Malcolm Macdonald
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River Views  - -  Published in the Anderson Valley Advertiser  July 13, 2016

7/19/2016

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                                                                                   Link to Anderson Valley Advertiser:  www.theava.com

Drive to Yreka and hang a left. That's the flippant answer about how one finds the Marble Mountains, but it's more or less all you need to know for general driving directions.

This may be hard to take for some liberal Mendocino County residents, but if Herbert Hoover hadn't been enamored with the streams and land around Wooley Creek in the 1920s, the Marble Mountain Wilderness would not have been designated a “Primitive Area” in April, 1931 let alone advanced to a federally protected “Wilderness” in the last days of 1953.
Even with backpacking growing almost exponentially in popularity in the last half century, the Marble Mountains remain much closer to a true wilderness than other federal lands in California. Though a section of the Pacific Crest Trail runs through it, the Marble Mountains see about one-tenth the number of visitors as the John Muir Trail between Yosemite Valley and Mt. Whitney.
Pulling open my Marble Mountain maps I can almost smell specific campfires and wilderness meals consumed alongside long time backpacking friends. Not all Marble Mt. maps depict the more colorfully named lakes of a region jigsawed into the Scott, Salmon, and Klamath River watersheds. My favorite moniker is Man Eaten Lake, which rests steeply below the convergence of the Kidder Creek Trail and the Pacific Crest Trail. Beyond Man Eaten one can travel cross country on less and less visible pathways to Milne, Osprey, and Wooley Lakes.
The next major trailhead north of Kidder Creek takes backpackers to the Shackleford Creek Trail. Last year, about this time, I wrote about traveling that trail to Calf Lake. “There is a further goal than Calf Lake in this part of the Marbles. That is the ultimately secluded “A, B, C, D” Lakes. The letters stand respectively for Aspen, Buckthorn, Chinquapin, and Dogwood. To reach them from Calf Lake requires another hour or hour-and-a-half scramble and crawl over red rock boulders (difficult with a daypack, extremely strenuous with a full backpack). Trout big enough to make a meal can be fished from all of these lakes. An osprey often demonstrates its hunting process on Dogwood and Chinquapin.
In this writer's eyes Dogwood is the most appealing of these four mountain marvels. However, it was at Dogwood that I also walked past a disturbed rock walled fire pit with an inflatable raft left on top of it (the air let out of the raft, of course). The specific manner in which the fire pit and surrounding camping spot was mussed up looked much like the handiwork of a backpacker named Greg Woods, who frequented the most out-of-the-way places in the Marbles in the 1990s and early 2000s.”
The diagnosis of a Greg Woods campsite actually came from a fellow backpacker with whom I've trekked for decades and who had been in the Marbles with Greg Woods more than once. Readers may ascertain why I kept anyone else out of the story while we go on with last year's narrative: “Gregory Joseph Woods loved the outdoors so much that he would spend weeks at a time in the Marble Mts. He disdained the use of cairns or "ducks" to mark seldom used cross country trails, knocking the "ducks" (piles of rocks) over on his way out of a hidden lake or gulch stream. Greg didn't dislike all people, he just didn't want anyone finding nature's secret treasures after he'd located them.
“Greg had one major problem: When he wasn't in the mountains he liked to gamble. He liked to gamble, but he didn't win often enough. He took to forging his roommate's identity to help pay off debts. He pulled something similar on a one-time woman friend. Greg held a decent paying middle class job, but it wasn't enough. The gambling debts grew and Greg became more and more desperate.
“One late September night in 2005 Greg Woods robbed a gas station/mini mart in Yreka at gunpoint. Law enforcement arrived at the scene quickly enough to spot Greg's pickup truck leaving the scene. A three-and-a-half-mile pursuit ensued through residential neighborhoods. Greg's pickup reached speeds of over 65 miles per hour, failing to stop at stop signs. He turned his headlights off and on during the chase in hopes of confusing law enforcement. During the pursuit one officer got into an accident with a third car, causing damage to the patrol car and injuring the occupants in the other automobile. The chase ended when Greg crashed his truck into yet another vehicle.
“A search of the truck revealed a blue and gray backpack with duct tape on it. In the backpack, officers discovered a headlamp, pepper spray, $215 in cash and 40 cans of chewing tobacco. The latter two collective items had been the sum total of the haul from the gas station. All of this would be fairly typical for any such arrest. Greg Woods was subsequently convicted. He also lost an attempted appeal plea in 2010. Whether or not he is still in prison I could not ascertain through a cursory computer search after my return from the Marble Mountains, but the deliberately covered over and messed up campsite above Dogwood Lake certainly appeared very similar to the handiwork of one of the 1990s most frequent visitors to the remotest realms of the Marble Mountains.”
I didn't give the piece any more thought until February 9th of this year when my personal email inbox contained a message from somebody calling themselves “Rambo Woods” with an email address of marblemountainsherpa@gmail.com. Rambo's message said,”Listen Malcolm or whatever your name is. Need to watch who your [sic] writing about. A lot of nonsense in your article. I would never hike a raft in to the ABCD lakes basin. You don't know me, but you better watch your back.”
At the time the original piece appeared in the AVA there were no comments in the online version of our favorite newspaper. That remained the case until March 21st of this year when someone called Ruben Ramirez wrote in, “Oh boy, your article that talks about Greg Woods and the Marble Mountain Wilderness is a huge failure. Greg is the ultimate outdoorsman, but I have a feeling when he reads this, well I wouldn’t want to be you. Good luck I guess because your going to need it.”
Readers might speculate on the similar tone of “Rambo Woods” and Ruben Ramirez's comments. An internet search for “Rambo Woods” turned up Facebook sites for a Rambo (Jamrock) Woods at the Wichita Area Technical College in Kansas, a Rambo Woods that appears to be the home page of a snake, and a Rambo Woods at the California Department of Corrections Health Care Facility in Stockton. Clicking on that site brings up several photos presumably from inside the institution and “Rambo Woods'” profile: “Shot Caller at CHCF Stockton; BA in History/Government at California State University Chico; Went to School of Hard Knocks; From Marble Mountain, California.”
Reckon that nails down another AVA reader from inside the California Dept. of Corrections. A little over a decade ago Greg Woods was a creative, functioning part of mainstream society in Northern California. This small part of his tale should be cautionary for the rest of us, particularly those with any addictive personality traits. So Greg, or “Rambo,” apologies go out to you for any member of our backpacking crew presuming that you might tote an inflatable raft into Dogwood Lake.
Later in March, 2016, this comment, authored by Curt Johnston, was submitted as an attachment to the original Marble Mts. article: “Greg Woods was in my high school class of 83 at Etna high school. I have many times thought about his case. I wonder also if he is out yet. I believe what happened was a result of desperation and not a pattern of crime. He has a good heart and is a friendly person.”
For those interested in more details about Greg Woods' trial and appeal a reader named Cindy sent this link just after Independence Day: http://www.leagle.com/decision/In%20CACO%2020100506034/PEOPLE%20v.%20WOODS.
Cindy also stated, “Sadly, Greg’s gambling addiction is only one of his problems. He’s taken advantage of friends and strangers alike.”
More tales of saints, sinners and addicts can be found at: malcolmmacdonaldoutlawford.com.

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River Views  - -  Published in the Anderson Valley Advertiser  July 6, 2016

7/14/2016

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                                                                                 Link to Anderson Valley Advertiser:  www.theava.com

Wade Sturgeon, the Chief Financial Officer at Mendocino Coast District Hospital (MCDH) has allegedly insulted and demeaned a hospital employee to such a degree that the employee quit on June 7th. The employee was a department manager at MCDH with more than a dozen years on the job.

This might be considered an internal personnel matter if the descriptions of Mr. Sturgeon's intimidating and harassing behavior did not sound eerily similar to what happened at his most recent place of employment. That would be Bear Valley Community Healthcare District. Mr. Sturgeon apparently resigned from a chief financial officer (CFO) position there just last July (2015).

A search of a Big Bear Grizzly newspaper story from late July, leads to reporting on the Bear Valley Community Healthcare District's Board of Director's meeting of July 24, 2015. At that gathering the hospital district's board president read the following statement: “It has been determined that the CFO [Sturgeon] has violated a significant district policy and the board has authorized administration and counsel to take appropriate disciplinary action.”
The Big Bear Grizzly article goes on to explain, “In April district employees claimed workplace harassment by Sturgeon and human resources director Kathy Norris, who is currently on leave. A letter read by union steward Diane Lopez at the April 23 board meeting claimed Norris and Sturgeon were intimidating staff and creating a hostile environment. The letter stated that [the hospital's CEO] Randy Simmons supported the behavior, leaving staff members nowhere to turn for relief.”
Go back a couple months from there to an April 23, 2015 Bear Valley Community Healthcare District (BVCHD) board meeting attended by thirty or more hospital staffers. During the public comment section Diane Lopez read a letter of concern she claimed was authored on behalf of all the hospital's employees who were willing to risk their jobs despite fear of retaliation. In part the letter stated, “Staff is fearful and go home daily wondering if they will have a job to come back to.” Speaking specifically about CFO Sturgeon and the human resources director, the letter said they “continue to cause undue stress, by intimidating staff and creating a hostile environment.” The letter asked for a complete investigation, since the hospital's CEO had done nothing.
Follow Sturgeon's career back a bit further and one finds him at Klickitat Valley Health (KVH) in Goldendale, Washington, leaving his post as CFO in 2008 after three and a half years on the job. At the time the hospital's CEO commended Sturgeon's financial abilities, “Bottom line, Wade Sturgeon did a fine job at this hospital,” but added, “issues that were present had to do with personal relations.”
Summing up, the KVH CEO said about Sturgeon, “He didn't have the greatest of people skills. He had a way of upsetting people. In the long run it wore on people, and it wore on Wade.”
Sturgeon was hired as MCDH's CFO in September, 2015, less than two months after resigning at Bear Valley Community Healthcare District. Though the new Chief Financial Officer had only been on the job at MCDH for less than nine months, the department manager who resigned on June 7th stated that he was inundated with one demanding email after another until he couldn't take it any more. In a personal encounter, earlier this year, the MCDH department manager reported that he was on the phone doing hospital business when Mr. Sturgeon entered his office. The business call apparently went on too long for Mr. Sturgeon's liking when, without any verbal warning, the CFO yanked the phone away from the department manager and slammed it down.
This sort of abusive behavior is indicative of an underlying contentious issue at MCDH. The problem is greater than just Sturgeon, involving the CEO, Bob Edwards, and administration in general. Several sources within MCDH have recounted stories best summed up as relating to negative morale within the rank and file of employees. The specifics of each story cannot be recounted at this time because employees fear retribution from administration. If that sounds familiar, scroll up a few paragraphs to the 2015 details about Bear Valley Community Healthcare District.
According to one source familiar with the situation, the circumstances surrounding Sturgeon's departure from Bear Valley Community Healthcare District were not brought up during an appearance before some of the members of MCDH's Finance Committee last September. Another source close to the Board of Directors stated that Sturgeon's hire as CFO was essentially a choice made by the CEO, Bob Edwards. The same source stated that MCDH's Board of Directors was given a relatively brief overview (approx. fifteen minutes) of Sturgeon's qualifications by Edwards before approving him for the CFO position. Three different MCDH Board members, from the time of Sturgeon's hiring, were contacted in preparation for this article. None of them indicated a knowledge of Sturgeon's Bear Valley situation at the time of his hiring at MCDH.
Who did know Sturgeon? If you put the names Wade Sturgeon and Bob Edwards into your computer's search engine the first things that pop up are notices about 2012 and 2013 receptions for something called the CHPAC Presidents' Club (California Hospital Association Political Action Committee). Bob Edwards was then CEO of Banner Lassen Medical Center in Susanville and Sturgeon was CEO of Biggs-Gridley Memorial Hospital in Gridley. The 2013 CHPAC reception invitation lists Edwards and Sturgeon at the top of the host hospitals. Obviously, they knew each other. Who knows how much Edwards knew about Sturgeon's history at Bear Valley Community Healthcare District or Klickitat Valley Health. However, if one goes to the “Linked In” page for Bob Edwards, you'll find Wade Sturgeon listed as an endorser of MCDH's CEO along with others, including Ray Hino, the MCDH CEO immediately prior to the institution filing for bankruptcy protection. In short these CEOs and CFOs keep track of each other enough to provide mutual endorsements.
Attempts to contact Sturgeon and Edwards for reaction to this story before press time failed, in large part due to both taking long holiday weekends.



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River Views  - -  Published in the Anderson Valley Advertiser  June 29, 2016

7/6/2016

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                                                                              Link to Anderson Valley Advertiser:  www.theava.com

On June 21st the Board of Directors at Mendocino Coast District Hospital (MCDH) approved a 2016-2017 budget with a deficit of slightly more than $900,000. The Board vote was 3-0 for approval, with Kate Rohr absent and Dr. Peter Glusker abstaining. Glusker explained that he could not in good conscience vote to approve a budget with nearly a million dollar deficit built in.

As for Dr. Rohr, she submitted a letter of resignation from the MCDH Board effective last Friday, June 24th. Rohr will retire full time to her home in Maine.
That $900,000 projected budget deficit includes the Obstetrics Department (OB). At the May meeting of MCDH's Planning Committee the Chief of Patient Care Services, Terry Murphy, recited figures that painted OB as a million dollar, or more, loser per year. At that same meeting Chief Executive Officer Bob Edwards was asked if he was in favor of shutting down the OB department. The CEO responded in the affirmative.
No vote was taken at the May Planning Committee meeting regarding a recommendation to the full board of MCDH, primarily because Dr. Glusker asked that more input be given along with more detailed financial data concerning such a closure. At the June 22nd Planning Committee meeting and the special MCDH Board meeting that followed, Dr. Glusker stated that he had made four requests of Chief Financial Officer (CFO) Wade Sturgeon regarding financial information on the closure of the obstetrics department. According to Glusker the information should be open to any member of the public, but to date Sturgeon has not responded to the four requests for this material.
News/rumor of the possible OB closure got out to enough of the community to cause an overflow audience at the late May MCDH Board meeting. At that meeting CEO Edwards did not repeat his Planning Committee meeting desire to close the obstetrics department. He let Board Chair Tom Birdsell appease most of the audience by declaring that MCDH would host a public forum concerning the matter. That meeting date was confirmed in the following public service announcement released on June 22: “The Mendocino Coast District Hospital will host a Community Meeting on Tuesday, July 12 from 6:00 pm until 8:00 pm at the Cotton Auditorium regarding the OB Services. The community is encouraged to attend in order to provide their input and receive information regarding the OB Services.”
Critics of the hospital's administration might have asked for an itemized breakdown of the OB Department's revenues and expenses for the past year. In the budget numbers accompanying the June 22nd Board meeting a theoretical “Budget without OB” attributed a $750,000 savings to a professional physician fees line item; however, no specifics regarding this dollar amount were given. One of the arguments for closing OB is that MCDH is birthing ten or fewer babies a month currently. Given that number the cost of an essentially part time OB physician and equally locum tenens (literally meaning a temporary substitute) pediatrician seems quite high. It would seem obvious that such dollar figures need to be specifically delineated.
According to a source close to the MCDH situation, Mendocino Coast Clinics currently helps to subsidize the hospital's OB Dept. by providing an on call OB doctor for half of every month at no cost to MCDH along with a pediatrician who does the same. To the best of this writer's knowledge that issue has not been brought up at any public meeting.
The problem with the July 12th meeting may lie in the way Board Chair Tom Birdsell has seemingly set up this public forum. It appears that the public will be allowed to give their ten cents worth, but the Board and/or administration will not respond at that meeting. This could allow CEO Edwards, with a majority of a reduced Board membership/majority (remember Dr. Rohr's resignation) to claim that public input was granted, but the actual decision may truly rest with administrators.
One possible solution to the OB Dept. problem could be the hiring of a pediatrician for MCDH's affiliated clinic, North Coast Family Health Center (NCFHC). This doctor would see family practice patients at NCFHC half time and serve as the on call OB physician for the hospital the other half. The money generated from family practice would help offset OB and pediatrician salaries.
Administration may claim they have tried to recruit OB and pediatric physicians without result. If so, the precise methods and advertising need to be made public, so there is no air of false claims or cover-up.
Other questions that need to be addressed: Administration has claimed that other hospitals have closed OB without major problems for community members. Were those hospitals as far away as Fort Bragg is from Ukiah? Do those hospital districts reflect socioeconomic situations similar to the Mendocino Coast? MCDH births measured by race and ethnicity show Hispanic births up from 33% of total MCDH births in 2013 to 43% in 2014, the most recent measured year.
The current MCDH budget figures seem at least slightly skewed to present OB in a less than favorable economic light. It could appear to some observers as if revenues associated with OB, like ultrasounds, lab tests, and surgeries are missing from the profit line of the department. A questioner might then ask, why are long sought after pieces of equipment shown as part of the loss line for this past year only?
Though MCDH has birthed only 100 or so babies this year, how many of those hundred mothers would be financially and physically able to travel over the hill to give birth? Before closing OB those statistics need to be known down to a very close approximation.
Then there's the blowback that closing OB will cause MCDH. Without an OB department Emergency Room (ER) doctors and nurses are going to be responsible for many births on the coast. How many physicians and nurses will shy away from the liability load of emergency room deliveries when the childbirths at MCDH's ER mount into the dozens. One of the reasons given for closing the obstetrics department is the cost of OB trained traveling nurses. How much will those costs skyrocket when traveling nurse's agencies figure out that Fort Bragg's ER will be home to a handful or more of emergency child birth deliveries each month?
Want another tough question to ask at the July 12th forum? It has been asserted that during the recent bankruptcy procedure the ombudsman assigned to MCDH by the bond agency stated that closing the OB department was not an option. Have MCDH's bond holders been informed about the potential closing of OB?
Hopefully, members of the public will have many more questions of their own on July 12th. Perhaps MCDH Board members and its administrators might consider it prudent to field emails and phone calls from their constituency before and after that date.
*Answers of all sorts abound at the author's website: malcolmmacdonaldoutlawford.com





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