the titanium twins - Community Memorial Health System

Transcription

THE
TITANIUM
TWINS
“From that
moment on,
we were like
two guys
who have
known each
other since we were five
years old.”
Doug McAden and
Danny Colohan,
Total Hip Replacement Patients
WINTER 2015
R EAL LI F E, R EAL H EALTH I N V E NTU R A C O U NTY
4
8
10
14
18
22
24
26
TITANIUM Twins . . . . . . . . . . . . . . . . . . . . . 4
A Patient’s BEST Friend . . . . . . . . . . . . . . . . . . 8
Facing a NEW ENEMY . . . . . . . . . . . . . . . . . 14
Michael Ellingson – Vice President of Marketing and Development
Mary McCormick – Editor
Woody Woodburn, Dan Wolowicz, ZestNet – Writers
Sunwest Studio–Photography
ZestNet – Art Direction/Design/Photography
Latest CLINIC News . . . . . . . . . . . . . . . . . . . 16
Community Memorial Health System
2015 Board of Trustees
Over a DECADE of da Vinci . . . . . . . . . . . . . . . 10
A BATTLE with SCAD . . . . . . . . . . . . . . . . . . 18
An Interview with Dr. RISHI PATEL . . . . . . . . . . . . 20
NEVER Say You’re BEATEN . . . . . . . . . . . . . . . 22
Having a BABY on BOARD . . . . . . . . . . . . . . . 24
REVOLUTIONIZING Heart Care . . . . . . . . . . . . . 26
Annual REPORT . . . . . . . . . . . . . . . . . . . . . 29
THANK YOU to Our DONORS . . . . . . . . . . . . . . 30
Project UPDATE . . . . . . . . . . . . . . . . . . . . . 36
Jeffrey D. Paul, Chair
Gregory H. Smith, Vice Chair
F. Ted Muegenburg, Jr., Secretary
Roy Schneider, M.D.
Chief of Staff,
Community Memorial Hospital
Elizabeth Patterson, M.D.
Chief of Staff,
Ojai Valley Community Hospital
Michael D. Bradbury
Lamar Bushnell, M.D.
Philip C. Drescher
Sandy Frandsen
Timothy J. Gallagher
Thomas Golden, M.D.
CARING for the Community . . . . . . . . . Back Cover
A not-for-profit organization.
147 N. Brent St., Ventura, CA 93003
©2015 Community Memorial Health System
2
CARING | COMMUNITY MEMORIAL HEALTH SYSTEM
John J. Hammer
William L. Hart, M.D.
John V. Hill, M.D.
Lydia Hopps
Fritz R. Huntsinger
William J. Kearney
Harry L. Maynard
Martin A. Pops, M.D.
Richard R. Rush, Ph.D.
John W. Russell
Gary L. Wolfe
EMERITUS MEMBERS
OF THE BOARD
Ralph R. Bennett
Robert J. Lagomarsino
Janice P. Willis
THOUGHTS
When I read a letter of appreciation from a patient, a family, or hear a story of
how thankful someone was of their care at one of our facilities, I am reminded of a very
basic tenet - that it is our people who work at CMHS that truly make the difference. And,
that story is best told through the words of those that experienced it. In this issue of
Caring we share with you those wonderful examples of our staff and physicians working
together to provide that compassionate care and medical expertise that is the hallmark
of our organization.
Many of the stories in this issue highlight three of our busiest and more prominent
service lines; Orthopedics, Heart & Vascular and our Robotics Surgery program. Not only
are we proud of the excellence that we offer in these areas, but we are blessed to
be associated with so many top quality physicians and surgeons working within these
specialties.
Recently, I had the pleasure of meeting the “Titanium Twins” (our cover story) on
a visit to our Ojai campus. These two gentlemen certainly made an impression on our
employees, but their story also speaks to the excellent orthopedic surgical services that
we offer both at CMH and our Ojai hospital. A new feature to Caring is the inclusion of
our first self-authored article by patient Leslie Schmidt. Leslie’s heartfelt story about her
potentially life-threatening spontaneous coronary artery dissection is riveting, and her
successful outcome highlights why we are the regional leader in heart & vascular care.
Leslie, we thank you for taking the time to share your story.
In 2015, a major milestone was reached as our robotics surgical program performed
its 1500th case. We are now the most comprehensive robotic surgery program on the
Central Coast, featuring more robotic surgeons and procedures than any other program
in the area.
During the year Community Memorial Health System continued to grow, as we
opened two new family care clinics based in Camarillo and Ventura. We are especially
excited about our new Ventura location – named Midtown Medical Group – where
we will bring together several well-known Ventura physicians, in a setting where our
medical residents will work alongside them.
And speaking of our residency program, read about how one of our OB/GYN residents happened to be in the right place, at the right time, and delivered a baby right in
the middle of a busy Ventura intersection. When we established ourselves as a teaching
hospital, I’m not sure we had this type of training in mind, but I know two local residents
(and one new one) that certainly appreciate the personalized attention they received.
On a tender note, we recently launched our pet therapy program named in honor of
our dear friend Dr. Peter Gaal, who passed away several years ago. This program, which
has been so well received at CMH, reminds us of the great care that Peter provided to
countless people. It was our privilege to celebrate this program at a recent ceremony
with Peter’s wife Sandy, and his daughter Rebecca.
Finally, I would like to send our sincere thanks to all the individuals and organizations that continue to support our institution through their generous donations to our
Foundations, and our capital campaign. We are grateful for the trust you place in us, and
we look forward to providing you with the finest medical services available.
Gary K. Wilde
President & CEO, Community Memorial Health System
COMMUNITY MEMORIAL HEALTH SYSTEM | CARING
3
INSTANT
FRIENDS
JOINED
AT
THE
Danny Colohan and Doug McAden
4
HIP
SAME HOSPITAL
SAME DAY
SAME SURGERY
SAME SURGEON
SAME ROOM
THEY BECAME THE
Doug McAden and Danny Colohan each went into Ojai Valley Community Hospital this past January 26 to receive a
total hip replacement and were discharged four days later with an unexpected gift. In addition to new state-of-the-art
titanium joints, they received a new friend in one another.
“Nice to see you, brother,” Danny said, greeting Doug with a bear hug as the two met for lunch at the Ojai Valley Inn
& Spa on a rainy afternoon four months into their sunny rehabs.
“You, too, roomie,” Doug replied warmly. “You’re getting along well.”
“
If you have to go to the hospital, you could
not have a better time than the two of us had.”
Traveling different journeys of hip degeneration, Doug, who lives in Oxnard, and Danny, an Ojai resident, remarkably
arrived in the same hospital, on the same day, for the same surgery, from the same highly skilled orthopedic surgeon, Dr.
Fredrick Menninger. They also found themselves in the same patient room at OVCH afterwards.
“Hey, roommate,” Danny, whose surgery was at 8 a.m., greeted Doug, who followed at noon, that first day and asked
the nurse to pull open the curtain separating the room in half. “She opened it . . .
Continued on next page
5
“. . . and we never had the curtain closed
again,” Doug joins in, finishing Danny’s
thought – a common occurrence with these two.
“From that moment on, we were like two guys
who have known each other since we were five
years old. We were like family.”
Interjects Danny: “We were instantly like
brothers. Everyone who visited me, visited him,
and the same with his visitors.”
Their connection was almost eerie. Early on,
Danny was remarking with surprise to a visitor
“
We were instantly
like brothers.
Everyone who
visited me, visited
him, and the same
with his visitors.”
how much his chest itched – a side effect from
anesthesia – while at the very same moment Doug
was scratching his own irritated chest.
“That started the twin stuff right there,”
shares Doug. It gained momentum later that
first evening when a nurse dropped by to see
if she could get anything for either patient.
“We both said ‘green tea with honey’ in
unison,” Danny and Doug say, in unison, as they
retell the story.
“The same drink. With honey. We were like
the choir singing at the same time,” Doug
continues. “Danny came up with the ‘Titanium
Twins’ nickname right then.”
The moniker stuck, spreading throughout Ojai
Valley Community Hospital and beyond. Indeed,
two days after their surgeries, Danny and Doug
were walking laps outside around the fountain
when Community Memorial Health System CEO
Gary Wilde made a visit to the campus. Heading
inside, he spotted the pair and walked over, asking: “Are you guys ‘The Titanium Twins’?”
Told yes, Wilde stopped to visit for 15 minutes.
Truth be told, they do not look at all like
twins: Danny is brawnier, with thick reddish hair
pulled back in a ponytail, while Doug’s thinning
hair is gray. They do, however, have matching
goatees – and identical upbeat attitudes.
“If you have to go to the hospital, you could
not have a better time than the two of us had,”
Doug says. “We wanted to not only get better
6
ourselves, but cheer up other people too.”
“We had a good time,” echoes Danny,
sharing one example: “Our second night, a nurse
brought us homemade apple pie and ice cream.
She just did it on her own. We almost didn’t
want to leave.”
Danny, 60, and Doug, 62, represent an age
demographic for total hip replacement surgery
trending to younger patients. Over the past
“
structure, Doug tripped and fell flush on his right
hip. He required an ambulance ride to Community
Memorial Hospital where Dr. Menninger expertly
repaired the hip with three steel pins.
Unfortunately, the fracture was so severe
the blood supply was compromised, causing bone
deterioration and ultimately excruciating pain.
“Physical therapy was just not getting any
improvement,” Doug explains of the long months
We wanted to not only get better ourselves,
but to cheer up other people too. ”
decade, patients ages 45-to-64 receiving new
hips has increased by a staggering 205 percent
according to the U.S. National Center for Health
Statistics and account for over 42 percent of
the 430,000 hip replacements now performed
annually in the U.S.
Doug’s journey to having a total hip replacement began two years ago when he stopped to
“help a damsel in distress.” Specifically, he was
carrying a five-by-four-foot painting purchased by
a woman at a fundraising event at the Ventura
Pier. Stepping over a low chain in the parking
that followed. “When they took new X-rays
the joint was no longer nice and round – it was
square. I needed a new hip. Dr. Menninger is No. 1
in my book so it was an easy decision for me
to have him do it.”
Danny’s road to the operating room at
Ojai Valley Community Hospital was longer and
rockier. By age 40, arthritis in his right knee had
grown from bad to worse. Cortisone injections
provided some relief for a while, but mostly the
Navy veteran (1974-76) soldiered on through
the pain.
“
He began favoring the leg, limping without
even realizing, which put added stress on his
hip joint. In 2005, new X-rays were eye-opening:
“There was no ball and socket,” Danny recalls.
“It was just mush.”
Thus began a nearly decade-long battle
with the V.A. “I wanted to be able to walk again
without excruciating pain, but I kept getting told
I wasn’t old enough to get a hip replacement,”
Danny says. “For years and years my hip kept
getting worse and worse.”
By 2014, Danny could no longer perform his
job as a legal depositions videographer. Fueled by
chronic frustration and growing pain, he fought
the V.A. with a new vigor and last December
finally received clearance for a new hip – but not
for another two years.
Dr. Menninger, who told Danny his hip was
one of the worst he had seen in forty years of
practice, wrote a successful letter of appeal to the
V.A. in early January and the total hip replacement
was quickly scheduled for three weeks later.
“I wasn’t going to go to West L.A. or any place
else,” Danny notes. “I knew OVCH was the best
place. I did my homework and Dr. Menninger is
as good as there is anywhere in the country.”
When he awakened in the recovery room
following the two-and-a-half-hour operation,
Danny knew he made the right decision. “It was
a miracle moment,” he recalls. “It was the first
time in twenty years I didn’t feel pain. It was
restorative for me.”
The restorative process for Danny and Doug
alike has included physical therapy. “The muscles
need to be trained and strengthened to hold the
new joint in place,” Danny explains. “For fifteen
years my hip muscles had atrophied and gone
to sleep, so now I needed to wake them up.
The muscles are not only weakened, but the
neurological pathways need to be retrained.”
Adds Doug: “At first you’d get up and walk
and your muscles didn’t know what to do.
A full recovery will take about a year.”
That year long road began the very night after
surgery when Doug and Danny both stood and
took a few steps. They extended each subsequent
walk a little further.
“We had a friendly competition over everything,” Danny says, smiling. “We were determined
to get better and not whine, so the four days we
were in the hospital we had a competition to not
push the nurse call button.
“We also had a contest of who could go the
longest without pain meds,” Danny interjects.
“And who could get their catheter out first and
who could go from a walker to a cane first.”
“You beat me to the shower,” Doug laughs.
“You beat me to the stairs,” Danny offers back.
After being discharged from OVCH, the
Titanium Twins have continued to challenge and
encouraged one another through phone calls.
“I check up and make sure he’s doing his
physical therapy and tell him not to cry like a
baby,” Danny teases playfully, evoking a chuckle
from Doug.
Over 430,000 hip
replacements are
performed
annually in the
United States.
Four months into their recovery, both men are
walking for half-hour stretches daily. Danny has
already resumed his passion of sailing and Doug
has a goal of playing golf again by the end of the
year. “When you get back out there I’ll be there
with you, brother,” Danny promises.
One last thing the Titanium Twins share is
deep praise for Ojai Valley Community Hospital.
“All the care and service was great,” says
Doug. “It was more like going to a hotel than
staying in a hospital.”
“You’re not just a number here,” adds Danny,
“you’re an individual. The doctors and nurses and
everyone at OVCH made me feel so at ease. Doug
put me at ease, too.”
“We are so fortunate,” Doug rejoins. “I think
about my grandmother who was born in Alaska
in 1870. She broke both her hips and came to live
with us. I look back and remember all the pain
she went through.”
“But now my pain is gone,” Danny interjects,
taking over the thought. ”In the hospital he was
‘Lefty’ and I was ‘Righty.’ Between us we had two
good hips.”
Now the Titanium Twins have four good hips.
7
A
PATIENT’S
BEST
FRIEND
It was a cool Monday afternoon in the
Huntsinger Garden, a small grassy area just
outside Community Memorial Hospital’s main
lobby, and a crowd of administrators, doctors
and visitors gathered to welcome a new team of
caregivers to the Ventura hospital.
Brief introductions were given followed by
group pictures. All the while the newest members
of CMH sat attentively and enjoyed the extra
attention.
Of course, the gentle pats on the head and
the tummy scratches were certainly welcome.
And why not? The newest additions to CMH are
the five therapy dogs that make up the recently
dedicated Peter Gaal, M.D., Dog Therapy Program.
Named in honor of Peter Gaal, cardiovascular
surgeon and longtime animal lover who passed
8
away at 82 in January 2013, the Dog Therapy
Program debuted earlier this year and has already
proven to be a success at CMH.
“As caregivers, our goal is to help relieve
suffering,” said Peter’s wife, Sandy, while speaking
during the program’s launch ceremony in March.
“That can be done in many ways. It can be done
by giving pain medication or it can be done by a
tender touch or just by being with somebody. The
dogs bring joy and unconditional love. They cut
through everything and get to the heart of the
issue.”
Sandy said the idea of bringing a dog therapy
program to CMH came to her “in the middle of
Peter’s memorial service.” A heart surgeon at
CMH for over 30 years, Peter was a respected and
well-liked member of its staff.
“Peter always had a dog in his life, and those
relationships were precious,” said Sandy of her
husband who died following two years of severe
illness. “We were on his tenth dog, my eighth.
We had two golden retrievers at the time Peter
passed.”
Sandy smiled as she spoke of the two retrievers – Nikki and Ginkel, who was named after
Dr. Mark Ginkel, a cardiologist and colleague of
Peter’s. “Mark and the golden retriever had the
same colored hair so Peter named him Ginkel,”
she said with a laugh.
“In his final years, Peter walked with a walker,
and the dogs were like bookends, they walked
on each side of him, as if they were protecting
him,” said Sandy, a retired ICU nurse who was
Peter’s primary caregiver. “Nikki never left his
side. She would sometimes walk behind him. I
think it was her way of trying to cushion him if
he would’ve fallen.”
“Dogs just love you unconditionally,” Sandy
said. “They are always there and are totally
devoted.”
She said the idea of bringing therapy dogs to
CMH took time, and she credits many people in
THE
PROGRAM
BRINGS
COMFORT TO
PATIENTS,
THEIR FAMILY
AND FRIENDS”
Leaders from Community Memorial Health
System soon saw the importance and benefits
of such a program, especially in honor of the
longtime surgeon.
“Peter was ultimately kind. He was such a
gentleman. He was such a wonderful doctor,” said
Gary Wilde, CMHS President & CEO.
To bring the program to fruition, CMH reached
out to the Ventura County chapter of Love on a
Leash.
The Southern California-based nonprofit has
chapters across the U.S. that bring therapy dogs
into a variety of settings, including hospitals,
libraries and schools.
“A therapy pet’s primary function is to
brighten someone’s day,” according to the nonprofit’s website. “They put a smile on someone’s
Sandy Gaal, her daughter Rebecca Gaal and Gary
Wilde with Love on a Leash Volunteers at CMH
Schuman said therapy dogs require a basic
obedience class, go through an AKC-approved
Canine Good Citizen course and also undergo
training through Love on a Leash. Dogs must be
recertified every year. “The program brings comfort to the patients,
their family and friends,” Schuman said. “It
has an amazing influence on the staff from the
doctors on down because the dogs are completely
nonthreatening. It’s just complete, unconditional
love.”
Schuman said dogs are brought to the sixth
floor of CMH every second Monday of each
month. Nurses from the nightshift ask patients
who would like to be visited by a therapy dog in
the morning and then tell the dog handlers who
to visit.
Two handlers and their dogs will
spend the better part of the morning
visiting those patients, bringing
wagging tails into the patients’ rooms
and leaving behind smiling faces.
“It’s incredible what an affect this
has on patients,” said Schuman, who
added the dogs have a special bond
with young patients. “Sometimes the
dogs are the only thing that will settle
down a two year old who is really
angry they got sick again. They don’t
understand why. The doctor will call
us, we’ll go over with the dogs and it
will settle down the child.”
Schuman invites others to apply
to be therapy dog handlers and
said, “the more the merrier” when
it comes to the volunteer-based
program.
The program is funded through
donations made in Peter’s name.
Sandy said because the startup costs
are so low, the remainder of the funds
will be used to purchase equipment
for the cardiovascular department, a
task left to Peter’s former partners,
doctors Dominic Tedesco and
Lamar Bushnell.
Sandy had a chance to see the dogs
visiting the hospital recently. She said
the experience certainly brought a mix
of emotions.
“I didn’t know whether to laugh
or cry because it was so wonderful,”
said Sandy, who shared five children and eight
grandchildren with her husband.
So what would Peter have thought of a dog
therapy program at CMH?
“He would have loved it,” his wife said. “He
would’ve said, ‘Good one. I love having my name
associated with that.’”
A THERAPY PET’S PRIMARY FUNCTION
IS TO BRIGHTEN SOMEONE’S DAY”
helping turn her idea into a reality.
It was Mike Ellingson, vice president of
marketing and development, Sandy said who was
instrumental in the creation of the dog therapy
program.
“He was very dedicated. He made this
program happen,” she said.
face, make their day a little brighter, or bring back
a cherished memory.”
The Peter Gaal, M.D., Dog Therapy Program is
run through the auspices of Love on a Leash.
A longtime volunteer for Love on a Leash, Pam
Schuman was invited to help start the dog therapy
program at CMH.
9
10
A
BOLD, NEW
ERA
OVER A DECADE
OF DA VINCI
ROBOTIC SURGERY AT CMH
The future of medicine arrived at Community
Memorial Hospital more than a decade ago, and
has since ushered in a bold, new era of surgical
innovation that is changing the medical landscape.
It was late 2004 and a dedicated group of
doctors, hospital administrators and Community
Memorial Health System board of trustees had
spent the better part of a year setting the groundwork to bring a state-of-the-art da Vinci Robotics
surgical device to the Ventura hospital.
The arrival of the da Vinci Robotics system
to CMH marked the beginning of a whole new
frontier in surgery that has helped 1,500 Ventura
County patients recover from complicated surgeries in days instead of weeks.
The da Vinci robot has – in short – allowed
CMH’s highly trained team of surgeons make
the impossible possible, and Dr. Marc Beaghler
has been leading the charge since the program’s
forward-thinking inception 10 years ago.
Beaghler is quick to point out, however, all
the other physicians who were central to bringing the da Vinci program to CMH and helping it
succeed, especially doctors Gösta Iwasiuk,
Cedric Emery and Constance Rayhrer, in addition
to President & CEO, Gary Wilde.
“It was the first da Vinci program between
Los Angeles and San Francisco in a non-academic
setting at that time,” said Beaghler, a urologist,
the medical director for robotics at CMH, and
co-medical director of its operating rooms.
Of course, to truly appreciate the importance
of bringing the da Vinci Robotics device to Ventura
and how it benefits patients across the county,
it’s necessary to understand what it does.
Laparoscopic surgery – a form of minimally
invasive surgery – is when a doctor makes a very
small incision to insert long, thin surgical tools
into the area of the body which requires surgery,
typically in the pelvis or stomach.
The three most commonly performed laparoscopic surgeries include, robotic-assisted nephrectomy, prostatectomy and partial nephrectomy.
The da Vinci Robotics device, made by the
Northern California-based Intuitive Surgical, is
a three-armed robot which allows surgeons to
Continued on next page
11
THE ARRIVAL OF THE DA VINCI ROBOTICS SURGICAL SYSTEM
AT CMH MARKED THE BEGINNING OF A WHOLE NEW
FRONTIER IN SURGERY THAT HAS HELPED 1,500 VENTURA
COUNTY PATIENTS RECOVER FROM COMPLICATED
SURGERIES IN DAYS INSTEAD OF WEEKS.
perform these amazingly precise surgeries with
very small incisions.
The pinpoint incisions don’t require as much
recovery time as larger incisions, a procedure
doctors commonly refer to as a “keyhole surgery.”
“This means there is far less pain and discomfort after surgery,” Beaghler said.
What’s more, the small incision means less
blood loss, less scarring and a much shorter
recovery time.
Two of the da Vinci’s arms can be affixed with
interchangeable surgical instruments. A wide
variety of instruments allows doctors to perform
specific tasks during a surgery, such as clamping,
suturing or cutting into tissue.
The third da Vinci arm is equipped with a tiny
telescopic video camera, called an endoscope.
It’s worth noting that it was the advancement in
video technology – namely 3-D imaging – which
12
allowed laparoscopic surgery to become so
widely used. Before 3-D imaging, surgeons could
not precisely operate the surgical instruments
because two-dimensional imaging did not give
doctors a deep enough field of vision for such
complex and exact procedures.
The design of the da Vinci’s robot arms and
instruments allow a range of motion even greater
than the human wrist, according to Intuitive
Surgical.
“It’s really an extension of our own hands,”
Beaghler said.
With a da Vinci robot, the surgeon sits at a
console to watch the 3-D video taken by the
light-affixed endoscope which is inside the
patient’s body during the surgery. The surgeon
controls the surgical tools using an extraordinarily
high-tech console that includes a set of extremely
precise controllers the surgeon uses his fingers
to manipulate.
“It allows us to operate very precisely, using
three-dimensional laparoscopic visualization,”
he said.
It is so precise, in fact, a surgeon using a da
Vinci robot can cut and peel the extremely thin
skin of a grape with such absolute exactness that
it does not cut into the grape itself.
This precision equates to less tissue damage
and faster recoveries.
“Patients do so much better after the operation is done with the da Vinci,” he said. “They
do better long term and overall we feel this has
improved our patient care exponentially. The difference between robotically assisted laparoscopic
surgery and standard laparoscopy is the
improved instrumentation and visualization
provided by this platform. Standard laparoscopy
is like operating with chopsticks and a standard
IT’S A FUTURE OF LESS PAIN,
BETTER OUTCOMES AND SHORTER
RECOVERY TIME IN THE HOSPITAL
FOR THE PATIENTS AT CMH.
T.V., where the da Vinci platform provides 3-D
high definition and instruments with a full
six degrees of freedom.”
Mastering the da Vinci requires extensive
training – by both the physicians and the team
of highly trained nurses and staff who assist
in the operating room.
“It’s always a team effort,” Beaghler said.
“We have a team of very experienced nurses and
very experienced assistant surgeons that help us
in the operating room and we have experienced
registered nurses first assistants.”
He said surgical training on the da Vinci takes
six months and includes hundreds of hours of
practice with the robot – first on cadavers and
then on animals – all of which is done under the
watchful eye of a panel of doctors who eventually
transition their training to oversee operations on
real patients.
Beaghler, who served as an attending physician at Loma Linda University Medical Center
for four years and who was also an associate
professor of urology, said learning how to master
the da Vinci robot took considerable time
and effort. It’s advanced training, he said, not
all surgeons have done.
Even when the doctors have perfected using
the da Vinci robot, surgeons undergo constant
training.
“We all have ongoing medical education,
go to courses and continue to be trained on
robotics surgery,” Beaghler said.
Yet it’s not just the high level of training
which sets the robotics program at CMH apart
from other hospitals along the Central Coast. It’s
the fact that doctors at CMH have spent over a
decade performing surgeries using the robot and
gaining invaluable experience that helps ensure
patients’ health and the best outcomes possible.
“We’re always challenged in the operation,
but at this point we’ve had so much experience
and so many years doing these surgeries that we
are quite confident,” he said.
What’s more, Beaghler said, is that CMH
has sought out outstanding doctors who have
extensive experience with the da Vinci robot.
Such was the case with the 2010 hiring of Dr.
Seyed Khoddami, a urologist and clinical assistant
professor of urology at the USC Keck School of
Medicine.
Khoddami and Beaghler are partners at
the Community Memorial Health System San
Buenaventura Urology Center.
CMH now has 17 physicians trained on the da
Vinci robot. The staff performs approximately 300
surgeries a year at the Ventura hospital.
“We have the most dynamic, diversified and
experienced program in the county.”
Certainly the future of the da Vinci program
at CMH will be tied to the opening of the new
350,000-square-foot hospital.
Beaghler said the design of the new hospital’s
state-of-the-art operating rooms will incorporate
the da Vinci robot.
“It will be easier for us to use the equipment
in the operating room,” he said.
Now in its third generation, plans are
already underway to bring a fourth-generation
robot to Ventura.
“The technology has evolved exponentially.”
But it’s not just the technology that has
evolved; it’s also the capabilities of the doctors
who control the machines.
Beaghler called laparoscopic partial nephrectomies “the game-changer in robotically-assisted
surgeries.”
A partial nephrectomy is when the surgeon
removes a tumor from a kidney without removing
the organ.
“Five years ago most of these tumors
required the removal of the entire kidney, now
we can specifically go in and remove the cancer
and leave the rest of the kidney intact so it can
do its job.”
The laparoscopic surgeries performed
each day at CMH may certainly be a sign that
the future of medicine is here, but Beaghler
said the use of the da Vinci robot means doctors
will get even more precise and continue to push
the envelope of what can be done laparoscopically.
It’s a future of less pain, better outcomes
and shorter recovery time in the hospital for the
patients at CMH.
And to the doctors at CMH, it’s a future that
certainly looks bright.
The Regional Leader
in Cardiovascular Care
Providing
Advanced
Healthcare
in Ventura
County
Heart
&
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at Community Memorial Hospital
Providing Quality, Compassionate Care,
Nationally Recognized for Excellence
Recipient of Blue Cross’
Blue Distinction for
Cardiac Care
STEMI (critical heart
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www.cmhshealth.org/heart • 805/652-5600
13
Ben Gehr
14
PROSTAT
World
War II
Veteran
Faced
a New
Enemy
CANCER
It was March 1945 and Allied forces had
spent nearly three months in the heavily forested
Ardennes battling a massive counter-offensive
launched by the Nazis in a final attempt to split
and destroy U.S. and British forces in Europe
during WWII. The bloody fighting, which would
become known as the Battle of the Bulge, left
massive causalities on both sides and pushed the
tattered Germany army into retreat.
Ben Gehr was just 18 years old when he
and the rest of the Army’s 89th Infantry Division
marched into Germany from France to reinforce
Gen. George Patton’s Third Army and spearhead
the Allied force’s final drive through the Rhineland
to take Berlin and end the fighting in Europe.
Trapped by the advancing Russians from the
east and Allied forces from the west, the Nazi
army was in its final days.
“I was a forward scout,” said the 89-year-old
Ojai man. “We moved so quickly, I had a hard
time knowing exactly where we were from one
day to the next.”
In its first two weeks of combat, the 89th –
known as the Rolling W – cleared critical supply
routes, captured thousands of Nazi troops and
marched deep within German lines.
Gehr admits it’s not always easy remembering
the exact details of his time as an Army private
first class, but he does recall, however, twice
crossing paths with Patton in the spring of 1945.
“I never got a chance to meet Patton,” Gehr
said. “He wasn’t the ‘meeting-type.’ He was there
to fight. He told us not to bother digging foxholes.
We’d be moving. And boy, did we move.”
As a forward scout in the lighting-quick
division, Gehr found himself under fire by German
soldiers – snipers and those embedded in machine
gun nests – who would rather die than surrender.
In danger more often than he cares to recall,
Gehr, wounded twice in combat, said he doesn’t
remember many of the details of the second time
he was shot.
The recipient of two Purple Hearts and two
Bronze Stars, Gehr learned of the fall of Berlin and
Hitler’s death while in a hospital in England. He
was discharged in 1946.
Born and raised in Santa Barbara County, Gehr
faced another deadly enemy ten years ago when
he was diagnosed with prostate cancer during
a routine exam. This time, however, it was the
cancer that was moving quickly.
“My doctor, Dr. James Halverson, was checking
my prostate and said there was a swelling,” Gehr
said. “He wanted me to see Dr. Marc Beaghler
right away.”
I WAS HOME THE NEXT DAY. WENT
FOR WALKS AND FELT GOOD.”
Gehr had been sent to the Ventura-based
urologist who at the time had recently begun
using the state-of-the-art da Vinci Robotics device
to perform laparoscopic surgeries.
Laparoscopic surgery – commonly referred to
as minimally invasive surgery – means a doctor
makes a very small incision to insert small, thin
surgical tools and a very tiny telescopic video
camera, called an endoscope, into the area of the
body which requires surgery, typically in the pelvis
or stomach.
The da Vinci Robotics device, made by the
Northern California-based Intuitive Surgical,
11 YEARS AFTER SURGERY,
HE’S STILL WORKING OUT. HE
HAS A GOOD ATTITUDE – A
GOOD OUTLOOK ON LIFE.”
is a three-armed robot which allows surgeons
to perform the surgeries, referred to by doctors
as “keyhole surgeries” because the incisions
are so small.
With a da Vinci device, the surgeon sits at
a console to watch the video taken by the
light-affixed endoscope inside of the patient’s
body to perform the surgery. The surgeon controls
the surgical tools using a high-tech console that
includes a set of extremely precise controllers
the surgeon uses his fingers to manipulate.
Because the surgery, which involves a highly-
trained team of nurses, doesn’t include incisions
and the movement or removal of organs, patients
recover from surgery much faster. What’s more,
the smaller the incision, the less blood loss.
That’s why Beaghler thought Gehr the perfect
candidate for such a surgery even though he was
79 at the time.
“Many men his age aren’t treated for
prostate cancer,” Beaghler said. “Mr. Gehr was
so vigorous and active, and I knew his prostate
cancer was going to cause him problems soon,
problems I knew he didn’t want to suffer, so we
opted to perform the da Vinci surgery.”
Gehr, who retired as a supervisor for Caltrans,
said it was the right choice for him.
“That option sounded real good to me, and
they did a great job of explaining everything to
me,” Gehr said. “I was home the next day.
Went for walks and felt good.”
Gehr said in the decade since the surgery his
health has declined due to age – he’s 89 – but said
his decision to have the prostatectomy using the
da Vinci Robotics device has given him a good
quality of life.
“His overall health has declined, but he’s still
moving,” said Roberta, Gehr’s wife of 64 years.
“He’s still working out. He has a good attitude – a
good outlook on life.”
As a former forward scout in the Army,
Gehr knows the importance of looking down the
road to know what’s coming.
“I asked Dr. Beaghler, ‘How long am I
Dr. Marc Beaghler
expected to live?’ Because I was getting along,
and my life was one of hard work. The doctor
said, ‘You could be living until 100,’” Gehr said
with a chuckle. “I don’t know about that, but
I’ll give it a try.”
15
NEW CLINICS
Camarillo
Specialists available at the Santa Rosa Health Center
Cardiology
Shaun Patel, M.D.
Endocrinology
Debra Ouyang, M.D.
Gastroenterology
Chetan Gondha, M.D.
Gastroenterology
Benito Pedraza, M.D.
Gynecology
Anne Chezar-Garnett, C.N.M.
Internal Medicine
Cammy Babaie, M.D.
Internal Medicine
Susan Slater, M.D.
Neurology & Neuromuscular
Disease
Darshan Shah, M.D.
Orthopedic Surgery
Robert Mazurek, M.D.
Physical Medicine &
Rehabilitation
Eric Watson, D.O.
Urogynecology
Michelle Miki Takase-Sanchez, M.D.
5800 Santa Rosa Rd., Suite 149 • Camarillo, CA • 805/652-6354
Mon. - Fri. 9:00 a.m. - 5:00 p.m.
16
Ventura
Board-certified physicians practicing at the center are:
Family Medicine
Stuart Bloom, M.D.
Family Medicine
Michelle Daucett, D.O.
Family Medicine
Stanley Frochtzwajg, M.D.
Family Medicine
Theodore Hole, M.D.
Family Medicine
Kristin Pena, M.D.
Family Medicine/Obstetrics
Khozema Campwala, M.D.
Family Medicine/Obstetrics
Victor Pulido, D.O.
Internal Medicine
Steven Barr, M.D.
Orthopedics
G. Dennis Horvath, D.O.
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.
2721 E. Main St. • Ventura, CA • 805/667-2841
Mon. - Fri. 8:00 a.m. - 5:00 p.m.
CMHS Residency Program
The goal of our programs is to train outstanding physicians that work in a collaborative environment and give back
to the communities with which they are involved. CMHS offers residency programs in Family Medicine, General Surgery,
Internal Medicine, and Orthopedic Surgery. Our training environment fosters collaboration across specialties.
Meet all of our residents at cmhshealth.org/residents
PHYSICIAN
REFERRAL
SERVICE
(805) 652-5600
OR VISIT: cmhshealth.org
CALL:
and click “Find a Physician.”
17
E
L
T
T
A BAH SCAeD
n
d writt.
n
a
WtteIr rT
d
e
t
eprin lie Schmidt
Le
nt Les
e
i
t
a
p
by
I am your every day mom.
I am 37 years old, have an
awesome husband and
three beautiful children.
We love to go camping, have friends over,
watch our oldest play baseball every weekend,
and feel very blessed to have a great network
of family and friends. Everything was
wonderful, we had just had a baby and life
was beautiful.
Our new baby was delivered via
C-section because he was breach. Even
though C-sections are common, I was
scared because my only sibling died
merely hours after a surgery. She had
many unforeseen complications and not
knowing if my experience would be the
same, I couldn’t relax until I was in the
recovery room where I could finally
hold him. A couple days later, we
brought the baby home and I began
recovering.
Early one morning the following
week, I woke with excruciating
pain in my chest, throat and spine.
When I stood up, I couldn’t catch
my breath. Suddenly, my left arm
felt like my bone was breaking
from the inside out. I began
to panic. I told my husband I
18
thought I was having a heart attack and dialed
911.
The doctors at the CMH ER could tell I
had definitely had some sort of heart episode;
however, it was unknown exactly what had happened. A cardiologist sat with me and explained
that it could be pericarditis, which can come on
from stress or after a surgery, it is very treatable,
and goes away in a couple weeks. I was a little
worried but thought “Great, that’s what I have, I’ll
live,” and couldn’t wait to get home to my family.
The doctor wanted to keep me over night for more
tests to confirm, but I insisted I was okay and
checked myself out, against his medical advice.
Once I was home on new medications, I found
the discomfort in my chest was mostly positional.
When I would feel pressure in my chest, I could
just get up and lean forward and it would go
away. I only felt this a few times over the following days and thought I was getting better, until
exactly a week later…
I felt the pain return in my
chest. It came on slowly, then
suddenly felt very intense.
I had been sitting on the couch when I felt the
pain return in my chest. It came on slowly, then
suddenly felt very intense – like it did that first
time. It became so severe I called my husband. By
the time he got home it was even worse. I was
leaning over the kitchen sink, trying to focus on
my breathing, and trying to stay calm. We called
the cardiologist’s office and they instructed me to
come in immediately.
When we arrived, I told my husband to wait
in the car with the baby and tried my best to walk
myself to the elevator. I was in so much pain I
thought I might pass out. Thankfully, two nurses
were in the elevator and walked me the rest of the
way. I was starting to see black and was hurting
very badly. They hooked me up to an EKG, but
after only a minute or two, I knew I couldn’t wait.
The pain was worse than I ever imagined and was
moving into my jaw and right ear. I was crying and
stepped out into the hallway and said I needed to
go to the hospital right away.
Once at CMH, it was go‐time. My experience
there was very surreal, but I remember them
immediately hooking me up to IV’s, and administering morphine for the pain. From there they
rushed me into the operating room.
One of the cardiologists explained to me that
he was going to go into my femoral artery to
perform surgery. I couldn’t stop shivering and kept
trying to tell myself to hold still. All of a sudden I
realized my husband was still waiting in the car
with the baby. A nice male nurse had been with
me the whole time, explaining how lucky I was
that I was there, how they were going to take
great care of me. I told him we had to call my
husband. He put the doctor on the phone with
my husband and he explained that I was having
a spontaneous dissection and that they were
going to place stents into my heart; if that didn’t
work, they would have to crack me open and do a
bypass. I was shocked hearing all of this and just
tried to stay calm. Heart surgery, ME???
As I lay on the operating table, this amazing
cardiologist explained I was going to be okay. He
was watching the monitor while he was placing
the stents. I could see my heart beating on the
screen and little wires moving up and down. Next
thing I know, he’s done and I’m getting wheeled
out. It was about 5:30 p.m. and the symptoms
had started around 2:30 p.m. that same day. It all
happened so amazingly fast.
I learned that SCAD – Spontaneous Coronary
Artery Dissection – is a rare emergency condition
that occurs when one of the blood vessels in
the heart splits open. It often affects otherwise
healthy females who are either pregnant or
have just given birth. SCAD can be fatal if it isn’t
treated immediately.
I was moved into the CCU and had two very
sweet and caring nurses. I was instructed to lie
flat and not to move my leg for the next day or
two. I just tried to rest as much as I could and
cried a little bit missing my family.
24 hours after surgery, I was to try and sit
up in bed. Once my bed was tilted into a sitting
position, I suddenly felt very nauseous and weak.
I quickly told the nurse helping me that I felt like
I was going to pass out. My blood pressure had
plummeted. The other nurse ran in and quickly
hooked me up to IV fluids. I started to think of my
As I lay on the operating
table, this amazing
cardiologist explained I was
going to be okay.
sister and how she had passed away just hours
after her surgery. I thought of my parents and
what might happen to them if they lost their only
other child; of my children if they lost their mom;
and of my husband if he lost his wife. That’s when
it all really hit me and I decided it wasn’t my time
to go. Instead I focused on the cold fluid rushing
into my arm and I began to feel better. I was
going to survive!
On the third day I was finally able to sit up.
Then on the fourth day, they let me try to stand.
I thought for sure I could do it; I was so tired of
lying in bed. I was surprised to find that I could
hardly stand up. Even brushing my teeth was hard.
I was worried I would be an invalid – how was I
ever going to recover and be a good mom to my
kids?
Leslie lives in Ventura with her
husband and three children
Then on the fifth day, I finally started to feel a
little better. I begged for a shower. The kind and
caring nurses had been wiping me down every
day with washcloths and changing my gowns, but
I still felt so gross. I could shuffle around slowly
and held onto a shower chair.
I was able to go home on the seventh day.
Before leaving, I got to meet my surgeon and
thanked him for saving my life. Two more cardiologists also came in to check on me and explained
what I should expect for the next few weeks as
I recovered. As anxious as I was to go home, I
was also scared because I knew I wouldn’t have a
nurse to call on if something were to go wrong.
It has now been nearly six months and I am
finally feeling a little more normal. It was amazing
to have endured this crazy ordeal and lived to tell
about it. It hasn’t been easy though – you would
think that living through a near-death experience
would humble you and make you appreciate all
that you have… and it has; however, I also feel
a strong desire, almost pressure, to do more with
my life. I’m trying to enjoy and cherish every day,
smother my kids with love, be a good wife to my
husband, and live every day like it could be my
last, while still looking forward to the future.
Thank you to all the doctors and staff at Cardiology Associates Medical Group and Community
Memorial Hospital who saved my life. I love you all
and wouldn’t be here without you!
19
SCAD
Spontaneous Coronary Artery Dissection
An Interview with
Dr. Rishi Patel
Spontaneous coronary artery dissection (SCAD) is when an inner layer of a coronary
artery splits, and blood seeps between the artery layers, causing a blockage that keeps
blood from flowing to the heart.
To help better understand a spontaneous coronary artery dissection, Dr. Rishi Patel,
an interventional cardiologist at Cardiology Associates Medical Group in Ventura, sat
down with Caring Magazine to shed more light on this rare condition, its warning
signs and the treatments available.
Caring Magazine:
Is a spontaneous coronary artery
dissection common?
Dr. Patel: It’s a fairly uncommon condition.
It can affect males, but typically affects females.
Most of the time spontaneous coronary dissection
happens to young females who are in the
peripartum period (the last few months before
or the first few months after giving birth).
Is it genetic?
There are no genetic precursors for spontaneous
coronary dissection.
How does someone know
if they have SCAD?
The warning signs can often mimic those of a
heart attack or someone who is having chest
pains. Diagnosis is difficult because it’s not a
very common condition.
20
So then how does a cardiologist
diagnose a SCAD patient?
When the patient comes in, they need a physical
exam. They need an EKG and typically blood work
drawn. Sometimes they’ll have EKG changes that
are suggestive of either an acute heart attack or
a blockage in their heart arteries. Sometimes they
will have elevated heart enzymes or cardiac bio
markers, but the only way to truly diagnose or
exclude SCAD is to do an angiogram.
What’s an angiogram?
An angiogram is where we take pictures of the
coronary arteries, which are the arteries that
supply blood flow to the heart muscle. There is a
live X-ray picture being taken at the same time
the contrast is being injected. When we see a
blockage, you will see a narrowing, or basically
an area where the contrast looks narrowed. In a
spontaneous dissection, you may see that same
pattern or you may see a little bit of haziness
where the contrast doesn’t seem to be tracking
normally.
How is an angiogram performed?
It’s done through a catheter that is inserted
either through the wrist or the groin. It is used
to engage the coronary arteries directly and
then an iodine-type solution is injected directly
into the artery.
Is the patient awake?
We use something called conscious sedation, so
it’s almost like the twilight sedation someone
has at the dentist office. They receive intravenous sedation to help them relax or doze off.
What happens if the doctor
suspects a patient has a blockage
or a tear in one of their arteries?
There are three general approaches to management of blockages or coronary artery disease.
The first group of patients that we see would
be individuals who present with unstable
symptoms or acute heart attacks. In those
patients, the angiogram is performed urgently
or emergently and the decision to perform an
angioplasty and place a stent versus bypass
surgery is made rapidly. Patients who present
with spontaneous dissections or tears in their
arteries usually will fall into this category. The
second group of patients are those with more
stable symptoms who are diagnosed during
a planned angiography. Those patients may
benefit from stenting (percutaneous revascularization) or bypass surgery. In those individuals,
a heart team based approach is preferred - with
discussion between patient, cardiologist, and
cardiothoracic surgeon. If stenting is clearly
the best approach, it is generally performed at
that setting. If bypass is the best or equivalent
approach, we typically take the patient off the
table and discuss with them the treatment
options so that they may make an informed
decision about treatment. The third category of
patients are those that would likely have greater
benefit from medical therapies rather than
bypass or stenting. An angioplasty is where you
inflate a small balloon in the area of the blockage or tear of that vessel. In many cases, we will
also place a stent over the blockage or tear. A
stent is almost like a spring in a ball-point pen.
It acts like a scaffold to help keep that vessel
open.
What happens if
SCAD is diagnosed?
If we’re just talking about spontaneous
coronary dissection, really the decision is: Does
the patient get bypass surgery or do they get
stented right then and there? It’s not a condition
that you would typically wait to treat.
UPCOMING
FOUNDATION
EVENTS
So the stent is inserted
during the angiogram?
Yes. Fast treatment is really important because
you can have a tear in an artery and the key is
that you want to make sure the artery doesn’t
close down. Unfortunately, spontaneous
coronary dissection is often diagnosed in an
autopsy, which is why a fast diagnoses and
treatment is important. In general, you’d like to
get SCAD diagnosed and treated almost immediately, which is almost always done during an
angiogram.
How long is the recovery
from an angiogram?
The healing process from the angiogram is
pretty brief. Because the only incision is a
two- to three-millimeter cut made either near
the wrist or grown. Sometimes the emotional
or psychological recovery can take longer than
the physical recovery. Sometimes you can have
residual chest discomfort from that dissection
or tear and that can take some time to go away,
anywhere from days to weeks.
Benefactors’
Ball
APRIL 16, 2016
O’Brien Hall
San Buenaventura Mission
For more information call: 805/667-2881
Presented by
Community Memorial Healthcare Foundation
Is there medication for SCAD patients?
We treat a spontaneous coronary dissection a
lot like a person who has a blockage in the heart
arteries. We place patients on a cholesterollowering medication, not necessarily to target
their cholesterol but to help stabilize plaque and
reduce inflammation. I, of course, recommend a
healthy lifestyle with a balanced diet and plenty
of exercise.
Is SCAD a recurring issue?
About 10 to 20 percent of patients have recurrence, but there is no strong correlation to which
patients that would be.
If I’ve had SCAD, how do I avoid it
again?
The biggest thing is not to be exposed to big
hormone changes or pregnancy again. That’s the
biggest correlation for spontaneous coronary
dissection is the hormonal changes.
SATURDAY, DECEMBER 12, 2015
OJAI VALLEY INN & SPA
For information call: 805-640-2317
Presented by
Ojai Valley Community Hospital Foundation Guild
21
“NEVER
SAY YOU’RE
BEATEN”
ONE WOMAN’S
BATTLE TO LIVE
Lupe Aguiniga and her husband
During a health scare five years ago, Lupe
Aguiniga discussed treatment options with a
series of doctors, but often felt she had no options.
Instead of mulling choices, she would return to
the same facts. She had a growth on her kidney.
She was not a good candidate for surgery. She
had a daughter and a son who needed her.
As usual, the Oxnard resident, now 36, spent
time with her husband and kids and attended all
of the meetings at school. But she was not herself.
She didn’t leave the apartment to go on walks.
and makes you reflect,” she said in her native
Spanish.
Although Aguiniga had not in fact been
diagnosed with cancer, she had reason to worry.
Unexplained abdominal pain had led to a CT scan,
which showed a mass on her kidney. She needed
to know what was happening to her.
For most patients, the recommended course
of action would have been to remove at least the
part of the kidney adjacent to the mass. However,
before the birth of her second child, Aguiniga
Aguiniga had been diagnosed with the autoimmune
disease lupus and started taking anticoagulants. Her
condition made any surgery a high-risk proposition.
Dr. Seyed Khoddami
22
She didn’t pay much attention to her fish making
their way around the tank. Instead, she asked
herself questions that had no answers.
“You hear cancer and you think death. How
much time do I have to live? It’s very depressing
had been diagnosed with the autoimmune
disease lupus and started taking anticoagulants.
Her condition made any surgery a high-risk
proposition.
All of the doctors she met with were wary
of moving forward with open surgery, especially
a conventional partial nephrectomy with an
elevated risk of internal bleeding. Meanwhile,
Aguiniga wondered what her health would be like
over the long term with lupus and just one kidney,
if it came to that.
The lowest moment for Aguiniga came after
a surgeon decided not to move ahead with cryotherapy – an attempt to isolate the mass and kill
any cancerous cells using extreme cold – because
of the probability of harming nearby internal
organs. She was then informed that the renal
mass had doubled in size.
By that time, she felt she needed a miracle.
“And then one day my doctor said there was
someone who could operate with a robot. Was I
interested? He said that it was a good surgeon
who had experience and could look into my case.
“Sure enough, he was very nice and very
human. A good person. I didn’t look at him as a
doctor as much as a person who had compassion
for others. That’s why I’m doing this interview,
I owe it to him. Because of him, I’m all right.
Because of him, I have my kidney.”
When Dr. Seyed Khoddami met Aguiniga in
December 2010 and when he operated on her in
June 2011, the da Vinci robotic surgical system
had been FDA-approved for only a decade. In
the region around Ventura, its use in partial
nephrectomies was quite new.
The da Vinci system, which is not an
autonomous robot, precisely reproduces the
skilled movements of a surgeon, though with
superhuman freedom of motion in the “wrists”
of its miniaturized operating arms. After inserting
surgical tools through four small incisions, Dr.
Khoddami cut away the renal mass and sewed
up the kidney to heal. He was able to view the
operation in progress in high resolution, using the
da Vinci system’s three-dimensional magnification
camera.
Aguiniga woke up to the news that the
intervention had yielded no complications at all.
A religious person, she began to regard it as a
miracle from God, who’d worked through a person
at the controls of a robot.
“It’s impressive, a doctor with so much
knowledge and foresight that when four or five
doctors say, ‘I’ll operate but I’ll take out the whole
kidney,’ he comes and says, ‘I don’t want you to
lose your kidney, because you’re very young,’”
she said.
“And here I am, still with my kidney, though
he removed a part of it. The other one is working
harder, but I don’t have kidney problems.”
Aguiniga has faced many health difficulties
and is not inclined to exaggerate them. “You
never know how my illness is going to react,”
she said. She has suffered from arthritis, a brain
embolism followed by swelling, a blood clot in
her leg, and “many more things” including a bout
with pneumonia the week before her interview
for this article. Her husband has supported her
through times of depression.
Over some stretches since her diagnosis with
lupus, she has been admitted to the hospital on
almost a monthly basis, she said. So it was a great
relief to her to be released only a few days after
the kidney surgery. Just before the procedure, she
said, the doctor “told me again that my situation
was very difficult and asked if I was sure about
going ahead with it.”
“If I don’t have the operation because I could
lose my life, and I do have cancer, I’m going to
lose it anyway,” she reasoned at the time.
“If they can do something about my case, I
thought, let them do it. Because I have two kids.
And who’s going to look after my kids? It’s true
that they had their father, but it wasn’t the same.
I didn’t want to leave my kids. I didn’t want to
die. Nobody wants to die. So I said yes, I’m sure.”
Aguiniga had no problems with bleeding during or after the minimally invasive surgery. Later,
she said, Dr. Khoddami “even arranged things so
that for the first two weeks I had someone coming
here to check my creatinine level, my blood levels.
I didn’t have to go out; the nurse came here.”
The 36-year-old says that her difficult health
and her good fortune alike have changed her.
“Now I don’t think about myself very much.
I think about my kids. I would like them to be
people who are fulfilled, with the kind of education I didn’t have.” Now a senior in high school,
Aguiniga’s daughter aspires to work as a nurse
helping to deliver babies. Her son is a diligent
middle-schooler.
“I’m a big believer in God,” Aguiniga said.
“He’s lifted me out of so many difficult illnesses
that I’m here for a reason. Well, what is that
purpose? Part of it is right here and now, to bear
witness to the good this doctor can do for sick
people.”
Another part of it may be to encourage others.
“You fight as much as you can. If it’s your
destiny to die of a sickness, so be it. But never say
you’re beaten. Never, never, never. I don’t want to
hear that word.”
The Most Advanced Cancer
Treatment in the Region
Providing
Advanced
Healthcare
in Ventura
County
Cancer Program
Dedicated to the Prevention,
Diagnosis and Treatment of Cancer
Accredited by the American College of Surgeons
Commission on Cancer
Latest Treatment and Imaging Technology
Cancer Resource Center
The Breast Center
Palliative Care
Healthy Women’s Program
Prostate Institute
Spiritual Care
Multidisciplinary Cancer Conference
Coastal Communities Cancer Center
www.cmhshealth.org/cancer
23
L - R: Asher Paskin, Allan Paskin, Dr. Matt Cameron, Rory Paskin, Taylor Paskin
With expectant parents stopped in one of Ventura’s
busiest intersections and in a panic, CMH physician,
Dr. Cameron appears and delivers baby in the car.
For good reason, Allan and Taylor Paskin both
use the same word when describing the recent
birth of their daughter, Aurora. So does Dr. Matt
Cameron, who delivered “Rory.”
[
]
ser·en·dip·i·ty (noun) The occurrence
and development of events by chance
in a happy or beneficial way: “a
fortunate stroke of serendipity”
In truth, “serendipity” falls shy of accurately
portraying the events that unfolded this past
February 4th.
The Wednesday morning began with Taylor
awakening around 7:00 a.m. in labor pain. Two
days past her due date, Taylor timed the contractions at eight minutes apart and determined she
and her husband had plenty of time to get to
Community Memorial Hospital. Living near The
Collection at RiverPark, the couple faced a mere
six-mile drive, most of it on the 101 North, about
ten minutes even with some surface traffic after
exiting the freeway.
24
Having gone through 23 hours of labor with
the couple’s first child, Asher, now 3, Taylor felt
little rush. Then, far sooner than she anticipated,
her water broke. Shortly before noon, with her
contractions suddenly urgently close together, the
race to CMH was on.
Exiting the 101 Freeway at Main Street, Allan
got stuck behind another car at a red light at Mills
Road. Being forced to stop was actually serendipitous because Baby Rory was not going to wait any
“
again in his voice six months later.
“Her head is out! You need to catch her!” Allan
remembers Taylor yelling as he bolted out of the
family’s Subaru Outback in the middle of one of
Ventura’s busiest intersections.
Afraid of getting rear-ended, Allan, an aerospace engineer who works in Goleta, called 911 on
his cell phone while waving his other arm frantically
and shouting, “My wife is having a baby!” to
anyone and everyone in the growing traffic jam.
There was no time or room to move over to the curb so I’m
stopped in the third lane over, as the second car at the red
light, and Taylor is having the baby right then and there.”
longer to arrive into the world. Two more miles to
Community Memorial Hospital’s E.R. might as well
have been twenty miles.
“There was no time or room to move over to
the curb so I’m stopped in the third lane over, as
the second car at the red light, and Taylor is having
the baby right then and there,” Allan says, urgency
Before the 911 operator answered, before
Allan could race around the car to Taylor’s front
passenger side, help arrived. Out of the car that
stopped directly behind the Paskins’ Subaru stepped
Dr. Matthew Cameron, a third-year resident at
Community Memorial Hospital, specializing in
Family Medicine.
Adding to the serendipity, Dr. Cameron was on
an OB/GYN rotation leaving the clinic at the Center
for Family Health in Oxnard and headed to CMH’s
Labor and Delivery Department. He was even still
wearing green hospital scrubs.
“The stars were aligned,” says Taylor.
One more aligned star: Dr. Cameron’s life
would not have intersected with the Paskins’ lives
at the intersection of Main Street and Mills Road
had he not serendipitously forgotten his cell phone
when he originally left the CFH Clinic just a few
minutes earlier.
“I went back to get it,” Dr. Cameron notes.
“That put me behind by about seven minutes.
Otherwise I would not have been there right then.”
Right then he didn’t waste a moment. When
he saw Allan get out of the Subaru holding his cell
phone and yelling, “My wife is having a baby!,”
Dr. Cameron sprang into action.
“Auto-pilot sort of kicked in,” Dr. Cameron
retells. “I jumped out and went to the passenger side, where Taylor was, with the front seat
reclined.”
So frantic was Allan, still trying to reach 911,
that he didn’t even see Dr. Cameron at first.
“A lady next to us – a Good Samaritan we will
never know but who I hope knows how thankful
we are – grabbed my arm,” Allan recalls, “and said,
‘It’s okay. There’s a doctor in the car with your wife.’
“I’m thinking: What? A doctor? How is that
possible?” Allan continues. “But then I saw his
scrubs and I relaxed a bit.”
Dr. Cameron had a medical kit in his car,
including sterile surgical gloves, but there was no
time to retrieve it. “The baby’s head was already
out when I got to Taylor,” he explains. “I thought:
‘Let’s do this.’
“Time seems to pass at a slower speed under
situations like this,” continues Dr. Cameron, who
is well familiar with pressure situations having
previously served as an active flight surgeon in the
Navy for seven years. “But it was still real quick – sixty seconds, maybe ninety seconds tops, and the
baby was out.”
At 11:52 a.m., in the front seat of a Subaru
stopped in the middle of a busy intersection, Dr.
Cameron delivered Aurora “Rory” Essley Paskin.
“Taylor did the hard work,” emphasizes Dr.
Cameron, whose own work was not yet done. He
realized he didn’t have a blanket or towel to wrap
Rory in. But before Allan could rummage through
the suitcase in the back of the car to get a packed
blanket, a woman from another car offered her
own sweater.
With Rory now swathed, Dr. Cameron had a
new worry and asked Allan: “Can you go check
and see if my car is off?”
Indeed, Dr. Cameron had rushed to the Paskins’
rescue so quickly he left his car door open and the
engine idling.
Recalling the remarkable event, Taylor says: “I
was out of my mind and then Dr. Cameron showed
up to save us. He was just so calm and reassuring.”
“I was really scared,” echoes Allan. “It was
overwhelming, but then Dr. Cameron was there
before I could completely panic. He had 1,000
percent of my trust from the first second. I knew
we were in good hands.”
Still, the delivery with bare hands worried
Allan. Again, Dr. Cameron reassured him, explaining: “This is how babies used to be born before
“
situation, Matt jumped to help us.”
Allan and Taylor often call Dr. Cameron by his
first name, as it should be since they have become
friends. Indeed, Matt and his wife and three
daughters were guests at Aurora’s formal naming
ceremony in June.
“What the four of us, what we went through,
I’ll remember for the rest of our lives,” says Allan.
“It felt beyond us. What are the odds of Matt being
there? I don’t want to sound preachy, but we were
being watched over.”
I’m thinking: What? A doctor? How is that possible?
But then I saw his scrubs and I relaxed a bit.”
hospitals – not in a car, but under less than ideal
circumstances. A car is better than a lot of places.”
Especially with a physician with OB/GYN
training making a timely “house call” er, “car call.”
Paramedics arrived within four minutes of the
delivery and provided clamps and a scalpel for Dr.
Cameron to cut the umbilical cord. A few minutes
later, mother and baby were safely inside an
ambulance for the last leg of the trip to CMH.
Emerging from his panicked fog, Allan says his
first thought was deep gratitude: “In this scary
“Things lined up serendipitously,” agrees
Dr. Cameron, adding as he looks over at Rory
cradled asleep in Taylor’s arm: “She’s a wonderful
blessing.”
After the ambulance pulled away, Allan remembers turning to Dr. Cameron and saying, “How can
I ever thank you?”
“Matt just hugged me,” Allan shares. “It was
almost like in a movie.”
A movie Hollywood would never make because
it’s too serendipitous to believe.
Ventura County’s
Leading Birth Facility
Providing
Advanced
Healthcare
in Ventura
County
Maternal
Child
Health
Promoting Healthy Individuals
and Strong Families
Delivery by Board-Certified Physicians
Level III Neonatal Intensive Care Unit
High Risk Pregnancy Unit
Birth Kangaroo Care (mom and baby skin-to-skin)
Epidural Available 24 Hours a Day
Perinatologists on Staff
Pediatric Hospitalists on Staff
Comfortable, Supportive, Caring Environment
New Parent Resource Center
www.cmhshealth.org/mch • 805/658-BABY
25
REVOLUT
How Doctors
Treat Congestive
Heart Failure
T
26
The heart, that ever-incredible muscular organ which pumps blood throughout the
body, provides the essence of life.
Indeed, a healthy heart is critical to a body’s wellbeing, and doctors have long sought
ways to monitor the heart to ensure the muscle stays strong for years to come. With each
new technological breakthrough, doctors have been better able to understand the health
and function of this highly complex organ.
Yet with even all the incredible medical technology that continues to evolve by leaps
and bounds, cardiologists – the doctors who specialize in the heart – have long been
challenged with treating the millions of patients who suffer from congestive heart failure,
or CHF.
Dr. Thomas Kong, an interventional cardiologist for nearly 20 years, said a new heart
monitoring device will revolutionize how doctors treat patients with CHF, significantly
reduce hospital visits and improve the quality of life for the 5 million Americans afflicted
with the heart disorder.
The device is called the CardioMEMS HF System, and Kong has helped to bring the
state-of-the-art technology to Community Memorial Hospital in Ventura, making CMH the
first hospital in the region and one of the select few nationwide to employ it.
“This is the one of most important and exciting projects we’ve ever done,” said Kong, a
longtime physician with Ventura Cardiology Consultants in Ventura.
Kong was quick to point out that the realization of bringing the CardioMEMS HF
System to CMH would not have been possible without a “forward-thinking” hospital
administration. To ensure patient safety, Kong said hospital leaders required the device be
reviewed by physician-led evaluation teams and approved by multiple committees at CMH
before it was introduced at the Ventura hospital.
Made by Minnesota-based medical technology manufacturer, St. Jude Medical, the
CardioMEMS HF System is the first and only FDA-approved heart failure monitoring device
to considerably improve quality of life for CHF patients and reduce hospital admissions.
Kong said his desire to bring the heart monitoring system to CMH began nearly two
years ago. Thanks in part to his practice’s reputation for conducting research – indeed, they
have been at work on a variety of research projects over the past 15 years – Kong said his
practice is experienced in networking with major universities and the FDA.
IONIZING
Dr. Thomas Kong
The CardioMEMS HF System is the first and only FDA-approved heart failure monitoring
device to considerably improve quality of life for congestive heart failure patient.
“Dr. Kong’s cardiology practice has a
well-established and structured clinical research
program that rapidly gained the confidence of St.
Jude Medical when selecting CMH and moving
forward with this initiative. Of all sites across the
nation, Community Memorial Hospital had the
second fastest time from protocol presentation to
site approval and activation. We are pleased to
partner with Dr. Kong, his practice and Community
Memorial Health System to advance regional heart
failure management strategies,” said St. Jude
officials.
The CardioMEMS HF System features a
miniaturized, wireless monitoring sensor that
is implanted in the pulmonary artery during a
minimally-invasive procedure to directly measure
heart pressure.
It allows patients to transmit their pressure
readings from home to their healthcare providers
using a very simple monitoring system.
“I’ve put in several of these devices now, the
implantation is fairly straightforward and the
patient satisfaction level is very high,” Kong said.
To better understand how the CardioMEMS HF
System works – and why monitoring heart pressure
is important – t’s necessary to know more about
congestive heart failure, its symptoms and how it
is treated.
Heart failure occurs when the heart is unable to
pump enough blood to meet the body’s demands.
When this happens, pressure within the heart and
lung blood vessels increases, eventually leading
to congestive symptoms – most commonly being
Often that means the patient has to come to
fatigue and shortness of breath.
their doctor’s office on a regular basis to undergo
“With the CardioMEMS pressure sensor, we
various tests to ensure medication is being given
can detect these pressure rises and act immediappropriately. Again, it’s another inconvenience
ately, treating those patients at a much earlier
for patients, many of whom have to balance busy
stage and usually before they were even aware
work and family lives.
that they were heading towards a heart failure
Those hospitalizations and in-office visits cost
episode,” said Kong.
patients billions, in medical bills and lost wages.
“Of the patients we have implanted, there
According to the American Heart Association,
is no question that we have averted several
the estimated direct and indirect cost of heart
hospitalizations,” he said. “We were monitoring
failure in the U.S. for 2012 was $31 billion and
their cardiovascular status at home and we
that number is expected to more than double by
found that they were trending negatively, toward
hospitalization. And for those people we made
2030. More than half of those costs are due to
medication recommenda- The CardioMEMS HF System features a miniaturized, wireless
tions to them that they
monitoring sensor that is implanted in the pulmonary artery during
implemented, and two
days later we reviewed a minimally-invasive procedure to directly measure heart pressure.
their data from home and found that the heart
hospitalization and there are more than 1 million
failure status had improved significantly. If that
heart failure admissions each year.
information had not been available to us, those
“It’s costly, it’s labor intensive, it’s time
people would have been heading to the hospital
consuming, both for the patient and physician,”
Kong said.
for acute treatment.”
Kong said, however, the CardioMEMS HF
The device gives freedom to those dealing with
System has proven to cut down on hospitalizations
heart failure.
and in-office visits because it allows patients to
It’s important to note that many of those with
heart failure are hospitalized due to a variety
wirelessly send their heart pressure readings to
of reasons. And those hospitalizations can be a
their doctors in real time.
Kong said he could not speculate as to what
burden on patients. The visits not only cost money,
the future of heart monitoring will bring, but said
but time. While hospitalized, patients are unable to
the CardioMEMS HF System is certainly a giant
be at home or in the office for days at a time.
leap in heart failure management that will most
It’s not just hospitalizations that impact
definitely have a positive impact on millions for
patients with heart failure, it’s the monitoring
that’s required to keep track of heart pressure.
years to come.
27
2015
Live2015
BREAK<ING>THROUGH
SPEAKER
SERIES
THURSDAY
NOVEMBER 19
FREE
ADMISSION
MUSEUM OF VENTURA COUNTY
100 E. MAIN ST., VENTURA
Light refreshments will be served.
Join us for an HD simulcast, and join the global conversation about what is new and important in health and medicine.
MIND MATTERS
BACK TO BASICS
Explore the secrets and wonders of the brain, from the amazing
wisdom of the cerebral cortex, to the mind’s invisible wounds and
dysfunctions; from the latest neuroscience, to the vast remaining
mysteries of our most inscrutable organ.
Creating a culture of health often depends on factors that
reach far beyond healthcare. Explore solutions with wise
and determined change-makers who stand – and fight – at the
frontlines of innovation.
CATALYZING GREAT SCIENCE
FOOD FIX
8:30 AM - 10:00 AM
11:00 AM - 12:30 PM
Risk-taking researchers reveal new ways to disrupt the scientific
paradigm, break through barriers between academia and industry, link
seemingly unrelated fields, and meet demand from patient activists.
RESERVATIONS & INFORMATION
To register and learn more about each session
visit cmhshealth.org/tedmed or call
Brown Paper Tickets at 800/838-3006.
28
2:30 PM - 4:30 PM
5:30 PM - 7:00 PM
Craving a forbidden intellectual sweet... or desiring
insights into the impact of food on health? Check out this
tempting menu.
SPONSORED BY
ANNUAL REPORT
Financials
Community Memorial Health System*
2014 Summarized Balance Sheet
Assets
Cash and Investments
Accounts Receivable
Other Assets
Property, Plant & Equipment, Net
Assets Limited as to Use Investments in Affiliates
Construction Funds
Total Assets
Liabilities
Current Liabilities
Long Term Debt
Other Long Term Liabilities
Net Assets
2014 Summarized Statement of Income
156,484,619
55,850,716
79,108,463
350,357,988
12,651,358
238,786
145,204,492
$799,896,422
Operating
Statistics
Total Admissions
13,172
Births2,965
Patient Days
73,781
Average Daily Census
202.10
Outpatient Visits
158,783
Centers for Family Health Visits
245,461
Emergency Room Visits
53,943
Pharmacy Prescriptions
3,471,337
Surgical Procedures
11,844
Radiological Procedures
144,303
Physical Therapy Treatments 115,160
Laboratory Tests
964,467
Meals Served
427,528
Pounds of Laundry
2,491,298
302,862,907
32,955,369
17,333,140
$353,151,416
Operating Expenses
Salaries & benefits
Other operating expenses
Hospital quality assurance fee
Total expenses
$165,229,477
145,065,577
11,170,985
$321,466,039
75,458,499
353,118,017
23,124,279
Operating Gain$31,685,377
Investment income
3,663,032
Donations & Other
157,748
$348,195,627
Increase in Unrestricted Net Assets$35,506,157
Total Liabilities & Net Assets$799,896,422
2014
Operating Revenue
Net patient service revenue
Medi-Cal supplemental payments
Other operating revenue
Total operating revenue
Restricted donations
1,558,532
Gross Patient
Service Revenue
••
••
••
Medicare
Medicare Managed Care
Medi-Cal
Commercial Managed Care
Self Pay
Other
Operating
Expenses
••
••
Salaries & Benefits
Supplies
Depreciation
Other Costs
*Includes Community Memorial Hospital, Ojai Valley Community Hospital and the Centers for Family Health.
29
IN APPRECIATION
OF OUR DONORS
Community Memorial Health System appreciates the many generous gifts from our friends. Contributions benefit
our community in many ways. We gratefully acknowledge the following gifts for the Foundations in 2014,
accumulative gifts received from 2009 to 2014 for the BECAUSE Capital Campaign, and 2014 Commemorative gifts.
Kathryn Abbott
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30
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IN APPRECIATION OF OUR DONORS
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Dr. Patrick & Dr. Estela Diesfeld
Dr. Robert Dodge
Robert & Maricela Doming
Dr. Desiree Domingo-Foraste
& Dr. David Harris
Dr. Victor Dominguez
Dominguez Family
Don L. Carlton, Inc.
Donald & Ruth Downey Family
Darian Dragge
Judi Dransart
Phil• & Marcia Drescher
Thomas & Judith Drew
Drum Workshop, Inc.
Denise Drury
Victoria Duah
Patricia Duarte
Michelle Dubs
Jude Dumas & Dennis Copas
Lisa Dunlap
Lindsey Dunn
Bentley• & Clara Dunwoody
Brian & Lilian Dwight
E. J. Harrison & Sons, Inc.
Paul & Maelyn Ebert
Dr. John & Linda Edison
Craig• & Deborah Edwards
Robert & Joan Egbert
Patricia Egus
Steven & Margarida Eidson
Dr. William & Norma Ekman
El Dorado Healthcare Consulting, Inc.
Kirsten & Glenn Eliab
Alex Eliassen
Michael Ellingson•
Terry Ellis
Pete Ells•
Bob & Sandy England
Dr. Linda England
Ted & Annette England
Maria Theresa English
Ensign Group - Victoria Ventura
Healthcare, LLC
Camarillo Healthcare Center
Glenwood Care Center
Victoria Care Center
Carl & Barbara Enson
Jeanne Erickson
Bob & Pamela Escalante
Angele Esperanza
Cesar Esperanza
Roger & Patricia Essick
Mona Estrada
Bill & Karen Evenden
Mike Ewens & Lydia Collins
Tiffany Exline
Theodor & Lore Exner
Dr. Olivia Farfan
Faria Family Partnership
Roberta Baptiste
Jeanine Faria Walker
Linda Faria
Gary• & Brenda Farr
Glen & Karen Farr
Farr & Associates
Cliff Farrar
Richard L. Fausset & Family
Fausset Printing
Dr. Fred & Shirle Fauvre
Jack Fay
Kenneth• & Louanne Fay
Christine & Kent Fenn
Jeff & Theresa Ferguson
Fred Ferro
Virginia Ferro
Blair Fields
Elvia Fierros
Dana Files
James & Kristen Finch
M. Gay Fischbuch
Dr. Ken Fischer
Linda Fisher
Linda Flor
Gaby Flores
Flower Power
Carole Flowers
Brandi Flynn
Dr. Arthur & Jennifer Flynn
Gwen & Boyd Ford
Elaine Forest
Four Seasons Hotel
Tony• & Edie Fowkes
Karin Fraki
Phyllis Franco
Beverly & Bill Frank
Nic & Susanne Frank
Stephen & Karen Frank
Kathleen Franklin
Allison & Dr. Brian Frederick
Dr. Sean Freyne
Dr. Newton & Vonise Friedman
Dr. Steven Friese
Dr. Stanley & Heidi Frochtzwajg
Janet Fukumoto
Tracie Funk
Mandy Furlong
Edward• & Eileen Gaiser
Charles Gaither
Ted & Claudia Gall
Tim • & Cheryl Gallagher
Gallery of Art By Casey Nicholson
Will & Susan Garand Family
Jesse & Teresa Garcia
Sandi & Joey Garcia
Dr. Robert & Brenda Garrison
Jessica Gavlik
General Surgery Medical Group
of Ventura County
Dr. Lisa Babashoff
Dr. Timothy Bryant
Dr. Joseph Lo Presti
Dr. Brian Tuai
31
Dr. Armand & Erin Ghaffari
Bill & Karen Ghormley
Nita Gibson
Carol Gicking
Jeanne Gilbert
Rod Gilbert
Mrs. John Gilbert
Warren Glaser
Richard & Joan Glenn
Donald Gloisten•
David & Maryellen Glyer
Estrelita Gobuyan
Gold Coast Ambulance
Gold Coast Broadcasting
Dr. Thomas• & Debbie• Golden
Mark & Dawn Golden
Karen Goldenberg
Hector & Susana Gomez
Irma Gonzalez
Karen Gonzalez
Liza Gonzalez
Osvaldo González García
Richard Goodman
Helene Gordon
Gordon Ross Medical Foundation
John & Mary Graham
Dr. Shannon Grant
Mary Greek
Mary Jane Green
Alan & Valerie Greenberg
Benetta Greene-Nealy
Hannelore & Michael Gresser
Carl & Lori Grether
Hans & Arline Grether
Joel & Bonnie Griffin
Maureen Griffiths
Gregory Grinnell
Allan & Carol Gross
Dr. Carl & Donna Gross
Dr. Irwin & Sharon Grossman
Grossman Imaging Center
Griselda Guerrero
Jaime Guillen
Helen & Gus Gunderson
Glenn Gunnels
Trinity Gunnels
Dr. Sydney Guo
Jeannene Gutierrez
Ernest Guzman
Gynecologic Oncology Specialists
Dr. W. Michael Hogan
Dr. Anne Rodriguez
Dr. Roz Warner
Joe Hadden
Louisa Hagen
Peter• & Barbara• Haggerty
Richard & Sandra Hajas
Angelina Hall
Kelly Hall
Dr. Jack & Beverly Halpin
Dr. Jim• & Robyn Halverson
Dr. Maria Halvorson & Dr. Kooros
Samadzadeh
Mrs. Richard S. Hambleton
Trent Hamilton
John Hammer•
Hammer-Hewson Associates
32
Chris Hamming
William Hammond
Dr. Richard Handin
Dr. John & Meredith Handley
Randy Haney & Dara Marks
Steve & Mary Lou Harbison
Barbara Hardesty
Ann Deal & Becky Harmon
Harriet H. Samuelsson Foundation
Dr. David Harris
Jim & Tish Harris
Marilyn & Jeffrey Harris
Jim & Mary Harrison
Myron & Sharon Harrison
Dr. Ken & Charlene Hartenstein
Dr. Lawrence Harter
Bud Hartman
Hats of Style
Darla Hawks
Michaela Hayes
Dr. Ivan & Dr. Ulrike Hayward
HealthAware
Ashlee Heard
Hearst Castle & National Geographic
Theater
Lyndsay Heitmann
Kathleen Hellwitz
Help Unlimited Homecare
Marilyn Hemming
Henderson A Trust –
Dated September 6, 1990
Jane Henry
Henry L. Guenther Foundation
Henry Schein Medical In.
David Hernandez
Joel Hernandez
Meghan Hernandez
Viviana Hernandez
Ronald• & Carolyn Hertel
Dr. Christopher & Charmaine Herzig
J. Dorothy Hibler
Dr. John• & Barbara Hill
Dr. Anthony & Barbara Hirsch
Nick & Amani Hishmeh
Gerben Hoeksma
Kenneth Hoffman
Janice Holden
Mary Holmes
Robert & Kathleen Holmgren
Tinette Hood
John & Judy Hooper
Stephanie Hoops
Jennifer Hoppe
Lydia• & Tom Hopps
Sue Horgan•
Dr. Jim & Dana Hornstein
Kathleen Horton
Victor Hosford
David Howard
Jennifer Howery
Dylan Hull
Humana, Inc.
Ed Hunt
Charles Hunter
Dr. James M. Hunter Family
Mr. & Mrs. Fritz R.• Huntsinger
Carolyn Huntsinger
Rosemary Icardo
Jennifer Ikemoto
Damiano Impastato
Bob Ingrum
Inside Track
Willa Irwin
Betty Isensee
Isensee Floorcovering, Inc.
Island Packers
Jon & Ann Ives
Dr. Lukasz & Anna Iwanczyk
Dr. Gösta & Mary Iwasiuk
Andrea Jackson
Lynn• & Gary Jacobs
Jano Graphics
Jaspa
JC Penney Styling Salon
Dr. Alex & Jenny Jehlar
Dennis & Kathleen Jenks
Martha Jennings
Philip Jevanian
Jewelry Couture
Jim Hall Kart Racing School
Curt & Debbie Johnson
Lawrence Johnson
Mark Johnson
Matt & Carrie Johnson
Ron & Barbara Johnson
Katie Johnston
Sarah Johnston
Colin & Cindy Jones
Dr. Steve & Dr. Karen Jones
Kevin Jones
Samantha Jones
Serita Jones
Jordan Actuarial Services
Mark & Jo Ann Josephson
James Josue
Eulalia Juarez
Donna Jue
Deborah Kahana
Kaiser Permanente – West Ventura
County
Jerry & Anne Kaplan
Jo Kara
Dr. Peter Karlsberg
Art Karma
Anna Kaufer
John & Margaret Kaufman
Kaufman, Hall & Associates, Inc.
Dr. Tajinder Kaur
George & Marilyn Kavanagh
Bill•• & Elise Kearney
Donna S. Keaton
James & Sherryl Keegan
Joan Kemper
Geraldine Kennon
Ajaz & Eileen Khan
K'hilat Ha Aloneem Jewish
Community of The Oaks
Dr. Seyed Khoddami & Dr. Neda Heidari
Kia of Ventura
Dr. Ken Kidd
Satchel Kiefer
David & Ruth Kille
Susan Kim
Dr. Tatsuo & Mary Kimura
Kind Healthy Grain Bars
Martha King
Randy & Glenda King
Randall & Susan Kinsling
Marilyn Kinyon
Kirby Collision Center
Wanda Kirchhoff
Diany Klein
Baruska Knight
Gregg Knupp
Nancy Knutson
Eunice Koch
Jan & Mike Koevenig
Promila Kohli
Dr. Li Sheng Kong
Leah Kory
Erwin Kosasih
Thomas & Cathryn Krause
Melvin & Yvette Krogh
Nancy Hughes Krumpschmidt
Bruce Kuebler
Tod Kuhn
George & Wendy La Braque
Laboratory Specialists International
Jordan & Sandra Laby
Robert• & Carol Lamb
Jonathan & Linda Lambert
Jennifer Lamert
Edward & Patricia Lansberg
Philippe & Arlette Larraburu
Lisa Larramendy & Larry Rose
Meg & Pete Larramendy
Larry Wilde, Wilde-Guernsey, Inc.
Dr. Fran & Katherine Larsen
Ruth Lasell & Robert Bonewitz
Haady & Anita Lashkari
Gary & Kathleen Laub
Don• & Linda Law
Ronald & Ramona Lawrence
Phuong Le
Vi Le
Leslie Leavens
Dr. David Lebell & Vicky Blum
Dr. Robert• & Lucy Ledner
Dorothy Jue Lee•
Hui-Fang & Richard Lee
Wilda Lee
Kelly Leech
George Leis
Arthur & Sally Lemire
Greg & Martha Lepine
Deanna Leslie
Let's Get Cookin’
Dr. Winifred Leung & Dr. William
Dunbar
David Lew
Craig & Karen Lewis
Fernando Liera
Lifeline Medical Transport
Carlos Limon
Limoneira
Dr. Tesu Lin
Rachell Lindsey
Nancy & Clint Lininger
Lisa McFarlane Photogrpahy
Victoria Littlejohn
Livability
Livingston Memorial Foundation
Livingston Memorial Visiting Nurse
Association & Hospice
Manon Llewellyn
Diane Lloyd
Donna Lloyd
Pauline Lockridge
Jeff• & Laura Loebl
Dottie Loebl
John & Margaret Logan
Dr. Geoffrey & Dr. Nancy Loman
Dan Long
Darylyn Long
Dr. Yasha & Dr. Juula Ramon Long
Sharylyn Long
Angela Lopez
Armando & Luly Lopez
Julia Lopez
Leopoldo Lopez
Los Robles Homecare Services, Inc.
Dr. Brigitte Lovell
Armando Lozano
Dr. Edgar & Stacie Lueg
Dr. Bryant & Linda Lum
Ana Luna
Lure Fish House
Mike Lurie & Nancy Kochevar
Dr. John & Donna Luttrull
Dr. Kip & Sandy Lyche
Dr. John & Marilyn Lyon
Laiying Mac
Dr. Nelly Mac
Saul Macias
Dr. Ian & Ginny MacLean
Julia Macy
Cheryl Madrid
Maria Madrigal
Adella Magdaleno
Luiz Maggio
Josefina Magistrado
Dr. Thomas & Adele Mahoney
Mail Manager
Jim & Rebecca Malone
Joe Manheim
Dan & Barbara Manzer
Kevin & Megan Marble
Edwin & Jacqueline Marks
Larry Markworth & Sue Pollak
Tanya Marquez
Alphonse & Jan Marra
Jose Marroquin
Mary Anne Marsch
Chuck & Edie Marshall
Sharon Marshall
Martin V. & Martha K. Smith
Foundation
Benjamin Martines
Michelle Martinez
Renee Martinez
Rogelia Martinez
Paul Martins
Dr. Jerry Maryniuk & Diane Bertoy
Sandy •& Paul Masiel
The Family of John A. & Judy A.
Masterson
Celeste Matesevac & Marcia Doty
Debi Matlock
Catitlin Matthews
Dr. Richard & Toni Matthews
Alan & Terry Maulhardt
Nancy Maurer
Mavericks Athletic Club
Harry• & Carolyn Maynard
Carla Mayr
Maywood Acres Healthcare
Dr. Robert Mazurek &
The Mazurek Family
MB2 Raceway
Bobbie McCaffrey
Wayne & Michelle Mc Ghee
Mike McCaleb & Berkeley Meigs
Dr. Jillanne & Scott McCarty
Walter & Franna McClelland
John Robert• & Anne McConica
Charles• & Rosena McConica
Jamie McCormick
Mary McCormick
Mac & Christy McCown
Dwayne & Susan McCulloch
Kimberley McGee
Dr. Tom McGillis
Steve & Patricia McGillivray
McGillivray Construction, Inc.
Kevin McKean
Peter & Miranda McKenzie
Dr. Jim & Marilyn McKinzie
Monica McMichael
Patricia McNeely
Dr. John & Sherrie McNeil
Daniel & Yoko McSweeney
Thom McVittie
Medical Arts Pharmacy
Medical Staff – Ojai Valley
Community Hospital
Medical Staff – Community Memorial
Hospital
Medicine Shoppe of Ojai
Celia Medina
Joni Medina
Medline Industries, Inc. and The Medline Foundation
Medpanel, LLC
Medtronic, Inc.
Megan Meeker
Dave & Buffie Megugorac
Barbara Meister
Meister Family Foundation
Edra Melnar
George & Peggy Melton
Mended Hearts Incorporated –
Chapter 101
Brenda Mendez
Gloria Mendoza
Dr. Fredrick & Margaret Menninger
Mentor Worldwide, LLC
Dr. Charles Menz
Merlin Medical Supply
Jane Merritt
Dr. David & Diana Mescher
Gary & Catherine Metelak
Paul Meyer
Mary Miasek
Linda Stephens Michon & Kelly Michon
Charles & Bessa Mileham
Bill & Marlene Miley
Adrienne Miller
Judy Miller
Michael & Margret Miller
Sam & Donna Miller
Ted & Donna Miller
Edward & Elyn Milmeister
Ruth Milner
Dr. George & Jeanne Mitchell
Dr. Mark & Kathy Mitchell
Julienne Mitchell
Amy Miyawaki
Mjp Technologies, Inc.
Debora & Judson Mock
Deborah Moe
Kristina Moffett
Dr. Paymann & Sanam Moin
Sally & Kenny Molenhouse
Dr. Eric & Lori Moll
Barry Molony
Mom & Pop Flower Shop
Jo Ann Monak
Charles Monsalve
Dr. Charles Montague
Montecito Bank & Trust – Community
Dividend Awards
Patsy Montes De Oca
Bhanu Moon
Cathy Moon
John & Peg Moore
Ramon Morales
Yolanda Moran
Manuela Moreno
Charles Morrey
Michael & Anne Morris
Bill & Maggie Mors
John & Leanne Mothershead
Mountains 2 Beach Marathon
Movegreen Ventura County
Ted• & Dale Muegenburg
Mullen & Henzell, LLP
Lynn & Cindy Mullins
Kathy Murillo
Trevor & Maureen Murphy
S.M. Murrieta
Frank Myers
Myra & Ronald Bank Family Fund
David & Barbara Nakada
Curtis Names
Nicholas Naranjo
Lakshmi Narayanaswami
Mohan & Sylvia Narula
Richard & Mary Nash
Alicia Naumann
Navigant Healthcare Cymetrix
Thomas Neff
Barry Neilsen
Family of Walter & Jo Neilsen
Dr. Doug & Donna Nelson
Dr. Viktoriya & Jeff Nelson
Neovia Integrated
Insurance Services, Inc.
Nerium
Hannah Newell
Pat News
Gary Nichols
Ronald & Ann Nichols
Nickelodeon
Lindsay & Jackie Nielson
Keith & Victoria Nightingale
Mary & Bob Nishimura
William Norris
Bernard Novatt
Gabriella Nunez
Niels Nyborg
Evert Nygren
Shaun O'Bryan
Ocean Ortho Management
Mary O'Connor
Dr. Nancy O'Dell
Tom & Yvonne Odle
Doug & Diane Off
Ojai Community Bank
Ojai Herb & Acupuncture Clinic
Ojai Rexall Drugs
Ojai Valley Emergency Physicians
Medical Group, Inc.
Ojai Valley Family Medicine Group
Ojai Valley Garden Club
Ojai Valley Hospital Guild
Ojai Village Pharmacy
Rafael Ojeda
Dave & Aggie Olson
Devin O'Neill
Megan & Mike O'Neill
Opolo Wines
Harry & Ann Oppenheimer
David Ordonez
Laurel Ormsby
Christina Orthuber
Frank & Eugenia Ortiz
Graciela Ortiz
Lupe Ortiz
Kari Osborn
In Recognition of the Oster & Alsup
Families
Chris & Roland Ouellette
Dr. Robert & Maria Ouwendijk
OVCH Employee Giving Program
Judy Ovitz
Oxnard Firefighters Association
P.B. Building Maintenance
Pacific Breeze Chem-Dry
Pacific View Mall
Pacific Western Bank
Madelon Pack
Antonia Palacios
Shirley Palmer
Paradise Chevrolet
Anita Pardo
Dr. Allan Parigian
Dannise Parker
Douglas & Angela Parker
Marsha Parker
Pilar Parker
Dr. John & Kathleen Parsa
Richard Parsons
Barbara Parsons & Roger Beerworth
Dottie Pas•
Frank & Catena Passalacqua
Patagonia
Dr. Shaun & Dr. Sandhya Patel
Dr. Elizabeth Patterson – Poca De
Gracia Ranch
Claire Paulson
John & Fran Pavelko
Gary Pearce
Joe Pearson
Tom & Karen Pecht
Rodolfo Pecina
Bill & Laura Peck
Jim & Linda Peddie
Pediatrix Medical Group, Inc.
Dr. Ben Bengtsson
Dr. Sue Hall
Dr. John Van Houten
Megan Pemberton
Erlinda Perey
Alexus Perez
Edward Perez
Pedro Perez
Jim & Amy Perkins
Dr. David & Claudia Perlmutter
Michael & Vivian Perrett
Personal Parent Care
Petunia Pickle Bottom
Dr. Roger & Marcia Phelps
Ron & Linda Phillips
Christa Piantadosi
Helen Pidduck•
Kirk & Bonnie Pieper
Bernadette Pietro
Susanne Pingree
Allan Pinkerton
Robert & Lupe Piros
Pizza Man Dan
Craig & Joan Plassmeyer
Players Casino
PODS – Moving & Storage
Poinsettia Republican Women
Federated
Ron & Judi Polito
Greg Pollock
Cathy Polzin
Ruth Pool
Christina Poolman
Dan & Robyn Popescu
Dr. Martin•• & Barbara• Pops
Dr. Robyn Posin
Robert• & Olivia Potter
Olivia Potter
Philip & Cynthia Poulsen
Lisa Powell
Christina Prado
Premier Diagnostics, Inc.
Sleep Disorders Center
Shani & Jeff Prieto
Primary Medical Group, Inc.
E. Norris Procter
Judith Pugh
Dr. Victor & Sandy Pulido
Ed Pulido
Puretec Industrial Water
Roland & Margaret Purnell
Gilbert Pusen
Donald & Marsha Pyne
Erin Quinn & Family
Kathrina Quipot
Marygrace Quito
R.T. Beers & Company
Insurance Services, Inc.
Rabobank, N. A.
Rajender Rai
Alan & Jan Rains
Alexander Rakul
Ralph C. Phillips Living Trust
Angelica N. Ramirez
Angelica Ramirez
Dellanise Ramirez
Maria Ramirez
Maria T. Ramirez
Rebecca Ramos
Rancho Largo, LLC
Kelly• & Rena Randall
Dr. Ishu & Charlotte Rao
Dr. Lakshman & Dr. Kirupa Rasiah
Rasmussen & Associates
Peter & Alison Ratcliffe
Sylvia Raya
Dr. Constanze Rayhrer
Emilie & Myron Rayman
Dr. Miriam Reaves
Dan & Mara Redden
Timothy Reebel
Don & Sue Reed
Ted & Debra Reed
Sheila & Paul Reep
Mark Reeves•
Regency Theatres
Dr. Marc Reinoso
Cindy & Mike Reinwald
Dr. Robert & Alice Rene
Rick Renteria
Desre Resnick
Lois Rice & Family
Sidney & Jayne Rice
Dr. Jeffrey Richardson
Dr. Mark Richman
Connie Rimpa
Ripley's Believe It or Not!
Edgar & Editha• Rivera
Becky & Bert Rivera
Isis Rivera
Mark Robbins
Arsen Roberts
Patricia Roberts
Jean Robinson
Joyce Robinson
Albert Robsahm
Chris Rock
Susan Rodarte
Beverly Rodrigues
Cliff & Karen Rodrigues
Dr. Anne Rodriguez
Maria Rodriguez
Roy & Ronnie Rodriguez
Rudy Rodriguez
Violeta Rodriguez
Clara Rodríguez
Titinia Rogers
Steve Roller
Rheann Roman
Eddy Romo
Dr. Joseph• & Patricia Romolo
Elsa Romp
Tom Rooney
Laura Rosales
Ron & Barbara• Rose
33
Miriam Rosen
Jay & Barbara Roske
Judy Ross
Rotary Club of Ojai West Foundation
Fred & Ila Rothenberg
Dorothy & Jim Rowins
Royal Cigars
Evon Rubenstein
Cathie Ruby
Rudi Schulte Family Foundation
Dan & Lora Ruffin
Ric & Penny Ruffinelli
Kristen Ruorock
Dr. Richard• & Jane Rush
John•• & Peggy • Russell
Annemarie Sacher
Micheline Sakharoff•
Robert & Mary Salrin
Geraldine Salsedo
Alan Saltzman
Donald & Shirley Samuelson
George & Lois Sandall
Ron & Claudia Sandifer
Sonia Sandomer
Dr. James Sands
Santa Anita Park
Santa Barbara Wine County
Weddings & Events
Dana Santaolalla
Bimi Santo
Dulce Santos
Kathy Sauer
Diana & Steven Sawyer
Shirley Saxby
Ruth Sayre
Don & Ann Scanlin
Michael Scarber
Terry & Mary Schaeffer
Dietrich & Valerie Schmidt
Mary & Tony Schmitz
Clella Schneider
Val Schorre
Amanda Scoggins
Jennie Scott
Sherry Scott & Timothy Jack
Sea Glass Fine Art
Pamela Seabert
Gary & Dianne Seacord
Dr. John & Jean Seder
James Seebirt
Ernie & Sally Seidenkranz
Maryann Senores
Frank & Lorraine Serena
Bettina Settecase
Lori & Ted Sevy
Jeffrey Shadden
Lori Shaklee
Charles & Susan Shates
Bryan & Cyndi Shaw
George & Goldie Shaw
Pat Shaw
Tom & Karen Sheehan
Dr. Timothy & Lesli Sheehy
Mel• & Cathy Sheeler
Sheila's Wine Bar
John Shelton
Stephen & Jeanette Shinsky
34
Charon Shirk
Robert & Gail Shirley
Tracey Shoop
Shoreline Care Center
Krista Shue
Dr. Alison Shuman
Forrest Shute
Dr. Joel & Renee Siegel
Simi Valley CA Chapter, Inc.
Bob & Joanne Simmons
Steve & Shirley Simms
Dr. Arthur • & Nancy Simpson
Steve & Sally Simpson
Dan & Debbie Sisemore
Kayla Six
Dr. Bob & Louine Skankey
Dr. Shawn Skillern
Jeffrey & Pegi Skoff
Dr. John Slaght
Richard & Pattie Slater
Jeff Slay
Nikki• & Mark Sloan
Gregory• & Shelley Smith
Carrol Ann Smith
Dok & Teresa Smith
Gail Smith
Jessica Smith
Kathleen Smith
Linda Smith
Randy & Sherry Smith
Sandy Smith & Joann Roby-Smith
Sydney Smith
David & Amanda Smoler
Bill & Lisa Snider
Dr. Tara Marie Snow
Robert & Kathryn Soares
Ann Sobel
Dr. Rebecca Sokol
Desiree Soldevilla
Dr. Dan • & Edie Sommer
Berenice Sotello
Sound Physicians
The Sparkuhl Family
Spectra Company
Dr. William & Pam Speitel
Dr. Bill Spellman
Paula Spellman
Josh Spiker
Sandy & Mark Stanley
Delena Starr
Dr. Max & Karen Stearns
Don Steensma
Stephen Steve
Margie & John Stites
Jeffrey & Patricia Stone
Gwen Stoner
Dr. Siegfried & Cheryl Storz
Dr. Hank & Sue Stoutz
Judith Streamer
Roclord Studio
Dr. Frank & Krista Stuhr
Paul & Shirley Sturges
Bonnie Subira
Amie Jean Sulit
Ed Summers
Carrie Sundberg
Barbara Sunderland
Suzanne's Cuisine
Daniel & Margo Svikhart
Mark & Allyson Swaney
Swanner Physical Therapy
Dr. Aron & Bobbi Swerdlin
Cindy Swett
Swift Memorial Healthcare
Foundation
Aryna Swope & Phil Caruthers
Dick & Marcia Sykes
T & T Truck & Crane Service
Taft Electric Company
Alicia Talamantez
Robert Tallyn & Betsy Bachman
Doris Tanner
Antoinette Tarango
Dr. Sharif Tarazi
Dr. Leo Tauber
Technicolor
Ted Mayr Funeral Home
Dr. Dominic & Carolyn• Tedesco
Jonathan Teichert
Dr. John Tesman
Dr. John & Caroline Thacher
Tony & Anne Thacher
The Buena Vista Hospice Butterfly
Foundation
The Chilant & Mansfield Sprague/
Herbert Frenzell Foundation
The Cooking Table
The Gables of Ojai
The Haley Family
The Kong Family
Pattie Kong Slater
Dr. Thomas Q. Kong, Jr.
Michael Kong
Peter Kong
Steven Kong
The Manor of Ojai
The Oaks At Ojai
The Oaks At Ojai/Employee Giving
The Olive Vineyard
The Sence Foundation
The Stahl Companies
The Sugar Lab
The Ventura Chapter Harley-Davidson
Owner's Group
The Wharf
The Wood-Claeyssens Foundation
Dr. William Theurer
Dorcas Thille
Thinkthin
Lyn Thomas
Thomas Fallon Photography
Charlie & Charlotte Thompson
Adam & Alexis Thunell
Leanne Tilmont
Catherine Tipton
TLC Housewares
Eileen Tolentino
Harriet Cherness Tolin
Malcolm & Samantha Toller
Tolman & Wiker Insurance Services
Joy Tovey
Royce & Beverly Townsend
Mike & Linda Tracy
Anh Tran
Phuong Tran
Rose Tran
Nat & Karen Traudt
Winifred Travis
Libby & Sandy Treadwell
Sally Tripp
James & Sally True
Dr. Suckchai "Tula" & Piangpom
Tulathimutte
Dr. Richard & Connie Tushla
Craig & Sara Jane Underwood
Union Bank
Cathy Urot
Dean & Gloria Vadnais
Kenneth Vadnais
Pedro Valadez
Rita Valenzuela
Dr. Vinod & Karuna Valiveti
Leslie Vallée-Miller
Vicki Van Der Toorn
Eve Vandewiele
Tracy Vannatta
Myra Vasquez
Cristina Vazquez
Vectra Medical, Inc.
Lourdes Vedar
Hector & Hilda Velasquez
Tish Velasquez
Adria Venegas
Dorothy Venegas
Ventura Anesthesia Medical Group
Ventura Beach Marriott
Ventura Breeze
Ventura City Firefighters Association
Ventura Convalescent Hospital
Ventura County Hematology/Oncology
Specialists
Dr. Kevin Chang
Dr. Chirag Dalsania
Dr. Ann Kelley
Dr. Lynn Kong
Dr. Rosemary Mcintyre
Dr. Kooros Parsa
Dr. Todd Yates
Ventura County Obstetrics &
Gynecologic Medical Group, Inc.
Dr. Steven Coyle
Dr. John Gustafson
Dr. Jill Hall
Dr. Richard Reisman
Ventura County Star Newspaper
Ventura Emergency Physicians
Dr. Richard Browne
Dr. Neil Canby
Dr. Eric Fields
Dr. Anthony Hernandez
Dr. Chris Johnson
Dr. Alexander Kowblansky
Dr. David Lebell
Dr. Daniel Levy
Dr. Jerome Maryniuk
Dr. Eric Moll
Dr. Marc Reinoso
Dr. Jerry Waters
Ventura Family YMCA
Ventura Orthopedic Medical
Group
Ventura Plastic Surgery Specialists
Dr. Samuel Bern
Dr. Laurie McCall
Ventura Rental Party Center
Ventura Sandwich Company, Inc.
Ventura Spaghetti Company
Ventura Visitors & Convention Bureau
Laverne Venus
Crystal Vidana
Julia Vinecour
Vista Cove Care Center at Santa Paula
Jessica Volentine
Lori Volk
Douglas & Moira Volpi
Gilbert & Carolyn Vondriska
Jakob & Marianne Vos
Roger & Kathryn Wachtell
Tom & Esther Wachtell
Joe & Sandra Wagner
Steven & Adelfa Wagner
Alex Waites
Edith Wald•
Carole Waltz
Barbara Wanamaker
Dr. Chung Nan & Men-Hua Wang
Monica Ward
Dr. Roz Warner & Dr. Michael Hogan
Edmund & Hilda Warren
Jeff Warrender
Dr. J.N. & Florence Warwar
Dr. Robert & Dr. Wendy Warwar
James Webb
Kathy Webb
Kristen Webb & Lei Asato
Les & Merrilee Weber
Robin Weber
Susan Webster
Rob & Jane Wedin
Ed Wehan
Bill Weirick
Dick & Jane Weirick
Melissa Weis
Norman•• & Lynn Weitzel
Rod & Katie• Weldon
Carol Welle
David Wellik
Wells Fargo Advisors
Wells Fargo Employee Donations
Diana Welsh
Jacquelyn Welsh
Allan & Joyce West
West Coast Vascular
Dr. Sydney Guo
Dr. Li Sheng Kong
Dr. Edward Li
Dr. C. Shawn Skillern
Christina & Jeff Westgate
Khaliqa Wheatley
Stan & Sherryl Whisenhunt
Heidi & Michael Whitcomb
Colleen Toy White & Art Bliss
Dave & Leila White
Victoria White
Marion “Bud” Whitehead•
Jim & Martha Whitledge
Roger & Janett Whitlock
Jo Ann Whitson
Theresa Whitt
Bonnie Wickersham
Patricia Wickersham
Duane & Sylvia Wikholm
Mary Wilborn
Paula Wilcox & Brent Ridge
Gary & Cheryl Wilde
Roger Wilde
Dr. Katharine Wilhelm & Andries Van
Schalkwyk
Rev. Jeff & Barbara Wilhelm
Dianne Wilkins
Dr. Douglas• & Katherine
Wilkinson
Susan Wilkinson
Ruth Willett
Merrill Williams
Terri Lee Williams
Dr. Tim & Mary Ann Williamson
Duane Williamson
Janice Willis
Lorena Willoughby
Dr. Rochelle• & Scott Wilson
Blake & Susanne Wilson
Michael Wilson
Todd Wilson
Ken & Jane Winter
Tim• & Terri Wolfe
Gary•• & Ann Wolfe
Jeff Wolfsberg
Dorothy Wood
Karin Wood
Dr. James & Kay• Woodburn
Dr. Doug & Caryn Woodburn
Stacey & Christopher Woodcock
Roy & Jan Worsham
Dr. John & Kathryn Wrench
Ken & Soni Wright
Lisa Wright
Terry & Cindy Wright
Ward & Margaret Wright
Willam & Karen Wu
Claudia Wunderlich
Herbert & Sue Yager
Kathryn Yamada
Sherry Yilmaz
Kei Mei Yim
Donald Yokum
Nanette Yoshimi
Archie L. Young
Martin & Doree Young
Paula Zajac
Ronald & Patricia Zenone
Zestnet, Inc.
Augustine Zevala
Yaning Zhang
Dudley & Mareen Zoll
Norma Zuber
in honor of
Dr. Stanley Frochtzwajg
PatientKeeper
Dr. James Halverson
Gerald Leavitt
Tom & Lydia Hopps
Dr. Phil & Millie Schofield
Christen Huff
Wayne & Nancy Huff
Bonnie Janik
Raymond & Carole Ann Janik
Jeff & Laura Loebl
Anonymous
Geri Meyerstein
Vic & Sue Georgino
Dr. Doug & Donna Nelson & Family
Huora Williams
Barbara Parsons & Roger Beerworth
Don Anderson & Nita Whaley
Dr. Martin Pops’ Birthday
Don Anderson & Nita Whaley
Suzanne & Berkley Baker
Peter & Barbara Haggerty
Mary & Tony Schmitz
Peggy Russell
Nancy Pepper
Dr. Raymond Sims
Rick• & Victoria Cline
Richard & Jane Weirick
Peter & Barbara Haggerty
Judge Toy White
Ventura County Medical Resource
Foundation
Monte Widders
Ventura County Community
Foundation
Dr. Doug Woodburn’s Birthday
Dr. Jim & Kay Woodburn
in memory of
Skip Alexander
Charles & Nancy Nordstrom
Maurice Bamberger
Hazan Samaniego
Mirko Basich
Silvia Basich
Bernard Behrendt
Ann Behrendt
Cecily Blake
Betty Matson
Richard Booth
Sharon Booth
Kimberly Booth
Morgan Margaret Elizabeth Broms
Dr. Bill Hart
Joan Bujold
Roger Bujold
Ben Chapman
Joyce Chapman
Richard Benjamin Chess, Jr.
Betsy Blanchard Chess
Jennifer Colborn
Dr. Bill Hart
Patricia Collins
Edward & Marguerite Webster
Joe Crotty
William Neville
Janet Chris Culton
Norman & Joan Blacher
Janet Chris Culton
Donna S. Keaton & Dr. David Culton
Dr. Bill Hart
Beryl Louise Hunter•
Shirley Knutson
Dr. James Cunningham
Dr. Nelly Mac
Charles Dart
Dr. Bill Hart
David Deamer
Dr. Richard & Ann Deamer
Mary Detmer
Bill & Maggie Mors
Louis Egus
Patty Egus
Florence England
Ted & Annette England
John Farnham
Ruth Farnham
Marge Fay
Jack Fay
Dolly Flanagan
Michael Flanagan
Lenore Gardner
Cynthia Gardner
Janice Goza
Dr. Bill Hart
Norma Griffith
Robert & Amy Dennis
Judy Guidotti
Donna Kirkmire
Nancy Hammond
Phil & Tucker Adams
Joan Kemper
Ron & Linda Phillips
Lee & Nova Hayes
Barbara Hayes
Ronald Hertel
Dr. Bill Hart
Ron & Barbara Rose
Claudette Shaw
Doug Shumway
Donald Holt
Dorothy Jue Lee
Thomas Horton
Jean Meckauer
Alva Ray Huckins
Sharon Booth
Beryl Louise Hunter
Bill & Kathy Crowe
Dr. David Culton
Carolyn Hertel
Carl Huntsinger
Carolyn Huntsinger
Marvin Isensee
Betty Isensee & Isensee
Floorcovering
Russ & Evelyn Jehnke
Barbara Hayes
Rick Kahana
Cheryl Cobb
Melissa Kennon
Geraldine Kennon
Clyde Kirchhoff
Wanda Kirchhoff
Chris Kluczynski
Weddle Industries
Eleanor Land
Claire Clark
Carolyn Leavens
Dr. Bill Hart
James Loebl
Dr. Bill Hart
Lily Lung
Dr. Harvey & Janna Shew
Jim McCune
Graham & Leeanne Smith
James McGahan
David Long & Shirley Critchfield
Irla Musgraves
Jim & Martha Whitledge
Grace Newell
Marc & Jan Key
Don & Linda Law
Leonard Banuelos Ortiz
Dr. Bill Hart
Don Petty
Dr. Bill Hart
Dr. Richard Puls
Dolly Puls
Holly Rayman
Dr. Michelle Azimov
Charlotte & Douglas Batistic
Terri Cammarano
Cecelia Chester-Gantt
CMHS Health Information Systems
Staff
Tannee Connally
Nancy Culton
Cynthia DeMotte
Michael & Angelica Donlon
Michael Ellingson
Jose & Linda Feliciano
Elaine Forest
Sandra & Thor Frandsen
Hope Rayman Friedman
Dave & Maryellen Glyer
Clifford Hamaishi
Marilyn & Jeffrey Harris
Dr. Bill Hart
David Howard
Diana & Daniel Jaquez
Claire Kageyama
Bill & Elise Kearney
Diany & Ronald Klein
Shirley Komoto
Ronald Koyasako
Miwako Koyasako
Mary Larramendy
Lisa Larramendy & Larry Rose
Haady & Anita Lashkari
Dr. Robert• & Lucy Ledner
Mike Lurie & Nancy Kochevar
Dr. Nelly Mac
Kris & Alfred Martins
Harry & Carolyn Maynard
Wayne & Michelle Mc Ghee
Debra & Stewart McCormack
Mary McCormick
Gary & Sonia Meneghin
Nancy Newell
Dan & Robyn Popescu
Dr. Martin & Barbara Pops
Emilie & Myron Rayman
Holly Rayman
Jean Robinson
Ric & Penny Ruffinelli
John & Peggy Russell
Stephen & Cheryl Saphos
Mary & Tony Schmitz
Ventura Emergency Physicians
Gary & Cheryl Wilde
Carolyn Yoshihara
John Real
Dr. Bill Hart
Juliana Robles
Don & Kimie Eisel
Nikolai Rudakov
Spencer & Mildred Mitchell
William Ruoss
Eric & June Ordway
Eugene Santo
Bimi Santo
William Saulmon
Lisa Larramendy
Jean Robinson
Sharon Louise Skercevic
Julian Eiland
Alan & Diana Loe
Edra Melnar
Arnie Moser
Jennifer Ralston
Chilant Sprague
Lerie Bjornstedt
Anthony & Kathan Glassman
J.T. Starr
Delena Starr
Henry Villierme
Barbara Villierme
Virginia Viola
Dr. Bill Hart
Wei-Yu Wang
Richard & Hui-Fang Lee
Susan Watson
Dr. David Watson
Norman Weitzel
Harry & Carolyn Maynard
Barbara Wheeler
Richard & Carolyn Wheeler
Marion “Bud” Whitehead
Dr. Bill Hart
Bill & Elise Kearney
Susan & Bill Mc Millon
Ron & Barbara Rose
Ted Wichman
Marjorie Wichman
Donald Woolsey
Thomas & Joan Follis
Dr. Bill Hart
•
•
•
•
CMH Foundation Board Member
OVCH Foundation Board Member
Board of Trustees
Deceased
We apologize for any omissions or
misspellings.
Last year we acknowledged Dr. David H.
Culton which should have listed Dr. David
H. Culton and Donna S. Keaton In Memory
of Janet Chris Culton. We apologize for
the error.
35
building a new
in Ventura
The new Community Memorial Hospital, scheduled for completion in late
2016, has begun the third and final phase of the project, which includes the completion
of exterior site work, a new parking garage and completing its interior.
The exterior work of the new CMH is rapidly coming to a close as the last few windows are installed, scaffolding
is coming down, and the awnings for the new hospital are being installed.
Permanent power for the building was recently turned on, and the exterior work elevators have now been disassembled as we are now using the interior elevators. On the inside, work crews are busy finishing the installation for
HVAC and the numerous interior lines for electrical, medical gases, data lines and water. Drywall is rapidly going up
and they are currently building the connecting hallways between the two hospitals.
The construction timeline has experienced some delays, and we anticipate that CMHS will take possession of
the finished hospital sometime late summer 2016. At that time, we will begin moving in equipment, stocking the
facility with supplies, and start training employees within their new work environment. We anticipate this will
take anywhere between 2-3 months before we officially open. During this timeframe we will be seeking official
certifications for the building to open.
36
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.
building a new
Construction has officially started on the new parking garage to support CMH and the surrounding
businesses. The initial work underway is the remediation of the weak soil that lies underneath the garage.
This work is identical to the process we completed for the new hospital, as drilling rigs core down into the
ground and replace the weak soil with a strengthened concrete slurry mix that fortifies the ground.
IC
BL
PU ING E
W K TUR
NE AR UC
P
R
ST
The new parking garage will feature 571 spaces, of which 200
will be allocated to the hospital. The garage is expected to be completed
mid-summer of 2016.
37
building a new
for the Ojai Valley
WING 1
15 BEDS
Patient Rooms
Patient Activity, Dining,
and Shower Rooms
Physical Therapy
Patient, Public,
and Staff Services
Nursing Services
WING 2
15 BEDS
Dietary Services
MAIN ENTRANCE
WING 4
15 BEDS
WING 3
15 BEDS
38
Utility, Materials,
and Laundry
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.
Ojai Valley Community Hospital and the Skilled Nursing Facility create
Why it is Important
OVCH’s current skilled nursing facility, the
Continuing Care Center (CCC), operates near
full capacity year-round. Located in a community where demand for post-hospitalization rehabilitation and long-term care will only increase,
the need for the CCC will continue to grow well
into the future. Revenues from the CCC enable
OVCH to subsidize its acute care and emergency
services, preserving resources that are essential
to our community’s health and well-being.
because
for the Ojai community
However, the current CCC is an aging structure
nearing the end of its useful life. Building a new
skilled nursing facility will be the determining
factor in ensuring the future of Ojai Valley
Community Hospital.
Today, with the building of a new
CCC, we have the opportunity to
join forces in providing care for our
loved ones well into the future.
The New Continuing Care
Center in Ojai Features:
• 60 beds – 6 Private Rooms
and 27 2-Bed Rooms
• Spacious Lobby and Dining Rooms
• Private Admitting Area
• Enlarged Physical Therapy
Department
• Lush Landscaping
•The partnership of OVCH with Community Memorial Health System gives
our medical resources strength and stability.
•The Emergency Department is there for us and it saves lives.
• We value how easy it is to access hospital services so close to home.
•OVCH touches the lives of thousands in the Valley.
• Short or long-term care is close to home.
• OVCH is a major employer in the Ojai Valley.
• A hospital here in Ojai allows physicians to live and work in our community.
•CMHS provides specialty care physicians for Ojai Valley residents, reducing the
need to leave the Valley for healthcare.
• It is unique for residents of a rural community to have a full-service, acute care
hospital and skilled nursing facility where they live.
• Local hospital services are important to many Valley businesses.
• Having OVCH here improves the quality of our lives in the Valley.
•The financial strength of the health system and the Continuing Care Center
enables CMHS to maintain a hospital in the Ojai Valley.
39
147 North Brent Street
Ventura, CA 93003
CLASSES & SUPPORT GROUPS
Every month, Community Memorial
Health System offers a variety of support
and informational meetings.
General Health
Bariatric Surgery Seminar
Bariatric Support Group
Better Breathers
Caregivers Support Group
Dietary Consults
Joint Replacement Education Class
Mindful Meditation
Pulmonary Rehabilitation Classes
Smoking Cessation Classes
Cancer Program
Advanced Stage Cancer Support Group
Breast Cancer Support Group
Cancer Support Group
Caregivers Group
Creativity Central
Dietary Consults
Feldenkrais (Movement Therapy)
Guided Meditation with Sharon Elvin
Head and Neck Cancer Support Group
Level 1 Yoga
Look Good, Feel Better
Lymphedema Screening Clinic
Lymphedema Support Group
Lymphedema Therapy
Mindfulness Based Stress Reduction
Prostate Cancer Support Group
Reflexology
Reiki for Cancer Patients
Restorative (Gentle) Yoga
Social Services
Stage I & II Breast Cancer Support Group
Tai Chi for Health
Yoga for Cancer Patients
Yoga Therapy for Cancer Patient
Heart & Vascular
Program
Blood Pressure Screenings
Diabetes Update
Heart Healthy Nutrition Class
Mended Hearts
Mini Stroke Screenings
Pacemaker and ICD Support Group
Prediabetes and Diabetes Screenings
Reiki Share for the Community
Stroke Support Group
Walking Fitness Program
Weight & Lifestyle Change Support Group
Yoga
Maternal
Child Health
Maternity Tour
Breastfeeding Support Groups
Prepared Childbirth Courses
Baby & Me (Birth to Crawling)
Community Forum (Birth to Pre-School)
Babysitting 101
Infant/Pediatric CPR
Sibling
Prenatal Yoga
cmhshealth.org /community

the titanium twins - Community Memorial Health System

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