Professional Documents
Culture Documents
Danielle Barnsdale
General Surgery
Anisha Petigara
Jonelle Broaddus
Physical Therapy-SRM
Jennifer Piccolo
Timmie DeWan
Sarah Fonteno
Sterile Processing
Respiratory Care
Amy Ramirez
Salene Rivera
Case Management
Acute Rehab
Vaneza Harrington
Nursing Administration
Raymond Rochioli
Nutrition Services
Patrick Hughes
ICU/CCU
Julio Roman
Nutrition Services
Sherlie Jefcoats
ICU/CCU
Sarah Stone
Ritchell Labog
Pathology
Anne Sulonen
General Surgery
Mary Lapeere
Acute Rehab
Shelly Tolbert
Radiology Diagnostic
Gary Ludwig
Pathology
Lee Vu
Radiology Diagnostic
Coralie McFarland
Emergency Room
Zuhra Dabner
Nursing Administration
Kathryn Hodson
Physical Therapy
Selena Luis
Surgical Services
Caren Nguyen
Pharmacy
Isabelle Osterlund
Surgical Services
Martha Ortega
Ellen Pandey
Radiology Diagnostic
Regional Referral
Johna Peterson
Yolanda Ramos
Hospice, Memorial
ICU
Richard Parke
ICU/CCU
Heather Wahanik
Hospice, Memorial
Dr. James DeVore Named Finalist in Press Democrats Best Doctor Category!
Lila Bugarske, RN
Staff nurse, 2 East
Brandon Ingles,
Security officer
Conversations about clinical care are common. But what about the emotional and social issues that inevitably arise with patient care? To allow health professionals to openly, honestly discuss these challenging issues, St. Joseph Health recently introduced The Schwartz Center Rounds
to all Sonoma County staff, physicians and volunteers. This ongoing program offers nurses, therapists,
social workers, physicians and representatives of other disciplines an opportunity to share experiences
and thoughts arising from actual cases.
Our next lunch-time rounds convene at 12:30 p.m. Friday, July 10, and focus on Caring for the
Combative Patient.
Guest panelists will include SRMH team members Rob Alessi, MD, psychiatrist; Lila Bugarske, RN,
staff nurse on 2 East; Linda Espinosa, MSW, social worker on 2 East and 2 Center, and Brandon
Ingles, security officer.
Andrew Wagner, MD, will facilitate. SRMH Chief of Staff Jeannette Currie, MD, and Chaplain Brian
Plaugher also lead and support our Schwartz rounds.
After listening to a brief presentation, attendees will be invited to share their own perspectives about the
case in point or about broader, related issues.
Friday, July 10
12:30 p.m. 1:30 p.m.
lunch served, starting at noon
SRMH Conference Rooms B - D
CEUs and CMEs offered
NO RSVP REQUIRED
For more information, please contact Chaplain Brian Plaugher at Brian.Plaugher@stjoe.org
or (707) 525-5300, extension 6344.
WALK IN MY SHOES: Foundation Director Andrea Learned Spends Time With Hospice
I manage to arrive early. The first thing that catches me on the donor wall are the words: What is
it you plan to do with this one wild and precious life? I notice the warmth of the staff greetings
and sense the trust and competence of the team There is an easy focus on all that is precious.
Craig Sheffer catches me up on the news of his daughter. She has one accomplishment
after another while waiting for acceptance on the heart/lung transplant list. She is alive
and off to Europe.
A Buddhist bell rings, we stand together and hold hands and after a few computer glitches
the Interdisciplinary Team begins. There are five new admits, 16 other patients requiring
review and one death to report.
Dr. Kai Ander assures me that this will be a brisk and timely meeting and that all reports will be concise. I
think that sounds most unlikely and soon I am amazed by the discipline that Mindy Toth brings to the mornings proceeding. First WOW: The care partners observations and solutions are as important as Dr. Anders
interventions and the nurse and social workers reports. This is a true IDT.
The troubling array of symptoms, pain, loss and tearful family tension begins to overwhelm me. I find myself
laughing at things that are only end of life funny and I try to take in all this team must hold...to be a witness
to so much physical pain, all the secrets, all the anger of families who are overwhelmed and the valiant
struggle to manage so much illness in these dear fragile bodies. One person cant sleep, cant lie down
and battles persistent nausea. Another couple needs large quantities of care and are in the same facility but
on different floors. They spend their days longing for each other. One patient has a young son and he is angry and lashing out at all he is about to lose. The patients anger is frightening his family, and may be exacerbated by a peculiar combination of medications. One patient is so much better but may fall apart if we remove Edith, our staffer, who the patient has come to love with her whole heart.
Christina Inginito starts her report with the words, This is a very tender situation. My patient is deeply grieving for herself; she knows that she is slipping away. Another patients bones are visible; the patient is eating
more and sleeping less. We talk of hallucinations, anger and extraordinary complexity. We think about better
breathing with morphine and are stilled by the prospect of a cancer that has gone to the eyelids. There are
many women caregivers to be considered; the sheer catalogue of their stresses astonish. One patient does
a happy dance when his nurse comes to visit. It is believed that one family member may have struck a patient and the right reports must be filed. Another patient has become depressed at the thought that she might
be discharged from Hospice. Betsy Hands reports are a joy to hear. She is everywhere singing, playing the
piano for our patients and always thoughtfully engaging the spirit. I think Id like to be more like Betsy (if only
I could sing).
After 90 minutes, I realize these are the people I would most want to take care of me and my family. These
are the trained men and women who combine the best of modern medicine and the traditions of Sisters and
Shamans and those who understand the power of touch and the importance of listening. I cannot find the words
Sunday, June 28
9 a.m. - 4 p.m.
Please contact Chelene Lopez at
(707) 525-5283 or Chlene.Lopez@stjoe.org