Tribal Health News. June 5th. April Calendar 2. May Calendar 3. June Calendar 4 Tobacco Quit Tips 4. New Employees 5,6.

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1 Tribal Health News I N S I D E T H I S I S S U E : V O L U M E V I I I, I S S U E I I A P R I L J U N E April Calendar 2 Tribal Health Facebook Page 2 May Calendar 3 Tribal Health Webpage 3 June Calendar 4 Tobacco Quit Tips 4 New Employees 5,6 Food Security 7 Wocus Workshop 8 Stand Back, Dietician 9 NextGen E.H.R. 10 Diabetes Prevention 11 Diabetes Management Seminar 12 Adult Recovery 13 Culture Club 14, 15 Talk with Your Teen Restoration of the Spirit Sharing Spring Break Men s Golf Retreat Culture Camp 20 June 5th Community Garden + Composting 21 What s Cooking 22, 23 Cancer Survivor Day June 7

V O L U M E V I I I, I S S U E I I P A G E 2 SCHEDULE OF EVENTS April 1 April Fool s Day April 8 Diabetes Program Seminar April 9 10 Positive Indian Parenting April 11 12 Permaculture Class April 25

2 V O L U M E V I I I, I S S U E I I P A G E 2 SCHEDULE OF EVENTS April 1 April Fool s Day April 8 Diabetes Program Seminar April 9 10 Positive Indian Parenting April Permaculture Class April Dryland Strategies April 7,14,21, 28/1,8,15,22,29 Seed to Supper Classes April 2015 SUN MON TUE WED THU FRI SAT Klamath Tribal Health Facebook Page Submitted by Health Ed

3 V O L U M E V I I I, I S S U E I I SCHEDULE OF EVENTS May 5 Last Seed to Supper Class May 10 Mother s Day May 11 Nat. Woman s Check Up Day May 15 State Indian Day Tribal Offices Closed May 19 Employee Health & Fitness Day May 22 Restoration of the Spirit May 23 General Council Meeting May 25 Memorial Day Tribal Offices Closed May 31 P A G E 3 SUN MON TUE WED THU FRI SAT May 2015 Klamath Tribal Health Webpage Submitted by Health Ed

V O L U M E V I I I, I S S U E I I P A G E 4 SCHEDULE OF EVENTS June 5 Men s Health Golf Retreat National Environment Day June 7 National Cancer Survivor Day June 21 Fathers Day June 26 Culture Camp

4 V O L U M E V I I I, I S S U E I I P A G E 4 SCHEDULE OF EVENTS June 5 Men s Health Golf Retreat National Environment Day June 7 National Cancer Survivor Day June 21 Fathers Day June 26 Culture Camp Applications due Other activities to be announced June 2015 SUN MON TUE WED THU FRI SAT WANT TO QUIT COMMERCIAL TOBACCO? YOU CAN DO IT! The KTHFS clinic offers at no cost to registered patients: Gum, patches, lozenges and medicine Tobacco cessation case manager Referral to Oregon Tobacco Quit Line Life skills & stress management counseling Quit Tobacco Websites Ex: Re-learn to Live Without Cigarettes (becomeanex.org) Tobaccofree.org You Can Quit Smoking Now (smokefree.gov) Smokefreeoregon.com Freedom from Smoking (American Lung Association ) cleanairforeveryone.org Live chat with a quit counselor (National Cancer Institute) cdc.gov TeenQuit (teenquit.com) heart.gov My Last Dip: quit smokeless tobacco (Oregon Research Institute) Submitted by Tobacco Prevention and Education Program

5 V O L U M E V I I I, I S S U E I I P A G E 5 New Employees Name: Shawndell Shuey Place of Birth: Klamawth Falls, OR Position: CMA Prior Work Experience: Community Health Representative, United Indian Health Services Hobbies/Interests: Traveling, family, powwows Reason for working at KTHFS: Enjoy working in the Native Community Tribal Affiliation: Modoc & Klamath Name: Skip Shewell Place of Birth: Vermont Position: Mental Health Clinician Degree: Master of Science, University of Vermont, Master of Arts in Psychology, Antioch University Seattle Prior Work Experience: Worked with Alutiig Tribes in Alaska, and with Native Americans in the Bay Area, CA Hobbies/Interests: Hiking, fishing, running trails with dog Blue, two-stepping, West Coast dancing, travel, family & friends Reason for working at KTHFS: Enjoys providing person-centered culturally attuned mental health counseling for all Native American identifying persons. Tribal Affiliation: none Name: Dorene Duffy Place of Birth: Buffalo, NY Position: Mental Health Counselor Degree: MA Counseling, BA Health Sciences, AA Nuclear Medicine Prior Work Experience: Family Therapist, Seneca Nation in NY, Emergency Room Crisis Counselor Hobbies/Interests: Backpacking, hiking, Nature/rocks, photography, camping Reason for working at KTHFS: To utilize her experience and expand knowledge, to assist the families and community in improving their quality of life. Submitted by Human Resource Department

V O L U M E V I I I, I S S U E I I P A G E 6 New Employees Name: Jana Shockley Place of Birth: Addison, Michigan Position: Clinic Nurse Degree: ADN Prior Work Experience: Medical Oncology RN, Cardiac

Name: Lynda LC Daniel Place of Birth: Oklahoma City, OK but grew up in Klamath Falls, OR Position: TPEP Coordinator Degree: BA History, BA Literature, MA English Prior Work Experience: 12 years as a

6 V O L U M E V I I I, I S S U E I I P A G E 6 New Employees Name: Jana Shockley Place of Birth: Addison, Michigan Position: Clinic Nurse Degree: ADN Prior Work Experience: Medical Oncology RN, Cardiac RN, Telemetry Instructor Hobbies/Interests: Reading, music, crochet, walking Reason for working at KTHFS: This is a fresh new opportunity to increase my knowledge base. Tribal Affiliation: None. Name: Lynda LC Daniel Place of Birth: Oklahoma City, OK but grew up in Klamath Falls, OR Position: TPEP Coordinator Degree: BA History, BA Literature, MA English Prior Work Experience: 12 years as a paralegal in private law firms, 11 years with Klamath Tribes Administration Hobbies/Interests: Walking/foraging, gardening, farming, holistic health, herbal medicine Reason for working at KTHFS: She is excited to work for the Tribes in health education and prevention Tribal Affiliation: Viking & Choctaw Submitted by Human Resource Department

V O L U M E V I I I, I S S U E I I P A G E 7 From the Food Security Program: Sovereignty Security Sustainability: Building Local Food Systems for Community Health and Self-Reliance A series

lunch 2) Dryland Strategies for Resilient Food Systems April 25 & 26; 9-5, potluck lunch 3) Tending the Summer Garden & Planning for Fall June 6 & 7 9-5, potluck lunch SEED To SUPPER -

The Courses are offered: Every Wednesday in April in Klamath Falls 5:30 7:00 at Mills Elementary School Every Tuesday April 7 through May 5 in Chiloquin 5:30 7:00 at the KTHFS Youth &

7 V O L U M E V I I I, I S S U E I I P A G E 7 From the Food Security Program: Sovereignty Security Sustainability: Building Local Food Systems for Community Health and Self-Reliance A series of weekend workshops at the future Chiloquin Community Garden: 202 Pioneer Street 1) Permaculture and Organic Gardening Fundamentals - Designing Your Garden April 11 & 12; 9-5, potluck lunch 2) Dryland Strategies for Resilient Food Systems April 25 & 26; 9-5, potluck lunch 3) Tending the Summer Garden & Planning for Fall June 6 & 7 9-5, potluck lunch SEED To SUPPER - Basic Gardening Course This course is designed for beginning adult gardeners to learn how to garden in our high desert climate on a budget. The Courses are offered: Every Wednesday in April in Klamath Falls 5:30 7:00 at Mills Elementary School Every Tuesday April 7 through May 5 in Chiloquin 5:30 7:00 at the KTHFS Youth & Family Guidance Modular Building, 204 Pioneer Street For more information or to register, call or KTHFS Food Security Program Coordinator, Perri McDaniel: ext. 235, perri.mcdaniel@klm.portland.ihs.gov Submitted by Food Security Program

V O L U M E V I I I, I S S U E I I P A G E 8 WOCUS GATHERING 2015 Wocus, historically.

interested in teaching a hands-on workshop about wocus gathering, storage and preparation

staples of our people Please contact: Perri McDaniel Food Security Program Coordinator

8 V O L U M E V I I I, I S S U E I I P A G E 8 WOCUS GATHERING 2015 Wocus, historically., one of the main nutritious food We are in need of a workshop instructor: Would you be interested in teaching a hands-on workshop about wocus gathering, storage and preparation this year? staples of our people Please contact: Perri McDaniel Food Security Program Coordinator Klamath Tribal Health & Family Services 3949 South Sixth Street Klamath Falls, OR ext Fax: perri.mcdaniel@klm.portland.ihs.gov

My maturity shines through and I fire up that grill. But, isn t that the point? Stand back, dietician, I m eating that cheeseburger.

9 V O L U M E V I I I, I S S U E I I P A G E 9 News From the Clinic: Stand back, dietician Somebody get me a cheeseburger. (Steve Miller and the Band- Living In the USA ) Whenever I listen to Living in the USA I get a big grin. Ask my spouse and my childhood friends, I just lose it at the last stanza of that song. My maturity shines through and I fire up that grill. But, isn t that the point? Stand back, dietician, I m eating that cheeseburger. What I know and what I do aren t always in harmony, and that s a fact. My journey towards healthy eating is a week by week experience and is affected by mostly my personality and the people I associate with. You might be saying at this point, That s not what I expected from a dietitian, how strange. Well, let me introduce myself. My name s Jason Gitter and if you haven t met me, I m a contracted dietitian at the medical clinic. I ve been participating in diabetes clinic as well as seeing people one to one. I ve been a dietitian for 19 years with absolutely no interest in healthful eating until about 7 years ago. My journey toward healthful eating began when my youngest daughter developed severe food allergies at 18 months. Although I ve suffered with various food allergies since I was 18 years old and still do, my daughter s were terrifying and life threatening. We all have a starting point at which we began to think about food choices and the consequences. Just as my journey started with concern for my daughter, you too might find yourself wanting better for the people you love. And just then, you might start thinking about yourself and realize there are others thinking about you and your health. I might even give you some great tips on how to cook that cheeseburger so you get all the benefits and limit the harm.but you ll have to schedule appointment with me. Submitted by Jason Gitter, Dietician To schedule an appointment with our dietician, please call the medical clinic at

V O L U M E V I I I, I S S U E I I NextGen Electronic Health Records (EHR) P A G E 10 On March 10 th the Youth & Family Guidance Center went live on the NextGen electronic health record (EHR).

Because our other direct departments and the Business Office use the NextGen system also, this was an important step for the YFGC and it allows for better coordination of care, more efficient

10 V O L U M E V I I I, I S S U E I I NextGen Electronic Health Records (EHR) P A G E 10 On March 10 th the Youth & Family Guidance Center went live on the NextGen electronic health record (EHR). Planning for this project began more than two years ago and ensuring and maintaining patient confidentiality was a top priority. Because our other direct departments and the Business Office use the NextGen system also, this was an important step for the YFGC and it allows for better coordination of care, more efficient documentation by providers, and improved billing processes. The project began ramping up in January 2015 with several working meetings, leading up to staff training, a mock golive, and then the production go-live on March 10 th. Overall the project has been a success thanks to the cooperation and hard work of the YFGC staff, Deb Ryan from Medical Records, and members of the EHR team, who took the lead on the project. Electronic health information will provide a quantum leap in patient power, doctor power, and effective health care. Tommy Thompson, U.S. Department of Health and Human Services Secretary

V O L U M E V I I I, I S S U E I I P A G E 11 Diabetes Prevention Program Dear Potential Participant, The Klamath Tribes Diabetes Prevention Team is looking for volunteers to participate in our

11 V O L U M E V I I I, I S S U E I I P A G E 11 Diabetes Prevention Program Dear Potential Participant, The Klamath Tribes Diabetes Prevention Team is looking for volunteers to participate in our Diabetes Prevention Program (DPP). What is the DPP? The Diabetes Prevention Program is based on the findings of a national study that diabetes is preventable in those at high risk through exercise and proper nutrition. The focus of the program is on making sustainable lifestyle changes to prevent diabetes, you also earn great incentives, while in the program. What is Pre-Diabetes? Pre-diabetes is a condition where blood sugar levels are higher than normal but are not high enough to be called diabetes. Who can Join? American Indian men and women age 18 or older who are eligible for services at KTH&FS and who have pre-diabetes. What will I be Asked to do? Become more physically active and learn healthier eating habits. Attend 16 classes, one class per week, to explore ways to live a healthier life. Work with a Lifestyle Coach to eat healthier, lose weight, get more active and be healthier! How Can I Join the Program? Let us know that you are interested in volunteering for the program by calling the following number and we will explain the program, test you to see if you qualify, and answer any questions about the DP program that you might have. For more information please contact: Shawn Jackson at x 220 Classes begin February 2015 Submitted by DPP Program

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13 V O L U M E V I I I, I S S U E I I P A G E 13 Submitted by YFGC

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Tribal Men s HealTH Golf Retreat Friday June 5, 2015 12:00 4:00 You are Invited to Come Enjoy Lunch, Men s

A limited number of golf clubs Are available to rent. This event is for tribal men age 18 and older.

19 Tribal Men s HealTH Golf Retreat Friday June 5, :00 4:00 You are Invited to Come Enjoy Lunch, Men s HealTH information & 9 Holes of Golf! Golf Carts are provided. Bring your own clubs. A limited number of golf clubs Are available to rent. This event is for tribal men age 18 and older. Harbor Links Golf Course 601 Harbor Isle Blvd PLEASE RSVP SPACE IS LIMITED To Reserve Your Spot Call xt. 226 By May 25th

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21 V O L U M E 1, I S S U E 1 P A G E 21 Perri McDaniel Food Security Program Coordinator KTHFS ext. 235 perri.mcdaniel@klm.portland.ihs.gov

buttermilk (or any type milk) 4 teaspoons extra-virgin olive oil, divided 1 teaspoon butter 1/2 teaspoon salt Freshly ground pepper to taste Snipped fresh chives for garnish, or other herbs and

22 V O L U M E V I I I, I S S U E I I P A G E 22 What s Cooking? Savory Mashed Cauliflower a perfect stand in for Mashed Potatoes Ingredients 8 cups bite-size cauliflower florets (about 1 head) 4 cloves garlic, crushed and peeled (optional) 1/3 cup nonfat buttermilk (or any type milk) 4 teaspoons extra-virgin olive oil, divided 1 teaspoon butter 1/2 teaspoon salt Freshly ground pepper to taste Snipped fresh chives for garnish, or other herbs and spices Directions 1. Place cauliflower florets and garlic in a steamer basket over boiling water, cover and steam until very tender, 12 to 15 minutes. (Alternatively, place florets and garlic in a microwave-safe bowl with 1/4 cup water, cover and microwave on High for 3 to 5 minutes.) 2. Add 2 tsp olive oil into a skillet. Place the cooked and still warm cauliflower (and garlic, if used) in the warm skillet. Add buttermilk, butter, salt and pepper; stir as the butter melts, stir or use a potato masher until smooth and creamy. Transfer to a serving bowl. Drizzle with the remaining 2 teaspoons oil and garnish with chives, if desired. Serve hot. Use as a side dish just as you would mashed potatoes. (Low-fat shredded cheese can also be added.) Adapted from Per serving: 107 calories; 7 g fat (1 g sat, 4 g mono); 3 mg cholesterol; 10 g carbohydrates; 0 g added sugars; 5 g protein; 4 g fiber; 339 mg sodium; 288 mg potassium. Nutrition Bonus: Vitamin C (150% daily value), Folate (22% dv) riced cauliflower a perfect stand in for Rice Place cauliflower in a food processor and pulse until reduced to rice-size crumbles. (Or chop finely by hand.) Transfer to a large nonstick skillet and add 1 tablespoon oil and salt. Heat over medium-high, stirring frequently, until the cauliflower begins to soften slightly (but don t let it brown), 8 to 10 minutes. Transfer to a large bowl, serve warm and use as you would rice. Submitted by Health Education

V O L U M E V I I I, I S S U E I I P A G E 23 CAULIFLOWER: In a study published in the American Journal of Clinical Nutrition, a high intake of cruciferous vegetables like cauliflower reduced the

Directions What s Cooking? Your blood sugar levels rise when you consume foods with easily accessible carbohydrates, such as potatoes and white rice.

Foods without carbohydrates, including meats, eggs and fish, do not have a notable impact on your blood sugar levels. Certain vegetables also have minimal impact.

23 V O L U M E V I I I, I S S U E I I P A G E 23 CAULIFLOWER: In a study published in the American Journal of Clinical Nutrition, a high intake of cruciferous vegetables like cauliflower reduced the risk of dying from cardiovascular disease by 31%. A growing body of evidence indicates that several diverse compounds in cauliflower might be responsible for this protective effect. Directions What s Cooking? Your blood sugar levels rise when you consume foods with easily accessible carbohydrates, such as potatoes and white rice. High blood sugar levels may increase your risk of heart disease, diabetes and obesity; a sudden blood sugar spike can also cause you to become sleepy when your levels return to normal. Foods without carbohydrates, including meats, eggs and fish, do not have a notable impact on your blood sugar levels. Certain vegetables also have minimal impact. Such foods include carrots, eggplant, cauliflower, green beans, broccoli, peppers, onions, lettuce, zucchini, tomatoes, peanuts and walnuts. These foods are generally safe for you to eat at each meal without spiking your blood sugar. 1. Heat pan over medium-high heat (350 degrees in an electric skillet). Add vegetable oil and chicken, and cook until no longer pink when cut. 2. Reduce heat to medium (300 degrees in electric skillet). 3. Add tomatoes with juice, chili sauce, green pepper, celery, onion, garlic, basil, parsley, and cayenne pepper. 4. Bring to a boil; reduce heat to low and simmer, covered, for minutes. Chicken Creole Great with Mashed Cauliflower or Cauliflower Rice! Ingredients: 1 tbs vegetable oil 1 pound boneless, skinless chicken breasts 1 can diced tomatoes (with juice) 12 ounces chili sauce ( 1 cup) 1 large green pepper, chopped 2 Ribs celery, chopped 1 small onion, chopped 2 cloves garlic, minced, or 1/4 tsp garlic powder 1 teaspoon dried basil 1 teaspoon dried parsley No chili sauce? Make your own and reduce sodium using these ingredients: 1 can (8-ounce) tomato sauce 1 tablespoon vinegar 1 teaspoon brown sugar 1 teaspoon chili powder

there is a greater need for access to healthy food. The area has recently been fenced in to keep dogs, deer and other wildlife out.

there is a greater need for access to healthy food. The area has recently been fenced in to keep dogs, deer and other wildlife out. VOLUME V1I, ISSUE 4 OCTOBER- DECEMBER 2014 INSIDE THIS ISSUE: Treaty of 1864 2 Beatty Walk 3 Portion Size Pitfalls 4 Portion Size Game 5 New Employees 6 Flu Season 7 Antibiotic Use 8 Sports Physicals 9