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Cal Nez Design redesigned and produced the newsletter for this medical center.

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  1. 1. A M E D I C A L P U B L I C A T I O N T S É H O O T S O O Í M E D I C A L C E N T E R Volume 2 No. 2 COMMUNITY NEWSLETTER APRIL/MAY 2012 Improving Care for Cancer Patients By: Gail Oglesbee, RN, Cancer Case Manager In a smaller community, such as Fort Defiance, not only is the hospital the place to go for health needs, it is a place where your neighbors, friends and family work. The hospital is an integral part of not only the Fort Defiance community but also all the 16 Navajo Nation Chapter communities within Tséhootsooí Medical Center’s service area. O ur hospital strives to • rizona Cancer Center Tucson, A here has created a Cancer Care Compassionate meet the needs of the AZ, Case Manager position. By community it serves. Decisions to which facility having a single office receiving The majority of health a patient is referred to depends on and sending out information, needs can be met right here. the services the patient needs as the intent is to make care more However, some medical needs well as travel distance. Sometimes convenient for patients as well are beyond the scope of care that patients have family in the as less confusing. Confusion can our local facility can provide. One vicinity of a treatment center with lead to patients falling through diagnosis that often facilitates whom they can stay with during the cracks, causing delay or even outside care is cancer. Patients treatment and that helps to make cessation of treatment. The who need specialized cancer the decision for them. Cancer Care Case Manager will surgery, chemotherapy or radiation Once a patient has (Continued on Page 4) treatment are referred to cancer started care at a cancer center, INSIDE STORIES centers. they usually return to their TMC 2 Currently, TMC patients care provider for treatment of RAISING THE LEVEL: Honoring Laboratory being treated for cancer are their other health care needs. PAGE Professionals receiving care at the following They also return for radiologic, 3 LEADING THE WAY: centers: pharmaceutical and laboratory CEO Message PAGE • New Mexico Cancer Center needs as ordered by the cancer care 4 (NMCC) Gallup, NM (A satellite providers. Because these orders are BAA HÓZHÓ (IINA): Gathering of Native facility of New Mexico Oncology from an outside facility, they have PAGE Americans (GONA) Hematology Consultants, Ltd. in to be rewritten by a TMC doctor Albuquerque) • niversity of New Mexico U to be completed. Once studies are done, those results have to be PAGE 5 EATING HEALTHY: Bresatfeeding in the workplace Cancer Center, Albuquerque, NM faxed to the care center. Because more than one doctor, in more PAGE 6 QUALITY OF LIFE: NURSES WEEK GETTING FIT: 7 • an Juan Oncology Associates S than one facility is giving care, it Team Defiance Farmington, NM can become confusing to patients PAGE • rizona Hematology Oncology A and their families. OUR COMMUNITY: 8 -Schedule of Events Flagstaff, AZ In the interest of further -TMC Directory PAGE • Mayo Clinic Scottsdale, AZ assisting our patients, the hospital P a g e O n enewslettermarch.indd 1 4/10/12 11:51:12 PM
  2. 2. Volume 2 No. 2 H E A L T H Y W I N D S T S É H O O T S O O Í M E D I C A L C E N T E R RAISING THE LEVEL Honoring Laboratory Professionals By: Arlinda Nez, TMC Laboratory Director D uring the week of April provides an opportunity to honor the contributions poster exhibits explaining the technology 22 through 28, 2012, of pathologists, laboratory technologists and and medical correlation to disease Tséhootsooí Medical technicians in the maintenance of wellness, the states. Other activities include hospital Center will celebrate the diagnosis of illness and the treatment of disease. departments engaging in various contests, a contributions of its laboratory Medical laboratory professionals treasure hunt and a root beer ice cream float professionals during National are dedicated to preventing serious illness party. The laboratory will also give tours to Medical Laboratory Week. and disability from before a child is born and the hospital staff on how it has incorporated This year’s theme, “Laboratory Professionals Get throughout the golden years of life. Using state the LEAN concept of “doing more with Results” highlights the medical laboratory’s role as of the art technology and instrumentation, less” and improved its efficiency in order a key element of patient care. they perform and supervise tests that not only to perform the additional 23,000 tests that had “Laboratory medicine provides a search for potential health problems in the hope normally been referred out to reference laboratories crucial thread that runs through the entire patient of identifying the disease early when it is most in order to provide quicker turnaround time results care process,” said Arlinda treatable, but also guide and assess the ongoing to the hospital medical staff. Lee, BSMT(ASCP), MAHSM, care of patients. More than 10 Billion laboratory Medical laboratory professionals administrative laboratory tests are performed in the United States each year practice in medical laboratories in hospitals, director at TMC. “Test results to confirm diagnoses, rule out suspected doctors’ offices, clinics, research facilities, blood from the laboratory drive a conditions, or monitor treatment. banks, public health centers, the Armed Forces, significant portion of clinical Laboratories play a veterinary offices, colleges, and many decisions, from diagnosis to critical, front-line role in the industries. Titles include pathologists, therapy. We are very fortunate to have detection of infectious agents, such medical technologist, clinical laboratory strong and dedicated hospital leaders such as those that might be employed in scientist, medical laboratory technician, as Dr. Michael Tutt, Chief Medical Officer, a bioterrorist attack. histotechnologist, histologic technician, Christopher Anthony, Director of Ancillary “The community cytotechnologist, cytopathologist, phlebotomy Services, and Dr. Leland Leonard, Chief laboratory often is the first to see evidence technician, clinical chemist, microbiologist, Executive Officer. They support our efforts in of an infectious agent in a patient sample,” laboratory manager, and medical educator. providing the most optimum laboratory testing Lee said. “Our contribution at the local Among the departments that make up the services to our healthcare providers and patients.” level is critical to a process that, ultimately, medical laboratory are chemistry, serology, Lee says National Medical Laboratory protects us all from the spread of disease.” hematology, cytology, microbiology, Week TMC Clinical Laboratory plans immunology, coagulation, to showcase in the hospital rotunda histology, urinalysis, and HAPPY education the blood bank. NATION PROFES AL MED SIONAL LAB S WEEK! P a g e T w onewslettermarch.indd 2 4/10/12 11:51:15 PM
  3. 3. H E A L T H Y W I N D S APRIL/MAY 2012 T S É H O O T S O O Í M E D I C A L C E N T E R Leading the Way I am honored to provide this statement on behalf of the Fort Defiance Indian Hospital Board and the FORT DEFIANCE INDIAN HOSPITAL Tséhootsooí Medical Center (TMC) and the Nahatá Dziil Health Center (NDZ) administration. BOARD, INC. Board of Directors: Roy Dempsey, President Yá’át’ééh shik’éí doo shidine’é. O Caleb Roanhorse, Vice President n Wednesday, March 28, 2012, Tséhootsooí Medical Center Lorraine Nelson, Secretary (TMC) and Nahát’a Dziil Health Center (NDHC) celebrated its Martin Ashley, Treasurer 2nd year as Self-Determined health care facilities as authorized Elmer Milford, Member under Public Law 93-638. The Fort Defiance Indian Hospital Board, Inc. (FDIHB) is the governing board for the Tséhootsooí Medical Dr. Raymond Reid, Member Center in Fort Defiance, Arizona and the Nahát’a Dziil Health Center in Jerry Freddie, Member Sanders, Arizona. Tim Goodluck, Member In celebrating this anniversary, the FDIHB, Inc. leadership acknowledges and thanks the community for being visionary in deciding to Leland Anthony, Member manage the operation of the hospital by passing Leadership Council: Chapter resolutions supporting the PL-93- Michael Tutt, M.D., Chief Medical Officer 638 change. Staff is also commended for being Tori Davidson, proactive during the Chief Nurse Executive transition from a federally Rachel Sorrell, managed and operated Interim Chief Finance Officer facility to becoming a corporation controlled by Dr. Janet Slowman-Chee, Chief Planning Officer the FDIHB, Inc. The past two years 2nd Anniversary morning blessing ceremony Vivian Santistevan, have progressed in such a Chief Human Resources Officer positive and productive manner. The self-determined status has afforded Valonia Hardy, numerous changes and successes. Some significant achievements include: Chief Community Health Officer • uccessful transition of the majority of our federal employees to corporate S employees, Tal Moore, Chief Administrative Officer • he completion of our second “unqualified” audit-meaning our finances are T handled properly, • Changing our name to Tséhootsooí Medical Center, • Successful completion and implementation of our strategic plan, • Determining our mission and vision statements. As we celebrate our achievements we, once again, roll up our sleeves to continue with key initiatives like updating and implementing a new strategic plan, implementing Telehealth services, strengthening our Quality Assessment Performance Improvement (QAPI), planning to build a long term care facility, and always looking for ways to Improve Patient Care (IPC). Our mission is “to provide superior and compassionate healthcare to our community by raising the level of health, Hózhó, and quality of life.” Our medical teams at TMC and NDHC take your health needs seriously and are committed to providing the best care. Miss Navajo Nation Crystalyne Curley celebrates Respectfully, 2nd Anniversary with TMC’s Dr. Leland Leonard, CEO CEO Dr. Leland Tséhootsooí Medical Center Leonard Nahát’a Dziil Health Center P a g e T h r e enewslettermarch.indd 3 4/10/12 11:51:24 PM
  4. 4. Volume 2 No. 2 H E A L T H Y W I N D S NAVA JO WAY OF LIFE T S É H O O T S O O Í M E D I C A L C E N T E R Baa Hózhó Gathering of Native Americans (GONA) By: Clytemnestra Davison, Planning Logistics T he Gathering of Native Methamphetamine Suicide involvement in preventing social Americans (GONA) Prevention Initiative (MSPI) ills, such as substance abuse and training was held on Project sponsored the training suicide. February 27 to March which incorporates the The three day training was 1, 2012, at the Navajo Nation values of human attended by many including Museum and it was a huge growth and individuals in recovery, school success! GONA is a healing responsibilities nurses, community leaders, and journey/process that embraces often taught in traditional practitioners. The community healing Native Cultures. honorable Navajo Nation Vice with a holistic approach It also emphasizes President Rex Lee Jim provided a through the exploration community blessing way song and prayer. of issues brought on by GONA is for anyone interested __________________ multigenerational trauma. Navajo Nation Vice in becoming a change agent, Tséhootsooí Medical President Rex Lee Jim community developer, and Center’s (TMC) leader. The training teaches the importance of community healing and having healthy traditions for effective prevention. Strategies of the Native belief system and valuing all community members is vital in creating a safe place to share, heal, and plan for action. IMPROVING CARE FOR CANCER PATIENTS (Continued from Page 1) The GONA training covered the following four main areas: seek to smooth the course of care prepared her to take on the expanded role between facilities by facilitating in the new position. Patients who have 1. BELONGING- “Building and communication between doctors, questions or referrals are welcome to visit strengthening the sense of team, the patient and their family. her office, to be located in the Contract family, and community”- a place ___________________ Health area of the hospital. for all ages and for all people. Gail Oglesbee, R.N. has worked at The expansion of services to include all The first day covered infancy TMC since 1997, when she came cancer patients, and their primary care and childhood, a time when we to work at the ‘old hospital’ as an providers is need to know how we belong. emergency room nurse. Transferring intended to It is the most important first to the new building, she continued in continue the lesson a person must learn to that department until about four years focus of the live comfortably and to work ago when she accepted a position in hospital to effectively. the Surgery Clinic working as a case improve overall manager. Many of the patients who patient care 2. MASTERY- “Gaining mastery came into her care and management and outcome and healing from what holds us during this time were cancer patients. for their She feels that this experience has wellness. Gail Oglesbee, R.N. (Continued on Page 8) P a g e F o u rnewslettermarch.indd 4 4/10/12 11:51:29 PM
  5. 5. H E A L T H Y W I N D S APRIL/MAY 2012 T S É H O O T S O O Í M E D I C A L C E N T E R Healthy Eating Breastfeeding In the Compassionate Workplace By: Roberta Duncan, RD, MPH T séhootsooí Medical Center breaks and lunch times to nurse System, approximately 75% of (TMC) recognizes that their baby or to pump breast Navajo Nation babies start out breast milk is the best milk. Communication between breastfeeding. This rate falls to less food for growth and the breastfeeding employees and their than half (40%) by 6 months. Part development of infants. TMC supervisors, during pregnancy and of the reason for this drop in the encourages all employees to have after the baby is born, is extremely breastfeeding rate may be because a positive, accepting attitude important so accommodations can breastfeeding moms return to work toward working women who are be made to satisfy the needs of – many out of necessity. breastfeeding. both the employee and TMC. TMC There are Did you know? promotes “Communication two electric breast The Navajo Nation Council and supports pump motors passed the “Healthy Start Act” breastfeeding between breastfeeding in the employee in October 2008. It was signed and the employees and their lactation room into law by then-president Joe expression of (located on Shirley, Jr. in November 2008. breast milk supervisors, during the OB Ward). Under this Navajo Nation Law, by employees pregnancy and after Breastfeeding working breastfeeding women and who are the baby is born, is employees their employers work together to breastfeeding provide their create a clean private area, not a when they extremely important so own attachment bathroom, to allow a breastfeeding return to work. accommodations can be kit. A TMC working mom to breastfeed or TMC supports breastfeeding use a breast pump. The law also breastfeeding made to satisfy the needs mom can go to permits a sufficient number of mothers because of both the employee and the OB Ward unpaid flexible breaks during work there are Nurses station to for an employee to breastfeed her TMC.” benefits for not sign in and obtain baby, or to use a breast pump. only the mother the key. Employers doing business within and baby but also for TMC as an the jurisdiction of the Navajo employer. The following are some The TMC Breastfeeding in the Nation are required to have a employee benefits: Workplace policy is communicated written plan on how they will • ower health care costs L to all employees during new comply with this law. • ower turnover rates L employee orientation training. • ower absenteeism rates L For more information on the Who can help? • igher employee productivity H Breastfeeding in the Workplace The Navajo Nation Breastfeeding and morale policy, please go to the TMC Coalition is available to provide • ositive public relations in the P home page and look for “Reference support to Navajo Nation community as a “family friendly” #4.7.” businesses and their employees business on how to comply with the The TMC’s Breastfeeding Some stats: Healthy Start Act (the workplace in the Workplace policy allows According to the 2009 CDC breastfeeding law). The Navajo breastfeeding employees flexible Pediatric Nutrition Surveillance Nation Breastfeeding Coalition can (Continued on Page 8) P a g e F i v enewslettermarch.indd 5 4/10/12 11:51:31 PM
  6. 6. Volume 2 No. 2 H E A L T H Y W I N D S T S É H O O T S O O Í M E D I C A L C E N T E RF I T N E S S Quality of Life Nurses Week 2012 By: CAPT. Ruth Kawano, MSN, RN N ational Nurses Week Morgan, RN, Resource Nurse, embrace begins each year on MSU, believes that, “nurses must caring, not May 6th and ends on speak up for and be compassionate simply May 12th, Florence towards the patients so that they as a task or TMC Nurses Kent Nightingale’s birthday. The theme get better.” An advocate, “protects, professional Lingafelter, RN, Nurse for this year’s Nurses Week is: represents and seeks what the obligation, but Executive, Susan Morgan, RN, JoAnna Nurses: Advocating, Leading, patient and provider goals are so as the focus McCabe Caring. that the patient’s care is enhanced,” of their own Now more than ever, Registered avows JoAnna McCabe, RN, identity as a Nurse. Susan adds Nurses are positioned to assume MSU. that to be caring is to help the leadership roles in health care, Nurses have to be leaders. Our patient physically, mentally, and implement strategies to improve nurses today are challenged by spiritually to meet their needs. the quality of care, and play a key changes in political environments, Advocating, leading, and role in innovative, patient-centered budgetary restrictions, staffing caring are basic components of care delivery models. The nursing shortages and technological nursing. Nurses advocate for all profession plays an essential role advances, to name a few. It is patients by taking those in need in improving patient outcomes, important that nurses anticipate under their care, guiding them in increasing access, coordinating and adapt to these challenges. the right path towards health and care, and reducing health care As leaders, nurses need to be supporting them through pain, fear, costs. (ANA website, http://www. professional, visionary, and and sometimes the hopelessness inspiring while providing the best of illness and disease. Nurses At the Tséhootsooí Medical care for patients. Asked how his do it because of their nature to Center (TMC), nurses assume nurses lead, Kent states that his be nurturing and caring. Nurses many roles as an advocate, nurses as leaders are impacting are committed to giving quality leader, and caring professional. A healthcare here at TMC by and compassionate healthcare at definition of advocate is 1) one that providing evidence-based care Tséhootsooí Medical Center. pleads the cause of another and through research. Susan followed, During the week of May 6-12, 2) one that defends or maintains “Nurses teach, work as a team, and 2012, nursing awards and other a cause or proposal. In nursing, lead by example.” activities will once again take advocacy is a key role. Kent Caring is the third component place during this celebration. The Lingafelter, RN, ICU Nurse of the theme. JoAnna considers TMC community is encouraged to Executive, believes that his critical listening to the patient’s concerns give thanks to all our nurses. We care nurses advocate for patients and following through with those have over 100 Registered Nurses by “ensuring that their rights and concerns; and being sincere employed at TMC in twenty wishes are being protected,” and embody the concept of caring. two different departments of the that safety is a high priority. Susan Kent asserts that his nurses hospital. Health P a g e S i xnewslettermarch.indd 6 4/10/12 11:51:33 PM
  7. 7. H E A L T H Y W I N D S APRIL/MAY 2012 T S É H O O T S O O Í M E D I C A L C E N T E R Getting Fit Team Defiance T he Super Spartan were washing mud Julius Be Larry Ho ga y skie Judd Hildre obstacle course race off and missed th Chris Lar Alfred Mu sen rphy Jr. Edward Becenti is a more than 8 mile the photo shoot” battlefield of insane mud laughs Barton. running with sand bag carrying, The team raced Williama Jim Jimmy Tso trench crossings, nearly six feet February Jarom Pro sie ws Muriel Tso sie Janelle Ya zzie deep stream crossings, rope 11, 2012 in Regina Bro wn climbing, spear throwing, tire Chandler, AZ. flipping, jumping over fire, low “It was tough crawl under barb wire through dirt and fun at the Team Me mbers No and mud, wall climbing, balance same time and t Featured Elfreida : Barton Tovarai Te norio beams, multiple hill runs, running/ our team was walking through waist and knee physically fit and ready for Training high deep water, multi-level such an event and I am proud of also known as monkey bars and Spartans. The them” Barton states. MOCT. The training sessions are obstacles test physical strength According to the event website conducted Monday, Wednesday, and mental resolve. “This 13 ( “an and Friday from 12:00-1:00 kilometer mud run is an endurance obstacle course race is designed pm and Monday, Tuesdays, and race which pushes you to your full to test your resilience, strength, Thursday evening from 5:00 pm potential” says Jimmy Tsosie a stamina, quick decision making -6:00 p.m. She says more and materials handler at TMC. skills, and ability to laugh in the more TMC employees are finding Tsosie took the lead to face of adversity.” The website new interests to win the battle motivate and recruit TMC further states “our goal is simple... against health problems and to employees who he fitness trains to get you off your couch, throw stay fit as a team. with to be part of Team Defiance. you in the mud trails, and feed The next event the team is The 13 member team also you one tough endurance event competing in is the 2012 Warrior includes six people who work for day that will be the adrenalin rush Dash scheduled for May 5, 2012 the Navajo Nation government of your life.” in Albuquerque, New Mexico. and Navajo Nation Oil Gas. Barton says the Spartan Race The Warrior Dash is another The team placed 22 out of a total was only the beginning for team 3-mile obstacle course. Over of 135 teams. challenges that TMC employees 22 individuals are signed up Elfreida Barton, Wellness and community members can representing the Fort Defiance, Center Coordinator at TMC, participate in. Barton and her team Navajo area. Good luck TMC recalls how grueling the event of fitness specialists train TMC Warriors!! was. “We got so muddy that we employees in the Max Out Circuit P a g e S e v e nnewslettermarch.indd 7 4/10/12 11:51:50 PM
  8. 8. Volume 2 No. 2 H E A L T H Y W I N D S APRIL/MAY 2012 T S É H O O T S O O Í M E D I C A L C E N T E R Our Community Newsletter Contact: Dr. Janet Slowman-Chee Tina James-Tafoya Telephone: 928-729-8950 BREASTFEEDING IN THE SCHEDULE OF EVENTS WORK PLACE (Continued from Page 5) April 2012 April 24, 2012: Child Abuse/Domestic Violence/ assist businesses in setting up a Diabetes Education Class Sexual Abuse Prevention lactation program, which includes: Every Monday: 5:30 – 6:30 pm in TMC’s Zion Awareness▲▲Community▲▲▲▲ ▲▲ ▲▲▲▲▲▲▲▲▲▲▲▲▲▲ Parade ▲▲▲ ▲▲ Seminar atLTH ▲▲ ▲▲ Ft. Defiance • ow to create an appropriate h Conference Room A Y ▲▲ ▲▲ ▲▲▲ ▲▲ lactation room Chapter House ▲▲▲ ▲▲▲ HE ▲▲▲▲▲▲▲▲▲▲▲▲ ▲▲▲▲ •help write breastfeeding policies April 2, 2012: Yoga for Wellness ▲▲▲▲▲▲▲▲▲▲▲▲ • rovide employee education p April 5, 2012: Honoring Life Conference NN April 30, 2012: General Foot Care about managing working and breastfeeding. ▲▲ ▲▲▲▲▲Museum ▲▲▲ ▲▲▲▲▲▲▲▲▲▲ 2-3:30 pmHealth S CH ▲▲▲ ▲▲▲ ▲▲▲ • rovide training for supervisors p ▲ ▲▲▲ Naháta’Dziil Health Center OIC ▲▲ E ▲▲▲ EALT ▲▲ ▲▲ ▲▲ ▲▲ ▲▲ to help them better understand ▲▲ ▲▲ H Diabetes Education Class ▲▲ ▲ ▲▲ ▲▲ ▲▲▲ ▲▲▲ April 9, 2012: Diabetes Medications ▲▲▲ ▲▲ ▲▲▲▲ the positive impact of a ▲▲▲▲▲▲▲▲▲▲▲▲ ▲▲▲ ▲▲▲ H April 12, 2012: 8:00am – 12:00 noon ▲▲▲▲▲▲▲▲▲ ▲▲ breastfeeding program on all ▲▲▲▲ employees. Y ▲▲▲▲▲▲▲▲▲▲▲▲ April 16, 2012: Healthy Cooking Class Quality of Life April 26, 2012: 8:00am – 12:00 noon Please contact Roberta Duncan, ▲▲▲▲ CH RD, MPH, Public Health April 23, 2012: Diabetes Medications ▲▲▲ OI ▲▲▲ Nutritionist, at 928-729-8424, for CES May 6-12, 2012: Nurses Week ▲▲ ▲▲ ▲▲ ▲ ▲▲ ▲▲ more information. ▲▲ ▲▲ ▲▲▲ ▲▲▲▲ ▲▲▲ ▲▲▲▲▲▲▲▲▲▲▲▲ TMC DIRECTORY GATHERING OF NATIVE AMERICANS (Continued from Page 5) General Switchboard:................ 928-729-8000 back. ”The second day focused on empowering TMC’s MSPI extends its sincere appreciation to Adolescent Care Unit:................. 928-729-3750 individuals and the community, and on adolescence the following for their support: Adult Medicine Clinic:................. 928-729-8658 as a time of vision and mastering skills. Community Health:..................... 928-729-8425 Navajo Nation Vice President Rex Lee Jim Dental Appointments:............... 877-729-8003 3. INTERDEPENDENCE- “Working together Cocina de Dominguez Diabetes Program:...................... 928-729-8467 interdependently for positive change,” such as action Coalition for Healthy Resilient Youth Emergency Dept:.......................... 928-729-8600 and community leadership. The third day focused Ellis Tanner Eye Clinic:......................................... 928-729-8925 on adulthood and the integral and inter-dependent Express Dollar Home Based Care Prog:................928-729- 8032 relations within families and communities. Lowe’s Shopping Center of Window Rock, AZ Intensive Care Unit:.................... 928-729-8980 McDonalds of Window Rock, AZ Manage Care Service:................. 928-729-8181 4. GENEROSITY- “Giving back to self and Navajo Petroleum Mental Health:.............................. 928-729-8500 community.” The final day honored our elders, who Navajo Shopping Centers Multi-Service Unit:...................... 928-729-8625 continuously pass their wisdom and teachings Navajo Technical College, Culinary Arts Program Nursing:............................................ 928-729-8580 to our children. Each of us has a responsibility to Ralph Johnson Memorial Rodeo Committee OB/GYN Clinic:................................. 928-729-8770 give back to our communities and share graciously Safeway of Gallup, NM OB WARD:......................................... 928-729-8795 what we have learned. We need to remember our Tse Haal Taal Consulting Operating Room:.......................... 928-729-8740 teachings and become the best WE can be. Orthopedic Clinic:......................... 928-729-8678 Pediatric Clinic:............................. 928-729-8710 Through these four components one can start For More Information on GONA or TMC’s Pharmacy:........................................ 928-729-8328 to examine how to be an active participant in their MSPI contact: Physical Therapy:......................... 928-729-8810 own life and in their community. Lucy Laughter-Begay, MPSI Director Podiatry:........................................... 928-729-8815 Kenneth W. Harvey Jr., MSPI Culture Liaison Respiratory Therapy:.................. 928-729-8835 MSPI’s Cultural Liaison and GONA trainer Methamphetamine and Suicide Prevention Initiative Social Services:.............................. 928-729-8527 Kenneth Harvey led the training and was assisted (MSPI) Project Surgery Clinic:................................ 928-729-8695 by trainers with from the Native American Center for Tséhootsooí Medical Center Naháta’ Dziil Health Center Excellence. 928-729-3749/8429/3765 (Sanders):.................................... 928-688-5600 P a g e E i g h tnewslettermarch.indd 8 4/10/12 11:51:52 PM