Cherokee Nation administration officials, Tribal Councilors and AMO Salina Health Center employees gather April 28 for the opening of the tribe’s dental clinic in Salina, Okla. JAMI CUSTER/CHEROKEE PHOENIX
Dental clinic offers shorter travel for citizens
Stefan Hacker, Cherokee Nation dental director, speaks during the April 28 opening ceremony of the tribe’s dental clinic in Salina, Okla. JAMI CUSTER/CHEROKEE PHOENIX
SALINA, Okla. – The Cherokee Nation celebrated the opening of its new dental clinic April 28 at AMO Health Center. The clinic will allow patients living in the area to receive dental care without having to travel long distances.
CN citizen Billie Ann Dry said she lives approximately 8-1/2 miles east of Salina and having the new clinic would help her family battle rising gas prices.
“It’s just a 15 minute drive from the house to here (AMO Health Center),” she said.
Dry said before the clinic, she and family members traveled to W.W. Hastings Hospital in Tahlequah for dental care.
“It was an hour’s drive over there,” she said.
According to CN Communications, the new facility brings additional staff and features eight patient chairs, electronic records and digital radiology for x-rays. Also, the recent construction made space for administrative offices, behavioral health services and a community room.
Stefan Hacker, CN dental director, said the grand opening of the clinic and community center has “definitely been a project we’ve been working on for a long period of time and it’s nice to see it come to fruition.”
Allen Summerlin, dental clinic supervisor and dentist, said his job would consist of managing the staff of assistants, hygienists and dentists, as well as performing dental services.
“At the Salina dental clinic, services will include exams, cleanings, operative treatment such as fillings, root canals, extractions and denture care as well,” he said.
He added that patients seeking dental care should call for an appointment, but if they have an emergency they can be seen as a walk-in.
“Walk-ins are available…basically what we are going to try to do is accommodate patients throughout the day,” he said. “We don’t want to put a time limit on it, but you know, we’re here to provide a service and we’re going to do our best to do that.”
The clinic has three dentists, a hygienist, eight assistants, one supervisor and two clerical positions.
The AMO Salina Health Center opened in 1996. William Smoke, who was a Tribal Councilor when the dental clinic legislation was approved, said the health center was built with a space for a dental clinic.
“Wilma Mankiller was in on plans for the dental clinic when the Salina Clinic was first built. For a while it was empty. There wasn’t anything but gravel in there on the floor. We tried back then (to get the dental clinic), but we never could get it,” he said.
He said the health center opening helped a lot of people in the area and that the dental clinic would build on that.
“A lot people get help down there. My sister goes there and plans to get her teeth worked on there. There’s a lot of people that can’t make it to Tahlequah for dental, so it’s good for the whole area,” he said.
According to the tribe, the AMO Salina Health Center had nearly 58,000 visits and that the dental clinics throughout the CN health system had more than 45,000 patient visits this past firstname.lastname@example.org • 918-453-5560
TAHLEQUAH, Okla. – The auxiliary volunteer group at W.W. Hastings Hospital is always looking for more help and is again putting out a call for volunteers.
The group has nine regular volunteers down from its usual number of 12.
“It would be nice to get enough people to where we didn’t have to double up so much (work two different shifts). Being upstairs is a long day. When they work upstairs from early in the morning to who knows when, that is a long day,” volunteer Colleen Ketcher said. “I really enjoy working here. It’s been 20-something years that I’ve volunteered.”
Upstairs is the third floor with patient rooms and where surgeries occur. Volunteers assist with taking phone calls from family members inquiring about a person in surgery and help family members in the waiting room feel more comfortable.
Volunteers also maintain a gift shop near the hospital’s pharmacy where they sell candy, snacks, jewelry and T-shirts. Money from items sold has been used to buy rocking chairs for the hospital’s nursery and cell phone charging stations for four areas in the hospital.
“The patients and the staff have really enjoyed having those here,” Ketcher said of the stations.
Funds raised have also been used to buy chair beds for people wishing to stay extended periods with their loved ones in a hospital room, extra large wheelchairs, a wheelchair and teddy bears for the operating room area, car seats for patients who can’t afford them for their newborns and a bassinet for babies.
“We try to give every baby that leaves here a blanket,” Ketcher said. “In general, when they (staff) come and say they need something we try to donate. That’s what we’re here for, the patients, and we do our best to do whatever we can for them.”
After Betty Lunsford moved to Tahlequah and began using the hospital for her medical care, she said she began thinking about volunteering to give back to the hospital. She said she volunteers at Hastings because its staff was “good to her mother” when she was dying.
“She was here in ICU (Intensive Care Unit) when she passed away, and they were so good to us. And then I had a brother who passed away here, too, and they went out of their way to help us up there in ICU,” she said. “If someone has hours to give, like me, I’m alone, do I want to sit at home all the time and be lonely or had I rather be out with someone else and have the companionship and helping someone?”
Phyllis Jimmeye volunteers to give back to the facility she worked at for more than 20 years.
“I volunteer because I worked here for over 20 years. This is a way that I can still have contact with people that I worked with, and plus I’m able to see some of my family that I normally wouldn’t see because they use this facility,” she said.
The auxiliary holds meetings at 1 p.m. every second Tuesday of the month. The meetings are open to the public and people interested in volunteering may attend. Meetings are in the conference room of the annex building in front of the playground just west of the hospital’s main entrance on the third floor. People interested in volunteering or wanting more information should call 918-458-3100, ext. 4127.
“If someone really wants to get a blessing, I think this is a good place to get one because whatever you give, you’re going to get back way more,” Ketcher said. “These patients are so grateful just for a smile. When you’re sick just a smile or a greeting like ‘good morning,’ that’s something they really love.”
HULBERT, Okla. – A date to the prom with someone special is a dream shared by many girls and boys, and one that recently came true for Cherokee Nation citizen Paige Walls.
The Hulbert High School senior expected her dad to be her escort to prom, but when he couldn’t get off work, another stand-in was given a written invitation with “yes” and “no” boxes to check in reply.
Dr. James Lewis, a W.W. Hastings Hospital pediatrician, said he didn’t hesitate to say “Yes” to the young girl who calls him “Dr. Grandpa” while on a follow-up visit.
Lewis has been the 18-year-old’s pediatrician since birth, when she was diagnosed with CDKL5, a rare neurological seizure disorder. Children with CDKL5 all have developmental delay and Paige can’t communicate.
“I was blown away, very honored,” said Lewis. “I said ‘I’d love to.’ She’s part of the family. I even did a house call when she was so sick.”
Paige’s mom, Mona Walls, said Lewis was the “next best thing” because he’s been in her life so long.
“He loves her just like a granddaughter,” said Mona, who crafted the written invitation. “It’s probably a little old fashioned, but I wanted Paige to be able to ask him. She handed him the invitation.”
Lewis read it out loud to Paige.
“Mona deserves all the praise. She has taken her everywhere for help, from Houston to Memphis, and taken training in epilepsy. When Mona says ‘Jump,’ I say ‘How high?’ She’s very knowledgeable,” Lewis said.
He said the invitation reminded him of his high school prom at Tulsa Edison in 1964.
“She even offered to pick me up,” Lewis said, “but I live just up the street so I hopped into the little bug and met her there.”
For this special occasion, a purple corsage in the school colors was given to his date and Lewis received a boutonniere when they met that evening.
“It was a fun evening. I escorted her inside. We had our picture taken by an old car and lots of kids came up and said ‘Hi,’ and gave her hugs,” Lewis said. “We had a delicious meal of steak and chicken. An amateur magician was the entertainment.”
Mona was also in attendance, but scooted a little away from her daughter and date at dinner so they could have “their time.”
“I think she was excited. She was aware she was on a date with him,” Mona said. “While they were watching the magic show, she was holding his hand. When he let go she got a little irritated so he held her hand again. She was happy.”
Gratitude is what the Walls family felt.
“I was glad she was able to experience that. He made her feel very special,” Mona said. “We were honored he took her. He’s so selfless.”
“Dr. Grandpa” also was greeted by many of his patients with “Hi, Dr. Lewis.”
“In that 17- and 18-year-old crowd there were some Joe Cool types,” Lewis said, “and girls wearing prom dresses and gowns, and guys in cowboy hats, boots and string ties.”
He saw friends and a former neighbor, Marilyn DeWoody, superintendent of Hulbert Public Schools.
“I hadn’t seen her in ages,” he said. “She thanked me for taking Paige.”
The two also shared a wish for special needs people because once the students reach 18 years old and graduate, there’s nothing for them, such as services during the day.
“I wish the tribe would consider a respite center for the handicapped to go to during the day with recreational, physical and occupational therapy, a teacher, a great classroom, activities and other people too,” Lewis said. “There’s a bunch of vacant buildings in town for rent.”
Mona agreed, saying she doesn’t know what she’ll do with her daughter now that she’s graduated.
“She loves music and quality time with people and art. If someone would do it two hours a day a couple of days of week that would be great,” she said.
At prom, when the magician finished, it was after 8 p.m. and they took more pictures.
“A lot of people came up to her and took pictures with her,” Mona said.
The dance started next, which signaled it was time to call it a night.
It was Lewis’ first time to be a prom escort, although he’s attended many high school graduations.
“It was sort of cool. I had a great time,” he said.
<strong>– Reprinted with permission from the Tahlequah Daily Press</strong>
TAHLEQUAH, Okla. – The Cherokee Nation is blazing a path in hepatitis C treatment with a project that is curing Cherokees infected with the disease. At the project’s center is Dr. Jorge Mera, infectious diseases director, who in October founded a hepatitis C elimination project.
The CN has the first health organization in the country to start such a program, he said.
“But before the elimination program we started addressing the problem in 2012 through September of 2015 with increased screenings other patient care,” Mera said.
The project has screened 12,000 Cherokee patients for hepatitis C, and among those testing positive, more than 300 have been treated and are considered cured of the infection that causes liver disease, officials said.
That project earned Mera the distinction of being honored in May at the White House ceremony on National Hepatitis Testing Day.
“The award is a wonderful recognition from the White House to all the Cherokee Nation providers, health professionals and administration for making this program a success in changing lives and combating hepatitis C,” Mera said after the ceremony. “We have a lot of work ahead, but I think we have made the invisible epidemic, now visible.”
An estimated 3.5 million people have hepatitis C, according to the U.S. Health and Human Services. According to a CN press release, the number of hepatitis C-related deaths reached an all-time high of 19,659.
However, Mera said, patients are now being treated with Food and Drug Administration-approved hepatitis C virus antivirals.
“The cost of a treatment varies, but a treatment may cost from $52,000 to over $100,000 depending on the combination of drugs used,” Mera said. “Of the patients who have completed treatment we have a cure rate that is around 90 percent.”
The program’s protocol follows the American Association for the Study of Liver Disease and Extended Community Health Outcomes recommendations.
“No patients have died while receiving antiviral drugs but several patients have died of end stage liver disease either before they received treatment or after they completed treatment,” Mera said.
No hepatitis C vaccine exists, but there is ongoing research to develop one, he said.
“It is the No. 1 cause of mortality of the reportable infectious diseases in the United States,” Mera said. “It causes more deaths than the other 59 diseases combined.”
Mera said in the United States more that 70 percent of the infected are in the Baby Boomer Generation, people born between 1945-65.
“In Cherokee Nation the patients we are detecting now have an average age of 44,” Mera said. “Around 50 percent of our patients are in the Baby Boomer age group but the other half is younger.”
Within the elimination program, there are research studies regarding transmission risk factors in the CN population, Mera said.
The highest risk of contracting hepatitis C is probably in people who inject drugs by sharing contaminated needles, syringes or paraphernalia used during the injection process and having unprotected sex with an infected partner, he said.
Treatment of patients with substance abuse disorders is also important because this will decrease their chances of using drugs. So having behavioral health, rehab services and opioid substitution programs are also important parts of prevention.
“Also, tattooing is a possible risk factor so only getting tattoos done by professionals who are licensed,” Mera said.
Treatment of infected patients also is a form of prevention because once a patient is cured he or she cannot transmit the infection, he said.
“Most patients are asymptomatic,” Mera said. “When symptoms appear it usually is a manifestation of advanced liver disease or liver cancer.”
Screening is the key to early detection of the disease, he said.
Eighty-five percent of patients will develop a chronic infection and between 20 percent and 30 percent will develop cirrhosis of the liver, he said.
<strong>Facts About Hepatitis C</strong>
• Hepatitis C can begin as acute infections, but in some people, the virus remains in the body, resulting in chronic disease and long-term liver problems.
• Hepatitis C ranges in severity from a mild illness lasting a few weeks to a serious, lifelong illness that attacks the liver. It is spread primarily through contact with the blood of an infected person. About 75 percent to 80 percent of people infected with the virus develop chronic infection, a long-term illness when the virus remains in a person’s body. It can lead to serious liver problems, including cirrhosis or scarring of the liver or liver cancer.
OKLAHOMA CITY (AP) – The Cherokee Nation has been awarded a $1 million grant as part of an effort to get more children enrolled in federal welfare programs for which they are eligible, federal officials announced on June 13.
The Center for Medicare and Medicaid Services announced the Tahlequah-based tribe is one of 38 recipients from 27 states to receive part of the $32 million in awards that are called Connecting Kids to Coverage grants. The money is aimed at enrolling eligible children in Medicaid and the Children’s Health Insurance Program, or CHIP, which is another program that provides health coverage to children.
“Unfortunately, the Cherokee Nation has 22 percent of their (eligible) kids who have not signed up,” Principal Chief Bill John Baker said. “This million-dollar grant gives us the opportunity to do more outreach, to get in the communities, to PTA meetings, school functions, maybe even some billboard advertising, things like that to educate and make more of our citizens aware that this health care is available to the kids.
Baker said because CN citizens who live within the tribe’s boundaries already receive free health care at tribal clinics, they may not be aware that they also qualify for federal programs like Medicaid.
The CN was the only Oklahoma recipient in the latest round of awards, which specifically target vulnerable populations, including teenagers, children in rural communities and Hispanic and American Indian children, said Victoria Wachino, director of CMS’ Center for Medicaid and CHIP Services.
“Today’s announcement means more children will have access to coverage early in their lives which will help them grow into healthy adults, succeed in school and reduce financial burdens on their families,” Wachino said.
Figures released on June 13 by CMS show more than 710,000 Oklahoma children enrolled in Medicaid and CHIP programs in 2015, an increase of nearly 2 percent from 2014, but still below the national average of 2.5 percent.
“Since the passage of the Affordable Care Act, the rate of uninsurance for children has declined to its lowest levels on record,” U.S. Secretary of Health and Human Services said. “Fewer than 1 in 20 children are now uninsured.”
WASHINGTON – A Cherokee Nation physician was honored at the White House on May 19 for the tribe’s commitment to testing and treating patients for hepatitis C, which has led to more patients being cured of hepatitis C and living longer lives.
Acting Assistant Secretary of Health Karen B. DeSalvo presented Dr. Jorge Mera, CN infectious diseases director, his award during a White House ceremony in observance of National Hepatitis Testing Day.
“The award is a wonderful recognition from the White House to all the Cherokee Nation providers, health professionals and administration for making this program a success in changing lives and combating hepatitis C,” Mera said. “In the last couple of years we have tested thousands of patients and cured hundreds who suffer from the hepatitis C virus. We have a lot of work ahead, but I think we have made the invisible epidemic, now visible.”
The CN, thanks in large part to Mera, began a hepatitis C elimination project in 2015. The tribe executed plans developed by the U.S. Centers for Disease Control and Prevention. To date, the CN has screened more than 12,000 Native American patients for hepatitis C. Among those testing positive, more than 300 have been treated and are considered cured of the infection that causes liver disease.
“At Cherokee Nation we are diligently addressing hepatitis C infection within our tribal population. We are able to do that because of the ongoing partnership with the CDC, and I thank Dr. Mera and his team for their work. It is a pioneering effort and I am proud we are making great strides,” Principal Chief Bill John Baker said. “Indian people face a huge disparity in the rate of contracting hepatitis C in America, but through our efforts we are educating our citizens and systematically fighting, and even curing, hepatitis C. Hopefully, these best practices will soon be replicated across Indian Country.”
An estimated 850,000 Americans have hepatitis B and 3.5 million have hepatitis C, and fewer than half are aware of their infections, according to the U.S. Department of Health and Human Services.
Since 2012, deaths associated with hepatitis C outpaced deaths due to all 60 other infectious diseases, and in 2014, the number of hepatitis C-related deaths reached an all-time high of 19,659.
National Viral Hepatitis Testing Day is an annual CDC-sponsored observance. This year, the HHS collaborated with the White House Office of National AIDS Policy and Office of National Drug Control Policy for the Hepatitis Testing Day event to highlight the impact of viral hepatitis in the United States.
It is the first year the HHS presented awards to organizations testing for hepatitis. Other health organizations recognized were from Hawaii, Rhode Island, New York, New Jersey, Washington, D.C., San Diego, Dallas and Wyoming.
“Increasing testing for hepatitis B and C is a critical part of ensuring good health for all Americans,” DeSalvo said. “With coordinated efforts by diverse partners like those being recognized…we can reduce deaths and disparities in hB and C and improve the lives of people living with chronic viral hepatitis.”
KENWOOD, Okla. – The Cherokee Nation’s Trust Land Kenwood Units have plants such as Trillium, which contain medicinal properties, and Buckbrush, which can be used for making baskets. Pat Gwin, administrative liaison, said the approximately 160-acre Delaware County tract, which is not accessible to the general public, is home to culturally significant and medicinal plants.
“We might have hit five acres of it and we saw this list of what is twentyish really important plants, so that’s a neat tract,” he said.
While on the tract, Gwin spotted Trillium, a short-lived medicinal plant.
“A lot of Cherokee medicinal, cultural food plants only grow in like a two-to-four-week window here in the spring, and Trillium is one of those. It’s a medicinal plant and there are years when it is very prevalent and there are years when you can’t find it very often,” he said.
Gwin declined to comment on the plant’s medicinal purposes for safety reasons. He suggested people wanting to use medicinal plants seek a Cherokee medicine person. He did the same for May Apple, which he also found.
“May Apple was another one of those medicinal plants, cultural-use plants. The strange thing about the May Apple is that it was used for a lot of cures that western medicine hasn’t really done a lot of research on or is just now starting to do some research on. If you go to other parts of the world it’s been used for a lot of the same medicinal uses that the tribe has for centuries,” he said.
He said another plant he saw was Sassafras, which was used as a blood thinner.
“Sassafras, its medicinal qualities have been made known for a longtime. It’s used as a blood thinner,” he said. “Today, it’s got some controversy surrounding it because one of the main ingredients, the Safrole Oil, is a carcinogen, so there’s a lot of warning out there for people that do partake of it do so in moderation. It has three distinct leaves. It has the sock that’s the round leaf and then it has the mitten and then it has the glove. No other tree has that so I think that’s pretty cool.”
Other notable plants found were Wild Ginger, which Gwin said is used as a food additive and for medical purposes; Solomon Seal, which he said “highly skilled Cherokee healers” would have used; and Green Dragon, which Gwin said is kin to Jack-in-the-Pulpit and used for medicinal purposes.
Gwin also found Sochan, a plant offered through the tribe’s Seed Bank Program.
“(It’s) one of the traditional Cherokee greens that’s eaten in the spring,” he said. “You might say it’s somewhat a kin to Watercress, but most people don’t know that Watercress probably isn’t even from North America.”
He said another plant in the area that is culturally important is Buckbrush.
“Buckbrush would have been the one they (Cherokee baskets weavers) used,” he said. “A lot more difficult than Honeysuckle because it just doesn’t grow as long.”
Gwin said most of these plants would be found in “low-lying wetland areas.”
“One of the things that when you look for areas that are going have a lot of Cherokee plants you have to think at a couple of things. Cherokees always needed water,” he said. “A significant number of those plants would be found in those low-lying wetland areas, which environmentally, those are sensitive areas.”
Gwin said it’s important for Cherokees to know about plants that are important to their people.
“There were a couple of things that our ancestors told us that we had to retain in order to be Cherokee. Obviously one of them was language. Obviously one of them was the ability to grow our own food. The ability to utilize and respect plants was another one of those things,” he said. “The Cherokee homeland is a very diverse plant environment as is northeastern Oklahoma. I always found it interesting. The relocation could have been far worse than what it was, but they stopped here in northeastern Oklahoma where we may not have all the same plants as we did back there but, for example Jack-in-the-Pulpit, very cultural Cherokee plant, very prevalent back East, not so much here but we have the Green Dragon, which…it’s so close in relation.”
He said he plants are some of the things that helped Cherokees thrive in the modern CN.
“Even now we might not have the exact same plants. We have very, very close cousins, kins to them. That’s one of the things that I always thought allowed us to, once we got here, build up the tribe as quickly as we did,” he said. “I’m not sure any other population on the planet would have been able to survive that but that was one of the things that we were able to do, and I truly think the plants was one of the reasons for that.”
For information about Cherokee-important plants or to tour the tribe’s Garden and Native Plant Site, email <a href="mailto: email@example.com">firstname.lastname@example.org</a>.