KAREN: What kind of equipment did they give you when you first started out?

JESSIE: Blood pressure cuff, stethoscope, thermometer. Some medications. I can't believe what we used to take in our little box for medications to give.

KAREN: Aspirin, what kind of medications?

JESSIE: Penicillin, aspirin, Tylenol -- Well, I don't know even though if we had Tylenol then.

KAREN: I don't think, back then, they even had Tylenol, did they?

JESSIE: Aspirin. But I know penicillin was in there. Erythromycin.

KAREN:  Erythromycin is an antibiotic, is that what that is?

JESSIE: A lot of people are allergic to penicillin, so they use Erythromycin.  Now with all the modern technology, we have in our new clinic we have computers on almost everyone's desk.  I am one that has a hard time with modern technology.  With a computer, if I can just get into my email that's all I know, and how to do my timesheet on there.

KAREN: Do they have telemedicine machines?

JESSIE: Yes. Sometimes it doesn't work. It goes out of whack or something.  But they do now for looking in the ear or taking pictures of skin problems and stuff like that.

KAREN: Do you think those kind of changes have helped or -- ?

JESSIE: It has.  But, well the clinic in Angoon is a lot more now.  We have an x-ray department. Where they have mostly the PA's (Physician Assistant) doing the x-rays. And they can tell now if you have a fracture, if someone gets hurt.  Before that we used to have to guess. Well, just talking to the doctor and then seeing what he would think if it were enough of an emergency to have the patient come in.

KAREN: So if it was a fracture or a broken bone, could you guys set it and put a cast on?

JESSIE:  I could put a splint, a plaster splint on it and send them in.  But I think we were taught to -- Well up to the time I was there, we were never taught how to put casts on. But we do plaster splint they call them, like on a leg or an arm, where you mold it out and the one on the bottom, or sugar-tonged they call them --

KAREN: And that would hold it temporarily until they could get to the hospital?

JESSIE: Yes.