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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
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LIFE
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COM
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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
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