Archived site. This is an independent restoration of material previously published on streetmedsac.org. It is not affiliated with, endorsed by, or operated by any organisation named on these pages, and the content is historical — it is not current information. About this archive
Not medical advice. This material is archived, may be years out of date, and must not be used to make decisions about care. Consult a qualified clinician.
Office Street Medicine Sacramento, 5025 J Street, Suite 311, Sacramento, CA 95819
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A daily reporting on what's happening on and off the streets of Sacramento. Contributors are welcome!
This nurse of the street was out on rounds with Dr. Kris Srinivasan, MD getting him oriented to the areas we focus our care to. Spent time talking with a number of folks. As usual found foot care an ongoing and important concern to those living on the streets and in camps.
This nurse of the street was out this evening on street rounds with Dr. Lovejoy Medical Director Street Medicine-Sacramento. Then a brief planning meeting as we have agreed to provide a clinical rotation for two students from Touro University. (Pictured with us Kaitlyn an MSN student in their nursing program. We are also supporting a 3rd year medical student in [...]
This nurse of the street was asked to do a presentation and community outreach orientation with 8 first year medical students as part of the UC Davis School of Medicine orientation of new medical students. Two MS2 students Karly Williams and Veesta Falahati coordinated this group of the Class of 2020. I understand there are over 100 students in this [...]
This nurse of the streets spent part of the day out on rounds on the streets and in the camps doing follow ups and wound care. Spent part of the afternoon in meetings with community groups. Then back out making house calls in one of our under served and marginalized neighborhoods.
Street medicine provides healthcare for the homeless This nurse of the street has been incredibly busy the past few weeks. You can see from the images attached something new is in progress...Street Medicine Sacramento! When Street Nurse-Sacramento was established in April of last year it had several goals. The first was to "go the people" and and begin to provide health [...]
This nurse of the streets has been invited to speak to the Emergency Nurses Association-Sacramento Chapter on May 11th at UC Davis School of Medicine. The meeting has been opened to non ENA members. So if you follow this page and are in health care you are welcome to attend but must RSVP as indicated on the announcement. Much going [...]
This nurse of the street got out by bike for street rounds today in the company of Lisa Heinlein (future nurse) and friend. Joined a meet up and BBQ in a local park put on by a church group on the last Sunday of each month. Many of our homeless that live along the river attend this event and it [...]
So today this nurse of the street went on a walkabout into the neighborhoods. I walked through the affluent and into the marginalized past the man made barriers that divide once connected neighborhoods. The pictures speak volumes of the disparity both in wealth and in health. To this nurse if we are to begin to solve homelessness we must seek [...]
This nurse of the street was out on rounds with Sarah Johnson MS1 UC Davis School of Medicine. Spent the afternoon traveling around the community showing Sarah the areas our homeless live in and orienting her to the community, the history of the homeless here and the services that are provided. Now that the high water is going down to [...]
Today is the "1 Year" mark for Street Nurse-Sacramento. Serving the at risk and homeless population has been a part of my practice for the past 38 years both working in hospitals and clinics. I have also for much of that time ventured out into the streets and alleys to help those in need in anyway I could. Street Nurse-Sacramento [...]
So this nurse of the street had a busy Easter. It was planned that my friend and future nurse Lisa Heinlein and I would go out today to the camps and to meet with a church group that does a BBQ and provides clothes to the homeless the 4th Sunday of the month at a local park. Received a call [...]
Don't get this nurse of the street wrong we need the rain but it is nice to have a break. I have sun shine to get out in and provide health care without the challenge of the rain. A wonderful friend Maria Dominguez dropped off 12 parkas,12 pairs of socks,12 knit hats and 28 emergency ponchos. Feels good to "go [...]
Still recovering from two fractured ribs from a couple of weeks ago. This nurse of the street finally was feeling well enough for a long mountain bike ride and to "Go to the people." We have had a number of storms in the past few days and they are now releasing large outflows from Folsom Dam causing a dramatic rise [...]
This nurse of the streets spent part of it with a great group of medical and nursing students. We met up at a local park where a group puts on a meal on the third Sunday of the month and provides some clothing for the homeless. Most of the folks we spoke to today were doing pretty well though we [...]
These entries survive only as rows in the site's own monthly listings: the date, title, category and summary below are reproduced as they were published, but no page for them survives.
This nurse of the street was out on follow up rounds. I was joined today by Dr. Lovejoy and Sarah Thrasher, RN (NP/PA student) at UC Davis Betty Irene Moore School of Nursing. Our venture out today was to follow up on the young women that was admitted to acute care two weeks ago after we assessed her in the [...]
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Today Crister Brady MS3 student at UC Davis School of Medicine, our friend Dee (Guide/collaborator) and myself delivered a talk on the main UC Davis campus to undergrad students and it was also streamed to medical students at the medical school. The subject was "Street Medicine" and health care inequities. There are about 50 or so students in this course [...]
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This nurse of the street was out all afternoon at a free clinic for the homeless. The medical students, nursing and PA students have continued their support of those protesting the city no camping ordinance. Today we delivered a pop up clinic to provide care and resources to those living outside. HARM Reduction Services provided free testing and other support. [...]
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This nurse of the street spent part of the afternoon today with the medical, nursing and PA students of UC Davis School of Medicine and the Betty Irene Moore School of Nursing. Today was the final planning and logistics meeting for the "Free Clinic" in support of the homeless community the students have been planning. This event will be held [...]
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This nurse of the streets has been busy the last couple of weeks. Out in the streets, alleys and camps most days providing services and resources to our homeless population. Responded to calls from other outreach teams to check on individuals in need. The last two Tuesday evenings have joined with an awesome group of medical students from UC Davis [...]
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This nurse of street went out and combined a bike ride and follow up on a couple of folks. It was beautiful sunny day then got a bit cloudy. This is James one of the protesters of Sacramento's "No Camping" ordinance. He had been on a fast in an effort to get the city to allow the homeless have representation [...]
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This nurse of the street was out today along with CSUS EMT student Lisa. We traveled to a number of areas to assess the condition of the camps after the rains we have had. Many have moved to higher ground but some remain in areas that are for now surrounded by water. The Sacramento and American River now are rising [...]
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This nurse of the street was up and out early after getting a couple of calls from the camps and an email from another nurse with concerns about the health of three individuals on the street and in the camps. Was made aware of an older women in our midtown area. After locating this women I approached but before I [...]
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Well this nurse of the street has been unable to get out much for the past week and half because of a injury and infection from a fall. Stayed busy though connecting with various outreach groups and sharing resources to aid their efforts. I have also during that time been able to work with Kim Le a medical student at [...]
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We are only 3 days into the new year and this nurse of the street is grateful for donations of warm winter gear. A new friend Amy Newton and her daughter Taylor came by today and donated knit hats, gloves, fleece sleep pants, socks, rain ponchos and parkas and other items. They even helped restock warm items for kids. So [...]
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This nurse of the street was out most of the day and into the cold air of the evening. Already down in the low 40's and going to be around the low 30's later tonight. Took out a couple dozen hats, gloves and socks. Went through them quickly. Did some basic wound care and follow up early in the day [...]
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This nurse of the streets was out this evening in part to celebrate the birthday of my friend and mentor Dr. Jim Withers the founder of the "Street Medicine" movement. Because he lives in Pittsburgh, PA I couldn't celebrate with him so I did it the best way I could and did what he does "Go to the People" I [...]
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This nurse of the street delivered hats, socks, warm clothes to 35+ individuals today thanks to the donations of a group of medical students from UC Davis School of Medicine and some good friends. This is Ken and he wanted the students to know he is grateful to them. Did some wound care and just sat and spent time with [...]
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This nurse of the street was joined on rounds by Dr. Lovejoy today. We had been called by some folks in the camps and asked to check on some who had respiratory stuff going on that needed to be followed. We also walked the camps and checked all we came in contact with and advised on some wound care and [...]
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This nurse of the street was given 15 knit caps made by my friend Kate. She asked that I give them to those we serve. In addition to these we have also been promised tents, sleeping bags, socks and warm clothes to be delivered on Tuesday. I am truly grateful to all of you who support what we do.
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This nurse of the street loves the rain and we desperately need much more of it. But this change in the weather reminds me of the challenges it brings to those living on the streets, in our alleys and camps. The need for warm shoes, socks, gloves and warm sleeping gear is so clear. Even when the winter shelters open [...]
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This nurse of the street learned early on that providing healthcare is a collaboration. Not just with doctors, other nurses and health professionals but a collaboration with those we serve. This is our friend Dee she has been and continues to be one of our greatest collaborators and teachers. Some of you will remember her from earlier posts and others [...]
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This nurse of the street enjoyed speaking today on Health Inequities and The Homeless at UC Davis School of Medicine. I had the pleasure of joining on this panel with Dr. Jaesu Han, MD Associate Professor and the preceptor of the Willow Clinic, Julia Palmer and Austin Holmes 2nd year medical students and co-directors of the Willow Clinic. The Willow [...]
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This nurse of the street was asked to speak on a panel by The Office of Student and Resident Diversity at the UC Davis School of Medicine on Monday October 26th. The topic is Health Inequities and The Homeless. I am excited to be invited to speak along with Dr. Jaesu Han, MD Associate Professor Department of Psychiatry and Behavioral [...]
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This nurse of the street was out yesterday and again early this AM. Dr. Lovejoy and I have been following a women who is due early November. She still is anxious about coming into shelter but will be seen in the clinic on Thursday for continued prenatal care and perhaps she will accept the offer of shelter. Provided some wound [...]
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This nurse of the street was so energized from the street medicine symposium that I couldn't wait to get back to the streets and camps today. So this afternoon I rounded up Dr. Lovejoy and out we went to care for those in need. This afternoon was spent looking in on a couple of folks we see on a regular [...]
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Just back from the 11th Annual International Street Medicine Symposium in San Jose an absolutely amazing 4 days with like minded people from around the country and many other parts of the world. Learning and sharing about the history, the present and the future of street medicine. Incredible energy for the entire 4 days. Connecting with old friends and meeting [...]
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A few more pics from Dr. Withers visit and talk on street medicine this past Monday at UC Davis School of Medicine. Early morning planning meeting with Dr. Withers and Crister Brady. Out in the streets and camps to give Dr. Withers a view of our homeless community. The picture outside is Dr. Withers, "Dee" who lives in the camps [...]
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Some really exciting news to announce. Dr. Jim Withers of Operation Safety Net in Pittsburgh who is the founder of the "street medicine" movement is going to be in Sacramento July 20th. He is on his way to San Jose (reminds of an old song) to prepare for the 11th Annual "International Street Medicine" Symposium to be held in San [...]
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This nurse of the street had a great day today. Combined two passions providing care to those in need and mountain biking with a friend. Crister Brady 3rd year medical student UC Davis School of Medicine (Rural Prime) joined in again as we went out to a local park where a group was providing food and clothing. Crister and I [...]
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It was a busy week for Street Nurse-Sacramento moving the effort along and making new contacts in the community and gaining more support each day. Not all stories here in the street have happy endings (actually happy fresh starts) but this week we had some. These three souls have places to live off the street now. My friend in the [...]
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It's been a busy couple of weeks for this nurse of the street. I was invited to attend wound care rounds with the wound care team of UCD Medical Center. It is the start of many wonderful things to come. It is an opportunity to partner with a center of excellence to improve patient outcomes both in the clinic I [...]
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Street Nurse-Sacramento has also seen an amazing out pouring of donations and offers of help in many forms. Knit hats from my friend Kate, new wound care products for my ever evolving bag (thanks Holly) and yes "Street Nurse-Sacramento" now has shirts (thanks Paul).
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This is Tony and we have spent a long time building trust and today as I passed talking to others near him he called me by name and asked me to come talk. He is dealing with multiple health problems including respiratory and gastrointestinal issues. He has agreed meet with me again tomorrow to develop a plan to come in [...]
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Back out in the street again this evening and stopped by to drop off some hygiene supplies provided by my friend Max and On The Go Towels. Returned as promised with Dr. Lovejoy in hope James (see picture from 5/5) had returned so we could get him in to care but he was not there. A couple of key folks [...]
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Today is Mothers Day and as I sat with my mother who is 102 years old I reflected on the women young and old who live unsheltered on our streets. All are someone's daughter, sister, loved one and many are or have been mothers. So on this Mothers Day if you pass such a women at the very least say [...]
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It's Art Second Saturday so I went out early on street rounds in midtown to catch up on some of those I see often. I was told that Jason pictured here again had taken a big step with some encouragement and gotten into Detox and had been for about a week. I had not seen him for awhile and was [...]
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Out this evening with the outreach team of Harm Reduction Services of Sacramento. HRS provides HIV/ STD testing, needle exchange and counseling. This evening they provided basic hygiene and first aid type items to a large group of homeless folks near the trails that lead to camps in the industrial and river areas. Without the services and compassionate care provided [...]
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He said his name is James "like in the bible" and says he has been on the streets for 16 years. He is now in his 30's. He is fearful of coming off the street but knows he needs care. He disclosed he has HIV/ Aids and hepatitis c. He is now blind in his right eye from being beaten [...]
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Images from this evenings street rounds. I had the pleasure of being accompanied tonight by Dr. John Lovejoy. Dr. Lovejoy and I work 40+ hours per week providing care at a local clinic. I have shared images taken by Bill Reid on past rounds and he expressed an interest coming along. I look forward to his input as this project [...]
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It's been a busy couple of weeks at the clinic and with moving this project along. I have been out but had little time to post. I thought I'd share a couple of pictures from when this all started about 5 weeks ago. The first picture is a young man probably in his late 20's or early 30's he said [...]
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Thanks again to my friend, architect and photographer Bill Reid for his support and images. (Image taken with consent) (Image taken with consent) (Image taken with consent) (Image taken with consent)
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Images from this mornings rounds. Again most of the issues involved wound care and foot care. Most issues easily provided for now that if not addressed can progress to worsening conditions that lead to ER visits and hospitalizations. (Image taken with consent) (Image taken with consent)
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This is the first day out on the streets interacting with our homeless population getting a better sense of their health care needs. A good friend of mine a local architect/ photographer followed along to chronicle the journey. After talking and giving out health care resources to a number of the homeless in the park I was asked to check on [...]
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Many of the homeless are in need of foot care due to failed shoes/ no shoes and exposure. If caught early enough and they are given basic over the counter supplies and are taught how to care for their feet they can avoid significant infections and worse. Being given clean white cotton socks and basic shoes also goes a long [...]
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Me, Tim Fallis This page is dedicated to improving health care resources and education to the homeless of our community. It is also here to encourage participation by other health care professionals and health care organizations in Sacramento to develop a more formal street medicine program. There are established "street medicine" projects in a number of cities including: [...]
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