosage CT scanners in the Portland community.
“The process is simple for referring providers, minimizes anxiety for patients, provides options for smoking cessation, and helps primary care providers get the information they need to ensure their patients receive appropriate follow up and care is coordinated through their own doctor,” stated Dr. Bradford Glavan, Medical Director for The Oregon Clinic’s Lung Cancer Screening Program.
For details on our program and the process for referring your patient, click here.
Lung Cancer Screening Program
1111 NE 99th Ave., Suite 200
Portland, OR 97220
(503) 963-3030
The Oregon Clinic In the Media
Newsworthy Stories

As one of the top specialty care providers in Oregon, our clinic frequently makes a splash in the healthcare community. We're committed to embodying excellence in everything that we do. Click on the links below to read about our news and activity in the community.
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