Florida Emergency Medicine Doctor Shares Silver Lining of COVID-19

Megan Kwasniak, MD ’08, an emergency medicine physician at Saint Mary’s Medical Center in West Palm Beach, FL

Shortly after the coronavirus disease (COVID-19) pandemic intensified, Megan Kwasniak, MD ’08, an emergency medicine physician at Saint Mary’s Medical Center in West Palm Beach, FL, took part in her hospital’s swift action to ensure it was ready to address sick patients.

To test patients, the hospital set up a tent outside of the emergency department to accommodate and screen any potential COVID-19 patients. Those showing more serious symptoms were quickly identified and then sent to the main emergency department for further treatment. Less sick patients were evaluated fully in the tent and discharged home to minimize the risk of exposure to the rest of the staff and other patients, she said.

Since early March, the hospital has seen and treated more than 1,000 patients who potentially had coronavirus. Almost all of those who indeed had the disease have since recovered.

“We have been able to fine-tune our treatment process and now feel much more confident in handling the disease. I have hope that this will continue to improve with time,” said Dr. Kwasniak, who pursues her interest in photography during her free time. She has also captured photos of how she and her colleagues were responding to the healthcare crisis on her blog, This Photography Life.

While COVID-19 has presented physicians and healthcare workers with tremendous challenges, Dr. Kwasniak acknowledged that her training as an emergency physician helped her to effectively “handle the unpredictable and the life threatening.”

“In any unknown situation, we are trained to go back to basics: airway, breathing, circulation. In that manner, COVID has been no different,” Dr. Kwasniak said. “No matter what course the disease would eventually take, the role of the emergency physician is to stabilize the sickest patients first and to begin a course of treatment that hopefully will affect the final outcome in the best possible way.”

The crisis also provided an opportunity for increased communication between healthcare workers, she said. Especially in the early days of the disease, “there was a frequent exchange of information among all physicians through various social media groups and within individual facilities,” she noted.

“I feel as though, for the first time ever, we have truly come together in the medical community,” she added. “The support we’ve shared has carried us through this pandemic and has definitely been the silver lining in an otherwise daunting situation. I have never before felt this connected to my fellow doctors, nurses, and all of the emergency department staff.”

Dr. Kwasniak offered new and aspiring physicians some words of advice while training: “By the time you start your residency, you will already have learned so much and be so much more prepared that you think you are. My greatest and most important advice to any medical student is this—get involved. Don’t wait on the sidelines, don’t be merely an observer, but take initiative and be proactive in your learning process. The best way to learn is through experience.”

Are you an SGU doctor succeeding in your career? Send us your story ideas. You can also share your story with us on social media by tagging SGU or using the hashtag #WeAreSGU and #SGUAlumni. 

–Laurie Chartorynsky

2020 Grad Getting Geared Up for Top-Choice Residency

For Shayda Pedram, MD ’20, there is no greater joy than helping to bring a new life into the world. Passionate about women’s health, she was ecstatic to match this spring at her top-choice program, New York Medical College at St. Joseph’s Regional Medical Center program in Paterson, NJ, where she is eager to begin her medical career as an OB/GYN resident this July.

“I was so excited and happy that it was real,” enthused Dr. Pedram. “I actually did it and all of my hard work and perseverance really paid off. During my clinical experience, there was nothing better than being present for a delivery and getting to tell new parents that their baby is healthy. OB/GYN can be a very positive and hopeful field of medicine and I love the way this specialty is able to combine medicine and surgery with continuity of care.”

Growing up in Overland Park, KS, Dr. Pedram attended the University of Kansas in Lawrence, and graduated with a bachelor’s degree in human biology. She then chose to apply to St. George’s University for two main reasons. The first was that she didn’t want to wait a minute longer than she had to in order to become a physician. Having done the research, she knew that SGU would give her the best opportunity to pursue her medical education right away. The second was that coming from the landlocked Midwest, she knew she would enjoy the sunshine and proximity to pristine beaches that Grenada had to offer.

“I decided to apply to SGU because I didn’t want to wait to get into a US medical school,” said Dr. Pedram. “I knew that SGU would be the best choice to begin my medical journey, as well as provide me an opportunity for adventure. SGU allowed me to live in places I would have never lived and form lifelong friendships with individuals I may not have ever met otherwise.”

In addition to her academic studies, while at SGU Dr. Pedram became the secretary of the Persian Student Association and a member of the International Federation of Medical Students Association’s Sexual and Reproductive Health subcommittee. She also took advantage of the many student support resources provided by the University’s Department of Educational Success (DES).

“I really enjoyed going to the weekly student-led DES sessions,” commented Dr. Pedram. “These sessions were fun and helped me grasp what was considered high yield during my first year of medical school.”

When asked if the beautiful weather and beaches were distracting to her studies, she replied, “it was quite the opposite. You never felt as though you had to take advantage of every nice day, because the days were always nice on the island and the beaches even more satisfying after an exam.”

Today, Dr. Pedram prepares to go to work uniting with those in the fight against the coronavirus disease (COVID-19) pandemic and joining 450 of her fellow soon-to-be St. George’s University graduates who will enter residency this July at nearly 90 hospitals throughout New York and New Jersey.

Eager to contribute, she credits SGU with preparing her well for her residency, having provided many opportunities to do electives in her field of interest in order to know what to expect as a resident. This includes her chance to experience a sub-internship at her first choice, St. Joseph’s Regional Medical Center, where she saw firsthand that their residents were well trained and very supportive of one another.

“The path to becoming a physician was never intended to be easy,” stated Dr. Pedram. “However, with persistence and hard work, you can absolutely make it happen. Attending SGU has been the adventure of a lifetime. It was incredibly challenging, but so worth it in the end. I am extremely grateful to now be in a position and have the skill set to help others in such a crucial time of need.”

– Ray-Donna Peters

Emmy In Hand, Former Television Producer Sets Sights on Residency

Benjamin Kahn’s story could be turned into a documentary, one that, in his past life, he may have assembled himself.

After all, it isn’t often that an Emmy Award-winning producer leaves behind the glitz and glamour to pursue a career in medicine. The 2020 St. George’s University graduate—a quintissential career changer—is now less than two months away from starting his internship year at NYC Health + Hospitals/Coney Island , at a time and in a place where care is most crucial.

“We are the first class of graduates to embark on our medical careers during these unsettling times in the middle of this pandemic,” Dr. Kahn said. “This is one of those life-changing events for our generation. And in facing this challenge, we not only join our brothers and sisters on the forefront in the battle to save lives from this novel virus, but we also get to set the precedent for the future and for those who will be following us.

“I look at this not only as a personal duty to grow into that role, but a privilege to serve my community the very best way I can and to take care of my patients with the greatest level of care.”

  • Dr. Kahn (left) worked for such outlets as NBC, ESPN, SNY, and The Glenn Beck Show prior to enrolling in medical school.

  • His work on the series “George to the Rescue” earned him a New York Emmy.

  • After becoming a medical student in his early 30s, Dr. Kahn is set to join residency at NYC Health + Hospitals/Coney Island this summer

SHOW BIZ

Dr. Kahn’s career in television began at Syracuse University’s prestigious SI Newhouse School of Public Communications, which has produced such on-screen personalities as Ted Koppel, Steve Kroft, and Bob Costas. He earned his degree in TV and film production and set off to tell stories through his camera lens. His work included a documentary titled “A Walk in the Dark,” which chronicled how a man whose eyesight was taken from him following an automobile accident and then worked to overcome his disability to succeed in school.

“He hadn’t been back to New York City since his car accident and was afraid to go back there independently,” Dr. Kahn said. “My goal was to empower him and help him go back to face his fear. We went on a road trip to Manhattan and he was able to experience the sights and sounds of New York City again through a different perspective.”

The film won Best Short Documentary at the New York International Film and Video Festival and opened up doors for him in the world of television. He went on to work as a producer for such outlets as The Glenn Beck Program, ESPN, SNY, as well as NBC, for which his work on “George to the Rescue,” a home renovation series that helped local families impacted by tragedy, earned a New York Emmy Award.

With wear and tear from the job, however, he discovered that he had torn his labrum, an injury that required surgery. His hospital stay reinforced a feeling that he had been having of late—that he wanted something more.

“I felt vulnerable. I had never really hurt myself before, and it was a very difficult recovery,” he said. “My doctor was very integral in making a real difference in my life. He explained everything to me and become involved in my life. So I asked if could shadow him one day to see what it was like.”

When he did, it changed the course of Dr. Kahn’s life. He was struck by the doctor’s professionalism, interaction with patients, and impact on their lives.

“It lit a fire in my belly,” he added. “In TV, there’s an authenticity to everything, but there’s also an element of fabrication done behind the camera. But when I was shadowing him, I remember thinking ‘this is real.’ I just felt like I wanted to make more of a difference in people’s lives.”

 

“I look at this not only as a personal duty to grow into that role, but a privilege to serve my community the very best way I can and to take care of my patients with the greatest level of care.”

 

A NEW FRONTIER

With no science background, Dr. Kahn “took the leap of faith and never looked back.” He put up high marks on his prerequisite courses at Hunter College and Stony Brook University. It was then that he learned about the Emmy win—and opportunities that came with it—but by that point had committed to his second career.

“I made the decision that I was all in,” he said. “I felt like I had closure at that point, and that all the experiences that I had in television had led me to medicine. I learned how to perform in high pressure environments, to work well with a team, and that everybody is just as important as the next.”

At age 30, he applied to and enrolled at SGU. It took time for him to find a rhythm, but with the help of the University’s student support services, he developed strong study skills and test-taking habits.

While he described himself as being “all business” during his two basic science years in Grenada, he took in all that the island had to offer. The knowledge and skills he acquired set him up well to excel in clinical training, which he completed in Brooklyn.

“It wasn’t easy; I really had to work for it,” Dr. Kahn said. “In the end, I just feel so blessed to have been given the opportunity to become a doctor, and the confidence and the tools that I need to succeed.”

He’ll return to Brooklyn for residency at Coney Island Hospital, joining a 371-bed facility in one of the NYC Health + Hospital system’s 11 acute care facilities across the five boroughs. He will enter a transitional year and then turn his sights to continuing with a position in dermatology or internal medicine.

Coming from a family of dentists, from an award-winning stint in television, and making a late start to his second career, Dr. Kahn’s path to becoming a physician has not been a straight line, but he firmly believes that his experiences will only help his future patients.

“I have a different perspective on everything,” he said. “My background and my experience at SGU molded me into the person and the physician that I am today, and I look forward to getting started.” 

– Brett Mauser

Locum Tenens Doctor Steps into Key Role at New Jersey Hospital

“Can you start tomorrow?”

Alex Kurjatko, MD ’11, a locum tenens physician, was in Oregon at the time. The call came from Morristown Medical Center in New Jersey, where COVID-19 continued to run rampant. He’s just one of hundreds of doctors who rushed to the tri-state area’s side to combat the virus.

In the span of 48 hours, Dr. Kurjatko obtained an emergency medical license in New Jersey—a process that usually takes weeks—made a pitstop at his residence in Minnesota, and traveled to Morristown to begin work on April 1.

“It’s nice to put my critical care training to use, and to return to an area where I did so many of my rotations as a medical student,” he said.

Dr. Kurjatko has been a locum tenens—Latin for “one who holds the place of”—since completing his surgery critical care fellowship at the Mayo Clinic. It has allowed him to travel throughout the US, obtaining licensure in seven states. Jobs tend to be in rural America where the physicians per capita can’t compare to urban areas. But with hospitals turning entire departments into intensive care units as a result of COVID-19, there was a dire need for physicians with critical care backgrounds.

Morristown has had to make some adjustments on the fly, with the projected number of intensive care patients challenging its capacity to hold them, necessitating new boundaries—and additional physicians. It was initially supposed to be a four-day stint for Dr. Kurjatko, but he’s now slated to work there through at least the end of May.

For Dr. Kurjatko, who has stepped into situations at crucial times before, it was a natural fit.

“Traveling has made it easy for me to step into situations like this and hit the ground running,” he said. “I don’t just want to sit back and watch everything happen and not be there to help people one way or the other.”

– Brett Mauser

Infectious Disease Grad Addressing Ever-Changing COVID Conditions

Lorena Polo, MD '13, Infectious Disease Specialist at First Choice Health Centers, East Hartford, CT

Most patient visits start with obtaining a medical history, an all-important record of allergies, illnesses, and more that helps physicians formulate a diagnosis. With the coronavirus disease (COVID-19) pandemic sweeping the United States and countries around the world, clues in these histories can not only help an individual but affect the treatment of much larger populations.

“Infectious disease physicians are very good diagnosticians,” said Lorena Polo, MD ’13, an ID physician at First Choice Health Centers, an outpatient facility in East Hartford, CT. “You have to take very good histories from the patient. You have to be a good listener. And then you take the bits and pieces of information, see where they might have been exposed, create a story, and come up with a diagnosis.”

She remembers her first COVID-positive patient well—a patient in their 20s—well after the disease emerged elsewhere. Since then, her practice has seen a steady flow of patients who present with COVID-19 symptoms—fever, cough, shortness of breath. While some are admitted at local hospitals, a vast majority are treated at home. Even if patients have mild or no symptoms, they still pose the threat of transmitting the disease to other community members.

“A very large number of patients are battling this illness or recovering from it at home,” she said. “Often on the news, they are only showing the mortality or high morbidity aspects of the disease. And while important, this has also created a sense of anxiety because patients don’t know what to expect. Being afraid is a natural human response to the unknown, and we want to prevent that by making sure our patients are well informed.”

With governmental regulations changing by the week or even the day, Dr. Polo and her colleagues have made a point to stay up to the minute themselves so they can safely care for their patients. The situation is changing so quickly that infectious disease fellowship books are being updated with COVID-19 information as it becomes available.

Infectious disease physicians are more than prepared for common afflictions such as influenza, pneumonia, staph infections, and more. With familiarity, the symptoms are easy to identify and the procedure to treat is spelled out. However, like past outbreaks of diseases such as SARS, MERS, and Ebola, the COVID-19 pandemic has challenged the healthcare community to come up with a treatment and a cure in a short period of time.

“We’ve trained for infections that may have been imported from other countries. We live in a society where there’s a lot of travel both domestically and internationally. We’re familiar with it because of the way that society has worked,” Dr. Polo said. “But no amount of fellowship training can prepare you for such a complex disease. It’s a very unique and challenging time.”

–Brett Mauser 

On the Front Lines of COVID-19: SGU Grad Shares Experiences Inside Psychiatric Hospital

Ryan Salahi, MD '04, ER Physician at San Diego Psychiatric Hospital

Ryan Salahi, MD ’04, lead ER physician and chief of medical staff for the San Diego Psychiatric Hospital, describes the strong connection with his team that has made caring for their patients, many of whom are now COVID-19 positive, a little easier.

“Finding a balance during these stressful times can be difficult, but I work with great colleagues, administrators, nurses, social workers, and other staff, and we’re like a family—which helps immensely. I’m grateful for them,” Dr. Salahi said.

While a number of patients having been diagnosed with COVID-19, the hospital faces unique challenges due to the nature of his patient cohorts: it’s difficult for many of them to follow instructions, such as social distancing; and they are not allowed to be given masks for fear of wearing them inappropriately or risk of hurting themselves.

To help staff, the hospital has implemented new protective measures, including: the building of entry COVID-19 screening tents; the creation of a decontamination room/ante-room in the entrance to its quarantine/isolation unit where all staff are required to don full PPE and remove properly to decontaminate upon exiting the unit; separating patients who are positive COVID-19 from those who are not; temporary suspension of family visitations; and other changes. In addition, the hospital is able to get direct access to prioritized testing and PPE distributions from San Diego County’s Emergency Operations Center, and other helpful resources.

Dr. Salahi and team have been using extra lengths to educate their patients about the coronavirus. “Interestingly, our psychiatric patients, while often times difficult and argumentative, were extremely open to learning about COVID-19 and we were able to successfully test 100 percent of our inpatients with no refusals,” he added.

Many St. George’s University graduates like Dr. Salahi are on the front lines of the COVID-19 pandemic, using their expertise to treat those who are critically ill, joining teams searching for short- and long-term solutions, and contributing in many other ways to help patients in need. SGU is sharing a number of these stories, with the hope that by hearing the experiences of others who are making a difference around the world, we can help reaffirm our students and doctors’ commitment to the medical profession.

“I’ve always known I wanted to be a doctor. As doctors, we care for sick people. It’s what we’re trained to do,” he said.

How are our doctors helping during the COVID pandemic? Send us your story ideas. You can also share your story with us on social media by tagging SGU or using the hashtag #WeAreSGU and #SGUAlumni. 

– Laurie Chartorynsky

 

Ryan Salahi, MD '04, ER Physician at San Diego Psychiatric Hospital

First-Year IM Resident Shares How Coronavirus Pandemic Has Impacted His Training

Matt Heckroth, MD '19, IM resident

Matt Heckroth, MD ’19, a first-year internal medicine resident at University of Louisville, was interviewed by his hometown local paper, the Tallahassee Democrat, on what its like to be a resident during COVID-19 pandemic.

“The things I am sure I am going to see over the next couple of weeks and the next couple of months are going to be helpful,” Heckroth told the newspaper. “We are learning about this virus and about how it affects people.”

Dr. Heckroth had a nontraditional path to medicine. The aspiring gastroenterologist originally wanted to become a professional baseball player. He was a highly touted pitching prospect before suffering a shoulder injury that prevented him from playing past his sophomore year in college.

He credited his strong relationship with his orthopedic surgeon for helping him decide on medicine.

Former International Athlete Addressing COVID “Head-On” in Canada

Dan Devlin, family medicine resident, Kelowna General Hospital, BC

Aspiring physicians from Canada have long used St. George’s University School of Medicine as a springboard to a career in medicine, and for SGU graduate Daniel Devlin, MD ’19, his journey was no exception. Now a first-year family medicine resident at the Kelowna General Hospital, in rural British Columbia, Dr. Devlin serves one of the largest medical centers between Calgary and Vancouver, Canada.

Now more than ever with the ongoing coronavirus disease (COVID-19) pandemic, physicians like Dr. Devlin are being called to the frontlines to help fight against the virus. His vacation plans along with him competing in his first-ever triathlon this spring and summer have all been put on hold with the uncertainty surrounding the pandemic.

“Everyone at our hospital—from housekeeping and maintenance to nurses and physicians—has all been working very hard to face this challenge head-on,” said Dr. Devlin. “Things like vacation plans are inconsequential when you look at the bigger picture. I feel like we all got into this job to help people in need, and we will continue to do that now and for the rest of our careers.”

His path back to Canada began when he enrolled in the St. George’s University of Grenada School of Medicine/Northumbria University Four- and Five-Year Program, for which students spend the first year of basic sciences in the United Kingdom. He called the program “a perfect fit.”

“Since I knew I was going to be a mature student, and didn’t want to waste any time in getting started, this program allowed me to begin in January, learn a new healthcare system, enjoy smaller class sizes and most importantly get the opportunity to secure a residency position back home in Canada,” he said.

However, before Dr. Devlin began his pursuit of a career in medicine, another career path opened up for him at age 15 when he joined his high school handball team. As a gifted athlete, he then progressed to the provincial level before eventually making it all the way to the Canadian national handball team in 2007.

“As an athlete on the national team, I got the opportunity to travel all throughout Europe and South America playing in international tournaments,” said Dr. Devlin. “I even met my fiancée, Kate, who was also a professional handball player with the Women’s Canadian team at the time.

The highlight of his career was his three trips to the Pan American Games—in Rio de Janeiro, Brazil in 2007; Guadalajara, Mexico in 2011; and Toronto, Ontario, Canada in 2015. He played one year professionally in France.

Although a successful athlete, Dr. Devlin always knew he would one day become a physician. At school, he excelled in the health sciences and could be seen after school soaking up information at the hospital where his mom worked as an x-ray technician. After graduating from university, he then became a nurse for nine years before entering medical school once things started to settle down in his athletic career.

“After reaching the pinnacle of my athletic career, it just seemed like the right time to retire and so, I decided to move on to pursue my childhood dream,” said Dr. Devlin. “After doing my research and checking out their information sessions, SGU was just the right call. In terms of timing, attending SGU worked out perfectly with my schedule—allowing me to play in my final Pan-Am Games during my summer break after my first semester.”

Today, Dr. Devlin is settling into his role as a first-year resident, splitting his time between practicing at the hospital and his family medicine clinic. He is also currently working on a quality improvement project analyzing the clinic to make sure it meets the national standard of guidelines set across Canada. The scholarly project would then strive to implement any changes or make improvements found in his research.

“As an international grad, I get asked by prospective students in information sessions all the time, ‘would I do it again’?” said Dr. Devlin. “And my answer would be ‘yes’ because my goal was to come back and be a physician in Canada, and SGU helped me to do that. It was my pathway to getting to where I wanted to be.”

That place is Kelowna, where he and his colleagues are working hard—and together—to address the ongoing pandemic.

“We will get through this at some point, and we have definitely felt the love and support from the city of Kelowna as we work to keep everyone safe and healthy,” he said.

–Ray-Donna Peters

SOM Alumni Association Advances the Art of Medicine at Annual CME

Designed to provide physicians with an overview of changes in the diagnosis, treatment and management plans in today’s changing health care environment, this year’s School of Medicine Alumni Association (SOMAA) continuing medical education conference was especially beneficial in light of the ongoing coronavirus disease (COVID-19) pandemic—as physicians are turned to in order to provide valuable, high-quality care in communities around the world, for individuals who desperately need it.

“The benefits of our alumni returning to campus to attend the CME conference is that they experience the momentum of the University while connecting with the energy and accomplishments of our current students—the future physicians who will follow in their footsteps,” said Robert Alig, vice president of alumni affairs at St. George’s University. “With the increasing number of people being impacted by the coronavirus, it will be St. George’s University students and graduates who will be called on to assist in the fight against the virus.”

Titled “The Art of Medicine,” the four-day conference was held once again in association with the American College of Emergency Physicians (ACEP). It featured prominent SOM alumni and faculty presenters such as:

    • Hematology and medical oncology specialist Shannon O’Connor, MD ’05, whose topics included, “Unlocking the Mystery of Hereditary Cancer Genetics” and “Five Things to Know About – Hematologic Disease in Older People”
    • Paul Mathew, MD ’05, currently an assistant professor of neurology at Harvard Medical School and expert in headache medicine discussed “Headache: It’s All in Your Head…Or is it?” – accurately classifying headaches and formulating effective treatment plans and interventions
    • Pulmonary and critical care expert Nirav Shah, MD ’02, who discussed the highly relevant topics of “Decoding the Alphabet Soup of Interstitial Lung Disease (ILD)” and “ARDS: Where are we now?” – defining acute respiratory disease syndrome, how the definition has changed over the last few years and the treatment strategies to help improve outcomes.

In attendance at these presentations were two familiar faces among the SOM alumni, Jack Davidoff, MD ’88, and his wife Tracey Davidoff neé Quail, MD ’90. They were returning for the fourth time in a row to attend the CME conference in Grenada since earning their medical degrees at St. George’s University three decades ago. After attending the first CME in 2017, held as part of SGU’s 40th anniversary celebrations, the couple was so impressed with the advances made by the University, they felt compelled to return and to keep returning year after year with no plans of stopping. The Davidoffs’ love for the Grenadian people and the country that allowed them to receive their medical education has inspired them to plan a next trip to provide clinical services to the Grenadian community in the near future.

“We received an excellent education at SGU and were able to get invaluable hands-on experience,” said Dr. Tracey Davidoff, vice president of the College of Urgent Care Medicine. “I would do it all over again because SGU made me into the physician I am today, and I have no regrets.”

“We had outstanding instructors and professors, some of whom were the actual authors of the medical textbooks we were currently using,” commented Dr. Jack Davidoff, an emergency medicine physician and president of the Air Medical Physicians Association. “During my time here, I got the opportunity to gain real-life experience and it has made me a much better doctor today. Every day that I go to work, I use the knowledge and skills that I learned at SGU.”

The fourth annual SOMAA CME grew in participation since last year, with 74 attendees, 32 of whom were SGU alumni, as well as 17 Grenadian physicians who practice locally. Additionally, their time in Grenada wasn’t only about lectures and education. The SOMAA provided plenty of opportunities to experience a taste of culture and hospitality on the island many called home during their studies. The group enjoyed a sightseeing tour of Grenada’s natural beauty; lunch at Belmont Estate, a fully functional and historic plantation; a shopping tour of Grenada’s capital, St. George’s; and a catamaran sunset cruise, which included snorkeling and a visit to the Underwater Sculpture Park and Hog Island.

“This CME doesn’t just give us, practicing physicians an opportunity to earn 16 continuing medical education credits and a chance to learn new innovations and advances in our respective fields,” stated SOMAA President Bruce Bonanno, MD ’83. “It also enables our alumni to come back and visit and see the progress the University has made, interact with the students, and have a great time. This level of camaraderie is not found anywhere else.”

– Ray-Donna Peters