Sonoma West Hospital Fills Critical Care Need During Fire Tragedy

Community Hospital Filled Emergency and Patient Transfer Needs as Fire Caused Sutter, Kaiser and Sonoma Valley to Close
SWMC emergency room staff offers a warm welcome to patients during tragic fires and aftermath

On October 9, Dr. Jim Gude, the Intensive Care Director and a driving force behind the Sonoma West Medical Center’s (SWMC) reopening, was awoken at 1:30 in the morning by an emergency phone call. It was SWMC nurse Val Takes, who had been driving on US 101 passing the Sutter Santa Rosa Medical Center when she saw a huge fire heading from the east toward the Sutter Hospital.  “She warned me what was coming,” Gude recalls.  “I arose, dressed and drove to the Sonoma West Hospital to prepare.”

Gude called and woke up Shelleen Denno, SWMC’s Hospitalist Medical Director, and then five more Sebastopol family physicians associated with the hospital: Drs. Richard Powers, John Canova, David Fichman, Michael Holmes and Roger Pitzen.

Every one of them volunteered to come to SWMC in the middle of the night to accept patients transferred from the Sutter Medical Center and elsewhere.

“We set up a Triage System and early that morning admitted 16 patients from the Sutter Santa Rosa ICU and Ward,” Gude recalls. “We ended up Monday evening with a total of 30 patients.”

During the week that followed the tragic fire, two of Santa Rosa’s three hospitals: Sutter and Kaiser, were forced to close, leaving Memorial Hospital’s emergency room overloaded (Sutter, as of press time, has reopened and Kaiser’s hospital and ER remain closed due to smoke from the fire).

The Sonoma West Hospital, whose emergency room had a record 54 admissions and re-admissions last Monday, has only 37 beds, less than half the number as Sutter and one-third the number as Kaiser. But it picked up the slack. Some SWMC rooms were doubled up and a few overfill patients even had to be temporarily treated in hallways, a first for the small community hospital.

The Sonoma West Medical Center, which rose like a phoenix from the closed Palm Drive Hospital,  remains the only community hospital in the United States to close and then manage to reopen. Federal, state and private health insurance providers make it nearly impossible for local hospitals to avoid losses, forcing citizens in non-urban communities into the more cost-efficient, impersonal care of large corporatized urban hospital centers.   It has taken many millions of dollars, enormous risks, and a continual challenge to the area’s political establishment for SWMC to remain open. It has also taken the dedication and hard work of its medical staff and its dogged supporters, who have argued, all along, that the growing and aging and population of West Sonoma County should not be forced to lose a hospital and an emergency room that has saved lives in the area for more than 70 years. Ever since the unpopular decision to close Palm Drive Hospital was first announced in April, 2014,  hospital advocates have asked what would happen if  there was an earthquake or a fire?   Santa Rosa’s three hospitals, nearly ten miles east of SWMC, are all close to a major earthquake fault line, and unlike SWMC  are all the type of multi-story buildings  are often forced to close in earthquakes.

Last week demonstrated SWMC’s importance to the Sonoma County community. Open hospital advocates are hoping that local, state and federal elected representatives, including  West County Supervisor Lynda Hopkins, as well as public health officials, will take note of this and provide the support for keeping the hospital open that they have been unwilling to provide in the past.

Dr Gary J. Mishkin, a doctor who works at both SWMC and Memorial, lost his home in last week’s devastating fire. This did not stop him from working long hours in the emergency room, where he was interviewed last Thursday by the Sonoma Independent (see video below). “Small community hospitals,” Mishkin explained, “have been taken for granted for a long time. There’s been a lot of emphasis on big facilities Kaiser, Sutter, and Memorial. Well look what happens when those facilities are compromised. If it was not for Sonoma Valley, this hospital, and Healdsburg hospital, what would have happened?  Our small community hospitals are the backbone. They are the foundation really of our medical network, and the tertiary facilities like Memorial—they are the university-like facilities for us to refer our most complicate patients to.”

“But this is a perfect example,” Dr. Mishkin said,  “of why the community needs a balance of the high quality university-level facilities and the smaller community hospitals.  This is the exact reason why.”

The Sonoma West Medical Center, which reopened two years ago, has since seen thousands of patients and maintained the same level of safe, personal care that allowed Palm Drive Hospital to be ranked, in early 2014, the number one safest hospital, by patient outcomes, of 360 hospitals in the entire State of California.

Dr. Richard Powers, a popular local doctor, was elected last year in a heated contest over whether the hospital would remain supported by the District Board that was created for the purpose of funding a hospital with an emergency room, or forced to sell its building and be shut down to pay off bankruptcy creditors, a position that District Board member Jim Horn has long advocated.

“People need this place when other hospitals are impacted or even closed,” Dr. Powers told the Sonoma Independent (see video interview below).  “Basically it’s a community effort, everybody doing their best to take care of what’s needed. We’ve had family doctors who normally did hospital work in the past but for the last year or two have let the hospitals do it came and took up their role again to take care of the influx of patients. We really had a lot of good help from community doctors. So we’re gladly doing that and we all still have the same caring spirit that was traditional with this hospital.”

Patrick Lee, an Emergency Technician at SWMC, observed that last week, “Every was putting in overtime and long shifts but were grateful to do it. We were stressed out but we were all there to do a job.”

“Without this hospital,” Lee observed, “where would those patients have gone? I find it hard to believe that anyone would want to close it down after this. Without a doubt, we were really needed.”









Jonathan Greenberg

The founder and Editor of the Sonoma County Independent, Greenberg is an investigative financial journalist with 35 years of experience with national publications. Greenberg also serves as founder and Executive Director of Informing to Empower, the parent non-profit of both the Sonoma Independent and the Maui Independent. Greenberg has won first prizes from the Greater Bay Journalism Awards for the past three years, starting with his coverage of the closing of County library cutbacks, and then Palm Drive Hospital. Jonathan’s professional career began as a fact checker at Forbes Magazine, where he advanced to the role of the lead reporter in creating the first Forbes 400 listing of wealthy Americans (as recounted in this recent article for Forbes’ 100th anniversary issue and more extensively in this biography of Malcolm Forbes.  Jonathan has been an investigative financial and political  journalist for such national publications  as The New York Times,  The Washington Post, New York Magazine, Mother Jones, Forbes, Money, Playboy, GQ, The New Republic, and Alternet.  From 2011 through 2017, Jonathan was a blogger for the Huffington Post, where his narrative-transforming reporting and analysis about subjects like Bernie Sanders, Monsanto and Native Hawaiian water protectors achieved some of the widest readership of any HuffPost writer on these subjects. Jonathan’s nearly 40 years of professional media and reporting experience has been enhanced by a Yale Law School Masters Degree fellowship program, from which he graduated with honors in First Amendment Law from internationally renowned attorney Floyd Abrams and then Yale University President Benno Schmidt. Jonathan is the author of the critically acclaimed biography Staking A Claim: Jake Simmons and the Making of an African-American Oil Dynasty, which a Washington Post Book World front page review called, “a rare biography that challenges the readers senses in the same the way science fiction does.”  In 1992, he edited Buying America Back: Economic Choices for the 1990′s, an anthology of 45 progressive solution-oriented essays called by Publisher’s Weekly,  “An immensely important resource for policymakers, community activists, and everyone concerned with building a more humane future.” As a new media innovator who has developed a half dozen interactive web platforms and dozens of content-focused web sites, Greenberg is committed to enhancing responsive government and expanding media democracy. Greenberg is founder of Progressive Source Communications, a Sebastopol-based public interest communications company. In the past, he founded and managed two other online companies,, and Greenberg’s political work included serving as Policy Director for the New York City Council’s Select Committee on Lower Manhattan Redevelopment in the years following 9-11. His work resulted in more than $250 million of federal funds being re-directed to needy businesses and constituents in the impacted area. Greenberg has been Vice President of Fenton Communication’s New York office. His work on behalf of non-profit organizations has included communications consulting for Save Darfur, Stonyfield Farm, the ACLU, and the Lakota People’s Law Project. Greenberg holds a B.A. in writing from the State University of New York at Binghamton, and a Masters Degree in Law from Yale Law School, where he graduated with honors in First Amendment Law.
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    18 October 2017 at 7:17 pm

    Sonoma Valley Hospital never closed. However, it was incredibly fortunate that both SWMC and Healdsburg District Hospitals remained open to help absorb the brunt of the impact, as Santa Rosa Memorial Hospital was the only hospital left to serve the Santa Rosa areas. It was incredible to see everyone come together.

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    Lisa Taggart
    31 October 2017 at 5:06 pm

    So happy to see a positive article on the hospital. I’m so tired of the Sonoma West Times’ articles with their clearly negative bias and agenda. My family has been using this hospital for over 40 years and know that it is a huge benefit to the community.

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