I have known of Saint Francis Hospital since 1976. It has changed alot. Usually the E.R. is good & the hospital inpatient stays are what they should be. It changed drastically in the 2000s. It has problems but alot of those problems do not have offices no more. Dr. Patrick Hart was a good E.R. Physician when my oldest daughter had a fever that was above what it should be at age 13.5 months old. He taught me as he brought her fever down how to reduce fevers, which helped me later with my four children. Dr. Distefano, did ambulatory surgery on my oldest Son's arm & the Anesthesiologist did a great job regulating the anesthesia. Not a problem with that at all. He chose an orange cast & that made him happy at seven years old. The surgical nurses seen his sister's gift to him of an Avon Teddy Bear he had carried around as he was growing up & they used surgical thread to sew up a couple of years in the Teddy Bear. They all were a really good addition to that Hospital. Things change & though I am not fond of what has happened, I am glad that Chavala & Runes are no longer employed there. I think my Dad & my Grandmother would agree. What Maryville needs is a good Pediatric & Women's Doctor's Office, Regular Doctor Care, A G.I. Doctor's Office, alot less sickness & illnesses, Really caring nurses & caring Doctor's ( surgical & Office Doctor's). A quiet hospital that does not act as though they are mental & havecbehavioral problems is what we need back. There is common depression that is not ongoing & then there are children that need to be children. From what I have heard, over the years, some Doctor's overprescribe antidepressants, behavioral medications, & ADD-ADHD medications as if a child or adult needs these all the time. Some trends need to go away.