Sudden Infant Death Syndrome remains a mystery

BY CHRISTINA GOODVOICE
09/17/2009 07:16 AM
TAHLEQUAH, Okla. – Cherokee Nation citizen Angela Garrett remembers the cold day in January 1993 as one that began like a normal day.

She had just per her 2-month-old son, Blaine, down for a nap in his crib. She checked on him frequently, but despite that, one hour later Blaine died in his sleep. The cause was Sudden Infant Death Syndrome.

October is Sudden Infant Death Syndrome, or SIDS, Awareness Month. SIDS occurs at a rate of about 0.5 per 1,000 births. However, in American Indian and African American populations, the rate is around one per 1,000 births.

SIDS is considered the death of a child less than 1 year old that remains “unexplained” after a thorough investigation including an autopsy, review of clinical history and investigation of the scene of death, said Dr. Tom Kincade, chief of Pediatrics at the Cherokee Nation Three Rivers Health Center in Muskogee.

“I think it is important for our communities to know abut SIDS due to the increased rates in Native Americans and also to be aware of the factors that can help prevent SIDS,” Kincade said.

SIDS remains a leading cause of death in healthy infants less than 1 year old, and approximately 2,100 infants in the United States die of SIDS per year, he said.

Parents can reduce the risk of SIDS by placing babies on their backs to sleep.

“Studies show that over 90 percent of infants that died from SIDS were not sleeping on their backs,” he said. “Most were sleeping on their stomachs.”

Garrett said she put Blaine on his back for his nap, but when she found him, he was on his stomach and his face was in the crib mattress.

“Somehow, at 2 months old he rolled over,” she said. “He was already gone when I found him. I didn’t even call 911(immediately.) I called my mom because he was already gone.”

She said afterward she was in a state of shock, and since then she’s blocked out most of the memory of losing Blaine to SIDS.

“I don’t even remember them taking him out,” she said. “I thought he was still in the room after the ambulance got there and everything. It was a couple of hours later and I thought he was still there.”

Even now, 14 years later, Garrett said she’s stilly trying to understand SIDS.

“From the moment I found him, I don’t remember too much of anything else,” she said. “He wasn’t sick. He didn’t have a cold. There wasn’t anything wrong with him.”

Studies have also shown that letting babies use pacifiers while sleeping can reduce the SIDS risk, Kincade said. He added that infants should sleep on a firm sleeping surface, should not be overdressed while they sleep and stuffed animals, excess bedding and blankets should be avoided.

“When babies leave the hospital nursery they should be able to maintain a normal body temperature which means if parents feel comfortable in shorts and a tee shirt, their babies will too,” he said.

Educational materials about SIDS have been placed in the clinic and exam rooms at the Three Rivers Health Center, and other tribal clinics have been encouraged to do the same, Kincade said.

Health

BY STAFF REPORTS
03/26/2015 08:00 AM
TAHLEQUAH, Okla. – Four of Cherokee Nation’s health centers, W.W. Hastings Hospital and the tribe’s entire Health Services have been deemed “Certified Healthy” by the Oklahoma State Department of Health. The Vinita Health Center, Three Rivers Health Center in Muskogee, Redbird Smith Health Center in Sallisaw and Wilma P. Mankiller Health Center in Stilwell were recently selected among 1,700 winners of the Certified Healthy Oklahoma award for 2014. The designation for maintaining a healthy campus for employees is administered by the state, Oklahoma Academy, state chamber and Oklahoma Turning Point Council. “I believe it is important as a health department to set the example of making healthy choices,” Health Services Executive Director Connie Davis said. “If we can create a work environment that not only encourages but supports these important changes in our lifestyle, then we have made a real impact on ensuring healthy generations to come.” Employees take advantage of fitness rooms, daily exercise and diet and nutrition classes offered at each of the sites. The tribe’s Early Childhood Unit was also recognized as “Certified Healthy” for providing a healthy nutrition policy for staff and Head Start children. The awards are given annually in six categories: businesses, restaurants, schools, campuses, early care and education and congregation. “All of us are aware of the high costs associated with unhealthy habits, and because our employees work in the health care setting, it’s vital that the workplace be conducive to living a healthy lifestyle,” Brian Hail, W.W. Hastings Hospital CEO, said. “Having this recognition from the Oklahoma State Department of Health demonstrates our commitment to our employees’ well-being and our dedication to the vision of healthy communities for this and future generations.” The CN maintains an onsite health center to treat sick employees, the Gadugi Clinic, and employees and CN citizens have free access to the Male Seminary Recreation Center in Tahlequah, which offers a gym, weights and weekly boot camp, yoga and Zumba classes. “The Certified Healthy Oklahoma Program is a free statewide recognition program showcasing organizations and communities that are committed to making the healthy choice the easy choice,” Julie Dearing, manager of the Certified Healthy Oklahoma Program, said. “Oklahoma truly has a vision of creating healthier places to live, work, learn, play and pray. We are challenging all Oklahomans to eat better, move more and be tobacco-free, as well as implement policies to create healthy environments throughout our state.” For more information on Health Services, call 918-453-5657.
BY STAFF REPORTS
03/16/2015 08:00 AM
TAHLEQUAH, Okla. – After spending nearly two months in West Africa helping fight the Ebola virus, Cherokee Nation citizen and registered nurse Dana Hayworth returned to work at the CN W.W. Hastings Hospital in early March and was greeted with a reception to welcome her back. Hayworth, of Claremore, is a commander for the U.S. Public Health Service and volunteered to serve in Liberia, one of the most severely affected countries in West Africa. She spent 59 days between December and February with the Monrovia Medical Unit, providing clinical care for health care workers who may have contracted the Ebola disease while fighting it. She provided intravenous hydration, medication, blood products and nutrition to workers on the front line. “Going to Liberia was a rare chance to experience a different country and culture, while at the same time being part of the U.S. Public Health Service’s worldwide effort to contain Ebola,” Hayworth said. “Like our Native people, the Liberian people have a lot of strong ties to culture, customs, family and community. They took care of each other. It was awesome to see their resiliency in the face of this horrible disease.” Ebola spreads through human-to-human contact, with an average fatality rate of 50 percent. Symptoms range from sudden fever, fatigue and muscle pain to impaired kidney and liver function, according to the World Health Organization. Hayworth returned to Oklahoma in early February and spent 21 days at home with limited contact before returning to work March 2. Hayworth has been employed at Hastings Hospital for 10 years and works in the occupational therapy department. “We’re very glad to have Dana back safely, and we’re looking forward to putting her back to work and implementing some of the things she learned in Liberia,” Hastings CEO Brian Hail said. “We can’t train our staff on the types of conditions she was working in, so the experiences and the knowledge base that she has brought back to us is invaluable for working with people in a truly underserved population.” Hayworth said she plans to use her experience by preparing the CN on steps to fight Ebola in the chance that the virus should ever reach northeast Oklahoma. Two other CN citizens working in the Monrovia Medical Unit also joined Hayworth. Lt. Cmdr. Julie Erb-Alvarez, an epidemiologist at the U.S. Public Health Service Oklahoma City area office, and Capt. Kevin Brooks, a pharmacist from White River, Arizona, played key roles in the unit as well. The U.S. Public Health Service Commissioned Corps is part of the U.S. Department of Health and Human Services. The Commissioned Corps is an elite uniformed service with more than 6,800 full-time, public health professionals serving the most underserved and vulnerable populations domestically and abroad. The U.S. Public Health Service is one of the seven uniformed services and is the only committed to protecting, promoting and advancing the health and safety of the nation. Officers often serve on the front lines in public health emergency and crisis situations both foreign and domestic including 9/11, Anthrax attacks, the 2010 Haiti earthquake and Superstorm Sandy.
BY STAFF REPORTS
03/14/2015 04:00 PM
CHEROKEE, N.C. – Cherokee Indian Hospital management would like to feature Native American art in the public areas of its new hospital opening Oct.14 and is seeking artists to provide art for the facility. CIH will consider for purchase original works by Eastern Band of Cherokee Indians, Cherokee Nation and United Keetoowah Band of Cherokee artists as well as other federally recognized Native American artists. Artwork will be selected and placed based on content, style and cost. Distinctive Art Source will accept all artists’ submittals on behalf of Cherokee Indian Hospital and will present all submitted artwork to the art committee for consideration. The submittal deadline is April 17. The mission of the Cherokee Indian Hospital Art Committee is to create pride and ownership by providing a variety of culturally significant, healing art mediums, inside and outside the facility. Research has determined that art can help reduce stress and offer the possibility of improved patient outcomes when the art is patient appropriate. Based on research the CIHAC is also requesting artwork that reflects the EBCI history, cultural and contemporary presence. Art can include but is not limited to recognizable figurative, landscape and garden scenes that represent the local geography and topography. Landscapes should be full color spectrum and sunny. Abstract artwork and artwork depicting dark shadows, cloudy or dark skies will not be considered. Woodwork, clay, stone, basketry, masks, beadwork, pottery, paintings, prints, shell carvings, glasswork, oil paintings, acrylic, pastel, watercolor, mosaic tile, photography, fabric, metals, mixed media, and interior and exterior sculpture will be considered. All artists will be notified of selection status on or near June 2015. Submittals from artists who were not selected will be returned at this time if return instructions and postage is included with their submission. Submittal forms may also be picked up from Megan Donham at the Hospital Construction office in Cherokee. For more information about required criteria, acceptable mediums, eligibility and submittal instructions, please visit <a href="http://www.distinctiveartsource.com/wp-01/wp-content/uploads/2015/03/Call-to-Artists-Cherokee.pdf" target="_blank">http://www.distinctiveartsource.com/wp-01/wp-content/uploads/2015/03/Call-to-Artists-Cherokee.pdf</a>. Artists may also call Jody Bradley at 828-497-9163, Ext. 6207. The Cherokee Indian Hospital is owned and operated by the Eastern Band of Cherokee Indians through the Cherokee Indian Hospital Authority since 2002. It serves approximately 10,000 enrolled members with inpatient, outpatient, emergency, dental, and pharmacy services, to name a few. CIH is accredited through the Joint Commission and recognized as a Level 3 Patient Centered Medical Home. The hospital has provided services to the Eastern Band of Cherokee Indians for more than 75 years.
BY STAFF REPORTS
03/01/2015 04:00 PM
TAHLEQUAH, Okla. – There will be an Oklahoma Blood Institute blood drive from 9:30 a.m. to 4 p.m. on March 3 at the Cherokee Nation W.W. Hastings Hospital in the Support Services Conference Room near Urgent Care. Blood donors will receive a donor T-shirt for their contributions. If they chose to reject the shirts, the funds designed for the T-shirt will go to the Global Blood Fund, which is a nonprofit organization that provides safe blood services in developing countries. Donors will also receive free health screenings and donor reward points, which are redeemable online for merchandise and gift certificates. A photo identification is required to donate at OBI blood drives. Participants must be 16 years old or older to donate. Participants who are 16 years old must provide a signed parental permission form and weigh 125 pounds or more to donate. Those who are 17 years old must weigh 125 pounds or more, and those 18 and older must weigh in 110 pounds or more to donate. For more information or to schedule an appointment, email <a href="mailto: tcrites@obi.org">tcrites@obi.org</a> or visit <a href="http://www.obi.org" target="_blank">www.obi.org</a>.
BY JAMI MURPHY
Reporter
02/27/2015 08:00 AM
TULSA, Okla. – Cherokee Nation citizen Tyler Moman and his wife Destiny said they were “blessed with two miracles” on Jan. 7 when Rylie Dawn and Haylie Reece – a set of monoamniotic twins – were delivered at 28 weeks and 6 days in gestation at St. John Medical Center. The difference between monoamniotic twins and other twins are that monoamniotic twins share the same amniotic sac and placenta. This means umbilical cords can easily tangle or kink as the twins grow in the womb. Monoamniotic twins are rare and have a 50 percent birth survival rate, Tyler said. Destiny said the twins must be monitored closely because as they grow in the womb they can strangle one another with their umbilical cords. “With mono-mono twins, at 24 weeks they always want to start monitoring you because about 24 weeks is when the babies start getting their growth spurt and start moving around more often, and they want to keep an eye on their heart rates,” she said. “Because the babies’ cords can knot or wrap around each other’s throats and strangle each other or cause harm between the two, which is kind of what started to happened with my two.” Tyler said Destiny started having problems as the babies’ heart rates dropped on Jan. 6 while being monitored at the hospital. The Grove couple welcomed the babies early the next morning. At birth Rylie weighed 3 pounds and Haylie was 2 pounds, 10 ounces. Both babies had to be on oxygen and feeding tubes. Destiny said they were also in isolation early on, monitored every few hours and still have a long way to go but are much improved. Other problems the girls may face is a “slower development of growing.” “At a year old they might look 6 months old or something or a little smaller, but then again there’s been twins that have grown tremendously compared to, you know, most twins,” Destiny said. Both babies have heart murmurs, but Destiny said those are expected with premature babies. Most often murmurs remedy themselves with medication and growth. “Rylie now weighs 4 pounds, 15 ounces. She’s been off oxygen now for 6 days (as of Feb. 9). She still has her VSD (ventricular septal defect – a hole in the wall of the heart between the bottom two chambers) but that’s normal for her. They say hers is so small it might close on its own in her first year,” Destiny said. “So Rylie has knocked out three of her milestones. She can breath on her own, keep her own temperature and is over 4 pounds.” Destiny said Haylie now weighs 4 pounds, 10 ounces, and like her sister, is off the oxygen tube but still uses a feeding tube. “She is keeping her own temperature up also. They both have almost outgrown their preemie clothes. They both have been taken off their Prolacta (human milk-based nutritional product) and are now on a different fortifier that gives them 24 extra calories. My milk gives them only 20 calories…They no longer have a pic line in anymore so no more IV fluids,” she said. “They get a vitamin once a day. They should be off their caffeine soon. They both still have their feeding tubes but they moved them to their noses so they can nipple feed. They will keep those in till they can take 50 percent of their feedings and then they will take them out.” She said the girls are getting better and stronger every day and she cannot wait until they can go home. A Go-Fund Me Crowdsource fund has been established to raise funds to allow Destiny to stay at the hospital, as well as car seats tailored for premature babies. Visit <a href="http://www.gofundme.com/k48zww" target="_blank">www.gofundme.com/k48zww</a> for more information.
BY ASSOCIATED PRESS
02/23/2015 09:30 AM
OKLAHOMA CITY (AP) – While state leaders remain steadfastly opposed to a Medicaid expansion offered under the federal health care law, some of Oklahoma’s 39 federally recognized Native American tribes are exploring opportunities for a federal waiver that could mean health insurance for about 40,000 low-income uninsured tribal citizens. Oklahoma Health Care Authority CEO Nico Gomez said talks are underway about seeking an expansion of the state’s Insure Oklahoma program to include some of the estimated 80,000 Native Americans in Oklahoma without health insurance. Gomez estimated as many as half of those tribal citizens could qualify for the program, depending on where the income threshold is set. Although still conceptual, Gomez said the idea would involve the tribal citizen paying a portion of the health insurance premium, the tribe paying a portion and the federal government paying the largest part. “We’re not looking at tapping into any state revenue, not now or in the future,” Gomez said. “Frankly, if it required any state revenue, I’m not sure we’d even be having this conversation.” Gomez said the proposal was initially discussed the first week of February with tribal representatives, and that he planned to brief members of the Health Care Authority’s governing board during its regular meeting on Feb. 12. Some of the state’s largest tribes, including the Chickasaw and Cherokee nations, are involved in discussions, Gomez said. Insure Oklahoma provides health coverage to about 18,000 low-income Oklahoma residents, mostly through a program in which the cost of premiums are shared by the state (60 percent), the employer (25 percent) and the employee (15 percent). The state portion of the program is funded through a tax on tobacco sales, but a federal waiver that allows the program to operate has only been approved through the end of the year. Gomez said expanding the program to include a tribal option could help ensure the federal waiver continues. Billy James, a 31-year-old University of Oklahoma student and a citizen of the Chickasaw Nation, said he wants to have health insurance but can’t afford the premiums. “I’m trying to hold out as long as I can,” said James, who is finishing his master’s degree and currently unemployed. “I’m kind of scared about not having insurance, but I’ve got to tough it out a little while longer.” A spokesman for Gov. Mary Fallin, a staunch supporter of the Insure Oklahoma program, said the governor is excited about the potential of a tribal expansion. “We’re particularly excited about the fact that it would not cost the state any tax dollars, which is important as we deal with our current shortfall,” Fallin spokesman Alex Weintz said. Currently, there are about 130,000 Native Americans in the state’s Medicaid program, which is about 16 percent of the overall Medicaid population in Oklahoma.