Dr. PK Fonsworth

Meet Dr. PK Fonsworth

Dr. Fonsworth offers a lifeline because he had one

Sometimes people come into your lives at just the right moment. When you are struggling with drugs or alcohol. When you are anxious or depressed.

Sometimes when you are just two weeks old.

PK Fonsworth’s adoptive grandmother, Ethel Watanabe, was 65 when she met the baby PK Fonsworth and chose to raise him.

“I still don’t know why she did it,” says Dr. Fonsworth, MLKCH's first addiction psychiatrist. “We really changed each other’s trajectories, 100%.”

It was the 1980s in the Philippines, a world away from South LA. Ethel was a Japanese American who owned a beauty salon. PK’s biological mother was a local woman who could not care for her child and felt he deserved more.

Ethel threw a lifeline and adopted the child.

Her love, devotion, and struggle would set the young boy on a path from poverty to achievement.

And her example is what motivates Dr. Fonsworth to care for people struggling with addiction, homelessness, and poverty.

“There’s a part about being at MLKCH that is not my first rodeo,” says Dr. Fonsworth. “I know about adversity.”

“No matter what it takes”

When he was 10, PK and Ethel moved to the United States so he could have better educational opportunities. Ethel had a plan.

“The goal was college—no matter what it takes,” Dr. Fonsworth says. Ethel's specific goal was a full scholarship for PK. By then, she was in her 70s. They were living on her small social security check and what PK could make from after-school jobs. “It was magical thinking,” Dr. Fonsworth recalls. “But she was determined.”

The two lived in a one-room converted garage behind a house. There was ivy growing through the windows. There was no money for vacations or after-school sports or even new clothes for school. But as a kid unaccustomed to better, and in the care of a loving soul, it didn’t seem terrible. “It wasn’t until later in growing up I realized that those were not ideal circumstances,” he says.

A Safeway cashier threw the next lifeline. She noticed the young boy and his grandmother shopping and offered them a ride home. When she saw how they were living, she decided to help. At first, she bought them groceries. Later, she became a second family.

Then PK received a full scholarship to the University of California at Berkeley.

Then cancer found his grandmother.

She died when he was a freshman at UC Berkeley. But before she died, she knew that she had succeeded in her near two-decade quest to put her grandson on a path to success.

“College…was for her really kind of like the transferring from one kind of mother to another. She was able to give me over to an actual alma mater, ‘a nurturing mother,’ knowing I had a future.”

Throwing the lifeline

Today, Dr. Fonsworth’s mission is to give others the same chance.

Addiction medicine psychiatrists are few and far between. Dr. Fonsworth says only a few—two to six—graduate each year in Southern California, an area of 24 million people. In South LA, he is one of a small handful of psychiatrists who specialize in the treatment of addiction. He may be the only one in South LA who is bi-racial and speaks Spanish.

“For me it’s an opportunity to work with the underserved. It’s an opportunity to speak Spanish every day,” says Dr. Fonsworth. “And from my own experience of moving between two worlds—privileged and not—I have a sense of this community. My background and training deeply informs how I care for people.”

South LA has Los Angeles County’s highest rate of drug or alcohol-related overdoses. It has the second highest rate of binge drinking and misuse of prescription drugs. It has the highest marijuana-related emergency department visits for youth and young adults. It also has a dire shortage of providers compared to more affluent areas. Psychiatrists are in even shorter supply.

Dr. Fonsworth’s message to his patients: he is here.  

“If you are someone who has grown up in extreme marginalization, you may feel that this is how the world works. That you don’t deserve better care. The good news is that there are people who care very much and are dedicated to this population.”

He relates it back to his grandmother, to the lifeline she extended to him so many years ago.

“To be a lifeline to other people, as an addiction medicine psychiatrist, that is very much coming from a deep place of me.”