A member of our Neurology team, Maria Gonzales, FNP-C, is a nurse practitioner who works closely with neurologists and other clinical staff to assess, diagnose and treat patients with neurological conditions such as stroke, epilepsy, multiple sclerosis, Alzheimer’s disease and chronic headache. Born and reared in the Philippines, she earned her Bachelor of Science in Nursing before emigrating to the United States in 2005. She practiced 17 years in healthcare settings in New York. In 2017 she joined Trinity Health, where she cared for patients in the Emergency/Trauma Center before completing her Master of Science degree in Advanced Nurse Practice from Walden University, Minneapolis. Maria is certified by the American Academy of Nurse Practitioners. She enjoys traveling when she’s not taking care of patients.
Vocal Cord Paralysis
Robert Fischer, MD
A member of our Ear, Nose and Throat team, Robert Fischer, MD, is an otolaryngologist, dedicated to providing high-quality, up-to-date care to adults and children with ear, nose and throat conditions. Dr. Fischer is board-certified in Otolaryngology with three decades of ENT experience. He is well-equipped to provide medical and surgical care for the full range of disorders, from ear and sinus problems, to head & neck surgery and facial plastic surgery. A magna cum laude graduate of the University of Wisconsin, Dr. Fischer earned his medical doctorate from the Medical College of Wisconsin and completed his Otolaryngology residency at Portsmouth Naval Hospital in Virginia as part of a 10-year association with the U.S. Navy Medical Corps. After discharge, he practiced at Duluth Clinic in Minnesota and Wind River ENT in Lander, WY, before joining Trinity Health in 2015. He practiced four years with Sanford Health in Bemidji, MN, before returning to Trinity.
Alycia Coutts, FNP-C
A board-certified nurse practitioner, Alycia Coutts, FNP-C, cares for patients as a member of our Ear, Nose & Throat team. She works with otorhinolaryngology surgeons and other team members to manage the care of children and adults with acute and chronic ENT conditions such as ear infections and other concerns, sinusitis, head & neck problems, and sleep issues. Alycia received her Master of Science degree in Family Nurse Practice from Simmons University. Prior to that she earned an Associate of Science Degree in Nursing from Williston State College and worked as an RN at Trinity Health as a family practice nurse and a charge nurse in Labor & Delivery. A member of Sigma Theta Tau International Honor Society of Nursing, the American Association of Nurse Practitioners, and the North Dakota Nurse Practitioner Association, Alycia enjoys spending time outside with her family and watching hockey.
Rob Thomas, MD
A specialist in Ear, Nose and Throat Medicine (Otolaryngology) and Head and Neck Surgery, Dr. Thomas provides medical and surgical care for children and adults with ear, nose, and throat conditions, including ear infections, snoring, sleep apnea, hearing loss, dizziness, voice evaluation and surgery, and thyroid and salivary gland disorders. He earned his medical degree from Vanderbilt University School of Medicine, Nashville, where he was named a member of Alpha Omega Alpha Medical Honor Society in recognition of scholarship and professionalism. He completed a five-year residency in Otolaryngology and Head and Neck Surgery at the University of Florida, Gainesville. He’s a member of the American Academy of Otolaryngology – Head and Neck Surgery.
Mary Sadler, FNP-C
A nurse practitioner in Trinity’s Neurology Department, Mary Sadler, FNP-C, works closely with neurologists and other clinical staff to assess, diagnose and treat patients with neurological illnesses and injuries. She earned her Bachelor of Science in Nursing in 1998 from Minot State University and practiced 10 years with Trinity Health in the Rehabilitation, Ortho/Neuro and Emergency/Trauma departments. In 2010 she received her Master of Science/Family Nurse Practitioner degree from the University of Mary in Bismarck. Since then she has served patients in family practice and emergency settings, most recently serving as an Occupational Health/Family Practice nurse practitioner with Sanford Health. She’s a member of the American Academy of Nurse Practitioners, the North Dakota Nurse Practitioners Association, the American Academy of Neurology and the American College of Occupational and Environmental Medicine.
Rosina Medel, MD
Rosina Medel, MD, is a neurologist board certified by the American Board of Psychiatry and Neurology. Dr. Medel provides specialized care for patients dealing with the full spectrum of neurological disorders affecting the brain, nervous system, peripheral nerves and muscles. She received her early medical training in the Philippines, earning a nursing degree and later a medical doctorate from the University of Perpetual Help System. She migrated to the United States, where she completed a preliminary residency in Internal Medicine at Nassau University Medical Center, East Meadow, NY. She fulfilled her Neurology residency and performed a fellowship in Clinical Neurophysiology at JFK Medical Center in Edison, NJ, where she served as chief resident her final year and earned numerous awards for academic and clinical excellence. Dr. Medel is a member of the American Academy of Neurology.