Focus on Health

Focus on Health your wellness resource for Santa Cruz County

Annual Women’s Health Issue Inside: 5 Things to Know About Probiotics (15). Focus on Families (22).

Dominican Celebrates 75 Years (34).

Dominican Hospital Foundation News (42).

SUMMER 2016

Let’s meet in the Garden!

Dominican Oaks residents Dolores Harlan and Jack Reed

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Women and Wellness Women usually take charge of the entire family’s health, often putting the needs of others ahead of themselves.

At Dominican, we want to applaud as well as lend a hand to all the hardworking women who help their families stay healthy. In this annual Women’s Health issue of Focus on Health, you can read up on the latest health trends, find valuable insights on parenting, and learn about fitness resources available to you and your family.

In our Focus on Families section, we go over what to expect when you’re expecting, including the importance of making a birth plan as well as some commonly asked questions about pregnancy. You will also hear from Dominican’s childbirth experts on the wide range of quality care offered by local OB-GYNs and certified nurse midwives.

It goes without saying that feeding a family is no easy feat. Help ease the process with some advice on adding probiotics to your diet, dealing with picky eaters, and how to get the most out of a trip to one of Santa Cruz County’s many wonderful farmers markets.

Also, learn about the many benefits of exercising outdoors. Exercise is good for the entire family, and Dominican provides a variety of PEP classes to help you and your loved ones get fit and healthy.

Finally, we would like to invite you to celebrate Dominican’s 75th anniversary with us. We take a look at some of the many influential female leaders who have made this hospital what it is today.

Join us as we celebrate women’s health, and everything Dominican and Santa Cruz County have to offer.

Nanette Mickiewicz, MD Dominican Hospital President

Your Wellness Resource for Santa Cruz County

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Kindness for non-emergency emergencies.

Urgent care in Santa Cruz County

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Capitola Rd.

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42nd Ave.

Open daily from 12 p.m. - 8 p.m.

Clares St. 1820

1820 41st Avenue, Suite C Capitola, CA 95010

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41st Ave.

No one plans a trip to urgent care, but it’s at those moments that we need kindness the most. Dignity Health Medical Group Dominican’s new urgent care offers same-day treatment for non-emergency medical conditions such as flus, colds, and sore throats. Open seven days a week, 365 days a year. To learn more visit dhmf.org/dominican or call 831.684.7611.

Focus on Health

Your Wellness Resource for Santa Cruz County Summer 2016

Health, Wellness, and Lifestyle Hospital President Nanette Mickiewicz, MD Editor Claire Barton Writers Melanie Anderson-Marshall, Casey Cantrell, Samantha Clark, Traci Hukill, Michaela Jarvis, Ryan Masters, Angela Noel, Kim Olson, Rachel Orvino Design and Editorial Production DCP dcpubs.com Contributing Photographers Traci Hukill, Paula Paulin T:10.875 in

B:10.875 in

Focus on Health is published and mailed three times a year by Dominican Hospital’s Communications & Marketing Department.

Information published in Focus on Health is not intended as a diagnosis or prescription. Please consult your physician or other qualified health care professional before undertaking any of the programs or treatments expressed within.

Get the latest on Dominican’s events as well as timely wellness information. facebook.com/dominicanhospital twitter.com/dominicancares instagram.com/ dominicanhospitalsc youtube.com/dominicanhospital 1555 Soquel Drive Santa Cruz, CA 95065 831.462.7706 direct 831.462.7518 fax dignityhealth.org/dominican PRINTED ON RECYCLED PAPER. PLEASE RECYCLE

Exercise Is Medicine.......................................................................... 4 The Case for a Calm Mind.................................................................. 7 Exploring Attitudes About Mammograms........................................... 8 Heart Health at Any Age.................................................................. 11 5 Things You Should Know About Probiotics................................... 15 Understanding Food Labeling.......................................................... 16 From Farm to (Your) Table................................................................ 18

FOCUS On Families Myth vs. Fact: Preparing for Pregnancy............................................ 20 Designing a Birth Plan..................................................................... 22 You’re Pregnant—Now What?........................................................... 23 What Is the Difference Between an OB-GYN and a Midwife?........... 24 What Is a Doula?.............................................................................. 25 Nitrous Oxide Comes to the Delivery Room...................................... 26 Moms-to-Be on the Move................................................................. 27 Handle With Care............................................................................. 28 Preparing a Sibling for the New Baby..............................................29 Feeding Picky Eaters........................................................................30

Special Section Celebrating Dominican Hospital’s 75th Anniversary......................... 32

Dominican Hospital Foundation Letter From the President................................................................ 42 Supporting Nonprofits That Perform Well........................................43 Dominican Hospital Foundation Welcomes New Board Members.....44 Health Careers Academy Graduates Its Third Class.......................... 45 Phase II of the Healing Courtyards Initiative Launches....................46 Dominican Employees Hit Campaign Goal.......................................48 Sponsor Spotlight: Chaminade Resort & Spa................................... 49 Patients Express Their Gratitude on Doctors’ Day............................50 Grateful Patients Honor Caregivers.................................................. 51 Donations Coming Full Circle........................................................... 52 Physician Philanthropy.....................................................................53

In And About the Hospital Looking Better, Feeling Better.........................................................56 A Winning Health Program for Student-Athletes..............................60 Dare to C.A.R.E............................................................................... 62 Happy Hour With a Healthy Twist.....................................................64

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Your Wellness Resource for Santa Cruz County

Health, Wellness, and Lifestyle

Exercise Is Medicine Have a health condition? Getting active is a smart move.

Physical activity is good for practically everyone, but if you have a health issue, getting active can be an especially powerful part of your treatment plan.

In this guide to exercising with a medical condition, read up on tips and PEP (Personal Enrichment Program) classes at Dominican Hospital that can help bolster your overall health. Just remember to talk with your doctor before starting an exercise program.

Chronic Conditions Why exercise? If you have a chronic condition such as diabetes, arthritis, hypertension, or high cholesterol, working out can help manage symptoms, reduce risk for complications, and improve quality of life.

PEP classes that can help: Medical Fitness Program, a supervised program that includes aerobic exercise, resistance training, and stretching.

Helpful tips: If you have diabetes, check your blood sugar before exercising. Always carry a fast-acting carbohydrate snack or glucose tabs and a form of ID that identifies you as having diabetes. If you have arthritis, ask your doctor about activities you should avoid. Try taking a warm shower before exercising to relax your muscles and joints.

Also try: Aquatic rehabilitation and exercise, senior strength and conditioning, tai chi, and yoga classes—all available through the PEP program.

Parkinson’s Disease Why exercise? It can help with balance, mobility, and flexibility, and improve tremors and grip strength.

PEP classes that can help: Aquatic Exercise for People Living with Parkinson’s Disease—taught by neurological physical therapists in a warm water pool.

Helpful tips: Avoid exercising in poorly lit areas, on slippery floors, or near throw rugs that you might trip over. If you don’t feel well or begin experiencing pain, stop exercising.

Also try: Boxing training, which can help with balance and mobility, and Pilates, qi gong, and aerobics.

Balance Challenges Why exercise? Research shows that a fitness program incorporating strength, endurance, and balance

training can help prevent falls and improve gait and balance.

PEP classes that can help: Steady on Your Feet.

Helpful tips: Keep a sturdy chair, wall, or agreeable person nearby to hold onto in case you feel unsteady. If you’re unsure about an activity, talk to your doctor.

Also try: Tai chi or ballet to improve balance.

Lymphedema and Other Swelling Disorders Why exercise? It can help reduce swelling and preserve range of motion.

PEP classes that can help: Advanced Aquatic Lymphedema Decongestion.

Helpful tips: During exercise, wear compression sleeves or bandages that have been prescribed by a certified lymphedema therapist, stay hydrated, and avoid sunburn and overheating.

Also try: Yoga and tai chi.

Ready to Get Physical?

For more information about these classes, as well as other PEP classes tailored to individuals with specific medical conditions, please visit dignityhealth.org/dominican/PEP or call 831.457.7099.

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Santa Cruz County offers plentiful trail hiking opportunities.

The Upside of Fitness Alfresco In Santa Cruz, opportunities for outdoor exercise are built into our surroundings.

Here’s why you should go outside for your next workout.

Running on a treadmill will improve your fitness, but for extra benefits, head outdoors and take in some fresh air. “There are many studies to show that exercising outside improves your energy, sense of tranquility, and self-esteem,” says Karen Gosling, director of Health and Rehabilitation at Dominican. “It also decreases anger, depression, and confusion.”

In fact, a meta-analysis of 21 studies published in Frontiers in Psychology in 2014 showed that connecting with nature significantly contributes to people’s happiness. In Japan, researchers have found that the tradition of forest bathing (Shinrin-yoku), which is a leisurely visit to the forest, appears to promote lower stress hormone levels and blood pressure, among other benefits.

Meanwhile, research shows that sunlight exposure— without overdoing it—boosts vitamin D production, which helps your body absorb calcium and maintain strong bones. “Exposure to sunlight helps with sleep, helps improve endorphin production (which helps relieve pain), and has been shown to help immune system functioning,” Ms. Gosling adds.

Whatever activity you choose, remember to slather on sunscreen before heading out the door. “Trail walking is a great thing to do, especially in Santa Cruz,” Ms. Gosling says. Or sign up for an aquatic exercise class through Dominican Hospital’s PEP program: dignityhealth.org/dominican/PEP, 831.457.7099.

Trending: Fitness Trackers Fitness trackers can help keep you motivated, but set realistic goals, advises Eric Hand, MA, CSCS, supervisor of Lifestyle Management at Dominican Hospital. If you’ve

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been sedentary, it may not be reasonable to walk 10,000 steps per day; instead, find a distance that’s comfortable, and then increase it by 10 percent every week. Link your

tracker to online communities for support, accountability, and friendly competition.

Health, Wellness, and Lifestyle

The Case for a Calm Mind Mindfulness meditation is an effective tool for combating stress in our busy lives

The word “meditation” once raised eyebrows in medical circles. The practice is gaining acceptance as research now shows that meditating can bring measurable benefits. Perceptions in the U.S. began changing more than 30 years ago when Jon Kabat-Zinn, PhD, developed a mindfulness-based stress reduction curriculum at University of Massachusetts Medical School and documented the results.

“Meditation had a direct effect on how people were experiencing stresses and their overall well-being,” says Karen Zelin, an instructor of the Mindfulness Stress Reduction Program at Dominican Hospital. “The neuroscience showed that the brain was lighting up in different ways.”

In recent years, experts from Johns Hopkins University reviewed

thousands of meditation studies, identifying 47 trials that met rigorous criteria. They found that mindfulness meditation can help ease anxiety, depression, and pain.

Dominican’s program, which incorporates meditation, yoga, and group support, teaches ways to deal with stress, pain, and illness.

Ms. Zelin co-teaches the class with experts including Bob Stahl, PhD, who the University of Massachusetts authorized to develop its Bay Area program.

“We’re borrowing from ancient traditions to address problems in medical settings, such as stress from a diagnosis or pain,” Ms. Zelin explains. “Noticing our breathing allows for a new way of responding to the world.”

Thinking About Mindfulness Meditation for Yourself?

To get started, here are some tips from instructor Karen Zelin: Practice mindful breathing. Take a breath, letting your attention focus on the full inhale and full exhale. If you have a busy job, just doing this for one minute every hour can be meaningful.

Be present. Understand that the intention of meditation is not to create a state but to connect to the state that you’re in. As Ms. Zelin suggests, “Pause and think, ‘Ah, this is what busyness feels like. My mind is whirling. My shoulder is tense. Let me take a breath and let it be.’ ” Be consistent. To begin a more formal meditation practice, choose a time of day that’s best for you, whether it’s first thing in the morning, midday, or in the middle of the night when you can’t sleep.

To learn more about the Mindfulness Stress Reduction Program at Dominican Hospital, visit dignityhealth.org/dominican/PEP, call 831.457.7099, or attend a free introductory session on Sept. 13 at 3 p.m. or 7 p.m.

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Health, Wellness, and Lifestyle

Exploring Attitudes About Mammograms With about 230,000 new U.S. breast cancer cases anticipated in 2016, you owe it to yourself to be well-informed about this lifesaving screening

Early detection of breast cancer using mammography can save lives by catching the disease early, when it’s easiest to treat, experts say. Yet results from a recent survey of U.S. women over age 40, commissioned

by Dignity Health, revealed that more than half (53 percent) of women who hadn’t had a mammogram said they don’t plan to get one in the near future. In addition, more than a quarter of women surveyed who hadn’t previously received an exam ranked mammography as the most fear-inducing appointment.

These results reveal some common concerns among women, including worries about the procedure’s discomfort, radiation dosage, and ultimate findings, say Julie Jaffe, MD, an oncologist and hematologist at Dominican Hospital, and Kenneth Averill, MD, a diagnostic radiologist and medical director of the Dominican Breast Center. Here are some key facts you should know about mammograms.

You can ease mild discomfort: “Mammography requires breast compression to get the clearest view with the lowest dose of radiation,” explains Dr. Averill.

“For most women, this can cause mild discomfort for at most a

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•

•

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few minutes. For women whose breasts are more sensitive, we can reduce the amount of compression.” Tips to avoid discomfort: Don’t schedule your mammogram the week before your period, when breast tissue is most tender; take over-the-counter pain meds an hour before your exam.

Physicians assure radiation safety: “Mammography uses a very low dose of radiation, and the benefits far outweigh the risk,” says Dr. Averill. “We adhere to very strict guidelines. Mammography equipment is inspected annually by the U.S. Food and Drug Administration to make sure it’s safe and uses the lowest possible dose of radiation.”

Family history doesn’t usually play a role: “Patients have told me their mother or sister never had mammograms and they’re fine,” says Dr. Jaffe. “I tell them that most

•

women diagnosed with breast cancer have no family history of the disease.”

How to help patients overcome their fear of cancer discovery: “As a medical oncologist, I have so many patients who have been cured of small breast cancers detected on mammograms,” says Dr. Jaffe. “It is really important for patients and their doctors to have a thorough discussion about mammography to explore the reasons behind any anxiety and to address them. I have found that one of the biggest motivators for patients is having a friend or loved one who had breast cancer. Knowing someone who had breast cancer detected early and was cured, or knowing someone who unfortunately died of advanced disease, are often the biggest motivators to undergo routine screening.”

All screening mammograms at the Dominican Breast Center use 3-D mammography, the advanced imaging technology also known as digital breast tomosynthesis. To learn more or make an appointment, visit dignityhealth.org/dominican/breastcenter or call 831.476.7711. The center is a joint venture of Dignity Health Dominican Hospital and Radiology Medical Group of Santa Cruz County.

Women Speak Out Attendees of a local farmers market share their opinions about mammography

Jen Wren, 41 – Aromas

Karen Gray Geisler, 50 – Santa Cruz

Do you know any women who discovered they had breast cancer because of a mammogram— and survived?

Yes. She actually had emphysema, so they were doing a lot of chest X-rays, and I think they found it through that.

Did it affect your attitude about getting mammograms?

No. I do what I’m supposed to do. I’m about to get my first one.

Do you think getting regular mammograms is important for your health?

Yes, because even though I may do regular checks, early detection is key for recovery if the worst happens.

Is it hard for you to stay up to date with your mammograms?

No. I love that Dominican sends me a letter, then I call the doc, and he refers me to the insurance, and the center calls. It’s a really well-done system.

Mary Scott, 63 – Santa Cruz

Susan Davis, 60 – Sapulpa, Oklahoma

Do you think getting regular mammograms is important for your health?

Yes, because my family has a history of breast cancer. My maternal grandmother. She didn’t die of it, fortunately.

What worries you more: getting breast cancer or having a heart attack?

It’s a tossup. Actually, I don’t worry much about either one. There’s a history of both in my family, though.

Do you know anyone who found breast cancer with a mammogram and lived?

My sister-in-law. She didn’t feel anything manually and it wasn’t until she went in for a mammogram that they found something. It was a tumor, stage 4. Her life has never been the same.

Did it affect your own attitudes about mammograms?

You realize how important they are. You’re a lot more willing to go through a few minutes of being uncomfortable.

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Your generosity . . .

Their gratitude.

Our patients, physicians, nurses and entire care team are grateful for your support. Thank you very much for your generous gift.

TOGETHER, we are transforming health care in our community.

To learn more about our projects: Call: Beverly Grova (831) 462-7712 Visit: www.supportdominican.org Email: Beverly.Grova@DignityHealth.org

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Heart Health at Any Age According to the American Heart Association, approximately 84 million people in the U.S. suffer from some form of heart disease. Although heart disease remains this country’s most serious heart problem, you can take steps to safeguard your heart health. To beat the odds, follow these age-by-age tips provided by Dominican health experts Eric Hand, MA, CSCS, and Melinda White, DO.

›

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Children: Getting a Smart Start Heart-Friendly Habits

To Do at the Doctor’s Office

Create a healthy diet. Load kids up on fruits and vegetables, and choose whole grains. Limit red meat and sugary beverages.

Decrease sedentary activities. Cap the time kids spend on electronics to two hours daily and encourage them to be active for an hour each day.

Lead by example. The family that plays together stays healthy together. Consider hiking or walking on the beach.

Get your child’s Body Mass Index (BMI) checked annually. With the rise in pediatric obesity, kids are now being diagnosed with high blood pressure and high cholesterol.

Get your child’s blood pressure checked annually. Hardening and narrowing of the arteries starts in childhood, so keep a close eye on your child’s blood pressure.

Young Adults (Late Teens and 20s): Planning for the Future

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Heart-Friendly Habits

To Do at the Doctor’s Office

Nix bad habits. Entering adulthood, it’s common to pick up unhealthy habits.

Keep an eye on your alcohol intake; if you smoke, quit.

Get active. Start slowly, gently increasing the duration and intensity of exercise.

Try to connect with active peers.

Eat healthy. In particular, avoid foods with a high amount of sodium, which can worsen high blood pressure.

Monitor your Body Mass Index. Have your doctor calculate your BMI at every doctor’s appointment.

Watch your blood pressure. Check it at least every two years.

Don’t forget your cholesterol. Get a cholesterol test every four to six years,* beginning at age 20.

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Older Adults (30s through 50s): Prioritizing Your Health Heart-Friendly Habits

To Do at the Doctor’s Office

Watch your diet. Limit refined carbohydrates, choose lean proteins, and eat plenty of fresh fruits and vegetables.

Get your heart pumping. As we get older, we don’t burn calories as quickly. Walk or bike to work if you can, take the stairs when possible, and consider joining a local fitness club or activity group.

Know your numbers. Get your blood pressure checked every other year and cholesterol every four to six years,* especially if you have a family history of heart disease.

Seniors: Staying Strong (60 and Older) Heart-Friendly Habits

To Do at the Doctor’s Office

Avoid the salt. As you age, your sensitivity to taste decreases, so it’s easy to go overboard on salt. Try flavoring your food with herbs and spices, or lemon and lime.

Focus on fruits and veggies. Eat a diet rich in fruits and vegetables, and limit fatty proteins.

Go for a swim. Exercising not only helps your heart but also increases your strength and flexibility, reducing your risk of falls and related injuries. Water aerobics and swimming ease wear and tear on the joints and are great fitness options.

Make it a routine. Continue getting regular blood pressure screenings and a cholesterol test every four to six years.* (FYI: The factors leading to heart disease —high blood pressure, obesity, and physical inactivity—also contribute to memory loss, dementia, and Alzheimer’s disease.)

Be proactive. If something doesn’t feel right, visit your doctor. It’s better to get checked out than to ignore possible problems.

*You may need to be tested more frequently if your health care provider determines that you’re at an increased risk for heart disease and stroke.

Sources: American Heart Association; Harvard Health; National Heart, Lung, and Blood Institute; National Institutes of Health

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Create Your Legacy Explore gift-giving planning options with Dominican Hospital Foundation to invest in quality patient health care, advanced technology, and other vital services for the future.

An invitation to our Bob Swenson Legacy Society is included with your commitment. The Society honors members who share values to give back to our community hospital.

To learn more about gift-giving planning options: Call: Beverly Grova (831) 462-7712 Visit: www.supportdominican.org Email: Beverly.Grova@DignityHealth.org

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4. Eat enough fiber. Fiber, specifi-

Health, Wellness, and Lifestyle

cally prebiotics, is what keeps our gut bacteria going strong. When our own healthy bacteria such as Lactobacillus and Bifidobacteria eat prebiotic fiber-rich foods like legumes, fruits, nuts, vegetables, root vegetables, and grains, they thrive, Ms. DeVera says.

5 Things You Should Know About Probiotics Registered dietitian Melissa DeVera gives the inside story

Probiotics are living organisms present in your intestines and available in certain foods and in capsule form. According to Melissa DeVera, Dominican Hospital registered dietitian, probiotics not only help with digestion but also help the intestines synthesize vitamins such as biotin, vitamin B12, and vitamin K2. They also fight inflammation, boost the immune system, and help to control the harmful bacteria that can make us ill.

When considering adding probiotics to your diet, be mindful of the following:

5. Stay away from gut busters.

2. When in doubt, check it out.

“Research on strain-specific probiotics is very new, so work with a knowledgeable MD or RD on which strains would be good for whatever health issue you have,” says Ms. DeVera. She cautions that probiotics may be harmful to someone who is severely ill or immunocompromised. To learn more about probiotics, Ms. DeVera recommends probioticadvisor.com for unbiased, evidence-based information.

3. Look for probiotic-rich foods.

Ms. DeVera recommends plain yogurt that says “live cultures” or “active Don’t just pop a pill. “Probiotics cultures” on the label—not “made with active cultures.” The cultures are supplements are not regulated, and they’re expensive,” says Ms. DeVera. destroyed with pasteurization so the “And they don’t replace eating foods beneficial probiotic cultures need to be added in afterward. Kefir contains that naturally contain probiotics.”

However, probiotics supplements can digestion-boosting bacteria, and like yogurt, it’s very low in lactose—good be very helpful, she adds, if you are news for those who are lactose intoljust coming off of antibiotics or you have a health condition such as ulcer- erant. Sauerkraut and kimchee are also rich in probiotics, as are tempeh, ative colitis. miso, and apple cider vinegar.

1.

Avoid foods that have a negative effect on gut flora. On this nix list, Ms. DeVera mentions sugar, refined carbohydrates, fattening foods, antibiotics that come from animal protein sources, and artificial sweeteners such as aspartame and Splenda.

Attend Healthy Eating for a Healthy Gut Join Ms. DeVera’s class on Wednesday, Dec. 7, 6–7 p.m. at Dominican Rehabilitation Campus, 610 Frederick St., Santa Cruz, $15. Please call 831.457.7099 or sign up online at dignityhealth.org/dominican/PEP.

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Health, Wellness, and Lifestyle

Going Organic

Understanding Food Labeling Be sure to check the list of ingredients and the nutrition chart When it comes to food labels, experts advise you to read the fine print, rather than the splashy claims on the front of the package. “You have to really look at the ingredients,” says Melissa DeVera, Dominican Hospital registered dietitian. “You have to see that what you’re putting in your body is good quality.” Some specifics: • Read the ingredient list. As a start, Ms. DeVera says, see if the listed ingredients are familiar. “If you can identify all the ingredients and you could theoretically make the product in your kitchen, then it’s a processed food that’s fine. If you can’t, then it’s too processed.”

Following that step helps you stay away from ingredients that have been linked to health problems ranging from obesity to cancer, such as high-fructose corn syrup, partially hydrogenated fats, artificial colors, preservatives, and artificial sweeteners such as aspartame, Ms. DeVera says. “Those are all very unhealthy ingredients to have in your food,” she adds.

• Watch out for misleading claims.

Sorting through the claims on food labels can be complicated. “Natural” or “all natural” doesn’t mean anything, Ms. DeVera says. In fact, she says, “it’s a big red flag” that the product may contain unhealthy ingredients.

When you see the terms “light,” “lite,” or “less,” you have to determine what there is less of—and what may have been added as a substitute. For instance, if there is less fat, there is often more sugar and/or salt. If there is less sugar, there is often more fat and/or salt.

• For information about sugar, check the nutrition chart. As a rule of thumb for sugar intake from packaged foods, Ms. DeVera suggests keeping an eye on the nutrition chart on the label and limiting yourself to 24 to 36 grams per day. FYI: A can of cola contains 39 grams of sugar and a 6-ounce container of fruit yogurt contains 24 grams of sugar.

For information on nutrition counseling offered by Dominican Hospital, please call 831.457.7077. For more information on food labels, visit the American Heart Association’s website at heart.org and search for “understanding food nutrition labels.”

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Avoid pesticide residue on your food by going organic. Look for the USDA Organic seal on dairy and meats, and aim to buy organic varieties of the following fruits and vegetables. These types of produce, when grown conventionally, tend to contain the highest levels of pesticide residue.

Strawberries Apples Nectarines Peaches Celery Grapes Cherries Spinach Tomatoes Bell peppers Cherry tomatoes Cucumbers If you wish to avoid genetically modified foods, look for the non-GMO Project Verified seal, which many companies are now using. According to the USDA, the USDA Organic seal also indicates that the product contains no GMOs.

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Health, Wellness, and Lifestyle

From Farm to (Your) Table Dominican Hospital’s master gardener spills the certified organic beans on local farmers markets

Dominican Hospital’s master organic gardener, James Cook, has advice for those seeking to improve their diet: Know where your food comes from. Mr. Cook dedicates 20 hours a week to maintaining the hospital’s Wheeler Organic Garden. He and his wife, Heather, also cultivate organic crops at Groundswell Farms, their 5-acre urban microfarm on the Westside of Santa Cruz, and they regularly sell their produce at local farmers markets.

“Farmers markets are a really important bridge between farm and table,” Mr. Cook says.

Fortunately for Santa Cruz County residents, no fewer than nine farmers markets operate in the region, offering a wealth of locally grown fruits and vegetables, as well as fresh seafood, flowers, eggs, dairy, cheeses, meats, artisan-made gifts, and more.

Yet not all products at a farmers market are created equal. A consumer must still be discriminating.

Mr. Cook has some advice for those venturing into the world of locally sourced food for the first time.

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“

If the produce is edible and raw, ask if you can try it. Ninety-nine percent of the time, the farmer will say ‘please do.’ ” —Organic gardener James Cook

• Test for taste and freshness.

“First and foremost, if the produce is edible and raw, ask if you can try it. Ninety-nine percent of the time, the farmer will say, ‘Please do,’ ” Mr. Cook says. “That’s the freedom of the farmers market.

“Next, find out when the food was harvested,” Mr. Cook says.

“Usually it’s very fresh, but you never know. Some farms have a statewide network, which means the food might have spent a few days in a box truck before arriving to the table in front of you. Ask where their farm is.”

• If you want to buy organic food, find out if it’s certified. “If they say they aren’t sure, you can actually ask to see the organic certificate,” says Mr. Cook. “They’re required by law

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to have it on hand, and it’s supposed to be visible to customers. If you don’t see a sign and certificate, that’s a good indicator the farmer is trying to wriggle conventional produce into the organic market.”

• Follow the crowd. More than half of the customers at a farmers market are repeats, according to Mr. Cook. That means there’s usually a reason a line is forming at a certain vendor’s table. “They know where the good stuff is,” Mr. Cook says. “However,” he’s quick to add, “that’s not to say there aren’t great, undiscovered farms out there.”

Santa Cruz County Farmers Markets No matter where you are in Santa Cruz County, there’s a farmers market near you selling locally grown fruits and vegetables, as well as fresh seafood, flowers, eggs, dairy, cheeses, meats, artisan-made gifts, and more. Sample these: Aptos Farmers Market 6500 Soquel Drive, Aptos Every Saturday, 8 a.m.–noon, year-round Downtown Santa Cruz Farmers Market Downtown Santa Cruz, parking lot between Lincoln and Cedar Streets Wednesdays, 1:30–6:30 p.m., year-round (closes at 5:30 p.m. in the fall and winter) Felton Farmers Market 120 Russell Ave., Felton Tuesdays, May–October, 2:30–6:30 p.m.

Live Oak Farmers Market E. Cliff Drive and 15th Avenue, Santa Cruz Sundays, 9 a.m.–1 p.m., year-round Scotts Valley Farmers Market 360 Kings Village Road, Scotts Valley Saturdays, 9 a.m.–1 p.m., April 2–Nov. 19 Seascape Farmers Market Seascape Blvd. at Sumner Ave., Aptos Sundays, 11 a.m.–2 p.m., May–October UCSC Farm and Garden 1156 High St., Santa Cruz Open daily, 8 a.m.–6 p.m., early June– late October Watsonville Farmers Market Downtown Watsonville Plaza, Watsonville Fridays, 2–7 p.m., year-round Westside Santa Cruz Farmers Market Parking lot, corner of Western/Mission, Santa Cruz Saturdays, 9 a.m.–1 p.m., year-round Sources: James Cook, Santa Cruz Chamber of Commerce

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Focus on Families

Myth vs. Fact: Preparing for Pregnancy If you’re thinking about starting a family, it pays to be informed and plan ahead

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Healthy choices prior to conception pave the way for a healthy pregnancy. Here, Eve Ladwig-Scott, MD, OB-GYN, with Dignity Health Medical Group – Dominican, helps separate good advice from bad.

I can wait until I’m pregnant to start a healthy lifestyle.

Myth. Dr. Ladwig-Scott recommends seeing your doctor or midwife for preconception counseling at least three months before you want to become pregnant. “This is the time to get an assessment of your overall health, start prenatal vitamins, identify any kind of diet or exercise changes that need to be made, and get some testing done to optimize your health,” she says.

This is also the best time to quit smoking and drinking alcohol, and work toward reaching a healthy weight. “If you walk into pregnancy in an unhealthy state, that increases the risk for complications,” says Dr. Ladwig-Scott. “In addition, it can compromise endurance to get through labor.”

If you’re under age 30 with no known fertility risk factors, Dr. Ladwig-Scott recommends trying to conceive without intervention for one year. If you’re unable to get pregnant after that, she says, talk to your doctor.

Men don’t need to worry about preconception health.

Myth. When both you and your partner make healthy lifestyle choices and maintain a healthy weight, that boosts your chances of getting pregnant. If you or your partner has a family history of genetic diseases, your doctor may refer you for genetic counseling.

I can’t have a healthy pregnancy and healthy baby after age 35.

Myth. While this is definitely a myth, women should be aware “the The best time to conceive is in the risk for pregnancy complications goes days nearest ovulation. up as we age, particularly after the Fact. “You ovulate 14 days age of 40,” says Dr. Ladwig-Scott. before you menstruate,” says Dr. It’s important for women age 35 and Ladwig-Scott. If you have regular older to work on optimizing their periods, she says, you can predict health, particularly if they have your best timing for fertility by underlying medical conditions— counting back 14 days from the first and consult with their physician day of your last period. “You can more than three months before also use ovulation predictor kits pregnancy, she says. starting anywhere from 10 to 15 days Regardless of your age, if you have after your period, depending on the any pre-existing conditions, tell your length of your cycle, and test every doctor who manages those conditions day for about a week,” she adds. that your goal is to become pregnant.

“In some cases, you might be on medications that [aren’t appropriate] in pregnancy or you may need some other testing done to evaluate your health,” says Dr. Ladwig-Scott.

Your physician can also assess whether you need to be seen by a high-risk OB-GYN prior to becoming pregnant.

Folic acid helps prevent birth defects of the brain and spine, including spina bifida and anencephaly.

Fact. “We know if you take this supplement as prescribed, you can prevent neural tube defects,” says Dr. Ladwig-Scott. “If you’re taking prenatal vitamins, chances are you’re getting the correct amount of folic acid you need. But ask your doctor to be sure.”

I don’t need to worry about the Zika virus unless I’m already pregnant.

Myth. “If you’ve traveled to an area affected by the Zika virus, you need to talk to your OB-GYN prior to trying to become pregnant,” says Dr. Ladwig-Scott. Your doctor can offer advice about timing your pregnancy. “There’s also the truth that it’s known to be sexually transmitted, and so there are cautions with regard to that, too,” she adds.

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Focus on Families

Designing a Birth Plan By creating and sharing their birth plan, expectant parents can communicate their wishes and help make labor an easier experience The biggest thing to remember when creating a birth plan? Be flexible— and be prepared if things work out differently than you expect. “I think a lot of women are disappointed when they try to stay with their birth plan, and then the birth unfolds in unexpected ways,” says Cynthia Hornbeak, LCCE, CLC, childbirth education coordinator at Dominican Hospital.

“The most important outcome is a healthy mom and baby.”

The truth is, many expectant mothers have questions leading up to their big day. Will you choose an epidural or are you hoping to give birth drug-free? Do you picture yourself birthing with only your partner or are you planning on having a support team?

Expectant parents find that considering in advance which tools they’d like to use in labor is worth the effort, says Ms. Hornbeak. “A birth plan is a communication tool, no more, no less,” she explains. “It clarifies birth expectations between a woman and her care provider. It helps the labor and delivery nursing staff know how to personalize care during labor, birth, and postpartum. It’s a way to choose available options and to increase collaboration among the support team.”

While there are many suggestions for creating a birth plan available online, Ms. Hornbeak recommends

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that women start by talking with their medical provider, taking a tour of their hospital or birthing center, and enrolling in childbirth classes.

Get the latest information about pain management, birthing techniques, and what your particular delivery site has to offer, then go over your wishes with your doctor or midwife so they can factor in your medical history.

Ideally, expectant moms should have a birth plan worked out with their caregiver by 36 weeks. Then the doctor or midwife can send the

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written document to the labor and delivery team along with the patient’s medical records. This ensures your wishes are on file, even if your medical provider isn’t present for the actual birth.

“Birth plans are really collaborative,” Ms. Hornbeak says. “They empower the woman to participate actively with her health care team in decision-making by asking questions and advocating for what she needs.”

For more information about childbirth services at Dominican Hospital or to schedule a tour of our Birth Center, please call 831.457.7171 or visit dignityhealth.org/dominican/babies.

Focus on Families

You’re Pregnant—Now What?

Here, certified nurse midwife Leora Fromm of Dignity Health Medical Group – Dominican, answers common questions about the early weeks of pregnancy grow, as well as in later pregnancy as the baby grows larger. Some women A due date is a point of reference that look pregnant earlier, especially if it estimates when you get to 40 weeks of pregnancy, which we start counting is their second or third baby; many from your last menstrual period. Only first-time moms don’t start to look about 5 percent of women will deliver pregnant until closer to 24 weeks. on their due date because pregnancy What are some effective home varies in length from 37 to 42 weeks remedies for these changes?

(37 and 38 weeks can be called early For nausea, a lot of women drink term). Dating is important not so much for knowing the day you’re due, ginger tea or take sips of grapefruit but for gauging how far along you are juice throughout the morning. A lot of people do acupuncture or use as you’re going through pregnancy. acupressure wristbands. Often, women are exhausted in the first triHow often should I see my mester, so sleeping more is advised, doctor for prenatal care? if possible.

We usually see women for prenatal

What does my due date mean?

visits every four weeks until 32 weeks of pregnancy, every two weeks until 36 weeks, and then every week until they deliver.

Is any amount of alcohol safe during pregnancy?

No. A safe level of alcohol consumption during pregnancy has not been determined, so consuming no alcohol is recommended.

What body changes are most common in early pregnancy?

Breast tenderness, fatigue, and nausea are the most common changes that women experience in early pregnancy.

Back pain can also be an issue in early pregnancy as your uterus begins to

What’s a good rule of thumb when eating for two?

It’s better to eat small, frequent meals throughout the day than it is to try to stick to three meals a day. I advise storing snacks in your glove compartment, purse, and desk at work so you always have something you can snack on. Frequent snacking can sometimes help with morning sickness.

Usually, you don’t have to eat more than normal. Pregnancy is not a magical time when you can eat ice

cream every night and unlimited french fries; you have to eat healthy if you don’t want to gain more weight than is necessary during pregnancy.

Hydration also is very important during pregnancy. We recommend six to eight glasses of water per day.

What are signs I should call my doctor during my first trimester?

Cramping and bleeding. If you have a tiny bit of bleeding after intercourse, that’s normal. It never hurts to call and check in if you’re bleeding more than a small amount.

Is it safe to get the flu shot and other vaccines during pregnancy?

The flu shot is recommended, even in the first trimester. Women who are pregnant can get very sick with the flu. It is much safer to get the flu shot during pregnancy than it is to get the flu. The Tdap vaccine is recommended during the third trimester to protect the mother against whooping cough. It also gives the baby some immunity from whooping cough.

For information about childbirth preparation classes at Dominican or to schedule a tour of our Birth Center, please call 831.457.7171 or visit dignityhealth.org/dominican/babyclasses.

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Focus on Families

What is the Difference Between an OB-GYN and a Midwife?

Four local experts share their perspectives Eve Ladwig-Scott, MD, OB-GYN, Dignity Health Medical Group – Dominican: An obstetrician is also a surgeon and has the training and experience to manage any kind of pregnancy, complication, and outcome. In general, the obstetrician has a broader range of responsibilities. You will get the same level of care during a low-risk pregnancy with an obstetrician or a midwife, but midwives typically are more present during your labor. If you’re low risk and healthy, then a midwife is a fantastic option. We have phenomenal midwives who co-manage high-risk patients, so it is possible to have diabetes or hypertension and receive care from a midwife in consultation with an OB-GYN.

necessary. Our goal is to make sure that the pregnancy stays healthy. The majority of certified nurse midwives receive rigorous training in nursing at the master’s level. Universities including Yale, Columbia, and UCSF have midwifery programs, and we train alongside the residents. We’re prepared if things veer from normal and have an amazing group of consultant physicians who can step in and help co-manage. It’s really a team.

Leora Fromm, CNM, Dignity Health Medical Group – Dominican: Midwives do all the same prenatal testing that doctors do. We make nonmedical pain coping recommendations for labor, such as taking a bath, getting in the shower, or taking a walk. If somebody requests Dana Ramsey, CNM (Certified pain medication, we order it from Nurse Midwife), the anesthesiologist. We deliver the Palo Alto Medibaby. The only thing we don’t do is a cal Foundation: cesarean section, and there is always As midwives, we a doctor available if we need one. My take the preggoal as a midwife is to help a woman nancy and labor make the best choices for herself all down a pathway through labor and to understand what of least intervention. That said, we are all of her options are all of the time. I skilled and capable of intervening if feel so supported in providing women

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with the best possible care because the nurses at Dominican are experts at helping women through labor.

Laetitia Oderman, MD, OB-GYN, Palo Alto Medical Foundation: In our community, the differences between midwife and doctor are fewer than in most. We all work together to support women’s choices, so I think it just comes down to personal choice and comfort level in most cases. We have a collaborative care model, where in general, if things are really healthy, you’re going to be primarily cared for by a midwife in labor. During C-sections, the doctors perform the surgery and the midwife is assisting. I’m proud of what we’re doing locally. We have a wonderful group of midwives and doctors who are in it for the right reasons.

To learn more about childbirth services at Dominican Hospital or to schedule a tour of our Birth Center, please call 831.457.7171 or visit dignityhealth.org/dominican/babies.

Focus on Families

What Is a Doula?

These trained labor experts can make the birth process easier for mother and child

Wouldn’t it be nice to have your own personal expert to guide you through the prenatal, labor, and postpartum process?

Enter the doula. Translated from ancient Greek, doula means “a woman who serves,” and a growing number of people are turning to these trained professionals to enhance their birth experience.

“A doula offers advice on comfort measures such as breathing, relaxation, movement, and positioning,” says Cynthia Hornbeak, LCCE, CLC, Dominican Hospital’s childbirth education coordinator.

“She also [educates] the woman and her partner about the course of her labor. Perhaps the most crucial role of the doula is providing continuous emotional reassurance.”

While doulas don’t supply medical treatment (i.e., administering pain medication), a recent study from the University of Minnesota’s School of Public Health found that doula-attended births are shorter and 51 percent less likely to result in cesareans.

Deidre Lorenzo, who has been a doula for 12 years and attended more than 500 births, credits massage, positioning, and the pain-coping techniques doulas provide with easing labor complications. “So much of what I do is let people know what is normal and how to cope through it,” says Ms. Lorenzo.

If you’re looking for a doula, start by consulting your physician or birthing place, advises Ms. Hornbeak. While the cost is not typically covered by insurance (fees can range from $500 to $2,800), there are options, no matter your financial status. Some doulas offer very low-cost services as part of their certification with organizations such as Dona International, an association of more than 7,000 doulas worldwide.

“

Local doula Deidre Lorenzo has attended more than 500 births.

Ms. Lorenzo suggests that expectant parents find a doula who fits their personalities. “It’s important to know the type of support you want and what you are hoping to experience during your birth,” she says. “Find the right doula for you, because building the best possible support team will make your birth a happier and more empowering experience.”

Get more information on doulas at birthnet.org or find a local doula at dona.org.

Find the right doula for you, because building the best possible support team will make your birth a happier and more empowering experience.”—Deidre Lorenzo Your Wellness Resource for Santa Cruz County

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Focus on Families

Nitrous Oxide Comes to the Delivery Room Dominican Hospital provides laboring mothers an alternate form of pain relief

Have you heard about using nitrous oxide, aka “laughing gas,” as a pain management tool for laboring women? European countries have administered a combination of nitrous oxide (N2O) and oxygen in the delivery room for years, and an increasing number of hospitals across the U.S. (including Dominican) are starting to offer it as a pain relief alternative as well.

“We started offering nitrous oxide in late 2014,” says Tina Demore, the hospital’s nursing director for maternal child health.

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“We looked into it, as patients were interested in a less intrusive way to get pain relief.”

The gas is a 50-50 blend of nitrous oxide and oxygen, which is self-administered by the laboring woman via mask. “You can use it or not use it,” says Karen Berg, a charge nurse for labor and delivery at Dominican. “You can put it down and pick it up for each contraction.

Mom is in control.”

Providing both pain and anxiety relief, the gas clears the body within a few breaths of taking off the mask

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so it is safe for both mother and baby—making it an appealing option for parents interested in a more natural birth.

According to the American College of Nurse-Midwives, the use of nitrous oxide is not associated with added risk of maternal or fetal complications, nor does it adversely affect the progress of labor.

The main side effect is lightheadedness or sleepiness for the laboring mother, but, says Ms. Berg, “when you are working hard, that doesn’t seem to happen that much.”

Even so, she adds, nitrous oxide is not recommended for patients with B-12 deficiencies or if the woman can’t hold the mask herself.

“It has to be self-administered,” says Ms. Berg. “It’s part of the safety protocol.

“The daddy can’t borrow it,” she adds, laughing.

Focus on Families

Moms-to-Be on the Move From walking to light aerobics to aquatic exercise, there are many ways to stay active—and fit—throughout your pregnancy Well-meaning friends may advise you to take it easy while pregnant, but exercise during pregnancy has real upsides. “It helps improve sleep and mood,” says Terri Primavera, MPT, PEP and Wellness coordinator.

“Stress reduction can be another benefit.” It can even prepare you to cope with labor.

Check with your physician before starting a workout program to ensure there is no medical reason that you shouldn’t exercise.

“Another rule is you don’t want to

“

get so oxygen-starved that you can’t have a conversation,” says certified nurse midwife Leora Fromm, CNM, of Dignity Health Medical Group – Dominican. “I tell people to avoid big-wave surfing, downhill skiing, and other sports where you could hurt yourself. Also things like hot yoga— which causes your body temperature to increase dramatically—are not recommended.”

As your baby grows, musculoskeletal aches may set in. “Exercising in water can relieve pain associated

Women feel almost as if they aren’t pregnant in the water and are able to move freely and gently.”

—Terri Primavera, MPT, PEP and Wellness coordinator

with body changes during pregnancy. It also keeps your core body temperature down,” Ms. Primavera explains.

“The other advantage to exercising in group classes,” adds Ms. Fromm, “is that you can start to form a community of women with children of the same age.”

Wet and Wonderful: Water Jogging For a light cardiovascular workout, try jogging in a swimming pool.

Jog with your feet farther apart than normal, using resistance ankle cuffs or hand weights.

Alternatively, jog while suspended, without touching the pool’s bottom, by using flotation devices in your hands or a noodle under your arms.

Dominican Hospital’s Aquatic Exercise for Pregnant Women class features carefully chosen exercises focusing on pelvic flexibility, posture, and light aerobics. For more information, please call 831.457.7099 or visit dignityhealth.org/dominican/PEP.

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Focus on Families

Handle With Care New moms—who constantly lift up and carry their babies— are at risk for hand, wrist, and arm strain

Newborns bring families love, joy, and—pain in the wrists and hands?

If you’re a new parent with a brandnew bundle of joy, it’s not unusual to strain your thumbs, wrists, and hands while lifting and caring for your baby.

A common painful problem is De Quervain’s tenosynovitis, which affects tendons near the base of the thumbs. “When this occurs postpartum, some people call it ‘mommy thumb’ or ‘baby thumb,’ ” says Annette Masters, MA, OTR/L, CHT, certified hand therapist and supervisor of the Dominican Hospital Hand Rehabilitation Center. “There’s a hormone that relaxes the pelvis for childbirth, but that hormone goes all over the body, so joints that were tight might get loose. It’s a perfect storm for joint strain—the changing hormonal picture and increased activity with baby handling.”

If you’ve had tendinitis before, it may pop up again postpartum. Due to increased swelling, carpal tunnel syndrome is common during pregnancy. It usually resolves itself after childbirth but may persist.

Ms. Masters offers the following tips for protecting your arms, wrists, and hands when caring for your newborn:

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Holding Your Baby When holding your baby, avoid twisting your wrists. Keep them as straight as possible.

Breastfeeding While cradling your baby to breastfeed, avoid bending your wrist too far forward around the baby’s head. Keep your wrist straight, and consider using a contoured breastfeeding pillow, which offers support and eases the burden on your hands.

Lifting Your Baby Keep your wrists straight. As your baby gets bigger, avoid placing both hands under his or her armpits. Instead, slide one arm between the baby’s legs for added support. Remember to be mindful of your back: Bend at your knees and lift with your legs when picking your child up from the floor.

Lifting Your Baby out of a Crib

Proper baby-holding techniques help Santa Cruz mom Laura Dodd keep hand and wrist pain at bay.

To reduce wrist strain, keep your wrists straight and slip one arm between the baby’s legs for extra support.

Diapering Make sure your wrist doesn’t extend too far forward as you’re pinching the tab to fasten the diaper. Some babies get wiggly, so consider wearing a wrist splint to keep your wrist straight while diapering.

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To learn more about the Dominican Hand Rehabilitation Center, call 831.457.7130 or visit dignityhealth.org/ dominican/handrehabcenter.

Focus on Families

Preparing a Sibling for the New Baby Becoming a big brother or sister can be a big change.

Use this checklist to help your child get ready.

Expecting an addition to your household? “Any time there’s a transition in the home, you should have a discussion with the family and • Be upfront about who will care for others involved, especially children,” your child when mom goes to the says Doan Le, MD, pediatrician with hospital. “The more they’re aware Dignity Health Medical Group – of things, the easier it is for them to Dominican. “Routines for kids are deal with it,” says Dr. Le. really important, and if anything is • If you anticipate changes in routine, changing, they need to be aware of it.” “start introducing those differences Ease the transition with these and say, ‘You know what? Somepointers from Dr. Le and Shelly times this is going to happen when Wong, NP, pediatric nurse practithe baby is here,’ ” says Ms. Wong. tioner at Dignity Health Medical Encourage age-appropriate, big-kid Group – Dominican. behavior, too, such as brushing teeth without help.

Before Baby Arrives • Involve your child in arranging the • Talk about the baby and use books baby’s room and packing mom’s to explain what to expect. Let your suitcase for the hospital. child read to mom’s belly.

• Share photos and stories of your Making Introductions older child’s birth. If you have a • In the hospital, demonstrate how to family scrapbook, “leave spaces be gentle with the baby, advising for your child to tape in pictures where it’s OK to touch. If possible, when the new baby comes along,” let your child climb into bed with Ms. Wong suggests. mom and hold the baby together.

Soquel mom Rachel Roush started preparing daughter Evelyn early for the arrival of her baby brother.

• Encourage your child to introduce little brother or sister to visitors.

Coming Home • Involve your child in the baby’s care. Let him or her retrieve the diaper bag and help dress the baby.

• Regularly spend quality one-on-one time with your older child.

• Keep rules “consistent, concise, and clear,” says Dr. Le. Praise good big-sibling behavior and ignore bad behavior and tantrums when possible, she adds. “It’s a reinforcement that they’re not left out, they’re still being loved, and they’re going to love the new baby, too.”

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Focus on Families

Feeding Picky Eaters 10 tips for improving your child’s nutrition—without starting a mealtime war

Parents walk a tightrope when it comes to handling picky eaters.

Helping kids make good food choices is important. However, insisting that problem eaters have a balanced meal each time they sit down at the table dooms you to failure and can create problems later on, says Gilah Berman, pediatric clinical dietitian at Dominican Hospital.

“In general, healthy children who are picky eaters almost always grow to become more food tolerant,” Ms. Berman says. “Until your child’s food preferences mature, consider these tips for preventing mealtime battles.”

1.

Do not bribe or force your child to eat certain foods or to clean his or her plate. Studies have provided strong evidence that associating mealtime with stress is linked to eating disorders.

Establish a routine by serving healthy meals and snacks at about the same times every day.

Be patient about new foods. Offer new foods frequently and repeatedly, along with your child’s standby favorites. With young children in particular, talk about a new food’s color, shape, aroma, and texture— not whether it tastes good—to get the child interested.

2.

3.

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4.

Get children involved in selecting fruits, vegetables, and other healthy foods at the grocery store.

Have them help with assembling meals, making it fun by cutting foods into shapes with cookie cutters or arranging brightly colored foods like an art project.

Set a good example with your own diet and keep junk food out of the house.

Get sneaky—put chopped or grated vegetables in spaghetti sauce, casseroles, and soups.

During mealtimes, turn off the TV and all electronic devices to minimize distractions.

Don’t offer dessert as a reward because it reinforces your child’s belief that sweets are the most desirable foods.

Don’t make a separate meal for your child. That only reinforces pickiness.

If you think your child’s eating habits are “particularly atrocious,” says Ms. Berman, “give him or her a multivitamin. It’s certainly not the first choice, but it will help fill any nutritional gaps.”

5.

6.

7.

8.

9.

10.

Your Wellness Resource for Santa Cruz County

Molly and Jacob Berman, children of Dominican dietitian Gilah Berman, prepare to chow down on a healthy snack of strawberries and blueberries.

Wellness

Tune in every other week to Good Times’ Wellness column, as editor Maria Grusauskas and her team explore the ways and means of achieving optimal health in Santa Cruz County. Meet some of the practitioners, learn about the body and brain, and discover the impressive variety of wellness services available locally.

1101 Pacific Avenue Suite 320, Santa Cruz, CA 95060 | 831.458.1100

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H a p p y A n n i v e r s a r y, D o m i n i c a n C e l e b r at in g

Years 75 of humankindness

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focus Wellness Your on health, Resource wellness, for and Santa lifestyle Cruz County

The Sisters’ Story A look back at the history of Dominican Hospital and the remarkable Order of Sisters who started it all

Anniversary

Timeline Dominican Through the Decades The hospital archives are rich with moments of public service and technological innovation. Here are some of the major milestones.

1941 The Adrian Dominican Sisters left Michigan and came to Santa Cruz to take over the abandoned Hanly Hospital located on West Cliff Drive, near where the Dream Inn stands today. They renamed it Sisters Hospital.

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or the Dominican Sisters of Adrian, Michigan, accustomed to harsh Midwestern winters, Bishop Philip G. Scher’s invitation to take over a hospital in Santa Cruz, California, should have been a gift. But when the first four Adrian Sisters arrived in Santa Cruz on Aug. 9, 1941, they found a dismal sight.

The building (formerly known as Hanly Hospital) had been empty for nearly a year. “It was as if someone had rung a bell and everyone had left, leaving everything behind,” Sister Georganne Duggan said.

“It was a sad state of a building,” says Sister Rita Eileen Dean, OP, vice president of mission integration at Dominican Hospital.

The Sisters got to work—cleaning, polishing medical instruments, and meeting local doctors. They also prepared living quarters for themselves in one corridor of the building. Within one month, the hospital was ready to open, though conditions were still rough.

Opposite page: (top) Sisters Hospital in 1941; (bottom) Dominican Hospital in 2016. Below (left to right): Dominican Santa Cruz Hospital’s first ICU; two Sisters with young patients, circa 1949.

1945 Sisters Hospital grew quickly.

The admitted patients total for this year was 859, up from the 548 patients admitted in 1944.

1949 As the community grew, so did its health care needs. The Sisters purchased Santa Cruz Hospital on Soquel Avenue (the current location of Branciforte Plaza), renaming it Dominican Santa Cruz Hospital. They ran Sisters Hospital and Dominican Santa Cruz Hospital concurrently.

1966 Responding to the thriving populace, and with the community’s backing, the Sisters bought 17 acres on the edge of town. What was then known as the Dominican Hospital Founders Club (and became the Dominican Hospital Foundation) raised $1 million to support the new Dominican Santa Cruz Hospital on Soquel Drive, which broke ground in 1966. All of the main services would move there.✱

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1967 Sisters Hospital closed its doors on Dec. 22. The Sisters sold the land to the Dream Inn for $450,000—a pretty good return on investment as the purchase price in 1941 was $16,000!

1975 Dominican was the first nonuniversity hospital on the West Coast to acquire a computer-assisted tomography, or CAT, scanner. The first patient scan was conducted on March 15 of that year.

The new equipment helped the hospital become a leader in neurosurgery.

1979 The Dominican Hospital Foundation was established; it supported the work of the hospital through philanthropic contributions from the community and local businesses.

1983 The Personal Enrichment Program (PEP) launched, offering health and wellness classes and support groups.✱

1985 Dominican conducted its first magnetic resonance imaging (MRI).

1988 The hospital joined the three-state health care system then known as Catholic Healthcare West, becoming one of its founding sponsors.

1988 Dominican launched its cardiac program and saw the opening of its first cardiac catheterization lab.

1989 The Santa Cruz Surgery Center entered into a joint venture with Dominican Hospital.

“It was primitive in those days,” says Sister Marie Michaella Siplak, OP, director of community health integration services.

Bishop Scher dedicated the 18-bed Sisters Hospital on Sept. 14, 1941, and the first patient was admitted that night.

The Sisters did everything: cooked, cleaned, helped deliver babies, and provided all aspects of patient care. Patients would often pay with chickens, eggs, and produce, as funds were tight during the war years.

“The Sisters would keep their money in cigar boxes,” says Sr. Rita. “If the fishermen saw the Sisters walking down on the Santa Cruz Pier with their cigar box on a Friday afternoon, they knew that the Sisters could not make the payroll. The fishermen would give the Sisters money for the payroll as well as fish for themselves.”

The Sisters felt the effects of World War II in that early period.

They followed Civil Defense directives, making blackout curtains and putting them up when there was a drill. In the years after the war, it became clear that the hospital needed more space.

“People in the community knew they could get good care there,” says Sister Adrienne Piennette, OP, volunteer services coordinator.

After a complex real estate transaction, the Sisters purchased the 49-bed Santa Cruz Hospital on Soquel Avenue in 1949 (where Branciforte Plaza stands today), rededicating it as Dominican

The dedication of Dominican Santa Cruz Hospital in 1951.

1989 On Oct. 17, the 6.9 magnitude Loma Prieta Earthquake shook much of Northern California. Six people died and more than 300 were injured in Santa Cruz. Many received treatment at Dominican Hospital.

1990 Dominican purchased AMI Community Hospital, which was converted to Dominican Rehabilitation Services.

Together, the two campuses provided more than 350 acute care beds.

1990 The hospital performed its first heart bypass surgery.

1991 Dominican marked its 50-year anniversary.

1995 The Sisters in 2016: (top row, L-R) Sister Michaella Siplak, Sister Rita Dean, Sister Adrienne Piennette, Sister Judy Silva; (bottom row, L-R) Sister Beth Butler, Sister Veronica Kelley, Sister Mary Ellen Leciejewski.

Bottom: The founding Sisters with Bishop Philip G. Scher in 1941.

Santa Cruz Hospital on May 5, 1951. Modernization efforts continued with the addition of a laboratory and X-ray, pharmacy, and dietary services. “It started to look like a real hospital,” says Sr. Michaella.

The Sisters operated the two hospitals concurrently until Sisters Hospital officially closed its doors on Dec. 22, 1967.

As the community continued to grow, the Sisters recognized that further expansion was necessary. In 1966, they purchased 17 acres on the outskirts of Santa Cruz, and the new Dominican Santa Cruz Hospital on Soquel Drive broke ground later that year.

All services were consolidated at this site, and it is Dominican’s home to this day.

The Church underwent major changes in the early ’60s, and the Dominican Sisters traded in religious dress for secular.

The Dominican Breast Center, a joint venture between Dominican Hospital and Radiology Medical Group of Santa Cruz County, opened.

2000 The Bennett & Suzy Katz Cancer Resource Center opened, providing access to comprehensive cancer information and support groups for patients and their families.✱

2001 Dominican, in collaboration with Lucile Packard Children’s Hospital Stanford, established the only Level III Neonatal Intensive Care Unit (NICU) in Santa Cruz County.✱

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2004 Sister Mary Ellen Leciejewski, ecology program coordinator, helped launch the Joanne Wheeler Memorial Garden. The certified organic garden has flourished into a 9,000-square-foot plot that grows 3,000 pounds of produce each year.✱

2006 Nanette Mickiewicz, MD, became the first non-Sister to lead the hospital.

2006 The Joint Commission certified Dominican as an Advanced Primary Stroke Center.

2008 Dominican incorporated the robot-assisted da Vinci Surgical System, enabling doctors to perform complex operations with greater precision and better outcomes.✱

Today, visitors may see a Sister wearing a lapel pin with the Adrian Dominican logo depicting a wedge of light breaking through darkness.

In 1988, the hospital joined what was then known as Catholic Healthcare West; in 1990, a second campus opened focusing on rehabilitation and outpatient services. The tenets of community outreach and help for those in need remained driving values for Dominican—and Dignity Health—as it moved into the 21st century.

Today, the Sisters’ presence at Dominican has evolved. There are currently seven Sisters in leadership and support positions, including Sister Beth Butler, patient satisfaction coordinator; Sister Rita Dean, vice president of mission integration; Sister Veronica Kelley, chaplaincy coordinator; Sister Mary Ellen Leciejewski, Dignity Health director of ecology; Sister Adrienne Piennette, volunteer representative; Sister Judy Silva, hospitality coordinator; and Sister Michaella Siplak, director of community health integration services. According to Sr. Michaella, the high was once 20. Yet their ideals hold strong as the hospital looks toward the future.

“We continue to pride ourselves on our Adrian values to seek truth, make peace, and reverence life, as well as dignity, collaboration, justice, stewardship, and excellence,” says Sr. Rita.

“These are the values of the Dominicans and of Dignity Health.”

2009 A second cardiac catheterization lab opened, adding important technologies and meeting the increased community need for heart care.

2011 The new Mobile Wellness Clinic began offering screenings and medical services to the uninsured and underinsured in Santa Cruz County.✱

2011 With the addition of the Voyager Transport Incubator, Dominican improved its ability to transfer babies from other facilities for specialized care.✱

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Above: The new Domincan Santa Cruz Hospital on Soquel Drive in 1966.

Below: The Mobile Wellness Clinic brings roving care to the community.

Recognizing 75 Years of Female Leadership

2011

Reflections on some of the exceptional women who have guided Dominican Hospital

2012

Dominican’s history includes three main locations, several name changes, and 11 female administrators who helped the hospital

The hospital and Stanford Health Care entered into a partnership to further enhance the advanced neurosurgery services provided at Dominican.

Catholic Healthcare West adopted the name Dignity Health, and the hospital name changed to Dignity Health Dominican Hospital.

become the Santa Cruz County institution it is today. Sister Ann Patrick Shields held the first leadership post at Sisters Hospital in 1941. She was followed by Sister Anne Herringer (also known as Sister Mary Pius), Sister Madonna Maier, Sister Marie Brigid McDonald, Sister Helen Margaret McGinley, Sister Daniel Therese Smith, and the five notable women below.

Sister Georganne Duggan One of the founding Adrian Sisters and the only nurse when Sisters Hospital opened in 1941, Sr. Georganne was appointed administrator of Dominican Santa Cruz Hospital on Soquel Avenue in 1953. Sr. Georganne played a major role in fundraising and helped establish the Dominican Hospital Founders Club. After spending more than 10 years as the administrator of St. Rose Dominican Hospital in Henderson, Nev., now part of Dignity Health, she returned in 1978 and became manager of Dominican’s Sterile Processing Department—a position she held until her retirement in 1991.

Sister Carolyn Harrison Sr. Carolyn was a registered nurse and former health educator at Barry University in Miami Shores, Florida. As the head of the New Hospital Steering Committee, she played a vital role in managing expansion and fundraising for the construction of the new Dominican Santa Cruz Hospital in 1966. Sr. Carolyn was the first president of the facility on Soquel Drive, helping to lead the hospital for the next decade.

2013 Dominican is designated the STEMI heart attack receiving center for Santa Cruz County.✱

2013 The Mary and Richard Solari Cancer Center opened near the hospital campus, establishing Dominican as the most comprehensive cancer center in the Monterey Bay area.✱

2014 The hospital increased its high-tech imaging offerings, adding the O-Arm Surgical Imaging System and Stealth Navigation System for neurosurgery.✱

2015 With the opening of its new endoscopy suite, Dominican became the first facility in Santa Cruz to offer endoscopic ultrasound— providing more detailed imaging along with expanded biopsy and treatment alternatives.✱

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2015

Sister Josephine Sullivan

Dominican introduced the groundbreaking Transcatheter Aortic Valve Replacement (TAVR) procedure that allows for heart valve replacement without opening a patient’s chest.✱

2015 The addition of a cutting-edge ultrasound system in the NICU enabled advanced imaging procedures, including precision monitoring of blood flow in a newborn’s heart.✱

2015

Sister Julie Hyer Positron Emission Tomography-Computed Tomography (PET-CT) scanning technology came to the hospital, providing more precise visualization of tumors and reducing patient exposure to radiation.

2016 The hospital debuted the Dare to C.A.R.E. free cardiovascular screening program, the only one of its kind on the West Coast.✱

2016 The Dominican Breast Center became the only facility in the county to provide 3-D mammography, or tomosynthesis— the gold standard in breast imaging.✱

2016 Dignity Health Dominican Hospital celebrates 75 years of providing advanced care with humankindness. ✱ These projects were supported in whole or part through private contributions to the Dominican Hospital Foundation.

Sources: Dignity Health Dominican Hospital; the Dominican Hospital Foundation; Cottage by the Sea by Roger W. Hite, Richard Crescini, and Sister Marie Michaella Siplak, OP.

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Sr. Josephine took over as chief administrative officer in 1976, a tumultuous time in medicine when health insurance costs were rising. Her business background helped her steer the hospital through these new challenges. “One of the joys of my experience at Dominican has been the encouragement I have received from other women,” Sr. Josephine said during her tenure. “I hope that my role in the marketplace has gained greater acceptance for all women.”

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Sr. Julie became the president and CEO in 1985. During her administration, the hospital matured into a two-campus organization (Dominican Rehabilitation Services opened in 1990) with 1,700 employees. Sr. Julie also oversaw the merger with Catholic Healthcare West in 1988. She was honored in the House of Representatives twice, once in 2005—a year before she stepped down from her post—and again in 2010.

“The laurels of her tenure are as numerous as they are invaluable,” said Rep. Sam Farr in The Congressional Record.

Nanette Mickiewicz, MD Dominican Hospital’s current president, Dr. Mickiewicz took charge in 2006.

A specialist in infectious disease, she was the hospital’s first physician-turnedadministrator and was the chief medical officer before taking over as president.

She has developed a world-class heart and vascular program, significantly grown the hospital’s medical staff and programs, and introduced innovative technology (including the robot-assisted da Vinci Surgical System and a neonatal intensive care cardiac ultrasound machine)—putting the hospital at the forefront of advanced care in the Monterey Bay area.

Since 2002, 100% of Bay Federal Credit Union employees have donated time or money annually to non-profits in our local community.

We are proud to partner with the Dominican Hospital Foundation and other great organizations that are making a real difference.

Learn more at www.bayfed.com!

Federally Insured by NCUA. Equal Housing Lender.

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Mark your calendar for

Comerica Bank’s Outlook on America Symposium with Robert Dye, PhD, Comerica Bank Senior Vice President and Chief Economist Dan Donohoe, Comerica Bank Senior Vice President and Director of Government Relations

Date: Location: Address: Time: SponSored

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Thursday, October 6, 2016 Seascape Golf Club 610 Clubhouse Drive, Aptos, California 95003 12:00 p.m.-2:00 p.m.

by:

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Celebrating 69 years of building, managing, developing, designing and sustaining quality construction projects.

www.bogardconstruction.com

CONSTRUCTION MANAGEMENT | GENERAL CONTRACTING | DESIGN-BUILD | PROJECT DEVELOPMENT

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dominican hospital foundation

Link between community & hospital

Dominican Moves Forward in the Santa Cruz Community As we all know, it’s always a great occasion when we exceed our goals. Thus, we are extremely proud to report that we are ending our fiscal year 20 percent over our fundraising goal, with $2.8 million distributed to Dominican Hospital. Raising the funds is certainly one challenge; spending the funds most effectively and with the greatest impact is another. The Foundation has met both these challenges spectacularly by providing the hospital with new, cutting-edge technology and equipment, critical programs, and vital capital improvements— all with a concerted focus on improving patient care.

As we significantly improved our imaging capacity at the hospital with new equipment, we also added an exciting program called Dare to C.A.R.E., brought to us by Bilal Shafi, MD, cardiothoracic surgeon. Designed to improve heart health through early detection and prevention, the program involves arterial screenings via ultrasound. Thanks to the Foundation’s support, Dominican is the only hospital on the West Coast to offer this screening. We are very proud to have helped put it in place and offer it for free. In other good news, our cancer survivorship program has officially launched with a new partnership between therapy and oncology, helping cancer survivors regain their physical and emotional health.

Again, this is possible only because of private donations to Dominican’s Foundation.

As we celebrate the hospital’s 75th anniversary in a big way, we will be recognizing our valued donors at Chaminade on Sept. 14 instead of at our traditional, midsummer event. And speaking of diamond anniversaries, that theme will bring sparkle to our fall gala as we find fun ways to think of diamonds. (Even baseball, perhaps?)

And, with 88 percent of the funds raised for Phase I of the Healing Courtyards Initiative, we will celebrate the groundbreaking for the Central Surgery Waiting Area, Courtyard, Terrace, and Rehabilitation Gardens in the fall of this year.

As you can see, we are not standing still; nor is there ever a time to tread lightly when it comes to excellent health care at Dominican. We are tackling issues, bringing in resources, and working hard to ensure that you, your family, and your friends are proud of Dominican Hospital and the incredible “big city” medical resources available in our own small community.

So thank you for working with and beside us to achieve these goals. We will take but a moment to celebrate before we move on to new and important goals. Please join us in any capacity that you can.

After all, this is our community hospital.

Enjoy the summer, and be on the alert for what is happening next at this very special medical facility staffed with very talented caregivers.

With gratitude,

Ted Burke President, Dominican Hospital Foundation

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Board of Directors 2016–17 Ted Burke, President Jon Sisk, Past President Jared Bogaard, Vice President Carol Lezin, Vice President Ian Mackenzie, Vice President Don Jackson, Treasurer Michelle Anderson, Secretary Nicholas Abidi, MD Michael Alexander, MD Michael Allard Steve Allen Joe Appenrodt Ann Asche Dean Austin Gary Benito Lawrence Brenner Blaine Brokaw Joe Burton Linda Calciano, PhD Janet Capone, OP Marshall Delk Tiffany Hammer Ciara Harraher, MD Jim Hatch Michael Hollister Carolyn Hyatt Magdy Ismail, MD David Jacobs Julie Jaffe, MD Edison Jensen Dean Kashino, MD Susan MacMillan Joseph Marini III Roy Martinez, MD Susan Maurice Nanette Mickiewicz, MD Ken Morena Timothy Morgan Randall Nacamuli, MD Allison Niday Martina O’Sullivan Angela Reed Jarl Saal Pam Santacroce Jim Thompson Greg Whitley, MD Jill Wilson

Sydney and Don Jackson

Don Jackson Supports Nonprofits That Perform Well The most important thing I have learned while serving on a hospital foundation board in the Central Valley for more than 30 years: Hospitals have a never-ending need for improvements to remain on the cutting edge of medicine. My first assignment as a new member of the Dominican Hospital Foundation Board of Directors was to serve on the task force that reviewed the hospital’s needs and prioritized the top 10 items that would provide the greatest benefit to the residents of Santa Cruz County. I have observed the progress made and the addition of new priorities to meet the medical needs of the community. It is an ongoing process and requires our support.

Create Your Own Dominican Legacy I have always paid special attention to how well the charitable organizations I have been involved with are run. I observe their ability to raise and manage money, to invest carefully, and spend wisely. Dominican has met my requirements for outstanding performance, which is why I have chosen to leave a legacy gift to the Dominican Hospital Foundation through my trust to help future generations, while continuing to support Dominican on an annual basis for its current needs. I have shared this plan with my family, and they recognize the importance of enabling Dominican to offer the most advanced equipment and programs so that the highest level of care is provided right here in our community.

There Are Many Ways to Give—No Amount Is Too Small For information about making your own legacy gift, contact Beverly Grova, 831.462.7712 or Beverly.Grova@DignityHealth.org.

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Dominican Hospital Foundation Welcomes New Board Members Gary Benito

Magdy Ismail, MD

Ken Morena

The Foundation has welcomed five new members to the Board of Directors, who began their term on July 1, 2016. “We are thrilled and honored to have such a dedicated group of individuals with a sincere interest in the mission of Dominican Hospital. With this expansion of our board, we will continue to provide the very best health care for all within our community,” says Jon Sisk, chair of the Nominating Committee, Dominican Hospital Foundation.

Gary Benito Gary Benito was born and raised in Santa Cruz. He is a past member of the Board of Directors at Dominican Hospital Foundation and a current member of the Santa Cruz Host Lions, the Santa Cruz Elks Lodge, Marconi Club, and the Italian Catholic Federation. After graduating from high school, he began working for his father in their family business, Norman’s Family Chapel. Benito later attended Cypress Junior College and graduated with a degree in mortuary science. He resumed his position in his family’s business, eventually becoming manager. In 1999, Benito formed a partnership with Vince Azzaro and purchased Chapel of the Four Seasons, from which they began their business. He is active in a number of civic, fraternal, and social organizations. Benito and his family have been longtime major donors and supporters of the Dominican Hospital Foundation. He is married to Valerie Marietti Benito and has a daughter, Emily.

Dr. Magdy Ismail

Randall Nacamuli, MD

Pam Santacroce

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Magdy Ismail, MD, is a clinical associate professor in the Department of Neonatology at Stanford and the medical director of the Level III Neonatal Intensive Care Unit (NICU) at Dominican Hospital. He graduated from University of Cairo before obtaining a master’s degree in public health with a focus on maternal and child health at the University of California, Berkeley in 1982. He completed residency at the State University of New York at Stoney Brook, and then completed his Neonatal and Perinatal Medicine Fellowship at the University of British Colombia in Vancouver, Canada, in 1991. Dr. Ismail worked as a neonatologist in Southern California until 1999, at which point he joined Stanford University’s School of Medicine Division of Neonatology. In 2001, he came to Santa Cruz to start Dominican’s Level III NICU in association with Lucile Packard Children’s Hospital Stanford. Dr. Ismail is actively involved with the Dominican Hospital Foundation by serving on the Medical Philanthropy

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Committee and participating in donor tours. Dr. Ismail enjoys the arts and design, and competes in tennis, soccer, and table tennis.

Ken Morena Ken Morena was born and raised in San Francisco. In the 1960s, he worked for Safeway within the produce buying department, then went on to become regional buying manager. In 1976, he was recruited by Driscoll’s, where he made significant contributions by traveling globally to develop projects and seek out new business opportunities.

In 1999, after serving as president and general manager for Driscoll’s, Morena retired, although he continued working on special projects for the CEO until 2014. Currently, Morena is an active member of the Healing Courtyards Committee, and his involvement has resulted in several major gifts.

Morena spends his free time with his family—Velma, his wife of 57 years, and their two children, four grandchildren, and four great-grandchildren.

Dr. Randall Nacamuli Randall Nacamuli, MD, is a plastic and reconstructive surgeon and has been serving Santa Cruz County for nine years. Originally from Marin County, he received his medical degree from Temple University School of Medicine.

Prior to completing his residency in plastic surgery at Oregon Health & Science University, Dr. Nacamuli completed an American College of Surgeons research fellowship at Stanford University. His clinical interests include hand surgery, reconstruction of complex wounds, and breast reconstruction. He also has active leadership roles in Dignity Health Medical Group – Dominican and at Dominican Hospital, where he is vice chief of staff.

Pam Santacroce Pam Santacroce has been a member of the Dominican Hospital Foundation and Dominican Hospital boards in the past. She was one of the founding committee members of the Holidays d’Eleganz and Funding and Grants committees. Santacroce is a business owner and operated a property management company with her late husband, Nello. Apart from business acumen, Santacroce brings years of expertise in the health care industry—she worked as a nurse and later as a hospital administrator. Santacroce has also served on the board of Santa Clara University and has traveled all over the world.

Health Careers Academy Graduates Its Third Class The academy helps students choose a career path in health care The Health Careers Academy, created in partnership with Dominican Hospital and Cabrillo College, has recently graduated a third cohort of students. The program offers students a pathway into health care and includes a class at Cabrillo, an externship at Dominican supporting several departments, and a seminar with medical professionals.

The program is made possible by the Pteron Society, a physicians’ giving circle of the Foundation. “I was pleased to see the physicians’ funding being put to such good use,” says Greg Whitley, MD, chief of staff at Dominican Hospital.

“This experience has truly impacted my life in a way I never knew was possible,” says Jacquelyn Simmons, one of this year’s graduates. “I hope this program continues so more students can learn and become inspired to follow their dreams, even when times are difficult.”

Top row, left to right: Dr. Dawn Motyka; Ted Burke, president, Dominican Hospital Foundation; Dr. Nanette Mickiewicz, president, Dominican Hospital; Dr. Greg Whitley; Dr. Cynthia Fitzgerald; Sr. Adrienne Piennette, OP; Laurel Jones, president, Cabrillo College Bottom row, left to right: Graduates Jacquelyn Simmons, Eduardo Ramos, Regina Ayon, Sodanny Doeut, Merissa Barry, David Ramos

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dominican hospital foundation

Phase II of the Healing Courtyards Initiative Launches The Family and Newborn Care Courtyard and the Meditation Garden promise to bring peace and joy to patients, families, and Dominican Hospital employees With 88 percent of the funds raised for Phase I of the Healing Courtyards Initiative, the fundraising for Phase II: The Family and Newborn Care Courtyard and the Meditation Garden, is well underway. Recently, Dominican’s strong partnership with Lucile Packard Children’s Hospital Stanford in the Level III Neonatal Intensive Care Unit (NICU) resulted in a $125,000 gift for the Family and Newborn Care Courtyard.

“Our work with Dominican Hospital in the NICU has been a wonderful partnership for many years, and we see the Family and Newborn Care Courtyard as an essential component in that effort,” says Kim Roberts, chief strategy officer, Stanford Children’s Health. “It reflects the belief of Stanford Children’s Health and those of founder Lucile Salter Packard in the power of nature to heal and bring joy to new parents and babies.

We look forward to many more years ahead as we continue working together with Dominican.”

The Family and Newborn Care Courtyard,

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designed with the help of nurses from the NICU and the Labor and Delivery Unit, will provide much needed outdoor access for the new parents in the birthing center.

“The babies in the NICU may have to stay here for extended periods of time, sometimes for many weeks,” says Ned McNamara, MD, Stanford neonatologist. “Being able to offer the visiting families a restful outdoor space at this stressful time in their life will be invaluable.”

Dr. McNamara also made a gift to the Healing Courtyards Initiative, naming a bench in memory of his late wife.

The Meditation Garden allows patients and families, physicians, nurses, and staff to focus on meditation and mindfulness to relieve stress and restore spirits.

“Dominican Hospital employees and the physicians who work here are our most important asset, and it is they who make this hospital exceptional,” says Nanette Mickiewicz, MD, president of Dominican Hospital. “It is therefore critical we provide an environment in which our caregivers can thrive.”

Dominican Employees Share Their Reasons for Giving The Family and Newborn Care Courtyard was the focus of this year’s Employee Giving Campaign.

Some of the sentiments expressed are below.

Read more about the Employee Giving Campaign on the next page.

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dominican hospital foundation

The Foundation had the opportunity to recognize the generosity and commitment of Dominican employee donors and volunteers at an event held at the Colligan Theater on May 4. After a wine and dessert reception, guests enjoyed a dress rehearsal of Talley’s Folly.

Betty Patten, a longtime member of the Employee Giving Committee, with Tanuja Bhattessa and Lisa Steingrube, enjoy the event.

Dominican Employees Hit Campaign Goal Dominican’s employees celebrate the hospital’s 75th anniversary with generous donations In honor of the 75th anniversary of Dominican Hospital, the 2016 Employee Giving Campaign surpassed its goal to recruit 75 new employee donors. Astoundingly, more than 520 employees donated to the Family and Newborn Care Courtyard, Phase II of the Healing Courtyards Initiative.

The campaign is run each year by the Employee Giving Committee and an additional 32 employees as Department Champions. The Champions each volunteered to spread the news about the campaign by distributing pamphlets, badge clips, and chocolate bars generously donated by Mackenzies Chocolates.

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“It is for the benefit of our patients, and ultimately for the betterment of our community as a whole,” says Lillian MacMinn, one of the Department Champions when asked what made her volunteer.

“The support the Dominican Hospital Foundation receives from employees is overwhelming,” says Kerry Nehls, chair of the Employee Giving Campaign and manager of the Therapy Department at Dominican Hospital.

“They sit on various Foundation committees, volunteer for events, donate their time and money. I am honored to be a part of such a committed team.” The employee campaign raised more than $170,000 this year.

Sponsor Spotlight: Chaminade Resort & Spa Chaminade Resort & Spa gives support through its continued partnership with Dominican Hospital For the second year in a row, Chaminade Resort & Spa has donated $10,000 to the Dominican Hospital Foundation, renewing its commitment to the esteemed Annual Healthcare Sponsorship program as a partner in the hospital’s future.

The Chaminade-Dominican Hospital partnership supports many projects, including the Healing Courtyards Initiative, acquiring state-of-the-art equipment, and other advancements.

“We are proud to be partnering with such an impressive organization,” says Kevin Herbst, general manager of Chaminade Resort & Spa, a Benchmark Resorts & Hotels property. “Dominican Hospital has a significant impact on the health and well-being of our community, and we look forward to continuing this relationship and supporting their ongoing contributions to the people of Santa Cruz.”

In addition to Chaminade’s $10,000 donation, the resort also provides meeting space for hospital functions or board meetings when needed, as well as accommodations for visiting physicians. Because of its close proximity to the hospital, the resort offers exclu-

sive room rates for families traveling from out of state to visit patients at Dominican Hospital.

The donation is part of Chaminade Resort & Spa and Benchmark Hospitality International’s ongoing Hometown Hospitality Initiative to give back to the resort’s community. Chaminade’s Employee Culture Committee meets to decide on local projects to support, raising money and donating their time.

So far, Chaminade’s compassionate staff and philanthropic efforts have helped CASA, United Way, the Boys & Girls Club of Santa Cruz, SPCA, and local animal shelters. During the holidays, Chaminade employees participate in a food drive for Second Harvest Food Bank. They also participate in an Adopt-A-Family program, which helps out local families in need. The resort is also the host site for many well-deserving Santa Cruz nonprofit organizations’ events.

As a Benchmark property, Chaminade Resort & Spa champions the Benchmark “Be the Difference” service philosophy: The employees’ and hotel’s goal is to live every day, capturing service moments when they can make a difference—to a guest, to each other, to their community.

Jeff Livingstone, director of sales and marketing, and Winona Holmes, right, marketing manager, Chaminade Resort & Spa, take a tour of Dominican Hospital.

Here, Michele Fahrner, manager of the Neonatal Intensive Care Unit, explains the services available at Dominican to premature babies.

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dominican hospital foundation

Patients Express Their Gratitude on Doctors’ Day

In recognition of National Doctors’ Day on March 30, many patients sent in gifts to honor their physicians along with notes of gratitude. Honored doctors received a special pin recognizing them for their excellence, as well as a spot on the Honor Wall in the hospital.

The Foundation created a video called “Grateful Doctors at Dominican Hospital,” which includes multiple individuals who were honored on Doctors’ Day and highlights the impact that donations make on the hospital. We invite you to view this three-minute video on our homepage at supportdominican.org.

“It’s especially touching when we receive gifts

from previous patients or their families because that tells me that we made a big difference in their lives,” says Jennie Jet, MD, physiatrist.

“Just like you have a home sports team, this hospital is your home team,” says Nick Abidi, MD, orthopedic surgeon. “The folks who work here work really hard to take care of you as patients, and any little bit you can do to help them is very, very important.”

To honor your doctor, visit supportdominican.org or call 831.462.7712.

Thank you to all those who made this special gesture in recognition of these dedicated individuals.

Physicians Honored Through the Dominican Hospital Foundation 2015–2016 Dr. Nick Abidi Dr. Timothy Allari Dr. Carlos Arcangeli Dr. Rebecca Barker Dr. James Beckett Dr. Ryan Brandt Dr. Satish Chandra Dr. Robert Chen Dr. Aruna Chinnakotla Dr. Kathy Corby Dr. Steven Cortes Dr. Brent Culver Dr. Thomas Deetz Dr. Fiona Dulbecco Dr. Bruce Eisendorf Dr. Michael Ellison Dr. Joseph Fabry Dr. Hannah Farquharson

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Dr. Peyman Haghighat Dr. Ciara Harraher Dr. Julie Jaffe Dr. Jennie Jet Dr. Greg Johnson Dr. Jay Johnson Dr. Michael Johnson Dr. Dean Kashino Dr. John Kaufmann Dr. Robert Keet Dr. Suzanne Kerley Dr. Charlotte Kim Dr. David Kipps Dr. James Kohut Dr. Gordon Lee Dr. Morgan Magid Dr. Zen Majuk Dr. Michelle Massie

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Dr. Diane McGrew Dr. Amy McMullen Dr. Stanley Montieth Dr. Stuart Mumm Dr. Victor Ochoa Dr. Christopher O’Grady Dr. Mary Patz Dr. Alfred Petrocelli Dr. Benjamin Potkin Dr. Robert Quinn Dr. Peter Reynolds Dr. Steven Roberts Dr. Jeannine Rodems Dr. Juan Rodriguez Dr. Lawrence Rosenbaum Dr. Jessica Santilliano Dr. Neil Sawhney Dr. Bilal Shafi

Dr. Molly Shields Dr. Rosalind Shorenstein Dr. Raj Singh Dr. Donald Slebir Dr. Amy Solomon Dr. Anthony Sturzu Dr. Rahnea Sunseri Dr. Tony Tyler Dr. Susan Uyeda Dr. Thanh Vu Dr. Paul Ware Dr. Jack Watson Dr. Melinda White Dr. Jeffrey Williams Dr. Glenn Wong Dr. Micheal Wu Dr. Thomas Yen Dr. Darlene Zanker

Grateful Patients Honor Caregivers Harry Schoenfeld and his wife, Bernardine—better known by her nickname, “Bernie”—have been married for more than 70 years. They met at Hammond Aircraft, where they both worked during World War II. After a recent stay at Dominican, the couple made a gift to Dominican Hospital Foundation, in honor of Jay Johnson, MD, and Sheila Pitfield, RN. Bernie caught a bad case of flu that made her feel progressively worse. When she didn’t get better, Harry decided he needed to take action. “We were desperate and didn’t know what to do, so I called Dr. Johnson,” he says. “He advised me to bring Bernie to the hospital and had a team ready for us when we got there. His quickness and expertise felt very reassuring to us.”

Pitfield was one of the nurses on the unit taking care of Bernie. “All of the nurses on the unit were very nice,” says Bernie. “But Sheila went above and beyond.

She made me feel so comfortable.”

When asked about how she chose her profession, Pitfield says, “I have always had a passion to care for other people.” Originally from Mississippi, Pitfield came to Santa Cruz as a traveling nurse five years ago and never left. “I love the area and all the people that I work with here at Dominican.”

“I feel like I am going to cry!” says Pitfield when she was presented with the news and a special lapel pin honoring her exceptional care. “It is so nice to be recognized by patients—no one has recognized me in this way before, and it makes me feel very special.”

Above: Harry and Bernie Schoenfeld Right: Sheila Pitfield, RN, at Dominican Hospital after being presented with the lapel pin honoring her for exemplary care.

Pitfield has been a nurse for more than 18 years.

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Donations Coming Full Circle Through his long and generous support, Marc Monte is helping Dominican Hospital march forward

Just like the communities of Aptos and Santa Cruz, Marc Monte’s business, Deluxe Foods, has grown tremendously over the past three decades. As Deluxe Foods has become more successful, Monte has taken it upon himself to give back more and more to the communities he loves.

“The best thing about being where I am in life is the ability to give back,” says Monte. “That’s the best gift that I have.”

Dominican Hospital is one of Monte’s favorite places to give his time and resources. His ties with the hospital start with his parents, who were close with Dominican’s former president, Sister Julie Hyer. Monte recently gave a considerable donation to the hospital’s Healing Courtyards Initiative to have a putting green named in his parents’ memory in the soon-to-be-built Rehabilitation Garden.

“My father’s two favorite things in life were his business and golf, so donating to the putting green was a natural fit,” says Monte.

But his donation to the Healing Courtyards Initiative is only one of many that Monte has given over the years.

One of his family’s generous donations helped support the hospital’s Level III Neonatal Intensive Care Unit, where a colleague’s grandchildren received care.

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Marc Monte and his family are longtime supporters of Dominican Hospital.

“She had tears in her eyes when she came to the office to let me know that her grandchildren were being treated by the special equipment that I helped purchase for the hospital,” says Monte. “To have it come full circle like that is the most rewarding thing.”

In the future, Monte hopes he can keep supporting the community and Dominican Hospital.

“I want the best possible hospital we can have in Santa Cruz,” Monte says.

Physician Philanthropy The physicians’ Pteron Society gathers at Driscoll’s Cassin Ranch

The Pteron Society gathered on June 24 at Driscoll’s Cassin Ranch for its biannual event. Through Driscoll’s generosity, guests enjoyed fantastic food, a magnificent venue, and a fascinating program.

“We are excited to welcome this exceptional group and help recognize the generosity of physicians who work at Dominican. We were also glad to be able to share a little bit of what we do to provide our community with berries that are delicious and healthy,” says Mike Hollister, senior vice president of sales at Driscoll’s and Dominican Hospital Foundation board member.

Started by Dr. Bill Hess, the Pteron Society is a special physicians’ giving society formed to support Dominican Hospital’s projects. Dr. Hess, now retired, was a guest at the event. “It is great to see the strides made by the hospital in the last decade. A lot of this was made possible by private support, and I am proud to see the physician involvement,” says Dr. Hess.

As a special treat, guests took home a sampler box of berries, also generously donated by Driscoll’s.

Pteron members pledge an annual gift of $1,200 or more to the Foundation.

For more information or to become a member, please call Beverly Grova at 831.462.7712 or email Beverly.Grova@DignityHealth.org.

Top: Fred Cook, director of research and development for Driscoll’s, took guests on a tour of the lab, where they learned about the science behind proprietary berry varieties. Chris Christian from the California Strawberry Commission presented research on the health benefits of berries after the tour.

Middle: Mike Hollister, senior vice president of sales at Driscoll’s and Dominican Hospital Foundation board member, took the lead on producing the event.

Bottom: Attendees enjoy the afternoon at Driscoll’s Cassin Ranch.

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Contact Us Beverly Grova

Anastasia Elgina

Anthony Pagliaro

Samantha Polizzi

1555 Soquel Drive, Santa Cruz, CA 95065 831.462.7712 GivingToDominican@DignityHealth.org visit: supportdominican.org facebook.com/DominicanHospitalFoundation

Beverly Grova, Vice President of Philanthropy Beverly.Grova@DignityHealth.org Anastasia Elgina, Philanthropy Manager Anastasia.Elgina@DignityHealth.org

Anthony Pagliaro, Development Specialist Anthony.Pagliaro@DignityHealth.org Samantha Polizzi, Student Intern Samantha.Polizzi@DignityHealth.org

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Serving Our Communities for Over 25 Years!

T H E OFF I C IA L BE G O N IA F E ST I VA

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Times Publishing Group, Inc. is a Central Coast based multi-media news and marketing outlet.

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TPG’s newspapers provide local news, support local organizations, schools and sports programs, and provide a perfect forum for local entertainment and community events. We at TPG are proud to offer a medium to foster growth and increase awareness in our community.

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In and About the Hospital

Looking Better, Feeling Better Facilities upgrades at Dominican Hospital promote comfort, health, healing, and humankindness Dominican Hospital is getting a “humankindness” makeover, and the impact goes beyond improving appearances. “It’s about a friendly greeting when you walk into our facility,” says Jim Murray, chief operating officer at Dominican Hospital.

The physical changes underway at Dominican—both inside and outside the building—are part of Dignity Health’s ongoing, systemwide effort to promote healing and improve the patient experience through upgrading the physical environment. (Note: Some of these improvements are already in place, with the rest expected to be completed by June 2017.)

From the parking lot to the grounds to elevator interiors, there are planned improvements all over campus, including: • Convenient technology and environmental additions, such as free Wi-Fi, mobile device charging stations inside the hospital, electric vehicle charging stations, and a solar-powered emergency phone system in the parking lot • Improved wayfinding signage to guide you where you need to go, plus a smartphone app to help navigate inside the building • Landscaping providing areas of respite from the hospital’s hustle and bustle • Bright, welcoming reception areas and nurses’ stations, and interior and exterior artwork featuring inspirational quotations • A soothing, self-playing piano in the front lobby • A new and improved front door (project scheduled to begin later this year)

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Not Your Average Hospital Food The new Exhibition Station at Dominican Hospital Café showcases our commitment to serving fresh, quality fare On weekdays from 11:30 a.m. to 1:30 p.m., Dominican Hospital Café visitors can stop by the Exhibition Station, order the daily lunch special, and watch the chef whip up their meal before their eyes.

“We’re offering freshly prepared dishes like teriyaki salmon and cucumber salad,” says Richard Truss, director of nutrition services at Dominican Hospital. “We do our best to offer fresh, quality foods that are popular in the community. We also try to utilize local and organic produce and incorporate all of that into the station.”

Dominican’s commitment to offering fresh foods extends beyond the café and into hospital rooms. In fact, the hospital just began a partnership with local vendor Watsonville Coast Produce. “We offer fresh vegetables to our patients whenever possible,” says Mr. Truss.

“We feel it is what’s best for our patients and for the community.”

Since its opening in January, Mr. Truss says the Exhibition Station has been a huge hit. “We have cooks that have been working here at Dominican for 15 to 20 years, and they have experience outside of Dominican—and we really wanted to display their talent,” he says.

Learn more about the café at dignityhealth.org/dominican/cafe or call 831.462.7532.

Pictured at left and on page 56: Dominican has added a variety of new features to improve the experience of patients and visitors, including mobile device charging stations, solar-powered emergency phones, electric vehicle charging stations, and inspirational signage.

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In and About the Hospital

A Winning Health Program for Student-Athletes Dignity Health Medical Group - Dominican, certified athletic trainers, and orthopedic surgeons help local high school athletes stay on the field

As soon as summer comes to a close, it’s time for another rousing season of high school football at Aptos and San Lorenzo Valley high schools.

While the players get together for practice before the season, another team is also getting ready: the group of athletic trainers and orthopedic surgeons who keep a watchful eye on the student-athletes.

“The value of team sports is immense,” says Dean Kashino, MD, a primary care physician at Dignity Health Medical Group – Dominican, who works with the student-athletes.

Above: Hilary Beymer, ATC, of SCORE Physical Therapy, carefully checks the throwing arm of a local athlete.

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“The foundation of teamwork in our community often starts with school athletics.”

That same team spirit is reflected in the partnership Dignity Health Medical Group – Dominican has fostered with OrthoNorCal and SCORE Physical Therapy. Heading into its third school year, the program helps to ensure the well-being of Aptos and San Lorenzo Valley High student-athletes.

“It’s an investment in our children,” says Susan MacMillan, vice president of strategy and business development at Dominican Hospital.

“We’re passionate about making sure the children in our community are safe and healthy when they play a school sport.”

Available to student-athletes in any school sport, the program assigns an athletic trainer from SCORE to each school during the week. The trainers assess student-athletes, make recommendations, and lead them through the rehabilitation process if necessary. They also attend every football game, assisting and advising players, and coaching staff in the case of an injury.

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“It’s more than taping ankles and stretching hamstrings before games,” says Matthew Rohan, PT, ATC, SCORE’s director of physical therapy. “If someone gets hurt, the athletic trainer is the first person on the field. We make the decision whether the athlete needs to be carried off, carted off, or can walk off the field on his or her own.”

Orthopedic surgeons from OrthoNorCal also work with studentathletes, conducting required preseason physicals, attending football games, and monitoring the progress of any injuries with the help of the athletic trainers.

“In school sports, medical support is essential,” says Nicholas Abidi, MD, an orthopedic surgeon with OrthoNorCal. “Through this partnership with Dominican, we have good coordination between schools, trainers, and our practice.”

Dr. Kashino agrees. “Our partners communicate with us, ensuring that the proper treatment plan is implemented,” he says. “The safe return of student-athletes to their sport is our number one goal.”

QUALITY SURGICAL CARE AT AFFORDABLE RATES Just a few steps from DOMINICAN HOSPITAL We have contracts with all major insurance payors and over 90 physicians on our medical staff Santa Cruz Surgery Center A Dominican Hospital, Physician Partnership

3003 Paul Sweet Rd, Santa Cruz, CA 95065

831-462-5512

www.santacruzsurgerycenter.com

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In and About the Hospital

Dare to C.A.R.E. Dominican’s free cardiovascular disease screening program is the first of its kind on the West Coast Local business owner Ted Burke took 20 minutes out of a busy morning recently to make sure that his cardiovascular health is on track. Mr. Burke participated in Dignity Health Dominican Hospital’s new Dare to C.A.R.E. free cardiovascular screening program, which is one of only six in the country and the only one available on the West Coast.

“Dominican gives to this community in so many ways,” says Mr. Burke, owner of Shadowbrook Restaurant in Capitola and also president of the Dominican Hospital Foundation Board of Directors. “These free screenings are just another example of their mission to provide excellent care to everyone who walks through their doors.”

Every year, more than 600,000 Americans die of cardiovascular disease—that’s one in four deaths.

Many of the conditions associated with cardiovascular disease can go undetected until they cause serious complications or death. The Dare to C.A.R.E. program screens for cardiovascular diseases that can lead to kidney failure and more sudden conditions like stroke and aneurysm.

“This program is an important public health tool,” says cardiothoracic surgeon Bilal Shafi, MD, lead physician for Dominican’s Dare to C.A.R.E. program. “These screenings

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Ted Burke, Capitola restaurateur and president of the Dominican Hospital Foundation Board of Directors, receives a free cardiovascular screening through Dare to C.A.R.E.

are quick, pain-free, and noninvasive.”

The 15- to 20-minute cardiovascular screenings offered through Dominican’s Dare to C.A.R.E. program help identify at-risk individuals so that doctors can intervene early when cardiovascular disease can be managed with lifestyle interventions and medications instead of invasive surgery. The free program was made possible through support

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from Dominican Hospital and private donations from the community through the Dominican Hospital Foundation.

“We are pleased to be able to bring this important screening to our community,” says Dominican Hospital President Nanette Mickiewicz, MD. “It’s cutting-edge care that wouldn’t otherwise be available in Santa Cruz County.”

How to Schedule Your Free Cardiovascular Screening The Dare to C.A.R.E. program screens for these common vascular diseases: carotid artery disease, abdominal aortic aneurysm, renal artery disease, and extremity artery disease.

Screenings are recommended for those meeting potential risk criteria, including adults age 60 or older, adults age 50 or older with one or more risk factors (high cholesterol, high blood pressure, smoker), and adults age 40 or older with diabetes.

To learn about eligibility and how to make an appointment for a free screening, visit dignityhealth.org/dominican/daretocare or call 831.462.7788.

Live the Lifestyle

www.santacruzwaves.com

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Texas Caviar This snack tastes like guacamole, with the addition of black-eyed peas for protein and fiber so you feel satisfied eating less.

Dominican Hospital employees enjoy a monthly Healthy Happy Hour.

Health, Wellness, and Lifestyle

Happy Hour With a Healthy Twist Take a cue from Dominican employees, who gather monthly to share healthy drinks, snacks, and social time

2 (15.5-ounce) cans black-eyed peas, drained and rinsed 1 red pepper, diced 3 green onions, chopped 1 clove garlic, minced 1 tablespoon apple cider vinegar 1 teaspoon cumin 1 teaspoon chili powder Cayenne pepper to taste 2 avocados, peeled and chopped Lime juice and salt to taste In a large bowl, mix peas, red pepper, green onions, garlic, vinegar, cumin, chili powder, and cayenne. Stir in the avocados, lime juice, and salt to taste just before serving.

Serves 6–8 people.

Homemade Corn Chips To care for our community, Dominican Hospital employees need to take care of themselves. A couple of years ago, Eric Hand, MA, CSCS, supervisor of Lifestyle Management at the hospital, came up with a simple plan to help employees do just that—hosting a monthly “happy hour” featuring healthy snacks and beverages.

“It’s a great way to connect to our employees,” Mr. Hand says.

“We use it to update employees about our upcoming wellness classes and challenges.”

Want to launch a healthy happy hour at your own workplace?

Mr. Hand and Terri Primavera, MPT, PEP (Personal Enrichment Program) and Wellness coordinator, offer these tidbits: Start simple. Set out a few healthy snacks (see sidebar for suggestions) and a healthy beverage, such as cucumber lemonade or pomegranate iced tea.

Choose a hot spot. Dominican’s happy hour sets up near the cafeteria or coffee cart to take advantage of foot traffic.

Set your schedule. If you don’t hold your happy hour often enough, it will slip off of people’s radar. Too often, and it could lose its novelty.

Think positive. Add a fun, healthy activity—such as a one-minute strength or balance challenge—to keep the vibe light.

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Your Wellness Resource for Santa Cruz County

Spray coconut oil lends a deep-fried flavor to these baked chips, but you can substitute another type of spray oil.

6–8 sprouted grain or thick corn tortillas Spray coconut oil Sea salt Preheat oven to 400º F. Cut tortillas into 6 wedges. Spray each wedge with oil, sprinkle with salt and any other desired spices, and bake for 5 minutes or until crispy.

Source: Jennifer Brewer, MS, CNS

Life’s first hellos start here.

Learn about Dominican’s birth center.

Nothing is more exciting than meeting your newborn for the first time.

You want the emotional bonds formed in those first few moments to happen in a caring environment. And we do, too. Dignity Health maternity nurses have a passion for the birthing process and a special desire to support mothers during this important time. To learn more, call 831.462.7741 or visit dignityhealth.org/dominican.

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1555 Soquel Drive Santa Cruz, CA 95065

Dominican Hospital’s PEP classes are here for you.

Our Personal Enrichment Program (PEP) is located at the Dominican Hospital Rehabilitation Services campus at 610 Frederick Street in Santa Cruz, Room 101.

Our location provides a welcoming setting for our community education classes, as well as ample parking.

PEP offers something for everyone in our community: • Mind/Body Training • Health and Wellness Classes • Exercise and Fitness • Aquatic Rehabilitation Programs • Improving Neurological Function • Back and Neck Program • Total Joint Care • Cardiac Risk Reduction • Nutrition Counseling • Childbirth and Parenting

Learn more and register for classes at dignityhealth.org/dominican/PEP or call 831.457.7099.

Visit the PEP office anytime at 610 Frederick Street in Santa Cruz Monday–Friday, 9 a.m.–4:30 p.m.

• CPR for the Community • Support Groups • Katz Cancer Resources Center Support Groups

dignityhealth.org/dominican