Senior Care With a Personal Touch

Editor’s Note: This column first ran in INSPIRED HEALTH Magazine Volume 4 — published by http://www.simplyclearmarketing.com.

Inspired Heath — Dr. Steven Sainsbury

Dr. Steven Sainsbury hates meetings – except those face-to-face with his patients in San Luis Obispo County or some-wherever he is needed in the rest of the world.

Back in November, 2008 he transitioned from hospital emergency care to develop a unique mobile primary care practice — visiting his patients in their homes creating a true house-call practice.


Dr. Sainsbury served patients for 20 years chiefly as an emergency physician at Sierra Vista Hospital. He discovered he liked the night shift best.

“I could be off duty sleeping when staff meetings were held,” he joked.

The U.S. Census as of July 1, 2016 lists the SLO County’s 65 and over population at 18.9%. As Dr. Sainsbury contemplated retirement, he realized he had developed the skills to prepare him to advocate, diagnose and treat San Luis Obispo’s growing senior population. He realized there was a hole in patient care in the county and decided to consult with two north county practitioners, including his fellow medical director at Central Coast Hospice, Templeton’s Dr. Jeffrey Bourne. www.centralcoasthospice.com.

“They liked their practices so I decided to try it,” he said. “I needed a saner lifestyle and serving seniors offered the best of what I liked about patient care – diagnosis and immediate treatment.”

Hospital emergency care had also established contacts with every doctor in the community so his fledgling practice grew quickly with immediate referrals.

The new practice offered two major surprises. “Paperwork,” he said. “I always had staff to take care of filing Medicare and insurance. I needed to carve out time to do it myself.”  He spends a minimum of three hours per day on paperwork.

“I also didn’t anticipate the number of phone calls. Now I’m working directly with the patients, families of patients and medical facilities where most of my patients reside.”

Dr. Sainsbury visits 25 private homes monthly and has 300 patients in a variety of homecare facilities. Typically, 250 are private Medicare patients with others under Hospice care. However, after eight years, he is finally in a place where he’s adjusted his schedule so he can sleep at night. He doesn’t take calls after 9pm. And he doesn’t take on more than the load he is currently carrying.

Why is such a practice valuable within a community? “It’s hard for many patients to leave their homes even to go to a doctor’s office and they are always more comfortable in their home environment,” Dr. Sainsbury explained. “At home I can also check their meds and eliminate what they shouldn’t be taking.” He mentioned many seniors are taking Lipitor or Statins. “Frankly, after 90 they don’t need them. The side effects could be making them uncomfortable.”

His biggest challenge is dealing with patients’ families. “The family wants the best or the most care needed for their loved one, but in-reality will a mammogram help an elderly patient in all cases? Should I diagnose chemo when I know the outcome would be the same anyway? When I know a treatment won’t improve quality of life should I recommend it anyway?”

Dr. Sainsbury’s stated his ethic. “I’m the advocate for the patient. All I care about is what the patient wants and his/her quality of life.”

He adamantly advises families need a clear DNR (Do Not Resuscitate) policy earlier than later in life and one that everyone must agree to abide by. All must do what the patient originally wanted. The DNR will not complicate decisions when emotional stress takes hold.

Family – his and others – have always been very important to Dr. Sainsbury. His personal life has been full raising children, volunteering as team football physician for Cal Poly and traveling annually on medical missionary trips to faraway places such as the Congo, Jordan, Guatemala and the Amazon with several different groups — Flying Doctors, Doctors on Call and more.

“It takes a certain personality to provide a house-call practice,” he said. “It is easier or at least much different when patients come to an office or to the ER. “There is plenty of work for others to come into the field, but I believe there are only a few doctors that are willing to do what I do.”

Editor’s Note: Dr. Sainsbury is loved by patients, families of patients, and administrators at the facilities he serves. I know this first hand. He cared for our Aunt Stella for the three years she lived and thrived at Garden House in Morro Bay after breaking a hip at her assisted living home in Michigan where the employee ratio was not sufficient to care for her so we were able to bring her to California and to Garden House.

Kasey Watson, Administrator/Owner of Garden House of Morro Bay, which is the first SLO County nonprofit secured home for patients of all dementias, works regularly with Dr. Sainsbury, which is how our family first met him. He regularly serves most of the residents at Garden House. There are fifteen residents living onsite at any given time. Garden House has a waiting list and encourages families to plan ahead, tour the home and if it will fit future needs, register on the waiting list.

Kasey Watson: “Dr. Sainsbury takes the time to listen to his patients needs and concerns, as well as their family members. He is available by phone and willing to meet with families when they have questions.   He collaborates with our care team by seeing our residents monthly which maximizes the quality of their lives by keeping him educated as to a resident’s current well-being. Our Residents needs can change dramatically in a short amount of time. When we need to inform or consult with him because of a change in a residents’ status he always responds quickly, either by phone, email, fax or text, whichever is most appropriate. Because he does this so quickly, it elevates our response times and ensures that best possible comfort and outcomes for the Resident.” Kasey Watson, Administrator, Garden House of Morro Bay

For more information: www.drsainsbury.com (805) 546-7650

To Contact Garden House of Morro Bay contact www.gardenhousemorrobay.org. Ask for Jody Salamacha-Hollier or Kasey. Another note: After moving to Morro Bay and experiencing Garden House while Aunt Stella was there years ago, she discovered what a positive work-environment it could be for her and is now Assistant-Administrator after two years on the job.  Jody and Kasey are always on the look-out for caregivers to help fulfill their mission providing the highest quality of life and health and companionship for their residents. If you care and are looking for a loving place to work, give Jody or Kasey a call.

 

 

 

North County Adaptive Sports & Recreation Program

The North County Adaptive Sports & Recreation Program is an amazing program for a group of Central Coast citizens that needed to find each other to work and play together. Families network together and things happen within their communities. This story ran the summer of 2018, but was a long time coming to print, but well worth the wait since it merged groups together to play together. Enjoy and maybe you’ll want to get involved.

Image 2-5-19 at 2.24 PM

Photo by Tom Grant

Symbiotic Networking is defined as business and community representatives of like-purpose and interests coming together for mutual benefits. You won’t find it defined in the dictionary or listed as one of the top business practices in INC. Magazine, but it produces results – instantly or after years of nurturing relationships. And when it all clicks magic happens for all concerned.

For example, San Luis Sports Therapy, Morro Bay Councilman Matt Makowetski, North County Adaptive Sports and Recreation Program, Cal Poly University, the cities of Morro Bay and Atascadero and Project Surf Camp – just to name a few of the beneficiaries — realized Symbiotic Networking’s results when linking their business models to nonprofit community projects.

The magic happens again Friday, June 29, from 11am to 5pm at 890 Shasta in Morro Bay when the public is invited to the 6th Annual Benefit Barbecue for Project Surf Camp hosted by Clinic Director Michael Williams, owner of San Luis Sports Therapy (www.slsportstherapy.com).

“We move out the therapy equipment to become a cafeteria,” Williams said. “It’s a pre-holiday free lunch. I provide the Tri-tip and friends help barbecue and bring side-dishes. Local businesses donate gifts and we draw tickets all afternoon. Last year we gave $5,600 to Project Surf Camp. We’re hoping to give over $6,000 this year.”

Williams’ converted an annual appreciation potluck to a community event ultimately benefitting three nonprofits — Project Surf Camp, United Blood Services and the North County Adaptive Sports and Recreation Program.

“When I opened the business in 2002, I decided to thank everyone with a BBQ before the 4th of July holiday. We also offered a blood drive with United Blood Services. It grew every year until we were at around 200 guests.”

At the same time, Williams and Makowetski coached their children in youth recreation programs. A teacher during the school year, Makowetski spent his summers helping John Taylor, founder of Project Surf Camp, provide ocean experiences for special needs adults and children. When Makowetski explained the concept of Project Surf Camp to Williams, he realized, “It was right up my alley. More than 200 good-hearted people already enjoy our barbecue. Why not make it a community event?”

Williams admired that John Taylor enjoyed surfing with a prosthesis and created Project Surf Camp www.projectsurfcamp.org so everyone on the Central Coast might experience ocean recreation – especially those with varying disabilities.

The day camps are half-days at Morro Rock Beach near the Morro Creek outlet. Four paid specialists and many community groups and individuals volunteer to provide the instruction and safety support for the campers as they test out the waves.

Ron Vasconcellos is a longtime participant of San Luis Sports Therapy’s wellness program. He suggested to Williams the NCASARP (www.ncasarp.org) participants, fondly called the Bulldogs, were a perfect group to benefit from a surf camp session. Ron and his wife Ruth started NCASARP in 2010 with several parents, Cal Poly coaches, and professors, students and community volunteers to develop a year-round, county-wide sports and recreation program for kids and adults who live with developmental disabilities.

“We were looking for more activities — sports and social activities — for our son, Chris,” said Vasconcellos. The program launched when Atascadero Parks & Recreation offered their gym one-day weekly all year long. Bulldogs’ families and board members operate the activities for the nonprofit. “It takes a village – so many partners have helped develop it into a county-wide program.  Kevin Taylor, Cal Poly Kinesiology Department (www.calpoly.edu), Coach Faith Mimnaugh and Cal Poly students have made a big difference.”

The Bulldogs recently received the Paul Wolff Accessibility Advocacy Award during a Community Foundation Awards Night recognizing Cal Poly’s participation. At least 18-20 students participate weekly offering everything from strengthening skills to high-fives and friendship. “Many students have changed their career paths after their involvement in our program,” said Vasconcellos. “Our Bulldogs respond to those closer to their age.”

Regularly 35 participants from 13-70 years old show up to play basketball, volleyball, broomball, kickball or line dancing in Atascadero. Each Monday Kennedy Fitness in San Luis offers their pool for aquatics. Social activities like bowling, pizza parties, Blues Baseball, and Cal Poly sporting events become social get-togethers for Bulldogs and families. Discounted Ride-On transportation is available.

Thus, Project Surf Camp was a natural expansion activity for the Bulldogs and Vasconcellos had volunteers to help to support a day at camp.

Williams liked the idea. Not only could his business and patrons support Project Surf Camp financially, but his staff would benefit with on-the-job-training sea-side working with special needs campers. “Saturdays are the only days we can take off from our regular patrons,” said Williams. “This year our day with the Bulldogs is July 21.

Indeed, Symbiotic Networking makes things happen. June 29 meet the team at Michael Williams’ barbecue. Many will go home with a Coast Electronics-donated television, or a surfboard, or restaurant gift certificates or…..good vibrations for networking to help Project Surf Camp in 2018.

And now it is 2019…all the programs are ongoing through the year and then summertime Project Surf Camp will kick in again. Will your group be involved?

 

 

 

 

 

 

Looking Back: Flooding in Morro Bay & Gary & David Owens Come to the Rescue

Late 2018 the Central Coast saw lots of good rain and thankfully no or little damage. 2019 is stacking up to be a wet year and we’re facing another big storm coming in this afternoon or tonight which is February 1. Midwest-style thunder and lightening happened a couple days ago, but then gentle rains. The winds and high — King Surf, Blood Moon have all been exciting.

I thought it would be interesting to post the following column that appeared in Tolosa Press, the former name of Simply Clear Marketing and Media. It was my “Then & Now” Column for 1/14/16 and appeared in The Bay News, Coast News, and SLO City News. It was reflective of years ago when Morro Bay actually experience flooding and the Gary and David Owens Family, owners of Village Cleaners in Morro Bay came to the rescue…what we do in small communities!

Enjoy the column:

Cheers! As of January 4, 2016, PG&E Meteorologist John Lindsey announced on his FACEBOOK page, “El Niño has arrived. A series of storms will march across the Pacific toward California this month, if not longer.”

And as promised, January 5 saw rain dousing the plains – and rooftops, freeways, wine grapes and avocado trees, lettuce and strawberry fields with more expected the entire week.

Let’s hope it continues at a steady start-and-stop pace rather than what happened March 10, 1995 when father and son, Gary and David Owens, were called into duty rescuing folks from their cars, waterlogged under the Hwy. 1 — Main Street underpass. The corridor was flooded all the way to the intersection at Hwy. 46. Main and Radcliffe Streets which were underwater by over 4-feet deep.

“I don’t expect this to happen again,” said David. “Both of the trailer parks were flooded from all night rain. A shed got loose and lodged under the highway so the water backed up. I’m sure we’re better prepared to handle El Nino today.”

Gary Owens further explained, “There was a major fire a few months earlier off Hwy. 46 — almost to Hwy, 101 and SLO — so the ground behind the trailer parks couldn’t absorb the water. We got 9.5 inches in less than 24 hours.”

David and his mother, Marlene, were co-owners and operators of Village Center Dry Cleaners at 750 Napa in Morro Bay. David took a call for one of his employees, Carol Harpster. The fire department was looking for her husband, Fred, because they knew he had a boat.

“I volunteered I had a Zodiac we used for diving,” said David. He was immediately enlisted to help. The inflatable was at his dad’s home a couple blocks away from the cleaners. “I said to Dad – Do you want to go rescue people?”

David said there were three to four cars stalled near Radcliffe with “water up to the roof.”

Gary said he noticed the “bottom of the water was to the top of the street sign. Estero Glass (fronting Main Street) had cars parked with water running over them.”

When they launched the inflatable, David stepped onto the street at the Radcliffe intersection and it was almost over his head. “It was deep enough to run a 6-hp motor,” he said. “The first guy had dropped his keys and wanted Dad to dive for them. He found his keys. Then there were two guys standing on the top of their Volkswagen grateful to be rescued.”

Next the Owens motored over to Preston Lane where there were people trapped in an apartment complex.

“We rescued two ladies, a guy and their cats. One lady was most grateful for us rescuing her luggage. The firemen couldn’t take it,” said David. “I had to leave Dad there because I didn’t have room. It was a bumpy ride going against a swift current getting the ladies out. I later found out one of the ladies was Norm and Nancy Blackburn’s mom and she had a heart condition, but she made it even though one of the cat carriers was sloshing out of control. At the exit an ambulance was waiting to check them out.”

The Owens team even had to rescue a CDF team. “Their ‘turn-out’ suits filled with water as they were trying to dislodge the shed,” said David. “There was so much current around Preston Lane, I got banged up shins and we both ended up with poison oak getting in and out of the water.”

The entire Owens Family have been business owners in Morro Bay and active community members. Gary and David are both past presidents of Morro Bay Rotary. Marlene has since retired and spends time making finely crafted walking sticks after recuperating from a car accident and making sure she would not only walk, but hike again. She sold her half of the business to David in 2000. Her father, Pete Stock, started it in 1969 after bringing the family to Morro Bay from Nebraska. She was on the founding board of directors for Camp Hapitok, which closed as of 2015. Marlene is also very active as a member and in leadership positions for Quota Club of Morro Bay. They have been involved since it began in the early 1970s.

(Note: Author update information) Today in his spare time Gary enjoys woodworking and is proud of his grandchildren.

David wonders how many of his softball tournaments and games might be rained out this season. Besides managing the cleaners he officiates for the American Softball Association (ASA), recreation department basketball, and high school volleyball. Last year he officiated over 170 games. (Note: David has added Cal Poly events to his officiating schedule since this column was published.)

David also served as president of the board and then director of the Morro Bay Harbor Festival for five years. Wife Dawn was volunteer coordinator for the Harbor Festival and the two of them have four children; Dak, 22, Dari, 20, Dexton, 16, and Devan, 11.

We will hear more from the Owens family. Their children were active at Camp Hapitok and Dari has taken top academic honors at college and Dak is fitting nicely into the family-owned business.

Thank you, Owens Family, for all you do for the Central Coast and Morro Bay.