Ellen Kobayashi

Ellen is getting worse according to my mom.Her right arm and leg is now jerking more.Very senile if you ask me.She can’t control her bathroom so she has on a diaper.she doesn’t want to move to mililani plaza but she may have no choice.karl & june came over for thanksgiving but i didn’t say a word to them till the second they went out the door.Apparently my pup knew exactly who I was talking about because she was scared to go near Ellen.I told my parents if Ellen goes to mililani that’s ok by me because I have no desire to see her face at all.But I told my parents if anything should happen to Lacey at 13,14,15 years old and she makes pee on the carpet that they can’t put her down because I want her to pass on naturally at home to take her last breath.Back to ellen though the lady is out of her mind when it comes to plain sanity.

Advance Health Care Directive should be done the week after Thanksgiving

My ADHD(Advance Health Care Directive) should be done by the end of the month to early December.I want everything I want done in writing.Plain black and white.No one is going to tell me how to live life except the way I state it on paper.

Drs & Dr Koizumi

Today I went to see Dr Koizumi for a check up.My weight was good.101.Down from 6.25 pounds since March.I wasn’t really on a diet either.My BP was good:100/70.My dr is pressuring me to get some blood work done for sugar,blood pressure,thyroid etc but I told my parents there is no way I am going to do it.I don’t want to know if I am at risk for diseases,diagnosis or if I need medication because no matter what dr I see I won’t do it or take any more medication than what I have already listed.If I have baggy eyes so be it.If my hair falls out so be it.If I have a heart attack at a early age so be it but if ppl really want to know the cause of my “death” when the time comes everything is set.Funeral arrangements and all.Like I said before I experienced everything I needed to and don’t plan on exploring anymore options whatsoever.There is nothing in a short amount of time I have not experienced.I eat as I please.I walk when I please.I sleep when I want and there is nothing that anyone can do even my parents as guardians to get me to change my mind.

Parents applaud governor on her ‘rainy day’ reversal

Parents of some Hawai’i public school students yesterday praised Gov. Linda Lingle’s plan to tap into the state’s “rainy day” fund and end teacher furlough days from January through 2011.This is the rainy day,” said Celia Molina, a mother of a first-grader at Kalei’opu’u Elementary School in Waipahu. “We wish that we didn’t need to use it, but given the circumstances and the dire need, this is an appropriate use.”

It’s a position some parents said Lingle should have held before Hawai’i’s estimated 189,783 students lost three instructional days — so far — to furloughs.

Allison Mikuni’s daughter attends Kahala Elementary School, and Mikuni said she believes that “No one looked at furloughs from the long-term social costs and implication of not educating your future. They were only looking at the fiscal situation, as a dollar-and-cents issue. I appreciate the fact that the governor looked at what has happened and is making the changes as needed.”

Lingle announced yesterday that she wants to end teacher furloughs starting in January by tapping into the state’s rainy day fund and converting noninstructional days to classroom days.

Yesterday, students like Joe Crawford, a 17-year-old senior at Roosevelt High School, had mixed feelings.

The “furlough Fridays” gave Crawford time to catch up on projects and homework assignments.

“Furlough days are a good break from school, although I’m a senior who’s about to graduate. I feel sometimes I need the class time,” Crawford said. “It is helpful.”

Aja Wakamoto, a 15-year-old sophomore at Farrington High School, could not disagree more.

Furlough Fridays are stressing her out.

Wakamoto takes an honors-level biology class, and to make up for the loss of instructional time, her teacher moves the class along at a faster pace than before, with more homework.

“The furloughs have made school a lot more difficult,” Wakamoto said. “We’ve been getting double the work and less time during school. It’s harder to learn.”

The fourth furlough Friday of the school year is scheduled for this week, and parents have protested by lobbying state officials, signing petitions and staging protests at the state Capitol.

Finding a way to prevent the furloughs is “not happening soon enough,” said Mish Kuklok, a mother of two students at Pearl Ridge Elementary School. “We’ll have to wait for the Legislature to approve it, so it may not happen right away. Furloughs are hurting education.”

Molina said the $50 million from the rainy day fund will help over the next two years, but parents need to remain involved in finding longer-term solutions.

“We need to find solutions so we won’t be in the same situation two years from now,” she said. “Hopefully it will include more of a parent focus and parent involvement in guiding our public education where it needs to be.”

But furlough Fridays did have the unintended consequence of getting parents involved and motivating them to be part of the solution, Molina said.

“Furloughs,” she said, “have strengthened the parent network.”

Governor Lingle Calls For An End to Teacher Furloughs

Furlough Fridays may soon become a thing of the past.

Saturday afternoon, Governor Lingle announced the A, B, C’s of her plan to get public school students back to class.

The governor’s plan will cancel 27 furlough days between January 1st, 2010 and June 30th, 2011.

15 non-instructional days would be converted into classroom time.

Tthe remaining 12 days would be restored by using 50-million dollars from the state’s “Rainy Day Fund”.

The governor’s plan, however, will not make up for the seven Furlough Fridays in 2009.

The plan still needs approval from the legislature and unions HSTA and HGEA.

Parents, Teachers, some local lawmakers, and even the Obama Administration have been calling for an end to furlough fridays.

And now, the Governor has a plan.

“It’s raining on the kids now it’s a perfect time for the rainy day fund to be used,” says Governor Linda Lingle.

Lingle’s proposed plan would not affect furlough days scheduled for the rest of the 2009 school year.

“It allows us to get our focus back on improving education on the quality of education rather than on the quantity of education,” says Governor Lingle.

If lawmakers and HSTA union members agree, the plan to use the $50 million dollars from the rainy day fund would begin January 1, 2010.

“It’s possible it could be immediate if a special session is called and it’s something I would consider if we had a consensus before going into the special session,” says Governor Linda Lingle.

A plan Governor Lingle and her staff have been discussing with senator brian taniguchi.

And she also informed Senate President Colleen Hanabusa, BOE Chair Garrett Toguchi and DOE Superintendent Pat Hamamoto.

“The impact to what the governor feels is about a 5 1/2 percent pay cut for teachers in the long term and that would put them in a better position than all the other unions,” says (D) Senate President, Colleen Hanabusa.

If approved by HSTA, the teacher’s contract would need to be re-negotiated.

HSTA released a statement saying,

“If there ever was a rainy day for Hawaii’s public education system, this is it. We believe the Governor’s proposal represents the kind of viable option we said would be necessary for us to return to the negotiating table.”

Lingle says by adopting her plan, parents, teachers and the community could refocus their efforts on what’s important.

“It shows that everybody’s concerns have been heard and that she’s realized that she needs to put education first we’re very appreciative of her effort,” says Garrett Toguchi, Board of Education Chairman.

The first step to making this all work is having a special session… a task Lingle’s cabinet will discuss with lawmakers this week.

Lingle won’t use $35M stimulus to ease Hawaii school furloughs $35M stimulus designated for education upgrades only, Lingle adviser says

The Lingle administration squashed the idea that $35 million in federal stimulus money might be used to reduce public school furlough days.

For the past week, lawmakers and education officials have expressed interest in using the money to get rid of some of the 17 days cut from the school calendar this year to help close a budget deficit.

Linda Smith, Gov. Linda Lingle’s senior policy adviser, told The Advertiser yesterday the administration has no intention to spend the $35 million to reduce furlough days.

Smith reiterated that the governor intends to spend the money on education improvements required under the federal American Recovery and Reinvestment Act, and that it will be split between the University of Hawai’i and the state Department of Education.

“The governor has dedicated this funding — which she could have spent on prisons, highways, anything else — to meeting these educational assurances,” Smith said. “We generally agree that returning children to the classroom and restoring instructional time is a high priority. We believe it can be done without tapping these very limited, one-time available funds that are targeted to improving the quality of instruction.”

It is still unclear exactly how the $35 million will be allocated. But Smith noted that charter schools and the governor’s Science, Technology, Engineering and Math initiative are high on the list of priorities.

Earlier this week, Charter Schools Executive Director Maunalei Love indicated that charters were promised $24 million of the $35 million. But Smith said it is premature to say exactly how much charters will receive.

“We know that the charter schools have done an excellent job of putting together a plan that would have them spending up to $24 million. It is a little too early to say whether that is the total that they will receive,” Smith said.

Smith’s statements came just a day after U.S. Education Secretary Arne Duncan noted that with the furlough days in place, Hawai’i has weakened its case to receive a portion of competitive federal grant dollars. He was critical of the state’s budgetary choices, saying they reflect the state’s priorities.

“When you have tough budget times, what you do with scarce resources reflects your priorities. I don’t know anyone who could make a case that eliminating 10 percent of your school days is good for Hawai’i,” he said Thursday.

The Obama administration’s education reform priorities include equitable distribution of teachers between affluent and poor schools, using student data to improve student performance, improving the lowest-performing schools and tying student performance to teacher evaluations.

The Board of Education, teachers and Lingle agreed in September to a new contract that included the 17 furlough days, equivalent to a 7.9 percent pay cut. The furlough days are all scheduled for Fridays. The fourth furlough day will be this Friday.

The furlough days were part of the Department of Education’s plan to address some $227 million in cuts mandated by Lingle and lawmakers. Those cuts include about $127 million slashed by Lingle in a 14 percent budget restriction equivalent to three furlough days a month.

Smith said the administration is exploring various options to reduce furlough days for public school teachers, but most options will require the state DOE, the state BOE and the HSTA to agree.

One option includes restoring some or all of the remaining furlough Fridays and then rescheduling them at the end of the year. The option may not necessarily add instructional days back to the calendar, but it would solve problems of continuity of instruction, she said.

“It would make the furlough days less inconvenient for families,” Smith said.

Another option would be for schools to lengthen their Wednesday, which is typically a shorter day at most schools to accommodate staff meetings. Smith estimated that if a school were to lengthen their Wednesdays through the rest of the year, it would result in an additional 6 1/2 days to the calendar.

“These are all options that are up for discussion.”

She also noted that the governor and state Superintendent of Schools Patricia Hamamoto have urged school principals to seek exemptions for their waiver days or planning and collaboration days, thereby adding up to six days back to the school calendar.

A total of 95 schools have already received approval for such exemptions, and yesterday was the final deadline for schools to submit requests to the state Board of Education.

Arne Duncan speaks on Hawaii’s decision on Furlough Fridays to cute students’ education year shorter

U.S. Education Secretary Arne Duncan, in a telephone news conference yesterday, again scolded Hawai’i for its decision to furlough teachers for 17 school days and said the move could hinder the state’s ability to garner competitive federal grant money.

“There’s got to be a better way,” Duncan said. “When you have tough budget times, what you do with scarce resources reflects your priorities. I don’t know anyone who could make a case that eliminating 10 percent of your school days is good for Hawai’i.”

To help balance the state budget, Hawai’i cut its public school calendar by 17 days to 163 days, the lowest in the nation.

Duncan’s comments were made after he announced the official start of a $4.35 billion federal grant program for schools known as the Race to the Top Fund.

According to the grant criteria, Hawai’i, along with 15 other states of similar size, is eligible to compete for funds ranging from $20 million to $75 million.

Duncan said with the furlough days in place, Hawai’i has weakened its case to receive a portion of those federal grant dollars.

“We encourage Hawai’i to put its best foot forward. But Hawai’i would have to make an absolute compelling case that going to school 10 percent less time will both close the achievement gap and raise the bar,” he said. “Frankly, that’s a heck of a challenge.”

The BOE, teachers and Gov. Linda Lingle agreed in September to a new contract that included the 17 furlough days, equivalent to a 7.9 percent pay cut. The furlough days are all scheduled for Fridays. Nov. 20 will be the fourth of the 17 scheduled furlough days.

The furlough days were part of the DOE’s plan to address some $227 million in cuts mandated by Lingle and lawmakers. Those cuts include about $127 million slashed by Lingle in a 14 percent budget restriction equivalent to three furlough days a month.
$35 million at issue

Duncan’s latest comments throw into question how Lingle should spend the bulk of the $35 million in federal stimulus money under her control. She had originally earmarked a large portion of the money for charter schools, which would have better positioned the state for Race to the Top dollars, some say.

Several lawmakers, however, say the governor should consider using the $35 million to cover some of the furlough days, a move that might bolster Hawai’i’s position in the eyes of the feds.

Rep. Roy Takumi, chairman of the House Education Committee, is among the lawmakers who believe a portion of the money should be used to buy back some of the furlough days. However, he said it would only be a short-term fix.

“Race to the Top dollars encompass four areas. We may not have qualified for all of them, but needless to say, prior to these furlough days happening, we were positioned to at least capture some of those dollars,” Takumi said.

Sen. Will Espero, D-20th (‘Ewa Beach, Waipahu), vice chairman of the Senate’s special committee on furloughs, also said the governor should consider using the money to cover furlough days. He said the secretary’s comments did not come as a surprise.

“We’re sending them a really odd message that we want to reform education and make positive changes and compete in Race to the Top, while at the same time we’re falling to the bottom,” he said.

On Monday, Lingle’s office said the money had already been appropriated in the last legislative session and that some of it is being spent on education improvements required under the federal American Recovery and Reinvestment Act.

Linda Smith, Lingle’s senior policy adviser, said the money is being spent on “payroll and other expenses.” She was not specific on the programs. She did not immediately return a message seeking additional comment yesterday.
Perceptions matter

Earlier this year, education officials said they thought Hawai’i could be competitive for Race to the Top money. The Obama administration’s criteria include an emphasis on equitable distribution of teachers between affluent and poor schools, using student data to improve student performance, improving the lowest-performing schools and tying student performance to teacher evaluations. At the time, education officials said these were things Hawai’i could achieve.

Yesterday, however, Bob Campbell, director of the DOE’s federal compliance office, said the decision to go with teacher furloughs this year and next year “certainly doesn’t help” the state’s case.

“It’s a perception that we will very clearly be addressing in our application,” Campbell said.

Campbell also said there’s no language in the grant criteria that specifically disqualifies states because of furloughs or reduction in classroom time.

“Clearly the perception that a reduction in instructional days is somehow a reduction in commitment to education, we’re going to have to address that,” he said. “While it may not be part of the criteria, it is certainly a perception regarding education in the state of Hawai’i.”

This was not the first time Duncan has criticized Hawai’i.

Last month, in a letter, Duncan said Hawai’i is moving in the “wrong direction” by reducing classroom instruction time through teacher furloughs to help close the state’s projected $1 billion budget deficit through June 2011.

Duncan and the U.S. Department of Education have criticized several states — including Hawai’i — for using stimulus money to close budget gaps while reducing state spending on education.

Grants now in jeopardy with Furlough Fridays Education Secretary Duncan warns Hawaii might not qualify for millions in funding

Following stinging criticism from the nation’s education secretary about closing schools on Furlough Fridays, the state acknowledged that it faces a difficult task in getting millions of dollars in federal aid available next year.Education Secretary Arne Duncan says that because of the furloughs, Hawaii faces “a heck of a challenge” in qualifying for $20 million to $75 million in federal funds under the Obama administration’s $4 billion “Race to the Top” grant program.

Duncan said he is “highly aware” of the actions taken by Hawaii to close public school classrooms 17 days this academic year and an equal amount next year because declining tax revenues have contributed to an estimated $1 billion shortfall in Hawaii’s state budget.

He added that the actions of Gov. Linda Lingle, the Hawaii State Teachers Association and the state Board of Education mean eliminating 10 percent of island school days. He said, “To have Hawaii eliminate 10 percent of their day(s) is mind-boggling.”

Duncan said state education leaders will have to make “an absolutely compelling case” to qualify for the federal education dollars.

During a nationwide news teleconference yesterday, Duncan questioned whether eliminating 10 percent of the 180 days sets aside for education annually in Hawaii meets program’s goals — “raising the bar for all children” and closing the achievement gap.

“Frankly, that’s a heck of a challenge.”

State Board of Education Chairman Garrett Toguchi said, “Secretary Duncan’s statements are alarming but not surprising. The board has warned for several months that the massive budget reductions imposed on public schools would be catastrophic to students’ education and make it harder for Hawaii to receive federal education assistance at a time it needs it most.”

Bob Campbell, state Department of Education director of federal compliance and project management office, acknowledged the challenge ahead.

He said the education stimulus grant does not specify the amount of days students must attend classes.

Campbell said Hawaii’s application “clearly meets” the criteria set forth by the grant program and said he hopes it will be judged on its merits.

Last month, Duncan said Hawaii had taken “a step in the wrong direction.”

“All states are under financial pressure, but none are cutting this much learning time from their school year,” Duncan wrote. “It’s inconceivable to me that this is the best solution for Hawaii.”

Duncan pointed out that Hawaii had already received $105 million in aid from a $40 billion fund in the economic stimulus plan designed to prop up states’ education budgets, and that it was due to get another $52 million later this year.

“One key criteria of the Race to the Top program calls on states to make education funding a priority. Clearly, that has not been the case in Hawaii, where the Education Department’s $1.8 billion budget has been slashed by nearly $500 million over two years,” Toguchi said.

Hawaii State Teachers Association President Wil Okabe said, “We are deeply concerned about the secretary’s remarks and the implications for Hawaii’s public schools. We can only conclude Secretary Duncan is warning the state that if we don’t restore the education budget and eliminate the furloughs, it’s unlikely we will receive any Race to the Top grant money. … Losing out on those grant funds would be tragic for Hawaii schools.”

The education stimulus grants include union-backed changes to teacher assessment requirements. While student gains should still be a “significant factor,” educator evaluations should be designed with teacher and principal involvement, the U.S. DOE said yesterday.

Among other criteria for stimulus grants are a commitment to developing common, nationwide academic standards; creating more “high quality” charter schools; and turning around the lowest-performing schools, according to the federal government.

A state will have to meet a series of conditions to earn up to 500 points and boost its chances.

There are two rounds of competition for the grants. The federal agency will accept the states’ applications until the middle of January. Applications for the second round will be accepted until June 1. The announcement of winners will be made on Sept. 30.

Before Duncan’s news conference yesterday the state Department of Education said it has formed teams to focus on each of the areas of reform outlined by the federal government. It will also incorporate charter schools into its Race to the Top application.

“We are working very hard to get the best application put together,” said Kathryn Matayoshi, deputy superintendent.

Students suffer downside of lost Fridays

Some public high school students are noticing the negative effects of Furlough Fridays. “Everything is getting compacted and shortened. And the quality of our education is being lowered,” said Jessica Minick, chairwoman of the Hawaii State Student Council.

Hawaii State Student Council members met yesterday to discuss Furlough Fridays. Kelly Maeshiro, Board of Education student representative from Pearl City; Mark Aoki, Honolulu district representative from
While thousands of students spent the Veterans Day holiday outdoors enjoying the balmy weather, 13 members of the Hawaii Student Council spent yesterday indoors, mulling over the issue.

In a conference room at the Department of Education’s Diamond Head offices, James Brese, chief financial officer of the DOE, held a presentation of the school systems’ “budget blues,” prompting questions from council members on what can be done to restore lost school days. The teachers’ contract calls for 17 Furlough Fridays in the current school year to save money on salaries. Everything is being jam-packed into a four-day week, said Minick, a senior at Hilo High School. “It’s not working. It’s not working at all.”

“They’re getting lazy on both sides: The students don’t want to do the work, and teachers don’t want to give out the work.”

—Jasmine Healy / Senior at Kapolei High who has noticed complacency around her school
In the past two weeks, Mark Aoki, a junior at Roosevelt High School and Honolulu district representative for the student council, said he has seen the added stress on fellow students and his teachers rushing to cover all the standards.

Mark Dannog, a junior at Waianae High School, echoed Aoki’s comments. While teachers have time to prepare lessons, they have less time to teach it, said Dannog, Leeward district representative.

Students as well as teachers at Kapolei High School have become complacent, said Jasmine Healy, a senior at Kapolei High. She said she has noticed that students don’t care as much about their education and a lot of teachers are not assigning homework to make up for lost class time. “They’re getting lazy on both sides: The students don’t want to do the work, and teachers don’t want to give out the work,” said Healy, Leeward district representative. “Everybody is suffering overall.

“We need to be in the classroom as much as possible,” she said, adding that she fears that students will forget how important education is for their future. “Our education needs to be the best that it can be.”

Elysabeth’s Advance Healthcare Directive

ADVANCE HEALTH CARE DIRECTIVE
MY NAME IS Elysabeth Kameko Shizue Shiira-Akamine
MY ADDRESS IS:______________________,__________,HI,______
PART 1
DURABLE POWER OF ATTORNEY FOR HEALTH CARE DECISIONS
Steven Akamine
address
phone
email:____@hawaii.rr.com
OPTIONAL:If I revoke my agent’s authority or if my agent is not willing,able,or reasonably available to make a health care decision for me,I designate as my first alternate agent:
Lance Akamine
address
phone:home cell
OPTIONAL:If I revoke my agent’s authority or if my agent is not willing,able,or reasonably available to make a health care decision for me,I designate as my second alternate agent:
Betsy Tanaka
address
phone:home cell
AGENT’S AUTHORITY:My agent is authorized to make all of the following healthcare decisions for me(Strike through any of the following provisions you do not want-You may also inital the provisions or the strike through or both)
-To consent or refuse consent to any care,treatment,service or procedure to maintain,diagnose, or otherwise affect a physical or mental condition,including approval or disapproval of diagnostic tests,(medical or surgeical procedures has been striked out),programs of medication,the use of alternative or complementary therapies (as well as decisions to participate in education research and experimental programs. has been striked out)
-To request,receive,examine,copy,and consent to the disclosure of medical or any other health care information.
-To make decisions regarding orders not to resucitate,including out of hospital”Comfort Care Only” documents,as well as decision to provide,withhold,(or withdraw is striked out)artificial nutrition and hydration, and all other forms of health care to keep me alive.
Not check off:To select and discharge health care providers,organatzations,institutions and programs,including hospice programs and to make and change health care choices and options relating to plans,services,and benefits.
Not checked off:To apply for public or private health care programs,to include Medicare,Medicaid,and Hawaii Quest benefits without my agent incurring any personal financial liability.
-To make all other health care decisions for me,except as I state here:Alternative medication with Natrotropathic Physicians & no additional prescribed medication for any other possible medical conditions that may arise including chemotherapy and radiation therapy
WHEN AGENT’S AUTHORITY BECOMES EFFECTIVE:My agent’s authority becomes effective when my primary physician determines that I am unable to make my own health care decisions unless I mark the following box.
Box is not checked: If I mark this box,my agent’s authroity to make health care decisions for me takes effect immediately.
AGENT’S OBLIGATION:My agent shall make health care decisions for me in accordance with this power of attorney for health care,any instructions I give in Part 2 of this form,and my other wishes tot he extent known to my agent.To the extent my wishes are unknown,my agent shall make health care decisions for me in accordance with what my agent determines to be in my best interest.In determining my best interest,my agent shall consider my personal values to the extent known to my agent.
NOMINATION FOR GUARDIAN:If a guardian of my person needs to be appointed for me by a court,I nominate the agent designated in this form.If that agent is not willing,able,or reasonably available to act as guardian I nominate the alternate agents whom I have named,in the order designated.

PART 2
INSTRUCTIONS FOR HEALTH CARE
If you are satisfied to allow your agent to determine what is best for you in making end of life decisions,you need not fill out this part of the form.If you do fill out this part of the form,you may strike through any wording you do not want.
END OF LIFE DECISIONS:I direct that my health care providers and others involved in my care provide,withhold,or withdraw treatment in accordance with the choice I have marked below:
(CHeck only one of the two following boxes.Strike through any unwanted provisions.)
-Choice Not To PRolong Life:
I do not want my life to be prolonged if:
I am close to death and life support would only postpone the moment of my death or I have an incurable and irreversible condition that will result in my death within a relatively short time,
I am in an unconscious state such as an irreversible coma or a persistent vegetative state and it is unlikely that i will ever become conscious again,
I have brain damage or a brain disease that makes me permanently unable to make and communicate health care decisions about myself and the likely risks and burdens of treatment would outweigh the expected benefits.
Box not checked:Choice to prolong life:
I want my life to be prolonged as long as possible within the limits of generally accepted health care standards.
ARTIFICIAL NUTRITION AND HYDRATION:Artificial nutrition and hydration must be provided,withheld or withdrawn in accordance with the choice I have made in paragraph(6) unless I mark the following box:
Box is not checked:If I mark this box,artifical nutrition and hydration must be provided regardless of my condition and regardless of the choice I have in paragraph(6)
RELIEF FROM PAIN: Box is not checked:If I mark the following box,
I direct that treatment to alleviate pain,or discomfort should be provided to me even if hastens my death.
OTHER WISHES:(If you do not agree with any of the optional choices above and wish to write your own,or if yyou wish to add to the instructions you have given above you may do so here.Examples of additional instructions include preferences to receive Hospice Care and/or to die at home.I direct that:
I decease at my residence. Religious leaders from Word of Life for prayer.By my side when I decease a maltipoo dog should be by my side.If at any point the dog may decease another maltipoo dog should be purchased & obedience training should be provided as soon as possible.If I should need a caretaker,services must be recommended by previous people who have used the organizations services with good to excellent quality reviews.Funerals must be by Christian standards.
PART 3
DONATION OF ORGANS/BODY AT DEATH(OPTIONAL)
EKSSA:(a)I give any needed organs,tissues or parts,OR
_____:(b)I give the following organs,tissues or parts only
EKSSA:(c)My gift is for the following purposes.(Strike through any of the following you do not want)
(i)Transpant
(ii)Therapy
(iii)Research
(iv)Education
____:(d)I give my body to the John A Burns School of Medicine for its research and education purposes.
PART 4
PRIMARY PHYSICIAN/HEALTH CARE FACILITY(OPTIONAL)
I designate the following physician as my primary physician:
Dr John C Purtzer
1188 Bishop St Suite 3203 Honolulu HI 96813
808 533 1711
OPTIONAL:If the physician I have designated above is not willing,able,or reasonably available to act as my primary physician,I designate the following physician as my primary physicians
Dr Ira Zunin
932 Ward Ave #600 Honolulu HI 96814
808 535 5555

PART 5
RELIGIOUS OR SPIRITUAL INFORMATION
I identify with the following church,temple or other spiritual groups:
Word of Life
I would like to recieve my spiritual care from:
Word of Life
550 Queen St Honolulu HI 96813
808 528 4044
SIGNATURES:Sign and date the form here:
Elysabeth K.S. Shiira-Akamine
Elysabeth K.S. Shiira-Akamine
WITNESSES:The power of attorney portion of this document will not be valid for making health care decisions unless it is either (a) signed by two qualified adult witnesses who are personally known to you and who are present when you sign or acknowledge your signature;or (b) acknowledged before a notary public in state.
ALTERNATIVE NO 1:
First Witness:
I declare under penalty of false swearing pursuant to section 6710-1062,Hawaii Revised Statutes,that the principal is personally known to me,that the principal signed or acknowledged this power of attorney in my presence,that the principal appears to be of sounds mund and under no duress,fraud,or undue influence,that I am not the person appointed as agent by this document,and that I am not a health care provider,no an employee of a health care provider or facility.I am not related to the prinicpal by blood,marriage,or adoption, and to the best of my knowledge,I am not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law.
Signature of Witness:
Printed Name of Witness
Address of Witness
Second Witness: I declare under penalty of false swearing pursuant to section 6710-1062,Hawaii Revised Statutes,that the principal is personally known to me,that the principal signed or acknowledged this power of attorney in my presence,that the principal appears to be of sounds mund and under no duress,fraud,or undue influence,that I am not the person appointed as agent by this document,and that I am not a health care provider,no an employee of a health care provider or facility
Signature of Witness
Printed Name of Witness
Address of Witness
ALTERNATIVE NO 2
State of Hawaii
City and County of Honolulu
On this __ day of________ in the year 2009,before me,_________(Insert name of notary public)appeared
Elysabeth K.S. Shiira-Akamine,personally known to me(or proved to me on the basis of satisfactory evidence)to be the person whose name is subscribed to this instrument,and acknowledged that he executed it.
Signature of Notary Public
My Commission expires
Notary Seal