I did not - Community Memorial Health System
Transcription
I did not - Community Memorial Health System
Community Memorial Health System I did not know it was a matter of life and death. Jon Mack St. Bonaventure High School Head Football Coach I stayed awake all night in the hospital because I was afraid to go to sleep. REAL LIFE, REAL HEALTH IN VENTURA COUNTY COMMUNITY WINTER 2005 MEMORIAL 3 wilde thoughts Redefining Healthcare in Our Community W I am pleased to introduce our new CARING magazine. CARING will now come to you as a quarterly magazine filled with valuable information, as well as stories of inspiration about your fellow neighbors; real people with real stories that will enrich your life. For this issue, I would like to sincerely thank Jon Mack and Sandi Henderson for sharing their own personal health stories with you. Jon Mack’s story especially hits home with me, as I too have experienced an embolus - mine, after a long airplane flight. As with Jon, it also took the prodding of my spouse before I sought medical attention. Gary Wilde, President/CEO In this issue, and future issues, you will also read about the extraordinary people I have the privilege to work with. From the community leaders who volunteer their time on our Hospital and Foundation Boards, our hard working Auxiliary members, to our physicians and staff whose compassionate care and expertise makes a difference in people’s lives on a daily basis. Our business is people caring for people. In addition to redefining CARING, we have now also redefined healthcare in our community by the introduction of our new institutional name - Community Memorial Health System. As a result of our merger with Ojai Valley Community Hospital, along with our nine neighborhood Centers For Family Health, we truly have grown into a community-wide healthcare system one, which can no longer be defined by a single organization. As our system grows, our focus still remains on you, the individual people we serve. For this reason, we are embarking on a groundbreaking “Service Excellence” program aimed at further enhancing patient satisfaction. Within this CARING we introduce the beginnings of this exciting new venture. Community Memorial Health System remains the only independent, not-for-profit hospital system in Ventura County. You, our community residents, are our stakeholders. We are proud of our history, and treasure the communities that we serve. You have our commitment that we will continually strive to exceed your expectations, and in the process, remain one of your community treasures. Have a wonderful holiday season, and I hope 2006 is filled with health and happiness for each of you and your families. . 2 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM COMMUNITY MEMORIAL HEALTH SYSTEM BOARD OF TRUSTEES 2005 Gary Wolfe, Chairman Greg Smith, Vice Chairman Glen C. Farr, Secretary Harry L. Maynard, Treasurer John Edison, M.D. Chief of Staff, Community Memorial Hospital Fredrick J. Menninger III, M.D. Chief of Staff, Ojai Valley Community Hospital Ralph R. Bennett Michael D. Bradbury, Esq. Philip Drescher, Esq. Stanley Frochtzwajg, M.D. Tim Gallagher John Hammer William L. Hart, M.D. John Hill, M.D. Rabbi Lisa Hochberg-Miller Fritz R. Huntsinger Robert J. Lagomarsimo, Esq. Sandra R. Masiel Ted Muegenburg, Jr., Esq. Martin A. Pops, M.D. John W. Russell Kathryne Weldon EMERITUS MEMBERS OF THE BOARD Ralph Busch, M.D. Leonard Ortiz Janice P. Willis Michael Ellingson Vice President of Marketing and Development Mary McCormick Editor Amy Bently Michael Briley John Cressy Stan Whisenhunt Woody Woodburn Writers Richard Slack Brooks Smothers Leslie Vallee-Miller Nita Whaley Photographers ZestNet Art Direction/Design Published by: Community Memorial Health System A not-for-profit organization. 147 N. Brent St., Ventura, CA 93003 ©2005 Community Memorial Health System For permission to reprint any portion of this magazine please call (805) 652-5492. COVER PHOTO: RICHARD SLACK S E RVI C E DEFINED contents Gary Wolfe Chairman, Community Memorial Health System Board of Trustees A After more than 3,600 hours of service to Community Memorial Hospital, the chairman of the board of trustees appreciates the value of volunteerism. Gary Wolfe, who became chairman in January, has served on the board of trustees since 1979. During that span he has been proudest of the contributions by volunteers who support the hospital. “The contributions of our volunteers can’t be measured,’’ Wolfe said, “but without them, this hospital would not be the outstanding institution that it is.’’ Wolfe, a partner in the certified public accounting firm of Vance, Thrift and Biller, became a hospital board trustee following the death of founding partner Oather Vance, who had served CMH for many years. Wolfe said that highlights during his service to CMH have included the opening of the emergency room in 1985 and the establishment of the Centers for Family Health. The main immediate goal under his leadership is “to return to a level of normalcy’’ between the board, administration and medical staff. That relationship is “going very well,’’ he said. Wolfe credits the efforts of new BLINDSIDED by Deep Venous Thrombosis 4 5 6 7 11 12 12 13 13 14 15 15 16 16 RX for Husbands Who Won’t Go to the Doctor President and CEO Gary Wilde with this greatly improved cohesiveness. “We’ve been very pleased with Gary Wilde,’’ Wolfe said. He noted the irony that after a nationwide search, “we found the best candidate lived right here in Ventura.’’ Other challenges, Wolfe said, are to continue to build upon “our centers of excellence’’ which include cardiology, neurology and the prostate and breast centers. Wolfe, a graduate of Ventura High, graduated from Long Beach State. A 50 year county resident, he lives in Ventura with wife Ann and twins John and Becky, who recently graduated from Ventura High School. The twins were born at Community Memorial Hospital. Another son, Todd, lives away from home. “Lots of nieces and nephews have also been born here,’’ Wolfe added, noting that he has many reasons for his long-standing interest in serving the hospital. His service on the board “has been incredibly rewarding,’’ Wolfe said. He has also served on boards of the West Ventura Girls Club, Channel Counties CPA Society, California Society of CPAs, Ventura County Taxpayers Association, the Salvation Army and the Ventura Rotary Club. LAP-BAND SURGERY The Low Risk Option to Weight Loss Surgery FOUNDATION NEWS EMBRACING Mobile Patient Information Technology PARENTING TIPS Helping Kids Cope with Crisis SAFE HARBOR Helping Victims of Violence CATEGORY 5 CARING Taking Caring to a New Level TERRI’S TRAGEDY The Importance of Advance Directives WHAT YOU NEED To Know About DVT PHARMACIST CORNER Medication Safety UPCOMING FOUNDATION EVENTS Western Casino Night Benefiting Ojai Valley Community Hospital Saturday, May 13, 2006 Ojai Valley Inn Ranch & Stables For more info: 805-640-2317 Gold Dust Gala Benefiting Community Memorial Hospital Saturday, May 20, 2006 Seaside Park For more info: 805-667-2881 UPCOMING COMMUNITY EVENTS > Relay for Life Benefiting American Cancer Society Saturday & Sunday, May 6&7, 2006 Buena High School I GOT MY LIFE BACK A LAP-BAND Success Story It’s About EXCELLENCE COMMUNITY @ Community COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 3 Blindsided by J Deep Venous Thrombosis Jon Mack, as evidenced by coaching Ventura’s St. Bonaventure High football team to six prestigious California Interscholastic Federation football championships, knows all about X’s and O’s. But Mack had never heard of DVT’s until he was recently blindsided by the life-threatening condition. Deep venous thrombosis, commonly referred to as DVT, is a blood clot that develops in a deep vein, usually in the leg. The American Heart Association estimates that 1 out of every 1,000 Americans develops DVT annually. Mack joined this statistical group in early August after attending a coaching clinic in Las Vegas. A thunderstorm and a handful of accidents slowed traffic tremendously, causing the typical five-hour drive back to Ventura to take seven and a half hours. With prolonged periods of inactivity, such as a long car or plane ride (or lying in a hospital bed), there is a tendency for blood to accumulate, and a static pool of blood provides an ideal environment for a DVT. Taking a break every two hours to walk around a little and facilitate blood flow is recommended to help prevent DVT. Mack, however, made only one quick stop for gas during his lengthy trip home. Compounding the problem, he was a passenger in an economy car. “In a bigger car, maybe, I could have moved around and stretched out more during the drive,” recalls Mack, 45, who within 10 days found himself in the Emergency Room at Community Memorial Hospital. “I hadn’t realized the importance of taking time to stop and move around and get the blood flowing a little bit.” Mack also didn’t initially realize anything was wrong after arriving home, though he admits he did feel like he had a little leg cramp when he got out of the car. A couple days later when he experienced some groin pain, he attributed it to a water fight he had participated in during a block party the weekend before his Vegas trip. “I figured I had strained a muscle,” he allows. When the pain intensified and migrated “I had never heard of DVT. At this point I wasn’t thinking I was in a life-and-death situation.” 4 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM down his left leg to his knee and calf, Mack finally went to the hospital at his wife Kathy’s insistence. “She didn’t care if the football season was about to start or not,” shares Mack. It was a good thing he listened to Kathy: an ultrasound showed a constellation of blood clots up and down his leg from the calf to the groin. “I thought I’d just take a pill to break them up,” Mack says he naively thought. “I had never heard of DVT’s. At this point I wasn’t thinking I was in a life-and-death situation.” The CMH healthcare experts knew better and immediately transported Mack by wheelchair to the E.R. “Uh-oh, now I realized this was serious,” recalls Mack. Gravely serious. Deep venous thrombosis can be fatal if it leads to a pulmonary embolism in which a clot dislodges from the vein, travels to the lung and blocks an artery. According to the U.S. Food and Drug Administration, more than 600,000 people in the United States have a pulmonary embolism each year — and 90 percent of these are caused by blood clots that form in the legs. More frightening, an estimated 60,000 Americans die from pulmonary embolisms annually. After being rushed to the E.R., a CAT scan brought Mack face-to-face with these statistics: “It showed that my lungs were polluted with clots,” he says. “I realized my life was threatened. I stayed awake all night in the hospital because I was afraid to go to sleep.” “This has changed my life,” shares Mack. “I lived football before – our whole family’s life revolved around football. Football is still important, but I’ve realized there are other things more important.” “It was scary, but I had great faith in the wonderful doctors and nurses,” Mack continues, specifically noting Dr. John Handley, a pulmonary specialist at CMH. “They were all so calm and reassuring. I knew I was in great hands.” A regimen of blood thinners brought the condition well enough under control for Mack to be released from the hospital after one week. Still, he was given strict doctor’s orders to take another week of virtual bed rest with his leg elevated. By his own admission, however, Mack quickly overdid things. “I was a victim of the tough-guy mentality,” confides Mack, who has called in sick only once during his 15 years at St. Bonaventure. “Two weeks later, my leg was swollen, I had no energy and my blood tests were bad. I realized I had to change my lifestyle. I realized I couldn’t work 14 hours a day. I realized no one is indispensable.” Actually, one person came into focus as indispensable – Kathy. “She’s taken a tremendous load with the home and kids and me,” Jon Mack shares of his wife of 23 years. “She’s been incredibly strong when I’m scared. I think she saw me as indestructible, just as I did, but now we know better.” The couple’s three children: Justin, 6; Kristen, 12; and Jenny, 18 - have also had to face that harsh reality. “It’s been hard on all of them,” See DVT, on page 14. RX I It is a familiar scene that plays out in doctors’ offices everywhere: “I’m worried about my husband’s health, but I can’t get him to come in and see you.” “It’s definitely a common problem I hear from women all the time,” shares Dr. Geoffrey Loman, a family practice physician in Ventura. “Sometimes, it’s the husband who voices concerns about his wife, but usually it is a gender specific issue with women.” One reason men often don’t visit a doctor’s office is because they are not in the habit of doing so the way women are. “Traditionally, we see children who come in often for well care,” explains Geoff Loman. “But by their teenage years, guys basically come in for sports physicals and that’s about it.” Meanwhile, females continue to come in on a regular basis. “Women are forced to go to the doctor’s office for birth control, pap smears, prenatal care and to then bring their own children in for healthcare,” explains Dr. Nancy Loman, who teaches classes in Developmental Psychology at California State University Channel Islands and Ventura College. “Women have the opportunity to build a relationship with their doctor.” Another reason men don’t seek early medical attention, Geoff Loman feels, is simply, “The macho thing.” Guys tend to think, “If I ignore it, it will go away.” Echoes Nancy Loman. Men tend to see for husbands who WON’T visit the doctor’s office themselves as invincible. They think, “I have a little chest pain, but if I ignore it, it will get better.” The consequences of this denial and not taking “well care” seriously can be serious – not only on a man’s own health, but it can also weigh heavily on his spouse. “There are two issues women face when their husbands don’t get treatment,” explains Nancy Loman. “The first is, they are worried about him. They obviously don’t want to lose him. “The second issue is, women – who might be stay-at-home mothers, or even if they work full-time, often earn much less money then men – worry, ‘How will I feed the children if something serious does happens to him?’ This can be a frightening thought.” How, then, can a worried wife get her husband to take a proactive approach and see a doctor at the first hint something might be wrong - or even before symptoms appear for invaluable preventive care? “Some wives will make appointments for their husband, which often works out well,” shares Geoff Loman. Nancy Loman offers another successful approach, “Tell your husband you want to go on a date and hire a babysitter. Spend time together taking a walk, going to movies and dinner, and then in this atmosphere tell him about your worries and fears. It’s not a topic you can just throw out there. You need to address it in a thoughtful, loving way, not an accusatory way.” COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 5 Dr. Helmuth Billy M More and more obese patients are turning to surgery to lose weight and improve their health, and Community Memorial Hospital offers the newest, low-risk option and the only reversible and adjustable surgical weight-loss procedure available in the United States. The surgery is called the LAP-BAND System. Unlike the better-known and permanent gastric-bypass surgery, LAP-BAND helps patients lose weight by placing an adjustable band around the upper part of the stomach to reduce its capacity and restrict how much food can be consumed. Surgeons use a laparoscopic technique making tiny incisions, rather than a large incision, to place the inflatable silicone band into the patient’s abdomen. LAP-BAND is unique in that the band can be removed or adjusted at any time to alter the rate of weight loss. For example, pregnant patients can have their band expanded to accommodate the growing fetus, while patients who aren’t experiencing significant weight loss can have their band tightened. The success of the LAP-BAND surgery lies with the expertise of the surgeon, the hospital and the long-term follow-up care. Community Memorial Hospital helps patients keep the weight off by offering not just surgery but counseling about food, nutrition and exercise; follow-up doctor visits; a welcoming patient support group; and the use of the hospital’s gym for patients to exercise regularly in a safe and comfortable environment. “We concentrate on choices and eating less, things that lead to a good, long-term result. Patients see the doctor a lot, and they are learning they have to make changes,” says Dr. Helmuth T. Billy, the LAP-BAND surgeon at CMH and the only surgeon in Ventura County who is approved by the Federal Food and Drug Administration (FDA) to perform LAP-BAND surgery. Dr. Billy has performed more than 200 LAP-BAND procedures since he began doing them in 2001. “This is life-altering surgery we can do in 30 minutes,” says Dr. Billy, also an expert at A safe, effective, and low-risk alternative to gastric bypass. 6 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM hope LAP-BAND SURGERY the low risk option to surgical weight loss LAP-BAND SUCCESS STORY: PAGE 15 gastric bypass surgery and revision operations for patients whose previous weight-loss surgery didn’t work out. Dr. Billy’s expertise is well-known throughout the Western United States, where he regularly travels to train other physicians on LAPBAND surgery. As a member of the teaching faculty for Inamed Corp., the LAP-BAND’s manufacturer, Dr. Billy has trained surgeons at prestigious medical institutions including Stanford University and the University of California Medical School in San Francisco. Dr. Billy says LAP-BAND surgery is a safe, effective, and low-risk alternative to gastric bypass. LAP-BAND may be a better choice for older people and others who prefer a minimallyinvasive procedure to lose weight. With the LAP-BAND, there is no cutting, stapling or stomach re-routing. Patients experience less pain and usually spend fewer than 24 hours in the hospital after surgery. If for any reason the band needs to be removed, the stomach generally returns to its original shape. “It’s less surgery and it has potentially the same results,” Dr. Billy says. Dr. Billy’s practice is located in Ventura at 124 N. Brent Street, across the street from CMH. OBESITY ON THE RISE IN THE UNITED STATES Obesity is the second leading cause of preventable and premature death in the U.S. Approximately 127 million American adults are overweight, 60 million are obese, and 9 million are severely obese. Obesity can cause many serious health problems, such as diabetes, heart disease and impaired mobility. The number of overweight or obese adults has continued to rise in the U.S. Severe obesity prevalence is now 4.7 percent, up from 2.9 percent reported in the 1988-1994 National Health and Nutrition Examination Survey conducted by the Centers for Disease Control and Prevention. In California, 20.9 percent of adults were obese in 2001, up from 10 percent a decade earlier, according to the American Obesity Association. Helping CMH in its continuous effort to offer the best healthcare possible by consistently investing in the newest technology, education and training. New Cath Lab is the Beneficiary of the ’05 Benefactors’ Ball The 33rd annual Benefactors’ Ball was held at the Ojai Valley Inn & Spa on October 1 to support a very worthy cause – Community Memorial Hospital’s mission to deliver high-quality, compassionate healthcare to our communities. Jeff Paul served as the Chairman for the evening’s black-tie affair that attracted 234 attendees. The 2005 Benefactors’ Ball raised $51,419 which will specifically go towards a new state-ofthe-art $1.3 million Cath Lab at Community Memorial Hospital. This latest-generation Siemens Medical Solutions, Inc. equip- T ment will cost $1.1 million, while adapting the room to house it will run an additional $200,000. The new Cath Lab is expected to be completed in early 2006 and marks a continuing commitment by Community Memorial to be a leader in cardiac care. Indeed, CMH built its first Cath Lab in 1972 under the leadership of Dr. William Hart and with a donation of $1 million from Fritz Huntsinger, Sr. In addition to diagnostic procedures such as angiograms (to determine any narrowing of coronary arteries), the new Cath Lab will be used to perform angioplas- Why I support CMH The new Siemens equipment features the latest 21st Century advances available today and will be in sync with the two Siemens units already at Community Memorial, allowing CMH heart patients the very best care that healthcare professions and modern technology can provide. ty (to dilate a narrowed artery preventing a heart attack or even during a heart attack), to precisely place stents and pacemakers, and to evaluate and determine if a heart valve needs replacement. In the near future, the Cath Lab may possibly be used to inject stem cells into a failing heart muscle. Also, thanks to the 2005 “It is a treasure Ray DiGuilio for our community" Ray DiGuilio moved to Ventura County in 1970, and over the ensuing 35 years he has been a faithful supporter of Community Memorial Hospital. Asked why, the longtime resident and former Mayor of Ventura offered this heartfelt reply: “Community Memorial Hospital is a treasure for our community. It has brought life into our household and saved a life.” Indeed, two of DiGuilio’s three children were born at CMH. “Our family’s first significant experience with the Hospital, like a lot of young families, was with childbirth,” he points out. R Jean and Ray DiGuilio Benefactors’ Ball, $4,000 was added to the Audrey Woodburn Medical Education Fund which provides assistance to CMH physicians and nurses by contributing to educational endeavors towards mastering new techniques and enhancing clinical efficacy for the benefit of all residents of the community. The DiGuilio’s experiences with CMH have not been limited to the maternity unit, however. In 1986, their youngest son, then 9 years old, suffered a very serious health issue. “The incident cost him his spleen and almost his life,” DiGuilio recalls. “He was in and out of CMH many, many times over the next 14, 15 years. He had a number of incidents in the Emergency Department and spent a lot of time in the ICU. “Over the years we have gotten to know the Hospital very well and have received nothing but See “It’s a Treasure...,” page 8 COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 7 Meet Foundation Member Dorothy Jue Lee A Long History of Supporting CMH Community Memorial Hospital has been dear to Dorothy Jue Lee’s heart almost from the day she was born on the second story above her father Walton’s grocery store – the well-known Jue’s Market – in Ventura on August 19, 1934. “Ever since I can remember, my dad was a big supporter of the hospital,” recalls Dorothy, noting it was still called Foster Memorial Hospital when she was younger. When funds were being raised in 1961 to expand Foster Memorial Hospital and rename it Community Memorial Hospital, Dorothy further shares: “My dad donated $25, which was actually a lot of C money at that time. But he knew how important it was.” It is a belief that was passed down to Dorothy, who joined the Foundation upon its inception in 1984 and has been serving as its treasurer ever since. “It’s a wonderful way I can give to the community,” Dorothy says, explaining the Foundation’s role has changed over the ensuing two decades. “When we first started, our main role was to support education and let people — especially students — know what the hospital can do for them.” Reaching out to students was especially dear to Dorothy because, after graduating from Berkeley and Community Memorial Healthcare Foundation Board of Directors Sandra R. Masiel, President Kay Woodburn, Vice President Barbara Raber, Secretary Dorothy Jue Lee, Treasurer Gary Wilde, President & CEO Joanie Abou-Samra Moustapha Abou-Samra, M.D. Trudy Bale Loye Barton Ralph R. Bennett Michael D. Bradbury Jim Butterbaugh Bonnie Carlton Solange Daggett Ray DiGuilio Philip C. Drescher Michael Ellingson Anthony P. Fowkes Dave Glyer John J. Hammer William L. Hart, M.D. Lydia Hopps Fritz R. Huntsinger 8 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Marvin E. Isensee Lynn Jacobs William J. Kearney John P. Keats, M.D. Gregory F. Lamp John Masterson Harry L. Maynard Barbara Meister Leonard B. Ortiz Dottie Pas Jeffrey D. Paul Jeanne Peters Tommy Slater Ken Strople Carolyn Tedesco Dominic J. Tedesco, M.D. Norm Weitzel Stan Whisenhunt Bob Wiker Doug S. Wilkinson, M.D. Gary L. Wolfe James D. Woodburn, II, M.D. James D. Woodburn, III, M.D. then earning a masters degree in administration at USC, she served in education in Ventura County as a teacher, vice principal and principal for 37 years before retiring in 1991. She also served on the State Board of Education from 1990-1996, as well as numerous educational boards at USC, including its Board of Governors in 1994. “I guess I just enjoy giving back any way I can,” Dorothy says modestly. She is proud of the way CMH gives back to its surrounding communities. “Over time, fundraising to buy state-of-the-art medical equipment for the hospital has become the emphasis of the Foundation,” Dorothy explains. “I’m very proud that because of this equipment, we are the only hospital in the entire county that can provide many types of care. I’m also very proud of the different outreach programs we have to help people throughout the community who otherwise couldn’t afford healthcare.” “As you can tell, I’m proud of all the work the Foundation does and of Community Memorial Hospital,” adds Dorothy, who has been a patient at CMH only once: when her son Roderic was born in 1962 — shortly after Walton Jue’s $25 donation. “It is a treasure for our community" continued from page 7 great service,” DiGuilio continues. “Not just from the doctors, but all the support staff. The nurses are wonderful. To this day they will see my son around town and remember him.” DiGuilio is happy to share that his son is doing well and has been incident free for nearly four years. This doesn’t mean the family has not needed CMH’s services over that span. “My mother-in-law moved to Ventura three years ago and she received excellent attention and care at CMH,” DiGuilio says. “My family has been a beneficiary of Community Memorial Hospital, so I feel it’s important to give back,” continues DiGuilio, explaining why he joined the Community Memorial Healthcare Foundation two years ago. Thanks to his experience as a Ventura City Councilman from 1995 through 2003 – and mayor in 2002-2003 – he is especially involved in providing guidance towards earthquake compliance for the hospital building. “When my family has needed help, Community Memorial Hospital has always been there,” says Ray DiGuilio, who has worked at all three of the county’s junior colleges and is currently the Vice President of Business Services at Moorpark College. “I want to support the Hospital so it can continue to meet the growing needs of families in our growing community.” the Spirit Giving of The spirit of giving is by no means limited to the holiday season at Community Memorial Hospital. Indeed, for CMH’s non-profit Community Memorial Healthcare Foundation and its growing roster of volunteer members, philanthropy is a year-round endeavor. The Community Memorial Healthcare Foundation’s mission is to bring together local citizens to help CMH in its continuous effort to offer the best healthcare possible by consistently investing in state-of-the-art technology, education and training. Ways in which the Community Memorial Healthcare Foundation has helped the hospital in the past through their fund raising activities has been: T • Provided a significant portion of the funds needed to purchase the revolutionary da Vinci Surgical Robot. This $1.3 million cutting-edge device adds a new dimension in assisting Community Memorial’s highly trained surgeons in providing minimally invasive surgery. • Funded a Women’s Health pro- gram that provides cost-free mammograms to women in need who otherwise would go without this important care. • The tiniest patients in our community receive the highest quality of care possible because the Foundation raises funds to support the Neonatal Intensive Care Unit and their equipment needs. Many Ways to Give Through a tax-deductible gift to the Foundation, you will gain the satisfaction of supporting an organization which is dedicated to ensuring that advances in medicine and new technologies are available to serve you, and your family, friends and neighbors. There are a number of ways to make a meaningful gift. Cash, Check, Credit Card Your gift may be restricted for a designated item or restricted for a need as determined by the Foundation. Steps of Life If you would prefer to honor a loved one, your gift of $100 or more will purchase a personalized brick inscribed with your choice of a name or a message. Your brick will pave the CMH courtyard. Pledge As with a gift of cash, a Pledge may be made to the Foundation, payable over a time period which is flexible to fit your present and future financial goals. Bank Account in Trust A Bank Account in Trust allows you to open an account in trust for the Foundation. You maintain the right to add or withdraw from the account, or close the account at any time. Any funds remaining in the account at death automatically go to the Foundation. Will With a gift by will, the Foundation can be named as a beneficiary on a will or a contingent beneficiary – to take effect only if there are no surviving close family members. Charitable Remainder Trust Under the Charitable Remainder Unitrust, you may irrevocably transfer money, securities, or both to a trustee who pays you income for life, based on a fixed percentage of the fair market value of the trust each year. Upon your death the remaining trust assets become the sole property of the Foundation. Gift of Home or Farm With a Gift of Home or Farm, you may deed the property to the Foundation now while retaining the right to live on the property (and also have a survivor enjoy life occupancy if desired). Life Insurance Life Insurance is an ideal way of giving to the Foundation, by irrevocably naming the Foundation as sole beneficiary of a policy. Community Memorial Healthcare Foundation truly plays a major role in CMH’s sincere ongoing “Commitment to Caring.” By supporting the Foundation, you are not only making an investment in the health of Ventura County residents today, but are also helping ensure a healthy future. Your support this holiday season is appreciated! For further information on gift opportunities, write or call the Foundation office at (805) 667-2881. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 9 DONORS Abbott Laboratories/Hospira Dr. Moustapha & Joanie AbouSamra Advanced Surgical Associates Alex Medical, Inc. Lauren Alexander American Medical Response Andria’s Seafood Restaurant & Market Anonymous Amy Armstrong AVC Office Automation Trudy Bale Bank of America Private Bank Dr. Edward & Jill Banman Linda Barbee Dr. Denise Chavez & Richard Barnes Shannon Barnes Bartlett, Pringle & Wolf, LLP Bauer, Harris, Clinkenbeard & Ramsey BB&H Benefit Designs Insurance Services Dr. Marc & Rickie Beaghler David & Josie Becker Beckman Coulter, Inc Ralph & Donna Bennett Leo & Laura Berry Helmuth Billy, M.D. Bryan & Alisa Binns Blocksgaard - Glick & Weitzel Boot Barn Boston Scientific Corporation Tania Brantley Dr. Charles & Judi Brenner Jim & Linda Brinkman John Broms, M.D. Tom Brugman, M.D. Buenaventura Medical Group, Inc. Mark Burschgens Deedee & Dr. Ralph Busch Jr. California Cardiac Surgeons The Camden Group Cardinal Health Cardinal Point Communications Cardiology Associates Medical Group Dorothy Caris Carl Storz Tony Castelan Champion Advertisers Patricia Chesler Chicago Title City National Bank Erwin Clahassey, M.D. Joanne Clark Clean Source CMH Emergency Room Physicians CMH Radiologists S. D. Coggins Colorburst Design Concepts Commander Printed Products Corporate Express Jon Crozier Paulette Defterios Don L. Carton Realty Dougherty Laser Vision Don & Ruth Downey DR Systems E J Harrison & Sons Dr. John & Linda Edison Michael Ellingson William Elrod Farr & Associates Arthur Flynn, M.D. Tom & Joan Follis Anthony & Edris Fowkes Donald Frambach, M.D. Fujifilm Medical System Dr. Peter & Sandra Gaal Charlie Garcia Dr. Robert & Barbara Garrison Mrs. Renee Gill David & Maryellen Glyer Gold Coast Ambulance Service Gold Coast Broadcasting Dr. Thomas & Debbie Golden Gordon Ross Medical Foundation Grant & Weber Grossman Imaging Center Dr. & Mrs. J. Gstettenbauer Guidant Corporation Cynthia Halley Dr. Jack & Beverly Halpin John & Glenda Hammer Hammer-Hewson Associates Jim & Mary Harrison Dr. Bill & Louise Hart Bud & Sally Hartman Edith Henricks Lisa & Dave Hermanson Ronald & Carolyn Hertel Dr. John & Barbara Hill Hill-Rom HMH Construction Co, Inc. Susan Hopf Dr. G. Dennis & Bev Horvath Rod & Alisa Houck Linda Howard Hub International Billy Huling Fritz & Nancy Huntsinger I-Flow IMTS IRJ Engineers, Inc. Marvin & Betty Isensee Isensee Floorcovering Dr. Gosta & Mary Iwasiuk Gary & Lynn Jacobs Patricia Jump Kaufman Hall Bill & Elise Kearney We apologize for any omissions or misspellings. 10 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Community Memorial Health System and Community Memorial Healthcare Foundation appreciate the many generous gifts from our friends. Contributions to the Foundation benefit our community in many ways. We gratefully acknowledge the following contributions received between January 1, and September 30, 2005. Dr. John & Susan Keats Tom Kelley KHAY Radio Randy Kinsling Craig Klein Bernard Konkol KPN Networks, Inc. KVTA Radio Robert & Norma Lagomarsino Norma Lail Sharon Landsman Haady Lashkari Law Offices of F.T. Muegenburg, Jr. Ron Lawrence Dr. Kee & Jill Lee Emily & Matt Letourneau Lifeline Medical Transport Judge David Long & Shirley Critchfield Deborah Lund Michael Lurie & Nancy Kochevar John Luttrull, M.D. Drs. Nelly Mac & P.K. Edwards Lisa MacAuley Maryann Marino Edie & Chuck Marshall Yvonne Martin Sandy & Paul Masiel Massie Laboratories, Inc./RetCam II John & Judy Masterson Ruth & Bob Mathis Thomas McBreen, M.D. Charles & Rosena McConica John & Geraldine McConica Rosemary McIntyre, M.D. MD Consult Mead Johnson Medtronic, Inc. Buffie Megugorac Barbara Meister Dr. Fredrick & Margaret Menninger Mid-State Bank & Trust Rosie Mietzel MJP Computers Tom Mobley Barry Mosesman & Rhonda Spiegel Dale & F. Ted Muegenburg, Jr. Mundy Medical Marketing, Inc. David & Diane Murray Nathan Consulting Group Julie Nautu Mark Newton Chris Nickel Mary & Robert Nishimura John & Stephanie Orr Ruth Orr Leonard & Lupe Ortiz Roland & Chris Ouellette Dr. Robert & Maria Ouwendijk Nick Pappas Dottie Pas Srisawai Pattamakom, M.D. Jeanne Pearcy Mari Pedersen Pediatrix Medical Group Perennial Designs Robert Perlis J.M. Perry Learning Technology Mitchell Perry Dr. Arthur & Jeanne Peters Don & Susan Petty, Jr. Andrea Pfister Philip Sorkin Consulting, Inc. PHS Kirk Pieper Ron & Judi Polito Dr. Martin & Barbara Pops Precyse Solutions ProCare Systems, LLC Pronurse Puretec Industrial Water R.T. Beers & Company Barbara Raber Constanze Rayhrer, M.D. The Renaissance Group Frank Responts Revcare Randy Robinson Ron Rose Jim Roth & Diane Sanson Frank Rovelli John & Peggy Russell Pam Sanchez Santa Barbara Bank & Trust Mrs. Dora E. Schmela Kim Schwartz Dr. John Seder & Jean Gordon Sheeler Moving & Storage Sherry Scott Lee Ann Skylstad Dr. John Slaght & Priscilla Brennan Patricia Kong Slater Greg & Shelley Smith Soares, Sandall, Bernacchi & Petrovich William & Martha Spriggs John Stauffer Steris Corporation Catherine Stern Bill & Priscilla Stevenson Margie & John Stites Ken & Peggy Strople Robert & Teresa Strong Natalie Sullaway Surgical West Taft Electric Dr. Leo & Lucy Tauber Ted Mayr Funeral Home Rebecca Tolentino Tolman & Wiker Insurance Tri Anim United Blood Services Van Gundy & Sons Jewelers John Van Houten, M.D. Ventura Anesthesia Medical Group Ventura Cardiology Consultants Ventura County Hematology Oncology Specialists Ventura Printing Ventura Pulmonary and Critical Care Medical Group Suzanne Vierling Walking Beam Ranch Drs. Robert & Wendy Warwar DuWayne Weatherman Rick Webb West Coast Environmental West-Com & T.V. Inc. The Wharf Whisenhunt Communications Bud & Billie Whitehead Gary & Cheryl Wilde Melody Williams Janice Willis Gary & Ann Wolfe Rachael Wolfe Dr. Douglas & Caryn Woodburn Dr. Jim & Kay Woodburn Bob Woolacott Mark Yeh Brad Yarbrow ZestNet STEPS OF LIFE Teri & Don Andre Frances Baker Idolia Barbee Ruth Bunker Laura & Richard Calzada Craig Chittenden CMH Auxiliary Ronald Cottman Myron Elliott Carolyn Elliott Mary Beth Harper Susan Heinkel Martha & Peter Jaffe Nona Belle Jensen Patricia Jump Pamela Kennedy Mrs. E. Kisby Rose Lara Patricia Mangini Norma Orr CMH Staff John Trahan Karen Vunovich Edwin Ware Robert Wright Helping Ojai Valley Community Hospital in its continuous effort to offer the best healthcare possible by consistently investing in the newest technology, education and training. OVCH Guild Helps Purchase New Ultrasound Equipment Ojai Valley Community Hospital patients are now able to benefit from the latest technology in ultrasound imaging, thanks to fundraising by the Hospital Foundation Guild. The Guild contributed $110,000 toward purchase of the high-end, Philips iU11 ultrasound system that can be used for a variety of diagnostic procedures, including monitoring of a fetus and scanning of the liver, kidneys, gall bladder and pelvic area. “This equipment enables us to perform state-of-the-art imaging that is the equal of any med- O ical site in the country,” said Dr. Dan Sommer, Chief of Radiology at the Hospital. “The new system gives us the ability for the first time to do vascular imaging – a critical requirement in many emergencies,” added Richard Nunley, Radiology Manager. “Having this capability will help save lives.” In addition to the gift from the Foundation Guild, the Hospital received a $60,000 grant to purchase the equipment. Community Memorial Hospital also contributed. The Guild funds were raised at Western Why I support CMH Retired Superior Court Judge William Peck and his wife, Laura, have been loyal supporters of the Ojai Valley Community Hospital in recent years. They are active members of the Guild. Mrs. Peck contributed artworks to last year’s Operation Picasso, which installed a varied collection of paintings and photographs throughout the Hospital. The Pecks’ appreciation for the Hospital was reinforced several months ago, when Judge Peck suddenly became seriously ill. Groggy, unable to function and R William and Laura Peck Radiologist Richard Sommer, M.D. shows Hospital Guild members Barbara Hirsch (center) and Foundation Chairman, Barbara Pops the new state-of-the-art ultrasound equipment at Ojai Valley Community Hospital. Casino Night earlier this year, and at the Nightingale Ball in 2003. “We feel this is a wonderful example of what community support can do,” said Barbara Hirsch, who served as Guild President in 2004-05. “Professionalism Judge William Peck and Caring Attitude" spiking a high fever one morning, he was rushed by Mrs. Peck to the Hospital’s Emergency Department, where the ER team, headed that day by Dr. Doug Nelson, cared for him. The diagnosis was viral meningitis. Judge Peck recalls the professionalism and caring attitude of the staff. “They could not have been nicer to me,” he said. “What impressed my wife, in addition to the first-class care we received, was that they kept her advised at all times as to what they thought I had, what they were doing for me, and test results.” Judge Peck appreciated the smooth transfer to Community Memorial Hospital by ambulance when it was determined that he needed the care resources of the larger hospital. He spent a total of six days at CMH, three of them in the CCU. Now almost completely recovered, Judge Peck is back at work in his private mediation and arbitration service, grateful for the care he received when he needed it the most. COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 7 Meet Foundation Member Don Law Finding Fulfillment as a Community Volunteer For Don Law, there is nothing quite like the exhilaration and freedom of cruising picturesque mountain highways on his Suzuki motorcycle. But when he tells fellow retirees about his hobby, he gets raised eyebrows and even questions about his sanity. He has a ready answer: “Motorcycles are as dangerous as the rider makes them. The group of seniors I ride with have all been through the CHP Motorcycle Safety Course, and they ride cautiously and defensively.” Mr. Law is an avid tennis player and has had a lifelong interest in history – a perfect foundation for his worldwide travels with his wife, Linda. F Time for recreation is not unlimited these days, however. Mr. Law is a very active community volunteer, almost as busy now as he was before he sold his industrial chemical company and retired ten years ago. Serving on the Ojai Valley Community Hospital Foundation Board, he is liaison to the Hospital administration. In that role, he conveys to the Board the Hospital’s prioritized financial and equipment needs. Mr. Law also drives a Help of Ojai transportation van one day a week. In recent weeks, he has been working almost daily on a thorough assessment of the former Honor Farm facility as a possible site for ad- October Classic 2005 is Rousing Success N Nearly 300 kids, teenagers, adults and seniors — runners, walkers and persons confined to wheelchairs — gathered for fitness, fun and lighthearted competition recently in the October Classic, 2005. The event raised $14,000 for the Ojai Valley Community Hospital. In the 10K, the women’s top three finishers were Mary Jones, Rachel Hartmann and Alyssa Robinson. The 10K men’s top three were Aaron Sharp, Salvador Plaza and Mario Gomez. In the 5K, the top three women were Catherine Hasbrouck, Jennifer Dinh and Alexa Pulley. On the men’s side, the top winners were Diego Sorra, Cecil Baumgartner and Steve Mercer. 8 2 CARING CARING | COMMUNITY COMMUNITY MEMORIAL MEMORIAL HEALTH HEALTH SYSTEM SYSTEM ditional space for Help of Ojai. He will join the nonprofit social service organization’s Board in January. In addition, he helps with Mrs. Law’s work as a volunteer with Casa Pacifica, the home for abused and abandoned children in Camarillo. Getting involved with Help of Ojai was an eye-opener for him. “I had not fully appreciated the needs of the elderly,” he recalls. “Once you become aware, a momentum builds and you just want to do more and more for them. Some of the situations are very sad, and if I can brighten their lives a little bit, it’s very rewarding to me.” When Mr. Law was invited to join the new Ojai Valley Commun- ity Hospital Foundation Board earlier this year, he brought with him two years’ experience on the previous Hospital Board, serving on the Finance and Executive Committees. “The merger of the Ojai Hospital with Community Memorial has brought much-needed stability to the Ojai facility, which is very satisfying to those of us who have served the Hospital for any length of time,” says Mr. Law. “Now that we are part of the new Health System, our energies on the Foundation Board can be totally refocused on improvements in the delivery of high quality healthcare, which is extraordinarily important to residents of this Valley.” OUR SINCERE THANKS TO ALL OUR SPONSORS FOR THEIR GENEROUS CONTRIBUTIONS Headline Sponsor Forest Pharmaceuticals Team Sponsor: Swim with Mike by Dan and Mara Redden Race Shirt Sponsors Assisted Home Care, Autumn Years at Ojai, Dr. Fred Fauvre, The Gables of Ojai, Help Unlimited Home Care, Mid-State Bank & Trust, Ojai Medical Equipment, Ojai Valley Emergency Physicians Medical Group, Inc., Rainbow Bridge, Rotary Club InteractNordhoff High School, Dr. Robert and Alice Skankey, and Wells Fargo Community Sponsors Behavioral Science Technology, Blue & Emerald Iguana Inns, Victoria Breen—Derby & Derby, Inc., Clausen Funeral Home, Joseph Macaluso, Medicine Shoppe Pharmacy, The Oaks at Ojai, Ojai Rexall Drugs, Ojai Valley Family Medicine Group, Smith, Barney, Inc., and Tim and Terri Wolfe Friends of the Hospital Lewis Angelos, Bank of America, Stephen Bennett, Coldwell Banker Property Shoppe, Crooked Creek Ranch, Curves, Livingston Memorial Visiting Nurse Association, Los Padres Bank, Matilija Veterinary Hospital, Inc., Metro Med, Inc., Medical Arts Pharmacy, John and Peggy Russell, Swanner Physical Therapy, Suzanne’s Cuisine, and Waite, Jacobs and Atkinson, Attorneys at Law Ojai Valley Community Hospital Foundation bmes of pro ti In . y e ll rs is an es our Va that defin is concern for othe y it n u r, m o b m h nse of co hbors. Th Dear Neig e in the se bors helping neig d ri jai p e in u neigh rt of the O . o n y ke gen p e o ta p ll i d a u s n V ja e r i O p u ja We in ome to de than in yo reat strides in y in the O ell-being is, we’ve c lity of life we enjo s w ri r c u ake g r o o s to lem tical s us to m e qua ri le c th b r f a o o n t e n rt y a ommunit ore appare essential p ital: oncern m generosity of our c c is th , our hosp is le p re e m e h a h T x l. e w a o l. r N r hospit Hospita l year, fo ices at ou mmunity e last fisca th In . re Valley Co atient care and serv a p e services nsive thes enhancing te x e w o realize h ts. 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We assure y l and the patients ib tr thank n o c le V pital. We . Ojai uctib ospita s d e o H e h th y l -d f it a x o n c ta u lo le r y You the peop ey Comm pport our ommunit of care to efit of our Ojai Vall on and su such a desirable c s l a e e v s e y -l a h d ig n h king Ojai rs this holi for the be r neighbo le you play in ma u o exclusively y f o k in ciate the ro you will th We hope tribution and appre M.D. ur con ninger III, n e M you for yo J. k Fredric tt e rr , a ly G Sincere Mary Jo f of Staff ps, pital Chie s o o P H ra a rb Ba inistrator pital Adm s o H airman dation Ch n u o F l a ti Hosp Board of Directors Barbara Pops, Chair Gary Farr, Vice-Chair John Mothershead, Secretary Tim Wolfe, Treasurer Peggy Russell, Asst. Treasurer Michael Ellingson Brenda Farr James Halverson, M.D. Sue Horgan Don Law Martin Pops, M.D. John Russell Joyce West Nita Whaley Brenda Farr New Guild President Foresees Another Successful Year As Brenda Farr takes office as President of the Ojai Valley Community Hospital Foundation Guild, she looks forward to another successful year with confidence and enthusiasm. “Each President has taken the Guild to a higher level,” said Mrs. Farr, who succeeds Barbara Hirsch in the post. “My goal is to continue the excellence we’ve had so far, to broaden our communi- A cations with the community and to increase our membership.” The Guild will continue with its highly successful fundraising events, the Nightingale Ball and Western Casino Night. “It’s imperative that the people of Ojai realize that all funds raised go only to Ojai Valley Community Hospital to enhance care and services,” said Mrs. Farr. “This was our original premise and remains unchanged after the merger with Community Memorial Hospital.” A founding member of the Guild, Mrs. Farr has been on the Board since its inception. She and her husband Gary, Vice Chairman of the OVCH Foundation, were co-chairs of the first Nightingale Ball. The couple works together in a family-owned business, Farr & Associates, Oxnard, where Mrs. Farr runs the Employee Benefits Division. Mrs. Farr’s fellow Guild officers this year are Joyce West, Vice President; Gloria Vadnais, Secretary; and Alice Chesley, Treasurer. With more than 150 members, Guild membership continues to increase. Monthly meetings offer education on topics of interest to the community, and have become popular social events. COMMUNITY COMMUNITY MEMORIAL MEMORIAL HEALTH HEALTH SYSTEM SYSTEM CARING || CARING 9 the Spirit Giving of The spirit of giving is by no means limited to the holiday season at Ojai Valley Community Hospital. Indeed, for OVCH’s non-profit Foundation and its growing roster of volunteer members, philanthropy is a yearround endeavor. The Ojai Valley Community Hospital Foundation’s mission is to bring together local citizens to help OVCH in its continuous effort to offer the best healthcare possible by consistently investing in state-of-the-art technology, education and training. Ways in which the Foundation has helped the hospital in the past through their fund raising activities has been: T • Ultrasound-Imaging • Ventilator-Respiratory Therapy • Bio-Z System-ICU (non-invasive cardiac monitoring system) • Chemical Analyzer-Lab • Colonoscopy scope-Surgery • Fracture Table-Surgery • IBM AS 400-Administration (hospital main computer system) • Microscan-Lab • Bio Feedback System-Keeler • Indo System-Surgery • Lift System 10 2 CARING CARING | Many Ways to Give Through a tax-deductible gift to the Foundation, you will gain the satisfaction of supporting an organization which is dedicated to ensuring that advances in medicine and new technologies are available to serve you, and your family, friends and neighbors. There are a number of ways to make a meaningful gift. Cash, Check, Credit Card Your gift may be restricted for a designated item or restricted for a need as determined by the Foundation. Pledge As with a gift of cash, a Pledge may be made to the Foundation, payable over a time period which is flexible to fit your present and future financial goals. Bank Account in Trust A Bank Account in Trust allows you to open an account in trust for the Foundation. You maintain the right to add or withdraw from the account, or close the account at any time. Any funds remaining in the account at death automatically go to the Foundation. Charitable Remainder Trust Under the Charitable Remainder Unitrust, you may irrevocably transfer money, securities, or both to a trustee who pays you income for life, based on a fixed percentage of the fair market value of the trust each year. Upon your death the remaining trust assets become the sole property of the Foundation. COMMUNITY COMMUNITY MEMORIAL MEMORIAL HEALTH HEALTH SYSTEM SYSTEM Will With a gift by will, the Foundation can be named as a beneficiary on a will or a contingent beneficiary – to take effect only if there are no surviving close family members. Gift of Home or Farm With a Gift of Home or Farm, you may deed the property to the Foundation now while retaining the right to live on the property (and also have a survivor enjoy life occupancy if desired). Life Insurance Life Insurance is an ideal way of giving to the Foundation, by irrevocably naming the Foundation as sole beneficiary of a policy. Ojai Valley Community Hospital Foundation truly plays a major role in OVCH’s sincere ongoing “Commitment to Caring.” By supporting the Foundation, you are not only making an investment in the health of Ojai Valley residents today, but are also helping ensure a healthy future. Your support this Holiday Season is appreciated! For further information on gift opportunities, write or call the Foundation office at (805) 640-2317. "The idea is to get information into the doctor’s hand as quickly as possible." Dr. Jim Woodburn relies on MData Mobile for instant access to patient information. B Busy executives and, harried moms and teens aren’t the only ones benefiting these days from portable hand-held pocket PCs that give us immediate information. All staff doctors at Community Memorial Hospital and Ojai Valley hospital stays, and promotes patient safety. “Almost everything I need on a patient in the hospital is in there,” says Dr. Robert Garrison, a family practice physician in Ventura with patients at CMH. His mobile “trio” unit is a Embracing Mobile PATIENT Information Technology Community Hospital now have access to stateof-the-art software for their mobile communications devices that places vital patient information at their fingertips literally in seconds. The software is called MData Mobile. It is manufactured by MercuryMD, a North Carolina-based healthcare software company that develops medical technology to improve efficiency and, ultimately, patient care. The days of a doctor waiting around for a patient’s chart to be printed out or updated are coming to an end. MData Mobile communicates inbound and outbound messages in real time from the hospital’s information systems to a mobile device for direct access to the latest information. “The goal we’ve always tried to accomplish is to get the information to the physician as quickly as possible,” said Nick Pappas, Director of Information Systems. Physicians with MData software on their Palm Pilots, smart cell phones and other mobile PC devices can readily access lab results, medication lists, radiology results and other information from their mobile devices as they meet with patients at the hospital. Doctors say that hastening the delivery of this vital information helps them give their patients better and faster care, reduces the length of that day. He further uses MData software to see emergency room reports and X-ray reports. “It’s instant access,” he says. Another advocate of the MData software is CMH general surgeon, Dr. Jim Woodburn, who was among the first at CMH to use the technology, having loaded the software into a cell phone he carries at all times. Dr. Woodburn says MData has been a huge help, particularly in one patient’s case that he recalled. “A chart had not been printed out and put together yet. I would have had nothing to go on but the information I needed was already in Mdata, and I was able to pull up the patient’s information and labs on my mobile device,” Dr. Woodburn said. Community Memorial and Ojai Valley Community Hospitals are among the more than 200 hospitals and nearly 100 healthcare systems across the nation using MData. CMH doctors were first offered the software as a pilot program in late 2002, and Ojai doctors were offered access this October. At least 135 doctors use MData and more are expected to as they learn about it. cell phone/PDA/camera device that has the MData software included to give Dr. Garrison instant access to patient information while he makes his hospital rounds. “The MData software helps him in many ways,” says Dr. Garrison. It allows him to check a patient’s lab reports for that day and the previous days and lets him check medications for patients who take several drugs at once or are being seen by more than one doctor. Using MData, Dr. Garrison said he can cross-reference patients’ medications, get a list of side effects, doses and drug interactions, and he can ensure a patient is receiving only appropriate medications. MData also keeps a list of all the new patients who were admitted to C M H over the weekend, which Dr. Garrison says helps him prepare for work on Monday Dr. Robert Garrison explains morning by knowing the benefits of MData Mobile. which new patients he needs to see or call on COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 11 PARENTING TIPS Helping Kids Cope with Crisis D Despite our wishes and efforts, we cannot always protect our children or other family members from illness or accident. These events may be stressful or frightening for any of us. When illness or infirmity occurs, as parents, our tasks are to help our children feel safe and cared for and to assist them in developing skills and confidence in their own personal resources to cope effectively with these human experiences. It is common to fear illness and disability, as these conditions reflect our vulnerability and lack of control over life events. This is a problem for SAFE BOR HAR E Emergency room doctors and others have seen them all too many times – women and children traumatized by domestic violence or sexual abuse who come to the hospital for medical treatment but need so much more help. Community Memorial Health System CEO, Gary Wilde, and other Ventura leaders have teamed up with the local business and law enforcement communities to open a new advocacy, medical treatment and evidence-gathering 12 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM When illness or infirmity occurs, as parents, our tasks are to help our children feel safe and cared for. people of any age. Parents can best help children cope with these conditions by honestly helping them understand, what to expect. This includes an explanation of upcoming treatments and procedures. We should keep our language simple and concise, while checking our own emotional reactions and limiting our discussions to necessary informa- tion. Parents should provide ample opportunities for questions and dialogue, recognizing that it takes children time to process difficult or frightening information and react to it. Medical personnel, such as doctors, nurses, and technicians, can provide answers that parents may not have. Parents, however, can advise these caregivers as to what questions have arisen and how their children best understand information about their bodies and those of family and friends. Whatever emotions children express must be recognized and validated by parents and others. As parents, we may also be coping with our own feelings of overwhelming sadness or fear. We must find other adults who can help us through these periods, so that we can express warmth and understanding to our children without imparting our negative feelings. Dealing with the feelings around illness and infirmity is part of parenting, part of human life. We can help our children through this process by listening carefully, explaining what to expect in age-appropriate ways, and enlisting medical practitioners to explain and prepare our children for their own illness or that of other important people in their lives. We can make our children stronger and better able to cope with physical disability through our willingness to face these problems with them and to treat physical problems as we do other problems. Together, we can face and cope with feelings that could otherwise be overwhelming. HELPING VICTIMS OF VIOLENCE center right across the street from CMH. CMH is donating a vacant house owned by the hospital to be renovated and transformed into the new west county “Safe Harbor” center. Donations of building materials, furnishings and labor are being sought with the goal of opening the new center in the spring. “This is a collaborative effort with the business community partnering with government and healthcare to do something that one group can’t do alone,” Wilde said. Ventura already has a Safe Harbor facility in an office building near the County Government Center. The DA’s Office currently spends $60,000 a year to lease the space, but under the collabora- tive arrangement with CMH they will only pay $1 per year to lease the house on Martha Street. The operating expenses of the program are funded by a private, non-profit grant. Police and district attorney officials say the current facility is not an ideal place for victims to feel at ease while they seek medical treatment and counseling and give critical statements to help prosecute the abusers. Investigators and advocates want the center to be closer to the hospital. “Also, after renovations, the new center will have a more home-like environment to make victims feel comfortable,” District Attorney Gregory Totten said. “We’re thrilled with the leadership role the hospital has taken, spearheaded by Community Memorial Health System, CEO, Gary Wilde,” Totten added. 5 category caring Nurses Take Caring to a New Level D Diane Ellison and Connie Fincher love to help people. That is why they became registered nurses. So, it’s no surprise that when they saw the devastation left by Hurricane Katrina and the misery it brought to the people of New Orleans and nearby regions of Louisiana and Mississippi, Ellison, a nurse in Community Memorial Hospital’s Neonatal Intensive Care Unit, and Fincher, a clinical nurse educator in CMH’s Intensive Care/Critical Care Unit, felt compelled to act. “I was at my kitchen sink washing vegetables,” Ellison remembered, “and I’m thinking that the people I’m seeing on TV would die for the water that I am wasting down the drain. “As a nurse, I feel a responsibility to help other people. I just had to do something.” Fincher, on medical leave from CMH after undergoing knee-replacement surgery in July, felt the same way. “With my background, I knew I had something to offer,” Fincher said. So both called the American Red Cross. While her mind was willing, Fincher’s recent knee surgery made it impossible for her to treat victims of Hurricane Katrina. But she could answer phone calls, and she could type into a computer. For two weeks, Fincher took calls from people calling the American Red Cross to volunteer. She took calls from people lost and stranded 2,500 miles away in New Orleans. She took calls from people in the Super Dome who were separatDiane Ellison, RN e d f r o m l o v e d ones. She took calls – hundreds of them – and entered information received into the American Red Cross’ national database that was set up in the wake of Katrina. “I wish I could have been deployed to New Orleans,” said Fincher wistfully, then adding “but I did what I could, and I did it the best I could.” As for Ellison, Connie Fincher, RN she boarded a flight to Houston, her thoughts focused on the daunting task ahead – treating the victims of Katrina. But as she reached her destination, Katrina’s equally powerful sister, Hurricane Rita, was bearing down on the Texas Gulf Coast. So, suddenly, Rita, not Katrina, would be her assignment. That meant first getting caught in perhaps the biggest traffic jam in history. It took the bus carrying Ellison and her co-workers nine hours to cover the 70 miles from Houston to Huntsville, Texas, to a makeshift shelter in the Sam Houston State University gymnasium, the temporary home for about 450 evacuees. She treated victims, from newborn babies to cardiac and dialysis patients, for five days in Huntsville before she was transferred to Crockett, Texas. There, she spent the next two weeks in the city’s Civic Center tending to the medical and emotional needs of 250 more evacuees, many of whom lost their homes, and everything in them. Ellison returned home after three exhausting weeks in Texas. Although she witnessed a lot of misery and heartbreak, Ellison said what she would remember most is the compassion people showed to those who suffered. “You hear about how people don’t care, but what I kept seeing was people in the community embracing people they didn’t even know,” Ellison said as she related stories of people bringing money, food and clothing to those in the shelter, people offering evacuees rides to hospitals, and a man who pulled $800 out of his wallet and said, “Here, now go take everyone out to Kentucky Fried Chicken for dinner.” “I was totally blown away by it all,” Ellison said. “I get teary just thinking about it.” TERRI’S TRAGEDY The Importance of Advance Directives Dr. James W. Hornstein The short life and heartbreaking death o f Te r r i S c h i a v o should have been a private matter and a time for her family to grieve in peace. Instead, Terri’s death on March 31 was played out in the national media with her family members at war with each other. The fight over her medical treatment could have been avoided had Terri exercised her legal right to state in writing her wishes for medical treatment should she become unable to express them herself. She should have had an Advance Directive. Today there is a medical, legal and moral consensus that competent adults can accept or refuse any medical treatment. In 1990, the U.S. Supreme Court affirmed this right. If you are an alert patient, you can tell the doctors your wishes. However, the trouble arises when patients can’t speak for themselves because they are in a coma or are incapacitated by illness or injury. If you have not given any instructions, no one can know for sure what you would have decided. That’s why it is so important for people to have an Advance Directive. An Advance Directive is a document in which you name a surrogate decision-maker to speak for you and state your wishes if you can’t speak for yourself. This surrogate can be anyone, your spouse, adult child, a friend or a relative. This person has the same rights as the patient. You must make your wishes known to your surrogate and make sure copies are given to friends, family, your doctor, nursing home staff or hospital personnel. Another separate part of an Advance Directive is the section where you can list your wishes in writing. This was previously known as a “living will,” and may further help to clarify your treatment choices for your surrogate and doctors. These treatment decisions are difficult to make, but they are much more difficult if you do not participate. Just ask Terri’s family. For more info visit: http://www.cmanet.org/publicdoc.cfm/7 Dr. James W. Hornstein is Chairman of the Bioethics Committee at Community Memorial Hospital in Ventura COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 13 DVT What you need to know about We’re Always Looking for Volunteers! A deep vein thrombosis (DVT) is a blood clot, or thrombus, that develops in a deep vein, usually in the leg. When a clot forms, there is a risk that it will break away and travel up the vein and into the lung. This is called a pulmonary embolism, and, depending on the size of the clot or number of them, can be a life-threatening condition. Increased Risk Factors DVT is more common in people over the age of 40 or those who have already had a blood clot in their legs. Other increased risks include smoking, morbid obesity, or taking a contraceptive pill. In addition, cancer patients, as well as post-operative surgery patients, are also at increased risk of DVT. A common risk factor for the general population is prolonged sitting, such as long-distance travel by car, or plane, without frequent breaks. Symptoms of a DVT “Symptoms can include leg pain that might feel like a pulled muscle, swelling of the leg, even redness to the leg,” explains Dr. John Handley, pulmonary specialist at Community Memorial Hospital. While these are not always signs of a DVT, anyone who experiences them should contact their doctor. Symptoms of Pulmonary Embolism A pulmonary embolism can be associated with shortness of breath, chest pain, and coughing up blood. Anyone with these symptoms should seek prompt emergency medical evaluation. Treating a DVT “The best treatment requires a team approach between a doctor and patient,” says Dr. Handley. “Both have to do their part to achieve a good outcome.” Dr. John Handley Blood thinning medicines, called anticoagulants, are typically used to stop new blood clots from forming and old ones growing. The anticoagulants used are Heparin (injected or by infusion) overlapped with Coumadin or Warfarin (taken as tablets). Initial treatment for an uncomplicated DVT case generally requires about five days in a hospital. Afterwards, anticoagulants will usually be continued for three to six months. Meanwhile, regular blood tests are needed to monitor the patient’s condition. In the most severe cases, clot dissolving drugs called thrombolytics are used to dissolve DVTs. Preventive Measures for Travelers While the added risk of developing a DVT caused by traveling appears to be low, it can be further reduced by exercising the legs at least once every hour during long-distance travel. This means taking regular breaks when driving or walking up and down the aisle of a train or plane. In addition, the muscles of the lower legs (which act as a pump to help blood flow north in the veins) can be exercised while sitting by alternately pressing the balls of the feet downward while raising the heel and relaxing, and flexing the toes towards the knees and relaxing. Take No Chances Lastly, anyone who develops swelling or pain in the leg or breathing problems after traveling should immediately seek medical evaluation. 14 CARING | COMMUNITY MEMORIAL HEALTH SYSTEM Auxiliary volunteers provide that special touch of comfort, compassion and assistance to patients and their families. If you are interested in becoming a volunteer please call the Auxiliary: Community Memorial Hospital 805/652-5043 Ojai Valley Community Hospital 805/646-1401, ext. 224 DVT continued from page 5. Mack says, noting it has been especially difficult for Jenny because she is away from home as a freshman at San Diego State. “Justin knows Dad was real sick and real scared; Kristen knows more; and Jenny knows everything.” There have also been a rainbow among the clouds. “This has changed my life,” shares Mack. “I lived football before – our whole family’s life revolved around football. Football is still important, but I’ve realized there are other things more important. For example, Jenny and I were always close, but now we’re even closer. I take time every day to talk to her on the phone. I leave home (for work) later in the morning and help the kids with homework, that kind of thing.” He also took time off from coaching to take Jenny to college and help her move in. And on the drive to — and back — from San Diego, Jon Mack made sure he took breaks to get out and stretch his legs. Medication Safety by Gary Metalak, CMH Pharmacist PHARMACIST W CORNER While working one evening, I received a call from a mother whose doctor told her to give ibuprofen to her 18-month-old child for a fever. She had a supply of ibuprofen suspension from a friend, and she needed help with dosing. Unfortunately, she didn’t know her child’s weight nor did she have an accurate means of measuring a dose. Here are some tips to help with dosing acetaminophen, ibuprofen, and other liquid, non-prescription medications for children. Most of these liquid products have labels that list doses by a child’s age and weight. Dosing by weight is most accurate and the preferred method. If you don’t know your child’s weight, use your bathroom scale. Weigh yourself. Then weigh yourself holding your child. The difference between the two weights will be your child’s weight. You also need an accurate method for measuring the dose. Don’t guess, and don’t use a teaspoon. Many non-prescription products for children are packaged with calibrated droppers, oral syringes, or dosing cups. Only use a measuring device with the medication it came with. Generic measuring devices that can be used with any liquid medication are available in pharmacies. They are inexpensive and should be available if there are children in the household. With your child’s weight, a measuring device, and the dosing information on the medication label, you’re set to determine the proper dose, measure, and administer it. If you still have questions, don’t hesitate to call your pharmacist. Another medication use problem was recently brought to my attention. A friend visited the emergency room for a rapid heart rate. I GOT MY Sandi now enjoys cruising on the back of her husband’s Harley A life back At the age of 55 and topping 400 pounds, Sandi Henderson wasn’t doing much living. That was last year. The Oxnard woman was in failing health, her blood pressure was skyrocketing, and she knew she was missing out on a lot of the joys in life, like outings with her four young grandchildren. Mrs. Henderson couldn’t even walk across a parking lot without stopping to catch her breath, much less keep up with four active kids. She said she was scared into action after a visit to her doctor ended with a prescription for a LAP-BAND success story medication to lower her high blood pressure, a condition she’d never had before. At the time, Sandi had heard about the minimally-invasive LAP-BAND surgery to lose weight, and she decided she had to act. Ventura surgeon, Dr. Helmuth Billy, performed the procedure at Community Memorial Hospital on May 28, 2004. Since then, Sandi, now 57, has been steadily losing six to 12 pounds per month and is happy with the results, and with Dr. Billy’s care. “He’s providing a wonderful service for us,” she said. ‘‘ I told my friend, It still won’t help if you take your medications in the dark.” He takes Toprol XL 200 mg daily for high blood pressure. It was rather dark one morning when he took his medication, and his wife had just rearranged the medicine cabinet. He mistakenly took a Cipro tablet from an old, unfinished prescription. Both bottles were the same size, and both medications were elongated white tablets. Missing his dose of Toprol resulted in the rapid heart rate and the trip to the emergency room. There are lessons to be learned from this. Read the label on the medication container before you take a dose, don’t take your medications in the dark, and discard old prescriptions. But my friend argued that medication labels are difficult to read on cylindrical bottles, and I agree. Recently, Target pharmacies started using prescription containers that allow labels to lay flat for easy reading. They’re also color coded for each family member. I commend Target for their innovation and hope that this becomes the standard of practice. But as I told my friend, it still won’t help if you take your medications in the dark. Be safe. Whether it’s your own medication or medication for your child, taking that extra bit of care can prevent the serious consequences of a medication error. “I’ve got my life back. I’m enjoying my life,” said Mrs. Henderson, whose goal is to weigh about 175. She’s more than halfway there, having lost over 150 pounds and still losing. She chalks up her success to hard work, healthier eating habits and support from other LAPBAND patients she meets at a monthly support group. Mrs. Henderson, who owns a business that sells computers and networking equipment to other businesses, feels much better and loves her new, active life. She now swims an hour a day four to six times a week, is back to enjoying riding on the back of her husband’s motorcycle, and has fun taking her grandkids to Sea World. She also has taken up an old hobby she had to give up when she was so heavy–scuba diving. “I went scuba diving in Hawaii for the first time in nine years for my birthday (in September). It was awesome. I’m planning my next dive trip,” she said. And Sandi has discovered another exciting benefit to her incredible weight loss after LAPBAND surgery: “I can go shopping a lot because every three months, I need a new wardrobe.” COMMUNITY MEMORIAL HEALTH SYSTEM | CARING 15 CMH and OVCH Kick Off New Customer Service Excellence Initiative excellence It‘s about P Providing patients with the best medical care has always been the goal at Community Memorial Hospital, Ojai Valley Community Hospital and the Centers for Family Health. Now, the new Community Memorial Health System is taking that basic goal a giant step further. Community Memorial Health System is initiating an innovative three-year training program aimed at creating a complete service-oriented culture at the hospitals and the nine clinics located throughout West Ventura County. It’s a culture in which managers, doctors and staff members work together as a team to satisfy patient needs, and better monitor patient satisfaction. The goal of the new Service Excellence Initiative is to anticipate patient needs and to meet those needs and expectations on a routine basis. To accomplish this, managers, doctors and employees must work together. “What makes an organization stand out from others? It’s excellence,” said Rhonda Spiegel, Vice President of Patient Care Services for Community Memorial Health System. “Good isn’t good enough. Every employee in the organization will be empowered to act to ensure @ the service and satisfaction of every patient, every physician and every employee is met,” she said. As part of the new push for better, more complete service, Spiegel chairs a new Service Excellence Council that includes managers and employees from various health system departments who will coordinate the program’s activities and oversee progress toward its goals. With the support of the health system’s employees, the Board of Trustees and top managers decided earlier this year to follow the program offered by a Canadian-based healthcare firm, Custom Learning Systems. Chief Executive Officer, Gary Wilde, Spiegel, and Vice President of Human Resources, Jon Crozier, attended an initial training session conducted by founder Brian Lee. That was followed by a two-day leadership training session at CMH for health system supervisors. “Our intent is to make sure we have the best customer service, the best outcomes, and are the employer of choice, and the patients’ and physicians’ health system of choice,” Crozier added. In November, the Service Excellence Council members attended Custom Learning Systems’ COMMUNITY COMMUNITY • Congestive Heart Failure Support Group 5:00 p.m.–6:00 p.m., 4th Wed. (805) 652-5010 • Living with Cancer 3:30 p.m.–5:00 p.m., Wednesdays Contact: Fred Odom, (805) 652-5010 • Prostate Cancer Support Group 6:30 p.m.–8:00 p.m., 2nd Thurs. Contact: Sharon Jones, (805) 983-8864, ext. 3 [email protected] • Bariatric Surgery Seminar 6:00 p.m.–8:00 p.m., Selected Mondays, call for more information. Contact: Pam Sanchez, (866) 720-6296 • Bariatric Support Group 7:00 p.m.–9:00 p.m., 3rd Thurs. Contact: Sara Rayes or Dr. Helmuth Billy, (805) 648-2227, ext. 110 16 CARING | Need a Doctor? If you are looking for a doctor, physician referrals are available at no charge through Community Memorial Hospital. Just call and ask for Physician Referral Service 805/652-5600 Every month, the Community Memorial Health System has 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. • Meetings at CMH, 147 N. Brent St., Ventura • Mended Hearts 6:30 p.m.–9:00 p.m., 1st Tues. Contact: Dick Hiser, President, (805) 646-4636 • Better Breathers 3:00 p.m.–4:00 p.m., 2nd Wed. Contact: Regina Stevens, (805) 652-5346 • Perinatal Education, Maternity Orientation, Prepared Childbirth, Sibling Class Call for more information. (805) 658-BABY (2229) • Bittie Babies (Newborn-4 months) or Bigger Babies (3-7 months) Various courses each week. Contact: Heidi Cantrell, (805) 658-BABY (2229) • SuperSitter Courses Children 11 years and older, learn to be responsible babysitters and how to administer CPR to an infant COMMUNITY MEMORIAL HEALTH SYSTEM national conference in Santa Barbara, where they exchanged ideas with representatives of other healthcare organizations about the best practices and how other hospitals and health systems have found success. or child. (805) 658-BABY (2229) • Caregivers Support Group 3:00 p.m.–4:30 p.m., 2nd Fri. Contact: Arlene Reynolds, (805) 445-1181 • Lymphedema Support Group 6:00 p.m.–8:00 p.m., 3rd Wed. Contact: Melissa Stoen, (805) 644-9620 Community Memorial Hospital of San Buenaventura 147 N. Brent St. Ventura, CA 93003 • HICAP (Insurance Help for Seniors) 1:00 p.m.–5:00 p.m., 3rd Mon. Contact: Katharine Raley, (805) 477-7310 • Hepatitis C Support Group 6:00 p.m.–7:00 p.m., 1st Tuesday Contact: Janeen Lyche, RN, FNP (805) 641-6536 Non Profit Org US Postage PAID Community Memorial Hospital of San Buenaventura
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