kids + technology - Torrance Memorial Medical Center
Transcription
kids + technology - Torrance Memorial Medical Center
PULSE H E A LT H Y L I V I N G F O R T H E S O U T H B AY WINTER 2014 KIDS + TECHNOLOGY HOW MUCH IS TOO MUCH? THERE ARE NO SURE diREcTiONS TO WEALTH, ONLY SURE GUidES. With $3.7 billion* dollars in client assets under management as of December 31,2013, SEIA excels at customizing wealth management and investment strategies for individuals and corporations. • Portfolio Management • Retirement Planning • Estate and Legacy Planning • Philanthropic and Family Foundation Management Vince A. DiLeva MS, CFP ®, AIF ® Senior Partner Eric Pritz CFP ®, CMFC Partner For inquiries or a consultation please call: Vince DiLeva • (310) 712-2320 • [email protected] Eric Pritz • (310) 712-2349 • [email protected] SEIA Signature Estate & Investment Advisors, LLC www.SEIA.com Riviera Village 1815 Via El Prado, Suite 100 Redondo Beach, CA 90277 (888) 789-8393 • (310) 712-2320 C E N T U R Y C I T Y • O R A N G E C O U N T Y • R E d O N d O b E A C h • PA S A d E N A • V I R G I N I A *SEIA and its affiliates. Registered Representative/Securities offered through Signator Investors, Inc., Member FINRA, SPIC, 2121 Avenue of the Stars, Suite 1600, Los Angeles, CA 90067, (310) 712-2323. SEIA, LLC and its investment advisory services are offeres independent of Signator Investors, Inc. and any subsidiaries or affiliates. SEIA-04182011-00666 CA INS. LICENSE #OB84300, #0E55966. PRESIDENT’S LETTER PULSE MAGAZINE VP, Branded Media Emily S. Baker Art Director Angela Akers Editor Jacqueline Renfrow Copy Editor Laura Watts Graphic Design Anita Bilan Contributors James Mills Brie Cadman Colleen Farrell Carole Jakucs Kristin Reynolds Laura Roe Stevens Katie Griffith Lisa Barley Paige Lapen Photographers Jeff Berting Michael Neveux Lauren Pressey Dear Readers, Our modern digital age offers access to unlimited information regarding health and wellness improvement. At the same time, we are challenged to effectively use that information and implement our own personal wellness plan. In this issue of Pulse, we seek to help bring attention to content that will impact your overall health and wellbeing. In our events calendar, we highlight some of the South Bay’s most fun and health-minded activities. We have also shared stories about those in our community who have inspired us by overcoming their own significant health challenges. Enjoy the content of this Pulse and take advantage of the information to improve your own personal health. Managing Partner Charles C. Koones Managing Partner Todd Klawin Craig Leach President, Chief Executive Officer Torrance Memorial Medical Center 58 11th Street, Hermosa Beach, CA 90254 Tel 310-376-7800 Fax 310-376-0200 moontidemedia.com WWW.TORRANCEMEMORIAL.ORG PULSE | 3 CONTENTS HEALTH LINKS FEATURES 18 26 8 9 MAXED OUT BY MEDIA Is Technology Hurting Our Kids? PASSING THE TORCH IN SEASON Garlic 10 11 HEALTHIEST PERSON I KNOW The El Segundo Police Department, Above and Beyond 34 THE REPLACEMENTS Four South Bay locals return to their active lifestyles after shoulder, knee and hip replacement surgeries. 12 14 BOCCE COURTS ASK THE DOC Can I Prevent Diabetes CALENDAR SUPPORTING THE COMMUNITY Q&A With Craig Leach 16 COMMUNITY BENEFITS Kids ‘N Fitness 17 48 50 TCU’S 20TH ANNIVERSARY FLASH CONSTRUCTION UPDATE HEARTBEATS 24 ARIEL AGUIRRE Student Volunteer Becomes a Nurse 32 NORMAN PANITCH, MD Beloved Physician Retires 44 THE CHENS Sunrider Family Gives Back PHOTOGRAPHED BY JEFF BERTING 40 THE 9 LIVES OF CHRIS MILOE One man’s run-in with a tree saves his life and possibly the lives of future generations. PHOTOGRAPHED BY MICHAEL NEVEUX 4 | PULSE WINTER 2014 ON THE COVER PULSE H E A LT H Y L I V I N G F O R T H E S O U T H B AY WINTER 2014 KIDS + TECHNOLOGY HOW MUCH IS TOO MUCH? How are kids today affected by the explosion of television, iPads, computers, and handheld devices? Turning 65? On a Retiree Health Plan? Have Recently Been Eligible for Medicare? Let Torrance Hospital IPA Help Medicare 101 EDUCATIONAL PROGRAM Attend our FREE Medicare 101 educational program and learn about the options available to you under Medicare. Make a reservation today at www.thipa.org/Medicare101 or call 310-257-7255. THIPA is a non-profit multi-specialty physician network owned by nationally recognized Torrance Memorial Medical Center. THIPA has been serving the South Bay community for 30 years. Our members have access to high-quality and personalized care from over 350 primary care and specialist physicians. * This is an Educational Program Not a Sales Meeting 1-866-568-4472 1-310-375-8139 Hearing Impaired (TTY/TDD) www.thipa.org PULSE_01272014 EDITOR’S LETTER O BE PRESENT n a recent chaotic morning, I was rushing to drop my son off at preschool—coaxing him to move faster with one arm and pushing a double stroller with the other. Once he was safely within the classroom doors, I sighed a bit of relief that one daily task was accomplished. I suppose I looked, as usual, disheveled and occupied with the next set of tasks I needed to accomplish. That’s when my friend, a very wise woman and one-half of a power couple—a rabbi’s wife—passed along some of her husband’s wisdom. The rabbi makes it a point to remind his wife to “be present” in whatever she is doing. Why does it sometimes feel like we are just going from task to task, moving on to the next responsibility and not striving to be in the moment? These thoughts have come back to me numerous times while putting together this Winter issue of Pulse. First and foremost, “be present” could not be more alive than in our feature about technology and our children. It has become apparent that we are living in a time when we can no longer ignore how technology is affecting kids’ relationships and personalities, so parents need to start asking questions like “Should I tell my child to turn off all electronic devices during dinner?” and “How much video game and iPad time is too much?” Now “being present” takes more work than just sitting in a room together—it means setting limits. And in another feature in this issue, you will get to meet Chris Miloe, a man who seems to have defied death again and again. Constantly jumping back into travel and adventures with friends and family, he takes nothing for granted and enjoys every moment of living life. In our final feature, giving you the ins and outs of shoulder, hip and knee replacement surgeries, the theme of “being present” still rings true. You’ll hear stories from three physicians and four patients about how these joint replacement surgeries gave patients a second chance at living life to the fullest—one volleyball game, paddleboarding session and ATV ride at a time. So I encourage you, while reading about these amazing members of our community, to be present. —Jacqueline CONTRIBUTORS LAURA ROE STEVENS is a freelance writer and editor and mom of two, with a soccer-crazed 11-year-old, and a four-year-old who is always on the go. 6 | PULSE WINTER 2014 KRISTIN REYNOLDS works in marketing for donor, corporate and community relations at the Pancreatic Cancer Action Network. She enjoys learning about—and sharing—the stories of the wonderfully unique and passionate people who make our South Bay community special. MICHAEL NEVEUX is a commercial photographer/ videographer who shoots fashion, fitness, sports, product, architecture and lifestyle. He has had a studio in the South Bay for more than 25 years. 310-373-6864 www. southbaysurgeons .com HEALTH LINKS PASSING THE TORCH: PHYSICIANS IN TRANSITION DR. JOHN SABATINI RETIRES AFTER THREE DECADES OF SERVICE; DR. SALMAN AZAM AND DR. SANG YONG JI ARE WELCOMED WRITTEN BY KRISTIN REYNOLDS For 35 years, John Sabatini, MD, took the time to sit with patients, hear their concerns and offer thorough explanations regarding their treatment and care. When he retired last November, COR Cardiology and Torrance Memorial’s Melanie and Richard Lundquist Cardiovascular Institute lost a highly regarded and respected specialist. Dr. Sabatini was unique in his practice, says Debby Kelley, vice president of Ancillary & Support Services for the hospital. He specialized in both interventional cardiology (focuses on catheterbased treatment as it relates to the heart’s arteries and veins) and electrophysiology (treats problems related to the heart’s rhythms). Dr. John Sabatini Dr. Sang Yong Ji Dr. Salman Azam “No other cardiologist on staff did both,” Kelley says. “He was highly respected for this ability.” invasive cutting-edge procedures. Working with electrophysiologist. I enjoy sharing the excitement a multidisciplinary team to launch a structural with a patient after their successful curative Sabatini’s dry wit and workhorse mentality. They heart intervention program requires dedication, procedure.” each remember him as incredibly approachable and attention to detail and the ability to bridge different always willing to go the extra mile. He took great specialties—characteristics the team is known for, feel like his only patient. “One of my professors care of his patients, and they were very fond of him. Dr. Azam says. always said, ‘When it comes to patient care, never Aside from this expertise, the staff miss Dr. He adds that he strives to make every patient Though Dr. Sabatini is gone, his philosophy “The cardiology team values patient satisfaction regarding the significance of the special doctor- and prides itself on providing high-quality care. Our basic, I have applied this in my practice, and I’ve patient relationship remains. Salman Azam, MD, focus on treating acute complex cardiac problems, never seen this approach fail.” and Sang Yong Ji, MD, who recently joined the as well as focusing on prevention or progression of cardiology team, both maintain this philosophy. disease, sets up a winning formula for patients.” In fact, Dr. Azam, a Southern California Once the new Lundquist Tower opens later this be afraid of taking it personally.’ Although it sounds Dr. Ji is fluent in Korean and Spanish and says he enjoys being able to serve the diverse communities in the area. He and his wife, parents to native, says a favorite part of the job is listening, year, it will house four cardiac catheterization labs three children younger than age 5, relocated to the understanding patients’ concerns and effectively for angioplasty and stent placement. As a result, the South Bay and have enjoyed soaking in the lifestyle. communicating so they understand any medical Cardiovascular Institute’s newly unoccupied cath problems or treatment. “It’s important that the labs will be converted to a heart rhythm center and healthy tip, aside from eating right and exercising patient is comfortable with their care,” he says. will be equipped for all electrophysiology needs. (no-brainers, by now!), is to stay positive. “This helps them make any necessary changes in lifestyle to prevent progression.” Dr. Azam is an interventional cardiologist with Dr. Ji, an electrophysiologist, says that unlike it’s important to see the glass as half full, not half arrhythmia often have a ‘curable’ condition, but empty,” Dr. Azam says. due to its complexity and subtle characteristics, underway to launch a structural heart intervention there can be a significant delay in making a program—a first in the area—that will offer less- correct diagnosis and subsequent referral to an WINTER 2014 “No one can predict life’s uncertainties, but many other medical conditions, “patients with a specialty in structural heart disease. Plans are 8 | PULSE Coincidentally, both doctors say their #1 heart- Dr. Ji agrees. “Give thanks, be happy, and remember to stop and smell the roses!” HEALTH LINKS IN SEASON: GARLIC WRITTEN BY LISA BARLEY A clove a day may help keep heart disease at bay. Garlic, the pungent herb used widely as a flavoring in cooking, has also been used throughout history to prevent and treat a wide range of conditionss. Debra Nessel, RD, CDE, says, “Research does suggest that compounds in garlic truly contribute to good overall health. Garlic has antibacterial, anticancer and anti-clotting effects.” Garlic contains antioxidant properties that make it protective against health conditions such as heart disease and cancer. It may lower your blood pressure, at least slightly, and particularly if you have high blood pressure. “It relaxes the blood vessels and increases blood flow by boosting our supply of hydrogen sulfide,” says Nessel. Worry about your cholesterol? Garlic may slightly lower blood pressure and lessen the risk of heart disease and stroke by slowing atherosclerosis (hardening of the arteries). It’s also possible that garlic may lower cancer risk. In addition, garlic might reduce the frequency and number of colds when taken as a preventative. “It may be that allicin blocks enzymes that are active in bacterial and viral infections,” says Nessel. It’s important to note that many claims about garlic’s benefits are based on test tube or animal studies. More research needs to be done in humans to confirm the benefits, but scientists agree that garlic is a healthful ingredient. Aim to eat at least one clove of garlic per day, and opt for raw (or close to it) for maximum benefits. RECIPES ROASTED GARLIC SPREAD This is a fabulous and easy way to turn garlic into a gooey, sweet spread. Spread it onto slices of toast or GARLIC & LEMON MARINATED CABBAGE SALAD bruschetta for a snack, or use it on a sandwich with This recipe can be prepared a day in advance fillings such as roasted vegetables, slices of prosciutto if desired. It develops more flavor over time. or pan-fried mushrooms. Roasted garlic cloves also make a great addition to pasta sauces. 4-5 cloves garlic, pressed 1/3 cup freshly squeezed lemon juice 2 heads of garlic (or more as desired) 2–3 tablespoons extra-virgin olive oil extra-virgin olive oil 4 cups shredded green cabbage salt and pepper (about 10 ounces) salt and pepper to taste 1. Preheat oven to 350º. Slice whole heads of garlic in SUPPLEMENTS If you’re not a fan of garlic’s flavor, consider half horizontally through the middle. Place on baking 1. Whisk together garlic, lemon juice and a supplement. Look for a product that is sheet with cut side facing up. Drizzle generously with olive oil in a bowl. standardized to contain at least 1.3% allicin. oil and season with salt and pepper. Bake 30 minutes, 2. Pour mixture over cabbage and toss until In the United States, pharmacy-grade garlic then remove foil and bake about 10 minutes more, well distributed. contains 0.3% (powdered form) to 0.5% until garlic is golden brown. 3. Season with salt and pepper and marinate (fresh, dried form) allicin. Avoid enteric- 2. Allow to cool, then squeeze roasted garlic from at least 15 minutes before serving. coated or time-release tablets because cloves. To store leftover garlic spread, cover it with olive oil in a small jar and store in the fridge. these may not dissolve soon enough in your Recipes from Debra Nessel, RD, CDE digestive tract to make use of the allicin. WWW.TORRANCEMEMORIAL.ORG PULSE | 9 HEALTH LINKS ADVANTAGE: BOCCE BUILDING THE SOUTH BAY’S HANDICAP ACCESSIBLE COURTS When Torrance’s city council turned to its community for ideas on how to beautify the city, Joel Massa, Karen Geyer and Bob Chiota answered the call. First the crew went scouting for a good place to put in some public bocce courts. Then they drew up a proposal for a site in Columbia Park. And finally the idea was presented to the mayor and city council, all of whom loved the proposal. Two years later, the South Bay Bocce Courts Project is busy fundraising and working toward their goal to install three handicap accessible bocce courts, a rare find. “Usually a court has four walls so that the balls don’t go out of bounds,” says Chiota. “But we are building them so that each of the short ends of the court will have doors so wheelchairs can roll right onto the court.” And instead of the usual surface, the court will be covered with artificial turf so upkeep is minimal and it’s easily accessible to those who are physically challenged. Two sites are being considered for the courts; both are in Columbia Park. One spot is where there is currently a basketball court. The other would make bocce a centerpiece for a proposed senior citizen open space, near the gazebo. The city and the South Bay Bocce Courts Project staff are working together to choose the perfect spot that meets everyone’s goals. In the meantime, the team continues to knock on doors and host events in hopes of reaching the $50,000 needed to start construction. For further information on how to donate, contact Bob Chiota at [email protected] or call 310-995-1431. SAVING THE LIVES OF LITTLE LEAGUERS An automated external defibrillator (AED) is a portable was conducted with a group of sixth-graders and dummy sends an electric shock to restore a normal rhythm. AEDs dolls. They were given no training and were told to only assist people in providing life-saving help to those who read the instructions and use the AED on the dummy. suffer sudden cardiac arrest (SCA)—a condition in which They did it successfully!” Anyone can have an AED and some places are required blood from flowing to the brain to have them. Any group that wants an AED and other vital organs. can get help with the guidelines and laws When a person suffers from SCA, it is imperative that he or that govern owning one. Grant Livornese, a 2013 graduate of she receives treatment within Mira Costa High School, led the charge minutes. Treatment with an AED to have AEDs put in place at his varsity increases the odds of survival. baseball field and at Big Marine Baseball Torrance Memorial Medical Center sponsors a program designed specifically to bring AEDs into the community. Susan WINTER 2014 “AEDs are user-friendly,” explains Robinson. “A study device that checks the heart’s rhythm and, if needed, the heart unexpectedly stops beating and therefore stops 10 | PULSE WRITTEN BY KATIE GRIFFITH Field in Manhattan Beach. “We knew for a while that getting hit in the chest with a baseball sometimes caused cardiac arrest,” says Livornese. “I Robinson, RN, BSN, is the coordinator for the Public was concerned for the safety of the players on our teams Access Defibrillation Program at Torrance Memorial. because there was no AED at the Little League field.” Robinson and the program provide physician oversight To date, Torrance Memorial’s Public Access to public places that wish to have an AED on-site for the Defibrillator Program has nearly 160 units in place welfare of the community. throughout our South Bay community. ASK THE DOC CAN I PREVENT DIABETES? WRITTEN BY PAIGE LAPEN In 2011, the American Diabetes Association receive individualized medical nutrition therapy to reported that 25.8 million children and adults in achieve treatment goals. The Torrance Memorial the United States were living with diabetes, type 2 Specialty Center has a diabetes education and being the most prevalent. This number continues nutrition clinic for this very purpose. to increase. What exercises do you recommend for people While in most instances type 2 diabetes can be prevented, nearly 30% of those at risk don’t looking to prevent a type 2 diabetes diagnosis? DR. RO: Exercise is the single most important seek treatment. Pulse spoke with Dr. Cynthia Ro, a lifestyle intervention in diabetes. Any kind of aerobic practicing endocrinology, diabetes and metabolism exercise and strength training can positively impact specialist with the Torrance Memorial Physician diabetes. Walking is good for everyone, even those Network, for more details on prevention. without diabetes, and our physicians encourage What causes type 2 diabetes? walking daily. You should speak with your doctor DR. RO: Although the exact cause of type 2 first before initiating an exercise program. diabetes is not clear, it is generally thought that Does age affect one’s likelihood for getting type it occurs in genetically predisposed people who 2 diabetes? are exposed to various environmental influences. DR. RO: As people age, they exercise less, gain Dr. Cynthia Ro To learn more about the Torrance Memorial Diabetes In addition, other behavioral and environmental more weight and lose muscle mass, all of which can Education and Nutrition Clinic, call 310-784-3792 factors increase risk, such as obesity, physical negatively impact diabetes. (Diabetes) and 310-891-6707 (Nutrition). inactivity and an unhealthy diet. Can type 2 diabetes occur in children? What are the most common symptoms of diabetes? DR. RO: A newly diagnosed diabetic patient may DR. RO: In the past, type 2 diabetes was rarely seen in children. Now obesity and type 2 diabetes experience a change in vision, as glucose can affect rates in the U.S. have risen dramatically. When blood vessel growth in the eyes. Other symptoms I see overweight children, most invariably they can include: have overweight/obese parents. All parents and • excessive thirst and urination siblings should be involved in lifestyle modification, • dry mouth incorporating a well-balanced diet and exercise into • weight loss due to dehydration their daily regimen. If the disease is severe enough, it can also lead Once diagnosed, can type 2 diabetes be to numbness in the extremities (most commonly cured or reversed? the feet). If any of these symptoms occur, patients DR. RO: In many situations, diabetes type 2 should see their doctors promptly, and a simple can be cured or reversed, especially if associated blood test can be performed. with being overweight. Any amount of weight loss Does type 2 diabetes typically affect one gender improves blood sugars. I have seen many more than the other? obese patients no longer require DR. RO: Both genders are affected, but it appears medications for diabetes after to be more common in women. they lost enough weight. Daily Are certain races or ethnicities more likely to get exercise and better eating type 2 diabetes? habits can improve diabetes DR. RO: In the U.S., Hispanic and African American populations are largely affected. Again, control, in addition to benefiting all aspects of one’s health. this trend is thought to be a result of having certain genes that make someone more susceptible. What type of diet do you recommend for people who are at risk and want to reverse their situation? DR. RO: Patients who are at risk of developing diabetes or have already been diagnosed should WWW.TORRANCEMEMORIAL.ORG PULSE | 11 CALENDAR FEB-MAY FEBRUARY 22 MARCH 6, APRIL 3, MAY 1 9 a .m. noon to 1 p.m. 60TH ANNIVERSARY, EL SEGUNDO QUESTIONS FOR THE PHARMACIST LITTLE LEAGUE OPENING DAY PARADE A free monthly opportunity to sit with a Celebrate with parents, players Torrance Memorial pharmacist who will help and coaches. Following parade and you better understand your medications. ceremony is the opening day challenge. Please bring your medicines you are taking, Where: Grand Avenue, El Segundo prescription and non prescription. Info: elsegundo.org Where: Torrance Memorial Medical Center MARCH 6 Info: 310-517-4711 or torrancememorial.org/classes PEDIATRIC THERAPY NETWORK 3rd Annual Mardi Gras Celebration Info: pediatrictherapynetwork.org/events/ MARCH 8 mardigras.cfm 4:30 to 8 p.m. 42ND ANNUAL SPAGHETTI DINNER— TORRANCE FIREFIGHTERS ASSOCIATION Enjoy all the spaghetti you like and proceeds benefit the Alisa Ann Ruch California Burn Foundation Summer Camp for burn patients. Where: Ken Miller Recreation Center Info: $6 adults; $4 Children under age 8. 310-781-7000 MARCH 9 FESTIVAL OF THE KITE The Sunshine Kite Co. and Redondo Beach Pier Association host this annual event for kite MARCH 12 - MAY 14 lovers of all ages. Where: Redondo Beach Pier | Info: redondopier.com 9:30 to 10:30 a.m. YOGA FOR WELLNESS MARCH 11 - MAY 13 DANCE YOUR WAY TO A HEALTHY HEART 11:30 am to 12:30 pm Get your aerobic workout learning the latest Latin, Western Line and Swing dance stepsat this weekly class. Stretching and cool-down included. Where: Torrance Memorial Center for Healthy Living, Malaga Cove Plaza Info: 310-517-4711 or torrancememorial.org/classes 12 | PULSE WINTER 2014 alignment, increasing strength, flexibility and 7:30 to 8:30 p.m. range of motion, creating healthy breathing An 8-week natural movement habits and restoring vital energy to the body, course for improving bone health. mind and spirit. Where: Torrance Memorial Where: Torrance Memorial Medical Center Medical Center Info: 310-517-4711 or Info: 310-517-4711 or torrancememorial.org/classes torrancememorial.org/classes MARCH 13 - MAY 15 This 8-week class focuses on correct postural CALENDAR FEB-MAY MARCH 14 – MAY 2, WEEKLY 11 a.m. to noon BELLY DANCING Learn the basics of belly dancing in this low-impact class, suitable for all ages, levels, and body types. Belly Dancing can improve your flexibility and stamina, strengthen your back and stomach muscles, and reduce tension. Where: Torrance Memorial Center for Healthy Living, Malaga Cove Plaza Info: 310-517-4711 or torrancememorial.org/classes MARCH 22 HEARTS OF HERMOSA FUNDRAISER The Hermosa Beach Education Foundation’s annual fundraiser. Info: hbef.org MARCH 25 APRIL 5 10 a.m. to noon 11 a.m. to 1 p.m. SENIORS DON’T BE SURFER’S WALK OF SCAMMED FAME INDUCTION Seniors, caregivers, family CEREMONY and friends are invited Where: Pier Plaza, to learn about the latest Hermosa Beach scams. Info: 310-318-0280 Where: Katy Geissert Civic Center Library Community Meeting Room, Torrance APRIL 19 APRIL 19 9 a.m. to noon EASTER EGG HUNT BREAKFAST WITH BUNNY Bring the young ones out for Pancake breakfast, puppet show, cookie a festive egg hunt. decorating, crafts and a photo with Bunny. Where: Recreation Park, Where: Torrance Cultural Arts Center El Segundo Info: $20. 310-618-2930 Info: elsegundo.org Info: 310-618-5735 APRIL 20 7:30 a.m. to 8:45 a.m. HERMOSA BEACH 5000 5k Run/Walk/Babyjog/ Skateboard and Kids Road Race Championship Where: 10 Pier Avenue Info: hb5000.com MAY 21 10:30 a.m. to 1:30 p.m. SOUTH BAY GO RED FOR WOMEN LUNCHEON Join the fight to save lives in the South Bay. Includes educational breakout sessions. Where: Manhattan Beach Marriott Info: 213-291-7051; [email protected] WWW.TORRANCEMEMORIAL.ORG PULSE | 13 Q&A SUPPORTING OUR COMMUNITY IN TIMES OF CHANGE WRITTEN BY LAURA ROE STEVENS A s we enter the New Year, many in the health care industry feel as if we are sprinting across ever-shifting sands. Planning for the future is particularly challenging in lieu of changes from the Affordable Care Act. Some of the anticipated changes will be positive and some will negatively affect hospital economics across the country. It will be more important than ever for Torrance Memorial to partner with the community in ways that allow for the provision of high quality medical care and valuable community services. Pulse sat down with Craig Leach, President/CEO of the newly named Torrance Memorial Health System, to give you answers about how the hospital is navigating the changes in health care reform—while continuing to provide excellent services to our South Bay community. Q: Torrance Memorial has grown dramatically over the years and seems to be a major employer in the community. Is that true? A: Yes, Torrance Memorial is one of the largest employers in the South Bay, employing almost 4,000 people. Torrance Memorial has a major economic impact on the South Bay economy, as not only a large employer, but also a provider of free or assisted health care programs. Q: As Torrance Memorial has grown you must have been thinking ahead about health care reform and its impact on the medical center and the community. A: We have been planning and continue to plan for its impact on both the hospital and our community. One of our concerns is the long-term negative economic impact on hospitals and physicians. Torrance Memorial currently derives a mere 2% profit margin from taking care of patients—clearly a slim margin. Q: That is a slim profit margin. How, then, has Torrance been able to afford the construction of the new patient care tower? (Torrance is currently building a seven-story, state-of-the-art patient care tower named the Lundquist Tower.) A: As we envisioned the construction of our new patient tower, we knew that the Affordable Care Act (also called ‘Obamacare’ by many) would likely have a negative economic affect on the hospital. We did our 14 | PULSE WINTER 2014 Q&A homework and planned accordingly. We saved money service programs from health education classes; support over many years to help pay for the tower, and we also at local health fairs; free van transportation, and other borrowed $200 million that will be paid off during the programs. (See side bar for a list of community services next 30 years. Because of the scope of the project, we and programs Torrance Memorial provides.) The value of deemed it imperative to approach the community and those services to the community is between $4 million ask them to help us with financial support for the tower. and $5 million annually. We had originally budgeted $75 million in gifts from the Q: I had no idea the hospital provided so many community to help us pay for it. We were surprised by community programs! Do you think the community is the outpouring of support. We are now approaching generally aware and able to benefit from them? $140 million in donations. It is an amazing statement on A: The purpose of articles such as this Q&A is to the part of this community that they trust this hospital continue to inform the South Bay community of all that and believe in the importance of this new community is available to them. The medical center offers so many asset. We feel very fortunate to have the support from programs that provide a wide array of benefit for just the community that we do. about everyone—from children to the elderly. The more Q: Returning to the topic of health care reform and the Affordable Care Act, what has been the impact on Torrance Memorial? A: To date, the impact on the hospital has been a people are aware, the more we impact the community. That’s our goal. Q: When you think back over the past year and all the community organizations that Torrance Memorial reduction in payments both from Medicare and private partners with, is there one in particular that brings insurance. This is one reason our margins are so small. you joy and satisfaction? We do, however, hope that more individuals and small A: Well, as you can see from our list of community employers in the community will find new options programs, it’s hard to single out just one. But I will say for affordable health insurance as offered under the that our partnership with Harbor Interfaith Services recently formed Covered California Health Insurance is really special. Harbor Interfaith is a non-profit Exchange. We don’t know the numbers yet of how many organization serving the Harbor Area and South Bay have signed up in our area as it’s still very early since its communities of Los Angeles, including San Pedro, implementation. Harbor City, Harbor Gateway, Lomita, Torrance, Q: Can community residents who buy insurance Wilmington and Long Beach. through Covered California use Torrance Memorial? In 2013, Harbor Interfaith assisted almost 22,000 A: We have worked hard to open access to Torrance homeless and working poor people—the majority of Memorial for the Covered California health insurance whom were families. As I understand it, this represents plans. To date, we have contracted with the Blue Cross a nearly 70 percent increase in service demand and EPO, Blue Shield PPO, and the HealthNet PPO and HMO provision since the inception of our partnership. In our plans. But, just like all insurance plans, the provider more than five years of partnership, Torrance Memorial panels change and are sometimes complex. We’ll try to has worked to channel resources to respond to the keep the community current of our offerings on our web growing needs of Harbor Interfaith. Support and activities site at Torrancememorial.org, or by calling 310-517-4711; have included: financial assistance for dental care, the alternatively, consumers can call the health plan directly. food pantry, health education, and child care programs. Q: Torrance Memorial is so active in the Q: Lastly, with all the economic uncertainty community. Can you tell us about the ways in which facing hospitals, will Torrance Memorial continue to the medical center assists the community? offer so much support in the form of free programs A: One of the mandates of being a non-profit hospital is to annually report how we impact the community in and services to the community? A: It is our goal for Torrance Memorial to continue to a positive way. In 2012, the most recent year we have grow and provide value to the people of the South Bay. compiled this report, we provided about $60 million in I am proud of our organization and how hard everyone services and subsidies to the people of the South Bay. works to serve both the patients when they are at their We subsidized government programs (Medicare and most vulnerable, and other people in the community Medi-Cal), by approximately $47 million. In addition, who need our help. We will continue to be a community we provided almost $8 million in free care to patients partner in as many ways as we can, and we are fortunate who either couldn’t afford to pay or who didn’t have to receive the emotional and economic support from our health insurance. We also provide a host of community community like we do. Torrance Memorial Gives Back! Here is a short list of some of our most vital and popular community service programs and partnerships: • Charity Care: Torrance Memorial provides financial assistance to those who cannot afford medical expenses. • Subsidy program: When Medicare or Medi-Cal does not pay the full price for a medical procedure, Torrance Memorial absorbs the difference, instead of passing on the costs to our patients in need. • Harbor Interfaith Services, Inc.: This non-profit organization serving the Harbor Area and South Bay communities assisted 21,661 homeless and working poor individuals in 2013. Collaboration includes a host of services from health education, to emergency food supplies, to immunizations and dental assistance. • Project Wisdom: This program that is now licensed in 17,000 schools nationwide, helps educators find ways to incorporate words of wisdom in the classroom and foster positive and critical thinking in our youth. • Kids ‘N Fitness program: Tackling children’s wellness, particularly obesity, Kids ‘N Fitness provides hands-on counseling and fitness tips to children and their families. It is sponsored by Torrance Memorial’s Lundquist Cardiovascular Institute, and the Torrance/South Bay YMCA. • Healthy Ever After program: Provides free nutritional education in elementary schools. It teaches children healthy, life-long eating and exercise habits and in collaboration with district food services, continually promotes a healthier school nutrition environment. For a full list of the more than 65 community service programs Torrance Memorial has developed or partners with, please visit: www.TorranceMemorial.org/communitybenefits To learn more about these programs, please call Torrance Memorial’s Health Education department at 310-517-4711. WWW.TORRANCEMEMORIAL.ORG PULSE | 15 COMMUNITY BENEFITS themselves,” says Lopes. “Parents say their kids will start telling them, ‘We shouldn’t be eating that.’” Mark Lurie, MD, Torrance Memorial’s Medical Director of Cardiology Program Development, worked with the medical center to create the program, to tackle the issue of patients seeking care too late. The program is provided by Torrance Memorial as part of the non-profit’s mission to offer a host of community service programs from health education classes; support at local health fairs; free van transportation, and other programs. The value of those services to the community is between $4 million and $5 million annually. “It seems clear that standard diet programs have missed their mark as far as prevention,” says Dr. Lurie. “Early education and activity through family KIDS VS. OBESITY FIGHTING THE BATTLE WITH FUN, NUTRITION AND HEALTHY ACTIVITIES WRITTEN BY JAMES MILLS Obesity is a growing concern for kids of younger and and community intervention have shown great During each of the program’s six, 90-minute sessions, held on Thursday evenings at the Torrance– promise and outcomes. Helaine and her staff at Kids ‘N Fitness have truly led the way in these endeavors.” South Bay YMCA, kids and their parents meet with a While aimed at overweight kids, any child ages registered dietician to discuss nutrition topics such 7 to 13 can take the program. “A lot of parents say, as portion control, sugar, fats/reading labels, etc. The ‘My kids aren’t overweight, but all they eat is sugar,’” kids then go with Michael Vicari, YMCA team fitness reports Lopes. coordinator, to learn about fitness activities offered About 200 kids have taken part in the free younger ages, so Torrance Memorial Medical Center’s at the Y, such as strength training, dance and more, program since 2010. Parents/guardians merely need Lundquist Cardiovascular Institute is combating the while the parents meet with the dietician. to sign them up and accompany them to sessions. problem with its Kids ‘N Fitness program. “We’re seeing more kids with adult-onset [type To finish the session, the kids return for a fun Even better, during the six weeks of the Kids ‘N activity related to nutrition. For example, after Fitness program, the kids and their families get free 2] diabetes because of their weight,” explains the session talking about sugar, kids are asked to membership at the Y. Helaine Lopes, coordinator of the Kids ‘N Fitness estimate the amount of sugar in various soft drinks “It makes going to the Y a family thing,” says program. “This program not only encourages them and cereals by placing sugar cubes in front of them. Lopes. “At the end of the program, I tell them, ‘Now to be active; it also teaches them about healthier eating habits.” “By the end of the program, the kids are making better food choices and feeling good about that you’re used to coming in on Thursdays, why don’t you keep coming in on Thursdays?’” STRESS TIPS THE 3 C’S: CONCENTRATION, CLARITY, CALMNESS “When we pay deliberate attention to something neutral, like the breath or the sensation of our bodies pushing against the ground with our feet, it automatically can bring about a sense of concentration, clarity, calmness and even a sense of peacefulness,” says Albert Grabb, MD, a radiologist at Torrance Memorial. Using this concept, Dr. Grabb has a simple exercise to help you find a little peacefulness in the new year, which can be practiced almost anytime. Just before having to deal with a difficult situation, become aware of each foot on the ground as it makes contact with the floor. “Stop walking and gently shift your weight from one foot to the other,” says Dr. Grabb. “Take a few seconds to note the sensation at the bottom of your feet. Then take a deep, purposeful breath and move on.” 16 | PULSE WINTER 2014 HEALTH LINKS TORRANCE MEMORIAL IS A SMOKE-FREE CAMPUS In an effort to support a healthful environment for our visitors and patients, Torrance Memorial Medical Center has officially become a smoke- and tobacco-free campus. This campus-wide initiative took effect in November in conjunction with the Great American Smoke Out, a national day dedicated to helping spread awareness about the dangers of smoking to encourage those who smoke to quit. The success of the program’s roll-out can be measured by the fact that, as a result of this change, many individuals quit. Interested in Quitting? Join Nicotine Anonymous “Exhalers” held on Mondays from 7 p.m. to 8:30 p.m. at the Torrance Memorial McMillen Medical Building, 3rd Floor, 3333 Skypark Drive, Suite 300, Torrance. For information and to register please call 310-676-5118. BRIDGING THE GAP 2014 MARKS THE 20TH ANNIVERSARY OF THE TCU. WRITTEN BY LISA BARLEY Twenty years ago, Torrance Memorial NATIONAL TEEN DATING VIOLENCE AWARENESS AND PREVENTION MONTH WRITTEN BY BRIE CADMAN February takes to heart the seriousness of teen dating violence. The Centers for Disease Control and Prevention (CDC) defines teen dating violence as “the physical, sexual Rehabilitation is the focus of the TCU, or psychological/emotional violence within a dating opened the doors of its Transitional Care and this is reflected in the physical setup of relationship, as well as stalking.” It can happen in person Unit (TCU), a skilled nursing facility that the unit. Unlike patients of the main hospital, and electronically. supports patients as they move from patients of the TCU wear their own clothing, hospital care to home or alternative care. As eat in the unit’s own dining room and have violence. A nationwide survey found that almost 10% of clinical director, Charlene Cottrell has been access to a gym and scheduled activities high school students reported being hit, slapped or hurt very involved in the TCU since it was licensed that encourage socialization, including with on purpose by their partner in the prior year. Nearly half in 1994. the patient’s own family members. Close of teens in relationships report knowing friends who have When a patient arrives in the TCU, monitoring of each individual’s health needs been verbally abused, according to the CDC. dedicated staff members assess his or her reduces the chance that patients will need to individual needs and make a plan for the be readmitted to the hospital later. patient’s stay, with the goal of restoring each Looking to the future of the unit, Cottrell Awareness is critical when it comes to teen dating Victims of teen dating violence are more likely to suffer in school and in personal relationships, so it is critical that parents, adults who work with and interact person to the highest level they may be able says, “Skilled care will be growing over the with teens, and young people learn how to prevent teen to achieve. Patients have access to nurses, next 20 years as all of us Baby Boomers grow dating violence. To learn more about this topic, contact therapists, nutritionists, social workers older.” The team at Torrance Memorial is the Thelma McMillen Alcohol and Drug Treatment Center and others who give them support during ready. “We are working on plans to do what at 310-220-4624. this time. Regular meetings between the is best for the continuum of care here at the TCU team, patients and their doctors and medical center and to meet these challenges caregivers keep everyone informed of the of the future.” progress toward the patient’s goals. WWW.TORRANCEMEMORIAL.ORG PULSE | 17 IS TECHNOLOGY HURTING OUR KIDS? WRITTEN BY LAURA ROE STEVENS 18 | PULSE WINTER 2014 WWW.TORRANCEMEMORIAL.ORG PULSE | 19 s something always on at your house? How about when you were growing up? Pretty different, huh? Today kids are bombarded with television, the iPad, home computer, handheld devices, or the Xbox, Wii or PlayStation—it can seem loud, confusing and sometimes stressful at home. Managing all this technology and limiting children’s time on social media, video games and the internet can be especially challenging for parents. But it’s important to do. Many parents don’t realize how much screen time their children are consuming. According to Common Sense Media, 77% of 8- to 15-yearolds said they’d rather give up TV than give up the internet. And while most American parents estimate that their children spend about two hours a month on the internet, a Media Research Center study confirms that in reality, kids and teens are spending upwards of 20 hours a month surfing the Web. A 2010 Kaiser Family Foundation report says children ages 8 to 18 spend an average of seven hours and 38 minutes a day consuming media for fun, including TV, music, video games and other content. It’s not surprising that the study also revealed that 41% of U.S. teens claim their parents have no idea what they are looking at online. Why does it matter that our children are consuming so much media? Because it is affecting their mental, physical and emotional health. “Studies show that kids who play violent video games for an extended period of time tend to be more aggressive, are more prone to confrontation with their teachers, may get in fights with their peers, and perform worse in school,” explains Dr. Wayley Louie, of the Torrance Memorial Physician Network, Pediatrics, in the Network’s Manhattan Beach office. Dr. Louie confirmed the “off switches” in kids’ brains aren’t fully developed until kids reach their early 20s. That means they need rules and structure to help them turn off the computer. Growing children need to be able to have real lives independent of their cyber ones to develop socially, emotionally and even physically. However, Dr. Louie notes there are a few benefits from media involvement in small doses. “Some of the mental skills enhanced by playing video games include following instructions, problem-solving, logic, hand-eye coordination, fine motor, spatial skills, memory and concentration,” he explains. The problem occurs when children over-saturate themselves with a bombardment of media, images, violent games, social messaging, etc.— affecting the way our children think, react and see the world. That is why the American Academy of Pediatrics is now recommending physicians add questions to pediatric well-check visits regarding media. 20 | PULSE WINTER 2014 MEDIA CONSUMPTION VIDEO GAMES “HE IS REALLY ATTACHED TO HIS VIDEO GAMES. FIRST IT WAS THE WII, THEN IT BECAME THE XBOX, THEN THE SCHOOL IPAD. NOW IT APPEARS TO BE HIS IPHONE.” Number of young children who play 44% 2-4 year olds 81% 5-8 year olds TEXTING Number of texts sent per day 50% of teenagers send 50+ 33% of teenagers send 100+ CELL PHONES Number of teenagers (12-17) who own phones 75% in 2013 5% in 2004 COMPUTERS Number of young children who use them 53% 2-4 year olds 90% 5-8 year olds “Children, Adolescents, and the Media,” Pediatrics, Official Journal of the American Academy of Pediatrics, published October 28, 2013. WWW.TORRANCEMEMORIAL.ORG PULSE | 21 In the past, typical questions asked at well ignore them,” says Randall. visits are about growth milestones, nutrition, It’s easier to limit media consumption when sleeping habits, vision, emotional and social kids are active, and Randall keeps her kids busy development. Now pediatricians “are encouraged with soccer and hockey. She did admit that it has to take a media history and ask two media been much harder to limit video games with her questions at every well-child visit: ‘How much son than it is with her two girls. Thankfully, her recreational screen time does your child or son is consumed with hockey. As a competitive teenager consume daily?’ And ‘Is there a TV level player for a travel hockey club, he spends set or internet-connected device in the child’s hours and hours on the ice each week. bedroom?’” Even so, Randall says she created house rules. Brenda Randall, a Manhattan Beach mother During the week, “almost no” TV and zero video of three—ages 8, 10 and 12—has struggled more gaming. Video games, which are the hardest for recently when it comes to limiting media for her her to limit, are only played on weekends and children—as so many of her kids’ friends have luckily, they have many games and activities. No more freedom than her own. Her advice is for internet-connected devices are in bedrooms with parents to remember that they are not their the one exception of her son’s iPad, now required children’s friend but their parent, and to dig deep for homework at middle school. Her oldest is to find “tough love.” allowed his phone on days there are hockey “What I tell my children when they tell me, practices in cases of emergency. ‘But Moooommmm, everyone else gets more Another challenge is how to handle play dates, at my home. If my son goes to a friend’s house, I house, you can make your own rules.’ They can can’t really monitor. I just let him go with the flow. scream, pout, yell, do whatever they want. I just When at my house, I don’t allow them to play a full 46% have on what music they can listen to 30% have on computer use restrictions on what television shows they watch the amount of video gaming during play dates house, my rules, and when you have your own 26% have restrictions everyone else is doing in their house. This is my restrictions on what video games they can play as other kids have other rules. “I do try and limit 52% have restrictions play time than we do’ is ‘I don’t really care what NUMBER OF 8-18 YEAR OLDS WHO HAVE RULES ABOUT MEDIA USE A Kaiser Family Foundation Report released January 20, 2010. 22 | PULSE WINTER 2014 THE EFFECTS OF TOO MUCH SCREEN TIME OBESITY. The more TV your child watches, the greater his or her risk is of becoming overweight. Having a TV in a child’s bedroom also increases this risk. Children can also develop an appetite for junk food promoted in TV ads, as well as overeat while watching TV. IRREGULAR SLEEP. The more TV children watch, the more likely they are to have trouble falling asleep or to have an irregular sleep schedule. Sleep loss, in turn, can lead to fatigue and increased snacking. BEHAVIORAL PROBLEMS. Elementary students who spend more than two hours a day watching TV or using a computer are more likely to have emotional, social and attention problems. Exposure to video games is also linked with an increased risk of attention problems in children. Watching excessive amounts of TV at age 4 has been linked to bullying at ages 6 through 11. IMPAIRED ACADEMIC PERFORMANCE. Elementary students who have TVs in their bedrooms tend to perform worse on tests than do those who don’t have TVs in their bedrooms. VIOLENCE. Too much exposure to violence through media — especially on TV — can desensitize children to violence. As a result, children might learn to accept violent behavior as a normal way to solve problems. LESS TIME FOR PLAY. Excessive screen time leaves less time for active, creative play. Recommendations supplied by the Mayo Clinic Staff at mayoclinic.org. Setting Limits: How Much Is Too Much? Most parents struggle when it comes to setting limits on media consumption for their kids. To help, here are some tips. No media consumption during meal time. No phones, TV or computer screens on or near the table. Create “family rules” for internet consumption, texting and social media, including which sites can be visited (use of parental controls helps) and giving parental access to Facebook accounts for children under 17. TV screen time should be, at maximum, two hours a day. Children younger than 2 should watch no TV. TVs and computers (and all internetconnected devices) should be kept out of the bedrooms. If your child must use an iPad for school, remove all games and install restriction filters. Restrict Facebook and Instagram until children are of the allowed age to be on social media. hour without stopping and without switching and out there—and video companies come out with playing outside for at least the same amount of time something new every week—that he doesn’t have a or more. They’re usually pretty good about switching minute to miss!” between indoor and outdoor. Sometimes, they Both Randall and Dr. Louie agree that parents end up watching a little TV instead of playing video just have to continue the fight to limit media time games, and if they have homework, that comes first and keep kids active. “Multiple studies have shown of course.” that excessive media use can lead to attention She empathizes with parents of boys, as she notices that her son is “much more attached” to games and devices than her girls. “He is really attached to his video games. First problems, school difficulties, sleep and eating disorders and obesity,” reiterates Dr. Louie. With that in mind, parents must remember that two things will likely happen as your children enter it was the Wii, then it became the Xbox, then the middle school and teen years. The first is that they’ll school iPad (until I removed all the games and want to engage in more games and social media. added restriction filters to the iPad). Now it appears The second is that they’ll probably argue and to be his iPhone. I think it’s a challenge for us fight house rules—showing how powerfully addictive because he might feel he doesn’t get enough time to media is. Experts say you should understand that, play, and the little time he gets during the weekend, expect it, and keep your cool. Continue to ban he doesn’t want to sacrifice. With that being said, children if they disregard time limits and remember he usually ends up getting banned for some reason to be a good role model by staying active and or another because he doesn’t stop playing when limiting your own media time! Turn off social media and TV while children do homework. Delay introducing video games “as long as possible,” advises Dr. Louie. Even educational ones are addictive and begin a habit for your child. “Restrict violent video games. Children between the ages of 10 and 12 years should not be playing video games rated for older teens,” says Dr. Louie. “The intense violence and bad language in these games are very inappropriate and can be very detrimental to a child’s behavior and interaction with other children. Children at this age may not have the mental capacity to separate fantasy from reality.” we ask him to. I think there’s so much technology WWW.TORRANCEMEMORIAL.ORG PULSE | 23 24 | PULSE WINTER 2014 HEARTBEATS RETURNING HOME A STUDENT VOLUNTEER BEGINS HER NURSING CAREER AT TORRANCE MEMORIAL. WRITTEN BY JACQUELINE RENFROW | PHOTOGRAPHED BY MICHAEL NEVEUX S ome things have not changed for Ariel Aguirre, RN. Always a good student, Aguirre graduated from Torrance She is still a natural caretaker, looking after everyone High with a 4.2 GPA and then went on to El Camino College to around her. And she can still be seen hanging with get her prerequisites for nursing. In addition, she also received friends around the South Bay. But some things have a scholarship from Torrance Memorial. She graduated cum not stayed exactly the same. laude—and as an inductee to the International Honor Society As a child, Aguirre bandaged teddy bears and rehabilitated of Nursing—from Loma Linda University School of Nursing. dolls. When her grandmother was diagnosed with cancer, she As it has for so many others, volunteering at Torrance was there for every stage of treatment. Fast-forward to today, Memorial had a great impact on Aguirre and her future and she is a nurse caring for patients at Torrance Memorial— career choice. She volunteered until she received her on a surgical unit specializing in caring for patients recovering bachelor’s degree. from bariatric weight-loss surgery. As a young girl, she enjoyed activities with friends at As an Escort volunteer, Aguirre worked every Thursday helping to discharge patients, delivering packages and running Torrance High School—she was involved in choir, jazz choir errands as needed. She made strong connections with others and even earned a scholarship from the Torrance Craftmen’s in the program. Now she really enjoys working as a nurse on Guild. Today she has fun going with friends for pizza or Thursdays so she can call on her old volunteer colleagues to Italian food at Manhattan Pizzeria by the beach or Lomeli’s discharge her patients. “You feel like you are a part of something bigger than yourself. You are the ‘hands and feet’ of the hospital.” Restaurant in Gardena—or getting $1 reads at Bookoff in the Del Amo Mall. Aguirre began working at Torrance Memorial in August as “I will always encourage people to volunteer at Torrance Memorial,” says Aguirre. “It was extremely fun and gratifying. You feel like you are a part of something bigger than yourself. part of the Versant RN Residency, a program which transitions You are the ‘hands and feet’ of the hospital. It also helped me newly graduated student nurses into working professional really solidify my wish to go into nursing. I got to observe what RNs. Her shifts are 12 hours, three days a week, and she happens in a hospital firsthand, and I knew nursing typically cares for five patients at a time. was for me.” “I absolutely love my job,” says Aguirre. “I take pride in taking care of my patients and being an advocate for them.” For Aguirre, Torrance Memorial has been a second home her entire life. “I was born at Torrance Memorial. My Aguirre knows that being a nurse comes with highs and lows. She loves being a part of making a difference in a patient’s life. But there are obstacles, such as encountering a patient who is disoriented and trying to communicate with grandmother worked at Torrance Memorial for many years and and comfort them. But she wouldn’t have it any other way. loved her job,” she says. “I absolutely love my job at Torrance Memorial. I hope to As a high school student, Aguirre volunteered in the Escort have a very long career here and to always bring my talents to Services, a service area that runs errands across the medical help patients have the best experience possible at Torrance center. So landing her first job at the hospital was a dream. “I Memorial,” she says. wanted to be nowhere else. Torrance feels like home to me,” adds Aguirre. WWW.TORRANCEMEMORIAL.ORG PULSE | 25 THE EL SEGUNDO POLICE DEPARTMENT SCORES HIGH MARKS ON FITNESS CHALLENGE WRITTEN BY JACQUELINE RENFROW | PHOTOGRAPHED BY MICHAEL NEVEUX Detective Glenn Delmendo oversees Officer Valerie Cameron and Detective Luke Muir performing the Cooper Test. 26 | PULSE WINTER 2014 HEALTHIEST PERSON I KNOW WWW.TORRANCEMEMORIAL.ORG PULSE | 27 28 | PULSE WINTER 2014 male: chest, belly and legs. We have trained people and currently have 10 fitness advisors who can administer the tests. Pulse: Do employees get competitive? GARCIA: You are not in competition with anyone. You’re as competitive as you want to be. Most people put out as best they can, and very few get only the minimum of four hours comp time. Most go above and beyond. Pulse: So what motivates you? GARCIA: It’s definitely worth my time. For instance, it helps me prepare for our annual “I GET UP AT 4 A.M. EVERY OTHER DAY AND RUN BECAUSE WHEN IT COMES TIME FOR THE TEST, I DON’T WANT TO LOOK LIKE A CHUMP.” Baker-to-Vegas run. It’s a law enforcement relay race, 120 miles total. Upward of 250 teams in Southern California compete. We compete in the 99 and under sworn officers division. Last year we finished in just over 18 hours. Each leg is pre-drawn; they vary in elevation and length. The longest is 10 miles “You won’t see any of our officers in a donut shop,” says Lieutenant Ray Garcia of the El Segundo Police Department— a sentiment so important, it’s echoed a few days later by his fellow officer Valerie Cameron. In fact, the small police department of less than 62 officers prides itself on health and physical fitness. uphill. That’s for our young and best runners. Test, employees can earn between four and Also, participating keeps you honest. 16 hours off work, and “like a uniform, it’s a You know that if you’re not doing something reminder of how fit you are,” says Cameron. every day—though these are pretty easy Pulse spoke with Garcia, a veteran of 21 tests: push ups, sit-ups—the run, that will get years, and Cameron, in her eighth year, to you and you will feel like you are slacking. learn a little bit more about what motivates I get up at 4 a.m. every other day and run them as individuals and as a team to stay fit. because when it comes time for the test, I Pulse: What exactly is the Cooper Test? don’t want to look like a chump. You can suck GARCIA: First we are tested on it up for a mile, but a mile and a half is harder. flexibility, to see how a person can flex Pulse: How do you think this program T using a machine. For every age range, fitness, which is based on a 1.5-mile run. to keep fit. When you’re in a critical incident, popular, quarterly incentive program tests Dynamic strength is measured through you’ll be thankful since it sometimes feels flexibility, cardiovascular health, dynamic push-ups. And the last component, body fat, like you went through a marathon in a strength and body fat. Using the Cooper is taken through three measurements on a matter of seconds. there is a minimum requirement. And the affects the department? GARCIA: I look at our agency, and I’m hat is why Garcia joined the requirements change as age progresses. You proud of us. You’ll never see one of our department’s fitness incentive are scored within a range of excellent, good police cars in a donut shop parking lot. We program when he started working or fair. Another component is cardiovascular have an image to uphold. Plus it’s important in El Segundo more than 20 years ago. This WWW.TORRANCEMEMORIAL.ORG PULSE | 29 Craig Leach, President/CEO, Torrance Memorial, with generous donors Ralph Scriba, and Melanie and Richard Lundquist. Carolyn Snyder and Bev George, Holiday Festival Co-Chairs $50,000,000 Melanie and Richard Lundquist $2,500,000 Tei-Fu Ph.D and Oi-Lin Chen M.D. $1,000,000 Toyoto Motor Sales, USA, Inc. $100,000 + Billee and John Gogian Loraine and Ralph Scriba Liz and Rich Umbrell Julie and Jackson Yang $50,000 - $99,000 Rose and Sam Feng Patricia and Gerald Turpanjian $20,000 - $49,999 George & Reva Graziadio Foundation Priscilla and Donald Hunt Vicki and Bill Levine McCarthy Building Companies Janet and Ian Teague Torrance Memorial Medical Staff Our Heartfelt Appreciation Torrance Memorial Medical Center wishes to thank the following sponsors for their generous support of the 30th Annual Holiday Festival, which raised millions for the medical center’s newly named Lundquist Tower. Steve and Helaine Lopes, Dave and Song Klein, Chris and Kathleen Wilson, Marc Schenasi, and Nadine Bobit. $10,000 - $19,999 Sigrid and Ralph B. Allman American Honda Motor Co. Ayne and John G. Baker COR Healthcare Medical Associates Jackie and Greg Geiger Carole Hoffman Miriam and Kayvan Javid Keenan Healthcare Corina and David McGovern Dolly and Mark Rouse Nancy and Norman Swanton Ellen and Patrick Theodora $5,000 - $9,999 Jennifer and Brad Baker BCM Boehling Construction Management. Inc. Darla and Jack F. Feldman Keesal, Young & Logan Patti and Thomas LaGrelius, M.D. Carol and Gerald Marcil Eric and Anna B. Mellor, M.D. Murray Company Barbara Schulz, M.D. Debra and Gerald Soldner Kevan J. Steffey Torrance Radiology Medical Group Cynthia L. Williams, M.D. and Chris Delgado $1,000 - $4,999 Christy and Jay Abraham Valerie and Chris Adlam Anesthesia Medical Group, Inc. Thank you to all our donors. Nancy and Michael Rouse, Torrance Memorial Foundation Board member, and VP Diversity, Philanthropy and Community Affairs, of Toyota Motor Sales, U.S.A., donates $1 million on behalf of Toyota. Anning Johnson Company David A. Arzola Association of South Bay Surgeons Bapko Metal Fabrications Drs. Karen and Jim Black Nadine and Ty Bobit Brigante, Cameron, Watters & Strong Elena and Larry Bruns Ann and David Buxton Cancer Care Associates Suzie and David Chan, M.D. Michele and Robert Christensen City National Bank Mei and William H. Collier Comerica Bank Control Air Conditioning Corporation Cymetrix Digestive Care Consultants Suzan and Donald Douthwright Sally and Michael Eberhard EMCOR Service/Mesa Energy Systems Jeannine and Dennis Frandsen Kathy and Rich Goldstein Nancy Goodson Susan and David Haas, M.D. Pamela Haering Laurie Inadomi and Greg Halvorsen Heritage Rehabilitation Center Al and Patricia Hermann HMC Group Terry and Joseph Hohm Horizon Management Company ISEC, Inc. Vince Kelly kpff Consulting Engineers Gretchen and Todd Lanham, M.D. Judy and Craig Leach Charlotte and Russ Lesser Eric Chen, Ph.D., Sunny Beutler, Tei-Fu Chen, Ph.D., Oi-Lin Chen, M.D., Reuben Chen, M.D. announce a $2.5 million gift to name the Surgery Center. Judith Gassner, Director, Major and Corporate Gifts, Richard and Melanie Lundquist, Capital Campaign Co-Chairs, and Laura Schenasi, Executive Vice President, Health Care Foundation. Judi and James Loddengaard, M.D. Lomita Post Acute Care Center Los Angeles Biomedical Research Institute Pat and Richard E. Lucy Vicki and John McBeath Lisa Humphreys, M.D. and John P. McNamara, M.D. Medline Industries Inc. Fifi and Soterios J. Menzelos Ross L. Moore, Jr. Paula Moore Morgan Stanley Smith Barney Morrow-Meadows Corporation Lisa and Eric Nakkim, M.D. Nixon Peabody LLP Oarsmen Foundation Owens & Minor Distribution Inc. Robin and Norman Panitch, M.D. David H. Parker and Ann Irwin Lore Marvin Patrick Elizabeth and Joy G. Paul, M.D. Payden & Rygel Karen C. Peterson Franklin Pratt, M.D. Ann and Scott Salisbury James Scriba Seeley Brothers Connie and Richard Senner Allyson and Alexander J. Shen, M.D. Sodexo South Bay Gastroenterology Medical Group South Bay Little Angels Dance Group Michele and Tim Stratton The Rouse Company Joy and Kevin Theodora Cheryl Thiele Torrance Emergency Physicians Torrance Memorial Neonatology Torrance Orthopedic & Sports Medicine Group Torrance Memorial Radiation/ Oncology Department Westport Capital Diane and Curtice Wong, M.D. Teri and Rob Young MAJOR IN-KIND BENEFACTORS Cassis Travel Services, Inc. Classic Party Rentals/Classic Tents G.S. Gaudenti Brothers Morrow Meadows Corporation Newport Printing Redondo Van & Storage Rolling Hills Flower Mart, Christine and Robert Gaudenti Toyota Motor Sales, USA, Inc. The Zislis Group, Andrea and Michael Zislis IN-KIND SPONSORS AMUSE Music Arrowhead Water and Beverage Delta Airlines Designer Specialty Linens Republic Waste Management The Royal Hawaiian S & S Portable Services Seabourn Luxury Cruises St. Regis Princeville United Site Services Pat Yates 3330 Lomita Blvd., Torrance, CA 90505 310-325-9110 - www.TorranceMemorial.org | HEALTHIEST PERSON I KNOW| “I FEEL EVEN MORE MOTIVATED TO STAY IN SHAPE AND MAKE SURE I CAN DO THE JOB A MAN CAN DO.” Pulse: Officer Cameron, what is your role at the department? Pulse: So why do you participate in the fitness program? CAMERON: For five years I was on patrol, and the last few years CAMERON: It’s a kind of barometer for me. My times keep me in check I’ve been in the administrative division. It’s a new kind of stress. On on how I feel. Plus as a former athlete, I’m competitive and I’m always patrol you go home every day with a clean slate, so it’s acute stress, aiming to beat my times. I’m 31 now, and I want to keep my times as not chronic. We circulate around. Our department is small, so we close as I can to what they were in my 20s. I’ve noticed as I age, it’s not have opportunities to do different things. When people get hired, they how well I do but how long it takes me to recover that has changed. For typically don’t leave here. They treat us well, and it’s family-oriented— instance, if I run two days in a row, my feet and hips hurt. everybody knows everyone. Pulse: What do you do to stay fit off the clock? CAMERON: I was born and raised in Torrance and was always involved Pulse: How do you think being a female affects your role in the department? CAMERON: I am one of three females and the only one under the in all sorts of sports, including cross-country and soccer. I played softball age of 45. As females, we are physically weaker, so I feel even more at Indiana University. Now I work out six days a week. I mentally need it motivated to stay in shape and make sure I can do the job a man can more than anything. I like feeling fit and strong and being in shape. I run, do. My partners have to be able to rely on me. I know I’m a woman in a do weight lifting and kickboxing. man’s environment, and I don’t expect them to change for me or make allowances. I’ve been here a long time, and we’re all friends. They know I’ll be there to back them up when things get difficult. WWW.TORRANCEMEMORIAL.ORG PULSE | 31 Congratulations On the Birth of Your Baby! Breastfeeding your baby can be a rewarding experience. It provides significant health and nutritional benefits important for your baby's growth and development and offers a wonderful source of nurturing. Nursing your baby is a learned skill for both mother and infant requiring time and patience. While many women are able to successfully breastfeed soon after delivery, some women need assistance. Torrance Memorial’s Health Resource and Retail Center, HealthLinks, is here to help. Mothers' Room The Breastfeeding Mothers' rooms have a private area with comfortable chairs, a refrigerator for breast milk storage, digital baby weight scales so you can check your baby’s weight and educational information for new parents. Lactation Consultants and Educators For a variety of reasons, some women experience difficulties when breastfeeding. Our Certified Lactation Educators (CLEs) are available to answer questions about breastfeeding. For those needing more hands-on help, breastfeeding clinic is available, staffed by an International Board Certified Lactation Consultant (IBCLC). HealthLinks also rents hospital grade breast pumps. Breastfeeding Classes We recommend that you attend our Breastfeeding Class during the seventh month of your pregnancy. Breastfeeding and other pre- and post- natal classes are available at Torrance Memorial. For the current schedule, visit us online at www.torrancememorial.org/classes. Breastfeeding Accessories Visit HealthLinks to check out a variety of breast pumps, replacement parts, and other nursing accessories that can help improve the breastfeeding experience for both mother and baby. We carry a boutique line of nursing apparel by Bravado Designs. Certified bra fitters available. For More Information Call 310-325-9110 ext. 4225 Email [email protected] www.torrancememorial.com/healthlinks Location West Tower, 1st Floor Torrance Memorial Medical Center 3330 Lomita Blvd., Torrance, CA 90505 Hours Monday - Friday 8:30 AM - 5:00 PM Saturdays 11:00 AM - 1: 30 PM Sundays Closed HEARTBEATS NO REST IN RETIREMENT BELOVED PHYSICIAN RETIRES FROM PATIENT CARE AND TURNS HIS ENERGY TO THIPA. WRITTEN BY JAMES MILLS | PHOTOGRAPHED BY LAUREN PRESSEY A fter 40 years at Torrance Memorial Medical Center, A new innovation was creating gastroenterologist Norman Panitch, MD, estimates he’s conducted a physician organization, called 40,000 colonoscopies and 20,000 endoscopies. “That’s an awful lot the Torrance Hospital Independent of procedures,” says the 70-year-old. “I think that may be more than Practice Association (THIPA), to anybody in the U.S. Where are the Guinness [Book of World Records] people?” He adds, “It’s more important to note that it is not quantity that makes it challenging. The real challenge is keeping a high level of quality doing this large number of difficult procedures.” At the end of 2013, Dr. Panitch hung up his stethoscope to retire from patient contract with health maintenance organizations, at a time when HMO was still a dirty word. “Torrance Memorial needed to compete for the growing number of care, amazed at how far he’s seen gastroenterology come. The field has gone local residents selecting HMO plans for from a little-known medical subspecialty to one of its best known, with terms their coverage,” says Dr. Panitch. “At first we had no patients. It was very difficult like “colonoscopy” now part of the general public’s vernacular. because everyone thought there would be a gatekeeper philosophy and patients “When I started, you had to make your diagnosis by medical history and were going to be denied visits to specialists. Now 31 years later, we have about physical exam. There were no CAT scans, ultrasounds or MRIs,” recalls Dr. 39,000 commercial [non-Medicare] and Medicare members. We give superb care Panitch, who founded South Bay Gastroenterology Medical Group with Dr. to everyone. THIPA is the only IPA with a ‘patient self-referral’ program.” Howard Resin in 1975 and also served at various points as Torrance Memorial’s Married 16 years to his wife, Robin, he is also father to Seth, a theatre chief of medical education, chief of medicine and chief of staff. He also served on professor at the University of Alabama, and Jill, a family practice physician in the Torrance Memorial Board of Trustees for 12 years. Huntington Beach. Even though he’s retiring, don’t look for Dr. Panitch on the “When we got the first endoscopes from Japan, there was no place to do the procedures. We would endoscope in the hall or in the stairway or in nursing golf course. You’ll likely find him at the gym or in the pool (he intends to start swimming), as he’s a fitness enthusiast and has run more than five marathons. stations. We carried the endoscopes and the power sources in the trunk of our cars. Every day at 5 p.m., Dr. Resin and I would meet in a parking lot and trade off the equipment. Finally in the early ‘80s, we built an outpatient endoscopy center, the second one in Los Angeles County, the third one in the entire country. Now there are more than 1,500 centers nationwide. Until we had our own endoscopy center, we “I have loved every minute of being a doctor. It’s the greatest profession on the planet.” performed our procedures at the Torrance Memorial Endoscopy Center located in the basement of the hospital.” A Brooklyn native, Dr. Panitch dreamed of being an actor. but his father, He will continue on as chairman of the THIPA Physician Council. You’ll also an immigration lawyer, pushed him into medicine—something for which he is find him giving lectures on Medicare, THIPA, gastroenterology and health care eternally grateful. reform. He is creating a new program at THIPA to educate Baby Boomers as they “I have loved every minute of being doctor. It’s the greatest profession on the planet,” says Dr. Panitch, who studied and graduated with honors at Nashville’s Meharry Medical College and interned at Metropolitan Hospital in Spanish become eligible for Medicare, called “An Introduction to THIPA and Managed Care, hosted by Dr. Panitch.” “They’re taking bets around the hospital about how soon I’ll be back Harlem. “It’s the only profession where people entrust you with their dreams, seeing patients, ” says Dr. Panitch, who has been voted one of the Best their problems, their health, and you can help them. The feeling of helping Doctors in America by his peers every year since 2005. “I believe one year is people during crisis is so rewarding.” even money, six months is 2-1, and one month is 10-1. So we’ll see … right After working for the U.S. public health service in San Pedro in the early ‘70s, he finished his training at Harbor-UCLA General Hospital and then opened his private practice at Torrance Memorial. Back then it was a small hospital that now I’m enjoying myself.” To learn more about the Torrance Hospital IPA, call 1-866-568-4472 or go online at THIPA.org. “wasn’t afraid to try new things.” WWW.TORRANCEMEMORIAL.ORG PULSE | 33 the REPLACEMENTS FOUR LOCALS RETURN TO THEIR ACTIVE LIFESTYLES AFTER SHOULDER, KNEE AND HIP REPLACEMENT SURGERIES. WRITTEN BY CAROLE JAKUCS RN, BSN, PHN | PHOTOGRAPHED BY JEFF BERTING T he need for joint replacement surgery is becoming Center and with South Bay Orthopaedic Specialists, “The more common as people lead increasingly longer shoulders are not weight-bearing joints (like the hips and and more active lives. This type of surgery is also knees), and arthritis is not too common there. So unless predicted to rise as America’s largest living age group, the there is a genetic predisposition for a particular shoulder Baby Boomers, continue to age. disorder, shoulders typically need replacement due to There were approximately 200,000 hip replacements and 450,000 knee replacements performed in 2005. John Tiberi, MD, orthopedic surgeon on staff at Torrance 34 | PULSE trauma (injuries) to cartilage surfaces, the rotator cuff or from repetitive force activities.” In contrast, a vast majority of the time, the hips and Memorial Medical Center and with South Bay Orthopaedic knees need replacement due to osteoarthritis (commonly Specialists, says that according to one study, these known as the “wear-and-tear” arthritis). Todd A. Shrader, numbers are expected to grow to 572,000 for hips and 3.48 MD, orthopedic surgeon on staff at Torrance Memorial and million for knees by the year 2030. with Torrance Orthopaedic & Sports Medicine Group, also Shoulders, knees and hips can require replacement points out, “If someone has trauma like a dislocated hip, a for a variety of reasons. According to Nicholas Silvino, MD, fracture or other injury to a joint, they can be more likely to orthopedic surgeon on staff at Torrance Memorial Medical get arthritis in it.” WINTER 2014 HIP HIP REPLACEMENT: Now for the younger folks Late last year, Laura Just had right hip replacement surgery. She knew it was Dr. Shrader says that patients may be hesitant to see a surgeon, thinking that the doctor may recommend surgery right away. He says that certainly there are cases where a patient’s joint condition is so extreme that the only option at time. She was unable to do her yoga, Pilates, bike rides and even had trouble that point may be surgery. However, some patients can be treated with other walking up and down the Strand. modalities first, such as physical therapy, medications and injections. “I felt much older than I was,” says Just. “After one day of skiing in He says that many times patients ask him, “How will I know if it’s time to Mammoth I was barely able to walk back to the condo. I thought I was stuck for have surgery?” He replies to them, “You will know when it’s time.” It becomes a the rest of my life without being able to do my favorite activities.” quality of life issue—for example, when a patient can no longer walk. Dr. Shrader performed Just’s surgery using an anterior approach (versus “If your quality of life is altered and you are missing out on activities due to posterior). This meant cutting through the front of the hip rather than the back a bad hip, don’t wait!” advises Just. “I no longer feel left out of conversations or side—avoiding cutting through the healthy glute muscle. about sports or activities with the many active folks living in the South Bay. This “It allowed me an amazing recovery time. I was walking the same day of is a 30-year-hip, I have regained a full life with it.” surgery,” says Just. She was walking up stairs only 12 hours post-surgery and was released from the hospital in just 48 hours. WWW.TORRANCEMEMORIAL.ORG PULSE | 35 THE SHOULDER: A lifelong athlete shrugs off any idea of giving up sports Kent Wyatt, a retired high school physical education teacher and coach, has been active all of his life. Born in California, his family moved to the beach when he was 4 years old. He grew up swimming in the ocean and surfing. He continued to surf for decades and played volleyball, both of which require high-intensity use of the shoulders. He was also active at work and coached volleyball, cross-country and wrestling. Wyatt began to have shoulder discomfort that progressed to severe pain and limited range of motion in both of his shoulders. Over time, he says, he realized that his right shoulder was just “worn out” from all the years of his athletic activities. He also experienced an injury to his left shoulder while coaching wrestling. Wyatt ended up having both shoulders replaced, six months apart, at Torrance Memorial. His surgeon was Dr. Silvino. “Dr. Silvino is an excellent surgeon and is very easy to communicate with. He explained the shoulder replacement procedure thoroughly, and I was thrilled to share what my goals were post-surgery,” says Wyatt. He adds that before his surgery, he experienced extreme pain in both of his shoulders. Now he lives virtually pain-free. Wyatt’s advice for anyone who is having joint replacement surgery: “Physical therapy is hard work but worth it.” His rehab took approximately three to four months for each shoulder. He says to make sure to discuss with your surgeon what your goals are after the surgery. If you want to resume a particular sport, let your surgeon know beforehand so you know what to expect afterwards. Dr. Silvino agrees that it is important to discuss your goals with your surgeon before having any joint replacement surgery. “For maintaining the longevity of the implant, you must protect the socket, specifically the implant-to-bone interface,” says Dr. Silvino regarding shoulder replacement surgery. Therefore, certain sports or activities may not be advised after surgery. “My quality of life has greatly improved since having my shoulder surgeries,” adds Wyatt. He transitioned from surfing to stand-up paddleboarding about three years ago. He also enjoys playing an occasional family game of volleyball with his kids and grandkids— activities he enjoys thanks to his replacement surgeries. 36 | PULSE WINTER 2014 SHOULDER WWW.TORRANCEMEMORIAL.ORG PULSE | 37 REPLACING A REPLACEMENT: Resuming the role of gym rat Ernest (Sonny) Moreno has been athletic all of his life. He has made it a priority to stay in shape. Now retired, he worked 20 years in route sales for a bottled water company. That’s when he met Dr. Tiberi and says he immediately felt comfortable. “We had good chemistry and just clicked.” Dr. Tiberi states that Moreno had developed arthritis in another part of his knee, and his partial replacement was not adhering well (coming loose). He now needed a complete knee replacement. Moreno had his surgery at Torrance Memorial last fall. He says he was About 10 years ago he began to experience problems with his left knee. Over time he underwent four different surgeries for his knee, the last of which was a partial knee replacement approximately four years before. able to walk the same day of the surgery and go home the next day. “I’m extremely happy with Dr. Tiberi’s work and think the nursing staff was great!” Since then, Moreno has resumed his athletic activities. He has a home Last spring, he began to have swelling in his knee and increasing pain. gym and works out two hours a day, five days a week, doing a combination of His mobility and ability to pursue his favorite activities decreased. In total, he cardio exercises and weights. He spins (stationary bike) two times a week and experienced about five months of pain. uses a tread climber and lifts weights three times a week. On weekends he pursues outdoor activities with his wife. KNEE 38 | PULSE WINTER 2014 RECOVERING, TORRANCE MEMORIAL STYLE PARTIAL KNEE: A swimmer’s “kneed” to dive back in Michelle Cahill has been a lap/pool swimmer ever since she can remember. She has also worked as a longshoreman for 15 years— a physically demanding job much different from her previous work in sales. About three years ago, Cahill began experiencing pain in her left knee. She says she was diagnosed with a meniscus problem and underwent surgery for it. During the surgery to repair her meniscus, it was discovered by her surgeon that she also had arthritis in part of her knee, the extent of which was not visible on her preoperative tests. A few months after healing from her meniscus surgery, she had partial knee replacement surgery to the affected area of her left knee. Cahill participated in physical therapy for approximately six to eight months after surgery. She believes her rehab may have taken a bit longer than other people due to the nature of her job. As a longshoreman she is on her feet a lot, climbing the steps of her truck many times each day as well as loading and unloading ship containers. Although Cahill hopes that she never needs another surgery, she is pleased with her initial experience. She is now 100% pain-free and has resumed all of her previous activities. She continues to lap swim for 45 minutes three days a week, walk for 30 minutes two times a week, and enjoys off-roading in ATVs in Arizona with her family. HOW TO PREVENT JOINT PROBLEMS To avoid getting to the point of joint replacement surgery, there are some steps you can take to protect your body. “Pay attention to injuries,” advises Dr. Silvino. If your pain persists, see your doctor. Many times, having a problem diagnosed and treated may help prevent larger problems later. “If you’ve already had an injury or a problem, get medical advice about your activities and body mechanics, and do your physical therapy,” says Dr. Shrader. “Those things work together to prevent reinjuring the same area.” The reasons people develop osteoarthritis are multi-faceted. Some people may have a genetic tendency to develop osteoarthritis, and increasing age can also raise the risk. We have no control over either; however, obesity can increase a person’s risk of developing osteoarthritis. Maintaining a healthy weight for your height and body frame is helpful in reducing your risk and good for Patients who have joint replacement surgery at Torrance Memorial and who require inpatient, postoperative care are admitted to the acute care hospital unit, Ortho 4 North. Here nurses implement a comprehensive plan in conjunction with the surgeon to help with the healing process and get patients back on their feet. According to Nurse Manager Daniel Palma, BSN, RN, he and his staff dedicate themselves to providing patients with the best care during their stay. He says this helps reduce patients’ anxiety. According to Lianne Teruya, RN, MSN, CNS, orthopedic clinical nurse specialist, patients actively participate and work together with staff to complete daily activities and therapy sessions. This includes getting out of bed for meals, walking and working to meet daily goals. This process begins on the day of surgery for most patients. Patients who have had joint replacement surgery are generally knee and hip patients with an occasional shoulder replacement. During a patient’s stay, he or she will begin physical therapy along with occupational therapy. The typical length of stay is two days; however, some patients may need to stay three days or more, says Teruya, depending on their particular set of circumstances. Goals are set for patients to reach before they can be released from the hospital. Depending on their condition, they are released either to go home or to a rehabilitative center. The goal for all patients is to be able to go home after a two-day stay. Some patients who are discharged to home may also have home health visits for a time. Torrance Memorial offers a preoperative class for patients who will be having joint replacement surgery. Patients may register for the class through Healthlinks. Teruya says that for some patients, medical insurance companies require attendance of the class, while for others it is optional. Taking the class is also especially helpful for patients who have never had this type of surgery before so they know what to expect. Having this information in advance can help decrease anxiety for most patients. Nursing and therapy staff from the orthopedic floor take turns teaching the class, so patients may meet some of the staff who will be caring for them after their surgery. your overall health. WWW.TORRANCEMEMORIAL.ORG PULSE | 39 ONE MAN’S RUN-IN WITH A TREE SAVES HIS LIFE AND POSSIBLY THE LIVES OF FUTURE GENERATIONS. WRITTEN BY KRISTIN REYNOLDS PHOTOGRAPHED BY MICHAEL NEVEUX B oth men were expert skiers. It was hardly the first time they had traversed the deep backcountry of Utah’s Powder Mountain, the most expansive ski area in the country. They had been given another perfect day of pristine conditions, and Chris Miloe and his friend, Harold Kaplan, MD, were on their second highline traverse. Miloe considered himself lucky: At 67, he was feeling great. He was an adventurist who loved all kinds of sports—skiing (even heli-skiing!), surfing, snorkeling, golf, tennis, dirt bikes … you name it. All his life he’d lived for the challenges and thrills of the great outdoors—across the country and around the world. It had been a rocky few years with several health setbacks. But Miloe was on the mend, it seemed. And on this Friday in February 2011, a beautiful bowl of fresh, silky, unblemished powder was calling. So was a sizeable pine tree with a jagged, carelessly sawn branch protruding directly across the trail. Miloe hadn’t seen it coming. THE ANGEL TREE Miloe hadn’t seen it coming—figuratively or literally. That fateful day on Utah’s Powder Mountain, the third time would be the charm. “Harold and I had taken that traverse once to a new powder bowl, and it was so good, we decided we had to go back and do it again,” he remembers. On the traverse, he glanced back for only a second at Dr. Kaplan. And then bam!, he was dangling like a lifeless ragdoll over the protruding branch. The javelin-like limb ripped open Miloe’s bicep, jammed into his ribs and knocked him unconscious. As luck would have it, the “Angel Tree,” as Miloe’s family and friends now call it, also saved his life. Rescued by ski mobile and later taken to the local emergency room, an X-ray and CT scan of his ribs gave the treating doctor pause. “Mr. Miloe,” she said, “your arm and ribs are going to heal just fine. But your CT scan shows a large mass above your heart. It’s the largest THE PAST aneurysm of the ascending aorta that we’ve ever seen in a live person. nine lives.” RECONSTRUCTING THE FUTURE “I have no idea why I’m still alive,” Miloe says today. “I must have After all, it seemed his luck was wearing thin about eight years ago when one day, out of the blue, he collapsed after surfing. When he stood, he couldn’t walk. Surgery on his back at Torrance Memorial followed, but the pain continued and a second back operation ensued a year later. Another 12 months came and went, and along with another year, another challenge—when Miloe suffered a stroke. Although mild, it took away the central vision in his right eye and required more time away from favorite pastimes. There was recovery and then rehab, and then, almost unbelievably, another challenge: Removal of a seemingly innocuous black dot the Without surgery, you’ll be dead in a month.” Miloe turns 70 this year. Considering his family history, he’s lucky to reach that milestone. Both grandfathers (at ages 35 and 51), his father (at 56) and his father’s sister (at 65) all died instantly of heart attacks. No one had known why. Thanks to Miloe’s ski accident, now they know. And the future he once feared for himself—and possibly that of his children and grandchildren—looks much different today. People with a predisposition for forming aneurysms are commonly diagnosed with thoracic aortic disease, and Miloe feels certain this disease— his diagnosis—is what caused the untimely deaths of his father, grandfathers and aunt. From Utah, Miloe was given the green light to travel home for “YOUR ARM AND RIBS ARE GOING TO HEAL JUST FINE. BUT YOUR CT SCAN SHOWS A LARGE MASS ABOVE YOUR HEART. IT’S THE LARGEST ANEURYSM OF THE ASCENDING AORTA THAT WE’VE EVER SEEN IN A LIVE PERSON. WITHOUT SURGERY, YOU’LL BE DEAD IN A MONTH.” emergency surgery to repair the aneurysm at Torrance Memorial’s Melanie and Richard Lundquist Cardiovascular Institute. Miloe’s son (Paul), Paul’s stepfather (Gene Naftulin, MD) and Miloe’s physician (James Deutsch, MD) had researched through the night for the best aortic team and hospital in the country and had concluded Torrance Memorial was the #1 option. Although Miloe himself was just beginning to learn more about his condition, he was confident he’d be in the best hands there. An aortic aneurysm, he learned, is the bulging of the walls of the aorta, the body’s largest artery and the main pathway for oxygenated size of a pencil tip (it was lead from a pencil incident as a kid) above his left eyebrow led to an abnormal pathology report. Thank goodness Miloe’s wife, Barbara, hadn’t given up urging him for years to get the dot removed. The plan was to biopsy the area for a closer look. But this would have to wait. Something more dire was lurking. blood pumped by the heart. The danger is that, like a balloon that is overinflated, the aneurysm has the potential to burst—and this can be deadly. John Stoneburner, MD, a cardiothoracic surgeon with Torrance Memorial, says it’s common for aortic aneurysms to be discovered by accident, just like Miloe’s. “Most people would never know they had one because there are usually no symptoms.” WWW.TORRANCEMEMORIAL.ORG PULSE | 41 DISEASE Dr. Stoneburner stresses the importance of relying on family history to determine risk. “If you had a first-degree relative—a parent or a sibling—with a heart condition, indicating you are pre-disposed, tell your doctor so that you can be properly screened. To look forward to your future, you must look back at your history.” Once an aneurysm is discovered (usually via echocardiogram, CT scan or chest X-ray), doctors determine the best course of action. “Size is important,” says Dr. Stoneburner. “Some growth is normal, so an aneurysm should be monitored annually.” Surgery is recommended when aneurysms grow large enough to have a significant risk of tearing. A normal aorta is about the diameter of a garden hose. Miloe’s aneurism was massive and had bulged to nearly four times that size—the size of a baseball. The seven-hour operation to remove his aneurysm was a success. The cuttingedge procedure involved dropping his temperature to 12º while the affected part of the aorta was cut away—necessary to guard against cardiac arrest. Tubular Dacron® fabric was sewn in to replace the section of the aorta that was removed. The material grafts to the affected area and is designed to last a lifetime. Miloe praises his treating team at the hospital. “Their methods, monitoring, caring—it’s incredible what they do for you,” he says. ASCENDING AORTIC ANEURYSM Within a week, he was released. Months of therapy followed through the hospital’s Delpit Cardiac Rehabilitation program as he steadily regained strength and stamina. Almost unbelievably, later that year, once he was healthy enough for a biopsy on PROCEDURE his forehead, there was yet another diagnosis. Melanoma. Lucky (again) for Miloe, he was able to undergo surgery, and the melanoma was successfully removed. It had been a long road and he couldn’t wait to get back on track. “It was, ‘How much time do I get with my family,’ and then, ‘How much sporting stuff do I get to do?’” Miloe ticks off the trips he has taken since. Skiing on Hokkaido Island in Japan; surfing in Indonesia, Costa Rica and Cabo San Lucas. A trip to Africa with Barbara is coming up. He admits the waves he surfs get smaller, and time on the slopes is less. But he says, “I’ll keep going as long as I can. With good family, friends and support—you will come back. I’m proof of that.” THE PRESENT IS A GIFT The day of this interview, Miloe has recently returned from a 10-day surfing trip to the Dominican Republic. He’s busy in his office at Albitz/Miloe & Associates Inc., a Registered Investment Adviser firm in Torrance. His son and wife work alongside him, and today his granddaughter—one of four grandchildren—is there too, happily assisting as needed. Miloe will celebrate his 70th birthday on the same day this June that his daughter celebrates her 40th birthday. His whole life, he says, the cards have fallen in his favor. AORTIC REPLACEMENT The tree limb that saved his life is perched on a shelf in his office like a trophy. It’s a constant reminder of his good fortune. “There’s no way I hit that tree by accident. I was injured just enough to find the aneurysm, but I wasn’t killed or permanently injured. It’s miraculous.” For now, Miloe is keeping fingers crossed he gets lucky again at least at some point this unseasonably warm, dry winter. “If only it would snow! I’d really love to be skiing right now.” 42 | PULSE WINTER 2014 “I’LL KEEP GOING AS LONG AS I CAN. WITH GOOD FAMILY, FRIENDS AND SUPPORT— YOU WILL COME BACK. I’M PROOF OF THAT.” The Torrance Memorial Physician Network Welcomes New Physicians As the Torrance Memorial Health System grows to meet the health care needs of our community, our network of primary care physicians and specialists is growing to serve you. Our highly coordinated team seeks to not only manage health conditions, but improve your health. Now Accepting New Patients • Same Day Appointments Available Many new specialists available including OB/GYN, Pediatriatrics, and Oncology. Dilky Cooray, M.D. Tiffany Trinh, M.D. Rheumatologist Torrance Internal Medicine Torrance Wayley Louie, M.D. Michael Yu, M.D. Pediatrician Manhattan Beach Family Medicine Torrance Sarwat Mahmud, M.D. Bahar Zadeh, M.D. Internal Medicine Torrance Family Medicine Torrance Cynthia H Ro, M.D. Natalie Zelta, M.D. Endocrinologist Torrance Internal Medicine Torrance Call 310-891-6717 www.tmphysiciannetwork.org NEW Torrance Memorial Physician Network Office Coming to Hermosa Beach, Summer 2014 WWW.TORRANCEMEMORIAL.ORG PULSE | 43 THE NEXT GENERATION CHEN FAMILY GROUNDED IN THE SOUTH BAY, CENTERED ON THE SUN WRITTEN BY COLLEEN FARRELL | PHOTOGRAPHED BY LAUREN PRESSEY S unrider may not be a name that readily comes to mind as one of America’s most-recognized brands. Many Americans might struggle to name even one of the company’s 415 health, beauty and household products. However, with a reported $775 million global sales in 2012, this privately held, family-run business—headquartered in Old Town Torrance since 1987—is unquestionably the sleeper hit of the natural products industry. Guests who enter the glass-walled lobby of Sunrider’s 350,000-square-foot headquarters are greeted by two large, twisted metal sculptures that appear to emerge from the earth. They are titled “Regeneration,” a name that also serves as the company’s philosophy. According to the artwork’s description, “Just as the five elements metal, wood, water, fire and earth are balanced in nature, Sunrider products are based on the philosophy of regeneration to maintain health and prosperity.” The architects of this philosophy are Sunrider founders Tei-Fu Chen, PhD, and his wife, Oi-Lin Chen, MD. Today, regeneration is at work at Sunrider through an additional five elements: the Chens’ adult children who spent their childhood working alongside their parents. With the senior Chens still very hands-on, the younger Chens are now using their diverse talents, fresh ideas and symbiotic family dynamic to introduce Sunrider to a new generation of health-conscious consumers. Siblings Wendy Teng, JD, Reuben Chen, MD, Sunny Beutler, JD, Eric Chen, PhD, and Jonathan Chen all serve in leadership roles within Sunrider. And because the company has never believed in testing their products on animals, they have also long served as the “guinea pigs” for new products. “If we don’t like it, we don’t sell it,” says “baby of the family” Jonathan, a self-described “computer geek.” In spite of his parents’ wish that he pursue medicine, Jonathan earned his Bachelor of Science in information systems and Master of Science in information systems management from Brigham Young University (BYU). He now serves as global information technology director. Beutler (her married name), nicknamed by the company’s China staff and Authorized Business Owners (ABOs) “Da Xiao Ji”—translated to English as “Big Little Boss”—earned her Bachelor of Arts in international studies and her Juris Doctor from BYU. “Since I was little, my parents had me answering phones, wearing a headset at conventions and helping out at workshops,” she says. “It was fun, but I remember getting yelled at on the phone by adults and not knowing how to handle it,” she continues with a laugh. She learned the ropes through that trial by fire. HEARTBEATS WWW.TORRANCEMEMORIAL.ORG PULSE | 45 A born manager and multitasker, Beutler oversees international Accompanied by his new bride, Oi-Lin, he continued his studies at operations with ABOs and special events. She and the Chen clan Brigham Young University in Utah—a decision driven by his conversion recently attended the January Sundance Film Festival, where Sunrider to Mormonism when he was 16. While there, he also taught science served as the official tea and herbal beverage sponsor of ChefDance, and judo. the Canon Lounge and the Huffington Post Lounge. After BYU, Tei-Fu became research and development director for a Eric, whom Jonathan calls “the quiet, smart one who always multi-level marketing nutritional company, where he began developing earned straight As,” earned his Bachelor of Science in biochemistry his own line of herbal remedies. In 1982 Tei-Fu, along with Oi-Lin—who from BYU and his PhD in organic chemistry from UCLA. As operations had earned her MD—and another business partner, decided to found director of Sunrider Manufacturing, he works closely with Sunrider’s their own company, and Sunrider was born. scientists to stay on the cutting edge of new product development. As a sickly boy in Chiayi City in southwestern Taiwan, their father Rooted in the belief that disease is the result of poor nutrition, the company set out to meld traditional Chinese herbalism with Tei-Fu learned about herbs from his paternal grandfather. He then Western science and make products to improve lifestyle and wellbeing. studied his grandfather’s ancient manuscripts on herbs and graduated Influenced by the success of other multi-level marketing companies in with a degree in pharmacy from Kaohsiung Medical College. Utah, Tei-Fu structured Sunrider as a direct sales enterprise. 46 | PULSE WINTER 2014 HEARTBEATS Similar to its competitors—Herbalife, Amway and Avon— treatment there for Stage III nasopharyngeal cancer. With Sunrider sells its products through a network of independent just a 10% chance of survival, she received aggressive business owners. It has grown into a global business that chemotherapy and radiation treatments. Although fully distributes products to nearly 50 countries and has expanded recovered, she remains in the care of her physician, Marc to include franchise stores in other countries and a chain of Colman, MD, who introduced the Chens to the Torrance luxury hotels—Sunworld Dynasty Hotels in China and Taiwan. Memorial Health Care Foundation’s director of major and Although building a global empire required long hours and frequent international travel, the Chen children say their corporate gifts, Judith Gassner. “My mom’s cancer influenced us because we were all quite parents always made sure they “felt the love” while growing young when it happened. My youngest brother Jonathan was up. “They would always cancel everything to be at each one of only 5,” says Sunny. “Dr. Colman and her other doctors took our high school and college graduations. It was that important such good care of her, and from those experiences we always to them,” says Jonathan—although, he admits, at times it think of Torrance Memorial as our hospital.” seemed more like “tough love.” While some children might rebel against their childhood work regimen, according to Jonathan it instead taught him “We hope that with the donation, many more people will be able to experience the kind of wonderful care and treatment we received as a family at Torrance Memorial.” and his siblings to “accept work as part of life. My parents always said, ‘Don’t She continues, “The donation to the surgical department just made sense. We hope that with the donation, many more people will be able to experience the kind of wonderful care and treatment we received as a family at Torrance Memorial.” As Tei-Fu Chen has explained, he named the company complain about work. It can’t always be Sunrider because “if we face the sun, the shadows will fun.’ We saw our parents go through a always be behind us.” Reuben has continued that forward- lot of hardship, so it made us appreciate thinking mindset with a new enterprise. In 2013 he opened what they accomplished and want to a Torrance clinic called SunLiving Health & Wellness. It work just as hard to succeed.” continues the legacy of blending traditional and holistic Eric says, “When they got home at night, they were still working. We would go to bed before our parents. They would medicine through customized nutrition, fitness, cosmetic and sports medicine programs. As the next-gen Chens take Sunrider to the next level be up until 2 or 3 a.m. This really stuck. domestically and internationally, two long-standing family Dad was always trying to make something rituals remain a constant. They meet for $5 movie night every new and then to make it better. He would Tuesday, and mom Oi-Lin invites all 20+ children, spouses and always say, ‘It [Sunrider product] has to grandchildren for casual dinners every Sunday evening. be the best.’” “If our parents are out of town, we have a potluck,” says The Chens credit their family values Teng (her married name), who earned a bachelor’s degree in to their Chinese culture and their Mormon English and biology from UCLA and a Juris Doctor from Duke religion, which places a strong emphasis University School of Law. As vice president of marketing, her on giving back through community service. Sunrider has mission is to increase brand awareness of Sunrider through long supported the American Cancer Society’s “Relay for web marketing and social media. Life,” Junior Leadership Torrance, Tech Trek—which sends “Our mom always told us, your friends will come and go, but female middle school students to science camp—and your siblings will be there forever. So you’d better get along,” Adopt-a-School. This past fall, the family gave back in a big says Teng. But the Chens don’t view this required family time way through a $2.5 million donation to Torrance Memorial as a chore and are quick to appreciate the family cards they’ve Medical Center. In return, the surgical department of the new been dealt. Lundquist Tower will carry the Chen name. With parents, siblings and now 10 grandchildren (four “We’re very blunt with each other, and we don’t hold back. But we’re not competitive with each other,” Jonathan born at Torrance Memorial and two more on the way) all living says. “We are always proud of each other and push each other in the South Bay, the Chen family has a personal stake in hard to succeed.” supporting local health care. In addition, Reuben, described He continues, “We come into this world to make a as the “hardest working and most intense” sibling, was difference. Life is hard, and that we’ve had some extra help recently appointed a staff physician in Torrance Memorial’s from our parents is not a bad thing. We always recognize physical medicine/rehab department, where he treats how fortunate we are and how important it is to give back. patients who have undergone recent surgeries. Our hope is that we can pass along this same passion and The family first became acquainted with the medical work ethic to our children.” center 24 years ago when Oi-Lin underwent life-saving WWW.TORRANCEMEMORIAL.ORG PULSE | 47 FLASH 30TH ANNUAL HOLIDAY FESTIVAL GALA NIGHT DECEMBER 6 | Torrance Memorial Medical Center More than 15,000 community members enjoyed the 30th Annual Holiday Festival hosted under a 30,000 sq-ft white tent on the Torrance Memorial campus. The event’s premier fundraiser – Gala Night – was a huge success selling out quickly. A key Gala Night highlight was a gift of $1 million announced by Michael Rouse, vice president Steve Morikawa, Mary Morikawa, Kristy Morikawa, Eric Ta Greg Geiger, Jacquie Geiger of Diversity, Philanthropy and Community Affairs at Toyota Motor Sales, USA, Inc. The gift was announced during the “Gift from the Heart” portion of the Gala’s live auction, which invites guests to come forward with donations starting at $1,000. Three separate $100,000 bids came from Ralph and Lorraine Scriba, Rich and Liz Umbrell, and Jackson and Julie Yang. In total, “Gift from the Heart” bidding raised nearly $400,000. Multi-million dollar donors recognized during the Friday night Gala included the Chen family; Melanie and Richard Oi-Lin Chen, MD, Judith Gassner, Tei-Fu Chen, PhD Paul Leach, Craig Leach, Judy Leach, Daniel Leach, David Leach Lundquist; Sam Menzelos of the Vasek Polak Foundation; Priscilla Hunt; Louis and Beth Graziadio; Alida and Steve Calvillo; Phil and Christina Pavesi; Ralph and Loraine Scriba; Rose and Sam Feng; and Phyllis and René Scribe. Back row: John Schugt, MD, Gerald Reich, MD, Darren Bedolla, MD, Michael Tarnay, Andy Shen, MD, Brett Lorber, MD, Peter Tseng, MD, Eric Nakkim, MD, Joe Nakagawa, MD; Front row: Curtis Wang, MD, Elisa Anhalt, MD, David Presser, MD, Brian Miura, MD Steve Lopes, Helaine Lopes, Mark Lurie, MD, George So, MD 48 | PULSE WINTER 2014 Cynthia Williams, MD Valerie Tell, Jen Berlinger, Richard Simmons, Dave McGovern, Corina McGovern Erin Hoffman, Carole Hoffman, Heidi Hoffman, MD Craig Leach, Joy Paul, MD, Russ Lesser, Charlotte Lesser Michael Zislis, Linda Lillejord, Rose Zislis, Michele Shaver PHOTOGRAPHED BY DEIDRE DAVIDSON AND JONTHAN MOORE Richard Lundquist, Melanie Lundquist FLASH FESTIVAL FASHIONS DECEMBER 3 | Torrance Memorial Medical Center A sold-out crowd of Torrance Memorial supporters came together for a great cause when Las Amigas volunteers kicked off the 30th Annual Holiday Festival with the sophisticated Festival Fashions. Proceeds from the event benefit the medical center’s Lundquist Tower, slated to open to the public in November. The six-day event included a display of 32 themed decorated trees, a Fashion Show, Gala Night, Santa Lunch, two Seniors Days and the South Bay’s largest Holiday Shopping Boutique. The week of family activities is supported by hundreds of community volunteers who work throughout the year to make the event a success. PHOTOGRAPHED BY DEIDRE DAVIDSON AND JONTHAN MOORE Kelli Piken, Nadine Bobit, Nina Tarnay, Linda Perry Carolyn Snyder, Bev George Gina Sulmeyer, MD, Nina Tarnay, Elisa Anhalt, MD Ruth Daniels, Christine Pavesi Front row: Patricia Turpanjian, Lori Muncherian, Sigrid Allman, Doris Miguelez; Back row: Aida Shorvoghlian, Bennett Turpanjian, Deanna Nazarian, Nina Turpanjian, Gayane Ambartsumyan, MD Chelsea Gaudenti, Christine Gaudenti Craig Leach, Ann Zimmerman, Christy Abraham Judith Gassner, Melanie Lundquist Diane Hsieh, Roswaty Lim, Lisa Kaufman, Diane Polischeck WWW.TORRANCEMEMORIAL.ORG PULSE | 49 CONSTRUCTION UPDATE THE LUNDQUIST TOWER OVER THE YEARS…. 1. February 2010 – Medical office building is demolished to make room for the new building. 2. September 2010 – Site work underway in preparation for utilities. 3. September 2010 – The hospital’s original entrance. 4. June 2011 – Excavation and shoring take place with removal of soil to create a 30-foot-deep hole. 5. September 2011 – The mat foundation of the building is placed over the course of three nights. It took eight to nine hours for each night’s pour, with cement trucks arriving continuously to get the foundation in place. 6. November 2011 – Structural steel starts. 7. February 2012 – The final beam is placed, and concrete decks go in floor by floor. 8. July 2012 – Precast panels are installed to create the buildings exterior. 9. August 2012 – Glass installation occurs, making the building exterior start to come together. 10. November 2014 – The Lundquist Tower, near completion in this photo, is slated to begin patient care in November. In addition to the variety of exterior work occurring, the interior is also near completion and will 10 be ready this summer as staff begins training in the space. 1 3 2 5 6 4 7 9 8 50 | PULSE WINTER 2014 Create Your Legacy Have you considered Torrance Memorial in your estate planning? Your future support helps ensure Torrance Memorial Medical Center will continue to provide excellent, compassionate healthcare to residents of the South Bay for generations to come. The Torrance Memorial Office of Planned Giving is ready to help you with gifts made through wills, living trusts, income-generating charitable gifts, retirement plans and more. If you have already remembered us in your estate plan, please contact us so we can thank you now and ensure your legacy will be carried out according to your wishes. Please call 310-784-4843 today for more information. www.TorranceMemorial.org/PlannedGiving