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at the beginning of her career. Between 1976 and 1977, Beck took a job caring for Wilcox whenever her main caretaker needed a break. Beck got to know Wilcox better, and still remembers her as an amazing woman. While Beck has already retired, after nearly 40 years of service to the community, Issler and Kellerman are still part of the many nurses still putting their lives on the line day in and day out, with barely a day off. “I have gone through flu seasons, numerous tuberculosis exposures, verbal and physical assault on the job, etc. This is what we sign up for as healthcare workers – the good, the bad, and the ugly,” Issler said. Kellerman said her daily procedures at work start with a screening process as soon as she enters the hospital. It includes hand hygiene, temperature checks and screening questions. “Then we report to our designated department and don hospital provided scrubs and hospital provided PPE. Then patient care and copious, copious, hand washing,” Kellerman said. Aside from additional measures to avoid COVID-19 contamination, Issler said her job is never boring, as every day is different, whether it’s in the ER, at flight nursing or even at surgical recovery. But she also fears becoming infected with the virus. “I feel like the only way to cope for me is to manipulate the variables I can actually control. I try to eat as healthy as possible, exercise and get proper rest – all things I believe significantly strengthen my immune system,” Issler said. As a young girl, Beck lived in Pakistan, and said she was surrounded by every disease known to man in refugee camps with millions of people. “Once you have seen the devastation of leprosy, smallpox, typhoid, cholera, tetanus, chronic malnutrition from diarrheal, illnesses killing babies and toddlers, the reality of how harsh the world is never leaves you,” Beck said. Her family was vaccinated against everything, but her mother still caught a wild polio virus. It was in Pakistan, she said, that she learned the life-saving benefits of hygiene and boiled water to keep disease away. “Our medical surgical nursing instructor had spent a lot of time in South America, and the core of

The fight against COVID-19 is far from over, with the virus continuing to kill indiscriminately and to throw communities into financial chaos. For those who fall ill, there is no knight in shining armor to save them. But there are knights, real knights without armors. They wear scrubs. “From a very young age, I understood that physically caring for people during their most vulnerable moments was incredibly important work,” said Kaitlyn Issler, a board-certified registered nurse and family nurse practitioner. Her mother was a hospital pharmacist, and as a child, Issler would often visit her at work during dinner break. “I knew I wanted to work in healthcare from a young age.” Issler has been a nurse for eight years, and is currently an emergency room nurse and a Life Flight nurse. She also works on elective surgeries, but those types of procedures are on the backburner during the pandemic. Asia Kellerman has also been a nurse for eight years. She is currently working at Mahelona Hospital in Kapa‘a, but she also works as needed at Kaua‘i Veterans Memorial Hospital in Waimea and Wilcox in Lihu‘e. Like many nurses on Kaua‘i, she has been doing overtime during the pandemic. “I’m not scared of myself becoming infected but of bringing it home to my family,” said Kellerman, adding she also has a “huge fear” of spreading the virus to the community. The pandemic, she said, is affecting her in many ways, including straining her family life. But she is still working for a reason. “I just feel obligated out of my love for the community I serve.” Kellerman said the most gratifying thing in her career is resuscitating someone, and then seeing them reach out to thank her. “It doesn’t happen often, but that is when I truly feel I have made a difference.” Virginia Beck joined the very first registered nursing program at Kaua‘i Community College, graduating in 1975. “I always wanted to help people. My mother was paramedic on the ambulances in London during the blitz in World War II. It went on for months,” Beck said. “Horrific fires, millions of homes destroyed, millions killed. Such raw courage.” In 1989, Beck moved to California for work, and stayed there for nine years. During that time, she earned her women’s health nurse practitioner’s degree at San Jose State University. Back on Kaua‘i, Beck worked at Kaua‘i Veterans Memorial Hospital in Waimea, pioneering a women’s health program. Together with a group of five providers, she helped to build the Family Birthing Center an OB department in the Westside. She retired in 2015, but continues to do some private wellness consulting and Trager® body movement practice. “It was fun being one of the first women’s health nurse practitioners on Kaua‘i, and we wrote a family planning grant so we could do reproductive health for teens. This was super gratifying,” Beck said. The history of nursing on Kaua‘i goes back more than a century, and there is a little bit of defiance in it. Mabel Wilcox wanted to be a nurse, but her father, Samuel Whitney Wilcox – a wealthy sugar planter and Kaua‘i’s sheriff for 25 years – didn’t want such an unladylike career for his daughter. He eventually agreed that if she still wanted to become a nurse when she turned 25, she would then be allowed to attend nursing school. Mabel Wilcox did just that; and became a pioneer at it. In 1911, she became the first Hawaiian to graduate as a registered nurse from the prestigious Johns Hopkins School of Nursing in Baltimore, Md. When World War I broke out, Wilcox served as a head nurse for the American Red Cross in Europe. She spent a year and a half in France and Belgium, often putting herself in harm’s way. In recognition of her services, she received medals from Elizabeth of Bavaria, queen of Belgium, and from the mayor of Le Havre in France. Wilcox returned to Kaua‘i in 1915 to work for the Territorial Board of Health. She founded the Tuberculosis and Health Association and also the Kaua‘i Nurses Association. She was also instrumental in raising funds and securing land for the Samuel Mahelona Memorial Hospital in Kapa‘a. The hospital first opened in 1917, as gift from her uncle Albert Spencer Wilcox and his wife Emma Mahelona to the county of Kaua‘i. Samuel Mahelona, Emma Mahelona’s son from her first marriage, died in 1912 from tuberculosis. The hospital was one of many public health projects initiated by Emma Mahelona. Mabel Wilcox passed away on Dec. 28, 1978. Her house in Lihu‘e is now a museum administered by the nonprofit Waioli Corporation. As fate would turn out, Wilcox, at the end of her life, would meet Beck,

Real Knights Wear ScrubsBy Léo Azambuja

Kaitlyn Issler knew she would work in healthcare since she was a child. She has a masters degree in nursing, and is a board-certified registered nurse and a family nurse practitioner.

Léo Azambuja

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her teaching is that Florence Nightingale basically brought hygiene and cleanliness to health care,” said Beck, adding that washing, cleaning and sterilizing saved the lives of thousands of injured military and civilians. Across the world, communities are quickly running out of hospital beds to care for the critically ill. Kellerman said her worst fear at work would be not having enough ventilators for those who really need it in case the number of patients increase dramatically. “We are such a small island with such limited resources. It is vital that we all make good choices right now,” Kellerman said regarding measures to avoid spread of the virus. Issler agrees, saying her worst fear at work is a scenario compared to what health practitioners call Mass Casualty Incident. “This is where we must decide who receives life-saving interventions based on their realistic chances of survival. This fear, as it relates to the pandemic, would be having to ration these lifesaving interventions due to the demand outpacing the supply of equipment and adequately trained staff. Especially here on Kaua’i, I am acutely aware of how quickly resources can run out,” Issler said. Thankfully, Kaua‘i’s leadership has adopted decisions early on that might have been seen as unpopular, but have also spared the island from full-scale contamination. At the time of this writing, there had been only 21 confirmed cases of COVID-19 on the island, and all have already recovered or returned to the Mainland. Beck credited our success to “three saving graces,” the ocean that isolates us, Mayor Derek Kawakami’s astute leadership in making tough decisions to keep us safe, and the aloha of Kaua‘i’s ‘ohana. Issler said she believes the most important measure was the travel restrictions, followed by social distancing. She said that perhaps the single scariest characteristic of COVID-19 is its ability to spread from an asymptomatic carrier. “I know it seems silly to avoid your friends and family who are seemingly well, but assuming someone is well could be the one mistake that leads to an outbreak,” Issler said. Kellerman said she is really proud to be a part of this community.

see Healthcare page 14

Asia Kellerman said her family is proud of her. She is not scared of becoming infected at her job, but she is scared of bringing COVID-19 to her family and community members.

Mabel Wilcox at Johns Hopkins Nursing School in Baltimore, Md. circa 1911.

Léo Azambuja

SALES & MARKETINGCoordinatorBarbara Bennett808-652-2802 barbara@forkauaionline com

On the cover: Left to right, Virginia Beck, a retired women’s health nurse practitioner, Asia Kellerman, registered nurse, and Kaitlyn Issler, registered nurse and family health nurse practitioner.

ConsultantJoan Arakaki joan@forkauaionline com

for KAUAI‘PUBLISHERCarrie Johnson 808-651-5577 carrie@forkauaionline com

ART & LAYOUTAndarta Design • design@andarta.com

SOCIAL MEDIA COORDINATORHoney Hunter calendar@forkauaionline.com socialmedia@forkauaionline.com

EDITOR IN CHIEFLéo Azambuja editor@forkauaionline.com

MAY 2020

Published by Kaua‘i Management GroupFounder For Kaua‘i Newspaper and Magazine Barbara Bennett 808-652-2802 For Kaua‘i Newspaper PO Box 1971, Lihue, HI 96766

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At the time of this writing, Kaua‘i’s record of suppressing COVID-19’s spread is among the best in the nation. Advised by public health and medical professionals, our state and county officials did their jobs and aggressively implemented precautions. Mahalo to all for your diligence and cooperation! Now our community faces the challenge of our lifetime: getting back to work and reviving Kaua‘i’s post-pandemic economy. Many recovery strategies are going to be proposed, and it will take years of effort. Here are a few concepts for consideration in a 10-year recovery program. These recommendations are intended to both strengthen community bonds and increase Kaua‘i’s visitor appeal as the travel industry will become even more fiercely competitive. Let’s get creative producing large scale participatory events and festivals unique to our special environment that celebrate fitness and collaboration. Start by expanding the 2021 annual Mayor-a-Thon event with increased promotions, activities and attractions. Major annual multi-sport relay competitions could showcase our island’s most unique natural assets. Imagine competitors passing the baton from one relay team member to the next along a mixed series of competitive events. Sports could include activities as kayaking, mountain biking, six-person outrigger canoe paddling,

distance running, open-ocean swimming, trail running, road biking and traversing a commando course. Each year, a different town could host the central festival. We could

celebrate with events that are suitable for multiple fitness levels, not just elite athletes, and feature indigenous Hawaiian makahiki games. The possibilities and benefits are limitless. We should continue to build community infrastructure that supports walking, bicycling and public transit. We are close to completing Lihu‘e’s Rice Street district improvements and Ke Ala Hele Makalae’s Lydgate Park to Kapa‘a gap. Completing the remaining phases of Ke Ala Hele Makalae for a contiguous walking and bicycling corridor connecting Anahola to Niumalu and Lihu‘e within 10 years is achievable. Safety improvements on Po‘ipu Road, based on the community design charrette from a few years ago, will add to the appeal of a prime visitor destination area. Include improving the Po‘ipu-to-Koloa’s Hapa Trail to shared-use path standards, construct a path paralleling the planned Northerly Bypass that will connect Ala Kalanikaumaka to Ala Kinoiki, and transform the cane haul road to a path connecting Ala Kinoiki and Po‘ipu Road. Implementing the active transportation recommendations that the community called for in the West Kaua‘i Community Plan and rehabilitating the impassable Powerline Trail for hikers, hunters and mountain bikers are both ambitious but realistic. Visitor spending is the engine powering Kaua‘i’s economy. Active transportation investments both drive our economic recovery through construction jobs created during the building phase and enhance the appeal of our prime assets. Effective and equitable economic stimulus efforts will promote public health and wellness by increasing attractive ways to get exercise during our normal daily routines. Broad-based fiscal returns on these investments can be generated by creating and promoting public events and festivals that celebrate our community’s wellness and fitness. Investing in these ideas will generate economic recovery.

Reinventing a Healthier Kaua‘iBy Tommy Noyes

Community

• Tommy Noyes is Kaua‘i Path’s executive director, a League of American Bicyclists Certified Instructor and active with the Kaua‘i Medical Reserve Corps.

Heather Nelson sprints to the finish line after completing the ocean kayaking leg in the 2017 Ski to Sea seven-stage, multi-sport relay competition for her eight-person team, Brandon Nelson Partners. Fairhaven, Wash. has produced this annual event since 1973. It engages more than three thousand competitors while many thousands more attend the town’s festival.

Tommy NoyesTommy Noyes

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The shocking realities of our island has altered. The world, our social relations are turned upside down. We all shelter in place, elders especially. Reminds me of mother telling us as kids, “Go to your room and don’t come out until you are civilized.” Behave nicely together. Is that what the whole world is doing now? We’ve all been sent to our rooms to reflect on our behavior and how we treat others. To grow a bigger heart and understand the suffering. Share more. Reach out in the ways we can. How do we reach across the distance to uplift or damage? The internet can be the vibrating heart of the universe, Indra’s net, holding us all safely. Sharing

positive feelings, ideas, Love. Or it can be a sticky trap of wasted energy, going nowhere but into the death spiral that leads to the black hole of separation, despair, damage,

violence, destruction, especially to ourselves. What will these quaking vibrations do? Strengthen or immobilize us? I am enjoying increased distant visits with friends and neighbors. All of us home. How we all want to help. How sharing banana bread or frozen pizzas, getting groceries for each other and swapping recipes, hacks, directions for making masks and cookies, all the currency of love. I want to send messages of hope, and love, and courage to my neighbors. Shall I put signs on my house? Yes? Signs on my car? Yes? We are stronger together, safer at home. Make mooncakes for these women for the full moon. How will they be sharable? How can the love and peace and wellbeing flowing through us now be shared? Invent a multimedia Moon card. Oh yes, for kids as well. And it should have music. A mooncake book melding Asian and European. Myths about the bunnies and the rabbit on the moon. And the Apple song, “An apple is a gift of the heart”. These ideas enter the flow unbidden.

A surfer glides on a waver over razor-sharp, shallow reef on a secret spot on Molokai, with the island of Maui on the background.

HAWAI‘I WISDOMO ka papa he‘e nalu kēia, pahe‘e i ka nalu ha‘i o Makaiwa.“This is the surfboard that will glide on the rolling surf of Makaiwa.”

A woman‘s boast. Her beautiful body is like the surfboard on which her mate “glides over the rolling surf.” Source: ‘Ōlelo No‘eau, by Mary Kawena Pukui

Feeling the Web of Our Connections My breathing is soft, and I hear the gentle music of the wind, and birds chirping in the trees, and the muffled sweet, soft snore of the old dog beside me. The sounds of my husband after his yoga, the heavy rollers of glass doors opening to the deck. And we are all here. Together and apart. Who knows what is needed now? We each share a spark of life force, which burns locally for who knows how long? Only this moment, cherishing life in this moment. Giving unconditional love to all, especially ourselves. Given a time of quiet. Sent to our rooms until we become civilized. In a way that allows us to live together, sharing, not taking more than we need, ensuring that others get enough for their lives to prosper, that children are cared for, protected, not frightened into stifling their life force into scared little specks, but showered with love, appreciation and respect. What we want for ourselves we want for all. Gratitude for the privilege of a life. Grateful to be on Kaua‘i, together. Sent to our rooms, until we recognize the bliss in each of our hearts, and the ability to perceive and respect it in others. We have been blind to ourselves. How could we see others? We will all see more clearly when we are together. Until we are all one, we will be alone.

By Virginia Beck

Mālamalama

Don Daskalo

• Virginia Beck, NP and Certified Trager® Practitioner, offers Wellness Consultation, Trager Psychophysical Integration and teaches Malama Birth Training classes. She can be reached at 635-5618.

Page 6

Health, Wellness & FitnessLearning to take care of ourselves, requires a genuine act of kindness with a willingness to keep our immunity boosted during the COVID-19 pandemic. During this time of uncertainty and change it is essential to learn the basics to de-stress while caring for our families and community. The art of self-care is an expression of resilience, a simple reminder to slow down our affected minds, trust the flow of life, and utilize this time off to truly be present with our families, ourselves, and all the worries, doubts, judgements and restlessness that we are currently feeling together. Self-care is an active and conscious choice to engage in things that bring us more joy throughout the day, a way back into harmony with everything around us. It is important to reflect on how we are taking care of ourselves, and mentally handling the heightened states of anxiety, stress and fear. For Kaua‘i is here to support you through the crossroads with some easy tips on self-care. In order to keep our aloha spirits lifted, let’s make a vow together, stating moments of gratitude for what we do have, and stand strong together as we navigate each day with more grace. Here are a few basic self-care tips to de stress and brighten your spirits. Do something you love to do – be creative (heart hobbies) Reconnect to nature and play Practice mindfulness Doing something you love while you have all this extra time off work will increase your mood and create an atmosphere of peace. When we are in harmony with ourselves, we have crossed the bridge to the present moment, a moment in our modern world that is often super hard to navigate back too. Doing what you love brings a subtle sense of satisfaction to your day. Immerse yourself in a creative outlet that is centering, easy and fun. Do you like to sew, fish, sing, organize, or are you willing to learn a new skill like gardening? These are just a few ideas you can try at home. Anything that speaks to your heart, let’s together call it a heart hobby, and know that it is known to integrate our mind/body into a rhythmic activity that will adjust your focus and relieve stress. Another selfcare tip is too reconnect back to nature. Reconnect back to being playful in your day. Utilize this time to get silly, adding laughter and light-hearted games to get you and your family through the days of being at home together for longer periods of time than usual. Being in nature is known to bring you back into balance of mind, body and spirit. Kaua‘i has an infinite amount of nature spots to visit. Take a stroll in your neighborhood, perhaps set up some tents and build a fort for the keiki in your backyard while you learn to make a new healthy dinner for the family, maybe take a virtual yoga class online out on the lanai, sip a cup of matcha tea while watching the sunset. Making memories in times like these is way more important than making money. Trust that everything is going to be OK. Take at least 30 minutes out in nature every day, move your body and train yourself to take longer exhalations in your breathing, as longer exhales release tension. The final self-care tip is learning to practice mindfulness, an ancient and learnable skill. Mindfulness is used to regulate emotions, increase a positive attitude and reduce stress. When we are stressed out, our emotions begin to be demanding and sometimes can take over, creating a negative mood. By bringing more awareness to our reactions, judgements and feelings, we begin to understand how we operate and learn how to create calm in a world of disorder. The most basic step in mindfulness is to focus on the present moment; stop comparing the future with the present and holding onto the past, just focusing on what’s wonderful in this moment. Close your eyes, feel your body rest down into your heart space, imagine you have swallowed the sun, and the radiant light is now beaming inside you, protecting you and raising your immunity system to stay strong during our quarantine. Now take five breaths, move from shallow breathing to an expansive inhalation and rise up your positive energy field. I hope you enjoyed this brief introduction to enter into a calmer state of mind, using basic self-care tips. From here, state two things you are grateful for and send that wish out into our community. If you want more guided mindfulness practices, check out the number one free app for sleep, anxiety, and stress, called, insight timer, this is my daily app I use and perfect for everyone. The app has tranquil music selections, talks and guided practices for all ages. Together as a community, we will get through this time, and we build our immunity systems together. The last thing we need on top of all this uncertainty is stress, so take time today to nurture yourself and your families.

The Art of Self-Care – 3 Tips to De-StressBy Sandra DelGado

Yannic Läderach

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“BEST LUAU ON KAUAI” SMITH’S FAMILY GARDEN LUAU

Visit us soon to enjoy the many things Anaina Hou Community Park has to offer: Mini Golf & Botanical Gardens. Fire Show every Wednesday. Pau Hana Fridays with drink specials and live entertainment. Café & Gift Store. Food Trucks. Saturday Kilauea Farmers Market. HI-5 Recycling. Movie Nights. Hiking. Playground & Skate Ramp. Weddings & Private Events. Kama‘aina offers available.

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Lawai Marketplace at Warehouse 3540 is an all-around unique Kaua‘i experience. Set in the Historic Pineapple Cannery area of Lawai, the Warehouse was an Aluminum and Jalousie glass factory badly damaged in Hurricane Iniki in 1992. This now restored Warehouse is home to a variety of Kauai’s best Food Trucks, Craft Coffee, Hand Crafted Shave Ice, Shops, and Galleries. We invite you to meet the local chefs, makers and artists who are truly the heartbeat of this beautiful Island. Aloha!

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Four daily Tee Times have been reserved for Kaua‘i residents, with green fees of just $35 per player. Starting time blocks for Kaua‘i Residents are: Wednesday-Friday: 12 PM, 12:10 PM, 12:20 PM 12:30 PMSaturday & Sunday: 11 AM, 11:10 AM, 11:20 AM, 11:30 AMTEE TIME HOTLINE: 808-742-3010(All golfers must provide proof of Kaua‘i Residency.)Please visit www.kolepakukuiula.com for more details.

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Please note that due to CoVid-19 many of these venues are temporarily closed. Please contact them before making plans.

Page 9

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Kau Kau DelightsLet’s Eat Out InsideKaua‘i is reaping the rewards of having an intelligent, strong leadership and a caring community. At the time of this writing, there were zero active cases of COVID-19 on the island. However, we can’t drop the ball. Restaurants are still only serving take-out and delivery until county officials say it’s safe to reopen for dine-in. Until then, we can take home our favorite dishes, and also find new favorite ones. These are some of the best dishes from a few of our restaurants and food trucks. Hopefully, it will keep you inspired to keep supporting them. Aloha and keep safe.

By Léo Azambuja

Street Burger – Classic Cheeseburger, made with Kiawe Reserve grass-fed beef patty, topped with aged white cheddar, locally grown greens and tomatoes, and served on handmade brioche bun from Passion Bakery Cafe. All burgers come with hand-cut sea-salt fries, or you can upgrade to a local greens or Caesar salad. Street Burger is open Tuesday to Saturday from 3-8 p.m., call-in orders only at 212-1555. Last order taken at 7:45 p.m. Pick up out back, behind the patio.

Passion Bakery – Loco Moco, made with two Wailua Meat Company’s grass-fed beef patties, served with two scoops of rice and a scoop of mac salad. Their patties have no fillers, just great ground beef with salt and pepper, grilled slowly to your liking. The patties are layered on sticky rice, with housemade gravy and two eggs the way you like. Check out www.passionbakeries.com were you can see their modified menu. Call 821-0060.

Kauai Beer Co. – Lamb Gyro, made with slow-cooked lamb, served with housemade tzatziki sauce, tomatoes, cucumbers and pickled red onion. And it comes with fries! Delicious and only $10. Visit www.kauaibeer.com for the food and beer menu, updated daily. Call 245-2337 to order.

Pueo Fish Market – Fresh Ahi Poke, made by owner Roger Palama. Served on a bed of Sinaloa chips, and topped with unagi/wasabi drizzle, furikake and green onions. Call 320-7940 to order.

North Shore General Store – Chili Pepper Chicken, their most popular plate lunch. It’s made with boneless skin-on chicken thighs, floured and deep-fried to a golden brown, and then tossed in their homemade sweet and spicy chili pepper sauce. Served with two scoops of rice and a scoop of potato mac salad. The North Shore General Store is providing takeout daily from 8 a.m.-6:30 p.m., and delivery to Kilauea on Friday and Saturday only. They have brick oven style pizzas, local beef burgers, and local style plate lunches. Visit www.pizzakauai.com for their menu, and call 826-1122 to order.

Shakti Indian Cuisine – Sabzi, or mixed vegetable curry, is a traditional Indian dish with a variety of fresh vegetables. It’s prepared simmered in a creamy tomato sauce, with fresh herbs and authentic Indian spices, and served with basmati rice. Place orders pick up at www.shaktiindiancuisine.com. For Delivery orders, visit Malama Auctions virtual farmers market. Delivery is Monday, Wednesday and Friday. Call 212-6353 for more information.

Summer Foods – The vegan Summer Rolls are yummy and fresh. They are filled with organic shredded beets and carrots, sprouts and locally grown organic avocados and fresh herbs (mint, cilantro and basil). The creamy peanut sauce has kick of ginger. These summer rolls come in a pack of two, and are light, yet filling and extremely satisfying even to those who aren’t vegan but perhaps just looking for ways to eat more plant-based. Find Summer Foods at Hoku Foods Natural Market in Kapa‘a, where Kaukahi stocks her products Monday-Friday. Check her on Instagram @summerfoodskauai or call 346-5085 for more information.

Kilauea Market + Café – Hanalei Taro Burger, made with Braddah Dave’s taro patty, swiss cheese, roasted mushrooms, pea sprouts, garlic aioli and arugula pesto, served on a brioche bun and with fries. Find Kilauea Market + Café on Instagram at @kilaueamarket. Visit www.kilaueamarket.com and call 828-2837 for orders.

PV Eats – Vegan Beet Poke, made with roasted sesame marinated beets, coconut carrot puree, red quinoa and radish salad. Find PV Eats on Instagram at @pveatskauai. Visit www.pveatskauai.com and call 826-1695 for orders.

El Taco Feliz – Mahi Mahi Fish Tacos, their specialty and best-selling dish. Served with fresh handmade corn tortillas, rice and beans. They are open from 11 a.m.-7 p.m., and are in the heart of Kapa‘a Town.

Chalupa Mexican Food Truck — Chalupas, made with grilled corn tortillas topped with meat of your choice, cabbage salad, salsa, fresco cheese, guacamole and cilantro cream save. Call 634-4016 to order.

Midnight Bear Breads – Pain au Chocolat, a flaky, buttery croissant filled with high-quality dark chocolate. A taste of Paris on Kaua‘i! Visit www.midnightbearbreads.com to order, or call 335-2893 for more information. Find them on Instagram at @midnightbearbreads and on Facebook at @mbbreadskauai.

Page 11

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&Home GardenIt seems like everyone has flipped the switched on their gardening genes since COVID-19 prompted authorities to implement lockdowns. There is a lot of garden talk back and forth on social media. So we decided to hear from someone who’s not an expert, but has been gardening most of her life. “I’ve always grown up with gardens,” Ruby Pap said. “Whenever I lived in a place that had a yard, I’ve always wanted a garden.” But for a decade, she lived in the city, with no place to garden. When she moved to Kaua‘i for a new job years ago, one of the first things in her mind was starting a garden. “I was really excited with the all-year growing season and getting back to the land.” It has been eight years, and Ruby’s garden – a raised bed measuring 12 feet by 4 feet – has faithfully provided her with a good amount of kale, chard, arugula, basil, rosemary, tomatoes, peppers, kabocha, peas, lettuce, and the list goes on. So here’s what she did. She lives near the beach, and the soil in her whole neighborhood is pretty much sand, so she decided to build a raised bed. To begin with, she picked a spot in her backyard shielded from the wind.

Raising the Bed in Your Backyard She bought the materials at Home Depot, and paid a friend to build the bed, since she’s not inclined in carpentry. Rather than using wood, she used a composite material called Trex that resembles wood. Looking at the raised bed, you wouldn’t know it’s not wood. It was pricier than wood, but it paid off; after all these years, the bed looks as good as new. After the structure was built, Ruby borrowed a friend’s truck, drove to Kaua‘i Nursery & Landscaping in Puhi, and shoveled soil in the truck’s bed. It was cheaper than buying bags of soil. Each year, she adds a little more soil and compost to her garden. Heart & Soul Organics in Moloa‘a has a 50/50 mixture of soil and compost, which she says is good for new gardens. When she first started her garden, she planted seeds in rows directly in the garden rather than using starts. “It’s a harder way to do it, but that’s how I learned growing up with my mom on the East Coast,” Ruby said. “That was always how we did it.” Over the years, she has switched to planting starts already established. One of the places she usually buys her starts is at Hoku Natural Foods in Kapa‘a. If you use starts, she said, you could be eating your lettuce within a few weeks. With seeds, it’ll take a little bit longer.

By Léo Azambuja

Page 13

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You also have to be consistent about weeding, watering, and protecting your garden against bugs and chickens. Yes, chickens. It’s not that the chickens will eat your veggies, it’s that they will get in the garden and destroy everything while scratching the soil in search of bugs. Or at least that’s what happened in Ruby’s garden. “I had to battle the chickens,” she said, adding she solved the problem by installing a chicken-wire fence around the garden. Lately, with the stay-at-home guidelines, she has been working from home, and finding herself putting a little more love into her garden. “I have more time. A lot of us have more time,” she said, laughing. Gone are the daily commutes to Lihu‘e and the occasional parties, freeing up more gardening time. And it’s not just Ruby; a lot of her friends are dedicating more time to gardening. They have been trading experiences and knowledge, and it’s only a matter of time when they’ll start trading food. “I think a lot of people have the urge to garden since this crisis started,” she said.

In Ruby’s garden, she had better luck with leafy vegetables, herbs and tomatoes. Her Hawaiian chili peppers are quite a hit too. Beets and eggplant didn’t perform too well. There are a lot of local organizations that can help you to pick your vegetables. It’s also good to talk to your neighbors to find out what they have been successful in growing. Another advice Ruby has is to plant what you want to eat, for obvious reasons. “In the beginning, you’re going to feel like you’re spending a lot of money, and you’re going to wonder if it’s really worth it. I went through that,” she said. “At the end of the day, if you’re starting a garden just to save money, maybe you shouldn’t be starting a garden.” A garden could save you money, depending on the space you have and the variety of food you grow, but there’s a lot more that goes into it. Gardening, she said, is a labor of love, a commitment to eat local foods and to watch your food grow.

Page 14

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“The working-class people have come together in such powerful ways,” said Kellerman, adding the census in all ERs has been down, meaning people are empowering themselves and staying informed on CDC guidelines to stay home, unless they have a true emergency. Additionally, many masks have been generously handmade and donated throughout the community. “Our numbers have stayed low and controlled due to the people of this island working together,” Kellerman said. “I am so grateful for their strength, intelligence and aloha.” When the pandemic is over, we will likely have learned more on how to deal with pandemics, including prevention and education. “I don’t remember any training for something like this in school,” said Kellerman. However, in her first ER job she practiced twice a year for mass casualty and biological warfare. Additionally, having been through the Ebola outbreak years ago, she said she feels knowledgeable on how to handle something like this. “I definitely think nursing students should have at least one drill where they practice care on mass casualty and biological warfare.” Issler said she was lucky to do a clinical rotation with the department of health at Salt Lake City, Utah when the H1N1 pandemic was still fresh in people’s memories. “My clinical instructor was part of a task force that regularly met to assess and mitigate the risks related to another possible outbreak,” Issler said. “Didactic classes taught the history of several specific pandemics, especially those eradicated by vaccines.” Still, she says it’s hard to have imagined even four months ago that what is going on right now could have ever happened. Going forward, Issler said she doesn’t think nursing schools can avoid incorporating pandemic history into their curriculum. “Pandemics have shaped so much of how we care for patients – from universal precautions following the HIV/AIDS pandemic to the importance of vaccines like those which eradicated viruses entirely from the human population like smallpox,” Issler said.

Unfortunately, pandemic preparedness is hard to teach, she said. Teaching preparedness to fight an unknown pathogen and clinical disease course seems nearly impossible. There are task forces around the world that dedicate their work to emerging infectious diseases, but it is still impossible to completely prevent new pathogens from infecting humans or mutating into different pathogens. Issler said losing a patient unexpectedly is the hardest part of her job, and it takes a lot of mental work to avoid getting emotionally detached or burnt out while dealing with death on a recurrent basis. “It is easy to become consumed with the idea of death and dying, or even feeling responsible for it. Everyone’s coping strategies are completely different but mine include being outdoors and exercise to keep my mind healthy,” Issler said. She thinks this pandemic has affected every healthcare worker mentally. There is the fear of becoming infected and infecting others, the fear that healthcare employers do not value the lives of their employees as far as rationing and withholding appropriate personal protective equipment, news outlets perpetuating fear and anxiety through attention-grabbing headlines, the list goes on and on, she said. “With that being said, my heart goes out to all of my old coworkers in New Jersey and New York facing incredible mental, physical and emotional challenges at work every single day. The stories they have shared are absolutely heartbreaking. There is some guilt involved when I think of my friends dealing with the worst of this pandemic head on,” Issler said. Being of service to people during the absolute worst moments of their lives – and doing this in the small community of Kaua‘i where that feeling of making a difference in someone’s life is profound – is the most gratifying thing about her career, Issler said. She acknowledges it is hard to keep following strict social distance guidelines, especially when we are not personally affected. During those times, she said, we should consider our fragile healthcare system and think about our most vulnerable population; our kupuna and those with underlying health conditions. “It’s OK to be scared, angry or sad right now, but take comfort in knowing this will end. Until then, look for the silver linings. Go for the bike ride you never had time for, make those phone calls to friends and family you’ve put off, bake that intricate carrot cake from Pinterest,” Issler said.

from page 3

Healthcare

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