Bob Stromberg. triathlete and heart attack survivor. magazine

Transcription

1 pulse magazine SPRING/SUMMER 2013 community hospital of the monterey peninsula 1,000 heart surgeries and counting To screen or not to screen? A multidisciplinary approach to cancer Measuring hospital quality Bob Stromberg triathlete and heart attack survivor Pulse Magazine

2 From the president If it s possible to consider yourself lucky when you have a heart attack, that word describes Bob Stromberg. Bob was lucky that his collapse came when it did, where it did, setting off a chain of events that saved his life. In this issue of Pulse, you will read his remarkable story and meet the people who were in the right places at the right times, enabling Bob to return to his family and his active lifestyle. We also want you to meet another notable heart patient: Ezequiel Rodriguez-Chavez, who underwent our 1,000th heart surgery. Ezequiel is only 38, but needed a valve replacement to fix a birth defect that finally, nearly fatally, caught up with him. In other matters of the heart, you will read about an unusual experiment involving race cars, pacemakers, and a day at the track at Laguna Seca. Steven Packer, MD President/CEO In addition, you ll find articles about Community Hospital s multidisciplinary approach to cancer care, through which we aim to provide a seamless and comprehensive experience for our patients. Sharon Pira, a breast cancer survivor, takes us along on her journey through the process. You will also find information to help you decipher the ABCs of hospital quality ratings, the differences between urgent and emergency care, and which department to call if you have questions about a hospital bill. Finally, this is our annual issue in which we thank our many generous contributors for their ongoing support. Gifts from our community ensure that we are able to be there for people like Bob Stromberg, Sharon Pira, and the thousands of others who turn to Community Hospital every year. One last note: If you prefer to receive Pulse electronically, you can download an app and view it on your ipad. 2 Pulse Magazine 2013

3 MAGAZINE EDITOR Brenda Moore Content ART DIRECTOR/DESIGNER Robin Beckman-Jones WRITER Lisa Crawford Watson Triathlon man His heart was in the right place 4 PHOTOGRAPHERS Bryan Blanken Jeff Bushnell Susan Goddard Rick Pharaoh Randy Tunnell 1,000 heart surgeries and counting Start your engines Racing and pacemakers Pulse magazine is published twice a year by the Communication and Marketing department of Community Hospital. We d love to hear your comments. Mail to: Editor, Pulse magazine, P.O. Box HH, Monterey, CA Or to: pulse@chomp.org. To receive a free subscription to Pulse, call Visit Community Hospital s web site at for information on health and wellness, classes, support groups, events, volunteering, career opportunities, and more. BOARD OF TRUSTEES Frank C. Amato Mary A. Castagna, Auxiliary President Donald G. Goldman, MD Glen H. Hiner Scott G. Kantor, MD, Chief of Staff Robert M. Kavner, Chair William W. Lewis Michael D. Lyon John H. Mahoney, Vice Chair Frederick M. O Such Steven Packer, MD, President/CEO Jane Panattoni Shelley Post, Secretary Stephen J. Schulte Patrick L. Welton, MD Phillip H. Wilhelm ADMINISTRATION Steven J. Packer, MD, President/CEO Anthony D. Chavis, MD, Vice President Medical Affairs Terril Lowe, RN, Vice President Nursing Tim Nylen, Vice President Cynthia L. Peck, Vice President Laura Zehm, Vice President/CFO Charles Keller, Esq., Legal Counsel To screen or not to screen? A multidisciplinary approach to cancer It takes a team Sharon Pira finds strength in numbers Measuring hospital quality Eddie Oronos Employee of the year The patient advocates are in Navigating hospital bills Urgent or emergency? Clip and save Go green, go electronic If you would like to read Pulse online instead of on paper, us and we ll send you a link to the next issue. us at: subscriptions@chomp.org. Be sure to tell us the address you would like removed from our mailing list. You can also download an ipad app from the App Store. Search for Pulse, Monterey. If you have other subscription changes, send them to the address above or call (831) Gifts from our community 2012 donor list Health education and support close to home Classes and events As part of Community Hospital s commitment to responsible environmental practices, Pulse is printed on recycled paper. We encourage our readers to recycle. Information on recycling facilities throughout Monterey County can be obtained by calling the Monterey Regional Waste Management District at (831) Cert no. SCS-COC Pulse Magazine

4 His heart was in the right place Triathlon man No one knows the whole story, least of all the main character, a seemingly fit, healthy 44-year-old man named Bob Stromberg. But a few dozen people hold threads that, when stitched together, tell how he left his family s Monterey hotel room for a quick run on Cannery Row and didn t come back. BOB AND SARAH STROMBERG married a decade ago, after a courtship that began in Nevada and eventually moved to Bob s home state of Colorado. Their trip to Monterey was part of a seven-day spring-break excursion in 2012 for daughter Abbie, 8 and out of school, and Bob and Sarah, on vacation from their jobs in a restaurant and law firm, respectively. They flew from Denver to San Diego on the last day of March, rented a car, and headed up the coast, pulling into Monterey on April 3. Their first stop was the Portola Hotel & Spa; it was a little beyond their normal budget, but they wanted to splurge on their one night in Monterey before continuing north to meet friends in San Francisco. The highlight of their stay was their trip to the Monterey Bay Aquarium; there was so much to see that they planned to return the next morning before leaving town. Sarah, Bob, and Abbie Stromberg 4 Pulse Magazine 2013

5 That morning, says Sarah, we got up and were going to eat breakfast, check out, and go back to the aquarium. But Bob, who had been training for a triathlon, wanted to go for a run first. He left around 8:30, knowing the hotel stopped serving breakfast at 10. When he wasn t back by 9:30, I was getting annoyed. At 10, I figured he had completely lost track of time. Irritated, at 10:15, I took Abbie to Starbucks to eat. By 10:30, I realized Bob didn t have his wallet or his key and suddenly began to get really nervous. This was far too long. If he s not here by 11, I told myself, I m going to start calling emergency rooms. Earlier in the morning I d heard an ambulance siren, but I didn t want to think about it. Once 11 o clock had come and gone, Sarah found a phone book and punched in the number for Community Hospital. I don t know where my husband is, she told the person who answered. He went out for a run almost three hours ago, and I don t know where he is. She was transferred to the Emergency department and described Bob to the charge nurse who took her call. The response was crushing: We do have a John Doe. What was I supposed to do? What was I supposed to do? Sarah says. The question kept pounding in my mind, Is he dead? Was my husband going to come back? Was he dead? Hotel staff stowed her things in her car and called a cab to take her to Community Hospital. On the way, Sarah s cell phone rang. It was our neighbor in Colorado. He said, Is Bob OK? There were sheriff s deputies outside your house, knocking on your door, and they wanted to talk with us. They said they had Bob s ipod. Pulse Magazine

6 Meanwhile, along Cannery Row, JULIA KARIYA, her husband, and their 9-yearold daughter, Kiyo, were on a trip that echoed the Stromberg family s vacation. They had flown from Maryland to Anaheim and rented a car to travel up the California coast. In Monterey, walking to the aquarium, they joined a crowd watching an enormous crane lift a vintage railroad car to transport to a Salinas museum. Afterward, I grabbed my daughter s hand to continue on to the aquarium; but for a reason I didn t understand at the time, I felt the need to look back toward the train one last time, Kariya says. Right then, I saw a gentleman who looked like he was out for a jog, but he was staring and stumbling backwards. And then he dropped. Kariya, a geriatric nurse practitioner, had last performed CPR in 1995, when she witnessed an accident while traveling in Florida. This time, I didn t know if the man was having a seizure or what, but he was obviously in distress, she says. I dialed on my cell phone and handed it to another woman since I had no idea where we were. At first, he hadn t lost his pulse, but he had lost color. I kept talking to him and telling him there were people there for him. He was non-responsive, so I checked his pulse again. There wasn t anything, so I opened his airway and started CPR. As I was doing compressions, I could hear the sirens. When the paramedics arrived, they brought out an AED [automated external defibrillator] and took over. They hooked him up, shocked him once, continued compressions, and shocked him again. I just stood there, off to the side until they left with him. I noticed he had on a gold wedding ring and some brand new sneakers. I wondered who and where his family was and waited in case they showed up, to explain. I saw my daughter s poor little face watching and hoped it could be a lesson for her that when people are in need, you have to jump in; you have to help. At first, he hadn t lost his pulse, but he had lost color. I kept talking to him and telling him there were people there for him. Julia Kariya Julia Kariya and her daughter, Kiyo 6 Pulse Magazine 2013

7 Monterey police officers GREG GALIN and WAYLAND KOPP were on patrol when they were dispatched to Cannery Row, where a runner had gone down. They arrived within three minutes and found that paramedics with the Monterey Fire Department had taken over CPR from Kariya. It was amazing to me that Julia was there, that she knew how to do CPR, and that she had jumped right in to keep Bob alive, Galin says. He was very lucky. Our job became to investigate what had happened, and to identify him. Out jogging, he had no ID. But he did have an ipod, and I had learned that sometimes owners register them. I called the Apple store in Monterey, read the serial number, and got the name and address of the owner in Colorado. It was registered to Bob s wife, Sarah. We asked to have a Denver officer go out to the house and talk with their neighbors, who called Sarah. She had already suspected something and was en route to the hospital. Emergency physician SAMEER BAKHDA anticipated a fairly routine Wednesday morning at Community Hospital. He was busy, but the Emergency department was relatively calm when paramedics radioed they were coming in Code 3, meaning with lights and sirens. Paramedics often go to a call with lights and sirens, to get there quickly, but rarely is it serious enough to use them when traveling to the hospital, Bakhda says. For this patient, it was. The paramedics had gotten Bob s heart restarted with electrical shocks, but he was still unstable and in critical condition. Quite often in these circumstances, the story we get is incomplete. We have to work both as doctors and as detectives, and we had to figure out why he collapsed. John Doe s heart was beating and he was breathing on his own, but his breathing was shallow and irregular. He was not conscious, but he was combative and thrashing around; a patient will become agitated when his brain function is not yet fully restored. We needed to intubate him to aid breathing, and to sedate him so we could figure out what was going on. Emergency department staff began therapeutic hypothermia cooling the body and brain with ice to preserve function. Bakhda ordered a CT scan of Bob s head, which showed no sign of trauma or bleeding. But an EKG of his heart, to check its electrical activity, appeared highly abnormal; Bakhda suspected that a massive heart attack had caused Bob s collapse. He was moved rapidly to the ICU and then to the cardiac catheterization lab for additional tests. It was essential to figure out what had happened to this man, Bakhda says. We were trying to save him, but if we brought him back without correcting the underlying problem, he would not survive. We didn t know who he was, but that didn t matter. Our goal was to save him. We tried to locate them at their home number, but the call went to voic . We were trying to save him, but if we brought him back without correcting the underlying problem, he would not survive. Dr. Sameer Bakhda, emergency physician Pulse Magazine

8 SARAH AND ABBIE rushed out of the cab and into the Emergency department. Bakhda asked her what her husband had been wearing. He told her they had a patient who had suffered a heart attack. He also said he was alive. I told the doctor he needed to say that again, says Sarah, because I had been thinking something else. The doctor was telling me all these things about this John Doe, and I still wasn t sure it was my husband. I asked if I could see him. She was taken to the cath lab. He was unconscious and looked so different with all the machines and tubes around him, but it was Bob. The doctor was telling me all these things about this John Doe, and I still wasn t sure it was my husband. Sarah Stromberg Sarah and Abbie Stromberg Praise for cardiac care Excellence in cardiac care at Community Hospital has been singled out by insurer Blue Shield and by Healthgrades, one of the oldest and most widely recognized hospital rating firms. Blue Shield has recognized Community Hospital as a Blue Distinction Center for Cardiac Care, a designation based on rigorous, evidencebased objective criteria and input from expert doctors and medical organizations. The goal is to help Blue Shield health plan members and others find quality specialty care on a consistent basis. Healthgrades has named Community Hospital one of America s 100 Best Hospitals for Cardiac Surgery two years in a row and awarded it five stars, its highest rating, for valve surgery four years in a row. Healthgrades evaluates hospitals solely on clinical outcomes, with the aim of helping consumers understand, compare, and evaluate hospital performance. Learn more about the Tyler Heart Institute. 8 Pulse Magazine 2013

9 Cardiologist RICHARD GERBER was making his morning rounds, visiting his patients in the hospital, when he was called to the cath lab. or heart damage. He found numerous blockages in multiple branches of the right and left coronary arteries that provide blood flow to the heart. I wasn t actually on duty that day, Gerber says, but there are only about six cardiologists in the county qualified and credentialed to respond to patients having the kind of massive heart attack this patient was having, so we work collaboratively. To meet national quality standards, if someone is having an acute myocardial infarction, we have to get them into the cath lab and open up the artery within 90 minutes. Community Hospital has been consistently getting what s called our door-to-balloon time down to around 54 minutes. After getting briefed by Bakhda, Gerber performed an emergency angiogram by passing a catheter through Bob s groin and into his heart to look for blockages Dr. Richard Gerber, cardiologist I put in an intra-aortic balloon pump catheter, a device that inflates and deflates with the cardiac cycle, to improve coronary blood flow to the heart, Gerber says. This would help the patient endure strain and support blood flow. At that point, I sent him to ICU and consulted with cardiac surgeon Gregory Spowart, as I felt the findings warranted his expertise in coronary bypass rather than angioplasty. Anxiety continued to course through Sarah Stromberg. The doctor kept telling me what they were doing for Bob and that he was stable, says Sarah. But they also introduced me to Chaplain CHRIS WILLIAMS. I thought, You say he s stable, but you have me sitting with a chaplain. What does that mean? But she was great. She wrote notes when the doctors came out and talked, knowing I couldn t grasp all the information. And she was really good with Abbie, which was a huge help. I kept crying; I didn t know what to do. One of the moments that stands out most clearly in Sarah s mind is when Williams said, Abbie, mommies cry because they love. I thought that was great, Sarah says. It helped her to be not so worried that I was upset. She wasn t crying. She wasn t putting all the pieces together. She didn t realize how scary everything was that was going on. She got to see her dad twice that day. Even though they warned us A hospital chaplain is to be available to people on their terms; a calm, confident presence. Chris Williams, hospital chaplain how he was going to look hooked up to machines and all the tubes, I could tell she was worried. But Abbie said, It s OK, mommy. I was supposed to be telling her this. A hospital chaplain, Williams says, is to be available to people on their terms; a calm, confident presence. I asked Sarah if it would be helpful if she called a family member so she didn t have to do this by herself, Williams says. She said she was planning to do that once she knew something. It was my role to be with her until she knew when to call. Sarah s first call was to Bob s parents. I had to pull myself together to do it; I knew it wouldn t help if I was hysterical. Pulse Magazine

10 DONNA AND BOB STROMBERG, SR., were about to depart on a week-long motor-home adventure from their home near Boulder, Colorado. Around noon, they got Sarah s call. While waiting to board the plane in Denver, Donna fiddled with her GPS device and asked a woman next to her if she was from California and knew how to spell Monterey. We could tell by her voice that Sarah was really, really shook up, says Donna. She said Bob was in the hospital in Monterey, that he d had a heart attack and was in bad shape. We were in shock, really; this happens to old people, not your children. We were on a flight at 6 o clock that evening. I m not overly religious or anything, but I m going to tell you, this is a story about angels. There were angels flying all over the place throughout this whole ordeal. One of the angels was that wonderful tourist from Maryland who immediately started CPR on my son. Another was Carol Papoulias, a social worker at the hospital who found us an affordable hotel room near the hospital, as we knew we were going to get in very late. Also, there had to be angels involved in the fact that Bob was running in Monterey, along a crowded route, near a big hospital. This woman was the first angel we ran into in person: a jewelry designer who lives four miles from Community Hospital, Donna says. She told us how wonderful the hospital is and that they have a special heart institute. She said, If anyone is going to have a heart attack, they should go to Monterey just to do it. I guess that s what Bob did. Donna and Bob Stromberg, Sr. She told us how wonderful the hospital is and that they have a special heart institute. She said, If anyone is going to have a heart attack, they should go to Monterey just to do it. I guess that s what Bob did. Donna Stromberg 10 Pulse Magazine 2013

11 CAROL PAPOULIAS, licensed clinical social worker, was in the ICU when she got word that a John Doe had come in; her investigative instincts kicked in. Here was this young wife, with her adorable 8-year-old daughter, who had just found out her husband had experienced a heart attack, Papoulias says. She needed a place to stay and she had family coming in who would also need lodging. Her husband had been doing all the driving and maneuvering, and now it was up to her. Except she was from out of town and traumatized. Papoulias arranged to get the couple s rental car from the hotel. She reserved rooms for Sarah and Abbie and their family members. She got doctors notes for missing work and sent them to Sarah s and Bob s employers. She showed Sarah to a computer so she could check her work . She changed their flights home. She directed Sarah to Del Monte Shopping Center for additional clothing. And she sat, and she listened. Hospital social workers deal with unusual circumstances around difficult cases, Papoulias says. We work with real estate people and animal control, hotels and schools, and any other organizations that need to be brought into the situation. We are very practical people who know how to work inside the box and think outside the box to connect people to resources. BOB AND DONNA STROMBERG grasped the severity of their son s condition once they got to the hospital. Until then, they just couldn t allow it. Our son is healthy, says Donna. He does 100-mile bike rides up in the Hospital social workers deal with unusual circumstances around difficult cases. We work with real estate people and animal control, hotels and schools, and any other organizations that need to be brought into the situation. Carol Papoulias, clinical social worker mountains. But here he was, unconscious and heavily sedated, basically on life support. Looking at the tubes, IVs, and machines, Bob, Sr., couldn t figure out how this could happen to his tall, strapping son, who could run for hours at a time. As I looked at Bob lying on the bed, says his father, the fear set in. Was he going to come out of this? And if so, how would he be? Would he be incapacitated? As parents, says Donna, you feel like you are going there to fix it, but we couldn t fix it. We spent time with Bob in ICU, where we met another group of angels. We were totally impressed by the ICU nurses, especially Jim and Shannon. There was a nurse there the whole time with Bob, his own personal angels looking over him. Pulse Magazine

12 Sarah s second call was to her mother, SUSAN TSUKUBO, in Las Vegas. My mom is really good in a crisis, says Sarah. Still, it was a hard conversation; she loves Bob. I said something like, I need you to listen to me. Bob s had a heart attack. We re in California, and I need your help. That s all I needed to say. I knew she d be on her way. Sarah s mother called her younger daughter, Maggie Overmoen, in Reno. She said, Sit down, Overmoen recalls. Bob went for a run and never came back. I immediately started crying. I had to hang up. Then I put on my social work skills and called her back. I bought mom a ticket online to fly to Reno, and then drove us all through the night to Monterey. We got there at 7 a.m. We went to the hospital right away, but we didn t see Bob then. He is a prideful guy and probably didn t want anyone seeing him like that. But it was so scary because we didn t know if he was going to live. It was particularly hard on my mom. Bob is her favorite, her go-to guy. She has three girls and no boys. So Bob walks on water. Overmoen and her fiancé assigned themselves to Abbie duty, sitting with her niece in the hospital lobby so Sarah could confer with doctors. They took Abbie to buy toothpaste and treats, and back to the aquarium for that return visit she had missed. Carol Papoulias, the social worker, stepped in again, with other ideas for keeping Abbie busy: trips to child-focused MY Museum, Dennis the Menace Park, and Rosine s Restaurant, with its expansive menu and mile-high cakes. Abbie is my angel, says Overmoen. She is my favorite thing, and our job was to make sure she was OK. I wanted to be in the hospital with Bob, but Abbie needed me more. SARAH was keeping vigil at her husband s bedside, wondering if and when he would wake up. I felt helpless, with no control over anything, Sarah says. I work in human resources for a law firm. I m very organized and used to planning. When it was time to wake up Bob after the hypothermia therapy used to protect his brain, all we could do was wait. It had taken 24 hours to cool down his body and it would take 24 hours to warm it up. The next day, Bob did wake up. His family breathed a collective sigh of relief but wondered what had become of him during his ordeal, and what lay ahead. Sarah very quietly said, Bob, if you can hear me, give us thumbs up. He did; and after days of stoicism, Donna Stromberg broke down. I lost it, totally, Donna says. It was the moment when I knew he was still there. The thumbs up will forever be my favorite sign. Susan Tsukubo Toward the end of the next week, surgeon GREGORY SPOWART did quadruple bypass surgery to open Bob s blocked arteries. All the actions that happened between Bob s heart attack and his arrival in the operating room came together to save and sustain him, Spowart says, from the CPR to the AED shock to the treatment in Community Hospital s Emergency department, cath lab, and ICU. The result was no organ failure, no brain damage, and no kidney failure, which is amazing, Spowart says. 12 Pulse Magazine 2013

13 Dr. Gregory Spowart, cardiac surgeon Once we stabilized Mr. Stromberg, we did the bypass surgery and he did very well. Bob was a little overweight, but it wasn t a contributing factor. He was not diabetic, his cholesterol was OK, and he had only borderline hypertension. I expected to find something about him that made him at risk for a heart attack or that would cause the plaque that occluded his arteries, but it wasn t there. So there he was, training for a triathlon with no assumption he was at risk, but tremendous potential for a heart attack. ICU nurse SHANNON DUNNE- GAMBLE says she got roped into doing triathlons while in her early 30s and has competed in the triple-sport event for a decade. When she arrived for one of her night shifts, Bob Stromberg was already in ICU. She cared for him for two nights, and then again after his open-heart surgery. When Bob was first in the unit, Dunne- Gamble says, we weren t sure what was going to happen, if he was going to be neurologically intact. His wife was telling me he wanted to be a triathlete; so I had it in my head that if he did come around, we d talk. Nurse Jim Edwards had finished his first triathlon in Pacific Grove the previous September, and it became the core of our discussions with Bob. Bob was thinking he could get back into his training like next week; so we had lots of long conversations about realistic goals, what he could plan for and shoot for, and when. He s entry level, but he wanted to jump right into the ironman distance, which includes a full 26.2-mile marathon. He has that I m going to do it personality. We told him he needs a little more experience with the shorter Olympic distance and maybe a half-ironman to build up to it before getting into the fullmeal deal, the ironman. Still, I appreciated his attitude; he s a determined guy. Dunne-Gamble, who has competed annually in the triathlon at Pacific Grove, came up with a seemingly more realistic goal for Stromberg. She invited him to return to the Peninsula in the fall of 2013 to compete alongside her. I thought if Bob could come back to this area to do an event that it might close the circle for him. This was a very traumatic experience for him. I mean, he died. And then he came back. And we were talking triathlons. I really think our triathlon talk was an important contributor in his recovery. It helped him feel vital again and gave him something to look forward to, to bring him back into his life. I still think about Bob and his story, and find it amazing. We don t get to see it very often, where a patient goes through sudden death and comes out neurologically unscathed. It s astounding. Bob had a guardian angel who was really present, right from tapping the woman on the shoulder who turned around, saw him collapse, and started CPR immediately to running where he was so he got to go to this hospital, which has all the technology to protect his vital organs while treating his heart. It all fell into place for him. If it were my husband, I would be so traumatized. I get choked up just talking about him. Bob could have collapsed behind a building anywhere on the Rec Trail, or could have been in a different location with a little hospital that didn t have hypothermia protocols or a cath lab or the ability to do surgery right way. A lot of things were right. We talked about it, Bob, Sarah, and I. It was a terrible thing, but he was alive and he was here at CHOMP. Sometimes you can just feel it; you know it will be all right. Shannon Dunne-Gamble, RN I feel very blessed to have worked with Bob Stromberg, to be a part of his story and then forge a friendship. This year, he and I will be in the same race; and I m hoping he can kick my tail all over that course. And I can t wait to show them around the Peninsula, to show them the beauty of it. Right now, the Monterey Peninsula represents a lot of pain for them but also a lot of blessing. Pulse Magazine

14 One of Sarah s early phone calls during their ordeal was to Amy Webber, Bob s college friend from Vacaville, whom the family had intended to visit in San Francisco on the afternoon of Bob s heart attack. Sarah told Webber what had happened and that he was at Community Hospital. That s a great hospital, Webber said. My sister-in-law works there. Webber called her sister-in-law, CHARLENE WEBBER-SCHUSS, director of Health Information Technology, and asked if she could keep an eye on the Strombergs. Webber-Schuss checked in to see whether they needed anything, including a place to stay. Bob and Sarah stayed with us for a week so Bob could receive his home healthcare, start physical therapy, and recover enough to travel. Charlene Webber-Schuss, RN Health Information Technology director A few more days went by, and Easter arrived, Webber-Schuss says, so I invited the family to our home. I just wanted everyone to have the chance to be somewhere together, outside of the hospital, so they could relax for a couple of hours. By the following Saturday, Bob and Sarah s family had all returned to their homes, with Abbie flying to Denver with her grandparents. Four days after his bypass surgery, 11 days after his massive heart attack, Bob was released from Community Hospital. Yet he was not ready to fly at high altitudes back to the Mile High City of Denver without meeting certain recovery criteria. When Bob told me they were letting him go, says Sarah, I was scared. I thought, Now what? They just cracked open his chest, and now he can leave the hospital? What am I supposed to do? I had the discharge instructions, but what if something went wrong? When Bob was released, he and Sarah took Webber-Schuss up on her offer of a place to stay. Bob and Sarah stayed with us for a week, says Webber-Schuss, so Bob could receive his home healthcare, start physical therapy, and recover enough to travel. I m a nurse, so we had Bob sleep in the guest room across from our room, where I could keep an eye on him. I think Sarah finally slept well. Discharge Planner MARILYN GREEN met with the Strombergs before they left the hospital, to help set up follow-up care. After cardiac surgery, says Green, patients have nursing assessments and education in their home or, if their needs are such, a skilled nursing facility. I needed to make sure Bob would remain in town long enough to meet the recovery criteria Dr. Spowart had set. I also took a moment to share with the Strombergs that my husband, Joe, had experienced a myocardial infarction and a bypass operation at age 45. I think it made them feel wonderful to know my husband is 20 years post-surgery. Even though the doctor had told them Bob s prognosis was good, I was able to give them an example of living proof. The following Friday evening, Marilyn and Joe Green went to the Sandbar & Grill in Monterey, their regular date night restaurant. There, they ran into Webber- Schuss and her husband, Matthew, with the Strombergs. Bob was feeling stronger and, since he had spent most of his vacation in the hospital, we wanted to take him to a local seafood restaurant before they returned home, Webber- Schuss says. It really sealed the deal for me to meet them out for the evening, and to witness Bob s well-being, Green says. 14 Pulse Magazine 2013

15 The next morning, Matthew and Charlene drove the Strombergs to the San Jose airport to catch their flight home. This is an amazing, dramatic case, says Gerber, the cardiologist who responded to the emergency call. Bob Stromberg s bypass surgery puts him in a much safer place to be doing his triathlon training than when he was doing it before he dropped dead. What s so interesting about people like this is that very often they have no symptoms. For 20 to 30 percent of our patients who have severe coronary disease, the first time they find out about it is during a heart attack or when they collapse and die. It is amazing what adaptive creatures we are; we can get to the point where we have such severe coronary disease and still go out and run. Mr. Stromberg was in the right place, at the right time, among the right people. It helps to have a little luck. Bob Stromberg asks why this happened to him. He also sometimes asks why it happened to him in Monterey, on a busy recreation trail, where a vacationing nurse happened to look over her shoulder in time to see him go down and immediately began life-saving CPR. Why it occurred near a hospital with a state-of-the-art heart institute. I do think it was a blessing if you can say having a heart attack is a blessing because it happened there, in Monterey. I think of the remote trails Bob runs in Denver, where no one would have found him. He would be gone. Bob recognizes that while he had the heart attack, it was his wife who experienced it; he doesn t remember going for a run, the railroad car, or dropping to the ground. I guess maybe I can look forward, says Bob, because I can t look back on a lot of it. Bob spent the first two months back at home in a cardiac rehabilitation program, doing monitored exercise. By mid-june, he was released to begin a moderate training program toward his goal of competing in a triathlon. In August, fewer than five months after he collapsed, Bob sent an to his angels in Monterey. Thought I would shout out an update on my recovery/comeback. Everything is going great and yesterday completed my first triathlon in my comeback. I did the Rattlesnake Tri in Aurora, and it did live up to its name as there was a rattlesnake on the road of the bike course. This was an Olympic distance tri with a 1,500-meter swim, 24.9-mile bike, and a 6.2-mile run. After a rough start, having a terrible swim, I had a great bike leg on a tough, hilly (2,000-plus feet of climbing) course. The run went well as I survived and finished strong :). All in all, happy that I did this event and proud of my recovery with the help of some of you, and looking forward to future events including the Pacific Grove Triathlon to complete this journey where it all began, and to reunite with many of the great people in Monterey that I met along the way. I ve been saying, Don t even ask why; it doesn t matter. It did happen, says Sarah. I am not terribly religious, but I think sometimes things do happen for a reason. Bob Stromberg finishes the swimming leg of the Rattlesnake Triathlon. Pulse Magazine

16 1,000 heart surgeries and counting Ezequiel Rodriguez-Chavez, 38, is Tyler Heart Institute milestone patient It got to the point where he was sleeping no more than two or three hours a night. It felt as though there was an anvil on his chest and the squeak of air he could get to his lungs made him feel like he was choking. Mostly, he was afraid if he fell asleep, he wouldn t wake up. Ezequiel Rodriguez-Chavez had known since he was 18 that he had a hole in one of his heart valves, a defect he carried since birth. That he had lived with it for 38 years was likely a testament to his strong, wiry frame and the absence of any other illness or complications. But lately, he could take no more than five steps before he had to rest. The man who works on his feet 12 or more hours a day repairing autos was fading. But he never complained. He also didn t tell his wife, Xochil, (pronounced Zo-she), about his heart condition. She learned about it from her father-in-law, when it was almost too late. My husband is a proud, Hispanic man, Xochil says, but his machismo was killing him. When I lay my head on his chest, I could barely hear his heart; it sounded like a ripped drum. My husband loves me to hug him, so when he wouldn t let me touch him anymore, I knew it was serious. 16 Pulse Magazine 2013

17 I knew he needed medical care, but he wanted to wait. He was afraid of losing clients, of medical expenses, of going to the hospital, of never coming home. But he was like a fish left behind by the sea. I told him this was a now thing. At the urging of her cousin, who had received life-saving care at Community Hospital, on February 3, Xochil took Ezequiel to the Emergency department. His heart, hardened and enlarged, was functioning at 25 percent of normal. Five days later, on February 8, Ezequiel became the 1,000th patient to undergo heart surgery at Community Hospital s Tyler Heart Institute. It was six years, almost to the day, after the institute opened with its first heart surgery patients, Joe Flores and Richard Elster, both of At left, Ezequiel Rodriguez-Chavez with his wife, Xochil, and their 2-year old son, Ezequiel, Jr. whom had delayed their procedures to have them performed at Community Hospital. His was a burned-out heart, says Dr. Gregory Spowart, the cardiothoracic surgeon who gave Ezequiel a new valve and an aortic graft. It was really surprising that he did so well for so long. On Valentine s Day, Ezequiel sat in a chair in his hospital room, watching his 2-year-old son, Ezequiel, Jr., sleep on the hospital bed. Xochil sat at the end of the bed, where she could watch both of her boys and keep an eye on the jagged line dancing across the heart monitor. His heart is going so fast now, she says. I think it is happy. You should see my husband s scar; it is so thin and neat with never any swelling. And he feels no pain. No pain! Can you imagine? These are such kind, talented people here. I don t know how I m ever going to thank everyone for giving my husband a new life. Today is Valentine s Day. I may not have chocolate or flowers, but I have my husband, and he has his heart. ABOUT TYLER HEART INSTITUTE Tyler Heart Institute was founded on February 13, 2007, thanks in large part to a generous gift from Peninsula residents William and Susanne Tyler. It pulls together a broad range of cardiology services under the leadership of Debbie Sober, RN, MSN, its interim director, and cardiologist Richard Gray, MD, its medical director. The surgery program, with veteran surgeons Dr. Vincent Gaudiani and Dr. Gregory Spowart, has achieved excellent results since inception: Operative mortality rates from 0 to 1.4 percent, compared with national figures of 1.6 to 6.5 percent, depending on procedure Serious infection rates from 0 to 2.1 percent, compared with national rates of 1.1 to 2.9 percent, depending on procedure Stroke rates from 0 to 1.4 percent, compared with national rates of 0 to 2.7 percent His was a burned-out heart. It was really surprising that he did so well for so long. Dr. Gregory Spowart, cardiothoracic surgeon Pulse Magazine

18 Racing and pacemakers Start your engines Since he had a pacemaker implanted in 2008, Bob Baker s doctors have told him it was still safe to get behind the wheel of his dozen or so vintage race cars, that he didn t need to worry about interference from the electrical field surrounding the high-powered engines disrupting his heart rhythm. Baker, 82, took their word for it and stuck with the hobby he s had for more than four decades. Still, he had some nagging doubts until a successful trackside experiment at Mazda Raceway Laguna Seca with his cardiologist, Dr. Richard Gray, medical director of Community Hospital s Tyler Heart Institute, and representatives from the device s manufacturer at his side. The experiment took place during Baker s annual trip to Monterey from his Sun Valley, Idaho, home for the Rolex Monterey Motorsports Reunion. The gathering, the week before the Pebble Beach Concours d Elegance, draws classic vehicles, and their owners, from around the world for three days of racing. 18 Pulse Magazine 2013

19 Organizations that sponsor such events require drivers to have an annual medical clearance; a history of heart disease and reliance on a pacemaker don t preclude participation. Contemporary pacemakers have electrical shielding and incorporate algorithms to prevent malfunction from most electrical interference sources; but Gray, a car buff and collector himself, says that, to his knowledge, no one had specifically tested them around race cars. He proposed the test to Baker and representatives from St. Jude Medical, maker of Baker s pacemaker; each said yes to the unique opportunity. In a paddock at the track, they gathered baseline data on Baker s electrical heart rhythms, hooking him up to a computer that recorded the activity. Then, still wired to the computer, Baker climbed behind the wheel of his red 1977 Formula Atlantic, its 1600 cc engine fewer than 10 inches behind his seat. He revved the engine gradually up to 9,000 RPMs, equal to about 130 miles per hour. The pacemaker was programmed to its most sensitive settings and the data it produced were monitored by Gray and St. Jude s Larry Selznick, vice president, technical services, and Gary Katz, cardiac device specialist. That was up to race car speeds and zip not event a blip, declared Selznick, an engineer. There was no interference. Let s go racing. In a second test, Selznick placed an identical pacemaker in a jar of saline directly on the top of the engine, and still no interference. What we saw can only be applied to this particular driver and under these conditions; we can t extend these findings to other models or other manufacturers products, Gray says. However, these results, showing the lack of interference even under the most challenging conditions, are very encouraging and confidence-building for Bob. Gray s patient concurs. I feel like I m doing something safe and I don t have to worry, Baker says. It s a secure feeling that I never had before. Larry Selznick holds a pacemaker over the engine. At the track (right): Dr. Richard Gray, Bob Baker, Larry Selznick, and Gary Katz Pulse Magazine

20 To screen or not to screen? Should all men of a certain age have a test for prostate cancer? When should women start getting annual mammograms? Is a colonoscopy really necessary after a 50th birthday? Questions about which cancer screenings to have and when to have them have multiplied in recent years, fueled by evolving recommendations from the government, health organizations, and others, and by news reports about conflicting findings from research studies. Our traditional view has been that the earlier cancer is diagnosed, the better, says Dr. Grant Swanson, medical director of Community Hospital s Comprehensive Cancer Center. However, recent studies have shown that all cancers are not the same and there may be some detected by screening that will not go on to cause a problem for the patient. They may lay dormant for a long time or even regress on their own. The challenge is that we cannot yet reliably identify which cancers will grow and spread and which will not. Therefore, we feel that following current screening recommendations is the proper course of action. Central to this approach is an ongoing informed discussion with one s primary care doctor regarding family history, current health status, and values. To increase discussion and awareness of screenings, Community Hospital last fall joined with the UC San Francisco Helen Diller Family Comprehensive Cancer Center for two forums on the topic, one for doctors and one for the public. In 2011, Community Hospital began an affiliation with UCSF that provides expanded access to clinical trials, collaboration on cancer cases, and education for doctors, staff, and the public. Panelists included experts from UCSF and the local medical community who told their audiences that the goal is to screen smarter, earlier, and less often. Screenings are not intended to diagnose cancer. Rather, they are designed to reveal abnormalities that could indicate cancer or 20 Pulse Magazine 2013

21 possibly lead to cancer. Or that might rule out cancer. Cancer screening may include a physical examination, along with a history of the patient s health status, past illnesses, and any preventive or curative treatments. Screening may also include laboratory tests of particular fluids or tissues from the body, imaging studies, or genetic testing. Following are screening recommendations from the American Cancer Society (ACS) for four types of cancer. BREAST CANCER Women ages should have a breast exam by a healthcare professional every 3 years, and women over 40 should do this annually. Women over 40 should have mammograms annually, continuing as long as they are in good health. We know mammograms are 80-to- 85 percent effective in finding breast cancers, says Dr. Susan Roux, medical director of Community Hospital s Carol Hatton Breast Care Center and a panelist at the forums. Roux cautions that mammograms alone may not be enough for the 40 percent of women who have dense rather than fatty breast tissue; dense tissue makes cancers harder to detect. When breasts are dense, the effectiveness of mammograms alone goes down to 30-to-50 percent, Roux says. For those women, a good option is adding an ultrasound exam to the yearly mammogram. Under a new state law that takes effect in April, radiologists must include the type of breast density a woman has as part of the The challenge is that we cannot yet reliably identify which cancers will grow and spread and which will not. Therefore, we feel that following current screening recommendations is the proper course of action. Dr. Grant Swanson, medical director, Comprehensive Cancer Center letter they send her with her mammogram results. Then women and their referring physician can make an informed decision about whether to add that second study. With cancer, Roux says, it s early diagnosis, no matter how you find it, that counts. CERVICAL CANCER Recommendations for cervical cancer screenings were revised in 2012, reducing the frequency. Women ages should have a Pap test every 3 years. Women should have a Pap test plus a test for human papillomavirus (HPV) every 5 years. Women over 65 should stop screening unless they had a serious cervical precancer or cancer in the last 20 years. COLORECTAL CANCER People over 50 and at average risk of colorectal cancer should follow one of these screening schedules: Flexible sigmoidoscopy, double-contrast barium enema, or CT colonography every 5 years Colonoscopy once every 10 years Fecal occult blood test or fecal immunochemical test annually PROSTATE CANCER The ACS says men should make an informed decision about screening after a discussion with their healthcare provider about the uncertainties, risks, and benefits of the screening, called a prostate specific antigen (PSA) test. Men 50 and over with average risk or 45 and over with a high risk, and at least a 10-year life expectancy, who do have a PSA test, should repeat it annually if their score is 2.5 ng/ml or more. Those with a lower score can be tested every other year. Dr. Bradley Tamler, a radiation oncologist at Community Hospital who took part in the panel discussions, advocates having the test and then carefully considering options based on the results. When prostate cancer is the numbertwo cause of cancer deaths in the United States, resulting in 28,000 deaths last year, the question is not whether or not to screen, Tamler says. No one has ever died from a PSA test. The PSA test is not the problem; what to do with the information is. If you are diagnosed with prostate cancer, Tamler says, understand your options. First, he says, get a second opinion; ask your primary care doctor for a referral. Remember that not every treatment is right for every patient, and that sometimes no treatment at all is the right decision. Finally, if you do have treatment, be sure it is at an accredited center. A list is available at CoC Hospital Locator. Pulse Magazine

22 It takes a team A multidisciplinary approach to cancer Treating the cancer is never enough. Part of our multidisciplinary approach to cancer means treating the cancer and caring for the patient throughout the journey. Phillip Willams, RN, director, Comprehensive Cancer Center 22 Pulse Magazine 2013

23 Sharon Pira s cancer diagnosis set off a chain reaction, with members of her care and support team multiplying to help her take on her disease medically, physically, emotionally, and spiritually. Clinicians came together at Community Hospital to pool expertise. Resources were at her fingertips classes, support groups, and material from the hospital s public library. There were even navigators on board to guide her. Pira s experience (see story that follows) illustrates the hospital s multidisciplinary approach to cancer care, from detection and diagnosis through treatment to survivorship, says Phillip Williams, RN, director of the hospital s Comprehensive Cancer Center. From the moment the patient is diagnosed, Williams says, we begin coordination and communication between the physician s office and the hospital, and among the team involved in care: the pharmacy, nurses, lab personnel, diagnostic imaging personnel, physical therapist, nutritionist, health resource librarian, marriage and family therapist, chaplain, social workers, and discharge planner. A foundation for this approach is the weekly case conferences, bringing together general practitioners, oncologists, pathologists, radiologists, surgeons, reconstructive surgeons, and more. Every Thursday, a cadre of these practitioners gathers at Community Hospital to discuss, evaluate, and create integrated treatment plans for their cancer patients. Breast cancer cases are reviewed at a similar gathering every Tuesday. For patients with a variety of practitioners, having everyone at the same table is a dream come true. Here, says Williams, is a heterogeneous group of physicians with private practices throughout the community who make the commitment to meet every week. They may not be involved in every case being discussed, but they come anyway, to contribute input to their peers. Every Monday, a collective of oncologists meets at Community Hospital for the Oncology Journal Club, convened to keep abreast of developments in cancer care. Each week, a different physician selects a recently published important paper relating to diagnosis or therapy, and presents it to a dozen or more peers, says Dr. Grant Swanson, medical director of the Comprehensive Cancer Center. We talk about the questions the study asked, what answers it found, and what is relevant to the cancer cases in our community. This is a rare practice in hospitals, yet we recognize that it keeps us up to date with the most important revelations in cancer. Community Hospital also convenes an Institutional Review Board (IRB), to oversee participation in clinical trials, giving patients access to treatment not otherwise available. The IRB ensures the welfare and protection of research participants. Its diverse 11-member board is made up of hospital staff and community members, including a pastor, college research analyst, pharmacist, social worker, and librarian from the Naval Postgraduate School. While those efforts are mainly behind the scenes, others are more visible to patients and their families and they are free. Patients can be connected with patient navigators, trained volunteers who ve been through a similar experience and can share what they learned. They can join support groups, including those for breast or prostate cancer or dealing with chronic pain. They can take classes on art and healing, looking good and feeling better during treatment, and a survivorship series, held at Peninsula Wellness Center and incorporating fitness into recovery. They also have access to the hospital s library and librarian, rides to and from medical appointments, and support for their caregivers. Treating the cancer is never enough, says Williams. Part of our multidisciplinary approach to cancer means treating the cancer and caring for the patient throughout the journey. Learn more about the Comprehensive Cancer Center. Outstanding achievement Community Hospital s Comprehensive Cancer Center has twice received the Outstanding Achievement Award from the Commission on Cancer of the American College of Surgeons. The award is presented to centers that demonstrate a commendation level in seven standards that represent the full scope of the treatment program and that also achieve a compliance rating for 29 additional standards. Pulse Magazine

24 Sharon Pira finds strength in numbers With her 60th birthday on the horizon, Sharon Pira vowed to get fit for the big event. She joined a gym, traded brownies for broccoli, and, through months of diligence, lost 25 pounds. She looked and felt like she was in the best shape of her life. Until a routine mammogram at the Carol Hatton Breast Care Center told her otherwise. 24 Pulse Magazine 2013

25 After abnormal findings turned up, Dr. Susan Roux, medical director of the center, recommended a biopsy. Fear set in and Pira turned for advice to her sister, who had been diagnosed with breast cancer at 52. Get back in there and have the biopsy, her sister directed. Early detection saved me. Her gynecologist called with the biopsy results: Pira had cancer in her left breast. The gynecologist recommended three other doctors to help her with what would come next: Dr. Michael Stuntz, a surgeon; Dr. Thomas Bradley, an oncologist; and Dr. David Goldberg, a plastic surgeon. Pira was about to leave for Europe, a trip she had been planning for a year. I had a calendar of my life, she says, and suddenly it wasn t mine anymore. It now belonged to others, who took control. Yet I quickly learned my doctor had chosen just the right people to take me on this new journey. And those three doctors were only part of the team that escorted me through this. The initial plan was for a lumpectomy, then radiation. But the tumors were larger than anticipated and cancer had spread to her lymph nodes. A change of course meant chemotherapy, followed by surgery, radiation, and reconstruction. The course changed again during the surgery, when Stuntz found an additional form of cancer in her breast. This meant a mastectomy. My whole life, I have been a positive, glass-half-full kind of person, Pira says. But I found myself falling fast into despair. I knew it didn t serve me, but I kept asking, Why me? This isn t fair. For this, I ate broccoli? I asked Dr. Stuntz if I was going to die from this. He said, No, just your hair. I decided I could handle that. I accepted what was happening, put one foot in front of the other, and walked into Community Hospital s Health Resource Library. So much of my strength and positive outlook have come from the amazing women and men who have made cancer treatment their life s work. Sharon Pira There, Pira found Crazy Sexy Cancer Survivor, an irreverent, uplifting book by young actress and wellness warrior Kris Carr. Pira adopted Carr s upbeat attitude. She checked out meditation tapes, began getting centered, and focused on wellbeing. She even found a wig she liked. When I went in for my first chemotherapy treatment, says Pira, I realized my nurses were angels in teal outfits. They held my hand and invited me to look at chemotherapy not as poison, but as part of a process that would help me beat cancer. One nurse said, I know your doctor has you well prepared for this; take advantage of all resources along the way. Her confidence eased my fears, and I took her advice. Pira signed up for Look Good Feel Better, a class from Community Hospital and the American Cancer Society that provides makeup and hair advice to help women with cancer. Pira noticed a woman who had lost her hair, sobbing. Until she put on her wig. Her whole face lit up, says Pira. She sat up straighter, stopped crying, and her whole sense of being seemed to shift. When I put on my own wig, I looked 10 years younger. It looked so good, I posted it on Facebook. Next, Pira s journey took her to a support group at Community Hospital. I felt like I had found a home, Pira says. It was led by Joy Smith, the oncology nurse educator, who is so centered and so knowledgeable. Even my best girlfriend and my husband couldn t understand the core of what I was going through. But these women could because they were going through the same experiences as me. So much of my strength and positive outlook has come from the amazing women and men who have made cancer treatment their life s work. I feel so blessed to have been in the midst of such caring individuals and have incredible respect for the work they do every single day. I just want the entire medical staff at Community Hospital to know that their commitment to excellence in the treatment and care of cancer patients is very much appreciated. Learn more about our classes and support groups. Pulse Magazine

26 The s of measuring hospital quality Ratings of hospital quality from gold stars to letter grades to top-10-style rankings began appearing in the 1990s and have grown into an epidemic. Scorecards are coming from sources including Angie s List, U.S. News and World Report, Healthgrades, the federal government s Hospital Compare web site, Leapfrog Group, and Consumer Reports. We think the added focus on safety and quality is a good thing, says Dr. Steven Packer, Community Hospital s president and CEO. We strongly support efforts to make information about safety measures and outcomes visible and accessible. Sharing meaningful information enhances communication between patients and their healthcare providers, which, in turn, increases safety. Two report cards on hospital quality in late 2012 gave high marks to Community Hospital. Healthgrades, one of the oldest and best-known hospital rating firms, recognized Community Hospital with more than a dozen awards, including ranking its cardiac, orthopedic, and spine surgery programs among America s 100 Best Hospitals, and patient safety in the top 5 percent in the nation with the Patient Safety Excellence Award for 2 years in a row, Pulse Magazine 2013

27 The Leapfrog Group, a national nonprofit made up of employers and other large purchasers of health benefits, has awarded Community Hospital an A Hospital Safety Score SM, based on 26 measures representing a hospital s overall capacity to keep patients safe from infections, injuries, and medical and medication errors. Thoracic Surgery, the Commission on Cancer, and the American College of Radiology. Community Hospital has excelled at measures developed by these organizations through demonstrated use of evidence-based best practices, he says. We are extremely proud that some of our achievements are being recognized, Packer says. We do want to caution, however, that the methodology for rating hospital quality is far from perfect, as evidenced by the variable results that can be found from one review to the next, or even from the same reviewer in a short period of time. Inconsistencies and other shortcomings prompted the California Hospital Association (CHA) to develop a list of guiding principles for producing scorecards. These include using publicly reported data that s been demonstrated to reliably assess patient care; a standardized rating format; and adjustment for variables like the type of patient population served. Scorecards reflect only one source of available information to facilitate an understanding of the quality of healthcare delivery, CHA notes. They often serve as a good starting point for patients to ask more specific questions of their healthcare providers. In addition, Packer recommends reviewing the quality measures and accreditations from organizations that use proven methods and in-person evaluations, such as the Joint Commission, the American College of Cardiology, the Society for Among them: Accreditation for advanced inpatient care for diabetes, recognizing that Community Hospital follows advanced protocols for the one-third of patients who have diabetes or elevated blood sugar Certification as a primary stroke center, with use of tpa, a time-sensitive, clotbusting drug, at more than double the national rate, significantly reducing the debilitating effects of stroke A 50-percent reduction in the past 5 years in mortality from sepsis, an overwhelming infection An average door-to-balloon time opening a heart attack patient s blocked artery with a balloon of 54 minutes after arrival, compared with a national target of 90 minutes We continue to focus on initiatives like these that are designed to increase safety and improve outcomes, Packer says. We are deeply aware of our need to continuously improve and to constantly provide high-quality, safe, reliable care to our community. Sharing meaningful information enhances communication between patients and their healthcare providers, which, in turn, increases safety. Dr. Steven Packer, Community Hospital president and CEO Pulse Magazine

28 Employee of the Year Eddie Oronos First impressions count, so it s no wonder Eddie Oronos is assigned to work at the entrance of Community Hospital. Oronos s radiant smile and warm welcome are as much a part of his uniform as the navy blazer and crisp white shirt he wears. For 4 years, he has been welcoming patients and visitors, directing valet parking, assisting people in and out of their cars, giving directions, and answering all manner of questions. The easy but effective way he does it earned him the title of 2012 Employee of the Year. 28 Pulse Magazine 2013

29 Eddie puts everyone else s needs first and routinely goes the extra mile for a positive outcome, says his supervisor, Ken Gordon, director of Security. Eddie displays a sixth sense about the people he comes in contact with, from the anxious patient to the concerned visitor to the employee tired at the end of a busy shift. And he responds with sincerity and compassion to their individual needs. He ensures that all are taken care of with the utmost respect and consideration for their care and safety. Oronos started working at Community Hospital in 1994 and has been a parking attendant and supervisor, security officer, and supervisor of telephone operators. Then he found his niche at the front door. When he s not at his main-entrance post, he enjoys spending time with his wife, keeping up with their 5-year-old grandson and 15-month-old granddaughter, playing guitar and ukulele, and riding his motorcycle. On the job, he says, his goal is to bring a hospitality-type experience to patients I love what I m doing, and to be named Employee of the Year, to be acknowledged, is an honor. and visitors by making them feel as comfortable as possible. I try to represent us by giving the human touch, he says, by acknowledging people and assisting them with their needs. Recently Oronos was attending a local farmers market, when a former patient recognized him across the crowd and called to him by name. These personal connections are what inspire him to come to work every morning. I love what I m doing, he says and to be named Employee of the Year, to be acknowledged, is an honor. Employee of the Year finalists: Dharma Naidu, Pharmacy; Allison Hornisher, Central Supply and Distribution; Douglas Garner, Central Supply and Distribution; Michele Melicia Young, Development; Eddie Oronos, Security (winner); Melanie Mobley, Laboratory Services; Tim Bates, Health Information Technology; Brent Fontes, RN, Emergency; Jason Schmidt, Nutrition Services; and Terry Solomon, Main East Pulse Magazine

30 Navigating hospital bills The patient advocates are in Daisy Noguera, director of Patient Business Services, (left), and Oriol Sandwell, patient advocate 30 Pulse Magazine 2013

31 Navigating an illness can be challenging, and so can navigating the process to pay for the care to treat it. Just ask anyone who has received one of those explanation of benefits letters from an insurance company. To guide patients and their families through the process, Community Hospital has staff in place to assist before and after care is provided. We can help ensure that patients concentrate on health and healing instead of the financial elements of their illness, says Daisy Noguera, director of Patient Business Services (PBS), which oversees billing. Before a service or procedure, staff members from Patient Access, which oversees the admissions process, gather information to help verify benefits and determine co-pays and deductibles. They can also provide price estimates and financial counseling. After a service or procedure, staff members from PBS can answer questions and provide information about charges, We can help ensure that patients concentrate on health and healing instead of the financial elements of their illness. Daisy Noguera, Patient Billing Services director insurance reimbursements, and other issues related to the billing process. Though there are many people advocating on behalf of patients financial needs, Community Hospital in 2008 established a dedicated position for especially challenging issues: the patient advocate. Oriol Sandwell, who fills the role, helps patients interpret their billing, understand their circumstances, and determine how to get bills paid. Patients are sometimes overwhelmed by the financial aspects of their care, Sandwell says. They come in with a stack of bills and correspondence they just can t deal with. I sit down with them, go through the paperwork to make sense of it, and help them figure out how to handle it. Sandwell takes a proactive approach in identifying a problem, a reactive approach in responding to a patient s concern, and an educational approach when explaining patients benefit plans and the programs and services available to assist them. If an insurance company denies a claim, we have an appeal process in place, she says. Community Hospital has an excellent customer service and insurance billing follow-up process through which we overturn a high percentage of denials. Sandwell helps educate patients about their benefit plans and how to ensure they are getting the care and coverage to which they are entitled. When patients receive a diagnosis and their insurance company says their care is not covered, or they have no insurance, she works to connect them to state or federal programs or Community Hospital s own Sponsored Care program, which may provide assistance. Sandwell also speaks to local community groups about healthcare billing issues. When it comes to the financial part of their healing process, she says, we help empower people. FOR ASSISTANCE To help determine your coverage before a service or procedure, call Patient Access, , or call the price estimate telephone line, If you have billing questions after a service or procedure, call Patient Business Services, If you have complex billing issues, call the patient advocate, If you would like Oriol Sandwell to speak to your organization, call Pulse Magazine

32 Clip and save Urgent care or emergency care? Illnesses and injuries don t always happen during regular office hours. If you need care when your regular doctor isn t available, how do you know whether to seek care at the hospital emergency department or an urgent care center? Below are some guidelines. URGENT CARE EMERGENCY CARE RESOURCES An urgent care center is designed to supplement your family doctor s care after hours, on weekends, or when you are unable to get an appointment. Hours vary but are generally limited to daytime; some offer evening hours. When to go to an urgent care center If your doctor tells you to If your doctor can t be reached and the condition isn t serious Colds, coughs, flu, fever Minor injuries such as a sprain Vomiting and/or diarrhea Allergies Dizziness Nausea Minor burns Minor cuts Pink eye Rash Sore throat Need for stitches Migraine Urinary tract infections A hospital emergency department is designed to treat serious or life-threatening illnesses and injuries and is always open. When to seek emergency care If your doctor tells you to If you are injured in a car accident Uncontrollable bleeding Severe difficulty breathing Fall from a significant height Serious head or neck injury Any loss of consciousness Chest pain High fever that doesn t get better with medicine Bone fracture with open wound After swallowing poison Seizure Severe abdominal pain Severe burns Electric shock Suspicion of exposure to a serious communicable disease Choking Severe allergic reaction Unsusual or bad headache To reduce the chances you will need emergency or urgent care, establish a relationship with a primary care doctor for regular care. If you need assistance finding a primary care doctor, call Community Hospital s referral line at (888) 45-CHOMP ( ). If you don t have insurance, call the Monterey County Department of Social and Employment Services, (866) , to find out whether you qualify for assistance. MONTEREY BAY URGENT CARE (Community Hospital is a minority owner of these two centers) (831) 372-CARE (2273) 245 Washington Street Monterey nd Avenue Marina DOCTORS ON DUTY 3130 Del Monte Boulevard Marina (831) Lighthouse Avenue Monterey (831) South Main Street Salinas (831) Fremont Blvd., Suite E1 Seaside (831) CSUMB Campus Health Center 100 Campus Center Building 80 Seaside (831) SALINAS URGENT CARE 558 Abbott Street, Suite A Salinas (831) Pulse Magazine 2013

33 Gifts from our community Philanthropic contributions are crucial to Community Hospital s health. They help pay for patients who can t pay for their care, for new technology to diagnose diseases earlier and treat them more effectively, and for the overall hospital environment, designed specifically to promote healing. Who gives? Patients pleased with their care. Neighbors who want to invest in the community s well-being. Staff members who believe in Community Hospital s mission. In the pages that follow, we spotlight a few specific donors and thank all the rest through our honor roll of contributors for Pulse Magazine

34 Maurine Church Coburn LEGACY SOCIETY This society was created to honor, recognize, and encourage life income gifts and bequests to Community Hospital. Planned gifts represent a substantial resource to ensure a long-term, stable financial future for your community hospital. Mrs. Harriet S. Allan+ Mrs. Mildred T. Annand Dr. and Mrs. John N. Baldwin Mr. Richard Barkelew Mrs. Betty P. Bass Alice and John+ Bergin Mrs. Joan Bernardin Dr. Leon Bernstein* Mr. and Mrs. Charles H. Bloom Mrs. Bobbie Bockes Dr. and Mrs. John H. Brazinsky Mr. and Mrs. Charles E. Bruner Joan Calkins+ Mrs. Roberta S. Chappell Mr. and Mrs. Robert J. Cho Dr. Kyung Cho Chung Mrs. Francesca Coleman Mr. Roger W. Coleman Mrs. Gloria Dake Mrs. Virginia M. Davis Mr. Charles de Guigné Judith E. Derrick Martha and Stephen Dolley Mrs. Margaret B. Donat Marie E. and Francis C. Dykeman Mr. Steve Eimer and Ms. Kevin Cartwright Mr. and Mrs. Kent Evans Ms. Elizabeth Feallock Mrs. Gloria Fenton Fran Friscia Charles W. Gallup Sr., PhD+ Kenneth A. Gardner Mr. and Mrs. H. James Griggs Dolores P. Hagey Esther N. Haskins Mrs. Elizabeth Haywood Mrs. Marjorie Higgins Dr. Daniel and Lora Hightower Ms. Anna Hoffman Kip and Jay Hudson Mrs. Alwine Hume+ Gerda J. and John Paul Johnson Mrs. Josephine Kale Martha and Rick Kennifer Phyllis and Lawrence Krause Mr. and Mrs. Harold E. Kren Mr. Erling Lagerholm Mr. and Mrs. Richard LaSalle Mrs. Edith M. Leach Mrs. Eleanor Leheney Dr. and Mrs. William R. Lewis Mrs. Marjorie P. Love Patricia McGee Maino Dr. George and Greta Miller Ms. Mary Jean Nieman Mrs. Virginia Northcote Dr. and Mrs. Richard A. Pirotte Ms. Shelley Post* Mrs. E. Gordon Pratt Col. and Mrs. J. L. Ramos Mr. and Mrs. William N. Reno Rosemary Rhodenbaugh Mrs. Marion Robotti Sue and Jerry Rockwood Mrs. Joy Rosales Mr. and Mrs. Lee E. Rosen Mrs. Nancy B. Roth Mrs. Gloria M. Russell Mrs. Barbara J. Saunders Younghe Oak and Ken Schachter Mr. and Mrs. Robert B. Sheppard Mr. William G. Shreve Ms. Hilda H. Stengard June Duran Stock Mrs. Carol Sweet Mrs. Marta E. Szemes* Mr. E. J. Thorndike Florence Tonkin+ Susanne S. and William H. Tyler Mrs. Betty F. von Maszynski Mr. and Mrs. Wilhelm Weber Mr. John Weston Mr. and Mrs. Kim Wigton Roxanne and Carroll Wilde Anita Marie Young Ms. Madelon H. Zimner * New Member + Deceased PLATINUM CIRCLE The following friends have achieved remarkable levels of generosity over the years, contributing more than $170 million for our community s healthcare needs. $5,000,000 or more Betty and Steve Bechtel S.D. Bechtel Jr. Foundation Central Coast Hospice Foundation Maurine Church Coburn Charitable Trust Community Hospital s Auxiliary Samuel F.B. Morse Susanne and William Tyler $1,000,000 -$4,999,999 Lillian Adams Sadie Adriani Nancy Barkalow Marybelle Barton Joan and Alcide Bernardin Blue Shield of California Sarah and Robert Bonner Kathryn Boulter Dorothy and Henton Brenan Soon-Hui and Robert Cho Maurine Church Coburn Rita and Luis Echenique Bertie and David Elliott Lois and Paul Fahrney Marie and Earl Foor Elza and Frank Groves Elizabeth Harrington Stephanie and Joseph Henelt Ann and Michael D. Lyon Theiline and John McCone McCone Foundation Walter McCreery Malcolm Millard Monterey Peninsula Foundation Montgomery Street Foundation Georgia Moradian Marion and John Robotti Nancy and Robert Roth 34 Pulse Magazine 2013

35 Maria and Wilhelm Weber Alfred Wheldon Helen Woodard $500,000-$999,999 Mary Alter Robert Avery Kathleen and Isabel Blythe Ingeborg Borovicka Evella Brandon Elmo Costello Debra and George W. Couch III The Dunspaugh-Dalton Foundation Donald Elrod Lyn and Kent Evans Virginia Fredrichs Bernice Gold Olive Greenwald Elizabeth Gregersen Beverly and Lyman Hamilton Alborg Herud Alice Jacobs Jennifer and John P. Johnson Allyson and Robert Kavner Mary Kirsopp Audrey and William Mennen Lloyd Mills Margaret Musser Giovanna Nelson Evelyn and Miller Outcalt Elliott Parker Edna Parratt Alice and Harry Pearce Lillian and Martin Platsko, MD Frank Rogers Susan and Peter Salamon, MD Frances Shaffi Elizabeth Stats Kathleen Trattner Doris Wright $100,000-$499,999 Robert Aitkenhead Margaret Albertson Andrea Arnof Ian Arnof Maryanne Auerbach Frances Baer Violet Baldwin Velma and Ted Balestreri Marcia and Richard Barkelew Peggy and Jack Baskin Betty Passmore Bass Clarke Bearden Rita Behal Laurie and David J. Benjamin III Alice and John Bergin The R.J. Bertero Family Hilton Bialek Helen and Remsen Bird Carolyn and Charles Bloom Rosalie Bonsignore-Wampler Linda and Ronal Borgman The Borgman Family Foundation The Buffett Fund of the Community Foundation for Monterey County William Burnight The California Endowment Joan and Norman Calkins Cannery Row Company George Carlson Leonard Carpenter Marjorie and Alger Chaney Sybil and Cyril Chappellet Earle M. Chiles Chiles Foundation Winifred Chrisman Joyce and Ralph Clark Gloria and Bob Clinton Francesca Coleman Roger Coleman Russell M. Comrie Jeane Leathe Cooke Bing Crosby Youth Fund Charlotte I. Cruickshank Iris and Stephen Dart Kenneth M. Davidson Virginia M. and Alan Davis Constance Dick Gloria and Jim Didion Nanci and Jim Dobbins Dobbins Family Foundation Nancy and William Doolittle Sarah Elizabeth Dyer Jean and Kenneth Ehrman Esther Eklund Irma and Harry Eriksson Jane and John Evans Marguerite and Robert H. Evans Elaine and Robert Ewen Christine and Davis Factor Jr. Lillian and Walter Farrell Kathryn Gardner Lawrence M. Gelb Foundation Phyllis and Richard Gelb Anne Girard Kathleen Gowell Cecilia Graham Rose Mary Graham Juli and David Grainger The Grainger Foundation Greeley Publishing Irma and Donald Grenier Gail and H. James Griggs Dorothy Guy Terry and Edgar Haber Dolores P. Hagey Marie Hamilton Genemarie Hammonds Bill Hannon Foundation Marguerite Haughton Nancy and Homer Hayward The Healing Center of the Monterey Peninsula Rudy Heinz Laurena Heple Sarah Hermann Peggy Hunt Hicks Elsie and Louis Hill Jr. Nancy and Samuel Hopkins Kip and Jay Hudson Madge and James Hughes Galdys and Howard Hughson Doris and Clifford Hunt Lise Jensen Shana and Clint Johnstone Jr. Florence and Paul Kagan Josephine and Darrell Kale Carolyn Mary Kleefeld Lois and Stanley Kord Sarah Lang Shirley and Robert Larsen Gordon Lawry Mae and Victor LoBue Hing J. and Chow K. Lom Charitable Trust Sally and Donald Lucas Ann and John Mahoney Judith and Frank Marshall Pulse Magazine

36 Opal and Carroll McKee Catherine and Robert McMahan Marjorie and Donald McNeely The Mennen Company Greta and George Miller, MD Mary Miller Norman Miller Sara Mitchell Monterey Peninsula Radiological Medical Group Edwin E. and Ruby C. Morgan Foundation Anita and Fred Muhs Fred R. Muhs Family Foundation Dorothea and Milton Mumford Eileen and James Murray Murray Fund of the Community Foundation for Monterey County Margaret L. Musser Fund of the Community Foundation for Monterey County Northwest Area Foundation Barbara Nugent Bob Nunes Elizabeth O Connor Carl Otto John F. Otto Inc. Ann and Steven Packer, MD Jane and Carl Panattoni Patricia Peer Pfizer Mary Anne and Richard Pirotte, MD Carita Pope William Ramsay Flora Ramsey Nancy and George Records Records-Johnston Family Foundation Lucy and Bill Reno Rosemary and John Rhodenbaugh, MD Walter Riddle Permelia Roeber Dana Rood Jr. Elizabeth Rood The Samson Family The San Francisco Foundation Dorothy and Robert Schraft Dorothy Scott Stanley Shaw Shenandoah Foundation Inez Sladowski Jean and Bob Smith, MD Dr. Bob and Jean Smith Foundation Julia Smith Jean and Lyle Smith Leslie and Charles Snorf, MD Bonnie Souchak C. Arthur Spaulding, MD Robert and Virginia Stanton Endowment Fund of the Community Foundation for Monterey County Marion Stearns Jane and Marshall Steel Jr. Marshall Steel Sr. Fund of the Community Foundation for Monterey County Betty and Arthur Stewart Walter Stewart Joanne and Dean Storkan Barbara and Wilbur Strohm Jr. Hilda and Lars Svendsgaard Audrey Talbott Robert S. Talbott Jr. Tom Thornton Harriet Thurmond Ginny and Peter Ueberroth The Ueberroth Family Foundation Nathalie Utley Amy Roth, PhD, and Jack Van Valkenburgh Variety Clubs International Jean and Howard Waner Annette and Patrick Welton, MD Ada Welty Kathy and Robert Whitehead Roxanne and Carroll Wilde Jean Wilder Julia and Horace Wilson Ralph Workman Jacqueline Wright Blanche Wyatt Betty and George Yates Mona and Edward Zander Mary Zumach $50,000- $99,999 Action Council of Monterey County Reggie and Frank Amato Esther S. Anderson Violet Appert Antone Ara Bia Bamberger-Allen Foundation Banbury Fund Mary Barkelew Howard P. Barker Jr. Jane and Walter Barry Mary Kay and David Basham Jr. Helen and Paul Baszucki Joan and Donald Beall Barbara Bearden Audria Bedell Rosemary Benning David Bernolfo Marie Bernolfo Remsen Bird Andrew Blomquist Jr. Blue Cross of California Community Clinics Fund Mary and Verle Bogue Mary Wolf Rolfing Bogue Foundation Charles Bramhall Jr. James Brittain Estelle Buckley Burnham Foundation Jeanne and Roger Canel Arthur Carruthers Linda and Randall Charles Eleanor Chayne The PDG Gloria M. and First Dude Bobby J. Clinton Donor Advised Fund of the Rotary Foundation Arlene and Vance Coffman Margaret Cornelious Marilyn and Lee Cox Bella and Bert Cutino Marie Darby Jane and Justin Dart The Justin Dart Family Foundation Charles de Guigné Alice and Joel Dickie Dickie Family Trust Linda and Michael Dorn Jean M. Duff Barbara and Ron Dunlap Dina and Clint Eastwood Ada Edwards Katherine and Robert Ernst III Karin and Howard Evans Howard and Karin Evans Fund of the Community Foundation for Monterey County Donald Faber Mary Kay and James D. Farley Mary Kay and James D. Farley Foundation 36 Pulse Magazine 2013

37 Darryle Pollack and Vaughn Feather Eileen and Jack Feather Carolyn and Leonard Firestone Melvin F. Fortes Peggy Fossett Peggy and Steve Fossett Foundation Julia and Russell Frankel Elizabeth Friedenthal Frances Friscia Candace and Vincent Gaudiani, MD Sharile Gellner Hester and Robert Griffin Leon Groth Edgar and Terry Haber Fund of the Community Foundation for Monterey County Madeline and Charles Hampton Hayward Family Foundation Elizabeth Heard Joyce Herman Marjorie and Roy Higgins Christy Hill Ann and Glen Hiner Cindy and David Holley, MD Jennie Hooker Sue and Ted Hooker, MD IBM Matching Gifts Program The Ann Jackson Family Foundation Harold Jacobs Albert Jensen Diane and Hisashi Kajikuri, MD Betty and Jim Kasson Edwina F. Bent and Gordon G Kauhanen Judy and John Keller Hon. Lorraine Kendall Kirsopp Foundation Lynn and Gary LaMar Jeanne and William Landreth Gail and Lance Larsen Clay Larson Sharon Duffy Larson Gretchen and Howard Leach Barbara and Joseph A. Lee Jr. Duncan and William Lewis, MD Dorothy and Alan Lisser Nancy and and John Love John and Nancy Love Fund of the Community Foundation for Monterey County Virginia and Richard Lumpkin The Lumpkin Family Foundation Manitou Fund Dorothy and Arnold Manor, MD Mary and John Marble Mark Massel Lorna and George Mayer Elizabeth McBride Jane and John McCoy Donna and Frank McDowell Bertie and Mike McElroy McElroy Family Charity Fund of the Advisor Charitable Gift Fund Donald McGilvra Stan McKee Molly McKenzie The McKenzie Foundation Irma and Robert McKever Medtronic Karen and Barry Meguiar Ruby and Edwin Morgan Anne and Howard Morgens Helen Morton Lorene Mowbray Martha Mulford Ona and Robert Murphy Barbara and Bob Nelson Lena Noffsinger Alyce M. Nunes Tom P. Nunes Sr. Arnold Oehler David Packard Linda and Charles Page Stephanie Paillard Sally and John Peoples Frederika Phelps Elva Phillips Shelley Post Alicia Powell Douglas Ramsey Wendie and Stephen Ryter The Safeway Foundation Marybeth and Wayne Sargent Margaret and Stephen Schulte C. Verne Scoggins Barnet Segal Charitable Trust Kathy and Bill Sharpe June and Robert Sheppard Elizabeth and Colin Short Dorothy Shudoma Loma and Hulet Smith Frank Souchak Sports Car Racing Association of the Monterey Peninsula June Duran Stock Eugenia L Sweeney Katherine Swim Robert and Audrey Talbott Foundation Robert Talbott Incorporated Herbert Tolfree Florence and Thomas Tonkin The Upjohn California Fund Kelly and Wesley von Schack Fran and Jim Vorhes T.B. Walker Foundation Eva and William West Helen Westland Cynthia and Eugene Wheary Whiteley and Nick Wheeler Darnell M. Whitt II Andrew Wiemann Carol and Phillip Wilhelm Edith R. Williams ANNUAL GIVING Community Hospital Foundation gratefully acknowledges all who supported our activities in Many individuals, corporations, and foundations have shared our goal of continued excellence in patient care. We thank each of our donors, who together contributed nearly $7 million. PRESIDENT S CIRCLE ($10,000 or more) Reggie and Frank Amato Ian Arnof Estate of Robert Avery Velma and Ted Balestreri Mary Kay and David Basham Jr. Helen and Paul Baszucki Betty and Steve Bechtel S.D. Bechtel Jr. Foundation Laurie and David J. Benjamin III Dea and Ron Berberian The R.J. Bertero Family Pulse Magazine

38 Sarah Bonner Estate of Rosalie Bonsignore-Wampler Ronal and Linda Borgman Estate of Joan and Norman Calkins Cannery Row Company Central Coast Hospice Foundation Estate of Marjorie Clark Francesca Coleman Roger Coleman Community Hospital s Auxiliary Debra and George Couch III Iris and Stephen Dart The Justin Dart Family Foundation Gloria and James Didion Nanci and James Dobbins Jr. Dobbins Family Foundation Jean Duff The Dunspaugh-Dalton Foundation Rita Echenique Bertie and David Elliott Betsy and Pardee Erdman Jr. Karin and Howard Evans Elaine and Robert Ewen Christine and Davis Factor Jr. Melvin F. Fortes Peggy Fossett Peggy and Steve Fossett Foundation Julia and Russell Frankel Frankel Family Foundation Donald Goldman, MD Estate of Kathleen Gowell Gail and H. James Griggs Beverly and Lyman Hamilton Susan Hamilton Bill Hannon Foundation Estate of Peggy Hicks Ann and Glen Hiner Sue Hooker Jennifer and John Johnson Shana and Robert Johnstone Florence and Paul Kagan Judy and John Keller Carolyn Kleefeld Sunny and Harry Kohn Estate of Nada Kovalik Marilyn and Harold Kren Jeanne and William Landreth The Landreth Family Foundation Gail and Lance Larsen Duncan and William Lewis, MD Donald and Sally Lucas Donald Lee and Sally Steadman Lucas Foundation Ann and Michael Lyon Ann and John Mahoney Judith and Frank Marshall Frank and Judith Marshall Foundation Jane and John McCoy Joan and Peter McKee Stan McKee Karen and Barry Meguiar Estate of William Mennen Vicki and William Mitchell Jr. Monterey Peninsula Foundation Monterey Peninsula Radiological Medical Group Estate of Martha Mulford Fred O Such Linda and Charles Page Jane and Carl Panattoni Pebble Beach Company Estate of Martin Platsko Shelley Post Nancy and George Records Records-Johnston Family Foundation Rosemary and John Rhodenbaugh Estate of Walter Riddle Marion Robotti Amy Roth, PhD, and Jack Van Valkenburgh Nancy Roth The Safeway Foundation Susan and Peter Salamon, MD Margaret and Stephen Schulte Marjorie Schulte Kathy and Bill Sharpe Shenandoah Foundation Elizabeth and Colin Short Estate of Tom Thornton Kelly and Wesley von Schack Annette and Patrick Welton, MD Welton Family Foundation Darnell M Whitt II Margi and Bill Wiest Carol and Phillip Wilhelm Estate of Ralph Workman Mona and Edward Zander Zander Family Foundation BENEFACTOR ($5,000 - $9,999) Susan and John Akers Esther Anderson Helen and David Atkins Estate of Vera Beck Arlene and Vance Coffman John Conklin Linda and Brian Cox Virginia Davis Charles de Guigné Nancy and William Doolittle Mary Kay and James Farley Mary Kay and James D. Farley Foundation Fran Friscia GE Foundation Myra and Andrew Goodman Terry Haber Ruth Hartmann Hayward Family Foundation Betty and Jim Kasson Edwina F. Bent and Gordon G. Kauhanen Allyson and Robert Kavner Lynn LaMar Phyllis and Herb Lister Nancy and John Love Mary and Richard McCormick Cynthia and James McGillen Sharon and Stanley Meresman Grace and Richard Merrill Sheila Michasiow Estate of Leslie and Roderick Mills Edwin E. and Ruby C. Morgan Foundation Bob Nelson Ann and Steven Packer, MD Nanci and William Perocchi Marian Poling Gunde and Ernest Posey Carol Randle Louise and David Reese David E. Reese Family Foundation Randal Schlemmer Barnet Segal Charitable Trust Ruth Stimpson United Way of Monterey County Jane and John Upp Jim Vorhes Julia Wilson 38 Pulse Magazine 2013

39 PATRON ($1,000 - $4,999) Mary Adams Sally and Albert J. Alvarez John Andrews Jr. Gloria and John Baldwin, MD Sigrid Banks Jane and Walter Barry Jr. Sheila and Hugh Barton Lowell Berry Foundation Judy and Harwood Beville Biotronik Marshall Bloom Geraldine and Steve Bloomer Jane and Richard Borchers Peggy and Jack Borsting, PhD Boulder Associates Estate of Georgia and Samuel Boyce Lisa Bradburn Helen Breck Incy and Peter Brooks Barbara and Randal Brown Burnham Foundation C.M. Capital Corporation Cheryl Carter Glen Charles Glen and Mary Ann Charles Family Foundation Coalition of Cancer Cooperative Groups Patricia and David Conklin Mary Kary and Gary Coughlan Sharon Damon Claire and John Davis Darlene DeLancey Donna and Kenneth Derr Martha and Stephen Dolley Lucille Eggerman Patricia and William Eggleston Janice and Richard Elster Neil Fearn Mark Feldberg Peter Felice James Field, MD Sara and Anthony Filly, MD Rosalind and Howard Fisher Jean and Cy Fitton Julia Foster and David Bates Joan Frisoli, MD, and Harry Cartland, PhD Frontier Science and Technology Research Foundation Heather and Robert Gardner, MD Candace and Vincent Gaudiani, MD Estate of Jack Godkin The Good Steward Charitable Fund of the Goldman Sachs Philanthropy Fund Tracy Gordon Kathryn and Harrison Gough Nancy and Richard Griffith Candace Haber Audrey and Ernst Hansch, MD Christian Hansen, MD Warwick Hayes Jr. Michael Haynes Haynes Charitable Foundation Susan and Bruce Herman Lori and Daniel Hightower, MD Nancy and James Hoak Ward and Mary Ingrim Fund of the Community Foundation for Monterey County Abigail and Albert Janko, MD Johnson and Johnson Services Christine and Craig Johnson Anna and Carlease Jones Diane and Hisashi Kajikuri, MD Marjorie and David Kanyer Tony Karachale Suzanne and Thomas Kehl, MD Carol and Chuck Keller Betty Kemp Raimie and George Kriste Sandra and Gary Laughlin Edith Leach Richard and Lynne Leahy Foundation Kristine Leatherberry, MD, and William Leatherberry Jutta and William Lewis, PhD Sheila and Joseph Mark Nanci Markey Wanda and Mariano Martinez Lois and Donald Mayol Patricia and William McAfee, MD Mary and Thomas McCary Thomas and Mary McCary Family Foundation Sue McCloud Sherrie and Tom McCullough Jane McCune Medtronic Susan and Eric Miller Cynthia and Forrest Miller Susan and David Milligan Mirimac Fund Lary and Anthony Muller Dorothea Mumford Donald Myers Julie and David Nee Nan and Foster Nelson Laura and Donald Newmark Joyce and John Nicholas Ruth Noble Arlene and John Nolan Tom P. Nunes Sr. Joan and Norman Ottley Shirley and Jerry Parker, MD Partners Healthcare Loretta and James Patterson Christina and Michael Paul-Coker Rita and Ken Petersen Mary Ann and Richard Pirotte, MD Susan Pius Carole and George Poole Jr. Ardis and Alton Post Lucille and William Reno Donald Riehl River House Books Cary and Kenneth Roberts Shirley and Lee Rosen Leslie Rosenfeld and Chuck Wash Susan Roux, MD Margaret and Alan Rushfeldt Annette and Tim Ryan Saint Jude Medical Nancy Sanders and Alan Perlmutter Barbara Santry Donald Scanlon, MD Gail and William Scearce Wendy and Andrew Schmidt, MD Victoria Sciacqua June and Robert Sheppard Diane and Gordon Simonds Elisabeth and George Skou Barbara and Ladd Smith David Spilker, MD Virginia Srsen Loretta and Jim Stephenson Dorothy Stitt Joanne and Dean Storkan Toshia and Clark Struve Eugenia Sweeney Pulse Magazine

40 Kelly and Brian Swette Hoak Foundation Ronald Thomas Rita Towles U-Systems Beatrice and Steven Undorte Judith and Dick Valliere Robin Venuti and Joseph Rock Marilyn and Kenneth Walker Roxanne and Carroll Wilde Lucille and George Wiley David Wilkinson Larry and Phyllis Wilkinson Foundation Rebecca and Dean Willard Alan Williams Dorothy and Gerald Williams Estate of Edith Williams Judy Williamson Williamson Family Foundation Linda Winchester Lynn and Cary Yeh, MD Rena and Murray Yeomans Yeomans Fund of the Community Foundation of Central Illinois Diane and John Young Pat Zanetta Laura Zehm and Paula Black SPONSOR ($100 - $999) Bush Abadir Dorothy Abeloe Akiat Abuaita and Farouk Youssef Leonila and Alberto Abulencia Patricia Addleman Michael Adekoje Deanna and Alden Adolph AG Services Catharine and Edward Ahmann Lise and Philip Aissen Sabah and Murtadha Al-Marashi, MD Foster Alexander Susan Alfaro Barbara Alhouse Barbara Allard Robert Allen American Cancer Society American Supply Company Kirstie Andersen Marianne Andersen Hazel Anderson Karlette and Carsbia Anderson Jr. Susan and Christopher Anderson Constance Andrew Ann Andros Gloria Anello Tanya Anistratenko Cass and Mike Antle Tonya and Rick Antle Jeanne and Pasquale Antonellis Doris Auerbach William Babaian, MD Alan Baer Kenneth Bailey Bonnie Baker Jean and Dale Baker Barbara Baldock and Phillip Butler Judy and Gary Bales Paola Ball The Bandits and Three Putters Men s Golfing Groups Lilia and Michael Barber Mary Barker Carol and Michael Barker Valerie Barnes, MD, and David Barnes Eileen and Jeffrey Barnum, MD Claire Barone Joanne and Robert Bartlett Gretchen Bartowick Eunice and Peter Bartowick Janet and Charles Bates, MD Yvonne Battaglia Therese Beauclair and Bruce Zanetta Barbara Beck Robin Beckman-Jones John Beesley Joanna and Roberts Behl Juliana Belen Carol and Glenn Bell, MD Jean Bell Margaret and Barney Belleci Joan Beller Buff and Bob Belter Joan and Jan Belza, MD Terry and Tom Bengard Tom Bengard Ranch Stella and James Bennett Susan Bennett Alice and John Bergin Sarah Berling Leon Bernstein George Berrettoni Dorothy and Grant Berry Mary Berry Laurie Best Jeanne and Robert Bettencourt Barbara and Matt Biewer Pat Bigbee Russell Bigelow Nikole Bingaman Constance Birmingham Stuart Bispo Jean and Robert Black, MD Darcy Blackburn and Beverly Leonard Annemarie Bleicker Hans Bleiker Pamela and Michael Bless Heather and Charles Bloxham Gertrude and Jerome Bohland Dianne Bohlman Patti and Mark Boitano Christina and John Borchers Judith and Richard Borda Maureen Bordan Jeannie and Dan Borden Nancy and John Bouldry Rosa and Edward Boutonnet Boutonnet Farms Janet Boyd Sara and Casey Boyns Ronna Bradley Myrna and William Brandwein Mary and Ronald Branson, MD Louise Bratton Debbie and Thomas Bremser Ibby Brennan Jean and Richard Brennan Teri Breschini Pamela Breslin and Michael Smith, MD Demi and Richard Briscoe Herb Briscoe Paul Brocchini Mariana and Douglas Brook Marilyn Brookman Leonard Broughton Sarah and Bill Brown Jerri Brown 40 Pulse Magazine 2013

41 Judith Derrick When Judith Derrick and her husband, Ken, did their estate planning 20 years ago, he made provisions to give to Duke University and suggested she find her own cause. The school where Derrick had become a registered nurse was defunct, but she still wanted to support her field. Ten years into her nursing career in the Family Birth Center at Community Hospital, she decided to work with the hospital to establish a scholarship fund on behalf of future generations of nurses, through the Maurine Church Coburn School of Nursing at Monterey Peninsula College (MPC). Derrick came to Carmel from Cambridge, Massachusetts, where she loved her work as an emergency department nurse. When Community Hospital offered her a position in the Family Birth Center, she couldn t imagine it. Yet once on the job, she considered it a godsend. I don t have children, so I love being with mothers and babies, Derrick says. I want to give back so other people can experience what I have. I can t think of a better way to contribute to CHOMP and our community than to support the education, experience, and growth of the future nurses of our impressive organization. Some of the best nurses I have ever worked with graduated from MPC s program. I am currently orienting a new graduate to mother-baby care. It has been a labor of love and a mutually rewarding experience. My life has been good to me, and much of it has been through my 30- year career at CHOMP and the work I do at the Family Birth Center. Pulse Magazine

42 Jerry Brown Marilyn Brown Mary and Mikel Brown Valarie Brown Kazuko Bruner Virginia Brutschy Katherine Bucquet Janet Buechner Kenneth Bullock Kathleen Burke Madelyn Burke JoAnn and Frank Burns Marion Burry Gail and Robert Buschini Christine Bush Janet Butler Merry and Richard Buvia Dorothy and Robert Byers Valerie Cabaniss CALAMCO Loretta Callahan Georgene Calloni Calpelra Camaldolese Hermits of America Joanna and Douglas Campbell Betty and Frank Campos Pat and Jim Caraccioli Sharen Carey and Hal Latta Alice and John Carley Carmel Properties Company Carmel Valley Manor Residents Council Julia Carpenter and Greta Marlatt Sun Carter Kevin Cartwright and Steve Eimer Zola Carver Christine Casanave Carolyn and Daniel Casas Maggie Case Hatsui and Baceleo Castellano James Castle Jr. Jeanne and Edward Cavallini Sarah and Giuseppe Cecconi Rocio Ceja Maria and Alejandro Centurion, MD Winifred Chandler Paul Chang Sang and Young Chang Bonnie Chapman Connie Chavoya Sharon and James Chibidakis Sandra Choi Linda and Craig Christensen, MD Shontelle Chubbs Mary Clapper Gloria Clinton Hubert Cnudde Rafaela Coakley Angela and Paul Coatu Chiyo and James Cochran Pat Codiroli Laura and Terrence Coen Laura Cohen and John Siletto Thelma Colberg Angie Colletto-Merrill Nicole and Robert Collins, MD Kathy Conlin Anastacia Consiglio Linda and Ron Cosmero Brian Coughlan Jan and Stephen Covell Wanda Covello Dorothy Cox Shirley Coyne Pamela Craig, MD, and John Craig Susan and Robert Creveling Dorothy Crosby Vanessa and John Cuda Bonnie Culp Jahn and Judge William Curtis Karen and Richard Curtis Edna and Robert D Ambrosio Gloria and Umberto D Ambrosio Phyllis Dake Betty and Richard Dalsemer Barbara and Gary Dangerfield Tonya Daniel Daniels-Houlton Family Foundation Anthony Dann Dolores Dannemiller Chong Dardy Gordon Davies Alta Davis Art Davis Mark Davis M.B. Davis Consulting Patricia and Mitchell Davis Yuriko Davis Michele and Keith Day Nirmala Dayalan Billy DeBerry Mary De Font Virginia Deihle David De La Vergne Pierre Delfausse Helen and William DeMartini Gregory Densen Elizabeth and Lawrence Devan Lynn Diebold Marie Diez-Quinton Josephine Di Giorgio Patricia Deborah di Grazia Elizabeth and Jack DiRubio Adrianna and Henk Disseldorp Anne Dittmer Susan Ditzler Muriel Dobry Dorothy Dodge Marsha and Sam Dodson Richard Dolata Lowell Dollander and Family Constantino Dolor Josephine and Frank Donangelo Aileen Doolittle Muriel and Kenneth Dorking Carter Doupnik Mary and Richard Dowd Driscoll s Michael Duarte Anthony Duffel Vicky and David Duke Ritchie Dunn Virginia and Richard Dunn Jane Dwyer Marie and Francis Dykeman George East Gigi and Sam Eastman Judy and Jay Edmonds Jr., MD James Edwards Silvia and Paul Edwards Karen Egan Lynn and John Ekelund Melissa and Charles Eldredge Barbara and Richard Ely Tanya Emerson Miyoko Enokida Bee Epstein-Shepherd May Esquerra and Dave Gomez 42 Pulse Magazine 2013

43 Sofia Estrella Thomas Ethington and Robert Garland Kayo Eubanks Donna Falknor Suzanne and Richard Farman Kathleen and James Farrell Victoria Fash Elisabeth Felix Andrea Fernandez Berta Fernandez Jean-Marie and Bernard Ferrara Marita and Cesar Ferrer Fidelity National Title Company Lowel Figen Janice and Lawrence Finch Marjorie Fisher Barrie Fiske Susan and Dan Fitch Anne Fitzpatrick Betty Flause Polly Fleming Rene and Dean Flippo George Flores Anne Flynn Debra Ford Diana Forte Emily and Dean Forzani Joyce and Michael Foster Diane Fourchy Mary-Jo Franco Margaret Frank Louise Fredrickson Martin Freedman Susan Freeland and Kenneth Schley Vera Freitas Eleanor Fremgen Mary Fry Brigitte and Ronald Fuerstner, MD Robert Fujii Renee and Jim Fuqua Mary and Robert Furney Marilyn and Donald Gamble Eleanor and Benjamin Garcia Monica Jain and Remy Garderet Allen Gardner Kenneth Gardner Mary Anne Garner Mary Garren, MD, and Lloyd Garren, MD Patricia Garrett Maria and Jerry Gass Trish Davis Gaston Helen Gehringer Vicki Gilfix Andrew Gilhooley Leo Gillespie Franklin Gin Diana and Walt Glover Gold Coast Rods Leslie and Mike Golden Carol and John Goldman Mary Gomez Mary Gomon Mary and Dale Huss Mary Goodby Doris and Myron Goodwin Winifred and Lester Gorn Sueko and Takio Goshi Marian and William Gould Michael Gray and Matthew Simis Carolyn and Richard Gray, MD Nancy Graydon Marilyn and Joseph Green The Greenside Foundation Scott Gregory Sharon Griffin Raymond Groo Jacqueline Grubelnik Cynthia and Stan Gum Valerie and Brian Guthrie Donna Gutierrez Dolores Hagey Josephine and John Haidich Ellen Haley Janet and Clyde Hall Mary and George Haltiner Linda and Charles Ham Jr. Bernice and James Hamana Armetta and Ollie Hamilton Ruth Hammarberg Barbara and Richard Hammond James Hanlon Maggie Hardy Jeannie Harner Loren Harper Janice and Glenn Harrell William Harrigan Lori and John Harrington Thomas Harris Barbara and Richard Harrison Noreen and Herman Harrow Doris and Tom Hart Marty and Ted Hartman Mary and Humphrey Hartmankok David Hatton, DDS Virginia Hayes Hays CME Church Katarina and Klaus Hedbabny Mark Heidorn Hilary and Adam Heieck Grete and Otto Heinz Richard Hell, MD Rena Henderson Jacqueline Henning Chester Herbst Caroline and Ernesto Heres Evelyn and Delbert Herschbach Constance and Kenneth Hess Janie and David Heuck Evelyn Hewson Delores Heyl Kathleen and Kenneth Hicks Donald High Carol and Don Hilburn Bill and Danielle Hill Dorothy Hill Sueanne Hillard Jill Himonas Harvey Hinman Alice and Michael Hitchcock Tanya Ho Mitchell Hoadley Laura and James Hodge Katherine Hogan Astrid Holberg, MD, and David Awerbuck, MD Carol Lee Holland Deane Hollenbach Jacqueline Holmes Rachel and Walter Holz, MD Erin Hooks Jim and Lois Hopkins Stephanie Horoszko Phillip Horsley Hospice Education Institute Janet Hothow Virginia Hough Jay House Jean and John Howe Pulse Magazine

44 Edward Howes Jr., MD Nann and George Howling Ann and Russell Hoxie, MD Kip and Jay Hudson Paula Hughes Carole and Andrew Hunter III Ruth and George Huston Bob and Mary Ellen Hutchison Nancy Hutchinson IBM Matching Gifts Program Incotec Momoyo and John Ishizuka Debbie Izquierdo Claire and Charles Jacobson Elizabeth Jamieson Thomas Jamison Anita Angel January Arthur Jaseau Teri and Robert Jay Jennifer Jean-Pierre Nancy Jenkins Carolyn and Robert Jenkins Nancy John Margaret and Rolf Johnsen, MD Bob Johnson Cynthia Johnson Deborah Johnson Lillian and Robert Johnson Mary Johnson Aliceon Jones Kimberly Jones Michelle Jones Dorothy Jordan Julie Juhl Kiyoko Kadani Marsha and Brian Kelly Yoe Kageyama Josephine Kale Mitsuko and Roy Kamimori Jean Kane Susan and Tom Kann Anita and Bill Kaplan Lee Ensminger Kaplan Cynthia Karakas Eiko Karpowsky Patricia Kaulukukui Miriam and Neil Keefer Phyllis Kegley Dasha and Daniel Keig Helen and Ralph Keill, MD Barbara and Frank Keith Roxana and William Keland Martha and Rick Kennifer Angie and Robert Kent Dana Kent, MD, and William Monning Madeleine and Joseph Kepp Lois Kettel Catherine Kibbe Kay and James Kingsley Kelly Kirby Judith and Donald Kirk Susan Kirsch Junki Kitahara Maxine and Henry Klaput Laurie Kleinman, MD, and Richard Gerber, MD Lynn Knoop Edward Kocher Carol Kolb and Bruce Dunlap Dorothy Konrad Lynn Kraft Jennifer and Brendan Connolly Laurel and James Krzeminski Susan Kubica, MD Charlene and Ralph Kuchler Sally and Gary Kuhn Theona and Armand Labbe Amy Laboda Nenita and Reynaldo Lacar Erling Lagerholm Beverly and Al LaGrange Lynn LaMar Associates Mary Ann and Geoff Lamb Leslie and David Lamm Eileen and Pierre La Mothe, MD Barbara and Warren Landon Laura Lane-Williams and Peter Williams Barbara and Michael Lang Libby and Lovell Langstroth John Lanigan Robert Lanigan Eileen and Jeffrey Lapota Carol Lark, PhD Lisa and Briggs Latham Joy Law Lillie and James Lawrence Nicholas Lawrence Mary Lawry and Alan Sym Alvin Lease Laela and Zad Leavy Tracey Ledda Barbara Lee Anna and Charles Lee Sylvia Lee Unsil Lee Roberta Legg Suzanne and Gerard Lehrer, MD Patricia Lehrke Marian Leidig Helga and Henry Leighton Nancy and William Lewis Rita Lewis Gerhard Liesche David Ligare and Gary Smith Martisa Light Christine and Daniel Limesand Margaret and Gilbert Linderman Rosa Lindsey Kateri and Philip Livingston Myrna and Don Locke Judy and Gary Logan Marta and Eric LoMonaco Moursha Long Elaine Lopes Margarito Lopez Jr. Martha Lopez Marjory Lord Roy Lorenz Thomas Lowary Terril and Fred Lowe Marsha Lubow Donald Luce Jean Ludemann Diane Lunsford Amron Lykins Judy and Graeme Mackenzie Edward MacMahon Roger Magyar Kevin Mahoney Katalin and Joseph Mako Marilyn and James Maldi Corinne and Terrell Maloch Susan Manchester and David Smith Jill and Mark Mancina Ann and Jerome Manes Shirley Mao Winifred and Joseph Marasco Jennifer Marciano 44 Pulse Magazine 2013

45 Tobi Marcus Katherine and Thomas Maris Patricia and Roger Marks Gerda Marotta Marotta Land Company Gael and Daniel Marrah Elizabeth and John Marsh Anna Marshall Arlene and Harold Martin Quita Martin Jennifer Martinez Don Mathews Sarah Matterson Marilyn and Lawrence Matteson Mitchell Matthews Linda and Steven Mauck Yolanda and Harry Mauras Peggy and Henry Mauz Norma McAravy Pamela McCallon Hazel McClelland Lindsay and Geordie McClelland Michal Mcclure Andrew McCombs Pearl and Victor McCullough Judy McCurdy Dorothy McDermott Deborah and Hugh McDevitt Karen McDonald Helen and Robert McFarland Harlan McGinnis Daisy McGregor Lisa McGuire Sara and Robert McIntyre Jack Mc Kay III Diane McKean Patricia McKean Noel McKernan Margaret and Jack McKinney McKinsey and Company Carolyn and Kenneth McMillen Roy McMullan Carlotta and William Mellon Jr. Judith and Philip Melrose Lynn Menashian Jean Menke Noel and Frank Messenger Patricia Mettler Norma and Herbert Meyer Bruce Meyer, MD Timothy Meyers Ralph Micheletti Gloria Mikuls Amy and Mark Milani Barbara and James Miller Myrtle Miller Claire and Richard Miller Kenneth Millhiser Lynne and Jeff Millington David Misisco Anne Mitchell Juli Mitchell Alicia Molina Bonnie and John Molinari Carol and Peter Mollman Helen and Edward Monteith Monterey Integrated Sports and Pain Associates Monterey Union High School Class of Janet Mooers Linda Moorman Kathleen Morell Martin Morey Maria and Philip Morgan Joan and Richard Morgantini Adrian and Michael Morris Lynn and Sidney Morris Penny Morris Janet Morse Else Morton David Morwood, MD Debbie Murdoch Clare Murphy Drew Murphy Linda and Richard Murtland, MD Evelyn and Sadri Musavi Martha Myszak Roene and Michel Nasr Sheryl and Randy Naylor Jane Nelsen Judith and Thomas Nemes Harriet and Bruce Newell Betty and Benjamin Newman New York Life Insurance Company Sintao and Lit Ng Im Niles Daisy Noguera Joseph Nordmann Mariann Novarina Bob Nunes David Nunes Margot and Tom Nunes Jr. Nunes Company Tim Nylen Dorothy O Connor Donna O Connor-Quigley Patricia O Keefe Suzanne O Keefe Ann and Jim O Neill Amber O Rear Anne and Larry Oda Joyce and William Odom, MD Wendy and Cliff Ograin Mark Okumura Judith Olson Brigitte and Paul Olson Olympia Properties Michael Oram Flora Orlebeck Maret Orliss Frank Ornelas Jason Ornelas Edward Oronos Christine Oster Hilda Owen Sharon Paddock Julianne and Craig Painter Beverly and Gary Palma, DDS Leona Palmer Tribhovandas Panchal Jo and Bill Parker Audrey Parry Mary and Bill Payne Doris Pearson Bernadette and Denis Peavey Cynthia and Ron Peck Pediatric Group of Monterey Lanette and James Penna, DDS Liselotte and Eliezer Perez-Vergara Shellee Perkins Marjorie Perrine Teresa and Bruce Petersen Hanna and Darrell Petersen Lorette Petersen Ilse Peterson Sharon and Charles Petitt Debbie Petty Pulse Magazine

46 Gregory Pickert Marci and Edward Pieratt Betty and James Pine Kathy and Frank Pinney Elizabeth and James Pittman Barbara and Rockney Pletcher Becky and Cody Plott James Poland Ingrid and Alf Popp Stephanie Potter Ann Power, PhD Catherine and Daniel Powers John Powers Sylvia Prado Ann Prego and Andy Gonzalez Brooke Prock Clarice Pruitt Rita and Tony Pruthi, MD Beverly Pugh Anna and Moe Purcell Brad Quade and Family Bruce Quade and Family Jon Quade and Family David Rabe Andrew Radcliffe Ethyl and Richard Radowicz Tamie Ramey Rosemarie Rausch and Family Susan and Tom Redfern Tom Redfern and Associates Realtors Redox Chemicals Gloria Reed Lisaliana and Sean Reeves Rita and Herbert Reiman Linda and Roger Rhoads Maureen and Benjamin Richards, MD Anne and Robert Richerts John Richter Jeffrey Riehl Clare Riggs Leonard Riggs Jr., MD Donald Ritter Audrey Rivera Nancy and George Roach Dorothy and Clyde Roberson Anne and Gordon Robertson Shannon and Jim Robinette Bruce Robison, PhD Gloria and James Rodda, MD Maria Rodrigues Sharon and Wayne Rodrigues Elissa and Tom Rogers Roney-Fitzpatrick Foundation Joan Rosati Kim Rose Anneli and Alan Rosenthal Gary Roser Phyllis and Bruce Rosnes Jennifer and Wayne Ross Lorraine Roth Martha Rothrock Cynthia Rowe Helena and Robert Rowse Suellen and Jerome Rubin, MD Joann Rubinstein Deborah and Frank Rugani Christine Russell Jill and Richard Russo Patricia Rutowski Remy Ryan Corinne and Glen Ryland Wendie and Stephen Ryter Tawfik Sabet Akhtar and Mehdi Sabety Maria and Tony Salameh Edmond Salanoa Jack Salo Yesenia Salvatierra Sunil Sanghvi Lindsey Sanguinetti Nancy Sartor and Mary Thompson Edwin Sasaki Carol and Robert Sasso Mary and Peter Savale Theresa and Hugo Scattini Jodi and John Schaffer Dana Scheer Alfred Schell Otto Schiff Conan Schleicher Katharine Schoellerman Gail Scholl Deirdre and George Schroeder Marilyn and Bill Schulte Charlene and Matthew Schuss Susan Schwartz Sea Life Supply Richard Searle Jay Sekelsky Michael Sermersheim Peter Sewald Jane Shedlin Mimie Shin Carlene Short Christine Short Veronica and Pete Silacci Rose Silva Cherryl and Michael Silveria Marvin Silverman Matthew Simis and Michael Gray Fund of the Schwab Charitable Fund Lourdes Sinclair Dorothy and Ernest Singleton Pat and Richard Sippel Mary and Ross Slater Jill and Jim Sleeper Mary Jane Sligar Kathryn Sliter Carolyn and Stacy Smith Dixie Smith Malcolm Smith Margaret and Paul Smith Philomene and Henry Smith Ramona and Gordon Smith Todd Smith Leslie and Charles Snorf, MD Deborah Sober Angela and Andrew Soh Justina Soliven Karen Sonnergren Shirley Soper Francisca Julia Sousa Dorothy Souza Freida and Bobby Sparks Harold Spencer Marilyn Sperle Caryll M. and Norman F. Sprague Jr. Foundation Margy and Tom Staley Jean Stallings Stanford University Risk Management Department staff Laurie Stanley Rita and Shelby Steele Jean Stemmons Hilda Stengard Ruth and Robert Stephan Esther and Herbert Stern 46 Pulse Magazine 2013

47 Julius Steuckert Jeanne Stevens Virginia and William Stevens Joan and Raymond Stevenson Fredrick Stewart Hunter Stewart Jane Stile Susan and Mark Stilwell Jared Stiver Barbara and Paul Stivers Jean and David Stivers Katy Stock Mary Stocker and William Camille Alice Stoessel Barbara Stokely and Martin Sternstein, MD Anne and David Straface, MD James Strait, MD Rosalind Stubenberg Sue s of Carmel Valley Carol and James Sullivan Jane and Thomas Sullivan Sueko Sumida Constance and Kenneth Summers Linda and Douglas Sunde, MD Mary and Jon Sutherland Gary Sutter and Family Martha Suzuki Anna Swartley and David Sabih Vivian Sweeney Carol Sweet Kathleen and Barry Swift Alison Taylor Franc and Harris Taylor Josephine Taylor Phyllis Taylor Ted J. Balestreri Enterprises Carol and John Tegtmeier Daniel Tellep Susan Thamer Niki Thompson Sharon Thompson Wendy Thompson Jim Thomson Stephen Thornborrow Thornborrow Family Fund of the Jewish Community Endowment Fund Sherri Thornton Ida and Douglas Tilly Paula and George Tipton Rita and Joseph Titus Carol Todd Tommy and Marilou Tomblin Sally Tomlinson Lisa Torculas Nancy and Breck Tostevin Tostevin Accountancy Corporation Leslie Trapin Debbie and Dave Travaille Andrew Tronick Lane Trotter Dolores Trovato Joan and Sam Trust Mr. and Mrs. David Tubman Claudia Tucker Marion Tucker Faanati Tui-Havea Linda and Jim Tunney Jean and Michael Turnan Jocelyn and Robert Tuscany Susanne and William Tyler James Tyler Jr. Debra Upham Namiko Uyeda Elaine and Richard Valentine Barbara and Gary Vandeweghe Herman Van Gansen Madeline and John Van Zander Linda Vaughan Richard Vaughan Sandra and Richard Verbanec Judy and Lane Verlenden Nancy and Joseph Verska Stephanie Vierra Elsa Vineberg Selma and Ronald Vining Beverly Von Bima Hildegard von Dehn Christine Von Hurfurth Carol Vout Debra and Bob Wacker Karl Wagner Paulette and Dave Walker Alice and Fredrick Walker Anne and Tim Walsh Leta Walter Waltkoch Marylou and Gary Wangberg Jean Warriner Russell Watkins Sadie Watkins Elizabeth Watson Sharon and Samuel Wayne, MD Fay Webb Jonnie Webb Joanne and Lowell Webster Elaine and Stephen Weeks Lois Weeth Ruth Weimer Bonni and Joel Weinstein Joyce and Richard Weismann Stanley and Celia Weiss Joan and Robert Wellington Jessie and James West Matthew Weston-Dawkes Patricia Wetmore Rose Wheelus Charles Whisler, MD Kaarin and Timothy Whitcomb Janet White Jo and George White Suzanne White Joan Widmann Ann Wieser Kelly and Jay Wilkerson Brooksley Williams Alison and Phillip Williams III Carole Williams Chris Williams Hope Williams Barbara Wilson Nancy Winters Susan and David Wirshup Jennifer Wood Suzanne and Robert Wood Deanna Woodhour Maury Wortham Mary and Donald Wurtz Velda and Myron Wyckoff Betty and Alfred Yager Irene and Terry Yamamoto Sayoko Yokogawa Margaret Young Michele Melicia Young and Donald Young Sharyn and William Young Patricia Yurus Leigh Zacarias Judi and David Zaches Pulse Magazine

48 Dave and Judi Zaches Foundation Dorothy Zeder Donald Zeek Rebecca Zeller Marsha Zelus Marie Zenorini Constance and William Ziegenbein, DDS Cynthia Zoller Gail and Richard Zug, MD MEMBER ($1-$99) Carole and Jerry Abbanat Dorothy and Robert Abbott Rose and Joseph Acquaviva Carol Adams Carmen Affonso Jean and James Agan Gus Aiello Joanne and Dan Albert Dee Alcott-Rodriguez Alice and Elsworth Alderin Laurie Alderman Robert Alexander, MD Sheila and David Allaire Shirley and William Allen Leona and Manuel Alonso Alsco-Geyer Irrigation Rita Alves Mary and Jose Amaral Beverley Ambort Chareonsri Ampolsuk Karen and Bob Andrew Michael Androsko Joan Hately Anthony Karen Antle Celia Arnett Jack Arnold Kay Arrillaga Robin Arriola Majorie and James Art Mary and Bill Askew Jr. Virginia and Robert Auger Patricia Auyong Miguel Avalos Henry Avelino Lynda and Bill Avey Barbara Avila Betty Aynaga Russell Baggot Lynne and Michael Bailey Rana and Robert Ball Charles Bancroft Edwin Baptista Enos Barera Margaret Barnes Marion Baroni Hubert Bartron Rita and Marvin Beguhl Norma and Ted Bell Rachel and Elton Bell Providence and Vincent Belleci Dianne Belli Paola Belli and Mitsou Hirosaki Joanne and Dale Bender Mary Benech Harvey Bennett Denise Benoit Marianne and Frederick Bensch Betty Bergerac Julie and Silvio Bernardi Claire and Ronald Berry Linda and Robert Bethel Sheila and Ron Bettencourt Joanne Bevilacqua Judy Bianchi Josephine Bienek Linda and Joseph Bileci Jr. Kiki Bill Margaret Birmingham Cynthia and Rick Bitter Jane Blanton Carol and Bobby Blaushild Leticia Blodget Carol and Jack Bloomfield Anne and Bruce Bloxom Ia Boelter Carlyn and Bradford Boggan Roger Bolgard Lynn Bomberger George Bonacich Josephine and Frank Borelli Jr. Patricia Borello Borgman Family Foundation Celeste Borosky Sarah and Robert Bouchier Julia Bowhay Mary Boyken Lindsey Brandon Hazel Brauer Jeanne Bravos Mary and Jim Bravos Terri and John Brazinsky, MD Jeanne and George Brehmer Marjorie Brett Kathy and John Briley Mary and Andrew Brodehl Gloria Brooks Lynn and Robert Brooks Joan Brophy Elizabeth and Harmon Brown Rose Brown Sandra and Mitchell Brown Laurel Brunmeier Sally Bruno Peyton Bryan Bobbie Buckley Barbara Bucquet Bergetta and John Bunce Nathalie Bunn Barbara Burdick Diana Burke Gretchen Burke Cara and Peter Butler Cecily and Donald Butts Butts Motors Dan and Maxine Callinan Norma and Dick Camp Avril Campbell Debbie and John Campbell Arlene Capiaux Maria Cardenas and Juan Sanchez Angie and Salvatore Cardinale Tillie and Ray Cardinale Robert Carlson Shirley Carlson Carmel Chamber of Commerce Geraldine and Gerald Carnazzo, MD Carmela and John Carr Jytte and Leonard Carter Ruth Carter and Rick Manning Liv and John Carver Mary and John Castagna Carmela Castorina Linda and John Castro Central Coast Senior Services Charlotte Centrella 48 Pulse Magazine 2013

49 Mary and Michael Chandler Serina Chang Sherry Chapman and John Goral Roberta Chappell Bridget and Bill Chase Linda Chetlin Helen Childrey Momi and Gaynor Chinn Maureen Chodosh Maude Choy Gayle and Walter Christiansen Mary Christin Alan Church Harriet Claessen Allan Clark Jean Clark Paula Clark Stanley Clark Demetria Clavel Sharon Cleary Eileen Clevenger James Clinton Enid Cocker Claire Coffin Fred Cohn Rose and Ewell Cole Robin Conlow Mary Anne and Thomas Conmy Soonja Cook Gary Cooke Gail and Alfred Cooper Katherine Coopman and Joyce Blevins Maria and Michael Corn Johanna and Hanibal Cornelissen Marian and Daniel Corrigan Merryll Cottrell Marilyn and Lee Cox Rebecca and Charles Craft Ruth Craig DeAnna and Robert Crannell Carmelita and Michael Croft Jerian and Alexander Crosby Diana Cryan Lawrence Cuellar Sr. Mary Jane Culver Catherine and John Curran Coralie Cushman Bella and Bert Cutino Hope Cutino Robert Dahlhauser Mary Dainton Mildred and William Daniel Mary DaSilva Kanta and Ram Datt Glenna Datta Estate of Marcia Gluck Davenport Anna Davi Andrew Davidson Landau Davidson Doris Davis Mary Ann Davis Richard Davis Elaine Dawson Jane and Donald Day Kathleen Dearing Paulette Deaton Raymond Decker Linda and Michael Delehunt Mary Delfino Nancy Deliantoni May DeLuna-Schneider Richard Deming Tootie Denahy Benita Diaz-Velazco Betty Dickinson Adrienne and Angelo DiGirolamo Judith Dillwith Dixie Dixon Carol and Daniel Dobberpuhl Douglas Dodge Catherine Doherty Kristie and Keith Donavan Virginia Donohugh Willis Dooling Michael Doran Jr. Beverly Doud Gloria and Jim Dougherty Hallie and William Dow Madeleine Dowdakin Thurman Downum George Dreibelbies Eiko Dunn Alison and Jason Dunton Dunton Consulting Nancy and John Durein Doris Durr Joycelyn and Michael Eandi, MD James Egbert Natasha Eisman Abbie Eldredge Kristine and John Ellison, MD Cornelia and James Emery Kathleen and Stephen Engelhardt Eric Engelmann Robert England Jr. Galina Epstein Laddie Erbele Ellen Erickson Howard Esaki Joyce and Kenneth Esaki Norma Esselstyn Eleanor and Windom Estes Leonora Esteybar Susanne and Thomas Evans Leah Evans-Haag Elisabeth Fagan Khana and Lev Faybyshev Ellin Firth Janice Fitzhugh and Nolan Ferreira Elizabeth and Frank Flores Narda and William Foletta Barbara Foose Kae and James Forkner Nancy and James Foster Muriel Foster Gerda Foxworth Alexandria Francis E.T. Fredericksen Monica Freeder Marjorie Frick Gloria and Tony Gambale Norma and Ralph Games John Gannon Jr. Jan Gardner Paulette and Steve Gardner Richard Garrod Jayne Gasperson Edgar Gaudoin Kathleen Gesell Archie Gibson Theodore Gill Kathleen Glitz Ana Gomez de Bermudez Carol Gonser Anne Goode Lewis Goodkin Smillka Goynich Pulse Magazine

50 Suzann Graf Vera Graf-Krischke Candace and James Grant, MD Elaine and Ken Green Deborah and Jeffery Greenberg Marvel Gregerson Charlotte and Frank Gregory Elmo Griffith Marie Grindstaff Betty Grothe Elizabeth Groves Meg Grundy Sherry and James Gruwell Joyce and Frank Guerra Betty Gularte Doris and Wayne Gularte Gundersen Family George, Peter, and Valerie Mary Gutches Janet Guzik Russ and Monty Haisley Cheryl and Donald Hall Patricia Hallin Anne-Marie Halloran Mary Jane and Jack Hammerland Patricia and Harry Handler Olivera and Robert Haney Sally Hanley Margaret Hansen Glenys Hardie Judith Harkness Jean Harnish Lee Ann and John Harris Patricia Harrod Carol Hart George Harter Esther Haskins Jeanette and John Hastings Ellie and Rick Hattori Hattori Vision Optometry John Hau Sharon and Jim Hawkins Henry Hayashida Pat and Bill Haynes Janet and David Hayslett Esther Headley Betty Heaviside Yolanda Heim Robert Heinbockel and Charles Jarvis Minerva Hernandez Joan Heyler Linda and Clair Hicks DiAnna Higgins Barbara Hill Elizabeth Hilleary Cheri Hitchcock Gerry and Thomas Hitchcock Joan Hitchcock Elizabeth Ho Maxine Hoag Elizabeth Hogg Joe Hognander Barbara Holland and Bruce Rauch Patricia and James Hommes Haruko Honda Anne Honeycutt Claire and Denis Horn Edith Hoskins Kevin Houlihan Christie and Thomas House Millie and Robert House J.B. Howard J.B. Howard Investments Elizabeth and Kenneth Howard Kathleen Howe Geraldine and Anton Hrepich Kay and Bob Huettmann John Huffington Irene Hufford Jean Hull Barbara and Bob Humel Lee Hurst Carmen and Steven Hutt Dolores Igaz Josephine Ihnot Roberta and Robert Infelise Darlene Ingels Penelope Ishida Patricia Ishizuka Nicholas Itsines Della Jack Dan and Cindi Jackson June Jaffee Stella Jagich Ellen and Paul James, MD Patricia Jameson Barbara and John Jamison Bobbie and Tom Jensen Carol and Allan Jensen Corrine and Stanley Joe Amalie Johnson Joan and Chuck Johnson Lawrence Johnson Mary Johnson-Derr Donna and Robert Johnston Roderick Jone Cheryl and Buzz Joseph Pauline Jud Marieluise Kailing Sadayo Kanaya, MD Ned Kashfi Okusitino Kautai Takane Kawata Constance and Michael Kean Mary and James Keesling Maggie and Tom Kennedy Geraldine and Darryl Kenyon Rosalind Kephart Shirley and Thomas Kiatta Pauline and Marlyn Kienbaum Christine and Kenneth King, DDS Lillian and Warren King Mary and Charles King Mary Kay King Mark Kingsley Inez Kirkman Thomas Kirsch Diane and Lionel Kirton Rita Klee Eileen and Paul Klein Vera and Gary Klug Margaret Knacke David Knight Jean Bussy Knofler Louise and Michael Kovarik Sharon and Donald Krams Bette and George Kraul Jo Dee and William Krebs Mary Krecki Carrie Kreppel Claire and Roman Kristl Carol Krueger Carole and Tom LaBossiere Pat and Jim Lafferty Mary Laffin Renee LaFrance Elinor Laiolo Carolyn Lake 50 Pulse Magazine 2013

51 Safeway Nearly 100 women in Monterey County have received advanced breast cancer screenings at Community Hospital s Carol Hatton Breast Care Center, thanks in part to the generosity of the Safeway Foundation. Since 2009, the foundation has contributed $80,000 to the Carol Hatton Fund for Women in Need, which provides access to the latest in breast cancer detection for women who otherwise could not afford it. Many of these women would not receive needed services without this assistance, says Jan Dunn, coordinator of the breast care center. Alleviating financial concerns helps them focus on potential health concerns. Community Hospital is one of more than 100 organizations funded by Safeway to further local research, treatment, and access to preventive services in the neighborhoods where its customers and employees live. Safeway is proud to support worthy institutions like Community Hospital, says Keith Turner, director of public and government affairs for Safeway s Northern California Division. Employees donate more than 1 million hours of volunteer time annually, and the Safeway Foundation backs up those efforts with monetary support. The Safeway Foundation has donated more than $100 million for detection and treatment of breast cancer nationally since Each October, during Breast Cancer Awareness Month, a fundraising and awareness campaign is held at its more than 1,600 stores in the United States and Canada. Customers can participate by donating at checkstands, purchasing reusable pink shopping bags, or buying products whose suppliers donate a portion of proceeds to the effort. It s wonderful that Safeway keeps contributions in the community where they are donated, helping local women, Dunn says. I believe it encourages people to donate because they know that they, their family, friends, or neighbors may need help. Pulse Magazine

52 Jane and Spud Lambing Christine Lamut Kevin Landon, DDS David Lane Edward Lane Ellie and Jim Lange Rae and James Lanning Sharon Larson Shirley and Sam Lavorato Sr. Barbara Lawson Sherrie and Ken Lazzerini Dieu Le Connie LeBlanc Lois and Charles LeBlanc Alma and Robert Lee Joanne Lee Virginia Leen Zelda LeFrak Michael Leigh Elizabeth Leitzinger Elizabeth Lemaire Leah Leppert Betty Lewis Harry Lewis Joanne Lewis Stuart Li Barbara Lipman Adele Lloyd Mary and Francis Lloyd Peggy Lloyd Luis and Charles Loch Pamela Loewen Janet and Sam Lomanto Nora London Rita Lonero Betty and Bennett Long Melvin Loop Cynthia Lopez-Frincke Skip and Liz Lord Trisha Lord Lois Louvau Joseph Lowe Jr. Frances Lozano Barbara and Joe Lucido Sal Lucido Charlotte Ludwig Marilyn Ludwig Candace Lynde Marilyn Mabaet Linda Macartney Kathleen MacKillop Josephine and Domingo Mafnas Mary Magee Nydia and Rafael Maldonado Sharon and Frank Malvoso Dyan Mart Carol and Rocci Martignoni Elizabeth Martin Esta Martin Marlene Martin Rita and Robert Martin Carmelita and Carlos Masangkay James Mason Jean and Donald Matle Eva and Roy Matsuyama Mary Ann Matthews Julie and Dean Maxinoski Anne Mayer Margaret and Richard Mayer Barbara McCardle Marye McCarthy Anne McCauley Marcia McCleary Joanne McCluskey Julie McCollum Jerry McCormick Cynthia McCoy and Brian Mccoy Marie McCrary Mitzi McCullough Patricia and Richard McDermott Blaine McDonough Ellen McEwen, MD Gertrude McEwen Joanne McFann McGraw-Hill Companies Jan McGuire Sheila McGuire Nicki and Michael McMahan Jacqueline and Daniel McNamara Susan and Terry McNelley Diane Cory McNiel Shirley Meneice Rosine Mercurio Susan Merrill Teresa Merry Natividad Mesina Datha and Donald Messick Libby Messinger Hannelore Meyer Theresa and Robert Michaels Ethel Milburn Nell Milich Joan Miller and Evan Vineberg Cynthia and Dennis Milliorn Paule Missud and Peggy Purchase Susie and John Mitchell Jr. Lisa and John Hollo Alice Moe Ethel Molini Josephine and Ralph Moller Renee Monrad Monterey Sportfishing Judy Moody Brenda Moore Mary Moore Nadia and Matt Morgan Anne-Laure and Frank Morgan, MD Olivia Morgan Deanna and Ted Moroni On Morton Tracy Moyle Richard Mueller, MD Jessie Mullen Honor Muller Natalie Munson Garnet Murray Mary Lee Murrin Toyome Nakanishi Napa Valley Wealth Management Eileen Nazzaro Joanne Neal Megumi Neth Fran Neuman Sarah and Conrad Newberry Carol Newman Brooke Nicholas Meredith Nicklas Bonnie and Gene Nielsen Anita Nolls Fatemeh Noreshi and Amir Gharibian North Central Texas Council of Governments Allene and Richard Nunes Judy and Romald Nunes Patricia and John Nunes Bette Nybakken Marjorie and Richard Nystrom Linda O Brien 52 Pulse Magazine 2013

53 Barbara Ochoa Paula and Dennis O Connor, MD William O Connor Robert Oda Linda and John Odgers Jr. Nayoko and Tatsuo Ogisu Betty Oka Marsha Oka-Holmes Barbara Olea and Carol McPadden Marciana and Leonardo Olis Penny Omarzu John Oneill Virginia Orgera Elena Osornio Susan Page Chong Pak and Sang Pak Celia Pamintuan Ute and Joel Pancer Anna and Joseph Panetta Joann Parent Roberta Parkinson Julia Parsons and Howard Worth Allan Paschke Teri and Jim Patterson Betty Paul Gayle Paul Carol and Eric Paulson Mary and Cy Pauly Cammie Payne Sharon and Thomas Pelino The Peninsula Club Jan and George Penn, MD Irmgard Peraro Cecelia Perez Jacqueline Perreault Gary Perry Sharon and Martin Petersen Claudia Peterson Mary Peterson Muoi and John Pfeiffer Hoda Phenix Lorraine and James Phillip Lucy Phillips Nancy Phillipsen Anne Pickett Helen and Fred Pinkham Spiro Politis Christy Pollacci Jean Pollock Phyllis Poma William Ponder Patricia and Marion Pope Laurie Pope-Browne Dory Poronto Kathleen Porter Marilyn Post Monta Potter Carolan and Ted Powell Mary Prellwitz Maren and Caryl Prince Marlene Provence Mima and Robert Rader Barbara Rainer Shiu Ram Susan and Walt Ramazzini Lori Ramos Linda Ransom Janet and Paul Rappa Kathryn and Clive Rayne Sidney and David Reade Carlene Reeves and Ronald Rencher Connie and Bruce Reeves Richard Regan Dorothy Reid Karen Reinitz Joan and Michael Reta Joy Reynolds Kathleen Reynolds Eva Richards Erika Richardson Donna and Ronald Rico Bonnie and Robert Riley, MD LaVonne Rilling Gail Robbins Sandra and Keith Robinson Richard Roder Patricia Rodrigues Sally and John Rohrer Gary Roley Jean and Ellis Rolls Jennifer Rossi Linda Roston Jennie Rouch Janis Rovetti Joan Rowe Susan and Morton Rumberg Sharon Russell Juanita and Mike Russo Rosemarie Russo Susan and Tom Russo Kathleen Ryan Gerry and Randy Sabado Vincent Salomone Lee Samore Sue and Alan Samuels Teresa Sanchez Vincenza Sanchez Hilde Santiago Emma Sato Margaret and Yoshio Satow Eleanor and Hugh Satterlee Fatmah and Carlton Saulsbury Yvonne and Thomas Scardina Joan and James Scattini Jacob Schaan Mary Ellen Scharffenberger Marie and Thomas Scherff Thomas Schlaak Helen Schmeltz Elizabeth and Art Schoenstadt Ellen and Milton Schroeder Alma Schwisberg Marie Seliskar Charles Semeria Senior Golfers of America Patricia Sesak Sherry and Brock Shafer Benji Shake Betty Shammas Victor Shaw Elfriede and James Shelton Eunice Shiffman Mary Shintani Shizuko and Roger Shiozaki Joan Shirley Andrea and William Shumway Sarah and Roy Signer Anna Marie Silva Joanne and Frank Silva Jr. Frances Silveira Brian Simmons Leslie Simon Albert Simpson Jr. Richard Sinclair, DDS Sheri Sinykin Margaret Sirtak Shelley and Robert Sitzman Pulse Magazine

54 Joanne and John Skinner Melissa Sloan Dessa and Jason Smith John Smith Joy Smith Phyllis and Robert Sokol Joan Solak Teresa Sormani Gloria Souther Nancy and Gene Spencer Donna and David Spiegelman Frederick Stanley Mark Starr Judy and Frank Stayduhar Lola Steinbaum, MD Elizabeth Steinwand Bettie Stevens Marcelina and Ronald Stewart June Stock Desiree Stout Ross Stuart Margaret Sturges Eva Sturman Iris and David Sullivan Dorothy Suzuki Lynn Swerrie Sydney Tabler Mickey and Bob Tachibana Rebecca and Paul Tag Helen Tamasauskas Naoko and George Tanaka Janet Tanzi and Family Donna Tarr Pearla and Gerald Tarsitano, DDS Barbara and Dean Taylor Dona and Douglas Taylor Melissa Taylor Terri Taylor Cath Tendler-Valencia Alma Terribilini Pamela Tette Barbara Tharp Pilar and Alvin Thompson Bette and James Thomsen Bonnetta and Lawrence Thornley Vonda and Daniel Tibbitts Rena Toliver Patricia and Richard Tourangeau Patricia Townsend Knight Travis Palmer Traynham Hilary Traynor-Duda and Francis Duda Carolyn and Joel Trudeau Jeannie and Charles Tucker Donna and Lee Tucker Betty and William Turner Lynn Turpin Barbara and Craig Ulrici Ben Umezu Anne and Sal Ursino Lily Uyeda Leticia Valdez, MD Eleanor Valtierra Barbara and Bruce Van Alstyne Eleanor and Ned Van Roekel Elizabeth Vaughan Sandra Vazquez Dolores Velcoff Barbara Vellucci Kristin and Cameron Vernon Deborah Villagrana Mickie and John Vinson Elizabeth and Daniel Vitanza Eleanor Vlaovich Rozita Volchok and Yevgeniy Godik Norma and Grant Voth Betty and Jeptha Wade Jr. Gene Walch Rhonda Waldrup Sayoko Walker Marjorie and Norman Walsh Candy and Harry Wardwell Valerie Warren Carrie and Richard Wasson Ruthie Watts Patricia Wedlake Lois and Arthur Weinman Elizabeth Welge Kay Wertheimer Cathy and Richard Westfall Bonnie and John Whisler Marilynn and Michael Whitcomb Erin White Barbara and William White Mary Whitton Shirley and Harlan Wilder Celeste Williams and Peter Hiller Sheila and Dan Williams Nancy Willingham Luana Wilsey Patty and Bill Wilson Constance Winners Mildred Wither Alleene Withers Vaughn Wittry, MD Lucille Wolf Judith Wolfe Marlene Wood Kathleen Woodland Gladys Wren Geneva and Gordon Wright Jondell Wright Raymond Wuco Renate-Karin and Donald Wunsch Kathleen Wuori Natalie and Kenneth Wurzburger Fumi and Yoshimasu Yamashita Erica Yeiser Norene and Tony Yeropoli Mary Yokomizo Margaret and Takashi Yokota Edna Young George Young Jr. Lawrence Young Margery Young Gail Yulich Barbara Zabrowski Patricia Zamudio Barbara and Bud Zane Barbara and Gene Zellmer Karina Zimmerman 54 Pulse Magazine 2013

55 TRIBUTES Tribute gifts honor friends and loved ones on their birthdays, anniversaries, or other special occasions. These gifts help enhance the quality of healthcare provided at Community Hospital. Hermes Acedo Meredith Nicklas Esther Anderson Susan and Christopher Anderson Dominick Askew Roy Lorenz Mary Baribeau Wendy, Nancy, and Jeff Thompson Michelle Barth Carmel Valley Manor Residents Council Hugh Barton Vicki Gilfix Laurie and David J. Benjamin III Community Foundation for Monterey County Barbara and Frank Keith Jon Benner, MD Lynn and Cary Yeh, MD Robert Black, MD Diane and Hisashi Kajikuri, MD Carol Blaushild Sally and Albert Alvarez Stephen Brabeck, MD Rita and Ken Petersen Ronald Thomas Liselotte Bradburn Roy Lorenz Thomas Bradley, MD Florence and Paul Kagan Randal, Mike, and Tom Schlemmer Jeanne Brehmer Roy Lorenz Elizabeth and Harmon Brown Roy Lorenz Brittany Brubaker Meredith Nicklas Marian Carapezza Wendy, Nancy, and Jeff Thompson Mary and John Castagna Roy Lorenz Silverio Ceja Rocio Ceja Alejandro Centurion, MD Darcy Leonard Blackburn and Beverly Leonard Maria Cardenas and Juan Sanchez Craig Christensen, MD Julia Wilson Community Hospital of the Monterey Peninsula Rita Echenique Eleanor and Benjamin Garcia Elizabeth Jamieson Community Hospital s Carol Hatton Breast Care Center s 10th Anniversary Patricia Rodrigues Community Hospital s Emergency Department staff Vera Graf-Krischke Community Hospital s Family Birth Center staff Hilary and Adam Heieck Community Hospital s Hospice of the Central Coast Sheila Michasiow Dorothy Stitt Linda Winchester and Family Community Hospital s Medical Staff Services Diane and Hisashi Kajikuri, MD Community Hospital s Nursing staff Diane and Hisashi Kajikuri, MD Community Hospital s Rehabilitation Services staff JoAnn and Frank Burns Community Hospital s Short Stay Unit volunteers Lisa McGuire Community Hospital s Terrace East staff Delores Heyl Community Hospital s Westland House staff Linda Winchester and Family Maria Corn Sally and Albert Alvarez Pamela Dally Randal, Mike, and Tom Schlemmer Landau Davidson Sally and Albert Alvarez Pierre Delfausse Jean Kane Merewyn Dixon-Beckett Roxanne and Carroll Wilde Manus Donahue Roy Lorenz Jean Duff Beverley Ambort Jean Dunevein Gary Roley Rita Echenique Roy Lorenz Lucille Eggerman Michele Melicia Young May Esquerra Sally and Albert Alvarez Howard Evans Barbara and Richard Hammond Noreen and Herman Harrow Carol and James Sullivan Karin and Howard Evans Nan and Foster Nelson Ardis and Alton Post Patrick Feehan, DO Miguel Avalos Janet Filipo Meredith Nicklas Gerald Flowers Roy Lorenz Eleanor Fremgen Roy Lorenz Ronald Fuerstner, MD Florence and Paul Kagan Barbara Furtado Roy Lorenz Michael Galloway, MD Elizabeth and Andrew Peszynski Ronald Thomas Craig Geiler, MD Melvin Fortes Betty and James Kasson Phyllis and Bruce Rosnes Margi and Bill Wiest Pym Gilbert Pierre Delfausse Eleanor Giles Hildegard von Dehn Valerie Guthrie Sally and Albert Alvarez Pulse Magazine

56 Jerry Harbick Liv Hansen Harbick James Harvey Wendy, Nancy, and Jeff Thompson Takashi Hattori, MD Diane and Hisashi Kajikuri, MD Savitri Jain Monica Jain and Remy Garderet Ellen and Paul James, MD Marilyn and Kenneth Walker Sandra Kahn Christine Von Hurfurth Jean Kane Roy Lorenz Martha Kennifer Sally and Albert Alvarez Linda and Brian Cox Josephine Kale Kimberly Kent Roy Lorenz Richard King, MD Helen Breck Roxanne and Carroll Wilde John Koostra, MD Tracy Gordon Barbara Krueger Roy Lorenz Duncan and William Lewis, MD Suzanne and Gerard Lehrer, MD Madeleine Linebarger Roy Lorenz Matthew Little Vicki and William Mitchell Jr. Taylor Liu, MD Roxanne and Carroll Wilde Roy Lorenz Kristie and Keith Donavan Allen Gardner Deborah and Hugh McDevitt Constance and Kenneth Summers Michael Lurie, MD Beatrice and Steven Undorte Martha Lynn, PhD, and Robert Danziger Robin Venuti and Joseph Rock Donna Manning, MD Meredith Nicklas Brenda Moore Michele Melicia Young Ann O Neill Roy Lorenz Steven Packer, MD Anna Swartley and David Sabih Jane and Carl Panattoni Janet Buechner Mary and Bill Payne James Pretzer, MD Vicki and William Mitchell Jr. Trinidad Raffs May Esquerra and Dave Gomez Gwendolyn Randolph Wendy, Nancy, and Jeff Thompson Janet Rappa Sally and Albert Alvarez Linda and Brian Cox Roxanne and Carroll Wilde Rosemary Rhodenbaugh s birthday Margaret and Jack McKinney Cheryle Rivera Alison and Jason Dunton Shannon and Jim Robinette Diana and Walt Glover Marion Robotti Christine and Davis Factor Jr. Lisa Sargisson Roy Lorenz Jodi Schaffer Pat and Richard Sippel Gail Scholl Roy Lorenz Milton Schroeder Ellen Schroeder Pir Shah, MD, and Cardio-Pulmonary Associates staff Jeanne and Pasquale Antonellis Kurt Sligar, MD Stephen Thornborrow Michael Stuntz, MD Shirley Coyne Douglas Sunde, MD, and staff Patricia and Marion Pope Bradley Tamler, MD Lise and Philip Aissen Gregory Tapson, MD Josephine Kale Paul Tocchet, MD Shirley Coyne Michele and David Tubman Roy Lorenz Susanne and William Tyler Sheila and Hugh Barton William Tyler s 80th birthday Sue McCloud Eleanor Uhlinger Julia Carpenter and Greta Marlatt Robin Venuti Sally and Albert Alvarez Mark Vierra, MD Janet and Clyde Hall Mickie Vinson Roy Lorenz Matthew Walbeck Wendy, Nancy, and Jeff Thompson Chuck Wash Roy Lorenz Joanne Webster Mary Goodby Mikaela Welton s high school graduation Eileen and Pierre La Mothe, MD Roxanne and Carroll Wilde Roy Lorenz Jennifer Wood Sally and Albert Alvarez Michele Melicia Young Sally and Albert Alvarez Linda and Brian Cox Landau Davidson MEMORIALS Memorial gifts provide a way for people to express their sympathy when words just don t seem adequate. Such gifts also play an important role in enhancing the programs and services of Community Hospital. Friends who have made memorial donations are listed following the names of the person whose memory they honor. Jennifer Abila Linda Vaughan Dauna Adekoje Mary Johnson-Derr 56 Pulse Magazine 2013

57 Jeanette Alberti Ida and Douglas Tilly Manuel Alcantar Jo and Bill Parker Joe Anastasi Geraldine and Anton Hrepich Andy Anderson Mary Gomon Jessie Anderson Iris and David Sullivan Kirt Andrus Alice and Michael Hitchcock Louise and Robert Angulo Mickie and John Vinson Jim Appling Paula Clark Paul Arnerich Betty Oka Robert Arriola Robin Arriola Catherine Ascone Diane and William Allen Mary Benech Josephine Ihnot Janet and Paul Rappa Robert Auger, DDS Dolores Hagey Helen Babaian William Babaian, MD Elizabeth Bailey Laurel Brunmeier Calpelra Fred Cohn Barbara and Bob Humel Charlotte Ludwig Marilyn Ludwig Terri Taylor Jim Thomson Tostevin Accountancy Corporation John Bailey Sally and Albert Alvarez Patricia and Richard McDermott Judy Baker Rena Henderson Ken Bakkum Paula Clark Mary Kay Barnes Dianne Belli Henry Baron Jr. Mary Prellwitz Michael Baroni Marion Baroni John Bartowick Esther Haskins Margaret and Talcott Bates Janet and Charles Bates, MD Arliene Beesley John Beesley Henry Benech Jr. Mary Benech Frank Bennett Kathy Conlin Loren Harper Beverly and Al LaGrange Tracey Ledda Jeanne and Arthur Berg Sydney Tabler John Bergin Nancy John L Bruce Meyer, MD Gail and Richard Zug, MD Violet Bernstein Leon Bernstein Deidre Bielke Roxanne and Carroll Wilde Georg Bienek Josephine Bienek Gertrude Blatner Martha Suzuki Robert Boger Raymond Decker Smillka Goynich Alleene Withers Sharyn and William Young Ida Bonacich George Bonacich Edward Borg Helena and Robert Rowse Frances and John Bouldry Nancy and John Bouldry Douglas Bradburn Liselotte Bradburn Tim Brattin Barbara Beck Janie and Anne Mitchell Beau Breck Helen Breck Ellin Firth Jo and George White Angelina Breschini Carol and Rocci Martignoni Doris Briggs Suzanne and Robert Wood Anthony Brown Marilyn Brown Robert Bruner Kazuko Bruner Raoul Bruno Marcelina and Ronald Stewart Ida and Douglas Tilly Charles Buckley Bobbie Buckley William Burns Phyllis and Robert Sokol Clarence Burrows Juli Mitchell Irvin Bushnell Theresa and Robert Michaels Salvatore Cardinale Ida and Douglas Tilly Beatrice Case Bonnie Baker Melissa and Charles Eldredge Jan Gardner Nancy Hutchinson Harry Lewis Liz and Skip Lord Lynn and Sidney Morris Martha Rothrock Randal, Mike, and Tom Schlemmer Stanford University Risk Management Department staff Susanne and William Tyler Patricia and Ernest Zanetta Ricardo Chapa Kirstie Andersen George Chapman Jr. Anne Flynn L. Bruce Meyer, MD Howard Choi Sandra Choi Joseph Ciolino Rose and Joseph Acquaviva Tillie and Ray Cardinale Marjorie Clark Jean Clark Pulse Magazine

58 William Clinton Gloria Clinton Pat Collelo Jeanne and Edward Cavallini John Conley Yolanda and Harry Mauras Margret Conover Danielle and Bill Hill Vivian Cornwall Mary Jane Culver Cornelia and James Emery E.T. Fredericksen Mary King Julie McCollum Judith Olson Carlene Reeves and Ronald Rencher Vivian Sweeney Gene Walch Mildred Wither Phyllis Cory Linda and Robert Bethel Gage Cote Christine and Kenneth King, DDS John Cryan Community Hospital s Auxiliary LaVonn Curtis Marty and Ted Hartman Lloyd Daniel Phyllis and Robert Sokol Della and Carl Daniels Carlene Short Curtis Dansby Miyoko Enokida Dorothy Darling Mary Gomon Joseph Da Silva Linda and Joseph Bileci Jr. Francis Davi Zelda LeFrak Alan Davis Virginia Davis Claire Davis Russell Bigelow Carmela and John Carr Sharon and James Chibidakis Maureen Chodosh Susan and Robert Creveling Ann and Glen Hiner Mary Ellen and Bob Hutchison Patricia and William McAfee, MD Leonard Riggs, Jr., MD Eleanor and Ned Van Roekel Lucille Davis Paola Belli and Mitsou Hirosaki Lloyd Deaton Paulette Deaton Dennis Debenedictis Joanne and Dale Bender and Janine Elleen Denahy Betty Aynaga Mary Benech Lisa Bradburn Sally Bruno Georgene Calloni Community Hospital s Auxiliary Lucille Eggerman Martin Freedman Eleanor Fremgen Frances Friscia Dolores Hagey Diane and Hisashi Kajikuri, MD Roy Lorenz Judy and Graeme Mackenzie Brigitte and Paul Olson Clarice Pruitt Sandra and Keith Robinson Tawfik Sabet Gail Scholl Karen Sonnergren Dorothy Souza Jean Stallings Bonnetta and Lawrence Thornley Roxanne and Carroll Wilde Mary Yokomizo Anne Dick Eleanor Fremgen Oliva and Frank DiMaggio Joe Dimaggio Daniel Dixon Dixie Dixon Dorothy Doty Ibby Brennan Ernest Dovolis Elizabeth and Art Schoenstadt Jean Draper Nancy and William Doolittle James Duff Jr. Jean Duff William Dwyer Jane Dwyer Betty East George East Robert Eddington Sr. Rita Echenique Norma Ennis Amron Lykins Barbara Ensminger Carmela Castorina Anna Davi Dona and Douglas Taylor Lynn Turpin Barbara and Norman Ensminger Lee Ensminger Kaplan Frank Eubanks Kayo Eubanks Jay Falkel Teri and Robert Jay Ruth Fash Victoria Fash Jack Martin Freeder, MD Monica Freeder Gerald Fry Mary Fry Virginia Fry Julia Bowhay Douglas Gamble Abbie Eldredge Frank Garnero Gus Aiello Mary Fry Esther Haskins Geraldine and Anton Hrepich Mitsuko and Roy Kamimori Ralph Micheletti Namiko Uyeda Jo Ann Garrod Richard Garrod Bertha Gaudoin Lois and Charles LeBlanc Alma and Robert Lee Mildred and Leonard Gehringer Helen Gehringer Joseph Genovese Carmelita and Michael Croft Anita Giannini Betty Bergerac 58 Pulse Magazine 2013

59 Susan Giem George Giem Leo Gillespie Patricia Sesak David Giltner Lowell Dollander and Family Fred Gloth Jr. Eileen and Pierre La Mothe, MD Lois Goulart Jennie Rouch Geraldine and Anton Hrepich Lillian Greenberg Deborah and Jeffery Greenberg Frances Greene Dorothy Souza William Greer Marieluise Kailing Christine Lamut McKinsey and Company Mary Lee Murrin Sunil Sanghvi Randy Grooms Ralph Micheletti George Groves Elizabeth Groves Firmin Gryp Marsha Smith Cerina Gundersen Carol and Bobby Blaushild Maria and Michael Corn Lucille Eggerman Joe Hognander Dorothy Jordan Martha and Frederick Kennifer Janet and Paul Rappa Theresa and Hugo Scattini Roxanne and Carroll Wilde John Guzik Janet Guzik Debora Hall Beverly Pugh Finley Hamilton Susan Hamilton Lucille and William Reno Jean Hancock Lynn Swerrie Joseph Haney Olivera and Robert Haney June Hanlon James Hanlon Hilda and Edmund Harder Linda and Brian Cox Kris Hardin Michael Katakis Carol Hatton Carol and Glenn Bell Jr., MD Sandra and Richard Brown III Landau Davidson David Hatton, DDS Lindsay, Geordie, and Hazel McClelland Deborah and Frank Rugani Joan and Robert Wellington Roy Hattori Marie Grindstaff Ida and Douglas Tilly Nancy Haverty Anne Flynn Augie Hellam Marie Grindstaff Cecelia Perez William Hill Sr. William Harrigan Dorothy Hill Jeanne and Christopher Hillard Sueanne Hillard Roger Hilleary Elizabeth Hilleary James Himonas Demi and Richard Briscoe Christine and Davis Factor Jr. Barbara Rainer Pauline Hom Paulette and Dave Walker Laurence Horan Sally and Albert Alvarez Barbara Bucquet Nancy and William Doolittle Albert Simpson, Jr. Sandra Hornbuckle Gary Hornbuckle Nanci Markey Charles Howell Joanne Bevilacqua Kay and Bob Huettmann Momoyo and John Ishizuka Dorothy Howze Alison Taylor Warren Hunt Mary-Jo Franco Bonnie Husman Laurie Alderman Jerri Brown Linda and John Castro Eileen Clevenger, Wendy and Clark Alta Davis Art Davis Mark Davis Narda and William Foletta Trish Davis Gaston Incotec Dan and Cindi Jackson Pauline and Marlyn Kienbaum Bette and George Kraul Peggy Lloyd Shellee Perkins Josephine Taylor Gail Yulich Delma Hutton Dorothy Crosby Jennie Rouch Olive and Nelson Hyler Gail Hyler Joan Hyler Mary and Enrico Imbriani Paula and Dennis O Connor, MD Howard Ingels Darlene Ingels Roy Ishikawa Richard Searle Paulette and Dave Walker Celeste Williams and Peter Hiller Max Jack Della Jack Shelby Jackson Jack Salo Jean Jaseau Arthur Jaseau Helen Jensen Geraldine and Darryl Kenyon Walter Jensen Deane Hollenbach Jo Jimenez Frances Silveira Grover Jordan The Gundersen Family, George, Peter, and Valerie Pulse Magazine

60 Rose May Jung Leona and Manuel Alonso Mary and Bill Askew Jr. Patricia Auyong Eunice and Peter Bartowick Jr. Gretchen Bartowick Mary Benech Jean and Robert Black, MD Shirley Carlson Charlotte Centrella Maude Choy Anne Flynn DiAnna Higgins Elizabeth Ho Haruko Honda Penelope Ishida Patricia Ishizuka Lillian and Robert Johnson Roderick Jone Takane Kawata Alma and Robert Lee Cynthia Lopez-Frincke Candace Lynde Monterey Union High School Class of Anita Nolls Marsha Oka-Holmes Mark Okumura Pediatric Group of Monterey Susan and Morton Rumberg Geraldine and Randy Sabado Sue and Alan Samuels Emma Sato Margaret and Yoshio Satow Shizuko and Roger Shiozaki Andrea and William Shumway Philomene and Henry Smith Dorothy Suzuki Miyeko and Bob Tachibana Anne and Sal Ursino Lily Uyeda Marjorie and Norman Walsh Margaret and Takashi Yokota Irene Kafka Joan and Jan Belza, MD Jin Kageyama Paulette and Dave Walker Edmund Kara Carolyn Kleefeld Helen Karahalios Marie Grindstaff Margaret and Yoshio Satow Robin Katsuki Donna Gutierrez Carl Kawata Paulette and Dave Walker Richard Kent Dana Kent, MD, and William Monning Lily Kephart Rosalind Kephart Terry Kihara Joyce and Kenneth Esaki Edwin Kingsley, MD Eunice and Peter Bartowick Jr. Carmel Properties Company Christina and John Borchers Jane and Richard Borchers Joan Brophy Cheryl Carter and James Strait, MD Bridget and Bill Chase David De La Vergne Anne Flynn Elaine and Ken Green Marilyn and Joseph Green Cheryl and Buzz Joseph Diane and Hisashi Kajikuri, MD Kay and James Kingsley Mark Kingsley Linda Macartney Margaret and Richard Mayer L. Bruce Meyer, MD Anne-Laure and Frank Morgan, MD Shirley and Jerry Parker, MD Mary Ann and Richard Pirotte, MD Joy Reynolds Maria and Tony Salameh Leslie and Charles Snorf, MD David Spilker, MD Elizabeth Kirby Vera Beck John Kistinger Gloria Clinton Frederick Knoop James Castle Jr. Frederick Korf Ann Power, PhD Ken Kremke Teri and Jim Patterson Consuelo Kriloff Sally Hanley Hannah Kuennen Phyllis and Robert Sokol Marjorie Kurle Driscoll s Dolores Igaz Jane Nelsen Ed Lau Christel Dillbohner and Gero Leson Vicki Lawrence Nicholas Lawrence Harry Lee Sylvia Lee Ellen and Henry Leighton Nancy and George Roach Karen Leonhardt-Ruhmann Linda and David Mullally Annette LeSiege Gary Cooke Cynthia and Ron Peck Estelle and Harold Levitt Linda and Ron Cosmero Florence and Paul Kagan Wendie and Stephen Ryter Cathy Lewis Alsco-Geyer Irrigation George Berrettoni Jeanne Bravos Mary and Jim Bravos Janet Butler Carmel Chamber of Commerce Ruth Carter and Rick Manning Momi and Gaynor Chinn Gayle and Walter Christiansen Judith Dillwith Robert England Jr. Carol Gonser Corrine and Stanley Joe Dyan Mart Judith and Philip Melrose Shirley Meneice Lisa and John Hollo Deanna Moroni and Ted Moroni Brooke Nicholas Gary Perry Marci and Edward Pieratt Monta Potter Susan and Walt Ramazzini 60 Pulse Magazine 2013

61 Shirley and Lee Rosen Shirley and Lee Rosen grew up in Southern California, but fell in love with the Monterey Peninsula during stays in Carmel. When Lee agreed to a transfer with IBM in 1978, from Los Angeles to San Jose, the couple felt certain that moving into their vacation home in Carmel would be worth the commute. Thirty-five years later, the Rosens are retired in Carmel, where they have turned their attention to long-held twin passions: the artistic and medical communities. Shirley and I share a love of the performing arts, says Lee. We have various family members in theater and music who inspired us to get involved in local arts organizations after we both retired. I was executive director of the Monterey Symphony for a year and then became chairman of the board. Shirley is on the board of the Pacific Repertory Theater, and we ve been longstanding patrons of the Carmel Bach Festival, including my presidency of the festival in the 1990s. The Rosens parallel interest in health and well-being is part of what drew them to the Peninsula. One of the reasons we moved to this area was that it had a fantastic hospital, says Lee. Even when we first came here in the 70s, it was a remarkable institution. We began contributing to Community Hospital on a modest basis, but Shirley and I have both needed to use the hospital s services over the years and have realized how vital it is to have such a fine facility and doctors only minutes from our home. Therefore, we felt it was important to give back in a more substantial way and have made a legacy gift to the hospital in addition to our yearly giving. The Monterey Peninsula has the ability to attract great physicians and great artists to the area because of the quality of the institutions we have here, which rival the big cities, Lee continues. In addition to the magical ambience, this is a big part of the attraction of living here. Pulse Magazine

62 Joan and Michael Reta Juanita and Mike Russo Nancy Sartor and Mary Thompson Senior Golfers of America Joanne and Frank Silva Jr. Sally Tomlinson Palmer Traynham Deanna Woodhour Sharyn and William Young Barbara and Bud Zane Myrtle Lewis Eva Sturman Rex Linde Penny Morris James Lipe Sr. AG Services Cass and Mike Antle Karen Antle Enos Barera Rita and Marvin Beguhl Terry and Tom Bengard Julie and Silvio Bernardi Edward Boutonnet Boutonnet Farms CALAMCO Geraldine and Gerald Carnazzo, MD Allan Clark Paula Clark Michele and Keith Day Vicky and David Duke Gigi and Sam Eastman Fidelity National Title Company Mary and Dale Huss Betty Gularte Doris and Wayne Gularte Pat and Bill Haynes Alice and Michael Hitchcock Millie and Robert House Carol and Allan Jensen Louise and Michael Kovarik Shirley and Sam Lavorato Sr. Sherrie and Ken Lazzerini Quita Martin Rita and Robert Martin Susan Merrill Ralph Micheletti On Morton Bonnie and Gene Nielsen Bob Nunes David Nunes Judy and Romald Nunes Tom Nunes Jr. Redox Chemicals JoAnne, Neal, and Renee Rianda Joan and James Scattini Veronica and Pete Silacci Nancy and Gene Spencer Bette and James Thomsen Barbara and Craig Ulrici Candy and Harry Wardwell Anthony Lonero Rita Lonero Carol Lorenz Sally and Albert Alvarez Sharon Cleary Allen Gardner Marilyn and Kenneth Walker Jennie Luce Donald Luce Helen MacDonald Lois and Charles LeBlanc Neil Maday Joanna and Douglas Campbell Patricia Lehrke Roxanne and Carroll Wilde Pauline Madeiros Carol and Eric Paulson Meredith Magnanti Deborah Johnson Charles Maino Susan and Tom Redfern Nancy Mangiapane Janet Tanzi and Family Matt Mansfield Community Hospital s Auxiliary Anne Flynn Anne Market Josephine and John Haidich Joan Market Josephine and John Haidich Marion Martignoni Knitty Biddys Sandra Martin On Morton Kay Martins Sharon and Jim Hawkins Betty Mathews Don Mathews Tsutomu Matsushita Robert Oda Joseph McCarthy Marye McCarthy Robert McCluskey Joanne McCluskey The Peninsula Club Eunice Shiffman Phyllis and Robert Sokol Richard McDermott Denise Benoit Mary and Ronald Branson, MD Mary Fry Eileen Nazzaro Maret Orliss Judith Wolfe Scott McDonald Maren and Caryl Prince Harry McLaughlin Kathryn and Harrison Gough Roger Mead Sr. Ethel Molini Ruth Meisenheimer Gail and Robert Buschini Laurie Melicia Sally and Albert Alvarez Community Hospital s Auxiliary Lucille Eggerman Yoe Kageyama Lucille and William Reno Dorothy Souza Ida and Douglas Tilly Gloria Mercurio Providence and Vincent Belleci Josephine and John Haidich Mimi Meriwether Melvin Fortes Hank Meyer Lenore Meyer Margery Meyer L. Bruce Meyer, MD Sheila Michasiow Leah Leppert Roger Minami Alma and Robert Lee Donald Moe Alice Moe Betty and John Monning Dana Kent, MD, and William Monning 62 Pulse Magazine 2013

63 Avenelle Muirheid Lynn Menashian Leonard Muller Honor Muller Merle Murphy Gloria Souther Eileen Murray Kiki Bill Katherine Bucquet Cecily and Donald Butts Elizabeth and Lawrence Devan Melvin Fortes Richard and Lynne Leahy Foundation Sally and Donald Lucas Lucille and William Reno James Vorhes Barbara Nelson Majorie and James Art Sheila and Hugh Barton Barbara Burdick Jerian and Alexander Crosby Gloria and Umberto D Ambrosio Catherine Doherty Patricia and William Eggleston Bertie and David Elliott Cynthia and Stan Gum Nancy Hutchinson Donna and Robert Johnston Aliceon Jones Maggie and Tom Kennedy Thomas Kiatta John Lanigan Robert Lanigan Luis and Charles Loch Judy and Gary Logan Susan Manchester and David Smith Elizabeth Martin Patricia and Richard McDermott Bob Nelson Mary Ann and Richard Pirotte, MD James Poland Rita and Herbert Reiman Lucille and William Reno Margaret and Tom Staley Judy and Frank Stayduhar Barbara Stokely and Martin Sternstein, MD Jane and John Upp Anne and Tim Walsh Dorothy Newton Lynn and Robert Brooks Community Hospital s Auxiliary Dolores Hagey James Mason Susan and Terry McNelley Clarice Pruitt Conan Schleicher Carol Todd John Nunes Mary DaSilva Steven Nunnally Marian and Daniel Corrigan Frances Lozano James Nybakken Bette Nybakken Witolia and Thomas O Keefe Suzanne O Keefe Chester O Such Sarah and Bill Brown Robert Orlebeck Mary Gomon Flora Orlebeck Maria Ornelas Rosa Lindsey Frank Ornelas Jason Ornelas Maria Rodrigues Francisca Julia Sousa Carmen Orona Janet Boyd Charles Owen Hilda Owen John Packer Paulette Deaton Wagma Paindakhail Kateri and Philip Livingston Larry Parent Joann Parent Roger Parkes Rita Lewis Virginia and Ralph Parkison Helen and David Atkins William Pauly Joan Hitchcock Mary and Cy Pauly Shirley Payne Virginia Donohugh Silvia and Paul Edwards Edith and Floyd Pearson Virginia Davis Reuben Pearson Doris Pearson Hardy Pelham Donald Zeek Richard Perry Mary and Mikel Brown Sena Petersen Sharon and Martin Petersen Charles Petitt The Bandits and Three Putters Men s Golfing Groups Anne Phillips Jane Blanton Elizabeth and Harmon Brown Katherine Bucquet Barbara Lee Jeanne McGuire Mary Peterson Shirley and Willard Phillips Jr. Martha Rothrock Gladys Wren Constance and William Ziegenbein Freddie Phillips Jr. Lucy Phillips Harold Poling Marian Poling Vito Poma Phyllis Poma Michael Pouls Jr. Lane Trotter John F. Powers Jr. Kathleen Howe John P. Powers Vivian Pray Mary Gomon Jeanne Predham Nancy Predham Billie and Andy Prego Ann Prego and Andy Gonzalez Nancy Proechel Ann Prego and Andy Gonzalez Mima Rader Dorothy Crosby Paul Rainwater Janet Boyd Donald Randolph Sr. Dorothy Souza Pulse Magazine

64 Norman Rausch Carole and Jerry Abbanat Judy and Gary Bales Norma and Ted Bell Mary and Mikel Brown Diana Burke Sherry Chapman and John Goral Bonnie Culp Joyce and Michael Foster Norma and Ralph Games Jayne Gasperson Bobbie and Tom Jensen Mary and Charles King Pat and Jim Lafferty Roberta Legg Barbara and Joe Lucido Sheila McGuire Michael Oram Hanna and Darrell Petersen Anne Pickett Betty and James Pine Rosemarie Rausch and Family John, Joanne, and Nat Skinner Madeline and John Van Zander Selma and Ronald Vining Norma and Grant Voth Harry Raynes, MD Tostevin Accountancy Corporation Alexander Reed Elizabeth and John Marsh Frances Reid Janet and David Hayslett Charles Reiman Marian and William Gould Jack Reynolds Dee Alcott-Rodriguez Constance Birmingham Margaret Birmingham Mary Jane and Jack Hammerland John Rhodenbaugh, MD Margaret and Jack McKinney J.C. Richards Eva Richards Donald Robinson Jr. Anne Flynn Norma Robinson Barbara and John Jamison 64 Pulse Magazine 2013 Mary Robotti Gretchen Bartowick James Clinton Edward Lane Virginia Orgera Bienvenida Rodriquez Ann Prego and Andy Gonzalez Beth Roehl Carol Krueger Roy Rogers Barbara and Richard Harrison Eleanor Rogge Hans Rogge Juanita Rosser Dorothy Reid Dorothy Souza Jean Stemmons Martha Rothrock Melvin Fortes Betty Kemp Mary Magee Sandra and Richard Verbanec Bertha Rothschild Joan Beller Lucy Ruccello Margaret and Barney Belleci Angie and Salvatore Cardinale Marie Grindstaff Ida and Douglas Tilly Bob Rule Karen and Bob Andrew Helen Rush Mary and Jose Amaral Anna Marie Silva Louis Russo Rana and Robert Ball Janet Tanzi and Family Pat Sais Myrna and Don Locke Yaeko Salo Jack Salo Bill Sammuel David Ligare and Gary Smith Cynthia Sanders Evelyn Hewson George Sandoval Dorothy Souza Alfred Schaeffer Christine and Davis Factor Jr. Margaret Schlegel Dolores Hagey Mark Schmidt Jean and Robert Black, MD Warren Schmidt Pat Codiroli Stella Jagich Patricia Scott Mary Louise and Tommy Tomblin, Jr. Nancy Shammas Mary Gomon Evelyn Hewson Pebble Beach Company Tawfik Sabet Bobbi Shaw Clare Murphy Drew Murphy Bernice Sheridan Marilyn and James Maldi Sandra Shoemaker Carol Newman Erik Short Carlene Short Mary Silva Allene and Richard Nunes Madelyn and Bill Sloan Melissa Sloan Evelyn Smith Barbara and Ladd Smith, MD Jerry Smith Josephine and Frank Borelli Jr. Rae and James Lanning Jewel Smith John Smith Lody Smith Jo and Bill Parker C. Arthur Spaulding, MD Richard Deming Editha Spencer Harold Spencer Michael Stanton Rosemarie Russo Leslie Steinberg-Strickland Sherry and James Gruwell Ellen Haley Mark Heidorn Susan and Tom Kann Sharon and Donald Krams Timothy Meyers Waltkoch

65 James Stephenson Barbara Alhouse Carol and Michael Barker Rachel and Elton Bell Patricia Borello Cecily and Donald Butts Catherine and John Curran Dorothy Dodge Suzanne and Richard Farman Maria and Jerry Gass Jean and John Howe Kip and Jay Hudson Jim and Lois Hopkins Joan and Chuck Johnson Judith and Donald Kirk Jean Bussy Knofler Mary Ann and Geoff Lamb Barbara Lawson Nancy and William Lewis Phyllis and Herbert Lister Ann and John Mahoney Nicki and Michael McMahan Amy and Mark Milani Kenneth Millhiser Susan Pius Brad Quade and Family Bruce Quade and Family Jon Quade and Family Elissa and Tom Rogers Sally and John Rohrer Jean and Ellis Rolls Lorraine Roth Marilyn and Bill Schulte Jay Sekelsky Sheri Sinykin Joan Solak Loretta and Jim Stephenson Rosalind Stubenberg Gary Sutter and Family Joyce and Richard Weismann Gordon Stevens Marilyn Post Kenneth Stewart Margaret and Barney Belleci Debbie and John Campbell Connie LeBlanc Yvonne Stewart Lois and Arthur Weinman Edward Stitt Dorothy Stitt Helen Stoll Phyllis Dake Mary Fry George Harter Esther Headley Ann Prego and Andy Gonzalez Carol Todd Delbert Sturman Eva Sturman Reginald Sugano Paulette and Dave Walker Sandra Sullivan-Wetle Jerry Wetle Mariko Sumida Josephine and John Haidich Kip and Jay Hudson Mary Ann and Richard Pirotte, MD Dorothy and Ernest Singleton Dorothy Souza Namiko Uyeda Michael Sumida Sueko Sumida James Sutty Marilyn and Lawrence Matteson Myles Sweeney Eugenia Sweeney Audrey and Robert Talbott Kayo Eubanks Carmelena Terrana Frances Silveira Shirley Thomas Donald Thomas Dorothy Thompson Joann Parent June Thompson Wendy, Nancy, and Jeff Thompson Helen Thorngate Miyoko Enokida Gloria and James Rodda, MD Florence Tonkin Anne Flynn Dolores Hagey Diane and Hisashi Kajikuri, MD Thomas Tonkin Robin Beckman-Jones LaVonne Tosh Julia Bowhay Jane and John Upp Imogene Townsend Central Coast Senior Services Anne Honeycutt Incotec Bryce Trauger Community Hospital s Auxiliary Karen Treder Carmen Affonso Paulette and Steve Gardner Leslie and Mike Golden Marvel Gregerson Vera and Gary Klug Carole and Tom LaBossiere Jean Pollock Betty and William Turner Barbara Wilson Tony Trovato Dolores Trovato Clarence Truesdell Kathy and John Briley Susan Tsuzuki Paulette and Dave Walker Katharine Tucker Katharine Schoellerman Richard Tucker Claudia Tucker Marion Tucker Anna Tudor Claudia Tucker Marion Tucker Ann Tyson Velda and Myron Wyckoff Mary Valentine Elaine and Richard Valentine Dale Vandervort Ibby Brennan Charlotte Van Gansen Ibby Brennan Robin Vaughan Anne Flynn James Vaughn Linda O Brien Eve Veis Lois and Arthur Weinman Andrew Vellucci Barbara Vellucci Sal Vermi Janet Tanzi and Family Ida and Douglas Tilly Cathy and Richard Westfall Pulse Magazine

66 Corrine Volk Sharon and Martin Petersen Heidi Von Ragenhardt Joy Law Rex Wangberg Linda and Clair Hicks Deborah Watkins and Simon Watkins Russell Watkins Nel Watson Debbie Murdoch Norene Yeropoli Lawrence Weimer Ruth Weimer Dorothy Wheeler Barbara Avila Darlene White North Central Texas Council of Governments Phyllis and Frederick Wilkinson David Wilkinson Nan Williams Kip and Jay Hudson Diane and Hisashi Kajikuri, MD Russell Williams Hope Williams Marion Willis Gerda Foxworth Barbara Olea and Carol McPadden Ross Stuart Marie Wilson Gloria Clinton Sharon Winchester Linda Winchester and Family Eva Wipf Marion Tucker Donald Wittry Vaughn Wittry, MD Maxine Wolf Lucille Wolf Allen Woodhour James Vorhes Florrie Woods Suzann Graf Roy Woods Virginia and William Stevens Lynn Wuco Raymond Wuco Connie Yee Gregory Densen Kevin Houlihan Catherine Kibbe Stuart Li Mitzi McCullough Carrie and Richard Wasson Matthew Weston-Dawkes Ione York Lillie and James Lawrence Delmar Young Diane and Lionel Kirton Ruth Young George Young Jr. Yolanda Young Lawrence Young Rosalie Yow American Supply Company American Supply Company employees Gloria Brooks Janice Fitzhugh and Nolan Ferreira Kae and James Forkner Irene Hufford Julie and Dean Maxinoski Bonnie and John Molinari Deborah Villagrana Kathleen Woodland Frank Zabrowski Barbara Zabrowski Ernest Zanetta Sally and Albert Alvarez Eunice and Peter Bartowick Jr. Therese Beauclair and Bruce Zanetta Peggy and Jack Borsting, PhD Lisa Bradburn Rita Echenique Frances Friscia Dolores Hagey Kip and Jay Hudson Momoyo and John Ishizuka Roy Lorenz Clarice Pruitt Janet and Paul Rappa Connie and Bruce Reeves Donna and Ronald Rico Tawfik Sabet Jean Stemmons Joanne and Dean Storkan Rebecca and Paul Tag Jean Warriner Roxanne and Carroll Wilde Mildred Wither Patricia Zanetta GIFTS FROM OUR MEDICAL STAFF Gifts from our own hospital family members are among the most meaningful because they demonstrate commitment beyond daily contributions of time and talent. Community Hospital is grateful for the support of the following active, retired, and honorary medical staff members. David C. Awerbuck, MD John N. Baldwin, MD Charles C. Bates, MD Jan Belza, MD Robert L. Black, MD Ronald L. Branson, MD John H. Brazinsky, MD Gerald Carnazzo, MD Alejandro Centurion, MD Craig E. Christensen, MD Robert Collins, MD Pamela H. Craig, MD Michael F. Eandi, MD Jay S. Edmonds, Jr., MD John M. Ellison, MD James E. Field, MD Anthony Filly, MD Joan Frisoli, MD Ronald C. Fuerstner, MD Robert W. Gardner, MD Lloyd R. Garren, MD Mary L. Garren, MD Vincent A. Gaudiani, MD Richard S. Gerber, MD Donald G. Goldman, MD J. Gary Grant, MD Richard J. Gray, MD Ernst Hansch, MD Christian L. Hansen, MD Richard W. Hell, MD 66 Pulse Magazine 2013

67 Daniel R. Hightower, MD Walter L. Holz Jr., MD Paul G. James, MD Albert B. Janko, MD Hisashi Kajikuri, MD Sadayo A. Kanaya, MD Thomas A. Kehl, MD Susan Kubica, MD Pierre La Mothe, MD Kevin G. Landon, DDS Kristine Leatherberry, MD William R. Lewis, MD William S. McAfee, MD Ellen McEwen, MD L. Bruce Meyer, MD Frank M. Morgan, MD David T. Morwood, MD Richard L. Murtland, MD Steven J. Packer, MD Jerry M. Parker, MD George H. Penn, MD Richard A. Pirotte, MD Tony Pruthi, MD Benjamin T. Richards, MD James M. Rodda, MD Susan G. Roux, MD Jerome L. Rubin, MD Donald M. Scanlon, MD Andrew Schmidt, MD Ladd D. Smith, MD Michael R. Smith, MD Charles R. Snorf, MD David D. Spilker, MD Lola S. Steinbaum, MD David S. Straface, MD Douglas E. Sunde, MD William L. Verlenden, III, MD Charles E. Whisler, MD Cary Yeh, MD Richard C. Zug, MD GIFTS FROM OUR EMPLOYEES Every day, Community Hospital employees put their hearts and souls into their work. In addition to contributing their talent and compassion, employees also make gifts to support patient care, community programs, and new facilities. Leonila Abulencia Sabah Al-Marashi Susan Alfaro Albert Alvarez Constance Andrew Tanya Anistratenko Robin Arriola Barbara Avila Paola Ball Mary Barker Eileen Barnum David Basham Jr. Yvonne Battaglia Therese Beauclair Robin Beckman-Jones Juliana Belen Jean Bell Stella Bennett Frederick Bensch Nikole Bingaman Carol Blaushild Carlyn Boggan Celeste Borosky Lindsey Brandon Thomas Bremser Jerry Brown Valarie Brown Kathleen Burke Madelyn Burke Valerie Cabaniss Arlene Capiaux Sun Carter Shontelle Chubbs Sharon Cleary Hubert Cnudde Rafaela Coakley Angela Coatu Anastacia Consiglio Maria Corn Jan Covell Coralie Cushman Tonya Daniel Kanta Datt Landau Davidson Mary De Font Darlene DeLancey Marie Diez-Quinton Dixie Dixon Constantino Dolor Carter Doupnik Michael Duarte Judy Edmonds James Edwards Tanya Emerson Patricia Emmett Laddie Erbele May Esquerra Sofia Estrella Leah Evans-Haag Donna Falknor Andrea Fernandez Marita Ferrer Susan Fitch George Flores Debra Ford Diana Forte Emily Forzani Andrew Gilhooley Franklin Gin Ana Gomez de Bermudez Richard J. Gray, MD Marilyn Green Sharon Griffin Jacqueline Grubelnik Valerie Guthrie Janice Harrell Thomas Harris Tanya Ho Mitchell Hoadley Laura Hodge Erin Hooks Kathleen Howe Paula Hughes Debbie Izquierdo Patricia Jameson Pulse Magazine

68 Anita Angel January Jennifer Jean-Pierre Cynthia Johnson Mary Johnson Kimberly Jones Michelle Jones Julie Juhl Yoe Kageyama David Kanyer Okusitino Kautai Martha Kennifer Geraldine Kenyon Kelly Kirby Lynn Kraft Amy Laboda Nenita Lacar Renee LaFrance Eileen La Mothe Laura Lane-Williams Barbara Lang Briggs Latham Unsil Lee Martisa Light Daniel Limesand Eric LoMonaco Moursha Long Elaine Lopes Margarito Lopez Jr. Martha Lopez Terril Lowe Diane Lunsford Amron Lykins Marilyn Mabaet Corinne Maloch Jennifer Marciano Daniel Marrah Sarah Matterson Mitchell Matthews Pamela McCallon Andrew McCombs Karen McDonald Daisy McGregor Lisa McGuire Diane McKean Patricia McKean Noel McKernan Roy McMullan Lynn Menashian David Misisco Alicia Molina Brenda Moore Matthew Morgan Else Morton Tracy Moyle Betty Newman Ruth Noble Daisy Noguera Mariann Novarina Tim Nylen Anne Oda John Odgers Jr. Edward Oronos Steven J. Packer, MD Sharon Paddock Michael Paul-Coker Cynthia Peck Debbie Petty Stephanie Potter Catherine Powers Sylvia Prado Brooke Prock Anna Purcell David Rabe Andrew Radcliffe Janet Rappa Lisaliana Reeves Audrey Rivera Patricia Rodrigues Kim Rose Joann Rubinstein Christine Russell Susan Russo Patricia Rutowski Maria Salameh Edmond Salanoa Yesenia Salvatierra Vincenza Sanchez Lindsey Sanguinetti Mary Savale Jodi Schaffer Laurel Schrier Victoria Sciacqua Sherry Shafer Mimie Shin Christine Short Lourdes Sinclair Kathryn Sliter Dessa Smith Joy Smith Todd Smith Deborah Sober Angela Soh Marilyn Sperle Jeanne Stevens Jared Stiver Katy Stock Melissa Taylor Niki Thompson Sherri Thornton Lisa Torculas Leslie Trapin Debbie Travaille Andrew Tronick Faanati Tui-Havea Jean Turnan Ben Umezu Debra Upham Richard Valentine Linda Vaughan Sandra Vazquez Robin Venuti Stephanie Vierra Elizabeth Vitanza Carol Vout Valerie Warren Charlene Webber-Schuss Stephen Weeks Rose Wheelus Kaarin Whitcomb Suzanne White Jay Wilkerson Alison Williams Chris Williams Phillip Williams III Nancy Willingham Jennifer Wood Kathleen Wuori Michele Melicia Young Patricia Yurus Laura Zehm Rebecca Zeller 68 Pulse Magazine 2013

69 GIFTS IN KIND The following individuals provided non-cash gifts to support patientcare needs in Kim Beals Roberta Bendner Susan Blair Catherine Blake Gail and Dan Boger Debbie and Thomas Bremser Laura and Jess Brown Vincent Cardinale and Family Patricia Carter James Cooper Christel Dillbohner and Gero Leson Joe Dimaggio Jean Duff Donald Durant Patricia and Michael Emmett Audrey Fleming Debra Ford Carla and David Garnham George Giem Liv and Jerry Harbick Gregg Hobson Barbara Homer Mike Homer Nick Homer Gary Hornbuckle Peggy Hutton Gail Hyler Joan Hyler Marion Ingber Michelle Jones Michael Katakis Nancy Kingsbury Cheryl Kinney The John Knudsen Trust Kim Kovalik Francyne and Calvin Laney David Ligare and Gary Smith Jeanne Lilly The Lewis Family Evelyn Makris Massage Envy Monterey Barry Masteller Lenore Meyer Monarch Cares Monterey Peninsula Quilters Guild Linda and David Mullally Linda and Charles Page Jane Paulsen Shirley and Willard Phillips Jr. Marian Poling Nancy Predham Judy and Abel Quinones Desiree Robinson Hans Rogge Laurel Schrier Linda Shuman Marsha Smith Susan Smith Phyllis and Robert Sokol Frances Spradlin and Gary Spradlin Judith and Charles Therrien Donald Thomas Randy Tunnell Adela Vallecillo Tim van den Berg Robin Venuti and Joseph Rock Jillian Walters Justin Ward Jerry Wetle Marian Williams Christopher Winfield Robin Winfield Ethel and James Wood Lynn and Cary Yeh, MD The honor roll is composed of donors who supported Community Hospital in Inevitably with such a list, an occasional oversight occurs. If your name has been omitted or there is an error in the listing, we apologize and ask that you notify the Development office, Community Hospital Foundation, P.O. Box HH, Monterey, CA 93942, or call (831) Pulse Magazine

70 Health education and support close to home From meditation to cancer wellness, stress management to grief support, Community Hospital provides education and information on many health-related topics. For a complete list, including dates, times, meeting places, and registration information, click Classes & Events or call CHOMP ( ). bone health American Bone Health Lecture Series Experts talk about how bone is built, risk factors for osteoporosis, effects of medications, the role nutrition plays, and more. Better Bones and Balance Halt bone loss and restore bone mass. Learn Pilates-based exercises to correct posture, strengthen muscles, improve balance and flexibility. For those who have difficulty getting up and down from the floor. Pilates for Bone Building Bone-building class using foam rollers, exercise tubes, bands, and weights. Focuses on alignment, breathing and core control, balance, spinal mobility, and postural correction. You must be able to get up and down from the floor. Total Joint Replacement Information session on pain management, physical therapy, recovery, and more for those planning hip-, knee-, or shoulder-replacement surgery. cancer Healing Art Retreat Find a creative outlet for healing the mind, body, and spirit in a one-day art workshop. No art experience required. Live longer. Live stronger. Moving from cancer patient to survivor Community Hospital s Comprehensive Cancer Center and Peninsula Wellness Center offer an interactive, motivational class series that teaches strategies for living longer and stronger after a cancer diagnosis and treatment. Topics include nutrition, stress reduction, and fitness. Look Good... Feel Better Learn techniques for wearing wigs and scarves and using makeup to enhance your appearance and outlook during treatment. Cosponsored by American Cancer Society. Patient Navigator Trained cancer survivors become one-on-one buddies to those with a new diagnosis. Call to find your match or to volunteer. Radiation Therapy Orientation Tour the department, meet staff, and ask questions before treatment starts. Your Personal Cancer Guide: A Prescription for Healing Meet with an oncology nurse educator to design a personal program for coping with the physical and emotional challenges of cancer. childbirth Breastfeeding: The Beginning Learn how to get breastfeeding off to a good start for you and your baby. Family Birth Center Tour and Orientation Tour and orientation of the Family Birth Center, led by an experienced labor-and-delivery nurse. Free online childbirth course provided to those who take the tour. diabetes Diabetes Prevention Program For those at-risk of having diabetes. Class series based on the National Diabetes Program of the U.S. Centers for Disease Control, which has shown remarkable success for those who make the behavior changes covered in the program. Diabetes Refresher: Staying on Track If it s been more than a year since you took part in Community Hospital s Diabetes Program, it s a great time for a refresher with this 90-minute class. Pre-diabetes: Stop Diabetes Before It Starts Learn five key behavior changes to help you stop diabetes. Topics in Diabetes Monthly speakers on the latest in diabetes. end of life/bereavement A Conversation with Life Discuss personal, practical, medical, and spiritual aspects of end-of-life preparation in this half-day class. Learn to prepare and communicate your healthcare wishes to your family and medical team. Grief Support: Hospice of the Central Coast Adult Bereavement Support Groups Transform pain of loss into a healing journey. Groups meet in Monterey and Salinas. Griefbusters One-on-one and in-school grief support for children and teens. Grieving the Loss of a Child Support group for bereaved parents. Find friendhip, understanding, and hope. 70 Pulse Magazine 2013

71 heart health Advanced Lipid Management Meet with a cardiologist and registered nurses to review your lab results, discuss medication, and receive a personalized nutrition and lifestyle plan to manage cholesterol and triglycerides. Cardiac Rehabilitation After a heart attack, cardiac surgery, angioplasty, or stent, work with nurses, dietitians, and exercise physiologists in a program that includes lifestyle counseling, exercise training, and education. We can help obtain required doctor s referral. Taking Control of Your Blood Pressure Learn to manage blood pressure through diet, exercise, and stress reduction in this four-session class. WellFit Rx Discover how you can manage high blood pressure, irregular heartbeat, diabetes, or other conditions through exercise and lifestyle changes, all in a supportive, monitored environment with clinical professionals to guide you. Program is a bridge to independent exercise. lung health Asthma Management Take control of your asthma by learning triggers, medications, early warning signs, peak flow monitoring, when to call the doctor, allergy control strategies, and exercise guidelines. Kick the Nic: Stop Smoking Now Partner with smoking-cessation counselor for a comprehensive assessment, including need for nicotine replacement or prescription medications. Individual appointments include medication review, action steps, and learning to manage urges and change behavior. Free 30-minute introductory appointment. Pulmonary Rehabilitation Medically supervised exercise and education program for those with chronic obstructive pulmonary disease, emphysema, chronic bronchitis, asthma, or cystic fibrosis, and pre- or post-lung surgery patients. Manage symptoms and anxiety, and increase activity. pre-teen/teen Safe Sitter Two-day class for year-olds, who will learn CPR, sitter safety, accident management, and basics of childcare. weight management Body Composition Analysis Learn your body mass index (BMI) and percentage of body fat, lean tissue, and body water. Emotional Eating Learn to manage troubling thoughts and emotions, reduce stress and anxiety, and change self-defeating behaviors related to weight in this six-week class. Preparing for Bariatric Surgery: What Can You Eat Afterward? How and what can you eat after gastric bypass or lap-band surgery? Find out in this one-session class. Supermarket Tour Registered dietitian leads an eye-opening supermarket tour, teaching you how to read nutrition labels. Weigh of Life Don t diet. Learn long-term, positive changes to manage weight. Clinical dietitian leads this 16-week course. Weight-loss Surgery Informational Seminar Learn about obesity, strategies for weight loss, and surgical options from Dr. Mark Vierra. wellness: body and mind Attention Issues 101 For Adults Develop strategies to improve concentration, planning, and organization in this four-week class. For ages 18 or older. Screenings available for additional fee. Health Resource Library Our community lending library has an extensive collection of books, videos, and audiotapes on health-related topics. Also lends wigs and caps. Guided tours of internet resources by our librarian or volunteer staff. Living Well Workshop: Take Charge of Your Health Learn to work with your doctor and manage your symptoms from an ongoing health condition like arthritis, diabetes, or heart, breathing, or back problems. Mindfulness Meditation An eight-week course on coping with stress or a chronic condition through meditation, gentle movement, and group support; based on the work of Jon Kabat-Zinn. Mood Management I Conflicts in relationships? Overwhelmed by emotions? Acting in self-defeating ways? Understand the connection between thoughts and emotions, and learn to manage change in this six-week class. Mood Management: Interpersonal Skills Learn effective ways to interact with family, co-workers, and others in this six-week class. T ai Chi T ai chi s slow, gentle movements strengthen arms and legs, improve balance and flexibility, prevent falls, and help manage stress. Walk and Win Strengthen your heart and body in this walking program at Monterey Peninsula College track. support groups Alzheimer s Family AWAKE: Alert, Well, and Keeping Energized (sleep apnea) Breast Cancer Early Support Cancer Wellness Caregivers Drop-in Program Chronic Pain Diabetes Epilepsy Ostomy Parents of Difficult Teens Prostate Cancer Self-Help Group of the Central Coast Restless Legs Syndrome Stroke Weight-Loss Surgery (4 groups) For recent patients Advanced after 1 year Adjustable bands Back on track Women s Cancer Support Accommodations (services and aides) are available for those with special needs by pre-arrangement. Please call CHOMP ( ) at least one week in advance to make arrangements. Pulse Magazine

72 pulse magazine Community Hospital Foundation Post Office Box HH Monterey, CA Non-Profit Org. U.S. Postage P A I D Community Hospital Foundation Go green, go electronic If you would like to read Pulse online instead of on paper, us and we ll send you a link to the next issue. us at: subscriptions@chomp.org. Be sure to tell us the address you would like removed from our mailing list. You can also download an ipad app from the App Store. Search for Pulse, Monterey. If you have other subscription changes, send them to the address above or call (831) Pulse Magazine 2013