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5A THE DAILY ASTORIAN • MONDAY, JUNE 27, 2016 New CEO continues ‘exciting journey’ at Providence Seaside More doctors, partnerships in the works By NANCY MCCARTHY EO Media Group SEASIDE — With a new CEO in charge, Providence Sea- side Hospital could be in for several changes. More full-time doctors will be hired. More partnerships may be formed with Columbia Memorial Hospital. The Prov- idence Seaside campus could even get a new look. Hired in January, Kendall Sawa came to Providence Sea- side from Ocean Beach Hospital in Ilwaco, Washington, where he had been chief executive since late 2012. He formerly served in sev- eral positions at PeaceHealth Ketchikan (Alaska) Medical Center for 17 years, before tak- ing the helm of Ocean Beach Hospital under a management agreement between the pub- lic hospital district and Peace- Health to manage daily oper- ations. The agreement expired Jan. 31. The move from PeaceHealth to Providence Health & Ser- vices wasn’t a giant leap, Sawa said. Both systems are Catholic not-for-proits, they are located on the rural coast and their val- ues are much the same. He calls his new job “an exciting journey for me.” Scouting for docs The challenges facing the 25-bed Providence Seaside, Sawa added, aren’t too differ- ent than those faced by hospi- tals in other small communities. Recruitment, changing reim- bursement systems as a result of the federal Affordable Care Act and competition with other local hospitals are among his top concerns. But Sawa is optimistic. After recently introducing four new full-time specialists to the com- munity, he is continuing to scout for more pri- mary care doctors in the Cannon Beach, Sea- side and War- renton clinics. Kendall He’s using Sawa the coastal beauty as bait, and he’s pretty sure it will work; more providers — including a nurse practitioner, physician’s assistant, an internal medicine physician and two walk-in clinic specialists — are expected to arrive at Providence Seaside in the next six to nine months, he said. “It’s a beautiful place to come and work,” Sawa said. “There are providers looking for an opportunity to serve a small community hospital like Provi- dence Seaside.” But, he added, every com- munity wants more primary care doctors, which are becoming rare nowadays. Medical school graduates are going into the higher paying specialties instead of serving general populations. Being in a small community hospital has its disadvantages: It means being on call much more frequently than in a larger hospi- tal, where there may be little or no on-call duty. It may be difi- cult to ind an affordable home, and the doctor’s spouse or part- ner may not be able to ind appropriate work. But, Sawa noted, there’s one big advantage: “In a rural com- munity, you really get to know the people you see as patients.” There are other pluses, too, he added. The North Coast is a good place to make a lifestyle change. “We’ve been lucky to ind several candidates who want to make this a place to live,” Sawa said. Collaborations Providence Seaside also will continue to ind ways to form partnerships with Columbia Memorial Hospital in Astoria, Sawa added. “The walls are breaking down,” he said. “It’s the right thing to do. We are collabora- tively working together.” When CMH announced that it was ending its home health services at the end of April, Providence Seaside agreed to pick up CMH’s 17 patients. The Seaside hospital already serves about 100 home health patients — those who need medical attention but can’t leave home and don’t need a nursing home. In addition, the two hospi- tals are collaborating with each other and with Clatsop Behav- ioral Health to create the Clat- sop Behavioral Health Respite Center in Warrenton for those who need treatment for mental health crises. While Columbia Memorial recently became afiliated with Oregon Health and Science Uni- versity in Portland, Sawa points to the strength of the overall Providence Health & Services system, which stretches over seven states. It is the third-larg- est health system in the United States. Seaside Providence also is working with Ocean Beach Hospital by sending cardiologist Robert Morse there on a regular basis. “He already sees a lot of patients from that area,” Sawa said. To provide service for its rural residents and still stay within budget, the hospital is increasing its use of “telemed- icine,” where patients talk to doctors online and don’t have to travel to appointments. The online process is being used to admit patients to the hospital and to have follow-up discussions with cancer and stroke patients. The system is even being used in the intensive care unit. With the addition of doctors and other personnel, the hospi- tal may have to expand outside its current boundaries on Wah- anna Road in Seaside, Sawa said. A master construction plan is being worked on, he added, and more off-campus ofices may opened. “We are deinitely out of space,” Sawa said. LGBT: June is Pride month, witnessed two memorable moments Continued from Page 1A Herzig’s talk, “Misogyny and Transphobia,” was a timely one. June — Lesbian, Gay, Bisex- ual and Transgender Pride month — witnessed two signiicant moments in LGBT history: An Oregon judge granted a petition letting a person legally identify as “nonbinary” rather than as male or female. And, on June 12, an ISIS-inspired gunman mur- dered 49 people at a gay nightclub in Orlando, Florida. Though the U.S. Supreme Court legalized gay marriage last sum- mer, setbacks in the gay rights move- ment continue to occur, including North Carolina’s House Bill 2, which removed anti-discrimination protec- tions against the LGBT community, and mandates that, in government buildings, people use restrooms that align with the sex listed on their birth certiicate — a serious problem for many transgender individuals. Herzig, who chairs the Lower Columbia Diversity Project, reminded the group that LGBT civil rights and recognition remain matters of life and death. “It is that serious an issue,” he said. Binaries But what do anti-LGBT views have to do with misogyny (hatred of women)? Why is calling a man a “sissy,” “fairy,” “pansy” or “girlie” considered devastating criticism? Fueling this behavior is a wide- spread and deeply rooted belief that men are somehow superior to women, that masculinity is more valuable than femininity, Herzig said, channeling the work of 20th century feminist and queer-studies writers. This belief assumes a rigid binary system: All things male are over here, all things female are over there, and the twain shall not meet in the char- acter of a single human being. A patriarchal society — in which it is deemed normal, even moral, for men to hold more power than women — strives to keep this structure intact by policing the boundaries between the ways men and women express their gender identity and sexual ori- entation: how they talk and dress, where they work, who they have sex with, and who they love. And it pun- ishes those who dare to cross the line. People who are gay or transgen- der, who present themselves as the opposite sex, threaten a status quo upheld by social, cultural and reli- gious institutions. “Men have to be not women, and women have to be not men, in order for this structure to survive,” Her- zig said. “If they start to blend, then we’re in trouble; the whole patriar- chal structure comes crashing down.” Within this framework, it makes sense for women to aspire to be like men, to want male privilege. But it’s unnatural for men to want to be more like women: “That subverts the whole paradigm. That can’t be toler- ated, because that means the struc- ture is unsound,” Herzig said. “For any man to voluntarily give up that privilege and go down, that calls the whole thing into question.” Patriarchy’s side effects Patriarchy — as expressed through homophobia and transpho- bia — produces staggering levels of suffering. Doctors, with parental consent, have long operated on intersex infants — babies born with sexually ambigu- ous genitalia — to literally construct their sex. They may then grow up and sense their anatomical sex doesn’t match their gender identity. A growing intersex movement is working to end these surgical inter- ventions, to let intersex children develop and discover their own sexu- ality. But “it’s very dificult to raise a child without a gender,” Herzig said. “That’s just the culture we live in.” With transgender people, the rules governing attraction and sexual pur- suit become extremely complicated and potentially dangerous. Many men feel uncomfortable at the thought of a transgender woman looking at them affectionately; they may feel as though a man is lusting after them, placing them in a subordi- nate “female” role. Especially perilous are situations where a man attracted to a woman inds out the object of his desire is a transgender woman. The man may feel a need to defend his manhood and heterosexuality, perhaps by com- mitting violence against the woman. Dani Williams, a member of the Lower Columbia Gender Alliance, remarked: “The person that is actu- ally the perpetrator of the violence is just as much a victim, in a sense, of this binary patriarchal society that we have.” Herzig agreed: “We’re losing our humanity when we lock ourselves in. The worst thing is, we lose our humanity when we lock other people in and kill them for trying to climb out of their cubicle. And that, as you know, is very real currently.” ‘How deeply it goes’ As often happens at library lec- tures touching on controversial top- ics, the community members who showed up and participated largely agreed with Herzig’s message. Ami Kreider, the senior library assistant who develops the library’s adult programs, would like to see some ideological diversity at the “Diversity Dialogues.” “Considering the divisive polit- ical climate in which we live, I feel that it’s especially important that people have opportunities to respect- fully exchange diverse points of view about hot-button topics,” she wrote in a message. “I retain enough ideal- ism to believe that, when people have safe forums in which they may dis- cuss their differences, they often dis- cover that they share more common ground with the ‘others’ than they had formerly believed.” LISTINGS M ONDAY E VENING A (2) (-) (-) (6) (-) (8) (9) (10) (12) (13) (-) (20) (-) (29) (30) (31) (32) (34) (35) (36) (38) (39) (43) (44) (45) (46) (47) (48) (49) (50) (51) (52) (53) (54) (56) (57) (58) (61) (63) (64) (65) (162) L KATU KOMO KING KOIN KIRO KGW KRCW KOPB KPTV KPDX KCPQ TBS KZJO ESPN ESPN2 NICK DISN FAM FMC LIFE ROOT FS1 SPIKE COM HIST A&E TLC DISC NGEO TNT AMC USA FOOD HGTV FX CNN FNC CNBC BRAV TCM SYFY RFD (2) (4) (5) (-) (7) (-) (3) (10) (12) (-) (13) (20) (22) (29) (30) (31) (32) (34) (35) (36) (38) (39) (43) (44) (45) (46) (47) (48) (49) (50) (51) (52) (53) (54) (56) (57) (58) (61) (63) (64) (65) (162) The lone voice of pushback on Friday came from a woman who pressed Herzig on whether he really believed some men who identify as gay didn’t in fact choose their sexual orientation. Herzig said that people do not choose whom they are attracted to. However, “you can choose how much you’re going to live your truth, and sometimes you have to choose not to live it at all, because you’ll be risk- ing your life,” he said, “and nobody should have to do that.” He added: “In my experience, it doesn’t make sense to say that any- body would choose to be a perse- cuted minority.” “But let’s say it were a choice,” he continued. “As Americans don’t we have free choice? Aren’t we free to choose our religious observances or not? Aren’t we free to choose our political parties? Aren’t we free to choose a lot of things? Why shouldn’t that be a protected choice?” Herzig, like most of the attend- ees, grew up without a language to call out and beat back misogyny and the many phobias that emanate from it. Even today, Herzig continues to struggle with the social forces that shaped his generation. “I still worry that my manner- isms are effeminate ... and people are going to think less of me,” he said. “I still carry that around with me. And that bothers me, that I do that, that I still do that. So that shows how deeply it goes.” Evening listings MONDAY J UNE 27 A - Charter Astoria/ Seaside - L - Charter Long Beach 6 PM 6:30 7 PM 7:30 8 PM 8:30 9 PM 9:30 10 PM 10:30 11 PM 11:30 KATU News Jeopardy! Wheel of Fortune The Bachelorette (N) Mistresses "Blurred Lines" (N) KATU News at 11 (:35) Jimmy Kimmel KOMO 4 News Wheel of Fortune Jeopardy! The Bachelorette (N) Mistresses "Blurred Lines" (N) KOMO 4 News (:35) Jimmy Kimmel NBC Nightly News KING 5 News KING 5 News Evening Swimming Olympic Trials American Ninja Warrior "Philadelphia Qualifier" (N) KING 5 News (:35) Tonight Show KOIN 6 News at 6 CBS Evening News Extra Ent. 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The Lone Ranger (2013, Action) Armie Hammer, William Fichtner, Johnny Depp. Freddy vs. Jason (2003, Horror) Ken Kirzinger, Monica Keena, Robert Englund. 12 Monkeys "Resurrection" (N) American Rancher Red Steagall Horse Master Inside Reining Craig Cameron Rural Eve. News Rural America 'Live' American Rancher Red Steagall Product Showcase No reservations, please 14 OUN CE USDA CHOICE N EW Y ORK STEAK & BAK ED POTATO $9.95 M ust present co upo n to server. N o t va lid w ith o ther o ffers. All You Can Eat Chicken & Dumplings- Thursdays 4-8 pm $6.95 Prime Rib Fridays- 3-6pm $9.95 • BBQ Baby Back Ribs- Saturdays N O W O PEN Just 15 m in. fro m the Lew is & Cla rk Bridge o n H w y. 30 Fr i da y & Sa turda y Hump’s Restaurant- 50 W. Columbia River Highway 6a m -10 pm Clatskanie, OR. 503.728.2626 G u ess w h a t d a y it is! It’s Hump’s Day!!! AT HUMP’S RESTAURANT EV ERY W ED N ESD AY Video 4 -8 PM