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The Julian News
Julian , California
January 20, 2010     The Julian News
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January 20, 2010

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i i Me. Lagu R&apos;i: Summit, Wa ' }r  la. Volume 25 - Issue 23 Wednesday January 20, 2010 Julian, CA. ISSN 1937-8416 Julian Historical Society Julian As The Spanish Frontier Wednesday, January 27th, 7:00 p.m. at the Julian Historical Society, 2133 4th Street, will feature a presentation on the history of how the Julian area began its colonial heritage as a part of the Empire of Spain. Julian and all of San Diego County has actually been a part of"New Spain" for a longer period of time than it has been called a region of the United States. This presentation will investigate the early Spanish contact with San Diego as a frontier and extension of the country of Spain. Have you heard of the medieval pilgrimage route, The Camino De Santiago, which runs across the northern part of Spain? Featured presenters are Bill Benson and his son Kyle. Everyone is invited for the presentation of Bill's and Kyle's extensive hike in Spain and France. Refreshments will be served. You are also invited to join the Julian Historical Society, a remarkable group of old and young, new residents and old residents, good fellowship and fascinating history. Wednesday, January 27th, 7:00 p.m. at the Julian Historical Society, 2133 4th Street. Ou!tan News PO Box 639 A, liar< CA, 92036 Char!ge Service Requested 0 .__..I s'r^.oA.r, I I Ihh,h,l,,,,Ih,lh,ll,,,,,Ih,hllh,,h,h,,hhlh,,h,II Small Town Papers  5026 California Ave SW Seattle WA 98136-1208 Here Comes Wintero0000 from the CalFire Station. Make sure your pantry is full of comfort foods (if you have an all electric home you should have a camp stove available for emergencies). Make sure your wood is stored in a dry accessible location. Most of all, be cautious, don't drive to town if you don't have to. Keep your cell phone charged, have a hard wired phone at home. Enjoy. The wind was blowing and the chill was in the air but the clouds told a different story than the one yo( heard from locals. "So, do you think we'll get snow?", "How much rain are we expecting?", "Is it true there are storms ready to flood the desert?" The conversation had an urgency to it. People are honestly concerned. Are all the TV weather people correct? ... "the greatest rain fall totals in the last 20 years", "10 inches in two days", "snow of epic proportion." Could all of the doom-sayers be wrong? We only saw wispy clouds in the sky Saturday, a rather typical winter day. Nothing to clue you .into a major deluge of water as you looked to the horizon. Sunday was bright and Sunny until about 3:30 then the first wave of clouds and cold winds began to impact the area. It all seems so ominous, the waiting for a storm, haven't we done this before? Only to be disappointed? I think back to the storm of March '06 when we got 6 inches of snow in less than 12 hours. Or the '08 St. Valentines surprise that forced Some to sleep in their businesses and created havoc for the school bus drivers. The predictions that day were for a light drizzle! It's winter, we should expect the weather to be unpredictable. This storm will be no different. If you are concerned about flooding around your property, the County has sand bags at their maintenance yard across Questions On The Street About The New Medical Clinic by Chuck Kimball, Vice President, Julian Medical Foundation planned. Comfort plus is what it provides, no blowing hot air and associated things, just warmth. In addition, we plan to use solar water heating to provide at least . portion of the hot water used by the system. Another hi-tech item will be the complete backup system for electricity and water in the event of a major outage. We are working with the local Fire Districts and CERT to be able to provide services in the event that Julian is cut off, as has happened more than once in the last ten years. By forming such a group, with defined plans, we will be allowed to remain here rather than being "re-deployed" to other areas. The classroom in the loft of the new building will be supplied to allow conversion to a "dormitory" for staff and other emergency personnel if needed. Who are the parties to this project? There are two main groups involved in this project: The Julian Medical Foundation (JMF) and the Borrego Community Health Foundation (BCHF). The JMF has more or less been involved in the operation of the Julian Medical Clinic since 1994. At this time, JMF acts as an advisory board to BCHF for Julian activities. After BCHF purchased the practice in Julian from Dr. Merrick, JMF began looking for a new, larger location for the clinic and began discussing options with BCHF. Today, we are seeing the results of that joint effort. BCHF started 8 years ago with one small clinic and 17 employees in Borrego Springs with an annual income of $1.8 million. Today, the BCHF is a network of six clinics in two of California's largest counties with a staff of more than 220 and a total income of over $30 million. BCHF, as the Federally Qualified Health Center (FQHC) and owners of the practice in Julian, employs Dr. Merrick and his staff at the Clinic, and handles all business operations. BCHF has .a history of successfully expanding facilities and improving the quality of care. continued on page 8 about 5,100 persons. We have recently acquired (by the closing of a neighboring clinic) potentially 2,500 additional new patients. Due to our current lack of space, we have not started "courting" that list yet. Will the new Clinic reduce the need for long ambulance rides? The clinic is now, and will continue to be, a general practice, family medicine operation. As described in the State and Federal rules, we are not allowed to provide "emergency" services. Emergency services must be associated with a full care hospital capable of providing 24- hour intensive care and surgery if needed. We have no intention of increasing to that level. However, the added staff and availability of such programs as tele-medicine can sometimes resolve issues without an ambulance trip. The ultimate determination will be the responsibility of the attending provider. The dedicated ambulance parking spot adjacent to the trauma room with direct access through a separate entrance will speed transport and avoid passing through the lobby. What will be some of the "new technologies" in the new Clinic? The term tele-medicine does conjure some fantasy for sure, however, it is just one of the tools that will be available to our providers. We will also have a state-of-the-art digital X-ray machine and an electronic medical record system that will allow rapid transfer of critical data in cases of emergency. In special cases, the tele-medicine system will allow the equivalent of face-to-face contact between patient and a remote specialist. The remote provider can control the camera on our end to examine the patient at will, voice contact can instruct the patient and/or assistants as needed, allowing a certain level of diagnostic work to be done without requiring a road trip. More often however, the system will be used for doctor- to-doctor consultations that don't necessarily involve the patient, possibly speeding diagnosis and increasing accuracy. Exciting to some will be the in-floor radiant heating system These specialists are already on call for us, but our current facility can't provide a room for them, let alone private office space. Planned at the new facility are regular days for specialist visits in fields such as pediatrics, oncology, dermatology, cardiology, and more to be determined by the need. The intent of these "special" days is to avoid many of the off-the-hill trips for our patients since most such referral cases are not urgent and can be scheduled for the dates when such specialists are here. The Carriage Barn property has a separate loft space that will be available for classroom style sessions on women's and children's health issues, prenatal care, cardiology/ electrophysiology and a host of special plans available to us through the Federal system. Ultimately, we hope to add a separate woman's and children's health center. Where is the Carriage Barn? The Carriage Barn is located at 2717 'W' Street behind "A Rose Path" and "Julian Pie Co." The barn currently houses Wayne Morretti and Suzanne Porter's "Homeward Bound" funeral services (horse drawn hearses). The proposed floor plan, being adjusted daily, was in last week's Julian News and shows how easy the existing modular construction can be adapted to the new use. We plan to use the exterior of the building essentially without change, except color. A modular approach will make adjusting to future requirements much easier and more economical. How many people now use the existing clinic and how many are expected to use the new one? Our current average is about 25 patients per day and we serve about 2,500 patients in Julian and the surrounding area. With the added space and staff, being open 6 days with early opening/ late closing, we expect to reach 40 patients per day average. With the extra space, and added services such as pediatrics, we expect a significant increase in the number of total patients served. The Julian service area (county numbers) includes In last week's letters section Dr. Carl Englund, who is President of the Julian Medical Foundation (JMF), appealed for more donations to help JMF purchase property for a new clinic. Here are some questions we have heard, and answers, about that new clinic. The bottom line is that the JMF needs your donation in order to make the down payment and close escrow. The JMF is a 501(C) 3 charitable organization, so your donation is totally tax deductible. You can send the check to PO Box 2512, Julian CA 92036. If you've already contributed, please consider that this might be a good time to double down. Why does Julian need a new clinic? We need to serve more patients with more and better services and to improve both the amount and quality of healthcare in our community with less need to drive down the hill. That requires more space, more staff, longer operating hours, and some new technologies. For more than a year, we have been exceeding our space- limited capabilities in number of patients per day. We currently have a staff of 8, some days 9, working in 1,350 square feet with two exam rooms. On the best of days, with two providers on site, we can see 32 patients in the 8-hour day. It is not possible to sustain that level however and we average closer to 25 per day. Increasing the amount of space will have a huge positive effect on the efficiency of the staff and the level of care. With the added exam rooms comes smoother triage-treatment-discharge flow, making the patient's experience better. A more comfortable waiting room answers one of the few recorded complaint items on our satisfaction surveys. But maybe just as important will be 14 new eft-street parking places, including two handicapped spaces with ramps. The new clinic will have extended hours, two full time providers, additional support personnel, and a dedicated space for visiting specialists. Eagles Athletics Boys Basketball - Wed. - January20 HOME Hamilton HS 5:00 Fri. - January 22 HOME Escondido Charter 6:30 Tues. - January 26 HOME San Pasqual Academy 5:30 Girls Basketball- Thurs. - January 21 HOME Maranatha Christian 5:00 Tues. - January 26 HOME San Pasqual Academy 4:00 Boys Soccer- Thurs. - January 21 away @ Mountain Empire 5:00 Tues. - January 26 HOME Borrego HS 1:30 Girls Soccer- Thurs. - January 21 away Mountain Empire 3:30 Tues. - January 26 HOME Borrego HS 3:30 "Tip A Teacher" Dinner Kicks Off Thank A Teacher Week Please mark your calendar and plan on joining your community in thanking teachers at Buffalo Bills Restaurant (2603 B St. in Julian) for Friday night, January 22nd. For a special Burger Night. Buffalo Bills is opening for a "One Night Only" special event. From 5:00pm to 8:00pm they will be offering a "Buy one burger, get one off special." They will also offer their full lunch menu to diners who come in to support and thank our teachers. The Julian Merchants Association has planned a "Thank a Teacher" week for our community teachers to benefit Julian Elementary, Jr. High and High School. Two great opportunities are being presented to the residents of Julian (as well as those visiting) to show support and give thanks to our teachers. For even more fun, school teachers and staff will be bussing and waiting tables for tips. Buffalo Bills will be donating 20% of the night's proceeds to benefit the teachers of Julian. In addition, participating members of the Julian Merchant's Association will be placing "tip buckets" on the counters of their establishments marked "thank a teacher." These buckets will be available for an entire week (January 25 - January 31st). All monies collected from both events will be donated to the Julian Educational Foundation and divided among the threes schools for the benefit of the teachers at all three schools. The teachers will be encouraged to use the funds in any way they feel it will benefit their classrooms. The participation of locals in this campaign and dinner to support and thank our teachers is greatly encouraged. Shop local and drop a ticket in the bucket. Come to the 'Tip A Teacher' dinner on Friday, January 22nd and show your support. Saturday January 23 "National Pie Day" Created by the American Pie Council@, National Pie Day is dedicated to the celebration of pie. As part of our American heritage, this day is a perfect opportunity to pass on the love and enjoyment of pie eating and pie making to future generations. Each year the American Pie Council@ sponsors the National Pie Championships@ where some of the best pie makers in the United States and Canada enter their pies to compete for the "American Pie Council's@ Best Pie in America" award. To celebrate National Pie Day share the warmth of the ultimate "comfort food" by giving the gift of pie to a friend or neighbor. Your generosity will be long remembered. If pie making is not in your schedule, stop by your favorite pie shop or grocery store and bring home a gift of love and enjoyment for the whole family. The coldest of January days will be warmed by a special pie dessert. The History of Pies Pie has been around since the ancient Egyptians. The first pies were made by early Romans who may have learned about it through the Greeks. These pies were sometimes made in "reeds" which were used for the sole purpose of holding the filling and not for eating with the filling. The Romans must have spread the word about pies around Europe as the Oxford English Dictionary notes that the word pie was a popular word in the 14th century. The first pie recipe was published by the Romans and was for a rye-crusted goat cheese and honey pie. The early pies were predominately meat pies. Pyes (pies) originally appeared in England as early as the twelfth century. The crust of the pie was referred to as "coffyn". There was actually more crust than filling. Often these pies were made using fowl and the legs were left to hang over the side of the dish and used as handles. Fruit pies or tarts (pasties) were probably first made in the 1500s. English tradition credits making the first cherry pie to Queen Elizabeth I. Pie came to America with the first English settlers. The early colonists cooked their pies in long narrow pans calling them "coffins" like the crust in England. As in the Roman times, the early American pie crusts often were not eaten, but simply designed to hold the filling during baking. It was during the American Revolution that the term crust was used instead of coffyn. Over the years, pie has evolved to become what it is today "the most traditional American dessert". Pie has become so much a part of American culture throughout the years, that we now commonly use the term "as American as apple pie."