Read In Fullscreen - Sagua Mañagu + MPG

Read In Fullscreen - Sagua Mañagu + MPG
Sep.Oct. 2014
Vol. 13 #5
Kiddie Cruisers
Exercise and the
Expectant Parent
The First Time:
1st day in 1st Grade
The First Time:
First Day of
High School
Sep.Oct. 2014 • MAÑAGU • 1
editor's letter
Summer’s over. The year’s winding down. And I’m excited about the
next couple of months that lie ahead.
My daughter Karla is expecting her first child in October. From
everything the experts have said, I’m going to have a granddaughter—
my first. Admittedly, I’m a little rusty in the parenting of newborns. But
I’m surrounded by labor & delivery nurses and modern day moms.
Responding to my plea for help, Jenny Camacho, Kamia Dierking,
Regine Lee and Kallen Perez offer their advice on finding the right
stroller among the sea of “Kiddie Cruisers” to choose from.
Karla is a special education teacher in San Francisco. She’s back
in the classroom just like Guam’s teachers and students. Do you
remember your first day of school? As I recall, the excitement and
jitters always found a place in the pit of my stomach. In “The First
Time,” five Sagua babies share their experiences from that big day in
GATE teacher Vickie Loughran spends her days with children in the
Gifted and Talented Education program. Three times a week she
spends her evenings leading adults in a water aerobics class. Vickie’s
class is a low impact, high cardio workout in a wonderful setting. It’s
great “Exercise for the Expectant Parent” and a pretty good option for
the rest of us too.
I like having options and the opportunity to choose what’s best for
me. In my job, I have the privilege of working with a team that
offers patients options in healthcare. As Marianas Physicians Group
celebrates 15 years in women’s health, they continue to help patients
consider alternatives that serve their medical needs and personal
preferences. One such alternative is the availability of “Modern
Midwifery.” Anne Fox presents a good history of this important
profession’s development on Guam.
Congratulations to MPG! We look forward to the next 15 years with
Thank you for reading MAÑAGU. It’s certainly our pleasure to bring it
to you.
Editorial Contributions
Christian Benavente
Jenny Camacho
Kamia Dierking
Joan Fernandez
RizEl Fernandez
Anne Fox
Regine Lee
Vickie Loughran
Barbara Mafnas
Carlene OkiYama
Lydia Okiyama
Kallen Perez
Brandon Waki
Dina Waki
Amanda Wooley
toma Wooley
Annie Bordallo, MD
Ellen Bez, MD
Managing Partners
Lina Leon Guerrero
Flori Sanchez
Published by
Sagua Mañagu
Editing & Layout
David Castro
Carlene Okiyama
Cover by
Expressions Studio
Copyright © 2014 by
Sagua Mañagu
All rights reserved.
No portion of this magazine may
be reprinted without prior
written permission.
We welcome your comments at:
[email protected]ñ
or contact us at
2 • MAÑAGU • Sep.Oct. 2014
Exercise and the Expectant Parent 6
Kiddie Cruisers 8
Modern Midwifery 12
The First Time: 1st day in 1st Grade 18
The First Time: First Day of High School 22
Regular Features
Congratulations to all the Families
Born at Sagua Mañagu 26
Barb’s Corner 28
About the cover:
Kiddie Cruisers
(L-R) Nolan Bamba, Ninåhi Lee,
Donald Weakley IV and Olivia
Dierking hope to trade in their
strollers for hot air balloons.
Photo by Expressions Studio
Sep.Oct. 2014 • MAÑAGU • 3
Lamaze and More in 2014
Instructor Barbara C. Mafnas, RN, BSN, LCCE, CLC, IBCLC, HB
Lamaze® Classes: A combination of
relaxation, breathing techniques, comfort
measures and position changes that are
designed to help during labor and birth.
We stress that partners are essential
throughout labor, birth, postpartum and
parenting. Please bring: a pillow, blanket,
bath towel, tennis ball, snacks and water.
Moms need to wear shorts or slacks and
comfortable shoes as you’ll be doing some
floor work!
Baby Bonding: Designed to help mothers
and fathers gain confidence as they pick
up on feeding cues and other needs
of their babies. The class includes the
first hours after birth, breast feeding
and feeding cues, baby bath time and
Prenatal Care: Covers journey of
pregnancy from positive pregnancy test to
third trimester. The class Includes prenatal
care, nutrition, common discomforts,
early warning signs and sexual activity.
Also covered are the benefits of rest and
Orientation: A class specially designed
for parents who choose Sagua Mañagu,
covering pregnancy from positive
pregnancy test through third trimester, then
onto childbirth and newborn care. The first
part of the class includes procedures and
care during pregnancy, good nutrition and
exercise as well as answers to common
questions regarding discomforts, early
warning signs, sexual activity, the effects of
alcohol, smoking and recreational drugs.
The second part is an orientation to Sagua
Mañagu that includes patient rights and
responsibilities, the differences between
birthing centers and hospitals; family
involvement; newborn care here and what
to expect when you go home.
Sibling Class: Designed for parents and
children. Discussion of child involvement in
the labor process and emotional aspects of
being with mom at this time. Also covers
mother/child relationship changes and
expectations. Film “Lizzie and the Baby”
addresses relationship changes, doctors
visits with mom, animated growth of the
fetus, how baby is born, what new baby’s
look like, what they can do, how to hold
them and more!
Baby Daddy Class: Designed exclusively
for dads to help increase their confidence
in becoming a new dad. Dads will
have better understanding of his woman,
recognize the classic signs of labor and
what to do, verbalize 3 feeding cues of
the newborn, understand relationships and
dynamics, and understand his role as the
new dad.
Parenting & Safety: This 2-hour class
helps parents understand the importance
of interacting with their baby and
understanding growth and development to
provide realistic expectations. The class
will also use open discussion to talk about
subjects as discipline, prevention of Sudden
Infant Death Syndrome, and Shaken Baby
Syndrome. Life skills such as basic infant
CPR will be included.
Typical Fees:
Lamaze $60
Lamaze Refresher Class $40
Baby Bonding, Prenatal Care, Orientation,
Sibling Class, Baby Daddy, & Parenting
& Safety are offered courtesy of Marianas
Physicians Group and Sagua Mañagu-
All classes are held at Sagua Mañagu Birthing Center
Website: • Phone: 647-1417 or 1418
Prenatal Care
with Barb
Baby Bonding
5 class
Sep 20
Sep 16, 23,
Oct 7, 14
Oct 18
Oct 21, 28
Nov 4, 11,
See above
Lamaze 2-day
Lamaze Crash
Social /
Support Group
Baby Daddy
(5-10 yo)
Parenting &
Sep 6
Sep 12, 26
Sept 13
Sep 6, 13,
20, 27
Sep 27
Oct 17-18
Oct 4
Oct 10, 24
Oct 11
Oct 4, 11,
18, 25
Oct 25
Oct 17
Nov 14-15
Nov 1
Nov 7
Nov 8
Nov 1, 8,15,
Nov 29
Nov 14
*Schedule subject to change without notice
4 • MAÑAGU • Sep.Oct. 2014
your pregnancy
and the
By: Vickie Loughran
The American College of Obstetricians and Gynecologists
encourages expectant mothers to stay active during
pregnancy. Exercise can control weight gain and reduce
aches and swelling. It builds bones and muscles, helps you
sleep better and overall, gives you more energy.
Water aerobics is a safe form of exercise for expectant
mothers. MAÑAGU asked veteran instructor, Vickie
Loughran, to tell our readers about it.
Expectant mothers may not see water aerobics as a viable
form of exercise for them. What can you tell our readers
about water aerobics, especially those who don’t know how
to swim and have never been to a class?
Water exercise is a viable form of exercise for any and
all populations of people interested in a healthy lifestyle
but especially for expectant mothers. Participants in water
aerobics do not need to know how to swim. The rule for
exercising in shallow water is to have the water level waist
to chest high. This way each participate finds her comfort
level. As an instructor, the only requirements I have are for
participants to wear water shoes and clothes that do not
interfere with one’s safety and comfort level. In the class I
teach we use professional-grade foam flotation noodles. The
noodle allows one to be suspended in the water with the
security of flotation support to keep one safe and confident.
For those who have never participated in a water
exercise class, there are some things to know. It is possible
to sweat and become overheated in the water, so come
6 • MAÑAGU • Sep.Oct. 2014
By: Vickie Loughran
to class hydrated and bring water to have handy during
class. So as to bring up and keep the blood sugar level
regulated, make certain you have eaten something light
about 30 minutes prior to class. I suggest raw nuts, a piece
of fruit, vegetable sticks, hard-boiled egg, or other source
of protein. Other equipment recommended but not required
might be: a wide-brim hat, sunglasses, rash guard and,
during the windy season on Guam, an insulated top to
help with body heat retention. We exercise in the rain, but
NEVER if there is lightning.
Why would you recommend water aerobics as an exercise
during pregnancy?
I would recommend water aerobics as an exercise
during pregnancy for a variety of reasons that include:
improvement or maintenance of muscle tone, reduced
swelling in lower limbs, reduced back pain and leg cramps,
improved sleeping patterns, overall body relaxation, and
regulating body temperature. Benefits can also include
helping with gestational diabetes and gestational blood
What are the benefits during pregnancy?
There are several different benefits during pregnancy. For
example, since body weight is supported during exercise
in water, there is less stress on joints and ligaments,
which decreases the chance of injuries. Mothers may also
experience less muscle soreness than you would from
your pregnancy
exercising on land. Finally, exercising
the water for 30 minutes or more is
in water can be relaxing and relieve
equivalent to walking 5 miles.
pain, which helps with sleep.
Prenatal exercise is beneficial
Anything else you’d like to add?
and will ensure a healthier mother
I have been teaching water exercise
and baby. Women who do some form
classes on and off for over 30 years.
of exercise while they are pregnant
I have worked with clients who
can also make their labor more
range in age from 16 to 87, from
professional baseball and basketball
In addition to the physical
players, recovering marathon runners
benefits, water exercise is an
and triathletes, to people recovering
opportunity to socialize with other
from cardiopulmonary disease or
clients, relax, and have an hour or so
joint replacement surgery, people
to yourself. In the class I have been
who have been exercising their entire
teaching, one prenatal client had an
lives to people who are discovering
absolute fear of the water, but with
exercise for the first time. In all those
a flotation noodle she overcame her
years I have never had anyone not
fear. Another client suffered from
have something positive to say about
Vickie Loughran pumps it up with her class.
severe swelling in her lower legs
the benefits of exercising in the water.
and lower back pain so her hour in
I challenge you to “jump in” and give
the water was the only time in the day
water exercise a try.
when she got some relief. The class organized a baby
shower for the one of the prenatal clients and one of the
Vickie Loughran is a USWFA certified instructor. She teaches
attendees had never participated in a baby shower, so
at the Pacific Star Resort and Spa from 5:30 - 6:30pm on
aside from exercise and social networking, it opens new
Tuesday, Thursday and Friday. For more information, call
experiences for participants.
Pacific Star Resort and Spa 649-7827.
How early in mom’s pregnancy can she start water
With clearance from the expectant mother’s physician, an
exercise regime in the water can be designed for women
in any trimester of pregnancy or later for those who have
recently given birth.
Is there a point in pregnancy or after childbirth when mom
should stop water aerobics?
I don’t know of a point in a normal pregnancy when an
expectant mother should stop water aerobics.
With clearance from one’s doctor post-birth exercise
is a good way to recover from the physical exertion from
labor and to help with adjustment to a new life schedule. I
highly recommend making certain the pollutant level in the
either fresh or salt water is non-existent to keep the chance
of infection low.
Bonding in the water with your baby can be beneficial
for all parties. I have had experience taking hot, cranky
babies in warm pool or salt water for a “swim” in which
they cool off and become very relaxed and then sleep for
several hours, much to the parents’ relief. Spending safe
time in the water with your baby, then toddler, then child
can be a life-long healthy way to spend time.
Would you recommend your water aerobics to dad?
I would recommend water aerobics to the dad-to-be.
Exercising in the water can be another way for a couple
to bond, or offer a new, alternative form of exercise for a
male who does traditional forms of exercise. Jogging in
Sep.Oct. 2014 • MAÑAGU • 7
your baby
UppaBaby Vista
BOB Revolution
Chicco KeyFit Caddy
Chicco KeyFit 30
MAÑAGU publisher, Lina Leon Guerrero, is having her first grandchild in October. When she asked her daughter Karla
what kind of stroller she’d like, Karla pulled up a page on her computer with 7 – 8 types of strollers, each of which had
several models to choose from. A lot of information. Not a lot of help. Lina decided to ask some experts: young mothers
with who have experience with strollers.
Jenny Camacho
Our online research led us to a
great site called Lucie’s List, which
is more like a blog that gives
incredibly useful information to new
parents, from parents. Visit www. for all kinds of useful
tips and information. The author
provides a lot of Good-Better-Best
lists that cater to all budgets.
We knew we wanted a stroller
that would grow with our family,
so the stroller had to have add-ons
perfect for two or three kids. There
are quite a few great ones out there
so it was pretty hard to choose. At
the end of the day, Lucie’s List really
guided our decision.
We chose the UppaBaby Vista
for our regular stroller and the BOB
Revolution for our workout/running
stroller. Both were excellent choices
Tanom Camacho’s always happy to stroll.
8 • MAÑAGU • Sep.Oct. 2014
and we couldn’t be happier. We
have another baby on the way
so purchasing the add-ons and
accessories will be pretty simple.
Our UppaBaby Vista comes with
a newborn carriage and toddler
setup which makes it easy when
it comes to transition time. It was
also easy to purchase the carseat
adapter being that we have the
Chicco KeyFit 30 as our carseat.
Everything works perfectly together. We love our strollers. My only
gripe is that neither stroller comes
with cupholders. Seems like a
small feature to have but when
you’re walking around for hours
or running with your child, cup
holders are great to have. As
expensive as the strollers are that
we purchased, we still had to
spend more on accessories such as
your baby
Kamia Dierking
I remember
spending hours
online going
through all the
stroller choices
and being super
There are so many
choices and these
days some even
include lights and
USB chargers. As a first time
mom, I wanted
to get in on the
hype of having
one of the trendiest
strollers, which
meant spending
over $600, but the Before she could walk, Olivia Dierking was quite
practical side of me comfortable in her Chicco stroller.
had a hard time
justifying the cost. Plus, all the reviews were mostly related
to city living and we have different requirements living on
Guam. We lack sidewalks and need a durable stroller that
can withstand Guam’s rough terrain. I chose Chicco’s Cortina Key Fit Travel system. You can
purchase this at the NEX and retail stores for about $350
(includes Chicco Key Fit 30 infant car seat). My husband
convinced me that instead of reading all the reviews online,
which were likely written by the brand reps, I should ask
my friends who were already mothers. All of my friends
who had children convinced me to avoid the hype and go
with a budget friendly stroller since you only need it for
the first 6 to 7 months before you opt for a light weight
umbrella stroller. They stressed to make sure you could lay
baby down flat to change her and there’s basket space for
shopping. The bigger the basket, the more clothes you can
buy while still having room for the baby bag. This is super
convenient on those days you and baby are out at the mall
by yourselves.
Now, if looks are important, then this is NOT the stroller
for you. But if you’re looking for a budget friendly, practical
stroller then this is perfect. It’s not the prettiest stroller, but
the key selling point for me was that I could lay Olivia
down flat so she could be changed easily. I never had to be
concerned about where I would change her and if it was
clean. My husband found this convenient when he took her
by himself because family changing rooms are pretty much
non-existent. The big storage basket came in handy because
you end up having to pack the whole house with an infant.
I had room for the bag and more under the stroller. As I prepare for baby #2’s arrival, I still find myself
admiring those pretty and trendy strollers rolling around.
But, I’m totally satisfied with my Chicco and I’m sure baby
#2 will be too. Happy baby shopping!
Regine Lee
Shopping for baby gear can be one of the most fun parts
of preparing for baby’s arrival. It can also be daunting and
really stressful, given the myriad of choices. Shopping for
a baby stroller is an important piece of this crazy puzzle.
As a mother of two, I’ve been asked by many friends and
family members for recommendations on baby gear. Here
are a few things to consider when stroller shopping.
Consider holding off on the standard-size stroller until
about 6 months in. Many parents are choosing to purchase
two strollers – one for their newborn/infant and another
once baby is a supported sitter (around 6+ months until
about 3 years old).
Take some time to think about how, when and how
often you’ll be using your stroller. Ask friends and families
for their recommendations and what features they like most
about their strollers.
For our first-born, Mia – we opted for Graco’s Cherry
Blossom Metrolite Travel System: infant car seat, base &
stroller. The great things about this were the infant car seat
clicked right into a base in the car, as well as the stroller
itself, it was easy to assemble and as Mia grew, we were
able to use the same stroller which had some great features
like, cup holders, extra storage basket, reclining seat and
sun shade. I’m gonna be honest – it was also really pretty
Sep.Oct. 2014 • MAÑAGU • 9
your baby
Nina Lee (L) and her godsister Carmen Damian strolling in style.
and very “D.C.”The only downside was that the stroller was
a bit bulky and we found that as she got older, we would
usually grab our small umbrella stroller for convenience.
Bearing this in mind, for our second child, Ninåhi – we
opted for Chicco’s KeyFit 30 Infant Car Seat and Caddy
Frame stroller. It’s a lot less bulky, super lightweight and
Kallen Perez (Neni & Me)
About 8 weeks after finding out I was pregnant, something
significant happened. All of a sudden, I started noticing
strollers. They were everywhere! They were at restaurants,
at the shopping malls, on the sidewalks, and even at
church. Where had they all come from? Why hadn’t I
noticed so many of them before? And why were they all
so drastically different? I couldn’t help but admire the nice
wheels on one, the large canopy on another, and they
were each as unique as the sweet baby it was carrying.
Obviously, these strollers all existed before I became
pregnant, but there’s something about expecting a baby
that makes mom’s sensitivity to these buggies even more
And with all the options out there, how is a woman to
choose? The first deciding factor when choosing a stroller
is the needs and size of your family. If it is your first baby,
then I would strongly suggest getting a stroller that easily
converts to a travel system (one that is compatible to attach
a car seat to, as this will come in very handy when baby
is sleeping in his or her carseat and needs to be put in the
stroller in a snap). If this is your second child or beyond,
consider the age gap between your children and your
family’s personal needs. Do you need a double stroller?
Do you need something that can seat an infant and a big
kid? Or do you need a single stroller that switches easily
between toddler and infant mode?
10 • MAÑAGU • Sep.Oct. 2014
functional, although now that baby Nina is 10
months old, we’ll likely be using an umbrella stroller
more often.
“Ease of use was my number one priority,” says
first-time Mom, Dee Perez Damian. “With every
system I saw, I would imagine loading it in and out
of the car myself and how I would manage with the
baby.” Dee and her husband, Tyson went with the
Orbit Baby G2. “The rotating feature of the car seat
and stroller base made it so much easier for us to
go from stroller to car and back again. The Orbit
G2 also features a “cargo pod” which fits nicely
underneath the stroller and converts into a wearable
diaper bag for Mom or Dad. I love the built-in
sun shade and that the system uses certified green
fabrics. We love it, baby Carmen loves it. Win-win
for everyone!”
Andy & I are also much more active here on Guam,
so we knew a jogging stroller would help us enjoy
some fresh island air and say “Adios” to some of
that lingering baby weight. We received the In-Step Safari
Jogging stroller as a gift and love the great sun shade,
cupholders, parent tray, sturdy frame & handling. Definitely
not something we tote around every day, but it’s great for
neighborhood walks, runs in Tumon and weekend 5Ks!
The other major
factors in stroller
are quality, safety,
ease-of-use, and
price point. At Neni
& Me, we have
selected Combi
as our stroller
brand because
they bring all these
components together
into 3 amazing
stroller models that
offer what families
need most: peace of
The three strollers
– Combi Cosmo,
Nolan Bamba snoozes while his grandpa,
Combi Cabria and
Dr. Chris Perez, considers a new club.
Combi Catalyst
– have their own
features and will meet whatever needs and preferences you
may have about storage, weight, foldability and versatility.
With extensive research and thoughtful consideration
for functionality, safety, and style, Neni & Me chooses the
best for our Guahan mommies. Happy strolling!
Sep.Oct. 2014 • MAÑAGU • 11
By Anne Fox, RN
The word ‘midwifery’ can conjure up all kinds of emotions
and ideas in many people’s minds. Do you think of
something wholesome and a bit ‘Mother-Earthy,’ something
slightly scary, something old-fashioned or something cuttingedge and holistic?
Views of midwifery in the United States and Guam
have evolved over centuries of fascinating history. Many
complicated stories and traditions have shaped our
perception of what midwifery is today. Modern nursemidwifery is the best it’s ever been. It relies on state-of-the-art
best practices and research whilst still maintaining its core
values of holistically treating childbearing women and their
families in the safest environments possible.
Here at Sagua Mañagu our Mission Statement involves
‘…enhancing the entire birthing experience by providing
quality, family oriented care for healthy pregnant women
during and after normal pregnancy, labor and childbirth.’
This is the very definition of midwifery today. Although
Sagua Mañagu was founded by a doctor, she has always
practiced the best kind of midwifery.
The word ‘midwife’ means ‘with woman’ in old English.
Any person (male or female) who helped a woman give birth
was a midwife. The Latin word for midwife is ‘obstetrix.’
Medical schools in the early 20th century changed the name
of this subject from midwifery to obstetrics.
Historically birth was a woman’s domain. Men (medical
doctors) only started becoming involved in the late 1700’s
to help with complicated deliveries. By 1900, about 50%
of women in the United States were delivered by medical
doctors rather than midwives. The advances in medical
procedures, building of many new hospitals and the
introduction of anesthesia for labor led to more and more
women turning to medical doctors for birth. Initially, only the
middle and upper classes could afford these new treatments.
The working classes stayed with midwives who would care
for women without expecting the high reimbursement the
doctors could command.
The early midwives had little formal training. There were
no national standards and consequently the quality of care
could vary widely. In Guam, the Navy trained local Chamorro
nurse midwives from 1910 until 1950. They gave them formal
training to make childbirth safer for the women of Guam. Up
until the 1960’s most babies on Guam were delivered by
Navy trained Chamorro nurse midwives. After the Organic
Act of 1950 and the building of the new hospital, the
proportion of babies delivered by midwives dropped to 2.6%.
Today in Guam and all over the US, women are looking
for safe, cost-efficient care and many are starting to react
12 • MAÑAGU • Sep.Oct. 2014
against the ever increasing number of medical interventions
encountered in the American model of care. Despite the high
rate of medical interventions such as C-Sections (a rate of
32% in 2010) and epidurals (76% in 2010), the US does
poorly compared with other developed countries when it
comes to maternal and neonatal deaths.
Last year “The National Birth Center Study” was
released. It included more than 15,000 women who
received care in 79 birthing centers across the US. It found
that the C-Section rate was only 6% compared to 24% in
a similar low-risk group of women cared for in a hospital
setting. Midwives and obstetricians are looking for lower
costs, higher quality and better outcomes for their patients;
the well-run birthing center offers these things, as well as
higher rates of patient satisfaction.
Enter Marianas Physicians Group and Sagua Mañagu!
Through the clinic and the birthing center we teach,
educate and empower women to take care of their own
health and well-being. We promote diet, exercise, choices
for labor and birth and breastfeeding education through our
clinic visits and classes. The midwives working here take
care of women with normal pregnancies. They are highly
trained (post graduate training) to recognize deviations from
normal pregnancy and labor. They use a holistic approach
to labor and birth and summon the help of a doctor when
complications arise.
Over the past 14 years, the doctors, midwives and
nurses of Marianas Physicians Group and Sagua Mañagu
have brought together the most up to date research, best
practices and family centered care in a modern facility with
a relaxed atmosphere.
Looking to the future, Sagua Mañagu and Marianas
Physicians Group are facing exciting new times with the
broadening of Guam’s healthcare options. New research
is bearing out what midwives have known all along - that
women who are empowered with knowledge and the
best care have the best outcomes. Between home and the
institutionalized medical setting sits the birthing center and
our midwives. THE BEST OF BOTH WORLDS.
Celebrating 15 Years in Women’s Health
This year Marianas Physicians Group (MPG) celebrates
its 15th anniversary. Dr. Annie Bordallo, Dr. Ellen Bez
and Dr. Rosie Villagomez-Palisson formed a medical group
founded on a shared philosophy: every patient deserves
to receive excellent care in an environment that’s safe and
comfortable, that satisfies her wishes and suits her medical
Over the past 15 years, there have been many changes
in healthcare. Yet in spite of these changes, MPG has
maintained its focus on the patient. We pride ourselves
on building relationships of trust, offering our patients the
comfort and confidence in knowing that Marianas Physicians
Group puts their health needs first. We explore medical
alternatives that are evidence-based and consider options
that are cost-effective. Above all, we work with our patients
to find what’s best for her and her health.
Finding the Right Mix
In 1999, MPG first opened with
the three founding physicians:
Dr. Bordallo, Dr. Bez and Dr.
Villagomez-Palisson. A year
later, Dr. Maria Blancaflor
joined the group and provided
pediatric care. Dr. Blancaflor’s
practice quickly blossomed and
she soon moved into her own
clinic, MPG Pediatrics.
In 2002, Dr. Kaaren
Zvonik, an obstetrician,
and certified nurse midwife
Stephanie Velsmid joined MPG.
With the addition of Dr.˛Zvonik
and Stephanie, MPG was able
to increase access to women’s
Since then Marianas
Physicians Group has grown
into the largest women’s
healthcare center on Guam.
Along with Dr. Bordallo and
Dr. Bez, MPG has one full-time
and one part-time OB/GYN as
well as and four certified nurse
midwives. By the end of the
2014, MPG will be joined by
another physician and midwife:
for a total of 5 physicians and
5 midwives all committed to the
same mission.
By growing our team
and building capacity, MPG
will be better able to meet a
rising need for women’s health
services, particularly in the area
of high risk obstetrics. The
group mix of physicians and
midwives allows MPG to offer
safe, cost-efficient care with
minimal medical intervention
at the birthing center as well
as medical care that is best
provided in a hospital setting.
“We’re always looking out for our patients,” Dr. Bordallo
says. “We are confident that Marianas Physicians Group
will continue to serve our patients with same level of
professionalism and commitment that patients expect and
“The Pattera of Guam: Their Story and Legacy.” Karen Cruz,
Sep.Oct. 2014 • MAÑAGU • 13
In this issue of MANAGU, we invite our readers to meet part of MPG’s team:
Dr. Annie Bordallo, Dr. Farrell Cole, Dr. Kimberly Walton and three nationally
certified nurse midwives, Teresa Anderson, Alice Leliukas and Janna Melness.
Annie U. Bordallo, MD
Born and raised on Guam, Dr. Annie U. Bordallo is the island’s
first OB/GYN to return home to practice. A 1980 graduate of
the Academy of Our Lady of Guam, she went on to graduate from
Sarah Lawrence College in New York before receiving her medical
degree from Howard University College of Medicine in 1993. A
year after opening her solo practice in 1998, Dr. Bordallo formed
Marianas Physicians Group with Dr. Ellen Bez and Dr. Rosie
Villagomez. Today, MPG is the largest OB/GYN practice on Guam.
In 2000, Dr. Bordallo and Dr. Bez opened Sagua Mañagu,
Guam’s first and only birthing center. Their vision: create a special
place where Guam’s families could come to share the wonder of
Dr. Bordallo has devoted the last 20 years to improving
women’s health on Guam. She works with professionals who
share that commitment; and together, they create an environment
where patients are empowered to actively participate in their own
healthcare. Her patients trust her and her professionalism and
expertise. Her boundless energy and enthusiasm are true treasures
for women and families of Guam.
Farrell A. Cole, MD
After nearly two decades of serving the island, Dr. Farrell
Cole is no stranger to the community. He’s cared for
hundreds of patients and delivered their babies at the
hospital and the birthing center. Well respected among his
colleagues, Dr. Cole’s a long time member of the Guam
Medical Society and recently joined the Guam Medical
In 1994, Dr. Cole came to Guam for a 2-year contract,
wanting the experience of living and working on a tropical
island. “I just never got around to leaving,” he says. “I love
the practice. The patients and staff are great here.”
When he wasn’t in the clinic or at the hospital, Dr. Cole
found time for his love of music. He joined the Guam
Symphony and the Guam Territorial Band. As part of the
trumpet section, Dr. Cole entertained hundreds on Guam
through many concerts and shows.
After 18 years of practice with FHP Health Center,
Dr. Cole entered into semi-retirement and is enjoying
more time on the golf course. He continues to practice at
Marianas Physicians Group 4 to 6 months out of the year. “Our patients and staff really like having Dr. Cole as part of
our group,” says MPG clinic manager Corrine Blas. “He’s a great addition to our team.”
14 • MAÑAGU • Sep.Oct. 2014
Kimberly Walton, MD
“I was born in a little town,” she says, pausing with a smile, “called
Chicago.” That’s Dr. Kimberly R. Walton, the newest physician to
join the professional team at Marianas Physicians Group. A graduate
of UCLA’s School of Medicine, she’s an OB/GYN who has been in
practice for over 10 years, primarily in southern California and Las
Vegas, Nevada.
Having grown up travelling quite a bit, Dr. Walton and her
husband Mike McDermott gave serious thought to travel and practicing
medicine abroad when opportunities arose. They considered Doctors
Without Borders and an offer to come to Guam. “It took some
convincing,” Dr. Walton recalls. “I liked being in close proximity to my
grandma. And the humidity wasn’t appealing.” In the end, it was her
family who encouraged her to go. She and Mike made the big move.
Upon joining Dr. Bordallo, Dr. Walton noted that Marianas
Physicians Group is a bigger practice than she’s used to. “But
everyone’s been very inviting and encouraging—very warm and
receptive.” She adds, “The friendliness, the kindness of our patients
and co-workers is really special. I look forward to adding to the
healthcare on Guam; to make a difference on the island and in
women’s lives.”
Marianas Physicians Group is committed to providing quality healthcare to women on Guam. We strive to
deliver care with compassion, respecting and being attentive to the individual needs of our patients. We work
to build lasting relationships with our patients, to support their health maintenance throughout their lives.
Alice E. Leliukas, CNM
Alice Leliukas came to Guam in 1999 recruited by
a Nurse-midwife she knew at FHP. Her plan was to
complete a 2-year contract and retire to home and
family in Florida. That was 13 years ago!
Alice completed her Nurse-Midwifery certification
with the University of Mississippi, and her career took
her to Athens, Georgia for many years and then to
Florida to work in one of the first free-standing birth
centers in the country. Spending over 10 years doing
out of hospital births resulted in a great appreciation
for women’s ability to birth without intervention and
the unity that can be brought to the couple, their
families and their communities in celebrating a
new life together. Sagua Mañagu offers this unique
opportunity on Guam!
When not delivering Guam babies, Alice enjoys
her second passion, scuba diving. Travel, family, and
friends fill her days with just enough time left to visit
her favorite beach, Ritidian Point.
Sep.Oct. 2014 • MAÑAGU • 15
Teresa Anderson, CNM
Marianas Physicians Group welcomed Teresa
Anderson, a new certified nurse midwife, to MPG
in August 2013. She and her husband of 15
years, Michael Anderson, made an 8300-mile
trek from Florida to Guam. When asked why they
made such a big move, Teresa replied, “I wanted
the opportunity to work at MPG and we both
would like to travel throughout the region.”
Since joining Marianas Physicians Group,
Teresa says, “I like the diversity of patients we
care for. Guam is such a true melting pot of
individuals from vastly different cultures and
When she’s not working, Teresa finds that
Guam is a great place to pursue her hobbies and
personal interests: travel, snorkeling, hiking and
attending community & cultural events.
Janna Melness, CNM
Growing up the daughter of an Air Force pilot,
Janna Melness moved around a lot. She continued
moving as an adult and, so far, has lived in 10
states and one territory!
Janna’s latest move brought her 8,000 miles
for the opportunity to practice normal birth and she
has not been disappointed! “I have not seen any
birth center in the states that is like Sagua Mañagu,
with its size, well developed staff, and such a nice
balance of medical safety and freedom to labor
Janna enjoys learning the nuances of Chamorro,
Filipino and Japanese cultures. She admits that
life on Guam can be disorienting for someone
accustomed to street signs, but she’s learning her
For fun, Janna and her boyfriend Alan (who
also moved 8,000 miles), enjoy exploring and
photographing Guam’s natural beauty, volunteering
for GAIN, and attending festivals and live music
performances whenever they can.
16 • MAÑAGU • Sep.Oct. 2014
Marianas Physicians Group
Our Focus is on Her
We are here to provide quality healthcare to women on Guam. We strive to deliver care with
compassion; respecting and being attentive to the individual needs of our patients. We work to
build lasting relationships with our patients, to support their health throughout their lives.
Specialzing in... Women’s
Annual Physicals
Menstrual Disorders
Health Services
Maternity Care
Pap Smears
Adolescent Care
Feel free to call us for an appointment.
Or request an appointment at
Most health insurance plans accepted.
472 Chalan San Antonio, Tamuning, Guam 96913
your child
The First Time:
1st day in 1st Grade
Congratulations parents! You’ve survived the summer. One way or another, you found activities
to keep the kids busy while you were at work. The back-to-school sales have come and gone;
and so has the hustle, bustle and expense that comes with buying school uniforms and supplies.
As summer vacations came to an end, households across the island were preparing for the first
day of school. Parents and children alike were filled with a combination of excitement and
separation anxiety. First graders Toma Wooley, Christian Benavente and Lydia Okiyama tell
us about 1st grade, while Sagua Mañagu’s first born, Joan Fernandez, and Brandon-John Waki
share their experience from their first day in high school.
18 • MAÑAGU • Sep.Oct. 2014
your child
Toma Wooley
parents: Amanda & Tom Wooley
school: Lyndon B. Johnson Elementary School
As parents, what did you do in preparation for Toma’s first
day at school?
In preparation for the new year, we probably did what
many parents do. We looked at our “school supplies
stash” and compared it to the new LBJES requirements and
picked up the few missing items. We were very fortunate
that Toma’s kindergarten teacher, Mrs. Sablan, returned all
excess supplies for re-use this year. Toma also received a
new backpack, lunch bag and thermos from his Nino Diron
and Nina Flori when they returned from summer travel.
We had Toma try on his uniforms to see what changes
were needed. Whew!
He still fits his shirts,
so we only had to
purchase uniform pants
and shorts.
The biggest
adjustment for all of us
was/is the “return to
school” bedtime routine.
Since the first weekend
of August, we’ve
enforced his 8:30p.m.
bedtime to the best of
our abilities. If only our
2-year-old would buy
into the new schedule...
sigh... I digress. While
we maintain the routine
(bathe, brush teeth,
floss, gargle oral rinse,
read two books and say
nightly prayers), starting
it at the right time is a
nightly race against the
clock. Some nights have
been better than others,
but we are determined,
so we pray we’ll prevail!
Toma’s first day
I am in F4. My teacher
is Ms. Gumataotao.
Toma Wooley is all smiles on his first day of
Today, I counted from 0 to school.
120. My teacher read “The
Kissing Hand” about a fox that didn’t want to go to school.
I saw Akira, Kyle and Kinobolie. After lunch, I walked
around school. My favorite part of the day was everything!
I think we will do Math, Writing and Reading tomorrow.
Sep.Oct. 2014 • MAÑAGU • 19
your child
Christian Benavente
parents: Tamara & Derrick Benavente
school: St. Paul Christian School
As parents, what did you do in preparation for Christian’s
first day at school?
We actually “prepared” Christian all summer for the first
day of school. Christian still experiences mild separation
anxiety. We reassured him that he would make new friends
as well as see his old ones. We also let him know that he
could call us if he needed.
Christian’s first day
What class are you in?
I’m in first grade.
What’s the name of your teacher?
My teacher’s name is Mrs. Richelle San Agustin.
Christian and older brother EJ ready for
their first day at school.
What did you do at school today?
We wrote in our homework notebook.
What was your favorite part
of the day?
Lunch and recess.
Any friends you’d like to mention?
Some of my friends are Davian, Abigail, Tunui and Peyton.
What are you going to do tomorrow?
We will be going to chapel and doing more work.
Lydia Okiyama
parents: Carlene & Frank Okiyama
school: Carlos L. Taitano Elementary School
Lydia’s first day
As parents, what did you do in preparation for Lydia’s first
day at school?
What’s the name of
your teacher?
Miss Salas.
Lydia “Dia” Okiyama finds her seat in
her new classroom on her first day of
We spent the better part of
the summer talking about
her going to “big” school.
In addition to a new school,
this would be the first time
she wouldn’t be attending the
same school as her younger
sister so we made sure she
was emotionally prepared.
As the first day drew closer,
we shopped for school
supplies and her uniform. The
Friday before the first day,
I took her to drop off her
school supplies so that she
could see where her class
was and get a little familiar
with the campus.
20 • MAÑAGU • Sep.Oct. 2014
What class are you in?
I’m in first grade.
What did you do at
school today?
We toured the
school. I got to see
the playground and
cafeteria. Our teacher
put us in groups. I
colored a picture
showing how I felt.
Any friends you’d like to mention?
Niyah and Jordan. Niyah was my classmate last year but
Jordan I made friends with today.
What was your favorite part of the day?
Getting into groups with my classmates.
your child
Sep.Oct. 2014 • MAÑAGU • 21
your tween
The First Time:
First Day
of High
Joan Fernandez
Parents: Rizel & Mike Fernandez
As parents, what did you do in
preparation for Joan’s first day at school?
Aside from praying hard that she’ll do
great in high school, my husband Mike
and I did the typical “end-of-summer/startof-new-school-year” preparation for Joan
and her sister Veronica. We registered
and enrolled Joan at AOLG, submitted
all the paper work needed, and bought
her school uniforms and supplies. We
also adjusted our wake-up time, making it
earlier so that we can avoid heavy traffic
during the morning rush.
Standing in the school’s courtyard, Joan Fernandez is now an Academy girl.
Joan’s first day
What school are you going to?
What did you do at school today?
I am going to the Academy of Our Lady of Guam. I attended my classes and met my new teachers, and fellow
classmates. We discussed our syllabus and expectations for
What subjects are you taking this year?
the whole year.
I’m taking regular classes like the rest of my friends: World
Geography, Pre-Algebra, English I, Music, Theology, Tennis
What did you do after school?
and General Science. And yes, I’m kind of bummed that
I met up with my friends from my former school and
I don’t have any special classes like Advanced courses,
exchanged stories while we waited for our parents to pick
but at least I get to see some of my friends from my former
us up. school. 22 • MAÑAGU • Sep.Oct. 2014
Any friends you’d like to mention?
I met lots of amazing and fun
people at Academy. There are too
many to mention. What was your favorite part of the
My favorite part of the day was
Lunch. And may I just say, the
lunch at ACADEMY is incredible
and it made me look forward to
the next day. What are you going to do
I will have to memorize and sing
the Alma Mater for my music
class. Fingers crossed!!!
Sep.Oct. 2014 • MAÑAGU • 23
your tween
Brandon-John Waki
Parents: Dina Waki & Brian Santos
As parents, what did you do in preparation for BrandonJohn’s first day at school?
As parents, we had him start his sleeping cycle 2 weeks
prior to school starting. He spent his summer in Texas and
California, so the time difference put his schedule way
off. The day before school, we had him get his uniform
and some school supplies ready, so he would not have to
rush the next morning. We sent him off to catch the bus at
6:15am. He was so excited.
Brandon-John’s first day
What school are you going to?
I am going to attend George Washington High School
What subjects are you taking this year?
I am taking
- Intro to physical fitness, sports, rhythms
- World Geography
- Physical Science
- English
- Health Education and
- Algebra
What did you do at school today?
Honestly, since I am a freshman, I was
completely lost. I had no idea where to go or
what to do. I basically followed the crowd. I
asked a couple of people I know where my
room was. They pointed in the direction I
needed to go. My room was the last building
to the right (Gym). They gave me my schedule
and I went on with my day, finding the rooms I
needed to go to and so on. The teachers were
nice. They were explaining how the school
works. Like the credit system and blocks. They
were really nice.
The last bell rang and I exited my final
class. I went to the front were the busses
dropped us off. There were so many busses I
couldn’t figure out which one to get on. I almost
went on the wrong bus. Luckily, I found the
right bus and got on right on time. The bus was
really packed but we managed to fit everybody
inside and left GW.
Any friends you’d like to mention?
I met all my old friends like Edward, Raivin,
For Brandon-John Waki, all’s good after his first day at GW.
Kyle, Voltaire, Tatsuya, Mark and a lot of my other
friends. I also made a couple of new friends,
some were seniors and sophomores.
24 • MAÑAGU • Sep.Oct. 2014
What was your favorite
part of the day?
My favorite part of
the day was the early
morning right when
the bus driver dropped
me off. It was a new
experience that was
amazing. Just looking
at how big the school
was. It was absolutely
What are you going to
do tomorrow?
I’m going to do the
usual routine and
probably do this
routine for the rest of
the year.
Sep.Oct. 2014 • MAÑAGU • 25
Congratulations to all the babies
born at Sagua Mañagu!
Jayce Isaiah
JasmenAmanda Rodriguez &
George Camacho
Cameron Jase
Jeneane Guiao & Cederick Egana
Maria Ruiz- & David Atienza
Christian Jay
Ariel & Christopher Tajalle
Susan & Crispin Manalo, Jr.
Ada Caitlhyn
Carren Miranda & Raymond Joseph
Zayn Raffles
Yulia & Sunardi Li
Rhys Sergio
Rachel & Jonas Macapinlac
Lhiam Benny
Rosalie & Victor Dungca
Farah Grace Magdalena
Leia & Brian Howard
Misaki James Kainoa
Misty & Kevin Inafuku
Tabitha Paige
Donna Siguenza & Patrick Fama
Coleigha Ray
Merry Torres & Connan Dela Cruz
Xavier Ray
Alexandra Benavente
& Roby Garrido
Cade Rush
Johnel & Rigel David
Samuel Mason
Jerlyn Cabingas & Newton Ly
Elijah Alu
Catherine & Matthew Toves
Carlene & Jarvis Ladrido
Teegan Jonah
Tammy & Melvin Meno
Maia Alexandria
Maria Riza Yebra & Glenn Manglona
Skye Marie
Kathleen Nace & Shawn Duenas
Ronnie Junior
Shalini & Ronald Mikos
Landon Jayce
Trisha Carreon & Lauren
Celine Jaehanna
Christine Pinzon & Jack Kido
Lia Gabriella
Llainee & Joel Sablan
26 • MAÑAGU • Sep.Oct. 2014
Greyson Cole
Roxann Akana-Sanford
& David Sanford
Kahmonte Dorte
Keilani-Anne Olkeriil & Bert Magofna
Leila Naomi
Ivy & Ernesto Rosario, Jr.
Randal Julian
Vera & Raul Metra
Matthew James
Frances & Vincent Dela Cruz
Jiada Marie
Jacquelin Romero
& Jonathan Canales
Mischa Andree Jr.
Alexia Mafnas & Mischa Acfalle
Teaghan Paul
Sheena Camacho & Paul Francisco
Nash Basty
April & Nico-Avelino Cabungcal
Isla Victoria
Lisa & Franklin Cooper-Nurse
Cade Matthew
Megan & Matthew Lewis
Denalyn Macie
Debra & Paul Mendiola
Itsuki Valentino
Mai & Valentino Perez
Logan Daniel
Len Marie Papelera & Linno Roxby
Braeson Wade
Briana Perez & Samuel Babac, Jr.
Kalia Johnae
Athena Pangelinan & John Castillo
Marizel & James Yu
Ariana Renae
Brittney-Jean Borja & Ralph
Natalie Jane
Nicole Castro & Mar- Paul Basilio
Kylie Jayne
Danielle & Steven Runyan
Jace Jon
Diane & Jonathan Palacios
Trayven Kairis
Tiffany Melsior & Turay Setik
Elijah Peter Francisco
Camarin Concepcion & John Burch
Morgan Vena
Sheila & Darren Mollot
Shyneth Shypeteson
Harin Saret
Deon Jeffrey
Deborah Eding & Jefferson
Austin Michael
Corina Paulino & Adrian Candaso
Arthur James III
Susana Wusstig & Arthur Delisle Jr.
Jacob Oliver
Jhoanna & Oliver De Vera
Kenji Iwao
Chie Takase & David Burdick
Salvatore Michael
Jessica & Jonathan Fini
Venus & Enrique Pascual
Myron Jayde
Mary Jane Pineda
& Lionel Evangelista
Kailey Rose
Francisca Cruz & Mario Gonzalez
Jasmine Aeliyah
Alyssa Parado & Joseph Bondoc
Maikah Joseph
Kiana Ojeda & Michael Manglona Jr.
Gleadon Wayne
Mary Jane & Michael Salvatin
Alleiza Cyril
Heide & Allan David
Zyla Reid
Mary Jane Cruz
& Fabian Curtis Aldan
Mylove Isacc
Sifros Hartman
& Katamichy Rudolph
Thomas Cole
Apryl Fejeran
& Thomas Aguon-Rojas
Dhejuan Thiago
Druanna & Troy Flores
Coleen & Albert Dela Cruz
Symphorian James
Tanya Lynn Quinata
& Keith Quintanilla
Alana Jo
Trisha Sherry
Catherine Elena
Jacqueline & Joseph Terlaje
Aeris Eve
Joyce & Richard Jose
Ariana Elizabeth
Marlena Vergara & Roy Pablo II
Vanessa Santos
& Christopher Fejeran
barb's corner
The Storyteller….
Barbara Mafnas, BSN, LCCE, CLC, IBCLC, HB
Recently I had the pleasure
of speaking at the GoPeace
Conference. I was not nervous
about my speaking part or the
thought of talking in front of over
200 people. I was worried about
saying just the right things and
setting the tone for the rest of the
day. Day one of the conference
involved a process that I have
become quite familiar with, a
concept known as GONA.
“GONA” stands for
“Gathering of the Native
Americans.” It is a curriculum
that was designed and meant to bring healing to the Native
American people. An oppressed people who have suffered
throughout history as a result of assault brought on them
as they were forced from their native lands and restricted
to reservations. As a result of this insult, their culture was
stripped away, and traditional coping skills became a
thing of the past. There were a few who clung to culture,
custom and traditions but many gave way to alcohol and
drugs. GONA has helped the Native American people
come back to their deep roots and search their inner selves
for truth and healing. The curriculum is evidence based and
has made a significant impact on them. The curriculum is
relevant in all cultures as the concepts are timeless. It was
adopted and adapted with an island twist and makes a lot
of sense.
The gathering started with a prayer and a song. I
recognized the tune and sang softly in English as a cultural
dance group sang in Chamorro. The leader reminded all
of us that we were on land where once Ancient Chamorros
roamed and walked freely. She asked for permission and
said a blessing over our meeting. A familiar presence filled
that place. I delivered my presentation and then Roger took
the microphone.
Roger Fernandez is a Native American Storyteller.
He shared myths and legends of tribes across the nation.
He taught that storytelling brings healing as people see
themselves in the stories as they unfold. He also spoke
of how people use storytelling to find relevance to their
journey through life. He spoke with a mesmerizing tone that
captivated everyone in the audience. I was in awe.
When Roger sought me out at the break, I felt honored.
28 • MAÑAGU • Sep.Oct. 2014
When he told me he thought
I was a wonderful storyteller
and that he was going to
use some of my material, I
felt humbled. I returned the
compliment by telling him I
was going to do the same!
He said there is an art to
storytelling. He says it comes
from the heart, not the head.
He said, “You speak from the
I took a moment to reflect
upon my story. I talked of
how an island boy joined
the military, moved from his homeland and family and,
by chance, found me. I talked of how that moment when
we met was pivotal in our lives. Had it not been for my
afterschool part-time job and his love for food, we may
have never met.
I read a quote by Longfellow:
Be still sad heart and cease repining;
Behind the Clouds the sun is shining.
Thy fate is common fate of all,
Into each life a little rain must fall….
I emphasized “into each life a little rain must fall.” I spoke
about how sometimes we experience a light drizzle and
sometimes torrential down pours. I talked of typhoons and
their aftermath. I spoke about the Japanese invasion and its
effects on the people of Guam and how it affected not only
that generation but generations to come… I talked about
how to deal with the “rain” and more importantly how to
cope with the aftermath of the rain. Rain of course being
symbolic of life events.
Our day continued with the process of GONA by
creating a sense of belonging in the group. We moved on
to mastery as we built balloon towers and moved on to
interdependence as we learned that we need each other for
empowerment, and we learned of generosity and how we
can give back.
I feel a strong connection to the GONA curriculum; I
feel it changing lives for the better. I believe in its process.
Maybe I have not chosen it, but it chose me. I am pretty
much a free spirit, and Roger gave me wings with his
compliment. I have been renamed. No longer Guest
Presenter, now Storyteller.
Community First - lina
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your side.
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