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Walter Johnson, M.D. talks with Karen Brewster on July 8, 2005 at his home in Homer, Alaska about... 1) Continuation of medical care issues for Walter and his wife, Judith.
medical care\ military\ South Central Foundation Board\ physician -- healthcare\ Indian Health Service\ Medicare\ insurance -- medical\ insurance -- AETNA\ insurance -- University\ Tricare -- Public Health Commission\ military -- health care\ Homer Hospital\ taxes|
2) Health care in the lower 48 states and the future of the community health aide program.
health care -- United States\ health care -- Alaska\ health aides -- number of\ villages -- number of\ Stevens, Senator Ted\ health aide program -- purpose\ medical doctor -- workload\ Alaska\ health care workers -- shortage of\ health aides -- help from\ health care -- costs\ cost -- economic factors\ health care -- future of\ health aides -- training\ training -- amount of\ health aides -- turnover\ turnover -- rate of\ villages -- economy|
3) What has made the health aide program successful, the need to document more recent program history, and current problems Alaska villages are facing.
health aide program -- success of\ doctors -- cooperation\ training\ manual\ medical care -- system\ health aides -- individuals\ people -- importance of\ people -- commitment from\ health aide program -- recent history\ Height, Dorothy\ Anchorage\ Curda, Linda\ curriculum\ health aide program -- concerns\ turnover -- rate of\ villages -- changes\ village -- members\ health care -- training\ health care -- responsibility for\ behavioral problems|
4) Natives and non-Natives as health aides, and the influence the health aide program had on his own life.
health aide program -- criticism\ health aide -- Native\ health aide -- non-Native\ health aide -- selection of\ community -- responsibility\ health aides -- work with\ health aide program -- effect of\ health aides -- respect for\ physicians -- role of\ medical school\ health care workers -- role of\ doctors -- women\ health -- diet\ health -- exercise\ health -- stress management|
5) Being the medical director at the Alaska Native Medical Center in Anchorage.
job -- medical director\ Alaska Native Medical Center\ Anchorage\ referral center\ Alaska Natives\ care -- types of\ emergency room\ OD -- officer of the day\ job -- long days\ doctor -- internal medicine\ medical -- training\ medical school -- draft\ Public Health Service\ military\ medicine -- specialists|
6) Medical training he received and working to fight tuberculosis.
doctor\ medicine\ disease -- treatment\ physician\ patient -- care of\ administrator\ tuberculosis -- treatment of\ training\ tuberculosis -- management and control\ doctor -- involvement\ Ethiopia\ Somalia\ Tunisia\ tuberculosis -- control program\ French\ Istanbul\ train\ travel -- doctors\ Europe\ Africa|
7) Communication and confidentiality.
health aides\ doctors\ communication\ radio call\ confidentiality\ health aide -- training\ telephone\ Bethel\ outpatient\ interpreter -- use of\ Wiseman\ Mrs. English\ language -- Inupiaq\ language -- Yup'ik\ language -- barrier\ patient history\ cultural differences -- miscommunication\ lactose intolerance\ tuberculosis board\ Fortuine, Robert -- book\ traumatic events\ immune system -- effect on|
8) Health workers who stand out in Walter's mind as especially inspiring, and going to dances in the villages.
health aides -- difficult experiences\ Kwiguk\ Emmonak\ village -- clinic\ doctor -- lack of\ Yukon health boat\ Johnson, Axel and Pearlie\ Yup'ik\ medical care -- impressed with\ people -- inspiration\ Anchorage\ Calista building -- naming\ Guy, Betty\ Kwethluk\ school\ building -- driftwood logs\ teacher -- petition for\ village -- visiting\ village -- dance\ Kwiguk\ Emmonak\ school\ celebration\ tooth extraction\ nail\ Fairbanks\ dance -- folk\ Wiseman -- dance\ dance -- fun\ laughter\ St. Michaels\ fiddle -- playing\ villages -- invited\ youth -- playing music|
9) Lessons learned from developing the health aide program.
heath aide program\ lessons\ training -- length of\ training -- success of\ training -- shortening\ communication\ health aides\ physicians\ physicians -- training\ clinics -- village\ pitfalls -- avoidance of\ support -- receiving adequate\ manual -- importance of\ manual -- writing\ manual -- editing\ language\ health care -- providers\ communication -- improvement of\ arguments -- repeating|
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