Our Team and Wellness Experts

HOW’s dedicated team is passionate about providing our clients with the information and inspiration for a healthy heart.

We believe in nurturing healthy communities and are dedicated to helping our clients “Be Well”!

David Sauro

David is the founding President of HOW. After attending various programs on wellness, David decided in 2013 to offer his community an integrative wellness program. As he dove into this passion project, he developed the “HOW Tripod” for a healthy heart which incorporates nutrition, movement, and “ARE” -attitude, relationships, and emotions- to promote a holistic approach to heart wellness. David continues to enlist local wellness experts to speak at HOW programs. HOW events are created to leave participants feeling informed and inspired to embrace a healthier lifestyle.

David has been an athlete most his life, from playing division three football in college, to running the Boston Marathon multiple times, to officiating collage and high school football for almost 20 years, to most recently enjoying the many benefits of yoga. Professionally, David has a vast and impressive career in construction management. He has a degree in Business Management from Suffolk University, is a Certified Mindfulness and Wellness Life Coach, and has a certificate in QiGong for Health and Healing. David is supported in his mission to create healthier communities by his wife Janice, his three grown daughters and five grandchildren.

David can be reached at [email protected]

Pat Clark

Patrick Clark is a veteran educational leader who believes that individual health and happiness is the foundation for successful schools and communities. Daily habits around Attitude, Movement, Emotions and Nutrition; The AMEN Principle, improve quality of life. Happiness is the result of a still, content mind and always found within. Physical and emotional health require proactive maintenance and are indistinguishably intertwined.

After completing 50 marathons before the age of 45, Pat shifted his focus to helping others regain or maintain health and well-being by joining the Heart of Wellness Team, speaking at local events and being a contributing writer on the AMEN Principle. Having experienced both the Boston Marathon Bombing and a recent open-heart surgery, Patrick has come to believe that we should not postpone our happiness and always keep moving forward.

​Patrick has a Bachelor’s degree in History from Stonehill College and a Master’s in Educational Leadership and Management from Fitchburg State College. He resides in West Barnstable with his wife Amy and three children. Pat currently serves as Vice Principal at Nauset High School and on July 1, 2022 will assume the position of Principal.  Email Patrick

Barbara Gleason

Barbara Gleason is a Health and Physical Education teacher at Barnstable High School. She is also a children’s book author (www.myhometownbooks.com) and Independent Consultant with Arbonne International.

Always looking for ways to live a healthier lifestyle and share information with others, it was a natural fit when she was asked to help assist with HOW events and programs. She has a B.S. in Physical Education with a double minor in Recreation and Health from Bridgewater State College. She holds a Masters of Science in Health, Family and Consumer Sciences from Cambridge College. She also holds various certifications from AAAI in wellness, fitness and nutrition.

Barbara resides on Cape Cod with her husband and 3 children. Email Barbara

Dr. Jane Ward

Dr. Jane Ward served as an ophthalmologist and flight surgeon physician during her 26 year USAF career during which she was Program Director for the ophthalmology residency and Consultant to the USAF Surgeon General for ophthalmology. She has been a lifelong athlete. She rowed as an intercollegiate athlete in the 1970’s at Wellesley College, MIT and University of California, Berkeley. She soon added marathons and triathlons to her cross training.

After completing her USAF career, she earned a master’s in public health in physical activity and public health from George Washington University in 2012, and focused on the influence on health of the built environment. During this time, she co-founded an interest group of built environment and public health professionals at the National Institutes of Health, who maintain ongoing meetings and workshops. Jane studied the new medical specialty of Lifestyle Medicine starting in 2011, and became board certified in 2018. Her current passion is teaching and coaching healthy living strategies to individuals, couples, or small groups to empower them to maximize their own health. In addition, she consults with individuals, groups, and community committees on aspects of healthy public spaces.

Dr. Ward and her husband, Dr. Steve Waller, relocated from Washington DC to Cape Cod in December 2017, returning to Centerville, where they were married in 1972. They have three adult daughters who share their love of the outdoors and active lifestyles and live scattered to London, Anchorage, and Sacramento.

Tammy Smith

Tammy Smith has more than 30 years of experience in the health, nutrition, and fitness industry. Drawing on this knowledge, Tammy helps her clients create a healthy balance (www.creatingahealthybalance.com) that suits their unique body, lifestyle, preferences, and goals. She enjoys spreading her enthusiasm and devotion to healthy living throughout the community by volunteering her time to the Barnstable Schools Wellness Committee, BOKS before school exercise program, the PTO, the HOW movement, and Lyme Awareness of Cape Cod.

Tammy has a Bachelor’s degree in Sports and Movement Science from Salem State University, an Associate’s degree in Dietetics from Essex Agricultural & Technical Institute, and she received her certificate to practice Nutrition and Weight Management Coaching from the Institute for Integrative Nutrition – SUNY Purchase College in New York. She is a Certified Personal Trainer, a Certified Group Exercise Instructor, and a Certified Weight Loss Coach.


Pernille was born and raised in Denmark, and believes that yoga is a way of life that begins off of the mat. Knowing from personal experience that yoga is a practice that makes you stronger both mentally and physically, Pernille aims to guide her students through the challenges of everyday life with powerful, eclectic classes that challenge and strengthen both the mind and the body.

Pernille is a graduate of the 200-hour Finding Inner Peace yoga school and the Meditation Yin Yoga Teacher Training with Sagel Kelly Urlacher and is currently completing a 300 hour certification with Jacqui Bonwell at Sacred Seed Yoga. She has trained with several inspirational teachers, including Bryan Kest, Sadie Nardini, David Vendetti and Ame Wren. Constantly looking to deepen her practice and extend her education, Pernille enjoys exploring all different types of yoga. She has taught extensively throughout many areas of the United States, including Cape Cod and La Jolla, California.