The symptom management team includes experts in nursing, home health, hospice, palliative care and more.
Thomas Ledyard, MD
Dr. Thomas Ledyard is the medical director of the Symptom Management Group as well as Community Home Care and Life’s Journey: Choices in Care. In 2014, Dr. Ledyard became a fellow of the Charles Warren Fairbanks Center for Medical Ethics at Indiana University Health. He is the former medical director of the Jane Pauley Community Health Center.
Tom was raised in a large family in northwest Indiana. He received his bachelor degree at Indiana University and his medical degree at Michigan State University. He completed his residency at Community Hospitals in 1997.
Tom's wife, Robin, is a physician executive at Community Health Network. They have two daughters.
Nancy Fields, MSN, APRN-BC
Nancy Fields is a board certified adult nurse practitioner. She is a certified hospice and palliative nurse practitioner and a certified case manager. Her palliation education and work experience make her a perfect fit for Community’s patients with symptoms due to cancer and other chronic illnesses, as well as life adjustment issues. Nancy has worked with the Symptom Management Group since 2011. Prior to that, she worked at Community Home Health Services for more than 10 years, helping home care patients and inpatients manage their pain and symptom concerns.
Rosemary Freedman, NP, CNS, MSN, APRN-BC
Rosemary Freedman is a board certified psychiatric nurse practitioner and clinical nurse specialist. She has more than 13 years of experience as an oncology nurse. She also spent a number of years mentoring and teaching undergraduate nursing students and operating a private psychotherapy practice. Rosemary is able to serve the emotional and psychiatric needs of patients, in addition to managing symptoms of chronic illness. She has counseled patients and families on a wide variety of issues, including cancer and grief.
Rosemary is married and has seven children. She is studying to become a master gardener and enjoys photography, plays and children’s literature. Her straightforward “keeping it real” approach is very popular with her patients. Rosemary believes that combining her oncology background with her experience as a psychotherapist enables her to provide comprehensive care to patients with chronic illness.
Carla Mathison, MSW, LCSW, ACHP-SW
Carla Mathison is a licensed clinical social worker with certification in hospice and palliative care. She has worked for Community Health Network over 20 years, most recently with the inpatient palliative care team, Life’s Journey: Choices in Care. Prior to Life’s Journey, she was a case manager in the sub-acute rehab unit at Community Hospital East. Carla has extensive experience working with patients and families facing chronic illness and life-altering situations.