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LifelineA Public District Hospital

Spring 2014

Your health in your hands—the SVMHS Mobile App

Extraordinary care by extraordinary peopleAs we celebrate National Hospital Week and National Nurses Week in May,

we honor the dedication, skill and compassion of our physicians, nurses and entire staff. Every day, they carry out our mission to provide excellent care for

our patients and our community.

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contents President/CEO Message 5 Our Caring Knows No Boundaries

SVMHS Mobile App 6 Your Health in Your Hands

Cancer & Cardiovascular 9 Clinical Research The Frontier of Medical Care

Clinical Research 12 From the Patients’ Perspective

Miracle Molly 14 California Champion for CMN Hospitals 2013 CMN Miracle 16 Pluta Family’s Progress Cancer Resource Center 17 Navigating the Cancer Journey

A Public District Hospital 450 East Romie Lane • Salinas, CA831-757-4333 • www.svmh.com

in this issue:It’s easy to see why our 2014 Miracle Child was also named California Champion—the ever-smiling Molly Hall is this year’s face and story for California’s nine Children’s Miracle Network hospitals.

When Kelly Moffitt was diagnosed with breast cancer, she and her husband Tommy learned that no one faces cancer alone, thanks to the SVMHS Cancer Resource Center and Patient Navigator program.

On the cover: Track. Search. Find. The SVMHS Mobile App puts your health in your hands.

Lifeline | Spring 2014

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17

S A L I N A S V A L L E Y M E M O R I A L H E A L T H C A R E S Y S T E M4

9 19

4229

Salinas Valley Memorial Healthcare System Board of Directors

Victor Rey, Jr.Assistant Treasurer

Harry D. Wardwellpresident

Deborah M. Nelson, MSN, RNVice president

Rafael Garcia Secretary

James L. GattisTreasurer

CreditsEditor-in-Chief: Adrienne Laurent, Senior Administrative Director

Marketing, government & public relations

Editors: Melanie Bretz, Karina rusk

Writers: Melanie Bretz, Sally Hekkers

Art Director/Graphic Designer: Janet Marcroft

Photographers: Cook’s photography, richard green, randy Tunnell photography

contents, continued World-Class Cardiovascular Care 19 The Stanford Cardiac Surgery Program at SVMHS

21 Cardiac Surgery—A Life Changing Experience

24 A Remarkable View— Imaging Your Heart

26 Stanford Center for Lung Disease and Transplant Comes to Monterey

26 Monterey County’s Only Accredited Chest Pain Center

27 A Lifeline to Independence Help at the Press of a Button

Joint Replacement Center 29 On the Road Again, Pain Free

31 Center Earns Joint Commission Gold Seal of Approval

32 Learning for Life Jack Koster, Future Physician

34 Neonatal Intensive Care Unit Archer Surprises Parents with Early Arrival

37 Finding Fitness Rising to the Exercise Challenge

40 Wound Healing Center Restoring Quality of Life

42 Ravishing Radicchio Super Tasty Superfood

Service League 44 Shopping for a Good Cause

48 Caring Takes Many Forms— No One Dies Alone program

donations 45 Why I Give 46 To Remember 47 To Honor 49 To Support 51 Employee Giving

Lifeline | Spring 2014

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Message from pete Delgado, president/CeO

A lot has happened since the last edition of Lifeline magazine, and you can read all about it in this issue. i continue to be proud of the salinas Valley Memorial team. They make sure our programs and services know no boundaries—they go beyond our campus, beyond treatment, beyond the status quo. As we celebrate national nurses and Hospital weeks this month, i’d like to recognize and thank each nurse and every member of our team for making salinas Valley Memorial a place of compassion and caring.

We not only focus on providing the most advanced patient care, we help you get and stay well. Wellness isn’t a fad with us. it’s a lifestyle we support in many ways—with our free sVMHs mobile app that lets you manage your health and stay on track. And with the countywide exercise Challenge program we launched nearly three decades ago. It’s a fitness challenge that continues to motivate people long after the annual 10-week program is over. Just 90 minutes a day has led many people like Jeff Post to take off extra pounds and literally move toward better health every day. You can read his story on page 37.

Our Cancer resource Center is here for our cancer patients— and our entire community. Whether you’re the friend or spouse of someone with cancer and want to learn more about supporting them in their journey, would like more information on screenings, need a support group to talk things through or are looking for the latest on prevention, our Cancer resource Center welcomes you.

Lifeline—a 24-hour personal emergency response service—is one of the many services made possible by the sVMH service League gift shop. it is yet another way we reach beyond our campus, making indepen-dence possible for more people. Our service League also supports a variety of student-focused programs, like Career pathways, exposing young people in our communities to the myriad career opportunities in healthcare.

in this issue you’ll also read examples of how our team knows no boundaries when it comes to patient care. We are the only hospital in Monterey County to have a department solely focused on helping patients with cancer or cardiovascular disease join in national medical research. Their willingness to participate gives them access to advanced forms of care, and helps define the next gold standard of prevention, screening, diagnosis and treatment. This past year, our team put tremendous effort into becoming the County’s first hospital to receive The Joint Commission’s gold seal of Approval® for both hip and knee replacement, and achieved accreditation by the society of Cardiovascular patient Care as Monterey County’s only Accredited Chest pain Center.

And our commitment to you knows no boundaries. We’ll always do more than what’s required, partner with you in your quest for healthy living, and be there for you when and where you need us.

Our caring knows no boundaries

Pete Delgado, president/CEO

6

Your health in your hands—

the SVMHS Mobile AppImagine carrying a powerful tool in your pocket or purse that can help you live

a healthier life. Salinas Valley Memorial Healthcare System delivers that technology to your smart phone free—putting tools to track your health and wellness in the palm of your hand. The SVMHS mobile app is the first of its kind on the Central Coast and works on both iPhone and Android devices.

TRACk yOUR HEALTH:Sync with Fitbit; track your weight, blood pressure, glucose, cholesterol, headache history, pregnancy data and mood; receive medication reminders

PHySICIANS:Search for doctors in every specialty; save their contact info directly to your phone

FIRST AID & HEALTH LIBRARy:Research reliable facts using Mayo Clinic’s respected library of information. Check on everything from first aid for a bee sting to the most complex forms of cancer

LOCATIONS:Looking for a service or one of SVMHS’ nine Doctors On Duty urgent care clinics? This tool will help you get there

SERVICES:Connect directly to any of SVMHS’ departments with this phone listing of all areas

s A L i n A s V A L L e Y M e M O r i A L H e A L T H C A r e s Y s T e M

Christi Kearns, MBA, RDCS, assistant director of cardiology, cardiac catheterization laboratory and cardiac rehabilitation, says the SVMHS mobile app is like having her own personal health and fitness coach on call. The easy to use features allow Christi to keep a record of her choles-terol, blood pressure and weight. Plus, she can get fast, reliable medical information with the tap of a finger. “The SVMHS mobile app is my one stop information resource, fitness motivator and health tracker,” says Christi. She uses it as a reminder to schedule appointments, take her vitamins, research health and fitness tips, find physicians, and more.

The sVMHs Mobile App really helps me be more intuitive about

my body and what’s happening to me every day. i think it’s wonderful.

— Christi Kearns, MBA, RDCSAssistant director of cardiology

“”

SEARCHPhysiciansFind SVMHS physicians, by specialty or name, and call or add to your contacts with the push of a button.

Health, Wellness and First AidExplore the First Aid & Health Library for a wealth of reliable tips, ideas, strategies and info—all from the world-renown Mayo Clinic. Research conditions, learn about tests and procedures, get tips and techniques for living a healthy lifestyle and learn about first aid.

FINDLocationsFind SVMHS and partner locations on our campus and throughout the community. Access interactive maps, directions and phone numbers that will get you where you need to go.

ServicesIt’s easy to find everything from diagnostic imaging, case management and laboratory to pharmacy, cancer care, sleep medicine and more with our alpha-betical list of departments. Just click on the name and the phone number appears. If you want to place the call, it’s as simple as saying “yes.”

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Salinas Valley Memorial emergency department physician Eric Fajardo, MD views the mobile app as a good way to track and motivate fitness, and as a lifesaving tool. “If you’re taking medication, you need a readily available list to give to healthcare providers, especially in emergency situations,” he says. The app keeps track of your medication, dose and schedule, and sends reminders when it is time to take your medicine.

Dr. Fajardo rarely sees a patient who doesn’t have a cell phone. “It’s a great use of technology,” he says. He uses the app to provide patients with referrals to other physicians and to point them toward useful information. “I know it’s accurate, useful and written with the patient in mind.”

As an emergency room doctor, i often provide patients with referrals for primary care and specialist physicians.

now i can do that with the mobile app’s physician finder and my patients have the same access.

it’s an empowering tool.

— Eric Fajardo, MDemergency department physician

“”

TRACKMedicationsKeep track of your medications including what, when and how much. Set reminders so you’ll always take it on time. Bonus: you’ll have the list with you for doctor appointments and emergencies.

PregnancyYou’ll know what to expect every step of the way, and have health tips and information that will take you all the way through to your baby’s arrival.

Health & WellnessWhether you’re trying to lose weight, recognize and avoid triggers for headaches, keep an eye on blood pressure and cholesterol or stick with a new exercise plan, goals are easier to reach when you can see your progress. And pairing our mobile app with a Fitbit is like having a wellness coach in your pocket.

To download the free app, go to the App Store and enter “Salinas Valley Memorial.” For more information, visit www.svmh.com/mobileapp.

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While the average person may not spend a lot of time thinking about medical research, it touches everything that touches us—from pills and procedures to diagnostics and devices.

CANCER AND

CARDIO-VASCULAR

CLINICAL RESEARCH

tHe FRONtIeR OF MeDICAL CARe

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Os A L i n A s V A L L e Y M e M O r i A L H e A L T H C A r e s Y s T e M10

ver the past 20 years, hundreds of people with cancer and cardiovas-cular disease have participated in clinical research trials through Salinas Valley Memorial Healthcare System. At the same time they are receiving the current gold standard of care for their disease, these patients are part of investigational studies to help define the next generation of prevention, screening, diagnostic and treatment options. They are part of an elite group at hospitals and research sites all over the country and the world who move an important medical advancement from research to reality.

The U.S. Food and Drug Administration regulates all drug, biologic and medical de-vice clinical trials involving people in the United States, from beginning to end. At Salinas Valley Memorial—the only hospital in Monterey County with a staff whose sole focus is to coordinate and facilitate patients’ participation in medical research—the majority of clinical trials are in the third of four phases. Occasionally, our patients participate in Phase 2 and 4 trials. These investigational devices, procedures and drugs have already been through Phase 1, involving very small groups of people. Our patients can be proud that their participation has led to Food and Drug Administration approval of devices such as stents, making life-saving options available to more people.

We offer a local, familiar resource for people to join in this vital national research without having to leave the area.

—Terri Nielsen, RN, CCRCClinical research manager at salinas Valley Memorial

”“

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From left, Sue Pilat, CRT and Patrik Zetterlund, MD, in the cardiac catheterization laboratory at Salinas Valley Memorial Healthcare System

The primary goals of all cancer clinical trials are to cure cancer and increase survival.

—Laura Stampleman, MDMedical oncologist and eCOg senior investigator

“”

clinical trials

Cardiovascular Cardiovascular clinical trials give our

cardiologists and their patients access to potentially progressive forms of treatment, typically two to four years before they are available to the public. They help refine treatments, including surgical and cath-eterization procedures, medications and devices. Patrik Zetterlund, MD, interven-tional cardiologist and medical director of the SVMHS cardiac catheterization lab and cardiovascular research program, has seen studies evolve from those of the coronary arteries to ways to treat conditions in veins throughout the body including the kidneys, legs and neck. “The satisfying part is what it has done for our patients,” says Dr. Zetterlund.

Cancer Clinical research through our Com-

prehensive Cancer Center gives patients all the care prescribed for their type of cancer, plus the therapies involved in the clinical trial. These research studies test ways to prevent, screen for, diagnose and treat cancer as well as review new ways to manage symptoms, pain and side effects. Laura Stampleman, MD, medical oncolo-gist, has been the senior investigator for the oncology clinical research program at Salinas Valley Memorial since 2007. 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, nurs-es and therapists. “The primary goals of all cancer clinical trials are to cure cancer and increase survival,” says Dr. Stampleman.

“If we stay with what we already know, we make no progress,” says Terri Nielsen, RN, CCRC, clinical research manager at Salinas Valley Memorial.

She and a dedicated research staff identify trials, screen patients, handle data collection and maintenance, and coordi-nate lifetime follow up to gauge the suc-cess of new approaches over time. “We offer a local, familiar resource for people to join in this vital national research without having to leave the area.”

The satisfying part is what it has done for our patients.

—Patrik Zetterlund, MDinterventional cardiologist and medical director, cardiac catheterization lab and cardiovascular research program

“”

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Terri Nielsen, RN, CCRC, clinical research manager

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“You have cancer” are three words that can rock a person’s world. They did for Nancy Deering when she was diagnosed with breast cancer in January 2012. In Nancy’s case, the cancer was caught early and was treatable. Her cancer experience is now defined by three other words, “there is hope.” Cancer clinical trials are one reason for her optimism.

For Nancy Deering, clinical trials symbolize hope

CLINICALRESEARCH

tHe FRONtIeR OF MeDICAL CAReFrom the participants’ perspective

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Sixty-five-year-old Jack Frost refers to himself as “a frequent visitor” to Salinas Valley Memorial Healthcare System. Since 1994, he’s had a number of diagnostic procedures, stents in his coronary artery, quadruple bypass surgery, a hip replacement and, most recently, stents placed in a vein in his leg. “Early on, my doctors told me I was likely to have circulation problems for the rest of my life,” remembers Jack.

A clinical trial was a great fix for Jack Frost

Over the years, walking became a big, and enjoyable part of Jack’s fitness routine. But eventually, pain got in his way. By the end of 2012, he’d cut back to only one slow mile a day, stopping to rest every 50 yards or so due to severe cramps in his calf. When the pain got to be too much, he knew he had to do something about it.

In February 2013, Jack’s cardiologist Richard Gerber, MD referred him to Patrik Zetterlund, MD, interventional cardiologist and medical director of the cardiac catheteriza-tion lab and cardiovascular research program at SVMHS. An ultrasound discovered an artery blockage in Jack’s leg.

Dr. Zetterlund talked with Jack about his options, including a clinical trial that involved new, longer stents specially designed for leg veins. “I was going to have the procedure so it didn’t matter that it was a study,” Jack says. “I knew it would help others later on, so why not?”

The stent was placed during an outpatient procedure in the cath lab in May 2013. Jack recalls that relief from cramping and pain was almost immediate. “It’s great how all the doctors worked together to help me,” he says with a smile. “I’ve always had a good experience at Salinas Valley Memorial. They treat patients extremely well.”

The father of two and grandfather of six now walks at least two miles, six times a week. Sometimes, he even takes on hills and extra miles, all without cramping, without pain. “For me, the clinical trial was a great fix.”

Before retiring in 2010, Nancy served as undersheriff for Monterey County. The cancer diagnosis gave her an unexpected job—educating herself. “I read about breast cancer, asked questions and took classes offered by Salinas Valley Memorial,” she says. “I did everything I could to empower myself so I could control my journey.”

Following a lumpectomy and radiation, Nancy was offered the opportunity to be part of a cancer research study by her oncologist Laura Stampleman, MD. Her answer was an im-mediate “yes.” The ongoing clinical trial looks at whether or not the addition of a drug makes radiation treatment more effective. “Past clinical trials changed the way my type of breast cancer is treated,” says Nancy. “I decided to join the study so that some-

thing good would come out of my experience.”“Participating in a clinical trial is a very personal decision,”

she continues. “Like a lot of people, I assumed I’d have to travel two or three hours to be part of important research. I was impressed I could participate right here in Salinas.”

Two years post-treatment, Nancy remains cancer free. For her, clinical trials symbolize hope. “There is a cure out there,” Nancy says confidently. “My daughter and I may not see it, but my granddaughter might.” Her first grandchild, little Rylee Marie, was born in November 2013. She’s part of a generation where it’s now possible that hope will replace fear when it comes to the word “cancer.”

i decided to join the study so that something good would come out of my experience.

—Nancy Deering

“”

i knew it would help others later on, so why not?

—Jack Frost“ ”


Meet

mOLLy HALL

2014 CMN Miracle Child

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CMn miracle child

During her first five years, Molly had more than her share of serious health issues and was a frequent visitor to Salinas Valley Memorial Healthcare System’s emergency room and pediatrics unit. “Even when she was sick and in the hospital, she had this amazing spirit and lots of energy,” Don says. “She loved the playroom and enjoyed music therapy provided by hospital volunteers.”

Molly Hall’s smile lights up a room. It’s usually the first thing people notice when they meet the vivacious eight-year-old. The second thing that often catches their attention is that Molly has cerebral palsy. Since her diagnosis at age three, her parents have never let Molly’s condition define her. “She’s a larger than life character,” says her dad Don Hall. “She just brightens your heart.”

Left: A crowd gathered at the Monterey Marriott and rolled out the red carpet for Molly Hall, our CMN Miracle Child and California Champion. Right: from left, Pete Delgado, SVMHS president/CEO, Monterey Mayor Chuck Della Sala and Salinas Mayor Joe Gunter joined Molly in the celebration.

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Thank you Plutas— 2013 Children’s Miracle Network Family

Our 2013 Children’s Miracle Network (CMN) Miracle “child” was a family affair. Jeff, Nina, Luke, Faith and Grant Pluta have our sincere appreciation for dedicating so much of their time sharing their heart-warming story. It all started May 19, 2012, when the Pluta family welcomed three-pound-eight-ounce Faith and two-pound-three-ounce Grant—nearly nine weeks early. The Level III Neonatal Intensive care Unit (NICU) at Salinas Valley Memorial Healthcare System and NICU ambulance funded by CMN became a big part of their successful outcome. “CMN helps us, the hospital and the community so much,” says Jeff, SVMH Foundation board member.

In the nearly two years since their arrival, Grant and Faith have come a long way. “They really are little miracles,” says proud mom Nina. “They were born so early and have faced a lot of challenges, especially Grant. Now, they’re pretty much on track with other kids their age.”

“Every day is different,” says Jeff. “Their personalities are starting to show. Faith is a little bigger than Grant, but he’s a fighter and doesn’t give up on anything. When he started crawling, he was so excited. We could see the light of independence shine in him.”

Molly is not only the region’s 2014 Miracle Child, but she was also selected by a national committee to serve as Cali-fornia’s 2014 Children’s Miracle Network Hospitals Champion! She’ll be the face and story for California’s nine Children’s Miracle Network Hospitals. Molly was chosen for the spirited way she faces her unique medical challenges and for her ability to help educate others about the positive impact of CMN Hospitals like Salinas Valley Memorial.

“CMN has been there for Molly and our family from the beginning,” says mom Shawn Hall. “It’s exciting for us to support their mission because we know firsthand the difference it can make.”

In addition to getting excellent care over the years at Salinas Valley Memorial,Molly has benefited from other CMN funded projects. For Christmas 2012, CMN played elf by helping Santa bring her a custom mobility tricycle. It assists with Molly’s muscle development and allows her to go on bike rides with her family, including older brother Garrett and younger sister Leah.

Today, Molly is a healthy third-grade honor student. She loves camping, inner tubing and searching the lawn for snails with her sister. How does Molly feel about being the 2014 California Champion? Her smile says it all.

CMn has been there for Molly and our family from the beginning.

it’s exciting for us to support their mission because we

know firsthand the difference it can make.

—Shawn Hall

“

”

They really are little miracles.

—Nina Pluta“ ”

CMn miracle child

DECEmbER 2012

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The moment i felt a lump in my breast, i knew it was cancer,” remembers 43-year-old Kelly Moffitt. She went to see her doctor and after a variety of tests, her suspicions were confirmed. That was March 2013.

tHe CANCeR ReSOuRCe CeNteRCalm in the midst of a storm

“


Kelly’s cancer was discovered fairly early, but it was an especially aggressive form. Things happened quickly—appoint-ments were made with the oncologist, surgeon and Bree Nakashima, medical oncology social worker and part of the collaborative Patient Navigator Program at Salinas Valley Memorial Healthcare System’s Cancer Resource Center. By December, Kelly had undergone surgeries, chemotherapy and radiation treatments.

The Patient Navigator Program is designed to help guide and support patients through the cancer treatment continuum. Bree and the clinical nurse specialist set up an in-person meeting with Kelly right after her diagnosis—as the navigation team will do for any person diagnosed with cancer at Salinas Valley Memorial’s Comprehensive Cancer Center. Kelly says it’s hard to remember everything the staff of the Cancer Resource Centerdid for her and her husband Tommy, because they did so much. Bree attended meetings with Kelly’s physicians, coordi-nated her care and was the hub of com-munications. “She helped us understand the options, what to expect, and gave us a place to turn for any kind of support we needed,” remembers Kelly. “I’m so glad

they did it this way. If it had been up to me to find and coordinate all my care, I would still be thinking about it. I’d be lost.”

“No one can do this alone,” Bree says. She encourages patients to define what’s important to them and their family. The Cancer Resource Center offers relief and calm when everything else feels out of control. Patients, family and friends all have one place to come.

Kelly’s husband Tommy says he prob-ably tapped into the Resource Center—including the Patient Navigator program—even more than Kelly did. Tommy visited the Cancer Resource Center where Bree helped him sort through the reams of material he would gather in his nightly on-line research and helped him decide what to pass on to Kelly, and at what pace. He says that Bree was always there to listen and provide moral support. “I wouldn’t cry in front of Kelly, but could break down there,” says Tommy. “I wanted to be con-sistent and strong for her, give her a safe haven.”

Based on their experience, Tommy decided to become a peer mentor and is in the process of completing his training provided by Salinas Valley Memorial and the American Cancer Society. Tommy says he wants to pass on what he learned, be a sounding board and show others how they can support their loved one. Tommy and Kelly agree that the Cancer Resource Center is an invaluable resource for anyone touched by cancer. “As a community, we’re fortunate to have it here,” says Tommy. “We want people to be aware of all the resources they offer and know they have a place to turn when faced with cancer,” adds Kelly.

Bree Nakashima, medical oncology social worker at SVMHS, helps guide Kelly and Tommy Moffitt through the myriad details of cancer treatment and recovery.

[Bree] helped us understand the options

and what to expect. she gave us a place to

turn for any kind of support we needed.

—Kelly Moffitt

“”

cancer resource center

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KeepINg wORLD-CLASS

CARDIOVASCuLAR CARe

closE to homE

hen you have problems that affect the health of your heart and major arteries, there’s no question you want care from people skilled in prevention, diagnosis, treatment and rehabilitation. But what about detecting a heart condition before it becomes a problem and discovering the next generation of clinical treatment? We’re a part of that too.

Cardiovascular disease touches millions of lives every year. It comes in many forms and affects the heart, arteries and blood vessels throughout the body. The good news is that the more you know about your risks and healthy lifestyle choices, the more you can take charge of your cardiovascular health. That’s why education, prevention and support have been integral parts of Salinas Valley Memorial Healthcare System’s Regional Heart Program since its launch in 1987.

This past year, we expanded and enhanced the one of a kind, life-saving and life-changing care we provide for people with cardiovascular disease.

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W


mending hearts and lives—

The Stanford Cardiac Surgery Program at Salinas Valley Memorial

It was April 1988 when the first open-heart surgery in Monterey County was performed at Salinas Valley Memorial Healthcare System. Before that, when people needed surgical procedures that involved the body’s most vital organ—the heart—they had to make many trips to the Bay Area. With the 2008 launch of the Stanford Cardiac Surgery Program at Salinas Valley Memorial, we opened more doors for people here to receive care that’s typically available only at large academic medical centers.

Christina Hinz, MD, anesthesiologist, chief of medical staff, and director of cardiac anesthesia; Vincent DeFilippi, MD, FACS, medical director of the Stanford Cardiac Surgery Program at SVMHS

heart program

Last year, new technologies, expertise and programs were added to give you and your family even greater access to the latest advances in surgical care. Christina Hinz, MD, anesthesiologist and chief of our medical staff, was named director of cardiac anesthesia. Vincent DeFilippi, MD, FACS, director of the Stanford Cardiac Surgery Program at SVMHS since its inception was named full clinical professor at Stanford University. And Stanford opened the Stanford Center for Interstitial Lung Disease and Transplant Outreach at Salinas Valley Memorial’s Ryan Ranch facility.

Building on a strong patient-focused program, we continue to broaden our technolo-gies and surgical techniques, including minimally invasive procedures, to treat people with complex heart and lung conditions in the local community. Our entire team works together to mend your heart and get you back to the things you love.

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CHeSt pAIN LeD tO A

LIFe-CHANgINg expeRIeNCe

FOR DaviD

Lizama

Forty-two-year-old David

Lizama never had a broken bone

or a serious illness, so he put off

routine visits to his doctor. About

five years ago, both of his brothers

were diagnosed with heart disease

and had bypass surgery. After that,

David was more conscious of what

he ate, didn’t smoke and worked

out at the gym four days a week.

He continued to say he’d wait to

see a doctor until something major

happened.

In August last year, it did.

Marissa Gonzalez, CCT and David Lizama


While driving his work van, David felt pain in his chest. He had a little tightness, but no other symptoms of a heart problem. But, something was off, so he decided to see a doctor about what he assumed was anxiety. David kept his brothers’ heart disease to himself. A couple days later, the anxiety was gone, but the chest pain wasn’t. After updating his doctor and revealing his family history, he was imme-diately referred to cardiologist George Yee for a stress test. Abnormal results led to an angiogram.

“When Dr. Yee said my arteries were 80 to 90 percent blocked, stents wouldn’t work and I needed quadruple bypass surgery, I thought he was joking,” says David. “Once it sunk in, it was surreal.” Less than 24 hours later, on his daughter’s birthday, he had open-heart surgery. It was performed by Vincent DeFilippi, MD, FACS, medical director of the Stanford Cardiac Surgery Program at Salinas Valley Memorial and Stanford clinical professor. “I knew I’d

heart program

Do you know the warning signs of a heart attack? • 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 • Shortness of breath—with or without chest pain• Other signs like breaking out in a cold sweat or feeling nausea or light headedness• For women, as with men, chest pain/discomfort is a major warning sign, but women are more likely to also have other common symptoms such as shortness of breath, nausea/vomiting and back or jaw pain

be well taken care of. I never worried about the surgery, just all the stuff that went with it. It was a life-changing experience.”

David began cardiac rehabilitation at Salinas Valley Memorial’s Cardiac Wellness Center in late October. He says the staff is great and if he had his way, he would do his cardio workouts there from now on. “Being monitored gives me the confidence to push myself, but not too hard,” says David.

Born at Fort Ord, David lives in Salinas with his wife Kirsten and daughters—eigh-teen-year-old Jessica and seven-year-old Gwen. He looks back and sees that his life has totally changed. “If I’d gone to the doctor every year like I should have and opened up about my family history,” David says, “I would have caught it earlier. I got lucky and plan to be here for many more of my daughters’ birthdays.” Now, he tells anyone who will listen to be proactive about their health, especially if they have chest pain.

Are you at risk? Only three risk factors are beyond your control• Gender • Age • Heredity

Your risk increases if you:• Smoke• Have diabetes• Have high cholesterol• Are not physically active• Are overweight or obese• Are under prolonged stress• Are a postmenopausal woman

“i knew i’d be well taken care of....it was a life-changing experience.

— David Lizama”

Warning signs & risks

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Can you tell the difference between heart burn and heart attack?

Quick Quiz

Answers: f, c

While you’re stressing out, so is your heart

Stress is part and parcel of life today and few things impact quality of life as dramatically. While stress in small amounts can be motivational—even essential to productivity—if left unchecked it can wreak havoc on relationships, emotional well-being and overall health. From a cardiovas-cular standpoint, stress is considered one of the most prevalent yet manageable contributing factors for risk of heart attack, stroke, high blood pressure and other serious conditions. Our Health Promotion Department offers several classes that can help you manage stress including Tai Chi, Yoga and meditation. For more information visit svmh.com/events or call 831-759-1890.

It’s more likely a heart attack if: a. You typically don’t have indigestion and the symptoms are new to youb. It’s accompanied by shortness of breath, profuse sweating or pain in the arms, jaw or neckc. All of the above

Heart burn and a heart attack can produce similar symptoms. If you have any doubt at all, call 9-1-1 immediately. It’s always better to err on the side of life-saving caution. (Answers at bottom, right of page.)

It may be heart burn if you:a. Have chest painb. Have a history of heart burnc. Are burpingd. Have just eaten spicy foode. Feel tender in your abdomen and it gets worse when you lie downf. All of the above

good and Bad CholesterolOf several different types of choles-

terol present in blood, two are closely watched. LDL is the bad stuff. It can accumulate on the walls of arteries and veins and become plaque, and that builds up and can restrict blood flow. The good one is HDL. High levels of this one are believed to guard against heart disease. To remember one from the other, just think of LDL as “Lousy” cholesterol and HDL as “Healthy.” By the way, The American Heart Association considers a LDL number below 100 to be optimal, while HDL should be above 40.


Patients benefit because it can deliver 80 percent less radiation, compared to traditional CT, and some tests can be done without the use of contrast.

Tim Albert, MD, cardiologist and medical director of the Ryan Ranch Center for Advanced Diagnostic Imaging

L i f e L i n e | s p r i n g 2 0 1 4 25

Using advanced imaging technologies such as CT and MRI, Dr. Albert is able to pinpoint disease in the heart as well as in blood vessels in the neck, heart, kidneys and legs. Often, these high-tech scans can reveal disease at its earliest stages, some-times even before there are symptoms. Armed with knowledge, you can work with your doctor to make changes and receive treatments that may prevent the disease from worsening and actually reverse it in some cases.

Just a few years ago, people with kidney disease, for ex-ample, did not have good imaging options because their kidneys couldn’t tolerate contrast—a substance that illuminates the area being examined. Today, that’s all changed. Using breakthrough technology, the Ryan Ranch Center uses MRI to produce crystal clear images without the need to inject contrast. Some of the advancements are the result of a study called REACT (Renal Artery Contrast Free Trial). Salinas Valley Memorial’s Ryan Ranch Center for Advanced Diagnostic Imaging was the primary global coordinating site and one of only six sites in the world to partici-pate in the study that compared MRI to CT for imaging of the kidney arteries. “We’ve played with physics in order to make the blood bright without the use of an IV or injection of contrast material,” says Dr. Albert. “It means the difference between assuming and knowing what’s going on inside these patients.”

In heart and coronary artery diagnostic tests, the Ryan Ranch Center uses a 320-slice CT scanner—available at only a handful of hospitals in the country. Patients benefit because it

CARDIOVASCuLAR IMAgINg—

AN INSIDe LOOK

heart program

can deliver 80 percent less radiation, compared to traditional CT, and some tests can be done without the use of contrast. Captur-ing an amazingly clear image in a single heartbeat, the 320-slice CT scanner is a non-invasive option for coronary angiography for selected patients. And it provides the ability to see heart disease well before there are symptoms through a painless test called Coronary Calcium Scoring. It detects even the smallest amounts of calcium in the arteries, an indication of heart disease in the making.

“It’s great for patients and their families that we can offer real opportunities to prevent heart attacks, and treat cardiovascular disease years before it would be noticed,” Dr. Albert says. “It gives us time to do something about it.”

Cardiologist Tim Albert knows how important early detection of heart and cardiovascular disease can be. When he was a teenager, his father died of a heart attack at age 52. There were no warning signs. He saw firsthand what heart disease does to a family. “Today, we are able to do amazing things with technology that we were not able to do even five years ago,” says Dr. Albert, medical director of the Ryan Ranch Center for Advanced Diagnostic Imaging at Salinas Valley Memorial Healthcare System.

Coronary Calcium Scoring: • Recommended for men age 40-plus and women 45 and

older, as well as younger people who have risk factors like a personal or family history of heart disease

• This life-saving and life-preserving test is available at Salinas Valley Memorial’s Ryan Ranch Center for Advanced Diagnostic Imaging for $149—a cost designed to be affordable because like so many other preventive and diagnostic tests, it isn’t covered by many health insurance plans


stanford center for Interstitial lung Disease and transplant outreach opens in monterey

Few surgical procedures are as intricate and multifaceted as organ trans-plantation surgery. The months leading up to the surgery are filled with tests, physician visits, lifestyle changes, consultations and procedures. In the past, patients and their families had to repeat the long trip to the Bay Area for each of these steps. Thanks to the long-standing relationship between Salinas Valley Memorial and Stanford Hospital & Clinics, people can work with local physicians while exploring transplant possibilities at the Stanford Center for Interstitial Lung Disease and Transplant Outreach Center at Ryan Ranch in Monterey.

Sometimes a person’s heart or lung disease progresses to the point where a transplant is the best option. Our specialized team works in tandem with local pulmonologists and primary care physicians so the patient can stay close to home until the transplant surgery takes place at Stanford.

The new outreach program will go beyond transplant evaluation and pre-surgery care to include clinical trials and other treatments designed to improve length and quality of life for patients with advanced lung disease.

heart program

Make every second count—Accredited Chest Pain Center at Salinas Valley Memorial

The sooner care starts when you or someone you know is having a heart attack, the better the outcome is likely to be. The team at Salinas Valley Memorial Healthcare System’s Accredited Chest Pain Center is ready to begin assessment and treatment the moment you arrive—and even before, if brought to our emergency department by ambulance.

When you come to the SVMHS emergency department with chest pain, we take an EKG—a test to determine if a heart attack is in progress. If you’re in an ambulance, this test is done by paramedics on the way to the hospital. If it shows a heart attack, the results are instantly transmitted to our emergency department and staff cardiologists. A special team is activated and ready for your arrival.

The standard for accreditation as a Chest Pain Center is to open the blockage that’s causing the heart attack within 90 minutes of the time you reach the hospital. “Our data shows that patients are taken to our cath lab, the blood vessel opened and the heart attack stopped within about 60 minutes on aver-

age,” says Patrik Zetterlund, MD, interventional cardiologist and medical director of the SVMHS cardiac catheterization lab. “Time saved equals lives and heart muscle saved.”

To achieve accreditation by the Society of Cardiovascular Patient Care, the entire process of treating patients with chest pain is evaluated to ensure rigorous standards are met or exceeded. As Monterey County’s only Accredited Chest Pain Center, we have the experience, processes, systems and protocols in place to provide the care that can save your life and preserve its quality.

“The success of any healthcare organization is measured by the level of commitment and passion of its staff to do their best,” says SVMHS president/CEO Pete Delgado. “I am extremely proud of this accreditation that demonstrates the teamwork at SVMHS to meet the highest standards in quality care.”

L i f e L i n e | s p r i n g 2 0 1 4 27

pat Sting—Right at home with Philips Lifeline

After the last time 80-year-old Pat Sting fell, her daughter said, “Move in with me or get Lifeline.” Philips Lifeline is a home monitoring system that calls for help at the press of a button. Pat has a heart condition, diabetes and kidney failure and receives dialysis three times a week. She has lived in her Salinas apartment for 23 years, but as she grew more ill, she feared losing her independence. “I want to stay here as long as I can,” Pat says, “and Lifeline helps me do that.”

A volunteer from Salinas Valley Memorial Healthcare System installed, tested and walked Pat through the Lifeline system in less than an hour. “I think it’s wonderful that volunteers help take care of people like me,” she says with a smile. “I appreciate them immensely.”

Pat has activated her Lifeline a few times. She loves that help is there when she needs it. “It gives peace of mind to my daugh-ter and me, and lets me stay safe and independent at the same time,” says Pat. “Anyone who is older or sick should consider the benefits of Lifeline.”

volunteer services

Lifeline ServiceIn 1989, the SVMH Service League launched Lifeline—a 24-hour personal emergency response service. It is now the only local Lifeline program in Monterey County. Subscribers simply press a medical alert button on a wearable, waterproof pendant and it puts them in touch with help in seconds. For many, especially seniors, Lifeline not only supports independence, it increases confidence and peace of mind. Thanks to a grant from the Monterey Peninsula Foundation, financial assistance is available to people who cannot afford the monthly service fee.

i want to stay here as long as i can...and Lifeline helps me do that.

—Pat Sting

“”

CONTINUED➤


Sometimes we seek out a job or title and sometimes it comes to us. For Rosemary Tarp, becoming the Lifeline Member Services Liaison for Salinas Valley Memorial Healthcare System’s Lifeline Service was a very personal experience. In the mid-90s, her then 75-year-old mother had a fall and was on the ground for 24 hours. “Right after that, I learned about Lifeline and signed her up,” she remem-bers. Today, Rosemary, Patricia Heyne and Monica Takashima work with a team of Salinas Valley Memorial Hospital Service League volunteers to manage the pro-gram for more than 850 subscribers. “We simply could not offer this service without volunteers,” Rosemary says.

Terry Espinoza found a similar call-ing. After 36 years at Alisal High School as a teacher and coach, he decided to retire in 2004 and start a new career—as a volunteer Lifeline installer. He’s one of nine volunteers who install the Lifeline equipment in subscribers’ homes. Once the system is up and running and the subscriber is walked through its use, Terry makes sure the person understands how to use it. “I tell them I was a teacher before giving them a quiz,” he jokes. “I like new things, experiences and learning. And I love Lifeline.”

volunteer services

i like new things, experiences and learning. And i love Lifeline.

—Terry EspinozaVolunteer Lifeline installer

“ ”

Medication Dispensing Service: This automatic pill dispenser provides a reminder and at the push of a button, dispenses your pre-loaded medications at programmed times.

AutoAlert: This new option takes Lifeline to another level. If you are not able to press the button to summon help, AutoAlert senses a fall and automatically places a call for help. It’s an added layer of protection.

To be released this year is GoSafe: The latest addition to Philips Lifeline prod-ucts, GoSafe utilizes location technologies and two-way communications to provide access both inside and outside the home through your Lifeline pendant.

More Lifeline innovations available from sVMHs and philips Lifeline

Joint pain doesn’t have to slow you down

When pain started getting in the way of Wilma Bradford’s active life, she decided to do something about it. Joint replacement is an option that has helped countless people including this 79-year-old dynamo. Today, there’s no better place to turn than Monterey County’s first hospital to receive The Joint Commission’s Gold Seal of Approval® for both hip and knee replacement—Salinas Valley Memorial Healthcare System.

CONTINUED➤

joint replacement

Wilma Bradford

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30

They say 60 is the new 40. With my hip replacement surgery, i say 80 is the new 60!

—Wilma Bradford

“”

L i f e L i n e | s p r i n g 2 0 1 4 31

Allen Hershey, MDOrthopedic surgeon

At 79-years young, Wilma Bradford has always been an active person. “I like the feeling of being healthy and for me that means walking,” she says. When pain started getting in the way of her activities, even her sleep, she knew she had to do something about it.

Wilma was referred to Allen Hershey, MD, orthopedic surgeon. After tests showed severe arthritis, bone spurs and other deterioration, they discussed the options available to her, including total hip replacement. “She’d been through all the other standard treat-ments and wanted a solution that would allow her to be as mobile and young as she felt,” says Dr. Hershey.

Like many patients, Wilma attended Salinas Valley Memorial’s orientation program before her surgery. “Informed patients are happier, know what to expect, and they may recover faster,” Dr. Hershey says. Following hip replacement surgery, Wilma opted for extra physical therapy at a rehabilitation center so she could get back to walking as soon as possible. At home, she received visits from Central Coast Visiting Nurse Associa-tion nurses. After just 12 days, Wilma says a nurse spotted her lifting her walker as she moved around the house and told her she no longer needed it.

Wilma credits Dr. Hershey and Salinas Valley Memorial Healthcare System’s Joint Replacement Program with her great outcome. She raves about the nurses, physical therapists and everyone who helped with her care. “I felt completely prepared to go home,” she says.

She tells others who might be considering joint replacement to think about how life is with pain. “Pain is stressful and takes away so much quality of life,” says Wilma. “They say 60 is the new 40. With my hip replacement surgery, I say 80 is the new 60!”

“Wilma is a firecracker,” Dr. Hershey says. “It’s fun for me to see how well people do after surgery.”

Care at Salinas Valley Memorial’s Joint Replacement Center begins the moment you and your physician decide knee, hip or other joint replacement is right for you.A 90-minute pre-surgery orientation tells you what to expect, how to prepare for the surgery and rehabilitation, and more. Through surgery, rehabilitation, in-home follow up care and physical therapy, our experts work as a team to get you back on track. It’s a level of quality care on par with major university medical centers, right here, close to home.

Having the full facilities and resources of Salinas Valley Memorial for joint replace-ment surgeries is important to orthopedic

Wilma Bradford doesn’t believe in acting her age

specialists like William Parker, MD. “It increases comfort and confidence, enabling us to take on patients with more complex health issues,” says Dr. Parker.

Whenever possible, orthopedic surgeons at Salinas Valley Memorial use minimally invasive and other techniques that improve outcomes for our patients. Specially equipped operating suites, including computer aided surgery technol-ogies, support surgeons in using advanced procedures that result in a smaller incision,

shorter surgery and recovery time and less pain for our patients.

Earning and maintaining certification by The Joint Commission is a rigorous and voluntary process. “It takes a daily commitment and the expertise of our surgeons, pharmacists, nurses, physical therapists and other professionals working together to provide the very best care for our patients,” says Lourdes Escolta, MSN, RN, CNS, ONC, clinical nurse specialist/nurse navigator.


Palma School junior Jack Koster is a big fan of Salinas Valley Memorial’s Career Pathways Program (CPP). He had an idea he might want a career in medicine. Volunteering in the hospital’s outpatient services department since June 2013 has transformed that idea into a passion.

Jack kOster Career Pathways Program student volunteer

career pathways

a nd that’s exactly what the Career Pathways Program is designed to do. It gives high school and college student volunteers exposure to different career paths within the hospital—retail management, business services and clinical services. The ten-year-old program is a great way for students to explore their interests and aspirations through hands-on experience.

Jack appreciates the opportunity to do and learn many different things, and especially enjoys interaction with patients. His primary duties include escorting patients from registration to the outpatient surgery area and helping the nurses with whatever they need. “Now that I know

what they typically need, I try to have it ready before they even ask,” he says.

The enthusiastic teen encourages other students to consider volunteering through Career Pathways. But Jack’s do-ing more than encouraging—he is actively participating in a partnership between Salinas Valley Memorial and Learning for Life’s Exploring program. Learning for Life is a national program that provides a wide range of real world career experiences for 15- to 20-year-olds. A Health Exploring Post was established in January 2014 and the student leadership group is com-prised of Post members. “This partnership enhances the resources, opportunities and leadership training available to our student volunteers,” says Shannon Graham,

assistant director of volunteer, health career and spiritual care services.

“The Career Pathways Program gives students real life healthcare career experi-ence and opportunities to build on-the-job skills,” says Tiffany DiTullio, director of community development & programs at Salinas Valley Memorial. “It is exciting to see so many high school and college students enthusiastically engaged in providing excellent service.”

“My experience at Salinas Valley Memorial has expanded my viewpoint,” says Jack. “Volunteering is something I’ll do the rest of my life.”

For more information, go to svmh.com/students.

L i f e L i n e | s p r i n g 2 0 1 4 33

Now I know what I want to do—I want to be a doctor, Jack says with a contagious smile.“ ”


i was worried because he was coming and I wasn’t ready...it never crossed my mind that he wasn’t ready.

—Chelsea Sterrett“ ”

From left, Chelsea, Archer and Nicholas Sterrett

L i f e L i n e | s p r i n g 2 0 1 4 35

neonatal intensive care unit

One night in her 35th week of pregnancy, Chelsea felt sharp, intense pains in her abdomen that turned out to be contractions. Nurses at Salinas Valley Memorial closely monitored Chelsea and the baby. Her physician ordered medication to slow down labor. But, Archer would not wait. He was born August 7, 2013, weigh-ing 6 pounds, 1 ounce. “I was worried because he was coming and I wasn’t ready,” Chelsea says. “It never crossed my mind that he wasn’t ready.”

Babies like Archer—born between 34 and 36 weeks gesta-tion—are considered “late pre-term.” They represent the majority of pre-term births and admissions to Neonatal Intensive Care Units in the U.S., according to neonatologist Robert Castro, MD, medical director of Salinas Valley Memorial’s NICU and clinical professor at Stanford. “While they are a healthy weight and look vigorous, it’s common for late pre-term infants to have difficulty eating and they’re prone to infections, jaundice and low blood

pRepARINg bAbY FOR HOMe—

LEVEL III NEONAtAL INtENSIVE CAREAt SALINAS VALLeY MeMORIAL

CONTINUED➤

Nicholas and Chelsea Sterrett were looking forward to the birth of their first child. With a little less than a month to spare, they were busy with their teaching jobs in Salinas—he at Palma School and she at Notre Dame High. Time outside of work was spent in anticipation, preparing the nursery and talking about baby names.

The Sterretts say it was an easy pregnancy—Chelsea was swimming four days a week, doing yoga and eating a healthy diet. All checkups showed the baby was right on track with growth. Textbook perfect. They’d scheduled childbirth prepara-tion classes and took a tour of Salinas Valley Memorial Healthcare System’s birth-ing units including the Neonatal Intensive Care Unit (NICU). “We sort of laughed about not needing the NICU,” says Nicholas. “But it turned out we did.”

sugar. Over the course of 14 days, we made sure all of these issues were taken care of before we sent Archer home.”

Neonatal Intensive Care Unit registered nurses (RNs) assured the new parents that Archer wasn’t sick—they were just giving him what Chelsea’s body would have if the pregnancy had gone to full term. The team made sure Archer received proper nutrition through a feeding tube while they went to work teaching him to breath, suck and swallow at the same time—essential for eating on his own. Phototherapy lights were focused on the baby in his isolette to clear up his mild jaundice, and respiratory care practitio-ners made sure his little lungs were in good shape. Chelsea stayed near her baby around-the-clock, thanks to one of the rooms designed for moms of babies in the NICU.

“I was there for all feedings and the RNs helped me establish breastfeeding,” remembers Chelsea. “The RNs checked on me frequently and made sure I had time to hold and bond with Archer.


As one way to thank Salinas Valley Memorial Healthcare System for the care Archer received in the Level III NICU, Nicholas Sterrett helped organize a Miracle Jeans Day at Palma School. Students, teachers and staff paid $5 to go casual in support of Children’s Miracle Network. Donned in jeans, Archer was featured in flyers, inspiring $1,100 in giving for the local CMN program. “It was a lot of fun and really showed the Palma spirit in helping babies like Archer,” Nicholas says.

Miracle Jeans Day is a fun and easy way for businesses, schools and other organizations to raise funds for CMN. While there’s a nationwide effort every September and December, local organizations can host a Miracle Jeans Day at any time. For more information or to schedule an event for your organization, visit svmhfoundation.org or call (831) 755-0778.

They really cheered me on.”Chelsea and Nicholas say the staff at Salinas Valley Memorial cared for the two of

them as much as they did for their son. “They treated us as members of the team. When Archer was ready, we were more than ready to take him home.” Thanks to the great start he had in the NICU, eight-month-old Archer now weighs in at more than 20 pounds, and growing!

Above, Robert Castro, MD, medical director of Salinas Valley Memorial’s NICU and clinical professor at Stanford and Rose Maniwang, RN, clinical assistant director

neonatal intensive care unit

Go casual for kids!

miracleJEANS

day

it is so important for parents to be involved with feeding and have time to bond with their baby. We care for the emotional needs of the parents as well as the physical needs of the infants.

—Rose Maniwang, RNClinical assistant director, niCU

“

”

L i f e L i n e | s p r i n g 2 0 1 4 37

exeRCISe CHALLeNge

Setting the pace for healthy livingJeff Post is a grown-up poster boy for Salinas Valley Memorial’s Exercise Challenge. The free ten-week program kicks off each February in celebration of Heart Month.

CONTINUED➤

...i managed to put on 60 pounds. The exercise Challenge program

motivated me to get in shape.

—Jeff Post

“”


Jeff, a contract specialist at the Presidio of Monterey, says, “When I was in the Navy, I was fit, but after leaving I managed to put on 60 pounds. The Exercise Challenge program motivated me to get in shape.” He challenged his co-workers to participate and a majority of them took him up on it. Jeff says that for many people, 90 minutes a week doesn’t seem like a lot of exercise. But, for some of his co-workers, it was 90 minutes more than they had been doing. Congratulations to Jeff who lost that extra 60 pounds, and continues to keep it off.

Inspiration—especially from his wife Susie and autistic son Peter—was a big part of his suc-cess, according to Jeff. “Most evenings I take Peter swimming at CSUMB and watching him just makes me want to continue my fitness program even more,” says Jeff. “Without my wife Susie, a personal trainer, it would have been much more difficult to shed the pounds.”

Inspired by Stanford’s Heart Disease Prevention Program, the hospital launched its countywide effort in 1987. Margie Reyes with Salinas Valley Memorial’s Health Promotion Department has been the Exercise Challenge coordina-

tor since 1989. Since its debut, the number of participating groups has grown from 20 to 152. Each organization receives a packet full of information, tools and inspiration to use in getting employees motivated.

“Participants end up challenging each other to do aerobic exercise—like brisk walking, running, jogging, swimming and bicycling,” says Margie. “To qualify, each person needs to exercise at least 90 minutes a week for ten weeks. Program success is measured in minutes. Five-hundred-seventy-seven Salinas Valley Memorial employees racked

up an impressive 1,101,169 minutes. We’re proud to see the lasting impact this program has had on people throughout Monterey County.”

Organizations offer incen-tives and encourage friendly competition for drawings and prizes among their employ-ees. But, Jeff identifies the real prize—a healthier, more fit future. “We started for the challenge, but stayed in it for the fitness,” he says. “My colleagues and I feel and look better, and have more spring in our step.”

Keep expectations reasonableLook for chances to be more active throughout the day, like taking the stairs and parking a little farther away. And don’t get discouraged if you have a lapse in your routine.

Make the TimeStart slow and gradually build up time and intensity. Get into a routine by finding a time of day and a convenient place for exercise. Make it a flexible habit and don’t stress out if you miss a workout.

Make it funChoose activities that are fun for you and ask family and friends to join in. Change up activities, and add a little music, to stay motivated and entertained.

health promotion

Why is physical Activity important?• Aids in losing weight or maintaining

a healthy weight• Aids to quit smoking• Boosts energy level• Helps delay/prevent chronic

illnesses associated with aging• Helps manage stress• Improves self-image• Improves sleep• Increases muscle strength and

ability to do other physical activities

• Promotes enthusiasm and optimism• Provides opportunity to gather with

family and friends• Reduces high blood pressure• Reduces risk of diabetes,

cardiovascular disease, stroke, heart attack and several forms of cancer

• Reduces risk for osteoporosis and falls

• Reduces symptoms of depression and anxiety

i went in to get my body taken care of and got my heart

taken care of too. Based on my experience, this is as good as it gets.

—David Cayton

“”

40

L i f e L i n e | s p r i n g 2 0 1 4 41

Matthew Romans, MD, plastic and reconstructive surgeon, and medical director of the Wound Healing Center (WHC) at Salinas Valley Memorial Healthcare System (SVMHS), recalls seeing David in the emergency room. “David had a serious infection on his arm that required immediate care,” says Dr. Romans.

During surgeries, Dr. Romans treated the wound and grafted skin from David’s thigh to cover it. The donor site on his thigh was slow to heal due in part to his age and other health issues. After spending several days in the hospital, David was referred to the Wound Healing Center for follow up care. “The Center has the nurses and facilities to help us complete even the most complex treatment and surgical reconstruction of wounds,” says Dr. Romans. “The nurses at the Wound Healing Center are an amazing resource for our patients.”

“When I went to the Wound Healing Center,” says David, “I got more than treatment, I got care. I went in to get my body taken care of and got my heart taken care of too. Based on my experience, this is as good as it gets.”

wound healing center

Restoring quality of life at the

wouNd HEALINg CENTER

Left, Gayl Pina, RN, one of the specially-

trained nurses at the Wound Healing Center

and David Cayton

The nurses at the Wound Healing Center are an amazing resource for our patients.

—Matthew Romans, MDplastic and reconstructive surgeon, andmedical director, Wound Healing Center

“ ”

When he went to bed that night, seventy-something David Cayton had what he thought was a simple itchy patch on his arm. Scratching his arm throughout the night, he awoke the next morning to a raw spot and knew he had a problem. “The unknown was tough,” he recalls. “But, when you have people who know what they’re doing and can explain it to you, it makes a real difference.”


radicchio

“

”

radicchio can be part of a salad or served as a main

course when roasted, grilled, braised or barbequed.

Health-conscious chefs and home cooks alike have

discovered its undeniable health benefits, year-round

availability, great taste and versatility.

— Jennifer LeDuc, RD, CNSCClinical nutrition manager,

salinas Valley Memorial Healthcare system

Joining the ranks of certified Superfoods—

ravishing

L i f e L i n e | s p r i n g 2 0 1 4 43

nutrition services

Wilted radicchio & roasted pear saladservings: 4 servings

ingredientsOlive oil spray1 tablespoon olive oil 2 teaspoons white balsamic vinegar 2 ripe Bosc pears (cored & cut in quarters) 1 head radicchio, cored, halved and sliced ¼ teaspoon freshly ground black pepper½ cup red onion, thinly sliced 4 tablespoons crumbled blue cheese ½ cup whole roasted pumpkin seeds without salt

Directions preheat oven to 425°f. Mist quartered pears with olive oil spray

and spread evenly on a rimmed baking sheet. roast for 15 minutes, stirring to keep from sticking.

Core, wash and tear radicchio into bite size pieces, set aside. Heat the olive oil in a small skillet with the vinegar and pepper.

Add the thinly sliced red onion and sauté until the onion is translu-cent. While the dressing is scalding hot, toss with the radicchio; the leaves will become warm and as soon as the temperature is tolerable, use your hands—with gloves on—to massage the dressing into the leaves. The leaves will absorb the dressing and wilt slightly. Quickly, divide the radicchio and onion mixture onto 4 salad plates. Top each salad with 2 hot pear quarters, 2 tablespoons of whole roasted pumpkin seeds and 1 tablespoon of blue cheese. serve immediately.

Nutrition Information (per serving): 160 kcal, 8g fat, 3g protein, 95mg sodium

Recipe courtesy of Royal Rose, LLC in cooperation with Salinas Valley Memorial Healthcare System

The super nutrition in radicchio has earned it certified Superfood status. The tasty red vegetable joins other powerhouse edibles such as blueberries, broccoli, spinach, avocados and pome-granates. “Radicchio is rich in antioxidants, dietary fiber, vitamins and minerals thought to promote heart health, reduce cholesterol, increase vitamin C absorp-tion and lower risk for cancer,” says Jennifer LeDuc, clinical nutrition manager at Salinas Valley Memorial.

Although it’s quickly gaining popularity, radicchio isn’t an overnight sensa-tion—in ancient times, it was eaten to purify the blood and fight insomnia; its modern cultivation dates back to 15th Century Italy. Anthocyanidins—the most noteworthy antioxidant found in radicchio—have health boosting properties. They’re estimated to have 50 times the antioxidant power of vitamins C and E. And research suggests that these beneficial antioxidants positively affect collagen production in blood and blood vessels, soft tissue and ligaments, making them useful in treating everything from arthritis to varicose veins. On top of that, it’s grown right here in the Salinas Valley!


Shopping for a good cause—SVMH Service League Gift Shop

Arita Magno, SVMH Service League president

service league

A longstanding SVMH Service League endeavor, the Gift Shop is bigger and better than ever. In July 2013, the Service League teamed up with Lori’s Gifts—a company that operates gift shops in more than 300 hospitals nationwide. The change brings with it an expanded selection of quality gifts at great prices. While there’s a small paid staff, the Gift Shop is still a favorite “job” for volunteers—especially Service League president Arita Magno, a retail pro for 20 years. “It’s shopping for a good cause,” she says. “With Lori’s buying power and sources, we tripled the selec-tion of merchandise. Funds raised through sales have increased significantly. And that means more money to put to work supporting hospital services and outreach programs.”

When you support the SVmH Service League, you help make many things possible

In the past 10 years alone, the Service League has raised more than $1.3 million. The funds have been put to use in many ways—including specialized isolettes for babies in our NICU, supporting the Nancy Ausonio Mammography Center, providing scholarships to local students and colleges, and supporting our seniors with programs such as Tele-Care and Lifeline, to name just a few.

$699,603 to support SVMHS purchases of equipment needed for specialized care such as the neonatal isolettes used in our NICU

$120,112 to fund small SVMHS projects such as providing sweats for patients in our ER when the clothes they had on are no longer wearable, yarn for volunteers who knit caps for newborns, comfort services for patients and up keep for the Medical Museum $211,350 to sponsor SVMH Foundation programs such as Children’s Miracle Network and Cherry’s Jubilee $250,468 in scholarships for participants in Medical Adventure Camp and Summer Health Institute, college scholarships for Career Pathways volunteers and scholarships in partnership with local colleges who have nursing career programs $29,979 in community giving such as sponsoring health and wellness events, financial assistance for Lifeline Service participants and Tele-Care

salinas Valley Memorial is a great hospital with excellent physicians. At the end of her life, my mother received wonderful care through their palliative Care program. To say thank you, we asked that gifts be made in her memory to help fund this important program. These are just some of the reasons i support the sVMH foundation and am proud to serve on its Board of governors.

—Gary Vincenz president salinas Valley Memorial Hospital foundation Board of governors

“

”it was really exciting to raise $1,525 from customer donations during the Children’s Miracle network (CMn) 2013 balloon campaign. i shared my personal story with some customers about my own baby needing care in a neonatal intensive Care Unit (niCU). That helped inspire them to support salinas Valley Memorial’s niCU through CMn. Valero is proud to be a corporate partner with CMn.—Mercy Aguilera Customer service representative, Valero Corner store, King City

“”

why I give


These contributions were received on or between 6/1/13 - 2/28/14 for $25 or more and honor the memory of a loved one. These thoughtful gifts help support healthcare services at Salinas Valley Memorial Healthcare System. Contributions are tax deductible and may be made using the inserted gift envelope. The bold entry indicates the individual being memorialized, followed by the name of the contributor(s).

Lawrence Anton Aaroe Ms. Kathy D. Aaroe Mary Aaroe Ms. Kathy D. Aaroe Robert F. Abbott star Market Paul H. Adams star Market Yvonne Swenson Alarid Anne and Bill Bramers The Ladies Walking society of salinas Bret and rose scholl Clark Alsop Mrs. Ann Batinovich Nancy H. Alsop Mrs. Ann Batinovich Patricia Ann Anhalt Ms. Marci Bracco Cain Louise Ellen Benedict Dr. Charles B. Macglashan, Jr. Denny “Dennis” Bertelsman Mrs. Arlene Bertelsman Anne and Bill Bramers Mr. and Mrs. James D. fanoe, Jr. Mr. and Mrs. Henry K. Hibino Mr. and Mrs. Bill Johnson Mrs. Joanne Johnson The Ladies Walking society of salinasMrs. susan Merrill Bill and Marlene ramsey star Market Steven G. Borges star Market Marie Brown star Market Eugene “Gene” J. Cacas Mr. and Mrs. Ben Antaron Ms. gloria Avenida Mr. Antonio B. Batara, Jr. Ms. Juliet Bolanos Ms. evie Bolante Belen Brackett and Jan LaBrucherieBarbara and Diane Carroll Mr. and Mrs. Tony Changco Mr. and Mrs. ruben flores Mr. Melvin f. fortes, esq

Mr. and Mrs. Danny galindez Dr. Dominador C. gines, Jr. Mr. and Mrs. Alfredo B. gomez Henrietta guiao Mr. and Mrs. porferio f. guiong Mr. and Mrs. Barney B. guzman Mr. and Mrs. Manuel isla Ms. Marlene Ligsay Ms. Carlita pua Mr. and Mrs. roberto reyes Mr. and Mrs. ricardo sabalvaro Mrs. Lowell Catlett Mr. and Mrs. David Werner Howard K. P. Choi Mrs. sandra s. Choi Bruce Church Ms. patricia Mcnamara Irene Church Ms. patricia Mcnamara Frank James Clark Anne and Bill Bramers Donald W. Collins Mr. and Mrs. Albert gong Patricia A. Dancz Mr. Michael W. Dancz Maureen Alida Drobnick Anne and Bill Bramers Mrs. roberta emmerson entre nous society Mr. and Mrs. Henry K. Hibino Bill and Jean Johnson Mr. and Mrs. Jerry H. Kjeldgaard sam and shirley Lavorato Mr. and Mrs. Michael M. Lerda Mrs. susan Merrill gene and Bonnie nielsen Bill and Mary norman Mrs. Jeffery O’Neill (Darice Drobnick)Bill and Marlene ramsey Steve Erb Mrs. Barbara Whitney and family Louis “Lou” Santos Garcia Ms. evelyn garcia Ms. rosann pisoni Del Garlinger Judith and paul gordon

Dick Gillott The Ladies Walking society of salinas Warren D. Goldman Mr. Augie Amaral Mrs. nancy B. Ausonio Brandon and Tibbs Accountants John and Bonnie Molinari properties, Lp sam and shirley Lavorato Mr. richard r. rathbun P. Kent Green Cypress Collections Floyd M. Grigory Mrs. Julia Wittmann Paul M. Haro, MD Dr. and Mrs. Gerald Griffin Herbert Chester Healey, Jr. Healey Mortuary Tom “Tommy” R. Heess star Market Vosti’s inc. Roy G. Hernandez Ms. Kendra B. Howell Richard Leslie “Dick” HitchcockMr. and Mrs. James D. fanoe, Jr. Mrs. Barbara Whitney Albert “Abie” George Hook Brian and nikki Caprara Forrest B. Howard Mrs. irene Howard Dorothy Miltz Johnson star Market Dorothy M. Karr Ms. Kendra B. Howell Mark shilstone and Adrienne LaurentsVMH service League Shirley Mary Kerlee star Market Laura Kuhlmann Mark shilstone and Adrienne Laurent Hazel Lopes Mrs. Deann L. Kinnear

to remember

Walter T. “Ted” Lopes Mrs. Deann L. Kinnear James A. “Jim” Mattison, MDDr. and Mrs. Gerald Griffin Marion Church McNamara Ms. patricia Mcnamara Thomas Harley McNamara Ms. patricia Mcnamara Thomas Monroe Merrill Mrs. susan Merrill Joseph N. Micheli, Sr. John and Kathy Black Mr. richard r. rathbun Rowe P. Moore, MD The Ladies Walking society of salinas Linda A. Morello Mr. richard Tharin Aubrey J. NunesMrs. rose nunes Thomas John O’Neill, MD Dr. and Mrs. Gerald Griffin The Ladies Walking society of salinas

Todd Eustace Phillips Anne and Bill Bramers Dr. and Mrs. robert sugar sVMH service League Bernard “Bud” Pierson Bonnie pierson Hennigar Ronald Reinhold Pluta greg and Winoma plaskett Paul J. Powers Mrs. Marybelle Defebaugh James A. Rapose, Sr. R. Brickley Sweet, M.D. and Staff Bobby C. Revers Mr. ernie Maggini Milton S. Rianda Mrs. norma g. rianda Jean Ross somoco Tumbleweeds

Giving from your heart is an important way to support healthcare in our region, whether it’s to remember someone, honor a person or offered as support.

L i f e L i n e | s p r i n g 2 0 1 4 47

to remember

George A. Sasaki Mrs. Keiko sasaki Lillian Helen Scarr Mr. and Mrs. Tim Martin Warren Everett Scarr Mr. and Mrs. Tim Martin Hugo A. Scattini Mr. and Mrs. gary Tanimura Gus William Settrini Mr. and Mrs. James D. fanoe, Jr. Mrs. pat J. garlinger Frank Joseph Silva R. Brickley Sweet, M.D. and Staff John Thomas Silveira Mr. John W. schatz star Market Mr. and Mrs. James M. Thorne Bob and frances Thorp and Jennie Martignoni Mrs. Barbara Whitney Manuel Silveira Mrs. Bernice silveira Margaret Almyra Simard, MDMrs. rose nunes Virginia P. Slawinski Mrs. Barbara Whitney Robert A. Smith Mr. and Mrs. Albert gong Mrs. susan Merrill J Anthony Smith, MD Mr. Joseph T. Donahue Tom and Cindy fellows Dr. and Mrs. Gerald Griffin Dr. and Mrs. norm nelson Gaye Diane Stahl Ms. Brenda Cranford

John (Jack) A. Struve Dr. and Mrs. roy Bryggman Sam Taormina Leo and Diane Downey Ruth Miller Tebbe star Market Harold Termer, Sr. R. Brickley Sweet, M.D. and Staff John “Smokey” W. Thompson R. Brickley Sweet, MD and Staff Marvin and Karla Wolf I. Kenneth Vantress Mrs. Barbara Vantress Mark Ray Velcoff Mrs. Mark Velcoff Connie Vincenz Michael and Lucia Boggiatto Ms. Jane Duffey Mrs. Mary Hutton Ms. Dorothy Jefferson sam and shirley Lavorato Mrs. Mary A. Marten Mr. and Mrs. John V. Molinari gene and Bonnie nielsen Mr. Jay pack Dr. and Mrs. stuart r. paul greg and Winoma plaskett Mr. Leonard M. riggs, Jr. Weidner and McAuliffe, LTD. Doris H. Vincenz Mr. and Mrs. William Dalman Clarence O. “Toots” Vosti Doris Coplen santana Dr. Roger Werner Mr. and Mrs. David Werner Steven Phillip Young star Market

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 indicates the individual being honored or the special occasion, followed by the name of the contributor(s). These thoughtful gifts help support healthcare services at Salinas Valley Memorial Healthcare System. Contributions are tax deductible and may be made using the inserted gift envelope. These gifts of $25 or more were received on or between 6/1/13 - 2/28/14.

Dr. Srinivasa Ashokkumar—In honor of Dr. Kumar for his Kindness and Caring Dr. and Mrs. William Kennedy

to honor

Frank S. Corda ray and Lillian gularte Mr. and Mrs. James D. Fanoe, Jr.Ms. Joanne nissen

Dr. Hirofumi Hashimoto—In honor of care and kindness shown while in the hospital Mr. and Mrs. stanley C. fuller, ii The Wedding Anniversary of Art & Maralee Hunsdorfer Mr. and Mrs. ronald Johnson

Thomas Monroe Merrill—To honor the life Tom Merrill builtMrs. susan Merrill

SVMHS nurses volunteer in flu clinics Dozens of nurses were among the volunteers from

Salinas Valley Memorial who organized and staffed a free flu vaccination clinic in January. They partnered with the Monterey County Health Department to provide state funded flu vaccine to more than 1,000 adults, children and infants. The response was so great that a second clinic was held in February where approximately 500 people received the vaccine. “Vaccination is the best protection against aggressive flu strains circulating this season,” says Debra Johnson, RN, infection control and prevention director at SVMHS. “We are so proud of our nurses and staff who volunteered their own time to serve the community in this way.”

Jovita Dominguez, RN, BSN (right) and daughter Anais Rebekah Celaya volunteer at a flu clinic


“for me, it’s gratifying to see how much it means to the patient.

—Anne Pauly ”

Caring comes in many forms

Thanks to a caring, compassionate group of volunteers, patients at Salinas Valley Memorial Hospital do not have to face the end of life alone. The No One Dies Alone (NODA) program, launched in late 2009, offers companionship to dying patients whose friends and family are unable to be there. NODA volunteer program coordinator Anne Pauly is one of about 40 people who make themselves available day or night to be at the patient’s

side. “Comforting a patient near the end of life takes many forms—a cool cloth, a warm blanket, a song, a favorite passage or poem, a conversation, a gentle touch—whatever the patient needs,” says Anne. “It’s a blessing to staff as well since they know their patients are not alone.”

Anne talks with prospective and new NODA volunteers at informational meetings and training sessions. She also volunteers in several areas of the hospital and serves

as vice president of the Service League board. “There are many ways to make a difference in the lives of our patients,” says Anne. “Every person has to look within to see what service is right for them. Being a part of the NODA program is not what you might expect. For me, it’s gratifying to see how much it means to the patient.”

For more information on volunteering for the NODA program, please call SVMHS Volunteer Services at (831) 755-0772.

L i f e L i n e | s p r i n g 2 0 1 4 49

These contributions were received on or between 6/1/13 - 2/28/14 for $25 or more. These thoughtful gifts help support healthcare services at Salinas Valley Memorial Healthcare System. Contributions are tax deductible and may be made using the inserted gift envelope.

to support

Berries and Branches 2013 SponsorsAusonio ApartmentsAlvarez Technology group Dennis r. Andresen, DDs, inc.Bengard ranch, inc. Boggiatto produce, inc. Central Coast Cardiology Central Coast Head and neck surgeonsCentral Coast Visiting nurse Association and Hospice, inc. Chilton and House, LLp Church Brothers, LLC Cinderella Carpet One Delta Health systems Don Chapin Company Jim and Karen fanoe Jim and Jeri gattis Healthcare for Women, inc. Hibino farms, LLC ron and Jan Johnson Kasavan Architects, inc. Lavorato and scott, LLp John and Bonnie Molinari robert M. Mraule, MD, DDs nH3 service Co. nicora and Hespe Ottone Leach Olsen and ray, LLp Pacific Ag Rentals Pacific Valley Bank peninsula Business interiors pierson and Associates insurance services rabobank rC farms salinas surgery Center salinas Valley primecare Medical group sea Mist farms Mitch segundo shermans Apothecary pharmacy ssB Construction fe C. stallworth, rn, Dsn, BHn Taylor farms of California Toro petroleum UBs gary and Joan Vincenz Berries and Branches 2013 In-Kind Raffle Donors The Baby Branch Boekenoogen Winery Cook’s photography Creekside farms elements Day spa fleurs du soleil The gift peddler Cindy Hattersley Designs The Hair Handlers The Keller institute rin and norm nelson Oyster Trading Company pebble Beach Company

she Boutique star Market stone Creek Kitchen sVMH service League Javier Urtiz Woodies of Carmel Berries and Branches 2013 Special Thanks Boekenoogen Winery Caraccioli Cellars Chateau Julien Mike griva, Arroyo seco VineyardsMorgan Winery paraiso Vineyards scheid Vineyards Tondre Grapefield Matsui nursery, inc. Taylor farms sVMHs service League Berries and Branches 2013 Designers Bokay Nursery, Jeff Nilsen Carol finegan Casa Di Campagna, Marty Arnold Charity Chicks, Lavonne Chin Cindy Hattersley Design Creative interiors of Carmel, Jackie Hubbard exhibit floral studio, Lisa Lee grace feldeisen gifts on the go, Donna Bruhn it’s Cactus Kim McDonald rin nelson Karen padres paisley sage, Owen Taylor patissiere Bechler, gerald Bechler schubert nursery, inc., Mike faigleMary shebl signature Designs, Becky flores and Kelli palshawswenson and silacci, Mark silacci Woodies of Carmel Building Fund Mr. and Mrs. Don D. Chapin, Jr. Harden foundation Mr. and Mrs. sam A. Lavorato, sr. Cherry’s Jubilee 2013 Sponsors1st Capital Bank 36 north property Management A and O pharmacy American supply Company Boggiatto produce, inc. California Water service Cannery row Company Joe Carlon and Associates Cinderella Carpet One Coldwell Banker gay Dales, inc., realtors

D’Arrigo Bros. Co. of California Mr. and Mrs. Don Chapin Drew-Massa Transportation Duda farm fresh foods, inc. elmers Auto parts fishhopper and Old fisherman’s grottoJim and Jeri gattis gold Coast rods gold star Motors Healey Mortuary Hobart sales and service Lamar Bros. Tire service Marina Motorsports McDonalds store #22416 norm and rin nelson Ottone Leach Olsen and ray, LLp Pacific International Marketing, Inc.parking Company of America peninsula Arts and Crafts pierson and Associates insurance services rabobank Bev and gary ranzenberger salinas surgery Center salinas Valley Builders exchange sam’s painting star Market ssB Construction sunridge farms (Coastline) Taylor farms of California Uesugi farms Tri-City realty Vantage eye Center Cherry’s Jubilee 2013 In-kind Sponsors fox sweep Pacific Ag Rentals Cherry’s Jubilee 2013 Media Sponsors Comcast The Monterey County Herald KWAV south County newspapers Children’s Miracle Network 2014Ace Hardware Corporation American Legion Auxiliary 591 American Legion Auxillary Monterey Cypress Unit 694 Bay federal Credit Union Ms. Yvonne L. Bazor Mr. remi Benzaken Mr. and Mrs. Jason A. Black Mr. and Mrs. David W. Bonetti Central Coast federal Credit UnionChevron products Company Chico’s fAs, inc. Cinderella Carpet One Combined federal Campaign of Monterey Co. CO-Op financial services

Corner stores Costco Wholesale Credit Unions for Kids Cypress Collections D’Arrigo Bros. of California Ms. Mary goldsmith grace, gCCA, LLC grand guardian Council iOJD great Clips Mr. and Mrs. Jim guidotti Mr. and Mrs. Jesus gutierrez iHOp Corp. Mr. Thien K. Mac Marriott international, inc. Mr. and Mrs. David M. Martinez Mr. george W. Merritt Mr. and Mrs. Jarred s. O’Barr Mr. Jose g. Ortiz palma school panda restaurant group, inc. re/MAX platinum properties Mr. and Mrs. george sallay Mr. george sammut Mr. and Mrs. James V. scariot, sr. Mr. and Mrs. seiji A. Ttee Mr. and Mrs. Kurt Van nest Ms. Marla Vancleve Ms. Claudia pizarro Villalobos Walgreens Wal-Mart Mr. Jerome S. Warfield Comprehensive Cancer CenterCalifornia rodeo Association Mrs. Wilma Cursi Ms. Margaret Hernandez Ms. frances Lum Mr. and Mrs. John pedevilla Mr. and Mrs. randall r. Wilson Heart Program ron and patricia fuquaAndrew and Kathy fuqua Mrs. Denise grigory Ms. Betty L. gularte Mr. richard Magno Ms. Annie J. McCarthy f. robert nunes family fund of the Community foundation for Monterey County LM Tynan Emergency Department Capital CampaignMr. and Mrs. Joseph nigro Mark Velcoff, MD Asthma Day Camp Ms. Michelle C. Adams Ms. ruth p. Andrews Ms. Jewel D. Burr Ms. Maria i. Cano Mr. Jaime e. Cardenas Ms. Juana Contreras Ms. Juana Contreras


Trap Shoot 2013 Sponsors Crop production services Cypress Collections Dole green Valley farm supply Jackpot Harvesting Mann’s sunny shores nH3 service Co. pacifc Ag rentals rabobank rC packing salinas Valley emergency Medical group Tanimura and Antle Valley fabrication foothill packing sturdy Oil nunes Company Where the Need is Greatest Mr. and Mrs. Luis Alvarez Mr. Cuauthemoc Arroyo Mr. and Mrs. Marion T. Barich Mrs. Carol Champlin Cherry’s Jubilee Cislini fund Mr. and Mrs. Tony Dadio Mr. John Day estate of stuart farley Dufour Mr. and Mrs. Bill franciscovich The gallup family Trust Dr. richard gerber and Dr. Laurie Kleinman Mr. Charles W. gerhard Mr. robert glavin gY investigation and Legal services

Ms. Betty J. Heaviside Mr. and Mrs. Vern Horton Dr. Machiko ikegami Mr. robert A. Johnson Mr. and Mrs. ronald Johnson Dr. and Mrs. Mark Klein Mr. David Kuhlmann Law Offices of Theodore H. CominosMr. and Mrs. Lloyd W. Lowrey, Jr. Ms. Bonnie Marquardt Ms. Annie J. McCarthy Mr. and Mrs. Jeff Meeks Mr. and Mrs. Thomas D. Mill Mr. and Mrs. William f. Moreno Mr. and Mrs. Bill M. norman Mr. Thomas p. nunes, sr. Mr. and Mrs. Martin Orradre Mr. and Mrs. Michel J. Orradre Mr. rafael Morales perez Mr. and Mrs. randy pierson Mr. and Mrs. richard prader Dr. and Mrs. Asit s. pruthi Dr. Allen B. radner and Dr. Dawn M. Mudge Mr. and Mrs. William ramsey Mr. and Mrs. Clem richardson, Jr. Mrs. Donna L. ritenour Mr. and Mrs. Thomas russell Mrs. Maria r. santos Ms. Joann savoy Mrs. Virginia shannon, rn Mr. and Mrs. edward silacci Dr. Laura M. solorio Mrs. Virginia W. srsen star Market Mr. and Mrs. Jim A. storm Mr. and Mrs. Bruce C. Taylor

Ms. eileen Thomas Mr. Alvin A. Thompson Mr. and Mrs. James M. Thorne Mr. and Mrs. r. paul r. Toeppen Tri-Counties Blood Bank fund of the Community foundation Mrs. Julia M. Viarengo Mr. and Mrs. Tim L. Vitoux Dr. and Mrs. Andrew Wilson Marvin and Karla Wolf sudie and gordon Worsham Donor Advised fund within the raymond James Charitable endowment fund

Wound Care Center roney-fitzpatrick foundation

Ms. Miriam e. Deanda Mrs. David e. DeLeon Mr. Jim ferrasci Ms. Maribel ferreira Ms. Kimberley J. fisher Ms. erin e. gamble Mr. John A. guertin Ms. Anna L. Hernandez Mr. edward Herrera Mr. pablo Jimenez Ms. Michelle V. Leeman Mr. J g. Lizarraga Ms. Linda e. Mase Mr. fujiko Onitsuka Ms. Adriana ramirez salinas Valley primecare Medical group Mr. fernando santos Mr. Bryan C. stewart sVMH service League Mother/Baby Cribs Dr. and Mrs. norm nelson Nancy Ausonio Mammography Center at SVMHS Mrs. nancy B. Ausonio Creekside farms Planned Giving Society Mr. and Mrs. Luis Alvarez Ms. nancy L. Bowker 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 Ms. Celeste s. golden Dr. and Mrs. gordon Hershey Mr. and Mrs. robert House Mrs. Joanne Taylor Johnson Mrs. Bebe L. Joos Dr. and Mrs. William Kennedy Ms. Carol Lannon Ms. Helen A. Lindley Ms. elizabeth A. Lorenzi Dr. and Mrs. Charles B. Macglashan, Jr. Dr. James Mattison patty and Larry McCoy Ms. frances (fran) Benning McfaddenMs. Joanne Merrill (rees) Tom and susan Merrill Mr. and Mrs. Mike Micheletti Dr. and Mrs. robert D. Morris Bill and irene neumeister Mr. and Mrs. Bud A. pierson, CLU randy and Cyndy pierson Mr. parnell A. rickerson Ms. stephanie sloan Mrs. Mary Blanche stucky Dr. and Mrs. robert Van Horne Mr. and Mrs. g. nick Ventimiglia Ms. Jackie Woods

to support

Introducing Tarun Bajaj, MDSouthern California native Tarun Bajaj, MD left the state

to earn his medical degree from St. Louis University School of Medicine in Missouri and complete a general surgery internship and residency at Bassett Medical Center in Cooperstown, New York. After finishing a fellowship in minimally invasive surgery at Texas Endosurgery Institute in San Antonio, he headed back to his home state, joining our medical staff and Salinas Valley Medical Clinic in September 2013.

Dr. Bajaj is a general surgeon specializing in minimally invasive surgery. “Since the age of five, when I saw my grandfather right after his open heart surgery, I’ve wanted to do something to help, take the pain away, make a difference,” he says. Dr. Bajaj takes time to establish a trusting relationship with patients and their loved ones and help them understand their diagnosis, treatment options and potential benefits and risks of suggested procedures. “I’m a firm believer that a fully informed patient is more likely to have a successful outcome,” he says.

Dr. Bajaj lives in Monterey County with his wife and son. In his spare time, he enjoys time with his family, traveling, running and playing basketball.

L i f e L i n e | s p r i n g 2 0 1 4 51

A HUG goes a long wayHUG (Help Us Grow)—an employee giving program—is just one way our outstanding staff expresses how much they care for our patients and our community.

Help Us Grow Employee Giving Club Ms. Abigail K. Acosta Ms. ihovana C. Aguirre Ms. nina L. Alamillo Ms. Virginia A. Alcala Ms. Magdalena Alcantar Mrs. Cecilia C. Alejandre Ms. elizabeth Alejandre Ms. Daisy Alejandro Ms. June J. Alfaro Ms. glenda g. Alinio Ms. Leonor Alvarado Mr. santiago Alvarado Ms. Myra M. Alvear Ms. norma L. Amarillas Mr. edward V. Amaya Mr. Derek Ames Ms. Chareonsri Ampolsuk Mr. and Mrs. richard g. Anaya Ms. Caroline M. Aquino Mrs. Debbie J. Arias Mr. Marc W. Arquero Ms. Vivian r. Artalejo Ms. Mary Ann C. Artuz Ms. sharron L. Ashford Mr. Deborah Avilez Mrs. Melissa D. Aylard Ms. susan e. Bailey Mr. steven W. Bajari Ms. Marisa D. Baker Mr. ross A. Bale Ms. pamela r. Ball-roberts Mrs. Jocelynn B. Banaag Mr. fernando Barba Ms. Karen Louise Barko Ms. Karen s. Barlogio Mrs. Margarita M. Barrera Ms. Kathryn L. Barry Mrs. Lucia n. Basaldua Ms. Adrian e. Batti Ms. Monica n. Baudour Ms. Ana Bautista Ms. Bernadette D. Bautista Mr. Alan D. Bell Mr. Tomas Belnas, Jr. Ms. Barbara s. Berg Ms. Dorothy e. Blakeman Mr. Ole Blem Ms. Andrea Blomquist Ms. Terri A. Boales Ms. Angie Bojorquez Ms. Laura D. Bojorquez-flannery Ms. Carmelita C. Bolos Mrs. patricia Borna Mrs. peggy s. Bourbon Ms. Margaret C. Braasch Mr. Chang s. Bradford Ms. Maria s. Bradford Mr. and Mrs. John r. Brandt, Jr. Ms. Olga V. Breboneria Ms. elizabeth M. Brice

Ms. Maryann Britzman Ms. norma J. Brown Mr. Michael Budd and Ms. Carri J. nash Mr. and Mrs. Todd Bullman Ms. Tracy D. Burchell Mr. and Mrs. Kurt Burgman Mr. Clayton Burnett Mr. patrick J. Burns Ms. Denise r. Bustos Ms. Latonya M. Byrd Ms. rita g. Cabaccang Ms. sandra Cabral Ms. Melanie s. Cancio Dr. and Mrs. Lewis C. Cantor Ms. sandra L. Caravez Mr. and Mrs. Jesus M. Carbajal Ms. Ashley M. Carvalho Mrs. irma O. Carvalho Mrs. guadalupe Castillo Mr. Joel s. Castillo Mr. and Mrs. Jose Castillo Ms. Lisa M. Castillo Mr. and Mrs. stephen p. Castro Ms. rosemarie Cavazos Mr. Hector Ceja Mr. and Mrs. David f. Cerney Ms. Yesenia e. Chacon Ms. elizabeth Chamberlain Ms. sandra Chavarin Ms. Angelica Chavarria Ms. Michelle Barnhart A. Childs Ms. Lily Cirila Ms. Delories Colclough Mr. robert A. Conine Ms. sandra A. Contreras Ms. Lisa Cook Mr. Llesenia Coronel Ms. Melissa A. Corpus Ms. nury i. Cortez Ms. Julia C. Cota Ms. Kelsea f. Cottam Mrs. rhonda Merrill Courter Ms. erin M. Crisson Mr. Jason O. Crossman Mrs. Mona J. Crowell Ms. Mary A. Cruz Ms. Diana J. Cryder Mr. and Mrs. William Curnow Ms. Madeleine H. Dallas Mr. Tracy Dasilva Ms. Leilani Davis Ms. sabrina Davis Mr. and Mrs. steven Dawes Ms. elizabeth A. Dayton Ms. norma De La Cruz Ms. Blanca e. De La Torre Mrs. Veronica DeLapena Ms. Victoria L. Delgado Mr. and Mrs. greg DeMars Mr. Andrew J. Deniger Ms. Katherine Desalvo

employee giving

Ms. pamela M. Desmond Ms. Amanda r. Dillon Mrs. Tiffany M. DiTullio Mr. Kyle Z. Dixon Mr. and Mrs. James A. Doane Mr. and Mrs. David Doglione Ms. Kimberley C. Dorsey Mr. Michael Downing Ms. patricia A. Drewry Mr. stephen e. Drewry Ms. elizabeth A. Duke Mr. and Mrs. Maximo C. Dumpit Ms. emelda M. Duran Ms. Melissa s. Duran Ms. Maritza Durazo Ms. Kim D. ellrott Mr. and Mrs. robert C. emeterio Mr. Kenny encallado Mr. Benjie s. escolta Mr. francisco esparza Ms. Martha M. estrada Mrs. Caroline g. estrada-Brown Mr. and Mrs. Arnold failano Mr. Charles r. farnsworth Mr. Arnold r. faytaren Ms. sheila A. faytaren Mr. and Mrs. Chuck felice Mr. natividad n. felix Ms. Angela C. fernandez Ms. sandra D. fernandez Ms. isela fierro Ms. robin fillner Mr. Dennis p. finnigan Ms. Juana flores Mr. Lupe flores Ms. Yesenia flores Ms. Kelly r. flower Mr. and Mrs. Brian e. folkner Mr. and Mrs. Albert fong Ms. Marian e. fox Ms. Trisha M. foxworthy Mr. Timothy B. france Ms. elvira franco Mr. Joseph A. frausto Ms. Sofia M. Fuenzalida Ms. Carol fuller Mr. and Mrs. gary M. fuller Ms. Catalina L. gaetos Mr. Michael D. gaines Ms. Teresa g. gamino Ms. Alejandra T. garcia Mr. Artie garcia Ms. Claudia g. garcia Ms. frances C. garcia Mr. and Mrs. fred garcia Mr. Jose M. garcia Ms. Kathy C. garcia Ms. Valery J. garcia Ms. Leslie A. gardiner Ms. Tonia n. giampaoli Mrs. evangelina gile Mr. and Mrs. Kenneth goebel

Ms. Jennifer L. gomez Mr. Juan g. gomez Mrs. Maribel gomez Ms. Miriam Y. gomez Ms. Annie J. gonzales Mrs. Anita M. gonzalez Ms. Maria Dolores M. gonzalez Mrs. Marissa gonzalez Mr. Danny gottfried Mr. Chris J. grant Mr. randal K. green Ms. Noelle E. Griffin Mr. and Mrs. Jim D. Griffith Ms. nancy J. groebli Mr. and Mrs. Murray A. gross, ii Ms. Angela guerra Ms. Alexis W. guerrero Ms. Aramentha Dianne guillory Mr. and Mrs. Donald J. gulan Ms. Maria L. gutierrez Ms. Kathryn M. Haines Ms. Diana M. Hanakahi Ms. Jennifer A. Hanson Ms. Trudie B. Harden Ms. stephanie L. Harlan Ms. rebecca Harris Mr. Abdulamir Hassanizadeh Mr. Jack H. Hawkins, iii Mr. and Mrs. Joseph Hayashi Mr. roy W. Hayes Ms. Wendy D. Haynes Ms. Amy Hernandez Ms. Angie C. Hernandez Ms. Karisa A. Hernandez Ms. Lety A. Hernandez roy g. Hernandez Ms. Teresa n. Hernandez Ms. Agnes Herrera Ms. Lourdes M. Herrera Ms. Linda J. Hertzog Dr. and Mrs. Tim Heyne Ms. Melissa J. Hoak Ms. Jan Hollenbeck Mr. and Mrs. Larry M. Hooks Ms. naoko Horie Mr. John Hornyak Ms. Kendra B. Howell Ms. Lori L. Howell Mr. and Mrs. Allan Hubbard Mrs. peggy Huber Ms. Lisa L. Hungate Mrs. Amelia r. Hunt Mr. John p. Hurley Ms. Theresa Hyland Ms. Vanessa irwin Mr. and Mrs. Michael Jago Mr. salvador Jimenez Ms. Adriana C. Johnson Mr. and Mrs. Brian r. Johnson Ms. Debra A. Johnson Ms. erin M. Johnson Ms. patricia r. Johnson


employee giving

Mr. Lupe A. ramirez Ms. Maria C. ramirez Mrs. Anabel Mejia ramiro Mrs. Ma Jeralyn s. ramos-gomez Mr. Allan A. range, Jr. Ms. Marisela rangel Ms. robin B. reclusado Mr. rudolfo s. recta Mrs. Odelma D. rendon Mr. & Mrs. Juan pantoja Mr. Mario L. reyes Ms. Anne L. robinson Mrs. rosanelda r. robles-Taylor Ms. Carolina H. rodas Mrs. Laura M. rodriguez Ms. rebecca A. rodriguez Mr. and Mrs. robert A. rodriguez Ms. Dana s. rogers Ms. Laurita M. romero Mr. Oscar O. romero Mrs. Margot A. romiza Ms. shannon n. romo Mr. Kenneth M. rose Mrs. Tiffany Marie Rose Mr. george D. ross Ms. Leticia Z. rubalcava Ms. Laura J. Ruff Mrs. susan ruiz Ms. Bobbie J. russo Ms. Maria J. saavedra Ms. gloria f. sacro Mrs. griselda saenz Ms. Teresa D. L. s. salah Ms. Cynthia L. sallabedra Ms. Clarita salviejo Ms. Carrie A. samayoa Ms. sandra f. samoske Mr. and Mrs. Carlos sanchez Mrs. francisca r. sanchez Ms. Hilda f. sanchez Mr. Jorge A. sanchez Ms. Lydia sapien Mr. edwin s. sasaki Mrs. Maria e. schade Mr. and Mrs. Victor f. schicketanzMs. Lynda A. schlittler Mr. robert r. schmidt Mr. and Mrs. Thomas schneider Ms. Lori L. schonert Mr. and Mrs. Al schroeder Ms. Claudia H. serrano Mr. Cruz Y. serrano Ms. Mary Uvence serrano Mr. Jeffery L. Sevey Mrs. Denise A. sheets Ms. nicole r. shriner Mr. Virgilio sibaja, iii Ms. sara g. silacci Ms. Celeste L. silim Mr. frank silva Mrs. nancy A. sims Ms. susan skorich Ms. Karen A. smith Mrs. Mary L. smith Ms. patricia solis Mr. and Mrs. frank J. soria, Jr. Ms. Barbara J souter Ms. Carla A. spencer

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Mr. Ken McLellan Ms. Kathryn McMillan Mrs. Lori A. Mcniel Mr. David J. McQueen Ms. Maria p. Mederos Ms. Maria C. Mena Mr. Ariel s. Mendoza Mr. and Mrs. Jose D. Mendoza Ms. Lorrie A. Mendoza Mr. Marc Mendoza Ms. Lilia Meraz-gottfried Ms. Diane R. Mesiroff Ms. Maria e. Meza Ms. sandra Meza Ms. sylvia Miguel Ms. Maria e. Millan Ms. Jan L. Moffitt Mr. Jose M. Monarrez Ms. erika f. Moncayo Ms. Carrie r. Monteon Mr. franklin W. Moore Ms. Aida p. Morales Ms. Claudia Morales Ms. gabriela Morales Mr. robert Moreno Ms. neena s. Moriyama Mr. francisco Muniz-granados Mr. gabriel Munoz Ms. Veronica negranza Ms. Mary e. neimy Ms. Anna L. nevarez Mr. and Mrs. Herman newstrom Mr. Mike D. no Ms. Helen M. noza Mr. ramon nunez Ms. Christina r. nuno Mrs. Cindy K. Olea Mr. gil C. Olivas Ms. geni Ortiz Tanya Y. Osborne-McKenzie Ms. Christina i. padilla Ms. ronalyn B. pamintuan Mr. and Mrs. Jesus J. paredes Mr. and Mrs. Jimmy parks Mr. Harlean pascual Mrs. Lisa M. paulo Ms. and Mr. Jill A. peralta-Cuellar Mrs. enedina pereda Mrs. Christine T. perez Ms. Jennifer e. peters Ms. Maybelle ramil peters Mrs. susan Miller pilat Ms. Adrienne pimentel Mr. and Mrs. steve D. pinto Mr. and Mrs. Amado p. pobre Ms. Cristina pobre Mr. and Mrs. Alfredo M. policarpioMs. sheila polson Ms. Juana B. ponce Mr. and Mrs. Jim i. poulton Mr. samuel powell Mrs. neida puga Ms. Dona putnam Mrs. sheilah Q. Quentin Mr. Alberto s. ramirez Mr. David i. ramirez Ms. gina M. ramirez Ms. gloria e. ramirez

Mr. and Mrs. Jerome r. stepien Ms. Kim J. Summerfield Ms. rosemary Tarp Mr. and Mrs. ronald Jay D. Teats Mr. Toby J. Teffeteller Mr. Christopher A. Thomas Ms. Linda s. Thomas Mr. Terry L. Thompson Mr. erik Thomsen Ms. ellen T. Thorp Mr. and Mrs. raymond L. Thorpe Ms. Cathy A. Tobias Mrs. Mabel V. Tomimbang Ms. frances L. Toner Mrs. Cristine A. Torres Ms. Leticia Torres Ms. patricia Torres Ms. Yolanda e. Torres Ms. Cindy K. Towne Ms. regina A. Trevino Ms. susan Trinidad Ms. rosemary Tsuda Mr. and Mrs. simplicio C. Tualla, Jr.Ms. genoveva Tucker Ms. Karen e. Tuttle Mr. Donald p. Tyacke Ms. suzette M. Urquides Ms. Virginia M. Valdez Mr. and Mrs. Mariano J. Valdriz Ms. patricia Valenzano Ms. Angelic T. Valladares Ms. Linda May Vallez Mrs. Dora r. Valverde Mr. Brian p. Van Ms. Cynthia r. Vargas Mr. David Vargas Ms. Martha e. Vargas Ms. Julie A. Vasher Mrs. Aleida Vasquez Ms. sandra Vasquez Martin r. Vazquez Mr. and Mrs. Luis C. Velazquez Ms. elizabeth Velez Mr. Carlos Ventura Mrs. Letricia p. Ventura Mr. Louis Villaneda, sr. Mr. and Mrs. richard Waldrop Mr. and Mrs. Clinton L. Walker Mrs. Judith n. T. Walters Ms. Vivian L. Waters Ms. Janet Webb Mr. and Mrs. steve r. Welch Mr. and Mrs. Charlie Whisler Mr. and Mrs. Andrew B. White Mr. and Mrs. rodney White Ms. pamela J. Wilden Ms. Kerry Willett Dr. & Mrs. Andrew Wilson Mr. and Mrs. James Woody Mrs. nicoline e. Yoder Mr. Karl p. Zalazowski Mr. ismael C. Zambrano, Jr. Ms. nellie J. Zambrano Ms. Laura K. Zerbe Ms. Mercedes A. Zertuche

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