
The National Kidney Foundation of Hawaii (NKFH) is aiming high with a new clinical community resource center. It broke ground in July and Sen. Daniel Kahikina Akaka wants all of us to support the last bit of fundraising. The new center in Kapolei will house many clinical community programs to help people at risk of chronic kidney disease get early screening and teach them how to stay healthy.
At 92, Sen. Akaka is still working to help the people of Hawai‘i. His warm, sunny smile continues to encourages us to celebrate goodness with gratitude for all we have. He retired several years ago, but while in Washington, he learned how many persons in Hawai‘i suffer from chronic kidney disease (CKD). Since he came home, he has been helping NKFH tackle this disease.
“I was astounded that kidney disease was such a big problem for us,” Sen. Akaka said. “Hawai‘i has 30 percent more kidney disease than other states; Native Hawaiian, Pacific Islanders, Filipino and Japanese communities are most affected — a major segment of our community. When I retired from public service, I made the Kidney Foundation of Hawaii the focus of my continuing community work. The need is so great and NKFH has many successful programs that help people stay healthy. If we can help get the word out, they can help more people at risk for kidney disease.” One person can’t solve such a big problem alone, so Sen. Akaka is asking all of us to learn more about CKD. We can help involve our families and mo‘opuna in healthy habits that protect our kidneys. We can encourage them to get screened for early signs of diabetes and high blood pressure — the two disorders that often lead to CKD. Currently, NKFH offers free educational materials, health programs and community screening events at various locations throughout the state every year.

Chronic Kidney Disease
The chronic or long-term decline of kidney function may start after a urinary tract infection or occur as a result of other disorders. Because kidney disease often starts “silently,” persons losing kidney function will not notice any symptoms until it is too late to save their kidneys.
The best way to know if your kidneys are healthy is to undergo simple urine and blood tests. Patients who already have mild chronic kidney disease may be able to slow the progress by testing their “numbers” regularly and adopting lifestyle habits that are healthy for their kidneys.
We met up with Sen. Akaka and NKFH Senior Director Diana Benningfield at the U.S. Renal Dialysis facility in Kapolei, which provides dialysis services for people whose kidneys no longer function. Here’s what we learned: Most dialysis patients have had diabetes or high blood pressure for some time. Eventually, these disorders damage the tiny filters inside the kidney called glomerular units that transfer waste products and toxins from the bloodstream to the urine. Eventually, the kidneys stop funtioning, causing toxins and am monia buildup in the blood and patients develop the symptoms of end-stage kidney disease.

Without treatment, persons in kidney failure will die. Dialysis machines can keep patients alive, but the treatments may be very challenging for patients and their families. Dialysis machines pump a patient’s blood over membrane filters to remove waste products and ammonia, and return clean, filtered blood back into the patient. Each treatment may take several hours and may have to be repeated up to three times a week. A dialysis treatment schedule requires a lot of energy, and between treatments patients have to watch what they eat and how much fluid they drink.
Another option for patients with kidney failure is organ transplant. However, not all patients are candidates for a kidney transplant, and those who do qualify must join a waiting list until a healthy kidney donor with a good immunological “match” may be located. in Hawai‘i, patients may not have dialysis units nearby their homes and may have to face a long waiting list to receive dialysis treatment.
Sen. Akaka Community Center Promotes CKD Prevention
“Finding a cure for diabetes or high blood pressure goes on,” said Sen. Akaka, “but until then, we need to prevent diseases, not just find cures.”
To this end, the senator is raising funds to build the Daniel K. Akaka Community and Kidney Clinical Resource Center that will also house a new array of NKFH programs and services at Kapolei. The center will invite the community to a place where they can participate in health and wellness programs that support the prevention of chronic kidney disease.
Creating awareness for regular screening has been a major outreach project for NKFH for many years. The goal of the foundation’s publicity and innovative clinical programs is to screen as many adults and keiki as possible in order to detect kidney disease before dialysis is required. With early detection and health skills management, patients can work with their doctors and NKFH to control and slow the progression of CKD. Screening and education allow many people with kidney disease to maintain a robust quality of life and avoid going on dialysis.
The new clinical community resource center will also offer the public and patients with CKD a hub where all may learn and master new habits that will keep their kidneys healthy—such as cooking classes. Families can come to the center for screening tests, attend health classes, participate in healthy exercise and learn how to manage life with CKD. Nonprofits will be invited to the center to use its meeting rooms for gatherings and special activities.
“Aside from the teaching kitchen, where people learn how to cook healthy meals, we also plan to have a commercial kitchen for creating new healthy food products,” said Glen Hayashida, president and CEO of NKFH. “When people ask us, ‘What can I eat now?’ we want to provide useful resources. Our cookbooks are popular and great for homemakers, but many new patients don’t know how to cook. We want the center to be a vital health resource.”

Everyone should seek education about kidney disease, regardless of gender or age.Health Maintenance Skills Are a Necessity
Sen. Akaka supports the NKFH’s programs because he knows that a healthy lifestyle has positive benefits for ku¯ puna.
“The body needs exercise,” he said. These days, he goes to the gym every day, usually using the weight machines. Although he uses a cane to assist in walking, gym equipment allows him to exercise his upper body, lower body and core muscles.
With the help of his family, he began choosing healthier foods about 15 years ago, when he was 77. His wife, Millie, and daughter, Millanne Akaka Matson, started buying foods without preservatives. They said it used to be difficult to eat out because they could not be sure menu items were appropriate or healthy. Most of their food had to be homemade. But now, more restaurants offer healthy choices.
Earlier this year, the senator started a no-salt diet to reduce water retention.
Other health maintenance programs slated for the new center will be diabetes training classes, high blood pressure classes and fun, outcomebased physical fitness programs.
Right Kind of Learning for Hawai‘i’s People
“We need a facility with people who will work with patients and look at the culture of the people of Hawai‘i,” says Sen. Akaka. “There are many ways to deliver information and care. People receive guidance in different ways based on their upbringing and beliefs.”
Pukui, Haurtig and Lee researched the powerful connection between cultural traditions in Hawai‘i and how patients relate to healthcare in Na¯na¯ I ke Kumu: Look to the Source. The book is the basis for Sen. Akaka’s comment. He understands that resource center professionals must provide services to the community with cultural sensitivity and in a way that is acceptible to patients and their families. Getting individuals to accept their disease, comply with treatment and modify their lifestyles to achieve better health requires a comfortable “conversation.” Talk story takes time. We live in a land where the sitting down for a chat requires getting to know each other sharing a snack and telling stories of our past. The community center can draw people in and create an environment that encourages the way we learn in Hawai‘i.
A Little More Fundraising for the Clinical Community Resource Center

In July 2016, community leaders ceremonially broke ground for the new NKFH headquarters, a prime location to serve more than 40,000 West O‘ahu residents suffering from kidney disease. The ground floor of the $12 million, three-story building will house the Senator Daniel K. Akaka Community and Kidney Clinical Resource Center, including a library of his papers and books. The upper floors will have room for NKFH’s clinical and educational programs and services. Any additional space will be available for lease.
“I look forward to this kidney wellness center minimizing the impact of CKD for people who now suffer from the disease. It will be the source that eliminates the disease for future genertions,” said Sen. Akaka. “We have raised three-quarters of the funds already. Our grand opening is slated for January 2018.” Humble as ever, he said that he’s just playing a small role: It’s coming together because so many hardworking people are attached to it. “I’m just here to help,” he said.

“You can help, too, in a number of ways,” he said. “Just visit our website at www.kidneyhi. org to see how you can get involved — we always appreciate your kind support and kokua.”
Human and Financial Costs of CKD
The statistics for CKD in Hawai‘i are a big concern for our state. More than 168,000 people are already diagnosed with CKD and another 100,000 are at risk for kidney disease because they have diabetes or high blood pressure.
Of the 450 patients on the organ transplant waiting list, over 90 percent are waiting for kidneys. Most will die before they have the opportunity to get into a dialysis treatment program or to receive a kidney transplant operation. End-stage kidney failure is heartbreaking and reinforces the need for prevention and health maintenance.
For Sen. Akaka, funding the very high healthcare costs of dialysis and kidney transplants is a big concern for our state. NKFH programs are the best option for reducing the costs of CKD in Hawai‘i.

Sen. Akaka remembers his third-grade teacher at Pauoa Elementary engaging her students in mathematics with a piggy bank. She used it for several lessons, “teaching us math by counting the money,” he said. Then the teacher asked them to write down what they would buy with the money. “That was our composition lesson,” he said. For young Daniel, the practical application of mathematics to accounting would serve him well in life.
Many years later, he applied the piggy bank lessons to his work in Congress. While serving on the Senate Committee on Banking, he developed the consumer advocacy portion of the Dodd-Frank Wall Street Reform and Consumer Protection Act. The legislation was created in response to the financial crisis of 2008 and ensuing Great Recession. It brought new regulations and consumer protection initiatives to the financial industry.
A Matter of Hawaiian Values
Sen. Akaka frames his work with NKFH in terms of Hawaiian cultural values, which some call “plantation values.” He grew up farming taro on kuleana land in Pauoa Valley, the youngest of eight children. Working the land in a side valley up Nu‘uanu and managing the chores of a large family encouraged cooperation, shared responsibility, reciprocity and peacekeeping. “I was the niele (questioning) one,” he said, “I always wanted to know things.” Akaka, a Chinese name, came from his father, Kahikina Akaka, who was hapa Hawaiian and Chinese. His mother, Annie, was fullblooded Hawaiian.

“Spirituality and faith carried our family,” he said. The Akaka family way of life was daily prayer, with daily morning and evening devotions and Sunday services at Kawaiaha‘o Church. Righteousness was expected. Doing things “pono”— justly, with integrity and for the common good — was Daniel’s way of honoring the deeply held values that his parents taught him.
After attending Kamehameha Schools, he joined the Army Corps of Engineers during World War II from 1943 to 1947, first training at Schofield Barracks and then serving in the Central Pacific at Eniwetok in the Marshall Islands, and Guam and Saipan in the Marianas. After the war, he graduated from UH Ma¯noa to become a high school social studies and music teacher. He went into school administration and became the chief program planner for the state.

After winning his first congressional election in 1976, Daniel K. Akaka served 13 years as a U.S. Representative and then another 19 as a U.S. Senator. He always lived by the rule of “pono” righteousness, saying, “the just things [you accomplish] will remain constant through the times.” He is most famous for the Akaka Bill, which would have established a process for federal recognition of Native Hawaiians. Although the bill never passed, his vision is still part of every discussion and action that furthers self-governance for Native Hawaiians.
Another cultural principle that guides all his work is aloha. “I think the mission for Hawai‘i is to help the world know aloha,” he said. “If the world could live and have relationships like the people of Hawai‘i, the world would be a much better place.”
The Future Looks Bright
This community center approach to prevention has strong support. There is a good probability that community access to lifestyle training and support will help a large number of patients and their families at risk for CKD. Hawai‘i’s people will have a better opportunity to maintain their health and slow the onset and progression of the disease.
Every day is a new day of progress, education and hope for families struggling with CKD. Let’s help Sen. Akaka and NKFH find a cure, and also support our families and neighbors until the time when a cure is found.




















Les also loved tennis. “In high school, I would collect stray tennis balls from around the court and when I found old racquets in the rubbish bins, I would repair them — that’s how I started playing tennis.” He taught himself by reading tennis books and putting conceptual techniques into practice. Discipline learned at Hongwanji paid off and Les won the Hawai‘i Island championship in 1945.

in half-tents. I ordered them to put the tents together, but the order was never carried out and I knew my superiors would never back me up.” Nevertheless, Les stood by his values of tolerance and kindness. “One time in college, a gang of tough guys sucker punched me. I got away, ran to the Coke machine and broke an empty bottle to make a weapon to defend myself. They decided not to beat me up, and I will never forget that feeling of being outnumbered. I teach my kids to be tolerant and kind to everyone.”





The Chinese Communist Forces (CCF) had issued an ultimatum to United Nations Supreme Cmdr. Douglas MacArthur that any movement north of the 38th parallel would be met with force. He did not take the threat seriously and on Sept. 15, 1950, the 1st Division Marines were part of a surprise amphibious landing of U.N. forces at the western port of Incheon, just 25 miles west of Seoul. Gen. MacArthur planned the invasion because U.N. allied troops were locked in by communist forces in the eastern Pusan Perimeter. A ruse made the communists believe an attack would come 105 miles south at Kunsan, so only a few enemy units showed up to defend the muddy flats of Incheon. U.N. forces immediately crossed the 38th parallel and headed north to take back the western half of Korea from the communists. Gella’s company landed last, on Sept. 16, and began a bloody fight inland to take Seoul. Gen. Edward Almond declared the city liberated on Sept. 25.
Like many combat veterans, Ron does not talk about the details of his combat service. “I prefer to keep it to myself,” he said. “It ended up all right; for that I am grateful.”
Ron and the other surviving Marines were ordered to withdraw back down the narrow trail to Hungnam. Besides their disadvantaged position in the tight valley, Marines struggled in clothing and gear that was not sufficient for 30-degree-below-zero temperatures. Casualties were so great that there was no room in hospital tents; blood plasma froze and medications in syringes had to be warmed in the medic’s mouth in order to stay liquid. Many soldiers suffered severe frostbite injuries. At one point on the trail, U.S. Army Engineers built a temporary bridge between two peaks, and after the entire force crossed, blew it up — a bold move that provided a jump on the pursuing CCF. Under the most adverse weather conditions, U.S. fliers helped by suppying some air cover.
Click by click, the battered U.S. troops pulled together every ounce of reserve and miraculously fought their way back to Hungnam harbor. They sustained more casualties than any other Marine battle but Iwo Jima, and transported out all their dead and wounded with them.
Not all of the 14,000 Nisei of the 100th Infantry Battalion and 442nd Regimental Combat Team (RCT) served in Italy and France during WWII. Over 6,000 were in Military Intelligence Service in many theaters.
In 1942, Japanese-American ROTC students at University of Hawai‘i boldly declared their loyalty to the “Stars and Stripes” and petitioned UH to form the Varsity Victory Volunteers (VVV). Once assembled, this labor battalion assisted the 34th Army Engineers to construct military installations and fences. They also installed barbed wire defenses and worked in quarries.
The first MISLS was at the Presidio, but in 1941, anti-Japanese sentiment was so rife
in California that the War Department moved the school to Fort Snelling, near St. Paul and Minneapolis, Minnesota, where the students would be safer. From 1942 to 1945, over 6,000 students — mostly Nisei — trained as translators, interpreters and code crackers to assist allied troops in the Pacific theater. “I spoke Japanese but had to learn heigo military language for my job, intercepting and translating into English all the Japanese Air Force pilots’ radio communications in the China-Burma-India air space.”
Force Radio Squadron Mobile Unit in the China-Burma-India Theater,” said Ted. “We were a ‘Special Interception Unit,’ supporting the 10th Air Force and the British forces who were taking back Burma [now Myanmar]. We were eavesdroppers. The Japanese occupied nearly all of Southeast Asia and there was a lot of chatter on the airwaves. They had no idea we were listening. My job was to transcribe, translate and report all communications, and report them to U.S. Intelligence HQ. We had 150 Nisei from the 442nd intercepting, translating, interrogating prisoners and even broadcasting messages into enemy territories. We had to be careful not to be mistaken for the enemy; buddying up with a haole soldier was a wise move.”
At Saigon’s airport, I sat on my footlocker and waited. An older Navy officer came by, looked at my nametag and asked, “Is anyone coming to pick you up, Capt. Adams?” “I don’t think so, sir,” I replied. “Do you know where you are headed?”
Our hospital was right in the city of Saigon. Military Police were our first line of defense, and fortunately, we never came under attack. During the Tet Offensive, we had 200 casualties arrive in the first 10 to 12 hours. I was the head nurse of the emergency room, and I don’t know how we got through it.
I left the Army after two tours and returned home, but nobody asked me about my war experience. Posttraumatic stress disorder (PTSD) was not even a recognized diagnosis then. Even if it was, doctors or nurses with a mental disorder could never find work. I didn’t know any other veterans, so I never talked about Vietnam.
I belong to Jewish War Veterans out of respect for my father, the Veterans of Foreign Wars, and I am also the president of O‘ahu Chapter 858 of the Vietnam Veterans of America (VVA), the only chapter in Hawai‘i.
“Our training in California was almost six months long; we landed in Vietnam Feb. 1,” said Bo. “For us island soldiers, it was pretty cold.” In Vietnam, Bo and his brothers in arms faced a war very different war from WWII. The former French-Indonesian Republic of Vietnam had been fighting against the Viet Cong communists in the north for two decades. Civilians in North and South Vietnam survived by complying with both sides, creating a complicated web of stealth, intrigue and deception that often seemed impenetrable. Taking ground was a measure of victory in previous wars, but not in Vietnam. Sometimes the troops wondered why they fought for ground only to give it up the next day.
“Growing up in the diversity of Hawai‘i made adjusting to the military much easier to handle,” said Bo. “The Vietnam jungle, although more humid than home, offered the same terrain, vegetation and a familiar botanical garden most island kids grew up in. We were the only ones who recognized the edible plants.”




Glory Connolley, Sanya Fujiwara and Lorraine Teixeira were sitting in the lobby, waiting to go back home to O‘ahu. That’s a curious thing about this place. Folks are smiling
on their way in and on their way out. They were having a wonderful time and loved the clean, bright new décor.



Lisa from Honolulu gives The Cal a thumbs up. “We love the new look! It’s clean and fresh — a very comfortable vibe. Food and staff are just awesome and make your stay heavenly.”

West Tower hotel rooms and Aloha hospitality suites will be refurbished later this fall, 2016 — in the same quiet way, without disturbing the stay, play and dining of The Cal’s honored guests.














We Play

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Now in her eighties, in addition to appearances as Ms. Original Medicare 2015, Laurie continues to work as a beauty consultant for Better Health Unlimited and as a member of the Xyngular Corporation. Elite American Health trade association recently recognized her dedication, leadership and achievements in nutritional counseling. Laurie educates individuals interested in learning habits that produce healthy lifestyles and enhanced quality of life. In addition, she is a highly sought after public speaker and author of two cookbooks: Mrs. Hawai‘i’s Cookbook and Mrs. Hawai‘i’s New Cookbook. She also holds a master’s degree in theology, and volunteers at River of Life shelter. She used to teach Bible studies throughout the islands and served as a co-pastor for New Hope Christian Fellowship. She believes a joyful spirit and spiritual strength are the keys to a rich, satisfying life.

Fay Rawles Schoch was crowned Ms. Medicare Advantage™ 2015, representing those beneficiaries who choose to get their Medicare coverage from a private insurance company. These plans are known as Medicare Advantage plans under the category of Medicare Part C programs. A government publication, Medicare & You 2015, lists AlohaCare, Kaiser, HMSA, Humana, Ohana Health Plan and UnitedHealth as health organizations that offer Medicare Advantage plans to Hawai‘i Medicare beneficiaries.
At the young age of 25, Fay became the parent of three toddlers under the age of five. As a new wife and stepmom, Fay discovered the work of German psychologist Alfred W. Adler. It resonated with her as the perfect prescription for managing her instant family. Fay began absorbing Adler’s work and applying his concepts at home. She credits her ability to smile through tough times and challenges of rearing a family to her Adlerian training. It teaches that we cannot control events, but we can control how we respond to them. Adlerian theory of parenting takes a holistic approach to mutual respect and accepting responsibility for behaviors . Counselors teach, guide and encourage children with the ultimate goal to promote each individual’s sense of belonging, and to increase their social interests and societal contributions. Adlerian techniques focus on all family members valuing each other, staying connected and participating in “family meetings,” where everyone is encouraged to share their concerns, successes and challenges.
Each sibling accepted and doted over their little sister; they remained close even as college and relationships drew them away from home. Fay’s youngest became a great athlete, comfortable playing soccer and football. With her parent’s support, she successfully petitioned to compete on a Pop Warner football team. After graduating from Punahou School, she received a congressional appointment to attend the United States Merchant Marine Academy in New York, served on the high seas for six years and is now a Coast Guard reservist, USCG Third Assistant Engineer. Fay’s daughter also earned her masters degree at the Massachusetts Institute of Technology. She is currently an executive with Intel Corporation and lives in Silicon Valley with her husband and two children. As she raises her own toddlers, She uses Adlerian parenting concepts and frequently consults with mom for new tips.
Terri Rainey represents our Ms. Medicare/Medicaid Dual Eligible pageant title. Medicare beneficiaries who qualify for both federally administered Medicare and full Medicaid benefits from their State health program are known as “duals.” If a Medicare beneficiary is dual eligible, they can join a Medicare Special Needs Plan or SNP. Health plans that offer Medicare SNP’s, provide a valuable service for duals by coordinating benefits between the Federal Medicare program and State Medicaid plan to ensure the beneficiary has a seamless experience accessing benefits from both programs.




Kupuna Care (KC) program provides funds to “… help frail and vulnerable older persons lead independent, meaningful and dignified lives in their own homes and communities.” Services for Seniors and the Hawai‘i County Office of Aging (HCOA) has increased the number of seniors receiving Kupuna Care funding in Hawai‘i County by creating a unique case management and transition approach, that doubles the impact of the state’s fiscal investment while ensuring seniors are safe, happy and living in their homes with their families for as long as they choose.
After a Kupuna Care consumer receives three to six months of case management and wrap services, Services for Seniors staff works diligently to replace formal services with community and volunteer supports. These supports are provided by caregivers in the family, friends, faith-based members and/or community volunteers willing to be a part of the consumer’s caregiving team. Transition to informal supports reduces the use of Kupuna Care funds, which then enables other eligible seniors to participate in the program. This system also reduces the number of consumers on a wait list, allowing Services for Seniors to help a larger number deserving elders age in place with dignity.


Maui County Office on Aging (MCOA) is an office filled with activity. Since implementing standardized tools and procedures of the Aging and Disability Resource Center (ADRC), new referrals to MCOA have increased as much as 400 percent a month. While the numbers of seniors and individuals with disabilities requesting assistance has increased, the available funding to serve the seniors of Maui, Moloka‘i, and Lana‘i has remained mostly static. Therefore, MCOA finds it necessary to look for opportunities to creatively solve the issue of how to meet the increasing need without the luxury of an increase in funding.
A major way that MCOA is working to find solutions is to greatly increase emphasis on helping seniors, family caregivers and individuals with disabilities improve their overall health. Two “evidence-based” (proven to create expected outcomes) healthy-aging programs now available on Maui are Better Choices, Better Health (BCBH) and Enhance®Fitness (EF).

Enhance®Fitness instructors are specially trained. Individual participant progress is followed with fitness checks at enrollment and every four months thereafter. Exercises are safe and may be modified according to participant ability. The class also affords social interaction and reinforcement among persons who have a common desire to get healthier. Enhance®Fitness classes are a great way to get stronger, have more energy and maintain independence.
For O‘ahu elders over 60 and people with disabilities of any age, obtaining information and referral assistance starts with the Elderly Affairs Division, ADRC “one-stop” Senior Helpline: 808-768-7700. Trained community service aids assess needs and refer callers to service providers in Honolulu County, and conduct assessments for frail elders 60 and older who may qualify for publicly funded services. For example, a homebound elder in need of meals would be assessed and connected to local agencies that provide meal service.
O‘ahu’s Retired and Senior Volunteer Program (RSVP) is the volunteer end of help and assistance. RSVP engages people age 55 and over in a diverse range of volunteer activities offered by more than 25 “volunteer stations” (nonprofit or government agencies who deliver services to the elderly, as well as providing other community needs). Project Director Lenny Fabro heads this very successful island-wide program.
Some of the volunteer stations now available are: Hawai’i Literacy, The Next Step Shelter, Office for Social Ministry, Blood Bank of Hawai‘i, Lanakila Meals on Wheels, State Executive Office on Aging, HCAP Head Start and several elementary schools providing tutoring and mentoring. One important volunteer opportunity is with the EAD. Volunteers assist with important independent living services, such as transportation, companionship and telephone reassurance, to homebound elders. Another station that assists with independent living services is the Waikiki Friendly Neighbors program.
Elders on Kaua‘i are just a phone call away from our Agency on Elderly Affairs. Our receptionist will answer requests for information, and process requests for assistance by taking the caller’s name and address and making an appointment for visit and needs assessment from a Community Service Assistant. Our goal is to be sure elders know what federal, state, county and community services are available to them, and to refer them to agencies and care providers who can deliver those services. Funding is limited and helping those who live alone is top priority.

That goes for caregivers, too. Plan ahead for the time when your loved one will need more help than you can give. Find out what services are available to you now and in the future. Don’t wait until you are exhausted and stressed out before you call for assistance with your loved one. We have information about daycare for elders and respite services for worn out caregivers that can help them manage better and maintain their own mental and physical health. Call us — we can help.









