real life, real health in ventura county
Transcription
real life, real health in ventura county
SUMMER 2012 R EAL LI F E, R EAL H EALTH I N V E NTU R A C O U NTY “I had no feeling of panic, I didn’t think it was a life-threatening situation.” – Jurgen Gramckow 8 12 15 18 20 25 26 contents 4 No Panic Just Expert Care . . . . . . . . . . . . . . . . 4 CMH’s Telemetry/Progressive Care Unit is Named a National Best Nursing Team . . . . . . . 7 The Bovas – It Takes a Community . . . . . . . . . . . 8 Defying Sudden Cardiac Death . . . . . . . . . . . . 12 Michael Ellingson – Vice President of Marketing and Development Mary McCormick – Editor Woody Woodburn, Dan Wolowicz, Margie Stites, ZestNet – Writers Sunwest Studios – Photographer ZestNet – Art Direction/Design The Kids Call Him MACGYVER . . . . . . . . . . . . . . 15 Community Memorial Health System 2012 Board of Trustees CMH Auxiliary Celebrates 50 Years . . . . . . . . . . . 16 Martin A. Pops, M.D., Chair Gregory H. Smith, Vice Chair Trudy Arriaga, Ed.D., Secretary Jeffrey D. Paul, Treasurer Art Matters in Ojai . . . . . . . . . . . . . . . . . . . 17 Ventura County’s Lifeline . . . . . . . . . . . . . . . . 18 Caring for Maricela – Palliative Care Services . . . . 20 Touching Lives . . . . . . . . . . . . . . . . . . . . . . 22 Investing in Our Community . . . . . . . . . . . . . . 24 From Alice Ragland . . . . . . . . . . . . . . . . . . 25 Meister Family Foundation Announces 2012 Nursing Scholarship Awardees . . . . . . . 26 Marc A. Beaghler, M.D. Chief of Staff, Community Memorial Hospital Mary E. Dial, M.D. Chief of Staff, Ojai Valley Community Hospital Michael D. Bradbury Philip C. Drescher Timothy J. Gallagher Thomas F. Golden, M.D. John J. Hammer William L. Hart, M.D. John V. Hill, M.D. Fritz R. Huntsinger Harry L. Maynard Judy Miller F. Ted Muegenburg, Jr. Richard Rush, Ph.D. John W. Russell Samuel D. Small, D.O. Gary L. Wolfe Kay Woodburn EMERITUS MEMBERS OF THE BOARD Ralph R. Bennett Robert J. Lagomarsino Leonard Ortiz Janice P. Willis Foundation Events . . . . . . . . . . . . . . . . . . 28 BUILDING A BETTER Health System . . . . . . . . . . . 32 Community @ Community . . . . . . . . . . . . . . 34 2 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM A not-for-profit organization. 147 N. Brent St., Ventura, CA 93003 ©2011 Community Memorial Health System For permission to reprint any portion of this magazine please call 805/652-5492. On a daily basis individuals are inundated with healthcare reports on the quality of physicians and hospitals. As consumers it is often difficult to know which agency or organization we should listen to as we decide on the “best course” for our healthcare needs. Ensuring that patients receive the highest quality of care is paramount to all of us in the Community Memorial Health System family. That’s why we regularly participate in a number of high-quality surveys considered the “gold” standards in healthcare. In addition to mandatory reporting to the Centers for Medicare & Medicaid Services, California Department of Public Health, and the Office of Statewide Health Planning and Development; we also participate with numerous others including: • Collaborative Alliance for Nursing Outcomes (CALNOC); • Society of Thoracic Surgeons – Cardiovascular Surgery Outcomes; • American College of Cardiologists – Interventional Cardiology Outcomes; • Southern California Patient Safety Collaborative; • CHART – California Hospital Assessment Reporting Taskforce. I am extremely proud of the quality markers we routinely attain. Moreover, we believe in full transparency and regularly share this information with the public. Shortly, quality data analysis surveys and reporting results will be available on our website so the community can easily obtain all of our information. Gary K. Wilde President & CEO One commendable example of our ongoing efforts to continually improve the quality of patient care is CMH’s 4th Floor Telemetry/Progressive Care Unit. In this issue of Caring we’ve highlighted the unit which was recently named one of ten National Best Nursing Teams by the publication, Advances for Nurses. We want to congratulate the entire staff who worked together to significantly reduce falls and provide a safer environment for our patients. THOUGHTS wilde O Also, this issue’s cover story features Jurgen Gramckow, an Ojai resident, whose story underscores that there’s a lower threshold for a heart attack than most of us realize. The owner of Southland Sod Farms, Jurgen was unaware of how dire his situation was, but says he “can’t say enough about CMH and the excellent care I received.” I want to thank Jurgen for sharing his personal story and for reminding all of us how important it is to know the subtle signs of a heart attack. In 2001, CMH played a critical role in delivering Ventura County’s only quintuplets. Now, over a decade later, we re-visit the Bova family. I’m sure you’ll find Joe and Lynn’s story both heartwarming and – despite having a 12 year-old and five children all the same age – remarkably normal. On the philanthropic front, our institution couldn’t function without the efforts of many community members. One of those benefactors is Barbara Meister. In addition to volunteering her time and talents to the Community Memorial Healthcare Foundation board, where she’s been a member since its inception in 1984, Barbara saw another need and established the Meister Family Foundation Nursing Scholarship in 2007. The 2012 scholarships were recently awarded and the recipients are featured in this issue. We couldn’t be more proud of the awardees, or more grateful to Barbara for her continued benevolence. And finally, in August, we celebrate the first anniversary of the building project for the new Community Memorial Hospital. Slated to open in 2015, we are proud to partner with our community in ensuring that the healthcare needs of so many will be met into the foreseeable future. Gary K. Wilde President & CEO, Community Memorial Health System COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 3 CMH is the life-saving parachute for Ojai’s Jurgen Gramckow after he suffered a heart attack just expert care J Jurgen Gramckow, co-founder and president of Southland Sod Farms in Oxnard, was referring to the challenging economic climate that has sent the demand for wholesale sod into freefall in recent years, but his words also aptly describe the health peril that befell him shortly after this past Thanksgiving. With the holiday over, Jurgen was alone in the family’s Rancho Matilija home. Gerry, his wife of 37 years, was in San Francisco with the couple’s oldest daughter, Monika, while their other two children, Kurt and Karin, had both returned to Cal Poly, San Luis Obispo. Having taken more than a week off from his regular workout routine, Jurgen got on his treadmill in the early evening. 4 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM “I was feeling fat and sluggish,” recalls Jurgen, who in truth looks fit and trim at age 63. “It seemed a little harder than usual. I thought it was just the result of taking about ten days off from exercising. I normally do 45 minutes, but 30 minutes into it I was breathing pretty hard and sweating more than normal. I stopped for a moment and thought, ‘Should I just quit?’ But I was stubborn and finished it out.” Unaware, Jurgen had already jumped out of the airplane and was free-falling toward the ground. Indeed, he would later learn that labored breathing and profuse sweating are warning signs of a possible heart attack, even if they are not accompanied by chest discomfort, pressure or pain; and/or pain in the jaw, neck or arms. “After I stopped, I was still having a hard time breathing and I was dripping sweat,” Jurgen retells. “I went to the den and sat down on the couch.” Feeling weaker rather than better, he reclined for a minute but still felt no relief. In fact, things were turning worse. “My vision was getting blurred,” he notes. “I was getting light-headed and the sweat was now running off me.” However, with “no chest discomfort at all,” Jurgen says the possibility he might be having a heart attack never crossed his mind. Rather, he thought it was a recurrence of the episode a couple years prior when he had overdone his treadmill workout and suffered terrible cramps due to dehydration. Deciding he should call his brother, Martin, who lives nearby in Ojai, Jurgen made his way from the den to the kitchen. Feeling as though he might faint, he steadied himself against the walls and eventually reached the phone. But then the situation turned even more dire. “Suddenly my vision was so blurry I couldn’t see the numbers on the pad!” he recalls. Keeping his calm, Jurgen counted out the numbers as though reading Braille. “I figured out the six and then the four, but then I thought: ‘Where’s the zero? Hmmm, I think it’s in the middle of the bottom row.’” He was right, yet frustratingly notes: “The first time I dialed a wrong number.” With his health situation deteriorating by the moment, the misdial was like pulling the ripcord on a parachute and not having it open. Jurgen pulled the safety cord, so to speak, by blindly – but carefully – dialing the seven digits again. This time Martin answered and Jurgen asked him to call their friend, family practitioner Dr. Robert Feiss, to see if he could come make an urgent house call. Within 15 minutes Martin and Dr. Feiss arrived. Using a portable electrocardiogram, Dr. Feiss quickly knew that Jurgen was suffering a myocardial infarction – a heart attack. He immediately called paramedics and also made the decision that Jurgen should go directly to Community Memorial Hospital rather than initially to Ojai Valley Community Hospital which would certainly transfer him to CMH’s state-of-the-art Cath Lab. Additionally, Dr. Feiss phoned Dr. Alejandro Garcia of Ventura Cardiology Consultants Medical Group. When the ambulance arrived at CMH and Jurgen was brought by gurney through the Emergency Department doors at 11:00 p.m., Dr. Garcia was waiting, along with the expert E.D. team, ready to move into lifesaving action. Jurgen’s parachute had opened in time. ••••••••••• Jurgen Gramckow’s office contains rolled up maps and blueprints as well photographs of Gerry, Monika, Kurt and Karin. Outside the window across East Hueneme Road is his family’s 1,000-acre Southland Sod Farms. Figuratively, the view represents the roots that Jurgen’s late father, Werner, planted in 1950 when he immigrated to America from Hamburg, Germany in search of a better life for himself, his wife Gertrud, and two-year-old son Jurgen. (Martin and Heidi, who also live in Ojai, would be born in California.) “My uncle had immigrated here ten years prior,” Jurgen explains, “so my dad had a connection here in Ventura. At the end of the war, Germany was pretty much destroyed so my dad felt he could make a better life here.” Arriving near penniless, Werner studied accounting at UCLA. He then landed a job as a bookkeeper for Ventura Pacific Company and later left the lemon-packing business to work for Camarillo’s Cal-Turf that was among the sodgrowing pioneers in California. Beginning at age 9, Jurgen worked in the sod farm fields every summer and eventually found himself on “The Farm” as the Stanford University campus is famously nicknamed. He earned a degree in Mechanical Engineering, but unfortunately entered the job market right as the Space Race was ending. “Experienced engineers were all being laid off,” Jurgen explains, “so new engineers had a real hard time finding work.” The bad timing worked out wonderfully. “My dad and I struck out on our own,” Jurgen continues. “He knew the financial side of the business and I knew the operational side.” With the backing of a few investors, father and son rented some land in the Oxnard plain and started Pacific Sod Farm in 1970. In 1976 they sold their interests and struck out again, this time fully on their own, creating Southland Sod Farms that has grown from a modest 50 acres to become Southern California’s largest producer of sod. ••••••••••• “Sometimes you wonder if the parachute is going to open in time.” Werner Gramckow immigrated to America to build a better life; now in America his eldest son was fighting for his life. Meanwhile, Martin, who is vice president of Southland Sod Farms, phoned the loved ones in the photographs in Jurgen’s office. “My wife and daughter (Monika) wanted to jump in the car at 11:00 at night and drive down here from San Francisco,” Jurgen shares. “I said, ‘Don’t bother: it’s over. What are you going to do?’ I convinced them to come down first thing in the morning.” There was no need to rush because everything had gone perfectly in the E.D. and Cath Lab. Indeed, slightly sedated but still conscious, Jurgen remembers the precise instant when Dr. Garcia expertly guided a stent into his right coronary artery that had been blocked Continued on next page. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 5 “There was no panic, just expert care.... I cant say enough about CMH and the excellent care I received.” Continued from previous page. by a blood clot (apparently the result from ruptured plaque). “I was having trouble breathing and then he set the stent in the right spot and – Wow! –it was like the lights went back on!” Jurgen says. “In less than a minute I was fully coherent and felt great.” Remarkably, Jurgen says he didn’t fully realize how serious his condition was until after his recovery when Martin said: “Do you realize how close you came to dying? I was trying to keep you awake on the couch asking you questions and you were giving me the wildest answers!” “I had no feeling of panic,” Jurgen shares. “I didn’t think it was a life-threatening situation. I thought it must be fixable because I did not feel like I was dying. Maybe if someone had 6 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM shown panic, but Rob (Dr. Feiss) and Martin didn’t show any panic; the EMTs and doctors and nurses didn’t show any panic. There was no panic, just expert care. “The nurses in the Cardiac Care Unit were wonderful,” continues Jurgen, who spent two days in CMH. “They are really on their game. Everyone who took care of me was on their game. I can’t say enough about CMH and the excellent care I received.” While he has no family history of heart disease, and no personal history of elevated cholesterol, looking back Jurgen realizes he almost made a fatal mistake by ignoring his symptoms. “While I had no chest discomfort, I have learned that not being able to breathe normally and excess perspiration are also serious warning signs,” Jurgen explains. “There’s a lower thresh- old for a heart attack than most people realize. I was on the cusp of deciding to sleep it off instead of calling my brother. I might have gone to sleep and never woken up.” He pauses and shifts from thinking about what could have been to talking about his reality today: “I’ve been told everything is 100 percent and to go back to my normal life.” So Jurgen is back on the treadmill, back going for long walks with Gerry on their beautiful ranch, back at work keeping the family roots growing deeper. “I was very fortunate,” Jurgen says, adding with a smile: “I guess I should get to work on my bucket list.” No need to put skydiving on it – Jurgen Gramckow has already experienced having his parachute open just in time. TELEMETRY/PROGRESSIVE CARE UNIT AT CMH IS NAMED A National Best Nursing Team THANKS TO THEIR DEDICATION TO PATIENT SAFETY & PREVENTING PATIENT FALLS R Recently the 4th Floor Telemetry/Progressive Care Unit at CMH was named a National Best Nursing Team by the publication Advances for Nurses. Patient falls on the busy 44-bed telemetry/ progressive care unit of Community Memorial Hospital were occurring despite using fall prevention interventions commonly used in many hospitals. It was decided that a fresh new approach was needed to address patient falls. At the end of December 2010, the unit’s average call light response time was identified at 2 minutes 40 seconds. As a unit, the feeling was there was a direct correlation between the call light response time and patient fall rates. In response, the unit came up with what proved to be a most effective strategy in fall reduction – the Call Bell Tech program. This unique program assigns one nurse tech per shift to answer call lights and to provide anticipatory rounding to reduce call bell response times. After full implementation of the program, the average call bell response time has decreased to 30 seconds. In April 2011, a second component was added to the program, called the Hot List, which identifies patients considered to be at the highest risk for falls. The Hot List is updated on a continuous basis and distributed to staff members at the beginning of each shift. The list enhances hands-off communication and allows the entire floor to work together to prevent falls in a high-risk population. In May 2011, to investigate the details surrounding each fall, case studies were introduced. The use of case studies fosters critical thinking and problem solving among staff. Employees are asked to review the circumstances unique to each fall, and present their own ideas about how to avoid similar falls in the future. For example, analysis of the fall data during case studies revealed that approximately 62 percent of patient falls were related to toileting needs. As a result, em-ployees suggested that Hot List patients should not be left alone in the bathroom or on the commode. Once implemented, this suggestion proved very successful in eliminating toileting-related falls. The unit also discovered that many patients were simply removing the tab alarms. Therefore, it was decided to use bed pad alarms in addition to bed and tab alarms which signals when a patient rises. Using bed pad alarms simultaneously with bed and tab alarms considerably reduced the risk of alarm failure and, consequently, the number of falls. In July 2011, video surveillance was implemented, which allows high-risk fall patients to be monitored remotely by the telemetry monitor technician. This option has contributed to reduced patient falls and decreased the costs associated with sitter use. The video monitor was placed adjacent to telemetry monitors and the telemetry technician observes both screens. Throughout the year, as a result of implementing these fall reduction strategies, falls have decreased by 70 percent. The fall prevention program implemented at the Telemetry/Progressive Care Unit at CMH has demonstrated the staff ’s ability to create a culture of safety. The program is cost-effective and is equally supported by staff and management. Bobbie McCaffrey, Vice President & Chief Nursing Officer stated about the accomplishment “This achievement demonstrates shared decisionmaking and collaboration of the 4th Floor healthcare team to provide leadership and high quality care at the bedside. Employee empowerment and engagement are key facets to quality care and positive patient outcomes.” Acknowledging staff and celebrating their successes increases their motivation and job satisfaction. It also gives the staff a shared goal, supporting group cohesion and promoting team work. Most importantly, patient fall rates have decreased and patients are safer while under care. Congratulations to CMH’s Telemetry/Progressive Care Unit. PROVIDING A SAFER ENVIRONMENT FOR OUR PATIENTS. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 7 y t i n u m m o C a s e It Tak ple of a commitment to caring m exa A shining on title ham Clint d her 19 96 od , Hillary R b r e v o r p frican ly – rom an A d still on f n a g in – .” w e t o g s r Bor he fir , a Villa It Takes be titled ents of t “ r k ly a o e p o t e b a r m g u a a bec re acc bestsellin could mo Lynn Bov y d r n o a t e s o ir J d the s later, ounty an C Five year a r u t and n orn in Ve s, nurses b n s ia t ic le s p y u h ra quint the p munity.” ow Ventu as, from m ll v o e o f C B d a e n s h a e t rkers ound “It Tak and rs, co-wo rallied ar o y b h it n ig k, bathe u e o n m o o c m t o o l c t a e k h he cloc l Hospit Indeed, t Memoria around t y d e it r n e u e t m olun Com ers who v staff at b m e year. 01, Joe m 0 t h s c 2 r ir , u f h 1 g C h in c y r lleng n Mar Missiona g the cha Bunch” o in r a u v d o ile that is s B r h “ e W e p . h ia t lp d e f h e o ily, chang birth ve and fter the Bova fam ring of lo a u e o e h p d t t a , u c e o e r nad r the sly ra More tha emendou s ever fo r a t l u g f k in n e a b h uplets remain t mal. ite quint s p s and Lynn e kably nor d r : a is m e is r age,” say h e is t , , m n g a a in s y is e R r -old ive th not surp any 12-year ildren – f h s c e d ix lu hings like s c t e in v o a o d h ls o a e g w h lize whic l. “We ds us don’t rea igh Schoo e H w y s g e one remin lo e im o m t n e o h s c m e n o T e s l othil es wh “I think sometim tura’s Fo n t e p V e c t x a e l cipa to us Joe, Prin ls normal e rade e f e if L ily. a third-g tion.” a m s u a a f it e s r l e im a h t ot half but norm chaotic, b-shares lly isn’t a le jo a t o e t r h li w it a , n t s n tha es Ly ear wa re of.” us,” agre e first y h o T t “ l l. a o taken ca m o r e h o r c n e S w t y s s r sitie enta “It’s ju The neces aria Elem . m is a is n r a c u f J at ense o teacher never a s s a w e r , e th and Ryan . s y ie honestly it b n a u b m e com of th e ly to the ake care t t a e lp r e hs. “Thes g h t s n o k o t m d e Than 2 r e hey irst 1 lunte diapers. T people vo f those f d o e d g e s ll r n a a d c h n e c u r , e-h hem tefully “Over on bathed t d Lynn gra n a ,” o d e w f t .” them, barely ories to the time who was t ll s e a d d a e e s r s re ple are lik t ople o s e e p t p l o u e n f s r s o e of th wond at wa ne. Many family th a a s e s b u s t u p ort ke helped nity supp u m m y,” o c : “The communit day.” e is h h t t r o o Adds Joe f t earts mbers e in our h amily me c f la d p e l d ia n c e spe ext to have a g in o g s y lwa “We are a nn. rejoins Ly 8 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM nch Bu Bova The 2001 11 years later. The Bova Bunch 2012 . n next page o Continued COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 9 Continued from previous page. This happy story began with heartbreak THE BOVAS Three times during their first five years of marriage, Lynn suffered a miscarriage. When the Bovas, who celebrated their 18th wedding anniversary in July, ultimately decided to pursue adoption they were told the process would likely take more than a year. Thanks to a blessed turn of events, however, they brought Wishing for at least one more child, Lynn again underwent fertility treatment and was rewarded five times over. However, a quintuplet pregnancy is high-risk with an average gestation of 29 weeks, as opposed to 39 weeks for a fullterm baby, and an average birth weight of about 2 pounds, 12 ounces. “The staff at CMH lifted her spirits.” newborn Ryan home 20 days later on Sept. 22, 1999. “We had talked for years if we had a boy we’d name him Ryan,” Joe shares with Lynn adding: “It’s pretty amazing that that was his name. We saved him, but he also saved us.” 10 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Such a pregnancy demands highly specialized medical care and Lynn marvels at that which she received, including 11 weeks of bed rest in Community Memorial Hospital to minimize complications and delay birth as long as possible. Her CMH doctors further consulted with experts of multiple-births from across the nation to ensure the most up-to-date care possible. Meanwhile, a special team of about 40 physicians, nurses and technicians was assembled and on-call for the C-section delivery. “The hospital was so well organized and prepared for the birth it was amazing,” Joe marvels. “Everything was extremely coordinated. It gave us as much peace of mind as was possible.” Indeed, as mentioned, there was the added stress of Lynn’s previous heartbreaks. “I had this overwhelming feeling,” she shares, her eyes growing moist at the memory. “I had three pregnancies before that ended in miscarriages – how am I now supposed to carry five babies and be successful? But as we moved forward, my faith and the great care I got helped ease my fears.” Every extra day of gestation is important for preemies and the expertly managed bed rest resulted in the Bova quintuplets being only seven weeks premature, instead of the 10-week average for most quints. Furthermore, Abigail, Kathryn, Emiline, Samuel and Nathaniel came into the world weighing 3 pounds, 15 ounces for the smallest to 4 pounds, 10 ounces for the largest, again far exceeding quint averages. “We had the names all picked out,” says Joe, with Lynn adding: “It’s actually kind of easier to pick more names because you don’t have to single down names you like to just one.” “We don’t think of them as quintuplets,” Joe points out. “We see them as individuals.” “It doesn’t define who we are,” Lynn rejoins. “I am not ‘the mother of quintuplets’ – I am the mom of Abby, Emily, Katie, Samuel, Nathan, and Ryan.” n n n n n n “Mom” went home after five days while her newborn babies remained in Community Memorial Hospital’s Neonatal Intensive Care Unit. Lynn laughs before adding: “I’m thankful to say our kids get themselves dressed in the morning.” Still, what is it like getting six children out the door? “They all know the drill,” Lynn answers. “Of course, some are more organized than others – that’s just their personalities.” “I’m so fortunate to have six kids – and three girls and three boys is even more perfect,” beams Joe, who has made time to coach the kids’ basketball, soccer and baseball teams. “Their personalities are all different. It can be stressful, but mostly it’s fun.” The three girls are currently playing youth basketball and running track. Ryan is also involved with youth track while the two younger boys are focusing on club basketball and baseball. “When they were younger they all did the same thing but now our schedule is crazier than ever before,” says Lynn, who finds happiness in the busyness. “People say I am so calm. No I’m not! I just have faith not to worry about tomorrow – to live today and tomorrow will take care of itself.” “The hospital was so well organized and prepared for the birth it was amazing.” “I was feeling a lot of sadness at first,” Lynn shares. “I was anxious to get home to Ryan, but at the same time I’d been away from home so long that CMH had become my home.” Once again, the staff at CMH lifted her spirits. “I’d come back to the NICU and I felt unsure of myself as a mother,” Lynn confides. “The nurses were wonderful and took such good care of the babies – and of me. They encouraged me to come in and feed them and touch them.” Abby was the first of the quints to leave the hospital, coming home three weeks after birth. Her siblings followed almost daily, with Katie the last to relocate in a living room-turned-nursery a week later. “We are really blessed in that they had no physical problems after leaving CMH,” Joe shares. Lynn was worried about the logistical problems that lay ahead, however, specifically recalling an Internet conversation she had with another mother of quintuplets: “Her tip to me was that she gets her kids dressed the night before so she only has to put their shoes on in the morning. I was horrified! Is that how difficult our life was going to be?” The couple knows the days pass too quickly as it is. “Children are children for such a short time,” continues Lynn, explaining that she and Joe have not taken a vacation by themselves since they became parents. “The kids are our focus. We’re trying to make the most of this time together as a family. Joe and I can travel on our own later.” While travel with six kids might seem as complicated as a moonshot, ever since Ryan was 4 and his siblings were 2 the Bovas have annually driven to Montana for vacation. They have also visited Hawaii, Baltimore, Boston, Taiwan, and Mexico twice to work at an orphanage. n n n n n n The six Bova children were on hand, with shovels in hand, last September 14 for the groundbreaking ceremony of the new stateof-the-art Community Memorial Hospital. Earlier that very day, Abby, a decade after being cared for in the NICU, was treated in CMH’s Emergency Department with a mild concussion suffered in a soccer game. “This hospital is so important to us, “Lynn shares, thinking of the old and the new. “I’m not attached to the walls of the building – it’s the special people inside whom I’m attached to. Even the housekeeping staff was so sweet and caring to me. “Community Memorial Hospital was my home for three months and the home of my babies for a month. They took such great care of me – and of Ryan; the nurses would bring him hot chocolate and push him in wheelchair rides. I was scared and they made me feel better.” Lynn Bova tears up once more, pauses to regain her composure with husband Joe by her side, and resumes: “They were all rooting for us and took extra good care of us – the same as they do for all their patients.” www.facebook.com/cmhshealth Keep up to date with: • CMHS construction projects • CMHS Seminar Series • Community Healthcare Information COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 11 An amazing story of extraordinary coincidence, heroic efforts and miraculous outcomes. g n i y f e D n e d Sruddiac Ca The Miracle Men: Frank Martinez (left) and Francisco Martinez 12 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM h t a De n Dr. Jeffrey Brackett, a cardiologist at Community Memorial Hospital, has called each Martinez individually a “Miracle Man.” Together, their sudden-death-defying stories are “beyond remarkable.” F Frank Martinez feels divine intervention was at work last June 10. So does Francisco Martinez, a fellow Ventura resident known as “Frank” to many friends and co-workers. Dr. Jeffrey Brackett, a cardiologist at Community Memorial Hospital, has called each Martinez individually a “Miracle Man.” Together, their sudden-death-defying stories are “beyond remarkable.” The coincidences are indeed extraordinary. The two Martinezes (no relation) share not only the same name, but the same fate. On the same day, within a couple hours and a few blocks of one another, both men in their 60s collapsed after their hearts stopped beating. Furthermore, both were discovered quickly by passersby; both were rushed by the very same paramedic crew to the Ventura Countydesignated STEMI cardiac response team at Community Memorial Hospital; and both “Code White” patients – that being the term of supreme urgency for a person who arrives in the E.D. having suffered a cardiac arrest – then had their lives saved in part by a new stateof-the-art Therapeutic Hypothermia treatment offered at CMH. Sudden cardiac death (SCD) is the largest cause of natural death in the U.S., resulting in about 325,000 adult fatalities annually. SCD is caused by erratic, disorganized heart rhythms called arrhythmias. “Sudden cardiac death in any setting carries a poor prognosis, but to suffer an unwitnessed out-of-hospital SCD is the worstcase scenario,” says Dr. Brackett, who was on-call in CMH’s Emergency Department that fateful day. Frank’s Story Frank Martinez, 65, had walked a few blocks to Ventura’s Wake Forrest branch Post Office to mail a package for Jan, his wife. Returning home he took a longer route for some extra exercise. “If I’d gone straight home I would have died,” Frank says, noting he would have collapsed inside alone with no one to call paramedics; Jan was still at work. Instead, the medical catastrophe occurred outside in open view where Cindy Zahner discovered him lying in her son’s driveway. His lips were already turning blue. “Thank God she came over to borrow a bicycle when she did,” Frank says. More blessed fortune: a fire station is mere blocks away at the corner of Victoria Avenue and Telegraph Road. Zahner called 911 and the paramedics arrived within 90 seconds, vitally important since “minutes mean muscle” when the heart is not beating. At the time Frank was six-months retired from the Southern California Gas Company. As a worker in the field, his duties entailed a lot of walking, and he had remained active and fit by working out on a treadmill and home gym machine. Frank had a recent history of atrial fibrillation (rapid heartbeat) that was initially controlled with medication. After four years, and three incidents when electrical shock was required to return his heartbeat to normal, he underwent leading-edge Radiofrequency Ablation performed at CMH by specialist Dr. Ishu Rao. The procedure was successful. “I don’t remember walking to Frank rejoins, piecing the post office,” together what happened. “The next memory I have is waking up two days later in the hospital. I had a breathing tube in so I couldn’t talk – I communicated by writing, which was a great sign that I didn’t have any brain damage.” Nor, remarkably, did Frank suffer any heart damage as Cath Lab tests found no coronary disease. That Frank, and also Francisco, suffered no neurological deficit is in part attributable to the high-tech Therapeutic Hypothermia treatment they both received. “All the stars aligned for me,” Frank says. “If I had walked straight home, I would not be here. If Cindy hadn’t pulled up, I wouldn’t be here. If the fire station wasn’t so close, I wouldn’t be here. And if CMH didn’t have all these amazing nurses and doctors and this new cooling treatment, I wouldn’t be here. Their skill and dedication is amazing.” When Frank’s breathing tube was removed four hours after he awoke, he quickly helped alleviate fears of neurological damage by reciting an entire passage from his role as Saint Paul in a recent church play of “Roman Through Romans.” “This whole incident confirmed the faith that I already had,” shares Frank, who had a defibrillator surgically implanted before being discharged from CMH one week later. The defibrillator has gone off once, just after he returned from Arizona to attend the funeral of his 70-year-old brother-in-law. “He came to visit me in the hospital thinking he’d go to my funeral and I end up going to his,” Frank sadly notes. Francisco’s Story Francisco Martinez was taking a five-mile walk from his east Ventura home to midtown to pick up the car of Judith Weigand, his significant other. The long trek was not out of the ordinary. Francisco, who completed the last of his dozen marathons two decades ago, has remained physically active, including walking his two dogs about three miles daily. On June 9, after finishing his shift as a security guard, Francisco left home on his pedestrian errand around 5:00 p.m. Continued on next page. Jeffrey Brackett, M.D. Cardiologist COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 13 G N I V A S LIFE- G N I L O O C Y P A R THE “Therapeutic Hypothermia is a relatively new treatment,” Dr. Jeffrey Brackett says, explaining that for decades physicians have noted that people who drown in extremely cold water are able to recover despite prolonged periods without circulation. “This observation led researchers to postulate that cooling may be beneficial to recovery no matter the cause of cardiac arrest,” he continued. “And, indeed, studies have shown that by using technology to safely cool a patient we can provide a benefit to survival and neurological outcome.” Joining this vanguard, Community Memorial Hospital invested in a high-tech cooling blanket. This technology, in combination with infusing cold saline through an IV, allows the medical team to gradually cool the patient’s body temperature to the desired range of 32 to 34 degrees Celsius (89.6 to 93.2 Fahrenheit). Patients are then kept cool for 24 hours before being gradually warmed again. During this time, they are kept on a respirator and medically paralyzed to prevent the body from naturally shivering in an attempt to warm itself. As mentioned, both Martinezes benefitted from this high-tech equipment and expertly performed protocol. 14 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Continued from previous page. “I never made it,” he says. About halfway into his journey, at the corner of Woodland and Victoria Avenue near Buena High School and Ventura City Fire Department Station 3, he collapsed. “I remember walking but I don’t remember anything after that,” Francisco continues, adding in speculation: “I must have fallen on my face because it was bruised and my nose was scraped.” The saving grace was that he lay sprawled in plain sight on the sidewalk and a UPS driver saw him. “If I’d been on a cul-de-sac I’m sure I would not be here today,” Francisco says. “I call it divine providence. I’m very spiritual. I know God’s in my life all the time – this was one of those times He saved my life.” Too, Francisco credits the UPS driver, the paramedics, and the medical staff at Community Memorial Hospital. “In my special way I’m thankful for everyone involved,”he says. “The doctors and nurses were all wonderful.” As with Frank Martinez, Therapeutic Hypothermia played a crucial role in Francisco’s life being saved – and with no neurological deficits when he awoke two days later. However, Cath Lab studies revealed three major arterial blockages. On June 15, Dr. Lamar Bushnell and CMH’s renowned “Heart Team” performed successful triple-bypass surgery with a single valve replacement. It was actually the second open-heart operation for Francisco. Despite being born with an abnormally narrow aortic valve, his New York City childhood was filled with playing baseball, running track, and wrestling. But in 1962 at age 18, after failing a physical while applying for a machinist job, he finally had corrective surgery. “In my entire career I’ve seen just a handful of survivors who were alone when they suffered sudden cardiac death” “The doctor said I wouldn’t live to be 30,” shares Francisco, now 67 and recently retired. “I’m walking again but I have some leg numbness. But I’m not complaining – I’m still here!” “In my entire career I’ve seen just a handful of survivors who were alone when they suffered sudden cardiac death,” Dr. Jeffrey Brackett says. “So to have two in one day, much less with the same name, that was a very special day.” Both “Miracle Men” shake their heads at the amazing coincidences in their stories, and both laugh at one result. “They kept mixing up the visitors,” Frank Martinez says. “Mine went in and saw him, and his came to see me.” Adds Francisco Martinez: “My birth certificate and driver’s license say ‘Francisco’ so that’s the name I use, but some people call me Frank so it was a little confusing. It’s a pretty strange coincidence.” “Pretty strange indeed,” Frank echoes. “Two of us with the same name, the same problem, the same day, the same neighborhood. Even the same paramedics, the same hospital and the same cardiologist.” And best of all, the same happy ending. Honoring Richard Arth, Director of Engineering, for 50 years of service. the kids call him T The kids in Richard Arth’s neighborhood call him MacGyver. The nickname made famous by the television show about an undercover agent who uses everyday objects to fight crime is fitting for Rick, well known for his ability to fix just about anything that comes across his work bench. “I pride myself on being able to troubleshoot and find ways to fix things,” said Rick, who resides in Ventura with his wife of more than 30 years, Linda. Rick’s ingenuity when it comes to repair work didn’t just earn him a clever nickname, it has led to a 50-year career at CMH, where he is responsible for ensuring the facility runs smoothly. From plumbing to electrical and everything in between, Rick and his team of more than 15 technicians handle the hundreds of day-to-day repairs needed at a busy hospital and at the eleven Centers for Family Health. “My technicians are part of my family, and they have been for a lot of years. I respect them, and they do an absolutely outstanding job,” said Rick, who was honored for his half-century of service to the hospital during the annual Employee Recognition dinner in Ventura on June 15. Rick also oversees the hospital’s environmental services department, the crews tasked with the extremely important job of keeping the hospital clean. And although he may be a supervisor responsible for more than 60 employees, there aren’t any jobs his team has handled that Rick hadn’t already done many times before during his five decades at the hospital. His career at CMH began before it was even built. It was 1961 and Rick was an 18-year-old college student who needed to make a few extra dollars. His mom was the medical records manager for what was then Foster Memorial Hospital. She helped her son land a part-time job buffing and waxing floors in the hospital that would soon be phased out by Community Memorial that was under construction at the time. It didn’t take long, however, before those he worked with at Foster Memorial recognized Rick had a real talent as repairman and asked him to trade in his buffer for a toolbox. “So from that point on I did nothing more than plumbing and electrical repair . . . any type of maintenance the facility needed,” he said. Those at Foster Memorial saw Rick’s potential and asked him to spend time at the CMH construction site. They wanted the young man to understand how the new hospital’s infrastructure was put together. “I watched them put in the plumbing and electrical because they wanted me to know what was going on above the ceilings and in the walls of the place,” he said. Rick’s talents with a toolbox and his understanding of the hospital’s inner workings led to a full-time job maintaining the new CMH. Despite attempts by the hospital’s administration to keep Rick out of Vietnam, he was eventually drafted into the Army in the late 1960s and served with the U.S. Army Ninth Infantry Division in its 5th of 60th battalion. While serving in the Mekong Delta in 1968, Rick was injured when he left the safety of his bunker to repair a downed antenna in the midst of a mortar attack. His fellow soldiers needed Rick to fix the antenna in order to call in artillery fire to fend off the assault. As always, Rick made the repair. In addition to the Purple Heart, Rick was awarded the Commendation Medal by the Army with the V Device for valor in recognition of his heroism for repairing the antenna while injured and under fire. Rick returned to CMH in 1970 and climbed the ranks to become the Director of Engineering. Rick said he will never forget the day he came to the hospital not as an employee, but as a patient. It was 1996 and he’d been experiencing chest pain. He was checked into the emergency room and was soon prepped for surgery. He’d had a heart attack. “Not only do I owe CMH for a wonderful career, but I also feel I owe CMH for my life,” said Rick, tears of gratitude welling in his eyes. Dr. Dominic Tedesco performed open-heart surgery – repairing the very man who for so many years had maintained the hospital. “I feel Dr. Tedesco, along with CMH, saved my life, and for that, I’m very grateful,” Rick said. “Of course, I think it was a challenging surgery for Dr. Tedesco because I have complete situs inversus.” The extremely rare – but non-life threatening – condition means Rick’s organs are reversed in his body. He eventually returned to work and has continued to make a long career at CMH. The 68-year-old father of three grown sons and a grandfather of five said he is often asked by those he knows how he can continue working at the hospital after five decades and at an age when many think of retirement. “You know, if you’re happy doing what you do, it makes a big difference. It’s hard to give that up,” said Rick, who enjoys to fish, hunt and spend time outdoors at his Huntington Lake cabin in Central California. “I wake up in the morning thinking how I’m going to solve this problem and that problem. It’s good, and I think it’s healthy.” View a video of Rick’s story at: www.cmhshealth.org/rick COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 15 CMH Auxiliary circa 1961. 50years cmh Auxiliary celebrates of service It was 1961 and a small group of Ventura women recognized the need for volunteers at their local hospital. The nine friends set about enlisting the help of other like-minded women to form the women’s auxiliary for what was then E.P. Foster Memorial Hospital. The Ventura hospital’s volunteer corps was chartered in 1962—the same year E.P. Foster Memorial Hospital changed its name to Community Memorial Hospital. Over the next 50 years, the volunteer auxiliary grew from its 60 founding members to include over 200 volunteers, both men and women, and another 400 supportive members who fill a myriad of roles at CMH in Ventura. The auxiliary came together February 10 for a luncheon at the Four Points Sheraton hotel in Ventura to celebrate its 50th anniversary, honor longtime members and introduce its new board of directors. The afternoon event included live entertainment and a brief history of the auxiliary by Dr. William Hart, Ventura County’s first cardiologist and a member of CMH’s staff for 30 years. The auxiliary also presented a check to Community Memorial Health System for $105,000 – money raised through the hospital’s gift shop, where auxiliary volunteer their time. 16 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM The donation will be used for the new Community Memorial Hospital now under construction. “In this economy, I think it’s a miracle,” said Katie Weldon, a volunteer for nearly 20 years and the auxiliary’s treasurer. “The donation feels good because it’s for the new hospital. You feel like you’re investing in the future.” The volunteers perform numerous tasks throughout the hospital in almost every department. They act as greeters, provide assistance in the gift shop, and in the labor and delivery department, cuddle babies in the NICU, run errands for the nurses and doctors and also sew handmade gifts for patients. “To me, I feel it gives the nurses and doctors more time to do what they have to do,” said Clara Alviana, a volunteer for 23 years and the lead organizer of the awards luncheon. “The doctors and the nurses do a terrific job of being there for the patients. We’re like another set of hands to them, and they can ask us to do anything—fix an ice pack, pick up medicines or whatever errands they can’t do, we do.” Last year alone, the volunteers logged over 40,000 hours. Judy Miller, the auxiliary’s president and a member for over 30 years, said a recent study valued that time at about $24 an hour, which equates to nearly a $1 million in annual payroll savings for the hospital. Gary Wilde, Community Memorial Health System’s president and CEO, said those volunteer hours are invaluable to the not-for-profit hospital. “We feel so important about the auxiliary that the president of the auxiliary is a voting member of our board of trustees,” Wilde said “They are an integral part of our organization. We value their opinions, we value their service and they really are a part of the whole operation.” Miller said the best part of being a hospital volunteer is the camaraderie between the men and women in the auxiliary. “It’s like family,” Miller said. “Of course, the administration and staff are excellent to work with. They are very supportive in everything we do.” Miller stressed the fact that volunteer opportunities at the hospital are available to high school students as well. Started in 1966, the junior volunteer program offers high school students from 14 to 18 years old the opportunity to work in the hospital in a wide variety of departments. “Many of these students are interested in working in the field of medicine, and this gives them the chance to experience what goes on in a hospital. They observe what the doctors do, what the nurses do, and what the techs do,” said Edie Marshall, chair of the junior volunteer program. Marshall said the program attracts teens from across Ventura County because it gives the young volunteers an opportunity to observe a surgery and childbirth. “If they’ve observed a surgery and say, ‘No, that’s not for me,’ then it’s good they found out in high school rather than when they’re halfway through college,” Marshall said. What’s more, the auxiliary gives as much as $10,000 annually in college scholarships to teen volunteers studying a healthcare-related field. The scholarships are typically between $500 to $2,500, depending on the years and total hours served by the teen volunteers. “I really feel the kids who volunteer are the cream of the crop,” Marshall said. Miller, who is serving her third term as the group’s president, said volunteer work is fulfilling because of how appreciative patients are of the services provided by the auxiliary’s members. “If you want to give something of yourself, but yet at the same time receive more than you are giving, then the hospital is the place to come,” Miller said. Alviana agreed. “It sure makes life a lot more interesting,” Alviana said with a chuckle. Arattters M in Ojai E Each month, a local artist visits Ojai Valley Community Hospital’s Continuing Care Center (CCC) to work with patients as a part of Art Matters, a program that was originally an element of the 2010 Artist in the Community Grant given to Richard Amend by the Ventura County Arts Council. In February, Ojai artist Leslie Marcus presented the patients with an interactive “art class,” giving each of the 15 attendees the opportunity to participate in creating their own works of art. Each was given paper and pastels to create their own rendition of an enlarged flower photograph. According to Dottie Combs, co-chair of the Art Matters program and president-elect of the Ojai Valley Community Hospital Foundation Guild, the results of the class were “amazing.” “It’s so incredible to see the impact the artists have on the CCC residents” “It’s so incredible to see the impact the artists have on the CCC residents,” Combs said. “They are transformed into smiling, energized participants with the artists, and their art is really quite good.” Art Matters is part of the Operation Picasso program which has been active at the hospital since 2005. The Operation Picasso program allows local artists to showcase their art within the hospital, while providing a soothing distraction for the patients. The original Artist in the Community Grant was designed to identify fresh ways that the arts can transform the everyday lives of county residents by helping to provide them with a greater sense of self, family, and community. When the grant concluded, Combs and Barbara Hirsch, co-chair of Art Matters and a founder of Operation Picasso, took it over on a volunteer basis, since the value of the art experience in the healing process was undeniable. Their program has helped to enrich the lives of patients who spend weeks or even years being cared for at the Continuing Care Center. A Special Kind of Caring Auxiliary Volunteers Pick up an application at the front desk, or request one be mailed by calling: Community Memorial Hospital: 805/652-5043 Ojai Valley Community Hospital: 805/646-1401 or go to www.cmhshealth.org/volunteer COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 17 “We’re bringing an emergency room on wheels to your home.” Ventura County’s LifeLine It’s Sunday evening, and you’ve spent much of the day out in your backyard, planting flowers, trimming the hedges, mowing the lawn and pruning that overgrown avocado tree you’ve been meaning to trim back all year. With all the hard work done, you’re enjoying a cold drink in your favorite armchair and suddenly your chest begins to feel tight and it’s difficult to catch your breath. Perhaps, you think, it might just be a chest muscle you pulled while working in the yard or dehydration from time out in the sun. You give it a few minutes and realize it feels like an elephant is sitting on your chest and it may be something more serious, such as a heart attack. What Now? While most people would say it’s best to call an ambulance, the truth is there are still many that would opt instead to have a family member or friend drive them to the hospital and forgo a call to 911. That’s a decision, says Stephen Frank, president and CEO of Ventura-based LifeLine Medical Transport, which could mean the difference between life and death. “Sometimes it’s okay,” Frank says. “The problem is you don’t know when that sometimes is, and in a lot of ways, it’s really a roll of the dice. 18 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM You don’t know if it’s gas or if you’re having a heart attack. That’s what we get paid to do.” Emergency Room on Wheels Many people have the misconception that driving themselves to the hospital saves time. Not true, says Frank. “There’s a lot more to it than just going for a ride,” says the 54-year-old president and CEO of the eight-ambulance company that services Ventura County and its 850,000 residents. “We’re bringing an emergency room on wheels to your home.” LifeLine Medical Transport, in 98 percent of its calls, meets or exceeds the 8-minute response time required for emergency response by the Ventura County Emergency Medical Services, the county agency which regulates ambulance providers. Frank says the paramedics’ ability to diagnose and treat patients in the field is not only life-saving, but can truly impact a patient’s future quality of life. “When we talk about strokes, or when we talk about heart attacks, we always use the term that ‘time is muscle’ or ‘time is brain,’ and that’s what we’re trying to save,” says Frank. Frank says his teams of paramedics don’t take a one-size-fits-all approach with the patients they transport. “With us, you are going to get tailored service for your particular situation,” Frank said. Communication is Key Once in the ambulance, paramedics can contact a hospital and alert the doctors and nurses to an incoming patient. This communication allows the hospital to prepare for the patient, set up the needed equipment and ensure the best medical staff is on hand and ready to give treatment. This ability to prepare by the hospital staff greatly outweighs the few minutes saved by driving to the hospital yourself and simply showing up to what may be a very crowded emergency room. Where To? What’s more, Frank says paramedics know which hospitals are best at handling particular types of medical emergencies. Sometimes that’s not always the closest one. Take for example someone who is suffering from a heart attack. “We can take you to the best hospital that is going to get you into a (heart catheter) lab, such as CMH, and get you into that room and get those clogged arteries opened up,” Frank says. • Take a deep breath, stay as calm as possible. • Speak clearly. A Dangerous Drive In addition, Frank says driving yourself to the hospital or having a loved one drive you can be unsafe. The patient’s stress and reaction to a medical problem can be distracting and stressful for the driver—especially a senior citizen—who is rushing to the emergency room. Frank says LifeLine paramedics have responded to accidents in which drivers have crashed trying to take someone to the hospital. “You are putting other people at risk,” Frank says. “Worst-case scenario is if something goes wrong with your spouse while you are in route to the hospital with your loved one there is nothing anybody is going to be able to do.” No Harm, No Foul Frank agrees there are times when calling an ambulance is unnecessary, such as a cut finger or a slight burn. Yet when it comes to the situations when you’re just not sure what to do, Frank says it’s always best to call in the pros. “At the end of the day, if you don’t want to go with us and we agree with you, then fine,” says Frank. “No harm, no foul. But at least you’ve had that decision-making process.” G N I L L A C 911 Calling an ambulance in a medical emergency is stressful. For most people, it’s the first time they’ve had to dial 911. Here are a few simple tips to keep in mind when speaking to a 911 operator: • Be sure to give your name, address, phone number and the exact location of the person hurt. It’s important to give specific details on the room in the house or place in the building where paramedics need to go. • Take into account that cell phones don’t give 911 operators an address. • Tell the 911 operator what the problem is with as much detail as possible. • Listen carefully to what the 911 operator is saying and the questions they are asking. • Remain on the phone until the 911 operator tells you to hang up. Keep in mind that the operator may need additional information. • Follow all directions. • If the emergency is outside or along a roadway, give responders a nearby highway marker to better indicate the location. Also list in which lane – and direction of the freeway – you are. • Teach your children how to call 911 in case you are unable to do so. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 19 Palliative Care Service Caring for “If not for CMH, she wouldn’t have survived,” said Maria Ruiz, as she lightly touched her 47-year-old sister, Maricela Escalante, the two sitting side by side on the couch in the living room of their Oxnard home. Her eyes filled with tears as she described how her sister was diagnosed with lupus three years ago after suffering a stroke. Maricela, a mother of four, had spent more than two years bouncing from hospital to hospital as she battled a myriad of painful health-related issues caused by a disorder that has ravaged her immune system and been worsened by a second stroke. previous hospitalizations were short lived, leading to readmission.” The palliative care team sat down with the Maricela and her family to learn what was important to her in order to make a healthcare plan that worked best for her. As with the hundreds of patients seen by palliative care service, helping this mother of four required each of their expertise and background. In his role as team physician, Dr. Charles Pankratz, Medical Director of Palliative Care Services, provides the clinical background of disease and symptom management. Knowledge of the clinical issues helps the team address the impact on social, spiritual and financial problems commonly faced by patients and their families. What’s more, Jaquez used her ten years of experience as a nurse to simplify complicated medical jargon so Maricela and her family felt comfortable asking questions and understood what was being said to them. It took the faith-related background of Chaplain Megan Delahanty who is also pastor of a Pasadena church to ensure Maricela’s spiritual beliefs were respected. And finally, caring for Maricela called for the knowledge brought to the team by Janine Coronado, a social worker, whose focus is to assess the social situation of the family, provide resources and give emotional support. So committed to Maricela’s care, the team went above and beyond working with the Mexican Embassy to help arrange a temporary visa “The biggest thing you can do is to be present for someone.” “You don’t know how many nights and days we spent in the hospital,” Maria said. Maricela eventually came to Community Memorial Hospital a year ago and was admitted to the intensive care unit. Exhausted from the pain of her progressing illness, she was seen by the team members who make up Community Memorial Hospital’s Palliative Care Service. The doctor, nurse, chaplain and social worker used a comprehensive team approach to address her illness and develop a plan to best ease her pain and suffering. “She had many admissions over the past year,” explained Diana Jaquez, a nurse and clinical coordinator of CMH’s Palliative Care Services. “We needed to find out why the benefits of her 20 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM so that her oldest son, an officer in the Mexican military, could be at her bedside when doctors thought she might die. “When you’re talking about all the decisions that a patient and family faces, you have to do it as a team, collectively,” Pankratz said. The palliative care team created a healthcare plan that afforded Maricela in-home nurse visits and additional doctor appointments to reduce her need for unnecessary hospital visits and to make sure she was living comfortably. What’s more, the team worked with the family to make certain they recognized what was important to her so that when difficult medical decisions needed to be made in stressful situations, everyone involved would be on the same page. “We’re very family and patient-centered,” Pankratz said. “We don’t look at the two entities separately. In order for the efforts of this team to improve quality of life and survival, both patient and family concerns must be addressed thoroughly.” In the year that followed, Maricela has lived more pain-free and spent fewer nights in a hospital bed. Despite the fact that her body continues to be battered by her disease, her sister said her quality of life has improved dramatically thanks to the healthcare plan provided by the palliative care services team. “She’s doing well now,” said Maricela’s sister. “She’s happy. I’m very, very happy.” What is Palliative Care? Over the past decade, palliative care has emerged as a way to provide patients facing seri- Maricela Escalante pictured with her sister and son. ous or chronic illnesses, such as heart or kidney failure, cancer, Alzheimer’s and HIV/AIDS, with a healthcare plan that helps with pain management, in-home care and end-of-life issues. In 2007, Community Memorial Hospital recognized the benefits of palliative care and began assembling a team of experts to best care for patients facing life’s most difficult medical decisions. The palliative care team’s purpose is to not only help patients and their families align their goals with their doctor’s treatment plan but to also take into consideration how those choices impact them socially, economically and spiritually. “We try to have them put the proverbial oar in “Working as a team has made me appreciate the absence of complete autonomy,” Pankratz said. “It is nice to know that the investment in time and discussion about the patient’s medical treatment can be divided amongst the expertise of our four team members.” Pankratz said palliative care is realizing “the patient is more than the disease.” Ministering to All Faiths Delahanty, a non-denominational Christian pastor, said despite what many people may perceive as a spiritually draining job, her ministry work with terminally and seriously ill patients brings her closer to God. “I find at the end of the day I go home not drained, but filled up,” said Delahanty, who said she sits bedside with patients of all faiths. For many patients, she said, her ministry work is simply to be a friendly face, a person willing to listen or a hand to hold. “It really is a privilege to be with someone during their last hours, their last days,” said the pastor. “The biggest thing you can do is to be present for someone.” “The Palliative Care Services team provides emotional support for patients and their families.” the water and have them move in a direction they think is in their best interest,” Pankratz said. To be seen by the palliative care team, a patient or a family member simply has to request an order from the patient’s hospital doctor. Most times the doctor identifies the potential benefits of meeting with the palliative care services team and presents it as an option to the patients and their families. More Than the Disease Pankratz, who specializes in hospice care and internal medicine, said it’s the whole-team approach that makes palliative care so successful. The Cornerstone of Palliative Care Jaquez came to CMH from Scripps Memorial Hospital La Jolla in San Diego, where she worked as an advanced practice nurse in the cancer center. She said palliative care is about meeting with patients and their families to help them understand all that is happening to them. “The cornerstone of our service is that every family we serve will have the opportunity to sit down with the whole team to talk at one time,” she said. Asking a patient and their family about their goals and priorities, Jaquez said, has the most impact on their experience. “We allow the patient and their family to evolve in their thought process,” said the nurse who counted listening as one of the keys to effective palliative care. An Extra Layer of Support Coronado, a social worker in hospitals for the past 15 years, said her job as a member of the palliative care services team is to provide emotional support for patients and their families. Coronado, hired in 2008 by CMH as the palliative care team’s first social worker, said the most rewarding part of her job is supporting families during some of life’s most difficult experiences, helping them with the struggles involved with serious illnesses and end of life issues. As a social worker, Coronado—who shares the job with Melissa Barnes—extends palliative care services outside the hospital, assisting patients and their families to access community resources that will provide economical, social or emotional support. She also offers bereavement services for families who’ve lost a loved one. “There is no way one person could do what we do,” Coronado said. “Palliative care takes a team. It takes all of us working together.” COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 21 TOUCHING LIVES W What began as a small, private hospital in 1902 has become the largest private healthcare system in the county today, touching the lives of individuals throughout Ventura County, California and beyond. Community Memorial Health System still continues its growth, with the inclusion of the tenth and eleventh Centers for Family Health in Ojai and Port Hueneme, as well as the expansion of the Keeler Center for Headache & Orofacial Pain. 22 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM The Keeler Center for Headache & Orofacial Pain The Keeler Center for Headache & Orofacial Pain introduced their new doctor, Brigitte Lovell, D.M.D., a dentist providing treatment to patients with headaches, sleep-related breathing disorders, and orofacial pain (face, mouth, nose, ears, eyes, neck, and head). Dr. Lovell’s focus is on treating and managing all aspects of chronic refractory headache disorders such as migraine, tension-type headache, cluster headache, post-traumatic headache, and occipital neuralgia. In addition, she treats patients with orofacial pain conditions including musculoskeletal pain (TMD/ TMJ), atypical tooth pain, trigeminal neuralgia, neurovascular and neuropathic pain. She fabricates dental sleep appliances for obstructive sleep apnea (OSA) and snoring. She is experienced in intra-articular injections, trigger point injections, and nerve blocks in the head. Port Hueneme Center for Family Health The Port Hueneme Center for Family Health offers complete family and obstetrics/gynecology care, as well as a comprehensive referral network of doctors and specialists and access to state-of-the-art healthcare technologies at CMH. Physicians on site are Family Practitioner Katharine Wilhelm, M.D., and Obstetrician and Gynecologist David Crownover, M.D. Both physicians are board-certified and members of the CMH medical staff. Other services include: pediatric and women’s health, minimally-invasive gynecological surgery, free pregnancy testing, delivery at CMH by a Board Certified OB/GYN, C.P.S.P. for pregnant women, high risk pregnancy, bladder repair, well infant care, well family medicine, wellness services, infertility, and the Industrial Health Program. Ojai Center for Family Health The Ojai Center for Family Health brings specialty healthcare to residents of the Ojai Valley. Board-certified physicians practicing at the new Ojai CFH are: Viktoriya Nelson, M.D., internal medicine; Marc Beaghler, M.D., urology; Tammy Cheng, M.D., rheumatology; and Chuck Menz, M.D., gastroenterology. The office also offers a comprehensive referral network of doctors and specialists and access to state-of-the-art healthcare technologies at Community Memorial Hospital in Ventura. Other services available include: family practice, pediatric and women’s health, obstetrics/gynecology, free pregnancy testing, delivery at CMH by a board-certified OB/GYN, infertility, laboratory, Industrial Health Program, as well as bilingual doctors and staff. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 23 Investing in our Ventura Community Jeff Paul Building Stronger, Healthier, Better-Educated Communities is Good Business F Farmers have long understood the importance of planning for the future. Each new crop requires the careful tilling of the soil, the meticulous planting of the seeds and the continual care agricultural roots and recognizes the importance of investing in the future and the communities it serves. From its humble beginnings as a rural cooperative bank lending to Dutch farmers, to a widely respected financial institution with branches in over 48 countries, Rabobank has maintained its century-long commitment to focus beyond short term cycles to ensure the lasting betterment of its clients and their businesses. Since its purchase of Valley Independent Bank in El Centro, CA, in 2002, Rabobank has grown to include 120 branches throughout California, meeting the retail and commercial “Better healthcare, provides a higher quality of life for Ventura County residents.” of the growing harvest. A bountiful crop is the result of hard work, patience and forethought. Rabobank, the Netherland-based international bank founded in 1898, has taken to heart its 24 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM banking needs over 240,000 clients. Over the past decade, Rabobank and its employees have earned a reputation in California for community involvement and for philanthropic giving. The same is true for Rabobank’s South Central Coast Region made up of 19 branches and 3 commercial banking centers covering Santa Barbara County, Ventura County and the east side of the San Fernando Valley. Jeff Paul, the region’s president, recently announced a $100,000 donation Rabobank made to Community Memorial Health System for the construction of its new hospital in Ventura to be completed by 2015. The 250-room facility with 10 surgical theaters and the most up-to-date medical technology will meet California’s seismic demands, feature “green” technology and will have a larger emergency room and greater imaging capability than the present hospital. The Ventura native said Rabobank’s donation to CMH is an investment in the overall health and well being of those who call the seaside city home. “Building stronger, healthier, bettereducated communities is good business,” said Paul from his office on South Mills Road, less than a mile from where the new hospital will be built. “Besides being the right thing to do, we are only as strong as the customers and the communities we serve.” Paul said that not only does Rabobank view CMHS as a valued customer, but it recognizes the significant financial benefits the new hospital will bring to the revitalization of Midtown Ventura and the surrounding businesses. Indeed, the hospital is expected to provide jobs for as many as 400 during its construction. Paul said the hospital’s construction ensures nearby businesses – from restaurants to retail shops – will continue to enjoy a customer base made up of doctors, nurses and hospital staff. “This is a once in a lifetime event,” said Paul, who sits on the hospital’s board of trustees and chairs its finance committee. “But this will serve the community for a number of years to come and in a lot of different ways.” Paul said a state-of-the-art community hospital will attract the best in doctors, nurses and medical professionals. Better healthcare, he said, provides a higher quality of life for Ventura County residents, which, in turns, attracts businesses to the area and bolsters the local economy. “That’s good for the bank and the community,” Paul said. It’s that win-win investment strategy that has made Rabobank the success it is today and what has seeded its financial stability for the future. Investing in our Ojai Community From Alice Ragland, a letter to Ojai Valley Community Hospital “In the last two years, I have spent 14 months in your wonderful hospital – so you know where my money has gone. I’m 94 years old, but you may know my name on your mailing list, and I hope I can do something more later on.” Alice Ragland’s handwritten letter on blue notepaper decorated with seashells caught the attention of the staff at Ojai Valley Community Hospital for both its sincerity and its hopeful promise of a future donation. Alice sent the note in response to the Ojai Valley Community Hospital Foundation’s Spring Appeal, a twice-a-year mailer sent out to the community to participate in donating to the nonprofit hospital. The note’s two sentences capture Alice’s character as a funny, smart and no-nonsense Midwesterner who believes in the importance of volunteer service and the need to give back to the community. Indeed, the 94-year-old mother of two sent the note recently while still recovering from three surgeries. “I’ve always sent money in, but I thought, ‘Oh, the bills, the bills, the bills. Right now the hospital can wait,” said Alice, who added that donating to community institutions such as the hospital is vital to maintaining Ojai’s quality of life. In September 2010, Alice broke her hip in a fall and spent six weeks recovering at OVCH. Just seven months later, she was back in the hospital for another four-week stay when doctors discovered her other hip had subsequently broken. She returned to OVCH yet again seven months later after she had suffered two spinal fractures. Today, Alice undergoes physical therapy regularly and is on the road to recovery. “I’m real healthy, it’s just my bones are weak,” said Alice, who calls her walker a “chariot” and speaks with an easy clarity that belies her age. Alice, an Ohio native, came to Southern California in 1952 alongside her husband, Earl, who worked in the aerospace industry for 30 years before the couple retired to the Ojai Valley in 1983. A homemaker and grandmother of two, Alice volunteered for many years in Ojai. She worked for Meals on Wheels, a nonprofit which delivers meals to homebound seniors, as well as a volunteer with the American Red Cross of Ventura County. “Isn’t that what we’re here for, to help other people?” Alice said when asked why she volunteered for 15 years with both organizations. She is also a longtime member of the Ojai Valley Methodist Church. Alice’s husband died in 2010, succumbing to Alzheimer’s disease, and it was Alice who cared for him in the final three years of his life. Alice, who lives less than a quarter mile from Ojai Valley Community Hospital, said having the hospital so close to her home “gives me peace of mind.” To be sure, in late 2010 Alice’s foot became red and tender. She was diagnosed with blood poisoning, which required frequent trips between the hospital and her home. Alice said that time in her life was especially difficult, as her husband was in the final stages of Alzheimer’s. The short drive to the hospital made it possible for her to seek care for herself while ensuring her husband was cared for in the final months of his life. “If the hospital wasn’t there, I’d have been in a real pickle,” said Alice, who recovered from the blood poisoning and was grateful she didn’t have to travel to Santa Barbara or Ventura for treatment or diagnosis. Alice’s story is not uncommon for those who live in the Ojai Valley. The availability of state-of-the-art medical care at Ojai Valley Community Hospital not only improves the quality of life in the Ojai Valley, but is truly a life-saving asset for the community. Hospitals such as OVCH are only possible due to the generous donations—both large and small – from those in the Ojai Valley. It’s for that very reason Alice has made small but meaningful donations over the years and why she looks forward to again being able to give to the hospital that has cared for her so well and improved her quality of life. When asked why it’s important to give to the hospital, Alice’s response captured her down-to-earth take on life: “Well, if you’re going to use it, you better help pay for it.” “Isn’t that what we’re here for, to help other people?” COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 25 2012 Nursing Scholarship Meister Family Foundation s e e d r a Aw C Community Memorial Health System is pleased to present this years recipients of the Meister Family Foundation Nursing Scholarships. Through the generosity of Barbara Meister, local philanthropist and Chief Executive Officer of Ventura’s Barber Automotive Group, these scholarships were established to support individuals pursuing a nursing career. Barbara Meister 26 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM 2012 Awardees & Winning Essays Courtney Hultgen J Just as the three generations before me, I have lived the majority of my life in Ventura. For this reason, among others, I feel a deep connection to this community. I contribute to this community on both personal and professional levels. I help my community by being a friendly neighbor and a good Samaritan whenever possible. I also volunteer, join committees and work with the public. This community has given me countless gifts and opportunities, which is why I am committed to giving back. Before I returned to school full time I was an employee of the Ventura Unified School District. I worked with special needs children in regular education classrooms. I was a mentor and spent much of my time teaching life skills and tolerance to children. I am a faithful wife and a loving parent. I hope the love and guidance I give my son will help the next generation of this community. I have a long history in student government. I am currently the President of the Student Nurses Association at Ventura College. In 2010 “I believe the time I have invested in this community has helped make it a better place.” I finished an unpaid 350 hour internship at St. John’s Regional Medical Center called the Clinical Care Extender Program. While interning I assisted the medical staff in caring for patients in several departments within the hospital. It was both a fascinating and deeply rewarding experience. My educational and career plans are more like a free flowing river than a path set in stone. I aspire to work as a nurse for at least 30 years, during which time I would like to participate in many types of nursing. Being a lifelong learner both inside the classroom and out is my goal. I will finish my bachelor’s degree in Nursing Science in 2013. The next goal will be obtaining a formal education in speaking and writing Spanish with an emphasis on medical terminology in order to effectively and therapeutically communicate with Spanish speaking clients. I plan to get my master’s degree and potentially a doctorate degree if my career path leads me in that direction. A solid foundation of experience on an inpatient medical-surgical unit for the first few years of my career would be ideal. At school, I have been exposed to many specialties, and have enjoyed them all. I will see what opportunities arise, but I am currently interested in working in the Intensive Care Unit, Public Health, Palliative Care, or Hospice during my career. I believe the time I have invested in this community has helped make it a better place. I plan to continue contributing to the community of Ventura so that subsequent generations can enjoy a safe, prosperous and healthy future in this place I am proud to call home. Sarah Gorman I I am currently enrolled in the nursing program at Ventura College. I am being exposed to many different avenues of nursing and I am realizing that there are numerous paths that I could specialize in. I am excited to learn as much as I can while studying at Ventura College in order to help me choose the best path where I could be the greatest help to others as a nurse. My plan after Ventura College is to start working as a registered nurse in order to gain some work experience and to continue to learn and fine tune my decision of which area of nursing to specialize in. I then plan to apply to Channel Islands College within a year or two and obtain my bachelor’s degree in nursing. I believe that having a supportive family and a network of supportive friends in my life has helped me greatly in achieving what I have thus far. I continue to look to them to encourage my efforts and help me to stay strong in the pursuit of my goals. I find the sense of community to be extremely important and feel that it all starts within your own family. My decision to move back to Ojai “I believe giving to others brings balance to life.” two years ago was greatly based on the fact that my twin sister would also be moving here as well. She has a four, a two, and a one year old. Sharing the experience of helping her and her husband raise those boys has brought so much joy into my life. My sister is an acupuncturist and working on getting her practice up and running. I participate on a daily basis to help watch her children and help give her the opportunity of treating those in need of her help. The time devoted to helping my sister along with all my school work is the main reason I have chosen to not work at the moment. My studies are very important to me as well as my family duties, and I hope to find other avenues of support so I can continue doing both of these to the fullest extent possible. I have chosen the life of sobriety for myself and have been doing so for the past 8 years. I spend a few days a week meeting with other women who would like to make more out of their lives, and I do everything in my power to help teach them the tools necessary to do just that. I find watching others flourish extremely rewarding and hope to continue to have the time to offer my hand to help as I do now. I have found that I thrive when helping others, which is the main reason I am choosing nursing. I believe giving to others brings balance to life. I am best when helping another achieve their goals towards healthy, productive living. This motivates me every day of my life and only fuels the feeling that I am on the right path. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 27 COMMUNITY MEMORIAL HEALTHCARE FOUNDATION Two Great Events, One Great Weekend COMMUNITY MEMORIAL HEALTHCARE FOUNDATION Join us for a day of golf Friday, September 28, 2012 Ojai Valley Inn & Spa, Ojai 9:00 a.m. Registration 10:00 a.m. Tee Time Proceeds GO TOWARDS THE PURCHASE OF A BIRTHING SIMULATOR For more information contact the Foundation office at 805/667-2881 or visit www.nicugolf.org. 28 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Saturday, September 29, 2012 5:30 p.m. Ojai Valley inn & spa, ojai Proceeds go towards the purchase of a CT Scanner in the Emergency Department of the new Community Memorial Hospital For more information contact the Foundation office at 805/667-2881 or visit www.benefactorsball.org. Join Us for These Upcoming Events save the date SATURDAY DECMBER 1, 2012 6:00 p.m. 5k & 10k Ojai Valley Inn & Spa Nordhoff High School, Ojai Saturday, October 6, 2012 7:15 a.m. Proceeds will benefit The Ojai Valley Community Hospital and its Continuing Care Center Run, Walk & Wheel Events Proceeds will benefit The Ojai Valley Community Hospital and its Continuing Care Center Presented by Ojai Valley Community Hospital Foundation Guild For more information contact the Foundation office at 805/640-2317 or visit www.octoberclassic.org. For more information contact the Foundation office at 805/640-2317 or visit www.nightingaleball.org. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 29 Thank You For SATURDAY, MAY 12, 2012 SERRA CENTER, CAMARILLO 30 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM or Your Support SATURDAY, MAY 19, 2012 St. Joseph’s retreat, OJAI COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 31 updat projects The New Community Memorial Highlights of the First Year The month of August will mark the one-year anniversary of the construction of the new Community Memorial Hospital. The work during the first year centered around the excavation of the site, relocation of the utility lines that will support the new hospital, and the strengthening of the soil underneath the facility to ensure that seismic mandates are met. Groundbreaking Ceremony On September 14th, the ground breaking ceremony was held for the new hospital. The celebration drew about 500 community members, including CMHS medical staff, auxiliary and employees as well as city and county dignitaries. Test Pillars Clearing The Property The official start to the project began as Venturabased McGillivray Construction cleared the site of nearly 4,000 tons of material, including steel, iron and concrete. In keeping with our commitment to a “green” building process, CMHS partnered with E.J. Harrison & Sons – based in Ventura – and we were able to recycle 90 percent of all of the materials cleared from the site. 32 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Moving The Utilities In order to bring power, electricity and water into the new hospital, existing utility vaults and lines needed to be repositioned. The exceptionally complicated task of relocating all of these lines was completed by the middle of summer. Once the site was cleared, a portion of the site was excavated and crews drilled four 40-feetlong and 3-feet-wide holes into the earth which were then filled with concrete. Once these pillars hardened, the state tested these pillars to ensure the foundation – which would be made up of over 2,000 such pillars – would withstand a sizable earthquake. The “test pillars” were approved by the state. te Only once in a generation something so significant occurs that it touches the heart and health of an entire community. for our generation the moment is now. Hospital Foundation Pillars In order to ensure the building does not “slide off” or move from its foundation in the event of a major earthquake, crews have now installed carefully positioned steel anchors – about 7-feet high – in groups throughout the excavated site. These anchors will be encased within cement, and the hospital’s basement floor will be laid over these encasements. The extended steel anchors will then be bolted into the floor, essentially acting as “fingers” anchoring the building into place. Digging The Hole Shoring beams, and walls, were installed around the perimeter of the site in order to support the soon-to-be-excavated foundation. Excavation crews led by Oxnard-based Toro Enterprises were on-site to complete this portion of the project. On a typical excavation day, nearly 200 to 230 dump trucks removed roughly 2,500 to 3,000 cubic yards of dirt, digging – seemingly overnight – a massive footprint that came to be known simply as “the hole.” Strengthening The Earth Because Ventura is a coastal community, much of its deeper soil is soft due to groundwater. In order to meet seismic requirements, the ground underneath the building site needed to be substantially strengthened. 2,240 40-foot-deep holes will be drilled and filled with a cement slurry to create a new bedrock foundation upon which the hospital will be built. This critical segment of the building process is being handled by the Santa Paula branch of the geotechnical engineering firm Hayward Baker. Sign Up for Project Updates. Visit www.cmhsbecause.org/projects What’s Next? Now that the foundation has been set, the hospital’s steel infrastructure will begin to take shape. We look forward to this second phase and will continue to update you on the progress of the new state-of-the-art Community Memorial Hospital. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 33 Smoking Cessation Class - FREE Weekly classes for eight weeks. On going in Ventura, Ojai, and Oxnard. FREE patches & product for participants! Contact: HealthAware Office (805) 667-2818 [email protected] Every month, Community Memorial Health System offers a variety of support and informational meetings. Please verify meeting date and location with the contact person listed. Sometimes meetings may be cancelled or rescheduled. You may also view this listing at www.cmhshealth.org. General Health Bariatric Support Groups General Group 4th Thursdays: 6:30 p.m. - 7:30 p.m. Lap Band Group 1st Tuesdays: 6:30 p.m. - 7:30 p.m. Contact: Nancy Barber (805) 676-9100 Bariatric Surgery Seminar Selected Mondays: 6:00 p.m. - 8:00 p.m. Contact: Nancy Barber (805) 676-9100 Better Breathers In association with the American Lung Association. 2nd Wednesdays: 3:00 p.m. - 4:00 p.m. (dark the months of July and August) Contact: Juanita Trine, RRT-NPS (805) 652-5346, [email protected] Caregivers Support Group 2nd Fridays: 3:00 p.m. - 4:30 p.m. Contact: Carolyn Kopp (805) 492-0601 [email protected] Joint Replacement Education Class 2nd Tuesdays: 2:00 p.m. - 4:00 p.m. Contact: (805) 652-5063 34 Heart & Vascular Blood Pressure Screenings - FREE Free blood pressure screeings done on a walk-in basis. Mondays: 12:00 p.m. - 1:00 p.m. Contact: HealthAware: Heart Office (805) 667-2818 [email protected] Community Reiki Share 1st Tuesdays: 7:00 p.m. - 9:00 p.m., Contact: Shannon Sosebee (805) 216-8675 [email protected] Diabetes Screening - FREE English/Español 2nd Monday: 11:00 a.m. - 12:00 p.m. Facilitator: Nayra Gonzalez, Nurse Tech, CMA “Se Habla Español” Contact: HealthAware: Heart Office (805) 652-5339 [email protected] Diabetes Update 2nd Tuesdays: 3:00 p.m. - 5:00 p.m. Facilitator: Sharon Robinson Contact: (954) 868-3771 [email protected] Pulmonary Rehabilitation Classes Classes meet twice a week for six weeks. Contact: Juanita Trine, RT-NPS (805) 652-5346 Heart-Healthy Nutrition Classes 3rd Wednesdays: 5:15 p.m. - 6:15 p.m. Facilitator: Heather Gilliam, RD Contact: HealthAware: Heart Office (805) 667-2818 [email protected]. Restless Leg Syndrome Quarterly on 3rd Sunday: 1:30 p.m. - 3:30 p.m. Contact: Dave Hennerman (805) 766-2035 Mended Hearts 1st Tuesdays: 6:30 p.m. - 9:00 p.m. Contact: Dick Hiser, (805) 646-4636 Weight Management Classes Classes vary, please call. Contact: Heather Gilliam, Registered Dietitian (805) 652-5066 Prevention Strategies for Heart Disease 3rd Thursdays of odd months: 6:00 p.m. - 7:30 p.m. Facilitator: Andrea Ricketts, MSN, ACNP-BC Contact: HealthAware: Heart Office (805) 667-2818 [email protected] CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Stroke Screenings 1st Fridays: 11:00 a.m. - 1:00 p.m. Contact: HealthAware: Stroke Office (805) 667-2818 [email protected] Stroke Support Group 2nd Wednesdays: 2:00 p.m. - 3:30 p.m. Facilitator: Andrea Ricketts, MSN, ACNP-BC Contact: HealthAware: Stroke Office (805) 667-2818 [email protected] Walking Fitness Program at Kimball Park Blood pressure screeings before and after walks. Meets every Tuesday and Thursday morning. Tuesdays 8:00 a.m. - 9:30 a.m. Thursdays 8:00 a.m. - 9:30 a.m. Contact: HealthAware Office (805) 667-2818 [email protected] Yoga 1st and 3rd Mondays: 5:30 p.m. - 6:30 p.m. Facilitator:Evon Rubenstein Contact: (805) 652-5443 or email: [email protected] Maternal Child Health Maternity Tour English Tuesdays: 6:00 p.m. & 7:00 p.m. Espanol 4th Mondays: 7:00 p.m. Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229) Breastfeeding Support Group Mondays 5:30 p.m. -7:00 p.m. or Wednesdays 10:00 a.m. -11:30 a.m. Contact: (805) 667-2838 Natural Childbirth Sundays: 4:30 p.m. - 6:30 p.m., Classes meet one night a week for six weeks. Courses begin: June 24, Aug 12, Oct 7 (No class Sept 2 for Labor Day) (No class Nov 11 for Veterans Day) Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Weekend Prepared Childbirth Saturday: 9:00 a.m. - 4:30 p.m. Sunday 9:00 a.m. - 12:30 p.m. Class dates: June 2-3, July 7-8, Aug 4-5, Sept 15-16, Oct 13-14, Nov 3-4, Dec 8-9 Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Cancer Support Group Wednesdays: 6:00 p.m. - 8:00 p.m. Thursdays: 4:00 p.m. - 5:30 p.m. Facilitators: (Wed.) Gina Cole, MS, MFT, The Wellness Community (Thurs.) Maryana Palmer Contact: Cancer Resource Center (805) 652-5459 [email protected] Evening Prepared Childbirth Classes are one night a week for six weeks. Tuesday classes: 6:00 p.m. - 8:00 p.m. Classes begin: June 5, July 24, Sept 11, Nov 6 Wednesday classes: 7:00 p.m. - 9:00 p.m. Classes begin: May 9, June 20, Aug 8, Sept 19, Nov 7 Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Creativity Central Call for class dates and times. Facilitator: Nicole van Dam Contact: Cancer Resource Center (805) 652-5459 [email protected] Childbirth Refresher Course Call for dates and times Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Baby and Me Bittie Baby (0-3 months) Tuesdays: 12:30 p.m. - 2:00 p.m. Bigger Baby ( 3 months & up) Thursdays: 12:30 p.m. - 2:00 p.m. Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Babysitting 101 Saturdays: June 9, July 14, Aug 11, Oct 20 Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Infant Pediatric CPR Saturdays: June 9, July 14, Aug 11, Sept 8, Oct 20, Nov 17, Dec 1 9:00 a.m. - 11:00 a.m. Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Sibling Sundays: 1:30 p.m. - 2:30 p.m. Class Dates: Feb 5, Apr 15, Jun 3 Contact: Sheila Dedrick, RN, BSN, IBCLC (805) 658-BABY (2229), [email protected] Cancer Program Breast Cancer Support Group Facilitated by The Wellness Community Thursdays: 1:00 p.m. - 3:00 p.m. Facilitator: Gina Cole, M.S., MFT Contact: Kathleen Horton (805) 652-5459 [email protected] Dietary Consults By appointment only. Call for dates and times. Facilitator: Laura Fuld, RD Contact: Kathleen Horton (805) 652-5459 [email protected] Guided Meditation with Frances Starr 2nd Fridays: 11:00 a.m. - 12:00 p.m. Contact: Kathleen Horton or Patty Robles (805) 652-5459, [email protected] Guided Meditation with Sharon Elvin 1st Mondays: 12:00 p.m. - 1:15 p.m. Contact: Kathleen Horton (805) 652-5459, [email protected] Head and Neck Cancer Support Group 4th Thursdays: 6:00 p.m. - 7:30 p.m. Facilitator: Ronald Brand, Ph.D. Contact: Cancer Resource Center & American Cancer Society (805) 652-5459, [email protected] Look Good, Feel Better American Cancer Society program for women undergoing cancer treatment to help them cope with appearance related side effects. 2nd Mondays in Mar., June, Sept. and Dec. at 5:30 p.m. Contact: (805) 652-5459, [email protected] Lymphedema Screening Clinic Tuesdays: 11:00 a.m. – 12:00 p.m. Scheduled by appointment only. Facilitator:Claudia Steele-Major, PT, CLT-LANA Contact: Kathleen Horton or Patty Robles (805) 652-5459, [email protected] Lymphedema Support Group 3rd Tuesdays: 12:00 p.m.- 1:00 p.m. Facilitators: Claudia Steele-Major, PT, CLT-LANA and Melissa Stoen Call for an appointment. Contact: (805) 652-5459, [email protected] Man to Man Prostate Cancer Support Group Facilitated by The American Cancer Society 2nd Thursdays: 6:30 p.m. - 8:00 p.m. Facilitator: Helmut Hoenigsberg Contact: Cancer Resource Center or the American Cancer Society, (805) 983-7792 ext. 21 or (805) 652-5459 [email protected] Men’s Cancer Discussion Group 3rd Tuesdays: 6:00 p.m. - 7:30 p.m. Facilitator: Roland Rotz, PhD Contact: Kathleen Horton (805) 652-5459 [email protected] Mindfulness Based Stress Reduction 8 week course held in Spring and Fall. We do ask that you commit to the intention of 100% attendance. The course also includes a Saturday retreat “Day of Meditation.” Please call for dates and times. Facilitator: Catherine Baum, The Wellness Community Contact: (805) 652-5459, [email protected] Movement Therapy Call for dates and times. Facilitator: Renee Garcia, GCFP Contact: (805) 652-5459, [email protected] Reflexology Fridays, Call for appointment. Facilitator: Jane Ivey Contact: Kathleen Horton (805) 652-5459 [email protected] Reiki for Cancer Patients By appointment only. Facilitators: Several Therapists Contact: Patty Robles or Kathleen Horton (805) 652-5459, [email protected] Restorative (Gentle) Yoga Tuesdays: 2:00 p.m. – 3:30 p.m. Facilitator:Toby Redlich Contact: Kathleen Horton or Patty Robles (805) 652-5459, [email protected] Social Services Social worker available for individual support. Mondays, all day. Facilitator/Contact: Jody Giacopuzzi, LCSW (805) 652-5459, [email protected] Yoga for Cancer Patients Tuesdays: 2:00 p.m. - 3:30 p.m. Facilitator: Toby Redlich Contact: (805) 652-5459 Lymphedema Therapy Call for an appointment. Contact: (805) 652-5459, [email protected] COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 35 Community Memorial Hospital of San Buenaventura 147 N. Brent St. Ventura, CA 93003 Non Profit Org US Postage PAID Community Memorial Hospital of San Buenaventura Community Memorial Hospital and Ojai Valley Community Hospital achieved accreditation from DNV Healthcare, the leading accreditor of US hospitals. DNV addresses the demands of quality-driven hospitals that are dedicated to patient-centered care. Maternal Child Health at Community Memorial Hospital Ventura County’s leading birth facility • Level IIIb Neonatal Intensive Care Unit • High-Risk Pregnancy Unit • Epidural Available 24 Hours A Day • Delivery by Board Certified Physician DELIVERY BY BOARD CERTIFIED OB/GYN HIGH RISK PREGNANCY UNIT NEW PARENT RESOURCE CENTER KANGAROO CARE • Perinatologist on Staff • Pediatric Hospitalist on Staff • Couplet Care • New Parent Resource Center LEVEL IIIb NICU COMFORTABLE LOW STRESS ENVIRONMENT For more information visit www.cmhshealth.org/mch or call 805/658-BABY
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