Tribal Health News KLAMATH TRIBAL HEALTH & FAMILY SERVICES SPECIAL POINTS OF INTEREST: • V O L U M E M’ok’aak Yummy fry bread recipe, see inside! • I S S U E 1 A P R I L – J U N E 2 0 0 8 ifts for Youth at Dentist Project underway in dental. • 1 , Questions answered about urine testing at clinic. In March of this year, Tribal Dental began seeing patients as part of the m’ok’aak project, funded by the ADA Harris Grant. As part of this project, any tribal children 3 years of age or under will be screened for dental decay, given fluoride treatments, and take X-rays if able. We hope to increase access, follow-through and awareness of the need for dental treatment to our most vulnerable patients. At the first visit, the little patient will receive a gift bag full of dental goodies including a custom T-shirt. At each visit, the guardian will enter in a raffle for one of two Pendleton blankets, which are currently on display in the dental clinic. A $20 gift card for Fred Meyer will be awarded to each guardian who brings the child for his/her second scheduled appointment. INSIDE THIS ISSUE: April Calendar 2 Health Insurance 2 May Calendar 3 Patient Registration 3 June Calendar 4 Fry Bread Recipe 4 Urine Testing 5 It is important to see small children very early to recognize potential future problems, catch dental decay early and reduce future fear of dental visits. We have enjoyed seeing the children enrolled in the project thus far and look forward to meeting your little ones! Joyce Jackson drew the dragon mascot, pictured above, for the project. Look for it on T-shirts that our young children will be wearing! Thank you for another job well done, Joyce! r. Martin’s Departure The dental clinic says goodbye, hopefully a temporary one, to Dr. Martin on May 1st. He will be serving in the Army as Dental Chief of a clinic in Fairbanks, Alaska, filling in for a dentist who has been deployed to Iraq. We will miss him here at Klamath Tribal Health & Family Services, especially his dedication to patients and his crazy sense of humor! He is representing all of us in serving his country and we’ll be thinking about him up in cool Alaska as we’re baking here in the sun! Good luck Dr. Martin! VOLUME 1, ISSUE 1 Schedule of Events } April 24Family Fun Night 5:00-7:00 PM Chiloquin Elementary } April 21-27National TV Turn Off Week } April 26thRound Dance 5:00 PM Chiloquin Big Gym } April 30Child Abuse Awareness Video 4:00 PM Chiloquin Community Center For more info call: 783-2219 } } Every MondayStanding Willows Support Group 4:00 PM Williamson River Indian Mission For more info call: 783-3586 Every WednesdayNarcotics Support Group 5:30-6:30 PM Chiloquin Community Center For more info call: 783-2721 PAGE APRIL 2008 Sun Mon Tue Wed Thu Fri Sat 1 2 3 4 5 10 11 12 17 18 19 23 24 25 26 Administrative Professionals Day Family Fun Night Narcotics Support Group 6 7 8 Standing Willows 13 14 Narcotics Support Group 15 Standing Willows 20 21 28 16 Narcotics Support Group 22 TV Turnoff Week 27 9 29 Standing Willows 30 Child Abuse Awareness Presentation ot Health Insurance? Normajean Cummings is the Patient Benefits Coordinator for Klamath Tribal Health & Family Services, and is responsible for assisting all of our clients with signing up for and maintaining your health care coverage. Norma is available to assist all patients utilizing the Wellness Clinic as well as all Tribal Members. There are many alternate resource programs that our patients may qualify for. Such resources include but are not limited to OHP, FHIAP, Disability, SSI, SSA, Medicare A, B, D and Advantage Plans, VA, and many more. If you would like more information on any of the above programs, please contact Normajean Monday – Friday from 8:30 -5:00 at 541-882-1487 x 203 or 541-8925908. Appointments are available at Tribal Health, the Wellness Clinic, at your home, or your place of business. Round Dance 2 VOLUME 1, ISSUE 1 PAGE Schedule of Events 3 MAY 2008 } May 3Poker Walk 9:30 AM-Lunch Moore Park Sun Mon Tue Wed } May 14 KTHFS Offices Closed 8:00 AM– 1:00 PM All Staff Meeting } May i6- 4 State Indian Day KTHFS Offices Closed 5 6 Standing Willows } May 20Tribal Men’s Golf Retreat 10:00 AM– 2:00 PM Shield Crest } Every MondayStanding Willows Support Group 4:00 PM Williamson River Indian Mission For more info call: 783-3586 } Every WednesdayNarcotics Support Group 5:30-6:30 PM Chiloquin Community Center For more info call: 783-2721 7 12 Mother’s Day Standing Willows 18 19 20 21 Standing Willows Men’s Golf Retreat Narcotics Support Group 26 27 28 Memorial Day KTHFS Closed Fri Sat 1 2 3 8 9 10 15 16 17 Poker Walk Narcotics Support Group 11 25 Thu 13 14 State Indian Day KTHFS Closed 8:00 -1:00 22 23 24 29 30 31 Narcotics Support Group atient Registration Patient Registration is the first stop for patients accessing services at the Wellness Center. The department is staffed by Roberta Frost, Patient Registrar and Elizabeth Jackson (Soupy), Patient Registration Coordinator. Please let the staff know if there are any changes to your information such as: address, phone or message number, employer, emergency contact or insurance information. Keeping your information current ensures that Tribal Health will be able to contact you for scheduling appointments or with needed information. The department hours are from 7:30 to 4:00, Monday through Friday. The department is closed from 12:00 to 12:30 for lunch each day, but for the patient’s convenience, if both the staff are present, one of the windows will be opened at 12:30 so patient’s can check in early for 1:00 appointments. The staff is also available to assist clients with Oregon Health Plan applications. Staff will assist clients with filling out the applications and then forward them to the DHS office for processing. VOLUME 1, ISSUE 1 PAGE Schedule of Events } June 14Women’s BCC Luncheon Time and Location TBA For more info call: 882-1487 } June 14Beatty Walk/Run 9:30-Lunch Beatty Community Center JUNE 2008 Sun Mon Tue Wed Thu Fri Sat 1 2 3 4 5 6 7 12 13 14 } June 24Medicare 101 10:00-4:00 PM Tribal Administration Auditorium For info call Norma: 882-1487 } June 28Peace & Dignity Runners Evening Runners arrive in Chiloquin } Every MondayStanding Willows Support Group 4:00 PM Williamson River Indian Mission For more info call: 783-3586 } Every WednesdayNarcotics Support Group 5:30-6:30 PM Chiloquin Community Center For more info call: 783-2721 8 Standing Willows 9 Narcotics Support Group 10 Standing Willows 11 Narcotics Support Group 15 16 Father’s Day Standing Willows 22 23 24 25 Standing Willows Medicare 101 Narcotics Support Group 29 17 18 Walk/Run & Women’s Luncheon 19 20 21 26 27 28 Narcotics Support Group 30 Standing Willows aking Fry Bread More Healthy 2 cups whole wheat flour 2 cups white flour 4 level tablespoons baking powder 1 teaspoon salt 1/4 cup vegetable oil 1 cup warm water 1. Mix together whole wheat flour, white flour, baking powder and salt. 2. Add oil a little at a time until mixture looks like corn meal. 3. Slowly add warm water, until dough sticks together. 4. Roll into fist sized balls and place in bowl. 5. Cover bowl with towel for about 10 minutes 6. Pat dough out with your hands to the size of large pancakes. 7. Fry in hot vegetable oil until golden brown on both sides. To make an Indian Taco: put beans, shredded lettuce, tomato, and cheese Peace & Dignity Run 4 VOLUME 1, ISSUE 1 PAGE onfusion about Urine Tests There are several reasons for urine testing for men and women of all ages: 1. Check for infection- this is done if someone is complaining of certain symptoms including pain with urination, difficulty urinating, frequent urination, abdominal or back pain, and others. Infection can be easily treated with antibiotics. 2. Check for kidney damage- this is done usually once a year as a screening test for diabetic people to check for protein in the urine. If we can find this early, we can prevent or delay the need for dialysis by adjusting some medications. Diabetes is the biggest reason for kidney failure and needing dialysis in this country. 3. Monitor the use of certain prescription pain medicines- this is only done if a person is on certain medications that must be monitored according to the DEA (Drug Enforcement Agency)- a federal agency. This is done by random selection, usually a few times a year. It may be required more often if a previous test has not been consistent with the medications prescribed. 4. Other reasons to request a urine test include checking for pregnancy, sugar in the urine (usually a sign of uncontrolled diabetes), blood in the urine (from certain kidney or bladder problems), other drugs in the body (if drug abuse is suspected). Urine tests are sometimes requested as a part of an annual physical exam for screening purposes for any or all of the above. Do I have to give a urine sample if I don’t want to? The only time a person would have to give a urine sample is if they are on certain pain medications that require monitoring. These people have agreed to this in advance by signing a Pain Agreement, and are required to be tested a few times a year in order to receive those medications. (If they don’t want to give a urine sample, they don’t have to- but then they wont be able to receive those particular medications. They will still be able to have other options for pain medicines, and all their other medications will be continued without being affected by that decision.) All other people can refuse to do a urine test. The providers will explain why a urine test is important, and how it can help them make a better treatment plan, but will never force anyone to give a urine sample. “The only time a person would have to give a urine sample is if they are on certain pain medications that require monitoring.” 5