Joyce Smith

H2004-17-04, Part 2
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Joyce Smith talks with Karen Brewster on March 11, 2005 at her home in Ouzinkie, Alaska about...

1) Using her home as the clinic.
facilities -- medical\ home\ clinic\ confidentiality -- lack of\ doctor -- Anchorage\ clinic -- school building\ privacy -- sheet\ privacy -- lack of\ clinic -- home\ medical -- equipment\ living room -- waiting room\ confidentiality\ people -- happy\ examination room -- private\ medicine -- storage\ basement|

2) The importance of maintaining confidentiality and the burden that can place upon a health aide.
confidentiality -- importance of\ confidentiality -- problems\ case -- discussion about\ misinformation\ family -- talk about\ case -- not able to discuss\ husband -- not discuss with\ husband -- medical skills\ medical call -- home\ home -- situation\ confidentiality -- burden of\ burden -- carry alone\ mental health worker -- share with\ sharing -- lack of\ burden -- deal with\ professional -- talk with\ health aides -- isolated\ clinic -- radio\ health aides -- communication\ radio -- no confidentiality\ Ahkiok\ Old Harbor\ Kodiak\ island\ communication -- relay information\ radio -- frequency\ radio -- private channels|

3) The role of prayer and faith in her health aide work.
faith -- role of\ prayer\ survival -- how did it\ help -- beyond self\ emergency -- response\ response -- surprising\ problems -- deep\ counseling\ faith -- importance\ burden -- help\ direction -- received\ God|

4) Relationship between the community and the health aide, and issues relating to maintaining confidentiality.
health aide -- village response\ people -- relationships\ people -- bonding\ people -- trust\ telephone -- store\ doctor -- conversation\ conversation -- not private\ doctor -- advice\ public -- listening\ confidentiality -- lack of\ doctors -- not understand\ doctors -- demand details\ telephone -- current\ telephone service -- arrival of\ radio -- cannery\ radio -- shortwave\ tidal wave\ radio -- CB\ generator -- destroyed\ Ouzinkie\ cannery\ tidal wave -- destruction\ cannery -- fire\ Port Bailey\ Kodiak\ cannery -- disappearance of|

5) Her memories of the 1964 earthquake and tidal wave that hit Kodiak Island.
tidal wave\ fear\ communication -- lack of\ Anchorage\ radio station -- no reception\ radio -- CB\ generator\ radio -- boat\ generator -- school\ generator -- village\ electricity -- none\ damage -- extent of\ earthquake\ school -- Kodiak\ school -- none locally\ Smith, Robin\ daughter\ Good Friday\ earthquake\ house -- evacuation\ visitor\ movement -- difficulty\ steps -- moving|

6) Continuation of her memories of the 1964 earthquake and tidal wave that hit Kodiak Island.
tidal wave\ house -- high place\ people -- coming together\ destruction -- waterfront\ children -- impact on\ weather\ Smith, Timmy\ son\ boat -- check on\ Coast Guard\ tidal wave -- warning\ Coast Guard -- radio\ authority|

7) Continuation of her memories of the 1964 earthquake and tidal wave that hit Kodiak Island.
Smith, Norman\ husband\ boat -- mooring\ boat -- rescue\ old-timer\ boat -- Evangel\ boat -- safety of\ store-keeper\ earthquake -- damage\ photographs\ boats -- rescue\ boats -- away from dock\ water -- level of\ mountain -- retreat to\ Easter -- celebration|

8) Continuation of her memories of the 1964 earthquake and tidal wave that hit Kodiak Island.
false alarm\ earthquake\ tidal wave -- rumor\ village -- fear\ hysteria\ mountain -- retreat to\ mountain -- cold\ illness\ Alaska Native Service Hospital\ doctor -- village visit\ doctor -- military\ clinic -- in house\ tidal wave -- after effect\ school\ children -- medical check\ village -- medical check\ Pleasant Harbor\ barn -- destroyed\ lumber\ barn -- rebuild\ clinic\ kitchen\ medicine\ doctors -- instructions from\ shots\ tidal wave -- lives lost\ boat -- lost\ Spruce Cape\ radio -- marine\ conversation\ Pleasant Harbor\ family\ airplane\ Ouzinkie\ earthquake\ tidal wave\ airplane -- landing\ Kodiak\ man -- disappear\ boat harbor -- destruction\ supplies -- needed|

9) How she balanced working as a health aide, teaching kindergarten from her home and raising her own family.
work\ teacher\ health aide\ family\ balance\ clinic -- schedule\ kindergarten -- schedule\ children -- clubs\ husband\ help\ work -- solo\ family -- care of\ children\ medical calls\ emergencies\ Smith, Norman\ kindergarten -- teaching\ accidents\ children -- medical check\ family -- support of\ work -- health aide\ calling\ problems -- physical\ problems -- mental\ problems -- spiritual|

10) Social changes and their effects on the communities and people of Kodiak Island.
men -- medical care\ problems -- physical\ problems -- mental\ problems -- spiritual\ problems -- talk about\ village -- changes\ village -- tribal council\ government -- learn about\ counselor\ changes -- psychological\ corporation -- formation of\ business -- lack of experience\ leadership -- learning\ mistakes\ fisherman\ work -- seasonal\ work -- year-round\ work -- corporate\ village -- destruction\ tidal wave\ village -- isolation\ school -- lack of\ education level\ meetings -- children\ meetings -- mothers\ meetings -- length of|

11) Changes she has seen in the administration of the health aide program and visits from doctors.
health aide program -- changes\ Public Health Department\ Alaska Native Service\ tribal organizations\ program administration -- changes\ village -- social activities \ village -- isolation\ Mission -- children\ children -- learned\ village -- leaders\ medical services -- changes\ professional\ health aides -- restrictions\ legal -- fear of\ treatment -- limited\ treatment -- early days\ doctors -- schedule\ doctors -- visit\ Kodiak\ doctor visits -- frequency|

12) The development of telemedicine and the benefit of having a doctor able to see what you were talking about.
telemedicine -- lack of\ Anchorage\ Kodiak Island\ telemedicine -- introduction of\ doctor -- see patient\ medical care -- quality of\ health aide -- solo\ learning\ books -- reference\ trust\ knowledge -- application of\ experience\ suturing -- amount of\ training\ accident -- boy\ hand\ cuts\ shot -- fear of|

13) Helping people as a medical provider, mixing health aide work with summer Christian camp work, and the change from running a clinic from her home to having a separate building.
medical -- cases\ medical cases -- special\ medical cases -- successful\ people -- helping\ medical -- care provided\ survival -- proud of\ husband -- left in charge\ health aide\ husband -- good work\ health aide -- job\ job -- schedule\ work -- payment\ work -- full time\ payment -- lack of\ tribal council\ summer -- no work\ summer -- Mission work\ summer -- Christian camp\ summer -- return home\ clinic -- evening\ airplane -- travel\ husband -- airline agent\ travel -- free\ clinic -- home\ clinic -- building\ clinic -- new\ retirement\ clinic -- Kodiak Area Native Association (KANA)|