President David Thormanopened the 20th "virtual meeting" of the 2020-2021 Rotary Year on the 8th of December and the 32st "virtual meeting" overall ( will it ever end?) As is his custom, he rang the " Official Bell" (and virtually) to start the meeting.
The "pledge" was performed by our esteemed member Rich Plath, who chose the following "Thought for the Day":
"Happiness is not an accident
Happiness is not something you wish for
Happiness is something you design
HONORARY
HOLLY HAIGHT, HEINE ROIKGER
ANNOUNCEMENTS
♦ HOLIDAY BASKETS Rich Plath
Our program this year is as follows:
1) We will assemble 75 baskets at the Carmichael Water District on Saturday December 12 at 9am.
2) We will deliver the baskets to San Juan School District headquarters right after assembly is complete.
3) District employees will distribute the food that afternoon.
4) The menu changed this year at the request of the school district. Our boxes will include pasta, canned tuna, breakfast food, soups and healthy snack food. Our boxes will be much lighter than in the past.
5) With good turnout on the 12th, we probably can complete the packing in about one hour. Our club will have an opportunity to catch up with each other over coffee and donuts.
RICH PLATH
If you can, bring your SUV to load the completed baskets because we will be delivering them to the San Juan School District headquarters.
♦ We had a guest at our meeting who is interested in our Club. He is Heine Roikjer and he is opening a grocery outlet on Marconi and Walnut on March 4th, 2021. Please welcome Heine to our business community.
Our guest for the evening was introduced by Dr. Dick Bauer who has had some intimate help from her. He had two knee replacements by Dr. Holly Haight as well as President David Thorman who had just one knee replacement and one of the member's wives - all with excellent results. Dick said that Holly grew up in New Mexico and went to Pomona College where she studied classics and dance and became for a time, a professional dancer of ballet and modern dancing. She pursued her masters in kinesiology from S.F. State and was accepted at the Mayo Clinic Medical School in Rochester. At first Holly thought that she would have a career in physical medicine and rehabilitation but once she saw surgery she knew she wanted to be a surgeon involving human movement. After graduating with her M.D. degree from the Mayo Clinic, she earned a fellowship at Stanford in Joint replacement (orthopedics). She then went to work for Kaiser and the rest is history. She has been one of the "top docs" at Kaiser for four years in a row. Holly is also Chief of Surgery at Kaiser North. Holly lives in Carmichael loves to travel and oh, her father was a Rotarian. She has two children 9 and 14 years, and a husband of 27 years.
Holly said that this meeting was actually her second Rotary meeting because she remembers attending a Rotary meeting with her father when she was 10 or 11 years old. She remembers that there were no women in Rotary then - things have changed. Holly said that today she would talk about knee and hip replacements. She has done 100 hip replacements, 100 knee replacements and 50 revisions (people who have had replacements years before). She mentioned that arthritis is mostly caused by inflammation and loss of cartilage occurs, and bone spurs - which causes pain. The basic cause is wear and tear. Contributing factors are genetics, trauma, injury early in life, gout, and synovial inflammation. The symptoms of arthritis begins with start up pain, stiffness, pain without weight, at night usually, but other things can cause pain like nerve pain, muscle strain or tendonitis.
Treatment of the pain can come from anti-inflammatories like Ibuprofen and others (Tylenol is not inflammatory).
Also Narcotics are used or to seek to unload weight on a joint with a cane, brace, spring knee device, or weight-loss helps. Cortisone injections in the knee or hip can give 3 to 4 months of relief. There are topical creams which are anti-inflammatory and physical therapy.
So then, when all else fails and there still is pain and significant lower quality of life, there is the surgical alternative. Replacements are made of titanium, ceramic, plastic materials - some materials where the bone cells grow into the implant. The risks are danger from anesthesia, blood clots, nerve damage, blood vessel damage, ongoing pain, numbness, dislocation of the implant, leg length discrepancy, and over time there will be implant wear. It's estimated that knee replacements are good for 15-20 years and hip 30 years. Estimates are getting longer and longer due to improvements in replacement implants and surgery. Knee and Hip replacement surgery is elective - it is a "Quality of Life" issue. The benefits should outweigh the risks and results are not designed for high athletic activity (although some patients do walking, cycling, playing golf, etc - it is important to be careful.) The failure rate is about 1% per year.
Recovery has dramatically improved. It used to be that you would be in the hospital for two weeks, but now it is an outpatient procedure. The patient is sent home on the same day. Complete recovery time for knees is probably longer than three months and may take a full year. Replacement time with hips are shorter than with knees - probably around three months.
Kaiser Hospital is leading the field of hip and knee replacement surgery. This is especially true because of their team effect with lots of preparation. Anesthesiologists at Kaiser use spinal nerve block anesthetics which blocks pain for days after surgery, lessening the need for narcotics and there is important support from the medical staff when the patient is at home and from the clinic.
How to prevent arthritis? Keep exercising but slow it down and maintain a healthy weight. In the lively Q & A session, the subject of microfracture of bone to cause tissue ingrowth was discussed and the injection of stem cells. Holly mentioned that there is a future for stem cell therapy which can be useful early in the process of disease as is also true with microfracture therapy.
President David Thorman, himself a replacement knee recipient from Dr. Haight, expressed his gratitude to her not only for his surgery but also because she agreed to come to our Club and give us such a valuable informative presentation. He said that, in her honor, a book will be donated to the Carmichael Library (subsidiary of the Sacramento Public Library.) Another grateful patient Dick Bauer presented Holly (virtually) with a Paul Harris Fellow Award ($1000) donation in her name. Look below:
HAPPY FINES
President David Thorman listened intently with open ears to see if the assemblage would give some "HAPPY FINES", especially after the wonderful presentation of Dr. Holly Haight. Our guest, Heine Roikjer mentioned that he lives in Natomas and was a member of West Sacramento Rotary for a number of years and will be opening a grocery outlet, Marconi and Walnut on March 4th, 2021; Geronimo gave 1A in honor of our speaker; Walter Malhoski gave because his wife had a knee replacement a while back and got his hair cut on Thursday; Jim Thompson thought (for 1A) that the last two issues of the Rotary Magazine were the best ever (I agree, especially the one about Monarch Butterflies); Stan Roe gave some $ in honor of our speaker and in order to tell us that we should wear our Rotary masks when we assemble the holiday baskets on December 12th.
BELL RINGERS
JAY BOATWRIGHT; DICK BAUER; GREG HERRERA; VINCE IOSSO; WALTER MALHOSKI;
CHUCK McBRIDE; STAN ROE; JAY SEDLAK; JACK SHEARER
v
BONG GONGERS
HAMID AHMADI; DICK BAUER; MARK BEIL ; ED BUNTING (3) ; GREG HERRERA(3) ; VINCE IOSSO (2); WALTER MALHOSKI (2); FRANK PEASE; STAN ROE (3); JACK SHEARER; JEFF THOMPSON; JIM THOMPSON; DAVID THORMAN (2)
EXPLANATION: A BELL RINGER IS SOMEONE WHO DONATES $100 TO THE CLUB IN A GIVEN YEAR; A GONG BONGER IS ONE WHO DONATES AN ADDITIONAL $100 TO EITHER THE CLUB OR R.I. FOUNDATION (FOR GENERAL OR SPECIFIC PURPOSE)
Donations as of 12-7-2020
During the incumbency of President David Thorman,(2013-14) it was decided that instead of giving a particular gift, ie coffee mug, pen etc. to honor our guest speaker each week, we would simply donate a book to the Carmichael Library. So below are many of the books that we have donated in honor of recent speakers.
It is the "gift that keeps of giving" because those who will check out these books from the library will derive many hours of pleasure for years to come, and it enhances learning and literacy. The books are chosen byBertaBoegel, Branch Supervisor, Carmichael Library, subsidiary of the Sacramento Public Library.
rboegel@saclibrary.org
Due to the quantity of books donated as of 10-16-2020 (over 200), I have noted only the last 16 or so. The prior tabulations of books donated have been archived and will be in the memory of the Carmichael Club in Club Runner.
SPEAKER
BOOK TITLE
AUTHOR
BRIAN GLADDEN
"Accountable: The Rise of
Citizen Capitalism"
Michael O'Leary
Warren Valdmannis
GOPAL KAPUR
"The Character Edge: Leading
and winning with Integrity"
Robert L. Caslen
Dr. Mitchell A. Matthews
MARCOS BRETON
"The Religious Causes, the case for
separating Church and State"
Howard Gillman
Edward Chemerinky"
ROD MALLOY
"What Can I Do? My path from
climate despair to action"
Jane Fonda
MARGARET LOEHR
"The Future of Earth: A radical vision for
what's possible in the age of warming"
Eric Holthaus
Posted by Phillip Danz on Dec 08, 2013
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Thorman 
So then, when all else fails and there still is pain and significant lower quality of life, there is the surgical alternative. Replacements are made of titanium, ceramic, plastic materials - some materials where the bone cells grow into the implant. The risks are danger from anesthesia, blood clots, nerve damage, blood vessel damage, ongoing pain, numbness, dislocation of the implant, leg length discrepancy, and over time there will be implant wear. It's estimated that knee replacements are good for 15-20 years and hip 30 years. Estimates are getting longer and longer due to improvements in replacement implants and surgery. Knee and Hip replacement surgery is elective - 
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