1. George Sousa and Animal Shelter at Camp Pendleton and Patricia’s Social announcement
 
 
Few girls from R. Roger Rowe School decided to collect donations for the Camp Pendleton Animal Shelter and they donated $700 worth of supplies. George Sousa, whose honor flight trip was also sponsored by the students from same school helped to deliver the supplies. You can read the full article at this Rancho Santa Fe Review link.
 
 
Then we had Patricia make her announcement about the club Social event coming up on March 17th at the Hilton with some song and dance :-).
 
 
 
 
Jon Fish announced that the BocceFest date has been fixed for Sunday September 29, 2019. Ken also showed a video about why Rotary is fun and how people get engaged in it. He then awarded the Rotarian of the Month award to Malcolm.
 
2. “My 3 Things” by Suzanne Sutton
 
 
Suzanne talked about her early childhood days and how she enjoyed horseback riding.
She talked about her fun experience at a boarding school in Switzerland and how she made lots of friends there. She had no emails or phones at that time and the communication back home was via Airmail envelopes. Those were the fun days :-). She later attended a 50th reunion event at a villa in Tuscany and she was afraid she would recognize anyone.
As part of Bill’s military career they moved 11 times and that was pretty challenging for them.
 
2. “Integrated Healthcare” by Pouya Afshar
 
 
Dr. Pouya Afshar is board certified in internal medicine, hospice and palliative medicine, and venous and lymphatic medicine.  Since 2010 he has served as an assistant clinical professor of medicine at the University of California, San Diego. He works in different levels of healthcare in an effort to provide continuity of care for all his patients.
As an acute care physician, Dr. Afshar has served as a hospitalist at UCSD Thornton, UCSD Hillcrest, Scripps Mercy Hospital, and the VA San Diego Hospital.  A pioneer in transitional care medicine, Dr. Afshar is a medical director for several skilled nursing facilities, where he manages patients’ post-hospitalization during their short-term rehabilitation.
Dr. Afshar founded Integrated Healthcare Alliance (IHA) in 2015, where his primary care physicians lead a multidisciplinary team that delivers in-home medical care.
Outside of medicine, Dr. Afshar is married and is a proud father of 4 children, including 2 newborn twin boys.  He is an avid soccer player, former personal trainer, and completed 14 marathons, including two trips as a qualifying runner for the Boston Marathon.
 
He was accompanied by his intern Dr. Samantha Spilman. Dr. Afshar said that he started the company with personal funds with the core focus to reduce the healthcare costs for senior citizens. He has seen all the wastes happening at emergency centers and hospitals and wanted to change that.
 
 
 
He showed some statistics about how air crashes went down significantly over the past 40 years due to automation and high-end technology. Similarly, he is predicting that self-driving cars will eventually reduce car accidents since the human emotions will be out of the equation. He talked about how the top 2 causes for human deaths in U.S. are heart diseases and cancer. But the 3rd most common cause it seems are MEDICAL ERRROS - almost 250,000 deaths each year! He also mentioned that the U.S. is dead last when it comes to overall healthcare satisfaction.
 
He compared how patients in the past had lot more access to talk to doctors compare to today’s practice. It seems people go to emergency care just to get refills for prescriptions and the staff there will send the patient to all kinds of tests to eliminate various issues and then after 12 hours send them back with just a prescription refill. Sometimes this could be $15,000 worth of tests for no reason!
 
 
IHA’s goal is to provide chronic care by visiting patients at their home and avoid emergency visits as much as possible. They use a technology process called “STAT” to securely transmit patient vital stats to a physician or their call center. They designed a personalized medical alert device (similar to the Life Alert system) and this device is essentially a cell phone and a GPS tracker with built-in speaker and microphone to carry a conversation with the care center or family members.
 
 
They did some benchmarks by comparing hospital costs and found that they can save almost 27% of the costs. They are also working with a local company called Tealium to bring data analytics to improve their care model. Currently they are SD based and have about 6000 patients. They partner with about two-thirds of the skilled nursing facilities in the San Diego county to get all their patients.
 
 
In the end DMSB Club President Ken Barrett presented the speaker with the Joshua certificate that represents our club DMSB donating school supplies to schools in Malawi in the name of the speaker.
 
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