Peninsula Health

PENINSULA HEALTHBUILDING A HEALTHY COMMUNITY THROUGH PHILANTHROPY winter 2016

MEDICAL TEAMS PARTNERTO DELIVER THE BESTPATIENT CARE

TOGETHERWE’RE BETTER

CARL GOLDSTONE GIVES BACK WITH A GRATEFUL AND HEALTHIER HEART

2 | PENINSULA HEALTH mills-peninsula.org/foundation mills-peninsula.org/foundation PENINSULA HEALTH | 3

When donors consider making a gift to the Mills-Peninsula Hospital Foundation, they often ask me, “Will my donation remain here at the hospital?”

I am happy to confirm that 100 percent of philanthropy from generous donors in our community remains at Mills-Peninsula.

Philanthropic funding adds a margin of excellence that supplements the hospital’s annual operating budget. It provides support for new technology, expansion to the new facilities and advanced training for hospital staff. It also seeds funding for new clinical programs and special services, such as those described in “New Services Reduce Patient Anxiety, Improve Convenience” on page 12.

Donors partner with us for many different reasons. Some are grateful patients, including Jack Schultz, featured in “Innovative, Less Invasive Procedures Offer New Hope to Heart Patients” on page 14. Some want to make sure that if someday they need urgent medical care, a state-of-the-art hospital is just minutes away.

Peninsula resident Carl Goldstone, featured in our cover story (“A Golf Game to Remember,” page 10), has faithfully given to the Foundation for years, never expecting that one day he would benefit directly from his own generosity. “We always felt that supporting our local hospital was the most meaningful thing we could do to support our community,” says Carl. “But I never dreamed this hospital would end up saving my life.”

In addition to keeping financial gifts local, donors often want to know, “Who decides how the money is spent?”

First, we meet any restrictions the donor places upon the gift. If the person earmarks a donation to support the cardiovascular program,

then we only spend it in that manner. If the gift has no restrictions, the Foundation’s locally governed board of trustees, in partnership with the hospital administration and physician leadership, determines how the dollars are best spent.

We consider our donors friends and family. Many have supported this hospital for decades. That’s why Mills-Peninsula is a community hospital and why the Foundation’s focus always reflects the needs of our community.

For example, 15 percent of San Mateo County residents are age 65 or older. By 2030, that percentage is estimated to grow by 73 percent. So a top priority for us continues to be health issues related to aging, such as heart attacks, atrial fibrillation and stroke.

Therefore, we built the new hospital, equipped it with the most advanced technology available and recruited talented teams of doctors, nurses and clinicians. Our physicians are drawn to Mills-Peninsula because the facility and the equipment allow them to advance medical science every day, creating safer, less invasive treatments for heart and neurological issues.

Our philanthropic donors, along with our visionary doctors and staff, believe that together we can best serve our community by providing the finest facility, technology and staff to deliver the best care possible.

John D. Loder, PresidentMills-Peninsula Hospital Foundation

PH CONTENTS W I N T E R 2 0 1 6

PUTTING LOCAL

GENEROSITY TO WORK

We’re Better TogetherFOUNDATION BOARD MEMBERSSusan L. Herman - ChairScott E. Peterson - Vice ChairJudy Swanson - SecretaryKeith B. McWilliams - TreasurerJohn D. Loder - President

Harriet B. Borofsky, M.D.Daniel G. BrownElizabeth R. CodyJames R. CodyGeorge H. Cohen, M.D. Brad CraigChristian deGuigné IV*Jill FlynnPaula Gilmartin Peggy Bort Jones Reid M. LiebhaberAndrea P. Metkus, M.D. Carole J. MiddletonGilbert R. Mintz, Ph.D.Denise OrwinPeter Packard, M.D.*Patti RueffKim SchoknechtJanet Wagner

*Trustee Emeritus

EDITORIAL TEAMJill AntonidesBobbi J. FagoneErin Macartney

DESIGNDovetail Strategy

CONTRIBUTING WRITERSKathy EngleBobbi J. FagoneJulie KnightErin Macartney

PHOTOGRAPHYPaul Kitagaki Jr.

Peninsula Health is published by Mills-Peninsula Health Services, part of the Sutter Health network of care. Send comments or questions to [email protected].

© 2016 Mills-Peninsula Health Services

6 1410

3 Letter from the PublisherPutting local generosity to work

4 Message from the CEOWe’re better together

5 New and NoteworthyFoundation and hospital news

6 Unraveling the Mystery Between Stroke and the Heart

Mills-Peninsula cardiology and neurology experts work together to solve unexplainable strokes

10 A Golf Game to RememberAfter suffering a near-fatal tear in his aorta, a 64-year-old business owner and avid golfer feels lucky to be alive

12 New Services Reduce Patient Anxiety, Improve Convenience

From same-day biopsies, colonoscopies and endoscopies to integrative health services, inventive programs aim to lower patient stress

14 Innovative, Less Invasive Procedures Offer New Hope to Heart Patients

New valve replacement devices and minimally invasive procedures may someday make open-heart surgery obsolete

18 Palliative Care Partnership Offers Support Along the Way

Palliative care team helps seriously ill patients and their families reduce symptoms, relieve stress and improve each day

20 New Mobile Stroke Unit Brings Emergency Department to Patients

Get involved in saving stroke patients

21 Bob and Chris Hunter—Estate Donors and Annual Supporters

Philanthropists Bob and Chris Hunter have included the Foundation in their estate planning while continuing to support Mills-Peninsula with yearly gifts

20 Honor RollHighlighting our donors

To find a physician or contact a doctor mentioned in Peninsula Health, call 800-4-SUTTER or visit TheDoctorForYou.com.

Cover photo by Paul Kitagaki Jr.

Generous donor and heart surgery patient Carl Goldstone

LETTER FROM THE PUBLISHER

PENINSULA HEALTHBUILDING A HEALTHY COMMUNITY THROUGH PHILANTHROPY winter 2016

MEDICAL TEAMS PARTNERTO DELIVER THE BESTPATIENT CARE

TOGETHERWE’RE BETTER

CARL GOLDSTONE GIVES BACKWITH A GRATEFULAND HEALTHIER HEART


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 NeedsWe’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 TeamsEqually 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

TogetherStop Diabetes in its TracksJoin 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 AuditoriumCall 650-696-4772 for more information.

Dialing Down the Pressure: Strategies for Caregiver SurvivalFeeling 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, BurlingameRegister by Feb. 15: 650-696-3660

Free Wise and Well Annual Health ScreeningsThe 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 StentMills-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 CENTER1501 Trousdale Drive, Burlingame, CA 94010

MILLS HEALTH CENTER100 S. San Mateo Drive, San Mateo, CA 94401

Janet Wagner, CEO Mills-Peninsula Health Services

mills-peninsula.org/foundation PENINSULA HEALTH | 7

MILLS-PENINSULA CARDIOLOGY AND

NEUROLOGY EXPERTS WORK TOGETHER TO SOLVE

UNEXPLAINABLE STROKES

UNRAVELING THE MYSTERY BETWEENAND THESTROKE HEART


“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 StrokeWhen 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 TreatmentDr. 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 ProgramUnder 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 SilosDr. 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 largeproportion of stroke incidentsare 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 SourceWorking 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.


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 PlayingAn 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 RideLooking 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 LinksAlthough 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


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 CentersNothing 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 CostWhen 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 PatientsSometimes 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 CONVENIENCEPATIENT ANXIETY,REDUCE


“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 ChanceFor 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, LESSINVASIVE

“We deploy the new valve inside the patient’s aortic valve without opening the person’s chest, without stopping the heart and without putting theperson on bypass.” – David Daniels, M.D.

Following minimally invasive heart valve replacement, Jack Schultz returned to his home after a one-night hospital stay.


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 AheadThe 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 ReplacementThe 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 EffortConducting 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.


W hen 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 CarePalliative 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 TogetherAt 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 ReachCurrently, 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 CAREPARTNERSHIPOFFERS SUPPORT ALONG THE WAY

“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 PROFILEGeoffrey van den Brande, R.N., and Lily Yeuk Ying Lee, R.N.


On 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 WheelsAlready 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 InvolvedPlease support the mobile stroke unit study and help bring emergency treatment directly to stroke patients by considering a financialgift. 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 TraditionBob 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

SSPEECHLISTEN 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


• 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 Rollof

YOUR GENEROSITY MAKES A DIFFERENCE

2015 DONOR HONOR ROLLBENEFACTORS

$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

The 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.


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


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


• 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


PATRONS

$25,000 to $49,999


• 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


• 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


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