Absentee Shawnee Tribal Health System (2024)

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THE ABSENTEE

SHAWNEE NEWS

www.astribe.com

October 2024

Volume 34, No. 10

Absentee Shawnee Tribal Health System

Awarded NIH N Crew Program Grant

On Wednesday, July 30, 2024, the

National Institutes of Health (NIH)

awarded the Absentee Shawnee Tribal

(AST) Health System with the first NIH

Native Collective Research Effort to

Enhance Wellness (N Crew) Program

Grant.

The proposal was met with enthusiasm

and was followed up by a site visit by

senior NIH leadership, including NIH

Director, Dr. Monica M. Bertagnolli,

M.D., National Institute of Drug Abuse

Director, Nora Volkow, M.D, Associate

Director for Data Science and Director

of the Office of Data Science Strategy, Dr.

Susan Gregurick, Director of the NIH

Tribal Health Research Office, Dr. Karina

Walters, and Assistant Director of Science

Administration of the National Institute

of Neurological Disorders and Stroke, Dr.

Rita Devine. This was the first visit to a

tribal health system by the director of the

NIH in at least 15 years.

The AST Health System competed

against many other tribal entities

nationally for this award. The effort was

spearheaded by Oklahoma Foundation

for Digestive Research President and

Medical Director, Dr. Philip Miner,

M.D., AST Health System Behavioral

Health Medical Director, Dr. Siavash

Nael, M.D., AST Health System Director

of Behavioral Health Grants, Dr. Hadyn

K. Paternite, Ph.D, MSN, RN, and Swiss

Tropical and Public Health Institute

Epidemiologist, Dr. Aliya Karim, Ph.D.

The NIH N Crew Program focuses

on supporting research prioritized and

focusing on Native communities while

integrating Indigenous knowledge and

culture, enhancing research capacity led

by Native American Tribes and Native

American-serving organizations through

training, resources, and tools; and

improving access and the quality of data

on substance abuse, pain, and related

factors to better help Native communities.

Native approaches to pain management

are expected to be integrated into the

final program.

“This research will pave the road not

only for pain management and how to

deal with chronic pain and how we look

at the roots of the problem, but how

people develop chronic pain and how

they handle it and what happened to

them,” Dr. Siavash Nael said.

The health system’s research team will

expand upon a novel systems-based,

mixed-methods research approach

specific to community health systems of

vulnerable populations, incorporating

third-party data from the local Native

community within the first two years to

build their research model.

“One of the first steps that we will

take is the collective development of an

AST-oriented AI/IN community health

systems framework that will be specific

to behavioral health,” Dr. Aliya Karim

announced. “The program is multipronged, and we ultimately hope to

understand a few things. First, where

do we see attrition of cases across the

trajectory of care for behavioral health

issues like substance abuse or pain

management — care seeking, diagnosis,

treatment, follow-up, etc.? Second, what

modifiable and non-modifiable systemic,

demographic, policy or contextual factors

are contributing to the onset, diagnosis,

and treatment of the behavioral health

issue? It is not simply that native voices

are “a part” of this research initiative —

they design the very tools that we will use

for evaluation.”

The NIH N CREW program will be

conducted in two phases:

Phase one lasts two years and will

support projects that plan, develop, and

lead Native community-driven research

and/or data improvement projects with

a focus on substance abuse and pain.

NIH will also support the development

of a Native Research Resource Network

to provide comprehensive training,

resources, and real-time support to N

Crew participants to support research

projects.

The AST will be eligible to compete

in the second, five-year phase, expected

to start in fall 2026, which will build on

the first phase to further develop Native

community-driven research and/or data

improvement projects. Total available

finding for phase two is $268 million.

The AST Health System behavioral

health department is not contributing

to this program alone. There will be a

conference on September 22nd, 2024 in

Minneapolis, MN where the AST grant

team will work with 14 other tribalaffiliated organizations who received

NIH N Crew grants to discuss how to

build that network and support one

another in this effort to develop a nationwide research network.

“One of the things I love about this

program is that everyone isn’t reinventing

the wheel, we’re not working in isolation,

but as an interactive community where

we can discuss the challenges, trade ideas,

and share common resources,” Dr. Hadyn

Paternite said.

Absentee Shawnee Tribe Donates Ambulance

Left Photo L-R: AST Representative Anthony Johnson; AST Governor John Johnson; Meeker Assistant Police Chief Scott Wilson; Meeker Police Officer Dallas Covel; AST Lt.

Governor Diane Ponkilla and AST Secretary Misty McGirt.

The Absentee Shawnee Tribe recently donated an ambulance to the Meeker Police Department. The 2001 vehicle was not in service and had not been used for several years.

“This vehicle was just sitting here unused and had been for eight or nine years. The Meeker Police Department reached out to us to use it.” explained Governor John Johnson.

“I am really glad they are able to put it to good use.”

The vehicle has already been put in service as a community response vehicle.

“We appreciate the donation. It has been fantastic." Meeker Police Officer Dallas Covel said.

@absenteeshawneetribe

Absentee Shawnee Tribe

2A www.astribe.com

EXECUTIVE COMMITTEE

GOVERNOR’S REPORT

John Johnson, AST Governor

GOVERNOR

John Johnson

Hello Tribal Members,

Thanksgiving is just around the corner,

are you ready? What are you thankful

for? I look forward to Thanksgiving every

year, I am thankful for my family and all

the tribal people.

The Absentee Shawnee Tribe Health

center hosted the 2024 Annual SSA Oklahoma Tribal Summit. I was honored to

give the opening statement for this event.

The Social Security Administration office

gave a brief presentation of the benefits

of Social Security and how they helped

bridge the gap with surrounding tribes in

LT. GOVERNOR’S REPORT

Diane Ponkilla, AST Lt. Governor

Lt. GOVERNOR

Diane Ponkilla

Greetings,

I would like to extend my deepest condolences to the families who have lost a

loved one these past few months. I have

been in office for three months and everything is slowly coming together, I am at a

point where I can relax. My first day in

office on Friday, June 28, 2024, I entered

into a completely empty office, no files,

paperwork, office supplies and barely had

a budget. Therefore, I had no clue of activities of departments, Executive Committee or projects that were in progress. I

began by meeting with each department,

employees and Executive Committee

Round Table meetings gave me some insight on what direction I needed to take.

REPRESENTATIVE’S REPORT

Anthony Johnson, AST Representative

Hello Fellow Tribal Members,

Hope everyone has a good Indigenous

Peoples’ Day this month. Our office has

been busy getting ready for General

Council on October 5th. Additionally,

we, the Executive Committee, helped facilitate the donation of an ambulance to

BIA ROADS PROGRAM

SECRETARY

Misty McGirt

Our next project will be the Comprehensive Safety Action Plan. We were

awarded $263,322.00 for the SS4A (Safe

Streets and Roads for All) Grant. The

agreement is currently being drafted and

once signed, we will begin the work in

October 2024 and should be completed

by July 2026. The purpose of the grant is

MAINTENANCE DEPT.

TREASURER

Joseph Blanchard

REPRESENTATIVE

Anthony Johnson

The maintenance department has added

two additional staff members to the team.

We are excited t to have Calvin Wilson

join the team at the end of the September

to assist with general maintenance and

grounds keeping. We have also added Josiah Creek Harjo to housekeeping. Josiah

came to us through the 477 program and

been assisting with housekeeping over the

past few months. His attention to detail is

exceptional and he is a great asset to the

department.

The maintenance team has been very

busy with projects on campus. For example:

1. We have replaced some of the

plumbing in the Cultural Arts basement.

2. Assisted with installing new supply

air dampers in finance HVAC systems which will improve tempera-

October 2024

recent years on consultation, education,

and benefits assistance. The SSA also implemented a Social Security Tribal Division program last year which will be helpful to tribal members that still may need

assistance or even have questions.

I also attended the 2024 Renewable Energy Symposium hosted by Oklahoma

University and Caddo Nation. The entire

symposium dedicated to empower Native Tribes trough sustainable solar energy. Their mission was to promote energy

independence, reduce costs, and foster

economic growth in tribal communities.

This event was very interesting, it has given me thought of looking more into solar

energy for our tribal entities on and off

campus. This could be something that

could be beneficial to us all.

The 93rd semi-annual General Council

was held on October 5, 2024 at the Thunderbird event center. I hope you got to

attend, if not you may request the GC

booklet (if available) with the Tribal Secretary’s office.

Should you have any questions, comments or concerns, please feel free to contact myself or my assistant:

Agriculture and Maintenance are the two

departments that I have focused on. The

Maintenance department had a newly

hired Director, Lenard Mathews, different staff and structure. Agriculture was

without guidance and structure. Misty

McGirt, Secretary and I appointed John

Mann, Interim Agriculture Coordinator.

Sunday, August 25, 2024 thru Thursday, August 29, 2024 I attended the 2024

National Transportation in Indian Country Conference (NTICC) at the Choctaw

Casino & Resort in Durant, Oklahoma

along with Twyla Blanchard, BIA Roads/

Self-Governance Director and Donnie

Marshall, BIA Roads/Weatherization.

The breakout sessions began at 11:00am12:30pm and at 3:30pm–5:00pm. On the

last day of the conference we attended the

closing dinner and award ceremony. I

attended Tribal Transit, Women in Tribal Transportation, Right of Way, Traffic

Safety in Indian Country, Bridge/Culvert

end Repair and 911 Systems in Tribal

Roadways. I attended to gain more insight, have a better understanding on the

process and meaning of the BIA Roads

Department.

I have great respect for the past and

current Executive Committee Members.

This is a fast paced learning progress. I

thought being the Lt. Governor’s Executive Administrative Assistant for all these

years it would be a walk in the park. I am

excited and anxious to serve as the Lt.

Governor, once again thank you for the

opportunity to represent the AST.

the City of Meeker Police Department.

We wish to thank the Absentee Shawnee

Tribe Opioid Response grant for their donation of Narcan that was included with

the ambulance donation. Just a reminder

that the Diabetes and Wellness department will host their annual, “Zombie 5k

Fun Run and 1-Mile Walk”, October 24th

at 5:30 pm at Thunderbird State Park Little Axe Area Campground.

If you have any questions or need to

reach me, you can contact my office at:

(405) 531-3512 or adjohnson@astribe.

com

to create a plan with the goal of promoting safety to prevent death and serious

injuries on public roadways within the

Absentee Shawnee Tribe’s jurisdiction.

I am currently in my second year as

serving as the Secretary for the Intertribal Transportation Association (term ends

beginning of December 2024), Southern Plains Representative for the Tribal

Transportation Coordinating Committee

that reports directly to DOI (term ends

September 2025), on the Southern TTAP

Steering Committee and just recently

been nominated to serve on the Oklahoma Department of Transportation Tribal

Advisory Board (awaiting on approval

from the Senate).

Any questions or concerns please

email me at TwylaB@astribe.com or call

(405)275-4030.

ture control in each room.

3. Replaced some LED lighting in

Procurement warehouse.

4. We have cleaned up the area east

of the new after school building,

including all the metal, wood and

concrete debris that has been piled

up for several years.

5. Assisted with relocating the 477

Program to their new off campus

offices. Congratulations 477 Program.

6. Installed a new high pressure gas

line to building #3.

7. Installed a French drain on the east

and south east corner of building

#3.

8. Replacements of the fascia trim, on

building #2.

9. Within the next few weeks if you

visit the campus you’ll notice that

we are starting to add some flowers to the existing flower beds and

John Johnson 405-275-4030 ext. 3500

Alvina Barnes 405-275-4030 ext. 3501

You may also email me:

governor@astribe.com

alvinab@astribe.com

Thank you

Ne yi wa.

Diane Ponkilla

Thank you, and have a safe and happy October.

Sincerely,

Anthony “Tadpole” Johnson, Tribal Representative

flower pots.

Some of the projects are as follows:

1. Mowing of AST Property and Elderly Title VI Participants.

2. Emergency repairs for and elderly:

Removal of a large tree to gain access to the main sewer line. Once

exposed we found the drain to be

defective and had replace a portion

of the main drain.

3. We have been working of the water

harvest project at the Camp Nikoti. It includes over 300’ of 6” water

line, connecting down spouts from

the camp community building and

installing electric from the building

to the harvest collection tank.

I want thank everyone for being patient

and assisting when we have requested

help. The department goal is to exceed

expectation every time.

OCTOBER 11 IS THE LAST DAY

TO REGISTER TO VOTE!

YOUR

VOTE

MATTERS

MAKE SURE YOU ARE REGISTERED TO VOTE!

October 2024

www.astribe.com 3A

477 Programs

Need

Behavioral

Health

Services?

Need help with

reinstatement

fees?

Child need

school

supplies?

AST

477

Help with

GED?

Are you out

employment?

Need

education

assistance?

Need

assistance for

clothes with

new job?

Homeless?

Need

Childcare?

Need help

finding a

job?

The 477 Program is designed to provide resources and support to

help individuals and families become economically self-sufficient

while reducing the need for short-term social service intervention.

QUESTIONS? 421 N. Beard St. Shawnee, OK 74801

ONLINE APP: https://www.astribe.com/477-program

Photo: Right to left LaNora Buswell 477 Child Care Director, Heather Deatherage 477

Assistant Ex. Director, Briana Ponkilla 477 Executive Director, Connor Edwards 477 Operations Specialist, Scott Miller Language Coordinator.

n fo !

Sca cation

*Tribal ID Required

AST 477

DEPARTMENT

HAS MOVED!

The Absentee Shawnee 477 Program participated in “Hike the Denali” event on

September 19th. A big thank you to Shawnee Public Schools for hosting this event.

Everyone took plenty of laps around the Avedis Foundation Trail behind Shawnee

Middle School!”

NEW LOCATION

421 N. Beard Street Shawnee, OK 74801

KEEP IN TOUCH

www.astribe.com/477-program

477program@astribe.com

(405) 878-4545

421 N. Beard Street Shawnee,

OK 74801

NOT IC E

IF YOU WOULD LIKE TO SUBMIT AN ARTICLE OR STORY

Please give us a call at (405) 598-1279 or send an email to media@astribe.com

All articles for the next month’s issue are DUE by the 15th of the current month.

Unfortunately we can only accept ONE PICTURE PER BIRTHDAY PERSON, not per birthday wish.

October 2024

4A www.astribe.com

Absentee Shawnee Tribe of Oklahoma Building Blocks III C.D.C

16051 Little Axe Drive, Norman, OK 73026

Phone: (405) 360-2710; Fax: (405) 360-2726

Absentee Shawnee Tribe of Oklahoma

Building Blocks C.D.C.

2025 S. Gordon Cooper Dr.

Shawnee, Ok. 74801

(405)878-0633 FAX: (405)878-0156

Building Blocks II is a 5 Star, OkDHS Licensed Center. Our teachers and

children enjoy this time of year. They do lots of fall and Halloween

activities. Fall has arrived, bringing cooler weather for the children to

enjoy more outside activities.

DATES TO REMEMBER: Children’s Christmas Pictures are Wednesday,

October 16th @ 8:00a.m.. Parent-Teachers Conferences are scheduled

October 17-24th. Fall Festival Open House is on Friday, October 25th in

the evening. Building Blocks will Trick or Treat the AST Complex,

October 31st @ 9:00a.m.

We will be collecting Donations for the Tecumseh Nursing Home’s

Elders Starting November 25th through December 19th. Donations

accepted are Throw-Blankets and Socks. Our 3 Year and 4 Year olds will

deliver the Donations to the Nursing Home and sing Christmas Carols.

October newsletter

In the Classroom

Our infants will be

working on their

hand-eye

coordination by

learning how to wave

“hello” and “goodbye”

and associate the

words that go with

each action. The 2's

will be studying what

the word opposite

means. They will be

learning examples of

this concept.

In our 3-year-old

classroom our students

will be learning about the

changing of the seasons

and what happens to

trees as the seasons

change. Our 4 and 5year-olds will have the

theme of “All About Me”.

The main objective will be

to develop a sense of self

and develop independence.

They will learn how to

verbally ask for help and

how to express their

feelings.

In the Center

Our friends will be trick-ortreating at the Health Clinic on

Halloween @ 10:00.

Building Blocks III is open Monday thru

Friday 7am to 6pm and is now accepting

applications for students from 6 weeks

of age to five-years-old.

Reminder

We will be closed October 14th for

Indigenous Day

Director: Skye Foreman

Asst. Director: Renee

Richardson

Pictures

LEGAL NOTICE

Tribal Member Corner:

October Article:

I encourage members, to write articles for our

paper.

The tribal, CPR class was informative and

helpful.

I hope they teach the First Aid class for

members too, soon.

Tribal members may like to view pictures, of

inside the tiny home or tour. Mindy, can you

assist with the pictures and place in

newspaper?

Can the food pantry provide cheese, for the

tribal members?

AST Day, there is a need to provide a

celebratory occasion, for members at large. A

luncheon, prizes, speech from Governor.

Past, present and future of our tribe.

Health: Many tribal people in this country

face health disparity with IHS’, as it is known

fact.

The IHS purchase referred care, pays outside

provider for services.

But yet there are rejects, many go without

treatment, face health bills. Some, are told to

deal with pain.

M any are denied, placed on a waiting list for

funding numerous times and over years.

IHS ranks by medical priority list, see a

surgeon, seen only, if risk of death.

US government violating treaties, with tribal

nations in providing health and welfare of

tribes, for their land. Maybe compensation

needs to be granted, for those who have

experienced damage.

There is a shortage of IHS workers.

Congress, needs to allocate more dollars to

PRC.

Many may need to apply, if qualifies, for

Obamacare or Sooner Care too.

Remember, to be proactive in your own

health.

Reminder, for a free credit report, go to

annaulcreditreport.com online. Call 1-877322-8228.

Thanks to the employees, that work for our

tribe and the services provided.

Attend a church service.

Eileen Pearce, Tribal Member

Questions, Comments: Lapearce@att.net

405.227.2036

October 2024

www.astribe.com

Happy Heavenly Birthday, Kokoge.

We love you and miss you so much.

Happy Birthday Jaden and Carsyn!

From Mom, Clay & Shylah

“Now, Always and Forever.”

Ariel, Caley Pie, Neyawe,

Christian, Austin, Andee and StellaRae

Henryetta Ellis 10/14/52- 12/22/23

LITTLE AXE

CONSTRUCTION

Donnie Groves IV

We want to wish you luck and to let you

know that we’re so proud of you! Keep

up the hard work son! Donnie is on the

1st/2nd Grade Football team for the

Tecumseh Savages. Go #4!

Donnie is the son of Ariel Ellis and

Donnie Groves, the grandson of Andrew

and Mandy Ellis, the great grandson of

Leroy and the late Henryetta Ellis, Leora

and Dave Alford and the late Rocky

Larney.

WE DO DIRT

WORK

• Gravel Driveways

• Land Clearing

• Tractor Work

and SO MUCH MORE!

FREE ESTIMATES!

405-432-7443

Si ta pi ki no fe ke s’fwa

(sah teh pah kah noh thee kee s’thweh)

Wilted Month (October)

It is fall time and the leaves start to change colors and fall of the trees, hence wilted month. This is also

around the time our ceremonial cycle ends before we hibernate until the spring.

Ti qi ke ke – Fall time

M’ta qe – tree

M’ta ko – trees

M’sa ske – leaves

Ke la ke ne ki – sumac

M’ta ko me – acorn

Wi pe ko – pumpkin

Pe mo pa – hibernate

He ne m’sa ske na ki hi la me m’si ta – Leaves are turning colors.

(hee nee

m’seh skee neh kah

hah leh mee

m’sah the)

Ne ke hi ne qi ke ho ma ke ni ni wi m’ta ko me – Squirrels are gathering acorns.

(nee kee hah nee qah kee hoh meh kee nah nah wah

m’teh koh mee)

Gi ke we ya he hi la me m’si ta – Everything is changing colors.

(chah kee wee yeh hee hah leh mee m’sah the)

Ke la ke ne ki m’sa ske hi la me m’sqi we – Sumac leaves are turning red.

(kee leh kee nee kah m’seh skee

hah leh mee

m’sqah wee)

Ho wa ka ma ke ni pa wi pe ko – Let’s go gather pumpkins.

(hoh weh

keh meh kee nah peh

wah pee koh)

Ma ke n’ h’wa ke ni to na hi wi yi me ge ke – Animals looking for something to eat.

(meh kee n’h’wa kee

nah toh neh nah wah

yah mee chee kee)

Ka we yi ki me li we pa hi se si wi nwi to wa yi qa – Let’s get serious to speak Shawnee.

(keh wee yah kah mee lah wee peh hah see sah wah nwah toh weh yah qeh)

Don’t forget to scan the QR-Code with your smartphone to hear the words and phrases.

IMPORTANT!

Little Axe Public Schools will send out

their forms for the Impact Aid Grant on

October 1, 2024.

This grant is paid to the school based on the lost income from

property taxes for federal land. The school district qualifies for

this grant based on the number of students living on tribal

land, students whose parents are currently serving in the

military, and students whose parents work on any federal

property - this includes tribal property and/or housing.

Examples of Federal Properties in Oklahoma:

Tinker Air Force Base - Either employed directly by Tinker or

performing contact services on the base.

National Postal Training Facility

FAA Aeronautical Center

Veteran’s Hospital

Any Employment on Tribal Land

Tribal Housing Authorities

Tribal Health Systems

Tribal Smoke Shops

Tribal Day Care

All Casinos

Weather Bureau

Will Rogers Airport, OKC - EXCEPT HANGAR #13

Most Dams/Reservoirs in Oklahoma

For any questions regarding the form, contact Cathey Miller at Little Axe Public Schools.

(405) 579-2963

October 2024

6A www.astribe.com

P H O N E D I R E C T O RY - D I R E C T N U M B E R S

O F F I C E O F T H E T R I B A L S EC R E TA RY

2025 S. GORDON COOPER DRIVE, SHAWNEE, OK 74801 • PHONE: 405.275.4030 • EMAIL: SECRETARY@ASTRIBE.COM • WEB: WWW.ASTRIBE.COM

AST Complex – (405) 275-4030

Toll Free - 800-256-3341

All Nations Bank…………………………………………(405) 273-0202

Brendle Corner…......……………………………………(405) 447-3372

Building Blocks….........…………………………………(405) 878-0633

Building Blocks III LA….....……………………………(405) 360-2710

Court………………………......…………………………(405) 481-8575

Domestic Violence…………….....………………………(405) 273-2888

Enrollment……………………….....……………………(405) 481-8650

Food Pantry………………………...……………………(405) 481-8640

Gaming Commission………………....…………(405) 360-9270 x1110

Housing Authority………………………………………(405) 275-1050

Human Resources……………………….....……………(405) 275-1468

ICW………………………………………………………(405) 395-4490

Media………………………….…………………………(405) 598-1279

OEH/OEP…………………….…………….…….………(405) 214-4235

Police…………………………………………(405) 275-3200/275-3432

Social Services…………….…………………….…….…(405) 878-4723

Tax Commission…….……………….……………….…(405) 481-8600

Thunderbird Casino Norman…….……….……………(405) 360-9270

Thunderbird Casino Shawnee…………….….…………(405) 273-2679

Tribal Store Little Axe……………………………………(405) 364-0668

The Absentee Shawnee Tribe will be closed

Monday, October 14 - Indigenous Peoples’ Day

www.asthealth.org

October 2024

Section B

ASTHS October 2024 Monthly Update

October is Breast Cancer Awareness Month

Breast Cancer Awareness Month just might be the best known “awareness” month of them all. Pink ribbons, Race for the Cure events, and mobile

mammogram units abound during October. At this point, the top breast

cancer statistic – that 1 in 8 women will be diagnosed – is emblazoned on

the American consciousness. To a lesser extent, Americans are aware that

women of color experience higher mortality rates from breast cancer. What

isn’t talked about as much: the actions needed to improve access to screenings and treatment.

In the United States, Native women are 7 percent more likely to get breast

cancer and 10 percent more likely to die from it than non-Hispanic white

women. They’re also more likely to be diagnosed before age 50. Breast cancer is the second leading cause of cancer death for Native women – and they

have the worst breast cancer survival outcomes of any racial group in the

U.S. Disparities in Indigenous health are laid bare in breast cancer. As cancer deaths drop in every other group, the Centers for Disease Control and

Prevention (CDC) says they are rising in Native American women, jumping

nearly 2 percent each year among Native women in their 40s. It often takes

longer for Native American women to get diagnosed because they have one

of the lowest screening rates in the country. Those who do have a positive

mammogram result are less likely to get a biopsy to confirm the diagnosis.

What Are the Risks?

A few things increase your chances of getting breast cancer. It's important

to talk to your doctor about risks like these:

•

Weight Management and Moderate Alcohol Consumption – Extra fat tissue can lead to more creation of insulin and estrogen, both

linked to an increased risk for breast cancer. Alcohol consumption is

also linked to breast cancer risk. Maintaining a healthy weight, limiting

alcohol intake, and exercising at least 3 days a week are recommended

to lower risk.

Improving Breast Cancer Treatment in Tribal Nations

As with every clinical specialty, culturally responsive care is a must for

breast cancer treatment in Native communities. Additional funding, resources, and equipment can also increase the screening rate. When it comes

to treatment, the University of Arizona team suggested that medical centers

find ways to cluster patients’ care and make it easier for them to complete

therapy in a smaller number of visits – lessening the burden on women who

travel long distances for care.

Also helpful: testing to reveal a patient’s cancer hormone status. Studies

have found that most breast cancers in Alaska Native women are hormone

receptor-positive, meaning they can feed on estrogen or progesterone.

Knowing a patient’s status can help doctors devise a safe and effective treatment plan, but Native women are less likely than white women to get tested.

Finally, telehealth can bring specialists and multidisciplinary care teams to

patients in remote areas and reservations. Women can access genetic counseling, lactation consultants, follow-up visits, and long-term survivorship

care without leaving home.

What Can You Do?

You do have some control over your breast cancer risk. First, it's important

• Your Genes – Changes called mutations in genes can increase your

to find a doctor you trust. Talk to your doctor about your breast cancer risk.

risk of getting breast cancer. If your mother, sister, daughter, or another

Though you can't change things like your age or genes, there are a few things

close relative had breast cancer, it might run in your family.

you can do to lower your chance of getting breast cancer:

• Your Age – Most breast cancers are diagnosed in women over age 50.

• Keep your weight in a healthy range

Native American women are more likely than white women to be diag• Walk or do other exercises at least 3 days a week

nosed earlier, before age 50.

• Limit alcohol to one drink a day or less

• Your Breast Density – Breasts are made from fat and connective tissue. • If you have a baby, breastfeed for at least one year if you can

Having dense breasts means your breasts contain more tissue than fat.

Screening is also important. Many women with breast cancer don't have

This not only increases your risk for breast cancer, but it also makes the

cancer harder to see on a mammogram. Because of this, ASTHS was symptoms. Ask your doctor when you should start getting mammograms.

the first in the state to invest in Hologic 3D Mammography. With 3D Guidelines recommend starting between ages 40 and 50, but because breast

Mammography radiologists scan for cancerous tumors by providing a cancer affects Native American women at a younger age, you might want to

more complete image than 2D alone. It’s the only mammogram that’s start screening sooner, depending on your risks.

Between mammograms, check your breasts. Call your doctor right away

FDA-approved as superior for women with dense breasts, since dense

breasts show up white in a mammogram and often hide cancerous tu- if you notice:

mors. 3D mammograms have been shown to find up to 65% more • A lump

invasive breast cancers than 2D alone and reduce callbacks.

• Any changes in size or shape

• Your Weight – Over half of Native American women are overweight • Flaking, peeling, scaling, or crusting of the nipple

and nearly one-third are obese. When you have extra fat tissue, your • Redness or warmth

body makes more of the hormones insulin and estrogen, which have • Fluid leaking from the nipple

been linked to an increased risk for breast cancer. Not exercising

To learn more about breast cancer, contact ASTHS or visit the American

enough can also lead to weight gain and a higher breast cancer risk.

Cancer Society or the American Indian Cancer Foundation. These organi• How Much You Drink – Alcohol is linked to breast cancer risk. The zations offer resources, including ways to find help paying for cancer screenmore alcohol you drink, the more that risk rises.

ings and treatments.

• Whether You Breastfed – When you breastfeed, your body makes less References:

estrogen, a hormone that can increase breast cancer risk. For every 12 Tribal Health (2024). Breast Cancer in Native American Women. https://tribalhealth.

months of breastfeeding, the breast cancer risk drops by more than 4 com/breast-cancer/#:~:text=In%20the%20United%20States%2C%20Native,than%20

percent. Native American mothers are less likely to exclusively breast- non%2DHispanic%20white%20women.

feed in their baby's first 6 months compared to women of other ethnic WebMD (2024). Breast Cancer in Native American Women. https://www.webmd.com/

breast-cancer/breast-cancer-native-american-women

groups.

CONSTRUCTION UPDATE

Understanding and Managing Risk

While’s no way to eliminate the possibility of a breast cancer diagnosis,

Native women can take steps toward managing their risk and treatment:

•

Shawnee Health Center

NEW SHAWNEE HEALTH CLINIC! (Coming Soon)

Creating a Risk Profile – This assessment can be based on genetics,

lifestyle, and environmental factors. Family history, such as a mother,

39665 Benson Park Road, Shawnee, OK 74801 (adjacent to Tecumseh

aunt, grandmother, or sister with breast cancer, can indicate elevated

Lake)

risk; age is a factor, as is breast density, which not only increases risk but

Architect and Construction Manager have been selected. Design Phase is

can “disguise” cancer on a mammogram.

being concluded. Planning for Groundbreaking Ceremony is ongoing.

Regular Screenings – Mammograms remain the best way to detect

breast cancer early, when it’s most treatable. Thermal imaging, which September 2024 Health Employee Awards of the Month

measures infrared heat waves from breasts to detect hotter cancerous

cells, is becoming more popular too. Current guidelines recommend Employee of the Month: Todd Thompson, Phlebotomist/ Med. Lab Asst.

creating a “baseline” mammogram between ages 40 and 50 – but be- Team of the Month: Shawnee and LA Providers

cause breast cancer affects Native American women at a younger age

than other women, they may want to begin screening sooner.

Special Leadership Award: Jason Bender, Security Supervisor

Chris A. Larkin, MBA, FACHE, CHC

Executive Director

2B www.astribe.com

As we celebrate National Physical Therapy Month this October, it is important to recognize the

invaluable role that physical therapy plays in improving the overall health and well-being of

individuals. Physical therapy is a crucial component of healthcare that focuses on restoring and

enhancing mobility, strength, and function in individuals of all ages.

At Complete Care Home Health, we understand the importance of physical therapy in promoting

recovery and independence. Our team of skilled physical therapists is dedicated to providing

personalized care that addresses the unique needs of each individual. Whether recovering from

surgery, managing a chronic condition, or seeking to improve mobility and balance, our physical

therapy services are designed to help individuals achieve their goals and regain their quality of

life.

One of the key benefits of physical therapy is that it can be provided in the comfort and

convenience of your own home. Our in-home physical therapy services eliminate the need for

travel to a clinic or facility, making it easier for individuals to receive the care they need without

added stress or inconvenience. Our therapists work closely with patients to develop

personalized treatment plans that are tailored to their specific needs and goals, ensuring that

they receive the highest quality care in a familiar and comfortable environment.

Whether you or a loved one is in need of physical therapy services, Complete Care Home

Health is here to help. Our team is committed to providing compassionate and comprehensive

care that empowers individuals to achieve their highest level of function and independence.

your loved one on the road to recovery. If you have any questions please call us at

405.701.7085.

October 2024

www.astribe.com

MONDAY

TUESDAY

PORK CHOP

MAC AND TOM

MIXED FRUIT

CHICKEN FRIED STEAK

MASHED POT/GRAVY

VEGGIES

MANDARIN ORANGES

CLOSED FOR

INDIGENOUS DAY

HOT HAM & CHEZ

SANDWICHES

CHIPS

JELL-O

LEMON PEPPER

CHICKEN

PEAS & CARROTS

BREAD/PEACHES

VEGGIE SOUP

COLD CUT SANDWICH

CUTIE ORANGE

CHICKEN SALAD

SANDWICH

CHIPS

APRICOTS

BEEF TIPS

& NOODLES

BEETS

FLUFF

TUNA SANDWICH

FIXINGS

PICKLE SPEARS

CHIPS/PEARS

WEDNESDAY

THURSDAY

TITLE VI STAFF

WILL BE ATTENDING

FOOD SHOW

SMOKED SAUSAGE

CABBAGE

CORNBREAD

PEARS

TATOR CASSAROLE

GREENBEANS

BEANS

STEAKFRIES

CORNBREAD

ONIONS

PORK & HOMINY

SPINACH

MIXED FRUIT

BURRITO

SPANISH RICE

SALSA

PINEAPPLES

SOFT TACO

REFRIED BEANS

LTOC

SALSA/PEACHES

HAM

BRUSSEL SPROUTS

BREAD

APPLESAUCE

BBQ CHICKEN

POT SALAD

ICE CREAM

FRIDAY

BOILED EGG

SAUSAGE PATTIES

TOAST

SCRAMBLED EGGS

SAUSAGE GRAVY

BISCUIT

BAGEL

BACON

TOAST/FRUIT

PANCAKES

SAUSAGE PATTIES

FRUIT

MIPPA EVENT

MORE DETAILS

TO COME

*MENU SUBJECT TO CHANGE*

SERVING AT LITTLE AXE RESOURCE CENTER & SHAWNEE SITE

LUNCH SERVED MONDAY – THURSDAY 11 AM TO 1 PM

BREAKFAST SERVED FRIDAYS 9 AM TO 11 AM

AST TRIBAL OPIOID RESPONSE

Karen Kaniatobe, Grant Project Coordinator

In 2023, 36.7% American Indian or Alaska Native (AI/AN) persons aged 12 or older reported using illicit drugs in the past year. The percentages of persons who

have used illicit drugs in the past year INCREASED from 2022 when it was at 31.7%.

Each one of us can take action (whether we are tribal citizens or allies) to prevent another one of our native brethren from falling victim to drug misuse.

To make a difference, you don’t have to be in active addiction, you just have to care about improving the health and wellness of yourself, family, and/or tribal

community.

October is Substance Use Prevention Month! Here are some ways you can make a difference in October and all year long:

•

Learn about the risk factors associated with substance misuse: family history of substance misuse, lack of parental supervision, hanging out with delinquent

or substance-using peers, lack of school involvement, mental health issues, childhood sexual abuse, etc.

•

Know the protective factors to keep yourself and others on the right track: break the cycle of intergenerational trauma, develop strong community/family

support systems, find and practice healthy lifestyles best for you, engage in healthy socializing, learn about your tribe’s/nation’s culture, language, and

history.

•

Set aside time to talk AND listen to young people about the pitfalls and dangers of substance misuse.

•

Know that the Absentee Shawnee Tribal Opioid Response project is a prevention, treatment, and recovery resource for American Indians living in

Cleveland, Lincoln, Logan, Oklahoma, and Potawatomie counties. Contact TOR at 405.701.7059 or TOR@astribe.com

•

Support an educational substance misuse outreach event. Join TOR for Red Ribbon Week!

Join TOR in October during Red Ribbon Week, October 23rd through the 31st. Red Ribbon Week is about strengthening your knowledge and motivation to

live a lifestyle free from substance misuse. We’ll be hosting a moccasin making class during this period so you can get ready to Rock Your Mocs for the annual

November event. We’ll be posting a flyer with dates and times on the AST Facebook pages and throughout the community. Pop up events will also be occurring

during this period, be on lookout for event details or contact our office for more information!

OPERATING HOURS

LITTLE AXE HEALTH CENTER

SHAWNEE CLINIC

7:30am–6:00pm Mon.-Fri.

LITTLE AXE HEALTH CENTER

PHARMACY

SHAWNEE CLINIC PHARMACY

405.447.0300

405.292.9530 Refill Line

8:00am–8:00pm Mon.-Fri.

9:00am–5:00pm Sat.-Sun.

PLUSCARE CLINIC

405.447.0477

8:00am–7:00pm Mon.-Fri.

9:00am–4:00pm Sat.-Sun.

405.878.5850

405.878.5859 Refill Line

8:00am–8:00pm Mon.-Fri.

9:00am–5:00pm Sat.

SHAWNEE SAME DAY

WALK–IN CLINIC

405.878.5850

9:00am–5:00pm Mon.-Fri.

October 2024

4B www.astribe.com

HEALTH BUZZ

Absentee Shawnee Tribal Health System

Seeking Hope

for

Dementia and Alzheimer's

he Absentee Shawnee Tribal Health System’s

Dementia services team has been actively raising

awareness in neighboring communities. Our goal

is to dismantle the stigma surrounding dementia

among our elders. We aim to educate on

preventive measures against this disease and

extend a supportive hand to tribal and

community members caring for their loved ones.

We deeply respect and appreciate the immense

courage shown by those who care for their own.

The ADPI staff for the Music and Memory

program brought joy to five new participants

over the past two months. Witnessing the

smiles on their faces, despite their struggles

has brightened our days and reaffirmed the

purpose of our work. Music has a profound

ability to connect with individuals on a deep

emotional level, evoking memories and

emotions that transcend cognitive barriers.

Through this program, we are honored to

provide moments of happiness to those we

serve, enriching their lives and ours as well.

“MUSIC APPEARS TO BE A UNIQUE AND POWERFUL STIMULUS FOR

REAFFIRMING PERSONAL IDENTITY AND

SOCIAL CONNECTEDNESS IN INDIVIDUALS WITH DEMENTIA.”

RONALD DEVERE, MD

Music offers great possibilities to ease the burden carried by

dementia caregivers, yet some may not think of it as a resource.

Caregivers often contend with extreme stress that undermines their

health and well-being, and even increases their risk of dementia. So it

is worth emphasizing that music’s healing attributes can apply to

caregivers themselves. Caregivers can also use music as a tool to

engage those they care for. They can use it to help keep their loved

ones calm, boost their spirits and forge connections to those who

have become distant. The anecdotal evidence is powerful. Caregivers

report that the right music can transform the demeanor of those they

care for, bringing sudden cheer to those who are usually morose.

EFFECTIVE WAYS TO CALM

A LOVED ONE WITH

DEMENTIA

1) Keep Calm

2) Pay Attention to what

they’re saying

3) Focus on

their emotions

4) Provide Validation

5) Create Clutter-Free

space

That’s it for this month! Remember we are here to help in

your time of need!

Ne yi wa!

Lindsay Hernandez

ADPI Grant, Dementia Care Specialist

THE P.H. WEEKLY ITINERARY

OCTOB E R 20 24

10 Things

You Have to

BREAST

CANCER

Know Before Hiking

AWARENESS

MONTH

The quick brown fox jumped over the lazy

dog into a shimmering pool of rainwater

that had gathered since the last frost. Soft

clusters of leaves fall without a plan to the

ground, mirroring the unhurried chestnut

thatch of the fox’s dense coat.

BREAST CANCER AWARENESS

Savvy Caregiver in Indian Country andMusic & Memory

Check out our web-page:

6) Resist Distractions

7) Ensure they are not in

pain

8) Keep them active

9) Follow a routine

10) Build Connection

BREAST CANCER AWARENESS

ERECTILE DYSFUNCTION

BREAST CANCER AWARENESS

SCREEN TIME AWARENESS

Absentee Shawnee Tribal Health System

https://www.asthealth.org

Programs and Prevention

Seeking Hope

MENTAL ILLNESS AWARENESS

You can also contact me directly at (405) 701-7906.

BREAST CANCER AWARENESS

HALLOWEEN SAETY TIPS

1ST, 10th, 17th, 22ND, 29TH

1ST, 9-11 am SC

1-3 pm LA

10th 9-11 am

10th 1-3 pm

17th 9-11 am

17th 1-3 pm

22ND 9-11 am

22ND 1-3 pm

29TH 9-11 am

29TH 1-3 pm

October 2024

MONTHLY

ISSUE

www.astribe.com

NUMBER 09

STOP BY TO LEARN ABOUT EARLY SCREENINGS AND

WARNING SIGNS

DATE

OCTOBER 1st, 2024

SHAWNEE CLINIC

LITTLE AXE CLINIC

9-11 AM

1-3 PM

TOPIC PRESENTED BY

RITA, RN

MONTHLY

ISSUE

STOP BY TO LEARN ABOUT EARLY SCREENINGS

AND WARNING SIGNS

Dates:

OCTOBER 1st, 10th, 17th,

22nd, 29th, 2024

SHAWNEE CLINIC

LITTLE AXE CLINIC

9-11 AM

TOPIC PRESENTED BY

RITA, RN

THE P.H. WEEKLY

OCTOBER WEEK 1: BREAST CANCER AWARENESS

BREAST CANCER AWARENESS month

MONTHLY

ISSUE

NUMBER 10

MONTHLY

ISSUE

COME LEARN ABOUT AWARENESS AND WAYS TO

HELP MANAGE IMPOTENCE

DATE

OCTOBER 10th, 2024

SHAWNEE CLINIC

LITTLE AXE CLINIC

1-3 PM

NUMBER 11

COME LEARN ABOUT PROPER SCREEN TIME FOR

CHILDREN

DATE

TOPIC PRESENTED BY

JOHN AND DAVID

OCTOBER 17th, 2024

SHAWNEE CLINIC

LITTLE AXE CLINIC

1-3 PM

TOPIC PRESENTED BY

BARBRA CALDWELL, NP

THE P.H. WEEKLY

OCTOBER WEEK 2: ERECTILE DYSFUNCTION AWARENESS

OCTOBER WEEK 3: SCREEN TIME AWARENESS

MONTHLY

ISSUE

NUMBER 12

MONTHLY

ISSUE

STOP BY TO LEARN ABOUT RESOURCES FOR MENTAL

HEALTH

DATE

OCTOBER 22th, 2024

SHAWNEE CLINIC

LITTLE AXE CLINIC

1-3 PM

NUMBER 13

COME LEARN ABOUT CANDY OVERLOAD AND

SAFETY AROUND HALLOWEEN TIME

TOPIC PRESENTED BY

SIANNA

DATE

OCTOBER 29th, 2024

SHAWNEE CLINIC

LITTLE AXE CLINIC

1-3 PM

TOPIC PRESENTED BY

RITA AND SIANNA

THE P.H. WEEKLY

OCTOBER WEEK 4: MENTAL ILLNESS AWARENESS

OCTOBER WEEK 5: HALLOWEEN SAFETY TIPS

October 2024

6B www.astribe.com

Get Pumped With Pumpkins

Perform 2-3 Sets and 12 Repetitions

Upper Body

Lower Body

Reverse Pumpkin Fly

Start feet shoulder-width apart

while holding the dumbbells at

your sides. bringing your chest forward and leaning so that your upper body is almost parallel to the

floor. Raise both of your upper

arms out to your side with a soft

bend in your elbows. Squeeze your

shoulder blades together as you

pull them toward your spine.

Bicep Curl

Squats

Pumpkin Leg Raise

Lift the pumpkin towards the shoulders

while bending the elbows and keeping

them by the middle of your body

Begin standing with your feet slightly wider than hip-width, with your toes turned

slightly outward. Hold your chest up and

out, tilt your head slightly up, shift your

weight back into your heels while pushing

your hips behind you (like you are sitting

in a chair).

Stand with feet armpit width apart. Place and

hold the pumpkin on the side of your leg and

raise leg horizontally while keeping the pumpkin placed on the side pf your leg. Return to

starting position.

Get Pumped With Pumpkins

Perform 2-3 Sets and 12 Repetitions

CORE

Seated Jumping Jack

Seated Wood Chop

Sitting Knee-up

Start with your arms down by your

sides and legs together. Raise your

arms up and over your head while moving legs out to the side . Then return to

starting position.

Hold a pumpkin, keeping the it relatively close to the your body. Contract your core muscles to stiffen

your torso, holding it vertical to the

floor.

Sit at the front of your chair. Lift bent

legs up off the ground Hold for three

counts before returning to the ground.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.