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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.