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Paula Ayunerak, Transcript Section 14

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KAREN:  What about that -- you know, before you said you forgot to give that report and that was a mistake you made with that previous case.  Other times that you could think about that there were mistakes that you realized afterwards? 

PAULA:  Well, I don't know.  That was the major mistake I did, you know.  If -- especially if it's life-threatening type of thing.  Other things, why I cannot remember them, I don't know. 

KAREN:  Well, I was thinking, when you first started, were there things that happened that you didn't have the training for so you didn't know what to do, so it wasn't really a mistake, it was a -- you did what you did based on your training, but it turns out that maybe you didn't do the right thing because you didn't know? 

PAULA:  Uh-hum.  Yeah.  One time all the health aides got together, we had a big gathering from all over the state of Alaska, we talked about those things.  That was really funny. 

And when I did research on reproductive system, at the end of it, I had the little -- I had -- I made a play about the egg and sperm being -- the sperm being prince and the egg being a princess. 

And just everything that went through it like the -- the train -- the train went through the tunnel and the sperm was in the -- as a passenger.  And when -- when they went through the tunnel, he went out, then he went to the castle. 
And after castle he went to another tunnel to meet the prince -- princess.  And they met and decided to live and produce, you know. 

So they went to the castle and in a big -- like a big bed, you know, that's placenta, settled there, and it's very funny. 

I -- at that time, when we got together, I had two health aides, one man health aide and one lady health aide got together and act it out because every one of us were doing skit.  So they acted out and I was the talker.  And that was very funny.  Everybody just laugh and laugh and laugh. 

But the funniest thing to me was Willa Aschenfelter and somebody did their skit and they were in White Mountain, the health aide was in White Mountain, and the doctor was in Nome, and Willa Aschenfelter was reporting that some -- last night somebody got shot. 

And -- and the doctor said, where did he get shot?  And the health aide said, in his house.  And the doctor said, I know he got shot in his house, where did he get shot.  And Willa Aschenfelter answered, he got shot right here. 
And she said later on that actually happened, you know. 

Another health aide was doing that, just went up there and was talking.  One time elderly man came to clinic and she all examine, and she told that man, after I talk to the doctor, I'll get back to you.  And the man was going to go out and the health aide said, I'll give you a couple of Tylenol because you have fever. 

And so she got two tablets of Tylenol and glass of water, but that elderly man keep talking and she keep talking and they talked back and forth for about 15, 20 minutes, and while they were talking, the health aide just caught herself taking the --

KAREN:  She took the Tylenol? 

PAULA:  She took the Tylenol and drink the water.  And the patient said, I thought you were going to give me those.  So lots of funny things happening. 

KAREN:  Any of those kinds of things happen to you?  Not that you took Tylenol, but --

PAULA:  No.  There's -- there's other things, you know.  But one time there was this lady, too, she was not very intelligent person.  And when you talk to them, she doesn't understand, you know, doesn't talk well either.  And she needed some vaginal depositories, and the doctor suggest, you know, we give them -- give her those. 

And so I -- I talked to her, and she was also hard of hearing, not very intelligent, and I told her to come and let me know if those are helping her in three days. 

Three days later she came back and these don't seem to help, she's still having lots of vaginal discharge.  And even though she's been taking them every evening just before going to bed, she's been taking one by mouth. 

KAREN:  Well, yeah, I mean, people didn't have those experience with medicines. 

PAULA:  I had to explain to her and even let the other health aide explain to her where she's supposed to put it.