How to pronounce “laguna” in English

D. in medical history after I had been practicing medicine for many years.Laguna Honda was the only place that would let me practice medicine part time.So I went over for my interview.

We actually had a system.And Laguna Honda was the San Francisco Almshouse.And it's how I got the title for my last book because this is-- the system that we have came from France, and Europe

There was a lot of battles, politics, and struggles, especially between the director of public health, whom I call Dr. Stein in the book, and the doctors, nurses, and administratorsof Laguna Honda. Finally, one day, Dr. Stein had had enough.He replaced the medical director, the nursing director, and the executive administrator all at once with his own picks.

Perhaps there were patients at Laguna Honda, and not simply resident.Perhaps Laguna Honda was a hospital, and not a health care and rehabilitation facility.So even after the computers were fixed, which took four months, and I was surprised at how much less work I had while they were down, even including telephoning the lab for my

And I'll give you an example.The typical patient at Laguna Honda would arrive on between 15 and 26 medications, of which theyonly needed about four or five.

And this is in perspective.It was deployed in Laguna Negra in December, 2012, and was put in a permanent mooring position for all this year, so

Then we went out and she showed me the gardens.Turned out that Laguna Honda had been the almshouse for the city, and it was on 62 acres.It is still on 62 acres of land in the middle of San Francisco.

the same book first book being a traditional recipe book where we collected recipes of what we were doingat the time at laguna de Saigon book was very different was a I believe abeautiful coffee table book it was an experimentation in between a painter a

It had originally been called the San Francisco Almshouse.This was the first rendition of Laguna Honda in the 1860s.And the almshouse was actually how we used to take care of the sick poor before there was health insurance.

to step back and see what was in the way of viriditas and what could I do to support it.The longer I practiced medicine at Laguna Honda, the more I realized that this was a very helpful way of looking at patients.And I began to think of it as sort of the slow medicine, as opposed to the fast medicine I also used,

what's broken, falls down.And what I learned at Laguna Honda is, when I used both models together, first fast and then slow medicine, the patients did the best.They did remarkably well.

And we had two single-page forms in the chart.And the day before I left Laguna Honda, I pulled out one of the paper charts just randomly.And I started looking through it.

Here's the lake in question.The lake we're exploring is Laguna Negra.It's located 70 kilometers south of Santiago.

But it's accelerating very, very fast right now.The immense supply from Echaurren into Laguna Negra comes through that little stream here.And this very nice aqua lake, which is about 100 and so meter wide, and that we call Station Lake.

She went to the county hospital, and they discovered that she had a rare viral disease called transverse myelitis, that has no treatment but does tend to get better over time.They sent her over to Laguna Honda.She was on rehabilitation, and she did pretty well.

He was, as they said in the Middle Ages, Dr. Stein's man.His orders were to change Laguna Honda from an old fashioned almshouse to a modern health care and rehabilitation facility.He had been warned by Dr. Stein about the obstructions he would face: the balky doctors, the obstreperous nun, the ex-director of nursing.

And he softened. He got a bit confused.Perhaps there were patients at Laguna Honda, and not simply resident.Perhaps Laguna Honda was a hospital, and not a health care and rehabilitation facility.

But the budget kept rising.When I first got to Laguna Honda, there were two forms of one page each.

But the budget kept rising.We had a patient gift fund at Laguna Honda, so we could get the money together to send her back home.

from about 15,000, to 1,200.And yet, at Laguna Honda, every year the budget has increased.So I asked myself, well, what counted for that?

This is when the glacier was there.You can imagine the Echaurren Glacier actually ended up in Laguna Negra, and then year after year receding.Deglaciation didn't start yesterday on this glacier.

It didn't have a name before, so now it's Station Lake.But this is really where the water is coming into Laguna Negra.And this is in perspective.

In fact, it usually is.I learned a tremendous amount from the patients at Laguna Honda.If I had to summarize what I learned in one sentence, it would be that the practice of medicine is a personal relationship between doctor and patient.

"Back to the rehabilitation ward," he said, where he was covering for a few weeks.The rehabilitation ward was its own mini hospital within Laguna Honda.It admitted the patients with the milder strokes and the less traumatic head injuries, most of whom would recover and be discharged back to their homes, if they had them.

But the budget kept rising.In a way, Laguna Honda for me was an experiment.

"In the Moment." "I just parallel parked exactly right for the first time ever,maybe because I wasn't imagining a tsunami killing me on Sunday in Laguna, or thinking about my mother alone at home,or when I dropped the puppy off the patio.

And I thought, he's going to give me some esoteric practice or something.You know, we had a hospice at Laguna Honda Hospital, which is the nation's largest long-term care facility.

There are 35 times as many administrators as there used to be.And as you can see, just like Laguna Honda, the budget has continued to go up every year.And what do all those docs do?

And this is in perspective.vision of . We developed this bathymetric map of Laguna Negra, and Trey already built that.

And this is in perspective.And so what we did here was to study the wind at Laguna Negra, and try to see what kind of effect

And this is in perspective.What you see here to the left is the water column of Laguna Negra.

work so well after the heart attack, the appendectomy, the chemotherapy.Then, about halfway through my time at Laguna Honda, things started to change.There was a big push to turn the old fashioned hospital into a modern health care facility.

But Mr. Conley, with the best will in the world, eventually made a fatal mistake.He stepped out of the administration wing and met the patients of Laguna Honda.I don't know how it happened, but I suppose it had to do with the crashing of our computers.

This is taken just after sunrise. And this is also in the Altiplano.This lake's about 14,000 feet. Laguna Co -- Laguna Colorada with a indemnic species of flamingo that nest there, James's Flamingo.This is Cape Vercillos on the southeast African coast -- southwest African coast

So this was a very interesting model.And it took me years to understand how to apply it to the patients I had at Laguna Honda.But gradually, I began to see that not only could I help a patient by figuring out what diagnosis they actually had, but once I had the diagnosis,

Many of them were actually able to go home, sort of unexpectedly.And during the 20 years I practiced medicine, while I was practicing medicine at Laguna Honda, we eventually got discovered and our halcyon daysof having enough time began to disappear.

The place was a great place to practice medicine in terms of its spaciousness, kinda ramshackle.But what really made it incredible were the patients, because it turns out that Laguna Honda was the original almshouse for the city.That was how we used to take care of the sick poor.

Not long after, she moved to another ward, and there she died peacefully, 18 months later.Ms. Todd capped my experience of those first years of Laguna Honda.She summarized it and hinted at what I would be learning later.

Finally, the bedsore was too big to graft.County didn't know what to do, and they sent her over to Laguna Honda for treatment.When I examined her, I was really quite shocked.

Nobody seems to know what to do.So let me end with showing you what happened when modern, efficient health care landed at Laguna Honda.What I did is I put together a graph over the 20 years I was at Laguna Honda.

So let me end with showing you what happened when modern, efficient health care landed at Laguna Honda.What I did is I put together a graph over the 20 years I was at Laguna Honda.As cost-cutting measures, the patients were gradually whittled down by about 40%, from 1178 to 780.

But the budget kept rising.It's hard to know for sure, but the one thing there are more of at Laguna Honda today than when I started there is forms.

But the budget kept rising.if they continue, there will be no patients at Laguna Honda, , two physicians, 1400 FTE and a budget of 280 million dollars.

But the budget kept rising.I have many, many cases where it's quite clear that the Laguna Honda treatment-- Terry is a perfect example.

up to the north? Should it be a storm to the south? Should it be a storm right off the California coast? And he kind of keeps the best of these angles a secret. Eventually,Flame, Bill Sharp, Sam George and a pro from Laguna named George Hulse road out on an incrediblysecret mission. They didn't tell anybody. And this is George Hulse' first paddle in wave atop the Cortes Bay. There was no such thing as what's known as tow surfing today

born in East Los Angeles.You've seen her work around the 1984 Olympics possibly, LACMA, the Laguna Art Museum, and even Cheech Marin.All right, this is awesome.

And I'm very pleased to welcome my dear friend, Dr. Victoria Sweet, who just published a new book called, "Slow Medicine, the Way to Healing."I've known Victoria for several decades, since nearly the start of her journey as a physician, including her 20 years practicing at Laguna HondaHospital in San Francisco and taking time to get her PhD in the history of medicine.

And I spent a couple of months looking around for a half-time position, which was rather difficult at the time.Until finally I discovered-- I was offered a position at a very unusual hospital in San Francisco, which was called Laguna HondaHospital, in San Francisco.

and particularly the open wards.And the Department of Justice finally, eventually, showed up and told Laguna Honda that they were going to have to tear the place down and rebuilda new health care facility, that had private rooms for all of the patients, rather than keep the patients on the open wards.