Barbara Pombo • Development Director

Sip ‘N Stroll Success Literally SpillsOver ...And Back Again...

Hospice of SanJoaquin’s ButterflyAuxiliary members

carry a well-deserved reputationfor ‘flitting’ around the Countyand beyond... and bringing backsweets that provide for the careof patients in the Hospice House.

Take “The Chocolate Lady”who provided the shooters andpoppers for Sinful Pleasuressection of the 7th Annual Moon-light Sip ‘n Stroll on HeronLakes Drive, Brookside. EdnaPatitucci, sole proprietor of TheChocolate Lady, explains:“shooters and poppers are littlechocolate cups that are used fortasting dessert wines and Port--perfect for this event, all aboutfun and laughter. I found thatthe Sip ‘n Stroll crowd werevery appreciative of the oppor-tunity to taste. They were hav-ing a great time, a fun-lovinggroup – very courteous, very

supportive of Hospice of SanJoaquin.” Edna shared that sheresponded to a phone call fromButterfly Auxiliary memberAdrianna Crowley who askedfor a donation and then arrangedto visit Edna at her business inSutter Creek with Butterflymember Catriona Linn.

Their mutual admiration wasimmediate and The ChocolateLady committed her help. “Thisevent was great exposure for us,a nice opportunity to give backto such a great organization. Wedon’t have a retail store, whole-sale mostly to wineries and giftstores. We do weddings, our

cups used to toast the bride andgroom. Our orders are throughthe internet (thechocolatelady.biz). Actually, we made a con-nection for a September weddingat the Sip 'n Stroll.” Edna, TheChocolate Lady, has already putSip ‘n Stroll 2009 on her calen-dar (August 15th)!

Stockton Sunrise Rotary un-derwrote the general expensesfor the Sinful Pleasures venue.Other participants in that areaincluded The Chocolate Factory.For a full list of restaurants, win-eries, breweries and other busi-nesses who donated their goodsand/or provided underwriting forthe Sip ‘n Stroll please see thelist on page 3 of this issue. Withthe partnership of these busi-nesses and individuals the Aux-iliary reported a record netprofit, based on an increase ofdonations from businesses andan estimated 1200 guests.

Providing continuity of care for pa-tients approaching end-of-life is theresponsibility of all treatment mo-dalities—the hospital, the nursinghome, the hospice—and shouldbe under the direction of the phy-sician. Partnering together is awin-win-win proposition re-garding patient satisfactionand good pain and symptommanagement. Partneringshould be the guiding prin-ciple in providing patient care.

An important statistic toconsider is that people inAmerica are living longer today,and dying not from sudden illnessand infection, but from disabilityand chronic illnesses. It is nowthought the larger growing populationis those persons 85 and over. With in-creased age comes increased frailty. And,while most state they want to spend theirfinal months at home, the National Hospiceand Palliative Care Organization’s 2003 Re-port indicated that of all people who died inthat year, 75% were in institutions, and only25% at home.1 Now, more than ever be-fore, it becomes important for healthcare pro-viders to communicate to assure quality of care for their patients.

From the hospice standpoint, hospital admissions constitute acute

care. When cure is no longer an op-tion, palliative therapies can help al-

leviate pain and bring hope to pa-tients and families. When treat-

ments are exhausted or inef-fective, comfort care (hos-pice care) is the natural nextlevel of care to provide painmanagement, symptomcontrol, and support to pa-tients and families. Underthe direction of your phy-sician, the levels of carecan be seamless—espe-cially when the expertise ofthe hospice nurse or social

worker is included early inthe disease trajectory.

Hospice of San Joaquin en-courages its community physi-

cians to partner with us to ensurethat all patients facing life-limiting

illnesses receive quality care—from di-agnosis, possible hospital admission, nurs-

ing home placement, and ultimately hospicereferral. Together, we can provide the sup-port and continuity of care our patients de-serve.

1 Marx, T.L., DO, Partnering with hospice toimprove pain management in the nursing home setting, The Journal of theAmerican Osteopathic Association, March 2005, Vol 105 (3), pgs 22-26

Our MissionThe mission of Hospice of

San Joaquin, a not-for-profitorganization, is to providecomprehensive medical andcompassionate care, counsel-ing and support to terminallyill patients and their families,regardless of ability to pay,and to educate and collabo-rate with health care provid-ers and the public in promot-ing quality end-of-life care.

A nonprofit agencyserving the communitysince 1982

Hospice is governed by acommunity Board of Directorsand is recognized as a 501 (c)(3) organization. Hospice ofSan Joaquin is licensed by theState of California as a Hos-pice Agency and is certifiedby the Centers for MediCareand Medi-Cal Services to pro-vide the Hospice Medicare/Medi-Cal Benefit. The JointCommission of Accreditationof Health Care Agencies(JCAHO) has accredited Hos-pice of San Joaquin, most re-cently in May 2008. For moreinformation or referral, call(209) 957-3888.

Board ofDirectors

Officers:Mark Wallace, President

Director of HumanResources, Lodi MemorialHospital

Edward Schroeder, VicePresidentPresident & CEO,O’Connor Woods

Chris Olin, SecretaryCommunity Volunteer

Gayle Riley, R.N. TreasurerNurse, HealthcareAdministrator, Retired

Members:Nicholas Aninag

Vice President, Bank ofStockton

Jacqueline Bagatta, R.N.,M.S.N. Deputy Director,San Joaquin GeneralHospital

Phyllis Berger, Esq.Humphrey’s Law SchoolProfessor

Joseph CurtisAgency Owner, AllstateInsurance, CurtisInsurance Agency

Lynne DavisDavis & AssociatesInsurance Brokers

Daniel DixonCFO, Mariani's Men's &Boy's Clothing

Patricia ErardiCommunity Volunteer

Richard Ghio, CPAInstructor, San JoaquinDelta College

Gary GianniniPrincipal, Schwartz,Giannini, Lantsberger &Adamson, CPA’s

Pete Gormsen, CPA,DeGregori, Gormsen,Ringer, LLP

Deitra KenolyAdvertising Director, TheRecord

Jim LindermanSt. Joseph’s RegionalCancer Center, Support &Education Coordinator

Chris McCaffreyVice President, MorganStanley

Diane ParkFund DevelopmentConsultant

Danae Sharp, R.N.Nursing Supervisor,Dameron Hospital

Diane VigilP.R. Director, DameronFoundation

Barbara A. TognoliExecutive Director andMember of the Board

Support PersonnelRobert T. Browne, M.D.

Medical DirectorJames Saffier, M.D.

Staff PhysicianMobin Ghavami, M.D.

Staff PhysicianGail E. Wigley, RN

Director, Clinical ServicesJo E. Paganini, MSW

Director, Social ServicesSteve Parsons

Director, Operations /Finance

Barbara A. PomboDirector, Development

Gene AcevedoDirector, CommunityOutreach and PublicRelations

Audrey Wuerl, RN, BSNEducation Coordinator

Julie A. LofyVolunteer Coordinator

Carey M. VanderkarBereavement Coordinator

Jim R. RussowChaplain

Patty A. RieberHuman Resource Manager

Leo RonquilloInformation SystemsManager

Carolyn GomesAnnual Gifts & EventsPlanner

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3888 Pacific Avenue • Stockton, California 95204-1953 • 24 hr. main-line: (209) 957-3888 • fax: (209) 957-3986 http://www.hospicesj.org

Para asistencia en español, vea anuncio en la contraportada

Quality You Can TrustJoint Commission Accredited

Gayle Riley, RNHSJ Board Member

November:NationalHospice

Palliative CareMonth

My mother, a resident ofLodi for over 60 years, died in aLodi nursing home at the won-derful old age of 92.

But because our family wasnot advised of the availability ofhospice services for nursinghome residents, her last fewmonths of life were not peace-ful. So to honor her memory Iwould like to tell her commu-nity of this very special end-of-life option available to you andyour loved ones. First, let meprovide an overview of hospicecare in our country.

In 2005, President Bushsigned a proclamation declaringNovember as National HospiceMonth. The proclamation readsin part: “Hospice enables manyof our citizens to spend their fi-nal days in comfort and dignitysurrounded by loved ones. Thispalliative care plays a vital rolein our Nation’s health care sys-tem, and the dedicated work ofhospice care givers helps ensurethat our citizens receive the ser-

vices and support they need”.That same year, 1.2 million

people with life-limiting illnessesreceived care from one of over4,000 hospice agencies, repre-senting approximately one-third

of this nation’s deaths. Cancerdiagnoses accounted for 46% ofhospice admissions, while thetop non-cancer diagnoses in-cluded dementia/debility (17%),heart disease (12%), lung dis-

ease (7%), kidney disease (3%),with other diagnoses combiningat just under 15%. An article inthe Journal of the AmericanMedical Association published in2000, addressed the issue of“Access to Palliative Care andHospice in Nursing Homes”. Itcites that “dying residents expe-rience high rates of untreatedpain and other symptoms andthat they and their family mem-bers do not receive adequatesocial and spiritual support.Hospice Care improves end-of-life care for dying nursing homeresidents by addressing these is-sues, but it is rarely used, eventhough most nursing home resi-dents have incurable chronic dis-eases, and more than half havebeen diagnosed with progressivedementia”.

Progressive dementia is whatmy mother had. She could nolonger walk nor sit in a wheelchair unless a safety belt was

Audrey Wuerl, RN, BSNEducation Coordinator

Quality of Life Partnerships

continues on page 2

From the DirectorI have just returned from a beautiful trip to France,

where I embarked on travels throughout the Loire Valley,where the “tres belle” villages maintain the architectureand culture of the medieval ages and earlier history.Hospice care has its roots in the Middle Ages, so it was nosurprise to me to find structure markers identifying that a

“hospice” once existed here,ministering to weary travelers andthose on pilgrimage to the greatcathedrals throughout Europe.

Inspiration for my short messagehere came from gazing upon thesemagnificent churches. Each cathe-dral took centuries to complete.Each took the dedication and skillsof architects, master builders,journeymen and artists all working

together to bring about such breathtaking beauty. Part-nership. The stone cutter depended on the work of thequarry man. The artist secured his scaffold to a wallerected by a stone mason. Sponsors and patrons pro-vided finances to continue the work and provide wagesfor the artisans whose lives were spent on this spiritualand physical journey.

Partnership is the theme of this newsletter and analo-gies abound. Hospice of San Joaquin would not be in theposition it is today without our partnership with so manyother generous people and organizations. Donors,volunteers, physicians, discharge planners, social ser-vices, healthcare providers, hospitals and our families andpatients; all working together to create hospice care. Alonewe might accomplish “placing one stone upon another”but our structure would be weak, without the nuancesand skills offered by all these other partners.

We hope as someone receiving this Newsletter you willconsider yourself as our partner in providing hospiceservices. When you support us we are able to supportthose who are on their final pilgrimage in life.

Thank you!

Hospice Awareness is a quarterly newsletter published byHospice of San Joaquin Located at 3888 Pacific Avenue,Stockton, CA 95204 * (209) 957-3888.

Gene Acevedo, Director of Community Outreach: EditorBarbara Pombo, Director of Development: Co-EditorHospice Staff: Article ContributionsRoberto Radrigán, G. D., GráficaDesign: Design & Layout

Comments, questions, sponsorship opportunities or if youwish to be removed from our mailing list, please contact ouroffice at (209) 957-3888

(left) Dr. Ghavami and Dr.Saffier take notes during BestPractices In Pain presentationon Saturday, September 6,2008, at Hutchins Street Squarein Lodi.

(below)Mark Sey, (right) CEO of LodiMemorial Hospital, introducesHSJ Chaplain Jim Russow,presenter of “Body and Soul”,dealing with spiritual and painmanagement.

PHOTOS BY GENE ACEVEDO / HSJ

Audrey Wuerl, RN, BSN — Education Coordinator

Best Practices in Pain Management & End-of-Life Care

Novemberfrom cover pageused. She knew me mostdays, but thought her belovedhusband was still alive. Hehad died in 1974. When shewould ask where he was andwhy he did not visit her, Iwould say that he had been tosee her that morning and hewas now home resting. Shealways accepted this with re-lief. On my daily visits to helpher eat lunch or dinner we hadwonderful conversationsabout the past; her childhood,my childhood, living in Lodi,but always the past becausethat is where her mind hadcome to rest. However, all ofthis was before her downwardspiral which began with a de-crease in appetite and ever-de-creasing weight loss.

In the month of October,four months before she died,I was invited to a Care Plan-ning Conference at the nurs-ing home. It was there that Ilearned of the beginningweight loss. The staff in at-tendance said they would havethe dietician review mymother’s case and probablygive her a soft diet and a powermilkshake. They thought thiswould increase her food andnutritional intake. We alsotalked about her medications,which had all been prescribedthat year; anti-psychotics forthe behavior that comes withdementia, cardiac drugs for anew diagnosis of congestiveheart failure, sedatives for agi-tation and pain medication tobe given ‘as needed’, for togive it on a regular basis I wastold, would decrease herawareness even more. Inthose last few months, mymother always seemed to bein pain. I could tell by her fur-rowed brow. When she couldstill communicate she wouldsay she had a terrible head-ache. When the staff turnedor repositioned her she would

cry out in pain, her whole bodystiffening. A more consistentapproach to pain managementwould have been a blessing,rather than ‘as needed’. Thismeant she would receive painmedication when I requested itor when one of the nursesthought to provide it; she couldnot ask for herself.

In November, she got pneu-monia. After witness-ing a week of growingdiscomfort, I asked fora chest X-Ray. Ithought that becauseshe could not chew verywell and had difficultyswallowing, she mayhave aspiration pneu-monia. I was told thatshe did not have a tem-perature so she probablydid not have pneumo-nia, but that they wouldget one to check forfluid build-up from thecongestive heart failure.The X-Ray confirmedpneumonia in her left lower lobe,the hallmark of aspiration pneu-monia. She was put on antibi-otics and I asked to have her dietchanged to a pureed one. In re-sponse, the nurse said shewould ask the speech therapistto do a swallow evaluation. Aweek later I was told by thetherapist that my mother wasnot being cooperative and couldI please speak with her. When Iasked what the problem was,she said that my mother wouldstrike out at her, shout profani-ties, and then clamp her mouthshut. She further told me thatto fulfill California regulationsshe needed to be able to com-plete the evaluation beforechanging the diet. When I toldher that my mother was in nocondition to be cooperative andthat a whole week had gone bywith her not being able to ad-equately chew her food, we gotinto an argument. Only after Iburst into tears of frustration didthe therapist tell me I could have

the diet changed by speaking tothe Director of Nurses. Thisstory is just one of many thatchronicled my mother’s discom-fort and pain in the last fewmonths of her life, which couldhave been alleviated if only wehad been offered the option ofhospice care at the OctoberCare Planning Conference oranytime afterwards. And be-cause I do not believe that my

family’s experience wasuncommon, I am tell-ing you my mother’sstory so that perhapsyou will be better ableto recognize whenyour loved one couldbenefit from hospicecare.

I have since learnedthat my mother was aclassic example of pro-gressive dementia, witha predictable declinethat begins with loss ofappetite and weight.She was not in a poorly

run nursing home. It is consid-ered one of Lodi’s finest and Ireally do believe the staff wascompassionate and did their bestfor her. But Federal and Statepolicies require nursing homesto provide restorative care. Tomaintain quality of care, regula-tions require the use of a com-prehensive, uniform assessmentsystem for all nursing homeresidents. From these in-depthassessments actions are trig-gered by the presence of spe-cific conditions thought to be in-dicators of inadequate treatment.Functional decline, weight loss,and dehydration, the very signsof terminal illness, are used asindicators for potentially treat-able illness and are red flags toState inspectors, who then as-sume that care plans will includetreatment to reverse these con-ditions, not protocols for pallia-tive care.

This disconnect with the re-ality of dying disappears once

hospice is allowed to enter asa care-giver. Under Medicareregulations, the hospiceagency assumes overall re-sponsibility for the implemen-tation and management of acare plan related to the termi-nal illness. The nursing homeis required to continue thesame level of service and per-sonal care as if the patientwere not in hospice care,while the hospice staff pro-vide added palliative care.Services unique to hospice in-clude expert pain and symp-tom assessment and manage-ment with an emphasis onquality of life, emotional andspiritual care, and bereave-ment service for the family.I now know that this nursinghome and the many others inSan Joaquin County offerhospice care as an option, butit was not offered to my fam-ily. And in the year 2000,only one percent of ourcountry’s nursing homepopulation was enrolled inhospice care. This needs tochange. Hospice is a Medi-care benefit. It does not mat-ter if you are paying privatelyfor the nursing home or ifMedi-Cal is paying for thecare; hospice is an additionalbenefit. In fact, even if youdo not have Medicare, hos-pice care is available to youregardless of your ability topay as long as a Medicare-cer-tified hospice agency is used.In addition, hospice providesall medications, services, andequipment related to the ter-minal illness.

In closing, I would like toemphasize that Hospice is nota place; it is rather a philoso-phy of care created to helppeople live with dignity, com-fort and compassion at the endof life. My hope, in memoryof my mother, is to help morepeople be aware of this veryspecial end-of-life option fornursing home residents.

Gayle Rileylives in Lodi.

She is a retirednurse, author,

and boardmember of

The Hospice ofSan Joaquin.

Hospice of San Joaquin andLodi Memorial Hospitalpartnered to present this semi-nar for physicians, nurses, so-cial workers, and otherhealthcare providers. The eventwas held at Hutchins StreetSquare in Lodi, and was sold out!Educational handouts, alongwith a continental breakfast andbuffet lunch, were provided to136 participants.

The importance of the Ad-vanced Directive (from the phy-sicians’ perspective) and howdoctors can talk to doctors wasdiscussed. The latest techniquesin pain management and treat-ment modalities were explored,as well as how pain syndromesvary with different diagnosesand that pain needs to be con-stantly evaluated. We learnedhow to conduct “courageousconversations” at end-of-life andhow spiritual peace affectsphysical pain.

The hospice philosophy ofmaintaining the patient’s au-tonomy, while providing carewith dignity and respect, wasthe focus of the seminar. Thisvenue allowed participants to

network to explore new avenuesto improve quality of life forpatients facing life-limiting ill-nesses

This was an all day event thatprovided education along with 7continuing education hours forphysicians, nurses, social work-ers and other healthcare provid-ers. Hospice of San Joaquinwould like to express apprecia-tion to Lodi Memorial Hospitalin helping support this collabo-rate, and to all who came to fur-ther their knowledge in end-of-life care.

It is said, and rightly so, that the best way to journey throughone’s grief, is to do so with others. Towards that end, Hospice ofSan Joaquin offers bereavement services to anyone in the commu-nity. Being a hospice family is not a requirement to take advantageof our grief support services. By partnering together with variouslocal organizations, we are able help a greater numberof bereaved in San Joaquin County.

In Manteca, St. Mary’s Episcopal Church and theManteca Presbyterian Church have opened theirdoors to our Adult Bereavement Support Groups.In Lodi, Emanuel Lutheran Church, andVinewood Community Church have made theirfacilities available for these groups as well.

In Stockton, our support groups are offered notonly here at Hospice of San Joaquin, but at O’ConnorWoods for seniors. The University of the Pacific (Mor-ris Chapel) welcomes us annually for our memorialservice.

Carey Vanderkar • Bereavement Coordinator

Partners in Grief – Reaching theBereaved in San Joaquin County

Hospice of San Joaquin is concerned about our grieving youthas well. In addition to our on-site children’s program, bereave-ment staff is available to go to school sites and facilitate supportgroups for children and teens. School counselors are invited tocall us at any time throughout the year and work with our bereave-

ment coordinator to design a program that fits theneeds of the students and the school.

While sharing one’s pain of grief won’t make itdisappear, it will, over time ease the burden. Reach-

ing out to others is the simplest way of begin-ning the healing process through one’s grief. Weare thankful to the many organizations that are

helping us reach the bereaved in our communitiesand consider them our honored partners.

For more information about the bereavement ser-vices offered by Hospice of San Joaquin please con-tact the Bereavement Coordinator at 209-957-3888or visit us on line at www.hospicesj.org

their spiritualjourney by thetraditions, be-liefs, ceremo-nies, and vo-cabularies of aspecific reli-gious faith.

When ap e r s o nchooses the

services and support of Hospiceof San Joaquin for end-of-lifecare, the spiritual support of achaplain is also offered. It is thegoal of the chaplain to offerspiritual support at the point ofthe person’s need. With that goalin mind, Hospice of San Joaquinenlists the assistance of the di-verse religious community inwhich we live. Just as oneperson’s journey through life hasbeen his or her unique life jour-ney, we cannot assume that oneperson’s spiritual journey is the

Life is often described as ajourney, especially by peoplewho are aware that they are near-ing the end of theirs. There aremany remembered milestonesalong the way… childhood me-mories, graduations and othersignificant achievements, mar-riage, children, and the like.Families and friends help the dy-ing person celebrate those memo-rable milestones with “Remem-ber when…?”, “There was thatone time that…?”, “I’ll never for-get when you…”, with old blackand white photographs or thosenew fangled digital DVD things.

Many people also reflectupon their spiritual journey aswell. These spiritual journeys areas unique as is the person, jour-neying with “god” through thedesert, over the mountain tops,smooth sailing or stormy seasof life. Some people have beenaccompanied along the way of

Spiritual support for the spiritually andculturally diverse San Joaquin area

Jim R. RussowChaplain

‘Sisters’ & Friends

women landed jobs in Stockton – Marianne withCounty Mental Health and Barbara as Director ofSocial Services at San Joaquin General Hospital.

These two also shared a love of animals – ifyou listen closely to Barbara you will soon learnof a number of dogs that they rescued and pro-vided homes for over the years. Barbara is nowcaring for two: Barney – a large ‘mixed’ breedwith a big bark and gentle personality; and Raven,a schipperke.

The friends also shared an unusually thought-ful and generous commitment to charity – seek-

ing out those agencies that make a difference byproviding tangible service. Among these are agen-cies caring for abandoned and abused animals;and those who care for people, among them, Hos-

Hospice of San Joaquin • Legacy LeagueYour thoughtful decision today is a legacy of security

and comfort for the families who follow

This corner of our newsletter is dedicated tothose courageous and generous individuals andfamilies who go beyond immediate concerns tohelp meet the needs of those who will follow them.For many of us, just entertaining the thought ofplanning is intimidating. For others facing thefact that no one is immortal is an invitation tomake decisions now that will make a differencein this world for many years to come.

Barbara Richards is one such thoughtful andcourageous soul. Barbara served on the very firstBoard of Directors for the newly organized Hos-pice of San Joaquin in the early 1980’s. And sheremains a constant friend of Hospice. As she says,“I attend all the events. I remember the names ofthe people who were first involved (and those whocame later). Karen (Hanson) Quinn recruited me.. .we started in a storeroom at the Medical Soci-ety Office with a folding table and phone.”

Barbara Richards, originally from Massachu-setts, came to Stockton in 1964 after beginningher work as a Social Worker in Washington State,then northern Nevada. There she met and workedwith Marianne Carlson; they became good friends.When that agency closed their Reno office, both

pice of San Joaquin.After continuous support over the years, both

women also made substantial gifts to the HospiceHouse Building Campaign. When MarianneCarlson passed away in May 2006, she namedHospice of San Joaquin as a beneficiary in herwill. Barbara Richards made her own gift at thetime the bequest came to Hospice. ExecutiveDirector Barbara Tognoli, knowing both womenwell, was inspired to accept and recognize theircombined gifts as sponsoring the garden of theHospice House: Dedicated to Sisters & Friends,Marianne Carlson & Barbara Richards. Barbaraavoids the limelight – no photos – but acceptedthis as a tribute of their friendship.

Barbara Pombo, SJH Development Director

DollyFrench

andFriends

An Amazing Story OfFriends, Lives Shared AndGenerosity Enough To Em-brace Strangers

Dolly French is a nameoften heard in the halls of Hos-pice of San Joaquin, in But-terfly Auxiliary meetings andaround town. . .but she ishard to catch up with in per-son. Recently, she did havesome time to chat about herconnection with the HospiceButterfly Auxiliary and her ex-traordinary success in fundraising.

Dolly: “How it all startedis that I worked at the Shad-ows for 20 years with theMah’s. (Norman was theson.) I thought someday theywould retire, but theyoutlasted me. I was gone fora year.

Then Norman got lungcancer. I called and offeredto cover for him, to give himsome quality time and abreak. I went in to talk andgive him a hug – and he toldme that he had six months. Iwent back to work at theShadows.

A long time before that,Norman would get a group ofStocktonian’s together and gofor dinner once a month onMonday’s, when the restau-rant was closed. I asked himif I could get friends together– was he up to it? He was.

My friend, Michael Herrera ofMiguel’s, helped me.

So every month, Miguel andI would get the group togetherat different restaurants. Wecharged $25. The owner ofFlynn’s donated the meat; so wedonated to Hospice of SanJoaquin. Then, Stockton Joe’sdonated the food; Dave Wong’swas so good to us, Santiago’s,856. Some restaurants couldn’tdo it, but they always donatedsomething for the raffle or oth-erwise helped.

Norman lasted two years.We wanted to do a fund raiserin his honor; it got started againat Stockton Joe’s. . .ThenMiguel passed away. . .Miguelhad a heart of gold. He was mybest friend.

Then came the Lobster Din-ner – the first year a womandonated her 4500 square foot

basement and we had a gooddeal on the lobster. Wecharged $60 a person. We hada great turn out. So this yearI booked the Rod and GunClub, January 25th, 2 p.m.When I was making the ar-rangements, a lady was therewho knew me, and shewanted to pay for the bartend-ers, security and the hall. Ev-ery time I need help, there arepeople there.

I want to help as long as Ican. . . As long as everyoneis having a good time and ithelps with Hospice. . .I woulddo this again in my lifetime asmuch as I can do it. I gotattached to Hospice, mainlythrough Bev Hood and LindaDillon, and Yumi Oji, my goodfriend – I started going to theTea and then my husbandDave and I got involved in theSip ‘n Stroll. The little bit Ican do to help them, myfriends, and to help Hospiceis what I want to do.

For Lobster Dinner reser-vations call (209) 603-8191or send a check ($60 per per-son) payable to

Hospice of Butterfly Aux-iliary (Att: Dolly French),4719 Quail Lakes Drive, BoxG-168, Stockton CA 95207.The first 200 people to respondwill be seated. Proceeds ben-efit Hospice of San Joaquin’sHospice House.

The purpose of Hospice of San Joaquin’sLegacy League is to recognize individuals whohave taken action to remember orname Hospice of San Joaquin intheir wills, trusts, and estateplans. While it is not feasibleto list all who have remem-bered Hospice in their es-tate plans over the years,it is important to note thatthose gifts provided a sub-stantial portion of the re-sources that strengthen theservices of Hospice ofSan Joaquin to theterminally ill, theirfamilies andfriends. Often Hos-pice does not receivenotice of the intendedgift prior to receiving it– with no opportunity tothank these individualswhile they were living. The Board ofDirectors and staff want to take this opportunityto acknowledge those who have indicated theirintent to leave a future gift to support hospice andbereavement care in our community.

Hospice of San JoaquinLegacy League Members

Hospice of San JoaquinLEGACY LEAGUE

MEMBERSHIP REGISTRATIONI/We hereby state my/our intention to name

Hospice of San Joaquin3888 Pacific Avenue, Stockton, California 95204

as a beneficiary in my/our will, living trust and/or other estate planning documents.Further, I/we pledge to authorize this intention in writing and file with my/our estateplanning attorney and/or other advisors._________________________________ _________________________________Name Name_________________________________ _________________________________Signature Date Signature Date

Hospice of San Joaquin’sLegacy League Members Noelle Delore

Judith HuttonPete & Dena Piccardo

Charles & Carolyn PlumbMark & Denise RasmussenBarbara RichardsMillard E. SpoonerFusae Tanaka

Barbara TognoliRichard F. Wong, M.D

Legacies Received2006 - 2008Marianne CarlsonGraham-Ultch TrustBelva LarssonMarie M. MitsudaLouis Angelo Motto-Ros

Jacquelin A. MullenOna E. Murphy & Robert E. Murphy

Karl Nickel EstateVirgil & Dorothy Osborn Family TrustDuane OstgaardMorris & Faye SteinFaith S. Swanson TrustFor more information call (209) 957-3888

Thank you for

including Hospice

of San Joaquin in

your planning.

same as another’s.Whatever the spiritual lan-

guage or traditions have been,Hospice of San Joaquin seeks toconnect the individual with therepresentative of those variedtraditions… rabbi, priest, prac-titioner, elder, pastor, or mullah,because all the world’s greatfaiths are right outside our doorin a spiritually and culturally di-verse county.

Hearing familiar spiritualwords, sharing important spiri-tual traditions or ceremonies,even experiencing once againthe aroma of incense or the tin-kling of bells which were partof the person’s spiritual journeythrough life can often help bringpeace and comfort, alleviate dis-tress, renew or strengthen hopein that which is eternal.

Hospicio de San Joaquinofrece sus servicios en españolSi desea que alguien le interprete este boletín en su

idioma, por favor comuníquese con

Gene Acevedo, Director de Relaciones PúblicasNellie Zavala, Maestra en Trabajo SocialJosie Minor, Maestra en Trabajo Social

Diane Medina, Maestra en Trabajo Social

(209) 957-3888

ññ

(right) Truckin’ for Hospice’sGeneral Chair, Glenn

Richardson, San Joaquin Unit,CTA, said, “This year’s great

success with a record 550 ridersand nearly 100 sponsors is a

credit to a great, hard-workingcommittee that combines

seasoned volunteers with somenew members ready to make a

difference. The CaliforniaTrucking Association (CTA) is

pleased to sponsor andcoordinate Truckin’ for Hospice!

It benefits so many in thecommunities we serve! Mark

your calendars for Saturday,July 25, 2009 and check out our

website atwww.truckinforhospice.com for

announcements and details.”

Paul Oil CompanyUSI Insurance Services of No.CA.Florsheim Brothers FoundationAFLACAir Tech Heating & A/CAmerican LumberAntonini Freight Express, IncAuto Industrial Paint CompanyPAC TruckingB & B TruckingBASSKNGBJJ Company, LLCCherokee Freight LinesDCFS USA, LLCFoster Farms DairyFritz Hummer TruckingHolt of CaliforniaIdealease Of Stockton, Inc.Joe Gonzeles Jr.TruckingJSG Trucking Co.McCoy Truck Tire Service CenterMcKinney TrailersMerrill Lynch - The Anderson/Cameron GroupMica Recovery & Transport, Inc.Old Corner SaloonPAPE' KenworthRalph Hayes & Son, Inc.Redfearn Trucking, Inc.Silva TruckingSnowline Hospice - El Dorado Co.State Farm- Sean O'Neal-AgentTeresi Trucking, Inc.Terrill TransportationTiger LinesTom, Claire & Betty DempseyUnifirst CorporationValley Truck Parts & EquipmentWestern Pacific Truck SchoolsWestmarkWilliams Tank LinesWilson Way TireYosemite MeatK & H Manufacturing Co.Superglass Windshield Repair #209Safe T Lite

California Truck CentersRocha TransportationBunge OilsCTA-Allied UnitCTA-San Joaquin UnitLori & Company, Inc.Mountain Valley Express Co., Inc.Reeve Trucking Co., IncSward Trucking, Inc.Bob Harkrader & Sons TruckingBoyd Special CommoditiesBurns Truck & Trailer ServicesChemstation Of NorthernCaliforniaDelta ContainerDOT FoodsEagle's Nest Harley-DavidsonFood for LessFreightlinerGilton Solid WasteIdealease, Inc.International Engine CorporationInterstate Truck CenterJamestown HarleyModesto BeePeterbilt Motors CompanyPNDPrecision Signing & ProcessingRocha's Valley Enterprises, IncSunrise SanitationTJSWC TruckingWells Fargo BankWestern Star TrucksEaton / RoadrangerBoyd Special CommoditiesCarl Gisler TruckingDiesel Master, Inc.DynoMaster, Inc.Foster Farms PoultryFuel Delivery Services, Inc.Gillies Trucking, Inc.Gilton Solid Waste ManagementMiranda's BBQPaccar FinancePacific Southwest Container

TheQuarterin Review

TheQuarterin Review(left) Guests of September’s Lincoln Center Liveenjoyed wine tasting, raffles, and shopping!Proceeds from many of the evening’s eventbenefited the Hospice of San Joaquin.

Thank You for Your Sponsorshipand Your Support!!

(left) AnitaPoore enjoysa sip of wineduring the2008 Sip N’Stroll

(below) Brent Lofy volunteers as a Big Buddyassisting a youngster with the Camp CaterpillarProject —a children’s healing grief day camp—on Saturday, October 4, 2008 at the Brookside

Farm in Stockton.

(right) Hospice of San Joaquinappreciates five years of hard

work and dedication of (l-r)Shirley Starling, Christina

Frazier, and Donna Ferrera,during the 2008 Recognition

DInner at the Stockton CountryClub last July.

Lockeford — 3rd AnnualWednesday, December 3rd, 5:30 p.m.Wells Fargo Bank19000 N. HWY 88, Lockeford/Clements CA

Lodi — 16th AnnualThursday, December 4th, 5:30 p.m.(Before Parade of Lights)Lodi City Hall, 221 W. Pine Street, Lodi, CA

Rio Vista — 4th AnnualSaturday, December 6th, 5:30 p.m.(Before the Boat Parade)Rio Vista City Hall, 1 Main St., Rio Vista, CA

Tracy — 4th AnnualFriday, November 21st, 6:00 p.m.

Tracy Outlets1005 E. Pescadero Avenue, Tracy, CA

Stockton — 20th AnnualTuesday, November 25th, 6:00 p.m.

San Joaquin Delta College5151 Pacific Avenue, Stockton, CA

Manteca — 17th AnnualMonday, December 1st, 6:00 p.m.

Doctors Hospital of Manteca1260 E. North Street, Manteca, CA

Tree of Lights Locations:

Coping With the HolidaysNovember 22, 2008 9 a.m. to 12:00 p.m.

This workshop is designed for adults who will be experiencing theirfirst holiday season without a significant loved one in their life.

Hospice of San Joaquin3888 Pacific Avenue

Stockton, CA

Pre-Register with Carey M. Vanderkar, Bereavement Coordinator at

(209) 957-3888$10.00 dollar donation is suggested