2017 October Newsletter

October 2017

Clinton Service Unit

Inside this issue: 5th Annual Big Event & Monster Dash

IHS Mission 2 On October 13, 2017, the Clinton Indian Health Center hosted our 5th annual Big Event. This event pro-
Physical Therapy 2 vides health care information and resources to the patients and community members of Clinton Service
Opioids 3 Unit (CSU), to encourage participants to get acquainted with what local health care and community organi-
Presidential Msg. 4 zations can do to promote wellness and healthy living.
Med Drop 5
Breast Cancer 6 Attendees were able to learn about the various community and social programs, along with services of-
Pop Awards 7 fered by event exhibitors, including Indian Health Service, Cheyenne & Arapaho (C&A) Tribes, Custer
Tribal Advisory 7 County Health Department, Blue Cross Blue Shield/Tribal Relations Specialists, and the Social Security
Veterans 8 Administration.

Head Lice 9 Health screenings, including blood glucose, cholesterol, and blood pressure, were offered through the
Health Board 10 Southwestern Oklahoma State University College of Pharmacy. CSU’s Public Health Nurses provided flu
Mail Bag 11 shots and encouraged everyone over six months of age to get vaccinated to protect against the flu. Visitors
Halloween 12 were encouraged to give the life-saving gift of blood by donating to the Oklahoma Blood Institutes’ Mobile

Blood Unit, which was onsite to collect donations. For those who wanted a more interactive experience, the

Cheyenne and Arapaho Tribes’ Emergency Response Service, in conjunction with the American Heart Association, offered the life-
saving skills of Basic Life Support. This half-day course taught both single-rescuer and team basic life support skills for adults, in-

fants, and children.

Over 225 kids and adults of all ages kept the spirit of health and wellness alive at the annual Monster Dash 5K Fun Run and W alk the
following morning on Saturday, October 14th. Runners and walkers were encouraged to come dressed in costume to enter the Hal-
loween costume contest following the race. The C&A Tribes’ C-3 and A-3 legislatures, Patrick Spottedwolf and Reggie Wassana,
provided prizes for winners of the costume contest and offered a pumpkin patch for the kids to enjoy. For those whose costume was
in need of a finishing touch, the C&A Tribes’ Health Education program offered free face paintings. Tradition Not Addiction provided
all runners and walkers with Monster Dash t-shirts as they crossed the finish line to thank them for their participation.

Pictured above: Runners take off from the starting line at Clinton Indian Health Center’s Monster Dash
5K Fun Run & Walk. Pictured to the right: Costume contest winners from the children's category.

Fulfilling the Indian Health Service Mission

“To raise the physical mental, social, and spiritual health of
American Indians and Alaska Natives to the highest level”

Earlier this year, the Acting Director of the Indian Health Service (IHS) challenged all of IHS to commit to memory our mission state-
ment. CSU has taken this request to heart. Our service unit is committed to providing the best quality patient care. The IHS mission is
more than a statement, it is how we care for our patients, family, friends, and coworkers each and every day.

“To me, the mission of IHS is to encourage each patient that comes through our doors to have a good feeling about themselves and
desire for good health; mentally, physically, and spiritually,” said Donna Rush, El Reno nurse.

“Any person can choose a group of strong words, put them in a sequence and call it a mission statement,” said Kym Kidd,
Kym Kidd, Watonga pharmacy technician. “There are a lot of words in the IHS mission statement. In my opinion, pharmacy tech at
the most powerful words are “to raise”. In order for us as employees and health care professional to achieve the Watonga Indian
goal of this mission “to raise”, meaning we should be physically involved, mentally involved, socially involved,
and spiritually involved. We should not expect patients will receive these aspects of health by just showing up for Health Center
an appointment. In this statement, the word “raise” is an action verb and means an action is required in order to
achieve. The goal is really simple… it is to perform. Apply the care and respect to the patient with the exact per-
formance you desire as a patient. The Institute of Medicine defines patient-centered care as providing care that
is respectful of and responsive to an individual patient’s preferences, needs, values, and ensuring the patient
values guide all clinical decisions. By practicing this simple way of commitment towards each individual, we can
professionally contributing to our patients. My favorite phrase is: do unto others as you would have them do unto
you. Make the mission statement of IHS not only a goal, but a lifestyle towards everyone.”

Physical Therapists Make Every Move Count

The month of October is National Physical Therapy Month. This is an opportunity to
recognize and celebrate the transformative power of physical therapy. Every day,
CSU’s Physical Therapy staff improve the health, mobility, and quality of life for our
patients. Physical therapy is a safe and effective alternative to opioids for the long-
term treatment of chronic pain.

CSU offers a Pain Management Program (PMP) for patients who receive a referral Pictured above (left to right): Haley Larsen,
from their provider. The PMP offers physical therapy, chiropractic intervention, and staff therapist; Mitzie Eaton, staff therapist;
massage therapy to patients with appropriate needs to focus on pain relief and man-
agement. The goal of this program is to return patients to a functional lifestyle and to Susan Rose, director.
assist them in maintaining activity. The PMP is a successful alternative to the use of
pain medications, such as opioids, to treat pain and prevent addiction to medication.
For questions on the PMP, speak with your provider or call the Physical Therapy
Department at 580.331.3439.

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Preventing Opioid Misuse

The United States is in the midst of an opioid abuse epidemic. More than 2.4 million Americans currently struggle with opioid addic-
tion. In 2015, more than 33,000 people died from drug overdoses involving opioids, and raw data for the first three quarters of 2016
indicate the drug overdose death rate is still increasing. President Trump recently announced his intention to use all appropriate au-
thorities to respond to the crisis.

In all likelihood, most of us know someone affected by opioid addiction; perhaps some of us may see the struggle within our own fami-
ly. It is important to understand that addiction is a medical condition that can often be prevented or treated. There are things we can
do to make an important difference.

The Centers for Disease Control and Prevention (CDC) provides information on Opioid Basics and how to prevent overdose. For
those concerned about a teen, the National Institute on Drug Abuse has targeted information available designed for teens and pa-
tents. Additional information on substance abuse and addiction is available from the Substance Abuse and Mental Health Services
Administration (SAMHSA).

Oftentimes, addiction may begin with the misuse of prescription medications, and nearly half of all opioid overdose deaths involve a
prescription opioid. Everyone can assist in fighting the opioid epidemic by asking their doctor and dentist about alternatives to opioids
for pain management. Doctors and pharmacists may be able to offer a smaller quaintly of pills at first, then provide more at a later
date if the pain persists. Patients are encouraged to only use pain medications for only as long as the pain warrants and to never
share medications with others. Be sure to safeguard all prescription medication while taking it and safely destroy or dispose of unused
quantities of medication.

If you or a loved one finds themselves with an opioid addiction, please seek help. For those who work within the Federal government,
each Federal Executive Branch agency has an Employee Assistance Program (EAP). EAP services are free, voluntary, and confiden-
tial. Serviced include employee education, supervisory training, and short term counseling to help address personal or workplace is-
sues stemming from substance abuse. When short term counseling is not enough, EAP can provide referrals for ongoing care. Feder-
al employees may find their local EAP Administrator by contacting their local Human Resource office and/or searching the Office of
Personnel Management’s (OPM) Work-Life Contact Tool located at: https://www.opm.gov/CCLContact/.

Federal employees and families can also access mental health services and addition treatment through their Federal Employees
Health Benefits (FEHB) Program insurance plans. FEHB insurance plans cover in-patient and out-patient mental heath care along
with substance abuse treatment. Specific plan information can be found in Section 5E Mental health and substance misuse disorder
benefits of FEHB plan brochures found on your insurance portal or OPM’s Healthcare & Insurance Plan Information webpage.

For those who are not covered by EAP or FEHB insurance,
SAMHSA provided information on where to find help and
treatment at:
http://dpt2.samhsa.gov/treatment/directory.aspx.

Everyone can make an impact. We are facing the worst
drug epidemic in American history. Now more than ever,
action is needed to take care of ourselves, support each
other, and save lives. Educate yourself, prevent prescrip-
tion drugs from being misused, and know how to get treat-
ment if someone you love is struggling.

Page 3

Presidential Memorandum for the Heads of
Executive Departments and Agencies

SUBJECT: Combatting the National Drug Demand and Opioid Crisis October 26, 2017

By the authority vested in me as President by the Constitution and the laws of the United Sates of America, it is hereby directed as
follows:

Section1. Policy. It shall be the policy of the United States to use all lawful means to combat the drug demand and opioid crisis cur-
rently afflicting our country. Individuals, families, and communities across the United States continue to be devastated by an unprece-

dented epidemic of drug abuse and overdose, including of prescription opioids, heroin, and illicit synthetic opioids. Last year, we lost
at least 64,000 of our fellow Americans to drug overdose, primarily from opioids. This is an increase of approximately 12,000 people
over the year before and more than ever recorded in United States history. Drug overdoses now kill more Americans than motor vehi-
cle crashes or gun-related incidents, and more than 300,000 Americans have died of an opioid overdose since 2000. Further, more

than 2.1 million of our fellow citizens are addicted to opioids, and in 2014 more than 1,500 people were treated each day in emergen-
cy departments for opioid-related emergencies.

This crisis has devastated our communities. It has been particularly harmful for children affected by their parents’ drug abuse. The
number of infants born drug-dependent increased by nearly 500 percent from 2000 to 2012. The number of children being placed into
foster care due, at least in part, to parental drug abuse is increasing, and accounted for almost a third of all child removals in Fiscal
year 2015. Serious drug users are also more likely to be arrested for crimes such as burglary, robbery, and handling stolen goods.

Moreover, the drug trafficking that supplies illegal drugs to our country is associated with other illegal activities, including murder and
other violent crimes. All of this devastates lives and harms communities in both the United States and foreign countries involved in the
illegal drug supply chain. Federal, State, and local governments; law enforcement; first responders; the media, public health, and sub-
stance abuse treatment community; and faith-based and community organizations are working tirelessly and have even expanded

their efforts to combat the drug demand and opioid crisis.

Three factors are driving the opioid aspect of this crisis in particular. First, since the 1990s, there has been a dramatic rise in opioid
pain medication prescriptions. Second, heroin from Mexico has flooded the country. Third, the illicit manufacture and illegal importa-
tion of fentanyl — an extremely deadly synthetic opioid — and its analogues and related compounds have proliferated. Fentanyl is
currently manufactured almost exclusively in China, and it is either shipped into the United States or smuggled across the southern
border by drug traffickers. Between 2013 and 2016, the amount of fentanyl seized by Customs and Border Protection at the border

increased more than 200 times over. Dealers are increasingly lacing fentanyl into other drugs and pressing it into counterfeit opioid
pills. Because fentanyl is lethal in even miniscule doses, this is an extremely deadly tactic, as it too often causes users to ingest a fatal
amount unknowingly.

Sec. 2. Agency Action. The Secretary of Health and Human Services shall, consistent with section 319 of the Public Health Service
Act, 42 U.S.C. 247d, consider declaring that the drug demand and opioid crisis described in section 1 of this memorandum constitutes

a Public Health Emergency. Additionally, the heads of executive departments and agencies, as appropriate and consistent with law,
shall exercise all appropriate emergency authorities, as well as other relevant authorities, to reduce the number of deaths and mini-
mize the devastation the drug demand and opioid crisis inflicts upon American communities.

Sec 3. General Provision. (a) Nothing in this memorandum shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department or agency, or the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This memorandum shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in
equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other
person.

(d) The Secretary of Health and Human Services is hereby authorized and directed to publish this memorandum in the Federal
Register.

DONALD J. TRUMP

Page 4

Pitch in to Protect Your Community

Communities throughout the United States (U.S.) are pitching in to protect children from inadvertent drug ingestion or drug abuse and
to keep citizens safe from contaminated drinking water resulting from flushing, trashing, or tossing of expired or unused prescription
drugs.

Health care related business and government agencies are joining the effort by providing convenient and secure collection recepta-
cles for the safe disposal of medications as outlined by the U.S. Drug Enforcement Administration (DEA). The MedDrop collection
system provides a simple and effortless way for individuals to safely dispose of unused or expired medications. It is also an easy-to-
manage program for DEA registered collectors, such as retail pharmacies, and law enforcement agencies.

Clinton Service Unit has installed MedDrop boxes in each of our three facilities. The secure green MedDrop boxes are available for
patients and community members to get rid of unwanted or expired prescription and over-the-counter medications.

El Reno Indian Health Center Clinton Indian Health Center Watonga Indian Health Center
Pharmacists (pictured left to right): Pharmacists (pictured left to right): Pharmacist Annie Frymire.
Brett Whitehead, Bethany Johnson, Cody Crouch, Julie Boese, Rebecca

and Sara carter Geiger, Narcisso Soliz,
and Amanda Haggard

Page 5

Breast Cancer Awareness Month

October is Breast Cancer Awareness Month, a time to raise
awareness about the disease and those who are affected by it.

Here are some Breast Cancer Facts you Need to Know…

 Being a woman and growing older are the two main factors to influence the
risk of breast cancer.

 Every 19 seconds somewhere in the world, a case of breast cancer is
diagnosed in a woman.

 About 1 in 8 women in the United States will be diagnosed with breast cancer
during their lifetime.

 Breast cancer is the second leading cause of cancer deaths in women.

 Breast cancer is the most common cancer among women in the
United States besides skin cancer.

 85% of breast cancer diagnosis are women who have no family history of
breast cancer.

 One in 100 men are diagnosed with breast cancer.

The good news is, most women can survive breast cancer if it’s found Pictured above: Clinton Indian Health Center’s 3-D
and treated early. A mammogram—the screening test for breast can- Mammography Machine
cer—can help find breast cancer early when it’s easier to treat. All
women age 40 and above are encouraged to obtain a yearly mammo-
gram.

The Clinton Service Unit has upgraded our mammogram software
from two-dimensional (2-D) to three-dimensional (3-D) technology.
“The 3-D mammography is performed in conjunction with traditional 2-
D digital mammogram,” said Stevi Brown, radiology supervisor. “The
3-D mammography technology allows for us to create a more com-
plete picture of the breast, which creates greater accuracy in early
detection of breast cancer. 3-D mammography has been shown to
improve breast cancer detection by 27-50 percent.”

To schedule a mammogram, call the
Radiology Department at

580.331.3415

Page 6

CSU “POP” Stars

Personal Outstanding Performance

The “POP” Award recognizes CSU employees who exhibit “Personal Outstanding Performance”.
It is designed to encourage and acknowledge employees for their everyday
efforts and customer service.

Congratulations to all of our POP Stars!

Rachel Colvin

“I checked a patient in who was on crutches who seemed very tired and struggled to get around,” said Stevi Brown, radiology
supervisor. “When I went to set up the room for the patient, I thought it would be a good idea to get her a wheelchair. When I went to
retrieve the wheelchair, she already had one. The patient told me the patient advocate had brought this to her. Rachel , our Patient

Advocate, is not just here to take complaints. She is a very nice and kind person who loves to help everyone.”

Ronda Redshin

“Rhonda made a CD for a patient to pick up at 5pm from the Radiology Department,” said Stevi Brown, radiology supervisor. “Ronda
waited until after 5pm and the patient had yet to arrive, so she left work for the day. Later in the evening, Ronda saw the patient who
was to come by the clinic at the store. The patient told Ronda she arrived to the clinic late and had missed her. She went on to say

she had an appointment in Oklahoma City the next day at 9am. Ronda told the patient to follow her back to work and she would
provide the CD to her that evening. I’m so happy to have Ronda in my department caring for patients how we should!”

U.S. Secretary’s Tribal Advisory Committee

LCDR Andrea Jackson, El Reno and Watonga Indian Health Centers’ Facility
Unit Director, represented the Clinton Service Unit as an aide-de-camp at the
United States Department of Health and Human Services’ (HHS) Secretary’s
Tribal Advisory Committee (STAC) meeting on September 20-22, 2017. This
was the first ever STAC meeting in Indian Country and was held at the Chero-
kee Veteran’s Center in Tahlequah, OK. The former HHS Secretary Tom Price,
M.D., had the opportunity to tour health care facilities in the Cherokee Nation
and discussed the HHS budget updates; Indian Health Service (IHS) new lead-
ership priorities; HHS operating division updates and tribal priorities; and other
STAC IHS priorities focusing on the Opioid Crisis.

Pictured right: LCDR Andrea Jackson (pictured right) along side leadership of Indian Health
Service: Acting Director of the IHS RADM Michael Weahkee (second to right) and Deputy

Director of Field Operations for the IHS RADM Kevin Meeks (second to left).

Page 7

Intertribal Veterans Stand Down

The fourth annual Intertribal Veterans’ Stand Down was held October 6, 2017 at the Otoe-Missouria 7 Clans Paradise Casino in Red
Rock, OK. The Cheyenne & Arapaho Tribes, Otoe-Missouria Tribes, Department of Veterans Affairs, along with Indian Health Service,
partnered to host the event. Veterans, along with spouses and widows of veterans, across all branches of service were encouraged to
attend the event. Free services were offered to include: health screenings; haircuts; clothing; and information on housing, jobs,
employment assistance and legal services.

Pictured above: Teresa Murray, benefits coordinator Pictured above: Clinton Indian Health Center’s
for Clinton Indian Health Center provided a booth at Psychologist Dr. Lahoma Schultz provides

the Intertribal Veterans Stand Down information on Behavioral Health.

Pictured above: Clinton Indian Health Center Audiologist Dr.
Lynne Schenk and CEO April Wazhaxi speak to a veteran at

the Intertribal Veterans Stand Down

Page 8

Head Lice

Head lice are a parasitic insect found on the head, eyebrows, and eyelashes of people. While head lice are not known to spread dis-
ease, they feed on human blood several times a day and live close to the scalp.
Head lice are found worldwide. In the United States, head lice are most common among pre-school aged children attending day care,
elementary kids, and household members of those who have lice. Head-to-head contact with a person who has head lice is the most
common way to obtain it. This head-to-head contact is common amongst kids who play at school, sporting activities, on the play-
ground, slumber parties, and at camp.
Although uncommon, head lice can be spread by sharing clothing or belongings. This may happen when lice crawl, or nits attach to
shed hair and hatch. Lice may get on shared clothing or belongings, such as hats, scarves, coats, combs, hair ribbons, towels, and
stuffed animals. It may also be picked up when a person lies on a bed, couch, pillow or carpet that has been in recent contact with an
infected person.
Treatment for head lice is recommended for persons diagnosed with an active infestation. All household members and other close
contacts should be checked and treated if they are infested as well. Treatment requires the use of an over-the-counter or prescription
medication. A fine-tooth comb should be used to remove any dead or live lice in the hair. If live lice are found after treatment, patients
are encouraged to speak with their health care provider before retreating.
To avoid re-infestation of head lice, take the following steps:

1. Machine wash and dry clothing, bed linens, and other items the infested person wore or used during the two days before
treatment. All of these items must be washed in the hot water (103˚F) laundry cycle and dried in the high heat cycle.
Clothing and items that are not washable may be dry cleaned or sealed in a plastic bag for two-weeks.

2. Soak combs and brushes in hot water (at least 130˚F) for 5 to 10 minutes.
3. Vacuum the floor and furniture, particularly where the infested person sat or laid. While the risk of getting infested by

head lice that has fallen onto a rug or furniture is very small, head lice can survive less than one to two days after they
have fell off of a person. Once the nits fall off the head, it cannot hatch and usually die within a week if they are not kept
at the same temperature as the temperature found close to the human scalp.

Page 9

Page 10

From the Mailbag...

“I was at a ceremonial sweat and after it was over a few of the
tribal elders came to me and asked if I would let the El Reno
Pharmacy Department know they are so polite, nice, and caring,”
said Susan Geary, El Reno nurse. “The elders also stated the entire

pharmacy department shows so much compassion. They
appreciate all of the reminder and follow-up calls and expressed

how much this helps!

For when the unexpected happens...

Clinton’s Saturday Convenient Care Clinic

9 am to 1 pm

Walk-ins Only
No appointment needed

Clinton’s Saturday Convenient Care Clinic provides treatment for minor medical needs:

Sore Throat Eye and Skin Infections Earaches
Insect Bites and Rashes Sinus Congestion Minor Cuts and Wounds
Cough Nausea, Vomiting, Diarrhea Fever
Pregnancy Tests Bladder Infections Allergies

Chronic health needs such as diabetes, follow-up appointments, routine prenatal care, pain management, and chronic medication refill renewals
will require an appointment in the primary care clinic, and will not be seen in the Saturday Convenient Care Clinic.

Page 11

Halloween Costume Contest

Thank you to all those who participated in the 2017 Halloween Costume Contest. You made a fun
atmosphere for the Head Start Trick-or-Treaters who visited the facility.

Page 12

Have you received your flu shot?

Fight the flu by protecting yourself and those around
you by getting a flu vaccine. Stop by any CSU clinic or

pharmacy to receive a flu shot today!

Appointments are not needed.

Clinton
Service Unit

CLINTON Tell us how we’re doing...

10321 N. 2274 Road We invite you tell us how we’re doing and take
Clinton, OK 73601 our short online patient survey.
(580) 331.3300
For a paper copy, please stop by registration.
Cedar (580) 331.3424
Sage (580) 331.3389 2017 CSU Patient Survey
SweetGrass (580) 331.3376
Peds (580) 331.3466 https://www.surveymonkey.com/r/CSUPatientSurvey
Fax (580) 323.2579
Hours of Operation CSU VISION

Monday—Friday Provide quality health care services focusing on prevention, restoration and
8 am to 5 pm collaborative relationships that are valued and “exceed the needs” of our
Saturday patients, community and tribal partners.

Convenient Care Clinic
9 am to 1 pm

EL RENO

1801 Parkview Drive
El Reno, OK 73036

(405) 234.8400
Eagle, Otter & Peds

(405) 234.8411
Fax (405) 234-8435
Hours of Operation

Monday—Friday
8 am to 5 pm

WATONGA

1305 S Clarence Nash Blvd.
Watonga, OK 73772
(580) 623-4991
Turtle & Peds
(580) 623-4991
Fax (580) 623-5490
Hours of Operation
Monday — Friday
8 am to 5 pm