September – December 2013 - Alumni Association, SMLLU

Alumni JournalAlumni Association, School of Medicine of Loma Linda University September-December 2013Science andCompassionTwo Alums Offer FamiliesFertility Solutionsalso inside:Graduation 2013: Keeping the Ball Rolling • Restoring Sight in Zambia: Dr. Janie Yoo ‘06 Pioneers Eye Health

SCHOOL of MEDICINE NEWSStudents from the class of 2017 receive their white coats at theWhite Coat Ceremony. For more pictures, visit facebook.com/llusm.New Directions for LLUSM CurriculumLLUSM Class of 2017MatriculatesOn Thursday, August 1, the class of 2017 began theirfirst day of medical school orientation. That evening,in keeping with LLUSM tradition, the new freshmenreceived their white coats and first took the LLUSMPhysician’s Oath at a White Coat Ceremony held in theUniversity Church. Dr. Kathleen Clem ‘89, chair of theDepartment of Emergency Medicine, gave the address,in which she discussed the importance of the thirdcommandment.Class of 2017 By the Numbers• 168: number of new students (selected from 5,677applicants)• 100: number of men• 68: number women• 23.1 years: average age• 8: number of countries represented in the class(including Canada, Argentina, Jamaica, Columbia,Mexico, Iraq, and Zimbabwe)• 21: number of students in the class with at least oneparent who is an alumnus of LLUSM• 31: number of U.S. states and territories represented(with California being the most represented state)Developing Partnerships toProvide GMEOver the past decade, there has been a substantialrise in the number of medical and osteopathicschool positions, both within the United States andinternationally. The American Association of MedicalColleges (AAMC) encouraged this increase whenphysician shortages were predicted. However, the numberof resident positions covered by federal reimbursementhas been capped since 1996. As a result, the total numberof PGY-1 (postgraduate year one or “internship”)positions being offered in the U.S. has not risen in thepast 15 years. As a result, there is a relative shortage ofPGY-1 positions within the U.S.Loma Linda University Medical Center investsmillions of dollars annually to provide our region withphysicians. However, as federal support for graduatemedical education (GME) decreases, all academic medicalcenters are seeking alternative ways to support their GMEprograms. At Loma Linda, we are exploring new sourcesof income to preserve 165 PGY-1 residency positions tobe able to train physicians.In 2012, Social Action Community HealthcareSystem (SACHS), the Federally Qualified HealthCenter (FQHC) that has partnered with Loma LindaUniversity and Medical Center for over 40 years receiveda federal grant to create a consortium called Loma Linda-Inland Empire Consortium for Healthcare Education orLLIECHE (pronounced like the Asian fruit).LLIECHE will sponsor the Loma Linda Universityresidency programs in Family Medicine, Pediatrics andPsychiatry. Dr. Richard Hart ‘70, President of Loma LindaUniversity, and Dr. Roger Hadley ‘74, LLUSM Dean, areamong several members serving on the LLIECHE board.“Providing ambulatory training within a TeachingHealth Center like SACHS serves medical needs of thecitizens of San Bernardino while providing a patientcenteredmedical home model of specialty training,”says Dr. Daniel Giang ‘83, President of LLIECHE andAssociate Dean of GME. Plans are underway to providea medical office building in downtown San Bernardino toimprove access of its citizens to a variety of health carein order for more medical residents, medical students,and other health care trainees to obtain their ambulatoryexperiences at SACHS. •Dr. Pedro Nava accepts the Teacher of the Year award from Dr.Paul Herrmann and Dr. Roger HadleyPedro B. Nava, PhD, namedTeacher of the YearAt the senior banquet held May 29, Pedro B. Nava‘01-F, PhD, was named Teacher of the Year. Dr.Nava received his PhD in Anatomy from LLU in1974, and went on to complete a post doctoral studyon the Development of Sensory Receptors in the OralRegion of Primates at the Milton S. Hershey MedicalCenter at Pennsylvania State University.He joined the faculty at LLU in 1973 and currentlyserves as Vice Chair of Pathology and HumanAnatomy. Dr. Nava has published numerous scientificarticles and abstracts and is a member of several LLUIcommittees. His primary research interest is then order to meet the needs of students in a rapidly changing knowledge, interpersonal and communication skills,development, aging, and pathology of sensory receptorslearning environment and to align the MD degree with the professionalism, systems-based practice, and practicebased(taste buds, Pacinian and Meissner corpuscles).graduate medical education core competencies developedlearning—LLUSM has adopted its own uniqueDr. Paul Herrmann ‘00, President of the Macphersonby ACGME, the curriculum committee has voted to seventh competency: whole person care. Together, theseSociety, commented, “Dr. Nava demonstratesintroduce competency-based education throughout the seven competencies are deeply rooted in the values andexemplary care for his students, including substantialSchool of Medicine. Competency-based medical education history of Loma Linda University.donation of his time outside of regular didactic hours(CBME) focuses on learner performance to determine To implement these changes, the Board of Directorsfor the purpose of tutoring and ensuring their masterywhether the goals and objectives of the curriculum have has approved the creation of the new LLUSMof the subject.”been achieved. CBME centers on students’ application Department of Medical Education. The purpose ofThe honor of Teacher of the Year is awarded by theof knowledge rather than just the acquisition of it. this new department is to grow, enhance and evaluateMacpherson Society with input from the graduatingCompetencies are written as real-life abilities that are educational programs for students and faculty. Goals areclass and the Dean’s Office. Dr. Nava accepted therequired for effective professional practice.to improve medical education through research as well asaward to a standing ovation from over 300 studentsCBME implementation will allow integration of contribute to innovation in medical educational programs.and guests attending the banquet. •competencies across the previously detached experiences The Department of Medical Education is slated to beginof identifying applicants for medical school, educating implementing the new competency-based curriculummedical students, developing residency skills, and finally in 2014, making a full transition by 2018. The School ofUpcoming Alumni EventsFollow the School of Medicine Onlinelifelong continuing medical education.Medicine has a rich tradition of excellent teaching and seesSeptember 15: Alumni DinnerWebsite: www.llu.edu/medicineIn addition to the six core competencies this new department as a venue to expand the scholarshipSpokane, WashingtonFacebook.com/llusmemphasized by the ACGME—patient care, medical of education. •November 2: Alumni LuncheonTwitter: @LLUMedSchoolSilver Spring, MarylandStudent Blog: wordpress.com/llusm4 Alumni Journal August-December 2013 5

FROM the DEANThe Cost of Innovation in Medical EducationThe costs of medical education are rising. As thefoundation of knowledge required for a medicalschool graduate incessantly grows, we must be innovativeand intentional in utilizing new teaching formats andevolving technology during the four-year curriculum.The traditional 50-minute lecture is a relatively inefficientlearning method and rapidly becoming an anachronism.Instead, the more effective active learning techniques ofteam-based and problem-based learning, small grouplearning, self-directed learning and independent studyhave replaced many of the 20-or-so weekly lecturescommon just a few years ago.The teaching venues have moved to state-of-the-artsimulation centers and highly technological skills andassessment facilities. Last year’s freshman students(LLUSM Class of 2016) were the first class to betaught bedside ultrasonography, a course that willspan all four years, developing competency inthe skills to quickly scan veins, arteries, hearts,kidneys, gall bladder and more. In addition tothe fundamentals of the basic medical sciences,this generation of students will learn moreabout social sciences, interdisciplinarycommunication, professionalism, andthe complex ethical issues rising out ofthe unstoppable growth of science. Aswould be expected, these contemporarylearning techniques are more resourceintensive and raise the cost of medicaleducation.Because of these added resources, thecost of medical education is increasingand the average medical student debtis inevitably growing. In 2012, theaverage medical school debt (excludingundergraduate debt) in the United Stateswas $140,858 for those enrolled in publicschools and $166,670 for private schools.Loma Linda University medical studentscarry an average debt that is considerably above nationalaverage. A recent analysis of our students indicatesthat they are more likely to come from families withlower incomes and are carrying greater residual studentdebt from private undergraduate education. Both ofthese factors require students to rely more heavily moreupon loans.Unquestionably, rising medical student debt is anissue that needs to be addressed. The national accreditingbody for medical schools (Liaison Committee on MedicalEducation) is quite clear that, in order to maintaintheir accreditation, medical schools must now have anintentional and effective plan to help students controltheir debt. In the past, we have attempted to stem thetide of student debt by keeping tuition as low as possible.The yearly tuition of our school of medicine is lowerthan the average private medical schools. Dollars fromtuition, however, represent only two-thirds of the actualaverage cost to educate a medical doctor in the U.S. AtLLUSM, the other one-third is covered by endowments(mostly funded by alumni), the General Conference ofthe Seventh-day Adventist church, and the in-kind giftof clinical education by the approximately 1,200 fulltimefaculty members.At LLUSM, lightening the average debt load of ourstudents is a high priority. We have recently strengthenedthe capability and number of financial advisors, madeplans to minimize tuition increases, and are developinglong-term strategies for scholarship funding. But helpis still needed. We must offer more student debt reliefthrough growth of our scholarships. Every gift to fundscholarships, the Centennial Tuition Fund and theDeferred Mission Appointee program makes a difference.We want to give our students a solid foundation as theyenter residency and their subsequent practices, both hereand abroad, without the burden of an onerous debt.Through your gifts, we continue to preserve our uniqueand remarkable mission, “to continue the teaching andhealing ministry of Jesus Christ.” •AVAILABLE this DECEMBERThe 2014 devotional bookEvening Rounds will beavailable from thefollowing vendors:• Loma Linda UniversityCampus Store11161 Anderson Street, Suite 110Loma Linda, CA 92354(909)558-4567llu.bncollege.com• Amazon.comFor more information:www.llu.edu/evening-roundsevening-rounds@llu.edu(909) 558-4481The highlyanticipated sequelto the 2009devotional bookMorning RoundsEVENINGROUNDSDAILY DEVOTIONAL STORIESwritten bystudentsalumnifacultyand friends ofLOMA LINDA UNIVERSITYSCHOOL OF MEDICINEEvening Rounds Sponsorship Opportunity6 Alumni JournalTo contribute to the Centennial Tuition Fund or theDeferred Mission Appointee Program, please contactNicole Batten at (909) 558-4633.H. Roger Hadley ’74School of Medicine DeanBecause of the enormous success of Morning Rounds (over 13,000 copies have beendistributed to date), we are offering sponsorship opportunities to help underwrite thecost of publishing Evening Rounds. The proceeds from this new book will be used to growthe School of Medicine endowment that supports a spiritual weekend retreat for medicalstudents in the fall of each year.If you or someone you know would like to be a sponsor ($5,000 level or greater) of thisexciting project, please contact Patricia Eiseman in School of Medicine Philanthropyat (909) 651-5533 or peiseman@llu.edu.

INTERVIEWThePhysician’s PhysicianAn Interview with Dr. Ted Hamilton ’73-ATed Hamilton, MD, MBA ’73-A is currently vice president for medical mission for Adventist HealthSystem in Orlando, Florida. Dr. Hamilton is committed to working with hospitals to improve thequality of patient care. His conviction is that physicians who experience deep purpose andmeaning in the practice of medicine, and who achieve awholesome balance between their personal and professionallives, are in the best position to provide quality care andmeaningful leadership in our healthcare institutions. Hiscareer is dedicated to working with hospital and physicianleaders to build healing cultures within hospitals and healingrelationships among healthcare providers.In addition to teaching healthcare policy and administrationas an adjunct professor, Dr. Hamilton has served as executivedirector of Loma Linda University School of Medicine’sphysician practice group; medical director for HMO Georgia (adivision of Blue Cross and Blue Shield); Chief Medical Officerat Florida Hospital, and medical consultant to Tennessee’sMedicaid program, in addition to part-time clinical work invarious acute care settings. We appreciate him taking time outof his schedule to do this interview.Why did you initially decide to be a familypractice physician?I had a natural predilection toward specialties thatoffered both variety and patient contact, so familymedicine and pediatrics gravitated to the top of thelist. Florida Hospital had a rotating internship thatwas evolving toward a family practice residency, and Ichose that option to afford myself one more year beforemaking a definitive decision. At the end of that year, Isigned up for a three-year stint in a federally-defined“doctor-deprived area” in return for re-payment of mymedical school loans. The die was cast. I took and passedthe Family Practice Board three years later under thegrandfather clause, and that was that.What was your practice like in the ruralmountains of western North Carolina?Andrews, NC, is a tiny town of about 1,500 populationlocated in a pristine river valley, surrounded by 5,000foot mountains. The people are wonderful, warmhearted,hard-working, and independent. My solopractice grew quickly. The local, 65-bed hospital serveda regional population of about 18,000, with a combinedmedical staff of six doctors, only three of whom rotatedemergency call, nights and weekends. In the late seventies,there was no call system, no paging system, no cell phone,and no ED coverage. When on call, one could never be farfrom the nearest telephone. The work was both fulfillingand demanding. Although I didn’t fully appreciate itback then, I recognize now that I was both acutely andchronically fatigued much of the time.8 Alumni Journal Dr. Ted Hamilton in his office in Orlando, Florida.August-December 2013 9

INTERVIEWWhat did you love about your five years there?The people were so kind, trusting, loyal, and forgiving.No doctor could wish for a more rewarding practicepopulation. The forests, streams, lakes, and changingseasons provided ample recreation and entertainment.Our little church in Murphy, North Carolina grew andwe were able to build a small, two-room church school.“Research shows that doctors who are most ‘whole’have made purposeful life changes (sometimes followingmomentous life events such as illness, divorce, or businessfailure) that restore a sense of balance and deep meaningto their lives. Most often these intentional life changesincorporate elements of family, friends, fitness, and faith.”You delivered over 500 babies—any story thatparticularly stands out as rewarding duringthat time?For several years, I was the only doctor delivering babies inthree rural counties. I had patients from eastern Tennessee,northeast Georgia, and western North Carolina. Onmore than one occasion, I delivered four babies withina 24-hour period. We didn’t have ultrasound, so twindeliveries often took us by surprise. On one occasion, afterdelivering a pair of healthy baby girls, I asked the mother(whose last name happened to be Hamilton), if she hadpicked out names for her babies. “What are the names ofyour two girls,” she asked. “Jennifer and Jessica,” I replied.“Well, I guess that’ll be it, then,” she smiled, “Jennifer andJessica Hamilton.” And so it was.Since leaving your practice there, you have beenpursuing a career as something like a “physicianto physicians”—your focus being on betteringthe sense of purpose and fulfillment in doctorspracticing in the medical field. How did you movefrom working largely as a family practice doctor,into the writing, speaking and leadership you areinvolved with now?We left North Carolina after almost six years, and movedto Orlando, Florida, where I taught, and then directed,the family practice residency at Florida Hospital. Theadministrative aspect of my work was sufficientlyinteresting and challenging that I obtained a master’sdegree in business administration (MBA), followingwhich our family spent two wonderful years in LomaLinda, where I worked with the faculty medical group, andmy wife, Jackie, served as development director for LomaLinda University School of Medicine Alumni Association.Since that time, my work has been mostly administrativein a variety of settings, including clinic, hospital, thirdparty, and government.In 2004, I was offered the opportunity to work withphysicians and leaders in Adventist Health System insharing our mission, “Extending the Healing Ministry ofChrist,” as a practical and meaningful reality in the livesof physicians. This work has attracted a growing groupof like-minded professionals, largely from other faithbasedhealthcare organizations, and we are now forminga tax-exempt organization that we call the “Coalitionfor Physician Well-Being,” which sponsors monthlyeducational teleconferences and an annual meeting inApril. Our web address is forphysicianwellbeing.com.What specific life elements are in place for thehappiest, most fulfilled physicians you know?Research shows that doctors who are most “whole” havemade purposeful life changes, (sometimes followingmomentous life events such as illness, divorce, or businessfailure), that restore a sense of balance and deep meaningto their lives. Most often, these intentional life changesincorporate elements of family, friends, fitness, and faith.It’s not cheap—there is often financial cost related todecreased work time and productivity—but there is littleregret expressed by those who find a new and healthierbalance point.Did you ever feel discouragement in your ownpersonal practice of medicine because of thedeclining reimbursement, increased workload,decreased autonomy, and encroachingbureaucracy?When the electronic medical record (EMR) was firstintroduced in the emergency department where I workedpart-time, I did the requisite training and made everyattempt to use the EMR in my practice. Although I havereasonably good keyboard skills, and was familiar with thetechnology, I was unable to maintain my previous level ofefficiency in caring for patients. In fact, the productivitycost was probably 15-20% for our entire group of doctors.It was sufficiently frustrating that the decision was madeto go back to hand-written records until the technologybecame more user-friendly and efficient. The EMR hascome a long way since then, but it remains a real stress pointfor many physicians, particularly those of my generation.You have worked with both hospital physiciansand private practice physicians—what differingchallenges do each of those groups face inmaintaining a fulfilling career?We find ourselves in the midst of a momentousFLORIDA HOSPITAL Healthcare & Leadership MONOGRAPH SERIESBuilding BridgesA GUIDE TO OPTIMIZINGPHYSICIAN-HOSPITALRELATIONSHIPSTED HAMILTON, MD, MBAFOREWORD BY HAROLD G. KOENIG, MD, AUTHOR OF The Healing Power of FaithDr. Ted Hamilton’s recently published book.generational transformation in the funding andorganization of healthcare. Economic, political, andsocietal pressures are motivating many physicians toseek stability and security through employment bylarge organizations. Private physicians attempt tomaintain some level of independence and autonomy,but are increasingly vulnerable to market pressures,while employed physicians pursue the more stable andpredictable characteristics of a corporate environment.Who’s to say which model is better? It depends uponone’s values and goals, but it is clear that currentmomentum is flowing away from private practice andtoward employment.Why did you write Building Bridges and what doyou hope readers will take from it?The premise of my monograph, Building Bridges: A Guideto Optimizing Physician-Hospital Relationships, is that manydoctors, in the face of increasing work-related stress andpressure, are disenchanted with medicine, disappointedwith their careers, and depressed over their apparentinability to find solutions. Building Bridges suggests thatit is in the best interest of hospitals and other healthcareinstitutions to acknowledge this problem and assumea proactive role in seeking the well-being of physicians.This is intended to be a practical resource, short on “why”,and long on “how to.” Building Bridges describes initiativesthat are making a difference in the lives of doctors andcontributing positively to the culture of hospitals.What would you want to tell young physicianswho are launching into a career? What habitswould you hope they form? What prioritiesshould they maintain?Don’t wait for tomorrow. I know medical school is tough.I know residencies are demanding. I know expectationsare high and pressures are intense. But don’t wait fortomorrow to take a walk, to talk with a friend, to play thepiano, to celebrate your anniversary, to go the gym, to takein a concert, or to go to church. Figure it out, work it intoyour schedule. Hard work is good…so is play. Somebodyhas to take call…so somebody else can sleep. You can’t beresponsible for everybody all the time…that’s God’s job.And you’re not God. Don’t wait for tomorrow.“Don’t wait for tomorrow. I know medical school is tough. Iknow residencies are demanding. I know expectations arehigh and pressures are intense. But don’t wait for tomorrowto take a walk, to talk with a friend, to play the piano, tocelebrate your anniversary, to go to the gym, to take in aconcert, or to go to church.”Do you have any specific memories that standout from your time at Loma Linda University thathave served you in your work today?It’s mostly people. Among those whose snapshots gracemy mental hall of fame are Dr. Gordon Hadley ’44-B(who knew my name), Dr. Carrol Small ’34 (whorelentlessly pursued truth), Dr. Raymond Mortensen(who memorized the biochemistry text), Dr. Lyn Behrens’63-aff (who loved babies and med students), Dr. WilberAlexander ’93-hon (who thought everyone was special)Dr. Clifton Reeves ’60 (who taught us burns, belly pain,and breast disease), Dr. Joan Coggin ’53-A (who taughtme which end of the stethoscope was up), Dr. GlennFoster ’57 (who consoled a junior med student followinga clinical mistake), and scores more who molded my lifeas a person and physician in ways beyond knowing. Allbelieved and lived our motto, “To Make Man Whole,” andapplied it with passion and grace to the benefit of patientsand medical students alike. •Copies of Dr. Ted Hamilton’s book Building Bridges: AGuide to Optimizing Physician-Hospital Relationshipscan be obtained by calling Florida Hospital Publishing at(407) 303-1929.10 Alumni Journal August-December 2013 11

GRADUATION 2013Graduation 2013Keeping the Ball RollingBy: Emily Star WilkensFamily and friends of the 149 graduates from the class of 2013 flew in from all over the world totake part in the graduation weekend, staking out seats under the white graduation canopies asearly as 4 a.m. on Sunday morning in order to ensure a good view. Although a graduate’s momentin the spotlight is brief, these early-risers have beenwitness to the tireless work and commitment thatgraduation represents.The weekend’s events began Friday evening at 7:00p.m. in the Loma Linda University Church where over1,000 people gathered for the evening consecration serviceand the medical student hooding ceremony. Graduateswere “hooded” by family members while a vignetteauthored by the student was read, expressing appreciationfor the support family had provided during their medicaleducation. Dr. H. Roger Hadley ‘74 and his wife Donnapresented silver commemorative baby cups to the parentsof the 13 children born to the class of 2013 during theirjunior and senior years of medical school.Sabbath morning, speaker Leslie Pollard, PhD,shared a message entitled “Up is Not the Only Way”reminding the graduates that although the climb hadbeen rigorous and steep up to that point, up would notbe the only direction to travel in the future. Dr. Pollardencouraged graduates to consider another measure ofsuccess: moving out—expanding their horizons andpracticing leadership through service. The class of 2013has remained committed to service during all four yearsof medical school, making time to serve the low-incomefamilies of San Bernardino at the SAC Health NortonClinic, as well as in the local homeless medicine programand many international medical mission trips.Although the weekend was rich with celebration,Sunday morning was the day of mounting anticipation.Dr. Jeffery Cao ‘71, commencement speaker and LomaLinda University pathology professor, began his addressas he did so many of the graduating class’ sophomoreyear pathology courses—with morning stretches. Hesaid, “You are now a member of the best, most satisfyingprofession in the world.” Dr. Cao pointed out thatphysicians have the resources to drastically alter the usualmorbidity and mortality of so many diseases. “Perhaps itis mainly those of us nearing retirement who can trulyrealize how much more hope and comfort we can givetoday.” Dr. Cao challenged graduates by saying, “Medicineis on a roll; keep the ball rolling, okay?”School of Medicine alumni who had children orgrandchildren in the graduating class were invited to sitto the left of the stage and meet their graduate for a multigenerationalphoto. Seeing generations of Loma LindaUniversity physicians embrace in celebration served as amoving reminder of the school’s continued legacy.Dr. Lawrence Longo ‘54, during his acceptance ofLoma Linda University’s Lifetime Service Award for2013, reminded students of what Albert Schweitzer said:“Do you want to live a life of happiness; do you wish tolive a life of fulfillment? Then give a life of service.” It isour deepest desire that God will continue to guide thesegraduates as they go into the world to serve mankind. •Four-hundred and twenty pots of marigolds and 500 pots of petunias were grown in Vista, Calif., transported to Loma Linda andarranged in the above design. After the weekend’s celebrations, the flowers were transplanted to various flower beds around the campus.Loma Linda University Awards• Doctorate of Humane Letters: Ralph A. Wolff,President, Senior College Commission of theWestern Association of Schools and Colleges• Lifetime Service Award: Dr. Lawrence D. Longo‘54, Distinguished Professor of Physiology,Obstetrics, and Gynecology• University Alumnus of the Year: Dr. Donald E.Melnick ‘74, President, National Board of MedicalExaminers• University Distinguished Humanitarian Award: Dr.Halford R. Price ‘56 and Virginia PriceSchool of Medicine Awards• Distinguished Service Award: Dr. Isaac Sanders’55-aff, Emeritus Professor Department ofRadiology• Distinguished Service Award: Dr. Leonard S.Werner ’81-R, Senior Associate Dean for MedicalStudent EducationGraduation by the NumbersTotal Number of MD Graduates: 149• Female: 55• Male: 94Top Specialties for the LLUSM Class of 20131. Family Medicine (14%)(tie) Internal Medicine (12%)3. Pediatrics (12%)4. Psychiatry (9%)5. (tie) Emergency Medicine (7%)Anesthesiology (7%)Additional Highlights• 48% of the class matched to primary care positions(including internal medicine, family medicine,pediatrics, and obstetrics and gynecology)• 26% of the class matched to surgical positions.• 21% of the class matched to residencies at LLUMC.12 Alumni Journal August-December 2013 13

Military Commissioning CeremonyFollowing the Conferring of Degrees Ceremony, a militarycommissioning ceremony was held in the Randall VisitorCenter, where five medical and three dental 2013 graduates werecommissioned and promoted as officers in the U.S. Military. Dr.Michael Walter ‘73-B, retired brigadier general of the U.S. Army,presented opening remarks and led the graduates in their Oath ofOffice and Promotion.The School of Medicine’s military graduates of 2013 are:• Dr. G. Stephen Edwardson Jr. (Second Lieutenant, Air Force)• Dr. Brent Forrest (Second Lieutenant, Air Force)• Dr. Jeffrey Woods (Second Lieutenant, Army)• Dr. Jonathan Mayhew (Ensign, Navy)• Dr. Anthony Pacini (Ensign, Navy)Dr. Leonard S. Werner ‘81-R receives the LLUSM DistinguishedService Award.Dr. Roger Hadley and his wife Donna present silver commemorativebaby cups to parents of the 13 children born to the class of 2013during their junior and senior years.Graduates proudly display their new diplomas.Dr. Jefferey Cao ‘71 leads the graduates in their final“morning stretches.”2013 Class President Wayne Brisbane ‘13 presented one last flip chart speech to his fellow graduates during the commencement ceremony.From the Class PresidentBy Dr. Wayne Brisbane ’13As I sit down to write this letter, I’ve just completed myfirst two weeks of residency in Seattle, Wash. In someways, it has been easier than I’d expected; we were verywell trained at Loma Linda. And yet, there are mountainsof information generated by how new everything is: newcomputer systems, acronyms, colleagues, and expectations.I think my brain is craving familiarity because occasionallyI think I see a face from Loma Linda only to realize uponsecond glance that I’m mistaken. In fact, if I had to namethe most difficult thing about heading off to residency, itwould be having to leave such an amazing class.Plain and simple: being part of the class 2013 made me abetter doctor, person and colleague. Our class is comprisedof individuals who are passionate about teaching bothyounger classmates and each other. Some of us rewrotethe blueprints on traditional clinical boundaries by headingto the streets, across the borders and into the slums to healthose in need. We pursued innovation in the lab, clinic andclassroom, always seeking to make Loma Linda Universitya better place to learn and practice. We were leadersthroughout all areas of campus. But of course, each class inLoma Linda University’s history might also claim similaraccolades. After all, it is a special place.So what made the class of 2013 truly unique, trulydifferent? I think it was how we played. A comment Iheard often, and one I repeated many times myself, was“I’m just glad I am part of this class.” The friendships wemade knew few boundaries. We grew together, workedtogether, learned together and played together. Our classworked with a team-based ethos that was both infectiousand effective. I have no doubt that as we are now scatteredto the corners of the country we will create similar teamsin our new hospitals and continue in the spirit that was souniquely 2013.One of the last things I did before leaving Loma Lindawas to attend our classmate Jay Shen’s wedding. Thepastor told a Chinese proverb that I found to be a veryfitting description of our class. “A single draft horse canonly pull two tons; but two draft horses yoked togethercan pull twenty tons.” I hope that you who are readingthis—alumni and students of Loma Linda UniversitySchool of Medicine, have the opportunity to work with amember of the class of 2013. But, be warned. They mayyoke you into something awesome. •14 Alumni Journal August-December 2013 15

From the GraduatesGRADUATION 2013What has been the biggestlesson/take-away from youryears at Loma Linda University?“As long as I trust in God, there’sno obstacle I cannot overcome. Iam His child, I am under His directprotection, and He will see methrough.”—Dr. Teleka Patrick ’13“Pray more.”—Dr. Wayne Brisbane ’13PresidentWayne BrisbaneUrologyU of Washington Med CenterVice PresidentCasey WardPediatricsOregon Health & Sci UnivClassOfficersChristopher AdairOrthopaedic SurgeryCarolinas Medical CenterAllison AkaGeneral SurgeryThomas Jefferson Univ HospitalJonathan AndersonNot DisclosedChristopher ArmstrongNot DisclosedStephanie ArmstrongPsychiatryU of Washington Med CtrBrenton BaldwinFamily MedicineFam Med Residency of ID–Rural“In order to treat others, you mustbe healthy yourself. Retain your joyin life! And always answer the call toyour calling.”—Dr. Molly Estes ’13“God cares.”—Dr. Alexis Homan ’13“I’ve learned to trust God, to allowmyself to be pushed beyond what Ithought were my limits, and to treatmy patients with dignity and respect.I’ve experienced first-hand what acommunity with a mission-focuslooks like.”—Dr. Andrew Johnson ’13TreasurerLindsey Van DrunenAnesthesiologyU of KentuckyPastorSarah BelenskyFamily MedicineFam Med Residency of ID–RuralSocial VP & Alumni RepG. Stephen EdwardsonPediatricsWright-Patterson AFB Med CtrSocial Vice PresidentJustin JoInternal MedicineU of Nevada RenoMonica BallFamily MedicineLong Beach Mem Fam Med ResKristen BasnetPathologyMassachusetts General HospitalSarah BeckPathologyU of Michigan Medical CenterHow did you celebrate thecompletion of your degree?“I spent a week in Jamaica.”—Dr. Teleka Patrick ’13“Karaoke.”—Dr. Wayne Brisbane ’13Social Vice PresidentKatie ZirschkyGeneral SurgeryOregon Health & Sci UnivSenatorWade BrownInternal MedicineUniversity of Utah Health CareSenatorMolly EstesEmergency MedicineStanford University HospitalHistorianRajiv RaoTransitionalU of Hawaii JA Burns SOMBrian BlairUrologyPenn State/Hershey Med CenterCassaundra BoothbyChild PsychiatryU of Massachusetts Med SchoolAllen BotimerAnesthesiologyLoma Linda UniversityThree generations: Dr. Gary Botimer 80-A, Dr. Allen Botimer ‘55, andDr. Allen Botimer ‘13“A classmate and I took a vacation toIreland the week before graduation.”—Dr. Molly Estes ’13“My family and I headed to CampWawona in Yosemite.”—Dr. Alexis Homan ’13“I went on a camping trip inYosemite and hiking Half Dome.”—Dr. Andrew Johnson ’13Sports CoordinatorJonathan MayhewPediatricsNaval Medical CenterSports CoordinatorJonathan SchillingNot DisclosedCommunity Service RepAlexis HomanObstetrics and GynecologyRiverside Regional Med CtrTechnology CoordinatorGregory LammertGeneral SurgerySwedish Medical CenterBrendon BrockmannPsychiatryUC Irvine Medical CenterMichael BrownEmergency MedicineEast Carolina University ProgramRima ButlerFamily MedicineAlaska Family MedicineDaniel CalaguasPediatricsLoma Linda UniversityDavid CarrickPathologyU of Washington Medical CenterKarissa CarstensenPediatricsU of NM Children’s HospitalAugust-December 2013 17

GRADUATION 2013Cody CarterPathologyU of Michigan Medical CenterStacy CatalonPediatricsLoma Linda UniversityBrian ChauPhysical Medicine & RehabLoma Linda UniversityEmily EastmanEmergency MedicineLIJ School of MedicineAdriel FajilanInternal MedicineLA County-Harbor-UCLA Med CtrDaniel FayardNot DisclosedBrent ForrestGeneral SurgeryDavid Grant USAF Med CenterEvan FrankeAnesthesiologyMayo Clinic HospitalDarren GoltiaoAnesthesiologyLoma Linda UniversityStephanie ChoPsychiatryGWU Medical Faculty AssnJustin ChoiInternal Medicine and PediatricsU of Illinois Medical CenterAndrea ChongSurgeryUC Davis Medical CenterJaecelle GuadizNot DisclosedTricia GuadizInternal Medicine and PediatricsLoma Linda UniversityKelsey HadleyAnesthesiologyLoma Linda UniversityScott HadleyGeneral SurgeryLoma Linda UniversityDaniel HanUrologySUNY at Stony BrookMalcolm HardyObstetrics and GynecologyLoma Linda UniversityDr. Joseph Bowen ‘04, who marched in honor of his father Dr. ThomasBowen ‘76-A (deceased) with his sister Dr. Kelsey (Bowen) Hadley ‘13.Johnathan ChouNot DisclosedAndrew ChoungFamily MedicineKaiser Foundation Hosp-FontanaAndrew ChungOphthalmologyLoma Linda UniversityMeghan Cochran-YuGeneral SurgeryKaiser Permanente-Southern CalGene ConleyInternal MedicineMayo School of GMEDavid ConstableInternal MedicineSt Mary Medical CenterHector CrespoInternal MedicineCleveland Clinic FloridaDrew DavisPathologyEmory University HospitalDaniel DeMossInternal MedicineUSC/LAC&USC Medical CenterStacy Catalon ‘13, being hooded by her family at the Friday evening Hooding Ceremony18 Alumni Journal August-December 2013 19

GRADUATION 2013Ashley HendersonObstetrics and GynecologyLoma Linda UniversityJohanna HigdonObstetrics and GynecologyTulane University SOMJason HoffInternal MedicineBaylor University Med CenterDanielle HoggFamily MedicineWesley Family Medicine CenterLaura HuangPediatricsKaiser Permanente Med CenterDavid HuberFamily MedicineSt. Francis Family Practice CtrDavid JasperseFamily MedicineColumbia St Mary’s Fam Health CtrTimothy JeiderPsychiatryLSU-OLOL Psychiatry ProgramBjorn JensenAnesthesiologyUC San DiegoAndrew JohnsonEmergency MedicineLoma Linda UniversityMatthew JohnsonPathologyU of Nebraska Medical CenterLaura JoretegFamily and Preventive MedicineLoma Linda UniversityGraduates bow their heads during the invocation offered by class pastor Sarah Belensky ’13.Matthew KeeneyPathologyU of Iowa Hospitals & ClinicsIsaac KellyUrologyLoma Linda UniversityEugene KimPsychiatryKern Medical CenterUoo KimAnesthesiologySt Elizabeth’s Medical CenterNathan KingInternal MedicineUC Irvine Medical CenterGrace LeePsychiatrySemel Inst/Neuroscience &Human BehaviorHenry LeeNot DisclosedJames LeeGeneral SurgeryBanner Good Samaritan Med CtrThree generations of graduates: Dr. James Anderson ‘65, Dr. John Anderson ‘76-B, and Dr.Jonathan Anderson ‘13Elizabeth KernEmergency MedicineStaten Island University HospitalEllen KimInternal MedicineKettering Medical CenterKristin LeeInternal MedicineLoyola University Med CenterStephen LeeFamily MedicineUCLA Medical Center ProgramTimothy LeeInternal Medicine and PediatricsU of CincinnatiKristel MagsinoAnesthesiologyLoma Linda UniversityJonathan MartinGeneral SurgeryWayne State Univ/DetroitMedical CenterStephen MasillamoniNot Disclosed20 Alumni Journal August-December 2013 21

GRADUATION 2013Gabriel MatosPsychiatryMaine Medical CenterJeremy MeyerGeneral SurgeryEast TN State UniversityMichael MuellnerInternal MedicineKaiser Foundation Hospital-LABrenda PrindlePediatricsCT Children’s Medical CenterR. Tyler ReidenbaughMedicineLoma Linda UniversityLorraine ReversonInternal Medicine and PediatricsU of Kentucky Medical CenterSara RichardsAnesthesiologyUC San FranciscoBradley RitlandDiagnostic RadiologyU of Missouri KC ProgramLauren RitzSurgeryUC San FranciscoDr. Bradley Ritland ‘13 poses with parents Dr. John Ritland ‘81 and Dr.Sandra Ritland ‘81Dinh NguyenFamily MedicineKaiser Foundation Hosp-FontanaRachel NguyenPsychiatryLoma Linda UniversityDesiree NycholatPediatricsLoma Linda UniversityDouglas RogersDiagnostic RadiologyUniv of UTDaren RudisaileNot DisclosedCody RyanFamily MedicineScripps Mercy HospitalKelsey RyanFamily MedicineScripps Mercy HospitalMoussa SalehInternal MedicineCedars-Sinai Medical CenterBradley SchleenbakerFamily MedicineU of Utah Medical CenterMoses OlsonNot DisclosedJustice OtcherePhysical Medicine & RehabLoma Linda UniversityAnthony PaciniTransitionalNaval Medical CenterHee Chan ParkPediatricsLoma Linda UniversityKatherine ParkNeurologyUC Davis Medical CenterLynette ParkerPathologyU of Maryland Medical SystemRebekah SchneiderPediatricsPediatric Residency AdminWyzscx PatacxilSurgeryLoma Linda UniversityTeleka PatrickPsychiatryWMU School of MedicineCarla PerezPediatricsMiami Children’s HospitalEric PetersTransitionalProvidence Sacred HeartMedical CenterBrian PetrieNot DisclosedPatrick PoquizInternal MedicineUCLA Medical Center ProgramGabriel SchroederEmergency MedicineUCSF Fresno CtrDarren Goltiao ‘13 is hooded by his family and fiancé Yvette. Darren and Yvette were married two weeks later on June 9.22 Alumni Journal August-December 2013 23

GRADUATION 2013Vladimir SerranoFamily MedicineVentura County Medical CenterJay ShenAnesthesiologyUC Irvine Medical CenterMichelle SpencerPediatricsU of FL COM/Shands HospitalAmanda SpringerFamily MedicineWMU School of MedicineDerek StadieEmergency MedicineU of New Mexico Medical CenterEric SteinmanAnesthesiologyVirginia Mason Medical CenterJohnny SuhMedicineLoma Linda UniversitySherryann TaylorObstetrics and GynecologyKern Medical CenterWilson ThomasPediatricsLoma Linda UniversityMatthew TilstraObstetrics and GynecologyOrlando HealthChristine TjandraNeurologyUC San DiegoAndrea TremaineFamily MedicineFamily Med of SW WashingtonGraduates wait with joy and anticipation to walk the stage and receive their diplomas.Jasmine TurnerPediatricsChildren’s Hospital Central CAMelissa UrquhartPsychiatryLoma Linda UniversityWilmer Valentin GarciaSurgeryBaylor University Med CenterKyle VincentPsychiatryLoma Linda UniversityJustin WeaverOral and Maxillofacial SurgeryLoma Linda UniversityRebecca WhitePsychiatryLoma Linda UniversityAdam WoelkGeneral SurgeryGuthrie/Robert Packer HospitalJeffrey WoodsInternal MedicineSan Antonio Military Med CenterEric WonNot DisclosedDr. Eric Steinman ‘13 poses with his parents Dr. William Steinman ‘76-Band Dr. Beverly Steinman ‘79-BChau VanPediatricsLoma Linda UniversityBrandon VanderWelGeneral SurgeryYork HospitalMaria VelozFamily MedicineMethodist HospitalAdrienne WorkmanInternal MedicineMethodist Dallas Medical CenterMichael WoznyFamily MedicineCox Medical CenterNatalie YeeInternal MedicineScripps Mercy HospitalGary YipOphthalmologyLoma Linda UniversityDavid YoonNot DisclosedEden YoonOphthalmologyLoma Linda University24 Alumni Journal August-December 2013 25

FEATUREScience and CompassionTwo Alums Offer Families Fertility SolutionsBy: Emily Star Wilkensout in a mop closet,” says Dr. Charles Sims ‘60, co-founder and medicaldirector of the California Cryobank in Los Angeles, Calif. His face beams with pride atthe small beginnings of the organization now considered one of the leading sperm“We startedbanks and cryogenic laboratories in the world. “In thoseearly years,” Dr. Sims says, “we weren’t technically the bestbut I think we had a bigger vision.” He leans forward in hischair and says, “Let me tell you the story as I remember it.”Dr. Sims graduated from Union College in Lincoln,Nebraska in 1956 and was immediately accepted to LomaLinda University School of Medicine. He envisionedmedical school leading him into a career in science, and saysthat he struggled during the first couple of years because“medical school felt like trade school—endless amountsof things to memorize.” Eventually, he found his nichein pathology. In 1976 he took a position as the chief ofpathology at Century City Hospital in Los Angeles wherehe met Dr. Cappy Rothman ‘75-R, a surgeon and urologiston staff. Dr. Rothman’s and Dr. Sims’ stories had curiouslycrossed paths back in Loma Linda where Rothman hadstudied as urology resident. Although the two didn’t knoweach other during that time, their common history wouldbe another interesting facet to their story.Early on, Dr. Rothman had decided to limit hispractice to male infertility, becoming the first full-timeandrologist in California. Within the first six months,he was completely booked with appointments. Couplesstruggling to conceive because of male infertility would sitin his office and through mounting emotion discuss theiroptions. Dr. Rothman would listen as wives, through tearsof disappointment, would say to their husbands, “BecauseI married you, I’ll never be a mother.” If the man didn’trespond to the not-so-effective therapies available at thattime, the reality became very painful for everyone involved.26 Alumni Journal Business partners Drs. Charles Sims and Cappy Rothman stand out front of the California Cryobank.August-December 2013 27

Tanks of liquid nitrogen keep cord blood, eggs, and spermpreserved for future use.Dr. Charles Sims explains the vision that carried the CaliforniaCryobank through the many hurdles it faced.Dr. Rothman says, “There was nothing I could do to helpthem.” During those earliest years procedures such as IVF(in-vitro fertilization) and ICSI (intra-cytoplasmic sperminjection) that we now take for granted were not available.The emotions surrounding a man’s ability to have childrenare strong and Dr. Rothman says, “I’ve had two men in mypractice commit suicide because of infertility.”As Dr. Rothman continued to explore solutions andimprove surgical procedures to treat male infertility, hefrequently collaborated with Dr. Sims in the hospitallaboratory. “Whenever I would open up the testicular endof the vas,” Rothman says, “fluid would come out and Iwould give it to Chuck and he would look to see if spermwas there.” The more Dr. Sims saw, the more interested hebecame in fertility issues.One August day in 1977, Dr. Rothman showedup in Dr. Sims’ office and asked if they could talk. Dr.Rothman shared a vision that had been growing out ofthe needs of the patients in his practice. He explainedthat he wanted to establish a sperm bank that couldoffer fertility preservation for couples when the man wasfacing cancer or other illnesses threatening sterility. AsDr. Rothman described what would be needed to makeit happen, Dr. Sims realized that he could contribute. Hesaid, “Cappy, I don’t know anything about sperm banking,but what you’re describing is a laboratory. And I knowa lot about laboratories.” With that, Dr. Sims says, “Westumbled into the future.” The California Cryobank wasstarted with $2,000, an old student microscope and somevery old but functional laboratory equipment. It wasn’tlong before they moved into a small, unused room in acolleague’s office and rented it for $175 per month.There were many challenges in the early stages. “Thegood thing about doing something you’ve never done,” Dr.Sims says, “is that you have no idea what the challengesare going to be. That ignorance lulls you into thinking thatyeah, you can do it.” After a few months, the operationalmost went broke. In order to stay afloat, the two decidedto explore the market for sperm donors—the businessof providing donor sperm to physicians who didn’t havetheir own sperm donors. “The first time we tried toship vials,” Dr. Sims recalls, “they thawed.” But the teamfigured out how to do it differently the next time. In thisway, the California Cryobank developed through a seriesCalifornia Cryobank staff member retrieves specified donor sperm fromout of the nitrogen tanks to be shipped to recipients. Out of every 1,000men who apply to be sperm donors, only 10 make it through their rigorousqualification process.Dr. Cappy Rothman says that the California Cryobank is responsiblefor aiding in the conception of 60,000-65,000—a legacy he is proud toleave behind.28 Alumni Journal August-December 2013 29

FEATUREThe California Cryobank distributed 32,000 ampules of sperm last year to everystate in the U.S. and 40 other countries.FamilyCordThe California Cryobank also provides umbilical cord bloodstem cell processing and storage through its stem cell divisioncalled FamilyCord. Cord blood can be used as source of stemcells to treat people who need blood marrow transplants. Cordblood stem cell transplants account for about 20% of all bloodstem cell transplants in the US and about 50% of those in Japan.Dr. Sims says there are a number of advantages to using cordblood over bone marrow as a source of stem cells. Before themother’s due date, the family receives a Family Cord kit, whichcontains all the necessary equipment for cord blood and tissuecollection at birth. After the umbilical cord is cut, a needle isinserted into the umbilical cord vein to obtain the cord bloodand is shipped to their laboratory for processing and storage.Dr. Sims predicts that as the use of cord blood continues toincrease it will become a common practice for families to storetheir child’s cord blood.of accidents, near accidents, errors, and failures. Thatfirst year they did only about $10,000 in total revenue,finishing with a small loss. The next year they broke even.The next year they did a bit better. “We could treat it like ahobby or a kid—” Dr. Sims says, “when they are little youdon’t expect them to support you.”Although the business has grown to be prosperoustoday, the founders have not lost sight of the originalvision. “Our primary goal is to help people,” Dr. Simssays. With this as their motto, the California Cryobankdoes their best to find a way to meet people’s needs. Dr.Sims says he can’t recall turning a single man away whowanted to store his sperm before being treated for canceror some other medical condition that might threaten lossof fertility. “We always try to find a way to say yes.”Dr. Sims says he can’t recall turning a single manaway who wanted to store his sperm before beingtreated for cancer or some other medicalcondition that might threaten loss of fertility.“We always find a way to say yes.”Another service provided by the California Cryobankis post-mortem sperm retrieval. In 1979, Dr. Rothmangot a call saying that a very powerful senator’s son hadjust died and that the family wanted to know if it waspossible to retrieve his sperm. Although it had never beendone before, Dr. Rothman says, “I told them, ‘I think so’—because I’m optimistic.” He sat down with the anatomyand thought through how he would get the sperm. Hedecided to extract all of the reproductive anatomy. Oncehe did that, he found viable sperm in the epididymisand testicle which he successfully retrieved and froze.Dr. Rothman published the first paper describing postmortemsperm retrieval. Today the California Cryobankdoes about a dozen of these procedures each year. “Mostof the time it’s never used,” says Dr. Rothman. “But it helpsthe family through the grieving period.” The knowledgethat everything is not lost often is a big comfort for thosewho are dealing with losing their loved one. But frequently,when families are contacted about continued storage, theysay, “Thank-you, I really needed it then, but I’m movingon with my life.”Over the past 35 years, Dr. Sims and Dr. Rothmanhave watched the industry of sperm banking gothrough a series of social, technological and scientificadvancements that have changed the landscape of theirfield. Perhaps the single most important event was therise of the HIV pandemic and the development of a testto identify the virus which became available in 1985.These advancements led to the mandatory testing andquarantining of sperm donors and forced fertility clinicsto depend on frozen donor sperm. Up until that point,most of the larger fertility clinics had their own spermdonor programs. However, nearly all of these programswere discontinued by 1988 due to the increased costs andlogistics in maintaining a frozen sperm donor program.In 1990, ICSI (intra cytoplasmic sperm injection) wasdiscovered. This meant that nearly all of the men who hadbeen previously deemed infertile due to very low spermcounts or poor sperm motility could have their ownchildren. “This temporarily hurt our business to somedegree” said Dr. Sims, “but it represented a huge medicaladvance for infertile men.”While business was down with the development ofICSI, societal changes in the U.S. brought new clienteleto the California Cryobank: single women and lesbiancouples. Compared to earlier decades, women wereearning higher salaries, and didn’t require a man’s financialsupport to have a family. For example, if a woman was hermiddle to late thirties and “Mr. Right” still hadn’t comealong, the option to become a mother by using a spermdonor offered an alternate route to a family.The old construct of “family” is being redefined insociety today. These new norms raise new social andethical questions, such as who should be allowed to bea parent, how many children should be allowed perdonor, and how much access should children have to thedonor? (Visit www.llusmaa.org/simsdiscussion to watcha discussion panel with Dr. Sims and other experts onlinefrom APC 2013 on this topic.)“I’m big on families,” says Dr. Sims who serves as hisfamily’s genealogist. “I see what we are doing as helpingpeople have families.” As society’s definition of family isbeing expanded, the roles of mother, father, brother andsister are no longer limited to those with the same geneticmake-up, but are often defined by social relationships.Sometimes clients return to the office in Los Angelesand introduce their children to the California Cryobankstaff. “I kind of feel like a quasi-grandfather to someof these kids,” says Dr. Sims. “I have a connection andI’m glad I can help.” Dr. Rothman keeps a wall filledwith baby pictures of the children born through theirservices. He echoes Dr. Sims’ satisfaction in saying, “Thejoy, the happiness, the thank-yous—their successes areincredible. They’re really reinforcing.” •“I’m big on families,” says Dr. Sims who serves ashis family’s genealogist. “I see what we are doingas helping people have families.”Holding Fund ElectionThe Holding Fund is a 501(c)2, set-up to hold the donationsand life membership payments that make up the endowmentof the Alumni Association. This important fund provides forthe future operation of the Alumni Association and pays for lifemember benefits. The board members of the Holding Fund areresponsible for investing the endowment funds, a portfolio ofabout $5 million dollars. Each year perpetual life members ofthe Alumni Association elect a new representative to serve onthe Holding Fund board, which meets three times a year. Boardmembers serve a five year term, which begins March 2014 atAPC. Two names have been nominated for your considerationfor the 2014-2019 term.Please vote online at www.llusmaa.org or by mailing thisballot to the Alumni Association at 11245 Anderson Street,Suite 200, Loma Linda, CA 92354 by October 1, 2013.Ballot **Only perpetual life members can vote.H. Del Schutte ‘84Orthopaedic SurgeonSullivan’s Island, SCDavid Creamer ‘04AnesthesiologistLoma Linda, CAPlease consider becoming a life member or upgradingyour life membership in the Alumni Association. Yoursupport helps us serve the students, faculty, and alumniof the School of Medicine.30 Alumni Journal August-December 2013 31

FEATURERestoring Sight in ZambiaDr. Janie Yoo ‘06 Pioneers Eye HealthBy: Emily Star WilkensIn the operating theatre of Lusaka Eye Hospital in Zambia’s urban capital of Lusaka, Dr. Janie Yoo ’06spins a circular trephine blade between her thumb and index finger on the surface of a young Zambianman’s eye—a manual technique she learned at Harvard University. She rocks it back and forth untilan eight millimeter punch of scar-clouded corneal tissuecan be removed in preparation for a transplant. “WhenI got to Zambia, I realized that there wasn’t a singlecorneal surgeon in the country and there was tons ofcorneal blindness.” Dr. Yoo inserts an eight and a halfmillimeter core of donor tissue—excess flown in froman eye bank in the United States— and completes theprocedure by placing miniature sutures around theperiphery of the site. When the patient’s eye patch isremoved the next day, images cascade in easily throughhis much-clearer cornea to the back of the eye wherethey can be processed. “I love my field,” Dr. Yoo says.“God totally knew where I would thrive.”Dr. Yoo serves as one of 22 ophthalmologists andthe only corneal surgeon in Zambia—a country of over13 million people. She and her husband, Dr. Paul Yoo(Loma Linda University School of Dental alumnus ‘08),along with their six-month-old baby Jaycee are a year anda half into their six year commitment to serve as LomaLinda University Deferred Mission Appointees. “TheDMA program is a big blessing because it’s a way to dowhat we’ve always dreamed of doing,” says Dr. Yoo. TheDMA program supports Loma Linda University Medicaland Dental School graduates with loan amortization, amodest monthly stipend, and paid annual leave to visittheir families during their service abroad.After graduating from medical school, Dr. Yoomatched into the ophthalmology residency program atLoma Linda University. Ophthalmology allowed her toboth perform surgeries as well as have continuity of carewith patients. Although Dr. Yoo had planned to start herlife-long dream of international service immediately afterresidency, she felt compelled to continue with a fellowshipin corneal surgery. “I had no idea how it would be used inthe bush,” she said, but went ahead and interviewed at tendifferent programs anyway. However, when match daycame, she didn’t match anywhere. “I was devastated,” shesaid. She immediately began researching programs withopen slots and was surprised to find Harvard’s programamong them. When she called about an interview, theprogram director said that never in their history had theprogram gone unfilled. It was a surprising anomaly forHarvard and an incredible opportunity for Dr. Yoo. Sheinterviewed for the slot and the next day was extendedthe invitation to study corneal and refractive surgery atMassachusetts Eye and Ear Infirmary. “As I was drivingDr. Janie Yoo with her husband Dr. Paul Yoo and daughter Jaycee in Zambia.August-December 2013 33

FEATUREback to the airport, I was thanking God and praisingHim for His goodness—just the turn of events. I felt soundeserving of those opportunities.”After Janie finished her fellowship, the Drs. Yoo movedto Lusaka where a dental clinic sat adjacent to LusakaEye Hospital—a perfect fit for the couple. “The first sixmonths we had culture shock. We expected so much,” saysDr. Yoo. “We had no car, no friends—only each other. Itwas very difficult.”The difficulty did not, however, stem from boredom.Dr. Yoo was immediately immersed in a population ofendless need. A 2011 situational analysis of eye healthcare in Zambia reported that approximately 25 percentof the population suffers from eye diseases and visualimpairment at any one time with cataracts as the leadingcause of blindness, followed by glaucoma, corneal scarringand refractive errors. Amidst the great need for eye care,Dr. Yoo was forced to adapt to ways of treating patientsthat were completely foreign to her. Many procedureshad been adapted for cost efficiency. “In the United States,we use balanced salt solution in the eye during cataractsurgery. It’s expensive to buy a bottle here. So we use alactate ringer.” Dr. Yoo says that the lactate ringer does notseem to be producing any increase in swelling or any illeffects. While in the United States ophthalmologists use abipolar cautery system during surgery, in Lusaka they usea fire system. “You have a jar filled with purple alcohol—‘methylated spirit’ they call it—with a wick inside.”Instruments are heated over the flame and then pressedonto bleeding vessels on the sclera. These instrumentscan be autoclaved time after time, and there is no needfor electricity. Dr. Yoo has been schooled by the process ofadaptation. She says, “This whole experience has helpedme as a surgeon, helped me know how to maneuveraround the eye so that a surgery can be successful even ifyou are a beginner in a certain technique.”Dr. Yoo serves as one of 22 ophthalmologists and the only cornealsurgeon in Zambia—a country of over 13 million people.Last year a generous organization donated a phacoemulsificationmachine, and since that time, the hospitalhas been able to provide a cutting edge cataract removalservice. Dr. Yoo has also mastered the manual techniqueused in much of the developing world called small-incisioncataract surgery. During its pioneer years, the extracapsularcataract extraction method terrified ophthalmologistsbecause the external incision was large and prone toinfection. However, Dr. Yoo says that ophthalmologists inIndia have greatly refined the technique. Today, a five to sixmillimeter external entry cut opens into a ten millimeterinterior cut allowing a surgeon to slip the entire cataractoutside of the eye without breaking the lens apart. Theself-healing wound eliminates the need for sutures andthe outcomes are good. Both phaco-emulsification andsmall-incision cataract surgery are offered as excellentoptions for patients.Although eye care has improved in Zambia over thelast couple of decades, the country still struggles to maketreatments readily available. The 2011 situational analysisof eye health care in Zambia pointed out that, “Althoughmost facilities in rural areas report to offer refraction,cataract surgery, trichiasis surgery and glaucoma surgery,these services are not usually provided by resident staffwith the facilities’ own equipment. In the majority ofcases, these procedures are offered once every few monthsthrough visiting outreach teams from larger, usually urbaneye units.” Dr. Yoo and her team at Lusaka Eye Hospitalserve as one of those outward-reaching entities.On a dark four a.m. morning, Dr. Yoo’s staff and agroup of visiting volunteers meet outside the hospitalto load the teal-colored outreach bus with everythingnecessary for carrying out an “eye camp” at rural YukaAdventist Hospital. After an eight hour drive the teamarrives at a port on the Zambezi River—a well-traveledhighway of the region serving as the only feasible routeto Yuka during the rainy season. Operating microscopes,IV poles, chairs and surgical instruments are loadedonto a narrow dugout boat. While hospital staff andvolunteers take a speedboat and make the trip in threehours, the dugout and supplies don’t arrive until theearly hours of morning—eight hours later.The next day the team sets up the operating room andscreens patients to determine which cases are operable.Some patients have traveled days to get to Yuka. As Dr.Yoo moves from bed to bed, she is presented with casesthat engage all facets of her training. “Out here in Yuka,we find a lot of trachomatous trichiasis,” she says referringto one woman’s symptoms. She explains the way thatthe disease—born out of a chlamydial infection—hasturned the woman’s eye lids inward, causing the lashesto scrape against the surface of the eye. This can causethe cornea to break down and the individual to go blind.Cases of trachomatous trichiasis are among those thatthe World Health Organization and the VISION 2020initiative in Zambia have been working to eliminate—cases of preventable blindness. Although the surgicalprocedure to reverse the effects of trachoma is consideredan oculoplastics procedure, Dr. Yoo says it is a bread andbutter skill in Zambia. “Everybody does it because theyare so common.” The next day the woman goes to surgery.A small incision releases the eyelid from its inward-facingorientation and a few sutures ensure proper healing. “It’sPediatric eye surgery is often agift of 50 plus years of sight.Drs. Janie and PaulYoo visit rural YukaAdventist Hospital.A cataract and glaucomapatient wipes hisever-weeping eye.Cloudy vision disablesmen and women fromleading normal lives.Those in rural regions facemany challenges.A 20-30 minute surgeryprovides sight to the blind.34 Alumni Journal

FEATUREAlumni Who HaveServed in ZambiaDonald Ashley ’77-AShirley Ashley ’78-ARoy V. Berglund ’54Robert E. Cossentine ’42Ray Foster ’59Elvin C. Gaines ’61Alfred E. Gilbert ’30Gary Gilbert ’80-ARichard A. Gingrich ’56Kenneth W. Hart ‘69John B. Hoehn ‘71Theodore W. Hoehn ’79-BLuther V. Hofgaarden ’41Dean H. Hoiland ’44-BRobert Johnson ’61Howard B. Johnson ’44-AJames T. Ladd ’54Richard H. Lukens ’73-AGeorge Marcus ’25Percy S. Marsa ’53-ASharon L. Simpson Mason ’70Arthur C. Miller ’42Bradley W. Nelson ’68Alex J. Norzow ’65Thomas O. Pellow ’51Oliver J. Pogue ’53-BLeonard W. Ramey ’36John R. Rogers ’74Russell J. Rogers ‘74Allen E. Jr. Shepherd ’73-ASherry T. Read Shrestha ’74George T. Jr. II Simpson ’73-AJames D. Simpson ’70Nancy Wonderly Simpson ’70Melinda S. Skau ’82Randell S. Skau ’82Kenneth H. Sturdevant ’31Ingrid Trenkle ’73-ASteven James Trenkle ’73-ALorna J. Lukens Turner ’72Ernest A. Wagner ’34Raymond E. Westermeyer ’75Richard J. Westermeyer ’83Charles L. Wical ’60Bryce Jr. Young ’57Erhardt Zinke ’44-Areally important for us to have prayer beforeeach and every operation.” Dr. Yoo says thatonly God knows how these patients can do sowell after surgery in such primitive conditionsand with such limited resources. The LusakaEye Hospital team stays for five days beforereturning home to Lusaka.In March, authorities intercepted thepackage, asking, “What authority doyou have to bring human tissue intoZambia?” Dr. Yoo bargained forthe package to be released, saying thatthere were patients waiting for surgeryand that if too much time passed thetissues would expire.Wednesdays back at the hospital arereserved for donor sponsored pediatric eyesurgery. “It costs $200-$300 for one child tohave cataract surgery on one eye,” says Dr. Yoo.While that seems like a small price to pay forrestored eye sight, two thirds of the populationin Zambia lives on less than a dollar a day andonly 500,000 of the 13 million people areemployed by the formal sector.Bwenzu’s family was part of those twothirds. While visiting a church 20 minutes fromLusaka, Paul noticed Bwenzu and whispered toJanie, “You see that kid?” Bwenzu’s eyes wereseverely crossed—a disease called strabismus.While correcting strabismus in adults is largelycosmetic as the damage to visual developmenthas often already been done, in children, accessto the surgery can improve vision for life. Goneuntreated, strabismus causes a child to favor oneeye and consequently shut the other off. “Even ifyou correct it later in life, you may not ever getthe vision back in the amblyopic eye, and youwon’t have stereo vision,” says Dr. Yoo. Afterchurch Paul and Janie found the boy and hismother and told them about the sponsorshipprogram. Bwenzu’s mother brought him toLusaka, and Dr. Yoo was able to reattach theeye muscles in the proper position resulting inrestored vision for Bwenzu and freedom from astrong social stigma.On average, $1,600 sufficiently covers thecosts of an entire day of pediatric eye surgery.For donors, the experience of receiving apicture of the children whose sight has beenrestored as a result of their contribution isprofoundly tangible and moving. Dr. Yoocontinues to look for donors to partner withher in this way.A physician’s impact on a surgical andclinical level abroad is often easy to see—thetangible, often immediate results of patientsgetting better is rewarding. However, otherforms of impact are not so quick to come tofruition. Along with Dr. Yoo’s early realizationthat there was no corneal surgeon in Zambiacame the realization that there was also no eyebank. Seeing the incredible need for donortissues, she went to work contacting eye banksthat might be interested in partnering with her.Soon several eye banks had generously agreedto ship tissues that were approaching expirationover to Zambia. “I received five corneas inJanuary, five in February and five in March,” shesaid. The U.S. eye banks packed the tissues inice in order to preserve them on the two dayjourney. Passing through London or SouthAfrica, the tissues made it to Lusaka, and Dr.Yoo was able to perform corneal transplantssuccessfully—until that third shipment.In March, authorities intercepted thepackage, asking, “What authority do you haveto bring human tissue into Zambia?” Dr. Yoobargained for the package to be released, sayingthat there were patients waiting for surgery andthat if too much time passed the tissues wouldexpire. The authorities released the packageunder the condition that no further shipmentbe allowed in until proper protocol andpermission had been established through theDr. Yoo uses an alternative cautery system, pressing a hot metal tip onto vessels to stop bleeding during surgery.Ministry of Health. “In this country,” Dr. Yoo says, “there areno laws for importing human tissue because they don’t havethose services.” Even in America, it was cornea transplantsthat led the way in the field of transplant surgery becausethe cornea is considered an immune-privileged site. Unlikeheart, kidney, or lung transplants, corneas don’t pose such ahigh risk of rejection.Today, Dr. Yoo continues to pursue the properpermissions needed to do corneal transplants. But theroad has not been easy. The government must developa protocol for importing human tissue as well as lawsand ethical standards surrounding the advancement.Essentially, these strides in eye care are leading the way forall organ transplants in the country—a significant impacton the healthcare in Zambia.Practicing in Zambia is not what one would envisionfor a couple like the Yoos, consisting of a dentist andan ophthalmologist, who could potentially live quitecomfortably in the United States. And yet Yoos felt theywere being called to something else. “My God has doneso much for me,” Janie says. With all the confirmation inher calling, Dr. Yoo says there is no way she could run theother direction. She says this is the least she can do togive back to God. But it’s not just about giving back. Herchoice to serve in Zambia has also been about puttingherself in a position where she can be blessed. For when apatient, previously blind and stoic, takes off the eye patchafter surgery and lights up with a smile saying, “I can seeyour face,” Dr. Yoo finds meaning and fulfillment. Shewouldn’t trade that for anything. •

AIMS SPECIAL REPORTDr. Crischelle Shank examines a patient.The 67 WomenBy Emily Star WilkensIn 2007, after finishing her residency in family medicine,Dr. Crischelle Shank ’04 moved to Malawi to work asa Deferred Mission Appointee at Malamulo Hospital.She started out in the male and female medical wards,but after some time, transferred to the maternity ward—an area that would stretch her far beyond her training.Because all uncomplicated deliveries in Malawi are doneby midwives, the physician is only called for difficult cases--breech deliveries, twins, or in the case of fetal distress—complications usually addressed by an obstetrician.Amidst those many challenges Dr. Shank says, “I grew tohave such a respect for the women and also compassionfor the circumstances that would lead them to be pregnantwhen they really didn’t want to be.”One thing that Dr. Shank saw with troublingconsistency was a large number of women coming in withadvanced cervical cancer. There was nothing to do forthem. They would die—and the death would be a slowand painful one. “Every woman I know in the UnitedStates grumps about having their annual Pap smear,” shesays. “But women here don’t have that chance.” Dr. Shankand her team began asking what could be done. Would itbe possible for the hospital to do Pap smears? And at first,they determined that, no, it would be too complicatedbecause the hospital lacked the necessary infrastructure tosee these women through proper treatment. Should a Papsmear come back abnormal, it would be nearly impossibleto follow-up with the women, to contact them in theirvillages and coax them to return whatever distance theyhad traveled for another three or four visits. Around thattime, an organization called PAPS Team Internationalcontacted Dr. Shank saying that they were looking for alocation in Malawi to set up a cervical cancer screeningprogram and asked if Malamulo Hospital would beinterested in working together. Malamulo Hospital’sanswer was—yes.PAPS Team International came and did on-sitetraining with the hospital staff during which they screened1002 women in ten days. Dr. Shank says Loma LindaUniversity was instrumental in making it all happen,flying two laboratory technologists back to the States totrain for four months to read pap smears and do othercyto-path testing. PAPS Team International provided theequipment necessary to do a day-surgery during whichDr. Shank teaches women about the importance of annual pap smears.the compromised portion of the cervix could be removedand the woman could return home without the need offollow-up visits. In April of 2013, Dr. Shank said, “Sixtysevenwomen have come and all of them are clear afterthis,” says Dr. Shank. “Sixty-seven women did not diebecause we have been doing this program.”Dr. Shank says the Center is in need of a long-termgynecologist to expand its impact in the country. If youare interested in getting involved in any way, please contactthe Alumni Association for more information. •What is AIMS?AIMS is the acronym for “Association of InternationalMedical Services” which is an organization ofSeventh-day Adventists which includes mostly physiciansand some other health professionals. It focuses largelyon international medical mission work and assists inproviding short term and longer term overseas services.This also includes some financial assistance to missionprojects. It is closely associated with the AlumniAssociation. Instead of a quarterly printed journal we justmoved to having four pages in the AA Journal annuallyso that you can be a part of this association. Also therewill be 2 other online copies; and you can learn even moreabout AIMS by accessing www.aims-health.net.appreciate your prayers and support.WeFrom the AIMS PresidentRonald E. Fritz, DDS SD ‘72It is with appreciation that I send greetings toAIMS members around the world. AIMS is theInternational Missions arm of the LLUSM AlumniAssociation. Our goal is encouragement of medicalmissions and financial support to specific designatedprojects.When Christ was asked which was the greatestof the Commandments, He replied that the greatestCommandment was to love. Someone then askedHim, “Well then, who is my neighbor?” He then toldthe story of the Good Samaritan, saving the life ofsomeone by whom he was hated, showing love in spiteof ugly prejudice. This tells us that anyone we see inneed is our neighbor.We travel to other countries to perform medicalwork and show our love. We also get involved locally,right here, as with a recent mission clinic at the OrangeShow grounds, to touch and love people we will nevermeet again. Whenever we are tempted to sit on ourlaurels and think unless we travel to foreign lands,we cannot do mission work, just look around andneighbors needing our help and our love will come intoview. We were given tools as we developed our talentsat LLU, and it is not only our privilege and opportunityto help when the need arises, but also a responsibility.May we not just pass by on the other side, as did thepriest and Levite, but fill the need when we see itanywhere we find our neighbor. •38 Alumni Journal August-December 2013 39

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CLASSIFIED ADSFEATHER RIVER HOSPITAL(FRH) is a 100-bed acute care hospitalin Northern California, serving apopulation of 45,000. We are a memberof Adventist Health, a non-profitorganization with hospitals inCalifornia, Oregon, Washington andHawaii.Current opportunities include:Pulmonology/Critical Care,Gastroenterology, Urology, Psychiatry,Dermatology, Family Medicine,Internal Medicine, Hospital Medicineand Pediatric Medicine. We offerthe Adventist Health Advance MDprogram, signing bonus, relocationassistance, an income guarantee,physician participation in policydecision-making, remote-access digitalimaging, electronic medical recordsand library system, and hospitalsponsoredevents for the entire family.Paradise, CA is located in the SierraNevada foothills 90 minutes north ofSacramento and 15 minutes east ofChico (a diverse university town witha population of 80,000). Nestledbetween San Francisco and LakeTahoe (each about 175 miles away),Paradise offers breathtaking sceneryand outdoor activities includingfishing, boating, biking, hiking andgolf. There are several Adventistchurches in the area and a renowned12-grade SDA academy. Paradise andthe surrounding communities hosta myriad of cultural events and arehome to the second largest reservoirin California and one of the largestmunicipal parks in the nation. Wehave over 260 days of sunshine peryear and an average annual snowfallof 2 ½ inches. Median housing pricesaverage 25% less than that of the restof California.In terms of schooling, ParadiseAdventist Academy is an outstandingK-12 grade school with an 8th gradeteacher that was named the 2005Teacher of the Year at the annual DisneyTeacher Awards! Over 95% of thegraduates go on to college.We are dedicated to extraordinarypatient care and continue to grow tomeet the needs of our communitywhile meeting the needs of ourphysicians in both their practice andlifestyle:• Our new Outpatient Surgery andEndoscopy Center will open in2013.• In 2012, we opened a new 18-bedEmergency Department!• Our Cancer Center is accredited bythe American College of Surgeons(2012 and 2010).• We are affiliated with StanfordUniversity’s Medical School forclinical trials and recently wereselected as one of only two hospitalsin California to participate in thePARP Inhibitor trials for TripleNegative Breast Cancer.• In 2008, we opened a state-ofthe-art,41,500 sq. ft. Rural HealthCenter with a broad range of medicalspecialties.• We are a double CAPE (CaliforniaAward for Performance Excellence)Gold Quality Award winninghospital (in 2008 and 2010).Our commitment to physicians andstaff reflects in our low nursing vacancyrate, low physician turnover and thestrong relationship between the CEOand the medical staff.If you are interested in joiningour growing healthcare team, pleasecontact Patricia Huse at 530-876-7191 huseps@ah.org or Keith Stilsonat 530-876-2127 stilsokr@ah.org.A SEVENTH-DAYADVENTIST OBSTETRICIANGYNECOLOGIST,preferably Board Certified, isdesperately needed for full-timeemployment at our MalamuloAdventist Hospital in Malawi, Africa.Skills in colposcopy and LEEP are alsoneeded. If interested please contact Dr.William McGhee at (909) 558-4563or wmcghee@llu.edu.FAMILY/GENERALPRACTICE in Northern California,looking for a F/T physician. Offeringflexible hours. Our group is locatedin Chico, California. Well established(operating since 1960) outpatientclinic with our own on-site AccreditedLaboratory, X-Ray and Mammogramscreening department. Chico andthe surrounding areas offer excellentpublic schools, private schools andCalifornia State University Chicoand Butte Community College.There are two Adventist schools, onelocated in Chico and one in Paradise(20 minutes from Chico). Chico iscentrally located with a short drive forproviding water sports and snowsports. Chico has two nice golf courses.We are 3 hours from San Franciscoand 1.5 hours form Sacramento. Ifinterested, please call (530) 345-0064,x 268.ADVENTIST HEALTH—WEST COASTAdventist Health is committedto sharing God’s love by providingphysical, mental and spiritual healing.As a faith-based, not-for-profit healthcare delivery system, this missionis shared by each of the 19 hospitaland over 150 clinics and outpatientfacilities we own and manage inCalifornia, Oregon, Washingtonand Hawaii. To find out more aboutour current physician opportunities,contact Ryan Rasmusson, Directorof Physician Recruitment, at (800)847-9840, email phyjobs@ah.org orvisit www.physiciancareers.ah.org.Residents and Fellows – AdventistHealth’s AdvanceMD program is allabout you. With AdvanceMD youget paid up to two years before youcomplete your training.To compare locations, findout additional details and beconsidered for opportunities, visitwww.advanceMDprogram.com.HOSPITALIST ANDOUTPATIENT POSITIONS- BC/BE — INTERNALMEDICINELocation: Avista Adventist HospitalLouisville, ColoradoPosition type: Full time - EmployedDescription: Avista AdventistHospital in Louisville, Colorado isa 114-bed comprehensive medicalcenter that provides a full range ofmedical specialties and exceptionalhealthcare to the Louisville,Broomfield and surrounding Boulderarea communities.Louisville, repeatedly rated as oneof the “Top 100 Best Places to Live”by Money magazine, is a growingcommunity, just north of Denver(approximately 25 miles) and aboutsix miles east of Boulder, Colorado.For those who crave an active lifestyle,it doesn’t get any better than Colorado.Known mostly for the mountains andfor world-class skiing, hiking, climbingand mountain biking, our communitiesalso boast an equally notable arrayof fine dining, parks, shopping,entertainment and educationalofferings. Locals enjoy over 300 daysof sunshine per year, spread over fourdistinct seasons.Avista Adventist Hospital is part ofCentura Health, which is sponsoredby Adventist Health System andCatholic Health Initiatives and wasformed over a decade ago to strengthentheir shared mission of continuingthe healing ministry of Christ inthe state of Colorado. This not-forprofitorganization now serves morethan half a million people through itshospitals, senior living facilities andhome care services and provides moreWhat’s Your Plan?“My gift will help students that believe in Loma Linda University’smission and goals.”— Mildred A. R. Stilson, MDthan 12,000 jobs as the state’s fourthlargest employer.Ideal candidates are those who areBoard Certified but Board Eligiblecandidates will be considered. Avistaenjoys a century-old reputation formission-driven, whole person-centeredcare, with consistently high patient,physician and associate satisfaction.This unique employment opportunityoffers a complete compensation packagewith full health benefits, malpracticecoverage and much more. Avista’shospitalist program is an establishedprogram and features block schedulingand local leadership. There are avariety of outpatient opportunities atsister hospitals throughout the Denvermetropolitan area. If you would liketo learn more, please contact KellyMorgan directly at (303) 643-0992 oremail to KellyMorgan2@Centura.org.By including Loma Linda UniversityHealth in your plans now, you can beconfident that you are helping to transformthe lives of our patients and students.Contact the Office of Planned Givingto learn how you can receive lifetimeincome by using your appreciated assets,such as real estate and stocks, to create acharitable remainder trust.For more information:Call 909-558-4553Visit llulegacy.orgEmail legacy@llu.edu46 Alumni Journal August-December 2013 47

HISTORICAL SNAPSHOTClass of 1944-B’s Balancing Act Dr. John Michael Hay ‘75Anesthesiologist, Daniel Island, South CarolinaDon Brown ’44-B was amember of the UCLAHand-Balancing Teamthat won the NationalChampionship. Afterbecoming an Adventist, heattended PUC and it wasthere that he taught CoyneKnight ’44-B and Pierce J.Moore ’44-B the basics ofhand-balancing.WHAT’S UP, DOC?In 1940, as medical schoolfreshmen, the three continuedworking out with handbalancing.The stunt picturedabove required a fourthman, so Jerry Smith ’44-B(deceased), who served asclass president all four years,was recruited. The abovephoto captures the one andonly time that Dr. Smithperformed with the group,making it all themore memorable.Top:Don Brown ’44-B,Anesthesiologist living inDowney, CALeft:Frederick Coyne Knight’44-B,Urologist-Anesthesiologistliving in Zephyrhills, FLRight:Pierce J. Moore ’44-B,General Surgeon living inFletcher, NCBottom:Jerry Smith 44-B (deceased),Boulder, COAmong your friends and family, what are youfamous for?Fast walking and working. Sounds silly, but it’s true.I’m not trying to prove anything by “besting” somebodyelse. My wife Linda says she gets tired just watching mework—watching me sweep the garage or rake the lawn!What are your best memories from medicalschool?Short trips with friends to Mexico, Baja CA, andGuadalajara; hiking in the local mountains around LomaLinda as well as the distant Sierras; and scuba diving atLaguna Beach and off of Catalina Island.What has been your most meaningful or uniquecase or experience in your medical career?A couple years ago I was asked to check with theemergency department about a pain patient theywere having a difficult time managing. I discovered a28-year-old man who had been making sausage at homeand accidentally fed his left hand into his power meatgrinder and literally ground his left hand away--all theway back to just beyond the wrist joint. Yes—he wasbeyond frantic with pain. I rustled up supplies and withthe aid of a medical student did a brachial plexus blockat the base of his neck.Before I had finished that block, I was asked to checkon another new patient. A 78-year-old grandpa had beenvisiting his son in South Carolina, and during a roundof golf the patient had reached into a water trap on thecourse in order to retrieve his errant golf ball and analligator had seized his right arm, trying to pull him intothe water in a “death roll”. The son managed to grab hisleft arm and pull his dad out of the alligator’s mouth. Imanaged to get a new set of supplies in a few minutes anddid a block on that elderly patient’s right brachial plexus.If there was ever a time when I desperately wanteda great block it was that evening in the emergencydepartment.If you were to have worked in a field outside ofmedicine, what would it have been?I seriously considered studying engineering when I startedschool at Walla Walla College.If you could learn to do something new or better,what would it be?Be a gentler, more empathetic doctor, husband, father,and friend.What is the best advice you’ve ever been given?With respect to choosing a career—try to think 10-20years down the line to when you’ll have a family andmid-life needs. Often, what seems interesting and excitingat the time of making decisions regarding career directionwill not be the best destination in 10-20 years. •48 Alumni Journal August-December 2013 49

ALUMNI ASSOCIATION,SCHOOL OF MEDICINE OF LOMA LINDA UNIVERSITY11245 ANDERSON ST., SUITE 200,LOMA LINDA, CA 92354-2801909.558.4633 | FAX 909.558.4638Nonprofit OrgU.S. PostagePAIDColor Press99324ADDRESS SERVICE REQUESTEDAlaska & YukonGold Rush Tourhosted by the Alumni Association, SMLLUJuly 11-21, 2014Join your fellow alumni and friends for anadventure of a lifetime as we follow the Gold RushRoute! We will start our trip in Vancouver, B.C.and sail for three nights aboard a Holland Americacruise ship, where you will enjoy the natural beautyof the Inside Passage and stunning glaciers. Uponarriving in Skagway, Alaska, we will board theYukon Route Railroad where we will follow theGold Rush Route to Whitehorse, Dawson City,Fairbanks, Denali, and finally Anchorage.A 3-night Holland America Cruise with a 7-nightland package (starting at $2,149).To learn more or to book your trip visitwww.llusmaa.org/Alaska