Picture of Bill James

To Fairbanks Interviews

Dr. Bill James

H2004-17-26
Part 2
Part 1 | Part 3

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Dr. Bill James talks with Karen Brewster on February 1, 2006 at his home in Fairbanks, Alaska about...

1) How communications and record keeping have changed and improved.
communication -- quality of\ satellite\ phone\ health aides\ clinics\ practice -- quality of\ villages\ experiment -- TV\ Fort Yukon\ Tanana\ Fairbanks\ Huslia\ Telemedicine -- beginning\ patients - presentation of\ electrocardiograms\ funding -- duration\ results -- improvement\ patients -- transport\ records -- electronic\ microfiche\ problem list\ immunization status\ TB status\ updates\ information -- storage\ New Mexico|

2) Changes in the types of illnesses found in Alaskan villages.
tuberculosis -- occurrence of\ Anchorage -- Native Hospital\ Johnson, Dr. Walter\ ear infections -- chronic\ PKC -- conjunctivitis\ pink eye\ cornea -- scarring\ Fritz, Dr.? -- private practice\ ENT\ infection -- chronic\ reaction\ diseases -- rates\ measles -- fatalities\ chicken pox\ meningitis\ immunizations\ diarrhea\ dehydration -- fatalities\ water -- sanitation\ x-ray -- crew\ TB -- treatment\ rest\ surgery\ travel\ antibiotics\ Anchorage Hospital -- construction of\ INH\ streptomycin\ PAS|

3) Health Aides' level of training and how he felt it affected their work.
health aides -- training\ training -- adequacy\ doctors -- education\ medicine -- practice of\ training -- duration\ villages\ health care -- quality of\ health aides -- quality\ public health nurse -- woman's clinic\ breast exam\ pap smears\ men's clinic\ cancer -- prostate\ diabetes\ common sense\ confidence\ patients -- transport\ medicine -- knowledge of\ relationship -- trust|

4) The differences between the general medical community and his experiences as a doctor in rural Alaska.
medical community -- opinion\ Tanana -- opposition\ Anchorage Public Health Service\ Dental Association -- opposition\ physicians -- private practice\ cooperation\ program -- necessity of\ doctors -- training\ villages -- travel to\ Arctic Village\ language -- limitations\ tests -- blood\ health aides -- work conditions\ health aides -- hours\ schedule -- intensity\ rest\ patients -- demands\ Tanana -- doctors\ care providers -- attrition\ Tanana -- residence\ hospital -- proximity to\ skiing\ nurse\ water skiing -- Yukon River\ boat -- travel\ woman -- labor\ sheet -- signals\ bathing suit\ delivery\ emergencies\ population -- size\ planes\ night\ hospital -- rounds\ clinic -- outpatient\ naps|

5) A comparison of the level and type of medical care available at village clinics and different hospitals.
equipment\ stethoscope\ lungs -- sound\ pneumonia -- treatment\ x-rays -- necessity of\ hospital -- travel to\ Tanana Hospital -- closure of\ care -- quality\ improvement\ Fort Yukon\ Venetie\ Northway\ Tanacross\ patients -- travel\ Fairbanks\ Galena\ plane\ Fairbanks -- specialists\ equipment -- CAT scans\ MRIs\ experts\ obstetrician\ care -- specialization\ emergencies\ deliveries\ appendectomies\ C-sections\ ectopic pregnancies\ Health Aide Program\ clinics|

6) Patient confidentiality and the improvements in health care that came about when Native corporations took over from the Public Health Services.
confidentiality -- medical\ villages\ radio call\ confidentiality -- techniques\ effectiveness\ phone system\ patients -- names\ patients -- identification of\ patient contact -- continuity\ generations\ Native Clinic\ work -- consultant\ Tanana Clinic -- native care\ work -- pediatrician\  Chief Andrew Isaac Clinic -- family practice\ retirement -- dates\ Elterman, Dr. Floyd\ Barrow\ Tanana Hospital -- closure\ Galbreath, Donna\ Council Newsletter -- article\ retirement\ staff -- stability\ public health service\ native organizations -- Tanana Chiefs\ medical services\ civil service\ commissioned officers\ nurses -- need for\ civil service list -- hiring\ applicants --  location\ applicants -- choice of\ staff -- Native\ federal government -- rules\ health board -- approval\ control -- local\ improvement|

7) Traditional medicine and the aspects/strengths of Native culture he has grown to know through his career and personal life in rural Alaska.
traditional healers\ midwives\ Eskimos\ patient -- infection\ stinkweed\ antibiotics\ recovery\ habit\ earache -- smoke\ cuts -- spruce pitch\ traditional medicine -- ignorance of\ career -- continuity of\ patients -- knowledge of\ Native culture -- strengths\ non-Natives\ potlaches\ minorities -- appreciation of\ understanding\ Tanana\ wife -- Fort Yukon\ children -- heritage\ shame|

8) His evaluation of the health aide program and the role health aides play in their communities.
health aide program -- evaluation\ problems -- attrition\ training\ job -- demands\ turn-over -- reduction\ techniques\ health aides -- quantity\ health aides -- remuneration\ health aides -- characteristics\ Ambrose, Rose\ Williams, Jessie\ health aides -- strength\ influence\ health aides -- management styles\ schedules\ personality\ burn-out\ commitment\ Moses, Bertha\ health care -- lack of\ appreciation of|

9) His feelings about the future of the health aide program and also about Alaskan villages.
health aide program - future\ villages -- future\ villages -- size\ Fairbanks\ Rampart -- school\ students -- quantity of\ villages -- remote\ Allakakat\ Arctic Village\ Huslia\ health aide program -- model\ dental program\ mental health\ Physician Assistant\ Tok -- doctor\ doctor -- supervisor\ dentist -- supervisor\ medical license -- restrictions\ states -- reciprocity\ malpractice\ record\ dental license -- difficulty\ “practical”\ turf -- protection\ dental care\ dental technicians\ dentists -- quantity\ Unalakleet\ Bethel|

10) An exciting story about an emergency operation in the field.
stories\ Tanana\ field trip -- first\ Nulato\ January\ public health nurse\ nurse\ village -- life\ plane\ patient -- ruptured ectopic pregnancy\ patient -- transport\ husband\ condition -- worsening\ clinic\ IV\ transport -- dogsled\ radio -- broken\ air force -- Galena\ helicopter\ Koyukuk -- dogsled\ condition -- weakening\ priest\ operation -- risks\ risk -- fatality\ clinic -- building\ exam table\ light -- location\ heater -- oil\ step ladder\ flashlight\ anesthetic -- local\ suture kit\ helicopter -- arrival\ Tanana\ transfusion\ Anchorage\ infections\ electrolyte -- imbalances\ emergency room -- surgeon\ anesthesia -- xylocaine|