Master Cart #116

Okay, so can we go ahead and start for seed? Okay, so let's go ahead and start for seed. Okay, so let's go ahead and start for seed. Okay, is this enough for you blood sensors?

Okay, this is this used to be here, but now it's gone. How does child sexual abuse cause damage to the child spirit? Maybe you could talk about that.

Now I see that happening to a child is that a child is born with all of themselves working together. Their spirit, their physical body, their emotions, all of those things. And when sexual abuse happens to a child, it is a ripping of their spirit. And all of their decisions come from their spirit. And so when their spirit is ripped into their spirit, then all of their decisions, they're very self-destructive and hurtful to them. And you can't operate in the spirit that's all broken, and they're all broken, ripped and torn. So what you're saying is that physical damage, maybe just a small part of that. Yes, the actual act and what acts with the child is traumatic enough, but that is not where the damage is done. The most damage is the whole state of the spirit. To the child that is a child that is waking up in that place at that moment. Dr. Haas, maybe you could talk about some of the, some of the, what happens with symptoms to that child. I think we talked about symptoms.

I mean, you said, one thing I think is critically, I think it's true. I think it's true. I mean, it's true. I mean, it's true. A child often is abused by a family member. A family member. A family member. A family member. A family member. A family member. A family member. A family member. A family member. A family member. A family member. A family member. A family member. So, if a, if a child is skeptical, and there's no choice, I don't know if the only chief participant was going to have the arms themselves. be attracted to and how can I work these feelings out and who do I go to like if I a very young girl is attracted to another girl and that alone is very confusing plus it's shame and they think they're not normal you know because there are

two sexes but with the child at that age should get some help immediately to identify herself or himself like one young man just exposed this week to me that he's been sexually abused a hundred times by a cousin and that he came in with identity crisis that he thinks he may be gay and so it does create as Claire says a lot of confusion and so you see a lot of identity confusion and then but then he got into going into drugs to numb all these feelings and then got into unhealthy and almost masochistic relationships a sexual relationships himself heterosexual relationships and now he's got all this guilt he's got all this confusion he's got a drug abuse problem on top of this and then now all the unresolved sexual feelings so it's it's really prominent in males and there's a lot of things that we consider normal but

males just don't talk as much and we need to let them know and educate them hey this has happened this has been abused I feel like my skin is burning now inside of my eyes really bad they're just terrible feel like there's particles inside yeah yeah I know how it feels now I think it'll work on it in the silent anyway before I assaulted does that make you feel better not if I have to treat the taste no I don't I I wouldn't want knowing to go through with this then no one the fact that I'm not going to get hurt would make me feel better and the

I say it's no matter how strong he is he'll need definitely to go down I know that for sure now all the ones right here actually the ones that have already entered the

main first we've lost two aircraft. We've lost three aircraft's. Leibwe have lost four aircraft. I've got two shipments on the way taking right now.

I've got all the credit. I've got all the credit. I've got all the credit.

I've got all the credit. I've got all the credit. I've got all the credit. I've got all the credit. I've got all the credit. I've got all the credit.

I've got all the credit. I've got all the credit. I've got all of the credit to the credit. I've got all the credit. I've got those credit. I've got all the credit to others. Don't, don't, don't, don't, don't, don't.

Don't, don't, don't. Don't, don't, don't, don't, don't. one hand needs the

other hand the ear The first thing we looked at was, of course, not to take personnel actions, but to cut other things. In fact, the majority of the adjustments we made, three-quarters of them were not people. Personnel was the last action we took and we did everything else we could to straighten around the financial situation first. But the hospital grew by three million dollars in expenditures in that year, but lots of the growth occurred in the last two to three months of the year,

which we could cover for the first year, but going into the second year, we were headed to the path of being in the red in a major way. Can you indicate how much in the red you might have been if you had not made the layoffs? It was anticipated it was going to be well over three million dollars. So your budget would then grow by three more million. And that's, we were set up to, we grew three million the first year, and things were on their own, going to grow another three million the next year, and we couldn't sustain it. It's our job to increase the revenues of the hospital and provide more health care with it, but we have to do it in an organized fashion, and things were not very organized. And now prices being paid for that. What contributed to the budget mushrooming like it did in the last quarter of the last fiscal year, and then in the first two months of this fiscal year?

Well, one of the ways that the government always made budget was to leave positions empty. When you have positions empty, you can say that your budget is $40,000 for this nurse, but you never fill the position. That's $40,000 you have to spend on something else. The hospital here was the closest to being completely full staff that it's ever been. Usually we ran 20, 30, 40 vacancies at a time and we were down to six. Well, if you have 20 more people than usual and they're all making $30, $40,000, $50,000 a year, you get into financial trouble pretty quickly. And that's the kind of thing. We're a service organization, and we still do things the federal way in a lot of ways, which is not to make money. The federal government doesn't. That's not what they do. So we had lack of expertise within the building in terms of how to make money, or how to even keep track of our money.

That just wasn't part of what we did as Indian Health Service, and we don't have any local teachers of that kind of thing. So what you're saying is even the realization that the way that the feds made ends meet at the hospital was by not filling positions. That knowledge probably wasn't available locally. That kind of a tip, a pointer on making the budget meet. Well, I don't think it's something you brag about that you probably, most of the nine years I've been here, but there have been hiring freezes at the hospital where positions get frozen. We need a nurse here or a secretary there or a housekeeper, but we don't hire it because we don't have the money. Okay, once you were confronted with a scenario that you might be three million over budget, how did you go about determining which positions would be laid off?

There were two rules, two basic sets of rules that came into play. The first which Mr. Patel and I agreed on initially was that positions which provided direct patient care, nurses, doctors, the people doing the lab tests, those kinds of people would not be at jeopardy from that personal action. The second thing that we did was we took out YKHC's policy and procedure manual. And in that manual is a description of how you do these kinds of, it's called a personal action. And it is based on seniority and performance. It's fairly complicated because those rules only hold for YKHC's own employees. And as you probably know, there are many people at the hospital who are actually United States government employees who are subcontracted to us. And they work by whole separate set of rules which we also followed.

So it became a very complicated thing. The people in the departments involved were involved minute by minute and hour by hour in the decision it wasn't made. In the administrative hallway and told you we'll get rid of these five people. The decisions were made within the departments. How much was patient care a factor and who would be let go? It was entirely patient care that's the first cut. If your job is to take care of patients you aren't on the list. And that was agreed on by all parties at the start. So there are patients being seen at the hospital should see the same number of people taking care of them that they have in the past that has not changed. As a matter of fact, as far as nurses who take care of patients and doctors who take care of patients that's the highest staffing it's been in seven or eight years. But when you lose that many people in support services that's still going to cause a problem won't it?

It can't be easier to do the job. So how will that affect patients indirectly? Well, if we continue the way we are right now there's no question that down the road it's going to have a negative impact on both the people working in the hospital and eventually on the patients. It's our job to get us out of this situation as quickly as possible. As each mushroom come to and if the church bells would ring and the mushrooms would then leave and I just dream you know a bit of that's me someday. It's only 137 miles from Anne Victor Bethel.

The Beverly Massick says she's traveled a long way since 1981. She first dreamed of running the thousand miles sled dot race that passes through her home village every other year. She says that race changed her life in her direction, demanded discipline and harnessed her energies. Beverly now gets up every morning at six runs for a couple of miles, cares for 80 dogs as well as a seven-year-old son and a household that demands her attention. Beverly says she needs the discipline of getting up so early to reach her goal of finishing in the top 20 in the idea to ride. Last year she got close, 21st position. Massick says the challenges of meeting that goal have taught her a message that transcends dog-mushing. A message she wants to share with young Alaskans. When I took on this challenge to race and the idea that I had to learn a lot of responsibilities.

A message they heard from Massick. Massick says she wants to give kids something she didn't get when she was growing up in Anne. A challenge to develop her potential. I think they should be offered the same thing in their lives, they have to work hard to obtain their goals. I didn't have too many role models and people to look up to especially native. After meeting back this way, I think it's really great.

Instead of training for the 1993 I did arrive, she spent time with the children. The reason why I run dogs is because it's one of my traditional values. The native people have mushed dogs for all of our generations and just keeping the sport alive. With me being a part of it, it's just something that I've always wanted to do and it's a way of my people's life.

If she finishes in the top 20 next year, she plans to turn over the dogs to her husband Jan. He finished 12th in the 1988 I did arrive. Thank you. Thank you very much. Thank you very much. Thank you very much.

Thank you. Thank you very much. Thank you very much.

Thank you very much. Thank you very much. That's what career days is for a chance to ask questions with representatives from colleges, local agencies and businesses on hand to answer them.

Gary Fife was one of the special guests. He's proud of the talented young natives who want to become broadcasters. There were about 24 different career workshops students selected the ones they wanted to attend. In Bethel, I'm Rhonda McBride. Thank you very much.

Thank you very much. Thank you very much. Thank you very much.

Thank you very much. Thank you very much. Thank you very much.

Thank you very much. Thank you very much. Thank you very much.

Thank you very much. Thank you very much. Thank you very much.

Thank you very much. Thank you very much. Thank you very much.

Thank you. Thank you very much. Thank you very much.

Thank you very much. Thank you very much. Thank you very much.

Thank you very much. Thank you very much. Thank you.

Thank you.