New Life - Salinas Valley Memorial Healthcare System
Transcription
New Life - Salinas Valley Memorial Healthcare System
Lifeline Summer 2010 www.svmh.com A Public District Hospital Bringing New Life to the Old Greenhouse Stop germs in their tracks! There are many simple things you can do to prevent the spread of germs that cause illnesses like the flu. Forming a few good habits can make a big difference. When coughing or sneezing, cover your mouth and nose with a tissue. Toss used tissues in the nearest waste basket. Wash hands often, especially after you cough or sneeze. Wash for at least 20 seconds (about the time it takes to sing the Happy Birthday song) using warm water and soap or an alcohol-based hand cleanser. No tissue? Cough or sneeze into your upper sleeve or elbow—not into your hands. And be sure to tell hospital staff if you have flu symptoms—fever, headache, tiredness, dry cough, sore throat, nasal congestion and body aches—whether you’re checking in as a patient or visiting someone else. Find more great tips at www.cdc.gov/flu/protect/habits. 2 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Lifeline | contents Summer 2010 features Construction Update Getting to the Heart of the Matter Ask The Experts 12 The Healing Zone 15 Working Together Tune In to Good Health Online Patient TV 16 SVMHS Greenhouse 17 Palliative Care 20 New Life to the Old Greenhouse Designed for Patients On the cover: Salinas Valley Memorial Hospital recently restored the greenhouse that was part of the former Monterey County Agricultural Building. Salinas High School students who are part of the Future Farmers of America program join with hospital staff and local landscape firms to bring new life to the old greenhouse. (See page 17.) 8 Seismic Retrofit, 355 Abbott & Utility Tunnel testimonials 23 Peter Oppenheim 24 CVDC: Heart Disease Prevention Ray Franscioni Joint Replacement Center tips & more The Amazing Artichoke 51 A Public District Hospital 450 East Romie Lane • Salinas, CA 831-757-4333 • www.svmh.com L i f eline | S U mmer 2010 3 Lifeline | contents Summer 2010 Lifeline magazine reaches out to inform patients and the community of the services, activities and outreach programs of Salinas Valley Memorial Healthcare System. departments 5 President/CEO Message 26 Nursing 29 Women & Children’s Services Sam W. Downing, MBA, MPH Experiential Learning Center: Bringing Training to Life Family Focused Care The Nancy Ausonio Mammography Center Opens 34 SVMH Foundation 35 Harden Memorial Heart Center Events: Fall 2010 Wound Healing 40 Comprehensive Cancer Center 45 Children’s Miracle Network 47 Behind the Scenes with Kendra Howell 48 Sleep Center 47 The da Vinci Robotic System Coastal Kids Home Care Credits Lifeline Magazine Founder: Sam W. Downing, President/CEO Sleeping for Success Editor in Chief: Susan Hanks Marscellas, Vice President, Marketing & Public Relations Editorial Advisory Board: Sam W. Downing; Jim Griffith, Sr. Vice President, Strategic Planning & Development; Susan Hanks Marscellas; Lawrence M. Klainer, MD; Janet Marcroft donations 53 55 55 S A L I N A S 38 Clinical Research Trials Surgery 29 Steps to Protect Your Feet, and Your Health 43 26 Our Sophisticated Cardiovascular Care Program 38 Salinas Valley Memorial Healthcare System Board of Directors Nathan J. Olivas, President; Deborah M. Nelson, RN, MS, Vice President; James L. Gattis, Secretary; Harry D. Wardwell, Treasurer; Patrick Egan, Assistant Treasurer 32 4 Art Director/Graphic Designer: Janet Marcroft Memorials In Honor Of Contributions VA L L E Y M E M O R I A L H E A LT H C A R E Editorial Director: Lawrence M. Klainer, MD Editorial Staff/Writers: Melanie Chatfield, Sally Hekkers Marketing & Public Relations Staff: Courtney Casas, Bernadette Ortiz Photographers: Cook’s Photography, Richard Green, TGO Photography system president/ceo message Specialized care, close to home T hrough the dedication and support of our founders, Board, employees, medical staff, Foundation, volunteers and community, Salinas Valley Memorial Healthcare System offers stateof-the-art specialized care for people throughout our region. Some of those specialized care areas are highlighted in this issue of Lifeline. We recently opened the Nancy Ausonio Mammography Center. It is named in honor of Nancy Ausonio, a member of the Salinas Valley Memorial Hospital Foundation Board. Over the past several decades, Nancy has given generously of her time, talents, energy and resources to our Foundation and many other organizations throughout the County. Since we established the Harden Memorial Heart Program in 1987, thousands of people have received life-saving care. Our Program brings together physicians, nurses and other professionals who are experts in their field, advanced medical and diagnostic technologies, the latest treatment options and a system of support for people with cardiovascular disease and those who are working to prevent it. The turnout for our February Ask the Experts community lecture called Getting to the Heart of the Matter shows the community’s interest in heart healthy living and in the latest developments in our Heart Program. continued➤ Amy Lantis Stemerman, MD, Medical Director of The Nancy Ausonio Mammography Center Nancy Ausonio—the Mammography Center is named in her honor Mazhar Javaid, MD, FCCP, DABSM, Medical Director of Salinas Valley Memorial’s Sleep Medicine Center Our Harden Memorial Heart Program established in 1987 offers a system of suport for people with cardiovascular disease and those who are working to prevent it. L i f eline | S U mmer 2010 5 president | ceo’s message We are so proud of the transformation that has taken place at Natividad Medical Center (NMC)— a vital healthcare resource in our County. Just four years ago when we led an extensive effort to find real solutions to the financial problems that had plagued them for decades, NMC had a deficit of $25 million. Through a partnership we forged with Community Hospital of the Monterey Peninsula and the County of Monterey, NMC has seen a profit for the past three years. Today NMC has $32 million in the bank and no longer requires a subsidy from the County. In this issue, you’ll read about the specialized services we provide for women and children—wellness programs and screenings and comprehensive care for women of all ages, birthing services including a Level III Neonatal Intensive Care and a full range of expert care for children in our Pediatrics and Emergency departments. You will also find information on the new visitor policies we have implemented as part of our Healing Zone program. We look forward to the next decade of advancing good health and excellent care for people throughout our communities. The extensive construction project that will put us in compliance with new State seismic requirements well ahead of the deadline, is proceeding according to our plans. Our Emergency Department is operating in its larger space and has a new ambulance bay. We appreciate your understanding during this time of change. Sam Downing, MBA, MPH President/CEO 6 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Women and Children’s Services Salinas Valley Memorial Healthcare System offers a full range of services for you and your family. Help us in the Healing Zone See page 15. features Construction Update Ask The Experts 12 The Healing Zone 15 Online Patient TV 16 SVMHS Greenhouse 17 Palliative Care 20 testimonials Ray Franscioni 23 Peter Oppenheim, MD 24 8 tips & more The Amazing Artichoke 51 features Lifeline Summer 2010 L i f eline | S U mmer 2010 7 features | construction 9 10 11 page page page Seismic Retrofit 355 Abbott Street Utility Tunnel Construction Update Salinas Valley Memorial is committed to providing state-of-the-art medical facilities and technologies. We are continuously upgrading our physical facility. Since 1972 we have added 14 hospital structures— all of which meet the new earthquake standards. 8 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system construction update Seismic Safety Project on Schedule In June, Salinas Valley Memorial Hospital will complete two components of the seismic retrofit project, including the expanded Emergency Department that will support 20 treatment beds. The seismic retrofit continues with construction of reinforced concrete shear walls, extending from the foundation to the third floor. The main hospital entrance, lobby and admitting offices will move permanently to the new Tom Merrill Lobby. (See article, inside back cover.) Utilizing the incidental structural alteration construction model, the hospital will meet California seismic standards mandated by 2013. continued➤ Seismic Retrofit Following the 1994 Northridge earthquake, Senate Bill 1953 was passed requiring hospitals to meet California seismic standards by 2013. “This is as a way to ensure that the whole hospital is up-to-date, well-equipped and looking ahead to the future of healthcare in our region.” —Sam Downing President/CEO L i f eline | S U mmer 2010 9 construction update Future home of PrimeCare and Salinas Valley Memorial’s Sleep Center and Regional Wound Healing Center Construction is underway on a two-story, 45,000-square-foot medical office building at 355 Abbott Street in Salinas. PrimeCare, Monterey County’s largest primary care medical group, and Salinas Valley Memorial have partnered to build a technologically-advanced facility. 355 Abbott Street Did You Know? The 355 Abbott Street building is a LEED-certified facility. Leadership in Energy and Environmental Design (LEED), a rating system developed by the U.S. Green Building Council, defines green building practices and addresses issues from energy efficiency, carbon emissions and indoor air quality to use of sustainable materials that limit impact on the environment. 100% of the space was leased well before the work began 10 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system features Tunnel Facts •Tunnel/vault system is 435 feet long. San JOse Street Tunnel Utility Tunnel Completed in May Salinas Valley Memorial Hospital’s recently completed utility tunnel is located adjacent to San Jose Street between Los Palos Drive and Wilgart Way. The phone and data systems were installed in the tunnel in late May. The 435-foot-long tunnel is the first of two utility phases that support the hospital’s seismic retrofit project. The second phase will be the central utility plant with construction beginning next summer. At full build-out of the utility plant, the tunnel will serve as the conduit for all utilities from the plant to the hospital, including power, water, steam and medical gases, in addition to the phone and data systems. •The 77 precast tunnel sections are five-feet long, ten-feet high and ten-feet wide. Each section weighs 43,000 pounds. •Three precast vaults serve as entrance and exit points from the future central plant to the existing building. Each vault is 350,000 pounds. •Tunnel sections were manufactured in Pleasanton and Reno, NV, and shipped by truck to Salinas. •Landscape work and site restoration is underway, including planting pistachio trees on San Jose Street. L i f eline | S U mmer 2010 11 features | ask the experts Local experts get to the heart of the matter As part of the Ask the Experts community lecture series, Salinas Valley Memorial presented Getting to the Heart of the Matter on February 24. Attended by 140 people, the event featured physician presentations, cholesterol, blood pressure and blood glucose (sugar) screenings by Central Coast Visiting Nurse Association & Hospice (CCVNA) and heart healthy hors d’oeuvres. Three areas were highlighted—advanced cardiovascular diagnostics, sleep medicine and minimally invasive heart surgery. Learn about the latest developments in prevention and treatment for topics such as cancer, spine, joint and heart disease by attending our Ask The Experts series. For more information, visit www.svmh.com. Ask The Experts 12 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system features Sleep Medicine Center Cardiovascular Diagnostic Center at Ryan Ranch Timothy Albert, MD, FACC, Medical Director of the Salinas Valley Memorial Cardiovascular Diagnostic Center at Ryan Ranch explored how advancing technologies are enabling physicians to detect heart disease in its earliest stages. “The sooner heart disease is discovered, the more opportunity the person has to make lifestyle changes or get treatment that can prevent long-term complications,” says Dr. Albert. Stanford Cardiac Surgery Program at Salinas Valley Memorial “Minimally invasive surgical procedures such as heart valve repair or replacement and coronary artery bypass can be done through a smaller incision without having to open up the rib cage,” says Vincent DeFilippi, MD, FACS, Medical Director of the Stanford Cardiac Surgery Program at Salinas Valley Memorial. “Patients tend to have a shorter hospital stay and quicker recovery when minimally invasive techniques are used. Our partnership with Stanford enables us to offer a growing number of state-ofthe-art minimally invasive procedures here in Salinas.” << << << “People with sleep apnea tend to have a higher incidence of irregular heart beat and about one-third of people who have high blood pressure have sleep apnea,” says Mazhar Javaid, MD, FCCP, DABSM, Medical Director of Salinas Valley Memorial’s Sleep Medicine Center, who spoke on the lack of sleep as a risk factor in heart disease. “Anyone with heart disease or diabetes, who doesn’t feel refreshed after sleep and/or snores, should have an evaluation to rule out a serious sleep disorder.” continued➤ L i f eline | S U mmer 2010 13 ask the experts << Central Coast Visiting Nurse Association & Hospice Worksite Wellness Program Screenings by Central Coast Visiting Nurse Association & Hospice Nurses from Central Coast Visiting Nurse Association & Hospice (CCVNA) debuted a new portable A1C (Glycated Hemoglobin) unit that analyzes blood glucose levels over a period of time. “A regular screening measures the person’s glucose for that moment,” says Andrea Zoodsma, RN, CCVNA Community Services Program Manager. “For example, if he or she ate a candy bar shortly before the test, the glucose level appears high. In just 3 minutes, the A1C analyzes the blood glucose level for the past three months.” “The portable unit is especially useful to screen those at risk for Diabetes,” adds Kirsten Masters Salley, MS, CHES, CCVNA Community Services Representative. The CCVNA also offered cholesterol and blood pressure screenings at no charge for people who attended the event. Central Coast Visiting Nurse Association & Hospice (CCVNA), which has been providing home health and The Visiting Nurse Association & Hospice is the community outreach services in Monterey County for region’s oldest and largest home health care more than 50 years, recently partnered with Salinas Valley Memorial to expand their Worksite Wellness Program. agency, making over 75,000 annual home visits “We customize our program for each employer to improve to patients in Monterey and San Benito Counties employees health and productivity of employees,” says and the southern parts of Santa Clara and Andrea Zoodsma, RN, CCVNA Community Services Santa Cruz Counties. Program Manager. Employers can choose from three levels of services: tier one includes biometric screenings 5 Lower Ragsdale Drive, Ryan Ranch/Monterey, CA, 831-372-6668 and a Health Risk Appraisal for employees; tier two adds targeted health education based on the information already gathered; and tier three adds one-on-one employee coaching. “Our goal is to educate people to understand their screening results and risk factors, then empower them to make behavior changes to support a healthy lifestyle,” says Kirsten Masters Salley, MS, CHES, CCVNA Community Services Andrea Zoodsma, RN and Kirsten Salley, MS, CHES Representative. 14 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Working together to create the Healing Zone When you come to Salinas Valley Memorial, you enter the Healing Zone. The Healing Zone is a program designed to create a healing environment and keeps our patients, staff and visitors safe. The initial phase of the program focuses on our visitor policies. Key changes already in place include: •Visitors must check in at the Reception Desk inside the hospital’s current main entrance and be issued a visitor pass. Visitors coming in through the Harden Memorial Heart Center will be greeted and issued a visitor pass •People coming to the hospital for meetings will also be issued a visitor pass at the Reception Desk •Visiting hours are from 10:00 a.m. to 8:00 p.m. Be aware that visiting hours may be more limited on specific units such as Labor and Delivery, Mother/Baby and ICU/CCU •Visitors must be at least 14 years old •Two people at one time may visit a patient for up to 15 minutes Visiting Hours Limited visiting hours allow the patient privacy as well as uninterrupted time for much needed rest.1 Patient visiting hours are between 10:00 a.m. and 8:00 p.m. Please limit your visits to 15 minutes at one time. 1 2 3 Hand Washing Smoke-Free According to the Center for Disease Control (CDC), regular hand washing is the most effective way to prevent the spread of germs and disease. SVMHS abides by the State of California’s anti-smoking laws and is a smoke-free facility. Smoke is hazardous to the health of our patients, visitors, and staff and is only permitted outside the building in smoking areas. Cell Phones Some phone signals can cause dangerous interference with sensitive medical equipment such as ventilators and pacemakers. 2 For this reason, please make all cell phone calls outside the building. Age 14 and older Due to noise,2 safety, and privacy concerns, visitors under the age of 14 must be accompanied by an adult at all times. Limited Visitors Having too many visitors in a patient room at once makes it difficult for our nurses to provide the care our patients need and deserve. In addition, having many guests tends to lead to more noise, which causes stress to patients and disrupts the healing process.3 Please limit the number in the a quiet •Help ofusvisitors maintain patient room to two atby one avoiding environment time. conversations loud You can also support the Healing Zone by following these additional guidelines: If you’d like more •Do not visit if you are ill information on the •Wash your hands before Healing Zone, please According to the Division of Sleep Medicine at Harvard Medical School, sleep greatly benefits a weakened immune system-those who sleep more while suffering from an infection are better able to fight it that those entering patient care areas. who sleep less. (http://healthysleep.med.harvard.edu/healthy/matters/consequences/sleep-and-disease-risk) visit www.svmh.com, A University of Amsterdam study found that hospital critical care equipment is vulnerable to electromagnetic interference from wireless technology such and devices. In 50 recorded incidents of cell This isas mobile thephonesnumber one phone interference, 75% of these were classified as significant askor hazardous. for a brochure or way to prevent the spread According to studies conducted by The People’s Medical Society, noise causes stressin on patients, raising blood pressure and causing negative physiological reactions. In addition, excess noise not only talk with aunnecessary nurse the directly affects healing, but also has a detrimental effect on the efficiency of the hospital staff. of germs area you are visiting. or music, especially in patient’s rooms and hallways Quiet Zone Patients need a quiet, peaceful environment during the healing process. They also need plenty of rest—it has been proven that without enough sleep, our bodies recover much less quickly.3 Out of respect to our patients, please be aware of your volume at all times. Latex-Free Balloons According to the FDA, latex balloons pose a serious, potentially fatal threat to patients, visitors and staff with latex allergies. If you bring balloons, make sure they are made of non-latex material, such as mylar or vinyl. •Don’t smoke anywhere on hospital grounds •Do not bring latex balloons to patients—mylar only L i f eline | S U mmer 2010 15 features | online patient tv Tune In to Good Health Online Patient Television: Take a look at Salinas Valley Memorial’s revamped, state-of-the-art, bilingual online television system. Brand-new 26-inch flat-screen sets have replaced the old, clunky sets. Once-limited viewing choices include a wealth of programs: hospital information, health education, spiritual and relaxation, regular network and cable, premium movies and soothing radio music. Digital Pillow Speaker: Patients use the digital pillow speaker to call the nurse, adjust bedside lighting and access the television set. Patients can request specific programming on demand and toggle back and forth from one program choice to another. “We’ll constantly add programs to the Online Patient Television system. For example, Patrick Flannigan, MD, a local physician, and a published poet reads from his book of poetry ‘When Sunflowers Speak: An Invitation to Contemplation.’” —Brian Janicula Assistant Director of Audio Visual and Event Services A Complex Project: “Sam Downing [President/CEO, SVMHS] wanted a better system for hospital patients. We took it to a new level, using the latest technology,” says Ken Goebel, Executive Administrative Director of Nutrition and Environmental Services. “Installation of hardware, running new data and video cable to each room, and replacing 266 television sets was completed in February 2009,” says Brian Janicula, Assistant Director of Audio Visual and Event Services. Janicula headed up the project and hospital staff members recommended content choices. Benefits to Patients: Educational, spiritual and entertainment choices were expanded and the technical presentation was significantly upgraded. Brian Janicula says, “I think that Online Patient Television helps patients heal. Health education programs answer questions about specific illnesses and the CARE channel has a large variety of nature scenes. A separate channel shows video of the immune system— guided imagery used as a healing technique.” MAIN MENU/Online Patient Television WELCOME: Message from CEO Sam Downing; Mission Statement, and Information about the Online Patient Television 16 S A L I N A S VA L L E Y M E M O R I A L HOSPITAL INFORMATION: HEALTH EDUCATION: SPIRITUAL/ RELAXATION: TV/ ENTERTAINMENT: Patient/Guest/Hospital Information; the Centers of Excellence Cardiology; Maternity; Newborns; Pediatrics; Joint/Spine; Oncology; Diabetes; Respiratory; Renal/Medical Surgical; Ostomy Spiritual/Pastoral Services; CARE Channel; Guided Imagery; Spiritual Care Videos; Poetry read by Patrick Flanigan, MD 60 Television Channels; Music/Radio; Premium Movies in English and Spanish, and SVMHS’s Lifeline Channel H E A LT H C A R E system features | greenhouse Bringing New Life to the Old Greenhouse “We are in the Salinas Valley, so it makes sense to partner with local agricultural students. This project is a perfect fit for our ‘Go Green’ program.” —Ken Goebel Executive Administrative Director of Nutrition and Environmental Services continued➤ L i f eline | S U mmer 2010 17 greenhouse “Salinas Valley Memorial Hospital recently restored the old greenhouse that was part of the former Monterey County Agriculture Building—now the Nathan Olivas Center—at 120 Wilgart Way,” says Ken Goebel, Executive Administrative Director of Nutrition and Environmental Services, and co-chair of the Go Green Program. “The greenhouse had set idle, and it made sense to use it for our hospital’s kitchen. In true back-to-the-soil, community spirit, two local landscape firms and students from the Future Farmers of America Program (FFA) at Salinas High School planted the first crop of vegetables and herbs.” “It’s great for our Future Farmers of America students to work with Salinas Valley Memorial Hospital, which is a pillar of our community. We want people to know about FFA’s positive student activities. Hopefully, the hospital’s support will encourage more students to join our agricultural program.” —Lindsay Almond Salinas High School Agricultural Program Teacher and FFA Advisor 18 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Above: Anthony Valenzuela Below: Hannah Leeke and Julia Felice features Project Participants The Restoration Hospital staff: Brent Kemp, Assistant Chief Engineer, and Jan Hollenbeck, Lead Gardener, both in the Engineering Department The small greenhouse is about 13 by 33 feet. Renovation included repair of water and power sources and installation of a new fan and automatic irrigation system. Existing clay pots were used. Pea gravel replaced the original rock ground cover, which was recycled to another hospital project. Local Nurseries: Steve McShane, McShane’s Nursery, and Doug and Linda Roach, Estate Landscaping Salinas High School Future Farmers of America Students: Zach Taylor, Anthony Valenzuela, Brianna Watkins, Hannah Leeke, Julia Felice and teacher/advisor Lindsay Almond Community Connection Goebel enlisted volunteer advice and services from Estate Landscaping and McShane’s Nursery. Steve McShane, who serves on the Advisory Committee for Salinas High’s Agricultural Program, suggested involving the students. Teacher Lindsay Almond recruited the students to help from start to finish as part of her program’s curriculum. New Use of Greenhouse Using organic soil and materials, the goal is to continue growing seasonal produce. Plantings include baby lettuce, carrots, radishes, a variety of herbs—chives, oregano, parsley, thyme and marjoram— and cherry tomatoes. The harvest bounty will be used in the hospital’s kitchen. L i f eline | S U mmer 2010 19 features | palliative care This year, Salinas Valley Memorial Hospital is implementing a Palliative Care Program. Lifeline spoke to David Kasting, MD, Director for Special Projects at the hospital, about how palliative care affects patients and their families. Following is the first in a series of Lifeline articles about palliative care. Palliative Care Designed for Patients How Palliative Care Helps Patients: Controls symptoms such as pain, nausea, fatigue, depression, loss of appetite, difficulty sleeping, shortness of breath or anxiety 20 S A L I N A S VA L L E Y M E M O R I A L Improves communication and coordination with the patient, the family and the physicians H E A LT H C A R E system Provides emotional support by focusing on the entire person, not just the illness Helps patients understand treatment choices and how to make difficult decisions Offers support to the family and caregiver who also experience stress —Laura Stampleman, M.D. Medical Director, Comprehensive Cancer Center, SVMHS features “Curing a disease is only one part of medicine. The other equally important goal is to provide both physical and emotional comfort to our patients. Palliative care specialists are trained to do just this and will add immeasurably to our goal of healing our patients.” Lifeline: What is palliative care? Dr. Kasting: Palliative care is a multifaceted program that focuses on pain and symptom management, patient/family/physician communication and coordination of care across the healthcare setting. The palliative care approach manages the patient’s symptoms while the patient receives acute and curative treatment. This medical subspecialty is patient-centered care and is an enormous step forward in treating seriously and chronically ill patients. Lifeline: How does palliative care differ from hospice care? Dr. Kasting: Palliative care—unlike hospice care—does not depend on a prognosis. Palliative care is typically inpatient care, given while the patient receives curative, life-prolonging treatment. Hospice care, or end-of-life care, administers treatment focusing on the patient’s comfort in the patient’s home. While palliative care and hospice care patients may receive relief from the pain, symptoms and the stress of a serious illness, the main difference is that the palliative care patient continues curative treatment. Lifeline: Who is likely to receive palliative care treatment? Dr. Kasting: Our sickest and most vulnerable patients, no matter their age, experience physical and emotional symptoms related to their disease and medical treatments. These illnesses may include heart disease, cancer, stroke, lung disease, renal failure, AIDS, Alzheimer’s, multiple sclerosis and many others. continued➤ L i f eline | S U mmer 2010 21 palliative care Palliative care is a multifaceted program that focuses on pain and symptom management, patient/family/physician communication and coordination of care across the healthcare setting. Lifeline: Why is the focus now on palliative care? Dr. Kasting: Palliative care encourages the patient and family to participate more fully in the treatment plan. It was developed to support the patient and the family with a serious illness. The immediate goal of primary care physicians is to heal their patients. The palliative care team works with the patient and physician on physical, social, psychological and spiritual concerns. These specialists are trained to help patients navigate through difficult decisions and choices and quality-of-life issues. Lifeline: Describe the Palliative Care Program at Salinas Valley Memorial. Dr. Kasting: The Palliative Care Physician/Medical Director provides oversight of a multi-disciplinary care team of nurses, pharmacists, spiritual advisors, social workers, nutritionists, integrated therapy services specialists and the Central Coast Visiting Nurse Association. Patients have the option to add palliative care to the treatment plan outlined by the primary physician. Similar programs are being developed in hospitals throughout America as medical professionals acknowledge palliative care as an efficient delivery of health care. “Palliative care is the medical sub-specialty focused on treating the pain, symptoms and stress of serious illness. It is designed to support any other treatment patients receive by helping them live comfortably throughout their illness.” —Center to Advance Palliative Care New York, NY 22 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Lifeline: Does increased life expectancy of Americans affect palliative care? Dr. Kasting: Yes, because the number of seriously and chronically ill patients in the United States is growing. By 2030, it is expected that the number of older Americans will equal 70 million, or one in every five Americans. With advances in medical technology, older adults will live longer, but often with serious and chronic diseases. The importance of palliative care will only increase. testimonials | joint replacement “I feel like I’m 25 again!” Ray Franscioni “I lived with severe pain in my hip for ten years after a horseback riding accident,” says Ray Franscioni. “It was difficult to walk or even bend over to tie my shoes.” His doctor referred him to Allen Hershey, MD, an orthopedic surgeon, who recommended hip replacement at Salinas Valley Memorial’s Joint Replacement Center (JRC). After attending the pre-surgery orientation class, Ray had minimally-invasive hip replacement surgery at the JRC in August 2008. Minimally-invasive techniques often allow a shorter hospital stay, have a reduced risk of infection, less blood loss, and a quicker recovery and return to daily activities. “One key to my good recovery was having a great nursing staff—they actually made the process fun,” says Ray. “It was great that I could get this level of care without having to leave the area. Today, I’m pain free and can walk, even run—it’s amazing. I can’t say enough good things about the whole experience. I feel like I’m 25 again!” testimonial L i f eline | S U mmer 2010 23 testimonials | cvdc testimonial Physician and patient— Peter Oppenheim, MD With a long history of heart disease in his family, Peter Oppenheim, MD knew that he was at risk. “My blood pressure and cholesterol levels were borderline high, but I thought I was managing both with diet and a lot of exercise,” says Dr. Oppenheim, a family medicine specialist on the medical staff at Salinas Valley Memorial. “I could bike for hours and run triathlons, and never had chest pain or discomfort. I didn’t want to start taking medications unless I had to.” On the drive home after cycling in the 100-mile Best Buddies event in 2007, Peter chatted with Timothy Albert, MD, cardiologist and director of Salinas Valley Memorial’s Cardiovascular Diagnostic Center at Ryan Ranch (CVDC). “He told me about the advanced CT scanner.” A Coronary Calcium Scoring and CT angiogram revealed moderate blockages caused by high cholesterol. “Tim walked me through the results and recommended cholesterol lowering medication.” “In my practice, I promote a healthy diet and regular exercise as first line therapy to prevent and treat heart disease,” he continues. “Since my own experience, I’ve referred many patients to the CVDC so we can know if they are at risk as well as understand the risks. We can make informed decisions about starting medication, in addition to eating well and exercising regularly. We all want to live a long and healthy life.” 24 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system “Since my own experience, I’ve referred many patients to the CVDC so we can know if they are at risk or already have heart disease.” departments Experiential Learning Center 26 Women & Children’s Services 29 The Nancy Ausonio 32 Mammography Center SVMH Foundation Events 34 Harden Memorial Heart Center 35 Wound Healing: Your Feet 38 Comprehensive Cancer Center 40 The da Vinci Robotic Surgical System 43 Children’s Miracle Network 45 Sleep Center 48 donations 53 departments Lifeline Summer 2010 L i f eline | S U mmer 2010 25 departments | nursing Experiential Learning Center Salinas Valley Memorial’s new Experiential Learning Center brings training to life for nurses, physicians and other staff. On the other side of a one-way mirror, an educator operates the simulators while cameras record the entire training experience. 26 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system departments Located in our education Center on Abbott Street, the Experiential Learning Center features a state-of-the-art simulation lab that uses life-like mannequins programmed to act out specific patient conditions. The high-tech simulators include two adult males, a female that can simulate delivery of a baby among other scenarios, and an infant. continued➤ “These specialized mannequins make sounds, have a heart beat and make other movements that vividly portray a real-life situation.” — Judy Snyder, MS, RN, BC Director of Education and Patient Care Systems L i f eline | S U mmer 2010 27 nursing “The Experiential Learning Center is another demonstration of our leadership in technology and a commitment to continuing education that improves patient safety and quality of care.” —David Perrott, MD, MBA Senior Vice President, Medical Director Quality Management and Safety Services Training with Simulation— Preparing for Real-life Situations Maura Baker, RNC, a nurse in our Neonatal Intensive Care Unit (NICU), completed simulation training that practiced resuscitation and intubations of a newborn. “You can hear the heart beat and the mannequin responds just like a real baby,” she says. Maura—along with other NICU nurses, respiratory therapists, labor and delivery and operating room nurses, and neonatalogists—put the skills they practiced into action when triplets were born and needed special care in the NICU. “We had practiced, so we knew what to do and when to do it. Simulation training is very realistic. It helps me be a better nurse.” 28 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E “We set up the simulators to act out specific scenarios that the nurse or other professional responds to,” says Judy Snyder, MS, RN, BC, Director of Education and Patient Care Systems for Salinas Valley Memorial. “These specialized mannequins make sounds, have a heart beat and make other movements that vividly portray a real-life situation. These are typically situations that can occur at the hospital, so it provides an excellent way to keep those life-saving skills honed.” On the other side of a one-way mirror, an educator operates the simulators while cameras record the entire training experience. After the simulation, there’s a review to identify areas of strength and those needing improvement or additional practice. “The ELC is another demonstration of our leadership in technology and a commitment to continuing education that improves patient safety and quality of care,” says David Perrott, MD, MBA, Senior Vice President, Medical Director, Quality Management and Safety Services. “While large hospital systems, nursing schools and university medical centers often have simulation training capabilities, it’s unusual for community hospitals. system The ELC also features traditional classrooms, computer rooms and a separate skills lab for nursing orientation. The ELC is set up just like the patient rooms to replicate actual surroundings and equipment. Nurses who work in Salinas Valley Memorial’s Neonatal Intensive Care Unit (NICU) were the first group to use simulators for training in October 2009. “We used the SimNewB™—a sophisticated, life-like newborn-size mannequin—to practice specific skills and emergency situations that happen for nurses in labor and delivery and in the NICU,” says Rachel Failano, MSN, RN, Clinical Simulation/Skills Lab Coordinator. “In March 2010, we initiated team skills practice with members of our Rapid Response Team (RRT). RRTs include hospitalist physicians, respiratory therapists, nurses and other clinical professionals who work as a team to care for patients who are having problems or taking a turn for the worse. This proactive response can make a real difference for the patient. Soon, we will use the ELC to train staff throughout our healthcare system.” departments | women & children’s services Family focused care Designed with women, children and growing families in mind Birthing Services Perinatal Diagnostic Center Neonatal Intensive Care Unit The Stanford Connection Pediatrics Education and Support Mark Velcoff, MD Asthma Day Camp Whether you’re fresh out of high school, a new mom, busy raising children, approaching menopause or somewhere before, after or in between, Salinas Valley Memorial Healthcare System offers a full range of services for you and your family. From wellness programs, screenings and comprehensive care for women of all ages to birthing services, and our kid-friendly Pediatrics Department, we’re here to help keep your family healthy, happy and strong. Our Perinatal Diagnostic Center and Level III Neonatal Intensive Care Unit, operated in partnership with Lucile Packard Children’s Hospital at Stanford, provide expert care for women with a high risk pregnancy or emergency, and premature or critically ill infants. Services are available in both English and Spanish. continued➤ L i f eline | S U mmer 2010 29 women & children’s services Birthing Services From the moment you know that your baby’s on the way, there’s a lot to think about, plan and prepare for to welcome the newest member to your family. That’s why we offer a comprehensive program of services that help you anticipate and plan for your baby’s arrival. Nursing staff, specially-trained in labor and delivery, are part of the team who will care for you and your baby during delivery and in our Mother/Baby unit where you can enjoy time with your family. Perinatal Diagnostic Center The Perinatal Diagnostic Center (PDC) team includes a perinatalogist, perinatal sonographer and a genetic counselor. They offer pre-pregnancy consultation on issues such as maternal age, medical concerns or family genetic complications, genetic screening and testing. There are obstetric imaging services with high level ultrasound using new state-of-the-art equipment with 3-D and 4-D capabilities. They also care for women who have a high-risk pregnancy, those who experience complications during pregnancy and women who are carrying more than one baby. For more information call the PDC at (831) 759-3265. Neonatal Intensive Care Unit Our Level III Neonatal Intensive Care Unit (NICU), certified by California Children’s Services, is a highly-specialized nursery staffed and equipped to care for premature and critically ill infants. Our NICU is staffed around-the-clock by a team of experienced specialists, including neonatologists, neonatal intensive care nurses, clinical nurse specialists, physical and occupational therapists, neonatal dietitians, lactation consultants, respiratory care therapists and case managers. 30 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system The Stanford Connection Both our NICU and PDC are jointly owned and operated with Lucille Packard Children’s Hospital at Stanford. Our physicians, who are also on the faculty at Stanford University School of Medicine, confer with specialists at Packard Children’s through a live, high-speed audio/ video link. The results of echocardiograms and other diagnostic images can be shared and discussed via this link. This partnership allows us immediate access to Stanford’s specialists without having to transport the baby out of the area. departments Kid’s health—Pediatrics at Salinas Valley Memorial If your child gets sick or is injured, there’s expert care right in the neighborhood. • Around-the-clock care is provided by a staff that includes registered nurses specially-trained in pediatric care. • Rooms are cheerful and colorful. Arrangements can be made so that one parent can spend the night in their child’s room. • The procedure room features a purple hippo-shaped treatment table and is festively painted with playful animals on the walls. • Hand-painted, floor-to-ceiling murals line the walls and hallways. • Our playroom features hand-painted chairs, a doll house, books, toys and a large screen TV. • Play, art and music programs help children express their feelings and better understand their illness and why they’re in the hospital. • The Emergency Department also has specialized staff, procedures and equipment tailored to the smaller size and lower weight of young children. Mark Velcoff, MD Asthma Day Camp This camp is a safe, nurturing environment where children ages 6 through 12 learn to manage their asthma while having fun. And there are lasting benefits for campers—the 500+ campers since 1985 have reduced school absences by 62 percent, visits to the emergency room by 65 percent and hospital admissions by 59 percent. For more information or to register your child, call the Respiratory Care Department at (831) 755-0782. Education and Support From preparing for your baby’s arrival to ongoing support groups and classes, we offer a wide range of services that can really help. For a complete list, visit www.svmh.com or call (831) 753-BABY. • Childbirth Preparation • Breastfeeding Made Easy • Sibling Preparation • Complimentary Tours • Infant and Parent Communication and Massage Eight benefits of breastfeeding for your baby and you 1. Gives your infant all the nutrients 4.Acts like a natural tranquilizer for 2. Helps your baby’s body fight infections 5. Produces a hormone-induced needed for physical and mental development. and develop a healthy immune system. It can also reduce your baby’s risk of developing Type 1 diabetes, allergies, SIDS, lymphoma, obesity and other diseases later in life. 3. Protects you by lowering your risk for osteoporosis, ovarian and breast cancers, post-partum depression and other conditions. baby and you, so you both get the sleep you need. contentment. 6.Promotes closeness and bonding between you and your baby. 7. Helps you lose your pregnancy weight faster. 8.There’s nothing to mix, heat or refrigerate. And it can save you money on food and healthcare costs. L i f eline | S U mmer 2010 31 departments | women & children’s services The Nancy Ausonio Mammography Center Opens Salinas Valley Memorial has opened the state-of-the-art Nancy Ausonio Mammography Center. “Nancy is a long-time member of our Board and a caring, generous member of our community,” says Shirley Lavorato, President of the Salinas Valley Memorial Hospital Foundation Board of Governors. “Naming the mammography center in honor of Nancy Ausonio is a tribute that recognizes her thoughtful contribution, and decades of philanthropic, community and humanitarian work,” says John Meyer, Senior Administrative Director, Salinas Valley Memorial Hospital Foundation. “We appreciate her leadership, generosity and commitment to the Foundation, the hospital and communities throughout Monterey County.” Nancy Ausonio Nancy Ausonio is a lifelong resident of Monterey County. She and her husband Andrew founded Ausonio Construction, based in Castroville. She has received many honors for her community service locally and in her parent’s home town of Lucca, Italy. Nancy is a current member of the Salinas Valley Memorial Hospital Foundation Board of Directors, served on the Board 2003 through 2006 and was its president for two years beginning January 1, 2005. She is an active member of the Executive, Building Fund Campaign and Berries & Branches committees, among others. When the Children’s Miracle Network wanted to build a home as a fund raiser, Nancy generously donated the Prunedale property. Building trades professionals from throughout the County contributed their labor and materials. When the Miracle House sold in 2003, it raised $549,000. 32 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system departments The 9,425-square-foot Mammography Center is located at 240 San Jose Street, adjacent to the SVMHS hospital campus. It features four digital mammogram units, three ultrasound machines including one that is dedicated for use in biopsies, an advanced stereotactic (computer-aided) biopsy table and a bone density scanner. A picture archiving and communications system (PACS) enables review of scans online. There is a soothing, spa-like atmosphere—special attention was given in creating a peaceful environment. The Mammography Center is a comfortable place for mammograms, biopsies and other diagnostic procedures. “We offer excellent screening for early detection of breast cancer and help women who have cancer throughout their treatment and follow-up,” says Amy Lantis Stemerman, MD, Medical Director. The team includes board-certified radiologists—Donald Catalano, MD, James Kowalski, MD, David Staunton, MD, Kristen Wulff, MD and Dr. Stemerman—a registered nurse, mammography technologists, ultrasound sonographers, receptionists and office staff. “My focus is on ensuring quality patient care and patient satisfaction not only with diagnoses, but throughout treatment and ongoing care,” says Ginny Williams, MSN, RN, Director. “We want everyone who comes to the Center to feel supported and cared for.” For more information, call (831) 759-3091. “It’s wonderful to see our Foundation dollars at work. The Nancy Ausonio Mammography Center will help save the lives of people throughout our region.” —Shirley Lavorato President of the Salinas Valley Memorial Hospital Foundation Board of Governors Amy Lantis Stemerman, MD Medical Director of the Nancy Ausonio Mammography Center Raised in the Salinas area, Amy Lantis Stemerman, MD earned her medical degree from Louisiana State University Health Science Center, Shreveport in 2001. She completed a general medicine internship there, and a residency in diagnostic radiology and a magnetic resonance imaging fellowship at the University of Texas at Southwestern, Dallas. Certified by the American Board of Radiology, Dr. Stemerman joined Salinas Valley Imaging and our medical staff in November 2008. Ginny Williams, MSN, RN Director, Nancy Ausonio Mammography Center Ginny Williams has more than 30 years experience in nursing at SVMHS. Prior to assuming her new position, she was Director of Clinical Informatics for three years, and a Clinical Nurse Educator in the hospital’s Comprehensive Cancer Center and Pediatrics Department for five years. She graduated from nursing school at Grayson County College, Sherman, TX in 1980. She earned her bachelor of science in nursing from San Jose State and a master of science in nursing from California State University, Dominguez Hills. L i f eline | S U mmer 2010 33 departments | foundation events events fall 2010 For a complete list and updated event information, visit www.svmh.com or call 831-759-1890. September 10-12 Cherry’s Jubilee Motorsport Festival 2011 January CMN Gala November 11-12 Berries & Branches Holiday Home Tour 34 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system departments | harden memorial heart center The Harden Memorial Heart Program at Salinas Valley Memorial When most of us hear the term “cardiovascular disease,” we think of coronary artery disease (also called heart disease) where the arteries to the heart become clogged or blocked. While this is the number one killer of both men and women and touches millions of Americans, it’s just one type of cardiovascular disease. In truth, cardiovascular disease encompasses many conditions related to the heart and how it functions— from abnormal heart rhythms and valve disease to heart failure and blood vessel (vascular) disease. Salinas Valley Memorial’s Harden Memorial Heart Program— established more than 23 years ago continued➤ L i f eline | S U mmer 2010 35 harden memorial heart center The good news is that sophisticated cardiovascular care programs like the Harden Memorial Heart Program of Salinas Valley Memorial Healthcare System, established more than 23 years ago, are helping to turn the tide in your favor. Our Program offers a full circle of care for people with heart disease and those who are working to prevent it—from resources to help reduce your risks to state-of-the-art open heart surgery and catheterization procedures, advanced diagnostics, cardiac rehabilitation, emotional support and education for you and your family, and in-home follow-up care. Cardiovascular Clinical Research and Data Program Salinas Valley Memorial participates in many national and international clinical research trials for the treatment of cardiovascular disease. This means that people in our communities have access to advanced treatments without having to travel out of the area. Some of our current research studies include those involving carotid artery, coronary artery and peripheral vessel stents, pacemakers and implantable defibrillators. We are also part of an international investigational drug study for treatment of Acute Coronary Syndrome. Our Cardiovascular Clinical Research and Data Program participates in Registries through the American College of Cardiology, the Society of Thoracic Surgeons and the State of California CABG (Coronary Artery Bypass Graft) Outcomes Reporting Program. Do you know the warning signs of a stroke? If you have any of these symptoms, call 9-1-1. Do you know the warning signs of a heart attack? If you have any of these symptoms, call 9-1-1. •Pressure, squeezing, fullness or pain in the center of the chest, that lasts more than a few minutes, or goes away and returns •Pain or discomfort in one or both arms, back, neck, jaw or stomach •Other signs like breakingout in a cold sweat, or feeling nauseous or lightheaded •For women, as with men, chest pain /discomfort is a major warning sign, but women are more likely to also have other symptoms such as shortness of breath, nausea/vomiting and back or jaw pain Education and Support The Harden Memorial Heart Program offers a variety of education and support groups free-of-charge to patients, their families and members of the community who want to learn more about regaining and maintaining a healthy heart. Some of our current offerings include: • Heart Healthy Living - Stress Management Support, Evening Series • Pacemaker and Implanted Cardioverter Defibrillator (ICD) Classes • Heart Healthy Lectures For a detailed list of classes, support groups and other activities, visit www.svmh.com or call (831) 759-1890. continued➤ S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system •Sudden confusion, trouble speaking or understanding •Sudden vision trouble in one or both eyes •Shortness of breath—with or without chest pain 36 •Sudden numbness or weakness of the face, arm or leg, especially on one side •Sudden difficulty walking, dizziness, loss of balance or coordination •Sudden, severe headache with no known cause of the Harden Memorial Heart Program team Our team of cardiologists and cardiac surgeons trained at the country’s most highly-respected universities and medical centers. They participate in ongoing training to stay ahead of the latest advancements. services 02 Expert services include cardiac catheterization procedures such as angioplasty, stent placement, implantation of pacemakers and defibrillators, and open-heart surgeries including coronary artery bypass grafts and valve replacements. diagnostic tests 03 We perform more than 30,000 cardiac diagnostic tests each year. research trials 04 Since 1995, more than 650 patients have participated in 70 national clinical research trials. cardiac rehabilitation 05 Every year, more than 120 people participate in our Cardiac Rehabilitation Program—one of only 37 programs in California to earn certification by the American Association of Cardiovascular and Pulmonary Rehabilitation. nurses 07 CVDC 01 06 Specially trained and certified Registered Nurses provide around-the-clock patient care. departments 12 Highlights Our Cardiovascular Diagnostic Center at Ryan Ranch, established in 2007, brings together experts in cardiology and advanced imaging with state-of-the-art technologies— MRI, CT and nuclear medicine—to detect and diagnose cardiovascular disease even before there are symptoms. 08 Electrophysiology Our Electrophysiology Program offers the most advanced diagnostics and treatments available today for people with cardiac arrhythmias (irregular heart beat). da vinci robotic surgical system 09 The Heart Program features two state-of-the-art operating rooms equipped with the latest advances in surgical technologies including the da Vinci® Robotic Surgical System. The robotic system gives surgeons additional ways to perform minimally invasive cardiac surgeries. technology 10 In 2009, we added significant technologies including three- and four-dimensional echocardiograms and the capability for physicians to read electrocardiograms online. CCVNA 11 Specially-trained professionals of Central Coast Visiting Nurse Association and Hospice care for over 700 heart patients each year during more than 13,000 home visits. Stanford 12 In September 2008, we partnered with Stanford Hospital and Clinics and launched the Stanford Cardiac Surgery Program at Salinas Valley Memorial. Our history of excellence in cardiovascular care and Stanford’s leadership in academic center medicine significantly advances cardiovascular care in our region. L i f eline | S U mmer 2010 37 departments | wound care Steps to protect your feet, and your health Established in 2005, Salinas Valley Memorial’s Regional Wound Healing Center has restored quality of life for people with hard-to-heal wounds. A common place for a wound to occur is on the feet. “That’s especially true for people who lack sensation in their feet due to diabetes or vascular disease,” says Chris Cagle, RN, BSN, Wound Care Manager. “A cut or sore can form without the person’s knowledge due to the lack of feeling. Anyone with a wound that doesn’t show signs of healing after four weeks and isn’t completely healed in eight weeks should seek medical treatment.” 38 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system “A foot wound can make it difficult for a person to move around, and participate in exercise or other activities essential to good health,” says Cagle. “Foot care is important for everyone, but if you have poor circulation in your feet or nerve damage in your feet or legs, or have diabetes, you need to take special precautions.” “Healing foot wounds takes a partnership between patients, their family or caregivers and us,” Chris Cagle says. “We focus on educating each patient as well as his/her family and work closely with the home health agencies when home care is needed. It’s important for departments A special team at the Wound Healing Center—that includes orthopedic, vascular, plastic and general surgeons, physicians specializing in infectious disease, podiatrists, specially-trained nurses and physician assistants—care for people with foot wounds. people to know that there is hope and help and that they do not have to live with a wound— treatment and ongoing self-care can make a world of difference.” For more information, call the Wound Healing Center at (831) 759-3236. Important steps that people with diabetes or poor circulation should take: Check your feet every day, looking carefully at the soles and between toes. Tell your doctor right away if you find a blister, puncture, crack or sore Indoors or out, never go barefoot Don’t wear garters and elastic bands to hold up socks or panty girdles that are tight around your legs Avoid exposing your feet to extremes in temperature— too hot or too cold Get a foot exam at least twice a year Keep nails trim and cut straight across; don’t round the corners. Talk to your doctor or nurse if you have a corn or callus rather than cutting it off yourself If you have high cholesterol or high blood pressure, be sure to follow your doctor’s advice as these conditions can hamper circulation Try not to stand in place for more than 20 minutes at a time without walking or stretching Don’t smoke— it constricts blood vessels and limits circulation “Foot care is important for everyone, but if you have poor circulation in your feet or nerve damage in your feet or legs, or have diabetes, you need to take special precautions.” —Chris Cagle, RN, BSN Wound Care Manager Get exercise every day—walking increases circulation to the legs and feet. If you have pain while exercising, take a break to rest. And tell your doctor about it L i f eline | S U mmer 2010 39 departments | comprehensive cancer center Clinical research trials— the future of cancer care, available today At the Comprehensive Cancer Center of Salinas Valley Memorial Healthcare System, people with cancer can participate in national clinical research trials while staying close to home, family and friends. Phase III clinical trials—the type offered here—provide patients all the care prescribed for their type of cancer, plus the therapies in the clinical trial. 40 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system departments “A great example of how a clinical trial might benefit a patient,” says Nancy Voogd, RN, OCN, Clinical Trials Coordinator with Salinas Valley Memorial’s Comprehensive Cancer Center, “is a woman who needed surgery to remove a large tumor in her breast. Dr. Laura Stampleman, her oncologist, suggested a clinical trial that would shrink the tumor prior to surgery, allowing her the possibility of breast conserving surgery (lumpectomy) as opposed to a total mastectomy. Clinical trials put additional tools in the hands of our physicians to provide the most effective treatment for each person.” So what are clinical research trials and how do they work? Here are answers to a few commonly asked questions that can help: What are clinical trials? The many state-of-the-art cancer treatments available today are a result of clinical trials. Clinical trials are research studies that test new ways to prevent, screen for, diagnose and treat cancer. They also review new ways to manage symptoms, pain and side effects. There are four phases involved in each clinical trial. Those offered at Salinas Valley Memorial’s Comprehensive Cancer Center are phase III trials. Phase I Phase II Phase III Phase IV Physicians gather information about the side effects of the treatment and decide on the safest dose. About 15 to 30 patients take part in this phase. Doctors test the treatment to see how well it works and continue to test its safety. These trials test treatments for a particular type of cancer to see how well the drug works for that cancer. Usually fewer than 100 patients are part of this step. The new treatment is compared with existing treatments. Patients are randomly assigned to one of several study groups— receiving either the current state-of-the-art treatment or the new treatment. Thousands of people at cancer centers and hospitals around the country take part in this step. Treatments are tested again to make sure they are safe and effective over a longer period of time. What causes cancer? The exact causes of cancer remain a mystery. Some types are linked to lifestyle choices such as smoking, drinking too much alcohol, overexposure to sunlight without any protection, being overweight and inactive, having a poor diet and environmental contaminants. Visit www.svmh.com or www.cancer.org for more details. Shehzad Aziz, MD continued➤ L i f eline | S U mmer 2010 41 comprehensive cancer center Who participates in clinical trials? To join a clinical trial, a person needs to meet specific guidelines and be referred by a doctor. Participation in a clinical trial is voluntary and a person can leave the trial at any time. How are clinical trials managed at Salinas Valley Memorial? A physician who is member of our medical staff—called the Principal Investigator —manages each clinical trial at our Comprehensive Cancer Center. Before enrolling patients in a trial, the trial must be approved by our Institutional Review Board. See related sidebar. Clinical trials are research studies that test new ways to prevent, screen for, diagnose and treat cancer. Institutional Review Board The eight-member Institutional Review Board (IRB) at Salinas Valley Memorial includes doctors, nurses, quality and ethics committee representatives and members of the community. Physicians, nurses and other medical professionals carefully assess the research study to ensure patient safety and effectiveness. Community members on our IRB play an integral role in making sure that consent forms and other aspects of studies are easy to understand by patients and their family. The IRB meets monthly to review heart, cancer and other types of research trials. 42 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Phase III clinical trials—the type offered at Salinas Valley Memorial— provide patients all the care prescribed for their type of cancer, plus the therapies in the clinical trial. How are clinical trials paid for? In most cases, the sponsor of the study including pharmaceutical companies, insurance companies and/or Medicare cover the costs of participating in clinical trials. Everyone at Salinas Valley Memorial is committed to providing the highest quality patient care. Our Comprehensive Cancer Center works with The Eastern Cooperative Oncology Group and Stanford University Medical Center to enroll patients in the most appropriate, current clinical trials for their type of cancer. Patients are followed closely by our team of doctors, radiologists, pathologists, nurses and therapists. For more information, visit svmh.com or call the Cancer Resource Center at (831) 759-3271. departments | surgery The da Vinci Robotic Surgical System— a new dimension in minimally invasive surgery “The da Vinci® Robotic Surgical System is another example of our commitment to using state-of-the-art medical technologies to enhance patient care and safety,” says Sam Downing, President/CEO, Salinas Valley Memorial Healthcare System. “We are proud to have first brought this advanced surgical system to our local communities in 2008 and to now see it used for so many different types of procedures.” For certain procedures, the da Vinci takes traditional laparoscopy—a minimally invasive technique using a scope with a single camera and a single lens— to a new level. continued➤ L i f eline | S U mmer 2010 43 surgery After receiving specialized training, surgeons at Salinas Valley Memorial have used the robotic system since fall 2008 for an ever-growing variety of minimally invasive procedures—from those involving the female reproductive system and the prostate in men to other organs and coronary arteries. “The robotic system features a single scope with two high-definition cameras and two lenses,” says Mike Aquino, RN, Operating Room Nurse and Robotic Surgery Team Coordinator. “This gives surgeons a three-dimensional view of the area being operated on as well as excellent depth perception.” For certain procedures, the da Vinci takes traditional laparoscopy—a minimally invasive technique using a scope with a single camera and a single lens—to a new level. At Salinas Valley Memorial, the robotic surgical system is most frequently used for gynecological procedures such as determining the stage of ovarian cancer, examining aortic lymph nodes, biopsies and removing a tumor in the uterus. “Given the increased depth perception, the surgeon can remove the tumor while leaving the uterus in place,” Aquino adds. Many operating room nurses have already received special training to assist with surgeries using the robotic system. “As a nurse, it’s rewarding to continually learn new skills that improve patient safety and quality of care,” says Aquino. “We’re proud that people can have these advanced procedures without having to travel outside the area.” A number of surgeons on the medical staff at Salinas Valley Memorial already utilize the da Vinci Surgical System for general, gynelogical, urological, heart and other surgeries. And that number continues to increase. “Our operating suites are state-of-the-art and equipped with the most advanced technologies including the da Vinci,” says Candace Samudio, RN, BSN, CNOR, MBA, Senior Administrative Director Surgical Services at Salinas Valley Memorial. “These and other technologies mean that more and more procedures can be performed through a smaller incision. That often means less blood loss, a shorter hospital stay and a quicker recovery.” —Candace Samudio, RN, BSN, CNOR, MBA Senior Administrative Director Surgical Services 44 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Physicians receive a Certificate of Training after completing a certification course under the direction of Intuitive Surgical®. Advanced sessions on various techniques follow at an Intuitive Surgical training facility. departments | children’s miracle network Nan Farrell, MA, RPT Pediatric Physical Therapist Coastal Kids Home Care: An Essential Resource Coastal Kids Home Care, based in Salinas, offers home healthcare services to 3,000 children—from birth to age 21—each year. “We care for newborns discharged from neonatal intensive care, children with newly diagnosed medical conditions and children with terminal illnesses,” says Margy Mayfield, RN, BSN, Director of the nonprofit agency now in its fifth year. continued➤ L i f eline | S U mmer 2010 45 children’s miracle network Margy Mayfield, RN, BSN Director of Coastal Kids Home Care How You Can Help 1 2 46 S A L I N A S Help Coastal Kids Home Care without writing a check. Many children have a susceptible immune system, so donated items must be new. For details, call 800-214-5439. Here are two ideas: A handmade afghan or quilt, or a warm hat and sweater for a tiny newborn. A gift bag for a sick child who is celebrating a birthday or holiday. Choose a girl or boy of any age and include treats such as coloring books, crayons, puzzles, books, movies, crafts and model-building sets. VA L L E Y M E M O R I A L H E A LT H C A R E system “After a physician makes a referral, we drive to the patient’s home and go to work. Our patients may be extremely premature or have congenital birth defects, rare neurological conditions, large wounds, cancer and broken bones. Treatments include intravenous care, oxygen therapy, feeding tubes, medications and physical therapy,” Mayfield says. Coastal Kids is the only freestanding, non-profit agency that offers home healthcare to pediatric patients in California. The agency serves children in Monterey, San Benito, Santa Clara (to Morgan Hill) and Santa Cruz counties. The staff includes six nurses, one occupational therapist, one physical therapist and a two-person office staff. “We’re the only agency, since late 2008, that cares for children with terminal illnesses. None of the hospices in the area—except the Hospice of Santa Cruz—accepts anybody under the age of 21,” Mayfield says. “Services for sick children in our area do not compare to services near large pediatric hospitals in, say, the Bay Area. Families and kids travel two hours or more to see a pediatric specialist. This makes the whole situation worse.” Nearly 85 percent of the patients are government funded. Governmental budgetary cutbacks means that its reimbursements don’t cover the actual cost of care. “Thankfully, we have the support of Children’s Miracle Network, the Community Foundation, the Harden Foundation and the Hospice Foundation,” says Mayfield. “They’ve literally keep us afloat.” departments Behind-the Scenes at CMN “We really are a Children’s Miracle Network.” —Kendra Howell, Director of Corporate and Community Development at Salinas Valley Memorial Healthcare System How do you raise over $10 million for children’s health programs in the Salinas Valley? Ask Kendra Howell, Director of Corporate and Community Development at Salinas Valley Memorial Healthcare System. Funds have been raised since 1989 when the hospital began working with the Children’s Miracle Network (CMN), the national children’s charity that helps hospitals help children. “Sam Downing, President/CEO, SVMHS, recognized the importance and the appeal of being a CMN hospital, and the result is a remarkable relationship between CMN and the community. Each year is a new record. More children’s health programs approach us for funding and—I’m happy to say—the support of our corporate sponsor groups continues to grow,” says Howell. CMN supports over 25 programs from SVMH’s Neonatal Intensive Care, SVMH’s Asthma Camp, and SVMH Pediatrics to community-based agencies that provide healthcare support, supplies and equipment for children in the community. See Coastal Kids Home Care, profiled in this issue of Lifeline. Howell’s year-round tasks include fundraising, community outreach and marketing. “Community outreach is especially fulfilling because I see the results of our work. Recently a little boy received a burn garment through CMN funding. This wasn’t a huge expense, however it made a big difference to this child. He wrote a thank you note to CMN, and it made my day,” she says. “Imagine the scope of CMN, from the 13 million children assisted annually through 170 participating hospitals in the United States and Canada to the measure of joy expressed in the handwritten thank you note from a little boy who received a burn garment,” Howell says. “We really are a Children’s Miracle Network.” Call (831) 755-0777 for more information. CMN supports over 25 programs from SVMHS’s Neonatal Intensive Care, SVMHS’s Asthma Camp, and SVMH Pediatrics to community-based agencies that provide healthcare support, supplies and equipment for children in the community. L i f eline | S U mmer 2010 47 departments | sleep center Sweet, Refreshing Sleep... or Not “As a nation, we are a sleep-deprived, 24-hour society. We think that sleep is a waste of time,” says Mazhar Javaid, MD, Medical Director of the Sleep Center at Salinas Valley Memorial Healthcare System. “The body’s circadian rhythm controls the sleep cycle, so before the invention of electricity, we would fall asleep at sunset and wake at sunrise. In our busy society—with artificial light and many reasons to stay awake—we’re sleeping less. Sleep deprivation is unhealthy and can lead to serious health problems.” Sleep is the naturally recurring state of relatively suspended sensory and motor activity. Good sleep is defined by duration and quality, allowing the body to transition through the four stages of sleep. Most people think of sleep as inactive, but that is not true. The body performs specific functions only during sleep, like production of growth hormones, immune system repair and coding of learning into memory. “Individual sleep needs vary, although studies have shown that seven to eight hours a night is a reasonable duration. If you’re not refreshed upon waking and you’re sleepy throughout the day, try to increase the number of hours you’re sleeping. If your sleep duration is adequate, the problem might be sleep quality such as poor sleeping habits, caffeine, noise and stress. Unrefreshing sleep is a symptom you can assess,” says Dr. Javaid. If you’re doing everything you can to assure the duration and quality of sleep yet you’re still dozing off during the day, you may have a sleep disorder. Or, if told that you are snoring, stop breathing periodically, have excessive body movements, sleep walk, sleep talk or have night terrors, have these abnormal sleep symptoms evaluated by your physician. “The concept that sleep is a waste of time is only a perception,” says Dr. Javaid. “We’ve studied the science of sleep over the past two decades and we continue to study sleep today. We know how important sleep is for good physical and mental health.” For more information, call the SVMHS Sleep Center at (831) 759-1835. S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E Go to bed and get up at about the same time every day, even on weekends. Don’t eat or drink large amounts before bedtime. Avoid nicotine, caffeine and alcohol in the evening. Exercise regularly. Make your bedroom cool, dark, quiet and comfortable. Sleep primarily at night. Choose a comfortable mattress and pillow. Start a relaxing bedtime routine. Go to bed when you’re tired and turn out the lights. Use sleeping pills only as a last resort. Source: Mayo Clinic “When I talk to my patients, or visit a school and talk to young people, I like to say that sleep is not a waste of time; we should sleep for success.” —Mazhar Javaid, MD Medical Director of the Sleep Center 48 10 Tips for Better Sleep system departments Four Stages of Sleep Normal sleep is classified by non-rapid eye movement (NREM) and rapid eye movement (REM). NREM sleep is further divided into progressively deeper stages of sleep: Stage N1, Stage N2 and Stage N3. Sleep is the normal transition from Wake to the NREM stages to the REM stage. These stages cycle three to five times during an eight-hour sleep period. stage I The transition from Wake to N1 is light sleep. Person drifts in and out of sleep and can be awakened easily. Eyes move very slowly and muscle activity slows. Sudden muscle contractions cause beginning-to-fall or “jump” sensations. 2%-5% of sleep time stage 2 In N2 sleep, eye movement stops and brain waves become slower, with occasional bursts of rapid waves. 45%-55% of sleep time stage 3 REM In N3, extremely slow brain waves begin to appear and are interspersed with smaller, faster waves. This is deep sleep. There is no eye movement or muscle activity. If awakened, person feels groggy and disoriented. In REM sleep, breathing becomes more rapid, irregular and shallow. The eyes jerk rapidly and limb muscles become temporarily paralyzed. The heart rate increases and blood pressure rises. If awakened during REM sleep, person may describe illogical dreams. 5%-15% 20%-25% of sleep time of sleep time Sources: SVMHS Sleep Center, Coastal Sleep/Wake Disorders Center, American Academy of Sleep Medicine L i f eline | S U mmer 2010 49 departments | volunteer services A Healthcare Career For Your Child Could a career in health care be in your child’s future? The Student Education Program, offered by the Volunteer Services Department at Salinas Valley Memorial Hospital, has several programs to help your child explore the opportunities of the healthcare profession. Consider three possibilities. 50 S A L I N A S Medical Adventure Camp: July 19-30, 2010 Summer Health Institute: June 14-July 16, 2010 Career Pathway Program Children ages 10 to 12 are introduced to the hospital’s programs and careers through interactive classes and health-related activities. Campers study the complexities of Civil War medicine, the culture of Native American medicinal plants and the relationship between physical exercise and food to brain development and good health. Previous participants agree the camp is a true medical adventure. High school juniors and seniors are referred to the fast-paced, five-week Institute through their schools’ Health Academy or Regional Health Occupations Program. Students study hospital organization, patient assessment, treatment planning and case study methodology. The program is held at Salinas Valley Memorial and Hartnell College’s nursing labs with site visits to the UC-Santa Cruz Micro Biology Lab and Stanford Medical School. High school and college students accepted into the year-long Career Pathway Program learn job skills. The three career pathways are Administrative Services, Retail Management and Clinical Services. This program provides an excellent opportunity for students to learn the multifaceted details of the three career pathways and to experience what it is like to work inside a hospital. Details: Two-week camp. Hours are 9 a.m.-3 p.m. Fee is $175 per student and includes meals and a camp shirt. Enrollment is limited to 20 students. Details: Five-week Institute. Hours are 8:30 a.m.-3:30 p.m. Knowledge of medical terminology is a prerequisite. Accepted students must complete a program orientation. Details: One-year program. Career Pathway students must commit to a weekly schedule. Placement requirements are: interview, background check, TB screening, program orientation and on-the-job training. VA L L E Y M E M O R I A L H E A LT H C A R E system Attention Parents and Students: Interested in more details about the Student Education Program? For registration info, deadlines and fee info (when applicable), call the Volunteer Services Department, 755-0772. tips&more Lifeline Summer 2010 “One medium artichoke provides one of the five daily fruit and vegetable servings recommended by the American Cancer Society. Add the amazing artichoke to your diet and enjoy this healthy and delicious choice.” — Sheri Caprara-Hayes, RD Nutrition Educator Artichoke The Amazing L i f eline | S U mmer 2010 51 health tips | artichokes The Amazing Artichoke This low-calorie vegetable is an excellent source of vitamin C, potassium, magnesium and dietary fiber. Nutritious and Nourishing: Fun and Fanciful: Legend and Lore: The antioxidant-rich artichoke is a superfood that fights harmful cell-damaging free radicals in the body and may reduce the risk of heart disease, certain cancers and other chronic diseases. This low-calorie vegetable is an excellent source of vitamin C, potassium, magnesium and dietary fiber. It has no fat, cholesterol or trans fat and is a healthy source of protein. Tasty in salads and menu entrees, artichokes are also a finger food favorite. Steam it and dip the petal layers in balsamic vinegar or lemon juice right down to the sweet center. The flavorful globe variety of the thistlelike plant—a vegetable choice for hundreds of years—was planted in Central Coast fields in the late 19th Century. Salinas Valley’s Castroville is now known as the ‘Artichoke Capital of the World.’ Castroville’s first Artichoke Queen was none other than silver-screen star Marilyn Monroe in 1948. Source: Ocean Mist Farms Easy Baked Artichokes Ingredients 2 large artichokes, rinsed and trimmed 1 whole lemon (cut in halve) 4 cloves of garlic (slivered) 4 tablespoons of olive oil Sea salt to taste 4 sheets of heavy duty foil wrap Directions Source: Adrienne Meier, Ocean Mist Farms Recipe compliments of Ocean Mist Farms. 52 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Preheat oven to 425 degrees. Squeeze 1/2 a lemon on the top of each trimmed artichoke. Drizzle with 2 tablespoons of olive oil (allowing oil to go in between artichoke leaves). Stuff two cloves of slivered garlic between leaves. Sprinkle with salt and any other herbs such as finely chopped rosemary or sage. Double wrap each artichoke with 2 layers of heavy duty foil. Sealing well on top by twisting and pinching foil packets. Place foil packets in oven and bake. Jumbo to large sized artichokes, bake for 1 hour and 20 minutes; medium sized artichokes, bake for 1 hour. Remove artichokes from oven. When cool enough to handle, unwrap and enjoy with additional lemon or scoop out the fuzzy center of the baked artichoke and use as an edible bowl filled with your favorite soups, stews or dips. donations | memorials These contributions were received on or between 8/1/09-4/30/10 for $50 or more and honor the memory of a friend or relative. At the same time, these thoughtful gifts make possible improvements in healthcare services at Salinas Valley Memorial Healthcare System. Such contributions are tax deductible and may be made using the inserted gift envelope or online at svmhfoundation.org. The bold entry indicates the individual being memorialized followed by the name of the contributor(s). An * indicates a new donor. Lawrence Anton Aaroe Benjamin Wayne Cislini Mary Aaroe Andrea “Rusty” Doreen Cochetti Armandina Aleman Kevin James Cody Ms. Kathy D. Aaroe Ms. Kathy D. Aaroe Mr. and Mrs. Garry Bousum Robert “Clark” Alsop SVMH-Engineering Stephen and Pamela Brown Mrs. Judy Snyder Mr. and Mrs. Carl Truman Mrs. Nancy H. Alsop Mrs. Ann Batinovich Minerva “Minnie” Sarmiento Corda Ms. Dorothy Jefferson Kevin Patrick “Curley” Currall Roy V. Alsop, Jr. Gus L. Andersen Anne and Bill Bramers Mr. and Mrs. Louis Foletta Bob and Millie House Sam and Shirley Lavorato Mr. and Mrs. David A. Molinari Mr. and Mrs. Stephen Pearson *Ms. Mary B. (O’Brien) Schroeder Mr. and Mrs. Frank E. Smith Lena and Susie Stewart Richard and Gina Uccelli Ms. Toni Sarmiento Mrs. Alvina L. Currall John Curtis, M.D. Dr. & Mrs. Jacob Foster Bella Zoe Dakis Ed and Marie Roberti Alice Day Mrs. Maralee Hunsdorfer John Napoleon Derdivanis James Harold Farr, MD Mr. and Mrs. William T. Bramers Dr. and Mrs. Lewis C. Cantor Pat and Bob Chapman Theodore H. Cominos Mrs. Eugene Eldredge Mrs. Pat J. Garlinger Mr. and Mrs. Henry K. Hibino Bob and Millie House Mr. and Mrs. Don S. Ikeda Jim and Joanne Johnson Dr. & Mrs. Samuel Kobrinsky Russ and Irene McCallion Mrs. Rose Nunes Dr. and Mrs. Don Rogers Joe and Diane Rossi Dr. and Mrs. Stephen D. Storey Mr. and Mrs. James C. Thomsen How do I stay on top of my health? If you’re 20 or older— Emmi Mueller Figueroa Debbie Folsom and Family Donald Keith Fleming Bill and Mary Norman Jack F. Fourcade Mrs. June L. Backus Ms. Carol Lannon Lombardo & Gilles Mrs. Susan Merrill Del Garlinger William Lowry Backus Sebastian Michael Balch Jean “Jeanie” P. Deter Roy Gianolini M.D. and Second Floor Staff James Bassett, Jr. Sam and Shirley Lavorato William R. “Bill” Bates Art and Patti Henry Ronald C. Beck Mr. William and Baroness Marlyne Schoening Sam and Shirley Lavorato Mrs. Susan Merrill Lolita Eleuteria Dovolis Ms. Olive Bundgard Nathan and Jeri Olivas Kelly Draper Garry and Diane Bousum Mildred June Dudley Wallace Birmingham Mr. and Mrs. Garry Bousum Pierson & Associates Insurance Services Marie and Ed Roberti William Brown Nancy Erdbacher Ms. Anna E. Brown Mr. and Mrs. David Werner Mrs. Joan Hitchcock Joanne Taylor-Johnson Ms. Carol Lannon Mr. Kenneth Sepersky Myron “Buck” Francis Chappuis Andrea (Andy) Fanoe Mary Catlett Mrs. Frances Chappuis Howard K. P. Choi Mrs. Sandra S. Choi Anne and Bill Bramers Robert C. Farr, M.D. Dr. and Mrs. Stephen D. Storey Mrs. Pat J. Garlinger Mr. & Mrs. Paul Gordon Mrs. Mary L. Borzini Jim and Paula Guidotti Joanne Leach Family Mr. Herman Luchessa Mr. Allan L. Wiley Dennis Stevens Gorman Mrs. Frances Chappuis John R. Grainger Ms. Olive Bundgard Dr. & Mrs. E. Joe Hancock Don and Lorraine Jacop Ms. Carol Lannon Mrs. Susan Merrill Mr. and Mrs. Gary W. Robinson Bret and Rose Scholl Mr. and Mrs. Harry D. Wardwell Sarah “Sally” W. Grainger depending on exact age, gender, risk factors and general health—your health exams may include screenings for cancers of the thyroid, oral cavity, skin, lymph nodes, breast, testes and ovaries. Beginning at age 50, both men and women should have an initial colonoscopy to check for colorectal cancers. Your doctor will recommend Dr. & Mrs. E. Joe Hancock a screening schedule Michael Charles Guidotti after that. Mr. and Mrs. Elmer Guidotti Herbert Chester Healey, Jr. Bill and Mary Norman L i f eline | S U mmer 2010 53 donations | memorials Elizabeth “Betty” Bingaman Hillman Mr. Allan L. Wiley Chizuko Iwahiro Mr. and Mrs. Tetsuo Iwahiro Toshiko Iizuka Kelley Mrs. Phyllis E. Holtz Ms. Connie Lynch Mrs. Elizabeth Rodgers Ms. Patricia M. Scott Mr. George Toole Derrell Lee Kunnas Don and Lorraine Jacop Osteoporosis and Fractures About 44 million people in the U.S.—55 percent of people age 50 and older— are at risk for osteoporosis. Eight million women and two million men are thought to already have it and another 34 million are at risk. Each year, osteoporosis results in 1.5 million fractures— 700,000 are Vertebral Compression Fractures— Ann “Annie” Lavorato density or BMD) is a safe and quick way to measure bone strength and predict Teri Byers and Sons Richard H. Lindsey Joanne Leach Family Thomas Ralph Lipe Steve and Barbara Coelho Mr. and Mrs. Henry K. Hibino Mr. Allan L. Wiley Michelle A. Sgarlato Ludes Bill and Mary Norman Laura “Lolly” Fetzer Machado Keith and Tommye Miller S A L I N A S VA L L E Y M E M O R I A L Ms. Patricia McNamara Thomas Harley McNamara Ms. Patricia McNamara Dr. and Mrs. Chris Mulé Mildred Wanita Myhre Hiroshi Nishita Denny and Arlene Bertelsman Mrs. Lydia L. Kerns Ladies Marching Society Aubrey J. Nunes, MD Mr. and Mrs. Thomas D. Mill Nathan and Jeri Olivas Mrs. Debra J. Popma Marie and Ed Roberti Hugo and Theresa Scattini Mrs. Julia Wittmann Barbara Ching Ottone Tia Juana Maggini Ed and Marie Roberti Mr. August J. Amaral Mr. and Mrs. Mike Lerda The Charles Ottone Family Matt Matsumune Stanley A. Paine, M.D. Mrs. Fumiko Tanimura Mrs. Joy P. Paine Ralph Mazzei Gertrude “Trudy” Struder Pedrazzi Don and Lorraine Jacop Nathan and Jeri Olivas Stuart and Susan Smith 54 Marion Church McNamara Dr. Charles B. MacGlashan, Jr. Dennis Glenn McDougall called bone mineral Dr. & Mrs. William Kennedy Frank Ledesma, Sr. osteoporosis develops. A bone density test (also Matthew McGuire, MD Lucy and Beau Mulé the risk of fracture before and wrist combined. Jack and Jackie Armstrong Mrs. Pat J. Garlinger Guy W. & Mary (Goglia) Hauck Kiel and Teresa Hauck Don and Lorraine Jacop Stuart and Susan Smith *Douglas and Marilee Tinker Sam and Shirley Lavorato Bill and Mary Norman Ed and Marie Roberti Mrs. Karen Antle Mr. and Mrs. Louis Bertelli The Don Chapin Co., Inc. Mr. and Mrs. Louis Foletta Frank Gomes and Christine G. Bellone Jack and Allene Horsley Joe and Connie Mazzei Mrs. Pauline Mazzei Mr. Ralph Micheletti Mr. and Mrs. Garry Perkins Hugo and Dolores Tottino *Ray Vargas, Inc. more than those of the hip Irma Corda McDougall H E A LT H C A R E system Anne and Bill Bramers Don and Lorraine Jacop Russ and Irene McCallion Mr. Allan L. Wiley Barbara Pierson Pierson & Associates Insurance Services Charles “Chuck” Alan Pittenger Mrs. Joanne Pittenger Parmod Prasad Mr. and Mrs. Bill Neumeister Gilbert A. “Tony” Ramirez Art and Patti Henry Mr. and Mrs. Dan Kern Ms. Elizabeth A. Lorenzi Jeanette E. Reclusado Michael and Lucia Boggiatto Boggiatto Produce Inc Bob and Millie House Sam and Shirley Lavorato Dr. J. Anthony Smith Mary Riveria Mr. and Mrs. Richard D. Ripley Winifred Smith Art and Patti Henry Manuel “Sam” Anthony Souza, III Pierson & Associates Insurance Services Lena M. Stewart Joanne Leach Family Gloria June Struve Mr. John (Jack) A. Struve Stephanie Sugar Mr. and Mrs. Jeff Gutenberg Josephine E. Swindle Don and Wanda Hamilton Charles Tanimura Gary and Mayumi Tanimura J.N. Tanner Mrs. Maralee Hunsdorfer Bill and Mary Norman Carmelo Torre Sea Mist Farms Hamakichi Uemura Bob and Arlene Uemura Miku Uemura Bob and Arlene Uemura Abraham C. Urrutia Dick and Margaret Ripley Rose Valine Mr. August J. Amaral Paul J. Powers and Carlene Powers Mark Ray Velcoff, M.D. Mrs. Dolores Velcoff and children Tim Vitoux’s Mother Mr. and Mrs. Bill Neumeister Clarence O. “Toots” Vosti John and Doris Santana Charlie Walker Anne and Bill Bramers Dr. and Mrs. Roger Werner Mr. and Mrs. David Werner donations | in honor of Donors are invited to contribute to the Salinas Valley Memorial Hospital Foundation in honor of an individual or to mark a special occasion, such as an anniversary or birthday. The bold entry indicated the individual being honored or the special occasion, followed by the name of the contributor(s). These gifts of $50 or more were received on or between 8/1/09-4/30/10. An * indicates a new donor. In honor of Dr. Kumar for his Kindness and Caring Mrs. Rita Echenique Central Coast Allergy and Asthma Dr. Laura M. Solorio Mr. and Mrs. Brian Davis Mr. and Mrs. James E. Leduc Ms. Betty J. Dion, R.N. Ms. Sally A. Henning Sam and Paula Downing Mr. Bob Lowery’s Birthday Mrs. Pat J. Garlinger Mrs. Susan Merrill Ms. Joanne Nissen Mr. Nathan J. Olivas’ Birthday Mrs. Maralee Hunsdorfer’s Birthday Thomas Monroe Merrill to honor “The Life Tom Merrill Built” Mr. Mike Rover’s Birthday Mr. and Mrs. Ronald Johnson Ms. Khristine Holterman Bill and Mary Norman Mr. Ron Johnson’s Birthday Mrs. Maralee Hunsdorfer Bill and Mary Norman Nathan and Jeri Olivas Ms. Joanne Merrill Mrs. Susan Merrill Mr. Bill M. Norman’s Birthday Mrs. Maralee Hunsdorfer Nathan and Jeri Olivas Mrs. Maralee Hunsdorfer Mr. and Mrs. Ronald Johnson Mrs. Maralee Hunsdorfer Nathan and Jeri Olivas Mr. Mike Micheletti’s Birthday Mrs. Maralee Hunsdorfer donations | contributions These contributions were received between 8/1/09-4/30/10 for $50 or more. An * indicates a new donor. Berries and Branches 2009 Sponsors AECOM Energy Aladin Properties American Supply Company Tom Bengard Ranch, Inc. Blazer Wilkinson, LLC. The Burch Group California Rodeo Salinas Janice Caprara Central Coast Visiting Nurses Association The Don Chapin Co., Inc. Church Brothers, LLC. Cinderella Carpet Credit Consulting Services, Inc. D’Arrigo Bros. of California Doctors on Duty Jim and Karen Fanoe Gan & Associates Healthcare for Women Hensel Phelps Construction Co. House Properties IC Engineering Kleinfelder West KMD Lombardo & Gilles Mann Packing Co., Inc. JM Electric John Martin & Associates Mazzetti, Nash Lipsey Burch John and Bonnie Molinari Moss Adams, LLP. Otis Elevator Ottone, Leach, Olsen & Ray LLP. Peninsula Business Interiors Michael Profumo Monterey Bay Service, Inc. Quinn Company Rabobank RBF Consulting Rossi Brothers Salinas Steel Builders, Inc. Salinas Surgery Center San Jose Construction Siemens Building Technologies, Inc. Salinas Valley Memorial Healthcare System Taylor Farms California, Inc. Val’s Plumbing Veritas Wealth Advisors, LLC. Wald, Ruhnke & Dost Architects, LLP. Berries and Branches 2009 In-kind donors Andy Matsui Artistic HangUps Bart Walker Bills Wheel’s Blackstone Winery Charlie Sammut Christopher Mills Christopher Paul Winery, Christopher Mills and Paul Johnson Connie Fields Element’s Day Spa Fleurs du Soleil Hahn Estates/Smith & Hook Winery John and Jennifer Bramers Julie Campbell Le Mistal Vineyard Marilyn Remark Winery Mark Tamagni Matt Eaton Norm and Rin Nelson Oyster Trading Company Paul Johnson Pessagno Winery Puma Road Rancho Cielo Rodney Hunter Rooms in Bloom Star Market Steve and Nonie Greenfield and Beachnest Vacation Rentals Sunset Center SVMHS Engineering SVMHS Environmental Services SVMHS Nutritional Services SVMHS Security SVMHS Service League The Culinary Center of Monterey Ventana Vineyards Waste Management Services Berries and Branches 2009 Designers Azzopardi Home: La Belle Epoque Clementine’s Pacific Grove Floral Bokay Nursery Across the Prairie B & J Designs Debbie Meeks Maria Anderson Room for Dessert Swenson & Silacci Flowers Tann Home: Rooms in Bloom Roxanne Storm Swenson & Silacci Flowers Unlimited Events A Cake or 2 L i f eline | S U mmer 2010 55 donations | contributions What you need to know about Diabetes Health experts agree that diabetes, Type 2 in particular, is an outright epidemic— it’s estimated that 20.8 million people in the U.S. have diabetes, and that one-third don’t yet know it. Chateau Coralini: Flower Magik Out of Africa Bungalow: MY Designs Diamonds and Rust Jennifer and John Bramers Connie Fields One of the biggest challenges with diabetes is that it significantly increases the risk for developing a host of other conditions— cardiovascular and heart disease, kidney failure, poor circulation that can lead to wounds that won’t heal, even amputation, loss of vision and other health problems. Une Soir En Afrique: Kathy Baker Slipcovers Cindy Hattersley Design Pat Huber Fine Art Bokay Nursery Building Fund Aladin Properties Mr. and Mrs. Luis Alvarez Mr. and Mrs. Mike V. Antle Mr. and Mrs. Marion T. Barich Mr. Donald G. Bergam Pamela and Michael Bless Dr. and Mrs. Richard Bloom Church Brothers, LLC Cislini Fund John Weston Curtis, M.D. (Estate of) EGL Currie Foundation Mr. and Mrs. James Erickson Mr. and Mrs. Miguel S. Errea Mrs. Tena Farr Mr. and Mrs. Mark P. Faylor Mrs. Virginia Frassetto John and Judy Gong Harden Foundation The Haynes Charitable Foundation Mrs. Jessica Hilburn Mr. and Mrs. Dennis Hogan Dr. and Mrs. Robert H. Honnors Mrs. Jean Hontalas Mr. and Mrs. Donald W. Johnson Mr. and Mrs. Ronald Johnson A W Johnson And Son Mr. and Mrs. Bob Jones Kasavan Architects Mr. and Mrs. Francis A. Katsuda Mr. Brent R. Kemp Dr. & Mrs. William Kennedy Dr. & Mrs. Mark Klein Mr. and Mrs. Elmer L. Lanini The good news is that you can manage it with wise food choices, exercise, weight loss, medications and maintaining blood pressure and cholesterol at appropriate levels. 56 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E Caprara Home: Swenson & Silacci McShane’s Nursery and Landscape Supply Signature Design Group Gift on the Go Richard McDonald, Dawson Cole Fine Art Designs for Charity Roxanne Storm Beverly’s Fabrics Floral Designer Kim McDonald Schubert Nursery, Inc. Patisserie Bakery In Style Furnishings At the Heart of the Matter Zandra Kelly Designs system Paul Lapidus & Lindasue Marshall Laureate Iota Eta Ms. Joy Law The Honorable and Mrs. E. Jim Leach Mr. and Mrs. Raymond Leong Ms. Annie J. McCarthy Mr. and Mrs. Charley McGraw, Jr. Mrs. Jeanne M. Mercurio Mr. and Mrs. Herbert G. Meyer Robert and Ruth Mills Mr. Tom Nunes, Sr. Old Capitol Mortgage Richard Murray Associates Landscape Architects Mr. and Mrs. Martin Orradre Mr. and Mrs. Mike Orradre Dr. David H. Perrott Mr. and Mrs. James E. Phalan Pierson & Associates Insurance Services James and Rebecca Pullen Dr. Allen Radner Bill and Marlene Ramsey Mr. Richard R. Rathbun Mrs. Jill Ray Mr. and Mrs. Tom Russell Mrs. Mae Sakasegawa Mrs. Yoshiko Santell Ms. Joann Savoy Mrs. Lucille M. Scattini Mrs. Virginia Shannon Mrs. Bernice Silveira Ms. Nancy Soto Mrs. Virginia W. Srsen Mr. and Mrs. Jim Storm SVMHS SVMHS-Engineering SVMHS-Security Department Tom’s Monterey Auto Repair The Tottino Family Mrs. Julia M. Viarengo Gary and Joan Vincenz Walker Equipment Mr. Lihjen C. Wang Kenneth and Eileen Whitson Dr. & Mrs. Andrew Wilson Cherry’s Jubilee 2009 Sponsors Abramson, Church & Stave, LLP. Alvarez Truck Brokers, Inc. American Supply Company Ausonio Construction Blazer Wilkinson, LLC Bogard Construction Boggiatto Produce, Inc. BT Commercial Real Estate California Water Service Joe Carlon & Associates The Don Chapin Company, Inc. Central Coast Cardiology Cinderella Carpets Coca-Cola Bottling Co. of California Couch Distributing Company, Inc. Credit Consulting Service, Inc. DMC Construction, Inc. Duda Farm Fresh Foods, Inc. Elmer’s Auto Parts donations | contributions First National Bank of Central California Gan and Associates Jim Gattis Investments Gold Coast Tattoo Kaplan, McLaughlin Diaz Harrod Homes Harrod & Sons Hertz Equipment Rental Hyatt Regency Monterey Marina Motorsports, Inc. McDonalds #22416 Mission Linen Supply OMG Media Group Pacific International Marketing, Inc. Parking Company of America Pierson & Associates Insurance Services Rabobank Ranz Produce Co. Red Blossom Farms RBF Consulting Monterey Bay Salinas Steel Builders, Inc. Salinas Surgery Center Salinas Valley Builders Exchange Sam Linder, Inc. SJ Ferrante Builders Stahl Companies Star Market SVMHS T & T Enterprises, LP Taylor Farms California, Inc. Unlimited Events Vantage Eye Center Vegetable Growers Supply Co. Wald, Ruhnke & Dost Architects, LLP In-kind Sponsors American Medical Response (AMR) Cannery Row Company Coastal Tractor Mazda Laguna Seca Raceway Sports Car Racing Assocation of Monterey Peninsula Sierra Meat Company Skip Barber Driving School Ventana Vineyards Media Sponsors Clear Channel KOCN 105.1 FM KION 1460 Coastal TV Network Comcast HANK - KKHK (Mapleton) KIDD Oldies 630 KION/KCBA KNRY AM 1240 KRKC-AM The Monterey County Herald Radio Campesina The Salinas Californian South County Newspapers Wolfhouse Radio Group KRAY KMJV KEXA/KTGE Children’s Miracle Network Seiji and Vivian Aizawa Ms. Dorothy E. Blakeman Central Coast Federal Credit Union Mrs. Frances Chappuis CO-OP Financial Services Combined Federal Campaign of Monterey Co. Costco Wholesale Credit Unions for Kids Mr. and Mrs. Donald J. Dawes Mrs. Roberta A. DeLaSantos Dunkin Donuts & Baskin Robbins Ferguson Enterprises, Inc. Mrs. Dolores Giovanetti Ms. Wendy D. Haynes IHOP Corp. Ms. Diane Jensen Mr. Todd Knapp Ms. Vanessa L. Lockard Lombardo & Gilles Lugo’s Towing Marriott International, Inc. McCormick and Co Inc MicroSoft Corporation Mr. Tony M. Palma Panda Restaurant Group, Inc. Zoila, Thomas and Sharilyn Payne Ms. Gina M. Ramirez Alejandro Ramirez Farms Remax International Rite-Aid Corporation Mr. and Mrs. Tony Sammut Mr. and Mrs. William Shumway, Jr. Stax SVMHS - Parking SVMHS-Coffee Shop tips SVMHS-Nutrition Services Dept. USA Gymnastics Mr. Socorro R. Uy Valero Energy Corp. Villeroy & Boch Wal-Mart Mr. and Mrs. Roger Williams Comprehensive Cancer Center Ms. Anna Jane Davis Ms. Frances Lum Bartley and Wendy Walker Endowment Fund Mr. and Mrs. Cecil Harrell Gala 2010 Sponsors Platinum Corporate Sponsor: KMD Architects Corporate Sponsors: AECOM Energy Cypress Healthcare Partners, LLC Mr. and Mrs. Sam Downing Lombardo & Gilles Ottone, Leach, Olsen & Ray, LLP Rabobank Salinas Valley Radiologists Inc. SVMHS Service League Taylor Farms California Inc. Wald, Ruhnke & Dost Architects, LLP Gala Sponsors: John F. Martin Co. Mr. and Mrs. Nathan J. Olivas Stahl Companies The Stinnett Group Vantage Eye Center Gala 2010 In-kind donations Sue & Jeff Gilles Sam & Paula Downing Karen & Jim Fanoe Don & Barbara Chapin Favorite Bay Lodge Carol Lannon Robert Williams, Sak’s 5th Avenue Richard Windsor, Sisley Cosmetics Emmanuel Noel, Emmanuel Salon & Day Spa Samuel & Linda Persall Don Gibbons, Portobello’s Eating out doesn’t have to mean overeating Health Career Education Program Support Endowment Sample these tips next time you’re dining out: Heart and Sole Race 1.Choose beverages like water, fat-free or low-fat milk or unsweetened tea and other drinks without added sugar. Mr. and Mrs. Robert Brooks SVMHS-Service League Salinas Surgery Center Heart Program Aurum Consulting Engineers Monterey Bay Inc Ms. Betty L. Gularte Mr. Robert A. Johnson Mr. and Mrs. Joseph Nigro Capt. Ian Young 2. Have your sandwich on whole grain bread. 3. Start with a crunchy, veggiefull salad, with dressing on the side of course. Hospital 2013 Building Fund 4. Opt for entrees that feature vegetables like a stir-fry, kebob or pasta. L. M. Tynan Emergency Department Capital Campaign 5. Stick with steamed, grilled or broiled dishes rather than fried or sautéed. Level III Neonatal Intensive Care Unit 6. Order small or medium sizes for entrée, sides and beverages. Ms. Sharron L. Ashford Mr. and Mrs. Samuel W. Downing Ray and Lillian Gularte Dr. & Mrs. James Stubblefield Mr. and Mrs. Tom Church Church Brothers, LLC Mr. and Mrs. Samuel W. Downing Sally Hughes Church Foundation Ottone, Leach, Olsen & Ray, LLP SVMHS-Service League Taylor Farms California, Inc. Mark Velcoff, M.D. Asthma Day Camp Ms. Ruth P. Andrews SVMH-Service League 7. Avoid “all-you-can-eat” buffets. When a buffet is the best option, use a small plate, making portion size more obvious. 8. Set your fork down and enjoy the conversation at the table. By eating slow, you’ll know when you’re full. L i f eline | S U mmer 2010 57 donations | contributions Nancy Ausonio Mammography Center at SVMHS Mrs. Nancy B. Ausonio SVMHS-Service League Planned Giving Society Mr. and Mrs. Luis Alvarez Ms. Nancy L. Bowker Dr. and Mrs. Lewis C. Cantor Mrs. Patricia Tynan Chapman Bob and Gloria Clinton Mr. and Mrs. Richard Daley Mr. and Mrs. Samuel W. Downing Stuart and Willna DuFour Dr. and Mrs. Eugene Eldredge Ms. Marsha A. Frazier Dr. & Mrs. Charles Gallup Mr. Homer M. Hayward Dr. & Mrs. Gordon Hershey Mr. & Mrs. Robert House Mrs. Joanne Taylor Johnson Mrs. Bebe L. Joos Dr. and Mrs. William Kennedy Ms. Carol Lannon Ms. Helen Lindley Ms. Elizabeth A. Lorenzi Dr. and Mrs. Charles B. MacGlashan, Jr. Patty and Larry McCoy Ms. Joanne Merrill Tom and Susan Merrill Mr. and Mrs. Mike Micheletti Dr. and Mrs. Robert D. Morris Mr. and Mrs. Vernon D. Netzly Bill and Irene Neumeister Mr. and Mrs. Bud A. Pierson, CLU Randy and Cyndy Pierson Mr. and Mrs. William H. Pope Mr. and Mrs. John H. Pryor Ms. Stephanie Sloan Mrs. Mary Blanche Stucky Dr. & Mrs. Robert Van Horne Mr. and Mrs. G. Nick Ventimiglia The next time you visit Salinas Valley Memorial Hospital, take a break at Starbucks. Service League Past Presidents Endowment Fund SVMHS-Service League Sporting Clay Shoot 2009 Mr. John Andrus Mr. Kurt Andrus Mr. Brian Atchley Mr. Claude Bastianelli Mr. Victor “Chip” Bogard, III Mr. Tansy Bowermaster Mr. Bradly D. Carrott Mr. Jorge Casarez Mr. Luis Castellanos Mr. Steven Dawes Mr. Samuel W. Downing Mr. Brian S. Ensley Mr. Thomas Ensley Ms. Cat Fry Mr. James Gilbertson Mr. Ryan Griffith Mr. Scott L. Haddock Mr. Mike Handley Mr. Neil Hayes Mrs. Sheri Hayes Mr. Tim Hayes Mr. Jeff Huebner Hunter’s Supply Mr. Jason Kattler Mr. David Kidd Mr. Russell Lindow Mr. Raymond K. Long Mr. John Meyer Mr. Andy Murphy Mr. Eric Murphy Mr. Jeff Pluta Mr. Matt Plymil Mr. Diego Rocamora Mrs. Brittany Schicketanz Mr. Victor Schicketanz Mr. Dale Self Mr. Mike Silva Mr. Pat Stafford Mr. Arba Stinnett Sturdy Oil Co Mr. Brian Thure Mr. John Tincher Mr. Michael Van Valkenburgh Mr. John Wagner Mr. Adam Woods Unrestricted Fund Dr. & Mrs. Richard Sugar We’re located just inside the hospital’s main entrance and we’re open daily from 6:00 a.m. to midnight. 450 E. Romie Lane, Salinas 2010 © Starbucks Coffee Company. All rights reserved. 58 S A L I N A S VA L L E Y M E M O R I A L H E A LT H C A R E system Tom Merrill Lobby Salinas Valley Memorial Hospital’s new permanent entrance will be named the Tom Merrill Lobby to honor the local agricultural leader. It replaces the existing entrance and will be located in the Harden Memorial Heart Center. The new entrance, which is part of the hospital’s seismic retrofit project, is scheduled to open later this year. The new lobby recognizes Tom Merrill, a grower and shipper of fresh produce, who was a leader in the industry and in Salinas Valley. His father, T.R. Merrill, was a champion of the hospital in the early planning stages in the 1940s. Tom Merrill carried on the family tradition. He served as President and Chairman of the Salinas Valley Memorial Foundation Board of Governors in the 1980s. His wife Susan, a member of the Foundation Board, has donated significant resources, time and energy to the Foundation in his memory and to bring excellent health care to Salinas Valley residents. PRSRT STD U.S. Postage PAID Casey Printing, Inc. 450 East Romie Lane Salinas, CA 93901 Getting more than one Lifeline? If you are getting more than one copy of this magazine, please do us a favor of clipping the mailing labels and sending them to us at P.O. Box 4760, Salinas 93912-4760. If you prefer, call us at 759-1880. daVinci Surgical System Foundation Plays Key Role in Hospital Updates John Meyer, Senior Administrative Director of the Salinas Memorial Valley Foundation, is confident the Foundation will meet its $3 million fundraising campaign to support the Salinas Memorial Hospital’s seismic retrofit project. Among the $2.3 million raised to date is a major gift of $500,000 from the Harden Foundation for an expanded surgery room to house the daVinci robotic equipment. The daVinci Surgical System—acquired by the hospital in 2009—is a breakthrough in surgical technology that allows minimally invasive surgical procedures. Contributions to the Foundation’s capital campaign assist the hospital with construction costs for the hospital’s seismic retrofit project. Meyer says, “Our donors are advocates of excellent health care and have responded with gifts of all sizes as well as continuing to support our annual fundraising events.” Salinas Valley Memorial Hospital Foundation • P.O. Box 4760, Salinas, CA 93912 • (831) 759-1880