2006 Induction Ceremony, Awards Presentation and Reception
Medical University of Ohio
Faculty Club
Toledo, Ohio
March 18, 2006
6:00 p.m.
Program
| Introduction | Daniel J. Saevig Associate Vice President Alumni Relations - University of Toledo Toledo, Ohio |
| Invocation | Rev. Larry Clark, Ph. D. Executive Director, Toledo Area Ministries - Toledo, Ohio |
| Welcome from theAcademic Community | Daniel T. Johnson, Ph. D. President The University of Toledo - Toledo, Ohio |
| Welcome from the Medical Community | Bahu S. Shaikh, M.D., F.AC.P., F.P.A.M.S. Director of Medical Oncology - Flower Hospital Clinical Professor of Medicine - Medical University of Ohio Consultant - Toledo Clinic, Toledo, Ohio |
| Welcome from the Nurse Community | Rebecca Zechman, R.N., MSN Administrative Director The Toledo Hospital - Toledo, Ohio |
| Proclamation from the Metropolitan Community | Tina Skeldon-Wozniak President of the Board of County Commissioners Toledo, Ohio |
| Medical Mission Hall of Fame Video | Lawrence V. Conway, Ph.D. President - Medical Mission Hall of Fame Foundation Toledo, Ohio |
| Medical Mission Hall of Fame Recipients, 2006 | James G. Diller, M.D., F.A.C.S. Chairman - Medical Mission Hall of Fame Foundation Toledo, Ohio |
| Presentation of Posthumous Award Mary Breckinridge, R.N. Founder Of The Frontier Nursing Service Wendover, Kentucky |
James G. Diller, M.D., F.A.C.S., Chairman - Medical Mission Hall Of Fame Foundation |
| Posthumous Acceptance | Michael J. Claussen Wendover/Development Coordinator Frontier Nursing Service - Wendover, Ky |
| Remarks By: | Carolyn B. Gregory, M.S. Speech Language Pathology and Counseling Psychology, Northwestern University - Evanston, Il |
| Presentation Of Award Acceptance Richard M. Hodes, M.D., F.A.C.P., Medical Director American Jewish Joint Distribution Committee Addis Ababa, Ethiopia |
Glenn Geelhoed, M.D., Chief Of Surgery; Professor Of Surgery; Professor Of International Medical Education; Professor Of Microbiology And Tropical Medicine George Washington University Medical Center Washington, D.C. |
| Presentation Of Award Medical Missions Inc. University Of Santo Tomas - Manila, Philippines Acceptance Bernardo Cuevas, M.D., President Medical Missions, Inc. Assoc. Professor Of Surgery University Of Santo Tomas - Manila, Philippines |
Blesila C. Cabrera Consul-General, The Philippines |
| Presentation Of Award Acceptance Jean William Pape, M.D. Director Of Gheskio Centers, Port-Au-Prince, Haiti Professor Of Medicine, Cornell University New York, U.S.A |
Mike DeWine U.S. Senator, Ohio - Washington, D.C. |
| Presentation Of Award Acceptance Jill Seaman, M.D. International Medical Relief Fund Upper Nile, Sudan |
Glenn Geelhoed, M.D. George Washington University Medical Center Washington, D.C. |
| Presentation Of Award Acceptance Sr. Yvonne Viens, R.N., M.Ed. Apostle Of The Needy Sisters Of Charity Of Montreal, “Grey Nuns” Lexington, Ma |
Marcy Kaptur, Congresswoman, 9th Congressional District, Ohio |
| Tribute | S. Zaheer Hasan, M.D., President Islamic Center Of Greater Toledo Toledo, Ohio |
| Benediction | The Rev. Amy Erickson, Associate Pastor Christ Presbyterian Church Toledo, Ohio |
| Reception | Andrew J. Casabianca, D.M.D., M.D. Medical University Of Ohio Toledo, Ohio |
2006 Recipients:
Mary Breckinridge, RN (Posthumous)
In the early 1900’s in many rural areas around the world, there was no access to maternal health care. Women gave birth to their children at home, often in a chair with the bottom cut out. Untrained midwives, neighbors, or older daughters assisted. For every 100,000 births, over 800 resulted in maternal death. All of that changed dramatically beginning in 1925 with the establishment of the Frontier Nursing Service in Leslie County, KY, a professional nurse/midwifery and family health service, founded by Mary Breckinridge, R.N.
Mary Breckinridge was born on February 17, 1881 in Memphis, TN of an aristocratic southern family. She was the granddaughter of John Breckinridge who served as the Vice President of the United States under President James Buchanan and was later a General for the Confederate Army and Secretary of War for the Confederate States, and the daughter of the United States Ambassador to Russia under President Grover Cleveland. She was educated by private tutors and traveled extensively with her parents abroad, and became acquainted with many cultures and lifestyles. She was a skilled horsewoman from early childhood.
Her early adulthood was marked by the loss of her first husband by age 26 and the death during her second marriage of two children under the age of five, Breckie and Polly to whom the FNS is dedicated. Left with her grief and only a desire to serve humanity, Breckinridge became a registered nurse in 1910 at St. Luke’s Hospital in New York City, and served in war-torn France following the First World War “After I had met British Nurse-Midwives first in France and then on my visits to London,” she often said, “it grew upon me that nurse-midwifery was the logical response to needs of the young child in rural America.”
Mrs. Breckinridge became a graduate Nurse-Midwife at the British Hospital for Mothers and Babies in London and spent time at the Highlands and Islands Medical and Nursing Service of Scotland to observe the kind of decentralized health care that would become the model for the FNS. Following that, she studied Public Health Nursing at Columbia University.
At an approximate age of 40, she formulated two goals: 1) to improve the health of rural women and children in the U.S., 2) to pioneer a system of rural maternal healthcare that could serve as a model for remote regions of the world.
She chose eastern Kentucky for her demonstration nursing mission project. In the summer of 1923, traveling on horseback with one companion, she initiated a study of the health needs of people in Leslie, Clay, Harlan, and Perry counties. Traveling over 700 miles interviewing families and lay midwives, she found that women lacked prenatal health care and gave birth to an average of nine children. There were high rates of maternal mortality and she came to believe that children’s healthcare must begin before birth with care of the mother, and follow that care throughout childhood with care of the whole family.
The Frontier Nursing Service was established in 1925 as a private charitable organization serving an area of approximately 700 square miles in southeastern Kentucky. It was the first organization in America to use nurses trained as midwives under the direction of a single medical doctor/obstetrician, based at their small hospital in Hyden. Women considered to be at great risk during their pregnancy would be brought to the hospital for delivery. Using the Scottish Highland concept, the nurses were also expected to serve as public health nurses. Originally the staff was composed of nurse-midwives trained in England. They traveled on horseback and on foot to provide quality prenatal and childbirth care in the clients’ own homes. The service charged $2.00 per year for family medical care and $5.00 for prenatal care and delivery, payable in eggs, meat, service, or cash. No one was ever turned away.
As the Frontier Nursing Service grew, Breckinridge became an unstoppable fundraiser. Through her influential connections and speaking engagements, Mary Breckinridge raised over six million dollars for the FNS. In its first eighty years, over 25,000 babies were born with fewer than 25 maternal deaths. Infant and maternal death rates are consistently lower than the best American hospitals. Over 1600 nurse/midwives have been trained. An FNS trained nurse-midwife founded the first American school of Midwifery in New York City in 1932, and the FNS founded its own school in Hyden, Kentucky in 1939. Mrs. Breckinridge directed the FNS until her death in 1965.
Today her legacy extends far beyond eastern Kentucky. Her concept of natural childbirth with a nurse-midwife in attendance has become a standard procedure in large cities across America, often preferred by affluent women. The Frontier School of Midwifery and Family Nursing now offers a Master of Science in Nursing degree with tracks as a nurse-midwife, family nurse practitioner and women’s health nurse practitioner. Nurses trained in these programs carry their nursing skills around the world. Mary Breckinridge’s dream has materialized beyond her imagination.
Richard M. Hodes, MD, FACP
Dr. Richard M. Hodes is an internist in Addis Ababa, Ethiopia. He is a native of Syosset, NY, studied geography at Middlebury College in Vermont, and then lived in Alaska for several years. He graduated from University of Rochester Medical School, then trained in general internal medicine in the John Hopkins system with Dr. Randy Barker. He also studied in South India and Bangladesh. He is certified by the ABIM and a Fellow of the American College of Physicians. He was named Public Citizen of the Year for the State of Texas, and will receive an honorary doctorate in Science from Middlebury College this year.
From 1985 to 1988 he was Fulbright lecturer in internal medicine at Addis Ababa University. In 1990 he became Medical Director of the American Jewish Joint Distribution Committee in Addis Ababa. He has been responsible for the health of all Ethiopian immigrants to Israel since that time, about 1% of the Israeli population. He has also worked with refugees in Sudan, Rwanda, Zaire, Albania, Tanzania, and Somalia. In Zaire, he was in charge of the health of 50,000 Hutu refugees from Rwanda, and ran a 100-bed hospital in Kibumba Refugee Camp.
In Ethiopia, he also works at Mother Teresa’s Mission in Addis Ababa, caring for sick destitutes. He sees his role as identifying unique patients who can be saved with special care. Recently he has treated patients with seminoma, Hodgkin’s Disease, Ewing’s Sarcoma, rhabdomyosarcoma, osteosarcoma, and osteogenesis imperfecta in this population.
Dr. Hodes operates an orphanage in Ethiopia. The orphanage has 16 orphans in 2 homes, including kids with cancer, polio, TB spondylitis, rheumatic heart disease, and growth hormone deficiency. He has adopted 5 kids from this group and brought them to America for treatment. He is constantly looking for help for other kids who need specialized surgery in America. He recently received a grant to treat Hodgkin’s Disease in poor patients, and is trying to build a medical clinic for an undeserved area of Addis Ababa.
Rick is the Dozor Visiting Professor of Medicine in Beersheva, Israel, and also has a faculty appointment at University of Texas in San Antonio. He has published in a variety of venues about his work, and is the editor of the Ethiopian edition of Where There Is No Doctor.
Medical Missions, Inc.
Background of Anthony Galetta:
A third year medical student from the University of Santo Tomas was on vacation in the summer of 1961 and was traveling to the northern provinces of the Philippines, on the island of Luzon. He was on his way to visit the Mountain Province. His plan was to visit the famous Rice Terraces of Ifugao. These are chains of mountains which have been terraced over the centuries for the cultivation of rice. They are reputed to be over 2000 years old and considered by some to the “eight wonder of the world”.
There, he encountered a Belgian missionary priest and was invited by the priest to visit his mission outpost in the mountains. He was shown the mission clinic deep in the forest of an ancient mountain village. For the student, it was a life changing moment. He worked alongside the sister who ran the mountain clinic. He used his meager skills as a third year medical student to help the sister in the care of her patients. He saw the need for medicines, equipment, and helpers for the clinic. On his return to Manila, he shared this wonderful discovery with several of his classmates. They were eager to return with him to the mountain clinic with medicines, equipment and help for the sister. Their enthusiasm was infectious and the word passed quickly through the medical school.
The rector of the University was caught up in the joy and excitement of the project and quickly endorsed the plan of the medical students to work in the mountain clinic. A faculty member, a professor of surgery was assigned to lead a group of nine medical students in this very first medical mission sponsored by the University of Santo Tomas.
When the team returned from the medical mission in the Mountain Province, the enthusiasm and joy of the participants spread throughout the medical school. Students and faculty, hearing of the experiences of the medical team, were like the people who listened to Marco Polo after his fabled trip to the Orient. They were eager to be part of this experience. The enthusiasm grew exponentially and the Medical Missions Inc. of the University of Santo Tomas was born. It consisted of faculty members and students of the Medical College and School of Nursing of the University of Santo Tomas.
The Medical Missions, Inc. of the University of Santo Tomas is a strong and vibrant part of the University of Santo Tomas School of Medicine. They continue to work with the rural poor, the urban poor, and the inner cities of the Philippines. To date, the have sponsored thousands of missions and continue to serve the medically indigent and medically under-served throughout the Philippine Islands. That third year student from the University of Santo Tomas was Anthony S. Galetta.
Education:
Anthony Galetta graduated in June, 1951 from Bessemer High School in Bessemer, Pennsylvania, and then enrolled at the University of Pennsylvania. In June 1955 he received a Bachelor of Science degree in Zoology. Following his graduation from the University of Pennsylvania, he enrolled in the University of Santo Tomas in Manila, Philippine Islands. After graduating from the University of Santo Tomas, Anthony Galetta interned at St. Elizabeth Hospital in Youngstown, Ohio. Upon the completion of his rotating internship he did a surgical residency at St. Elizabeth and Mercy Hospital in Pittsburg, PA.
After completing his surgical residency at St. Elizabeth and Mercy Hospital, Dr. Galetta embarked upon a medical missionary career. As a member of the U.S. Catholic Missions 1968 to 1969, Dr. Galetta volunteered for the Catholic Medical Mission Board at the Dispensario Bethania in Jocatoan, Guatemala. During 1974-1979 Dr. Galetta served as the Medical Director of the Sister City Project, Washington, PA-Rivas, Nicaragua. From 1975-1990 Dr. Galetta served as the Medical Director of the Brother’s Brother Foundation of Pittsburgh, PA. This Foundation is dedicated to providing medical assistance to forty different countries. In addition the Brother’s Brother Foundation developed a massive immunization program. Also, the Foundation developed extension “Books Across the Seas” program. During the period 1999-2001 Dr. Galetta served as the Medical Director of Monroeville Assembly of God joint venture medical mission program in San Luis Colorado, Mexico.
Because of his idealism the University of Santo Tomas, Medical Mission, Inc. provided medical assistance to the poor in many countries of the world. During this period the University of Santo Tomas provided over 274, 000 Medical and Dental services. These medical services included 225,000 medical, 36,000 surgical, and 13,000 dental treatments. Currently, Dr. Galetta resides in Canonsburg, PA where he is an active staff member in the Department of Family Practice at Canonsburg General Hospital, Canonsburg, PA.
Jean William Pape, MD
Dr. Jean William Pape is Director of GHESKIO Centers (Haitian Study Group on Kaposi’s Sarcoma and Opportunistic Infections) in Haiti, and Professor of Medicine at Cornell University in New York. Dr. Pape received his Bachelor of Science degree in biology from Columbia University (New York), and his MD diploma from Cornell (New York). He specialized in Internal Medicine and Infectious Diseases in the Cornell hospital system in New York. He returned to Haiti, his native country, in 1979 to work on infantile diarrhea, the main cause of mortality in children.
In the first two years he reduced mortality from 44% to 1%. This led in 1982 to the creation of the National Program to prevent dehydration from diarrhea with the Cornell-GHESKIO unit as the national training center. This program is mostly credited for the marked reduction in national infantile mortality from 144/1,000 in 1980 to 74/1,000 in 1994. In 1982, Dr. Pape faced a most formidable challenge: AIDS. He founded the Haitian Study Group on Kaposi Sarcoma and Opportunistic Infections (GHESKIO), credited for identifying the first AIDS cases in the developing world and continues as its Director. Two decades later, GHESKIO provides free care to over 150,000 patients with HIV infection, sexually transmitted infections and tuberculosis annually. Dr Pape assumed an international leadership role and has been unrelenting in his efforts to implement programs for the prevention and control of AIDS and tuberculosis in Haiti and other resource-poor countries.
Dr. Pape was a founder of the Haitian National AIDS Commission (1986). Despite ongoing political turmoil and deteriorating economic conditions, GHESKIO continues to provide uninterrupted care, training, and to conduct translational research. New therapies and management strategies for HIV/AIDS, tuberculosis, and diarrhea have been validated and implemented. A world-class vaccine and clinical trials unit has been established with NIAID support. Dr Pape is a member of the steering committee of the Adult Clinical Trial Group (ACTG) and the HIV Vaccine Trial Network (HVTN). Major funding from the UN Global Fund and the President Emergency Fund for AIDS Relief (PEPFAR) has expanded the GHESKIO comprehensive care paradigm to 25 sites throughout the country. Dr. Pape and his team have been credited with “slowing the epidemic” (of AIDS in Haiti) and serving as “a model for how poor countries with few resources can combat AIDS, tuberculosis and diarrhea” (NY Times 12/22/02). With the interventions of GHESKIO and other main partners the national HIV seroprevalence decreased from 6.2% in 1993 to 3.1% in 2003 showing that it is possible to develop successful national programs in the poorest countries and under conditions of instability and political unrest.
Dr. Pape is internationally known for his work in infectious diseases. He has been awarded many national and international awards including the highest scientific recognition by Haiti (Leon Audain award), France (Legion of Honor from President Jacques Chirac), the United States (The Institute of Medicine of the National Academy of Science), and in October 2000 Dr. Pape was recipient of the prestigious United Nations Award, presented by Kofi Annan for “contributions to the fight against HIV/AIDS,” during the United Nations development program for Celebration International Day Against Poverty. Dr. Pape is the author or lead author of over 65 original publications in professional medical journals. He has in addition, written numerous medical books and contributed various chapters as primary author or contributing author in association with other clinical researchers on selected aspects of infectious diseases. Dr. Pape is a professor of Medicine in the Department of Medicine, Division of International Medicine and Infectious Diseases of Weill Medical College of Cornell University. Dr. Pape is married to Dominique Pasquis.
The Pape family has fours sons; Douglas, Clifford, Alain, and Vincent. The family home in the United States is located in Glen Cove, New York.
Jill Seaman, MD
Dr. Jill Seaman has dedicated most of her medical career to providing medical care for people in areas that are remote, and often entirely overlooked by the wider medical community.
A native of Idaho, she earned her BA at Middlebury College and her MD at the University of Washington. Jill completed a rotating internship in Sioux Falls, South Dakota, and headed north. She worked for six years with Yupik Eskimos at the bush hospital in Bethel, Alaska. A brief stint with the International Refugee Committee, treating Ethiopian refugees in Sudan in 1985, convinced Jill that it was time to get more medical training.
Jill enrolled in the Family Practice Residency at Natividad Medical Center, in Salinas, California. Her patients there were mostly Spanish-speaking farm workers, finding their way in a new country. While studying for her diploma at the London School of Tropical Medicine and Hygiene, Jill was recruited by Médecins Sans Frontières to help investigate a strange killing disease in South Sudan. This turned out to be kala azar, or visceral leishmaniasis.
Jill has worked with kala azar in South Sudan since 1989. She arrived to find the biggest epidemic in decades unfolding within a war zone. People in rural Sudan had no access to medical care and seemingly no voice in the medical world. Literally half the population was already dead. This tragedy became a turning point in Jill’s life: working in solidarity with the poor of Sudan has remained her primary focus ever since.
Necessity and minimal resources forced Jill to become something of an expert on kala azar. Over the past 16 years, she and her co-workers have treated tens of thousands of kala azar patients, mostly in open-air clinics and mud huts. She collaborates with MSF (Doctors Without Borders) Holland, the World Health Organization, and other NGOs to develop treatment protocols, field-test drugs, write academic articles, and educate Sudanese and Ethiopian staff. The tide of death brought on by kala azar has largely turned.
In 1999, Jill and her Dutch colleague Sjoukje de Wit decided that another epidemic required their attention. Tuberculosis often co-exists with kala azar, in a population which is already weakened by malnutrition and the difficulties brought on by war. Treating TB is difficult, in that it requires at least six months of daily pill-taking - quite a challenge for a semi-nomadic, illiterate population living in a war zone. Financed by donations from friends, the Sudan Tuberculosis Project of the International Medical Relief Fund (now under the care of Crosscurrents International Institute) has achieved cure rates well above those expected by the World Health Organization, on a budget of a few hundred dollars per patient. As always, training Sudanese health care staff is a major focus of the project.
Jill’s work was recognized by Time Magazine, when it profiled her as one of its 10 “Heroes of Medicine” in 1997. Perhaps the sweetest recognition is her naming by the Nuer. Jill is known throughout Nuerland as Chotnyang, the beautiful multi-toned brown cow without horns. The Nuer revere their cows. There is no reward quite like seeing a patient who was carried in, too weak or crippled to walk, able to run alongside his or her cows again. It is both humbling and rewarding. That keeps Jill going in her voluntary medical missionary efforts.
Sr. Yvonne Viens, RN, MEd
Background:
Sister Yvonne grew up in a family of 14 children, 4 boys and 10 girls, born to Ferdinand and Valerie Viens in the small town of St. Georges de Windsor, Quebec, Canada. Seven children would later follow the call to serve the Lord in religious life. Sr. Yvonne was asked to help at the local hospital which was operated by the Grey Nuns. During this time she heard God’s call to join the Grey Nuns, but the parish priest told her she was too young (at age 15) to become a sister.. It was not until seven years later that Sr. Yvonne, still positive that God was calling her entered the Novitiate of Sisters of Charity of Montreal, Nicolet Province, on November 29, 1939.
Education:
Sister Yvonne made her final profession in 1942, followed by nurses training. She received a Bachelor of Science Degree in Nursing from the University of Montreal, and her Master’s Degree in Guidance and Counseling from the University of Toledo. She also did post-graduate work in Operating Room Training at St. Vincent Hospital in New York.
Sr. Yvonne has had a very rich and varied ministry in healthcare.. She was supervisor on various nursing units in the Grey Nuns’ hospital in Biggar and Saskatoon, Saskatchewan and at Edmonton General Hospital in Edmonton, Alberta. She held the title of Director of Nursing at St. Paul’s Hospital in Saskatoon.
Sr. Yvonne was transferred to the American Province in 1963 and assigned to St. Vincent Mercy Medical Center in Toledo, Ohio, where she built a rich legacy of innovation and dedication. While in the operating room, Sr. Yvonne influenced people, simply by being there. She served as the Director of the Surgical Suites until 1973; during which time she developed a program for training surgical technicians. In addition to reviving the Nurses Association, she initiated the process to establish an association for the surgical technicians.
Many of her graduates still work at St. Vincent’s and in other area hospitals, and remember her fondly. Over and above their training, she helped them grow personally. At one time Sr. Yvonne took in three children of a nurse whose husband required surgery. She dutifully cared for the children after school until bedtime so their mother could attend to their father’s pre and post surgical needs.
On the technical side while at St. Vincent’s, Sr. Yvonne demonstrated her resourcefulness when faced with critical needs. She created a special tray to improve the quality and efficiency in the sterilization of instruments used in surgery. In cooperation with the School of Anesthesiology, Sr. Yvonne designed a cart to accommodate all the necessary items for the Anesthesiologists with efficiency and ease of the user. She was invited by Ethicon Company, makers of surgical items, to be their consultant to evaluate the quality of their products.
From 1972-74, Sister Yvonne Viens was Director of Staff Development and Patient Support Services for St. Vincent’s. She developed the new Employee Orientation Program and the very successful Management Program for first level supervisors.
Sr. Yvonne left St. Vincent on February 19, 1974 to pursue advanced studies in religious education at St. Louis University, St. Louis, MO. Upon her return, she was missioned to the Grey Nuns’ Provincial House in Lexington, MA, where she served as Director of the Sisters’ Infirmary for four years. Working in the infirmary, Sr. Yvonne demonstrated special concern for every sister, looking after each individual’s physical and spiritual needs with tender loving care. During those years, Sister Yvonne was a member of the Board of Directors of St. Joseph Hospital, Nashua, NH. Her health has never been ideal and after a rest period, 1979-81, she was appointed Administrator of the Provincial House.
One of her most rewarding experiences followed when in 1988, she began a missionary ministry in La Parada, Cucuta, Colombia, South America, a small town on the Venezuela border. During her three year stay, she worked with the other sisters to help the impoverished people while serving as the Superior of their local community. They organized the ministries of education, home visitation, and outreach to those in need. Sr. Yvonne also supervised the construction of a convent where the sisters would live, and a laundry for the general population. By the gift of their personal presence and accompaniment, they were able to help many impoverished people. She said: “People eat when they have money, when there’s no money, they don’t eat. In Colombia people have enough money to live miserably.” The black market between Venezuela and Colombia was a real problem.
After falling ill in 1991, Sr. Yvonne was given a rest period. In January 1993, she returned to St. Vincent Mercy Medical Center in Toledo, Ohio. She brought her very personal touch to patients through a missionary program called “GoldenCare PLUS Program”. She visited people in their homes and in nursing homes, often times bringing them homemade tomato and carrot soups to quench their appetites and warm their hearts. In discussing this mission ministry she said, “Sometimes the people I visit are very sick or have no family and want someone to talk to.” Another mission ministry dear to Sr. Yvonne’s heart was acting as primary caregiver and surrogate mother for a little boy from Bogotá, Colombia. The Grey Nuns had arranged for him to have major plastic surgery in Toledo, OH. He was later adopted by a Toledo couple.
After she resigned from her position at St. Vincent’s, Sr. Yvonne served for 18 hours a week as a mission volunteer. She continued to work “until God tells me when it’s time.” That time came in May 2004 when at age 86, she was welcomed to Youville Place to continue the Mission of St. Marguerite with a compassionate heart and a listening ear.