6 Pages references not includedTOPIC How Culture plays a role i
Peninsula Health
1. PENINSULA HEALTHPENINSULA HEALTHBUILDING A HEALTHY COMMUNITY THROUGH PHILANTHROPY winter 2016
MEDICAL TEAMS PARTNER
TO DELIVER THE BEST
PATIENT CARE
TOGETHER
WE’RE BETTER
CARL GOLDSTONE GIVES BACK
WITH A GRATEFUL
AND HEALTHIER HEART
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MESSAGE FROM THE CEO NEW AND NOTEWORTHY
Heiress and philanthropist Elisabeth Mills Reid, the founder of
Mills Hospital in 1907, once said, “I expect this to be the best
hospital of its kind.”
Her intent was that Mills Hospital would be the best community
hospital. The founders’ goal was to keep our community healthy by
managing and growing excellent services that consistently meet the
needs of local residents.
We proudly continue that legacy at Mills-Peninsula. For
example, looking forward to the next decade and beyond, we
anticipate that our aging San Mateo County residents will require
enhanced cardiovascular and neurological capabilities. That’s
because as people age they often become more susceptible to heart
disease and stroke.
Preparing Now for Tomorrow’s Needs
We’re planning strategies now, such as researching new, minimally
invasive ways to repair blocked or damaged pathways in the heart and
in the brain, so we’ll be prepared to meet this emerging challenge.
We’re also adding services to create a dedicated Cryptogenic Stroke
Center to diagnose and treat patients who suffer a stroke without any
discernible cause. This service will complement our already exemplary
Cardiovascular Center.
As we explore new devices and technologies, we must
simultaneously make sure we have enough finely skilled doctors
and caregivers to handle more patients. So we’re constantly
seeking out talented new physicians and clinical staff to add to
our outstanding team.
In many subspecialties, such as electrophysiology and interventional
cardiology, we’ve equipped our specialists with partners. This gives
doctors in the same field someone to consult with and to cover their
patients’ needs at all times. Having more staff physicians also ensures
that we have a sufficient number of experts on board to handle our
steadily increasing patient population.
Building Caregiving Teams
Equally important is cultivating the way our staff works together for
each patient’s benefit. We’re not just adding people. We’re building
teams of caregivers. This team approach is the ideal model for ensuring
the best possible care for every person who walks through our doors.
In the past, caregivers typically practiced medicine in “silos”
with each specialist operating independently. If the patient required
additional attention after meeting with one physician, he or she was
referred to another specialist in a different discipline.
Here, Mills-Peninsula doctors and staff, like the teams at sites
throughout the Sutter Health network, believe in a patient-centered
approach. This means they meet and consult with one another as
multidisciplinary partners, focusing together on solutions to the
patient’s overall health issues. That also means if it’s in the patient’s best
interest, our Mills-Peninsula doctors will connect and consult with
other doctors throughout the Sutter Health network.
In medicine, as in many fields, collaboration works best. At
Mills-Peninsula, when it comes to taking good care of our community,
we know we’re better when we work together.
WE’RE BETTER
Together
Stop Diabetes in its Tracks
Join us for a free seminar to learn about lifestyle changes you can
make to prevent or delay the onset of diabetes.
Feb. 7, 6:30 to 8 p.m.
Mills Health Center, Hendrickson Auditorium
Call 650-696-4772 for more information.
Dialing Down the Pressure: Strategies for
Caregiver Survival
Feeling overwhelmed by caring for an elderly relative? This
two-part self-care class will teach you practical tips to improve
your emotional and physical well-being. (This class is not for
professional caregivers.)
Two parts: Feb. 18 and 25, 10 a.m. to 1 p.m.
Mills-Peninsula Medical Center, Conference Room H (first floor)
1501 Trousdale Drive, Burlingame
Register by Feb. 15: 650-696-3660
FreeWise andWellAnnual Health Screenings
The Wise and Well program offers health screenings for anyone age
60 and older, with an emphasis on early detection of heart disease,
high blood pressure and diabetes. Appointments are required and
available from 9 to 11 a.m. For information, dates and locations,
visit mills-peninsula.org/seniors or call 650-696-3670.
2017 Women’s Health Luncheon and
Lecture: Keynote Speaker Abraham
Verghese, M.D.
Make plans now to join us
on Monday, April 24, 2017,
11:30 a.m. to 2 p.m. at the
San Francisco Airport Marriott
Waterfront Hotel in Burlingame
for our annual Women’s
Health Luncheon and Lecture
benefitting Mills-Peninsula breast
health programs. This event
sells out every year. Please reserve your table or ticket early at
millspeninsula.org/giving.
This year’s keynote speaker is Abraham Verghese, M.D., a
national bestselling author, New York Times columnist and a
prominent voice in medicine with a uniquely humanistic view of
the future of health care. His warmth, vision and world-class gifts
as a storyteller make him a powerful speaker.
The Women’s Health Luncheon and Lecture
events are now attended by more than 1,000
people annually and have raised more than
$6.5 million for women’s programs at
Mills-Peninsula. Instrumental to the growth
and success of these events has been Karen
Malekos-Smith, the former director of major
donor relations, who retired in August 2016.
During her tenure at the Foundation, Karen held key roles on many
important initiatives and projects, and served Mills-Peninsula with
distinction for over 31 years.
Sutter Health Introduces First Fully
Dissolving Heart Stent
Mills-Peninsula and Sutter Medical Center, Sacramento are
among the first hospitals in the country to offer patients with
coronary artery disease a new treatment option: the Abbott
Absorb stent, which disappears in the body over time. (See
sidebar on page 17.) David Daniels, M.D., an interventional
cardiologist at Mills-Peninsula, and Sailesh Shah, M.D., an
interventional cardiologist at Sutter Medical Center, implanted
the world’s first FDA-approved dissolving stent into heart disease
patients. Learn more at mills-peninsulanews.org.
U.S. News World Report Names
Mills-Peninsula Among Best Hospitals
Mills-Peninsula was
one of four hospitals
within Sutter Health’s
not-for-profit network
to achieve recognition
among the best
hospitals in California
for 2016–17 by U.S.
News World Report.
The annual rankings rate top hospitals in the state and in major
metropolitan regions, as well as top hospitals according to their
performance across 25 specialties, procedures and conditions.
Mills-Peninsula was recognized among the top 50 in the state and
top 10 in the San Francisco metro area.
NEWSFOUNDATION
AND HOSPITAL
MILLS-PENINSULA MEDICAL CENTER
1501 Trousdale Drive, Burlingame, CA 94010
MILLS HEALTH CENTER
100 S. San Mateo Drive, San Mateo, CA 94401
Janet Wagner, CEO
Mills-Peninsula Health Services
4. mills-peninsula.org/foundation PENINSULA HEALTH | 7
MILLS-PENINSULA
CARDIOLOGY AND
NEUROLOGY EXPERTS WORK
TOGETHER TO SOLVE
UNEXPLAINABLE STROKES
UNRAVELING THE MYSTERY BETWEEN
AND
THESTROKE HEART
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“A
very important medical recognition is that a large
proportion of ischemic strokes are really cardiac related,”
medical director of cardiac electrophysiology at Mills-
Peninsula, Christopher Woods, M.D., Ph.D., says. “So we know there
is a very clear interaction between stroke and the heart.” Ischemic
strokes occur when an obstruction within a blood vessel blocks the
flow of blood to the brain.
Because of this connection, Mills-Peninsula’s cardiology and
neurology professionals collaborate even more closely now than in years
past. “We have to find ways to detect diseases that don’t happen every
day but could have devastating consequences,” says Dr. Woods. “That
requires new technology. But more than that, it requires integration
between cardiologists and neurologists.”
Joining forces results in multiple physicians with varied expertise
working together to make patient-centric medical decisions. “We’re not
each focusing exclusively on the patient’s issues that reside only in our
specific area,” Dr. Woods explains. “Instead, together we’re trying to get
to the overlap of what’s wrong, so we can fix the problem and provide
the best possible care.”
Atrial Fibrillation and Stroke
When a stroke stems from a cardiac rather than a neurological cause,
at least 30 percent of cases relate to a specific category of arrhythmia or
electrical abnormality in the heart: atrial fibrillation (AFib).
A normally functioning heart contracts and relaxes to generate
a regular beat. But during atrial fibrillation, the heart’s two upper
chambers (the atria) beat chaotically and irregularly, out of sync with
the two lower chambers (the ventricles). Symptoms often include heart
palpitations, shortness of breath, exhaustion and weakness.
This condition can lead to clot formation in the atria. If a clot
breaks off, enters the bloodstream and lodges in an artery leading to
the brain, a stroke results. This clot risk is why doctors prescribe blood
thinners for many AFib patients.
According to the American Heart Association, AFib doubles the risk
of heart-related deaths and is associated with a fivefold increased risk for
stroke. Yet even though 2.7 million Americans live with AFib, many people
go untreated because they are unaware of the seriousness of their condition.
Collaboration for Better Treatment
Dr. Woods says an important piece of evidence emerged out of a
clinical trial conducted several years ago that studied stroke patients
who showed no neurological cause for stroke. After being monitored for
three years, many of these patients gradually began to display signs of AFib.
If a person presents with AFib at the time of the stroke, he says,
the cause is clear. But early onset AFib often comes and goes, so the
arrhythmia is absent when the patient is evaluated for stroke. To
determine if AFib causes a stroke requires an integration of neurology
and cardiology “because a neurologist can tell us if the stroke pattern
seen in the brain looks like it’s coming from the heart even in the
absence of AFib. Then we know to go look for problems that are heart
related,” Dr. Woods says.
Helping patients with AFib prevent a possible stroke also requires
cooperation among doctors in different cardiology fields. For
example, as an electrophysiologist, Dr. Woods might suggest a cardiac
ablation—a procedure that can correct heart rhythm problems—to
reduce the rate of AFib, which in turn may help reduce stroke risk. He
may also recommend blood thinners for the patient.
If the person can’t tolerate blood thinners, Dr. Woods and his
colleagues may collaborate with staff in the structural heart program to
recommend a Watchman device. This is a device implanted in the heart
to keep clots from forming in the first place. Interventional cardiologist
Joseph Walsh, M.D., is specially trained to perform this procedure (see
sidebar at right).
New Services at Mills-Peninsula Stroke
Program
Under the leadership of Joey English, M.D., Ph.D., the Mills-
Peninsula Stroke Program recently expanded in several exciting ways.
In early October 2016, doctors performed Mills-Peninsula’s first
endovascular intervention in the new endovascular room. Previously,
patients who needed this procedure required ambulance transport to
California Pacific Medical Center (CPMC), a Sutter Health affiliate
in San Francisco.
Endovascular surgery is similar to heart surgery to open up clogged
arteries. Performed as the stroke is happening, a neurointerventionalist
deploys a clot-retrieving device into the blood clot in the brain.
Removing the clot quickly restores blood flow, saving precious brain
tissue and minimizing a stroke’s potentially disabling effects.
A recently added service is 24/7 access to telemedicine stroke
services, a technology in collaboration with CPMC. Telemedicine
allows CPMC neurologists to assess Mills-Peninsula stroke patients
in real time through a high-definition video and audio connection.
Working together with a Mills-Peninsula Emergency Department
physician, a CPMC stroke neurologist can assess the Mills-Peninsula
patient, communicate with the patient and family, and access all
related tests, X-rays and scans.
Next: Cryptogenic Stroke Center
“Looking forward, Dr. Woods, Dr. Walsh and I are planning to
create a Cryptogenic Stroke Center,” says Dr. English. Cryptogenic
means “of obscure or unknown origin.” In a medical context, it
means that sometimes patients suffer strokes without any seemingly
discernible cause.
“This new center would combine the mind power of our neurology
experts with our cardiology experts to solve the mysteries behind stroke
cases that appear unexplainable, opening the door to clear avenues of
treatment,” says Dr. English.
Breaking Down Silos
Dr. Woods credits Conrad Vial, M.D., the first physician leader
of the multidisciplinary cardiovascular team, with pioneering the
multidisciplinary mindset. “Dr. Vial had the foresight to recognize that
treating the patient in isolation no longer works,” Dr. Woods says. “So
we’re breaking down the barriers and forming patient-centered teams.
This isn’t my patient or yours. This is a person. They have a problem
and we need to find the right team that can help.
“We’re committed to the patient across institutions and that
fundamentally differentiates the Sutter Health Network approach,”
Dr. Woods continues. “We’re willing to cross barriers, from medical
departments to hospitals, and it allows us to holistically take better care
of each person.” PH
“A large
proportion of
stroke incidents
are really
cardiac related.”
– Christopher Woods, M.D., Ph.D.
JOEY ENGLISH,
M.D., PH.D.
CHRISTOPHER WOODS,
M.D., PH.D.
CONRAD VIAL, M.D.
EXPANDING THE CARDIOLOGY TEAM
By 2030, a large portion of the population in San Mateo County is
projected to be age 65 or older, a time of life when people are more
susceptible to heart attacks, atrial fibrillation and stroke.
To meet this need, Mills-Peninsula is expanding the Cardiovascular
Department. Two specialists, cardiac electrophysiologist Jonathan
Salcedo, M.D., and interventional cardiologist Joseph Walsh, M.D.,
have recently joined the team.
A Team Approach
“When I was in medical school, I always imagined working alongside
partners and colleagues, getting the benefit of their experience,” Dr.
Salcedo says. At Mills-Peninsula, he got his wish.
As partner to electrophysiologist Christopher Woods, M.D., Ph.D., Dr.
Salcedo performs cardiac ablations, a procedure to correct electrical
heart problems that can cause an irregular heartbeat.
“The idea has always been to have back-to-back coverage so we can
easily pop into each other’s cases if help or advice is needed,” says Dr.
Salcedo. “Ablations can be very complex so it’s great to have a partner
nearby. It also gives you someone to be a sounding board.”
Patient care often expands to include Palo Alto
Medical Foundation electrophysiologists Rob
Patrawala, M.D., and Gregory Engel, M.D. “We
collegially work together to deliver the best care
for our patients,” says Dr. Salcedo. “It’s part of
the culture here at Mills-Peninsula.
“Dr. Woods and I also interact often with our
interventional colleagues and cardiothoracic
surgery partners,” he continues. “So there’s not one single doctor with a
tilt toward a particular procedure or device. It’s a meeting of the minds.”
Stopping Clots at their Source
Working alongside interventional cardiologist
David Daniels, M.D., Dr. Walsh performs
complex stent placements, transcatheter aortic
valve replacements (TAVR; see page 14) and
Watchman device implantation.
Historically, doctors have prescribed strong
blood thinners to reduce the chances of a stroke
caused by atrial fibrillation (AFib). “While medication does a good job
of preventing a stroke,” Dr. Walsh says, “it also carries a 3 to 4 percent
yearly risk of major bleeding, which, over time, represents a significant
threat to a patient’s life.
“More than 95 percent of the time, the blood clots that cause serious
strokes in AFib patients form in a pocket of the heart called the left atrial
appendage,” Dr. Walsh continues. The Watchman implant is a tiny “plug”
introduced through a small catheter inserted in the leg (see photo below)
that fits into this pocket, covering the hole where blood clots form and
sealing it off. This one-time, minimally invasive procedure eliminates the
need for prescription blood thinners for the rest of the patient’s life.
“It’s a great solution for patients who are at a high risk of
bleeding or who can’t tolerate conventional blood-
thinning medications,” he says. More than 10 years
of clinical trials show that the Watchman device is as
effective as blood thinners in preventing blood clots,
without the associated bleeding risks. Moreover,
clinical trials reveal that patients who receive this
device actually live longer than patients who are
on blood thinners.
“The Watchman device is a game-changing technology
we can now offer patients who previously had
no options at all,” Dr. Walsh says.
JONATHAN SALCEDO, M.D.
JOSEPH WALSH, M.D.
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A GOLF GAME TO
REMEMBER
Shortly after his heart surgery, Carl Goldstone told his children, “I
almost bought the farm.”
“In my day that meant ‘I almost died,’” he says. “Funny thing
is, our kids weren’t familiar with that saying. Our family owns a
real estate investment company, so they just thought I was delirious
from sedatives and literally wanted to buy a farm.”
Carl can joke about it now, but what happened on Memorial
Day 2014 was no laughing matter.
Despite Symptoms, He Kept Playing
An avid golfer, Carl, then age 62, was playing at the Peninsula Golf
and Country Club in San Mateo when his ears plugged up and he
lost vision in his left eye. He didn’t know it at the time, but he was
experiencing an aortic dissection.
“An aortic dissection is a serious condition in which the inner
layer of the aorta, the large blood vessel branching off the heart,
tears,” Conrad Vial, M.D., Mills-Peninsula cardiothoracic surgeon,
says. The blood surges through the tear, causing the inner and
middle layers of the aorta to separate. “If the blood-filled channel
ruptures through the outside aortic wall, it’s often fatal,” he says.
Time was of the essence. But at that moment, Carl had no idea
what was happening. At first he thought he might be getting the
flu. “By the last hole, it did cross my mind I could be having a
stroke,” he recalls. He skipped his usual lunch and headed back to
his home in Hillsborough.
After describing his symptoms to his wife Olivia, the two drove
immediately to Mills-Peninsula Medical Center in Burlingame, just
a five-minute drive from their house.
Olivia’s first thought was that Carl might be experiencing vertigo.
A long-time hospital volunteer and fundraiser, Olivia helped raise
money to build Mills-Peninsula’s
Women’s Center. “We feel very
fortunate that we decided to have
him checked out,” she says. “If
we had waited even an hour, Carl
may not have survived.” Olivia’s
father died of the same condition
35 years ago.
A Scary Ride
Looking back, Carl cringes that
he hesitated to go directly to the
hospital. By the time he arrived,
his symptoms had worsened.
“I became very tired. The
cardiologist on call, Dr. David
Kurzrock, detected a gurgling in
my chest. That was good because
it narrowed the focus on my
heart, when my initial symptoms
could have been caused by any
number of things.”
Immediately, the hospital called
thoracic and cardiac surgeon
Dr. Vial, who was 20 minutes
away. “The hospital staff told me
he’s one of their best doctors,” Carl
says. “Thankfully, he was able to
come immediately.”
Carl remembers nurses
wheeling him to get a
computerized tomography (CT)
scan, but his memory of the
incident fades after that. He
learned later that Dr. Vial had
to crack open his rib cage and place a Dacron graft (a polyester tube
used as a stent) around his aorta to repair the tear.
In Good Hands
“I’m incredibly lucky that Dr. Kurzrock was at the hospital when I
arrived and that he was able to get in touch with Dr. Vial so quickly
on a Saturday—and a holiday,” Carl says. “I also had an outstanding
anesthesiologist and the whole hospital staff was unbelievable. They
took wonderful care of me.”
Olivia adds that the hospital staff was “A-plus-plus-plus. They
kept us informed about his condition every step of the way. I felt
comforted knowing he had the best of care. They helped me stay
positive in what was otherwise a very surreal, emotional roller-
coaster experience.”
Even when Carl came home,
“the staff was great about helping
me learn how to manage his home
care,” she says.
A philanthropic contributor
to Mills-Peninsula for many
years, Carl feels fortunate that
his family is in a position to
give back to the community.
“We always felt that supporting
our local hospital was the most
meaningful thing we could do
to support our community. I
believed that but never dreamed
this hospital would end up saving
my life.”
Back on the Links
Although it took about a year to
fully recover, Carl was back on the
golf course just eight weeks after
his surgery.
Now, Carl says he’s in better
shape than ever. In addition
to golfing, still his favorite
pastime, he works out with a
trainer two times a week, walks
on the treadmill five days a
week, lifts weights and stretches
after every exercise.
He credits Olivia for inspiring
him to stay fit and eat right. “She
helps me watch what I eat. I
avoid carbs. Luckily, I was never
overweight. If I had been out of
shape before this happened, I might never have made it off the golf
course,” Carl says.
He advises, “If you don’t feel right, maybe something you’ve never
experienced before, don’t hesitate. Go to the hospital to get checked
out. If I’d laid down on the couch to rest after this happened, I
wouldn’t be here now to tell the story.”
Happily, Carl looks
forward to walking his
daughter Lisa, 28, down the
aisle at her wedding next
September. “I’m incredibly
grateful I’m going to be here
for that and for all the good
fortune in my life,” he says. PHDAVID KURZROCK, M.D.CONRAD VIAL, M.D.
Carl Goldstone with
his wife Olivia at their
Hillsborough home.
“An aortic dissection is a serious
condition in which the inner layer
of the aorta, the large blood vessel
branching off the heart, tears.”
– Conrad Vial, M.D.
DONOR PROFILE
AFTER SUFFERING A NEAR-FATAL
TEAR IN HIS AORTA, A 64-YEAR-OLD
BUSINESS OWNER AND AVID
GOLFER FEELS LUCKY TO BE ALIVE
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Coping with a chronic or acute health condition can be unnerving and stressful.
That’s why teams at Mills-Peninsula, California Pacific Medical Center
(CPMC) and Sutter Medical Center are collaborating to create programs and services
that make it easier for patients to get the treatments they need to support a healthy
mind, body and spirit.
From same-day service for breast biopsies to easier-to-schedule G.I. Center
appointments and integrative treatments for cancer patients, significant programs
are being developed to offer patients more convenience and holistic options for
overall wellness.
Same-Day Service at Women’s Centers
Nothing is quite as unnerving as receiving news that your mammogram or
ultrasound results indicate a biopsy is needed.
“Although most biopsies are benign, some will show cancer. Waiting for those
results can be frightening,” Harriet Borofsky, M.D., medical director of the Mills-
Peninsula Women’s Center in San Mateo, says.
That’s why the Mills-Peninsula Women’s Center, CPMC and Sutter Roseville
Medical Center Breast Health Center recently joined forces to launch a project
that offers same-day breast biopsy procedures.
“Same-day procedures promote continuity of care while reducing patient stress
and minimizing the time it takes to get definitive results,” Dr. Borofsky, who
leads the project, says.
Patient feedback shows 67 percent of women would like to have
biopsy procedures the same day they received their diagnosis, says Dr.
Borofsky. In the past, obstacles included staff and room limitations.
“The good news is we’ve added a dedicated room at Mills-
Peninsula that essentially doubles our capacity to handle same-
day biopsies and related procedures. Getting biopsies faster
means women can get their results faster, too,” Dr. Borofsky
says, adding that results can be delivered in as little as one to
three days.
The newly expanded Breast Center at Mills-Peninsula also
features upgraded technology. “We just received philanthropic
funding for a new state-of-the-art tomosynthesis and stereotactic
biopsy unit.”
Tomosynthesis provides a three-dimensional (3D) X-ray of the
breast. Stereotactic biopsy “uses a computer and imaging in two
planes to localize a targeted lesion in a 3D space to guide tissue
removal,” Dr. Borofsky says.
“This new unit offers the highest resolution possible, reduced
procedure time and increased ability to target the subtlest of lesions,”
she says. “In my 22 years of experience, this is one of the most
important technologic advances in early detection and diagnosis of
breast cancer.”
New G.I. Center Offers More Convenience,
Lower Cost
When you’re suffering from a peptic ulcer, you don’t want to wait a
minute longer than you have to for treatment.
That’s one reason why Sutter Health’s Mid Peninsula Endoscopy
Center recently expanded from two to three rooms at its new location
at 1720 El Camino Real, across the street from Mills-Peninsula
Medical Center in Burlingame. “The expanded center dramatically
increases the number of patients we can see in a day,” Robert Osterhoff,
M.D., director of the Mid Peninsula Endoscopy Center, says.
The ambulatory surgery center offers nonsurgical endoscopy and
colonoscopy performed under moderate sedation. “The patient is
generally released to return home within one hour after the procedure,”
Dr. Osterhoff says.
Endoscopy is used to evaluate gastrointestinal issues, from peptic
ulcer to acid reflux, abdominal pain and cancer. Colonoscopies screen
for colon cancer and evaluate for ulcers, colon polyps, tumors and
areas of inflammation or bleeding. “We provide a far more convenient,
less disruptive and lower-cost alternative to procedures performed in a
hospital or requiring an overnight hospital stay,” Dr. Osterhoff says.
Although the building is newly remodeled, the office includes the
same experienced staff. “You’ll enjoy the same high-quality care we’ve
offered for the past 20 years, but you can now schedule services faster
than ever before,” he says.
Extra Support on its Way for Cancer Patients
Sometimes cancer treatment side effects make patients very uncomfortable.
Thanks to philanthropic funding, the Dorothy E. Schneider Cancer
Center will soon launch a new Integrative Health Program to offer cancer
patients alternative treatments that could help them feel better.
“Integrative treatments, or complementary care, refer to any type
of non-mainstream practice you use along with standard care,” Laura
Arroyo, MPH, director of the Mills-Peninsula Cancer Center, says.
“This could include guided imagery, acupressure, meditation, yoga,
massage or something similar. Using this program, patients can choose
the services they prefer.”
For example, guided imagery meditation is a gentle but powerful
technique that focuses and directs the imagination in proactive,
positive ways, Arroyo says. It has been shown to reduce the adverse
effects of chemotherapy, especially nausea, depression and fatigue.
A study published in the Clinical Journal of Oncology Nursing
measured the outcomes of guided imagery when used by breast cancer
patients who were receiving radiation therapy. Overall, 86 percent of
participants described the sessions as helpful and 100 percent said they
would recommend the intervention to others.
“Our physicians, nurses and trained health care providers believe
in caring for the whole person,” Arroyo adds. “Sustaining the patient
in mind, body and spirit is equally important to the overall patient
experience and quality of care at Mills-Peninsula.” PH
FROM SAME-DAY BIOPSIES,
COLONOSCOPIES AND
ENDOSCOPIES TO
INTEGRATIVE HEALTH
SERVICES, INVENTIVE
PROGRAMS AIM TO LOWER
PATIENT STRESS
NEW SERVICES
IMPROVE CONVENIENCE
PATIENT ANXIETY,
REDUCE
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“I
noticed I was getting short of breath,” 91-year-old Hillsborough
resident Jack Schultz recalls. “I’d get in the car, swing my feet
up to the pedals and suddenly it made my heart pound.”
Jack was diagnosed with aortic stenosis. His aortic valve,
one of two valves on the left side of the heart, was losing its ability to
open and close properly, restricting blood flow to his heart. It had to
be replaced.
A Second Chance
For the past 30 years, open-heart surgery was the only way to replace a heart
valve. For a 91-year-old person, that could be dangerous, if not impossible.
But five years ago the Food and Drug Administration approved a game-
changing device called a transcatheter aortic valve replacement (TAVR,
pictured above), providing high-risk patients with a second chance.
NEW VALVE
REPLACEMENT DEVICES
AND MINIMALLY
INVASIVE PROCEDURES
MAY SOMEDAY MAKE
OPEN-HEART SURGERY
OBSOLETE
PROCEDURES OFFER
NEW HOPE TO
HEART PATIENTS
INNOVATIVE,
LESS
INVASIVE
“We deploy the new
valve inside the patient’s
aortic valve without opening
the person’s chest, without
stopping the heart and
without putting the
person on bypass.”
– David Daniels, M.D.
Following minimally invasive
heart valve replacement, Jack
Schultz returned to his home
after a one-night hospital stay.
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This minimally invasive procedure repairs the aortic valve without
removing the old, damaged valve. Instead, it wedges a replacement
valve into the aortic valve’s place.
“Through a dime-size incision in the femoral artery, we insert
a tiny tube,” Mills-Peninsula interventional cardiologist David
Daniels, M.D., explains. Director of the Sutter Health Bay Area
TAVR program, Dr. Daniels has performed nearly 300 of these
procedures. “We deploy the new valve inside the patient’s aortic valve
without opening the person’s chest, without stopping the heart and
without putting the person on bypass.”
“When I woke up after the procedure, I had a tiny bandage on the
inside of my thigh and that was it,” Jack says. “There was no pain and
right away I noticed my shortness of breath was gone.” The next day,
Jack returned home.
“A few years ago, physicians felt that as patients got older and
weaker they were unable to survive a heart surgery. So nothing could
be done for them,” Dr. Daniels says. “Then this new technology came
along and all of a sudden, we can treat people who are a little bit
sicker and a little bit older. And the amazing part is, often it turns
out that once the person’s aortic valve is fixed and their heart can
function properly, you discover they weren’t as old
and sick as you thought they were.”
More Potential Ahead
The TAVR procedure shows so much promise that
researchers recently conducted a clinical trial to
compare its effectiveness with traditional surgical
aortic valve replacement. Looking beyond high-risk
patients, the study explored whether the procedure
offers a significant benefit to intermediate-risk
patients as well.
Trial participants randomly received one of two
valve repair methods. Results showed that patients
who underwent the typical TAVR procedure (through
the femoral artery in the leg) had a significantly lower
mortality rate after one year compared with patients
who received surgical aortic valve replacement.
“This is a really big deal because it’s the first time
that a transcatheter therapy, a minimally invasive
technique, proved to be superior to a surgical
procedure in terms of short-term recovery, long-
term mortality and lower incidence of stroke,”
says Dr. Daniels. “This is a significant milestone in
interventional cardiology.”
Next step: Could TAVR also top traditional
surgery for low-risk patients? For example, what are
the long-term effects for a 60-year-old person with
severe aortic stenosis but no other risk factors? Will
the TAVR valve be as durable as a surgical valve
replacement over a five- to 15-year time span?
Dr. Daniels and Mills-Peninsula cardiothoracic surgeon Conrad
Vial, M.D., aim to find out. They are the principal investigators
of a major clinical trial at Mills-Peninsula and Alta Bates Summit
Medical Center. Approximately 60 institutions nationwide, including
Columbia University, Cleveland Clinic and Mayo Clinic, are
involved. Three Sutter Health hospitals—Mills-Peninsula, Alta Bates
Summit Medical Center and Sutter Medical Center, Sacramento—are
the only nonacademic centers in Northern California participating
in the study.
Dr. Daniels says the TAVR device manufacturer, Edwards
Lifesciences, selected Sutter Health for this trial because of the
excellent outcomes achieved by the Sutter Health TAVR program.
“Our mortality rate for TAVR is five times lower than the national
average and our length of stay for TAVR patients is three times
lower,” says Dr. Daniels.
Next-Gen Valve Replacement
The mitral valve is the next target for transcatheter valve
replacement therapy.
Mills-Peninsula First Bay Area Hospital to Implant New
Dissolvable Heart Stents
Pacifica resident Marnae Passantino is not the first person with coronary artery disease
to receive two stents in her heart. However, in about three years, she’ll be the first
Mills-Peninsula patient whose stents will safely disappear without a trace. That’s because in
August 2016, Marnae became one of the first heart patients in the country to receive heart
stents that dissolve in the body over time (see photo below).
For weeks, Marnae struggled daily with debilitating chest pains. “I had just started a new
job,” she says. “I thought it was nervous anxiety.” But when the pain reached a point where
she had to quit working, she knew it was time to seek help.
Detailed tests revealed that Marnae’s coronary artery was 95 percent blocked. “Both my
brothers have had metal stents implanted which later failed. It was extremely painful. So
when Dr. Daniels proposed using this new dissolvable stent, I was very interested.”
“The manufacturer
describes this device as
a bioresorbable vascular
scaffold,” Mills-Peninsula
interventional cardiologist
David Daniels, M.D., says.
“That’s because, like the
scaffolding you erect on
the side of a building, once
the repair is complete, the
scaffolding disappears.”
In this case, the scaffold
is made of a carbohy-
drate-based compound that the body naturally absorbs in about three years, leaving nothing
behind—similar to dissolvable sutures.
According to Dr. Daniels, it’s more difficult to implant a scaffold than a metal stent because it
must be fitted with extreme accuracy. But he feels the benefits greatly outweigh the risks.
“If you do an angiogram of a patient who has a second episode of chest pain or a heart
attack after receiving a metal stent, there’s a 50 percent chance that the problem will reside
inside or right around the metal stent,” he says.
Though the reason for this isn’t completely understood, experts feel it may be because a
fixed metal piece prevents the artery from expanding and contracting naturally and also
affects hormone production from the artery wall.
“From a practical perspective, if a patient comes back in five years with another prob-
lem in the same area, I can just implant another scaffold in the same spot because I’ll
have all the room I started with originally,” says Dr. Daniels. “With a traditional stent,
once you put it in, you are constrained by the outer cage of metal. So you have to
implant another metal stent inside of the first one. You can only do that so many times
before you run out of real estate.”
For Marnae, life is pain-free and back to normal. “I feel very blessed,” she says.
“These devices are going to dissolve completely and not leave anything behind. I think
that’s fabulous.”
The mitral valve, the second valve on the
heart’s left side, regulates blood flow from the
upper left chamber (left atrium) into the lower
left chamber (left ventricle), the heart’s main
pumping chamber.
“Because of our relationships and outcomes with
TAVR, we’ve been chosen to participate in an early
feasibility study of a new dedicated transcatheter
valve called Cardiac AQ, also being developed by
Edwards Lifesciences,” says Dr. Daniels.
Similar to TAVR, this valve can be delivered
without an open chest incision. Instead, the
cardiologist introduces a catheter through a tiny
incision in the leg, which travels into the right side
of the heart, punches a little hole in the middle
and delivers the new mitral valve to the left side.
According to Dr. Daniels, more than 30
companies worldwide are working on developing
this type of valve. The TAVR procedure has
already significantly reduced the number of
open-heart surgeries. “Once we solve the mitral
valve problem from a transcatheter perspective,
over time the need for open-heart surgery will
radically diminish,” he says.
Like the TAVR trials, the Cardiac AQ
feasibility studies are being conducted in very
select sites. Mills-Peninsula is one of only
16 chosen sites; it is the only hospital in the
Sutter Health network and one of only two
hospitals in the western United States to take
part (the other is Cedars-Sinai Medical Center
in Los Angeles).
A Team Effort
Conducting clinical trials is extremely detailed,
time-consuming work. “I couldn’t do this without
the help of my amazing staff,” says Dr. Daniels,
whose team includes nurse practitioner Chris De
Guzman, medical assistant RaeAnne Harrington
and valve clinic coordinator Lynn Canale, R.N.
“Here at Mills-Peninsula we are extremely
fortunate to participate in this
forward-looking technology
at such an early level,” he
continues. “I think it really
highlights how far we’ve come—
from a community hospital to a
program site that’s developing a
national reputation.” PH DAVID DANIELS, M.D.
Marnae Passantino made history
as one of the first heart patients in
the country—and the first patient
at Mills-Peninsula—to receive
bioresorbable stents, which dissolve
in the body over time.
10. 18 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 19
When illness becomes chronic, stress and symptoms multiply—
making each day even more difficult. That’s why an
increasing number of health care providers recommend palliative
care to patients and their families coping with serious illness or
ongoing pain.
Palliative care isn’t about curing disease, although it is often offered
alongside curative care. Instead, this compassionate care model helps
people think through what they truly want at this point in life and
how to balance those priorities with the available treatment options.
By helping people gain a better understanding of their life choices
along with their medical alternatives, palliative care can significantly
improve quality of life for both patient and family.
Palliative care can help people of any age and at any stage of
illness. An estimated 6 million Americans currently need this care
option, according to the Center to Advance Palliative Care.
Myth-busting Palliative Care
Palliative care specialists Geoffrey van den Brande, R.N., and Lily
Yeuk Ying Lee, R.N., manage Mills-Peninsula’s comprehensive
palliative care program and interact with staff and families as part of
the Case Management Department. Palliative care physician Suzanne
Pertsch, M.D., is the program’s clinical supervisor.
“We want to dispel the image that palliative care is just about end-
of-life care,” van den Brande says. “When the concept of palliative
care is introduced sooner rather than later, the patient often feels
more supported. We can then help navigate the frustration and stress
people often experience during a serious illness. We want people to
live in a way that meets their needs with as much quality of life as
they can.”
“Ideally, we encourage people to begin by considering their goals
and wishes,” he adds. “What priorities are important to them as they
actively seek treatment? What really matters?”
Also, palliative care isn’t “all or nothing,” he says. “People can
choose to go in and out of palliative care and tailor their treatment
as needed.”
“It’s a big misconception that palliative care begins when there are no
more treatment options,” Lee adds. “People often think it’s the same as
hospice care. We’re working to change that perception, to help people
know that palliative care is not only valuable during the last stage of
illness, but in fact offers greater benefit when introduced earlier.”
Working Together
At Mills-Peninsula, palliative care is a team effort with patients and
families, case managers, social workers, physicians and chaplains.
“Even though we all have distinct roles, we work collaboratively
to develop a plan that meets each patient’s needs with weekly case
management meetings to update their progress,” Lee explains.
To spread the word about the benefits of palliative care, Lee and
van den Brande coordinate closely across care teams and attend
tumor board meetings, complex case meetings and hospital rounds.
They talk frequently with staff and physicians, helping them learn
more about the value of palliative care and why it’s important to
introduce it early in a patient’s care plan.
Broadening the Reach
Currently, Lee and van den Brande conduct 50 new in-hospital
palliative care consultations per month and hope to soon expand this
offering to the outpatient setting as well.
“We want to broaden the services and open palliative care to the
patient community outside the hospital to offer more people better
continuity of care,” van den Brande says.
Recently, the Mills-Peninsula team hosted a series of local
community palliative care seminars led by Dr. Pertsch. “People
are sharing their experiences and learning why having care goals
is so important,” Lee says. “We’ve seen growing interest from the
community and hospital staff in learning how we can provide more
palliative care for patients. We want to be seen as a service that
complements all types of other services.”
Lee and van den Brande add that palliative care is not just aimed
at older adults. “We’d like to reach middle-aged and younger adults
to help them normalize the conversations around care planning and
goals,” says van den Brande.
“In our society, we tend not to want to think about our own
serious illness and mortality,” he continues. “But by looking the other
way, we do ourselves a disservice as an illness progresses and develops
into a crisis situation. If we normalize the conversation, it helps
everyone so much more.” PH
NEW PALLIATIVE CARE TEAM HELPS SERIOUSLY ILL PATIENTS
AND THEIR FAMILIES REDUCE SYMPTOMS, RELIEVE STRESS
AND IMPROVE EACH DAY
PALLIATIVE CARE
PARTNERSHIPOFFERSSUPPORTALONGTHEWAY
“Palliative care helps
people live in a way
that meets their needs
with as much quality
of life as they can.”
– Lily Yeuk Ying Lee, R.N.
18 | PENINSULA HEALTH mills-peninsula.org/foundation
CAREGIVER PROFILE
Geoffrey van den Brande, R.N.,
and Lily Yeuk Ying Lee, R.N.
11. 20 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 21
O
n average, someone in the United States suffers a stroke every
40 seconds. It’s the fourth leading cause of death for Americans,
according to the National Stroke Association.
“During a stroke, ‘time is brain’ and every second counts. The
more time that goes by the greater the potential brain loss,” Jenny Im,
R.N., stroke program coordinator at Mills-Peninsula, says. “Studies
show that the sooner we give stroke patients tissue plasminogen
activator (tPA), a protein involved in the breakdown of blood clots,
the more likely the drug will improve function and decrease the
chance of long-term disability.”
Stroke Center on Wheels
Already a Bay Area leader in stroke health care and innovation,
Mills-Peninsula hopes to soon be among the first hospitals in the
United States—and the first in Northern California—to participate in
a national mobile stroke unit study that sends a 911 ambulance directly
to a suspected stroke patient.
Aboard the mobile stroke unit will be a stroke neurologist, a
specially trained nurse, a paramedic, a CT technician, a CT scanner
and telemedicine technology—everything needed to scan the brain and
administer the clot-busting medication as a stroke is happening.
The mobile stroke unit study will investigate the long-term benefits
of commencing care prior to the patient reaching the hospital, says Im.
“If we can give the clot-breakdown drug sooner and it decreases stroke
disability, it may dramatically change the treatment paradigm for this
disease. Instead of bringing patients to the Emergency Department, we
will bring the ED to them.”
In preliminary data, pilot mobile stroke unit studies demonstrate
that they reduce stroke onset-to-treatment time. “Before the mobile
stroke units, nationally only about 5 percent of patients received the
drug within 60 minutes of stroke symptoms,” Im says. “With the
mobile stroke units, they’ve been able to treat 40 percent of stroke
patients within an hour of having the stroke.
“What’s really good about our system and why this will work
well in San Mateo County is that we have a very good collaboration
with the Emergency Medical System and other stroke centers in the
county,” she continues. “So in addition to Mills-Peninsula patients,
our mobile stroke unit can treat other patients in the community
and county.”
Through a $2 million funding goal, Mills-Peninsula is hoping to
participate in this two-year pilot study. Donor support will help us
provide telemedicine mobile stroke unit care to stroke patients quickly
and efficiently, preventing stroke damage sooner and saving lives.
Get Involved
Please support the mobile stroke unit study and help bring emergency
treatment directly to stroke patients by considering a financial
gift. For more information, call 650-696-5990 or visit
mills-peninsula.org/foundation. PH
For Bob and Chris Hunter, philanthropy has never been about
legacy or recognition. “We just want to help however we can,”
Chris says. “If someone feels inspired to make a gift because of
something we’ve contributed, that’s just one more wonderful way
for us to know we are still making a difference in our community.”
The Hunters are more than familiar faces at Mills-Peninsula
Hospital Foundation events such as the annual Women’s Luncheon
and Lecture and the Loyal Donor luncheons. They have been steadfast
benefactors for decades, charitably providing more than 30 gifts to
support the hospital.
In 2011, the Hunters took their giving to a whole new level: they
joined the Mills-Peninsula Legacy Society by including the Foundation
in their estate plan and establishing a charitable remainder trust. Even
after arranging this generous planned gift, the couple still faithfully
makes annual contributions to Mills-Peninsula.
A Family Tradition
Bob and Chris Hunter’s association with Mills-Peninsula dates back to
the 1930s. “Five generations of my family have been treated at Mills-
Peninsula, all the way from my grandfather to our granddaughter,”
Chris says. “Our kids were born here.”
Although Mills-Peninsula sees many patients with multigenerational
connections, the Hunters’ involvement extends well beyond that.
In addition to being generous donors, they both serve as dedicated
volunteers. At one time, Chris also worked as a hospital employee.
“In fact, I worked for Mills-Peninsula twice,” Chris recalls. “My
first position was in the records department during the 1940s, long
before the hospital moved to the electronic health records we have now.
Later I served as a unit coordinator in the dialysis department where I
worked for 10 years.”
In 1987, when Bob retired from his successful insurance business,
the couple decided to join the Mills-Peninsula Health Services
Auxiliary and have been actively involved ever since. Chris has
worked in the dialysis unit and volunteers in several other programs
throughout the hospital. Bob has organized blood drives and served as
the director of Lifeline, the hospital’s emergency service phone line.
He still volunteers on patient floors and at the lobby reception desk.
“Volunteering is so enjoyable,” Bob says. “Even if we spend just a
few hours a week working at the hospital, Chris and I get such a good
feeling knowing we’ve helped somebody.”
A Community Treasure
“I often reflect on how our longtime donors and employees of Mills-
Peninsula feel like family,” John Loder, president of the Foundation,
says. “These long-standing relationships are incredible. We are so
lucky to have caring people and philanthropists like Bob and Chris in
our community.”
“The Hunters have been so generous with their time and their
treasure,” Peter Gielniak, director of Planned Giving at Mills-Peninsula,
says. “They are true philanthropists. We are deeply grateful for their
support and the example they set year in and year out with their
amazing generosity.” PH
Bob
Chris
Hunter
New Mobile
STROKE UNIT
ESTATE DONORS AND
ANNUAL SUPPORTERS
PLANNED GIVINGFUNDING PRIORITIES
Act FAST to Prevent Stroke Damage
People often wait too long to call 911 when they experience stroke
symptoms. “We want people to call right away,” Jenny Im, R.N., stroke
program coordinator at Mills-Peninsula, says.
“Look for sudden changes and use the acronym FAST: facial droop,
arm weakness or speech changes mean act fast,” she says. “If you see
any one of these stroke signs, call 911. Don’t try to drive the person to
the ED yourself. Time is brain. Every minute counts.”
FFACE
LOOK FOR
AN UNEVEN
SMILE
AARM
CHECK IF
ONE ARM
IS WEAK
SSPEECH
LISTEN FOR
SLURRED
SPEECH
TTIME
CALL 911
IMMEDIATELY
“If someone feels inspired to make
a gift because of something we’ve
contributed, that’s just one more
wonderful way for us to know we
are still making a difference in our
community.”
– Chris Hunter
BRINGS EMERGENCY
DEPARTMENT TO PATIENTS
12. 22 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 23
• Anonymous (2)
• Mr. and Mrs. Jack Z. Aaroe
• Yvonne D. Anthony
• Penny and Adrian Bellamy
• Phyllis and Andrew Berwick
• Robert E. Bonino and
D. Leslee McLennan Bonino
• The James G. Boswell Foundation
• Sheila O’Connor Burns
• Marian and Allan Byer
• Elma Doris Dowell
• Mr. and Mrs. James E. Frank
• Mrs. John N. Hansen Sr.
• Mr. and Mrs. Ralph M. Ho
• Charles and Ann Johnson Foundation
• Betty Gwin and Isaac Barshad
• Peggy Bort Jones
• Effie Jayne Keldsen
• Sydney and Zelda Levin
• The Estate of Teresa E. McIntosh
• William and Sally Mein
• Mr. and Mrs. Mack E. Mickelson
• Mills-Peninsula Auxiliary
• Montgomery Street Foundation
• Gordon and Betty Moore Foundation
• Mrs. Beverly D. Pabst
• Mr. James P. Rhemer
• Mr. and Mrs. Rusty Rueff
• Ralph Hale Ruppert and Lenore M. Ruppert
• Mr. and Mrs. Robert F. Sawyer
• Dorothy E. Schneider
• Mr. and Mrs. Herman Shine
• Silicon Valley Community Foundation
• Mr. Clement J. Smith
• Gwendolyn O. Van Derbur
• L. K.Whittier Foundation
• Rose Muriel Zielinsky and John Kocent ZielinskyDonors
Honor Roll
of
YOUR GENEROSITY MAKES A DIFFERENCE
2015 DONOR HONOR ROLL
BENEFACTORS
$1,000,000 and above
• Anonymous (1)
• Alafi Family Foundation
• Harold E. Alber
• Bedilia Anthony
• Mr. Robert N. Avery
• Mr. Ranald W. Brewster
• Mrs. Dorothea Jean Cockcroft
• Joyce and Clarence Conrad
• Linda and Gerald Dellamore
• Carlson E. Glimsdale
• Dr. and Mrs. Arnold W. Goldschlager
• Mr. and Mrs. Robert E. Henderson
• Jack Hersh and Jacqueline Sullivan
• Mick Hitchcock
• Mr. Thomas J. Hodge
• Chris and Bob Hunter
• Mr. and Mrs. Richard F. Hurd
• The William G. Irwin Charity Foundation
• Mr. and Mrs. Donald S. Loomis
• Mrs. Miriam Gardner McKay
• Mills-Peninsula Medical Group
• Ms. Joy Morriss
• Mr. and Mrs. Robert Newman
• Maxine K. Norman
• Mr. and Mrs. Louis J. Poletti
• Josephine B. Rich
• Mr. and Mrs. Robert M. Salvarezza
• Winifred H. and Charles F. Wilson Jr.
• Beverly and Bernard Wolfe
These donors have contributed $25,000 or more cumulatively as of June 30, 2016.
FOUNDERS
$500,000 to $999,999
T
he mission of Mills-Peninsula Hospital Foundation is to steward local health care philanthropy;
fund new equipment, facility improvements and nursing education; and enhance patient comfort,
safety, services and programs that exceed the hospital’s normal operating and capital budget, providing
a margin of excellence to our patients.
It is our privilege to recognize the significant lifetime generosity of individuals, families and
organizations giving $25,000 or more. Philanthropy helps us transform the delivery of health care and
support the organization’s mission to be a community health resource that is a leader in patient care,
research and education. Thank you for your continued support.
13. 24 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 25
HUMANITARIANS
$250,000 to $499,999
• Anonymous (2)
• Mrs. Noel L. Arthur
• Atkinson Foundation
• Bonnie and Fred Bertetta
• John A. Blume Foundation
• Evelyn Citrin
• Eleanor and Christian de Guigné III
• Mr. and Mrs. William S. Drieslein
• Phyllis Friedman
• Mr. and Mrs. Carl Goldstone
• Mrs. Edith L. Hammerslough
• Mrs. Hazel Harkinson
• Arthur S. and Evelyn L. Harris
• Mr. and Mrs. Russell Hegness
• Clay and Evelyn Herman
• Mr. Allan J. Hinkel
• Mrs. Irene C. Hsin
• The James Irvine Foundation
• Mr. and Mrs. Edmund T. King II
• Malcolm S. Kohn Family
• Mr. and Mrs. Gerald E. Kunz
• Mr. Fred A. Lane
• Mr. and Mrs. Edmund W. Littlefield
• Mrs. Doris D. Malmquist
• Michael and Sally Mayer
• Mr. and Mrs. Jerome J. McCarthy
• Mrs. Alice McCombe
• The Middleton Foundation
– Carole and Fred Middleton
• Barbara Lee Moore
• Mr. and Mrs. Andrew V. Mora
• Milicent and Earl Morrow
• Ms. Marion V. Nicolaysen
• Dorothy G. Palmisano
• Stephen and Gertrude Paniak
• Dr. and Mrs. Thomas G. Parker
• Jean L. Payseno
• Peninsula Surgical Specialists Medical Group, Inc.
• Virginia and Raymond Perin
• Poletti Properties
• Hazel Reed
• Mrs. Alvin Schramm
• Maudene and Robert Schulze
• Speramus Foundation
• Paul and Ruth Steiner
• Miss Dorothy Sudden
• Margaret Taylor and Floyd Gonella
• Gladys B. and O.D. Tobey
• United States Surgical Corporation
• Clare Carey Willard
• Wayne A. Willert
• Mrs. Geraldine J. Yorkis
• Mr. and Mrs. Felix Zani
• Mrs. Jean Goldstone Zemel and Family
2015 DONOR HONOR ROLL
PARTNERS
$100,000 to $249,999
• Anonymous (6)
• Anesthesia Care Associates Medical Group, Inc.
• Mr. and Mrs. Samuel H. Armacost
• Bank of America
• Boston Private Bank Trust Company
• Prof. G. Donald Brandt and Beatrice Isaacs, Ph.D.
• Gloria Rhodes Brown and Arthur L. Brown
• Ms. Jean S. Brown
• Diane Brusco – In memory of Donald Brusco
• Mr. and Mrs. William W. Budge
• The California Endowment
• Gladys and Thomas Callan
• Carr, McClellan, Ingersoll, Thompson Horn
• Mrs. Mildred W. Carr
• Sue and John Carver
• Mr. and Mrs. E.P. Charlton II
• Carol and Warren Chinn
• Mr. Herman Choy
• Christensen Rafferty Fine Jewelry
• Mr. Albert Chuan
• A.W. and Helen Clausen
• Clyde E. Coakley
• John B. and Patricia Cockcroft
• Drs. George and Elaine Cohen
• Fred and Deborah Concklin
• Joseph W. Cotchett, Esq.
• County of San Mateo
• Danford Foundation
• Mrs. Varena P. Dodge
• D. Schuyler and Carolyn Earl
• Frank Edwards Foundation
• Elizabeth and Rick Elwood
• Mrs. Jacques P. Etienne
• Nancy Farrel
• Mr. Martin Fellhauer
• Rev. Robert E. Foster
• Thomas and Carolyn Friel
• The Carl Gellert and Celia Berta Gellert Foundation
• Genentech, Inc.
• The Ginn Family Foundation
• Mr. and Mrs. Samuel L. Ginn
• John and Marcia Goldman Foundation
• Marritje and Jamie Greene
• Ms. Jean Guthrie
• Dr. and Mrs. Donald R. Hales
• Harry and Terry Hanson
• Howard G. Hawkins Jr.
• Mr. and Mrs. Fred D. Hawley
• Mr. and Mrs. Alfred D. Hendrickson
• Susan and Bruce Herman
• Mr. Robert E. Heyman
• Mr. Albert S.T. Ho
• Mr. and Mrs. Chien Ting Ho
• Mr. and Mrs. Timothy Ho
• The Hoefer Family
• Dr. and Mrs. Robert O. Holmes
• Albert and Lorraine Horn
• Elizabeth Swindells Hulsey and Zachary W. Hulsey
• Frank M. Hunt
• Frances Jerue
14. 26 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 27
FRIENDS
$50,000 to $99,999
• Anonymous (3)
• Aetna U.S. Health
• African American friends of Mills-
Peninsula Medical Center: Gloria
Rhodes and Arthur L. Brown, Mary
Harris Evans, Evelyn Banks Neely,
Janice Evans Willis, African American
Community Health Advisory Committee,
San Mateo African American
Library Advisory Committee
• Allied Lomar, Inc.
• Alumax, Inc.
• Richard Alvarez
• Guy F. Atkinson Company
• Mrs. F.R. Bacon
• Mr. Robert Batinovich
• Mr. and Mrs. A.J. Batt
• Bay Meadows Foundation
• Bayshore Ambulance
• Daniel F. Becker, M.D., and
Elizabeth A. Sheehy
• Mr. and Mrs. August D. Benz
• Dr. and Mrs. Philip Bernstein
• Inger and Norbert Bischofberger
• William B. Bliss
• Bohannon Foundation
• Harriet Borofsky, M.D., and
Peter Johannet, M.D.
• The Bothin Foundation
• Robert and Sabina Bradford
• The Mervyn L. Brenner Foundation, Inc.
• Mr. Paul Buck
• Mr. and Mrs. Hamilton W. Budge
• Mr. and Mrs. Frank Burrows
• Roy and Doris Byers
• California Advanced Imaging
Medical Associates
• Captain and
Mrs. Ronald L. Charlesworth
• Chevron Corporation
• Citigroup
• James Cody and Elizabeth Ruffalo Cody
• Dr. and Mrs. Robert M. Cody
• Mr. and Mrs. Richard M. Collins
• Credit Bureau of San Mateo
• Mr. and Mrs. Robert A. Daniels
• Mr. and Mrs. James DeMartini III
• The Doctors Company Foundation
• Dodge Cox
• Mary Edna and Charles Draney
• Keith Duncan, M.D., and
Cindy Hohle-Duncan
• Mr. and Mrs. Robert F. Edwards Jr.
• William K. Fancher
• Mr. and Mrs. Donald F. Farbstein
• Ken and Sherrilyn Fisher
• John and Jill Flynn
• Franklin Templeton Group
• Mrs. H.J. Friedlander
• Mr. and Mrs. Russell Fuller
• Gap Inc.
• Mr. James J. Garibaldi
• Roberta and James R. Gates
• Jeff M. Gerard and Kerry Shanahan
• Jane B. and Herschel J. Goldberg
• Mr. and Mrs. James A. Goldsmith Jr.
• Stanford and Joanne Green
• Jeffery and Deborah Griffith
• Mr. and Mrs. Steven L. Group
• Dr. and Mrs. Charles K. Guttas
• Dr. and Mrs. Jeffrey J. Guttas
• Dave and Pam Hakman
• Cheryl and Carl Halcovich
• Mr. and Mrs. Paul E. Hazelrig Sr.
• Dr. and Mrs. Brian Henderson
• Mr. George Henry
• Carol and Henry Herz
• Hillsboro Properties, Inc.
• Mrs. Grace Mei-Huey Ho
• Aron and Linda Hoffman Family
• Mr. and Mrs. Walter H. Holsten
• Robert Hortop, Esq.
• Mr. and Mrs. Jack H. How
• George Hsu
• William Isackson
• Mr. and Mrs. Luther Izmirian
• Dwight O. Johnson Sr. and
Eleanor V. Johnson
• Mark W. Johnson
• Louise C. Karr
2015 DONOR HONOR ROLL
• Mrs. Angela Wang Johnson
• Kerns Fine Jewelry
• Peggy Kramer
• The Kwok Family
• Mr. and Mrs. Harry M. Lawson
• Mr. and Mrs. Phillip Lighty
• George D. Line
• Wei Wang Ling
• David G. Linn
• Annie and Dicky Lo
• John D. Loder and Serenella Leoni
• Mrs. Anne Loftus
• Laurie and Laurence May
• The Atholl McBean Foundation
• Craig and Sharon McCollam
• Mrs. Roderick I. McLellan
• The Mendell Family
• Merrill Lynch Co., Inc.
• Mr. and Mrs. Robert W. Merwin
• Jo Ann and Burton W. Miller
• Mills-Peninsula Emergency Medical Associates, Inc.
• Gwendolyn V. Mitchell
• Alfred and Marjorie Molakidis
• Mr. and Mrs. David S. Ng
• Dr. Leonard D. and Mrs. Elizabeth K. Offield
• Peter and Flora L. Palamidessi
• Mr. and Mrs. Louis Palatella
• Antoinette and Richard Paterson
• Mrs. Tom Paton
• Mrs. Burleigh Pattee
• Mrs. Jack Pearse
• Pulmonary Associates
• Albert and Sheila Raffo
• Mr. and Mrs. Jacob Ratinoff
• Marilyn Reed
• Elisabeth Mills Reid
• Joan and Jack Riggs
• Mr. and Mrs. James Robb
• The Ryan Family Foundation
• Rita and Tommy Ryan
• Safeway Foundation
• Dr. and Mrs. William L. Schwartz
• Mrs. Donald Scutchfield
• Jane Kiddie Sledge
• Mr. Stanley K. Smith
• Dr. Thomas L. and Marian Soss
• William and Claire Spencer
• Mrs. Dorothy R. Spreckels
• Mr. and Mrs. Gary T. Steele
• George and Pearl Suey
• Mrs. Robert A. Swanson
• Evelyn and John Ting
• Lena Tommasini
• James Twomey
• Mrs. Cecile Van Brunt
• Keith and Lynn Virnoche
• Joan and Joseph Vlamings
• Ms. Mary Jane Voelker
• Richard and Marguerite Wang
• Wells Fargo Bank
• Ruth S. Whittaker
• Mr. and Mrs. Russell R. Winters
• Michael and Bebelu Wishart
• Carol Joyce Wyckoff
• Jimmy and Irene Yih
15. 28 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 29
PATRONS
$25,000 to $49,999
2015 DONOR HONOR ROLL
• Mr. and Mrs. George Keller
• Mrs. Mary Alice Kelly
• Mrs. Patricia A. Kirkbride
• Kathie and Steven Kleiman
• Catherine M. Kruttschnitt
• Mr. and Mrs. Frank L. Kwok
• Dr. and Mrs. William G. Larsen
• The Leisure Family Foundation
• Lesley Foundation
• Dr. and Mrs. William B. Logan Jr.
• Mr. Ralph J. Long
• Mr. Robert N. Lowry
• Mr. and Mrs. James M. Lundy
• Edna and Fred L. Mandel Jr.
• Mr. and Mrs. Fillmore C. Marks
• Charlie and Diane Mason
• Mrs. Dean L. Mawdsley
• Dorothy G. Mayer
• The Michael and
Sally Mayer Family Foundation
• Mr. and Mrs. David Mayers
• William G. McGowan Charitable
Fund, Inc.
• Richard and Elizabeth McKee
• Lizah B. McLaughlin, PsyD, LMFT, and
Steven M. McLaughlin
• Mr. and Mrs. Keith McWilliams
• Merrill Lynch Global Wealth
Management
• Gregory and Sharon Miller
• Mr. and Mrs. James P. Molinelli
• Paul and Cynthia Montalbano
• Mr. and Mrs. Daniel C. Moreno
• Mr. and Mrs. Walter K. Morris
• The Morton Foundation
• Mr. and Mrs. Emerson Murfee
• Mr. Samuel A. Murray Jr.
• Saburo and Masako Nagumo
• Ms. Evelyn B. Neely
• Mary Emily Nicewander
• Nissen Family Charitable Trust
• Mrs. Gerald E. O’Shea
• Ken Olivier and Angela Nomellini
• Oracle Corporation
• Mr. and Mrs. Gilbert Papazian and
Family
• Patient Accounting Service Center
• Peking Handicraft, Inc.
• Peninsula Health Care District
• Mr. and Mrs. Renaldo Pepi
• The Peterson Family – Scott, Lora,
Betsy, Emmy and Jack
• Mr. and Mrs. Michael M. Pharr
• The Podell Foundation
• Mr. and Mrs. Willis J. Price
• Ms. Dorothy M. Rainsberger
• Paul and Barbara Regan Family
• The Rey Vaden Family Foundation
• Dr. and Mrs. Brian C. Roach
• J.H. Robbins Foundation
• Mrs. Madeline Roberts
• Mr. and Mrs. Thomas J. Ryan III
• San Mateo County IPA
• Mr. and Mrs. Sarkis S. Sarkisian
• Mr. and Mrs. J. David Schemel
• Dr. and Mrs. Drago M. Schmidt
• See’s Candies
• Skoll Foundation
• Mr. and Mrs. Emmett G. Solomon
• Richard and Ingrid Sponholz
• State Farm Insurance
• Stauffer Chemical Company
• Stuart Foundations
• Dayna A. Sumiyoshi
• Mr. Bob Swig
• George and Louise Tarleton
• Robert and Gail Telfer
• Lee and Helen Ting
• Tiny Prints
• Isabelle and Lawrence Tomsky
• Mr. and Mrs. James H. Trevor
• Mr. and Mrs. Victor W. Trommer
• Mr. and Mrs. Bernard Tse
• United Airlines
• Mrs. Olivia T.H. Wan
• Alice D. and Arthur G. Weiner
• Nancy and Stephen Weller, M.D.
• Western Radiation Oncology
• Judy Wilbur
• Scott and Beth Williams
• Mr. Scott W. Williams
• Carol and John S. Wilson Jr., M.D.
• Mr. James Wong
• Helen O. Wood
• Peter and Lee-May Wu
• Margaret L. Wycke
• Young Electric Company
• Anonymous (8)
• Melvin R. Addiego
• Lefkos Aftonomos, M.D.
• AIG Private Client Group
• Jos. J. Albanese, Inc.
• Mr. and Mrs. William F. Aldinger
• Mr. and Mrs. Robert D. Allen
• Judy A. Alonzo, M.D.
• Always Dream Foundation–
Kristi Yamaguchi
• American Medical Response, Inc.
• American Women’s Voluntary Service
• Fred and Catherine Ammann
• Mr. and Mrs. Carl D. Arnold Jr.
• Margaret and Lloyd Aubry
• Robert Baca and Steve Baca
• Bank of America
• Barbie Barrett, M.D. and
Andrew H. Jurow, M.D.
• Patricia and Stephen Barulich
• Dr. and Mrs. Dirk Baumann
• Bay Area Paving Company
• Mr. and Mrs. Scott A. Bedford
• Joseph and Joyce Behar
• Mr. and Mrs. Stanley J. Bell
• Mr. Jack Bellevue
• The Boris and Vera Bogart
Foundation
• Viola and Louis Bondolfi
• Mrs. James O. Boswell
• Mr. and Mrs. John G. Bowman
• Ms. Teresa Bowman
• Mr. A.H. Brawner
• Dr. and Mrs. Michael J. Bresler
• Drs. Allan J. and Rosa E. Brody
• David and Carole Brooks
• Mr. Robert A. Brown
• Robert and Sally Bulawsky
• California Casualty Group
• California Home Medical
Equipment
• University of California,
San Francisco
• James and Letetia Callinan
• Cardiovascular Associates
of the Peninsula
• John and Patricia Casey
• Mr. and Mrs. Michael Chandler Jr.
• Mrs. June Chen
• Rosalind Kwok Chow
• City Building, Inc.
• Eleanor O’Connor Clarke
• Chris and Jim Comstock
• James and Joelle Conn
• Mr. and Mrs. Daniel Cooperman
• Mr. and Mrs. Dino A. Copes
• Mr. and Mrs. Jack E. Corey
• Ms. Mary K. Costa
• Cotchett, Pitre McCarthy, LLP
• Mrs. Anna R. Crisafi
• Crocker National Bank
• Lisa and Kevin Cullinane
• Patricia A. Dailey, M.D. and
Joshua Cooperman
• Milo J. D’Anjou
• Mr. and Mrs. John N. Dayton
• Marquise de Surian
• Mr. and Mrs. William W. Dean
• Viola “Oley” Debald
• Ralph and Lorraine Del Prete
• Mr. and Mrs. James E. Delehanty
• Delta Health Systems
• Mr. and Mrs. Daniel H. Dibert
• Mr. and Mrs. Harold R. Dilsaver
• Ms. Josephine DiMartino
• Dr. and Mrs. F. Gene Dixon
• Draeger’s Super Markets, Inc.
• Mr. and Mrs. John Draper
• Richard and Deborah Dubois
• Mr. and Mrs. Robert B. Dunlop
• Maureen M. Dunn
• Ear, Nose and Throat Associates
of San Mateo
• Mrs. Marriner S. Eccles
• Dr. John C. Eckels
• Earle C. Elvidge and
Lois Fredericks Elvidge
• Drs. R. Cameron and Carol Emmott
• Dr. and Mrs. Ephraim P. Engleman
• Nancy Balch Fischer
• Grethel and Robert Fisher
• Benjamin N. Follett III
• Max and Lilli Frank
• Mrs. Gladys Friedman
• Lothar and Pam Fritzsching
• Dr. and Mrs. Lowell D. Froker
16. 30 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 31
• Philip and Stephanie Gatto
• Klaus and Barbro Gelinsky
• The Fred Gellert Family Foundation
• General Electric
• Gilead Sciences, Inc.
• Howard M. Gleazer
• Debbie and Regan Goodin
• Mr. and Mrs. Carson Grinnell
• Jill Grossman Family Trust
• Dr. Peter L. Grossman
• Dr. and Mrs. J. Anthony Guichard
• Dr. and Mrs. George D. Guido
• Mr. Roger D. Guse
• Caryl J. Guth, M.D. and
Mr. John Falstad
• Mrs. Ethelmae S. Haldan
• Mrs. Newton Hale
• Mr. and Mrs. David C. Hall
• Mr. Elwood Hansen
• Martin and Carol Harband
• The Health Trust
• Hearst Foundation
• Midge and Sylvan Heumann
• Mrs. Charlotte A. Hicks
• Dr. and Mrs. Oscar Hills
• Dr. and Mrs. Donald Ho
• Gloria E. Ho
• Louis V. Ho
• Ralph and Alison Ho
• Home Instead Senior Care,
San Bruno – San Mateo
• Mara Hook
• Lillian Howell
• Mr. Lincoln Howell and
Mrs. Barbara J. Bissell Howell
• Mr. and Mrs. Chih H. Hsu
• Mr. Harold O. Hughes and
Dr. Jennifer Bock Hughes
• Susan and Cordell W. Hull
• Dr. and Mrs. Stephen S. Hurst
• Mr. and Mrs. Norman C. Hynding
• IBM Corporation–
Matching Grants Program
• Mr. and Mrs. Edward B. Jamieson
• Peggy and Henrik Jensen
• Dr. Brian and Joan Johnson –
In memory of Christopher
Miles Johnson
• Dr. and Mrs. William C. Johnson
• Glenn and Anne Justice
• Mr. and Mrs. Lorenz Kao
• Irving L. Katz, M.D. and Janice Katz
• Mr. and Mrs. Jack M. Keeney
• The Kertzman Family
• Mrs. Shirley King
• Ms. Christine Klarik
• Ruth E. Knier, Ph.D.
• Mr. Roger D. Kolda
• Susan G. Komen Breast Cancer
Foundation, San Francisco
• Mr. and Mrs. James K.M. Koo
• Mr. and Mrs. Amos Z. Krausz
• Mr. and Mrs. Ward C. Krebs
• Ms. Florence Kwok
• Ms. Jeannette Kwok
• Ms. Sharon Lamey
• Genevieve Landon
• George and Julia Lee
• Thomas and Karen Leonardini
• Leonardt Foundation
• Phillip M. and Virginia W. Lev
• Stephanie C. Lin, M.D.
• Oscar A. Linneweh
• Ms. Sheila R. Littrell
• Eva Chernov Lokey
• LORAD
• Mr. and Mrs. Paul Lorton
• Mr. and Mrs. John R. Luongo
• Mr. and Mrs. Angus L. MacLean Jr.
• John and Nan Mahaffy
• Mr. Forrest Malakoff
• Mr. and Mrs. Stephen J. Martin
• Mr. N. Dale Matheny
• Mr. and Mrs. Jeffrey McFadden
• Mr. and Mrs. James W. Meakin
• Harry T. and Dorothy N. Mercer
• Andrea Metkus, M.D. and
Linda Stoick, Esq.
• Mr. and Mrs. Jeffery W. Meyer
• Wilson and George Meyer
Company
• Dr. Basil and Miriam Meyerowitz
• Lisa and John Miller
• Dr. and Mrs. John F. Milligan
• Gilbert R. Mintz, Ph.D. and
Barbara M. Berk
• Mr. and Mrs. Bruce T. Mitchell
• Mr. and Mrs. Joseph A. Montalbano
• Dr. Richard and Miriam Morgan
• Mr. and Mrs. Steven Munkdale
• National Speaking of Women’s
Health Foundation
• Dr. and Mrs. Donald B. Nichols
• Mary Niess
• Florence S. Nilsson
• NORCAL Mutual
Insurance Company
• Nordstrom
• Margie O’Clair-Shoecraft and
Don Shoecraft
• Pacific Bell
• Pacific Gas Electric
• Dr. and Mrs. Peter Packard
• Mr. and Mrs. Chung R. Pai
• Mr. and Mrs. Sandy Pan
• Mr. and Mrs. George A. Panaretos
• Jeanne Patterson
• Dick and Sally Patton
• Peninsula Conflict
Resolution Center
• Peninsula Pathologists
Medical Group, Inc.
• Peninsula Women’s Health,
A Medical Group, Inc.
• Jean Peterson
• PHAMIS, Inc.
• Mr. and Mrs. A.J. Pinfold
• Vera L. Pitts
• Mr. and Mrs. Michael Podell
• Mrs. John M. Preston
• Mr. and Mrs. Lawrence F. Probst III
• Professional Home Care Associates
• Ms. Colleen Rafferty
• Helen and John Raiser
• Dr. and Mrs. Beatty Ramsay
• Mr. J. Cornelius Rathborne
• Mr. and Mrs. Richard W. Reed
• Mr. and Mrs. Barrie Regan
• Mr. and Mrs. William V. Regan III
• William R. Rich Foundation
• D. Eugene and Barbara B. Richard
• Rittenhouse Financial Services, Inc.
• Mr. and Mrs. Robert R. Rivett
• Mr. and Mrs. Ralston P. Roberts
• Robert and Patricia Ronald
• Dr. and Mrs. Andrew Rosenberg
• Andrea and John E. Rosenman, M.D.
• Mary and John Rutgers
• Dr. and Mrs. John T. Saidy
• Mr. and Mrs. Howard R. Samuel
• Ms. Michael M. Scafani
• Mr. Robert E. Scharff
• Kim and Karen Schoknecht
• Mrs. Anna Bess Schott
• The Schow Foundation
• Mr. and Mrs. Robert C. Schroeder
• Rhoda and Jackson Schultz
• Mr. and Mrs. Ralph E. Schulz
• Mr. and Mrs. Peter F. Scott
• Mr. and Mrs. Robert L. Scott III
• ServiceMaster Building Maintenance
• Dr. and Mrs. Richard E. Shipley
• Shutterfly, Inc.
• Frank Sinnott
• Mrs. Margaret Sisevich
• Marna M. Skaar, M.D.
• Dale and Jane Sly
• Mr. and Mrs. Norman D. Somberg
• South Bay Construction
• Shelby and Dennis Speas
• Francis W. Andreasen, M.D. and
Diane M. Spieker, M.D.
• Joseph and Martha Spranza
• Terry and Nancy Stageberg
• The Starr Foundation
• Mr. and Mrs. Robert Steiner
• Mrs. Warren C. Stephens
• Anne and Alec Stern
• Mr. and Mrs. Vincent W. Svedise
• Dr. and Mrs. Gerald Sydorak
• Mr. and Mrs. Richard D. Tabery
• Richard and Jean Talvola
• Mr. Mark C. Tandoc
• Mr. and Mrs. John F. Tapson
• Mr. and Mrs. Robert Toms
• William and Nathalie Trevor
• Trina Turk
• Turner Construction Company
• Nancy and J. Talton Turner
• Pearl Frances Turner
• UBS Financial Services
• Dr. Daniel J. Ullyot
• United Health Credit Union
• Van Strum Foundation
• Mr. and Mrs. Keith G. Wallace
• Mr. and Mrs. Marshall J. Weigel
• Mr. and Mrs. Thomas A. Werbe
• Aileen M. Whelan, M.D.
• Christopher D. White, M.D.
• Brayton Wilbur Foundation
• G.W. Williams Foundation
• Dr. Marjorie E. Winkler and
Mr. Paul F. Hohenschuh
• Mrs. Millicent G. Wisnom
• Albert and Theresa Wong
• Dr. and Mrs. Randolph Wong
• Susan and William Woo
• Michael K. Wood, M.D. and
Laurene Spencer, M.D.
• Mrs. Ella H. Yamas
• Mr. and Mrs. Edward T. Yeh
• Irene and Hank Zbiczak
2015 DONOR HONOR ROLL
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