To Kodiak Island Interviews

1) Personal history of when and where she was born, her childhood and educational background, and how she became a health aide.
birthdate\ Old Harbor\ Kaguyak\ Ahkiok\ tidal wave\ school\ village -- movement\ family\ education\ GED\ college\ health aide\ health aide -- how got involved\ community health representative\ paperwork\ court -- liaison\ counseling|

2) How she was recruited to be a health aide and the type of training she received.
Erickson, Jenny Lee\ health aide -- alternate\ health aide -- recruited\ emergencies -- helped with\ health aide -- tried it\ Haakensen, Sven\ Tribal Council\ health aide -- why chosen\ job -- teacher's aide\ job -- homeparent\ health aide -- training\ Anchorage\ training -- old health aide\ training -- classroom\ training -- practical\ training -- observation\ training -- required\ training -- on the job\ trainer -- health aide\ training sessions -- length of\ preceptorship\ training sessions -- content|

3) The health aide being the eyes and ears for the doctors and communicating with doctors in Anchorage and Kodiak.
health aide -- job\ job -- duties\ patients\ doctor -- report to\ observation\ doctor -- Anchorage\ communication -- radio\ radio -- two-way\ reception -- lack of\ radio -- relay message\ doctor -- Kodiak\ Public Health Service\ KANA -- took over health program\ telephone -- introduction of\ telephone -- village|

4) Training, certification, and continuing education credits required to be a health aide.
health aide -- training\ training -- continuing\ credits -- continuing medical education (CME)\ Anchorage\ Kodiak\ CME -- course\ emergency care\ pediatric care\ geriatric care\ certification -- active\ certification -- lose of\ certification -- examination\ pre-test\ post-test\ health aide -- certification\ certification -- required|

5) The old and new clinic buildings and facilities, and visits to the village from doctors and dentists.
telephone -- first\ building\ clinic -- early\ waiting room\ exam room\ bathroom\ clinic -- new\ clinic -- bigger\ rooms -- type of\ Old Harbor\ building -- city\ Public Health Service\ doctors -- visits\ visits -- number of\ KANA\ visits -- increase\ dentists -- visits\ dental hygienists -- visits|

6) The relationship between traditional and western medicine and healers and the community health aides.
Kodiak\ traditional medicine\ health aide\ Kaguyak\ traditional healer\ herbs -- use of\ child -- cared for\ fever\ stomach ache\ cuts\ sores\ midwife\ Old Harbor\ baby -- delivery\ Ahshawak, Julianna\ western medicine -- introduction of\ health aides -- use of\ teachers -- medical care\ immunizations\ healer -- visit to\ heart problem\ blood pressure\ traditional healer -- experience with\ drink -- use of\ medical care -- modern\ health aides\ baby delivery -- midwife\ Shugak, Irene\ Kapchon, Irene\ assistants -- observation by\ Shugak, Lucy\ midwife -- lack of|

7) How important the community health aide is to the village, and some of the difficulties of the job.
community health aide program\ community support\ health aide -- need for\ medical care -- type of\ health aide -- responsibility\ health aide -- reliance on\ medical care -- early\ medicine -- self-care\ midwife\ traditional healer\ health aide -- respect for\ job -- difficulty of\ tragedy\ difficulties -- deal with\ prayer\ support|

8) The work schedule of health aides and shifting her job from health aide to clinic manager.
health aide -- job duties\ health aide -- work schedule\ schedule -- on-call\ time-off -- leave village\ work -- difficulty\ work -- change in\ health aide -- pressures\ on-call -- EMT\ village response team\ emergencies -- help with\ training -- first-aid\ job -- changed\ job -- clinic manager\ paperwork\ appointments\ medication refills\ elders -- visit\ health aides -- current\ health aides -- number of\ Old Harbor|

9) What she likes about doing health aide work, and how the community comes together to help during a crisis or emergency.
health aide -- vacation\ health aides -- alternate\ health aides -- longevity of\ health aide -- qualification\ people -- care about\ job -- enjoyment of\ people -- helping\ Old Harbor -- tour guide\ counseling\ training -- counseling\ crisis -- support\ behavior health\ substance abuse\ child welfare\ crisis management\ KANA\ village response team\ community -- collaboration\ Old Harbor -- population|

10) Changes in the health care system and the equipment used in rural clinics, especially the advancement of telemedicine.
health care -- changes in\ equipment -- changes\ technology -- changes\ equipment -- stethoscope\ equipment -- otoscope\ telemedicine -- EKG\ telemedicine -- photographs\ doctor -- communication with\ medical care -- improvement of\ doctor -- easier to communicate with\ situations -- hard to describe\ telemedicine -- introduction of\ Kodiak Island\ Old Harbor\ hemoglobin -- checking\ equipment -- easier to use|

11) The joys and hardships of health aide work.
health aide -- first experience\ emergency -- first\ emergency -- handling\ health aide -- contact\ house -- knock on door\ uncertainty\ tension\ baby -- delivery\ weather\ airplanes -- not flying\ delivery -- normal\ scared\ telephone\ doctor -- talked with\ success\ boy -- appendicitis\ diagnosis -- correct\ pride -- helping people\ cases -- hardest\ baby -- meningitis\ information -- provided to doctor\ job -- hardest part\ cases -- not forget\ accident -- boy\ boy -- run-over\ suicides\ patients -- beyond aid\ cases -- try everything\ accident -- 4-wheeler\ boy -- sniffing gas\ patient -- loss of\ sadness\ job -- thought about quitting\ job -- stayed with it\ prayer\ health aide -- trust\ health aide -- respect|

12) What she has learned and how her life has changed because of her work as a health aide.
job -- learned from\ medicine\ personal health -- importance of\ smoking\ alcohol\ drugs\ personal life -- effect on\ philosophy -- effect on\ awareness\ health aide -- experiences\ caution\ life -- outlook on\ lifestyle -- healthy\ self-esteem -- rise in\ self-awareness\ accomplishment|

13) How being a health aide gave her confidence in being able to do things, and advice for younger people wanting to become health aides.
experience -- special\ experience -- important\ self-awareness\ abilities -- able to do things\ advice -- young generation\ health aide -- commitment to\ job -- income\ job -- hardship\ difficulties -- deal with\ helping -- feels good\ medical care -- help with\ traditional healing -- use of\ western medicine -- mixture of\ traditional medicine -- recommendation\ cough -- treatment of|

14) Differences in health aide program management and changes in the quality and availability of medical services.
health aide program -- management\ public health service\ KANA\ care -- improvements\ doctor -- visits\ management -- local\ medical care -- professional\ medical care -- traditional healers\ medical care -- changes in\ traditional medicine -- use of\ health aides -- use of\ medical care -- availability of\ medical care -- advances in\ medical care -- modern\ medical care -- quality of|

15) Her parents, important health issues today on Kodiak Island, and how the Kodiak Area Native Association (KANA) is involved with health education.
parents\ Zeder, Nikenti\ Zeder, Nina\ Zeder, Jenny\ Peterson, Mary\ health issues -- Kodiak\ health issues -- changes in\ diabetes\ cancer\ health -- education\ KANA\ clinic\ education -- diet\ education -- healthy lifestyle\ education -- wellness\ exercise program\ senior meals\ KANA -- wellness program\ health care -- preventative|

16) The importance of having family support when you are a health aide, why she stayed with the job, and health aides as role models in their community.
family -- importance of\ work -- health aide\ family -- support\ job -- success\ marriage --first\ husband -- not supportive\ children -- raising\ training\ travel\ mother -- provided childcare\ children -- brought with\ training -- effect on family\ family -- care for children\ husband -- current\ husband -- supportive\ education\ family -- stability of\ job -- hardship\ job -- enjoyment\ job -- learned from\ self-sufficiency\ advice -- young generation\ health aide -- role model\ lifestyle -- role model\ lifestyle -- healthy\ respect -- earn\ marriage -- healthy|

17) Her appreciation for having the clinic manager job and how she thinks it is unique to Kodiak Island.
health aide -- program\ KANA\ job -- clinic manager\ job -- unique\ health aides -- relief for\ health aides -- other regions\ clinic -- size of\ health aide -- support of\ medicine -- ordering\ paperwork\ health aide -- duties|

18) Types of medical cases seen, sending difficult cases to the doctor, and how her level of training helped her.
medical cases -- type of\ medical cases -- common\ sore throat\ earache\ cold\ medical case -- unusual\ medical case -- unknown\ observation -- report to doctor\ training -- level of\ training -- usefulness of\ medical cases -- send to doctor\ infection\ treatment -- hospital\ training -- update\ training -- yearly\ knowledge -- current|

19) Advanced medical training, such as physician assistant's school.
education -- advanced\ school -- physician's assistant\ house -- building\ business -- bed and breakfast\ daughter\ childbirth\ daughter -- raising\ Washington\ physician's assistant training -- length of\ advanced training -- payment for\ advanced training -- level of participation\ health aides -- young\ school -- success in\ health aide -- enjoyment|