A M E R I C A N I N D I A N by wangping12


									A M E R I C A N                                       I N D I A N

 A Publication of the Oklahoma City Indian Clinic

                                                              30th Anniversary
                                                              Activities Draw
                                                              Rave Reviews
                                                              Walk for Wellness
                                                              Pow Wow
                                                              Red Feather Gala

                                                              Clinic Attains
                                                              Katrina Victims Find
                                                              Help ~ A tale of two

                                                              Also.... Eat Healthy to
                                                              Stay Healthy

                                                    Winter 2006   Winter 2006 Page 1
                      progressive concepts in urban Indian health & wellness

       Joe Swalwell                                                                                     Steve Barse
          Editor                                                                                       Associate Editor

                                                    Terrence Hunter

             The views and opinions expressed in this newsletter do not necessarily reflect those of the Oklahoma
                 City Indian Clinic or the Indian Health Service. We apologize for any errors in print or fact.

                                Visit our website at WWW.OKCIC.COM

       Charitable donations made to the Oklahoma City Indian Clinic are
    tax-deductible. If you would like information regarding making a gift or
contribution to our Clinic, please contact our Community Development Director,
      Rita Wright RN MPH at 405-948-4900 ext 276 or rita.w@okcic.com

                 Through the benevolence of charitable donors,
     our Clinic is able to continue our mission of promoting and elevating
      the health status of American Indian people in the Oklahoma City
                     urban area to its highest possible level.

                              Thank you for considering us as your
                                  “charity of choice in 2006.”
                  Clinic Celebrates 30 Years
                Of Serving Tribal Urban Indians

Terry Hunter, Kiowa, Chief Executive Officer
                                          It is with deep satisfaction that I wit-
                                          nessed the culmination of our 30th An-
                                          niversary celebration activities. The Red
                                          Feather Gala held October 29, 2005 at
                                          the Montgomery Center in downtown
                                          Oklahoma City was a huge success. Part
                                          celebration and part fund-raiser, it proved
                                          to be the beginning of a new annual event
                                          for our Clinic. Through the efforts of my
                                          staff, community members, volunteers
I hope you enjoy the format of our in-    and our board of directors, over 250
augural newsmagazine HORIZONS.            guests attended the first ever fund-raiser
It is a reflection of our moving toward
                                          of this sort for the Clinic. People are al-
the future ~ Terry Hunter, CEO
                                          ready asking, if we will be having an-
                                          other Red Feather Gala in 2006, and my
                                          answer is YES!
                                                                                         Board Member Mary Ann Brittan
                                                                                         and her family enjoyed Red Feather
 In addition, the 30th Anniversary Walk for Wellness and Pow Wow held                    Gala immensely.
 August 20th created quite a buzz. The event exceeded all of our expecta-
 tions. In excess of a thousand people were in attendance. In spite of the
 unexpected throng OKCIC staff saw to it that the dance ran smoothly and
 everyone was fed. Activities included gourd dancing in the afternoon, art
 vendors, grand entry, and dance contests in all age groups. Plans call for
 making this an annual event.
                                                                                        I would like to thank the many
        Tremendous turnout for gourd dancing
                                                                                        outside volunteers, patients and
                                                                                        non-patients who gave so gener-
                                                                                        ously of their time. Your efforts
                                                                                        insured that our Red Feather
                                                                                        Gala, Pow Wow and Walk for
                                                                                        Wellness were a rousing success.
                                                                                        It is so great to have the support
                                                                                        of all of the persons that it took to
                                                                                        make these events so successful.
                                                                                        We sincerely appreciate each and
                                                                                        every one of you. So much sup-
                                                                                        port, from so many individuals,
                                                                                        shapes the future of our Clinic.
contents                                                           Medicare
                                                                        Do you have a
5      AAAHC Accreditation
       The Clinic passes rigorous standards of
                                                                      plan for Medicare
       the Accreditation Association for
       Ambulatory Health Care
                                                                    prescription coverage?
6      30th Anniversary Kick-off
       Wellness Walk & Pow Wow
                                                                     If you receive Medicaid in addition to Medicare
8      Traditional and Modern Unite                                  or the State pays for your Medicare premiums,
       Indian culture was alive and well at the very modern Red
                                                                     you automatically qualify to receive the coverage
       Feather Gala
                                                                     with no monthly premium or annual deductible.
10     Brothers Find Help After Katrina
                                                                     The State will no longer be paying for your
       A tale of two brothers                                        prescriptions after December 31, 2005. You will
11     Johnson & Johnson Fund Program                                be transferred to a Medicare Prescription Drug
       The OKCIC CareGivers program                                  Plan. If you don’t pick a plan you will
       will focus on grandparents acting as parents
                                                                     automatically be assigned to one, BUT it may
11     Spotlight On Staff                                            not be the best plan to meet your prescription
       Sarah Brown, LPN                                              needs. We can help you compare plans. One
12     Pharmacy                                                      advantage of the new program is there will be
       Medicare and refill information                               no limit on the number of prescriptions you have
12     Wellness Center                                               filled each month and you will not have a gap in
       New director selected
13     Improving the Health of Our Children                          If your income is less than $1,196 per month if
       Immunization Outreach Program                                 single or $1,604 per month for a married couple,
14     Eat Healthy to Stay Healthy                                   you still may be eligible to receive “Extra Help”
       A quesadilla for the new year                                 through the Social Security Administration to
14     Know the Risk Factors                                         help pay for monthly premiums and annual
                                                                     deductible. We can help you with the application
       Healthy heart awareness
                                                                     process. This is especially important if you have
15     BRAID                                                         to buy prescriptions at a retail pharmacy that we
       Being Responsible American Indians with Diabetes              do not supply. If you qualify for extra help, the
16     Care To Be Smoke Free?                                        Clinic can receive reimbursement for
       The Great American Smokeout                                   prescriptions you have filled at the Clinic
17     Showing Positive Results                                      pharmacy.
       Breast Care Program
                                                                      If you are not on Medicaid or your income is
18     New Employees                                                 over the amount to receive extra help you still
       Check out the new staff                                       might benefit from Medicare Prescription Drug
18     Looking to Volunteer?                                         Coverage if you have to buy prescriptions that
       Explore the VIP program                                       we do not supply at a retail pharmacy.

                                                                  For further assistance contact Robin Parker
                                                                             405.948.4900 ext 249

Page 4 Winter 2006
                        Team Effort Gains Clinic
                         National Accreditation
On April 29, 2005 the Oklahoma City Indian Clinic
achieved a significant milestone. That is the day
accreditation was received through the Accredita-
tion Association for Ambulatory Health Care
(AAAHC). The AAAHC is analogous to the Joint
Commission on Accreditation of Health Care Or-
ganizations (JCAHO), widely known for its accred-
iting of hospitals. The AAAHC however, focuses
exclusively on ambulatory facilities such as the
Oklahoma City Indian Clinic.

Any organization seeking accreditation, regardless
of name, mission statement, or primary service
provided, must meet the high standards set forth by
the AAAHC. These include applicable portions of           “Being accredited means that we have national standards
the Core Standards, titled Rights of Patients,            that we abide by to insure that our patients are getting the
                                                          highest quality care.”
Governance, Administration, Quality of Care
Provided, Quality Management and Improvement,             Robyn Sunday-Allen, RN, MPH,
Clinical Records and Health Information, and              Chief Operating Officer
Facilities and Environment.

This is something new for our Clinic, which has not been previously accredited. Being accredited means
that we have national standards that we abide by to insure that our patients are getting the highest quality
care possible. Our accreditation start date was April 29, 2005 and we were rated at the highest level, which
is for three years. And we passed our accreditation without any deficiencies. All the staff were an integral
part in us being accredited at the highest possible level. Accreditation is a voluntary process through which
an organization is able to measure the quality of its services and performance against nationally recognized
standards. The accreditation process involves self-assessment by the facility, as well as a thorough review
by the Accreditation Association’s expert surveyors, who themselves have extensive experience in the
ambulatory healthcare environment. The accreditation certificate is a symbol that an organization is
committed to providing high-quality healthcare and that it has demonstrated that commitment by measuring
up to the Accreditation Association’s high standards. It was not a job that one person did alone. It was a
team effort of all ninety employees.

 “On behalf of the Oklahoma City Indian Clinic Board of Directors, I would like to congratulate
 Robyn Sunday-Allen and the other team members for the tremendous leadership that they portrayed
 in obtaining the national accreditation for the Clinic. Although, it took all the staff to facilitate it,
 Robyn was the key player who initiated the plan and saw it to its completion.”
                                                         Rufus “Buddy” Cox, OKCIC Board President

                                                                                                   Winter 2006 Page 5
                                                                                               After thirty years of healthcare service to
                                                                                          American Indians in the Oklahoma City area, a
                                                                                          big celebration was well deserved. Terry Hunter,
                                                                                          Chief Executive Officer for the Clinic, knew that
                                                                                          the celebration should involve patients, staff
                                                                                          members, board members and community
                                                                                          members. For Mr. Hunter and his staff, it was
                                                                                          important to include as many people as possible
                                                                                          from the early days of the Clinic. It was decided
                                                                                          that this thirty year celebration should be
                                    Wellness Walk                                         celebrated with a giant health promotion event,
                                                                                          concluded by a spectacular Pow Wow. He knew
                                                                                          this would be a great tribute to all the people
   Annual Walk for Wellness                                                               who had contributed so much to the Clinic in
                                                                                          the past thirty years.

     On August 20, 2005 the big day had come! It was a
beautiful August morning and staff members and volunteers
began arriving at the State Fairgrounds Centennial Building
around 6:00 am. Many staff members including our CEO,
did not leave until almost 2:00 am the next morning. It was
a full day of promoting healthy life-styles, listening to the
beat of the drum and enjoying old friends and family
     The annual Walk for Wellness began early in the morning
and concluded mid afternoon. There were 243 patients who
attended and walked a mile. Free tee shirts were given to                              Dr. Gordon Deckert gives a lively presentation to the
everyone who walked. There were over 40 health promotion                               group on the health status of Oklahomans.
booths with healthy information available for all who were
in attendance.
                                                        A special event at the Walk was the Talking Circle. Jackie Jones from the Central
                                                   Oklahoma Turning Point, an agency of the United Way, coordinated the healthy talks.
                                                   Jackie arranged for speakers such as Sue Hale, Executive Editor with the Oklahoman
                                                   and co-chair of Central Oklahoma Turning Point (COTP), Mary Daniel, co-chair COTP;
                                                   Jo Ann Pierce, Bonnie Fowler, Jackie Landler with A Chance to Change; and Bob
                                                   Kenworthy with Oklahoma Natural Gas. Also speaking were Dr. Gordon Deckert,
        Families compete for prizes                University of Oklahoma and chairman of the Policy Committee of the Oklahoma Board
                                                   of Health.

                                                      A delicious noon meal was planned, prepared and served under the direction of the
                                                 Clinic’s Registered Dietitian, Cathy Waller, RD/LD/CDE. Over 250 participants enjoyed
                                                 the food as they finished their walk and continued to benefit from the rest of the healthy
                                                 activities. A souvenir water bottle filled with sugar-free lemonade was given to each
                                                 person sharing in the meal.
                                                      Special 30 Year Anniversary tee shirts were designed by a talented Clinic staff
                                                 member, Shane Hunter. These shirts were given to each person that participated in the
                                                 walk. From youth to elders, participants were excited to add this latest addition of
                                                 Clinic shirts to their collection. It was very exciting for our staff to see the multitudes of
                                                 participants checking out their new tee shirts.

Page 6 Winter 2006
Pow Wow

                  The Pow Wow was deemed a great success by
                  many attendees. It is estimated over a thousand
                  people participated. Mr. Hunter announced plans
                  that call for the dance to become an annual event.
                  A very special thank you goes to the churches
                  that provided supper: United Methodist
                  Churches Mary Lee Clark, Billy Hooten, Angie
                  Smith; and Emanus Baptist Church of McCloud.

   Culture - Community - Celebration
                                                   Winter 2006 Page 7
                       Red Feather Gala Fund-raiser
A formal fund-raiser for the Oklahoma City Indian Clinic was held on October 29, 2005 at
the Montgomery Center, downtown Oklahoma City. The fund-raiser event was called
“Red Feather Gala.” The event not only raised needed funds for the Clinic’s children’s                      Dr. Everett Rhoades
health programs, but also helped celebrate the 30 year anniversary of healthcare services
to tribal urban Indians. This event was targeted toward community members and corporate
sponsors. The first ever fund-raiser of this type for the Clinic was headed by Rita Wright
RN MPH, Community Development Director.                  Terry Hunter

When asked about the highlights of the
evening, Rita Wright stated, “There were over
300 people in attendance that night support-
ing our Clinic and its mission. We sold thirty-
two tables to a variety of corporate sponsors.
The silent auction was a big hit. I was amazed
with the generosity of the people attending.
Terry Hunter acted as the Master of Ceremo-
nies and did a great job at keeping the evening
flowing and selling the silent auction items.
                                                                                                                        Carol Ayers
Robyn Sunday-Allen and David Toahty were
so gracious in welcoming all of the guests and
making sure everyone was having a good                                                       Tyler Factor
time. Our board of directors backed us all
the way in this event, which contributed to its
success. The decorations were magnificent,
music by flutist Terry Tsotigh was so impres-
sive, the traditional entertainment by Steve
Littleman was spectacular and the comedy
routine by Eunice the Bag Lady was incred-
ibly funny. Not to mention the food served
by Aunt Pittypat’s catering was simply won-
derful. Everywhere I go now, people want to         David and Lisa Toahty
ask me about plans for next year’s gala. And
yes… we do have plans in the works for Red
Feather Gala 2006.”
                                                         The Clinic would like to thank everyone that attended or participated in any way. Individuals
                                                         who contributed to the silent auction items were especially generous. Hundreds of hours
                                                         of volunteer work went into this event. Honorary co-chairpersons Linda Harting and Mary
                                                         Schmidt worked tirelessly for months to make this event such as success. Robyn Sunday-
                                                         Allen, Chief Operating Officer for the Clinic, summed it all up by saying, “It was so perfect
                                                         to see all this unfold and be such a successful event. I am honored that our Clinic has so
                                                         many friends and supporters that will turn out and help us in our efforts to raise money for
                                                         our children’s health promotion programs. Developing relationships with community
                                                         members is a big goal for our Clinic’s mission. I believe the Red Feather Gala was a great
                                                         way for the community to learn more about us and develop lasting collaborations.”

                  Thanks to the following for purchasing corporate tables
  Association of American Indian Physicians - Bally’s Gaming - Banc2 - Rhonda Heafy - Oklahoma Breast Care Center
  - Chickasaw Nation Industries - Chickasaw Nation - Comanche Nation - Comanche Red River Casino - Dale Matherly
  Mechanical - Enterprise Car Rental - Gary Pitchlynn - Greer Solutions - Indian Health Care Resource Center of Tulsa
  - Intrust Bank - JoAnne Kaufman - Kelly Smith - Kickapoo Tribe - Kickapoo Casino - Lonnie Wright - MCI Diagnos-
  tic Center of Tulsa - Dr. Musarat Saeed - NABHOLZ Construction - Native American Times - University of Oklahoma
  Health Sciences Center

    Page 8 Winter 2006
                                                   Volunteering for
    Mary Schmidt

         Honorary Co-Chairs
                           Linda Harting
                                                    Indian People
     The Volunteers for Indian People         sounded fun and interesting and volunteered for     She sees the event growing significantly and
(VIP) proved indispensable during the         the project. She started by making phone            intends to see that planning starts much
Red Feather Gala. Along with the many         solicitations, something that did not come easy     earlier next year. With her experience in
volunteers were Mary Schmidt and Linda        for her. A small part of her work included direct   sales and as a trainer for Estee Lauder she
Harting, who became designated as             contact with potential corporate givers. She was    has had contact with large groups of people.
Honorary Chairpersons.                        also able to do some brainstorming on how the       This background served her well as she
     Mary used to access the Clinic when      Gala could best work. Mary did not hesitate to      worked diligently in helping to secure
it was still downtown. She remembers          jump in when the time came to actually set up       corporate and individual sponsorship for the
how nice the people were, and wanted to       for the Gala. It was a massive undertaking and      Red Feather Gala.
somehow reconnect with the Clinic. She        she received great satisfaction in seeing                Linda has known Rita Wright for years
filled out an application to volunteer and    everything come together.                           and has worked on other projects with her
soon thereafter heard from Rita Wright.            Linda Harting felt very pleased to be          outside the Clinic. She has been impressed
Mary was impressed with the                   selected Honorary Co-chair of the event. Linda      with her compassion and dedication towards
professionalism of the VIP concept and        is employed by Dillard’s at Penn Square Mall        the Clinic. Three years ago Linda
liked what was planned for the program.       under the management of Mr. Brad Baker. She         volunteered for TURTLE Camp. She was
A group dinner was held to get acquainted     has been very gratified to learn how much the       touched by the appreciation shown by the
with one another and discuss the talent on    participants enjoyed the proceedings and what       children and has been hooked on that project
hand and the needs of VIP.                    a great time they had. She feels there is           since. She sees many possibilities in fund
     Mary felt the Red Feather Gala           tremendous potential in the Red Feather Gala.       raising for OKCIC and will continue to add
                                                                                                  her knowledge and hard work to that effort.
                      Jennifer Pierce                                                                  The Clinic would like to express
                           Co-host                                                                gratitude to Dillard’s and Mr. Baker for their
                                                                                                  generous donations to the Red Feather Gala.
                                                    Samantha Bointy

                                                                                          Dr. Janice Hixson
                                                                                          and husband Jim

           Terry Tsotigh
                                                                     Zack Morris

                                                                                                                    Winter 2006 Page 9
               Brothers Find Help After Hurricane Katrina
                                                                                  patients in ICU and Recovery died during this time, much to the gut-wrenching
                                                                                  frustration of everyone involved.
                                                                                       Throughout the prolonged crisis at the hospital, James was most anxious
                                                                                  for news of his wife, Anita. He had last talked to her 6:00 am Monday and
                                                   Tom Roy finds                  then lost contact. As the days went by and the enormity of the flooding
                                                   help at OKCIC                  became apparent James feared the worst: that his wife was a casualty of the
                                                                                  storm. He was briefly able get away to check on his home, but was thwarted
                                                                                  by the damage and essentially remained trapped at the hospital until Friday.
                                                                                  Finally, he was able to leave the hospital by airboat, but quickly found himself
                                                                                  frustrated amid the confusion of the evacuation process, which eventually
                                                                                  brought him to Baton Rouge. With the help of his brother, he too found his
                                                                                  way to his mother’s home in Moore. They arrived Sunday morning at 5:00
                                                                                  am, exhausted by the ordeal, and still lacking information on whether Anita
                                                                                  was alive or not, or even where she was located. But much to the relief of all,
      The Oklahoma City Indian Clinic has recently proven to be a much-           the phone rang at 7:00 am and it was indeed Anita. She had found her way to
needed resource for two Otoe-Missouria brothers. Tom and James Roy                Camp Gruber outside of Muskogee, Oklahoma. He’d never been so happy to
were born and raised in New Orleans, and their thick accents reflect              have such desperately needed sleep interrupted.
that fact. Their father was a Merchant Marine based in New Orleans, so                 He soon found out just how lucky Anita was to be alive. Still at their
these two American Indians have always thought of Louisiana as their              home, she was up early that morning and was feeling some relief after the
home.                                                                             storm had passed. But the danger was just beginning: the back surge of water
      At the time of Hurricane Katrina, Tom was working for a private             that no one knew was coming. Unlike the experiences of her husband and
security company and James was a locksmith employed by Charity                    brother-in-law, the water did not rise slowly—It hit with the sudden force of
Hospital. But the storm and its infamous aftermath have turned their              a tsunami. A ten foot wall of water blasted the home, leaving her only enough
lives upside down. Because Tom’s company provided security for cruise             time to grab a lose door and an ice chest. For the next six hours she hung on
lines and corporate offices, he felt it was his responsibility to their clients   for dear life in the tumultuous, debris-filled water, but she too eventually
and those he supervised to stay on duty in New Orleans in spite of the            found her way into the evacuation process that, despite the confusion and
evacuation mandate. Residents of New Orleans instinctively think about            frustration, did lead to her arrival in Oklahoma, and reunion with her family.
the possibilities of hurricanes and flooding, and Tom and his staff of six             When asked about their immediate plans Tom said, “There is essentially
sensed that the company office would not be the best place to be, so he           nothing to go back to. No power, no water, no job. I have no plans to return
decided to make his apartment command central.                                    to New Orleans.”
      And then came the storm. Tom reflects, “It was weird to see trees                James’ situation on the other hand is different. His job at Charity Hospital
laying over sideways from the wind and to see rain blowing sideways,              may still be available and their home may be able to be rebuilt. James says
cars being moved by the force of the wind, corrugated aluminum ripped             even though he feels like he may have lost everything, including a prized new
and thrown everywhere, tarps blowing everywhere…” And then the                    guitar he had just bought, with the two ties of job and home he intends to
levees failed and the water began to rise. In Tom’s experience, it came           return to the New Orleans area. Several weeks after the storm James was
up slowly, eventually becoming about waist deep. Because about fifty              given the opportunity to inventory his damage, but was advised to make sure
people had stayed in the apartment complex, he waded into the murky               he had tetanus and hepatitis shots, which he arranged through his new
water to see what help he could provide. In the process, however, he              healthcare providers at the Oklahoma City Indian Clinic.
sustained some nasty cuts on his hands. Like too many American Indians,                Tom and James consider themselves fortunate to have had family to fall
Tom battles diabetes and not having complete feeling in his extremities           back on, and neither likes to think about what it would have been like without
is a common problem. Through all the turmoil and confusion he didn’t              them. And of course Anita turned out to be safe, with her medical needs
realize that the sandals he was wearing were creating wounds on his               being met at Camp Gruber. And they are thankful for Pastor Victor Cope and
feet, an unsettling discovery later when he thought back on all the               the people of the Moore Indian Baptist church, who have pitched in to help
pollutants and filth in the water.                                                return their lives to a “new normal.”
      For Tom, it soon became evident that New Orleans was a deeply                    The Oklahoma City Indian Clinic is pleased to have played a small role
damaged city and he quickly decided to make his way to his mother’s               in assisting the brothers with their various healthcare needs after Katrina’s
home in Moore, Oklahoma, where he arrived within a few days.                      devastation.
      James and his wife Anita had very different experiences. He was
considered an “essential employee” because with the predictable loss
of electricity at the hospital many vital areas that used “electric lock-
downs” would become inaccessible without someone with the skills to
open them up. As Katrina approached he was called in and was asked
to stay until the crisis was over, and of course at that time no one knew         “It was weird to see
just how bad it would be or how long it would last. The hospital soon             trees laying over side-
lost its electricity and clean water supply. Naturally, the prime concern         ways... cars being
became the patients who needed to be flown out, but when the scale of
                                                                                  moved by the force of
the disaster became more recognizable, it became sadly apparent that
                                                                                  the wind.”
help was a long way off, and might not come at all. So, the desperate
                                                                                  ~Tom Roy
hospital staff formed their own plan and began carrying patients down
the stairwells, some from the twelfth floor. They were able to load
many of them on boats to be transported to other locations, but some

  Page 10 Winter 2006
                        Clinic Receives                   SPOTLIGHT ON
                        for CareGivers
                                                          Sarah Brown LPN
                         “The OKCIC
                         CareGivers Program
By Joe Swalwell          will focus primarily
Resources Coordinator    on grandparents
                         acting as parents.”
     The Oklahoma City Indian Clinic has been
awarded a $40,000 grant from the Johnson &
Johnson/Rosalynn Carter Institute for Caregiving
to support a new program that provides resources
for patients who are in caregiving situations. Due
to a multitude of reasons, many grandparents
today are the primary care givers for their
grandchildren. The duties of feeding, housing,
seeing to the medical needs, and transporting their
children’s children is sometimes an
overwhelming task. The OKCIC CareGivers
Program will develop materials designed to
provide information, help, support and education
to care givers of all kinds, but will focus primarily
on grandparents acting as parents.
     The new program will be part of the Clinic’s            Philosophy of Life:
Public Health department. In October, Program           “Seize the moment, because it
Liaison Tergren Averett traveled from Georgia,
where the Rosalynn Carter Institute is                    will be gone while you are
headquartered, to make an initial site visit. Ms.             mowing the grass.”
Averett relayed that the staff of the Rosalynn
Carter Institute was impressed with the program
in the proposal stage and hoped that its innovative         Sarah is a St. Regis Mohawk from
ideas will make a difference to care givers in need     Akwesasne, New York. She has worked at
of help.                                                the Clinic for thirteen years. She had
     The Rosalynn Carter Institute for Caregiving       previously worked at a nursing home and was
was established in 1987 on the campus of Georgia        excited about the opportunity to go into a
Southwestern State University in Americus,              clinical setting.
Georgia. The RCI was formed in honor of former              She works directly with Deborah Doray,
First Lady Rosalynn Carter to enhance her long-         PA, in the area of diabetes and women’s health.
standing commitments to human development               She also does a great deal of wound care. One
and mental health. In 2005, five grants were            of the things she enjoys most about working
given to organizations in Oklahoma, New                 at the Clinic is getting to know her patients.
Mexico, Georgia, Mississippi and New Jersey.            During her off hours she enjoys her family and
     Look for more information about the OKCIC          likes to sew and bake.
CareGivers Program in the future or contact the
OKCIC Public Health Department for more

                                                                                      Winter 2006 Page 11
                                                                           Factor Appointed
                                Pharmacy                                   Wellness Center Director
                                Refill Line                                 By Steve Barse, Community Development

                            By Steve Tran, DPh

      The Integrated Voice Response (IVR) pharmacy refill line was                                                            “We want to get
installed March 9, 2005 with the help of many people, including                                                                 more people
our Clinic site manager, Kevin Sloan. We worked for three days in                                                              motivated into
conjunction with our telephone company, our pharmacy software                                                                    exercising,
company, and the IVR software vendor. Our administration was                                                                     developing
very supportive of us and gave us immediate clearance to acquire                                                             healthier life-styles
the system.                                                                                                                   and beginning a
      Our previous refill line was antiquated. It was not very efficient                                                          workout
and only allowed our patients to call in their refills from 8:00 am to                                                           program.”
Noon on Mondays, Tuesdays, Thursdays, and Fridays. Patients
and Clinic employees begin to inquire about a 24 hour-a-day refill                                                           Kelly Factor, MPH
program. I know that many retail pharmacies are capable of taking
refills 24 hours-a-day, but the reality is that a clinic pharmacy               Kelly Factor is the newly appointed Health Promotion/Disease
operation is very different from any retail pharmacy out there. We         Prevention Director of the OKCIC Wellness Center. Kelly has been
work in conjunction with our medical records department and our            with OKCIC in the Behavioral Health Department as the Project
providers in the refill process, whereas a typical retail pharmacy is      Director of the Mental Health Community Safety Initiative.
a completely separate entity.                                                   She attended the University of Oklahoma Health Sciences
      Finally, in January 2005 we found a company that has a refill        Center for her first year of graduate school and completed her second
software program that would allow our patients to call in their refills    year at George Washington University in Washington, DC, where
24 hours a day, 7 days a week. It would also give our patients the         she received her Master’s Degree in Health Promotion and Disease
exact time and date that their refills would be ready for pick-up          Prevention. While attending school she worked for the Indian Health
based upon the time that they call in. This was the most important         Service.
feature that we were looking for in a refill line for our operation to          Her new duties will include assisting patients and Clinic staff
be successful. The system only requires a phone number where               design a fitness program to meet their individual needs and to
you could be reached during the day and prescription number (RX            develop and coordinate fitness programs and activities.
number) for each drug.                                                          She hopes to take fitness classes to outside locations to help
      At the time of this writing our refill line has been in operation    make accessibility easier for those interested in fitness and wellness.
nine months and many of our patients have expressed tremendous             Call Kelly for more details.
satisfaction with it. It has been a convenience for our patients to be
able to call in their refills 24 hours a day, 7 days a week and know                    Wellness Center Hours
the exact day the refills will be ready.                                                     M-F 8:00 am to 7:00 pm
      Since moving to Moore two years ago, Ruby Harjo has been
utilizing OKCIC for her health care needs. She has found the staff                               405.605.8203
nice and helpful. As a member of the Creek Nation she had been
receiving health care services in Okemah, Oklahoma. She is an
enthusiastic proponent of the Pharmacy Refill Line. She states it                                      Dental Department
has made life easier in regard to prescriptions. After the first time
she used the system she was comfortable with it. She stated that                                      Keeping Appointments
“It’s not complicated, just stay focused and follow the instructions.”
Ruby advises writing down your prescriptions ahead of time and                                       By Rhonda Christopher
marking them off as you complete them. She proclaims that the 24                                     Dental Hygienist
hour service has been really good.
                                                                                 Your dental health is important. Having teeth that are broken
                                                                            down, hurting, with bleeding gums and cavities can lead to
                                                                            discomfort and pain. Our Dental Department is working hard to
                                                                            meet the needs of all our patients. However, we need your help.

       #                Refill call in number:
                        405.948.4900 ext. 325
                                                                            We have a limited number of appointment times each day. Please
                                                                            call 24 hours ahead of time if you are unable to keep your
                                                                            appointment. This will allow us time to fill that time slot with
                                                                            someone else needing dental care.
                                                                            To cancel an appointment call: 405.948.4900 ext 263

Page 12 Winter 2006
                   Immunization Outreach Program Improving
                            the Health of Our Kids

                                     By Kerri Glass, RN
                                     Immunization Specialist

    In September, OKCIC staff members attended the
2005 IHS Public Health Nursing Conference in
Albuquerque, New Mexico to present the Childhood                                     The Oklahoma City Indian Clinic has seen
Immunization Outreach Program (CIOP). Those
                                                                                  a dramatic improvement in its immunization
attending from the Clinic were Dr. Janice Hixson,
Pediatrician; Michelle Jesse, RN, CIOP Director; and                              rates since the introduction of the Program.
Kerri Glass, RN, Immunization Specialist.                                         When the program began in October 2004
    Ms. Jesse presented the program that was developed                            about 81% of Clinic children were past due
to promote immunization awareness and increase                                    for immunizations. Currently only about
immunization rates. The program targets children ages                             17% of children receiving care at the Clinic
0-6 who are past due on immunizations. Education is
                                                                                  are in need of vaccinations If you would like
provided about immunization and well child care
schedules, as well as the importance of immunizations.                            to learn more about the program contact
Home visits are offered for parents’ convenience and                              Kerri Glass at 405.948.4900 ext 215 or Jackie
can be provided at the child’s home, day care, or school.                         Dixon at ext 212

              Children 0-6 Behind on Immunizations
   100.00%                       76.05%       76.41% 75.82%
    80.00%                             65.38%               58.52%
    60.00%                                                                               43.86%
                                                                                                    36.05% 31.54%
    40.00%                                                                                                                  28.48%      24.80% 18.60%

    20.00%                                                                                                                                         17.70%


                                                                                                                                       Winter 2006 Page 13
                          Eat HealthyTo                                                          Healthy Heart
                           Stay Healthy                                                           Awareness
                                                                                                         By Kathleen Cockrum, RN
                                                                                                          Diabetes Case Manager

By Cathy Waller, RD/LD/CDE                                                 Risk Factors for Diabetes and
                                                                                  Heart Disease
   Many of you ask me to give you ideas for healthy snacks. Here is      High Blood Pressure - High Cholesterol - Being
one of my personal favorites for the New Year. I specifically             Overweight - Smoking - Physical Inactivity -
recommend Take Control® spread to most of my patients. Using
only 1-2 tablespoons daily can help lower your LDL or “bad”
                                                                                        Family History
cholesterol without affecting the HDL or good cholesterol. You can
find it in most grocery stores in the dairy section.
                                                                               What is the number one disease that people with diabetes
                                                                         are likely to acquire? Fifty percent of all people with diabetes
 Bean Quesadillas - Makes 4 servings                                     believe that it is eye disease when in all actuality only 23%
                                                                         of all people with diabetes eventually acquire diabetic eye
 8     (6 inch) corn tortillas                                           disease. The correct answer is heart disease or Coronary
 1     can refried beans-Fat Free                                        Artery Disease (CAD). Overwhelmingly, 50% of all people
 1     cup shredded part skim Mozzarella cheese                          with diabetes will eventually face this disease. Most people
 1/2   cup chopped fresh cilantro (optional)                             do not consider heart disease to be such a common threat.
 1/2   cup salsa                                                         However, it is the number one cause of death for American
 1. Heat nonstick skillet over medium heat. Brush 1 tortilla                   Risk factors are traits or habits that make a person more
       lightly on both sides with water. Heat in a skillet 1 minute      likely to get a disease. Unfortunately, the risk factors
       on each side or until hot.                                        associated with diabetes are the same risk factors for heart
 2.     Layer 1/2 cup beans, cheese and cilantro on tortilla. Top        disease. Musarat Saeed, MD, OKCIC Medical Director tells
       with second tortilla; press lightly. Brush tortilla with water.   her patients, “Having diabetes is such a major cardiac risk
       Turn quesadilla. Cook 3 minutes or until all ingredients          factor that being a person with diabetes alone puts a patient
       are hot. Remove from heat. Repeat with remaining tortillas.       in the same category as one who has already suffered a heart
       Cut quesadillas in half. Serve with salsa.                        attack in the past.”
                                                                               People with diabetes should get an EKG
                                                                         (electrocardiogram, or electrical picture of the heart) every
                                                                         two years. The Medical staff at the Clinic are very careful to
                                                                         make sure the patients with diabetes receive all the screening
                                                                         tests that are needed and recommended. However, when it
                                                                         comes to your own health, ask questions! “Do I need an
                                                                         EKG?” Or, “Is it time for me to have another EKG?” It is
                                                                         very critical to let your provider know of anything new or
                                                                         unusual that you are feeling.
                                                                               Remember, not all people experiencing heart problems
                                                                         feel actual “crushing” or “severe chest pain.” Because of
                                                                         this, many people delay seeking medical attention. Many
                                                                         people (especially those with diabetes due to neuropathy or
                                                                         nerve damage) may not describe any pain at all or may
                                                                         describe more subtle symptoms such as sudden or increased
                                                                         fatigue, shortness of breath, back or shoulder pain, or nausea.
                                                                               We cannot change our heritage or ethnicity, age or family
                                                                         history. So we must change those things that are in our
                                                                         control, e.g. diet, life-style, weight, smoking. Kathleen
                                                                         Cockrum, RN, Diabetes Case Manager and Kelly Factor,
   See your provider to begin a                                          Disease Prevention Specialist will be conducting Heart
                                                                         Awareness classes in local Indian churches during February
   physical activity program NOW!                                        and throughout the coming year.

  Page 14 Winter 2006
                    Diabetes Education Classes

                      Being Responsible American Indians With Diabetes
   By Cathy Waller, RD/LD/CDE                                          Casas, MD. Dr. Casas spoke on diabetes and digestive complications
                                                                       caused by nerve damage to stomach and bowels. A turkey and
                                                                       dressing dinner was prepared and served by Clinic volunteers. The
    BRAID teaches patients with diabetes                               February 2006 BRAID evening event featured OU cardiologist
                                                                       Thomas Hennebry, MD. A delicious meal including traditional
    self care to avoid complications.                                  buffalo meat was served for all of the attendees.
                                                                            If you would like to enroll in the BRAID education program
                                                                       contact Kathleen Cockrum, RN/LD/CDE at 948.4900 ext 289 or
                                                                       Cathy Waller, RD/LD/CDE ext 296. When our patients learn to
     If you are a patient of the Oklahoma City Indian Clinic and
                                                                       control their diabetes, they become the most important member of
have diabetes you have the opportunity to participate in the BRAID
                                                                       the BRAID team. They have the power to prevent the serious
(Being Responsible American Indians with Diabetes) education
                                                                       problems known to occur with long term uncontrolled diabetes. It is
program. BRAID helps patients and their families learn more about
                                                                       the first step to ensuring the healthiness and well being of the younger
their disease and develop skills to control their blood sugar.
                                                                       generation and the future of American Indians.
     When BRAID patients first hear they have diabetes, it can sound
like a “bad” message. But the BRAID program staff helps patients
hear the “good” message about diabetes. BRAID helps patients
learn how to avoid the complications of diabetes. Patients learn
                                                                                        Dr. Everett Rhoades, OKCIC Board
they can go even further in improving their health and achieve a
                                                                                        Member, addressed a recent BRAID
higher level of wellness and energy.
     The BRAID program is currently working toward IHS Diabetes
Education Program Recognition. BRAID classes began in
September 2005 and consist of three group classes and two individual
sessions and include information on:
     • Healthy food choices
     • Safe daily exercise
     • Sick day management
     • What to do if you have high or low blood sugars
     • Practice in solving common problems faced at home
     • Prevention of diabetes complications

   BRAID will also help you become an active partner by learning
more about:
   • Normal values for tests and exams
   • How to improve test results                                                         To enroll in BRAID contact:
   • Diabetes medicines
                                                                                         Kathleen Cockrum, RN
     The BRAID program understands that patients are more likely
to have a positive attitude about learning when family members are
                                                                                         at 948.4900 ext 289 or Cathy
supportive and enthusiastic about diabetes education, and that is                        Waller, RD/LD, CDE
why BRAID encourages participants to have a family member or                             ext 296
friend attend all sessions and meetings with them.
     Evening BRAID events are held four times a year. The
November 2005 BRAID event featured OU Endocrinologist Luis

                                                                                                                    Winter 2006 Page 15
                              Great American Smokeout
                      By Michelle Jesse, RN
                      Public Health Nurse

     Every year, smokers across the nation take part in the American
Cancer Society’s Great American Smokeout by smoking less cigarettes
or quitting smoking for at least one day. The event is held every year
on the third Thursday of November. The event challenges people to
stop using tobacco and raises awareness of ways they can quit for
     In honor of this year’s Smokeout, OKCIC allied with the
Oklahoma County Tobacco Use Prevention Coalition (OCTUPC) and
hosted the first annual “Pitch ’em for Patches” event. The event was
successful and was featured on Channel 9’s morning show, and OETA
and FOX 25’s evening news.                                               1. A crowd formed early
     The event was held Thursday, November 17th from 10:00 am to
1:00 pm. OKCIC and OCTUPC challenged Clinic patients to “pitch”
their tobacco products in exchange for a week’s supply of nicotine
     Sixty-six patients took the challenge and are on their way to
leading a smoke-free life. They also received a quit kit, information
on traditional use of tobacco, information on Clinic support groups
and Stop Smoking classes, information on the nicotine patches and        2. Tossing a bad habit
contact information for questions as well as information on the
Oklahoma Quit Line (1.866.PITCH EM).
      Maybe you can quit too. Do you want to quit smoking or know
someone who wants to or has tried and found it too difficult? Then
maybe we can help. See ad below:

                                                                         3. Passing out Quit Kits
                                                                            and other useful
            Is Your New Year’s                                              information

           Resolution for 2006 to
            STOP SMOKING?
             Let OKCIC Help                                                     3.

                        An 8-week
            “Freedom From Smoking” class
                 began January 4, 2006
             New participants are welcome
             Classes are every Wednesday
                 at 1:30 pm and 6:30 pm
               If interested call 948.4900
                      ext 110 or 212

  Page 16 Winter 2006
                                    Breast Care Program
                               By Sara Kernell, RN
                               Breast Care Program

On October 26, 2005 Michelle Jesse, RN, Public Health Nurse and
Sara Kernell, RN presented a successful six progress report to the
Central Oklahoma Affiliate of the Susan G. Komen Board. The Board
                                                                            Information provided by the Susan G. Komen Breast Cancer
voted to release the second half of the grant monies to OKCIC with          Foundation
an overwhelmingly positive response for the outcomes of the grant.
                                                                          The Susan G. Komen Breast Cancer Foundation, credited as the
“Our goal this year is to have 1200 women receive a mammogram at          nation’s leading catalyst in the fight against breast cancer, has long
our mobile mammogram unit, and we plan to meet if not exceed this         been committed to research and education. Its mission is to eradi-
number,” stated Ms. Jesse, PHN and Breast Care Director. The              cate breast cancer as a life-threatening disease by advancing re-
OKCIC program is the only Central Oklahoma Affiliate Grant                search, education, screening, and treatment. With this goal in mind,
Recipient Program to have an abstract presented at the national Susan     the Komen Foundation’s Affiliates raise millions of dollars each
G. Komen Mission Conference held June 5-8 in Washington, D.C. In          year for local education and screening programs and for major
attendance were Michelle and Sara.                                        national research fellowships and grants.

In October the program also held a successful Women’s Health Fair
entitled “Bring a Female Friend or Loved One” as part of National
Breast Cancer Awareness Month. “We had approximately 175 women
come to the event and hear the guest speaker Amy Alden, who sits on
                                                                          How Does Breast Cancer Affect American Indians?
the Central Affiliate Komen Board. It was a wonderful turnout and
the women received valuable information that may save lives,” re-
                                                                          A century ago, the occurrence of cancer in Native Americans was
ported Sara Kernell, RN, Breast Care Coordinator. The Program is
                                                                          rare. However, the last two decades have seen substantial increases
currently in its 2nd year of funding and will reapply for a 3rd year in
                                                                          in both incidence (50.5 per 100,000) and mortality rates (12.4 per
January 2006.
                                                                          100,000), and cancer now is recognized as a leading cause of death
                                                                          among Native American women. Although breast cancer incidence
     OKCIC Mobile Mammogram Schedule                                      and mortality rates are lower for women in most Native American
                                                                          tribes than for Caucasians, the rate of death due to the disease has
             January            Tuesday 3rd                               risen since the 1970s. Indeed, the 5-year breast cancer relative
                                Monday 9th                                survival rate for American Indian women is reportedly the lowest
                                Tuesday 24th                              of any racial or ethnic group in the country. Lack of access to and
                                                                          use of early detection services is believed to be a major contributor
             February           Monday 6th                                to this poor breast cancer survival. Without a doubt, greater
                                Thursday 9th                              awareness and utilization of mammography, clinical breast exam
                                Tuesday 21st                              and breast self-exam screening methods could significantly reduce
                                                                          the mortality of breast cancer among Native Americans.
             March              Monday 13th
                                Tuesday 14th
                                Monday 20th

                                                                                    For Additional Information Contact
             April              Monday 3rd                                               Foundation Headquarters
                                Monday 10th
                                Monday 24th

             May                Monday 1st                                  5005 LBJ Freeway, Suite 250, Dallas, Texas 75244
                                Monday 15th
                                                                            Phone: 972.855.1600
                                Thursday 25th
                                                                            Komen Foundation Toll-Free Breast Care Hotline:
             June               Thursday 1st                                800.462.9273
                                Thursday 8th                                www.komen.org
                                Monday 26th

                                                                                                                    Winter 2006 Page 17
                      Kathleen Cockrum, RN
                      Diabetes Case Manager
                      Kathleen attended Rose State College and College of the Sequoias
                      and has an Associates of Applied Science. She has worked at the OU
                      Medical Center in the Trauma Intensive Care Unit. More recently she
                      has worked for a cardiologist in Midwest City. Kathleen is excited
                      about the opportunity to work with Indian people and the diabetes
                      program. She is looking forward to working one on one with patients.
                      She is very proud to be a part of OKCIC and is impressed with all the
                      services provided to the patients. She is a member of the Creek Nation.
   New Employees
                      Ned McKenzie, MS, LADC
                      Director, Behavioral Health
                      Ned’s official start date as the Director of Behavioral Health was Sep-
                      tember 12, 2005. He has a Masters Degree in Psychology and is a
                      Licensed Professional Counselor and Licensed Alcohol and Drug
                      Counselor. He recently moved to OKCIC from the Urban Inter-tribal
                      Center of Texas (Dallas). He worked there as a Mental Health Thera-
                      pist and a Substance Abuse Counselor. His duties include oversight
                      and management of the daily operations of the Behavioral Health
                      Department. He will also provide individual outpatient therapy to
                      children and adults, assessments and screenings. Ned is affiliated
                      with the Chickasaw and Choctaw tribes.

                      Laquita Harjo
                      Medical Records Clerk
                      Laquita is Cheyenne/Arapaho, Seminole, Creek, and Santa Clara Pueblo.
                      She will be working in Medical Records. She is working on a degree in
                      Police Science and wants to study Criminal Justice, and some day study
                      law at the University of Oklahoma. She is a member of the Oklahoma
                      Choctaw Alliance and “loves going to pow-wows and stomp dances”
                      throughout the United States.

                      Steve Daugherty
                      Health Promotion & Disease Prevention Technician
                      Steve will be working at the Wellness Center, assisting clients with
                      developing and monitoring their workout programs, and ensuring proper
                      use of equipment. He received a BS in Exercise Science from East
                      Central University. He has worked at Wellness Centers for the
                      Kickapoo and Absentee Shawnee tribes of Oklahoma. He is a member
                      of the Absentee Shawnee Tribe

                      Dana J. Thomas
                      Registered Medical Assistant
                      Dana attended Vatterottt College and is a Registered Medical Assistant
                      and Phlebotomist. She will be working as a Registered Medical
                      Assistant in the Medical Department. Dana is a member of the Caddo
                      Nation. She enjoys staying busy, and likes to work on her cars. She
                      appreciates the friendly atmosphere at the Clinic and the fact that people
                      are always willing to help.

Page 18 Winter 2006
OKCIC Staff Walks                                                        The Winning Team:
to Seattle
By Deborah Doray, PA-C                                                   Deborah Doray—Team Captain
                                                                         Susan “Bee” Geary
       The Oklahoma City Indian Clinic practiced what it preaches        Janice “Java Queen” Hixson
    by sponsoring a walking contest to promote exercise among the        Woodson “Wiley Stalker” Nightwalker
    staff. The theme of the activity was “Walk to Seattle,” which has    Rita “Rock & Roll” Wright
    been ranked one of the healthiest cities in the country, based on    Shane “The Mane” Hunter
    physical activity.                                                   Karen “Knuckles” Neeley
         The goal was for each team to walk the equivalent from          Trisha “Delisha” Fish
    Oklahoma City to Seattle. All employees were invited to              “Cha Cha” Chelsea Davis
    participate and were arranged into four teams: the Windwalkers,      Susan “Vampirella” Littlecook
    No-Names, Skinwalkers, and Sole-Mates. Each team member              Alice “The Amazing” Youngbear
    kept track of miles walked with individual pedometers. The           Abel “Absolut” Sandoval
    winner of the race was Team #4, the Windwalkers, with a total        “Steamin” Steve Tran
    mileage of 2,256 in just four weeks. They were rewarded with         Roy “The Running Man” George
    bracelets, T-shirts, and movie passes, as well as being recognized   Matt “Maniac” Lee
    as leaders among OKCIC staff.                                        “Joltin” Joe Swalwell
                                                                         Bea “Bringer of Joy” Lewis
                                                                         Linda “Ladyfingers” Solis
                                                                         Thetah “Bearer of Twins” Tofpi

                          You Can Help
                                        Join the OKCIC
            “Volunteering for Indian People” is a program through the Oklahoma City Indian
            Clinic that allows individuals to donate their time and talent for the betterment of
            the Clinic. People are needed in a multitude of areas, ranging from physicians to
            those who enjoy putting a nice new coat of paint to a room. There is currently a
            great need for waiting room receptionists to help people find the office or depart-
            ment they are looking for.
                                           If interested contact:
                                   Rita Wright 405.948.4900 ext 276

                                                                                                          Winter 2006 Page 19
          Oklahoma City Indian Clinic                              NON-PROFIT ORGANIZATION
          4913 West Reno Avenue                                          U.S. Postage Paid
                                                                        Oklahoma City, OK
          Oklahoma City, OK 73127-6339                                    permit # 02234

   tips on relieving stress
                  talk to a friend
                                          keep a
                  watch the               journal                       garden
                  sunset read a book                play like a kid

                      take deep breaths                   spend time in
                                                          go for a walk or a hike

Page 20 Winter 2006

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