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Visiting Professorof Surgery ProgramSansum Clinic’s first Visiting Professor of Surgery,John L. Cameron, MD, The Alfred BlalockDistinguished Service Professor of Surgery at TheJohns Hopkins University School of Medicine willbe in Santa Barbara for an Academic Week February27 – March 3. He will interact, teach and mentor thepracticing surgeons in our community and will bedirectly involved with teaching the surgical residentsin training at Santa Barbara Cottage Hospital.Dr. Cameron has a long-standing interest in alimentary tract diseases, andspecifically in pancreatic cancer. He has operated on more patients withpancreatic cancer and performed more Whipple operations than any othersurgeon in the world.The Visiting Professor of Surgery Endowment Fund was established inDecember 2010 by Ronald G. Latimer, MD (Emeritus) and Sansum Clinicto advance educational opportunities and to demonstrate Sansum Clinic’scommitment to quality surgical care in Santa Barbara. The fund allows aprominent national or international surgeon to be in residence in SantaBarbara for one Academic Week each year.If you would like to support this outstanding educational endowment fund, giftsof $500 or more will be recognized on the donor wall in the Department ofSurgery. Gifts at all levels will be greatly appreciated. You can send your giftof support in the remit envelope in this magazine. RThe Four Seasons Biltmore Resortwill be the home of our VisitingProfessor during Academic Week.Throughout the year, all patientsand friends of Sansum Clinic areeligible for special pricing at thisworld-class resort — just mentionSansum Clinic when you makeyour reservation.join us to learn aboutthe father of american surgeryDr. Cameron will speakon William StewartHalsted, MD: Fatherof American Surgery at5:30 pm on March 1at Cottage Hospital’sBurtness Auditorium.The lecture is open tothe public.Dr. Halsted (1852–1922) was an Americansurgeon who was an early champion for the useof local anesthetics. He introduced the use ofrubber gloves and he developed many new andingenious operations including the radicalmastectomy for breast cancer. Otherachievements included advances in thyroid,biliary tract, hernia, intestinal and arterialaneurismal surgery. Oddly during his career, hewas addicted to cocaine and later to morphine.Dr. Halsted was one of the “Big Four” foundingprofessors at The Johns Hopkins Hospital. Hewas the first chief of the Department of Surgeryat The Johns Hopkins Hospital when it openedin May 1889. He is credited for starting the firstformal surgical residency training program inthe United States. He was considered a superbteacher and the young men who were trainedin his operating room were among the greatpioneers of American surgery today. RSeating for the lecture is limited andreservations are required. You mayRSVP by February 21 to Amanda Jones(805) 681-1756 or rsvp@sansumclinic.org.Contents + Winter 2012features2 Eat Well & Stay WellSansum Clinic Celebrates 90 Years4 MyChart – Electronic Health RecordConnecting You6 Losing WeightOur Commitment to Improving Health8 American Heart MonthHeart Healthy Livesdepartments7 Skin Rejuvenation10 Letter from a Grateful Patient11 Sansum Clinic in the Community12 Flu Shot Program14 Health Education Programs16 Meet Our New PhysiciansThis magazine is not intended to provide medicalcare. For specific medical advice, diagnoses, andtreatment, consult your doctor. All information inthis publication is for educational purposes only.SansumClinic.org • issue 3 • winter 2012 1

nutrition tipsSpeaking ofEating Well & Staying Well…culinary medicineby gerri french, ms, rd, cdeInterested in a healthy 2012? What you eat can have adramatic effect on your health and wellness; it’s calledCulinary Medicine… and it tastes good!If you are interested in natural forms of healing, think CulinaryMedicine. Plant foods (fruits, vegetables, whole grains, legumes,nuts and seeds) contain substances called phytonutrientsthat some think have the ability to decrease the chronicinflammation in the body which is one cause of many modernday diseases. The word “phyto” means plants in the Greeklanguage, and phytonutrients are nutrients produced by plants.Many phytonutrients, which are responsible for the brightcolors in plants, are made to guard plants against harshweather, viral attack, and the insults of handling, and toprovide defenses against unstable forms of oxygen. HumansGerri French, MS, is a registered dietitian(RD) and certified diabetes educator (CDE)for Sansum Clinic. Gerri has been a clinicalnutritionist and cooking instructor for 30years. She is also a mother and enjoys sharingpractical information and recipes with herpatients and their families.may benefit from eating plants that contain these diseasefighting substances.Some phytonutrients contain antioxidants which many believedelay the aging process and protect or slow the formation ofcarcinogens (cancer causing agents) and the oxidation of fats,which initiates the heart disease process. Other phytonutrientsinhibit the action of chemicals that stimulate cell growth andtumor development.One reason health professionals are so excited aboutphytonutrients is their possible ability to interact with everystep in the cancer process, slowing, stopping or reversing it byaffecting enzymes that convert healthy cells to cancerous cells.In addition, some phytonutrients may lower cholesterol,reduce arterial plaque, and counter osteoporosis. Eachphytonutrient plays a different role. A tomato or orangecontains hundreds and possibly thousands of phytonutrients.See the following chart for specific sources and potentialfunctions of phytonutrients. For more information, theAmerican Institute for Cancer Research is a wealth ofinformation; visit their website at www.aicr.org. RPhytonutrientAnthocyaninsAllyl sulfidesCarotenoidsCurcuminsIndolesLuteinsLycopenesQuercetinFood SourcesConcord grapes, radishes, berries, red cabbageGarlic, onion, leeks, chivesCarrots, sweet potatoes, yams, apricots, cantaloupe,dark green leafy vegetablesTurmeric, ginger. Most curry powders contain turmeric,yellow mustardCruciferous vegetables: broccoli, cabbage, kale, brusselssprouts, cauliflowerBroccoli, spinach, carrots, corn, tomatoes, greensTomatoes (especially cooked), red grapefruit, watermelonGrapes, apples, cherries, red onions, kale, broccoliPotential Health BenefitPowerful antioxidant that may have heart healthbenefits and help protect visionMay stimulate anti-cancer enzymes and inhibit colon/stomach cancerAntioxidants that may protect against lung andbreast cancerMay reduce inflammation and stimulate enzymes thatinhibit cancerMay help protect against estrogen promoted cancersMay protect against cataracts and macular degenerationAntioxidant; may reduce risk of prostate, stomach andesophageal cancer; may help protect against vision lossAntioxidant may be helpful in protecting againstrespiratory allergies and asthmaSansumClinic.org • issue 3 • winter 2012 3

connecting youMyChartElectronic Health RecordSansum Clinic’snew and innovativeelectronic healthrecord system — theWave — is improvingthe exceptional careyou’ve come to expect from us. The Wave provides the toolsnecessary for the electronic management and recording of thecare you receive here.One of the most exciting features of the Wave is our securepatient connection - MyChart - which provides you with directonline access to key parts of your medical record. MyChartallows you to view your health information, such as lab results,appointment information, medications, immunization recordsand details about your doctor visits.Whether you are at work, on the road or at home, you canview test results, messages from your doctor, and your keymedical information. You can even access your family’srecords and request your next appointment online.With MyChart You Can:• Send a message to your physician’s officeCommunicating with your physician’s office is as simple assending an email, but even more secure. And you will beable to request prescription refills online.• Check your test resultsView some test results online — and save time waiting fora phone call or letter. You can also chart and graph yourresults over time.• Request your appointments online anytimeRequest your next appointment online, or view details ofyour past and upcoming appointments.• View your medical informationReview your medications, immunizations, allergies andmedical history. And review health education topics ordischarge instructions provided by your physician.• Explore health education resourcesAccess information about tests, medications, proceduresand lifestyle choices at your fingertips with our onlinehealth education resources.• Access your family’s recordsLink your children’s and elderly relative’s accounts to yoursfor convenient access to appointments, immunizationrecords, growth charts and more.How to Sign Up for MyChartIf the Sansum Clinic location where you receive yourprimary care is online, you can sign up and login to MyChart.Protecting your privacy and healthcare information is ourprimary concern, so signing up for MyChart requires anactivation code.Your unique MyChart activation code can be generated inthree ways:1. Call the MyChart Response Team at (805) 898-31882. Register online at:www.sansumclinic.org/register-for-mychart3. Stop in any of our Clinic locations in-person andrequest an activation codeAsk for a MyChart activation code on your next visit toSansum Clinic. This will allow our staff to verify your identityand to present you with a personalized letter containing anaccess code that will permit you to register for MyChart andset up your own secure username and password.Login from any computer to complete your registration oruse one of our convenient MyChart Registration Kiosks.Representatives are available to assist you with your registration.mychart registration kiosks:Pueblo Multi-Specialty Clinic317 West Pueblo Street, Santa BarbaraPesetas Multi-Specialty Clinic215 Pesetas Lane, Santa BarbaraGoleta Family Medicine122 S. Patterson Avenue, Santa BarbaraLompoc Multi-Specialty Clinic1225 N. H Street, LompocSansum County Clinic2027 Village Lane, SolvangMyChart is being implemented within all of our locationsthroughout 2012. Visit our website for a detailed site-by-siteand by department rollout schedule.Scan QR code with a mobile readerto visit MyChart Rollout Schedule4 winter 2012 • issue 3 • SansumClinic.org

losing WEightBefore DecidingYou Want to Lose Weight,Read This First!marc zerey, md, cm, msc, frcsc, facsAs a new year begins, so does ourcommitment towards improving ourhealth. The first few weeks in Januaryare famous for being the busiest in gymsas people attempt to follow their NewYear’s resolution.The combination of a new year,the weight gained over the holidaysand timely promotions from fitness centers and weight lossprograms are strong incentives to start the “New You”. This isa cycle that repeats itself annually (and often twice annually assummer approaches). An entire industry has been built aroundthis pattern of behavior.the issue is not about losing the weight.There are several ways of doing that. Understanding thebalance between CALORIC INTAKE – CALORICEXPENDITURE = ENERGY BALANCE is the basis for alldiets. If your energy balance is positive, you will gain weight.If your energy balance is negative, you will lose weight.Therefore, by cutting some calories from your diet (andexercising more often) the goal is to achieve a negative energybalance to achieve weight loss.So why do most people fail at conventional caloric-restrictiondiets? Expectations. Many of us set very aggressive goals whenwe start a weight loss plan. We have expectations both of ourend-goals and the rate we expect to lose that weight. Ourexpectations are high because of what we watch on televisionor see on the cover of magazines (sometimes in the doctor’soffice!). Not surprisingly, we are setting ourselves up for failure.The weight lost is short of our goal and we get discouraged andlose motivation. The pounds re-accumulate (generally fasterthan when we lost them) and we are back where we started,sometimes worse off.Therefore, the next time you start a weight loss program:1. directly address your primary goalsBe honest with yourself. Why do you want to lose weight?For some, it is to improve health such as diabetes, high bloodpressure or high cholesterol. For others, it is to improve theirappearance and self-esteem. Both are strong motivators to loseweight but the strategies to achieve success may be different.2. identify & moderate unrealistic weight goalsIf you need to lose “40 lbs”, settle for 10-15 lbs (or 20-30% ofyour goal) and try to maintain that weight.3. tackling body image concernsWe all have body image issues. Even some patients who havelost well over 100 lbs still feel “fat”. No amount of dieting orweight loss will change that. Acceptance of yourself will go along way toward making you feel happier about who you are.Once you address these issues truthfully, you are readyto start working towards your goal. We have a number ofcomprehensive solutions that take into consideration notonly your current weight, but lifestyle factors that should beaddressed at the same time. Good luck and best wishes for ahealthy and happy you. RSansum Clinic offers several options and programs forachieving a healthy lifestyle no matter what your weight lossgoals. Speak to your doctor about the steps you can taketoward achieving healthy weight loss — from our group classesor individualized health educators and nutritionists to ourDoctors’ Weight Management Program or bariatric surgery.You can sign up for many nutrition and weight loss classesand programs online or attend a free orientation to learn moreabout your weight loss options. Visit www.SansumClinic.org/classes or scan this QR code with a mobile reader to visit ourcomplete class schedule and register online.Scan QR Code with a mobilereader to visit our complete classschedule and register online.6 winter 2012 • issue 3 • SansumClinic.org

mobile medicineNew Year. New You.heather grieco, rnaesthetic nurse specialistWe are excited to introduce our new iPixel laser for fractional skin rejuvenation.The iPixel delivers greater precision while significantly reducing treatment anddown time.The iPixel laser vaporizes the skin to treat sun damage or acne scars and hasgreat results on mild to medium wrinkling by tightening and resurfacing yourskin. It works on all skin types and is safe for use all year round.The iPixel rolls across your skin. Unlike traditional lasers which use a stampingor scanning technique, the iPixel module treats the targeted area with high speedand elegant efficiency. The laser creates an ablative thermal channel at the pixelarea without disturbing the surrounding tissue. Those micro-ablated areas start theprocess of healing and the untreated area acts as a reservoir for rapid restoration.As collagen remodels, skin tightens and texture improves. The process is so gentlethat it is used on the neck, chest, hands and face with little risk of complications.DoctorsWithout WallsIn our last issue weencouraged our patientsto participate in a sockdrive, because somethingas simple as giving a pairof socks can open theline of communicationbetween a doctor andsomeone in need of medical care. This is thefirst line of defense for unsheltered peopleagainst cold, wet, infected feet versus warm,clean, dry feet.Doctors without Walls is so grateful to thecommunity at large for all your helpfuldonations. And now, we are up to our earsin SOCKS!!! Doctors Without Walls/SantaBarbara Street Medicine thanks you so much!key advantages of the ipixel:• Great results on mild to medium wrinkling• Little or no downtime• Quick treatment time• Easy, in and out procedureDoctors Without Walls practices backpackbasedmedicine using bright orange packs tocarry equipment and medications to…patientsin need…and they will always need socks.Please call (805) 681-7844 today to schedule your appointment at SansumClinic’s Facial Plastic Surgery and Aesthetics department. We offer a widerange of services, from skin care products to minimally invasive soft fillerinjectables or complete outpatient surgeries. We honor the gifts that nature hasgranted, restoring and highlighting each person’s unique beauty. RYou can still help by dropping off a six-packor two of socks in the baskets located in ourPesetas and Pueblo clinics. RHeather Grieco, RNHeather Grieco, RN is a plastic surgery and aestheticnurse specialist. Her experience includes an extensivesurgical background and Advanced Certification inLasers. Heather brings the proficiency that is requiredto perform our laser treatments in a safe medical spasurrounding under the direction of David F. LaPatka,MD, FACS.Tune in to Sansum Clinic TV on Cox Channel 2636to learn more about our programs and services.Recover in luxury at Bacara Resort& Spa. Patients and friends ofSansum Clinic are invited toenjoy special pricing at thisresort throughout the year — justmention Sansum Clinic whenmaking your reservations.Restrictions may apply.Sansum Clinic’s Lynn Matis, MFT and AaronLewis, Medical Assistant in Dermatology —both active Doctors Without Walls volunteersSansumClinic.org • issue 3 • winter 2012 7

heart-healthy livesFebruary isAmerican Heart Monthjoseph aragon, md, facc, fscaicardiologistAmerican Heart Month is a time to battle cardiovasculardisease and educate Americans on what we can do to liveheart-healthy lives. Heart disease, including stroke, isthe leading cause of death for men and women right herein Santa Barbara County.You are at higher risk of heart disease if you are:• A woman age 55 or older.• A man age 45 or older.• Or a person with a family history of early heart disease.Heart disease can be prevented. Here are 10 tips for ahealthier heart:1. cut down on salt. People tend to eat too muchsalt, causing water retention that can increase yourblood pressure.2. stop smoking. Smokers are twice as likely to have aheart attack than nonsmokers. The good news is, your riskof heart attack decreases as soon as you quit smoking.3. be active. Exercise keeps your heart strong and healthyso that it can pump blood efficiently with each heart beat.Shoot for 30 minutes of moderate physical activity a day.Staying active benefits your physical health, your mentalhealth and your overall wellbeing.4. maintain a healthy weight. Carrying extraweight can increase your risk of life-threatening conditionssuch as coronary heart disease and diabetes.5. manage your stress better. If you find thingsare getting away from you, you are more likely to eat poorly,smoke or drink too much. Engaging in activities or hobbiesyou enjoy can help you manage your stress levels.6. know your family history. If a close relativesmokes, has high blood pressure or high cholesterol, isobese or physically inactive, then you could be at risk too.7. drink alcohol in moderation. A smallamount of alcohol has been shown to have some benefit toheart health, but drinking too much alcohol can damagethe heart muscle, increasing blood pressure and leading toweight gain.8. get regular check-ups and manage yourblood pressure and cholesterol levels.People with high blood pressure have a higher risk of strokeor heart attack. Having your heart health checked regularlyby your doctor can help ensure that heart issues are foundearly and corrected before they become problematic.8 winter 2012 • issue 3 • SansumClinic.org

9. keep your diet in check. A healthy diet canhelp reduce the risk of developing heart disease, and canincrease the chance of survival after a heart attack. Toestablish a balanced diet, start by making small but sensiblechanges to your food choices (such as fewer fried foods andmore plant-based proteins like beans, nuts and produce.)Avoid foods that are high in saturated fats and sugars, likecake, pastries and some dairy products.10. learn to recognize early signs of heartdisease. Tightness in the chest, neck or stomach thatoccurs when you exert yourself but goes away with rest maybe the first sign of angina, which can lead to a heart attackif untreated. If these symptoms occur at rest call 9-1-1. Donot drive yourself to the emergency room. The earlier youreceive treatment the better the outcome.Sansum Clinic Cardiologists are specialists in the prevention,diagnosis and treatment of diseases and disorders of the heart. AllSansum Clinic Cardiologists are board certified and havespecialized fellowship training. The Cardiology department’scommitment to patient care, research and new technology meansthat patients benefit from the latest diagnostic and treatmenttechniques in virtually every area of cardiac medicine — fromresearch to prevention, detection and treatment. The primaryareas of heart disease our Cardiologists treat are:• Coronary artery disease (angina and chest pains)• Abnormal heart rhythms• Heart failure• High blood pressure• Congenital/structural heart disease• Interventional cardiology• Cardiac electrophysiology• Nuclear cardiologyOur commitment to patient care, research and new technologymeans that patients benefit from the latest diagnostic andtreatment techniques in nearly every area of cardiac medicine —from research to prevention, detection and treatment. RJoseph Aragon,MD, FACC, FSCAIDr. Joseph Aragon is a specialist inCardiovascular Medicine andInterventional Cardiology. He attendedthe David Geffen School of Medicineat UCLA, and followed it up withtraining in Internal Medicine at theUCLA Center for Health Sciences. Heis an expert in the management ofpatients with complex ischemic heartdisease, peripheral arterial disease andstructural heart disease. Dr. Aragonhas an active research program and is dedicated to contributingto the practice of evidence based medicine as it relates to thetreatment of heart disease. He is board certified in InternalMedicine, Cardiovascular Diseases and InterventionalCardiology and is a Fellow of the American College of Cardiologyand the Society of Cardiac Angiography and Intervention.Sansum Clinic:Walking the Walksansum clinic is #1 heart walk teamTeam Sansum Clinic stepped up efforts this year to makea difference in the fight against heart disease and stroke.Officially the #1 Team for the Santa Barbara Heart Walk,Team Sansum Clinic raised more than $10,000 forAmerican Heart Association research and education!Thanks to the Doctors’ Weight Management Program,Cardiology and Cardiac Rehab departments, Team SansumClinic had 99 walkers! The team was led by Dr. JosephAragon, Sansum Clinic cardiologist and president of theCentral Coast Chapter of the American Heart Association. RSansumClinic.org • issue 3 • winter 2012 9

more than healthcareLetter from aGrateful Patientdelivering more thanjust healthcareto our neurologypatients...Paul Willis, MD, and Deanna Power, RN, CNRNMy dad began visits to the Neurology Department at Sansum Clinic thispast September. We were referred by a relative who had seen Dr. Paul Willisyears ago after a stroke. Upon my first visit with my dad, I immediatelyfelt welcome. Dr. Willis and Deanna Power, RN, are understanding andpatient, which I have learned is key for helping patients and familymembers who are dealing with a relative with dementia and Alzheimer’s.I have never experienced a physician’s office that was so responsive andinformative. It is like everyone is my friend and is there for me, whichmakes me feel less alone. Deanna has been there with an answer for everyquestion. It is nice to be able to contact a healthcare professional to getinformation because you cannot trust everything you find online. I feelthat I have been better able to help my Dad because of the informationthat I have received from Sansum Clinic.I have been inspired by my experience and wanted to help others as you havehelped me. I recently volunteered my time and did some fundraising forthe Walk to End Alzheimer’s with the Sansum Clinic team and it mademe feel good to work towards a cure. It gives me a stronger sense of hope.If I could share one thing with others in a similar situation it would beto talk about it. Being able to talk everything through has enabled meto feel less alone in what our family is going through having a familymember with dementia.Thank you to Dr. Paul Willis and Deanna Power, RN. You are amazing! R— WhitneySansum Clinic:Walking the Walkneurology department joinsthe walk to end alzheimer’s diseaseThe spirit of finding a cure for Alzheimer’s disease was evident forthe Sansum Clinic team during the Walk to End Alzheimer’s atthe Santa Barbara Zoo.The team exceeded all goals with 47 team members and 30walkers at the event. Our team raised more than $2,500. SansumClinic’s Neurology Department organized support as a majorsponsor for this event which included an “Ask the Doctor” boothfeaturing our Neurologists. RSansum Clinic neurologists; Drs. Linda Chen, Paul Gertler, KarenDaSilva, Paul Willis and Hsien Young (not pictured) staffed theAsk the Doctor booth at the Walk to End Alzheimer’s.10 winter 2012 • issue 3 • SansumClinic.org

important medical decisionsWhat is an Advance Directiveand Do I Need One?An Advance Healthcare Directive is a legally recognized document that givesyou a say in important medical decisions that will be made if you ever getseriously ill or injured. If you are over the age of 18 it is a good idea to have anAdvance Directive. Accidents can happen, even to those who are in goodhealth. Family and friends are put in a very difficult position if they do not knowhow you want to be treated.Your Advance Directive will answer two important questions. First, it lets youstate what kind of healthcare treatment you want if you become seriously ill. Itincludes the type of care you want and what you don’t want at the end of yourlife. This helps your family, friends and doctor(s) because they don’t have toguess about what you want. Second, it lets you choose a healthcare agent, orspokesperson, who will speak for you if you are not able to speak for yourself.An Advance Directive can be a good communication tool. If you choose to, youcan include information about how you wish to be remembered, what kind ofmemorial service you would like and you can authorize organ donation. Oneversion of an Advance Directive, called Five Wishes © , helps you to think aboutand provide information about your personal, emotional and spiritual wishes.An important part of a successful Advance Directive is the conversation you willhave with your family, friends and your doctor. Although the Advance Directiveis a legal document, you can complete it yourself. You do not need an attorney.The laws about Advance Directives vary from state to state. The form you use willtell you in which states it is appropriate. Once your form is complete, you shouldgive copies to your healthcare agent (spokesperson), key family members, doctor,hospital or other healthcare facility. You can change your Advance Directive at anytime, should your wishes change. When you make changes you will need to givenew copies to the people listed above.With the help of the Alliance for Living and Dying Well, Sansum Clinic holdsregularly scheduled meetings led by an attorney and a social worker. Attend ameeting to get free copies of the Advance Directive, help filling out your formand answers to your questions.For more information or to obtain a copy of the forms,please visit the Sansum Clinic Health Resource Centerat 215 Pesetas Lane, Santa Barbara or call (805) 681-7672, orvisit www.SansumClinic.org/advance-health-care-directive-assistance.how to complete your advance directive:1. Get an Advance Directive form, available at the Sansum Clinic HealthResource Center or at www.SansumClinic.org.2. Read the form and decide what you want for healthcare treatment if you areseriously ill. The form will give you some ideas. You may also want to talkwith your doctor.3. Choose a healthcare agent. This should be someone you trust to follow yourwishes. You can also select an alternate.4. Complete the form and have two people witness you signing it. If youprefer, you can have the form notarized.5. Tell your family and/or friends about your Advance Directive. Give copies toyour agent, key family members, doctor, hospital or other healthcare facility. RRecognized for theHighest Standardsof HealthcareSansum Clinic is held to the highest standardsof healthcare and is proud to have garneredrecognition, accreditation and awards fromnational and state agencies:• Institute for Medical Quality (IMQ)accreditation for ambulatory care• California Association of Physician Group’s(CAPG) Standards of Excellence Award forExemplary Status• California Office of the Patient AdvocateRating: Highest Overall on the CentralCoast for meeting national standards ofhealthcare• Integrated Healthcare AssociationCertificate of Outstanding Performancefor patient experience• Echocardiography Lab accreditedby Intersocietal Commission for theAccreditation of EchocardiographyLaboratories (ICAEL)• Integrated Healthcare AssociationCertificate of Outstanding Performancefor diabetes management• American Diabetes Association (ADA)recognition for Diabetes Self-ManagementEducation Program• Bariatric Center of Excellence designationby American Society for Metabolic andBariatric Surgery (ASMBS)• Doctors’ Weight Management ProgramGold Standard Award from HMR• American College of Radiology (ACR)Accreditation for US, Stereotactic BreastBiopsy, MRI, CT, and PET/CT• American College of Radiology (ACR)Mammography Quality Standards Act(MQSA) – State and Federal accreditationfor all mammography• Breast Care Alliance accredited by theNational Accreditation Programs for BreastCenters (NAPBC) RSansumClinic.org • issue 3 • winter 2012 13

health educationHealth Education ProgramsJoin us to become active participants inyour good health! Sansum Clinic offersmany tools to help you have the besthealth possible. The health educationprograms are designed with you in mind.All are taught by professionals, includetake home materials and are availableon an ongoing basis. They are free ofcharge or low in cost and are open to thecommunity. Programs include:advance directives: start theconversationWhat is an advance directive? Do youneed one? An advance directive gives youcontrol over medical decisions that willbe made if you ever become seriously illor injured. It makes sense for every adultto have one. An attorney and a socialworker from the Alliance for Living andDying Well will help you learn how toinform your doctors and family aboutyour wishes and how to choose someoneto speak for you if you are ever unableto speak for yourself. You will receive afree copy of 5 Wishes, a legal AdvanceDirective that you can complete yourself.back wellnessOur Physical Therapist will teach youways to have less pain by making simplechanges to your daily activities and showyou what to do when you have sudden orsevere back pain. You will practice simplelow back exercises to improve flexibilityand core strength that will help you tofeel better.balance & mobilityNatural aging, osteoporosis, arthritis andmore can affect mobility and balance.With the guidance of our PhysicalTherapist you will practice simpleexercises to improve:• Strength, flexibility andendurance• Using sensory systems for balance• Posture and balance strategies formovement• Patterns of walkingbariatric surgery orientationIf you are 80 pounds or more overweightand have been unsuccessful with otherweight-loss alternatives, you owe it toyourself to find out about innovativenew treatments. Gastric Bypass and Lap-Band surgery have proven to be safe andeffective treatments for severe obesity.Meet Dr. Marc Zerey at an informativeseminar on weight-loss surgery.cholesterol managementAre you concerned with cholesterol andheart health? If yes, then this seminaris for you. Our Registered Dietitian willhelp you to:• Interpret your blood test results• Learn the facts about dietary fats,fiber, vitamins and minerals• Understand how to chooseenjoyable, heart-healthy meals• Discover practical changes to lowercholesterol.coumadin & warfarin: whatyou need to know for besthealth resultsDo you have concerns or questionsabout your anti-coagulation medication?If so, our anti-coagulation team has theanswers! You will learn: why regularblood testing is necessary, why foodintake impacts blood test results, andwhy it’s so important to monitor overthe-countermedications.diabetes blood sugar controlAttend this program to learn how bloodsugar monitoring helps you manage yourdiabetes and improve blood sugar. Youwill learn how to use your meter, when totest, your blood sugar goals, and what to dowhen blood sugar is too high or too low.diabetes basicsThis two-part program is an excellentupdate for all people with diabetes and amust for anyone newly diagnosed. Theclass discusses who is at risk, physiologyof diabetes, what lab results mean, howto lower blood sugar, what happenswhen diabetes is out of control, benefitsof exercise, how food affects blood sugarand health, how to use food labels, carbcounting, eating well away from homeand guidelines for alcoholic drinks.hip or knee replacement seminarAre you having Hip or Knee ReplacementSurgery? If so, this class is for you! OurPhysical Therapist will teach you:• How to prepare before surgery forthe best results• Exercises that will speed recoveryand get you moving sooner• What will occur on the day ofsurgery and in the hospital• How to make a smooth transitionback to home• About living with and caring foryour new hip or knee.hiv support groupInfection with HIV is serious but theoutlook for people with HIV/AIDS isimproving. If you are infected with HIV,there are many things you can do to helpensure you have a longer, healthier life.Join this group to meet others and discuss:• HIV basics and your body• Medicines and current treatment• Talking to family and friends• Negotiating sexual encounters• Living well with HIVPlenty of time will be allowed foryour questions. Family and friends areencouraged to attend.insulin users peer groupDo you use insulin to manage diabetes orwant to know more about it? If yes, jointhis monthly support group facilitated bya Certified Diabetes Educator. Variousdiscussion topics include new technologyfor diabetes, exercise while using insulin,nutrition and coping strategies.lymphedema educationLymphedema is a chronic conditionin which excess lymph fluid collects inthe tissues and causes swelling (edema),most commonly in the arms and legs.This can happen following surgery orradiation to the lymph nodes. Learnwhat you can do to reduce your risk of14 winter 2012 • issue 3 • SansumClinic.org

developing Lymphedema.medicareNew to Medicare? Preparing for openenrollment? HICAP can help! HICAP,Health Insurance Counseling andAdvocacy Program, provides free,unbiased information about Medicare.Experts from HICAP will help you tounderstand Medicare and get the mostbenefit from it. Ample time is allowed toanswer your questions.neck & posture wellnessOur Physical Therapist will teach youways to have less pain. You will practicesimple exercises to improve neck andupper back flexibility, as well as trunk/core strength. You will participate in fiveflexibility measurements to determinewhich exercises will be the most beneficialfor you. Join us to learn effective ways tomanage your neck pain.nutrition navigatorOur Registered Dietitians lead a monthlydiscussion for people interested in food,health and longevity. Join this group to:• Discuss a variety of popularnutrition topics• Clarify confusion about food• Learn ways to keep blood sugar,cholesterol and weight in ahealthy range• Meet others with an interest ineating for health and vitality.pre-diabetesDo you have pre-diabetes or is yourblood sugar a little high? This is yourchance to prevent diabetes and alsoheart disease with simple lifestylechanges. Join this class to learn howyou can help yourself. Our RegisteredDietitian will help you discover:• The meaning of your lab testsand healthy blood sugar goals• How to balance your meals todecrease blood sugar• Factors you can change tolower your risk and lose weightif necessary.stress managementStress can ruin our days and shorten ourlives. This entertaining and informationpacked program will help you to:• Relax, change your thoughts and bemore mindful• Improve communication andmanage anger and frustration• Sleep well and find more joy inevery day.You will learn simple strategies you canuse to minimize the effect of stress andopen the door to feeling well.walk & train physical therapistThis program is for mature adults who arebeginning or intermediate walkers. TheHealth Educator and Physical Therapistwill help you with:• Improving endurance• Increasing neuromuscularefficiency• Agility training• Light toning & stretching exercises• Learning about new health topics• Having confidence in being activePlease bring a bottle of water, dress foractivity, and be ready to meet great people!weight management strategiesAttend this program to learn choicesand habits that lead to successful weightmanagement in a supportive, smallgroup setting. Our Registered Dieticianwill help you:• Choose healthy foods for everyday eating• Incorporate activity into your lifestyle• Set realistic goals and separate fadsfrom reliable nutrition informationFor more information about any of ourprograms or for answers to you healthquestions, please visit or call our HealthResource Center at 215 Pesetas Lane,Santa Barbara, phone (805) 681-7672 or(800) 281-4425 x7672. RScan QR Code with a mobile readerto register onlineSansum Clinic Launches NewInfectious Diseases BlogThe Department of Infectious Disease recently launched a new blog to presentinfectious disease issues of importance to our community, such as the currentsituation with influenza, the impact of drug resistant organisms, and MRSA.Visit www.SansumClinic.org/Blogs and click on Infectious Diseases Discussion.We will also address other topics of general interest, such as food borne illnessesand issues of interest to travelers. There is an opportunity for comments to beposted under each entry. (We will not be attempting to diagnose or treat anyonewho comments, but hope to discuss the issues and clarify information as required.)We welcome your suggestions on topics you would like to see us cover — so pleasesign on and join the discussion! RDavid T. Fisk, MDScan QR Code witha mobile reader tovisit blogMary-Louise Scully, MDAlan M. Sugar, MDSansumClinic.org • issue 3 • winter 2012 15

thanks to our sponsorsSpecial Thanks to Our DonorsSansum Clinic gratefully acknowledges the generous supportof our donors for their cumulative gifts of $1,000+ in 2011.Working together, we are making a difference.As a nonprofit organization, Sansum Clinic relies on privatesupport so that we may continue our commitment to thehealthcare needs of our patients and the community. Pleasetake a moment and complete the enclosed remit envelope orvisit us at www.sansumclinic.org to make your online gift. RFor more information contact Dru A. Hartley,Director of Philanthropy at (805) 681-7726 ordhartley@sansumclinic.org.The generous support of our donors enables us to provide servicesand programs to our patients and the community including:• Visiting Professor of Surgery Education Program• Scholarships for Nursing Students• Health Education Programs• New Medical Technology• Flu Shot Program• Camp Wheez for Kids with Asthma• Facility Upgrades• Diagnostic Testing, Mammograms and Colonoscopiesfor those in need through our partnership with theSanta Barbara Neighborhood ClinicsAnonymous (6)Mark S. Abate, MDPeter and Rebecca AdamsAncillary Care Solutions, LLCDr. and Mrs. Mortimer AndronAnesthesia Medical Group ofSanta Barbara, Inc.Evan and Pat AptakerTimothy ArmourBeatrice A. AskmanCharitable FoundationBank of AmericaLarkie and Bonnie BarnettBehind the ScenesJosef and Judith BelesBeneflex Insurance Services, Inc.Arlene and Barrie BergmanMike and Shannon BernsteinBertling & Clausen, LLPMichael and Tracy BollagDrs. R.A. and S.L. BraganzaMerna and David BraunBronwen Brindley, MD andJohn L. WarrenPaul BristolBrittingham Family FoundationThe Eli and EdytheBroad FoundationKay S. BruceLars E. Bruun-Andersen FamilyAndy and Kim BuschDonna S. Cannady, RN, FNPThe Capital Group CompaniesCharitable FoundationLesa and Randy CaputoMark and Carrie CaseyJacques A. Charest, Ph.D.Rosa Choi, MD andRichard Chung, MDDr. and Mrs. Paul CisekJeff and Paula ClarkClassic Party RentalsClinkenbeard, Ramsey &Spackman, LLPMr. and Mrs. Kenneth J. CoatesVictor L. ColeSue and JW ColinMr. and Mrs. Richard ComptonPhilip and Jeanette CondonDon R. ConlanDr. and Mrs. Cary L. ConyersChris Corpuz and Donna KellCottage Health SystemCottage Hospital PathologistsCox CommunicationsThe Crary FoundationJoan and Roger CratonCSL Behring LLCLeonardo CurtiMichael and Alyce DalanyThe Earl and MerrilynDamitz FamilyDr. and Mrs. Erno DanielAlyce and Philip de ToledoDiPaola FoundationThe Doctors Management Co.Jim and Wendy DrasdoThe Duca FamilySteve DuncanBailey and Franklin EckVirgil Elings, Ph.D.Robert and Christine EmmonsNancy Englander andHarold M. WilliamsEpicExxonMobilBeverlye and Bob FeadDavid and Marianna FisherStan and Roberta FishmanMr. and Mrs. J. Thomas FlyJill and Joseph FonteHunter FosterMrs. H. Vernon FreidellSusan P. FrenchJulianna FriedmanFurlong & Furlong Associates, Inc.Lee and Elizabeth GablerDr. and Mrs. John GainorMarilyn GevirtzAllan GhittermanJames and Diane GilesJohn and Christie GlanvilleMarsha and Jay Glazer FoundationShari and Ed Glazer andthe Tampa Bay BuccaneersArlyn and Marlowe GoldsbyMr. and Mrs. Robert G. GoldsteinAbner and Roz GoldstineNancy GongMr. and Mrs. Danny GreenspunAgnes GundDr. Mukul GuptaTerry HamermeshDru A. HartleyMr. and Mrs. Paul W. Hartloff, Jr.Gail and Roger HauptVicki and Bob HazardJeff and Judy HenleyThe Estate of Ardis O. HigginsThe Estate of James Kenneth HillBarret and Suellen HilzerChad and Lilia HineDr. and Mrs. John D. HobsonGary HockCarolyn G. HollowayDeanna HongHUB InternationalThe Ann JacksonFamily FoundationJeff and Hollye JacobsJames D. ScheinfeldFamily FoundationPenny Jenkins andGregg HackethalMr. and Mrs. Bent JensenGhita JonesPete and Gerd JordanoTom and Liz KaplanKarl Storz Imaging, Inc.Dr. and Mrs. Karl KassityLauren and Steven KatzCharles and Rebecca KayeBill and Elise KearneyJulie and Jamie KellnerHerbert and Elaine KendallCharitable FoundationKoper FamilyKarin L. LarsonDr. and Mrs. Ronald G. LatimerThe Lehrer Family FoundationPeter D. LewisMr. and Mrs. Levere LundMr. and Mrs. John T. LundegardKandy Luria-Budgor andAaron BudgorBernard J. MacElhenny, Jr.Raymond and Vicky MacGregorMadison Healthcare InsuranceServices, Inc.John and Sally MandleMarBorg IndustriesWilliam and Rhonda McBrideJames and Alicia McFarlaneSteve and Julie McGovernJames V. McNamara, MDJames M. MerrickMindStreams, LLCMontecito Bank & TrustBob and Val MontgomerySteven MooreDr. and Mrs. Peter L. MorrisJulie and Jack NadelBen and Berni NewittDrs. Marjorie and Gregg NewmanThe Nichols Management GroupNissenson Family FundNorthern Trust Bank of CaliforniaShelby and Darcie NotkinOlio e Limone and Olio PizzeriaDr. Michael J. OmlidOrfalea FoundationPaul and Kathryn OrloppOstin Family FoundationPacific Coast Business TimesAlex PananidesCrosby and Ruth PanoyanPaula and Dennis PatrickNorman and Mary PattizKirk and Carolyn PendletonJoAnne and Donald Petersen16 winter 2012 • issue 3 • SansumClinic.org

Philanthropy + Partnership“My colon cancer was discovered when I had a colonoscopy at age 67,which probably saved my life. I wanted to make this procedure availableto others who could not otherwise afford it. My hope is that they willhave the same positive outcome that I had.”— Dr. Virgil Elings, philanthropist“Dr. Elings’s generous gift makes it possible for 400 people in needto receive free colonoscopies through a joint effort by Sansum Clinicand the Santa Barbara Neighborhood Clinics.”— Dr. John Petrini, gastroenterologist at Sansum Clinic470 South Patterson Ave.Santa Barbara, CA 93111