healthy living for the south bay - torrance, ca · pdf filehealthy living for the south bay...

H E A L T H Y L I V I N G F O R T H E S O U T H B A Y

SUMMER 2015

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torrancememorial.org PULSE | 3

M A G A Z I N E

DEAR READERS,

Torrance Memorial remains at the forefront of coordinating advanced medical care and expertise in our community. We are fortunate to have a collaborative relationship with the highly skilled physicians on our medical staff who specialize in detecting and treating both common and complex ailments. Likewise, our nurses and other clinical staff members provide an amazing level of knowledge to our patients.

In this issue of Pulse you will learn about many of these experts, including a multidisciplinary team of oncology specialists who meet weekly to examine in detail the cancer cases we see in the South Bay. Not only have these dedicated individuals trained at the finest teaching hospitals in the country, they care deeply about their patients. They work tirelessly to find solutions to the toughest cases.

Lastly, enjoy the inspiring stories about our nurses recognized by patients and their families for the unique ways they make patient care more than just another hospitalization. They demonstrate our values of Service, Excellence, Knowledge, Stability and Community every day, making our patients feel as if they are being cared for by family.

Craig LeachPresident, Chief Executive OfficerTorrance Memorial Medical Center

58 11th Street Hermosa Beach, CA 90254

Tel 310-376-7800 Fax 310-376-0200moontidemedia.com

DIRECTOR, PUBLIC RELATIONS Ann O’Brien

EDITORJeanne Ricci

CREATIVE DIRECTOR Angela Akers

GRAPHIC DESIGNER Christine Georgiadias

COPY EDITOR Laura Watts

CONTRIBUTORSBrie Cadman

Colleen FarrellRebeccah Glaser

Carole JakucsJames F. Mills

Kristin ReynoldsNancy Steiner

Laura Roe Stevens

PHOTOGRAPHERSJeff Berting

Scott GilbertMichael Neveux

Shane O’Donnell

MANAGING PARTNERCharles C. Koones

MANAGING PARTNERTodd Klawin

BRAND PUBLISHER Hannah Lee

A Publication of the Torrance Memorial Health System

3330 Lomita Blvd., Torrance, CA 90505

PRESIDENT’S LETTER

CONTENTSCONTENTS

4 | PULSE Summer 2015

CONTENTS

At Torrance Memorial, cancer

treatment is rapidly evolving

into therapies that are less

toxic and more targeted and

with fewer side effects—

creating a better quality of

life and faster healing. Digital

illustration by Angela Akers.

2238

2820

ON THE COVER


HEALTH LINKS 8 FOLLOW YOUR HEART Monitoring patients

from afar.

9 YOUR PHONE COULD SAVE YOUR LIFE It’s all about the apps.

10 UBER NURSES The uniqueness of advanced practice nurses.

11 IT’S HOT—STAY HYDRATED

12 GOOD THINGS COME IN SMALL PACKAGES The little heart pump that could.

12 KICKIN IT, MD STYLE The United States Medical Soccer Team scores big.

13 BECOME A HEALTH VALEDICTORIAN

14 AND THE AWARD GOES TO ... NURSES

16 ASK THE DOC All about GERD.

17 NIP DIABETES IN THE BUD The YMCA shows you how.

18 CALENDAR

HEARTBEATS

20 ALEX GRAY Soul surfer

26 MARC MERCADO Medical warrior

42 JACQUELINE BARLEY New lease on life

FEATURES

22 HEALTHIEST PERSON I KNOW Special Olympics athlete Caley Versfelt takes her mark.

28 360˚ OF CANCER CARE Torrance Memorial leads

the way in research and treatment.

34 IMAGE OF THE FUTURE What’s beneath our skin is key to accurate diagnosis.

38 PAYING IT FORWARD Alice Diego-Malit’s family fosters volunteer spirit.


Even if you’ve always been the picture of health, chances are you’ve crossed paths with a nurse, whether it’s in the delivery room, emergency department or during a routine checkup at your doctor’s office. Nurses are the glue of the health care world, providing not only a compassionate ear but essential medical care. So it’s no surprise that many of the pages of this issue of Pulse are dedicated to

Torrance Memorial Medical Center’s “angels in comfortable shoes.” If you or a loved one has ever had to stay in a hospital, you may have felt that simply saying “thank you” to the nurses just doesn’t seem to be enough to convey your gratitude. Mark and Bonnie Barnes felt that way and decided to create The DAISY Award program in 1999 to honor the memory of their son, Patrick Barnes. On pages 14 and 15, we celebrate recent DAISY Award recipients. And visit page 50 to sneak a glimpse of the new DAISY Award “Healer’s Touch” statue at Torrance Memorial.

Pro surfer Alex Gray has experienced firsthand the healing power of nurses. In “Soul Surfer” (page 20) he reveals how, in 2008, he was admitted to Torrance Memorial after a bacterial infection led to a bout of pleurisy: “I had nurses coming in on the hour, which was amazing. Having that amount of supervision was comforting because I was scared—very scared.” Gray’s positive experience proves how competent nurses can make a significant difference in a patient’s final health outcome.

—The Editors

CONTRIBUTORS

CAROLE JAKUCS, RN, BSN, PHNCarole is a freelance writer,

certified public health nurse and health/fitness enthusiast who

writes for a variety of publications.

NANCY STEINER

Nancy is a freelance writer specializing in health,

medicine and human interest. Her work has appeared in

Los Angeles Times Magazine, Southbay Health and other

publications.

KRISTIN REYNOLDS Kristin is a journalist and PR

executive currently working at the Manhattan Beach-based nonprofit Pancreatic Cancer

Action Network. A North Carolina native, she resides in

Hermosa Beach.

EDITOR’S LETTER

Torrance Health IPA Can Help

Turning 65? On a Retiree Plan?Have Recently Become Eligible for Medicare?

Learn about Medicare and the different types of insurance plans available to you including Medicare HMO, Supplements (or Medi-gap), and Part D prescription plans. Attend THIPA’s complimentary...

Torrance Health IPA (THIPA) is a non-profit multi-specialty physician network and a division of Torrance Memorial Health System. THIPA has been serving the South Bay community for more than 30 years. Our members have access to high- quality and personalized care from over 350 primary care and specialist physicians as well the nationally recognized Torrance Memorial Medical Center.

1-310-257-7239 Medicare ResourcesNeed TTY services? Call 711www.thipa.org

MedicareEDUCATIONAL PROGRAM

Moderated by Norman Panitch MD, Chairman, THIPA Physician Council

* This is an Educational Program Not a Sales Meeting.

Complimentary meal will be provided

Seating is limited. To make a reservation call 310-257-7239 or visit www.thipa.org/Medicare101

Pulse_AD_Color_9x11.indd 1 7/30/15 5:00 PM


If congestive heart failure is afflicting you or a loved one, you may be all too familiar with the challenges of keeping it under control. When heart muscle

function is abnormal, it is either too weak and not able to pump effectively, or too stiff and not able to relax properly. Both result in congestive heart failure (CHF), a condition which results in fluid backing up into the lungs and other parts of the body—causing shortness of breath and swelling.

Torrance Memorial Medical Center now offers the latest FDA-approved technology to help. Pulse recently met with Victoria Shin, MD, an interventional cardiologist with the Torrance Memorial Physician Network—South Bay Heart, to learn more about the new treatment and the CardioMems Pilot Program.

The program began in March 2015 and involves implanting a monitoring device known as the CardioMems HF System in a patient’s pulmonary artery, which carries blood with low levels of oxygen from the right ventricle of the heart to the lungs.

It’s an outpatient procedure that takes approximately one hour, and Dr.

Shin was the first doctor in the South Bay to perform it.

“The patient goes home the same day with a monitoring system that is fairly user-friendly. It includes a pillow with a sensor. The patient lies down on the pillow daily, pushes a button to send their measurements via computer to a mainframe that collects and stores the data,” says Dr. Shin.

The device allows physicians to monitor the patient’s internal pulmonary pressures on a daily basis. If an increase in pressure is noted, the physician will call the patient and instruct them to change certain medications or come in for an appointment.

This allows physicians to “nip it in the bud and help to prevent hospitalizations due to decompensated heart failure,” says Dr. Shin. “Patients also need to be compliant with their medications and invested in their health care.”

Dr. Shin describes the measurements as more accurate and earlier markers of heart failure than other signs and symptoms such as weight gain, swelling and shortness of breath. “By the time these symptoms arise, it’s almost too late,” she says.

Patients are considered candidates for the system if they have class 2 to 3 heart failure resulting in slight to marked limitations in physical activity, have been hospitalized within the past year and have a history of repeated CHF admissions. “These patients benefit most from daily monitoring to prevent the condition from worsening,” says Dr. Shin.

Roxanna Balter, NP, helps to co-manage all patients admitted to Torrance Memorial with a primary diagnosis of heart failure along with all of the CardioMems Pilot Program patients. She works in conjunction with the physicians and teaches patients about CHF and self-care measures. So far, four patients have had a CardioMems device implanted. Their daily pressure measurements are sent to Balter for monitoring and review.

“I look not only at the daily readings but also for trends. If there is a concern, I call the patient and their physician,” she says. This is done to prevent a worsening of the patient’s CHF by intervening with a medication adjustment sooner rather than later. Patients are also instructed to call 911 for any worsening of symptoms such as shortness of breath.

FOLLOWING YOUR HEART

THE CARDIOMEMS PILOT PROGRAM ALLOWS DOCTORS TO MONITOR PATIENTS’ HEARTS FROM AFAR.WRITTEN BY CAROLE JAKUCS, RN, BSN, PHN

HEALTH LINKS


Thanks to the rapid rise of technology, all of the medical tools necessary to promote a healthy, safe lifestyle are no further than the screen of your smartphone. Here are five of our favorites:

ALIVEECG BY ALIVECOR Record an electrocardiogram (ECG) with ease using AliveCor’s user-friendly app. By simply placing your finger on the screen of your smartphone or tablet, you can immediately measure the rate and rhythm of your heartbeat. AliveCor’s

cutting-edge technology also determines if atrial fibrillation (a top cause of strokes) has been found in your ECG. AliveECG allows your ECGs to instantly be shared with your doctor or other health care professional, ensuring that you receive the most accurate information possible. All of these features can be accessed quickly and easily, whether you’re out running errands or making dinner at home.

WEBMDIf you have small children, a sketchy immune system or just need a comprehensive app to easily check symptoms, WebMD is for you! This innovative app allows you to check your symptoms using an animated

body model, set helpful reminders for medication consumption, access first aid materials easily and even use your location to find hospitals near you. Matching symptoms with a diagnosis has never been easier—or faster. WebMD is the perfect on-the-go tool, allowing you to maintain your busy lifestyle without sacrificing lifesaving medical information.

GLOOKO For diabetics, monitoring symptoms on the road can be a tedious process. If you’re looking for an app that combines all of the tools necessary to remain active and healthy while controlling your blood sugar, Glooko is the perfect solution.

With a few taps and swipes, you can import glucose data from your meter, set reminders for checking blood sugar and taking medication, and even monitor your blood pressure and weight. If your memory tends to fail you, insulin, food and medication can easily be logged using Glooko’s expansive database—it’s the ultimate lifestyle journal.

ICEICE is a streamlined and all-inclusive app that allows you to log all emergency information in detail. You can enter emergency instructions in several languages, a list of emergency contacts, copies of your ID and insurance

cards, medical conditions, medications and family information. ICE can even be enabled to run on your lock screen, so if you encounter a life-threatening situation, emergency workers can easily access your health information by simply tapping your screen. A new update allows you to enable Smart911, which authorizes 911 operators to access a wealth of emergency information almost instantaneously.

FIRST AID BY AMERICAN RED CROSSPerfect for families with school-aged children, Red Cross’s First Aid app provides you with every resource possible for dealing with emergency situations. Whether you’re dealing

with minor cuts and burns or choking, First Aid’s user-friendly, step-by-step instructions ensure that you’ll handle emergencies correctly each time. To guarantee that you fully understand each emergency procedure lesson, you can also access several unique quizzes to test your first-aid knowledge.

THESE APPS COULD SAVE YOUR LIFE

WRITTEN BY REBECCAH GLASER

USE YOUR SMARTPHONE TO MONITOR YOUR HEART RATE,

CONTROL YOUR BLOOD SUGAR, ANALYZE SYMPTOMS AND MORE.

HEALTH LINKS

1 0 | PULSE Summer 2015

Most people haven’t heard the term “advanced practice nurse,” but many of us have had the benefits of interactions with these highly

trained and skilled clinicians. In addition to a nursing degree, advance practice nurses (APN) require a master’s degree and specialization in their chosen field.

The California Board of Registered Nurses recognizes four types of APNs: clinical nurse specialist, nurse practitioner, certified registered nurse anesthetist and certified nurse-midwife. At Torrance Memorial Medical Center, patients will find two of these: nurse practitioners and clinical nurse specialists.

According to Barbara LeQuire, MSN, CNS, PNP, vice president of nursing services and a pediatric nurse practitioner and clinical nurse specialist in neonatal care, these nurses have diverse roles. “Caring for patients and families, developing staff nurses, leading organization-wide practice changes and committees, academia or working directly with physicians” are all functions of an APN, she notes.

Clinical nurse specialists often plan

educational rollouts for their individual units or for nurses throughout the hospital. At the Torrance Memorial Cancer Resource Center, for example, advanced practice nurses offer information on diet, exercise and lifestyle choices for cancer survivors, which can help with recovery and diminish the risk of recurrence.

Patients may be familiar with having office visits with nurse practitioners, who often assume high-level roles. “They are clinical experts who round daily with physicians, assess and plan patient care, write prescriptions and discharge patients,” says LeQuire.

Mark Lurie, MD, medical director of the Lundquist Cardiovascular Institute at Torrance Memorial, notes that the nurse practitioners he works with in cardiology truly make a difference for both doctors and patients. In the Heart Failure program, for instance, patients often come in with serious illnesses and have many issues to address. The nurse practitioners are able to interpret results from medical tests and scans, counsel patients and, perhaps most importantly, pay close attention to all

aspects of an individual’s care. “For physicians, they make our lives

easier. For patients, they make their lives far more pleasant,” says Dr. Lurie.

Dr. Lurie credits the Heart Failure Program’s Gold-Plus Quality Achievement Award from the American Heart Association to nurse practitioner Roxanna Balter, MSN, ACNP, CHFN, who helped organize the team and adheres to the rigorous, evidence-based guidelines required for accreditation.

By focusing on best practices, APNs help lead, support and improve patient care on a daily basis, says LeQuire. She proudly notes that Torrance Memorial has earned the coveted “Magnet” recognition from the American Nurses Credentialing Center, which recognizes health care organizations that provide excellence in nursing.

“With our experts side-by-side with our staff on a daily basis, these APNs make a difference every day,” she says. “Our patients benefit by their knowledge, expertise and focus on improving outcomes, and that makes us one of the state’s best hospitals as noted in U.S. News & World Report.”

WRITTEN BY BRIE CADMAN

TORRANCE MEMORIAL’S ADVANCED PRACTICE NURSES PROVIDE HIGH-LEVEL CARE—COUPLED WITH COMPASSION—DAILY.

NURSES: THE HEART OF HEALTH CARE

HEALTH LINKS


XXXXXXXHEALTH LINKS

5 WAYS TO LIVEN UP WATER AND STAY HYDRATED.

BOTTOMS UPWRITTEN BY REBECCAH GLASER

Do you dislike the taste of plain water—or find it difficult to consume your recommended daily intake of liquids without getting bored? According to the National Institutes of Health, an average person on an average day

needs about three quarts of water. But if you’re out in the hot sun, you’ll need a lot more than that. Elderly people and young children need to be especially careful.

An aversion to water can leave you reaching for unhealthy options like soda to quench your thirst. Don’t despair—there are a multitude of solutions to keep you happy, healthy and hydrated. Here’s how to liven up your daily eight cups without sacrificing flavor.

1. BOTTLE ITCreated by a high schooler to combat

childhood obesity, the Define Bottle is a delicious and unique way to not only consume your recommended daily water intake, but increase your consumption of essential vitamins and minerals present in fruits and veggies. The bottle includes two cylinders and a filter. Simply add your favorite fruits, veggies or herbs to the bottom cylinder, screw on the filter and then attach the second cylinder and fill with water. The innovative design provides all the flavor of fruit-infused water with none of the pulp, seeds or mess! Some scrumptious combinations include cucumber and mint, strawberry and mango or even lemon and rosemary. You can purchase a variety of different Define Bottles at definebottle.com, or stop by Torrance Memorial’s HealthLinks on

the first floor of the West Tower for additional infused water bottles options.

2. ICE, ICE BABYSummer is here, and with all

the sun, sand and surf comes the possibility of dehydration and heatstroke. A yummy way

to prevent both? Blended fruit ice cubes! Not only can they make a plain glass of water come alive with flavor, they can help prevent overheating and are easy to prepare. Simply puree your favorite fruit or combination of fruit in a blender, pour into ice cube trays and freeze. A few delicious ideas: mint-strawberry, blueberry-raspberry, kiwi, pineapple-cherry and watermelon.

3. ADD FLAVORPowdered drink mixes may entice you to consume more water,

but the aspartame, soy lecithin and artificial flavors found in most popular brands aren’t ideal. Natural Vitality is the perfect substitute for those chemical-filled powders. It comes in classic flavors such as cherry, sweet lemon, orange and raspberry lemon and contains organic stevia and organic fruit flavorings combined with ionic magnesium to help boost the immune system. Purchase at naturalvitality.com.

4. EAT YOUR WATERIf you find it tedious to tote around bottles of water all day,

here’s a solution that might sound too good to be true—but isn’t: eat your water. Foods like watermelon, cucumber, pineapple and romaine lettuce are 95% water. Instead of reaching for a glass of H20, enjoy a cucumber-tomato salad, chunks of watermelon, pineapple spears or a salad made with romaine. All are refreshing, filling and hydrating. While foods with high water content shouldn’t completely replace beverages, they can easily supplement your water intake.

5. PERK IT UPGreen tea is ideal for

those who are bored by the monotonous taste of water. With a delicate and grassy flavor, green tea is chock-full of polyphenols, which fight free radicals and promote youthful skin. And it contains a moderate amount of caffeine. Enjoy it hot or cold with a squeeze of lemon or a sprinkle of stevia.


Golf tends to be the sport most people think of doctors playing. But for a group of physicians, soccer is their game. In fact,

they’re so dedicated to the sport they’ve formed the United States Medical Soccer Team (USMST). Although the USMST was primarily made of physicians from Southern California when it was created in 2009, as word spread, doctors from all across the country have joined.

“We’re up to 30 members now, ranging from their 30s to their 50s. We had tryouts in February, and nine more physicians joined—so we’re truly a national team now,” explains Brett Lorber, MD, an emergency medicine physician

at Torrance Memorial Medical Center. “Three times a year we fly in for a weekend of practice and then play a local team.”

Soccer may seem like a dangerous game for physicians to play, but Lorber reports the fun and camaraderie of the game outweighs the risks. “All sports have potential for injury,” says the 40-year-old San Diego native who is the team’s left fullback. “It’s a question of how much fun are you having, what is it worth to you to have that fun and what are the chances of injury.”

In late June and early July the USMST hosted the 2015 World Medical Football Championships in Long Beach, a tournament that saw 20 teams from

19 different countries coming to play a week’s worth of games for the World Cup. While the Czech Republic won the Cup, the American doctors came in 3rd place out of 18 teams, defeating the Ukraine on July 4.

Playing on the USMST, which Torrance Memorial sponsors, also allows the doctors to be good role models for their patients. “One of the unspoken truths is that physicians talk the talk but don’t necessarily walk the walk,” says Lorber. “This is about setting a good example for the whole country by actually going out and doing something with your body, exercising and feeling good about yourself.”

For more information about The United States Medical Soccer Team, visit usmedicalsoccer team.org.

WRITTEN BY JAMES F. MILLS

KICKIN IT, MD STYLETHE UNITED STATES MEDICAL SOCCER TEAM (USMST) BRINGS TOGETHER MEDICAL PROFESSIONALS FROM ACROSS THE U.S. WHO SHARE A PASSION FOR SOCCER.

Torrance Memorial is the first hospital in the South Bay to use a newly FDA-approved blood pump that helps patients maintain stable

heart function during high-risk cardiac procedures. In April, the manufacturer of the pump, Abiomed, brought its Mobile Learning Lab, which spans 20 parking spots, to the hospital.

Inside the lab, Torrance Memorial staff received hands-on training on the Impella 5 System, which is intended for temporary use to help patients maintain stable heart function and circulation during

certain high-risk, coronary intervention procedures such as balloon angioplasty and stenting, which reopen coronary arteries that are narrowed or blocked. The Impella heart pump helps reduce the workload of the heart so patients who have had either a massive heart attack or have very weak overall heart function can maintain sufficient blood supply to the heart during such high-risk procedures.

The hands-on training enabled cardiologists, nurses and cath lab staff to learn critical information about the Impella system.

LEARNING EXPRESSA MOBILE LAB VISITS TORRANCE MEMORIAL TO PROVIDE TRAINING ON THE WORLD’S SMALLEST HEART PUMP.

Ray M. Wyman, MD, interventional cardiologist, demonstrates the world’s smallest heart pump.

HEALTH LINKS


SEPTEMBER 14 TO NOVEMBER 2 MondaysHEALTHY BONES: THE FELDENKRAIS METHOD FOR IMPROVING BONES9 to 10 a.m. $72 This unique, safe and gentle exercise concept is widely recognized to support bone strength and help prevent further degeneration. WHERE Health Education Center, 3105 Lomita Blvd., TorranceINFO torrancememorial.org/classes or call 310-517-4711

SEPTEMBER 15MEDICATIONS 1011 to 3 p.m. FreeIt’s so important to understand medications. At this lecture, a Torrance Memorial pharmacist will help you increase your knowledge about topics such as:

> Definition of medication> Actions and side effects> Medication interactions> Regulations for herbals, dietary

supplements and medications> Organization of medication list

WHERE Torrance Memorial Medical Center– West Tower, 3330 Lomita Blvd., TorranceINFO torrancememorial.org/classes or call 310-517-4711

SEPTEMBER 17 TO OCTOBER 15 ThursdaysHOW TO B.E.A.T. EVERYDAY STRESS6:30 to 8 p.m. $60 Stress is a part of life, but your reaction to it contributes either positively or negatively to your overall health. By examining your Body, Environment, Attitude and Thoughts, you can learn new and better ways to respond to stress, leading you to more optimal health. During this five-week series you will:

> Learn how stress affects the body> Practice exercise techniques

> Discuss nutritional strategies to replenish the BODY’s energy

> Gain skills to de-clutter your ENVIRONMENT

> Learn to shift your ATTITUDE to see any situation’s positive aspects

> Focus your THOUGHTS and learn to quiet the mind.

WHERE Torrance Memorial Medical Center–West Tower, 3330 Lomita Blvd., TorranceINFO torrancememorial.org/classes or call 310-517-4711

OCTOBER 13A TASTE OF MEDITATION6 to 7:30 p.m. $15 Meditation is an ancient method that calms the mind and helps cultivate awareness and a higher state of consciousness. Those who participate in meditation may experience lowered blood pressure and improved cardiovascular health. When practiced regularly, meditation can reduce stress, ameliorate some kinds of physical and emotional pain, and lead to a more compassionate life. WHERE Torrance Memorial Medical Center 3330 Lomita Blvd., TorranceINFO torrancememorial.org/classes or call 310-517-4711

OCTOBER 14PSYCHOLOGY OF HEALING6:30 to 8 p.m. By donationThis discussion will explore the different ways to enhance the healing capacity with more holistic models of empowerment for lifelong health. Presented by Dana Hodgdon, PhD.WHERE Torrance Memorial Medical Center, 3330 Lomita Blvd., Torrance INFO torrancememorial.org/classes or call 310-517-4711

LIFE IS IN SESSION

DISCOVER WAYS TO EAT HEALTHIER, LIVE LONGER

AND PREVENT DISEASE.

For more choices, visit torrancememorial.org/

classes or call 310-517-4711.

Each month Torrance Memorial Medical Center offers a number of classes to help advance your health knowledge—ranging from general health education, childbirth, mind and body, and health and wellness

to life-saving skills and financial security. Here is a sampling of

upcoming offerings.

HEALTH LINKS


If you or a loved one has ever had to stay in a hospital, you may have felt that simply saying “thank you” to the nurses just doesn’t seem to be enough to convey your gratitude.

Mark and Bonnie Barnes felt that way and decided to create The DAISY Award program in 1999 to honor the memory of their son, Patrick Barnes, who died at age 33 of complications of idiopathic thrombocytopenic purpura (ITP) after an eight-week hospitalization at the Seattle Cancer Care Alliance. (DAISY is an acronym for Diseases Affecting the Immune System.)

They had no idea the program would end up in more than 1,900 health care facilities in 50 states and 14 countries. The impact of the program on nurses and their organizations is deep, affecting nurses’ job satisfaction, retention, teamwork, pride and more.

In 2008 Maricarmen Luhrsen, RN, MSN, director of Magnet/patient experience at Torrance Memorial, met Mark and Bonnie Barnes at the National Magnet Conference. She was so inspired by their story that, upon her return home, she approached Peggy Berwald, RN,

MSN NEA-BC, Torrance Memorial’s Senior Vice President, Patient Services/CNO, with the request to implement the DAISY program at Torrance Memorial.

“Of course I completely supported it,” says Berwald. “It is my privilege and honor to read all the comments sent by patients, families, co-workers and physicians to recognize our outstanding and compassionate nurses. Reading them and honoring these recipients is the highlight of my career. What I am always amazed at is how humbled, embarrassed and grateful the recipients are, and how many of them say to me,

‘I didn’t do anything special. I was just doing my job.’”

Each month, one nurse is awarded a DAISY award and presented with a statue. Patients and families can nominate nurses by filling out postage-paid postcards, which are available throughout the hospital. Below are recent DAISY award recipients and their nominating stories. (The identity of the nominators is kept anonymous.)

Nakisha Purnell, RN: “This nurse was our nurse during the birth of our first baby. During the whole process she kept us informed and explained everything I

was experiencing. She is such a calm, sweet, loving nurse that made my husband and I feel so comfortable going through this new experience. During labor our daughter’s heart rate dropped, and the nurse came in so calmly and administered interventions to help our daughter recover. This could’ve been a scary situation for first-time parents if it wasn’t for this nurse. Our daughter came so quickly that our regular obstetrician wasn’t able to be present for the delivery. But my husband and I knew that we were in great hands with this nurse. She was so sweet; she even came

to check on us the next day. This meant a lot to me and my husband. Thank you for sharing the best day of my husband’s and my life. Thank you for ensuring that my daughter and I were safe throughout the whole process. Thank you for being so kind to my husband and making him feel so involved and important. We will never forget you and are so grateful that you were our nurse. You are the best, and we know you will continue to touch the lives of so many families.”

Erika Deane, RN: “I am convinced NICU [neonatal intensive care unit]

WHEN “THANK YOU” ISN’T ENOUGHPATIENTS HONOR TORRANCE MEMORIAL NURSES BY NOMINATING THEM FOR DAISY AWARDS.

Left to right:Nakish Purnell, RN, Labor & Delivery;Erika Deane, RN, NICU;Lisa Palm-Alkadis, RN, Pediatrics;Julie Kuennen Block, RN, Home, Health & Hospice;Naiwei Hsu-Chang, RN, Burn ICU;Jimmy David, RN, Orthopedics.


nurses are the most extraordinary employees Torrance Memorial has to offer. After eight weeks with my daughter in the NICU, I strongly recommend this nurse for the DAISY Award. Not only does she continue to provide unparalleled care to my daughter and the other babies in the NICU, she also goes above and beyond to support me as a new mother. I have proven to be an incredibly demanding mother, and this nurse gracefully exceeds my expectations. Normally night nurses bathe the babies. I asked this nurse, and she gladly took time out of her day to bathe my daughter with me during the day.

The next day she noticed my daughter was not looking as lively and pointed out her observations to the doctor. It turned out my daughter did have an infection. Because this nurse took the time to get to know my daughter, her infection was

caught early. She also called me when the diagnosis was made. Understanding my need for information, she continues to call me when things change with my daughter. Doctors in the NICU use a lot of clinical language when they are explaining what is happening to your child, and this nurse has a way to explain each situation to me in a way that not only do I understand but I also feel good about what is happening. All the routine changes have also been difficult for me, and I don’t think I would have made it through without this nurse,

who reassures me in a way that I can confidently say no one else can do. She is truly extraordinary.”

Lisa Palm-Alkadis, RN: “My daughter has been hospitalized over eight times with asthma that turns into pneumonia. She is 3 years old. The compassion that I always receive from Torrance Memorial is stellar. Lisa was knowledgeable, and I trusted her totally. My daughter could barely breathe, with oxygen of 86%. I know that this is more than a profession; it’s her passion, and it shows.”

Julie Kuennen Block, RN: “Julie Kuennen Block went to extraordinary measures to ensure that a patient was able to receive a desperately needed drug when he could not afford to pay for it. His insurance carrier and Medicare part D would not provide assistance. She assisted the patient in applying to an assistance program through the

drug manufacturer, and he was denied. She was relentless in searching for a solution—calling pharmacies, the health plan and the drug company again and again. Finally the drug company reviewed his case and is providing some financial support. Julie proved to be an incredible patient advocate, and her work could very well have saved this patient’s life. The patient’s wife wrote that she was ‘so appreciative for what Julie did’ and that she ‘prays for her every day.’ The son wrote that he is ‘so grateful’ for Julie’s efforts and that his dad is ‘doing

great now that he is on the medications’ and reports that Dad is even ‘doing push-ups and sit-ups.’”

Naiwei Hsu-Chang, RN: “I would like to recognize this nurse from the burn unit. I was admitted to the burn unit and was there for 43 days. The entire staff of the burn unit was so exceptional—to choose one who rose above the other says a lot.

This nurse always exhibited extraordinary nursing skills, care and unparalleled compassion. She showed such a high level of knowledge and skill. Torrance Memorial should know they are represented by the type of person she is. I believe her exemplary work should not only be recognized but should be used as an example of a goal to be strived for. She was so adept; she always seemed to anticipate my every need before I could ask, from day 1 to day 43. This

made my recovery so much easier, and I am forever grateful for her.”

Jimmy David, RN: “He is a joy making the hospital stay bearable. They broke the mold with him. He anticipates your every need. He is kind, caring and has a wonderful heart. I’ve never experienced this level of nursing care. He truly takes an interest in your healing and will do the best he can and even go out of his way to help. He is definitely an asset to Torrance Memorial. He stands out as a shining example of what a nurse should be.” �

HEALTH LINKS


Everyone experiences heartburn once in a while, usually after a large or spicy meal. Most people just pop a few antacids, but for some, over-the-counter

medications aren’t enough. If you continue to have heartburn symptoms even after taking non-prescription drugs, you might have gastroesophageal reflux disease (GERD). Pulse recently spoke with gastroenterologist James A. Sattler, MD, medical director, Digestive Care Consultants, to learn more about it.

WHAT IS GERD?Gastroesophageal reflux occurs

when the muscle at the bottom of the esophagus weakens or relaxes when it should not, allowing stomach contents to flow back into the esophagus rather than passing through the stomach into the intestine. All people reflux to some degree. It’s considered gastroesophageal reflux disease if symptoms are present more than twice a week for a few weeks. Some large hiatal hernias can also lead to increased amounts of reflux.

WHAT ARE THE SYMPTOMS?Since stomach contents are acidic, the

most common symptom of GERD is a burning sensation in the upper abdomen, which often radiates to the area under the breast bone. This is commonly known as heartburn. A sour or bitter taste in the mouth may be present. Some of the less common symptoms occur when stomach contents reflux above the esophagus causing throat pain, hoarseness, chronic

cough, the sensation of a lump in the throat, asthma, dental

erosions, burning in the mouth, or recurrent sinusitis.

HOW CAN YOU PREVENT GERD?Limit foods and habits that relax

the lower esophageal sphincter such as caffeine, alcohol and tobacco. Don’t excessively fill the stomach. Eat smaller portions, more frequent meals, limit carbonated beverages and fatty foods. Maintain a normal weight to decrease pressure from the abdominal wall on the stomach. Stop eating a few hours before bedtime so there is less food to reflux.

HOW IS GERD DIAGNOSED?There is no specific test. A diagnosis

of GERD is generally made by the presence of symptoms that respond to lifestyle modifications or a short course of treatment with acid-reducing medications such as histamine 2 (H2) blockers or proton pump inhibitors (PPIs). Patients should first see their primary care physician. Referral to a gastroenterologist may be needed for further evaluation and possible endoscopy to evaluate the lining of the esophagus, stomach and duodenum.

WHAT ARE THE RISKS OF UNTREATED GERD?

Ulceration and possible narrowing of the esophagus leading to difficulty swallowing. Exacerbation of asthma, bronchitis, sinusitis and rarely pneumonia. A change in the lining of the esophagus (known as Barrett’s esophagitis), has a small risk of developing into esophageal cancer.

WHEN IS SURGERY RECOMMENDED?

Generally, it’s an individual personal decision for patients with symptoms that do not respond to or only partially respond to lifestyle modifications and medication. Often patients with significant regurgitation of stomach contents don’t adequately respond to medical treatment alone. Surgery is recommended to prevent irreversible damage to the lungs for patients whose GERD is unresponsive to treatment and continue to experience symptoms of asthma, bronchitis or pneumonia.

WHAT’S NEW IN GERD TREATMENT?

There are new, state-of-the-art diagnostic tools now available at Torrance Memorial Medical Center. One of these enables us to treat some GERD patients endoscopically with a procedure known as a Transoral Incisionless Fundoplication (TIF), which repairs the gastroesophageal valve without incisions via the mouth, reducing the need for traditional surgery. Torrance Memorial has excellent specialists employing the latest minimally invasive surgical techniques.

TELL US ABOUT THE COORDINATION OF CARE.

For the majority of patients, coordination of care involves their primary care physician and gastroenterologist. The team approach for patients that have GERD symptoms affecting their throat, sinuses or lungs involves the primary care physician and gastroenterologist who collaborate and coordinate additional care with the ENT (ear nose and throat), pulmonary (lung), allergy and surgical specialists as needed.

HOW CAN I TREAT GERD?WRITTEN BY CAROLE JAKUCS, RN, BSN, PHN

ASK THE DOC


Despite being home to one of the most health-conscious populations in America, 1 in 10 of Los Angeles County’s residents suffers from diabetes.

The cost of treating diabetes and its complications adds up to a hefty $6 billion annually—costing a pretty penny in both community health and resources. A solution, however, is brewing in the county’s YMCAs.

Created in partnership with the Centers For Disease Control (CDC) and the Torrance Memorial Lundquist Cardiovascular Institute, the YMCA Diabetes Prevention Program at the Torrance-South Bay YMCA was born with one idea in mind: to assist at-risk community members in creating a healthier lifestyle.

“Torrance Memorial and the Torrance-South Bay YMCA have had a long-standing mutually supportive community partnership,” says Claire Coignard, director of health education and outreach services for Torrance Memorial. “Our Lundquist Cardiovascular Institute had been seeking an opportunity to develop some supporting practices in the

community for managing prediabetes. This collaboration was an opportunity to impact community health.”

The program’s goal: to help participants achieve a 7% weight loss and increase physical activity to 150 minutes per week by creating an educational and positive environment that is conducive to forming healthy new habits. Its design nips diabetes in the bud, treating those who are considered to be prediabetic.

“The Torrance-South Bay YMCA’s Diabetes Prevention Program has already positively impacted the health of many participants in this program,” says Jamisson Costa, the program’s regional director. “Participants were able to become more active, adopt healthier eating habits, achieve substantial weight loss outcomes and reduce their risk of developing type 2 diabetes. The partnership with Torrance Memorial has enhanced the quality of the lifestyle intervention for diabetes prevention. I am thrilled to be able to witness and be a part of the effectiveness of this program.”

Facilitated by a trained lifestyle coach in a small group setting, participants learn new skills and develop healthy habits over 12 months. From exercise tips

to advice on portion control, calories and fat, the program has a staggering success rate—most will destroy diabetes before it even has a chance to take root. And the support doesn’t end there—participants receive a family membership to the YMCA while in the program.

“I learned about the YMCA diabetes program from my doctor [Anna Mellor, MD]. She mentioned group exercises and weekly meetings,” says Kerry Hutchins, a program participant. “None of that appealed to me, and though I was pessimistic, I decided I would try it. To my surprise the group exercises have become my favorite part! I have met wonderful lifestyle leaders and exercise instructors who have encouraged me and helped me grow as a person. There are still challenging days, but then I focus on where I started and the progress I have made—and it helps me to continue to pursue this healthier life.”

The numbers speak for themselves. One group boasted an average weight loss of 6% after just 4 months. A weight loss of as few as 10 pounds can drastically improve insulin resistance, allowing prediabetic participants to continue on the road to a worry-free lifestyle.

NIP DIABETES IN THE BUDTHE YMCA, IN PARTNERSHIP WITH TORRANCE MEMORIAL MEDICAL CENTER, HELPS PREDIABETICS TURN THEIR LIVES AROUND.

The program is offered at several

locations through-out the South Bay and LA County. To

find out more, visit ymcaLA.org/DPP

or contact Jamisson Costa at 310-602-4905 or JamissonCosta@

ymcaLA.org.

WRITTEN BY REBECCAH GLASER

COMMUNITY BENEFIT

CALENDAR


SEPTEMBER 21 GROW YOUR OWN SOUP KITCHEN9 to 11 a.m. and 6 to 8 p.m. | $10 Learn the keys to successful vegetable gardening emphasizing seasonal techniques and organic practices that work best in Southern California. WHERE: Daytime classes are held outdoors at the Torrance Memorial Learning Garden in Columbia Park Community Garden (4045 190TH Street); evening classes are held at 6 p.m. in a classroom at Torrance Memorial. INFO/REGISTER: torrancememorial.org/classes; 310-517-4711

SEPTEMBER 15MEDICATIONS 1011 to 3 p.m. It’s so important to understand medications. At this free lecture, a Torrance Memorial pharmacist will help you increase your knowledge about topics such as medication side effects and interactions, regulations for herbs and dietary supplements, and organization of medication lists. WHERE: Torrance Memorial Medical Center, 3330 Lomita Boulevard INFO/REGISTER: torrancememorial.org/classes; 310-517-4711

SEPTEMBER 7CONQUER THE BRIDGE 8:05 a.m.This 5.3-mile race includes two trips over the iconic Vincent Thomas Bridge, the fourth longest suspension bridge in California. WHERE: Harbor Blvd., Port of Los Angeles,San Pedro INFO/REGISTER: conquerthebridge.com

SEPTEMBER 5–7 FIESTA HERMOSA10 a.m. to 6 p.m. This annual arts & crafts fair features fun for the entire family. It also has two live music stages, a food court, kiddie carnival, petting zoo and a charity wine and beer garden. WHERE: Pier Avenue, Hermosa Beach INFO/REGISTER: fiestahermosa.net

AUGUST 21–22 SHAKESPEARE BY THE SEA: THE TEMPEST AND AS YOU LIKE IT 8 p.m.Settle in under the stars for a night of classic entertainment. The tales are timeless, the admission ticketless and the experience priceless. WHERE: Point Fermin Park, San Pedro INFO/REGISTER: shakespearebythesea.org

SEPTEMBER 29SCREENING OF PLANT PURE NATION PLUS DISCUSSION AND BOOK-SIGNING WITH DR. T. COLIN CAMPBELL6:30 to 9 p.m. This documentary shows how a plant-based diet can treat the underlying causes of the most deadly health conditions such as heart disease, diabetes and cancer, yet industry lobbyists work to prevent public awareness of its healing powers. The film takes viewers on a journey to a small rural town and shows how a plant-based diet can be implemented in a “meat and potatoes” community. The screening will be followed by a discussion led by Dr. T. Colin Campbell. WHERE: Torrance Memorial Medical Center, Hoffman Health Conference Center, 3330 Lomita Boulevard, Torrance INFO/REGISTER: torrancememorial.org/Events; 310-517-4711

OCTOBER 3HEALING TOUCH1 to 4 p.m. | $45 Healing Touch is an energetic approach to healing based on the theory that we are more than our physical body—we are surrounded by an energy field that influences our health. Healing Touch can clear and balance this energy system. WHERE: Torrance Memorial Medical Center, 3330 Lomita Boulevard, Torrance INFO/REGISTER: torrancememorial.org/classes; 310-517-4711

OCTOBER 3-4MANHATTAN BEACH HOMETOWN FAIR10 a.m. to 5 p.m. Enjoy fair food, arts & crafts, free entertainment, games and rides for kids, and beer and wine gardens. WHERE: Live Oak Park in Manhattan Beach INFO/REGISTER: mbfair.org P

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CALENDAR


ONGOING: MONDAYS NICOTINE ANONYMOUS MEETING7 to 8:30 p.m.This is a free drop-in group for people who have quit or are trying to quit nicotine. WHERE: McMillen Chemical Dependency Center, 3333 Skypark Dr., #300, Torrance INFO/REGISTER: torrancememorial.org/supportgroups; 310-517-4711

ONGOING: TUESDAYSMEDITATION CIRCLE4:30 to 5:30 p.m.Enhance your meditation skills through regular practice. Quiet your mind, develop inner peace, relieve stress and balance your life. WHERE: Torrance Memorial Medical Center, 3330 Lomita Boulevard INFO/REGISTER: torrancememorial.org/supportgroups; 310-517-4711

OCTOBER 25 MANHATTAN BEACH PUMPKIN RACE Noon to 5 p.m.Families and friends race handcrafted Pumpkin Racecars for fun and the coveted Championship Trophy. Prizes are awarded for Best of Show, Best Team Spirit and Best Crash. WHERE: Manhattan Beach Blvd. INFO/REGISTER: pumpkinrace.com

OCTOBER 25 SKECHERS PIER TO PIER FRIENDSHIP WALK8 a.m.The annual SKECHERS Pier to Pier Friendship Walk brings together all walks of life for one common purpose: to support children with special needs and education. WHERE: Manhattan Beach Pier INFO/REGISTER: skechersfriendshipwalk.com

OCTOBER 6, 13, 20, 27 FREE PLANT-BASED COOKING CLASSES7 to 9 p.m.Discover the benefits of a plant-based diet and the role food plays in stopping, reversing and curing heart disease, cancer, diabetes, obesity and many other diseases. Learn how to prepare meals without animal products and using whole foods. WHERE: South Bay Adventist Church, 401 S. Prospect Ave., Redondo Beach INFO/REGISTER: SouthBayChurch.net; 310-214-3123

OCTOBER 3MANHATTAN BEACH 10K RUN7:30 a.m. The Manhattan Beach Hometown 10k Run was founded in 1978 by a group of local runners who wanted to have a race “in town.” There is a combined start at both locations. WHERE: 3rd & Ardmore and 3rd & Valley in Manhattan Beach INFO/REGISTER: mb10k.com

ONGOING: MONDAYS & SATURDAYS FREE YOGA CLASS 10 a.m.Enjoy complimentary yoga each Monday and Saturday on Shade’s beautiful rooftop Skydeck. First come, first served.WHERE: Shade Hotel, 1221 N. Valley Drive, Manhattan Beach INFO/REGISTER: shadehotel.com

ONGOING: TUESDAYSCAREGIVER SUPPORT GROUP 6:30 to 8 p.m.Share your true feelings in a safe environment, obtain professional guidance on what may lie ahead and learn valuable coping mechanisms.WHERE: Torrance Memorial Medical Center, 3330 Lomita Boulevard INFO/REGISTER: torrancememorial.org/supportgroups; 310-517-4711

AUGUST 6, SEPTEMBER 3, OCTOBER 1, NOVEMBER 5, DECEMBER 3QUESTIONS FOR THE PHARMACISTNoon to 1 p.m.Do you have questions about your medications? Are you confused about when to take them and with what they can be mixed? Are side effects creating problems? This is a free monthly opportunity to sit with a Torrance Memorial pharmacist who will help you better understand your medications. Please bring the medicines you are taking, both prescription and non-prescription. WHERE: Torrance Memorial Medical Center, 3330 Lomita Boulevard INFO/REGISTER: torrancememorial.org/classes; 310-517-4711

SOUL SURFERA life-threatening illness proves to be a career changer for pro surfer Alex Gray. WRITTEN BY JAMES F. MILLSPHOTOGRAPHED BY SHANE O’DONNELL

PHOTOGRAPHED BY BRENT BROZA IN THE SOUTH BAY - MARCH 2, 2014


HEART BEATS

“I HAD NURSES COMING

IN ON THE HOUR,

WHICH WAS AMAZING.

HAVING THAT AMOUNT

OF SUPERVISION WAS

COMFORTING BECAUSE

I WAS SCARED—

VERY SCARED.”

Torrance resident Alex Gray, 29, makes his living as a professional surfer, chasing the big waves. He’s won many championships and has been on the cover of countless magazines since he started surfing at age 10, trying to keep up with his big brother. But an incident six years ago almost ended his surfing career and his life.

In December 2008 Gray was surfing in Hawaii as part of the World Surfing League competitive series. He started having chest pains but ignored them because he was flying home for the Christmas holidays in a few days. Once he was home, the pain continued.

“It went from me having pain in my chest to not being able to breathe to waking up in the middle of the night on my hands and knees, crying, basically thinking I was dying,” recalls Gray. “At that point I had a 104º fever.”

However, rather than rushing to the hospital his family waited, thinking it was just gas or something equally benign. “We kept hoping it would get better, but it got catastrophically worse,” says Gray.

Finally on Christmas Eve, Gray was so sick his parents took him to Torrance Memorial Medical Center where X-rays revealed the entire left side of his chest was covered in a white cloud, which made it impossible for doctors to view any vital organs.

Gray was admitted and diagnosed with pleurisy, an inflammation of the membrane surrounding the lungs and chest cavity. The pleural membrane is what allows the lungs to inflate and deflate without hitting the ribs or inner wall of the chest cavity. Doctors inserted two one-inch tubes into the lining of his chest. Over the next four days, they drained 1½ liters of the fluid that had made breathing so painful and had clouded the X-ray.

Because pleurisy is typically found in older patients, Gray had many doctors examining him. “I was a living petri dish. I had infectious disease doctors coming every day to check on me,” recalls Gray. “I had nurses coming in on the hour, which was amazing. Having that amount of supervision was comforting because I was scared—very scared. Whenever I would get a visit from one of the doctors and he had some answers, it added a little light at the end of the tunnel.”

Pleurisy is a secondary condition that can arise from a viral or bacterial infection. Doctors determined Gray had picked up a staph infection in Hawaii and began treatment immediately.

After a week Gray was released, but he still had a long recovery ahead. “I went home but still had horrible shortness of breath from the scarring and trauma,” he recalls. “I had no energy. Every day, I would wake up, take a five-minute walk on my street and have to come back home to take a three-hour nap because I was so exhausted. My body had so much healing to do.”

After three months of recuperation, Gray prepared to return to competitive surfing only to learn his membership in the World Surfing League (WSL) had expired while he was hospitalized. Despite the extenuating circumstances, WSL officials stripped him of the status points he had earned in his four years of competitive surfing, forcing him to start over as a beginner.

Consequently, Gray left the league and started chasing waves around the globe. He now earns more money and has more fame than he ever did before.

“The pleurisy incident became the biggest blessing in disguise for me and my surfing career. It’s funny that Mother Nature had to almost kill me to get me on a different path, but that’s how life works,” he muses.

He quickly adds how thankful he is for the care he received. “I’m super grateful to Torrance Memorial,” he says. “I’m convinced that hospital has the best doctors in the world, because I’m here today and doing just fine.” �

PHOTOGRAPHED BY BRENT BROZA IN THE SOUTH BAY - MARCH 2, 2014



XXXXXXX


FROM SWIMMER TO GLOBAL MESSENGER AND ACTOR,

SPECIAL OLYMPICS ATHLETE CALEY VERSFELT BEGINS HER

SECOND ACT.

Dream

BIGWRITTEN BY KRISTIN REYNOLDS

PHOTOGRAPHED BY JEFF BERTING

HEALTHIEST PERSON I KNOW


Let me win. But if I cannot win, let me be brave in the attempt.”

Since 1968 this Special Olympics athlete oath—introduced by Eunice Kennedy Shriver (founder of Special Olympics and sister of President John F. Kennedy) at the first-ever International Special Olympics Games—has inspired millions of people around the world.

Special Olympics has enriched the life of 24-year-old Caley Versfelt of Manhattan Beach in ways she couldn’t have imagined. She’s more confident, more outgoing and always up for a challenge as a result. She’s coined her own motto too: “Dream big and never give up.”

The athlete took home her first medal—in swimming—at her first Games when she was just 9 years old. Since then, she has competed and medaled at numerous Special Olympics Summer Games at California State University,

Long Beach—the location of one of two annual championships for athletes in the region. And during this past year she’s been involved in something even bigger: preparation for the much-anticipated Special Olympics World Games, hosted by the city of Los Angeles and taking place July 25 through August 2.

Versfelt was appointed a World Games Global Messenger for this year’s Games, and as a result she has spoken at several events throughout Southern California. She’s also been busy working as a receptionist in the bustling downtown Los Angeles headquarters office of the LA 2015 World Games Organizing Committee, where she says the atmosphere is especially exciting these days.

“It’s busy—there are about 200 people working here,” she says. “We are getting a lot of phone calls right now. But it’s fun.”

It’s not surprising that things are heating up in the office. Some 7,000 athletes and 3,000 coaches representing 177 countries, as well as upwards of 30,000 volunteers and an estimated 500,000 spectators, will be in Los Angeles for the Games—making this the largest sports and humanitarian event hosted in the world this year, and the biggest event in Los Angeles since the 1984 Summer Olympic Games.

In the three days leading up to the Games, July 21-24, 2015, the Beach Cities of Redondo Beach, Hermosa Beach, Manhattan Beach and El Segundo will be among many Los Angeles communities serving as Host Towns—welcoming, hosting and celebrating athletes from countries around the globe. Visiting athletes and their families will participate in events with community members, take part in

Left: Caley with a friend at the University of Southern California invitational last June. Below: Caley and her best friend—Dad.


local activities, and continue to train and prepare for the Games.

Versfelt said she’s looking forward to meeting the delegates from Nepal and Hungary, who will be hosted by her hometown of Manhattan Beach.

What can we do, as residents in the Host Towns, to make the athletes who will be here feel most welcome?

Caley Versfelt (CV): Take the time to get to know an athlete. Talk to us directly, not through someone we are with. A smile goes a long way. Make eye contact. Be patient and kind. Ask us to repeat ourselves if you don’t understand what we are saying. Be genuine. Treat us like you would want to be treated. Treat us age-appropriately.

Describe the thrill and excitement of participating in Special Olympics and of winning a medal.

CV: It’s fun! I always feel honored to participate, and it feels great to get a medal doing something you love to do.

It’s probably safe to say that Special Olympics will always have a special place in your heart.

CV: Yes. Some of my most favorite memories are of competing at the

Special Olympics competitions. And I’ve learned a lot working at the World Games. Special Olympics makes me a better me and you a better you.

Speaking of making you a better you, who inspires you and why?

CV: My dad. He is my best friend and my #1. That’s how I really got into this—my dad was on a swim team, and that got me interested. I overcame my fears and just started swimming.

Describe your fitness routine these days.

CV: One of my favorite things to do is to walk. I like to walk on The Strand from my house in Manhattan Beach to Hermosa Beach every day. It’s something I like to do with my friends. Also, my Special Olympics swim team practices once a week—every Sunday—at The Plunge in Torrance. And in the summer I like to kneeboard and ride the inner tube behind my family’s boat.

Now that we’ve talked about staying in shape, what are some of your favorite places to enjoy good food in our area?

CV: Some of my favorites are Wahoo’s, The Kettle and picnicking on the beach with my friends.

What are some of your other hobbies?

CV: I love my acting class on Saturdays with Born to Act Players, plus I like singing, dancing, nature photography and writing songs.

It sounds like the performing arts are a big part of your life.

CV: Yes, definitely. My goal is to continue acting—I have been interested in theater since high school. I have done local theater in El Segundo, and at UCLA. I was in How to Succeed in Business without Really Trying. I have been an extra on [the FOX TV show] Glee and on Guest Room, which hasn’t been released yet. I had a speaking part in a feature film, Secret of My Success. I also like doing improvisation with my friends.

What part has Special Olympics played in your life, beyond the athletics? How has it carried over into other aspects of your life?

CV: Special Olympics has helped me physically, personally and professionally. Physically, I’ve perfected my swimming strokes and gotten stronger. Personally, I’ve made a lot of friends at swimming and at Special Olympics events. Professionally, I have gained self-confidence, overcome shyness and learned public speaking skills. I used to be shy, but now look at me! �

GLOBAL VILLAGES

South Bay Host Towns played a vital part in welcoming Special Olympics delegations to Southern California.

Before the Special Olympics World Games began on July 25, more than 7,000 athletes from 177 countries were welcomed to Southern California through the Host Town program. As many as 100 communities from San Luis Obispo to San Diego were selected to serve as official Host Towns, which welcomed athletes, coaches, staff, volunteers, families and spectators to their communities. This year many South Bay communities served as Host Towns: Hermosa Beach

welcomed athletes from Belgium & Belize; El Segundo (FYR Macedonia, Barbados & Uzbekistan); Redondo Beach (Haiti, Suriname & Benin); Manhattan Beach (Hungary & Nepal); Carson (Dominica, Mali, Palestine, Turkmenistan); Hawthorne (Estonia, Nigeria) and San Pedro (Croatia, Kazakhstan). Communities are evaluated on the availability of lodging accommodations, sports practice facilities and recreation/entertainment offerings for the athletes, among other criteria.

HEALTHIEST PERSON I KNOW


“NO MATTER WHAT MEDICAL SKILL

LEVEL A PERSON HAS ATTAINED,

COMPASSION SUPERSEDES ALL.”


Clockwise from upper left: Mercado survives a Nepal aftershock unscathed; administering a breathing treatment to an asthmatic woman in a Kathmandu displacement camp; aerial view of the camp; demonstrating some “subpar breakdancing techniques” at a women’s monastery provides some much-needed levity.


“NO MATTER WHAT MEDICAL SKILL

LEVEL A PERSON HAS ATTAINED,

COMPASSION SUPERSEDES ALL.”

PROVIDING CARE NEAR AND FAR


As he viewed the images of devastation immediately following the 7.8 earthquake in Nepal, Marc Mercado realized one thing: He could make a difference.

“I knew I had to go, no matter what,” says Mercado, a respiratory therapist at Torrance Memorial Medical Center. He went online and found a nonprofit organization that organizes medical relief missions in areas where health care is limited, as well as in disaster areas. Just 11 days after the quake occurred, Mercado landed in Nepal.

He was the only respiratory therapist in his group of 18 medical professionals. All of them had personally financed their trips and brought their own necessities, such as sleeping bags and food.

The larger group split into three smaller groups, and Mercado’s went to Kathmandu, Nepal’s capital, to assist at local hospitals, monasteries and displacement camps. He helped triage patients, identifying the seriousness of their condition and determining who needed care most urgently.

“We saw all sorts of people,” he says. “We treated infected cuts and wounds, fractures, cholera, diarrhea and dysentery—a whole range of conditions. People had lost their homes and were traumatized.”

On a medical mission with scarce resources and staff, participants help in whatever ways are needed. So Mercado found himself doing tasks that he would never have done at home, including IV placement and suturing. “We all had crash courses,” he says.

Some of his duties were nonmedical in nature, such as crowd control and security. Although the experience was physically grueling, Mercado found it immensely fulfilling. He enhanced his skills and learned a great deal.

“No matter what medical skill level a person has attained, compassion supersedes all,” Mercado adds. “Everyone should do at least one medical mission. There is a world of things clinically or personally that a person can learn and add to their individual talents.”

Back home, Mercado brings that compassion to his patients at Torrance Memorial. As a member of the hospital’s Respiratory Therapy Department, he assists patients with breathing problems and conditions relating to the lungs. This entails a variety of duties, including training patients in breathing techniques, administering medications, clearing patients’ airways and working with those who need to be on a ventilator. His seven years on staff at Torrance Memorial have given him exposure to a wide range of medical conditions.

“I’m proud of the teamwork here,” he says. “The hospital is very supportive of its employees, and our department members push one another to continue learning.”

In fact, Mercado is in the process of obtaining his master’s degree in health care management. He loves direct patient interaction but says he wants to “understand the big picture” when it comes to health care.

Before becoming a respiratory therapist, Mercado served in the Marines. Deployed twice during his four-year tenure, he saw combat in Iraq as a rifleman in the infantry. His military training taught him discipline and how to handle unpredictable and dangerous situations. “When I was in Nepal and things were crazy, I said to myself, ‘I’ve seen worse. At least no one’s shooting at me.’”

The Nepal trip was Mercado’s second medical mission abroad. Last year, he participated in an international medical mission organized by a physician. The group treated poor residents at a clinic in a remote area in Honduras.

As was the case in Nepal, Mercado had a chance to perform tasks outside his normal respiratory therapy duties. He already looks forward to joining another international medical mission next year.

“I really enjoy helping people and being part of something bigger than myself,” he says. �

When disaster strikes, respiratory therapist Marc Mercado heads to Nepal.WRITTEN BY NANCY STEINER

HEARTBEATS

AT TORRANCE MEMORIAL, CANCER TREATMENT IS RAPIDLY EVOLVING INTO THERAPIES THAT ARE LESS TOXIC AND WITH FEWER SIDE EFFECTS—CREATING A BETTER QUALITY OF LIFE AND FASTER HEALING.

WRITTEN BY LAURA ROE STEVENS

3600 of Cancer

Care


here is nothing quite so terrifying as hearing the word “cancer” come out of a doctor’s mouth. Cancer is personal. It takes an emotional, spiritual, psychological and financial toll. It affects friends, family and loved ones. But mostly cancer triggers fear like little else. Many find strength to fight through their fear as they find a path to recovery.

Fifteen years ago I lost a dear college friend to an aggressive form of breast cancer that she’d been battling since she was 20. Had she developed it today, she likely would have survived. That’s the good news.

Technology and treatments keep improving and getting more fine-tuned and individualized. Chemo and radiation no longer pack as huge a wallop as they once did. Physicians from varying disciplines are now working together seamlessly to create personalized care programs for patients. No cancer case is ever treated just like another.

Research and clinical trials are revealing a new host of medicines that are better tolerated and more successful for a variety of cancers. And just as comforting is the additional support available for cancer patients—from support groups to meditation and yoga classes to nutritional counseling and even assistance with hair and makeup.

The Hunt Cancer Institute at Torrance Memorial Medical Center, fully accredited as a comprehensive cancer program by the American College of Surgeons Commission on Cancer, is a clear leader in these advancements in targeted treatments, technology, research and applying a 360-degree approach to cancer care.

Torrance Memorial physicians who

specialize in cancer treatment predict that someday a cancer diagnosis will not be considered fatal but instead 100% treatable—if not curable. In fact, most say they see this happening within their—or their children’s—lifetimes.

Why is this? Because standard cancer treatments are evolving rapidly, creating a paradigm shift into therapies that are less toxic and with fewer side effects, creating a better quality of life for the patient and faster healing.

Just ask Thomas Wood. In June, the 71-year-old from Rancho Palos Verdes went home two days after surgery to remove cancer in his right upper lung and lymph node. “I felt little pain. Very little. I took a Tylenol, but that was it. A week later, I’m out shopping for a new range for our kitchen. It’s amazing,” says Wood, who witnessed his father battle lung cancer.

“I lost my dad to lung cancer at 55 years old in 1952. If he’d been going through it today, he could have beat it.”

This type of quick recovery— especially at an advanced age and after receiving several rounds of chemo and radiation in the months prior to surgery—would not have been possible just 20 years ago, according to Wood’s

physician, Clark B. Fuller, MD, a thoracic and cardiothoracic surgeon who helped pioneer minimally invasive video-assisted techniques in thoracic surgery. These techniques allow small incisions to be made instead of large ones and utilize the aid of a camera, as well as precise robotic equipment.

“In the mid-1990s, most patients [undergoing similar surgeries] were in the hospital 10 to 12 days,” Dr. Fuller explains. It took longer to heal back then, as surgeries involved much larger incisions—often spreading the rib cage apart. This approach required more pain relief and anesthesia management as well, increasing risk.

Dr. Fuller now teaches his minimally invasive technique to physicians across the country. “Instead of a big incision with ribs spread apart, these are all incisions 5 to 15 millimeters long. We’re able to do the exact same operation a bit better with less pain for the patient and a much faster recovery period.”

When patients are in pain, their bodies—at any age and any level of fitness—will have a harder time tolerating further treatments, due to a lack in strength. “So if they need additional chemo and radiation, they are more likely to tolerate it since they didn’t have to undergo pain from such a big cut. In fact, patients are 50% more likely to complete

“IT TAKES A FACILITY THAT HAS A HIGH VOLUME OF

PATIENT CARE TO HAVE EXPERTISE TO TREAT

SOMEONE LIKE THIS. THAT IS WHAT SETS TORRANCE

MEMORIAL MEDICAL CENTER AND CANCER CARE

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it [chemo and radiation] than if they had undergone a standard surgical approach,” says Dr. Fuller. “There are only a handful of hospitals that can do that surgery after chemo and radiation. It’s a very sophisticated way of treating patients.”

Equally encouraging is how chemo and radiation did not give Wood the intense side effects that his father and many others likely endured in the past. “From February 1st, I had 25 radiation and five chemo treatments administered by a team of five to six doctors, and everything went well. Only toward the very end of radiation did I get a sore throat. I found out later that’s very common. It’s hard to swallow. But I had a brief period of this—so very lucky,” says Wood. “I’ll be 72 soon, and I’ve got a full head of grey hair and only lost a little weight I probably needed to lose!”

SMARTER MEDICINEWhile physicians have been able to

fine-tune chemo and radiation levels to make them a bit more tolerable, much research is being conducted in alternative and targeted treatments. Many in the industry see a future when chemo and radiation are replaced by molecularly targeted treatments or checkpoint inhibitors—therapies that kill only cancer cells without touching healthy tissue or white blood cells, keeping immune systems intact. Chemo and radiation kill all fast-growing cells; targeted therapies will not.

In fact, Hugo Hool, MD, a board-

certified medical oncologist and hematologist with 15 years of experience in research and patient care, says he entered the field of cancer care due to these “glimmers of light” he saw while in early training and fellowship, suggesting “these days would come.”

“It’s a paradigm shift. We’ve gone from the Stone Age to the Bronze Age and we want to modernize oncology using our genome as the guide,” says Dr. Hool. “Instead of hitting people over the head, we can treat them with less side effects and with more efficacy. We can turn off cancers [with new treatments] and use the body’s own immune system to our benefit.”

According to Dr. Hool, oncology is at the forefront of technology with ever-increasing tools and new tailored treatments. “I am most excited about the treatments that stimulate our own immune systems to fight cancer for us. A new class of drugs called checkpoint inhibitors, like those known as PD-1/PDL-1 inhibitors/blockers, are very promising. Several have been approved in the past several months. While the cancer is trying to grow, these checkpoint inhibitors can stop the cancer from getting past the body’s own surveillance system. This is how the body’s immune system is suppose to prevent cancers from developing.”

Dr. Hool is currently using two PD-1 inhibitors called nivolumab and pembrolizumab with patients. He added that at the American Society for Clinical

Oncology (ASCO) conference in June a phase III study was presented showing how effective nivolumab was—even besting chemotherapy in lung cancer.

Targeted therapies are also proving to be valuable tools. A patient of Dr. Hool’s with both breast and lung cancer is currently receiving a targeted medication tailored specifically for the exact mutation found in her tumor, the Epidermal Growth Factor Receptor (EGFR).

“She had surgery to remove both her lung and breast cancer and now is going forward with a radiation protocol combined with this targeted agent that is specifically tailored for her mutation called Erlotinib. This is a pill she will take on a daily basis,” explains Dr. Hool. “This is a new paradigm in the treatment of cancer to tailor therapy based on molecular or genetic mutations found in those cancers. Erlotinib, for instance, is proving in clinical trials to be better than chemotherapy when tailored to the patient’s tumor genetics. It has less nausea and common side effects than standard chemotherapy, offering a better quality of life during treatment.”

David Chan, MD, a cancer specialist and author of the book Breast Cancer: Real Questions, Real Answers, is a lead investigator on multiple clinical trials and has firsthand knowledge of how quickly cancer care is evolving. “We are very excited to be involved in a national effort to develop a molecular blood test for breast cancer. These kinds of tests,

3600 OF CANCER CARE

Left: Hugo Hool, MD, participates in Torrance Memorial Medical Center’s weekly Tumor Board, a discussion of complex oncology cases. Right: Patricia Sacks, MD, reviews tumor images to facilitate the board’s discussion.


referred to as a liquid biopsy, will be very accurate in monitoring cancer disease status. We were selected by Genomic Health as one of 10 centers in the country based on the large volume of breast cancer patients at Cancer Care, Torrance Memorial Physician Network,” says Dr. Chan. “The study will soon be expanding to include lung cancer, melanoma and GI cancers. It’s the wave of the future in terms of cancer diagnostics and monitoring. The breast cancer program has an experienced team of specialists

and sees over 400 new patients a year. We have an outstanding diagnostic program with 3-D mammograms and breast MRIs [see “Image of the Future,” page 34, for more on imaging], experienced and outstanding breast surgeons, radiation therapists and medical oncologists. The care of each patient is carefully reviewed at our weekly breast conference.”

Dr. Chan has 30 years of experience and asserts that one of the strengths of the program at Torrance Memorial is the combination of experience and academic affiliations of the specialists. “We don’t have specialists who are just out of training. We’ve all been in practice for years. Many of us have taught at universities. Our newest radiation oncologist was a former professor at Yale.”

The bottom line for cancer specialists is to find a therapy that is more effective with less side effects, ideally allowing patients to live normal lives, which is what Torrance Memorial physicians strive to do. In fact, Torrance Memorial is currently participating in more than 20 clinical trials and is constantly requested by the biotech industry to open more trials in order to advance cancer research and treatment. (For more information about Torrance Memorial’s clinical trials, see “Clinical Trials,” far right.)

“People are living so much longer now with productive lives. Our patients are often able to go to work while on treatment, care for their families and go on vacations. The dramatic improvement in longevity and quality of life is gratifying to see,” says Dr. Chan.

IT TAKES A VILLAGEIt’s clear that less pain from surgery and fewer

side effects from chemo and radiation played a large role in the speedy recovery of Dr. Fuller’s lung cancer patient, Thomas Wood. Without a multidisciplinary approach, his experience would not have been as seamless. Torrance Memorial physicians stress how important this approach is to their patient’s care.

“A team of physicians worked together, from a radiologist to a bronchial specialist [who

conducted a bronchoscopy test to examine the airways of the lungs], an oncologist, anesthesiologist and thoracic surgeon. Constant and open communication is key,” says Dr. Fuller.

Dr. Chan echoes his colleague’s sentiment, adding, “With each case, we hold a multidisciplinary conference that makes coordinated treatment decisions. The team includes diagnostic radiologists, pathologists, surgeons, radiation oncologists and medical oncologists.”

This approach is especially important when treating patients with multiple conditions—requiring constant communication between physicians who may not always work together. For example, Dr. Hool’s patient with both breast and lung cancer requires a large multifaceted multidisciplinary team of physicians to treat her. “She required a large array of interventions that included chemotherapy, radiation, surgery, interventional radiology, biologic (anti-hormone) and targeted therapies for her cancers,” he explains.

Dr. Hool says his patient is doing “extremely well” and continues with treatment “in high spirits.” He credits the experience of the physicians and the strength of the team.

“It takes a facility that has a high volume of patient care to have expertise to treat someone like this. That’s what sets Torrance Memorial Medical Center and Cancer Care apart from other facilities,” says Dr. Hool. “For her care, she saw Thyra Endicott, MD, radiation oncology,

“IT’S A PARADIGM SHIFT. WE’VE GONE FROM THE

STONE AGE TO THE BRONZE AGE.”

3600 OF CANCER CARE

Top: Greg Baetge, MD, engages the group in a review of images to develop a treatment plan. Bottom: The Tumor Board’s weekly collaboration includes a multitude of specialists and decades of experience.


CLINICAL TRIALS

The Clinical Research Department at Torrance Memorial provides access to national clinical trials for cancer patients. This program is connected with the Clinical Trials Support Unit and the Radiation Therapy Oncology Group (RTOG) of the National Cancer Institute (NCI). Torrance Memorial patients have enrolled in a number of these trials, and Thyra Endicott, MD, RTOG principal investigator, Torrance Memorial Radiation Oncology, says the program is expanding its connection with the NCI on a monthly basis.

“This is an exciting opportunity for our patients and for our cancer program, as very few community hospitals have the resources to support these efforts, but through The Clinical Research Department’s support, our patients can participate in trials that can establish new standards for the cure of cancer,” Dr. Endicott explains.

Hugo Hool, MD, an oncologist and hematologist, Torrance Memorial Physician Network – Cancer Care, and his staff are also conducting trials for interventional radiology and radiation oncology.

David Chan, MD, a cancer specialist at Torrance Memorial Physician Network – Cancer Care, reports having 10 clinical trials open for breast cancer, six lung cancer trials, two pancreatic cancer trials and two lymphoma trials, with new trials soon to open in bladder and head and neck cancer. “These are oncology clinical trials testing new molecules and new combinations of treatments that may make them more effective and better tolerated. The trials can open and close within six to 12 months, and the enrollment criteria are very strict. Patients have to fit scientific criteria for what the study question is addressing. For example, we are testing a new drug for triple negative breast cancer and are seeking patients who have never been treated with chemo for that problem. This allows the trial to quickly answer a specific question about the effectiveness of that drug.”

and Clark Fuller, MD, thoracic surgery, as well as George So, MD, interventional radiologist, Melanie Friedlander, MD, breast surgeon, and I quarterbacked as medical oncologist. It takes a lot of talented people working together to give the patient the best care possible.”

In addition to the skilled lung cancer team, Dr. Chan adds that he is also excited to work with so many experienced physicians such as Andrew Horodner, MD, an expert in benign and malignant hematology, and Syed Jilani, MD, an expert in breast, lung, prostate and colon cancer care, Patricia Sacks, MD, a breast radiology expert, as well Neil Bhayani, MD, for liver and pancreas.

“We have strong physicians here at Torrance Memorial. It’s just exceptional that I’m able to work with such a high quality of doctors. It’s remarkable how well trained, skilled and experienced everyone is,” says Dr. Fuller.

Wade Nishimoto, MD, at California Hematology Oncology Medical Group, is an oncologist affiliated with the Hunt Cancer Institute. “The program is constantly evolving and getting better, and that’s great news for the patients we serve,” he says. “As oncologists, we are fortunate that Torrance Memorial has invested so heavily in building this program. Not all hospitals have the resources or event the interest to do so. It makes it easier to provide patients with the best standard of care possible.”

Not only does the program have the highest level of skilled team members, but the latest equipment in the diagnosis of cancer. For example, Torrance Memorial’s Polak Breast Diagnostic Center recently added digital breast tomosynthesis, or 3-D (three-dimensional) mammography. This is a proven technology and the best screening tool available for capturing breast cancer for most patients, especially those with dense breasts whose breast cancer risk is three times higher than those without dense breasts.

“3-D mammography is 41% more accurate at diagnosing breast cancer than previous technology, and decreases the “call-back” or need for additional imaging by 40%,” says Patricia Sacks, MD, medical director of the Polak Breast Diagnostic Center.

KEEPING SPIRITS UPWhile less quantifiable than quality health

care, a positive mental attitude is critical when fighting cancer. That’s why Torrance Memorial offers a wide variety of support services.

To navigate all the support programs available, the hospital has nurse navigators. Each patient is assigned a nurse whom they can call at any time to talk about concerns or to inquire about services including counseling, nutritional support, smoking cessation, support groups, yoga and meditation classes, and more.

Melissa Gunlund, MSN, RN, is a thoracic nurse navigator whose role is to work with newly diagnosed lung cancer patients. “I’m a resource for the patient—to educate them on what their treatment plan will look like or help them with issues such as problems getting to appointments, insurance complications or when seeking financial resources or psych-social services,” she explains. “Patients can call me any day of the week or come in and have a one-on-one to discuss what they’re struggling with so I can assess their needs. It can be terrifying to get a sudden diagnosis. I’m here to educate them and give them access to the resources they need and be someone to talk with about what they’re going through.”

The hospital holds many support groups. For more information please contact The Cancer Research Center at 310-517-4665.

Anything that can lower a patient’s stress level and provide support and hope can improve chances of survival. Physicians agree that a positive attitude is important for healing. And the healthier the attitude, the more likely a patient is to communicate well with a physician, which can make a big difference.

“I think attitude is extremely important because of compliance and also how likely it is for the patient to complete therapy,” says Dr. Chan. “They are more likely to discuss side effects and have good follow-up and communication. Going in with an open mind and having trust in their physician is important because they buy into the treatment plan and into taking care of their own health.”

“A positive attitude and mental approach is imperative to healing. I can’t quantify it—it just is,” adds Dr. Fuller. �

For more information about open trials, contact the Clinical Research

Department at 310-517-4714.


f you’ve ever reclined inside a magnetic resonance imaging (MRI) machine or had a computed tomography (CT) scan, chances are you weren’t thinking about how the machine worked or whether it was the latest model. Most of us aren’t well versed in the types of imaging equipment at hospitals, and even if we were, it’s likely

we’re too busy clutching a broken arm or hoping that something is benign to care.

But the field of radiology is a critical part in understanding, from a visual perspective, what is happening beneath the surface of our skin and inside our bodies. It can hold the key to diagnosis and treatment.

Advancements in the field of radiology

have moved beyond simple X-rays to utilizing equipment that can give doctors detailed, three-dimensional images in mere seconds. But not all machines are alike. While most hospitals utilize CT, MRI, ultrasound and other modalities, changes in technology can make a big difference when it comes to deciphering disease.

“We pay a lot of attention—and capital—to getting the most state-of-the-art equipment in our department, and we rely heavily on it,” says George So, MD, a radiologist at Torrance Memorial Medical Center. One of the most distinctive aspects of the radiology department at Torrance Memorial is the focus on cutting-edge equipment, says Dr. So. This focus is something you are not likely to encounter at most community hospitals.

GONE ARE THE DAYS OF SIMPLE ONE- AND TWO-DIMENSIONAL SCANS. MEDICAL IMAGING HAS COME A LONG WAY OVER THE PAST FEW YEARS, AND TORRANCE MEMORIAL IS LEADING THE WAY WITH ITS CUTTING-EDGE RADIOLOGY DEPARTMENT.

WRITTEN BY BRIE CADMAN


One of these advanced machines is the dual-tube, 64-slice computed tomography (CT) scanner. “The machine is very, very fast. If a patient is moving—maybe because they are in pain or trauma—the faster you can scan them, the better detection you can get,” says Dr. So.

Scanning from head to toe can take just seconds. Speed is also important to capture organs in motion—like the heart—where physicians want to get an image frozen in time.

Another feature of the CT scanner is its dual-energy source. Dr. So notes that the benefit of having two different energy sources (as opposed to one—common in conventional CT scanners) is that you can reduce the number of artifacts, or noise, that the machine picks up. Because artifacts can mimic pathology or interfere with the interpretation of a scan, their reduction is critical to successful imaging.

Speed is also important when doing magnetic resonance imaging (MRI), a non-invasive means to construct pictures of the body that is especially useful for soft tissue like the brain, muscles and heart. Like the name implies, this machine uses a magnetic field; the strength of the magnetic field is measured in a unit called a Tesla.

Most conventional scanners are 1.5 Tesla, but Torrance Memorial has a 3.0 Tesla machine. The greater strength results in a faster, more detailed and higher resolution scan, says Dr. So. Because the MRI also has more “channels” or ways to pick up these signals, the scanners are able to get more resolution.

These advancements in machinery don’t just mean a faster scan for the patient. They can also result in fewer invasive procedures. Traditionally, if a patient had an aneurysm or a blockage of a blood vessel, it would have required a conventional angiogram and catheterization.

But with a 3T MR scanner or dual-source,

high-speed CT scanner, physicians have a better picture of the problematic area, and patients may be able to avoid biopsies and other invasive procedures like catheterization. Fixing the blood vessel also becomes more streamlined, because physicians now have a “map” of where to direct the treatment, notes Dr. So.

BREAST IMAGINGAnother area where Torrance Memorial stands

at the cutting edge of imaging is at the medical center’s Breast Diagnostic Centers. Recognized as centers of excellence by the American College of Radiology, the breast imaging centers now have two digital tomosynthesis (TOMO) machines, also known as 3-D mammography, currently in Torrance and Manhattan Beach.

A normal mammogram creates a two-dimensional picture of the breast, taking images from top to bottom and side to side. With three-dimensional imaging, the breast is positioned the same way it is with a normal mammogram, but an X-ray moves around it while images are taken in layers.

While normal mammograms are very useful, they can “hide” or obscure fine details. “It’s like the princess and pea,” says Patricia Sacks, MD, medical director of the Vasek and Anna Maria Polak Breast Diagnostic Center at Torrance Memorial. “If the pea, or lump, is between mattress number 71 and 72 and you take a two-dimensional picture of it, you’re not going to find it. But if you’re able to cut between the mattresses, you can find it.”

In addition, the size of the “pea” is unknown unless you have a way of photographing above and below it. This is what 3-D TOMO allows physicians to do.

Dr. Sacks notes that the breast is much more like a ball than a circle, so it only makes sense to image it in a way that reflects the true shape. “A breast is a 3-D structure, and up to this point we’ve been using a 2-D image to look it,” she says.

The benefits of this become clear when comparing scans. “If, after taking a 3-D mammogram, you go back to look at the 2-D, you often don’t see the lump.”

According to Hologic, which manufactures the 3-D mammography machines, the technology can detect 41% more invasive breast cancers and reduces false positives by up to 40%.

“WE PAY A LOT OF ATTENTION—

AND CAPITAL—TO GETTING THE MOST STATE-OF-

THE-ART EQUIPMENT IN OUR DEPARTMENT, AND

WE RELY HEAVILY ON IT.”


Dr. Sacks notes that use of 3-D mammography has decreased the number of recalls for patients, which is normally around 9% to 10%.

Although tomography isn’t a new technology, its use in breast imaging is—and its availability in hospitals is limited. Dr. Sacks notes they currently use the TOMO for “all comers,” though it may prove to be particularly advantageous for some people, like those with dense breasts or subtle areas of “architectural distortion”—areas that are hard to image using traditional techniques.

Reading these 3-D mammograms takes longer than a traditional mammogram, and physicians are required to take an online training course in order to become proficient in the machine and interpreting results. Dr. Sacks notes that one of the most important parts about reading a mammogram is comparing subtle changes over time.

Luckily the 3-D imaging can be used to make a 2-D image and compared to previous traditional mammograms. “It really is a fantastic advance for women,” says Dr. Sacks.

USING IMAGING FOR TREATMENTBeyond diagnostic imaging—using imaging to

find or diagnose a disease or problem—is the field of interventional radiology, or treating disease while using imaging to help guide physicians through a procedure. It is commonly used in cancer therapy, spine intervention and neurology and can result in more targeted treatment.

“A very common procedure for a patient with liver or kidney cancer is to find the blood supply to the tumor and implant a bead embedded with

a drug—like chemotherapy—so the bead blocks off blood supply to the tumor and slowly releases a chemotherapy or other drug to kill the tumor,” says Dr. So.

A similar procedure is done for uterine fibroids, which require a large amount of blood. Using interventional radiology, radiologists can implant the beads (this time without drugs), which will block off blood supply and the fibroid will shrink.

Perhaps the most exciting area of interventional radiology is stroke treatment, says Dr. So. Stroke can be devastating not only medically but psychologically too—for both patients and their caregivers. “Stroke patients come in, and sometimes they have slurred speech, are drooling or paralyzed on one side of their body,” he says.

With guided imaging, interventional radiologists can go in and remove the clot. For the radiology team, the rapid recovery is inspiring. “They can regain function on the [operating] table. They start talking; they make sense. The before-and-after is amazing,” says Dr. So.

While the equipment is a critical tool in putting the radiology department at the forefront of medicine, the main strength is the people. “We have all the hardware, but the staff helping out day-to-day are the most important parts of the department,” says Dr. So.

Even though imaging is sometimes a behind-the-scenes pursuit, Dr. So doesn’t mind. But the time has come to shed light on its importance: “Our radiology department is the best kept secret in the South Bay!” �

“WITH GUIDED IMAGING, INTERVENTIONAL

RADIOLOGISTS CAN GO IN AND REMOVE

THE CLOT. FOR THE RADIOLOGY TEAM,

THE RAPID RECOVERY IS INSPIRING.”

Advancements in the field of radiology have moved beyond simple X-rays to utilizing equipment that

can give doctors detailed, three-dimensional images

in mere seconds, which is critical to accurate

diagnoses.

IMAGE OF THE FUTURE


XXXXXXX

DR. DIEGO-MALIT’S FAMILY FOSTERS VOLUNTEER SPIRIT AT TORRANCE MEMORIAL AND BEYOND.

WRITTEN BY LAURA ROE STEVENSPHOTOGRAPHED BY SHANE O’DONNELL

PAYING IT FORWARD


XXXXXXX


XXXXXXX

Those who work regularly in service or as volunteers will tell you that the happiest people on earth are those who give back. Just ask Judy Sipes, founder of Torrance Memorial Medical Center’s

Luminaries and Novas volunteer programs that support the hospital and its patients.

The Luminaries began in 1990 with a small group of women from the Palos Verdes Peninsula wanting to support Torrance Memorial with their time and fundraising efforts, as well as foster the volunteer spirit in youth through the Novas program. Twenty-five years later, thousands of dollars have been raised and vital projects have been launched, helping deliver more resources and comfort for patients.

In addition to providing service within the hospital and at special events, Luminaries support the Woman to Woman Image Enhancement Center. Women who are experiencing hair loss due to cancer treatments or other medical illnesses may receive a private

image consultation and receive free products through this program, which helps build confidence and self-esteem in women recovering from illness.

“I am just so proud that this organization is still going after all these years and has just gotten stronger and stronger,” says Sipes. “It is amazing to me. We hoped it would be a success, but how do you know?”

Children of active Luminaries can join Novas, a volunteer program for high school students age 13 to 18 years old. Joining Novas allows teenagers to gain valuable experience through volunteering as patient escorts in the hospital, as well as helping outside the hospital at special events—making hospitality kits and blankets for patients, decorating the pediatrics ward and other activities.

“It’s a great way to teach children to have empathy for others and to live a life of service and gratitude,” explains Alice Diego-Malit, MD, president of the Luminaries and a pediatrician with a private clinic practice in Carson.

In fact, the ability to “create learning moments for children while spending quality time together” is what drew Dr. Diego-Malit into the Luminaries program in the first place. “I wanted my children to be able to be Novas. It’s a wonderful program of service,” she says.

A mother of four, Dr. Diego-Malit knows the importance of volunteering

“IT’S A GREAT WAY TO TEACH CHILDREN TO

HAVE EMPATHY FOR OTHERS AND TO LIVE A

LIFE OF SERVICE AND GRATITUDE.”

The Malit family at work and play. Left: A vacation on Maui; Below: Benjamin, 18, on piano; Right: a family tradition of volunteerism.


at an early age. Her mother, Iluminada Diego, MD, a pediatrician in Carson for 30 years, fostered the importance of living a life of service and encouraged the entire family to volunteer from an early age in a variety of ways. In fact, Dr. Diego-Malit was a candy striper in San Pedro as a teenager.

The Luminaries and Novas programs provide the right conduit to pass on that tradition to her children. Her youngest son, Dylan, 13, is now joining the Novas, while her daughter Christina, 16, is in her second year. Her oldest, Benjamin, 18, just graduated high school and served in Novas for three years, while also volunteering each summer at the Cabrillo Marine Aquarium in San Pedro. Francesca, 12, will enter the program in two years, where she will participate in ways like her siblings have: making hospitality kits and blankets, baking cookies for events and working the annual holiday festival.

“It’s helped us be more appreciative and grateful for what we have and more cognizant of those who need extra assistance,” says Dr. Diego-Malit.

Besides volunteering as a Luminary, Dr. Diego-Malit has also taught Sunday school for 10 years and volunteers in soup kitchens in Long Beach. Her

husband, Earl Malit, has become a familiar and comforting face for many at Torrance Memorial, where he volunteers as a Eucharistic minister. Malit also serves as a Eucharistic minister in San Pedro, where he often assists the homeless.

While this much volunteering certainly takes up time and energy, Dr. Diego-Malit says that she and her husband wouldn’t have it any other way. “Children grow up very quickly. It’s important to spend time together, and when you volunteer it provides teachable moments while you’re giving back. It’s time well spent. We all count our blessings every day,” she says.

So how do Dr. Diego-Malit and her husband find balance between work, volunteering and parenting? It seems running is the key.

In their spare time, the Malits, who owned a running store in Orange County for years, run marathons and half-marathons together.

While their lives can get hectic with so much juggling, the feeling of helping others has become a reward in and of itself. “You’re happy when you help others. To make a difference in other people’s lives not only benefits them—but you.” �

LUMINARY MOMENTSJudy Sipes, a founding member of the Luminaries, has

25 years of wonderful memories. Pulse sat down with her and asked her to share a few of her favorite ones.

PULSE: What is one of the silliest moments you had with the Luminaries?

SIPES: We were a very creative group, and we decorated a tree for the Holiday Festival each year. One year when the purple dinosaur Barney was popular, we made dinosaur eggs and it turned out to be absolutely hysterical. We used a real heavy starch. We blew up balloons, wrapped colored string around them, and then we deflated them to create dinosaur eggs. Figuring out how to make dinosaur eggs was really funny since none of us had ever done that before. It was trial and error and we had a bathtub filled with dinosaur eggs, and it was a process—a whole lot of laughing!

PULSE: Is there a moment that touched your heart, which shows just how powerful the Luminaries can be to those in need?

SIPES: The Woman to Woman program began after my presidency, but it’s a terrific program that helps women when they’re going through the painful process of losing their hair. Scarves, wig-liners, help with makeup—whatever it takes to enhance self-image is offered.

PULSE: What is your favorite fun moment with Novas? SIPES: It happened recently. The Palos Verdes

Junior Women’s Club awards a scholarship in our son’s name every year (the Scott Sipes Scholarship). And this year was a really emotional experience for me, as two scholarship recipients were active Novas. It’s so touching. It’s such a close community—you see how we’re all connected.

To attend a membership information meeting and learn more about the Luminaries and Novas, call 310-517-4752.

Luminaries founding members: Rhea Tankersley, d’Aulan Gentry, Judith Sipes, JoAnn Fucci. Not pictured: Karna Gottdener.

HAPPY HEART, HEALTHY HEART

WRITTEN BY COLLEEN FARRELL PHOTOGRAPHED BY SCOTT GILBERT

New TAVR heart procedure gives Jacqueline Barley a new lease on life.

Salman Azam, MD


HEART BEATS

Jacqueline Barley, age 67, had made up her mind. When she checked into Torrance Memorial Medical Center on December 9, 2014, for surgery,

she reaffirmed to her family and the medical staff that she and her husband, Ed, would host her four sons, their wives, 10 grandchildren, extended family and friends for Christmas Eve—as was their tradition. Jacqueline was determined to make her body cooperate with her mind, but it was an ambitious timetable.

Just a few months prior, Ed had begun to notice a decline in Jacqueline’s health. He initially thought it might just be her asthma flaring up. But as her condition worsened, he and his family feared something more serious was to blame.

“She wasn’t getting up much during the day. She couldn’t get from the bed to the bathroom without becoming out of breath,” Ed says.

Because Jacqueline had become close to bedridden, Ed took an early retirement from his 40-year job at the Long Beach Harbor so he could focus on her care.

Jacqueline had long been challenged with two autoimmune diseases: lupus (a systemic disease in which the body’s immune system mistakenly attacks healthy tissue) and rheumatoid arthritis (a disease that leads to loss of joint function). In need of knee replacement, her mobility was also limited to using a walker—and often a wheelchair—to get around. However, because of her suppressed immunity, her

primary physician, infectious disease specialist Eric Milefchik, MD, told her the risk of post-surgery infection was too high for any major surgery.

During a weekly appointment at Dr. Milefchik’s office, nurse practitioner Izzat Alamdar (Dr. Milefchik’s wife) was concerned about Jacqueline’s fatigue

and shortness of breath. After discussing her symptoms with Dr. Milefchik, an appointment was made with interventional cardiologist Salman Azam, MD, who specializes in structural heart disease.

Dr. Azam put Jacqueline through a series of diagnostic tests, including an echocardiogram, a chest X-ray and an angiogram to diagnose any major heart abnormalities contributing to her symptoms. The tests revealed her heart valve had become severely calcified—a condition known as aortic stenosis. Dr. Azam told the Barleys that Jacqueline would have a 50% chance of surviving the next two years unless she underwent immediate heart valve replacement.

Because of her other health problems, Jacqueline was considered a very high-risk patient for traditional heart valve replacement surgery, which requires opening the chest through an incision while the patient is supported by a heart-lung machine. Dr. Azam recommended that Jacqueline undergo a relatively new, minimally invasive surgical procedure called transcatheter aortic valve replacement (TAVR). Last year Torrance Memorial Medical Center launched the TAVR program, which has since “grown tremendously,” according to Dr. Azam.

During TAVR a catheter slightly larger than the size of a pen is inserted in the artery in the leg/groin and carefully passed up into the heart. A replacement valve is then implanted inside the

narrowed aortic valve, resulting in a normal functioning aortic valve.

The procedure is conducted in Torrance Memorial Medical Center’s new state-of-the art Hybrid Operating Room located in the Lundquist Tower. The Hybrid OR features sophisticated imaging systems for catheter-based

procedures, but it also meets the sterility standards and has the equipment of a traditional operating room. This enables providers to perform high-risk, minimally invasive procedures and switch to open surgery without moving the patient if a dire complication arises.

A TAVR procedure is not without risks, but it provides beneficial treatment options to people who may not have been candidates for valve replacement a few years ago. It also provides the bonus of a faster recovery—on average three to five days.

While Ed was apprehensive about moving forward due to the risks, with Dr. Milefchik’s approval Jacqueline had no hesitation about scheduling the procedure as quickly as possible. Dr. Azam’s office scheduled her procedure within just three weeks of diagnosis.

The procedure, from prep to operation to recovery, took just less than three hours. Because of her other health issues, Dr. Azam anticipated her post-operative stay might extend beyond Christmas Eve. But with her sights set on not breaking her family’s holiday tradition, Jacqueline’s resiliency surprised everyone. The day following her procedure, she was walking the hospital halls using her walker.

“It was like night and day before and after [the procedure]. She was a like a new person immediately after,” Ed says.

On day six post-surgery, Jacqueline received good news from Dr. Azam: She was ready to return home with two weeks

to spare before Christmas Eve. Christmas Eve 2014 was a holiday to remember for the Barleys. Dr. Azam’s most recent prognosis for Jacqueline is a normal lifespan from a cardiac standpoint. “I went from having just a two-year life expectancy to having a new lease on life,” says Jacqueline. “It’s been a godsend and a blessing.” •

“I WENT FROM HAVING JUST A TWO-YEAR LIFE EXPECTANCY TO HAVING A NEW

LEASE ON LIFE. IT’S BEEN A GODSEND AND A BLESSING.”



FLASH

AUXILIARY RECOGNITION BRUNCH APRIL 18Torrance Memorial Medical Center

During the annual Auxiliary Recognition Brunch, Torrance Memorial leadership thanked and honored volunteers for the numerous hours and years of service given to the medical center’s patients, visitors and staff. The annual Auxiliary Recognition Brunch is also an opportunity to show special recognition to those who have achieved milestones of service.

Staff members Amanda Goodrich, Daniel Palma, Mary Ann Merritt and Mary Bradfield-Smith serve brunch to show appreciation to the volunteers for their service.

Alice Young, with the highest overall number of hours served—30,200 hours, and Mimi Brody, with the fourth highest number of hours at 25,200, are congratulated by president and CEO Craig Leach.

President and CEO Craig Leach thanks Janice Hill for serving the medical center for 35 years, the highest number of years recognized.

Barbara LeQuire, MSN, awards former high school volunteer turned adult volunteer, Rachelle Gonzales, with a five year service pin.Duke Noor, Mary Matson, Jeanette Adams

GRAND FINALE MAY 17Torrance Marriott

Luminaries and NOVAs, Auxiliary volunteers, celebrated their 25th anniversary at the 2015 Grand Finale by presenting a check for $25,000 to Torrance Memorial Medical Center. Novas also recognized 14 graduating seniors who have contributed more than 3,800 hours over their four years of volunteer service. NOVAs receive valuable experience through various hospital volunteer opportunities in the hopes of inspiring them to have a lifetime commitment to service.

Sarah Baxter, Kayla Chung, Zachary Ishimoto, Davis Quan, Adam Reece, Christian Au, Alyssa Ishimoto, Taylor Woo

Aimee Tan, Abbie Sedillos, Tori Wong, Makena Oda, Kaelyn Arcilla, Melissa Woo, Lindsey Campbell

Sophie Pillar, Olivia Polischeck, Megan Mahoney, Julia Pano, Rhian Saunders, Kiersten Hazard

Darren Jeong, Pete Makrygiannis, John Galdones, Remo Ventura, Matthew Lee


FLASH

MEMORIES OF MOTHER CELEBRATORY TEAMAY 9Torrance Memorial Medical Center

Guests of the Memories of Mother Celebratory Tea came together this past Mother’s Day weekend to honor the memory of their mother figure. The festive event included musical entertainment, a dance performance, shared conversation and high tea. Mothers were remembered through story-telling and the sharing of photos. In the tradition of tea time, many guests wore their favorite hats. The cathartic event included letter writing and conversation facilitated by a bereavement volunteer.

Guests show off their festive hats.

Amanda Goodrich, Pat Brown, Marge Goodrich, Sarah Paley

Elaine Holtzman and Rose Marie Sarner

Hospice volunteer Betty Wheaton (center) and Luminaries volunteers support the event.

Rose Marie Sarner, Marie Herbrandson, Amanda Goodrich, Tezin Kiyosaki, Iona Matson, Lloyd Brown, Sharon Kalani, Betty Wheaton, Carol Friedman

DISTINGUISHED SPEAKER SERIES— NOBEL LAUREATE F.W. DE KLERK APRIL 20Shade Hotel, Manhattan Beach

Former South African president and Nobel Laureate Frederik Willem de Klerk discusses world events with Torrance Memorial patrons. In 1990 de Klerk released Nelson Mandela from prison, allowing the two politicians to work together to bring an end to apartheid. As a result, de Klerk and Mandela were jointly awarded the Nobel Peace Prize in 1993. De Klerk took questions at a private reception at Shade Hotel in Manhattan Beach. The reception preceded his appearance at the Distinguished Speaker Series of Southern California at the Redondo Beach Performing Arts Center later that evening. Torrance Memorial Medical Center is a sponsor of the series.

Kay Sheth, Greta Jarvis, Mike Zislis, Mike Jarvis, Susan Walker, Rich Walker

George Farinsky, Bobbie Farinsky, F.W. de Klerk, Elita de Klerk, Carol McMillen, Karl McMillen

Sally Eberhard and Barbara Bentley

Sam Feng, Rose Feng, Sigrid Allman, Ralph Allman

Kate Crane, Milan Smith, Carole Hoffman, F.W. de Klerk, Ty Bobit, Nadine Bobit, Rex Hoffman, MD

Kay Sheth, Bharti Sheth, Sam Sheth


FLASH

AMBASSADORS SALONJUNE 13Williams-Delgado Home

Patrons of the Ambassador Program–a fundraising arm of the Torrance Memorial Health Care Foundation–gathered recently at the home of Cynthia Williams, MD, and Chris Delgado, to learn how their donations are supporting the life-saving work of the medical center. Guests were treated to an empowering story of diagnosis, treatment and renewal from a cancer survivor who spoke from the heart about her health challenges. President and CEO Craig Leach also shared his appreciation for their generosity in supporting the medical center’s mission.

Melanie Lundquist, Richard Lundquist, Barbara Lurie, Mark Lurie, MD, Cynthia Williams, MD, Judy Leach, Craig Leach

Laura Schenasi, Heidi Hoffman, MD, Erin Hoffman, Carole Hoffman, Sandy VandenBerge

Dave Klein, Song Klein, Cynthia Williams, MD, Chris Delgado

Mark Lurie, MD, Judith Gassner, Barbara Lurie Carmen Schaye, David Buxton, Ann Buxton

AMBASSADORS SALONMAY 16Palos Verdes

Torrance Memorial Health Care Foundation Board members Ann Zimmerman and Christy Abraham recently hosted an intimate salon to share the amazing care that Ambassador donors are supporting by giving to Torrance Memorial Medical Center. During the gathering, guests learned about breast cancer survivor Mary Hodges’ story of diagnosis, treatment and compassionate care at the Torrance Memorial Polak Breast Diagnostic Center and the exceptional care she received by a cadre of skilled physicians. Her story of gratitude inspired many to give that evening.

Jay Abraham, Christy Abraham, Ann Zimmerman, Gary Zimmerman

Pat Theodora, Ellen Theodora

Pat Lucy, Rich Lucy, Judith Gassner

Stacie Allocca, TC Sayles, Barb Gabrielli, Eileen Hupp, Judith Gassner, Barbara Lurie, Corey Watts

Ann Zimmerman, Song Klein, Laura Schenasi, Dave Klein


FLASH

YPPA’S CUP RUNNETH OVER AT SECOND ANNUAL BEER TASTINGMARCH 26King Harbor Brewing Company

Torrance Memorial Medical Center’s Young Physicians and Professionals Alliance (YPPA) gathered for its second annual Beer Tasting event at South Bay craft beer maker King Harbor Brewing Company in Redondo Beach. YPPA was established with the purpose of bringing together young physicians and successful professionals in the South Bay community to engage in dynamic social gatherings that allow for personal and professional networking, while increasing awareness of and support for Torrance Memorial. For more information call 310-517-4728 or visit Torrancememorial.org/YPPA.

Hugo Hool, MD, Stanley Chang, MD, Joanne Chang, Amarpreet Brar, MD, Heidi Hoffman, MD, Jamie McKinnell, MD

Cari Corbalis, Brian Miura, MD, Colleen Farrell, Sydon Arroyo, DDS, Danielle Boujikian, Stanley Chang, MD

Angela Park-Sheldon, Terri Zajec, David Bray, MD, Drisa Carrizo, Melissa McWilliams

Cari Corbalis, Joanne Chang, Sandra Wang, Kimberly Winthrop, Britt Bunnag

Jamie McKinnell, MD, and Nick Arquette

Nick Arquette and Benjamin DownsAngela Park Sheldon, David Wallis, MD, Kerry Wallis

YPPA HIKE FOR HEALTHJULY 11Portuguese Bend Nature Reserve in Palos Verdes

Not only do members of Torrance Memorial’s Young Physicians and Professionals Alliance (YPPA) bond during speed networking events, members got outside to enjoy the beauty of the Palos Verdes Peninsula during a recent hike. YPPA members have the opportunity to attend numerous events throughout the year as they support the medical center through an annual membership fee. For information about joining YPPA, visit torrancememorial.org/YPPA.

Nadine Bobit, Brittney Bunnag, Karen Fuire, Song Cho Klein, Stephanie, Bezner, Heidi Hoffman, Cari Corbalis, Vimal Murthy, MD


FLASH

YPPA HOFFMAN SALON MARCH 5Hoffman Home

This spring Heidi Hoffman, MD, radiology, hosted an intimate salon event at her home in the Valmonte area of Palos Verdes Estates to introduce prospective members to Torrance Memorial. During the event several physicians and professional members spoke about the latest developments at Torrance Memorial and why they believe YPPA is an organization worthy of support.

ALL ABOARD THE SS YPPA MAY 12King Harbor Yacht Club

Torrance Memorial’s Young Physicians and Professionals Alliance (YPPA) hosted its third annual networking mixer with a nautical flair at the Redondo Beach King Harbor Yacht Club. About 100 castaways joined the festivities for the “three-hour tour” that invited attendees to engage in a speed networking exercise, designed to facilitate many introductions in a short amount of time. YPPA was established with the purpose of community engagement, support and advancement of Torrance Memorial Medical Center. For information on upcoming YPPA events and membership contact Laura Schenasi at 310-517-4728 or visit www.TorranceMemorial.org/YPPA.

Jamie McKinnell, Deena Knight, Clay Zachry, Melissa McWilliams

Joe Spierer, Cari Corbalis, Ben Archer

Heidi Hoffman, MD, and Michelle MolluraColleen Farrell, Nick Arquette, Steve Griswold, Khryste Langlais

Alex Shen, MD, Allyson Shen, Shane Andrews, Chris Andrews

Madeline Schenasi, Lori Baldwin, Dave Baldwin, Val Adlam

Amir Kaviani, MD, Nazanin Kaviani, Alex Elminoufi

Joe Spierer, Heidi Hoffman, MD, Ben Archer Greg Becker and Tiffany Becker, MD


FLASH

GOLF TOURNAMENT APRIL 6Rolling Hills Country Club

An early spring 29th annual Torrance Memorial Golf Tournament proved to be another sell-out success. Funds raised from the tournament will help fulfill the overall fundraising goal for the Lundquist Tower, which opened late last year. After a day of golf, participants enjoyed a cocktail reception, dinner, silent auction and awards banquet. City National Bank once again served as the tournament sponsor. Don Douthwright served as tournament chair. The late George L. Graziadio, Jr. was honorary chair.

Dave Klein, Harv Daniels, Mike Philbin, Forest Riopelle

Clockwise: Joe Jaconi, Mark Rouse, Scott Rouse, Brian Davison

Marc Schenasi and Laura Schenasi Cindy Williams, MD, and Alex Shen, MD

Ray Tehrani, Tracy Bracken, Augie Gonzales, Sal Gonzales

Tina Luallen, Melissa McWilliams, Song Klein, Colleen Farrell, Judith Gassner

Chris Adlam, Gene Matsuda, Robert Ruiz, Greg Laetsch Sandy VandenBerge, Don Douthwright, Craig Leach

Don Douthwright and Craig Leach

Don Douthwright, Scott Davis, Brett Dillenberg


END NOTE

As part of the National Nurses Week (May 6–12) celebration, Torrance Memorial Medical Center dedicated a Healer’s Touch Statue as a tribute

to its nurses. Nurses who receive the DAISY Award receive a miniature version of the statue when they are honored each month (see page 14 for recent winners).

The DAISY Foundation co-founders, Mark and Bonnie Barnes, were on hand for the statue’s unveiling in the Torrance Memorial Auxiliary Healing Garden. They shared their son’s story—the inspiration for founding the organization. In 1999 at the age of 33, Patrick Barnes awoke one morning with symptoms of an autoimmune disease after having survived

Hodgkins Disease twice. After eight weeks of hospitalization at the Seattle Cancer Care Alliance, Patrick passed away. The extraordinary care he received by nurses in the hospital prompted the Barnes to form The DAISY Foundation (DAISY is an acronym for Diseases Attacking the Immune System) as a way to say “thank-you for the gifts nurses give their patients and families every day.”

Since then the award has been adopted by health care facilities across the United States and beyond. The Healer’s Touch is a serpentine stone sculpture, which has been hand-carved by artists of the Shona tribe in Zimbabwe. The Shona people show tremendous respect to their traditional healers.

DAISY AWARD FOUNDERS DEDICATE HEALER’S TOUCH STATUE TORRANCE MEMORIAL RECOGNIZES THE SELFLESS CARE NURSES PROVIDE FOR PATIENTS AND FAMILIES EVERY DAY.

Lisa Palm-Alkadis, RN, Tina Abel, RN, Melissa Gunlund, RN, Bethany Mota, RN, Maria Olton, RN, Ed Nazareth, RN, and Bonnie and Mark Barnes with the Healer’s Touch statue.

Torrance Memorial’s Versant RNs and Bonnie and Mark Barnes gather around the Healer’s Touch statue. The Versant program is an education and training system designed to transition newly graduated RNs from students to safe, competent and confident professionals.

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