To Kodiak Island Interviews

H2004-17-04, Part 1
Part 2 | Part 3

1)Traveling to Kodiak Island doing missionary work, coming to settle in Larsen Bay in the early 1950s, and early medical care provided by public health nurses.
Kodiak Island\ missionary work\ travel -- boat\ boat -- meeting place\ Larsen Bay\ church -- lack of\ remoteness\ boat -- insurance\ airplane travel -- lack of\ medical care -- lack of\ medical care -- public health nurses\ medical care -- type of\ immunization\ immunization -- local training\ health aide program -- beginning of\ nursing -- type of care\ doctors -- lack of\ doctors -- Alaska Native Service\ travel -- mail boat\ Shuyak|

2) Giving immunizations to people in Larsen Bay starting in 1954.
immunizations -- local\ local person -- selection\ medical care -- local\ Aga, Dora\ nurse -- clinic\ immunization -- training\ immunization -- equipment\ immunization -- procedure\ immunization -- first-time\ facility -- kitchen\ people -- number of\ equipment -- amount of\ aspiration -- no knowledge of\ needle -- sterilization of\ diseases -- immunization for\ disease -- typhoid\ family\ children -- number of|

3) How she started providing broader medical care to people, moving to Ouzinkie in 1958 with her husband for his mission work, and how she became the health aide.
health aide -- start of\ medical care -- people came for\ husband -- helper\ husband -- college biology class\ education -- high school\ husband -- college\ study -- with husband\ health aide program -- development of\ Larsen Bay\ Ouzinkie -- children's home\ Kodiak\ nurse -- Setzekorn, Mary\ public health nurse\ health aide -- assignment as\ immunization\ doctors -- arrival of\ doctors -- learned from\ medicine -- lack of\ equipment -- lack of\ equipment -- ordered\ Ouzinkie -- move to\ American Baptist Mission\ Mission -- children's home\ village -- programs\ kindergarten\ boy scouts\ Mission -- building\ Larsen Bay\ house -- mold\ Mission -- moved us to Ouzinkie\ Mission -- boat\ Christian camping program\ Long Island\ Woody Island\ boat -- travel\ medical care -- provide\ medical care -- practice of|

4) Relation between western medicine and traditional healer in Larsen Bay, and beginning of her health aide work in Ouzinkie, including getting medicine and doctors visiting the village by boat.
Larsen Bay\ immunization\ medical care -- people came for\ traditional healer\ Aga, Dora\ emergencies\ doctors -- arrival of\ doctors -- training from\ Alaska Native Service\ medicine -- purchase of\ village -- fundraiser\ Ouzinkie\ drug official\ medicine -- availability of\ medicine -- providing of\ boat -- health boat\ doctors -- observation of\ Barrow\ Kodiak Island\ boat -- “Health”\ boat -- Northstar\ Setzekorn, Mary -- public health nurse\ boat -- travel|

5) Development of the health aide program, the training she received, and combining her health aide work with being a kindergarten teacher and helping her husband with his mission work.
doctors -- schedule\ Anchorage\ village aide -- program development\ Alaska Native Service Hospital\ program -- training\ service -- hours of\ training -- last to receive\ training -- time of year\ Mission -- program\ teacher -- kindergarten\ health aide\ payment -- lack of\ payment -- first\ health care -- interest in\ nurse -- training\ health aide -- different from nursing\ home visits\ medical care -- emergency\ medical care -- preventive\ work -- enjoyment of\ training -- eager to receive\ suturing -- need for\ helping people -- enjoyment of\ doctors -- instructions\ medicines -- explanation of\ doctors -- interpret terminology\ teaching -- enjoyment of\ instructions -- understood by people\ learning -- want more\ procedures\ training -- physiology\ training -- basic techniques\ program -- design of\ health aide program -- proud of\ people -- Alaska\ Aleut\ Eskimo\ Tlingit|

6) Early health aides on Kodiak Island who worked without a salary and the training received.
health aide -- training\ training -- years\ training -- participants\ health aides -- women\ health aides -- volunteer\ payment -- lack of\ Akhiok\ Inga, Vera\ Old Harbor\ Nelson, Betty\ Afognak\ tidal wave\ Port Lions\ health aides -- stability\ health aides -- turnover\ health aides -- dedication of\ work -- care about\ jobs -- lack of\ standards -- changes in\ training -- lack of\ doctors -- learned from\ medical books -- learned from\ situations -- challenging|

7) Handling difficult situations without much medical training, and one accident in particular that she remembers from her early health aide days.
situation -- medical\ telephone -- lack of\ communication -- CB radio\ boat -- accident\ alcohol\ injuries -- serious\ medical bag\ store\ church service -- orthodox\ patient -- care\ people -- not helping\ boy -- ran errands\ bandages -- sheets\ triage\ patient -- injury\ medicine -- administering\ advice -- call for\ stretchers -- created\ Coast Guard -- assistance from\ husband -- Smith, Norman\ communication -- system\ radio -- short-wave\ radio -- lack of\ Port Lions -- telephone\ airplane -- Coast Guard\ rescue\ health aide conference -- Kodiak Island\ health aides -- villages\ health aides -- isolation\ telephone -- lack of\ communication -- radio\ weather\ health aides -- get together\ patient care -- quality\ training -- first aid\ training -- EMT|

8) Dealing with patients and people around them during an emergency.
people -- determination of\ accident\ cut -- bleeding\ health aide -- called for\ night call -- safety\ treatment -- tourniquet\ treatment -- elevation\ patient -- care of\ people -- assistance\ alcohol\ health aide -- respect for\ fear -- lack of\ accident -- airplane crash\ crash -- witnesses\ crash -- survivors\ Kodiak\ equipment -- neck brace\ injury -- scalp\ bandage -- use of\ injury -- leg\ injury -- chest\ Coast Guard -- rescue\ airplanes -- not available\ patient -- transport\ Coast Guard -- helicopter\ survivors -- evacuation\ survivor -- wrote back\ boat -- accident\ injury -- hand\ Port Williams\ Afognak Island\ treatment -- emergency\ suture -- lack of\ patient -- stubborn|

9) Where evacuated patients were treated, types of care and education she provided in the village, role of the midwife in the birth of babies, and one case in particular where she assisted with a newborn baby.
patients -- evacuation\ hospital\ Kodiak\ Coast Guard\ accident -- victims\ victims -- treatment of\ treatment -- splinting\ injury -- protection of\ airplane -- transport\ immunization\ prenatal care\ school -- health classes\ babies -- delivery\ midwife\ babies -- care of\ birth -- emergency\ birth -- village\ birth -- Kodiak\ delivery -- home\ midwife -- Graves, Irene\ Akhiok\ birth -- surprise\ husband -- came for help\ baby clothes -- lack of\ baby -- unwanted\ pregnancy -- hidden\ bottle -- lack of\ baby clothes -- provided\ baby -- care of\ Ouzinkie|

10) Possible difficulties that might develop during childbirth, and the benefit of the practical training and the equal treatment the doctors in Anchorage gave the health aides.
birth\ delivery -- early\ newborn baby -- care of\ Kodiak\ hospital\ experience -- practical\ birth -- problem\ midwife\ doctor\ mother -- bleeding\ hospital -- delivery\ village -- delivery\ delivery -- problems with\ training -- hospital\ Anchorage\ doctors -- accompanied\ professional treatment\ questions -- answered\ respect\ health aides -- equal treatment\ patient -- file\ training\ examination\ history\ doctor -- report to\ tested -- treatment\ health aide -- provide treatment|

11) How she communicated with doctors for assistance and what she had to do when she could not reach anyone and had to respond on her own.
doctors -- contact with\ communication\ telephone -- lack of\ radio -- shortwave\ antenna\ Kodiak\ Anchorage\ emergency\ night\ situation -- emergency\ radio -- store\ training\ books\ health aide -- do it yourself\ advice -- lack of\ patient -- evacuation\ patient -- stabilization\ work -- exciting\ knowledge -- amount of\ training -- level of\ health aide manual\ situation -- handling\ weather -- bad\ airplanes -- lack of\ boats -- lack of\ Spruce Cape\ storm\ place -- dangerous\ medical care -- do what have to do\ health aides -- self-sufficient\ health aide -- career\ retirement|