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Dedicated to providing an additional layer of care and support for San Diegans in the safety and security of their own homes because there is no place like home.

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“An extra layer of support for you and your family when you need it most.”

Our Team

Emmet W. Lee, MD, FAAHPM

Emmet W. Lee, MD, FAAHPM

Dr. Lee was first drawn to the field of hospice and palliative medicine by a desire to provide his patients with the best possible continuity of care. He is committed to treating each of his patients as a whole person, a process that includes involving their families as active participants in the patient’s care.

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Sabiha Pasha, MD, ABIM

Sabiha Pasha, MD, ABIM

In practice for over 22 years Dr. Pasha discovered palliative care in 2005. As Dr. Pasha says, ultimately, suffering is a part of life and having someone to hold your hand, even for a moment, can ease the pain. Palliative care is not rocket science, but it is the one las bastion where the art of healing lives on.

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Nayana M. Trivedi, MD

Nayana M. Trivedi, MD

Nayana M. Trivedi was inspired to become doctor seeing her physician father teaching medical students. She graduated as valedictorian from the University in India. She did her residency in Internal medicine at Mount Sinai Medical Center in Miami Beach and became a board certified Internist.

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Igor Sister, MD, MS, CMA, FACP

Igor Sister, MD, MS, CMA, FACP

Dr. Sister received his education and medical degree from Ryazan State Medical University. He began his medical practice as an Internist, but a few years later, after relocating to Israel, he became interested in Geriatrics. Caring for seniors, overseeing their well being and aging process and understanding the challenges of dementia became a special focus and passion for Dr. Sister.

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Kathleen Mackessy, RN, FNP

Kathleen Mackessy, RN, FNP

Kathleen Mackessy has over seventeen years of nursing experience which includes critical care and trauma, medical, surgical, home health and wound care. Kathleen completed her Master’s of Science in Family Nurse Practitioner at California State University San Marcos. She is certified by the American Association of Nurse Practitioners and a standing member of the AANP.

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Edward Teare, NP

Edward Teare, NP

Edward holds a Bachelor of Science in Nursing Degree from the University of Toledo and a Masters Degree as an Adult/Geriatric Nurse Practitioner. He is board certified by the American Academy of Nurse Practitioners and has over eleven years of clinical experience.

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Barbara Smith, FNP

Barbara Smith, FNP

Barbara Smith-Gercke holds a Bachelor of Science in Nursing from Rush University in Chicago, and an MSN/FNP from the University of San Diego. Barbara is certified through the American Nurses Credentialing Center and has over twenty years of experience

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Meagan Goodman, MSN, FNP-BC

Meagan Goodman, MSN, FNP-BC

Meagan Goodman received her Bachelors of Science in Nursing from the University of Nebraska Medical Center in 2011. She received her Masters of Science in Nursing at Creighton University in 2015, specializing as a Family Nurse Practitioner. Meagan is Board Certified as a Family Nurse Practitioner.

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Christina Marquez, Program Manager

Christina Marquez, Program Manager

Christina Marquez has over eighteen years of experience working with senior in healthcare settings. She obtained her Masters of Gerontology from California State University in 2002. Christina has worked in various heath care programs including home health, hospice and palliative care.

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