B U L L E T N PIERCE COUNTY MEDICAL SOCIETY | SUMMER 2022 Serving our members and community since 1888 40+ years on the Hilltop Dr. Charles Weatherby Retires www.pcmswa.org
• Collaborate with the PCMS delegation on proposed resolutions and network with colleagues from across the state. • Review the "Official Actions" of the previous House of Delegates and the WSMA ByLaws. • Alert your colleagues that you are a delegate to the WSMA and seek their comments and recommendations on WSMA programs and policies. • Attend in-person meeting October 1-2, 2022. Must be WSMA Active Member to participate. *this activity may be approved for AMA PRA Category 1 Credit. JOIN YOUR PEERS AT THE WSMA HOUSE OF DELEGATES THIS FALL LIMITED $400 SCHOLARSHIPS AVAILABLE GOT DELEGATES? To be part of the PCMS delegation contact Mary Eversole, Executive Director mary@pcmswa.org by August 31.
The Bulletin is a publication of: Pierce County Medical Society 1019 Regents Blvd Ste 202 Fircrest WA 98466 253.572.3667 www.pcmswa.org 4 President's Message 6 Executive Director's Message 9 Practice Success 11 Charles M. Weatherby, MD Retires 12 Anaphylaxis Guidelines 13 8th Annual Residents' Social 15 Tacoma-Pierce County Health Department 17 Physician Vitality 22 In Memoriam Cordell Bahn, MD James Crowley, MD John Huddlestone, MD Thomas J. Martin, MD Jay Winemiller, MD ________________ CONTENT Summer 2022 President Dina Titova, MD President Elect C. Blake Perry, MD Vice President Julian Arroyo, MD Secretary/Treasurer Courtney Kennel, DO Immediate Past President Ann Goetcheus-Gehl, MD PCMS Officers PCMS Directors Neil Batta, MD H. Matt Davis, MD JT (John) Heffernan, MD Nicholas Rajacich, MD Camille Samujh, DO Z. Roger Wang, MD Anthony L-T Chen, MD (Ex-Officio) Executive Director Mary Eversole 3 Membership Coordinator Tanya McClain
PCMS submitted a resolution to the WSMA House of Delegates on non compete agreements for consideration this fall We are optimistic that our peers will join us in removing this barrier from our practices and remove continual interruptions to the physician patient relationship At the board table we discuss many issues and the forward direction of PCMS. One major topic is keeping physicians in Pierce County How do we help accomplish this?
We live in a unique and complicated time
This year we’ve focused on non compete agreements as a policy issue We worked with outside counsel to understand the changes in state law and how it impacts physicians. It was agreed that these agreements can be confusing and frustrating for physicians Collectively, the board (employed and private practice) believes that removing the non competition barrier will support our members to focus on patient care, allow better access to care and ensure continuity of care Further, it will help with career and life planning and assist employers with recruitment Following these extensive board discussions
Physicans
& Policy
The medical environment is undergoing constant change and with those changes comes more burdens on physicians. Workflows dictate that we be more efficient. The restrictions imposed by private insurers require prior authorizations for necessary diagnostic procedures and medically necessary treatments And if we make the decision to practice elsewhere, we are restricted by non compete agreements. These cascading issues cannot be tackled alone It has been said that medical societies have the capacity to help lift burdens for physicians. We are fortunate to have a vibrant medical society in Pierce County, while many have shuttered across the state
4 President's Message
Dina Titova, MD PCMS President
According to the Physicians Foundation, physicians are often left out of policy discussions. Eliminating barriers through policy change is one way to improve the physician experience
23% 518% 8% PCMS MEMBERSHIP BY THE NUMBERS practicing physicians in Pierce County; employed, group practice or private practice physician assistant & residents in Pierce County retired physicians who formerly practiced in Pierce County 5
This is a question I get a lot. The answer is always yes!
Currently, we are in the process of implementing a new membership system. This system will automate multiple membership functions, such as a timely new member acknowledgement
One of our new features that I am most excited about is ‘Circles.’ This is a dedicated space for member to member collaboration, communicating and sharing on line. This will also allow us to help facilitate member initiated connections with other members. Bringing together PCMS members who have the same hobbies, wish to mentor, and for the extremely imaginative who enjoy geocaching, extreme couponing, or consider themselves apiculturists. The connections are limitless.
Leadership within the hospital systems and group practices find value in the medical society and pass that benefit onto to their staff. Simply stated, that fringe benefit provides you valuable membership in the Pierce County Medical Society
“Am I a member? The answer is always yes!”
Mary A. EversolE Executive Director
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AM I A MEMBER?
As organized medicine has changed so has membership At PCMS we welcome all members private practice, groups and employed. Historically, membership models have been based on individuals. With the advent of employed physicians and group practices, that has changed.
Members will receive a notice that confirms their PCMS membership, how to access the member dashboard, and how we support our members
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Attention medical assistants: This proclamation includes the oneyear time limit for Medical Assistant Interim Certification Permits (MAIC). This proclamation applies to MA-Cs, who are required to have passed a certification exam within the five years prior to licensure. This proclamation does not apply to MA-Rs, MA-Ps, or MA-HTs. The Department of Health is encouraging those who hold an interim permit to consider moving forward with scheduling a national examination as Washington transitions back to the one-year limit for MAIC permit holders. According to the DOH, many of these national examinations have wait lists several months long.
Practice Success
Gov. Inslee announces rescindment of emergency proclamations
Proclamation 20-32: This proclamation temporarily waived the requirements in Chapter 246-12 WAC related to continuing
In March 2020, in response to the COVID-19 emergency, Gov. Jay Inslee issued emergency proclamations to help health care professionals and facilities. On July 29, 2022, the governor’s office announced the rescission of 12 proclamations under his COVID-19 emergency authority that are no longer needed to respond to the pandemic. In his announcement, Gov. Inslee noted that the rescission of these orders will become effective in 90 days, on October 27.
Attention physician assistants: If you are a physician’s assistant, you will be required to submit your practice agreement to the Washington Medical Commission if you have not done so already.
Attention osteopathic physicians: The Board of Osteopathic Medicine and Surgery will excuse osteopathic physicians from attesting to completion of CE requirements as a requirement for license renewal until they have completed their next full CE cycle after Oct. 27, 2022.
Due to the passage of House Bill 2378, which passed the Legislature in 2020, these practice agreements do not need to be approved by WMC – just submitted. If you filed a practice agreement (formerly delegation agreement) before July 1, 2021, you do not need to update it to reflect the changes in HB 2378.
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PCMS PRESIDENT CARING FOR THE COMMUNITY PCMS FOUNDATION PRESIDENT 2000 - Present2000 A F T E R 40+YEARS OF DEDICATION CHARLES WEATHERBY, MD RETIRED where he grew up “It’s important to me that I made a difference in someone’s life." Charles Weatherby, MD THANK YOU DR. W!
RCW.28A.210.380
Physicians or APPs should be aware of this longstanding rule when prescribing to students that OSPI requires epinephrine be administered first in lieu of an antihistamine
The Pierce County Medical Society collaborates with school nurses to ensure the health and well being of school students in the county and offers this vital information regarding anaphylaxis to meet this shared goal.
Epinephrine rescue medication Symjepi is an EpiPen alternative, but unlike EpiPen, which comes in an auto injector, Symjepi is a prefilled syringe that must be manually injected. State law prohibits delegating the administration of prefilled syringes to unlicensed school staff, so only school nurses can administer Symjepi. The Office of Superintendent for Public Instruction has indicated that many schools do not have full time nurses and those that do cannot guarantee that a nurse will always be available. As a result, OSPI reported that some schools have not accepted Symjepi and that school nurses would be grateful if it is not prescribed
Anaphylaxis Policy Guidelines describe the requirements for care provided with life threatening anaphylaxis in the school environment. Licensed Health Providers (LHP) are directed to administer epinephrine immediately after exposure. Office of Superintendent for Public Instruction (OSPI) guidelines since 2009 have directed LHPs that epinephrine be given immediately to a student known to have anaphylaxis or has an exposure or suspected exposure to an allergen. In the school setting, it is no longer advised that oral antihistamine be given first or that treatment be delayed until symptoms develop, due to deaths that have occurred in schools related to delay of treatment.
BACKGROUND PHYSICIAN GUIDANCE
PROVIDED TO STUDENTS
Physicians and health care professionals should consider only prescribing epinephrine rescue medications that come in auto injectors to avoid potential barriers to administration. CARE WITH LIFE-THREATENING ANAPHYLAXIS
-References:RCW28A.201.260
Washington Office of Superintendent Public Instruction Guidelines for Medication Administration in Schools pcmswa.org
8/22
GUIDANCE REGARDING REQUIREMENTS FOR
Public and private schools – Administration of medication
Further, due to school staff licensing requirements, Symjepi is discouraged for children who attend school.
GRAND SLAM! 13
On a perfect summer evening residents and their families joined PCMS at the Rainiers. The event was sold out and residents and PCMS members were on the party deck for a festive evening of hometown baseball with endless food and drink. Raffle prizes were awarded to those in attendance. We are always excited for the opportunity to bring our members together and look forward to next year!
8th Annual Residents' Social
8th Annual Residents ' Social
Diabetes complications (uncontrolled diabetes, short and long term complications, and amputations).
In 2017, a Washington state report found the highest PPH rates were in Pierce County The top and second highest rates about double the state average were in the 29th and 27th Legislative districts (Tacoma, Parkland, Spanaway). In these two districts alone, PPHs resulted in $15 million a year of excess healthcare costs. Four of eight Pierce County districts were in the top 10 and seven in the top 20. ImprovingPatientCareandHealth SystemsPerformance: ThePotentiallyPreventable HospitalizationsProjectNeedsYou!
While the public thinks our job as physicians is to cure illness and save lives, we prefer to keep people healthy and prevent illness We also believe it is generally better for people to be cared for in a medical home or outpatient setting although sometimes an emergency room or hospital is needed At Tacoma Pierce County Health Department, we work side by side the healthcare system to protect and improve the public’s health; a key strategy is prevention. You may have heard of Prevention Quality Indicators (PQIs) or "ambulatory care sensitive conditions " A simpler term is “potentially preventable hospitalizations” (PPH): admissions that might have been avoided with access to proper outpatient or ambulatory care. These fall into four composite measures:
Our legislators and medical providers were justifiably concerned. We formed an unprecedented strike team of all healthcare partners and 17 clinics in the six ZIP codes with the highest PPH rates, covering the Hilltop, Central, South, and East Tacoma neighborhoods; Parkland; and Spanaway With state funding, we launched the PPH project in 2018. It has grown to include the accountable community of health (Elevate Health), managed care organizations, pharmacies, and community based organizations; we have also expanded to two ZIP codes in Lakewood. We are focused on three strategies:
Overall composite (all of the above).
Now that we are learning to live with COVID 19 and can focus beyond the crisis, we need your help with an incredible partnership, and we are offering you tools and supports to make your practice less frustrating and your health systems perform better.
Acute conditions (urinary tract infection and bacterial pneumonia) Chronic conditions (hypertension, heart failure, chronic obstructive pulmonary disease (COPD), asthma, plus the diabetes complications)
Increase immunizations for influenza and pneumococcus Pneumonia is one of the PQI acute conditions Influenza and pneumococcal vaccines also help prevent exacerbations or complications of chronic heart disease, COPD, asthma, and diabetes
Anthony Chen, MD 15
Improving care for heart failure. We have an opportunity for early identification, development of clinical guidelines, better coordination between primary and specialty care, and support to help the patient access and participate in their care. If you are passionate about improving community standards of care for heart failure, we need your help!
Identify and address health behaviors and behavioral health issues Unaddressed substance misuse (alcohol, tobacco, and drugs) and mental health issues can directly worsen chronic conditions and make it hard for patients to participate in their care. With proper training and support, providers can Screen, provide Brief Intervention, and Refer to Treatment (SBIRT).
Reduce heart failure
Congestive heart failure is the most common and expensive cause of PPH in Pierce County and is increasing Many cases are only identified in the emergency room or inpatient setting New help to quit smoking Along with MultiCare, we launched a new smoke free campaign this summer In addition to a media campaign we are providing lots of free resources: trainings for medical providers and clinic staff and support groups, self guided quit programs, apps and texting programs, and access to free nicotine gum and patches for patients. Check out tpchd.org/quit and refer patients there.
New partnerships to increase vaccination rates. Our COVID 19 experience has yielded dividends. We have expanded options to take vaccine to people and many people find it more convenient to get vaccinated at pharmacies Independent and chain pharmacies now vaccinate onsite and in school and community settings; they also now enter records into the statewide registry (WAIIS) so you can see what your patients received. Community Health Care has expanded its efforts to immunize everyone for both flu and COVID 19, regardless of insurance status. As you are catching up patients who have fallen behind on immunizations due to pandemic, ask your office to check influenza and pneumococcal rates as well.
The COVID 19 pandemic threw a monkey wrench in everyone’s work, but we are gearing back up and need your help! We also have added tools and supports to make your practice easier:
Thanks to all our partners in the PPH project! If you want to learn more or help out, contact PPH Project Manager Bonnie Corns at bcorns@tpchd.org.
"In 2017, a Washington state report found the highest PPH rates were in Pierce County."
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Improving access, care, and engagement through community health workers Community health workers (CHWs) are trusted members of the community who optimize ambulatory care They help patients navigate the healthcare system (connecting to a medical home, going for referrals, and transitioning from inpatient care), understand their conditions, participate in their management, and overcome barriers to care. We will be placing CHWs in clinics, focused on reducing heart failure. Longer term goals include developing community standards and a system to coordinate CHWs across organizations
Gearing up to better tackle alcohol, drugs, tobacco, and depression We have trained over 300 medical and community service providers in SBIRT, which includes the tools and strategies to implement in their organization and motivational interviewing for brief intervention. We created an online referral resource but know it will need more work. The quit smoking resources mentioned above set the bar for how we want to support other conditions. We are looking for partners to implement SBIRT in clinics in the 98404, 98405, 98408, 98409, 98418, 98439, 98444, and 98498 ZIP codes. If your clinic or you are interested in being a site or you want to be trained in SBIRT, please contact Bonnie Corns at bcorns@tpchd org
What was the best job you ever had? While for you the answer might be “being a physician,” that is not the case for me. Being a summer camp counselor during college continues to be the standard by which I have measured every job since. Last year I hired a leadership coach to help guide me through some professional questions I was having at the time, and she encouraged me to explore this seemingly nostalgic standard, asking “What was it about being a camp counselor that so spoke to your soul?” While there were many aspects I loved about camp and being a counselor, the quality that sets it apart from my other jobs was the sense of being part of something where I felt I belonged – where all of me was welcomed, and where others felt the same. It was truly a “come as you are” and “let’s grow together” time.
Physician Vitalitity 17
Brene Brown
"True belonging doesn't require you to change who you are; it requires to be who you are."
It's Either Belonging or Be Longing
In a 2013 study entitled “To Belong is to Matter,” Nathaniel Lambert and colleagues concluded, “Using a diverse set of methods, we found converging evidence that feeling a sense of belongingness is a powerful predictor and cause of finding life meaningful.” Not only did belonging predict a sense of meaning it actually caused it This identical conclusion was reached by Eric Barker in his 2022 book, Plays Well With Others, where he boldly states, “ … belonging is the meaning of life.” He goes on, “ … the most memorable moments in my life … are always when I was with a group where I felt accepted. Where I felt I belonged.”
True belonging is not the same as inheriting (“I belong to my family”), joining (“I belong to my professional society), being selected (I belong to this medical group) or fitting in, selling out, or pretending (I belong to this social group). As Brené Brown, quoted above, goes on to say, “It's a practice that requires us to be vulnerable, get uncomfortable, and learn how to be present with people without sacrificing who we are.” That includes the less than perfect parts of ourselves Belonging does not require you to change yourself, nor others to change themselves. It is not about adaptation it is about acceptance, starting with yourself. Indeed, what was most impactful for me about those summers working at YMCA camp was the level of acceptance I experienced – the opportunity to both "bring the best of me, and the rest of me." We encouraged each other and we "graced" each other, and in the process, “the rest of me” slowly began to transform, to heal, to soften, to grow. And that is what I have aspired to in every job since then. Certainly, there are other places outside of work to find this as well, but given the amount of “life energy” one spends at work, I believe if we are not able to find a sense of belonging there, we will continually find ourselves in a place of “be longing.”
18 Physician Vitalitity
It therefore shouldn’t surprise me that as I have become more vulnerable and allowed more of me to show up in my present job, I’ve experienced a greater sense of belonging and deeper meaning. If I keep that up it could become my new “best job ever”! And that’s something I’d wish for all of us. So who are those people in your work who engender a sense of belonging for you? How might you show up differently with them? Doing so could change everything for the better starting with you ….
By Mark Greenwald peerrxmed.com
Garage Doors and the Story Behind
NEED MORE INFO READY TO VOLUNTEER CONTACT: VANESSA KITT EXECUTIVE DIRECTOR NEEDS YOU! Seeking Volunteer Primary & Specialty Providers Providers specify how many referrals they accept yearly Providers receive additional malpractice protections under the Good Samaritan Act 253.336.4812 vanessa@pcprojectaccess.org Join 700 of Your Peers DONATED CARE PROGRAM PCPA proudly maintains a 1% patient no show rate!Vascular Surgeon | OtorhinolaryngologyAnesthesiology|PrimaryCarePlasticSurgery|Rheumatology High Demand Practice Areas Needed Today!
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Reprinted
Cordell and his 1950 Allard J2 and a 1927 type 35C Bugatti made many appearances at the Monterey Historic Races and the Pebble Beach Concours d'Elegance in California, as well as the Elkhart Lake Vintage Festival in Wisconsin. He was an active member in several car clubs, such as the Porsche Club and the Allard Owners Club. He was an enthusiastic pilot and fan of aviation history He began flying in 1977 and logged 3100 hours, many of them in a Mooney M20K or a Decathlon acrobatics aircraft He shared his love of the outdoors with his family, taking alpine ski trips to White Pass, Washington and Sun Valley, Idaho and fishing trips in Montana and Alaska He introduced his wife Robbi to fly fishing, which prompted many trips to fishing waters near and far Robbi rapidly surpassed his fishing skills, patience and stamina but he soldiered on gamely, at least in warm tropical waters like those near Bonaire Throughout his life, he greatly enjoyed bonding and bird hunting with canine companions, especially his black lab, Puck Coffee and pancakes placed high in his list of life's pleasures, as did crème brûlée for dessert Cordell was an enthusiastic reader, devouring biographies, U S histories and hard boiled detective novels; one of his recent favorites was Archie Goes Home, the most recent Nero Wolfe mystery Cordell loved a good joke: the dryer the better Gary Larson's comics never ceased to elicit a snort and he typically had a good time coming up with jaw dropping ideas for costume parties.
Donations in Cordell's name may be sent to the University of Rochester School of Medicine and Dentistry from Tacoma
News Tribune 22
Grounded deeply in personal connections and conversations with like minds, Cordell attended most of his high school, college and medical school reunions He relished the annual pasta dinner with the Tacoma Sound to Narrows foot race "Everytimers" group: he ran 47 of the 47 in person 12 kilometer events that have happened to date. He delighted in exchanging adventure stories with fellow pilots in the Quiet Birdmen aviators club and also with fellow vintage car racers in between laps and while tuning his cars
Cordell earned a Bachelor of the Arts with distinction in 1958 and an MD in 1962, both at the University of Rochester in New York. He often mentioned a highlight of this period: a marine physiology fellowship with the Arctic Health Research Center in Anchorage, Alaska, which took him to the Pribilof Islands to work with fur seals He completed his internship in Seattle at Harborview (then King County) Hospital and the University of Washington in 1963 He next served in the Army Medical Corps at the 121st Evacuation Hospital in Korea and Madigan Armyhospital in Tacoma (1964 66) He completed training at general surgery at the University of Oregon hospitals and finally in cardiothoracic surgery in Los Angeles, at LA County USC Medical Center and Good Samaritan Hospitals In 1972, Dr Bahn started the cardiac surgical program at St Joseph Hospital in Tacoma. A year later, he and his partner Kari Vitikainen established the Cardiothoracic Surgeons group in Tacoma He served as president of the North Pacific Surgical Association and was principal author of 11 manuscripts published in refereed surgical journals. He left Tacoma in 1989 to provide cardiac surgical services at St. Charles Hospital in Bend, Oregon, then returned to Tacoma in 1992 and resumed his practice until retiring in 1998
prestigious historic car races and shows.
Cordell cared fiercely about precision from an early age: at age 10, he purchased a Mercury outboard motor. He earned an Expert Marksman qualification in riflery, likely even before starting high school, where his father taught marksmanship This obsession with detail and craft carried into his racing and flying pastimes. However, it is reflected most in his career and achievements as a cardiothoracic surgeon. When patients and colleagues remember him, they speak in terms of how thorough and relentless he was in his care, and how he always made sure to talk with his patients as much as they needed.
Cordell is survived by his wife Roberta Krumm, his daughter Arah Bahn (Steve Morman) of St Paul, Minnesota, his son Michael Bahn (Laura Tietjen) of Yachats, Oregon and his beloved Labrador Retriever, Chip He is preceded in death by Arah and Michael's mother, Betty Bahn, his sister Joanne Corwin and his parents, Jesse and Nell Bahn.
Reprinted from Tacoma News Tribune James Crowley, MD December 28, 1940 - May 12, 2022 23
During the Vietnam War era, he served his country with the United States Air Force in Little Rock, Arkansas, where his son Robert was born After completing his service, Jim began a neurosurgical residency at Philadelphia Episcopal Hospital where he worked under Henry A Shenkin His daughter Ann was born while the family was living in Philadelphia. After a brief stint in Spokane, Washington, the family moved to Tacoma, where his son Paul was born. Crowley practiced with Tacoma Neurological and Neurosurgical Associates from 1974 through 1994, working as a consultant until his retirement He is survived by his sister, Rosanne Sallee, his brother, Lee Crowley, his children Robert Crowley (Tracy), Ann Shirey (Keith) and Paul Crowley (Becky) and his grandchildren Ashleigh Shirey, Brian Shirey, Mitchell Crowley, Duncan Crowley, Nuala Crowley, Meara Crowley and Nessa Crowley
James Noel Crowley (81) of Edgewood, Washington passed away on May 12, 2022 "Jim" to his friends, "Jimmy" to his siblings and "Dr. Crowley" to anyone under the age of 50, he was a native of Long Beach, Washington, where he he grew up working on his family's farm He was the valedictorian of Ilwaco High School's Class of 1959 Thereafter, he attended the University of Washington, completing his degree in three years instead of four. He had hoped to obtain early admission to the University of Washington School of Medicine Told that he should wait another year, he applied for medical school at the University of British Columbia where he met his wife, Nicole Elaine Homer
In lieu of flowers, the family asks that you consider donations to the Carol Milgard Breast Center in Tacoma, Washington.
John cared deeply for the community that he served He applied his dedication and passion for excellence to everything he did in life He was an avid tennis player, a loving husband, father and grandfather; a great friend; a mentor; and a mathematician. He started the family tradition of making his grandmother's ravioli at the holidays, which was shared with friends throughout the year Oh, and what a comedian (he wanted a simple obituary "Huddlestone dead, Porsche for sale!") He was a man who prioritized those he cared for and lived his life to its fullest His legacy will be felt for years to come by all those who knew him. At John’s request, no service will be held. In celebration of his life, please consider a donation to either the MultiCare MS Research Fund or MultiCare Cancer Care Fund from legacy com
John R. Huddlestone, MD
John is survived by his loving wife, Dr Sandra Reilley, daughters Sarah Saffer (Chris) and Laura Huddlestone (Margaret), granddaughter Elizabeth Saffer, brother Paul Dugliss (Sandra), father Malcolm Dugliss, sister in law Gwen Dugliss, and nephew Phillip Dugliss. He was preceded in death by his mother Marjorie Dugliss and brother William Dugliss.
Reprinted
John passed peacefully at his home on July 26th, 2022, at the age of 77 after a long battle with pancreatic cancer, and to his last moments brought dedication and humor to life He spent his last moments giving advice, telling jokes, and singing his granddaughter their song John was born in Detroit, Michigan on August 16, 1944. He graduated from Kalamazoo College in 1966, went on to the University of Michigan Medical School, then completed his Neurology residency at the University of Colorado, Denver in 1975 He began his career serving as a neurologist and Lieutenant Commander at the US Navy Hospital in San Diego. He then spent four years in multiple sclerosis research at the world renowned Scripps Research Center in La Jolla, California In 1981, he chose to move to Tacoma, Washington and spent the next 40 years as a dedicated physician, neurologist, and MS researcher, leaving behind a legacy of community research and practice, and significant scientific contributions to MS medications and treatments.
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August 16, 1944 - July 26, 2022
Thomas J. Martin,
MD April 25, 1951 - March 12, 2022 25
Reprinted from the Tacoma News Tribune
Thomas Jacob Martin passed away at 70 after a 9 month battle with cancer He was born in Bronx, NY, to Jacob Friedman of the Bronx and Dorothea Sandri of Vienna Austria. He grew up in the Bronx and spent his summers on his mothers dairy farm in upstate NY He graduated from Bronx High School of Science in 1969 and went on to receive a B.S. from Case Western Reserve University in Cleveland before attending its Medical School. He completed his internship and residency at Montefiore Medical Center/Albert Einstein College of Medicine and Harlem Hospital in NYC, followed by a Nephrology Fellowship at New York Presbyterian Hospital In 1982 he married the love of his life Deborah Reilly In 1985 he joined his first practice in Easton, PA. In 1991 he moved to Tacoma, WA where he joined a medical practice which became his own, Evergreen Nephrology Associates until his retirement. Thomas was passionate about and dedicated to being a physician. He loved his work and was devoted to building meaningful connections with his patients while giving the best possible care He was highly respected by his peers and valued his colleagues He moved to Vashon Island in 1997 where he found his way back to the land with his vegetable, fruit, and flower garden He was an avid reader, loved music, theater and travel Thomas took great joy being involved in his daughters lives and loved to impart his wisdom, even when it wasn't sought and loved to get a laugh with his cynical NY humor. He was at heart a kind man, a loyal friend and unafraid of opposition
He is survived by his wife Deborah Reilly, his amazing daughters Amelia Martin (Scott Smith) of Savannah GA, and Hannah Martin of Oakland CA, his sister Roberta Engorn, nieces Corrine Epton, Erica Granlund and nephews David and Andrew Stryker. He is predeceased by his parents and sister Margaret Stryker
Tacoma
Jay H. Winemiller, MD
Reprinted
April 6, 1938 - March 24, 2022 26
A self described "caretaker," Jay spent a lifetime taking care of patients, family and friends He will be greatly missed In lieu of flowers, donations may be made to Village Community Services of Arlington, WA, an organization devoted to improving the lives of individuals with disabilities. from News
Pursuing his passion for golf, Jay joined the Tacoma Country & Golf Club in 1974 and remained a member for 44 years The friendships he made there were a source of joy and comfort to him for the rest of his life. Jay was preceded in death by Joy Jensen, whom he loved greatly, and his sister Joanne Meyers He is survived by his former wife Janice Winemiller; his four children, Jason (Tammy), Jeffrey, Jill (Chris), and Jonathan; and his nine grandchildren, Chase, Spencer, Ryan, Christina, Nicholas, Jonny, Natalie, Dillon, and Juliet.
Tribune
A loving father and a friend to many, Jay Howard Winemiller passed away on March 24, 2022, at the age of 83. He was born in Seattle, Washington on April 6,1938 to Howard and Beryl Winemiller and spent his early years in the Ballard neighborhood Jay's youth was spent in Wenatchee, Washington, where he picked apples during the summers and began his lifelong love affair with the game of golf. After graduating from Wenatchee High School in 1956, Jay attended the University of Washington and was a member of the Delta Kappa Epsilon fraternity During his years at UW he met his wife to be, Janice Kelley Jay loved learning and reading, ultimately following his interest in science and his passion to care for others into the field of medicine. He graduated Alpha Omega Alpha from the University of Washington School of Medicine in 1965, then spent a year as an intern at the University of Rochester (NY) Hospital, two years with the National Institutes of Health in Washington, DC, and completed his training with a four year residency at OHSU in Portland, OR After completing 13 years of secondary education and training in 1972, Jay (somewhat reluctantly) then embarked on a year long "Grand Tour" through the campgrounds of Europe in a VW bus and a trailer with Janice and their four young children After a year of Greek ruins, Moroccan bazaars, Austrian skiing and Spanish bullrings, Jay agreed it was the trip of a lifetime Returning to the USA, Jay and family settled in Lakewood, WA, where he established his medical practice He practiced urology for 34 years, caring for patients in his office and hospitals throughout the Tacoma area
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