Vacaville, Calif. – Travis Credit Union (TCU), today announced the appointment of Grady Bond as its new Chief Retail Officer (CRO). In this position, Bond will assume responsibility for branch management, member experience, member relationship center, wealth management, digital services, deposits, and payment products. His strategic vision and deep industry knowledge will drive innovation and enhance the overall member experience at TCU. 

“Grady’s extensive background in retail channels and product innovation make him the perfect choice to lead our retail operations,” said Kevin Miller, TCU President and CEO. “His strategic insights will be instrumental in shaping the future of TCU, and we are confident that his leadership will enable us to continue providing exceptional financial services to our members.”

Bond joins TCU from Bank of the West, where he served as Executive Vice President, Head of Consumer, Business, & Wealth Deposit Product & Strategy. In addition, his distinguished career includes diverse roles at TD Bank, Chase, and Bank of America, where he honed his skills in branch management, product management, and consumer banking strategy.

“Joining Travis Credit Union and making a positive impact on our teams, members and communities is priority one at the moment,” said Bond. “I look forward to working with the talented team here to further enhance our member experience and drive innovation to meet our members’ needs.”

As the 12th largest credit union in California, Bond’s appointment as Chief Retail Officer underscores TCU’s commitment to the financial wellness of its members and communities.

About Travis Credit Union

Travis Credit Union, based in Vacaville, CA, has been recognized at the federal, state and local levels for its longstanding financial education and financial advocacy efforts. In 2022, TCU was once again selected as a Best-In-State Credit Union by Forbes. It has also earned the U.S. Air Force Distinguished Credit Union of the Year award in recent years. Founded in 1951 on Travis Air Force Base in Fairfield, CA, TCU today serves 12 Northern California counties. It is the twelfth largest credit union in California, with 245,000 members and nearly $5 billion in assets. Learn more about our mission at traviscu.org.

Dyad leadership structure aims to increase patient access and further elevate clinical excellence, expertise  

SACRAMENTO, Calif. – Northern California-based Sutter Health announced market presidents and chief medical officers in its collaborative new dyad leadership structure, which will better enable physician and administrative leaders to partner in decision-making and leading clinical and non-clinical operations. This alignment is designed to foster a connected ecosystem that advances efforts to expand access and deliver a more digitally enabled, convenient and personalized care experience for patients where they live and work. Greater access includes earlier available appointments for primary and specialty care through expanded service options and settings. The dyad design also elevates the roles and voices of physicians to lead the critical work necessary to meet growing demand for services across the integrated healthcare system.  

“I’m pleased to announce Sutter Health’s community-based market leaders,” said Warner Thomas, Sutter Health president and CEO. “They represent an exceptional field of professionals with diverse experiences and backgrounds, with outstanding leadership, healthcare administration and clinical experience, both within and outside of Sutter, as well as proven track records developing and maintaining successful working partnerships with physicians, clinicians and community partners. They will help drive operational excellence and growth at Sutter in the years ahead by integrating our teams across our system to best serve our patients, our people and our clinicians.”  

Working in dyad partnership, the following new market presidents and chief medical officers will have joint responsibility for one of five consumer-based markets driving quality and integrated care across the system: 

Greater East Bay Market   

Tosan Boyo, president  

Matthew Dahnke, M.D., chief medical officer  

Greater Central Valley Market  

Gino Patrizio, president   

Joseph Chiang, M.D., chief medical officer   

Greater Sacramento Market   

Rachael McKinney, president   

Peter Hull, M.D., chief medical officer  

Greater San Francisco Market  

Christina Oh, president  

Rob Nordgren, M.D., chief medical officer   

Greater Silicon Valley Market  

Kevin Cook, president  

Mathew Hernandez, M.D., chief medical officer   

Market presidents will report directly to Mark Sevco, Sutter’s senior vice president and chief operating officer while chief medical officers will report to Todd Smith, M.D., Sutter’s senior vice president and chief physician executive.  

“By working in concert and leading their individual markets, this dynamic group will elevate Sutter Health’s operational and clinical excellence to help us continue to achieve our goal to provide industry-leading quality healthcare and expand access to our services to more patients where they live and work,” said Dr. Smith.  

“Having experienced, mission-driven leaders in place to help more fully integrate our healthcare delivery system and unify our new community-based market operating model is critical to best meet the needs of our expanding patient base, as well as the needs of our physicians, care teams and staff,” said Sevco. “Through shared decision-making and with an expectation of collaboration across markets and service lines within the organization, we aim to integrate our operations and patient care in a way we never have before.”  

Each community-based market is strategically guided by an enterprise-wide service line strategy supported by a coordinated local team that oversees the hospitals, surgery centers, foundation care centers, clinics and urgent care sites in that geographic area. Market leaders will collaborate with medical group presidents alongside community physicians to enhance access and provide exceptional care. This structure will support a connected, seamless experience for patients across all types of care settings and throughout the enterprise.  

Tosan Boyo, Greater East Bay Market President, was most recently senior vice president of hospital operations at John Muir Health. At JMH, Boyo oversaw the deployment and development of several initiatives, including LEAN Management System, service line strategies, enterprise ancillaries, health equity and government affairs. During his tenure, he was awarded Executive of the Year by the California Association of Healthcare Leaders. Boyo began his new role on Sept. 5.  

Matthew Dahnke, M.D., Greater East Bay Market Chief Medical Officer, is an internal medicine hospitalist, who has been with the Sutter East Bay Medical Group since 1999. At SEBMG he served in leadership positions focusing on transforming healthcare by aligning partners, team building and developing relationships that allow for a clear understanding of mission, vision, culture change and achievement of goals. Most recently, he was chief inpatient officer for SEBMG. Dr. Dahnke began his new role on Oct. 16.  

Gino Patrizio, Greater Central Valley Market President, is a dynamic leader with a distinguished healthcare career who has long been an advocate for patient care excellence. For nearly five years, he served as the CEO of Sutter Memorial Medical Center in Modesto, with operational and financial accountability for Sutter’s Memorial Hospital Los Banos and Sutter Tracy Community Hospital. Patrizio began his new role on June 12.  

Joseph Chiang, M.D., Greater Central Valley Market Chief Medical Officer, was most recently the chief medical executive at Sutter’s Eden Medical Center in Castro Valley. Previously, he held leadership roles as medical director and chair of emergency medicine at Sutter’s Memorial Medical Center in Modesto, Sutter’s Memorial Hospital Los Banos and San Joaquin General Hospital. Dr. Chiang is a proven leader who has achieved growth in surgical and procedural volumes, enhancing physician alignment, and maintaining high-quality care. Dr. Chiang began his new role on Aug. 7.  

Rachael McKinney, Greater Sacramento Market President, has nearly 20 years’ experience as a mission-driven, patient-centered and relationship-focused leader working with physicians and clinicians across a broad range of care settings. Most recently, she served as CEO of Sutter Medical Center, Sacramento since January 2022 with oversight of Sutter Davis Hospital and Sutter Amador Hospital as Hospital Area CEO, Central Valley. McKinney began her new role on June 12.  

Peter Hull, M.D., Greater Sacramento Market Chief Medical Officer, has served in various leadership positions at Sutter Roseville Medical Center for nearly 30 years, bringing to the roles both an aptitude for organizational administration and a deep-rooted passion for the practice of medicine. Most recently he served as chief medical executive and interim CEO. Dr. Hull began his new role on June 12.  

Christina Oh, Greater San Francisco Market President, comes to Sutter Health from HCA Healthcare’s Trident Health System in Charleston, South Carolina where she was president and CEO. At Trident, she expanded the system’s acute and ambulatory footprint, built tertiary services and developed a “people-first” culture among employees and physicians. Prior to Trident, Oh was CEO at Tenet Healthcare hospitals in Goodyear, Arizona and Orange County, California. Oh begins her new role on Dec. 1.   

Rob Nordgren, M.D., Greater San Francisco Market Chief Medical Officer, brings more than two decades of experience leading healthcare organizations. In his most recent roles, he served as Area CEO for Sutter Bay Medical Foundation and CEO of a prominent 1,800-clinician medical group affiliated with Sutter’s Palo Alto Medical Foundation. Dr. Nordgren is known for his success in driving growth, clinician engagement, workplace inspiration, diversity and inclusion, health equity and performance optimization through people-focused leadership. Dr. Nordgren began his new role on June 12. 

Kevin Cook, Greater Silicon Valley Market President, has more than 20 years of healthcare leadership experience and brings extensive practical knowledge of health system operations at the CEO level to this new role. Cook comes to Sutter from Caldwell Butler, a healthcare consulting firm specializing in research-based methods to improve margin, operational improvement, staffing and patient experience. Before that, he served as the CEO of the University of Mississippi’s Health System for seven years. Cook began his new role on July 10.  

Mathew Hernandez, M.D., Greater Silicon Valley Market Chief Medical Officer, is an internist who has served in various leadership positions at Sutter’s Palo Alto Medical Foundation for the last 18 years, focusing on culture optimization, clinical quality and operations, strategic planning and growth. Dr. Hernandez most recently served as chief medical officer of the Palo Alto Foundation Medical Group. Dr. Hernandez began his new role on Oct. 16.  

About Sutter Health  

Sutter Health’s integrated, not-for-profit system of associated clinicians, employees and volunteers support more than 3 million patients in diverse communities across two dozen counties. Headquartered in Northern California, Sutter provides access to high quality, affordable care through its hospitals, medical foundations, ambulatory surgery centers, urgent and walk-in care centers, telehealth, home health and hospice services.  

By Juliet V. Casey, Director of Marketing, LMC

Pittsburg, Calif. – Los Medanos College officially welcomes Pamela Ralston, Ph.D., as its seventh president at 4 p.m. on Thursday, Oct. 19 with a reception and Investiture Ceremony at the Pittsburg Campus Student Union, 2700 E. Leland Road. The event will feature speakers, including Pittsburg Mayor Shanelle Scales-Preston.

Ralston took the helm at LMC, overseeing its Pittsburg Campus and Brentwood Center, in January 2023 as interim president. She stepped in for President Bob Kratochvil, who retired. The Contra Costa Community College District Governing Board in July named her to the permanent position.

“Our East County community deserves the best, and we believe Dr. Ralston fits that description,” Interim Chancellor Mojdeh Mehdizadeh said. “She has the qualities of leadership, experience and commitment to serve all students, particularly for students of color, which makes her an excellent choice as president of Los Medanos College.”

Since joining LMC, Ralston has aggressively worked to increase student enrollment for transfer and for career and technical education. During her time at LMC, Ralston has emphasized the “serving” aspect of the college’s mission as a federally designated minority- and Hispanic-serving institution. Her work also has focused on outreach and inviting student and community voices to civic discussions on local and regional topics.

Before coming to LMC, Ralston was president of the Santiago Canyon College. Prior to joining SCC, she held numerous administrative and academic appointments at Santa Barbara Community College District, College of the Desert in Palm Desert, and Cuesta College in San Luis Obispo. She was a faculty member and division chair of English and Written Communications at Tacoma Community College (TCC). Before joining TCC, she was an American Studies lecturer at the University of Washington.

Ralston received her bachelor’s degree in English from the University of Oregon and her master’s and doctoral degrees in comparative literature from the University of Washington. She has earned excellence in teaching awards from Tacoma Community College and the University of Washington and was honored with a Fulbright fellowship for doctoral research at the Royal Library and University of Copenhagen in Denmark.

About Los Medanos College (LMC): LMC is one of three colleges in the Contra Costa Community College District, serving the East Contra Costa County community. Established in 1974, LMC has earned federal designations as a Minority-Serving and Hispanic-Serving institution. It offers award-winning transfer and career-technical programs, support services, and diverse academic opportunities in an inclusive learning environment. With exceptional educators, innovative curriculum, growing degree and certificate offerings, and state-of-the-art facilities, the college prepares students to succeed in their educational pursuits, in the workforce, and beyond. LMC’s Pittsburg Campus is located on 120 acres bordering Antioch, with an additional education center in Brentwood.

Antioch Mayor Pro Tem Tamisha Torres-Walker, community leader Velma Wilson and transgender immigrant Anjali Rimi among 20 from Contra Costa County, including District Attorney Diana Becton, and 33 from Solano County honored

BENICIA, CA – Today, Thursday, October 12, 2023, at his 11th annual Women of the Year event, Congressman John Garamendi (D-CA) honored 53 women from the 8th Congressional District of California who are leaders and visionaries in their communities. These honorees have all made significant contributions to society through public service, business, education, and local economy.

“Every year I have the honor of recognizing the achievements and service of distinguished women in my district,” Garamendi said.“These leaders come from a variety of backgrounds, but every one of them has made a real difference to their communities and the people around them. It’s a privilege to be able to honor them.”

“The service and dedication each honoree has shown their community is deserving of recognition, and by receiving this award, their work will be commemorated and chronicled at the Library of Congress in Washington, DC,” Garamendi said.

As previously reported, Antioch Mayor Pro Tem Tamisha Torres-Walker was honored, along with community leader Velma Wilson and transgender resident Anjali Rimi. Contra Costa DA Diana Becton was also among the 20 women from Contra Costa County and 33 from Solano County honored during today’s ceremony.

The list of 2023 Women of the Year Honorees included:

Contra Costa County:

Anjali Rimi (Antioch)

Anjali is a dedicated leader, activist, and community member. As a transgender immigrant from South Asia, Anjali has overcome many challenges while continuing to give back to her communities.

As one of the co-founders of Parivar Bay Area, Anjali has transformed the services for transgender, gender non-conforming, and intersex immigrants from the Global South.

Parivar Bay Area emerged from earlier grassroots organizing, including a project that redistributed almost one million dollars’ worth of food, housing funds, and livelihood grants for transgender South Asians to open their own businesses.

In addition to her work globally, Anjali is deeply involved in LGBTQ+ activism in the Bay Area, through fundraisers, arts and cultural showcases, and social support group meetings. She was the first South Asian transgender person to be recognized for her LGBTQ+ activism in the California Legislature and has also received recognition from former Speaker Nancy Pelosi. Anjali has accomplished all of this while remaining a kind and patient person and serving as an inspiration to others for her dedication to serving her community and improving the status of marginalized groups. (Note: She was not included in the video and may not have attended the event).

Mayor Pro Tem Tamisha Torres-Walker (Antioch – District 1)

Tamisha is a dedicated and passionate leader who has touched the lives of countless members in her community.

Tamisha proudly represents her home as Mayor Pro Tempore of Antioch while simultaneously working as Executive Director of the Safe Return Project. Since joining the Antioch City Council in 2020, Tamisha has played an instrumental role in creating city programs to reduce gun violence, reduce oil and gas projects in her city, and implement a rent stabilization program to benefit those who are currently unhoused.

Tamisha has also demonstrated a commitment to protecting formerly incarcerated individuals by helping found the Safe Return Project. Throughout her time with the organization, Tamisha has helped thousands of residents of Contra Costa County effectively transition out of the prison system and into meaningful and successful lives.

Tamisha’s unwavering devotion to her community is clearly shown through her outstanding leadership on the Antioch City Council and her unyielding dedication to protecting those impacted by the criminal justice system.

Velma Wilson (Antioch)

Velma is a dedicated parent and passionate community member who finds every opportunity to help others.

Velma currently serves as Executive Vice President of the District Parent Teacher Association for Contra Costa, engaging with parents, teachers, and community members to promote the wellbeing of schoolchildren. For her efforts, Velma was awarded the prestigious National President Award.

Velma also serves as Parent Liaison for Antioch Unified School District, ensuring parents are informed and involved in their children’s education. Velma is also Director of the Delta Veterans Group and holds executive positions at the Celebrate Antioch Foundation and Antioch Schools Education Foundation.

Her variety of volunteer pursuits demonstrate her dedication to providing resources to all parts of our community. Velma gives generously of her knowledge, expertise, and time to helping others.

She was nominated by Antioch School Board President and Area 3Trustee Dr. Clyde Lewis.

Contra Costa District Attorney Diana Becton (Martinez)

Diana Becton has been Contra Costa County’s District Attorney since 2017. Diana is the first woman, African American, and woman of color to serve in the role since its creation in 1850.

For 22 years Diana, served as a judge in Contra Costa County where she was elected and became resident of the National Association of Women Judges.

She is known not only for upholding the law and holding people accountable, but also for striving to improve Contra Costa County’s judicial system by focusing on disrupting the school to prison pipeline, creating safe

alternatives for low-level non-violent offenders and addressing the mental health needs of our community. he created the Reimagine Youth Justice Task Force to create alternatives to juvenile hall for young offenders and has made efforts to curb racial bias in her department by partnering with the non-profit Vera Institute of Justice to evaluate her office’s decision making.

Diana’s accomplishments in the judiciary are too enumerable and impressive to list briefly as she is truly a pillar of her community and a true exemplary of the excellence found in our district. Diana, far from doing business as usual, has aimed to fundamentally change many aspects of our often harsh criminal justice system to decrease bias and fulfill its duty to serve justice.

Other Honorees from Contra Costa County:

Alissa Stolz (El Cerrito)                              

Audrey Cormier (Richmond)

Betty Reid Soskin (Richmond)

West County Wastewater District Board President Cheryl Sudduth (Richmond)

City Councilwoman Claudia Jimenez (Richmond – District 6)

Municipal Advisory Committee Chair Debra Mason (Bay Point)

Contra Costa District Attorney Diana Becton (Martinez)

Eleanor Thompson (Richmond)

Janet Scoll Johnson (Richmond)

Contra Costa College President Kimberly Rogers (San Pablo)

Marinda Elaine Keith (Richmond)

Rose Akoro (Bay Point)

Ruthie Dineen (Richmond)

Sylvia Serrano (Hercules)

Katrinka Ruk (Richmond)

State Senator Nancy Skinner (Oakland – who represents portions of Western Contra Costa County in the 9th District)

Assemblywoman Buffy Wicks (Oakland – who represents portions of Western Contra Costa County in the 14th District)

You can view photos and biographies of all of this year’s honorees here.

A video of the event can be found here.

A legislative update that was shared at the event is available here.

Garamendi serves California’s 8th District in the U.S. House of Representatives which includes portions of Solano and Contra Costa counties, including the northern area of Antioch.

Allen D. Payton contributed to this report.

To be honored at Thursday ceremony

By Allen D. Payton

In a Sept. 23, 2023, post on her official Facebook page, Antioch Mayor Pro Tem Tamisha Torres-Walker shared a photo of a letter to her from Congressman John Garamendi (D-CA8) that he has named her a 2023 Woman of the Year. Along with the other honorees, she will receive her award at a ceremony Thursday morning, Oct. 12 in Benicia.

The letter reads:

“Dear Tamisha

I am pleased to announce that you have been selected to be honored as a 2023 Woman of the Year. Each year, I recognize outstanding women of my Congressional District who have been nominated by their peers and have demonstrated a clear commitment to their community through their leadership and dedication to public service.

Congratulations! I look forward to seeing you…”

The letter also invited her to attend and provided details about “Congressman Garamendi’s 2023 Women of the Year Ceremony” and was signed by the Congressman.

Torres-Walker added an emoji of herself to the letter and responded on the Facebook post by writing, “The God of my understanding always finds a way to remind me to keep going.”

Marty Storti joins LMC from Saint Mary’s College

Los Medanos College (LMC) is pleased to announce Marty Storti as Athletics director, effective Oct. 2, 2023.

“Mr. Storti comes to us with a wealth of experience in intercollegiate athletics administration” Vice President of Student Services Tanisha Maxwell said. “We are confident he will help elevate our sports and help our student athletes achieve their highest potential.”

Storti, who joins LMC after a career of more than 20 years as a coach and athletic administrator at Saint Mary’s College in Moraga, said he is eager to work with student athletes at the community college level.

“At Saint Mary’s, I designed the recruiting protocols for Club Athletics that included transfer students. We engaged and helped many community college athletes navigate the admissions and financial aid processes,” he said. “LMC, as a feeder school to UC Davis and Berkeley and other great universities, gives student athletes a unique opportunity with a unique set of support systems to help them win and graduate.”

Over the course of his tenure at Saint Mary’s College, Storti managed numerous areas within the athletic department, including human resources, strategic planning, and program assessment. In his role, Storti oversaw athletic camps, campus recreation, event management, facilities, sports medicine, and strength and conditioning. He also served as the sports supervisor for several teams, which included baseball, cross country, track, men’s golf, women’s rowing, men’s soccer, and softball. 

“LMC is an attractive opportunity, given its potential for growth in the athletics, from increasing the number of sponsored sports to increasing the number of student athletes. We will demonstrate how important student-athletes can be to the institution and the broader community,” he said. “Sports at LMC can be that light that guides more students toward higher education and long-term success.” 

As assistant vice president for Club Athletics, Storti spearheaded a departmental rebranding initiative for recruiting and revenue generation. Under his leadership, Storti introduced a student-athlete council and devised a comprehensive student leadership development program. His oversight resulted in a notable rise in student-athlete applications and enrollments. He led successful revenue-generating initiatives, which led to increases in facility rentals, camp revenue, ticket sales, and annual fundraising.  

Under his administrative leadership, several of Saint Mary’s teams achieved national success. Storti was the men’s soccer sport administrator when they participated in the 2011 NCAA tournament, where they reached the elite eight. He served as the lead administrator for men’s rugby, contributing to their historic achievements by securing USA Rugby D1A (highest level) National Championships in 2014, 2015, 2016 (7s), and 2017. 

Storti earned his master’s degree and bachelor’s degree in business administration from Saint Mary’s College.

About Los Medanos College (LMC): LMC is one of three colleges in the Contra Costa Community College District, serving the East Contra Costa County community. Established in 1974, LMC has earned federal designations as a Minority-Serving and Hispanic-Serving institution. It offers award-winning transfer and career-technical programs, support services, and diverse academic opportunities in an inclusive learning environment. With exceptional educators, innovative curriculum, growing degree and certificate offerings, and state-of-the-art facilities, the college prepares students to succeed in their educational pursuits, in the workforce, and beyond. LMC’s Pittsburg Campus is located on 120 acres bordering Antioch, with an additional education center in Brentwood.

Due Oct. 23

Student and adult humanitarians to be recognized at 46th Annual Dr. Martin Luther King, Jr. Ceremony in January

Contra Costa County seeks nominations for Humanitarians of the Year to be recognized during the 46th Annual Dr. Martin Luther King Jr. Ceremony.

The deadline to submit candidates for consideration is Monday, Oct. 23.

The event will commemorate the life and legacy of Dr. Martin Luther King, Jr. and is scheduled for Tuesday, Jan. 16. In the spirit of Dr. King’s work, this year’s theme is “Beloved Community.”

The Board of Supervisors plans to recognize two individuals, (1) a community member and (2) a student leader, whose dedication to others embodies the spirit and legacy of Dr. Martin Luther King, Jr. at the January event.

Nominate a community member and/or student whose accomplishments and actions go above and beyond to positively impact Contra Costa County, its residents, and communities. Please nominate candidates who demonstrate leadership, commitment to the community, and personal integrity. 

To submit online nominations and learn more about the County’s celebration, visit the Dr. Martin Luther King, Jr. Ceremony website.

“Strabismus” could affect as many as 30,000 people in Contra Costa and is correctable

“I look at the picture and go ‘wow’! I just feel good.” – patient Kyle Emard

“It’s an out-patient surgery. You go home the same day.” – Dr. Daniel Greninger

By Allen D. Payton

After living with being both cross-eyed and deaf for most of his life, 49-year-old Kyle Emard can now see straight thanks to the talent and skills of Kaiser Permanente ophthalmologist, Dr. Daniel Greninger whose office is in Antioch. He corrected Emard’s vision impairment known as strabismus.

“After I was born my eyes would look straight ahead. But when I was five, my eyes started to go inward,” Emard shared through a sign language interpreter. “My mom asked me if I wanted surgery. I said, ‘no, no’.”

And he never did have the corrective surgery, until last year.

“I never had any bullying,” Emard said. “I was playing football, wrestling and traveling all over the country. My grandfather had a travel agency. It didn’t bother me. People would ask me what was wrong with my eye. They thought I was blind in one eye. During conversations people would look past me, not sure which eye to look at. I’d think, ‘they’re not looking at me’. I’d say, ‘I’m looking at you’.”

“I graduated from high school. I got ready for college. Then I bought a house,” he continued. “My mom asked me, again if I wanted surgery, and I told her ‘no’.”

“Strabismus describes eye misalignment problems,” Greninger explained. “In Kyle’s case this is most likely attributed to accommodative esotropia. That’s a condition where a person’s eyes turn in excessively due to them trying to focus. Kyle is far sighted.”

“This is very common for eye misalignment problems,” the doctor added. “People have a hard time looking at those with strabismus.”

“Sometimes it would be a serious discussion and people would say, ‘look at me’, And I was,” Emard shared. “It was annoying.”

“For some people it’s more than annoying,” Greninger interjected. “For people with strabismus it’s a quality-of-life impact issue.”

“What is particularly unique for me from the doctor’s side of it is Kyle also has hearing impairment. He has to communicate visually,” he continued. “Sometimes people with strabismus and hearing impairment have double vision. Sometimes depth perception is affected.”

Emard began wearing his first pair of glasses when he was five years old. But his vision progressively worsened, through the years.

“Kyle mainly looked out of one eye,” the doctor shared. “But surgery was done on both eyes. More on the right eye than the left.”

“For people with hearing impairment it’s called Usher Syndrome in which people have both hearing and vision impairment,” Greninger continued. “People assumed Kyle had that. Usher syndrome is a completely different genetic condition in which patients often have very significant hearing and vision deficits and are often functionally blind.  In Kyle’s case, I think people knew he was deaf, and then saw his eye drifting and assumedthat he also couldn’t see due to Usher syndrome, which would be incorrect.”

“People assumed I was blind in one eye,” Emard shared.

Asked if it was difficult to read a book, watch TV or go to the movies, he said, “No.”

“His sight was fine. He could see 20/20 but he was only looking out of one eye,” the doctor replied. “If you have strabismus as a child, often the brain learns to ignore one eye to avoid seeing double.  In adults, acquired strabismus can often result in double vision. Kyle’s problem, accommodative esotropia, typically develops between 2-6 years of age, and is related to hyperopia, or far-sightedness.”

Emard said he continued to wear glasses, then mainly contacts in high school. He went snow skiing, snowboarding and dirt biking.

“I wouldn’t go up high places, just small hills,” he shared. “I played roller blade hockey, defensive end in football. That was all before.”

A graduate of Leigh High School in San Jose, Emard attended Gallaudet University in Washington, DC.

“It’s one of the best known colleges for the deaf. All the instruction is in ASL (American Sign Language),” Greninger added.

“It’s a muscle issue. There are six muscles that are attached to the eye that move it in different directions. Up and down, left and right, and torsion that twists the eye,” he explained. “In strabismus, sometimes it’s a disease of the eye muscles. More commonly it’s the brain not telling the eye to do something. Our brains are usually hardwired to know how much to turn to focus.”

The Surgery

Asked when he decided to have the surgery Emard responded, “After my mom passed away three years ago. My family had money. Everything I was doing was done for the deaf organization. I felt it was the right time.”

The surgery took place last September.

“I met Kyle in 2022 after I had received a referral from one of my colleagues, a consult request. We set up a video chat with an interpreter,” Greninger shared. “We do video consults, first. For this condition it’s important for me to know the history of the condition.”

“We had that first video visit. We used some remote tools which allowed Kyle to take photos and videos at home,” the doctor continued. “We were able to use the components of technology that we didn’t have five years ago. I then had him come in for a complete eye exam to make sure his eyes were healthy.”

Asked if the technology is better, Grenginer said, “It’s safer, now. It’s about an hour-and-a-half surgery.”

“I can’t go into the brain and turn a screw a quarter inch to change how the brain controls the eye,” he explained. “So, we put in an eyelid speculum, we make a small incision over the eye and we find where the eye muscle is. It’s red and very small. We put in a small suture, like a stitch where the muscles connect to the white of the eye. Then I detach the muscle with surgical scissors and move it to a new position. If we move it back that creates some slack and decreases the force on the eye for turning.”

“I wear special surgical loops to help me see. But it’s all done with hands no lasers,” the doctor stated. “The amount we move the muscles is determined by the measurements we take in the office. Deciding which muscles to move and in which pattern based on the person’s problem are the intellectual work of my specialty.”

“I don’t want to over-compensate or under do it,” he continued. “It’s done in millimeter precision. We’re measuring the half-millimeter. Each millimeter moves the eye three degrees.”

“I knew I was nervous out of fear of losing my eye,” Emard shared.

“Each time I saw you I was more comfortable,” he said to the doctor.

“I don’t remember the surgery. When I woke up, I thought, ‘I’m ready’. But I looked and was shocked,” Emard exclaimed.

“It’s general anesthesia surgery so you’re asleep the whole time,” Greninger said. “We were able to get a sign language interpreter to be there in Walnut Creek the whole day, which I think is very important to give people the same level of care. I was really happy the leadership and nursing staff were able to provide that.”

“We had to move three muscles on Kyle’s eyes. One muscle on his left eye and two muscles on his right eye,” the doctor explained. “First, we relaxed the muscle on the left eye. Then on the right eye we tightened the outside muscle and relaxed the inside muscle.”

“I remember the right eye was much more red than the left,” Emard explained. “After surgery I did have double vision for a little while but then it went away. I had full vision. I could see all the way around. It was strange.”

“After the surgery I felt the same,” he added.

He used eye drops for a few a days, “but the redness lasted a few weeks,” Emard shared.

Asked how long the recovery time is Greninger said, “About six to eight weeks. I usually tell patients in two months’ time people won’t be able to tell they had the surgery. Kyle came back to see me about six months later to see if everything was fine, about March of this year.”

“Sometimes I forgot. ‘Did I have surgery?” Emard stated. “I posted and let everyone know on Facebook and showed the before and after photos and got almost a thousand likes. After my surgery I cried a lot because my mom wasn’t around to see it. But she’s happy, now.”

Emard lives in Livermore, works in Fremont as a middle school counselor and has one child, a 15-year-old son.

Asked what his son thought Emard said, “He said ‘wow!’ He was shocked. He just kept looking around my eye, opening my eye. He was used to looking at me inward.”

“On the day of my surgery my son was at school, and he was all worried. He said my dad’s fine and the teacher said, ‘good’. The week after he had a football game and my friend drove me. I sat alone by the goal post. I told people I didn’t want to talk yet I’m still healing. But I had to be there.”

Asked if it has impacted his job Emard said, “It’s about the same” then spoke of the difference between the school pictures from last year compared to this year.

Asked if he feels different about himself, he said, “Oh, yes. I look at the picture and go ‘wow’! I just feel good.”

“After surgery my friends were gathering and said they missed my lazy eye,” Emard said with a laugh. “I’m happy every day.”

Asked if people who have the surgery get counseling after, Dr. Greninger said, “The psycho-social impact of strabismus has been well studied.  Characters in movies with strabismus often are portrayed with other disabilities, and people may wrongly assume that all people with eye misalignment have other intellectual handicaps.  Studies have shown that childhood strabismus can negatively impact a teacher’s perception of a student’s motivation or focus.  In addition, strabismus in adulthood can sometimes be a barrier to success in the workplace or finding a romantic partner.”

“Even the term lazy eye – we don’t use that term,” he continued. “Some people despite having strabismus they use the term lazy eye. It has a certain connotation to it. We think if it as a negative There’s a misunderstanding of people with strabismus.”

30,000 County Residents Have Correctable Vision Impairment

With offices at Kaiser Permanente Antioch Medical Center on Deer Valley Road, Dr. Greninger grew up in San Ramon, graduated from Cal High and earned his undergrad at Dartmouth College. He did his residency at UCSF Medical Center in Ophthalmology followed by a Fellowship in Pediatric Ophthalmology and Adult Strabismus at Oregon Health Science University in Portland.

“I started at the Antioch Medical Center in 2013. It’s been about 10 years of offering the surgery in Contra Costa County,” the doctor shared. “About half of my practice is adult strabismus and about half are children. We do about 100 to 150 surgeries like this each year.”

“We estimate we have about 15,000 with eye misalignment problems in our service area,” Greninger stated. “Sometimes people can have a medical problem like a stroke, thyroid eye disease, a neurological condition or facial trauma from an accident or assault. They can cause eye alignment problems. Probably half my adult patients had it as children and it either came back or it was never dealt with.”

He also estimates there are as many as 30,000 people in Contra Costa County suffering from strabismus which is correctable.

“Many people have this and don’t know something can be done or has been on the back burner for a long time,” Greninger stated. “Sharing stories like Kyle’s is good to let people know something can be done. I have patients come to me and say, ‘I wish I had come to you earlier’.”

“I try to put myself in the patient’s shoes to see how they’re thinking. It’s a leap of faith for a patient. It takes a lot of bravery to trust a doctor with your eyesight,” he said.

“It’s an out-patient surgery. You go home the same day. Most of the eye surgeries are done in Walnut Creek,” Greninger added.