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B18 THE COAST NEWS<br />

DEC. 16, 2011<br />

Tri-City performs robotic surgery<br />

OCEANSIDE — Heart<br />

surgeon Paul Mazur conducted<br />

North County’s first cardiac<br />

surgery Nov. 28 at Tri-<br />

City Medical Center using the<br />

new robotic apparatus, the da<br />

Vinci Surgical System.<br />

According to a hospital<br />

spokesman, a day later, the<br />

patient, Patricio Maynigo of<br />

San Marcos, was sitting up<br />

and talking and admiring the<br />

small incision left by the<br />

bypass surgery. By<br />

Wednesday, he was touching<br />

his toes, walking around and<br />

savoring how great it felt to<br />

not feel dizzy or in pain.<br />

Tri-City Medical Center<br />

is the only hospital in northern<br />

San Diego County and<br />

southern Orange County to<br />

offer this surgery, and it is one<br />

of just four hospitals in San<br />

Diego County that can perform<br />

the procedure.<strong>The</strong>re are<br />

no hospitals in Riverside or<br />

San Bernardino Counties that<br />

perform the surgery.<br />

Maynigo is a 66-year-old<br />

retired farmer from the<br />

Philippines. He spent his<br />

mornings and afternoons<br />

walking his 9-year-old grandson<br />

to and from school.<br />

Earlier this year, those walks<br />

became difficult; he got tired<br />

and dizzy and had to stop<br />

repeatedly - so he visited his<br />

doctor. Tests revealed a block-<br />

DEL MAR —<br />

Construction crews have finished<br />

all pile drilling and<br />

installation associated with a<br />

$4.8 million effort to stabilize<br />

the coastal bluffs along the<br />

railroad track in Del Mar. This<br />

milestone means that the<br />

most significant construction<br />

activity in the stabilization<br />

effort is complete. Remaining<br />

work is expected to wrap up<br />

within weeks.<br />

<strong>The</strong> 1.6-mile segment of<br />

track along the Del Mar bluffs<br />

is an integral part of the 351mile<br />

San Luis Obispo - Los<br />

Angeles - San Diego (LOS-<br />

SAN) rail corridor, which provides<br />

a link for regional,<br />

national, and international<br />

movement of passengers and<br />

freight. <strong>The</strong> North County<br />

Transit District (NCTD)<br />

<strong>Coast</strong>er and Metrolink commuter<br />

rail services, Amtrak<br />

Pacific Surfliner intercity<br />

service, and BNSF Railway<br />

freight service all rely on this<br />

segment of track to serve their<br />

customers.<br />

SANDAG has led the con-<br />

SMALL TALK<br />

CONTINUED FROM B1<br />

“heavy hors d’oeuvres,” which<br />

may be closer to real food, but<br />

it’s still risky. It can never be<br />

good form to look to the<br />

weight of the canapé trays for<br />

your sustenance.<br />

<strong>The</strong> good news, I suppose,<br />

is that all those “refreshments”<br />

are out there just waiting<br />

for the rest of you. But<br />

remember, once you arrive,<br />

you have to stay until the end.<br />

Is there a cookie baked anywhere<br />

worth that?<br />

Jean Gillette is a freelance<br />

writer who is most<br />

refreshed by staying home<br />

with her feet up. Contact<br />

her at jgillette@coastnewsgroup.com.<br />

Heart surgeon Paul Mazur uses the new robotic da Vinci Surgical<br />

System for the first time at Tri-City Medical Center to operate on North<br />

County’s first cardiac surgery in November. Courtesy photo<br />

age in one of the blood vessels<br />

that feeds the heart. It was<br />

recommended he receive a<br />

bypass whereby the surgeon<br />

reroutes blood from one<br />

artery to another to improve<br />

blood flow, thus lessening the<br />

symptoms and reducing the<br />

risk of a heart attack.<br />

struction effort in collaboration<br />

with NCTD and Del Mar.<br />

<strong>The</strong> work is expected to be<br />

complete before the<br />

Christmas holiday, within the<br />

originally estimated fivemonth<br />

timeline.<br />

Periodic stabilization of<br />

the bluffs is necessary to help<br />

preserve trackbed support to<br />

ensure uninterrupted passenger<br />

and freight rail service<br />

along the nation’s second<br />

busiest passenger rail corridor.<br />

With more than 50 trains<br />

per day operating on the San<br />

Diego segment, construction<br />

work must be performed at<br />

night.<br />

Working Sunday through<br />

Thursday nights, construction<br />

crews installed 92, three-footwide<br />

soldier piles in seven different<br />

areas, totaling approximately<br />

900 linear feet. <strong>The</strong><br />

piles were placed in vertically<br />

drilled shafts into the bluffs to<br />

depths ranging from 45 to 60<br />

feet and are designed to help<br />

secure sections of the bluffs<br />

for approximately 20 years.<br />

<strong>Coast</strong>al erosion has been<br />

Typically, a patient<br />

receiving a heart bypass<br />

would be put on a heart-lung<br />

machine and a rather large<br />

incision would be made in the<br />

breastbone. With the da Vinci<br />

robot, the surgeon was able to<br />

make a smaller incision, causing<br />

less damage to muscula-<br />

an ongoing challenge since<br />

the rail line was built more<br />

than a century ago. SANDAG<br />

and NCTD conducted stabilization<br />

efforts most recently<br />

in 2002 and 2007 at various<br />

locations along the Del Mar<br />

bluffs.<br />

<strong>The</strong> last major stabilization<br />

effort occurred over a<br />

period of about nine months<br />

from June 2007 to March<br />

2008. During that time,<br />

SANDAG placed 136 soldier<br />

piles in areas spanning a combined<br />

length of about 1,300<br />

feet.<br />

NCTD will continue to<br />

monitor the stability of the<br />

bluffs to ensure continued<br />

safe rail operations.<br />

Additional stabilization<br />

efforts are anticipated in the<br />

future and will be conducted<br />

based on need and funding.<br />

<strong>The</strong> $4.8 million project<br />

was funded predominantly by<br />

Caltrans through the State<br />

Transportation Improvement<br />

Program, with $224,000 from<br />

the U.S. Department of<br />

Transportation Federal<br />

ture and less exposure to<br />

other organs.<br />

Mazur made a small incision<br />

under the pectoral muscle<br />

between the ribs to access<br />

the arteries and heart to perform<br />

the bypass. <strong>The</strong> patient<br />

was not placed on a heartlung<br />

machine. Because of the<br />

benefits of the smaller incision<br />

and no heart-lung<br />

machine, the time needed for<br />

recovery is cut nearly in half.<br />

With the traditional method,<br />

a patient was in the hospital<br />

an average of 4 to 8 days followed<br />

by two months of recovery;<br />

with the da Vinci, the<br />

patient is usually discharged<br />

within two to four days and in<br />

recovery for two weeks.<br />

“It went very smoothly,”<br />

Mazur said. “<strong>The</strong> da Vinci is<br />

an excellent tool that makes<br />

my job a lot easier and the<br />

impact of the surgery on the<br />

patient much less.”<br />

Mazur trained with one<br />

of the leaders in the field and<br />

has performed the surgery on<br />

numerous occasions.<br />

Along with thanking his<br />

surgeon, Maynigo also<br />

praised his Intensive Care<br />

Unit nurse, Giana Novelli, for<br />

her kindness and compassion.<br />

For more information about<br />

Tri-City Medical Center, visit<br />

tricitymed.org.<br />

Bluff stabilization is moving ahead<br />

Transit Administration.<br />

West <strong>Coast</strong> General<br />

Corp. and Condon-Johnson &<br />

Associates, Inc. served jointly<br />

as general contractors for the<br />

project. CALTROP provided<br />

construction management<br />

services.<strong>The</strong> project was engineered<br />

by David Evans and<br />

Associates, Inc. Other subconsultants<br />

included Helix<br />

Environmental Planning, Inc.,<br />

Leighton Group for geotechnical<br />

services, and Everest<br />

International for hydrology.<br />

Additional information<br />

about the project is available<br />

online at sandag.org/delmarbluffs.<br />

<strong>The</strong> San Diego<br />

Association of Governments is<br />

the San Diego region’s primary<br />

public planning, transportation,<br />

and research<br />

agency, providing the public<br />

forum for regional policy decisions<br />

about growth, transportation<br />

planning and construction,<br />

environmental management,<br />

housing, open space,<br />

energy, public safety, and<br />

binational topics.<br />

MiraCosta College starts enrollment<br />

COAST CITIES —<br />

MiraCosta College’s spring<br />

2012 semester starts Jan.<br />

23. Enrollment is on the<br />

increase at MiraCosta, but<br />

great classes are still available,<br />

including transferlevel<br />

courses in these disciplines:<br />

accounting, administration<br />

of justice, anthropology,<br />

architecture, art,<br />

astronomy, automotive<br />

technology, biology, biotechnology,<br />

business administration,<br />

business office technology,<br />

chemistry, child<br />

development, Chinese,<br />

communication, computer<br />

studies/science, counseling,<br />

dance, drafting, drama,<br />

earth sciences, economics,<br />

English, film, French, geography,<br />

geology, German,<br />

health, history,<br />

Horticulture, Hospitality,<br />

Humanities, Italian,<br />

Japanese, Kinesiology,<br />

Library Science, literature,<br />

math, media arts technology,<br />

music, nursing, oceanography,<br />

pharmacology, philosophy,<br />

physics, political<br />

science, psychology, reading,<br />

real estate, sociology<br />

and Spanish.<br />

Classes are offered<br />

during the day, evening,<br />

weekends and online.<br />

Students may also enroll in<br />

self-paced classes taught in<br />

computer labs on campus.<br />

MiraCosta also offers a<br />

selection of classes with<br />

late-start dates, that conclude<br />

at the same time as<br />

“regular” courses.<br />

Tuition is $36 per unit<br />

for California residents. For<br />

more information, to register<br />

for classes or to request<br />

a class schedule, call (760)<br />

757-2121 or visit miracosta.edu.<br />

Financial aid and<br />

scholarships are available.<br />

LEARNING TO GRIEVE<br />

Project Manager Yvette Williams, a gospel singer, performed<br />

at the “Light Up A Life” memorial presented by<br />

Hospice of the North <strong>Coast</strong> Dec. 4, at the Oceanside<br />

Museum of Art. Above, she displays one of the custom-created<br />

crystal ornaments sold to enable HNC to continue<br />

treating hundreds of terminal patients whose families will<br />

never be billed. To purchase an ornament or to learn more<br />

about HNC, visit hospicenorthcoast.org or call (760) 431-<br />

4100. Courtesy photo<br />

Encinitas announces<br />

holiday parade results<br />

ENCINITAS — On a picture-perfect<br />

winter<br />

Encinitas night, tens of thousands<br />

of cheering spectators<br />

lined up on <strong>Coast</strong> Highway<br />

101 to watch the Holiday<br />

Parade Dec. 3.<br />

This year’s parade<br />

theme was “Encinitas 25 —<br />

Celebrating our Beginning,”<br />

highlighting the city’s 25th<br />

anniversary and its five communities.<br />

Judging categories this<br />

year included Best<br />

Representation of Year 1986,<br />

Most Unusual, Best<br />

Performance and Best Use of<br />

Flowers.<br />

<strong>The</strong> Parks and<br />

Recreation Department, the<br />

Encinitas Holiday Parade<br />

Committee and the parade’s<br />

panel of community volunteer<br />

judges congratulate the<br />

winners in the following<br />

judging categories.<br />

Be sure to check out the<br />

slideshows of the parade<br />

hosted by our sponsor Angel<br />

Printing at<br />

facebook.com/angelprint.<br />

Winning entries included:<br />

— Best Use of <strong>The</strong>me:<br />

First place: N.B.I.A.P.B.<br />

Second place: YMCA Bear<br />

Princess Nation. Third place:<br />

DEMA.<br />

— Best Use of Lights:<br />

First place: North County<br />

School for the Arts, Second<br />

place: Team in Training.<br />

Third place: DEMA Third<br />

place: Encinitas Elks Lodge<br />

—Best Use of Flowers:<br />

First place: Encinitas Elks<br />

Lodge. Second place: Mira<br />

Costa College. Third place:<br />

Girl Scouts Encinitas Service<br />

Unit.<br />

— Best Children’s<br />

Group: First place: YMCA<br />

Bear Princess Nation.<br />

Second place: YMCA<br />

Redhawk Nation, Third<br />

place: Dance Connection.<br />

Fourth place: North County<br />

School for the Arts<br />

— Best Performance:<br />

First place: Ada Harris<br />

Elementary. Second place:<br />

Mira Costa College. Second<br />

place: Encinitas Country<br />

Day School.Third place: Girl<br />

Scouts Encinitas Service<br />

Unit<br />

— 1986 theme: First<br />

place: N.B.I.A.P.B. Second<br />

place: YMCA- Bear Princess<br />

Nation. Third place:<br />

Olivenhain Country Day<br />

Preschool & Infant Center<br />

— Community: First<br />

place: Encinitas Country<br />

Day School. Second place:<br />

San Diego Woody Club.Third<br />

place: Leucadia Town<br />

Council<br />

— Best Marching<br />

Band: First place: San<br />

Dieguito Academy Marching<br />

Band. Second place: La<br />

Costa Canyon High School<br />

Marching Band. Third place:<br />

Oak Crest & Diegueño<br />

Combined Marching Band<br />

— Most Unusual: First<br />

place: Team Paradox<br />

Robotics. Second place:<br />

Encinitas Country Day<br />

School. Third place: SDA<br />

Japanese National Honor<br />

Society.<br />

— Best Overall: First<br />

place: YMCA Bear Princess<br />

Nation. Second place:<br />

DEMA, Third place:<br />

Encinitas Country Day<br />

School.

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