Staff

The Heart of Care: Celebrating Our Social Workers

At Puget Sound Kidney Centers, exceptional dialysis care goes far beyond clinical treatment. Every day, our social workers walk alongside patients and families as advocates, problem-solvers, counselors, and sources of hope. They are often the steady voice patients turn to when life feels overwhelming and their impact reaches into every part of the patient journey.

A new dialysis diagnosis brings more than medical decisions. It means navigating insurance and transportation, adjusting to changes in employment, coping with anxiety or depression, finding access to nutritious food, securing stable housing, and maintaining relationships and independence. Our social workers help patients face these challenges with dignity and confidence. They connect individuals to vital resources, guide them through complex systems, and ensure that no one feels alone in the process.

Their work is not only about solving problems, it is about seeing the whole person. Social workers celebrate milestones, provide encouragement on difficult days, support patients through grief and major life transitions, and help them set goals for the future, including transplantation, returning to work, or improving quality of life. They listen. They advocate. They empower.

For many patients, the social worker is the person who helps them move from fear to stability, and from simply surviving to truly living.

This support also strengthens clinical outcomes. When patients have reliable transportation, stable housing, access to medications, emotional support, and help understanding their care plans, they are more likely to stay engaged in treatment and experience better overall health. Social work is not an “extra” in dialysis care, it is an essential part of the interdisciplinary team that makes whole-person care possible.

Most importantly, our social workers bring humanity into every interaction. They build trusted relationships that can last for years, often becoming one of the most meaningful connections a patient has within their care team.

PSKC social workers are able to connect patients to emergency assistance, nutrition support, and other critical services that remove barriers to care. This is truly Hope in Action, compassionate professionals ensuring that every patient is seen, supported, and valued.

Today, we celebrate our social workers for the expertise, empathy, and unwavering commitment they bring to our community. Their work changes lives in ways that cannot always be measured but are felt every single day.

Why I Became a Social Worker

“When my son was born with a heart defect, I was overwhelmed, under-insured, and low-income. I had a social worker help me in the hospital and I thought, ‘what a great profession — helping people navigate very confusing, scary things with dignity and compassion.’ I started my social work journey shortly afterward and never looked back.”
— Monica

“I became a social worker for many reasons including having a lifelong commitment to social justice and service to others. It’s great to see the light shine in another person’s eyes. I deeply value the human connection.”
— Darcy

“Being a social worker means showing up where life is messy, complicated, and real, and believing that even there, dignity, choice, and hope still matter.”
— Michelle

“I love social work because it gives people a voice when they feel powerless, and reminds me why humanity belongs at the center of healthcare.”
— Cheryl

Kidney care comes full circle

Jacee Numbrado, dialysis tech at the Cogen Center in Bremerton.

At the young age of 18, while living in the Philippines, Jacee Numbrado was diagnosed with glomerular nephritis, resulting in end-stage kidney disease. He had been experiencing gouty arthritis symptoms for a week when he awoke one night with such intense pain, he was taken to the hospital where lab studies revealed a high creatinine level. He was given the choice of treating his condition with medication or starting dialysis. Jacee opted for medication which sadly did not help— he ended up going on dialysis two times a week while living in the Philippines.

Jacee and his family moved to the United States in 2019; he started dialysis at Olympic Peninsula Kidney Center (now Puget Sound Kidney Centers-Cogen Bremerton) that June. Soon after, with the support of clinic staff—who Jacee says “were always positive, made him feel comfortable and hopeful”—Jacee decided to pursue a kidney transplant.

In August 2021, Jacee received a kidney transplant at Virginia Mason. He did well during his weeklong stay in the hospital and was then released for observation at home for a month.

In July 2022, Jacee was hired as a dialysis technician at Puget Sound Kidney Centers-Cogen Bremerton. He is now helping provide care where he himself received care—a true full circle. Jacee wants to bring back what he received as a patient—hope and positivity.

“Every day is a new day and the staff at PSKC made this possible for me,” he says, “so I hope to do the same for patients I care for.”

Congratulations, Kathy Harvey!


Each year, National Kidney Foundation Council bestows the Susan C. Knapp Excellence in Education Award to one renal dietitian in the country.

Puget Sound Kidney Centers is proud to announce that our Director of Renal Nutritional Services, Kathy Schiro Harvey, has received this distinction for 2018!

Kathy is an expert in nutrition education, having a Master’s in Nutritional Sciences from the University of Washington (UW). For the past 37 years, Kathy has been a renal dietitian and nutritionist, specializing in chronic kidney disease (CKD) education and dialysis.

Kathy accepting her award from the National Kidney Foundation Council on April 11, 2018.

Always looking for new ways to help improve the quality of care for people with CKD, Kathy is active in the CKD community. Her involvement includes working with organizations like the National Kidney Foundation, Academy of Nutrition and Dietetics and Washington State Council on Renal Nutrition.

Kathy is a frequent lecturer on renal nutrition and is a dietitian preceptor at local and out-of-state universities, including UW, Washington State University (WSU), Central Washington University (CWU), Bastyr University, University of Northern Colorado (UNC), University of Houston (UH) and Iowa State University (ISU). Moreover, Kathy has contributed to the production of numerous renal nutrition publications, including textbooks, peer reviews and professional manuals as an author, coauthor and editor.

Congratulations to Kathy for her dedication and hard work! She is an important and valuable member of our team, and we are honored to serve with her.